bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluation of the Effectiveness of Telehealth Chronic Disease Management System: Systematic Review and Meta-analysis
Authors: Xiao Ziyan , Han Xiuping 
Published: March 2023

Background
Long-term daily health monitoring and management play a more significant role in telehealth management systems nowadays, which require evaluation indicators to present patients’ general health conditions and become applicable to multiple chronic diseases.

Objective
This study aims to evaluate the effectiveness of subjective indicators of telehealth chronic disease management system (TCDMS).

Methods
We selected Web of Science, ScienceDirect, Scopus, Cochrane library, IEEE, and Chinese National Knowledge Infrastructure and Wanfang, a Chinese medical database, and searched papers published from January 1, 2015, to July 1, 2022, regarding randomized controlled trials on the effectiveness of the telehealth system on patients with chronic diseases. The narrative review summarized the questionnaire indicators presented in the selected studies. In the meta-analysis, Mean Difference (MD) and Standardized Mean Difference (SMD) with a 95% CI were pooled depending on whether the measurements were the same. Subgroup analysis was conducted if the heterogeneity was significant, and the number of studies was sufficient.

Results
Twenty RCTs with 4153 patients were included in the qualitative review. Seventeen different questionnaire-based outcomes were found, within which quality of life, psychological well-being (including depression, anxiety, and fatigue), self-management, self-efficacy, and medical adherence were most frequently used. Ten RCTs with 2095 patients remained in meta-analysis. Compared to usual care, telehealth system can significantly improve the quality of life (SMD 0.44; 95% CI 0.16-0.73; P=.002), whereas no significant effects were found on depression (SMD −0.25; 95% CI −0.72 to 0.23; P=.30), anxiety (SMD −0.10; 95% CI −0.27 to 0.07; P=.71), fatigue (SMD −0.36; 95% CI −1.06 to 0.34; P<.001), and self-care (SMD 0.77; 95% CI −0.28-1.81; P<.001). In the subdomains of quality of life, telehealth statistically significantly improved physical functioning (SMD 0.15; 95% CI 0.02 to 0.29; P=.03), mental functioning (SMD 0.37; 95% CI 0.13-0.60; P=.002), and social functioning (SMD 0.64; 95% CI 0.00-1.29; P=.05), while there was no difference on cognitive functioning (MD 8.31; 95% CI −7.33 to 23.95; P=.30) and role functioning (MD 5.30; 95% CI −7.80 to 18.39; P=.43).

Conclusions
TCDMS positively affected patients’ physical, mental, and social quality of life across multiple chronic diseases. However, no significant difference was found in depression, anxiety, fatigue, and self-care. Subjective questionnaires had the potential ability to evaluate the effectiveness of long-term telehealth monitoring and management. However, further well-designed experiments are warranted to validate TCDMS’s effects on subjective outcomes, especially when tested among different chronically ill groups.
Ethical Implications of Artificial Intelligence in Population Health and the Public’s Role in Its Governance: Perspectives From a Citizen and Expert Panel
Authors: Couture Vincent , Roy Marie-Christine , Dez Emma , Laperle Samuel , Bélisle-Pipon Jean-Christophe 
Published: March 2023

Background
Artificial intelligence (AI) systems are widely used in the health care sector. Mainly applied for individualized care, AI is increasingly aimed at population health. This raises important ethical considerations but also calls for responsible governance, considering that this will affect the population. However, the literature points to a lack of citizen participation in the governance of AI in health. Therefore, it is necessary to investigate the governance of the ethical and societal implications of AI in population health.

Objective
This study aimed to explore the perspectives and attitudes of citizens and experts regarding the ethics of AI in population health, the engagement of citizens in AI governance, and the potential of a digital app to foster citizen engagement.

Methods
We recruited a panel of 21 citizens and experts. Using a web-based survey, we explored their perspectives and attitudes on the ethical issues of AI in population health, the relative role of citizens and other actors in AI governance, and the ways in which citizens can be supported to participate in AI governance through a digital app. The responses of the participants were analyzed quantitatively and qualitatively.

