bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effects of exercise training and dietary supplement on fat free mass and bone mass density during weight loss – a systematic review and meta-analysis.
Authors: Roth Anja , Sattelmayer Martin , Schorderet Chloé , Gafner Simone , Allet Lara 
Published: September 2022

Background: After a diet- or surgery induced weight loss almost 1/3 of lost weight consists of fat free mass (FFM) if carried out without additional therapy. Exercise training and a sufficient supply of protein, calcium and vitamin D is recommended to reduce the loss of FFM. Objective: To investigate the effect of exercise training, protein, calcium, and vitamin D supplementation on the preservation of FFM during non-surgical and surgical weight loss and of the combination of all interventions together in adults with obesity. Methods: A systematic review was performed with a pairwise meta-analysis and an exploratory network meta-analysis according to the PRISMA statement. Results: Thirty studies were included in the quantitative analysis. The pairwise meta-analysis showed for Exercise Training + High Protein vs. High Protein a moderate and statistically significant effect size (SMD 0.45; 95% CI 0.04 to 0.86), for Exercise Training + High Protein vs. Exercise Training a high but statistically not significant effect size (SMD 0.91; 95% CI -0.59 to 2.41) and for Exercise Training alone vs. Control a moderate but statistically not significant effect size (SMD 0.67; 95% CI -0.25 to 1.60). In the exploratory network meta-analysis three interventions showed statistically significant effect sizes compared to Control and all of them included the treatment Exercise Training. Conclusions: Results underline the importance of exercise training and a sufficient protein intake to preserve FFM during weight loss in adults with obesity. The effect of calcium and vitamin D supplementation remains controversial and further research are needed.
Optimizing global COVID-19 vaccine allocation: An agent-based computational model of 148 countries
Authors: Li Qingfeng , Huang Yajing 
Published: September 2022

Background
Based on the principles of equity and effectiveness, the World Health Organization and COVAX formulate vaccine allocation as a mathematical optimization problem. This study aims to solve the optimization problem using agent-based simulations.

Methods
We built open-sourced agent-based models to simulate virus transition among a demographically representative sample of 198 million people in 148 countries using advanced computational services. All countries continuing their current vaccine progress is defined as the baseline scenario. Comparison scenarios include achieving minimum vaccination rates and allocating vaccines based on pandemic levels.

Findings
The simulations are fitted using the pandemic data from 148 countries from January 2020 to June 2021. Under the baseline scenario, the world will add 24.36 million cases and 468,945 deaths during the projection period of three months. Inoculating at least 10%, 20%, and 26% of populations in all countries requires 1.12, 3.31, and 5.00 million additional vaccine doses every day, respectively. Achieving these benchmarks reduces new cases by 0.56, 2.74, and 3.32 million, respectively. If allocated by the current global distribution, 5.00 million additional vaccine doses will only avert 1.45 million new cases. If those 5.00 million vaccines are allocated based on projected cases in each country, the averted cases will increase more than six-fold to 9.20 million. Similar differences between allocation methods are observed in averted deaths.

Conclusion
The global distribution of COVID-19 vaccines can be optimized to achieve better outcomes in terms of both equity and effectiveness. Alternative vaccine allocation methods may avert several times more cases and deaths than the current global distribution. With reasonable requirements on additional vaccines, COVAX could adopt alternative allocation strategies that reduce cross-country inequity and save more lives.
Spinal pain patients seeking care in primary care and referred to physiotherapy: A cross-sectional study on patients characteristics, referral information and physiotherapy care offered by general practitioners and physiotherapists in France
Authors: Demont Anthony , Benaïssa Leila , Recoque Valentine , Desmeules François , Bourmaud Aurélie 
Published: September 2022

Objectives
To describe spinal pain patients referred by their treating general practitioners to physiotherapy care, examine to which extent physiotherapy interventions proposed by general practitioners and physiotherapists were compliant to evidence based recommendations, and evaluate concordance between providers in terms of diagnosis and contraindications to physiotherapy interventions.

Methods
This study included spinal pain patients recruited from a random sample of sixty French physiotherapists. Physiotherapists were asked to supply patients’ physiotherapy records and characteristics from the general practitioner’s physiotherapy referral for the five new consecutive patients referred to physiotherapy. General practitioner’s physiotherapy referral and physiotherapists’ clinical findings characteristics were analyzed and compared to evidence-based recommendations using Chi-squared tests. Cohen’s kappas were calculated for diagnosis and contraindications to physiotherapy interventions.

