bluuebunny/crossref_metadata_2025_split huggingface dataset:
A proposed new classification system of hypothalamic hamartomas in the era of stereotactic ablation surgery
Authors: Shirozu Hiroshi , Masuda Hiroshi , Kameyama Shigeki 
Published: December 2024

OBJECTIVE
Since the recent development of stereotactic ablation surgery, which can provide good seizure outcomes without limitations in size or location, conventional classification systems have become unsuitable for surgical guidance. The present study aimed to evaluate the validity of a newly proposed classification system focusing on the attachment pattern.

METHODS
This retrospective study investigated 218 patients with hypothalamic hamartomas who underwent MRI-guided stereotactic radiofrequency thermocoagulation and were followed for at least 1 year after their last surgery. Hypothalamic hamartomas were classified by their attachments into six subtypes: parahypothalamic-unilateral (PU), parahypothalamic-bilateral (PB), intrahypothalamic-unilateral (IU), intrahypothalamic-bilateral (IB), mixed-unilateral (MU), and mixed-bilateral (MB) types. Clinical features, surgical factors, scales of surgical procedures including numbers of trajectories and coagulations, requirement for a trans–third ventricular approach, reoperation rates, and complication rates were investigated. Seizure outcomes were evaluated separately for gelastic seizures (GSs) and non-GSs.

RESULTS
In 218 patients (131 [60.1%] males, median age at surgery 7.2 [range 1.8–51] years), the hypothalamic hamartomas were classified as PU type in 10 (4.6%), PB type in 11 (5.0%), IU type in 41 (18.8%), IB type in 17 (7.8%), MU type in 40 (18.3%), and MB type in 99 (45.4%) patients. Patients with MB type were significantly younger at GS onset (p < 0.001) and surgery (p = 0.005). The numbers of trajectories and coagulations were significantly greater in MB type (p < 0.001) and the trans–third ventricular approach was more often required in the PB type (5/6, 83.3%, p < 0.001). Seizure outcomes were not different among subtypes. The rate of transient complications was not different among subtypes, but hyperthermia (p = 0.002) and hyponatremia (p < 0.001) were more frequently found in patients with PB and MB types. Prolonged or persistent neurological complications were also not different and were only found in bilateral subtypes.

CONCLUSIONS
The new classification predicts clinical features, as well as surgical complexity and complications. Although seizure outcomes were not different among subtypes because the authors’ surgical strategy is consistently based on complete disconnection at the border, the new classification could improve seizure outcomes and would be helpful in the appropriate guidance for surgery of hypothalamic hamartomas to provide consistently good outcomes regardless of surgical procedures.
Microsurgical obliteration of craniocervical junction dural arteriovenous fistulas via a suboccipital median approach: a retrospective study
Authors: Hu Yuanyuan , Qian Dongliang , Leng Bing 
Published: December 2024

OBJECTIVE
The authors report on a broad range of microsurgical procedures in which the suboccipital median technique was used to treat craniocervical junction arteriovenous fistulas. Their aim was to evaluate the efficacy of the suboccipital posteromedian approach and to assess the associated clinical outcomes.

METHODS
The authors extracted information on the fistula site, clinical manifestation, and structural characteristics of arterial and venous vessels by retrospectively evaluating cases from a neurointerventional database spanning 10 years.

RESULTS
In this study, 52 patients (median age 62 years; 23.1% female) were examined, with subarachnoid hemorrhage (SAH)/intracranial hemorrhage (61.6%) and myelopathy (34.6%) as prevalent presentations. Forty craniotomies (76.9%) were performed using the suboccipital median approach. Six craniotomies (11.5%) were performed using the far-lateral approach. Five patients (9.6%) underwent embolization, resulting in a residual lesion in 1. The C1 radicular artery served as the main feeding artery (78.9%). During the operation, the fistulas were mainly located near the C1 dural nerve root sleeve (ventrolateral and dorsolateral to the spinal cord). After the lesion was located, the dentate ligament was severed. Patients with SAH demonstrated a more favorable prognosis (modified Rankin Scale score 0–2, 93.8%) compared to those without SAH (modified Rankin Scale score 0–2, 70%), with a statistically significant difference (p = 0.02).

