bluuebunny/crossref_metadata_2025_split huggingface dataset:
Desarrollo y ciudadanía: la resiliencia de las comunidades rurales en Pasco y Huánuco pos conflicto armado en el Perú
Authors: Meza Salcedo Américo , Huamán Tovar Eva 
Published: September 2020

Objetivo: analizar el modo en que las comunidades rurales de Pasco y Huánuco fortalecen el vínculo familiar y la organización comunal post conflicto armado. Metodología: la investigación fue de carácter cualitativo y el diseño de investigación etnográfico y hermenéutico. El trabajo de campo se desarrolló con la observación participativa y la entrevista estructurada. La unidad de análisis la conformaron dirigentes y líderes comunales que viven en ambas zonas, víctimas del conflicto armado interno. Resultados: con base en los datos recogidos en campo, se puede inferir que las víctimas lograron sobreponerse al trauma del pasado vivido. A pesar de que un grupo de ellas no ha encontrado aún los cuerpos de sus parientes, desaparecidos tras las ejecuciones extrajudiciales por miembros del Ejército, esperan que esta realidad se consuma pronto, de manera que puedan cerrar el círculo de la violencia y darles cristiana sepultura a sus muertos. Conclusión: las víctimas emplearon estrategias a nivel personal, familiar y social para hacerle frente al dolor generado por el conflicto armado interno, migrar hacia otro lugar y retomar su proyecto de vida; en particular, para que sus hijos continúen con sus estudios y miren el futuro con optimismo.

DOI: https://doi.org/10.31876/sl.v4i1.48
Knowledge, attitude and preventive practices related to novel Coronavirus Infection (COVID-19) among patients attending dental hospital in Dharwad
Authors: Shekarappa Hema Tyavanige , Guttal Kruthika Satyabodh , Iyer Varuni , Gupta Vani , Shetty Preeta 
Published: September 2020

Background: The Novel Coronavirus Disease 19 (COVID-19) is one of the deadly diseases declared as pandemic by WHO. The managing strategies include prevention of spread of the infection and awareness regarding the preventive practices, which are very vital in preventing the exponential spread of the disease. Despite the rolling commentary over telephone calls and advertisements at every desk, public is too negligent over this global threat.
Aims and Objectives: The present questionnaire based study was aimed to assess the knowledge, attitude and preventive practices existing among the public to face the pandemic.
Materials and Methods: The present study was a cross-sectional questionnaire based study using a convenience sampling method. The patients attending the outpatient section of the Oral Medicine department of a Dental Hospital for various dental complaints were interviewed by telephonic conversation. Patient’s knowledge and awareness regarding the prevailing situation created by the media was assessed.
Results: Seventy-seven point seven percent of the participants were following the preventive practices. They had an average attitude towards the prevention of spread of infection (52.4%) and considering COVID-19 as a serious infection (51.8%). Younger population, professionals and females had an overall better Knowledge, Attitude and Practices.
Conclusions: Majority of the assessed population had a sound knowledge about the pandemic. Certain key issues like visiting the hospitals only for emergencies needs to be emphasised by health care professionals to prevent the spread of the disease.
Peningkatan Kemampuan Membuat RPP Tematik Melalui Pelatihan Bagi Guru SLB-C Satuan Pendidikan SDLB Semester II Tahun Pelajaran 2017/2018
Authors: M.M Dra. Tutik Pudjiastuti 
Published: September 2020

Faktor terpenting keberhasilan pendidikan adalah guru yang professional. Usaha-usaha untuk mempersiapkan guru menjadi profesional telah banyak dilakukan. Kenyataan menunjukkan bahwa tidak semua guru memiliki kinerja yang baik dalam melaksanakan tugasnya. Masalah yang terjadi di SDLB-C TPA Jember yaitu masih ditemukan adanya guru yang kurang maksimal dalam menyusun RPP Tematik. Dengan keadaan demikian, peneliti sebagai pembina sekolah berusaha untuk memberi alternatif solusi, yaitu melalui metode pelatihan. Penelitian ini menggunakan desain Penelitian Tindakan Sekolah (PTS). Penelitian ini bertempat di SDLB-C TPA Jember. Penelitian ini dilaksanakan pada tanggal 01-28 Februari 2018 kepada guru yang berjumlah 7 orang. Hasil penelitian ini menemukan bahwa pelatihan dapat meningkatkan kemampuan guru dalam menyusun RPP Tematik yang inovatif dan lengkap. Hal itu dapat dibuktikan dari hasil observasi/pengamatan yang memperlihatkan bahwa terjadi peningkatan kemampuan guru dalam menyusun RPP Tematik dari siklus ke siklus. Pada siklus I nilai rata-rata komponen RPP 69% dan pada siklus II 83%. Jadi, terjadi peningkatan 14% dari siklus I.
The feasibility of computer-assisted 3D navigation in multiple-level lateral lumbar interbody fusion in combination with posterior instrumentation for adult spinal deformity
Authors: Strong Michael J. , Yee Timothy J. , Khalsa Siri Sahib S. , Saadeh Yamaan S. , Swong Kevin N. , Kashlan Osama N. , Szerlip Nicholas J. , Park Paul , Oppenlander Mark E. 
Published: September 2020

