bluuebunny/crossref_metadata_2025 huggingface dataset:
A patient-specific, interactive, multiuser, online mixed-reality neurosurgical training and planning system
Authors: Wang Jingyue , Zhao Yining , Xu Xinghua , Wang Qun , Li Fangye , Zhang Shiyu , Gan Zhichao , Xiong Ruochu , Zhang Jiashu , Chen Xiaolei
Published: January 2024

OBJECTIVE

Mixed-reality simulation is an emerging tool for creating anatomical models for preoperative planning. Its use in neurosurgical training (NT) has been limited because of the difficulty in real-time interactive teaching. This study describes the development of a patient-specific, interactive mixed-reality NT system. The authors took cases of intracranial tumor resection or neurovascular compression (NVC) as examples to verify the technical feasibility and efficacy of the mixed-reality NT system for residents’ training and preoperative planning.

METHODS

This study prospectively enrolled 40 patients who suffered from trigeminal neuralgia, hemifacial spasms, or intracranial tumors. The authors used a series of software programs to process the multimodal imaging data, followed by uploading the holographic models online. They used a HoloLens or a standard iOS device to download and display the holographic models for training. Ten neurosurgical residents with different levels of surgical experience were trained with this mixed-reality NT system. Change in surgical strategy was recorded, and a questionnaire survey was conducted to evaluate the efficacy of the mixed-reality NT system.

RESULTS

The system allows the trainer and trainee to view the mixed-reality model with either a HoloLens or an iPad/iPhone simultaneously online at different locations. Interactive manipulation and instant updates were able to be achieved during training. A clinical efficacy validation test was conducted. The surgeons changed their exploration strategy in 48.3% of the NVC cases. For residents with limited experience in surgery, the exploration strategy for 75.0% of all patients with NVC was changed after the residents were trained with the mixed-reality NT system. Of the 60 responses for intracranial tumors, the trainee changed the surgical posture in 19 (31.7%) cases. The change of the location (p = 0.0338) and size (p = 0.0056) of craniotomy are significantly related to the experience of the neurosurgeons.

CONCLUSIONS

The mixed-reality NT system is available for local or real-time remote neurosurgical resident training. It may effectively help neurosurgeons in patient-specific training and planning of surgery for cases of NVC and intracranial tumor. The authors expect the system to have a broader application in neurosurgery in the near future.
Intraoperative mixed-reality spinal neuronavigation system: a novel navigation technique for spinal intradural pathologies
Authors: Caliskan Kadri Emre , Yavas Gorkem , Cagli Mehmet Sedat
Published: January 2024

OBJECTIVE

The objective of this study was to assess the intraoperative accuracy and feasibility of 3D-printed marker-based mixed-reality neurosurgical navigation for spinal intradural pathologies.

METHODS

The authors produced 3D segmentations of spinal intradural tumors with neighboring structures by using combined CT and MRI, and preoperative registration of pathology and markers was successfully performed. A patient-specific, surgeon-facilitated application for mobile devices was built, and a mixed-reality light detection and ranging (LIDAR) camera on a mobile device was employed for cost-effective, high-accuracy spinal neuronavigation.

RESULTS

Mobile device LIDAR cameras can successfully overlay images of virtual tumor segmentations according to the position of a 3D-printed marker. The surgeon can visualize and manipulate 3D segmentations of the pathology intraoperatively in 3D.

CONCLUSIONS

A 3D-printed marker-based mixed-reality spinal neuronavigation technique was performed in spinal intradural pathology procedures and has potential to be clinically feasible and easy to use for surgeons, as well as being time saving, cost-effective, and highly precise for spinal surgical procedures.
Navigating the calvaria with mobile mixed reality–based neurosurgical planning: how feasible are smartphone applications as a craniotomy guide?
Authors: Dogan Ihsan , Eray Halit Anil , Ozgural Onur , Tekneci Ozan , Hasimoglu Savas , Terzi Macit , Mete Emre Bahir , Kuzukiran Yusuf Cem , Elmas Hasan , Orhan Ozgur , Abbasoglu Bilal , Bayatli Eyup , Zaimoglu Murat , Caglar Sukru
Published: January 2024

OBJECTIVE

Virtual simulation and imaging systems have evolved as advanced products of computing technology over the years. With advancements in mobile technology, smartphones, and tablets, the quality of display and processing speed have gradually improved, thanks to faster central processing units with higher capacity. Integrating these two technologies into the fields of healthcare and medical education has had a positive impact on surgical training. However, contemporary neurosurgical planning units are expensive and integrated neuronavigation systems in operating rooms require additional accessories. The aim of this study was to investigate the compatibility of smartphone applications in augmented reality (AR)–based craniotomy planning, which can be available even in disadvantaged workplaces with insufficient facilities.

METHODS

Thirty patients diagnosed with supratentorial glial tumor and who underwent operations between January 2022 and March 2023 were included in the study. The entire stages of the surgical procedures and the surgical plans were executed with neuronavigation systems. The patient CT scans were reconstructed using software and exported as a 3D figure to an AR-enhanced smartphone application. The evaluation of the application’s success was based on the spatial relationship of the AR-based artificial craniotomy to the neuronavigation-based craniotomy, with each AR-based craniotomy scaled from 0 to 3.

RESULTS

In the comparison between neuronavigation-based and AR fusion-based craniotomies, 8 of 30 (26.6%) patients scored 0 and were considered failed, 6 (20%) scored 1 and were considered ineffective, 7 (23.3%) scored 2 and were considered acceptable, and 9 (30%) scored 3 and were considered favorable.

CONCLUSIONS

AR technology has great potential to be a revolutionary milestone of neurosurgical planning, training, and education in the near future. In the authors’ opinion, with the necessary legal permissions, there is no obstacle to the integration of surgical technological systems with mobile technology devices such as smartphones and tablets that benefit from their low-budget requirements, wide-range availability, and built-in operating systems.
Mixed reality in neurosurgery: redefining the paradigm for arteriovenous malformation planning and navigation to improve patient outcomes
Authors: Najera Edinson , Lockard Gavin , Saez-Alegre Miguel , Piper Keaton , Jean Walter C.
Published: January 2024

OBJECTIVE

Brain arteriovenous malformations (AVMs) present significant challenges in neurosurgery, requiring detailed planning and execution. In this study, the authors aimed to evaluate the efficacy of mixed reality (MxR), a synergistic application of virtual reality (VR) and augmented reality (AR), in the surgical management of AVMs.

