bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Web-Based Audio Computer-Assisted Self-interview Application With Illustrated Pictures to Administer a Hepatitis B Survey Among a Myanmar-Born Community in Perth, Australia: Development and User Acceptance Study
Authors: Phoo Nang Nge Nge , Reid Alison , Lobo Roanna , Davies Murray , Vujcich Daniel 
Published: February 2023

BackgroundSelf-administered paper or electronic surveys can create accessibility issues for people with language barriers and limited literacy, whereas face-to-face interviews can create privacy issues and give rise to reporting biases, particularly in the context of sensitive subject matters. An audio computer-assisted self-interview (ACASI) offers an alternative mode of survey administration, and its use has been tested against other survey modes to determine whether the presence of a background narration helps overcome literacy and privacy issues. There are still gaps with the ACASI survey administration because audio narration alone does not assist respondents with limited literacy in choosing response options. To overcome literacy issues, a few studies have used illustrated pictures for a limited number of response options.ObjectiveThis study aimed to illustrate all the questions and response options in an ACASI application. This research is part of a larger study comparing different modes of survey administration (ACASI, face-to-face interviews, and self-administered paper surveys) to collect data on hepatitis B knowledge, attitudes, and practices among the Myanmar-born community in Perth, Australia. This study describes the 2-phase process of developing a web-based ACASI application using illustrated pictures.MethodsThe first phase was the preparation of the ACASI elements, such as questionnaire, pictures, brief descriptions of response options, and audio files. Each element was pretested on 20 participants from the target population. The second phase involved synchronizing all the elements into the web-based ACASI application and adapting the application features, in particular, autoplay audio and illustrated pictures. The preprototype survey application was tested for user acceptance on 5 participants from the target population, resulting in minor adjustments to the display and arrangement of response options.ResultsAfter a 12-month development process, the prototype ACASI application with illustrated pictures was fully functional for electronic survey administration and secure data storage and export.ConclusionsPretesting each element separately was a useful approach because it saved time to reprogram the application at a later stage. Future studies should also consider the participatory development of pictures and visual design of user interfaces. This picture-assisted ACASI survey administration mode can be further developed and used to collect sensitive information from populations that are usually marginalized because of literacy and language barriers.
Efficacy of the Aim2Be Intervention in Changing Lifestyle Behaviors Among Adolescents With Overweight and Obesity: Randomized Controlled Trial
Authors: Tugault-Lafleur Claire N , De-Jongh González Olivia , Macdonald Janice , Bradbury Jennifer , Warshawski Tom , Ball Geoff D C , Morrison Katherine , Ho Josephine , Hamilton Jill , Buchholz Annick , Mâsse Louise 
Published: February 2023

Background
Aim2Be is a gamified lifestyle app designed to promote lifestyle behavior changes among Canadian adolescents and their families.

Objective
The primary aim was to test the efficacy of the Aim2Be app with support from a live coach to reduce weight outcomes (BMI Z score [zBMI]) and improve lifestyle behaviors among adolescents with overweight and obesity and their parents versus a waitlist control group over 3 months. The secondary aim was to compare health trajectories among waitlist control participants over 6 months (before and after receiving access to the app), assess whether support from a live coach enhanced intervention impact, and evaluate whether the app use influenced changes among intervention participants.

Methods
A 2-arm parallel randomized controlled trial was conducted from November 2018 to June 2020. Adolescents aged 10 to 17 years with overweight or obesity and their parents were randomized into an intervention group (Aim2Be with a live coach for 6 months) or a waitlist control group (Aim2Be with no live coach; accessed after 3 months). Adolescents’ assessments at baseline and at 3 and 6 months included measured height and weight, 24-hour dietary recalls, and daily step counts measured with a Fitbit. Data on self-reported physical activity, screen time, fruit and vegetable intake, and sugary beverage intake of adolescents and parents were also collected.

Results
A total of 214 parent-child participants were randomized. In our primary analyses, there were no significant differences in zBMI or any of the health behaviors between the intervention and control groups at 3 months. In our secondary analyses, among waitlist control participants, zBMI (P=.02), discretionary calories (P=.03), and physical activity outside of school (P=.001) declined, whereas daily screen time increased (P<.001) after receiving access to the app compared with before receiving app access. Adolescents randomized to Aim2Be with live coaching reported more time being active outside of school compared with adolescents who used Aim2Be with no coaching over 3 months (P=.001). App use did not modify any changes in outcomes among adolescents in the intervention group.

