bluuebunny/crossref_metadata_2025_split huggingface dataset:
User Perceptions and Use of an Enhanced Electronic Health Record in Rwanda With and Without Clinical Alerts: Cross-sectional Survey
Authors: Fraser Hamish S F , Mugisha Michael , Remera Eric , Ngenzi Joseph Lune , Richards Janise , Santas Xenophon , Naidoo Wayne , Seebregts Christopher , Condo Jeanine , Umubyeyi Aline 
Published: January 2022

Background
Electronic health records (EHRs) have been implemented in many low-resource settings but lack strong evidence for usability, use, user confidence, scalability, and sustainability.

Objective
This study aimed to evaluate staff use and perceptions of an EHR widely used for HIV care in >300 health facilities in Rwanda, providing evidence on factors influencing current performance, scalability, and sustainability.

Methods
A randomized, cross-sectional, structured interview survey of health center staff was designed to assess functionality, use, and attitudes toward the EHR and clinical alerts. This study used the associated randomized clinical trial study sample (56/112, 50% sites received an enhanced EHR), pulling 27 (50%) sites from each group. Free-text comments were analyzed thematically using inductive coding.

Results
Of the 100 participants, 90 (90% response rate) were interviewed at 54 health centers: 44 (49%) participants were clinical and 46 (51%) were technical. The EHR top uses were to access client data easily or quickly (62/90, 69%), update patient records (56/89, 63%), create new patient records (49/88, 56%), generate various reports (38/85, 45%), and review previous records (43/89, 48%). In addition, >90% (81/90) of respondents agreed that the EHR made it easier to make informed decisions, was worth using, and has improved patient information quality. Regarding availability, (66/88) 75% said they could always or almost always count on the EHR being available, whereas (6/88) 7% said never/almost never. In intervention sites, staff were significantly more likely to update existing records (P=.04), generate summaries before (P<.001) or during visits (P=.01), and agree that “the EHR provides useful alerts, and reminders” (P<.01).

Conclusions
Most users perceived the EHR as well accepted, appropriate, and effective for use in low-resource settings despite infrastructure limitation in 25% (22/88) of the sites. The implementation of EHR enhancements can improve the perceived usefulness and use of key functions. Successful scale-up and use of EHRs in small health facilities could improve clinical documentation, care, reporting, and disease surveillance in low- and middle-income countries.
Disease-Course Adapting Machine Learning Prognostication Models in Elderly Patients Critically Ill With COVID-19: Multicenter Cohort Study With External Validation
Authors: Jung Christian , Mamandipoor Behrooz , Fjølner Jesper , Bruno Raphael Romano , Wernly Bernhard , Artigas Antonio , Bollen Pinto Bernardo , Schefold Joerg C , Wolff Georg , Kelm Malte , Beil Michael , Sviri Sigal , van Heerden Peter V , Szczeklik Wojciech , Czuczwar Miroslaw , Elhadi Muhammed , Joannidis Michael , Oeyen Sandra , Zafeiridis Tilemachos , Marsh Brian , Andersen Finn H , Moreno Rui , Cecconi Maurizio , Leaver Susannah , De Lange Dylan W , Guidet Bertrand , Flaatten Hans , Osmani Venet 
Published: January 2022

Background
The COVID-19 pandemic caused by SARS-CoV-2 is challenging health care systems globally. The disease disproportionately affects the elderly population, both in terms of disease severity and mortality risk.

Objective
The aim of this study was to evaluate machine learning–based prognostication models for critically ill elderly COVID-19 patients, which dynamically incorporated multifaceted clinical information on evolution of the disease.

Methods
This multicenter cohort study (COVIP study) obtained patient data from 151 intensive care units (ICUs) from 26 countries. Different models based on the Sequential Organ Failure Assessment (SOFA) score, logistic regression (LR), random forest (RF), and extreme gradient boosting (XGB) were derived as baseline models that included admission variables only. We subsequently included clinical events and time-to-event as additional variables to derive the final models using the same algorithms and compared their performance with that of the baseline group. Furthermore, we derived baseline and final models on a European patient cohort, which were externally validated on a non-European cohort that included Asian, African, and US patients.

