bluuebunny/crossref_metadata_2025_split huggingface dataset:
Data for local decision-making, not a mere reporting requirement: development of an index to measure facility-level use of HMIS data
Authors: Qian Jiage , Shiferaw Solomon , Seme Assefa , Esmale Ousman E. , Denboba Wubshet , Stierman Elizabeth , Zimmerman Linnea , Creanga Andreea A. 
Published: May 2023

Background Well-functioning health management information systems (HMIS) enable decision-making at all health system levels. This study develops an index to measure the use of HMIS data at the facility level. Methods We used two rounds of cross-sectional data collected from 305 health facilities in Ethiopia in 2019 (pre-COVID-19) and 2020 (post-COVID-19). We constructed a summative, 10-item index using exploratory factor analysis and 2019 index development data; and used Cronbach’s alpha to assess reliability. To examine content validity, we mapped items against a previously published conceptual framework and consulted Ethiopian experts. We then employed one-way ANOVA and t-tests comparing the mean index scores overall and by key facility characteristics between 2019 and 2020. Results The 10-item index loaded on one factor (Cronbach’s alpha=0.74), and the index scores did not differ significantly by facility characteristics in 2019. The mean index score increased from 7.2 in 2019 to 7.9 in 2020 (P<0.01). During this period, more facilities received feedback on HMIS reports from facility leadership (19.3% difference); received actionable recommendations on performance targets and resource allocation (7.5% and 12.3% difference, respectively); and reviewed maternal deaths (15.1% difference); conversely, the proportion of facilities that held participatory performance review meetings monthly or more often decreased by 13.8% (all P <0.05). Conclusions We propose a facility-level HMIS data use index and document an upward trend in HMIS data use in Ethiopia immediately after the COVID-19 pandemic was declared. Future research should further evaluate and refine the proposed index to support the measurement of HMIS data quality and utilization in Ethiopia and like settings.
Pengaruh Motivasi Dan Lingkungan Kerja Terhadap Kinerja Pegawai Di Badan Keuangan Daerah Kabupaten Buton Selatan
Authors: Kasmaludin Kasmaludin , Muh Basir Askal , Junaid Gazalin 
Published: May 2023

Badan Keuangan Daerah Kabupaten Buton Selatan merupakan Badan yang mengacu pada peningkatan sumber daya manusia. Oleh karena itu, para pegawai diwajibkan mempunyai kinerja yang dapat membantu tujuan dari Badan Keuangan Kabupaten Buton Selatan.Penelitian ini bertujuan untuk mengetahui Pengaruh Motivasi dan Lingkkungan Kerja Terhadap Kinerja Pegawai di Badan Keuangan Daerah Kabupaten Buton Selatan. Jenis penelitian yang digunakan dalam penelitian ini adalah penelitian Kuantitatif dengan menggunakan pendekatan asosiatif. Metode pemilihan sampel dalam penellitian ini menggunakan jenis Probability Sampling. Teknik analisis data menggunakan, uji validasi, uji rehabilitas, uji normalitas, uji regresi linear berganda, uji t, uji koefisien determinan. Hasil penelitian ini menunjukan bahwa 1) Motivasi dan lingkungan kerja berpengaruh secara simultan terhadap kinerja pegawai. 2) Motivasi berpengaruh positif dan signifikan terhadap kinerja pegawai.3) Lingkungan kerja memiliki pengaruh positif dan signifikan terhadap kienrja pegawai. Kesimpulan dari penelitian ini yaitu ada pengaruh antara Motivasi dan Linkungan Kerja terhadap Kinerja Pegawai di Badan Keuangan Daerah Kabupaten Buton Selatan.
Efektivitas Sistem Transaksi Non Tunai dalam Layanan Parawisata di Kabupaten Sinjai
Authors: Salman Salman , Arifin Zulkifli , Hasdinawati Hasdinawati 
Published: May 2023

