bluuebunny/crossref_metadata_2025_split huggingface dataset:
Interorganizational Knowledge Sharing to Establish Digital Health Learning Ecosystems: Qualitative Evaluation of a National Digital Health Transformation Program in England
Authors: Cresswell Kathrin , Sheikh Aziz , Franklin Bryony Dean , Krasuska Marta , The Nguyen Hung , Hinder Susan , Lane Wendy , Mozaffar Hajar , Mason Kathy , Eason Sally , Potts Henry , Williams Robin 
Published: April 2021

Background
The English Global Digital Exemplar (GDE) program is one of the first concerted efforts to create a digital health learning ecosystem across a national health service.

Objective
This study aims to explore mechanisms that support or inhibit the exchange of interorganizational digital transformation knowledge.

Methods
We conducted a formative qualitative evaluation of the GDE program. We used semistructured interviews with clinical, technical, and managerial staff; national program managers and network leaders; nonparticipant observations of knowledge transfer activities through attending meetings, workshops, and conferences; and documentary analysis of policy documents. The data were thematically analyzed by drawing on a theory-informed sociotechnical coding framework. We used a mixture of deductive and inductive methods, supported by NVivo software, to facilitate coding.

Results
We conducted 341 one-on-one and 116 group interviews, observed 86 meetings, and analyzed 245 documents from 36 participating provider organizations. We also conducted 51 high-level interviews with policy makers and vendors; performed 77 observations of national meetings, workshops, and conferences; and analyzed 80 national documents. Formal processes put in place by the GDE program to initiate and reinforce knowledge transfer and learning have accelerated the growth of informal knowledge networking and helped establish the foundations of a learning ecosystem. However, formal networks were most effective when supported by informal networking. The benefits of networking were enhanced (and costs reduced) by geographical proximity, shared culture and context, common technological functionality, regional and strategic alignments, and professional agendas.

Conclusions
Knowledge exchange is most effective when sustained through informal networking driven by the mutual benefits of sharing knowledge and convergence between group members in their organizational and technological setting and goals. Policy interventions need to enhance incentives and reduce barriers to sharing across the ecosystem, be flexible in tailoring formal interventions to emerging needs, and promote informal knowledge sharing.
Performance and Limitation of Machine Learning Algorithms for Diabetic Retinopathy Screening: Meta-analysis
Authors: Wu Jo-Hsuan , Liu T Y Alvin , Hsu Wan-Ting , Ho Jennifer Hui-Chun , Lee Chien-Chang 
Published: April 2021

Background
Diabetic retinopathy (DR), whose standard diagnosis is performed by human experts, has high prevalence and requires a more efficient screening method. Although machine learning (ML)–based automated DR diagnosis has gained attention due to recent approval of IDx-DR, performance of this tool has not been examined systematically, and the best ML technique for use in a real-world setting has not been discussed.

Objective
The aim of this study was to systematically examine the overall diagnostic accuracy of ML in diagnosing DR of different categories based on color fundus photographs and to determine the state-of-the-art ML approach.

Methods
Published studies in PubMed and EMBASE were searched from inception to June 2020. Studies were screened for relevant outcomes, publication types, and data sufficiency, and a total of 60 out of 2128 (2.82%) studies were retrieved after study selection. Extraction of data was performed by 2 authors according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses), and the quality assessment was performed according to the Quality Assessment of Diagnostic Accuracy Studies 2 (QUADAS-2). Meta-analysis of diagnostic accuracy was pooled using a bivariate random effects model. The main outcomes included diagnostic accuracy, sensitivity, and specificity of ML in diagnosing DR based on color fundus photographs, as well as the performances of different major types of ML algorithms.

Results
The primary meta-analysis included 60 color fundus photograph studies (445,175 interpretations). Overall, ML demonstrated high accuracy in diagnosing DR of various categories, with a pooled area under the receiver operating characteristic (AUROC) ranging from 0.97 (95% CI 0.96-0.99) to 0.99 (95% CI 0.98-1.00). The performance of ML in detecting more-than-mild DR was robust (sensitivity 0.95; AUROC 0.97), and by subgroup analyses, we observed that robust performance of ML was not limited to benchmark data sets (sensitivity 0.92; AUROC 0.96) but could be generalized to images collected in clinical practice (sensitivity 0.97; AUROC 0.97). Neural network was the most widely used method, and the subgroup analysis revealed a pooled AUROC of 0.98 (95% CI 0.96-0.99) for studies that used neural networks to diagnose more-than-mild DR.

