bluuebunny/crossref_metadata_2025_split huggingface dataset:
User Experience of the Co-design Research Approach in eHealth: Activity Analysis With the Course-of-Action Framework
Authors: Tremblay Melanie , Hamel Christine , Viau-Guay Anabelle , Giroux Dominique 
Published: August 2022

Background
The cocreation of eHealth solutions with potential users, or co-design, can help make the solution more acceptable. However, the co-design research approach requires substantial investment, and projects are not always fruitful. Researchers have provided guidelines for the co-design approach, but these are either applicable only in specific situations or not supported by empirical data. Ways to optimize the experience of the co-design process from the point of view of the participants are also missing. Scientific literature in the co-design field generally provides an extrinsic description of the experience of participants in co-design projects.

Objective
We addressed this issue by describing a co-design project and focusing on the participants’ experiences looking at what was significant from their point of view.

Methods
We used a qualitative situated cognitive anthropology approach for this study. Data were collected on a co-design research project that aimed to support the help-seeking process of caregivers of functionally dependent older adults. The methodology was based on the perspective of experience by Dewey and used the course-of-action theoretical and methodological framework. Data collection was conducted in 2 phases: observation of participants and recording of sessions and participant self-confrontation interviews using the session recordings. We interviewed 27% (20/74) of the participants. We analyzed the data through nonexclusive emerging categorization of themes using the constant comparative method.

Results
In total, 5 emerging themes were identified. The perception of extrinsic constraints and the effects of the situation was central and the most important theme, affecting other themes (frustrating interactions with others, learning together, destabilization, and getting personal benefits). Co-occurrences between codes allowed for a visual and narrative understanding of what was significant for the participants during this project. The results highlighted the importance of the role of the research team in preparing and moderating the sessions. They also provided a detailed description of the interactions between participants during the sessions, which is a core aspect of the co-design approach. There were positive and negative aspects of the participants’ experiences during this co-design project. Reflecting on our results, we provided potential affordances to shape the experience of participants in co-design.

Conclusions
Potential users are an essential component of the co-design research approach. Researchers and designers should seek to offer these users a positive and contributory experience to encourage participation in further co-design initiatives. Future research should explore how the proposed affordances influence the success of the intervention.
Association Between Neighborhood Factors and Adult Obesity in Shelby County, Tennessee: Geospatial Machine Learning Approach
Authors: Brakefield Whitney S , Olusanya Olufunto A , Shaban-Nejad Arash 
Published: August 2022

Background
Obesity is a global epidemic causing at least 2.8 million deaths per year. This complex disease is associated with significant socioeconomic burden, reduced work productivity, unemployment, and other social determinants of health (SDOH) disparities.

Objective
The objective of this study was to investigate the effects of SDOH on obesity prevalence among adults in Shelby County, Tennessee, the United States, using a geospatial machine learning approach.

Methods
Obesity prevalence was obtained from the publicly available 500 Cities database of Centers for Disease Control and Prevention, and SDOH indicators were extracted from the US census and the US Department of Agriculture. We examined the geographic distributions of obesity prevalence patterns, using Getis-Ord Gi* statistics and calibrated multiple models to study the association between SDOH and adult obesity. Unsupervised machine learning was used to conduct grouping analysis to investigate the distribution of obesity prevalence and associated SDOH indicators.

Results
Results depicted a high percentage of neighborhoods experiencing high adult obesity prevalence within Shelby County. In the census tract, the median household income, as well as the percentage of individuals who were Black, home renters, living below the poverty level, 55 years or older, unmarried, and uninsured, had a significant association with adult obesity prevalence. The grouping analysis revealed disparities in obesity prevalence among disadvantaged neighborhoods.

Conclusions
More research is needed to examine links between geographical location, SDOH, and chronic diseases. The findings of this study, which depict a significantly higher prevalence of obesity within disadvantaged neighborhoods, and other geospatial information can be leveraged to offer valuable insights, informing health decision-making and interventions that mitigate risk factors of increasing obesity prevalence.
A Web-Based Positive Psychology App for Patients With Bipolar Disorder: Development Study
Authors: Geerling Bart , Kelders Saskia M , Stevens Anja W M M , Kupka Ralph W , Bohlmeijer Ernst T 
Published: August 2022

Background
Patients with bipolar disorder (BD) report lower quality of life and lower levels of well-being than the general population. Despite the growing availability of psychotherapeutic and self-management interventions, important unmet needs remain. These unmet needs are closely linked to positive psychology domains. Although a growing number of studies have evaluated the impact of positive psychology interventions (PPIs) on patients with severe mental illness in general, only few have addressed the application of positive psychology for BD.

