bluuebunny/crossref_metadata_2025_split huggingface dataset:
Embedding the Use of Patient Multimedia Educational Resources Into Cardiac Acute Care: Prospective Observational Study
Authors: Hutchinson Anastasia , Khaw Damien , Malmstrom-Zinkel Annika , Winter Natalie , Dowling Chantelle , Botti Mari , McDonall Joanne 
Published: April 2024

Background
Multimedia interventions may play an important role in improving patient care and reducing the time constraints of patient-clinician encounters. The “MyStay Cardiac” multimedia resource is an innovative program designed to be accessed by adult patients undergoing cardiac surgery.

Objective
The purpose of this study was to evaluate the uptake of the MyStay Cardiac both during and following the COVID-19 pandemic.

Methods
A prospective observational study design was used that involved the evaluation of program usage data available from the digital interface of the multimedia program. Data on usage patterns were analyzed for a 30-month period between August 2020 and January 2023. Usage patterns were compared during and following the lifting of COVID-19 pandemic restrictions. Uptake of the MyStay Cardiac was measured via the type and extent of user activity data captured by the web-based information system.

Results
Intensive care unit recovery information was the most accessed information, being viewed in approximately 7 of 10 usage sessions. Ward recovery (n=124/343, 36.2%), goal (n=114/343, 33.2%), and exercise (n=102/343, 29.7%) information were routinely accessed. Most sessions involved users exclusively viewing text-based information (n=210/343, 61.2%). However, in over one-third of sessions (n=132/342, 38.5%), users accessed video information. Most usage sessions occurred during the COVID-19 restriction phase of the study (August 2020-December 2021). Sessions in which video (P=.02, phi=0.124) and audio (P=.006, phi=0.161) media were accessed were significantly more likely to occur in the restriction phase compared to the postrestriction phase.

Conclusions
This study found that the use of digital multimedia resources to support patient education was well received and integrated into their practice by cardiac nurses working in acute care during the COVID-19 pandemic. There was a pattern for greater usage of the MyStay Cardiac during the COVID-19 pandemic when access to the health service for nonfrontline, essential workers was limited.
A Smartphone App to Support Self-Management for People Living With Sjögren's Syndrome: Qualitative Co-Design Workshops (Preprint)
Authors: McCallum Claire , Campbell Miglena , Vines John , Rapley Tim , Ellis Jason , Deary Vincent , Hackett Katie 
Published: April 2024

BACKGROUND

Sjögren's syndrome (SS) is the second most common autoimmune rheumatic disease, and the range of symptoms includes fatigue, dryness, sleep disturbances, and pain. Smartphone apps may help deliver a variety of cognitive and behavioral techniques to support self-management in SS. However, app-based interventions must be carefully designed to promote engagement and motivate behavior change.

OBJECTIVE

We aimed to explore self-management approaches and challenges experienced by people living with SS and produce a corresponding set of design recommendations that inform the design of an engaging, motivating, and evidence-based self-management app for those living with SS.

METHODS

We conducted a series of 8 co-design workshops and an additional 3 interviews with participants who were unable to attend a workshop. These were audio recorded, transcribed, and initially thematically analyzed using an inductive approach. Then, the themes were mapped to the Self-Determination Theory domains of competency, autonomy, and relatedness.

RESULTS

Participants experienced a considerable demand in the daily work required in self-managing their SS. The condition demanded unrelenting, fluctuating, and unpredictable mental, physical, and social efforts. Participants used a wide variety of techniques to self-manage their symptoms; however, their sense of competency was undermined by the complexity and interconnected nature of their symptoms and affected by interactions with others. The daily contexts in which this labor was occurring revealed ample opportunities to use digital health aids. The lived experience of participants showed that the constructs of competency, autonomy, and relatedness existed in a complex equilibrium with each other. Sometimes, they were disrupted by tensions, whereas on other occasions, they worked together harmoniously.

