bluuebunny/crossref_metadata_2025_split huggingface dataset:
Omni-Kanal-Transformation im Krankenhaus – eine Fallstudie
Authors: Vollenberg Carolin , Hoffmann Felix , Coners André , Plattfaut Ralf 
Published: November 2022

ZusammenfassungDie komplexen Strukturen der vorhandenen Krankenhaus-Patient*innen-Schnittstelle sowie zugehörige IT-Systeme, eingesetzte Speichermedien und die dezentralen Kontaktkanäle begründen häufig hohe administrative Aufwände im Gesundheitswesen. Diese Schnittstelle und die Kontaktkanäle für Patient*innen sind meist unabhängig voneinander organisiert sowie auf Daten- bzw. Systemebene nicht verbunden – sie unterliegen häufig einem Multi-Kanal-Ansatz. Die Transformation hin zu einem Omni-Kanal-Ansatz kann diese Komplexitäten und Aufwände reduzieren. Die hier vorgestellte Studie zeigt die Gestaltung eines Omni-Kanal-Ansatzes im Gesundheitswesen und bietet Implikationen sowie klare Lessons Learned für die Umsetzung eines solchen Konzeptes insbesondere für IT-Entscheider*innen. Zudem werden die Komplexitätsreduktionen durch einen Omni-Kanal-Ansatz im Krankenhaus dargestellt.
Ready for Take-off? – Gestaltung und Wahrnehmung von Reiseimpfberatungschatbots
Authors: Greulich R. Stefan , Pietrantoni Nico , Hildebrandt Fabian , Hommel Tomy , Morana Stefan , Brendel Alfred Benedikt 
Published: November 2022

ZusammenfassungDer Einsatz von Sprachassistenten (Alltagsbeispiele sind Alexa von Amazon, Siri von Apple oder der Chatbot von Hellofresh) hat auch im Gesundheitswesen Einzug gehalten. Ein aktuelles Beispiel ist der WhatsApp Chatbot der WHO, welcher Nutzer:innen über COVID-19 aufklärt. Sprachassistenten haben die Fähigkeit, Patienten und Patientinnen orts- und zeitunabhängig aufzuklären, wodurch Mitarbeiter:innen entlastet werden. Jedoch gibt es neben den technischen (u. a. Entwicklung und Optimierung der Algorithmen für die Spracherkennung) auch Herausforderungen in der Mensch-Chatbot-Interaktion. In dieser Studie wird untersucht, welche Rolle die menschenähnliche Gestaltung (u. a. menschlicher Name, Begrüßung, menschlicher Avatar) eines Reiseimpfberatungschatbots auf dessen Wahrnehmung durch Nutzer:innen hat. Spezifisch geht es darum zu verstehen, ob und wie sich Anthropomorphismus (die Wahrnehmung von Menschlichkeit und sozialer Präsenz in Objekten, Tieren und Maschinen) auf die wahrgenommene Vertrauenswürdigkeit und letztendliche Zufriedenheit mit dem Service auswirkt. In einem Online-Experiment mit 78 Teilnehmer:innen, wurden zwei Chatbot-Gestaltungen (mit menschenähnlichen Gestaltungselementen vs. ohne diese Elemente) verglichen. Die Ergebnisse zeigen, dass die wahrgenommene soziale Präsenz signifikant die wahrgenommene Vertrauenswürdigkeit und die Zufriedenheit mit dem Service des Chatbots erhöhen. Somit ist die Implikation, dass bei der Reiseimpfberatung und ähnlichen Beratungsprozessen eine menschliche Gestaltung der Sprachassistenten zu empfehlen ist.
Determinants of facility-based childbirth among adolescents and young women in Guinea: A secondary analysis of the 2018 Demographic and Health Survey
Authors: Grovogui Fassou Mathias , Benova Lenka , Manet Hawa , Sidibe Sidikiba , Dioubate Nafissatou , Camara Bienvenu Salim , Beavogui Abdoul Habib , Delamou Alexandre 
Published: November 2022

Introduction
Maternal mortality remains very high in Sub-Saharan African countries and the risk is higher among adolescent girls. Maternal mortality occurs in these settings mainly around the time of childbirth and the first 24 hours after birth. Therefore, skilled attendance in an enabling environment is essential to reduce the occurrence of adverse outcomes for both women and their children. This study aims to analyze the determinants of facility childbirth among adolescents and young women in Guinea.