Objective
This study aimed to gain insight into the opinions of patients with BD and health care professionals about (web-based) PPIs for BD and to develop and pilot-test an app containing PPIs specifically designed for patients with BD.

Methods
The study was conducted in accordance with the Center for eHealth and Disease Management road map principles and incorporated cocreation and designing for implementation. Data were collected using focus group discussions, questionnaires, rapid prototyping, and web-based feedback on a prototype from the participants. In total, 3 focus groups were conducted with 62% (8/13) of patients with BD and 38% (5/13) of professionals. The collected data were used to develop a smartphone app containing short PPIs. The content was based on PPIs for which a solid base of evidence is available. Finally, a pilot test was conducted to test the app.

Results
Focus groups revealed that PPIs as part of the current BD treatment can potentially meet the following needs: offering hope, increasing self-esteem, expressing feelings, acceptance, and preventing social isolation. Some patients expressed concern that PPIs may provoke a manic or hypomanic episode by increasing positive affect. The pilot of the app showed that the PPIs are moderately to highly valued by the participants. There were no adverse effects such as increase in manic or hypomanic symptoms.

Conclusions
With the systematic use of user involvement (patients and professionals) in all steps of the development process, we were able to create an app that can potentially fulfill some of the current unmet needs in the treatment of BD. We reached consensus among consumers and professionals about the potential benefits of PPIs to address the unmet needs of patients with BD. The use of PPI for BD is intriguing and can be usefully explored in further studies. We emphasize that more evaluation studies (quantitative and qualitative) that are focused on the effect of PPIs in the treatment of BD should be conducted. In addition, to establish the working mechanisms in BD, explorative, qualitative, designed studies are required to reveal whether PPIs can address unmet needs in BD.
Testing and Optimizing Guided Thinking Tasks to Promote Physical Activity: Protocol for a Randomized Factorial Trial
Authors: Baldwin Austin S , Lamb Colin L , Geary Bree A , Mitchell Alexis D , Kouros Chrystyna D , Levens Sara , Martin Laura E 
Published: August 2022

Background
Insufficient physical activity is associated with various health risks; however, most current physical activity interventions have critical barriers to scalability. Delivering interventions via technology and identifying active and inert components in early-phase development are ways to build more efficient and scalable interventions. We developed a novel intervention to promote physical activity that targets 3 brief guided thinking tasks, separately and in combination, using brief audio recordings: (1) episodic future thinking (EFT), (2) positive affective imagery (PAI), and (3) planning.

Objective
The aim of this GeT (Guided Thinking) Active study is to optimize a scalable guided thinking intervention to promote physical activity using principles of the Multiphase Optimization Strategy (MOST). Mechanism-focused analyses will inform which components are optimal candidates for inclusion in an intervention package and which need refinement.

Methods
We will enroll 192 participants randomized to receive intervention components delivered via an audio recording that they will listen to prior to weekly in-lab physical activity sessions. Participants in the high dose conditions will also be instructed to listen to the audio recording 4 additional days each week. We will evaluate effects of the components on physical activity over 6 weeks in a 2 (EFT vs recent thinking) × 2 (PAI vs neutral imagery) × 2 (planning vs no planning) × 2 (dose: 5×/week vs 1×/week) full factorial randomized trial.

Results
The National Cancer Institute funded this study (R21CA260360) on May 13, 2021. Participant recruitment began in February 2022. Data analysis will begin after the completion of data collection.

Conclusions
The GeT Active study will result in a scalable, audio-recorded intervention that will accelerate progress toward the full development of guided thinking interventions to promote physical activity.

