bluuebunny/crossref_metadata_2025 huggingface dataset:
Cellular allograft for multilevel stand-alone anterior cervical discectomy and fusion
Authors: Gibson Alec W. , Feroze Abdullah H. , Greil Madeline E. , McGrath Margaret E. , Sivakanthan Sananthan , White-Dzuro Gabrielle A. , Williams John R. , Young Christopher C. , Hofstetter Christoph P.
Published: July 2021

OBJECTIVE

Anterior cervical discectomy and fusion (ACDF) is the most common treatment for degenerative disease of the cervical spine. Given the high rate of pseudarthrosis in multilevel stand-alone ACDF, there is a need to explore the utility of novel grafting materials. In this study, the authors present a single-institution retrospective study of patients with multilevel degenerative spine disease who underwent multilevel stand-alone ACDF surgery with or without cellular allograft supplementation.

METHODS

In a prospectively collected database, 28 patients who underwent multilevel ACDF supplemented with cellular allograft (ViviGen) and 25 patients who underwent multilevel ACDF with decellularized allograft between 2014 and 2020 were identified. The primary outcome was radiographic fusion determined by a 1-year follow-up CT scan. Secondary outcomes included change in Neck Disability Index (NDI) scores and change in visual analog scale scores for neck and arm pain.

RESULTS

The study included 53 patients with a mean age of 53 ± 0.7 years who underwent multilevel stand-alone ACDF encompassing 2.6 ± 0.7 levels on average. Patient demographics were similar between the two cohorts. In the cellular allograft cohort, 2 patients experienced postoperative dysphagia that resolved by the 3-month follow-up. One patient developed cervical radiculopathy due to graft subsidence and required a posterior foraminotomy. At the 1-year CT, successful fusion was achieved in 92.9% (26/28) of patients who underwent ACDF supplemented with cellular allograft, compared with 84.0% (21/25) of patients who underwent ACDF without cellular allograft. The cellular allograft cohort experienced a significantly greater improvement in the mean postoperative NDI score (p < 0.05) compared with the other cohort.

CONCLUSIONS

Cellular allograft is a low-morbidity bone allograft option for ACDF. In this study, the authors determined favorable arthrodesis rates and functional outcomes in a complex patient cohort following multilevel stand-alone ACDF supplemented with cellular allograft.
Osteoporosis treatment in patients undergoing spinal fusion: a systematic review and meta-analysis
Authors: Govindarajan Vaidya , Diaz Anthony , Perez-Roman Roberto J. , Burks S. Shelby , Wang Michael Y. , Levi Allan D.
Published: July 2021

OBJECTIVE

Bisphosphonates and teriparatide are the most common therapies used in the treatment of osteoporosis. Their impact on fusion rates in osteoporotic patients following spinal fusion has yet to be concretely defined, with previous systematic reviews focusing heavily on bisphosphonates and lacking clinical insight on the utility of teriparatide. Herein the authors present an updated meta-analysis of the utility of both bisphosphonates and teriparatide in improving spinal fusion outcomes in osteoporotic patients.

METHODS

After a comprehensive search of the English-language literature in the PubMed and Embase databases, 11 clinical studies were included in the final qualitative and quantitative analyses. Of these studies, 9 investigated bisphosphonates, 7 investigated teriparatide, and 1 investigated a combination of teriparatide and denosumab. Odds ratios and 95% confidence intervals were calculated where appropriate.

RESULTS

A meta-analysis of the postoperative use of bisphosphonate demonstrated better odds of successful fusion as compared to that in controls during short-term monitoring (OR 3.33, 95% CI 1.72–6.42, p = 0.0003) but not long-term monitoring (p > 0.05). Bisphosphonate use was also shown to significantly reduce the likelihood of postoperative vertebral compression fracture (VCF; OR 0.07, 95% CI 0.01–0.59, p = 0.01) and significantly reduce Oswestry Disability Index scores (mean difference [MD] = −2.19, 95% CI −2.94 to −1.44, p < 0.00001) and visual analog scale pain scores (MD = −0.58, 95% CI −0.79 to −0.38, p < 0.00001). Teriparatide was found to significantly increase fusion rates at long-term postoperative periods as compared to rates after bisphosphonate therapy, with patients who received postoperative teriparatide therapy 2.05 times more likely to experience successful fusion (OR 2.05, 95% CI 1.17–3.59, p = 0.01).

CONCLUSIONS

The authors demonstrate the benefits of bisphosphonate and teriparatide therapy independently in accelerating fusion during the first 6 months after spinal fusion surgery in osteoporotic patients. In addition, they show that teriparatide may have superior benefits in spinal fusion during long-term monitoring as compared to those with bisphosphonates. Bisphosphonates may be better suited in preventing VCFs postoperatively in addition to minimizing postoperative disability and pain.
Mechanical thrombectomy in acute ischemic stroke with tandem occlusions: impact of extracranial carotid lesion etiology on endovascular management and outcome
Authors: Da Ros Valerio , Scaggiante Jacopo , Pitocchi Francesca , Sallustio Fabrizio , Lattanzi Simona , Umana Giuseppe Emmanuele , Chaurasia Bipin , Bandettini di Poggio Monica , Toscano Gianpaolo , Rolla Bigliani Claudia , Ruggiero Maria , Haznedari Nicolò , Sgreccia Alessandro , Sanfilippo Giuseppina , Diomedi Marina , Finocchi Cinzia , Floris Roberto
Published: July 2021

OBJECTIVE

Different etiologies of extracranial internal carotid artery steno-occlusive lesions (ECLs) in patients with acute ischemic stroke (AIS) and tandem occlusion (TO) have been pooled together in randomized trials. However, carotid atherosclerosis (CA) and carotid dissection (CD), the two most common ECL etiologies, are distinct nosological entities. The authors aimed to determine if ECL etiology has impacts on the endovascular management and outcome of patients with TO.

