bluuebunny/crossref_metadata_2025_split huggingface dataset:
Human-Centered Design of a Digital Health Tool to Promote Effective Self-care in Patients With Heart Failure: Mixed Methods Study
Authors: Johnston William , Keogh Alison , Dickson Jane , Leslie Stephen J , Megyesi Peter , Connolly Rachelle , Burke David , Caulfield Brian 
Published: February 2022

Background
Effective self-care is an important factor in the successful management of patients with heart failure (HF). Despite the importance of self-care, most patients with HF are not adequately taught the wide range of skills required to become proficient in self-care. Digital health technology (DHT) may provide a novel solution to support patients at home in effective self-care, with the view to enhancing the quality of life and ultimately improving patient outcomes. However, many of the solutions developed to date have failed to consider users’ perspectives at the point of design, resulting in poor effectiveness. Leveraging a human-centered design (HCD) approach to the development of DHTs may lead to the successful promotion of self-care behaviors in patients with HF.

Objective
This study aimed to outline the HCD, development, and evaluation process of a DHT designed to promote effective self-care in patients with HF.

Methods
A design thinking approach within the HCD framework was undertaken, as described in the International Organization for Standardization 9241-210:2019 regulations, using a 5-step process: empathize, ideate, design, develop, and test. Patients with HF were involved throughout the design and evaluation of the system. The designed system was grounded in behavior change theory using the Theoretical Domains Framework and included behavior change techniques. Mixed methods were used to evaluate the DHT during the testing phase.

Results
Steps 1 to 3 of the process resulted in a set of evidence- and user-informed design requirements that were carried forward into the iterative development of a version 1 system. A cross-platform (iOS and Android) mobile app integrated with Fitbit activity trackers and smart scales was developed. A 2-week user testing phase highlighted the ease of use of the system, with patients demonstrating excellent adherence. Qualitative analysis of semistructured interviews identified the early potential for the system to positively influence self-care. Specifically, users perceived that the system increased their confidence and motivation to engage in key self-care behaviors, provided them with skills and knowledge that made them more aware of the importance of self-care behaviors, and might facilitate timely help seeking.

Conclusions
The use of an HCD methodology in this research has resulted in the development of a DHT that may engage patients with HF and potentially affect their self-care behaviors. This comprehensive work lays the groundwork for further development and evaluation of this solution before its implementation in health care systems. A detailed description of the HCD process used in this research will help guide the development and evaluation of future DHTs across a range of disease use cases.
How Vaccine Ambivalence Can Lead People Who Inject Drugs to Decline COVID-19 Vaccination and Ways This Can Be Addressed: Qualitative Study
Authors: Aronson Ian David , Bennett Alex S , Ardouin-Guerrier Mary-Andrée , Rivera-Castellar German , Gibson Brent , Santoscoy Samantha , Vargas-Estrella Brittney 
Published: February 2022

Background
People who inject drugs are disproportionately impacted by SARS-CoV-2 and COVID-19, yet they do not frequently accept vaccination against SARS-CoV-2 when offered.

Objective
This study aimed to explore why people who inject drugs decline free vaccines against SARS-CoV-2 and how barriers to vaccination can potentially be addressed.

Methods
We conducted semistructured qualitative interviews with 17 unvaccinated adult persons who inject drugs during August and September 2021 at a New York City syringe service program, where approximately three-fourth of participants identified as Latino (55%) or African American (22%). Interviews lasted roughly 20 minutes. The interview guide examined reasons for declining vaccination, participants’ understanding of COVID-19 risks, and how messages could be developed to encourage vaccine uptake among people who inject drugs.

Results
Participants acknowledged that they faced increased risk from SARS-CoV-2 owing to their injection drug use but feared that long-term substance use may have weakened their health, making them especially vulnerable to side effects. Fears of possible side effects, compounded by widespread medical mistrust and questions about the overall value of vaccination contributed to marked ambivalence among our sample. The desire to protect children and older family members emerged as key potential facilitators of vaccination.

