bluuebunny/crossref_metadata_2025_split huggingface dataset:
Social Acceptance of Smart Glasses in Health Care: Model Evaluation Study of Anticipated Adoption and Social Interaction
Authors: Zuidhof Niek , Peters Oscar , Verbeek Peter-Paul , Ben Allouch Somaya 
Published: February 2025

Background
Despite the growing interest in smart glasses, it is striking that they are not widespread among health care professionals. Previous research has identified issues related to social interactions involving the use of smart glasses in public settings, which may differ from those associated with their application in health care contexts.

Objective
Assuming that smart glasses mediate contact between the health care provider and patient, the objectives of this research are two-fold: (1) to develop an instrument that combines the adoption and mediation perspectives, and (2) to gain insights into how the intention to use is influenced through aspects of adoption and social interaction.

Methods
A questionnaire was administered to a target audience of health care professionals (N=450), with recruitment via MTurk. The sample primarily included male participants from the United States, with the majority aged 42 years or younger. Although a large portion of respondents were medical doctors, the sample also included nurses and other health care professionals. Data were analyzed by structural equation modeling.

Results
Regarding the aim of developing an instrument combining adoption and social interaction, the internal consistency was above the aspirational level (α>.70) for the instrument. Furthermore, regarding the second objective involving gaining insights into the influential constructs of the anticipated intention to use, the following results were highlighted: in testing the conceptual model, the measurement model generated a good fit and the respecified structural model also generated a good fit. The tested hypotheses confirmed that social interaction constructs could explain a higher variance of users’ anticipated intention to use. Perceived social isolation and decreased attentional allocation did not have a significant effect on attitude. Furthermore, the intention to use smart glasses despite nonacceptance of smart glasses by the patient significantly influenced the anticipated intention to use. In summary, constructs that focus on social interaction could contribute to better explanation and prediction of the expected adoption of smart glasses in health care.

Conclusions
The empirical findings of this study provide new insights into how the mediation perspective can increase the explained variance compared to existing knowledge about adoption. Against expectations based on previous literature and despite the social issues raised earlier, these social aspects do play important roles for health care professionals but are ultimately not decisive for the intention to use. As a result, there are fewer threats to the adoption of smart glasses from the perspective of health care professionals than might be expected based on the previous literature. Therefore, the use of smart glasses can still be considered as an innovative way of working in health care.
Smart Pharmaceutical Monitoring System With Personalized Medication Schedules and Self-Management Programs for Patients With Diabetes: Development and Evaluation Study
Authors: Xiao Jian , Li Mengyao , Cai Ruwen , Huang Hangxing , Yu Huimin , Huang Ling , Li Jingyang , Yu Ting , Zhang Jiani , Cheng Shuqiao 
Published: February 2025

Background
With the climbing incidence of type 2 diabetes, the health care system is under pressure to manage patients with this condition properly. Particularly, pharmacological therapy constitutes the most fundamental means of controlling blood glucose levels and preventing the progression of complications. However, its effectiveness is often hindered by factors such as treatment complexity, polypharmacy, and poor patient adherence. As new technologies, artificial intelligence and digital technologies are covering all aspects of the medical and health care field, but their application and evaluation in the domain of diabetes research remain limited.

Objective
This study aims to develop and establish a stand-alone diabetes management service system designed to enhance self-management support for patients, as well as to assess its performance with experienced health care professionals.

Methods
Diabetes Universal Medication Schedule (DUMS) system is grounded in official medicine instructions and evidence-based data to establish medication constraints and drug-drug interaction profiles. Individualized medication schedules and self-management programs were generated based on patient-specific conditions and needs, using an app framework to build patient-side contact pathways. The system’s ability to provide medication guidance and health management was assessed by senior health care professionals using a 5-point Likert scale across 3 groups: outputs generated by the system (DUMS group), outputs refined by pharmacists (intervention group), and outputs generated by ChatGPT-4 (GPT-4 group).

Results
We constructed a cloud-based drug information management system loaded with 475 diabetes treatment–related medications; 684 medication constraints; and 12,351 drug-drug interactions and theoretical supports. The generated personalized medication plan and self-management program included recommended dosing times, disease education, dietary considerations, and lifestyle recommendations to help patients with diabetes achieve correct medication use and active disease management. Reliability analysis demonstrated that the DUMS group outperformed the GPT-4 group in medication schedule accuracy and safety, as well as comprehensiveness and richness of the self-management program (P<.001). The intervention group outperformed the DUMS and GPT-4 groups on all indicator scores.