METHODS

A multicenter, retrospective study of prospectively collected data was conducted. AIS patients were included who had TO due to internal CA or CD and ipsilateral M1 middle cerebral artery occlusion and underwent endovascular treatment (EVT). Comparative analyses including demographic data, safety, successful recanalization rates, and clinical outcome were performed according to EVT and ECL etiology.

RESULTS

In total, 214 AIS patients with TOs were included (77.6% CA related, 22.4% CD related). Patients treated with a retrograde approach were more often functionally independent at 3 months than patients treated with an antegrade approach (OR 0.6, 95% CI 0.4–0.9). Patients with CD-related TOs achieved 90-day clinical independence more often than patients with CA-related TOs (OR 1.4, 95% CI 1.1–2.0). Emergency stenting use was associated with good 3-month clinical outcome only in patients with CA-related TOs (OR 1.4, 95% CI 1.1–2.1). Symptomatic intracranial hemorrhage (sICH) occurred in 10.7% of patients, without differences associated with ECL etiology.

CONCLUSIONS

ECL etiology impacts both EVT approach and clinical outcome in patients with TOs. Patients with CD-related TO achieved higher 3-month functional independence rates than patients with CA-related TOs. A retrograde approach can be desirable for both CA- and CD-related TOs, and emergency stenting is likely better justified in CA-related TOs.
Comparison of effectiveness and outcomes among different thrombectomy techniques in acute basilar artery occlusion: a dual-center experience
Authors: Monteiro Andre , Cortez Gustavo M. , Waqas Muhammad , Rai Hamid H. , Baig Ammad A. , Dossani Rimal H. , Cappuzzo Justin M. , Almayman Faisal , Aghaebrahim Amin , Davies Jason M. , Sauvageau Eric , Snyder Kenneth V. , Hanel Ricardo A. , Levy Elad I. , Siddiqui Adnan H.
Published: July 2021

OBJECTIVE

Acute basilar artery occlusion (BAO) is a rare large-vessel occlusion associated with high morbidity and mortality. Modern thrombectomy with stent retrievers and large-bore aspiration catheters is highly effective in achieving recanalization, but a direct comparison of different techniques for acute BAO has not been performed. Therefore, the authors sought to compare the technical effectiveness and clinical outcomes of stent retriever–assisted aspiration (SRA), aspiration alone (AA), and a stent retriever with or without manual aspiration (SR) for treatment of patients presenting with acute BAO and to evaluate predictors of clinical outcome in their cohort.

METHODS

A retrospective analysis of databases of large-vessel occlusion treated with endovascular intervention at two US endovascular neurosurgery centers was conducted. Patients ≥ 18 years of age with acute BAO treated between January 2013 and December 2020 with stent retrievers or large-bore aspiration catheters were included in the study. Demographic information, procedural details, angiographic results, and clinical outcomes were extracted for analysis.

RESULTS

Eighty-three patients (median age 67 years [IQR 58–76 years]) were included in the study; 33 patients (39.8%) were female. The median admission National Institutes of Health Stroke Scale (NIHSS) score was 16 (IQR 10–21). Intravenous alteplase was administered to 26 patients (31.3%). The median time from symptom onset to groin or wrist puncture was 256 minutes (IQR 157.5–363.0 minutes). Overall, successful recanalization was achieved in 74 patients (89.2%). The SRA technique had a significantly higher rate of modified first-pass effect (mFPE; 55% vs 31.8%, p = 0.032) but not true first-pass effect (FPE; 45% vs 34.9%, p = 0.346) than non-SRA techniques. Good outcome (modified Rankin Scale [mRS] score 0–2) was not significantly different among the three techniques. Poor outcome (mRS score 3–6) was associated with a higher median admission NIHSS score (12.5 vs 19, p = 0.007), a higher rate of adjunctive therapy usage (9% vs 0%, p < 0.001), and a higher rate of intraprocedural complications (10.7% vs 14.5%, p = 0.006). The admission NIHSS score significantly predicted good outcome (OR 0.98, 95% CI 0.97–0.099; p = 0.032). Incomplete recanalization after thrombectomy significantly predicted mortality (OR 1.68, 95% CI 1.18–2.39; p = 0.005).

CONCLUSIONS

The evaluated techniques resulted in high recanalization rates. The SRA technique was associated with a higher rate of mFPE than AA and SR, but the clinical outcomes were similar. A lower admission NIHSS score predicted a better prognosis for patients, whereas incomplete recanalization after thrombectomy predicted mortality.
Access-site complications in ultrasound-guided endovascular thrombectomy: a single-institution retrospective cohort study
Authors: Brenna Connor T. A. , Ku Jerry C. , Pasarikovski Christopher R. , Priola Stefano M. , Dyer Erin E. , Howard Peter , Kumar Ashish , da Costa Leodante , Yang Victor X. D.
Published: July 2021

OBJECTIVE

Mechanical endovascular thrombectomy (EVT) is an increasingly relied-on treatment for clot retrieval in the context of ischemic strokes, which otherwise are associated with significant morbidity and mortality. Despite several known risks associated with this procedure, there is a high degree of technical heterogeneity across both centers and operators. The most common procedural complications occur at the point of transfemoral access (the common femoral artery), and include access-site hematomas, dissections, and pseudoaneurysms. Other interventional fields have previously popularized the use of ultrasound to enhance the anatomical localization of structures relevant to vascular access and thereby reducing access-site complications. In this study, the authors aimed to describe the ultrasound-guided EVT technique performed at a large, quaternary neurovascular referral center, and to characterize the effects of ultrasound guidance on access-site complications.

