bluuebunny/crossref_metadata_2025_split huggingface dataset:
Implementing a psychosocial care approach in pediatric inpatient care: process evaluation of the pilot Child Life Specialist program at the University Hospital of Munich, Germany
Authors: Hummel Julia , Voss Stephan , Clark Holly , Coenen Michaela , Klein Christoph , Rehfuess Eva A. , Zu Rhein Valerie , Voigt-Blaurock Varinka , Jung-Sievers Caroline 
Published: June 2023

BackgroundChild Life Specialists (CLSs) are psychosocial care professionals of child development and health who focus on the individual needs and rights of young patients. CLSs accompany sick children and focus on the children's perspective and their reality of life. CLS programs are already established in clinical settings in the United States and other Anglophone countries but have not yet been piloted in the German health care setting, neither has their implementation been evaluated in this context. This study aimed to explore the factors influencing the implementation of a pilot CLS program in pediatric inpatient care at the Dr. von Hauner Children's Hospital at the University Hospital of Munich, Germany.MethodsBuilding on methods commonly employed in the evaluation of complex interventions, we developed a logic model to guide the process evaluation of our program. Semi-structured interviews with four groups of stakeholders were conducted in person or via videoconferencing between June 2021 and January 2022. Data was analyzed collectively using the method of qualitative content analysis by Mayring.ResultsFifteen individual interviews were conducted with patients (children aged 5–17 years, n = 4), parents (n = 4), CLSs (n = 4) and other health professionals (n = 3). Factors influencing the implementation were identified on three levels: system, staff and intervention. On the system level, a clearer definition of CLSs’ tasks and responsibilities was perceived as important and would likely lead to a delineation from other (psychosocial) professions and a reduction of potential resistances. On the staff level, lacking training opportunities and feelings of being insufficiently skilled were limiting the CLSs professional self-confidence. On the intervention level, the emergence of a unique characteristic of the CLSs’ work (i.e., preparation for medical procedures) supported the acceptance of the new program.ConclusionsThe implementation of a CLS program into an established hospital system with existing psychosocial care services is challenging. Our results contribute to a better understanding of implementation processes of such an additional psychosocial care approach and provide recommendations for addressing upcoming challenges.
Body composition changes during 8 weeks of military training are not accurately captured by circumference-based assessments
Authors: Foulis Stephen A. , Friedl Karl E. , Spiering Barry A. , Walker Leila A. , Guerriere Katelyn I. , Pecorelli Vincent P. , Zeppetelli David J. , Reynoso Marinaliz C. , Taylor Kathryn M. , Hughes Julie M. 
Published: June 2023

In 1981, the US military adopted body fat standards to promote physical readiness and prevent obesity. Separate circumference-based equations were developed for women and men. Both predictive equations were known to underestimate %BF. However, it was not known how well these abdominal circumference-based methods tracked changes in %BF. This study examined the validity of the circumference-based %BF equations for assessing changes in %BF in young adult recruits during Army Basic Combat Training (BCT). Dual-energy X-ray absorptiometry (DXA) and circumference-based measures of %BF were obtained in women (n = 481) and men (n = 926) at the start (pre-BCT) and end (post-BCT) of 8 weeks of BCT. Repeated-measure ANOVAs were used to assess differences between DXA and circumference pre-BCT and for the change during BCT. Pre-BCT, circumferences underestimated %BF relative to DXA, with mean errors of −6.0% ± 4.4% for women and −6.0% ± 3.5% for men (both p &lt; 0.01), and no difference between sexes was observed (p = 0.77). DXA detected a −4.0% ± 2.4% and −3.3% ± 2.8% change in %BF for women and men in response to BCT, respectively (both p &lt; 0.01), whereas circumference estimates of %BF indicated a 0.0% ± 3.3% (p = 0.86) change in women and a −2.2% ± 3.3% (p &lt; 0.01) change in men (sex difference by technique p &lt; 0.01). In conclusion, circumference-based measures underestimated %BF at the start of BCT in both sexes as compared to DXA. Circumference measures underestimated changes in %BF during BCT in men and did not detect changes in women. These findings suggest that circumference-based %BF metrics may not be an appropriate tool to track changes in body composition during short duration training.
Maximizing tendency predicts university adjustment and academic performance
Authors: Li Mushi , Jia Huiyuan , Wang Haixia 
Published: June 2023

