bluuebunny/crossref_metadata_2025_split huggingface dataset:
PERAN SEKOLAH RELAWAN TERHADAP PEMBERDAYAAN MASYARAKAT MELALUI PROGRAM NAIK PANGKAT
Authors: Masrika Dini Masrika*, Muhtadi , Muhtadi Muhtadi 
Published: February 2023

AbstractTo improve the welfare of life or improve the economy and decrease the impact of poverty, Volunteer School has a Promotion Program by facilitating business needs and finances, such as trading and selling. The Promotion Program can help the people who are caught in debt by giving support and capital for businesses by increasing skill to be able to do the business by themselves that will encourage them to be independent. The research aims to know the role of the Volunteer School in the Promotion Program in the institution of the Volunteer School, BejiDepok and to find out the result of the Promotion Program in empowering the poor. The approach used in this research is a qualitative with descriptive type. The data collection techniques used are: observation, interview, and documentation study. The result of the empowerment carried out by the Volunteer School through the Promotion Program is the program of empowering community to improve the level and standard of life for the poor family by providing capital support for trading and small business (entrepreneurship) as well as mentoring the family to be independent. The Promotion Program can be given to those who have traded with the equipment and materials they have, therefore, they can sell with much better equipment and materials.Keywords: role; volunteer school; promotion programAbstrakUntuk meningkatkan kesejahteraan hidup atau meningkatkan ekonomi dan mengurangi dampak kemiskinan, Sekolah Relawan mempunyai Program Naik Pangkat dengan memfasilitasi kebutuhan dan keuangan dengan cara usaha, seperti berdagang dan berjualan. Program Naik Pangkat dapat membantu masyarakat yang terjerat hutang dengan memberikan support dan modal untuk usaha dengan peningkatan skill untuk bisa berusaha dengan sendirinya yang akan mendorong diri untuk menjadi mandiri. Penelitian ini bertujuan untuk mengetahui peran Sekolah Relawan dalam Program Naik Pangkat di Lembaga Sekolah Relawan Beji Depok dan mengetahui hasil dari Program Naik Pangkat dalam pemberdayaan masyarakat fakir miskin. Dalampenelitianini, pendekatanyang digunakan adalah pendekatan penelitian kualitatif dengan jenis penelitian deskriptif. Adapun teknik pengumpulan data yang digunakan, yaitu: observasi, wawancara, dan studi dokumentasi. Hasil pemberdayan yang dilakukan oleh Sekolah Relawan melalui Program Naik Pangkat, ialah program pemberdayaan masyarakat untuk meningkatkan derajat dan taraf hidup keluarga dhuafa dengan memberikan bantuan modal dagang/usaha kecil (wirausaha) serta pendampingan sampai keluarga penerima manfaat mandiri. Naik Pangkat dapat diberikan pada mereka yang sudah berdagang dengan perlengkapan dan bahan seadanya sehingga mereka mampu berjualan dengan perlengkapan dan bahan yang jauh lebih baik.Kata kunci: peran; sekolah relawan; progam naik pangkat
PERAN KEPEMIMPINAN TOKOH INFORMAL TERHADAP KEMANDIRIAN KELOMPOK TANI HUTAN
Authors: Suyadi Suyadi , MR Dyah Ekaprasetya 
Published: February 2023