Results
In total, 1432 elderly (≥70 years old) COVID-19–positive patients admitted to an ICU were included for analysis. Of these, 809 (56.49%) patients survived up to 30 days after admission. The average length of stay was 21.6 (SD 18.2) days. Final models that incorporated clinical events and time-to-event information provided superior performance (area under the receiver operating characteristic curve of 0.81; 95% CI 0.804-0.811), with respect to both the baseline models that used admission variables only and conventional ICU prediction models (SOFA score, P<.001). The average precision increased from 0.65 (95% CI 0.650-0.655) to 0.77 (95% CI 0.759-0.770).

Conclusions
Integrating important clinical events and time-to-event information led to a superior accuracy of 30-day mortality prediction compared with models based on the admission information and conventional ICU prediction models. This study shows that machine-learning models provide additional information and may support complex decision-making in critically ill elderly COVID-19 patients.

Trial Registration
ClinicalTrials.gov NCT04321265; https://clinicaltrials.gov/ct2/show/NCT04321265
Machine Learning–Based Short-Term Mortality Prediction Models for Patients With Cancer Using Electronic Health Record Data: Systematic Review and Critical Appraisal
Authors: Lu Sheng-Chieh , Xu Cai , Nguyen Chandler H , Geng Yimin , Pfob André , Sidey-Gibbons Chris 
Published: January 2022

Background
In the United States, national guidelines suggest that aggressive cancer care should be avoided in the final months of life. However, guideline compliance currently requires clinicians to make judgments based on their experience as to when a patient is nearing the end of their life. Machine learning (ML) algorithms may facilitate improved end-of-life care provision for patients with cancer by identifying patients at risk of short-term mortality.

Objective
This study aims to summarize the evidence for applying ML in ≤1-year cancer mortality prediction to assist with the transition to end-of-life care for patients with cancer.

Methods
We searched MEDLINE, Embase, Scopus, Web of Science, and IEEE to identify relevant articles. We included studies describing ML algorithms predicting ≤1-year mortality in patients of oncology. We used the prediction model risk of bias assessment tool to assess the quality of the included studies.

Results
We included 15 articles involving 110,058 patients in the final synthesis. Of the 15 studies, 12 (80%) had a high or unclear risk of bias. The model performance was good: the area under the receiver operating characteristic curve ranged from 0.72 to 0.92. We identified common issues leading to biased models, including using a single performance metric, incomplete reporting of or inappropriate modeling practice, and small sample size.

Conclusions
We found encouraging signs of ML performance in predicting short-term cancer mortality. Nevertheless, no included ML algorithms are suitable for clinical practice at the current stage because of the high risk of bias and uncertainty regarding real-world performance. Further research is needed to develop ML models using the modern standards of algorithm development and reporting.
Enfermera de Práctica Avanzada en Chile: identificando barreras y oportunidades para el ejercicio del rol
Authors: Urrutia-Egaña M.J. , Perucca-Gallegos D. , Valdés-Martinic C.F. 
Published: January 2022

