bluuebunny/crossref_metadata_2025_split huggingface dataset:
Safe marginal resection of atypical neurofibromas in neurofibromatosis type 1
Authors: Nelson Charlie N. , Dombi Eva , Rosenblum Jared S. , Miettinen Markku M. , Lehky Tanya J. , Whitcomb Patricia O. , Hayes Christina , Scott Gretchen , Benzo Sarah , Widemann Brigitte C. , Chittiboina Prashant 
Published: November 2019

OBJECTIVEPatients with neurofibromatosis type 1 (NF1) are predisposed to visceral neurofibromas, some of which can progress to premalignant atypical neurofibromas (ANFs) and malignant peripheral nerve sheath tumors (MPNSTs). Though subtotal resection of ANF may prevent malignant transformation and thus deaths with no neural complications, local recurrences require reoperation. The aim of this study was to assess the surgical morbidity associated with marginal resection of targeted ANF nodules identified via preoperative serial volumetric MRI and 18F-FDG-PET imaging.METHODSThe authors analyzed clinical outcomes of 16 NF resections of 21 tumors in 11 NF1 patients treated at the NIH Clinical Center between 2008 and 2018. Preoperative volumetric growth rates and 18F-FDG-PET SUVMax (maximum standardized uptake value within the tumor) of the target lesions and any electromyographic or nerve conduction velocity abnormalities of the parent nerves were measured and assessed in tandem with postoperative complications, histopathological classification of the resected tumors, and surgical margins through Dunnett’s multiple comparisons test and t-test. The surgical approach for safe marginal resection of ANF was also described.RESULTSEleven consecutive NF1 patients (4 male, 7 female; median age 18.5 years) underwent 16 surgical procedures for marginal resections of 21 tumors. Preoperatively, 13 of the 14 (93%) sets of serial MRI studies and 10 of the 11 (91%) 18F-FDG-PET scans showed rapid growth (≥ 20% increase in volume per year) and avidity (SUVMax ≥ 3.5) of the identified tumor, respectively (median tumor size 48.7 cm3; median growth rate 92% per year; median SUVMax 6.45). Most surgeries (n = 14, 88%) resulted in no persistent postoperative parent nerve–related complications, and to date, none of the resected tumors have recurred. The median length of postoperative follow-up has been 2.45 years (range 0.00–10.39 years). Histopathological analysis confirmed significantly greater SUVMax among the ANFs (6.51 ± 0.83, p = 0.0042) and low-grade MPNSTs (13.8, p = 0.0001) than in benign neurofibromas (1.9).CONCLUSIONSThis report evaluates the utility of serial imaging (MRI and 18F-FDG-PET SUVMax) to successfully detect ANF and demonstrates that safe, fascicle-sparing gross-total, extracapsular resection of ANF is possible with the use of intraoperative nerve stimulation and microdissection of nerve fascicles.
Neurosurgical resident research education: a survey of United States residency program directors
Authors: Lepard Jacob R. , Shank Christopher D. , Agee Bonita S. , Hadley Mark N. , Walters Beverly C. 
Published: November 2019