Trial Registration
ClinicalTrials.gov NCT05235360; https://clinicaltrials.gov/ct2/show/NCT05235360

International Registered Report Identifier (IRRID)
DERR1-10.2196/40908
The Influence of Family Parenting Patterns for Women Factory Workers on Moral Education in RW 04 Ketitang Village, Nogosari District, Boyolali Regency
Authors: Rahmawati Fira Nisa 
Published: August 2022

This study aims to examine the effect of female factory worker parenting on children's moral education in RW 04 Ketitang Village, Kec. Nogosari Kab. Boyolali. This study is a quantitative study using a sample of 39 mothers who work as factory workers. This research can be concluded that the parenting style of the family of factory workers has a significant influence on the moral education of children in RW 04 Ketitang Village, Kec. Nogosari Kab. Boyolali. Correlation between family upbringing of factory workers and children's moral education. The correlation value obtained is 0.711. This means that the correlation between the family upbringing of women factory workers and the moral education of children in RW 04 Ketitang Village, Kec. Nogosari Kab. Boyolali is 0.711, this can be interpreted as a strong and significant relationship. While the results of the coefficient of determination (r2) = 50.5% while the remaining 49.5% is influenced by other variables that are not included in this study. These variables, for example, are due to internal factors, namely factors from humans themselves including instincts, habits, and heredity. Or because of external factors such as community environment, friends, and so forth.
COVID-19 Exacerbates Insulin Resistance During Diabetic Ketoacidosis in Pediatric Patients with Type 1 Diabetes
Authors: Keiner Elizabeth S. , Slaughter James C. , Datye Karishma A. , Cherrington Alan D. , Moore Daniel J. , Gregory Justin M. 
Published: August 2022

<p>Objective: Although mortality from COVID-19 among youth with type 1 diabetes is rare, SARS-CoV-2 is associated with increased pediatric hospitalizations for diabetic ketoacidosis (DKA). To clarify whether the relationship between COVID-19 and DKA is coincidental or causal, we compared tissue glucose disposal (TGD) during standardized treatment for DKA between pediatric patients with COVID-19 versus those without COVID-19. </p>
<h2>Research Design and Methods: We retrospectively compared TGD during standardized therapy for DKA in all children with preexisting type 1 diabetes with or without COVID-19. Cases were assessed beginning with the first case of COVID-positive DKA on June 19, 2020 through February 2, 2022. </h2>
<h2>Results: We identified 93 COVID-negative patients and 15 COVID-positive patients who were treated for DKA, with similar baseline characteristics between groups. Median TGD was 46% lower in patients who had COVID-19 compared to those that did not (p = 0.013).</h2>
<h2>Conclusions: These results suggest COVID-19 provokes a metabolic derangement over-and-above factors that typically contribute to pediatric DKA. These findings underscore the significant and direct threat posed by COVID-19 in pediatric type 1 diabetes and emphasize the importance of mitigation and monitoring including through vaccination as a primary prevention.</h2>
The Steno Type 1 Risk Engine identifies preclinical atherosclerosis better than the ESC/EASD-2019 Guidelines in adult subjects with type 1 diabetes at high-risk
Authors: Serés-Noriega Tonet , Giménez Marga , Perea Verónica , Boswell Laura , Viñals Clara , Blanco Jesús , Vinagre Irene , Pané Adriana , Esmatjes Enric , Conget Ignacio , Amor Antonio J. 
Published: August 2022

<p> </p>
<p>Objective: To evaluate the concordance between the ESC/EASD-2019 and the Steno Type 1 Risk Engine (Steno-Risk) cardiovascular risk scales in persons with type 1 diabetes (T1D) without cardiovascular disease (CVD), and to analyze their relationships with preclinical atherosclerosis. </p>
<p>Research design and methods: We consecutively selected patients with T1D, without CVD, with: ≥40 years, nephropathy, or ≥10 years of evolution with another risk factor. The presence of plaque at different carotid segments was determined by ultrasonography. Cardiovascular risk was estimated according to ESC/EASD-2019 risk groups (moderate/high/very-high) and the Steno-Risk (<10%, low; 10-20%, moderate; ≥20%, high), as T1D-specific scores. As an exploratory analysis, the non-T1D-specific ACC/AHA-2013 pooled cohort equation was also evaluated in individuals between 40-79 years. </p>
<p>Results: We included 501 patients (53% males, age 48.8 years, T1D duration 26.5 years, 41.3% harboring plaques). Concordance between T1D-specific scales was poor (kappa= 0.19). A stepped increase in the presence of plaques according to the Steno-Risk category was seen (18.4%, 38.2% and 64.1%, for low/moderate/high-risk; p for trend<0.001), with no differences according to ESC/EASD-2019 (p=0.130). Steno-Risk identified individuals with plaques, unlike ESC/EASD-2019 (AUC=0.691; p<0.001 vs. AUC=0.538; p=0.149; respectively). Finally, in polynomial regression models (adjusted for lipid parameters and cardioprotective treatment), irrespective of the ESC/EASD-2019 category, high-risk by Steno-Risk was directly associated with atherosclerosis (in moderate/high-risk ESC/EASD-2019: OR 2.91 [1.27-6.72] and 5.290 [2.746-10.189], for the presence of plaque and ≥2 plaques, respectively). Similar results were obtained with discordant higher Steno-Risk vs. ACC/AHA-2013 (p<0.001). </p>
<p>Conclusions: In T1D patient undergoing primary prevention, Steno-Risk seems to better recognize individuals with atherosclerosis in comparison to ESC/EASD-2019. Notwithstanding, carotid ultrasound could improve the categorization of cardiovascular risk. </p>
Microvascular burden and incident heart failure among middle-aged and older adults with type 1 or type 2 diabetes
Authors: Li Fu-Rong , Hukportie Daniel Nyarko , Yang Jing , Yang Huan-Huan , Chen Guo-Chong , Wu Xian-Bo 
Published: August 2022

