bluuebunny/crossref_metadata_2025_split huggingface dataset:
Fact or Fiction—Accelerometry Versus Self-Report in Adherence to Pediatric Concussion Protocols: Prospective Longitudinal Cohort Study
Authors: DeMatteo Carol , Randall Sarah , Jakubowski Josephine , Stazyk Kathy , Obeid Joyce , Noseworthy Michael , Mazurek Michael , Timmons Brian W , Connolly John , Giglia Lucia , Hall Geoffrey , Lin Chia-Yu , Perrotta Samantha 
Published: July 2024

Abstract

Background
Concussion, or mild traumatic brain injury, is a growing public health concern, affecting approximately 1.2% of the population annually. Among children aged 1‐17 years, concussion had the highest weighted prevalence compared to other injury types, highlighting the importance of addressing this issue among the youth population.

Objective
This study aimed to assess adherence to Return to Activity (RTA) protocols among youth with concussion and to determine if better adherence affected time to recovery and the rate of reinjury.

Methods
Children and youth (N=139) aged 5‐18 years with concussion were recruited. Self-reported symptoms and protocol stage of recovery were monitored every 48 hours until symptom resolution was achieved. Daily accelerometry was assessed with the ActiGraph. Data were collected to evaluate adherence to the RTA protocol based on physical activity cutoff points corresponding to RTA stages. Participants were evaluated using a battery of physical, cognitive, and behavioral measures at recruitment, upon symptom resolution, and 3 months post symptom resolution.

Results
For RTA stage 1, a total of 13% of participants were adherent based on accelerometry, whereas 11% and 34% of participants were adherent for stage 2 and 3, respectively. The median time to symptom resolution was 13 days for participants who were subjectively reported adherent to the RTA protocol and 20 days for those who were subjectively reported as nonadherent (P=.03). No significant agreement was found between self-report of adherence and objective actigraphy adherence to the RTA protocol as well as to other clinical outcomes, such as depression, quality of life, and balance. The rate of reinjury among the entire cohort was 2% (n=3).

Conclusions
Overall, adherence to staged protocols post concussion was minimal when assessed with accelerometers, but adherence was higher by self-report. More physical activity restrictions, as specified in the RTA protocol, resulted in lower adherence. Although objective adherence was low, reinjury rate was lower than expected, suggesting a protective effect of being monitored and increased youth awareness of protocols. The results of this study support the move to less restrictive protocols and earlier resumption of daily activities that have since been implemented in more recent protocols.
How Patient-Generated Data Enhance Patient-Provider Communication in Chronic Care: Field Study in Design Science Research
Authors: Staehelin Dario , Dolata Mateusz , Stöckli Livia , Schwabe Gerhard 
Published: July 2024

Background
Modern approaches such as patient-centered care ask health care providers (eg, nurses, physicians, and dietitians) to activate and include patients to participate in their health care. Mobile health (mHealth) is integral in this endeavor to be more patient centric. However, structural and regulatory barriers have hindered its adoption. Existing mHealth apps often fail to activate and engage patients sufficiently. Moreover, such systems seldom integrate well with health care providers’ workflow.

Objective
This study investigated how patient-provider communication behaviors change when introducing patient-generated data into patient-provider communication.

Methods
We adopted the design science approach to design PatientHub, an integrated digital health system that engages patients and providers in patient-centered care for weight management. PatientHub was developed in 4 iterations and was evaluated in a 3-week field study with 27 patients and 6 physicians. We analyzed 54 video recordings of PatientHub-supported consultations and interviews with patients and physicians.

Results
PatientHub introduces patient-generated data into patient-provider communication. We observed 3 emerging behaviors when introducing patient-generated data into consultations. We named these behaviors emotion labeling, expectation decelerating, and decision ping-pong. Our findings show how these behaviors enhance patient-provider communication and facilitate patient-centered care. Introducing patient-generated data leads to behaviors that make consultations more personal, actionable, trustworthy, and equal.

Conclusions
The results of this study indicate that patient-generated data facilitate patient-centered care by activating and engaging patients and providers. We propose 3 design principles for patient-centered communication. Patient-centered communication informs the design of future mHealth systems and offers insights into the inner workings of mHealth-supported patient-provider communication in chronic care.
Managing Patients With COVID-19 in Armenia Using a Remote Monitoring System: Descriptive Study
Authors: Musheghyan Lusine , Harutyunyan Nika M , Sikder Abu , Reid Mark W , Zhao Daniel , Lulejian Armine , Dickhoner James W , Andonian Nicole T , Aslanyan Lusine , Petrosyan Varduhi , Sargsyan Zhanna , Shekherdimian Shant , Dorian Alina , Espinoza Juan C 
Published: July 2024

Background
The COVID-19 pandemic has imposed immense stress on global health care systems, especially in low- and middle-income countries (LMICs). Armenia, a middle-income country in the Caucasus region, contended with the pandemic and a concurrent war, resulting in significant demand on its already strained health care infrastructure. The COVID@home program was a multi-institution, international collaboration to address critical hospital bed shortages by implementing a home-based oxygen therapy and remote monitoring program.

