bluuebunny/crossref_metadata_2025_split huggingface dataset:
SELF-CARE AGENCY IMPROVES PERSONAL HYGIENE OF ELDERLY IN A NURSING HOME IN BINJAI [SELF-CARE AGENCY MENINGKATKAN PERSONAL HYGIENE PADA LANSIA DI PANTI WERDA BINJAI]
Authors: Simorangkir Lindawati , Sinaga Endang 
Published: October 2020

<p>The Self-Care Agency role is to increase knowledge with changing attitudes in driving the elderly to be more aware of the importance of personal hygiene in their daily lives. One attempt in the prevention of disease in the elderly is by doing personal hygiene so that the elderly can better feel comfort, safety and well-being. This study aimed to determine the effect of Self-Care Agency to the personal hygiene of the elderly in nursing home Binjai. The design study is Quasi-Experimental Design Time Series, with the approach of One Group Pre Post Test Design. Sampling was done by purposive sampling with a sample of 30 respondents. Research results pre intervention personal hygiene less category as much as 73%, and post intervention personal hygiene category of "good" as much as 53.3%. Based on the results of the Wilcoxon test showed that the self-care agency signifikat to improving the personal hygiene of the elderly in Panti Werda Binjai, with p value = 0.001. Low personal hygiene of the elderly in nursing home Binjai due to lack of awareness of the importance of self care. It is necessary innovations in providing nursing interventions, assistance, support and cooperation with the nursing home attendant in improving personal hygiene of the elderly.</p><p><strong>BAHASA INDONESIA </strong>Self-Care Agency berperan untuk meningkatkan pengetahuan dengan mengubah sikap dalam mengarahkan lansia untuk lebih menyadari pentingnya melakukan personal hygiene didalam kehidupan sehari-harinya. Salah satu usaha pencegahan penyakit pada lansia dengan melakukan personal hygiene sehingga lansia dapat merasakan kenyamanan, keamanan dan kesejahteraan yang lebih baik. Penelitian ini bertujuan untuk mengetahui pengaruh Self-Care Agency terhadap personal hygiene lansia di Panti Werda Binjai. Desain penelitian yang digunakan Quasi Experimental Time Series Design, dengan pendekatan One Group Pre Post Test Design. Pengambilan sampel dilakukan dengan dengan purposive sampling dengan besar sampel 30 responden. Hasil penelitan pre intervensi personal hygiene kategori kurang sebanyak 73%, dan post intervensi personal hygiene kategori “baik” sebanyak 53,3%. Berdasarkan hasil uji Wilcoxon memperlihatkan bahwa Self-care agency signifikan terhadap peningkatan personal hygiene lansia di Panti Werda Binjai, dengan nilai p value = 0,001. Personal hygiene yang rendah pada lansia di Panti werda Binjai disebabkan kurangnya kesadaran pentingnya perawatan diri. Maka perlu inovasi dalam memberikan intervensi keperawatan, pendampingan, dukungan dan kerjasama dengan petugas panti werda dalam meningkatkan personal hygiene lansia.</p>
UTILIZING YOUTUBE TO DEVELOP NURSING STUDENTS’ AUTONOMOUS LEARNING AND LISTENING COMPREHENSION: AN EXPERIMENTAL STUDY
Authors: Recard Michael , Sembel Sandra , Hasibuan Shinta 
Published: October 2020

<p>Industrial Revolution (IR) 4.0. is about dealing with digital-native students and developing autonomous learning. One possible strategy to deal with these issues is using YouTube as a tool for English language learning. There have been some studies discussing the effectiveness of using it, yet we still have niches; for instance, deeper and wider contexts and respondents. Thus, this study aims to examine students’ autonomy over their learning and whether YouTube can develop the listening comprehension skills of nursing students in a Faculty of Nursing in Tangerang. To achieve the first aim, quantitative and qualitative studies were conducted, while for the second aim, an experimental study was used. The experimental study involved an experimental group consisting of 16 students and a control group consisting of 16 students. The result shows that the participants consider YouTube as a useful support to develop their autonomy in learning English and YouTube video has been successful to develop their listening skills.</p>
LITERATURE REVIEW: PERCEPTION AND QUALITY OF WOMEN'S LIFE WITH INFERTILITY [KAJIAN LITERATUR: PERSEPSI DAN KUALITAS HIDUP PEREMPUAN DENGAN INFERTILITAS]
Authors: Ingrit Belet Lydia 
Published: October 2020

