bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Effects of Continuous Usage of a Diabetes Management App on Glycemic Control in Real-world Clinical Practice: Retrospective Analysis
Authors: Tu Yu-Zhen , Chang Ya-Ting , Chiou Hung-Yi , Lai Ken 
Published: May 2021

Background
The efficacy of digital technology in improving diabetes management has typically been demonstrated through studies such as randomized controlled trials, which have reported a steeper reduction in hemoglobin A1c (HbA1c) values for patients who adopted a digital solution. However, evidence from real-world clinical practice is still limited.

Objective
This study aimed to evaluate the effectiveness of digital interventions by tracking HbA1c improvements over 1 year in real-world clinical settings.

Methods
Patients used the Health2Sync mobile app to track self-measured outcomes and communicate with health care professionals (HCPs). HCPs used the web-based Patient Management Platform to monitor patient data, view test results from clinical laboratories, and communicate with patients. Patients who have been onboarded for at least 13 months and have consecutive HbA1c findings for 5 quarters were included in the analysis. They were then stratified into 3 groups (high, mid, and low retention) based on their level of use of Health2Sync in the first 6 months of onboarding. A mixed model was built to compare the slopes of the rate of reduction in HbA1c among the groups. In addition, these patients’ retention on the app from the seventh to the 12th month was verified through multiple comparisons.

Results
A sample of 2036 users was included in the analysis. With the mixed model coefficient estimates, we found that app users had significant HbA1c percentage reductions as the passed quarter count increased (t=–9.869; P<.001), and that effectiveness increased in the high (t=–5.173) and mid retention (t=–6.620) groups as the interaction effects were significantly negative compared to that in the low retention group (P<.001) in the passed quarter count. The low retention group also had the highest average HbA1c value at the end of 13 months (high: 7.01%, SD 1.02%; mid: 6.99%, SD 1.00%; low: 7.17%, SD 1.14%) (Bonferroni correction: high vs low, P=.07; mid vs low, P=.02; high vs mid, P>.99). The level of use of the app remained consistent in the seventh to the 12th month after onboarding (high: 5.23 [SD 1.37] months, mid: 2.43 [SD 1.68] months, low: 0.41 [SD 0.97] months) (P<.001).

Conclusions
Our analysis shows that continuous usage of the diabetes management app is associated with better glycemic control in real-world clinical practice. Further studies are required to reveal the efficacy for specific diabetes types and to observe effects beyond 1 year.
Support Seeking in the Postpartum Period: Content Analysis of Posts in Web-Based Parenting Discussion Groups
Authors: Chivers Bonnie R , Garad Rhonda M , Moran Lisa J , Lim Siew , Harrison Cheryce L 
Published: May 2021

Background
The transition from pregnancy to motherhood is a major developmental phase that can be challenging for both women and their families. For new mothers, the postpartum period is recognized as a critical period for increased risk of both physical and mental health concerns. For this reason, it is imperative that women receive accurate, evidence-based information during this time.

Objective
This study aims to explore the conversations of new mothers on a web-based parenting forum to investigate what topics or concerns are being discussed.

Methods
A leading Australian web-based support forum for women before and after birth was used to obtain a sample of posts from the mothers of infants aged 0-12 months. Quantitative data (word frequencies and sentiment analysis) and qualitative data (post content) were extracted from discussion threads and examined to determine sentiments and theoretical storylines.

Results
In total, 260 posts were sampled. Infant care was the most prominent overarching topic discussed, with feeding and sleep being the most discussed subtopics. Discussions about maternal care were much less frequent but included questions about birth recovery, breastfeeding concerns, and interconception. A pattern of behavior emerged within the posts. This pattern resembled a cycle of learning across five phases: help seeking, solution ideation, testing and skill development, consolidation, and empowerment and improved mental well-being. A dynamic interplay was observed as mothers navigated new concerns or developmental changes.