OBJECTIVEThe application of evidence-based medicine (EBM) has played an increasing role within neurosurgical education over the last several decades. The Accreditation Council for Graduate Medical Education (ACGME) has mandated that residents are now required to demonstrate academic productivity and mastery of EBM principles. The goal of this study was to assess how neurosurgery programs around the US are dealing with the challenges of fulfilling these program requirements from the ACGME in addition to standard neurosurgical education.METHODSA 20-question survey was developed and electronically delivered to residency program directors of the 110 ACGME-approved MD and DO training programs in the US. Data regarding journal club and critical appraisal skills, research requirements, and protected research time were collected. Linear regression was used to determine significant associations between these data and reported resident academic productivity.RESULTSResponses were received from 102 of the 110 (92.7%) neurosurgical training programs in the US. Ninety-eight programs (96.1%) confirmed a regularly scheduled journal club. Approximately half of programs (51.5%) indicated that the primary goal of their journal club was to promote critical appraisal skills. Only 58.4% of programs reported a formal EBM curriculum. In 57.4% of programs an annual resident publication requirement was confirmed. Multivariate regression models demonstrated that greater protected research time (p = 0.001), journal club facilitator with extensive training in research methods (p = 0.029), and earlier research participation during residency (p = 0.049) all increased the number of reported publications per resident.CONCLUSIONSAlthough specific measures are important, and should be tailored to the program, the overall training culture with faculty mentorship and provision of time and resources for research activity are probably the most important factors.
Is intracranial electroencephalography useful for planning resective surgery in intractable epilepsy with ulegyria?
Authors: Takayama Yutaro , Ikegaya Naoki , Iijima Keiya , Kimura Yuiko , Muraoka Norihiro , Kaneko Yuu , Yamamoto Tetsuya , Iwasaki Masaki 
Published: November 2019

OBJECTIVEIntractable epilepsy patients with ulegyria could be candidates for resective surgery. Complete resection of ulegyria in the epileptogenic hemisphere is associated with favorable seizure outcome, although the risk of postoperative functional deficits is higher. The authors evaluated the extent of resection and postsurgical outcomes in epilepsy patients with ulegyria who underwent intracranial electroencephalography (iEEG) monitoring prior to resection to clarify the efficacy of iEEG-guided partial resection of ulegyria.METHODSTen consecutive epilepsy patients with ulegyria (7 males and 3 females, age range at surgery 7–34 years) underwent iEEG prior to resective surgery between 2011 and 2017 with a minimum follow-up of 12 months (range 12–72 months). The diagnosis of ulegyria was based on the typical pattern of cortical atrophy especially at the bottom of the sulcus on MRI. An iEEG study was indicated after comprehensive preoperative evaluations, including high-field MRI, long-term video-EEG, magnetoencephalography, and FDG-PET. The resection planning was based on iEEG analysis. Total lesionectomy was not always performed, as preservation of cortical function was prioritized.RESULTSUlegyria was seen in the occipital and/or parietal lobe in 9 patients and bilaterally in 5 patients. Ictal EEG onset involved the temporal neocortex in 6 patients. Intracranial electrodes were implanted unilaterally in all except 1 patient with bilateral lesions. The extent of MRI lesion was covered by the electrodes. Seizure onset zones (SOZs) and irritative zones (IZs) were identified in all patients. SOZs and IZs were completely resected in 8 patients but were only partially removed in the remaining 2 patients because the eloquent cortices and the epileptogenic zones overlapped. Ulegyria of the epileptogenic side was totally resected in 1 patient. Seizure freedom was achieved in 4 patients, including 3 after partial lesionectomy. Extended resection of the temporal neocortex was performed in 4 patients, although postoperative seizure freedom was achieved only in 1 of these patients. Visual field deficit was seen in 4 patients. Three of 5 patients with bilateral lesions achieved seizure freedom after unilateral resective surgery.CONCLUSIONSIntracranial EEG–guided partial lesionectomy provides a reasonable chance of postoperative seizure freedom with a lower risk of functional deficits. Patients with bilateral ulegyria should not be excluded from consideration as surgical candidates.
Prevalence of Adolescent Pregnancy in A Tertiary Care Hospital
Authors: Subedi Shanti Sunuwar , Sharma Sajjan , Yadav Munjal 
Published: November 2019