CONCLUSIONS
The suboccipital posteromedian approach is suitable for resections of nearly all craniocervical junction dural arteriovenous fistulas. The prognosis of the patients with SAH was better than that of the patients without it.
PENGARUH DISIPLIN KERJA DAN KINERJA PENDIDIK TERHADAP GAYA KEPEMIMPINAN DI SMP NEGERI 12 LUBUKLINGGAU
Authors: Nisusmiati Murlina , Fitria Fitria , Mulyono Hardi , Nasruddin Nasruddin , Kurniawan Ade 
Published: December 2024

The first problem is weak supervision and monitoring of the implementation of employee duties. Second, there is still a distribution of duties from the principal to employees which is not in accordance with the employee's expertise. This indicates that the leadership carried out has not been effective. Another problem with this research is that some teachers still do not adhere to time regulations, there are still teachers who do not make lesson plans. Based on this, this research was conducted to determine work discipline and teacher performance regarding leadership styles. The design of this research is quantitative research. This research uses observation, questionnaire, and documentation data collection methods. The analysis techniques used are simple linear regression analysis, correlation coefficient, t test, multiple linear regression analysis, coefficient of determination and F test. This research is expected to contribute to understanding how an effective leadership style can improve work discipline and teacher performance as well as provide recommendations to improve the quality of education in schools. The results of the research show that Work Discipline and Teacher Performance have a significant effect on the leadership style of the principal at SMP Negeri 12 Lubuklinggau.
ANALISIS PENGGUNAAN ARTIFICIAL INTELLIGENCE SEBAGAI BAGIAN DARI SEBUAH KARYA VISUAL MULTIMEDIA
Authors: Bonafix Nunnun , Frans Octavianus , Latif CM Noor , Ardiyan  
Published: December 2024

Penggunaan Artificial Intelligence (AI) masif terutama dalam bidang desain, AI digunakan para desainer dalam membantu dalam berkarya. Penelitian ini untuk mengeksplorasi dan menganalisis penggunaan Leonardo AI dalam menciptakan karya visual. Metode yang digunakan dalam penelitian adalah penelitian eksploratif untuk mandalami topik tertentu, sehingga memperoleh pemahaman yang komprehensif pada topik tersebut. Prosedur penelitian yang dilaksanakan 1) Penggunaan kata kunci sebagai instruksi yang tepat, 2) Penyusunan instruksi secara terstruktur, 3) Uji dan analisis instruksi dalam bentuk deskriptif analisis, 4) Evaluasi instruksi. Hasil diperoleh, selain kecanggihan ternyata Leonardo AI memiliki kelemahan. Output visual yang diperoleh dapat berbeda meskipun penggunaan instruksi yang identik. Penggunaan istilah teknis fotografi yang belum semua dapat diakomodir oleh Leonardo AI. Terdapat kemungkinan terjadinya pelanggaran hak cipta apabila dataset yang digunakan untuk melatih model mencakup karya yang dilindungi hak cipta tanpa izin. Hasil visual di-generate Leonardo AI dapat dijadikan aset digabungkan aset visual yang dibuat desainer dengan menggunakan aplikasi tambahan.
Hasil Pemeriksaan Elektrolit Terhadap Kejadian Hiperemesis Gravidarum Dengan Berbagai Tingkatan Pada Ibu Hamil Trimester Pertama
Authors: Tandjungbulu Yaumil Fachni , Virgiawan Alfin Resya , Rahman Rahman , Armah Zulfian , Trasmaditya Ika Mustika 
Published: December 2024

