bluuebunny/crossref_metadata_2025_split huggingface dataset:
The effects of temperature and outcomes of patients presenting to the emergency department with heat-related illness
Authors: Raju Feema , Biju Albin C. , Gunasekaran Karthik , Mannam Pavithra Ratnam , George Krupa , Abhilash Kundavaram Prabhakar 
Published: December 2021

Introduction:
In a tropical country like India, heat-related illnesses are a common occurrence in the unforgiving summer months. Our study aimed to study the profile and outcome of patients with heat-related illnesses presenting to the emergency department (ED).

Materials and Methods:
This retrospective, cross-sectional study included all patients with heat-related illnesses to the ED during the months of April, May, and June of 2016. Baseline demographic characteristics, computed tomography (CT) brain findings, and hospital outcome were noted.

Results:
During the 3-month study period, 72 patients presented with heat-related illnesses. Two-thirds (46/72: 63.8%) suffered from heat stroke, whereas one-third (26/72: 36.2%) had heat exhaustion. Classical and exertional types were seen in 46% and 54% of heat strokes, respectively. The mean age (standard deviation) of the patients was 59.7 (13.3) years with a male preponderance (56.9%). Homemakers (37.5%) and manual laborers (20.8%) were most commonly affected. Hypotension at ED arrival was noticed in 20.8% (15/72), whereas tachycardia and tachypnea were noted in 80.5% (58/72) each. The findings on CT of the brain included acute infarcts (5/26: 19.6%) and an intra-cranial bleed (1/26: 3.8%). The mortality rate was 19.5% (14/72).

Conclusion:
Heat-related illnesses cause significant mortality during the relentless hot summers of a tropical country like India. Homemakers and manual labors were the most affected group. Acute changes were seen in CT brain of a quarter of patients with heat stroke.

The following core competencies are addressed in this article:
Patient care, Systems-based practice, Medical knowledge, Practice-based learning and improvement.
“Crossed C1 Lateral Mass–C2 Subfacetal Screw and Rod Construct” for Atlantoaxial Fixation in Patients with High-Riding Vertebral Artery
Authors: Gopal Vinu V , Kurikkattayil Jose Geo Paul , Balakrishnan Paruvakkattil Kunjan 
Published: December 2021

Background:
Goel–Laheri's posterior C1/C2 fixation technique is the gold standard procedure for atlantoaxial dislocation (AAD) and basilar invagination. Coexisitng vertebral artery anomalies such as high-riding vertebral arteries pose an increased risk of vertebral artery injury during instrumentation. Alternate technique for avoiding vertebral artery injury in such cases like translaminar screw fixation had been associated with a high chance for screw pull out, resulting in an unstable construct. This case report introduces a novel, cost-effective technique of atlantoaxial fixation with a “bilateral crossed C1 lateral mass-C2 subfacetal screw and rod construct” in patients with atlantoaxial subluxation with high-riding vertebral arteries.

Case Presentation:
A 63-year-old male presented with complaints of neck pain and difficulty in walking. On physical examination, he had features of high cervical myelopathy. Imaging revealed AAD with bilateral high-riding vertebral arteries. He was treated with “Crossed C1 lateral mass-C2 subfacetal screw and rod fixation” without evidence of vertebral artery injury or neurological deficits. Postoperatively, the patient showed significant improvement in pain and Nurick score.

Conclusions:
This technique has the uniqueness of providing a stable, rigid fixation of the atlantoaxial joint with screws inserted into the C2 body providing good bone purchase and at the same time avoid vertebral artery injury in high riding cases. The surgical technique is demonstrated in a detailed manner in this technical note.
Mapeamento das Publicações sobre Gamificação e Matemática
Authors: Ritter Denise , Bulegon Ana Marli 
Published: December 2021