CONCLUSIONS

An SS self-management app needs to recognize the complexity and overlap of symptoms and the complexities of managing the condition in daily life. Identifying techniques that target several symptoms simultaneously may prevent users from becoming overwhelmed. Including techniques that support assertiveness and communication with others about the condition, its symptoms, and users’ limitations may support users in their interactions with others and improve engagement in symptom management strategies. For digital health aids (such as self-management apps) to provide meaningful support, they should be designed according to human needs such as competence, autonomy, and relatedness. However, the complexities among the 3 Self-Determination Theory constructs should be carefully considered, as they present both design difficulties and opportunities.
Using Telegram application to promote student engagement in ESP classroom
Authors: Pudyastuti Zusana E. , Sari Nara , Palandi Jozua F. 
Published: April 2024

This descriptive qualitative study aimed to explore student engagement and student responses towards using Telegram in the ESP classroom. The participants consisted of 66 students from a private university in Indonesia. They were selected using a purposive sampling method. This study was conducted in a fully online mode class. This study also identified various ways in which assignments and student-to-student/teacher-student relationships in online learning environments can trigger student responses. An observation checklist and an interview guideline were used in data collection, and the theory of student engagement as a controlled action was employed in data analysis. The teaching practice of using Telegram in online classes seems to trigger various constructive responses and lively discussions. The discussion activity was mostly initiated by the teacher or the students who intended to ask questions or clarify an idea. This study shows that the use of Telegram in ESP classrooms contributes to a significant increase in students’ engagement, interaction, motivation, and collaboration online. Despite its limitations, Telegram has proven its benefits to be used for improving students' interaction and engagement during language learning. Language learning is more enjoyable for both the students and teachers by incorporating Telegram in the ESP classrooms. In conclusion, this study presents the importance of technology integration in education, which makes learning more effective and empowering.
Motivación y desarrollo del pensamiento matemático
Authors: Espinosa Alfonso Jiménez , Bello Andrea Carolina Moreno 
Published: April 2024

El objetivo de este artículo es presentar los resultados de una investigación que tuvo como propósito analizar los elementos de la motivación en los estudiantes y diseñar actividades que ayuden al desarrollo del pensamiento matemático, para lo cual se usaron técnicas mixtas de investigación, enmarcadas en un estudio de caso. El trabajo se desarrolló en tres etapas: en la primera se realizó un diagnostico y un análisis sobre la motivación y las habilidades matemáticas de los estudiantes; en la segunda se realizó la fundamentación teórica y se escogieron las temáticas y actividades para desarrollar con los estudiantes, y en la última se organizó, clasificó y analizó la información para la redacción del informe final. Pudo evidenciarse que una de las causas de desmotivación de los estudiantes es la relación que tienen con sus docentes y, en la mayoría de los casos, están motivados a realizar algo solo por estímulos externos. En cuanto al desarrollo de las actividades se evidenció que este tipo de situaciones permite que los estudiantes cambien su actitud de indiferencia y participen más activamente en la construcción de los conceptos matemáticos. Es de destacarse que, al ser un estudio de caso, los alcances de la investigación se restringen a la población con la que se trabajó y, de esta forma, solo se convierte en un ejemplo de la transformación de la práctica.
Social Construction of a Healthy Persolnality: Reasonable Dilemmas and Pseudoscientific Approaches
Authors: Osipova N. G. 
Published: April 2024

This article comprehensively examines the problem of social construction of a healthy personality, which, in the context of numerous socio-political upheavals, under the influence of external destructive factors, becomes particularly relevant.The concept of “personality”, in contrast to the ethically neutral concept of psychophysical and spiritual individuality, it includes a moment of self-determination in the social world. A personality is always characterized by its inherent semantic structure (a system of views, values, ideas), revealed in actions and deeds that are somehow connected with a broader social environment – society and are formed under its influence. Modern social sciences consider personality as a structural integrity of biological, mental and social properties, which gives rise to the identification of several components within the framework of an integral personality structure: biological, mental and social. Similarly, the category of “health” has physical, mental, social and spiritual components that lend themselves to social construction.The author cites the data of a sociological study conducted by him, according to which both the physical, mental and spiritual health of modern Russian students cannot be considered good. In this regard, he discusses discussions about how it is possible to construct a completely healthy personality, or to restore to it any of the lost components of health using a variety of methods and technologies that differ significantly in their scientific validity and social orientation. Undoubtedly useful methods of strengthening both physical and mental health include those aimed at strengthening the body’s defenses, its self-regulation systems and stress resistance. Thus, such fairly common and scientifically based methods as relaxation and coping, auto-suggestion, creative visualization and common sense therapy seem quite appropriate. In our opinion, pseudoscientific and sometimes destructive methods include extrasensory perception (psychic healing, telekinesis and psychokinesis), karmic medicine, including biofield correction and neuro-linguistic programming. All these methods, as well as the consequences of their application in terms of possibilities in constructing a healthy personality, are discussed in detail in thе article.
Factors Influencing the Effectiveness of Internal Control in Joint Stock Commercial Banks in Thai Nguyen Province
Authors: Nguyen Phuong Thao , Duong Cong Hiep 
Published: April 2024

