bluuebunny/crossref_metadata_2025_split huggingface dataset:
Is Retrograde Pinning Reliable for Multiple Metatarsal Fractures?
Authors: ÖZDEMİR Ali , YESİL Yusuf Ziya , ÇİFTCİ Sadettin , ERAVŞAR Ebubekir , SAFALI Selim , AYDIN Bahattin Kerem 
Published: May 2023

ABSTRACT

Background: Fixation with K-wires is a commonly used method in the surgical treatment of metatarsal fractures. The application of K-wires can be antegrade and retrograde. There is a limited number of studies about the fixation of metatarsal fractures with retrograde K-wires in the literature. The present study aims to investigate the long-term results of retrograde pinning.
Methods: 14 patients with at least a four-year follow-up were included in the study. The patients' union status, demographic data, duration of surgery, duration of fluoroscopy use, metacarpophalangeal (MP) range of motion, American Orthopedic Foot and Ankle Score (AOFAS) scores, and plantar keratosis formation were evaluated.
Results: Complete union was observed in 13 of 14 patients. MP joint restriction was not found in any patient with a union. Symptomatic plantar keratosis was not observed in any patient. Good and perfect results were obtained in AOFAS scores.
Conclusion: According to the literature, retrograde pinning in metatarsal fractures is thought to be a treatment that is difficult to apply, has high radiation exposure, and complications are observed frequently. However, in this study, we believe that retrograde pinning is a treatment method with satisfactory clinical results in long-term follow-up and fewer complications than mentioned.
PETANDA PADA CERPEN ANAK "KE HUTAN" KARYA YOSEP RUSTANDI PENDEKATAN SEMIOTIK: FERDINAND DE SAUSSURE
Authors: Tanti Septiana , Khaerunnisa  
Published: May 2023

Artikel ini membahas tentang kajian semiotik Ferdinand De Saussure pada cerpen anak yang berjudul “Ke Hutan” karya Yosep Rustandi. Tujuan penelitian ini ialah mengupas penanda dan petanda pada cerpen anak “Ke Hutan” dengan studi semiotik Ferdinand De Saussure. Karena bukan hanya cerpen dewasa yang bisa dianalisis oleh pendekatan semiotik, tetapi cerpen anak juga bisa dianalisis, bahkan semua karya sastra dapat dianalisis dengan pendekatan semiotik. Penelitian ini menggunakan metode deskriptif kualitatif yang mana lebih menekankan pada makna dan diuraikan secara deskriptif. Teknik pengumpulan data pada penelitian ini adalah teknik membaca cerpen, memahami dan mencatat, seperti penelitian jenis pustaka. Hasil dan pembahasannya terdapat beberapa penanda (signifier) dan petanda (signifier) dalam cerpen anak "Ke Hutan" karya Yosep Rustandi yaitu ada 11 tanda yang dapat diamati yaitu, (1) benda untuk menunjukkan tujuan, (2) sifat tokoh Rakey, (3) nasihat kebaikan, (4) keadaan yang berlawanan, (5) latar belakang pengarang, (6) motivasi tersirat, (7) majas personifikasi, (8) solidaritas dan kebersamaan, (9) pesan moral, (10) unsur religius dan (11) kesederhanaan serta keasrian alam. Sehingga, muncul makna baru yang lebih kompleks.
Perspective of tourism in the development of communities in the province of Manabí – Ecuador
Authors: Vélez Falcones Ana Cecilia , Pérez Plaza Jorge Gonzalo , Merino Velásquez Jesús , Meneses Pantoja William Renán 
Published: May 2023

The lack of complementary alternative services to catering, the lack of knowledge of the population in the implementation of guidelines that lead to the diversification of services, and the deficient application of procedures, policies, norms in tourist activities, are factors that have affected profitability. in the economic, sustainable growth of businesses, and in the improvement of the quality of life of the population. The purpose of the research is to design a management model, for the tourist development of the Rambuche community, Canton-Jama, to arrange the articulation, community-governmental entities-market and current regulations. The investigative methodology is empirical, descriptive with a qualitative and quantitative approach. The results show that they lack complementary services to the restoration and the inhabitants require alternatives such as: accommodation, agro-ecotourism, cultural and sporting events, animation, ecotourism trails among others, for community tourism development; for which a management model has been developed to achieve the proposed objective of the investigation.
Payment behavior model for students at a private university in Peru
Authors: Villarreal Torres Henry , Ángeles Morales Julio , Marín Rodriguez William Joel , Andrade Girón Daniel , Carreño Cisneros Edgardo 
Published: May 2023

