bluuebunny/crossref_metadata_2025 huggingface dataset:
Visual deterioration secondary to medial sphenoid wing meningioma: systematic assessment of patient-reported outcomes and factors contributing to recovery after surgical treatment
Authors: Gessler Florian , Hajdari Shefqet , Potthoff Anna-Laura , Bernstock Joshua D. , Herrlinger Ulrich , Czabanka Marcus , Seifert Volker , Vatter Hartmut , Schuss Patrick , Kilinç Fatma , Schneider Matthias
Published: October 2024

OBJECTIVE

Visual acuity (VA) constitutes an important outcome measure in surgery for medial sphenoid wing meningioma (SWM). This study aimed to assess the recovery of tumor-associated impairment of VA and its impact on patient-reported outcome measures (PROMs) as an indication of vision-related quality of life in patients who had undergone surgery for medial SWM.

METHODS

From 2009 to 2018, 153 consecutive patients with medial SWM underwent surgical treatment at the authors’ institutions. Tumor-associated VA was evaluated both on admission and during postoperative follow-up examinations, using Snellen charts. Multivariable analysis was performed to identify independent predictors for postoperative improvement of VA. PROMs were collected based on the National Eye Institute 25-Item Visual Function Questionnaire.

RESULTS

Of patients with medial SWM, 53 of 153 (35%) experienced preoperative impairment of VA. The median preoperative duration of visual symptoms was 12 (IQR 3–17) months for the entire study cohort. Multivariable analysis revealed a preoperative duration of visual symptoms ≤ 4 months to be independently associated with postoperative improvement of VA (p = 0.009). Evaluation of PROMs indicated a superior postoperative qualitative extent in the overall health (p = 0.027) and activities of daily living (p = 0.031) categories if preoperative duration of visual impairment was ≤ 4 months.

CONCLUSIONS

The overall preoperative duration of tumor-related visual impairment significantly correlates to the extent of postoperative visual improvement as well as vision-related PROMs in medial SWM surgery. These results might aid in preoperative patient counseling and help optimize decision-making and preoperative estimation of long-term visual outcome.
Clinical and radiographic outcomes after lateral lumbar interbody fusion in patients older than 75 years
Authors: Zhang Justin K. , O’Neill Luke K. , Farber S. Harrison , Giraldo Juan P. , Zhou James J. , Alan Nima , Alhilali Lea M. , Turner Jay D. , Uribe Juan S.
Published: October 2024

OBJECTIVE

There is an increasing need for optimal surgical techniques for older patients with degenerative spine disease. The authors evaluated perioperative complications and clinical and long-term radiographic outcomes in patients older than 75 years after lateral lumbar interbody fusion (LLIF) for degenerative spine disease.

METHODS

The authors conducted a single-center, retrospective case series of consecutive patients older than 75 years who underwent single-level or multilevel LLIF between January 1, 2017, and December 31, 2022. Postoperative transient neurapraxia or permanent neurological deficits were documented. Outcomes were assessed using patient-reported outcome scales. Bone density was measured at the femoral neck and L1 vertebra. Sagittal vertical axis (SVA), segmental lordosis (stratified by level), lumbar lordosis (LL), pelvic incidence–LL mismatch, sacral slope, and pelvic tilt were measured on upright radiographs. Fusion status was assessed using the Lenke classification system on CT scans obtained at least 1 year postoperatively. Clinical and radiographic outcomes were assessed using paired t-tests and multivariable regression. The values for continuous variables are expressed as the mean (SD).

RESULTS

Fifty-two patients (mean age 78.6 years; range 75–87 years) met the inclusion criteria; 94 levels were treated in these patients, and the mean follow-up was 12.2 (6.3) months. All outcome measures showed significant improvement at latest follow-up, including the mean changes in scores on the Oswestry Disability Index (−14.5 [17.5]); visual analog scale (VAS) for back pain (−2.2 [3.8]); and VAS for leg pain (−3.3 [3.9]) (all p < 0.001). Age was not associated with perioperative outcomes, except change in VAS score for back pain (r = 0.4, p = 0.03). One year postoperatively, 88% of levels (52 of 59 levels in 31 patients available for follow-up) demonstrated bony fusion. Patients experienced significant improvements in the mean change in SVA (−1 [2.7] cm); segmental lordosis (5.9° [4.1°]); LL (5.3° [9.8°]); and pelvic incidence–LL mismatch (−2.9° [6.4°]) (all p < 0.01). Cage subsidence was observed in 7 of 94 levels (7%). On multivariable regression analysis, increasing age was a significant predictor of reduced radiographic correction with respect to the change in SVA (β 0.43; 95% CI 0.10–0.77; p = 0.01) and the change in LL (β −1.18; 95% CI −2.12 to −0.23; p = 0.02).

CONCLUSIONS

This series demonstrates safe clinical outcomes and stable long-term radiographic outcomes in patients older than 75 years undergoing LLIF for degenerative lumbar spine disease.
Cognitive improvement after endoscopic third ventriculostomy surgery in long-standing overt ventriculomegaly in adults
Authors: Campanella Fabio , Piccolo Daniele , Sebastianutto Giulia , Fabbro Sara , Marotta Francesca , Skrap Miran , Vindigni Marco , Tuniz Francesco
Published: October 2024

OBJECTIVE

Long-standing overt ventriculomegaly in adults (LOVA) is a chronic form of hydrocephalus that can lead to cognitive deficits. Data on the cognitive profile of patients with LOVA and cognitive outcomes of endoscopic third ventriculostomy (ETV) are, however, scarce and mostly qualitative.

METHODS

Twenty-three consecutive patients with LOVA hydrocephalus underwent ETV surgery, and their cognitive status was assessed before surgery, immediately after surgery, and at the 5-month follow-up. Cognitive function was assessed using a neuropsychological battery measuring 6 cognitive domains: general cognitive status, attention/executive function, language, visuospatial skills, short-term memory, and long-term memory. Cognitive reserve was also estimated through a measure of premorbid IQ to assess its potential influence together with other clinical and demographic variables.