Conclusions
Engagement in web-based forums to seek help and support during the postpartum period was common, with infant health and well-being being the primary concerns for new mothers during this time. The identification of a maternal learning cycle within the forum underscores the contributory role of web-based communities in maternal peer social support, information seeking, and early parenting practices.
A Machine Learning Approach to Passively Informed Prediction of Mental Health Risk in People with Diabetes: Retrospective Case-Control Analysis
Authors: Yu Jessica , Chiu Carter , Wang Yajuan , Dzubur Eldin , Lu Wei , Hoffman Julia 
Published: May 2021

Background
Proactive detection of mental health needs among people with diabetes mellitus could facilitate early intervention, improve overall health and quality of life, and reduce individual and societal health and economic burdens. Passive sensing and ecological momentary assessment are relatively newer methods that may be leveraged for such proactive detection.

Objective
The primary aim of this study was to conceptualize, develop, and evaluate a novel machine learning approach for predicting mental health risk in people with diabetes mellitus.

Methods
A retrospective study was designed to develop and evaluate a machine learning model, utilizing data collected from 142,432 individuals with diabetes enrolled in the Livongo for Diabetes program. First, participants’ mental health statuses were verified using prescription and medical and pharmacy claims data. Next, four categories of passive sensing signals were extracted from the participants’ behavior in the program, including demographics and glucometer, coaching, and event data. Data sets were then assembled to create participant-period instances, and descriptive analyses were conducted to understand the correlation between mental health status and passive sensing signals. Passive sensing signals were then entered into the model to train and test its performance. The model was evaluated based on seven measures: sensitivity, specificity, precision, area under the curve, F1 score, accuracy, and confusion matrix. SHapley Additive exPlanations (SHAP) values were computed to determine the importance of individual signals.

Results
In the training (and validation) and three subsequent test sets, the model achieved a confidence score greater than 0.5 for sensitivity, specificity, area under the curve, and accuracy. Signals identified as important by SHAP values included demographics such as race and gender, participant’s emotional state during blood glucose checks, time of day of blood glucose checks, blood glucose values, and interaction with the Livongo mobile app and web platform.

Conclusions
Results of this study demonstrate the utility of a passively informed mental health risk algorithm and invite further exploration to identify additional signals and determine when and where such algorithms should be deployed.
Proses Bisnis Layanan Medical Checkup (MCU) Menggunakan Business Process Model and Notation (BPMN)
Authors: Bakhrun Akhmad , Hutahaean Jonner 
Published: May 2021

Latar Belakang: Layanan medical check up (MCU) dibutuhkan untuk berbagai keperluan, di antaranya untuk persyaratan pengangkatan Pegawai Negeri Sipil (PNS). Pasien yang menjalani MCU perlu mengetahui proses yang harus diikuti, lama proses, dan jadwal penerimaan hasil agar pasien dapat mempersiapkan diri dengan baik. Di sisi lain, manajemen rumah sakit juga perlu mengevaluasi layanan MCU agar selalu unggul, kompetitif, dan berkelanjutan.Tujuan: Membangun model proses bisnis layanan MCU dalam persyaratan pengangkatan PNS.Metode: Observasi dan eksplorasi untuk menganalisis proses bisnis layanan MCU serta mempelajari dokumen hasil MCU seperti hasil pemeriksaan laboratorium dan thorax serta surat hasil MCU yang telah disahkan oleh ketua tim penguji kesehatan rumah sakit. Pemodelan proses bisnis dibuat menggunakan BPMN dengan tool Bizagi.Hasil: Model proses bisnis untuk panduan pasien dan peningkatan layanan MCU dapat diimplementasikan menjadi Standard Operating Procedure (SOP) layanan MCU di rumah sakit. Selain itu, model ini merupakan requirement awal yang sangat penting untuk membangun perangkat lunak pencatatan data MCU yang terintegrasi.Kesimpulan: Adanya model proses BPMN dapat memudahkan pasien untuk mengetahui tahapan proses MCU yang sedang mereka jalani dan perkiraan waktu selesainya. Manajemen rumah sakit juga dapat menjadikan model ini untuk mengevaluasi dan meningkatkan layanan MCU.
Predictive Approaches for Acute Dialysis Requirement and Death in COVID-19
Authors: Vaid Akhil , Chan Lili , Chaudhary Kumardeep , Jaladanki Suraj K. , Paranjpe Ishan , Russak Adam , Kia Arash , Timsina Prem , Levin Matthew A. , He John Cijiang , Böttinger Erwin P. , Charney Alexander W. , Fayad Zahi A. , Coca Steven G. , Glicksberg Benjamin S. , Nadkarni Girish N. ,   on behalf of MSCIC
Published: May 2021

Background and objectives
AKI treated with dialysis initiation is a common complication of coronavirus disease 2019 (COVID-19) among hospitalized patients. However, dialysis supplies and personnel are often limited.

