bluuebunny/crossref_metadata_2025_split huggingface dataset:
Dissemination Strategies for mHealth Apps: Systematic Review
Authors: Moungui Henri Claude , Nana-Djeunga Hugues Clotaire , Anyiang Che Frankline , Cano Mireia , Ruiz Postigo Jose Antonio , Carrion Carme 
Published: November 2023

Background
Among the millions of mobile apps in existence, thousands fall under the category of mobile health (mHealth). Although the utility of mHealth apps has been demonstrated for disease diagnosis, treatment data management, and health promotion strategies, to be effective they must reach and be used by their target audience. An appropriate marketing strategy can ensure that apps reach potential users and potentially convert them to actual users. Such a strategy requires definitions of target end users, communication channels, and advertising content, as well as a timeline for effectively reaching and motivating end users to adopt and maintain engagement with the mHealth app.

Objective
The aim of this study was to identify strategies and elements that ensure that end users adopt and remain engaged with mHealth apps.

Methods
A systematic search of the PubMed, PsycINFO, Scopus, and CINAHL databases was conducted for suitable studies published between January 1, 2018, and September 30, 2022. Two researchers independently screened studies for inclusion, extracted data, and assessed the risk of bias. The main outcome was dissemination strategies for mHealth apps.

Results
Of the 648 papers retrieved from the selected databases, only 10 (1.5%) met the inclusion criteria. The marketing strategies used in these studies to inform potential users of the existence of mHealth apps and motivate download included both paid and unpaid strategies and used various channels, including social media, emails, printed posters, and face-to-face communication. Most of the studies reported a combination of marketing concepts used to advertise their mHealth apps. Advertising messages included instructions on where and how to download and install the apps. In most of the studies (6/10, 60%), instructions were oriented toward how to use the apps and maintain engagement with a health intervention. The most frequently used paid marketing platform was Facebook Ads Manager (2/10, 20%). Advertising performance was influenced by many factors, including but not limited to advertising content. In 1 (10%) of the 10 studies, animated graphics generated the greatest number of clicks compared with other image types. The metrics used to assess marketing strategy effectiveness were number of downloads; nonuse rate; dropout rate; adherence rate; duration of app use; and app usability over days, weeks, or months. Additional indicators such as cost per click, cost per install, and clickthrough rate were mainly used to assess the cost-effectiveness of paid marketing campaigns.

Conclusions
mHealth apps can be disseminated via paid and unpaid marketing strategies using various communication channels. The effects of these strategies are reflected in download numbers and user engagement with mHealth apps. Further research could provide guidance on a framework for disseminating mHealth apps and encouraging their routine use.
Automated Messaging Program to Facilitate Systematic Home Blood Pressure Monitoring: Qualitative Analysis of Provider Interviews
Authors: Einhorn Julian , Murphy Andrew R , Rogal Shari S , Suffoletto Brian , Irizarry Taya , Rollman Bruce L , Forman Daniel E , Muldoon Matthew F 
Published: November 2023

Background
Hypertension is a leading cause of cardiovascular and kidney disease in the United States, yet blood pressure (BP) control at a population level is poor and worsening. Systematic home BP monitoring (HBPM) programs can lower BP, but programs supporting HBPM are not routinely used. The MyBP program deploys automated bidirectional text messaging for HBPM and disease self-management support.

Objective
We aim to produce a qualitative analysis of input from providers and staff regarding implementation of an innovative HBPM program in primary care practices.

Methods
Semistructured interviews (average length 31 minutes) were conducted with physicians (n=11), nurses, and medical assistants (n=6) from primary care settings. The interview assessed multiple constructs in the Consolidated Framework for Implementation Research domains of intervention characteristics, outer setting, inner setting, and characteristics of individuals. Interviews were transcribed verbatim and analyzed using inductive coding to organize meaningful excerpts and identify salient themes, followed by mapping to the updated Consolidated Framework for Implementation Research constructs.

Results
Health care providers reported that MyBP has good ease of use and was likely to engage patients in managing their high BP. They also felt that it would directly support systematic BP monitoring and habit formation in the convenience of the patient’s home. This could increase health literacy and generate concrete feedback to raise the day-to-day salience of BP control. Providers expressed concern that the cost of BP devices remains an encumbrance. Some patients were felt to have overriding social or emotional barriers, or lack the needed technical skills to interact with the program, use good measurement technique, and input readings accurately. With respect to effects on their medical practice, providers felt MyBP would improve the accuracy and frequency of HBPM data, and thereby improve diagnosis and treatment management. The program may positively affect the patient-provider relationship by increasing rapport and bidirectional accountability. Providers appreciated receiving aggregated HBPM data to increase their own efficiency but also expressed concern about timely routing of incoming HBPM reports, lack of true integration with the electronic health record, and the need for a dedicated and trained staff member.

