bluuebunny/crossref_metadata_2025_split huggingface dataset:
Usability Evaluation Methods Used in Electronic Discharge Summaries: Literature Review
Authors: Tesfaye Wubshet , Jordan Margaret , Chen Timothy F , Castelino Ronald Lynel , Sud Kamal , Dabliz Racha , Aslani Parisa 
Published: June 2024

Background
With the widespread adoption of digital health records, including electronic discharge summaries (eDS), it is important to assess their usability in order to understand whether they meet the needs of the end users. While there are established approaches for evaluating the usability of electronic health records, there is a lack of knowledge regarding suitable evaluation methods specifically for eDS.

Objective
This literature review aims to identify the usability evaluation approaches used in eDS.

Methods
We conducted a comprehensive search of PubMed, CINAHL, Web of Science, ACM Digital Library, MEDLINE, and ProQuest databases from their inception until July 2023. The study information was extracted and reported in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). We included studies that assessed the usability of eDS, and the systems used to display eDS.

Results
A total of 12 records, including 11 studies and 1 thesis, met the inclusion criteria. The included studies used qualitative, quantitative, or mixed methods approaches and reported the use of various usability evaluation methods. Heuristic evaluation was the most used method to assess the usability of eDS systems (n=7), followed by the think-aloud approach (n=5) and laboratory testing (n=3). These methods were used either individually or in combination with usability questionnaires (n=3) and qualitative semistructured interviews (n=4) for evaluating eDS usability issues. The evaluation processes incorporated usability metrics such as user performance, satisfaction, efficiency, and impact rating.

Conclusions
There are a limited number of studies focusing on usability evaluations of eDS. The identified studies used expert-based and user-centered approaches, which can be used either individually or in combination to identify usability issues. However, further research is needed to determine the most appropriate evaluation method which can assess the fitness for purpose of discharge summaries.
Nutrition Management Miniprograms in WeChat: Evaluation of Functionality and Quality
Authors: Sun Hui , Wu Yanping , Sun Jia , Zhou Wu , Xu Qian , Hu Dandan 
Published: July 2024

Abstract

Background
With the rise in people’s living standards and aging populations, a heightened emphasis has been placed in the field of medical and health care. In recent years, there has been a drastic increase in nutrition management in domestic research circles. The mobile nutritional health management platform based on WeChat miniprograms has been widely used to promote health and self-management and to monitor individual nutritional health status in China. Nevertheless, there has been a lack of comprehensive scientific evaluation regarding the functionality and quality of the diverse range of nutritional miniprograms that have surfaced in the market.

Objective
This study aimed to evaluate the functionality and quality of China’s WeChat nutrition management miniprogram by using the User Version of the Mobile Application Rating Scale (uMARS).

Methods
This observational study involves quantitative methods. A keyword search for “nutrition,” “diet,” “food,” and “meal” in Chinese or English was conducted on WeChat, and all miniprograms pertaining to these keywords were thoroughly analyzed. Then, basic information including name, registration date, update date, service type, user scores, and functional scores was extracted from January 2017 to November 2023. Rating scores were provided by users based on their experience and satisfaction with the use of the WeChat miniprogram, and functional scores were integrated and summarized for the primary functions of each miniprogram. Moreover, the quality of nutrition management applets was evaluated by 3 researchers independently using the uMARS.

Results
Initially, 27 of 891 miniprograms identified were relevant to nutrition management. Among them, 85.2% (23/27) of them offered features for diet management, facilitating recording of daily dietary intake to evaluate nutritional status; 70.4% (19/27) provided resources for nutrition education and classroom instruction; 59.3% (16/27) included functionalities for exercise management, allowing users to record daily physical activity; and only 44.4% (12/27) featured components for weight management. The total quality score on the uMARS ranged 2.85-3.88 (median 3.38, IQR 3.14-3.57). Engagement scores on the uMARS varied from 2.00 to 4.33 (median 3.00, IQR 2.67-3.67). Functional dimension scores ranged from 3.00 to 4.00 (median 3.33, IQR 3.33-3.67), with a lower score of 2.67 and a higher score of 4.33 outside the reference range. Aesthetic dimension scores ranged from 2.33 to 4.67 (median 3.67, IQR 3.33-4.00). Informational dimension scores ranged from 2.33 to 4.67 (median 3.33, IQR 2.67-3.67).

