bluuebunny/crossref_metadata_2025_split huggingface dataset:
Improving health and social care services for slum-dwelling older adults: Perspectives of health professionals
Authors: Attafuah Priscilla Yeye Adumoah , Everink Irma H. J. , Lohrmann Christa , Abuosi Aaron Asibi , Schols Jos M. G. A. 
Published: October 2022

BackgroundBesides confronting the challenges of a growing older population, developing countries are dealing with limited resources and infrastructure, to ensure good health and social care services. One of these developing countries facing these challenges is Ghana. The healthcare system in Ghana currently does not have specialized geriatric services and is funded through the National Health Insurance Scheme (NHIS), private insurance companies and an out-of-pocket expenditure system. Social care services are important in improving Quality of Life (QoL) as it helps in building and strengthening relationships while also keeping slum-dwelling older adults active. There are various challenges with the health and social care of older adults in slums and practical ways to improve these have not been explored among the providers of this care.AimsThis study, therefore, aimed to explore (1) the views of health professionals on older slum-dwelling adults' health and social care needs, access, and use, and (2) recommendations for improving access to health and social care services among slum-dwelling older adults.MethodA qualitative exploratory descriptive approach was used among health professionals by conducting a focus group discussion (FGD) and interviews. A semi-structured interview guide was used to collect data from each participant.ResultsA total of 27 participants took part in the study. In the analysis of transcripts, 3 themes and 14 subthemes were conceptualized. Financial difficulties, queueing issues, distance to health facilities, health illiteracy and negative attitude of health professionals were identified as some barriers to the utilization of formal healthcare services. Social care services were described as non-existent, not structured, and having limited resources to cater for attendants. The health professionals also provided recommendations for improvement.ConclusionHealth professionals in this study discussed barriers to access and use of health and social care services. Addressing these barriers is essential to improve the use of formal health and social care services and diminish health inequity among older adults.
Masquelet technique with radical debridement and alternative fixation in treatment of infected bone nonunion
Authors: Liu Xuanzhe , Min Hong Sung , Chai Yimin , Yu Xiaowei , Wen Gen 
Published: October 2022

BackgroundInfected bone nonunion is the toughest problem in fracture-related infection, leading to high disability and recurrence. The aim of this study was to evaluate the effectiveness of the Masquelet technique with radical debridement and alternative fixation in the management of infected bone nonunion.Patients and MethodsA retrospective study of prospectively collected data in two trauma centers was performed from 2016 to 2020. Patients diagnosed as infected bone nonunion were included in this study. The initial implant was removed and all patients received a two-stage Masquelet procedure with radical debridement and alternative fixation. The disappearance of inflammatory manifestations and regression of infection indicators (such as interleukin-6 (IL-6), C-reactive protein, white blood cell count) to the normal range were regarded as radical debridement. The alternative fixation depended on local soft tissue conditions. Results were evaluated according to clinical and radiographic assessment and patient satisfaction.ResultsA total of 23 patients were included in our study. Six of them received internal fixation, while the other 17 received external fixation. Of the 23 cases, 21 were successfully reconstructed without infection recurrence, except 2 reinfected cases. Mean full weight bearing time was 6.6 months follow-up post last surgery. Out of the 23, 20 cases had satisfactory functional outcomes without additional bone or soft tissue comorbidities. Discrepancies in leg length and joint stiffness were observed in three cases and marked as unsatisfied results.ConclusionsInfected bone nonunion can be successfully managed using the Masquelet technique under radical debridement combined with an alternative fixation method.
Assessment of videos related to lung nodules in China
Authors: Han Jiajun , Shi Yifan , Ma Haitao 
Published: October 2022