<p> </p>
<p><strong>OBJECTIVE</strong></p>
<p>To examine association between microvascular disease (MVD) and risk of heart failure (HF) among individuals with type 1 diabetes mellitus (T1DM) or type 2 diabetes mellitus (T2DM).</p>
<p><strong>RESEARCH DESIGN AND METHODS</strong></p>
<p>We included 1,713 and 28,624 participants with T1DM and T2DM, respectively, from the UK Biobank who were free of HF during enrolment. MVD burden reflected by the presence of retinopathy, peripheral neuropathy, and chronic kidney disease (CKD) at baseline was prospectively evaluated for the association with incidence of HF. Hazards ratios (HRs) and 95% confidence intervals (CIs) of HF were estimated by Cox regression models adjusted for multiple traditional risk factors.</p>
<p><strong>RESULTS</strong></p>
<p>There were 145 and 2,515 incident cases of HF recorded among participants with T1DM and T2DM, respectively, during a median follow-up of 11.5 years. The association between the number of MVD and HF was stronger among participants with T1DM than among those with T2DM (<em>P</em> for interaction <0.001). Compared with participants with no MVD, those with all three MVD had an adjusted HR (95% CI) of 11.37 (5.62, 22.99) in T1DM and 3.66 (2.74, 4.88) in T2DM. In T1DM, HRs (CIs) were 2.69 (1.75, 4.14) for retinopathy, 2.11 (1.38, 3.23) for peripheral neuropathy, and 2.21 (1.53, 3.18) for CKD. The corresponding estimates in T2DM were 1.24 (1.13, 1.36), 1.63 (1.36, 1.96), and 1.73 (1.59, 1.89), respectively.</p>
<p><strong>CONCLUSIONS</strong></p>
<p>While a heavier burden of MVD was associated with excess risk of HF both in T1DM and T2DM, the association was evidently more pronounced in T1DM.</p>
Tren Wisata Sepeda Urban Masa Pandemi: Kesiapan Ruang di Perkampungan Bantaran Sungai Gajah Wong Yogyakarta
Authors: . Wiyatiningsih , Oentoro Kristian , Amijaya Sita Yuliastuti 
Published: August 2022

Bersepeda menjadi tren selama masa pandemi Covid-19. Pemerintah Kota Yogyakarta menangkap perubahan gaya hidup tersebut dengan membuat program wisata sepeda untuk membangkitkan kembali aktivitas pariwisata. Wisata sepeda dilakukan di wilayah administrasi Kota Yogyakarta, termasuk kawasan perkampungan kota. Namun demikian, sepertinya belum semua perkampungan yang dilewati oleh rute wisata sepeda siap sebagai destinasi wisata sepeda. Berdasarkan latar belakang tersebut, penelitian ini bertujuan untuk mengevaluasi kesiapan ruang di perkampungan, khususnya bantaran Sungai Gajah Wong, untuk mendukung aktivitas wisata sepeda. Penelitian ini menerapkan metode kualitatif - studi kasus eksploratif. Perkampungan di bantaran Sungai Gajah Wong dipilih sebagai studi kasus dengan mempertimbangkan keunikan ruang dan kontribusinya terhadap pembentukan karakter Kota Yogyakarta. Kesiapan ruang sebagai jalur wisata sepeda dinilai dengan lima prinsip desain infrastruktur ramah sepeda yang diterapkan di Belanda, yaitu: keterpaduan, kelangsungan, keselamatan, kenyamanan dan kemenarikan. Hasil penelitian menunjukkan bahwa aspek sosial budaya memiliki peran kunci dalam pembentukan karakteristik ruang perkampungan di bantaran Sungai Gajah Wong yang menjadi daya tarik utama bagi pesepeda. Interaksi sosial antara pesepeda dengan penduduk setempat di sepanjang lorong kampung membentuk ruang sosial yang berpotensi untuk meningkatkan kenyamanan pesepeda.Kata kunci: wisata sepeda urban; perkampungan; pandemi; bantaran Sungai Gajah Wong
Relasi Padung-padung dan Gerga Tulak Paku dalam Arsitektur Tradisional Karo
Authors: . Ariani , Santosa Imam , Destiarmand Achmad Haldani , Sachari Agus 
Published: August 2022