OBJECTIVEThe lateral lumbar interbody fusion (LLIF) technique is used to treat many common spinal degenerative pathologies including kyphoscoliosis. The use of spinal navigation for LLIF has not been broadly adopted, especially in adult spinal deformity. The purpose of this study was to evaluate the feasibility as well as the intraoperative and navigation-related complications of computer-assisted 3D navigation (CaN) during multiple-level LLIF for spinal deformity.METHODSRetrospective analysis of clinical and operative characteristics was performed for all patients > 18 years of age who underwent multiple-level CaN LLIF combined with posterior instrumentation for adult spinal deformity at the University of Michigan between 2014 and 2020. Intraoperative CaN-related complications, LLIF approach–related postoperative complications, and medical postoperative complications were assessed.RESULTSFifty-nine patients were identified. The mean age was 66.3 years (range 42–83 years) and body mass index was 27.6 kg/m2 (range 18–43 kg/m2). The average coronal Cobb angle was 26.8° (range 3.6°–67.0°) and sagittal vertical axis was 6.3 cm (range −2.3 to 14.7 cm). The average number of LLIF and posterior instrumentation levels were 2.97 cages (range 2–5 cages) and 5.78 levels (range 3–14 levels), respectively. A total of 6 intraoperative complications related to the LLIF stage occurred in 5 patients. Three of these were CaN-related and occurred in 2 patients (3.4%), including 1 misplaced lateral interbody cage (0.6% of 175 total lateral cages placed) requiring intraoperative revision. No patient required a return to the operating room for a misplaced interbody cage. A total of 12 intraoperative complications related to the posterior stage occurred in 11 patients, with 5 being CaN-related and occurring in 4 patients (6.8%). Univariate and multivariate analyses revealed no statistically significant risk factors for intraoperative and CaN-related complications. Transient hip weakness and numbness were found to be in 20.3% and 22.0% of patients, respectively. At the 1-month follow-up, weakness was observed in 3.4% and numbness in 11.9% of patients.CONCLUSIONSUse of CaN in multiple-level LLIF in the treatment of adult spinal deformity appears to be a safe and effective technique. The incidence of approach-related complications with CaN was 3.4% and cage placement accuracy was high.
The effect of anterior lumbar interbody fusion staging order on perioperative complications in circumferential lumbar fusions performed within the same hospital admission
Authors: Safaee Michael M. , Tenorio Alexander , Osorio Joseph A. , Choy Winward , Amara Dominic , Lai Lillian , Hu Serena S. , Tay Bobby , Burch Shane , Berven Sigurd H. , Deviren Vedat , Dhall Sanjay S. , Chou Dean , Mummaneni Praveen V. , Eichler Charles M. , Ames Christopher P. , Clark Aaron J. 
Published: September 2020

OBJECTIVEAnterior lumbar interbody fusion (ALIF) is a powerful technique that provides wide access to the disc space and allows for large lordotic grafts. When used with posterior spinal fusion (PSF), the procedures are often staged within the same hospital admission. There are limited data on the perioperative risk profile of ALIF-first versus PSF-first circumferential fusions performed within the same hospital admission. In an effort to understand whether these procedures are associated with different perioperative complication profiles, the authors performed a retrospective review of their institutional experience in adult patients who had undergone circumferential lumbar fusions.METHODSThe electronic medicals records of patients who had undergone ALIF and PSF on separate days within the same hospital admission at a single academic center were retrospectively analyzed. Patients carrying a diagnosis of tumor, infection, or traumatic fracture were excluded. Demographics, surgical characteristics, and perioperative complications were collected and assessed.RESULTSA total of 373 patients, 217 of them women (58.2%), met the inclusion criteria. The mean age of the study cohort was 60 years. Surgical indications were as follows: degenerative disease or spondylolisthesis, 171 (45.8%); adult deformity, 168 (45.0%); and pseudarthrosis, 34 (9.1%). The majority of patients underwent ALIF first (321 [86.1%]) with a mean time of 2.5 days between stages. The mean number of levels fused was 2.1 for ALIF and 6.8 for PSF. In a comparison of ALIF-first to PSF-first cases, there were no major differences in demographics or surgical characteristics. Rates of intraoperative complications including venous injury were not significantly different between the two groups. The rates of postoperative ileus (11.8% vs 5.8%, p = 0.194) and ALIF-related wound complications (9.0% vs 3.8%, p = 0.283) were slightly higher in the ALIF-first group, although the differences did not reach statistical significance. Rates of other perioperative complications were no different.CONCLUSIONSIn patients undergoing staged circumferential fusion with ALIF and PSF, there was no statistically significant difference in the rate of perioperative complications when comparing ALIF-first to PSF-first surgeries.
The impact of age on approach-related complications with navigated lateral lumbar interbody fusion
Authors: Saadeh Yamaan S. , Elswick Clay M. , Smith Eleanor , Yee Timothy J. , Strong Michael J. , Swong Kevin , Smith Brandon W. , Oppenlander Mark E. , Kashlan Osama N. , Park Paul 
Published: September 2020