With the enactment of Law No. 29947, “Law for the Protection of the Family Economy”, students use the educational service with the payment of tuition, demonstrating a poor payment culture, failing to pay tuition until the beginning of the next semester. This motivates the university to present a state of illiquidity. The objective of the research was to develop a payment behavior classification model for students of a private university in Peru, with the purpose of predicting delinquency and compliance with payment commitments, through the implementation of strategies to improve the quality of the economic collection process. The methodology presents a research component of technological type, of propositional level, incremental innovation, the data collection was of retrospective type; with a synchronous temporal scope, because it was carried out in a short period of time, less than a year, the study population consisted of 8495 enrolled undergraduate students. The results show a classification model to predict payment behavior, using the H2O.ai platform and the R programming language, the data were obtained from computer systems, using the CRISP-DM methodology used in data science solutions. The datasets for training, validation and testing correspond to 70 %, 15 % and 15 %; obtaining the GBM Grid classification model whose performance metrics are AUC of 0,6272, AUCPR of 0,8751 and logLoss equivalent to 0,4577.
Sistem e-learning berbasis web pada SMA Negeri 1 Sungai Rumbai
Authors: Tifani Tifani 
Published: May 2023

As a high school that continues to grow in Dharmasraya, SMA Negeri 1 Sungai Rumbai is a high school located on Jalan Tuanku Kingdom Sungai Rumbai, Sungai Rumbai sub-district, Dharmasraya district, West Sumatra province, with a total of 518 students in the 2020/2021 academic year. This school is still carrying out the conventional learning process, in other words that the teaching and learning process between students and teachers can only be carried out on the condition that there is a meeting between students and teachers in the classroom. If the meeting between students and teachers does not occur, then the learning process will automatically be hampered and the limited time for teaching and learning in the classroom sometimes prevents teachers from providing all learning materials to students. This is a problem for students and teachers who want to convey in detail about the learning. To facilitate the teaching and learning process at SMA Negeri 1 Sungai Rumbai, the author wants to build a web-based electronic learning system, namely an e-learning system using a web-based programming language, PHP, and Mysql database so that students and teachers can connect to each other using the computerized learning system. .
Keywords: E-learning, Web, PHP, and MySql
SOSIALISASI MENIKAH DINI DALAM PANDANGAN ISLAM DAN DAMPAKNYA TERHADAP KESEHATAN REPRODUKSI WANITA DI DESA BALA KABUPATEN BIMA, NTB
Authors: Hajaroh Siti 
Published: May 2023

ABSTRAK
Pengabdian ini bertujuan untuk memberikan pemahaman kepada para remaja mengenai bagaimana pandangan islam tentang menikah dini dan dampak menikah dini terhadap kesehatan reproduksi wanita. Metode pelaksanaan pengabdian dilakukan melalui 3 tahapan antara lain; observasi, koordinasi dan pelaksanaan atau sosialisasi. diadakan pada tanggal 9 Juli 2021 di Masjid Al-Huda Dusun Nggeru-Desa Rada Kecamatan Bolo Kabupaten Bima yang dihadiri oleh para pemuda pemudi serta Ibu-ibu, Ketua RT, dan Pengurus Masjid Dusun Nggeru Desa Rada. Kegiatan ini berjalan dengan baik dan mendapatkan respon yang baik oleh warga setempat. Kedepan diharapkan oleh warga akan diadakan kegiatan yang sama dengan harapan dapat merubah pola piker anak muda desa Bolo Kabupaten Bima.
Asistensi Pelaporan Spt Pph Orang Pribadi Melalui E-Filling Atau E-Form
Authors: Adi Hermawansyah  , Erlin Setyaningsih  , Nuorma Wahyuni  , Surmiati  , Hasrullah  , Aditya  Pratama  , Dila Seltika Canta  
Published: May 2023