AbstractCommunities that exist around the forest in general are still very dependent on their leaders. Effectiveness empowerment of forest communities/reserves can be measured from three aspects of self-reliance in the economic, social, cultural and ecological. The purpose of this study are: (1) analyze the effect of a leadership role informal leader of the economic self-reliance of forest farmer groups in the village of Kopo District Cisarua Bogor, (2) analyze the effect of a leadership role informal leader of the self-reliance of the ecology of forest farmer groups in the village of Kopo District Cisarua Bogor, (3) analyze the effect of the leadership role the informal leaders of the social and cultural independence of forest farmer groups in the village of Kopo District Cisarua Bogor. The research was conducted from March to May 2016. Data were analyzed using multiple regression analysis. The conclusions of this study are (1) a leadership role informal leaders did not significantly affect the economic self-reliance of forest farmer groups in the village of Kopo District Cisarua Bogor, (2) a leadership role as informal community leaders (the informational role) significantly affected the self-reliance of the ecology of forest farmer groups in the village of Kopo District Cisarua, Bogor, (3) the leadership role of informal leaders did not significantly affect social and cultural self-reliance of forest farmer groups in the village of Kopo District Cisarua, Bogor.Keywords: leadership; informal; self-relianceAbstrakMasyarakat yang ada di sekitar hutan pada umumnya masih sangat tergantung pada pemimpin mereka. Efektifitas pemberdayaan masyarakat sekitar kawasan konservasi dapat diukur dari kemandirian masyarakat dalam tiga aspek ekonomi, sosial budaya dan ekologi. Tujuan penelitian ini yaitu: (1) menganalisis pengaruh peran kepemimpinan tokoh informal terhadap kemandirian ekonomi kelompok tani hutan di Desa Kopo Kecamatan Cisarua Kabupaten Bogor, (2) menganalisis pengaruh peran kepemimpinan tokoh informal terhadap kemandirian ekologi kelompok tani hutan di Desa Kopo Kecamatan Cisarua Kabupaten Bogor, (3) menganalisis pengaruh peran kepemimpinan tokoh informal terhadap kemandirian sosial budaya kelompok tani hutan di Desa Kopo Kecamatan Cisarua Kabupaten Bogor. Penelitian dilaksanakan bulan Maret sampai Mei 2016. Data yang diperoleh dianalisis menggunakan analisis regresi berganda. Kesimpulan penelitian ini adalah (1) peran kepemimpinan tokoh informal tidak berpengaruh nyata terhadap kemandirian ekonomi kelompok tani hutan di Desa Kopo Kecamatan Cisarua Kabupaten Bogor, (2) peran kepemimpinan tokoh informal (peran informasional) berpengaruh nyata terhadap kemandirian ekologi kelompok tani hutan di Desa Kopo Kecamatan Cisarua Kabupaten Bogor, (3) peran kepemimpinan tokoh informal tidak berpengaruh nyata terhadap kemandirian sosial budaya kelompok tani hutan di Desa Kopo Kecamatan Cisarua Kabupaten Bogor.Kata kunci: kepemimpinan; informal; kemandirian
Increasing Utilization of the Preparticipation Physical Evaluation
Authors: Miliaresis Christa , Misra Priya , Friedman Deborah , Altman Robin , Gewitz Michael 
Published: February 2023

OBJECTIVE
The American Heart Association and American Academy of Pediatrics endorse the preparticipation physical evaluation (PPE) to screen student athletes for the risk of sudden cardiac arrest. We sought to identify barriers precluding its use and improve utilization.

METHODS
We analyzed documentation of PPE elements during well-care visits of patients aged 12 to 18 years from 5 primary care practices. Employing quality improvement (QI) methodology, we focused on improving PPE utilization in 1 practice by assessing the number of PPE elements addressed per chart. We expanded our QI project to 4 additional practices by using the same interventions but assessing the percentage of charts that had a complete PPE documented.

RESULTS
A baseline analysis of 5 targeted practices revealed an average of 3.5 of 14 PPE elements documented. Using plan-do-study-act cycles, PPE elements addressed increased from 2.5 to 14 over an 18-month period in the initial practice. By spreading successful interventions to 4 other practices, complete PPE utilization increased from a median baseline of 10.0% to a median of 70.0% over a 12-month period. Postintervention, 12 of 16 patients (75%) required additional follow-up with pediatric cardiology beyond the initial consultation, as compared with 2 of 14 patients (14%) preintervention.

CONCLUSION
The PPE is an underutilized but effective tool in screening student athletes for sudden cardiac arrest. QI methodology was helpful in increasing the use of PPE in the primary care setting.
Johannes Hunyadi und Matthias Corvinus in Filelfos Episteln: Laus Hungariae und Türkenkrieg
Authors: Costanza Salvatore 
Published: February 2023