METHODS

A retrospective chart review of all patients treated with EVT at a single center between January 2013 and August 2020 was performed. Patients in this cohort were treated using a universal, unique, ultrasound-guided, single-wall puncture technique, which bears several theoretical advantages over the standard technique of arterial puncture via palpation.

RESULTS

There were 479 patients treated with EVT within the study period. Twenty patients in the cohort were identified as having experienced some form of access-site complication. Eight (1.67%) of these patients experienced minor access-site complications, all of which were groin hematomas and none of which were clinically significant, as defined by requiring surgical or interventional management or transfusion. The remaining 12 patients experienced arterial dissection (n = 5), arterial pseudoaneurysm (n = 4), retroperitoneal hematoma (n = 2), or arterial occlusion (n = 1), with only 1.04% (5/479) requiring surgical or interventional management or transfusion.

CONCLUSIONS

The authors found an overall reduction in total access-site complications as well as minor access-site complications in the study cohort compared with previously published randomized controlled trials and observational studies in the recent literature. The findings suggested that there may be a role for routine use of ultrasound-guided puncture techniques in EVT to decrease rates of complications.
EKSPLORASI KESIAPAN DOSEN DAN MAHASISWA MENJALANI PEMBELAJARAN JARAK JAUH DI MASA PANDEMI COVID-19
Authors: Saragih Susanti , Markus Teddy , Rhian Peter , Setiawan Santy
Published: July 2021

The COVID-19 pandemic has changed the learning process from face-to-face to online learning. Therefore, universities are forced to prepare their learning management system’s infrastructure quickly. Students and lecturers’ readiness for e-learning are also crucial. This study aims to investigate lecturers and students’ readiness for online learning during this pandemic. Furthermore, lecturers and students’perception about the constraints and advantages of online learning were also explored in this study. Respondents in this study were 1036 students and 354 lecturers from various universities in Indonesia. Students’ readiness for online learning was measured by the Online Learning Readiness Survey/OLRS and the results showed that students in this study were ready because they had a high score of self-efficacy in technology and high learning motivation during the pandemic. Meanwhile, lecturers' readiness was measured by Teacher Readiness for Online Learning Measurement/TROLM and we found that lecturers were ready because they had a high score in communicating via computer and in self-directed learning to continue utilizing the technology. These results contribute to research related in online learning during the pandemic and provide important implications for University’s management in dealing with changes in education.AbstrakPandemic COVID-19 telah mengubah proses belajar dari tatap muka menjadi belajar secara daring (pembelajaran jarak jauh/PJJ). Oleh karena itu perguruan tinggi diminta untuk mempersiapkan infrastruktur pembelajaran jarak jauh secara cepat. Kesiapan mahasiswa dan dosen dalam menjalankan PJJ pun menjadi sangat penting. Penelitian ini bertujuan untuk menggali kesiapan dosen dan mahasiswa menjalani PJJ selama masa pandemi. Selanjutnya, peneliti juga memetakan persepsi dosen dan mahasiswa tentang kendala dan keuntungan dalam pembelajaran secara daring. Responden penelitian ini adalah 1036 mahasiswa dan 354 dosen dari berbagai perguruan tinggi di Indonesia. Kesiapan mahasiswa mengikuti PJJ diukur dengan menggunakan Online Learning Readiness Survey/OLRS. Hasilnya adalah bahwa mahasiswa/i dalam studi ini siap menjalankan PJJ. Alasannya adalah dikarenakan mereka memiliki efikasi diri yang tinggi menggunakan teknologi dan motivasi belajar yang tetap baik di masa pandemi. Sementara itu kesiapan dosen mengajar diukur dengan menggunakan Teacher Readiness for Online Learning Measurement/TROLM. Ditemukan bahwa dosen-dosen siap menjalankan PJJ. Alasannya dikarenakan mereka memiliki efikasi diri yang tinggi berkomunikasi melalui komputer dan memiliki self-directed learning yang juga tinggi untuk terus belajar menggunakan teknologi. Di samping berkontribusi terhadap penelitian terkait PJJ di masa pandemi, hasil penelitian ini juga memberikan implikasi penting bagi pengelola perguruan tinggi dalam menghadapi perubahan pendidikan di masa yang akan datang.
BLENDED LEARNING FOR VOCATIONAL HIGH SCHOOL STUDENTS
Authors: Lalian Oktovianus Nau , Siregar Eveline , Winarsih Murni
Published: July 2021

The aimed of this study was to develop a blended learning for vocational students of light vehicle power expertise program in the learning process as a learning strategy to overcome the problem of lack of face-to-face time in class. The procedure for developing blended learning used was PEDATI model (learning, deepening, applying, measuring) as design instructional for blended learning. Data collection techniques used were observation, interview, and questionnaires. Data analysis techniques used was descriptive qualitative. The development of blended learning through the PEDATI model will be very effective for the achievement of learning objectives optimally and efficiency in learning time in class. AbstrakTujuan penelitian ini adalah mengembangkan blended learning bagi siswa SMK program keahlian tenaga kendaraan ringan dalam proses pembelajaran sebagai suatu strategi pembelajaran untuk mengatasi masalah kekurangan waktu tatap muka di kelas. Prosedur pengembangan blended learning dengan model PEDATI (Pelajari, Dalami, Terapkan, dan Evaluasi) sebagai model desain pembelajaran blended learning. Teknik pengumpulan data melalui observasi, wawancara, dan kuesioner. Teknik analisis data yang digunakan adalah deskriptif kualitatif. Pengembangan blended learning dengan prosedur PEDATI  akan sangat efektif untuk pencapaian tujuan pembelajaran secara optimal dan efisiensi waktu pembelajaran di kelas.
PENERAPAN MODEL PEMBELAJARAN SELF ORGANIZING LEARNING ENVIRONMENT (SOLE) TERHADAP KEMAMPUAN LITERASI GURU PAUD
Authors: Asmawati Luluk , Hidayat Sholeh , Atikah Cucu
Published: July 2021