BackgroundWith the popularization of mobile phones and the development of the Internet, many patients use social media platforms to seek health information. Currently, TikTok, iQiyi, Bilibili, and Weibo are the most popular video platforms in China. Therefore, based on the above facts, this study estimated the quality of lung nodule videos taken in China using these platforms.MethodsThe term “lung nodule” was searched on these platforms. Then, the first 30 videos were selected. Subsequently, some videos were excluded after they had been reviewed and analyzed, after which information on the features and sources of these videos was finally assessed using DISCERN, the Journal of the American Medical Association (JAMA) Benchmark Criteria, and the Hexagonal Radar Schema. Analysis was performed according to different groups.Results101 videos were included in this study. According to the different sources, although most videos were from physicians (71.3%), comprising those with shorter durations; faster updates; and more likes, comments, and shares; no significant difference in the scores were obtained. Moreover, regarding the different platforms, while Weibo had the highest update, TikTok had more likes, comments, and shares. Investigations also revealed that while score differences were recorded, most videos were rated “very poor” and “poor.” Besides, hexagonal radar charts showed a severe deficiency of video information.ConclusionsAlthough the quality of most videos on the understudied social media platforms was poor, these platforms have huge potential. Therefore, caution should be exercised when using the platforms as information sources about lung nodules, and a better review and push system is needed.
Forensic Accounting Methods and Reducing Creative Accounting Practices: Evidence from Jordan
Authors: S. Al-Qadi Naim , H. Al-Dmour Ahmed 
Published: October 2022

This study aims to investigate the role of forensic accounting methods in reducing creative accounting practices in Jordan as a developing country. The targeted population consisted of 357 respondents from auditing accounting working in auditing offices in Amman. A self-administrated questionnaire was used as an instrument for data collection and multiple-regression analysis was employed for data analysis.
The study findings indicated that three factors could be extracted from forensic accounting methods; namely, investigation operations, procedures and evaluation processes. These factors (methods) showed to have a positive relationship with reducing creativity accounting practices from auditors’ perspective in Jordan. The most crucial forensic accounting method (factor) that proved to be highly associated with reducing creativity accounting practices was the “procedures” method
Analisis Motivasi, Stres Kerja, dan Beban Kerja Paramedis Perawatan di Rumah Sakit Umum Gereja Masehi Injili di Minahasa (GMIM) Siloam Sonder Terkait Kinerja
Authors: Pioh Virgin E. , Manampiring Aaltje E. , Mandey Silvya L. 
Published: October 2022

Abstract: Paramedics are health workers who have the most frequent contact with patients. Maximum service from health workers can improve their performance. There are several factors that affect performance, namely individual, organizational and psychological factors. This study aimed to analyze the motivation, job stress, and work stress of paramedics at GMIM Siloam Sonder Hospital related to their performance. This was a qualitative study conducted at the GMIM Siloam Sonder General Hospital using 10 informants. Data were obtained through interviews in the form of in-depth questions as well as document searching. Motivation could improve the performance of paramedics. Job stress caused the quality of paramedics to decrease. High workload affected their performance. In conclusion, motivation, job stress and workload of paramedics at RSU GMIM Siloam Sonder are related to their performance.Keywords: work motivation; job stress; workload; performance Abstrak: Paramedis perawatan merupakan tenaga kesehatan yang paling sering melakukan kontak dengan pasien. Pelayanan maksimal dari tenaga kesehatan sangat diharapkan untuk meningkatkan kinerja. Terdapat beberapa faktor yang memengaruhi kinerja yaitu faktor individu, organisasi dan psikologis. Penelitian ini bertujuan untuk menganalisa motivasi, stres dan beban kerja paramedis perawatan di RSU GMIM Siloam Sonder terkait dengan kinerja. Jenis penelitian ialah kualitatif. Penelitian dilakukan dengan menggunakan informan sebanyak 10 orang. Data penelitian diperoleh lewat wawancara berupa pertanyaan mendalam serta penelusuran dokumen. Hasil penelitian mendapatkan bahwa pemberian motivasi dapat meningkatkan kinerja paramedis perawatan. Stres kerja menyebabkan kualitas kerja paramedis perawatan menurun. Terdapat kaitan yang memengaruhi kinerja dari pemberian beban kerja yang tinggi. Simpulan penelitian ini ialah motivasi, stres dan beban kerja paramedis perawatan di RSU GMIM Siloam Sonder memiliki kaitan dengan kinerja.Kata kunci: motivasi kerja; stres kerja; beban kerja; kinerja
Experimental investigations on ferroelectric dielectric breakdown in sub-10 nm Hf0.5Zr0.5O2 film through comprehensive TDDB characterizations
Authors: Li Xiaopeng , Wei Wei , Wu Jixuan , Tai Lu , Zhan Xuepeng , Zhang Weiqiang , Tang Mingfeng , Zhao Guoqing , Xu Hao , Chai Junshuai , Wang Xiaolei , Kobayashi Masaharu , Chen Jiezhi 
Published: October 2022