Conclusions
Our findings from the uMARS highlight a predominant emphasis on health aspects over nutritional specifications in the app supporting WeChat miniprograms related to nutrition management. The quality of these miniprograms is currently at an average level, with considerable room for functional improvements in the future.
Recognition of Daily Activities in Adults With Wearable Inertial Sensors: Deep Learning Methods Study
Authors: De Ramón Fernández Alberto , Ruiz Fernández Daniel , García Jaén Miguel , Cortell-Tormo Juan M. 
Published: June 2024

Background
Activities of daily living (ADL) are essential for independence and personal well-being, reflecting an individual’s functional status. Impairment in executing these tasks can limit autonomy and negatively affect quality of life. The assessment of physical function during ADL is crucial for the prevention and rehabilitation of movement limitations. Still, its traditional evaluation based on subjective observation has limitations in precision and objectivity.

Objective
The primary objective of this study is to use innovative technology, specifically wearable inertial sensors combined with artificial intelligence techniques, to objectively and accurately evaluate human performance in ADL. It is proposed to overcome the limitations of traditional methods by implementing systems that allow dynamic and noninvasive monitoring of movements during daily activities. The approach seeks to provide an effective tool for the early detection of dysfunctions and the personalization of treatment and rehabilitation plans, thus promoting an improvement in the quality of life of individuals.

Methods
To monitor movements, wearable inertial sensors were developed, which include accelerometers and triaxial gyroscopes. The developed sensors were used to create a proprietary database with 6 movements related to the shoulder and 3 related to the back. We registered 53,165 activity records in the database (consisting of accelerometer and gyroscope measurements), which were reduced to 52,600 after processing to remove null or abnormal values. Finally, 4 deep learning (DL) models were created by combining various processing layers to explore different approaches in ADL recognition.

Results
The results revealed high performance of the 4 proposed models, with levels of accuracy, precision, recall, and F1-score ranging between 95% and 97% for all classes and an average loss of 0.10. These results indicate the great capacity of the models to accurately identify a variety of activities, with a good balance between precision and recall. Both the convolutional and bidirectional approaches achieved slightly superior results, although the bidirectional model reached convergence in a smaller number of epochs.

Conclusions
The DL models implemented have demonstrated solid performance, indicating an effective ability to identify and classify various daily activities related to the shoulder and lumbar region. These results were achieved with minimal sensorization—being noninvasive and practically imperceptible to the user—which does not affect their daily routine and promotes acceptance and adherence to continuous monitoring, thus improving the reliability of the data collected. This research has the potential to have a significant impact on the clinical evaluation and rehabilitation of patients with movement limitations, by providing an objective and advanced tool to detect key movement patterns and joint dysfunctions.
Assessing the Accuracy of Smartwatch-Based Estimation of Maximum Oxygen Uptake Using the Apple Watch Series 7: Validation Study
Authors: Caserman Polona , Yum Sungsoo , Göbel Stefan , Reif Andreas , Matura Silke 
Published: June 2024

BackgroundDetermining maximum oxygen uptake (VO2max) is essential for evaluating cardiorespiratory fitness. While laboratory-based testing is considered the gold standard, sports watches or fitness trackers offer a convenient alternative. However, despite the high number of wrist-worn devices, there is a lack of scientific validation for VO2max estimation outside the laboratory setting.ObjectiveThis study aims to compare the Apple Watch Series 7’s performance against the gold standard in VO2max estimation and Apple’s validation findings.MethodsA total of 19 participants (7 female and 12 male), aged 18 to 63 (mean 28.42, SD 11.43) years were included in the validation study. VO2max for all participants was determined in a controlled laboratory environment using a metabolic gas analyzer. Thereby, they completed a graded exercise test on a cycle ergometer until reaching subjective exhaustion. This value was then compared with the estimated VO2max value from the Apple Watch, which was calculated after wearing the watch for at least 2 consecutive days and measured directly after an outdoor running test.ResultsThe measured VO2max (mean 45.88, SD 9.42 mL/kg/minute) in the laboratory setting was significantly higher than the predicted VO2max (mean 41.37, SD 6.5 mL/kg/minute) from the Apple Watch (t18=2.51; P=.01) with a medium effect size (Hedges g=0.53). The Bland-Altman analysis revealed a good overall agreement between both measurements. However, the intraclass correlation coefficient ICC(2,1)=0.47 (95% CI 0.06-0.75) indicated poor reliability. The mean absolute percentage error between the predicted and the actual VO2max was 15.79%, while the root mean square error was 8.85 mL/kg/minute. The analysis further revealed higher accuracy when focusing on participants with good fitness levels (mean absolute percentage error=14.59%; root-mean-square error=7.22 ml/kg/minute; ICC(2,1)=0.60 95% CI 0.09-0.87).ConclusionsSimilar to other smartwatches, the Apple Watch also overestimates or underestimates the VO2max in individuals with poor or excellent fitness levels, respectively. Assessing the accuracy and reliability of the Apple Watch’s VO2max estimation is crucial for determining its suitability as an alternative to laboratory testing. The findings of this study will apprise researchers, physical training professionals, and end users of wearable technology, thereby enhancing the knowledge base and practical application of such devices in assessing cardiorespiratory fitness parameters.
PKM Penyuluhan Kesehatan Reproduksi, Perilaku Bersih dan Sehat (PHBS) dan Gerakan Menabung Pada Guru dan Siswa Sekolah Dasar Negeri 3 Batur, Kecamatan Kintamani, Bangli
Authors: Indraningrat Anak Agung Gede , Wijaya Made Dharmesti , Idawati Ida Ayu Agung 
Published: July 2024