Conclusions
The Aim2Be intervention did not improve zBMI and lifestyle behaviors in adolescents with overweight and obesity compared with the waitlist control group over 3 months. Future studies should explore the potential mediators of changes in zBMI and lifestyle behaviors as well as predictors of engagement.

Trial Registration
ClinicalTrials.gov NCT03651284; https://clinicaltrials.gov/ct2/show/study/NCT03651284

International Registered Report Identifier (IRRID)
RR2-10.1186/s13063-020-4080-2
LEADS+ Developmental Model: Proposing a new model based on an integrative conceptual review
Authors: Ramelli Sandra , Lal Sarrah , Sherbino Jonathan , Dickson Graham , Chan Teresa 
Published: February 2023

Purpose: Leaders in academic health sciences centres (AHCs)
must navigate multiple roles as an inherent component of their
positions. Changing accountabilities, varying expectations, differing
leadership competencies required of multiple leadership roles can be
exacerbated by health system disruption, such as during the COVID-19
pandemic. We need improved models that support leaders in navigating, so
they can better handle the complexity of multiple leadership roles.
Method: This integrative conceptual review sought to examine
leadership and followership constructs and how they intersect with
current leadership practices in AHCs. The goal was to develop a refined
model of health care leadership development. The authors used iterative
cycles of divergent and convergent thinking to explore and synthesize
various literature and existing leadership frameworks. The authors used
simulated personas and stories to test the model and, finally, the
approach sought feedback from knowledge users (including health care
leaders, medical educators, and leadership developers) to offer
refinements.
Results: After five rounds of discussion and reformulation, the
authors arrived at a refined model: the LEADS+ Developmental
Model. The model describes four nested stages, organizing progressive
capabilities, as an individual toggles between followership and
leadership. During the consultation stage, feedback from 29 out of 65
recruited knowledge users (44.6% response rate) was acquired. More than
a quarter of respondents served as a senior leader in a health care
network or national society (27.5%, n=8). Consulted knowledge users
were invited to indicate their endorsement for the refined model using a
10-point scale (10=highest level of endorsement). There was a high level
of endorsement: 7.93 (SD 1.7) out of 10.
Conclusion: The LEADS+ Developmental Model may help
foster development of academic health centre leaders. In addition to
clarifying the synergistic dynamic between leadership and followership,
this model describes the paradigms adopted by leaders within health
systems throughout their development journey.
Designs and operations of heat integrated reactors for thermochemically producing hydrogen from methanol by steam reforming
Authors: Chen Junjie 
Published: February 2023

Endothermic reactions performed in microreactors are driven using heat
from an external source. However, the temperature of the gas stream
providing the heat is limited by constraints imposed by the materials of
construction. The present study is focused primarily upon the designs
and operations of heat integrated reactors for thermochemically
producing hydrogen from methanol by steam reforming. A symmetry boundary
condition is used to model half of each system where symmetry exists.
Computations are performed using grids with varying nodal densities to
determine the optimum node spacing and density that would give the
desired accuracy and minimize computation time. The final grid density
is determined when the centerline profiles of temperature and species
concentration do not show obvious difference. The second-order upwind
scheme is used to discretize the mathematical model, and the
semi-implicit method for pressure-linked equations algorithm is employed
to solve for the pressure and velocity fields. The convergence is judged
upon the residuals of all governing equations. The present study aims to
provide a fundamental understanding of the designs and operations of
heat integrated reactors for thermochemically producing hydrogen from
methanol by steam reforming. Particular emphasis is placed upon the
effect of various factors on the thermochemical steam reforming
processes in heat integrated reactors. The results indicate that steam
reforming produces hydrogen and carbon monoxide when heat is added to a
catalytic reactor containing steam and hydrocarbons. Alternating channel
parallel plate designs can be applied to thermally coupling endothermic
steam reforming with combustion in neighboring channels. Balancing the
heat requirements of an endothermic reaction with heat generated by an
exothermic reaction flowing parallel to and on the opposite side of a
separating plate is extraordinarily difficult since the endothermic
reaction is likely to have a very different dependence upon
concentration and temperature than the endothermic reaction. A
convenient way to supply heat is to couple the endothermic reaction with
an exothermic combustion reaction in the heat exchange channels. The
process gas is raised in temperature and this energy can be utilized by
the reforming process. The catalyst coating thickness depends upon the
process proceeding within the catalyst matrix. The arrangement leads to
improved heat transfer and therefore chemical conversion. Heterogeneous
combustion aids in spreading the heat generation along the length of the
channel and helps prevent hotspot formation.
Keywords: Hydrogen production; Endothermic reactions; Discrete
channels; Flow arrangements; Chemical conversion; Heterogeneous
combustion
Age of diagnosis does not alter the presentation or progression of robustly defined adult-onset type 1 diabetes
Authors: Thomas Nicholas.J , Hill Anita.V , Dayan Colin.M , Oram Richard.A , McDonald Timothy.J , Shields Beverley.M , Jones Angus.G , group the StartRight Study 
Published: February 2023

