bluuebunny/crossref_metadata_2025_split huggingface dataset:
The “Mother Load” and Return to Sport: A Case Report of Returning to Professional Netball Following Cesarean Section
Authors: Diggles Alexandra 
Published: February 2023

Background Increasing numbers of elite female athletes are competing in professional sport, and many wish to become pregnant and return to competitive sport after childbirth. Athletes have a higher risk of pelvic floor dysfunction (PFD) than non-athletes (54% versus 7%) and there is also an increased prevalence in post-partum women compared to nulliparous women (35% versus 2.8-7.9%). Additionally, PFD has been shown to influence athletic performance. High quality evidence for elite athletes is lacking, and there are no exercise guidelines specifically for these women to prepare or effectively guide their safe return to sport (RTS). The purpose of this case report is to detail the management of an elite athlete who presented following cesarean section (CS) with the goal of RTS within 16 weeks. Case Description A 27-year-old primiparous Caucasian professional netballer presented at four weeks post- caesarean section (CS) for RTS screening and assessment of pelvic floor muscle (PFM) function. Assessment included readiness and fear of movement screening, dynamic pelvic floor muscle function, structural integrity of the CS wound, levator hiatal dimensions, bladder neck descent, and early global neuromuscular screening. Measures were collected at four weeks, eight weeks, and six months post-partum. The post-partum athlete demonstrated alterations in pelvic floor muscle function, reduced lower limb power and psychological readiness. A functionally staged dynamic and sport specific pelvic floor muscle training program was implemented and adapted to the patient for her early post-partum timeline. Results Rehabilitation strategies were effective in achieving the primary outcome of RTS at 16 weeks post-partum with no adverse events reported at 6 months follow-up. Discussion This case highlights the need for a holistic and individualised RTS management approach that includes women’s and pelvic health risk factors in a professional athlete. Level of Evidence 5
Survey on Knowledge, Use, and Diagnostic Applicability of Special Tests for Rotator Cuff Involvement in Clinical Practice
Authors: Forbush Steven W. , Bandy William D. , Back-Kremers Gabrielle L. , Renfroe Mollie , Downey Haley F. 
Published: February 2023

Background Recently, researchers have commented that shoulder special tests cannot identify the structure causing rotator cuff symptoms and should only be considered pain provocation tests. Others have disagreed, reporting that special tests were able to accurately detect the presence of rotator cuff involvement. Purpose The purpose of this study was to determine the knowledge, use, and perceived effectiveness of 15 selected special tests utilized to examine patients with possible rotator cuff dysfunction. Study Design Descriptive study using survey. Methods An electronic survey was returned by 346 members of the Academies of Orthopedic and Sports Physical Therapy through list serves. Descriptions and pictures for 15 special tests of the shoulder were included in the survey. Information regarding years of clinical experience and American Board of Physical Therapy Specialties (ABPTS) specialist certification in Sports or Orthopedics was collected. Respondents were asked if they could identify and use the special tests to evaluate dysfunction of the rotator cuff - and how confident they were in ability of the tests to diagnose dysfunction of the rotator cuff. Results The four tests most readily known by respondents included the empty can, drop arm, full can, and Gerber’s tests, and the four tests used regularly by the respondents included the infraspinatus, full can, supraspinatus, and champagne toast tests. The infraspinatus, champagne toast, external rotation lag (ERLS), and the belly-off tests were found to be the be most useful for establishing a diagnosis of the muscle-tendon complex involved. Years of experience and clinical specialization was not relevant to knowledge or use or these tests. Conclusions This study will allow clinicians and educators to understand which special tests are easily identified, regularly used, and perceived as helpful for the diagnosis of muscles involved in a rotator cuff dysfunction. Level of Evidence 3b
Are Exercise Therapy Protocols For The Treatment of Hip-Related Pain Adequately Described? A Systematic Review of Intervention Descriptions
Authors: Estberger August , Kemp Joanne L , Thorborg Kristian , Pålsson Anders , Ageberg Eva 
Published: February 2023