Conclusions
In this qualitative analysis, health care providers perceived strong relative advantages of using MyBP to support patients. The identified barriers suggest the need for corrective implementation strategies to support providers in adopting the program into routine primary care practice, such as integration into the workflow and provider education.

Trial Registration
ClinicalTrials.gov NCT03650166; https://tinyurl.com/bduwn6r4
Analisis Kebutuhan Komik Islami sebagai Suplemen Media Pembelajaran Sistem Sirkulasi untuk SMA/MA
Authors: Mardiah Andara Vasya , Relsas Yogica Relsas Yogica 
Published: November 2023

MAN 2 Padang is a school that has different characteristics from the usual public schools. The school which is under the auspices of the Ministry of Religion has an Islamic nuance with its vision, namely "Superior Madrasas and have good morals". This is of course very much in line with the goals of national education in terms of the affective domain contained in the 2013 curriculum in KI-1 and KI-2 which requires the application of social and spiritual attitudes to students. This study aims to determine the need for Islamic comics as a supplement to the circulation system learning media for SMA/MA. The method used is interviews and filling out observation questionnaires by teachers and students. Data analysis used descriptive analysis and the percentage of the results of the number of answers given to all respondents was multiplied by 100%. The results of this study are the unavailability of learning media that includes the application of social and spiritual attitudes that attract students' interest and motivation to learn, especially on the material of the circulation system. So it can be said that the need for the development of Islamic comics as a supplement to the circulation system learning media for SMA/MA.
Key words: Develeopment, Islamic Comic, Circulation System

ABSTRAK
MAN 2 Padang merupakan sekolah yang memiliki karakteristik berbeda dengan sekolah umum biasanya. Sekolah yang berada di bawah naungan Kementerian Agama ini bernuansa islami dengan visinya yaitu “Madrasah yang unggul dan berakhlaqul karimah”. Hal ini tentu sangat sesuai dengan tujuan pendidikan nasional dari segi ranah afektif yang tertuang dalam kurikulum 2013 pada KI-1 dan KI-2 yang menuntut adanya penerapan sikap sosial dan spiritual pada peserta didik. Penelitian ini bertujuan untuk mengetahui kebutuhan komik Islami sebagai suplemen media pembelajaran sistem sirkulasi untuk SMA/MA. Metode yang digunakan adalah berupa wawancara dan pengisian angket observasi oleh guru dan peserta didik. Data analisis menggunakan analisis dekripstif dan persentase dari hasil jumlah jawaban yang diberikan dibagi jumlah seluruh responden dikali 100%. Hasil penelitian ini adalah belum tersedianya media pembelajaran yang mencakup penerapan sikap sosial dan spiritual yang menarik minat dan motivasi belajar peserta didik khususnya pada materi sistem sirkulasi. Sehingga dapat disimpulkan bahwa perlunya pengembangan komik islami sebagai suplemen media pembelajaran sistem sirkulasi untuk SMA/MA.
Kata kunci: Pengembangan, Komik Islami, Sistem Sirkulasi
Pentingnya Teknologi pada Sistem Pembelajaran Dalam Jaringan di masa Bencana Kabut Asap Akibat Kebakaran Hutan dan Lahan di Kota Jambi
Authors: Silitonga Mangudor , Zaharah Zaharah 
Published: November 2023

