bluuebunny/crossref_metadata_2025 huggingface dataset:
JARODS (JAKARTA ROAD SAGA) MENJELAJAHI JEJAK NAMA JALAN PAHLAWAN UNTUK MEMBANGKITKAN SEMANGAT NASIONALISME DAN MULTIKULTURALISME
Authors: Ramadhani Syafira , Yessino Salsabilla , Karuniawan Dwi
Published: June 2024

Abstract
The deterioration of the spirit of nationalism and multiculturalism among young people should be a worry for the entire nation. Teenagers' apathy toward the history of national heroes, as well as their lack of use of technology in learning, necessitated the development of a gaming application called JARODS. The MDLC (Multimedia Development Life Cycle) model with six steps, namely concept, design, material collecting, assembly, testing, and distribution, is used in the game creation study utilizing the RPG Maker MZ program. Material expert validators, application expert validators (Functionality Test), and student respondents from SMPN 4 Jakarta and MAN 3 Jakarta Pusat (Usability Test) are involved in the data gathering process. According to the study findings, the JARODS game application is pronounced legitimate by the material expert with a score 3,71 and it is also declared “valid” in the functionality test. Last, a score ratio was acquired in the usability test on 35 respondents as the topic of the study 3,59 indicating that the game was "very good." Based on the testing results, it can be concluded that the JARODS game development application can be used to enhance the sense of nationalism and multiculturalism that begins to emerge among teenagers, either independently or with the guidance of teachers in classroom teaching activities.
Abstrak
Lunturnya semangat nasionalisme dan multikulturalisme di kalangan remaja harus menjadi perhatian seluruh elemen bangsa. Ketidakpedulian remaja terhadap sejarah tokoh pahlawan nasional dan kurangnya pemanfaatan teknologi dalam pembelajaran, maka perlu dikembangkan aplikasi game JARODS. Penelitian pengembangan aplikasi game ini menggunakan model MDLC (Multimedia Development Life Cycle) dengan enam tahap, yaitu konsep, desain, pengumpulan material, penggabungan, percobaan, dan pendistribusian dengan menggunakan perangkat lunak RPG Maker MZ. Pengumpulan data penelitian melibatkan validator ahli materi, validator ahli aplikasi (Uji Fungsionalitas) dan responden pelajar dari SMPN 4 Jakarta dan MAN 3 Jakarta Pusat (Uji Usabilitas). Hasil penelitian menyatakan bahwa aplikasi game JARODS, dinyatakan valid oleh ahli materi dengan skor 3,71 dan dalam uji fungsionalitas juga dinyatakan “valid”. Terakhir dalam uji usabilitas pada 35 responden sebagai subjek penelitian, diperoleh rerata skor 3,59 yang artinya game ini "sangat baik." Berdasarkan dari hasil pengujian bisa diberi kesimpulan bahwa aplikasi pengembangan game JARODS bisa digunakan untuk meningkatkan rasa nasionalisme dan multikulturalisme yang mulai luntur di kalangan remaja secara mandiri tanpa bimbingan guru maupun dengan bimbingan guru dalam kegiatan belajar mengajar di kelas.
PENOLAKAN PEMBANGUNAN RUMAH IBADAH DI KOTA CILEGON DALAM KONTEKS REGULASI DAN MODERASI BERAGAMA
Authors: Hotimah Husnul , Nurhayati Nurhayati
Published: June 2024

Abstract
This research examines cases of rejecting church establishment from the perspective of regulation and religious moderation in Cilegon Banten. The research is a literature review. The literature studied includes books, journals, regulations and other documents. The results of this research show that the Decree of the Regent of Serang Number 189/Huk/SK/1975, which was used as the primary basis by the community to reject the establishment of a Church in Cilegon City has expired because it is not by legislation which is based on Pancasila as stated in the first and the fifth basic principle. Pancasila affirms the belief in the Almighty God and social justice for all Indonesian people. Apart from that, the reasons for rejecting the establishment of the church are not in harmony with the values ​​of religious moderation, especially the tasammuh indicator.
Abstrak
Penelitian ini bertujuan untuk menelaah kasus penolakan pembangunan gereja dari sudut pandang regulasi dan moderasi beragama di Kota Cilegon. Penelitian menggunakan metode Kajian Pustaka. Pustaka yang dikaji adalah sumber-sumber tertulis, seperti buku, jurnal, regulasi dan dokumen lainnya. Hasil penelitian ini menunjukkan bahwa SK Bupati Serang Nomor 189/Huk/SK/1975 dijadikan landasan utama oleh masyarakat untuk menolak pendirian Gereja di Kota Cilegon telah kadaluwarsa karena tidak sesuai dengan perundangan yang berlandaskan terhadap prinsip dasar bernegara yang tertuang pada sila pertama dan sila kelima dasar Pancasila yang meneguhkan ketuhanan Yang Maha Esa dan keadilan sosial bagi seluruh masyarakat Indonesia. Selain itu, kasus penolakan pembangunan tempat ibadah di Kota Cilegon tidak bertentangan dengan nilai-nilai moderasi beragama khususnya pada indikator tasammuh.
A MATHEMATICAL MODELING ON THE ENVIRONMENTAL IMPACT BY TRAFFIC JAM: A CASE STUDY IN DHAKA, BANGLADESH
Authors: Islam Md. Sirajul , Md.Shahat Mia  , Mst. Shefali Khatun  , Md Safirul Islam
Published: June 2024

