bluuebunny/crossref_metadata_2025_split huggingface dataset:
Educators' Perspectives on Integrating Technology Into Sexual Health Education: Implementation Study
Authors: Decker Martha J , Harrison Salish , Price Melisa , Gutmann-Gonzalez Abigail , Yarger Jennifer , Tenney Rachel 
Published: November 2021

Background
In the last decade, the use of technology-based sexual health education has increased. Multiple studies have shown the feasibility of technology-based interventions, while a subset has also shown efficacy in improving youths’ sexual health outcomes such as increased condom use and knowledge. However, little is known about health educators’ experiences in integrating technology to augment sexual health curricula.

Objective
The purpose of this study was to assess the perceptions and experiences of health educators regarding the incorporation of technology into a sexual health education program designed for underserved youth in Fresno County, California, and to identify facilitators and challenges to incorporating technology into the in-person curriculum.

Methods
This implementation study used data collected as part of a cluster randomized controlled trial to evaluate In the Know (ITK), an in-person sexual health education curriculum that includes technology-based content, such as a resource locator, videos, and games, which can be accessed through a mobile app or website. Data from implementation logs from each cohort (n=51) and annual interviews (n=8) with health educators were analyzed to assess the health educators’ experiences using the technology and adaptations made during the implementation.

Results
The health educators reported that technological issues affected implementation to some degree: 87% of the time in the first year, which decreased to 47% in the third year as health educators’ familiarity with the app increased and functionality improved. Technology issues were also more common in non–school settings. Successes and challenges in 3 domains emerged: managing technology, usability of the ITK app, and youth engagement. The health educators generally had positive comments about the app and youth engagement with the technology-based content and activities; however, they also noted certain barriers to adolescents’ use of the mobile app including limited data storage and battery life on mobile phones.

Conclusions
Health educators require training and support to optimize technology as a resource for engaging with youth and providing sensitive information. Although technology is often presented as a solution to reach underserved populations, educational programs should consider the technological needs and limitations of the participants, educators, and settings.

International Registered Report Identifier (IRRID)
RR2-10.2196/18060
A Virtual Coach (Motibot) for Supporting Healthy Coping Strategies Among Adults With Diabetes: Proof-of-Concept Study
Authors: Bassi Giulia , Giuliano Claudio , Perinelli Alessio , Forti Stefano , Gabrielli Silvia , Salcuni Silvia 
Published: November 2021

Background
Motivation is a core component of diabetes self-management because it allows adults with diabetes mellitus (DM) to adhere to clinical recommendations. In this context, virtual coaches (VCs) have assumed a central role in supporting and treating common barriers related to adherence. However, most of them are mainly focused on medical and physical purposes, such as the monitoring of blood glucose levels or following a healthy diet.

Objective
This proof-of-concept study aims to evaluate the preliminary efficacy of a VC intervention for psychosocial support before and after the intervention and at follow-up. The intent of this VC is to motivate adults with type 1 DM and type 2 DM to adopt and cultivate healthy coping strategies to reduce symptoms of depression, anxiety, perceived stress, and diabetes-related emotional distress, while also improving their well-being.

Methods
A total of 13 Italian adults with DM (18-51 years) interacted with a VC, called Motibot (motivational bot) using the Telegram messaging app. The interaction covered 12 sessions, each lasting 10 to 20 minutes, during which the user could dialogue with the VC by inputting text or tapping an option on their smartphone screen. Motibot is developed within the transtheoretical model of change to deliver the most appropriate psychoeducational intervention based on the user’s motivation to change.

Results
Results showed that over the 12 sessions, there were no significant changes before and after the intervention and at follow-up regarding psychosocial factors. However, most users showed a downward trend over the 3 time periods in depression and anxiety symptoms, thereby presenting good psychological well-being and no diabetes-related emotional distress. In addition, users felt motivated, involved, encouraged, emotionally understood, and stimulated by Motibot during the interaction. Indeed, the analyses of semistructured interviews, using a text mining approach, showed that most users reported a perceived reduction in anxiety, depression, and/or stress symptoms. Moreover, users indicated the usefulness of Motibot in supporting and motivating them to find a mindful moment for themselves and to reflect on their own emotions.