METHODS

A retrospective review was conducted on 10 patients who underwent AVM resection between 2021 and 2023. Preoperative planning used patient-specific 360° VR models, while intraoperative guidance used AR markers for targeted disconnection of arterial feeders. Data were analyzed for surgical duration, blood loss, and postoperative outcomes, stratified by Spetzler-Martin (SM) and supplemented Spetzler-Martin (Supp-SM) grades.

RESULTS

In 10 patients with cerebral AVMs, MxR significantly facilitated the identification of 21 arterial feeders, including challenging deep feeders. MxR-assisted surgeries demonstrated efficient identification and disconnection of arterial feeders, contributing to precise AVM resection. The mean surgical duration was approximately 5 hours 11 minutes, with a mean intraoperative blood loss of 507.5 ml. Statistically significant variations in surgical duration and blood loss were observed based on SM and supplemented Supp-SM grades. Two patients experienced worsened postoperative neurological deficits, underscoring the inherent risks of AVM surgeries. The marked difference in hospital stays between patients with ruptured and those with unruptured AVMs, particularly for SM grade III, highlights the significant impact of rupture status on postoperative recovery.

CONCLUSIONS

In this study, the authors delineated a novel paradigm using MxR for the surgical intervention of AVMs. Using 3D VR for preoperative planning and AR for intraoperative guidance, they achieved unparalleled precision and efficiency in targeting deep arterial feeders. While the results are promising, larger studies are needed to further validate this approach.
Selective dorsal rhizotomy using a 3D high definition exoscope
Authors: Lim Jia Xu , Seow Wan Tew , Ng Zhi Min , Low Sharon Y. Y.
Published: January 2024

Selective dorsal rhizotomy (SDR) is an established neurosurgical technique for children with spastic diplegia secondary to cerebral palsy. Meticulous intraoperative testing of individual nerve roots with electromyography in tandem with the on-site neurorehabilitation team is recommended for good clinical outcomes. The standard approach requires the neurosurgeons to spend extended time under the traditional operating microscope. In this video, the authors describe the use of a 3D exoscope system for SDR. Overall, the 3D exoscope improves ergonomics and reduces musculoskeletal fatigue for the operating neurosurgeons. Furthermore, it provides excellent visualization of important structures, allowing safe and efficient completion of the procedure.

The video can be found here: https://stream.cadmore.media/r10.3171/2023.10.FOCVID23105
Feasibility of exoscopic keyhole surgery: case series
Authors: Sáez-Alegre Miguel , Ríos-Vicil Christian , Piper Keaton , Najera Edinson , Jean Walter C.
Published: January 2024

Keyhole approaches, performed with the endoscope, microscope, or exoscope, aim to minimize tissue traumatization while maximizing surgical view. The exoscope can provide better ergonomics than the microscope without restricting the space inside of the keyhole, as when using the endoscope. However, a frequently quoted reason for intraoperative exoscope-to-microscope conversion is the absence of sufficient light. In this video, the authors present 4 patients who underwent posterior fossa keyhole surgery without intraoperative conversion. The surgical objective was achieved in all patients without associated morbidity. After adequate adaptation, the exoscope allows sufficient light in the surgical field to perform safe keyhole surgery.

The video can be found here: https://stream.cadmore.media/r10.3171/2023.10.FOCVID23116
Exoscopic microvascular decompression for hemifacial spasm and trigeminal neuralgia
Authors: Toda Hiroki , Hashikata Hirokuni , Ishibashi Ryota
Published: January 2024

The 4K 3D exoscope system is becoming increasingly used in neurosurgery. Its 3D ultra-high-definition image is valuable in identifying and dissecting the delicate neural and vascular structures during microvascular decompression. In this video, the authors describe several nuances and details to perform the exoscopic microvascular decompression, including the exoscope layout and the modified supine position. Several illustrative case presentations highlight the benefits of exoscopic surgery. The authors’ exoscopic microvascular decompression series of 159 patients showed noninferior surgical outcomes compared to the operative microscope with no significant increase in surgical risk. In conclusion, an exoscope can be a practical alternative to performing microvascular decompression.

The video can be found here: https://stream.cadmore.media/r10.3171/2023.10.FOCVID23122
Exoscopic resection of giant olfactory groove meningioma
Authors: Calvanese Francesco , Auricchio Anna Maria , Lehecka Martin
Published: January 2024

Olfactory groove meningiomas represent 8%–13% of all intracranial meningiomas. Gross-total resection for large (4–6 cm) and giant (> 6 cm) cases remains challenging due to their relationship with critical neurovascular structures and extensive frontal lobe edema. A variety of transcranial and endoscopic approaches have been described. This 2D operative video shows the use of a digital 3D exoscope in the removal of a giant olfactory groove meningioma through a lateral supraorbital approach in a 57-year-old woman with visual impairment and apathy. The exoscope provides a very good angulated view of the subfrontal area on both sides of the anterior cranial fossa even through a small craniotomy.

The video can be found here: https://stream.cadmore.media/r10.3171/2023.10.FOCVID23125
Exoscope-assisted temporal bone resection: operative videos of the lateral and total techniques
Authors: Rodas Alejandra , Porto Edoardo , Revuelta Barbero Juan M. , Vuncannon Jackson R. , Zohdy Youssef M. , Patel Biren Khimji , Pradilla Gustavo , Solares C. Arturo
Published: January 2024

Skull base malignancies arising from the parotid gland, skin, or external auditory canal (EAC) can potentially involve the temporal bone. Management of these invasive tumors represents a true challenge considering the critical neurovascular relationships. Exoscope-assisted temporal bone resection (TBR) plays a crucial role in addressing such malignancies. The extent of disease is evaluated using the Pittsburgh staging system, which then guides the boundaries of resection. Lateral TBR (LTBR) relies on removal of the EAC and lateral ossicles and is generally appropriate for stage T1 and T2 tumors. Total TBR (TTBR) is reserved for high-grade tumors involving the petrous apex.

