bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Impact of a Mobile App on Participation in Cardiac Rehabilitation and Understanding Barriers to Success: Comparative Cohort Study
Authors: Rivers John T , Smith Carla , Smith Ian , Cameron James 
Published: December 2021

Background
Poor patient uptake of cardiac rehabilitation (CR) remains a challenge for multiple reasons including geographic, time, cultural, cost, and psychological constraints.

Objective
We evaluated the impact on CR participation rates associated with the addition of the option of mobile app–based CR (Cardihab) for patients declining conventional CR.

Methods
A total of 204 consecutive patients were offered CR following angioplasty; of these, 99 were in cohort 1 (offered conventional CR only) and 105 were in cohort 2 (app-based CR offered to those declining conventional CR). Patients in each cohort were followed throughout a 6-week CR program and participation rates were compared for both groups. Patients in cohort 2 declining both forms of CR were interviewed to assess reasons for nonparticipation.

Results
CR participation improved from 21% (95% CI 14%-30%) to 63% (95% CI 53%-71%) with the addition of the app (P<.001). Approximately 25% (9/39) of the group declining the app-based program identified technology issues as the reason for nonparticipation. The remainder declined both CR programs or were ineligible due to frailty or comorbidities.

Conclusions
Providing patients with the additional option of an app-based CR program substantially improved CR participation. Technology and psychological barriers can limit CR participation. Further innovation in CR delivery systems is required to improve uptake.
A Clinical Decision Support System for Sleep Staging Tasks With Explanations From Artificial Intelligence: User-Centered Design and Evaluation Study
Authors: Hwang Jeonghwan , Lee Taeheon , Lee Honggu , Byun Seonjeong 
Published: December 2021

Background
Despite the unprecedented performance of deep learning algorithms in clinical domains, full reviews of algorithmic predictions by human experts remain mandatory. Under these circumstances, artificial intelligence (AI) models are primarily designed as clinical decision support systems (CDSSs). However, from the perspective of clinical practitioners, the lack of clinical interpretability and user-centered interfaces hinders the adoption of these AI systems in practice.

Objective
This study aims to develop an AI-based CDSS for assisting polysomnographic technicians in reviewing AI-predicted sleep staging results. This study proposed and evaluated a CDSS that provides clinically sound explanations for AI predictions in a user-centered manner.

Methods
Our study is based on a user-centered design framework for developing explanations in a CDSS that identifies why explanations are needed, what information should be contained in explanations, and how explanations can be provided in the CDSS. We conducted user interviews, user observation sessions, and an iterative design process to identify three key aspects for designing explanations in the CDSS. After constructing the CDSS, the tool was evaluated to investigate how the CDSS explanations helped technicians. We measured the accuracy of sleep staging and interrater reliability with macro-F1 and Cohen κ scores to assess quantitative improvements after our tool was adopted. We assessed qualitative improvements through participant interviews that established how participants perceived and used the tool.

Results
The user study revealed that technicians desire explanations that are relevant to key electroencephalogram (EEG) patterns for sleep staging when assessing the correctness of AI predictions. Here, technicians wanted explanations that could be used to evaluate whether the AI models properly locate and use these patterns during prediction. On the basis of this, information that is closely related to sleep EEG patterns was formulated for the AI models. In the iterative design phase, we developed a different visualization strategy for each pattern based on how technicians interpreted the EEG recordings with these patterns during their workflows. Our evaluation study on 9 polysomnographic technicians quantitatively and qualitatively investigated the helpfulness of the tool. For technicians with <5 years of work experience, their quantitative sleep staging performance improved significantly from 56.75 to 60.59 with a P value of .05. Qualitatively, participants reported that the information provided effectively supported them, and they could develop notable adoption strategies for the tool.

Conclusions
Our findings indicate that formulating clinical explanations for automated predictions using the information in the AI with a user-centered design process is an effective strategy for developing a CDSS for sleep staging.
Using Biological Feedback to Promote Health Behavior Change in Adults: Protocol for a Scoping Review
Authors: Richardson Kelli M , Saleh Ahlam A , Jospe Michelle R , Liao Yue , Schembre Susan M 
Published: December 2021

Background
Many health conditions can be prevented, managed, or improved through behavioral interventions. As a component of health behavior change interventions, biological feedback is of particular interest given recent advances in wearable biosensing technology, digital health apps, and personalized health and wellness. Nevertheless, there is a paucity of literature to guide the design and implementation of interventions that incorporate biological feedback to motivate health behavior change.

