bluuebunny/crossref_metadata_2025_split huggingface dataset:
Detection of Low Back Physiotherapy Exercises With Inertial Sensors and Machine Learning: Algorithm Development and Validation
Authors: Alfakir Abdalrahman , Arrowsmith Colin , Burns David , Razmjou Helen , Hardisty Michael , Whyne Cari 
Published: June 2022

Background
Physiotherapy is a critical element in the successful conservative management of low back pain (LBP). A gold standard for quantitatively measuring physiotherapy participation is crucial to understanding physiotherapy adherence in managing recovery from LBP.

Objective
This study aimed to develop and evaluate a system with wearable inertial sensors to objectively detect the performance of unsupervised exercises for LBP comprising movement in multiple planes and sitting postures.

Methods
A quantitative classification design was used within a machine learning framework to detect exercise performance and posture in a cohort of healthy participants. A set of 8 inertial sensors were placed on the participants, and data were acquired as they performed 7 McKenzie low back exercises and 3 sitting posture positions. Engineered time series features were extracted from the data and used to train 9 models by using a 6-fold cross-validation approach, from which the best 2 models were selected for further study. In addition, a convolutional neural network was trained directly on the time series data. A feature importance analysis was performed to identify sensor locations and channels that contributed the most to the models. Finally, a subset of sensor locations and channels was included in a hyperparameter grid search to identify the optimal sensor configuration and best performing algorithms for exercise and posture classification. The final models were evaluated using the F1 score in a 10-fold cross-validation approach.

Results
In total, 19 healthy adults with no history of LBP each completed at least one full session of exercises and postures. Random forest and XGBoost (extreme gradient boosting) models performed the best out of the initial set of 9 engineered feature models. The optimal hardware configuration was identified as a 3-sensor setup—lower back, left thigh, and right ankle sensors with acceleration, gyroscope, and magnetometer channels. The XGBoost model achieved the highest exercise (F1 score: mean 0.94, SD 0.03) and posture (F1 score: mean 0.90, SD 0.11) classification scores. The convolutional neural network achieved similar results with the same sensor locations, using only the accelerometer and gyroscope channels for exercise classification (F1 score: mean 0.94, SD 0.02) and the accelerometer channel alone for posture classification (F1 score: mean 0.88, SD 0.07).

Conclusions
This study demonstrates the potential of a 3-sensor lower body wearable solution (eg, smart pants) that can identify exercises in multiple planes and proper sitting postures, which is suitable for the treatment of LBP. This technology has the potential to improve the effectiveness of LBP rehabilitation by facilitating quantitative feedback, early problem diagnosis, and possible remote monitoring.
The Association Between Telehealth Utilization and Policy Responses on COVID-19 in Japan: Interrupted Time-Series Analysis
Authors: Ishikawa Tomoki , Sato Jumpei , Hattori Junko , Goda Kazuo , Kitsuregawa Masaru , Mitsutake Naohiro 
Published: June 2022

Background
Telehealth using telephones or online communication is being promoted as a policy initiative in several countries. However, there is a lack of research on telehealth utilization in a country such as Japan that offers free access to medical care and regulates telehealth provision—particularly with respect to COVID-19.

Objective
The present study aimed to clarify telehealth utilization, the characteristics of patients and medical institutions using telehealth, and the changes to telehealth in Japan in order to support the formulation of policy strategies for telehealth provision.

Methods
Using a medical administrative claim database of the National Health Insurance and Advanced Elderly Medical Service System in Mie Prefecture, we investigated patients who used telehealth from January 2017 to September 2021. We examined telehealth utilization with respect to both patients and medical institutions, and we determined their characteristics. Using April 2020 as the reference time point for COVID-19, we conducted an interrupted time-series analysis (ITSA) to assess changes in the monthly proportion of telehealth users to beneficiaries.

