bluuebunny/crossref_metadata_2025_split huggingface dataset:
Web-Based Psychological Interventions for People Living With and Beyond Cancer: Meta-Review of What Works and What Does Not for Maximizing Recruitment, Engagement, and Efficacy
Authors: Leslie Monica , Beatty Lisa , Hulbert-Williams Lee , Pendrous Rosina , Cartwright Tim , Jackson Richard ,   The Finding My Way UK Trial Steering Group, Hulbert-Williams Nicholas J 
Published: May 2022

Background
Despite high levels of psychological distress experienced by many patients with cancer, previous research has identified several barriers to accessing traditional face-to-face psychological support. Web-based psychosocial interventions have emerged as a promising alternative.

Objective
This meta-review aimed to synthesize evidence on recruitment challenges and enablers, factors that promote engagement and adherence to web-based intervention content, and factors that promote the efficacy of web-based psychosocial interventions for patients with cancer and cancer survivors.

Methods
We conducted a systematic search of previous reviews that investigated the recruitment, engagement, and efficacy of web-based and app-based psychosocial interventions in adult patients with cancer and cancer survivors. We searched PubMed, CINAHL, PsycINFO, and the Cochrane Library database for relevant literature. The search terms focused on a combination of topics pertaining to neoplasms and telemedicine. Two independent authors conducted abstract screening, full text screening, and data extraction for each identified article.

Results
A total of 20 articles met eligibility criteria. There was inconsistency in the reporting of uptake and engagement data; however, anxiety about technology and perceived time burden were identified as 2 key barriers. Web-based psychosocial oncology interventions demonstrated efficacy in reducing depression and stress but reported weak to mixed findings for distress, anxiety, quality of life, and well-being. Although no factors consistently moderated intervention efficacy, preliminary evidence indicated that multicomponent interventions and greater communication with a health care professional were preferred by participants and were associated with superior effects.

Conclusions
Several consistently cited barriers to intervention uptake and recruitment have emerged, which we recommend future intervention studies address. Preliminary evidence also supports the superior efficacy of multicomponent interventions and interventions that facilitate communication with a health care professional. However, a greater number of appropriately powered clinical trials, including randomized trials with head-to-head comparisons, are needed to enable more confident conclusions regarding which web-based psychosocial oncology interventions work best and for whom.

Trial Registration
PROSPERO CRD42020202633; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=202633
Acceptance, Barriers, and Facilitators to Implementing Artificial Intelligence–Based Decision Support Systems in Emergency Departments: Quantitative and Qualitative Evaluation
Authors: Fujimori Ryo , Liu Keibun , Soeno Shoko , Naraba Hiromu , Ogura Kentaro , Hara Konan , Sonoo Tomohiro , Ogura Takayuki , Nakamura Kensuke , Goto Tadahiro 
Published: May 2022

Background
Despite the increasing availability of clinical decision support systems (CDSSs) and rising expectation for CDSSs based on artificial intelligence (AI), little is known about the acceptance of AI-based CDSS by physicians and its barriers and facilitators in emergency care settings.

Objective
We aimed to evaluate the acceptance, barriers, and facilitators to implementing AI-based CDSSs in the emergency care setting through the opinions of physicians on our newly developed, real-time AI-based CDSS, which alerts ED physicians by predicting aortic dissection based on numeric and text information from medical charts, by using the Unified Theory of Acceptance and Use of Technology (UTAUT; for quantitative evaluation) and the Consolidated Framework for Implementation Research (CFIR; for qualitative evaluation) frameworks.

Methods
This mixed methods study was performed from March to April 2021. Transitional year residents (n=6), emergency medicine residents (n=5), and emergency physicians (n=3) from two community, tertiary care hospitals in Japan were included. We first developed a real-time CDSS for predicting aortic dissection based on numeric and text information from medical charts (eg, chief complaints, medical history, vital signs) with natural language processing. This system was deployed on the internet, and the participants used the system with clinical vignettes of model cases. Participants were then involved in a mixed methods evaluation consisting of a UTAUT-based questionnaire with a 5-point Likert scale (quantitative) and a CFIR-based semistructured interview (qualitative). Cronbach α was calculated as a reliability estimate for UTAUT subconstructs. Interviews were sampled, transcribed, and analyzed using the MaxQDA software. The framework analysis approach was used during the study to determine the relevance of the CFIR constructs.

Results
All 14 participants completed the questionnaires and interviews. Quantitative analysis revealed generally positive responses for user acceptance with all scores above the neutral score of 3.0. In addition, the mixed methods analysis identified two significant barriers (System Performance, Compatibility) and two major facilitators (Evidence Strength, Design Quality) for implementation of AI-based CDSSs in emergency care settings.