Introduction: WHO defines adolescent pregnancy as any pregnancy from a girl who is 10-19 years of age, the age being defined as her age at the time the baby is born. Globally, adolescent birth rate is 44 per 1000 women aged 15-19 years whereas 33 per 1000 in South East Asian region. The main objective of the study is to find the prevalence of adolescent pregnancy in a tertiary care hospital.
Methods: A descriptive cross-sectional study was conducted in Department of Obstetrics and Gynecology, Nobel Medical College and Teaching Hospital, Biratnagar over a period of six months from 1st January 2018 to 30th June 2018. Using the convenient sampling technique, 2688 samples were studied and the descriptive statistical analysis was done.
Results: The prevalence of teenage pregnancy was found to be among 143 (5.3%) [5.3%±0.85% at 95% Confidence Interval]. Maximum adolescents of 95 (66.4%) presented at gestational age between 37 to 40 weeks. Regarding contraception, only 2 (1.4%) of teenage mothers had used Injectable Depo Provera.
Conclusions: Adolescent pregnancy in developed countries is usually outside of marriage and carries a social stigma but in the context of developing countries it usually happens within marriage and half of them are planned reflecting educational status and contraception knowledge. Effective interventions need to be developed like strict enforcement of laws prohibiting teenage marriage.
Sistem Pendukung Keputusan Dengan Simple Additive Weighting Dalam Pemilihan Calon Penerima Bantuan Rumah Tidak Layak Huni
Authors: Sudin Saepudin  , Dudih Gustian  , Heri Firmansyah  
Published: November 2019

Bantuan rumah tidak layak huni adalah salah satu program pemerintah untuk menekan angka kemiskinan di Indonesia, namun permasalahan yang ada bahwa proses yang selama ini dilakukan oleh pihak Kelurahan masih dilakukan secara subyektif dengan hanya mempertimbangkan hasil survey. Oleh karena itu, bagi pihak kelurahan diperlukan suatu sistem pendukung keputusan agar seleksi dapat dilakukan secara efisien secara sistemik. Adanya metode Multiple Attribute Decission Making, menjawab semua permasalahan tersebut. Dari beberapa metode Multiple Attribute Decission Making, Simple Addictive Weighting dipilih untuk diterapkan kedalam sistem pendukung keputusan. Sistem pendukung keputusan dibuat menggunakan metode air terjun. Tujuan penelitian ini agar pihak kelurahan dapat menyalurkan bantuannya kepada yang berhak menerimanya, sehingga dengan adanya sistem pendukung keputusan berbasis web untuk memilih penerima bantuan perumahan sesuai dan objektif. Penelitian ini memberikan hasil yang cukup akurat dimana proses penyaluran yang tepat sasaran dengan data yang diperoleh dari pihak kelurahan. Sistem yang dibuat cukup memnatu pihak kelurahan dengan nilai sekitar 73.6% yang diuji oleh 10 orang responden.

Kata Kunci: Rumah Tidak Layak Huni, Multiple Attribute Decission Making, Simple Addictive Weighting, Sistem Pendukung Keputusan.

Abstract
The help of the home is not habitable is one of the government programs to suppress the poverty rate in Indonesia, but the problem exists that the process that was done by the village is still in subjectively Consider the survey results. Therefore, the town needs a decision support system so that the selection can be made by systemic efficiency. There is a method of Multiple Attribute Decision Making, answering all the problems. Of the multiple Attribute Decision-Making methods, Simple Addictive Weighting is chosen to be applied to the decision support system. The decision support system was made using a waterfall method. The purpose of this research is so that the village can distribute its help to the right to receive it, so it is expected by the Web-based decision support system to select the recipient of appropriate and objective housing assistance. This research provides entirely accurate results were the right distribution process targets with data obtained from the village. The system was made enough to inform the town with a value of about 73.6% tested by ten respondents.

Keywords: Unqualified Houses, Multiple Attribute Decision Making, MADM, Simple Additive Weighting, Decision Support Systems.
Implementasi Shambatan Application Guna Mengoptimalkan Program Bantuan Dana Untuk Pemberdayaan Ekonomi Masyarakat Desa Kecamatan Lumbir
Authors: Awiet Muhamad Awiet Wiedanto Prasetyo , Muhamad Rezha Riaqia Putra  
Published: November 2019