Conclusions
Motibot was well accepted by users, particularly because of the inclusion of mindfulness practices, which motivated them to adopt healthy coping skills. To this extent, Motibot provided psychosocial support for adults with DM, particularly for those with mild and moderate symptoms, whereas those with severe symptoms may benefit more from face-to-face psychotherapy.
The Current State and Validity of Digital Assessment Tools for Psychiatry: Systematic Review
Authors: Martin-Key Nayra A , Spadaro Benedetta , Funnell Erin , Barker Eleanor Jane , Schei Thea Sofie , Tomasik Jakub , Bahn Sabine 
Published: November 2021

Background
Given the role digital technologies are likely to play in the future of mental health care, there is a need for a comprehensive appraisal of the current state and validity (ie, screening or diagnostic accuracy) of digital mental health assessments.

Objective
The aim of this review is to explore the current state and validity of question-and-answer–based digital tools for diagnosing and screening psychiatric conditions in adults.

Methods
This systematic review was based on the Population, Intervention, Comparison, and Outcome framework and was carried out in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. MEDLINE, Embase, Cochrane Library, ASSIA, Web of Science Core Collection, CINAHL, and PsycINFO were systematically searched for articles published between 2005 and 2021. A descriptive evaluation of the study characteristics and digital solutions and a quantitative appraisal of the screening or diagnostic accuracy of the included tools were conducted. Risk of bias and applicability were assessed using the revised tool for the Quality Assessment of Diagnostic Accuracy Studies 2.

Results
A total of 28 studies met the inclusion criteria, with the most frequently evaluated conditions encompassing generalized anxiety disorder, major depressive disorder, and any depressive disorder. Most of the studies used digitized versions of existing pen-and-paper questionnaires, with findings revealing poor to excellent screening or diagnostic accuracy (sensitivity=0.32-1.00, specificity=0.37-1.00, area under the receiver operating characteristic curve=0.57-0.98) and a high risk of bias for most of the included studies.

Conclusions
The field of digital mental health tools is in its early stages, and high-quality evidence is lacking.

International Registered Report Identifier (IRRID)
RR2-10.2196/25382
Day Case GreenLight Laser Photoselective Vaporisation of the Prostate (GL-PVP)
Authors: Trail Matthew , Good Daniel , Clyde Danielle , Brodie Katie , Leung Steve , Simpson Helen , Grzegorz Kata Slawomir , Tsafrakidis Petros , Chapman Richard A , Mitchell Ian , Janjua Khalid , Jaafari Feras Al 
Published: November 2021

Background and Objective In recent years, GreenLight laser photoselective vaporisation of the prostate (GL-PVP) has emerged as the primary ablative surgical treatment option for symptomatic bladder outlet obstruction (BOO) secondary to benign prostatic enlargement (BPE). Unlike the reference procedure, monopolar-transurethral resection of the prostate (M-TURP), GL-PVP can be performed as a day case. As waiting list pressures continue to burden health boards across the UK, exacerbated by the COVID-19 pandemic, enhanced access to day case surgery to optimise patient flow is now of paramount importance. We evaluated the safety and feasibility of day case GL-PVP at our high-volume UK centre and identified predictors of a postoperative overnight stay. Material and Methods We performed a retrospective observational cohort study of all patients who underwent primary GL-PVP at a single institution between October 2016 and June 2021. All procedures were performed utilising the 180W GreenLight XPS™ laser therapy system. Various clinical, operative and functional data were collated, and outcomes were compared between patients who underwent day case surgery and those admitted overnight postoperatively. Results In all, 538 patients underwent GL-PVP during the study period. Median patient age was 72 (interquartile range (IQR) 66–77), and median prostate volume was 62.5cc (IQR 45–90). Five hundred nineteen patients (96.5%) were discharged within 23 hours of admission, and 366 patients (68.0%) were managed as a true day case. Operative and functional outcomes were comparable between patients managed as a day case and those admitted overnight. There was higher patient-reported satisfaction and a lower rate of early hospital readmission in the day-case group. On univariate logistic regression analysis, patients aged ≥80 years (Odds Ratio 2.64 [95% Confidence Interval 1.65– 4.24], p = < 0.001), those with American Society of Anaesthesiologists (ASA) physical status classification score ≥3 (OR 1.92 [95% CI 1.33–2.78], p = < 0.001), those with prostate volume ≥80cc (OR 1.62 [95% CI 1.00–2.61], p = 0.05) and those in whom the operation time ≥60 minutes (OR 1.66 [95% CI 1.10–2.52], p = 0.02) were more likely to be admitted overnight following GL-PVP. On multivariate logistic regression analysis, age ≥80 (OR 2.64 [95% CI 1.47–4.73], p = 0.001) and ASA score ≥3 (OR 2.03 [95% CI 1.28–3.22], p = 0.003) remained predictive variables of an overnight stay. Conclusion From our observations of a large cohort of patients over a study period of almost five years, day case GLPVP is a feasible concept and does not appear to compromise perioperative outcomes. With appropriate service redesign and optimisation of postoperative patient pathways, day case GL-PVP can be established in other centres and may have a role in alleviating waiting list pressures.
Del turismo tradicional al turismo comunitario: perspectiva de desarrollo endógeno en tiempos de postconflicto: caso zona rural Ibagué (Tolima - Colombia)
Authors: Cardona Prieto Martha Nubia 
Published: November 2021