Ibu hamil pada trimester pertama dapat mengalami hiperemesis gravidarum yaitu kejadian mual muntah berlebihan yang dapat mempengaruhi status kesehatan ibu dan janin, kondisi ini dapat menyebabkan terjadinya ketidakseimbangan elektrolit. Untuk mengetahui kadar elektrolit dilakukan pemeriksaan laboratorium dengan mengukur natrium, kalium, dan klorida yang dapat digunakan sebagai penegakan diagnosa ketidakseimbangan elektrolit. Penelitian ini bertujuan untuk mengetahui hubungan hasil pemeriksaan elektrolit terhadap kejadian hiperemesis gravidarum dengan berbagai tingkatan pada ibu hamil trimester pertama. Jenis penelitian ini merupakan penelitian deskriptif dengan desain observasional analitikal berdasarkan pendekatan cross sectional dengan jumlah sampel sebanyak 24 ibu hamil yang memenuhi kriteria inklusi penelitian, penelitian ini dilaksanakan di Laboratorium RSUD Siwa pada 01 April-31 Mei 2024. Berdasarkan penelitian yang telah dilakukan diperoleh hasil pemeriksaan natrium terhadap kejadian hiperemesis gravidarum tingkat 1, 2, dan 3 terbanyak menurun masing-masing sebesar 60%, 85,7%, dan 66,7%, untuk hasil pemeriksaan kalium terhadap kejadian hiperemesis gravidarum tingkat 1 dan 2 terbanyak normal masing-masing sebesar 80% dan 71,4%, sedangkan tingkat 3 terbanyak menurun sebesar 58,3%, dan hasil pemeriksaan klorida terhadap kejadian hiperemesis gravidarum tingkat 1

terbanyak menurun sebesar 60%, tingkat 2 dan 3 terbanyak normal masing-masing sebesar 57,1% dan 75%. Hasil penelitian diolah menggunakan uji statistik spearmen untuk melihat hubungan dari setiap variabel didapatkan tidak terdapat hubungan yang signifikan antara hasil pemeriksaan elektrolit natrium (p=0,920), kalium (p=0,105), dan klorida (p=0,178) (p>0,05) terhadap kejadian hiperemesis gravidarum dengan berbagai tingkatan pada ibu hamil trimester pertama. Sehingga dapat disimpulkan bahwa perubahan kadar elektrolit tidak mempengaruhi atau berkontribusi secara signifikan terhadap kejadian hiperemesis gravidarum baik dalam bentuk ringan, sedang, maupun berat pada ibu hamil trimester pertama dalam penelitian ini. Disarankan perlu dilakukan pengkategorian trimester pada kehamilan untuk menentukan apakah tingkatan trimester ibu hamil dapat mempengaruhi kadar elektrolit terhadap kejadian hiperemesis gravidarum.
STOCK INVENTORY MANAGEMENT INFORMATION SYSTEM USING FIRST-IN, FIRST-OUT (FIFO) METHOD AT PT SELECTA GRAGE JAYA CIREBON
Authors: Firdiansyah Yuhanes , Novianti Dian , Gunawan Harry 
Published: December 2024

The present information system has become a critical component or part of every human activity. This is not only for laypeople but also for companies and business applications, as well as for the hiring activities of each company. This suggests how information systems play an important part in the development of a company. The research conducted is one that concentrates on inventory data processing and computerized information presentation, which currently is inventory data processing which is currently streaming manually. A system that will be designed can/can solve problems that began from inventory data processing goods which are still undertaken by hand and processes that take a long time and lack efficiency in their operations. For that, it is particularly necessary to optimize the way information systems work through an information system design that is applied to web programming or JAVA and MySQL databases to solve problems or solutions of existing problems and be able to address corporate needs. The achievements of the stock management application include adding goods, inputting goods according to the goods that have been added according to the production date, and issuing goods release data according to the production date, WhatsApp rest API has been integrated as a notification to the supplier. The result of this design is expected to be a breakthrough for companies to thrive and thrive in their field.