Results
According to the participants, AI is perceived to be already present in population health and its benefits are regarded positively, but there is a consensus that AI has substantial societal implications. The participants also showed a high level of agreement toward involving citizens into AI governance. They highlighted the aspects to be considered in the creation of a digital app to foster this involvement. They recognized the importance of creating an app that is both accessible and transparent.

Conclusions
These results offer avenues for the development of a digital app to raise awareness, to survey, and to support citizens’ decision-making regarding the ethical, legal, and social issues of AI in population health.
IMPROVING CHILDREN’S EARLY LITERACY SKILL USING MAHARAJA CIRCLE MEDIA
Authors: Astuti Endang Puji , Nurhayati Sri 
Published: March 2023

Abstract The main objective of this study would be to explain how early literacy learning is implemented for early childhood children aged 5-6 years through the meharaja’s circle media. By arranging cards and mattresses in pictorial circles, the maharaja’s circle media introduces syllables to form words. In media circles, the maharaja begins by singing the sounds of the syllables on the maharaja’s card to the child after he or she has memorized and grasped the concept of syllable sounds, and then plays with the maharaja’s circle mat. The method of research is qualitative descriptive. Observation, interviewing, and documentation were used to collect data. The data analysis technique employed in this study was data reduction and visualization. This study established the value of using the maharaja’s circle media for early literacy learning in early childhood. The findings of this study are expected to aid educators in the development of early childhood literacy skills through the use of exciting and fun media from the maharaja's circle. Abstrak Tujuan penelitian ini adalah untuk menjelaskan implementasi pembelajaran keaksaraan awal anak usia dini usia 5-6 tahun dengan menggunakan media lingkaran maharaja. Media lingkaran maharaja adalah media untuk mengenalkan suku kata hingga membentuk kata dengan mengguanakan kartu dan matras yang berbentuk lingkaran bergambar. Dalam penggunaan media lingkaran maharaja diawali dengan mengenalkan bunyi suku kata pada kartu maharaja melalui bernyanyi, setelah anak hafal dan faham akan konsep bunyi suku kata, dilanjutkan dengan bermain menggunakan matras lingkaran maharaja. Metode penelitian yang digunakan adalah deskriptif kualitatif. Tehnik pengumpulan data dilakukan melalui observasi, wawancara dan dokumentasi. Analisis data yang digunakan dalam penelitian ini adalah reduksi data dan display data. Hasil penelitian ini, menunjukkan bahwa media lingkaran maharaja layak digunakan untuk pembelajaran keaksaraan awal pada anak usia dini. Berdasarkan hasil penelitian ini diharapkan dapat bermanfaat bagi para pendidik dalam mengembangkan kemampuan keaksaraan awal anak usia dini yaitu dengan menggunakan media lingkaran maharaja yang seru dan menyenangkan.
Influencia de los postulados de Taylor y Fayol en el desarrollo de las técnicas modernas de administración
Authors: Guerrero Agámez Sergio Manuel , Canabal Gùzman Javier Dario , Canabal Gùzman Javier Dario 
Published: March 2023

Los principios administrativos planteados por Taylor y Fayol, a pesar de haberse postulados hace más de sesenta años, son tan representativos que aún prevalecen y se mantienes vigentes hasta el punto que las organizaciones modernas indistintamente de la actividad que desarrollen aplican los principios como una regla que les permite poner marcha los objetivos y metas planteadas procurando por el mejoramiento continuo, la gestión y el aseguramiento de la calidad enmarcados en un ciclo consistente en planear, organizar, integrar, dirigir y controlar y en el mejor de los casos aplicar reingeniería de procesos.
Reduction of Watercrafts Vibroacoustic Activity by Vibration Damping Materials
Authors: Budovskiy A. V. , Bulygin Yu. I. , Pavlikov A. V. , Tryukhan A. V. 
Published: March 2023

