bluuebunny/crossref_metadata_2025 huggingface dataset:
Disiplin Belajar Anak Berkebutuhan Khusus di SLB Panam Mulia Kecamatan Tampan Kota Pekanbaru
Authors: Monika Nada , Suhil Achmad Said , Ayub Daeng
Published: December 2022

Penelitian ini dilatarbelakangi oleh disiplin belajar pada anak berkebutuhan khusus, sehingga peneliti ingin meneliti dan merumuskan masalah yang diteliti yaitu bagaimana disiplin belajar anakberkebutuhan khusus di SLB Panam Mulia Kecamatan Tampan Kota Pekanbaru? Penelitian ini menggunakan pendekatan kualitatif dengan menggunakan metode deskriptif, dalam penelitian ini instrumennya adalah orang atau human instrument, yaitu peneliti itu sendiri.   Teknik pengumpulan data dalam penelitian ini menggunakan teknik observasi, wawancara dan dokumentasi. Berdasarkan hasil analisis data dan temuan penelitian tentang disiplin belajar anak berkebutuhan khusus di SLB Panam Mulia Kecamatan Tampan Kota Pekanbaru maka didapatkan hasil bahwa disiplin belajar anak berkebutuhan khusus di SLB Panam Mulia cukup baik, dan pola disiplin yang digunakan tampaknya adalah peraturan, serta disiplin yang digunakan bertipe demokratis, karena anak memerlukan bimbingan dan arahan oleh guru, serta perhatian dari orang tua.
Profil Gangguan Bahasa Bicara Anak dengan Hearing Impairment Usia 7 Tahun
Authors: Sari Yuli Afmi Ropita , Khalida Rahmi , Eddyul Ilham Akerda , Handayani Rifka Putri
Published: December 2022

Penelitian ini bertujuan untuk mengetahui gangguan bahasa bicara yang terjadi pada anak dengan hearing impairment usia 7 tahun. Metode penelitian ini adalah studi kasus (deskirptif kualitatif). Hasil dari penelitian ini adalah karakteristik gangguan bahasa bicara pada klien dengan hearing impairment adalah bahasa ekspresif dan reseptifnya mengalami masalah, gangguan artikulasi masih terdapatnya SODA (substitusi, omisi, distorsi, dan adisi pada setiap ucapannya), suara hipernasal, dan klien mengalami masalah pada pendengarannya (memakai alat bantu dengar). Pelaksanaan penelitian pada kasus ini dimulai dari wawancara dengan orangtua, observasi klien dan tes kemampuan bahasa dan bicara klien. Dari hasil penelitian ini sebagai acuan dalam pembutan program pada klien. Kesimpulan yang didaptkan klien mengalami masalah reseptif, eksperif, masalah pragmatic dan gangguan pada artikulasinya.
Pengembangan Media Smartbon untuk Meningkatkan Kemampuan Menyimak Anak Hambatan Intelektual Ringan
Authors: Zudeta Effran , Mumpuniarti Mumpuniarti
Published: December 2022

Penelitian ini bertujuan untuk menghasilkan media smartbon untuk meningkatkan kemampuan menyimak hambatan intelektual ringan yang layak dan efektif. Penelitian pengembangan ini mengacu pada model pengembangan ADDIE (analysis, design, development, implementation, & evaluation). Subjek penelitian adalah tiga disabilitas intelektual ringan. Kelayakan produk media divalidasi oleh ahli materi dan ahli media. Uji coba lapangan awal melibatkan 5 guru dan uji coba lapangan utama dengan 18 guru. Uji efektifitas dilakukan dengan mengukur perbedaan skor pre-test dan post-test. Analisis data dilakukan adalah deskriptif kuantitatif yang disajikan dalam bentuk grafik dan tabel. Hasil penelitian, (1) Menghasilkan media untuk mengoptimal kemampuan menyimak. Kelayakan media smartbon dari penilaian ahli materi berada pada kategori baik (3,98) dan penilaian ahli media berada pada kategori “sangat baik” (4,57), penilaian guru pada uji coba lapangan tahap awal pada kategori “baik” (3,97) dan uji coba lapangan utama berada pada kategori “sangat baik” (skor 4,28). (2) keefektifan dari perbedaan skor pre test dan post test ada peningkatan  44.23%.
Pengaruh Model Pembelajaran Numbered Head Together (NHT) Terhadap Kemampuan Komunkasi Matematis Siswa Kelas VIII MTs Amaliyah Sunggal
Authors: Br Sitepu Anisya , Samosir Katrina
Published: December 2022

Penelitian ini bertujuan untuk mengetahui pengaruh model pembelajaran kooperatif tipe Numbered Head Together (NHT) terhadap kemampuan komunikasi matematis siswa kelas VIII Mts Amaliyah Sunggal. Populasi dalam penelitian ini adalah seluruh kelas VIII Mts Amaliyah Sunggal yang terdiri dari 6 kelas dan jumlah keseluruhan siswa kelas VIII sebanyak 187 siswa. Sedangkan pengambilan sampel dalam penelitian ini adalah melalui Simple Random Sampling dimana setiap kelas memiliki kesempatan yang sama menjadi sampel penelitian. Sampel dalam penelitian iniadalah kelas VIII-A yang berjumlah 31 siswa. Sebagai instrumen penelitian digunakan data pretest dan postest dalam bentuk tes isian pada maeri relasi dan fungsi, dimana masing-masing soal berjumlah 3 soal dan telah divalidasi oleh dosen dan guru matematika. Peneliti menggunakan uji regresi linier sederhana. Pada uji normalitas diperoleh signifikansi 0,074 > 0,05 berarti data berdistribusi normal. Pada uji regresi dilakukan uji keberartian ddan uji linearitas. Hasil uji keberartian, didapatkan Fhitung (12,47) > Ftabel (4,18) maka disimpulan koefisien regresi berarti. Hasil uji linearitas didapatkan signifikansi Fhitung (1,81) < Ftabel (2,75) maka terdapat hubungan yang linear. Untuk uji hipotesis dengan menggunakan aplikasi SPSS, didapatkan signifikansi yaitu 0,001 < 0,05 dan pada pengujian dengan perhitungan maual didapatkan nilai rhitung (0,548) > rtabel (0,344) sehingga dapat disimpulkan bahwa terdapat pengaruh model Numbered Head Together (NHT) terhadap kemampuan komunikasi matematis siswa di Mts Amaliyah Sunggal.
The Development of Learning Media Oriented to Team Games Tournament Learning Model Using Canva and Kahoot! to Improve Student’s Problem Solving Ability in SMAN 10 Medan
Authors: Br. Siahaan Paula Putri Vansia , Nasution Hamidah
Published: December 2022