AbstractFranciscus Filelfus (Tolentino 1398 – Florenz 1481) is the author of the largest Humanistic correspondence in Latin and Greek. He is also a relevant source for the intellectual and political history of his times. In the 1420s, he gained a full knowledge of Greek in Constantinople, where he was integrated into Byzantine élite. In particular, the joint emperor John VIII Palaiologos appointed him as his personal secretary. On behalf of John, Filelfo attended in 1423 the international congress in Buda, where he met personally with the Holy Roman Emperor Sigismund and other European leaders. In his Letters to Roman popes, kings and princes, the Italian humanist proposed himself as alter Nestor, the best man to give his advice on the war against the Turks in Central and South-Eastern Europe. He is particularly interested in Hungarian history. At this respect, he mentions the most important events relating to Hungarian resistance against the Ottoman empire such as the defence of Belgrade (Nándorfehérvár) in 1456. Therefore, he praises the exploits and military successes against the Turks pursued by the regent John Hunyadi and his son, King Matthias Corvinus who is remarkably worthy of admiration. Both are praised as defensores Christianitatis. Therefore, Filelfo assigns to Hungary and Hungarian people the leading role in the crusade against the Ottomans.
Utilization and Outcomes of Clinically Indicated Invasive Cardiac Care in Veterans with Acute Coronary Syndrome and Chronic Kidney Disease
Authors: Weisbord Steven D. , Mor Maria K. , Hochheiser Harry , Kim Nadejda , Ho P. Michael , Bhatt Deepak L. , Fine Michael J. , Palevsky Paul M. 
Published: February 2023

Significance Statement
Of studies reporting an association of CKD with lower use of invasive cardiac care to treat acute coronary syndrome (ACS), just one accounted for the appropriateness of such care. However, its findings in patients hospitalized nearly 30 years ago may not apply to current practice. In a more recent cohort of 64,695 veterans hospitalized with ACS, CKD was associated with a 32% lower likelihood of receiving invasive care determined to be clinically indicated. Among patients with CKD, not receiving such care was associated with a 1.39-fold higher risk of 6-month mortality. Efforts to elucidate the reasons for this disparity in invasive care in patients with ACS and CKD and implement tailored interventions to enhance its use in this population may offer the potential to improve clinical outcomes.

Background
Previous studies have shown that patients with CKD are less likely than those without CKD to receive invasive care to treat acute coronary syndrome (ACS). However, few studies have accounted for whether such care was clinically indicated or assessed whether nonuse of such care was associated with adverse health outcomes.

Methods
We conducted a retrospective cohort study of US veterans who were hospitalized at Veterans Affairs Medical Centers from January 2013 through December 2017 and received a discharge diagnosis of ACS. We used multivariable logistic regression to investigate the association of CKD with use of invasive care (coronary angiography, with or without revascularization; coronary artery bypass graft surgery; or both) deemed clinically indicated based on Global Registry of Acute Coronary Events 2.0 risk scores that denoted a 6-month predicted all-cause mortality ≥5%. Using propensity scoring and inverse probability weighting, we examined the association of nonuse of clinically indicated invasive care with 6-month all-cause mortality.

Results
Among 34,430 patients with a clinical indication for invasive care, the 18,780 patients with CKD were less likely than the 15,650 without CKD to receive such care (adjusted odds ratio, 0.68; 95% confidence interval, 0.65 to 0.72). Among patients with CKD, nonuse of invasive care was associated with higher risk of 6-month all-cause mortality (absolute risk, 21.5% versus 15.5%; absolute risk difference 6.0%; adjusted risk ratio, 1.39; 95% confidence interval, 1.29 to 1.49). Findings were consistent across multiple sensitivity analyses.

Conclusions
In contemporary practice, veterans with CKD who experience ACS are less likely than those without CKD to receive clinically indicated invasive cardiac care. Nonuse of such care is associated with increased mortality.
Exploring Student Engagement in Online Learning
Authors: Pratiwi Hafizah , Priyana Joko 
Published: February 2023

This survey study aimed to capture the actual student engagement in online learning, including the intensity of engagement, the barriers that prevent the students from engaging, and the efforts to stay engaged during online learning. It determined the students’ and English teachers’ perspectives to identify the differences in engagement variables among them. There were 424 participants consisting of students and English teachers from 2 Senior High Schools, 1 Vocational High School, and 2 Junior High Schools in South Sumatera, Indonesia. The online questionnaire was distributed through Google Forms and divided into three parts. The questionnaire items were adopted from Online Student Engagement Scale (OSE) to measure the intensity of engagement and Microsystem Factors Influence Student Engagement Scale to investigate the students’ barriers and efforts in engaging in online learning. Further, all the garnered data were computed through SPSS 25.0, facilitating an easier data presentation. The results of this study unveil the moderate intensity of student engagement in online learning, low barriers, and high efforts to stay engaged during online learning from both students and English teachers' perspectives. Addition-ally, these results are expected to be used as the basis of reflection and evaluation of the online learning program in Indonesia
Resveratrol inhibits multiple organ injury in preeclampsia rat model
Authors: Lang Xiao , Liu Wei , Chen Qinfang , Yang Xingyu , Chen Dan , Cheng Weiwei 
Published: February 2023