El presente artículo describe los resultados de la investigación titulada El turismo comunitario: Perspectiva de desarrollo endógeno en tiempos de postconflicto: estudio de caso zona rural Ibagué (Tolima) la cual vislumbró responder a la siguiente pregunta: ¿Cuáles son las circunstancias socio-políticas y económicas necesarias para la ejecución de propuestas de turismo comunitario en la zona rural Ibagué (Tolima)? (desde el análisis teórico y la perspectiva del desarrollo local endógeno).
El turismo comunitario fue centro de este marco como una opción de ingresos adicionales para las poblaciones rurales del municipio de Ibagué para así equiparar su manutención en los espacios de tiempo en que las cosechas agrícolas, pecuarias y/o demás actividades de sostenimiento económico son improductivas para el sustento diario de las familias. De este modo se podría disminuir hasta terminar el desplazamiento de los miembros mayores o responsables de la manutención a la zona urbana para ocuparse de actividades de venta informal ambulante de alimentos y otros artículos de consumo, obreros de construcción o el oficio doméstico, entre otros, para conseguir la renta diaria. Por otra parte, era necesario dar a comprender a las comunidades que para ejercer esta actividad no era necesario que tuviesen que sustituir su actividad principal del campo para dedicarse al turismo alternativo: solo debían formalizar esta actividad complementaria con el buen manejo de los recursos naturales, el patrimonio cultural material e inmateriales del territorio.
Es así como en este espacio la concepción teórico-práctica que se le transfiere al turismo comunitario de actividad económica organizada en la investigación es considerada en un primer momento como un medio para satisfacer necesidades básicas y no como un fin en sí mismo de manutención. El turismo comunitario deberá amparar el mejoramiento de la calidad de vida de los habitantes de las zonas rurales ya sean campesinos, indígenas y comunidades que encontraron su nicho por desplazamiento forzado.
Luego de la revisión documental y la práctica de trabajo de campo a partir de la cartografía social, se hace un análisis al legado natural, patrimonial y cultural que conservan en los territorios rurales en conjunto con los adelantos tecnológicos obtenidos por el emprendimiento de los pobladores causado a los productos agrícolas como el café, el cacao y la gastronomía propia de la región. Al respecto cabe señalar que este tipo de investigación es utilizada como referencia ex-ante de la formulación y diseño de una política pública participativa, programa de desarrollo local y la pre-planeación de programas sociales con enfoque integral.
Attended Process Automation in Audit: A Framework and A Demonstration
Authors: Zhang Chanyuan (Abigail) , Thomas Chanta , Vasarhelyi Miklos A. 
Published: November 2021

