bluuebunny/crossref_metadata_2025_split huggingface dataset:
Awareness of Concussion-Education Requirements, and -Management Plans and Concussion Knowledge in High School and Club Sport Coaches
Authors: Stamm Julie M. , Post Eric G. , Baugh Christine M. , Bell David R. 
Published: September 2020

Context
A growing number of high-school–aged athletes participate on club sport teams. Some, but not all, state concussion laws apply to both interscholastic and private sport organizations. However, concussion education, management plans, and knowledge have not been examined in club coaches who coach high school-aged athletes.

Objective
To determine if differences in concussion education, management plans, and knowledge exist between high school coaches and coaches of club sport teams.

Design
Cross-sectional study.

Setting
Online survey.

Patients or Other Participants
A total of 769 coaches (497 high school coaches, 272 club coaches coaching high school-aged athletes; 266 women [34.6%], 503 men [65.4%]) completed an anonymous online questionnaire.

Main Outcome Measure(s)
The questionnaire consisted of demographic and team information, requirements for concussion-education and -management plans, and concussion knowledge.

Results
High school coaches were more likely than club coaches to report that their organizing bodies or leagues required them to receive concussion-education information (97.4% versus 80.4%; P &lt; .001) and that their organizing bodies or leagues had a concussion-management plan (94.0% versus 70.2%; P &lt; .001). High school coaches were more likely than club coaches to correctly agree that most concussions resolve in 7 to 10 days (48.6% versus 40.1%; P = .02) and disagree that loss of consciousness is required to diagnose a concussion (87.1% versus 80.9%; P = .02).

Conclusions
Club coaches were less likely to be aware of requirements for concussion-education and -management plans from their parent organizations and scored lower on specific concussion-knowledge questions than high school coaches despite the same education requirements across groups under their state concussion laws. These results raise concerns regarding the proper management of concussions in club sports and suggest a need for greater oversight and enforcement of state laws in the club sport setting.
Knowledge, attitude and practices of South African healthcare professionals towards complementary and alternative medicine use for atopic eczema – a descriptive survey
Authors: Thandar Yasmeen , Botha Julia , Sartorius Benn , Mosam Anisa 
Published: September 2020

Background: Complementary and alternative medicines (CAM) are used widely for treating atopic eczema (AE), commonly in conjunction with conventional medicines prescribed by mainstream healthcare professionals (HCPs). This cross-sectional survey evaluated the knowledge, general attitudes and practices regarding CAM among dermatologists, paediatricians, general practitioners (GPs) and pharmacists treating patients with AE in Durban, KwaZulu-Natal.

Methods: Questionnaires were sent via email or hand-delivered to HCPs nearby.

Results: Of the 330 respondents, 220 (67%) were males and 110 (33%) females. Most (40%) were > 50 years. GPs and pharmacists were significantly more embracing of CAM compared with dermatologists and paediatricians. The majority were not familiar with most CAMs for AE. More GPs (29%) and pharmacists (43%) recommend CAM compared with dermatologists (8%) and paediatricians (5%). GPs and pharmacists were also amenable to referring patients to CAM practitioners. The majority do not initiate discussions with their patients regarding CAM use nor enquire when taking a history. Many dermatologists (65%) and pharmacists (51%) reported that their patients ask about CAM. All dermatologists, 95% of paediatricians, 87% of GPs and 55% of pharmacists reported having no training in CAM but believed it should be included in their curriculum. Most are interested in learning about CAM and agreed that it would better prepare them in managing patients.
Conclusion: This study demonstrated poor CAM knowledge and communication between HCPs and patients but a strong interest amongst HCPs to learn more. There is an urgent need for continuing education programmes and inclusion in undergraduate curriculums, which will assist HCPs in influencing better patient outcomes.