Conclusions
DUMS’s treatment monitoring service can provide reliable self-management support for patients with diabetes. ChatGPT-4, powered by artificial intelligence, can act as a collaborative assistant to health care professionals in clinical contexts, although its performance still requires further training and optimization.
Sex-Specific Blood Pressure Trajectories and Cardiovascular Disease in Type 1 Diabetes: 32-Year Follow-up of the Pittsburgh Epidemiology of Diabetes Complications Cohort
Authors: Miller Rachel G. , Orchard Trevor J. , Costacou Tina 
Published: February 2025

OBJECTIVE
We examined sex differences in longitudinal blood pressure (BP) and 32-year cardiovascular disease (CVD) incidence in the Pittsburgh Epidemiology of Diabetes Complications type 1 diabetes cohort.

RESEARCH DESIGN AND METHODS
BP was measured up to nine (median six) times between 1986–1988 baseline and 2016–2018; n = 300 women and 304 men without CVD at baseline were followed until December 2020 for incidence of total CVD, major adverse cardiovascular events (MACE) (CVD death, myocardial infarction [MI], or stroke), and hard coronary artery disease (hCAD) (CAD death, MI, or coronary revascularization/blockage ≥ 50%). We estimated associations between time to event and longitudinal systolic BP (SBP) and diastolic BP (DBP) by sex using joint models adjusted for time-varying longitudinal antihypertensive (AH) medication use, HbA1c, and overt nephropathy, baseline age, and other CVD risk factors.

RESULTS
Longitudinal SBP was 5.8 mmHg lower (P &lt; 0.0001) and DBP 6.2 mmHg lower (P &lt; 0.0001) in women versus men. Women had −0.3 mmHg/year faster DBP decline (P &lt; 0.0001) despite similar AH rates by sex. Incidence of CVD was similar by sex. Each 5-mmHg increment in longitudinal SBP (hazard ratio [HR] = 1.23; 95% CI 1.04, 1.45) and DBP (HR = 1.56; 95% CI 1.20, 2.04) was associated with MACE in men only; DBP (HR = 1.28; 95% CI 1.05, 1.56) was associated with hCAD in women only.

CONCLUSIONS
BP was lower in women than men, and the strength of its association with the initial manifestation of CVD differed by sex. Further research into sex-specific BP mechanisms is needed to improve CVD risk reduction in people living with type 1 diabetes.
Of Lyme disease and machine learning in a One Health world
Authors: Berke Olaf , Chan Sarah T. , Orang Armin 
Published: February 2025

Abstract

Objective
Lyme disease is a vector-borne emerging zoonosis in Ontario driven by human population growth and climate change. Lyme disease is also a prime example of the One Health concept. While little can be done to immediately reverse climate change and population growth, public health must resort to health communication as its best option for disease control until an effective vaccine becomes available. Disease surveillance enabling precision public health has an important role in this respect: one of the goals of disease surveillance is to forecast the future burden of disease to inform those who need to know. The goal of this study was to forecast the burden of Lyme disease using automated machine learning and statistical learning approaches.

Methods
Lyme disease reports were retrieved from Ontario’s integrated Public Health Information System surveillance system from January 2005 to December 2023. The reports from January 2005 to December 2021 were used as training data, and reports from January 2022 to December 2023 served as validation data. Forecasts from a seasonal autoregressive integrated moving-average model were used as a benchmark for forecasts from a feed-forward single-layer neural network machine learning algorithm.

Results
The Lyme disease burden in Ontario is predicted to increase dramatically. Neither the neural network nor the seasonal autoregressive integrated moving-average model proved to be generally more accurate.

Conclusions
The increasing burden of human Lyme disease is concerning to public health, further indicating ecosystem changes and challenges for canine health.

Clinical Relevance
Human Lyme disease surveillance provides useful information to veterinarians.
Teacher’s Perceptions toward Teaching-Learning Pedagogy and Professional Development: Insights from Nepal
Authors: Acharya Bisna 
Published: February 2025

Abstract

Introduction:
Teachers’ views on teaching-learning pedagogy include effective instructional methods, learning preferences, assessment strategies, and classroom management. This study aims to investigate the viewpoints of teachers regarding the teaching-learning pedagogy and professional development opportunities of the school teachers that are available in the field of education.