IntroductionDecision-making characteristics that contribute to university adjustment and academic performance have been important topics in the research on success in higher education. This study proposes a new perspective that maximizing tendency, as a decision-making style, influences adaptive outcomes in college life.Materials and methodsTwo studies were performed to investigate the positive effects of maximizing tendency on university adjustment and academic performance. In Study 1, we engaged in multistage data collection and surveyed 552 students in four universities. In over a span of 4 years, Study 2 was designed as a time-lagged survey with 309 students.ResultsThe results revealed that maximizers among students have better university adjustment after their first year at school and achieve higher GPAs when they finished their bachelor’s degree. Furthermore, eudaimonic well-being mediated the relationship between maximizing tendency and university adjustment (Study 1), whereas university adjustment mediated the relationship between maximizing tendency and college student’s academic performance (Study 2).ConclusionThese consistent results imply that maximizing tendency as a predictor of university adjustment and academic performance, showing its long-term positive impacts on adaptability and wellbeing.
Decreased inpatient psychiatric admissions with telepsychiatry use during the COVID-19 pandemic
Authors: Lin Brendon , Costakis Anna , John Majnu , Linder Howard 
Published: June 2023

ObjectiveThis study examines the quality of care provided through telepsychiatry by comparing psychiatric hospitalization rates among patients receiving in-person psychiatric care prior to the COVID-19 pandemic with rates among patients receiving virtual psychiatric care during the COVID-19 pandemic.MethodsMental health-related hospitalization rates among patients enrolled in a large academic hospital’s outpatient psychiatry programs between March 1, 2018 and February 28, 2022 were retrospectively analyzed. Four time periods were created, spanning March 1 to February 28 of the following year. Demographic and clinical data were collected from the electronic health record, and descriptive statistics were calculated. Change in hospitalization rate between time periods was evaluated using McNemar’s test.ResultsIn the 2018 time period, 7.38% of all enrolled patients were hospitalized, compared to 7.70% hospitalized in the 2019 period, 5.74% in the 2020 period, and 5.38% in the 2021 period. Patients enrolled in both the 2018 and the 2019 periods saw no difference in hospitalization rate between the 2 years (2.93% in 2018, 2.83% in 2019; p = 0.830); patients enrolled in both 2019 and 2020 saw significantly lower hospitalization rates in 2020 (5.47% in 2019, 4.58% in 2020; p = 0.022); and patients enrolled in both 2020 and 2021 saw no difference (3.34% in 2020, 3.23% in 2021; p = 0.777).ConclusionPsychiatric hospitalization rates significantly decreased between the 2019 and the 2020 periods, suggesting a decrease in admissions associated with adoption of telepsychiatry. Future research should differentiate the roles played by telepsychiatry and COVID-19-related factors in reducing hospitalization rates during the pandemic.
Telephone triage service use is associated with better outcomes among patients with cerebrovascular diseases: a propensity score analysis using population-based data
Authors: Deguchi Ryo , Katayama Yusuke , Himura Hoshi , Nishimura Tetsuro , Nakagawa Yuko , Kitamura Tetsuhisa , Tai Shunsuke , Tsujino Junya , Shimazu Takeshi , Mizobata Yasumitsu 
Published: June 2023

IntroductionThe telephone triage service is an emergency medical system through which citizens consult telephone triage nurses regarding illness, and the nurses determine the urgency and need for an ambulance. Despite being introduced in several countries, its impact on emergency patients has not been reported. We aimed to determine the effect of the telephone triage service on the outcomes of hospitalized patients diagnosed with cerebrovascular disease upon arrival after being transported by an ambulance.MethodsThis retrospective study included patients with cerebrovascular disease who were transported by ambulance between January 2016 and December 2019. The primary outcome was discharge to home by day 21 of hospitalization. A total of 344 patients who used the telephone triage service were propensity score-matched to 344 patients who directly called for an ambulance.ResultsTelephone triage service use was associated with discharge to home by hospital day 21 (crude odd ratio: 1.8; 95% confidence interval: 1.3–2.4) and was not significantly associated with survival on hospital day 21 in multivariate regression analysis.ConclusionThe prognoses of cerebral infarction, intracerebral hemorrhage, and subarachnoid hemorrhage depend on the time from symptom onset to treatment. Telephone triage services may allow patients to receive treatment more rapidly than traditional ambulance requests, resulting in improved patient outcomes. The findings of this study suggest that the use of telephone triage services is associated with improved outcomes in patients with cerebrovascular disease and indicate that the costs for medical expenses and disability may be greatly reduced in an aging society.
A machine learning-based prediction model pre-operatively for functional recovery after 1-year of hip fracture surgery in older people
Authors: Lin Chun , Liang Zhen , Liu Jianfeng , Sun Wei 
Published: June 2023

