bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Geriatric Acute and Post-Acute Fall Prevention Intervention (GAPcare) II to Assess the Use of the Apple Watch in Older Emergency Department Patients With Falls: Protocol for a Mixed Methods Study
Authors: Strauss Daniel H , Davoodi Natalie M , Healy Margaret , Metts Christopher L , Merchant Roland C , Banskota Swechya , Goldberg Elizabeth M 
Published: March 2021

Background
Falls are a common problem among older adults that lead to injury, emergency department (ED) visits, and institutionalization. The Apple Watch can detect falls and alert caregivers and clinicians that help is needed; the device could also be used to objectively collect data on gait, fitness, and falls as part of clinical trials. However, little is known about the ease of use of this technology among older adult ED patients, a population at high risk of recurrent falls.

Objective
The goal of this study—the Geriatric Acute and Post-Acute Fall Prevention Intervention (GAPcare) II—is to examine the feasibility, acceptability, and usability of the Apple Watch Series 4 paired with the iPhone and our research app Rhode Island FitTest (RIFitTest) among older adult ED patients seeking care for falls.

Methods
We will conduct field-testing with older adult ED patients (n=25) who sustained a fall and their caregivers (n=5) to determine whether they can use the Apple Watch, iPhone, and app either (1) continuously or (2) periodically, with or without telephone assistance from the research staff, to assess gait, fitness, and/or falls over time. During the initial encounter, participants will receive training in the Apple Watch, iPhone, and our research app. They will receive an illustrated training manual and a number to call if they have questions about the research protocol or device usage. Participants will complete surveys and cognitive and motor assessments on the app during the study period. At the conclusion of the study, we will solicit participant feedback through semistructured interviews. Qualitative data will be summarized using framework matrix analyses. Sensor and survey response data will be analyzed using descriptive statistics.

Results
Recruitment began in December 2019 and was on pause from April 2020 until September 2020 due to the COVID-19 pandemic. Study recruitment will continue until 30 participants are enrolled. This study has been approved by the Rhode Island Hospital Institutional Review Board (approval 1400781-16).

Conclusions
GAPcare II will provide insights into the feasibility, acceptability, and usability of the Apple Watch, iPhone, and the RIFitTest app in the population most likely to benefit from the technology: older adults at high risk of recurrent falls. In the future, wearables could be used as part of fall prevention interventions to prevent injury before it occurs.

Trial Registration
ClinicalTrials.gov NCT04304495; https://clinicaltrials.gov/ct2/show/NCT04304495

International Registered Report Identifier (IRRID)
DERR1-10.2196/24455
Role of Artificial Intelligence Applications in Real-Life Clinical Practice: Systematic Review
Authors: Yin Jiamin , Ngiam Kee Yuan , Teo Hock Hai 
Published: March 2021

Background
Artificial intelligence (AI) applications are growing at an unprecedented pace in health care, including disease diagnosis, triage or screening, risk analysis, surgical operations, and so forth. Despite a great deal of research in the development and validation of health care AI, only few applications have been actually implemented at the frontlines of clinical practice.

Objective
The objective of this study was to systematically review AI applications that have been implemented in real-life clinical practice.

Methods
We conducted a literature search in PubMed, Embase, Cochrane Central, and CINAHL to identify relevant articles published between January 2010 and May 2020. We also hand searched premier computer science journals and conferences as well as registered clinical trials. Studies were included if they reported AI applications that had been implemented in real-world clinical settings.

Results
We identified 51 relevant studies that reported the implementation and evaluation of AI applications in clinical practice, of which 13 adopted a randomized controlled trial design and eight adopted an experimental design. The AI applications targeted various clinical tasks, such as screening or triage (n=16), disease diagnosis (n=16), risk analysis (n=14), and treatment (n=7). The most commonly addressed diseases and conditions were sepsis (n=6), breast cancer (n=5), diabetic retinopathy (n=4), and polyp and adenoma (n=4). Regarding the evaluation outcomes, we found that 26 studies examined the performance of AI applications in clinical settings, 33 studies examined the effect of AI applications on clinician outcomes, 14 studies examined the effect on patient outcomes, and one study examined the economic impact associated with AI implementation.

