bluuebunny/crossref_metadata_2025_split huggingface dataset:
Efficacy of Postoperative Radiographs After Intramedullary Nailing of the Tibia and Femur: When Are They Useful?
Authors: Nair Vivek , Lewis Jennifer , Daccarett Miguel , Dirschl Douglas , Hynes Kelly , Strelzow Jason 
Published: June 2023

Introduction:
Postoperative radiographs are used to monitor fractures of the tibia and femur after intramedullary fixation. This study sought to examine how frequently these radiographs change management.

Methods:
This was a single-center chart review of patients over a 4-year period at a level I trauma center. Radiographs were defined as either performed for routine surveillance or performed with some clinical correlate on history and examination. Participants received intramedullary nailing for diaphyseal fractures of the femur or tibia. Patients required at least one postoperative radiograph. All patients were subject to our institution's follow-up protocol: visits at 2, 6, 12, and 24 weeks. Radiographs that changed management were those that led to alterations in follow-up, directed counseling, or contributed to the decision to proceed with revision surgery.

Results:
A total of 374 patients were found. Two hundred seventy-seven received at least one post-op radiograph. The median follow-up was 23 weeks. Six hundred seventeen total radiographs were reviewed. Nine radiographs contributed to a change in management (9/617 = 1.5%). No surveillance radiograph taken before 14 weeks resulted in changes in management.

Discussion:
Our results suggest that radiographs taken in the first 3 months post-op in asymptomatic patients treated with lower extremity intramedullary rods do not result in changes to clinical management.
De begrippen ‘uitzichtloos’ en ‘redelijke andere oplossing’ in de EuthanasieCode 2022 van de RTE, bezien in het licht van de wetsgeschiedenis
Authors: Matthijssen T.J. 
Published: June 2023

De begrippen ‘uitzichtloos’ en ‘redelijke andere oplossing’ in de EuthanasieCode 2022 van de RTE, bezien in het licht van de wetsgeschiedenis
‘Uitzichtloos’ en ‘redelijke andere oplossing’ zijn centrale begrippen in de Euthanasiewet. Een analyse van de wetsgeschiedenis leidt tot de conclusie dat aan deze begrippen zowel in de uitvoeringspraktijk van de Regionale Toetsingscommissies Euthanasie als in de vakliteratuur een andere betekenis wordt toegekend dan de wetgever destijds voor ogen heeft gestaan.
Assessment of Left Ventricular Functions by Two-Dimensional Speckle Tracking Echocardiography in Patients with Coronary Slow-Flow Phenomenon.
Authors: Abd-Elhady Eid Ramadan , Attia Mohamed Adel , Bashandy Mohamed Sayed 
Published: June 2023

Background: Coronary slow flow phenomenon (CSFP) is a medical challenge, especially regarding its diagnosis. The use of speckle tracking seems to provide a clue for diagnosis. However, its role is not well addressed.
Aim of the work: To assess the value of the left ventricle's global longitudinal strain by 2D speckle tracking to detect subclinical left ventricular systolic dysfunction in patients with the slow coronary flow.
Patients and methods: This study was performed between May and September 2020 at the cardiology department, Al-Azhar University Hospital (New Damietta). Thirty patients are known to have slow coronary flow based on a previous coronary angiographic examination, and 30 healthy participants with the same demographic match (age and sex) as a control group were included. Patients were classified into two groups: Group (A): Included 30 patients with a coronary slow flow. Group (B): Included 30 normal healthy adult persons served as a control group. All were assessed clinically and by radiological investigations. In addition, speckle tracking echocardiography was done for all patients.
Results: In Doppler flow measures, E wave and E/A ratio showed significantly lower values in CSFP when compared with the control group (p= 0.02, 0.003 respectively). According to tissue velocity imaging (TVI), there is a similarity between both groups without any significant difference. Speckle tracking measurements demonstrate significantly lower value in patients with CSFP than the control group (p=0.003).
Conclusion: In patients with CSF, LV systolic function detected during both conventional and tissue Doppler echocardiographic examinations was not affected, but 2D longitudinal strain demonstrated that LV systolic function was impaired. CSFP could impair LV diastolic function.
Codesign no ambiente escolar: estratégias, incremento e mensuração da criatividade
Authors: Mussi Andréa Quadrado , De Oliveira Camila Rosa , Martins Amilton , Pissolatto Neta Antinesca Joana , Isele Priscila Castioni , Batistella Larissa , Ickert Carina 
Published: June 2023