Design, setting, participants, & measurements
Using data from adult patients hospitalized with COVID-19 from five hospitals from the Mount Sinai Health System who were admitted between March 10 and December 26, 2020, we developed and validated several models (logistic regression, Least Absolute Shrinkage and Selection Operator (LASSO), random forest, and eXtreme GradientBoosting [XGBoost; with and without imputation]) for predicting treatment with dialysis or death at various time horizons (1, 3, 5, and 7 days) after hospital admission. Patients admitted to the Mount Sinai Hospital were used for internal validation, whereas the other hospitals formed part of the external validation cohort. Features included demographics, comorbidities, and laboratory and vital signs within 12 hours of hospital admission.

Results
A total of 6093 patients (2442 in training and 3651 in external validation) were included in the final cohort. Of the different modeling approaches used, XGBoost without imputation had the highest area under the receiver operating characteristic (AUROC) curve on internal validation (range of 0.93–0.98) and area under the precision-recall curve (AUPRC; range of 0.78–0.82) for all time points. XGBoost without imputation also had the highest test parameters on external validation (AUROC range of 0.85–0.87, and AUPRC range of 0.27–0.54) across all time windows. XGBoost without imputation outperformed all models with higher precision and recall (mean difference in AUROC of 0.04; mean difference in AUPRC of 0.15). Features of creatinine, BUN, and red cell distribution width were major drivers of the model’s prediction.

Conclusions
An XGBoost model without imputation for prediction of a composite outcome of either death or dialysis in patients positive for COVID-19 had the best performance, as compared with standard and other machine learning models.

Podcast
This article contains a podcast at https://www.asn-online.org/media/podcast/CJASN/2021_07_09_CJN17311120.mp3
IMPACTOS DE LA PANDEMIA COVID-19 EN EL RENDIMIENTO ESCOLAR DURANTE LA TRANSICIÓN A LA EDUCACIÓN VIRTUAL
Authors: Gervacio Jiménez Herlinda , Castillo Elías Benjamín 
Published: May 2021

El objetivo del presente estudio fue identificar y analizar los impactos y retos académicos, así como las problemáticas a las que se han enfrentado los estudiantes de sexto y cuarto semestre de preparatoria, durante la suspensión de actividades educativas presenciales y el traslado a las actividades escolares virtuales, a causa de la actual pandemia del coronavirus Covid-19 que provocó recurrir a una educación virtual. Se utilizó una metodología mixta para el proceso de recolección, análisis y vinculación de datos cuantitativos y cualitativos; los datos cuantitativos se recolectaron a través de encuestas diseñadas en Google Forms, mientras que los datos cualitativos se recolectaron por medio de video llamadas grupales e informantes clave. Los resultados mostraron impactos negativos en el rendimiento escolar debido a factores socioeconómicos que enfrentaron y siguen enfrentando los estudiantes y sus familias, afectando su bienestar socioemocional. Dentro de las afectaciones y limitantes predominantes, se observó la condición económica, falta de equipo y dispositivos electrónicos, escaso manejo de plataformas y herramientas virtuales, falta de conexión a internet y un deficiente acompañamiento psicológico durante el confinamiento. Se concluyó que el cierre prolongado de la Universidad ha tenido efectos y repercusiones negativas en distintos aspectos de la vida cotidiana de los estudiantes, un alto grado de vulnerabilidad en las habilidades socioemocionales provocando con ello un deterioro socioemocional y estancamiento académico.
O TRABALHO COMO CAMINHO AO ENSINO TÉCNICO INTEGRADO
Authors: Magalhães Costa Rafael , Omar Caliari Rogério , De Resende Ferreira Maria José 
Published: May 2021