Keyword: System, Information, Inventory, Metode FIFO
Gambaran pengetahuan remaja tentang pendidikan seks di SMP Muhammadiyah 2 Gamping Yogyakarta
Authors: Ananda Siti Nazilla Rizka , Anjarwati Anjarwati 
Published: December 2024

Latar belakang: Remaja disebut juga masa peralihan dari kanak-kanak menuju dewasa. Menurut World Health Organization (WHO) batasan usia remaja berusia 12 tahun sampai 24 tahun. Pendidikan seks diberikan kepada siswa siswi di sekolah dapat diberikan secara menyeluruh dengan aspek pengetahuan yang dimuat dalam kurikulum pendidikan seksualitas di sekolah. Di Indonesia pendidikan seksual yang disebutnya sebagai pendidikan kesehatan reproduksi sudah ada dalam kurikulum 2013. Pendidikan seks terdapat di dalam mata pelajaran biologi di tingkat SMA/SMK atau mata pelajaran IPA di SMP. Pendidikan seks di Indonesia mempunyai kelemahan yaitu di sekolah-sekolah yang diajarkan hanya fungsi organ reproduksi. Tujuan penelitian: Mengetahui gambaran pengetahuan remaja tentang pendidikan seks di SMP Muhammadiyah 2 Gamping Yogyakarta. Metode: Penelitian yang digunakan adalah deskriptif kuantitatif, metode pengumpulan data yang digunakan dalam penelitian ini yaitu data primer dan menggunakan analisis univariat. Hasil: Pengetahuan remaja tentang pendidikan seks yaitu cukup sebanyak 52 responden (61,2%), pengetahuan baik sebanyak 18 responden (21,2%) dan pengetahuan kurang 15 responden (17,6%).Simpulan:Mempunyai pengetahuan kurang tentang pendidikan seks. Oleh karena itu, bagi sekolah diharapkan membuat struktur terkait jadwal pemberian pendidikan seks.
Efektivitas senam hamil terhadap nyeri punggung dan kualitas ibu hamil trimester III
Authors: Riana Eka 
Published: December 2024

Latar belakang: Pada masa kehamilan, seiring dengan pembesaran perut maka pusat gravitasi berpindah kearah perut sehingga sering kali ibu hamil mengalami nyeri punggung yang berpengaruh pula pada kualitas tidur ibu khususnya di malam hari. Keluhan nyeri punggung dan sulit tidur yang dialami oleh ibu hamil tentunya tidak bisa dibiarkan begitu saja. Salah satu cara untuk meningkatkan kesehatan selama kehamilan ialah dengan melakukan senam hamil. Tujuan penelitian: Diketahuinya efektivitas senam hamil terhadap nyeri punggung dan kualitas tidur ibu hamil trimester III. Metode : Desain penelitian menggunakan pre experimental design dengan rancangan one group pretest posttest design. Sampel ialah ibu hamil trimester III di wilayah kerja Puskesmas Sungai Kakap Kabupaten Kubu Raya sebanyak 27 ibu hamil yang diambil secara accidental sampling. Data dianalisis dengan menggunakan uji t-Test dengan tingkat kesalahan (ɑ = 0,05). Hasil: Terdapat efek senam hamil terhadap nyeri punggung dan kualitas tidur ibu hamil trimester III dengan hasil p-value yaitu 0,000. Background: During pregnancy, as the stomach enlarges, the center of gravity moves towards the stomach so that pregnant women often experience back pain which also affects the quality of the mother's sleep, especially at night. Complaints of back pain and sleeplessness experienced by pregnant women certainly cannot be ignored. One way to improve health during pregnancy is to do pregnancy exercise. Objective: To know the effectiveness of pregnancy exercise on back pain and sleep quality of third trimester pregnant women. Methods: The research design used a pre-experimental design with a one group pretest posttest design. The sample is third trimester pregnant women in the working area of the Sungai Kakap Public Health Center, Kubu Raya Regency, as many as 27 pregnant women who were taken by accidental sampling. Data were analyzed using the t-test with an error rate (ɑ = 0.05). Results: There is an effect of pregnancy exercise on back pain and sleep quality of third trimester pregnant women with a p-value of 0.000.
Un estudio clave para la salud mental en la ciudad de Huaraz: Comprendiendo la desregulación emocional y la conducta autolesiva en estudiantes de un Instituto Superior Tecnológico
Authors: Cobos Vega Kiara , Oroya Robles Jackelyn , González Ponce De León Erica 
Published: December 2024