<p>Infertility is the failure to get a pregnancy after at least one year of sexual intercourse without using contraception. Many efforts that have been made by infertil women to get pregnant but not a few have failed treatment. Perception will affect the adaptation and quality of life of a woman. Therefore the purpose of this literature review is to explore perceptions and quality of life of women with infertility. Research articles were obtained from two databases namely EBSCO and Google Scholar. Literature search uses keywords (Indonesian and English), namely Perception and quality of life of women with infertility with inclusion criteria for research articles from 2009-2019, primary articles, full text and research subjects are infertil women (both primary and secondary). From 464 research articles, six articles were reviewed that met all the inclusion criteria and objectives of this literature review. Six articles obtained were then made critical appraisals which were then analyzed using simplified thematic analysis. The theme that emerged from this literature review was the negative impact, quality of life and handling of infertility. Based on the results of the review of this article, it is necessary to support both social and emotional systems for infertility women to achieve a better quality of life.</p><p><strong>BAHASA INDONESIA ABSTRAK: </strong>Infertilitas adalah kegagalan untuk mendapatkan kehamilan setelah setidaknya satu tahun berhubungan seksual tanpa menggunakan alat kontrasepsi. Banyak upaya yang sudah dilakukan perempuan infertil untuk bisa hamil namun tidak sedikit yang gagal dalam pengobatan. Persepsi akan memengaruhi adaptasi dan kualitas hidup seorang perempuan. Oleh karena itu tujuan kajian literatur ini adalah untuk menggali persepsi dan kualitas hidup peremuan dengan infertil. Artikel penelitian didapatkan dari dua database yaitu EBSCO dan Google Scholar. Pencarian literatur menggunakan kata kunci (bahasa Indonesia dan bahasa Inggris) yaitu persepsi (Perception) dan kualitas hidup perempuan dengan infertilitas (Quality of life women with infertility) dengan kriteria inklusi artikel penelitian dari tahun 2009-2019, artikel primer, fulltext dan subjek penelitian adalah perempuan infertil (baik primer maupun sekunder). Dari 464 artikel penelitian didapatkan enam artikel yang direview yang memenuhi semua kriteria inklusi dan tujuan dari kajian literatur ini. Enam artikel yang didapatkan kemudian dilakukan penilaian kritis (critical appraisal) yang kemudian dianalisis menggunakan simplified thematic analysis. Tema yang muncul dari kajian literatur ini adalah dampak negatif, kualitas hidup dan penanganan infertilitas. Berdasarkan hasil review artikel ini, dibutuhkan support system baik sosial maupun emosional bagi perempuan infertilitas untuk mencapai kualitas hidup yang lebih baik.</p><p> </p>
Hubungan Kebiasaan Membaca Label Gizi Dengan Kejadian Hipertensi Pada Wanita Usia 40 Tahun
Authors: Fauziyyah Masyita Resti Nur , Ady Dea Dellyana Wahyutia 
Published: October 2020

