bluuebunny/crossref_metadata_2025_split huggingface dataset:
Patient-, Provider-, and Facility-Level Contributors to the Use of Cardiology Telehealth Care in the Veterans Health Administration: Retrospective Cohort Study
Authors: Tisdale Rebecca Lauren , Ferguson Jacqueline M , Van Campen James , Greene Liberty , Wray Charlie M , Zulman Donna M 
Published: August 2024

Background
Telehealth (care delivered by phone or video) comprises a substantial proportion of cardiology care delivered in the Veterans Health Administration (VHA). Little is known about how factors specific to patients, clinicians, and facilities contribute to variation in cardiology telehealth use.

Objective
The aim of this study is to estimate the relative extent to which patient-, clinician-, and facility-level factors affect cardiology telehealth use in VHA.

Methods
This was a retrospective, nation-wide cohort study of veterans’ use of VHA cardiology telehealth care during the first 2 years of the COVID-19 pandemic (March 11, 2020, to March 10, 2022). We constructed multilevel, multivariable, logistic regression models of patient-level cardiology telehealth use (telephone or video-based care). Models included random effects for the patient, the patient’s main cardiology provider, and the patient’s primary facility (ie, VHA medical center) for specialty care and fixed effects for patient sociodemographic and clinical characteristics.

Results
Our analytic cohort comprised 223,809 veterans with 989,271 encounters among 2235 unique clinicians. The veterans’ average age was 70.2 years, and 3.4% (n=7616) were women. Of the 989,271 encounters, 4.2% (n=41,480) were video based and 34.3% (n=338,834) were phone based. Adjusted odds of telehealth use were slightly higher for women versus men (adjusted odds ratio [AOR] 1.08, 95% CI 1.05-1.10), individuals identifying as Hispanic or Latino versus not Hispanic or Latino (AOR 1.46, 95% CI 1.43-1.49), and those with medium and long drive times versus short drive time (AOR 1.11, 95% CI 1.10-1.12 and AOR 1.09, 95% CI 1.07-1.10, respectively). Further, 40.5% of the variation in a veteran’s likelihood of using cardiology telehealth care was found at the patient level, 30.8% at the clinician level, and 7% at the facility level.

Conclusions
The largest share of the attributable variability in VHA cardiology telehealth use in this cohort was explained by the patient, followed closely by the clinician. Little variability was attributed to the primary facility through which the veteran received their cardiology care. These results suggest that policy solutions intended to improve equity of cardiology telehealth care use in VHA may be most impactful when directed at patients and clinicians.
Five-Feature Models to Predict Preeclampsia Onset Time From Electronic Health Record Data: Development and Validation Study (Preprint)
Authors: Ballard Hailey K , Yang Xiaotong , Mahadevan Aditya D , Lemas Dominick J , Garmire Lana X 
Published: August 2024

BACKGROUND

Preeclampsia is a potentially fatal complication during pregnancy, characterized by high blood pressure and the presence of excessive proteins in the urine. Due to its complexity, the prediction of preeclampsia onset is often difficult and inaccurate.

OBJECTIVE

This study aimed to create quantitative models to predict the onset gestational age of preeclampsia using electronic health records.

METHODS

We retrospectively collected 1178 preeclamptic pregnancy records from the University of Michigan Health System as the discovery cohort, and 881 records from the University of Florida Health System as the validation cohort. We constructed 2 Cox-proportional hazards models: 1 baseline model using maternal and pregnancy characteristics, and the other full model with additional laboratory findings, vitals, and medications. We built the models using 80% of the discovery data, tested the remaining 20% of the discovery data, and validated with the University of Florida data. We further stratified the patients into high- and low-risk groups for preeclampsia onset risk assessment.

RESULTS

The baseline model reached Concordance indices of 0.64 and 0.61 in the 20% testing data and the validation data, respectively, while the full model increased these Concordance indices to 0.69 and 0.61, respectively. For preeclampsia diagnosed at 34 weeks, the baseline and full models had area under the curve (AUC) values of 0.65 and 0.70, and AUC values of 0.69 and 0.70 for preeclampsia diagnosed at 37 weeks, respectively. Both models contain 5 selective features, among which the number of fetuses in the pregnancy, hypertension, and parity are shared between the 2 models with similar hazard ratios and significant <i>P</i> values. In the full model, maximum diastolic blood pressure in early pregnancy was the predominant feature.

CONCLUSIONS

Electronic health records data provide useful information to predict the gestational age of preeclampsia onset. Stratification of the cohorts using 5-predictor Cox-proportional hazards models provides clinicians with convenient tools to assess the onset time of preeclampsia in patients.

