bluuebunny/crossref_metadata_2025_split huggingface dataset:
Meredesign Pesan Pembangunan Untuk Kesetaraan Gender di Madura (Sebuah Literatur Review)
Authors: Surokim Surokim , Rosyidi Moch. Imron 
Published: December 2024

Di Madura khususnya Kabupaten Bangkalan angka buta huruf mencapai angka 76.517 di usia 15 hingga 59 tahun dari jumlah penduduk 1,3 juta. Selain itu memasuki era SDGs madura masih dirumitkan dengan permasalahan budaya Patriarki, seperti adanya upaya Raperda Poligami oleh Pemerintah Kabupaten Pamekasan pada akhir tahun 2016 serta legitimasi kyai mengenai Poligami, bahwa posisi Kyai di masyarakat madura seolah melegalkan poligami. Sehingga poin ke lima dari tujuh belas poin utama SDGs akan sulit tercapai. Di satu sisi masyarakat Madura memiliki kearifan lokal yang sangat unik mengenai kedudukan perempuan. Metode penelitian ini menggunakan studi Pustaka. Maka artkel ini berusaha memberikan solusi bagaimana mengemas pesan pembangunan dengan cara mengetahui karakter audiens. Berdasarkan kearifan lokal tersebut dirasa baik mengkomunikasikan kesetaraan gender dengan pendekatan ecofeminism. Pembangunan dan inovasi macam apapun tidak akan bermanfaat jika tidak dikomunikasikan. Menurut Childers seorang komunikator pembangunan harus mengetahui audiens, sehingga berangkat dari perspektif itu dirasa perlu merumuskan suatu wacana pembangunan kesetaraan gender dalam bingkai ecofeminism, sehingga dapat memberikan motivasi publik Madura akan pentingnya kesetaraan gender.
Partisipasi Masyarakat Dalam Program Keluarga Berencana (KB ) Intra Uterine Device (IUD) Di Desa Murung Raya, Balah Paikat Dan Hakurung Kecamatan Daha Utara Kabupaten Hulu Sungai Selatan
Authors: Siti Raudah  , Marzuki  
Published: December 2024

Abstract: Community participation is the main requirement in achieving an expected activity goal. In fact, community participation in the Intra Uterine Device (IUD) Family Planning program in the villages of Murung Raya, Balah Paikat and Hakurung is still low. According to data from the 2022 Family Planning Counseling Center, people who use IUD KB in Murung Raya Village (2 people), Balah Paikat (0 people) and Hakurung (0 people). People still use a lot of birth control injections and birth control pills. There are people who are pregnant and want to have children. The community does not understand about this IUD family planning because they have never participated in socialization. This study aims to determine community participation in the Intra Uterine Device (IUD) family planning program in the villages of Murung Raya, Balah Paikat and Hakurung. And the factors that influence community participation in the Intra Uterine Device (IUD) family planning program. This type of research is descriptive qualitative. The data source of the informant withdrawal technique used purposive sampling of 15 informants. Data collection techniques were carried out by interviews, observation, and documentation. Analyzed with data techniques, namely data reduction, data presentation, and drawing conclusions. Credibility tests, namely extending observations, increasing persistence, triangulation, analyzing negative cases, using reference materials and conducting member checks. The results of this study indicate that community participation in the Intra Uterine Device (IUD) family planning program in the villages of Murung Raya, Balah Paikat and Hakurung is not good, it can be seen that the community still lacks information due to limited information media, many people are afraid to use IUD KB because of the issues circulating, the community does not provide ideas and ideas about the development of IUD KB, regarding achieving appropriate targets but the community uses a lot of KB injections, pills and implants. The driving factor for community participation is socialization and the installation of KB IUDs. The inhibiting factor is the lack of public knowledge and the community feeling safe using other contraceptives. To increase community participation by providing more socialization and continuing to offer this IUD KB and slowly eliminating issues circulating in the community so that people in Murung Raya Village, Balah Paikat, Hakurung and all villages in Daha Utara District want to use this IUD KB

Keywords: Community Participation, Program, IUD
Upaya Peningkatan Orientasi Wirausaha UMKM Lahan Basah di Sentra Industri Kerajinan Purun Banjarbaru
Authors: Naparin Muhammad , Achmad Basir 
Published: December 2024

