bluuebunny/crossref_metadata_2025_split huggingface dataset:
Patient Portal Perceptions in an Urban Community Health Center Setting: Insights for Telehealth
Authors: Sakumoto Matthew , Ye Jiancheng , Kalu Richard , Jackson Kathryn L , Rittner Sarah , Long Timothy , Goel Mita Sanghavi , Walunas Theresa L 
Published: November 2022

Introduction
Patient portals are the “front door” to telehealth - online scheduling, video visit links, and digital after visit summaries are often conveyed via the patient portal. Patient portal tools often require similar patient skills and attitudes as telehealth adoption. Analyzing patients’ perceptions and beliefs around this digital patient engagement tool may lead to insights regarding telehealth, particularly in historically underrepresented patient populations.

Methods
Participants from a Federally Qualified Health Center (FQHC) in Chicago, IL were surveyed on general technology use, healthcare-specific technology use, and barriers and facilitators to patient portal use.

Results
The 149 respondents (81% response rate) represented a unique population base with 96% African American, 74% with educational attainment of some college or less, and 48% with at least one chronic medical condition. Technology access and use were high with 78% computer ownership, 98% mobile phone ownership (with 75% smartphone ownership). In terms of patient portal perception, 75% rated Perceived Usefulness (U) as high. Perceived Ease of Use (E) domains similarly had 70% or higher agreement from patients, and potential barriers and facilitators in the Attitudes Toward Use (A) section included a preference to calling their doctor, and minority of patients viewing the portal as unsafe way to communication, too complicated to use, or taking too much time. Additional stratification analysis by demographic variables (age, gender, educational attainment, and number of chronic conditions) revealed differences in portal perception across the Usefulness, Ease of Use, and Attitudes domains.

Discussion
Insights from barriers, attitudes, and capacity to use patient portal tools deliver important insight into overall adoption of other digital health modalities, including telehealth. In an urban historically underserved patient population, technology access and use is quite high, and mobile phones access was nearly ubiquitous with a large majority using the internet function on their mobile device. Different age groups, genders, levels of educational attainment, or degree of multi-morbidity have different values and needs. Therefore, each subpopulation needs targeted messaging of different portal benefits.

Conclusion
Our research provides initial insights into patient-level factors influencing patient portal attitudes, with implications toward telehealth adoption. Demographic differences have a significant impact on attitudes toward technology adoption. Equitable uptake of portal and telehealth services will require tailored messaging, training, and multiple modes of communication, including web-based and mobile.
Pengaruh Percieved Self-Efficacy terhadap Nasionalisme yang Dimediasi oleh Identitas Nasional
Authors: Baydhowi Baydhowi , Purwono Urip , Siswadi Ahmad Gimmy prathama , Saputra Wahyu , Iskandar TB Zulrizka 
Published: November 2022

Nasionalisme merupakan tema penting dan selalu menarik perhatian di kalangan ilmu sosial untuk dikaji dan ditelti. Nasionalisme dianggap sebagai pemicu munculnya perilaku individu dan sosial tertentu. Meski begitu, sampai saat ini belum terjadi konsensus tentang nasionalisme, dalam konteks Indonesia misalnya, nasionalisme berbeda yang dikonsepsikan oleh kalangan ahli psikologi sosial. Fokus penelitian ini adalah pengujian model pengaruh perceived self-efficacy terhadap nasionalisme yang dimediasi oleh national identity. Penelitian ini melibatkan 804 mahasiswa dari 49 perguruan tinggi di Indonesia dengan teknik convinient sampling. Dari jumlah tersebut, laki laki berjumlah 278 dan perempuan sebanyak 526, dengan usia rata-rata adalah usia 22 tahun. Hasil analisis menunjukkan bahwa efficacy mempiliki pengaruh langsung pada nasionalisme dan national identity dan national identity berpengaruh secara signifikan terhadap nasionalisme. Self-efficacy juga berpengaruh secara signifikan terhadap nasionalime yang dimediasi oleh national identity. Hasil pengujian dengan sobel test juga menunjukkan perbedaan yang signifikan antara pengaruhÂ pengaruh self-efficacy kepada nasionalisme secara langsung dan pengaruh secara tidak langsung. Berdasarkan hasil analisis national identity dapat menjelaskan adanya pengaruh self-efficacy terhadap nasionalisme.
The extract of Jeruju plant for anti-inflammatory: A literature review using nursing perspective
Authors: Ulya Nia Afifatul , Esti Rahayu Heni Setyowati , Pribadi Prasojo 
Published: November 2022