Este artigo apresenta um processo participativo com a comunidade escolar de brinquedos educativos fabricados digitalmente e uma metodologia de desenvolvimento de aulas para o desenvolvimento de habilidades cognitivas, comportamentais e mistas como a criatividade. Assim como, os resultados parciais da mensuração da criatividade a partir de uma metodologia de pré e pós teste aplicados ao longo das aulas ministrados para três turmas do primeiro, ao terceiro anos do ensino fundamental de uma escola pública, denominado Missão Maker Escolas. Aplicado em paralelo a um conjunto de aulas, denominado Missão Maker Livre. A metodologia envolve cocriação entre os saberes da arquitetura e da comunidade escolar (alunos, professores e pais), por meio da construção de brinquedos educativos, desenhos 2D e 3D, programação e eletrônica. O teste de criatividade em si é composto por peças intercambiáveis em papelão fabricadas digitalmente (tiras e canaletas) e acessórios. A avaliação é baseada em nota geral única e nota por critérios, conferido por juízes, conforme estudado, elencado e adaptado da revisão bibliográfica. Como resultado se tem a importância do aprendizado com a observação de seus pares (colegas) e do repertório relacionado a materiais, acessórios, encaixes e experiência de construção de diversos brinquedos, para ativar a criatividade da criança.
PRELIMINARY EVIDENCE AUDIT AND TAX ASSESSMENT NOTICE IN THE RESPONSIVE LAW PERSPECTIVE (Part 2 of 2)
Authors: Sinaga Henry D. P. , Hartanto Anton 
Published: June 2023

Pembentukan dan penegakan hukum dalam pemeriksaan bukti permulaan di bidang perpajakan belum mencerminkan tujuan hukum, yakni berdasarkan keadilan, kepastian hukum, dan kemanfaatan public, dan belum mencerminkan fungsi perpajakan yang utama, yakni fungsi budgeter dan fungsi mengatur. Berdasarkan metode yuridis normative dengan mempergunakan bahan hukum primer, sekunder, dan tersier, dihasilkan 2 (dua) kesimpulan. Pertama, belum terdapat peraturan perundang-undangan perpajakan ihwal penerbitan tax assessment notice dalam pemeriksaan bukti permulaan di Indonesia, sehingga mengabaikan tujuan pemungutan pajak yang harus adil, berkepastian, dan berkemanfaatan. Kedua, konsep hukum yang ideal dalam penerbitan SKP dalam pemeriksaan bukti permulaan di Indonesiapada masa yang akan datang adalah dengan menerapkan ketentuan pemeriksaan bukti permulaan yang berorientasi fungsional, pragmatik, bertujuan, dan rasional, dan kompetensi dalam pelaksanaannya.
Exploring links between toxic-environmental factors and hematologic malignancies: considerations for data-driven health decision making
Authors: Rodríguez Rose Mary Favier , Rodríguez Matos Gloritza , Chibas Muñoz Eduardo Enrique 
Published: June 2023