Potensi lahan basah di Kalimantan Selatan yang kaya akan flora dan faunanya berperan penting dalam meningkatkan kesejahteraan masyarakat. Tumbuhan khas lahan basah seperti purun tikus (Eleocharis dulcis) dan purun danau (Lepironia articulata Retz.) merupakan tumbuhan berserat panjang yang dapat dimanfaatkan sebagai bahan kerajinan bernilai tinggi yang dapat menopang perekonomian masyarakat dan menciptakan lingkungan lestari. Dalam rangka memaksimalkan pemanfaatan dan nilai tambah potensi lahan basah bagi masyarakat dengan asas kelestarian (lingkungan, sosial budaya, dan ekonomi) diperlukan upaya-upaya meningkatkan orientasi wirausaha Usaha Mikro Kecil Menengah (UMKM) yang berada di dalam dan di sekitar lahan basah, dimana orientasi wirausaha tersebut dicirikan dengan daya inovasi, sikap proaktif dan perilaku pengambilan resiko yang menunjang bagi pertumbuhan dan perkembangan usaha masyarakat. Pengukuran dan analisis menggunakan metode kuantitatif deskriptif berdasarkan distribusi frekuensi indikator tahap pre-test dan post-test. Hasil analisis menunjukkan semua elemen orientasi wirausaha pengrajin purun meningkat setelah delapan minggu sejak dilaksanakannya pelatihan dimana skor daya inovasi meningkat dari skor 2.19 menjadi 3.04, sikap proaktif meningkat dari skor 2.65 menjadi 3.28, dan perilaku pengambilan resiko meningkat dari skor 2.07 menjadi 2.47. Dengan demikian orientasi wirausaha sangat membantu para wirausaha pengrajin purun dalam meningkatkan daya saing berkelanjutan, serta meningkatkan kepercayaan, kepuasan dan loyalitas pelanggan yang pada akhirnya akan meningkatkan kinerja usaha baik kinerja finansial berupa laba usaha, maupun kinerja strategis seperti peningkatan andil pasar, dan segmen pasar. Kata kunci: Orientasi wirausaha; Usaha Mikro Kecil Menengah (UMKM); Kelestarian lingkungan; Keberlanjutan ekonomi-sosial-ekonomi lahan basah
Pengaruh Media Social Marketing dan Electronic Word of Mouth Positif Terhadap Keputusan Memilih Politeknik Hasnur Dengan Brand Trust Sebagai Variabel Intervening
Authors: Mariyam  , Nadila Deryza Syofrin  , Marhusin  
Published: December 2024

Abstract: This research aims to test and determine the direct and indirect influence between Social Media Marketing and positive electronic Word of Mouth on the decision to choose Politeknik Hasnur with Brand Trust as an Intervening Variable. This research uses quantitative research methods with an explanatory type and uses the SmartPLS data analysis method. by collecting data by distributing questionnaires to second semester and fourth semester Politeknik Hasnur students who are still active and residing in South Kalimantan with a sample of 171 respondents. The results of this test prove that Social Marketing Media has a significant influence on the decision to choose Politeknik Hasnur, positive electronic Word of Mouth has a significant influence on the decision to choose Politeknik Hasnur and Brand Trust as an intervening variable also has a significant influence on students' decisions in choosing Politeknik Hasnur
Keywords: Media Social Marketing, Electronic Word of Mouth, Brand Trust, Decision
Thermal Behavior, Local-Scale Morphology, and Phase Composition of Spherulites in Melt-Crystallized Poly(vinylidene Fluoride) Films
Authors: Anokhin Denis V. , Plieva Dana S. , Rosenthal Martin , Churakov Andrei V. , Ivanov Dimitri A. 
Published: December 2024

Synchrotron microbeam X-ray diffraction was employed to investigate the local-scale structure and solid-state phase transformation within individual spherulites of poly(vinylidene fluoride) (PVDF). In thin, non-oriented films, PVDF crystallizes into α and γ phases, forming distinct spherulitic morphologies: large, banded α-spherulites and smaller, irregular “mixed” spherulites dominated by the γ-phase. For samples crystallized at high undercooling (160 °C), the mixed spherulites primarily consisted of the γ-phase, with only a minor fraction of α-lamellae localized at the spherulite boundaries. At higher crystallization temperatures (165 °C), the α-phase was entirely absent from the mixed spherulites. High-temperature annealing induced a phase transformation from the α-phase to the γ-phase, initiating at the interface between α- and γ-spherulites. The transformation propagated radially along the b-axis of the α-spherulite, while its characteristic banded morphology remained intact. Radial scanning with an X-ray microbeam provided spatially resolved mapping of the structural transition within the α-spherulite at the micrometer scale, offering detailed insights into the transformation mechanism and its impact on the spherulitic structure. The fast crystal growth direction remained unaltered during the transition, suggesting minimal material transport and maintaining structural coherence.
Virus-Mimicking Polymer Nanocomplexes Co-Assembling HCV E1E2 and Core Proteins with TLR 7/8 Agonist – Synthesis, Characterization and In Vivo Activity
Authors: Fuerst Thomas R. , Marin Alexander , Jeong Sarah , Kulakova Liudmila , Hlushko Raman , Gorga Katrina , Toth Eric A. , Singh Nevil J. , Andrianov Alexander K. 
Published: December 2024