Conclusions
This meta-analysis demonstrated high diagnostic accuracy of ML algorithms in detecting DR on color fundus photographs, suggesting that state-of-the-art, ML-based DR screening algorithms are likely ready for clinical applications. However, a significant portion of the earlier published studies had methodology flaws, such as the lack of external validation and presence of spectrum bias. The results of these studies should be interpreted with caution.
Recruitment and Retention Strategies Among Racial and Ethnic Minorities in Web-Based Intervention Trials: Retrospective Qualitative Analysis
Authors: Hwang DaSol Amy , Lee Alex , Song Jae Min , Han Hae-Ra 
Published: April 2021

Background
Racial and ethnic minority groups are underrepresented in health research, contributing to persistent health disparities in the United States. Identifying effective recruitment and retention strategies among minority groups and their subpopulations is an important research agenda. Web-based intervention approaches are becoming increasingly popular with the ubiquitous use of the internet. However, it is not completely clear which recruitment and retention strategies have been successful in web-based intervention trials targeting racial and ethnic minorities.

Objective
This study aims to describe lessons learned in recruiting and retaining one of the understudied ethnic minority women—Korean Americans—enrolled in a web-based intervention trial and to compare our findings with the strategies reported in relevant published web-based intervention trials.

Methods
Multiple sources of data were used to address the objectives of this study, including the study team’s meeting minutes, participant tracking and contact logs, survey reports, and postintervention interviews. In addition, an electronic search involving 2 databases (PubMed and CINAHL) was performed to identify published studies using web-based interventions. Qualitative analysis was then performed to identify common themes addressing recruitment and retention strategies across the trials using web-based intervention modalities.

Results
A total of 9 categories of recruitment and retention strategies emerged: authentic care; accommodation of time, place, and transportation; financial incentives; diversity among the study team; multiple, yet standardized modes of communication; mobilizing existing community relationships with efforts to build trust; prioritizing features of web-based intervention; combined use of web-based and direct recruitment; and self-directed web-based intervention with human support. Although all the studies included in the analysis combined multiple strategies, prioritizing features of web-based intervention or use of human support were particularly relevant for promoting recruitment and retention of racial and ethnic minorities in web-based intervention trials.

Conclusions
The growing prevalence of internet use among racial and ethnic minority populations represents an excellent opportunity to design and deliver intervention programs via the internet. Future research should explore and compare successful recruitment and retention methods among race and ethnic groups for web-based interventions.

Trial Registration
ClinicalTrials.gov NCT03726619; https://clinicaltrials.gov/ct2/show/NCT03726619.
Establishing and Facilitating Large-Scale Manuscript Collaborations via Social Media: Novel Method and Tools for Replication
Authors: Acquaviva Kimberly D 
Published: April 2021

Background
Authorship teams in the health professions are typically composed of scholars who are acquainted with one another before a manuscript is written. Even if a scholar has identified a diverse group of collaborators outside their usual network, writing an article with a large number of co-authors poses significant logistical challenges.

Objective
This paper describes a novel method for establishing and facilitating large-scale manuscript collaborations via social media.

Methods
On September 11, 2020, I used the social media platform Twitter to invite people to collaborate on an article I had drafted. Anyone who wanted to collaborate was welcome, regardless of discipline, specialty, title, country of residence, or degree completion. During the 25 days that followed, I used Google Docs, Google Sheets, and Google Forms to manage all aspects of the collaboration.

Results
The collaboration resulted in the completion of 2 manuscripts in a 25-day period. The International Council of Medical Journal Editors authorship criteria were met by 40 collaborators for the first article (“Documenting Social Media Engagement as Scholarship: A New Model for Assessing Academic Accomplishment for the Health Professions”) and 35 collaborators for the second article (“The Benefits of Using Social Media as a Health Professional in Academia”). The authorship teams for both articles were notably diverse, with 17%-18% (7/40 and 6/35, respectively) of authors identifying as a person of color and/or underrepresented minority, 37%-38% (15/40 and 13/35, respectively) identifying as LGBTQ+ (lesbian, gay, bisexual, transgender, gender non-conforming, queer and/or questioning), 73%-74% (29/40 and 26/35, respectively) using she/her pronouns, and 20%-23% (9/40 and 7/35, respectively) identifying as a person with a disability.