SPT Tahunan adalah surat yang digunakan untuk melaporkan penghitungan dan pembayaran pajak .SPT ini berfungsi sebagai sarana bagi masyarakat yang sudah memiliki NPWP untuk melaporkan dan mempertanggungjawabkan perhitungan jumlah pajak selama setahun terakhir.Wajib Pajak (WP) diwajibkan melaporkan SPT karena amanah dari Undang-Undang Ketentuan Umum dan Tata Cara Perpajakan (UU KUP) yang menyebutkan bahwa setiap WP diwajibkan mengisi SPT dengan benar, lengkap, dan jelas serta ditandatangani dan disampaikan ke kantor Direktorat Jenderal Pajak. Penyampaian SPT saat ini dapat dilakukan secara elektronik melalui e-filing. E filing adalah suatu cara penyampaian Surat Pemberitahuan (SPT) secara elektronik yang dilakukan secara online dan real time melalui internet pada website DJP atau Klikpajak sebagai PJAP yang ditunjuk Direktur Jenderal Pajak. Ketentuan mengenai eFiling diatur dalam Peraturan Direktur Jenderal Pajak Nomor PER-03/PJ/2015. Antusias asyarakat yang ingin menunaikan kewajiban mereka untuk mengurus perpajakan. Diberlakukannya eFiling merupakan suatu transformasi terhadap sistem administrasi perpajakan di Indonesia. Jika sebelumnya proses pelaporan pajak dilakukan dengan cara Wajib Pajak harus selalu datang ke KPP, kini wajib pajak tidak perlu lagi datang langsung ke KPP. Oleh karena itu Tim pengabdian masyarakat dari STMIK Borneo Internasional bermaksud untuk melaksanakan kegiatan Asistensi Pelaporan SPT PPH Orang Pribadi merupakan bagian kerjasama serta STMIK Borneo Internasional merupakan mitra relawan pajak
Introduction of the European Union case definitions to primary care physicians has improved the quality of communicable diseases notification in Tuzla, Bosnia and Herzegovina
Authors: Rusnak Martin , Duric Predrag , Jakubcova Denisa , Rusnakovarusnakm@truni.sk Viera , Obradovic-Balihodzic Amina 
Published: May 2023

Aim: The Public Health Reform II project was implemented in Bosnia and Herzegovina from December 2011 to December 2013 and was funded by the European Union Aid schema. The principal aim of the project was to strengthen public health services in the country through improved control of public health threats. Workshops for primary care physicians were provided to improve the situation and increase communicable diseases notification rates in eight selected primary care centres. They were followed with visits from the project’s implementing team to verify the effects of trainings.
Methods: The quality of notifications from physicians in Tuzla region was compared before and after the workshop. The timeliness was used as an indicator of quality. Medians of timeliness before and after the training were compared by use of Wilcoxon test, whereas the averages of timeliness were compared by use of the t-test.
Results: There were 980 reported cases, 80% before the training and 20% after the training. A lower median of timeliness for all the reported cases after the training was statistically significant compared to the median value before the training. A similar picture was revealed for specific diseases i.e. tuberculosis and enteritis, not so for scarlet fever and scabies.
Conclusion: The significant reduction in time response between the first symptoms and disease diagnosis indicates the positive impact of the training program in Tuzla. Hence, primary care physicians provided better quality of reported data after the training course.
Evaluation of an implementation strategy for a World Health Organization (WHO) public health report: The implementation of the International Perspectives on Spinal Cord Injury (IPSCI) in Romania
Authors: Groote Per M. von , Skempes Dimitrios , E. Bickenbach Jerome 
Published: May 2023