Conclusions
Community-developed messages are needed in outreach efforts to explain the importance of vaccination, including the far greater dangers of COVID-19 compared to possible unintended side effects. Messages that emphasize vaccines’ ability to prevent inadvertently infecting loved ones, may help increase uptake. Community-focused messaging strategies, such as those used to increase HIV and hepatitis C virus testing and overdose prevention among people who inject drugs, may prove similarly effective.
A Canadian Weekend Elective Pediatric Surgery Program to Reduce the COVID-19–Related Backlog: Operating Room Ramp-Up After COVID-19 Lockdown Ends—Extra Lists (ORRACLE-Xtra) Implementation Study
Authors: Matava Clyde , So Jeannette , Williams RJ , Kelley Simon ,   ORRACLE-Xtra Group
Published: February 2022

Background
The COVID-19 pandemic caused by the SARS-COV-2 virus has resulted in unprecedented challenges for the health care system. A decrease of surgical services led to substantial backlogs for time-sensitive scheduled pediatric patients. We designed and implemented a novel pilot weekend surgical quality improvement project called Operating Room Ramp-Up After COVID Lockdown Ends—Extra Lists (ORRACLE-Xtra).

Objective
Our overall goals are to increase patient access to surgery (and reduce the wait list), improve operating room efficiencies, and optimize parent and staff experience.

Methods
Using the DMAIC (define, measure, analyze, improve, control) framework, we implemented ORRACLE-Xtra in a tertiary care academic pediatric hospital during a quiescent period of the COVID-19 pandemic. We defined process and outcome measures based on provincial targets of out-of-window cases. Parental and staff satisfaction was tracked by surveys.

Results
ORRACLE-Xtra led to 247 patients receiving surgery during the pilot period, resulting in a 5% decrease in the total number of patients on our wait list with Paediatric Canadian Access Targets for Surgery IV (147/247, 59.5%), with 38.1% (94/247) out-of-window of provincial targets. Most of the process and outcome measures were met or exceeded. Overall parental satisfaction was at 95.8% (110/121), with 79% (64/81) of staff reporting satisfaction with working weekends.

Conclusions
Through the ORRACLE-Xtra pilot program, we have shown that hospitals impacted by COVID-19 can reduce the surgical backlog using innovative models of service delivery in a Canadian context. Sustained funding is critical to achieving more meaningful reductions in wait times for scheduled surgeries over the longer term and needs to be balanced with staff well-being.
The use and meaning of the parachute metaphor in biomedicine: a citation analysis of a systematic review and a randomized trial of the parachute for freefall
Authors: Xu Alexander , Prasad Vinay 
Published: February 2022

Background:
Numerous authors have used the ‘parachute' analogy to comment on the importance of and need for randomized, controlled trials (RCTs) in the hierarchy of medical evidence.
Methods:
The authors completed a retrospective literature analysis examining publications citing the 2003 parachute paper by Smith and Pell and a 2018 RCT of a parachute by Yeh
et al.
For all of the articles that directly analogized a medical intervention to a parachute, the authors identified the desired outcome of the practice and searched PubMed for relevant RCTs.
Results:
Authors citing the parachute analogy are often critical of RCTs and often draw comparisons to interventions that are not parachutes.
Propuesta de adopción de tecnologías asociadas a la industria 4.0 en las pymes mexicanas
Authors: Buenrostro Mercado Héctor Edgar 
Published: February 2022

Objetivo: presentar una propuesta para incorporar los elementos tecnológicos básicos que se requieren en las pymes mexicanas para integrarse a la industria 4.0.Diseño metodológico: se realiza un análisis de cuatro fuentes secundarias; las características de las tecnologías digitales asociadas, la revisión de bibliografía sobre estudios de caso, las metodologías y manuales internacionales para su adopción y, las condiciones de digitalización de las pymes en México.Resultados: se propone un proceso compuesto por una etapa pre-industria 4.0 y cuatro fases, determinadas por la complejidad de las tecnologías digitales y en las posibilidades de uso que viabiliza la incorporación de cada una de ellas. Limitaciones: este trabajo es resultado de un análisis de fuentes secundarias, por lo que requiere de la comprobación en estudios de caso para contrastar su viabilidad y solo es válido para el caso mexicano.Hallazgos: debido a las características y condiciones de las empresas, así como del entorno nacional, se requiere de una etapa previa de digitalización para que las pymes puedan incorporar de manera efectiva las tecnologías asociadas a la industria 4.0.
Digital Trail Awareness in Islamic Perspective
Authors: Adnan Gunawan , Fadhli Mulkan , Ashal Farid Fathony 
Published: February 2022