Conclusions
Scholars in the health professions can use this paper in conjunction with the tools provided to replicate this process in carrying out their own large-scale manuscript collaborations.
Using the Computer-based Health Evaluation System (CHES) to Support Self-management of Symptoms and Functional Health: Evaluation of Hematological Patient Use of a Web-Based Patient Portal
Authors: Lehmann Jens , Buhl Petra , Giesinger Johannes M , Wintner Lisa M , Sztankay Monika , Neppl Lucia , Willenbacher Wolfgang , Weger Roman , Weyrer Walpurga , Rumpold Gerhard , Holzner Bernhard 
Published: April 2021

Background
Patient portals offer the possibility to assess patient-reported outcome measures (PROMs) remotely, and first evidence has demonstrated their potential benefits.

Objective
In this study, we evaluated patient use of a web-based patient portal that provides patient information and allows online completion of PROMs. A particular focus was on patient motivation for (not) using the portal. The portal was developed to supplement routine monitoring at the Department of Internal Medicine V in Innsbruck.

Methods
We included patients with multiple myeloma and chronic lymphocytic leukemia who were already participating in routine monitoring at the hospital for use of the patient portal. Patients were introduced to the portal and asked to complete questionnaires prior to their next hospital visits. We used system access logs and 3 consecutive semistructured interviews to analyze patient use and evaluation of the portal.

Results
Between July 2017 and August 2020, we approached 122 patients for participation in the study, of whom 83.6% (102/122) consented to use the patient portal. Patients were on average 60 (SD 10.4) years old. Of patients providing data at all study time points, 37% (26/71) consistently used the portal prior to their hospital visits. The main reason for not completing PROMs was forgetting to do so in between visits (25/84, 29%). During an average session, patients viewed 5.3 different pages and spent 9.4 minutes logged on to the portal. Feedback from interviews was largely positive with no patients reporting difficulties navigating the survey and 50% of patients valuing the self-management tools provided in the portal. Regarding the portal content, patients were interested in reviewing their own results and reported high satisfaction with the dynamic self-management advice, also reflected in the high number of clicks on those pages.

Conclusions
Patient portals can contribute to patient empowerment by offering sought-after information and self-management advice. In our study, the majority of our patients were open to using the portal. The low number of technical complaints and average time spent in the portal demonstrate the feasibility of our patient portal. While initial interest was high, long-term use was considerably lower and identified as the main area for improvement. In a next step, we will improve several aspects of the patient portal (eg, including a reminder to visit the portal before the next appointment and closer PROM symptom monitoring via an onconurse).
Pengembangan Kegiatan Kreatif Berwawasan Eco-Pesantren menuju New Normal di Pondok Pesantren Pabelan Magelang
Authors: Ghaisani Marinda P.D. , Saputri Yunisda Dwi , Basuki Amin , Munjid Achmad , Munandar Aris 
Published: April 2021

The dagradation of environment quality demands a change in the society’s attitude and behavior. Worsened by Covid-19 pandemy, people are strongly advised to adopt the WHO protocol in order to prevent the spread of the virus. The main concern of the program is to convey the importance of personal hygiene and environmentally friendly mindset amidst the COVID-19 pandemic to pesantren community as well as to realize a sustainable future for human lives through the eco-pesantren concept. The program is carried out in three stages, namely gi ving motivation to live an optimistic life under COVID-19 thret, teaching various DIY activities such as making face mask from old clothes and disinfectant spray, and creating tutorial videos for the wider society through Instagram. Thss program strengthens the relation between pesantren community and higher learning institute and develops initiative to reduce the spread of COVID 19.
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Penurunan kualitas lingkungan menuntut perubahan sikap dan perilaku manusia dalam kehidupannya. Terlebih lagi dengan adanya wabah virus corono, manusia dituntut untuk menerapkan protokol kesehatan guna mencegah persebaran virus. Tujuan utama kegiatan ini yakni untuk menyampaikan pentingnya kebersihan diri dan pola pikir ramah lingkungan di tengah pandemi COVID-19 sekaligus sebagai usaha mewujudkan pembangunan berkelanjutan yang menjadi impian masyarakat global. Pelaksanaan program kegiatan ini dilakukan dalam tiga tahap, yakni penumbuhan motivasi melalui video untuk tetap optimis, praktik pembuatan masker wajah dari kain perca dan pembuatan desinfektan, serta pembuatan video tutorial ke Instagram untuk disebarkan ke masyarakat luas. Kegiatan pengabdian masyarakat ini menjadi sarana menumbuhkan relasi yang baik antara komunitas Pesantren dan Perguruan Tinggi sebagai usaha untuk mendukung pemerintah Indonesia menekan laju kasus COVID-19.
“Gosto de ser desafiada intelectualmente”: a construção identitária de professores do ensino superior em uma atividade formativa
Authors: Frank Kersch Dorotea , Klering Emily Haubert 
Published: April 2021

