bluuebunny/crossref_metadata_2025_split huggingface dataset:
Remote extradural hematoma after supratentorial brain tumor surgery: A rare complication of a routine surgery
Authors: Punia Prashant , Chugh Ashish , Gotecha Sarang 
Published: September 2021

Background: Hemorrhages in the surgical cavity post resection of tumor aren’t uncommon and neurosurgeons are well versed with this entity, however occurrence of an Extra Dural Hematoma(EDH), that too at a site remote to the surgical cavity, is rare. The study presents 3 cases of post operative remote site EDH after tumor resection with review of literature and an attempt to define and discuss the variables which play a role in determining the occurrence, extent and prognosis of the same.
Methods: The study investigated 601 patients who underwent tumor resection in the Department of Neurosurgery, Dr D Y Patil Hospital, from January 2017 to December 2019. All patients had a normal coagulation profile preoperatively. Postoperative remote EDH occurred in 3 patients whose data was examined closely in terms of age, sex, location, final diagnosis and treatment.
Results: Of the 601 patients who underwent tumor resection from Jan 2017 to Dec 2019, a total of 3 patients in our study were found to have a post-operative remote site EDH. Two of these patients were male and 1 female. The age range was 35 to 46 years with a mean of 41 years. Neither did any of these patients have a pre-existing hydrocephalus nor were they subjected to a CSF diversion procedure preoperatively. All 3 patients developed EDH on the ipsilateral side wherein 2 of our patients had a hematoma in the ipsilateral frontal region anterior to the surgical cavity while 1 patient developed hematoma in ipsilateral parietal region posterior to surgical cavity. Hematomas were unilateral with no extension to opposite side. Two patients had to be re-operated in an emergency setting while one patient was conservatively managed.
Conclusion: In patients with an expected volume loss via large tumor size, excess blood and CSF loss and a large craniotomy, remote EDH may develop and the neurosurgeon must have a high index of suspicion for this entity
Role of magnetic resonance imaging in prediction of outcome in traumatic diffuse axonal injury: A single-centre observational study
Authors: Thulung Suraj , Yogi Nikunj 
Published: September 2021

Introduction: Incidence of diffuse axonal injury has been estimated at 40-50% of hospitalizations. Recently, much interest has been directed towards the potential of newer imaging sequences of magnetic resonance imaging to investigate diffuse axonal injury (DAI) and to prognosticate the outcome. In this study, we correlated the magnetic resonance imaging grades of diffuse axonal injury with clinical outcome in terms of Glasgow Outcome Scale (GOS).
Methods and Materials: A hospital based observational study was carried out at Upendra Devkota Memorial National Institute of Neurological and Allied Sciences, Kathmandu in 69 patients of diffuse axonal injury between November 2017 to November 2018. Data was collected on patient and trauma characteristics, as well as neurological assessment and MRI findings. Outcome was assessed as favourable and unfavourable GOS for various MRI grades of diffuse axonal injury.
Results: There were 21.74%, 42.03% and 36.23% of cases with grade I, II and III diffuse axonal injury respectively. There were 0 (0%), 2 (11.8%) and 15 (88.2%) cases of MRI grade I, II and III diffuse axonal injury in favourable GOS group and 15 (28.8%), 27 (51.9%) and 10 (19.2%) cases of MRI grade I, II and III diffuse axonal injury in unfavourable GOS group (p=0.00).
Conclusion: This study showed that there was a significantly higher chance of unfavourable outcome with increasing MRI grades of diffuse axonal injury.
ANALYSIS OF THE EFFICIENCY OF THE COMPREHENSIVE PROGRAM OF PREVENTION OF DESTRUCTIVE INFLUENCE OF THE INTERNET ENVIRONMENT ON THE STUDENT YOUTH
Authors: Kononovych D. 
Published: September 2021

The paper presents an analysis of the results of an experiment on the implementation of a comprehensive program for the prevention of the destructive influence of the Internet environment on student youth in the activities of social service centers. In accordance with the purpose and objectives of scientific work, the sample consisted of 533 people aged 16 to 25 years. The proposed program is based on the assumption that critical thinking is an effective means of counteracting the destructive information impact.
According to the results of the analyzed data, positive changes that occurred in young people in accordance with the axiological, cognitive and praxiological components of the formation of critical thinking. As a result of the pedagogical experiment, the majority of respondents in the experimental group achieved high and medium development of the indicators of the criteria. The effectiveness of the implementation of the developed program in the preventive activities of specialists in social work of social service centers has been proven.
IMMINNENT ECLAMPSIA AND ECLAMPSIA- RISKS FACTORS AND CLINICAL PRESENTATION, 2 YEARS STUDY
Authors: Gupta Vishnu Kumar , Jasoria Lalima 
Published: September 2021