This study aims to determine (1) the process of developing learning media based on Canva and Kahoot, (2) learning media can be used for the learning process, and (3) improving the problem solving ability of students who are given mathematics learning with the topic of developed arithmetic series. The subjects in this study were students of class XI IPA -1 SMA NEGERI 10 MEDAN. Learning tools developed in the form of learning media using Canva and Kahoot!. Data analysis techniques in the development of learning tools used descriptive statistical analysis techniques. The results showed that: (1) the learning media development process involved five stages of development and then before being tested in the field, validation was obtained with the media assessment average score from the media expert team was 3.2 (valid) and material expert was 3.45 (valid). , based on the efficiency aspect based on the results of the student response questionnaire, the first trial obtained a score of 72% (positive) and the second trial was carried out with revisions and got a score of 85% (very positive), and based on the effectiveness of the learning tools developed on the problem solving abilities of students concluded on: student learning completeness after the use of media by 85%; (2) with the previous description the media can be used as a learning aid with revisions, and (3) the improvement of problem solving abilities can be seen from the n-Gain value of 0.5 which means it is in the medium category
Perbedaan Loneliness Dan Self-esteem Pada Laki-laki Dan Perempuan Dewasa Muda Pengguna Media Sosial
Authors: Fachrezy Muhammad , Cabacungan Mary Angelie S. , Kawuryan Fajar
Published: December 2022

The emergence of social media in the modern digital era has changed how individuals interact with one another, particularly how they communicate with those close to them. A wide range of application platforms has been created by developers to allow people to communicate with one another, particularly young adults, who make up the greatest segment of social media users. However, there is a connection between social media use and psychological well-being, which has been shown to increase loneliness and low self-esteem in people. This study employed a quantitative descriptive methodology to obtain thorough information on the differences in loneliness and self-esteem between young adult men and women who use social media.  The research sample was selected through purposive sampling. 100 men and 100 women between the ages of 18 and 29 made up the 200 subjects in this study. The degree of difference between loneliness and self-esteem was assessed using t-test. The findings indicated that young adult men and women who used social media experienced different levels of loneliness and self-esteem. Men had higher levels of loneliness and lower levels of self-esteem than women, as shown by the value of p = 0.000 (p  0.01), which shows that there is a very significant difference between the two.Kehadiran media sosial di era digital saat ini sudah merubah cara seseorang dalam bersosialisasi terutama cara mereka berkomunikasi dengan orang disekitarnya. Berbagai macam platform aplikasi diciptakan oleh para developer untuk memudahkan orang-orang terutama individu usia dewasa muda sebagai demografi pengguna media sosial tertinggi dalam berkomunikasi. Namun, penggunaan media sosial memiliki hubungan dengan kesejahteraan psikologis dan di asosiasikan dengan rendahnya self-esteem dan tingginya loneliness pada individu. Studi ini menggunakan metode kuantitatif-deskriptif untuk memperoleh data secara menyeluruh mengenai perbedaan loneliness dan self-esteem pada laki-laki dan perempuan usia dewasa muda yang menggunakan media sosial. Purposive sampling digunakan untuk memilih sampel penelitian. 200 subjek yang terdiri dari 100 laki-laki dan 100 perempuan berusia 18-29 tahun berpartisipasi dalam penelitian ini. analisis t-test dilakukan untuk mengetahui tingkat perbedaan loneliness dan self-esteem. Hasil penelitian menunjukkan bahwa ada perbedaan tingkat loneliness dan self-esteem pada laki-laki dan perempuan usia dewasa muda yang menggunakan media sosial. Hal ini ditunjukkan dengan nilai p = 0.000 (p 0.01) yang menunjukkan bahwa ada perbedaan loneliness dan self-esteem yang sangat signifikan diantara laki-laki dan perempuan dimana laki-laki memiliki tingkat loneliness yang lebih tinggi dan self-esteem yang lebih rendah dibandingkan dengan perempuan.
Una identidad posible
Authors: Gutiérrez Marisol
Published: December 2022

Se tiene un cuerpo, no se es un cuerpo, desde el origen el cuerpo está marcado por una división entre lo simbólico y el exceso de goce. En esa falla viene a alojarse el síntoma como invento de cada uno, en contraste con la pregnancia del discurso capitalista que concibe al cuerpo como una mera propiedad. El síntoma nos es presentado como única vía hacia una identidad posible sinthomal, que provee de una consistencia a distancia de la proliferación actual de identidades, marcadas por la suficiencia del uno mismo.
Sobre la transmisión de nociones analíticas: de la angustia a la invención
Authors: Levy Yeyati Elena
Published: December 2022

La autora retoma tres momentos en Lacan, para subrayar que la influencia de la conceptualización psicoanalítica se da en una dialéctica de alienación y de rechazo que puede, quizás, superarse en un tiempo de invención.
El indomable Schwarzer Teufel: breve comentario sobre el texto de Anna Freud
Authors: Arroyo Laura
Published: December 2022

En 1922 Anna Freud presentara ante la sociedad psicoanalítica de Viena su primer escrito “La relación entre fantasías de flagelación y sueño diurno”, el mismo fue presentado como el caso de una adolescente de 15 años, hoy gracias a su biografía se sabe que se trataba de ella misma. Este documento testimonia del análisis con Sigmund Freud, su padre.
Vegetation of Külső-Somogy in Hungary I : Regional diversity and pattern of woody habitats at landscape scale
Authors: Salamon-Albert Éva , Horváth Ferenc
Published: December 2022