(Full text of the research articles are available online at www.medpharm.tandfonline.com/ojfp)

S Afr Fam Pract 2017; DOI: 10.1080/20786190.2016.1248146
A Resident-Led QI Project to Improve Dental Health at a Primary Care Pediatric Practice
Authors: Roth Lauren T. , Robbins-Milne Laura , Sirota Dana , Lane Mariellen 
Published: September 2020

ABSTRACT

Background
Dental caries are the most common chronic condition of childhood and have significant medical, psychological, and financial consequences. The American Academy of Pediatrics (AAP) recommends primary care physicians apply fluoride varnish (FV) every 3 to 6 months from tooth emergence through age 5.

Objective
Through a resident-led quality improvement (QI) project, we aimed to provide FV to 50% of patients ages 1 through 5 who did not have a dental visit in the preceding 6 months or receive FV elsewhere in the past month.

Methods
From May 2017 through April 2018, we conducted 7 monthly plan-do-study-act cycles to improve our primary outcome measure (FV application), secondary outcome measure (percentage of patients who had routine dental care), and process measure (percentage of dental referrals). Balancing measures included time taken away from other clinical priorities and reimbursement rates.

Results
Fluoride varnish application improved from 3.6% to 44% with a 54% peak. The percentage of patients under 6 who had seen a dentist in the past 6 months increased from 30% to 47%. The percentage of dental referrals increased from 17% to 33%.

Conclusions
Application of FV is a quick, cost-effective way for primary care providers to improve dental health. This resident-led QI project increased rates of FV application, dental referrals, and dental visits while meeting ACGME guidelines for experiential learning in QI. By adapting to state-specific guidelines and workflows of each clinic, this QI project could be nationally reproduced to improve adherence to AAP and United States Preventive Services Task Force guidelines.
Clusterisasi Kerusakan Gempa Bumi di Pulau Jawa Menggunakan SOM
Authors: Hartatik Hartatik , Cahya Arifa Satria Dwi 
Published: September 2020

Indonesia sebagai negara yang diapit oleh 3 lempeng membuat negara ini cukup sering diguncang oleh Gempa. Pada tahun 2018, BMKG mencatat ada sebanyak 23 gempa yang masuk dalam kategori merusak. Setengahnya berada di Pulau Jawa. Pemetaan daerah rawan gempa dan jenis kerusakan yang terjadi perlu dilakukan untuk meminimalisir terjadinya kerusakan dan mitigasi bencana. SOM (Self-Organizing Map) merupakan metode clustering yang pernah digunakan untuk melakukan pengelompokan daerah gempa dan kerusakan yang terjadi. Metode SOM banyak digunakan untuk melakukan pengelompokan karena cenderung stabil dimana nilai centroid tidak berubah di setiap pengujian. Dataset yang digunakan berjumlah 1000 data diambil langsung dari web BMKG pada rentang waktu Januari 2019 sampai dengan Juni 2019. Akurasi dihitung menggunakan metode K-Fold Validation dengan membagi data set ke dalam 5-fold dan 10-fold data testing yang masing-masing berisi 200 dan 100 data. Hasil pengujian menunjukkan nilai akurasi algoritma SOM yang tertinggi adalah dengan alpha 0.2 untuk 5-Fold yaitu 96.20% dan 0.3 untuk 10-Fold yaitu 95.6% pada minimal iterasi 20 dan yang terendah adalah alpha 0.1 yaitu 85.90% mulai dari iterasi 10.
Computer Aided Modelling of the Impact of Irregular Power Supply on Machining Foundry Products
Authors: Owa Adebayo F , Adesina Fisayo , Ajibola Olawale O 
Published: September 2020

