bluuebunny/crossref_metadata_2025 huggingface dataset:
Risk factors for postoperative ventriculoperitoneal shunt requirement in pediatric patients with brain tumors invading or adjacent to CSF circulation pathways
Authors: Ying Zesheng , Yang Wei , Zhang Nijia , Sun Hailang , Zhang Di , Shang Baojin , Chen Jiashu , Ge Ming
Published: March 2024

OBJECTIVE

Hydrocephalus is a common comorbidity of brain tumors in children that may persist following brain tumor resection. This study aimed to explore perioperative risk factors associated with postoperative ventriculoperitoneal shunt (VPS) placement for tumors located at or adjacent to the CSF circulation pathway.

METHODS

Patients aged 0–18 years with tumors invading or adjacent to the CSF circulation pathways who underwent brain tumor resection between October 2015 and September 2021 were included in this study. The outcome metric was whether patients underwent VPS placement within 6 months of tumor resection. Patients were followed up every 3–6 months after surgery. Demographic and perioperative imaging characteristics, clinical variables, and long-term treatments, including radiotherapy or chemotherapy, were included in the analysis.

RESULTS

Two hundred sixty-five children were included in this study. Of these patients, 38 (14.34%) underwent VPS placement within 6 months of tumor resection. One hundred thirty-two patients (49.81%) presented with preoperative hydrocephalus. Results from the multivariate analysis showed that medulloblastoma (OR 4.15, 95% CI 1.74–9.91, p = 0.001), lateral/third ventricle tumors (OR 4.07, 95% CI 1.33–12.30, p = 0.014), postoperative intraventricular hematoma (OR 3.36, 95% CI 1.53–7.38, p = 0.003), and presence of subdural hygroma in the nonoperated area within 48 hours after tumor resection (OR 2.78, 95% CI 1.15–6.74, p = 0.024) were independent risk factors for postoperative VPS placement.

CONCLUSIONS

Postoperative lateral/third ventricle hematoma and subdural hygroma in the nonoperated area, anatomical location, and tumor histology may be potential risk factors for a postoperative VPS after brain tumor resection.
Shoulder balance in Lenke type 2 adolescent idiopathic scoliosis: correlations among radiological indices, cosmetic indices, and patient-reported outcomes
Authors: Lee Hyung Rae , Hwang Chang Ju , Seok Sang Yun , Kim Geon Jung , Cho Jae Hwan , Lee Dong-Ho , Lee Choon Sung
Published: March 2024

OBJECTIVE

The aim of this study was to investigate the correlation between radiological indices of shoulder balance (SB) and cosmetic indices of shoulder deformity in patients with Lenke type 2 adolescent idiopathic scoliosis (AIS) and to determine the extent to which patient-reported outcomes (PROs) correlate with these measurements. Current management decisions and outcomes for SB in AIS are primarily based on radiological measurements. It is crucial to understand how these radiological parameters and cosmetic indices relate to patient satisfaction.

METHODS

The authors analyzed the preoperative radiological and photographic indices of SB, along with PROs, in patients with Lenke type 2 AIS. Lateral SB parameters included the radiological shoulder height (RSH) and clavicle angle, while medial SB parameters included the first rib angle and T1 tilt angle. Photographic indices included the shoulder height angle (SHA), axilla height angle (AHA), and the left/right trapezius angle (LRTA) ratio. The authors assessed the self-image, mental health, and total score domains of the Korean version of the 22-item Scoliosis Research Society questionnaire.

RESULTS

In their analysis of Lenke type 2 patients, the authors found that correlation coefficients between radiological measurements and photographic indices ranged from −0.25 to 0.47, among which only lateral SB including clavicle angle and RSH showed a significant correlation with anterior and posterior photographic indices. No statistically significant correlations were found between radiological measurements and PROs. Anterior photographic indices including SHA and AHA significantly correlated with all three PROs (p < 0.05).

CONCLUSIONS

Radiological shoulder parameters did not accurately reflect the perceived SB. Anterior photographic indices were reliable for evaluating clinical SB in patients with Lenke type 2 AIS and correlated with PROs. Spine surgeons may benefit from paying more attention to anterior photographic indices when making surgical decisions regarding clinical SB.
Analysis of tranexamic acid usage in adult spinal deformity patients with relative contraindications: does it increase the risk of complications?
Authors: Mullin Jeffrey P. , Soliman Mohamed A. R. , Smith Justin S. , Kelly Michael P. , Buell Thomas J. , Diebo Bassel , Scheer Justin K. , Line Breton , Lafage Virginie , Lafage Renaud , Klineberg Eric , Kim Han Jo , Passias Peter G. , Gum Jeffrey L. , Kebaish Khaled , Eastlack Robert K. , Daniels Alan H. , Soroceanu Alex , Mundis Gregory , Hostin Richard , Protopsaltis Themistocles S. , Hamilton D. Kojo , Gupta Munish C. , Lewis Stephen J. , Schwab Frank J. , Lenke Lawrence G. , Shaffrey Christopher I. , Bess Shay , Ames Christopher P. , Burton Douglas
Published: March 2024

OBJECTIVE

Complex spinal deformity surgeries may involve significant blood loss. The use of antifibrinolytic agents such as tranexamic acid (TXA) has been proven to reduce perioperative blood loss. However, for patients with a history of thromboembolic events, there is concern of increased risk when TXA is used during these surgeries. This study aimed to assess whether TXA use in patients undergoing complex spinal deformity correction surgeries increases the risk of thromboembolic complications based on preexisting thromboembolic risk factors.

METHODS

Data were analyzed for adult patients who received TXA during surgical correction for spinal deformity at 21 North American centers between August 2018 and October 2022. Patients with preexisting thromboembolic events and other risk factors (history of deep venous thrombosis [DVT], pulmonary embolism [PE], myocardial infarction [MI], stroke, peripheral vascular disease, or cancer) were identified. Thromboembolic complication rates were assessed during the postoperative 90 days. Univariate and multivariate analyses were performed to assess thromboembolic outcomes in high-risk and low-risk patients who received intravenous TXA.