Neste trabalho, apresenta-se o resultado de uma investigação feita em publicações científicas, sobre como a gamificação tem sido utilizada no ensino de Matemática. Foi realizado um mapeamento nas bases de dados Google Acadêmico, Catálogo de Teses e Dissertações da CAPES, Portal de Periódicos da CAPES, Revista Computers & Education, Plataforma Hal e SciELO. Após a análise dos trabalhos, a partir de questões elaboradas previamente, selecionamos 38 deles. Percebeu-se que o Ensino Fundamental é o nível em que são desenvolvidas a maior quantidade de propostas gamificadas e os professores optaram por utilizar o computador na maioria delas. Constatou-se que 66% dos trabalhos propõem a gamificação utilizando diferentes recursos e/ou plataformas na elaboração das propostas gamificadas e 34% propõem a gamificação a partir do uso de jogos em plataformas digitais ou atividades gamificadas. As propostas gamificadas, em sua maioria, visam motivar e engajar os estudantes para a aprendizagem dos conceitos de Matemática.
Ovarian Hilus Cell Hyperplasia and Sertoli-Leydig Cell Tumor in a Patient with Postmenopausal Virilization: a Rare Case Report
Authors: Ertan Begum , Ozgozen Eyüphan , Ilgen Orkun , Bulbul Göksenil , Saatli Bahadır , Ulukus Cagnur 
Published: December 2021

Objective; We present a case report regarding a 71-year-old woman with postmenopausal virilization caused by ovarian hilus cell hyperplasia and Sertoli-Leydig cell tumor who was suffered from hair loss, clitoromegaly and hirsutism.
Case Report; The patient’s plasma testosterone levels were high. In the MRI examination, a nodular formation of 20x26mm in size was observed in the right ovary. At the transvaginal ultrasound, a cystic mass of 28x28mm was seen in the right ovary. Then we performed a total laparoscopic hysterectomy and bilateral salpingo-oophorectomy. The final pathology showed a poorly differentiated Sertoli Leydig cell tumor at the right ovary and hilus cell hyperplasia at the left ovary. Sertoli-Leydig cell tumors, which are relatively less common, are extremely rare to be seen in the postmenopausal period.
Conclusion; What distinguishes this case from others is that Sertoli-Leydig cell tumor and hilus cell hyperplasia may cause virilization symptoms together, in addition to its prevalence in advanced age.
Pengaruh Pelatihan dan Kepemimpinan Transformasional terhadap Kinerja Guru SMA N 1 Semin Gunungkidul dengan Kepuasan Kerja Sebagai Variabel Intervening
Authors: Astuti Retno Dwi , Wiyono Gendro , Kirana Kusuma Chandra 
Published: December 2021

This study aims to analyze the relationship between teacher training and transformational leadership on teacher performance through job satisfaction as an intervening variable in teacher members of SMA N1 SEMIN. This research method uses quantitative descriptive using primary data obtained from distributing questionnaires. In this study using the sessus technique, each population has the same opportunity to be sampled. The number of samples taken in this study were 44 questionnaires. Data were analyzed using SPSS and Smart PLS. The results showed that teacher training had a positive and significant effect on job satisfaction with a significance level of 0.002 < 0.05, so hypothesis I was accepted. Transformational leadership has a positive and significant effect on job satisfaction with a significance level of 0.018 <0.05, so hypothesis II is accepted. Teacher training has a positive and significant effect on teacher performance with a significance level of 0.021 <0.05, so hypothesis III is accepted. Transformational leadership has no positive and significant effect on teacher performance with a significance level of 0.352 > 0.05, so hypothesis IV is rejected. Job satisfaction has a positive and significant effect on teacher performance with a significance level of 0.003 < 0.05 (p <0.05), so hypothesis V is accepted. Teacher training on teacher performance with job satisfaction as an intervening variable with a significance level of Z score 2.08 > 1.96 then hypothesis VI is accepted. Transformational leadership on teacher performance with job satisfaction as an intervening variable with a significance level of Z score 1.80 < 1.96 then hypothesis VII is rejected.
Keywords: teacher training, transformational leadership, job satisfaction, teacher performance.
Pengaruh Kinerja Keuangan terhadap Financial Distress pada Perusahaan Manufaktur Sub Sektor Industri Barang Konsumsi Makanan dan Minuman yang Terdaftar di Bursa Efek Indonesia Periode 2016 - 2020
Authors: Rinofah Risal , Sari Pristin Prima , Juliani Titi 
Published: December 2021

