bluuebunny/crossref_metadata_2025_split huggingface dataset:
MANEJO OPERATÓRIO DE RESTAURAÇÕES ESTÉTICAS CLASSE II: COMO AUMENTAR SUA LONGEVIDADE CLÍNICA
Authors: BRUZADIM DAIANA ARAUJO , De Lima Moncler Santos Thaís , Pereira Andrade Alessandra , Tognetti Valdinéia Maria 
Published: August 2023

Aproximadamente metade das restaurações realizadas pelos cirurgiões-dentistas são substituídas devido a defeitos ou falhas após 10 anos em função na cavidade bucal. As razões para esta substituição estão divididas em três grandes categorias: fatores clínicos, propriedades do material e fatores relacionados ao paciente. Independentemente dos motivos, muitas vezes é difícil identificar qual fator foi o mais importante no fracasso clínico da restauração. Eventualmente uma combinação de fatores pode causar danos, no entanto, os profissionais raramente registram mais de um motivo para a substituição de restaurações no prontuário clínico do paciente. A maioria das falhas ocorre gradualmente, mas também podem ocorrer de forma inesperada, como fraturas, onde o reconhecimento do defeito não coincide necessariamente com a falha da restauração e a substituição é indicada imediatamente. Em geral, como os defeitos se desenvolvem gradualmente, existe a possibilidade de indicação de tratamentos minimamente invasivos. Habilidades mínimas do operador são necessárias para o uso desta técnica, pois é recomendado apenas reconstruir paredes interproximais dos dentes posteriores antes da remoção da matriz usada e posteriormente devolver a anatomia oclusal do elemento dental por meio da restauração. As limitações que podem existir consistem na seleção inadequada da resina composta, não utilização dos instrumentos necessários e o desconhecimento dos detalhes anatômicos dos elementos dentais a serem reabilitados. O aumento da durabilidade clínica e, portanto, o sucesso das restaurações adesivas consiste na formação da estabilidade entre o substrato do dente e o material restaurador.
Waste Levy Willingness To Pay (WTP) Analysis Households In West Aceh Regency
Authors: Amanda Serly Riski , Ichwansyah Fahmi , Saputra Irwan 
Published: August 2023

Willingness To Pay (WTP) can be interpreted as how much people are willing to pay. However, there are several problems, namely until now the Willingness To Pay (WTP) waste retribution has not been maximized and this can be seen in the achievement of Regional Original Income (PAD) for waste retribution. Thus, the problem raised in this study is that the willingness to pay of the community to pay waste fees in West Aceh Regency is still low. The purpose of this study is to determine the amount of Willingness to Pay (WTP) of waste retribution paid by households and the factors that affect the WTP of household waste in West Aceh Regency. This research is a type of quantitative research with a cross-sectional study approach. The samples in this study were 378 heads of families, namely 261 people in the Johan Pahlawan sub-district and 117 people in the Meureubo sub-district. The sampling technique was carried out using Krejcie and Morgan Table. Data was collected using a questionnaire, while the statistical test used was logistic regression using stata. The results showed that the Willingness to Pay (WTP) waste retribution paid by households in West Aceh Regency was Rp. 14,542 and the factors related to the WTP of household waste in West Aceh Regency partially (partially) namely income (p-value = 0.001) and public perception in waste management (p-value = 0.031) and the relationship between income and community perception in waste management simultaneously with WTP for household waste retribution (p-value below 0.05).
Does High Medial Elbow Stress During Pitching Compromise the Dynamic Stabilizers of The Elbow?
Authors: McHugh Malachy P. , Mullaney Michael J. 
Published: August 2023