Methods:
Purposive and multistage sampling and quantitative and qualitative analysis are used. This method allows for thorough research area exploration. This method enhances data quality and makes research findings more applicable to real-world education.

Results:
The findings offer a thorough overview of the perspectives, attitudes, and experiences of educators regarding instructional approaches and opportunities for growth in their field. A comprehensive investigation reveals the importance of educators’ perspectives in shaping classroom practices, embracing new ideas, and fostering a culture of ongoing learning.

Discussion:
As per the findings, teachers get allowances, training, meetings, seminars, and further courses to advance professionally. Policies affect teacher training and benefits. Some parents were enthusiastic about free education, while others were moderate or supportive, according to instructors.

Limitations:
This study has focused primarily on the development of basic and primary education in Nepal, both in the past and present.

Conclusions:
Educational institutions can tailor development programmes to teachers’ needs by acknowledging and addressing these perceptions. Policymakers can use the findings to raise awareness of the changing landscape that promotes mandatory and accessible high-quality education.
Urban Elementary School Students’ Participation in the After-School Program: The Role of Parental Priorities, Perceptions and Socioeconomic Status
Authors: Acar Esin , Delibaş Kayhan 
Published: February 2025

Abstract

Introduction:
During after-school hours, children and young people, especially those in the middle class, often occupy themselves with playtime or some sort of social activity. Thus, the main concerns of the study are the involvement of after-school programme attendance, the implementation of after-school programs, and the relationship of this situation with the socio-economic status of the family.

Methods:
A two-part questionnaire was used to ask the parents their personal demographic information and information relating to their choices, opinions, and preferences regarding after-school programs to achieve the purpose of the study.

Results:
The estimates of students’ academic achievement for the grade levels assessed were predominantly above average or higher (n=404; 74.4%). Also, the parent’s expectations for their children’s success were high (n=131; 24.1% near average and n=8; 1.5% at a below-average level).

Discussion:
This study examined the factors influencing the participation of fourth-grade elementary school students in after-school programmes, as well as the effect the students’ families’ socio-economic and cultural status has on the parents’ opinions and preferences regarding after-school programs and the participation of their children.

Limitations:
The preferences and explanations of 543 parents do not allow the generalization of the results to the whole population.

Conclusions:
The results show a strong positive correlation between the socioeconomic income level and the after-school participation.
On Legislative and Institutional Reforms in Pre-University Education System in Albania
Authors: Kume Enida 
Published: February 2025

Abstract

Introduction:
The analysis of the reforms in the pre-university education system carried out in Albania after the changes in the political and economic system, 1992-2022, is the object of this study.

Methods:
The study was conducted as a “desk study”. The assesment on the quality of the reforms carried out was carried out using the analysis method and comparative analysis.

Results:
Reforms in the pre-university education system in Albania have changed its objectives, structure and content, aligning it with the systems implemented in other countries of the region and the EU.

Limitations:
The reforms are an ongoing process whose effects require time to be evaluated.

Conclusions:
Reforms in the pre-university education system in Albania are developed in accordance with the principles and requirements that enable its alignment with the educational systems of democratic countries and the EU. Their main objective is to prepare the new generation capable of facing the challenges of open and global society.
Study of the Preplasma Generation for Flat and Nanostructured Targets in Case of Oblique Radiation Incidence
Authors: Zubarev A. , Ong J. F. , Berceanu A. C. , Cuzminschi M. , Tesileanu O. 
Published: February 2025

Abstract
In this proceeding, we compare the preplasma generation in front of the flat and nanostructured targets for different angles of laser incidence. We use radiation-hydrodynamic FLASH code to simulate the laser prepulse interaction with aluminum foil and aluminum nanowire array with aluminum support. During the preplasma evolution, we observe the following stages: heating of the target, generation of preplasma cloud, nanowire implosion and the increase of preplasma density in front of the target, generation of the overcritical-density regions in front of the regions, and joining of the overcritical density regions into a continuous overcritical density layer. The rate of preplasma generation varies in function of the tilting angle. For small tilting angles it decreases with its variation. The rate of preplasma generation is minimal for the tilting angle of about 15 degrees. For lower and higher values of the tilting angle, the preplasma generation ratio is greater. Back-reflection for the nanostructured targets is lower than for the flat target. Its value also depends on the angle of laser incidence. This aspect can potentially increase the safety and the performance of the experiments.
Gegen eine rückwärtsgewandte Wirtschaftspolitik — unbequeme Wahrheiten mit hoher Halbwertszeit
Authors: Schmidt Christoph M. 
Published: February 2025