Traffic jams are a common incident in Bangladesh, particularly in major cities like Dhaka. Traffic jams not only cause significant delays and economic losses but also contribute to substantial environmental degradation. This study object to quantify the environmental impact of traffic jam in Bangladesh using mathematical modeling, a case study of Dhaka city is presented, focusing on air pollution and greenhouse gas emissions. The model analyzed by using stability theory of differential equations with equilibrium analysis by convincing stable or unstable equilibrium. Moreover, the analytical results are validated by numerical simulations for describing the complex behaviors of the model. Overall, the model represents an important tool for investigating environmental impact of traffic jam and this model can help inform policy decisions and promote more sustainable practices.
Introducing Inclusive Sports Programs in the Educational System of Schools
Authors: Nikšić Elvira , Ajla Bukva Ajla Bukva
Published: June 2024

This research aims to examine and determine the attitudes, i.e. the interest of teachers, physical and health education teachers, and parents for the introduction of inclusive sports programs in the educational system of schools that would be integrated and available to all students regardless of the abilities, opportunities, individuality of each child as and to difficulty. The research was conducted on a sample of N=426 respondents, of which there were N=370 parents, N=49 teachers, and N=7 physical and health education teachers. For the implementation of this research, a survey method was used through the application of questionnaires/attitude scales for teachers, physical and health education teachers, and parents. We processed the research results using descriptive statistics, frequencies, and percentages and presented them tabularly and graphically. The total number of students in the four elementary schools where the research was conducted is N=1082 students, of which there were N=16 students with developmental disabilities. Of these, 14 students work according to an individual plan and program (IPP), and 13 students have a teaching assistant. Out of a total of N=1082 students, 292 students with typical development attend one of the school sections, and 2 students with developmental difficulties. Parents, teachers, and teachers are in favor of introducing inclusive sports programs into the educational system of schools that would be integrated and accessible to all students, regardless of the abilities, opportunities, and individuality of each child, as well as the difficulty.
Effectiveness of Tactical Games Model Based on Teaching by Invitation for Enhance Learning Motivation and Physical Activity in Primary School Students
Authors: Nur Lutfi , Muslihin Heri Yusuf , Stephani Mesa Rahmi , Wibowo Ricky , Mustaqim Ridha , Sianturi Risbon , Annamayra Ajeng , Malik Arief Abdul , Nilan Fariha
Published: June 2024

The aim of this research was to examine the effectiveness of the Tactical Games learning model combined with the Teaching by Invitation technique in boosting both learning motivation and physical activity among elementary school students. This quasi-experimental study included three groups: the first group utilized the Tactical Games model integrated with the Teaching by Invitation technique, the second group applied solely the Tactical Games learning model, and the third group, serving as the control, followed the conventional learning model. Participants were fifth-grade students from three different schools in Tasikmalaya, Indonesia. To measure outcomes, three research instruments were employed: the Electronic Rubric for Motivation in Physical Education (eRMoPE) to assess learning motivation, the Polar GPS RC3, and the Polar Heart Rate Sensor H3 to evaluate the category of students' physical activity. Findings indicated that while all three approaches effectively enhanced learning motivation and physical activity, the combination of the Tactical Games model with the Teaching by Invitation technique yielded superior improvements. This integrative method grants students the autonomy to select skills they wish to learn and master, aligning with their abilities and understanding of game tactics adapted to specific game situations and environments. This freedom fosters a more engaging and personalized learning experience, ultimately enhancing both motivation and physical activity levels among students. The study highlights the potential benefits of blending tactical learning strategies with motivational techniques, suggesting a valuable approach for educators aiming to improve physical education outcomes in elementary schools
Impact from the Activity Physical It is Leisure in practitioners in Esports
Authors: Lourenço Carla Cristina Vieira , Erick Burhaein Erick Burhaein
Published: June 2024

The purpose of this work is to identify the contribution of Esports in promoting Physical Activity and Leisure. This is an exploratory and descriptive research conducted through The bibliographic analysis using The set of databases. The study was based on 551 articles, of which 14 were selected for the development of this work, with 6 of them being analyzed in detail. As a conclusion, it was observed that Esports play a significant role in promoting physical activity and leisure, providing numerous benefits for the health, well-being, and performance of its practitioners. From this research, we can find out the influence of esports on the promotion of physical activity, namely leisure, such as the following some positive impacts and negative impacts on the lives of practitioners. In the context of promoting physical activity and leisure, there are four areas where Esports can play a relevant role: new technologies, active electronic games, media, and the potential for physical activity to improve performance. Considering the indicators, it is essential to adopt strategies aligned with the activity physical, optimizing to the benefits in each one from them.
Cold Compression and Kinesio Taping to Accelerate Football Athletes' Injury Recovery
Authors: Hamzah Alimin , Berliana Berliana , Pitriani Pipit , Hasmyati Hasmyati
Published: June 2024