Latar Belakang: Label gizi merupakan salah satu label pangan yang harus dicantumkan pada kemasan produk dengan tujuan untuk melindungi konsumen dalam memilih makanan yang aman. Kebiasaan membaca label gizi dapat mempengaruhi asupan zat gizi. Kebiasaan dalam membaca label gizi lebih banyak diterapkan oleh wanita, akan tetapi hal ini tidak digunakan untuk memutuskan pemilihan makanan kemasan. Hipertensi banyak terjadi pada wanita usia 40-60 tahun yang disebabkan karena asupan natrium yang berlebih.Tujuan: Penelitian ini bertujuan untuk menganalisis hubungan kebiasaan membaca label gizi dengan kejadian hipertensi pada wanita usia 40 tahun.Metode: Penelitian ini merupakan penelitian observasional dengan desain cross sectional dengan. Sampel penelitian ini adalah sebesar 70 orang. Penelitian ini dilakukan selama 3 hari untuk pengisian kuesioner. Pengukuran tekanan darah dilakukan pada hari pertama. Data kebiasaan membaca label gizi didapatkan melalui wawancara frekuensi membaca label gizi. Uji statistik yang dilakukan yaitu uji chi square.Hasil: Hasil penelitian menunjukkan tidak adanya hubungan yang signifikan antara kebiasaan membaca label gizi dengan kejadian hipertensi (p=0,579)Kesimpulan: Kebiasaan membaca label gizi dengan kejadian hipertensi pada wanita usia 40 tahun tidak memiliki hubungan yang sigifikan.ABSTRACTBackground: Nutrition labels are one of the food labels that must be included on product packaging with the aim to protecting consumers to choose safe foods. Reading habit of nutritional labels can affect nutrient intake. Reading habit of nutritional labels usually applied by women, but this is not used to decide on food selection. Incidence of hypertension often occurs in women aged 40-60 years because sodium intake exceeds requirements.Objectives: This purpose of the research was to analyze the connectionsofreading habit of nutritional labels with incidence of hypertension in women aged ≥40 years.Methods: This research was an observational study with a cross sectional design. The sample of this research was 70 people. This research was conducted for 3 days for filling out the questionnaire. Blood pressure measurement is done on the first day. Data reading habit of nutrition label obtained from interviews frequency of reading nutrition labels. The statistical test performed was the chi square test.Results: The results showed there was a correlation between the reading habit of nutritional labels with the incidence of hypertension (p = 0.579)Conclusions: Reading habit of nutritional labels with the incidence of hypertension in women aged ≥40 years does not have a significant relationship.
Authors: Alodia Almira Yoshe , Istiyanto S Bekti 
Published: October 2020

ABSTRACT
Every nation in the world struggles as globalization comes obscuring borders between each of them, pushing their society to accept the diversity of cultures and any consequences that comes from it. Intercultural communication competence which stems from the awareness of different cultures is now to be expected for every individual that strive to go forward with the advancement of communication technology that blurs the line even more. As such, this study aims to explain on how an exchange programme can build the intercultural awareness towards its participants that will increase the intercultural communication competence in the future, which focuses on the Global Citizen Programme hold by AIESEC Purwokerto. This study uses qualitative approach with in-depth interview and literature review as the method to collect the data. This study uses purposive sampling on the six informants who once became the exchange participant to Vietnam, Thailand (two participants), Czech, Slovakia, and Ukraine. The results show that the exchange programme can raise intercultural awareness through international exposure that comes from the experience facing differences in culture, mindset, behaviour, and the level of language proficiency. The experience can help participants to increase their ability to adapt and to be more flexible, and can appreciate different values without judging them firsthand which leads to empathy. Since Intercultural awareness is a condition when an individual does not show the rejection towards new things they are facing, the participants therefore have already reached the level of acceptance.
Keywords:
Global Policy Surveillance: Creating and Using Comparative National Data on Health Law and Policy
Authors: Kavanagh Matthew M. , Meier Benjamin Mason , Pillinger Mara , Huffstetler Hanna , Burris Scott 
Published: October 2020

Throughout the world, laws play an important role in shaping population health. Law making is an intervention with measurable effects yet often unfolds without evaluation or monitoring. Policy surveillance—the systematic, scientific collection and analysis of laws of public health significance—can help bridge this gap by capturing important features of law in numeric form in structured longitudinal data sets. Currently deployed primarily in high-income countries, methods for cross-national policy surveillance hold significant promise, particularly given the growing quality and accessibility of global health data. Global policy surveillance can enable comparative research on the implementation and health impact of laws, their spread, and their political determinants. Greater transparency of status and trends in law supports health policy advocacy and promotes public accountability. Collecting, coding, and analyzing laws across countries presents numerous challenges—especially in low-resource settings. With insights from comparative politics and law, we suggest methods to address those challenges. We describe how longitudinal legal data have been used in limited, but important, ways for cross-national analysis and propose incorporating global policy surveillance into core global public health practice.
County Reclassifications and Rural–Urban Mortality Disparities in the United States (1970–2018)
Authors: Brooks Matthew M. , Mueller J. Tom , Thiede Brian C. 
Published: October 2020

