bluuebunny/crossref_metadata_2025_split huggingface dataset:
Optimization of Patient Flow in Urgent Care Centers Using a Digital Tool for Recording Patient Symptoms and History: Simulation Study
Authors: Montazeri Maryam , Multmeier Jan , Novorol Claire , Upadhyay Shubhanan , Wicks Paul , Gilbert Stephen 
Published: April 2021

Background
Crowding can negatively affect patient and staff experience, and consequently the performance of health care facilities. Crowding can potentially be eased through streamlining and the reduction of duplication in patient history-taking through the use of a digital symptom-taking app.

Objective
We simulated the introduction of a digital symptom-taking app on patient flow. We hypothesized that waiting times and crowding in an urgent care center (UCC) could be reduced, and that this would be more efficient than simply adding more staff.

Methods
A discrete-event approach was used to simulate patient flow in a UCC during a 4-hour time frame. The baseline scenario was a small UCC with 2 triage nurses, 2 doctors, 1 treatment/examination nurse, and 1 discharge administrator in service. We simulated 33 scenarios with different staff numbers or different potential time savings through the app. We explored average queue length, waiting time, idle time, and staff utilization for each scenario.

Results
Discrete-event simulation showed that even a few minutes saved through patient app-based self-history recording during triage could result in significantly increased efficiency. A modest estimated time saving per patient of 2.5 minutes decreased the average patient wait time for triage by 26.17%, whereas a time saving of 5 minutes led to a 54.88% reduction in patient wait times. Alternatively, adding an additional triage nurse was less efficient, as the additional staff were only required at the busiest times.

Conclusions
Small time savings in the history-taking process have potential to result in substantial reductions in total patient waiting time for triage nurses, with likely effects of reduced patient anxiety, staff anxiety, and improved patient care. Patient self-history recording could be carried out at home or in the waiting room via a check-in kiosk or a portable tablet computer. This formative simulation study has potential to impact service provision and approaches to digitalization at scale.
A Resilience-Building App to Support the Mental Health of Health Care Workers in the COVID-19 Era: Design Process, Distribution, and Evaluation
Authors: Golden Eddye A , Zweig Micol , Danieletto Matteo , Landell Kyle , Nadkarni Girish , Bottinger Erwin , Katz Lindsay , Somarriba Ricardo , Sharma Vansh , Katz Craig L , Marin Deborah B , DePierro Jonathan , Charney Dennis S 
Published: April 2021

Background
The COVID-19 pandemic has resulted in increased strain on health care systems and negative psychological effects on health care workers (HCWs). This is anticipated to result in long-term negative mental health effects on the population, with HCWs representing a particularly vulnerable group. The scope of the COVID-19 pandemic necessitates the development of a scalable mental health platform to provide services to large numbers of at-risk or affected individuals. The Mount Sinai Health System in New York City was at the epicenter of the pandemic in the United States.

Objective
The Center for Stress, Resilience, and Personal Growth (CSRPG) was created to address the current and anticipated psychological impact of the pandemic on the HCWs in the health system. The mission of the Center is to support the resilience and mental health of employees through educational offerings, outreach, and clinical care. Our aim was to build a mobile app to support the newly founded Center in its mission.

Methods
We built the app as a standalone digital platform that hosts a suite of tools that users can interact with on a daily basis. With consideration for the Center’s aims, we determined the overall vision, initiatives, and goals for the Wellness Hub app, followed by specific milestone tasks and deliverables for development. We defined the app’s primary features based on the mental health assessment and needs of HCWs. Feature definition was informed by the results of a resilience survey widely distributed to Mount Sinai HCWs and by the resources offered at CSRPG, including workshop content.

Results
We launched our app over the course of two phases, the first phase being a “soft” launch and the second being a broader launch to all of Mount Sinai. Of the 231 HCWs who downloaded the app, 173 (74.9%) completed our baseline assessment of all mental health screeners in the app. Results from the baseline assessment show that more than half of the users demonstrate a need for support in at least one psychological area. As of 3 months after the Phase 2 launch, approximately 55% of users re-entered the app after their first opening to explore additional features, with an average of 4 app openings per person.