Methods
We used the Guinea Demographic and Health Survey (DHS) conducted in 2018. All females who were adolescents (15–19) or young women (20–24 years) at the time of their most recent live birth in the five years before the survey were included. We examined the use of health facilities for childbirth and its determinants selected through the Andersen health-seeking model using descriptive analysis and multilevel multivariable logistic regression. All descriptive and analytical estimated were produced by adjusting for the survey sampling using the svy option, including adjustment for clustering, stratification and unequal probability of selection and non-response (individual sample weights). The subpopulation option was also used to account for the variance of estimations.

Results
Overall, 58% of adolescents and 57% of young women gave birth in a health facility. Young women were more likely to have used private sector facilities compared to adolescents (p<0.001). Factors significantly associated with a facility birth in multivariable regression included: secondary or higher educational level (aOR = 1.86; 95%CI:1.24–2.78) compared to no formal education; receipt of 1–3 antenatal visits (aOR = 9.33; 95%CI: 5.07–17.16) and 4+ visits (aOR = 16.67; 95%CI: 8.82–31.48) compared to none; living in urban (aOR = 2.50; 95%CI: 1.57–3,98) compared to rural areas. Women from poorest households had lower odds of facility-based childbirth. There was substantial variation in the likelihood of birth in a health facility by region, with highest odds in N’Zérékoré and lowest in Labé.

Conclusion
The percentage of births in health facilities among adolescents and young women in Guinea was 58%. This remains suboptimal regarding the challenges associated maternal mortality and morbidity issues in Guinea. Socio-economic characteristics, region of residence and antenatal care use were the main determinants of its use. Efforts to improve maternal health among this group should target care discontinuation between antenatal care and childbirth (primarily by removing financial barriers) and increasing the demand for facility-based childbirth services in communities, while paying attention to the quality and respectful nature of healthcare services provided there.
Multimorbidity and health-related quality of life among patients attending chronic outpatient medical care in Bahir Dar, Northwest Ethiopia: The application of partial proportional odds model
Authors: Eyowas Fantu Abebe , Schneider Marguerite , Balcha Shitaye Alemu , Pati Sanghamitra , Getahun Fentie Ambaw 
Published: November 2022

Background
Multimorbidity, the presence of two or more chronic non-communicable diseases (NCDs) in a given person affects all aspects of people’s lives. Poor quality of life (QoL) is one of the major consequences of living with multimorbidity. Although healthcare should support multimorbid individuals to achieve a better quality of life, little is known about the effect of multimorbidity on the QoL of patients living with chronic conditions. This study aimed to determine the influence of multimorbidity on QoL among clients attending chronic outpatient medical care in Bahir Dar, Northwest Ethiopia.

Methodology
A multi-centered facility-based study was conducted among 1440 participants aged 40+ years. Two complementary methods were employed to collect sociodemographic and disease related data. We used the short form (SF-12 V2) instrument to measure quality of life (QoL). The data were analyzed by STATA V.16, and a multivariate partial proportional odds model was fitted to identify covariates associated with quality of life. Statistical significance was considered at p-value <0.05.

Principal findings
Multimorbidity was identified in 54.8% (95% CI = 52.2%-57.4%) of the sample. A significant proportion (33.5%) of the study participants had poor QoL and a quarter (25.8%) of them had moderate QoL. Advanced age, obesity and living with multimorbidity were the factors associated with poor QoL. Conversely, perceived social support and satisfaction with care were the variables positively associated with better QoL.

Conclusion
The magnitude of multimorbidity in this study was high and individuals living with multimorbidity had a relatively poorer QoL than those without multimorbidity. Care of people with chronic multiple conditions has to be oriented to the realities of multimorbidity burden and its implication on QoL. It is also imperative to replicate the methods we employed to measure and analyze QoL data in this study for facilitating comparison and further development of the approaches.
The design, delivery and evaluation of ‘Human Perspectives VR’: An immersive educational programme designed to raise awareness of contributory factors for a traumatic childbirth experience and PTSD
Authors: Heys Stephanie , Downe Soo , McKeown Mick , Thomson Gill 
Published: November 2022

Background
A traumatic childbirth experience affects ~30% of women each year, with negative impacts on maternal, infant, and family wellbeing. Women classified as vulnerable or marginalised are those more likely to experience a psychologically traumatising birth. A key contributory factor for a traumatic childbirth experience is women’s relationships with maternity care providers.