Abstract
In 2013, the German Council of Economic Experts advised the then future German government to pursue a decisively market-oriented economic reform agenda in the fields of labour market and pension policy, tax policy and climate policy. Yet, policy makers have ignored this advice, basically disregarding the foreseeable demographic transformation. Meanwhile, new additional challenges have emerged, which require a seriously revitalised German economy. Thus, the next German government should shift to a market-oriented course in its economic policy, particularly by unleashing entrepreneurial motivation.
Wo steht die Grundsicherung für Arbeitsuchende nach der Bürgergeld-Reform?
Authors: Gellermann Jan , Penz Reinhard , Lobato Philipp Ramos 
Published: February 2025

Abstract
According to political parties SPD and Bündnis 90/Die Grünen, the “Bürgergeld” or welfare reform should be nothing less than a farewell to “Hartz IV”, the basic income support for jobseekers that was designed by the same parties almost twenty years ago as a reform of the system of unemployment and welfare benefits. On closer inspection, however, the propagated caesura proves to be exaggerated. The reform does not break with the past, but rather combines a large number of reform elements that were previously developed, regionally tested and partly established. Accordingly, the growth initiative (Wachstumsinitiative) – which ended when the current government coalition broke up – would not have represented a radical change of course either. Rather, it was a renewed attempt to bring elements into a different balance.
Penggunaan Hormon Tumbuh Alami dan Komposisi Media Tanam Terhadap Pertumbuhan Bibit Kakao
Authors: Ramanda Rika Fitry , Palupi Tantri , Rianto Fadjar 
Published: February 2025

Benih kakao termasuk benih rekalsitran, yaitu benih yang tidak tahan dikeringkan, peka terhadap suhu dan kelembaban rendah. Secara alami benih kakao tidak mempunyai dormansi, berdaya simpan rendah dan peka terhadap perubahan lingkungan simpan. Oleh sebab itu, dibutuhkan penanganan yang tepat setelah benih sampai pada tujuan pengiriman (setelah benih disimpan selama pengiriman). Diantaranya adalah dengan memberi perlakuan zat pengatur tumbuh (ZPT), agar vigoritas benih dapat dipertahankan. Pembibitan tanaman kakao dapat tumbuh dengan baik apabila ditanam pada media dengan komposisi bahan organik dan unsur hara yang diperlukan bagi tanaman. Penelitian ini bertujuan untuk melihat interaksi hormon tumbuh alami dan media tanam pada benih kakao yang mengalami penurunan kualitas terhadap pertumbuhan bibit kakao. Penelitian ini menggunakan rancangan petak terbagi (split plot design) dengan pola RAL terdiri dari petak utama (main plot) adalah kombinasi media tanam dan anak petak (sub plot) adalah hormon tumbuh alami, masing-masing perlakuan diulang sebanyak 3 kali. Setiap unit percobaan terdiri dari 3 sampel bibit, sehingga diperoleh 90 bibit. Hasil penelitian menunjukkan bahwa tidak terjadi interaksi dari penggunaan hormon tumbuh alami dan komposisi media tanam terhadap parameter kadar air benih, indeks vigor, daya berkecambah, kecepatan tumbuh, tinggi bibit, jumlah daun, luas daun, dan volume akar, serta berat kering bibit. Perlakuan hormon terbaik untuk parameter luas daun, volume akar, dan bobot kering bibit adalah hormon dari ekstrak tomat. Komposisi media tanam terbaik yaitu pada Topsoil alluvial + pupuk kandang ayam + arang sekam (1 : 1 : 1).
ALIH TEKNOLOGI PANGKAS BENTUK SEBAGAI USAHA MENGOPTIMALKAN PERCABANGAN PRODUKTIF UNTUK MENINGKATKAN PRODUKTIVITAS KAKAO PADA KELOMPOK TANI KARYA MAKMUR DESA WIYONO KECAMATAN GEDONG TATAAN KABUPATEN PESAWARAN
Authors: Airlangga Tandadita Ariefandra , Widiyani Dimas Prakoswo , Gusta Adryade Reshi , Luthfi Hafiz , Hartono Joko S.S. , Aziz Abdul 
Published: February 2025