BackgroundMachine learning (ML) has been widely utilized for constructing high-performance prediction models. This study aimed to develop a preoperative machine learning-based prediction model to identify functional recovery one year after hip fracture surgery.MethodsWe collected data from 176 elderly hip fracture patients admitted to the Department of Orthopaedics and Oncology at Shenzhen Second People's Hospital between May 2019 and December 2019, who met the inclusion criteria. Patient's functional recovery was monitored for one year after surgery. We selected 26 factors, comprising 12 preoperative indicators, 8 surgical indicators, and 6 postoperative indicators. Eventually, 77 patients were included based on the exclusion criteria. Random allocation divided them into the training set (70%) and test set (30%) for internal validation. The Lasso method was employed to screen prognostic variables. We conducted comparisons among various common machine learning classifiers to determine the best prediction model. Prediction performance was evaluated using the area under the receiver operating characteristic curve (ROC), calibration curve, and decision curve analysis. To identify the importance of the predictor variables, we performed the recursive feature elimination (RFE) algorithm based on Shapley Additive Explanations (SHAP) values.ResultsThe AUCs for the testing dataset were as follows: logistic regression (Logit) model = 0.934, k-nearest neighbors (KNN) model = 0.930, support vector machine (SVM) model = 0.910, Gaussian naive Bayes (GNB) model = 0.926, decision tree (DT) model = 0.730, random forest (RF) model = 0.957, and Extreme Gradient Boosting (XGB) model = 0.902. Among the seven ML-based models tested, the RF model demonstrated the best prediction performance, incorporating four features: postoperative rehabilitation compliance, marital status, age-adjusted Charlson comorbidity score (aCCI), and clinical frailty scale (CFS).ConclusionWe developed a prediction model for the functional recovery following hip fracture surgery in elderly patients after one year, based on the Random Forest (RF) algorithm. This model exhibited superior prediction performance (ROC) compared to other models. The software application is available for use. External validation in a larger patient cohort or diverse hospital settings is necessary to assess the clinical utility of this tool.
Oral pharmacokinetics of a pharmaceutical preparation of florfenicol in broiler chickens
Authors: Gutierrez Lilia , Guzman-Flores Aline , Monroy-Barreto Minerva , Ocampo Luis , Sumano Hector 
Published: June 2023

IntroductionThe use of florfenicol must follow particular pharmacokinetic/pharmacodynamic (PK/PD) ratios, i.e., it requires achieving serum concentrations at or slightly above the pathogen's minimum inhibitory concentration (MIC) during the dosing interval and that the ratio of area under the concentration vs. time curve (AUC)/MIC should be as high as possible (still undetermined for poultry). As an alternative to the standard soluble florfenicol that is administered to the flock through drinking water, florfenicol premix is often recommended as feed medication in Latin America. However, no particular pharmaceutical design has been proposed.MethodsThis study compared the PK of two preparations of florfenicol in broiler chickens and pondered the possibility of each covering the referred PK-PD ratios as predictors of clinical efficacy. The preparations comprise a pharmaceutical form as FOLA pellets (F = bioavailability; O = optimum; and LA = long-acting) and the premix formulation. The former are small colored pellets with vehicles and absorption enhancers of florfenicol designed for long action, and the latter is the reference premix of the antibiotic. First, these two pharmaceutical forms of florfenicol were administered as oral boluses (30 mg/kg), aided by a probe. In a second trial of the dosing form, both pharmaceutical preparations of florfenicol were administered in feed and ad libitum (110 ppm; ~30 mg/kg).ResultsIn both cases, FOLA-florfenicol presented much higher relative bioavailability (3.27 times higher) and mean better residence time than florfenicol premix (two times high when forced as bolus dose). Consequently, FOLA-florfenicol possesses better PK/PD ratios than less sensitive pathogens, i.e., E. coli. It is proposed that if a metaphylactic treatment of a bacterial outbreak in poultry is implemented with florfenicol prepared as FOLA, better PK/PD ratios will be obtained than those of standard florfenicol premix.DiscussionClinicians must confirm that feed consumption in the flock has not been affected by the particular disease if FOLA pellets of florfenicol are used.
Mapping Concurrent Wasting and Stunting Among Children Under Five in India: A Multilevel Analysis
Authors: Khura Bikash , Mohanty Parimala , Gandhi Aravind P , Patnaik Lipilekha , Mewara Abhishek , Pradhan KeertiBhusan , Padhi Bijaya Kumar 
Published: June 2023