Objective
The goal of this scoping review is to deeply explore the use of biological feedback as a component of health behavior change interventions that target adults. The objectives of the review include (1) mapping the domains of research that incorporate biological feedback and (2) describing the operational characteristics of using biological feedback in the context of health behavior change.

Methods
A comprehensive list of search terms was developed to capture studies from a wide range of domains. The studies to be included are randomized controlled trials published as primary research articles, theses, or dissertations targeting adults 18 years and older, who use biological feedback to change a health-related behavior. The following electronic databases were searched: Ovid MEDLINE, Embase, Cochrane Central Register of Controlled Trials, EBSCOhost, PsycINFO, and ProQuest Dissertations & Theses Global. The screening and data extraction process will be guided by the Joanna Briggs Institute Manual for Evidence Synthesis and conducted by trained reviewers.

Results
Database searches were completed in June 2021. A total of 50,459 unique records were returned after the removal of 48,634 duplicate records. The scoping review is planned for completion in 2022.

Conclusions
To our knowledge, this will be the first scoping review to map the literature that uses biological feedback as a component of health behavior change interventions targeting adults. The findings will be used to develop a framework to guide the design and implementation of future health behavior change interventions that incorporate biological feedback.

Trial Registration
OSF Registries OSF.IO/YP5WA; https://osf.io/yp5wa

International Registered Report Identifier (IRRID)
DERR1-10.2196/32579
Diseño del sistema de recuperación de fuel oil de los residuos del proceso de filtración
Authors: Alcocer Quinteros Patricio , Pincay de la Rosa Fernando , Murillo Villaprado Josselyn , Miranda Casanova Betsy 
Published: December 2021

El presente trabajo de investigación consiste en diseñar un sistema de recuperación de fuel oil en la planta de tratamiento de combustible de la Central Termoeléctrica Quevedo II, a partir de los residuos obtenidos del proceso de filtración para ser reutilizados en las calderas auxiliares para la generación de vapor y en otras actividades desempeñadas dentro de la misma, analizando cada uno de los resultados alcanzados en los ensayos se obtuvo que el residuo puede ser utilizado en la generación de vapor con un punto de inflamación mayor de (73.5°C) con respecto al combustible utilizado en la generación eléctrica de la central (62.0°C); además el contenido de agua en el fuel oil sedimentado reduce un 6.71%; los métodos analítico, deductivo, inductivo, se utilizaron en la presente investigación, además la técnica Cuasi experimental y las fuentes de recopilación de la información. El estudio realizado ha permitido obtener resultados favorables en cuanto a la recuperación de Fuel Oil que corresponden a un 76.5% de los residuos obtenidos después del proceso de filtración, además se creó mediante software un sistema de recuperación de Fuel Oil conllevando a obtener mejoras dentro del proceso de generación actual en la Central y a su vez se muestra una amplia bibliografía actualizada respecto al tema de estudio. En conclusión, se recupera 375.1653949 galones de Fuel Oil durante las 12 horas de generación se está beneficiando la empresa con $ 636.05 en el transcurso del año.
Evaluación del crecimiento maxilar por medio de cefalometría, aplicada a pacientes portadores de fisura labio-alveolo-palatina
Authors: Jaramillo Vera Priscila Oderay , Carrera Cabanilla Eddy Geovanny 
Published: December 2021