Jeruju plant has some benefits in reducing symptoms of a particular disease. However, there is little discussion about plants in nursing. Therefore, the literature review aims to identify the effectiveness of Jeruju plant extract as an anti-inflammatory. The method used is a literature review integrating electronic databases such as Google Scholar and ScienceDirect. The keywords used in Indonesian are "Acanthus ilicifolius as anti-inflammatory," and the keywords in English are "Acanthus ilicifolius AS anti-inflammatory." The Jeruju plant (Acanthus ilicifolius) contains flavonoids acting as an anti-inflammatory. Flavanoids help to reduce the inflammation in the disease. The clinical nurse may use the finding of this review for health promotion for the patient with chronic illness.
Keywords: Complementary therapy; community nursing; elderly care; quality of life; nursing intervention
The Level of IgG to Coronavirus Infection among the Medical Institution Employees
Authors: Yunusova M. A. , Lutsenko E. S. , Tsapkova N. N. , Brazhnikov A. Yu. , Saltykova T. S. , Yudina V. S. 
Published: November 2022

Relevance. In a pandemic, studies on the duration of immunity in those who have recovered from COVID-19 and the formation of resistance to a new coronavirus infection are of particular importance.Target. To study the retention time of IgG in the blood serum of employees of a medical institution who recovered from a new coronavirus infection COVID-19.Materials and methods. The assessment of the timing of the formation of IgG was first carried out 3 weeks after the illness in employees of The National Medical Research Center for Otorhinolaryngology from April 2020 to December 2020. Further, the intervals for blood sampling to study the dynamics of antibodies to coronavirus infection were 3–4 weeks (9 blood samples for each ). Antibodies were examined by ELISA; immunological method for determining IgG (test system – "Vector Best", semi-quantitative analysis). Statistical processing of the study results was carried out using the SPSS-22 statistical software package and the OpenEpiver statistical calculator. 3.Results and discussion. The proportion of employees of a medical institution who recovered from COVID-19 was 39%, among them persons aged 36 to 55 years prevailed. It was found that class G immunoglobulins persist from seven months or more in 56.3% of those participating in the observation (the positivity coefficient is much higher than 1.2), in about 12.7% of those who had been ill, IgG in the blood serum persisted for about six months, in 11, 3% about three months. There were no statistically significant differences in the duration of immunity between men and women.Conclusion. A statistically significant direct relationship was found between age and the duration of immunity.
Role of Financial Development on Economic Complexity: An Empirical Evidence from 33 BRI Countries
Authors: Aslam Dr. Aribah , Ghulam Ghouse  , Bismillah Khan  
Published: November 2022

Economic complexity plays a prominent role in the economic development of countries. So, economies need to improve their level of product sophistication. Several, researchers have mostly neglected the concept of economic complexity and its detrimental factors. Few economists have determined economic complexity with the help of socioeconomic determinants, while others have determined economic complexity through financial development index and institutions. This study employed the Generalize Method of Movement (GMM) to estimate the empirical inferences to cater the effects of endogeneity. Fiscal policy stances such as the log of final government consumption, GDP per capita income, institutions, and the lagged economic complexity have shown a positive and enormous impact on economic complexity. The findings of the current study have elucidated that the financial development index itself is negatively insignificant for economic complexity. However, after introducing the term ‘interaction’ with ‘institutions’, it reflected a positive and significant impact on economic complexity. So, as a policy measure, the selected sample BRI countries must regulate their finance system which would improve their institutional structure.
Penerapan Model Kooperatif Tipe Jigsaw terhadap Peningkatan Keaktifan Belajar Matematika
Authors: . A Abdul Wahab , Suhartini Suhartini , Buhaerah Buhaerah 
Published: November 2022

