bluuebunny/crossref_metadata_2025_split huggingface dataset:
Supporting Vulnerable Older Adults With Telehealth Through Wellness Calls and Tablet Distribution During COVID-19: Quality Improvement Project
Authors: Tewary Sweta , Cook Nicole , Dezine Marie , Shnayder Oksana , Pandya Naushira 
Published: July 2023

Background
Loneliness, social isolation, and lack of technical literacy are associated with poorer health outcomes. To help improve social connection during the COVID-19 pandemic, Nova Southeastern University’s South Florida Geriatric Workforce Enhancement Program partnered with a community-based organization to provide educational resources to promote telehealth services.

Objective
This study aimed to provide educational resources to older adults with limited resources and promote the use of telehealth services in this population.

Methods
Through this pilot project, we contacted 66 vulnerable older adults who expressed interest in telehealth support through wellness calls, with 44 participants moving on to participate in tablet usage. All tablets were preloaded with educational information on using the device, COVID-19 resources, and accessing telehealth services for patients, caregivers, and families.

Results
Feedback from wellness assessments suggested a significant need for telehealth support. Participants used the tablets mainly for telehealth (n=6, 15%), to connect with friends and family (n=10, 26%), and to connect with faith communities (n=3, 8%).

Conclusions
The findings from the pilot project suggest that wellness calls and telehealth education are beneficial to support telehealth usage among older adults.
Implementation of Machine Learning Applications in Health Care Organizations: Protocol for a Systematic Review of Empirical Studies
Authors: Ardito Vittoria , Cappellaro Giulia , Compagni Amelia , Petracca Francesco , Preti Luigi Maria 
Published: July 2023

Background
An increasing interest in machine learning (ML) has been observed among scholars and health care professionals. However, while ML-based applications have been shown to be effective and have the potential to change the delivery of patient care, their implementation in health care organizations is complex. There are several challenges that currently hamper the uptake of ML in daily practice, and there is currently limited knowledge on how these challenges have been addressed in empirical studies on implemented ML-based applications.

Objective
The aim of this systematic literature review is twofold: (1) to map the ML-based applications implemented in health care organizations, with a focus on investigating the organizational dimensions that are relevant in the implementation process; and (2) to analyze the processes and strategies adopted to foster a successful uptake of ML.

Methods
We developed this protocol following the PRISMA-P (Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols) guidelines. The search was conducted on 3 databases (PubMed, Scopus, and Web of Science), considering a 10-year time frame (2013-2023). The search strategy was built around 4 blocks of keywords (artificial intelligence, implementation, health care, and study type). Based on the detailed inclusion criteria defined, only empirical studies documenting the implementation of ML-based applications used by health care professionals in clinical settings will be considered. The study protocol was registered in PROSPERO (International Prospective Register of Systematic Reviews).

Results
The review is ongoing and is expected to be completed by September 2023. Data analysis is currently underway, and the first results are expected to be submitted for publication in November 2023. The study was funded by the European Union within the Multilayered Urban Sustainability Action (MUSA) project.

Conclusions
ML-based applications involving clinical decision support and automation of clinical tasks present unique traits that add several layers of complexity compared with earlier health technologies. Our review aims at contributing to the existing literature by investigating the implementation of ML from an organizational perspective and by systematizing a conspicuous amount of information on factors influencing implementation.

International Registered Report Identifier (IRRID)
DERR1-10.2196/47971
PULSATILE DRUG DELIVERY: A STRATEGY FOR TREATING CHRONOTHERAPEUTIC AILMENTS
Authors: J. GOMATHI , B. VEERALAKSHMI , M. F. FARZANA AFFRIN 
Published: July 2023