Objetivos: evaluar del crecimiento maxilar por medio de cefalometría, en pacientes portadores de fisura labio alveolo palatina (FLAP). Hipótesis: el 50% de los pacientes con fisura labio alveolo palatina sometidos a cirugía reparadora presentan retrusión del tercio medio. Metodología: se realizó estudio transversal, descriptivo, en el cual se evaluaron 24 pacientes de ambos sexos entre los 6 y 25 años con diagnóstico de FLAP los cuales fueron atendidos en el hospital León Becerra por el departamento de cirugía plástica, durante el año 2011. Resultados: de 24 pacientes, 14 resultaron con retrusión del tercio medio. El género masculino presenta 60% de retrusión del tercio medio. De los pacientes que completaron tratamiento completo de queiloplástia, palatoplástia, injerto óseo y tratamiento ortodóntico, se observa que el 53% presentaron hipoplasia del tercio medio. En el caso de la edad en que se realizó palatoplastia, los pacientes de 12 y 13 meses, presentaron 100% de retrusión del tercio medio, pero los pacientes que se realizaron la palatoplástia tardíamente, disminuyó la retrusión como ocurrió a los 24 y 18 meses de edad en los que al realizar palatoplástia presentaron 0% de retrusión. Conclusiones: se sigue desconociendo cuál es la mejor técnica para obtener un mejor resultado estético y funcional, sin afectar el crecimiento facial.
Designing Interactive Audio-Visual Instructional Media Based On Value Clarification Technique (VCT)
Authors: Widodo Urip , Ngadat Ngadat , Subandi Agus 
Published: December 2021

The minimum quality of instructional media which is completed with appropriate teaching method on Buddhist religious education subject impacts towards students’ learning achievement. This study aims to create and analyze the validity and feasibility of interactive audio-visual learning media based on VCT which focuses on material about Buddhist temples in Indonesia. The method used in this study is the research and development method by using ADDIE model. Data collection techniques were by giving questionnaires to media experts, material experts, teachers and students. Data analysis used was descriptive percentage and descriptive qualitative analysis. The results of the study indicate the instructional media is very feasible to use which can be seen from the questionnaire analysis with an average score of validation results by material experts is 82,5% which is included into very feasible, the results of media validation by media experts is 82,5% which is included into very feasible, the response of teachers towards instructional media compiled is 86,6% which is included into very feasible, and final result among 29 students response towards the media shows 25 students (86%) declare that the insructional media is very feasible meanwhile the rest 4 students (14%) argue that the media is feasible. In conclusion the learning media compiled are valid and very feasible to use in teaching Buddhist education about Buddhist temples in Indonesia.
Ethanol extract of soursop leaves inhibits acid production and adhesion of Streptococcus mutans
Authors: Rahman Friska Ani , Intan Rahsunji 
Published: December 2021

ABSTRACTIntroduction: Dental caries and dental plaque are the most popular global oral health problems. The primary step of dental caries is characterized by damage of tooth surfaces affected by acids which are by-products of sugar metabolism by a cariogenic bacteria. One of the cariogenic bacteria is Streptococcus mutans. Annona muricata is traditionally applied as an herbal remedy for various illnesses and has been recognized in a previous study as an antimicrobial agent. The aim of this study was to investigate acid production and adhesion of ethanol extract of Soursop on Streptococcus mutans. Methods: Soursop leaf extracted by maceration using 70% ethanol solvent. The extracts obtained were tested at various concentrations. To examine the effect of ethanol extract of Soursop on acid production by S. mutans, the pH of the culture was determined using a pH meter. Inhibition of adhesion of S. mutans to the saliva-coated hydroxyapatite (S-HA) discs was quantified using colony counting on TYS20B agar plates. Results: The pH of S. mutans cultures in the presence of ethanol extract of Soursop leaf at various concentrations was higher than negative control, but there were no differences in pH value between the various concentrations of ethanol extract of Soursop leaf. Adhesion of S. mutans to S-HA discs was inhibited by various concentrations of ethanol extract of Soursop leaf. Adhesion decreased with increasing concentrations of ethanol extract of Soursop leaf, but there was not significant difference in colony count between the various concentrations of ethanol extract of Soursop leaf. Conclusions: Ethanol extract of Soursop leaf attenuates the acid production and adhesion of S. mutans to hydroxyapatite discs. Keywords: Soursop (Annona muricata); Streptococcus mutans; acid production; adhesion
Development of a method to measure regional perfusion of the lung in anesthetized ponies using computed tomography angiography and the maximum slope model
Authors: Auckburally Adam , Nyman Görel , Wiklund Maja K. , Straube Anna K. , Perchiazzi Gaetano , Beda Alessandro , Ley Charles J. , Lord Peter F. 
Published: December 2021

Abstract

OBJECTIVE
To develop a method based on CT angiography and the maximum slope model (MSM) to measure regional lung perfusion in anesthetized ponies.