Results
Three hundred patients with spinal pain were included from sixty physiotherapists across France. The mean age of the patients was 48.0 ± 7.2 years and 53% were female. The most common spinal pain was low back pain (n = 147). Diagnoses or reason of referral formulated by general practitioners were present for 27% of all patients (n = 82). Compared to general practitioners, physiotherapists recommended significantly more frequently recommended interventions such as education, spinal exercises or manual therapy. General practitioners prescribed significantly more frequently passive physiotherapy approaches such as massage therapy and electrotherapy. The overall proportion of agreement beyond chance for identification of a diagnosis or reason of referral was 41% with a weak concordance (κ = 0.19; 95%CI: 0.08–0.31). The overall proportion of compliant physiotherapists was significantly higher than for general practitioners (76.7% vs 47.0%; p<0.001).

Conclusions
We found that information required for the referral of spinal pain patients to physiotherapy is often incomplete. The majority of general practitioners did not conform to evidence-based recommendations in terms of prescribed specific physiotherapy care; in contrast to a majority of physiotherapists.

Trial registration
ClinicalTrials.gov: NCT04177121
DATA MINING USING CRISP-DM PROCESS FRAMEWORK ON OFFICIAL STATISTICS: A CASE STUDY OF EAST JAVA PROVINCE
Authors: Gunawan Gunawan 
Published: September 2022

Data mining on official statistics becomes a study interest, as it offers an opportunity to reveal hidden patterns within the data. This study investigates the data mining process's appropriateness using the CRISP-DM method to a secondary-quantitative data analysis and to investigate hidden information revealed from data mining on official statistics. Data is collected from the East Java BPS website, and the unit of analysis is regency/municipality. Five macro development indicators (Human Development Index, Gross Regional Domestic Products, poverty rate, Gini Ratio, open unemployment rate) are selected as analysis variables. Workflows of data analysis are designed using Knime software. This study shows the usefulness of the CRISP-DM method for secondary research because it specifies standardized stages for analyzing secondary data and improves the secondary analysis rigor. Furthermore, the clustering technique classifies regencies/municipalities into three clusters. One of the clusters has desirable indicator levels: high Human Development Index - high Gross Regional Domestic Products - low poverty rate, together with undesirable ones: high Gini Ratio - high open unemployment rate. This result indicates that a regency/municipality might not achieve an ideal condition of the five macro development indicators. Some indicators such as the open unemployment rate might be an inevitable impact. This research adds to the literature on development economics studies, particularly on the application of data mining, the CRISP-DM method, and Knime software to official statistics.
KEARIFAN LOKAL DALAM MENGHADAPI COVID-19: STUDI KAMPUNG TANGGUH DI JAWA TIMUR
Authors: Rahmawati Yusrin , Santaufany Farah Fadillah Anugrah , Hati Erva Mutiara , Roziqin Ali 
Published: September 2022

Pandemi Covid-19 sudah hampir satu tahun melanda dunia, dan hingga saat ini angka positif di Indonesia masih sangat tinggi. Sebagai negara yang mempunyai kekayaan budaya, budaya dan masyarakat tentunya tidak dapat dipisahkan dari kehidupan sehari-hari. Maka sebaiknya dalam upaya penanggulangan Covid-19 dapat dimaksimalkan dengan kearifan lokal pada masing-masing daerah. Pemerintah juga telah mengeluarkan kebijakan terkait program kampung tangguh, dimana Desa ditutntut agar mampu menciptakan inovasi maupun memnfaatkan kearifan lokal secara maksimal untuk dapat mengurangi angka pasien positif Covid-19. Karena penanggulangan Covid-19 melalui kampung tangguh yang berbasis kearifan lokal ini menjadi variasi baru dan dinilai efektif karena lebih diterima oleh masyarakat desa. Penulisan artikel ini menggunakan jenis penelitian analisis naratif dengan pendekatan studi literatur dan tinjuan sistematis. Tujuan dari penulisan artikel ini yaitu untuk mengetahui seberapa efektif penanggulangan Covid-19 melalui program kampung tangguh yang berbasis kearifan lokal. Penelitian yang menarik untuk selanjutnya dikaji yaitu terkait penanggulangan bencana berbasis kearifan lokal.
PENGALAMAN PENGASUHAN SINGLE MOTHER YANG MEMILIKI ANAK PENYANDANG LUPUS ERITEMATOSUS SISTEMIK: INTERPRETATIVE PHENOMENOLOGICAL ANALYSIS
Authors: Margaretha Magdalena , La Kahija Yohanis F 
Published: September 2022