Introduction: some toxic-environmental factors are frequently related to malignant hematological diseases, which have increased in recent years.Objective: to describe the frequency of appearance of toxic-environmental factors in patients diagnosed with hematological neoplasms.Method: a study was conducted cross-sectional descriptive study in patients diagnosed with hematological pathologies in the year 2020, a structured interview was applied to them looking for toxic-environmental factors, occupation, contact with toxic substances, origin, drinking water, toxic habits, diet, among others. Patients who used pesticides were given a second interview that collected: the type of substance, exposure time, time since last exposure, history of poisoning, protection measures, knowledge and application of the same. Results: patients with lymphoma predominated. non-Hodgkin (25,5 %), ages between 61-80 years (50 %), farmers (31 %), rural origin (57 %), those who had contact with toxins (64,4 %). The most used toxin was pesticides, the average exposure time was 14 years, the last contact 9,2 years, protection measures are used only sometimes, their need is unknown and 90 % do not know any protection measure. Conclusions: according to the results it is necessary to create strategies to guide the population about this risk and how to modify it
Analisis pengembangan kepemimpinan pendidikan di SMP Islam Darussalam Kotagede Yogyakarta
Authors: Rahmadani Luthfi Setya , Hasibuan Anggi Hartati 
Published: June 2023

The purpose of this study is to analyze the leadership development carried out by Mr. Ussaid Uzza, S.Pd in developing his leadership as the Principal of SMP Islam Darussalam Kotagede Yogyakarta. This research uses qualitative research methods with case study shortfalls. The method of data collection uses interviews, observations and documentation. Data analysis uses data reduction, data display and drawing/verification or drawing conclusions. The results of this study explained that in developing leadership, principals participated in various activities such as the Independent Curriculum Implementation Workshop and the Principal Working Group (K3S). From the various activities that were participated in, these activities were included in leadership development through the Independet Study activity , which is an independent study activity carried out by the principal of SMP Islam Darussalam which aims to develop individual abilities in leading educational units by utilizing supporting resources such as various activities that he participates in. The advantages of independent study activities are able to improve the personality competence of the principal. The weakness of independent study is that it is only able to develop personality competencies and has not been maximized in developing managerial competencies, entrepreneurial competencies, supervisory competencies and social competencies.
Dukungan Organisasi terhadap Kinerja Anggota di Kepolisian Resort Kolaka
Authors: Brata Joko Tri , Lebang Nonia Sakka , Asnawi  
Published: June 2023

Tujuan penelitian ini adalah untuk mengetahui persepsi anggota tentang dukungan organisasi di Kepolisian Resort Kolaka. Data yang digunakan merupakan data sekunder yang diperoleh dari hasil kuesioner dan pendalaman melalui wawancara dan dianalisa dengan deskriptif kualitatif. Hasil penelitian mengambarkan bahwa dukungan yang diterima dari organisasinya berupa pelatihan, peralatan, harapan-harapan dan tim kerja yang produktif, membuat baiknya pelayanan anggota Kepolisian Resort Kolaka dalam melakukan layanan kepada masyarakat.
Analysis of Temporal Lag in the Impact of Air Quality on the Health of Children, in Barreiro
Authors: Garcia João , Cerdeira Rita , Coelho Luís 
Published: June 2023

The aim of this work was to study the impact of temporal lag between the exposition to air pollutants and the children admitted to the emergency room of Hospital Nª Srª Rosário pediatric service, in Barreiro, Portugal, with symptoms of respiratory problems. The two variables were recorded by the medical staff and by an air quality monitoring station, in the same periods. From the results, a moderate correlation between different symptoms of respiratory diseases (sdr, cough, and asthma) and pollutants was found, reaching maximum values after temporal lags of 2 to 6 days. The strongest correlation for lag 0 (consequences on the same day) rises for the symptomatology of asthma, reaching the highest values for COmax (ρ = 0.26) and COpeak (ρ = 0.25). Also, an important correlation was found for NOx, NOx med and peak NOx (ρ = 0, 21). The correlation with PM10 shows an unrepresentative value (ρ = 0.09), being negative for O3max (ρ = −0.23) and O3peak (ρ = − 0.22), as well as for SO2med (ρ = −0.12). Considering temporal lags of 1 to 8 and 15 days, overall, the maximum correlations between symptoms and NO, NO2, NOx, CO, and PM10 occur after temporal lags of 2 to 6 days, being constant or negative to SO2 and O3.
FAKTOR YANG BERHUBUNGAN DENGAN PEMANFAATAN PELAYANAN ANTENATAL CARE PADA MASA PANDEMI COVID-19 DI PUSKESMAS SETU TAHUN 2022
Authors: Tati Awalia Syifa , Sari Meliana 
Published: June 2023