Computer aided models such as Dynamic, Quadratic, and Integer programming have been developed to solve production challenges relating to Manpower, Inventory and Maintenance assuming constant and regular power supply, which is a hard condition to meet in a developing country like Nigeria where power supply is irregular. This paper developed a Computer aided model to address this challenge using Integer programming (IP), by considering profit (Z) as a function of cost and revenue of a machined foundry product. Software was developed to serve as database and the same time analyzed complex mixed – model system where parallel workstation, shift or batch production is allowed. The software was designed to have graphic user interface (GUI), which enable the user to input data like values of product code (identification number for each product), capacity of machine, established unit cost of production, production cycle time, selling cost and the unit cost of production to determine the impact when electricity power from national grid is used, as opposed to fueling a diesel-engine generator, for machining foundry products. Costs and production capacity data were collected from Ruthade Foundry Engineering Services, Akure, Ondo State, to validate the model. The results revealed that output per unit time is higher when power from national grid is holistically utilized than when power from generator was used for machining foundry product. The results serve as genuine guiding tool for foundry operators in selecting a particular course of action on electricity utilization during production and enhance sustainability of production industry. Keywords— Constraint, cycle time, integer programming, Microsoft Visual Basic, model, optimal number
Kinetics of Arsenic Contaminated Soils Remediation with Arthrobacter nicotiniae and Klebsiella pneumoniae
Authors: Atikpo Eguakhide , Eboibi Blessing E 
Published: September 2020

This work is on bioremediation of soils contaminated with arsenic (As) using Arthrobacter nicotiniae (A. nicotiniae) and Klebsiella pneumoniae (K. pneumoniae) with a special focus on the kinetics of the bioremediation. The organisms were indigenous to the treated soils. They were respectively inoculated into 5 g each of soils samples dressed to attain a condition preset with optimum influencers earlier screened from first phase of remediation study. The samples were studied on 7, 14, 21, 28 and 35 days for residual As, and the laboratory results were assessed with four kinetics models. The tested models well described the bioremediation process. However, bioremediation with A. nicotiniae was overwhelmed by chemical process and the bioremediation with K. pneumoniae was taken charge of by physical process as determined from the rate-limiting steps of chemisorption and diffusion for the influences of A. nicotiniae and K. pneumoniae respectively. This is vital for the design and operation of an effective treatment system.Keywords - Kinetics, soils, bioremediation, systems
Application of Langrangian Theory in Inventory Cost Reduction of a Firm
Authors: Oriolowo Taofik K , Oladejo Kolawole A , Abu Rahaman , Ayanrinde Wole A , Adesokan Sakiru G 
Published: September 2020

Current events confirm the vital and dynamic need for studies that embrace Economics, Engineering, Management, and many other disciplines to confront the difficulties encountered in converting raw inputs to manufacturing outputs. This paper presents the assessment of inventory control system in a typical steel construction firm in Ibadan, Nigeria, with a view to predicting how best the inventory cost can be reduced. Data were collected by interviewing appropriate respondents at the production, stores, transport, purchasing, accounts, and wages sections of the firm and relevant documents used between the year 2014 and 2019. These were tailored towards identifying the controllable variables that were later classified using ABC Pareto analysis; implementation of an inventory model (Langrangian Multiplier) by mathematically relating the variables to the total cost; and evaluating the optimal values of the variables and the optimal cost of the system. The raw materials of the outfit were found to involve 88 items; which were grouped into 5, 20 and 63 items for classes A, B, and C respectively in accordance to ABC Pareto analysis. The identified controllable variables involved premises rent, unit ordering cost, annual demand, unit space and unit holding cost. On implementing the model, the annual total inventory cost was found to be N307,446.25, N154,667.50, and N84,035.00 for quarterly, bi-annual and annual inventory policies respectively; while the annual Economic Order Quantity (EOQ) was found to be N45,110.65 per annum. This shows that the company’s inventory cost can be reduced by N262,335.60 (85%), if the Annual Economic Order Quantity (proposed model)is implemented. This study has revealed the effect of implementing a standard inventory model for cost reduction in the area of material management.Keywords—Economics, Engineering, EOQ model, Inventory cost reduction, Management.
Aplikasi Model Adaptasi Roy Pada Anak Dengan Gangguan Keseimbangan Cairan
Authors: Purnamiasih Desak Putu Kristian , Nurhaeni Nani , Chodidjah Siti 
Published: September 2020