<p> </p>
<p><strong>Aims</strong></p>
<p>To determine whether presentation, progression and genetic susceptibility of robustly defined adult-onset type 1 diabetes (T1D) are altered by diagnosis age.</p>
<p><strong>Methods </strong></p>
<p>We compared the relationship between diagnosis age and presentation, C-peptide loss (annual change in Urine C-peptide Creatinine Ratio (UCPCR)) and genetic susceptibility (T1D genetic risk Score (T1DGRS)) in adults with confirmed T1D in the prospective StartRight study, 1,798 adults with new-onset diabetes. T1D was defined in two ways: ≥2 positive islet-autoantibodies (of GADA, IA-2A, ZNT8A) irrespective of clinical diagnosis(n=385), or 1 positive islet-autoantibody and a clinical diagnosis of T1D(n=180). </p>
<p><strong>Results </strong></p>
<p>In continuous analysis age of diagnosis was not associated with C-peptide loss for either definition of T1D [p>0.1], with mean(95% CI) annual C-peptide loss in those diagnosed before and after age 35 (median age of T1D defined by ≥2 positive autoantibodies): 39(31-46)% vs 44(38-50)% with ≥2 positive islet-autoantibodies and 43(33-51)% vs 39(31-46)% with clinician diagnosis confirmed by 1 positive islet-autoantibody [p>0.1]. Baseline C-peptide and T1DGRS were unaffected by age of diagnosis or T1D definition [p>0.1]. In T1D defined by ≥2 autoantibodies, presentation severity was similar in those diagnosed before and after age 35: unintentional weight loss 80(95% CI 74-85)% vs 82(76-87)%, ketoacidosis 23(17-29)% vs 19(14-25)% and presentation glucose 21(19-22) mmol/l vs 21(20-22) mmol/l [all p≥0.1]. Despite similar presentation, older adults were less likely to be diagnosed with T1D, insulin treated, or admitted to hospital. </p>
<p><strong>Conclusions </strong></p>
<p>When adult-onset T1D is robustly defined the presentation characteristics, progression, and T1D genetic susceptibility are not altered by age of diagnosis. </p>
Performance of the Dexcom G6 Continuous Glucose Monitoring (CGM) system during cardiac surgery using hypothermic extracorporeal circulation
Authors: Herzig David , Vettoretti Martina , P. Guensch Dominik , Melmer Andreas , Schürch Daniel , Roos Jonathan , Goerg Arna M. C. , Krutkyte Gabija , Cecchini Luca , Facchinetti Andrea , Vogt Andreas P , Bally Lia 
Published: February 2023

<p> </p>
<p><em>Background</em></p>
<p>Continuous glucose monitoring (CGM) may be challenged by extreme conditions during cardiac surgery using hypothermic extracorporeal circulation (ECC).</p>
<p><em>Research Design and Methods</em></p>
<p>We evaluated the Dexcom G6 sensor in 16 subjects undergoing cardiac surgery with hypothermic ECC, of whom 11 received deep hypothermic circulatory arrest (DHCA). Arterial blood glucose, quantified by the Accu-Chek Inform II meter, served as reference. </p>
<p><em>Results </em></p>
<p>Intra-surgery mean absolute relative difference (MARD) of 256 paired CGM/reference values was 23.8%. MARD was 29.1% during ECC (154 pairs) and 41.6% immediately after DHCA (10 pairs), with a negative bias (signed relative difference: -13.7%, -26.6% and -41.6%). During surgery, 86.3% pairs were in Clarke error grid Zones A or B and 41.0% of sensor readings fulfilled the ISO 15197:2013 norm. Post-surgery, MARD was 15.0%.</p>
<p><em>Conclusions</em></p>
<p>Cardiac surgery using hypothermic ECC challenges the accuracy of the Dexcom G6 CGM although recovery appears to occur thereafter. </p>
Sistem Informasi Reservasi dan Pembayaran Resto Berbasis QR Code
Authors: Rabbani Ariq 
Published: February 2023