Objective
The objective of this study was to describe the program protocol and clinical outcomes of implementing an early discharge program in Armenia through a collaboration of partner institutions, which can inform the future implementation of COVID-19 remote home monitoring programs, particularly in LMICs or low-resource settings.

Methods
Seven hospitals in Yerevan participated in the COVID@home program. A web app based on OpenMRS was developed to facilitate data capture and care coordination. Patients meeting eligibility criteria were enrolled during hospitalization and monitored daily while on oxygen at home. Program evaluation relied on data extraction from (1) eligibility and enrollment forms, (2) daily monitoring forms, and (3) discharge forms.

Results
Over 11 months, 439 patients were screened, and 221 patients were managed and discharged. Around 94% (n=208) of participants safely discontinued oxygen therapy at home, with a median home monitoring duration of 26 (IQR 15-45 days; mean 32.33, SD 25.29) days. Women (median 28.5, mean 35.25 days) had similar length of stay to men (median 26, mean 32.21 days; P=.75). Despite challenges in data collection and entry, the program demonstrated feasibility and safety, with a mortality rate below 1% and low re-admission rate. Opportunities for operational and data quality improvements were identified.

Conclusions
This study contributes practical evidence on the implementation and outcomes of a remote monitoring program in Armenia, offering insights into managing patients with COVID-19 in resource-constrained settings. The COVID@home program’s success provides a model for remote patient care, potentially alleviating strain on health care resources in LMICs. Policymakers can draw from these findings to inform the development of adaptable health care solutions during public health crises, emphasizing the need for innovative approaches in resource-limited environments.
Measurement of Daily Actions Associated With Mental Health Using the Things You Do Questionnaire–15-Item: Questionnaire Development and Validation Study
Authors: Bisby Madelyne A , Jones Michael P , Staples Lauren , Dear Blake , Titov Nickolai 
Published: July 2024

Background
A large number of modifiable and measurable daily actions are thought to impact mental health. The “Things You Do” refers to 5 types of daily actions that have been associated with mental health: healthy thinking, meaningful activities, goals and plans, healthy habits, and social connections. Previous studies have reported the psychometric properties of the Things You Do Questionnaire (TYDQ)–21-item (TYDQ21). The 21-item version, however, has an uneven distribution of items across the 5 aforementioned factors and may be lengthy to administer on a regular basis.

Objective
This study aimed to develop and evaluate a brief version of the TYDQ. To accomplish this, we identified the top 10 and 15 items on the TYDQ21 and then evaluated the performance of the 10-item and 15-item versions of the TYDQ in community and treatment-seeking samples.

Methods
Using confirmatory factor analysis, the top 2 or 3 items were used to develop the 10-item and 15-item versions, respectively. Model fit, reliability, and validity were examined for both versions in 2 samples: a survey of community adults (n=6070) and adults who completed an assessment at a digital psychology service (n=14,878). Treatment responsivity was examined in a subgroup of participants (n=448).

Results
Parallel analysis supported the 5-factor structure of the TYDQ. The brief (10-item and 15-item) versions were associated with better model fit than the 21-item version, as revealed by its comparative fit index, root-mean-square error of approximation, and Tucker-Lewis index. Configural, metric, and scalar invariance were supported. The 15-item version explained more variance in the 21-item scores than the 10-item version. Internal consistency was appropriate (eg, the 15-item version had a Cronbach α of >0.90 in both samples) and there were no marked differences between how the brief versions correlated with validated measures of depression or anxiety symptoms. The measure was responsive to treatment.

Conclusions
The 15-item version is appropriate for use as a brief measure of daily actions associated with mental health while balancing brevity and clinical utility. Further research is encouraged to replicate our psychometric evaluation in other settings (eg, face-to-face services).

