bluuebunny/crossref_metadata_2025 huggingface dataset:
Constructive Feedback, Learning Motivation and Academic Achievement in Chemistry Subject: Qualitative Experiences from Classroom Intervention
Authors: Aslam Rabia , Khan Najmonnisa , Oad Lubna
Published: September 2021

The study aimed to explore headmistress, teachers, and students' perceptions about constructive feedback before and after the intervention. A true experimental research design was used for the intervention to measure the effects of constructive feedback. One headmistress and three Chemistry subject teachers were interviewed, and Focus Group Discussion (FGD) was conducted with five experimental group students before and after the intervention. A semi-structured interview schedule and FGD guidelines were used to collect the data. Data were collected twice to find out the differences in opinions/perceptions before and after the intervention. Results support that constructive feedback practices increase students' performance and motivation towards Chemistry. Students' self-efficacy and self-regulation skills also developed among students after the intervention. Constructive feedback was also found effective for the low-score achievers to increase their performance in Chemistry. It is recommended that constructive feedback should be incorporated in daily formative assessment practices in the classroom setting.
Impacts of Using Laptop at University Level- A Survey-Based Approach
Authors: Basit Iffat , Quratulain  , Hafeez Muhammad
Published: September 2021

A survey-based research study has been directed to reveal the impacts of using laptops at the university level. For this research, BS Mathematics and BS Physics students, both morning and evening sessions of Universities in South Punjab, Pakistan, were taken as a population. The population consists of 240 students and 10 teachers of four Universities in South Punjab. The sample of 112 students and10 teachers was taken by the Random sampling technique. Questionnaires and interviews were used as a research tool. The consequences of the research study discovered that most of the students used laptops for study purposes like making assignments on Microsoft word and presentations on PowerPoint. The results of teachers questionnaires revealed that most of the teachers used laptops for the preparation of lecturers and for different academic activities.
Effect of Autonomous Learner Approach on Prospective Teachers' Critical Thinking Skills
Authors: Iqbal Nadia , Akbar Rafaqat Ali
Published: September 2021

Autonomous learner approach facilitates the learning environment in which students become a responsible and self-directed learner. The purpose of this experimental study was to explore the effect of the autonomous learner approach on prospective teachers' critical thinking skills. The 'quasi-experimental pre-test posttest control group research design' was used for this study. The participants of this study were prospective teachers of M.A. Early Childhood Education, studying at the Institute of Education and Research, University of the Punjab, Lahore'. A self-developed critical thinking skills scale (CTSS) was used for collecting the data. Independent samples t-test and ANCOVA were used to analyse the data. Findings show that there was an effect of the autonomous learner approach on prospective teachers' self-directed learning skills. The conclusion demonstrates that the autonomous learner approach is requisite in developing critical thinking skills among prospective teachers.
A Comparative Study of the Effectiveness of Online and Traditional ESL Teaching at Undergraduate Level
Authors: Saleem Faiza , Butt Ayesha , Rafique Sadia
Published: September 2021

The present study investigates and compares the effectiveness of online and traditional ESL teaching with the perspective of teachers and the challenges they face in both scenarios. The population of the study is Pakistani ESL teachers, whereas the sample of the study was comprised of twenty ESL teachers teaching at the undergraduate level. Questionnaires and interviews were used as the research tools of the study. Questionnaires were analyzed descriptively, and interviews were analyzed thematically. The findings indicate that teachers were not contented with online teaching and were more satisfied with the traditional ways of face-to-face teaching.
Effectiveness of Diploma of Associate Engineers (DAE) Program Working Under TEVTA in Punjab
Authors: Gull Mehwish , Ch. Abid Hussain
Published: September 2021

Present study was aimed to investigate the effectiveness of the Diploma of Associate Engineers (DAE) Program working under TEVTA. The population of the study was comprised of all the employees (Civil, Mechanical and Electrical) working in public and private organizations in Punjab. Employees were selected on a convenient basis. Therefore, 143 employees were a sample of the study. A questionnaire for employees was adapted to collect the data. The reliability of the instrument was 0.847. Findings revealed that employees were satisfied with the DAE curriculum, physical facilities, and administrative facilities at their workplace. On the other hand, employees were not very satisfied with their assessment and evaluation systems and social factors affecting their workplaces. A significant mean difference was found in employees perceptions regarding the effectiveness of DAE regarding their locale, job type, and trade. It is recommended that DAE graduates might be trained according to the industry demand rather than conventional knowledge.
Developments on Technology Integration in Language Teaching and Learning
Authors: Iqbal Saima , Niazi Safia , Hafeez Muhammad
Published: September 2021

The way people obtain information, learn, and connect with others across the world has changed dramatically as a result of technological advancements. Technology has eliminated distance constraints, allowing higher education to efficiently teach anybody. In order to improve teaching and learning, technology integration is becoming more common in classrooms. A better pattern for recognizing new teaching models has evolved as a result of the fast expansion of technology integration. As a result, it is critical in both learning and teaching language skills. There are numerous advantages to using technology to offer an environment for teaching and learning English skills. The objectives of the current review article were to discover answers to the issues of how technology integration promotes language learning and what the most current developments in language learning are. According to research, introducing technology into classrooms substantially improved teaching and learning English language skills.
Right to Financial Empowerment of Women: An Analysis of Sharia
Authors: Naseem Fozia , Idrees Rao Qasim , Yasin Abida
Published: September 2021

The position of women in the pre-Islamic era in the period of ignorance, called Jaliyah before the dawn of Islam, was very miserable. Women were just treated as inferior beings under customary tribal laws existing in Arabia. The inheritance was mostly passed by the male heirs, and the women had no property rights. In this article, a descriptive evaluation has been done regarding the distinctive Privileges given to women in Islam: Maintenance for women as a wife and daughter. The nation of maintenance in Islamic Law/Sharia was to provide support to the one not having the capability to maintain oneself; maintenance involves the fulfilment of basic requirements of a person for sustenance, e.g. niceties of life. In the circumstances where a woman gets half of the man’s legacy, the lady’s new income is safe by the Sharia and is hers to allocate with as she desires.
Federalism and Provincial Autonomy in Pakistan: A Case of Balochistan
Authors: Mittru Khalid Javed , Anwar Tohid , Gillani Syed Aftab Hussain
Published: September 2021