Hepatitis C virus (HCV) is a major public health concern, and the development of an effective HCV vaccine plays an important role in an effort to prevent new infections. Supramolecular co-assembly and co-presentation of the HCV envelope E1E2 heterodimer complex and core protein presents an attractive vaccine design strategy for achieving effective humoral and cellular immunity. With this objective, the two antigens were non-covalently assembled with a TLR 7/8 agonist into virus-mimicking polymer nanocomplexes (VMPNs) using biodegradable synthetic polyphosphazene delivery vehicle. The resulting assemblies were characterized using dynamic light scattering and asymmetric flow field flow fractionation methods and directly visualized in their vitrified state by cryogenic electron microscopy. The in vivo superiority of VMPNs over the individual components and an Alum formulated vaccine manifests in higher neutralizing antibody titers, promotion of a balanced IgG response, and induction of CD4+ T cell responses to core proteins. Aqueous-based spontaneous co-assembly of antigens and immunopotentiating molecules enabled by a synthetic biodegradable carrier offers a simple and effective pathway to the development of polymer-based supramolecular vaccine systems.
Vertebral Body Tethering in Skeletally Immature Patients
Authors: Larson A. Noelle , Todderud Julia E. , Mathew Smitha E. , Nassr Ahmad , Sebastian Arjun S. , Potter D. Dean , Milbrandt Todd A. 
Published: December 2024

Background:
The purpose of this study was to report on 2-year results of vertebral body tethering (VBT), performed under a Food and Drug Administration protocol, to obtain insight into outcomes and complications.

Methods:
Forty prospectively enrolled patients with adolescent idiopathic scoliosis (AIS) who had a Sanders score of ≤4 or a Risser score of ≤2 underwent VBT for curves between 40° and 70°. Surgical, radiographic, and patient-reported outcomes were reviewed at a minimum 2-year follow-up.

Results:
Mean age at surgery was 13 (range, 10 to 16) years. The 40 patients were 90% female; 95% White, 2.5% other, and 2.5% unreported; and 92.5% non-Hispanic, 5% Hispanic, and 2.5% unreported. A mean of 8 (range, 5 to 12) levels were instrumented. Most patients were at Sanders 4 (65%) and Risser 0 (63%). Mean length of stay was 3 ± 1 days, estimated blood loss was 236 ± 158 (range, 25 to 740) mL, and operative time was 4.4 ± 1.4 hours. Mean correction of the major curve was 44% (range, 22% to 95%) on the 3-month standing radiograph, 49% at 1 year, and 46% (range, −10% to 93%) at 2 years. The mean major Cobb angle improved from 51° ± 8° (range, 40° to 70°) preoperatively to 27° ± 11° (range, 3° to 56°) at 2 years. Success at 2 years, defined by a Cobb angle of <35° and no reoperation, was seen in 30 patients (75%) and was associated with a mean Cobb angle of <35° on the first postoperative standing radiograph (p < 0.001). Twelve patients (30%) demonstrated improvement in the curve with growth. By 2 years, 2 (5%) of the patients underwent repeat surgery (1 release for overcorrection, 1 lumbar VBT for lumbar curve progression after thoracic VBT). The Scoliosis Research Society (SRS) satisfaction score improved 2 years following surgery (p < 0.001), but other SRS domains only remained stable over time. Beyond 2 years, 1 additional lumbar tether was required after thoracic VBT, 1 implant was removed, and 3 fusions were performed, for a 10% fusion rate and overall 20% reoperation rate at a mean of 3.8 ± 1.1 years of follow-up. The rate of cord breakage in the study population was 20%.

Conclusions:
In skeletally immature patients treated in the U.S. under a prospective Investigational Device Exemption, there was a 75% rate of successful outcomes at 2 years. Most correction was obtained at the time of surgery, and inadequate intraoperative curve correction was associated with a higher Cobb angle on the first postoperative standing radiograph and failure by 2 years.