Introduction. Electric machines, diesel installations, pumping units and fans, as well as working bodies of dredgers (pipelines, scoops, rippers, etc.) are the main sources of noise and vibration on watercrafts. Moreover, the main harmful factors in the operation of floating cranes and dredgers are both the vibration itself and the accompanying phenomena of infrasound and structural noise. One of the most urgent tasks for the introduction of technosphere safety methods on watercrafts is to reduce the harmful effects of vibroacoustic factors on the health of personnel. The research objective is to improve the working conditions of watercrafts drivers by introducing the method of designing vibration protection systems proposed by the authors, taking into account both the external factors (ambient temperature) and the dynamic characteristics of vibration damping materials. The possibility of choosing the most rational vibration damping material based on the engineering calculation of the required vibration insulation is shown. Materials and Methods. A passive method of vibration control has been applied, in which elastic elements and vibration damping material are used in the watercraft design. The sources of noise and vibration have been identified, and their actual exposure levels have been determined. The analysis of dynamic characteristics and properties of vibration damping materials is carried out. The factors influencing the efficiency of vibration damping are revealed. Results. A design scheme of the vibration damping model at the workplace of the watercraft driver has been developed. An analytical database of dynamic characteristics and properties of vibration damping materials has been created. An engineering method for calculating the effectiveness of vibration insulation has been adapted to watercrafts. The calculations of the effectiveness of vibration insulation using various vibration damping materials of different thicknesses have been performed, on the basis of which the advantages of vibration damping flooring made of elastomeric plate VEP20 have been proved. Discussion and Conclusion. The engineering methodology developed in Excel for calculating the effectiveness of vibration insulation is automated and has a user-friendly interface. This allows you to calculate and reasonably select multilayer structures taking into account the ambient temperature, as well as the dynamic characteristics of vibration damping materials depending on the spectrum of noise and vibration. The results obtained can be used in the design of vibration protection systems for watercraft drivers.
Ensuring Occupational Safety at Railway Transport Operation by Upgrading the Systems of Vibration Damping Plates and Rail Plates
Authors: Golovina E. I. , Sokolov D. A. 
Published: March 2023

Introduction. Noise and vibration in railway transport is a dangerous type of pollution for both the workers and the environment. It is important to carry out a comprehensive analysis of the effects of noise and vibration pollution on railway transport workers, the environment, and to consider available methods to minimize harmful effects created during the movement of trains. Safety can be achieved by ensuring regulatory noise and vibration levels. The work objective is to assess the safety of work during the operation of railway transport by improving the system of vibration damping pads and rail plates. Materials and Methods. In the course of the study, an analysis of the occurrence of noise and vibration, an assessment of their negative impact on railway transport workers and the environment was carried out. The available methods of noise pollution minimization are considered, the classification of noise and vibration control methods is described. The methods and means required by the regulatory documents on labor safety during the operation of railway transport were used in the work. Results. Based on the results of the study, it follows that there is a need to strengthen measures for comprehensive protection and minimization of harmful factors. The result of the study was the proposal to improve one of the applied methods of noise minimization — the installation of a vibration damping pad, for the production of which secondary raw materials in the form of rubber crumbs are used. The paper calculates the economic efficiency of one of the proposed methods of minimizing noise pollution and describes the positive effect after its application, considers available options for improving the sound absorption of rails. Discussion and Conclusion. Based on the results of the study, the positive economic effect of one of the proposed ways to improve the noise minimization method was revealed.
Structural Organization of Steel to Ensure Special Equipment Safety
Authors: Pustovoit V. N. , Dolgachev Yu. V. , Ivankov I. V. 
Published: March 2023