The present study intends to explore the various aspects of the issue of provincial autonomy in the entire federation of Pakistan in general and in Baluchistan in particular and prescribes their possible resolution. Although federal system of government remains essential for diverse societies like Pakistan, it has not been able to lessen the grievances of its various units, particularly Baluchistan, over the period of time due to poor implementation of the policies. The 18th amendment in the constitution discourages the centralization of power and demands political and economic autonomy of the smaller provinces like Baluchistan, but the authoritarian trend of our political system has never permitted it to happen. The study suggests that deprivation of the people of Baluchistan can be ended by strengthening the federation of Pakistan with the help of a few viable steps like Decentralization of power and restoration of democratic values.
Dialogues and Peace Treaties in Afghanistan: An Analysis from 2010 to 2019
Authors: Jalal Syed Umair , Zaman Nargis , Ullah Muhammad Usman
Published: September 2021

After the American invasion of Afghanistan in 2001, the war-torn nation confronted numerous hardships and adversities in the following decade. US-led NATO forces overthrown the Taliban regime on 13 November 2001. The Taliban encountered severe blows from the US and allied forces, which constrained them to take shelter in the neighbouring countries, besides the hilly areas of Afghanistan (Afridi, Afridi, & Jalal, 2016). The region has witnessed a fierce fight between the Taliban and the NATO troops till 2010. Afterwards, a new phase in the Afghan conflict has begun; a progression of table talks and negotiations was initiated at various fronts. This particular research will focus on the dialogues, treaties, and negotiations among the conflicting parties to find a peaceful solution to the Afghan war.
The Culture of Violent Extremism in Universities of Khyber Pakhtunkhwa: Causes and Remedies
Authors: Fayaz Sadia
Published: September 2021

Violent Extremism and Radicalization is on the rise in the Universities of Khyber Pakhtunkhwa (KP). In the last decade, the crisis of students discipline has increased on campuses. Many incidents of violence and intolerance on campus are alarming for the higher education of Khyber Pakhtunkhwa. The education curriculum is insufficient to develop a mature and critical mind instead of making sectarian activists and extremists. To counter extremism, many laws and bills have been passed to control this social problem in our societies. The existence of such issues in the universities and education sector is very alarming because the youth is part of this sector. The education sector should be freed from such problems for the social, political and economic progress and development of the society. Thus this article highlights the issue and provides necessary recommendations to solve the problem.
Maturation of the anterior petrous apex: surgical relevance for performance of the middle fossa transpetrosal approach in pediatric patients
Authors: Rennert Robert C. , Brandel Michael G. , Steinberg Jeffrey A. , Gonda David D. , Friedman Rick A. , Fukushima Takanori , Day John D. , Khalessi Alexander A. , Levy Michael L.
Published: September 2021

OBJECTIVE

The middle fossa transpetrosal approach to the petroclival and posterior cavernous sinus regions includes removal of the anterior petrous apex (APA), an area well studied in adults but not in children. To this end, the authors performed a morphometric analysis of the APA region during pediatric maturation.

METHODS

Measurements of the distance from the clivus to the internal auditory canal (IAC; C-IAC), the distance of the petrous segment of the internal carotid artery (petrous carotid; PC) to the mesial petrous bone (MPB; PC-MPB), the distance of the PC to the mesial petrous apex (MPA; PC-MPA), and the IAC depth from the middle fossa floor (IAC-D) were made on thin-cut CT scans from 60 patients (distributed across ages 0–3, 4–7, 8–11, 12–15, 16–18, and > 18 years). The APA volume was calculated as a cylinder using C-IAC (length) and PC-MPB (diameter). APA pneumatization was noted. Data were analyzed by laterality, sex, and age.

RESULTS

APA parameters did not differ by laterality or sex. APA pneumatization was seen on 20 of 60 scans (33.3%) in patients ≥ 4 years. The majority of the APA region growth occurred by ages 8–11 years, with PC-MPA and PC-MPB increasing 15.9% (from 9.4 to 10.9 mm, p = 0.08) and 23.5% (from 8.9 to 11.0 mm, p < 0.01) between ages 0–3 and 8–11 years, and C-IAC increasing 20.7% (from 13.0 to 15.7 mm, p < 0.01) between ages 0–3 and 4–7 years. APA volume increased 79.6% from ages 0–3 to 8–11 years (from 834.3 to 1499.2 mm3, p < 0.01). None of these parameters displayed further significant growth. Finally, IAC-D increased 51.1% (from 4.3 to 6.5 mm, p < 0.01) between ages 0–3 and adult, without significant differences between successive age groups.

CONCLUSIONS

APA development is largely complete by the ages of 8–11 years. Knowledge of APA growth patterns may aid approach selection and APA removal in pediatric patients.
Peaks in the beta band of the human subthalamic nucleus: a case for low beta and high beta activity
Authors: Plate Annika , Hell Franz , Mehrkens Jan H. , Koeglsperger Thomas , Bovet Ayse , Stanslaski Scott , Bötzel Kai
Published: September 2021

OBJECTIVE

Peaks in the beta band of local field potentials (LFPs) may serve as a biological feedback signal for closed-loop deep brain stimulation (DBS) in Parkinson’s disease (PD). However, the specific frequency of such peaks and their response to DBS and to different types of movement remains uncertain. In the present study, the authors examined the abundance of discernible peaks in the beta band and the effect of different types of movement and DBS on these peaks.

