bluuebunny/crossref_metadata_2025_split huggingface dataset:
Clinical Outcomes After Viewing Video Education on Danger Signs and Symptoms of Worsening Heart Failure and Self-care Actions
Authors: Albert Nancy , Babcock Carol , Gray-Leyko Anna Maria , Bena James , Morrison Shannon , Sayler Dorothy , Levay Michelle 
Published: February 2023

Background
Patients with heart failure (HF) must understand subtle escalation in fatigue, dyspnea, and edema before they are triggered to control worsening status.

Objective
The aim of this paper is to examine if video education of HF danger signs or symptoms recognition and control, developed using symbolic modeling (social cognitive theory), leads to between-group differences in functional status, symptoms, and self-efficacy for managing symptoms at 30-days, all-cause, and HF-related hospitalization, emergency department visits, and death at 30, 90, and 180 days.

Methods
Using a 2-group, randomized controlled, multicenter, single-blind design, patients received video education (VE) plus usual care (UC) or UC alone before hospital discharge. VE patients also had access to content post discharge. Thirty-day functional status, fatigue, dyspnea, and self-efficacy for managing symptoms were assessed using valid, reliable tools. In the analysis, multivariable models were created to compare changes in patient-reported outcomes from baseline to 30-days post discharge and morbidity or mortality outcomes up to 180 days.

Results
Of 369 VE and 377 UC patients enrolled from 7 sites, mean age was 68.0 (SD 12.4) years, and 206 (55.9%) were male. At 30 days, there were no between-group differences in the change in functional status, fatigue, dyspnea, and self-efficacy from baseline. In multivariable analyses, between-group outcomes did not differ at 30 or 90 days. At 180 days, HF-related events and HF-related hospitalization were higher in the video group—odds ratios (95% CI): 1.42 (1.04, 1.94), P=.03; and 1.44 (1.05, 1.97), P=.03, respectively. In time-to-event adjusted analyses, video patients had earlier HF-related hospitalization, compared to UC patients—hazard ratio (95% CI) 1.32 (1.02, 1.72), P=.04.

Conclusions
Video education on recognition and control of danger signs or symptoms paradoxically increased HF-related events and hospitalization and decreased time to first HF-related hospitalization. Increased recognition of subtle HF signs or symptoms via video education is valuable but must be connected to patient or family self-care actions that reduce HF signs or symptoms.

Trial Registration
ClinicalTrials.gov NCT03657459; https://clinicaltrials.gov/ct2/show/NCT03657459

Conflicts of Interest
None declared.
Telenursing and Telemonitoring During and Beyond the COVID-19 Pandemic
Authors: Kamei Tomoko 
Published: February 2023

Background
The presenter will be discussing home monitoring–based telenursing for people with chronic conditions. This technology has been implemented in home-care individuals with chronic obstructive pulmonary disease, type 2 diabetes, congestive heart failure, lung cancer, and amyotrophic lateral sclerosis, who are treated at home, including during the COVID-19 pandemic. The pandemic, which began in late 2019, has limited our everyday activities and opportunities to connect with people. Older adults with chronic conditions are most especially affected. While telenursing practice is not so familiar in the Japanese context, the Japan Academy of Home Care (2021) first defined telenursing as “information and communication technologies involving telecommunication provided by nurses.” Furthermore, we are providing seminars for the nurses and expanding their capacity on how to provide efficient telenursing support for people receiving home care.

Objective
This study aims to present effective telenursing practice examples, as well as the challenges surrounding the use of technology in care for older adults with chronic conditions during and beyond the COVID-19 pandemic.

Methods
A fully longitudinal mixed methods design was used to evaluate the physical and emotional fluctuations of people from qualitative and quantitative strands, and we integrated the results and meta-inferences.

Results
The patients showed a continuous change over time in terms of their physical and psychological status. Living with symptoms, the patients were constantly reminded of the reality of their disease and the activity limitations the pandemic brought. At times, they were able to find hope for the future by actively controlling and managing their disease, maintaining their health and physical function, and realizing that they could live a normal life. On the other hand, they experienced a loss of activity, a decline in physical function, and anxiety about the future, brought about by the pandemic. Thus, people who receive telenursing are on a dynamic disease trajectory that vacillates between hope and despair, and telenursing can help them.

Conclusions
Performing telemonitoring and telerehabilitation of older adults throughout the pandemic, as well as adapting to their physical and emotional fluctuations, will improve their quality of life.