Background The flexor carpi ulnaris (FCU) and flexor digitorum superficialis (FDS) are thought to provide dynamic stability to the medial elbow, with a lesser contribution from the pronator teres (PT). Hypothesis/Purpose The purpose of this study was to determine if baseball pitchers with higher valgus elbow torque experience greater FCU and FDS strength loss. Study Design Controlled Laboratory Study Methods A pilot study was performed to determine if middle and ring finger flexion strength tests preferentially activated the FCU and FDS versus the PT (10 men age 36±12 yr). EMG amplitudes, expressed as percent of maximal voluntary contraction (MVC) were compared between tests and muscles. In a field study of college baseball pitchers, middle finger, ring finger and grip strength were tested prior to, immediately after, and one day after 14 pitching performances in 10 pitchers (21±2 yr). Elbow valgus torque was measured from an inertial measurement unit, housed in a compression sleeve and pitchers were categorized as having high or low valgus torque. Results For the pilot study EMG activations were 74% FDS, 66% FCU and 35% PT for the middle finger test (muscle effect p=0.032) and 93% FCU, 61% FDS and 23% PT for the ring finger test (muscle effect p=0.005). In the field study, pitchers with high valgus torque showed marked post-game middle finger fatigue (88% of baseline) and incomplete recovery the following day (95%), while pitchers with low valgus torque showed no strength loss (107% post game, 106% a day later; group x time p=0.022). Results were similar for ring finger strength (high torque: 94% post game 96% a day later; low torque: 114% post game 107% a day later; group x time p=0.048). By contrast, grip strength was not different between pitchers with high versus low valgus torque (p=0.143). Conclusion High medial elbow stress during pitching fatigues the dynamic stabilizers of the medial elbow. Level of Evidence Level 3
Novice Inter-Rater Reliability on the Selective Functional Movement Assessment (SFMA) After a 4-Hour Training Session
Authors: Harper Brent , Aron Adrian 
Published: August 2023

Background The Selective Functional Movement Assessment (SFMA) is a whole-body movement classification system that identifies non-optimal movement performance requiring further assessment. There needs to be more evidence specifying the training time required to obtain SFMA reliability for entry-level health care practitioners. Purpose The primary intent of this study was to determine SFMA inter-rater reliability between two third-year physical therapy students following an in-person three-hour training and one-hour follow-up training with a certified SFMA physical therapist. The secondary purpose was to compare rater scores of the composite criterion 50-point checklist and rater categorization using the top-tier movements in real-time assessments of healthy participants. Study Design Inter-rater reliability study. Methods Two novice raters received training on assessing movement using the SFMA. Participants included non-pregnant healthy adults screened for general exercise, participants were excluded for history of orthopedic surgery within the prior six months. Three independent raters, including two novice and one SFMA-certified rater, individually assessed the top-tier movements in separate rooms in real-time. Participants were randomly assigned a start location, and raters were blinded to each other’s criterion 50-point checklist and categorical scoring. Statistical analysis included a paired t-test, a repeated measures ANOVA, and a two-way, mixed absolute agreement ICC. Results Twenty-five participants (23.4 years ± 1.9; 72% female) completed the SFMA top-tier movements. Significant differences were identified with novice raters identifying fewer non-optimal movement patterns than the certified clinician. The intraclass correlation coefficient (ICC2,1) was moderate (0.60, p<0.001) for all three raters on the 50-point criterion checklist scoring. Conclusion Third year physical therapy students were able to demonstrate moderate inter-rater reliability assessing healthy individuals using the 50-point criterion checklist. Variation between novice raters may reflect the amount of previous exposure assessing movement and suggests that some may require more time learning and practicing in order to identify non-optimal movement patterns that may require further assessment. Level of Evidence 3b
Normative Values of Isometric Shoulder Strength Among Healthy Adults
Authors: Bradley Helen , Pierpoint Lauren 
Published: August 2023

Background Normative data is useful for comparing measured values of strength with population norms and can avoid the issues associated with limb symmetry index. The available normative shoulder strength values are limited by constraints on research designs and variability in subject groups which prevents this data being successfully extrapolated to the greater population. Purpose The purpose of this study was to establish normative isometric strength values for various movements of the shoulder that are specific to function and rotator cuff strength. A secondary goal of this study was to analyze the effect of age, gender, weight, height, activity level and arm dominance on shoulder strength. Design Observational cohort study Methods Subjects in four age groups (20-29, 30-39, 40-49, 50-59) were included in this study—200 males (40.0 ± 11.6 years, 179.1 ± 6.5 cm, 81 ± 13.0 kg) and 200 females (40.1 ± 11.5 years, 165.3 ± 7.4sm, 64.4 ± 11.6 kg). Bilateral isometric strength measurements were taken with a handheld dynamometer testing seven shoulder movements. Tables of normative strength data were constructed. Multivariate analyses were performed to analyze the effects of age, gender, weight, height and activity level on isometric shoulder strength. Results Men were stronger than women (p<0.001). Age was not associated with most strength measures with the exception of dominant arm abduction (p<0.004), non-dominant arm abduction (p<0.028) and non-dominant arm scapular plane abduction (p<0.004) which had a negative association with strength. Weight was positively associated with strength (p<0.001). Activity level was positively associated with all strength measures (p<0.05) except dominant sided abduction (p=0.056). There were no statistically significant differences between dominant and non-dominant sides. Conclusion This normative data may be useful to the clinician, as it permits a standard against which to compare shoulder strength for various age groups. Clinicians can have confidence that the uninvolved limb, if symptom free, can be used as an adequate benchmark for strength measures. Levels of Evidence Level 3
Thoracolumbar and Lumbopelvic Spinal Alignment During the Barbell Back Squat: A Comparison Between Men and Women
Authors: Bengtsson Victor , Berglund Lars , Öhberg Fredrik , Aasa Ulrika 
Published: August 2023