The video can be found here: https://stream.cadmore.media/r10.3171/2023.10.FOCVID23135
Exoscope-based supracerebellar infratentorial approach for a pineal meningioma in the prone position
Authors: Mallela Arka N. , Plute Tritan J. , Abou-Al-Shaar Hussam , Fernandes Cabral David T. , Hadjipanayis Constantinos G.
Published: January 2024

The supracerebellar infratentorial (SCIT) approach is a well-described corridor to lesions in the quadrigeminal cistern, pineal gland, and dorsal midbrain. It can be performed in the prone or sitting position. The sitting position offers the benefit of gravity retraction of the cerebellum but comes at the expense of nonergonomic hand positioning and the potential risk of air embolism. The 3D exoscope is an alternative to the operating microscope and permits the SCIT approach in the prone position with excellent visualization. This video demonstrates exoscope-based SCIT approach for resection of a pineal meningioma in the prone position.

The video can be found here: https://stream.cadmore.media/r10.3171/2023.10.FOCVID23155
Microvascular decompression for developmental venous anomaly causing hemifacial spasm: illustrative case
Authors: Tugend Margaret , Sekula Raymond F
Published: January 2024

BACKGROUND

Developmental venous anomaly (DVA) is a rare cause of hemifacial spasm (HFS). The treatment of HFS caused by a DVA varies in the literature and includes medication management, botulinum toxin injections, and microvascular decompression (MVD).

OBSERVATIONS

A 64-year-old woman presented with right-sided HFS. Preoperative magnetic resonance imaging showed a DVA in the right inferior pons, with an enlarged segment compressing the facial nerve at its root detachment point prior to drainage into the superior petrosal sinus. MVD was performed, and the facial nerve was decompressed without sacrifice of the vein. Immediately following the procedure, the patient had significantly reduced spasms. The patient became spasm-free 3 months after MVD and maintained spasm freedom for 3 months. Six months after MVD, the patient had a partial return of spasms. At 8 months, the patient continued to have reduced and intermittent spasms in the right orbicularis oculi muscle.

LESSONS

MVD for HFS caused by a DVA is a safe procedure and can be effective at reducing spasm frequency and severity.
Coexistence of anterior choroidal artery and posterior cerebral artery retia mirabilia presenting with subarachnoid hemorrhage: illustrative case
Authors: Yamaguchi Izumi , Kanematsu Yasuhisa , Shimada Kenji , Korai Masaaki , Miyake Kazuhisa , Sogabe Shu , Ishihara Manabu , Haboshi Tatsuya , Teshima Natsumi , Suzuki Kaito , Takagi Yasushi
Published: January 2024

BACKGROUND

A rete mirabile is a rare vascular anomaly, with posterior cerebral artery (PCA) involvement being especially rare. Its pathogenesis has been speculated as a remnant of “distal annexation” between the primitive anterior choroidal artery (AchA) and the PCA at this site, but the exact mechanisms remain unclear.

OBSERVATIONS

A 29-year-old man presented with subarachnoid hemorrhage. Arteriovenous malformation in the medial temporal lobe was initially suspected, but an arteriovenous shunt was not detected. First, conservative treatment was administered; however, rebleeding occurred 1 month later. Carotid angiography revealed a network-like cluster of blood vessels at the choroidal point of the AchA, suggesting a rete mirabile; these vessel clusters led to the persistent temporo-occipital branch of the AchA. Furthermore, an aneurysm was detected at the junction between the rete mirabile and the persistent temporo-occipital branch of the AchA. Additionally, vertebral angiography demonstrated a rete mirabile at the P2 segment. These findings suggested the coexistence of AchA and PCA retia mirabilia. Consequently, the aneurysm was clipped using a subtemporal approach to prevent re-rupture, and the postoperative course was uneventful.

LESSONS

This first report of coexisting AchA and PCA retia mirabilia supports the remnant of distal annexation between the primitive AchA and the PCA as the reason for rete formation at this site.
Acute Kidney Injury among Neonates with Perinatal Asphyxia in a Tertiary Care Centre
Authors: Giri Arun , Yadav Sunil Kumar , Shah Vijay Kumar
Published: January 2024

Introduction: Perinatal asphyxia is a very common cause of morbidity and mortality in both term and preterm neonates and ranks the second most important cause of neonatal death. The incidence and importance of acute kidney injury in the neonatal period are becoming increasingly apparent. Early diagnosis and timely management of acute kidney injury is very important in these newborns to avoid other long-term adverse events. This study aimed to find out the prevalence of acute kidney injury among neonates with perinatal asphyxia in a tertiary care centre.
Methods: A descriptive cross-sectional study was conducted at the neonatal intensive care unit and nursery in a tertiary care hospital of Eastern Nepal from 1 November 2021 to 31 October 2022 after obtaining ethical approval from the Institutional Review Committee. A convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval.
Results: Among 97 neonates, the prevalence of acute kidney injury was seen among 60 (61.86%) (50.25-69.75, 95% Confidence Interval) neonates. Out of which 42 (70%) were males and 18 (30%) were female.
Conclusions: The prevalence of acute kidney injury among neonates with perinatal asphyxia was found to be higher than other studies done in a similar setting.
Complicated Congenital Pulmonary Adenomatoid Malformation Type I following Right Lower Lobectomy: A Case Report
Authors: Basnet Preeti , Joshi Anish , Karki Saurab , Shrestha Suchitra , Thapa Sagar
Published: January 2024

Congenital pulmonary airway malformation is a rare congenital abnormality of the lungs. It canmanifest at any age and can lead to significant morbidity and mortality in infants and children. Some individuals with congenital lung malformations may present with respiratory symptoms right after birth, while others may remain asymptomatic for extended periods. We present a case of a 4-year-old female child who experienced recurrent chest infections. Imaging revealed type I congenital pulmonary airway malformation with an underlying infection. Despite the increased risks associated with surgery and the complexity of the disease, the patient underwent a posterolateral thoracotomy with resection of the right lower lobe. The patient achieved successful outcomes and was able to recover successfully following the surgery. This case study holds significance because several studies have focused on the timing and outcomes of surgical intervention in asymptomatic cases, thereremains a lack of consensus regarding symptomatic patients and their outcomes after surgery.
Literature Review Pemanfaatan Limbah Gergajian Kayu Sebagai Pengganti Agregat Dalam Pembuatan Batako
Authors: Setyoningrum Annisya
Published: January 2024