O texto aborda resultados de pesquisa realizada pelo programa de Mestrado em Educação Profissional e Tecnológica em rede nacional. Analisa as contribuições da Oficina de Orientação Profissional desenvolvida junto aos concludentes do Ensino fundamental que frequentam o curso preparatório denominado de Pré-Ifes na cidade de Cachoeiro de Itapemirim – ES. Os aportes teóricos que fundamentam essa investigação estão atrelados aos campos de conhecimento Trabalho, Educação e Psicologia Social. Metodologicamente, optamos por uma pesquisa qualitativa com abordagem da pesquisa intervenção. Para produção dos dados, foram utilizadas as técnicas de questionários aos estudantes do 9° ano e entrevistas com o Grupo Gestor do Ifes campus Cachoeiro de Itapemirim, além do uso de diário de campo durante todo o processo investigativo. Após a produção, implementação e validação da intervenção pedagógica, depreendemos que a Oficina de Orientação Profissional qualificou as atividades do projeto de extensão Ifes Portas Abertas, ofertado pelo campus cachoeirense, bem como subsidiou as escolhas estudantis no sentido de contribuir para o ingresso, permanência e êxito escolar dos estudantes junto ao curso técnico pleiteado.
RESULTS AND PROSPECTS OF THE VI INTERNATIONAL SCIENTIFIC AND METHODOLOGICAL SEMINAR FOR YOUNG SCIENTISTS «TEACHING RUSSIAN AS A FOREIGN LANGUAGE: THEORY AND PRACTICE» (WROCLAW (POLAND) – MUDANJIAN (CHINA) – TOMSK (RUSSIA), NOVEMBER 6, 2020)
Authors: Бабенко Иннеса Игоревна , Серебренникова Елена Александровна 
Published: May 2021

Введение. Описываются содержание и итоги научного семинара, посвященного изучению актуальных вопросов преподавания русского языка как иностранного в поликультурном пространстве.
Цель – осветить работу VI Международного научно-методического семинара «Преподавание русского языка как иностранного: теория и практика».
Материал и методы. Наблюдение, описание, реферативный обзор докладов участников семинара.
Результаты и обсуждение. Указаны направления межкультурной коммуникации в преподавании русского языка как иностранного между иностранными обучающимися и преподавателями, проблемы и перспективы лингвокультурологического образования в вузе, роль научно-исследовательской работы иностранных студентов в области лингводискурсиологии, функциональной семантики, функциональной лексикологии в формировании основ профессиональной деятельности бакалавров и магистрантов. Анализ содержания докладов и их обсуждения участниками семинара позволил установить актуальные инструменты и методы организации обучения русскому языку как иностранному в аспекте межкультурного взаимодействия.
Заключение. Определены планы междисциплинарного изучения проблем обучения русскому языку как иностранному в вузе и школе.
Introduction. The content and results of a scientific seminar devoted to the study of topical issues of teaching Russian as a foreign language in a multicultural space are described. The goal is to highlight the work of the VI International scientific and methodological seminar “The teaching Russian as a foreign language: theory and practice”.
Material and methods. Observation, description, abstract review of the reports of the seminar participants.
Results and discussion. The directions of intercultural communication in teaching Russian as a foreign language between foreign students and teachers, problems and prospects of linguoculturological education at the university, the role of research work of foreign students in the field of linguistic discourseology, functional semantics, functional lexicology in the formation of the foundations of the professional activities of bachelors and undergraduates are indicated. The analysis of the content of the reports and their discussion by the participants of the seminar made it possible to establish the actual tools and methods of organizing the teaching of Russian as a foreign language in the aspect of intercultural interaction.
Conclusion. Plans for an interdisciplinary study of the problems of teaching Russian as a foreign language at a university and school have been identified.
Public Administration and the Challenge to Introduce Egalitarian Legal Order: The Jewish policy of the Duchy of Warsaw (1807–1815)
Authors: Oniszczuk Aleksandra 
Published: May 2021

Abstract
The article discusses inconsistency existing in the Jewish policy of the Duchy of Warsaw, resulting from divergent normativities. Examined are the ways these normativities were handled, transformed, and conceptualised. The analysis refers to the concept of multinormativity and highlights the dynamics standing behind Jewish policy, as well as various influences on the way legal order was interpreted. Considered is the presence of legal assumptions derived from the normativities inherent in Old Polish traditions, being the main obstacle to the implementation of Napoleonic egalitarian norms. The article argues that equality claims and first attempts at their implementation existed alongside traditional ideas, social habits, and practices.
Zwischen Gesundheit und Wirtschaft: Normen und Interessenkonflikte in der behördlichen Arzneimittelregulierung im Deutschen Reich 1871–1945
Authors: Lenhard-Schramm Niklas 
Published: May 2021