Background Maintaining neutral spinal alignment is considered important when performing the barbell back squat exercise. Since male and female lifters may differ in injury location it is important to examine whether they differ in spinal alignment during the back squat. Objectives The study aimed to quantify the spinal alignment in the upper and lower lumbar spine during the barbell back squat exercise in male and female lifters. Secondary aims were to compare alignment during the back squat to standing habitual lumbar spine alignment and determine whether male and female lifters differ in these aspects. Study Design Observational, Cross-sectional. Methods Competitive power- and weightlifters were recruited and performed three repetitions of the barbell back squat exercise using a load equivalent to 70% of their one-repetition maximum. Spinal alignment and range of motion were measured using inertial measurement units placed on the thoracic, lumbar and sacral spine. Data was presented descriptively and comparisons between men and women as well as spinal alignment in four different positions were done with a factorial repeated measures analysis of variance. Results Twenty-three (14 males, 9 females) were included. During execution of the squat, spinal alignment adjustments in the lumbar spine were made in all three planes of movement, compared to the start position, in both male and female lifters. Compared to their standing habitual posture, all lifters adjusted their upper lumbar spine to a less lordotic position when in the start position of the back squat (standing upright with the barbell on their back). Only male lifters assumed a less lordotic alignment in their lower lumbar spine in the start position compared their habitual posture. Conclusions Adjustments of spinal alignment, predominantly in the sagittal plane, are made during execution of the back squat in both male and female lifters. Further, lifters adopt a less lordotic alignment with a heavy barbell on their upper back, more so in male than female lifters. In conclusion, it seems that spinal alignment changes noticeably during the barbell back squat. Level of Evidence 3
A Model for Applying Situational Awareness Theory to the Return to Sport Continuum
Authors: Porter Ke'La H , Hoch Matthew C 
Published: August 2023

Background Despite developing and implementing return to sport guidelines, high rates of re-injury remain. The return to sport continuum is a three-phase, criterion-based progression based on physical and psychological factors used to guide the sports medicine team in return to sport decision making. Situational awareness (SA) pertains to an athlete’s knowledge of the dynamic environment (i.e., their ability to perceive the components in the environment, comprehend the meaning of the perceived information, and predict future actions based on that comprehension). SA can be applied on a cognitive continuum that encompasses three levels, each stage becoming more challenging with additional time constraints and increased uncertainty. Integrating the cognitive continuum with the return to sport continuum may optimize the return to sport process and enhance the athletes’ preparedness for competition by incorporating cognitive challenges aligned with live competition. The purpose of this clinical commentary is to describe a return to sport model that integrates SA theory on the cognitive continuum with additional consideration for surrounding contextual factors. Level of Evidence 5
Pengembangan Modul Ajar Menulis Teks Eksposisi Berbasis WISER Habit bagi Siswa SMA
Authors: Ambarwati Sri Wulan , Leksono Ibud Priono , Harwanto Harwanto 
Published: August 2023