Tujuan dari artikel ini adalah mengeksplorasi serta meriview mengenai pemanfaatan limbah gergajian kayu sebagai pengganti agregat dalam pembuatan batako. Batako yaitu beton ringan cetak yang terbuat dari campuran antara pasir semen dan air dengan perbandingan tertentu yang digunakan untuk pemasangan dinding. Pembuatan batako dengan campuran serbuk gergajian dimaksudkan agar dapat menggurangi dan memanfaatkan limbah industri pekerjaan semaksimal mungkin, sebab limbah serbuk gergaji tersebut masih belum di manfaatkan secara maksimal bahkan cenderung menggangu dan tertimbun sebagai sampah. Limbah serbuk gergajian kayu dapat dimanfaatkan sebagai pengganti agregat halus atau pasir pada pembuatan batako. Dari hasil pengujian serbuk gergajian tersebut dapat diketahui bahwa karakteristik serbuk gergajian tersebut memenuhi kwalitas berdasarkan standard SK SNI S-04-1989-F untuk agregat halus
Developing Academic Writing Learning Module to Improve Writing Skills of Graduate Program Students
Authors: Warlizasusi Jumira , Ifnaldi Ifnaldi , Nuzuar Nuzuar , Qodri Ahmad , Utami Henny Septia
Published: January 2024

Academic writing is one of the skills needed by students, especially postgraduate students. However, there were still many writing problems experienced by Islamic Education Management Postgraduate students of IAIN Curup batch 2020. Therefore, it was necessary to develop a learning model for Academic Writing course. This study aims to investigate the development of a learning model in the Academic Writing course. This study used 4D development research model (Define, Design, Develop, and Disseminate). The result of the study shows that the learning model in the Academic Writing course was carried out into these stages: prewriting stage, drafting stage, responding stage, revising stage, and evaluating stage. By carrying out the academic writing course, there were improvements in the writing skills of the postgraduate students. In the prewriting stage, it was observed that the students had already the skills needed to be possessed in the pre-writing stage. Then in the writing stage, the students had possesed skills in processing or analyzing data, and the students also had been able to revise their writings. This research produced a learning module for the Academic Writing course that has been refined from the modules used so far. The contribution of learning academic writing is in the academic writing course which teaches writing systematics, rules for writing, reference management, how to submit articles to nationally reputable journals, paraphrasing. The results of this course can be seen from student articles which have been published in many accredited journals Sinta 3 and Sinta 4.
Learning Management of Female Students with Dual Roles at State Islamic University
Authors: Alwis Alwis , Diana Rahmi , Witro Doli , Nurdiansyah Rifqi , Alghani Raid
Published: January 2024

This article aims to reveal learning management for State Islamic University students with dual roles, namely studying and managing the household. This study used a descriptive-quantitative method using a sample of eight female students pursuing undergraduate education at a State Islamic University in West Java through a convenience sampling technique. Data collection techniques are through observation, interviews, and documents. At the same time, the data analysis technique uses a technique popularized by Miles and Huberman, namely data condensation, data display, and concluding. The study results show that it is challenging to discipline female students with multiple roles in time management. However, following the flow, adapting, dividing the time, and trying to do each of these roles well. However, the achievement can not be felt optimally. Therefore, it is sporadic for female students to have multiple roles in determining the management of their study time. As for trying to continue to design good learning time management, it will be able to discipline in moving forward and achieving predetermined goals
Application of the Lok-R Learning Strategy to Science Literacy
Authors: Kurniawan Ikhwan , Sarwi Sarwi , Sukasih Sri
Published: January 2024

This study aims to determine whether or not there is an influence of LOK-R (Literacy, Orientation, Collaboration, Reflection) learning strategies on scientific literacy skills. This type of research includes pre-experimental research with a one-group pre-test and post-test research design. This research was conducted at MI Islamiyah Kalimukti with a sample of 15 students. Data were collected by conducting a pre-test to determine students' initial scientific literacy skills and a post-test to determine the increase in students' scientific literacy abilities after implementing the LOK-R learning strategy. Research data were analyzed using descriptive and quantitative analysis. The n-gain study showed an increase in the average pretest and posttest results. Before implementing the LOK-R learning strategy, the average pretest of students was 56.47; then, it increased to 81.33 in the posttest results of students after implementing the LOK-R learning strategy. Likewise, the paired sample test results obtained a significant value of 0.000 <0.05, which means that H0 is rejected and Ha is accepted. This shows that applying the LOK-R learning strategy increases students' scientific literacy skills. Therefore, the LOK-R learning strategy can be an alternative in science learning activities on heat material and its transfer.
Study Analysis of Character Values in the Thematic Book for Grade III Elementary School Students
Authors: Asrial Asrial , Syahrial Syahrial , Kurniawan Dwi Agus , Fadillah Putri
Published: January 2024

These character values are 18 contained in the Thematic Book for Grade III Elementary School Students which can be studied by educators through analysis. This study aims to examine the analysis of material content in the Thematic Book for Grade III Elementary School Students Curriculum 2013 Revised Edition 2018 which contains character values. This research uses a qualitative approach with a type of document study. The subject in this study is the researcher himself. The objects used in this study are contained in data and data sources. This research data is in the form of 18 character values in the 2013 Curriculum. The data source is in the form of Thematic Books for Grade III Elementary School Students Curriculum 2013 Revised Edition 2018. The data is analyzed by content analysis method. The content analysis techniques used, namely unitizing sampling, recording, reducing, inferring, and narrating. The results of the analysis of character values studies in the Thematic Book for Grade III Elementary School Students Curriculum 2013 Revised Edition 2018 are religious, honest, tolerance, discipline, hard work, creative, independent, respect achievements, democratic, curiosity, national spirit, love of the country, friendly/communicative, love peace, love of reading, care for the environment, care for social, and responsible. By reviewing the contents of the Thematic Book for Class III Students Curriculum 2013 Revised Edition 2018, it is hoped that educators can find out the character values contained in the book and be able to help students form student character values in each of their learning activities.
Evaluation of Neurological Manifestations of Systemic Lupus Erythematosus
Authors: Rasheed Ahmed A. , Shalal Ghayath A. , Hussein Sadiq M.
Published: January 2024