RESULTS

Patients with LOVA did not experience general cognitive decline but rather selective long-term memory (p < 0.001) and visuospatial skills (p = 0.001) deficits alone. Moreover, ETV surgery led to significant immediate postoperative improvement in both domains (p = 0.002 and p < 0.001 respectively), that persisted at follow-up (p < 0.001 for both). However, improvement was observed only in patients with higher premorbid IQ (p < 0.001), while the others did not improve (p > 0.532).

CONCLUSIONS

These findings confirm the effectiveness of ETV surgery and highlight the role of cognitive reserve in promoting plasticity of brain and cognitive functions thus fostering and predicting cognitive recovery.
Extended transcavernous posterior clinoidectomy in endoscopic endonasal surgery
Authors: Xu Yuanzhi , Lee Christine K. , Rychen Jonathan , Arifianto Muhammad Reza , Nunez Maximiliano Alberto , Cohen-Gadol Aaron A. , Fernandez-Miranda Juan C.
Published: October 2024

OBJECTIVE

Mastery of the posterior clinoidectomy technique is of utmost importance for neurosurgeons who specialize in endoscopic endonasal approaches, because the posterior clinoid process (PCP) is commonly involved in chondroid tumor resection. Three main techniques for posterior clinoidectomy have been developed: intradural, extradural, and transcavernous interdural. The authors introduce here a novel technical variant in which the transcavernous approach is extended to the dorsal clinoidal space after transection of the caroticoclinoid ligament, and they elaborate on its clinical application on the basis of anatomical dissections and radiological studies.

METHODS

The authors reviewed CT angiography images and 3D reconstruction of the PCP in 50 adults to analyze the height and presence of ossified ligament attachments. In addition, endoscopic endonasal posterior clinoidectomy was performed in 20 lightly embalmed postmortem human heads. Three techniques, including extradural, transcavernous, and extended transcavernous posterior clinoidectomy, were performed sequentially, and anatomical landmarks and areas exposed with each technique were investigated and compared.

RESULTS

Using radiological studies, the authors categorized the PCPs as 1 of 2 types: 1) normal, defined as less than or equal to 8 mm high with no ossified ligament attachments; or 2) complex, defined as greater than 8 mm high with or without an ossified ligament attachment. Compared with extradural (exposed PCP height 4.7 ± 0.5 mm) and transcavernous (exposed PCP height 7.3 ± 0.8 mm) posterior clinoidectomies, the extended transcavernous posterior clinoidectomy provided the maximally exposed PCP height (9.6 ± 0.4 mm; p < 0.0001).

CONCLUSIONS

This report details the extended transcavernous posterior clinoidectomy as a novel technical variant for achieving maximal exposure of the PCP in endoscopic endonasal surgery. In addition, the positive results establish the importance of preoperative skull base imaging for surgical planning.
Rapid response system and outcomes in patients who underwent cranial neurosurgery: a nationwide cohort study
Authors: Oh Tak Kyu , Song In-Ae
Published: October 2024

OBJECTIVE

Hospitals use rapid response systems (RRSs) to identify and treat patients whose conditions rapidly worsen after admission. However, no study has examined the effects of RRS deployment on the clinical outcomes of patients undergoing cranial neurosurgery. Thus, the authors investigated whether use of RRS affects clinical outcomes in these patients.

METHODS

This nationwide, retrospective, population-based cohort study included adult patients who underwent cranial neurosurgery in South Korea between January 1, 2019, and December 31, 2021. The authors classified patients admitted to hospitals that operated RRS into the RRS group and those admitted to hospitals that did not operate RRS into the non-RRS group.

RESULTS

Overall, 73,600 hospitalized patients who underwent cranial neurosurgery were included in this study. These patients were divided into 2 groups: 38,544 (52.4%) were included in the RRS group and 35,066 (47.6%) in the non-RRS group. After propensity score matching, 40,058 patients (20,029 in each group) remained. The in-hospital mortality rate was 10.1% (2022/20,029) for the non-RRS group and 8.9% (1792/20,029) for the RRS group. In the logistic regression analysis, the in-hospital mortality rate of the RRS group was 12% (OR 0.88, 95% CI 0.82–0.94, p < 0.001) lower than that of the non-RRS group. The 1-year all-cause mortality rate was 26.5% (5300/20,029) in the non-RRS group and 24.6% (4921/20,029) in the RRS group. In the Cox regression analysis, the 1-year all-cause mortality rate of the RRS group was 9% (HR 0.91, 95% CI 0.88–0.95; p < 0.001) lower than that of the non-RRS group.

CONCLUSIONS

This population-based cohort study revealed that implementing RRS was associated with enhanced short- and long-term survival outcomes in patients who underwent cranial neurosurgery. The authors’ findings indicate that the introduction of RRS can enhance patient survival rates after cranial neurosurgery.
Incidence of revision surgery and patient-reported outcomes within 5 years of the index procedure for grade 1 spondylolisthesis: an analysis from the Quality Outcomes Database spondylolisthesis data
Authors: Birlingmair Jacob , Carreon Leah Y. , Djurasovic Mladen , Mummaneni Praveen V. , Asher Anthony , Bisson Erica F. , Bydon Mohamad , Chan Andrew K. , Chou Dean , Coric Domagoj , Foley Kevin T. , Fu Kai-Ming , Haid Regis , Knightly John J. , Le Vivian P. , Park Paul , Potts Eric A. , Shaffrey Christopher I. , Shaffrey Mark E. , Slotkin Jonathan R. , Virk Michael S. , Wang Michael Y. , Glassman Steven D.
Published: October 2024

OBJECTIVE

Some patients treated surgically for grade 1 spondylolisthesis require revision surgery. Outcomes after revision surgery are not well studied. The objective of this study was to determine how revision surgery impacts patient-reported outcomes (PROs) in patients undergoing decompression only or decompression and fusion (D+F) for grade 1 spondylolisthesis within 5 years of the index surgery.