Penelitian ini bertujuan untuk mengetahui adanya pengaruh rasio likuiditas (Current Ratio), profitabilitas (Return On Assets), leverage (Debt To Asset Ratio), dan rasio aktivitas (Total Aset Turn Over) terhadap financial distress pada perusahaan sub sektor industri makanan dan minuman yang terdaftar di Bursa Efek Indonesia tahun 2016-2020. Variabel dependen dalam penelitian ini adalah financial distress dan variabel independen dalam penellitian ini adalah likuiditas, profitabilitas, leverage, dan aktivitas. Penelitian ini dilakukan dengan metode purposive sampling. Teknik pengambilan data menggunakan data sekunder. Data diperoleh dari perusahaan sub sektor industri makanan dan minuman dari tahun 2016-2020 yang terdaftar di Bursa Efek Indonesia (BEI) dengan menggunakan Regresi Linear Berganda yang menggunakan SPSS 20. Variabel Financial Distress di prioksikan menggunakan rumus Altman Z-Scored. Hasil dari Penelitian ini menunjukkan bahwa likuiditas, profitabilitas, aktivitas memiliki pengaruh yang signifikan terhadap financial distress, sedangkan leverage tidak memiliki pengaruh yang signifikan terhadap financial distress.
Kata-kata Kunci: Financial Distress, Likuiditas, Profitabilitas, Leverage, Aktivitas.
Pengaruh Diferensiasi Produk dan Citra Merek Terhadap Keputusan Pembelian Sepatu Bata (Studi Pada Bata Plaza Surabaya)
Authors: Johari Masum , Supriyono Supriyono 
Published: December 2021

Dengan adanya perubahan teknologi yang semakin pesat dapat mengakibatkan persaingan bisnis yang keketatannya lebih tinggi lagi diantara para pebisnis yang memiliki perusahaan atau produk barang dan jasa sejenis. Oleh karena itu diperlukan strategi yang baik untuk dapat meningkatkan bisnisnya. Tujuan penelitian ini untuk mengetahui mengetahui relasi/hubungan dari diferensiasi produk dan citra merek terhadap keputusan pembelian sepatu Bata di Plaza Surabaya. Penelitian ini termasuk kedalam penelitian kuantitatif yang menggunakan kuisioner sebagai metode pengumpulan data. Dengan populasi yang digunakan dalam penelitian ini adalah para pembeli sepatu Bata di Plaza Surabaya yang usianya lebih dari 17 tahun. Kemudian teknik non probability sampling adalah teknik yang dipergunakan oleh peneliti dengan metode purposive sampling. Sampel yang diambil pada penelitian ini adalah yaitu 70 orang pembeli sepatu Bata di Plaza Surabaya. Data yang dipergunakan dalam penelitian ini yakni data primer dan sekunder. Sedangkan teknik analisis yang dipergunakan adala Partial Least Square (PLS). Dimana hasil dalam penelitian ini memperlihatkan bahwa diferensiasi produk berpengaruh positif pada keputusan pembelian dan citra merek berpengaruh positif pada keputusan pembelian.
Pengaruh DER, ROA, dan DPR Terhadap Return Saham Sektor Utilitas, Insfrastruktur, dan Transportasi.
Authors: Andriyanto Nova Dwi , Maulida Alfiatul , Hermuningsih Sri 
Published: December 2021

Stock return is one of the triggers in the investment process, stock returns are often used as a measurement tool by investors in making comparisons of investment alternatives, this can help investors to know the company's success before investing. The purpose of this study is to examine and analyze empirically the effect of Debt to Equity Ratio, Return On Assets, Dividend Payout Ratio on stock returns. The selection of scientific study data is collected by companies on the Indonesia Stock Exchange for the 2015-2020 period. The sample collection technique used is purposive sampling technique, with only 9 (nine) companies that meet the analysis criteria using the classical assumption test and multiple linear regression analysis techniques using SPSS 21 software. This is according to the classical assumption test and the fit test of the regression model which results in a data that can be used for analysis. The conclusion of the study shows that Return on Assets is able to influence positively and significantly, while the Debt to Equity Ratio and Dividend Payout Ratio have no effect on stock returns.
Keywords: Debt to equity ratio;Return On Assets; Dividend Payout Ratio; Stock return.
Analisis Hukum Islam terhadap Penyelesaian Sengketa Tunggakan Dalam Jual Beli Angsuran Tanah Kavling Melalui Nonlitigasi
Authors: Safitri Juwita Nur , Fasa Muhammad Iqbal , Ja’far A. Kumedi 
Published: December 2021