Conclusions
This review indicates that research on the clinical implementation of AI applications is still at an early stage despite the great potential. More research needs to assess the benefits and challenges associated with clinical AI applications through a more rigorous methodology.
Estimulación cognitiva, una aproximación al pensamiento computacional
Authors: Ramírez Torres Fátima 
Published: March 2021

El pensamiento computacional (PC) implica una serie de procesos del pensamiento básicos y complejos, tales como la creatividad, la atención, la sensopercepción, el análisis. El PC principalmente se ha aplicado en áreas tecnológicas como la informática, específicamente en la programación. A través de este se busca dar solución de forma creativa mediante la tecnología a problemáticas en ámbitos como el laboral y el social. Zapata-Ros (2015), Iglesias y Bordignon, Gallardo y Prieto, así como Zapotecatl hacen referencia a las habilidades tanto de pensamiento como blandas que una persona adquiere con el PC. Una vez que una persona se enfrenta a una problemática, debe poner a disposición de la solución su capacidad de tolerancia a la frustración, su perseverancia, análisis, su flexibilidad para lograr una mejor adaptación a las situaciones que se le presenten.
ANALISIS FAKTOR RISIKO TERHADAP KEJADIAN PENYAKIT TUBERKULOSIS DI WILAYAH KERJA PUSKESMAS PIDIE KABUPATEN PIDIE TAHUN 2019
Authors: Fahdhienie Farrah , Agustina Agustina , Ramadhana Phossy Vionica 
Published: March 2021

Penelitian ini bertujuan untuk mengetahui faktor risiko yang paling besar dialami oleh penderita penyakit Tuberkulosis di wilayah kerja Puskesmas Pidie Kabupaten Pidie tahun 2019. Metodologi yang digunakan pada penelitian bersifat deskriptif analitik dilakukan menggunakan desain case control dengan perbandingan 1:1 sebanyak 26 responden. Data yang dikumpulkan dilakukan analisis multivariat menggunakan uji logistic regresi. Hasil penelitian menunjukkan bahwa kelembapan merupakan faktor risiko yang paling berisiko mengalami penyakit tuberkulosis (OR = 4.26 ; CI 95% = 1.19 – 15.29). Dapat disimpulkan bahwa, dari variabel kelembapan, kepadatan hunian, riwayat kontak serumah, pendapatan, jenis kelamin, dan umur, yang memiliki risiko paling besar terhadap kejadian penyakit tuberkulosis yaitu kelembapan. Disarankan agar responden lebih memperhatikan tingkat kelembapan rumah dengan memperhatikan tingkat cahaya dan sirkulasi udara yang masuk agar mengurangi faktor risiko terjadinya tuberkulosis.
This study aims to determine the risk factors with the greatest risk of experiencing tuberculosis in the work area of Pidie Pidie District Health Center in 2019. The methodology used in this descriptive analytic study was carried out using a case control design with a ratio of 1: 1 of 26 respondents. Data collected was done by multivariate analysis using logistic regression tests. The results showed that humidity was the most risk factor for tuberculosis (OR = 4.26; 95% CI = 1.19 - 15.29). It can be concluded that, from the variable humidity, occupancy density, household contact history, income, sex, and age, the one that has the greatest risk of tuberculosis is humidity. It is recommended that respondents pay more attention to the humidity level of the house by paying attention to the level of light and air circulation that enters in order to reduce the risk factors for tuberculosis.
Derivación biliodigestiva guiada por ultrasonografía endoscópica en paciente con adenocarcinoma de páncreas y obstrucción de la vía biliar estadio IV: reporte de caso
Authors: Martin Montero Wilmar Alfredo , Manrique Acevedo Maria Eugenia 
Published: March 2021

La endosonografía endoscópica es una alternativa que sirve como guía para la realización de derivaciones biliodigestivas en los casos en los que la colangiopancreatografía retrógrada endoscópica (CPRE) ha fallado. Se han descrito técnicas como la coledocoduodenostomía o coledocoantrostomía guiadas por ultrasonografía endoscópica (USE).
Se describe el caso de una paciente de 72 años con adenocarcinoma de páncreas, compromiso portal y de paredes duodenales, en quien se usó la CPRE para intentar una derivación paliativa y fue fallida, por lo cual se realizó la colocación de un stent metálico guiado por endosonografía endoscópica, con adecuada respuesta clínica al tratamiento. En conclusión, el procedimiento es seguro y la endosonografía es una vía alterna efectiva en los casos de CPRE fallidas para lograr derivaciones biliares en casos de obstrucción de la vía biliar de origen maligno.
PENGARUH VARIASI DOSIS PUPUK ORGANIK CAIR (POC)” BONGGOL PISANG DAN ARANG SEKAM TERHADAP PERTUMBUHAN SELADA (Lactuca sativa L)
Authors: Widodo Andi , Sujarwanta Agus , Widowati Hening 
Published: March 2021