The haze disaster that hit the city of Jambi resulted in kindergarten, elementary, middle and high school students being sent home and the learning process being carried out using an online system. The use of digital tecnology such as smartphones, website, and other can be integrated into learning methodes in the education sector. There are many obstacles experienced, but there are also many advantage to this online system. Teenagers, especially junior high school students, really need support from outside, and this cannot be separated from the motivation that must come from themselves to avoid misuse of technology. Rhe research methode used in this incident contained several stages, namely starting whit identifying the problem that existed on site. After that, study and understand the theoretical basis and relevant concepts that support the research which is called a literatur review study. The sources for this literature study are books, similar research journals, and other reference. The aim of this research is to determine the role of technology in online learning system during the haze disaster caused by forest and land fires in the city of Jambi. The results of the research are that the use of technology in online learning makes it very easy for students and teacher to access learning anywhere and at any time.
Abstrak. Bencana kabut asap yang melanda kota Jambi mengakibatkan siswa TK, SD, SMP dan SMA dirumahkan dan proses pembelajaran dilaksanakan dengan sistem daring. Pemanfaatan teknologi digital seperti smartphone, situs website, dan lainnya dapat diintegrasikan dalam metode pembelajaran di bidang pendidikan. Banyak kendala yang dialami, namun banyak juga kelebihan dari sistem pembelajaran daring ini. Anak-anak remaja terlebih anak Sekolah Menengah Pertama sangat membutuhkan dukungan dari luar, juga tak terlepas dari motivasi yang harus berasal dari dirinya sendiri untuk menghindari penyalahgunaan teknologi. Metode penelitian yang digunakan pada peristiwa ini terdapat beberapa tahapan, yaitu diawali dengan mengidentifikasi masalah yang ada di tempat. Setelah itu, mempelajari dan memahami landasan teori dan konsep relevan yang mendukung dalam penelitian yang disebut dengan studi literatur review. Adapun sumber studi literatur ini adalah buku, jurnal penelitian sejenis, dan referensi lainnya. Tujuan penelitian ini adalah mengetahui peranan teknologi pada sistem pembelajaran daring di masa bencana kabut asap akibat kebakaran hutan dan lahan di kota Jambi. Hasil penelitian adalah penggunaan teknologi dalam pembelajaran daring sangat memudahkan siswa dan guru untuk mengakses pembelajaran dimana pun serta kapan saja.
Barnets (o)fria undran. Vilka ramar ger läroplanerna för barn att utforska religiösa och existentiella frågor i finska, norska och svenska förskolor?
Authors: Cavallin Clemens , Johansson Viktor Magne , Mansikka Jan-Erik 
Published: November 2023

Artikeln gör en jämförande undersökning av ramvillkoren i finska, norska och svenska nationella läroplaner för barns existentiella och religiösa funderingar i förskolan. De tre länderna hanterar religionens nya roll och relationen mellan kulturell mångfald, kulturarv och värdegrund olika. Den avgörande punkten är i hur hög grad ett sekulärt ideal förskjuter religiösa teman från förskolans pedagogiska verksamhet till en privat sfär och i vilken utsträckning kristendomens tidigare roll att forma medborgare fortfarande anses legitimt, men nu utvidgat till att inkludera också andra religioners identitetsbildning. Värden, principer och idéer i läroplanerna både begränsar och möjliggör barnets rätt till undran över livsfrågor, vilket leder till ett dynamiskt spänningsfält som inkorporeras i sociala institutioner. Detta gäller såväl i en nationell kontext som i pedagogiska situationer på förskolan. Utrymmet för undran över religiösa och existentiella frågor blir dock paradoxalt för både barnet och pedagogen när olika värden och principer motverkar varandra.
ENGLISH ABSTRACT
The Child’s (un)free Wonder. Curricular Conditions for Children to Explore Religious and Existential Questions in Finnish, Norwegian, and Swedish Kindergartens and Pre-schools
The article is a comparative study of curricular conditions in Finland, Norway and Sweden regarding children’s existential and religious questions in early childhood education and care. The three countries diverge in how they deal with the new role of religion and the relation between cultural diversity, cultural heritage and fundamental values. The crucial point is to what degree a secular ideal has moved religious themes from daily activities in ECEC into a private sphere. A central question concerns the legitimacy of the traditional role of Christianity in shaping the identities of citizens, and by extension concerns the legitimacy of identity processes informed by other religions. Values, principles and ideas in curricula both reduce and make possible children’s right to explore existential questions, thereby creating a dynamic field of tensions that is incorporated into social institutions. This is the case both at the national level and in concrete situations within ECEC institutions. However, when values and principles counteract each other, the space for existential and religious wonder becomes paradoxical both for children and staff.
Correlation between Neutrophil-Lymphocyte Ratio and Urea Serum in Hemodialysis Patients at Dr. Doris Sylvanus Hospital
Authors: Sambo Nafisy Apritis , Sasmithae Lia , Nugrahini Sintha 
Published: November 2023