Introducción: La implementación del rol de Enfermería de Práctica Avanzada (EPA) se identifica como una estrategia que permite mejorar el acceso a la atención de la salud, en busca de salud para todos. Dicha estrategia se lleva a cabo por un profesional de enfermería acreditado, especialista clínico y de atención directa, quien formula diagnósticos, realiza tratamientos y seguimiento a las personas.
Objetivo: Reflexionar acerca de las barreras y oportunidades para incorporar el ejercicio profesional de enfermería de práctica avanzada en Chile.
Desarrollo: El acceso a la salud y la cobertura universal son elementos mínimos para lograr la salud de todos. Por ello, se han hecho esfuerzos para alcanzar estos requisitos mediante el fortalecimiento de la atención primaria de salud y el desarrollo de profesionales no médicos como enfermeras/os de práctica avanzada. Desde la Organización Panamericana de la Salud se realizan acciones para promover este rol; sin embargo, en el establecimiento de la enfermería de práctica avanzada aún se identifican barreras, entre ellas, la actual legislación del código sanitario y la escasa oferta académica para su formación, elementos que no dejan de estar en la discusión pública.
Conclusiones: Se requiere de un esfuerzo conjunto para generar un contexto que permita la implementación del rol de enfermera de práctica avanzada en Chile, con la finalidad de disminuir las brechas de acceso y cobertura, lo que se espera mejore la calidad y equidad de salud de todos los chilenos.
Assessment of reliability in orthodontic literature:
Authors: Donatelli Richard E. , Park Ji-Ae , Alghamdi Yasser Murdi Abdullah , Pandis Nikolaos , Lee Shin-Jae 
Published: January 2022

ABSTRACT

Objectives
To map the statistical methods applied to assess reliability in orthodontic publications and to identify possible trends over time.

Materials and Methods
Original research articles published in 2009 and 2019 in a subset of orthodontic journals were downloaded. Publication characteristics, including publication year, number of authors, single vs multicenter study, geographic origin of the study, statistician involvement, study category, subject category, types of reliability assessment, and statistical methods applied to assess reliability, were recorded. Descriptive statistics, Chi-square tests, and logistic regression analyses were performed to investigate associations between reliability analysis and study characteristics.

Results
A total of 768 original research articles were analyzed. The most prevalent study category was observational (69%) with a statistician involved in 16% of studies. Overall, reliability was assessed in 47% of studies, and the most frequent methods applied to assess reliability were intraclass correlation coefficients or kappa statistics (60.4%). The odds of applying appropriate methods were greater in 2019 than in 2009 (odds ratio [OR]: 2.43; 95% confidence interval [CI]: 1.75, 3.37; P &lt; .001). Involvement of a statistician resulted in greater odds of applying appropriate methods compared to no statistician involvement (OR: 1.88; 95% CI: 1.23, 2.87; P &lt; .01).

Conclusions
Over the past decade (2009 vs 2019), reliability assessment became more common in the orthodontic literature, and studies applying correct statistical methods to assess reliability significantly increased. This trend was more apparent in studies that involved a statistician, which may highlight the role of the statistician.
IMPLEMENTATION OF A COMMUNICATIVE APPROACH TO THE DIAGNOSIS AND CORRECTION OF COMMUNICATIVE AND SPEECH DISORDERS IN OLDER PRESCHOOLERS WITH GENERAL SPEECH UNDERDEVELOPMENT
Authors: Дмитриева Елена Ермолаевна , Сухарникова Надежда Викторовна 
Published: January 2022

