bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Stroke Recovery in Motion Implementation Planner: Mixed Methods User Evaluation
Authors: Reszel Jessica , van den Hoek Joan , Nguyen Tram , Aravind Gayatri , Bayley Mark T , Bird Marie-Louise , Edwards Kate , Eng Janice J , Moore Jennifer L , Nelson Michelle L A , Ploughman Michelle , Richardson Julie , Salbach Nancy M , Tang Ada , Graham Ian D 
Published: July 2022

Background
As more people are surviving stroke, there is a growing need for services and programs that support the long-term needs of people living with the effects of stroke. Exercise has many benefits; however, most people with stroke do not have access to specialized exercise programs that meet their needs in their communities. To catalyze the implementation of these programs, our team developed the Stroke Recovery in Motion Implementation Planner, an evidence-informed implementation guide for teams planning a community-based exercise program for people with stroke.

Objective
This study aimed to conduct a user evaluation to elicit user perceptions of the usefulness and acceptability of the Planner to inform revisions.

Methods
This mixed methods study used a concurrent triangulation design. We used purposive sampling to enroll a diverse sample of end users (program managers and coordinators, rehabilitation health partners, and fitness professionals) from three main groups: those who are currently planning a program, those who intend to plan a program in the future, and those who had previously planned a program. Participants reviewed the Planner and completed a questionnaire and interviews to identify positive features, areas of improvement, value, and feasibility. We used descriptive statistics for quantitative data and content analysis for qualitative data. We triangulated the data sources to identify Planner modifications.

Results
A total of 39 people participated in this study. Overall, the feedback was positive, highlighting the value of the Planner’s comprehensiveness, tools and templates, and real-world examples. The identified areas for improvement included clarifying the need for specific steps, refining navigation, and creating more action-oriented content. Most participants reported an increase in knowledge and confidence after reading the Planner and reported that using the resource would improve their planning approach.

Conclusions
We used a rigorous and user-centered process to develop and evaluate the Planner. End users indicated that it is a valuable resource and identified specific changes for improvement. The Planner was subsequently updated and is now publicly available for community planning teams to use in the planning and delivery of evidence-informed, sustainable, community-based exercise programs for people with stroke.
How Community-Based Teams Use the Stroke Recovery in Motion Implementation Planner: Longitudinal Qualitative Field Test Study
Authors: Reszel Jessica , van den Hoek Joan , Nguyen Tram , Aravind Gayatri , Bayley Mark T , Bird Marie-Louise , Edwards Kate , Eng Janice J , Moore Jennifer L , Nelson Michelle L A , Ploughman Michelle , Richardson Julie , Salbach Nancy M , Tang Ada , Graham Ian D 
Published: July 2022

Background
The Stroke Recovery in Motion Implementation Planner guides teams through the process of planning for the implementation of community-based exercise programs for people with stroke, in alignment with implementation science frameworks.

Objective
The purpose of this study was to conduct a field test with end users to describe how teams used the Planner in real-world conditions; describe the effects of Planner use on participants’ implementation-planning knowledge, attitudes, and activities; and identify factors influencing the use of the Planner.

Methods
This field test study used a longitudinal qualitative design. We recruited teams across Canada who intended to implement a community-based exercise program for people with stroke in the next 6 to 12 months and were willing to use the Planner to guide their work. We completed semistructured interviews at the time of enrollment, monitoring calls every 1 to 2 months, and at the end of the study to learn about implementation-planning work completed and Planner use. The interviews were analyzed using conventional content analysis. Completed Planner steps were plotted onto a timeline for comparison across teams.

Results
We enrolled 12 participants (program managers and coordinators, rehabilitation professionals, and fitness professionals) from 5 planning teams. The teams were enrolled in the study between 4 and 14 months, and we conducted 25 interviews. We observed that the teams worked through the planning process in diverse and nonlinear ways, adapted to their context. All teams provided examples of how using the Planner changed their implementation-planning knowledge (eg, knowing the steps), attitudes (eg, valuing community engagement), and activities (eg, hosting stakeholder meetings). We identified team, organizational, and broader contextual factors that hindered and facilitated uptake of the Planner. Participants shared valuable tips from the field to help future teams optimize use of the Planner.

