bluuebunny/crossref_metadata_2025_split huggingface dataset:
KINERJA BIDAN DALAM DETEKSI DINI PENYIMPANGAN TUMBUH KEMBANG ANAK
Authors: Utami Sri 
Published: January 2017

Introduction: Anak merupakan generasi penerus bangsa, mereka harus dapat tumbuh dan berkembang secara optimal. Salah satu upaya yang dapat dilakukan adalah melalui deteksi dini penyimpangan tumbuh kembang anak. Tujuan penelitian ini adalah menyusun model peningkatan kinerja bidan melalui optimalisasi strategi self leadership. Metode: jenis penelitian ini adalah obsrvasional dengan rancangan cross sectional, subyek yang diteliti adalah sebagian bidan di Puskesmas wilayah kerja Dinas Kesehatan Kota surabaya, dipilih secara propotional random sampling, sejumlah 222 responden. Variabel eksogennya adalah job design, riwayat pelatihan DDTK, strategi self leadership, kemampuan bidan, aktivitas bidan dalam DDTK, varibel endogennya adalah hasil capaian bidan dalam DDTK. Analisis data menggunakan metode Partial Least Square (PLS). Hasil dan Analisis: dari hasil analisis inner model diperoleh nilai T-statistik pada pengaruh strategi self leadership terhadap peningkatan kemampuan bidan, pengaruh kemampuan terhadap peningkatan kinerja aktivitas, strategi self leadership terhadap peningkatan kinerja aktivitas dan terhadap peningkatan hasil capaian dalam deteksi dini penyimpangan tumbuh kembang didapatkan niali T-statistik lebih besar dari nilai T-tabel (1,96). Sedangkan untuk training SDIDTK tidak berpengaruh terhadap peningkatan kemampuan bidan, tidak berpengaruh terhadap peningkatan kinerja aktivitas bidan, begitu juga job design tidak terdapat pengaruh terhadap peningkatan kemampuan bidan dan terhadap peningkatan kinerja aktivitas bidan dalam deteksi dini penyimpangan tumbuh kembang anak karena diperoleh nilai T-statistik lebih kecil dari T-tabel (<1,96). Diskusi: Optimalisasi kemampuan self-leadership bidan merupakan faktor yang perlu diperhatikan sebagai upaya peningkatan kinerja bidan dalam deteksi dini pemyimpangan tumbuh kembang anak. Kata Kunci: Tumbuh kembang anak, job desain, training , strategi self leadership, kinerja
CORELATION BETWEEN PORNOGRAPHIC MEDIA AND INFLUENCE OF PEERS WITH UNSAFE SEXUAL BEHAVIOR IN ADOLESCENT OF SOUTH SUMATERA
Authors: Murdiningsih Murdiningsih , Rosnani Rosnani , Arifin Hidayat 
Published: January 2017

Background: The problems associated with unsafe sexual behavior in adolescents are caused by premarital sexual intercourse with a partner of their own age. One of the problems caused by premarital sex is a pregnancy outside of marriage. Increased incidence of premarital sex is caused by the development through media depictions of sex scenes in the form of television, magazines, video clips, online media, and films. In Musi Banyuasin there are 7754 high school students, many students have dropped out of school because they get pregnant before marriage so that in adolescence their parents are forced to marry or have abortions. The aim study is determined the factors associated with unsafe sexual behavior in adolescents in high school. Method: Observational research with cross sectional and quantitative approach. The population is high school students. Sampling technique was using multistage random sampling obtained 393 samples. Bivariate analysis, chi-square Result: the result showed a correlation between the influence of peers with adolescent sexual behavior has p-value (0,000). There was no relationship between media pornography with sexual behavior because the result more than p-value (0,05). Conclusion: Necessary to be given knowledge and assistance to adolescents about positively and creatively thing and supervision of parents to their children in order to have a friends and avoid unsafe sexual behavior. Key words: The Influence of Peers, Pornographic Media, Unsafe Sexual, Adolescent
Personality Factor, Self Efficacy and Prevention Of Cervical Cancer In Women Of Childbearing Age
Authors: Armini Ni ketut alit , Kurnia Iqlima Dwi , Hikmah Fani Lailatul 
Published: January 2017