METHODS

Patients in the 12 highest Quality Outcomes Database (QOD) enrolling sites with a diagnosis of grade 1 spondylolisthesis were identified and the incidence of revision surgery between the decompression-only and D+F patients were compared. PROs were compared between cohorts requiring revision surgery versus a single index procedure.

RESULTS

Of 608 patients enrolled, 409 had complete 5-year data available for this study. Eleven (13.3%) of 83 patients underwent revision in the decompression-only group as well as 32 (9.8%) of 326 in the D+F group. For the entire cohort, patients requiring revision had significantly worse PROs at 5 years: Oswestry Disability Index (ODI) 27.4 versus 19.4, p = 0.008; numeric rating scale for back pain (NRS-BP) 4.1 versus 3.0, p = 0.013; and NRS for leg pain (NRS-LP) 3.4 versus 2.1, p = 0.029. In the decompression-only group, the change in 5-year PROs was not impacted by revision status: ODI 31.9 versus 24.2, p = 0.287; NRS-BP 1.9 versus 2.9, p = 0.325; and NRS-LP 6.2 versus 3.7, p = 0.011. In the D+F group, the change in 5-year PROs was diminished if patients required revision: ODI 19.1 versus 29.1, p = 0.001; NRS-BP 3.0 versus 4.0, p = 0.170; and NRS-LP 2.3 versus 4.6, p = 0.001.

CONCLUSIONS

The most common reasons for reoperation within 5 years in the decompression-only group were repeat decompression and instability, whereas in the D+F group the most common reason was adjacent-segment disease. The need for revision resulted in modestly diminished benefit compared with patients with no revisions. These differences were greater in the fusion cohort compared with the decompression-only cohort. The mean PRO improvement still far exceeded minimal clinically important difference thresholds for all measures for patients who underwent a revision surgery.
A long gestation: spine anatomy from the medieval age to the end of the 19th century. An analytical historical review
Authors: Boukebous Baptiste , Baker Joseph F. , Fanchette Julia , Rousseau Marc Antoine
Published: October 2024

The discovery of spine anatomy followed a problem/solution pattern; it took almost 1000 years to transition from nihilism to perfectionism. Before the 16th century, the main issue was accessing and opening the spine. The level of knowledge progressed rapidly when the spinal canal was opened longitudinally during the 16th century. The 17th century was an incubation period that allowed the consolidation of the science of anatomy with the help of art, philosophy, and other sciences. In particular, the conservation of the cadaver was improved. Famous spine anatomists were close to Rembrandt, master of the chiaroscuro technique, which helped to improve the anatomical drawings significantly. Descriptions of the pathological anatomy of the spine were first published early in the 17th century, but progress was slow up to the end of the 18th century due to a lack of occasions for clinical-pathological correlations. Normal anatomy became remarkably accurate in the 18th and 19th centuries when soft tissues and connections (e.g., among the intervertebral discs) were studied in detail. The slow compressions due to underlying diseases and then the degenerative processes were subsequently described.
Calcium-activated chloride channels. Role of potassium ions
Authors: Zamoysky V. L. , Gabrelian A. V. , Grigoriev V. V.
Published: October 2024

Using the patch-clamp method in the whole-cell configuration, it was shownthat external potassium ions play an important role in the regulation of calcium-activated chloride currents. A clear dependence of the amplitude of chloride currents on changes in the concentration of external potassium is shown. Changes in concentration of sodium, magnesium and calcium ions from membrane outside have no so significant effect, like outside potassium ions. The effect of potassium on the amplitudes of chloride currents is significantly greater than the effect it has on other cell ionic currents — sodium, potassium, cation. There is reason to believe that a change in the amplitudes of chloride currents contributes to the pathophysiological processes characteristic of hypokalemia and hyperkalemia.
ДОСЛІДЖЕННЯ ЕНЕРГОЕФЕКТИВНОСТІ ТЕХНОЛОГІЙ LORA В БЕЗПРОВІДНИХ МОНІТОРИНГОВИХ МЕРЕЖАХ
Authors: ШПАТАР Петро , НІЧИЙ Богдан , НІЧИЙ Сергій
Published: October 2024

В даній роботі розглядається  моделювання функціонування кінцевих пристроїв  (end point) компонентів безпровідних моніторингових мереж, які можна використати для побудови мережі типу “точка-точка” або “зірка” із використанням технології фізичного рівня LoRa. Технологія LoRa  володіє достатньо високими параметрами по дальності. Енергоефективність даної технології досягається за рахунок накладання обмеження кількості передачі даних протягом доби. В цьому випадку досягається довготривале автономне функціонування (не менше 5 років) кінцевих пристроїв при використанні малогабаритних джерел живлення. Мета моделювання – дослідити можливість  функціонування передавачів LoRa на фізичному рівні для забезпечення роботи безпровідних моніторингових мереж з максимальною періодичністю  60 с, з тривалістю автономного функціонування в межах 2,5 - 3 роки при використанні малогабаритних джерел живлення.
Tradisi Timbang Anak dengan Makanan Pokok yang Lahir di Bulan Safar dalam Tinjauan Hukum Islam (Studi Riset pada Suku Tidung di Desa Malinau Seberang Kecamatan Malinau Utara Kabupaten Malinau Provinsi Kalimantan Utara)
Authors: Safriansyah Chendi , Datumula Sarpika , Dahlan Ramlah
Published: October 2024