ABSTRACT
This study responds to an increasing need for research on Robotic Process Automation (RPA) in external auditing, especially concerning auditors' roles in an RPA-enabled audit workflow. Since more than half of the audit tasks require certain levels of auditors' judgment and cannot be fully automated (Abdolmohammadi 1999), audit automation should include attended automation, in which auditors work alongside and interact with automation routines. This paper adopts the Design Science Research (DSR) approach and proposes an Attended Process Automation (APA) framework that guides the implementation of attended automation in audits. This paper also demonstrates the APA framework by applying it to the planning process for single audits, a government-required external audit for beneficiaries of funding. The APA framework emphasizes auditors' vital role in an automated audit workflow in providing professional judgments currently irreplaceable by automation.
JEL Classifications: M420; O310.
Automation at Truveil: Business Process Understanding and Analysis in RPA Implementation
Authors: Perdana Arif , Arisandi Desi 
Published: November 2021

ABSTRACT
In the process of automation implementation, it is critical for management and employees to have skills in understanding, identifying, and documenting the relevant business processes. To equip students with these skills, we employ an authentic business scenario from Truveil, a toy company. In 2021, Truveil (a pseudonym) had operations in more than 15 countries. In this teaching case, we explain the business process of the company's Singapore office. This case provides students with the opportunity to map a business process before and after automation, understand the challenges the company faced in implementing automation, and apply critical thinking to business process automation.
JEL Classifications: M41.
Vorlesungen über Friedrich Nietzsche (1888) – Aristokratischer Radicalismus (1889/1890) - Dänisch-deutsche Parallelausgabe
Authors: Brandes Georg 
Published: November 2021

Georg Brandes, einflussreicher dänischer Literaturhistoriker, Kritiker und Biograf, hält eine öffentliche Vorlesungsreihe über Nietzsche, während dieser noch lebt und wirkt. Nachdem er jahrelang totgeschwiegen worden war, teilt Nietzsche dies begeistert seinen Freunden mit. Brandes hat seine Vorlesungen später um- und ausgearbeitet und 1889 auf Dänisch, 1890 auf Deutsch publiziert. Schon in seinem Briefwechsel mit Nietzsche 1887 verwendet Brandes den Begriff «aristokratischer Radicalismus».

Die Forschung hat bisher nur die Fassung der Aufsätze gekannt. Die fünf Vorlesungen – bisher nie gedruckt – werden hier zum ersten Mal nach den Originalmanuskripten ediert und kommentiert. Die Gliederung ist völlig anders und der Tenor viel unmittelbarer als in den Aufsätzen. Die Ausgabe ist durchgehend zweisprachig (dänisch – deutsch) und wird in Zusammenarbeit mit der Gesellschaft für Dänische Sprache und Literatur veröffentlicht.
Hochsensibilität - Phänomenologische und ethische Überlegungen
Authors: Fenner Dagmar 
Published: November 2021

Groß ist die Fülle an Ratgeberliteratur für Hochsensible. Was bislang fehlte, ist eine philosophische und kulturkritische Beleuchtung des Phänomens. Das Buch liefert zum einen eine phänomenologische Beschreibung der verschiedenen Dimensionen der Lebensrealität hochsensibler Personen, die durch autobiographische Erfahrungen der selbst hochsensiblen Autorin Authentizität erlangt. Zum anderen werden zentrale ethische Fragestellungen reflektiert: Können Hochsensible überhaupt glücklich werden in einer lauten und hektischen Welt, in der ein flexibler, belastbarer und wettbewerbsfähiger Mensch als Norm gilt? Müssen sie sich an die modernen Lebens- und Arbeitsbedingungen anpassen, oder sollten nicht umgekehrt diese aus Gründen der Gerechtigkeit umgestaltet werden – wodurch sie vermutlich für alle menschenwürdiger wären?
Das Buch gibt Anstöße zur Reflexion über das eigene Leben und gesellschaftliche Wertmaßstäbe.

«...eine gut lesbare multiperspektivische Analyse des Phänomens der Hochsensibilität, die herausfordert zu einer dringend notwendigen Debatte der bislang vernachlässigten sozialethischen Dimension des gesellschaftlichen Umgangs mit Andersheit.» (Prof. em. Dr. Annemarie Pieper)
Das Weltbild der Igel - Naturethik einmal anders
Authors: Krebs Angelika 
Published: November 2021