Chronic Kidney Disease (CKD) is a condition characterized by kidney damage for > 3 months, as well as structural or functional abnormalities with or without a decrease in Glomerular Filtration Rate (GFR) < 60 mL/minute/1.73. This damage leads to increased urea levels in the blood, also known as uremia, which can increase the risk of inflammation in CKD patients undergoing hemodialysis (HD). Previous studies revealed that increased urea and Neutrophil-Lymphocyte Ratio (NLR) can be used as inflammatory biomarkers to replace CRP, IL-6, and other indicators. This study aimed to determine the correlation between NLR and serum urea levels in pre- and post-HD CKD patients at Dr. Doris Sylvanus Hospital. An analytical survey method was used with a retrospective design.The process started by taking medical records of patients currently undergoing HD who were selected as respondents. The sample population consisted of 50 (70.4%) males and 21 (29.6%) females. Based on the age group, 43.7% of patients were aged 51-60. The results showed that the average NLR pre- and post-HD were 5.24±4.88 and 10.41±12.31, respectively. The average urea pre- and post-HD were 195.97±77.88 and 120.97±47.4, respectively. The bivariate analysis showed a significant weak correlation between NLR and serum urea level pre-HD (p=0.004 with r =0.338) and post-HD (p=0.039 with r =0.246) in patients.
Correlation between Serum Levels of Vaspin, BMI, and Waist Circumference on Obese and Non-Obese Subjects
Authors: Syahrir Reskiana , Nurahmi Nurahmi , Kurniawan Liong Boy 
Published: November 2023

Obesity is the accumulation of excessive fat resulting from an imbalance in energy intake compared to energy used for a long period. Vaspin is secreted in adipose tissue and may exhibit compensatory responses related to obesity, insulin resistance, and type 2 diabetes mellitus. This study aimed to determine vaspin levels in obese and non-obese subjects. An observational research design with a cross-sectional approach was used in this study. A total of 80 research subjects were included in this study. The research was conducted at the Clinical Pathology Laboratory at the Department of Clinical Pathology, Hasanuddin University Hospital in January 2022. Kolmogorov-Smirnov test was used to determine the normality of the data. Chi-Square, unpaired T-test, Mann-Whitney test, and Spearman test were used as statistical tests. This study showed a significant difference in anthropometric parameters between the obese and non-obese groups (p < 0.001). There was a significant difference in the mean levels of vaspin between the obese and non-obese groups (707.68±774.47 ng/mL vs. 510.60±460.08 ng/mL, p=0.004). There was a positive correlation between vaspin levels and waist circumference (r = 0.245, p=0.004) and between vaspin levels and BMI (r = 0.322, p=0.028). The serum levels of vaspin tended to be higher in obese subjects compared to non-obese subjects. The positive correlation between vaspin levels and BMI and waist circumference indicated that a higher BMI and/or waist circumference led to a higher vaspin level.
Clinical case of 9-month observation of orbital venous varicose with intraluminal thrombus using radiologic methods
Authors: Semenov S. E. , Malkov I. N. , Shatokhina M. G. , Garanina N. A. , Moldavskaya I. V. , Kokov A. N. 
Published: November 2023

A rare clinical case of thrombosis of varicose superior ophthalmic vein in combination with a unilateral venous anomaly of the subcortical region of the brain with successful antithrombotic therapy is presented. Varicose veins of the superior ophthalmic vein are rare (2% of all orbital formations) and are a risk factor for thrombosis.Material and methods. A 41-year-old patient with verified thrombosis of unilateral orbital venous varicose veins was observed for 9 months. Initially, MSCT of the brain and MSCT angiography were performed, then dynamic monitoring was carried out by performing MRI of the brain and MR venography, and finally an ultrasound examination of the orbit was performed.Description of a clinical case. The clinical presentation consisted of a slight non-pulsatile unilateral exophthalmos, mild ptosis, periorbital soft tissue edema, subconjunctival hemorrhage, paraorbital hematoma, and venous dysfunction in the fundus. MSCT and MSCT angiography revealed a thrombus inside the sac of orbital venous varicose veins. The disease was probably secondary in nature, given that it was combined with venous angioma of the subcortical region on the same side. During 9 months of observation, to monitor the effectiveness of therapy, MRI was performed three times before and after contrast enhancement, which showed a gradual decrease in exophthalmos, the size of the thrombus and the varicocele sac, which was accompanied by a gradual improvement in the clinical picture until subjective recovery.Conclusion. MRI was as good an imaging modality as MSCT, and, in our opinion, more preferable due to the absence of radiation exposure and the need for iodine contrast agent.
MSCT and MRI indicators for assessing iron overload and the effectiveness of iron overload therapy in patients with primary and secondary hemochromatoses
Authors: Titova A. M. , Fokin V. A. , Trufanov G. E. , Zubkov M. A. , Nikitina A. V. , Mironchuk R. R. , Mironchuk M. V. , Tsvetkova N. V. , Shalygina K. S. , Galyautdinova L. E. , Lukin M. V. , Badrieva Z. F. 
Published: November 2023