Introduction. At present, great success has been achieved in the field of creating effective protective materials. Various non-metallic, metal-ceramic, and also composite materials act as armor elements. However, most of the armor elements of vehicles and personal protective equipment (PPE) are steels that, along with high ballistic resistance, have a high mass. In this regard, the relevance of the article is related to the possibility of lightening typical protective elements when using a material that has a structural organization like a natural ferrite-martensite composite (NFMC). The work objective is to evaluate the prospects of using steel with an oriented structure as an effective protective material when exposed to high-speed concentrated impact of high power in comparison with the steel materials used. Materials and Methods. The features and disadvantages of effective armor steels are revealed, a comparative analysis is carried out with steel oriented as NFMC. The assessment of 14G2 steel microstructure state with different hardening temperatures (730 °C and 760 °C) was carried out by the method of microstructural analysis. In relation to the topic of the study, the prospects for the use of low-carbon ferritic-martensitic steel were shown based on the laws of fracture mechanics and their comparison with the experimental data obtained on a sample of 14G2 steel with dimensions of 150 × 44 × 7 mm after testing for bullet resistance by cartridges with a steel core and armor-piercing cartridges with a tungsten core made of SVD rifles and AK-74 assault rifles of 7.62 mm and 5.45 mm caliber, respectively. Results. The possibilities of resistance to fracture of steel with an oriented ferritic-martensitic structure are evaluated in comparison with typical homogeneous and heterogeneous steel materials. The resistance of such steel is related to the nature of the development of fracture, expressed in the deceleration of the crack during delamination at the ferrite-martensite boundaries. When a delamination is formed, a crack expends energy on delamination and changes its direction, which subsequently leads to a complete stop of the fracture process. Discussion and Conclusion. The disadvantages of armor elements made of homogeneous and heterogeneous steel materials, associated with a high effective thickness of the protective element and the laborious process of obtaining a steel sandwich, respectively, can be solved by using oriented ferritic-martensitic steel. The data presented indicate a higher fracture resistance due to a special crack propagation mechanism, which is relevant in the development of armored vehicles. This makes it possible to reduce the total mass of combat vehicles associated with a decrease in the effective thickness of protective elements while maintaining the required class of resistance to high-speed impact loading, which will increase their mobility and reduce fuel consumption.
The Effect of Work Environment, Work Motivation and Compensation on Teacher Morale at SMA Negeri 1 Rendang
Authors: Pramana I Kadek Erwin , Dewi Anak Agung Sagung Kartika 
Published: March 2023

This research was conducted at educational institutions SMA Negeri 1 Rendang. The theory used in this study is the ERG theory which studies individual needs divided into 3 namely existence, connectedness, and growth to increase motivation. The number of samples in this study were 51 teachers. The saturated sampling technique is used to select the number of respondents in the data collection process through interviews with a questionnaire instrument. Data calculation analysis was assisted by SPSS software, which resulted in findings that the work environment, work motivation, and compensation have a positive and significant effect on teacher morale. Therefore, SMA Negeri 1 Rendang needs to pay attention to aspects of the work environment, motivation, and compensation to increase teacher morale.
Canon, semiosis y obras derivadas: los fan films de Harry Potter
Authors: Gagliardi Lucas 
Published: March 2023

Dentro de los estudios sobre el fandom de Harry Potter poco se ha explorado el fenómeno de los fan films. Indagamos en ese conjunto de producciones audiovisuales con el objetivo revisar las relaciones que establecen dichas obras derivadas con el canon de J. K. Rowling. Realizamos un estudio contrastivo que consistió en a) búsqueda, visionado y análisis semiótico de las producciones y b) una revisión de comentarios del fandom sobre las producciones audiovisuales en cuestión. Localizamos una serie de particularidades en los fan films que los diferencian de otros fan works: una relación más porosa con el canon ya que toman como base tanto los escritos de Rowling como las adaptaciones cinematográficas de las novelas; también ciertas temáticas y centros de interés particulares. El estudio muestra que la inserción de estos fan works en la narrativa transmedia se produce a partir de negociaciones complejas con el canon y fandom.
A swine model of pulmonary embolism with human-derived thrombi
Authors: Larco Jorge Luis Arturo , Madhani Sarosh Irfan , Liu Yang , Abbasi Mehdi , Shahid Adnan Hussain , Yasin Omar Ziad , Moreno Cristina , Vadlamudi Venu , Savastano Luis Emilio 
Published: March 2023

Objectives:
The development and evaluation of percutaneous thrombectomy devices for pulmonary embolism (PE) pose a need for standardized large in vivo models with representative anatomical and physiological conditions and clots analogs. In this study, we present a swine model of PE model employing human-derived clot analogs.

Material and Methods:
Baseline angiographic and physiological pressure measurements were obtained in six adult Yorkshire pigs (45–65 kg) and results were benchmarked for interspecies comparison with published human data using fluoroscopic examinations, intra-arterial pressure measurements, and histologic studies. Then, clot analogs were created ex vivo employing banked human blood and a subset incubated in iodinated contrast for fluoroscopic visualization. Clot analogs were then embolized via a femoral venous access and angiographic/physiological consequences were evaluated.