Penelitian ini bertujuan untuk mengetahui efektivitas sistem transaksi non tunai dalam layanan pariwisata di Kabupaten Sinjai. Metode penelitian adalah penelitian deskriptif kualitatif, teknik pengumpulan data dilakukan melalui observasi, wawancara dan dokumentasi. Teknik analisis data dilakukan dengan cara pengumpulan data, reduksi data, penyajian data dan penarikan kesimpulan.
Temuan penelitian menunjukkan bahwa Efektivitas Sistem transaksi non tunai dalam layanan pariwisata didapatkan bahwa belum efektif mulai dari Kejelasan tujuan yang hendak dicapai, Kejelasan strategi pencapaian tujuan, Perencanaan yang matang, Penyusunan program yang tepat, Tersedianya sarana dan prasarana serta Sistem pengawasan dan pengendalian. Pelaksanaan transaksi non tunai ini belum efektif dalam pelaksanaannya karena masih dalam proses migrasi dari tunai ke non tunai sehingga belum efektif karena belum semua masyarakat mengetahui dan punya aplikasi di Hpnya masing-masing hanya masih ada beberapa orang yang mansetnya uang harus dipegang atau yang ada memang aksesnya susah untuk layanan digital seperti hp, jaringan dan aplikasi dan terkendala dari kurangnya sumber daya manusia, kurangnya sosialisasi serta petugas dan pengunjung belum paham penggunaan transaksi non tunai.
Luaran kajian disarankan agar penerapan transaksi non tunai pada layanan pariwisata dapat memberikan layanan yang prima kepada pengunjung, baiknya Dinas Pariwisata dan Kebudayaan dapat melakukan tindakan dengan melakukan kerjasama dengan pihak provider dalam pembuatan tower atau penambahan fasilitas lainnya yang berguna dalam menunjang peningkatan jangkauan sinyal sehingga permasalahan yang muncul diakibatkan keterbatasan sinyal dapat teratasi serta mengadakan pelatihan dalam rangka upgrading untuk peningkatan sumber daya manusia.
Pengaruh Pemberian Kinesiotaping Terhadap Penurunan Nyeri Pergelangan Tangan Pada Pasien Dengan CTS Di RSK Mojowarno Jombang
Authors: Widyanti Binarti , Fariz Achmad , Kusuma Wahyu Teja , Sartoyo Sartoyo 
Published: May 2023

Objective: CTS is a sensory and motor problem in the hands and fingers that are innervated by the median nerve. The purpose of this research is to determine the effect of kinesiotaping on reducing wrist pain in patients with CTS at Mojowarno Hospital Jombang Methods: This study used a quasi-experimental design with a one-group pre-post test design approach, with a total sample of 30 respondents using a purposive sampling technique, and a statistical test using Wilcoxon with a significance level of α <0.05. Result: From the results of the Wilcoxon statistical test, a significance value (ρ) of 0.000 was obtained, thus H0 was rejected, which means that there was an effect of kinesiotaping on reducing wrist pain in patients with CTS at Mojowarno Hospital, Jombang Conclusion : Provision of kinesiotaping therapy is effective in reducing pain that focuses on the wrist as occurs in CTS patients
Hubungan Fleksibilitas Otot Hamstring Dengan Nyeri Punggung Bawah Pada Pasien Poli Fisioterapi Di Rumah Sakt Petrokimia Gresik
Authors: Yudhaningrum Heppy Romadhani , Pradita Angria , Endaryanto Agung Hadi , Hargiani Fransisca Xaveria 
Published: May 2023