This study aims to verify the effect of the SOLE learning model on the literacy skills of Early Childhood Education Teachers in Banten Province. This research is quantitative research with a quasi-experimental type. The subjects of this study were Early Childhood Education Teachers Teachers in Banten Province. The research data collection technique was in the form of a test instrument. The data validity used content and construct validity. The data analysis technique used variance analysis. The results showed that there was an effect of the SOLE learning model on the literacy skills of Early Childhood Education Teachers teachers in Banten Province. The descriptive analysis of teacher activity shows that the experimental class (SOLE learning model) is better than the control class (conventional model). The conclusion of this study is that the SOLE learning model has an effect on improving the literacy skills of Early Childhood Education Teachers teachers.AbstrakPenelitian ini bertujuan untuk menguji pengaruh model pembelajaran SOLE terhadap kemampuan literasi guru PAUD di Provinsi Banten. Penelitian ini merupakan penelitian kuantitatif dengan jenis kuasi eksperimen. Subjek penelitian ini yaitu guru PAUD di Provinsi Banten. Teknik pengumpulan data penelitian ini berupa instrument tes. Validitas data menggunakan validitas isi dan konstruk. Teknik analisis data menggunakan analisis variansi. Hasil penelitian menunjukkan bahwa ada pengaruh model pembelajaran SOLE terhadap kemampuan literasi guru PAUD di Provinsi Banten. Analisis aktivitas guru secara deskriptif memperlihatkan bahwa kelas eksperimen (model pembelajaran SOLE) lebih baik daripada kelas control (model konvensional). Simpulan penelitian ini yaitu model pembelajaran SOLE berpengaruh meningkatkan kemampuan literasi guru PAUD.
Hubungan Self Control dengan Perilaku Agresif Siswa
Authors: Juita Ratna , Ferdiansyah Muhammad , Ramadhani Erfan
Published: July 2021

Berdasarkan hasil pengamatan dilapangan terdapat siswa yang menantang guru untuk berkelahi saat pulang sekolah, hal tersebut dikarenakan siswa yang tidak terima dengan hukuman yang diberikan guru karena melanggar tatatertib sekolah, siswa SMP yag bunuh diri karena dibully, terdapatnya pelajar yang tewas dalam tawuran antar pelajar serta siswa yang berteriak kencang sambil mengucapkan kata-kata kurang sopan karena kalah main game. Tujuan penelitian ini untuk mengetahui apakah terdapat hubungan antara self control dan perilaku agresif. Populasi dari penelitian ini adalah siswa kelas X IPA dengan jumlah keseluruhan sebanyak 80 orang. Metode peneltian yang digunakan dalam penelitian ini adalah kuantitatif korelasional. TeknikÂ  pengumpulan data menggunakan angket variabel X (Self Control) dan variabel Y (Perilaku Agresif). Dengan teknikÂ  analisis data menggunakan rumus korelasi Product Moment. Hasil penelitian ini menunjukkan bahwa ada hubungan antara self control dengan perilaku agresif,Â  hipotesis diterima adalah Ha dan Ho ditolakÂ  dengan nilai rhitung=0.652 lebih besar dari rtabel=0.220 Maka dari itu guru Bimbingan dan Konseling bisa memberikan layanan BK sebagai strategi untuk mengurangi perilaku agresif pada siswa. Diantaranya layanan informasi, layanan penguasaan konten, dan konseling kelompok
Kecanduan Gadget pada Siswa Kelas XI di SMK Negeri 1 Lahat
Authors: Prizki Teresya Bella Dwi , Sari Syska Purnama
Published: July 2021

Penelitian ini dilatarbelakangi dengan ditemukannya di sekolah banyaknya siswa yang membawa handphone kesekolah. Bermain game, tiktok, membuka instagram bahkan siswa tidak fokus belajar karena sambil memainkan handphone pada saat proses pembelajaran berlangsung. Penelitian ini bertujuan untuk mengetahui seberapa besar persentase gambaran kecanduan gadget pada siswa. Penelitian ini menggunkan metode deskriptif kuantitatif. Menggunakan google form dengan membagikan link angket kepada siswa, sampel penelitian ini berjumlah 30 siswa kelas XI di SMK Negeri 1 Lahat yang di ambil dengan teknik purposive sampling. Teknik pengumpulan data berupa angket Kecanduan gadget dengan uji validitas 3,61 menggunakan korelasi product moment dan realiabilitas menggunakan rumus alpha cronbach. Hasil dari penelitian ini menunjukkan bahwa kecanduan gadget pada siswa kelas XI di SMK Negeri 1 Lahat berada pada kategori Tinggi 56,66% kategori Sedang 23,33% kategori Rendah 16,66% Sangat Rendah 3,33% dan tidak ada yang beradah pada kategori Sangat Tinggi. Berdasarkan data di atas maka rata-rata kecanduan gadget pada siswa kelas XI di SMK Negeri 1 Lahat berada pada kategori Tinggi sehingga diharapkan bisa menjadi acuhan untuk guru bimbingan dan konseling berperan aktif terhadap prestasi belajar peserta didik, senantiasa meningkatkan pengetahuan, keterampilan, kompetensinya dalam mengatasi berbagai permasalah di sekolah dan memberikan layanan bimbingan dan konseling di sekolah.
Usaha Guru Bimbingan dan Konseling Memperbaiki Cara Belajar Melalui Analisis Prilaku Belajar Siswa di SMP PGRI 9 Palembang
Authors: Gumara Andrean , Surtiyoni Endang
Published: July 2021