RESULTS

Among 411 consecutive patients who underwent complex spinal deformity surgery and received TXA intraoperatively, 130 (31.6%) were considered high-risk patients. There was no significant difference in thromboembolic complications between patients with and those without preexisting thromboembolic risk factors in univariate analysis (high-risk group vs low-risk group: 8.5% vs 2.8%, p = 0.45). Specifically, there were no significant differences between groups regarding the 90-day postoperative rates of DVT (high-risk group vs low-risk group: 1.5% vs 1.4%, p = 0.98), PE (2.3% vs 1.8%, p = 0.71), acute MI (1.5% vs 0%, p = 0.19), or stroke (0.8% vs 1.1%, p > 0.99). On multivariate analysis, high-risk status was not a significant independent predictor for any of the thromboembolic complications.

CONCLUSIONS

Administration of intravenous TXA during the correction procedure did not change rates of thromboembolic events, acute MI, or stroke in this cohort of adult spinal deformity surgery patients.
Differences in the surgical management of degenerative lumbar spondylolisthesis based on self-reported sex: analysis of the CSORN prospective DLS study
Authors: Walker Taryn N. , Urquhart Jennifer C. , Rasoulinejad Parham , Singh Supriya , Glennie R. Andrew , Fisher Charles G. , Rampersaud Y. Raja , Abraham Edward , Street John , Dvorak Marcel F. , Paquette Scott , Charest-Morin Raphaele , Dea Nicolas , Gelinas-Phaneuf Nicholas , Kwon Brian K. , Bailey Christopher S.
Published: March 2024

OBJECTIVE

Surgical treatment of degenerative lumbar spondylolisthesis (DLS) reliably improves patient-reported quality of life; however, patient population heterogeneity, in addition to other factors, ensures ongoing equipoise in choosing the ideal surgical treatment. Surgeon preference for fusion or decompression alone influences surgical treatment decision-making. Meanwhile, at presentation, patient-reported outcome measures (PROMs) differ considerably between females and males. The aims of this study were to determine whether there exists a difference in the rates of decompression and fusion versus decompression alone based on patient-reported sex, and to determine if widely accepted indications for fusion justify any observed differences or if surgeon preference plays a role.

METHODS

This study is a retrospective cohort analysis of patients enrolled in the Canadian Spine Outcomes Research Network (CSORN) DLS study, a multicentered Canadian prospective study, investigating the surgical management and outcome of DLS. Decompression and fusion rates, patient characteristics, preoperative PROMs, and radiographic measures were compared between males and females before and after propensity score matching.

RESULTS

In the unmatched cohort, female patients were more likely to undergo decompression and fusion than male patients. Females were more likely to have the recognized indications for fusion, including kyphotic disc angle, higher spondylolisthesis grade and slip percentage, and patient-reported back pain. Other radiographic findings associated with the decision to fuse, including facet effusion, facet distraction, or facet angle, were not more prevalent in females. After propensity score matching for demographic and radiographic characteristics, similar proportions of male and female patients underwent decompression and fusion and decompression alone.

CONCLUSIONS

Although it remains unclear who should or should not undergo fusion, in addition to surgical decompression of DLS, female patients undergo fusion at a higher rate than their male counterparts. After matching baseline radiographic factors indicating fusion, this analysis showed that the decision to fuse was not biased by sex differences. Rather, the higher proportion of females undergoing fusion is largely explained by the radiographic and clinical indications for fusion, suggesting that specific clinical and anatomical features of this condition are indeed different between sexes.
БУДІВЕЛЬНИЙ РОЗЧИН НА МЕХАНОАКТИВОВАНОМУ ЗМІШАНОМУ ПОРТЛАНДЦЕМЕНТІ
Authors: Пірогов Д.О., , Барабаш І.В.
Published: March 2024

Проведені дослідження фізико-механічних властивостей цементу та тверднучих  композицій на його основі показали, що механоактивація в’яжучого в роторному протитечійному млині викликає прискорення процесів структуроутворення. Зростання швидкості процесів твердіння в’яжучого виражається в інтенсифікації процесів гідратоутворення, що відображається на прискоренні термінів тужавлення, кінетики екзотермічного розігріву та підвищенню степеню гідратації. Це дозволяє зробити висновок, що запропонований механізм механоактивації змішаного в’яжучого (цемент + кварцовий пісок) варто віднести до явищ, які пов’язані з проявом активації поверхні часток як цементу, так і кварцового піску.

Здійснювана механохімічна активація портландцементу, а також портландцементу з добавкою кварцового піску в кількості від 10 до 50% маси цементу дозволила оптимізувати як термін активації змішаного в’яжучого (300 сек), так і кількість кварцового піску в ньому (20%). Для визначення впливу цементно-піщаного відношення Х1 – (від 1:3 до 1:1), кількості суперпластифікатору С-3 Х2 - (0,75±0,75%) і кількості мікрокремнезему Х3 – (5±5%) на міцність будівельного розчину при стиску в 28-и денному віці, був використаний трифакторний Д-оптимальний математичний план. Величини коефіцієнтів при варійованих факторах свідчать про те, що найбільший вплив на міцність будівельного розчину надає витрата механоактивованого  в’яжучого. Наступним по впливу на міцність розчину йде витрата суперпластифікатору С-3. Мікрокремнезем незначно впливає на міцність при стиску будівельного розчину (зростання міцності не перевищую 8 – 10% при 10%-му вмісту його в складі в'яжучого). Сумісний вплив механоактивації змішаного в’яжучого (склад розчину 1:1), суперпластифікатору С-3 (1,5%) та мікрокремнезему (10%) забезпечує отримання будівельного розчину з міцністю при стиску 65 МПа, що більше ніж на 60% перевищує міцність розчину на змішаному в’яжучому, яке механоактивації не підлягало.
ВПЛИВ ЗЕРНОВОГО СКЛАДУ ПІСКУ НА МІЦНІСТЬ НЕАВТОКЛАВНОГО ПІНОБЕТОНУ
Authors: Фамуляк Ю.Є., , Демчина Б.Г., , Буханєц Д.,
Published: March 2024