CLINICALTRIAL
The Sui Generis Transition of The Media in Kosovo
Authors: Zejnullahu Safet , Qerimi Gëzim 
Published: August 2024

Objective: This paper investigates the rapid evolution of Albanian-language media in Kosovo over the past two decades, a transformation that typically spans much longer periods in other contexts.

Theoretical Framework: The study examines this evolution through the lens of media development theories, considering the unique socio-political landscape of Kosovo and the broader region.

Methods: The research employs a qualitative approach, analyzing historical and contemporary media sources, political developments, and the impact of regional events on the media landscape.

Results and Conclusions: The findings reveal that the rapid transformation of Albanian-language media in Kosovo is significantly influenced by political changes both within Kosovo and in the surrounding region. This transformation has resulted in a media landscape that is uniquely dynamic and rapidly evolving compared to conventional media development trajectories.

Implications of Research: The study underscores the importance of understanding media evolution within specific socio-political contexts, providing insights that can inform media development strategies in other regions undergoing similar transitions.

Originality/Value: This research offers a comprehensive analysis of the sui generis transition of Albanian-language media in Kosovo, highlighting the exceptional nature of its rapid evolution and contributing valuable knowledge to the field of media studies.
Complexity Theory Approach to Innovation Ecosystems
Authors: Toth Csilla , Fehervolgyi Beata , Kovacs Zoltan , Hary Andras 
Published: August 2024

Purpose: By nowadays, in addition to the innovation systems definitions, the research area of innovation ecosystems operation is also developing significantly. The aim of the research is to examine how the concept of the innovation ecosystem and the conceptual scope of complexity theory are related.

Theoretical reference: The paper gives an overview of development of innovation ecosystems literature, and also introduces summary of general systems theory. The authors point out that the joint discussion of the two areas are very rare in the related research works. There are few examples of referring Complex Adaptive Systems as potential approach for innovation ecosystems, but detailed theoretical analysis of the topic is limited.

Method: The paper analyses the relationship and possible overlap of fields of innovation ecosystems and complexity theory by evaluation of findings of content analysis and a keyword-based method. As part of the methodology presented, the research of the theme is carried out from two aspects. First, based on review-type and theoretical works, a content analysis was made to define specific key feature word sets in both innovation ecosystems and complex theory areas. Then, based on these keyword set, validation was executed based on abstracts of selected papers in order to define possible relations of the two fields.

Results and Conclusion: As a result of the research, authors draw conclusions about the relationship between the definition of innovation ecosystems and complexity theory. Both the joint keywords and the non-relevant words have been pointed out. The authors concluded that there is apparent theoretical relation of the two areas from content point of view, based on analysis of relevant scientific papers.

Implications of research: The outcomes of the research fundamentally influence the treatment of innovation ecosystems, which has been traditionally assumed linear, deterministic and controllable behaviour. Introducing the potential of complex systems allow opening new aspects to manage such challenges of innovation ecosystems which could not been handled in the usual way.

Originality/value: The joint discussion of the topic of innovation ecosystems and complex systems theory is rather rare in the related scientific works. The novelty of the current paper is the systematic approach defined for this analysis purpose and way of validation of the pre-defined keyword set through abstracts of relevant papers. The present research addressed the preliminary discussion of the given research question, further research and analysis can be made based on larger-scale paper base.
Relationship of the El Niño Phenomenon to Climate Change
Authors: Cevallos Manuel Patricio Clavijo , Travez Dennise Tatiana Condor , Tito Katherine Sofia Solorzano , Nuñez Cristopher Jesus Carvajal , Lindao Gilmar Josue Recalde , Baltasaca Erika Johana Chaluisa 
Published: August 2024

Objective: The main objective of this article is to clearly analyze the multiple relationship between the El Niño phenomenon and Climate Change.

Theoretical Framework: The theoretical basis of this study arises from the climatic variation presented in the last decades, due to the excessive elimination of greenhouse gases generating an important and imminent increase in temperature.

Method: A bibliographic and systematic methodology is used to understand the interaction and effects on the earth system from the point of view of different authors.

Results and Discussion: In the studies addressed, an increase in the frequency and intensity of the El Niño phenomenon attributed to global climate change was evidenced, which reflected the impact on health, global policy and ecosystems in Latin America. In addition, the research revealed the sectors and activities most affected by the intensification of El Niño, such as agriculture, health, urban infrastructure, given the evidence of vulnerable pockets in urban environments, it is recommended that the authorities implement a system of infrastructure resistant to climate variations and the promotion of sustainable practices to reduce extreme weather events.

Implications of the research: It is based on detrimental events to health, agriculture and urban infrastructure, seeking sustainable practices for the reduction of extreme weather events.

