bluuebunny/crossref_metadata_2025_split huggingface dataset:
Self Help Group untuk Orang Tua dalam Menumbuhkan Fitrah Seksual pada Anak Usia Dini
Authors: Adyani Kartika , Is Susiloningtyas  
Published: September 2022

The Child Protection Commission noted that 207 children aged 3-17 years experienced sexual violence. Parents play an important role in preventing this by providing sex education from an early age. Delivery of sex education in early childhood requires a strategy. One strategy to be able to communicate with children is to increase knowledge. Therefore, this service aims to increase the knowledge and attitudes of parents in early childhood sex education through counseling and self help groups. Knowledge and attitudes were measured using a questionnaire given before and after the activity and presented in a frequency distribution. Only 40% of participants had ever given sex education to early childhood. The results of the measurement of knowledge before the activity started showed that 70% of participants had good knowledge of sex education and after the activity was carried out, participants who had good knowledge increased to 100%. Before the activity 60% of the participants had a positive attitude towards early childhood sex education and it increased to 90% after the activity. This activity shows that parents must increase their knowledge in order to find the right strategy in providing sex education in accordance with the child's development.
ABSTRAK
Komisi perlindungan anak mencatat 207 anak yang berusia 3-17 tahun mengalami kekerasan seksual. Orang tua berperan penting dalam pencegahan hal tersebut dengan cara memberikan pendidikan seks sejak dini. Penyampaian Pendidikan seks pada anak usia dini memerlukan strategi. Salah satu strategi untuk dapat berkomunikasi dengan anak adalah meningkatkan pengetahuan. Oleh karena itu pengabdian ini bertujuan untuk meningkatkan pengetahuan dan sikap orang tua dalam pendidikan seks anak usia dini dengan penyuluhan dan self help group. Pengetahuan dan sikap diukur menggunakan kuesioner yang diberikan sebelum dan sesudah kegiatan dan disajikan dalam distribusi frekuensi. Hanya 40% peserta yang sudah pernah memberikan Pendidikan seks pada anak usia dini. Hasil pengukuran pengetahuan sebelum kegiatan dimulai menunjukkan 70% peserta memiliki pengetahuan yang baik tentang pendidikan seks dan setelah kegiatan dilakukan peserta yang memiliki pengetahuan baik meningkat menjadi 100%. Sebelum kegiatan 60% peserta memiliki sikap positif terhadap Pendidikan seks anak usia dini dan meningkat menjadi 90% setelah kegiatan. Kegiatan ini menunjukkan bahwa orang tua harus meningkatkan pengetahuannya agar dapat menemukan strategi yang tepat dalam memberikan Pendidikan seks sesuai dengan perkembangan anak.
Peningkatan Pengetahuan dan Keterampilan Guru TK dan Orang Tua Siswa dalam Deteksi Dini Kanker Payudara dan Serviks
Authors: Rochmawati Erna , Brahmana Ivanna Beru 
Published: September 2022