Бетони на пористих заповнювачах, а також піно- та газобетони як найбільш поширені представники ніздрюватого бетону надають конструкціям специфічних властивостей і визначають оптимальні сфери їх застосування. Суттєвої економії можна досягнути за рахунок зміни зернового складу дрібного заповнювача (піску), що впливає на міцнісні характеристики неавтоклавного пінобетону при використанні одних і тих же вихідних матеріалів.
مظاهر التفكك الاجتماعي في المجتمع الأمريكي
Authors: الحسن احسان محمد
Published: March 2024

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العلاقات العامة في وزارة الثقافة والاعلام
Authors: الدليمي عبد الرزاق محمد أحمد
Published: March 2024

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الدلالة السياقية
Authors: محمد صالح الحديثي هدى
Published: March 2024

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جمالية مراقد الأئمة الأطهار عليهم السلام وانعكاسها في رسومات الفنان الاوربي ارنست ولتر أندريه
Authors: حسين محمود حسين عبد الرحمن
Published: March 2024

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وسائل الاعلام وحقوق الانسان (مقاربة اولية)
Authors: عبد الصاحب سعد مطشر , عبد الخالق نهلة عبد الرزاق
Published: March 2024

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Human Relations Sebagai Alat Komunikasi Dalam Meningkatkan Kemampuan Belajar Anak Yatim Dan Dhuafa Di Yayasan Sahabat Yatim, Bintaro Tangerang Selatan (165-172)
Authors: Dewi Desilia Purnama , Sarah Nani Nuraini , Suminar Ratna
Published: March 2024

Penelitian dan pengabdian kepada masyarakat merupakan salah satu tugas perguruan tinggi untuk memberikan pelayanan kepada masyarakat yang meliputi berbagai bidang kehidupan dengan memanfaatkan, mengembangkan dan menerapkan ilmu pengetahuan, tehnologi dan seni sebagai upaya memberikan sumbangan demi kemajuan masyarakat, Kegiatan pengabdian masyarakat ini bekerja sama dengan mitra Yayasan Sahabat Yatim yang beralamat di Jl. Graha Raya Blok M7 No. 17, Cluster Bougenville, Bintaro, Tangerang Selatan. Bagi Prodi Administrasi Perkantoran D-III Universitas Pamulang khususnya dalam penyelenggaraan kegiatan pengabdian kepada masyarakat selalu disesuaikan dengan sumber daya yang memiliki baik menyangkut sumber daya manusia maupun dari segi pendanaan. Salah satu program yang telah dilaksanakan adalah memberikan penyuluhan kepada anak-anak yatim dan dhuafa di yayasan sahabat yatim, Bintaro Tangerang Selatan. Tujuan kegiatan Pengabdian kepada Masyarakat ini adalah memberikan pengetahuan dan pemahaman kepada pembina/pendidik/guru anak yatim dan dhuafa yang tinggal di Yayasan Sahabat Yatim Bintaro, Tangerang Selatan tentang human relations sebagai alat komunikasi dalam meningkatkan kemampuan belajar. Hasil dari penyuluhan ini diharapkan dapat diterapkan oleh para anak yatim dan dhuafa dalam kegiatan belajar baik saat ini di tingkat sekolah dasar (SD) sampai jenjang pendidikan selanjutnya bahkan  ketika mereka dewasa dan terjun ke masyarakat.  Kata Kunci: human relation, komunikasi
Implementasi Pendidikan Pancasila tentang â€œEtikaâ€ terhadap Anak Yatim Dan Dhuâ€™afa Di Yayasan Sahabat Yatim, Bintaro Tangerang Selatan (173-181)
Authors: Turkamun Turkamun , Suwandi Suwandi , Arifin Zaki Zainal
Published: March 2024

Tujuan kegiatan Pengabdian kepada Masyarakat ini adalah memberikan pengetahuan dan pemahaman kepada anak yatim dan dhuafa yang tinggal di Yayasan Sahabat Yatim Bintaro, Tangerang Selatan tentang implementasi etika pendidikan Pancasila sehingga mereka memiliki keseimbangan baik dalam kepandaian pemikiran, pengendalian emosi, serta spiritual. Pancasila sebagai sistem etika di samping merupakan way of life bangsa Indonesia, juga merupakan struktur pemikiran yang disusun untuk memberikan tuntunan atau panduan kepada setiap warga negara Indonesia dalam bersikap dan bertingkah laku.  Perguruan tinggi dalam kedudukannya sebagai mitra masyarakat memiliki kewajiban moril untuk berbagi pengetahuan (sharing knowledge), untuk itu kegiatan pengabdian masyarakat ini dilakukan untuk memberikan penyuluhan kepada anak yatim dan dhuafa di Yayasan Sahabat Yatim tentang Etika Pendidikan Pancasila dengan cara  menegenalkan sejak dini kepada calon generasi penerus bangsa. Metode yang digunakan dalam kegiatan ini adalah ceramah, studi kasus. Metode pertama adalah ceramah.  Target dari kegiatan ini adalah para anak yatim dan dhuafa di Yayasan Sahabat Yatim mengerti tentang pengertian etikaKata kunci : pendidikan Pancasil, etika, anak yatim
Melatih Kecerdasan Intelektual, Kecerdasan Emosional, dan Kecerdasan Spiritual Anak Yatim dan Dhuafa di Yayasan Sahabat Yatim, Bintaro Tangerang Selatan (194-202)
Authors: Harjoyo Harjoyo , Waluyo Waluyo , Sugiyarto Sugiyarto
Published: March 2024

