bluuebunny/crossref_metadata_2025 huggingface dataset:
Konsep Diri Penyintas Covid 19 di Pekan Baru
Authors: Yazid Tantri Puspita , Welly Wirman  , Karim Suryadi  , Tutut Ismi Wahidar
Published: July 2023

Penelitian ini dilakukan untuk melihat dan mengetahui bagaimana konsep diri seorang penyintas COVID-19 yang mana belum banyak diteliti oleh peneliti lain terutama di Pekanbaru. Lokasi penelitian dilakukan di Pekanbaru dengan alasan karena kota Pekanbaru sebagai salah satu wilayah Provinsi Riau dengan jumlah kasus terbesar yakni sebanyak 15.359 kasus selama bulan Maret 2020 – Maret 2021. Penelitian ini menggunakan pendekatan fenomenologi yakni menjelaskan fenomena perilaku manusia yang dialami dalam kesadaran, dalam kognitif dan dalam tindakan-tindakan perseptual. Pengumpulan data penelitian menggunakan teknik wawancara sebagai instrumen utama penelitian. Hasil Penelitian menunjukkan bahwa Pengalaman komunikasi para penyintas COVID 19 di Kota Pekanbaru dipengaruhi oleh tahun mereka dinyatakan positif COVID 19. Penyintas yang dinyatakan positif COVID 19 pada tahun 2020 mendapatkan pengalaman komunikasi cenderung kurang menyenangkan dibandingkan dengan penyintas yang dinyatakan positif pada tahun 2021. Konsep diri para penyintas COVID 19 di Kota Pekanbaru juga dipengaruhi oleh masa dinyatakan sebagai positif COVID itu sendiri. penyintas yang dinyatakan postif pada tahun 2020 memiliki konsep diri cenderung lebih negatif dibandingkan dengan para penyintas di tahun 2021. Selain itu komponen jenis kelamin, umur, strategi pengobatan, dan status dalam keluarga juga mempengaruhi konsep diri para penyintas COVID 19 di Kota Pekanbaru.
Peranan Keterampilan Komunikasi Interpersonal Pada Kegiatan Kuliah Kerja Nyata
Authors: Hutasuhut Julianto Hutasuhut , Abd.Rasyid Syamsuri  , Adrial Falahi  , Muhammad Hilman Fikri
Published: July 2023

Penelitian ini bertujuan mengkaji fungsi keterampilan komunikasi interpersonal mahasiswa dalam pelaksanaan Kuliah Kerja Nyata (KKN) di desa Air Hitam agar dapat lebih memahami bagaimana mahasiswa terlibat dengan stakeholders yang dituju. Metodologi penelitian ini menggunakan pendekatan kualitatif deskriptif. Teknik pengumpulan data dalam penelitian ini dilakukan melalui observasi, wawancara, dan dokumentasi. Informan penelitian adalah peserta Kuliah Kerja Nyata, tokoh desa dan penanggung jawab pelaksanaan KKN. Hasil penelitian,  kemampuan komunikasi interpersonal mahasiswa sangat membantu mereka dalam mencapai tujuan program Kuliah Kerja Nyata. Untuk mencapai tujuan yang telah ditetapkan dengan lebih baik dan efektif, keterampilan komunikasi interpersonal dari perspektif resiliensi masih perlu dikembangkan. Hasil ini menunjukkan bahwa perguruan tinggi harus lebih menekankan pada pengembangan kemampuan komunikasi interpersonal siswa dari perspektif ketangguhan. Hasil penelitian juga menunjukkan bahwa kualitas hasil belajar melalui Kuliah Kerja Nyata (KKN) akan meningkat dengan kemampuan komunikasi interpersonal yang lebih kuat. Agar temuan penelitian ini lebih bermanfaat bagi kemajuan pendidikan, sebaiknya penelitian selanjutnya dapat mengembangkannya dengan memperkenalkan variabel-variabel baru.
Severe near Reflex Spasm in a Healthy Teenager. A Case Report
Authors: Mejía Salgado Germán Alberto , Guevara Carvajal Alejandro , Salgado Paez Yasmina , Tello Alejandro
Published: July 2023

Introduction: Spasm of the near reflex usually includes accommodative spasm, esophoria/tropia, and different degrees of miosis. Patients usually refer to distance blurred and fluctuating vision, ocular discomfort, and headaches. The diagnosis is established with refraction with and without cycloplegia; most of the cases have a functional etiology. However, some cases require neurological conditions to be ruled out; cycloplegics have an important diagnostic and therapeutic role.
Purpose: To describe a case of bilateral severe accommodative spasm in a healthy 14-year-old teenager.
Case presentation: A 14-year-old boy with progressive diminished visual acuity attended for YSP consultation. The diagnosis of bilateral spasm of the near reflex was made, based on a gap refraction of 9.75 D between retinoscopy with and without cycloplegia and esophoria with normal keratometry and axial length. The spasm was eliminated with 2 drops of cycloplegic in each eye separated by 15 days; no clear etiology was found other than the start of school.
Conclusion: Clinicians should be aware of pseudomyopia, especially in children with acute changes in visual acuity, who are usually exposed to myopigenic environmental factors that induce overstimulation of the parasympathetic third cranial nerve’s innervation.
Trauma-Related Acute Macular Neuroretinopathy. A Case Report
Authors: Hasani Hamidreza , Sheikhghomi Sima , Ojani Mina
Published: July 2023