Abstract
A deep insight is aimed at into the degradation of ferroelectric thin film and, systematical time-dependent dielectric breakdown characterizations in sub-10 nm Hf0.5Zr0.5O2 (HZO) film are performed and analyzed in this work. First, it is found that the anti-ferroelectric t-phase becomes more competitive when the film thickness decreases, and the wake-up effect is related to the phase transition. Second, the experimental phenomenon proves the correlation between soft breakdown and hard breakdown in the thin film, especially at low voltages. Furthermore, it is evident that a larger hard breakdown Weibull slope presents in thinner HZO film, showing the opposite trend to conventional dielectrics such as SiO2. The underlying mechanisms are discussed, and it is concluded that the t-phase interface layer, as well as the pre-existing defects in bulk film, are important factors for thin HZO-based devices.
Elevation Model Mosaicking from Coregistration, Adjustment and Median of Stacks (CAMS)
Authors: HOWAT IAN 
Published: October 2022

<p>A large and growing volume of repeat Digital Elevation Models (DEMs) obtained from multiple spaceborne sensors enables high-resolution mapping of the Earth’s surface at continental scales. Presented is a method for efficiently mosaicking sets of repeat, overlapping DEMs using their pairwise, translational offsets to remove poor quality DEMs and optimize their alignment prior to merging. The Coregistration, Adjustment and Median of Stacks (CAMS) approach provides substantially higher quality and accuracy than the median of overlaps when compared to high resolution LiDAR data. The method is general and adaptable for large-area mosaic production </p>
Literasi Pembiayaan UMKM
Authors: Merliyana Merliyana , Saefurahman Asep , Burdah Agustian , Hendrawati Hendrawati , Chandra Rama , Sulistyowati Sulistyowati , Syamsuar Ginanjar 
Published: October 2022

Kegiatan ini merupakan rangkaian dari kegiatan-kegiatan Tim PKM STEI sebelumnya, yang ditujukan untuk menumbuhkan minat berwirausaha masyarakat. UMKM menjadi sarana menumbuhkan serta mengembangkan minat dan bakat berwirausaha. Namun, membangun dan mengembangkan UMKM seringkali terkendala pada rendahnya kemampuan modal, dan rendahnya kemampuan mengakses pembiayaan baik dari Bank maupun lembaga keuangan lainnya. Oleh karena itu, Tim PKM STEI menginisiasi kegiatan ini yang bertujuan memberikan literasi alternatif pembiayaan bagi masyarakat yang berminat untuk membentuk UMKM secara bersama, termasuk juga UMKM yang sudah ada, namun mengalami kendala permodalan. Sehingga tujuan dari kegiatan ini adalah guna menambah pengetahuan peserta terhadap alternatif pembiayaan UMKM serta memberikan pemahaman mengenai aspek-aspek yang harus disiapkan untuk mengakses sumber-sumber pembiayaan baik dari Bank maupun lembaga keuangan lainnya.
Evaluasi Kinerja Dinas Pemberdayaan Perempuan, Perlindungan Anak Dan Pemberdayaan Masyarakat Dalam Pengendalian Kekerasan Anak
Authors: Audina Fattia , Yana Harahap Helly , Asrianingsih Dewi 
Published: October 2022