METHODS

Subthalamic nucleus LFPs were analyzed from 38 patients with PD in a frequency range between 10 and 35 Hz, as well as the impact of movement (gait, hand movements) and electrical stimulation on these peaks. The position of the electrode segments from which LFPs were recorded was computed.

RESULTS

The authors found a bimodal distribution of peaks in the beta band with discernible high- (27 Hz) and low-frequency (15 Hz) peaks. Movement of either hand had no significant effect on these peaks, whereas walking significantly reduced high-frequency beta peaks but not the peaks in the low beta band. Stimulation caused an amplitude-dependent suppression of both peaks.

CONCLUSIONS

DBS suppresses LFP beta peaks of different frequencies, whereas beta suppression caused by movement is dependent on the type of movement and frequency of the peak. These results will support the investigation of distinct LFP spectra for the application of closed-loop DBS.
Aerosolization risk during endoscopic transnasal surgery: a prospective qualitative and quantitative microscopic analysis of particles spreading in the operating room
Authors: Russo Federico , Valentini Marco , Sabatino Daniele , Cerati Michele , Facco Carla , Battaglia Paolo , Turri-Zanoni Mario , Castelnuovo Paolo , Karligkiotis Apostolos
Published: September 2021

OBJECTIVE

The coronavirus disease 2019 (COVID-19) pandemic represents the greatest public health emergency of this century. The primary mode of viral transmission is droplet transmission through direct contact with large droplets generated during breathing, talking, coughing, and sneezing. However, the virus can also demonstrate airborne transmission through smaller droplets (< 5 μm in diameter) generated during various medical procedures, collectively termed aerosol-generating procedures. The aim of this study was to analyze droplet contamination of healthcare workers and splatter patterns in the operating theater that resulted from endoscopic transnasal procedures in noninfected patients.

METHODS

A prospective nonrandomized microscopic evaluation of contaminants generated during 10 endoscopic transnasal procedures performed from May 14 to June 11, 2020, in the same operating theater was carried out. A dilution of monosodium fluorescein, repeatedly instilled through nasal irrigation, was used as a marker of contaminants generated during surgical procedures. Contaminants were collected on detectors worn by healthcare workers and placed in standard points in the operating theater. Analysis of number, dimensions, and characteristics of contaminants was carried out with fluorescence microscopy.

RESULTS

A total of 70 samples collected from 10 surgical procedures were analyzed. Liquid droplets and solid-tissue fragments were identified as contaminants on all detectors analyzed. All healthcare workers appeared to have been exposed to a significant number of contaminants. A significant degree of contamination was observed in every site of the operating room. The mean (range) diameter of liquid droplets was 4.1 (1.0–26.6) μm and that of solid fragments was 23.6 (3.5–263.3) μm.

CONCLUSIONS

Endoscopic endonasal surgery is associated with the generation of large amounts of contaminants, some of which measure less than 5 μm. All healthcare workers in the surgical room are exposed to a significant and similar risk of contamination; therefore, adequate personal protective equipment should be employed when performing endoscopic endonasal surgical procedures.
Awake craniotomy with transcortical motor evoked potential monitoring for resection of gliomas within or close to motor-related areas: validation of utility for predicting motor function
Authors: Saito Taiichi , Muragaki Yoshihiro , Tamura Manabu , Maruyama Takashi , Nitta Masayuki , Tsuzuki Shunsuke , Ohashi Mana , Fukui Atsushi , Kawamata Takakazu
Published: September 2021

OBJECTIVE

The authors previously showed that combined evaluation of changes in intraoperative voluntary movement (IVM) during awake craniotomy and transcortical motor evoked potentials (MEPs) was useful for predicting postoperative motor function in 30 patients with precentral gyrus glioma. However, the validity of the previous report is limited to precentral gyrus gliomas. Therefore, the current study aimed to validate whether the combined findings of IVM during awake craniotomy and transcortical MEPs were useful for predicting postoperative motor function of patients with a glioma within or close to motor-related areas and not limited to the precentral gyrus.

METHODS

The authors included 95 patients with gliomas within or close to motor-related areas who were treated between April 2000 and May 2020. All tumors were resected with IVM monitoring during awake craniotomy and transcortical MEP monitoring. Postoperative motor function was classified into four categories: “no change” or “declined,” the latter of which was further categorization as “mild,” “moderate,” or “severe.” The authors defined moderate and severe deficits as those that impact daily life.

RESULTS

Motor function 6 months after surgery was classified as no change in 71 patients, mild in 18, moderate in 5, and severe in 1. Motor function at 6 months after surgery significantly correlated with IVM (p < 0.0001), transcortical MEPs (decline ≤ or > 50%) (p < 0.0001), age, preoperative motor dysfunction, extent of resection, and ischemic change on postoperative MRI. Thirty-two patients with no change in IVM showed no change in motor function at 6 months after surgery. Five of 34 patients (15%) with a decline in IVM and a decline in MEPs ≤ 50% had motor dysfunction with mild deficits 6 months after surgery. Furthermore, 19 of 23 patients (83%) with a decline in IVM and decline in MEPs > 50% had a decline in motor function, including 13 patients with mild, 5 with moderate, and 1 with severe deficits. Six patients with moderate or severe deficits had the lowest MEP values, at < 100 µV.