Aims: To introduce a case report and review the literature on trauma-related acute macular neuroretinopathy as an unusual etiology of acute macular neuroretinopathy.
Material and Methods: A 24-year-old man presented with unilateral paracentral scotoma following non-ocular trauma in a car accident. The relative afferent pupillary defect was negative and the best corrected visual acuities of both eyes were 10/10 (by the Snellen chart scale). Results: Retinoscopy revealed a reduced foveal reflex, along with a small pre-retinal hemorrhage over the mid-pathway of the supranasal arteriole. OCT images showed an obvious ellipsoid zone (EZ) layer disruption in the macula of the left eye. The infrared fundus photograph of the same eye revealed a distinct hyporeflective area involving the macula. On fundus angiography, no macular vascular lesion was detected. The scotoma persisted after 3 months follow-up.
Conclusion: Non-ocular trauma including head or chest trauma without direct ocular injury accounts for most cases of trauma-related acute macular neuroretinopathy. It is important to distinguish this entity, given that there are also unremarkable findings in the retinal examination of these patients. Indeed, proper clinical suspicion leads to further suitable investigations and impedes other extraordinary images, which are the basic rules in the management of traumatic patients suffering multiple injuries and incurring medical expenses.
Changes in the Vision of Adult Amblyopic Patients Following Clear Lens Extraction
Authors: Halička Juraj , Vida Rastislav , Gajdoš Matej , Králik Michal , Javorka Michal , Jančo Ladislav , Žiak Peter
Published: July 2023

Aims: The aim of the study was to retrospectively evaluate changes in vision after the implantation of trifocal (tIOL) or rotationally asymmetric multifocal artificial intraocular lenses (mIOL) in patients undergoing clear lens extraction. The main goal was to determine whether changes to central visual acuity occur after the implantation of an IOL at a follow-up examination after one year. Other objectives were to determine the difference between the groups with implanted diffractive and rotationally asymmetric artificial intraocular lenses, as well as to evaluate the risk of accurate correction in patients who had lived most of their lives "undercorrected".
Material and methods: In our study, we present a retrospective longitudinal evaluation of results in patients after the implantation of an artificial intraocular lens. In the period from 2013 to 2020, we evaluated changes in the vision of 22 patients aged 39–59 years, of whom 18 were women and 5 were men. The average preoperative refraction of amblyopic eyes was +5.7 ±2.13 Dsf and +1.24 ±0.86 Dcyl. In amblyopic eyes, 7 diffractive lenses and 15 rotationally asymmetric lenses were used.
Results: Uncorrected distance visual acuity before surgery and one year (1Y) after was 0.13 ±0.09 vs. 0.57 ±0.28 (p < 0.001); the best corrected distance visual acuity before and 1Y after was 0.53 ±0.22 vs. 0.62 ±0.29 (p = 0.024); uncorrected near visual acuity before and 1Y after was 0.06 ±0.06 vs. 0.48 ±0.32 (p < 0.001); the best corrected near visual acuity before and afér the surgical procedure was 0.45 ±0.27vs. 0.55 ±0.35 (p = 0.014).
Conclusion: Implantation of tIOL and mIOL lenses was effective in our group of patients with amblyopia, thus improving uncorrected distance and near visual acuity and without serious adverse effects. At the same time, we evaluate that the change in refraction and the removal of anisometropia lead to a significant change in the best corrected visual acuity for distance or near vision at the one-year follow-up examination.
Abnormal Corneal Lesion Following Cataract Surgery; A Corneal Pyogenic Granuloma? A Case Report
Authors: Ghafarian Sadegh , Sheikhghomi Sima , Asadi-Amoli Fahimeh
Published: July 2023

Background: Description of an abnormal corneal lesion as a complication of a clear corneal incision in cataract surgery.
Case presentation: A 55-year-old woman presented, complaining of right eye pain and redness for 6 months, which started 1 month after her uncomplicated cataract surgery. On gross examination, the bulbar conjunctiva was hyperemic and a vascularized salmon-pink nodule with a smooth surface was noted over the supratemporal region of the cornea, just anterior to the previous superior corneal incision, with superficial feeder vessels originating from the adjacent conjunctiva toward the lesion. The lesion was removed and histopathological examination revealed an inflammatory tissue containing inflammatory cells and capillaries within a background of fibrotic tissue throughout the lesion.
Conclusions: Reactive fibrovascular nodules are rare corneal lesions following corneal trauma and vascularization, including a clear corneal cataract surgery incision. Ophthalmologists may encounter these lesions during postoperative visits and should be familiar with their appearance and management.
Automotive Aluminum, Part 10: In the Midst of the Great Recession, Ford Quietly Goes All In
Authors: Chappuis Laurent , Sanders Robert
Published: July 2023

Ford begins to reassess its capacity to develop and launch an aluminum-intensive platform on its own. This article discusses the planning for the aluminum-bodied F-150 in the context of the difficult economic conditions that Ford and the rest of the industry were operating under during the 2008-2010 period.
HUBUNGAN ANTARA SELF-ESTEEM DENGAN PENYESUAIAN DIRI PADA PASANGAN MUDA DI COFFEE OMAH BEKASI
Authors: Fahrudin Adi , Arfina Afriliana Arfina
Published: July 2023

