bluuebunny/crossref_metadata_2025_split huggingface dataset:
Clinician Perspectives on Unmet Needs for Mobile Technology Among Hospitalists: Workflow Analysis Based on Semistructured Interviews
Authors: Savoy April , Saleem Jason J , Barker Barry C , Patel Himalaya , Kara Areeba 
Published: October 2021

Background
The hospitalist workday is cognitively demanding and dominated by activities away from patients’ bedsides. Although mobile technologies are offered as solutions, clinicians report lower expectations of mobile technology after actual use.

Objective
The purpose of this study is to better understand opportunities for integrating mobile technology and apps into hospitalists’ workflows. We aim to identify difficult tasks and contextual factors that introduce inefficiencies and characterize hospitalists’ perspectives on mobile technology and apps.

Methods
We conducted a workflow analysis based on semistructured interviews. At a Midwestern US medical center, we recruited physicians and nurse practitioners from hospitalist and inpatient teaching teams and internal medicine residents. Interviews focused on tasks perceived as frequent, redundant, and difficult. Additionally, participants were asked to describe opportunities for mobile technology interventions. We analyzed contributing factors, impacted workflows, and mobile app ideas.

Results
Over 3 months, we interviewed 12 hospitalists. Participants collectively identified chart reviews, orders, and documentation as the most frequent, redundant, and difficult tasks. Based on those tasks, the intake, discharge, and rounding workflows were characterized as difficult and inefficient. The difficulty was associated with a lack of access to electronic health records at the bedside. Contributing factors for inefficiencies were poor usability and inconsistent availability of health information technology combined with organizational policies. Participants thought mobile apps designed to improve team communications would be most beneficial. Based on our analysis, mobile apps focused on data entry and presentation supporting specific tasks should also be prioritized.

Conclusions
Based on our results, there are prioritized opportunities for mobile technology to decrease difficulty and increase the efficiency of hospitalists’ workflows. Mobile technology and task-specific mobile apps with enhanced usability could decrease overreliance on hospitalists’ memory and fragmentation of clinical tasks across locations. This study informs the design and implementation processes of future health information technologies to improve continuity in hospital-based medicine.
Kinesiotherapy With Exergaming as a Potential Modulator of Epigenetic Marks and Clinical Functional Variables of Older Women: Protocol for a Mixed Methods Study
Authors: Henrique Patrícia Paula Bazzanello , Perez Fabrízzio Martin Pelle , Becker Osvaldo Henrique Cemin , Bellei Ericles Andrei , Biduski Daiana , Korb Arthiese , Pochmann Daniela , Dani Caroline , Elsner Viviane Rostirola , De Marchi Ana Carolina Bertoletti 
Published: October 2021

Background
Kinesiotherapy is an option to mitigate worsening neuropsychomotor function due to human aging. Moreover, exergames are beneficial for the practice of physical therapy by older patients. Physical exercise interventions are known to alter the epigenome, but little is known about their association with exergames.

Objective
We aim to evaluate the effects of kinesiotherapy with exergaming on older women’s epigenetic marks and cognitive ability, as well as on their clinical functional variables. Our hypothesis states that this kind of therapy can elicit equal or even better outcomes than conventional therapy.

Methods
We will develop a virtual clinic exergame with 8 types of kinesiotherapy exercises. Afterward, we will conduct a 1:1 randomized clinical trial to compare the practice of kinesiotherapy with exergames (intervention group) against conventional kinesiotherapy (control group). A total of 24 older women will be enrolled for 1-hour sessions performed twice a week, for 6 weeks, totaling 12 sessions. We will assess outcomes using epigenetic blood tests, the Montreal Cognitive Assessment test, the Timed Up and Go test, muscle strength grading in a hydraulic dynamometer, and the Game Experience Questionnaire at various stages.

Results
The project was funded in October 2019. Game development took place in 2020. Patient recruitment and a clinical trial are planned for 2021.

Conclusions
Research on this topic is likely to significantly expand the understanding of kinesiotherapy and the impact of exergames. To the best of our knowledge, this may be one of the first studies exploring epigenetic outcomes of exergaming interventions.

Trial Registration
Brazilian Clinical Trials Registry/Registro Brasileiro de Ensaios Clínicos (ReBEC) RBR-9tdrmw; https://ensaiosclinicos.gov.br/rg/RBR-9tdrmw.