CONCLUSIONS

This study validated the utility of combined application of IVM during awake craniotomy and transcortical MEP monitoring to predict motor function at 6 months after surgery in patients with a glioma within or close to motor-related areas, not limited to the precentral gyrus. The authors also validated the usefulness of the cutoff value, 100 µV, in MEP monitoring.
Lessons from the life of Asia’s first female neurosurgeon for modern neurosurgical trainees and educators worldwide
Authors: Ozair Ahmad , Bhat Vivek , Nanda Anil
Published: September 2021

Surgical specialties, and particularly neurosurgery, have historically had and continue to have poor representation of female trainees. This is especially true of South Asia, considering the added social and cultural expectations for women in this region. Yet it was in India, with its difficult history of gender relations, that Asia’s first fully qualified female neurosurgeon, Dr. T. S. Kanaka (1932–2018), took root, flourished, and thereafter played an integral role in helping develop stereotactic and functional neurosurgery in the country. While a few biographical accounts of her exist, highlighted here are the lessons from her illustrious life for neurosurgical trainees and educators worldwide, along with the instances that exemplify those lessons, drawn from several hitherto unutilized primary sources. These lessons are consistent with the factors identified in previous systematic reviews to be contributing to gender disparities in neurosurgery. Many of the virtues that ensured her success are attributes that continue to be critical for a neurosurgical career. Additionally, the circumstances that helped Kanaka succeed have been recounted as considerations for those working to promote diversity and inclusion. Finally, her life choices and sacrifices are described, which are underexplored but relevant concerns for women in neurosurgery.
Dr. Louise Eisenhardt’s personal notes: how she and Dr. Cushing collected data and followed patients
Authors: Hundley Kelsey N. , Pait T. Glenn , Rodriguez Analiz , Day John D.
Published: September 2021

Dr. Louise Eisenhardt was one of the first neuropathologists and was responsible for the development of tumor diagnosis guidelines. This historical vignette reviews her previously unseen handwritten notes in which she describes methods used by her and Dr. Harvey Cushing to obtain patient follow-up data for their Brain Tumor Registry. Her description spans 50 years, using “every possible clue to be jumped upon in [their] clinical records and correspondence.” Their follow-up was divided into two periods: early follow-up (1912–1932) and registry (1933–1961). During early follow-up, patients were asked to write to them on the anniversary of their operation. The foundation of the registry necessitated the use of “considerable effort on [their] part to gather up old threads” including renewed contact with patients after 15–20 years. Methods of follow-up included continued verbal and written correspondence with patients and “strong-arm methods,” including use of the Fuller Brush man and the exhumation of a body. Drs. Eisenhardt and Cushing believed “every case was important in adding to our collective knowledge of various types of tumors particularly in relationship to life expectancies and suggesting improvement in surgical treatments.” Dr. Eisenhardt’s meticulous record keeping allows for insights into the first known outcomes-related tumor registry in neurosurgery.
The safety and efficacy of dexamethasone in the perioperative management of glioma patients
Authors: Medikonda Ravi , Patel Kisha , Jackson Christina , Saleh Laura , Srivastava Siddhartha , Feghali James , Mohan Aditya , Pant Ayush , Jackson Christopher M. , Weingart Jon , Mukherjee Debraj , Bettegowda Chetan , Gallia Gary L. , Brem Henry , Lim Michael
Published: September 2021

OBJECTIVE

In this single-institution retrospective cohort study, the authors evaluated the effect of dexamethasone on postoperative complications and overall survival in patients with glioma undergoing resection.

METHODS

A total of 435 patients who underwent resection of a primary glioma were included in this retrospective cohort study. The inclusion criterion was all patients who underwent resection of a primary glioma at a tertiary medical center between 2014 and 2019.

RESULTS

The use of both pre- and postoperative dexamethasone demonstrated a trend toward the development of postoperative wound infections (3% vs 0% in single use or no use, p = 0.082). No association was detected between dexamethasone use and the development of new-onset hyperglycemia (p = 0.149). On multivariable Cox proportional hazards analysis, dexamethasone use was associated with a greater hazard of death (overall p = 0.017); this effect was most pronounced for preoperative (only) dexamethasone use (hazard ratio 3.0, p = 0.062).

CONCLUSIONS

Combined pre- and postoperative dexamethasone use may increase the risk of postoperative wound infection, and dexamethasone use, specifically preoperative use, may negatively impact survival. These findings highlight the potential for serious negative consequences with dexamethasone use.
First documented clinical account of brachial plexus palsy from the 12th century
Authors: Basma Jaafar , Gienapp Andrew J. , Arnautovic Kenan I. , Konofaos Petros
Published: September 2021

OBJECTIVE

Although literary depiction of brachial plexus injury can be traced to Homer’s Iliad, there is a scientific consensus that the first clinical description of brachial plexus palsy was not documented until the British physician Smellie reported it in the 18th century. However, the authors’ recent review of the Syriac Book of Medicines (12th century) has uncovered a much earlier clinical documentation.

METHODS

For this historical vignette, the authors reviewed the historical and anatomical literature regarding earlier descriptions of brachial plexus anatomy and pathology, including a thorough analysis of the Syriac Book of Medicines (attributed to an unknown Syriac physician in the Middle Ages) and Galen’s On Anatomical Procedures and On the Usefulness of the Parts of the Body.

RESULTS

Building on the galenic tradition with reference to independent dissections, the Syriac physician discussed nervous system anatomy and the clinical localization of neurological injuries. He described a patient who, after initial pulmonary symptoms, developed upper-extremity weakness more pronounced in the proximal muscles. His anatomical correlation placed the injury “where the nerves issue from the first and second muscles between the ribs” (scalene muscles), are “mixed,” and “spread through many parts.” The patient’s presentation and recovery raise the possibility of Parsonage-Turner syndrome. The anatomical description of the brachial plexus is in line with Galen’s earlier account and step-by-step surgical exposure, which the authors reviewed. They also examined Ibn Ilyas’ drawing of the brachial plexus, which is believed to be a copy of the earliest artistic representation of the plexus.