Background: The anatomical, Physiological and biochemical adaptations to Pregnancy are well orchestrated. In certain cases departure from this normal course leads to the pregnancy being complicated. Complications that so develop, endanger the life of both mother and her unborn child. One such dreaded complication is pregnancy induced hypertension. Eclampsia is defined as the pre- eclampsia when complicated with convulsion and/ or coma. However, eclampsia usually proceeds pre-eclampsia. It is one of the leading causes of maternal and perinatal mortality as well as morbidity, throughout the world. Approximately 50000 women die worldwide each year from eclampsia. The reported mortality rate ranges from 1-20%. The perinatal mortality rate of neonates born to eclamptic mothers ranges form 1.3-3%.
Aims: 1.To evaluates the risk factors and clinical presentation in women with imminent eclampsia preoperatively.

To evaluate the risk factors and clinical presentation in women with eclampsia.

Materials and Methods
The present study will be carried out in department of Obstetrics & Gynecology and MEDICINE of National institute of medical sciences (NIMS), Jaipur from October 2012 to September 2014. The study will be conducted on the antenatal and postnatal women admitted in the in patient department of NIMS, Jaipur Study Design: Prospective and retrospective observational study. Study Period October 2012 to September 2014. All the women are evaluated for demographic data, antenatal history, obstetric history, menstrual history, medical and surgical history, mode of delivery, onset of eclampsia, treatment received and maternal and fetal complications.
Result: From the present study, it can be concluded that the age group 21-30 years is most prone for eclampsia and imminent eclampsia and the disease severity is higher in age group less than 30 years. Low socioeconomic status and poor educational status contribute for their increased incidence. These patients generally have higher proteinuria with headache followed by epigastria pain and vomiting. These women are mostly delivered by caesarian section and deliver low birth baby (&lt; 2.5kg), which needs immediate attention and is admitted to nursery.
Conclusion: Eclampsia and imminent eclampsia is a major health problem in pregnant women. And it carries high morbities and mortality. Eclampsia is more complicated than imminent Eclampsia.
Keywords: Eclampsia, hypertension, preeclampsia, proteinuria
The Migration Policy of Iran And Turkey from Past to Present and Migration Governance in the Context of Migrants
Authors: KARADAL Kerim , CHAYCHI SEMSARI Mortaza , KESKİN Oğuz 
Published: September 2021

The phenomenon of migration has been one of the important factors affecting and shaping the lives of countries and societies throughout history. In this respect, the evolution of immigration in its historical process has become a policy that is more carefully followed by countries today. So much so that the phenomenon of immigration has ceased to be based simply on economy around the world and has become a threat to the security of countries with the change of migration trends.

In every period of its history, Iran and Turkey have been a country of immigration for various reasons. Migration management and humanitarian fields are discussed in the article. In recent years, the issue of migration has been increasingly on the international agenda and is now seen as a very important issue for all governments; In terms of Iran, immigration management has become an issue that needs to be dealt with comprehensively and systematically in recent years for immigrants from countries such as Iraq, Afghanistan and Pakistan, and for Turkey, those coming from Syria, Afghanistan and Iraq. As a result of the intensification of migration movements in the world, the two countries have become more sensitive to the issue of migration in order to improve their migration management and make the necessary arrangements. In this study, migration management, migration governance, migration and development, regulation of migration, social integration approaches and models of immigrants are examined under two separate headings. The relationship between the mother country Iran and Turkey, immigration and identity policies in this area will be read and the consequences of this process on the immigration policies of these countries and its impact on countries will be examined and analyzed.
ANALYSIS OF CHANGES IN MANGROVE FOREST FERTILITY USING SATELLITE IMAGE DATA AND WILCOXON TEST
Authors: Zainab Siti , Wibisana Hendrata 
Published: September 2021