Modern drug delivery systems have been promoted to a unique notion of chronopharmacology, i.e., the ability to provide the medicament to a patient in a staggered profile, as the discipline of chronobiology has advanced. The main disadvantage of developing such a delivery system that fits the circadian cycle is the lack of accurate technology (Pulsatile drug delivery system, PDDS). Pulsatile devices are gaining popularity because they deliver the medicine to the correct region of action at the correct time, allowing for spatial and temporal dosing and compliance among patients. These technologies are meant to work with the body's natural circadian cycle. The circadian rhythm affects various biological systems in humans, including metabolism, physiology, behaviour, sleep patterns, hormone synthesis, and so on. This article addresses several methods, such as osmotic systems, capsular systems, single and multiple-unit programable devices that rely on soluble or erodible polymer coatings, and the usage of rupturable membranes. The present review covered the rationale for the creation of pulsatile drug delivery systems, benefits, limitations the types of diseases that require pulsatile release, categorization, and assessments of pulsatile system of drug delivery.
A PROSPECTIVE STUDY OF COMPARISION OF HORMONAL V/S NON-HORMONAL TREATMENT IN ABNORMAL UTERINE BLEEDING
Authors: SONAM  , MAHESWARI SUNITA , SHARMA RAJRANJ , GILL GURKIRAN 
Published: July 2023

Objective: Abnormal Uterine Bleeding (AUB) is a common problem among women in the reproductive age group. It can be characterized by variations in duration, frequency, regularity of menses, or volume of menstrual blood loss. AUB can have a significant impact on quality of life, causing pain, discomfort, social embarrassment, and loss of productivity. It may require surgical interventions, including hysterectomy. Hormonal and non-hormonal treatments are available options for managing AUB.
Methods: This study aimed to compare the effectiveness of hormonal and non-hormonal treatments in abnormal uterine bleeding. The research question addressed in this study was: "Which treatment is better, hormonal or non-hormonal, in abnormal uterine bleeding?"
Results: The study findings provided insights into the comparative efficacy of hormonal and non-hormonal treatment options for abnormal uterine bleeding. The results contributed to understanding the optimal approach for managing this condition and improving patient outcomes.
Conclusion: Based on the results of this study, conclusions can be drawn regarding the superiority of either hormonal or non-hormonal treatment in the management of abnormal uterine bleeding. The findings will help guide healthcare professionals in selecting appropriate treatment options for their patients.
A STUDY OF NON TRAUMATIC SMALL BOWEL PERFORATION
Authors: TANWAR PARDEEP , KAUR RIPUDAMANJIT , RANKA KSHITIZ 
Published: July 2023

Objective: Non-traumatic small bowel perforation is a rare but potentially life-threatening condition. It is important to understand the causes, clinical features, surgical procedures, complications, and outcomes associated with this condition. This study aims to investigate these aspects within a specific hospital setting.
Methods: A retrospective analysis of medical records was conducted to identify cases of non-traumatic small bowel perforation. Data on patient demographics, etiological factors, clinical presentations, surgical procedures, complications, and outcomes were collected and analyzed. Statistical methods were employed to examine the relationships between variables.
Results: Small bowel perforation causes vary based on development status, with typhoid and tuberculosis more common in developing countries, and Crohn's disease and malignancies prevalent in developed countries. Patients present with symptoms like abdominal pain, vomiting, and fever. Diagnosis is challenging, with laparotomy being the primary method, and mortality rates remain high, reaching up to 42%.
Conclusion: Non-traumatic small bowel perforation is a serious condition with potentially life-threatening complications. Prompt diagnosis and aggressive surgical intervention are crucial for improving patient outcomes. Understanding the causes, clinical features, and surgical management of this condition can guide effective treatment strategies and reduce morbidity and mortality rates.
A STUDY ON EFFECT OF PHYSICAL THERAPY INTERVENTION WITH AND WITHOUT VISUAL AND VERBAL CUES ON BALANCE TRAINING IN THE RECOVERY STAGE OF STROKE
Authors: RAO LAKSHITA SINGH , LOHAR DEEPAK 
Published: July 2023