CONCLUSIONS

Whereas the Middle Ages were seen as a period of scientific stagnation from a Western perspective, Galen’s teachings continued to thrive and develop in the East. Syriac physicians were professional translators, clinicians, and anatomists. There is evidence that brachial plexus palsy was documented in the Syriac Book of Medicines 6 centuries before Smellie.
Perioperative team communication through a mobile app for improving coordination and education in neurosurgery cases
Authors: Ber Roee , London Dennis , Senan Samya , Youssefi Yasmin , Harter David H. , Golfinos John G. , Pacione Donato
Published: September 2021

OBJECTIVE

Miscommunication and poor coordination among surgical teams are known causes of preventable medical harms and operating room inefficiencies and inhibit surgical training. Technology may help overcome these challenges. This study used the personal experience of one of the authors as a former Air Force F-15 pilot to design a combat aviation pre- and postoperative communication workflow in the neurosurgery department and tested its effect on safety, efficiency, and education. The authors hypothesized that the adoption of this workflow through a tailored technological platform will increase compliance and improve the chances of sustainability.

METHODS

Data were prospectively collected from neurosurgery cases before (January–May 2020) and after (June–October 2020) implementation of this workflow. Briefing and debriefing were executed using a custom mobile platform and were defined as nonmandatory for all participants. All faculty and residents who operated at NYU Langone Medical Center (Tisch campus) during the intervention period were enrolled on the platform. Primary outcomes were morbidity and mortality per the department’s criteria, and intraoperative last-minute requests as reported by operating room staff in a double-blinded fashion. Secondary outcomes were user responses on the subjective questionnaires.

RESULTS

Data were collected from 637 and 893 cases during the preintervention and intervention periods, respectively. The average briefing rates for residents and surgeons were 71% and 81%, respectively, and the average debriefing rates for residents and surgeons were 67% and 88%. There was no significant difference in preoperative risk score between the preintervention and intervention patient populations (p = 0.24). The rate of intraoperative last-minute requests significantly decreased from 16.6% (35/211) to 10.5% (35/334, p = 0.048). There was no significant change in morbidity and mortality between the preintervention and intervention periods. On subjective questionnaires there was a statistically significant improvement in safety, efficiency, and educational aspects of the cases during the intervention period.

CONCLUSIONS

Implementation of aviation-like structured team communication practices in the neurosurgery department through a technological platform improved education and communication between surgical teams and led to a reduction in last-minute surgical requests that could impact costs.
Intraplaque high-intensity signal on time-of-flight magnetic resonance angiography and restenosis after carotid artery stenting
Authors: Tokunaga Keisuke , Tokunaga So , Hara Kenta , Yasaka Masahiro , Okada Yasushi , Kitazono Takanari , Tsumoto Tomoyuki
Published: September 2021

OBJECTIVE

To test the hypothesis that intraplaque hemorrhage is a predictor of restenosis after carotid artery stenting (CAS), the association between intraplaque high-intensity signal (HIS) on time-of-flight MR angiography (TOF-MRA), as a marker of intraplaque hemorrhage, and restenosis after CAS was assessed in the present observational study.

METHODS

Consecutive patients who underwent initial CAS for atherosclerotic stenosis in the cervical internal carotid artery in the authors’ department were enrolled. Of these, patients without preprocedural cervical TOF-MRA were excluded. Outcome measures were ≥ 50% restenosis, defined as a peak systolic velocity of > 1.3 m/sec; or occlusion and ≥ 70% restenosis, defined as a peak systolic velocity of > 2.1 m/sec; or occlusion on carotid duplex ultrasound.

RESULTS

Of 230 consecutive patients who underwent initial CAS, 22 without preprocedural cervical TOF-MRA were excluded. Of the remaining 208 patients (mean age 73 years; 33 women), 46 had intraplaque HIS. Ultrasound follow-up was not performed in 4 patients. The median follow-up duration was 3.2 years (interquartile range 1.7–5.1 years). During the follow-up period, 102 patients had ≥ 50% restenosis and 36 had ≥ 70% restenosis. Intraplaque HIS was significantly associated with increased risk of ≥ 50% restenosis (adjusted hazard ratio 2.18; 95% CI 1.28–3.68) and ≥ 70% restenosis (adjusted hazard ratio 3.12; 95% CI 1.32–7.52).

CONCLUSIONS

Intraplaque HIS on TOF-MRA was associated with increased risk of restenosis after CAS. The present results indicate that intraplaque hemorrhage is a predictor of restenosis after CAS.
Distribution of Human-specific Alu InDel Polymorphisms in the Brahmin and Rajput Populations of Kangra District of Himachal Pradesh, North India
Authors: Chahal S. M. S.
Published: September 2021

ABSTRACT The genetic constitution of two endogamous caste populations viz., the Brahmin (n=250) and Rajput (n=250) of Kangra district of the North Indian state of Himachal Pradesh was studied using six autosomal Alu InDel (insertion/deletion) markers viz., ACE, APO, PV92, CD4, PLAT, and TPA25 All markers were found to be polymorphic. Except for Alu APO and PV92 in the Rajput, genotype frequencies of other markers were in the Hardy-Weinberg equilibrium in both the populations. The average heterozygosity (H) was observed higher in the Brahmin (0.4134) compared to the Rajput (0.3809) and the degree of genic differentiation was low between them (GST =0.00898). The genetic distance analysis revealed close genetic affinities of the present Rajput population with the Gaddi Rajput and Gaddi Brahmin populations reported earlier from the district but the present Brahmin population was found distant from them.
Strategi Memasyarakatkan Olahraga Sebagai Support System UMKM Ditengah Pandemi Covid-19
Authors: Abdullah Syahriar , Wijiastuti Sri , Widodo Zandra Dwanita , Fatoni Muhad , Widodo Rissa Marina
Published: September 2021