Data in 2018 shows that the highest prevalence of cancer in Indonesia is in the Special Region of Yogyakarta. Awareness for prevention through breast self-examination and pap smear on women in Indonesia is still in the low-medium category, with only 5-20% of them are aware of pap smear and breast examination. The purpose of this community service was to increase the knowledge of parents and kindergarten teachers as well as to increase their skills in conducting breast self-examination. The partner in this community service was Kindergarten of Aisyiah Bustanul Atfhal An Nur. The target of the activity was six kindergarten teachers and 15 parents. The methods used in this activity are lectures, discussions, videos and demonstrations. The lecture method was carried out when giving material about breast and cervical cancer. The discussion was conducted with questions and answers from participants and presenters. Video and demonstration methods for breast self-examination, and then redemonstration. The result of community service activities is that there is an increase in scores for kindergarten teachers and students' guardians. Improved scores on breast cancer knowledge from 80 to 91.7 (p-value=0.000) and in cervical cancer from 71.4 to 98.2 (p=0.000). In addition there are improvement in skills to do breast self-examination.
ABSTRAK
Data pada tahun 2018 menunjukkan jumlah penderita kanker tertinggi di Indonesia berada di Daerah Istimewa Yogyakarta. Kesadaran untuk pencegahan melalui pemeriksaan payudara sendiri dan pap smear pada perempuan di Indonesia masih dalam kategori rendah-sedang dimana hanya 5-20% perempuan yang mengetahui pap smear dan pemeriksaan payudara sendiri. Tujuan dari pengabdian masyarakat ini adalah untuk meningkatkan pengetahuan ibu wali murid dan guru TK serta serta meningkatnya kemampuan dalam pemeriksaan payudara sendiri. Mitra dalam pengabdian masyarakat ini adalah TK Aisyiah Bustanul Atfhal An Nur. Sasaran kegiatan adalah enam guru TK dan 15 wali murid. Metode yang digunakan dalam kegiatan ini adalah ceramah, diskusi, video dan demonstrasi. Metode ceramah dilaksanakan saat memberikan materi mengenai kanker payudara dan serviks. Diskusi dilakukan dengan tanya-jawab dari peserta dan pemateri. Metode video dan demonstrasi untuk pemeriksaan payudara sendiri, dan selanjutnya dilakukan redemonstrasi. Hasil kegiatan pengabdian masyarakat adalah ada peningkatan skor pada guru TK dan ibu wali murid. Peningkatan skor pada pengetahuan kanker payudara dari 80 menjadi 91.7 (p-value=0,000) dan pada kanker servis dari 71.4 menjadi 98.2 (p=0,000). Selain itu terdapat serta keterampilan melakukan pemeriksaan payudara sendiri.
Psikoedukasi Pemeriksaan Payudara Sendiri (SADARI) dalam Mendeteksi Kanker Payudara pada Remaja Putri
Authors: Marsia Marsia , Sulistyawati Dwi , Juniartati Erni , Akhmad Arif Nur 
Published: September 2022

Breast cancer is one of the most common types of cancer in Indonesia, so in preventing the occurrence of breast cancer, it is necessary to take action in early detection with adolescent breast examination, namely BSE combined with psychoeducation. This community service aimed to form a cadre of young women who understand and understand that early detection of breast cancer can use the BSE method. The method used is to provide material on breast self-examination, provide pre and post counseling questionnaires to evaluate participants' understanding of the material presented. During the activity, the participants were quite active in the discussion. A total of 9 people (22.5%) actively asked questions and 3 participants were able to correctly answer the verbal questions given by the extension worker. From the results of the evaluation through the provision of questionnaires, it was found that the average score had increased after being given counseling. Respondents' knowledge increased to good knowledge (65%) with an increase in the average score of 25.8, for Attitude there was an increase to positive attitude (100%) with an increase in the average score of 26.3. Counseling accompanied by media and materials such as PowerPoint, leaflet, video, audio visual aids (AVA) which consists of laptops and LCD projectors that are supportive and interactive will be able to convey messages to participants precisely and clearly so that goals can be achieved.

ABSTRAK
Kanker payudara adalah salah satu jenis kanker terbanyak di Indonesia sehingga dalam melakukan pencegahan dari terjadinya kanker payudara, perlu ada tindakan dalam mendeteksi secara dini dengan pemeriksaan payudara remaja yaitu SADARI yang dikombinasikan dengan psikoedukasi. Pengabdian kepada masyarakat ini bertujuan untuk pembentukan kader remaja putri yang mengerti dan paham dalam hal mendeteksi secara dini pada kanker payudara ini bisa menggunakan metode SADARI. Metode yang digunakan ialah memberikan materi tentang periksa payudara sendiri, memberikan kuesioner pre dan post penyuluhan guna mengevaluasi pemahaman peserta terhadap materi yang disampaikan. Pada pelaksanaan kegiatan, peserta cukup aktif dalam berdiskusi. Sebanyak 9 orang (22,5%) peserta aktif bertanya dan 3 orang peserta dapat menjawab dengan tepat pertanyaan lisan yang diberikan oleh penyuluh. Dari hasil evaluasi melalui pemberian kuesioner didapatkan rata-rata skor mengalami peningkatan setelah diberikan penyuluhan. untuk Pengetahuan Responden meningkat menjadi berpengetahuan baik (65%) dengan peningkatan skor rata-rata sejumlah 25,8, untuk Sikap terjadi peningkatan menjadi sikap positif (100%) dengan peningkatan skor rata-rata sejumlah 26,3. Penyuluhan yang disertai dengan media dan bahan seperti PowerPoint, leaflet, video, audio visual aids (AVA) yang terdiri dari laptop dan LCD proyektor yang mendukung serta interaktif akan mampu menyampaikan pesan kepada peserta dengan tepat dan jelas sehingga tujuan dapat tercapai.
A siamese network-based approach for vehicle pose estimation
Authors: Zhao Haoyi , Tao Bo , Huang Licheng , Chen Baojia 
Published: September 2022