Originality/value: The study used the negative effects experienced in greater quantity in the Ecuadorian coasts, on climate change, so its results come from original sources.
Supplier Selection of Salt Industry With AHP and Topis Method
Authors: Utami Issa Dyah , Novianti Trisita 
Published: August 2024

Purpose: This study aims to identify the criteria for selecting salt suppliers and propose a supplier selection framework so that the salt industry can buy raw materials according to the specified standards and prices. Theoretical reference: This research synthesizes supplier selection criteria from the literature. Method: A decision-making framework for supplier selection was constructed by integrating the AHP with TOPSIS. Data were gathered via interviews with salt industry professionals and from observations of salt manufacturing and the supply chain. The weight of the criteria for selecting the salt supplier was determined through the use of questionnaires that utilized the AHP and TOPSIS methodology. Result and Conclusion: The findings of this study offer the Salt Industry valuable insights into the factors that should be considered when selecting suppliers, such as Quality, Service, Delivery, Flexibility, and Responsiveness. The AHP method's outcome indicates that the criterion with the highest ranking is quality. The results suggest that the criteria are ranked in descending order of importance, with quality having the highest weight, followed by delivery, responsiveness, flexibility, and service. Supplier A, with the highest ranking, has been chosen. Implications of research: The framework developed in this article uses only five criteria and was validated on one salt company. Further research can be continued by adding new criteria and validated in several salt industries. The algorithm and the output of this research are expected to be used as inputs in the design of the digital supply chain of the salt industry. Moreover, the management can use this method to choose raw material suppliers based on quality, service, delivery, flexibility, and responsiveness. Most producers of salt raw materials in Indonesia are salt farmers, most of whom still use traditional salt production and storage methods. It is hoped that the results of this research can provide information to salt suppliers, including salt farmers, about the criteria that must be met so that the salt produced can be immediately sold to the salt industry. Originality/value: This study develops a supplier selection system designed for the salt business, which has significant importance in Indonesia. The literature study results from this study are anticipated to provide valuable insights for academics researching supplier selection. This research can be furthered by examining the impact of this supplier decision on the performance of the Salt supply chain, extending from upstream to downstream.
University Research, Climate and Organizational Culture in a Peruvian University
Authors: Farfán-Pimentel Johnny Félix , Delgado-Arenas Raúl , Delgado-Corazao Nilda Shirley , Julca-Vera Noemí Teresa , Clemente-Castillo Consuelo del Pilar , Lizandro-Crispín Rommel 
Published: August 2024

Objective: To determine the relationship between the participation of engineering faculty students in university research, climate and organizational culture in a Peruvian university.

Theoretical Framework: Science research as a development of scientific competencies is a way of learning production and learning development in the promotion of critical thinking and argumentative forms in the growth and ability to interact among students with scientific level research (Valdiviezo, 2023).

Method: The research is basic, non-experimental, descriptive and correlational level; providing scopes for an adequate progress of the strategic objectives of the university institution with a quantitative approach (Hernández & Mendoza, 2018). Methods, techniques and instruments were applied for the collection of information for the treatment, analysis and presentation of results (Sánchez & Reyes, 2015).

Results and Discussion: It was evidenced the existence of correlation between the study variables University research and Organizational climate (rho=0.442 and p=0.000<0.05) as well as between University research and Organizational culture (rho=0.328; p=0.000<0.05 ), being a moderate positive correlation.

Research Implications: Scientific production is a fundamental part of the university professor's activity and dissemination through the publication of scientific articles has become an essential pillar (Delgado et al., 2021).

Originality/Value: The research will contribute to the improvement of scientific research processes in universities by promoting a climate and culture of research character to generate the conditions for the development of research projects and the participation of the university community.
Aquaponics in Science Education
Authors: Dias Thaís Vilas Boas , Navarro Rodrigo Diana 
Published: August 2024

Objective: This work aims to assess whether aquaponics is an effective teaching tool in distance learning by means of a remote activity on aquaponics for students and teachers from undergraduate institutions and Youth and Adult Education (EJA).

Theoretical Framework: The works of Goddek et al. (2019), Wang et al. (2020) and Greenfeld et al. (2021) stand out in this field of research, providing the context for this investigation.

Method: Questionnaires were used before and after a lecture on aquaponics, and the students' expectations of the activity before and after the lecture were compared. Teachers' opinions on the activity were obtained through semi-structured interviews.
Results and Discussion: The results revealed a change in the pattern of students' responses, as well as an increase in their self-confidence and propensity to consume organic, aquaponic and hydroponic food. The analyses allow us to infer that the effect of the presentation was positive on the students' knowledge of the topics covered.