Permasalahan dalam penelitian ini adalah siswa yang memiliki prilaku belajar kurang efektif, mengapa demikian saya berbicara seperti itu yang saya lihat dilapangan siswa disana belajar hanya terpaku dengan ucapan guru didepan tanpa merespon atau sebagaimana mestinya. Oleh karna itu diperlukan layanan khusus yaitu pemberian layanan oleh guru bimbingan dan konseling agar permasalahan siswa dapat teratasi.Tujuan dari penelitian ini adalah untuk mengetahui bagaimana bentuk keberhasilan guru bimbingan dan konseling dalam memperbaiki cara belajar siswa dan menganalisi prilaku belajar siswa di SMP PGRI 9 Palembang, untuk mengatasi permasalahan ini maka guru bimbingan dan konseling memberikan layanan bimbingan belajar dengan teknik diskusi untuk membantu siswa mengatasi permasalahan yang ada disekolahan. Metode yang dilakukan dalam penelitian ini adalah penelitian deskriptif kualitatif. Dimana peneliti melakukan informasi atau data yang berkaitan dengan masalah yang diteliti kemudian peneliti menarik kesimpulan informasi dari data yang diteliti. Metode deskriptif dianggap sesuai dengan peneliti ini, karena peneliti menganalisis prilaku belajar siswa di SMP PGRI 9 Palembang.Dapat disimpulkan terdapat perbedaan yang cukup signifikan dan hasil perubahan prilaku siswa yang memperoleh bimbingan dari guru bimbingan dan konseling dengan siswa yang tidak memperoleh bimbingan di SMP PGRI 9 PalembangKata kunci : Layanan Bimbingan Belajar, Cara Belajar Siswa
Kecemasan Menjelang Acara Pertandingan Taekwondo (Studi Pada Atlet Taekwondo Universitas PGRI Palembang)
Authors: Hapiani Lora
Published: July 2021

Penelitian ini bertujuan untuk mengetahui dan memperoleh data mengenai tingkat kecemasan menjelang acara pertandingan taekwondo. Jenis penelitian ini adalah deskriptif kuantitatif dengan menggunakan rumusÂ  persentase Populasi yang di gunakan di dalam penelitian ini adalah seluruh atlet taekwondo Universitas PGRI Palembang yang berjumlah 30 orang tersebut di tetapkan sebagai sampel. Pengumpulan data dalam penelitian ini menggunakan angket dengan skala likert.Hasil analis data menunjukan bahwa tingkat kecemasan menjelang acara pertandingan taekwondo ialah sebesar 93,3%Â  pada kategori tinggi. Capaian standar deviasi berada pada nilai (14,44) sangat tinggi, kemudian aspek emosional (24,8%) dan kognitif pada kategori tinggi persentase (29,63%), aspek fisiologis berada pada kategori Â sangat tinggi dengan persentase (15,7%), dengan tingkat capaian masing-masing responden dapat di interprestasikan dalam kategori sangat tinggi dengan hasil persentase (67,82%). Maka pada tingkat kecemasan menjelang acara pertandingan taekwondo (studi pada atlet Univesitas PGRI Palembang) berada pada kategori tinggi. Sehingga dapat dijadikan sebagai acuan untuk memberikan teknik secara mandiri dalam mengurangi tingkat kecemasannya pada mahasiswa atlet Universitas PGRI Palembang
Efektivitas Konseling Realitas untuk Meningkatkan Motivasi Belajar Literatur Review
Authors: Hakim Bilqis Rahmanda , Muhid Abdul , Mastutik Sri
Published: July 2021

Â Motivasi belajar siswa merupakan hal yang sangat diperlukan sehingga siswa mudah dalamÂ  menangkap infomasi atau pelajaran yang diberikan oleh pengajar atau guru. Motivasi merupakan respon dari suatu aksi, motivasi akan terangsang dengan adanya tujuan. Terdapat banyak pendekatan yang bisa dilakukan untuk meningkatkan motivasi belajar, salah satunya adalah pendekatan realitas. Pendekatan realitas sendiri bertujuan untuk membantu individu menjadi rasional dan memiliki mental yang kuat. Riset ini bertujuan untuk mengetahui efektivitas konseling dengan pendekatan realitas untuk meningkatkan motivasi belajar. Riset ini merupakan literatur review atau riset literature dimana peneliti mengkaji beberapa penelitian yang sudah dilakukan sebelumnya yang sesuai dengan tema penelitian kali ini.
Penyesuaian Diri Siswa â€œARâ€ dalam Belajar di Jurusan Perhotelan Terkait Kompetensi Soft Skills (Studi Kasus pada Siswa SMK Pembina 1 Palembang)
Authors: Anastasya Venty , Darmawani Evia , Sari Syska Purnama
Published: July 2021

Masalah dalam penelitian ini adalah Perilaku belajar siswa â€œARâ€ terhadap Soft Skills terkait karakteristik jurusan perhotelan. Penelitian ini bertujuan untuk mengetahui pemahaman siswa â€œARâ€ terhadap Soft Skills terkait dengan karakteristik jurusan, mengetahui apa alasan siswa â€œARâ€ tetap belajar di jurusan perhotelan, dan faktor apa saja yang menjadi Â penyebab â€œARâ€ kesulitan memperoleh kesempatan magang diluar sekolah. Jenis penelitian yaitu penelitian pendekatan kualitatif dengan teknik studi kasus. Teknik pengumpulan data melakukan observasi dan wawancara. Untuk dapat menjamin keabsahan data, menggunakan teknik Triangulasi. Data dianalisis mengacu pada konsep model Miles dan Hubarman dengan tiga langkah (1) Reduksi Data, (2) Penyajian Data, (3) Penarikan Kesimpulan. Hasil temuan penelitian ini menunjukan bahwa soft skills siswa â€œARâ€ dalam belajar di jurusan perhotelan terkait kompetensi soft skills yaitu subyek belum memahami karakteristik jurusan perhotelan, interaksi sosial (pendiam, sering terlihat gugup dan tidak percaya diri dalam mengungkapkan pendapat ataupun menyampaikan informasi didepan teman-temannya), dikarenakan kurangnya keterampilan dalam berkomunikasi). Siswa harus memahami secara tepat tentang karakteristik pemilihan jurusan, kerja sama Guru BK dalam peminatan menjadi lebih penting. Skills dapat membantu dan mempermudah siswa perhotelan dalam bekerja sama dengan orang lain, misalnya Comunication Skills atau keterampilan dalam berkomunikasi.
Aspects of the industrial manufacture of concentrates for haemodialysis
Authors: Філіпська А. М. , Власенко І. О. , Гудзь Н. І.
Published: July 2021