Abstract: The growing popularity of the internet has a significant impact on people's attitudes. The Covid-19 pandemic has accelerated a cultural, ethical, and normative change in people's behavior. The potential for social change resulting from the emergence or advancement of information and technology is significant. The rise of social media, which has now become a common form of communication, is unavoidable. Digital communication through a variety of websites to obtain information will leave digital traces. The concept of a digital trail certainly reaffirms what has previously been written in Al-Qur'an, Surah Yasin: 65. This verse is relevant to digital multi-hop tracks that outline human actions and behavior to the swipe of their fingers. The verse is translated through the use of a digital trail that is connected to internet access. This library research study uses the source triangulation method to analyse exploratory qualitative content. The study's findings indicate a correlation between the digital trail and Surah Yasin 65, demonstrating that current digital technology proves that the Qur'an's nash or verses are consistent with the unquestionable assumption of human rationality. It also emphasizes the importance of being cautious and responsible when using digital platforms.Abstrak: Tren peningkatan penggunaan internet memberikan pengaruh besar terhadap perilaku masyarakat. Pandemi Covid-19 mengakselerasi pergeseran pola perilaku masyarakat baik dari segi budaya etika maupun norma yang ada. Potensi terjadinya perubahan sosial sebagai konsekuensi lahir atau berkembangnya teknologi informasi sangat besar. Kemunculan media sosial yang kini sudah menjadi hal yang umum dalam berkomunikasi memang tak dapat dihindarkan lagi. Jalur komunikasi di era digital yang melalui berbagai proses untuk mendapatkan informasi akan meninggalkan jejak-jejak digital atau digital footprint. Potret jejak digital ini tentunya menegaskan kembali apa yang telah dituliskan dalam Al Quran pada surah Yasin ayat 65. Ayat ini memiliki relevansi dengan jejak hop digital menguraikan perbuatan dan perilaku manusia dari sentuhan jari. Ayat tersebut diterjemahkan dengan footprint digital yang terhubung dalam sebuah jaringan internet. Studi ini merupakan library research dengan pendekatan kualitatif explanatif dalam bentuk konten analisis dengan metode tringalasi sumber. Hasil studi menunjukkan bahwa terdapat korelasi digital footprint dengan Surah Yasin 65 di mana teknologi digital saat ini menjadi bukti bahwa nash yang termuat dalam Alquran sesuai dengan asumsi rasionalitas manusia yang tidak memiliki keraguan di dalamnya. Penekanan berikutnya adalah setiap individu harus cermat dan bertanggungjawab dalam mengakses platform digital.
Effectiveness Bleaching of Waste Cooking Oil Cleaning Using Nano-Montmorillonite Adsorbent
Authors: Ningsih Silvia , Wahyuningsih Puji , Harmawan Tisna 
Published: February 2022

Abstract: Waste cooking oil contains carcinogenic compounds which are formed during the frying process. The content change makes it is not worth for reuse cooking oil. One of the damages to cooking oil is caused by heating. The quality of useable oil refers to SNI 01-3741-2013. The sample used in this research is waste cooking oil that is used for 5 times of frying. The quality of the oil can be improved using Nano-Montmorillonite adsorbent. The results of PSA and FTIR characterization show that Nano-Montmorillonite has a nano-scale particle size of 15.3 nm with a percentage of 6%. The rest are particles that have a size> 100 nm with a total percentage of 94% with a respective size of 383.9 nm with a percentage of 59% and 6647.1 nm with a percentage of 35% and have functional groups, namely hydroxyl (-OH), Si-O-Si and Al-Al-OH. Testing of waste cooking oil quality includes organoleptic, acid numbers, peroxide numbers, and saponification numbers using Nano-Montmorillonite. Based on the results, the more Nano-Montmorillonite adsorbent was added, the lower the numbers of acid, peroxide, and saponification in waste cooking oil and the better the quality of flavor and color. Based on this analysis, Nano-Montmorillonite adsorbent can improve the quality of waste cooking oil.Abstrak: Minyak jelantah mengandung senyawa yang bersifat karsinogenik yang terbentuk selama proses penggorengan. Perubahan sifat ini menjadikan minyak goreng tersebut tidak layak digunakan kembali sebagai bahan makanan. Salah satu kerusakan pada minyak goreng disebabkan oleh pemanasan. Kualitas minyak layak pakai merujuk pada SNI 01-3741-2013. Sampel minyak yang digunakan dalam penelitian ini adalah minyak jelantah dengan 5 kali penggorengan. Kualitas minyak tersebut dapat ditingkatkan menggunakan adsorben Nano-Montmorillonit. Berdasarkan hasil karakterisasi PSA dan FTIR menunjukkan bahwa Nano-Montmorillonit memiliki ukuran partikel berskala nano yaitu 15,3 nm dengan persentase sebesar 6% dan sisanya merupakan partikel yang memiliki ukuran > 100 nm dengan total persentase 94% dengan ukuran masing-masing sebesar 383,9 nm dengan persentase 59% dan 6647,1 nm dengan persentase 35%serta memiliki gugus-gugus fungsional yaitu hidroksil (-OH), Si-O-Si dan Al-Al-OH. Pengujian kualitas minyak jelantah meliputi organoleptik, bilangan asam, bilangan peroksida dan bilangan penyabunan menggunakan Nano-Montmorillonit. Berdasarkan hasil pengujian maka semakin banyak jumlah adsorben Nano-Montmorilonit yang ditambahkan maka bilangan asam, bilangan peroksida, bilangan penyabunan mengalami penurunan serta kualitas aroma dan warna pada minyak jelantah menjadi lebih baik. Berdasarkan analisis tersebut adsorben Nano-Montmorillonit dapat meningkatkan kualitas minyak jelantah.
Tolerance of 16-Channel Dense Wavelength Division Multiplexing System to Fibre Dispersion and Four-Wave Mixing under Varying Capacities and Channel Spacing
Authors: Tooki Oluwaseun , Abolade Robert , Aborisade David 
Published: February 2022