Latar belakang: Angka kasus kematian ibu hamil terus meningkat pada masa pandemi COVID-19 di berbagai negara termasuk di Indonesia. Ibu hamil merupakan salah satu alah satu kelompok rentan selama Covid19, namun ditemui terjadinya penurunan kunjungan pemanfaatan pelayanan antenatal care di Puskesmas Setu.

Tujuan: Mengetahui faktor yang berhubungan dengan pemanfaatan pelayanan antenatal care. Metode: Desain penelitian menggunakan crosssectional dengan pendekatan kuantitatif. Sampel penelitian berumlah 50 orang ibu hamil trimester III pada rentang bulan Januari-Mei 2022. Teknik pengambilan sampel dilakukan dengan menggunakan total sampling. Pengambilan data menggunakan kuesioner dengan metode wawancara. Analisis data dengan analisis univariat dan bivariat.

Hasil: Ibu hamil yang memanfaatkan pelayanan antenatal care sebanyak 40 orang (80%). Faktor yang berhubungan dengan pemanfaatan pelayanan antenatal care yaitu umur (p=0,001), pendidikan (p=0,030), paritas (p=0,000), ketersediaan fasilitas kesehatan lengkap (p= 0,012), pelayanan bidan baik (p=0,021), dan kemudahan informasi baik (p= 0,001).

Kesimpulan: Faktor yang berhubungan dengan pemanfaatan ANC sebagian besar adalah kualitas layanan kesehatan.
Spatial Pattern of Stunting on Children under Five in Indonesia 2019
Authors: Tahangnacca Minsarnawati , Muntahaya Fika 
Published: June 2023

Background: The stunting countermeasures is one of the agendas in SDGs. The strategic and appropriate attempts could be planned based on the distribution of stunting and the influencing factors using a region-based data approach in accordance with the critical steps within the 2018 Global Nutrition Report.
Objective: The purpose of this study was to determine the spatial autocorrelation of stunting on children under five between districts/cities in Indonesia 2019.
Method: This research is an ecological study using a spatial approach. The data used was secondary data obtained from the study of Nutritional Status of children in 2019, with the unit of analysis for all districts/cities in Indonesia. The study was tested using the analysis of Global Moran’s I and Local Indicators of Spatial Association (LISA).
Result: The result of the analysis showed that stunting on children under five between districts/cities in Indonesia has a spatial autocorrelation with a clustered pattern (I=0.347).
Conclusion: Areas with high-high stunting patterns need to be set as priority areas for stunting reduction interventions. In addition, the formation of a Stunting Reduction Acceleration Team in these areas needs to be monitored thoroughly.
GAMBARAN PERILAKU PENCEGAHAN ANEMIA SAAT MENSTRUASI PADA MAHASISWI KESEHATAN MASYARAKAT TINGKAT 1 STIKES RAFLESIA TAHUN 2022 : STUDI KUALITATIF
Authors: Nurmadinisia Rahmi , Kanti Prasasti Arnindya 
Published: June 2023