Results
The number of telehealth users before the reference time point was 13,618, and after the reference time point, it was 28,853. Several diseases and conditions were associated with an increase in telehealth utilization. Telehealth consultations were mostly conducted by telephone and for prescriptions. The ITSA results showed a sharp increase in the proportion of telehealth use to beneficiaries after the reference time point (rate ratio 2.97; 95% CI 2.14-2.31). However, no apparent change in the trend of increasing or decreasing telehealth use was evident after the reference time point (rate ratio 1.00; 95% CI 1.00-1.01).

Conclusions
We observed a sharp increase in telehealth utilization after April 2020, but no change in the trend of telehealth use was evident. We identified changes in the characteristics of patients and providers using telehealth.
EVALUATION OF INTEGRATED ISLAMIC SCHOOL NETWORK IMPLEMENTATION
Authors: SUGIARTI Tuti 
Published: June 2022

This research aims to reveal and assess the implementation of the integrated islamic school network curriculum at SDIT Harum, North Jakarta. The approach method used in this study is an evaluative approach, where the researcher intends to collect data on policy implementation. The evaluation model chosen in this study is the Discrepancy Evaluation Model (DEM), by collecting and using observations, structured interviews and documentation. The design of the integrated islamic school network curriculum is a combination of the content of the integrated islamic school network curriculum, the content of the national curriculum and local content. the integrated islamic school network curriculum places more emphasis on internalizing Islamic values in every content of the National curriculum. Implementation with good and correct worship habits becomes a reinforcement in the development of student character. Implementation of the JSIT curriculum, but all of this must be a perception of thinking and acting by providing self-development and training or web wins for HR at SDIT Harum. Discrepancy evaluation is one type of evaluation approach in evaluating a integrated islamic school network curriculum program. The results of this evaluation are to find out the gaps that occur between the expected conditions and the reality in the field, the next step in making decisions.
Progressionsplaner som stöd för lärande, undervisning och utveckling inom högre utbildning
Authors: Pelger Susanne 
Published: June 2022

Om måluppfyllelse ska kunna säkerställas för alla studenter behöver förutsättningar ges för lärandeprogression mot utbildningens mål. För att stärka dessa förutsättningar har progressionsplaner utvecklats för de naturvetenskapliga utbildningarna vid Lunds universitet. Progressionsplanen konkretiserar varje examensmål i etappmål med gradvis ökade krav och ger därigenom en överblick över den förväntade lärandeprogressionen. När planen implementeras i utbildningen konkretiseras etappmålen ytterligare i ämneskursernas lärandemål. I denna publikation redogör jag för de naturvetenskapliga utbildningarnas process i fem steg för utveckling och implementering av progressionsplaner, och resultatet av detta arbete. Vidare diskuterar jag progressionsplaners möjligheter inom högre utbildning. Avslutningsvis reflekterar jag över lärdomar och kritiska faktorer att beakta då progressionsplaner utvecklas och implementeras.

Progression plans to support learning, teaching and development in higher education
If goal attainment is to be ensured for all students, conditions need to be provided forprogression towards the learning outcomes. In order to strengthen these conditions,progression plans have been developed for the science study programmes at Lund University.The progression plan concretises each curriculum outcome in three stages with graduallyincreased demands, thereby providing an overview of the intended learning progression. Inthe implementation of the plan, outcomes at each stage are further concretised in the learningoutcomes of the subject courses. In this paper, I describe the five-step process for developmentand implementation of progression plans in the science programmes, and the results of thiswork. Furthermore, I discuss the opportunities that the progression plans offer in highereducation. In conclusion, I reflect on learning experiences and critical factors to considerwhen progression plans are developed and implemented.
IMPLEMENTATION OF TRAINING AND HUMAN RESOURCES DEVELOPMENT BASED ON POLITEKNIK NEGERI MEDAN WORK CULTURE
Authors: Alfahmi Muhammad 
Published: June 2022