Background Hip-related pain is an umbrella term encompassing pain from non-arthritic hip joint pathologies, such as femoroacetabular impingement syndrome, hip dysplasia, and labral tears. Exercise therapy is commonly recommended for these conditions, but the reporting completeness of these interventions is currently unclear. Purpose The aim of this systematic review was to assess the reporting completeness of exercise therapy protocols for people with hip-related pain. Study design Systematic review according to PRISMA guidelines. Materials and Methods A systematic search was conducted, searching the MEDLINE, CINAHL, and Cochrane databases. The search results were independently screened by two researchers. Inclusion criteria were studies using exercise therapy in people with non-arthritic hip-related pain. Two independent researchers used the Cochrane risk of bias tool version 2 to analyze risk of bias, and the Consensus on Exercise Reporting Template (CERT) checklist and score (1-19) to synthesize reporting completeness. Results Fifty-two studies used exercise therapy for hip-related pain, but only 23 were included in the synthesis as 29 studies had no description of the intervention. CERT scores ranged from 1 to 17 (median 12, IQR 5-15). The most well-described items were tailoring (87%), and the least well-described items were motivation strategies (9%) and starting level (13%). Studies used exercise therapy alone (n=13), or in combination with hip arthroscopy (n=10). Conclusion Only 23 of 52 eligible studies reported sufficient details to be included in the CERT synthesis. The median CERT score was 12 (IQR 5-15), with no study reaching the maximum score of 19. Lack of reporting makes it difficult to replicate interventions in future research, and to draw conclusions on efficacy and dose-response to exercise therapy for hip-related pain. Level of evidence Level 1, systematic review
Flexor-Pronator Mass Training Exercises Selectively Activate Forearm Musculature
Authors: Fukunaga Takumi , Fedge Connor , Tyler Timothy , Mullaney Michael , Schmitt Brandon , Orishimo Karl , McHugh Malachy , Nicholas Stephen 
Published: February 2023

Purpose/Hypothesis The flexor-pronator mass of the forearm contributes dynamic stability to the medial elbow. Training this muscle group is essential for overhead athletes, however, there is lack of evidence supporting use of training exercises. The purpose of this study was to measure the extent of EMG activity of the flexor pronator musculature during two distinct forearm strengthening exercises using resistance bands. It was hypothesized that two exercises would elicit at least moderate level of muscle activity, but the activation would be different in the pronator versus the flexor muscles. Materials/Methods 10 healthy subjects (all males, age 36±12 years) were included. Surface EMG activity was measured on three muscles of the dominant-side forearm: flexor carpi ulnaris (FCP), flexor digitorum superficialis (FDS), and pronator teres (PT). After measurement of maximal voluntary contraction (MVC) for each muscle, subjects performed wrist ulnar deviation and forearm pronation exercises using elastic band resistance. Resistance was set to elicit moderate exertion (5/10 on the Borg CR10 scale). Order of exercise was randomized and three repetitions of each exercise were performed. Mean peak EMG activity in each muscle across repetitions during the eccentric phase of each exercise was calculated and expressed as a percentage of MVC. Moderate level of activity was defined as 21% of MVC or higher. Peak normalized EMG activity in each muscle was compared using two-way (exercise x muscle) repeated-measures ANOVA with post-hoc pairwise comparisons if a significant interaction was found. Results There was an exercise by muscle interaction effect (p<0.001). The ulnar deviation exercise selectively activated FCU (40.3%) versus FDS (19.5%, p=0.009) and PT (21.5%, p=0.022). Conversely, the pronation exercise selectively activated FDS (63.8%, p=0.002) and PT (73.0%, p=0.001) versus FDS (27.4%). Conclusion The ulnar deviation and pronation exercises using elastic band resistance studied targeted and activated the flexor-pronator mass musculature. The ulnar deviation and pronation exercises using elastic band resistance are practical and effective means of training the flexor-pronator mass. These exercises can be readily prescribed to athletes and patients as part of their arm care program.
Cooperative Development Model in Strengthening MSMEs in Tasikmalaya City
Authors: Nugraha Agus , Hanafie Haniah , Huda Masrul 
Published: February 2023