An essential feature of a long-haul Optical Communication System (OCS) is to transmit huge volumes of data over long distances. In OCS, fiber dispersion and Four-Wave Mixing (FWM) play negative roles in achieving this, as the propagation of the light signal, associated with the pulse, travels at varying speeds. Dense Wavelength Division Multiplexing (DWDM) system is not spared from these identified limitations. In this work, a mathematical analysis for the dispersion and FWM was presented and validated through simulation software. The research was designed and implemented using an optical simulation software tool, OptiSystem 17.0. Transmission parameters of dispersion and Nonlinear (NL) effects due to refractive index, FWM, were considered. The research was carried out on a 125 km-long fiber link and was investigated under a 16-channel DWDM system. The effects of identified limitations on the performance of the DWDM system with channel arrangement of 100, 50, and 25 GHz were further explored. This work compared the DWDM system under these different channel arrangements. The transmission performance of the DWDM system was evaluated based on signal power, noise power, and eye pattern. The results obtained show that any increase in capacity causes significant decreases in the performance of the DWDM system. It was, however, noted that noise power is independent of an increase in bit rate. The results obtained further revealled that the launched power of the system must be reduced for better performance of the DWDM system and improved immunity against identified limitations.
Production and Characterization of Nanoparticles Lipid Carrier (NLCs) Loaded with Red Clover Isoflavones Extract and Their effect on Serum Lipid profile in Postmenopausal Period
Authors: Ali Athraa H. 
Published: February 2022

Plant-derived edible nanoparticles (PDNPs) are nano-sized membrane vesicles released by edible plants. They are non-toxic, have tissue-specific targeting properties, and can be mass-produced , to assess the effect of phytoestrogens (PEs) for treating hyperlipidemia that associated with menopause period using nanoparticles lipid carrier (NLCs) loaded with red clover isoflavones extract (RCIE) compared with hormone replacement therapy (HRT). Study was conducted using fifty adult female mice model for menopause using 4-Vinylcyclohexene dioxide (VCD) and handled as follows for 6 weeks. Two experiments were preformed, the first experiment included 20 mice divided into two groups Group A: Control group has injected 0.1 ml D.W. intraperitoneal (IP) daily. Group B: This group has injected IP daily 160 mg/kg B.W of VCD. The second experiment was included 30 mice have injected IP daily 160 mg/kg of VCD and divided into three groups (C, D and E), (10 / group) then treated with dermal sticker for six weeks: Group C: treated with dermal sticker saturated with 10ug/ kg B.W of estradiol benzoate (EB) diluted with virgin coconut oil (VCNO). Group D: treated with dermal sticker saturated with 0.1 of VCNO. Group E: treated with dermal sticker saturated with 0.1ml of RCIE-NLCs. The results of statistical analysis showed a significant increase in the level of TC, TG, LDL, and VLDL in group VCD. While RCIE-NLCs had a clear effect and significant decreased in the TG, TC, LDL and VLDL cholesterol compared to groups VCD and EB, and significant increase in the HDL-C in group RCIE-NLCs compared to groups VCD and EB. The results of this study revealed that administration of RCIE-NLCs shows an effective to regulation of lipids metabolism disorders due to hormonal changes that associated with menopausal transition via impact of VCD.
"Godotra várva..." Egy egységes kiberbűnözés elleni egyezmény kodifikációjának kihívásai
Authors: Kerekes László 
Published: February 2022