Kegiatan muamalah merupakan kegiatan yang melibatkan setiap anggota masyarakat dalam upaya memenuhi kebutuhan hidupnya sehari-hari. Sebagaimana yang dilakukan oleh masyarakat di Desa Margo Leastari Kecamatan Jati Agung Kabupaten Lampung Selatan yang melakukan praktik jual beli angsuran tanah kavling. Perjanjian jual beli angsuran tersebut melibatkan dua pihak, yakni pihak debitur (penjual tanah) dengan pihak kreditur (pembeli tanah), jual beli tersebut dilakukan secara angusran atau menggunakan sistem cicilan. Praktik jual beli kredit tanah kavling tersebut ditetapkan dalam sebuah perjanjian yang memuat jumlah dan besaran cicilan, jangka waktu serta hak dan kewajiban setiap pihak yang harus dipenuhi. Apabila terdapat hal yang penting namun belum tertulis dalam perjanjian, kedua belah pihak harus membuat kesepakatan yang disetujui oleh kedua belah pihak. Salah satu masalah yang terjadi dalam praktik tersebut adalah terkait sengketa tunggakan, dalam perjanjian tidak terdapat pasal mengenai penghapusan uang muka apabila terjadi tunggakan dalam pembayaran cicilan, sedangkan debitur melakukan penghapusan uang muka secara sepihak tanpa kesepakatan kreditur apabila kreditur mengalami tunggakan dalam pembayan angsuran dalam jual beli tanah kavling.
Analisis Pengaruh Faktor-Faktor Literasi Keuangan Terhadap Keputusan Berinvestasi Pada Asuransi Jiwa di Kota Palembang
Authors: Novita Resa , Andriana Isni , Thamrin Kemas M Husni 
Published: December 2021

The purpose of this research is to analyze the effect perceptions about financial literacy factors against the investment decisions on life insurance in Palembang. The population in this study is the owner of life insurance in Palembang, the sampling in this study is using the Purposive Sampling method with 50 respondents as samples. The type of research used is quantitative research with primary data sources obtained from distributing questionnaires to respondents. The data analysis technique in this research are descriptive and inferential statistical analysis using Structural Equation Modeling (SEM) with smartPLS (Partial Least Square) 3.0 software. The results showed that the perception of age and gender has no significant effect against the investment decisions on life insurance in Palembang, meanwhile the perception of education level and income have a significant effect against the investment decisions on life insurance in Palembang.
Keywords: Age, Gender, Level of Education, Income, Investment Decisions
Penerapan Kompilasi Hukum Islam Pasal 53 Dalam Pelaksanaan Pencatatan Pernikahan oleh PPN pada Kantor Urusan Agama (KUA) di Kecamatan Tanjung Pura
Authors: Kurniadinata Abdullah Sani , Wiguna Satria 
Published: December 2021

The purpose of this study was to find out the sound and explanation of the Compilation of Article 53, to know the clear law regarding pregnant marriage due to adultery which is regulated by law and Syara' and to know the procedures for registration of marriage and the marriage process carried out by pregnant women due to adultery. recorded by the Tanjung Pura District Religious Affairs Office. This type of research is a qualitative research with a field research approach (field research). Methods of collecting data by means of observation, interviews and documentation. The conclusion of this study that it has been carried out related to the application of the compilation of Islamic law article 53 in the implementation of marriage registration by VAT at the Office of Religious Affairs (KUA) of Tanjung Pura District is allowed and carried out as usual marriages without different procedures, with considerations: 1. Can save nasab for the baby, 2. Protecting the honor of women and families 3. Guaranteed survival for the baby in the womb and 4. Cessation of adultery previously committed.
Keywords: Compilation of Islamic Law, Article 53 Marriage, PPN KUA
Penyimpangan Seksual sebagai Alasan Terjadinya Perceraian Menurut Pengadilan Agama Cibinong:
Authors: Alhifni Izwar , Yono Yono , Mukhtar Mukhtar 
Published: December 2021