This study aims to describe the implementation of training and development of human resources based on the work culture of the Politeknik Negeri Medan. For the world of higher education itself, training and human resource development are considered very important, because they have human resources who can meet the operational needs of banks and have a high sense of responsibility for the quality of graduates produced in order to create and fill jobs in the future. The type of research in this research is qualitative with descriptive method. Training and development as well as facilities are factors that can improve employee performance. Especially for the Medan State Polytechnic, the facility factor has a more dominant influence. Therefore, it is recommended that the leadership of the Medan State Polytechnic, in addition to conducting training and development, should emphasize increasing the facilities needed by employees. This can be done by prioritizing the procurement program for facilities that can improve employee performance, such as administrative equipment and transportation facilities.
Analisis Strategi Bisnis pada Toko Budiman Sembako Kecamatan Sungai Tebelian, Kalimantan Barat
Authors: Lolo Andri 
Published: June 2022

Budiman's grocery store is a shop that sells various kinds of fresh fruits. Due to the tight competition in the food trade, this shop has its own business strategy. Business strategy aims to achieve long-term goals to be achieved and find the company's position in the industry so that the company can protect itself against competitive pressures. This study aims to analyze business strategies in surviving the pressure of intense competition, specifically the Budiman Sembako shop in Penjernang village. This research was conducted using descriptive qualitative methods by prioritizing interview methods and observation instruments, namely direct observations and assisted by literature studies. This research was conducted by analyzing the external environment and the internal environment through business functions. Then do a SWOT analysis, so that it can produce several alternatives in developing a business strategy for Budiman's grocery store. The results of this study indicate that the right strategy for the Budiman Sembako shop is the intensive strategy. With these alternative strategies the company can achieve the desired goals and can survive in the face of competitive pressures in the market.
Keywords: Business Strategy, Business Environment, and SWOT Analysis
Developing a progressive university/community connection: A shared conversation
Authors: Zarazaga Jessie , Martin DeVincent , Thompson Liz , McMillan Janice , McCann Jerry 
Published: June 2022

In engineering education there is fairly wide recognition of the value of community-based work for student engineers. However, such interactions are often conflicted, spread between the fear that there might be some exploitation of the community for educational purposes, or perceptions of a lack of honest integration and participation by students, within their busy educational term-sessions. How can we, as academics, play a role in developing more progressive university and community connections, with greater intention in the role that students and universities play? In this shared conversation, four academics and a student participate in an online conversation over several months, developing a discourse that explores, and rather than proposing, and remains open to further exploration.
La travesía de la ingeniería en la construcción de paz y justicia social
Authors: Ochoa-Duarte Alexei , Acero Andrés 
Published: June 2022

Desde el año 2005, y gracias al impulso de un equipo interdisciplinario de personas expertas, académicas, investigadoras, activistas, ingenieras o afines a ella, surge la Conferencia Internacional de Ingeniería, Justicia Social y Paz, en la búsqueda de enfoques alternativos para hacer, vivir y educar en la ingeniería.
En ese devenir de calendarios y geografía habían ocurrido catorce encuentros de la red de Ingeniería, Justicia Social y Paz, y el número 15 estuvo destinado a ser excepcional. Sin quererlo, el decimoquinto encuentro tuvo circunstancias muy diferentes a las anteriores, no debido a la capacidad de convocatoria, o al creciente interés por trabajar una ingeniería comprometida con la naturaleza, la sociedad y el ser humano, sino por una situación histórica que nos ha hecho repensar lo que hasta hace algún tiempo dábamos por sentado. Este evento se fue gestando desde el año 2019, bajo la premisa de realizarse en 2020. Con varias iniciativas propias del evento, se contaba con un equipo de trabajo, la aprobación de varias ponencias, talleres y actividades, un cronograma tentativo y el planteamiento del reconocimiento “Tecnología para la Justicia Social”
Sin embargo, la naturaleza dio un grito de advertencia al ser humano y apareció en escena el coronavirus ocasionando gran cantidad de transformaciones a nivel mundial. Por tanto, el evento se pospuso hasta 2021, y ajustarse a la virtualidad que nos acompaña desde que surgió la emergencia sanitaria por la pandemia. En este contexto, se realizaron ajustes en la composición del equipo y las responsabilidades asumidas por sus integrantes. No obstante, a pesar de las dificultades que este nuevo escenario plantea, el compromiso por la transformación social marcó el camino a seguir para la conferencia.
Después de arduas reuniones y tareas, entre el 10 y 12 de junio de 2021, la XV Conferencia Internacional de Ingeniería, Justicia Social y Paz, ve la luz, y con ello promete transformar la sociedad desde una diversidad de formas de hacer y vivir. La presente ponencia busca sistematizar la experiencia del equipo organizador de la conferencia, de manera que los aciertos y errores que tuvieron durante el proceso, se transformen en aprendizajes útiles para la transformación de la ingeniería hacia una que se encuentre comprometida con las comunidades.
Diagnóstico precoce do acidente vascular cerebral na emergência: uma revisão de literatura
Authors: Barbosa Bruno de Oliveira , Kullak João Henrique , Reis Bruno Cezario Costa 
Published: June 2022