Mitra dalam kegiatan pengabdian kepada masyarakat ini anak yatim dan dhuafa yang tinggal di Yayasan Sahabat Yatim. Lokasi mitra di Jalan Graha Raya Blok M7, No. 17, Cluster Bougenville, Bintaro, Tangerang Selatan. Tujuan pelaksanaan pengabdian kepada masyarakat ini adalah: [1] memberikan pemahaman dan melatih  kecerdasan intelektual, kecerdasan emosional, dan kecerdasan spiritual kepada anak asuh (yatim dan dhuafa); [2] ,menggali potensi kecerdasan-kecerdasan  tersebut  bagi masing-masing anak asuh: [3] menumbuhkembangkan kecerdasan-kecerdasan tersebut dalam kegiatan belajar dan kehidupan sehari-hari; [4] mengarahkan kemampuan softskill berkaitan dengan kecerdasan yang mereka miliki untuk mencapai kesuksesan di masa yang akan datang. Permasalahan utama yang dihadapi oleh mitra adalah pembelajaran tentang psikologi masih terbatas, pengembangan kognitif anak masih kurang,  dan metode pembelajaran yang mereka dapatkan  monoton. Metode  kegiatan yang digunakan adalah edukasi dan ceramah, studi kasus, dan bermain peran terkait melatih kecerdasan intelektual, kecerdasan emosional, dan kecerdasan spiritual anak yatim dan dhuafa di Yayasan Sahabat Yatim, Bintaro Tangerang Selatan. Dari pelaksanaan pengabdian yang dilakukan mendapatkan apresiasi dan antuasiasme peserta sehingga acara berjalan lancar. Sasaran memberikan pelatihan kognitif berupa melatih diri meningkatkan kecerdasan intelektual, emosional, dan spiritual dapat dilaksanakan dengan baik. Kata  kunci:  anak   yatim  dan   dhuafa,   kecerdasan   intelektual,   kecerdasan emosional,  dan kecerdasan spiritual
Pengenalan Kewirausahaan untuk Membangun Jiwa Kemandirian di Yayasan Sahabat Yatim, Bintaro Tangerang Selatan (260-271)
Authors: Wahidah Nur Rachmah , Novia Lisa , Oktarini Riri
Published: March 2024

Tujuan PKM ini adalah 1). Memberikan perspektif baru pada kajian kewirausahaan dan kaitannya terhadap kemajuan perekonomian Indonesia. 2). Memberikan bahan evaluasi kepada pemangku kepentingan agar kewirausahaaan dapat memberikan sumbangsih bagi kemajuan perekonomian Indonesia. Metode dalam pengabdian ini adalah studi kepustakaan karena obyek pengabdian hanya bisa dijawab melalui penelitian pustaka. Pengabdian ini menggunakan data kualitatif dan sumber data sekunder. Hasil penelitian ini menunjukkan bahwa kewirausahaan berperan dalam mendorong kegiatan ekonomi keluarga, masyarakat, perusahaan regional dan milik negara. Dinamika kegiatan bisnis ini dapat mendorong pertumbuhan ekonomi dan meningkatkan kesejahteraan masyarakat. Jumlah wirausaha di Indonesia masih sedikit dibanding penduduknya sehingga upaya menambah wirausaha harus terus dilakukan. Ada empat faktor yang perlu diperhatian dalam pengembangan kewirausahaan ,yaitu: akses terhadap modal, peran inovasi, pelatihan kewirausahaan dan peran pemerintah dalam menciptakan iklim berusaha yang baik. Fakta menunjukkan bahwa pengusaha memainkan peran utama dalam meningkatkan kualitas hidup individu, masyarakat dan negara. Kewirausahaan juga salah satu penentu untuk menciptakan masyarakat dan negara yang makmur.Kata kunci: kewirausahaan; entrepreneur; pertumbuhan ekonomi; Indonesia
Estudio sobre movilidad estudiantil e internacionalización en el contexto español
Authors: Perez-Encinas Adriana , Martínez Vázquez Alan , Rayón González Juan
Published: March 2024

Este trabajo presenta una mirada a los programas españoles universitarios de movilidad e internacionalización, aporta cifras actuales y analiza la experiencia de los alumnos internacionales, principalmente estudiantes Erasmus que escogen una institución de educación superior española. Gracias a los datos obtenidos a través de la encuesta ESN Survey 2021 (Erasmus Student Network, 2022), una iniciativa realizada por la asociación europea Erasmus Student Network, identificamos diferentes áreas potenciales de mejora de la movilidad estudiantil respecto a elementos clave en la internacionalización de la educación superior como son la experiencia estudiantil, la acogida, el apoyo institucional y los servicios recibidos. Para ello utilizamos una metodología de corte cuantitativo mediante una encuesta en la que han participado 10.696 estudiantes, de los cuáles un 11,43% se corresponden con la muestra de alumnos entrantes en España.
Análisis de los flujos y de los determinantes de la movilidad internacional de estudiantes Erasmus+
Authors: Álvarez-Díaz Marcos , De Prada Elena , Mareque Mercedes
Published: March 2024

Los objetivos de este estudio se centran en investigar tres aspectos claves para comprender la magnitud, importancia y las causas de la movilidad de los estudiantes adscritos al programa Erasmus+: la descripción de los flujos de estudiantes, la definición y el cálculo de los coeficientes de atracción y el análisis de los factores más importantes que determinan el movimiento de los estudiantes en el contexto español. Para la explicación de estos flujos se construye un modelo econométrico que contempla factores socioeconómicos, geográficos, educativos y demográficos. Los resultados confirman el importante impacto de factores como la distancia, insularidad y vecindad, los vínculos culturales, las infraestructuras, la calidad académica, el idioma y la población universitaria en origen y destino, contribuyendo a explicar el liderazgo español como destino Erasmus. Utilizar como referentes estos factores puede ayudar a planificar las estrategias adecuadas, mejorar los intercambios internacionales y verificar la equidad de las asignaciones económicas.
Internacionalización con Impacto Social
Authors: Franco-Arroyave Carolina , Cerquera-Arbeláez Catalina
Published: March 2024