Penelitian ini bertujuan untuk mengetahui apakah terdapat hubungan antara self-esteem dengan penyesuaian diri pada pasangan muda di coffee omah Bekasi. Tujuan dari penelitian ini untuk mengetahui sejauh mana hubungan self-esteem dengan penyesuaian diri pada pasangan muda. Metode penelitian yang digunakan adalah metode penelitian kuantitatif dengan tipe penelitian korelasional. Sampel pada penelitian ini sebanyak 100 responden. Teknik pengambilan sampel yang digunakan adalah pengambilan sampel nonprobability dengan kriteria sapel yaitu pelanggan coffee omah, laki-laki dan perempuan, usia 20-30 tahun dan memiliki status berpacaran dan menikah. Uji validitas yang digunakan adalah validitas isi dan uji reliabilitas menggunakan Cronbach-Alpha. Hasil studi menggunakan analisis statistic korelasi nonparametik Spreaman’s rho diketahui bahwa varibel self- esteem dan penyesuaian diri memperoleh signifikansi 0.000 (p <0.05), yang berarti bahwa ada hubungan positif antara kedua variable. Sehingga semakin tinggi self-esteem pada individu, maka akan semakain tinggi penyesuaian diri pada individu. Hipotesis yang diajukan peneliti dapat diterima dengan menyebutkan hubungan antara self-esteem dan penyesuaian diri pada pasangan muda.
Douleur et attachement : une revue
Authors: Bachelart M. , Bioy A. , Richard M.
Published: July 2023

Depuis la fin des années 1960, John Bowlby a conceptualisé la notion d’attachement, ce qui a favorisé les réflexions futures à partir d’un modèle biopsychosocial que ce soit dans une compréhension du développement normal ou pathologique. Cet article est une revue des recherches et théories rapprochant la notion de douleur et le concept d’attachement à prédominances théoriques sociale, psychologique ou biologique. Les données de recherche restent hétérogènes par un manque de consensus sur les outils d’évaluation, mais d’autres méthodologies devraient s’engager à l’avenir sur des protocoles permettant d’affiner les liens entre douleur et attachement. Les limites des différentes recherches ainsi que les liens théoricocliniques sont discutés par la suite.
Implementation of Marketing Mix Strategy on over the Counter (OTC) Drug At Rizki Mahakam Farma 1 Pharmacy, Kota Bangun
Authors: Ripaldi Rizki Mahakam , Jubaidah Siti , Warnida Husnul , Wijaya Heri
Published: July 2023

Introduction: Pharmacies need to manage marketing activities to support pharmaceutical services to increase consumer satisfaction. Consumer satisfaction can be improved with a marketing mix strategy approach (Marketing Mix). Objective: Determine how consumers respond to rizki mahakam farma 1 pharmacy's marketing mix aspects. Method: This study uses descriptive data analysis and is not experimental. This study's subject is consumer reactions to the marketing mix strategy at rizki mahakam farma one pharmacy, Kota Bangun. The sample for this study consisted of customers who bought medications without a prescription from a doctor (over-the-counter medicines). Results: Consumer response analysis of marketing mix strategies, according to the study results, for consumer reaction products by 4.54, prices of 3.7, locations of 4.58, and promotions of 4.23, all elements are classified as “very good.” The results of the Spearman rank test found no significant relationship between the consumer response to marketing mix strategy (marketing mix). Conclusion: All of these elements fall within the "very good" category, thus we can conclude that they are all excellent.
Relationship Between Heat Stress and Job Fatigue with Stress Levels in Employess at CV. Fatra Karya Logam
Authors: Kasumawati Frida , Rahmawati Meli , Bin Sansuwito Tukimin , Fadhilah Humaira , Rahsa Puji Lela Kania , Ratnaningtyas Tri Okta
Published: July 2023

Background: According to the Institution of Social Security Employment, based on data for 2020, there was an increase in cases of work accidents, with 177,000 cases recorded. One of the common problems for employees in the industrial environment is heat exposure. Heat stress is one of the working conditions of physical factors in the work environment, which is an additional burden for employees. Objective: To determine the relationship between heat stress, job fatigue, and stress levels in employees at CV. Fatra Karya Logam. Methods: This is a quantitative research method with a cross-sectional design. The population and sample in this study were employees in the production section of CV. Fatra Karya Logam, as many as 30 people. Results: The results of measuring heat stress with medium workloads in the production section of CV. Fatra Karya Logam exceed NAV (> 28.0ºC), it is known that the average Wet Bulb Globe Temperature (WBGT) in CV. Fatra Karya Logam is 31.4°C, and statistical tests show that there is a relationship between heat stress and stress levels for employees at CV. Fatra Karya Logam with a value of p = 0.000, and there is a significant relationship between job fatigue and stress levels for employees at CV. Fatra Karya Logam with p value = 0.006. Conclusion: Therefore, to manage the impacts properly and avoid health issues or worse outcomes while working, we must understand what triggers job tiredness and work stress. Recommendation: by identifying causes of fatigue and work stress, employees can handle the effects properly to prevent health problems and worse consequences during work.
Diabetic Peripheral Neuropathy in Adults with Type 2 Diabetes Mellitus
Authors: Astuti Ani , Merdekawati Diah , Octavia Dian , Sari Indah
Published: July 2023

