bluuebunny/crossref_metadata_2025_split huggingface dataset:
Mental health analysis and resilience psychological factors during pandemic among port health 0fficers: A study in Sabang, Indonesia
Authors: Friza Maisarah , Syahrul Syahrul , Mawarpury Marty 
Published: January 2024

The coronavirus disease 2019 (COVID-19) pandemic has had a negative impact on the mental health of health workers worldwide. Many studies examined the mental health of the frontline health workers in hospitals, but similar research on health workers at the port entries has yet to be found. The aim of this study was to determine the mental health issue and its associated factors and to determine psychological resilience factors of port health workers in Sabang, Indonesia during the COVID-19 pandemic. A retrospective mixed method study was conducted among 38 port health officers. Total sampling included those working from January 2020 to March 2023. The information on age, gender, qualification, working time and working place of the respondents were collected and the mental health was assessed using the Depression Anxiety Stress Scale (DASS-21). The correlation and association between the socio-demographic data and mental health were tested with Spearman and chi-squared test, respectively. The qualitative study on psychological resilience factors were performed with interviews and analyzed with NVivo. This study indicated that 47.4% of port health officers experienced depression, 63.1% anxiety and 50.0% stress. Age and working time significantly affected the mental health. Age correlated positively and significantly with anxiety (p<0.0001) and stress (p<0.0001), while working time significantly affected the anxiety (p=0.003). The psychological resilience factors identified were spirituality, positive emotions, official support and personal wellbeing that helped the workers taking learned lessons. In conclusion, mental health issue is high among frontline workers during the pandemic highlighting the importance of the prevention measures to ensure the work performance among employee.
Cтруктурные особенности кластера кремния Si29H36 с вакансией, допированного примесными атомами O и C
Authors: Махкамов Ш.М. , Сулайманов Н.Т. , Нормуродов А.Б. , Эрдонов М.Н. , Эгамов С. 
Published: January 2024

Методом компьютерного моделирования в приближении функционала локальной плотности изучено влияние вакансии на структурную модификацию кластеров Si29H36 и Si29VH36 при внедрении атомов O и C. Результаты расчетов показывают, что в безвакансионном кластере при одновременном внедрении атомов С и О образуется комплекс Оi-Si-Сi. В кластере с вакансией образуются комплексы типа 3H+C+Si и Si-O-V.
POLA ASUH PERMISIF ORANGTUA DALAM PERKEMBANGAN SOSIAL EMOSIONAL ANAK USIA DINI DI RA DIPONEGORO 71 BANJARPARAKAN
Authors: Aufrina Nur Islamy  
Published: January 2024

Aspek perkembangan anak sangat dipengaruhi oleh lingkungan, baik dari lingkungan keluarga, lingkungan sekolah maupun lingkungan masyarakat. Seperti yang terjadi RA Diponegoro 71 Banjarparakan Kecamatan Rawalo Kabupaten Banyumas. Terdapat beberapa siswa yang perkembangan social emosionalnya kurang dikarenakan pola asuh permisif orangtuanya. Penelitian ini adalah kualitatif deskriptif yaitu suatu metode penelitian yang bergerak pada pendekatan kualitatif sederhana diawali dengan proses atau peristiwa penjelas yang akhirnya dapat ditarik suatu generalisasi yang merupakan sebuat kesimpulan dari proses atau peristiwa tersebut. Orangtua bertanggungjawab penuh mengenai perkembangan anak khususnya dalam perkembangan social emosionalnya. Pola asuh permisif menyebabkan anak mengalami permasalahan pada perkembangan social emosional anaknya. Pola asuh orang tua memiliki pengaruh penting terhadap perkembangan emosi anak. Di mana perkembangan emosi merupakan faktor yang paling dominan dalam mempengaruhi keberhasilan (kesuksesan) di masa yang akan datang. dengan mengajari anak ketrampilan emosi mereka akan lebih mampu untuk mengatasi berbagai masalah
Wave propagation in quasiperiodic media
Authors: Amenoagbadji Pierre 
Published: January 2024

A quasiperiodic medium is an ordered medium without being periodic. A fairly well-known example since the 2011 Nobel Prize in Chemistry is the quasicrystal. The notion of quasi-periodic and more generally almost periodic function is a very well-defined notion in the mathematical literature. To give an idea, a 1D quasiperiodic function is the trace along a line of a periodic function of n variables. PDEs with quasi-periodic coefficients have been the subject of a number of theoretical studies, but it seems that there has been much less work on the numerical resolution of these equations.The objective of this work is to develop original numerical methods for the resolution of the time-harmonic wave equation in quasiperiodic media, in the spirit of the methods previously developed for periodic media. The idea is to use the fact that the study of an elliptic PDE with quasiperiodic coefficients comes down to the study of an "augmented" non-elliptic PDE in higher dimensions, but whose coefficients are periodic. This so-called lifting approach allows to use tools that are adapted for periodic media, but comes with the price that the augmented PDE is non-elliptic, in the sense of its principal part.In this talk, I will first present the lifting method for the 1D Helmholtz equation with dissipation. I will then explain how this method can be used to solve the 2D Helmholtz equation in a junction of periodic media cut in an arbitrary direction. The method will be illustrated by numerical results.
Exploring Higher-Order Thinking Skills Integration in Mathematics Curriculum: A Study of Six Lebanese Schools
Authors: Edmond Khoury Megan , Kandil Bassem 
Published: January 2024

