bluuebunny/crossref_metadata_2025_split huggingface dataset:
Navigating the Systemic Conditions of a Digital Health Ecosystem in Alberta, Canada: Embedded Case Study
Authors: Saunders Chad , Currie Devon , Virani Shane , De Grood Jill 
Published: November 2022

Background
Digital health promises numerous value-creating outcomes. These include improved health, reduced costs, and the creation of lucrative markets, which, in turn, provide high-quality employment, productivity growth, and a climate that attracts investment. For this value creation and capture, the activities of a diverse set of stakeholders within a digital health ecosystem require coordination. However, the antecedents of the coordination needed for an effective digital health ecosystem are not well understood.

Objective
The purpose of this study was to investigate the systemic conditions of the digital health ecosystem in Alberta, Canada, as critical antecedents to ecosystem coordination from the perspective of the authors as applicants to an innovative digital health funding program embedded within the larger digital health ecosystem of innovators or entrepreneurs, health system leaders, support partners, and funders.

Methods
We employed a qualitative embedded case study of the systemic conditions within the digital health ecosystem in Alberta, Canada (main case) using semistructured interviews with 36 stakeholders representing innovators or entrepreneurs, health system leaders, support partners, and funders (subcases). The interviews were conducted over a 2-month period between May 26 and July 22, 2021. Data were coded for key themes and synthesized around 5 propositions developed from academic publications and policy reports.

Results
The findings indicated varying levels of support for each proposition, with moderate support for accessing real problems, data, training, and space for evaluations. However, the most fundamental gap appears to be in ecosystem navigation, in particular, the absence of intermediaries (eg, individuals, organizations, and technology) to provide guidance on the available support services and dependencies among the various ecosystem actors and programs.

Conclusions
Navigating the systemic conditions of the digital health ecosystem is extremely challenging for entrepreneurs, especially those without prior health care experience, and this remains an issue even for those with such experience. Policy interventions aimed at increasing collaboration among ecosystem support providers, along with tools and incentives to ensure coordination, are essential as the ecosystem and those dependent on it grow.
Implementation of Shared Decision-Making Within Internet Hospitals in China Based on Patients’ Needs: Feasibility Study and Content Analysis
Authors: Yu Tianzhi , Jin Chunjie , Wu Xiaodan , Yue Dianmin 
Published: November 2022

Background
Internet hospitals are developing rapidly in China, and their convenient and efficient medical services are being increasingly recognized by patients. Many hospitals have set up their own internet hospitals to provide web-based medical services. Tianjin Medical University General Hospital has established a multidisciplinary and comprehensive internet hospital to provide diversified medical services according to the needs of patients. A way to further improve web-based medical services is by examining how shared decision-making (SDM) can be carried out in internet hospital diagnosis and treatment services, thereby improving patients’ medical experience.

Objective
The aim of this study was to analyze the feasibility of implementing doctor-patient SDM in internet hospital diagnosis and treatment services based on patients’ needs in China.

Methods
In this study, the medical data of 10 representative departments in the internet hospital of Tianjin Medical University General Hospital from January 1 to January 31, 2022, were extracted as a whole; 25,266 cases were selected. After excluding 2056 cases with incomplete information, 23,210 cases were finally included in this study. A chi-square test was performed to analyze the characteristics and medical service needs of internet hospital patients in order to identify the strengths of SDM in internet hospitals.

Results
The internet hospital patients from 10 clinical departments were significantly different in terms of gender (χ29=3425.6; P<.001), age (χ236=27,375.8; P<.001), mode of payment (χ29=3501.1; P<.001), geographic distribution (χ29=347.2; P<.001), and duration of illness (χ236=2863.3; P<.001). Patient medical needs included drug prescriptions, examination prescriptions, medical record explanations, drug use instructions, prehospitalization preparations, further consultations with doctors (unspecified purpose), treatment plan consultations, initial diagnoses based on symptoms, and follow-up consultations after discharge. The medical needs of the patients in different clinical departments were significantly different (χ272=8465.5; P<.001).