Este artículo presenta el estudio de caso de Community Voluntariado TdeA como una estrategia de internacionalización para la sociedad basada en el aprendizaje-servicio en una Institución de Educación Superior en Colombia. Describe detalladamente las acciones en cada una de las etapas en las que se desarrolla este proyecto incluyendo la motivación, diagnóstico, planeación, ejecución y cierre. Así mismo, presenta la fundamentación de la iniciativa desde la identidad institucional y el objetivo de su proceso de internacionalización de formar ciudadanos globales, conscientes y capaces de tomar acciones para la transformación de sus comunidades. Iniciativas como Community Voluntariado TdeA requieren de una planeación intencional que garantice la sostenibilidad y la construcción de una relación de largo plazo con la comunidad, entendiendo que estas son estrategias de empoderamiento a estudiantes y miembros de la comunidad a través del desarrollo de competencias específicas.
La movilidad virtual: ¿diversidad e inclusión o efecto Mateo 2.0?
Authors: L. Bustos-Aguirre Magdalena , Herrera-Rodríguez Ana Cecilia
Published: March 2024

Este trabajo aporta elementos para discutir si la movilidad virtual contribuye a incrementar la diversidad en los estudiantes que participan en movilidad internacional en comparación con la movilidad física, o si por el contrario produce una suerte de “efecto Mateo” al ofrecer más opciones para el mismo segmento privilegiado de estudiantes. Para identificar las diferencias entre quienes hacen movilidad física y quienes realizan movilidad virtual se diseñó una investigación exploratoria, de corte cuantitativo y sustentada en el paradigma pragmático, y se recabaron y analizaron datos de estudiantes de una universidad pública estatal  mexicana que participaron en alguno de los dos tipos de movilidad. Los hallazgos indican que los estudiantes que realizaron movilidad virtual comparten características demográficas y sociales con quienes realizaron movilidad física, pero parecen tener una situación económica menos favorable, pertenecen en menor medida a la clase alta y han sufrido mayor discriminación.
Insomnia as a presentation of hypertension in a 37-year-old male: A case report
Authors: Gehlawat Meenal
Published: March 2024

This case report explores the rare presentation of insomnia as a symptom of hypertension in a 37-year-old male labor worker named Dinesh. Presenting with a 3-week history of insomnia, the patient’s diagnosis of hypertension highlights the importance of considering systemic conditions in patients with nonspecific symptoms like insomnia. The report delves into the interplay between hypertension and sleep disturbances, emphasizing the influence of lifestyle factors, particularly alcohol consumption, on blood pressure and sleep quality. The case underscores the necessity for clinicians to be aware of atypical presentations of common conditions like hypertension, which is often asymptomatic in its early stages but can manifest in varied and unexpected ways. Through this case, the report demonstrates the effectiveness of a comprehensive management approach, combining pharmacological treatment with lifestyle modifications, in improving both hypertension and related insomnia, thereby emphasizing the need for holistic patient care.
Laparoscopic therapy for Mirizzi syndrome: A case report with review of literature
Authors: Raj Mounish , Joshi Abhijit
Published: March 2024

Mirizzi syndrome (MS) is a rare entity and is due to extrinsic biliary compression. It is a rare complication of cholecystitis and chronic cholelithiasis. The impacted calculi at the infundibulum of the gall bladder or cystic duct lead to compression of the adjacent biliary structures, resulting in total or subtotal obstruction of the common hepatic duct (CHD). This leads to liver dysfunction. We, herein, present one such case of a 50-year-old female patient who was diagnosed to have MS. During surgery, at laparoscopy, she was unexpectedly also found to have a cholecysto-duodenal fistula. Both conditions were successfully treated laparoscopically.
Case of post-dengue AIDP with treatment-related fluctuations
Authors: Sharma Anmol , Reddy Naveen , Sharma Jitender
Published: March 2024

Cases of dengue fever have been increasing globally and so are the encounters with its rare presentations. Although known to involve central nervous system, dengue-related Guillian Barre syndrome (GBS) is a rare manifestation that has been seldom documented. A clinical challenge with early diagnosis, specific and supportive management, and active prognostication as key pillars toward effective management. We present the case of a 54-year-old man with post-dengue GBS with treatment fluctuations successfully managed at our center.
A case report on eumycetoma: An uncommon disease in the suburban areas of Maharashtra
Authors: Shah Bimal Chandrakant , Puthenpurayil Susanna Jose , Singh Divyanshu Akhilesh
Published: March 2024

Mycetoma is an uncommon chronic granulomatous infection of cutaneous and subcutaneous tissues. The causal agents are soil saprophytes with around 33 species identified, namely bacteria or fungi. The World Health Organization categorized mycetoma as a neglected tropical disease. In India, the southern states have a high prevalence. Our case report presents the case of a 37-year-old male patient who presented to the hospital for diagnosis and treatment of foot swelling in his right foot region. Initially, the cause of the lesion was unknown. After radiology and laboratory investigations, the case was diagnosed with Mycotic Mycetoma or Eumycetoma. Although this study reports a single case, the findings might expand our understanding of mycetoma and its prevalence, even in the uncommon suburban regions of Maharashtra. Reporting neglected tropical diseases can alert healthcare about their spread and global burden, even in uncommon areas.
Digitalisasi Tandatangan secara Elektronik dengan menggunakan Akta Notaris
Authors: Omiyani Selva , Suprapto Suprapto , Saprudin Saprudin
Published: March 2024

