bluuebunny/crossref_metadata_2025_split huggingface dataset:
Problems and Barriers Related to the Use of AI-Based Clinical Decision Support Systems: Interview Study
Authors: Giebel Godwin Denk , Raszke Pascal , Nowak Hartmuth , Palmowski Lars , Adamzik Michael , Heinz Philipp , Tokic Marianne , Timmesfeld Nina , Brunkhorst Frank , Wasem Jürgen , Blase Nikola 
Published: November 2024

Background
Digitalization is currently revolutionizing health care worldwide. A promising technology in this context is artificial intelligence (AI). The application of AI can support health care providers in their daily work in various ways. The integration of AI is particularly promising in clinical decision support systems (CDSSs). While the opportunities of this technology are numerous, the problems should not be overlooked.

Objective
This study aimed to identify challenges and barriers in the context of AI-based CDSSs from the perspectives of experts across various disciplines.

Methods
Semistructured expert interviews were conducted with different stakeholders. These included representatives of patients, physicians and caregivers, developers of AI-based CDSSs, researchers (studying AI in health care and social and health law), quality management and quality assurance representatives, a representative of an ethics committee, a representative of a health insurance fund, and medical product consultants. The interviews took place on the web and were recorded, transcribed, and subsequently subjected to a qualitative content analysis based on the method by Kuckartz. The analysis was conducted using MAXQDA software. Initially, the problems were separated into “general,” “development,” and “clinical use.” Finally, a workshop within the project consortium served to systematize the identified problems.

Results
A total of 15 expert interviews were conducted, and 309 expert statements with reference to problems and barriers in the context of AI-based CDSSs were identified. These emerged in 7 problem categories: technology (46/309, 14.9%), data (59/309, 19.1%), user (102/309, 33%), studies (17/309, 5.5%), ethics (20/309, 6.5%), law (33/309, 10.7%), and general (32/309, 10.4%). The problem categories were further divided into problem areas, which in turn comprised the respective problems.

Conclusions
A large number of problems and barriers were identified in the context of AI-based CDSSs. These can be systematized according to the point at which they occur (“general,” “development,” and “clinical use”) or according to the problem category (“technology,” “data,” “user,” “studies,” “ethics,” “law,” and “general”). The problems identified in this work should be further investigated. They can be used as a basis for deriving solutions to optimize development, acceptance, and use of AI-based CDSSs.

International Registered Report Identifier (IRRID)
RR2-10.2196/preprints.62704
Mulheres em projetos comunitários: redes sociais significativas e a promoção da saúde
Authors: Silva Marcos Antônio da , Azevêdo Adriano Valério dos Santos 
Published: November 2024

O presente artigo objetivou mapear as redes sociais significativas de mulheres de um projeto comunitário estabelecendo relações com a promoção da saúde. Foram entrevistadas três mulheres participantes de um projeto comunitário numa cidade do interior do sul do Brasil. Utilizou-se o mapa de redes e questionário sociodemográfico. No mapa de redes buscou-se analisar a estrutura, a função, e atributos do vínculo, em seguida foram verificadas as relações com os valores fundantes da Política Nacional da Promoção da Saúde. Verificou-se que os vínculos significativos estão concentrados nas família, comunidade/projeto comunitário, e nas relações de amizades e trabalho por meio de apoio emocional, material, e guia cognitivo. Foram identificados os aspectos da promoção da saúde referentes à felicidade, solidariedade, corresponsabilidade, humanização e inclusão social. Os resultados do mapa de redes representam indicadores de promoção da saúde que permitiram desenvolver trabalho, renda e protagonismo nas mulheres para a construção de projetos de vida.
Isolamento social no Brasil: análise da adesão, influência da personalidade, bem-estar e angústia psicológica
Authors: Zanini Daniela Sacramento , Peixoto Evandro Morais , Andrade Josemberg De Moura , Campos Monica Moreira , Pais Ribeiro Jose Luis 
Published: November 2024