Conclusions
To address the mental health needs of HCWs during the COVID-19 pandemic, the Wellness Hub app was built and deployed throughout the Mount Sinai Health System. To our knowledge, this is the first resilience app of its kind. The Wellness Hub app is a promising proof of concept, with room to grow, for those who wish to build a secure mobile health app to support their employees, communities, or others in managing and improving mental and physical well-being. It is a novel tool offering mental health support broadly.
Estimating the Proportion of COVID-19 Contacts Among Households Based on Individuals With Myocardial Infarction History: Cross-sectional Telephone Survey
Authors: Fraticelli Laurie , Freyssenge Julie , Claustre Clément , Martinez Mikaël , Redjaline Abdesslam , Serre Patrice , Bochaton Thomas , El Khoury Carlos 
Published: April 2021

Background
Adults with cardiovascular diseases were disproportionately associated with an increased risk of a severe form of COVID-19 and all-cause mortality.

Objective
The aims of this study are to report the associated symptoms for COVID-19 cases, to estimate the proportion of contacts, and to describe the clinical signs and behaviors among individuals with and without myocardial infarction history among cases and contacts.

Methods
A 2-week cross-sectional telephone survey was conducted during the first lockdown period in France, from May 4 to 15, 2020. A total of 668 households participated, representing 703 individuals with pre-existing cardiovascular disease in the past 2 years and 849 individuals without myocardial infarction history.

Results
High rates of compliance with health measures were self-reported, regardless of age or risk factors. There were 4 confirmed COVID-19 cases that were registered from 4 different households. Based on deductive assumptions of the 1552 individuals, 9.73% (n=151) were identified as contacts, of whom 71.52% (108/151) were asymptomatic. Among individuals with a myocardial infarction history, 2 were COVID-19 cases, and the estimated proportion of contacts was 8.68% (61/703), of whom 68.85% (42/61) were asymptomatic. The cases and contacts presented different symptoms, with more respiratory signs in those with a myocardial infarction history.

Conclusions
The telephone survey could be a relevant tool for reporting the number of contacts during a limited period and in a limited territory based on the presence of associated symptoms and COVID-19 cases in the households. This study advanced our knowledge to better prepare for future crises.
Understanding the Associations of Prenatal Androgen Exposure on Sleep Physiology, Circadian Proteins, Anthropometric Parameters, Hormonal Factors, Quality of Life, and Sex Among Healthy Young Adults: Protocol for an International, Multicenter Study
Authors: Kuczyński Wojciech , Wibowo Erik , Hoshino Tetsuro , Kudrycka Aleksandra , Małolepsza Aleksandra , Karwowska Urszula , Pruszkowska Milena , Wasiak Jakub , Kuczyńska Aleksandra , Spałka Jakub , Pruszkowska-Przybylska Paulina , Mokros Łukasz , Białas Adam , Białasiewicz Piotr , Sasanabe Ryujiro , Blagrove Mark , Manning John 
Published: April 2021

Background
The ratio of the second finger length to the fourth finger length (2D:4D ratio) is considered to be negatively correlated with prenatal androgen exposure (PAE) and positively correlated with prenatal estrogen. Coincidentally, various brain regions are sensitive to PAE, and their functions in adults may be influenced by the prenatal actions of sex hormones.

Objective
This study aims to assess the relationship between PAE (indicated by the 2D:4D ratio) and various physiological (sex hormone levels and sleep-wake parameters), psychological (mental health), and sexual parameters in healthy young adults.

Methods
This study consists of two phases. In phase 1, we will conduct a survey-based study and anthropometric assessments (including 2D:4D ratio and BMI) in healthy young adults. Using validated questionnaires, we will collect self-reported data on sleep quality, sexual function, sleep chronotype, anxiety, and depressive symptoms. In phase 2, a subsample of phase 1 will undergo polysomnography and physiological and genetic assessments. Sleep architecture data will be obtained using portable polysomnography. The levels of testosterone, estradiol, progesterone, luteinizing hormone, follicle-stimulating hormone, prolactin, melatonin, and circadian regulatory proteins (circadian locomotor output cycles kaput [CLOCK], timeless [TIM], and period [PER]) and the expression levels of some miRNAs will be measured using blood samples. The rest and activity cycle will be monitored using actigraphy for a 7-day period.

Results
In Poland, 720 participants were recruited for phase 1. Among these, 140 completed anthropometric measurements. In addition, 25 participants joined and completed phase 2 data collection. Recruitment from other sites will follow.