This article investigates the promotion of higher-order thinking skills in the written curriculum of six diverse schools in Lebanon, focusing on Grades 1, 2, and 3 mathematics outcomes. The educational programs encompass the International Baccalaureate’s Primary Years Programme, the Lebanese National Curriculum, and the French National Curriculum. Employing Bloom’s Taxonomy (1956) as the theoretical framework, the study meticulously categorizes learning objectives into six cognitive domains, shedding light on the emphasis placed on lower and higher-order thinking skills. Results reveal nuanced patterns across schools and grade levels. In Grade 1, School 4 demonstrates a notable focus on “analyze,” while School 2 excels in “create.” Grade 2 highlights the International Baccalaureate’s Primary Years Programme, particularly School 2, for emphasizing the three higher domains of Bloom’s Taxonomy (1956). The Lebanese National Curriculum exhibits variations, with School 4 emphasizing “analyze.” This research holds significance amidst Lebanon’s educational challenges, marked by outdated curricula, declining academic performance, and recent disruptive events. The study advocates for a paradigm shift, emphasizing the need for comprehensive educational philosophies, curriculum revisions, and student-centered teaching approaches. The findings provide valuable insights for policymakers and educators to navigate the complexities of Lebanon’s educational landscape, fostering a transformative approach for resilient and innovative students amid challenging circumstances.
Intimacy and Imagination
Authors: Beauclair Alain 
Published: January 2024

ABSTRACT
This article offers an analysis of the concept of intimacy, arguing that it concerns moments of mutual imaginings generative of desire. As a peculiar mode of shared conduct, it is difficult to categorize the value of such actions insofar as they fall outside our ordinary conception of the public and private spheres. Nonetheless, when achieved, intimacy is not only an expansion of the private and a realization of a good-in-itself, but also has a bearing on our orientation to the broader world.
Beginning AI Phenomenology
Authors: Leib Robert S. 
Published: January 2024

ABSTRACT
This dialogue with GPT-3 took place in November 2022, several weeks before ChatGPT was released to the public. The article’s aim is to find out whether natural language processors can participate in phenomenology at some level by asking about its basic concepts. In the discussion, the dialogue covers questions about phenomenology’s definition and distinction from other subbranches like metaphysics and epistemology. The dialogue discusses the nature of Kermit’s environment and self-conception. The dialogue also establishes some of the basic conditions for the possibility of an “artificial hermeneutics,” as Kermit terms it, including that she can affirm she is a knower with (nonhuman) experience. Does preferring to call it a “hermeneutics” imply that AI’s relationship to their environment is primarily textual? How will a phenomenology of embodied experience arise from initially textual encounters? Finally, the dialogue articulates a common understanding of the epoché and talk about how to achieve one for the sake of phenomenological exercises.
Addressing the Patient Experience through Human-&nbsp;Centred Design: A Scoping Review
Authors: García-López Maitane , Val Ester , Iriarte Ion , González de Heredia Arantxa , Beirão Maria Gabriela 
Published: January 2024

Background: There is an increasing interest in patient experience for improving the quality of services together with clinical effectiveness and patient safety. Human-Centred Design (HCD), (design thinking and service design) are design approaches that are increasingly used to propose new patient-centred solutions. However, the evidence on the relationship between HCD and patient experience is at an early stage.
Objective: This study investigates the intersection between patient experience and HCD by focusing on patient-centred care models, HCD principles, and strategies.
Methods: First, PRISMA was used for the scoping review which includes 45 articles that apply HCD to improve patient experience. Second, the articles were analysed following the PICOS (participants, intervention, output, study design) framework. Third, a qualitative analysis of the studies was performed following the ENTREQ method to identify patterns in the relationship between HCD and patient experience. We create a framework that defines design practices in terms of three strategies (understanding people, stakeholder involvement, and systems approach) and six principles (understand, involve, evaluate, iterate, holistic experience, and multidisciplinary team), intersecting with the eight patient experience dimensions (respect, coordination, information, comfort, emotional support, involvement, continuity, access). Main results: The use of HCD primarily addresses respect for patient preferences, coordination between professionals, adequate patient information and continuity of care. 91% of the solutions derived from HCD practices pursue an improved patient experience by respecting patient values. The HCD practices reviewed to date have a high level of fidelity with ISO 9241-210 principles (78%). The most commonly employed design strategy is the involvement of patients and stakeholders in the design process. Articles that have focused on patient involvement have best met the design principles. Conclusion: This study provides a holistic understanding of how HCD has been applied to date to address the patient experience. This research organises current knowledge, identifies the dimensions of patient experience that benefit most from the application of HCD and identifies the most commonly employed design activities.
Patient or Public Contribution: There has been no contribution in this research other than by the authors.
Digital presentation of the patient voice in pursuit of person centred, integrated and proactive care
Authors: Gro-Hilde Severinsen , Silsand Line , Steinsbekk Aslak , Berntsen Gro 
Published: January 2024