Objective: Stroke is a leading cause of mortality and disability worldwide. Balance impairment is a common issue among stroke survivors, leading to increased fall risk and decreased quality of life. Visual and verbal cues have shown the potential in improving balance in stroke patients. This study aimed to compare the effectiveness of conventional therapy alone versus conventional therapy combined with visual and verbal cues in balance training during stroke recovery.
Methods: Thirty participants with post-stroke hemiplegia were randomly assigned to either a control group or an experimental group. The control group received conventional physical therapy, while the experimental group received additional visual and verbal feedback. The Berg Balance Scale was used to assess balance on the 1st, 15th, and 30th days of the study.
Results: Both groups showed improvements in balance over the course of the study. On the 15th day, the experimental group had a significantly higher mean Berg Balance Scale score compared to the control group (p = 0.001). On the 30th day, the experimental group still had a higher mean score, although the difference was not statistically significant (p = 0.048).
Conclusion: The addition of visual and verbal cues to conventional therapy showed a greater effect on balance training during stroke recovery compared to conventional therapy alone. These findings support the potential benefits of incorporating visual and verbal feedback in stroke rehabilitation programs. Further research should explore the long-term effects and sustainability of this approach to optimize balance recovery in stroke survivors.
PEMODELAN PENURUNAN TANAH DI IBU KOTA NEGARA NUSANTARA MENGGUNAKAN ANALISIS NUMERIK METODE ELEMEN HINGGA LISA V.8
Authors: Aco Wahyudi Efendi  
Published: July 2023

Wilayah IKN didominasi oleh daerah perbukitan dan dataran yang luas, Melihat karakteristik tanah yang beragam dan elevasi tanah yang bervariasi, sering terjadi bencana seperti tanah longsor dan penurunan muka tanah. Penelitian ini melakukan validasi hasil LISA terhadap program analisis geoteknik yang sangat sering digunakan dan khusus untuk perangkat lunak geoteknik. Diharapkan hasil penelitian ini dapat memberikan sumbangsih bagi dunia geoteknik khususnya menjadi khazanah baru dengan menggunakan metode elemen hingga LISA V.8 FEA. Untuk sudut penurunan yang terjadi adalah 0.0623 meter, dimana pada analisis menggunakan software geoteknik Geostudio Sigma/W , penurunan yang terjadi pada titik yang sama pada tinjauan adalah 0.0633 meter, terdapat perbedaan yang tidak signifikan dengan rasio 1.016 dari hasil software geoteknik Geostudio Sigma/W dengan hasil LISA V.8 FEA.
APLIKASI IRIGASI TETES BERTINGKAT DENGAN TANAMAN CABE DI PERUMAHAN PADAT PENDUDUK KOTA MATARAM HULU
Authors: I Dewa Gede Jaya Negara  , Bambang Harianto  , Anid Supriyadi  , Agus Suroso  
Published: July 2023

Studi ini bertujuan untuk mengetahui kemampuan pemberian irigasi tetes bertingkat yang menggunakan pipa lateral dari pipa Netafim (NTF) 12 mm dan PVC ½”, terhadap media tanah dalam polybag dengan variasi tanah terhadap kompos 70%:30%, 50%:50%, 30%:70%. Uji dilakukan dengan variasi kedalaman air tower 220 cm, 120 cm, dan 30 cm dari pipa tetes lateral terhadap keseragaman irigasi (CU), distribusi irigasi dan kedalaman irigasi yang dihasilkan. Penelitian dilakukan pada lahan pekarangan perumahan berukuran 1.5 m x 4 m x 2m, jarak antara tingkat jaringan 1 m dan tinggi tower 2.5m. Hasil penelitian menunjukkan bahwa irigasi tetes dengan pipa pvc dan NTF menghasilkan deviasi volume irigasi tiap tingkat jaringan sekitar 2 ml, dengan penurunan deviasi volume irigasi dari deviasi irigasi tetes pipa NTF bertingkat sekitar 85%. Uji pada irigasi tetes NTF dengan komposisi tanah 70% pada variasi volume tangki, diperoleh kedalaman irigasi maksimum sekitar 13 cm- 20 cm dan kedalaman irigasi minimum pada 30% tanahnya berkisar 5 cm-14 cm. Untuk uji pada irigasi tetes NTF dan PVC beramiter diperoleh kedalaman irigasi tertinggi pada 30% tanah dengan kedalaman irigasi maksimum sebesar 10 cm-15 cm, sedangkan kedalaman irigasi minimum diperoleh pada tanah 70% berkisar 6 cm-10 cm. Keseragaman irigasi tetes bertingkat pipa pvc dan NTF rata-rata diperoleh sebesar 95% dengan distribusi volume air irigasi pada tiap-tiap tingkat yang lebih merata.
PROFIL KEMAMPUAN GEOMETRI MENURUT TEORI VAN HIELE PADA MATERI TRANSFORMASI GEOMETRI
Authors: Kuniasih Erni , Ammnet Anong , Domingo Mee Jay 
Published: July 2023