No fim de 2019 o mundo foi surpreendido por um problema de saúde pública, a COVID-19. Como medidas para seu enfrentamento a OMS recomendou o isolamento social que, apesar dos benefícios para diminuição do contágio pode trazer consequências psicológicas. Este artigo buscou avaliar as características sociodemográficas e pessoais que podem influenciar no isolamento social. Participaram do estudo 1.914 indivíduos, com idades entre 14 e 86 anos, 77,7% mulheres, de 25 Unidades Federativas do Brasil. Observou-se que pessoas com ensino fundamental ou médio, com renda inferior a um salário mínimo, de etnia negra e que buscam informações sobre a pandemia em rede sociais são as que realizaram significativamente menos isolamento social. Pessoas que não aderiram ao isolamento apresentavam maiores níveis de afetos positivos e mentalidade sobre o estresse e menores níveis de Conscienciosidade. Os achados sugerem a importância de reconhecer características sociais e psicológicas relevantes para o engajamento em medidas restritivas.
Mengungkap Efektivitas Inovasi Layanan Samsat Terhadap Kepatuhan Wajib Pajak
Authors: I Komang Triana Utama Yasa  , Nyoman Ayu Wulan Trisna Dewi  
Published: November 2024

Penelitian ini bertujuan untuk mengetahui 1) Bentuk penerapan dari layanan Gelis di Kabupaten Badung, 2) Tanggapan wajib pajak kendaraan bermotor terhadap layanan Gelis di Kabupaten Badung, 3) Efektivitas layanan Gelis terhadap kepatuhan wajib pajak kendaraan bermotor di Kabupaten Badung. Pendekatan yang digunakan dalam penelitian ini bersifat kualitatif. Metode pengumpulan data yang dilakukan dalam penelitian ini yaitu observasi, wawancara serta studi dokumentasi. Sedangkan teknik analisis data yang digunakan dalam penelitian ini meliputi reduksi data, penyajian data, dan penyimpulan data. Hasil penelitian menunjukkan 1) Bentuk penerapan layanan ini yaitu dengan menggunakan SOP yang telah ditetapkan di Kantor Bersama Samsat Badung. 2) Tanggapan wajib pajak terhadap layanan tersebut tergolong positif dari aspek kualitas pelayanan dan promosi untuk meningkatkan kepatuhan wajib pajak, namun terdapat hambatan di aspek kejelasan instruksi. 3) Inovasi layanan Gelis sangat efektif dalam meningkatkan penerimaan pajak kendaraan bermotor di Kabupaten Badung. Hal tersebut dapat dilihat dari nilai rasio efektivitas yang menunjukkan angka 119%, yang mana angka tersebut telah melampaui kriteria efektif (90-100%). Adanya peningkatan dalam penerimaan pajak kendaraan bermotor di Kabupaten Badung pasca penerapan sistem Drive Thru menunjukkan bahwasanya inovasi tersebut mampu meningkatkan kepatuhan wajib pajak kendaraan bermotor di Kabupaten Badung.
Penerapan Sistem Informasi SAK EMKM Melalui Aplikasi Berbasis Android LAMIKRO Pada UMKM Bagus Batu Bata
Authors: Yuniartini Ni Made Yani , Sinarwati Ni Kadek 
Published: November 2024

Penelitian ini bertujuan untuk mengetahui penerapan sistem informasi SAK EMKM melalui aplikasi berbasis android LAMIKRO pada UMKM Bagus Batu Bata. Penelitian ini menggunakan metode kualitatif dengan pendekatan deskriptif. Sumber data pada penelitian ini adalah data primer dan data sekunder. Data yang diperoleh selanjutnya dianalisis dengan teknik analisis data yaitu pengumpulan data, reduksi data, penyajian data dan penarikan kesimpulan. Hasil dari penelitian ini menyatakan bahwa (1) kendala yang dialami Bagus Batu Bata yaitu tidak adanya Sumber Daya Manusia (SDM) yang kompeten dibidang akuntansi, kurangnya pengetahuan UMKM terhadap akuntansi, pelaku UMKM menganggap laporan keuangan kurang penting, pelaku UMKM yang masih gagap teknologi (gaptek), kesulitan dalam memisahkan antara keuangan pribadi dan keuangan usaha (2) Pencatatan keuangan masih sangat sedarhana yakni hanya mencatat kas masuk dan kas keluar. Maka dari itu peneliti berkontribusi untuk membantu dalam penyusunan SAK EMKM, (3) implikasi yang diharapkan yaitu dengan adanya aplikasi LAMIKRO memudahkan usaha Bagus Batu Bata untuk menyusun laporan keuangan sederhana dan dapat memahami ilmu akuntansi secara lebih mendalam.
Analisis Laba Berdasarkan Metode Full Costing pada Usaha Madu Bapak Tejo Matal si Desa Melaya
Authors: Putra I Gusti Ngurah Pradnyana , Dewi Luh Gede Kusuma 
Published: November 2024