Conflicts of Interest
None declared.
Evaluating the Potential of Brown Sugar Product as An Effort to Increase the Economic Welfare of Coconut Farmers in Sidorejo Village, Kapenewon Lendah, Kabupaten Kulon Progo
Authors: Pramuditya Fani , Wardhana Leo Indra , Akbar Saiqa Ilham , Satrianto Elton Buyung 
Published: February 2023

This study aims to give innovation and value added to the brown sugar produced by the community in Sidorejo Village. The purpose is to provide a better income for the coconut farmer as well as to optimize the roles of BUMDES Binangun Dadi Maju as an economic catalyst. This project was conducted in Desa Sidorejo, Kapenemon Lendah, Kabupaten Kulon Progo, Daerah Istimewa Yogyakarta. There are three stages applied in this program i.e.: preparation, application and evaluation. Recommendations and guidance were given to the farmer and BUMDES to develop the brown sugar product and to produce the liquid brown sugar product. The new product development is still under evaluation for the commercial purpose.
Prevalence and Predictors of Increased and Hazardous Alcohol Consumption in a Cohort of Older South Australian Men during COVID-19 Restrictions
Authors: Nankivell Murray E. , Antwerpen Natasha van , Turnbull Deborah , Gil Tiffany K. , Martin Sean A. , Opozda Melissa J. 
Published: February 2023

Background: Increasing levels of risky alcohol consumption in older men observed in many countries, combined with trends for increased alcohol-related misuse by men during COVID, indicate a need to examine alcohol use by older men during the pandemic. Aim: To examine the prevalence and predictors of increased and hazardous alcohol consumption in older South Australian men during COVID-19 restrictions. Method: Data collected in the latest (eighth) wave of the Men Androgen Inflammation Lifestyle Environment and Stress (MAILES) cohort study were interrogated. Participants were 746 community-dwelling older men (mean age 69 years) who completed a self-report survey on mental health, coping, COVID-related worries, and alcohol consumption during pandemic restrictions. Alcohol-related items asked about changes to overall consumption (analysed as increased vs. decreased/same) and number of standard drinks per occasion (analysed as <5 drinks [not hazardous consumption] vs. 5+ drinks [hazardous]). Two hierarchical binary logistic regressions were conducted to explore predictors of increased and hazardous alcohol intake. Results: Eight percent of men reported increased alcohol intake and nine percent reported hazardous alcohol consumption during COVID-19 restrictions. Being in a younger age group (‘younger old’; OR=0.46, 95%CI=1.03, 2.28), having mild to severe depressive symptoms (OR=1.39, 95%CI=1.10, 5.05), and greater concern about becoming sick with COVID-19 (OR=1.52, 95%CI=1.03, 2.28) were predictive of increased alcohol consumption during restrictions. Younger age group (OR=0.46, 95%CI=0.34, 0.62) and greater concern about becoming sick with COVID-19 (OR=1.67, 95%CI=1.13, 2.51) were also predictive of hazardous alcohol consumption during this time. Discussion: Men participating in longitudinal health study follow-ups may be less inclined to engage in unhelpful coping behaviours such as problematic alcohol use. Clinicians should regularly screen older men for risky alcohol consumption; a particular focus on screening ‘younger old’ men, those with more significant concerns around COVID-19, and those with depression symptoms may be warranted.
The Case for an App-Based Financial Reporting System
Authors: Alles Michael , Palas Rimona , Vasarhelyi Miklos A. , Xiong Fangbing 
Published: February 2023

ABSTRACT
The current financial reporting systems are becoming obsolete due to the increasing sophistication of their users, the changing economic environment, and their inability to utilize current technology. This paper proposes an Extended Business Reporting App that will apply current technology, specifically app-based technology, to collect and integrate traditional variables with exogenous data. The app will customize presentation of the data based on user demands and allow a low-cost comparison among entities.
Plasma lipidomic n-6 Polyunsaturated Fatty Acids and Type 2 Diabetes Risk in the EPIC-Potsdam Prospective Cohort Study
Authors: Prada Marcela , Eichelmann Fabian , Wittenbecher Clemens , Kuxhaus Olga , Schulze Matthias B. 
Published: February 2023