Objetivo: Analisar o padrão dos métodos diagnósticos utilizados para a detecção precoce do Acidente Vascular Cerebral (AVC) na emergência, relacionando com a idade. Métodos: A abordagem metodológica deste trabalho ocorreu por meio de uma revisão integrativa da literatura nas bases de dados National Library of Medicine, Biblioteca Virtual em Saúde e Directory of Open Access Journals. Os descritores utilizados foram “Stroke”, “Early Diagnosis” e “Emergency Medical Services”. Os critérios de inclusão foram ensaios clínicos, randomizados ou não randomizados, estudos de caso-controle, estudo de coorte, livre acesso, publicados em inglês, português, espanhol e no intervalo de 2012 a 2022. Resultados: Os 18 artigos selecionados foram avaliados os métodos diagnósticos usados para a detecção precoce do AVC seja ele isquêmico ou hemorrágico e construído um quadro comparativo, na qual é composta pelo número de indivíduos abordados nos estudos, ano de publicação, principal método diagnóstico usado, tipo de AVC e faixa etária. Considerações finais: Dessa forma, o AVC isquêmico como principal diagnóstico feito na emergência. Além disso, para um diagnóstico precoce, a pontuação Pontuação no National Institutes of Health Stroke Scale é a mais usada nos serviços de pronto socorro e a idade com mais diagnóstico encontra-se em maiores de 45 anos.
The impact of immunomodulatory enteral nutrition on patients submitted to elective gastrointestinal cancer surgery: integrative review
Authors: Araripe Tamara Soares de Oliveira , Santos Semíramis Silva , Sales Julianne do Nascimento , Fonseca João Felipe de Almeida , Fernandes Helder Matheus Alves , Thé Rebeca Rodrigues , Costa André Luis Souza , Matos Lara Machado , Reges Bárbara Danuta Lins Oliveira , Silva Sabrina Evelyn Batista da 
Published: June 2022

Objective: To carry out a review about the use of enteral nutrition composed of immunonutrients in cancer patients undergoing elective surgery in the gastrointestinal tract on surgical outcomes. Methods: The research was carried out in the Medline, Lilacs and Pubmed databases. Results: The administration of enteral diet in both groups was well tolerated, there was no significant difference in the mortality rate and in the Intensive Care Unit or postoperative hospital stay. The immunomodulatory nutritional therapy was favorable to decrease the TNFα values and increase the total lymphocyte count in the postoperative period. Perioperative enteral immunonutrition has no significant effects on mortality rate, length of hospital stay and complications in gastrointestinal tract surgeries. Final considerations: Immunonutrition appears to be promising in terms of modulating the immune response. More randomized studies are needed regarding the effects of immunonutrients on abdominal surgical cancer patients.
Impact of COVID-19 Pandemic on Economy of Pakistan
Authors: Naeem Iqra , Muhammad Ghulam , Niazi Abdul Aziz Khan , Qazi Tehmina Fiaz 
Published: June 2022

