bluuebunny/crossref_metadata_2025_split huggingface dataset:
Double fixation for complex distal femoral fractures
Authors: Stoffel Karl , Sommer Christoph , Lee Mark , Zhu Tracy Y , Schwieger Karsten , Finkemeier Christopher 
Published: April 2022

For complex distal femoral fractures, a single lateral locking compression plate or retrograde intramedullary nail may not achieve a stable environment for fracture healing.
Various types of double fixation constructs have been featured in the current literature. Double-plate construct and nail-and-plate construct are two common double fixation constructs for distal femoral fractures.
Double fixation constructs have been featured in studies on comminuted distal femoral fractures, distal femoral fracture with medial bone defects, periprosthetic fractures, and distal femoral non-union.
A number of case series reported a generally high union rate and satisfactory functional outcomes for double fixation of distal femoral fractures.
In this review, we present the state of the art of double fixation constructs for distal femoral fractures with a focus on double-plate and plate-and-nail constructs.
Physicochemical and Sensory Properties of Protein Isolate from Anchovy (Stolephorus insularis)
Authors: Canti Meda , Palupi Katarina Aninda Karisma , Suhartono Maggy Thenawidjaja 
Published: April 2022

Anchovy is one of the primary fishery commodities in Indonesia; however its development as fishery products is currently suboptimal. Due to its high protein content, anchovy is potential to be developed as a source of value-added fish protein isolate. This study aims to produce anchovy protein isolate (API) and evaluate its physical, chemical, and sensory properties. The API was prepared from defatted anchovy flour. Isolation of anchovy protein was carried out using a pH-shifting method. The API was then analyzed for its physicochemical (bulk density, color, proximate) and sensory properties. The results showed that anchovy protein was more soluble at pH 11 and less at pH 5. Yield and protein recovery of API were 26.39 and 36.86% wb, respectively. The API had 92.20% protein, 3.64% moisture, 2.18% ash, 2.26% lipid, and 3.36% carbohydrate content on a dry basis. The results showed that the API exhibited good physical and sensory properties such as bulk density, color, the best score on sweetness, seaweed, bitterness, off-flavor, aroma, and rancid taste. There was no significant difference in sweet taste, off-flavor, aroma, and rancid taste between API and soy protein isolate (SPI) (p0.05). Overall, API demonstrated satisfactory nutritional properties and potential use as food ingredients.
Pemenuhan Hak Asasi Manusia dalam Dinamika Perubahan Kebijakan Pendidikan Anak dan Teknologi Selama Pandemi Covid-19
Authors: Sukardi Ellora , Jennifer Graceyana , Kwang Vanesia Ciayadi 
Published: April 2022

Penelitian yuridis normatif ini dilakukan untuk mengkaji implikasi dinamika regulasi Pemerintah dalam bidang pendidikan terhadap pemenuhan Hak Asasi Manusia (HAM) di masa pandemi Covid-19. Pandemi Covid-19 memberikan tantangan bagi Pemerintah untuk tetap memperhatikan kesejahteraan hidup masyarakatnya, terutama di bidang Pendidikan. Pendidikan merupakan hak asasi setiap orang yang penting dalam kehidupan berbangsa dan bernegara, karena melalui pendidikanlah individu dapat mengembangkan kemampuan intelektualnya sehingga berdaya saing di kemudian hari. Pemerintah mengubah kebijakan sistem pembelajaran yang dilakukan secara langsung menjadi daring, yang membutuhkan sarana dan prasarana yang memadai. Akan tetapi kebijakan Pemerintah ini tidak dibarengi dengan penyediaan sarana dan prasarana yang memadai, sehingga kebijakan ini justru menghambat anak-anak dalam mengikuti pembelajaran daring. Bahkan ada beberapa siswa yang mengalami putus sekolah. Kejadian ini menunjukan kelalaian pemenuhan HAM yang sudah semestinya dipenuhi, mengingat amanat dari UUD 1945 untuk mencerdaskan kehidupan bangsa. Penelitian ini menemukan fakta bahwa dinamika hukum yang ada selama pandemi tidak menjadi penyelesaian yang tepat terhadap problematika pendidikan yang ada dan justru menimbulkan ketidakpastian hukum dalam implementasinya, sehingga perlu adanya instrumen hukum dengan parameter yang jelas mengenai mekanisme pendidikan yang tepat, guna menjamin pemenuhan HAM atas pendidikan oleh setiap anak.
A comparison of gonadotropin-releasing hormone and human chorionic gonadotropin in dairy cows with ovarian follicular cysts
Authors: Kesler Kathryn , Longcore Grace , Russell Alex 
Published: April 2022

PICO question
In adult dairy cows with ovarian follicular cysts, does treatment with gonadotropin-releasing hormone (GnRH) compared to human chorionic gonadotropin (hCG) result in a more rapid return to cyclicity?