The likelihood of injury because of sports is normal, particularly in soccer sports that have the potential for body contact. One of the ongoing injury treatment is using Cold Compression and Kinesio Taping. The aim of this study was to decide the impact of the utilization of Cold Compression combined with Kinesio Taping on Achilles Ligament wounds and Patella wounds of football competitors. The research method used in this study is a quasi-experiment with the research design of The Non-Equivalent Control Group Design. In this study we use instruments VISA-A (Victorian Establishment of Game Evaluation Achilles), VISA-P (Patella) and ROM (Range of Motion) to quantify the degree of agony experienced by partisipants. Partisipants in this study were football athlete who suffered an injury adding up to 19 partisipants, going in age from 16 to 24 years. We used a purposive sampling approach used with several participant criteria and incidental sampling. There are two groups, namely the group given treatment in the form of Cold Compression combined with Kinesio Taping, there are 9 athletes in this group with details of 5 Achilles injured athletes and 4 Patella injured athletes. The second group was a control group of 10 athletes with details of 5 Achilles injured athletes and 5 Patella injured athletes. The study was conducted for 8 days with the distribution of 4 days Cold Compression treatment and 4 days Kinesio Taping treatment. The analysis requirements tests used are normality tests, homogeneity tests, and for hypothesis tests using paired sample t-tests (parametrics). The results showed a significant effect on the Cold Compression group combined with Kinesio Taping compared to the control group. For future researchers, it is recommended to examine using different methodologies and with different types of injuries.
RESEARCH OF PHASE COMPOSITION OF COMPOSITE BINDERS FOR HYDRAULIC CONCRETE
Authors:   East Siberia State University of Technology and Management, Ulan-Ude, Lkhasaranov S.A. , Urkhanova L.A. ,   East Siberia State University of Technology and Management, Ulan-Ude, Ivanov А.А. ,   East Siberia State University of Technology and Management, Ulan-Ude, Smirnyagina N.N. ,   East Siberia State University of Technology and Management, Ulan-Ude, Sergelen P. ,   Mongolian State University of Science and Technology, Ulaanbaatar
Published: June 2024

The article studies production of composite binders for hydraulic concrete. Vitreous perlite from the Mukhor-Tala deposit of the Republic of Buryatia was used as an active mineral additive for the composite cement binder. Pozzolanic activity of vitreous and crystallized perlites was determined. Assessment of physical and mechanical properties and phase composition of autoclave-cured lime-perlite binders were carried out for subsequent assessment and identification of the hydrate phases of the composite cement binder. An X-ray phase analysis of Portland cement and a composite binder with vitreous perlite with a specific surface area of 600 m2/kg was carried out. The study established that use of active mineral additive based on glassy perlite leads to increase in amount of low-basic calcium hydrosilicates in cement stone. Electron microscopic analysis of composite binders for concrete hydraulic structures was carried out.
Effectiveness of limited plasma exchange in Guillain-Barré syndrome
Authors: Ohnmar Ohnmar , Aung Yan Lynn , Aye Yin Minn , Aye Seinn Mya Mya , Thit Win Min
Published: June 2024

Objective: The aim of this study is to compare the efficacy of limited plasma exchange against supportive and standard treatments in treatment of Guillain-Barré syndrome (GBS).
Method: A total of 90 GBS patients admitted to Yangon General Hospital, Yangon, Myanmar were recruited over 1.5-year-period from January 2017 to June 2018 and they were divided into 3 groups according to the treatment they received (convenience sampling method): supportive (n=36), limited plasma exchange (LPE) (n=35) and standard (therapeutic plasma exchange - TPE or IVIg) (n=19)). Their clinical features, electrophysiological subtypes and severity were compared at baseline, and outcome (change in GBS disability score (GDS) at 30 days after entry) was assessed and compared.
Results: Baseline characteristics such as gender, GBS subtypes and respiratory involvement were comparable, but standard treatment group had older patients, and LPE group had shorter latency to nadir and more cases with antecedent diarrhea, which are poor outcome predictors. At 30 days from entry, mean GDS improvement was 0.9 + 0.6 in supportive, 1.4 + 0.6 in LPE and 1.2 + 0.8 in standard treatment groups respectively. The difference between LPE and supportive treatment was statistically significant (p 0.002) but there was no difference between LPE and standard treatment (p = 0.512). Regarding untoward effects, apart from one transient hypotension and 2 anemic cases, no other serious adverse effects were noted from LPE therapy.
Conclusion: LPE may be superior to supportive treatment and may not be inferior to standard treatment. Therefore, LPE may be an alternative effective treatment for GBS patients who are not accessible to standard treatments especially in low income countries with limited resources.
Impact of ‘web-based mindfulness based stress reduction combined with solution-focused intervention on dementia caregivers’ negative affect
Authors: Hu Min , Liu Ze-Yu , Xiong Juan , Lin Yan , Wang Qiu-Yan , Luo Ling , Wang Dan , Tu Ping
Published: June 2024

Objective: This study aims to explore the effects of web-based mindfulness-based stress reduction (MBSR) combined with focused solution mode on alleviating negative emotions in dementia caregivers.
Methods: Sixty dementia caregivers were randomly assigned to either a control group receiving conventional guidance or an intervention group receiving MBSR combined with focused solution mode in addition to conventional guidance. The intervention lasted for 8 weeks. Changes in depression-anxiety-stress scale 21 (DASS-21) and Zarit caregiver burden inventory (ZBI) scores were compared between the two groups before and after the intervention.
Results: After 8 weeks of intervention, caregivers in the intervention group showed significant decreases in depression, anxiety, stress, and total DASS-21 scores as well as total ZBI score (P<0.001), all of which were lower than those of the control group (P<0.001).
Conclusion: MBSR combined with focused solution mode can effectively improve negative emotions and reduce burden levels in dementia caregivers, and is worth promoting and applying in clinical settings.
A preliminary study evaluating the response to greater occipital nerve (GON) blockage therapy in patients with vestibular migraine
Authors: AK Ayşın Kısabay , SARITAS AYSEGUL SEYMA , INALKAC GEMICI YAGMUR , CAG EYLÜL CEREN , CELEBISOY NESE
Published: June 2024