ABSTRACTHeppy Romdhani Yudhaningrumi, 2022, The Relationship Of Hamstring Muscle Flexibility With Lower Back Pain Patients In Poly Physiotherapy Petrokimia Gresik Hospital, Angria Pradita (Pembimbing I), Agung Hadi E (Pembimbing II) Low back pain which is one of the musculoskeletal disorders is an accumulation of pain in the context of work and clinically may be caused by work or can be exacerbated by work activities. This condition hampers people's ability to perform various types of work inside or outside the home and interferes with mobility. The risk of low back pain is related to the lack of hamstring flexibility which causes susceptibility to musculoskeletal injury. This study aims to identify the relationship between hamstring muscle flexibility and low back pain.This study has 40 respondents. The design of this study uses a type of correlation with a cross sectional approach. Bivariate analysis in this study used Kendall's Tau.The results of this study are that most of the flexibility of the hamstring muscle is below the average of 62.5%, most of the respondents' low back pain is mild pain of 62.5%, and there is a relationship between hamstring muscle flexibility and low back pain in Physiotherapy Poly at the Petrokimia Gresik Hospital with p-value = 0.000 (p<0.05).This research is expected to be input for additional information based on data and theory to improve the quality of physiotherapy services by educating the public about how to maintain hamstring muscle flexibility and handling low back pain correctly. Keyword: hamstring muscle flexibility, low back pain, physiotherapy
Pengaruh Pemberian Sensori Integrasi Terhadap Perubahan Motorik Kasar Anak Pada Anak Hiperaktif Di Klinik Tumbuh Kembang Anak Yamet Cabang Surabaya Timur
Authors: Sholeha Jamilatus , Pradita Angria , Sartoyo Sartoyo , Halimah Nurul 
Published: May 2023

Objective: Hyperactivity is a condition that causes children to be less focused, easily distracted by the environment, impulsivity and over activity. At toddler age it is usually followed by delays in gross motor development due to lack of motion control and causing lots of unnecessary movements. Sensory Integration is a method of processing information obtained through some human senses in auditory, visual, tactile, as well as vestibular and proprioceptive forms that are transmitted to the brain.. Methods: This research has 15 respondents using purposive sampling. The research design uses a quas type with a one group pretest and posttest approach.Results: The result in this study, there was an effect of sensory integration on gross motor changes at the yamet child development center east surabaya branch with a p-value = 0.001 (p<0.05).Conclusion: 1. Most respondents scored FEAS value before the provision of sensory integration, namely a value of 0, which means that they have not been able to make movements as many as 12 respondents.2. Most respondents scored FEAS after sensory integration, namely a value of 1 which means that they can make occasional movements and a value of 2 which means that they can consistently perform movements as many as 7 respondents each.3. There was a sensory effect of integration on gross motor changes in hyperactiv children at the Yamet child development clinic, East Surabaya branch, with a Wilcoxon significance of 0.001<α (α=0.05).
Нашему образованию нужен косметический ремонт или полная реконструкция?
Authors: Донских О.А. 
Published: May 2023

В статье на ряде примеров показано, что ключевые решения в рамках российской системы образования принимаются не на основе четко заданной концепции, а обусловлены требованиями текущей ситуации. Соответственно, то, что называется «реформой образования», по сути таковой не являлось, поскольку при введении тех или иных инноваций не определялись ни исходные параметры, ни предполагаемый результат. В настоящее время обсуждается возврат к четким принципам отечественной системы образования – всеобщему школьному образованию, фундаментальности, традициям преподавания естественнонаучных дисциплин и математики. В то же время остаются без внимания такие серьезные проблемы, как перегрузка преподавателей; экономо- и клиентоориентированность; не апробированный, но ускоренный переход к дистанционному обучению; повсеместное внедрение технологий, облегчающих учебный процесс; обусловленная ЕГЭ замена нормального школьного процесса обучения репетиторством; серьезные методико-педагогические трудности, связанные с «инфодемией», и др. Необходимы не спорадические рефлективные меры, а действительная реконструкция системы образования.
Affirmative Action: Studi Tentang Keterlibatan Perempuan Dalam Partai Golongan Karya di Kabupaten Magetan
Authors: Fernandez Frederik , Darsono Darsono , Sulistyani Utami 
Published: May 2023