International Registered Report Identifier (IRRID)
DERR1-10.2196/32729
Drinking and Social Media Use Among Workers During COVID-19 Pandemic Restrictions: Five-Wave Longitudinal Study
Authors: Oksanen Atte , Oksa Reetta , Savela Nina , Celuch Magdalena , Savolainen Iina 
Published: October 2021

Background
The COVID-19 pandemic restricted everyday life during 2020-2021 for many people worldwide. It also affected alcohol consumption patterns and leisure activities, including the use of social media.

Objective
The aim of this study was to analyze whether social media use predicts increased risky drinking over time and during the COVID-19 pandemic restrictions in particular.

Methods
This 5-wave longitudinal survey study, based on a nationwide sample of workers, was conducted in Finland in 2019-2021. A total of 840 respondents (male: 473/840, 56.31%; age range 18-64 years; mean age 43.90, SD 11.14 years) participated in all 5 waves of the study. The outcome variable was risky drinking, measured using the 3-item Alcohol Use Disorders Identification Test (AUDIT-C). Multilevel linear hybrid modeling enabled the investigation of both within-person and between-person effects. Predictors included social media use and communication, involvement in social media identity bubbles, psychological distress, and remote working. Controls included sociodemographic factors and the Big Five personality traits.

Results
Increased involvement in social media identity bubbles was associated with an increase in risky drinking behavior. Of all social media platforms examined, online dating app use was associated with riskier use of alcohol over time during the COVID-19 crisis. Daily social media communication with colleagues about nonwork topics was associated with risky drinking. Female gender, younger age, university education, nonindustrial occupational field, conscientiousness, agreeableness, and neuroticism were associated with lower levels of risky drinking.

Conclusions
Social media use during a pandemic carries some risks for alcohol consumption. Involvement in social media identity bubbles and online dating are risk factors for excessive drinking during the COVID-19 pandemic.
Early diagnosis and prevention of acute kidney injury in elderly patients after urgent abdominal surgery
Authors: Momot N.V. , Tumanska N.V. , Petrenko Yu.M. , Vorotyntsev S.I. 
Published: October 2021

Due to the rapidly aging of the population, the number of elderly patients is boosting. Elderly patients are a special cohort of patients due to their typical physiological and anatomical age-related changes, fragility, and comorbidity. One of the threatening perioperative complications is acute kidney injury (AKI), which is associated with a longer hospital stay, increased short-term and long-term mortality. Despite constant efforts to standardize the determination of AKI using serum creatinine, this method has several disadvantages, which makes the search for other diagnostic criteria for kidney damage urgent. Recently, the determination of biomarkers (lipocalin-2, interleukin-18, cystatin C), which can be useful in the early diagnosis of AKI, has become increasingly popular. Even though the filtration capacity of the kidneys is the only factor determining the serum cystatin C concentration, this marker is the most valuable. The use of ultrasound for the early diagnosis of AKI is also considered promising. Several studies show that the renal resistance index and semi-quantitative assessment of renal blood flow work are well for diagnosing persistent AKI. The high mortality rate and the lack of special treatment increase the need for AKI prevention in the elderly, the main one of which is careful clinical monitoring with timely correction of hypovolemia and hypotension. With invasive procedures, the risk of AKI can be reduced by maintaining mean arterial pressure > 80 mmHg and hematocrit > 30 %, as well as providing adequate oxygenation and volume restoration. Prescription of drugs should be individualized by adjusting doses based on the glomerular filtration rate and the patient’s age. However, the question of specific drug prevention of AKI remains open. Several studies have confirmed the renoprotective properties of dexmedetomidine in cardiac surgery, and some positive effects of pentoxifylline for the treatment of renal pathology are also described in the literature. This review explores the topic of AKI in elderly patients undergoing abdominal surgery and focuses on the early diagnosis and prevention of this syndrome.
Building Teacherly Roles Together
Authors: Kingston Peter Stanley 
Published: October 2021