Objective: To investigate the effects of resveratrol on multiple organ injury and energy metabolism and its possible mechanism in preeclampsia model. Methods: A total of 45 clean-grade female adults Sprague Dawley (SD) rats (weight 270–320 g) were randomly divided into three groups: a control group, preeclampsia group (PE), and Preeclampsia with resveratrol treatment group (RE). Preeclampsia was induced in rats by administering 200 mg/kg/day L-NAME. Expression levels of TNF-α and IL-6 in the lungs and kidney tissues were analysed by ELISA, while the activity of superoxide dismutase (SOD) and malondialdehyde (MDA) was determined by biochemical assays. The levels of lactic acid and pyruvate were detected using biochemical assays, while the epinephrine level in the kidney and heart tissues was determined by the ELISA method. Reverse transcription polymerase chain reaction and the western blotting were used to detect the expression of pyruvate dehydrogenase kinase 4 (PDK4) in the myocardial tissues. Results: We found that resveratrol treatment inhibited the levels of IL-6, TNF-α, and MDA in the lungs and kidney tissues, while the SOD activity was increased. Treatment with resveratrol reduced the levels of lactic acid, pyruvate, and epinephrine in the kidney and heart tissues. Furthermore, resveratrol treatment significantly increases the expression of PDK4 myocardial tissues in RE group compared to PE group. Conclusion: Resveratrol may inhibit the release of tissue inflammatory factors, regulate the body’s energy metabolism, and ultimately protect tissue damage caused during Preeclampsia.
A Missed Pediatric Achilles Tendon Rupture with a Large Gap Managed with Surgical Reconstruction with Allograft
Authors: van Oudtshoorn Sarah , Maor Dror 
Published: February 2023

Case:
A 15-year-old adolescent girl presented with a complete Achilles tendon rupture from playing netball, which was diagnosed 6 weeks later. Unfortunately, there was a significant deficit of 92 mm, and an allograft reconstruction was required to bridge the gap.

Conclusion:
Achilles tendon ruptures are rare in children and adolescents without a penetrating injury, but the diagnosis must not be missed. Achilles tendon ruptures should be considered in children with acute-onset ankle pain during running, jumping, or sudden dorsiflexion of the ankle. Tendon transfers and allograft may be required after rupture and retraction has occurred in subacute or chronic injuries.
Tibial Post Fracture After Total Knee Arthroplasty: Ultrasound as a Viable Diagnostic Tool
Authors: Michaels Ross , Muscatelli Stefano , McHugh Michael , Lewno Adam , Urquhart Andrew 
Published: February 2023

Case:
A 60-year-old woman presented with knee instability and pain that started approximately 13 years after a posterior stabilized total knee arthroplasty. Physical examination revealed significant posterior laxity. Bedside ultrasound (US) documented a free-floating, hyperechoic linear artifact within the posterior knee joint capsule. Revision with liner of increased thickness alleviated presenting symptoms.

Conclusion:
Tibial postfractures often present with instability and pain. Diagnosis of a tibial postfracture can be based on clinical examination; other diagnostics commonly used include arthroscopy or computed tomography/magnetic resonance imaging. US by a qualified sonographer is a potential diagnostic route that should be explored more rigorously.
Evaluating Basic Knee Arthroscopy Skills in Orthopaedic Trainees in a Limited-Resource Setting
Authors: Berry Kirsty , von Bormann Richard , Roche Stephen , Laubscher Maritz , McCollum Graham , Held Michael 
Published: February 2023

Background:
Orthopaedic training in Southern Africa is largely focused on trauma, although elective procedures, such as knee arthroscopy, are increasing. This is especially true in the private sector where most trainees will practice. The primary aim of this study was to assess the arthroscopic competency of orthopaedic trainees in a setting of limited resources.

Methods:
A prospective observational cohort study was conducted. Orthopaedic trainees of a Southern African university hospital performed basic arthroscopy on a knee model. Their surgical competency was assessed by 2 surgeons proficient in arthroscopy using the modified Basic Knee Arthroscopy Skill Scoring System (mBAKSSS).