Sekolah Dasar adalah tingkatan pendidikan formal pertama yang dilalui siswa-siswa di Indonesia. Pendidikan di tingkat SD memegang peranan penting dalam membangun karakter siswa-siswa yang akan dibawa hingga ke tingkat remaja dan dewasa. Mitra pada kegiatan PKM ini adalah guru dan siswa di SD Negeri 3 Batur, Kecamatan Kintamani, Bangli. Kegiatan PKM akan difokuskan untuk memecahkan permasalahan mitra di bidang kesehatan dan ekonomi. Hasil diskusi awal dengan perwakilan mitra yaitu kepala sekolah SDN 3 Batur menunjukkan bahwa mitra memerlukan penyuluhan dan pemahaman tentang penyakit reproduksi pada wanita seperti penyuluhan tentang kanker serviks dan payudara karena mitra merasa masih minimnya pemahaman akan kedua penyakit ini. Mitra juga ingin mendapatkan pemahaman tentang perilaku bersih dan sehat pada murid-murid SDN 3 Batur khususnya tentang cara mencuci tangan yang bersih dan benar. Pada aspek ekonomi, mitra ingin mendapatkan pelatihan tentang gerakan gemar menabung pada siswa. Kegiatan PKM telah berlangsung selama 10 bulan dari Mei 2023 hingga Februari 2024. Tim pengbadi memberikan pembekalan tentang aspek kesehatan reproduksi pada guru-guru wanita dan penyuluhan tentang perilaku bersih dan sehat pada siswa-siswa SD. Selain itu, siswa-siswa SD juga dibekali penyuluhan gerakan gemar menabung. Hasil evaluasi nilai pre dan posttest pada mitra berturut-turut sebesar 42 poin dan 10 poin setelah dilakukan evaluasi atas penyuluhan kegiatan reproduksi dan pneyuluhan tenang PHBS dan gerakan gemar menabung. Pada pelaksanan PKM, tim pengabdi memberikan bantuan langsung yang dibutuhkan mitra berupa tong sampah, bak mencuci tangan, alat tensi meter, kotak P3K, timbangan dan tinggi badan, serta lima puluh souvenir celengan untuk siswa dan uang tunai sebesar dua puluh ribu per anak. Hasil monitoring dan evaluasi menunjukkan mitra sudah menggunakan bantuan alat yang diberikan dengan baik dan menerapkan PHBS dengan baik. Luaran dari kegiatan ini akan dipublikasikan jurnal nasional Community Service Journal dengan nomor E-ISSN: 2654-9379 dan P-ISSN: 2654-9360 dan video kegiatan berdurasi 4 menit.
Specific Sequence Motif of Var Gene as Predictor of Malaria Outcome
Authors: Sulistyaningsih Erma , Dewi Rosita , Rachmania Sheilla , Kusuma Irawan Fajar , Sillehu Sahrir 
Published: July 2024