Conclusions
Findings from our study may help to better understand the plausible role of PAE in sleep physiology, mental health, and sexual quality of life in young adults.

International Registered Report Identifier (IRRID)
DERR1-10.2196/29199
Analítica de la percepción de docentes y estudiantes sobre el uso de metodologías de enseñanza tradicionales e innovadoras en educación superior
Authors: Morales Sierra María Eugenia , Molano-Cardeño Hans , Cardona-Valencia Daniel , Delgado-Cadavid Daniela 
Published: April 2021

La valoración de las variables cualitativas en estrategias de enseñanza-aprendizaje es un factor clave en el desarrollo de las estrategias educativas que fortalezcan el aprendizaje, apoyado en las TIC. Este fortalecimiento incluye aplicar metodologías innovadoras y actividades didácticas, que logren de una mejor manera la transmisión y recepción del conocimiento. El objetivo de este trabajo es evaluar un modelo de aceptación tecnológica (TAM) a partir de un cuestionario dirigido a docentes y estudiantes de los campos disciplinares económico y financieros de instituciones públicas y privadas de educación superior en Medellín, Colombia, para determinar el nivel de incidencia de las variables: actitud, utilidad percibida, facilidad de uso, intención y confianza, frente a las metodologías didácticas. Se presenta una investigación de tipo descriptivo, apoyada en técnicas y métodos de validación como la prueba de Bartlett, KMO, Alfa de Cronbach y la validación convergente y discriminante para los constructos del modelo. Como resultado se evidencia una asociación positiva entre las variables estudiadas y se valida la pertinencia de las metodologías para el grupo de estudio con alto grado de aceptación en estrategias como exámenes, talleres y juegos como prácticas académicas.

Se logra validar la pertinencia de las metodologías de enseñanza-aprendizaje tanto innovadoras como tradicionales para el grupo de estudio y se obtiene una alta aceptación; asimismo, se halla un alto grado de aceptación en el uso de exámenes, talleres y juegos, los cuales sugieren que en la actualidad se aplican efectivamente como herramientas de aprendizaje.
Auditors' Responses to Classification Shifting: Evidence from U.S. Firms
Authors: Dao Mai , Xu Hongkang , Pham Trung 
Published: April 2021

SYNOPSIS
This study examines how auditors react to clients' engagement in classification shifting which refers to the intentional misallocation of line items within the income statement. We find that classification shifting is positively associated with audit fees, audit report lags, the issuance of a modified audit opinion, and auditor resignations. Additional analyses show that auditors' responses to multiple-year classification shifting are similar to our main findings. We further find that classification shifting is associated with a higher likelihood of financial misstatements in the classification shifting year, and future announcements of financial restatements. We also find that the probability of future restatements is even higher when audit clients engage in both classification shifting and real earnings management. Overall, our results imply that auditors become more cautious in response to audit clients' classification shifting behavior.
Data Availability: Data are available from the public sources cited in the text.
JEL Classifications: M40; M41; M42.
CRITICAL THINKING DEVELOPMENT OF NON-LINGUISTIC STUDENTS THROUGH THE EDUCATIONAL FOREIGN-LANGUAGE TEXT
Authors: Шукурова Инна Вячеславовна , Чеснокова Наталья Евгеньевна 
Published: April 2021