Desa Wiyono merupakan desa yang terletak diwilayah Kecamatan Gedong Tataan. Kedua desa tersebut memliliki posisi strategis dan berpotensi dalam pengembangan kakao serta objek wisatanya (Dinas Pertanian Kabupaten Pesawaran, 2019). Kedepanya hal ini akan menjadi daya Tarik kuat bagi wisatawan sehingga dapat mendukung pengembangan agrowisata kampung kakao sekaligus melakukan revitalisasi tanaman kakao di Kabupaten Pesawaran. Namun masih terkendala beberapa masalah diantaranya tanaman yg sudah tua dan sudah tidak produktif lagi sehingga perlunya ada penanggulangan dalam perbaikan atau peremajaan tanaman kakao agar lebih baik kembali. Adapun kegiatan yang telah dilaksanakan di Desa Wiyono yaitu pendampingan tentang berbagai jenis dan metode pemangkasan pada tanaman kakao diantaranya pangkas bentuk, pemeliharaan, dan produksi. Juga peningkatan pemahaman petani untuk mengenal bahan tanam unggul atau klon unggul dalam perbaikan tanaman kakao masyarakat. Berdasarkan hasil dan pembhasan yang telah didapat yaitu sebagai berikut : Peningkatan pemahaman petani mengenai berbagai jenis dan metode pemangkasan pada tanaman kakao diantaranya pangkas bentuk, pemeliharaan, dan produksi dan juga Juga peningkatan pemahaman petani untuk mengenal bahan tanam unggul atau klon unggul dalam perbaikan tanaman kakao di masyarakat.
TEKNOLOGI PENGOLAHAN NATA DE COCO DARI LIMBAH AIR KELAPA SEBAGAI UPAYA PENINGKATAN NILAI EKONOMI PADA KWT MENTARI DI DESA WIYONO
Authors: Maryanti Maryanti , Delvitasari Fabrina , Hartari Widia Rini , Zaqyah Irene 
Published: February 2025

Desa Wiyono merupakan salah satu desa yang terletak di Kecamatan Gedong Tataan, Kabupaten Pesawaran. Mayoritas penduduk desa Wiyono (70% dari seluruh tenaga kerja) memiliki mata pencaharian sebagai petani. Menurut BPS Pesawaran (2022), produksi kelapa di Kabupaten Pasawaran mencapai 8.121 ton/tahun dengan luas areal 11.238 ha. Tanaman kelapa (Cocos nucifera L) adalah tanaman multifungsi yang seluruh bagiannya memiliki manfaat untuk manusia. Nata de coco adalah suatu produk hasil fermentasi oleh bakteri acetobacter xylinum. Produk ini berbentuk padat, kokoh, kuat, putih, transparan, kenyal dan banyak digunakan sebagai salah satu pangan fungsional karena mengandung serat pangan. Saat ini petani mengalami kesulitan dalam mengolah air kelapa menjadi nata de coco karena ketidaktahuan ilmu pengetahuan dan teknologi yang digunakan, sehingga air kelapa yang dihasilkan hanya dibuang begitu saja sebagai limbah. Kondisi seperti ini tentunya membutuhkan transfer ilmu pengetahuan dan bimbingan dari berbagai pihak. Tim pengusul kegiatan telah merancang metode kegiatan yang diterapkan melalui penyuluhan, demonstrasi, pelatihan, konsultasi, dan bimbingan, serta evaluasi. Setelah program dilakukan diperoleh hasil bahwa pemahaman dan pengembangan teknis teknologi masyarakat meningkat dari 0% menjadi 100% dan penerapan hasil di lapangan sebesar 15%. Dengan dilakukannya transfer ilmu pengetahuan dan teknologi kepada masyarakat khususnya kelompok wanita tani Desa Wiyono, diharapkan air kelapa yang sebelumnya tidak bernilai menjadi memiliki nilai ekonomi yang cukup tinggi.