Hasil penelitian ini menunjukkan bahwa tradisi  timbang anak dengn makanan pokok yang lahir di bulan Safar di di Desa Malinau Seberang Kecamatan Malinau Utara di rangkaikan dengan pembacaan maulid Nabi, tasmiyah, batimbang dan diakhiri dengan pembacaan do’a. Adapun perlengkapan yang digunakan saat acara batimbang adalah timbangan, beras, buah-buahan, sayur-sayuran, air dan al-qur’an. Pelaksanaan tradisi batimbang ini ini dimotivasi oleh adat istiadat dan adanya rasa kekhawatiran anaknya menjadi nakal, bodoh dan gampang sakit. Adapun tujuan pelaksanaannya adalah membuang sifat-sifat buruk dan diganti dengan sifat-sifat yang baik. Jika ada kekurangan pada anak baik fisik (mudah sakit) maupun mental dapat tertutupi sehingga anak menjadi anak yang sehat, saleh dan berakhlakul karimah. Terkait persepsi tentang dampak, sebagian masyarakat menganggap bahwa jika tradisi batimbang tidak dilaksanakan akan berdampak terhadap anak (terkena sial) dan sebagian lagi menganggapnya tidak berpengaruh pada si anak
Effect of cast part size on the microstructure and mechanical properties of a bainitic High-Carbon and High-Silicon Cast Steel
Authors: Fernandino Diego , Basso Alejandro Daniel , Tenaglia Nicolás Emanuel
Published: October 2024

This study aims at assessing the impact of casting size on the bainitic transformation, resulting microstructures, and tensile properties of a high-carbon, high-silicon steel austempered at different temperatures. The casting size was analyzed by using Y blocks of two different thicknesses. The microsegregation, a common occurrence in cast parts, leads to different bainitic transformation rates at the microscopic scale. Specifically, interdendritic areas with higher alloying contents exhibit a slower transformation, resulting in a lower degree of transformation and a higher amount of blocky austenite. Despite differences in solidification structure and distribution of alloying elements, samples obtained from the thinner and thicker Y blocks yield comparable transformation times and mechanical properties, leading to enhanced uniformity in the mechanical behavior of the entire component. However, it is essential to ensure that the bainitic transformation is completed to minimize the detrimental effects of microsegregation in these cast steel components. The presence of very fine microstructures results in ultra-high strength with low ductility cast steel.
Evaluation of the Mindfulness-Based Wellbeing Enhancement Program: Effects on Wellbeing Outcomes
Authors: Chughtai Sufian , K Kathirasan , Rai Sunita
Published: October 2024

The 8-week Mindfulness-Based Wellbeing Enhancement (MBWE) program was designed to enhance mental wellbeing across diverse populations. This evaluation report presents findings from two studies assessing the program’s effectiveness. In Study 1, pre- and post-program assessments using the Five Facet Mindfulness Questionnaire (FFMQ) revealed significant improvements across all facets of mindfulness, demonstrating the program's efficacy in cultivating mindfulness among participants. Study 2 examined human flourishing outcomes through self-reported data collected at the program's conclusion, with participants consistently reporting enhanced mental wellbeing across multiple dimensions. Although the absence of control groups in both studies limits the ability to definitively attribute these outcomes to the MBWE program, the overall findings indicate that the MBWE program effectively promotes mindfulness and supports broader mental wellbeing.
The Discontinuity of the Virtual Toward the Non-Living and the Living
Authors: Bazac Ana
Published: October 2024

Rather than putting problems than solving them, the goal of this paper is to unlock the philosophical meanings of the difference between the three domains announced in the title. But it is made as a joke: the preliminary part is too big, however not superfluous for the main one that deals just with the problem of the discontinuity of the virtual. Thus, after a nevertheless summary resolution of the helpful concepts, it starts within an objectivist scientific key, and it once more arrives at the methodological idea inherited from old that the names calling the three domains are concepts. But they describe something, irrespective of their ambiguity.

As a result, the features of the three domains appear not only as ideas, as historical developments of the philosophical and scientific reflections upon them, but also as structural intertwining, grades and “amplitudes” and ruptures _within _the domains themselves, in a dialectic that challenges the concepts of continuity and discontinuity. This entire process aimed at extricating the characteristics is at the same time one that invites a review of the definitions of the three domains: and first of all, the criteria of definitions. Obviously, the more problematic domain is the virtual, and it is captured through an entwined couple constituted of an empirical notion and a philosophical concept, _joy of life_ and _plenitude_. And here is the surprise: the virtual as a specific non-living reality derives its peculiarity from that of AI as a virtual rational being.
Development of a Comprehensive Tool for Assessing Cardiorespiratory, Muscular Strength, and Endurance Function in People With Intellectual Disabilities
Authors:   Psychosomatic Research Center, Mazandaran University of Medical Sciences, Sari, Iran., Amiri Rahman , Daneshmandi Hassan ,   Psychosomatic Research Center, Mazandaran University of Medical Sciences, Sari, Iran., Sharif-Nia Hamid ,   Psychosomatic Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
Published: October 2024