Results:
The main, right, and left pulmonary artery diameters were 24 ± 1.1 mm, 16.5 ± 0.8 mm, and 12.6 ± 1.2 mm, respectively. The angle between the main pulmonary artery at the bifurcation point was approximately 90–95°. The clot analogs were heterogeneous and had increased fibrin content along the clot length. The overall composition was 96.63% red blood cell (RBC)/3.37% fibrin in the initial section, 48.85% RBC/51.15% fibrin in the intermediate section, and 3.44% RBC/96.56% fibrin in the final section. Embolization of the clot analogs resulted in distal occlusion of the right and left pulmonary arteries.

Conclusions:
This swine model coupled with clot analog is able to accurately mimic human anatomical and physiological conditions in PE making it feasible for the evaluation of pulmonary thrombectomy devices.
Single thalamic localization of brain toxoplasmosis mimicking brain tumors: Radiological and clinical findings
Authors: DiPellegrini Giosué , Boccaletti Riccardo , Mingozzi Anna , Fara Antonella , Policicchio Domenico 
Published: March 2023

Background:
Cerebral toxoplasmosis is a relatively rare disorder that usually affects immunocompromised patients. The most common scenario occurs among human immunodeficiency virus (HIV)-positive patients. In those patients, toxoplasmosis is the most frequent cause of expansive brain lesion and continues to cause elevated morbidity and mortality. In typical cases of toxoplasmosis, both computed tomography and magnetic resonance imaging reveal single/ multiple nodular or ring-enhancing lesions with surrounding edema. Nevertheless, cases of cerebral toxoplasmosis with atypical radiological features have been reported. Diagnosis can be obtained by finding organisms in the cerebrospinal fluid or in stereotactic biopsy samples of the brain lesion. If untreated, cerebral toxoplasmosis is uniformly fatal, so prompt diagnosis is mandatory. A prompt diagnosis is necessary, as untreated cerebral toxoplasmosis is uniformly fatal.

Case Description:
We discuss imaging and clinical findings of a patient – not aware of being HIV-positive – with a solitary atypical brain localization of toxoplasmosis mimicking a brain tumor.

Conclusion:
Although relatively uncommon, neurosurgeons should be aware of the potential occurrence of cerebral toxoplasmosis. High index of suspicion is needed for timely diagnosis and prompt initiation of therapy.
Incidence, aetiology and temporal trend of bloodstream infections in southern Sweden from 2006 to 2019: a population-based study
Authors: Ljungquist Oskar , Blomstergren Adam , Merkel Adam , Sunnerhagen Torgny , Holm Karin , Torisson Gustav 
Published: March 2023

Background
Bloodstream infections (BSI) are a public health concern, and infections caused by resistant bacteria further increase the overall BSI burden on healthcare.

Aim
To provide a population-based estimate of BSI incidence and relate this to the forthcoming demographic ageing western population change.

Methods
We retrieved positive blood cultures taken from patients in the Skåne region, southern Sweden, 2006–2019 from the Clinical Microbiology Department database and estimated incidence rates (IR), stratified by age (0–49, 50–64, 65–79, ≥ 80 years), sex, year, and species and described antimicrobial susceptibility for Enterobacterales.

Results
We identified 944,375 blood culture sets, and 129,274 (13.7%) were positive. After deduplication and removal of contaminants, 54,498 separate BSI episodes remained. In total, 30,003 BSI episodes (55%) occurred in men. The overall IR of BSI was 307/100,000 person-years, with an average annual increase of 3.0%. Persons ≥ 80 years had the highest IR, 1781/100,000 person-years, as well as the largest increase. Escherichia coli (27%) and Staphylococcus aureus (13%) were the most frequent findings. The proportion of Enterobacterales isolates resistant to fluoroquinolones and third generation cephalosporins increased from 8.4% to 13.6%, and 4.9% to 7.3%, (p for trend < 0.001), with the largest increase in the oldest age group.

Conclusion
We report among the highest BSI IRs to date worldwide, with a higher proportion among elderly persons and males, including resistant isolates. Given expected demographic changes, these results indicate a possible substantial future BSI burden, for which preventive measures are needed.