<p> </p>
<p><strong>Objective:</strong> Evidence on plasma n-6 polyunsaturated fatty acids (PUFAs) and type 2 diabetes risk is inconsistent. We examined the associations of lipid class-specific PUFA concentrations with type 2 diabetes risk.</p>
<p><strong>Research Design and Methods:</strong> In the prospective European Prospective Investigation into Cancer and Nutrition (EPIC)-Potsdam cohort (nested case-cohort study: subcohort=1,084, type 2 diabetes cases=536; median follow-up 6.5 years), we measured plasma 18:2, 20:3, and 20:4 concentration in 12 lipid (sub)classes, likely reflecting the plasma concentrations of linoleic acid (18:2n-6), dihomo-gamma-linolenic acid (20:3n-6), and arachidonic acid (20:4n-6). Delta-5 desaturase (D5D) activity was estimated as 20:4/20:3-ratio. Associations with diabetes were estimated with Cox proportional-hazards models.</p>
<p><strong>Results:</strong> Higher concentrations of 18:2 were inversely associated with type 2 diabetes risk, particularly in lysophosphatidylcholines (Hazard ratio (HR) per 1 SD: 0.53, 95% CI 0.23-1.26), and monoacylglycerols (HR=0.59, 0.38-0.92). Higher concentrations of 20:3 in phospholipid classes: phosphatidylcholines (HR=1.63, 1.23-2.14), phosphatidylethanolamines (HR=1.87, 1.32-2.65) and phosphatidylinositol (HR=1.40, 1.05-1.87), free fatty acids (HR=1.44, 1.10-1.90), and cholesteryl esters (HR=1.47, 1.09-1.98) were linked to higher type 2 diabetes incidence and these associations remained statistically significant after correction for multiple testing. Higher 20:4 concentrations were not associated with risk. The estimated D5D activity in phospholipids and cholesteryl esters was associated with lower type 2 diabetes risk. SNPs in the D5D-encoding FADS genes explained relatively high proportions of variation of estimated D5D activity in those lipid classes.</p>
<p><strong>Conclusion:</strong> Plasma n-6 PUFA were associated differently with type 2 diabetes depending on fatty acid and the lipid class.</p>
Connecting From Afar: Implementation of Remote Data-Sharing for Patients With Type 1 Diabetes on Insulin Pump Therapy
Authors: Grimaldi Monica , Cardenas Lisania , Saenz Aleida Maria , Saalinger Maddison , Odugbesan Ori , Rioles Nicole , Ebekozien Osagie , Bernal-Mizrachi Ernesto , Vendrame Francesco 
Published: February 2023

<p> </p>
<p>The coronavirus disease 2019 (COVID-19) pandemic led to a rapid expansion in the use of telemedicine for treating many conditions, including type 1 diabetes. In the T1DX-QI, we reported a rapid adoption of telemedicine during the pandemic (2). We described interventions for and barriers to telemedicine practice in type 1 diabetes care and identified access to technology tools as one of the key drivers of adoption (2).</p>
<p>After the increased adoption of telemedicine in our clinics, we identified a quality gap in accessing insulin pump data remotely. The Tandem t:slim X2 insulin pump was most used pump used by our patients attending the two clinics. As part of the activities supported by the T1DX-QI, we started a quality improvement (QI) project aimed at increasing the percentage of patients with type 1 diabetes using the t:slim X2 insulin pump who were able to share data remotely. Patients have different options for sharing data when they are not in the clinic, but the process requires a good understanding of the manufacturer’s online data-sharing platform (t:connect) (Supplementary Figure S1). First, patients need a t:connect account. Then, if their account is not linked to the t:connect health care provider (HCP) portal, they must upload their pump data using cables to connect the pump to the computer, generate the report, and send it (e.g., by e-mail) to the clinic. This process is time consuming, requires patients to take several actions, and in our experience, is prone to failure. Instead, if patients’ t:connect account is linked to the HCP portal, uploaded data are readily available on the platform for HCPs to access. Finally, in the ideal scenario, patients can share data through the t:connect mobile app, which became available in August 2020. In this case, no cables are needed and pump data can be easily accessed remotely at any time on the manufacturer platform, as long as a patient’s account is linked to the HCP portal and the t:connect mobile app is open and transferring data. For this project, we sought to increase the percentage of patients with type 1 diabetes using the t:slim X2 insulin pump who were able to share data from a baseline of 40% to 80% in 6 months. The measured primary outcome was the percentage of patients with an established t:connect account linked to the HCP portal, and the secondary outcome was the percentage of patients using the t:connect mobile app.</p>
Kanontekster i norskundervisningen – fra skjult til dynamisk kanon
Authors: Grüters Ruth , Myren-Svelstad Per Esben 
Published: February 2023

