bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Free, Open-Source, Offline Digital Health System for Refugee Care
Authors: Ashworth Henry , Ebrahim Senan , Ebrahim Hassaan , Bhaiwala Zahra , Chilazi Michael 
Published: January 2022

Background
Rise of conflict, extreme weather events, and pandemics have led to larger displaced populations worldwide. Displaced populations have unique acute and chronic health needs that must be met by low-resource health systems. Electronic health records (EHRs) have been shown to improve health outcomes in displaced populations, but need to be adapted to meet the constraints of these health systems.

Objective
The aim of this viewpoint is to describe the development and deployment of an EHR designed to care for displaced populations in low-resource settings.

Methods
Using a human-centered design approach, we conducted in-depth interviews and focus groups with patients, health care providers, and administrators in Lebanon and Jordan to identify the essential EHR features. These features, including modular workflows, multilingual interfaces, and offline-first capabilities, led to the development of the Hikma Health EHR, which has been deployed in Lebanon and Nicaragua.

Results
We report the successes and challenges from 12 months of Hikma Health EHR deployment in a mobile clinic providing care to Syrian refugees in Bekaa Valley, Lebanon. Successes include the EHR’s ability to (1) increase clinical efficacy by providing detailed patient records, (2) be adaptable to the threats of COVID-19, and (3) improve organizational planning. Lessons learned include technical fixes to methods of identifying patients through name or their medical record ID.

Conclusions
As the number of displaced people continues to rise globally, it is imperative that solutions are created to help maximize the health care they receive. Free, open-sourced, and adaptable EHRs can enable organizations to better provide for displaced populations.
Application of Box Behnken Design and Response Surface Methodology for Optimization Sonication Conditions of Nanostructured Lipid Carrier from Mixtures of Palm Stearin and Palm Olein
Authors: Akbartina Solikah  
Published: January 2022

The study aimed to determine the optimum conditions of the sonication in the manufacture of nanostructured lipid carriers (NLC). Nanostructured lipid carriers were developed using a mixture of palm stearin and palm olein, water, and tween as surfactants. Optimization was carried out to obtain nanostructured lipid carriers with a size below 200nm, zeta potential + 30 mV, and polydispersity index below 0.5.
Optimization of NLC using response surface methodology and Box-Behnken experimental design. The independent variables were amplitude (A, kHz), pulse on pulse off (B, minute), and time of sonication (C, minute) each at three levels, while dependent variables were zeta potential (Y1, mV), particle size (Y2, nm), and polydispersity index (Y3). Measurement for dependent variables using the Zetasizer Nano ZS particle size analyzer utilized with Malvern software (Malvern, UK).
The optimum formulation was obtained at a combination of amplitude (35 kHz), pulse on pulse off (pulse on 9 pulses off 3), and time of sonication (3 minutes 25 seconds ). This resulted in NLC having particle size 127.9 nm, polydispersity index 0.191, the zeta potential of -27.3 mV.
Medication Nonadherence: Implications for patient health outcomes in pharmacy practice
Authors: AL-TEMIMI AHMED ALAA , Krishnan Sunanthiny , Kaur Sandhu Anisha , Sajid Ali Bangash Nida 
Published: January 2022

ABSTRACT
Objectives: The primary objective of this review is (1) to better understand the prevalence and impact of medication nonadherence, (2) to identify risk factors for medication nonadherence, (3) to understand the association between nonadherence and its implications on patient health outcomes in pharmacy practice, and (4) to study interventions designed to improve patient adherence to prescribed medications for medical conditions, considering its impact on both medication adherence and patient health outcomes.

Methods: Published journal articles were manually sorted. Additional references were obtained from citations within the retrieved articles. This review surveyed the findings of the identified articles with data extracted to presents various strategies and resources on medication nonadherence related to patients and healthcare providers. English languages were considered inclusion criteria in reviewing published articles related to medication nonadherence. This review also surveyed identified articles to determine both subjective and objective medication adherence measures.
Key findings: The research in this field needs advances, including improved design of feasible long‐term interventions, objective adherence measures, and sufficient study power to detect improvements in patient health outcomes.