Purpose: This research explores the factors influencing the effectiveness of internal control in joint stock commercial banks in Thai Nguyen province.

Design/Methodology/Approach: Adopting a cross-sectional quantitative design, the study employed a bilingual questionnaire. It facilitated data collection via an offline in-person and online platform from a diverse set of professional respondents in Vietnam. The analysis utilized regression in SPSS, applied to a robust dataset of 230 valid observations, ensuring a representative understanding of the research phenomena within the unique sociocultural context.

Findings: This research revealed a significant positive relationship between Control Activities (CA), Control Environment (CE), Information and Communication (I&C), Monitoring (MO), Risk Assessment (RA), Group benefit (GB), Goverment support (GOS) and the effectiveness of Internal Control (EIC).

Research Limitations/Implications: Despite the rich insights, the study has limitations that future research can address. For instance, the study employed a cross-sectional design, limiting its ability to capture changes over time. Moreover, the research context was limited to Thainguyen a province in VIetnam, suggesting additional studies were needed in other cultural and economic contexts.

Practical Implications: The study provides actionable insights for bank to enhance the effectiveness of Internal Control.

Originality/Value: This study significantly contributes to the literature by exploring the intricate relationships among CA, CE, I&C, MO, RA, GB, GOS and EIC in an emerging economy context, providing a nuanced understanding of these dynamics.
Respiratory distress in newborns: current state of the problem
Authors: Ivanov D. O. , Aleksandrovich Yu. S. , Temirova J. A. 
Published: April 2024

Introduction. Respiratory distress of newborns is one of the most common causes of complications, irreversible damage to the central nervous system and deaths in the neonatal period.The objective was to analyze the current features of epidemiology, risk factors and outcomes of respiratory distress (RD) in newborns according to the literature.Materials and methods. The analysis includes 112 publications included in the abstract PubMed database for the period from 2017 to 2023. The search was carried out using keywords: respiratory distress, respiratory distress syndrome, newborns, favorable outcome, unfavorable outcome, risk factor, epidemiology. After the initial study of abstracts, 62 articles were excluded from the review on predicting disease outcomes and the effect of therapeutic measures on the course of respiratory failure in the neonatal period.Results. Studies on the epidemiology of respiratory distress in newborns are very numerous, but the information available in them is extremely heterogeneous and cannot be extrapolated to patients with neonatal ICUs all over the world. Low weight and short gestation at the time of birth are the main risk factors for an unfavorable neonatal period outcome, especially in developing countries. A special risk group is prematurity with extremely low body weight, especially if they have severe infections and sepsis. Severe hypoxemic respiratory failure in the neonatal period in full-term newborns, in most cases, is noted in persistent pulmonary hypertension, which requires significant costs of all health care resources. Therapeutic strategies that have significantly reduced mortality in newborns with RD are surfactant replacement therapy and various options for non-invasive respiratory support.Conclusion. The most frequent cause of hypoxemic respiratory failure in the neonatal period is respiratory distress syndrome and transient tachypnea of newborns, which is due to nursing full-term newborns and increasing indications for surgical delivery.
Prognostic significance of predictors of early postoperative cognitive disorders in patients after traumatic surgeries (prospective cohort study)
Authors: Ermokhina N. V. , Kuzovlev A. N. , Davydov D.  V. , Grechko A. V. , Polyakov P. A. , Ryzhkov P. V. , Serkova T.  S. , Lukyanova E. A. , Belokopytov D. V. , Moroz V. V. 
Published: April 2024