Penelitian ini bertujuan untuk mengetahui penentuan harga pokok produksi berdasarkan metode full costing dan bagaimana perolehan laba yang diterima pada usaha madu milik Bapak Tejo Matal. Pada penelitian ini menggunakan metode kualitatif. Data yang digunakan pada penelitian ini adalah jenis data primer dan data sekunder. Metode pengumpulan data berupa wawancara, observasi (pengamatan), dan dokumentasi. Hasil pada penelitian ini menyatakan bahwa, perhitungan harga pokok produksi menurut perhitungan Bapak tejo metal tidak memasukan biaya overhead tetap dan biaya overhead variabel. Maka harga pokok produksi yang diperoleh per botolnya senilai Rp. 160.000 sedangkan menurut metode full costing dengan menghitung seluruh biaya, diperoleh hasil Rp 231.412. Dengan harga jual Rp. 200.000 laba dengan perhitungan bapak Tejo Matal berada diangka 25% atau 40.000, sedangkan menurut metode full costing laba yang diperoleh hanya berkisar 7,4 % atau senialai Rp. 14.870.
Penentuan Harga Pokok Produksi Sebagai Dasar Penentuan Harga Jual Gula Merah Di Desa Bukti
Authors: Indrawati Luh Sri , Dewi Ni Wayan Yulianita 
Published: November 2024

Tujuan dari penelitian ini adalah 1) untuk mengetahui penentuan harga pokok produksi gula merah yang selama ini dipraktekkan oleh produsen gula merah di Desa Bukti . 2) untuk mengetahui perhitungan penentuan harga pokok produksi gula merah di Desa Bukti berdasarkan metode full costing. 3) untuk mengetahui perbandingan penentuan harga pokok produksi gula merah yang selama ini dipraktekkan oleh produsen dengan penentuan harga pokok produksi yang sesuai dengan metode full costing. Penelitian ini menggunakan metode penelitian kualitatif. Pengumpulan data dilakukan dengan metode 1) observasi saat pelaksanaan proses pembuatan Gula Merah dalam usaha tersebut , 2) wawancara kepada karyawan dan pemilik usaha gula merah di Desa Bukti, 3) studi dokumentasi dengan menganalisis biaya-biaya yang dikeluarkan selama proses produksi gula merah. Teknik analisis data yang digunakan adalah model Miles dan Humberman. Hasil penelitian ini menunjukkan bahwa dalam penentuan harga pokok produksi yang dilakukan dalam usaha gula merah di Desa Bukti belum memasukkan biaya overhead pabrik sebagai komponen biaya produksi, penentuan harga pokok produksi yang dilakukan dalam usaha gula merah di Desa Bukti ini masih dilakukan secara sederhana akan tetapi dengan menggunakan metode full costing dapat berpengaruh signifikan terhadap keberlanjutan usaha gula merah di Desa Bukti.
ANALISIS EFEKTIVITAS REALISASI RETRIBUSI DAERAH SERTA KONTRIBUSINYA TERHADAP PENDAPATAN ASLI DAERAH KABUPATEN BULELENG
Authors: Wibawa I Kadek Surya Wibawa , Werastuti Desak Nyoman Sri 
Published: November 2024

ABSTRAK
Tujuan penelitian yang dilakukan adalah mengukur efektivitas realisasi retribusi serta kontribusi terhadap PAD serta mengetahui faktor yang mengakibatkan belum tercapainya target retribusi daerah dan bagaimana cara mengatasi kendala yang mengakibatkan belum tercapainya target retribusi daerah. Metode penelitian yang dipakai adalah analisis deskriptif kualitatif. Analisis yang dilakukan menunjukan efektivitas retribusi daerah Kabupaten Buleleng pada tahun 2017 - 2021 belum maksimal karena efektivitasnya masih di bawah 100%. Selain itu, kontribusinya terhadap PAD sangat kurang. Adapun faktor yang mengakibatkan belum tercapainya target retribusi daerah yaitu fasilitas belum memadai, kurangnya pelayanan SDM yang belum memadai, dan kurangnya sosialisasi, faktor ekonomi dan rendahnya kesadaran masyarakat. cara untuk mengatasi kendala tersebut yaitu, menganggarkan dana untuk meningkatkan atau memperbaiki fasilitas, meningkatkan pelayanan, memberikan pelatihan, dan memaksimalkan sosialisasi serta meningkatkan kesadaran akan pentingnya retribusi daerah.