We propose a deep learning-based vehicle pose estimation method based on a monocular camera called FPN PoseEstimateNet. The FPN PoseEstimateNet consists of a feature extractor and a pose calculate network. The feature extractor is based on Siamese network and a feature pyramid network (FPN) is adopted to deal with feature scales. Through the feature extractor, a correlation matrix between the input images is obtained for feature matching. With the time interval as the label, the feature extractor can be trained independently of the pose calculate network. On the basis of the correlation matrix and the standard matrix, the vehicle pose changes can be predicted by the pose calculate network. Results show that the network runs at a speed of 6 FPS, and the parameter size is 101.6 M. In different sequences, the angle error is within 8.26° and the maximum translation error is within 31.55 m.
Location of pedicle screw hold in relation to bone quality and loads
Authors: Cornaz Frédéric , Farshad Mazda , Widmer Jonas 
Published: September 2022

Introduction: Sufficient screw hold is an indispensable requirement for successful spinal fusion, but pedicle screw loosening is a highly prevalent burden. The aim of this study was to quantify the contribution of the pedicle and corpus region in relation to bone quality and loading amplitude of pedicle screws with traditional trajectories.Methods: After CT examination to classify bone quality, 14 pedicle screws were inserted into seven L5. Subsequently, Micro-CT images were acquired to analyze the screw’s location and the vertebrae were split in the midsagittal plane and horizontally along the screw’s axis to allow imprint tests with 6 mm long sections of the pedicle screws in a caudal direction perpendicular to the screw’s surface. Force-displacement curves in combination with the micro-CT data were used to reconstruct the resistance of the pedicle and corpus region at different loading amplitudes.Results: Bone quality was classified as normal in three specimens, as moderate in two and as bad in two specimens, resulting in six, four, and four pedicle screws per group. The screw length in the pedicle region in relation to the inserted screw length was measured at an average of 63%, 62%, and 52% for the three groups, respectively. At a calculated 100 N axial load acting on the whole pedicle screw, the pedicle region contributed an average of 55%, 58%, and 58% resistance for the normal, moderate, and bad bone quality specimens, respectively. With 500 N load, these values were measured at 59%, 63%, and 73% and with 1000 N load, they were quantified at 71%, 75%, and 81%.Conclusion: At lower loading amplitudes, the contribution of the pedicle and corpus region on pedicle screw hold are largely balanced and independent of bone quality. With increasing loading amplitudes, the contribution of the pedicle region increases disproportionally, and this increase is even more pronounced in situations with reduced bone quality. These results demonstrate the importance of the pedicle region for screw hold, especially for reduced bone quality.
The efficacy and medium-term outcomes of ligament advanced reinforcement system compared with auto-grafts in anterior cruciate ligament reconstruction: At least 2 years follow-up
Authors: Ma Bingxian , Wang Yongxiang , Xu Yongsheng 
Published: September 2022

Background: Graft choice is an important step in the pre-operative plan of anterior cruciate ligament reconstruction (ACLR). The four-strand hamstring tendon (4SHT) is the most widely used auto-graft, while the Ligament Advanced Reinforcement System (LARS) is the newest typical biomaterial for ACLR. The physical activity level (PAL) before injury can affect the efficacy and outcomes of ACLR. This study aims to compare the efficacy and functional outcomes between ACLR using LARS and 4SHT in patients different PALs.Methods: This was a prospective paired case-control study. ACL rupture patients included from 1 January 2017 to 31 December 2019 were subsequently divided into the high and plain PAL groups, according to their baseline PAL before injury. Clinical assessments included: Lachman test, pivot shift test, ligament laxity, Lysholm and International Knee Documentation Committee (IKDC) scores, and rate of returning to sports. The minimum follow-up was 2 years (y).Results: A total of 58 patients had accomplished the 2 y follow-up (missing rate: 6.5%). In the high PAL group (n = 22), the positive rate of A–P laxity of the LARS subgroup was lower than the 4SHG subgroup (p = 0.138), while the Lysholm score (p = 0.002), IKDC score (p = 0.043), and rate of returning to sports (p = 0.010) of the LARS were higher than the 4SHG at 1 year follow-up; the positive rates of A–P laxity (p = 0.009) and pivot test (p = 0.027) were lower in the LARS than the 4SHG at 2 y follow-up. In the plain PAL group (n = 36), the positive rate of A–P laxity in the LARS subgroup was lower than the 4SHG at 1 year follow-up (p = 0.017); the positive rates of A–P laxity (p = 0.001), Lachman (p = 0.034), and pivot tests (p = 0.034) in the LARS were also lower than the 4SHG at 2 y follow-up, but the IKDC score (p = 0.038) and rate of returning to sports (p = 0.019) in the 4SHG were higher than the LARS.Conclusion: In patients with high PAL, LARS can acquire better knee stability, sooner functional recovery, and returning to sports than 4SHG, while in patients without high PAL, 4SHG acquires better functional outcomes and a higher rate of returning to sports.
The application of finite element analysis to determine the optimal UIV of growing-rod treatment in early-onset scoliosis
Authors: Pan Aixing , Ding Hongtao , Wang Junjie , Zhang Zhuo , Zhang Hongbo , Liu Yuzeng , Hai Yong 
Published: September 2022