The objective was to determine the prognostic value of predictors of early postoperative cognitive disorders in traumatological patients to assess the development of the main clinical outcomes (postoperative delirium and delayed neurocognitive recovery).Materials and methods. A two-center prospective cohort observational study of patients aged 45–74 years after planned traumatological operations (endoprosthetics of large joints of the lower extremities, spinal fusion surgery, transpedicular fixation of vertebrae) under general anesthesia with tracheal intubation was conducted in the period from March 2021 to June 2022. Before the operation, demographic indicators, concomitant diseases, background therapy, laboratory tests and testing (ASA, MoCA, AUDIT, CFS, HADS-A, RASS). At the end of the operation after extubation and in the postoperative period, patients were analyzed according to the scales RUS, CAM- ICU and CAM-ICU-7, NRS and BPS. Statistical analysis was carried out using the software SPSS Statistics 27.0.1.0.Results. The study included 200 patients. Early postoperative cognitive disorders (ePCD) (agitation and emergence delirium (ED)) 61 (30.5%) patients were diagnosed, 139 (69.5%) patients had adequate awakening in the operating room. Independent predictors of the development of ePCD were the age of patients (≥ 60), glucose level ≥ 5.6 and a high score on the Clinical Frailty Scale (≥ 4). The prevalence of postoperative delirium (POD) was 11% (22 patients). The independent risk factors for POD were the duration of hypotension and the presence of hyperactive ED. Delayed neurocognitive recovery after surgery and anesthesia was observed in 115 patients (57.8%). At the same time, a statistically significant predictor of this condition was the duration of hypotension for more than 15 minutes (sensitivity 59.18%, specificity 65.85%).Conclusion. When comparing the influence of the study group (patients with ePCD) with the control group, it was determined that ePCD is an independent risk factor for the development of POD (p < 0.001).
Determination of indications for the transition to restrictive tactics of infusion therapy in critically ill preterm infants in the early neonatal period
Authors: Mironov P. I. , Aleksandrovich Yu. S. , Idrisova R. G. , Galimova E. D. , Gilmanova E. I. , Bogdanova R. Z. 
Published: April 2024

Introduction. To date, reliable information about the “ideal” infusion therapy regimen for critically ill preterm infants in the early neonatal period is not known.The objective was to determine the indications for the transition to restrictive tactics of infusion therapy in critically ill preterm infantsMaterials and methods. The design was a prospective, observational study. The development included 110 newborns < 32 weeks of gestation (birth weight less than 1500 grams). 11 of them died.Results. In deceased newborns, right ventricular mean pressure (RVMP) was higher in the first 3 days of intensive care and the left ventricular ejection fraction (LVEF) was higher by the third day of treatment they had a higher vasoactive inotropic index. The critical threshold value of RVMP was 29.0 mmHg. The “separation point” regarding the risk of death depending on the volume of infusion therapy was 100 ml/kg/day. The threshold value of the nSOFA score regarding the need to limit the volume of infusion therapy based on ROC analysis was 5.0 points.Conclusion. Preterm infants with a high risk of death (nSOFA score > 5 points) require restrictive infusion therapy. The critical threshold value for the volume of fluid administered may be 100 ml/kg/day.
A nomogram for predicting mortality in patients with COVID-19-associated acute respiratory distress syndrome treated with veno-venous extracorporeal membrane oxygenation
Authors: Mikaelian K. A. , Petrova M. V. , Filimonova E. V. , Bazanovitch S. A. 
Published: April 2024