In this study occurrence, proportion and landscape pattern of woodlands are analysed in KülsőSomogy based on MÉTA method at landscape scale. Relative importance of woody habitat types represent more than the half of the total number of habitats listed for Hungary in this region. Semi-natural woodlands have the relative greatest area, among them riverine swamp and mesic woodlands are dominating (J+K+P habitat types) in the central and western part of the region. Dry woody habitat types are in subordinated position in the central-northern and south-eastern parts (L habitat types), shrubs are concomitants or substituents of semi-natural habitat patches (P habitat types). In landscape elements which are poor in woodlands uncharacteristic woody habitats and dry woodland fringes (R and M habitat types) are significant. Regional land and forest management ought to have preserve actual condition of woodlands in Külső-Somogy.
Kétújfalu és Teklafalu környékének bogárfaunája (Coleoptera)
Authors: Sár József , Merkl Ottó
Published: December 2022

A list of 1595 species recorded from the area around Kétújfalu and Teklafalu (Baranya county, Hungary; 10* 10km UTM grid codes: YL09 and YL19) is given. Twenty-eight protected species (including 3 species of community interest listed in the Habitats Directive) were found. Information about some rare rare species is added. Conservation measures of the area are proposed. Two species of Staphylinidae, Cilea exilis (Boheman, 1858) and Myrmecocephalus concinnus (Erichson, 1840) are new to the fauna of Hungary.
Bicultural Identity and Social Support Seeking Processes: The Effects of Cultural Priming Among East Asian Americans
Authors: Yao Maggie , Wu Delancey C. , Collins Nancy L.
Published: December 2022

Research has discovered that those from individualistic cultures are more likely to seek social support and view it as effective when coping with stress compared to those from collectivistic cultures. However, many individuals have a bicultural background rooted in both individualistic and collectivistic values, which can enable them to adapt their support seeking behavior to different contexts, depending on which cultural values are salient. The present research evaluated the effects of identity priming on support seeking and support expectations among East Asian Americans. Participants (N = 146) recruited from undergraduate populations were randomly primed with either American (individualistic) or East Asian (collectivistic) cultural icons, followed by questionnaires evaluating their support seeking behaviors and perceptions of support for a current stressor. Generational status and cultural identification were assessed as potential moderators. Contrary to our hypothesis, cultural prime had no impact on support seeking behavior, but did affect perceptions of support. Participants primed with East Asian (vs. American) icons perceived significantly higher overall support (b = –0.42, β = –.21, p = .014) and family support (b = –0.49, β = –.18, p = .038). We also found that those who strongly identified with their American identity reported significantly higher overall perceived support (bsimple = –0.71, bsimple = –.73, p = .003, ΔR2 = .030) and friend support (bsimple = –0.72, bsimple = –.68, p = .005) when primed with East Asian (vs. American) icons. This study considers the within-group differences among East Asian Americans and expands understanding of the relationship between culture and social support.
Examining Relationships Between Transgender Prejudice, Gender Essentialism, and Defining and Categorizing Transgender People
Authors: Stargel Bec , Bell Angela C.
Published: December 2022

Some definitions and adoptions of the word “transgender” may be rooted in transgender prejudice and result in different conclusions about who is considered transgender. Transnormative definitions, fixed to the gender binary and medical transitions, could lead to categorical exclusions, whereas umbrella definitions, centered on people’s self-identification and often featuring a greater range of gender identities, could lead to broader inclusion. The present work explored whether the relationship between attitudes toward transgender people and transgender target categorization is associated with divergent definitions of the word transgender. We hypothesized that higher prejudice and gender essentialism would predict agreement with transnormative definitions that would then predict lower categorization of transgender targets. We also hypothesized that lower prejudice and gender essentialism would predict agreement with umbrella definitions that would then predict higher transgender categorization. Using a sample of MTurk Workers (N = 497), we tested these hypotheses with a parallel moderated-mediation analysis. Results support that gender essentialism moderated the relationship between prejudice and umbrella definitions, and umbrella definitions mediated the relationship between attitudes and categorization of transgender targets (index of moderated mediation = .46, BCa CI [.20, .76]). Transnormative definition agreement was not predicted by prejudice or gender essentialism, and did not mediate the relationship between these attitudes and categorization (index of moderated mediation = .00, BCa CI [–.06, .05]). These findings provide insight into the role of underlying attitudes on categorization, which has implications on transgender and gender-diverse people’s identity affirmation, social belonging, and healthcare access.
The Patterns of Children’s and Caregivers’ Gender-Typed Exhibit Choices in a Pop-Up Children’s Museum
Authors: Garcia Brandon , Aleman-Teweles Natassia , Dyer-Seymour Jennifer
Published: December 2022

A children’s museum is a place to explore and play. It allows children and caregivers to choose among a variety of exhibits. We were interested in visitors’ choices to play in exhibits that included activities typed for their gender. We observed 71 family groups for 15 minutes each and noted the extent to which children and caregivers chose exhibits typed for their gender. We found that, for the majority of the time during our observation, women, men, and boys chose exhibits that included activities not typed for their gender, whereas girls spent the majority of the time during our observation at exhibits that included activities typed for their gender. These findings suggest that museums may allow for a kind of freedom from certain expectations for children’s play.
Modyfikacje antroponimów jako chwyt marketingowy na fanpage’u Lidl Polska
Authors: Burska Katarzyna
Published: December 2022

The subject of the article is the deliberate transformation of anthroponyms in advertising messages as a conscious marketing activity. The aim of the work is to present the resource of anthroponyms (names, surnames or pseudonyms), which are the basis of language games, as well as to discuss the methods of modification and the relationship between the anthrop­onym and the entire advertising message. The research material comes from the Lidl Polska fanpage on Facebook. It has been shown that associations related to authentic characters and heroes of artistic works play an important role. The positive features of the designate are tried to be transferred to the advertised product, often indicating tangential elements in the promotional post. Formal similarity is also important during creating modifications.
Związki frazeologiczne i skrzydlate słowa pochodzące z filmowej trylogii Sylwestra Chęcińskiego (na wybranych przykładach)
Authors: Połowniak-Wawrzonek Dorota
Published: December 2022