Conclusions
The Stroke Recovery in Motion Implementation Planner is an adaptable resource that may be used in diverse settings to plan community-based exercise programs for people with stroke. These findings may be informative to others who are developing resources to build the capacity of those working in community-based settings to implement new programs and practices. Future work is needed to monitor the use and understand the effect of using the Planner on exercise program implementation and sustainability.
Trends in Effectiveness of Organizational eHealth Interventions in Addressing Employee Mental Health: Systematic Review and Meta-analysis
Authors: Stratton Elizabeth , Lampit Amit , Choi Isabella , Malmberg Gavelin Hanna , Aji Melissa , Taylor Jennifer , Calvo Rafael A , Harvey Samuel B , Glozier Nick 
Published: July 2022

Background
Mental health conditions are considered the leading cause of disability, sickness absence, and long-term work incapacity. eHealth interventions provide employees with access to psychological assistance. There has been widespread implementation and provision of eHealth interventions in the workplace as an inexpensive and anonymous way of addressing common mental disorders.

Objective
This updated review aimed to synthesize the literature on the efficacy of eHealth interventions for anxiety, depression, and stress outcomes in employee samples in organizational settings and evaluate whether their effectiveness has improved over time.

Methods
Systematic searches of relevant articles published from 2004 to July 2020 of eHealth intervention trials (app- or web-based) focusing on the mental health of employees were conducted. The quality and bias of all studies were assessed. We extracted means and SDs from publications by comparing the differences in effect sizes (Hedge g) in standardized mental health outcomes. We meta-analyzed these data using a random-effects model.

Results
We identified a tripling of the body of evidence, with 75 trials available for meta-analysis from a combined sample of 14,747 articles. eHealth interventions showed small positive effects for anxiety (Hedges g=0.26, 95% CI 0.13-0.39; P<.001), depression (Hedges g=0.26, 95% CI 0.19-0.34; P<.001), and stress (Hedges g=0.25, 95% CI 0.17-0.34; P<.001) in employees’ after intervention, with similar effects seen at the medium-term follow-up. However, there was evidence of no increase in the effectiveness of these interventions over the past decade.

Conclusions
This review and meta-analysis confirmed that eHealth interventions have a small positive impact on reducing mental health symptoms in employees. Disappointingly, we found no evidence that, despite the advances in technology and the enormous resources in time, research, and finance devoted to this area for over a decade, better interventions are being produced. Hopefully, these small effect sizes do not represent optimum outcomes in organizational settings.

Trial Registration
PROSPERO CRD42020185859; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=185859
The Effectiveness of Supervised Machine Learning in Screening and Diagnosing Voice Disorders: Systematic Review and Meta-analysis
Authors: Al-Hussain Ghada , Shuweihdi Farag , Alali Haitham , Househ Mowafa , Abd-alrazaq Alaa 
Published: July 2022

Background
When investigating voice disorders a series of processes are used when including voice screening and diagnosis. Both methods have limited standardized tests, which are affected by the clinician’s experience and subjective judgment. Machine learning (ML) algorithms have been used as an objective tool in screening or diagnosing voice disorders. However, the effectiveness of ML algorithms in assessing and diagnosing voice disorders has not received sufficient scholarly attention.

Objective
This systematic review aimed to assess the effectiveness of ML algorithms in screening and diagnosing voice disorders.

Methods
An electronic search was conducted in 5 databases. Studies that examined the performance (accuracy, sensitivity, and specificity) of any ML algorithm in detecting pathological voice samples were included. Two reviewers independently selected the studies, extracted data from the included studies, and assessed the risk of bias. The methodological quality of each study was assessed using the Quality Assessment of Diagnostic Accuracy Studies 2 tool via RevMan 5 software (Cochrane Library). The characteristics of studies, population, and index tests were extracted, and meta-analyses were conducted to pool the accuracy, sensitivity, and specificity of ML techniques. The issue of heterogeneity was addressed by discussing possible sources and excluding studies when necessary.