ANIMALS
6 ponies.

PROCEDURES
Anesthetized ponies were positioned in dorsal recumbency in the CT gantry. Contrast was injected, and the lungs were imaged while ponies were breathing spontaneously and while they were mechanically ventilated. Two observers delineated regions of interest in aerated and atelectatic lung, and perfusion in those regions was calculated with the MSM. Measurements obtained with a computerized method were compared with manual measurements, and computerized measurements were compared with previously reported measurements obtained with microspheres.

RESULTS
Perfusion measurements obtained with the MSM were similar to previously reported values obtained with the microsphere method. While ponies were spontaneously breathing, mean ± SD perfusion for aerated and atelectatic lung regions were 4.0 ± 1.9 and 5.0 ± 1.2 mL/min/g of lung tissue, respectively. During mechanical ventilation, values were 4.6 ± 1.2 and 2.7 ± 0.7 mL/min/g of lung tissue at end expiration and 4.1 ± 0.5 and 2.7 ± 0.6 mL/min/g of lung tissue at peak inspiration. Intraobserver agreement was acceptable, but interobserver agreement was lower. Computerized measurements compared well with manual measurements.

CLINICAL RELEVANCE
Findings showed that CT angiography and the MSM could be used to measure regional lung perfusion in dorsally recumbent anesthetized ponies. Measurements are repeatable, suggesting that the method could be used to determine efficacy of therapeutic interventions to improve ventilation-perfusion matching and for other studies for which measurement of regional lung perfusion is necessary.
Distribution of histopathologic types of primary pulmonary neoplasia in dogs and outcome of affected dogs: 340 cases (2010–2019)
Authors: McPhetridge Jourdan B. , Scharf Valery F. , Regier Penny J. , Toth Darby , Lorange Max , Tremolada Giovanni , Dornbusch Josephine A. , Selmic Laura E. , Bae Sohee , Townsend Katy L. , McAdoo Jack C. , Thieman Kelley M. , Solari Francesca , Walton Rebecca A. , Romeiser Jacob , Tuohy Joanne L. , Oblak Michelle L. 
Published: December 2021

Abstract

OBJECTIVE
To provide updated information on the distribution of histopathologic types of primary pulmonary neoplasia in dogs and evaluate the effect of postoperative adjuvant chemotherapy in dogs with pulmonary carcinoma.

ANIMALS
340 dogs.

PROCEDURES
Medical records of dogs that underwent lung lobectomy for removal of a primary pulmonary mass were reviewed, and histopathologic type of lesions was determined. The canine lung carcinoma stage classification system was used to determine clinical stage for dogs with pulmonary carcinoma.

RESULTS
Pulmonary carcinoma was the most frequently encountered tumor type (296/340 [87.1%]), followed by sarcoma (26 [7.6%]), adenoma (11 [3.2%]), and pulmonary neuroendocrine tumor (5 [1.5%]); there was also 1 plasmacytoma and 1 carcinosarcoma. Twenty (5.9%) sarcomas were classified as primary pulmonary histiocytic sarcoma. There was a significant difference in median survival time between dogs with pulmonary carcinomas (399 days), dogs with histiocytic sarcomas (300 days), and dogs with neuroendocrine tumors (498 days). When dogs with pulmonary carcinomas were grouped on the basis of clinical stage, there were no significant differences in median survival time between dogs that did and did not receive adjuvant chemotherapy.

CLINICAL RELEVANCE
Results indicated that pulmonary carcinoma is the most common cause of primary pulmonary neoplasia in dogs; however, nonepithelial tumors can occur. Survival times were significantly different between dogs with pulmonary carcinoma, histiocytic sarcoma, and neuroendocrine tumor, emphasizing the importance of recognizing the relative incidence of these various histologic diagnoses. The therapeutic effect of adjuvant chemotherapy in dogs with pulmonary carcinoma remains unclear and warrants further investigation.
Empathy and Defender Role in Bullying at School: Student-Teacher Relationship as Mediator
Authors: Rizkyanti Charyna Ayu , Wahyuni Citra , Alatas Shofia 
Published: December 2021