Background: Neuropsychiatric symptoms are typical consequences in patients with systemic lupus erythematosus (SLE). There is no apparent link between the clinical parameters of SLE patients and the development of neuropsychiatric symptoms.
Objectives: to determine the incidence of neurological manifestations and the risks associated with them in SLE patients.
Patients and Methods: This is a case-series study comprised of 65 patients who visited the rheumatology department at Baghdad Teaching Hospital/Medical City between January 2022 and February 2023. All patients' demographic and clinical data, including age, gender, disease duration, type and duration of treatment, general signs of the disease, and neurological and psychiatric manifestations of SLE, were collected. Laboratory data comprised plasma anti-phospholipid antibodies (aPL), anti-double-stranded DNA (anti-dsDNA), erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP). The cognitive dysfunction was assessed using the six-item cognitive impairment test (6CIT).
Results: Out of 65 patients, 34 (52.3%) were found to have at least one neuropsychiatric SLE (NPSLE) manifestation. Headache and depression were the most common NPSLE manifestations encountered in 36 patients (55.4%), followed by psychosis (21.5%), neuropathy (16.9%), and stroke and seizure (13.5%). In multivariate analysis, each of age > 35 years (OR= 2.92, 95%CI= 1.12-34.2 0.10), disease duration > 5 years (4.45, 95% CI = 1.23-28.43, p= 0.001), anti-phospholipid Abs (OR= 4.22, 95%CI= 1.17-89.38), lupus nephritis (OR= 6.34, 95% 1.27- 64.98) and 6CIT > 3 (OR = 5.83, 95% CI = 1.55-21.87) are independent predictors for NPSLE in patients with SLE.
Conclusions: Neuropsychiatric manifestations developed in more than half of the SLE cases studied within up to six years of disease duration. Headache and depression, psychosis, and neuropathy are the most common NPSLE manifestations. Older age and longer disease duration are risk factors for the development of NPSLE. Clinically, anti-phospholipid antibodies, lupus nephritis, and a high score of the six-item cognitive impairment test (>8) are predictors for NPSLE.
The Value of Muscle Thickness of Lower Limbs in Detection of Diabetic Peripheral Neuropathy
Authors: Abdulkareem Sally H. , Ameer Abdulnasir H.
Published: January 2024

خلفية البحث: يبرز الاعتلال العصبي باعتباره من أكثر المضاعفات المرتبطة بمرض السكري انتشارا ، حيث يؤثر على ما لا يقل عن 50٪ من الأفراد المصابين بداء السكري طوال حياتهم.  باعتباره السبب  الأكثر شيوعا للإعاقة بسبب صعوبات المشي ، وتقرحات القدم ، وفقدان الأطراف الثانية ، فإن الاعتلال العصبي المحيطي السكري  يستحق الدراسة ، وإن التشخيص المبكر لأعراضه مهم .
الاهداف : تهدف الدراسة إلى المساعدة في تحديد الاعتلال العصبي المحيطي السكري من خلال تحديد سمك العضلات في الأطراف السفلية لدى المرضى المصابين بهذا المرض
المرضى وطرق العمل/ المواد وطرق العمل: شملت الدراسة 24 مريضا يعانون من الاعتلال العصبي المحيطي السكري  و 25 متطوعا غير مصابين بالمرض، والذين تم تقسيمهم إلى مجموعتين: 8 أفراد مصابين بمرض السكري لكن غير مصابين بالاعتلال العصبي المحيطي و 17 فردا سليما. خضع كل من هؤلاء الأشخاص لفحص الاعصاب الحركية الشظوية والقصبية لكلا الأرجل والموجات فوق الصوتية لخمس عضلات لقياس سمك العضلات. تم قياس سمك العضلة المبعدة لابهام القدم ، العضلة الباسطة االفصيرة لأصابع القدم، عضلة الطويلة المثنية لابهام القدم  ، العضلة الظنبوبية الأمامية  ، والعضلة الفخذية المستقيمة  على كلا الجانبين باستخدام الموجات فوق الصوتية.
النتائج:  كشفت الدراسة عن انخفاض معتد به إحصائيا في سمك العديد من العضلات التي يتم  اختبارهاعند المرضى المصابين يالاعتلال العصبي المحيطي عند مقارنتها بمججموعة الأشخاص غير المصابين به.
 
الاستنتاجات: تشير هذه النتائج إلى احتمال أن تكون الموجات فوق الصوتية الكمية للعضلات مفيدة في تحديد التغيرات العضلية المرتبطة ب الاعتلال العصبي المحيطي السكري. من الضروري إجراء دراسات إضافية للتحقق من النتائج في عينات أكبر من مرضى السكري.
 
مفتاح الكلمات: الموجات فوق الصوتية العصبية العضلية ، سمك العضلات ، الاعتلال العصبي المحيطي السكري.
Association of Epileptiform Discharge and Autism Spectrum Disorder Severity in Children Attending the Outpatient Clinics, Child Welfare Teaching Hospital, Baghdad
Authors: Abdulrazaq Esraa E. , Saeed Ghassan Th.
Published: January 2024

خلفية البحث: الأشخاص الذين يعانون من اضطراب طيف التوحد لديهم معدل انتشار مرتفع للنوبات الصرعية مقارنة بالأشخاص العامة وفقا لمجموعة كبيرة من الابحاث أيضا تم العثور على مرضى طيف التوحد الذين لا يعانون من نوبات صرعية لديهم معدلات عالية من موجات صرعية. ومع ذلك، لا يزال من غير المعروف كيف ترتبط هذه الموجات الصرعية بين أعراض التوحد.
الأهداف: استخدمت هذه الدراسة تخطيط كهربية الدماغ للتحقيق في العلاقة بين موجات الصرع البيني وشدة التوحد عند الأطفال.
المواد وطرق العمل: أجريت دراسة مقطعية على 30 طفلا مصابا بالتوحد، (23) ذكورا، و (7) إناث. تراوحت أعمار الأطفال بين (2 سنة و12 سنة). استوفى أطفال التوحد معاييرالدليل التشخيصي والإحصائي للاضطرابات العقلية، الإصدار الخامس وتم استخدام مقياس تصنيف التوحد في مرحلة الطفولة لتحديد شدة التوحد.
النتائج: اكتشفنا أن 33.4٪ من الأطفال المصابين بالتوحد لديهم نتائج تخطيط كهربية الدماغ غير طبيعية. كانت شدة التوحد وتشوهات تخطيط كهربية الدماغ مرتبطة احصائيا بشكل كبير.
الإستنتاجات: وفقا للنتائج هناك علاقة بين تشوهات مخطط كهربية الدماغ ودرجة شدة التوحد.
وفقا للننتائج هناك علاقة بين تشوهات مخطط كهربية الدماغ ودرجة التوحد.
Effect of Adolescent Pregnancy on Dental Caries Experience and Selected Salivary Physicochemical Characteristics
Authors: Aljabari Balsam A. , Hoobi Nibal M.
Published: January 2024