Results:
A total of 16 trainees (12 male) were included (6 junior and 10 senior trainees). The median age of participants was 36 (34.8-37) years. The median mBAKSSS was 28.0 (20.3-32.5) but showed a large variability (12.0-42.5). The overall reliability was excellent with Cronbach's alpha of 0.91 and interclass correlation of 0.91 (95% confidence interval 0.75-0.97).

Conclusions:
The average knee arthroscopy proficiency of our trainees is comparable with that of international training programs, but there was great variability with inconsistent skills among the trainees. This calls for improved and reproducible arthroscopy training and skills transfer, exposure to procedures, and ongoing assessment.

Level of Evidence:
II (prospective observational cohort study).
Racial and Gender Diversity of Physicians Accepted to American Military Orthopaedic and Surgical Residencies
Authors: Hoyt Benjamin W. , Anderson Ashley B. , Dingle Marvin E. , Dickens Jon F. , Eckel Tobin T. , Sterbis Joseph R. , Potter Benjamin K. , Kilcoyne Kelly G. 
Published: February 2023

Introduction:
Orthopaedic surgery ranks among the least racially and gender diverse medical/surgical specialties. United States military surgeons train in military or military-funded residency positions to care for a markedly diverse population; however, the composition and diversity of these training programs have not been previously assessed. The purpose of this study was to analyze the trends of physician diversity in military orthopaedics in comparison with other surgical specialties over time.

Methods:
We performed a retrospective cohort study evaluating matriculation into first year of residency training in US military surgical training programs between 2002 and 2020. In total, 9,124 applicants were reviewed. We collected matriculant self-reported race/ethnicity and sex and the medical/specialty program. We considered under-represented minorities as those who reported their race as African American, Indian/Alaskan Native, and Native, other, or who reported ethnicity as Hispanic. We calculated changes in persons accepted to training positions over time and used linear regression to model trends in diversity among orthopaedic matriculating residents when compared with other surgical subspecialities over time.

Results:
Across all surgical subspecialities, the average change in percent women was 0.94% per year for the study period (p < 0.01). The average annual percent women entering orthopaedic surgery residency programs was 14% for the 18-year study period. Across all surgical subspecialties, the average change for accepted applicants from groups underrepresented in medicine (URiM) was 1.01% per year for the study period (p < 0.01). The average annual percent URiM entering orthopaedic surgery residency programs was 17% for the 18-year study period. The annual change of women and URiM entering military orthopaedic residencies was 0.10% and 1.52%, respectively.

Conclusions:
Despite statistically significant improvements, recruitment efforts as used to date fall far short of reversing sexual, racial, and ethnic disparities in military orthopaedic residencies. Orthopaedics has a lower representation of both women and physicians with minority backgrounds when compared with many surgical subspecialties. Additional interventions are still necessary to increase diversity for military orthopaedic surgeons.
Pregnancy in Orthopaedic Residents
Authors: Ruse Stacia , Bergman Rachel , Crawford Eileen 
Published: February 2023

Introduction:While there are multiple barriers that may discourage women from choosing a career in orthopaedic surgery, one area of concern is pursuing pregnancy during residency training. This study's primary purpose was to determine the most prominent barriers to pursuing pregnancy during orthopaedic surgery residency.Methods:A 63-item survey designed to evaluate multiple aspects of childbearing during orthopaedic surgery residency was distributed through email and a targeted Facebook platform to female orthopaedic surgeons and orthopaedic trainees in the United States. Given the study design, statistics were largely descriptive in nature. Multivariate logistic regression was also used to determine independent factors associated with professional dissatisfaction as it related to pregnancy during orthopaedic residency.Results:A total of 328 women responded to the survey. The 3 most prominent barriers to pursuing pregnancy during orthopaedic residency were concerns about the ability to balance clinical and maternal duties (67%), fear of how the resident would be viewed by those in the program (60%), and being unable to ensure optimal prenatal and postpartum care for the mother and child given an unpredictable schedule (38%). On univariate analysis of those who reported ≥1 pregnancy during residency (n = 71), maternity leave ≤6 weeks was statistically associated with “revisiting career choice” (p = 0.02) and “lack of resources and support” (p = 0.01).Conclusion:The results raise concern that qualified female applicants may be deterred from the field of orthopaedics given perceived difficulties associated with pregnancy as a resident. If policies are created to support women who desire to have children during residency, more women may be encouraged to pursue a career in orthopaedic surgery.Level of Evidence:V