Aim: This paper aims to evaluate a strategy for the implementation of public health policy recommendations from the World Health Organization’s (WHO) report “International Perspectives on Spinal Cord Injury” in Romania. More specifically, it seeks to: a) evaluate implementation actions with a focus on a number of people reached and status of completion at 12 months follow-up; b) describe implementation activities undertaken in the course of one year, and; c) evaluate perceived barriers and facilitators of implementation at 12 months follow-up.
Methods: A cross-sectional design was adopted with two surveys administered in 2014/15 among key implementers in Romania. The questionnaires contained open-ended, multiple choice and 5-point Likert scale questions. Results on the implementation status, implementation activities performed and self-reported barriers and facilitators were analysed and reported using descriptive statistics.
Results: Implementation completion rate was 75%, with 4390 persons directly or indirectly benefiting from the implementation-related activities listed in the final implementation plan reporting. A broad range of implementation experiences was reported. Most common activity types were delivery of services, technical trainings, implementation coordination and development meetings. Most useful tools and processes were the Romanian language version summary of the report, educational meetings, and local consensuses processes. Reported outcomes included the direct output produced, evidence of services provided, and individual or organizational level impact. Most barriers were named for the policymakers and academia as stakeholder groups and most facilitating influences for the private sector, with dependence of policymakers on constituency interest scoring highest barrier and the general availability of European Commission and European Structural Funds highest facilitator.
Conclusion: The surveys proved to be both feasible and useful tools to expand our understanding of implementation and to supplement the more standard used implementation strategies at country level.
From their own words: An explorative qualitative study on the experience of combatants disabled in the Liberian civil war,1989-2003
Authors: P. Taylor Aloysius 
Published: May 2023

Aim:To explore the experience of fighters disabled during the Liberian civil war; what they did and what was done to them; and what happened after their demobilization.
Methods:Six focus group discussions were organized in Monrovia, the capital of Liberia, with 50 invalid veterans aged 10 to 25 at their entrance into the war and eightwomen wounded, although civilians, sampled as in convenience. In addition,sevenkey-informant interviews took place. All encounters were agreeably taped, transcribed and summarized under the items of the discussion guide.
Results:Most ex-combatants joined the fighting to protect themselves and their families who were targeted by rebel fighters or joined to revenge the killing of close family members by fighters from all sides including government soldiers. Nearly all the former fighters interviewed expressed their desire to be trained in various areas of life skills. A vast majority of the ex-combatants are living from begging in the streets.Those from factions feel that government cares for former regular soldiers and discriminates those from other warring factions. The lack of housing for ex-combatants with war related infirmities is of paramount concern to them. They feel that the post-war reintegration program did not achieve its objectives. In the communities, they are stigmatized, blamed as the ones who brought suffering to their own people. The key informants are calling for establishment of trust fund for survivors of the civil war who are disabled.
Recommendations: Establishment of a trust fund for survivors of the civil war who are disabled; reform of the National Bureau of Veteran Affairs to include the disabled ex-combatants of all former warring factions; erection as planned of the proposed Veterans Hospital; a national census of disabled ex-combatants and war victims.
Global health in transition: The coming of neoliberalism
Authors: Marstein Egil , Babich Suzanne M. 
Published: May 2023

Global health as a transnational, intergovernmental, value-based initiative led by the World Health Organization (WHO), working toward improving health and achieving equity in health for all people worldwide, has for years yielded to a growing reliance on corporate-led solutions. Private organizations, non-governmental organizations (NGO), religious and other philanthropic and charitable organizations, increasingly serve a dominant role in setting the global health agenda. Short-term success in combating epidemics and in the provision of funding for project-based initiatives appeals to supporters of marketization of health services. For 30 years, a neoliberal paradigm has dominated the international political economy and hence the governance of global health. A utilitarian logic or the ethics of consequentialism have attained prominence under such banners as effective altruism or venture philanthropy. This contrasts with the merits and relevance of deontological ethics in which rules and moral duty are central. This paper seeks to explain how neo-liberalism became a governing precept and paradigm for global health governance. A priority is to unmask terms and precepts serving as ethos or moral character for corporate actions that benefit vested stakeholders.
Does health sector aid matter? Evidence from time-series data analysis in Ethiopia
Authors: Gutema Keneni , Mariam Damen Haile 
Published: May 2023