Penelitian ini menganalisis kepastian hukum tanda tangan yang berbasis elektronik ketika diterapkan pada akta yang berkekuatan hukum dan pembuktian yang autentik, dibuat oleh notaris dan untuk memberikan peraturan perundang-undangan yang akan datang untuk konsep cybernotary yang diterapkan oleh notaris di Indonesia. Penelitian Hukum Normatif menjadi metode penelitian yang digunakan dalam artikel penelitian ini. Hasil penelitian menjelaskan Pertama, tandatangan elektronik di Indonesia belum dapat diterapkan karena terkendala dengan kewajiban dari Jabatan Notaris yang ada pada Pasal 16 UUJN. Namun pada penjelasannya tersebut memberi peluang diterapkannya cyber notary di Indonesia. Adapun kelebihan tandatangan elektronik jika diterapkan yaitu waktu yang lebih efesien, kekuatan hukumnya sama dengan tandatangan konvensional atau tandatangan basah, identitas terjamin, hemat biaya pengeluaran dan eco friendly. Kedua, cybernotary untuk saat ini dapat diterapkan terbatas hanya pada waarmerking dan legalisasi karena keduanya merupakan surat bawah tangan yang disahkan notaris sehingga tidak akan terdegradasi. Selain itu, Salinan akta dapat diterapkan karena Salinan akta hanya memerlukan tandatangan notaris sehingga dapat ditandatangani menggunakan tandatangan elektronik. Untuk formulasi kedepan mengenai hukum positif yang berlaku yaitu merevisi Pasal 16 UUJN dan merevisi Pasal 5 UU ITE.
Bolsa de empleo para los titulados de la Facultad de Administración Finanzas e Informática de la Universidad Técnica de Babahoyo
Authors: Vera Márquez Carlota Judith , Vela Riera Pablo Alberto , Aviléz Merino Rosa de las Mercedes
Published: March 2024

La presente investigación tiene por objetivo diseñar una Bolsa de empleo para los titulados de la Facultad de Administración Finanzas e Informática (FAFI) de la Universidad Técnica de Babahoyo (UTB), para lo cual se realizaron encuestas y entrevistas a los empresarios y microempresarios con actividad comercial del centro de la ciudad de Babahoyo, además se aplicaron encuestas a los estudiantes del último nivel académico  con el fin de recabar información que detecte las necesidades de una Bolsa de empleo. Los resultados obtenidos se reflejan en el requerimiento de una Bolsa de Empleo Universitaria, para que los empresarios puedan especificar los requisitos necesarios del puesto de trabajo vacantes. Ante la necesidad del diseño de la bolsa de empleo; que sea visible en la página web de la Universidad Técnica de Babahoyo donde se encontrara el currículo vitae de los titulados para que los empresarios accedan a revisar la hoja de vida y la contratación del personal que solicita.
PELATIHAN EKONOMI KREATIF UNTUK PEMUDA PADA MASA KKN-DR DI KELURAHAN NGAMPEL MOJOROTO KOTA KEDIRI
Authors: Nurul Farida  , Ahmad Badi'
Published: March 2024

The purpose of this activity is to encourage the youth economy and market it on social media. youths are trained to make beads, paintings, and calligraphy to be further marketed through social media. This community service activity uses the ABCD or Asset Based Community Development (ABCD) approach which prioritizes the utilization of assets and potential in the community. ABCD stages include: Discovery, Dream, Design, Define, and Destiny. KKN-DR conducted in the Ngampel Village, Mojoroto District, Kediri City with a focus on creative economy training targeting hard and soft skills. Where are the hard skills on the ability to make beads, paint, and calligraphy. Meanwhile, soft skills aim at mastering online-based technology to market the products that have been made. The making of beads, painting, and calligraphy did not encounter significant obstacles, bearing in mind that there are many materials for making beads in the Ngampel Mojoroto area. In product marketing through social media and marketplaces, it takes observation and experience to understand promotional language and also compare existing product prices.
PENDAMPINGAN PENULISAN KARYA ILMIAH (KIR) SISWA MAN SE-KABUPATEN BONDOWOSO
Authors: Suheri
Published: March 2024

The objectives of this assistance are: Improving the quality/quality of writing scientific papers for students so that they are in accordance with scientific principles in reputable journals, Strengthening competence in scientific research to convey certain ideas through identification, literature review and methodology, Strengthening students' competencies in the field of writing works scientific and digital literacy, and improve research results and KIR writing results at MAN Bondowoso. the results of the activity stated that if the Teacher and students considered the Assistance Activities for Writing Scientific Papers (KTI) at MAN Bondowoso this was very necessary in developing students' journalistic abilities and digital literacy, especially in writing scientific papers. This Scientific Writing (KTI) writing assistance activity received a good response from the institution, teachers and participants. The enthusiasm of the participants was very high in participating in this workshop. This can be seen from the attendance rate of nearly 80% of the participants and the many questions asked during the activity process.
PENINGKATAN POTENSI SITUS BERSEJARAH MELALUI SOSIAL MEDIA DI KELURAHAN URANG AGUNG KABUPATEN SIDOARJO
Authors: Khusnul Isma Nuriza  , Bibi Ghoniyah  , Ziyan Virdaus  , Fahmul Hikam Al Ghifari
Published: March 2024

The aim of this activity is to help the community of Urang Agung Subdistrict in promoting site-based tourism potential, namely the Sendang Agung spring and Mbah Mujarrod's grave. The method for this service is ABCD which prioritizes the potential or assets that exist in Urang Agung Village. The result is that the Urang Agung sub-district has tourist assets, namely the Sendang Agung site and the tomb of Mbah Mujarrod. These two potentials will be published on social media in the hope that they will become better known to the wider community, be noticed by several parties, and improve the economy of the residents of Urang Agung village. Considering that social media today plays an important role in almost every line of life. The team uses Instagram type social media considering it has more complete features starting from feeds, reels, stories and highlights.
PENGUATAN KEGIATAN KEAGAMAAN DAN SOSIAL BERBASIS POSDAYA MASJID DI DESA PAKISAN TLOGOSARI BONDOWOSO
Authors: Khoirul Ulum
Published: March 2024