Kemajuan teknologi informasi berkembang dengan sangat pesat, seiring meningkatnya kebutuhan manusia akan informasi yang dapat di terima dengan cepat, tepat, dan akurat. Dimana saat ini teknologi telah menjamah di berbagai bidang. Salah satunya adalah website, dimana website telah ada sejak dulu dan hingga sekarang telah mengalami perkembangan yang signifikan. Berdasarkan pengamatan, Kafe Dijou memiliki masalah yang berupa system reservasi masih berupa manual, di mana pengunjung harus membayar DP di tempat. Lalu system pendataan reservasi juga masih berupa manual sehingga data sering hilang karena kelalaian karyawan. Karena hal ini maka saya memutuskan untuk membuat website reservasi untuk mempermudah pengunjung dan karyawan Dijou dalam hal reservasi tempat. Hasilnya rancangan awal website sudah berhasil dibuat dan sudah teruji bisa digunakan untuk memesan meja dan menu.
Kata kunci Teknologi, website, reservasi.
Pengembangan Media Pembelajaran Menggunakan Ispring Suite pada Mata Pelajaran IPA Kelas VIII SMP
Authors: Mardiansyah Mardiansyah , Zen Zelhendri , Bentri Alwen , Supendra Dedi 
Published: February 2023

Penelitian ini memiliki tujuan untuk menghasilkan sebuah produk yakni learning environment untuk aplikasi iSpring Suite. Adapun jenis penelitian yang digunakan pada penelitian ini ialah pengembangan yang dikenal dengan penelitian dan pengembangan (R&D), model ADDIE digunakan sebagai model pengembangan. Proses pengembangan penelitian ini terdiri dari lima tahapan yakni analisis, desain, pengembangan, implementasi serta evaluasi. Kuesioner, dokumentasi dan formulir penilaian digunakan sebagai alat penelitian. Hasil validasi materi menghasilkan nilai 4,28 dengan kategori “Tepat”, sehingga materi dikatakan layak pakai, dari hasil validasi media saya mendapatkan nilai 4,85 “Sangat valid” dan validasi ahli media memberikan nilai II 4,69 “sangat sesuai”, artinya lingkungan tergolong lingkungan eksperimental. Selain itu, ujian praktik mahasiswa mendapat nilai 4,74 “sangat praktis”. Dari sini bisa diambil kesimpulan bahwa penggunaan Media Pembelajaran iSpring Suite dalam mata pelajaran IPA kelas VIII SMP dimungkinkan dan layak.
Persespsi Siswa Terhadap Kompetensi Pedagogik Guru Di SMP Negeri 3 Pariaman
Authors: Afifah Luthfiyyah , Zuwirna Zuwirna 
Published: February 2023

Saat pembelajaran di dalam ataupun di luar kelas guru menjadi objek utama yang selalu dilihat siswa. Kunci yang paling penting agar siswa dapat belajar dengan baik adalah guru, karena guru merupakan fokus utama saat proses pembelajaran berlangsung. Siswa akan membentuk persepsi tentang gurunya, setiap siswa memiliki persepsi yang berbeda-beda. Siswa yang belajar dengan baik dapat memperoleh hasil yang baik dan merasa senang dalam belajar. Guru yang disenangi oleh siswa jauh lebih mudah dalam melakukan proses pembelajaran, karena siswa mempunyai persepsi yang baik pada gurunya, begitu juga sebaliknya. Oleh sebab itu, permasalahan yang akan dikaji dalam penelitian ini adalah “Bagaimana persepsi siswa terhadap komptensi pedagogik guru di SMP Negeri 3 Pariaman?” Penelitian ini bertujuan untuk mengetahui persepsi siswa terhadap kompetensi pedagogik guru ditinjau dari aspek menyelenggarakan pembelajaran yang mendidik, pemanfaatan teknologi pembelajaran, memfasilitasi pengembangan potensi peserta didik untuk mengaktualisasikan berbagai potensi yang dimiliki. berkomunikasi secara efektif, empatik, dan santun dengan peserta didik. Jenis penelitian ini merupakan penelitian deskriptif kuantitatif. Populasi pada penelitian ini adalah seluruh siswa kelas VIII SMP Negeri 3 Pariaman yang berjumlah 221 orang. Penarikkan sampel dilakukan dengan teknik simple random sampling menggunakan rumus Slovin dan memperoleh sampel sebanyak 69 orang. Alat pengumpulan data berupa angket dengan model Skala Likert. Hasil penelitian menunjukkan bahwa persepsi siswa terhadap kompetensi pedagogik guru, dilihat dari aspek: (1) menyelenggarakan pembelajaran yang mendidik berada pada kategori kuat dengan persentase 77,83%, (2) pemanfaatan teknologi pembelajaran berada pada kategori cukup dengan persentase 59,6%, (3) memfasilitasi pengembangan potensi peserta didik untuk mengaktualisasikan berbagai potensi yang dimiliki berada pada kategori kuat dengan persentase 74,80%, (4) berkomunikasi secara efektif, empatik, dan santun dengan peserta didik berada pada kategori kuat dengan skor rata-rata 77,65%. Secara keseluruhan disimpulkan persepsi siswa terhadap kompetensi pedagogik guru ada pada kategori kuat dengan persentase 74,75%
Pengembangan Media Pembelajaran Berbasis E-Flashcard pada Tema “Makanan Sehat” Kelas V Sekolah Dasar
Authors: Yunisa Putri Fenti , Yeni J Fetri , Syafril Syafril , Zuliarni Zuliarni 
Published: February 2023