الخلاصة                                                                        
المقدمة : حمل المراهقات مرتبط بتأيرات صحية كبيرة على المراهقات الحوامل بما في ذلك المضاعفات الطبية ومشاكل صحة الفم.
 هدف الدراسة: تقييم تجربة تسوس الأسنان في حمل المراهقات.
 الطريقة: تضمنت العينات 80 أنثى تم تصنيفها في مجموعة دراسة ضمت 40 من المراهقات الحوامل للمرة الاولى تتراوح أعمارهن بين (15-19) سنة ومجموعة ضابطة تضم 40 امراة حامل للمرة الاولى  تتراوح أعمارهن بين 20 و 32 عامًا تزوجن في سن 20 عامًا أو أكثر ، وجميعهم في الثلث الثاني من الحمل. تم جمع عينات اللعاب غير المحفزة ، وتقييم معدل تدفق اللعاب ، ودرجة الحموضة ، و تسوس الأسنان ، كما تم تحليل عينات اللعاب لتقدير تركيز اللاكتوفيرين اللعابي.
النتائج: وجد ان مؤشر تسوس الاسنان ومستوى اللاكتوفيرين اللعابي في مجموعة الدراسة أعلى من المجموعة الضابطة ، مع وجود فرق معنوي ، حيث وجد أن معدل تدفق اللعاب ودرجة الحموضة اللعابية لمجموعة الدراسة أقل من تلك الموجودة في المجموعة الضابطة مع عدم وجود فرق معنوي.
 الاستنتاج: الحوامل المراهقات معرضات بنسبة عالية لتسوس الأسنان. وبالتالي يجب نشر برامج توعية مناسبة حول حمل المراهقات فيما يتعلق بآثاره السلبية على الصحة العامة وصحة الفم وتوجيه ممارسي طب الأسنان لتوفيرمحفزات للاهتمام بصحة الفم وخدمات طب الأسنان لهذه الفئة من المجتمع..
Correlation between Cognition and Quantitative EEG Changes in Patients with Migraine
Authors: Abdul Kareem Raghad A. , Al-Omary Hanan L.
Published: January 2024

العلاقة بين  القدرة الإدراكيه والتغيرات الحاصله في تخطيط الدماغ الكمي لدى مرضى الصداع النصفي
الدكتوره رغد علاء عبد الكريم: بكالوريوس طب وجراحة عامه
الاستاذ الدكتور حنان لؤي العمري: كلية الطب/جامعة بغداد
الاستاذ الدكتور امير البكري: كلية الهندسه الطبيه/جامعة بابل
الخلاصه:
خلفية البحث: الصداع النصفي هو اضطراب إعاقة شائع يتميز بنوبات من الصداع غالما ما تكون في جانب واحد من الرأس ، متوسط ​​إلى شديد ، يتم تشخيص الصداع النصفي وفقًا للإصدار الثالث من( (ICHD-3) الذي طورته جمعية الصداع الدولية ، وهناك عدة أنواع الصداع النصفي ، والأكثر شيوعًا هو الصداع النصفي بدون أوره أو نسمه (MOA) والصداع النصفي المصحوب ب أوره أو نسمه (MWA).
الأهداف: هدفت هذه الدراسة إلى إيجاد العلاقات المتبادلة بين التغيرات الكمية في مخطط كهربية الدماغ مع القدره الادراكيه لدى مرضى الصداع النصفي.
المواد و طرائق العمل: اشتملت الدراسة على 40 مريضًا بالصداع النصفي ، 18 أثناء نوبة الألم و 22 أثناء فترة خالية من الألم (بين النوبات) ، و 35 شخص سليم، وقد تم تقييم القدره الادراكيه من خلال فحص Montreal cognitive assessment (MoCA)، وتم إجراء تخطيط كهربية الدماغ لفروة الرأس لمدة 20 دقيقة بعد ذلك تم اخذ أربعة ثوان فحص تخطيط الدماغ لإيجاد كثافة القدرة الطيفية لكل من دلتا (0.5-4) هرتز , ثيتا (4-8)هرتز , ألفا (8-12) هرتز و بيتا (12-30) هرتز.
النتائج: وجد التحليل الكمي لـ EEG أن هناك انخفاضًا كبيرًا في ثيتا ، وموجات بيتا في النمط التنازلي من من الاشخاص السليمين إلى مرضى الصداع النصفي خلال الفتره بدون الم الى مرضى الصداع خلال فترة الصداع مع زيادة موجات ألفا في النمط التصاعدي من الاشخاص السليمين إلى مرضى الصداع النصفي خلال الفتره بدون الم الى مرضى الصداع خلال فترة الصداع , اما فحص ألقدره الأدراكية فقد تبين ان هناك فرق كبير بين مرضى الشقيقة ومرضى الصداع النصفي في مجالات الذاكرة واللغة والتجريد.
الاستنتاجات: انخفاض الأداء المعرفي لدى مرضى الصداع النصفي خلال كل من مرحلتي (النوبات و بين النوبات) عند مقارنتها الاشخاص السليمين وتشير إلى أن موجات ثيتا وبيتا ترتبط بشكل إيجابي بالإدراك بينما موجة ألفا ترتبط سلبًا بالإدراك.
مفتاح الكلمات: الصداع النصفي ، الإدراك ، تخطيط كهربائية الدماغ ، كثافة القدرة الطيفية.
Changes in levels of Interleukin-6 (IL-6) and Interleukin-8 (IL-8) in the Serum of Preterm Delivery Pregnant Women Affected by Gingivitis
Authors: Maddah Shaden H. , Taha Ghada I.
Published: January 2024