Objectives: To analyze the stress distribution in the proximal vertebral body and soft tissue of dual growing-rod (GR) with different upper instrumented vertebra (UIV) to determine the optimal UIV.Methods: A ten-year-old male EOS case treated with GR was selected. Based on spiral computed tomography (CT) scanning performed in 0.6 mm thick slices, a finite element model (FEM) of the preoperative state (M0, the original spine state) of the patient was created. Subsequently, four models with different UIV fixations were numerically analyzed by FEM, including M1 (UIV = T1, i.e., the upper-end vertebrae (UEV) of the upper thoracic curve), M2 (UIV = T2), M3 (UIV = T3) and M4 (UIV = T4, i.e., the lower end vertebrae (LEV) of the upper thoracic curve). Displacement and maximum stress in the proximal vertebral body and soft tissue were measured and compared among the five models.Results: The spine model was fixed with the sacrum, and the gravity conditions were imposed on each vertebral body according to the research of Clin and Pearsall. The results are as follows:M4 model has the largest overall displacement, while M1 has the least displacement among the four models. Except M2, the maximum normalized stress of UIV increases with the downward movement of UIV. M1 has the lowerest annulus fibrosus stress and highest joint capsule stress, which is characterized by the vertebrae backward leaning, while M4 is the opposite. The supraspinous ligament stress of M3 and M4 is significantly higher than that of M1 and M2. This suggests that UIV downshift increases the tendency of the proximal vertebral bodies to bend forward, thereby increasing the tension of the posterior ligaments (PL).Conclusion: The UIV of the GR is recommended to be close to the UEV of the upper thoracic curve, which can reduce the stress of the proximal PL, thereby reducing the occurrence of proximal junctional kyphosis (PJK).
Calcium phosphate bioceramics: From cell behavior to chemical-physical properties
Authors: Magnaudeix Amandine 
Published: September 2022

Calcium phosphate ceramics, including hydroxyapatite (HA), have been used as bone substitutes for more than 40 years. Their chemical composition, close to that of the bone mineral, confers them good biological and physical properties. However, they are not sufficient to meet all the needs in bone regenerative medicine, such as in the context of critical bone lesions. Therefore, it is essential to improve their biological performances in order to extend their application domains. In this aim, three approaches are mainly followed on the assumption that the biological response can be tuned by modifications of the chemical physical properties of the ceramic: 1) Incorporation of specific chemical species into the calcium phosphate crystalline lattice of chemical elements to stimulate bone repair. 2) Modulation of the bioceramic architecture to optimize the cellular responses at the interface. 3) Functionalization of the bioceramic surface with bioactive molecules. These approaches are supposed to act on separate parameters but, as they are implemented during different steps of the ceramic processing route, they cannot be considered as exclusive. They will ineluctably induces changes of several other physical chemical properties of the final ceramic that may also affect the biological response. Using examples of recent works from our laboratory, the present paper aims to describe how biology can be affected by the bioceramics modifications according to each one of these approaches. It shows that linking biological and chemical physical data in a rational way makes it possible to identify pertinent parameters and related processing levers to target a desired biological response and then more precisely tune the biological performance of ceramic biomaterials. This highlights the importance of integrating the biological evaluation into the heart of the processes used to manufacture optimized biomaterials.
Silicone Foley catheters impregnated with microbial indole derivatives inhibit crystalline biofilm formation by Proteus mirabilis
Authors: Amer Mai A. , Ramadan Mohamed A. , Attia Ahmed S. , Wasfi Reham 
Published: September 2022