Abstract
This study aims to determine whether there is an increase in students' active mathematics learning in class XI MA DDI Lil Banat Parepare using the jigsaw-type cooperative learning model. The type of approach in this research is quantitative, involving students as research subjects. The research was conducted in class XI MIPA MA DDI Lil Banat Parepare with a total of 22 students. Researchers conducted conventional learning in cycle I, then applied the jigsaw-type cooperative learning model in cycle II. The instrument used is an observation sheet with 15 indicators of learning activity. The method used to analyze the data is descriptive quantitative by using the mean and percentage formulas. The results showed the percentage of students' activeness in learning mathematics in jigsaw cooperative learning, namely students paid more attention to the teacher's explanations and were more enthusiastic about participating in learning with a value of 91% in the very good category, while in the conventional learning process the presentation scores were obtained from students who paid attention to the teacher's explanation and enthusiastic in learning that is 82% good category. The conclusion of the study showed that the active learning of mathematics students in class XI MIPA MA DDI Lil Banat Parepare in the conventional learning process obtained an average value of 80.61 with a good category. Then in the learning process using the jigsaw type cooperative model, the average value of the students' mathematics learning activity increased to 88,79 in the very good category.
Keywords: Jigsaw cooperative type, active learning, mathematics
Efektivitas Model Pembelajaran RME Berbantuan Catur terhadap Hasil Belajar Peserta Didik Materi Matriks
Authors: Rosyada Faza , Haqiqi Arghob Khofya 
Published: November 2022

Penelitian ini bertujuan untuk mengetahui keefektifan model pembelajaran Realistic Mathematics Education (RME) berbantuan catur terhadap hasil belajar peserta didik materi matriks. Peneliti menggunakan pendekatan kuantitatif, dimana pendekatan ini digunakan untuk mengkaji populasi atau sampel khusus, metode pengumpulan data dengan menggunakan instrumen penelitian, dan evaluasi data kuantitatif atau statistik untuk menguji hipotesis tertentu. Subjek penelitian ini terdiri dari 57 siswa, kelas X TAB 1 sebanyak 27 siswa, dan kelas X TAB 2 sebanyak 30 siswa. Metode sampel menggunakan Sampling Purposive, dimana dalam pengambilan sampel tidak dipilih berdasarkan stratifikasi, pemilihan acak, atau wilayah khusus, tetapi didasarkan pada pertimbangan peneliti. Setelah data di uji dengan teknik uji regresi linier dan uji N Gain, hasil penelitian ini terlihat bahwa peningkatan hasil belajar setelah penerapan model pembelajaran Realistic Mathematics Education (RME) berbantuan catur pada materi matriks, dapat dicapai dengan menunjukkan rata-rata hasil belajar pada kelas eksperimen adalah 91,73 dan kelas kontrol adalah 78,48. Selain itu, Keefektifan model pembelajaran Realistic Mathematics Education (RME) berbantuan catur terhadap hasil belajar peserta didik materi matriks pada kelas eksperimen adalah 0,669 dan kelas kontrol adalah 0,321. Hal ini menunjukkan bahwa pembelajaran dengan menggunakan model pembelajaran RealisticMathematics Education berbantuan catur lebih baik daripada menggunakan model pembelajaran Realistic Mathematics Education saja.
Neurodevelopmental Outcome in A Child With West Syndrome On Multidisciplinary Intervention – A Case Report
Authors: Dalwai Samir , Rohil Aradhana , Garg Manish , Chawla Barkha , Joshi Madhura , Mathur Supriya 
Published: November 2022