Micro Small Medium Enterprises (MSMEs) are very necessary because MSMEs are able to absorb a lot of jobs. However, the most basic problem faced by MSMEs is capital. Cooperatives as a people's economic movement are expected to solve the MSMEs problems. Therefore, cooperatives need to get development in order to be strong and independent. The purpose of this study is to find out how the development of cooperatives is carried out by the Tasikmalaya City Government in strengthening MSMEs. The research is supported by the theory of development, cooperatives and MSMEs. A qualitative approach was used in the study, with data collection techniques through interviews, observations and documents review. The results showed that the development of cooperatives by the Tasikmalaya City Government was not optimal, so the cooperatives in Tasikmalaya City had not played a maximum role in strengthening MSMEs. For this reason, the Tasikmalaya City Government needs to implement a partnership model with State-Owned Enterprises and Regional-Owned Enterprises to participate in developing cooperatives collaboratively.
Competence and Performance Aspects in the Placement of the Head of Financial Affairs at the North Kalimantan Police Work Unit
Authors: Rachmat Faesal , Prasojo Eko 
Published: February 2023

The Indonesian National Police as well as other organizations in the era of the industrial revolution 4.0 are also faced with various challenges. The main task of the National Police as a protector, protector, and servant of the community, maintaining security and public order and law enforcement will be more complex in the future due to the rapid advancement of information technology. This study aims to analyze aspects of competence and performance in the placement of the head of financial affairs at the North Kalimantan Regional Police Work unit. The research method used is descriptive qualitative with data collection techniques, namely interviews and documentation. The informants in this study were 5 personnel who served in the Itwasda work unit, Ditresnarkoba, Bidpropam, Biddokkes, and Yanma Regional Police North Kalimantan. Data analysis techniques, namely data reduction, data presentation, and conclusion drawing. The results of the study showed that personnel with the rank of Brigadier General who was appointed to the position of Kaurkeu even though they were with temporary stakeholder status, were still able to run well. This can be seen from the well-running of police activities at the Regional Police North Kalimantan, especially in the Work units at the Regional Police North Kalimantan. This of course cannot be separated from the role of financial managers in each work unit. Even with the rank of First Brigadier, the personnel appointed to the Kaurkeu position were able to show good performance. Although from interviews conducted with them, it was found that the five of them did not have an educational background related to finance, either in general or specifically in managing police finances. They only study independently under the guidance of the Regional Police's financial advisory function, namely the Bidkeu Regional Police. However, 4 of the 5 personnel have certificates as treasurers from State Treasury Service Office Tanjung Selor. Thus, it can be concluded if the deficiency in the competency factor can be covered by the existence of social support.
The Influence of Self-Efficacy and Job Satisfaction on Employee Engagement Teachers of State Vocational High Schools in Depok
Authors: Asikin Iin , Burhan Burhan 
Published: February 2023

One of the competitiveness of vocational high school graduates depends on the quality of teachers who teach so that they can improve the skills and insights of vocational high school students. For this reason, the government seeks to improve the quality, integrity, and innovation of vocational high school teachers so that graduates produced by vocational high schools can become ready to use workers and can reduce unemployment. The research aims to examine The effect of self-efficacy and job satisfaction on employee engagement teachers of state vocational high schools. This study uses a survey approach and quantitative method. Data collection in this study was conducted using a Likert scale questionnaire. Questionnaires are arranged based on indicators from research variables. The validity test was done by using the Pearson Product Moment formula, while the reliability test was done by using the Cronbach Alpha formula. The data analysis technique in this study used path analysis. Data from the research instruments were analyzed by descriptive statistics and inferential statistics. The result of the study reveals that Self-efficacy has a direct effect on employee engagement; Job satisfaction has a direct effect on employee engagement teachers; and; Self-efficacy has a direct effect on job satisfaction
Effect of HDI Components and Development of MSMEs on Economic Growth and Their Implications on Poverty and Unemployment Province of Yogyakarta Special Region (DIY)
Authors: Senen Senen , Bratamanggala Rudy , Astuty Pudji 
Published: February 2023