Рассматривается вопрос развития критического мышления студентов средствами иностранного языка. Оценивается место и роль дисциплины «Иностранный язык» в развитии универсальных компетенций студентов и в их адаптации к современным требованиям, предъявляемым будущим специалистам. Представлены составляющие умения критического мышления, которые позволяют осмысливать полученную информацию, обобщать и отделять ее от второстепенных фактов, формулировать выводы, оценивать. Средством развития критического мышления студентов выбран учебный иноязычный текст, который рассматривается не только как источник информации, но и как средство активизации мыслительной деятельности. Отмечается недостаток методик, способствующих развитию критического мышления. Описывается возможность использования таксономии педагогических целей Б. Блума в работе с учебным текстом. Таксономия позволяет правильно ставить образовательные цели, формулировать мотивирующие задания и отслеживать прогресс в развитии умений. Приведен пример работы с учебным текстом по принципу таксономии, который дает возможность корректировать учебную деятельность студентов, направленную на развитие их критического мышления.
The article considers the process of students’ critical thinking development through the English language resources. The authors highlight the importance of English in the developing of students’ universal competencies and their adaption to the current professional requirements. The article outlines the essential critical thinking skills that allow students to comprehend the received material, break down the material into its constituent parts, to distinguish relevant information from extraneous material, to synthesize, to infer and evaluate it. The educational foreign-language text is used as a means of students’ critical thinking development. The authors emphasize the text’s multifunction nature and its contribution into enhancement of students’ thinking activity. Despite the teachers’ keen interest in the process of critical thinking developing some authors prove the lack of methods and techniques promoting its growth. The article gives an overview of Bloom’s taxonomy and outlines its application in the educational process. The taxonomy is widely used to set educational objectives, to formulate motivating exercises and monitor headway in knowledge and skills developing. The study shows that not all textbooks and tasks are intended to enhance critical thinking skills. So, the authors analyzed their English textbook and changed their approach to work with the texts. The article describes the experience proving that new challenging tasks help students comprehend the received information, distinguish relevant facts, summarize and learn to evaluate.
A Study on the utilization of coffee grounds for particle board
Authors: Maulida Cut Rizka , Mursal Mursal , Ismail Ismail 
Published: April 2021

Abstrak. Penelitian ini bertujuan untuk membuat papan partikel dengan menggunakan limbah ampas kopi dan resin epoksi sebagai perekat. Komposisi resin epoksi divariasikan yaitu 5, 10, 15 dan 20 vol.% untuk masing-masing partikel ampas kopi berukuran 20 dan 40 mesh. Papan partikel dibuat dengan teknik pressing dengan beban sebesar 9 ton selama 30 menit. Sifat mekanik yang diuji adalah MOE, MOR, dan kuat tekan. Sifat fisis papan partikel yang diuji adalah kerapatan dan pengembangan tebal. Hasil menunjukkan bahwa nilai MOE tertinggi yaitu 20,910 kgf/cm2 pada komposisi 95 vol.% ampas kopi dan 5 vol.% resin epoksi dengan ukuran ampas kopi 40 mesh. MOR tertinggi yaitu 167 kgf/cm2 pada ukuran partikel 40 mesh dengan komposisi ampas kopi 90 vol.% dan resin epoksi 10 vol.%. Nilai kuat tekan tertinggi diperoleh 220 kgf/cm2 pada 20 mesh, dengan komposisi 85 vol.% ampas kopi dan 15 vol.% resin epoksi. Kerapatan dan pengembangan tebal papan partikel yang tertinggi masing-masing adalah 1,16 g/cm3 dan 0,85%. Secara umum, sifat mekanis papan partikel ampas kopi tergantung pada komposisi dan ukuran partikel ampas kopi. Namun, sifat fisisnya tidak berubah secara signifikan untuk ukuran partikel dan komposisi yang berbeda. Papan partikel yang diperoleh dari penelitian ini memenuhi standar ANSI sehingga berpotensi untuk dijadikan sebagai papan partikel atau komposit. Abstract.. This study aims to make a particle board using coffee ground waste and epoxy resin as an adhesive. The composition of the epoxy resin was varied, namely 5, 10, 15 and 20 vol.% for 20 mesh and 40 mesh of coffee grounds particles. Particle board is made by pressing technique with a load of 9 tons for 30 minutes. The mechanical properties tested were MOE, MOR, and compressive strength. The physical properties of the particle board tested were density and thickness swelling. The results showed that the highest MOE particle board was 20.910 kgf/cm2 (95 vol.% coffee grounds:5 vol.% epoxy resin; 40 mesh). The highest MOR was 167 kgf/cm2 (90 vol.% coffee grounds:10 vol.% epoxy resin;40 mesh). The hihgest compressive strength values was 220 kgf/cm2 (85 vol.% coffee grounds:15 vol.% epoxy resin;20 mesh). The highest density and thickness expansion were 1.16 g/cm3 and 0.85%, respectively. In general, the mechanical properties of coffee grounds particleboard depend on the composition and particle size of coffee grounds. However, their physical properties do not change significantly for different particle sizes and compositions. The particle board obtained from this study meets the standard of ANSI. Thus, coffee grounds have the potential to be used as particle board or composite. Keywords particle board, coffee grounds, epoxy resin, mechanical properties, physical properties
Estimating Central Bank Reaction Functions Post 2008: USA and Switzerland
Authors: Cross-Bermingham William 
Published: April 2021