Amióta léteznek számítógépek, azóta létezik a számítógépes bűnözés kategóriája. És mivel létezik számítógépes bűnözés, a nemzetközi- nemzeti jogalkotó szervek próbálják kialakítani a megfelelő szabályozást eme égető kérdésre. Ezen téma nem ismeretlen számomra. Tudományos diákköri dolgozatomat a Dark Web anomáliájáról írtam, ezt tovább vittem szakdolgozatomba, ahol pedig is a kiberbűnözés jelenségét vizsgáltam a nemzetközi porondon.
Kutatásomban azt vizsgáltam, hogyan lehetséges, hogy 2021-ben nincs egy egységes nemzetközi kiberbiztonsági egyezmény. Ennek több oka is van: kényes kérdés-ugyanis összefügg az állami külpolitikával; fogalmi bizonytalanságok-a jelenlegi jogtudományi álláspont sem egységes bizonyos kérdésekben; jogalanyok eltérő gyakorlata-az egyes államok valamint IGO-k gyakorlata eltérő;túlszabályozottság-jelenleg olyan sok egyezmény, szervezet foglalkozik a kérdéssel, hogy már már átláthatatlan a téma.
„Egészen uj csődosztályzati projectum”
Authors: Pétervári Máté 
Published: February 2022

Az 1848-49. évi szabadságharc bukása után a neoabszolutizmus jelentősen átalakította a magyar jogrendszert, mivel az Osztrák Császárság jogi egységesítése céljából az osztrák törvénykönyvek bevezetésére került sor. Ferenc József az Októberi Diploma kiadásával enyhített a korábbi abszolút kormányzati felfogáson, valamint visszaállította az 1847 előtti magyar közigazgatási és törvénykezési szervezetet. Ennek keresztülvitelével az újonnan kinevezett országbírót, gr. Apponyi Györgyöt bízta meg, aki ebből a célból egy tanácskozást hívott össze. Ez a gyűlés a magyar történetírásba Országbírói Értekezlet néven vonult be, amely rendelkezett a magyar bíróságokon alkalmazandó joganyagról.
Jelen tanulmányban ezen tanácskozás csődjogra gyakorolt hatását vizsgálom, amelynek keretében bemutatom az Országbírói Értekezlet e jogterületre vonatkozó rendelkezéseit és a gyűlésen készült jegyzőkönyv alapján a szabályozás „mozgatórugóit”. Az osztrák ideiglenes csődrendtartás helyett ugyanis ismételten hatályba léptették az első magyar csődtörvényt, az 1840:22. tc.-et. A szakirodalomban ennek kapcsán jellemzően csupán az jelenik meg, hogy az Országbírói Értekezlet a polgári korszak változásaihoz idomította a törvénycikk anyagi és alaki szabályait. A tanácskozás résztvevői által kifejtett álláspontok és levéltári források ismertetésével szemléltetem, hogy a módosítások ennél komolyabb változásokat generáltak. Emellett a csődönkívüli kényszeregyezség első magyarországi megjelenése is a neoabszolutizmus korszakához kapcsolódott, amelyre szintén reagált a magyar jogtudomány színe-javát felvonultató értekezlet.
Impact of rural transportation networks on farmers’ income in Ilaje Local Government Area of Ondo State, Nigeria
Authors: Olagunju Oluwatoyin 
Published: February 2022

Abstract
This study examined how the nature of rural transportation networks affects the income of local farmers. The study involved arable crop farmers in the Ilaje local government area of Ondo State, Nigeria. A structured interview was used to gather information from a total of 120 farmers in rural communities across the local government using a two-stage random sampling technique. Descriptive statistics and inferential statistics such as chi-square and Pearson Product Moment Correlation (PPMC) were used to analyse the data. The study revealed that farmers’ poor nature of transportation networks has a negative impact on their income. Gender (χ
2 = 6.472) and marital status (χ
2 = 9.745) positively influenced income generated by farmers at p < 0.05. Additionally, there was a moderate and significant correlation between transportation systems used (r = 0.705, p < 0.05), the perceived impact of rural transport (r = 0.267, p < 0.05), and the farmers’ income on agricultural activities. The results have shown that the serious constraints faced by the farmers are high cost of transportation which has a great influence on their generated income. The study allows to conclude that the nature of transportation networks available in the communities under study has a significant impact on the level of income to be realised by farmers. The construction, development, and provision of more rural transport networks would not only boost the standard of living and reduce transport costs of the rural poor but could also be a solution for the prolonged deplorable and worsening situation of rural roads in the country.