Introduction: Cervical cancer as the most common cause of morbidity and mortality around the world. The worse cervical cancer prevention program might lead to delayed treatment of cancer. Furthermore patient who suffered cervical cancer in women of childbearing age. Method: The study design was descriptive cross sectional approach correlation. The population were women of childbearing age who involved the region of Puskesmas Kenjeran Surabaya. The number of sample were 64 respondents who taken by using simple random sampling. The independent variables were factor of personal and self efficacy. The dependent variable was the primary and secondary prevention of cervical cancer. The data was analyzed by using statistic tests Spearmans’s rho to know correlation of independent variable with prevention measures of cervical cancer. Result: The result of relationship between the personal factors and cervical cancer prevention showed value p=0.025 (r=0.280). The relationship between self efficacy with prevention of cervical cancer in women of childbearing age showed value p=0.094 (r=0.211). Conclusion: Personal factors associated with prevention of cervical cancer in women of childbearing age. Self efficacy had no relationship with prevention of cervical cancer in women of childbearing age. The further study was recommended to develop health promotion model factors to increase the prevention of cervical cancer.
A Community-Based Randomized Trial of Hepatitis B Screening Among High-Risk Vietnamese Americans
Authors: Ma Grace X. , Fang Carolyn Y. , Seals Brenda , Feng Ziding , Tan Yin , Siu Philip , Yeh Ming Chin , Golub Sarit A. , Nguyen Minhhuyen T. , Tran Tam , Wang Minqi 
Published: January 2017

Objectives. To evaluate the effectiveness of a community-based liver cancer prevention program on hepatitis B virus (HBV) screening among low-income, underserved Vietnamese Americans at high risk. Methods. We conducted a cluster randomized trial involving 36 Vietnamese community-based organizations and 2337 participants in Pennsylvania, New Jersey, and New York City between 2009 and 2014. We randomly assigned 18 community-based organizations to a community-based multilevel HBV screening intervention (n = 1131). We randomly assigned the remaining 18 community-based organizations to a general cancer education program (n = 1206), which included information about HBV-related liver cancer prevention. We assessed HBV screening rates at 6-month follow-up. Results. Intervention participants were significantly more likely to have undergone HBV screening (88.1%) than were control group participants (4.6%). In a Cochran–Mantel–Haenszel analysis, the intervention effect on screening outcomes remained statistically significant after adjustment for demographic and health care access variables, including income, having health insurance, having a regular health provider, and English proficiency. Conclusions. A community-based, culturally appropriate, multilevel HBV screening intervention effectively increases screening rates in a high-risk, hard-to-reach Vietnamese American population.
Community Health Records: Establishing a Systematic Approach to Improving Social and Physical Determinants of Health
Authors: Van Brunt Deryk 
Published: January 2017

To systematically improve population health in the United States, community health records (CHRs) must be defined, developed, and implemented. Like electronic and personal health records, CHRs have both unique and overlapping information. CHRs contain data about communities, including the social, physical, and lifestyle determinants of health. These records will serve to complement electronic and personal health records to provide a more complete view of population health, allowing stakeholders to target community health and quality-of-life interventions in a data-driven and evidence-based manner, establishing the basis from which organizations can develop a systematic approach to improving community health. This commentary calls on the United States to conduct a set of consensus activities to define and implement CHRs.
Multilevel Prevention Trial of Alcohol Use Among American Indian and White High School Students in the Cherokee Nation
Authors: Komro Kelli A. , Livingston Melvin D. , Wagenaar Alexander C. , Kominsky Terrence K. , Pettigrew Dallas W. , Garrett Brady A. ,   the Cherokee Nation Prevention Trial Team
Published: January 2017