Skjønnlitteraturens plass i norskfaget har vært gjenstand for debatt de senere årene. Flere forskere har kritisert det de oppfatter som en «skjult kanon». Metaforen «skjult kanon» ser ut til å ha fått status som en etablert sannhet uten at det er avklart hvilke implikasjoner det skjulte kan ha. Snarere enn å ta begrepets epistemologiske gyldighet for gitt, ønsker vi å undersøke den faktiske utvalgspraksisen i norskfagets litteraturundervisning ved å synliggjøre hva som motiverer lærernes valg og handlinger. Det empiriske grunnlaget for vår studie er en spørreundersøkelse som vi sendte til et representativt antall norsklærere og lærerutdannere i hele landet der vi ba lærerne oppgi og begrunne hva de hadde undervist i av skjønnlitteratur det siste året. Analysen viser at lærernes valg er pragmatiske, styrt av tekstenes aktualitet, elevengasjement og tekstsjanger. Inspirert av Rudi Kellers «sti-teori» («Trampelpfadtheorie», Keller, 1994) indikerer våre funn at i den grad det finnes en kanon, er den i mindre grad en ideologisk «skjult» overbygning, men en dynamisk prosess som både følger kjente stier i litteraturlandskapet, men også tråkker opp nye.
English abstract
Canon texts in Norwegian L1 – from a hidden to a dynamic canon
The status and purpose of literary fiction in the subject of Norwegian L1 has in recent years been a topic of debate. Criticism has been raised against what is perceived as a «hidden canon». The metaphor of «hidden canon» seems to have become an established truth. However, it remains unclear precisely what the idea of “hiding” entails. Rather than taking the epistemological validity of such a concept as granted, we wish to study the actual selection practices of Norwegian teachers to make visible what motivates their choices and actions. The empirical basis for our study is a questionnaire sent to a representative number of Norwegian teachers and teacher educators from throughout the country asking the teachers what fiction they had taught over the last year and how they would justify their choices. The analysis reveals that teachers' choices are if anything pragmatic, driven by the perceived relevance of the texts, student engagement and text genre. Inspired by Rudi Keller’s «path theory» («Trampelpfadtheorie», Keller, 1994), we claim that to the degree that there is a canon, it is not so much a «hidden» ideological superstructure as a dynamic process that follows well-known paths in the literary landscape, while at the same time treading new ones.
HUBUNGAN ANTARA KONSEP DIRI DENGAN OPTIMISME PADA REMAJA DI PENGUNGSIAN KORBAN ERUPSI GUNUNG SINABUNG
Authors: Munthe Rismawati 
Published: February 2023

This study aims to determine the relationship between self-concept in adolescents optimism in the evacuation of victims eruption of Mount Sinabung. The research subject were teenagers who were in the refugee victimsof Sinabung eruption that totaled 80 people. The measuring instruments used is a Likert scale that consist of 46 items of self-concept (α = 0,963 ) and 42 items optimism (α = 0,970 ). Data analysis using techniques r Product Moment. Based on the analysis of data, found that the hypothesis proposed in this study received, that there is a relationship between self – concept in adolescents optimism in the evacuation of victims eruption of Mount Sinabung. This is evidenced by the value or coefficient of correlation ( rxy = 0,844 with p = 0,04 ; p < 0,05). Furthermore as seen from the calculation of the mean hypothetical and empirical mean as well as standard deviation is known that self- concept and optimism adolescents in the evacuation victims Sinabung eruption is low where the average empirical value is lower than the average value of the hypothetical.
Staging Race and Gender in the Era of Contemporary Crises: Dramas of African American Women Playwrights
Authors: Čirić-Fazlija Ifeta 
Published: February 2023

