bluuebunny/crossref_metadata_2025_split huggingface dataset:
Patient characteristics in three different working models of home based physiotherapy: a longitudinal observational study in primary health care in Norway
Authors: Meisingset Ingebrigt , Bjerke Joakim , Taraldsen Kristin , Gunnes Mari , Sand Sylvi , Hansen Anne-Elisabeth , Myhre Gard , Evensen Kari Anne Indredavik 
Published: July 2019

Abstract
Background:
Home based physiotherapy is offered by Primary Care Physiotherapy Services to adults and older patients in Norway, however there is limited knowledge regarding the patient characteristics and outcome. The aim of this study was to describe the variation in demographics, clinical characteristics and outcomes of patients receiving three different working models of home based physiotherapy, and whether outcomes were related to goal attainment.
Methods:
Patients referred to home based physiotherapy in a municipality in Norway were invited to participate in this observational study. The respective physiotherapy service is organized in three working models according to the patients’ function, degree of independence, and the individual need for home based physiotherapy; early intervention, reablement or regular physiotherapy. Patients’ demographics, clinical characteristics, physical function (Patient-specific functional scale, PSFS), physical performance (Short Physical Performance Battery, SPPB), health-related quality of life (EQ-5D), and goal attainment were registered at baseline and follow-up (maximum six months after baseline). We used logistic regression to analyse whether changes in PSFS, SPPB, and EQ-5D were associated with goal attainment.
Results:
In total, 689 and 402 patients completed baseline and follow-up assessments, respectively. At baseline, patients receiving early intervention had better SPPB and EQ-5D scores than patients receiving reablement and regular physiotherapy. The two latter groups had similar SPPB scores, but the regular physiotherapy group had poorer EQ-5D scores than the reablement group. At follow-up, all patient groups had improved PSFS scores, and patients receiving reablement and regular physiotherapy also showed improved SPPB and EQ-5D scores. Among the 375 patients with goal attainment assessed at follow-up, 165 (44%) achieved the treatment goal. Goal attainment was associated with improved PSFS and EQ-5D scores.
Conclusions:
This study describes a broad spectrum of patient characteristics receiving different working models of home based physiotherapy in primary health care in Norway. The early intervention group is a new target group for prevention of functional decline in older adults, contributing with new knowledge to decision makers in primary health care.
Educational Programs Development, Using Intervention Mapping Protocol and Kern Model in Primary Health Care Setting to Prevent Elders Abuse: A Randomized Controlled Trial Study.
Authors: Oveisi Sonia , Olfati Forozan , Jahed Shima 
Published: July 2019

Abstract
Background: Several studies have focused on to find out the factors that may improve psychological, physical well-being, and quality of life among elders and prevent their abuse.
Objectives: We investigated the impact of developing educational programs, using Intervention Mapping (IM) protocol and Kern Model in Primary Health Care Setting to prevent elder abuse.
Methods: The integrated educational package was provided using both the IM protocol and Kern Model. The family members of the eighty elderly women were trained once a week for 4 sessions. The self-administrated Elder Abuse Questionnaire (EAQ) was completed before and after intervention by elderly women. The linear mixed model was used for the comparison of elder abuse frequency in two groups of control and trail.
Results: The data of this study indicated that our intervention resulted in reduction in frequency of psychological and financial abuse (F=127.12, p<0.005; and F= 16.53, p<0.07 respectively) and neglect (F=95.4; p<0.005). None of the elders reported any physical abuse.
Conclusion: This study showed that, the developed integrated educational package improves elder abuse and specifically it is tailored to the education of family members of the elderly women
REKOMENDASI LATIHAN FISIK UNTUK DIABETES MELITUS TIPE 2
Authors: Kurniawan A Andi , Wuryaningsih Y Nining Sri 
Published: July 2019