Background: A complication of diabetes mellitus (DM) is diabetic peripheral neuropathy (DPN). Its causative factors include age, sex, duration of DM, body mass index (BMI), and a history of hypertension. Purpose: This study was aimed at identifying factors associated with DPN in adults with T2 DM. Methods: We employed a quantitative method with a cross-sectional approach and recruited 182 respondents through purposive sampling. We administered a diabetic neuropathy syndrome questionnaire and measured BMI and blood pressure. Data were analyzed univariately and bivariately using the chi-square test. Results: Of the 189 respondents, 139 (73.6%) were aged 45–59 years. The participants included 121 (67%) women and 8 (33%) men. Of all respondents, 108 (58.2%) had diabetes mellitus, 90 (49.4%) had an overweight BMI, 99 (51.6%) had a history of hypertension, and 139 (72.5%) had a history of DPN. The chi-square analysis showed a relationship between DPN and age (p = 0.000), duration of DM (p = 0.001), BMI (p = 0.010), and a history of hypertension (p = 0.000), but not with sex (p = 0.688). Conclusion: DPN can occur in patients with type 2 DM, and a high risk is associated with middle age, long duration of DM, overweight BMI, and a history of hypertension.
The Relationship of Knowledge and Attitude for the Prevention of Leucorrhoea in Adolescent Women
Authors: H Wada Fauziah , Maulida Rahma Fanny , Sunirah  , Shoaliha Maratun , Prima Ashar , Poddar Sandeep , Hassan Hafizah Che
Published: July 2023

Introduction: Leucorrhoea is a discharge from the genitalia that is not blood but a clinical manifestation of various infections, malignancies, or benign tumors of the reproductive organs. Leucorrhoea is still considered not a serious thing for adolescents, therefore, in maintaining the cleanliness of the genital organs, it is still not good. Taking care of the external genitalia that is not good can make vaginal discharge occur, such as maintaining cleanliness, washing the vulva every day and keeping it dry to prevent the growth of bacteria and fungi. If this problem is not taken seriously, it will have a negative impact in the future. To determine the relationship between knowledge and attitude to prevent leucorrhoea in adolescent girls at Al Muhadjirin 2 Senior High School Bekasi. Methods: This research is quantitative research with a cross sectional design. The sample in this study were students of class X, XI, XII as many as 130, using total sampling. The instrument used an instrument of demographic data, knowledge, attitude, and prevention of leucorrhoea that has been tested for validity and reliability by previous researchers. Results: The results of the study used the chi-square statistical method, which showed that there was a relationship between prevention of leucorrhoea and knowledge and attitudes in adolescent girls with p value = 0.000 <0.05, with an average age of 16 to 19 years, have more knowledge about leucorrhoea and have a good attitude toward preventing leucorrhoea. Conclusion: Knowledge and attitudes are significantly related to the prevention of leucorrhoea in adolescent girls. It is hoped that health workers can cooperate with schools in providing information to students about reproductive health, especially the problem of leucorrhoea.
Risk Factors Associated with Wound Infections in Burned Children
Authors: S.M. Bahnsawy Nesren , Mohammed Afkar Ragab , Ibrahim Hadeer , A. Younis Reda A.
Published: July 2023

Background: Burns in children are a massive problem in Egypt. Nowadays, infections account for 51% of the overall fatalities and are the second leading cause of mortality and morbidity after burn injuries. Aim: to identify risk factors associated with wound infection in burned children. Methods: An exploratory descriptive research design was adopted for this study. At the burn and plastic surgery center of El-Mansoura University Hospitals, this study was conducted. Based on specific inclusion criteria, a purposive sample of 75 hospitalized burned children and a convenient sample of 30 nurses participated. Three main tool parts were utilized. Part I: Questionnaire Sheet: Personal information regarding burned children and personal information about nurses who care for hospitalized burned children. Part II: Health Profile Assessment Sheet covered information about a hospitalized burned child. Part III: Checklist of Observations was adapted from the Egyptian Ministry of Health's Infection Control Checklist. Results: The mean age of the burned children was 3.94 ±1.66 years. Two-thirds of the children were male. Pseudomonas infections cause about half of all burn infections. There was a statistically significant relationship between the nurses' practice score and the burn characteristics of burned children three days after admission to the unit. The nurses' practice scores and the length of time that children stay in hospitals were statistically related. Conclusion: Poor hand hygiene was the most significant contributing factor in acquiring infections, as was a lack of adherence to the wearing of Personal Protective Equipment (PPE) and contact isolation precautions not carried out.
Factors Associated with Perceived Fear of COVID-19 in Penang, Malaysia: A Healthcare Professionals Survey
Authors: J Kasinathan Vimala , Umar Zarina Che , Abdul Hamid Nabisah
Published: July 2023

Background: This descriptive cross-sectional study aimed to assess the perceived fear of handling coronavirus disease 2019 (COVID-19) cases and its associated factors among healthcare professionals in two major hospitals in Penang, Malaysia, during the COVID-19 pandemic. Methods: Healthcare professionals working in clinical divisions, departments, and outpatient settings at Penang General Hospital and Seberang Jaya Hospital participated in this study. A total of 326 healthcare professionals who worked at these hospitals, aged between 20 and 58, were recruited between October 2020 and February 2021. The data was collected using a questionnaire. The questionnaire consisted of the validated COVID-19 scale. It also assessed 18 occupational risk exposures and socio-demographic characteristics. Results: Of the total 326 healthcare professionals surveyed, 172 (52.8%) perceived fear. Multiple linear regression analysis revealed that age, working department (discipline), working divisions, administering medications, and giving nebulizers to patients were significantly associated with perceived fear. In addition, socio-demographics and occupational risk exposures were essential correlates of fear among healthcare professionals when handling COVID-19 patients. Conclusion: The results of this study point to the necessity of increasing medical facilities and hiring more skilled healthcare workers to manage newly emerging and reemerging infectious illnesses in the healthcare environment.
Evaluation of the Use of Intradialytic Exercise and Cognitive Behavior Therapy for Improving Patients’ Quality of Life Undergoing Hemodialysis: A Systematic Review
Authors: Huda Akhmad , Mohd Said Faridah , S. Kanathasan Jayasree , Hasibuan Sofyan Hadi , Sawiji
Published: July 2023