Goal of research. Evaluation of MRI, CT parameters after chelation and hemoexfusion therapy in patients with iron overload, identification of the prognostic value of CT indicators in the assessment of moderate and severe iron overload.Materials and methods. The design of the study is prospective. The study included 43 patients with hereditary hemochromatosis (HH), secondary transfusion-dependent hemochromatosis (TDH) receiving regular hemotransfusions, iron chelators. We evaluated age, frequency of hemotransfusions, chelating drug used. CT was performed on a two-energy computer tomograph Siemens Somatom Definition 128. 27 patients (62.8%) reached repeated CT. MRI was performed on a Siemens Magnetom Espee high-field tomograph with a magnetic field induction of 1.5 T.Results. The median age was 34.00 [33.00; 53.50] for HH and 52 [36.00; 62.00] for TDH. After therapy in the general group, T2* values increased by 26%, LIC decreased by 21.2%, DEDHU 140 and 80 mean by 17.6%, DERHU 140 and 80 mean by 3%, DEIHU 140 and 80 mean by 92.8%, 80 max by 3%, DEDHU 140 and 80 max by 19%, DERHU 140 and 80 max by 2.5% after therapy. In patients with HH, liver T2* increased by 4.6 times, LIC decreased by 5.5 times, DEDHU 140 and 80 mean by 35.1%, DERHU 140 and 80 mean by 7.8%, DEIHU 140 and 80 mean by 93.6%, DEDHU 140 and 80 max by 29.3%, DEIHU 140 and 80 max by 21.6%. In patients with TDH, LIC decreased by 18.9%, DEIHU 140 and 80 mean by 92.2%. A value of 80 mean ≥ 85.5, 140 mean ≥ 71.5, M0.3 mean ≥ 76, DEIHU 140 and 80 mean ≥ 0.007996 and DEDHU 140 and 80 mean ≥ 18.5 predict the probability of severe iron overload.Conclusion. In patients after chelation therapy and hemoexfusion therapy, MRI and CT indicators decrease. The values of CT 80 mean ≥ 85.5, 140 mean ≥ 71.5, M0.3 mean ≥ 76, DEIHU 140 and 80 mean ≥ 0.007996, DEDHU 140 and 80 mean ≥ 18.5 can predict LIC values of more than 11 mg/g.
Hubungan Aktivitas Fisik dengan Kejadian Hipertensi pada Perempuan Etnis Minangkabau di Kota PadangHubungan Aktivitas Fisik dengan Kejadian Hipertensi pada Perempuan Etnis Minangkabau di Kota Padang
Authors: Ramdhika Muhammad Reza , Widiastuti Wisda , Hasni Dita , Febrianto Budi Yulhasfi , Jelmila Srinani 
Published: November 2023

Hipertensi merupakan penyakit tidak menular, memiliki dua faktor risiko yaitu tidak dapat diubah salah satunya aktivitas fisik, etnis Minangkabau mempunyai kejadian terkena hipertensi 78,6% yang berkaitan dengan gaya hidup salah satunya kurangnya aktivitas fisik dengan penderita pada perempuan 36,9%. Tujuan penelitian ini untuk mengetahui hubungan aktivitas fisik dengan kejadian hipertensi pada perempuan etnis Minangkabau. Jenis penelitian yang digunakan adalah observasional analitik dengan pendekatan case control. Populasi terjangkau dalam penelitian ini adalah semua perempuan etnis Minangkabau yang menderita hipertensi di Puskesmas Anak Air kota Padang dengan 52 sampel case dan 52 sampel control menggunakan teknik purposive sampling. Analisa data univariat dan bivariat disajikan menggunakan software SPSS. Perempuan etnis Minangkabau dengan hipertensi mayoritas adalah yang tidak bekerja dan beraktivitas fisik ringan. Tidak terdapat hubungan yang signifikan antara pekerjaan dengan hipertensi (p value = 0,076), namun terdapat hubungan yang signifikan antara aktivitas fisik dengan hipertensi (p value = 0,046) pada perempuan etnis Minangkabau. Bagi masyarakat terutama perempuan etnis Minangkabau yang mengalami hipertensi diharapkan dapat meningkatkan aktivitas fisik agar dapat mencegah komplikasi kardiovaskuler.