Latar belakang: Anemia masih menjadi masalah kesehatan masyarakat dunia dengan sasaran tertinggi adalah remaja putri dan wanita usia subur (WUS). Anemia juga menjadi kejadian paling sering dialami oleh remaja putri dikarenakan remaja putri mengalami menstruasi setiap bulannya. Anemia mengakibatkan terganggunya kualitas produktivitas pada remaja putri. Sehingga diperlukan suatu perilaku pencegahan anemia yaitu perilaku konsumsi tablet tambah darah (TTD) serta pola makan gizi seimbang.
Tujuan: Penelitian ini bertujuan untuk mengetahui gambaran perilaku mahasiswi kesehatan masyarakat dalam mengkonsumsi TTD dan pola makan gizi seimbang
Metode: Jenis penelitian ini adalah metode kualitatif dengan pendekatan deskriptif. Informan ditentukan secara purposive sampling, dengan karakteristik informan utama adalah mahasiswi kesehatan masyarakat Stikes Raflesia, dan informan kunci yaitu teman sebaya serta dosen yang mengajar di Stikes Raflesia. Metode pengumpulan data dilakukan dengan cara FGD (Focus Group Discussion), Wawancara Mendalam dan Observasi. Analisis data dilakukan dengan cara reduksi data, penyajian data, dan penarikan kesimpulan, untuk uji validitas data dilakukan dengan menggunakan triangulasi sumber dan metode.
Hasil: Faktor predisposisi yang selaras dengan rendahnya perilaku (mengkonsumsi TTD dan pola makan) informan dalam mencegah anemia saat menstruasi yaitu rendahnya pengetahuan informan terkait penyebab dan dampak anemia, tidak adanya dukungan baik dari keluarga maupun teman sebaya menjadi penyebab kurangnya upaya pencegahan pada informan.
Kesimpulan: Masih rendahnya perilaku konsumsi TTD dan pola seimbang pada mahasiswa sebagai upaya pencegahan terjadinya anemia
PENGAMBILAN KEPUTUSAN VAKSINASI COVID-19 PADA IBU MENYUSUI DI WILAYAH TANGERANG PROVINSI BANTEN TAHUN 2021
Authors: Dieta Nurrika  , Dian Puspitasari Effendi  , Indania  , Dwi Pantja Wibowo  , Ela Susilawati  
Published: June 2023

Background: Breastfeeding mothers have the opportunity to vaccinate, to protect against Covid-19 infection. Sociodemographic factors, health status, perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and health motivation are important in making decisions to vaccinate for breastfeeding mothers.
Objective: This study aims to determine the association between sociodemographic characteristics, health status, perceptions of Health Belief Model (HBM) on vaccination decisions for breastfeeding mothers in the Tangerang area.
Methods: An analytical design with a cross sectional approach and a total sample of 123 respondents were used in this study in the Tangerang area.
Results: Except for the level of education of breastfeeding mothers, sociodemographic and health status factors are not associated with the decision making of Covid-19 vaccination. Based on the analysis of HBM perceptions on the perceived severity, perceived benefits, perceived barriers, cues to action and health motivation have a relationship with decision-making about Covid-19 vaccination in breastfeeding mothers.
Conclusions: In the HBM perception assessment there is a relationship between perceived severity, perceived benefits, cues to act, and health motivation with Covid-19 vaccination decision making. Likewise with negative perceptions have nothing to do with vaccine decision making, which is a strong predictor of getting the Covid-19 vaccine.
Keywords: Covid-19, decision makin, health belief model, vaccination
Penerapan Permainan Kebetok dalam Pembelajaran Matematika untuk Siswa Sekolah Dasar Katolik Waibreno
Authors: Lipat Maria Reginalis , Tukan Maria Mardiana 
Published: June 2023