Conclusions
Our study provides a practical and theoretical basis for the feasibility of doctor-patient SDM in internet hospitals and offers some implementation strategies. We focus on the application of SDM in web-based diagnosis and treatment in internet hospitals rather than on a disease or a disease management software. The medical service needs of different patient groups can be effectively obtained from an internet hospital, which provides the practical conditions for the promotion of doctor-patient SDM. Our findings show that the internet hospital platform expands the scope of SDM and is a new way for the large-scale application of doctor-patient SDM.
Determining the Reliable Measurement Period for Preoperative Baseline Values With Telemonitoring Before Major Abdominal Surgery: Pilot Cohort Study
Authors: Haveman Marjolein E , van Melzen Rianne , El Moumni Mostafa , Schuurmann Richte C L , Hermens Hermie J , Tabak Monique , de Vries Jean-Paul P M 
Published: November 2022

Background
Preoperative telemonitoring of vital signs, physical activity, and well-being might be able to optimize prehabilitation of the patient’s physical and mental condition prior to surgery, support setting alarms during in-hospital monitoring, and allow personalization of the postoperative recovery process.

Objective
The primary aim of this study was to evaluate when and how long patients awaiting major abdominal surgery should be monitored to get reliable preoperative individual baseline values of heart rate (HR), daily step count, and patient-reported outcome measures (PROMs). The secondary aim was to describe the perioperative course of these measurements at home.

Methods
In this observational single-center cohort study, patients used a wearable sensor during waking hours and reported PROMs (pain, anxiety, fatigue, nausea) on a tablet twice a day. Intraclass correlation coefficients (ICCs) were used to evaluate the reliability of mean values on 2 specific preoperative days (the first day of telemonitoring and the day before hospital admission) and randomly selected preoperative periods compared to individual reference values. Mean values of HR, step count, and PROMs per day were visualized in a boxplot from 14 days before hospital admission until 30 days after surgery.

Results
A total of 16 patients were included in the data analyses. The ICCs of mean values on the first day of telemonitoring were 0.91 for HR, 0.71 for steps, and at least 0.86 for PROMs. The day before hospital admission showed reliability coefficients of 0.76 for HR, 0.71 for steps, and 0.92-0.99 for PROMs. ICC values of randomly selected measurement periods increased over the continuous period of time from 0.68 to 0.99 for HR and daily step counts. A lower bound of the 95% CI of at least 0.75 was determined after 3 days of measurements. The ICCs of randomly selected PROM measurements were 0.89-0.94. Visualization of mean values per day mainly showed variable preoperative daily step counts (median 2409, IQR 1735-4661 steps/day) and lower postoperative daily step counts (median 884, IQR 474-1605 steps/day). In addition, pain was visually reduced until 30 days after surgery at home.

Conclusions
In this prospective pilot study, for patients awaiting major abdominal surgery, baseline values for HR and daily step count could be measured reliably by a wearable sensor worn for at least 3 consecutive days and PROMs during any preoperative day. No clear conclusions were drawn from the description of the perioperative course by showing mean values of HR, daily step count, and PROM values over time in the home situation.
ANALISIS POTENSI DISTRIBUSI AIR IRIGASI SISTEM IRIGASI TETES BERTINGKAT UNTUK USAHA TANI DI PERMUKIMAN PERKOTAAN
Authors: I Dewa Gede Jaya Negara  , Heri Sulistiyono  , Anid Supriyadi  , I B Giri Putra  , I Wayan Yasa  , M R. Sepriadi  
Published: November 2022

Kegiatan pertanian di perumahan perkotaan perlu didukung oleh sistem irigasi yang memadai seperti irigasi tetes yang efisien. Selain itu irigasi tetes tidak membutuhkan lahan yang luas maupun jumlah air yang besar, tetapi pada luas lahan dan sumber air yang terbatas usahatani tanaman horti kultura akan dapat dilakukan. Dengan pemanfaatan polybag sebagai media tanam dan dengan irigasi tetes yang bertingkat, akan diperoleh lebih banyak jumlah titik tanam. Untuk memperoleh jaminan sistem irigasi tetes bertingkat dapat diaplikasikan dengan baik, maka perlu diuji agar diketahui kemampuan dalam penggunaan irigasi tersebut. Penelitian ini bertujuan untuk mengetahui kemampuan irigasi tetes bertingkat terhadap distribusi volume irigasi dan pemberian lengas tanah (w) pada polybag, pada masing masing tingkat lahan polybag. Penelitian dilakukan pada lahan berukuran 1m x 2m x 4 m, sumber air dari tangki 150 liter, jaringan irigasi dari pipa pvc ¾”, ½” dan ¼” dan pipa tetes Netafim (NTF) 12 mm. Analisis data dilakukan terhadap keseragaman, volume irigasi, lengas tanah (w) dan pola irigasi. Uji irigasi selama 5 menit menunjukkan hasil keragaman irigasi rata-rata di atas 98% dan deviasi volume irigasi tiap tingkat rata-rata 15 ml. Lengas tanah yang dihasilkan tingkat 1, 2, dan 3 berturut-turut adalah 13.4%, 5.5%, dan 3.9%. Untuk memperoleh volume irigasi yang sama sebaiknya irigasi tetes bertingkat dilakukan secara bergiliran dengan durasi yang berbeda.
Correlation Between Bitterness Removal And Functional Properties Of Papaya (Carica Papaya L.) Leaves
Authors: Kam Natania , Setiadi Jacinta Fanya , Hardoko Hardoko , Rosa Dela 
Published: November 2022