Conclusions
Our mixed methods evaluation based on theoretically grounded frameworks revealed the acceptance, barriers, and facilitators of implementation of AI-based CDSS. Although the concern of system failure and overtrusting of the system could be barriers to implementation, the locality of the system and designing an intuitive user interface could likely facilitate the use of optimal AI-based CDSS. Alleviating and resolving these factors should be key to achieving good user acceptance of AI-based CDSS.
Improving Pain Assessment Using Vital Signs and Pain Medication for Patients With Sickle Cell Disease: Retrospective Study
Authors: Padhee Swati , Nave Jr Gary K , Banerjee Tanvi , Abrams Daniel M , Shah Nirmish 
Published: May 2022

Background
Sickle cell disease (SCD) is the most common inherited blood disorder affecting millions of people worldwide. Most patients with SCD experience repeated, unpredictable episodes of severe pain. These pain episodes are the leading cause of emergency department visits among patients with SCD and may last for several weeks. Arguably, the most challenging aspect of treating pain episodes in SCD is assessing and interpreting a patient’s pain intensity level.

Objective
This study aims to learn deep feature representations of subjective pain trajectories using objective physiological signals collected from electronic health records.

Methods
This study used electronic health record data collected from 496 Duke University Medical Center participants over 5 consecutive years. Each record contained measures for 6 vital signs and the patient’s self-reported pain score, with an ordinal range from 0 (no pain) to 10 (severe and unbearable pain). We also extracted 3 features related to medication: medication type, medication status (given or applied, or missed or removed or due), and total medication dosage (mg/mL). We used variational autoencoders for representation learning and designed machine learning classification algorithms to build pain prediction models. We evaluated our results using an accuracy and confusion matrix and visualized the qualitative data representations.

Results
We designed a classification model using raw data and deep representational learning to predict subjective pain scores with average accuracies of 82.8%, 70.6%, 49.3%, and 47.4% for 2-point, 4-point, 6-point, and 11-point pain ratings, respectively. We observed that random forest classification models trained on deep represented features outperformed models trained on unrepresented data for all pain rating scales. We observed that at varying Likert scales, our models performed better when provided with medication data along with vital signs data. We visualized the data representations to understand the underlying latent representations, indicating neighboring representations for similar pain scores with a higher resolution of pain ratings.

Conclusions
Our results demonstrate that medication information (the type of medication, total medication dosage, and whether the medication was given or missed) can significantly improve subjective pain prediction modeling compared with modeling with only vital signs. This study shows promise in data-driven estimated pain scores that will help clinicians with additional information about the patient’s condition, in addition to the patient’s self-reported pain scores.
Adherence and Engagement With a Cognitive Behavioral Therapy–Based Conversational Agent (Wysa for Chronic Pain) Among Adults With Chronic Pain: Survival Analysis
Authors: Sinha Chaitali , Cheng Abby L , Kadaba Madhura 
Published: May 2022

Background
Digital applications are commonly used to support mental health and well-being. However, successfully retaining and engaging users to complete digital interventions is challenging, and comorbidities such as chronic pain further reduce user engagement. Digital conversational agents (CAs) may improve user engagement by applying engagement principles that have been implemented within in-person care settings.

Objective
To evaluate user retention and engagement with an artificial intelligence–led digital mental health app (Wysa for Chronic Pain) that is customized for individuals managing mental health symptoms and coexisting chronic pain.

Methods
In this ancillary survival analysis of a clinical trial, participants included 51 adults who presented to a tertiary care center for chronic musculoskeletal pain, who endorsed coexisting symptoms of depression or anxiety (Patient-Reported Outcomes Measurement Information System score of ≥55 for depression or anxiety), and initiated onboarding to an 8-week subscription of Wysa for Chronic Pain. The study outcomes were user retention, defined as revisiting the app each week and on the last day of engagement, and user engagement, defined by the number of sessions the user completed.

Results
Users engaged in a cumulative mean of 33.3 sessions during the 8-week study period. The survival analysis depicted a median user retention period (i.e., time to complete disengagement) of 51 days, with the usage of a morning check-in feature having a significant relationship with a longer retention period (P=.001).

Conclusions
Our findings suggest that user retention and engagement with a CBT-based CA built for users with chronic pain is higher than standard industry metrics. These results have clear implications for addressing issues of suboptimal engagement of digital health interventions and improving access to care for chronic pain. Future work should use these findings to inform the design of evidence-based interventions for individuals with chronic pain and to enhance user retention and engagement of digital health interventions more broadly.