Ketidakhadiran suami membuat single mother berjuang sendiri untuk mengasuh anak. Kondisi tersebut semakin berat setelah anak didiagnosis mengidap penyakit kronis yaitu lupus. Penyakit lupus merupakan jenis penyakit autoimun kronis yang dapat memberikan dampak fisik maupun psikologis kepada pengidapnya. Tujuan penelitian ini adalah untuk memahami dan mencari tahu mengenai proses pengasuhan pada single mother yang memiliki anak penyandang lupus eritematosus sistemik. Pemilihan partisipan dilakukan dengan teknik purposif. Terdapat tiga partisipan yang diwawancarai dengan kriteria single mother yang memiliki anak penyandang lupus eritematosus sistemik usia dewasa awal, dan didiagnosis mengidap lupus eritematosus sistemik sejak usia remaja. Metode yang digunakan dalam penelitian ini adalah penelitian fenomenologis dengan wawancara yang bersifat semi-terstruktur sebagai metode pengumpulan data. Analisis data yang digunakan dalam penelitian ini adalah Interpretative Phenomenological Analysis (IPA). Penelitian ini menghasilkan dua tema induk yaitu, (1) keprihatinan terhadap anak dengan tema superordinat kepedulian dalam mengasuh, upaya memahami kondisi anak, upaya penyembuhan, upaya membangun optimisme, dan (2) dinamika dalam mengasuh dengan tema superordinat keguncangan pascadiagnosis, rintangan dalam pengasuhan, serta penguatan dalam pengasuhan. Terdapat satu tema khusus yang hanya muncul pada partisipan EY, yaitu pembatasan diri karena stigma. Hasil dari penelitian ini menunjukkan bahwa terdapat berbagai dinamika yang dialami oleh single mother dan upaya keras yang dilakukan untuk dapat bertahan selama mengasuh anak penyandang lupus eritematosus sistemik pada ketiga partisipan. Kekurangan dan keterbatasan dari penelitian ini juga dibahas sebagai acuan untuk penelitian yang akan dilakukan selanjutnya.
Model Fisik Pengaruh Armour Cylinder Concrete pada Vertical Breakwater Terhadap Koefisien Refleksi Gelombang
Authors: Alfani A Aziz , Sugianto Denny Nugroho , Indrayanti Elis , Ismunarti Dwi Haryo , Widiaratih Rikha 
Published: September 2022

Vertical Breakwater merupakan salah satu bangunan pantai yang dapat digunakan untuk melindungi pantai dari erosi maupun abrasi. Vertical breakwater sering kali mengalami kerusakan dan kegagalan struktur yang disebabkan oleh hantaman gelombang yang mengenai bangunan sehingga perlu ditambahkannya lapisan armour, salah satunya cylinder concrete. Lapisan armour cylinder concrete merupakan salah satu inovasi lapisan pelindung yang mempunyai beberapa kelebihan yaitu proses pembuatan dan perencanan mudah dan cepat dan dapat mengurangi koefisien refleksi didepan breakwater sehingga dapat menjaga struktur breakwater. Uji model fisik dilakukan untuk mengetahui pengaruh armour cylinder concrete terhadap koefisien refleksi gelombang (Kr). Tujuan penelitian yaitu untuk mengetahui pengaruh diberikannya armour terhadap koefisien refleksi gelombang, Metode yang digunakan yaitu menggunakan metode eksperimental dimana penelitian dilakukan dalam skala laboratorium yaitu menggunakan skala 1:30 dengan gelombang yang dibangkitkan jenis gelombang regular. Pengambilan data dilakukan pada wave flume dengan menggunaan variasi kedalaman air (d) dan periode gelombang(T). Parameter yang digunakan dalam penelitian ini yaitu panjang gelombang (L), tinggi gelombang datang (Hi), kecuraman gelombang (Hi/L). Berdasarkan hasil penelitian didapatkan hasil berupa perbandingan pengaruh diberikannya lapisan armour cylinder concrete terhadap koefisien refleksi gelombang. Penambahan lapisan armour cylinder concrete mengakibatkan perubahan kondisi gelombang didepan breakwater yaitu gelombang mengalami perubahan kecepatan, panjang dan kecuraman gelombang sehingga mengakibatkan penurunan tinggi gelombang refleksi dan berakibat pada penurunan koefisien refleksi yang dihasilkan. Lapisan armour mampu meredam koefisien refleksi terbaik yaitu sebesar 33% dan redaman terendah sebesar 18%. Efektivitas redaman koefisien refleksi oleh armour cylinder concrete akan semakin menurun dengan berkurangnya periode gelombang (T) dan meningkatnya kedalaman perairan (d). Lapisan armour cylinder concrete dapat digunakan untuk melindungi stuktur dari vertical breakwater dengan meredam koefisien refleksi gelombang akan tetapi kestabilan lapisan armour perlu dilakukan penelitian selanjutnya.
HUBUNGAN PENGETAHUAN DAN PRAKTIK PEMBERIAN MAKAN BAYI DAN ANAK (PMBA) SERTA PENGGUNAAN GARAM BERYODIUM DENGAN KEJADIAN STUNTING
Authors: Gunawan Heri , Fatimah Siti , Kartini Apoina 
Published: September 2022