Diabetes melitus (DM) adalah kondisi penyakit kronik yang ditandai oleh
metabolisme glukosa yang normsal sebagai dampak dari gangguan aksi dan
sekresi insulin. Tatalaksana DM tipe 2 memelukan pendekatan multi disiplin,
termasuk edukasi, terapi nutrisi, aktivitas fisik yag teratur, dan obat-obatan.
Tujuan terapi DM tipe 2 adalah mencapai kadar gula yang normal dan
mempertahankannya, serta mencegah komplikasi diabetes. Ada bukti ilmiah
bahwa olahraga dapat menunda onset DM tipe 2 dan memperbaiki kontrol gula
darah. Olahraga akan memperbaiki sensitivitas insulin, meningkatkan uptake
glukosa, dan memperbaiki kontrol gula darah. Olahraga yang sifatnya aerobik
akan menurunkan kadar HbA1C dan meningkatkan sensitivitas insulin.
Kombinasi olahraga akan menabah perbaikan HbA1C.
Pengaruh Rasio Puree Krokot (Portulaca Oleracea L.) Dan Sari Kedelai Terhadap Sifat Organoleptik Mellorine
Authors: Wahyuni Wiwik , Hidayati Laili 
Published: July 2019

Tujuan penelitian ini adalah menganalisis pengaruh rasio puree krokot dan sari kedelai terhadap sifat organoleptik yang meliputi mutu hedonik (flavor dan tekstur) dan hedonik (warna, flavor dan tekstur) mellorine. Penelitian ini merupakan penelitian eksperimen dengan rancangan penelitian menggunakan Rancangan Acak Lengkap (RAL) dua kali pengulangan dengan tiga perlakuan yaitu rasio puree krokot dan sari kedelai 20%:80%, 40%:60%, dan 60%:40%. Analisis data menggunakan ANOVA dengan uji lanjut DMRT. Hasil penelitian uji mutu hedonik (flavor dan tekstur) dan uji hedonik (warna, flavor, dan tekstur) mellorine rasio puree krokot dan sari kedelai 20%:80%, 40%:60%, dan 60%:40% terdapat pengaruh yang signifikan pada taraf 5%. Rerata skor uji mutu hedonik dan uji hedonik tertinggi diperoleh dari mellorine rasio puree krokot dan sari kedelai 20%:80%
Peranan Pengawasan Dinas Ketenagakerjaan Dalam Pelaksanaan Upah Minimum di Kota Jambi
Authors: Netty Netty , Ardianto Budi 
Published: July 2019

Peneletian ini bertujuan untuk mengetahui bentuk pengawasan yang dilakukan Dinas Tenaga Kerja Kota Provinsi Jambi agar upah yang dibayarkan sesuai dengan UMK, bahkan lebih tinggi dari UMK .Untuk mengatasi kendala yang dihadapi dalam pelaksanaan upah sesuai UMP. Penelitian hukum ini termasuk jenis penelitian hukum empiris yang bersifat deskriptif. Lokasi penelitian di Dinas Tenaga Kerja Provinsi Jambi. Jenis data yang digunakan meliputi data primer dan sekunder. Data primer merupakan data utama penelitian ini. Sedangkan data sekunder digunakan sebagai pendukung data primer. Data dikumpulkan dengan melakukan penelitian lapangan melalui wawancara dan studi kepustakaan dengan membaca buku-buku literatur, dokumen-dokumen, pendapat para ahli yang kemudian dianalisis dan diklasifikasikan terhadap sumber yang berhubungan dengan masalah yang diteliti. Bentuk pengawasan yang dilakukan Disnaker Provinsi Jambi berkaitan dengan pemenuhan UMK meliputi penyusunan rencana kerja, tahap persiapan, pelaksanaan kegiatan, evaluasi dan pelaporan hasil kegiatan. Pengawasan dilakukan terhadap perusahaan dengan skala prioritas yaitu perusahaan yang dianggap sering bermasalah. Hasil yang diperoleh dari kegiatan pengawasan dicatat dan dibuat laporan. Apabila terjadi pelanggaran mengenai UMK, maka akan diterbitkan nota pemeriksaan dan bisa dilaporkan kepada Kepolisian sebagai langkah terakhir.
Automated identification of cephalometric landmarks: Part 1—Comparisons between the latest deep-learning methods YOLOV3 and SSD
Authors: Park Ji-Hoon , Hwang Hye-Won , Moon Jun-Ho , Yu Youngsung , Kim Hansuk , Her Soo-Bok , Srinivasan Girish , Aljanabi Mohammed Noori A. , Donatelli Richard E. , Lee Shin-Jae 
Published: July 2019

ABSTRACT

Objective:
To compare the accuracy and computational efficiency of two of the latest deep-learning algorithms for automatic identification of cephalometric landmarks.