Gunung Anyar is one of the districts in the city of Surabaya. This district has a height of approximately 3 meters above sea level. Based on data from the Central Statistics Agency (BPS) for the City of Surabaya 2019, Gunung Anyar District has an area of ​​9.2 square kilometers and is divided into four sub-districts. These include the Kelurahan Rungkut Menanggal, Rungkut Tengah, Mount Anyar and Mount Anyar Tambak (AyoSurabaya.com by Rizma Riyandi). The mangrove's robust root system helps form a natural barrier against storm surges and flooding. River and land sediments are trapped by roots, which protect shorelines and slow erosion. This filtering process also prevents harmful sediments from reaching coral reefs and seagrass beds (Anugerah Ayu Sundari 2019).
The method used by remote sensing with Landsat 8 satellite imagery was analyzed using SeaDAS software, it was obtained that the comparison value in each band 2,3,4 and band 5 had differences in each reflectance value. The 2015 satellite image map has the largest value in band_4 with the exponential regression model y = 125.06e-22.13x with R2 = 0.0732, while the 2019 satellite image map which has the largest value is band_4 with the logarithmic regression model y = 141.72ln (x) + 326.3 where R2 = 0.0281. Using the Wilcoxon H1 Test Statistics it is accepted that there is a significant difference between the diameter of mangroves from satellite imagery in 2015 and the diameter of mangroves from satellite images in 2019. Because the number of positive rankings from the diameter of mangrove satellite imagery in 2015 is greater than the diameter of mangroves from satellite imagery in 2019. , it can be concluded that the mangrove area of ​​Wonorejo Surabaya is experiencing fertility.
Depression in Post Disaster Societies: A Systematic Review
Authors: Fithriy Insaniy Reza , Jatimi Atika , Junnatul Azizah Heru Maulidiyah , Munir Zainal 
Published: September 2021

Introduction: Disaster increases the risk of depression in individuals one to six years after the event. Objective:. This paper describes depression in post-disaster societies. Method: This study was a systematic review. Database searches included Google Scholar and Proquest, with the keywords post-traumatic, depression, and disaster. The article's criteria were in English, published in 2016-2020, and used (CES-D) questionnaire. This systematic review was based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Results: This study used 15 articles meeting the criteria. Analysis of fifteen articles showed that individuals had mental health burdens after a disaster occurs. One of them was depression. Conclusion: There is a depression in post-disaster societies. Future studies should explore the correlation between PTSD and depression after a disaster.
Roflumilast: Review of Phosphodiesterase-4 Inhibitor as Asthma Therapy
Authors: Syfridiana Rafina , Herawati Fauna 
Published: September 2021

Asthma is a heterogeneous disease characterized by chronic inflammation of the airways induced reversible obstruction resulting in mortality and morbidity. Roflumilast is a second-generation selective inhibitor of phosphodiesterase-4 targeting PDE type 4 isoenzymes, disturbing the breakdown of cyclic AMP (cAMP) and reducing inflammation. However, it has not been recommended for asthma patients because of insufficient evidence from trial results. The search was carried out using the PUBMED online database from 2011 to May 2021. The keywords used in this study were "Asthma" and "Roflumilast" using the Boolean Operator "AND." All articles were published until May 7, 2021. The design of the articles involved in this study was randomized. Selection of research articles was obtained to avoid duplication of articles through title and abstract screening. Next, eligible articles were extracted by reviewing the full text according to the inclusion criteria. Finally, Five articles were used in this paper. Roflumilast can be given per-oral as a single dose or combine with ICS or montelukast. Roflumilast can increase FEV1 and reduce eosinophils, a pathological cause of asthma that induces inflammation in the airways. The side effects of roflumilast are well tolerated in asthma patients, the most common of which include headache, diarrhea, nausea, weight loss, and insomnia
PELATIHAN MEMBUAT PERENCANAAN USAHA YANG BAIK SEBAGAI UPAYA PENINGKATAN KEMAMPUAN PENGELOLAAN USAHA
Authors: Hardjanti Adiati , Purnami Kusumasari R.A. Hera , - Charlie 
Published: September 2021

Community Service Activities were carried out in Tegal Alur Village, Kalideres District, West Jakarta. The problem faced by partners is the lack of training that can open up profitable business opportunities for them. The implementation method is carried out starting with a site survey, followed by training and ending with activity analysis. The Lean Canvas planning method is used to get to the heart of the idea, putting all the information on one page, helping to define the main information needed, without unnecessary details. As a result of this training activity, housewives, Family Welfare Development mother (PKK), youth organizations and Micro, Small and Medium Enterprises (UMKM) in Tegal Alur Village, West Jakarta, can start a business by taking action step by step, so that their efforts can generate profits as expected. It can be concluded that this training is beneficial for the community and increases the desire to become entrepreneurs.
ASI Eksklusif dan Imunisasi Berhubungan dengan Kejadian Stunting pada Anak Usia 9-24 Bulan di Puskesmas Rumah Tiga, Ambon
Authors: Asmin Elpira , Abdullah Mujahidah Rofifah 
Published: September 2021