The focus of the mentoring activities carried out by the team is to revive religious activities in the Pakisan Village mosque with the hope that there are other functions for the mosque besides just a place of worship. This program was carried out because we saw the condition of the mosque and prayer room in Pakisan Village, which apart from experiencing a decrease in the quantity of worshipers, also experienced a decrease in the intensity of other activities. The result of the implementation is that mosque-based POSDAYA brings several benefits such as strengthening religious activities and the emergence of public awareness that mosques are not just places of worship but can also carry out beneficial community activities. UMKM development and health improvement can also be carried out in the mosque environment to help economic growth and awareness of healthy lifestyles.
INOVASI VIETNAM DRIP PADA PRODUK RORO COFFE BESOWO
Authors: Muhammad akmal auli  , Muhammad Hazim Munshif  , Novia Ayu Anggraeny  , Retno Ayu Wulandari  , Dwi Anggraini Setya Putranti
Published: March 2024

The aim of this service is to innovate products at Roro Coffee by adding the Vietnam Drip variant to the coffee powder packaging. It is hoped that the Vietnam Drip model variant as one of Roro Coffee's products can expand market segmentation and build a broad economic network on social media. This service uses the ABCD approach with the steps Discovery, Dream, Design, Define and Destiny. The result is that the goal of innovation is to follow trend developments, find new, more competitive markets, retain old customers by strengthening new products, and increase the selling power of Roro Coffee. Vietnam Drip appears in box or box packaging which has 2 variants, namely 10 and 5 sachet variants with competitive prices.
The Concept of Professional Kafa'ah (Hirfah) in Perspective; Imam Malik, Imam Shafi'i, and The Correlation of The Opinion of Sheikh Muhammad Arsyad Al-Banjari in Kitab An- Nikah
Authors: Putri Hallymah Thussadyah Maura , Khatimah Husna , Siraji Muhammad
Published: March 2024

Purpose - The researcher will analyze to understand the concept of kafa'ah in work from different perspectives, namely comparing the views of two madzhab imams with different backgrounds and their correlation with the opinion of Sheikh Arshad Al Banjari in Kitab and Nikah.

Methods - In this study, the comparative method was used to analyze the viewpoints they expressed regarding the concept of kafa'ah in employment.

Findings - In this study, Imam Shafi'i and Sheikh Arshad included profession/hirfah as one of the criteria of kafa'ah, while Imam Malik did not include hirfah as a criterion of kafa'ah because religious equality is the main thing. Thus, this comparative research is expected to provide a more comprehensive insight and understanding of the concept of kafa'ah in employment in the context of Islamic insight.

Research implications - Imam Syafi'i places kafa'ah in terms of the profession (hirfah) as prevalent in marriage as well as the opinion of Sheikh Arshad as a scholar of the Syafi'i Madzhab in South Kalimantan, while Imam Malik argues that kafa'ah does not depend on the profession but on one's religion or devotion.

Originality/value - The madzhab imams have different views on the criteria for kafa'ah in marriage. Comparing views is interesting because changing times can affect the existence of the law.
Analysis of the Rights and Obligations of Husband and Wife in the Compilation of Islamic Law: A Review from the Perspective of Gender Equality
Authors: Nur Hidayah Okti , Musyafangah  , Meidina Ahmad Rezy
Published: March 2024

Purpose – This research aims to identify the manifestation of gender injustice in the Compilation of Islamic Law, especially in the chapter on the rights and obligations of husband and wife.

Methods – The research method used is library research with qualitative analysis.

Findings – The analysis shows that Article 79 Paragraph 1 creates stereotypical gender roles by reinforcing the traditional roles of husband and wife. On the other hand, Article 79 Clause 2, and Clause 3 reflect the principles of gender equality and justice in legal rights. The husband's duties, as set out in Article 80, involve a guiding role and financial responsibility, with the issue of discrimination in women's education in Article 80 Clause 3. The wife's duties, as outlined in Article 83, create the potential for gender injustice through psychological pressure, with Article 83 Paragraph 2 indicating a double burden in managing household affairs. Finally, Article 84 Paragraph 1 highlights the potential for gender injustice in judging the wife as nusyuz (defiant), creating inequality in response to acts of defiance from both parties.

Research implications – In the Compilation of Islamic Law, marriage aims to achieve a household life that is sakinah, mawaddah, and rahmah (peaceful, loving, and affectionate). To achieve this goal, married couples must commit to fulfilling their rights and obligations according to their respective abilities.

Originality/value – This research is important to identify and explain the differences in status between husbands and wives, opening up space for reflection and a better understanding of aspects of gender equality in the context of Islamic marriage.
Portrait of a Sakinah Mawaddah Warahmah Family in the Community of Lenggerong Village, Bantarbolang District, Pemalang Regency
Authors: Fakhrunnisa Rosada  , Fitri Kurniawati
Published: March 2024

Purpose – Creating a sakinah mawaddah warahmah family is a goal for every married couple. These efforts are certainly faced with various challenges and obstacles. This is experienced by some people in Lenggerong Village, Bantarbolang District, Pemalang Regency. This research aims to see how the portrait of a sakinah mawaddah warahmah family in the community of Lenggerong Village, Bantarbolang District, Pemalang Regency.

Methods – This research uses qualitative research with a descriptive approach technique. The subjects and data sources of this research came from Mrs Sitih, Mrs Istiana and Mrs Eka Jayanti. The data collection techniques were interviews and observations.

Findings – The results showed that the portrait of a Sakinah, Mawaddah, warahmah family is a calm family condition, mutual understanding, no turmoil, serene, happy and harmonious. The husband fulfils the obligation of physical and mental nafkah and provides love and affection to the wife. Meanwhile, the wife's obligations towards the husband or the husband's rights over the wife are, among others: Obeying the husband, taking care of yourself when the husband is not around, maintaining self-respect and protecting the husband's property.

Research implications/limitations – Based on the results of the study, the researcher recommends that the authorities conduct socialization on the formation of a sakinah family, especially for married couples who are in a long-distance relationship in Lenggerong Village.