West syndrome is a triad of infantile spasms with hypsarrhythmia and developmental regression. It results in a poor neurodevelopmental outcome due to delayed diagnosis and treatment which is further compounded by a delay in referral to multidisciplinary interventions. Our case was a male child with west syndrome who came to us at 3 years of age with neurodevelopmental concerns of global developmental delay with features of autism spectrum disorder. Based on thorough developmental evaluation he was started on an individualised, short term, goal oriented multidisciplinary therapy with physiotherapy, occupational therapy and parental counselling for his neurodevelopmental concerns. As a result improvement was noted in his motor as well as socioemotional skills. Early intervention with multidisciplinary therapy with adherence by motivated parents is essential for a better neurodevelopmental outcome in a case of west syndrome.
BANGLADESH J CHILD HEALTH 2021; VOL 45 (3) : 186-190
Workshop Pembentukan Karakter Pemimpin Kristiani bagi Kaum Muda di Jemaat GMIT Maranatha Oebufu Klasis Kota Kupang Timur
Authors: Noach Yuvine Marlene Cicilia , Se’u Windynia Givens Giliary , Baun Soleman , Liu Yodina , Anayomi Monika , Tasoin Yakob , Decarvalho Therejina , Tasoin Osa , Kabnani Enika , Oematan Fance 
Published: November 2022

Pembentukan karakter dan jiwa pemimpin masa depan bagi kaum muda melalui workshop, melalui kegiatan ini kaum muda diberi penguatan nilai-nilai kristiani guna memberi stimulus kepada kaum muda untuk berpikir kreatif dan inovatif untuk mewujudkan impian dan masa depan yang cerah. Kegiatan berlangsung pada 3 Agustus 2022, dihadiri oleh 40 orang kaum muda GMIT Jemaat Marantha Oebufu. Hasil dari kegiatan ini menunjukkan peningkatan pengetahuan tentang membentuk karakter pemimpin muda yang berkarakter kristiani dengan mengamalkan sikap dan teladan kristus. Untuk itu perlu dikembangkan pengenalan potensi diri, team work serta penguatan soft skill. Antusias para kaum muda yang besar diperlihatkan dalam kegiatan ini dengan tingkat kebermanfaatan ada di nilai rata-rata 3,78%, selain itu dukungan positif dari pihak gereja menjadi poin penting dari kegiatan workshop ini.
Social support and coping among female foreign domestic helpers experiencing abuse and exploitation in Hong Kong
Authors: Choy Chin Yung , Chang Leanne , Man Po Yee 
Published: November 2022

IntroductionIn Hong Kong, female foreign domestic workers are hired to assist with household chores and care. This study examined the coping and support-seeking strategies that the workers use to tackle workplace abuse and exploitation within the structural confines of their employment.MethodsA mixed-method design that incorporated a face-to-face survey with 106 migrant domestic workers and 21 in-depth interviews was adopted.Results and discussionThe results showed that most participants experienced some form of abuse or exploitation. Verbal threats and time exploitation were the most common forms of abuse and exploitation, respectively. Participants' marginalized group status muted their voices when workplace hazards occurred. Accordingly, they preferred emotion-based coping over problem-based coping when encountering abuse and exploitation. Their focus on emotional management was reflected in their acceptance of workplace conflicts as taken-for-granted norms, their avoidance of communicating with employers, and their nonconfrontational endurance of adverse working conditions. Aligned with participants' focus on emotion management, they also reported a stronger need for emotional support than other support functions. Their major sources of emotional support were religious beliefs and other migrant domestic workers in Hong Kong. Employers had the potential to fulfill the workers' support needs, but they must take the initiative due to imbalanced power relations.
Culprit vessel vs. immediate multivessel vs. out-of-hospital staged intervention for patients with non-ST-segment elevation myocardial infarction and multivessel disease
Authors: Wang Chen , Lang Jiachun , Zhang Jingxia , Hu Yuecheng , Han Chuyi , Xu Rongdi , Wu Jikun , Liu Chunwei , Li Wenyu , Li Tingting , Wei Ao , Qi Wei , Jin Dongxia , Cong Hongliang , Wang Le 
Published: November 2022