Results
Of the 1409 records retrieved, 13 studies and 4079 participants were included in this review. A total of 13 ML techniques were used in the included studies, with the most common technique being least squares support vector machine. The pooled accuracy, sensitivity, and specificity of ML techniques in screening voice disorders were 93%, 96%, and 93%, respectively. Least squares support vector machine had the highest accuracy (99%), while the K-nearest neighbor algorithm had the highest sensitivity (98%) and specificity (98%). Quadric discriminant analysis achieved the lowest accuracy (91%), sensitivity (89%), and specificity (89%).

Conclusions
ML showed promising findings in the screening of voice disorders. However, the findings were not conclusive in diagnosing voice disorders owing to the limited number of studies that used ML for diagnostic purposes; thus, more investigations are needed. While it might not be possible to use ML alone as a substitute for current diagnostic tools, it may be used as a decision support tool for clinicians to assess their patients, which could improve the management process for assessment.

Trial Registration
PROSPERO CRD42020214438; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=214438
Numerical Analyses of Tunnel Outlet Slope at Leuwikeris Dam, West Java, Indonesia
Authors: Sunardi Sunardi , Indrawan I Gde Budi , Murti Ardian Baroto 
Published: July 2022

The excavated slope of the diversion tunnel outlet at the Leuwikeris Dam was designed based on core test data and the Circular Failure Chart (CFC) method. Stability of the excavated slope under static and seismic loads has not been verified using a different method. The objective of this research was to evaluate performance of the excavated slope under static and seismic loads using the finite element method (FEM). Stability analyses of the natural slope were also carried out to assess the improved stability of the slope after excavation. Geological mapping, examinations of drill cores and borehole logs, and laboratory tests were conducted to characterise the soils and rocks comprising the tunnel outlet slope. The rock masses were characterised using the Geological Strength Index (GSI) for the input parameters of the Generalised Hoek-Brown criterion. The slope stability analyses under static and seismic loads were performed using the finite element-based computer package RS2. The results show that the diversion tunnel construction site consists of residual soil and very poor to fair quality andesite breccia rock and tuff breccia with thin claystone intercalation. The groundwater table was located approximately 40 m below the ground surface. In general, the seismic load reduced stability of the slopes. The critical strength reduction factor (SRF) values of the natural portal slope, which had 40º inclination, were 3.6 and 1.45 under static and seimic loads, respectively. Meanwhile, the SRF values of the excavated slope, which had seven benches and 55 to 74º inclinations, were 3.83 and 1.78 under static and seismic loads, respectively. The natural and excavated slopes were considered stable under static and seismic loads and met the stability criteria specified by the National Standardization Agency (2017). The slope design increased the slope FS values by 6% and 20% under static and seismic loads, respectively.
The maritime medicine in Morocco: reality and future prospects
Authors: Ghaila T. 
Published: July 2022

INTRODUCTION: The maritime sector in Morocco constitutes an important economic and social lever of the country, in particular with the two maritime facades of the country. If the fishing sector is classically the dominant part of this system, the change experienced by the Moroccan economy over the past two decades and the development of the port infrastructure of the merchant marine have allowed the latter to regain its importance. This development of the marine sector has repercussions on seamen and calls into question the importance of the social issue in this area, particularly in relation to the medical care of this population.OBJECTIVES: To research the scope of medical care issues related to merchant marine workers.MATERIALS AND METHODS: This study was based on the collection of data: legislative texts on occupational health and safety; statistical data from administrations (the Ministry of Health and the Ministry of Marine Fisheries), the General Medical Council of Morocco, scientific societies and associations for occupational health and marine medicine. The analysis included socio-demographic and professional characteristics, training, evaluation of activities, limitations in its implementation and priority recommendations for improving the situation.RESULTS AND DISCUSSION: Morocco’s health system includes two areas: the commercial and fishing sectors. The study showed that there are no specialized medical centers in any of the sectors, and medical care for this population is at a low level. There is no Moroccan telemedicine system. Currently, Morocco has already defined a legal framework for this practice.CONCLUSION: This article sheds light on the health system of seamen in Morocco while highlighting its strengths and weaknesses as well as avenues for reflection for the improvement of existing anomalies.
The ANALISIS PENERAPAN INFORMASI PENGUNGKAPAN CSR BESERTA FAKTOR- FAKTOR YANG MEMPENGARUHINYA BERDASARKAN TEORI AGENCY, LEGITIMASI, STAKEHOLDER DAN TEORI KONTRAK SOSIAL
Authors: Syafis Kamadie Sumanda 
Published: July 2022