Chronic kidney disease not only impacts physical status but also psychological status leading to low quality of life. Patients with chronic kidney disease often receive hemodialysis as replacement therapy for kidney function. Studies preventing the deterioration of quality of life were published in the literature. However, none discusses the combination therapy between intradialytic exercise and cognitive behavior therapy. Therefore, the review aims at evaluating these combination therapies in patients with hemodialysis. The study used a systematic literature review design to identify all articles on intradialytic exercise and cognitive behavior therapy. The results highlighted that there is an improvement in quality of life when implementing combination therapies. Furthermore, it helps to accelerate the medical approach to chronic kidney disease. Further study should focus on the use of therapies among patients with different stages of kidney failure.
Novel treatment of intracerebral hemorrhage with mechanical tissue resuscitation
Authors: Zheng Zhenlin , Brown Theodore , Adams Farren , Roberson Rebecca , Ma Rong , Wilson John A. , Morykwas Michael , Argenta Louis
Published: July 2023

OBJECTIVE

The previous laboratory and clinical experience of the authors had demonstrated that application of controlled subatmospheric pressure directly to injured soft tissue can result in increased survival of compromised tissues. Mechanical tissue resuscitation (MTR) is a new concept evolving from these discoveries. The authors’ recent studies have demonstrated that traumatic brain injury tissue can also be salvaged. The aim of this study was to examine the effects of MTR application to injuries from intracerebral hemorrhages (ICHs) in a swine model.

METHODS

The ICHs in swine were simulated by infusion of autologous artery blood into the right frontal lobe. A specially designed silicone manifold device was introduced directly into the hematoma. Continuous negative pressure at −50 mm Hg was applied through this device. T2- and T2*-weighted MRI, histological H&E staining, and immunostaining were examined.

RESULTS

After 1 week of treatment, MTR significantly decreased gross hematoma volume by more than 60%, from 472.62 ± 230.19 mm3 in the nontreated group to 171.25 ± 75.38 mm3 in the MTR-treated group (p < 0.05). Total hypointense volumes measured on T2*-weighted MR images decreased from 791.99 ± 360.47 mm3 in the nontreated group to 371.16 ± 105.75 mm3 in the MTR-treated group (p < 0.05). The hyperintense area on the T2-weighted MR image decreased significantly from 2656.23 ± 426.26 mm3 in the nontreated group to 1816.66 ± 525.26 mm3 in the MTR-treated group (p < 0.05). When ICHs were treated with MTR for 2 weeks, the gross hematomas were reduced by 94%, from 112.23 ± 66.21 mm3 in the nontreated group to 6.12 ± 10.99 mm3 in the MTR-treated group (p = 0.003). MTR significantly decreased the total necrotic tissue volume in H&E staining from 120.42 ± 48.35 mm3 in the nontreated group to 60.94 ± 38.99 mm3 in the MTR-treated group (p < 0.05). The total hypointense volumes on T2*-weighted MR images were significantly reduced, from 385.54 ± 93.85 mm3 in the nontreated group to 220.54 ± 104.28 mm3 in the MTR-treated group (p < 0.05), while their mean T2 hyperintense volume decreased significantly from 2192.83 ± 728.27 mm3 in the nontreated group to 1366.97 ± 463.36 mm3 in the MTR-treated group (p < 0.05). Histology revealed that the capillary diameter in the reactive tissue rim adjacent to the hematoma increased in both the 1- and 2-week MTR-treated groups. Both von Willebrand factor and CD31 signals were detectable in endothelial cells within the hematoma cavity of both MTR-treated groups.

CONCLUSIONS

This study demonstrates that local continuous application of controlled subatmospheric pressure to an ICH can safely remove more than half of a clot in 1 week and more than 90% in 2 weeks.
Factors influencing geographic gender disparity in neurosurgery: a nationwide geospatial clustering analysis
Authors: Naik Anant , Peterman Nicholas , Furey Charuta , Paisan Gabriella , Catapano Joshua , Bhardwaj Drishti , Iyer Ankitha , Bederson Maria , Pappu Suguna , Snyder Laura , Stroink Ann , Lawton Michael T. , Arnold Paul M.
Published: July 2023

OBJECTIVE

Women neurosurgeons (WNs) continue to remain a minority in the specialty despite significant initiatives to increase their representation. One domain less explored is the regional distribution of WNs, facilitated by the hiring practices of neurosurgical departments across the US. In this analysis, the authors coupled the stated practice location of WNs with regional geospatial data to identify hot spots and cold spots of prevalence and examined regional predictors of increases and decreases in WNs over time.

METHODS

The authors examined the National Provider Identifier (NPI) numbers of all neurosurgeons obtained via the National Plan and Provider Enumeration System (NPPES), identifying the percentage of WNs in each county for which data were appended with data from the US Census Bureau. Change in WN rates was identified by calculating a regression slope for all years included (2015–2022). Hot spots and cold spots of WNs were identified through Moran’s clustering analysis. Population and surgeon features were compared for hot spots and cold spots.