Objectives. To demonstrate how inferences about rural–urban disparities in age-adjusted mortality are affected by the reclassification of rural and urban counties in the United States from 1970 to 2018. Methods. We compared estimates of rural–urban mortality disparities over time, produced through a time-varying classification of rural and urban counties, with counterfactual estimates of rural–urban disparities, assuming no changes in rural–urban classification since 1970. We evaluated mortality rates by decade of reclassification to assess selectivity in reclassification. Results. We found that reclassification amplified rural–urban mortality disparities and accounted for more than 25% of the rural disadvantage observed from 1970 to 2018. Mortality rates were lower in counties that reclassified from rural to urban than in counties that remained rural. Conclusions. Estimates of changing rural–urban mortality differentials are significantly influenced by rural–urban reclassification. On average, counties that have remained classified as rural over time have elevated mortality. Longitudinal research on rural–urban health disparities must consider the methodological and substantive implications of reclassification. Public Health Implications. Attention to rural–urban reclassification is necessary when evaluating or justifying policy interventions focusing on geographic health disparities.
Public Support for Social Safety-Net Policies for COVID-19 in the United States, April 2020
Authors: Barry Colleen L. , Han Hahrie , Presskreischer Rachel , Anderson Kelly E. , McGinty Emma Elizabeth 
Published: October 2020

Objectives. To examine public support for health insurance, income support, and unemployment policies during the initial phase of disease transmission and economic distress following the coronavirus disease 2019 (COVID-19) outbreak and to assess varying public support based on beliefs about the role of government. Methods. We fielded a nationally representative survey of US adults (n = 1468) from April 7, 2020, to April 13, 2020. Results. Of US adults, 77% supported paid sick leave, and a majority also supported universal health insurance, an increased minimum wage, and various unemployment support policies. Public support for an active government role in society to improve citizens’ lives increased by 10 percentage points during this initial pandemic response relative to September 2019. Belief in a strong governmental role in society was associated with greater support for social safety-net policies. Conclusions. During the initial phase of the COVID-19 pandemic in early April 2020, most US adults favored a range of safety-net policies to ameliorate its negative health and economic consequences. For most safety-net policies, public support was highest among those favoring a stronger governmental role in society.
Retention of Posterior Cruciate Ligament Alone May Not Achieve Physiological Knee Joint Kinematics After Total Knee Arthroplasty
Authors: Moewis Philippe , Duda Georg N. , Trepczynski Adam , Krahl Leonie , Boese Christoph K. , Hommel Hagen 
Published: October 2020

Background:
The apparently physiological kinematics of the bicruciate-stabilized total knee arthroplasty (BCS TKA) systems have been attributed to the anterior and posterior post-cam mechanism. Although comparisons between TKA designs with either a retained or a sacrificed cruciate ligament have been conducted, we are not aware of any analyses of 2 implants with identical bearing geometry but different cruciate-ligament strategies under equal loading conditions. Knowledge about the kinematic effect of the different cruciate ligament strategies would potentially be valuable to facilitate preoperative planning and decision-making with regard to selecting the most appropriate implant for a patient.

Methods:
This retrospective study included 20 patients: 10 treated with a BCS and 10 treated with a cruciate retaining (CR) TKA. Fluoroscopic analyses during high-flexion activities (unloaded flexion-extension and loaded lunge) were conducted at 24 months postsurgery. All patients completed the Knee Society Score, Forgotten Joint Score, and High-Flexion Knee Score questionnaires preoperatively and postoperatively.

Results:
The BCS cohort showed greater femoral lateral rollback as well as a medial pivot in both activities. In contrast, the CR cohort showed a significant increase in anterior translation on the medial compartment as well as almost absent femoral lateral rollback. Higher clinical scores were observed in the BCS cohort.

Conclusions:
At 24 months postsurgery, despite equal bearing geometry, retention of the posterior cruciate ligament in the CR cohort apparently was insufficient to reduce anterior shift. The BCS cohort showed expected knee joint kinematics; however, the kinematics in this cohort could eventually benefit from a smooth transition between the interchanging surfaces. Further investigation should be focused on the surgical technique and its interaction with the TKA design.