Objectives: The study aims to examine the coexisting forms, patterns, and predictors of concurrent wasting and stunting (WaSt) among children under five in India.Methods: We used data from the National Family Health Survey to understand the trend and association of WaSt among children under five-year-old in India. Univariate analysis and cross-tabulations were performed for WaSt cases. The association was determined using multilevel binary logistic regression and multilevel regression, and the results were provided as adjusted odds ratios (aOR) with 95% confidence intervals at the significance level of p &lt; 0.05.Results: The prevalence of WaSt has decreased from 8.7% in 2005–06 to 5.2 percent in 2019–2020. The proportion of WaSt children grew rapidly from 6 to 18 months, peaked at 19 months (8%), then dropped after 24 months. The prevalence of concurrent wasting and stunting is higher among boys compared to girls. Compared to children of different birth orders, those in the higher birth order are 1.2 times more likely to be WaSt cases (aOR = 1.20, 95% CI = 1.09, 1.33). The education of the mother is strongly correlated with WaSt instances, and children of more educated mothers have a 47% lower chance of being WaSt cases (aOR = 0.63, 95% CI = 0.57, 0.71). Children from wealthy families are 52% less likely to be WaSt cases (aOR = 0.48, 95% CI = 0.43, 0.55).Conclusion: This study emphasizes the importance of concurrent wasting and stunting and its relationship with socioeconomic factors among children under five in India.
Pengaruh Ambient Interior Cafe Terhadap Pemilihan Tempat Bekerja Remote Worker di Era Pandemi COVID-19
Authors: Sri Wahyuni Trisna Ni Made , Utami Ni Kadek Yuni , Effendi Nabil Rahman 
Published: June 2023

Pandemi COVID-19 membuat fenomena bekerja di luar kantor semakin diminati oleh masyarakat, khususnya para remote worker - orang yang bekerja dari manapun. Kenyamanan sebuah café saat pandemi menjadi hal penting untuk diperhatikan, dalam hal ini ambient interior melalui cahaya, suara, dan suhu cafe. Ambient interior dipercaya turut mempengaruhi psikologis pengunjung sehingga dapat memberi rasa nyaman saat bekerja. Penelitian ini bertujuan untuk mengetahui pengaruh ambient interior cafe di era pandemi, seperti pencahayaan, suara dan suhu sebagai preferensi pemilihan tempat bekerja oleh para remote worker. Metode yang digunakan dalam penelitian ini adalah metode kuantitatif dengan melakukan kuesioner terhadap 50 remote workers untuk mengetahui pengaruh ambient interior terhadap pemilihan tempat bekerja saat pandemi. Selain itu dilakukan observasi langsung pada tiga cafe populer yang terdapat di daerah Ubud yaitu Ruster Cafe, Milk and Madu, dan Monsieur Spoon untuk melihat perubahan ambient interior yang dilakukan saat pandemi. Data hasil kuesioner dianalisis dan menunjukkan hasil bahwa pertimbangan ambient interior berupa cahaya, suara dan suhu yang dapat memberikan perasaan aman dan nyaman terhadap penyebaran virus COVID-19 sangat berpengaruh terhadap pemilihan tempat bekerja oleh para remote worker saat pandemi. Penelitian ini diharapkan memberi manfaat kepada pengelola atau pemilik cafe untuk mempertimbangkan pentingnya ambient interior pada cafe.

Kata Kunci: Ambient Interior, Cafe, Pandemi COVID-19, Remote Workers
المكانة الاجنماعية لعلماء الأندلس في بلاد المغرب الاسلامي في القرنين الخامس والسادس الهجريين
Authors: م. د. إنعام حسين أحمد  
Published: June 2023

كان نتيجة طبيعية لما حدث في ديار الأندلس من تمزق سياسي وتشرذم وفوضى
عارمة ؛ أن عزم أهل الأندلس ؛ وعلى مختلف طبقاتهم للتوجه لبلاد المغرب الإسلامي ©
وذلك لقربه أولاً وللروابط السياسية والحضارية والثقافية بين البلدين ثانياً.

ولربما صنارة نافعة كما يقال ؛ فقد حمل هؤلاء الأندلسيون تراثهم الفكري
والحضاري لتلك البلاد التي استفادت من هذا الإرث وأصبحت تفتخر به على مر الأيام
والأزمنة .

وكان لتوجهم أثره في الجانب الاجتماعي ؛ وذلك لكون العلماء يستقرون على
الأرض ويعيشون بين طبقات المجتمع فيبدأ الأثر والتأثر بين الطرفين . ومن هنا جاء
البحث ليسلط الضوء على بعض هذه الجوانب التي ارتأينا فيه تقسيمه الى فقرات وهي :
أولاً: الأضرحة والمزارات .
ثانياً : الاحتفالات والأعياد .
ثالثا : الأزياء والملابس .
رابعاً : الحرف والمهن .

وكذلك تناولنا الأثر الاجتماعي وما تركه هؤلاء الأندلسيون الوافدون لأرض
المغرب .