We herein report the efficacy of greater occipital nerve (GON) blockage on headache and vertigo in patients with vestibular migraine (VM). VM is a clinical condition characterized by vestibular attacks associated with migrainous features. For the diagnosis, five episodes with vestibular symptoms of moderate or severe intensity, lasting 5 minutes to 72 hours are needed in an individual with a current or previous history of migraine.2 In addition, half of the vestibular symptoms require accompaniment of one or more migraine features, including migraine-like headache or photophobia, phonophobia, or visual aura. It has a prevalence of 2.7% in adults and is 1.5 to 5 times more common in women. GON blockage has been shown to be effective4 and superior to placebo5 in chronic migraine. Independently of medical treatment, GON blockage reduces the frequency, duration, and intensity of headache attacks, analgesic use, and improves patients’ quality of life.
Focal haemorrhage as atypical feature on MRI in progressive multifocal leukoencephalopathy
Authors: Lakshmi Priya  , Javali Mahendra , Acharya Purushottam , Rangaiah Pradeep
Published: June 2024

Progressive multifocal leukoencephalopathy (PML) is a severe progressive demyelinating disorder caused by the suppression of cell-mediated immunity and is diagnosed by typical imaging features on MRI and confirmed by the identification of the JC virus on CSF. We present a case of HIV positive adult male who presented with progressive hemiparesis and spastic dysarthria over 3 months duration, and MRI showed white matter T2 hyper, T1 isointense and peripherally diffusion restricting lesion in the right frontoparietal region with an additional focal haemorrhage within the lesion, which misled us away from considering PML. However, repeat imaging showed progression of the lesion and CSF analysis showed John Cunningham (JC) virus, confirming the diagnosis.
An unusual case of remitting and relapsing intraspinal epidural hamartoma with hemorrhage
Authors: Shalini Sharma  , Rana Patir  , Sunita Ahlawat  , Rakesh K Gupta
Published: June 2024

Spinal epidural hematoma is a rare disease and is most commonly idiopathic. Other common causes are vascular malformations, coagulopathy, hypertension, surgery, and trauma. Epidural vascular hamartoma associated with hemorrhage is a less known entity. We report an unusual case of epidural vascular hamartoma associated with hemorrhage resulting in back pain and neurological deficits. A distinctive feature of this case was waxing and waning signs and symptoms with evidence of radiological resolution of the lesion in the phase of remission.
A novel CSF1R missense mutation in a Chinese family with adult-onset leukoencephalopathy with axonal spheroids and pigmented glia: A case report
Authors: Liu Hongyang , Daowen Chen
Published: June 2024

Adult-onset leukoencephalopathy with axonal spheroids and pigmented glia (ALSP) is a rare autosomal dominant disorder caused by mutations in the colony-stimulating factor 1 receptor (CSF1R) gene. We report a case of a 41-year-old man with rapid decline in cognition within 7 months of onset. Magnetic resonance imaging showed periventricular confluent white matter changes and atrophy of the corpus callosum. Clinical exome sequencing showed a mutation (c.2390T>G) in exon 18 of the CSF1R gene. In conclusion, the differential diagnosis of adult-onset leukodystrophy is extensive. Neuroimaging and genetic analysis greatly aid in the differential diagnosis of leukoencephalopathy.
Comparison of clinic and demographic characteristics in vestibular migraine and migraine only patients
Authors: Kocaturk Idris , Atalay Fatma , Anbar Sezai Sacid
Published: June 2024

Background & Objective: The relationship between vertigo and migraine has been known for a long time. Many migraine patients are accompanied by vertigo. The term vestibular migraine (VM) is a clinical entity defined recently. Treatments for migraine only (MO) and VM patients differ partially. Therefore, it is essential to distinguish between these two clinical conditions. This study aims to reveal the clinical and demographic differences between MO and VM and determine the factors that will help diagnose and manage VM.
Method: A total of 80 patients, 40 diagnosed with MO according to ICHD-3 and 40 diagnosed with VM, who applied to the Neurology clinic of a tertiary hospital between January and July 2023, were included in this prospective study. The patients’ ages, genders, education levels, medical and family history, migraine duration, migraine onset age, migraine attack frequency, and medication use were recorded. All patients completed a battery of questionnaires, including the Migraine Disability Assessment (MIDAS), Headache Impact Test (HIT-6), Visual Analog Scale (VAS), World Health Organization Quality of Life-Bref (WHOQOL-BREF), Dizziness Handicap Inventory (DHI), Activities-Specific Balance Confidence Scale (ABCS), and Beck Depression Inventory (BDI).
Results: Patients with VM experienced significantly more sleep disturbances, depressive symptoms, movement disorders, imbalance, menstruation-related headaches, and aura compared to those with migraine MO. In contrast, MO patients reported more throbbing headaches and a better response to analgesics.
Conclusion: MO and VM patients have distinct clinical characteristics. Recognizing these basic differences has important clinical benefits, allowing for precise diagnosis and treatment of VM.
Effectiveness of manual therapy combined with dry needling in the treatment of cervicogenic headache: A systematic review and meta-analysis
Authors: Li Bei , Ran Ma  , Xia Peng , Zhang Tingting , Yang Meidi , He Jinbo , Yong Qin  , Ning Xiaoming
Published: June 2024

Background & Objective: Headache is a common symptom and disease. Cervicogenic headache (CH) is a common type of headache that can be effectively treated with both manual therapy (MT) and dry needling (DN). However, the results of MT plus DN (MDN) for CH remain controversial. We performed a meta-analysis to evaluate the efficacy of MDN for CH.
Methods: A systematic search from database inception to June 1, 2023 on clinical outcome of MDN and MT in the treatment of CH was conducted. Four databases were searched, including Pubmed (Medline), Web of Science, Embase, and Cochrane Library related randomized controlled trials (RCTs). Main outcomes included numeric pain rating scale (NPRS) in the post-treatment, the first month and the third month, extension and flexion in the post-treatment, headache frequency in the first month and the third month, neck disability index (NDI) in the first month and the third month.
Results: Three studies involving 263 patients out of 68 studies were conducted. The pooled data showed that there was significant differences in NPRS in the post-treatment, the first month and the third month, extension in the post-treatment, flexion in the post-treatment between MDN group and MT group, but there was no statistically significant difference in the headache frequency in the first month and the third month, NDI in the first month and the third month.
Conclusion: Current evidence suggests that MDN may be superior to MT in improving NPRS, extension, and flexion.
Clinical features and surgical outcomes in temporal lobe epilepsy with amygdala enlargement - a single tertiary center study
Authors: Yang Tuanfeng , Xia Qing , Xu Zongsheng , Niu Hongchuan , Lu Jia , Liu Xianzeng
Published: June 2024