Materials and Methods:
A total of 1028 cephalometric radiographic images were selected as learning data that trained You-Only-Look-Once version 3 (YOLOv3) and Single Shot Multibox Detector (SSD) methods. The number of target labeling was 80 landmarks. After the deep-learning process, the algorithms were tested using a new test data set composed of 283 images. Accuracy was determined by measuring the point-to-point error and success detection rate and was visualized by drawing scattergrams. The computational time of both algorithms was also recorded.

Results:
The YOLOv3 algorithm outperformed SSD in accuracy for 38 of 80 landmarks. The other 42 of 80 landmarks did not show a statistically significant difference between YOLOv3 and SSD. Error plots of YOLOv3 showed not only a smaller error range but also a more isotropic tendency. The mean computational time spent per image was 0.05 seconds and 2.89 seconds for YOLOv3 and SSD, respectively. YOLOv3 showed approximately 5% higher accuracy compared with the top benchmarks in the literature.

Conclusions:
Between the two latest deep-learning methods applied, YOLOv3 seemed to be more promising as a fully automated cephalometric landmark identification system for use in clinical practice.
PERSEPSI TOKOH MASYARAKAT TERHADAP ASPEK POLITIK EKSISTENSI PEKERJA SEKS KOMERSIAL (PSK) DI EKS LOKALISASI RAWA LAUT PANJANG SELATAN BANDAR LAMPUNG
Authors: Ritaudin Sidi 
Published: July 2019

Abstract: This study aims to reveal perceptions of community leaders on the political aspects of the existence of commercial sex workers (PSK) in the former South Long Sea Swamp Localization. Bandar Lampung. Social insecurity caused by discriminatory government policies and lack of partiality towards people who are marginalized in social life has until now become a kind of destiny of life. Power is always always, will get challenges, rejection and lack of trust. The choice for power certainly carries a number of risks. One mandate in carrying out power is to favor the interests of the community and the public interest above personal or group interests. This was revealed in a preliminary study in an interview with the head of RT 13 Environment 1 Kelurahan Panjang Selatan that social inequality was due to inequality in policy making by the government. The political aspect of the existence of commercial sex workers (CSWs) in the former south long localization questioned the background that caused the powerlessness of the government in dealing with this problem.Abstrak: Penelitian ini bertujuan untuk mengungkap persepsi tokoh masyarakat terhadap aspek politik eksistensi pekerja seks komersial (psk) di eks Lokalisasi Rawa Laut Panjang Selatan. Bandar Lampung. Kerawanan sosial yang disebabkan oleh kebijakan pemerintah yang diskriminatatif dan sepi dari keberpihakan terhadap orang-orang yang termarginalisasi pada kehidupan sosial, hingga kini telah menjadi semacam takdir kehidupan. Kekuasaan selalu saja, akan mendapatkan tantangan, penolakan sekaligus kekurangpercayaan. Pilihan untuk berkuasa tentu saja membawa sejumlah resiko. Salah satu amanah dalam mengemban kekuasaan adalah memihak kepentingan masayarakat dan kepentingan umum di atas kepentingan pribadi atau golongan.[1] Hal ini terungkap dalam studi pendahuluan pada wawancara dengan ketua RT 13 Lingkungan 1 Kelurahan Panjang Selatan bahwa ketimpangan sosial terjadi karena ketimpangan pengambilan kebijakan oleh pemerintah. Aspek politik eksistensi pekerja seks komersial (PSK) di eks lokalisasi panjang selatan mempertanyakan latarbelakang yang menyebabkan ketidakberdayaan pemerintah dalam menangani masalah ini [1] “Baca, ”Kritik dan Tirani Kekuasaan”, dalam Moh. Mahfud, dkk (ed.), Kritik Sosial dalam Wacana Pembangunan, Yogyakarta : Pusat Penerbitan UII Press, 1997), h. xii.,” .
Instrumentos de avaliação da atividade física em pacientes oncológicos: Uma revisão integrativa
Authors: Silva Elaine Cristine da , Benetti Magnus , Pazin Joris , Silva Luani de Aguiar , Pereira Anderson Luis Faber , Aguiar Mariana da Silva de , Azevedo Sabrina Fernandes de , Filho Paulo José Barbosa Gutierres , Reis Milena Ketzer Caliendo dos , Caviquioni Thamara , Silva Rudney da 
Published: July 2019