وقد اعتمدنا فيه مصادر ومراجع تناولت تاريخ المغرب والأندلس منها كتب
التراجم بالدرجة الأساس ؛ ثم كتب التاريخ العام التي تناولت جهود هؤلاء العلماء وما
أثروه في تلك البلاد .
PERANCANGAN DESAIN KEMASAN UKM CEMILIN NIH DI CIREBON
Authors: Laduni Pasya , Rahaningsih Nining , Bahtiar Agus 
Published: June 2023

UKM “Cemilin Nih” merupakan sebuah usaha kecil yang menjual makanan seperti kentang goreng, nugget, sosis dan sejenisnya. Pada kemasan makanan “Cemilin Nih’ yang telah ada, ditemui beberapa kelemahan, salah satunya mengenai kemampuan kemasan dalam melindungi isi produk dan kualitas tampilan desain kemasan yang kurang sesuai dan tidak menarik. Untuk meningkatkan daya saing, solusinya adalah membuat desain kemasan produk yang menarik dan sesuai dengan karakter produk dan merek dari UKM tersebut. Dengan adanya pembuatan desain kemasan ini diharapkan dapat menarik perhatian pembeli dan meningkatkan penjualan, sehingga mampu bersaing dengan produk sejenis lainnya. Penilitian ini menggunakan metode observasi, wawancara, dan dokumentasi bertujuan mendapatkan pemahaman yang bersifat umum terhadap kenyataan sosial dari sudut pandang partisipan. Aplikasi yang digunakan untuk mendesain adalah Corel Draw. Metode ini digunakan untuk meneliti dan merancang desain kemasan makanan agar kemasan menjadi lebih menarik dan berkualitas, sehingga dapat meningkatkan penjualan. Hasil penelitian ini adalah penciptaan desain kemasan makanan UKM “Cemilin Nih” untuk menyesuaikan karakteristik yang dibutuhkan dengan mengacu pada prinsip-prinsip desain agar menghasilkan desain yang menarik, karya desain yang dihasilkan diharapkan mampu meningkatkan minat masyarakat agar produk UKM “Cemilin Nih” diminati oleh orang dan pasar, serta untuk meningkatkan volume penjualan dari produk di pasaran
ANALISIS SENTIMEN APLIKASI BRIMO PADA ULASAN PENGGUNA DI GOOGLE PLAY MENGGUNAKAN ALGORITMA NAIVE BAYES
Authors: Khoirul Insan Moh Khoirul , Hayati Umi , Nurdiawan Odi 
Published: June 2023

Perkembangan tekonologi saat ini semakin cepat berkembang termasuk aplikasi dalam bidang perbankan yang saat ini banyak digunakan untuk bertrasnsaksi secara mobile tanpa perlu ke bank. Tentunya sangat mudah bagi pegguna nasabah dalam bertransaksi menggunakan aplikasi mobile bangking.Ulasan menjadi sumber informasi penting bagi pengembang untuk mengetahui keluhan dari para pengguna atau nasabah. ulasan pengguna yang berisikan komentar atau ulasan dan rating pengguna sangat dibutuhkan guna meningkatkan pengembangan terhadap kinerja aplikasi. Namun tidak semua ulasan pengguna itu mewakili pendapat pada apliksi tesebut Penelitian ini bertujuan untuk menganalisis sentimen terhadap pengguna yang menggunakan aplikasi brimo di google play dengan pengambilan data melalui teknik web scraping. Analisis sentimen merupakan proses mengevaluasi apakah suatu teks memiliki sentimen positif atau negatif. Pengguna aplikasi brimo di google play merupakan salah satu platform yang banyak digunakan nasabah BRI untuk transaksi perbankan. Metode yang digunakan dalam analisis sentimen menggunakan algoritma Naive Bayes. dari hasil penelitian terhadap analisis sentimen pengguna aplikasi brimo ke dalam kategori positif dan negatif yang mana data diambil melalui hasil scraping dari bulan Agustus 2022 hingga Januari 2023 sebanyak 1550 data teks didapatkan hasil bahwa pengguna aplikasi memberikan ulasan positif dimana dari jumlah prediksi hasil klasifikasi sentimen positif sebanyak 1012 dan sentimen negatif sebanyak 894 data teks artinya pengguna banyak memberikan komentar positif terhadap aplikasi brimo, namun tidak sedikit juga pengguna memberikan komentar negatif terhadap aplikasi brimo. Dan hasil klasifikasi menggunakan metode naive bayes didapatkan hasil acuracy sebesar 84,52% precision 82,51% dan recall 87,62%.