Background and Aims Accurate assessment of cardiorespiratory function, muscular strength, and endurance seems necessary to be aware of, provide exercise interventions, and prevent subsequent diseases. Therefore, the current research aimed to develop a comprehensive tool for assessing cardiorespiratory, muscular strength, and endurance function in people with intellectual disabilities. Methods The current research is fundamental and practical in terms of purpose. In this study, the psychometrics of 51 specific intellectual disability tests were used to develop a tool for measuring cardiorespiratory function, muscular strength, and endurance. The face validity of the instrument through a 51-test questionnaire by 15 experts and 15 intellectually disabled educators, the content validity through a 51-test questionnaire by 15 experts, and the construct validity through a 19-test questionnaire by 243 intellectually disabled educators were examined. The tool’s reliability was checked through internal, intra-rater, and inter-rater consistency. Internal consistency was estimated by calculating the Cronbach alpha. The intra-rater and inter-rater reliabilities were also checked through the implementation of the tests by 18 people with intellectual disability in three time points and with three raters through the internal correlation index (ICC), confidence interval (CI), and standard error of measurement (SEM). Data analysis was done through exploratory and confirmatory factor analysis with AMOS version 26 and SPSS software, version 22. Results Based on the content validity ratio (CVR) estimation, 19 out of 51 tests had a content validity ratio higher than 0.49, and the rest were excluded. Regarding construct validity, 10 out of 19 tests were removed, and the final 9 tests were approved for evaluating cardiorespiratory function, muscular strength, and endurance. Exploratory factor analysis extracted three latent factors that explained 46.21% of the total variance. Confirmatory factor analysis confirmed the final construct model. The factor analysis results included KMO=0.829 and BT=4706.93 (P<0.0001). Conclusion The current study provided a special set of tests for people with intellectual disability regarding cardiorespiratory assessment (one test), strength (four tests), and muscular endurance (four tests) after psychometry of 51 specific tests. By using this set of tests, it is possible to make an accurate assessment of the physical fitness of the health of people with intellectual disability.
Synthesis of Bio lubricant from Bhallataka oil
Authors: Dr. Vustelamuri Padmavathi  , Senivarapu Ankit Reddy
Published: October 2024

The demand for a renewable and biodegradable lubricant as a substitute for fossil fuel-based lubricant has increased due to strong environmental concerns and expanding regulations over contamination and pollution in the environment. This study investigated the potential of using Semecarpus anacardium L.f. oil, which was identified as a potential raw material for biodiesel, as a feed stock for bio lubricants. Epoxidation and hydrolysis reactions were used to synthesize bio-lubricant. Epoxidized SA L.f oil was made using peroxyformic acid, which was produced on the spot by reacting hydrogen peroxide and formic acid with sulfuric acid acting as a catalyst. The oxirane value of the oil was 3.77, indicating that the unsaturated bonds were almost entirely converted to oxirane, while the iodine value decreased from 90.7 to 2.01 mg I2/g. ESAO
Fever of Unknown Origin in Children
Authors: Hossain Mahmud
Published: October 2024

Fever is a common symptom in children and fever of unknown origin (FUO) is not uncommon in paediatric age group. The FUO remains a challenging clinical problem and is an important cause of morbidity and mortality in children. These undifferentiated prolonged fevers need step-wise approach for diagnosis. Details and proper history taking, thorough serial physical examination, critical analysis of sign-symptoms diary and investigation reports are crucial to get a clue that led to the diagnosis. Though in some aspect more concerned with developing countries data, this article is based on reviewing of published papers from both developed and developing countries. Worldwide infection remains the most common cause of FUO in children, followed by collagen vascular diseases, neoplasm, miscellaneous diseases and undiagnosed illnesses. Indiscriminate use of antimicrobials and other medications may mask the real diagnosis. Awareness of primary-level healthcare providers about the cause and logical management approach of pediatric FUO is important for better outcome.
Journal of Monno Medical College December, 2023; 9 (2):78-84
Comparison of Outcomes of Bell’s Palsy Patients Treated with Steroid and Steroid with Antiviral Drug in a Tertiary Care Hospital
Authors: Imam Shah Didar , Uddin Md. Jalal , Hasan ABM Khairul , Shill Sajal Kumar , Hoque Md. Ziaul
Published: October 2024

Background: Bell’s palsy is the most common acute mononeuropathy associated with idiopathic unilateral facial weakness, characterized by facial asymmetry. Though steroids have effectiveness in managing Bell’s palsy, the use of antiviral is still debatable.
Objective: To compare the outcome of Bell’s palsy with treatment by steroid versus combination of steroid and antiviral drugs.
Methodology: A prospective analytical study was performed on 84 patients with acute Bell’s palsy attending at Neurology outpatient department of Mymensingh Medical College Hospital from July 2014 to June 2016. The patients were divided into two groups purposively after initial assessment as per House-Brackmann grading system (HBS). Group-I patients were treated with oral prednisolone and oral valacyclovir and Group-II patients were treated with oral prednisolone only. Both groups received facial exercises as per demonstration and proper eye care throughout the study period. Follow-up was done after 2 weeks, 4 weeks and 3 months for collection of data about recovery according to reassessment.
Results: The analysis revealed that recovery rates at all 3 follow-ups were higher in the combination group than that of the prednisolone-only group [29(67.44%) versus 18 (43.90%) at 2nd week follow-up, 35(81.39%) versus 25(60.97%) at 4th week follow up and 40 (93.02%) versus 30(73.17%) at 3rd month follow-up]. Moreover, the expected recovery rate was higher in severe Bell’s palsy patients in the combination group than in steroid-alone group (22, 88.0% complete recovery versus 13, 54.17% complete recovery at the end of 3 months of treatment) [p=0.034]. haemorrhagic shock, spinal cord damage, septic shock and crush syndrome.
Conclusion: The study showed antiviral (valacyclovir) plus steroid (prednisolone) to be more effective than steroid (prednisolone) alone in the treatment of Bell’s palsy. Moreover, outcome was more favorable in combination groups presenting with severe disease. Lessen their severity.
Journal of Monno Medical College December, 2023; 9 (2):58-62
Forensic Profiling of Road Traffic Accident Victims- A Retrospective Study
Authors: Nahida Nazmun Nahar , Quader Kishoara Binte , Yesmin Laila , Hossain Alamgir , Ahamed Borhan Uddin
Published: October 2024