The purpose of this study is to identify, review, analyze, discover and describe the Effect of IPM Components and MSME Development on Economic Growth and Their Implications for Poverty and Unemployment in DIY Provinces. The research methods used in this study are quantitative with tiered regression analysis techniques for crossection and time series data. The results showed that in model 1 health, knowledge, real per capita expenditure and the development of UMKM significantly and positively affect the economic growth of DIY Province, health and education variables have a partial impact on economic growth while per capita spending and the development of UMKM partially has no effect on economic growth, in model 2 shows that economic growth is significant and negative. Affecting the poverty of the population of DIY Province, in model 3 shows that economic growth significantly and negatively affects the unemployment of the residents of DIY Provinces.
Implementation of the National Civil Apparatus Competency Policy Strategy in Sinjai Regency
Authors: Fitrawati Fitrawati , Takdir Muhammad 
Published: February 2023

Competency development is an effort to increase knowledge, skills, abilities and thinking maturity which is automatically accompanied by changes in morals and behavior in carrying out government and development tasks, one of which is through education and training programs. This study aims to determine the Implementation of the Competency Development Policy Strategy of the National Civil Apparatus in Sinjai Regency. This type of research is qualitative. Data collection techniques used are interview, observation and documentation methods. The data analysis techniques used are data reduction, data display and data verification. The results of this study indicate that the Implementation of Competency Development Policy Strategies for National Civil Apparatus in Sinjai Regency. One of the obstacles lies in the ability of regional finances to conduct competency tests at all levels in national civil apparatus. Meanwhile, one of the supporting factors is the enthusiasm of the employees in improving competence through education and training.
Market Opportunity Analysis of Fermentative Floating Feed Products Non-Extrusion of High Protein Empirical Study in Bogor District, West Java Province
Authors: Ahidin Udin 
Published: February 2023

The purpose of this study is to find out the market opportunities and marketing strategies of High Protein Non-Extrusion Floating Feed-in Bogor Regency, West Java Province. Research method with descriptive approach. The population in this study were all freshwater fish farmers in Bogor Regency, West Java Province, and samples used in this study were freshwater fish farmers, especially catfish in Bogor Regency, West Java Province. Data collection methods: observation, interview, and documentation study. Data analysis method with descriptive statistics. The results showed that the market opportunities for High ProteinNon-Extrusion Floating Feed products in Bogor Regency, West Java Province were very high, dominated by the Catfish culture market by 82.397%, the remaining 11.165% by Ornamental Fish cultivators, and 6.438% by Gurame Fish cultivators. For the marketing strategy carried out, especially the distribution strategy (place) and promotion strategy (promotion), the product strategy (product) and price strategy (price) have their own advantages and uniqueness compared to other catfish feed competitors.
Management of Tourism Villages Using the Triple Bottom Line Concept
Authors: Sandy Sandy , Murtafia Murtafia , Lucita Gina 
Published: February 2023

Tourism villages have emerged as a viable option for local economic development and community welfare. As a result, the development of tourist villages has become a national initiative. The purpose of this research is to examine the accomplishments of a tourist village's management using the triple bottom line concept. Nonongan Selatan Tourism Village in North Toraja Regency and Kolesawangan Tourism Village in Tana Toraja Regency were chosen as research sites. The data for this study was gathered using a qualitative method, including interviews, observation, and document analysis. The findings of this study show that the Tourism Village Concept, as applied to Lembang Nonongan Selatan Village, which emphasizes people's daily lives, and Lembang Kole Sawangan Village, which emphasizes historical tourist destinations, has reflected the Triple Bottom Line Concept, which is measured in three areas: profit, people, and planet. This demonstrates that the concept of a tourist village is consistent with the government's goals, which are to improve the quality of life and welfare of the community while maintaining environmental quality. Keywords: Tourism village, sustainable economy, triple bottom line
Kanker Serviks
Authors: Novalia Vera 
Published: February 2023