Abstrak
Badan Kerjasama Antar Desa (BKAD) Satria Mandiri Kecamatan Lumbir sebagai salah satu lembaga yang bergerak dalam Bidang Jasa yang menyalurkan bantuan dana kepada usaha-usaha kecil yang membutuhkan dana pinjaman dalam upaya mendukung pemerintah dalam meningkatkan Bidang Usaha Kecil dan Menengah (UKM). Permasalahan seperti ketua anggota kelompok harus datang dengan membawa persyaratan administrasi pengajuan proposal pinjaman bantuan, solusi yang ditawarkan oleh pihak instansi dengan cara survey langsung untuk mengecek dan membawa persyaratan administrasi. Dengan solusi yang ditawarkan terdapat permasalahan berkas fotocopy Kartu Tanda Penduduk (KTP), atau pengajuan surat perjanjian kontrak rusak terkena air hujan, mengingat saat ini masuk dimusim penghujan. Permasalahan selanjutnya adalah banyaknya data yang tersimpan tidak pada satu file (Microsoft Excel), Cara tersebut juga akan menyulitkan pihak instansi untuk melaporkan data keuangan yang tersimpan pada periode tahun yang berbeda untuk diserahkan Dinas Sosial Kabupaten Banyumas. Solusi yang ditawarkan oleh pihak peneliti dengan Metode Viewpoint Oriented Requirement Definition (VORD) akan menghasilkan aplikasi untuk optimalisasi program bantuan dana guna pemberdayaan ekonomi masyarakat desa
The prototype of the Greenhouse Smart Control and Monitoring System in Hydroponic Plants
Authors: Arif Supriyanto  , Fathurrahmani Fathurrahmani 
Published: November 2019

This research helps the farmers to do the humidification control and monitor the condition of hydroponic plants in greenhouses in real-time. When it comes to watching the hydroponic plants in greenhouses, the farmers usually experience difficulties because they still do it manually. Activities such as checking the temperature, air humidity, and also water quality in hydroponic plants by coming directly to the greenhouse are still ineffective. Therefore this research aims to make a smart greenhouse prototype for hydroponic plants. Smart greenhouse hardware was built based on the Arduino microcontroller, DHT11 sensor, pH sensor, TDS, DS18b20 temperature, ultrasonic, and esp8266 wifi module. The monitoring system features information on water quality from hydroponic plants and the ability to record farming activities from planting preparation to web-based harvesting. The test results of smart greenhouse monitoring system can display the hydroponic plant conditions and able to do the humidification control with an upper limit of 35 degrees celsius because plant can survive with disease under 35 degrees celsius, with small average offset for the sensor, and an average offset of 1.49 from TDS sensors, with temperature of 0.50 and pH of 0.34.
Keywords: Greenhouse, NFT hydroponics, Humidification, Monitoring System, Arduino
NEW COMPUTER GENERATED-SCMA CODEBOOK WITH MAXIMIZED EUCLIDIAN DISTANCE FOR 5G
Authors: Tabra Yasmine M. , Sabbar Bayan M. 
Published: November 2019

Sparse code multiple access (SCMA) is one of the Non-Orthogonal Multiple Access (NOMA) that attracts many researchers for its promising future uses in 5G systems. In this paper, a Computer Generated-Sparse Code Multiple Access (CG-SCMA) is proposed. CG-SCMA generates a complex SCMA codebook that maximizes the Minimum Euclidian Distance (MinED) of 16-point star-QAM. This codebook is generated using computer program to specify the most appropriate values for this constellation. Then Trellis Coded Modulation (TCM) is used to divide the constellation into four sub constellations to maximize MinED. The new codebook reaches MinED for four sub constellations {3.46, 2.16, 2.16, 3.46} and achieves increment over SCMA codebook based 16-point star-QAM by 10.1%. The multiplexer and de-multiplexer for proposed codebook and traditional SCAM codebook is implemented using netFPGA-1G-CML Kintex-7. it can speed up the process by 597.6 times over MATLAB simulator and decreasing BER compared to open literature codebooks.
TUNJUK AJAR DALAM TAAT HUKUM ORANG MELAYU SEBAGAI CIRI KHAS KEARIFAN LOKAL (LOCAL WISDOM) SEBAGAI STRATEGIS PENCEGAHAN KORUPSI BAGI MAHASISWA DI SUMATERA UTARA
Authors: Purba Nelvitia , Mulyono Hardi , Risnawaty Risnawaty , Darwis Umar 
Published: November 2019