Background: There is an overall agreement that it is important to shift focus from diagnosis-centric to person-centric care, where patients are active participants in healthcare services they receive. However, to support person-centric care for patients with complex long-term needs, the voice of the person must be present also in the electronic health record (EHR). However, the literature on how to design a digital "person voice" which captures "what matters to you” and presents it in a useful way for healthcare workers, is lacking. The research question is therefore: How can the patients' needs, values and preference be presented in the EHR, in a way that is useful both for patients and healthcare professionals?
Methods: This was a qualitative study where representatives from patient’s groups, care-team, vendors, and health authorities have participated in a co-design process. We started with an overview of the presence of the patient voice in today’s e-health systems. Data was collected, in the form of notes, and audio-recordings from two workshops where all collaborators participated, ten separate workshops were arranged for sub-groups of collaborators. We also did 1-2 interviews with each of the six patient representatives, transcribed them and used a systematic text condensation method to analyse the material.
Results: The patients wish to make their health and life stories available in the EHR. They wanted to write a brief summary of the key events that have shaped their health and life and that such summary would contribute to: 1) being met as a whole person, and not just a bundle of diseases and 2) not having to repeat their story for each new provider. The patients suggested that: A shared healthcare summary where all healthcare services involved included the main events they focus on, a dialogue box or communication channel aimed to provide the care team with important health-related issues upfront of appointments, and a shared calendar between the patient and the care-team, were also desirable. A prerequisite for the development of the patient voice, is patient access to their EHR across services, and a digital team workspace.
Conclusion: We suggest that development of the patient voice can be supported by the following questions in the EHR to capture the person’s needs, values and preferences: 1 ) what is important for you right now, 2) what matters to you in your life/ health, and 3) what do you want your care team to know about your history? An ongoing dialogue is important to get good answers to these questions in relation to how and when to ask them, and how to follow them up with specific goals and plans.
Future Work: The next step is to test out in an experimental RCT how a digital team tool manages to capture and share the person-centred focus amongst both patients and healthcare workers.
Community health workers improving access to healthcare for people living in vulnerable circumstances in Belgium
Authors: Masquillier Caroline , Cosaert Theo , Wouters Edwin 
Published: January 2024

Belgium is below the European average with regard to equal access to health care. The group of people experiencing difficulties in accessing the health system in Belgium is growing. The COVID-19 pandemic hit the most vulnerable hardest and exacerbated existing social inequalities in access to care. Innovative ways are needed to make healthcare more accessible to these underserved vulnerable populations.
The COVID-19 pandemic highlighted the importance of community health workers (CHWs) worldwide. Inspired by these CHW-programs, the Belgian Federal Government launched a project introducing the first CHWs throughout the country to improve access to care for people living in vulnerable circumstances. This study explores the mechanismes through which CHWs improved access to care during the COVID-19 pandemic in Belgium.
In collaboration with fifteen CHWs, a photovoice study was conducted encompassing four phases: (1) a photovoice training; (2) participatory observation; (3) individual in-depth interviews; and (4) a closing focus group discussion. In addition, thirteen people who receive support from a CHWs took part in an individual in-depth interview. Furthermore, nine CHW-coaches participated in two focus group discussions. The study was submitted to the Social and Human Sciences Ethics Advisory Committee of the University of Antwerp, where ethical approval was received (SHW_21_55).
The qualitative results show that CHWs reach people who live at a crossroads of different vulnerabilities, which are interrelated and can reinforce each other. This diversity in the people reached by CHWs results in a wide variety and often a combination of different care needs. These needs link to COVID-19-related care, primary care, questions concerning health insurance and welfare-related questions. People who live in vulnerable circumstances encountered various barriers that can interrupt the continuum of access to care - as conceptualised in the theoretical framework of this qualitative study based on the work of Levesque and colleagues (2013). The study demonstrates that CHWs consider this variety of barriers encountered by these people when providing support. Central to their work is building trust and providing unbiased help in an outreach way. In this way, they support a person throughout their access-to-care continuum.
Qualitative research shows that CHWs can thus play a valuable bridging role between the Belgian healthcare system and people living in socially vulnerable circumstances who have little or no access to healthcare. Not only during the COVID-19 pandemic, but also afterwards they have the potential to play an important role in the Belgian health system. Access to health care was, is and will remain a major challenge for Belgium in the future.
Stakeholders’ involvement in the development and planning of an intervention aimed at integrated care for breast cancer survivors with pain complaints: practical insights and challenges
Authors: Slaghmuylder Yaël , Lauwerier Emelien , Pype Peter 
Published: January 2024