Tujuan penelitian pengembangan ini untuk mengetahui bagaimana proses dikembangkannya Modul ajar Menulis Teks Eksposisi. Penelitian pengembangan ini menggunakan Model ADDIE. Modul dikembangkan dengan mengintegrasikan aktfitas belajar yang terdiri atas Wonderring, Investigatting, Sinthesyzing,Expressing dan Reflexing (WISER) didalamnya. Dari Hasil penelitian diperoleh data bahwa pada tahap validasi ahli yang terbagi Validasi Ahli Materi sebesar 92.33%, validasi Ahli Media sebesar 81 % dan Validasi Ahli Desain sebesar 93%. Sedangkan hasil analisis data dari uji coba produk menunjuk tingkat persentase kevalidan modul sebesar 84% dengan kriteria Sangat valid pada 12 siswa sebagai responden uji kelompok kecil. Pada tahap ini juga tingkat ketuntasan belajar dari pos tes uji pemahaman materi mencapai 91.667%, sehingga modul dapat dikategorikan sangat praktis digunakan. Sedangkan pada uji coba kelompok besar diperoleh rerata persentase kevalidan modul sebesar 87% dengan kriteria sangat valid pada 36 siswa sebagai responden. Untuk uji pemahaman dari pos tes, diperoleh persentase ketercapaian ketuntatan belajar 90% sehingga modul juga dikategorikan samgat praktis untuk digunakan. Dari hasil angket respon 2 guru praktisi yang telah menerapkan modul di 2 kelas lainnya juga diperoleh persentase skor sebesar 92% dengan kategori sangat valid sehingga tingkat kepraktisannya dapat disimpulkan sangat praktis untuk dipakai dalam pembelajaran Bahasa Indonesai Kelas X
Kemampuan Literasi Sains Ditinjau dari Gaya Belajar pada Penerapan Model PBL dan PBL Terintegrasi RQA dalam Pembelajaran Biologi Kelas X SMA Negeri 3 Blitar
Authors: Ismawati Ismawati , Leksono Ibud Priono , Harwanto Harwanto 
Published: August 2023

Tujuan penelitian ini adalah untuk mengetahui kemampuan literasi sains ditinjau dari gaya belajar dengan menerapkan model PBL dan PBL yang terintegrasi dengan RQA dalam pembelajaran Biologi kelas X di SMA Negeri 3 Blitar. Penelitian ini menggunakan rancangan penelitian eksperimen semu. Variabel bebas dalam penelitian ini yaitu strategi pembelajaran yang terdiri atas 2 jenis yaitu PBL, dan PBL terintegrasi RQA sebagai faktor A, sedangkan faktor B yaitu gaya belajar yang terdiri atas Auditori, Visual, dan kinestetik sebagai variabel moderator. Hasil pengujian hipotesis terdapat pengaruh gaya belajar, model pembelajaran berbasis PBL dan PBL Terintegrasi RQA terhadap kemampuan literasi sains dalam pembelajaran Biologi kelas X, output yang dihasilkan memiliki nilai Signifikansi sebesar 0,000 < 0,05, maka dapat disimpulkan bahwa “ada interaksi model pembelajaran dengan gaya belajar dalam menentukan hasil literasi sains”. Berdasarkan hasil pengujian diperoleh nilai R2 sebesar 0.615, maka pengaruh gaya belajar dan model pembelajaran memiliki pengaruh sebesar 61,5% dan sisanya dipengaruhi oleh variabel lain di luar penelitian ini.
Utilization of the Weighted Product-Based CIPP Evaluation Model in Determining the Best Online Platform
Authors: Divayana Dewa Gede Hendra , Suyasa P. Wayan Arta , Santiyadnya Nyoman , Andayani Made Susi Lissia , Sundayana I Made , Astawa I Nengah Dasi , Mariani Ni Wayan Rena , Sugiharni Gusti Ayu Dessy 
Published: August 2023

Since the COVID-19 pandemic, there have been many free online platforms that can be used to support the online learning process at health colleges in Bali. However, it is difficult to determine the best online platform from the various choices of free online platforms that are scattered on the internet. Therefore, it needs innovations that contribute to helping solve these problems. One model as an innovation that can be used and contributes to solving problems is the Weighted Product-based CIPP evaluation model. The model needs to be measured for the quality of its calculations to ensure success in determining the best online platform. Therefore, this research aimed to show the quality of the Weighted Product method calculation integrated with the CIPP (Context-Input-Process-Product) model in determining the best platform used in health colleges during the COVID-19 pandemic. The instrument used to assess the quality of that calculation was a questionnaire consisting of eight questions. The subjects involved in the assessment were 20 experts. The research was carried out at several health colleges in Bali. The analytical technique used in analyzing the research data was descriptive-quantitative. The analysis was carried out by comparing the quality percentage of the calculation simulation with the quality standard based on an eleven-point scale. The study results showed the quality percentage of calculation simulation was 87.250%, so it was included in the very good category. This research has a significant impact on the progress of the educational evaluation field through research findings in the form of the appearance of the combination of the Weighted Product method with the CIPP evaluation model. The novelty of this research is the combination of the Weighted Product method and the CIPPmodel, which makes it easier for educational evaluators to determine the best online platform that supports online learning during the COVID-19 pandemic and even post-COVID-19. Doi: 10.28991/HIJ-2023-04-01-015 Full Text: PDF
Perbedaan Tingkat Kecemasan Orang Tua Anak Penderita Leukemia Sebelum dengan Sesudah Kemoterapi
Authors: Suchi Aulia Nur Silmi  , Ieva B. Akbar  , Sara Puspita  
Published: August 2023