Penelitian ini menggunakan penelitian deskriptif kualitatif karena hasil penelitian akan mendeskripsikan kemampuan berpikir geometris yang dimiliki oleh siswa. Penelitian ini bertujuan untuk menggambarkan jenis-jenis kesalahan dan penyebabnya yang berasal dalam diri siswa pada materi transformasi geometri. Berdasarkan hasil analisa jawaban dan wawancara kemampuan geometri siswa menurut teori Van Hiele diperoleh bahwa siswa dengan kemampuan matematis tinggi memenuhi dengan baik ketiga level teori Van Hiele dalam materi Transformasi Geometri. Siswa berkemampuan sedang mampu berada pada level 1 visualisasi dan level 2 analisa. Namun pada level 3 deduksi informal, siswa salah dalam mensubstitusi nilai (x,y) sebagai titik awal dan (x`,y`) sebagai titik akhir pada rumus pencerminan x=h. Siswa sudah mampu memberikan argumen namun disebabkan cara berpikir deduksi yang kurang tepat, maka masih perlu penguatan kembali. Pada siswa berkemampuan rendah, siswa baru mampu berada pada level 1 yaitu visualisasi. Siswa perlu pengalaman belajar yang lebih agar siswa terbiasa dan mampu menganalisa dan berpikir deduksi informal.
A Randomized Controlled Trial Comparing the Efficacy and Safety of IDegLira Versus Basal-Bolus in Patients With Poorly Controlled Type 2 Diabetes and Very High HbA1c ≥9–15%: DUAL HIGH Trial
Authors: Galindo Rodolfo J. , Moazzami Bobak , Scioscia Maria F. , Zambrano Cesar , Albury Bonnie S. , Saling Jarrod , Vellanki Priyathama , Pasquel Francisco J. , Davis Georgia M. , Fayfman Maya , Peng Limin , Umpierrez Guillermo E. 
Published: July 2023

OBJECTIVE
In participants with type 2 diabetes (T2D) and HbA1c &gt;9.0–10.0%, guidelines recommend treatment with basal-bolus insulin.

RESEARCH DESIGN AND METHODS
This randomized trial compared the efficacy and safety of insulin degludec and liraglutide (IDegLira) and basal-bolus among participants with high HbA1c ≥9.0–15.0%, previously treated with 2 or 3 oral agents and/or basal insulin, allocated (1:1) to basal-bolus (n = 73) or IDegLira (n = 72). The primary end point was noninferiority (0.4%) in HbA1c reduction between groups.

RESULTS
Among 145 participants (HbA1c 10.8% ± 1.3), there was no statistically significant difference in HbA1c reduction (3.18% ± 2.29 vs. 3.00% ± 1.79, P = 0.65; estimated treatment difference (ETD) 0.18%, 95% CI −0.59, 0.94) between the IDegLira and basal-bolus groups. IDegLira resulted in significantly lower rates of hypoglycemia &lt;70 mg/dL (26% vs. 48%, P = 0.008; odds ratio 0.39, 95% CI 0.19, 0.78), and less weight gain (1.24 ± 8.33 vs. 5.84 ± 6.18 kg, P = 0.001; ETD −4.60, 95% CI −7.33, −1.87).

CONCLUSIONS
In participants with T2D and HbA1c ≥9.0–15.0%, IDegLira resulted in similar HbA1c reduction, less hypoglycemia, and less weight gain compared with the basal-bolus regimen.
SISTEM PAKAR DIAGNOSIS PENYAKIT GINEKOLOGI MENGGUNAKAN METODE CERTAINTY FACTOR
Authors: Azzahra Nur Devita , Desiani Anita 
Published: July 2023