Las dificultades para regular las emociones han llevado a un aumento en comportamientos de afrontamiento inadecuados entre los que se encuentran las autolesiones. El objetivo que determinar la relación entre la desregulación emocional y la conducta autolesiva en estudiantes de un instituto de educación superior tecnológico en Huaraz durante el año 2024. Participaron 264 estudiantes jóvenes entre 17 años a 30 años (M=21.7; DE=3.28). El 52,27 % fue compuesto por mujeres (n=138) y el 47,73 % por varones (n=126), quienes respondieron al cuestionario sociodemográfico, la Escala de Desregulación Emocional (DERS) y la escala de autolesiones (SHAGER) para jóvenes. Los resultados del análisis estadístico mostraron una correlación positiva moderada (Rho de Spearman = .334) entre la desregulación emocional y las autolesiones, con un valor p < .001, lo que indica que la relación es estadísticamente significativa. Esto indica que aquellos estudiantes con mayores niveles de desregulación emocional presentan un mayor riesgo de realizar conductas autolesivas. En conclusión, la investigación destaca la importancia de abordar la regulación emocional como un factor crucial en el diseño de intervenciones preventivas y terapéuticas con el fin de mitigar el riesgo de autolesiones en esta población.
The Effect Of Price Perception And Waiting Time On Revisit Intention Mediated By Word Of Mouth
Authors: Sofia Sofia , Rohendi A. , Rubini Rizki Adriansyah 
Published: December 2024

Kesehatan gigi dan mulut merupakan aspek penting dalam kehidupan seseorang, karena kondisi di rongga mulut ini dapat berdampak pada kesehatan secara keseluruhan. Persepsi harga dan waktu tunggu merupakan salah satu permasalahan yang dapat menyebabkan pengalaman tidak menyenangkan pada pasien selama perawatan dan akan mempengaruhi minat kunjungan ulang. Penelitian ini bertujuan untuk mengetahui pengeruh persepsi harga, waktu tunggu terhadap revisit intention yang dimediasi oleh word of mouth. Desain penelitian ini adalah jenis studi kuantitatif dengan menggunakan kuisioner. Studi tersebut dilakukan di Klinik Arini Dental Care (ADC) Karawang pada bulan Oktober 2024. Metode penelitian menggunakan pengambilan sampe melalui Accidental Sampling dengan jumlah sampel yang sebanyak 100 responden. Analisis data yang digunakan adalah analisis regresi linear berganda dan uji sobel untuk mengetahui pengaruh variabel mediasi. Hasil penelitian menunjukkan bahwa terdapat pengaruh yang antara persepsi harga, waktu tunggu dan word of mouth terhadap revisit intention dengan nilai p-value 0.00 (<0.05), serta word of mouth dapat memediasi hubungan antara persepsi harga terhadap revisit intention di klinik ADC dengan nilai p-value sebesar 0.02 (<0.05). Kesimpulan pada penelitian ini adalah ada pengaruh persepsi harga , waktu tunggu dan word of mouth terhadap revisit intention dan word of mouth dapat memediasi pengaruh antara persepsi harga terhadap revisit intention. Kata Kunci: Persepsi harga, revisit intention, waktu tunggu, word of mouth ABSTRACT Oral and dental health is an important aspect of a person's life because the condition of the oral cavity can impact overall health. Price perception and waiting time are issues that can cause unpleasant experiences for patients during treatment, affecting their intention to revisit. This study aims to determine the influence of price perception and waiting time on revisit intention, mediated by word of mouth. The study design is quantitative, using a questionnaire. The research was conducted at the Arini Dental Care (ADC) Clinic in Karawang in October 2024. The research method employed accidental sampling, with a sample size of 100 respondents. Data analysis was conducted using multiple linear regression analysis and the Sobel test to determine the effect of the mediating variables. The results indicate that there is an influence of price perception, waiting time, and word of mouth on revisit intention, with a p-value of 0.00 (<0.05). Additionally, word of mouth mediates the relationship between price perception and revisit intention at the ADC clinic, with a p-value of 0.02 (<0.05). The conclusion of this study is that price perception, waiting time, and word of mouth influence revisit intention, and word of mouth can mediate the influence between price perception and revisit intention. Keywords: Price perception, revisit intention, waiting time, word of mouth.
Management Of Gestational Diabetes Mellitus
Authors: Permana Sari Fitriana Yuni , Pertiwi Mumpuni Intan , Rodliya Adzka Fahma 
Published: December 2024