Kejahatan Korupsi di Indonesia merupakan permasalahan yang besar yang merupakan kejahatan extra ordinary crime (kejahatan yang luar biasa) hingga saat ini belum dapat diselesaikan dengan tuntas. Salah satu konsep untuk mengurangi kejahatan korupsi ini melalui pencegahan kepada generasi muda. Konsep pencegahan ini membutuhkan waktu lama terutama yang berkaitan dengan Pendidikan. Penelitian ini bertujuan untuk mengetahui kearifan lokal sebagai Tunjuk Ajar masyarakat Melayu yang dapat dijadikan Sumber Hukum dalam taat hukum untuk pencegahan korupsi bagi mahasiswa di Sumatera Utara Penelitian ini menggunakan Metode Penelitian (R&D) untuk menghasilkan rancangan produk desain model pembelajaran Pendidikan Anti Korupsi berbasis Tunjuk Ajar untuk taat hukum, produk ini di validasi secara internal (pendapat ahli dan praktisi). Analisis datanya dilakukan dengan cara kualitatif yaitu dengan tidak menggunakan angka-angka dan rumus-rumus statistik. Hasil penelitian menunjukkan bahwa kearifan lokal Orang Melayu Taat Hukum terlihat dalam tunjuk ajar yang terdapat dikalangan orang Melayu yang berbentuk petuah-petuah, amanah-amanah syair dan pantun. Tunjuk Ajar taat hukum yang terdapat dalam Kearifan Lokal tercermin dalam aktivitas sehari-hari dapat tercermin diantaranya; Harus Malu Mengambil Yang Bukan Haknya, Harus Malu Mengambil Yang Bukan Miliknya.
PEMBUATAN BIOETANOL DARI PATI UBI DENGAN PROSES HIDROLISIS ASAM
Authors: Kalsum Ummi , Juniar Heni 
Published: November 2019

Bahan bakar bioetanol (C2H5OH)adalah biofuel yang mengandung etanol dengan jenis yang sama dengan yang ditemukan pada minuman beralkohol. Pembuatan bioetanol disini adalah dengan metode hidrolisa HCl 15% dengan bahan baku pati ubi kayu. Pati tersebut akan diambil kandungan karbohidrat dan dikonversi menjadi glukosa (gula) larut dalam air. Ada tiga proses penelitian pembuatan bioetanol ini yaitu proses penghilangan lignin, proses hidrolisa yang akan membentuk alkohol dan proses pemurnian. Penelitian ini dilakukan untuk membandingkan nilai indeks bias dan berat jenis bioetanol yang didapat dengan nilai indeks bias dan berat jenis bioetanol sesuai dengan Standar Nasional Indonesia (SNI). Hasil penelitian menunjukkan bahwa ada kenaikan nilai indeks bias dan berat jenis bioetanol yang didapat antara kurun waktu 25 sampai dengan 120 menit dengan variabel volume HCl 15% yang digunakan yaitu 25 sampai dengan 45 ml. Dan nilai maksimum indeks bias yang didapat adalah 1,3561 dengan waktu hidrolisa selama 50 menit dan volume HCl yang digunakan sebanyak 45 ml. Sedangkan nilai maksimum berat jeni bioetanol yang didapat adalah 1,1011 dengan waktu hidrolisa selama 25 menit dan volume HCl sebanyak 25 ml.
ANALISIS YURIDIS TENTANG PRINSIP TANGGUNG JAWAB MENURUT UNDANG – UNDANG NOMOR 22 TAHUN 2009 TENTANG LALULINTAS DAN ANGKUTAN JALAN
Authors: LABATJO RIDWAN 
Published: November 2019