In contemporary Polish, there are phraseologies and winged words that come from film, series, songs, the language of politics, advertising, popular TV and radio programs. S. Chęciński’s trilogy includes, among others, the following idioms and winged words: sami swoi; nie ma mocnych; dla zdrowotnosti a. dla zdrowotności; Podejdź do płota (jako i ja podchodzę); Sąd sądem, a sprawiedliwość musi być po naszej stronie; U mnie słowo droższe pieniędzy. In the texts, apart from the canonical forms of the relationships, there are also their modifications, cf. Sąd sądem, ale …; Sąd sądem, a sprawiedliwość musi być po Jarka stronie; Prawo prawem, ale sprawiedliwość musi być po naszej stronie; Sądy Sądami - ale sprawiedliwość musi być po naszej stronie; Sąd sądem, a sprawiedliwość PO naszej stronie musi być. Usually these are replacing, sometimes shortening or adding modifications. Innovation strengthens the invariant. Permanent verbal connections in canonical form, their modifications may in texts fulfill fatal, ludic, persuasive and informative functions.
TINJAUAN KESESUAIAN LONG STORAGE KALIMATI SEBAGAI SARANA PENYIMPANAN AIR DAN DESTINASI WISATA KECAMATAN TARIK - SIDOARJO
Authors: Wijaya Putri Aurellya Abdillah , Sudarti Sudarti
Published: December 2022

Kabupaten Sidoarjo merupakan wilayah yang berkembang pesat dalam bidang pembangunan. Pembangunan Waduk Long Storage Kalimati salah satu strategi pemerintah kabupaten Sidoarjo untuk menampung air yang selanjutnya akan dijadikan bahan baku PDAM. Waduk Long Storage Kalimati memiliki luas berkisar lima kilometer persegi yang dapat menampung air sekitar 1,5 juta kubik. Letaknya yang berada di dua tempat yaitu kabupaten Sidoarjo dan kabupaten Mojokerto. Pembangunan Waduk yang berlokasi di Desa Tarik, Kecamatan Tarik, Kabupaten Sidoarjo. Tujuan dari penelitian ini adalah mengetahui tingkat kesesuaian Long Storage Kalimati sebagai sarana penyimpanan air baku dan destinasi wisata lokal yang ada di kecamatan Tarik Kabupaten Sidoarjo. Penelitian ini menggunakan penelitian survey lokasi di Desa Tarik Kecamatan Tarik, Kabupaten Sidoarjo dan juga  studi literature dengan teknik pengumpulan data dengan cara mengumpulkan beberapa penelitian terdahulu yang topiknya berkaitan dengan tema artikel ini untuk menjawab kesesuaian Long Storage Kalimati sebagai tempat penyimpanan air baku dan destinasi wisata lokal. Penelitian terdahulu yang sudah terkumpul selanjutnya dikompilasi, dianalisis, dan disimpulkan. Sehingga, mendapatkan kesimpulan mengenai kesesuaian dari pemanfaatan Long Storage Kalimati. Kesimpulan dalam penelitian ini dapat diambil bahwa dari hasil analisis data kesesuaian Long Storage Kalimati sebagai penyimpanan air baku jika dihitung dapat menampung debit air rata-rata sebanyak 1.500 liter per detik sehingga kebutuhan terhadap penyediaan air untuk warga sekitar dapat terpenuhi. Tidak hanya dapat memenuhi kebutuhan air baku, Long Storage Kalimati sangat berpotensial dan sesuai untuk menjadi destinasi wisata lokal yang landskapnya ditata dengan menarik.  Kesesuaian lokasi olahraga seperti jogging track  memiliki kategori sangat sesuai ditambah dengan view pemandangan jajaran gunung.
WISATA MINAT KHUSUS “ECOSPORT” SEBAGAI WISATA ALTERNATIF DI DESA GOBLEG, BULELENG BALI
Authors: Nuriawan I Nengah Alit
Published: December 2022

This article aims to analyze the potential for special interest tourism in the waterfall area of ​​Gobleg Village, Buleleng, Bali to be developed as an alternative "ecosport" tourism. This study is a qualitative study whose data was collected by direct observation at the research site, then conducted interviews with the manager of the waterfall area and reviewed literature. The data that has been collected will be analyzed using a SWOT (strengths, weakness, opportunities and threats) analysis to find out that this ecosport special interest tourism potential is feasible to be developed in the waterfall tourism area in Gobleg Village. The results of the analysis show that the waterfall area in Gobleg Village has potential that can be developed more deeply, so that it can provide more benefits for managers and the economy of the community in the Gobleg Village waterfall tourist area. In addition, ecosport tourism is an alternative choice of tourist attractions and activities that can be offered to tourists, so that it will increase the selling value and interest of tourists in visiting and exploring this waterfall tourist area. This article is also expected to be able to provide a new contribution to the development of destinations that have potential that can be explored and developed further with a combination of activities packaged in one tourist activity.
Strategi Pengembangan Wisata Alternatif Mepantigan Yang Berkelanjutan
Authors: Wirawan Putu Eka , I Nyoman Gede Astina  , Komang Ratih Tunjungsari  , A. A. Ayu Arun Suwi Arianty  , I Gusti Made Sukaarnawa
Published: December 2022

Wisata alternatif merupakan solusi dalam mengatasi berbagai masalah yang timbul dari pengembangan wisata massa (mass tourism). Pola motivasi wisatawan sekarang pun sudah mulai bergeser dari wisata massal (mass tourism) ke wisata alternatif (alternative tourism). Salah satu wisata alternatif tersebut adalah budaya mepantigan yang merupakan sebuah kreasi seni dan budaya yang memadukan unsur-unsur seni bela diri, tarian, drama, gamelan, dan harmonisasi antara flora dan fauna di Pondok Mepantigan yang terletak di Desa Batubulan, Kecamatan Sukawati, Kabupaten Gianyar, Bali. Tujuan penelitian ini ingin menjawab pertanyaan: (1) Bagaimana strategi pengembangan wisata alternatif mepantigan yang berkelanjutan di Desa Batubulan, Kecamatan Sukawati, Kabupaten Gianyar, Provinsi Bali; dan (2) Siapa dan apa peran yang dimainkan pihak-pihak dalam membangun strategi pengembangkan wisata alternatif  mepantigan yang berkelanjutan tersebut. Penelitian ini merupakan penelitian deskriptif-kualitatif dengan metode pengumpulan data berupa wawancara, observasi, dokumentasi, dan kuesioner. Hasil penelitian menunjukkan bahwa pengembangan wisata alternatif mepantigan yang berkelanjutan memerlukan empat pihak yang memegang peran penting: Pertama, peran masyarakat, Kedua, peran pemerintah desa, peran swasta, dan Lembaga Swadaya Masyarakat (LSM). Selain itu, pilar pengembangan wisata alternatif mepantingan yang berkelanjutan meliputi: pengelolaan destinasi pariwisata berkelanjutan, pemanfaatan ekonomi untuk masyarakat lokal, pelestarian budaya bagi masyarakat dan pengunjung, dan pelestarian lingkungan.
Severe trauma patients requiring undelayable combined cranial and extracranial surgery: A scoping review of an emerging concept
Authors: Beucler Nathan , Sellier Aurore , Joubert Christophe , Lesquen Henri De , Schlienger Ghislain , Caubere Alexandre , Holay Quentin , Desse Nicolas , Esnault Pierre , Dagain Arnaud
Published: December 2022