Kata kunci: efektivitas, kontribusi, pendapatan asli daerah, retribusi daerah
Analisis Sistem dan Prosedur Pemberian Kredit pada LPD Desa Pakraman Keramas
Authors: Yasa Ni Made Uliasari , Yuniarta Gede Adi 
Published: November 2024

Abstrak
Tujuan penelitian ini adalah untuk mengetahui sistem dan prosedur pemberian kredit pada LPD Desa Pakraman Keramas. Data yang digunakan adalah data kualitatif yang didukung dengan adanya formulir – formulir kredit, analisis kredit, tugas pokok dan struktur organisasi. Subjek penelitian ini adalah LPD Desa Pakraman Keramas dan objek dalam penelitian ini adalah sistem dan prosedur pemberian Kredit Pada LPD Desa Pakraman Keramas. Teknik metode pengumpulan data observasi, wawancara, dokumentasi. Serta data yang didapatkan akan dianalisis dengan menggunakan analisis deskriptif kualitatif. Hasil penelitian ini sistem dan prosedur pemberian kredit sudah bisa dikatakan sudah memadai. Dalam proses pemberian kredit pada LPD Desa Pakraman Keramas akan melibatkan beberapa bagian yaitu bagian kredit, pengurus desa, kepala LPD , Bagian Kasir dan Bagian Umum/ Tata Usaha. Debitur melengkapi permohonan kredit, bagian kredit yang akan melakukan pengecekan jaminan, permohan kredit dan bagian kepala LPD yang akan memberikan keputusan kredit. Dan pada bagian kasir yang akan membuatkan kwitansi serta akan melakukan realisasi kredit, dan untuk bagian kredit yang akan mengarsipkan semua dokumen dari debitur.
Perceptions and Influential Factors of Beef Consumers During Foot and Mouth Disease in West Sulawesi Province
Authors: Pratiwi Nita Adillah , Ermanda Adli Putra 
Published: November 2024

ABSTRACT. This study aims to determine the response of customer perceptions and factors that influence consumer decisions to buy and consume beef during the foot and mouth disease epidemic that affected cattle in 2022. The variables used in this study consist of several aspects that are thought to influence consumer perceptions, such as product aspects, nutrition and health aspects, knowledge aspects, and product handling aspects, as well as sociodemographic conditions of housewife such as education level, employment status, and location of the area of household, which are used as variables to determine consumer determinants, and 100 housewife data was collected as a sample for this research. The study's findings revealed a significant relationship between housewife education and consumers' perceptions of meat consumption during the FMD pandemics, but no significant correlation between housewife occupations (P>0.005) or household location (P>0.005). During FMD pandemics, housewife education has the most influential factor (P<0.005) on consumer perceptions of beef consumption.
Random forest models reveal academic and financial factors outweigh demographics in predicting completion of a year-round veterinary program
Authors: Hooper Sarah E. , Ragland Natalie , Artemiou Elpida 
Published: November 2024

Abstract

OBJECTIVE
The purpose of this study was to develop random forest classifier models (a type of supervised machine learning algorithm) that could (1) predict students who will or will not complete the DVM degree requirements and (2) identify the top predictors for academic success and completion of the DVM degree.

METHODS
The study utilized Ross University School of Veterinary Medicine student records from 2013 to 2022. Twenty-four variables encompassing demographic (eg, age, race), academic (eg, grade point average), and financial aid (eg, outstanding balances) data were assessed in 11 cross-validated random forest machine learning models. One model was built assessing all years of data and 10 individual models were developed for each enrollment year to compare how the top predictors of success varied among the years.

RESULTS
Consistently, only academic and financial factors were identified as being features of importance (predictors) in all models. Demographic factors such as race were not important for predicting student success. All models performed very well to excellently based on multiple performance metrics including accuracy, ranging from 96.1% to 99%, and the areas under the receiver operating characteristic curves, ranging from 98.1% to 99.9%.

CONCLUSIONS
The random forest algorithm is a powerful machine learning prediction model that performs well with veterinary student academic records and is customizable such that variables important to each veterinary school’s student population can be assessed.

CLINICAL RELEVANCE
Identifying predictors of success as well as at-risk students is essential for providing targeted curricular interventions to increase retention and achieve timely completion of a DVM degree.
National survey reveals elastic price sensitivity for select equine veterinary services
Authors: Gibson Olivia L. , Zhao Shuoli , Adam Emma , Stowe C. Jill 
Published: November 2024

Abstract

OBJECTIVE
The objective of this study was to estimate the price elasticity of demand for 3 common equine veterinary services: vaccinations (a routine service), lameness examinations (an elective service), and emergency colic surgery (an urgent service).