Undang – Undang Nomor 22 Tahun 2009 Tentang Lalu Lintas Dan Angkutan Jalan yang merupakan peraturan perundangan – undang tertulis / hukum positif yang berlaku sebagai pedoman dalam penyelenggaraan pengangkutan dengan kendaraan bermotor yang merupakan subsistem tata hukum nasional, dimana peraturan ini tidak secara tegas menyebutkan prinsip tanggung jawab ( fault of liability ) yang dianut di dalam Undang – Undang Nomor 22 Tahun 2009. Metode Penelitian yang digunakan dalam penelitian yaitu penelitian kepustakaan (Library Research) adalah metode penelitian kepustakaan untuk memperoleh data-data melalui studi kepustakan, data yang diperoleh berdasarkan sumber hukum primer yaitu perundang – undangan dan sumber hukum sekunder yaitu konsep – konsep, teori – teori dan informasi – informasi lain yang bersifat umum, buku buku, indeks, ensiklopedia dan sebagainya. Berdasarkan hasil penelitian maka diperoleh data bahwa prinsip tanggung jawab yang dianut oleh Undang – Undang Nomor 2009 adalah prinsip tanggung jawab karena kesalahan ( fault of liability) yaitu setiap pengangkut yang melakukan kesalahan dalam penyelenggaraan pengangkutan harus bertanggung jawab membayar segala kerugian yang timbul akibat kesalahannya itu. Hal ini sesuai dengan maksud Pasal 188, Pasal 191 dan Pasal 192 Undang – Undang Nomor 22 Tahun 2009 Tentang Lalu Lintas Dan Angkutan Jalan.
ANALISIS YURIDIS PENERAPAN PASAL 55 AYAT 1 KE 1 PADA TINDAK PIDANA PENGANIAYAAN TERHADAP ANAK (Studi Putusan Pengadilan Negeri Luwuk No: 285/Pid.B/2013/PN Lwk)
Authors: RAYS H.M. IKHWAN 
Published: November 2019

Penelitian ini bertujuan untuk mengetahui bagaimana penerapan Pasal 55 Ayat 1 ke 1 pada tindak pidana penganiayaan anak pada Putusan Nomor: 285/Pid.B/2013/PN Luwuk. Jenis dan pendekatan penelitian ini yaitu yuridis normative atau penelitian hukum doctrinal, dengan menggunakan bahan hukum primer (hukum yang mempunyai kekuatan mengikat), bahan hukum sekunder (bahan yang merupakan pelengkap), dan bahan hukum tersier (berupa bahan informasi hukum) yang kemudian dianalisis secara kualitatif dalam arti perumusan pembenaran melalui kualitas norma hukum itu sendiri, pendapat-pendapat ahli/doktrin dan pendukung informasi hukum. Penerapan Psl 55 ayat 1 ke 1 pada Tindak Pidana Penganiayaan terhadap anak berdasarkan Putusan PN Luwuk Nomor: 285/Pid.B/2013/PN.Lwk sudah sesuai dengan ketentuan yang tercantum dalam Pasal 80 ayat (1) Undang-Undang Nomor: 23 Tahun 2002 tentang Perlindungan Anak Jo. Pasal 55 ayat (1) ke-1 KUHP.
TEMPERATURE AND HUMIDITY MOISTURE MONITORING SYSTEM WITH ARDUINO R3 AND DHT 11
Authors: Rumalutur Sonny , Mappa Alimuddin 
Published: November 2019

This study discusses how to design an AC (Air Conditioner) system that can work based on the temperature and humidity of the room that is regulated by a system that uses Arduino UNO as a controller. Meanwhile, to measure the temperature and humidity of the room temperature by using a DHT sensor 11. PWM (Pluse Widht Modulation) signal from the microcontroller is used to set the relay driver so that the AC (air conditioner) can be on in accordance with the programmed with Arduino uno.
AC (air conditioner) will be on as long as the temperature is still above 220C and will be off if the temperature has passed 220C and the duration of AC (air conditioner) on and off is determined by the temperature and humidity in the room.