This research explored the Application of Corporate Social Responsibility (CSR) Disclosure Information and the influencing Factors Based on Agency Theory, Legitimacy, Stakeholders and Social Contract Theory. The purpose of this study was to determine how much the composition of the board of commissioners, leverage ratio, profitability ratio and company size simultaneously and partially affects the disclosure of corporate social responsibility (CSR) information. The data used in this study was secondary data, namely data sourced from the Indonesia Stock Exchange. The main data sources used in this study were the company's annual report and the LQ30 company sustainability report, and the methods used in this study were quantitatively descriptive, that is, research that reveals the magnitude or smallness of the influence or the relationship between variables expressed in numbers, by collecting data that are supporting factors on the influence between the variables in question, then analyzed. The results showed that all independent variables, namely the composition of the board of commissioners, leverage ratio, profitability ratio and company size together had a significant influence on CSR. The composition variables of the board of commissioners had a significant influence on the disclosure of CSR information, while the variables of leverage ratio, profitability ratio, and company size did not have a significant influence on the disclosure of CSR information.

Keywords: Disclosure of CSR information, Composition of the Board of Commissioners, Leverage Ratio, Profitability Ratio, and Company Size
Violência contra jornalistas no canal de Jair Bolsonaro no Youtube
Authors: Nicoletti Janara , Flores Ana Marta Moreira 
Published: July 2022

RESUMO - As plataformas sociais são ambientes priorizados por governos populistas em todo o mundo e configuram espaços de troca de informação sem mediação jornalística. Invalidar a imprensa é uma estratégia de ação cada vez mais evidente de vozes políticas: um sinal de alerta de violência contra jornalistas, amplificada durante a pandemia de Covid-19. Jair Bolsonaro é um dos exemplos mais contundentes no espectro nacional e este artigo pretende compreender a frequência e tipos de ataque à imprensa presentes nos vídeos publicados pelo canal do presidente brasileiro no YouTube. Para tal, reúne-se uma metodologia híbrida com análise de conteúdo e métodos digitais. O recorte temporal abrange os 100 primeiros dias de crise – de 26 de fevereiro a 4 de junho de 2020. Os resultados apontam que a imprensa é citada em 36% do conteúdo. Destes, 40% representam críticas, 28% ataques verbais e 26% descredibilização.

ABSTRACT - Social platforms are environments prioritized by populist governments around the world and spaces frequently used for exchanging information without journalistic mediation. Invalidating the press is an increasingly evident strategy by political voices: a warning sign of attacks against journalists, amplified during the Covid-19 pandemic. Jair Bolsonaro is one of the more striking examples in Brazil and this article aims to understand the frequency and types of attacks on the press in videos published by the Brazilian president’s YouTube channel. A hybrid methodology of content analysis and digital methods is developed for this study. The time frame covers the first 100 days of the health crisis in the country – from February 26 to June 4, 2020. The results show that the press is mentioned in 36% of the content; 40% of which represents criticism, 28% verbal attacks and 26% media discredit.