Objectives:

Although patients suffering from severe traumatic brain injury (sTBI) and severe trauma patients (STP) have been extensively studied separately, there is scarce evidence concerning STP with concomitant sTBI. In particular, there are no guidelines regarding the emergency surgical management of patients presenting a concomitant life-threatening intracranial hematoma (ICH) and a life-threatening non-compressible extra-cranial hemorrhage (NCEH).

Materials and Methods:

A scoping review was conducted on Medline database from inception to September 2021.

Results:

The review yielded 138 articles among which 10 were retained in the quantitative analysis for a total of 2086 patients. Seven hundrer and eighty-seven patients presented concomitant sTBI and extra-cranial severe injuries. The mean age was 38.2 years-old and the male to female sex ratio was 2.8/1. Regarding the patients with concomitant cranial and extra-cranial injuries, the mean ISS was 32.1, and the mean AIS per organ were 4.0 for the head, 3.3 for the thorax, 2.9 for the abdomen and 2.7 for extremity. This review highlighted the following concepts: emergency peripheric osteosynthesis can be safely performed in patients with concomitant sTBI (grade C). Invasive intracranial pressure monitoring is mandatory during extra-cranial surgery in patients with sTBI (grade C). The outcome of STP with concomitant sTBI mainly depends on the seriousness of sTBI, independently from the presence of extra-cranial injuries (grade C). After exclusion of early-hospital mortality, the impact of extra-cranial injuries on mortality in patients with concomitant sTBI is uncertain (grade C). There are no recommendations regarding the combined surgical management of patients with concomitant ICH and NCEH (grade D).

Conclusion:

This review revealed the lack of evidence for the emergency surgical management of patients with concomitant ICH and NCEH. Hence, we introduce the concept of combined cranial and extra-cranial surgery. This damage-control surgical strategy aims to reduce the time spent with intracranial hypertension and to hasten the admission in the intensive care unit. Further studies are required to validate this concept in clinical practice.
Cervical disc arthroplasty (CDA)/total disc replacement (TDR) vs. anterior cervical diskectomy/fusion (ACDF): A review
Authors: Epstein Nancy E. , Agulnick Marc A.
Published: December 2022

Background:

We performed a focused review to determine the “non-inferiority”, potential superiority, and relative safety/efficacy for performing cervical disc arthroplasty (CDA)/total disc replacement (TDR) in carefully selected patients vs. anterior cervical diskectomy/fusion (ACDF). Notably, CDA/TDR were devised to preserve adjacent level range of motion (ROM), reduce the incidence of adjacent segment degeneration (ASD), and the need for secondary ASD surgery.

Methods:

We compared the incidence of ASD, reoperations for ASD, safety/efficacy, and outcomes for cervical CDA/TDR vs. ACDF. Indications, based upon the North American Spine Society (NASS) Coverage Policy Recommendations (Cervical Artificial Disc Replacement Revised 11/2015 and other studies) included the presence of radiculopathy or myelopathy/myeloradiculopathy at 1-2 levels between C3-C7 with/without neck pain. Contraindications for CDA/TDR procedures as quoted from the NASS Recommendations (i.e. cited above) included the presence of; “Infection…”, “Osteoporosis and Osteopenia”, “Instability…”, “Sensitivity or Allergy to Implant Materials”, “Severe Spondylosis…”, “Severe Facet Joint Arthropathy…”, “Ankylosing Spondylitis” (AS), “Rheumatoid Arthritis (RA), Previous Fracture…”, “Ossification of the Posterior Longitudinal Ligament (OPLL)”, and “Malignancy…”. Other sources also included spinal stenosis and scoliosis.

Results:

Cervical CDA/TDR studies in the appropriately selected patient population showed no inferiority/ occasionally superiority, reduced the incidence of ASD/need for secondary ASD surgery, and demonstrated comparable safety/efficacy vs. ACDF.

Conclusion:

Cervical CDA/TDR studies performed in appropriately selected patients showed a “lack of inferiority”, occasional superiority, a reduction in the incidence of ASD, and ASD reoperation rates, plus comparable safety/efficacy vs. ACDF.
Developmental delay in a patient with single cerebral varix
Authors: Tariq Quratulain , Ather Mishaal , Baig Ahmer Nasir , Bari Amman , Bari Ehsan
Published: December 2022

Background:

Cerebral varices are intracranial venous anomalies that are characterized as thin-walled vessels, with a single layer of endothelium lining it and a thin lamina or fibrous connective tissue surrounding it. These varices are usually associated with vascular abnormalities such as arteriovenous malformations or developmental venous anomalies, but may rarely be found as isolated lesions as well. Diagnosis of these isolated lesions on imaging is a challenge, because it is a rare entity and can mimic a space occupying lesion in the brain. The patients with isolated cerebral varix can present with neurological symptoms; however, majority are asymptomatic with the diagnosis made incidentally.

Case Description:

The aim of this study is to report a case of a 21-month-old boy who was diagnosed with an isolated cerebral varix and had presented with delayed milestones in addition to seizures. His MRI scans showed a solid-cum-cystic lesion with contrast enhancing walls that was excised through craniotomy. Postoperatively, he regained his milestones.