Background: Road traffic accidents (RTAs) have become a significant public health problem that requires a multi-disciplinary strategy to solve. Every year, 1.35 million people die because of RTAs. The effects of a traffic accident not only cause the sufferer to suffer physically, emotionally, and financially, but they also have a deadly impact on the way the entire family functions.
Objectives: This study's objective was to assess the current RTA situation in Manikganj district, determine the injury pattern, explore the causes and frequency of accidents, and find out the sociodemographic characteristics of the victims. Methodology: This retrospective study was carried out in the Manikganj District hospital, Bangladesh, during the period of January, 2019 to December, 2020.
Results: During the study period, there were 381 postmortems performed, of which 83 (21.78%) instances involved RTA. Of the victims, 49(59.04%) were men and 34(40.96%) women. Incidence of RTA (24, 28.91%) was the highest among people aged 21 to 30 years. The most accidents happened during the daytime (32, 38.55%). All victims sustained many abrasions and bruises (83, 100%), laceration was present in 46(55.42%), fractured ribs in 33(39.75%), fractured hipbones in 32(38.55%), skull bones fractured in 16(19.27%), head injury in 26 (31.32%) and intracranial haemorrhages in 26(31.32%) cases. Most victims (59, 71.08%) were pedestrians, followed by passengers and drivers. In 83 instances, head injuries accounted for most fatalities (22, 26.53%), followed by multiple traumas, haemorrhagic shock, spinal cord damage, septic shock and crush syndrome.
Conclusion: Strict adherence to traffic laws, public awareness campaigns, and adequate driver training all reduce the likelihood of road accidents and lessen their severity.
Journal of Monno Medical College December, 2023; 9 (2):53-57
Sentimentos de familiares de vítimas do abuso sexual infantil: percepções durante atendimento de saúde
Authors: Conceição Marimeire Morais , Camargo Climene Laura de , Santos Maria Luiza Nascimento dos , Santos Ises Adriana Reis dos , Silva Camila Thais dos Santos , Whitaker Maria Carolina Ortiz
Published: October 2024

Desvelar os sentimentos demonstrados por familiares durante o atendimento à saúde de crianças/adolescentes abusadas sexualmente, sob a óptica de profissionais. Estudo qualitativo, realizado em 2019 com 30 profissionais atuantes em um hospital público da Bahia, Brasil. Os dados foram coletados mediante roteiro de entrevista, analisados segundo conteúdo temático e interpretados sob à luz do Interacionismo Simbólico. Surgiram quatro categorias temáticas. Familiares de crianças e adolescentes que sofreram abusos sexuais demonstram abalo emocional configurado por meio do estado de choque, desespero e indignação. O sofrimento moral interno dos familiares é manifestado por sentimentos como preocupação e culpa, enquanto o sentimento de resposta à sociedade se desvela na percepção do constrangimento expresso por familiares. O estado emocional de resposta consciente é percebido por expressões de medo e de sofrimento. Os sentimentos elencados foram captados a partir das interações, sendo, portanto, expressos de forma verbal e não verbal durante o atendimento.
Atuação do enfermeiro frente à violência contra a pessoa idosa: estudo fenomenológico
Authors: De Souza Santos Jiovana , Alves de Almeida Francisca das Chagas , Fernando Guerrero Castañeda Raúl , Queiroga Souto Rafaella
Published: October 2024

A presente pesquisa teve por objetivo desvelar a atuação do enfermeiro no ambiente hospitalar durante a consulta de enfermagem à pessoa idosa vítima de violência e identificar o tipo de violência sofrida pela pessoa idosa a partir dos relatos dos enfermeiros. Foi conduzida uma pesquisa fenomenológica qualitativa por meio de entrevistas com oito enfermeiros de cinco instituições hospitalares, seguindo os pressupostos da fenomenologia social de Alfred Schütz. A análise foi realizada utilizando os passos propostos por Martins e Bicudo. se quatro categorias (motivos porquê) principais: percepção dos enfermeiros em relação ao cuidado às pessoas idosas vítimas de violência; identificação da violência contra a pessoa idosa pelos enfermeiros; repercussões afetivas e ações dos enfermeiros diante de pessoas idosas vítimas de violência; expectativas e desejos (motivos para) relacionados, representados pela quinta categoria: empatia como motivadora das ações dos enfermeiros durante os cuidados prestados a pessoas idosas vítimas de violência. Foi observado um amplo desvelamento de experiências com a execução de ações importantes, porém também foram identificadas lacunas que precisam ser abordadas, como a denúncia às autoridades competentes e a preservação de vestígios.
Analisis Sentimen Jersey Erspo Timnas Indonesia Menggunakan Model Klasifikasi dan Algoritma Naïve Bayes
Authors: Fauzi Syahrul , Siswono Andika Prayoga , Prayitno An-Nisa Firardiansyah
Published: October 2024

Penelitian ini menganalisis sentimen publik terhadap desain jersey baru Tim Nasional (Timnas) Indonesia menggunakan metode klasifikasi Naive Bayes pada platform Twitter. Latar belakang penelitian adalah ketidakpuasan penggemar terhadap desain jersey yang tidak sesuai dengan ekspektasi, serta desainer yang tidak menerima kritik atau masukan dari berbagai pihak. Data diambil melalui proses crawling dari Twitter menggunakan kata kunci "timnas Indonesia," menghasilkan 1229 tweet yang dikategorikan sebagai positif, negatif, atau netral. Proses preprocessing mencakup cleansing, case folding, tokenization, stopword removal, stemming, dan TF-IDF. Setelah preprocessing, data diberi label sentimen. Hasil klasifikasi menggunakan Naive Bayes menunjukkan akurasi sebesar 99%, presisi dan recall mencapai nilai maksimum 1.00 untuk sebagian besar kelas, dengan F1-score 1.00 untuk kelas 1 dan 2, serta 0.98 untuk kelas 2 dengan sebagian besar tweet bersentimen netral, disusul oleh sentimen positif dan negatif. Visualisasi data melalui word cloud dan grafik batang menunjukkan topik utama yang dibicarakan terkait jersey, seperti "jersey," "timnas," "Indonesia," "harga," dan "beli." Penelitian ini menyimpulkan bahwa jersey Erspo Timnas Indonesia secara umum diterima dengan baik di komunitas online, dengan mayoritas sentimen netral dan sebagian kecil positif. Hal ini menunjukkan bahwa meskipun sebagian besar respon bersifat netral, jersey tersebut tetap tidak menimbulkan sentimen negatif yang signifikan, sehingga secara keseluruhan dianggap diterima dengan baik. Model Naive Bayes terbukti efektif dalam mengklasifikasikan sentimen dari tweet, memberikan wawasan yang berharga untuk peningkatan produk dan layanan terkait jersey Timnas Indonesia.
Analisis Kualitas Website Universitas Alma Ata Menggunakan Pendekatan WebQual 4.0
Authors: Pratama Cholid , Dzakiyullah Nur Rachman , Ratnasari Asti , Harahap Avrillaila Akbar
Published: October 2024