Penelitian ini bertujuan untuk mengetahui pengaruh pemberian variasi pupuk organik cair (POC) bonggol pisang terhadap pertumbuhan selada (Lactuca sativa L). Metode yang digunakan dalam penelitian ini adalah metode eksperimen menggunakan Rancangan Acak Lengkap (RAL). Perlakuan dalam penelitian ini adalah pemberian variasi dosis POC bonggol pisang dengan tiga perlakuan dengan empat kali ulangan. Perlakuan pertama P0 0 ml, P1 50 ml, dan P2 100 ml. Untuk media tanam menggunakan dua perlakuan yaitu M0 tanpa arang sekam dan M1Penambahan arang sekam.: Parameter yang diukur dalam penelitian ini meliputi tinggi tanaman, jumlah helai daun, dan berat basah selada. Hasil data pengamatan dalam penelitian ini kemuadian dilakukan penyajian data dalam bentuk tabel serta di lakukan analisis statistika menggunakan aplikasi SPSS yang meliputi Analisis Ragam Two Way Anava. Berdasarkan Hasil analisis ANAVA menunjukkan bahwa pemberian POC bonggol pisang memberikan pengaruh nyata terhadap pertumbuhan selada pada parameter tinggi tanaman dan berat basah selada. Hasil tertinggi rata-rata tinggi tanaman selada terdapat pada perlkuan M0P2 yaitu sebesar 13,6 cm. Sedangkan rata-rata berat basah selada tertinggi pada perlakuan M0P2 sebesar 114,3 gram
Organic Waste Conversion Via Continuous Anaerobic Co-Digestion of Oil Palm Empty Fruit Bunches and Cow Manure: Evaluation of Feeding Regime on Methane Production
Authors: Darwin  , Pratama Atmadian , Mardhotillah  
Published: March 2021

Abstract
Anaerobic co-digestion of oil palm empty fruit bunches with cow manure was studied. The research focus was on the evaluation of feeding different solid concentrations of the substrate in the on-going process of anaerobic digestion. The solid concentrations ranged from 0.5 to 12% TS. Results of the study showed that the maximum methane production could be reached with the reactor digesting substrates with 4 to 8% TS, in which the methane produced was from 1300 to 1400 mL per day. A significant drop of pH from 7.02 to 5.97 occurred when the reactor was digesting substrates with 10 and 12% TS. Acidic condition caused by organic matter overloads lowered the efficiency of organic conversion represented in the low removal of COD, which was only 22.4%. This finding is highly significant for the waste management industries in terms of dealing with the digester upset due to the digestion of large amount of organic wastes.
Modelling the Effects of Al2O3-SiO2 Nanocomposite Additive in Biodiesel–Diesel Fuel on Diesel Engine Performance Using Hybrid ANN-ABC
Authors: Jabraeili Maryam , Pourdarbani Razieh , Najafi Bahman , Nematollahzadeh Ali 
Published: March 2021

Abstract
Yearly, large amounts of waste cooking oil are produced, which are discharged to urban sewage system. However, majority of them is recyclable and can be re-used as biodiesel fuel. When using biodiesel fuels, one way to improve the engine performance is to use nano additives. This study investigates the biodiesel fuel with different ratios of Al2O3-SiO2 nanocomposite additive (Al0%-Si100%, Al25%-Si75%, Al50%-Si50%, Al75%-Si25% and Al100%-Si0%) at full load and four different nanocomposite concentrations (30, 60, 90 and 120 ppm). The Hybrid ANN-ABC modelling was conducted for two cases: a) finding and applying the most effective properties as network inputs; and b) total properties as inputs showed that the most effective properties have higher performance. The fuels B5Al60Si60 and B5Al9Si21 showed the highest brake power; the fuels B5Al0Si60 and B5Al120Si0 showed the lowest brake power, indicating that the interactions of nanoparticles in the composite mode had positive effects on brake power. The performance improvement using nano-composite additive was more than that of the nanoparticles individually.
Distributed Activation Energy Modelling Using a Parabolic Heating Profile
Authors: Dhaundiyal Alok , Singh Suraj B. 
Published: March 2021