RESUMEN - Las plataformas sociales son priorizadas por gobiernos populistas de todo el mundo y son frecuentemente espacios de intercambio de información sin mediación periodística. La invalidación de la prensa es una estrategia cada vez más evidente por parte de las voces políticas: una señal de alerta de violencia contra los periodistas, amplificada durante la pandemia del Covid-19. Jair Bolsonaro es uno de los ejemplos más determinantes del espectro nacional y este artículo tiene como objetivo comprender la frecuencia y los tipos de ataques a la prensa que aparecen en los videos publicados por el canal de YouTube del presidente brasileño. Para tal fin, se desarrolla una metodología híbrida con análisis de contenido y métodos digitales. El marco de tiempo cubre los primeros 100 días de la crisis de salud en el país – del 26 de febrero al 4 de junio de 2020. Los resultados muestran que la prensa se menciona en el 36% del contenido, en el que el 40% representa críticas, el 28% Ataques Verbales y 26% de descrédito mediático.
Patients awareness, perception, and willingness toward dental treatment during COVID-19 pandemic in India
Authors: Kokane Noopur , Kokane Vandana , Uttarwar Varsha , Burad Pratik , Kaur Jasleen 
Published: July 2022

Objectives:
COVID-19 has badly affected the global economy, also affecting the health-care sector with a major effect on dentistry. It is important to understand the reason behind it from patient’s perspective, by knowing their awareness, perception, and willingness toward dental treatment during COVID-19 times. This might help the dentist to increase patient inflow.

Materials and Methods:
A cross-sectional study was conducted using an online survey. A validated questionnaire was circulated to participants by investigators, consisting questions related to demographic data, awareness, perception, and willingness toward dental treatment. A total of 616 participants responded. Statistical analysis was performed using Statistical Package for the Social Sciences version 22.

Results:
More than 90% of participants are aware of COVID-19 and various precautions to be taken to prevent the spreads of the disease. The majority of participants about 74% are aware that dentists are at higher risk of acquiring COVID-19 infection. Many respondents 76.6% are afraid to visit the dentist, due to fear of acquiring COVID-19 infection 74% prefer to delay dental treatment. Around 71.8% are willing to consult through teledentistry, 69.8% are not willing to provide medical certificates, and 58.2% are willing to pay more fees than usual for the extra precaution taken by the dentist to prevent COVID-19 spread.

Conclusion:
People are afraid to visit dental clinics due to fear of cross infection. People are ready to pay more for precautions taken by their dentists. People should be made aware of precautionary measures taken by the dentist so that they feel safe to visit a dental clinic during COVID-19 times.
Immune Response Regulation has Therapeutic Potential in the Treatment of Cancer
Authors: Festa Maria 
Published: July 2022

Background: Depending on their path of differentiation, immune cells can have opposing roles in tumour progression. As a result, during growth, tumours undergo selective pressure to produce immunosuppressive factors that contribute to tumour growth, angiogenesis, and metastasis. This review discusses the contribution of different macrophages and T cells to tumour progression, as well as their role in current cancer immunotherapies.
Methods: We searched for articles online through McGill Library with search terms including the names of different immune cells along with “polarity”, “tumour progression”, or “cancer immunotherapy”. Cancer therapies “CTLA-4 blockade”, “Ipilimumab”, “adoptive cell transfer”, and “PD1 inhibition” were also used as search terms.
Summary: Depending on the cell types involved, crosstalk between different immune cells in the tumour stroma can contribute to either the development or the inhibition of tumour growth. Certain therapies such as adoptive cytotoxic T lymphocyte (CTLs) transfer and CTLA-4 & PD1 inhibition work by enhancing CTL tumoricidal responses, and have produced durable responses in a small but significant group of patients. Other therapies work by skewing the phenotype of tumour associated macrophages from pro-tumorigenic to anti-tumorigenic. However, disrupting the balance between immune cell functions risks triggering inflammatory disorders such as autoimmunity. Therefore, future directions in cancer immunotherapy include targeting potential responders and restricting therapeutic mechanisms to the tumour microenvironment.