Trial Registration
Australian New Zealand Clinical Trials Registry ACTRN12613000407796; https://tinyurl.com/2s67a6ps
Alarm Management in Provisional COVID-19 Intensive Care Units: Retrospective Analysis and Recommendations for Future Pandemics
Authors: Wunderlich Maximilian Markus , Frey Nicolas , Amende-Wolf Sandro , Hinrichs Carl , Balzer Felix , Poncette Akira-Sebastian 
Published: July 2024

Background
In response to the high patient admission rates during the COVID-19 pandemic, provisional intensive care units (ICUs) were set up, equipped with temporary monitoring and alarm systems. We sought to find out whether the provisional ICU setting led to a higher alarm burden and more staff with alarm fatigue.

Objective
We aimed to compare alarm situations between provisional COVID-19 ICUs and non–COVID-19 ICUs during the second COVID-19 wave in Berlin, Germany. The study focused on measuring alarms per bed per day, identifying medical devices with higher alarm frequencies in COVID-19 settings, evaluating the median duration of alarms in both types of ICUs, and assessing the level of alarm fatigue experienced by health care staff.

Methods
Our approach involved a comparative analysis of alarm data from 2 provisional COVID-19 ICUs and 2 standard non–COVID-19 ICUs. Through interviews with medical experts, we formulated hypotheses about potential differences in alarm load, alarm duration, alarm types, and staff alarm fatigue between the 2 ICU types. We analyzed alarm log data from the patient monitoring systems of all 4 ICUs to inferentially assess the differences. In addition, we assessed staff alarm fatigue with a questionnaire, aiming to comprehensively understand the impact of the alarm situation on health care personnel.

Results
COVID-19 ICUs had significantly more alarms per bed per day than non–COVID-19 ICUs (P<.001), and the majority of the staff lacked experience with the alarm system. The overall median alarm duration was similar in both ICU types. We found no COVID-19–specific alarm patterns. The alarm fatigue questionnaire results suggest that staff in both types of ICUs experienced alarm fatigue. However, physicians and nurses who were working in COVID-19 ICUs reported a significantly higher level of alarm fatigue (P=.04).

Conclusions
Staff in COVID-19 ICUs were exposed to a higher alarm load, and the majority lacked experience with alarm management and the alarm system. We recommend training and educating ICU staff in alarm management, emphasizing the importance of alarm management training as part of the preparations for future pandemics. However, the limitations of our study design and the specific pandemic conditions warrant further studies to confirm these findings and to explore effective alarm management strategies in different ICU settings.
Narrating Recruitment Model for Legislator Candidates: Is It Fair?
Authors: Mutawalli Mukhlis Muhammad , Maskun Maskun , Budiyanto Budiyanto , Jumas Jumas , Rahadian Dian , Olemanu Lohalo Georges 
Published: July 2024

This research analyzes the problems of democratic and aspirational recruitment models and mechanisms for legislative candidates by political parties, aiming at formulating cadre-based recruitment arrangements that best represent democratic ideals. Using normative legal, conceptual, statutory and comparative approaches, this article argues that there are two principal recruitment problems. First, legal arrangement pertaining to methods, procedures, and requirements for the recruitment is generally absent from the statutory regulations. Second, the internal process of decision-making within the political party is generally undemocratic, owing partly to the pragmatism and power-oriented calculation of the elites within the party. Recommendation for ideal recruitment arrangements is thus proposed to ameliorate these problems. Among others, the recruitment by political parties must consider aspects of representativeness, ideological consistency, internal political party flow, development of career path-based cadre systems, and quota fulfillment. Additionally, political party cadre needs training to boost their skills in carrying out main duties and functions as a member of the Board People's Representatives
Diskriminasi Tokoh Saraswati pada Novel "Saraswati Si Gadis dalam Sunyi" dan Tokoh Dewa pada Novel "Biola Tak Berdawai"
Authors: Amir Sitti Aisyah 
Published: July 2024