Conclusion:
Current methods of improving medication adherence for chronic health problems are mostly complex and ineffective so full benefits of treatment cannot be realized. To date, monitoring of patient medication adherence and use of interventions to improve adherence are rare in routine clinical practice.
Monimateriaalisuus perusopetuksen käsityössä
Authors: Pöllänen Sinikka , Rönkkö Marja-Leena , Salonen Anssi , Härkki Tellervo , Lindfors Eila 
Published: January 2022

Peruskoulun käsityö on monimateriaalinen oppiaine, jonka sisältöjä ja toimintaa tukevat sekä teknisen työn että tekstiilityön työtavat. Perusopetuksen opetussuunnitelman perusteiden mukaan käsityön tehtävänä on ohjata oppilaita kokonaisen käsityöprosessin hallintaan. Kokonaista käsityöprosessia ja monimateriaalisuutta toteuttava käsityö on kuitenkin koettu epäselväksi ja vaikeaksi toteuttaa. Ongelmalliseksi on koettu resurssien rajallisuus sekä se, että teknisen työn ja tekstiilityön työtapojen oppimisympäristöt sijaitsevat usein erillään toisistaan. Lisäksi käsityötä opettavien koulutustausta ja perehtyneisyys eri käsityön työtapoihin on vaihteleva riippuen opintojen sisällöistä ja harrastuneisuudesta. Tämän kuvailevan kirjallisuuskatsauksen tavoitteena on konkretisoida esimerkein pedagogisia lähtökohtia käsityön monimateriaalisuuteen. Näiden lähtökohtien taustoittamiseksi kuvataan myös käsityöoppiaineen opetuksen organisoinnissa tapahtuneita muutoksia ja avataan monimateriaalisuuden käsitettä sekä siihen liittyviä reunaehtoja. Monimateriaalisuutta kuvaavissa pedagogisissa esimerkeissä on nostettu esiin, miten monimateriaalisuus näyttäytyy opiskeltavana sisältönä ja miten se välittyy oppilaille yksin tai yhdessä työskenneltäessä.

Multi-materiality in Basic education Craft education
Abstract
Craft education is a multi-material-based school subject in basic education, the contents, and activities of which are supported by the working methods of both technical work and textiles. According to the National Core Curriculum, the role of craft teaching is to guide students in mastering the entire holistic craft process. However, the concept of multi-material-based holistic craft has been found to be unclear and difficult to implement. Furthermore, the different learning environments for teaching technical work and textiles have caused problems. Craft has generally been taught by two different teachers, who have studied either technical work or textiles. The aim of this literature review is to describe different pedagogical solutions that can be utilized in the implementation of multi-material handicraft. To illustrate these examples, changes in the teaching of craft subject are also described and the concept of multi-materiality and the related boundary conditions are opened. The description of each pedagogical orientation illustrates how multi-materiality is seen as a learning content and how it is conveyed to pupils when working alone or together.
Keywords: Multi-material, holistic craft process, craft education, basic education
Augmented Reality in Shopping Tourism: Boosting Tourism Development Through Innovation in Barcelona
Authors: Punzon Jonathan Gomez 
Published: January 2022