Clinical bottom line
Category of research question
Treatment
The number and type of study designs reviewed
The publications consisted of six non-blinded randomised comparative or controlled trials
Strength of evidence
Weak
Outcomes reported
Recovery time, clinical cure, and interval to conception were consistently evaluated. Many studies also evaluated other fertility parameters such as first estrus or first treatment conception, overall pregnancy and conception risks, and breedings per conception
Conclusion
At this time, there is insufficient evidence to suggest whether GnRH or hCG is more efficacious for treating ovarian follicular cysts in dairy cattle. Ultimately, further research is essential to elucidate which treatment results in a more rapid return to cyclicity for dairy cattle afflicted with cystic ovarian follicles

How to apply this evidence in practice
The application of evidence into practice should take into account multiple factors, not limited to: individual clinical expertise, patient’s circumstances and owners’ values, country, location or clinic where you work, the individual case in front of you, the availability of therapies and resources.
Knowledge Summaries are a resource to help reinforce or inform decision making. They do not override the responsibility or judgement of the practitioner to do what is best for the animal in their care.
The Effect of a Mobile-Based Education App on Fear of Childbirth in Pregnant Women
Authors: Shirzad Azam , Khalesi Zahra Bostani , Niknami Maryam 
Published: April 2022

BACKGROUNDFear of childbirth is one of the most important reasons for not choosing natural childbirth. The aim of the current study was to determine the effect of a mobile-based education (MBE) app on fear of childbirth in pregnant women.METHODSThe present study was quasi-experimental and included 114 pregnant women assigned to experimental (n = 57) and control (n = 57) groups. Data collection tools included the demographic information questionnaire and Wijma Delivery Expectancy/Experience Questionnaire. Questionnaires were completed and then an educational intervention based on a mobile app was performed for the experimental group. The mothers of the experimental group were instructed to read the entire contents of the application once a week for 8 weeks. The questionnaires were completed again after 8 weeks of educational intervention and after delivery.RESULTSResearch units had no significant differences in personal data at the beginning of the study (p >.05). After the intervention, in the experimental and control groups, the mean change score of fear of childbirth had significant differences (p < .001). In addition, the mean change in fear of childbirth score before and after the intervention in the experimental group was significant (p < .001). However, in the control group, there was no significant difference between before and after the intervention.CONCLUSIONThe results of this study showed that mobile application-based education is effective on the fear of childbirth in pregnant women. Therefore, it is recommended that health care providers, especially midwives, use this educational method to prevent and reduce the fear of childbirth in pregnant women.
Motivasi Belajar dalam Pemahaman Konsep Alat Tes Inventori Pada Mahasiswa
Authors: Srinadillah Deska , Kholifah Umi Nur , Agustia Farida 
Published: April 2022

Penelitian ini bertujuan untuk mengetahui hubungan motivasi belajar terhadap pemahaman konsep alat tes inventori pada mahasiswa fakultas Psikologi UIN Raden Fatah Palembang. Hipotesis dalam penelitian ini adalah ada hubungan yang signifikan antara motivasi belajar terhadap pemahaman konsep alat tes inventori pada mahasiswa fakultas Psikologi UIN Raden Fatah Palembang. Jenis penelitian ini menggunakan pendekatan kuantiatif dengan metode korelasional. Sampel yang digunakan pada penelitian yaitu mahasiswa fakultas Psikologi UIN Raden Fatah Palembang minimal semester 6 dan telah mempelajari alat tes inventori sebelumnya yang berjumlah 40 orang dengan menggunakan teknik purposive sampling. Teknik pengumpulan data menggunakan skala motivasi belajar dan skala pemahaman konsep. Teknik analisis data menggunakan uji hipotesis dan uji prasyarat dengan bantuan SPSS 21 for windows. Hasil penelitian menggunakan metode analisis korelasi Pearson Product Moment menunjukkan bahwa nilai signifikansi adalah 0,152. Nilai signifikansi 0,152 > 0,05 dapat disimpulkan tidak ada hubungan yang signifikan antara variabel bebas dan variabel terikat. Sehingga hipotesis penelitian ditolak. Artinya, tidak ada hubungan yang signifikan antara motivasi belajar dan pemahakan konsep alat tes inventori pada mahasiswa psikologi universitas islam negeri raden fatah Palembang
The Effect of Acupressure at Lr 3 And Sp 6 Point on The Pain Scale Among Post Sectio Caesarea Patient at Regional Public Hospital of Banyumas
Authors: Tuswati Tuswati , Purnawan Iwan , Anggraeni Mekar Dwi 
Published: April 2022