Objective: To analyze and summarize clinical features and surgical outcomes in temporal lobe epilepsy with amygdala enlargement (TLE-AE) in a single tertiary center.
Methods: Patients with TLE-AE admitted to the Neurological Disease Center of Peking University International Hospital from January 2016 to September 2022 were continuously collected. The clinical data of TLE-AE patients were retrospectively analyzed.
Results: A total of 19 patients with TLE-AE were included. The average age at onset was (29.0 ± 14.5) years and all patients had focal impairment awareness seizure (FIAS). Ten (52.6%) patients were in line with drug-resistant epilepsy and 8 cases received surgical treatment. Focal temporal interictal epileptiform discharges on scalp electroencephalography were exclusively present ipsilateral to AE in 15 (78.9%) patients. Stereo-electroencephalography analysis found the ictal onset zone involved not only the enlarged amygdala but also the hippocampus in 2 patients. Two patients who responded well to antiseizure medication exhibited AE remission on follow-up MRI. Histopathology of the amygdala showed focal cortical dysplasia (FCD) in 7 patients and ganglioglioma in 1 patient. The 8 surgical patients were followed up for 13-79 months after operation. Six (75.0%) patients achieved Engel class Ia or I outcome, whereas 2 cases did not fully respond to the surgery (Engel class II).
Conclusions: Patients with TLE-AE had a later age of seizure onset and FIAS was common. The epileptogenic zone in TLE-AE patients may be located in the enlarged amygdala and ipsilateral hippocampus. AE might be a secondary seizure-induced change in a subset of patients with favorable responses to drugs. As for drug-resistant patients, FCD may be the most common pathological change and surgical treatment could be taken into consideration.
Predictive factors of hyponatremia in subarachnoid hemorrhage and outcomes
Authors: Chaovarin Chokchai , Keandoungchun Pungjai , Phinthusophon Ampai , Wangtanaphat Korrapak , Veerasarn Srikul
Published: June 2024

Background & Objective: The prevalence of hyponatremia in subarachnoid hemorrhage (SAH) was 30-55%. There was lack of evidence about predictive factors and clinical outcomes of hyponatremia in SAH patients. This study aimed to evaluate factors associated with hyponatremia following SAH and to review the clinical outcomes and treatment of hyponatremia in SAH patients.
Method: This is a retrospective cohort study. SAH patients presented during January 2013 to January 2019 were reviewed. They were divided into 2 groups: SAH with normonatremia and SAH with hyponatremia. Clinical data, laboratory profile, aneurysm characteristics and clinical outcomes were recorded and analyzed.
Result: A total number of 278 patients with SAH were included, 139 patients in each group. The populations were female 66% with mean age of 56 years old and mean serum sodium (Na) level 132 mmol/L. Aneurysm location associated with hyponatremia; anterior cerebral artery (ACA) (OR 4.2, 95%CI 1.4-13.0, p-value 0.009) and posterior cerebral artery (PCA) (OR 3.7, 95%CI 1.2-11.5, p-value 0.017). Aneurysms clipping procedure was also associated with hyponatremia (OR 4.0, 95%CI 1.8-8.8, p-value < 0.001).
Conclusion: ACA and PCA aneurysms and aneurysms clipping procedure were risk factors for hyponatremia following SAH. Mild hyponatremia was not associated with morbidity and mortality in SAH patients.
The effects of continuing care based on WeChat platform and MDT on outcomes and negative emotions in young and middle-aged patients with stroke sequelae
Authors: Ding Lili , Wu Lili , Pian Gaoyan , Wu Qiong , Zhai Yanping , Xue Lanping
Published: June 2024

Objective: This study aimed to investigate the effect of continuing care based on WeChat platform and MDT (multidisciplinary team) on outcomes and negative emotions in young and middle-aged patients with stroke sequelae.
Methods: A retrospective study was conducted on clinical data of 109 young patients with post-stroke sequelae in our hospital. Based on the nursing approach, the patients were divided into two groups. Group A received conventional continued care (including reinforcing health education upon discharge, providing relevant precautions after discharge, regular follow-up of patients, and others), while Group B received continued care based on the WeChat platform and multidisciplinary team (MDT) collaboration. A comparative analysis was performed on NHISS (National Institutes of Health Stroke Scale) scores, Barthel Index (activities of daily living), FMA (Fugl-Meyer Assessment of Motor Recovery after Stroke) scores, disease awareness and attitude scores, self- efficacy scores, self-care ability scores, SAS (Self-Rating Anxiety Scale) scores, SDS (Self-Rating Depression Scale) scores, quality of life scores, and social support levels before intervention and 6 months after interventions in both groups.
Results: Compared with Group A, Group B had lower NHISS scores (30.08 vs. 17.08) and higher Barthel Index (73.35 vs. 94.48) and FMA scores (68.06 vs. 90.08) (P<0.05); higher disease awareness scores (40.18±2.15 vs. 48.96±3.66) (P<0.05), higher self-efficacy scores (105.56 vs. 119.26) and self-care scores (98.18 vs. 110.06) (P<0.05), lower SAS scores (56.06 vs. 40.06) (P<0.05), higher quality of life (125.63±3.12 vs. 185.12±2.52) as well as higher nursing satisfaction scores (56.63±3.16 vs. 92.15±3.15) (P<0.05).
Conclusions: Continuing care based on the WeChat platform and MDT is beneficial to promote the recovery of neurological and physical functions, improve abilities of daily living, self-efficacy, self- care and quality of life in young and middle-aged patients with stroke sequelae, and relieve the impact of negative emotions on the recovery.
Technical aspects and outcomes of endovascular treatment for vertebrobasilar tandem occlusions as compared to isolated basilar artery occlusion
Authors: Dogan Baki , Ger Akarsu Fatma , Uysal Kocabaş Zehra , Aykaç Özlem , Özdemir Atilla Özcan
Published: June 2024