OBJECTIVEAge is known to be a risk factor for increased complications due to surgery. However, elderly patients can gain significant quality-of-life benefits from surgery. Lateral lumbar interbody fusion (LLIF) is a minimally invasive procedure that is commonly used to treat degenerative spine disease. Recently, 3D navigation has been applied to LLIF. The purpose of this study was to determine whether there is an increased complication risk in the elderly with navigated LLIF.METHODSPatients who underwent 3D-navigated LLIF for degenerative disease from 2014 to 2019 were included in the analysis. Patients were divided into elderly and nonelderly groups, with those 65 years and older categorized as elderly. Ninety-day medical and surgical complications were recorded. Patient and surgical characteristics were compared between groups, and multivariate regression analysis was used to determine independent risk factors for complication.RESULTSOf the 115 patients included, 56 were elderly and 59 were nonelderly. There were 15 complications (25.4%) in the nonelderly group and 10 (17.9%) in the elderly group, which was not significantly different (p = 0.44). On multivariable analysis, age was not a risk factor for complication (p = 0.52). However, multiple-level LLIF was associated with an increased risk of approach-related complication (OR 3.58, p = 0.02).CONCLUSIONSElderly patients do not appear to experience higher rates of approach-related complications compared with nonelderly patients undergoing 3D navigated LLIF. Rather, multilevel surgery is a predictor for approach-related complication.
Mini-open lateral retropleural/retroperitoneal approaches for thoracic and thoracolumbar junction anterior column pathologies
Authors: Christiansen Peter A. , Huang Shengbin , Smith Justin S. , Shaffrey Mark E. , Uribe Juan S. , Yen Chun-Po 
Published: September 2020

OBJECTIVEAdvancements in less invasive lateral retropleural/retroperitoneal approaches aim to address the limitation of posterolateral approaches and avoid complications associated with anterior open thoracotomy or thoracoabdominal approaches.METHODSConsecutive patients treated with a mini-open lateral approach for thoracic or thoracolumbar anterior column pathologies were analyzed in a retrospective case series including clinical and radiographic outcomes. Special attention is given to operative techniques and surgical nuances.RESULTSEleven patients underwent a mini-open lateral retropleural or combined retropleural/retroperitoneal approach for thoracic or thoracolumbar junction lesions. Surgical indications included chronic fracture/deformity (n = 5), acute fracture (n = 2), neoplasm (n = 2), and osteomyelitis (n = 2). The mean length of postoperative hospital stay was 7.2 days (range 2–19 days). All patients ultimately had successful decompression and reconstruction with a mean follow-up of 16.7 months (range 6–29 months). Axial back pain assessed by the visual analog scale improved from a mean score of 8.2 to 2.2. Complications included 1 patient with deep venous thrombosis and pulmonary embolism and 1 with pneumonia. One patient developed increased leg weakness, which subsequently improved. One patient undergoing corpectomy with only lateral plate fixation developed cage subsidence requiring posterior stabilization.CONCLUSIONSMini-open lateral retropleural and retroperitoneal corpectomies can safely achieve anterior column reconstruction and spinal deformity correction for various thoracic and thoracolumbar vertebral pathologies.
Minimally invasive lateral corpectomy for thoracolumbar traumatic burst fractures
Authors: Podet Adam G. , Morrow Kevin D. , Robichaux Jared M. , Shields Jessica A. , DiGiorgio Anthony M. , Tender Gabriel C. 
Published: September 2020