Stunting adalah kondisi gagal tumbuh pada anak yang ditandai dengan tinggi badan tidak sesuai dengan usia akibat kekurangan gizi kronis terutama dalam 1000 Hari Pertama Kehidupan (HPK), yaitu sejak di kandungan ibu sampai usia anak dua tahun. Berdasarkan data dari Riskesdas 2018 Provinsi Maluku, prevalensi stunting ialah 34,02%. Tujuan penelitian ini adalah untuk mengetahui hubungan ASI Eksklusif dan Imunisasi dengan kejadian stunting pada anak di Puskesmas Rumah Tiga Kota Ambon. Penelitian ini merupakan pengolahan data sekunder dengan pendekatan cross sectional. Sampel yang digunakan dalam penelitian ini adalah anak usia 9-24 bulan yang terdata di Puskesmas Rumah Tiga pada tahun 2019-2020 berjumlah 559 anak. Hasil penelitian menunjukan dari 559 anak yang menjadi sampel penelitian, 27,2% anak mengalami stunting dan 72,8% tidak mengalami stunting. ASI Eksklusif dan imunisasi berhubungan dengan kejadian stunting. ASI Eksklusif memiliki cakupan yang masih rendah. Diharapkan adanya program pendampingan untuk ibu menyusui, agar dapat meningkatkan pemberian ASI Eksklusif dan pemberian ASI hingga anak usia 2 tahun. Hal ini setidaknya dapat membantu mencegah stunting pada anak di Puskesmas Rumah Tiga, Ambon
Herniação discal torácica: série de casos e protocolo para abordagem cirúrgica
Authors: Barreto Felipe Gargioni , Barletta Enrico Affonso , Belsuzarri Telmo Augusto Barba , Paz Daniel de Araujo , Sparapani Fabio Veiga , Cavalheiro Sergio , Salati Thiago , Benites Vinicius de Meldau , Iunes Eduardo Augusto , Onishi Franz Jooji 
Published: September 2021

Objetivo. Descrever o desfecho cirúrgico da série de 11 casos submetidos a tratamento cirúrgico baseado no protocolo desenvolvido na nossa instituição para tratamento cirúrgico a hérnias de disco torácicas. Método. Os pacientes foram classificados quanto ao risco cirúrgico. Grupo A (alto risco cirúrgico) ou B (baixo risco cirúrgico); após, eram classificados quanto as características da hérnia: presença de calcificação, posição da hérnia (central ou lateral). A abordagem cirúrgica era definida conforme essas características. Grupo A.1) Hérnia central e calcificada em paciente de alto risco – Acesso toracoscópico; A2) Hérnia lateral não calcificada em paciente de alto risco – acesso póstero-lateral; A.3) Hérnia calcificada lateral – acesso póstero-lateral/ B.1) Hérnia central ou centro-lateral calcificada em pacientes de baixo risco– toracotomia ou toracoscopia. B.2) Hérnia lateral não calcificada em pacientes de baixo risco – acesso póstero-lateral. Resultados. 11 pacientes foram submetidos a tratamento cirúrgico de hérnia de disco torácica baseado nesse protocolo (6 masculinos). 3 pacientes eram Frankel C e 8 Frankel D na admissão. A idade média foi 44,27±14,08 anos. Apenas em um paciente a hérnia não era calcificada, 3 pacientes apresentaram hérnias laterais e 8 hérnias centrais. O tempo médio entre o início dos sintomas e a cirurgia foi de 9±10,81 meses. 8 pacientes apresentaram melhora neurológica após a cirurgia. 3 pacientes (27%) não apresentaram melhora. 2 pacientes tiveram ressecção parcial, um foi reoperado. Conclusões. Esse protocolo pode ser utilizado para planejamento pré-operatório das hérnias de disco torácicas principalmente levando em consideração as características do disco herniado.
A interdisciplinaridade no ensino de Matemática nas séries finais do Ensino Fundamental: uma perspectiva sob a visão do licenciando
Authors: Oliveira Osmano Melo , Souza Keidna Cristiane Oliveira , Paixão Leandro Luiz da 
Published: September 2021