The import dependence of the pharmaceutical market of Ukraine on concentrates for hemodialysis determines the relevance of their manufacture. Elaboration of the transfer of drug development to industrial manufacture and, accordingly, the development of industrial technology of liquid acid concentrates for hemodialysis involves scaling the process, organization of production control, establishing critical points of the production and determining cleanliness classes for concentrates and risks, including ecological ones.

The aim of the work is to develop approaches to the development of technology for industrial manufacture of acid concentrates for hemodialysis, identification of risks in the technological process and quality control, as well as analysis of major ecological risks and development of methods for their reduction.

The object of the study was the regulatory and technical documentation regarding the requirements for hemodialysis concentrates, characterization of the hazard profile of acid concentrates as a source of pharmaceutical wastes and generalization of the information about them in the manufacture of acid concentrates. We used the results of our own experimental research on the development of concentrates. The system-survey method of research and content analysis were used in the analysis.

On the basis of researches, it was to work up the approaches to the development of technology of industrial manufacture of acid concentrates. Requirements of various normative and technical documents for water for the manufacture were generalized, classes of cleanliness of industrial premises for the preparation of containers, preparation, filtering, and packing of solutions are offered. The scheme of pharmaceutical wastes of acid concentrates, which are formed during pharmaceutical development, industrial manufacture, and medical administration, is presented. The profile of their unsafety is given. Potential and real ecological risks in the manufacture of acid concentrates for hemodialysis and ways to minimize them are presented. The proposed stages of risk management for pharmaceutical waste during the manufacture of acid concentrates of hemodialysis include: determining the hazard profile of acid concentrates for the environment; identification of risks, as well as replenishment of knowledge about the hazard profile; planning and implementation of risk minimization measures as well as evaluation of the effectiveness of these risk reduction measures. Methods for eliminating the safety of pharmaceutical wastes of acid hemodialysis concentrates (dilution with water or electrolysis to obtain by-products) have been developed.
Research of fatty and organic acids in Rhododendron luteum Sweet leaves
Authors: Гонтова Т. М. , Гапоненко В. П. , Машталер В. В. , Мала О. С. , Кулагіна М. А.
Published: July 2021

Rhododendron luteum Sweet of the Heath family Ericaceae is found on the territory of Ukraine both in the wild and is widely cultivated in botanical gardens, parks, squares. Leaves and inflorescences are used to treat heart disease, rheumatism, gout, and disorders of the nervous system. The literature data on the chemical composition relate to the presence of aminoacids, organic acids, essential oils, phenolic and triterpene compounds, andromedol derivatives.

The aim of the work was to determine the composition and content of fatty and organic acids in the Rhododendron luteum Sweet leaves by gas chromatography-mass spectrometry.

The object of the study was the leaves of Rhododendron luteum Sweet, collected on the territory of the botanical garden of H. S. Skovoroda Kharkiv National Pedagogical University in 2019. Gas chromatography - mass spectrometric study of the component composition and content of fatty and organic acids in the leaves of the studied plant on an Agilent Technologies 6890 chromatograph with a 5973 mass spectrometric detector was carried out.

In Rhododendron luteum Sweet leaves 37 substances were found and identified. Fatty acids were represented by 17 compounds. Among saturated fatty acids, palmitic acid (3 276.2 mg/kg) was prevailed, among monounsaturated – oleic (736.78 mg/kg), among polyunsaturated – linolenic (1 617.65 mg/kg). The smallest amounts contained heneukocylic (46.33 mg/kg), lauric (58.17 mg/kg) and caproic (68.17 mg/kg) acids, which belong to saturated fatty acids. The presence of 20 organic acids in the raw material was also established: citric (8 680.30 mg/kg) and iso-citric (4 106.85 mg/kg) acids dominated in terms of quantitative content; oxalic (1 685.65 mg/kg) and malic (1 310.82 mg/kg) acids were contained in significant amounts. Among the derivatives of hydroxybenzoic acid, the greatest amount was presented by gentisic (187.76 mg/kg) acid, among the derivatives of hydroxycinnamic acids – p-coumaric (312.62 mg/kg).

For the first time, the qualitative composition and quantitative content of fatty and organic acids in Rhododendron luteum Sweet leaves was studied by gas chromatography with a mass spectrometric detector. The obtained results indicate the prospects for further study of raw materials to develop drugs with membrane stabilizing and anti-inflammatory activity.
Competences acquired at school age and their role in formation of food behavior in young people
Authors:   State Institution ", Hulich M.P. ,   O.M. Marzіeiev Institute for Public Health of the NAMSU", Petrenko O.D. ,   State Institution "O.M. Marzіeiev Institute for Public Health of the NAMSU", Liubarska L.S. ,   State Institution "O.M. Marzіeiev Institute for Public Health of the NAMSU"
Published: July 2021