This study aims to describe the principles of justice applied to women in political activities. It also describes the process of cadre of women to be actively involved in political activities through leadership training. Also observe deeply the partiality of women in institutional affirmative action. Describe the various concrete experiences experienced by women in their political activities and what the party has done in preparing female cadres in the DPD Golkar Party, Kabupaten Magetan. Using the descriptive-qualitative method, this study found the active dynamics of women in the management of the Golkar Party in Kabupaten Magetan , East Java. Although there were various obstacles faced by female cadres in participating, the Golkar Party as a mature organization is ready to educate its female cadres to participate equally with men. Likewise, there is no difference in treatment in providing an opportunity for opinion and position in the activities of the Golkar Party organization in Kabupaten Magetan, East Java. Keywords: Affirmative action, Women's politics, Golkar Party
IMPLEMENTASI METODE AHP UNTUK MEMILIH KENDARAAN RODA EMPAT
Authors: Oktaria Intan , Ikhsan Fathurrahman Kurniawan 
Published: May 2023

Memiliki kendaraan roda empat merupakan kebutuhan mendasar para pengguna jalan hal ini dikarenakan lalu lintas mobile yang mengharuskan para pengguna jalan berpacu mengejar waktu demi kepentingan dan kebutuhan pengguna jalan itu sendiri. Untuk memiliki kendaraan roda empat yang sesuai dengan kebutuhan pengguna, pengguna cenderung membanding-bandingkan beberapa hal dari kendaraan satu dengan kendaraan lainnya seperti harga kendaraan, efisiensi keiritan bahan bakar, fitur kendaraan, kehandalan mesin, dan juga tipe kendaraan tersebut. Untuk mengatasi permasalahan itu pengguna dapat membandingkan langsung hal-hal tersebut agar nantinya pengguna tidak mengalami kebingungan dalam memilih kendaraan. Metode yang dapat digunakan untuk menentukan kendaraan roda empat yang sesuai dengan kebutuhan dan budjet masyarakat yakni salah satunya dengan menggunakan metode Analityc Hierarchy Process (AHP). Metode AHP merupakan metode sistem pengambil keputusan yang menggunakan tingkatan hierarcy dalam mengatasi permasalahan yang kompleks yang membutuhkan keakuratan dan keefiensi dalam merencanakannya. Berdasarkan hasil pengujian metode menunjukan hasil yang signifikan, dalam hal ini Honda Brio lah yang paling layak untuk digunakan oleh masyarakat.
Development of Cork-Bamboo-Latex as An Alternative Composite for Bottles Stoppers
Authors: Soares Brito Alice , Chagas Leonardo Nader , Vicente Juarez , Moreira Ana Paula Duarte , Meleiro Cristiane Hess de Azevedo , Corrêa Harrison Lourenço , Do Nascimento Alexandre Miguel , Nunes Oliveira Renata 
Published: May 2023

Agglomerated cork composites production has been arising as an alternative eco-friendly to cork stoppers use and attracts interest to create sustainable products and materials. A cork-bamboo-latex composite was developed by compression-molding and the interaction between three composite interfaces as well as their mechanical properties were evaluated by density measure, immersion test, FTIR, compression test, and microbial analysis aiming to produce an alternative material to wine closures. The results obtained were compared between the composite produced and the commercial agglomerated cork stoppers. It was possible to observe that the cork-bamboo-latex composite produced exhibited a good adhesion of all components and similar characteristics. However, it presented a slight increase in the density (from 0.37 g/cm3 to 0.65 g/cm3) and Young's modulus (from 0.033 MPa to 0.037 MPa) producing a stiffer material mainly due to bamboo presence. The migration of the stopper components (cork, bamboo, or latex) for the wine was not detected, as well as there was no visible interaction between wine and composite. In this work, the cork-bamboo-latex stopper fabricated presents a potential application as an alternative material to wine stoppers and stimulates the production of a sustainable material.
Traumatic Perforation – Etiology, Outcome and Factors Affecting the Outcome
Authors: Roshan Acharya  , Bishow Tulachan  , Anup Acharya  , Anuj Devkota  
Published: May 2023