Conclusion:

The patients with isolated cerebral varix can present with neurological symptoms; however, majority are asymptomatic with the diagnosis made incidentally. These patients have a low risk of bleeding and are treated conservatively, with surgical intervention indicated only in symptomatic patients.
Children hydrocephalus in Togo: etiologies, treatment, and outcomes
Authors: Kpélao Essossinam , Ahanogbé Kodjo M. Hobli , Egu Komi , Doléagbénou Agbéko K , Moumouni Abd El Kader , Sossoukpe Senamé , Ségbédji Kossi K. , Bakondé H. EssoSolim , Lawson Dzidoula , Abaltou Bawoubadi , Abdoulaye Hima-Maïga , Békéti Katanga A.
Published: December 2022

Background:

Hydrocephalus is frequent in sub-Saharan African countries. The postinfectious hydrocephalus tends to decrease. The objective of this study was to identify the etiologies and outcomes of hydrocephalus.

Methods:

This was a retrospective study of hydrocephalus cases (0–15 years old) treated in the neurosurgery unit of the Sylvanus Olympio Hospital in Lomé over 10 years (2012–2021). At 1 year, the evolution distinguished in two categories: (1) Good psychomotor development: no delay in the acquisition of walking, language, and school. (2) Psychomotor delay: delay in the acquisition of walking, language, and school.

Results:

We reported 305 children treated for hydrocephalus representing 1.8% of all neurosurgery unit patients and 34.2% of pediatric pathologies. There was a male predominance (60.6%). We noted second degree consanguinity in 8.5%. The positive maternal serologies were HIV (12.4%), syphilis (8.2%), and toxoplasmosis (2.6%). A malaria episode had been treated during the first trimester in 36.7% of the mothers. The main clinical sign of hydrocephalus was 91.5% of Macrocephalus. Congenital Malformafions were the most common etiologies of hydrocephalus (68.5%). Ventriculoperitoneal shunt was the main surgical method used and 16 deaths were recorded. The medium-term evolution (1 year) was evaluated in 36.1% and noted 61.8% of psychomotor retardation.

Conclusion:

This study confirms the trend of the predominance of congenital causes of hydrocephalus in Africa, even if maternal infections can be involved in the development of some of them. The morbimortality of this pathology remains important, especially concerning neurocognitive outcomes.
Unusual presentation in syndrome of trephined – A unique case observation
Authors: Aziz Hafiza Fatima , Baqai Muhammad Waqas Saeed , Jooma Rashid
Published: December 2022

Background:

Syndrome of trephined (SoT) is a well-recognized complication of decompressive craniectomy (DC). The understanding of SoT has improved more recently with the increasing utilization of DC for severely raised intracranial pressure. It usually presents after a period of weeks or months with a cluster of adverse neurological symptoms, most commonly with worsening of motor strength.

Case Description:

An elderly gentleman with traumatic brain injury underwent DC. He later developed a sinking flap and unexplained agitation which responded to cranioplasty by returning to a state of calm. His cognitive function further improved over a period of 6 months. This is an unusual observation reported in this case.

Conclusion:

Timely recognition of the cognitive complications of craniectomy that may respond to early cranioplasty promises to decrease the length of hospital stay and enhance rehabilitation in such patients.
القدس ومسألة المساومة في المفاوضات الأيوبية الصليبية خلال الحملات الصليبية الخامسة والسادسة والسابعة
Authors: الأسطل محمد حيدر
Published: December 2022

هدفت الدراسة الى التعرف على القدس ومسالة المساومة في المفاوضات الأيوبية الصليبية خلال الحملات الصليبية الخامسة والسادسة والسابعة، حيث لعبت القدس دوراً محورياً ومركزياً في الصراع الاسلامي الصليبي خلال الحروب الصليبية وخصوصاً في العهد الأيوبي نظراً لأهميتها الدينية لدى المسلمين، ليس فقط عند الملوك والامراء بل ايضاً عند عامة الشعب لما تمثله من جانب عقائدي ديني، حيث كانت القدس محور الصراع خلال الحروب الصليبية في عهد صلاح الدين الأيوبي وبعد صلاح الدين الايوبي، فقد حارب صلاح الدين الصليبين وحرر بيت المقدس وحقق الكثير من الانتصارات الا انه بعد وفاة صلاح الدين الأيوبي تم تقسيم إرثه على أبنائه وإخوته, أدى ذلك الى ضعف الحال عما كان عليه أثناء حكمه خصوصاً المتعلقة بمدينة القدس, فكان ذلك له تأثير على مجريات الاحداث فيما بعد، حيث توصل الباحث الى النتائج التالية : 1. كانت القدس محور الصراع خلال الحروب الصليبية على المشرق الإسلامي في عهد صلاح الدين الأيوبي، وقد حارب الصليبين وحرر بيت المقدس وحقق الكثير من الانتصارات ورفض التخلي عن القدس. 2. فالرغم من تمسك المسلمين بالقدس، ورفض المسلمين الاحتلال الصليبية؛ لما تحمله القدس من أهمية كبيرة لدى العقيدة الإسلامية، إلا أن المصلحة الشخصية، والخوف على كرسي السلطة كان سبب في المساومة على القدس في الحملات الصليبية الخامسة والسادسة والسابعة. 3. ساوم بعض حكام الأيوبيين للتنازل والمساومة على القدس في مفاوضاتهم مع الجانب الصليبي، وظهر ذلك في تنازل الكامل عن القدس للصليبين، من خلال اتفاقية يافا، وهذا دليل صارخ على عدم التمسك بالقدس؛ للحفاظ على كرسي السلطة في مصر في حينه.
القانون الدولي لحقوق الإنسان والإعلانات الإسلامية لحقوق الإنسان: دراسة مقارنة
Authors: بن دهيش هشام عبدالملك
Published: December 2022