Given that learner agency in making meaning from subjective learning experiences is central to constructivism, how can teachers provide structure without diminishing that agency? This paper comprises an a/r/tographic analysis of a practice-based research project situated outside formal education, which shares the teacher’s role across a community learning group. This group collectively chose and researched a new topic for each session, sharing this research in session and discussing the lesson this made. This model not only provides the basis for a consensual education, but also offers opportunity for empowerment through collectively taking ownership of learning, demonstrating that as engaged learners we can shape the structures through which we build learning agency. As education and culture shape each other, so learners emerge as critical citizens able to re/form community and culture for mutual benefit, open in turn to being re/formed by them.
Understanding learning as a creative process, this paper juxtaposes Gert Biesta’s concept of creative practice as a dialogue with the world against the re-emergent concept of cultural democracy. Education re/produces cultural values; by not assuming control of learners’ education for them – by not inhabiting the role of teacher – we do not diminish the space for new, emergent structures to be realised. This paper seeks to show that by performing the teacher’s functions between us, we increase our intrinsic motivation for learning, also allowing for possibilities of new knowledge emerging. As will be shown, constructivism needs no singular teachers, only people to learn alongside and share the practice of learning with.
Model Penyebaran Perilaku Merokok Berdasarkan Faktor Biologis dan Lingkungan Provinsi Riau
Authors: Suryani, M.Sc Irma , Soleh Mohammad , Kelana Habibul 
Published: October 2021

Paper ini membahas tentang penyebaran perilaku merokok berdasarkan faktor biologis dan faktor lingkungan di Provinsi Riau. Model mempunyai dua titik ekuilibrium yaitu titik ekuilibrium bebas rokok dan titik ekuilibrium endemik rokok. Titik ekuilibrium ditentukan dengan menyelesaikan persamaan pada model dan diuji kestabilannya dengan kriteria nilai eigen dan Routh Hurwitz. Hasil yang diperoleh dari penelitian ini adalah titik ekulibrium bebas rokok dan titik ekuilibrium endemik stabil asimtotik lokal
Measures to counter the COVID-19 pandemic and the permissibility of human rights restrictions
Authors: Mendzhul Mariya 
Published: October 2021

Following the declaration of a pandemic caused by the SARS-CoV-2 virus, the EU and Ukraine have taken various measures to prevent infection and protect the health of citizens, including: mandatory obervation (most countries); introduction of the rules of responsibitity for violation of quarantine restrictions (usually administrative, but criminal liability is also possible); closure of educational and entertainment facilities, as well as public catering establishments (remote operation of educational facilities is allowed, as well as operation of public catering establishments with food delivery); obligation to wear masks; prohibition of movement of groups of persons; maximum transfer of employees to remote work; ban on operation of most companies (introduced by Italy and Spain); closing borders; curfew (introduced in Italy, Spain and Georgia); self-isolation of persons belonging to risk groups. Ukraine has implemented all these measures, except for curfew and closure of all enterprises.
Implemented measures in most countries have restricted: freedom of movement and peaceful assembly of citizens; the right to private and family life; protection of personal data; freedom of religion (most European countries and Ukraine have banned services and other religious ceremonies with gatherings); the right to medical care (in many countries, citizens have limited access to non-life-saving medical services, including dental, preventive medical services, non-urgent operations, etc.) and others.
In the context of the fight against the COVID-19 pandemic, states relied on various types of measures, which allowed us to distinguish three models: "hard" model (USA and most European countries and Ukraine); the "minimum intervention" model (introduced in South Korea); the "maximum public awareness" model (in Sweden). The question of the proportionality of measures taken by the state to counter the COVID-19 pandemic may be considered by the ECtHR regardless of whether the state has made a declaration of derogation, and the establishment of a violation of a particular right will depend on the specific situation in the country, scope and length of applied measures, as well as their feasibility and effectiveness.
Lying, computers and self-awareness
Authors: Castro Paulo 
Published: October 2021

Abstract
From the initial analysis of John Morris in 1976 about if computers can lie, I have presented my own treatment of the problem using what can be called a computational lying procedure. One that uses two Turing Machines. From there, I have argued that such a procedure cannot be implemented in a Turing Machine alone. A fundamental difficulty arises, concerning the computational representation of the self-knowledge a machine should have about the fact that it is lying. Contrary to Morris’ claim, I have thus suggested that computers – as far as they are Turing Machines – cannot lie. Consequently, I have claimed that moral agency attribution to a robot or any other automated AI system, cannot be made, strictly grounded on imitating behaviors. Self-awareness as an ontological grounding for moral attribution must be evoked. This can pose a recognition problem from our part, should the sentient system be the only agent capable of acknowledging its own sentience.
Comparación de dos férulas de distinto material en cuanto a efectividad en amas de casa con Síndrome del Túnel Carpiano
Authors: Santaella Delia Viviana , Herrera Helina Margarita 
Published: October 2021