RESULTS

WNs constituted 10.73% of all currently active neurosurgical NPIs, which has increased from 2015 (8.81%). Three hot spots were found—including the Middle Atlantic and Pacific divisions—that contrasted with scattered cold spots throughout the East Central regions that included Memphis as a major city. Although relatively rapidly growing, hot spots had significant gender inequality, with a median WN percentage of 11.38% and a median of 0.61 WNs added to each respective county per year.

CONCLUSIONS

The authors analyzed the prevalence of WNs by using aggregated data from the NPPES and US Census Bureau. The authors also show regional hot spots of WNs and that the establishment of WNs in a region is a predictor of additional WNs entering the region. These data suggest that female neurosurgical mentorship and representation may be a major driver of acceptance and further gender diversity in a given region.
Decoding the clinical effects of low-grade glioma–induced cortical excitability
Authors: Catalino Michael P. , Noll Kyle R. , Wefel Jeffrey S. , Michener Hayley , Prinsloo Sarah , Tummala Sudhakar , Prabhu Sujit
Published: July 2023

OBJECTIVE

Patients with low-grade glioma (LGG) in eloquent regions often present with seizures, and findings on detailed neuropsychological testing are often abnormal. This study evaluated the association between cortical excitability, seizures, and cognitive function in patients with LGG.

METHODS

LGG patients who underwent transcranial magnetic stimulation (TMS) from January 2021 to December 2022 were studied. Cortical excitability was measured using the resting motor thresholds (RMTs) of the upper and lower extremities. Early postoperative seizures served as the seizure endpoint. Neuropsychological assessment was completed prior to surgery contemporaneous with the TMS studies.

RESULTS

A total of 31 patients were analyzed for seizure outcome. Median (interquartile range [IQR]) upper-extremity RMT was 39% (34%–46%) of maximum stimulator output, and the median (IQR) lower-extremity RMT was 69% (51%–79%). Lower-extremity RMT was higher in patients with early postoperative seizures, especially in those with motor region tumors (p = 0.02); however, RMT was not associated with seizures at presentation or long-term seizure control. A total of 26 patients completed neuropsychological assessment. There were significant negative correlations between upper-extremity RMT and psychomotor processing speed (Wechsler Adult Intelligence Scale–Fourth Edition [WAIS-IV] Processing Speed Index r = −0.42, p = 0.031; WAIS-IV Coding r = −0.41, p = 0.036; WAIS-IV Symbol Search r = −0.39, p = 0.048), executive function (Trail Making Test Part B r = −0.41, p = 0.036), and hand dexterity (Grooved Pegboard Test r = −0.50, p = 0.047).

CONCLUSIONS

RMT was positively correlated with early postoperative seizure risk and negatively correlated with psychomotor processing speed, executive function, and hand dexterity. These findings support the theory of local and regional resting oscillatory network dysfunction from a glioma-brain network.
Intracranial invasive group A streptococcus: a neurosurgical emergency in children
Authors: Hutton Dana , Kameda-Smith Michelle , Afshari Fardad T. , Elawadly Ahmed , Hogg Florence , Mehta Samir , Samarasekara James , Aquilina Kristian , Jeelani Noor ul Owase , Tahir M. Zubair , Thompson Dominic , Tisdall Martin M. , Silva Adikarige Haritha Dulanka , Hatcher James , James Greg
Published: July 2023

OBJECTIVE

Invasive group A streptococcus (iGAS) infections are associated with a high rate of morbidity and mortality. CNS involvement is rare, with iGAS accounting for only 0.2%–1% of all childhood bacterial meningitis. In 2022, a significant increase in scarlet fever and iGAS was reported globally with a displacement of serotype, causing a predominance of the emm1.0 subtype. Here, the authors report on iGAS-related suppurative intracranial complications requiring neurosurgical intervention and prolonged antibiotic therapy.

METHODS

The authors performed a retrospective chart review of consecutive cases of confirmed GAS in pediatric neurosurgical patients.

RESULTS

Five children with a median age of 9 years were treated for intracranial complications of GAS infection over a 2-month period between November 2022 and December 2022. All patients had preceding illnesses, including chicken pox and upper respiratory tract infections. Infections included subdural empyema with associated encephalitis (n = 2), extradural empyema (n = 1), intracranial abscess (n = 1), and diffuse global meningoencephalitis (n = 1). Streptococcus pyogenes was cultured from 4 children, and 2 were of the emm1.0 subtype. Antimicrobial therapy in all patients included a third-generation cephalosporin but varied in adjunctive therapy, often including a toxin synthesis inhibitor antibiotic such as clindamycin. Neurological outcomes varied; 3 patients returned to near neurological baseline, 1 had significant residual neurological deficits, and 1 patient died.

CONCLUSIONS

Despite the worldwide increased incidence, intracranial complications remain rarely reported resulting in a lack of awareness of iGAS-related intracranial disease. Awareness of intracranial complications of iGAS and prompt referral to a pediatric neurology/neurosurgical center is crucial to optimize neurological outcomes.
Implication of nutritional status for adverse outcomes after surgery for metastatic spine tumors
Authors: Rigney Grant H. , Massaad Elie , Kiapour Ali , Razak Shahaan S. , Duvall Julia B. , Burrows Akeive , Khalid Syed I. , De La Garza Ramos Rafael , Tobert Daniel G. , Williamson Theresa , Shankar Ganesh M. , Schoenfeld Andrew J. , Shin John H.
Published: July 2023

OBJECTIVE

Surgery for metastatic spinal tumors can have a substantial impact on patients’ quality of life by alleviating pain, improving function, and correcting spinal instability when indicated. The decision to operate is difficult because many patients with cancer are frail. Studies have highlighted the importance of preoperative nutritional status assessments; however, little is known about which aspects of nutrition accurately inform clinical outcomes. This study investigates the interaction and prognostic importance of various nutritional and frailty measures in patients with spinal metastases.