INTRODUCTION
Traumatic tympanic membrane perforation is the most common type of trauma – induced otologic dysfunction. The study is aimed to evaluate factors affecting healing of truamatic tympanic membrane perforation after 12 weeks.
MATERIAL AND METHODS
A prospective observational study conducted at UCMS, Bhairahawa, Nepal. Sixty patients with traumatic tympanic membrane perforation were evaluated on the basis of causes of trauma, symptoms, otoscopic examination, size of perforation and other factors affecting the outcome of perforation. Healing status of tympanic membrane was assessed 12-week post injury.
RESULTS
The age of the patients ranged from 4-79 years with mean age (years) of 27.84 ± 13.16. Otalgia was seen in 36 (60%) followed by hearing loss 21 (35%) and least common was vertigo 2 (3%). Most common etiology for injury was ‘Slap’(30%) followed by fall injury and physical assault excluding slap with each comprising 16%. Number of patients with small, medium and large perforations were 27 (45%), 21 (35%) and 12 (20%) respectively.

After 12 weeks, 46 (77%) cases had healed perforation with best healing seen in younger patients having age group 11-40 years (26.28±13.5) and least in age group >60 years (52±25.11 ) with p value of 0.01. 97% cases of smaller perforation had healed tympanic membrane whereas in larger perforation healing was observed in only 42 % cases.
CONCLUSION
Age, size of perforation, types of traumas have signiﬁcant effect on outcomes of spontaneous healing. With cautious care and
strong aural precautions, the prognosis of tympanic membrane perforation spontaneous healing is favourable.
Evaluation and Comparison of the Accuracy and Efﬁcacy of Alvarado and Appendicitis Inﬂammatory Response Scoring in Acute Appendicitis
Authors: Santosh Mishra  , Archan Ghimire  , Rajesh Poudel  , Sagun Thapa  , Sanjay Shrestha  , Pradip Chhetri  
Published: May 2023

INTRODUCTION
Acute appendicitis (AA) is one of the most common causes of acute abdominal pain. Early surgery for acute appendicitis may lead to inadequate evaluation of differential diagnoses of acute abdominal pain and increases the chances of negative appendectomy, whereas delaying it leads to potential complications. Appendicitis inﬂammatory response (AIR) score, has been created to overcome shortcomings of the Alvarado score. In this, a mathematical model focused on detecting perforated appendicitis has been used. Unlike previously reported scores, this included C-reactive protein (CRP), which had been previously reported to have high accuracy in discriminating between simple and advanced acute appendicitis.
MATERIAL AND METHODS
Observational Cross sectional study was done in all patients admitted to UCMS hospital diagnosed to have acute appendicitis from October 2019 to March 2021. The primary objective was to determine if use of Appendicitis Inﬂammatory Response Score is better suited for planning management of patients with acute appendicitis. Comparison between groups was done with one-way Analysis of Variance (ANOVA). Receiver Operating Curve (ROC) was used to identify whether Appendicitis inﬂam- matory response (AIR) score or Alvarado score was good predictor of acute appendicitis. Sensitivity, Speciﬁcity and Area under Curve (AUC) was used as indicators to predict the acute appendicitis.
RESULTS
In our study, the sensitivity of Appendicitis inﬂammatory response (AIR) score is high (85.4%) as compared to 82.3% of Alvarado score.
CONCLUSION
We concluded that Appendicitis inﬂammatory response (AIR) score is more reliable scoring system for the diagnosis of acute appendicitis and its use can be justiﬁed over the pre-existing Alvarado scoring.
Features of the COVID-19 Epidemic Process in Each of the of the Five Waves of Morbidity in Russia
Authors: Karpova L. S. , Komissarov A. B. , Stolyarov K. A. , Popovtseva N. M. , Stolyarova T. P. , Pelikh M. Yu. , Lioznov D. A. 
Published: May 2023