O mundo tem passado por profundas transformações, muitas delas motivadas pelas tecnologias digitais, que acabam por modificar a forma como nos relacionamos, trabalhamos, lemos e comunicamos, bem como a maneira como percebemos a nós mesmos. Uma vez que a forma como ensinamos e aprendemos é impactada por essas mudanças, passa a ser dever das universidades, responsáveis pela formação dos professores, inserir os seus educadores na cultura híbrida e multimodal. Pensando nisso, desenvolveu-se uma formação em uma universidade comunitária e confessional no Sul do Brasil para estimular os professores da graduação e pós-graduação a entrarem na cultura híbrida e multimodal. A atividade requereu a criação de cartas contendo uma foto e uma curta narrativa sobre si mesmos. Partindo da percepção de que identidades surgem na construção feita da imagem própria e da dos outros (DE FINA, 2015) e considerando que a escolha de palavras contém imagens reveladoras da maneira como o narrador percebe a si mesmo (DAVIES; HARRÉ, 1990), o objetivo deste artigo é analisar a maneira como professores universitários constroem suas identidades e se posicionam discursivamente numa narrativa multimodal. Para esta pesquisa, participaram três profissionais da Escola Politécnica e três da Escola das Humanidades. Os resultados mostram que as mídias sociais interferem na forma como escrevem e que um dos fatores que distingue um grupo do outro é a maior identificação com a profissão docente por parte dos professores da Escola das Humanidades.
Micronized purified flavonoid fraction in the treatment of hemorrhoidal disease
Authors: Godeberge Philippe , Sheikh Parvez , Lohsiriwat Varut , Jalife Abel , Shelygin Yury 
Published: April 2021

Hemorrhoidal disease (HD) is common in adults. Treatment is largely conservative, although more invasive procedures may be required. Venoactive drugs such as micronized purified flavonoid fraction (MPFF) are widely used, but a recent and comprehensive review of supporting evidence is lacking. In acute HD, MPFF can reduce HD symptoms such as bleeding, pain, anal discomfort, anal discharge and pruritus. In patients undergoing surgery, postoperative adjunct MPFF consistently reduces pain, bleeding duration and use of analgesia. MPFF treatment is appropriate and effective both as a first-line conservative treatment and as a postoperative adjunct treatment. MPFF reduces the duration of hospital stay following surgery, facilitating a return to normal activity and improving quality of life. MPFF may also prevent HD recurrence.
РАЗРАБОТКА ПРЕДЛОЖЕНИЙ В РЕКОМЕНДАЦИИ ВОИС В ОТНОШЕНИИ ТРЕХМЕРНЫХ МОДЕЛЕЙ ПРИ ПОДАЧЕ ЗАЯВОК И ДЕЛОПРОИЗВОДСТВЕ ПО ОБЪЕКТАМ ПРОМЫШЛЕННОЙ СОБСТВЕННОСТИ
Authors: Бирюков Сергей , Зонтов Юрий , Фоменок Денис , Быков Даниил , Заикин Алексей , Маслянский Михаил , Федосеева Ольга , Батурин Павел , Терещенко Даниил 
Published: April 2021

Объектом исследования являются требования в отношении трехмерных моделей, приводимых в документах по промышленной собственности (заявок, регистраций и прочих опубликованных материалов изобретений, полезных моделей, промышленных образцов, товарных знаков) зарубежных ведомств промышленной собственности, в том числе зарубежная практика использования трехмерных моделей и применяемых форматов данных.
Цель работы - подготовка предложений в рекомендации ВОИС по представлению заявок на объекты промышленной собственности, содержащих трехмерные модели, и проведению работ в ходе экспертизы таких заявок.
Методы проведения работы: анализ практики делопроизводства ФИПС и зарубежных патентных ведомств, составление опросника, aнализ результатов опроса, проведенного среди научно-исследовательских, образовательных и промышленных предприятий, зарегистрированных в Российской Федерации.
Результатами НИР являются разработанные предложения в рекомендации ВОИС по представлению заявок на объекты промышленной собственности, содержащих трехмерные модели, и проведению работ в ходе их экспертизы.
Научная новизна результатов темы заключается в возможности использования разработанных предложений:
- Целевой группой ВОИС для создания рекомендаций по использованию трехмерных моделей и изображений;
-	при создании новых систем в рамках мероприятий национальной программы «Цифровая экономика Российской Федерации».
Public—private partnership as a driver of the growth of the modern economy
Authors: Prudnikov I. A. , Rotary A. M. 
Published: April 2021