METHODS

A retrospective analysis of consecutive patients who underwent surgery for spinal metastases between 2014 and 2020 at the Massachusetts General Hospital was performed. Patients were stratified according to the New England Spinal Metastasis Score (NESMS). Frailty was assessed using the metastatic spinal tumor frailty index. Nutrition was assessed using the prognostic nutritional index (PNI), preoperative body mass index, albumin, albumin-to-globulin ratio, and platelet-to-lymphocyte ratio. Outcomes included postoperative survival and complication rates, with focus on wound-related complications.

RESULTS

This study included 154 individuals (39% female; mean [SD] age 63.23 [13.14] years). NESMS 0 and NESMS 3 demonstrated the highest proportions of severely frail patients (56.2%) and nonfrail patients (16.1%), respectively. Patients with normal nutritional status (albumin-to-globulin ratio and PNI) had a better prognosis than those with poor nutritional status when stratified by NESMS. Multivariable regression adjusted for NESMS and frailty showed that a PNI > 40.4 was significantly associated with decreased odds of 90-day complications (OR 0.93, 95% CI 0.85–0.98). After accounting for age, sex, primary tumor pathology, physical function, nutritional status, and frailty, a preoperative nutrition consultation was associated with a decrease in postoperative wound-related complications (average marginal effect −5.00%; 95% CI −1.50% to −8.9%).

CONCLUSIONS

The PNI was most predictive of complications and may be a key biomarker for risk stratification in the 90 days following surgery. Nutrition consultation was associated with a reduced risk of wound-related complications, attesting to the importance of this preoperative intervention. These findings suggest that nutrition plays an important role in the postsurgical course and should be considered when developing a treatment plan for spinal metastases.
Smart Home Menggunakan PLC Outseal Berbasis Internet Of Things
Authors: NANDO ARDI MARTIA , FITRIANI ENDAH
Published: July 2023

Smart Home is actually a technology-based home. Smart Home technology is increasingly being developed after the discovery of Internet Of Things (IoT) Technology, where home appliances such as lights, fans, televisions, and fences can be controlled remotely. The purpose of this research is to develop a smart home technology that has been made before, by using the Outseal PLC as a controller, the ESP 8266 module as a liaison to the Blynk application, then using a photocell sensor, and a PIR sensor. The way this tool works is when the photocell sensor detects a room that lacks light, the lights will turn on automatically, and turn off automatically when the room gets enough light, and the function of the PIR sensor is to turn on the fan automatically when it detects movement of people entering the room. However the lights and fans can be controlled manually and controlled remotely using the Blynk App. From the results of the tests that have been carried out, the blynk application designed to control the opening and closing of the gate can work well. The PIR sensor works up to a distance of 20 meters, while the lack of light in the room can be detected by the photocell sensor
Efisiensi Penggunaan Daya Listrik Di Hotel Carrissima Palembang
Authors: Yansuri Daeny Septi , Putra Dian Eka , Subianto Subianto , Anggara Rio
Published: July 2023

The research was conducted by assuming when the hotel room was fully occupied by guests. This research is to find out in more detail about the use of energy, especially for electrical energy at the Carrissima Hotel Palembang, to find out and implement energy saving opportunities and increase the efficiency of electricity use. The research method used is the literature method, interview method, and observation method. From the calculations carried out, the results obtained for hotel lighting, especially in the hotel lobby, cannot be said to be effective in the use of electrical energy, from the calculations obtained the intensity of lighting is 16.25 Watt/m2, while the maximum limit specified is 20 Watt/m2, while for rooms hotels, the intensity of lighting is 5.16 Watt/m2, while the maximum limit specified is 17 Watt/m2. So the intensity of the Carrissima hotel room does not have an indication of energy wastage, but it is not efficient, lastly for the use of Air Conditioning (AC) at the Carrissima hotel, from the results of these calculations based on the Energy Consumption Index (IKE), where the level of comfort and energy saving in air-conditioned buildings is 23.75 to 37.75 W/m2. The use of air conditioning at the Carrissima hotel is above the convenience of wasting energy. The highest AC power intensity is on the 2nd and 3rd floors, which is 18.33 W/m2, while the lowest intensity is on the 1st floor, which is 1.38 W/m2.
MICROSOFT SWAY APPLICATION TO ENHANCE STUDENTS’ READING ABILITY OF DESCRIPTIVE TEXT
Authors: Rizki Amalia Yolanda , Hermansyah Hermansyah , Mayasari Santi
Published: July 2023

The research aimed to determine if there was a significant difference in the reading achievement of students who were taught using Microsoft Sway compared to those who were not. A quantitative method with a quasiexperimental design was employed for the study. Data collection involved a pre-test and post-test, while descriptive statistics were used for data analysis. The results showed that the independent sample t-test gave a value of 3.226, which was higher than the t-critical value of 2.000 at a 95% significance level with 65 degrees of freedom. This indicates that the obtained t-value exceeded the expected value from the t-table (t-obtained 3.226 > t-table 2.000). As a result, the null hypothesis was rejected and the alternative hypothesis was accepted.
THE CORRELATION OF LEARNING STYLE AND ENGLISH ACHIEVMENT OF THE STUDENTS OF NURUL HUDA SENIOR HIGH SCHOOL
Authors: Sartika Mita , Hatim Magdad , Rosmiyati Evi
Published: July 2023