RESUMO
Objetivo: Identificar e analisar os principais instrumentos de avaliação da atividade física relacionados a diferentes condições associadas ao câncer. Métodos: A busca orientou-se pela estratégia SPIDER e utilizou descritores relativos à amostra: Sobreviventes de Câncer; aos fenômenos: Câncer/Saúde/Atividade Física/Exercício; ao delineamento: Teórico/Empírico/Metodológico; à avaliação do fenômeno: Pesquisas e questionários, e ao tipo de pesquisa: Qualitativa/Quantitativa. Foram utilizadas as bases MEDLINE, SciELO, LILACS e PEDro, além do Schoolar Google. A análise dos dados foi realizada através de ferramentas elementares de análise de conteúdo. Resultados: Os instrumentos de avaliação podem fornecer relevantes conhecimentos sobre diversas condições relacionadas à atividade física, principalmente, o nível de atividade física. Os monitores de atividade física apresentam maior validade e confiabilidade, mas maior custo financeiro, o que dificulta seu uso em estudos ou intervenções com grandes amostras. Os questionários apresentam menor precisão, podem ser aplicados em pacientes com diferentes tipos de câncer com adequada validade, e possuem baixo custo financeiro. Considerações finais: Existem diversos instrumentos de avaliação da atividade física, sendo que os questionários são mais utilizados porque, apesar de menor precisão, podem ser considerados uma opção válida e de baixo custo.
THE IMPACT OF DIFFERENT STOCKING DENESITIES AND DIETARY PROTEIN LEVELS ON THE PERFORMANCE OF AFRICAN CATFISH (Clarias gariepinus) FINGERLINGS
Authors: Magouz Fawzy , Khalafalla Malik , Moustafa Eman , Sadek Amir 
Published: July 2019

The current experiment was randomly designed as a 3×2 factorial design to investigate the effects of two fixed factor (stocking density & dietary protein level) on growth performance, feed utilization, survival rate and physiological response of African catfish (Clarias gariepinus). Fishes were allotted in 18 concrete (8×3×0.5 m3; L×W×H) tanks at three different stocking density 30, 20 and 10 catfish fingerlings / m3 and fed on two different protein diets (25 and 30%). Each treatment was applied in three replicates. Fishes were fed 2.5% of biomass body weight twice/day. Results showed that growth performance, feed utilization, survival rate and hematological parameters were significantly improved with increased dietary protein level with low stocking density. The sixth treatment (high protein level 30% and lowest stocking density; 10 fish/m3) exhibited the highest growth performance with no mortalities. Based on the results of the current study, it could be recommended to use protein level diet of 30% or more and stocking density of 10 catfish fingerlings/ m3 to obtain high productivity in a short time with consequent decreased cost.Key words: African catfish; Clarias gariepinus; dietary protein; growth parameters; Stocking density
OCCURRENCE AND RISK FACTORS OFDIGITAL DERMATITIS IN EGYPTIAN DAIRIES
Authors: El-Shafaey El-Sayed , Sayed-Ahmed Mohamed , Shoeib Sherif , El-khodery Sabry 
Published: July 2019