Salah satu kekayaan tradisi yang dimiliki oleh suku Karo di Sumatera Utara adalah ragam hias atau gerga. Gerga diterapkan pada arsitektur tradisional Karo dengan tujuan untuk memperindah sekaligus merepresentasikan sistem kepercayaan dan kekerabatan yang menjadi dasar kosmologi masyarakat Karo. Salah satu gerga berbentuk organis yang terinspirasi dari alam adalah tulak paku. Selain diterapkan pada rumah adat, struktur bentuk gerga tulak paku juga menjadi citra visual pada berbagai benda-benda kerajinan, salah satunya adalah padung-padung. Perhiasan berupa anting berukuran besar ini dikenakan oleh perempuan Karo dari kelas tertentu dan menjadi salah satu identitas kultural suku Karo. Ditinjau dari struktur bentuknya, padung-padung diduga berasal dari penerapan gerga tulak paku. Penelitian ini bertujuan untuk mengetahui relasi unsur ragam hias tulak paku yang diterapkan pada bentuk padung-padung, serta aplikasinya dalam arsitektur tradisional Karo. Penelitian dilakukan dengan teknik analisis dan interpretasi menggunakan pendekatan estetika untuk mendeskripsikan tiga aspek dasar pada suatu benda atau peristiwa kesenian, yaitu wujud, bobot, dan penampilan. Berdasarkan hasil penelitian, diketahui bahwa unsur gerga tulak paku memiliki struktur bentuk yang mirip dengan padung-padung. Keduanya memiliki makna yang berkaitan dengan kekuatan dan kemuliaan manusia sehingga penerapannya pada arsitektur tradisional diharapkan dapat membawa dampak kebaikan.Kata kunci: relasi; padung-padung; gerga tulak paku; arsitektur tradisional Karo
"The Mother of Us All"
Authors: McMorrow Kathleen 
Published: August 2022

This paper presents extensive new biographical information, assembled from newspaper articles, about Ogreta McNeill, Canada’s first professional music librarian: pianist, singer, teacher, single mother, Toronto Public Library branch director, writer and bibliographer, impresario, founder and first chair of the Canadian Music Library Association.
The early accomplishments and influences of her formative years in Victoria BC offer were fully realized in her later identity as a generous contributor to the wider musical community.
Distribution, number, biology and ecology of vulnerable species of chiropterans (Chiroptera, Vespertilionidae), inhabiting the Tver region: brown long-eared bat (Plecotus auritus linnaeus, 1758)
Authors: Емельянова Алла Александровна , Христенко Екатерина Андреевна , Волкова Алёна Сергеевна , Кулагин Андрей Михайлович , Виноградова Елизавета Артуровна , Максимова Валерия Андреевна 
Published: August 2022

На основании анализа материалов исследований 2010-2021гг. приводятся сведения по распространению, численности, биологии и экологии ушана бурого Plecotus auritus (Linnaeus, 1758), обитающего на территории Тверской области. Предлагается внесение данного вида в список региональной Красной книги со статусом «редкий вид».
Here we provide some general information on the distribution, abundance, biology, and ecology of Brown long-eared bat Plecotus auritus (Linnaeus, 1758). Information is based on the analysis of research materials collected over ten years (2010-2021) in the Tver region. We propose to include these species to the regional Red Data Book under the status of "Rare species".