Research Implications: The results indicate that aquaponics is a suitable tool for teaching science, and that it can also be used in conjunction with other subjects to promote understanding of complex topics.

Originality/Value: This research presents aquaponics as an innovative approach to teaching complex topics and increasing students' interest in multidisciplinary subjects, contributing to the adoption of more interesting teaching practices.
Statement of the Risk Level for Gliding in the Cooperative San Marcos del Cantón el Empalme, Provincia del Guayas, Equador
Authors: Basurto Dustyn Adrián Escalante , Velásquez Carlos Alberto Litardo , Espinoza Galo Arturo Perero 
Published: August 2024

Objective: The purpose of this study is to investigate the risk of slipping of the San Marcos cooperative in the canton of El Empalme, with the aim of making the correct assessment of the existing level of risk. Theoretical Framework: It is important to take into account that, from the year 2014 every construction process must compulsorily comply with the Ecuadorian construction standards that the governing body in the area of habitat and human settlements will issue for the purpose (Ecuador, 2014). And in the canton of El Empalme has a completely irregular topography, increasing the level of risk of sliding in several sectors, Taking into account the conditioning factors, and adding to this the triggering factors that might occur, such as heavy rainfall or seismic events, would increase the likelihood of the risk materializing and collapse occurring. (Empalme, 2020). Method: For the realization of this research project field visits will be made to the cooperative San Marcos to be able to take samples of slopes in various sectors, where the method of direct observation of the study area will be used and the topography of the terrain will be visible. Therefore, the calculation of the slope will be carried out with the help of the Apparatus “A”, which is a fundamental tool that allows us to know the level of a terrain with respect to a horizontal plane, (“Apparatus A” distance to 2 meters), and thus to be able to determine the distance between lines depending on the slopes inclination; therefore, once having the relief and slope later will include some additional factors such as lithology, humidity, vegetation cover, rain intensity, type of relief. To subsequently carry out the slide risk assessment. Results and Discussion: The results obtained determined that the presence of several conditioning factors in the study area has contributed to the increased risk of sliding in several sectors, having already classified by polygons a zoning of areas of greater susceptibility and represented with maps the existing risk levels. In this process, it can be said that there are areas that are less vulnerable, due to proper territorial planning and the provision of public and mitigation works. Implications of the research: This research has important social, economic and environmental implications. Early risk assessment and mitigation can prevent major impacts on the population. In addition, results can influence public policy formulation and implementation and thus increase community resilience. Originality/Value: This study contributes to the literature by highlighting the originality of the research, having more detailed information about the risk of sliding that exists in the San Marcos cooperative of the canton El Empalme. The relevance and value of this research is demonstrated by explaining in a more detailed way the level of risk existing in the study area.
The Nature of The Role of State Attorney Prosecutors in Legal Assistance in the Civil and State Administrative Fields
Authors: Syamsu Samsiska Dien Ermika , Rahman Sufirman , Nawi Syahruddin , Hidjaz M. Kamal , Zainuddin  
Published: August 2024

Objective: This research aims to find out, analyse and discover the nature of the role of the State Attorney in legal assistance in the field of Civil and State Administration, assess the effectiveness of the role of the State Attorney in legal assistance in the field of Civil and State Administration, and identify factors that affect the effectiveness of the role of the State Attorney in legal assistance in the field of Civil and State Administration. Theoretical Framework: The theoretical framework used in this research combines normative legal research and sociological legal research. Normative legal research analyses regulations and laws governing the role and function of the State Attorney, while sociological legal research assesses how these regulations are applied and perceived in practice by the public and related institutions. Method: The type of research conducted is descriptive, using a mixed approach between normative and sociological legal research. Data was collected through the study of legal documents, interviews with State Attorneys, and field observations at various agencies related to the Civil and State Administrative fields. Results and Discussion: The State Attorney plays a role in representing the legal interests of the state, government, BUMN/BUMD, and the community through legal assistance, law enforcement, legal considerations, services, and other legal actions. However, its role in resolving legal disputes in the civil and state administrative fields is still less effective, both through litigation and non-litigation channels, which are influenced by the substance of the law, human resources of the apparatus, facilities and infrastructure, public legal awareness, and legal culture. Research Implications: The practical and theoretical implications of this research are discussed, providing insights into how the results can be applied or influence practices in the field of [insert field of study]. These implications could encompass [list impacted areas or sectors]. Originality/Value: The essence of the role of the State Attorney is to represent the legal interests of the state, government, BUMN / BUMD, and the community through various forms of legal assistance and action, but the effectiveness of its role in resolving legal disputes in the fields of Civil and State Administration is still less than optimal, influenced by legal substance, human resources, facilities and infrastructure, public legal awareness, and legal culture.