The mature papaya leaves are known for its medicinal properties albeit its distinctive bitter taste. In this research 3 different adsorbents; bentonite, activated attapulgite and diatomaceous earth were used to reduce the bitterness of the papaya leaves. The adsorbent treated papaya leaves were then analysed for its sensory evaluation in terms of bitterness intensity and phytochemical compounds which include phenolic, flavonoid, tannin and alkaloid compounds and also antioxidant activity. Papaya leaves treated with bentonite had the most reduced bitterness and application of heat treatment further enhance the efficacy of bitterness removal. However the removal of the bitterness also slightly affected the phytochemical compounds and their functional properties. The leaves treated with bentonite by method of boiling was found to be the most effective method in reducing bitterness, with bitterness intensity score of 0.3 out of the original 11.2, while retaining its phytochemical compound; total phenolic content of 10.699 mg GAE/g extract, total flavonoid content of 1.468 mg QE/g extract, total tannin content of 9.423 mg TAE/g extract, total alkaloid content of 1.363% while retained most of its Antioxidant IC50 of 1001.058 ppm and Antidiabetic properties of 642.231 ppm
Tinjauan Viktimologi Terhadap Hak Perlindungan Penyalahgunaan Narkotika (Victimless Crime)
Authors: Hasan Tasya Nafisatul , Candra Marli 
Published: November 2022

Drug abuse is a form of victimless crime. Although there is still debate about victimless crime in contemporary victimology studies, the negative impact of drugs on society, especially the younger generation, is very worrying. This paper is a qualitative study with a literature review approach to examine and analyze solutions to the problems discussed. This paper examines the forms of protection against drug abuse by children. It is crucial because children are one of the components of society that must be protected. They are victims of social interactions, especially families and the environment, to asphyxiate in drug abuse as an escape. There must be a balance between child protection and liability for crimes. Thus, rehabilitation is the only solution as a form of protection and responsibility for what they do.

ABSTRAK
Penyalahgunaan narkoba merupakan salah satu bentuk kejahatan tanpa korban. Walaupun masih saja perdebatan terkait istilah kejahatan tanpa korban dalam kajian viktimologi kontemporer, dampak negatif narkoba terhadap masyarakat, terutama generasi muda sangat mengkhawatirkan. Tulisan ini merupakan kajian kualitatif dengan pendekatan kajian pustaka untuk mengkaji dan menganalisa solusi terhadap permasalahan yang dibahas. Tulisan ini hadir untuk mengkaji bentuk perlindungan terhadap penyalahgunaan narkoba yang dilakukan oleh anak. Hal ini penting karena anak merupakan salah satu komponen masyarakat yang harus dilindung, dan mereka merupakan korban akibat dari interaksi sosial, terutama keluarga dan lingkungan sehingga mereka tenggelam dalam penyalahgunaan narkoba sebagai pelarian. Harus adanya keseimbangan antara perlindungan terhadap anak dan langkah pertanggungjawaban kejahatan. Maka, rehabilitasi merupakan solusi utama sebagai bentuk perlindungan dan pertanggungjawaban atas apa yang mereka lakukan.
Peranan Hakim Pengawas dan Pengamat dalam Pembinaan Narapidana
Authors: Sarah Putri , Liyus Herry , Munandar Tri Imam 
Published: November 2022

This study aims to understand and determine the implementation of the duties of supervisory judges and observers in fostering female prisoners in Class II B Women's Prison in Jambi. To understand and know the supervisor and observer judges in the development of female prisoners in Class II B Women's Prison in Jambi. The results obtained in this study show that the implementation of the duties of supervisory judges and observers in fostering female prisoners at Class II B Women's Prison in Jambi is to ensure that judges' decisions are carried out according to law. The contribution of supervisory judges and observers in fostering female prisoners at the Class II B Women's Prison in Jambi ensures that the rights of female prisoners are protected in accordance with Article 14 of the Correctional Law.