Background: Periodontal disease increases local and systemic inflammatory responses in pregnant women, which may lead to premature delivery.
Objectives: To detect maternal serum levels of proinflammatory cytokines (interleukine-6, interleukin-8) with preterm delivery in pregnant women suffering from gingivitis.
Methods: In this case-control study, a total of 85 pregnant women were included in the study, of whom 55 had gingivitis: 25 preterm deliveries and 30 full-term deliveries. Thirty healthy pregnant women with healthy gingiva were in the control group. They were selected from Al-Ramadi Teaching Hospital for Gynaecology and Paediatrics, from November 2022 to May 2023. Blood samples were collected from all participants, and the biomarkers and cytokines were detected by immunosorbent assay kits.
Results: The current study showed an increased level of interleukin-6 and interleukin-8 in the pre-term delivery gingivitis group followed by full-term delivery pregnant groups having gingivitis compared with the control group, with statistically highly significant differences.
Conclusion: Pregnant women with gingivitis with the highest levels of Interlukine-6 and Interlukine-8 were more prone to have premature delivery than those with lower levels of Interleukins and those without gingivitis.
Yükseköğretimde Acil Uzaktan Öğretimin Etkileri: Bir Eğitim Fakültesinde Araştırma Görevlilerinin Yaşadığı Sorunlar
Authors: KESER ÖZMANTAR Zehra
Published: January 2024

Bu çalışma yükseköğretim kurumlarında 2020 yılında acil uzaktan öğretime geçilmesiyle beraber araştırma görevlilerinin yaşadıkları sorunları yönetim süreçleri bağlamında ele almak ve yeniden yüz yüze eğitime geçildikten sonra da devam eden sorunların neler olduğunu belirlemek amacıyla yapılmıştır. Araştırma bir durum çalışması olup veriler sekiz araştırma görevlisiyle yapılan görüşmeler sonucunda elde edilmiştir. Veri analiz çerçevesi olarak planlama, örgütleme, kadrolama, yöneltme ve denetleme aşamalarından oluşan beş basamaklı yönetim süreçleri yaklaşımı temel alınmıştır. Bulgularda araştırma görevlilerinin acil uzaktan öğretime geçilmesiyle birlikte yönetim süreçleri çerçevesinde fakülte yönetimi, öğretim üyeleri, idari personel ve öğrencilerle farklı boyutlarda sorunlar yaşadıkları görülmüştür. Araştırma görevlileri yeniden yüz yüze eğitime geçildiğinde de salgın sırasında başlayan ancak hala devam eden yeni sorunlarla karşı karşıya kaldıklarını belirtmişlerdir. Bu sorunlar bulaş riski bahaneleri, mesai kavramının yitirilmesi, Whatsapp yöneticiliği, akademik çalışmaların aksaması ve devam eden yüksek beklentilerle karşı karşıya kalma şeklinde sıralanmıştır. Araştırma görevlilerinin gelecekteki akademik yapılanmaya olan etkisi ve uzaktan öğretim uygulamalarının karşılaşılan yeni kriz durumlarında başvurulan bir yöntem olması gerçeğinden hareketle yaşanan sorunların çözümü için iletişim problemlerinin çözülmesi, iş yükü fazlalığının giderilmesi ve araştırma görevlilerinin kendilerini akademik anlamda gelişimlerini sağlayacak imkanların verilmesi gerekmektedir.
Google Yorumları Üzerinden Makine Öğrenme Yöntemleri ve Amazon Comprehend ile Duygu Analizi: İç Anadoluda Bir Üniversite Örneği
Authors: DEMİRBİLEK Mustafa , ÖZULUKALE DEMİRBİLEK Sevim
Published: January 2024

Fikir madenciliği olarak da bilenen duygu analizi, metin verilerinde ifade edilen duygusal tonu, duyguyu veya öznel bilgiyi belirleme ve sınıflandırma işini içeren doğal dil işleme tekniğidir. Sosyal medya platformları aracılığı ile üretilen çok fazla sayıda yorum ve değerlendirmenin analizinin yapılabilmesi, sağlıktan üretime, eğitimden hizmete kadar pek çok alanda, yüksek rekabet şartlarında faaliyet gösteren kurumların gelecek projeksiyonu için önem arz etmektedir. Bu çalışmada, bir devlet üniversitesi hakkında Google üzerinden yapılan yorumlar için duygu analizi çalışması yapılmıştır. Web kazıma tekniği ile MS Excel’e aktarılan yorumlar, ön işleme sürecine tutulduktan sonra hem Lojistik Regresyon, Gaussian Naive Bayes ve Destek Vektör Makinesi gibi önemli denetimli makine öğrenmesi metotlarıyla hem de CatBoost gibi gelişmiş birleşik öğrenme metoduyla değerlendirilmiştir. Bununla beraber literatürde duygu analizi çalışmalarında sıkça kullanılan derin öğrenme metodu olan LSTM ve Amazon firmasının duygu analizi çalışmaları için kullanıcılara açtığı AWS Comprehend servisi, yorumların analizi ve modellenmesinde kullanılmıştır. Literatürde sıkça kullanılan performans metrikleriyle sonuçlar karşılaştırılmıştır. Kullanılan yöntemler için tüm performans metrikleri üzerinden başarı oranı %80’in üstünde çıkmıştır. Bu da duygu analizi için seçilen tüm makine öğrenmesi tekniklerinin ve AWS Comprehend’in başarılı bir şekilde uygulanabileceğini göstermektedir. Duyarlılık hariç tüm metrikler bakımından en iyi sonucu AWS Comprehend uygulaması vermiştir.
ANALISIS KONDISI FASILITAS SANITASI PADA OBJEK WISATA PANTAI DEWATA WAKKA DI KABUPATEN PINRANG
Authors: Ruhban Andi , Indraswari Ni Luh Astri , Rismayanti Rismayanti
Published: January 2024