Permasalahan pada penelitian ini yaitu tindakan kekerasan terhadap anak menjadi bentuk perlakuan baik secara fisik ataupun emosional dan kekerasan seksual di kota tanjungpinang, dan selama 3 tahun terakhir kasus kekerasan terhadap anak terus meningkat. Dimana kasus kekerasan terhadap anak terjadi mulai dari kekerasan fisik, kekerasan psikis, kekerasan seksual dan kasus perdagangan anak. Penelitian ini bertujuan untuk menganalisis evaluasi terhadap kinerja dinas pemberdayaan perempuan, perlindungan anak dan pemberdayaan masyarakat (DP3APM) dalam pengendalian kekerasan anak di kota Tanjungpinang. Metode yang digunakan pada penelitian ini yaitu pendekatan kualitatif, Berdasarkan jenis datanya deskriptif kualitatif bermaksud untuk memperoleh informasi mengenai evaluasi kinerja lembaga dinas terkait. Hasil yang diperoleh pada penelitian ini dengan mengkaji penelitian terdahulu yaitu peran pemerintah sebagai regulator, peran pemerintah sebagai dinamisator, peran pemerintah sebagai fasilitator. Kesimpulan yang dapat diambil mengenai penelitian ini berdasarkan UU perlindungan anak No 23 tahun 2002 kekerasan terhadap anak merupakan perbuatan semena-mena yang dilakukan kepada anak, baik secara fisik, psikis, seksual, dan penelantaran oleh orang yang seharusnya menjadi pelindung pada seorang anak. Berbagai upaya dan kegiatan dalam mencegah terjadinya kekerasan terhadap anak baik melalui sosialisasi, diseminasi, dan lain-lain sudah dilakukan dan diharapkan terjadinya perubahan perilaku dalam pola mendidik anak tanpa kekerasan.
Outcome of autologous bone graft versus polyetheretherketone cages in anterior cervical discectomy and fusion surgery
Authors: Malik Mubashir , Shehzad Safdar  , Zubair Ahmed Khan  , Amir Aziz  , Rizwan Masood Butt  , Muhammad Naveed Majeed  
Published: October 2022

Objective:To compare the outcome of autologous bone graft versus PEEK cages in ACDF surgery in terms of clinical performance and radiographic features.
Methodology:This study was conducted at Department of Neurosurgery, Punjab Institute of Neurosciences, Lahore, Pakistan from April 2020 to December 2022. In this study patients were randomized into two equal groups i.e. Group A (autologous bone graft) and Group B (PEEK cage).
Results: Total of 98 patients was included in the study. The mean age of cases was 49.88 ± 17.83 years. There were 58(59.18%) male and 40(40.82%) female cases. 25(25.51%) cases who had C3-C4 involved, 48(48.98%) patients had C5-C6 and 25(25.51%) cases had C5 region involved. The mean disc height at 6th months in PEEK group was 6.71 ± 0.46 mm and in bone graft group was 6.33 ± 0.47 mm, p-value < 0.05. The mean operative time in PEEK group (2.07 ± 0.42) was statistically less than bone graft group (3.23 ± 0.36), p-value < 0.05. The average blood loss was also statistically less in PEEK group as compared to bone graft. The mean hospital stay in PEEK group was 2.92 ± 0.61 days as compared to bone graft was 5.48 ± 1.90 days, p-value < 0.05.
Conclusion:Outcome of ACDF surgery PEEK cages are better than autologous bone graft in terms of clinical performance and radiological features. Hence PEEK cages can be opted in future to have better outcome and higher patient’s satisfaction.
Efficacy of Balloon Kyphoplasty in Compression Fractures of the Thoracolumbar Spine
Authors: Waqas Noor Chughtai  , Muhammad Adeel Razzaque  , Tanveer Ahmad  , Muhammad Tahir  , Shakeel Ahmad  , Shahzeb Nasir  
Published: October 2022