Purpose: In this research study, author tried to analyze and investigate the issues of COVID-19 pandemic and its possible affect on economies especially in context of Pakistan. The basic purpose of this research is to examine and understand the COVID-19 issues and its consequences worldwide economies. This study was conducted using grey relational analysis.
Methodology: GRA is used to calculate the correlation among two or more constructs. The core part of this research is pre.and.post.COVID-19.implications on world economies as well as on Pakistan’s economy. Furhermore, in this study author tried to analyze that which year was the most destructive year for economies. For analyze and investigation, author gathered six years secondary data and apply GRA research methods to conclude the results.
Findings: After successfully concluded the outcomes which showed that like other countries in the world Pakistan’s economy also affected due to business were shutdown and governments imposed lockdown in country-wise which eventually caused export declined. Due to this reason, impact on Pakistan’s economy went to nosedown even growth rate down to negative. Economy of any country highly depending on its exports so, in order to evaluate any country economic condition, exports of this country may highly considered.
Conculsion: Therefore, at the end it was concluded that the year 2020 was the most destructive year for any country especially for Pakistan which affect the economy most.
Perkembangan Pemekaran Daerah Tingkat Provinsi di Indonesia pada Masa Orde Lama, 1948-1964
Authors: Mutawally Anwar Firdaus 
Published: June 2022

Regional expansion is a logical consequence of the development of the times as the community's need for government services increases. Hence, the regions need to be re-divided so that regional development can occur properly. This study aims to explain the developments and the factors that encouraged and hindered the division of provinces in Indonesia during the Old Order era. The method used in this research is the historical method with data collection techniques using literature studies and documentation studies. Results showed that the number of provinces in Indonesia increased from 8 provinces at the beginning of independence to 24 provinces at the end of the Old Order. In addition, three provinces have received special status from the government of the Republic of Indonesia. Among them are Aceh, DKI Jakarta, and Yogyakarta. The factors that hindered the process of regional expansion were the political conditions during the Old Order, which were less stable, so regional expansion could not occur, and limited infrastructure facilities at that time. At the same time, the factors that encouraged regional divisions included the emergence of regional sons in local government after the 1955 elections, the breakup of the dwi-tunggal Republic of Indonesia (Soekarno-Hatta), the emergence of demands from the Banteng Council, and the PRRI and Permesta Rebellions which accelerated regional expansion in Indonesia at that time. Pemekaran wilayah merupakan konsekuensi logis dari perkembangan zaman seiring dengan meningkatnya kebutuhan masyarakat akan pelayanan pemerintah. Oleh karena itu, perlu dilakukan pemekaran daerah agar pembangunan daerah dapat berjalan dengan baik. Penelitian ini bertujuan untuk menjelaskan perkembangan dan faktor-faktor yang mendorong dan menghambat pemekaran provinsi di Indonesia pada masa Orde Lama. Metode yang digunakan dalam penelitian ini adalah metode sejarah dengan teknik pengumpulan data menggunakan studi kepustakaan dan studi dokumentasi. Hasil penelitian menunjukkan bahwa jumlah provinsi di Indonesia meningkat dari 8 provinsi pada awal kemerdekaan menjadi 24 provinsi pada akhir Orde Lama. Selain itu, tiga provinsi mendapat status khusus dari pemerintah Republik Indonesia. Diantaranya adalah Aceh, DKI Jakarta, dan Yogyakarta. Faktor penghambat proses pemekaran daerah adalah kondisi politik pada masa Orde Lama yang kurang stabil sehingga pemekaran daerah tidak dapat terjadi, dan sarana prasarana yang terbatas pada saat itu. Sementara itu, faktor yang mendorong pemekaran daerah antara lain munculnya putra daerah dalam pemerintahan daerah pasca Pemilu 1955, pecahnya dwi-tunggal Republik Indonesia (Soekarno-Hatta), munculnya tuntutan Dewan Banteng, serta Pemberontakan PRRI dan Permesta yang mempercepat pemekaran daerah di Indonesia saat itu.