This study aimed to investigate the learning styles utilized by students at Nurul Huda Senior High School and their correlation with English achievement. It adopted a correlational design and employed a quantitative methodology to analyze the relationship between students' learning styles and their English performance. The study employed the VAK Model, which encompasses Visual, Auditory, and Kinesthetic learning styles. The questionnaire utilized in the research was developed based on the VAK Learning Style Questionnaire. A total of 30 tenth-grade students from Nurul Huda Senior High School participated in the study. The questionnaire results indicated that the students employed various learning styles: 20% preferred kinesthetic, 56.7% preferred visual, 23.3% preferred auditory, and others exhibited a preference for more than one learning style. Future researchers could explore different theories, employ interviews, and include a larger number of participants. Additionally, conducting similar studies at Nurul Huda Senior High School to analyze other factors influencing students' English achievement would be beneficial. The researcher hopes that by identifying students' learning styles, both students and teachers can become more aware of individual learning preferences within the classroom setting.
THE INTEGRATION OF DUOLINGO INTO EFL LEARNING
Authors: Irzawati Ira
Published: July 2023

This study seeks to present an overview of the positive effects of incorporating Duolingo into English as a Foreign Language (EFL) learning. Through a review of fifteen journal articles sourced from reputable online databases, the researcher analyzed the effectiveness of using Duolingo in EFL learning. The findings indicated that integrating Duolingo into EFL learning had several benefits, including improved mastery of grammar and vocabulary, enhanced listening, reading, speaking, and writing skills, and increased student motivation to learn. The results of this study provide valuable and comprehensive information regarding the positive impacts of incorporating Duolingo into EFL learning. Such information is not commonly presented in similar research, which often focuses on investigating the use of Duolingo to improve specific English skills or components. This research aims to contribute to the development of EFL research by offering new insights into the integration of Duolingo into EFL learning.
TRANSCRIBING TOURISM CULTURAL CONTENT VIDEO TO ENRICH STUDENTS’ READING MATERIALS
Authors: Nadiyah Hanun , Hermansyah Hermansyah , Kartikasari Dewi
Published: July 2023

The learning process requires supportive elements, such as reading materials, to be effective. Providing appropriate reading materials involves adjusting the learning environment and considering the characteristics of the students. This enables teachers to motivate and guide students in constructing their language skills. Additionally, as a resident of Palembang, it is important to learn about cultural heritage to preserve the local culture. Songket, a traditional textile originating from Palembang, is one such cultural heritage. Utilising a booklet as a medium to convey information about Songket to students can enhance teaching and learning activities. The objective of this research was to develop reading materials for students by transcribing a Songket video. The researcher employed the Research and Methodology (R&D) method, as modified by Sukmadinata (2015). Data were collected through documentation and interviews. In the limited trial phase, the results indicated that the booklet required revisions in terms of content and design. Experts provided feedback to address inaccuracies in the content and grammatical errors and suggested adding the writer's information and the institution logo to the booklet. In the wider trial phase, experts recommended including additional information about Songket in the booklet before accepting it for printing as reading material. After incorporating all the necessary changes based on the feedback received, the writer concluded that the final product was accepted as suitable reading material for students, providing concise information about Palembang's Songket tradition.
INTERACTIVE ANIMATION TO INCREASE THE STUDENTS' READING COMPREHENSION
Authors: Mardiana Reka , Jaya Aswadi , Theriana Ana
Published: July 2023

The aim of this study was to examine the effects and advantages experienced by teachers and students when utilizing interactive animation. The research problem in this study focused on the perceptions of teachers and students regarding the impact of interactive animation on enhancing students' abilities as well as the benefits associated with its use. The study employed a descriptive qualitative method, and data was gathered through triangulation using questionnaires, interviews, and observations. The data analysis revealed that animated videos facilitated easier comprehension of narrative texts for students. The videos effectively portrayed moving objects accompanied by sound, captivating students' attention and fostering their enthusiasm during the learning process. The students demonstrated active engagement and attentiveness to the storyline. Utilizing animated videos as a teaching tool for narrative texts was found to be an effective approach. Finally, it is essential for teachers to address the basic English skills of their students as they navigate the challenges associated with this teaching method.
Uses and gratifications of social networking use: Associations with social capital and subjective well-being
Authors: Mittal Ella , Rani Tamanna
Published: July 2023

BACKGROUND: In recent years, social media has surged in popularity and affected every facet of people’s lives from the office environment to leisure time by transforming their lifestyles and influencing well-being. OBJECTIVE: The purpose of this study is to investigate the impact of social networking usage on the subjective well-being of users by first determining the key gratifications that motivate them to use social networking sites by applying the uses and gratification theory, and then focusing on psychological outcomes such as social capital that affect their subjective well-being. METHOD: The data were collected from 400 students of reputed universities in North India by adopting a judgemental sampling technique. RESULTS: Results indicated that key gratifications such as entertainment, tension release, personal integration, information seeking, emotional connection and socialization played a significant role in social networking usage. Moreover, social networking usage had a significant impact on bonding social capital, bridging social capital and subjective wellbeing. Furthermore, results showed that bonding social capital, and bridging social capital could significantly mediate the relationship between social networking usage and subjective well-being. CONCLUSIONS: Social networking usage has the potential to promote social capital and subjective well-being by addressing the fundamental needs of users in life.