Kualitas website sangat krusial untuk memberi kepuasan kepada pengguna, dengan menyediakan kemudahan akses dan informasi sesuai kebutuhan pengguna. Hingga saat ini website Universitas Alma Ata belum ada penilaian mengenai kualitas situs web sesuai kepuasan mahasiswa, sehingga hasil pengukuran kualitas website dengan pendekatan WebQual 4.0 dapat dijadikan rekomendasi dalam evaluasi dan pengembangan website selanjutnya. Studi ini dilaksanakan guna memahami pengaruh kualitas website Universitas Alma Ata sehubungan dengan kepuasan mahasiswa memakai pendekatan WebQual 4.0 dan mengetahui variabel yang berdampak signifikan untuk meningkatkan kualitas website. kelebihan metode WebQual 4.0 adalah, penggunaaan teknik pengukuran yang berfokus pada pandangan pengguna akhir. Pengumpulan data dilakukan dengan kuesioner berbasis skala likert 1-5 yang didistribusikan melalui google form kepada mahasiswa aktif jenjang S1 Universitas Alma Ata yang pernah mengakses website Universitas Alma Ata. Metode pengambilan sampel memakai purposive sampling, sementara ukuran sampel ditetapkan memakai rumus Slovin pada toleransi kesalahan 5%, menghasilkan total sampel sejumlah 367. Data yang didapatkan dianalisis dengan uji validitas, uji reliabilitas, uji asumsi klasik dan analisis regresi linier berganda dengan memakai software SPSS 25. Hasil penelitian diperoleh  uji hipotesis secara parsial variabel kegunaan, kualitas informasi, kualitas layanan interaksi berdampak yang signifikan pada kepuasan pengguna (user satisfaction). Hasil koefisien determinasi yakni 0,733 Ini membuktikan  semua variabel independen secara simultan berdampak yakni 73,3% pada variabel dependen (user satisfaction).
Aplikasi Android LBS Menggunakan Metode Haversine Formula Pada Lokasi Wisata Kota Pagar Alam
Authors: Arrohman Oman , Sutabri Tata
Published: October 2024

Pagar Alam merupakan salah satu kota wisata yang berada di Provinsi Sumatera Selatan, Indonesia. Dimana Kota Pagar Alam memiliki letak strategis yaitu di daerah pegunungan dengan alam yang masih asri, sehingga membuat Kota Pagar Alam menjadi tujuan destinasi bagi para penduduk dan wisatawan dari dalam maupun luar kota. Terdapat berbagai jenis wisata di Kota Pagar Alam yaitu wisata alam dan wisata budaya, seperti adanya 33 air terjun yang tersebar di berbagai daerah ataupun desa, dan 26 situs batu megalitikum yang sudah tercatat, hal tersebut dapat digunakan untuk menarik para wisatawan mengunjungi dan berwisata ke Kota Pagar Alam. Dengan banyaknya wisata yang ada dimungkinkan untuk membuat suatu aplikasi menggunakan Location based services yang merupakan teknologi berbasis lokasi atau yang sering digunakan untuk menggambarkan dan menemukan lokasi perangkat yang digunakan oleh user dalam mencari lokasi destinasi wisata yang akan dituju. Penelitian ini menggunakan metode pengembangan prototype dengan 5 tahapan , yaitu Communication, Quick Plane, Modelling Quick Design, Construction of Prototype, Deployment Delivery dan Feedback.  Selanjutnya pada penelitian ini menggunakan metode pengujian menggunakan metode Harvershine Formula dengan membandingkan jarak antara 2 lokasi yang berbeda dengan beberapa lokasi wisata yang ada pada aplikasi diperoleh jarak pada lokasi 1 yaitu akurasi persentase keakuratan jarak yaitu 99,33% dan lokasi ke 2 dengan keakuratan jarak sebsar 99,50%. Dari kedua hasil jarak tersebuat persentase rata-rata jarak diperoleh yaitu 99,41%, sehingga bisa disimpulkan bahwa aplikasi yang dibuat dan diuji menggunakan metode harvershine formula ini hasilnya adalah akurat atau jaraknya tidak terlalu jauh.
Hyperparameter Tuning for Optimizing Stunting Classification with KNN, SVM, and Naïve Bayes Algorithms
Authors: Firgiawan Wawan , Yustianisa Dita , Nur Nurrahmi Afiah , Gabrelia Gabrelia
Published: October 2024

The purpose of this study is to illuminate and compare the performance of three classifiers, namely Naive Bayes (NB), Support Vector Machine (SVM), and K-Nearest Neighbors (KNN), in classifying stunting data. Using evaluation measures such as accuracy, precision, recall, and F1 score, the performance of each algorithm is measured before and after hyperparameter adjustment. The experimental results show that SVM provides a strong balance between precision and recall before hyperparameter adjustment, KNN excels in recall, and NB achieves the highest precision. After hyperparameter adjustment, all models show improved performance, with SVM achieving the best accuracy and F1 score. While NB remains highly precise and reduces false positives, KNN continues to win the recall. The results show that hyperparameter adjustment is critical to optimizing algorithm performance and that algorithms should be selected according to specific research objectives to maximize detection accuracy and balance recall and precision.
Model Prediksi Harga Penutupan di Bursa Efek Indonesia dengan Menggunakan Bidirectional LSTM dan HIVE-COTE
Authors: Julian Matthew , Bunyamin Hendra
Published: October 2024