Penelitian ini bertujuan untuk menghasilkan media pembelajaran berbasis e-flashcard yang dapat membantu guru dalam proses pembelajaran dan meningkatkan motivasi belajar siswa. Media pembelajaran berbasis e-flashcard dikembangkan semenarik mungkin agar siswa lebih tertarik pada pembelajaran. Media dikembangkan dengan menggunakan software utama Adobe Flash CS6 dan software pendukung Adobe Photoshop.Penelitian ini menggunakan metodologi penelitian Research and Development (R&D), dengan menggunakan prosedur pengembangan model Borg and Gall. Kevalidan media diperoleh dari hasil validasi yang dilakukan oleh satu orang ahli materi dan dua orang ahli media. Hasil rata-rata yang diperoleh dari ahli materi yaitu 98,57% dengan kriteria “Sangat Layak” Hasil rata-rata yang diperoleh dari ahli media I yaitu 98,67% dan hasil rata-rata dari ahli media II yaitu 93,33%. Sehingga hasil keseluruhan diperoleh rata-rata sebesar 96% dengan kriteria “Sangat Layak”. Kepraktisan media diperoleh melalui angket praktikalitas siswa, uji praktikalitas dilakukan terhadap 20 orang siswa kelas V SDN 50/III Pematang Lingkung, yang memperoleh hasil 98,57% dengan kriteria “Sangat Praktis”. Hal ini menunjukkan bahwa media pembelajaran berbasis e-flashcard valid dan praktis digunakan pada tema makanan sehat kelas V sekolah dasar.
REINFORCING AND REPULSING THE STAGES OF LIFE’S WAY: A KIERKEGAARDIAN READING OF PHILIP ROTH’S SABBATH’S THEATER (1995)
Authors: Ledesma Jan Raen Carlo Mijaro 
Published: February 2023

This paper unveils the postmodernist patina of Philip Roth’s novel Sabbath’s Theater through the affairs of its main character Morris “Mickey” Sabbath—a 64-year-old puppeteer who finds absolute delight in pursuing the base pleasures of life and one who also indulges himself in the American world bringing him to a state of alienation and destruction. We attempt to present Sabbath as the “aesthete” who greatly wallows in the fleshly pleasures of life. His sexual trysts generate the grounds for discoursing on the matter of sex as a potent postmodern site of disorder, self-cognizance, and reflexivity that leads towards annihilation of the self. In our analysis, we present him akin to an animal wallowing in base pleasures. Bounded by the “finite” from the perspective of the philosopher Soren Kierkegaard, his sexual trysts, ethnic displacements, and the juggling between home (Jewish origins) and host (American landscape) are factors that make it not possible for Sabbath to acquire a true self. Capitalizing on the descriptive-analytical research design, the paper leans on the critical concepts expounded by the philosopher Soren Kierkegaard particularly his three stages of life and the discourse on finitude in further making sense of Mickey Sabbath’s untamed pursuit of worldly desires. We present Sabbath greatly wallowing in the aesthetic stage of life. The ethical and religious stages are depicted only as specters that persistently confront the novel’s hero. The findings highlight Sabbath as the aesthete and pleasure-seeker who wallows in sexual pleasures as well as the person who immerses himself in art and other intellectual pursuits. All the worldly feats that affect the disposition of Sabbath compel him to spurn the ethical stage. This leads to the assertion that there is no commitment to virtue and integrity on the part of the Sabbath that can lead to the religious stage of life.