bluuebunny/crossref_metadata_2025_split huggingface dataset:
Penggunaan Aplikasi Mentimeter sebagai upaya motivasi belajar Taruna Teknika pada Materi Mekanika Terapan
Authors: Lusiani Lusiani 
Published: October 2021

Tujuan dalam penelitian ini menganalisis penggunaan aplikasi mentimeter sebagai upaya motivasi belajar taruna teknika pada materi mekanika terapan. Metode penelitian yakni survei serta kajian literature. Tempat penelitian di Program Studi Teknika Akademi Maritim Nusantara Cilacap. Waktu pelaksanaan penelitian pada bulan April 2020 dengan subjek sejumlah 40 taruna Teknika pada mata kuliah Mekanika Terapan. Pengambilan sampel di lingkup Akademi dikarenakan materi Termodinamika dan Mekanika terdapat pada kurikulum Akademi Kemaritiman. Pada kajian berikut, dianalisis data hasil belajar ranah kognitif dan afktif peserta. Hasil belajar kognitif dan afektif didapatkan melalui instrumen berupa media mentimeter serta mekanika terapan. Prosedur pengambilan data yaitu dengan 2 cara dengan sampel yang sama. Hasil belajar kognitif diperoleh menggunakan media mentimeter sedangkan hasil afektif melalu media angket. Data yang diperoleh kemudian dianalisis masing-masing, dengan deskripsi gambar dan grafik kedua media. Analisis perbandingan media mentimeter dan angket dijabarkan secara kualitatif dan kuantitatif. Simpulan pada penelitian ini yakni penggunaan aplikasi mentimeter sebagai upaya motivasi belajar taruna teknika pada materi mekanika terapan dalam ranah kognitif penguasaan awal taruna teknik pada materi mekanika terapan sudah cukup baik, sedangkan dalam ranah afektif dalam menambah motivasi belajar taruna, aplikasi mentimeter memiliki nilai 77,5% ini mengandung makna bahwa penggunaan aplikasi mentimeter dapat menjadi salah satu faktor menumbuhkan motivasi belajar peserta didik dengan nilai diatas 75%. Sedangkan dalam menambah minat belajar, aplikasi mentimeter dapat juga menjadi salah satu faktor menumbuhkan motivasi belajar peserta dididk dengan nilai 75%. Penggunaan aplikasi mentimeter sebagai upaya motivasi belajar taruna teknika pada materi mekanika terapan tercapai dengan baik. Kata kunci: Mekanika terapan, Mentimeter, Motivasi belajar
Ambiguous Word Processing among Second Language Learners
Authors: Ali Qurbi Essa 
Published: October 2021

Cette étude porte sur le traitement, par des apprenants d’une langue seconde, de mots ambigus (p. ex., bank, en anglais : 1] une institution financière, 2] la rive d’une rivière/d’un lac) et sur la capacité de ces apprenants d’activer la signification secondaire aussi rapidement que la signification dominante. Des participants ayant l’anglais comme langue primaire et comme langue seconde ont utilisé un paradigme de fenêtres pour effectuer une tâche de lecture à leur rythme, où toutes les phrases s’orientaient vers la deuxième signification (c.-à-d., bank comme la rive d’une rivière/d’un lac). Les résultats ont montré que les participants dont l’anglais était la langue première activaient autant les significations dominante que secondaire d’un mot ambigu, même dans un contexte orienté vers la signification secondaire. Cependant, les participants dont l’anglais était la langue seconde avaient certaines difficultés à activer la signification secondaire en langue seconde, même lorsque le contexte précédent était orienté vers celle-ci. Les résultats des participants dont la langue première était l’anglais étaient compatibles avec un modèle d’accès autonome, c’est-à-dire que toutes les significations d’un mot ambigu de la langue première sont activées même lorsque le contexte est orienté vers une signification particulière. Cependant, les résultats des participants dont l’anglais était la langue seconde, même si ceux-ci connaissaient les deux significations de chaque mot ambigu dans l’étude (selon le questionnaire rempli après l’expérience), ont montré que la signification dominante d’un mot ambigu dans une langue seconde est activée la première, même lorsque le contexte est orienté vers la signification secondaire.
Defining clinically significant tumor size in vestibular schwannoma to inform timing of microsurgery during wait-and-scan management: moving beyond minimum detectable growth
Authors: Macielak Robert J. , Wallerius Katherine P. , Lawlor Skye K. , Lohse Christine M. , Marinelli John P. , Neff Brian A. , Van Gompel Jamie J. , Driscoll Colin L. W. , Link Michael J. , Carlson Matthew L. 
Published: October 2021