Memprediksi harga penutupan saham merupakan masalah yang menantang karena natur bursa saham yang volatil dan tidak linier. Adanya teknologi machine learning telah mendorong metode prediksi yang lebih akurat untuk data deret waktu, terutama dalam konteks prediksi harga saham. Prediksi yang akurat memberikan manfaat dalam bidang finansial, yaitu memudahkan investor dalam menganalisis pasar dan meminimalisir risiko. Model Bidirectional Long Short-Term Memory (Bi-LSTM) yang merupakan perkembangan dari Long Short-Term Memory (LSTM) dan Hierarchical Vote Collective of Transformation-based Ensembles 2.0 (HIVE-COTE 2.0) merupakan dua pendekatan yang digunakan dalam penelitian untuk memprediksi klasifikasi harga penutupan saham. Dataset yang digunakan adalah dataset harga saham yang berisikan informasi-informasi, seperti tanggal, harga pembukaan, harga tertinggi, harga terendah, harga penutupan, harga penutupan yang disesuaikan, dan volume penjualan. Kemudian, informasi-informasi ini dikenakan proses features engineering untuk memperoleh date/time features, lag features, rolling-window features, dan expanding-window features. Training model Bi-LSTM dan HIVE-COTE 2.0 dari fitur-fitur tersebut dan proses hyperparameter tuning dua model tersebut memberikan hasil evaluasi bahwa model HIVE-COTE 2.0 dengan performa F1-score 98.7% lebih baik dalam memprediksi klasifikasi harga saham dibandingkan dengan Bi-LSTM. Selanjutnya, analisis model untuk mencari fitur yang paling berpengaruh dengan dan tanpa feature engineering dilakukan  dan fitur yang paling berpengaruh adalah persentase perubahan harga pada akhir transaksi pada satu hari. Hasil penelitian ini merekomendasikan HIVE-COTE 2.0 sebagai model prediksi karena keakuratannya dan fitur persentase perubahan harga sebagai fitur yang paling mempengaruhi hasil prediksi.
Implementasi Metode K-Means Clustering untuk Menentukan Kondisi Gizi Balita (Studi Kasus : Puskesmas Mamsena)
Authors: Eko Yulita , Rema Yasinta Oktaviana Legu , Ullu Hevi Herlina , Baso Budiman
Published: October 2024

Kondisi gizi balita sangat mempegaruhi pertumbuhan dan kesehatan pada balita. Penentuan kondisi gizi balita perlu dilakukan untuk mengetahui presentase kondisi gizi dari balita tersebut. Penelitian ini dilakukan di Puskesmas Mamsena dengan tujuan untuk mengelompokkan kondisi gizi balita dengan sampel penelitian 348 data balita dengan menggunakan data atropometri balita. Antropometri ialah data yang merujuk pada pengukuran masa tubuh atau fisik dari balita. Jenis kelamin, usia, berat badan, tinggi badan, dan lingkar lengan merupakan data antropometri yang digunakan dalam penelitian ini pada 348 balita. Penelitian ini mengimplementasikan  salah satu metode clustering khususnya strategi pengelompokan K-Means, untuk mengelompokkan informasi yang sama menjadi sekumpulan informasi ke dalam kelompok-kelompok tertentu. Metode ini diimplementasikan  dengan menggunakan bahasa pemrograman python untuk menganalisis data. Jumlah kelompok atau K terbaik diperoleh dengan menggunakan elbow method atau teknik siku dengan jumlah K = 5 yaitu gizi buruk,  gizi kurang, gizi cukup, gizi baik dan kegemukan. Hasil pengelompokan yang diperoleh untuk setiap cluster yaitu cluster nol memiliki presentase = 28, 16 % atau sama dengan 98 data balita, cluster satu memiliki presentase = 16, 95 % atau sama dengan 59 data balita, cluster dua memiliki presentase = 23, 85 % atau sama dengan 83 data balita, cluster tiga memiliki presentase = 16, 09% atau sama dengan 56 data balita dan cluster empat memiliki presentase = 14, 94% atau sama dengan 52 data balita. Evaluasi hasil clustering dilakukan menggunakan metode DBI dengan nilai = 0,2520626580022645. Dari perolehan nilai DBI maka dapat disimpulkan bahwa kualitas hasil custer dengan jumlah K=5 memiliki kualitas yang bagus karena hasil akurasi yang diperoleh mendekati 0.
GROWING THE ABILITY TO READ THE QUR'AN WITH THE AL-BAGHDADI METHOD IN CLASS 1 STUDENTS OF MADRASAH IBTIDAIYYAH
Authors: Ai Umir Fadhilah
Published: October 2024

The ability to read the Koran is currently still relatively low, especially in Madrasah Ibtidaiyyah students who still cannot read the Koran properly. In fact, many do not even know hijaiyyah letters. The ability to read the Koran needs to be taught to students through a learning process, this is to maintain reading the Koran.
The purpose of this study was to find out how to foster the ability to read the Qur'an in grade 1 Madrasah Ibtidaiyyah and the obstacles in its implementation. This research with a qualitative approach uses a case study conducted at MI Ma'arif Bego DI Yogyakarta. Participants in this study involved 1 person, namely the tahfidz teacher at the Ibtidaiyyah Madrasah.
The results of the study show that the process of implementing learning to read the Koran using the al-Baghdadi method is that students can easily read the Koran quickly and accurately, and there are guidebooks and rhymes to make it easier for students to memorize. hijaiyyah letters and the laws of reading the Koran.
Thus learning the Koran for grade 1 students of Madrasah Ibtidaiyyah is suggested to be more appropriate using the al-Baghdadi method.