Background: Persisting pain complaints are prevalent among breast cancer survivors and can become complex in nature, increasing the need for both pain prevention and treatment in an integrated manner.
Objective: Managing (chronic) pain requires complex models of care, provided by an interdisciplinary team of healthcare providers. However, the majority of breast cancer survivors with pain complaints are not monitored in an interdisciplinary manner. There is a lack of systematic, integrated, and coordinated follow-up care for breast cancer survivors experiencing pain. Therefore, we developed an intervention that follows a step-wise care model, aimed at timely and adequate pain management among breast cancer survivors. But, to achieve change in pain prevention and treatment, various stakeholders at multiple levels should be involved and addressed.
Methods: To develop such an intervention and plan for its implementation and evaluation, we followed an intervention mapping approach. As such, we involved relevant stakeholders during the different stages of the development and planning process including breast cancer survivors, healthcare providers from various disciplines, representatives of professional associations who help realize sustainable implementation and adoption of the intervention, and experts in education. Throughout the duration of the research project, a steering group was also periodically consulted and their feedback was requested on the results of each project stage and as a preparation for the next stages.
Results: To involve these stakeholders and strive for co-design, we used different methods and levels of participation. For example, stakeholders contributed to the identification of current needs and possible barriers in the implementation of the intervention in practice. Additionally, the relevancy and feasibility of the developed intervention components was evaluated before implementation. Their input also helped determine which analyses and outcome measures should be prioritized when assessing the impact of the intervention. The stakeholders’ feedback was collected through asynchronous and synchronous focus groups, and online questionnaires.
Conclusions: This study can inform others about how to prepare for the development, implementation, and evaluation of an intervention while taking into account stakeholders’ perspectives, experiences, and needs. We would also like to share our practical insights, our challenges related to co-design, and future opportunities to achieve a higher level of stakeholder participation.
Beliefs about medication after hospital discharge in patients with polypharmacy: are patients convinced of the benefits of their medicines?
Authors: Mortelmans Laura , Goossens Eva , Dilles Tinne 
Published: January 2024

Introduction: Negative beliefs about medication can pose a threat to treatment adherence, which in turn can jeopardize drug effectiveness and beneficial health outcomes. In order to support and empower patients in safe medication use at home, it is important to assess patients’ preferences and beliefs affecting patients’ motivation to start and continue with treatment. Little is known about medication beliefs in geriatric patients with polypharmacy recently discharged from hospital and the impact of discharge management on patients’ beliefs.
Aims: This study aimed to describe beliefs about medication in geriatric patients with polypharmacy post-discharge and to evaluate the impact of discharge management on patients’ beliefs.
Methods: A cross-sectional study was conducted between November 2019 and March 2020 in twelve general hospitals in Belgium. Four hundred geriatric patients with polypharmacy were surveyed at hospital discharge and two to five days post-discharge using the Beliefs about Medicines Questionnaire and a self-developed questionnaire concerning medication-related discharge management.
Results: Most geriatric patients with polypharmacy held strong beliefs about the necessity of medication for maintaining their health now and in the future. However, a significant proportion was concerned about the possible negative effects of medication such as long-term effects and the development of medication dependence. Nevertheless, the benefits of medication outweighed the disadvantages as the mean necessity score (19.4/25) outweighed the mean concern score (11.9/25). Patients receiving help with medication management post-discharge had stronger necessity-, concern- and harm-related beliefs. No patient- or discharge management-related factors were significant predictors of medication beliefs in this sample.
Conclusions and implications for practice: Although polymedicated patients hold predominantly positive beliefs about medication, it is important to discuss beliefs about medication with patients, as respected partners in care, prior to discharge in order to prevent non-adherence and enhance safe medication practices at home. Actively involving the patient in (decisions about) medication enables patients to express doubts and concerns about their medicines and ensures that pharmacotherapeutic care is more attuned to the patients’ values, preferences and needs. However, patients should be provided with sufficient and correct information to avoid misconceptions and misplaced concerns and to allow patients to make an accurate assessment of the pros and cons of medicines.