In the present study, the prevalence of digital dermatitis (DD) and the related risk factors in dairy cows was investigated. For 12 months, information about the establishment of DD lesions and other claw disorders in dairy cows was collected. A questionnaire was designed to get data about age, milk yield, season, parity, transition period, concurrent diseases and biosecurity. The hind claws were more affected than fore claws (95.24 vs 4.76%) particularly the left hind claws (56.67%). However, The DD more prevalent during the second lactation than the third lactation (42.85 vs 36.50%) and first lactation (42.85 vs. 19.06%) which gradually decreased reaching the lowest incidence in heifer cows (42.85 vs 1.59%). Furthermore, DD was more prevalent during summer and autumn. Based on cow level, the final step of logistic regression analysis revealed a significant relationship between DD and cow’ age (P <0.05; Odds Ratio [OR]: 1.01; 95% confidence interval [CI]: 0.67–1.47), parity (P <0.05; OR: 1.01.11; 95% CI: 0.47– 401.93), season (P < .05; OR: 1.36; 95% CI: 1.01–1.81), and transition period (P <.05; OR: 1.53; 95% CI: 0.48–4.83). The recognition of factors which influence occurrence of DD may permit changes in herd management or breeding policies which can be applied to diminish the prevalence of DD, and can establish the appropriate preventive procedures.Key words: digital dermatitis; dairy cows; risk factors; epidemiology
EFFECT OF SUPPLEMENTATION OF AROMATIC PLANTS OILS ON IMMUNITY, UDDER HEALTH AND MILK PRODUCTION OF FRIESIAN COWS
Authors: Salem Atef , El–Awady Hassan , Tag EL-Dein Mohamed , Eisa Dina 
Published: July 2019

Eight weeks prior to expected calving date, 32 Friesian cows were assigned according to parity to four homogenous groups (8 animals each). Cows were fed a basal ration alone as a control group 1 (CON G1), or basal ration supplemented with 25 mg black seed oil per kg body weight, (BSO G2), 11 mg chamomile flower oil (CFO G3), or 25 mg oregano leaves oil (OLO G4). Biochemical and hematological parameters were measured and there were within the normal ranges of cattle. Relative to the control group, aromatic plant oils significantly reduced plasma lipids and increased plasma concentration of IgG. Feed intake was similar among groups. Economic evaluations were in favor of BSO group. BSO significantly (P<0.05) improved daily milk yield (DMY), fat and protein, but reduced lactose content of milk. CFO increased (P<0.05) daily milk yield. Only fat-corrected DMY was increased with OLO supplementation. The three supplements reduced (P<0.05) milk electric conductivity (EC) and somatic cell count (SCC). Overall, our results indicated that supplementing diets of Friesian cows with aromatic plant oils, particularly black seed oil, improved milk yield, udder health, and some immune parameters.Key words: aromatic oils; cows; blood parameters; milk production and immunity
CHARACTERIZATION OF CLASS 1 INTEGRONS AND SOME ANTI-MICROBIAL RESISTANCE GENES IN Salmonella SPECIES ISOLAT-ED FROM POULTRY IN EGYPT
Authors: Shabana Safaa , Helmy Salwa , Hegazy Abd El-Halem 
Published: July 2019

Salmonella enterica includes serotypes that were implicated as a food borne pathogens crucially affecting public health and the economic organization. This study was directed to isolate and identify of Salmonella strains from 222 different species and ages of poultry (broiler, chick, ducks, pigeon, quails) from Kafr El Sheikh governorate. The Salmonella isolation rate was (4.5%) as (0.9%) from apparently healthy, (3.6%) from diseased birds. The outer membrane protein F gene was used as promising tool for detection of Genus Salmonella, after that four isolates were identified serologically as two Salmonella enterica serovar Enteritidis and two Salmonella enterica serovar Typhimurium. The resistance pattern of positive Salmonella isolates showed multidrug resistance phenotypes and qnrS for quinolone resistant genes was recorded in one isolate while blaTEM for β-lactam resistant isolates, aacC for aminoglycosides were recorded in all four Salmonella isolates using PCR technique. Also, Class 1 integrons detected with a percentage of (100%) in examined isolates. Sequencing of the class 1 integrons cassettes showed genes encoding resistance specified to streptothricin acetyltransferase (sat) gene, aminoglycoside acetyltransferase (aac3-Id) and aminoglycoside adenyltransferase (aadA7). Class 1 integrons harbored gene encoding domains unfunction protein (duf) in one S. enterica serovar Typhimurium isolate. This study spotlights the significant role of the drug–resistance genes and Class 1 integrons in Salmonella as zoonotically important pathogens of public health importance.Key words: poultry; Salmonella; drug- resistance genes; integrons gene cassettes
Wpływ cyfryzacji na wyzwania wizerunkowe rynku ubezpieczeń w Polsce
Authors: Wężyk Wojciech 
Published: July 2019