Level of Evidence:
Therapeutic Level II. See Instructions for Authors for a complete description of levels of evidence.
Coronal Plane Alignment of the Knee (CPAK) Type Shifts Toward Constitutional Varus with Increasing Kellgren and Lawrence Grade
Authors: Kim Sung Eun , MacDessi Samuel , Song Daeseok , Kim Joong Il , Choi Byung Sun , Han Hyuk-Soo , Ro Du Hyun 
Published: December 2024

Background:
Studies investigating constitutional alignment across various grades of osteoarthritis (OA) are limited. This study explored the distribution of Coronal Plane Alignment of the Knee (CPAK) types and associated radiographic parameters with increasing OA severity.

Methods:
In this retrospective cross-sectional study, 17,365 knees were analyzed using deep learning software for radiographic measurements. Knees were categorized on the basis of the Kellgren and Lawrence (KL) grade and CPAK type. Radiographic measurements were the hip-knee-ankle angle (HKAA), lateral distal femoral angle (LDFA), medial proximal tibial angle (MPTA), arithmetic HKAA (aHKA), joint line obliquity (JLO), and joint line convergence angle (JLCA). Age-stratified analysis was performed to differentiate the impact of age on OA severity.

Results:
A shift in the most common CPAK type from II to I was found with increasing KL grade (p < 0.05). Furthermore, there was a corresponding increase in LDFA and JLCA with increasing KL grade, while HKAA, MPTA, and aHKA decreased after KL grade 2. Age exhibited limited association with LDFA and MPTA, suggesting that OA severity is the dominant factor related to the CPAK distribution.

Conclusions:
The study found a shift in CPAK type with worsening OA. It is possible that constitutional varus types are more susceptible to OA, or that their increased OA prevalence is related to anatomical changes. This analysis offers new insights into alterations in CPAK type that occur with OA and underscores the importance of understanding pre-arthritic anatomy when performing joint reconstruction.

Level of Evidence:
Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence.
Determining If Post-Injury Financial Distress Was Preexisting or Injury-Induced
Authors: O’Hara Nathan N. , Gage Mark J. , Loudermilk Casey , Bell Alice , Okhuereigbe David , Li Vivian , Lawrence Joshua E. , Turner Kristin E. , Kovvur Murali , O’Toole Robert V. , Slobogean Gerard P. , Mundy Lily R. 
Published: December 2024

Background:
Previous research has estimated that over one-half of patients with orthopaedic trauma experience financial distress after the injury. However, it is unknown what proportion of patients lived under financial distress before the injury and, therefore, the causal effect of the injury on financial distress. This study examined changes in financial distress after the injury and factors associated with new post-injury financial distress.

Methods:
A prospective cohort study was performed at a single academic trauma center, leveraging patients’ 2-week recall of their pre-injury financial circumstances to permit a quasi-experiment design. Adult patients with a surgically treated lower-extremity fracture were included. The primary outcome was self-reported financial distress. Pre-injury financial distress was compared with financial distress in the 6 months after the injury. Multinomial logistic regression was used to identify factors associated with new financial distress after the injury.

Results:
A total of 200 study participants were enrolled (median age, 42 years [interquartile range, 32 to 59 years]); 56% of patients were male. Financial distress was present in 40% of the study participants before the injury. The fracture was associated with an absolute increase of 19% (95% confidence interval [CI], 5% to 34%; p < 0.001) in the prevalence of financial distress. New post-injury financial distress was associated with working before the injury (odds ratio [OR], 6.9 [95% CI, 2.2 to 22]; p < 0.001) and earning <$70,000 per year (OR, 3.6 [95% CI, 1.2 to 10]; p = 0.02).

Conclusions:
The findings suggest that 2 of 5 patients with a lower-extremity fracture had experienced financial distress before the injury. The prevalence of financial distress increased to 3 of 5 after the injury. Working and earning <$70,000 per year before the injury substantially elevated the patients’ risk of new financial distress post-injury. Future efforts should target interventions to reduce financial distress in this at-risk population.