Aims
To develop, design and evaluate an immersive educational programme for maternity care providers to raise awareness of traumatic childbirth experiences amongst vulnerable groups, and ultimately to improve women’s experiences of childbirth.

Methods
A critical pedagogical approach that utilised virtual reality (VR) underpinned the design and development of the educational programme. This involved: a) collecting vulnerable/disadvantaged women’s experiences of birth via interviews; b) analysing data collected to identify key hotspots for traumatic experiences within interpersonal patient–provider relationships to develop a script; c) filming the script with professional actors creating a first person perspective via VR technology; d) using existing literature to inform the theoretical and reflective aspects of the programme; e) conducting an evaluation of the education programme using pre-and post-evaluation questionnaires and a follow-up focus group.

Findings
Human Perspective VR was very well received. Participants considered the content to have enhanced their reflective practice and increased their knowledge base regarding contributory factors associated with a traumatic childbirth experience. A need for further work to implement learning into practice was highlighted.

Conclusion
While further research is needed to evaluate the impact of the programme, Human Perspective VR programme offers an innovative approach to reflective education and to enhance participants’ care practices.
Social distancing, community stigma, and implications for psychological distress in the aftermath of Ebola virus disease
Authors: Crea Thomas M. , Collier K. Megan , Klein Elizabeth K. , Sevalie Stephen , Molleh Bailah , Kabba Yusuf , Kargbo Abdulai , Bangura Joseph , Gbettu Henry , Simms Stewart , O’Leary Clara , Drury Stacy , Schieffelin John S. , Betancourt Theresa S. 
Published: November 2022

Background
The 2013–2016 Ebola virus disease (EVD) epidemic resulted in more infections and deaths than all prior outbreaks in the 40-year history of this virus combined. This study examines how experiences of EVD infection, and preventive measures such as social distancing, were linked to experiences of stigma and social exclusion among those reintegrating into their communities.

Methods
Key informant interviews (n = 42) and focus group discussions (n = 27) were conducted in districts with a high prevalence of EVD and representing geographical and ethnic diversity (n = 228 participants). The final sample was composed of adults (52%) and children (48%) who were EVD-infected (46%) and -affected (42%) individuals, and community leaders (12%). Data were coded using a Grounded Theory approach informed by Thematic Content Analysis, and analyzed using NVivo. Interrater reliability was high, with Cohen’s κ = 0.80 or higher.

Findings
Participants described two main sources of EVD-related stress: isolation from the community because of social distancing and other prevention measures such as quarantine, and stigma related to infected or affected status. Participants linked experiences of social isolation and stigma to significant distress and feelings of ostracization. These experiences were particularly pronounced among children. Sources of support included community reintegration over time, and formal community efforts to provide education and establish protection bylaws.

Interpretation
This study found that social distancing and EVD-related stigma were each prominent sources of distress among participants. These results suggest that isolation because of infection, and the enduring stigmatization of infected individuals and their families, demand coordinated responses to prevent and mitigate additional psychosocial harm. Such responses should include close engagement with community leaders to combat misinformation and promote community reintegration.
Exposure to images showing (non)adherence to physical distancing rules: Effect on adherence behavior and perceived social norms
Authors: Raghoebar Sanne , Delnoij Joyce , Kamphorst Bart A. , Broekhuizen Henk 
Published: November 2022

Introduction
Adherence to behavioral measures such as physical distancing are key to mitigating the effects of viral pandemics such as the COVID-19 pandemic. Adherence depends in part on people’s perception of what others do (descriptive norms) or approve of (injunctive norms). This study examines the effects that exposure to images depicting people following or breaking physical distancing rules have on perceptions of descriptive and injunctive norms and subsequent adherence behavior.

Methods
An online between-subjects experiment (n = 315) was conducted, in which participants were exposed to a set of five photographs of different public spaces in which people either did or did not adhere to physical distancing rules (pre-registration: https://www.osf.io/uek2p). Participants’ adherence behavior was measured using a triangulation of measures (incentivized online behavioral task, vignettes, intention measure). Perceptions of relevant social norms were also measured.

Results
Mann-Whitney tests showed no effects of condition on perceptions of descriptive and injunctive norms or on adherence behavior. Linear regressions showed that both component paths of the indirect effect (condition on norm perceptions, and norm perceptions on adherence behavior) were non-significant, hence mediation analyses were not conducted.