إن هذه المقالة ستشرح الآلية التي يمكن من خلالها التأكيد على أن لغة حقوق الإنسان متوافقة مع الشريعة الإسلامية، حيث تهدف هذه المقالة إلى التأكيد على أن لغة حقوق الإنسان متوافقة مع الشريعة الإسلامية في حال تم استخدامها لتطبيق المبادئ والقيم الإسلامية. بمعنى آخر، على الرغم من أن الشريعة الإسلامية تستخدم لغة أو طريقة الواجبات لتوصيل مبادئها الأخلاقية، بيد أن لغة الحقوق لا تتعارض معها بشكل مطلق. وبحسب الشريعة الإسلامية، ليس هناك إلزام باستخدام لغة الواجبات، إذ إن المهم هو تطبيق أحكام الشريعة الإسلامية، سواء من خلال لغة الحقوق أو الواجبات. ويستنتج البحث أن حقوق الإنسان يمكن أن تتوافق مع الإسلام بشرط أن تكون نقطة انطلاق تأسيسها هي الدين نفسه وليس الفرد. وفي سبيل الوصول إلى هذه النتائج، يتبع هذا البحث المنهج التحليلي المقارن، حيث يقوم البحث بتحليل النصوص القانونية ذات الصلة بموضوع البحث في القانونين محل الدراسة.
تقييم جودة الخدمات الصحية باستخدام مقياس pubHosqual 2021-2022 بغداد – مشفى اليرموك التعليمي
Authors: رشيد ميسون عبدالكريم محمد
Published: December 2022

هدف البحث إلى التعرف على مستوى جودة الخدمات الصحية في مشفى اليرموك التعليمي ورضا المرضى الراقدين عنها. ولهذا الغرض تم استخدام مقياس ( pubHosqual) الذي بدأ تطبيقه لاول مرة في المشافي الهندية ثم شاع استخدامه في دول عديدة . يتكون هذا المقياس من سبعة أبعاد وتتضمن (20) عبارة لقياس الجودة فضلا عن (15) أخرى لقياس رضا المرضى.تم استخدام معادلة (Hobkins) لتحديد حجم العينة والتي بلغت (171) فردا. البرنامج الإحصائي للعلوم الاجتماعية (spss) استخدم لتحليل البيانات الاولية للوصول إلى النتائج التي اشارت الى وجود مستوى متوسط من الجودة للخدمات الصحية التي يقدمها المشفى وكذلك مستوى متوسط لرضا المرضى وفي نهاية البحث أوصى الباحثان بضرورة الدعم المالي للمشافي العامة والقيام بالتدريب السلوكي للعاملين من اطباء وممرضين وإداريين لتعزيز دورهم المعنوي في معالجة المرضى.
دور الخدمة الاجتماعية للحد من المشكلات الأسرية للمتأخرين دراسياً: مُراجعة نظرية
Authors: الشهري حنان ظاهر علي
Published: December 2022

ركزت هذه الدراسة على التعرف بالدور المهني للخدمة الاجتماعية للحد من المشكلات الأسرية للمتأخرين دراسياً والذي يمثل هدفاً رئيسياً للبحث، وانبثقت منه عدة أهداف فرعية تمثلت في: التعرف على مشكلة التأخر الدراسي (مفهومها وأسبابها وأساليب علاجها) والتعرف على المشكلات الأسرية للمتأخرين دراسياً، ومعرفة أثر تلك المشكلات على حياة الأبناء، بالإضافة إلى معرفة دور الخدمة الاجتماعية المدرسية، وتحديد دور الأخصائي الاجتماعي المدرسي في مواجهة مشكلة التأخر الدراسي. في مراجعة نظرية باستخدام المنهج الوصفي الذي يُمثل البحث المكتبي المُعتمد على البيانات والمعلومات المنشورة أحد أنواعه، وذلك بالرجوع إلى المصادر العربية والأجنبية العلمية المتاحة. وبناءً على المعلومات التي جُمعت فقد تلخصت أهم النتائج في أن : المجال المدرسي يعتبر مجالاً أساسياً من مجالات ممارسة الخدمة الاجتماعية ، وأن أسباب التأخر الدراسي عند الطلبة ترجع إما إلى أسباب بيئية أو ذاتية ، وتشكل العوامل الأسرية والاجتماعية أكثر العوامل شيوعاً في حدوث مشكلة التأخر الدراسي ، كما أن المشكلات الأسرية قد تؤثر بصورة مباشرة أو غير مباشرة حياة على الأبناء ، ومن الممكن معالجة التأخر الدراسي إما بالعلاج الطبي أو النفسي أو التربوي أو الاجتماعي ، كما أن الأدوار والمسئوليات التي يقوم بها الأخصائي الاجتماعي المدرسي تتعدد وتتنوع . وتوصلت الدراسة الحالية لعدة توصيات منها: تقوية دور الأخصائيين الاجتماعيين داخل المدرسة وتمكينهم تمكيناً شاملاً، عقد شراكة بين المدارس ومراكز الاستشارات الأسرية لضمان إيجاد الحلول بشكل سريع، عقد فصول افتراضية عبر شبكة الأنترنت لمن يعانين من أمراض مزمنة ويصعب عليهم الانتظام في الحضور بسبب حالتهم الصحية.
وثيقة وصية شرعية من العصر المملوكي (26 رمضان 784هـ / 10 كانون الأول 1382م)
Authors: جازع مبارك عشوي
Published: December 2022

يتناول هذا البحث موضوعاً في دراسة إحدى الوثائق المملوكية المتعلقة بالوصايا الشرعية، الأمر الذي أبرز أهمية الوصية الشرعية للناس في تلك الفترة، كما بينت عدة جوانب لطبيعة حياة الناس في مدينة نابلس، وهذا يندر ذكره في كتب التاريخ، لتصبح الوثائق رافداً مهمًا نستقي من خلاله المعلومات التي غابت في تلك المصادر الرئيسية، وكذلك المراجع. وقد اعتمدت الدراسة على المنهج التحليلي، بعد أن جمعت معلومات الوصية الشرعية، وكذلك المعلومات المرتبطة بالدراسة من خلال المصادر والمراجع التاريخية، ليتم تحليلها ودراستها. وتوصلت الدراسة لجملة من النتائج المهمة، وهي: شيوع كتابة الوصايا الشرعية في العصر المملوكي، وقد دل ذلك على حسن أخلاق الموصي، وأمانته في ذكر الديون، وهو من سكان مدينة نابلس، ومن النتائج المميزة ذكر معلومات نادرة حول طبيعة حياة أهل نابلس من عدة جوانب مختلفة، كالدينية والأخلاقية، والاقتصادية، والاجتماعية، والعمرانية، وأخيراً، فإن خط الكاتب كان منسقاً، وجاءت العبارات متتالية، من دون فواصل، وهو أسلوب اعتاد عليه الكُتاب في جميع الوثائق المملوكية، منعاً للتزوير والاحتيال. وقد أوصيت بضرورة الاعتناء بدراسة وتوفير الوثائق التاريخية أمام الباحثين ممن يهتمون بدراستها؛ من أجل تبيان الحقائق التاريخية جيداً، وكذلك تذليل كافة الصعوبات أمامهم.
Breaking bonds and breaking rules: [(iPr3P)Ni]5H4 as the key intermediate in cooperative C-H activation and carbon atom abstraction from alkenes and catalytic stereospecific dimerization of norbornene
Authors: Liu Junyang , Shoshani Manar , Sum Kethya , Johnson Samuel
Published: December 2022