Objective: We studied the knowledge of young people about principles of healthy nutrition as one of the main elements of health preservation and following these principles by them after finishing school. Methods: We performed a sociological survey of 284 people (boys and girls), mainly 17-18 years of age, who entered higher educational institutions of Ukraine after finishing school. The survey concerned with the study of youth’s knowledge about principles of a healthy nutrition as one of the main elements of a healthy lifestyle. We studied a self-concept of one’s own lifestyle and health control, knowledge of the role of adherence to the principles of healthy nutrition in health preservation, some aspects of food behavior, impact of nutrition features on the formation of chronic non-infectious pathology. We used the questionnaire method. The results were processed with the help of generally accepted statistical methods. Results: Despite the declared knowledge, a sufficiently significant part of the respondents was found not to follow the principles of healthy nutrition and lifestyle. Conclusion: The findings indicate a need to develop special educational programs on the formation of the skills of healthy lifestyle and nutrition for schoolchildren of general education institutions in order to develop their skills for the healthy lifestyle and nutrition.
Compliance of the existing fund of general secondary education institutions of ukraine with modern requirements of the NEW UKRAINIAN SCHOOL
Authors:   State Institution ", Polka N.S. ,   O.M. Marzіeiev Institute for Public Health of the NAMSU", Makhniuk V.M. ,   State Institution "O.M. Marzіeiev Institute for Public Health of the NAMSU", Pavlenko N.P. ,   State Institution "O.M. Marzіeiev Institute for Public Health of the NAMSU", Mohylnyi S.M. ,   State Institution "O.M. Marzіeiev Institute for Public Health of the NAMSU"
Published: July 2021

Objective: We established the compliance of the existing fund of general secondary education institutions in Ukraine with the modern requirements of the new Ukrainian school (NUS) according to the hygienic criteria for the evaluation of the architectural-and -planning decisions. Results: Over a 30-years period, the number of schools has decreased by 30%. The main fund of the GSEI in Ukraine consists of the buildings built in the 1960-1990 years. According to the current standard documents of sanitary and town-planning legislation, the existing educational premises of the GSEI have basically a rectangular shape and an area 50 m². According to the requirements of the NUS, it is envisaged to create eight zones with different functional purposes at their interchangeable use in one class building space. By the results of the calculations, it has been established that in compliance with all regulatory distances between desks and internal structures in a single building space of the standard class with an area 50 m² there is only 26.4 m² of free space for single desks, while the last row of the desks will be close to the wall (which does not meet the standard distance 0.65 m). It should be noted that at the construction of the new GSEI according to the requirements of SBS V.2.2-3: 2018 with a class area 60 m2 with a compliance of the standard distances for the placement of the desks, 31.2 m2 remains, which allows you to place 20 desks. Conclusions: In order to adapt the existing fund of the GSEI of Ukraine to the needs of the reform of the NUS education and to provide conditions for the health protection of the students, a new indicator of the placement of 15 educational places with single desks was substantiated, which can be implemented at online training.
Haik Khachaturovych Shakhbazian - organizer of hygiene and sanitary, scientist, teacher, true patriot of the Ukrainian fatherland (in commemoration of the 125-th birth anniversary)
Authors:   O.O. Bohomolets National Medical University, Kyiv, Yavorovskyi O.P. , Shkurko H.A. ,   O.O. Bohomolets National Medical University, Kyiv, Chaika Yu.H. ,   O.O. Bohomolets National Medical University
Published: July 2021

In commemoration of the 125-th birth anniversary The creative pathway of Professor Haik Shakhbazian, including the stages of the formation and development of his personality from practical sanitary physician to scientific researcher, Director of the Institute and Head of the Department, as well as the WHO expert and Corresponding Member of the USSR Academy of Medical Sciences was investigated. The contribution of the scientist to physiology and labour hygiene, in particular to a new scientific direction –the hygiene of the industrial microclimate, founded by Professor Shakhbazian, has been analyzed. The stages of the scientist’s and teacher’s work at Kyiv Scientific Research Institute of Labour Hygiene and Occupational Diseases and at the Department of Labour Hygiene and Occupational Diseases in the Bohomolets Kyiv Medical Institute were studied. Monographs, textbooks, teaching materials, lectures of the scientist and his social activities were analyzed. The glorious traditions of the Professor Shakhbazian’s scientific school were continued by his numerous students.
Percepciones de los profesores inmigrantes digitales sobre los estudiantes nativos digitales: una investigación sobre el contexto escolar turco
Authors: Çimen Burcu , Hangül Şükrü
Published: July 2021

El objetivo del estudio es investigar las opiniones y percepciones de los profesores sobre los estudiantes nativos digitales, que sitúan las herramientas, aplicaciones y plataformas digitales en el centro de sus vidas, se adaptan fácilmente y se benefician de las nuevas tecnologías de la información y la comunicación. Nos enfocamos en (a) las características de los estudiantes de la generación digital, (b) el rol del docente y la escuela en la era de la educación digital, (c) la participación de los estudiantes de la generación digital en los procesos educativos, y (d) el los problemas a los que se enfrentan los docentes y el apoyo que necesitan al enseñar a los alumnos de la generación digital. Este estudio, que tiene un diseño fenomenológico, utilizó el método de muestreo de máxima variación, uno de los métodos de muestreo intencional preferido en la investigación cualitativa. Se formó un grupo de estudio de profesores que trabajan en los niveles de primaria, secundaria y preparatoria de escuelas públicas y privadas. Se utilizó análisis descriptivo para analizar los datos recolectados por la técnica de entrevista. Se encontró que los estudiantes nativos digitales eran introvertidos y asociales debido a su entorno digital, pero eran seguros de sí mismos, exitosos en las clases y enfocados en soluciones creativas a los problemas. Los maestros, sin embargo, se sentían inadecuados ante la capacidad de los estudiantes para usar la tecnología y necesitaban ser capacitados en tecnologías educativas.
Freedom of the Database
Authors: Anderson Jonathan , Wiley Sarah K.
Published: July 2021