Trial Registration
ClinicalTrials.gov NCT04640090; https://clinicaltrials.gov/ct2/show/NCT04640090
Responses of carbon sequestration services to multiple soil and water conservation projects in Yanhe Basin, Loess Plateau
Authors: Zhang Jianxiang , Wang Yafeng , Sun Jian , Chen Junhe , Zhang Jingtian , Wang Dong , Huo Huangyu , Liang Eryuan 
Published: May 2022

Ecosystem carbon sequestration services (CSSs) are the most important
ecosystem services (ESs) to mitigate global warming. Multiple soil and
water conservation projects (SWCPs) have been implemented to restore
disturbed ecosystems on the Loess Plateau, China. However, responses of
CSSs to SWCPs are unclear due to trade-offs between CSSs and other ESs.
Here, we quantified key ESs (i.e. carbon sequestration, water yield,
soil conservation and crop production) and the spatio-temporal trade-off
relationships by using RS/GIS techniques and ecosystem modeling in the
Yanhe Basin, Loess Plateau, during 1990-2020. Additionally, the
structural equation model (SEM) was used to estimate the direct and
indirect inflences of multiple SWCPs including check dams, terraces and
Grain for Green (GFG) on CSSs. Results show that CSSs has improved to
457 t/ha in 2020, which was twice compared to 1990. Here in, 57% of
CSSs changes were explained by ESs and SWCPs. That is, water yield
(-77%), soil conservation (76%), crop production (22%), GFG (80%),
check dams (16%), and terraces (-72%), respectively. In order to
balance trade-offs among ESs, GFG project with a focus on vegetation
protection need to be prioritised, followed by check dams, and
non-agricultural terraces such as
[reverse-slope level terrace](http://search.ebscohost.com/login.aspx?direct=true&profile=ehost&scope=site&authtype=crawler&jrnl=10019332&asa=Y&AN=63484555&h=G6mLycMgNlOVPgRoCYkOUk10bJVLBylqio15fIxfweqCrJzP5PEtwMoYDxnyvIpHMRMXk%2BO8V2wSOuIGuR9DpA%3D%3D&crl=c)s
and fish-scale pits. Our results provide a mechanistic understanding of
how interacting processes of human activities at small catchments scales
to influence carbon sequestration, and promote sustainable utlization of
ESs in hill and gully regions of the Loess Plateau.
A trajetória da educação e a criação das políticas educacionais de inclusão
Authors: Benevides Gabriela Sanchez , Costa Vanderlei Balbino da 
Published: May 2022

A reflexão objetiva pensar como se constitui os direitos e condições estabelecidas pelos planos educacionais no que se refere aos estudantes com deficiência. Questão: como as políticas educacionais vem contribuindo para a promoção da inclusão dos sujeitos com deficiência no espaço escolar? Objetivos: analisar as políticas educacionais com enfoque à educação especial em uma perspectiva inclusiva; discutir à luz da legislação educacional limites e desafios que a inclusão escolar vem encontrando para se efetivar, avaliar até que ponto, as políticas educacionais implementadas a partir do século XXI, vem dando conta de promover à inclusão. A opção metodológica foi pela pesquisa qualitativa. Referenciais utilizados foram, Brito (2018); Borges (2013); Correia (2006); Costa e Garcia (2020); Ferreira (2006); Mantoan (2011); Matos (2013); Skliar (2006), dentre outros. Considerações, nos mostraram que ainda falta muito a ser feito para que à inclusão dos sujeitos com deficiência possa se efetivar no espaço escolar.
Duodenal Trauma
Authors: Jurkovich Gregory J. , Becker James C. , Beldowicz Brian C. 
Published: May 2022

Duodenal trauma is rare enough to prevent most surgeons from having extensive experience with its management, but not so unusual as to be ignored. The challenges are not simply in the operative decision-making, but also in the timely diagnosis. The duodenum accounts for only 5% of intra-abdominal traumatic injuries, likely owing to its deep, mostly retroperitoneal location. Fully three-quarters of duodenal injuries reported in the world’s literature are from penetrating wounds, and nearly all (90%) will have associated intra-abdominal injuries. Hemorrhage control, halting contamination, and definitive repair of the duodenal injury are the hallmarks of good management. The grade or severity of the duodenal injury will direct the appropriate surgical repair technique. Timely diagnosis is imperative, for a delay will increase mortality four-fold.
This review contains 7 figures, 5 tables, and 25 references
Keywords: Duodenum, pylorus, injury, trauma, pyloric exclusion, amylase, lipase, tube-duodenostomy, whipple procedure, retroperitoneum
Pendampingan Pembuatan Handsoap di Desa Kedaton 1 Kecamatan Batanghari Nuban
Authors: Kiswandono Agung Abadi , Rilyanti Mita , Sumiharni Sumiharni , Siswanto Heni , Wardani Yulia Kusuma , Munaris Munaris 
Published: May 2022