Stunting problems often arise as a result of a lack of knowledge and skills in meeting the nutritional needs of toddlers. Infant and Young Child Feeding (IYCF) is an effort aimed at increasing the knowledge and skills of the community to deal with nutritional problems independently. In addition to feeding patterns, adequate intake of iodine is required for normal physical growth during pregnancy and early life. This study aims to analyze the relationship between knowledge and practice of IYCF and consumption of iodized salt with the case of stunting in toddlers aged 12-24 months.This research is an analytic observational study using a cross sectional design. 87 samples were selected using random sampling technique. The data was collection on the level of knowledge and practice of PMBA carried out interviews with respondents using a questionnaire, collecting data on the use of iodized salt by testing for iodine levels using Lugol's solution (iodine test), measuring body length using an Infantometer and determining nutritional status processed with the WHO anthro application and analyzing data using the test. Continuity Correction stats. IYCF knowledge of the respondents at 76.0% is classified as good, IYCF practice of the respondents at 69% is classified as good and the use of Iodized Salt is at 35.6%. The Continuity Correction ”test showed that there was” a significant association between IYCF“knowledge (p=0.001; PR =14.9), IYCF practice (p=0.001; PR =10.6) and ”the use of iodized salt” (p=0.017; PR =3.7) and the incidence of stunting in children aged 12-24 months.There is an,.association between IYCF practice and knowledge and the use of iodized salt and ”the”incidence”” of stunting in ”children ”aged 12-24 months.
GAMBARAN PENGETAHUAN TERHADAP COVID-19 BERDASARKAN JENIS KELAMIN PADA MAHASISWA FAKULTAS KESEHATAN MASYARAKAT (Studi pada Mahasiswa Fakultas Kesehatan Masyarakat Universitas Diponegoro Angkatan 2020)
Authors: Naninda Carisa Putri Ni Putu Desinta , Wurjanto Moh. Arie , Kusariana Nissa , Udijono Ari 
Published: September 2022

At the end of 2019, precisely in December, the world was shaken by the emergence of a new virus infection (coronavirus) (Kemenkes, 2020). Coronavirus is a group of viruses that can infect humans and animals. This virus belongs to the beta group coronavirus. Educating and knowing about COVID-19 is not an easy things to do. A valid and reliable source of data and information on COVID-19 is essential. The purpose of this research is to determine the description of knowledge of 2020 Diponegoro University Faculty of Public Health students college about COVID-19. The method used in this research is descriptive methods based on solving problems based on current facts. Large sample as 94 responders. Sampling is done with simple random sampling techniques. Data is distributed with a questionnaire that contains a few questions through the google form. From the sample obtained, there are eight male (8.5%) and 86 female (91.5%) respondents. Also 70 (74.5%) respondents who had good knowledge of COVID-19 were found, 24 (25.5%) respondents have sufficient knowledge and no respondent has less knowledge. That means most of respondents, either male or female have a good knowledge about COVID-19. However, socialization is still needed for students to further enhance knowledge about COVID-19, especially for students who still have a sufficient level of knowledge.
PENGARUH BOARDGAME ‘GERMAS GAME’ DAN METODE CERAMAH TERHADAP PENGETAHUAN DAN SIKAP GERAKAN MASYARAKAT HIDUP SEHAT PADA REMAJA PEREMPUAN (STUDI PADA SISWI KELAS 8 SMPIT DAARUSSALAAM, SANGATTA, KALIMANTAN TIMUR)
Authors: Nabila Bilqis , Mustofa Syamsulhuda Budi , Widjanarko Bagoes 
Published: September 2022