Level of Evidence:
Prognostic Level II. See Instructions for Authors for a complete description of levels of evidence.
Cephalomedullary Nailing for Subtrochanteric and Reverse-Oblique Femoral Fractures
Authors: Ablett Andrew D. , McCann Conor , Feng Tony , Macaskill Victoria , Oliver William M. , Keating John F. 
Published: December 2024

Background:
Subtrochanteric proximal femoral fractures are generally treated with cephalomedullary nail fixation. We aimed to compare outcomes of subtrochanteric fracture fixation using a single lag screw (Gamma3 nail, GN) or dual lag screw (INTERTAN nail, IN) device.

Methods:
The primary outcome measure was mechanical failure, defined as lag screw cut-out or back-out, nail breakage, or peri-implant fracture. Secondary outcomes included reoperation for mechanical failure, deep infection, or nonunion, and technical predictors of mechanical failure. Adult patients (≥18 years of age) with a subtrochanteric proximal femoral fracture treated at a single center were retrospectively identified using electronic records. All patients who underwent fixation using either a long GN (November 2010 to January 2017) or IN (March 2017 to April 2022) were included. Medical records and radiographs were reviewed to identify operative complications.

Results:
A total of 587 patients were included: 336 in the GN group (median age, 82 years; 73% female) and 251 in the IN group (median age, 82 years; 71% female). The risk of mechanical failure was 3-fold higher in the GN group (adjusted hazard ratio [aHR], 2.87; p = 0.010), with screw cut-out (p = 0.04) and back-out (p = 0.04) only observed in the GN group. We observed a greater risk of reoperation for mechanical failure in the GN group, but this did not achieve significance (aHR, 2.02; p = 0.16). Independent predictors of mechanical failure included varus malalignment of >5° for cut-out (aHR, 17.43; p = 0.012), a tip-to-apex distance of >25 mm for back-out (aHR, 9.47; p = 0.019), and shortening of >1 cm for peri-implant fracture (aHR, 5.44; p = 0.001).

Conclusions:
For older patients with subtrochanteric and reverse-oblique femoral fractures, the dual lag screw design of the IN nail was associated with a lower risk of mechanical failure compared with the single lag screw design of the GN nail.

Level of Evidence:
Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
Glucagon-Like Peptide-1 Receptor Agonists Decrease Medical and Surgical Complications in Morbidly Obese Patients Undergoing Primary TKA
Authors: Kim Billy I. , LaValva Scott M. , Parks Michael L. , Sculco Peter K. , Della Valle Alejandro G. , Lee Gwo-Chin 
Published: December 2024

Background:
Weight optimization methods in morbidly obese patients with a body mass index (BMI) of ≥40 kg/m2 undergoing total knee arthroplasty (TKA) have shown mixed results. The purpose of this study was to evaluate the effect of perioperative use of glucagon-like peptide-1 receptor agonists (GLP-1 RAs) in patients with a BMI of ≥40 kg/m2 undergoing primary TKA.

Methods:
Using an administrative claims database, patients with morbid obesity undergoing primary TKA were stratified into GLP-1 RA use for 3 months before and after the surgical procedure (treatment group) and GLP-1 RA non-use (control group), and were matched on the basis of patient age, gender, diagnosis of type-2 diabetes mellitus, and Charlson Comorbidity Index (CCI). In addition, these groups were compared with a contemporaneous cohort of patients undergoing TKA with a BMI of 35.0 to 39.9 kg/m2. Outcomes including infection, complications, revision, and readmission were compared between the matched cohorts.

Results:
There were significant decreases in the rates of 90-day periprosthetic joint infection (PJI) (1.0% compared with 1.8%; p = 0.037), any medical complications (10.6% compared with 12.7%; p = 0.033), pulmonary embolism (<0.4% compared with 0.6%; p = 0.050), and readmissions (5.3% compared with 8.9%; p < 0.001) in patients with a BMI of ≥40 kg/m2 who were taking GLP-1 RA versus the control group who were not. There were no differences in the 2-year rates of surgical complications (p > 0.05) between these groups. Compared with obese patients (BMI of 35.0 to 39.9 kg/m2), patients who had a BMI of ≥40 kg/m2 and were taking a GLP-1 RA did not have increased rates of infection or 90-day or 2-year complications (p > 0.05).

Conclusions:
GLP-1 RA administration for at least 90 days prior to and after primary TKA in patients with a BMI of ≥40 kg/m2 was associated with reductions in the risks of 90-day PJI, any medical complications, and readmission. Additionally, the reduced complication rate that was achieved was similar to that of obese patients with a BMI of 35.0 to 39.9 kg/m2 undergoing TKA. Randomized clinical trials are needed to define the true effect of these agents on clinical outcomes following TKA.

Level of Evidence:
Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.