Latar belakang: Gestational Diabetes Mellitus (GDM) adalah kondisi intoleransi glukosa yang terdiagnosis selama kehamilan, sering kali muncul pada trimester kedua atau ketiga. Meskipun dapat menandakan diabetes tipe 1 atau 2 yang tidak terdeteksi sebelumnya, GDM umumnya disebabkan oleh intoleransi glukosa sementara terkait kehamilan. Wanita hamil dengan faktor risiko seperti obesitas, riwayat keluarga diabetes, atau melahirkan bayi besar perlu dicurigai mengalami GDM. Jika tidak ditangani, GDM dapat menyebabkan komplikasi serius bagi ibu dan janin, termasuk preeklamsia dan makrosomia. Di Indonesia, prevalensi GDM diperkirakan mencapai 1,9% hingga 5% dari total kehamilan. Penelitian ini bertujuan: untuk mengevaluasi manajemen GDM di Primary Health Centre wilayah Kota Yogyakarta dengan pendekatan deskriptif fenomenologi. Metode: Data dikumpulkan melalui wawancara semi-terstruktur dengan lima bidan yang memberikan pelayanan Kesehatan Ibu dan Anak. Hasil: analisis menunjukkan dua tema utama yaitu pendekatan perubahan perilaku dan strategi reorientasi pelayanan kesehatan masyarakat. Kesimpulan: Manajemen yang baik melalui deteksi dini dan penanganan yang tepat dapat meningkatkan kesehatan ibu hamil dan mengurangi risiko komplikasi. Saran: skrining awal dan pengaturan gaya hidup penting untuk dilakukan selama kehamilan. Kata Kunci: Bidan, Gestasional Diabetes Mellitus (GDM), Manajemen ABSTRACT Background: Gestational Diabetes Mellitus (GDM) is a condition of glucose intolerance diagnosed during pregnancy, often presenting in the second or third trimester. Although it can signify previously undetected type 1 or 2 diabetes, GDM is generally caused by pregnancy-related temporary glucose intolerance. Pregnant women with risk factors such as obesity, family history of diabetes, or giving birth to a giant baby need to be suspected for GDM. Unsolved GDM, lead to serious complications for both mother and fetus, including preeclampsia and macrosomia. In Indonesia, prevalence of GDM is estimated at 1.9% to 5% of total pregnancies. This study aimed to evaluate the management of GDM at Primary Health Centre in Yogyakarta City using a descriptive phenomenological approach. Methods: data were collected through semi-structured interviews with five midwives who provide Maternal and Child Health services. The results: of the analysis showed two main themes, namely the behavior change approach and the strategy of reorienting public health services. Good management through early detection and appropriate treatment can improve the health of pregnant women and reduce the risk of complications. Suggestions: early screening and lifestyle regulation is important to conduct during pregnancy. Key words: Midwife, Gestational Diabetes Mellitus (GDM), Management