Wie wichtig Natur für menschliches Glück ist, als Ort der Freude am Leben oder zumindest der Zuflucht, ist zuletzt vielen von uns aufgegangen. Trotzdem hat Landschaft bisher keine Lobby. Dieses unkonventionelle Buch tritt für die Schönheit der Natur ein. Es argumentiert gegen die Dominanz der anthropozentrisch-rechnenden Weltbemeisterung und für eine «ästhetische Ökozentrik». Unkonventionell ist das Buch aber auch deshalb, weil es die philosophische Arbeit an Begriff und Argument mit literarischen Passagen von grosser Leuchtkraft verbindet. Diese Passagen stammen aus Peter Kurzecks Roman Vorabend. Alle fünf Kapitel: zum Leid der Igel, zur bedrohten Schönheit und Heiligkeit der Natur, zu ihrem Wert als Heimat und zu unserem besinnungslos zerstörerischen Konsum werden ausgehend von einer solchen Passage entfaltet. Denn es braucht die Literatur in der Naturethik.
Structural Interpretation of Seismic Data of Mishrif Formation in East Abu-Amoud Field, South-eastern Iraq
Authors: Al-Aaraji Mohammed H. , Karim Hussein H. 
Published: November 2021

The seismic method depends on the nature of the reflected waves from the interfaces between layers, which in turn depends on the density and velocity of the layer, and this is called acoustic impedance. The seismic sections of the East Abu-Amoud field that is located in Missan Province, south-eastern Iraq, were studied and interpreted for updating the structural picture of the major Mishrif Formation for the reservoir in the Abu-amoud field. The Mishrif Formation is rich in petroleum in this area, with an area covering about 820 km2. The seismic interpretation of this study was carried out utilizing the software of Petrel-2017. The horizon was calibrated and defined on the seismic section with well-logs data (well tops, check shot, sonic logs, and density logs) in the interpretations process for identifying the upper and lower boundaries of Mishrif Formation. As well, mapping of two-way time and depth structural maps was carried out, to aid in understanding the lateral and vertical variations and to show the formation of the structural surfaces. The study found that Mishrif thickness increases toward the east, which means that it increases from the Abu-Amoud field in Nasiriyah towards the East Abu-Amoud field in Missan province. The aim of the study is to draw a high-resolution structural image of the East Abu Amoud field in southeast Iraq and to show the types of the existing faults and structures in the study area.
Occurrence of Point Mutations in gyrA and parC Genes of Ciprofloxacin-Resistant Pseudomonas aeruginosa Isolated from Burn Infections
Authors: Abdulameer Hajer H. , Abdulhassan Ghusoon A. 
Published: November 2021

The spread of antibiotic resistant bacteria is a worldwide problem. Due to the importance of P. aeruginosa as a multidrug resistant bacterium, this study aimed, through molecular techniques, to detect point mutations in chromosomal genes responsible for the quinolones class of antibiotics resistance. A total of 52 isolates from burn infections were identified using specific primers for P. aeruginosa 16S rDNA. Ciprofloxacin minimum inhibitory concentrations (MIC) were estimated using the agar dilution assay. DNA sequences of the quinolone resistance-determining regions of gyrA and parC were determined for detecting the mutations found in these genes and the relations among the isolates by constructing phylogenetic trees. The results revealed that only 43 (82.7%) of isolates were P. aeruginosa, of which 31 (72.06%) were resistant to different concentrations of ciprofloxacin, ranging between 4 and >32 µg/ml. Twenty six isolates were selected for sequencing, including sensitive, intermediately resistant, and highly resistant to ciprofloxacin. The ciprofloxacin sensitive isolates did not exert any amino acid alterations in gyrA or parC genes; however, a single intermediately resistant isolate had a single mutation at each gene. Of the total resistant isolates (20), 6 isolates had no mutations at different MIC levels, While 14 isolates had Thr-83-Ile substitution in gyrA and Ser-87-Leu substitution in parC, only five isolates had a second mutation, namely Asp-87-Asn, in gyrA. The phylogenetic analysis of the studied groups showed divergence from the P. aeruginosa PAO1 and PAO1OR reference strains due to increased mutations and polymorphisms in studied isolates. In conclusion, P. aeruginosa occurrence was increased in burn infections and the fluoroquinolones in current use are not as effective as before; the main resistance mechanism in local clinical isolates of P. aeruginosa is mutations, where the main target of fluoroquinolones is gyrA gene.