Cairan berfungsi dalam penyerapan nutrisi, proses metabolisme, fungsi sel – sel tubuh, dan organ tubuh. Gangguan keseimbangan cairan pada sistem gastrointestinal dapat disebabkan oleh diare, muntah atau perdarahan. Aplikasi model adaptasi Roy bertujuan untuk mendukung pasien mampu berespon secara adaptif terhadap gangguan kesehatannya. Empat dari lima klien kelolaan yang mengalami gangguan keseimbangan cairan mengalami keberhasilan adaptasi terhadap gangguan keseimbangan cairan mereka. Sementara, satu klien kelolaan lainnya pada awalnya mengalami perbaikan tetapi adanya penyakit penyerta lainnya menyebabkan klien tidak dapat beradaptasi. Keberhasilan adaptasi individu dipengaruhi oleh usia klien, temperatur lingkungan, stress, dan tingkat keparahan penyakit. Kemampuan perawat mengelola stimulus yang mempengaruhi keseimbangan cairan akan meningkatkan kemampuan adaptasi klien dalam menghadapi gangguan kesehatannya. Kata Kunci: adaptasi; keseimbangan cairan; sistem gastrointestinal
Partisipasi Masyarakat Dalam Program Pemberian ASI Eksklusif Di Temanggung
Authors: Putriyanti C.Ermayani 
Published: September 2020

ASI ekslusif bukan hanya meningkatkan daya tahan tubuh, menurunkan angka kematian bayi dan balita akibat diare dan infeksi saluran nafas. Ada hubungan antara pemberian ASI ekslusif dengan tingginya tingkat intelegensi anak, penghasilan meningkat ketika berusia 30 tahun, serta mencegah kanker di kemudian hari. Dampak menyusui mengurangi perdarahan pasca melahirkan, mencegah kanker payudara dan kanker ovarium. Penelitian ini bertujuan mengetahui partisipasi masyarakat dalam program pemberian ASI ekslusif di wilayah kerja Puskesmas Parakan. Data diperoleh dengan melakukan wawancara mendalam, observasi dan dokumentasi. Partisipasi masyarakat dalam mendukung ASI ekslusif belum maksimal, belum ada pengembangan strategi baru terkait program ASI ekslusif, masyarakat belum dilibatkan dalam perencanaan program, belum ada alokasi dana khusus untuk kegiatan program ASI ekslusif. Penyebab kegagalan ASI paling tinggi pada ibu bekerja dan keluarga terutama nenek. Partisipasi masyarakat perlu ditingkatkan melalui kerjasama dengan tokoh masyarakat, tokoh agama, karang taruna dalam sosialisasi ASI ekslusif. Perlunya ada kebijakan pengalokasian dana desa untuk sosialisasi ASI ekslusif, pengetahuan kader terkait ASI ekslusif lebih ditingkatkan, agar kader bisa melakukan penyuluhan dan tidak sekedar mengingatkan saja. Perlunya kerjasama dengan perusahan atau pabrik terkait kebijakan menyediakan ruangan untuk memerah dan menyusui bayi. Kata Kunci : partisipasi masyarakat; program ASI ekslusif
Aplikasi Teori Comfort Kolcaba Dalam Asuhan Keperawatan Pada Anak Dengan Demam Di Ruang Infeksi Anak RSUPN Dr. Cipto Mangunkusumo
Authors: Wirastri Unang , Nurhaeni Nani , Syahreni Elfi 
Published: September 2020