Ide tentang etnomatematika berkaitan dengan matematika dan budaya. Sebagai salah satu warisan budaya yang melekat pada kehidupan keseharian siswa. Permainan tradisional dapat dijadikan sebagai media untuk mengajarkan konsep-konsep operasi hitung sederhana kepada siswa. Aktivitas siswa selama bermain akan memberikan ruang bagi anak untuk membuat kontak dengan bunyi-bunyi, simbol-simbol, dan pengertian-pengertian berkaitan dengan bilangan yang akan meningkatkan kemampuan sense of number miliknya. Rancangan suatu kegiatan pembelajaran yang dapat membantu siswa untuk belajar matematika berbasiskan budaya lokal bermediakan permainan tradisional. Dari permainan tradisional seperti kebetok dapat di terapakan oleh guru dalam proses intuisi matematika siswa dalam aturan dan kesepakatan selama proses permainan. Ciri khas dari permainan ini adalah nilai dari kedua tim selalu bertambah dan bisa dihitung berdasarkan matematis . Artikel ini bertujuan untuk menganalisi pemikiran-pemikiran matematis yang terkandung di dalam permainan tradisional (kebetok) untuk siswa di Desa Baya, Flores-NTT. Kriteria permainan kebetok adalah pada nilai yang diperolah dari kedua tim yang bergantung pada aturan kesepakatan sebelum permainan dimulai. Analisis dilakukan dengan menggunakan metode etnografi terhadap jenis permainan kebetok. Data dikumpulkan menggunakan teknik wawancara dengan beberapa guru dan siswa kelas 3 SDK Waibreno dan survey langsung. Hasil analisis menunjukkan bahwa kebetok dapat digunakan guru untuk membantu siswa belajar operasi penjumlahan dan perkalian karena dalam permainan tersebut, nilai kedua tim terus bertambah dan nilai yang diperoleh juga dari kelipatan penjumlahan sehingga bisa digunakan konsep perkalian.
Analisis Kemampuan Pemecahan Masalah Matematis Siswa Kelas VIII Berbasis TIMSS di SMP Kristen Karuni
Authors: Lika Yulita , Making Samuel Rex Mulyadi , Lede Yulius Keremata 
Published: June 2023

Tujuan dari penelitian ini adalah untuk mengetahui sejauh mana kemampuan pemecahan masalah matematis siswa kelas VIII berbasiss TIMSS di SMP Kristen Karuni tahun ajaran 2022/2023. Jenis penelitian yang digunakan dalam penelitian ini adalah kualitatif. Subjek dalam penelitian adalah siswa kelas VIII SMP Kristen Karuni dengan jumlah 24 orang. Tehnik pengumpulan data ada tes dan wawancara. Tehnik analisis data melalui tiga tahap yaitu reduksi data, penyajian data, dan penarikan kesimpulan. Hasil analisis data menunjukan bahwa presentase keseluruhan siswa yang mampu dalam menyelesaikan soal berbasis TIMSS yang ditinjau dari beberapa tahap indikator menurut Krulik dan Rudnick pada tahap membaca dan berpikir dengan persentase 31,24% kategori rendah, yang kedua yaitu indikator mengeksplorasi dan merencanakan dengan persentase 28,11% kategori rendah, yang ketiga yaitu indikator mencari jawaban dengan persentase 18,75% kategori rendah, yang keempat yaitu indikator memilih strategi dengan persentase 14,58% kategori rendah, dan yang terakhir indikator meninjau kembali dan mendiskusikan dengan persentase 1% kategori rendah.
DETERMINANTS OF THE LEVERAGE IN COMPANIES OF STATE-OWNED ENTERPRISE (SOE) LISTED ON THE INDONESIA STOCK EXCHANGE
Authors: Wahyuni Vivin Sri , Nofal Mohammad , Hatma Ramli 
Published: June 2023

This study analyzes the Determinants of Leverage of BUMN companies listed on the Indonesia Stock Exchange by testing 4 fundamental factors, namely Firm Size, Profitability, Asset Tangibility and Tobin's Q. The sample in this study is 15 BUMN companies listed on the Indonesia Stock Exchange for the period 2016-2021. Data were analyzed using panel data regression. Based on the results of the analysis, the direct effect is concluded that 1) Firm Size has a positive and significant effect on Leverage; 2) Profitability has a negative and significant effect on Leverage; 3) Asset Tangibility has a positive and significant effect on Leverage; 4) Tobin's Q has a negative and insignificant effect on Leverage; 5) Firm Size, Profitability, Asset Tangibility and Tobin's Q simultaneously have a positive and significant effect on the Leverge of BUMN companies listed on the Indonesia Stock Exchange for the 2016-2021 period.

Keywords: Leverage, Firm Size, Profitability, Asset Tangibility, Tobin's Q