Abstract
The article deals with the question of why the German authorities failed to reform drug regulation between 1871 and 1945, although it was urgently required due to the fundamental pharmaceutical change. The German drug regulation was initially dominated by non-state actors. The state was faced with numerous and powerful actors who represented completely different interests and standards, especially in health and economic policy. On the one hand, the reform of pharmaceutical law was blocked because the authorities were unable to balance these multiple normativities. On the other hand, the reform was complicated by external, non-medical norms and constraints.
»Wandel durch Annäherung«: Multinormativität und informelle Politik in der europäischen Integration zwischen den 1960er und 1990er-Jahren
Authors: Bajon Philip 
Published: May 2021

Abstract
The article scrutinises the institutional culture of European integration, with a particular focus on the decision-making procedures of the European Community in the period from the 1960s to the 1990s. ‘Soft Law’ played a key role in the normative and administrative development and differentiation of the Community, because it crystallised legal, political, cultural, and administrative norms. More specifically, the article demonstrates how the procedural norm of consensus became gradually challenged (and weakened) by the rise of majority voting in the Community. The article thus illustrates how the process of Europeanisation (‘Annäherung’) can contribute to normative change (‘Wandel’).
Mehrdimensionale Rechtsmaßstäbe als Herausforderung für die Verwaltung: das Beispiel der Hafenstaatkontrolle
Authors: Reiling Katharina 
Published: May 2021

Abstract
Using the example of so-called port state control, the article examines the phenomenon of multidimensional legal norms and the challenges they pose for public administration. It shows how the gradual introduction of port state control has enabled public authorities to gain access to foreign-flagged ships and how this has subsequently differentiated their decision-making program. The illustrative material for this historicizing study comes primarily from the 19th and 20th centuries.
Turbulente Lebensläufe: Multivalente Bewerbungsstrategien für den preußischen Staatsdienst nach 1815
Authors: Strunz Stephan 
Published: May 2021

Abstract
This article analyses curricula vitae (CVs) submitted in the context of applications in the Prussian civil service in the Rhineland after 1815. The rhetoric of the CVs was multivalent. First, candidates presented their claims to a post via a narrative of their fate during the long period of Napoleonic rule. Secondly, applicants stylised their willingness to make sacrifices during the ‘wars of liberation’ as a sacred dedication to the ‘fatherland’. Thirdly and finally, there were applicants who had not taken part in the ‘wars of liberation' and tried to make up for this lack of patriotic engagement through substitute services.
Gestalten statt verwalten? These zu Janusköpfigkeit als Kern des verwalterischen Habitus in NS-Zeit und Gegenwart.
Authors: Guthoff Heike 
Published: May 2021

Abstract
The last fifteen years have seen a burgeoning of historical studies focused on (public) administration, notably during the period of National Socialism. And yet, this research has merely played a marginal role both in sociology and in the current training regime for public servants despite the critical role played by bureaucratic processes under the Naziregime and in the Shoah. Historical studies raise genuinely sociological questions about collective dispositions, however. The author’s hypothesis is that bureaucracy has the basic capacity or even inclination toward ambiguity and contradictory attitudes, and yet that this very Janus-head quality constitutes the bureaucratic trait per se.
Long-Term Runoff Variability Analysis of Rivers in the Danube Basin
Authors: Pekárová Pavla , Mészáros Jakub , Miklánek Pavol , Pekár Ján , Prohaska Stevan , Ilić Aleksandra 
Published: May 2021

Abstract
The long-term runoff variability is identified to consist of the selected large rivers with long-term data series in the Danube River Basin. The rivers were selected in different regions of the Danube River Basin and have a large basin area (Danube: Bratislava gauge with 131,338 km2; Tisza: Senta with 141,715 km2; and Sava: Sremska Mitrovica with 87,966 km2). We worked with the station Danube: Reni in the delta as well. A spectral analysis was used to identify the long-term variability of three different types of time series: (1) Average annual discharge time series, (2) Minimum annual discharge time series and (3) Maximum annual discharge time series. The results of the study can be used in a long-term forecast of the runoff regime in the future.