As government operations at all levels have become increasingly computerized, records of those activities have moved from paper to databases. Yet there has been little empirical research about the public’s ability to access such records in practice. This study uses field research to assess how 44 public universities respond to records requests of varying complexity for structured data. Sampled universities produced responsive structured data without a fee in slightly more than a quarter of requests, meaning the vast majority of requests failed to yield the information sought in a structured format and for free.
POLA KOMUNIKASI INTERPERSONAL BAGI KELUARGA BEDA AGAMA DI KECAMATAN KOTA RAJA, KOTA KUPANG
Authors: Lao Hendrik A.E , Tari Ezra , Hale Merensiana
Published: July 2021

This paper focuses on interpersonal communication in interfaith families. Interfaith families are smallunits of society whose members are of different religions. Differences are often a source of conflict between husband and wife, including religion. In the way of life of interfaith couples, different opinions about beliefs cause problems. Differences are still unavoidable in families married to different religions. Religious differences can lead to prolonged conflicts. Although different religions, of course, the family has the right to live in peace and happiness as a family in general. However, it is undeniable that interfaith families cannot last long. Therefore, efforts are needed for families to be able to live with each other accepting differences in terms of different religions. Communication is one of the efforts to maintain family harmony. Lack of communication can cause rifts in the household. The purpose of the study was to describe the effectiveness of interpersonal communication for families of different religions. The research method used is a descriptive qualitative approach. This approach seeks to find problems and solutions in the field. Research results in interpersonal communication are communication between individuals or between groups. Interpersonal communication will be more effective if the atmosphere is equal. That is, there must be a tacit acknowledgement that both parties are equally valuable and valuable. Husbands and wives have something important to contribute. In an interpersonal relationship characterized by equality, disagreement and conflict are seen as an attempt to understand differences. This communication helps in avoiding and reducing various problems and can share knowledge and experiences with family members. There are five general qualities of interpersonal communication effectiveness for interfaith families: 1) Openness, 2) Empathy, 3) Supportive Attitude, 4) Positive Attitude, 5) Equality.
Meningkatkan ketahanan pangan bidang pertanian melalui budidaya tanaman sayur sayuran
Authors: Triyana Veny , Marimbun Marimbun
Published: July 2021

Tujuan Artikel ini adalah optimalisasi pemanfaatan perkarangan rumah meningkatkan ketahanan pangan bidang pertanian melalui budidaya tanaman sayur sayuran. Metode yang digunakan adalah melakukan penyuluhan: sosialisasi program, pelatihan, pengadaan benih tanaman dan sharing bersama. Hasil pengabdian ini adalah perubahan masyarakat untuk memamfaatkan lahan pekarangan rumah untuk budidaya tanaman sayur- sayuran. semangat untuk meningkatkan ketahanan pangan program pertanian melalui tanaman sayur_sayuran, membangun Rumah Pangan Lestari Sayuran di masing_masing lahan perkarangan rumah. Tanaman yang sudah bisa di panen, menjadi olahan masakan bagi ibu rumah tangga yang berada di desa sidodadi kecamatan langsa lama
Meningkatkan pemahaman pola hidup sehat melalui penyuluhan di Gampong Sungai Pauh
Authors: Adelia Della , Hildayani Hildayani , Marimbun Marimbun
Published: July 2021

Kegiatan pengedukasian anak-anak di gampong Sungai Pauh sangat penting. Tujuan kegiatan ini untuk meningkatkan pemahaman anak-anak Sungai Pauh terhadap pola hidup sehat, Serta menumbuhkan kesadaran tehadap masing-masing anak tentang pentingnya menjaga kesehatan terutama dalam masa pandemi. Meskipun daerah Sungai Pauh merupakan daerah yang memiliki angka covid yang kecil. Namun pengedukasian ini dapat membantu mereka dalam menjaga kesehatan saat berada didalam dan diluar rumah. Metode yang digunakan untuk menjalankan program yang telah direncanakan yaitu dengan melakukan pogram pengedukasian yang dibuat dalam metode penyuluhan. Kegitan ini dilakukan dengan dua kali penyuluhan dan 3 kali aksi lapangan seperti pembuatan apotik hidup, gotong royong, dan pembagian masker. Hasil pengabdian menunjukkan bertambahnya pemahaman anak-anak terhadap pentingnya menjaga pola hidup sehat, serta bertambahnya kesedaran terhadap anak untuk menjaga kesehatan pada masa pandemi. Hal ini juga dapat dilihat dari antusias anak-anak dalam mengikuti kegiatan-kegiatan yang dilakukan untuk mengedukasi anak-anak tentang pola hidup sehat dan kepedulian terhadap kesehatan seperti mulai menggunakan masker.
The Cuban Revolution. A triumph of heroic creation over revolutionary myths
Authors:   Juan Marinello Institute of Havana, Massón Sena Caridad
Published: July 2021

The Cuban Revolution, triumphant on January 1, 1959, performed the political miracle of achieving the coordination of heterogeneous social and ideopolitical forces, preventing the divisions of yesteryear and those that manifested themselves in the same combative process, from drowning the armed, political insurrectionary effort. -popular and antidictatorial, which went through historical necessity towards a very radical national liberation, anti-imperialist and socialist process. The revolutionary energy displayed as of July 26, 1953 was a call in the national conscience and promoted a new proposal. Two years later, it began to become the insurrectionary political accomplishment allied to the protest of the most humble people, to which it gave elements for their awareness and leadership of their rebellion. Then began a different era where the ideals of social justice were combined with national liberation; To achieve this, it was necessary to unleash the capacities of the people to change the country, destroy the precepts of geopolitics and carry out a gigantic heresy regarding what were considered the axioms of revolutionary thought until that moment.