AbstrakPenelitian ini bertujuan untuk membandingkan bentuk diskriminasi yang dialami tokoh Saraswati dalam novel "Saraswati Si Gadis Dalam Sunyi" karya A.A Navis dan tokoh Dewa dalam novel "Biola Tak Berdawai" karya Seno Gumira Ajidarma. Kedua novel ini dipilih untuk dikaji dan dilakukan perbandingan karena masing-masing novel memiliki tokoh penyandang disabilitas yang hidup dalam diskriminasi di masyarakat. Metode yang digunakan dalam penelitian ini menggunakan perspektif komparatif dan menggunakan pendekatan sosiologi sastra. Tujuan penelitian ini untuk mendekripsikan bentuk diskriminasi yang dialami tokoh Saraswati dalam novel "Saraswati Si Gadis dalam Sunyi" karya A.A. Navis dan tokoh Dewa dalam novel "Biola Tak Berdawai" karya Seno Gumira Ajidarma, kemudian mendeskripsikan bagaimana sikap tiap tokoh tersebut dalam mengatasi diskriminasi yang dialaminya. Hasil penelitian yang menunjukkan bentuk diskriminasi pada tiap tokoh penyandang disabilitas ini memberikan pengaruh terhadap tokoh-tokoh tersebut.Kata Kunci: sastra bandingan, diskriminasi, disabilitas, sosiologi sastraAbstractThis study aims to compare the forms of discrimination experienced by the character Saraswati in the novel "Saraswati Si Gadis dalam Sunyi" by A.A Navis and the character Dewa in the novel "Biola Tak Berdawai" by Seno Gumira Ajidarma. These two novels were chosen to be studied and compared because each novel has characters with disabilities who live in discrimination in society. The method used in this study uses a comparative perspective and uses a sociological literary approach. The purpose of this study is to describe the forms of discrimination experienced by the character Saraswati in the novel "Saraswati Si Gadis dalam Sunyi" by A.A. Navis and the character Dewa in the novel "Biola Tak Berdawai" by Seno Gumira Ajidarma, then describe how each character's attitude in overcoming the discrimination they experience. The results of the study show that there is a form of discrimination against each character with a disability in influencing these figures. Keywords: comparative literature, discrimination, disability, sociology of literature
SISTEM INFORMASI PENJUALAN PLAY STATION DENGAN PENDEKATAN STRUKTURAL
Authors: Ardiansyah Bima , Daniati Erna , Harini Dwi 
Published: July 2024

Maxima Game bergerak di bidang penjualan. Karena keterbatasan proses penjualan masih dilakukan secara manual. Penelitian ini bertujuan untuk membuat sistem informasi penjualan PlayStation berbasis web di Maxima Game, sehingga memudahkan pelanggan melakukan transaksi. Sistem ini dibangun menggunakan PHP dan MySQL. Metode waterfall yang mencakup analisis kebutuhan, desain, implementasi, verifikasi, dan pemeliharaan digunakan dalam pengembangan sistem ini. Fitur-fitur yang tersedia meliputi pendaftaran, pencarian, dan checkout. Dengan sistem ini, pelayanan menjadi lebih efisien dan efektif, serta memudahkan pemilik bisnis dalam mengelola data pemesanan. Pengembangan Sistem Informasi ini menggunakan pendektan structural. Hal ini merupakan metodologi yang berfokus pada pembagian sistem menjadi komponen-komponen yang lebih kecil dan lebih mudah dikelola. Pendekatan ini melibatkan penggunaan diagram dan alat pemodelan seperti Diagram Aliran Data (DFD), Kamus Data, dan Diagram Hubungan Entitas (ERD) untuk menggambarkan dan mendokumentasikan spesifikasi sistem. Tahapan dalam pendekatan struktural meliputi analisis kebutuhan, desain sistem, implementasi, pengujian, dan pemeliharaan. Pendekatan ini membantu memastikan bahwa sistem informasi yang dikembangkan memenuhi kebutuhan pengguna dan dapat diandalkan dalam jangka panjang
PEMANFAATAN CHANNEL YOUTUBE SEBAGAI MEDIA DAKWAH ISLAM PADA AKUN YOUTUBE FELIX SIAUW
Authors: Hanief Annisa , Sabdo Sabdo , Nur Muhammad 
Published: July 2024