Conclusions
Exposure to images of people following (compared to breaking) physical distancing rules did not affect adherence to such rules or perceived norms. We surmise that a single exposure to such images, especially in the context of COVID-19, is insufficient to affect behavior. We therefore recommend performing a comparable experiment in which participants are exposed repeatedly to images showing people (non)adhering to a specific behavior in a particular context for a longer period.
Effectiveness of Aedes-borne infectious disease control in Latin America and the Caribbean region: A scoping review
Authors: Mulderij-Jansen Vaitiare , Pundir Prachi , Grillet Maria E. , Lakiang Theophilus , Gerstenbluth Izzy , Duits Ashley , Tami Adriana , Bailey Ajay 
Published: November 2022

Background
Aedes aegypti and Aedes albopictus are primary vectors of emerging or re-emerging arboviruses that threaten public health worldwide. Many efforts have been made to develop interventions to control these Aedes species populations. Still, countries in the Latin America and the Caribbean (LAC) region struggle to create/design/develop sustainable and effective control strategies. This scoping review synthesises evidence concerning the effectiveness of Ae. aegypti and Ae. albopictus prevention and control interventions performed in LAC (2000–2021). The findings can be used to evaluate, compare and develop more effective control strategies.

Methodology
The review is based on the methodology by Joanna Briggs Institute for conducting a scoping review. The MEDLINE (via PubMed and Web of Science), Cochrane Library, Scopus, EMBASE and ScienceDirect databases were used to search for articles. Grey literature was searched from governmental and non-governmental organisation websites. Four reviewers independently screened all titles and abstracts and full-text of the articles using the Rayyan web application, based on pre-defined eligibility criteria.

Results
A total of 122 publications were included in the review. Most studies focused on dengue virus infection and data on Ae. aegypti. Entomological data were mainly used to determine the intervention’s effectiveness. An integrated control intervention was the most commonly employed strategy in both regions. Biological control measures, environmental management, and health education campaigns on community participation achieved more sustainable results than an intervention where only a chemical control measure was used. Challenges to implementing interventions were insufficient financial support, resources, workforce, intersectoral collaboration and legislation.

Conclusions
Based on the synthesised data, an integrated vector (Aedes) management focused on community participation seems to be the most effective approach to mitigate Aedes-borne infectious diseases. Maintaining the approach’s effect remains challenging as it requires multisectoral and multi-disciplinary team engagement and active community participation. Future research needs to address the barriers to program implementation and maintenance as data on this topic is lacking.
Unique cellular immune signatures of multisystem inflammatory syndrome in children
Authors: Rajamanickam Anuradha , Nathella Pavan Kumar , Venkataraman Aishwarya , Varadarjan Poovazhagi , Kannan Srinithi , Pandiarajan Arul Nancy , Renji Rachel Mariam , Elavarasan Elayarani , Thimmaiah Akshith , Sasidaran Kandasamy , Krishnamoorthy Nedunchelian , Natarajan Suresh , Ramaswamy Ganesh , Sundaram Balasubramanian , Putlibai Sulochana , Hissar Syed , Selladurai Elilarasi , Uma Devi K. Ranganathan , Nutman Thomas B. , Babu Subash 
Published: November 2022

The clinical presentation of MIS-C overlaps with other infectious/non-infectious diseases such as acute COVID-19, Kawasaki disease, acute dengue, enteric fever, and systemic lupus erythematosus. We examined the ex-vivo cellular parameters with the aim of distinguishing MIS-C from other syndromes with overlapping clinical presentations. MIS-C children differed from children with non-MIS-C conditions by having increased numbers of naïve CD8+ T cells, naïve, immature and atypical memory B cells and diminished numbers of transitional memory, stem cell memory, central and effector memory CD4+ and CD8+ T cells, classical, activated memory B and plasma cells and monocyte (intermediate and non-classical) and dendritic cell (plasmacytoid and myeloid) subsets. All of the above alterations were significantly reversed at 6–9 months post-recovery in MIS-C. Thus, MIS-C is characterized by a distinct cellular signature that distinguishes it from other syndromes with overlapping clinical presentations.
Trial Registration: ClinicalTrials.gov clinicaltrial.gov. No: NCT04844242.
Angiosarcoma in Long-Standing Nodular Regenerative Hyperplasia
Authors: Abdul Majeed Nehna , Kleiner David E. , Uzel Gulbu , Koh Christopher , Heller Theo 
Published: November 2022