Abstract
This work investigates the thermal decomposition of forest waste for a non-linear temperature distribution inside the pyrolysis reactor. Quantitative analysis of the distributed activation energy model is explained graphically. It has been assumed that thermal profile varies according to the general parabolic equation with the initial condition (0, T
0). The approximated solution of the non-analytical integral is determined by the Laplace integral method. The integral limit for the distributed activation energy model (DAEM) is found to vary from 211 to 810 kJ·mol−1; whereas the frequency factor (the first-order reactions) for the corresponding range of the activation energy lies in the domain of 400–2000 min−1. The acceleration in the char formation has been found for the reactions other than that of the first order.
AshwathaKsheer Sutra and UdumberKsheer Sutra in the management of Bhagandara (Fistula in ano): An Ayurvedic management protocol for treatment of fistula in ano
Authors: Monika Meshram  , Kiran Khandare  
Published: March 2021

Fistula in ano is tract lined by granulation tissue having internal opening in anal canal and rectum and external opening in the perianal region. The incidence of a fistula-in-ano developing from an anal abscess ranges from 26-38%. The prevalence of non-specific anal fistula has been estimated to be 8.6 to 10/100,000 of the population per year, with a male to female ratio of 8:1.in contemporary sciences Bhagandara can be correlated with Fistula in Ano. To compare the efficacy of AshwathaKsheer Sutra and UdumberKsheer Sutra in the management of Bhagandara (Fistula in ano). The present study is designed as a Randomized single blind parallel in which 40 patients will be enrolled. Patients will be distributed in two group with 20 patients in each group. In group A AshwathaKsheerSutra and in group B UdumbarKsheerSutra will be changed after 7 days till the cure of fistula. Assessment of the patients will be done on day 1st, 8th, 15th, and 22nd after intervention, follow up will be taken on 29th day. Results will be drawn from the observations of objective parameters. Conclusion of the study will be drawn on the basis of statistical data calculated from the collected data.
Functional and Radiological evaluation of management of tibial plateau fractures: A prospective study
Authors: Priyank Bhatt  , Sunil Nikose  
Published: March 2021

The knee is a crucial joint, as it performs various functions such as standing, walking, running, sitting etc. Tibial plateau fractures constitute 1% of overall fractures and 8% of fractures occurring in the geriatric age group. Knee injuries must be properly and adequately treated to keep the knee in a good functional state. The transition to a fast-paced lifestyle on account of rapid industrialization, urbanization and mechanization has led to a significant increase in the traumatic incidences - especially polytrauma, comminuted Fractures and soft tissue injury. High-speed injury acquired in vehicular accidents and a rise in road traffic injuries together creates a forever increasing issue. The static lower extremity can be encountered by an object in motion, frequent in roadside injury, resulting in the infamous "Bumper Fracture". Open Reduction with Internal Fixation (ORIF) is currently recommended. Hence, a study has been conducted to learn the mode of injury, fracture pattern, outcome of open reduction and internal fixation, complications encountered and associated injuries. 50 Patients were studied prospectively and pre and post-operative evaluation were done using modified Rasmussen clinical and radiological criteria and Womac knee score. Open reduction and internal fixation provide reasonable outcome with regards to functional and radiological outcome in younger patients and type I and II fractures.
Pandemic Disease and Systems Theory. An Ecological View
Authors: Amaladas Stan , Becvar Ray 
Published: March 2021

The fundamental problem that we raise and address in this paper is the problem of understanding our relationship with our afflictions in ways that are uniquely shaped by such afflictions. We capture our need to shifting our attention from our dominant Western epistemology to systems thinking. In this article, we argue that systems theory and thinking

reminds us of the pathologies of epistemology that may preclude learning from our relationship with Covid-19.
offers us a way to examine the relationship between an uninvited guest like Covid-19 guests and hosts (human beings) particularly in the light of Rumi’s formulation of being human, namely, as being a “guest house”. While we may never get to a place where we invite Covid-19 into our lives, we can at least respect the fact that it will exist in our lives, as afflictions do, and with this awareness we can begin to find ways to co-exist with it, in the same way that we must do with all other creatures and nature on our only home – Mother Earth.
opens us to telling a story about our afflictions in ways that are uniquely shaped by such afflictions. In this regard the authors examine several human responses (stories) to Covid-19 within the context of our system that continues to change and evolve.
uncovers the need to recover from our state of addiction to a state of sobriety. The state of sobriety returns us to an awareness that we cannot just do one thing because each movement or perturbation necessarily resonates throughout the system.
allows us to shift to an ecological rather than a solely political or economic view of Homo Sapiens. This ecological shift moves us into a moral/ethical realm (we use them interchangeably here) whereby humankind learns to abide by another law. It is a law that is itself punctuated by the distinction between control and restraint. The punctuation of this distinction enables us to become more aware of our attempts to establish a unilateral control over that which is multilateral. These attempts will not only fail, but they would also create different, and perhaps more serious problems. This development of another law to abide by, suggests that we surrender ourselves to being governed by the law of restraint.
How can we further embed systemic social work while working in this way?
Authors: Bonsu Nana 
Published: March 2021