Abstract
This research explores the attractiveness and innovation of shopping tourism in the Gaudí neighbourhood in Barcelona, Spain, along with the potential for augmented reality (AR) experiences, as well as the impact of visitors’ tolerance of technologies. An online survey detected outcomes and offered insights for enrichment similar tourism areas using AR.
The findings are positive, demonstrating significant funding for making use of augmented reality initiatives. This investigation confirms the strength of the Technology Adoption Model (TAM) within the framework of innovative use in a touristic neighbourhood. The study, thus, supports the current use and expansion of the TAM hypothesis by focusing on the less studied shopping tourist's context.
The outcomes provide recommendations for the design of AR projects for segmented tourism experiences, comprising the importance of making AR tourism experiences more enjoyable, pleasant, and exciting, and this research demonstrates that AR practices can enhance tourists’ perceived value.
By examining the data collected from 415 tourists in the Gaudí neighbourhood who were willing to enjoy shopping experiences, the outcomes illustrate a correlation between AR tourism experiences and perceived value. Hence, this validated that AR acceptance enables the connection between tourists’ perceived value of the Gaudí neighbourhood and AR technology's usability.
Reopening for Business Post-COVID-19: Augmented Reality as a Strategy for Attracting Visitors to a Tourist Destination
Authors: Franco Mara , Mota Luis 
Published: January 2022

Abstract
Critical thoughts about tourist destinations overcoming and mitigating impacts from COVID-19 lie in the opportunities created by the pandemic. In this paper, an innovative way to attract tourists to Madeira Island and specifically for the Caminho Real (CR) is proposed, assisted by augmented reality. There are important considerations for developing software suitable for mobile devices such as smartphones and tablets; values and benefits for sustainable tourism development and for being an educational experience respecting social distancing; and services included in the augmented reality application. Therefore, some propositions are presented to evaluate the possibility of augmented reality as a secure opportunity to show historical, cultural, and ethnographic aspects when visiting a tourist destination, while respecting social-distancing constraints.
In Quest of a New AR Technology Application to Enhance the Sustainability of Cultural Tourism: The Olive Heritage in Madeira Through the Looking Glass of a ‘Sandbox’ Approach
Authors: Marques da Silva António José 
Published: January 2022

Abstract
This article presents the results of an exploratory investigation looking for new applications of augmented reality (AR) technology to enhance the sustainability of cultural tourism. The ‘sandbox’ approach was initially developed by programmers to experiment innovative solutions in safe conditions, being adopted later in other research areas for the same reason. In this case, the olive heritage at Madeira had been chosen as a background not because it is harmless, but on the contrary, for offering some challenging characteristics. The purpose is to stimulate creativity, forcing thought outside the box. This methodological path will lead to a new concept—the hyperplace of augmented visit (HAV)—conciliating several kinds of attractions in a sustainable way. The general idea is to create a hybrid tour. The user will have the possibility of interacting with a mixture of real objects and digital avatars, virtually reachable by the mediation of AR. The former will be found at the location where the user stands, and the others will be distributed in different areas of the same destination. The study leads to the conclusion that this concept will encourage travellers to spend more time in each spot and to include new points of interest, less popular or even unexplored, in their itinerary, and is also resilient in a context of public health crisis. At the close, HAV's potential will be evaluated and relevant issues mapped to design a suitable working plan to implement a pilot experience.
Collaborative Strategies and Tourist Competitiveness in Medium Mountain Destinations: Study on the Positioning of Tourist Actors in the Natural Park of Serra da Estrela
Authors: Fernandes Gonçalo , Daniel Ana , Almeida Helder 
Published: January 2022

Abstract
The tourism sector, due to its specificities, is one area of economic activity where collaborative strategies can most contribute to increasing productivity and competitiveness. The need for immediate responses to customer interests and requirements has led companies to become more proactive, which in turn leads to the pursuit of external collaboration to develop business networks that increase business dynamism and the operational flexibility of partners. Encouraging collaboration lies in the pressures brought on by globalization and increased competitiveness, supported by the development of information and communications technologies. Collaboration promoting strategic and organizational alignments in the field of tourism is revealed to be decisive for the qualification and sustainability of destinations, promoting new markets, and facilitating synergies of larger dynamism between companies. Serra da Estrela corresponds to a medium mountain destination, classified as a UNESCO World Geopark, where the development of collaborative relationships is valued as a resource for businesses and as expanding the offer of tourist products, as well as a source of competitive advantage.
Predictors of nurse's happiness: a systematic review
Authors: Arulappan Judie , Pandarakutty Suthan , Valsaraj Blessy Prabha 
Published: January 2022

Abstract

Objective
An acute shortage of nurses exists all over the world. Part of this shortage appears to be due to nurses’ low job satisfaction, low retention, and high turnover. Happiness at work is identified as a contributing factor that determines the shortage of nurses across the world. This paper critically appraised the existing scientific articles that assessed the individual and organizational predictors of happiness among nurses.