Introduction. Although much research has shown strong relationship between empathy and defender role, less is known about how student-teacher relationship mediated those variables. Our main hyphotesis was to reveal whether the student-teacher relationship could be mediating the effect of affective and cognitive empathy on the defender role in bullying at school.
Method. A total of 311 participants were selected from 2 secondary schools in south Jakarta. Students refer to grade 7-8 with ranged in age from 13 to 15 years (Mage = 13.64; SD = .713). There were four instruments used: The Basic Empathy Scale to measure affective and cognitive empathy, Behaviors During Aggressive Episodes and Student Bystander Behavior Scale to measure defender role, and Student Per- ception of Affective Relationship with Teacher Scale.
Results. The results revealed both affective and cognitive empathy were found having a positive effect on defender role in bullying situation among junior high school stu- dents. However, cognitive empathy was found positively stronger on defender role rather than affective empathy. Furthermore, student-teacher relationship only partially mediated the effect both affective and cognitive empathy on defender role.
Discussion and Conclusion. These findings emphasized the urgency of comprehensive program to create defender by enhancing empathy and positive student-teacher rela- tionship to inhibit bullying behavior at schools.
ВЗАЄМОДІЯ СПЕЦІАЛІСТІВ У ПРОЦЕСІ НАДАННЯ ПОСЛУГИ З ПАТРОНАТУ
Authors: Пєтушкова Лариса 
Published: December 2021

У статті аналізуються наукові дослідження щодо взаємодії спеціалістів у процесі соціального захисту, соціальної роботи та надання соціальних послуг. Розглянуто підходи науковців до визначення понять «міжвідомча», «міждисциплінарна» взаємодія, окреслено відмінності міжвідомчої та міждисциплінарної взаємодії спеціалістів територіальних громад, виокремлено функції міжвідомчої взаємодії у сфері розв'язання соціальних проблем у межах територіальної громади. Представлено законодавчі акти, що регламентують цю взаємодію, визначено спеціалістів міждисциплінарної команди.
Зафіксовано важливість міждисциплінарної взаємодії у процесі ведення випадку та реалізації завдань соціального супроводу вразливих сімей, важливість інтерактивного командного підходу під час надання інтегрованих соціальних послуг.
Представлено такі етапи надання послуги з патронату як виявлення сімей з дітьми, які потребують послуги з патронату; прийняття рішення про переміщення дитини в сім’ю патронатного вихователя; відкриття випадку; розроблення плану та надання послуг відповідно до визначених потреб; моніторинг виконання індивідуального плану; підготовка дитини до переміщення; переміщення дитини із сім’ї патронатного вихователя; завершення випадку; оцінка якості надання послуг; підтримка сім'ї з дитиною. Описано особливості міжвідомчої та міждисциплінарної взаємодії спеціалістів на різних етапах у процесі ведення випадку сім’ї, дитина якої переміщена під патронат. Визначено координаторів міждисциплінарної взаємодії відповідно до окресленої мети у процесі ведення випадку, роль патронатного вихователя як члена міждисциплінарної команди. Представлено особливості програми навчання членів міждисциплінарної команди щодо партнерства, взаємодії та прийняття рішень в найкращих інтересах дитини в процесі надання послуги з патронату, результати опитування учасників тренінгу. Окреслено важливістьі співпраці спеціалістів у процесі надання послуги з патронату в громаді та підготовки їх до цієї командної взаємодії.
The Fluency of Oral Reading with Natural Reader Software
Authors: Virdaus Varia Virdania , Rifa’i Saiful 
Published: December 2021

This recent investigation aims to find out whether natural reader software improves oral reading fluency for English language learners. In this recent study, the natural reader software was considered as independent variable and the oral reading fluency score was regarded as dependent one. The subjects of this investigation were students of English education study program. The number of the students of group (1) were 32 students who are taught using natural reader software and this group was considered to be an experimental group and The number of the students of group (2) were35 students who are taught without using natural reader software this group was considered to be control group. This study has proven that this software can significantly prove that most of students have more accurate and more precise reading skills. This study has revealed that oral reading fluency instruction does improve global reading proficiency at all grade levels