Pandemi Covid-19 memberikan kesan yang begitu mendalam bagi seluruh manusia dibumi. Perkembangan Covid-19 belum memperlihatkan penurunan yang berarti, masyarakat dihimbau untuk selalu waspada dalam berkaktifitas baik di dalam rumah maupun diliuar rumah. Berbagai program dan kebijakan pemerintah diupayakan dalam penanggulangan serta penanganan Covid-19 ini.   Pandemi Covid-19 menuntut para akademisi dan seluruh lapisan masyarakat untuk berkontribusi aktif melalui upaya semangat berkegiatan positif dalam rangka menumbuhkan harapan bangkit dan berdikari untuk bertahan hidup dengan aktifitas new normal ditengah pandemi. Hampir seluruh masyarakat di wilayah Jaten Karanganyar khususnya para UMKM menjaga kebiasaan baik dengan hidup bersih dan sehat untuk mengoptimalkan kesehatan. Pada kelompok UMKM Karangtaruna RW-19 Desa Jaten Kecamatan Jaten Kabupaten Karanganyar Provinsi Jawa Tengah, kegiatan pengabdian masyarakat ini dilaksanakan. Kegiatan ini sebagai upaya perhatian, kepedulian, serta dukungan kesehatan untuk berkontribusi menggerakan perekonomian masyarakat. Kegiatan yang dilakukan adalah memasyarakatkan olahraga  sebagai support system masyarakat pada khususnya pelaku UMKM ditengah pandemi Covid-19. Hakikat dari usaha memasyarakatkan kembali olahraga ditengah pandemi adalah menciptakan perubahan sosial masyarakat untuk beraktifitas fisik dilingkungan masyarakat di era new normal. Melalui sosialisasi dan edukasi memasyarakatkan, dan memberikan dukungan perbaikan fasilitas, membuat warga lebih memahami terkait dari pemahaman konsep memasyarakatkan olahraga sebagai support system penunjang kesehatan pelaku UMKM di wilayah jaten karanganyar ditengah pandemi ini dalam berwirausaha dengan harapan dapat membantu memulihkan roda perputaran ekonomi di Indonesia.
Penyuluhan Meningkatkan Pengetahuan Orang Tua Tentang Perawatan Anak Pada Pendidikan Anak Usia Dini Sambi Poleng Manggarai
Authors: Batta Veronica Carolina Agnes , Mampur Wilibrodus Sandri , Saputri Maria Cendrasi , Daar Gabriel Fredi
Published: September 2021

Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pemahaman orang tua tentang perawatan anak pada usia Paud. Kegiatan PkM dilakukan di Paud Sambi Poleng Desa Sambi Kecamatn Reok Barat Kabupaten Manggarai NTT. Kegiatan dilakukan dalam bentuk penyuluhan dengan metode ceramah, diskusi, dialog dan sharing praktik yang baik. Berdasarkan eavlausi lisan, hasil yang dicapai dari kegiatan ini adalah beberapa orang tua berpandangan bahwa faktor keterbatasan waktu merupakan penyebab utama orang tua tidak dapat melakukan perawatan kepada anak-anak mereka pada usia paud. Ini disebabkan oleh pekerjaan orang sebagai petani dan tukang kayu yang sebagian besar menghabiskan waktu untuk bekerja di kebun atau melakukan pekerjaan sebagai tukang. Dengan adanya kegiatan penyuluhan tentang pearwatan anak ini, orang tua semakin sadar betapa pentingnya melakukan perawatan anak pada usia paud sebagai salah satu upaya preventif dan kuratif kejadian stunting pada anak di Desa Sambi.
Motivasi Pembelajaran Daring Dalam Meningkatkan Proses Pembelajaran Untuk Para Tenaga Pendidik Di SMPN 12 Kota Tangerang Selatan
Authors: Manik Alex Kristian , Nugroho Joko , Zainuddin Asep , Rosiyanti Disa , Pebriani Wita
Published: September 2021

Kegiatan pengabdian kepada masyarakat ini bertujuan untuk memberikan penyuluhan dan berbagi ilmu mengenai proses pembelajaran daring supaya para Tenaga Pendidik khususnya termotivasi dan memiliki strategi dalam memberikan aktivitas pembelajaran yang menarik, positif dan termotivasi untuk para muridnya. Semua aspek kehidupan dari aktivitas bersama keluarga, sekolah dan lingkungan sekitarnya berubah 180 derajat dikarenakan Pandemi Covid-19. Salah satunya yang berubah hampir 360 derajat yaitu pendidikan di sekolah. Kegiatan proses belajar dan mengajar di sekolah dilakukan secara daring atau online, dimana dari dulu hingga sebelum pandemi covid-19 dilakukan secara luring atau offline. Sama halnya dengan Sekolah Menengah Pertama Negeri 12 Tangerang Selatan yang terletak di Jurang Mangu Tangsel yang harus mengikuti perintah dari Kementerian Pendidikan dan Kebudayaan Republik Indonesia bahwa semua seluruh sekolah, kampus, pesantren diharapkan melakukan aktivitas proses pembelajarannya secara daring. Hal ini menjadi tantangan terbaru untuk para Tenaga Pendidik dan Tenaga Kependidikan di Sekolah dan Pendidikan Tinggi.
Pemanfaatan Media Sosial Dalam Meningkatkan Daya Saing Produk UKM Selama Pandemi Covid-19 Pada Saat New Normal
Authors: Juhaeri Juhaeri , Rusilowati Umi , Hamsinah Hamsinah , Marjohan Masno , Maddinsyah Ali
Published: September 2021