Background. Pain is the major complaint felt by mothers with post sectio caesarea that they are afraid making any mobilization. Early mobilization of post sectio caesarea are highly necessary to accelerate the wound healing. Acupressure is one of non-pharmacological therapies to reduce pain. Acupressure has the ability to release endorphins. Accupressure at LR 3 and SP 6 point stimulate the endorphin expulsion. Objective. This research aimed to examine the effect of acupressure at LR 3 and SP 6 point on the pain scale of the post sectio caesarea patient at Regional Public Hospital of Banyumas.Method. The research was a quasi-experimental and pretest-posttest design with control group. Sample were collected using a consecutive sampling technique. The samples were 40 patients consisting of 20 patients classified into the intervention group and 20 patients classified into the control group. The pain was measured using a numeric rating scale. The intervention group was administered with acupressure performed at LR3 and SP 6 point for 30 times on each point while the control group was administered with internal respiration for 10 minutes. The data were analyzed using Wilcoxon and Mann Whitney test with the significance level of ? ? 0.05.Result. The results of Wilcoxon test showed that accupressure at LR 3 and SP 6 point influenced the pain scale of those classified into the intervention group with the value of p = 0.000 (? < 0.05) but does not influence those classified into the control group with the value of p = 0.157 (? > 0.05). Meanwhile, the result of Mann Whitney test showed that there was an significant difference between the intervention and control group post test score with the value of p = 0.000 (? < 0.05).Conclusion. acupressure at LR 3 and SP 6 point significantly effect the pain scale of post sectio caesarea patient.
Elderly Empowerment Through The Activities Of Brain Function Cognitive Stimulation Elderly In Mersi Village District Banyumas
Authors: Kuswati Ani , Sumedi Taat , Wahyudi Wahyudi 
Published: April 2022

Background. The decline of cognitive function in the elderly is the biggest cause of the inability to perform normal daily activities and is also the most common reasons that lead to dependence on others to care for themselves. Various scientific-based studies have shown a variety of the fact that many can be done ways to slow the aging process of the brain. This brain stimulation activities include physical activity, mental stimulation and social activities.Objective. to determine the effect of empowering the elderly through brain stimulation on cognitive function in the elderly. Method: This study used a pre-experimental design to form one group pretest-posttest design, the number of respondents 46 people elderly. The statistical test used was Wilcoxon Signed Test Runs.Results. The results of this study are the effect of empowering the elderly through brain stimulation on cognitive function in the elderly (p = 0.001).Conclusion. The activities of brain stimulation in the elderly in an integrated group which includes physical activities, spiritual activities and social activities affect the risk of cognitive decline.
Implementasi Terapi Pijat Swedia untuk Menurunkan Tingkat Kecemasan dan Menstabilkan Tanda-Tanda Vital Pada Pasien Di Ruang Intensive Care Unit (ICU) Rumah Sakit Prof. Dr. Margono Soekarjo: Case Study
Authors: Muslimah Nida , Awaludin Sidik , Kurniawan Aji 
Published: April 2022

Background. Intensive Care Unit (ICU) is an inpatient room with patients who has critical disease and must be monitored every hour, attached devices, and intensive treatment. When the patient has woken up to a different room and attached devices such as ETT, OPA, mechanical ventilator, and others can cause anxiety to the patient. This anxiety can enhance the hemodynamic status, therefore it is necessary to have an independent nurse action, namely Swedish massage therapy to reduce the level of Anxiety and stabilize vital signs.Method. The method of implementation was used a case study with a cross sectional design. Total respondents were 6 respondents and divided into two groups, namely the intervention group 3 respondents and the control group 3 respondents. The implementation was conducted in ICU RSUD Prof. Dr. Margono Soekarjo.Result. There was a differentiation in anxiety level in the intervention group, respondents who feel quite anxious became a less anxious. The differentiation in hemodynamic status were more stable in the intervention group than in the control group.Conclusion. Swedish massage therapy can reduce anxiety levels and stabilize vital signs in patients in the ICU.
Hubungan Antara Teman Sebaya dan Kejenuhan Belajar Terhadap Perilaku Merokok pada Remaja
Authors: Firmanto Barkah Septian , Amelia Vivi Leona 
Published: April 2022

Background. One factor which affects the act of smoking is the level of stress. Stress which is most often experienced by students is the stress of academics. The stress is caused by the academic demands faced by the students. Adolescents' act of smoking is also affected by several other factors such as releasing fatigue, imitating the parents who are smoking, and having an interaction with peers who have the habit of smoking, so that they want to try and know the taste of cigarettes.
Methods. This was a descriptive quantitative research with a cross-sectional method. All eighth-grade male students in SMP X amounted to 154 students, were taken as the research samples using the total sampling technique.
Results. Based on the results of the analysis with Chi-Square test on peers and the boredom of studying, the p values were 0.000 (0.05) and 0.038 (0.05) respectively. It means there is a correlation of peers toward the act of smoking.