OBJECTIVEThe need for anterior column reconstruction after thoracolumbar burst fractures remains controversial. Here, the authors present their experience with minimally invasive lateral thoracolumbar corpectomies for traumatic fractures.METHODSBetween 2012 and 2019, 59 patients with 65 thoracolumbar fractures underwent 65 minimally invasive lateral corpectomies (MIS group). This group was compared to 16 patients with single-level thoracolumbar fractures who had undergone open lateral corpectomies with the assistance of general surgery between 2007 and 2011 (open control group). Comparisons of the two groups were made with regard to operative time, estimated blood loss, time to ambulation, and fusion rates at 1 year postoperatively. The authors further analyzed the MIS group with regard to injury mechanism, fracture characteristics, neurological outcome, and complications.RESULTSPatients in the MIS group had a significantly shorter mean operative time (228.3 ± 27.9 vs 255.6 ± 34.1 minutes, p = 0.001) and significantly shorter mean time to ambulation after surgery (1.8 ± 1.1 vs 5.0 ± 0.8 days, p < 0.001) than the open corpectomy group. Mean estimated blood loss did not differ significantly between the two groups, though the MIS group did trend toward a lower mean blood loss. There was no significant difference in fusion status at 1 year between the MIS and open groups; however, this comparison was limited by poor follow-up, with only 32 of 59 patients (54.2%) in the MIS group and 8 of 16 (50%) in the open group having available imaging at 1 year. Complications in the MIS group included 1 screw misplacement requiring revision, 2 postoperative femoral neuropathies (one of which improved), 1 return to surgery for inadequate posterior decompression, 4 pneumothoraces requiring chest tube placement, and 1 posterior wound infection. The rate of revision surgery for the failure of fusion in the MIS group was 1.7% (1 of 59 patients).CONCLUSIONSThe minimally invasive lateral thoracolumbar corpectomy approach for traumatic fractures appears to be relatively safe and may result in shorter operative times and quicker mobilization as compared to those with open techniques. This should be considered as a treatment option for thoracolumbar spine fractures.
Rate of failure of indirect decompression in lateral single-position surgery: clinical results
Authors: Thomas J. Alex , Thomason Christopher I. M. , Braly Brett A. , Menezes Cristiano M. 
Published: September 2020

OBJECTIVELateral single-position surgery (LSPS) of the lumbar spine generally involves anterior lumbar interbody fusion (ALIF) performed in the lateral position (LALIF) at L5–S1 with or without lateral lumbar interbody fusion (LLIF) at L4–5 and above, followed by bilateral pedicle screw fixation (PSF) without repositioning the patient. One obstacle to more widespread adoption of LSPS is the perceived need for direct decompression of the neural elements, which typically requires flipping the patient to the prone position. The purpose of this study was to examine the rate of failure of indirect decompression in a cohort of patients undergoing LSPS from L4 to S1.METHODSA multicenter, post hoc analysis was undertaken from prospectively collected data of patients at 3 institutions who underwent LALIF at L5–S1 with or without LLIF at L4–5 with bilateral PSF in the lateral decubitus position between March 2018 and March 2020. Inclusion criteria were symptoms of radiculopathy or neurogenic claudication, central or foraminal stenosis (regardless of degree or etiology), and indication for interbody fusion at L5–S1 or L4–S1. Patients with back pain only; those who were younger than 18 years; those with tumor, trauma, or suspicion of infection; those needing revision surgery; and patients who required greater than 2 levels of fusion were excluded. Baseline patient demographic information and surgical data were collected and analyzed. The number of patients in whom indirect decompression failed was recorded and each individual case of failure was analyzed.RESULTSA total of 178 consecutive patients underwent LSPS during the time period (105 patients underwent LALIF at L5–S1 and 73 patients underwent LALIF at L5–S1 with LLIF at L4–5). The mean follow-up duration was 10.9 ± 6.5 months. Bilateral PSF was placed with the patient in the lateral decubitus position in 149 patients, and there were 29 stand-alone cases. The mean case time was 101.9 ± 41.5 minutes: 79.3 minutes for single-level cases and 134.5 minutes for 2-level cases. Three patients (1.7%) required reoperation for failure of indirect decompression.CONCLUSIONSThe rate of failure of indirect decompression in LSPS from L4 to S1 is exceedingly low. This low risk of failure should be weighed against the risks associated with direct decompression as well as the risks of the extra operative time needed to perform this decompression.
Optimalisasi Potensi Zakat : Faktor Yang Mempengaruhi Muzzaki Membayar Zakat Di Baznas Lampung Tengah
Authors: Pertiwi Intan suri mahardika , Ruslan Abdul Ghofur  
Published: September 2020