Abstract
Starting from the premise that contemporary crisis is a pervasive continuation of the modern “series of interrelated crises” (Fernández-Caparrós and Brígido-Corachán vii), this article examines the manner in which the US theater has responded to the outbreak of the COVID-19 pandemic. Simultaneously considering crises as “agents of change and transformation” (xvii) and bearing in mind the #MeToo, and Black Lives Matter movements, the article questions the likelihood of contemporary American theater overcoming its own crisis of representation. Relating modern and current crises, the essay first outlines twentieth century dramatic literature and theatersi against the backdrop of the World Wars, the 1918 health crisis, economic depression, and post-war (racialized) society, focusing on plays by American women of color. The study then centers on dramatic and theatrical developments brought about by the annus horribilis of 2020, surveying new genres, authors and performances, and discerning no significant improvement in systemic discrimination on Broadway stages. The essay also offers complementary reading of Trouble in Mind (1955), a meta-drama mirroring systemic racial and gender discrimination in American theaters, and By the Way, Meet Vera Stark (2011) which unravels similar issues, albeit in the film industry.
Mother Ranaldi: a post-paleolithic goddess gives birth flanked by supernatural stags
Authors: Merlini Marco 
Published: February 2023

Abstract
Birth was one of the most magical, miraculous, and blessed events of post-paleolithic spirituality. The Mesolithic - Early Neolithic rock art paintings of the Ranaldi Shelter (Southern Italy) give distinct visual evidence to a universal subject: the woman during childbirth and the wild animal which, given the context data, is the adult male red deer. The pivotal personage of the drama, Mother Ranaldi, shares her iconographic canon with the Goddess of Childbirth in prehistoric art. She is a majestic, naked, corpulent and fertile anthropomorph who is delivering a new life between her generous thighs. The depiction of the newborn’s head emerging from the vagina emphasizes her female power to procreate. Mother Ranaldi is birthing flanked by two adult stags which she touches with her sacred hands. They are not ordinary animals. Their supernatural nature is described by three features: exaggerated unnatural antlers, clear epiphanic seasonal nature, and bicephalism. They were symbol of worship to the Goddess of Generation, acting as her paredri (supporting, assisting partners). Ranaldi Shelter was used during the seasonal relocation of cervids, which in spring moved from the plains to the summer mountainous ranges. Then, the red paintings had not only a sacred value. Having totemic nature, they carried out a territorial function by contributing to organize and mark the territory, possibly associated with appropriate rituals.
Research on the Largo and architectural landscape of Macau from the perspective of historical layering
Authors: Teng Youping , Huang Yue , Xie Zhenlin , Hu Yuzhang 
Published: February 2023

Abstract
With the research of urban historical landscape, its definition has been continuously deepened. The development of a city is regarded as the result of the accumulation of cultural and natural values in different periods, that is, the historical landscape of a city is the result of historical ‘layering.’ This paper takes the historical dynamic layering process of the Largo and the architectural landscape of Macau as the research content and uses the layering method to take the economy, society and culture of Macau in each historical period as the internal cause of its layering value, relating its explicit characteristics so as to explore the ways and rules of its historical layering. Moreover, in the historical layering of various dimensions, the harmonious Chinese and Western cultural values of Macau are always linked, and it is concluded that ‘the characteristics of pluralism and symbiosis have created the present Macau.’ This paper advocates that in the protection and inheritance of the urban context of Macau, we should focus on the effective protection and promotion of the multi-symbiotic culture and pass on the unique flavour of the city jointly created by the Chinese and Portuguese people.
Labour and Education Markets in Industry 4.0
Authors: Matúšová Silvia , Kollár Vojtech 
Published: February 2023

Abstract

Introduction:
The current development of the world economy defined as the Fourth industrial revolution (Industry 4.0) is rather determined by a larger social change caused by the interconnection of the physical, virtual, and social worlds. It affects the market of products, production factors, sectors, services, education, research, social systems, the labour market, the education, and specialization, including the legal framework, and the use of digital technologies for production and education purposes.

Purpose:
The aim of the literature review will be the description and analysis of Industry 4.0, which are digitization and the application of digital technologies, associated with new emerging jobs in the circular economy, artificial intelligence, cloud computing, development, sales of products and services and the focus on human resources, as Industry 4.0 requires new standards regarding Education 4.0. Methods: The study, analysis, evaluation and comparison of selected scientific papers and research reviews of international organizations (European Union, OECD, etc.) related to Industry 4.0 and Education 4.0 resulted in the need for a significant transformation of education and labour markets, because of newly emerging professions demanding new profiles of graduates.

Conclusions:
Calls for changes in the educational structure and new qualifications will be formulated regarding the Slovak economy by 2030. A successful transition to Industry 4.0 paradigm requires the linkage between industrial policy and educational, scientific, technical and innovation policies.