Demam merupakan gejala yang sering dialami anak dengan penyakit infeksi. Kondisi demam tinggi berdampak merugikan anak. Demam tinggi membuat anak tidak nyaman dan orang tua cemas serta meningkatkan kebutuhan kalori dan cairan. Teori Comfort dari Kolcaba memberikan arahan dalam pemenuhan rasa nyaman pada pasien. Karya ilmiah ini bertujuan memberikan gambaran asuhan keperawatan pada anak demam dengan mengaplikasikan teori comfort Kolcaba yang berfokus pada pemenuhan kebutuhan kenyamanan. Asuhan keperawatan dilakukan berdasarkan tahapan comfort yaitu pengkajian (kenyamanan fisik, psikospiritual, lingkungan, dan sosiokultural), merumuskan diagnosa keperawatan, menetapkan intervensi (berdasarkan standar comfort, coaching, dan comfort food for the soul), implementasi, dan evaluasi. Berdasarkan 5 kasus yang dibahas, intervensi yang diberikan untuk masalah keperawatan peningkatan suhu tubuh (demam) antara lain mengupayakan penurunan suhu tubuh, mempertahankan lingkungan sejuk dan nyaman, meningkatkan istirahat, memberikan asupan cairan dan nutrisi adekuat serta menurunkan kecemasan anak dan orang tua menggunakan konsep family centered care. Teori comfort Kolcaba dapat diterapkan dalam asuhan anak demam. Disarankan untuk lebih meningkatkan kenyamanan fisik, psikospiritual, lingkungan, dan sosiokultural sehingga terlihat bahwa ke empat aspek kenyamanan harus saling mendukung untuk pencapaian kenyamanan secara holistik. Kata kunci: teori comfort Kolcaba; anak demam; infeksi
Penerapan Teori Konservasi Levine Pada Klien Kanker Ovarium
Authors: Mayor Elsi Utami , Setyowati Setyowati , Budiati Tri 
Published: September 2020

Kanker ovarium merupakan salah satu penyakit pada perempuan dengan berbagai gejala sepanjang hidup. Gejala yang paling sering muncul adalah keletihan akibat perut membesar, asites, mual muntah dan asupan nutrisi yang tidak adekuat. Penerapan teori konservasi Levine dapat digunakan pada pasien dengan kanker ovarium yang bertujuan agar perawat dapat membantu perempuan dengan kanker ovarium melakukan konservasi menggunakan sumber daya yang dimilikinya dalam menghadapi penyakitnya, sehingga dapat beradaptasi dan mencapai keutuhan. Melalui konservasi energi, konservasi integritas struktur, konservasi integritas personal dan konservasi integritas sosial kelima perempuan dengan kanker ovarium dapat berespon secara adaptif dan mempertahankan keutuhannya. Hasil ini dapat digunakan untuk mengelola pasien dengan kanker ovarium pada area maternitas.Kata kunci: kanker ovarium; konservasi; keutuhan
Hubungan Mekanisme Koping Terhadap Tingkat Stres Prajurit TNI Angkatan Darat
Authors: Kartini Rinny , Zakiyah Zakiyah , Narulita Sari 
Published: September 2020

Stres adalah kontributor utama penyakit mental dan fisik pada setiap orang di segala usia, dan sebagai penjaga keamanan dan stabilitas negara, kondisi pemaparan berulang terhadap situasi pertempuran dan stressor lainnya dapat mempengaruhi kesehatan mental para tentara. Stress merupakan segala situasi dimana tuntutan non-spesifik mengharuskan seorang individu untuk berespons atau melakukan tindakan, dan mekanisme koping adalah cara yang digunakan individu dalam menyelesaikan masalah, mengatasi perubahan yang terjadi, dan situasi yang mengancam, baik secara kognitif maupun perilaku. Penelitian ini bertujuan untuk mengetahui hubungan mekanisme koping terhadap tingkat stress pada prajurit TNI-AD di Kesatuan Brigif Para Raider 17/Kujang 1 Divif 1 Kostrad Cijantung Jakarta Timur. Desain penelitian ini yaitu deskriptif korelatif dengan pendekatan cross sectional. Sampel penelitian ini adalah 133 prajurit tingkat satu yang ditentukan menggunakan teknik purposive sampling. Instrumen yang digunakan adalah Ways of coping dan Depressions Anxiety and Stress Scale. Data yang telah terkumpul diolah dengan menggunakan uji korelasi Spearman Rho. Hasil analisis univariat menunjukkan mekanisme koping destruktif (73,7%) dan tingkat stress berat (48,9%). Hasil analisis bivariat menunjukkan adanya hubungan antara mekanisme koping terhadap tingkat stress pada prajurit TNI-AD dengan hasil signifikan atau p-value adalah 0,000 dimana (p <0,005) dan nilai coefficient correlation berjumlah 0,614. Terdapat hubungan yang signifikan antara mekanisme koping dengan tingkat stress prajurit TNI-AD di Kesatuan Brigif Para Raider 17/Kujang 1 Divif 1 Kostrad Cijantung Jakarta Timur. Diperlukan peningkatan pemahaman dan keterampilan mekanisme koping konstruktif dan manajemen stress pada prajurit. Kata kunci: mekanisme koping; stres; TNI-AD
Analisis Penyebab Putus Obat Pada Penderita HIV/AIDS Yang Berobat Di Klinik VCT
Authors: Prihanto Prihanto , Sudiro Sudiro , Irene K Martha 
Published: September 2020