METHODS
Data were collected via a nationwide online survey of horse owners from August 15 to September 11, 2023, eliciting their willingness to pay for each service. The link to the online survey was distributed through participating organizations’ social media and email lists to the target audience of US residents aged ≥ 18 years who were financially responsible for at least 1 horse, pony, mule, or donkey. Statistical software was used to estimate the demand models.

RESULTS
The survey received a total of 4,915 usable responses, with at least one response from every state in the US. Results revealed elastic demand for all 3 services and subsample analyses provided reassurance as to the robustness of the results, suggesting that quantity demanded of these services would decrease more in a relative sense as compared to the increase in price.

CONCLUSIONS
Understanding the current and future trends of equine veterinary service demand is vital in ensuring the long-term financial sustainability of equine veterinary practices. Moreover, due to vast differences in the pricing structure of small animal and equine practice procedures, business models for these types of practices should be treated separately.

CLINICAL RELEVANCE
Although it may seem counterintuitive for practice growth, the estimated price elasticity of demand suggests that strategic price increases could enhance profitability. While higher prices may reduce service volume, they could also lead to lower costs, potentially offsetting any revenue reduction. Moreover, the findings on elastic demand can also inform decisions regarding discounts, service bundles, and the development of tiered service offerings.
Physical education lessons improve physical fitness and functional mobility in rural children with limited participation in regular physical activities: comparison of integrated neuromuscular training and core stabilization training
Authors: Kabasakal Sema Arslan 
Published: November 2024

Abstract

Study aim: It is crucial for children to thrive and grow up healthy, but without adequate physical fitness and mobility, this can be difficult to attain. Unfortunately, those living in rural areas are at a particular disadvantage when it comes to access to regular physical activity. However, by including exercise programs in the physical education lessons curriculum, these children can be provided with the opportunity to develop these crucial attributes. This study aims to investigate and compare the effects of core stabilization training (CST) and integrated neuromuscular training (INT) applied in physical education lessons on children’s physical condition and functional mobility.

Material and methods: The study included 30 rural children (CST group: n = 15; INT group: n = 15) who did not regularly engage in physical activity. They underwent one hour of training twice a week for eight weeks in physical education lessons.

Results: At the end of 8 weeks, increases were observed in core stability, right hamstring flexibility, and functional mobility values in both groups (p < 0.05).

Conclusions: As a result, CST or INT programs applied in physical education lessons may be preferred for the development of physical fitness and physical mobility in children who do not regularly participate in physical activities, and they can provide equal opportunities.
Self-myofascial release therapy moderately influence electromyography of longissimus dorsi muscle in golfers
Authors: Banaśkiewicz Jan , Kasiak Przemysław , Chomiuk Tomasz , Mamcarz Artur , Śliż Daniel 
Published: November 2024

Abstract

Study aim: The longissimus dorsi (LD) is often injured among golfers. Self-myofascial release (SMFR) therapy is a common injury prevention technique. The purpose of this research was to analyze the impact of SMFR therapy on LD bioelectrical activity among golfers.

Materials and methods: Thirty-one golf players (28 males, age = 35.8 ± 13.1 years, BMI = 25.1 ± 3.9 kg · m–2, training experience = 8.2 ± 5.4 years) underwent SMFR by foam rolling of the LD 4 times for 30 seconds. We performed electromyography to measure bioelectrical activity of the thoracic and lumbar components of the LD at rest and during the golf swing. We applied the Mann-Whitney U test to compare activity before and after SMFR.

Results: Resting activity of the thoracic component of the LD did not differ significantly on left (U = 470.5–487.5, p = 0.89–0.93) and right (U = 454.0–470.0, p = 0.71–0.89) sides before and after SMFR. Similarly, activity of the lumbar component at rest did not differ for either left (U = 475.5–500.5, p = 0.78–0.95) or right (U = 457.5–491.0, p = 0.75–0.89) before and after SMFR. We observed the same pattern during the swing. Neither the thoracic left side (U = 549.5–576.5, p = 0.18–0.34) or right side (U = 593.5–606.5, p = 0.08–0.11) nor the lumbar left side (U = 515.5–533.0, p = 0.46–0.63) or right side (U = 532.5–542.0, p = 0.39–0.47) differed significantly before and after SMFR.

Conclusions: After SMFR, only a slight reduction in bioelectrical activity of the thoracic and lumbar parts of the LD was observed; all the changes were non-significant. Physiotherapists and physicians should reconsider the value of SMFR in golfers.