Представлено исследование, реализующее коммуникативный подход к диагностике и коррекции коммуникативно-речевых нарушений у детей с речевыми нарушениями.Приведены результаты теоретико-экспериментального изучения коммуникативно-речевого развития старших дошкольников с общим недоразвитием речи, свидетельствующие о бедности мотивационных побуждений детей в общении с партнером, низком уровне развития вербальных средств общения и неспособности к диалогическому общению.Предложена система коррекционно-развивающих интегрированных занятий с использованием логопсихологического тренинга и кейс-технологии. Обозначена важность использования работы в диадах при организации диалогического общения старших дошкольников.Эффективность реализованной логопсихологической программы подтверждают представленные в статье результаты контрольного среза.
The paper presents a study that implements a communicative approach to the diagnosis and correction of communicative-speech disorders in children with speech disorders. The results of a theoretical and experimental study of the communicative-speech development of older preschoolers with general speech underdevelopment, indicating the poverty of children’s motivational impulses in communicating with a partner, a low level of development of verbal means, a low communicative orientation of speech, lack of interest in contacts, inability to navigate in communication situations, are presented. lack of desire to develop dialogue. The possibility of using a logo psychological approach in the correction of communicative-speech disorders in older preschoolers with general speech underdevelopment is substantiated, aimed at mastering the norms and values adopted in society and the need to integrate the correctional and educational process for the development of speech and full-fledged communication skills in older preschoolers. A system of correctional and developmental integrated lessons is proposed, during which the teacher – speech therapist, simultaneously solves speech therapy and psychological tasks using speech therapy training and case technology, which encourage older preschoolers to develop an active position, defend their point of view, form communicative activity on the basis of verbal interaction in groups. The importance of using work in dyads in organizing dialogical communication of older preschoolers is indicated. The effectiveness of the implemented logo psychological program is confirmed by the results of the control section presented in the article.
EXPERIMENTAL WORK ON ORGANIZATIONAL AND METHODOLOGICAL SUPPORT OF THE ACTIVITIES OF THE CURATORS OF THE ACADEMIC GROUPS AT THE TECHNICAL UNIVERSITY
Authors: Бельская Елена Якубовна , Игна Ольга Николаевна 
Published: January 2022

В статье отмечена значимость института кураторства в технических вузах в развитии профессиональных и универсальных компетенций, личностного роста, самореализации, а также адаптации студентов; выделены существующие проблемы в реализации кураторской деятельности.Определено, что кураторская деятельность в техническом университете нуждается в организационно-методическом сопровождении на уровнях целей, содержания, организации и деятельности для повышения эффективности деятельности кураторов академических групп. Проведена опытно-экспериментальная работа по реализации разработанной системы организационно-методического сопровождения деятельности кураторов академических групп в современном техническом университете.Представленные итоги проведенной работы подтверждают результативность разработанной системы, реализация которой позволяет повысить эффективность кураторской деятельности.
The article notes the importance of the supervising in technical universities institution in development of professional and universal competencies, personal growth, self-realization, as well as adaptation of students, highlights the existing problems in the implementation of curatorial activities. The main problems of the curators institute at a technical university include: insufficient qualification of curators; the majority of them have no humanitarian, psychological and pedagogical education; the difficulty in implementing systematic refresher courses for all curators; insufficient replication of curatorial experience, the use of network communication tools in curatorial activities; the need to increase the level of socio-psychological adaptation of students to study at a technical university; difficulties in implementing a personality-oriented approach in the activities of curators; lack of humanitarization of the educational process. Solving the existing problems of the curators at a technical university institution requires the creation of an appropriate organizational and methodological support system for the curators of academic groups activities. Organizational and methodological support for the academic groups curators activities at a technical university is a systemically organized process of comprehensive, continuous professional development of curators, methodological training and curators experience replication. Experimental work was carried out to implement the developed system of organizational and methodological support for the academic groups curators activities at a modern technical university. The presented results confirm the developed system effectiveness, which implementation makes it possible to increase the curatorial activities effectiveness.
IMPLEMENTING COGNITIVE TRAINING IN THE PROCESS OF LEARNING MATHEMATICS
Authors: Пигарев Александр Юрьевич 
Published: January 2022