Objective: To study the Efficacy of Balloon Kyphoplasty in compression fractures of the thoracolumbar spine.
Material and Methods: This study was conducted on 95 patients with thoracolumbar wedge fractures from 2017 to 2022. Complete neurological examination and CT and MRI scans of the spine of all patients were done. All patients have been treated with a balloon kyphoplasty procedure. Data was collected on VAS score, SF-36 score, kyphotic angle and percentage of vertebral body destruction both preoperatively and post-operatively. Statistical analysis was done by using paired sample t-test.
Results: The mean age was 57 years. Males were 58.9% and females 41.0%. Osteoporosis was the cause of fracture in 90.5% and trauma in 9.4% of patients. VAS improved from 7.42 ± 1.24 to post-procedure 3.24 ± 1.51, P < 0.0001. SF-36 improved from 35.31 ± 17.4 to post-procedure 49.23 ± 19.2, P < 0.0001. Kyphosis angle restoration from 18.42 ± 7.41 to post-procedure 10.61 ± 6.32, P value < 0.0001. Percentage loss of vertebral height from 32.91% to postoperatively 17.64% (SD-17.2 and P < 0.0001). 10.5% of patients developed cement leakage and there is no leakage in 89.4%. The adjacent level fracture occurred in 4 patients.
Conclusion: Balloon Kyphoplasty is an effective procedure for thoracolumbar wedge fractures. It improves pain, activities of daily living, kyphosis angle improvement, and restoration of vertebral height.
Cerebellopontine Angle (CPA) Tumors Presenting with Trigeminal Neuralgia (TN): A Study from LRH, Peshawar
Authors: Farooq Azam  , Hamayun Tahir  , Adnan Khaliq  
Published: October 2022

Background/Objective: The cerebellopontine angle (CPA) is the most prevalent site for brain tumors, accounting for 10% of all cases. CPA tumors can have a direct or indirect pathogenic impact on the auditory nerve and brain stem. The study aimed to quantify the prevalence of cerebellopontine angle tumors in patients with trigeminal neuralgia.
Material and Methods: A cross sections study was conducted and 100 patients were included from the Neurosurgery department of LRH, Peshawar. Magnetic resonance images (MRI) were used to look for CPA tumors. The data on CPA tumors were stratified for age and gender. Suboccipital retromastoid craniectomy was performed.
Results: The mean age of the patients was 43 years. 38 patients were male and 62 were female. CPA tumors were seen in three percent of trigeminal neuralgia patients. There existed a significant difference (p < 0.00001) between the presence and absence of CPA tumors. A maximum number of patients (n = 37) were not having CPA tumors from the age group of 51-60 years. An insignificant association was reported for CPA distribution concerning age and gender.
Conclusion: According to our findings, 3% of trigeminal neuralgia patients had cerebellopontine angle tumors. We urge more investigation and screening of trigeminal neuralgia patients for CPA tumors based on the findings of this study.
ANALISIS KEBUTUHAN MODA ANGKUTAN UMUM BUS DI KABUPATEN TULUNGAGUNG
Authors: Danang Wijanarko  , Mohammad Muhlis  
Published: October 2022