OBJECTIVE
Detection of vestibular schwannoma (VS) growth during observation leads to definitive treatment at most centers globally. Although ≥ 2 mm represents an established benchmark of tumor growth on serial MRI studies, 2 mm of linear tumor growth is unlikely to significantly alter microsurgical outcomes. The objective of the current work was to ascertain where the magnitude of change in clinical outcome is the greatest based on size.

METHODS
A single-institution retrospective review of a consecutive series of patients with sporadic VS who underwent microsurgical resection between January 2000 and May 2020 was performed. Preoperative tumor size cutpoints were defined in 1-mm increments and used to identify optimal size thresholds for three primary outcomes: 1) the ability to achieve gross-total resection (GTR); 2) maintenance of normal House-Brackmann (HB) grade I facial nerve function; and 3) preservation of serviceable hearing (American Academy of Otolaryngology–Head and Neck Surgery class A/B). Optimal size thresholds were obtained by maximizing c-indices from logistic regression models.

RESULTS
Of 603 patients meeting inclusion criteria, 502 (83%) had tumors with cerebellopontine angle (CPA) extension. CPA tumor size was significantly associated with achieving GTR, postoperative HB grade I facial nerve function, and maintenance of serviceable hearing (all p < 0.001). The optimal tumor size threshold to distinguish between GTR and less than GTR was 17 mm of CPA extension (c-index 0.73). In the immediate postoperative period, the size threshold between HB grade I and HB grade > I was 17 mm of CPA extension (c-index 0.65). At the most recent evaluation, the size threshold between HB grade I and HB grade > I was 23 mm (c-index 0.68) and between class A/B and C/D hearing was 18 mm (c-index 0.68). Tumors within 3 mm of the 17-mm CPA threshold displayed similarly strong c-indices. Among purely intracanalicular tumors, linear size was not found to portend worse outcomes for all measures.

CONCLUSIONS
The probability of incurring less optimal microsurgical outcomes begins to significantly increase at 14–20 mm of CPA extension. Although many factors ultimately influence decision-making, when considering timing of microsurgical resection, using a size threshold range as depicted in this study offers an evidence-based approach that moves beyond reflexively recommending treatment for all tumors after detecting ≥ 2 mm of tumor growth on serial MRI studies.
Evaluation of early postoperative day 1 discharge after endoscopic endonasal pituitary adenoma resection
Authors: Yu Siyuan , Taghvaei Mohammad , Collopy Sarah , Piper Keenan , Karsy Michael , Lavergne Pascal , Barton Blair , Chitguppi Chandala , D’Souza Glen , Rosen Marc R. , Nyquist Gurston G. , Rabinowitz Mindy , Farrell Christopher J. , Evans James J. 
Published: October 2021

OBJECTIVE
While multiple studies have evaluated the length of stay after endonasal transsphenoidal surgery (ETS) for pituitary adenoma, the potential for early discharge on postoperative day 1 (POD 1) remains unclear. The authors compared patients discharged on POD 1 with patients discharged on POD > 1 to better characterize factors that facilitate early discharge after ETS.

METHODS
A retrospective chart review was performed for patients undergoing ETS for pituitary adenoma at a single tertiary care academic center from February 2005 to February 2020. Discharge on POD 1 was defined as a discharge within 24 hours of surgery.