The objective was to develop a predictive model for assessing the risk of hospital mortality in patients with COVID-19-associated acute respiratory distress syndrome (ARDS) treated with veno-venous extracorporeal membrane oxygenation (VV-ECMO).Materials and methods. We carried out the analysis of case histories of 123 patients treated in the ICU № 7 of the Moscow City Clinical Hospital 52 during the COVID-19 pandemic period. All patients were treated with the VV-ECMO for COVID-19-associated ARDS according to current indications. We analyzed the characteristics potentially associated with mortality, after which we performed statistical analysis, on the basis of which we created the predictive model.Results. The overall-mortality rate was 87% (107/123). Independent predictors of death in patients with COVID-19 treated with the VV-ECMO were the maximum VV-ECMO blood flow rate, the period from the onset of the disease to mechanical ventilation, P/F prior to the VV-ECMO initiation and the fact of septic shock development during VV-ECMO. The quality of the prognostic model: AUC = 0.952 [0.909‒0.995], p < 0.001.Conclusions. The nomogram to assess the risk of death in patients with COVID-19 treated with the VV ECMO has been developed. It includes the assessment of the maximum VV-ECMO blood flow rate, the period from the onset of the disease to mechanical ventilation, P/F prior to the VV-ECMO initiation and the fact of septic shock development during VV-ECMO.
The Smallest Worthwhile Effect on Pain Intensity of Exercise Therapy for People With Chronic Low Back Pain: A Discrete Choice Experiment Study
Authors: Hansford Harrison J. , Jones Matthew D. , Cashin Aidan G. , Ostelo Raymond W.J.G. , Chiarotto Alessandro , Williams Sam A. , Sharma Saurab , Rose John M. , Devonshire Jack J. , Ferraro Michael C. , Wewege Michael A. , McAuley James H. 
Published: April 2024

OBJECTIVE: To identify the smallest worthwhile effect (SWE) of exercise therapy for people with nonspecific chronic low back pain (CLBP). DESIGN: Discrete choice experiment METHODS: The SWE was estimated as the lowest reduction in pain that participants would consider exercising worthwhile, compared to not exercising, ie, effects due to natural history and other components (eg, regression to the mean). We recruited English-speaking adults in Australia with nonspecific CLBP to our online survey via e-mail obtained from a registry of previous participants and advertisements on social media. We used discrete choice experiment to estimate the SWE of exercise compared to no exercise for pain intensity. We analyzed the discrete choice experiment using a mixed logit model and mitigated hypothetical bias through certainty calibration, with sensitivity analyses performed with different certainty calibration thresholds. RESULTS: Two hundred and thirteen participants completed the survey. The mean age (±standard deviation [SD]) was 50.7±16.5, median (interquartile range) pain duration 10 years (5-20), and mean pain intensity (±SD) was 5.8±2.3 on a 0-to-10 numerical rating scale. For people with CLBP, the SWE of exercise was a between-group reduction in pain of 20%, compared to no exercise. In the sensitivity analyses, the SWE varied with different levels of certainty calibration, from 0% without certainty calibration to 60% with more extreme certainty calibration. CONCLUSION: This patient-informed threshold of clinical importance could guide the interpretation of findings from randomized trials and meta-analyses of exercise therapy compared to no exercise. J Orthop Sports Phys Ther 2024;54(7):477-485. Epub 17 April 2024. doi:10.2519/jospt.2024.12279
La seguridad y salud en el trabajo en la formación del ingeniero civil: un acercamiento entre la academia y el sector construcción
Authors: Cifuentes Mora Mónica Esmeralda 
Published: April 2024

El ingeniero civil desarrolla actividades que incluyen la planeación, diseño, ejecución, mantenimiento y administración de obras y proyectos, ejerciendo una responsabilidad importante en materia de protección de la salud y cuidado de la vida. Este artículo expone los resultados de un ejercicio investigativo que se desarrolló con el propósito de evaluar la incidencia que tiene la educación en seguridad y salud en el trabajo en la formación de pregrado en ingeniería civil, al ser considerado un componente de las competencias para esta disciplina, que le permite al egresado integrar la seguridad con aspectos técnicos en todas las etapas del proyecto constructivo desde la planeación y ejecución hasta la operación de una obra, favoreciendo una actuación integral en su ejercicio profesional al contribuir a la prevención de accidentes de trabajo y enfermedades laborales, los cuales generan altos costos para las organizaciones, los trabajadores, sus familias y la sociedad en general.