Objectives. To evaluate the effectiveness of a multilevel intervention designed to prevent underage alcohol use among youths living in the Cherokee Nation. Methods. We randomly assigned 6 communities to a control, Communities Mobilizing for Change on Alcohol (CMCA; a community-organizing intervention targeting alcohol access) only, CONNECT (a school-based universal screening and brief intervention) only, or a combined condition. We collected quarterly surveys 2012–2015 from students starting in 9th and 10th grades and ending in 11th and 12th grades. Response rates ranged from 83% to 90%; 46% of students were American Indian (of which 80% were Cherokee) and 46% were White only. Results. Students exposed to CMCA, CONNECT, and both showed a significant reduction in the probability over time of 30-day alcohol use (25%, 22%, and 12% reduction, respectively) and heavy episodic drinking (24%, 19%, and 13% reduction) compared with students in the control condition, with variation in magnitude of effects over the 2.5-year intervention period. Conclusions. CMCA and CONNECT are effective interventions for reducing alcohol use among American Indian and other youths living in rural communities. Challenges remain for sustaining intervention effects.
Delivering on the Promise of Smoke-Free Public Housing
Authors: Levy Douglas E. , Adams Inez F. , Adamkiewicz Gary 
Published: January 2017

On November 30, 2016, the US Department of Housing and Urban Development (HUD) published a final rule mandating that public housing authorities it supports prohibit all smoking on their residential premises, including within residents’ apartments. The primary rationale for this action was to protect nonsmoking residents from the harms of tobacco smoke exposure. Although the harms of secondhand smoke are clear and the potential for reducing nonsmoking residents’ exposure is real, it will be no simple matter to successfully implement the policy requirements set down by HUD. Some challenges to policy implementation will apply to all public housing authorities, and others will be unique to specific settings. By being aware of the benefits of smoke-free public housing as well as the challenges inherent in complying with HUD’s rule, public housing authorities stand the best chance of fulfilling the potential of this major policy initiative to significantly improve public health in a vulnerable population.
Cardiometabolic Mortality by Supplemental Nutrition Assistance Program Participation and Eligibility in the United States
Authors: Conrad Zach , Rehm Colin D. , Wilde Parke , Mozaffarian Dariush 
Published: January 2017

Objectives. To investigate total and cause-specific cardiometabolic mortality among Supplemental Nutrition Assistance Program (SNAP) participants, SNAP-eligible nonparticipants, and SNAP-ineligible individuals overall and by age, gender, race/ethnicity, and other characteristics. Methods. We performed a prospective study with nationally representative survey data from the National Health Interview Survey (2000–2009), merged with subsequent Public-Use Linked Mortality Files (2000–2011). We used survey-weighted Cox proportional hazards models adjusted for age and gender to estimate hazard ratios of total and cause-specific cardiometabolic mortality for 499 741 US adults aged 25 years or older. Results. Over a mean of 6.8 years of follow-up (maximum 11.9 years), 39 293 deaths occurred, including 7408 heart disease, 2185 stroke, and 1376 diabetes deaths. Individuals participating in SNAP exhibited higher total and cardiovascular disease mortality, largely limited to non-Hispanic Whites and non-Hispanic Blacks, than both SNAP-eligible nonparticipants and SNAP-ineligible individuals, and higher diabetes mortality across races/ethnicities (P < .01). Conclusions. Participants in SNAP require greater focus to understand and further address their poor health outcomes. Public Health Implications. Low-income Americans require even greater efforts to improve their health than they currently receive, and such efforts should be a priority for public health policymakers.
Plate Fixation Compared with Nonoperative Treatment for Displaced Midshaft Clavicular Fractures
Authors: Woltz Sarah , Stegeman Sylvia A. , Krijnen Pieta , van Dijkman Bart A. , van Thiel Tom P.H. , Schep Niels W.L. , de Rijcke Piet A.R. , Frölke Jan Paul M. , Schipper Inger B. ,   on behalf of the Sleutel Trial Study Group
Published: January 2017

Background:
The use of operative treatment for clavicular fractures is increasing, despite varying results in previous studies. The aim of this study was to compare plate fixation and nonoperative treatment for displaced midshaft clavicular fractures with respect to nonunion, adverse events, and shoulder function.