Abstract. Acute lymphoblastic leukemia (ALL) is children's most common type of cancer. Acute lymphoblastic leukemia can be cured with chemotherapy. The initial treatment for ALL is induction chemotherapy, lasting 4–6 weeks using 3 or 4 drugs. Parents who have children with ALL will experience anxiety, especially mothers. This study aims to analyze the differences in the anxiety levels of parents of children with acute lymphoblastic leukemia before and after the induction phase of chemotherapy. The research was conducted in July–October 2022. The research method is a comparative research design with a longitudinal study approach. The sample of this study was 45 people using a total sampling technique on the parents of children with ALL at Al-Islam Hospital in Bandung. Data collection was carried out using the Hamilton Anxiety Rating Scale (HARS) questionnaire. Data analysis used the McNemar test. The results showed that 28 mothers experienced severe–very severe levels of anxiety before the induction phase of chemotherapy, and 28 experienced mild–moderate anxiety levels after the induction phase of chemotherapy. The results of the McNemar test obtained a value of p=0.001 (p<0.05). In conclusion, parents' anxiety in children with ALL increased before chemo and tended to decrease after the induction phase of chemotherapy.
Abstrak. Leukemia limfoblastik akut (LLA) merupakan jenis kanker yang paling banyak terjadi pada anak. Leukemia limfoblastik akut dapat disembuhkan dengan kemoterapi. Terapi awal LLA yaitu kemoterapi fase induksi, berlangsung 4–6 minggu menggunakan 3 atau 4 obat. Orangtua yang memiliki anak LLA akan mengalami kecemasan terutama ibu. Penelitian ini bertujuan menganalisis perbedaan tingkat kecemasan orangtua anak penderita leukemia limfoblastik akut sebelum dengan sesudah kemoterapi fase induksi. Penelitian dilakukan pada bulan Juli–Oktober 2022. Metode penelitian adalah desain penelitian komparatif dengan pendekatan studi longitudinal. Sampel penelitian ini adalah 45 orang dengan teknik total sampling pada orangtua anak penderita LLA di RS Al-Islam Bandung. Pengumpulan data dilakukan menggunakan kuesioner Hamilton Anxiety Rating Scale (HARS). Analisis data menggunakan uji McNemar. Hasil penelitian menunjukan ibu mengalami tingkat kecemasan berat–sangat berat sebelum kemoterapi fase induksi sebanyak 28 dan mengalami tingkat kecemasan ringan–sedang sesudah kemoterapi fase induksi sebanyak 28. Hasil uji McNemar didapatkan nilai p=0,001 (p<0,05). Simpulan, kecemasan orangtua pada anak penderita LLA meningkat sebelum kemoterapi dan cenderung menurun sesudah kemoterapi fase induksi.
Cervical screening using HPV-DNA cytology in a low-income setting: an audit within a socio-economically deprived rural community in the Philippines
Authors: Harty Elena , Carr Samantha , Doyle Zelda , Hespe Charlotte 
Published: August 2023

Background Cervical cancer (CC) is the second leading cause of cancer among women in the Philippines, mainly caused by a persistent human papillomavirus infection (HPV). We aimed to determine the prevalence of HPV and compare screening methods within a socio-economically deprived rural community in the Philippines. Methods We conducted a retrospective audit of the medical records of 872 women from the free Women’s clinic in a regional Philippines community over the period, 2013-2019. All participants were screened for CC using the VIA/VILI method, with only 284 women tested for HPV using the HPV-polymerase chain reaction (HPV-PCR) method. For the 284, we compared their HPV-PCR and VIA/VILI results. Data was de-identified and descriptively analysed. Results Thirteen different HPV subtypes, all oncogenic, exist in the community. HPV was detected in 32 (11%) of the 284 women tested. Of note, 28 patients who had an oncogenic HPV infection had a normal VIA/VILI inspection result. The bivalent vaccine protects only 6% of the HPV-positive cases in the clinic. Conclusions This study suggests HPV-PCR testing is superior at detecting HPV before cervical changes occur. The different oncogenic HPV strains reflect the low coverage of the bivalent HPV vaccination in the community – a key area for practice and policy reforms. Further studies on the prevalence of oncogenic HPV strains will be vital in designing suitable preventive care programs for CC.