Background and aimsThe optimal interventional strategy remains undetermined in hemodynamically stable patients with NSTEMI and MVD. This study aimed to examine clinical prognosis among culprit vessel, immediate multivessel, and staged percutaneous coronary intervention (PCI) in patients with NSTEMI and MVD.MethodsThis retrospective, observational, single-center study included 943 hemodynamically stable patients with NSTEMI and MVD who had undergone successful drug-eluting stent (DES) implantation from January 2014 to December 2019. Patients were categorized into culprit lesion-only PCI (CL-PCI), immediate multivessel PCI (MV-PCI), and out-of-hospital staged MV-PCI according to PCI strategy. The primary outcome was the composite of major adverse cardiac events (MACEs), including all-cause death, myocardial infarction (MI), or unplanned repeat revascularization. The secondary outcomes were all-cause death, cardiac death, MI, and unplanned repeat revascularization.ResultsOver a median follow-up of 59 months, immediate MV-PCI was associated with a lower risk of all-cause death than CL-PCI (HR: 0.591, 95%CI: 0.364–0.960, P = 0.034). Out-of-hospital staged MV-PCI was associated with a reduced risk of MACE (HR: 0.448, 95%CI: 0.314–0.638, P &lt; 0.001) and all-cause death (HR: 0.326, 95%CI: 0.183–0.584, P &lt; 0.001) compared with CL-PCI. The above results were accordant after multivariate COX analysis and propensity score matching. MACE (HR: 0.560, 95%CI: 0.385–0.813, P = 0.002) and repeat revascularization (HR: 0.627, 95%CI: 0.400–0.982, P = 0.041) were significantly less likely to occur with out-of-hospital MV-PCI rather than immediate MV-PCI. However, the incidences of primary and secondary outcomes were comparable between immediate and staged PCI after confounder adjustment using multivariate regression and propensity score matching analysis. For subgroup analyses stratified by synergy between PCI with taxus and cardiac surgery score, staged MV-PCI was found to lower the risk of MACE compared with immediate MV-PCI in patients with more complex coronary disease.ConclusionHemodynamically stable patients with NSTEMI and MVD benefited from the strategy of MV-PCI. Patients with complex coronary anatomy treated with out-of-hospital staged MV-PCI rather than immediate MV-PCI had lower risks of MACE. These need to be confirmed in the future randomized study.
Person-based co-design of a decision aid template for people with a genetic predisposition to cancer
Authors: Morton Kate , Kohut Kelly , Turner Lesley , Smith Sian , Crosbie Emma J. , Ryan Neil , Grimmett Chloe , Eccles Diana M. , Foster Claire ,   The CanGene CanVar Patient Reference Panel, The International Lynch Decision Aid Stakeholder (LDAS) Panel
Published: November 2022

BackgroundPeople with genetic predispositions to cancer are faced with complex health decisions about managing their risk. Decision aids can support informed, values-based decisions, alongside shared decision-making with a clinician. Whilst diagnoses of genetic predispositions to cancer are increasing, there is no scalable decision aid to support these people. This paper presents an accessible, relevant decision aid template which can be adapted for different predispositions to cancer.MethodsThe decision aid template was co-developed with 12 patients affected by cancer and informed by empirical and theoretical literature. In addition, consultations were conducted with a further 19 people with Lynch syndrome; a specific genetic predisposition to cancer. Clinical stakeholders were consulted regularly. Coulter's framework for decision aid development guided the process, and these activities were complemented by the International Patient Decision Aid Standards, and the latest evidence on communicating risk in decision aids. Programme theory was developed to hypothesise how the decision aid would support decision-making and contextual factors which could influence the process. Guiding principles co-developed with the patient panel described how the decision aid could effectively engage people.ResultsThe in-depth co-design process led to the identification of five core components of an accessible decision aid template for people with a genetic predisposition to cancer: defining the decision; a table showing implications of each option; optional further details such as icon arrays to show tailored risk and personal narratives; values clarification activity; and a summary to facilitate discussion with a clinician. Specific guidance was produced describing how to develop each component. The guiding principles identified that the decision aid template needed to promote trust, reduce distress, and be comprehensive, personally relevant and accessible in order to engage people.ConclusionAdopting a co-design process helped ensure that the decision aid components were relevant and accessible to the target population. The template could have widespread application through being adapted for different genetic predispositions. The exact content should be co-designed with people from diverse backgrounds with lived experience of the specific predisposition to ensure it is as useful, engaging and relevant as possible.