Almost all central banks worldwide have a common goal of keeping inflation low and stable while simultaneously maintaining the health of their country’s financial system. By studying the Swiss National Bank and the US Federal Reserve, this paper investigates whether a single model can be used to capture these two mandates – both in times of economic stability and in times of crisis.
Ultimately, using differences between market interest rates as a "barometer of fears of bank insolvency" the model presented in this paper is able to detect when a crisis is occurring. Furthermore, it is able to describe the change in central bank behaviour associated with said crisis.
The value of the model is in its simplicity, it only uses four macroeconomic variables to provide accurate forecasts. Furthermore, monetary economists are highly interested in simple models to determine the optimal interest rate. Such types of models are associated with the "Great Moderation" – a time period from the 1980s – 1990s where a reduction in the volatility of the business cycle was linked to a strict rule-based approach to monetary policy. Insight into these rules can ultimately improve the welfare of all citizens by allowing central banks to handle economic crises more effectively.
STAKEHOLDER APPROACH TO FINANCIAL MANAGEMENT IN VENTURE CAPITAL COMPANIES
Authors: Bank Sergey 
Published: April 2021

The increasing role of the complexity of non-financial forms of capital in all areas of operation in order to achieve the best competitive positions, as a result, and to justify management decisions determines the search for new strategic ways of developing venture companies. The selected solutions within the framework of the strategy should be consistent with the formation of value increments for corporate stakeholders.
The stakeholders of venture-type companies, being direct carriers of the intellectual and social unity of capital, pursue the goal of obtaining a certain reward in the form of alternative economic profit that covers the costs incurred by them.
méditation comme moyen de synthèse culturelle dans les œuvres du compositeur Yoshihisa Yaïra
Authors: Morooka Hiroyo 
Published: April 2021

Le compositeur Yoshihisa Taïra (1937-2005) cherche – dans sa composition – à réaliser une synthèse culturelle entre la France, où il s’est formé et a vécu, et le Japon, son pays d'origine. Il utilise alors la méditation comme thème musical pour se libérer de l’intellectualisation et de la verbalisation de la musique, et ce, dans le but de revenir à l’écoute en tant qu’essence musicale. En utilisant le concept du ma (vide), en s’inspirant de la pensée bouddhiste zen, Taïra réussit à trouver une position équilibrée avec le contexte esthétique de la postmodernité française représentée par Jean-François Lyotard.
Cet article creuse donc ce en quoi la méditation est la synthèse culturelle pour Taïra, en analysant du point de vue musical et philosophique, la possibilité de l’existence d’un croisement idéologique entre ces deux cultures qui inciterait le compositeur à retourner vers l’inspiration de la culture japonaise, à l’aide de la pensée issue de Logique du lieu de Kitarô Nishida.
Depression in older people during the Covid-19 curfew
Authors: DEĞER Tahsin Barış , ÇAKMAK Huri Seval , BOZKURT Emin , EMİNSOY Bedri 
Published: April 2021

Purpose: Curfew was declared for the people 65 years and older to protect from the Covid-19 pandemic by the government in Turkey on 21 March 2020. The aim of this study is to determine the depression levels, factors affecting depression, concerns about Covid-19 infection, thoughts about curfew, lifestyles and ways of meeting their needs of the older adults during the curfew.
Methods: In the first method, the data of the study were collected by the researchers by contacting the relatives of our university health department students by phone or video interview, and in the second, via Google Forms by the link of the study shared on social networks and online platform and a total of 1311 older people were included. Older adult information form and Geriatric Depression Scale Short Form (GDS-15) were used. Mann Whitney–U Test, Kruskal Wallis Test and Multivariate Logistic Regression analysis were conducted.
Results: Prevalence of depression was measured as 44.2% in the participants. Being aged 85 and over, illiteracy, living alone, having chronic disease, previous psychiatric diagnosis, anxiety about infection with Covid-19 and disapprove of curfew decision significantly increased the depression levels in older adults.
Conclusion: The curfew during the Covid-19 pandemic increased the depression level in older adults compared to before the curfew.