En este trabajo se aplican los conocimientos adquiridos en el Diplomado de Férulas en miembro superior y los conocimientos de las autoras como profesionales de Terapia Ocupacional y Diseño Industrial. Se enfoca en el síndrome del túnel carpiano, que se presenta frecuentemente en mujeres entre 30 y 35 años, amas de casa y con síntomas iniciales de la patología. Se analizó la efectividad de la reducción de los síntomas del síndrome del túnel carpiano a través de dos férulas de diferente material, analizando las variables: beneficios, reducción de síntomas y material (orthoplast y poliuretano de densidad media).
Informe Comité de Ética de la Asociación Colombiana de Terapia Ocupacional
Authors: Gómez Galindo Ana María 
Published: October 2021

La Asociación Colombiana de Terapia Ocupacional, sus miembros y los terapeutas ocupacionales que ejercen en el país están comprometidos con el estudio, la gestión y ejecución de programas de promoción, desarrollo y recuperación ocupacional de personas y grupos. El Comité de Ética es una instancia de la Asociación Colombiana de Terapia Ocupacional que se encarga de estudiar, divulgar y sancionar asuntos relacionados con los valores y normas que deben regir el comportamiento profesional de los terapeutas ocupacionales, de conformidad con los principios y estándares de la profesión y con el marco político-legal vigente.
Impact of Perceived CSR on Brand Equity through Brand Admiration and Customer Advocacy Behaviour: Moderating Role of Brand Attitude and Customer Loyalty
Authors: Mahmood Mashari , Niazi Amna , Asghar Waheed , Hussain Mujahid 
Published: October 2021

Purpose: This study intends to explore the positive impact of perceived Corporate Social Responsibility (CSR) on brand equity with respect to behaviors and emotions. The motive behind this study was to examine the sequential mediating role of emotion of brand admiration and customer advocacy behavior between perceived CSR and brand equity. Moderators of brand attitude and customer loyalty were also explored in this study.
Design/Methodology/Approach: Quantitative research method has been adapted for this study. A questionnaire with 5-point likert scale was adopted from existing scholarly work to collect data from 364 customers of 5 food production companies placed in Pakistan. Collected data were analyzed with the help of SPSS and Smart PLS3 through Structural Equation Modeling (SEM) technique.
Findings: Results show that brand admiration and customer advocacy behavior significantly mediate the relationship of perceived CSR and brand equity. Moreover, moderating role of brand attitude and customer loyalty was found positive and significant. This was the novelty of this research.
Implications/Originality/Value: This research will be helpful for food production companies in Pakistan to formulate strong customer-brand relationships in order to strengthen their brand equity by effectively positioning their CSR practices into the minds of consumers.
Efecto del pH en la selectividad y coagulación de los ácidos húmicos en presencia de Al3+ por potencial zeta
Authors: Villagrán Manilla Abril , Ibarra Coria Eduardo Daniel , Guevara Lara Alfredo , Nieto Silvia 
Published: October 2021

En esta investigación se evaluó el efecto que presenta el pH (5 y 7) en la coagulación de los ácidos húmicos (AHs) en presencia de un agente coagulante como es el aluminio (Al3+).
En el análisis fisicoquímico de los AHs en estudio (comercial AH-CH y extraídos en el laboratorio AH-A y AH-T) mostraron características poliácidas y estables, lo cual se corrobora con su capacidad de coagulación con el metal trivalente por medio de lecturas de potencial zeta. Los datos obtenidos evidenciaron que existe una rápida interacción AHs-Al en un tiempo menor a 5 min y sobre todo al incrementar la concentración del metal (1, 2 y 3 mM) a un pH de 5, debido principalmente a la desprotonación de los grupos carboxílicos (-COOH), que bajo estas condiciones pueden coordinarse, reduciendo la carga neta negativa y permitiendo así que tales complejos se aproximen e interactúen a través de puentes de hidrógeno.
Evaluación electroquímica de una aleación base Ni como electrocatalizador para producir H2
Authors: Hernández Sánchez Juan Carlos , Urbano Reyes Gustavo , Reyes Cruz Víctor Esteban , Cobos Murcia José Ángel , Juárez Tapia Julio Cesar , Trujillo Estrada Ariadna 
Published: October 2021