Background: The optimal treatment approach for posterior circulation tandem occlusion remains unclear. This study aimed to assess the efficacy and safety of treatment strategies for vertebrobasilar tandem occlusions as compared to isolated basilar artery occlusions. This study investigates the challenges of managing these complex cerebrovascular conditions and explores the feasibility of optimizing treatment approaches to improve patient outcomes and safety.
Methods: Fifty-nine patients with acute posterior large-vessel occlusion stroke who underwent mechanical thrombectomy between November 2016 and December 2022 were retrospectively analyzed. Patients were categorized as isolated or tandem basilar artery occlusion. The baseline patient characteristics, risk factors, time metrics, recanalization rates, and angiographic characteristics were compared between groups. The study analyzed various interventional strategies, including thrombectomy technique, additional angioplasty, the approach to lesion patterns (ipsilateral to steno-occlusive VA lesion: dirty road or contralateral: clean road), and the sequence of actions during the procedures. The outcome measures were a 90-day modified Rankin scale (mRS) of 4-6, post-thrombectomy recanalization defined as mTICI -2b, 90-day mortality.
Results: Out of the 59 patients, 39 (66%) had isolated basilar occlusion(i-BAO), while 20 (33%) presented with tandem occlusions (t-BAO). Patients with i-BAO and t-BAO had mean ages of 59.08±12.53 and 56.30±12.94 years, respectively. Both groups had a median NIHSS score of 22 upon admission. t-BAO group had longer times from symptom onset to hospital admission and recanalization times compared to i-BAO. (median 270 min versus 60min, p=0.015; 384 min versus 240 min, p=0.03). Successful recanalization (modified thrombolysis in cerebral infarction score ≥2b) was obtained in 13 (76.4%) versus 35 (89.7%) patients with t-BAO versus i-BAO, respectively. Thrombectomy performed aspiration with a distal access catheter (CA) was more common in the isolated basilar occlusion group (73.7% vs. 43.8%). In contrast, stent retrievers (SR) were more common in the tandem group (37.5% vs. 18.4). Access was achieved in 17 patients with tandem occlusion. The clean road approach was used in 58.8 % of cases, and the dirty road in 41.2%. t-BAO procedures involved a higher number of intraprocedural passes (median 2.5 vs. 1.5, p=0.047). Third-month mortality rate was significantly higher in the t-BAO group (66.7% vs. 38.5%, p=0.047). Multivariate logistic regression identified a number of passes ≥3 as an independent risk factor for poor clinical outcome at three months (OR=14; 95% CI, 2.596-77.208).
Conclusions: Endovascular intervention via mechanical thrombectomy has been demonstrated to be both safe and feasible as a treatment approach for patients presenting with tandem occlusions in the posterior circulation.
KÜLTÜREL DİPLOMASİ BAĞLAMINDA AFRİKA KÜLTÜR EVİ VE AFRİKA EL SANATLARI
Authors: Ersoy İnci Petek
Published: June 2024

Afrika, Asya’dan sonra yüzölçümü en büyük olan kıtadır. Toplamda 56 ülkenin olduğu bu kıta, uzun yıllar boyunca açlığın, sefaletin, çocuk ölümlerinin çokluğu ile gündem olmuş, bu nedenle zihinlerde hep bu temalarla kodlanmıştır. 25 Mayıs 2016 tarihinde Türkiye Cumhuriyeti Devleti Cumhurbaşkanı Recep Tayyip Erdoğan’ın eşi Emine Erdoğan öncülüğünde Ankara’nın tarihî mekânlarından biri olan Hamamönü’nde kurulan Afrika Kültür Evi, hem toplumdaki bu algıyı kırmak hem de Türk-Afrika kültürlerinin birbirleriyle olan iletişimini daha sağlam zeminlere oturtmak amacıyla kurulmuş 2022’de dernekleşerek kurumsallaşma yolunda önemli bir adımı daha geride bırakmıştır. Bu yazıda mekân olarak Afrika Kültür Evi’nin kültürel diplomasiye olan katkısı irdelenecek ve Emine Erdoğan’ın bir sosyal sorumluluk projesi kapsamında Afrika geleneksel el sanatlarına dernek aracılığıyla sunduğu katkı ve bunun kültürel diplomaside oynadığı role değinilecektir. Çalışmada nitel araştırma tekniklerinden biri olan etnografi kullanılmış; bu anlamda Afrika Kültür Evi’nden bir koordinatörle derinlemesine mülâkat gerçekleştirilmiş, gözlem yapılmış ve fotoğraflar çekilmiştir.
Development Online Training Media to Improve the Digital Marketing Competence of MSME Medan
Authors: Andrian Andrian , Siregar Efrizal , Ika Agustina  , Reniwati Lubis  , Khairil Anwar  , Murtopo  , Gunawan  , Herri Trisna Frianto
Published: June 2024