Methods:
In this multicenter, prospective, randomized controlled trial, patients between 18 and 60 years old with a displaced midshaft clavicular fracture were randomized between nonoperative treatment and open reduction with internal plate fixation. The primary outcome was evidence of nonunion at 1 year. Other outcomes were secondary operations, arm function as measured with the Constant shoulder score and Disabilities of the Arm, Shoulder and Hand (DASH) score, pain, cosmetic results, and general health status. Outcomes were recorded at 6 weeks, 3 months, and 1 year following trauma.

Results:
One hundred and sixty patients were randomized. The rate of nonunion was significantly higher in the nonoperatively treated group than in the operatively treated group (23.1% compared with 2.4%; p < 0.0001), as was the rate of nonunion for which secondary plate fixation was performed (12.9% compared with 1.2%; p = 0.006). The rate of secondary operations was 27.4% in the operatively treated group (16.7% for elective plate removal) and 17.1% in the nonoperatively treated group (p = 0.18). Nineteen percent of the patients in the operatively treated group had persistent loss of sensation around the scar. No difference was found between the groups with respect to the Constant and DASH scores at all time points.

Conclusions:
For patients with a diaphyseal fracture of the clavicle displaced at least 1 shaft width, plate fixation improves the chances that the bone will heal; however, the rate of patients who need a second operation is considerable. In addition, the procedure does not improve shoulder function or general symptoms, and it does not decrease limitations compared with nonoperative treatment in a sling.

Level of Evidence:
Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.
Comparing an Annual and a Daily Time‐Step Model for Predicting Field‐Scale Phosphorus Loss
Authors: Bolster Carl H. , Forsberg Adam , Mittelstet Aaron , Radcliffe David E. , Storm Daniel , Ramirez‐Avila John , Sharpley Andrew N. , Osmond Deanna 
Published: January 2017

A wide range of mathematical models are available for predicting phosphorus (P) losses from agricultural fields, ranging from simple, empirically based annual time‐step models to more complex, process‐based daily time‐step models. In this study, we compare field‐scale P‐loss predictions between the Annual P Loss Estimator (APLE), an empirically based annual time‐step model, and the Texas Best Management Practice Evaluation Tool (TBET), a process‐based daily time‐step model based on the Soil and Water Assessment Tool. We first compared predictions of field‐scale P loss from both models using field and land management data collected from 11 research sites throughout the southern United States. We then compared predictions of P loss from both models with measured P‐loss data from these sites. We observed a strong and statistically significant (p < 0.001) correlation in both dissolved (ρ = 0.92) and particulate (ρ = 0.87) P loss between the two models; however, APLE predicted, on average, 44% greater dissolved P loss, whereas TBET predicted, on average, 105% greater particulate P loss for the conditions simulated in our study. When we compared model predictions with measured P‐loss data, neither model consistently outperformed the other, indicating that more complex models do not necessarily produce better predictions of field‐scale P loss. Our results also highlight limitations with both models and the need for continued efforts to improve their accuracy.Core Ideas
We compared predictions of P loss between an empirically‐based and process‐based model.
Predictions from both models were well correlated with each other.
The process‐based model did not result in noticeably better predictions of P loss.
APLE predicted greater DP loss and TBET predicted greater PP loss.
Results indicate the need for improving accuracy of both models.
Chemical Distribution of Phosphorus in Soils used during the Development of Sorption Isotherms
Authors: Schmitt Djalma , Pagliari Paulo H. , do Nascimento Carlos A. C. 
Published: January 2017