This paper will explore my experiences of an organisational response to the pandemic of COVID-19, whilst simultaneously on a systemic journey to transform practice. I will use a number of systemic ideas as a means of helping me to make sense of my experiences. These ideas will draw upon the domains model (Lang et al, 1990) safe uncertainty (Mason, 2019) and social constructionism (McNamee and Gergen, 1992). I will interweave personal reflections and demonstrate a synergy between my personal and professional self.
Writing this paper has helped me to reflect on the importance of ensuring that as an organisation we pay due diligence to holding onto our systemic identity. The shifts that have occurred as a result of this pandemic and the likely consequences of austerity measures, could invite a narrowing in how we position ourselves with each other and our systemic selves. It is for these reasons that we have to hold onto expansion so we do not become reductionist, risk averse and hopeless.
Articulation of media on juvenile delinquency with special reference to India
Authors: Chakraborty Nandini 
Published: March 2021

Media plays a vital role in our society today. With the advent of mass media, including television and more recently, video and computer games, children and teenagers are exposed to increasingly higher doses of aggressive images. Media is a double-edged tool. On the one hand, it plays an important role in framing public opinion, and on the other, its character is to sensationalize issues to attract readers. But its objective should be clear; that is, to reform a juvenile and not to penalize him or her. The article depicts the media's influence on juvenile delinquency and the tendency for delinquency. Several media reports show the cases of juvenile delinquency, with special reference to India.
PENERAPAN ACADEMIC VOICE DENGANG MENGGUNAKAN APA (AMERICAN PSYCHOLOGICAL ASSOCIATION) STYLE DALAM PENULISAN KARYA TULIS ILMIAH BAGI GURU MA AN-NAMIRAH TANAH MERAH BANGKALAN
Authors: Hafidz Moh , Sudarso Hendra 
Published: March 2021

ABSTRACT Training participants' understanding of academic voice and skills using APA (American Psychological Association) Style are out of academically standard. The purpose of this community service is to convey knowledge of academic voice and practice the skills of using APA Style in scientific writing. The benefit of this community service is making trainees easy for writing quotation and references automatically and avoid plagiarism. The method used observation to find out the problem of participants in scientific writing, identification to specify the scope of community service deal with the needs of participants related to scientific writing and mobilization to provide solutions both in discussing material and applying APP Style. The result of this community service are the trainees are able to master academic voice and citation techniques and be able to implement the APA (American Psychological Association) Style in writing citations and references automatically.Key Words: Academic Voice, APA Style, Academic WritingABSTRAKPemahaman peserta pelatihan terhadap academic voice dan keterampilan menggunggunakan APA (American Psychological Association) Style masih sangat lemah. Tujuan pengabdian ini adalah untuk menyampaikan pengetahuan tentang academic voice dan melatih keterampilan menggunakan APA Style dalam penulisan karya tulis ilmiah. Manfaat pengabdian ini adalah memudahkan peserta pelatihan dalam penulisan pengutipan dan refrensi secara otomatis dan terhindar dari plagiasi.Metode yang digunakan dalam pengabdian ini adalah observasi untuk mengetahui masalah peserta dalam penulisan karya tulis ilmiah, identifikasi untuk mempersempit lingkup pengabdian sesuai dengan kebutuhan peserta berkaitan dengan karya tulis ilmiah dan mobilisasi untuk memberikan solusi terhadap permasalahan baik berupa penyampaian materi maupun penerapan aplikasi. Hasil pengabdian ini adalah peserta pelatihan mampu menguasai academic voice dan teknik pengutipan dan mampu menerapkan APA (American Psychological Association) Style dalam penulisan pengutipan dan referensi secara otomatis.Kata Kunci: Academic Voice, APA Style, Karya Tulis Ilmiah