Недостаток рабочей памяти приводит к устойчивой неспособности к изучению математики. Рабочая память поддается тренировке, однако улучшение когнитивных функций не обеспечивает автоматического трансфера в академическую успеваемость по причине глубокого отставания таких учеников от программы.Предлагается проводить тренировку рабочей памяти в контексте математических знаний. Автор создал систему компьютерных тренажеров рабочей памяти на основе ключевых разделов школьной программы по математике. Встраивание когнитивной тренировки в учебный контент снимает проблему «дальнего переноса», поскольку положительный эффект на академическую успеваемость проявляется сразу.Анализ статистических данных на сервере подтверждает значительные индивидуальные различия в рабочей памяти, а также гипотезу о том, что в результате тренировок улучшается стратегия использования ресурсов рабочей памяти, а не объем ее кратковременных хранилищ.
Lack of working memory leads to a persistent inability to learn mathematics. Additional lessons with a teacher do not solve the problem of lagging behind the program. Correction of working memory or adaptation of the curriculum to the characteristics of a given student is required. Working memory can be trained, however, cognitive improvement does not automatically translate into academic performance due to the deep lag behind these students from the program. It is proposed to train working memory in the context of mathematical knowledge. The author has created a system of computer trainers for working memory based on the key sections of the school curriculum in mathematics. There are eight trainers: mental counting and skills in working with a trigonometric circle, solving proportions and square inequalities, solving a right-angled triangle. Trainers are available free of charge on the website https://www.workingmemory.ru/ (registration is required). Embedding cognitive training in educational content removes the problem of far transfer, since the positive effect on academic performance is immediately apparent. The problem of motivation for training working memory also disappears, since the content basis of the trainers is the requirements of the school curriculum. The time limit for one exercise, the number and duration of exercise to reach the limit values vary widely. This confirms the significant individual differences in working memory. The hypothesis was confirmed that the strategy of using resources of working memory is improved as a result of training (not the volume of its short-term storage). The conclusion is made on the analysis of statistical data on working with the “Forest Marathon” trainer, in which it is required to hold and transform in the mind from one to five numbers.
Tingkat Kesehatan dan Laba Bank Pembangunan Daerah di Indonesia
Authors: Muhammadinah Muhammadinah 
Published: January 2022

This study aims to determine the factors that affect the health level of BPD in Indonesia and their impact on profits. The population and sample used were 27 BPD in Indonesia with financial reports for the period 2016-2018. The analysis technique used was descriptive and multiple regression with hypothesis testing, namely the t-test and F test. The results showed that in general BPD in Indonesia was in good health except Bank Banten during the 2016 - 2018 period was in an unsanitary condition. Then Bank Papua for 2016 is in an unhealthy condition and 2017 in a fairly healthy condition. Simultaneously all the independent variables in this study have a significant effect on the health level of BPD in Indonesia. The NPL and LDR variables have a significant effect on the health level of BPD in Indonesia, while the rest do not affect it. The variable level of bank soundness has a significant and significant effect on BPD earnings in Indonesia. The implication of doing this research is that banking management, especially Regional Development Banks in Indonesia, always maintains their level of health and can account for the mandate that has been given by the community to entrust their funds.Keywords: Current Asset Ratio; Non Performing Loans; Operational Income Operational Costs; Return On Asset; Loan to Deposit Ratio; Bank Soundness Level; Profit.
Persepsi Mahasiswa Terhadap Penerapan Blended Learning Dalam Pengajaran Akuntansi Pemerintahan: Tingkat Kepuasan dan Rancangan Pengajaran
Authors: Pebriyani Dewi , Sari Vita Fitria , Betavia Ade Elsa 
Published: January 2022

One of the trends in today's learning methods is to combine face-to-face meetings with online lectures. The application of blended learning for technical subjects such as accounting is still limited. This study aims to determine students' perceptions of the application of blended learning in government accounting teaching, the level of student satisfaction with the government accounting teaching process using traditional methods compared to blended learning, as well as the correct composition in the application of blended learning between face-to-face lectures and online teaching via e-learning in government accounting teaching. Respondents in this study were students who had passed government accounting courses. Data analysis was performed using the Mann Whitney difference test. The results of this study indicate that there are differences in student perceptions of the application of traditional learning and blended learning as many as 5 statement items. The results of this study also conclude that learning design using the blended learning method can be implemented for teaching government accounting but this does not mean eliminating face-to-face meetings, lecturers must design a combination of online and face-to-face meetings that are considered ideal by taking into account the number of students in the class and the number of students in the class. members in study groups Keywords: Blended learning; Course design; Government accounting; Learning method; Students’ satisfaction.