The facile carbon atom abstraction reaction by [(iPr3P)Ni]5H6 (1) with various terminal alkenes to give [(iPr3P)Ni]5H4(μ5-C) (2) occurs via a common highly reactive intermediate [(iPr3P)Ni]5H4 (3), which was isolated by the reaction of 1 with norbornene. Temperature dependent 1H and 31P{1H} NMR chemical shifts of 3 are consistent with a thermally populated triplet excited state only 2 kcal·mol–1 higher energy than the diamagnetic ground state. Complex 3 catalyzes the dimerization of norbornene to stereoselectively provide exclusively (Z) anti-(bis-2,2'-norbornylidene).
Iridium(III) Polypyridine Artificial Metalloenzymes with Tunable Photophysical Properties: a New Platform for Visible Light Photocatalysis in Aqueous Solution
Authors: Liu Bringqing , Zubi Yasmine S. , Lewis Jared C.
Published: December 2022

Visible light absorbing iridium(III) complexes have been widely employed as photocatalysts in organic synthesis. Their catalytic reactivity and selectivity are generally optimized by modifying the structures of coordinated ligands to obtain desired photophysical properties. Artificial metalloenzymes (ArMs) can combine the unique features of both metal complexes and enzymes by incorporating a cofactor within a protein scaffold, which offers another strategy to improve the performance of metal catalysts. Herein, we describe a panel of Ir(III)-ArMs constructed by covalently embedding iridium(III) polypyridyl complexes into a prolyl oligopeptidase scaffold. A series of spectroscopic methods were used to examine how properties of the resulting ArMs are influenced by structural variation of the cyclometalated ligands and the protein scaffold. Visible light photocatalysis by these hybrid catalysts was also examined, leading to the finding that they catalyze inter/intra-molecular [2+2] photocycloaddition in aqueous solution and indicating that they can serve as new bio-photocatalysts for further exploration.
DeepWEST: Deep learning of kinetic models with the Weighted Ensemble Simulation Toolkit for enhanced sampling
Authors: Ojha Anupam , Thakur Saumya , Ahn Surl-Hee , Amaro Rommie
Published: December 2022

Recent advances in computational power and algorithms have made molecular dynamics (MD) simulations reach greater timescales. However, for observing conformational transitions associated with biomolecular processes, MD simulations still have limitations. Several enhanced sampling techniques seek to address this challenge, including the weighted ensemble (WE) method, which samples transition between metastable states using many weighted trajectories to estimate kinetic rate constants. However, initial sampling of the potential energy surface has a significant impact on the performance of WE, i.e., convergence and efficiency. We thereby introduce deep-learned kinetic modeling approaches that extract statistically relevant information from short MD trajectories to provide a well-sampled initial state distribution for WE simulation. This hybrid approach overcomes any statistical bias to the system as it runs short unbiased MD trajectories and identifies meaningful metastable states of the system. It is shown to provide a more refined free energy landscape closer to steady-state that could efficiently sample kinetic properties such as rate constants.
Remdesivir therapy for COVID-19
Authors: S Shankar P
Published: December 2022

None
Analysis of Granulomatous inflammatory lesions diagnosed on Cytology
Authors: K Rajashree , P Shashikala
Published: December 2022

Introduction and aim of the study Fine needle aspiration cytology FNAC plays as an important tool for diagnosing disease process. Granulomatous inflammatory lesions are common cytological findings which can be easily diagnosed. Proper diagnosis avoids unnecessary surgical intervention. The aim of the study is to describe demographic data regarding granulomatous lesions diagnosed by cytology.Materials and methodsData was retrieved from cytology records of Department of Pathology over a period of two years. Information regarding age gender site of the lesion was collected tabulated and analyzed.Results Granulomatous inflammatory lesions diagnosed on FNAC were 43. Majority 67 of cases were seen in females with MF ratio of 12.1. Many cases 55.8 concentrated between 21-40 years. Cervical lymph nodes were the most commonly involved.Conclusion From the study it was found that females were affected commonly. Granulomatous lesions affected 3rd and 4th decades more commonly. The most common organ involved was cervical group of lymph nodes.
Heredity and Creativity: Mother-Child Sample
Authors: SARIKAYA Ayşegül , ALPTEKİN Ayşe
Published: December 2022

The aim of this study is to examine the creativity relationship between children aged 8-10 and their mothers. With this relationship between mother and child, it is aimed to provide information to the literature on creativity and transfer.290 children, 155 girls and 145 boys, and their mothers participated in the study. Torrence Creativity Test Verbal and Formal Form was used to measure the creativity of children and mothers. Tests were administered to children and mothers separately. Data were evaluated by correlation and regression analysis. As a result of the evaluations, a significant correlation was found with the creativity total scores of the mothers and the creativity total score of the children, the abstractness of the titles and the originality sub-dimensions. It was determined that maternal creativity total score predicted child creativity total score, abstractness of child titles and child originality sub-dimensions positively and significantly. A significant correlation was found between mothers' figurative creativity, abstractness of titles sub-dimension scores and children's figural creativity originality sub-dimension scores. A positive and significant correlation was determined between the mothers' figural fluency sub-dimension scores and the abstractness of children's titles, child fluency, child originality and child figural creativity total scores. It was observed that the formal fluency sub-dimension scores of the mothers positively predicted the total scores of the children's formal creativity. No significant correlation was found between the verbal creativity total score and sub-dimension scores of the mothers and the verbal creativity total and sub-dimension scores of the children.