RESULTS
A total of 726 patients (mean age 55 years, 52% male) were identified, of whom 178 (24.5%) patients were discharged on POD 1. These patients were more likely to have pituitary incidentaloma (p = 0.001), require dural substitutes and DuraSeal (p = 0.0001), have fewer intraoperative CSF leaks (p = 0.02), and have lower postoperative complication rates (p = 0.006) compared with patients discharged on POD > 1. POD 1 patients also showed higher rates of macroadenomas (96.1% vs 91.4%, p = 0.03) and lower rates of functional tumors (p = 0.02). POD > 1 patients were more likely to have readmission within 30 days (p = 0.002), readmission after 30 days (p = 0.0001), nasal synechiae on follow-up (p = 0.003), diabetes insipidus (DI; 1.7% vs 9.8%, p = 0.0001), postoperative hypocortisolism (21.8% vs 12.1%, p = 0.01), and postoperative steroid usage (44.6% vs 59.7%, p = 0.003). The number of patients discharged on POD 1 significantly increased during each subsequent time epoch: 2005–2010, 2011–2015, and 2016–2020 (p = 0.0001). On multivariate analysis, DI (OR 7.02, 95% CI 2.01–24.57; p = 0.002) and intraoperative leak (OR 2.02, 95% CI 1.25–3.28; p = 0.004) were associated with increased risk for POD > 1 discharge, while operation epoch (OR 0.46, 95% CI 0.3–0.71; p = 0.0001) was associated with POD 1 discharge.

CONCLUSIONS
This study demonstrates that discharge on POD 1 after ETS for pituitary adenomas was safe and feasible and without increased risk of 30-day readmission. On multivariate analysis, surgical epoch was associated with decreased risk of prolonged length of stay, while factors associated with increased risk of prolonged length of stay included DI and intraoperative CSF leak. These findings may help in selecting patients who are deemed reasonable for safe, early discharge after pituitary adenoma resection.
Bypassing the intensive care unit for patients with acute ischemic stroke secondary to large-vessel occlusion
Authors: Duan Yifei , Shammassian Berje , Srivatsa Shaarada , Sunshine Kerrin , Chugh Arunit , Pace Jonathan , Opaskar Amanda , Bambakidis Nicholas C. 
Published: October 2021

OBJECTIVE
Endovascular mechanical thrombectomy is safe and effective for the treatment of acute ischemic stroke (AIS) due to large-vessel occlusion (LVO). Still, despite high rates of procedural success, it is routine practice to uniformly admit postthrombectomy patients to an intensive care unit (ICU) for postoperative observation. Predictors of ICU criteria and care requirements in the postmechanical thrombectomy ischemic stroke patient population are lacking. The goal of the present study is to identify risk factors associated with requiring ICU-level intervention following mechanical thrombectomy.

METHODS
The authors retrospectively analyzed data from 245 patients undergoing thrombectomy for AIS from anterior circulation LVO at a comprehensive stroke and tertiary care center from January 2015 to March 2020. Clinical variables that predicted the need for critical care intervention were identified and compared. The performance of a binary classification test constructed from these predictive variables was also evaluated using a validation cohort.

RESULTS
Seventy-six patients (31%) required critical care interventions. A recanalization grade lower than modified Thrombolysis in Cerebral Infarction (mTICI) scale grade 2B (odds ratio [OR] 3.625, p = 0.001), Alberta Stroke Program Early Computed Tomography Score (ASPECTS) < 8 (OR 3.643, p < 0.001), and presence of hyperdensity on postprocedure cone-beam CT (OR 2.485, p = 0.005) were significantly associated with the need for postthrombectomy critical care intervention. When applied to a validation cohort, a clearance classification scheme using these three variables demonstrated high positive predictive value (0.88).

CONCLUSIONS
A recanalization grade lower than mTICI 2B, ASPECTS < 8, and postprocedure hyperdensity on cone-beam CT were shown to be independent predictors of requiring ICU-level care. Routine admission to ICU-level care can be costly and confer increased risk for hospital-acquired conditions. Safely and reliably identifying low-risk patients has the potential for cost savings, value-based care, and decreasing hospital-acquired conditions.
Effect of low-cost transcranial magnetic stimulation navigation on hotspot targeting and motor evoked potential variability in the biceps brachii
Authors: Roumengous Thibault , Reutter Alec B. , Peterson Carrie L. 
Published: October 2021