The development of online media training for digital marketing training for small and medium enterprises (SMEs) in Medan aims to increase understanding and skills in digital marketing strategies to improve competitiveness and business sustainability in the digital era. The advantages of online media training include ease of access, cost efficiency, and scalability that allows reaching more participants simultaneously. The implementation of online media training is expected to increase participants' knowledge and skills, improve the quality of SME products and services, and increase the effectiveness of digital marketing. The research findings show that online media training provides benefits in improving the competitiveness and business growth of SMEs in Medan. Recommendations include wider promotion, periodic evaluation, development of relevant content, and expert involvement to continue to enhance the positive contribution of online media training in improving SMEs' competencies in digital marketing.
Expert System for Diagnosing Gastric Disease Using the Forward Chaining Method
Authors: Andriani Tuti , Mentari Risca Sri , Situkkir Meiarni , Nasution Darmeli
Published: June 2024

Health is the most crucial aspect of life, as it signifies a state of well-being and vitality. Gastric diseases pose a significant health concern, often requiring prompt and accurate diagnosis for effective treatment. In this study, an expert system utilizing the forward chaining method is developed to aid in diagnosing gastric diseases. The system aims to streamline the diagnostic process, providing users with timely and reliable results to facilitate early intervention and management of stomach disorders. Through the integration of technology and medical expertise, this system offers a valuable tool in enhancing healthcare delivery and improving patient outcomes in the realm of gastric health. The research findings highlight the effectiveness of an expert system employing the forward chaining method in diagnosing gastric diseases. The system demonstrates the capability to efficiently identify and assess symptoms related to stomach disorders, offering users a reliable and accessible platform for obtaining accurate diagnostic results. By leveraging current knowledge base rules and user-provided symptom data, the system enhances the diagnostic process, potentially reducing both time and costs associated with diagnosing gastric diseases. This study underscores the significance of technological advancements in healthcare, particularly in the realm of gastric health, by providing a valuable tool for early detection and management of stomach disorders.
Robust Diabetic Retinopathy Detection and Grading using Neutrosophic Topological Vector Space on Fundus Imaging
Authors:   Department of Computer Science, College of Computer, Qassim University, Buraydah, Saudi Arabia, admin admin ,   Department of Computer Science, College of Computer, Qassim University, Buraydah, Saudi Arabia, Musa Abdalla I. Abdalla
Published: June 2024

Diabetic retinopathy (DR) is an eye disorder triggered by diabetes that might result in loss of sight. Earlier diagnosis of DR is critical since it might cause loss of sight. Manual diagnoses of DR severity by ophthalmologists are time-consuming and challenging. As a result, there has been considerable attention on designing an automatic technique for DR detection using fundus photographs. In medical science, prognosis and diagnosis are the most challenging tasks due to the presence of fuzziness in medical images and the restricted subjectivity of the experts. Neutrosophic Set (NS) in medical image analysis provides an understanding of the NS concepts, together with knowledge of how to collect, handle, interpret, and analyze clinical images using NS techniques. The neutrosophic set (NS), which is a generality of fuzzy set, provides the overcoming prospect of the restriction of fuzzy-based models for the analysis of medical images. This manuscript develops a Robust Diabetic Retinopathy Detection and Grading using Neutrosophic Topological Vector Space (DRDG-NSTVS) technique on fundus images. The DRDG-NSTVS technique begins with Median Filter (MF) noise removal to optimize the clarity of fundus photographs by successfully eliminating noises. Later, the InceptionV3 is used to perform feature extraction for identifying complicated features and patterns related to DR. The parameter tuning is performed by the moth flame optimization (MFO) technique to ensure superior performance of the model. The final diagnoses and classification of DR are accomplished utilizing the NSTVS classifiers that easily perform the uncertainties inherent in medicinal statistics. The simulation was conducted on a benchmark dataset to examine the proposed model performance. This combined method gives a greatly reliable and accurate solution for the earlier diagnosis and detection of DR
On The Topological Spaces of Neutrosophic Real Intervals
Authors:   Department of Mathematics, Faculty of Science and Information Technology, Jadara University, P.O. Box 733, Irbid 21110, Jordan, admin admin ,   Department of Mathematics, Faculty of Science and Information Technology, Jadara University, P.O. Box 733, Irbid 21110, Jordan, Hazaymeh Ayman
Published: June 2024

In this paper, we present the topological space of intervals based neutrosophic real numbers , where we clarify how neutrosophic real intervals can be expressed according to the neutrosophic partial order relation, and we use these intervals to build a topological space. On the other hand, we use a similar argument to build a topological space over the intervals of refined neutrosophic numbers, with many illustrated and related examples on open and closed sets.
Enhancing Skin Cancer Diagnosis using Cubic Pythagorean Fuzzy Hypersoft Set with Salp Swarm Algorithm
Authors:   Department of Information Technology, College of Computer, Qassim University, Buraydah, Saudi Arabia, Afef Afef ,   Unit of Scientific Research, Applied College, Qassim University, Buraydah, Saudi Arabia, Issaouı Imèneı
Published: June 2024