Conclusion. There is a correlation between peers and the boredom of studying to the act of smoking on adolescents in SMP X

Keywords: Peers, the boredom of studying, the act of smoking
Terapi Rehabilitasi Terhadap Kekambuhan pada Pasien Gangguan Jiwa di Desa Kabupaten Banyumas
Authors: Wiyanti Ruti , Kuswati Ani 
Published: April 2022

Latar Belakang :Gangguan jiwa adalah respons maladaptif terhadap stressor dari lingkungan internal dan eksternal. Tingginya kekambuhan pada gangguan jiwa perlu ditingkatkan upaya pemerintah dalam mengatasi gangguan jiwa dimasyarakat.
Tujuan Penelitian : mengetahui Efektifitas Terapi Rehabilitasi Terhadap Resiko Kekambuhan Pada Pasien gangguan Jiwa Di Desa Kedondong Kecamatan Sokaraja Kabupaten Banyumas.
Metode Penelitian : Jenis penelitian ini menggunakan metode quasi experiment desain one group pretes postes. Populasi sebanyak 23 Gangguan Jiwa di desa Kedondong kecamatan Sokaraja. Sampel diambil menggunakan teknik purposif sampling yaitu gangguan jiwa yang memenuhi kriteria penelitian, sejumlah 20 responden. Analisa univariat untuk mengetahui karakteristik responden : Jenis kelamin, umur, pendidik, pekerjaan. Analisa Bivarait paired sample t-test, untuk mebandingkan kekambuhan sebelum dan sesudah terapi rehabilitasi.
Hasil Penelitian : Berdasarkan analisis data diperoleh beberapa hasil sebagain besar responden (35%), berusia 40 - 49 tahun, 65 % berjenis kelamin laki – laki, 50 % pendidikan SD, 40 % tidak bekerja. Analisa Bivariat : ada peningkatan yang signifikan pada kekambuhan setelah diberikan terapi rehabilitasi (t = -5,790 dan p = 0,001)
Kesimpulan : Terapi rehabilitasi efektif terhadap resiko kekambuhan pada gangguan jiwa di desa Kedondong Kecamatan Sokaraja.

Kata kunci : terapi rehabilitasi, resiko kekambuhan.
Efektivitas Pembelajaran Mandiri Audiovisual dan Booklet Bantuan Hidup Dasar (BHD) Terhadap Pengetahuan dan Keterampilan Perawat di RSUD Wonosari
Authors: Wardani Endang Kusuma , Setyo Upoyo Arif , Noor Alivian Galih 
Published: April 2022

Background: Basic Life Support (BLS) is the key in handling heart failure events. The results of many studies mentioned the decrease in the ability of BLS both aspects of knowledge and skills. That is why the efforts to maintain such knowledge and skills are needed. The purpose of this study is to identify the effectiveness of audiovisual and BLS booklets independent learning on the nurses’ knowledge and skills at Wonosari RSUD.
Method: This research used a quasy experimental design with a pre-posttest with a comparison of two groups approach with 42 respondents, consisting of audio visual groups and booklets groups. The sampling technique used is simple random sampling. The research instrument was in the form of questionnaires and observation sheets. The bivariate statistical test used the Wilcoxon and Mann-Whitney test.
Result: The results of the research test with the bivariate test after the intervention on knowledge and skills were obtained in the audio-visual group of significance (p <0.001) and in the booklet group (p <0.001). The test results of differences in knowledge and skills between the two groups after the intervention obtained the results of the significance of knowledge (p = 0.816) and skills (p = 0.112). It means that there is no difference between the audio visual group and the booklet.
Conclusion: Audiovisuals and booklets are equally effective in increasing BLS knowledge and skills.
Key words: audiovisual, booklet, BLS, knowledge, skill.
Pengaruh Relaksasi Otot Progresif Terhadap Penurunan Kadar Glukosa Darah: A Literature Reviev
Authors: Windi Astuti  , Kiki Rizqi Ependi  , Nandini Dian Ayu  , Tika Emiliasari  , Irna Karunia Min Allooh  
Published: April 2022