Background: Transcranial magnetic stimulation (TMS) can monitor or modulate brain excitability. However, reliability of TMS outcomes depends on consistent coil placement during stimulation. Neuronavigated TMS systems can address this issue, but their cost limits their use outside of specialist research environments. Objective: The objective was to evaluate the performance of a low-cost navigated TMS approach in improving coil placement consistency and its effect on motor evoked potentials (MEPs) when targeting the biceps brachii at rest and during voluntary contractions. Methods: We implemented a navigated TMS system using a low-cost 3D camera system and open-source software environment programmed using the Unity 3D engine. MEPs were collected from the biceps brachii at rest and during voluntary contractions across two sessions in ten non-disabled individuals. Motor hotspots were recorded and targeted via two conditions: navigated and conventional. Results: The low-cost navigated TMS system reduced coil orientation error (pitch: 1.18°±1.2°, yaw: 1.99°±1.9°, roll: 1.18°±2.2° with navigation, versus pitch: 3.7°±5.7°, yaw: 3.11°±3.1°, roll: 3.8°±9.1° with conventional). The improvement in coil orientation had no effect on MEP amplitudes and variability. Conclusions: The low-cost system is a suitable alternative to expensive systems in tracking the motor hotspot between sessions and quantifying the error in coil placement when delivering TMS. Biceps MEP variability reflects physiological variability across a range of voluntary efforts, that can be captured equally well with navigated or conventional approaches of coil locating.
A terror árnyékában
Authors: Murányi József Ignác 
Published: October 2021

Jelen cikkemben igyekeztem a terrorizmus, kiemelten a radikális iszlám terrorizmus pszichológiai és szociálpszichológiai veszélyeit bemutatni. A témát elsősorban Maslow szükségletpiramisa felől közelítettem meg, valamint kitértem a terrorizmus által potenciálisan aktiválható elhárító mechanizmusokra is, amit összefűztem a szociálpszichológia nézőpontjával. Emellett rövid jellemzést adtam a dzsihád eszméjéről, illetve a terrorizmus közös pszichológiai motívumairól, említést tettem a média szerepéről, illetve ezek társadalomra gyakorolt hatásairól, kiemelten említve Európát, valamint röviden jellemeztem szervezeti struktúrájukat is. Cikkemet egy rövid személyes gondolattal zárom.
Pengaruh Beban Kerja, Job Insecurity dan Gaya Kepemimpinan Terhadap Turnover Intention
Authors: Kristiyanto Tomi , Khasanah Nur 
Published: October 2021

Penelitian ini bertujuan untuk mengetahui pengaruh beban kerja, job insecurity dan gaya kepemimpinan terhadap turnover intention pada karyawan dibagian jasa kurir pengiriman barang J&T Express Cabang Gombong, Kebumen. Metode pengambilan sampel yang digunakan di penelitian ini adalah sampel jenuh yaitu mengambil seluruh jumlah responden sebanyak 35 responden. Metode pengumpulan data yang digunakan kuesioner. Analisis data yang digunakan antara lain uji instrument yang terdiri dari uji validitas dan reliabilitas. Selain uji instrumen, analisis yang digunakan yaitu uji asumsi klasik, uji hipotesis dan regresi linier berganda dengan menggunakan program SPSS 25.0 for windows. Hasil penelitian ini menunjukkan bahwa semua item pernyataan setiap variabel valid dan reliabel. Model penelitian memenuhi kriteria uji asumsi klasik tidak terdapat multikolonieritas, heterokedastisitas, dan memenuhi asumsi normalitas. Berdasarkan hasil uji parsial (uji t) diperoleh hasil bahwa variabel beban kerja dan job insecurity berpengaruh terhadap turnover intention, sedangkan variabel gaya kepemimpinan tidak dapat berpengaruh secara signifikan terhadap turnover intention. Hasil uji simultan (Uji F) juga menunjukkan bahwa penelitian ini berpengaruh secara bersama-sama dengan nilai F 55.346. Hasil uji koefisien determinasi pada peneltian ini sebesar 82,7% yang dapat mempengaruhi turnover intention pada karyawan dibagian jasa kurir pengiriman barang J&T Express Cabang Gombong, Kebumen.
Agroecological coverings for the sustainable production of Rambutan (Nephelium lappaceum L.)
Authors: Osorio Espinoza Humberto , Aguirre-Cadena Juan F. , Pérez de la O Nidia Bélgica , Brindis-Santos Alfredo I. , Marroquín-Agreda Francisco J. 
Published: October 2021

Objective: To evaluate the influence of living and dead covers on the yield and quality of rambutan fruits (Nephelium lappaceum L.) in Soconusco, Chiapas, Mexico.
Design / methodology / approach: Five treatments were evaluated, two live covers, two dead covers and an always clean control without covers. The following were evaluated: plant height, crown volume, fruit quality, fruit yield (t ha-1). The data were analyzed under a randomized block experimental design.
Results: All the agroecological modalities of hedging evaluated produced fruits with the quality required for national and international commercialization.
Study limitations / implications: The morphological and physiological response of the crop can change with the age of the tree.
Findings / conclusions: An agroecological management strategy is presented to develop rambutan cultivation in Soconusco region.
Improvement of Shooting Techniques on Free Throw Line in Basketball Game
Authors: Risjanna Masayu Rizka , Mulyana Dadan , Kusumah Widi 
Published: October 2021