Ginekologi adalah cabang ilmu kedokteran yang berfokus pada tubuh wanita dan kesehatan reproduksinya mulai dari masa pubertas hingga dewasa. Ginekologi merupakan masalah kewanitaan yang asing ditelinga orang awam. Keterbatasan pengetahuan dan informasi yang dimiliki oleh maryarakat tentang kesehatan ginekologi disebabkan karena barbagai kondisi yang ada, dengan faktor utama yang menjadi permasalahan tersebut adalah rasa enggan ataupun malas untuk berkonsultasi secara langsung dengan seorang pakar atau ahli dikarenakan merasa malu untuk membahas mengenai kesehatan pribadi apalagi yang berhubungan dengan organ vital. Oleh karena itu, dibuatlah sebuah sistem pakar yang digunakan sebagai alternatif solusi layakya seorang pakar atau ahli dalam mendiagnosis pasien. Penggunaan metode certainty factor dalam membangun sistem pakar diagnosa kanker ginekologi ini diharapkan dapat memberikan informasi yang jelas dengan memunculkan presentase kemungkinan user mengalami masalah kanker ginekologi berdasarkan gejala yang dialami. Sistem pakar ini dibuat dengan tujuan untuk memberikan informasi yang jelas kepada user dengan menampilkan presentase keyakinan bedasarkan seorang pakar. Sistem pakar diagnosa kanker ginekologi dibuat berdasarkan 27 gejala dengan 5 jenis kanker ginekologi yang meliputi kanker serviks, kanker endometrium, kanker vulva, kanker tuba fallopi, dan kanker ovarium, dengan masing-masing tingkat akurasi diagnosa, yaitu 47,8291%, 35,9512%, 58,4773%,45,6657% dan 45,4034%.
INDUSTRIAL ENTERPRISE MARKETING ENVIRONMENT IN THE MODERN COMPETITIVE MARKET
Authors: Tsybko N.O. 
Published: July 2023

The main stages of studying the marketing environment of the enterprise as a modern marketing methodology in the industrial market by its decomposition into constituent parts are considered. An example of the characterized consumer preferences required for the introduction of a new engineering industry product is suggested. The structure of machine-building enterprise internal and external marketing indicators underlying the study of the marketing environment in a competitive market is determined. The estimation model of consumer preferences of machine-building enterprises is presented.
The marketing environment in the industrial market is not just advertising and communication, it is a full range of solutions for positioning and selling products or services, as well as a strategy for development and profit of the enterprise, which constantly requires to be at the height of innovation. Research of the marketing environment of industrial enterprises in a competitive market is an effective method and a promising tool for enterprise management, ensuring the achievement of its strategic goals. The study of this issue is a whole system of components that relate to virtually all aspects of the enterprise, from production technology and management of internal processes in the enterprise and ending with distribution and advertising communications. This is a valuable asset of the enterprise, which is the basis for the formation of sustainable and long-term competitive advantages, the effective use of which is the key to successful organizational development.
INVESTMENT COMPONENT OF UKRAINIAN EXPORT DIVERSIFICATION
Authors: Nagornyi D.O. 
Published: July 2023

This article is devoted to the structural analysis of goods and services export from Ukraine, identification of major barriers to the quality development of export enterprises and illustration of proposals concerning structural and geographical diversification of the national export basket.
Firstly, the article identifies theoretical approaches to the diversification of foreign trade and factors influencing the level of country’s export concentration. Methodological aspect of assessment of economy complexity with the help of several indices was also considered, which makes it possible to determine the relative competitive advantages of the domestic household in international markets and diversification level of country's export basket.
Secondly, the dynamics and structure of Ukrainian exports of goods were analyzed, as a result of which its raw material orientation was revealed. The main share of exported products is agricultural goods and mineral resources, which negatively affects the prospects for stable innovative development of domestic processing industries. Indices of export concentration and complexity of Ukraine's economy, which indicate a low level of diversification of domestic export basket, are studied. ABC-analysis Ukrainian services’ exports abroad was performed. As a result of the assessment of export activity structure, the main relative trade advantages of national economy and factors hindering the expansion of exported products range were identified.
The last section of the article formulates the place of investment capital in the process of technological level increasing of domestic export basket. Ways of venture financing intensifying of innovative Ukrainian startups are identified. Reorientation institutional mechanisms and directions of geographical diversification of Ukraine's export activity are also proposed.