Kenyamanan dan kesehatan wisatawan didukung dengan keutuhan fasilitas yang ada. Fasilitas sanitasi di objek wisata meliputi tempat sampah yang tidak tersedia, kamar mandi yang tidak bersih, air bersih yang tidak memenuhi syarat serta kurangnya penanganan air limbah dapat menjadi penyebab terjadinya penularan penyakit. Tujuan dari penelitian ini adalah untuk menganalisis fasilitas lingkungan pada objek wisata di pantai Dewata Wakka Pinrang. Penelitian dilakukan dengan metode survey deskriptif, sampel menggunakan teknik total sampling dimana semua fasilitas yang ada pada objek wisata pantai wakka menjadi sampelnya dengan analisis data secara kualitatif mengacu pada referensi yang relevan.Hasil dari penelitian menunjukkan bahwa air bersih pada objek Pantai Dewata Wakka Pinrang kecamatan Cempa kabupaten Pinrang tersedia dengan jumlah cukup, memenuhi persyaratan fisik karena menggunakan air Perusahaan Daerah Air Minum (PDAM), kondisi toilet umum tidak bersih dan tidak terpelihara karena kurangnya perhatian oleh pengelola toilet, pembuangan sampah tidak tersedia tempat sampah dengan jumlah yang cukup, tidak kuat, tidak tahan karat, tidak kedap air, permukaan tidak halus dan tidak berpenutup, tidak tersedia tempat penampungan sementara (TPS) yang memenuhi syarat dan kondisi saluran air limbah tidak dilakukan pengelolaan sendiri dan tidak disalurkan dengan saluran tertutup, kedap air dan lancar.Diharapkan untuk pihak pengelola objek wisata dapat memperbaiki kondisi fasilitas sanitasi objek wisata, dengan memperhatikan kebersihan dan kenyamanan bagi pengunjung dan diharapkan juga kepada pengunjung agar tetap menjaga kebersihan. 

Kata Kunci : Objek Wisata, Air Bersih, Toilet,  Air Limbah, Sampah
FAKTOR YANG BERHUBUNGAN DENGAN PENGGUNAAN ALAT PELINDUNG DIRI (APD) PADA PENGANGKUT SAMPAH WILAYAH KOTA DINAS LINGKUNGAN HIDUP KABUPATEN JENEPONTO
Authors: Arif Muhammad Ikbal , Selpianriani Selpianriani , Ali Haidina
Published: January 2024

ABSTRAK

Alat pelindung diri adalah alat atau perlengkapan yang digunakan untuk melindungi diri dan menjaga keselamatan pekerja saat melakukan pekerjaan yang memiliki potensi bahaya atau resiko kecelakaan kerja. Alat-alat pelindung diri (APD) yang digunakan harus sesuai dengan potensi bahaya dan resiko pekerjaanya sehingga efektif melindungi pekerja sebagai penggunannya. Penelitian ini bertujuan untuk mengetahui faktor yang berhubungan dengan penggunaan Alat pelindung diri (APD) pada pengangkut sampah Wilayah Kota Dinas Lingkungan Hidup Kab. Jeneponto. Jenis penelitian yang digunakan yaitu observasional analitik dengan pendekatan cross sectional dan populasi penelitian ini adalah pekerja pengangkut sampah di Wilayah Kota Dinas Lingkungan Hidup Kab. Jeneponto. Sampel penelitian berjumlah 98 responden, data diolah menggunakan analisis statistik dengan uji chi square. Berdasarkan hasil uji chi square yang menunjukkan p value = 0,01 < 0,05 bahwa ada hubungan pengetahuan dengan penggunaan alat pelindung diri. Sikap yang didapatkan p value = 0,04 < 0,05 menunjukkan bahwa ada hubungan sikap dengan penggunaan alat pelindung diri. Dan pada tindakan p value = 0,08 > 0,05 menunjukkan tidak ada hubungan antara tindakan dengan penggunaan alat pelindung diri pada pengangkut sampah wilayah Kota Dinas Lingkungan Hidup Kabupaten Jeneponto. Dapat disimpulkan bahwa ada hubungan pengetahuan dan sikap dengan penggunaan alat pelindung diri pada pekerja pengangkut sampah. Diharapkan kepada Dinas Lingkungan Hidup Kabupaten Jeneponto untuk menyediakan APD lebih pada pekerja pengangkut sampah dan dapat lebih tegas lagi dalam penerapan penggunaan APD pada pekerja pengangkut sampah.

Kata kunci : Dinas, Penggunaan APD, Pekerja, Sampah
HUBUNGAN PENGETAHUAN DAN SIKAP DENGAN PERILAKU HIDUP BERSIH DAN SEHAT RUMAH TANGGA
Authors: Ningsih Nining Ade , Yusuf Andi , Rismawati Rismawati , Hamzah Hadzmawaty , Syarifuddin Surya
Published: January 2024

PHBS (Perilaku Hidup Bersih dan Sehat) di tatanan rumah tangga adalah upaya untuk menyadarkan keluarga dan masing-masing anggota keluarga agar memilki kemauan dan kemampuan dalam mempraktikkan PHBS. Angka kesakitan dan kematian penyakit infeksi dan non infeksi dapat dicegah dengan PHBS. Tujuan dalam penelitian ini adalah untuk mengetahui hubungan pengetahuan dan sikap dengan PHBS (Perilaku Hidup Bersih dan Sehat) di Desa Wale-Ale Kecamatan Tongkuno Selatan Kabupaten Muna Sulawesi Tenggara. Penelitian ini merupakan jenis penelitian kuantitatif dengan pendekatan cross sectional study. Populasi sebanyak 409 ibu rumah tangga sedangkan sampel sebanyak 80 ibu rumah tangga yang diambil dengan purposive sampling. Analisis data menggunakan univariat dan bivariat dengan uji chi-square. Hasil penelitian diperoleh ada hubungan pengetahuan dengan PHBS (Perilaku Hidup Bersih dan Sehat) dengan nilai p=0.000 dan ada hubungan sikap dengan PHBS (Perilaku Hidup Bersih dan Sehat)  dengan nilai p=0.000. Terdapat hubungan antara pengetahuan dan sikap dengan PHBS (Perilaku Hidup Bersih dan Sehat).  Diharapkan kepada rumah tangga khususnya ibu untuk lebih meningkatkan Perilaku Hidup Bersih dan Sehat melalui peningkatan pengetahuan dan sikap.

Kata kunci : Pengetahuan, Sikap, Perilaku Hidup Bersih dan Sehat (PHBS)