The system of interaction between institutions of the public and private sectors of the economy is now becoming increasingly important and developing. In Russia, this mechanism has gained great popularity and increasing importance. Many important infrastructure facilities have already been implemented through public–private partnership (hereinafter — PPP) and it is worth noting that it is quite successful.Public–private partnership should be considered as a form of business development, which attracts the attention of both specialists from the scientific industry and practitioners from various sectors of the economy.This article attempts to consider PPP as a mechanism for the development of the modern economy.
KETERKAITAN PERSEPSI TERHADAP EKSPEKTASI ORANG TUA DENGAN KESULITAN DALAM MENGAMBIL KEPUTUSAN KARIER PADA MAHASISWA TINGKAT AKHIR
Authors: Din Azizah Fathiyah , Yudiana Whisnu 
Published: April 2021

Jenjang mahasiswa merupakan tahap pengambilan keputusan karier yang berkaitan dengan dunia kerja. Namun,ditemukan bahwa mahasiswa tingkat akhir mengalami kesulitan dalam memutuskan kariernya. Penelitian ini bertujuan untuk menelusuri keterkaitan antara persepsi terhadap ekspektasi orang tua dengan kesulitan dalam mengambil keputusan karier pada mahasiswa tingkat akhir. Penelitian menggunakan pendekatan non-eksperimental yaitu korelasional dan data dikumpulkan menggunakan kuesioner. Teknik pengambilan sampel yang digunakan adalah simple random sampling. Penelitian dilakukan terhadap 103 mahasiswa tingkat akhir. Alat ukur yang digunakan adalah Living up to Parental Expectation Inventory dan Career Decision Making Difficulties Questionnaire. Hasil penelitian menunjukkan adanya hubungan negatif antara keduanya, di mana semakin negatif seseorang memersepsikan ekspektasi orang tuanya, maka akan semakin tinggi dia merasa kesulitan dalam mengambil keputusan karier (r=-0.28, p<0.05). Penelitian ini menunjukan pentingnya komunikasi antara mahasiswa tingkat akhir dan orang tua.
KORELASI ANTARA SELF-COMPASSION DENGAN KECEMASAN SOSIAL PADA ANAK USIA SEKOLAH DASAR DI KOTA BANDUNG
Authors: Pebriani Lucia Voni , Kusuma W Puspita Adhi 
Published: April 2021

Kecemasan sosial adalah perasaan dan pengalaman kognitif yang muncul karena adanya persepsi bahwa seorangindividu dievaluasi negatif oleh orang lain. Persepsi tersebut membuat individu menjadi sensitif terhadap kritik orang lain dan juga sering mengkritik diri secara negatif saat mengalami kegagalan. Perilaku evaluasi diri negatif dan mengkritik diri sendiri juga merupakan ciri self-compassion yang rendah. Self-compassion adalah keadaan menerima kegagalan dengan tetap memperlakukan diri sendiri dengan baik, memahami diri sendiri dengan tidak memberikan penilaian negatif pada ketidaksempurnaan diri, dan memandang pengalaman negatif yang dialami sebagai pengalaman yang umum terjadi. Penelitian ini dilakukan mengingat belum terdapat penelitian yang menghubungkan kecemasan sosial dengan self-compassion, khususnya pada anak sekolah dasar (8-12 tahun), dimana kecemasan sosial sudah dapat ditetapkan diagnosisnya pada usia tersebut. Pemilihan responden menggunakan metode cluster random sampling, dengan karakteristiknya adalah anak usia 8-12 tahun di Kota Bandung, jumlah responden 403 orang (laki-laki= 41,9%, perempuan= 58,15%). Alat ukur yang digunakan adalah Self-compassion Scale (SCS) dan Liebowitz Social Anxiety Scale for Children (LSAS-C). Hasil uji reliabilitas untuk LSAS-C, adalah 0,911 dan SCS adalah 0,871. Analisis statistika korelasi dilakukan dengan menggunakan korelasi Pearson. Hasil dari uji korelasi menunjukkan adanya korelasi negatif antara self-compassion dan kecemasan sosial (r= -0,025). Semakin rendah self-compassion maka semakin tinggi kecemasan sosial.