Abstract: The Var gene family encodes for Plasmodium falciparum Erythrocyte Membrane Protein-1 (PfEMP1), a protein responsible for malaria pathogenesis. One of the variants, the var D gene, is hypothesized as a predictor of clinical malaria outcomes. The study aimed to investigate the association between the expression of the var D gene and clinical malaria outcomes. Blood spots on filter paper from uncomplicated and severe malaria patients were collected for DNA and RNA extraction. The RNA was reverse-transcribed into cDNA. DNA and cDNA were amplified by Polymerase Chain Reaction (PCR) technique using specific var D primer, and PCR products were electrophorized in 1% agarose. DNA amplification resulted in double bands of approximately 230 bp and 250 bp in uncomplicated and severe malaria samples. However, the cDNA amplification generated a single band of 230 bp from four out of five severe malaria samples. The existence of band solely in severe malaria transcript suggested its involvement in the pathogenesis of severe malaria. In conclusion, the expression of var D gene-specific sequence can be a potential predictor of severe malaria outcomes.Abstrak: Famili gen var mengkode Plasmodium falciparum Erythrocyte Membrane Protein-1 (PfEMP1), suatu protein yang berperan penting dalam proses patogenesis malaria. Salah satu variannya, gen var D, diduga merupakan prediktor gambaran klinis malaria. Penelitian ini bertujuan untuk mengetahui hubungan antara ekspresi gen var D dan gambaran klinis malaria. Sampel berupa tetesan darah pada kertas filter dari pasien malaria tanpa komplikasi dan malaria berat dikumpulkan untuk diekstraksi DNA dan RNAnya. RNA selanjutnya di trankripsi reverse menjadi cDNA. DNA dan cDNA diamplifikasi dengan teknik PCR menggunakan primer spesifik var D dan produk PCR dielektroforesis menggunakan agarosa 1 %. Amplifikasi DNA menghasilkan beragam pita berukuran sekitar 230 bp dan 250 bp pada sampel malaria tanpa komplikasi dan malaria berat, tetapi amplifikasi cDNA hanya menunjukkan satu pita berukuran 230 bp pada 4 dari 5 sampel malaria berat. Keberadaan pita hanya pada sampel malaria berat mengindikasikan peran gen ini dalam patogenesis malaria berat. Disimpulkan bahwa gen var D dapat ditemukan pada sampel malaria tanpa komplikasi dan berat, namun ekpresi gen tersebut dapat menjadi prediktor yang potensial timbulnya manifestasi klinis malaria berat.
Desain dan Evaluasi Kinerja Sistem Kendali Otomasi Air Kolam Pembibitan Lele (Clarias sp.)
Authors: Desrial Desrial , Yahya Abdul Kodir Delphi Yahya 
Published: June 2024

Catfish nurseries are required to be able to see the appropriate needs for catfish larvae, especially in pond water quality. However, in its application, generally adjustments to the needs of water quality are only carried out without any special treatment, so that the survival obtained is still low. The purpose of this research is to make a machine that can control the quality of catfish breeding water, test the performance of the machine and the effect of its use. This study used the method of formulating and evaluating the design and testing the performance of the machine which consisted of several stages, including: formulating and evaluating the design, manufacturing the machine, functional testing, performance testing, and the influence of the machine performance. The results obtained after testing were the performance of the machine affecting the speed of hatching eggs, the growth rate and survival of catfish larvae. The speed of hatching catfish eggs is 4 hours faster using a machine. The growth rate using a machine is 0.061g/head, while without using a machine it is 0.053g/head. The survival of fish larvae using machine was 80.3%, while without using machine was 63.1%. Keywords: Control, Fish Larvae, Growth Survival, Water Quality.
Prevalence of Cognitive Impairment Amongst Older Adults and the Associated Risk Factors
Authors: Muhammed Zana Faris , Hussain Ali Hattem , Abdalrazak Haitham Assem 
Published: July 2024

Cognitive impairment in older adults refers to a decline in mental abilities such as memory, attention, and problem-solving, often associated with aging. This study aimed to show the prevalence of cognitive impairment among older people and examine the risk factors in acquiring the disease. This cross-sectional, community-based study was implemented between August 2022 and August 2023. The study population involved older adults (n= 400) living in urban regions aged ≥60 years. A questionnaire used to collect sociodemographic data. Further, mini mental state examination tool to assess cognitive function, activities of daily living tool to assess physical functional capacity, patient health questionnaire-9 tool to identify depressive symptoms, Snellen chart to examine visual acuity and whispered voice test to examine hearing acuity were used. Chi-square test used to investigate the association between risk factors and cognitive impairment. The prevalence of cognitive impairment was 31.25% in examined community. The risk of the disease was higher in the following participants: age group 90-100 (71.4%), female (45.9%), unemployed (47.1%), having insufficient socioeconomic level (51.2%), being illiterate (49.3%), having low hearing acuity (77.4%), having sever functional impairment (78.6%), being widowed (56.8%), living with others rather than a spouse (54.4%), having low visual acuity (33.3%), and having depressive symptoms (65.1%). The severity of cognitive impairment is statistically significantly related to age group of 90-100 years old (80%), smokers (n = 21) is mostly mild [n=9/21 (42.85%)], the decrease in hearing acuity is more frequent among those with sever cognitive impairment [n= 9/24 (37.5%)], and most of the features were of mild severity [n= 45/69 (65.2%)]. Cognitive impairment is a prevalent disease, and the risk factors are being females, unemployed, have a low socioeconomic level, illiterate, and widowed. Moreover, the disease is substantially related with increasing age, low hearing and visual acuity, depressive symptoms, and physical functional impairment.
Integrating Quranic Framework for Digital Literacy Curriculum in Madrasa
Authors: Kurniawan Redite , Bakar M. Yunus Abu , Kholis Nur 
Published: June 2024