Introduction : Diabetes Mellitus (DM) is a metabolic disease which the number of incident increasing these years. The International Diabetes Federation (IDF) placed Indonesia in the top 7 in the world as the number of DM patient aged 20-79 years reached 8.5 million people in 2013. Based on RISKESDAS result in 2007, DM prevalence increase from 1,1% to 2,1% in 2013. Blood glucose can be controlled by controlled diet and stress management. Stress management can be done with Progressive Muscle Therapy (PMR) in the form of mind-body therapy in complementaru therapy. PMR is one of the non-pharmacologies therapy which believed can reduced blood glucose level. Method : Searching journal articles is done in electronic media. The database comes from several sources such as: Science Direct, Elsevier, ProQuest, and Google Scholar. The keywords used were "Progerive Muscle Relaxation / Muscle Relactation" and "DM / Diabetic". The time range used is between 2014-2019. Until finally 5 journal articles were reviewed for review. Result :PMR therapy has proven effective for reducing blood sugar levels in diabetes, both in type I diabetes and getational diabetes. This therapy is also safe and easy to do because it does not require equipment.Discussions: PMR therapy given to patients needs to be done regularly. Results cannot be obtained instantly. Need to intervene several times. There needs to be socialization to promote this therapy to the community. Conclusion: PMR exercises are effective for reducing blood sugar levels in diabetic patients in both type 1 DM and gestational diabetes. This therapy is effective if carried out continuously, according to rhythm, intensity, progressiveness, and strength.
Pengaruh Terapi ARV untuk Meningkatkan Kualitas Hidup Pasien HIV/AIDS: A Literature Review
Authors: Siska Mutiara Hikmah S  , Hasri Kuswiharyanti  , Vidi Ahmad Raafi  , Ninik Juarti  , Tria Amaliadiana  
Published: April 2022

INTRODUCTION : Acquired immunodeficiency syndrome (AIDS) is a collection of disease symptoms that attack human body after HIV (Human Immunodeficiency Virus) damage the immune system. HIV-AIDS is a disease that cannot be cured now, but there are therapies to help improve the quality of life for people with HIV, and also to increase the antibodies for people with HIV and the therapy is called ARV. The main goal of ARV treatment is to reduce the number of HIV viruses to delay and stop the growth of the virus.
METHOD : Determine the latest intervention regarding evidence based on HIV-AIDS and ARV pharmacological therapy. After determining the topic, the next step is to search for literatures that will be reviewed, the literatures are in the form of scientific journals obtained from databases such as: Science Direct, ProQuest, and Google Scholar with keyword: “ARV for HIV/AIDS” for international journals and for the national journals using Google search engine from 2014-2019.
RESULT : Based on journals as a literature, the conclusion is that ARV therapy can improve the quality of life for people with HIV-AIDS, the characteristic of the therapy is to form the antibodies and produce proinflamation agents to reduce the growth of the viruses, beside that the therapy is also effective if it given directly to HIV-AIDS patients who early diagnosed as a HIV-AIDS patient, and also the ARV therapy can improve the quality life of children and reduce the risk of HIV-AIDS in children who have mothers with HIV-AIDS.
CONCLUSION : ARV therapy can improve the quality of life and prevent the transmission from mothers with HIV to their children.
Korelasi Pemberian Jus Apel dengan Penurunan Respon Nyeri pada Penderita Asam Urat
Authors: Sylvie Puspita  , Facrur Rozi  
Published: April 2022

Gouty arthritis is a disease that continues to cause pain and tenderness due to deposits of monosodium crystals that accumulate in the joints. Regular consumption of apple juice can decrease pain response by decreasing pain intensity and impulses. The purpose of this study was to analyze the relationship between consumption of apple juice and a decrease in pain response in patients with gout arthritis in the Kebonsari Public Health Center, Pasuruan City.
This research is a non-experimental quantitative study using a descriptive study with a cross sectional approach. The population of this study were all patients with gout who went to the health center as many as 60 patients. The sampling technique in this study was consecutiv sampling, totaling 60 respondents. The instrument used to examine pain response and juice consumption was an observation sheet. From the data collected, then testing using sperm rank.
The results obtained indicate that based on the test value of 0.000 (ρ <0.05) in H1 is accepted. This means that there is a relationship between consumption of apple juice with a decrease in pain response in patients with gout. Lifestyle changes for gout sufferers are needed to reverse uric acid levels in the blood.