Tanaman sirih diminati masyarakat karena perawatannya yang mudah dan daunnya dapat dimanfaatkan sebagai bahan antiseptik dan antibakteri. Demikian juga halnya dengan warga masyarakat Desa Kedaton I, Batanghari Nuban, Lampung Timur, khususnya ibu-ibu Anggota PKK (Pemberdayaan Kesejahteraan Keluarga) Desa Kedaton I, Batanghari Nuban, Lampung Timur. Namun, terhadap masyarakat khalayak sasaran terdapat persoalan mendasar, yaitu rendahnya tingkat pendidikan, pengetahuan dan pengalaman anggota kelompok mitra, sehingga mereka perlu diberikan kegiatan pengabdian kepada masyarakat. Untuk menguatkan mereka, perlu diberikan kegiatan pengabdian kepada masyarakat berkaitan dengan pendampingan dan pelatihan ekonomi kreatif masyarakat berbasis home industry. Tujuan kegiatan pengabdian kepada masyarakat ini adalah, selain pendampingan dalam pembuatan handsoap, juga pendampingan kepada kelompok mitra dalam bentuk pelatihan dan praktik, serta sosialisasi Covid 19. Berdasarkan atas hasil pengabdian, diperoleh data bahwa pemahaman peserta tentang kewirausahaan handsoap sebesar 63,00%. Selain itu, kelompok mitra juga sudah bisa membuat produk handsoap antiseptik.
Pemberdayaan Aplikasi Mobile dalam Peningkatan Kegiatan dan Informasi pada Dewan Dakwah Lampung
Authors: Budiman Arief , Sijabat Ilyas David , Sucipto Adi 
Published: May 2022

Dakwah dalam Islam merupakan salah satu lembaga syiar agama. Seperti dalam sejarah, syiar agama menggunakan beberapa metode dan alat yang disesuaikan dengan kondisi dan tempatnya. Saat ini, perkembangan teknologi menjadi hal yang melekat pada masyarakat. Tantangannya adalah bagaimana memberikan informasi yang mudah dan dapat dijangkau oleh pengguna. Lembaga Dewan Dakwah Islam diharapkan dapat menjadi sumber informasi atau acuan dalam penyampaian informasi terutama kepada pengurus masjid. Seperti informasi terkait jadwal shalat, rukun zakat, ataupun arah kiblat yang menjadi hal dasar yang digunakan oleh pengurus masjid. Sosialisasi aplikasi mobile dilakukan dihadapan para pengurus Lembaga dan perwakilan takmir masjid. Penggunaan aplikasi dilakukan guna membantu pihak Dewan Dakwah Lampung dalam memberikan informasi kepada masyarakat langsung melalui gawai. Hasil pengujian memberikan nilai dalam kategori sangat baik dengan 97,22 %. Namun dibutuhkan beberapa fitur tambahan seperti, arah kiblat, jadwal shalat dan lainnya dalam aplikasi mobile.
Diseminasi Teknologi Pengolahan Cangkang Biji Karet Menjadi Arang Aktif Berpotensi Industri
Authors: Pandiangan Kamisah Delilawati , Simanjuntak Wasinton , Rilyanti Mita , Ilim Ilim 
Published: May 2022

Latar belakang kegiatan PKM ini adalah belum tergalinya potensi tanaman karet di lingkungan petani, khususnya pemanfaatan cangkang biji karet sebagai bahan baku pembuatan arang aktif berpotensi industri. Pembuatan arang aktif dengan teknologi pirolisis dan karakterisasi arang meliputi kadar abu, kadar air, dan daya serap terhadap metilen biru dilakukan di Jurusan Kimia Universitas Lampung. Semua kegiatan didokumentasikan dalam bentuk video tutorial dan didiseminasikan kepada aparat dan petani karet di Desa Bumiayu, Provinsi Lampung. Tim pelaksana menjelaskan tentang program PKM, tujuan, luaran dan target kegiatan yakni meningkatkan pengetahuan masyarakat mitra untuk mengolah cangkang biji karet menjadi arang aktif. Video tutorial digunakan sebagai panduan bagi petani yang tertarik untuk mengolah cangkang biji karet menjadi arang aktif dengan pendampingan dan pembinaan secara langsung oleh tim pelaksana.
Pendampingan Kegiatan E-Commerce Pada Petani Aglaonema di Pekalongan Lampung Timur
Authors: ES Yeni Rahmawati , Farida Nurul , Agustina Rina , Ahmad Jazim , Rizki Swaditya 
Published: May 2022