The growing prevalence of teenagers engaging with the internet poses a multifaceted challenge, demanding a concerted response. With issues ranging from exposure to illicit content to the potential risks of online behavior, adolescents necessitate guidance to navigate the digital realm safely and ethically. The need for a Quranic-based digital literacy curriculum arises from the imperative to provide teenagers with a comprehensive framework for navigating the internet that goes beyond mere technical skills. By framing digital literacy within a Quranic context, students can learn to utilize the internet in a healthy and ethical manner, while also gaining a deeper understanding of their role in society. Throughout the curriculum, students would engage in reflection activities where they connect Quranic teachings to their own digital experiences. This article discusses the development of a Quran-based Digital Literacy Curriculum for students in MTs. Terpadu Ar-Roihan Lawang Malang. The curriculum was developed using the Research and Development method through ADDIE (Analysis, Design, Development, Implementation, and Evaluation) model, and aimed to address the misuse of personal information and content on the internet. The curriculum was designed to provide students with clear learning objectives, guidance on how to navigate digital challenges, and reflection on Quranic verses related to digital literacy. Based on the validation conducted by four qualified assessors specializing in media and curriculum content, the Quran-based digital literacy curriculum has been assessed to be of high quality. The average scores for both the curriculum media (3.75) and curriculum content (3.88) indicate strong performance in both aspects. Moreover, the total average score of 3.82 suggests an overall very good curriculum product. The curriculum also evaluated on students, with positive feedback received from both students and teachers. Both students and teachers noted that the curriculum's focus on real-life scenarios and practical skills made the content highly relevant. Suggestions for future research include expanding the curriculum to a broader audience, evaluating the effectiveness over a longer period, exploring the integration of technology, and investigating the effectiveness in addressing other digital literacy topics.
Instrumen Evaluasi Berbasis Web pada Pelajaran Bahasa Indonesia di Sekolah Dasar
Authors: Izzah Nadia Anil , Sembiring Masta Marselina , Handayani Dilla 
Published: June 2024

Tujuan dari penelitian ini adalah menghasilkan instrument evaluasi pembelajaran berbasis web menggunakan aplikasi Quizizz yang layak, praktis dan efektif untuk digunakan dalam pembelajaran. Adapun penelitian dan pengembangan ini dilaksanakan dengan menggunakan model 4D (Define, Design, Development and Dissemination). Subjek dalam penelitian ini adalah siswa kelas V SD Negeri 066650 Medan. Teknik pengumpulan data yang digunakan yaitu observasi, wawancara, angket, validasi dan tes. Hasil penelitian ini menunjukkan bahwa instrument evaluasi pembelajaran berbasis web menggunakan aplikasi Quizizz sangat layak, praktis dan efektif untuk digunakan. Hal tersebut dibuktikan dengan hasil penilaian akhir dengan rincian validator ahli evaluasi memperoleh persentase 96,36%, dari ahli materi memperoleh persentase 95,65%, dari ahli media memperoleh persentase 93,84%, dari ahli praktikalitas memperoleh persentase 96,7%. Berdasarkan hasil pretest dan posttest, dapat disimpulkan bahwa instrumen evaluasi pembelajaran berbasis web yang menggunakan aplikasi Quizizz menunjukkan peningkatan yang signifikan dalam efektivitas. Nilai rata-rata pretest sebesar 45,7 dikategorikan sebagai “Tidak Efektif” dan nilai rata-rata posttest sebesar 86,15 menunjukkan kategori “Efektif”. Seluruh siswa berhasil melewati posttest dengan nilai di atas Kriteria Ketercapaian Tujuan Pembelajaran (KKTP), yaitu 67. Sehingga dapat disimpulkan bahwa penelitian dan pengembangan ini menghasilkan sebuah produk berupa instrument evaluasi berbasis web menggunakan aplikasi Quizizz yang layak, praktis, dan efektif untuk digunakan dalam pembelajaran.