Melihat perkembangan teknologi di era digital semua akses dapat secara cepat terjangkau oleh para pengguna media sosial. Youtube merupakan sebuah platform di mana memungkinkan untuk dapat mengunggah atau berbagi video. Berdasarkan fenomena tersebut, ternyata youtube sudah banyak dimanfaatkan sebagai media dakwah umat muslim untuk menyampaikan kajian-kajian Islamiyah melalui video. Tujuan dari penelitian ini untuk mengetahui bagaimana pemanfaatan channel youtube Felix Siauw sebagai media dakwah islam dan bagaiman dampak adanya channel youtube Felix Siauw.Penelitian ini merupakan penelitian analisis kualitatif deskriptif. Penelitian ini merupakan jenis penelitian pustakaan (library Reserch) yaitu dengan sumber datanya diperoleh dari konten-konten yang diupload di channel Felix Siauw. Teknik pengumpulan data pada penelitian ini menggunakan teknik dokumentar, data online dan observasi. Data yang diperoleh kemudian dianalisis secara deskriptif dengan cara penyajian data, pengolahan data dan penarikan kesimpulan. Hasil penelitian menunjukan bahwa Pemanfaatan media sosial youtube merupakan sebuah aplikasi yang memuat video, dan dalam perkembangannya media sosial youtube ini menjadi celah bagi para da’i dalam menyampaikan pesan-pesan dakwah secara virtual, salah satunya di channel youtube Felix Siauw yang memanfaatkan youtube sebagai media jembatan untuk menyampaikan pesan dakwah. Penggunaan media sosial youtube sangat mudah karena cakupannya sangat luas, banyak orang yang dapat mengakses informasi. Dakwah tidak lagi terbatas pada kalangan tertentu saja. Bentuk pemanfaatan youtube sebagai media dakwah dapat memudahkan kita untuk bisa membagikan postingan-postingan tentang dakwah yang dikemas secara menarik sehingga memberikan kesan yang baik kepada pengguna youtube terutama subscriber channel youtube Felix Siauw. Dampak dari channel youtube Felix Siauw ini sebagai pengingat untuk selalu berbuat baik, bersyukur, bersabar, dan selalu mendekatkan diri kepada Allah, dan sebagainya. Dan jugan pengingat bagi orang-orang yang sedang melakukan hal-hal yang kurang baik dan dilarang oleh Allah.
PENERAPAN MODEL ELECTRONIC CUSTOMER RELATIONSHIP MANAGEMENT (e-CRM) PADA SMK MEDIA INFORMATIKA UNTUK MENINGKATKAN PELAYANAN INFORMASI KEPADA WALI MURID
Authors: Setiawan Bayu Adhie , Novita Ita 
Published: July 2024

Kualitas dan kepuasan merupakan peran kunci dalam setiap pelayanan yang diberikan. Salah satu penerapan pada kepuasan pelanggan adalah Customer Relationship Management (CRM). CRM adalah pendekatan penting dalam mempertahankan dan meningkatkan hubungan dengan pelanggan. Salah satu contoh komunikasi dalam penerapan CRM dapat dilihat dari sektor pendidikan yaitu di mana sekolah berupaya meningkatkan hubungan dengan wali murid. SMK Media Informatika adalah sekolah SMK pertama di Jakarta Selatan bergerak di bidang teknologi yang memprioritaskan kepuasan wali murid terhadap layanan pendidikan yang diberikan. Permasalahan yang dihadapi SMK Media Informatika meliputi kesulitan wali murid untuk mendapatkan informasi terbaru dari sekolah dikarenakan siswa lalai dalam menyampaikan informasi. Selain itu, wali murid mengalami kesulitan dalam memantau perkembangan akademik anak mereka karena minimnya komunikasi, dan hasil evaluasi belajar hanya tersedia saat rapor dibagikan. Sekolah saat ini belum memfasilitasi wali murid dalam menyampaikan kritik, saran, atau keluhan terkait pelayanan sekolah. Sehingga perlu diusulkan adanya sebuah sistem yang terkomputerisasi untuk membantu proses penyampaian informasi kepada wali murid. Penelitian ini merancang sebuah website dengan menggunakan pendekatan Customer Relationship Management (CRM) yang berfokus pada tahapan Enhance dan Retain. Metode pengumpulan data dalam penelitian ini menggunakan metode wawancara, observasi serta dokumentasi. Pemodelan sistem yang digunakan yaitu UML dengan PHP sebagai bahasa pemrograman dalam implementasinya. Hasil dari penelitian ini adalah sebuah sistem e-CRM yang dapat meningkatkan pelayanan informasi dari SMK Media Informatika kepada wali murid. Fitur yang terdapat dalam sistem e-CRM mencakup pembuatan informasi, input nilai, pengiriman surat, penyampaian kritik dan saran, serta kemampuan untuk mencetak laporan yang membantu sekolah dalam mengevaluasi pelayanan sekolah.
Una aproximación a los relatos breves de Rafael Sánchez Ferlosio
Authors: Díaz Navarro Epicteto Jose 
Published: July 2024

A pesar del prestigio como escritor e intelectual de Rafael Sánchez Ferlosio, y teniendo en cuenta la extensa y notable bibliografía que han generado sus tres novelas (Alfanhuí; El Jarama y El testimonio de Yarfoz), sus relatos breves apenas han recibido atención. El conjunto de sus relatos breves presenta rasgos singulares, en algún caso cercanos a la narración mimética que ejemplificaría El Jarama, mientras en otros se aproxima al relato tradicional y, en un tercer grupo, estarían los relatos imaginativos que se relacionan con la saga en que incluye El testimonio de Yarfoz, y los que presentan un mundo exótico y desconocido. Es decir, tanto por su temática, como por su técnica narrativa y despliegue retórico no resultan secundarios en el panorama del cuento español contemporáneo.