Proces cyfryzacji komunikacji wpłynął istotnie na wyzwania branży ubezpieczeniowej wobec swoich interesariuszy w kontekście budowania wizerunku. Ubezpieczyciele są zmuszeni dostosować się do nowych reguł opartych m.in. na wielokanałowości komunikacji, umiejętności tworzenia zrozumiałego przekazu oraz współpracy pomiędzy konkurentami, której zadaniem jest budowa pozytywnego wizerunku całej branży.
Celem artykułu jest wskazanie najważniejszych czynników determinujących wizerunek ubezpieczycieli w czasach cyfrowej komunikacji oraz działań poprawiających wizerunek branży w oczach interesariuszy w kontekście nowoczesnych kanałów komunikacji m.in. social media. Jako przykład podejmowania aktywności, które odpowiadają zapotrzebowaniu współczesnego odbiorcy, przedstawiono kampanię wizerunkową prowadzoną pod koniec 2017 r. przez Polską Izbę Ubezpieczeń. Wydaje się, że wspomniana kampania jest pierwszą udaną próbą współdzielenia odpowiedzialności uczestników rynku ubezpieczeniowego za kształt jego wizerunku zarówno w odniesieniu do klienta indywidualnego, jak i biznesowego.
PEMANFAATAN ALIRAN AIR SEBAGAI PRIME OVER PEMBANGKIT LISTRIK ALTERNATIF SKALA RUMAH TANGGA
Authors: Majid Abdul , Danus Muhar , Yuniarti Erliza 
Published: July 2019

Kesulitan masyarakat pedesaan di wilayah terpencil yang belum terjangkau oleh listrik dari PLN dan yang tidak memiliki potensi aliran sungai dengan debit yang besar atau saluran irigasi cenderung menggunakan generator set. Di sisi lain generator set memiliki konsumsi bahan bakar relatif besar mahal dibandingkan dengan bahan bakar jenis lainya. Pembangkit listrik alternatif dengan prime mover air dengan debit rendah memanfaatkan pompa air untuk mendapatkan energi mekanis pada kincir air pelton yang kemudian dikopel ke generator sehingga menghasilkan energi listrik. Berdasarkan hasil pengujian didapatkan pada kincir pelton dengan 12 sudu dengan bukaan katup 90o, dan nozel diarahkan ke atas menghasilkan putaran kincir terbesar 342 rpm. Perbandingan pulley kincir dan generator untuk peningkatan putaran generator terbaik terjadi pulley 1:4 dengan kecepatan putar 902,2 rpm dan bukaan katub 90o
Diseño y análisis CFD del flujo de gases de un header en un motor de 200 cc
Authors: Moyano Arévalo Javier Renato , Naranjo Vargas Eugenia Mercedes , Tenicota García Alex Giovanny , Larrea Moreano Ángel Daniel 
Published: July 2019

El sistema de escape de un motor cumple la función de evacuar los gases producidos en la combustión y reduce el ruido del motor, sin embargo varios sistemas no disponen de accesorios que garanticen dichas funciones. Los HEADERS son accesorios que mejoran el desempeño del motor en el ciclo de escape pero los estudios al respecto son reducidos y se limitados. En ese sentido la presente investigación tiene por objeto el diseño y análisis mediante software asistido por computador de tipo CAD con herramientas de Dinámica de Fluidos Computacional CFD para establecer el diseño más apropiado y mejor desempeño de un motor de motocicleta de 200 centimetros cúbicos. Como los headers son utilizados como evacuadores rápidos de gases del escape, el análisis se enfocó al estudio de la rapidez con la que fluyen los gases en dos casos de estudio. Ambos casos fueron de tubería de 2 pulgadas de diámetro a velocidad promedio de 10 m/s, pero el caso A fue con curvatura regular de 180° y el caso B de curvatura prolongada fue la diferencia. El desarrollo del analisis arrojó como resultado al diseño “B” como el más apropiado para ser fabricado puesto que la velocidad de los gases se incrementaron en un 12%. Esto permite saber que al producirse una evacuación rápida de los gases se evita contrapresiones de válvulas obteniendo así un mejor dempeño del motor.