Jumlah penderita HIV/AIDS di Kabupaten Temanggung sampai akhir Tahun 2014 mencapai 260 penderita dan angkanya cenderung meningkat. Dari jumlah tersebut yang masih aktif menggunakan ARV hanya 107 penderita (41%), yang putus obat sejumlah 10 penderita (9%).Tujuan dari penelitian ini adalah untuk menganalisa penyebab putus obat pada Penderita HIV/AIDS yang berobat di Klinik VCT Kabupaten Temanggung. Penelitian ini merupakan penelitian kualitatif, menganalisis penyebab putus obat ditinjau dari edukasi, akomodasi, modifikasi faktor lingkungan sosial, perubahan model terapi dan meningkatnya interaksi tenaga kesehatan dengan penderita. Pengambilan data dilakukan dengan melakukan wawancara mendalam terhadap informan utama yaitu 3 penderita HIV yang putus obat, 1 penderita yang masih aktif dan informan triangulasi pengelola KPA, Pengelola Klinik VCT, Kasi P2M Dinas Kesehatan dan KDS Smile Plus di Kabupaten Temanggung. Data diolah dan dianalisis berdasarkan kelima faktor tersebut dengan metode pengolahan diskripsi isi (content analysis). Hasil penelitian menunjukkan bahwa faktor penyebab putus obat adalah: 1).edukasi yang kurang berkelanjutan dan mendalam, 2). akomodasi dan fasilitas penderita yang kurang dan jarak tempuh, 3). sedangkan dari KPA adalah sarana dan prasarana yang kurang untuk memonitor penderita. Modifikasi faktor lingkungan perlu dilakukan akibat adanya stigma dari masyarakat yang dirasakan oleh penderita, dukungan dari keluarga cukup tapi tekanan dari luar lebih kuat terutama stigma yang ada, kurangnya dukungan dari tenaga kesehatan dan motivasi diri yang kurang, serta perubahan model terapi terkait dengan keluhan efek samping ARV yang dirasakan. Faktor lain adalah kebijakan dan regulasi dari pemerintah daerah terkait dengan sarana prasarana, pendanaan dan sistem koordinasi serta monitoring dalam penanganan penderita HIV/AIDS yang masih kurang memadai. Faktor pendukung pada penderita yang aktif adalah: dukungan dari tenaga kesehatan dan keluarga, serta komitmen penderita untuk terus menjalani pengobatan. Kata Kunci: HIV/AIDS; putus obat; anti retroviral virus; klinik VCT
THE IMPACT OF CLASSROOM ACOUSTICS ON TODDLERS’ COMMUNICATION AND ACTIVE PARTICIPATION DURING TEACHING
Authors: Stamatis Panagiotis J. , Ntouka Afrodite V. 
Published: September 2020

<p>The present study aims at approaching a special issue from the field of communication literacy. Specifically, it intends to investigate the acoustics in kindergarten in regard to communication and active participation of toddlers during the teaching process. Within the theoretical framework of this study, there are approaches related to the main characteristics of classroom acoustics and their impact on toddlers’ communication, despite the lack of relevant studies on preschool education. After theoretical approaching the description of a study and its main stages follows, which are the method of the study including data collection instrument and sample. Actually, this is a case study based on a sample which consisted of toddlers and kindergarten teachers working with toddlers in municipal kindergartens. The results of the study reveal that classroom acoustics such as noise, eco, volume of teacher and/or children voice has an impact on toddlers’ communication and active participation during teaching as they strongly affect the quality of teaching and classroom climate as well.</p><p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/edu_01/0646/a.php" alt="Hit counter" /></p>