Tujuan pengabdian kepada masyarakat ini ialah untuk memberikan pengetahuan, dan pemahaman tentang Pemanfaatan Media Sosial Dalam Meningkatkan Daya Saing Produk UKM Selama Pandemi Covid-19 Pada Saat New Normal, sehingga mendapatkan laba yang maksimal. Memberitahukan, dan menghimbau kepada pelaku UMKM di Sai Silver, Bali  agar dapat mengoptimalkan teknologi internet dalam memasarkan produk. Metode pengabdian kepada masyarakat ini ialah seminar, dan diskusi. Peserta dalam kegiatan pengabdian kepada masyrakat ini ialah pelaku UKM di Sai Silver Bali, Jl. Padma No.154, Penatih, Kec. Denpasar. Hasil dari pengabdian kepada masyarakat ini ialah seluruh peserta memahami, dan menerapkan seluruh materi dan diskusi yang terjadi pada saat acara berlangsung sehingga tujuan bisnisnya tercapai yakni memaksimalkan keuntungan. Target luaran yang akan dicapai adalah peserta dapat memanfaatkan Media Sosial Dalam Meningkatkan Daya Saing Produk UKM,  media promosi bisnis, memberikan kesempatan bagi usaha kecil memasuki jaringan yang lebih luas, informasi bisnis untuk pelanggan dan masyarakat, memberikan pelayanan kepada pelanggan secara lebih baik dengan adanya berbagai fasilitas yang menarik dan interaktif, meningkatkan minat masyarakat terhadap produk, yang dijual atau tempat transaksi, memasuki pasar global, dapat dijadikan saran media informasi, publikasi perusahaan dan promosi.
Pemanfaatan Media Sosial Sebagai Strategi UMKM Dalam Meningkatkan Penjualan Di Masa Pandemi Covid 19
Authors: Surenggono Surenggono , Erdiana Atty , Djamilah Siti
Published: September 2021

Pandemi covid-19  berdampak pada hampir semua sektor kehidupan, tak terkecuali aktivitas perdagangan yang dilakukan oleh Usaha Mikro Kecil Menengah (UMKM). Oleh karena  itu UMKM  perlu segera menyesuaikan  cara bisnisnya dengan menggunakan cara yang sesuai dengan situasi kondisi saat ini. Tujuan  kegiatan pengabdian kepada masyarakat ini adalah membantu para pelaku usaha yang tergabung dalam Asosiasi Usaha Kecil Menengah Amangtiwi Malang menghadapi lesunya perekonomian dan diharapkan dapat menunjang manajemen pemasarannya  di era digital guna meningkatkan penjualan.Tahapan pendampingan dimulai dari pemberian materi tentang pemasaran modern dan pengenalan beberapa aplikasi di media sosial, yang meliputi: konsep pemasaran modern (segmentasi, targeting, positioning, marketing mix); Aplikasi WhatsApp; Aplikasi Facebook; dan Aplikasi Instagram. Tahapan berikutnya para anggota UMKM yang tergabung di Asosiasi tersebut didampingi untuk membuat dan dapat mengoperasikan aplikasi guna mendukung kegiatan usaha mereka.Perubahan cara memasarkan produk yang digunakan anggota UMKM dengan menggunakan media sosial ini memberikan  manfaat dan hasil yang lebih baik bagi anggota kelompok Asosiasi UKM Amangtiwi Malang di saat Pandemi ini maupun di masa yang akan datang yaitu berupa semakin dikenalnya produk-produk yang ditawarkan mereka dan naiknya penjualan produk tersebut, karena mereka telah memasarkan produknya secara online dan memiliki akses yang lebih  luas (tidak hanya di Kota Malang saja).
Penyuluhan Management Creative Dalam Mendongkrak Inovasi Dan Memajukan Usaha Pada Sai Silver Bali
Authors: Yuangga Kharisma Danang , Sunarsi Denok , Teriyan Arga , Astari Anak Agung Elik , Setiawati Ni Putu Ari
Published: September 2021

Manajemen dalam melaksanakan perannya sangat tergantung kepada seluruh manusia yang terlibat di dalamnya, khususnya bagi para manajer yang berfungsi untuk mengendalikan kreativitas dan digerakkan menuju terciptanya inovasi. Oleh karena itu, kegiatan Pengabdian Kepada Masyarakat ini bertujuan untuk mengetahui dan menjelaskan mengenai inovasi dan kreativitas manusia dalam manajemen dalam mengambangkan usaha kerajianan perak Sai Silver di Bali. Banyak penelitian mengenai manajemen kreatif yang menjadi inspirasi para dosen dalam mengadakan PKM ini, keberhasilan inovasi sangat ditentukan oleh kreativitas manusia, bagi manusia yang tidak kreatif, maka inovasipun sulit dikembangkan, kemudian kebutuhan dan keinginan tidak mungkin dapat diwujudkan sebagaimana diharapkan sebelumnya. Untuk menemukan inovasi melalui kreativitas yang tepat dengan memberikan hasil yang memuaskan semua pihak, disinilah peranan manajemen untuk senantiasa berusaha memadukan antara kreativitas dengan inovasi terhadap suatu bidang kegiatan sehingga dapat menyumbangkan hasil yang dapat memberikan manfaat bagi kehidupan manusia pada umumnya dan manusia yang terdapat dalam manajemen pada khususnya.Kegiatan ini menggunakan media kerajinan perak Sai Silver Bali sebagai media percontohan dalam menyampaikan materi, bagaimana proses penemuan ide, hingga menciptakan terobosan dalam berkarya. Kreativitas dan inovasi dalam dunia industri kerajianan perak sangat dibutuhkan apalagi ditengah konsdisi penuh persaingan. Hasil dari kegiatan ini adalah para para karyawan memiliki kepekaan dan kemampuan untuk selalu mencari terobosan-terobosan dalam bentuk desain yang diaplikasikan dalam produk kerajianan perak yang nantinya akan mereka buat.
Pendampingan Pada Usaha Makro Kecil Menengah (UMKM) Untuk Meningkatkan Daya Saing Melalui Peningkatan Produktivitas
Authors: Karyadi Iman , Indahwati Indahwati , Julindrastuti Dijah
Published: September 2021