Originality/value – The existence of this research is expected to be a praxis reference for the community in an effort to form a sakinah mawaddah warahmah family. The empirical experiences of the informants in this study are expected to inspire married couples in other communities to form a sakinah family.
Analisis Strategi dan Tindak Tutur Direktif Masyarakat di Pesisir Pantai dalam Komunikasi
Authors: Minto Deriwan
Published: March 2024

There is an assumption that coastal communities tend to speak loudly, loudly and without further ado. Communication can fail to understand if not addressed properly. The aim of the research was to specifically describe the strategies and speech acts to direct the people on the coast in communication. This type of qualitative research, descriptive analysis approach. Observation data collection techniques, recording and recording. Validity is semantic validation. The analysis was carried out reducing, presenting and drawing conclusions. Based on the research results, 59.86% or more than half communicated more to ask questions. Communication by "asking" too much can have an effect that is not good. Directive communication strategies were found in 70.95% of the group with pleasantries but with positive politeness. This means that if coastal communities communicate only their voices are louder and tend to be louder. However, if analyzed specifically from the utterances spoken they tend to be polite.
Pemanfaatan Mind Mapping pada Penulisan Buku Antologi Flash Fiction
Authors: Fatimah Khusnul , Imrotin Imrotin , Badrih Moh , Tjahyaningrum Dwi
Published: March 2024

Mind mapping sering digunakan dalam proses pembelajaran peserta didik di berbagai mata pelajaran dan jenjang pendidikan. Sedangkan flash fiction merupakan salah satu jenis cerpen yang mempunyai keunikan tersendiri dari segi bentuk dan karakteristiknya. Penelitian ini mengeksplorasi perpaduan mind mapping yang diterapkan dalam penulisan flash fiction sebagai upaya mendekatkan sastra terutama cerpen. Tujuan penelitian ini adalah menjelaskan proses menulis flash fiction dengan memanfaatkan mind mapping. Hal ini merupakan kolaborasi teknik untuk menfokuskan peserta didik dalam menuangkan ide pada proses penulisan buku antologi flash fiction. Jenis  penelitian ini menggunakan metode Research & Development (R&D). Model yang digunakan  dalam penelitian ini yaitu model 4D. Namun, tahapan dalam penelitian ini terdiri dari define dan design. Tahap define adalah proses pengumpulan riset awal yang dilakukan dengan kuesioner pada peserta didik serta melakukan wawancara dengan guru Bahasa Indonesia dan Guru Seni Budaya. Pada tahap design, penelitian ini mengikuti langkah penulisan cerpen pada umumnya.  Hasil penelitian menunjukkan bahwa peserta didik terbantu menulis flash fiction dengan memanfaatkan mind mapping terdiri dari (1) tahapan pramenulis, (2) tahapan pembuatan draf (mind mapping), (3) tahapan penulisan (flash fiction), (4) tahapan penyuntingan, dan (5) tahapan publikasi. Temuan penelitian mengindikasikan bahwa mind mapping membantu peserta didik dalam menulis flash fiction sebagai bahan buku antologi yang mencerminkan semangat literasi sehingga membudaya dalam ruang gerak pembelajaran sastra.
Analisa Kebutuhan Pengembangan Media Interaktif Berbasis Quizizz dengan Pendekatan Whole Language di Sekolah Dasar
Authors: Nurlaela Nurlaela , Usman Herlina , Yarmi Gusti
Published: March 2024

Penelitian ini bertujuan untuk mengetahui Analisa kebutuhan dalam mengembangkan media interaktif berbasis Quizizz dalam pembelajaran bahasa Indonesia di Sekolah Dasar dengan pendekatan whole language. Pengembangan diawali dengan analisis kebutuhan siswa dan guru terhadap media interaktif pada pembelajaran Bahasa Indonesia. Metode penelitian menggunakan pendekatan penelitian dan pengembangan atau Research and Development (R&D) dengan menggunakan pendekatan model ADDIE yang memiliki lima langkah pengembangan meliputi analysis, design, development or production, implementation dan evaluations. Tempat penelitian dilakukan di SDN Pulogebang 11 Jakarta Timur. Sasaran penelitian pada analisia kebutuhan ini adalah 8 orang guru fase C dan 30 siswa fase C yang dipilih secara random. dan guru kelas fase C. Pengumpulan data dilakukan dengan kuesioner dan observasi. Hasil analisis kebutuhan penelitian ini menunjukkan bahwa perlunya pengembangan media interaktif berbasis Quizizz dalam pembelajaran bahasa Indonesia di Sekolah Dasar dengan pendekatan whole language.
Perkembangan Aspek Fonologis pada Tuturan Penyandang Sindrom Down
Authors: Hanifa Assifa Atsna , Garwita Elpida Fathi , Kurnia Dona Aji
Published: March 2024

Penelitian ini bertujuan untuk (1) mendeskripsikan produksi vokal dan konsonan pada tuturan penyandang sindrom down; dan (2) mengetahui bentuk penyimpangan fonologis pada tuturan penyandang sindrom down. Penelitian ini dilakukan menggunakan metode kualitatif deskriptif untuk menggambarkan produksi bunyi vokal dan konsonan, serta bentuk penyimpangan fonologis dalam pengujaran-pengujaran penyandang sindrom down. Subjek dalam penelitian ini adalah penderita sindrom down dengan inisial CM, yang berusia 19 tahun dan berjenis kelamin perempuan. Data dalam penelitian berupa tuturan yang diproduksi oleh CM. Teknik pengumpulan data yang diterapkan dalam penelitian ini berupa teknik simak dan catat, serta teknik analisis data berupa kualitatif. Hasil penelitian menunjukkan bahwa CM mampu memproduksi bunyi-bunyi vokal yang meliputi [u], [e], [ə], dan [o] secara sempurna, baik ditinjau dari distribusi maupun pembentukan suku katanya. Bunyi konsonan yang mampu diproduksi oleh CM antara lain [b], [f], [j], [l], [m], [n], [p], [q], [t], [v], [w], [x], [y] dan [z]. Kemudian bentuk penyimpangan fonologis yang terdapat pada tuturan CM antara lain penggantian fonem, penghilangan fonem, dan penambahan fonem.