Minimnya pengetahuan petani aglaonema dalam memasarkan produknya secara online, sehingga kegiatan ini bertujuan untuk mendampingi petani aglaonema di Desa Sidodadi Kecamatan Pekalongan Lampung Timur dalam pemanfaatan e-commerce. Pemasaran produksi secara online ini sangat dibutuhkan pada kondisi saat ini. Mitra dari program kegiatan pengabdian kepada masyarakat ini adalah para petani aglaonema di desa Sidodadi khususnya Dusun IV Desa Sidodadi Kecamatan Pekalongan Lampung Timur. Kegiatan ini dilaksanakan pada bulan April 2021. Metode pendekatan yang dilakukan adalah mengadakan pelatihan tentang tata cara pembuatan akun e-commerce menggunakan aplikasi penjualan online yang ada. Hasil yang dicapai pada kegiatan ini adalah: (1) Meningkatnya pengetahuan petani tentang cara pembuatan akun penjualan secara online, (2) Meningkatnya pemahaman petani tentang cara menggunakan akun penjualan online yang ada.
Strategi Pemberdayaan UKM Sarabba Rajana Yang Berdaya Saing di Pasar Produk Minuman Sulawesi Selatan
Authors: Kasim M. Husain , Brotodjojo Rukmowati , Kaswidjanti Wilis 
Published: May 2022

UKM Sarabba Rajana memproduksi Sarabba instant, minuman tradisional khas Sulawesi Selatan. UKM Sarabba Rajana terletak di Luwu Utara yang berjarak sekitar 500 km dari Makassar ibu kota Provinsi Sulawesi Selatan. UKM ini belum berkembang karena jauh dari pusat bisnis Sulawesi Selatan dan produknya belum dikenal dan mampu bersaing secara regional. Pada tahun 2021 tim pengabdian kepada Masyarakat (PKM) UPN “Veteran” Yogyakarta menyelenggarakan kegiatan penyuluhan, pelatihan, pengembangan merek, adaptasi mitra pada teknologi, pembentukan dan pengembangan jejaring untuk UKM ini. Pelaksanaan pengabdian dilakukan dengan mengkombinasikan berbagai metode PRA (Participatory Rural Appraisal), PLA (Participatory Learning Action) untuk meningkatkan kapasitas mitra. Dampak PKM pada UKM ini adalah produk yang marketable, produk terstandarisasi sesuai regulasi pemerintah, brand Sarabba Rajana dikenal secara luas, penetrasi pasar yang kuat sehingga menjadi oleh-oleh khas Makassar. Selain itu, pemerintah kabupaten Luwu Utara menyatakan UKM ini berpredikat unggul sehingga dapat menjadi model keberhasilan UKM.
Effect of Packaging Type on the Physical and Sensorial Qualities Beef Fried Meatballs during Storage at Ambient Temperature
Authors: Rahmania Khofifah Dwi , Suryanto Edi , Triyannanto Endy , Sujarwanta Rio Olympias 
Published: May 2022

Beef fried meatballs (basreng) is an innovation from meatballs. Dry textured basreng is sensitive to air and prone to rancidity, so packaging is required to minimize and the effect of storage time at room temperature. Basreng samples were packaged in non-vacuum polyethylene, vacuum polyethylene, aluminum foil vacuum, and composite can. Each was tested at weeks 0, 2, 4, 6, and 8. Parameters were observed for physical quality (pH and hygroscopicity) and sensory (color, taste, aroma, texture, acceptability). Physical quality data were analyzed using a Complete Randomized Design with a 4x5 factorial pattern. Mean differences were tested with Duncan's New Multiple Range Test. Sensory quality data was analyzed with Friedman's non-parametric analysis. Each treatment was in triplicate. The highest pH value for composite can is 6.43. The best sensory score is the composite can. The results of statistical analysis showed that the packaging treatment had a significant effect (P<0.05). Storage time also had a significant effect (P<0.05) on the physical quality which decreasing the pH value to 6.08, increasing the hygrocoposity value to 0.19 and decreasing the sensory score. The conclusion of this study was that types of packaging and storage time affected the physical and sensory qualities than other treatments.
Keywords: Beef Fried Meatballs, Type of Packaging, Storage Time, Physical Quality, Sensory Quality.