Kanker serviks merupakan penyakit yang sering terjadi pada wanita di dunia maupun di Indonesia. Kanker serviks menduduki urutan keempat di dunia sedangkan Indonesia menduduki urutan kedua. Menurut data Globocan tahun 2020 penderita kanker serviks meningkat 36.633 (17,2%) dengan jumlah kematian 234.51. Kanker serviks terjadi karena adanya infeksi virus HPV viral onkogen yaitu E6 dan E7. Serta faktor lainnya seperti paparan zat mutagen adalah faktor hormonal, merokok, berganti-ganti pasangan seksual dan konstrasepsi. Perlu dilakukan terapi pada penderita kanker serviks yaitu dengan pemberian vaksin, deteksi dini (Pap smear dan Inspeksi Visual dengan Asam Asetat), Radioterapi (RT) dengan Akselerator linear (Linear Accelerator, LINAC) dan anti VEGF (Vascular Endothelial Growth Factor) berperan penting dalam mengontrol pertumbuhan tumor dan metastasis.
Gambaran Tingkat Pengetahuan Masyarakat terhadap Mitigasi Bencana Tanah Longsor di Desa Burni Pase Kabupaten Bener Meriah
Authors: Simehate Shinta , Utariningsih Wheny , Mardiati Mardiati , Siregar Sarah Rahmayani , Ikhsan Ridhalul 
Published: February 2023

Bencana tanah logsor adalah bencana hidrometeorologi yang sering terjadi di Indonesia. Desa Burni Pase Kabupaten Bener meriah adalah salah satu daerah yang sering mengalami bencana tanah longsor. Bencana tanah longsor dapat mengakibatkan dampak yang besar bagi masyarakat, seperti menyebabkan korban meninggal, kehilangan harta benda, gangguan stress pasca trauma dan permasalahan kesehatan masyarakat lainnya. Oleh karena itu, memiliki pengetahuan mitigasi bencana penting untuk dimiliki setiap elemen masyarakat guna meningkatkan kesiapsiagaan sebelum dan sesudah terjadinya bencana. Tujuan dari penelitian ini adalah untuk mengetahui gambaran tingkat pengetahuan mitigasi bencana tanah longsor. Metode penelitian yang digunakan adalah deskriptif, teknik pengambilan sampel menggunakan simple random sampling dengan 115 responden. Hasil penelitian menunjukkan gambaran tingkat pengetahuan masyarakat terhadap bencana tanah longsor mayoritas dalam kategori kurang yaitu 53,0% dengan 61 responden dan gambaran pengetahuan masyarakat terhadap mitigasi bencana tanah longsor mayoritas dalam kategori baik yaitu 51,3% dengan 59 jumlah responden. Kesimpulan pada penelitian ini adalah masyarakat Desa Burni Pase memiliki gambaran tingkat pengetahuan terhadap bencana tanah longsor kurang dan pengetahuan terhadap mitigasi bencana tanah longsor dalam kategori baik.
Efusi Pericardium
Authors: Suhaemi Suhaemi , Kamila Nawal Aflah 
Published: February 2023

Efusi perikardium adalah suatu penyakit yang ditandai adanya akumulasi cairan abnormal dalam ruang perikardium. Ini dapat disebabkan oleh berbagai kelainan sistemik, lokal atau idiopatik baik. Efusi perikardium merupakan hasil perjalanan klinis dari suatu penyakit yang disebabkan oleh infeksi, keganasan maupun trauma. Gejala yang timbul pada efusi perikardium tidak spesifik dan berkaitan dengan penyakit yang mendasari terjadinya efusi pericardium. Mekanisme terjadinya efusi perikard ini tergantung dari penyakit yang mendasarinya, dimana terjadi penumpukan cairan perikard yang dihasilkan oleh sel-sel mesotelial sehingga menyebabkan barier proteksi tidak lagi berfungsi dengan baik dan menimbulkan pergesekan anatra pericardium dan epikardium. Terapi untuk efusi perikard ini pada prinsipnya adalah mengurangi cairan yang terdapa pada cavum perikard baik itu dengan terapi pembedahan maupun non pembedahan atau medikamentosa.