Aim. To assess the intensity of the epidemic process in each of the five waves of COVID-19 in Russia.Materials and methods. The data on morbidity, hospitalization and deaths from COVID-19 of the population as a whole and by age groups from 48 (in the I rise) to 54 cities (in the V wave) and data from the website of the Russian consortium for sequencing coronavirus genomes were analyzed.Results. The nature of the course of the first 5 waves in the incidence of COVID-19 in Russia remains undulating. The waves in morbidity began in megacities, and the direction of spread across the FD differed in different waves of morbidity. The results of gene sequencing showed the participation of the main genovariants of the coronavirus in the etiology of diseases up to 3-4 waves. Some genovariants identified earlier received maximum distribution in the following wave. In Russia, the European descendants of the Wuhan strain (74.4%) were dominant in the I wave in morbidity, in the II wave – its daughter genovariants (68.5%), in the III – AY.122 (80.1%), in the IV – AY.122 (84.7%) and in the V wave – Omicron (76.7%).Conclusions. The features of each wave in the incidence of COVID-19 depended on the properties of the dominant genovariants: their ability to transmit from person to person and virulence. The rate of spread of the epidemic by FD, the susceptibility of all age groups and the intensity of epidemics were maximal during the period of the V wave in morbidity with the Omicron gene variant. Mortality was minimal in the I wave of morbidity, maximal in the IV with AY.122 strains and low in the V wave with Omicron genovariants. The influence of the season of the year was manifested in the summer season by an increase in the incidence of COVID-19 earlier in the Russian Federation as a whole (immediately after megacities) than in most federal districts, but with a lower incidence.
PENYULUHAN DAN PELATIHAN FISIOTERAPI PADA OSTEOARTHRITIS KNEE BILATERAL DENGAN INTERVENSI EXERCISE THERAPY PADA KOMUNITAS LANSIA DI KLINIK PRATAMA AISYIYAH WI
Authors: Susanti Nur , Hermawan Agung , Riyanto Riyanto , Sari Atikah 
Published: May 2023

<p style="text-align: justify;">Seiring bertambahnya usia, seseorang akan mengalami berbagai kemunduran atau perubahan pada tubuh, otot, tulang, dan berbagai sistem tubuh. Kemunduran atau perubahan pada tubuh ini akan menimbulkan banyak keluhan bahkan mengganggu aktivitas fungsional sehari-hari. Pada usia 50-60 tahun (lansia), lansia mengalami keluhan gangguan muskuloskeletal, nyeri lutut. Dari proses observasi dan hasil wawancara dengan mahasiswa fisioterapi dan Dosen Program Studi Fisioterapi Fakultas Ilmu Kesehatan Universitas Pekalongan di komunitas lansia PCA Wiradesa diperoleh informasi bahwa 25% masyarakat pada komunitas lansia di PCA Wiradesa mengalami nyeri lutut dan belum pernah mengalami nyeri lutut. Oleh karena itu, mahasiswa fisioterapi dan dosen Program Studi D-III Fisioterapi berencana untuk memberikan penyuluhan dan pelatihan tentang cara mengobati nyeri lutut dengan <em>free active exercise</em>, <em>quadriceps setting exercise</em> dan <em>calf stretch</em>. Tujuan kegiatan ini untuk meningkatkan pengetahuan dan pemahaman kader dan lansia tentang peran fisioterapi pada lansia khususnya untuk mengurangi keluhan nyeri lutut yaitu <em>free active exercise, quadriceps setting exercise</em> dan <em>calf stretch</em>. Sebelum dan sesudah penyuluhan, lansia diberikan pre-test dan post-test untuk mengetahui pengetahuan lansia tentang terapi latihan. Hasil data pre-test dan post-test menyimpulkan bahwa peningkatan pengetahuan lansia yang signifikan tentang keluhan nyeri lutut dan cara mengatasinya adalah dengan terapi latihan. Setelah dilakukan penyuluhan dan pelatihan ternyata peserta lebih mengetahui tentang keluhan nyeri lutut dan cara penanganannya, hal tersebut sesuai dengan pertanyaan yang telah dijawab yaitu : pada pre test point 7 hasilnya YA 0. Sedangkan pada post test point 6 terjadi peningkatan YA 12.</p><p style="text-align: justify;">Kata kunci: osteoarthritis, exercise therapy</p>