Methods
The systematic review was conducted from August 2010 to August 2020 using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Scientific articles were searched in the electronic databases (Scopus, Medline, CINAHL, PsychINFO, and Pubmed Central) on the predictors of happiness among nurses.

Results
A total of 13 articles were selected following the literature search and a thematic analysis was done. This review provides updated evidence on the predictors of nurses’ happiness. Job-related predictors were identified as organizational predictors; and personal, psychological, family, social, and spiritual predictors were reported to be the individual predictors.

Conclusions
As both individual and organizational predictors determine the happiness of nurses, the authors recommend the need for future interventional studies to increase the nurses’ happiness, their mental health, and health-related quality of life.
Redefining the concept of professionalism in nursing: an integrative review
Authors: Azemian Azadeh , Ebadi Abbas , Afshar Leila 
Published: January 2022

Abstract

Objective
In today's world with sweeping changes, nurses are responsible for providing high-quality and cost-benefit care, which would almost be impossible unless they achieve their high professional status. To date, no precise and comprehensive definition of professionalism in nursing has been evidently proposed. In fact, many of the previously proposed definitions are either complicated or ambiguous. Moreover, there is no consensus in the literature on an exhaustive definition for “a professional nurse.” The present study aimed to illustrate the concept of professionalism in nursing and identify its defining characteristics.

Methods
In this study, concept analysis was conducted using Whittemore et al.'s method for the integrated review. A comprehensive search of electronic, scientific databases including Eric, PubMed, Scopus, Web of Science, EBSCO, PsychoINFO, Embass, MagIran, IranDoc, SID, and IRANMEDEX was carried out using the keywords such as professionalism, professional behavior, nursing professionalism (NP), professional attribute, and nursing.

Results
In the present study, a comprehensive search of 11 electronic databases retrieved 5738 articles. Then, 2837 duplicate articles were removed by endnote (version 8). Based on a preliminary examination of the titles and abstracts as well as the inclusion and exclusion criteria, 1517 articles were excluded. In addition, 137 articles were removed for scientific reasons. Finally, 52 articles in English and Persian were selected. Content analysis of the articles revealed four major themes, namely, individual prerequisite, professional prerequisite, appropriate structure, and socio-individual factors.

Conclusions
Professionalism in nursing is a major, multidimensional concept according to the literature that included individual prerequisites, professional prerequisites, appropriate structures, and socio-individual factors. In fact, professionalism in nursing comprises a wide range of personal characteristics, self-regulation, professional values, striving to acquire and enhance professional expertise, professional interactions, social, professional, and legal responsibility, and creation of a sense of belonging, and professional development.
Effects of progressive muscular relaxation and stretching exercises combination on blood pressure among farmers in rural areas of Indonesia: a randomized study†
Authors: Susanto Tantut , Purwandari Retno , Wuryaningsih Emi Wuri , Watanabe Hirohito , Kazawa Kana , Moriyama Michiko 
Published: January 2022

Abstract

Objective
Maintaining blood pressure (BP) could improve the quality of life among farmers in agricultural health. The study aims to evaluate the effects of progressive muscular relaxation and stretching exercises (SEs) for BP in farmer subjects in rural areas.

Methods
A randomized controlled design was applied for this study. We performed a method, which is the combination of progressive muscle relaxation (PMR) and SEs for participants (30 in the control group and 60 in the intervention group). The intervention group self-practiced PMR and SEs through a video that providing instructions for 15 min. PMR practiced before going to sleeping in the night, and SEs practiced before going to farms in the morning per day for 3-months. Wilcoxon signed-rank test was performed to measure the difference between systolic blood pressure (SBP) and diastolic blood pressure (DBP) as one pre- and post-test comparison of baseline and 3 months data in control and intervention groups.