ABSTRAK
Penelitian ini bertujuan untuk memahami dan mengetahui pelaksanaan tugas hakim pengawas dan pengamat dalam pembinaan narapidana wanita di Lapas Perempuan Kelas II B Jambi. Untuk memahami dan mengetahui hakim pengawas dan pengamat dalam pembinaan narapidana wanita di Lapas Perempuan Kelas II B Jambi. Hasil Penelitian yang diperoleh dalam penelitian ini bahwa pelaksanaan tugas hakim pengawas dan pengamat dalam pembinaan narapidana wanita di Lapas Perempuan Kelas II B Jambi yakni memastikan putusan hakim dilaksanakan sesuai undang-undang. Adapun kontribusi hakim pengawas dan pengamat dalam pembinaan narapidana wanita di Lapas Perempuan Kelas II B Jambi memastikan hak-hak narapidana wanita terlindungi sesuai pasal 14 UU Pemasyarakatan.
Pendekatan Diversi dalam Sistem Peradilan Pidana Anak (SPPA)
Authors: Denadin Sausan Afifah , Najemi Andi , Arfa Nys. 
Published: November 2022

This article aims to determine the diversion approach in the juvenile criminal justice system (SPPA) in Batanghari District and obstacles experienced in applying the diversion approach. The formulation of the problem is how the diversion approach in the juvenile justice system (SPPA) in Batanghari District? and what are the obstacles in the application of the diversion approach in the juvenile criminal justice system (SPPA) in Batanghari District? This research uses empirical juridical method. The results of this study are that the diversion approach in Batanghari District has worked quite well at every level of the juvenile criminal justice system (SPPA), but the success rate of implementing diversion at each level is different. This diversion approach has been based on law number 11 of 2012 concerning the juvenile criminal justice system (SPPA) as well as several derivative rules as rules for implementing diversion efforts at each level. The obstacles faced in providing this diversion approach are lack of public understanding of diversion, no agreement between the two parties, the cost of compensation requested by the victim is too large, the constraints on calling the parties, the occurrence of disputes during the diversion process, the perception of the community that each a person who is guilty must be convicted so that it cannot be forgiven only by implementing the diversion agreement, the victim’s family or victim is not present during the diversion process.

ABSTRAK
Artikel ini bertujuan untuk mengetahui pendekatan diversi dalam sistem peradilan pidana anak (SPPA) di Kabupaten Batanghari dan kendala yang dialami dalam penerapan pendekatan diversi. Rumusan masalahnya adalah Bagaimana pendekatan diversi dalam sistem peradilan pidana anak (SPPA) di Kabupaten Batanghari? dan apa saja kendala dalam penerapan pendekatan diversi dalam sistem peradilan pidana anak (SPPA) di Kabupaten Batanghari? Penelitian ini menggunakan metode yuridis empiris. Hasil penelitian adalah pendekatan diversi di Kabupaten Batanghari sudah berjalan cukup baik di setiap tingkatan sistem peradilan pidana anak (SPPA) hanya saja dalam tingkat keberhasilan dilaksanakannya diversi di setiap tingkatan berbeda-beda. Pendekatan diversi ini sudah berlandaskan dengan Undang-Undang Nomor 11 Tahun 2012 tentang Sistem Peradilan Pidana Anak (SPPA) serta beberapa aturan turunan sebagai aturan pelaksanaan dari upaya diversi pada setiap tingkatan. Kendala yang dihadapi dalam memberikan pendekatan diversi ini adalah pemahaman masyarakat terhadap diversi masih kurang, tidak adanya kesepakatan antara kedua belah pihak, biaya ganti kerugian yang diminta korban terlalu besar, kendala pemanggilan para pihak, terjadinya perselisihan selama proses diversi, adanya tanggapan dari masyarakat bahwa setiap orang yang bersalah mesti dipidana sehingga tidak dapat dimaafkan hanya dengan pelaksanaan kesepakatan diversi saja, keluarga korban atau korban tidak hadir selama proses diversi.
Poder, representación y escritura femenina: el aporte de los estudios poscoloniales
Authors: Astudillo-Figueroa Alexandra 
Published: November 2022