Se presenta un estudio electroquímico para evaluar una aleación base Ni empleada como cátodo y determinar su viabilidad en la producción de hidrógeno en un medio electrolítico básico y ácido. Se aplicó un tratamiento a la superficie de la aleación de Ni utilizando una solución 0.6 M de FeCl3 con la finalidad de suministrar una mayor área superficial. Con fines comparativos se usó también un electrodo de acero inoxidable A304 como cátodo. Se realizaron pruebas de voltamperometría cíclica y cronoamperometría en un rango de potenciales entre -2.0 a 0.0 V, para evaluar la densidad de corriente durante la evolución de hidrógeno. Se determinó que la densidad de corriente obtenida en el medio básico fue mucho menor que con el medio ácido, en ambos electrodos analizados. Mientras que, con la aleación base Ni se presentó menores sobrepotenciales para el inicio de la reacción de evolución de hidrógeno, así como una mayor densidad de corriente que con el acero inoxidable A304. Además, se observó un aumento en la densidad de corriente cuando se aplicó el tratamiento a la aleación base Ni, atribuido a un incremento en el área superficial catalítica de la aleación.
Propuesta teórica: Implementación de elementos del modelo de inmersión para su adaptación a nuestro contexto. Planteamientos para su aplicación y evaluación
Authors: Meneses Vera Jazmin 
Published: October 2021

El modelo de inmersión dual que se trabaja en algunas de las escuelas de Estados Unidos ha sido implementado con gran éxito al lograr el bilingüismo en sus estudiantes, por lo que considero que es posible rescatar y valorar algunas de las prácticas que se llevan a cabo dentro de esta metodología de trabajo, realizando los ajustes correspondientes a nuestro contexto a fin de lograr que nuestros alumnos adquieran las competencias necesarias en el manejo eficaz de ambos idiomas, para ello sugiero la aplicación y evaluación de una serie de propuestas basadas en este programa.
PENGARUH KOMPLEKS LINIER ALKYL BENZENE SULFONATE (LAS) DAN KADMIUM (Cd) TERHADAP PENINGKATAN AKUMULASI, ABSORBSI DAN TOKSISITAS KADMIUM (Cd) PADA Cyprinus carpio L.
Authors: Hadi Moch Irfan , Agustina Eva , Andiarna Funsu , Nadlir Nadlir , Munir Misbakhul 
Published: October 2021

Deterjen merupakan salah satu hasil produk teknologi dengan menggunakan bahan kimia pengaktif permukaan (surfaktan) Alkyl Benzene Sulfonat (ABS) sebagai penghasil busa. ABS memiliki efek destruktif (buruk) terhadap lingkungan yakni sulit diuraikan oleh mikroorganisme, sehingga diganti dengan bahan aktif yang memiliki sifat lebih ramah lingkungan yaitu Linier Alkylbenzene Sulfonate (LAS). Tujuan penelitian adalah menganalisis pengaruh komplek Linier Alkyl Benzene Sulfonate (LAS) dan logam kadmium (Cd) dengan berbagai variasi konsentrasi terhadap absorbsi, akumulasi dan toksisitas logam kadmium (Cd) pada ikan mas (Cyprinus Carpio L). Sampel yang digunakan adalah ikan Cyprinus carpio L. dengan usia kurang lebih 3 bulan dengan asumsi bahwa ikan sudah berkembang secara seksual (mature). Cyprinus carpio L yang digunakan berkelamin jantan dengan panjang ±15cm dan berat badan ±100 gram. Penelitian ini menggunakan 6 variasi kelompok perlakuan dan 1 kelompok kontrol, maka dengan rumus diatas didapatkan r (ulangan) minimal 4 kali, maka dengan jumlah kelompokan 7 didapatkan besar sampel 28 ekor. Hasil penelitian ini adalah akumulasi lebih banyak ditemukan pada kelompok perlakuan Cd dan LAS. Kesimpulan dari hasil penelitian ini adalah didapatkan perbedaan akumulasi variasi perlakuan antara kelompok kontrol, Cd dan kombinasi LAS-Cd. Terjadinya akumulasi logam berat pada berbagai organisme dapat menimbulkan kerusakan pada lingkungan dan kesehatan pada manusia.