In a basketball game, shooting is an element that determines a team's victory. One of the shooting techniques in basketball is the free-throw technique. Purpose: This study aimed to assess the improvement of free-throw processes in basketball games using the ring modification method. Methods and Material: This study uses a quantitative approach with experimental methods with the pre-test post-test control group design. Statistical analysis used: the pre-test and post-test were carried out using a shooting skill assessment scale instrument in basketball games, and then treatment is given. Result: The average increase in the experimental group is better than the control group after treatment is delivered. Conclusion: the results of the study show that ring modification can affect improving shooting techniques from the free-throw line on basketball extracurricular activities at SMP Negeri 5 Bandung.
Análise da qualidade de vida em acadêmicos de medicina em universidade particular de Sergipe por meio do WHOQOL-bref: uma abordagem sociodemográfica
Authors: Barreto Amanda Santos Meneses , Nascimento Elisandra de Carvalho , Mehlem Jasmim Maia , Rolim Junior Rinaldo Alves da Silva , Soares Ana Celia Goes Melo 
Published: October 2021

Objetivo: Analisar a qualidade de vida e aspectos sociodemográficos em acadêmicos de medicina do primeiro, oitavo e décimo segundo período de uma instituição privada de ensino superior em Sergipe. Métodos: Trata-se de um estudo analítico transversal prospectivo envolvendo acadêmicos da área de medicina, em universidade particular com o sistema de ensino Problem Based Learning (PBL). Foram empregados dois questionários, um sociodemográfico e o World Health Organization’s Quality of Life (WHOQOL-bref). Resultados: Do total de 126 estudantes a maioria é do sexo feminino, reside com familiares, nunca casou e possuem faixa etária entre 20 e 35 anos. Além disso, grande parte dos estudantes não trabalha e realiza o pagamento próprio das mensalidades. A pior média nos domínios analisados foi o psicológico. No aspecto sociodemográfico foram encontrados valores significativos com médias mais baixas de qualidade de vida nos que moram em república privada, nos maiores de 35 anos, naqueles que têm financiamento do curso e nos que possuem profissão. Conclusão: De acordo com o estudo fica notório que há prejuízo na qualidade de vida dos estudantes de medicina, no que se refere a fatores sociodemográficos, principalmente, idade, moradia, forma de pagamento do curso e trabalho. Dessa forma, é importante que a universidade incentive atividades de lazer e divulgue o Núcleo de Apoio Pedagógico e Psicossocial (NAPPS).
Fetal hydropsia: challenges in etiologies
Authors: Dantas Rebeca Fernandes de Azevedo , Santos Thais Regina , Cano Maria Eduarda Barillari , Chaves Maria Eduarda Baracuhy Cruz , Silva Arlley Cleverson Belo da 
Published: October 2021

Introduction: Fetal hydrops is defined as the presence of abnormal fluid collections in two or more extravascular fetal compartments and body cavities. There are about 150 different underlying causes known today potentially leading to this fetal alteration. Objective: To analyze the etiologies involved in the occurrence of cases of fetal hydrops. Methods: A systematic literature review was carried out using the MedLine, Pubmed and Scielo databases, from 2015 to 2021, using the expressions: "fetal, hydrop, etiologies." Discussion: Fetal hydrops is divided into immune and non-immune. Immune results from anemia secondary to erythroblastosis by alloimmunization, so when there is maternal exposure to fetal antigens, it generates an immune response that results in the production of antibodies. History of blood transfusions, previous births, trauma and a history of alloimmunization are characterized as risk factors. Thus, immunoprophylaxis with anti-D immunoglobulin is indicated for all RhD negative pregnant women, with RhD positive male partner, with abundant fetal maternal hemorrhage during childbirth or events with potential sensitizer in the prenatal period. Conclusion: For an effective treatment, it is essential to identify the type of fetal hydrops in the patient and then the etiology of the disease, which is quite variable in Non-Immune Fetal Hydrops.