Results
There were no significant differences between SBP and DBP pre- and post-test in control group (P > 0.050). Meanwhile, there were significant differences in reducing SBP (M = 126.67; SD = 18.07; 95% CI = 120–147.5 mmHg) and DBP (M = 80.67; SD = 6.91; 95% CI = 80–90 mmHg) pre- and post-test combination of PMR and SEs in intervention group (P < 0.001). After 3-months of follow-up data, number type SBP and DBP still remained at the same levels of baseline and 3-month data in control group. While, there was an increased number of normal and prehypertension for SBP and DBP (10% vs. 10% and 20% vs. 31.6%) and reduced of hypertension stage I for SBP and DBP (30% vs. 41.6%).

Conclusions
This pilot study demonstrated effectively to reduce SBP and DBP among farmers using the combination of PMR and SEs in the agricultural health setting.
Emotional intelligence and its impacts on the clinical performance of nurses in general public hospitals
Authors: Abdulah Deldar Morad , Piro Rasoul Sabri , Yaseen Yousif Ali 
Published: January 2022

Abstract

Objectives
The nursing profession is considered to be at a high risk of workplace stress, workload, and burnout due to the high job demands. The nurses require the appropriate and prompt coping mechanisms to relieve the effects of stress. The nurses have to be emotionally intelligent to overcome the work-related stress to meet the clinical-based duties. But there is a paucity of the effect of emotional intelligence (EI) on the clinical performance of nurses in the literature. Therefore, the role of dimensions of EI in the improvement of clinical performance of nurses was explored in this study.

Methods
A total of 194 nurses with different education levels and experiences were included from various clinical departments and shifts of public hospitals in Iraqi Kurdistan.

Results
The mean age of the nurses was 29.44 years, with ages ranging from 23 years to 36 years. The nurses were men (56.70%), married (53.10%), non-smokers (86.10%), physically active (55.70%), and irregular physically active (63.90%). Nurses were able to appraise their own emotions but not the emotions of other nurses. They regulated their own emotions but were weak in regulating the emotions of other nurses. They did not utilize emotions in coming up with new ideas and facing obstacles in clinical settings. Generally, the nurses reported that a little clinical performance is required in medical settings. The levels of interpersonal communication and problem solving were improved with an increasing appraisal and regulating own emotions. The level of problem solving was improved with appraising own emotions and utilizing emotions in facing obstacles.

Conclusions
Nurses need to know how to regulate others’ emotions and utilize these emotions in coming up with new ideas and facing the obstacles positively in medical settings.
Depressive symptoms and their associated factors in heart failure patients
Authors: He Deng-Xin , Pan Ming-Hao 
Published: January 2022

Abstract

Objectives
Depressive symptoms are common in heart failure (HF) patients and they may exacerbate the progression of HF. Thus, identifying associations with depressive symptoms is essential to develop effective interventions to alleviate patients’ depressive symptoms. Therefore, this study aimed to explore the factors related to HF patients’ depressive symptoms.

Methods
Potential hospitalized patients were recruited from a university-affiliated hospital by convenience sampling. This study included 321 HF patients who had completed information about depressive symptoms, functional capacity, social support, dispositional optimism, self-care confidence, and health literacy. Descriptive statistics were used to characterize the sample. Independent group t-tests and one-way analysis of variance were used to assess the difference in depressive symptoms score in demographic and clinical characteristics, while Pearson's correlation was used to assess the associations among continuous variables.

Results
The scores for functional capacity, social support, dispositional optimism, self-care confidence, and health literacy were negatively associated with the score for depressive symptoms. The interaction effect between the functional capacity and the dispositional optimism on depressive symptoms was significant.

Conclusions
Interventions targeted improving the above-mentioned factors may be beneficial to reduce depressive symptoms in HF patients.