Due to the rapid increase in population density, medical sciences now face a major challenge in the automated detection of diseases. Intelligent system assists health personnel in earlier disease diagnosis and provides reliable treatment to reduce the fatality rates. Skin cancer is one of the most severe and deadliest kinds of cancer. A health professional uses dermoscopic images to manually diagnose skin tumors. This technique can be time-consuming and labor-intensive and needs a considerable level of expertise. The automatic recognition method is essential for the earlier diagnosis of skin tumors. In recent times, N-soft Set model has become widespread, which is a generalization of fuzzy set where all the elements have a membership value in the complement (0 to 1) and in the set (0 or 1). This study presents a Skin Cancer Diagnosis using Cubic Pythagorean Fuzzy Hypersoft Set (SCD-CPFHSS) technique. The presented SCD-CPFHSS technique performs identification of skin cancer using the application of NSs and metaheuristic algorithms. In the SCD-CPFHSS technique, neural architectural search network (NASNet) model derives feature extractors from the dermoscopic image. In addition, the efficacy of the NASNet model can be boosted by the design of salp swarm algorithm (SSA). For skin cancer recognition, the SCD-CPFHSS technique applies CPFHSS model. The experimental outcome of the SCD-CPFHSS methodology was validated using medical dataset. The extensive results pointed out that the SCD-CPFHSS technique reaches better results on skin cancer diagnosis
Integrating Q Neutrosophic Soft Relation with Deep Learning based Pepper Leaf Disease Recognition for Sustainable Agriculture in KSA
Authors:   Department of Information Technology, College of Computer, Qassim University, Buraydah, Saudi Arabia., Samah Samah ,   Department of Computer Science, Applied College, Prince Sattam bin Abdulaziz University, Kharj, Saudi Arabia,   Department of Computer and Self Development, Preparatory Year Deanship, Prince Sattam bin Abdulaziz University, AlKharj, Saudi Arabia,   Unit of Scientific Research, Applied College, Qassim University, Buraydah, Saudi Arabia, Zanin Samah Al , Alneil Amani A. , Issaou Imène
Published: June 2024

Sustainable agriculture is of utmost importance in Saudi Arabia to resolve problems like environmental degradation and water scarcity. The country has made considerable investments in modern agricultural systems such as vertical farming and hydroponics to maximize crop yields and water efficiency. The most direct manifestation of earlier crop growth problems is Pepper leaf disease. Rapid and accurate detection of pepper leaf disease is crucial to immediately detect growth issues and enable accurate control and preventive measures. The traditional method based on human experience and visual inspection to recognize pepper leaves is costly, subjective and laborious. Hence, it is essential to develop fast, convenient, and precise techniques for identifying pepper leaf disease. The Q-neutrosophic soft relation is a generalization that integrates the concepts of soft set and neutrosophic set, enabling for truth, indeterminacy, and false degree in the membership of element with respect to a relation in a soft computing framework. Therefore, this study introduces a new Q Neutrosophic Soft Relation with Deep Learning based Pepper Leaf Disease Recognition (QNSRDL-PLDR) technique for Sustainable Agriculture in KSA. The proposed QNSRDL-PLDR method leverages DenseNet for feature extraction, the model uses the Adam optimizer for effective parameter optimization. Unique to this framework is the combination of a Q-neutrosophic soft relation classifier, allowing nuanced classification considering truth, indeterminacy, and falsity degrees in disease presence assessment. A comprehensive set of simulations is conducted to demonstrate the better efficiency of the QNSRDL-PLDR technique. This technique aims to improve reliability and accuracy in detecting Pepper Leaf Diseases, critical for crop management and sustainable agricultural practices
SAVAŞÇI KAZAK (KOZAK) TOPLULUĞUNDA KÜLTÜREL KİMLİK, TOPLUMSAL STATÜ VE MÜZİK
Authors: Mirzayev Samir
Published: June 2024

Günümüzde Ukrayna’nın güneyi ve Rusya’nın batısında yaşayan Kazakların toplumsal kimliği konusuna dikkat ettiğimiz zaman, yüzyıllar süren bir zaman dilimi içinde bu insanların toplumsal statülerinin birkaç defa kökünden değiştiğini görüyoruz. Yüzyıllarla özgür Ortodoks savaşçılar gibi yaşayıp, etraftaki tüm İmparatorluklarla savaşan insan gruplarından, XVI yüzyılda Çarın sınır koruyucularına dönüşen Kazaklar, XIX yy. Rus İmparatorunun şahsi muhafızlığına kadar yükselmişlerdi. Lakin SSCB zamanı ideolojik sebeplerden bu topluluk baskılara maruz kaldığından Bolşeviklere karşı savaş açan Kazaklar yenildiler ve bir topluluk gibi lağvedildiler. Sovyetlerin çöküşünden sonra Kazaklar yeniden gündeme geldi ve eski geleneklerini canlandırmaya başladılar. Devlet tarafından bazen sembolik (örneğin, dini törenler zamanı asayişin korunması gibi) görevler de verilen bu insanların birçok gelenek ve sembolünün (at binme, kılıç oynatma, danslar, özel giyim-kuşamlar, bayraklar vb.) içinde şüphesiz Kazak kimliğinin günümüzdeki en önemli ve tanınan öğesi, onların müzikleridir. At binmek ve kılıç oynatmak günümüzde artık bir spora dönüşmüştür. Kazak taburları, arma, bayrak, simge ve kostümleri de devletin nizami ordusuna kıyasla bir maskeli balo gibi gözükmektedir. Yalnız coşkulu müzikleri sadece Kazak topluluğunun yaşamının her alanına nüfuz etmekle kalmayıp, bulunduğu bölge devletlerinin de milli değerlerine dönüşmüştür. Kazak koroları tüm dünyada tanınmaktadır. Araştırma Slav dilli kaynaklar kapsamında ve konuya hakim uzmanlar ile birebir görüşmeler üzerinden yürütülmüştür. Makalede Kazak topluluğunun tarihinin yanı sıra, topluluğun kültürel öğelerinin, özellikle müziğinin araştırılması amaçlanmış, onun form ve armonik yapısı, enstrümantal ve tematik detayları incelenmiştir.