Proteus mirabilis is a common causative agent for catheter-associated urinary tract infections (CAUTI). The crystalline biofilm formation by P. mirabilis causes catheter encrustation and blockage leading to antibiotic treatment resistance. Thus, biofilm formation inhibition on catheters becomes a promising alternative for conventional antimicrobial-based treatment that is associated with rapid resistance development. Our previous work has demonstrated the in vitro antibiofilm activity of microbial indole derivatives against clinical isolates of P. mirabilis. Accordingly, we aim to evaluate the capacity of silicone Foley catheters (SFC) impregnated with these indole derivatives to resist biofilm formation by P. mirabilis both phenotypically and on the gene expression level. Silicon Foley catheter was impregnated with indole extract recovered from the supernatant of the rhizobacterium Enterobacter sp. Zch127 and the antibiofilm activity was determined against P. mirabilis (ATCC 12435) and clinical isolate P8 cultured in artificial urine. The indole extract at sub-minimum inhibitory concentration (sub-MIC=0.5X MIC) caused a reduction in biofilm formation as exhibited by a 60-70% reduction in biomass and three log10 in adhered bacteria. Results were confirmed by visualization by scanning electron microscope. Moreover, changes in the relative gene expression of the virulence genes confirmed the antibiofilm activity of the indole extract against P. mirabilis. Differential gene expression analysis showed that extract Zch127 at its sub-MIC concentration significantly down-regulated genes associated with swarming activity: umoC, flhC, flhD, flhDC, and mrpA (p&lt; 0.001). In addition, Zch127 extract significantly down-regulated genes associated with polyamine synthesis: speB and glnA (p&lt; 0.001), as well as the luxS gene associated with quorum sensing. Regulatory genes for capsular polysaccharide formation; rcsB and rcsD were not significantly affected by the presence of the indole derivatives. Furthermore, the impregnated catheters and the indole extract showed minimal or no cytotoxic effect against human fibroblast cell lines indicating the safety of this intervention. Thus, the indole-impregnated catheter is proposed to act as a suitable and safe strategy for reducing P. mirabilis CAUTIs.
Mediating role of body composition and insulin resistance on the association of arterial stiffness with blood pressure among adolescents: The ALSPAC study
Authors: Agbaje Andrew O. 
Published: September 2022

BackgroundEmerging evidence among adolescents suggests that arterial stiffness temporally precedes elevated blood pressure/hypertension in the casual pathway. It remains unknown whether insulin resistance and body composition mediate this relationship. Therefore, we examined the mediating role of total fat mass, lean mass, and insulin resistance in the association between arterial stiffness and blood pressure among adolescents.Materials and methodsWe studied 3,764 participants, aged 17 years from the Avon Longitudinal Study of Parents and Children (ALSPAC) United Kingdom birth cohort. Arterial stiffness accessed with Vicorder device measured carotid-femoral pulse wave velocity (cfPWV), body composition was measured by dual-energy Xray Absorptiometry, blood pressure by Omron device, and homeostatic model assessment of insulin resistance (HOMA-IR) was computed. Data were analysed with structural equation models mediation path analyses and adjusted for cardiometabolic and lifestyle factors.ResultsAmong 1,678 [44.6%] male and 2,086 [55.4%] female participants, higher cfPWV was directly and independently associated with higher systolic and diastolic blood pressure, irrespective of the mediator [Standardized regression coefficient (β) = 0.248–0.370, p for all = 0.002]. Lean mass [β = 0.010; p = 0.026; 3.3% mediation] and HOMA-IR [β = 0.004; p = 0.033; 1.1% mediation] but not total fat mass [β &lt; 0.0001; p = 0.615; 0% mediation] partly mediated the association of cfPWV with systolic blood pressure after full adjustments. Similarly, lean mass [β = –0.004; p = 0.021; 1.4% mediation] and HOMA-IR [β = 0.007; p = 0.039; 2.8% mediation] but not total fat mass [β = –0.002; p = 0.665; 0.7% mediation] partly mediated the association of cfPWV with diastolic blood pressure.ConclusionAttenuating insulin resistance may be a potentially valuable strategy in lowering higher blood pressure precipitated by higher arterial stiffness.