Resumen
El objetivo de este artículo es reflexionar sobre cómo las propuestas teóricas de los estudios poscoloniales pueden apoyar a los estudios literarios. Estos proponen perspectivas que permiten desentrañar las estrategias asumidas en la escritura femenina para configurar agentes de construcción de identidad y diferencia, dentro de estructuras patriarcales de poder y representación. Tras una breve exposición de los cuatro principales obstáculos que ha tenido que sortear la escritura de mujeres desde el siglo XIX hasta la actualidad, se plantea algunas vías de análisis que permiten cuestionar el andamiaje epistemológico de las aproximaciones teóricas tradicionales, con el fin de reflexionar sobre los modos en que los actores sociales se apropian de las construcciones de identidades. Adicionalmente, se problematiza la concepción de literatura femenina dentro de contextos atravesados por conflictos sociales, raciales y sexuales. Estas reflexiones intentan cuestionar los soportes de las miradas analíticas, para evitar compartimentar y aislar procesos culturales que nacen y se diseminan dentro de una compleja red de relaciones de empoderamiento y de negociación, que asumen posicionamientos políticos e ideológicos, a través de los cuales se configuran identidades y resistencias.
On Feminist Paradoxes: Transnational Domestic Encounters in Contemporary Spain
Authors: Murray N. Michelle 
Published: November 2022

Abstract
This essay analyzes Spanish feminisms through an exploration of the domestic sphere and its transformations, as represented in two recent novels: Ángeles Caso’s Contra el viento (2010) and José Ovejero’s Nunca pasa nada (2007). In these works, the juxtaposition of Spanish women and immigrant women in the domestic sphere creates sites of solidarity between nationals and immigrants as women. While the relations between these two groups of women are steeped in power paradigms that reflect the asymmetries extant in the global world system, the influence the foreign women wield within this space as transmitters of (inter)national culture is tremendous. Further, Caso’s and Ovejero’s novels engage histories of gendered oppression by reevaluating the experiences of Spanish women from earlier generations in relation to those of immigrant women today. Through these unexpected juxtapositions, the novels reveal the ways in which the liberation of Spanish women has resulted in the marginal ization of foreign women—often women of color and the formerly colonized—and the falsehoods intrinsic to Spanish women’s liberation as they are subtly demonized for requiring domestic assistance. My readings of Contra el viento and Nunca pasa nada are in dialogue with second-wave feminist critiques of capitalism and domesticity and third-wave critiques that consider the roles of race, class, and citizenship in women’s movements. My analyses will use feminist critiques to argue that these domestic encounters ostensibly rooted in colonization, marginalization, and social anonymity can fuel resistance, change, and solidarity.
Savage Madonnas: ’La mujer filipina’ in the Nineteenth-Century Colonialist Imaginary
Authors: Tolliver Joyce 
Published: November 2022

Abstract
The fiction of a national Spanish "family" that embraced the inhabitants of its "overseas provinces" was promulgated insistently in nineteenth-century colonial discourse. The fragility of this fiction was demonstrated dramatically in writings about the Philippines by peninsular Spaniards, as they tried to reconcile the profound cultural, linguistic, and ethnic heterogeneity of the archipelago with the notion of biological and cultural filiation. In his 1886 painting España y Filipinas, the Philippine reformist artist Juan Luna allegorically portrayed Spain and the Philippines as matron and racialized adolescent, suggesting that the Philippines’ future depended on its mestizo population. In the same year, Faustina Sáez de Melgar imagined both the Philippines and the Americas as "nuestras hijas" in her anthology of costumbrismo sketches, Las mujeres españolas, americanas y lusitanas pintadas por sí mismas. The volume’s title evoked a fantasy of feminine agency belied by the fact that virtually none of the sketches were written by a member of the "type" portrayed; and that the volume was illustrated not by a woman but by Eusebio Planas, known for his eroticized sketches of women. Josefa Estévez, a peninsular Spaniard, contributed the essay on "La filipina," in which she distinguished sharply between the Christianized populations of the archipelago and the non-Christianized "salvajes." Rather than contributing an ethnographic study of the "savage" tribes, Estévez represented this "tipo" through two narratives of sexual brutality and conquest. Both narratives suggested that the social structure of the non-Christianized colonial Philippine populations was not only untenable but unimaginable: the only moral compass available to these populations was to be found in female instincts of maternity and heterosexual love, which were ineffective against the uncontrolled instincts of lust and rage that guided both native and Spanish male characters. Estévez’s conventional invocation of the power of Christianization rings hollow in the face of her portrayal of the sexual opportunism, abuse and abandonment suffered by the native woman at the hands of the putative father of the colonial family. Ultimately, in both Estévez’s text and Planas’s illustrations, "civilization" through mestizaje in the Philippines is portrayed as impossible.