Core Ideas
Soil P adsorption studies provide misleading information regarding how P binds to soil.
Phosphorus adsorption studies might not correctly estimate the true potential for a soil to hold P.
Adsorption strength calculated using adsorption studies are skewed towards the nonlabile pool, which does not represent where the majority of P binds during such studies.
This study was developed to provide initial information on the chemical distribution of P into the different soil P pools after a soil sample underwent P sorption using 17 soil samples from the United States (13) and Brazil (4). During the sorption phase, soil samples were equilibrated with solutions containing increasing P concentrations (0–75 mg P L–1) following standard procedures. Following the sorption phase, the soil samples were allowed to air dry for 72 h and underwent a chemical fractionation (in water, anionic resin, 0.5M NaHCO3, 0.1M NaOH, and 1.0M HCl). A wide range of sorption strength ranging from 0.043 to 0.289 L kg–1 and a maximum sorption ranging from 189 to 789 mg kg–1 were observed. More than 59% of the sorbed P was found in the water + resin fraction, which is considered the most labile pools where the binding energy is assumed to be low. In contrast, less than 25% of the sorbed P was found in the nonlabile pools where the binding energy is assumed to be the greatest. Although less than 25% of the sorbed P was found in the non‐labile pools, the NaOH+HCl fraction contributed 2 to 61% of the overall sorption strength estimated for the soils studied. The results of this study suggest that sorption strength calculated from sorption studies are heavily skewed toward the nonlabile fraction, which was found to constitute a very small portion of the binding sites occupied during sorption studies.
Verifikasi Dua Varian Protokol Ad hoc On demand Distance Vector dengan UPPAAL
Authors: Suzanti Ika Oktavia , Pulungan Reza 
Published: January 2017

AbstrakMobile Ad-hoc Network (MANET) adalah sekumpulan wireless mobile yang terhubung satu sama lain tanpa infrastruktur yang tetap sehingga perubahan topologi dapat terjadi setiap saat. Protokol routing MANET memiliki dua model yaitu protokol routing reaktif yang membentuk tabel routing hanya saat dibutuhkan dan protokol routing proaktif yang melakukan pemeliharaan tabel routing secara berkala. Properti umum yang harus dipenuhi oleh protokol jaringan ad-hoc adalah route discovery, packet delivery dan loop fredom. AODV merupakan protokol reaktif MANET yang memiliki standar waktu berapa lama sebuah rute dapat digunakan (route validity), sehingga properti route discovery dan packet delivery harus dapat dipenuhi dalam waktu tersebut. Proses verifikasi protokol dilakukan dengan memodelkan spesifikasi protokol menggunakan teknik, tool, dan bahasa matematis. Pada penelitian ini bahasa pemodelan yang digunakan adalah timed automata, yaitu bahasa pemodelan untuk memodelkan sistem yang memiliki ketergantungan terhadap waktu tertentu pada setiap prosesnya. Verifikasi protokol dilakukan secara otomatis dengan mengggunakan tool model checker UPPAAL.Protokol yang diverifikasi adalah protokol AODV Break Avoidance milik Ali Khosrozadeh dkk dan protokol AODV Reliable Delivery dari Liu-Jian dan Fang-Min. Hasil verifikasi protokol membuktikan bahwa protokol AODV Break Avoidance mampu memenuhi properti route discovery dan protokol AODV Reliable Delivery mampu memenuhi properti packet delivery dalam waktu sesuai dengan spesifikasi. Kata kunci —Verifikasi Protokol, Timed Automata, AODV, UPPAAL Abstract MANET is a group of wireless mobile that connected one to each other without fixed infrastructure so topology could change at anytime. MANET routing protocol has two models which are reactive routing protocol that built routing table only when needed and proactive routing protocol that maintain routing table periodically. General property which had to be satisfied by ad-hoc network protocol are route discovery, packet delivery and loop freedom. AODV is a reactive protocol in MANET that has time standard to determine how long a route is valid to be used (route validity) so route discovery and packet delivery property should be satisfied in a specifically certain time. Protocol verification process done by modeling protocol specification using technique, tool and mathematic language.In this research protocol modeled using timed automata which is a modeling language that could be used to model a time dependent system in each process. Verification using timed automata can automatically done by UPPAAL tool model checker.Protocol which will be verified are AODV Break Avoidance by Ali Khosrozadeh et al. and AODV Reliable Delivery by Liu Jian and Fang-Min. Result of this protocol verification prove that AODV BA could satisfied route discovery property and AODV Reliable Delivery could satisfied packet delivery property within their specification time. Keywords—Protocol Verification, Timed Automata, AODV, UPPAAL