The adolescent age group has risky behaviors that have a negative impact on health in the coming decades, such as non-communicable diseases. Risk prevention programs with an understanding referring to adolescents can help adolescents increase awareness of healthy behaviors and behavior changes for adolescents with the early non-communicable disease phase. The Indonesian Ministry of Health specifically reminds the public to maintain health through the Healthy Living Community Movement (GERMAS) in order to create a healthy Indonesia and prevent non communicable diseases. This study uses the Germas Game boardgame and lecture method to provide comprehensive health information. The subjects of this study were 40 students of 8th grade of Daarussalaam Middle School, Sangatta, East Kalimantan. The control group was given intervention through the lecture method only. The experimental group received the Germas Game board game as a complement to the intervention. The results showed a significant difference in knowledge between control group and experimental group (mean=6.05;p=0,000). The data showed that the increase in knowledge in the experimental group (mean=14,45) was greater than the increase in knowledge in the control group (mean=8,4). The results also showed significant differences in attitudes between the control and experimental groups (mean=4,35;p=0,000). It can be concluded that intervention by lecturing and playing the Germas Game board game is more effective in increasing knowledge and attitudes in adolescents.
HUBUNGAN FAKTOR MANUSIA, ORGANISASI DAN TEKNOLOGI TERHADAP NET-BENEFIT DARI SIKP KABUPATEN DEMAK
Authors: Hikmah Annisa' Arifatul , Mawarni Atik , Dharminto Dharminto 
Published: September 2022

Sistem Informasi Kesehatan Puskesmas (SIKP) is a variation of the puskesmas management information system used by puskesmas in Demak Regency. SIKP began to be used to assist community health centers in managing patient services since 2016. However, in reality, there are still some obstacles in terms of human, organizational and technical factors. The purpose of this study was to determine the relationship between human, organizational and technological factors (HOT-Fit) with the Net-Benefit of using SIKP at Dempet Health Center and Gajah 2 Health Center, Demak Regency. This research is a quantitative research using explanatory research method and cross sectional study design. The total population of SIKP users are 43 officer respondents, with details of 4 Registration officers, 9 BP-UMUM officers, 28 KIA officers, 4 Pharmacy officers. The results showed that most respondents were users of information systems aged 31-40 years (44%), and had a work period of more than 15 years (39.5%). The results of the correlation test showed that there was a weak positive relationship between human factors and the net-benefit of SIKP (p-value = 0.021, r = 0.351), but there is no relationship between the other 2 variables, between organizational factors and Net-benefit (p value = 0.392, r = 0.194) and between technology factors and Net-benefit (p value = 0.994, r = 0.001). It is recommended that monitoring and evaluation of routine use from both the Puskesmas and the Health Office are recommended so that it can add to the positive net-benefits of SIKP.
Mediation Role of Perceived Organizational Support on Nurses’ Work Engagement and Leadership Styles
Authors: Mehrad Aida , Fernández-Castro Jordi , González Gómez de Olmedo Maria Pau , García-Sierra Rosa 
Published: September 2022

Background: Nurses’ work engagement is essential both for the quality of the service provided and occupational health. However, there is a lack of adequate information about nurses’ engagement in healthcare organizations that are affected by various factors in the context of Health Psychology.Purpose: This study was aimed at investigating the association between leadership styles of supervisors and work engagement, and elucidating the role of organizational support in this relationship.Methods: A cross-sectional study was conducted on 85 nurses from the health organizations in Catalonia, Spain, recruited via a snowball procedure. Leadership styles and Three Outcome Scales (TOS) were evaluated through the Multifactorial Leadership Questionnaire (MLQ) as independent variables. POS as an Organizational Support Test assessed a mediating variable (POS), and work engagement as a dependent variable was evaluated by the Utrecht Job Involvement Scale (UWES).Results: The results displayed differences in work engagement depending on job positions. Besides, the results revealed a positive association between leadership styles and TOS with work engagement, other than laissez-faire. Additionally, POS illustrated a positive association with work engagement (r=0.447, p<0.01). Leadership styles except for laissez-faire and TOS positively affect POS; also, TOS significantly predicted work engagement (β=0.581, t(78)=2.196, p<.05). Furthermore, results confirmed that POS mediates the relationship between leadership styles and TOS with work engagement (z=-3.490; z=3.117; z=3.521; z=3.791, p=0.000).Conclusion: Transformational and transactional leadership are two main styles significantly affecting nurses’ engagement with their work, while laissez-faire decreases nurses’ work engagement; therefore, supervisors and leaders of healthcare organizations should consider it. Consequently, nurses with a high POS show superior engagement levels at work. The research sheds new light on health psychology and the clinical area, particularly in nurses’ work engagement.