Aims: Development assistance for health is an important part of financing health care in developing countries. In spite of the increasing volumes in absolute terms in development assistance for health, there are controversies on their effect on health outcomes. Therefore, this study aims to analyze the effect of development assistance for health on health status in Ethiopia.
Methods: Using dynamic time series analytic approach for the period 1978-2013, this paper examines whether development assistance for health has contributed for health status change in Ethiopia. While life expectancy at birth was used as a measure of health status, vector error correction model was used for the analysis.
Results: Development assistance for health expenditure (lagged one and two years) had a significant positive effect on life expectancy at birth in Ethiopia. Other things being equal, a 1% increase in per capita development assistance for health leads to 0.026 years improvement in life expectancy at birth (P<0.001) in the immediate year following the period of assistance, and 0.008 years (P=0.025) in the immediate two years following the provision of assistance.
Conclusion: This study indicates that, seemingly, development assistance for health has significant favourable effect in improving health status in Ethiopia. The policy implication of this finding is development assistance for the health should continue as an interim means to an end.
Geriatric curriculum at faculties of medicine in Indonesia
Authors: Surjadi Charles , Jani Dwi , Langoday UrsulaYunita 
Published: May 2023

Aim: In Indonesia, the elderly population is growing rapidly and will comprise 35 million in 2035. The aim of this study was to assess how geriatric training is organised in medical faculties in Indonesia.
Methods: In 2017, we asked through questionnaires the vice deans of the faculties of medicine about their perceptions towards health and ageing and how they organized the geriatric training in their respective schools. Overall, we obtained data from 32 out of 71 (45.1%) faculties of medicine.
Results: All respondents perceived geriatrics as an important issue for faculties of medicine. Only 12 (37.5%) faculties employ geriatric specialists, 28 (87.5%) teach geriatrics at the undergraduate level, and 12 (40.6%) at postgraduate level, whereas 4 (12.5%) universities teach at specialty level. Conversely, at undergraduate level, only 18 (64.2%) faculties include the ‘geriatric giants’, and 5 (17.8%) include ageism. There are 13 (46.4%) geriatric classes implemented through skill laboratories, 5 (17.8%) through geriatric policlinics, and 4 (14.3%) through geriatric wards.
Conclusion: Attention to geriatric training among medical schools in Indonesia has to be improved. At national level, there should be a more specific formulation of geriatric competencies and how they can be operationalised. Geriatric training is recommended to prepare lecturers in medical faculties. Related to the content of aging curriculum, geriatric issues, attitudes towards aging, and ageism should be addressed.
Leadership competencies among male health professionals in a Western Balkan country
Authors: Caushaj Klevis , Czabanowska Katarzyna , Roshi Enver , Muja Herion 
Published: May 2023

Aim: Our objective was to assess the current and the required level of leadership competencies among male health professionals in Albania, a country which is characterized by an intensive process of emigration of the health workforce in the past few decades.
Methods: This was a cross-sectional study carried out in Albania in June-November 2018 including a nationwide representative sample of 132 male health professionals working at different health institutions at both central and local level in Albania (mean age: 41.4±10.1 years; overall response rate: 88%). A structured 52-item questionnaire was administered to all male health professionals aiming at self-assessing the current level and the required (necessary) level of leadership competencies for their actual job positions. Answers for each item of the instrument ranged from 1 (“minimal competency level”) to 5 (“maximal competency level”). An overall summary score (range: 52-260) and a subscale summary score for each domain were calculated for both the current and the required leadership competency levels. Paired sample t-test was used to compare the overall mean scores and the subscale mean scores of the current level and the required level of leadership competencies among male health professionals.
Results: Mean value of the overall summary score of the instrument was lower for the current leadership competency level compared with the required leadership competency level (137.6±8.7 vs. 140.7±21.2, respectively; P=0.02). Mean difference between the required and the current level of leadership competencies was higher for male health professionals working in top managerial positions and those working in urban areas of Albania.
Conclusion: This study informs about the current and the required level of leadership competencies among male health professionals in Albania, a transitional country in the Western Balkans. Policymakers and decision-makers in Albania and other countries in the European region should be aware of the existing gap between the required and the current level of leadership competencies among health professionals operating at all levels.