Level of Evidence:
Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
Concentrated Force Action on 1/8 Homogeneous Isotropic Space
Authors: Bosakov S. V. , Skachok P. D. 
Published: October 2020

Using the example of vertical displacements, it is shown that by combining a solution to the problem of determining vertical displacements from the action of four identical concentrated forces symmetrically applied to an elastic half-space and two identical concentrated forces symmetrically applied to an elastic quarter-space, one can obtain a solution about the action of one force on 1/8 of the elastic space with free edges. To find vertical displacements in an elastic half-space, the Boussinesq solution is used, and vertical displacements in an elastic quarter-space – an integral equation obtained by Ya. S. Uflyand to determine vertical displacements in the face of a homogeneous elastic isotropic quarter-space, for which a deformation modulus and Poisson’s ratio are constant. However, an integral equation of Ya. S. Uflyand is very inconvenient for practical use, therefore, in the paper, an approximate expression written in terms of elementary functions is proposed to find vertical displacements in the face of an elastic quarter-space from the action of a concentrated force. To obtain the latter, a special approximation method is used. The desired solution is also expressed in terms of elementary functions. In this case, an accurate calculation is obtained for an incompressible material with Poisson’s ratio 1/8 of the space n = 0.5. Since the solution is obtained in the case of a concentrated force acting on 1/8 of the elastic space, it is easy to find an expression for determining the vertical displacements of the edge of 1/8 of the elastic space from the action of any distributed load by integrating over the area of action of this load from the influence function, which is taken as required decision. Recommendations for improving the accuracy of calculations are offered. The described approach can also be used to determine the stress-strain of 1/8 of the space with both hingedly supported and free edges.
A hybrid cost-sensitive ensemble for heart disease prediction
Authors: Qi Zhenya , Zhang Zuoru 
Published: October 2020

Abstract
Background: Heart disease is the primary cause of morbidity and mortality in the world. It includes numerous problems and symptoms. The diagnosis of heart disease is difficult because there are too many factors to analyze. What's more, the misclassification cost could be very high. Methods: A cost-sensitive ensemble method was proposed to improve the efficiency of diagnosis and reduce the misclassification cost. The proposed method contains five heterogeneous classifiers: random forest, logistic regression, support vector machine, extreme learning machine and k-nearest neighbor. T-test was used to investigate if the performance of the ensemble was better than individual classifiers and the contribution of Relief algorithm. Results: The best performance was achieved by the proposed method according to ten-fold cross validation. The statistical tests demonstrated that the performance of the proposed ensemble was significantly superior to individual classifiers, and the efficiency of classification was distinctively improved by Relief algorithm. Conclusions: The proposed ensemble gained significantly better results compared with individual classifiers and previous studies, which implies that it can be used as a promising alternative tool in medical decision making for heart disease diagnosis.
Use of digital periodontal data to compare periodontal treatment outcomes in a practice-based research network (PBRN) – a proof of concept
Authors: Peikert Stefanie Anna , Mittelhamm Felix , Frisch Eberhard , Vach Kirstin , Ratka-Krüger Petra , Woelber Johan Peter 
Published: October 2020

Abstract
Background: Scientific studies in dentistry are mainly conducted at universities. However, most patients are treated in dental practices, which differ in many ways from treatment at the university. Through the establishment of practice-based research networks, however, it is also possible to examine studies in a real-world setting in dental practices. For this reason the aim of this non-interventional, observational study was to develop and evaluate a digital procedure to access, extract and analyse recorded clinical data in practices to assess periodontal treatment outcomes.Methods: Participating periodontists were former or active postgraduate students of a master’s course in periodontics in Freiburg who routinely used a digital periodontal diagnostic program. All available stored periodontal patient charts were extracted, anonymized and digitally sent to the study centre.Results: In this study, data were collected from 6301 patients from 9 different practices. Information such as probing depth (PD), bleeding on probing (BOP), mobility, furcation and gingival attachment for 153163 teeth at first visit were successfully transferred to the study centre. During the average observational period of 9.77 years, only 2.8% of all teeth were lost. The number of visits was significantly negatively correlated with BOP (p<0.0001), and the number of BOP-positive sites was significantly correlated with deeper PDs (p<0.001).Conclusion: The presented procedure was able to gather a large amount of practice-based periodontal data, and thus this study may support practice-based research networks. The data indicate that systematic and supportive periodontal therapy is successful on a practice-based level.Trial registration: The study was internationally registered on 4 January 2017 in the German Clinical Trials Register (DRKS 00011448). https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00011448