Abstract
Transportation facilities and infrastructure services in Tulungagung Regency are recommended to overcome transportation problems that have not been able to give a big impact. The use of private vehicles must beㅤbalanced with theㅤdevelopment ofㅤpublicㅤtransportationㅤfacilities and infrastructure, namely buses. The bus mode of public transportation is one of the applications of traffic management by reducing the use of private vehicles used to carry out an activity with public transportation modes in the form of buses. Thisㅤstudyㅤaimsㅤtoㅤanalyzeㅤtheㅤcharacteristicsㅤofㅤtheㅤsocialㅤeconomy and the operational system of bus transportation. Theㅤmethodㅤusedㅤinㅤthisㅤresearchㅤisㅤtoㅤconductㅤaㅤfield survey by distributing direct interviews to related parties and questionnaires to respondents. The analysis used includes the analysis of the economic characteristics of the social community and the analysis of planning for public transportation modes. Theㅤresultsㅤofㅤtheㅤanalysisㅤthatㅤhasㅤbeenㅤcarriedㅤoutㅤby the authors obtained that most (74.6%) respondents use motorbikes to carry out activities. Most of them (54.3%) work and the result is that there are 5 planned routes for public bus transportation in Tulungagung Regency with cycle times between 95 to 250 minutes, and headway 15 minutes.
Keywords:ㅤDegreeㅤofㅤsaturation;ㅤtrafficㅤvolume;ㅤroadㅤperformance;
Abstrak
Pelayanan saranaㅤdanㅤprasaranaㅤtransportasiㅤdi Kabupaten Tulungagung yangㅤdianjurkan guna mengatasiㅤpermasalahanㅤtransportasiㅤyangㅤbelum bisa memberikanㅤpengaruhㅤyang besar. Banyaknya penggunaan kendaraan pribadi harus di imbangi dengan pembangunan sarana dan prasarana angkutanㅤumumㅤyaitu bus. Moda angkutanㅤumumㅤbusㅤmerupakan salah satu penerapanㅤmanajemen laluㅤlintas denganㅤmengurangi penggunaan kendaraanㅤpribadi yangㅤdigunakan untuk melakukan suatu kegiatanㅤdengan moda transportasiㅤumum berupa bus. ㅤPenelitianㅤini bertujuan untuk menganalisa karakteristik ekonomi sosialㅤdanㅤsistemㅤoperasional transportasi angkutan umum bus. Metodeㅤyangㅤdigunakanㅤdalamㅤpenelitianㅤini dengan melakukan survey lapangan dengan cara penyebaran wawancaraㅤlangsungㅤkepadaㅤpihak-pihakㅤyang terkaitㅤdan kuisioner kepada responden. Analisa yang digunakan meliputi analisa karakteristik ekonomiㅤmasyarakat sosial dan analisa perencanaan moda angkutan umum. Hasil analisa yang sudah dilakukan penulis didapatkan sebagian besar (74,6%) responden menggunakan sepeda motor untuk melakukan aktivitas. Sebagian besar (54,3%) untuk bekerja dan hasilnyaㅤdiperolehㅤ5ㅤrencana trayekㅤangkutanㅤumum busㅤdiㅤKabupatenㅤTulungagung dengan siklus waktuㅤantara 95 sampai dengan 250 menit, dan headway 15 menit.
Kata kunci: Sistem operasional; Perencanaan; Angkutan umum bus
Air-rocket space launch system - as Responsive Space System
Authors: Filipiak Dariusz , Zalewski Piotr , Postek Joanna 
Published: October 2022

ObjectivesThe study was to analyze the concept of Responsive Space Systems alternative launch and set of the nanomicro satellites into Low Earth Orbit. The analysis focused on aircraft-rocket space systems, where platform for launching a rocket with a satellite is an aircraft.The aircraft in the role of the platform provides opportunities, system thus the operator doesn't need bases or space ports in European conditions.MethodsAnalysis of the research area, focused on the review, critical analysis, evaluation of the available literature, resources. The work was supplemented with the results and recommendation of the research project recently carried out at the MUT.ResultsSystems were presented in view of the war in Ukraine. Existing operational and currently designed systems were reviewed. Article evaluated the aerial-rocket systems for launching objects into the LEO in the context of the system's operational costs and capabilities, potential market and further military and civilian applications also the needs of the Polish Armed Forces. Combat aircraft and rocket kits based on decommissioned from PAF fighters were proposed and valuated.ConclusionsImplementation of system gives autonomy from countries or companies offering space services, possibility of mastering new capabilities of placing satellite systems for security&defense purposes. For the PAF, aircraft-rocket kits based on phased-out supersonic combat aircraft may be the start of the development and construction of the national Responsive Space System. The country's scientific-industrial base has competence to design&build such a system. Polish Space Agency can act as an integrator of the system just as NASA did in the 1960s.