O presente artigo discorre sobre a prática de ensino de Matemática a partir da utilização da interdisciplinaridade. Tem por objetivo evidenciar o diálogo entre as áreas do conhecimento como uma ferramenta fundamental para o ensino de Matemática. Quanto ao percurso metodológico, trata-se de um relato de experiência em uma turma de Matemática de 8º ano realizado no Estágio Supervisionado que aconteceu no Colégio Estadual Presidente Castelo Branco em Nazaré, TO. Destaca-se que este trabalho se constitui em um relato de experiência que permite diálogo com outros autores, a partir de uma atividade interdisciplinar desenvolvida durante o Estágio Supervisionado, onde foram realizadas atividades como: leitura e interpretação de textos, apresentação de conteúdos em projetor multimídia, discussão dos conteúdos, resolução de problemas e atividades. Promove-se, assim, uma reflexão sobre o ensino de Matemática nas séries finais do Ensino Fundamental II, etapa em que se encontram falhas, como a dificuldade de aprendizagem e interpretação dos conteúdos, interferindo na aquisição de habilidades e competências próprias para essas idades e séries, o que dificulta a aquisição de novos conhecimentos, provocando aversão à disciplina. Percebeu-se que, quando a metodologia de ensino prioriza a elucidação da questão em uma abordagem político-social, valorizando os conhecimentos prévios dos alunos e auxiliando-os nos problemas advindos das dificuldades de interpretação de texto, por exemplo, o resultado é satisfatório: os alunos chegam às respostas e demonstram interesse pela disciplina.
Pengaruh Kompetensi dan Kompensasi Terhadap Kinerja Pegawai Negeri Sipil Melalui Kepuasan Kerja di Politeknik Angkatan Darat Malang
Authors: Ismail Robertson 
Published: September 2021

AbstractCompetence and compensation mediated by job satisfaction are important factors in improving the performance of civil servants so that they affect the smoothness of services in educational institutions, especially the Army Polytechnic. The purpose of this study to determine and analyze the effect are: a) competence on job satisfaction: b) compensation on job satisfaction; c) performance competence; d) compensation for performance; e) job satisfaction on performance; f) indirect competence through job satisfaction on performance; g) indirect compensation through job satisfaction on performance. This type of research is explanatory research using path analysis. The results showed that competence had a positive and significant effect on job satisfaction, compensation had a positive and significant effect on job satisfaction, competence had a positive and significant effect on performance, compensation had a positive and significant effect on performance, job satisfaction had a positive and significant effect on performance. positive and significant effect on performance, competence with job satisfaction mediation has a positive effect on performance, and compensation with job satisfaction mediation has a positive effect on the performance of Army Polytechnic Civil Servants.
Keywords: Competency, Compensation, Job Satisfaction and Performance
Abstrak
Kompetensi dan kompensasi yang dimediasi oleh kepuasan kerja merupakan faktor penting dalam meningkatkan kinerja PNS sehingga berpengaruh terhadap kelancaran pelayanan di lembaga pendidikan khususnya Politeknik Angkatan Darat. Tujuan penelitian ini untuk mengetahui dan analisis pengaruh adalah: a) kompetensi terhadap kepuasan kerja: b) kompensasi terhadap kepuasan kerja; c) kompetensi terhadap kinerja; d) kompensasi terhadap kinerja; e) kepuasan kerja terhadap kinerja; f) tidak langsung kompetensi melalui kepuasan kerja terhadap kinerja; g) tidak langsung kompensasi melalui kepuasan kerja terhadap kinerja. Jenis penelitian ini adalah explanatory research dengan menggunakan analisis jalur. Hasil penelitian menunjukkan kompetensi berpengaruh positif serta signifikan terhadap kepuasan kerja, kompensasi berpengaruh positif serta signifikan terhadap kepuasan kerja, kompetensi berpengaruh positif serta signifikan terhadap kinerja, kompensasi berpengaruh positif serta signifikan terhadap kinerja, kepuasan kerja berpengaruh positif serta signifikan terhadap kinerja, kompetensi dengan mediasi kepuasan kerja berpengaruh positif terhadap kinerja, serta kompensasi dengan mediasi kepuasan kerja berpengaruh positif terhadap kinerja PNS Politeknik Angkatan Darat.
Kata Kunci: Kompetensi, Kompensasi, Kepuasan Kerja dan Kinerja