Daya saing Propinsi JawaTimur berada di urutan ke sepuluh denga index produktivittas sebesar 19,56, (laporan analisis daya saing UMKM di Indonesia, www.google.com). Rendahnya daya saing propinsi Jawa Timur terkait dengan masalah hambatan UMKM mengakses sumber daya produktif, selain pendanaan, terutama masalah akses bahan baku, pembiayaan, tenaga kerja trampil dan teknologi, di samping itu juga permasalahan kapasitas pengolahan dan persaingan.Tujuan pengabdian kepada masyarakat ini adalah agar Usaha Mikro kecil menengah (UMKM) dapat melakukan manajemen dengan lebih baik. Peningkatan produktivitas diperlukan untuk bisa meningkatkan daya saing..Pelaksanaan pendampingan UMKM ini direncanakan di Asosiasi Usaha Kecil Menengah Amangtiwi yang berlokasi di Sawojajar Malang. Pengabdian kepada Masyarakat ini diawali dengan memberikan pemaparan materi mengenai produktivitas dan daya saing. Selanjutnya akan dilakukan pendalaman mengenai kekuatan, kelemahan, peluang dan ancaman bagi UMKM, hal ini dimaksudkan agar bisa memadukan secara langsung teori dengan kondisi di lapangan. Dengan demikian dapat diambil kesimpulan dan solusi terbaik bagi UMKM dalam menjalankan bisnisnya agar dapat berdaya saing.
Analisis Usaha Kreatif Potensi Lokal Wonosobo Melalui Produk Coklat Sari Carica Dieng
Authors: Meiyana Ulfi , Ardiawan Rizki , Khoeriyah Fiqoh , Khoiri Ahmad
Published: September 2021

Pentingnya menggali usaha kreatif melalui COKSACAR (Coklat Sari Carica) yang dijadikan sebagai alternative solusi untuk mengatasi kejenuhan buah carica yang hanya dibuat sebagai makanan ringan seperti manisan dan kripik saja. Kegiatan Kewirausahaan dilakukan untuk: 1) Melatih kreativitas dan keterampilan dalam menciptakan inovasi baru yang berbahan baku Potensi lokal buah carica melalui kajian edupreneurscience (Sains dan ekonomi); 2) Menyajikan buah carica yang berbeda dari lainnya dengan tambahan variasi rasa, sehingga dapat menghilangkan kejenuhan cemilan buah yang biasanya; dan 3)Membuka peluang usaha baru untuk memperoleh laba yang nantinya bisa membuka lapangan pekerjaan. Metode penelitian melalui tahap persiapan produksi pada alat dan bahan; proses produksi dengan mengkaji edupreneurscience; dan pemasaran melalui analisis SWOT dan Mix Marketing 4P. Berdasarkan kegiatan kewirausahaan menunjukan bahwa: 1) Produk COKSACAR memanfaatkan potensi lokal Wonosobo dalam meningkatkan nilai jual buah carica serta dapat dikaji melalui viskositas sari carica dan potensi pengembangan usaha; 2) Terciptanya kegiatan kewirausahaan Produksi COKSACAR beraneka rasa meliputi rasa original, mocca, Green tea dan vanilla dengan rasa sari carica sehingga dapat menghilangkan kejenuhan dalam mengkonsumsi buah carica pada umumnya; dan 3)Menghasilkan pendapatan, peluang usaha baru serta mengurangi jumlah pengangguran karena pengembangan usaha yang berkelanjutan.
Pengaruh Pelayanan Terhadap Kepuasan Pasien Poli Gigi Di RSUD Kota Tangerang Selatan
Authors: Hastono Hastono , Dewi R Roro Vemmi Kesuma , Yulistiana Ika , Nugroho Joko , Febrianti Rika
Published: September 2021

Penelitian ini bertujuan untuk mengetahui pengaruh pelayanan terhadap kepuasan pasien Poli Gigi di RSUD Kota Tangerang Selatan. Metode yang digunakan adalah explanatory research dengan sampel sebanyak 88 responden. Teknik analisis menggunakan analisis statistik dengan pengujian regresi, korelasi, determinasi dan uji hipotesis. Hasil penelitian ini variabel pelayanan diperoleh nilai rata-rata skor sebesar 3,413 dengan kriteria baik. Variabel kepuasan pasien diperoleh nilai rata-rata skor sebesar 3,802 dengan kriteria baik. Pelayanan berpengaruh positif dan signifikan terhadap kepuasan pasien dengan nilai persamaan regresi Y = 10,484 + 0,807X, dan nilai koefisien korelasi 0,750 atau memiliki tingkat hubungan yang kuat dengan nilai determinasi 56,2%. Uji  hipotesis diperoleh signifikansi 0,000 < 0,05.
Kinerja Karyawan Berbasis Disiplin Dan Motivasi Pada PT. Pos Indonesia (Persero) Cabang Depok 2
Authors: Panggarbesi Akbar Aditama , Sunarto Ading
Published: September 2021

Penelitian ini dilakukan untuk mengetahui pengaruh disiplin dan motivasi Terhadap Kinerja Karyawan Pada PT.Pos Indonesia (persero) cabang depok 2, secara parsial maupun secara simultan. Metode yang digunakan deskriptif kuantitatif menggunakan tehnik random sampling dengan sampel sebanyak 59 responden. Berdasarkan hasil perhitungan analisis regresi berganda diperoleh Y =13.998 + 0,372 X1 + 0,294 X2 , dimana Kinerja Karyawan (Y), Disiplin (X1) dan Motivasi  (X2) diuji menggunakan uji t menunjukkan bahwa kedua variabel independen secara signifikan mempengaruhi Kinerja Karyawan (Y) sebagai variabel dependen. Menggunakan uji F diperoleh bahwa Fhitung = 18.771 dan setelah dikonsultasikan dengan Ftabel pada taraf signifikan 5% dan n = (-3) menunjukkan Ftabel = 2.77 yang artinya terdapat pengaruh yang positif dan signifikan antara Disiplin dan Motivasi terhadap Kinerja Karyawan karenafhitung (18.771) > (2,77) . Hasil penelitian ini disimpulkan terdapat pengaruh yang positif  dan signifikan antara Disiplin (X1) dan Motivasi (X2) secara simultan terhadap Kinerja karyawan (Y).