Sexual deviation as a reason for divorce has given a negative and ambiguous stigma to society, especially to the views of judges and Islamic law based on these factors which are the study of sexual deviation as a reason for divorce. Therefore this research is entitled: Sexual Deviance As the Reason for Divorce According to PA Cibinong. The formulation of the problem from this research is to answer (1) What are the factors causing divorce in the Cibinong Religious Court, (2) What is the Judge's view on sexual deviation as a reason for divorce, (3) What is the view of Islamic Law on Sexual Deviance as a reason occurrence of divorce. The method used in this research is descriptive qualitative which is carried out to find out what the views of Islamic law on sexual deviance are as well as the impact that occurs due to sexual deviant behavior on marriage. This study uses primary data, namely observations in an object, interviews and secondary data sourced from Case Number: 5318/Pdt.G/2018/PA.Cbn, documents, books, and so on that are related to this research. The results of this research with factors that cause sexual deviance are due to weak faith, unable to contain lust, and the arrival of this aspect in almost every aspect of modern life that grows and develops not on the basis of the concept of religion. sexual intercourse without regard to the satisfaction of the opposite sex and in practice it is often accompanied by violence (hitting, kicking, etc.) which results in injury to the partner. So according to the Cibinong Religious Court Judge when viewed from PP No. 9 of 1975 Article 19 of this Sex Deviance can be categorized as a reason for divorce, in point d of the article it is explained, ie one party commits cruelty or severe abuse that endangers the other party in general about sexual violence in the household, and sexual deviance in particular is a new reason that is used as a reason for divorce before the court. without paying attention to the satisfaction of the opposite sex and not infrequently in practice it is spiked by violence (hitting, kicking, etc.) which results in injury to their partner. So according to the Cibinong Religious Court Judge when viewed from PP No. 9 of 1975 Article 19 of this Sex Deviance can be categorized as a reason for divorce, in point d of the article it is explained, that is, one party commits atrocities or severe abuse that endangers the other party in general about sexual violence in the household, and sexual deviance in particular is a new reason that is used as a reason for divorce before the court. Sexual violence in the household or sexual irregularities in the household that are widely used as reasons for divorce are physical violence, such as beatings, economic violence, in terms of economic neglect. Meanwhile, psychological violence and sexual deviations are rarely revealed in court. Unless these two types of deviation are simultaneously experienced by victims with physical violence.
Keywords: Court, Judgment, Deviant Factors
Kewenangan Ayah Biologis Menjadi Wali Nikah Bagi Anak Hasil Zina Menurut Pandangan Imam Syafi’i dan Putusan Mahkamah Konstitusi (MK) NO. 16/PUU-VIII/2010
Authors: Nasution Agung Sahbana , Sutrisna Sutrisna , Gustiawati Syarifah 
Published: December 2021

The presentence of marriage guardian is a must which should be considered. This research learn about Imam syafi'i viewpoint and Mahkamah Konstitusi Decision no 16-VIII-PUU/2010 about the authority of bioligical father to be marriage guardian for his out of marriage children.This purpose research is to analyst how Imam Syafii viewpoint and Mahkamah Konstitusi Decision about the authority of bioligical father to be marriage guatdian for his out of marriage children. This research is using yuridis normatif proccess with deskriptip kualitatif method. The result of this research is imam syafii gave 2 viewpoint about bioligical father to be marriage guardian for his out of marriage children. First, its allowed a father to be marriage guardian for his out of marriage children with provision the daughter born at least 6 month after her parents akad. Meanwhile, mahkamah konstitusi decision said "a child that was born out of marriage have a civil relation with her mother and mothers family and then a man as her father that could be prove by sains and technology or another evidence according to law has blood relation including civil relation with the father's family. ."this legal logic decision has consequence to out of marriage children descendants with her father. It is mean if we look at Mahkamah Decision a father could be a marriage guardian for out of children marriage without to see how old the womb that born after the marriage.

Keyword: Guardian Authority, Child of Adultery, Imam Syafi’i and Constitutional Court Number 16/2010
Strategi Pemasaran Produk Asuransi Investasi di Indonesia
Authors: Lasmi Aida , Aslami Nuri 
Published: December 2021

Today's Indonesian people have a high desire to protect themselves with iberinsurance and even invest while being insured. Insurance has slowly become a necessity for the community as a form of protection and investment in the medium and long term. For investment insurers, a person does not need to manage the purchased policy, it is enough to pay the initial investment premium and then everything is managed by the police issuer, so that it is convenient for the public to use it according to their needs and provisions. The purpose of this research is to find out the implementation of the marketing strategy for investment insurance products at PT AXAi Mandiri Financiali Services (Axa Mandiri) in attracting customers through analyzing the strengths, weaknesses, opportunities and threats faced and simulating premiums on investment insurance products, explaining the qualitative analysis used by the company in depth analysis. The results obtained are that the company iAxa Mandirii increases customer trust by sharpening aspects of its marketing strategy, which begins with identifying the aspects that underlie the preparation of insurance which focuses on investment, determining the brand to be more recognizable by the wider community, a strong personal team, good service, the right choice of products and quality, the right premium, Attractive product packagingii and continuous promotion are the overall strengths applied by Axa Mandiri.
Keywords: strategy, marketing, insurance, investment