ABSTRACT
Nodular regenerative hyperplasia (NRH) is an uncommon chronic liver disease associated with noncirrhotic portal hypertension. A 29-year-old man with X-linked agammaglobulinemia and NRH complicated by noncirrhotic portal hypertension was followed. Laboratory test results showed pancytopenia and elevated transaminases. Magnetic resonance imaging showed innumerable hepatic lesions. Liver biopsy showed angiosarcoma (hepatic angiosarcoma). He was not a candidate for medical or surgical intervention because of extensive disease and died. Liver histology at autopsy showed infiltrating foci of angiosarcoma. This report extends the literature on a link between malignancy and NRH.
Pengalaman Informasi Pustakawan dalam Program Transformasi Perpustakaan Berbasis Inklusi Sosial
Authors: Salsabilla Sukma , Prasetyawan Yanuar Yoga 
Published: November 2022

Adanya program transformasi perpustakaan berbasis inklusi sosial sebagai program unggulan Dinas Kearsipan dan Perpustakaan (Dinarspus) Kabupaten Purbalingga, dirasa penting untuk mengetahui bagaimana interaksi yang terbentuk antara pustakawan, masyarakat dan mitra program dengan informasi yang ada, serta peristiwa seperti apa saja yang dialami oleh pustakawan yang terlibat selama ini, guna dijadikan sebagai bahan evaluasi dalam peningkatan dan pengembangan program kedepannya. Tujuan penelitian ini adalah untuk mengetahui pengalaman informasi yang dialami pustakawan di Dinarspus Kabupaten Purbalingga dalam melaksanakan program transformasi perpustakaan berbasis inklusi sosial. Metode yang digunakan dalam penelitian ini yaitu metode kualitatif dengan teknik pengambilan data wawancara dan dokumentasi. Informan dalam penelitian ini adalah Pustakawan sebanyak 7 orang, yang terdiri dari: 4 Pustakawan Dinarspus Kabupaten Purbalingga dan 3 Pustakawan Mitra Program. Dengan menggunakan thematic analysis, penelitian ini menunjukan hasil bahwa dalam mencapai keberhasilan jalannya program transformasi perpustakaan berbasis inklusi sosial yang dilaksanakan di Kabupaten Purbalingga, banyak sekali pengalaman informasi yang dialami pustakawan dan berpengaruh besar terhadap perubahan perasaan, pola pikir dan tindakan pustakawan dalam menjalankan profesinya, terutama dalam menjalankan program inklusi sosial. Pengalaman informasi yang dialami ini membantu pustakawan dalam menentukan kebutuhan informasi masyarakat mana yang penting untuk dipenuhi terlebih dahulu dan kegiatan inklusi atau pelatihan apa yang paling tepat dirancang dan dibuat guna menjadi strategi dalam pemenuhan kebutuhan informasi tersebut. Meskipun terdapat beberapa kesulitan dan hambatan, pelaksanaan program di Kabupaten Purbalingga sudah berjalan cukup baik dan mendapatkan respon yang positif. Selain itu, program ini juga telah memberikan banyak manfaat bagi kesejahteraan masyarakat serta diri pustakawan secara pribadi. Penelitian ini membantu pustakawan dan/atau perpustakaan lain sebagai pembelajaran dalam pelaksanaan program transformasi perpustakaan berbasis inklusi sosial.
Libertarianism in disguise
Authors: Steward Helen 
Published: November 2022

Abstract
This paper argues that the position on free will which is defended in ‘Freedom: An Impossible Reality’ is not, as Tallis claims, a compatibilist view, but actually a version of libertarianism. While endorsing many aspects of that libertarian view itself, the paper raises questions about how one of the central arguments for Tallis’s view is supposed to work, and queries whether it really follows from the fact that we need to stand apart from nature in a certain sense, in order to develop the kind of abstract knowledge that is constituted by the body of scientific law, that our own actions are not mere manifestations of what Tallis calls the ‘habits of nature’. It is also suggested that while a strong case can be made for many varieties of human exceptionalism, Tallis’s view of animal behaviour may be too simple and that there are examples of animal agency which cannot be explained merely by the associative learning which appears to be the highest grade of animal cognition that Tallis countenances.