Potensi pengumpulan zakat Indonesia mencapai 217 T pertahun. Sedangkan jumlah dana zakat yang berhasil dihimpun oleh Badan Amil Zakat Nasional dari keseluruhan Unit Pengelola Zakat di Indonesia hanya mencapai 6 T Artinya, dibandingkan dengan potensi zakat yang sangat besar jumlah pengumpulan zakat yang dikumpulkan oleh BAZNAS kurang lebih 1% per tahun. Provinsi Lampung merupakan provinsi paling selatan yang ada di pulau sumatera. Agama mayoritas yang dianut oleh masyakat provinsi Lampung adalah Islam, yang mencapai 93,55% dari total masyarakat yang ada di provinsi Lampung. menurut data BAZNAS, potensi pengumpulan zakat di provinsi Lampung sebesar 1,8 T pertahun akan tetapi jumlah dana zakat yang dikumpulkan oleh BAZNAS hanya sebesar 1,15 M dengan demikian perbandingan antara potensi dan realisasi terdapat gap yang cukup besar mengartikan bahwa pengumpulan dana zakat masih dikatakan kurang optimal. Rumusan masalah pada penelitian ini adalah apakah akuntabilitas dan transparasi berpengaruh secara parsial terhadap kepercayaan muzzaki menunaikan zakat di BAZNAS Kabupaten Lampung Tengah ? dan apakah akuntabilitas dan transparasi berpengaruh secara simultan terhadap kepercayaan masyarakat menunaikan zakat di BAZNAS Kabupaten Lampung Tengah?
Penelitian ini mengunakan penelitian lapangan. Dengan mengunakan data primer yang disebarkan melalui goegle foam. pada penelitian ini polpulasi yang diambil adalah masyarakat Kabupaten Lampung Tengah. Penentuan sampel dengan metode slovin 100 sampel di Kabupaten Lampung tengah. Setelah didapatkan hasil data dinalisis dengan aplikasi spss 20. Hasil penelitian menyatakan bahwa Akuntabilitas dan transparasi baik secara parsial dan juga secara simultan memiliki pengaruh terhadap kepercayaan masyarakat untuk menunaikan zakat di Kabupaten Lampung Tengah
Evaluasi Kebijakan Kebandarudaraan Pada Bandar Udara Tempuling Di Kabupaten Indragiri Hilir
Authors: Yesi Nasila  , Febri Yuliani  , Hasim As'ari  
Published: September 2020

Pengelolaan bandara tidak hanya dilaksanakan oleh kota-kota besar, namun juga oleh kota-kota pada tingkat Kabupaten yang ada diseluruh Indonesia termasuk Kabupaten Indragiri Hilir. Kota Tembilahan Kabupaten Indragiri Hilir merupakan Kabupaten yang juga dikenal sebagai kota seribu jembatan dengan luas 11,606 km2 yang sebagian daerahnya adalah rawa-rawa. Bandar Udara Tempuling merupakan hasil dari kebijakan yang dikeluarkan guna untuk memenuhi misi pembangunan diharapkan akan menjadi Kabupaten yang maju dan berkembang dari segala bidang termasuk dalam hal pembangunan fisik dan peningkatan kesejahteraan masyarakatnya, dengan tolak ukur pendapatan, masyarakat yang meningkat, distribusi pendapatan yang merata, dan dengan melihat potensi yang dimiliki oleh Kabuapeten Indragiri Hilir dari berbagai bidang perkebunan, pertanian, kelautan, dan perindustrian. Untuk pengelolaan bandar udara tersebut maka dibutuhkanlah sebuah evaluasi dalam proses untuk menilai dari awal bagaimana kebijakan tersebut dapat terlakasana dengan baik sehingga sasaran yang telah di wacanakan dapat terarah dengan benar.
Evaluasi Kebijakan Kebandarudaraan Pada Bandar Udara Tempuling Di Kabupaten Indragiri Hilir menggunakan teori tipe evaluasi dengan skema penilaian menurut Nurcholis yaitu ada 4 tipe : (1) input, (2) proses, (3) output, (4) outcomes. Adapun faktor penghambat dari penyelenggaraan bandar udara tempuling ialah keterbatasan sumber daya manusia (SDM) baik dalam segi kualitas maupun kuantitas dalam perencanaan hingga dalam pelaksanaannya, selain itu keterbatasan kewenangan Pemerintah daerah Kabupaten Indragiri Hilir dalam menangani kegiatan bandar udara. Tidak berkesinambuanganya pemerintah daerah dalam melihat aspek jangka panjang terhadap bandar udara, Serta kurangnya sosialisasi dari pemerintah kepada masyarakat mengenai bandar udara tempuling.