bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pengaruh Kompres Hangat Jahe Terhadap Intensitas Nyeri Rheumatoid Arthritis Pada Lansia
Authors: Sari Diah Jerita Eka , Masruroh Masruroh 
Published: October 2021

Nyeri sendi merupakan keluhan utama yang sering dirasakan setiap penderita rheumatoid arthritis. Nyeri dapat ditangani dengan penatalaksanaan non farmakologis yaitu dengan kompres hangat jahe. Penelitian ini bertujuan untuk menganalisis pengaruh kompres hangat jahe terhadap intensitas nyeri rheumatoid arthritis.
Penelitian ini menggunakan desain Pra-Experimental dengan rancangan One Group Pre-Post Test Design. Populasi sebanyak 48 lansia, jumlah sampel sebanyak 43 lansia, menggunakan teknik purposive sampling. Dianalisis menggunakan uji Wilcoxon signed rank test (p < 0,05).
Sebelum diberikan kompres hangat jahe, sebagian besar responden mengalami nyeri sedang yaitu sebanyak 23 orang (53%), sedangkan sesudah diberikan kompres hangat jahe, sebagian besar responden mengalami nyeri ringan yaitu sebanyak 29 orang (67%). Statistik menunjukkan bahwa p = 0,000 sehingga Hi diterima. Ini berarti kompres hangat jahe memiliki efek yang signifikan terhadap penurunan intensitas nyeri rheumatoid arthritis.
Ada pengaruh pemberian kompres hangat jahe terhadap intensitas nyeri rheumatoid arthritis pada lansia.
Penggunaan Metode Mnemonic Untuk Meningkatkan Kepatuhan Akseptor Dalam Mengkonsumsi Pil KB
Authors: Martini Diah Eko , Ramadhani Silvya Putri 
Published: October 2021

Pil KB merupakan salah satu alat kontrasepsi yang banyak diminati oleh akseptor KB karena alat kontrasepsi ini sangat efektif dan kesuburan dapat langsung kembali bila penggunaan di hentikan, namun angka kegagalannya juga cukup tinggi akibat ketidakpatuhan dalam jadwal mengkonsumsi Pil KB. Oleh karena itu diperlukan suatu metode yang tepat untuk meningkatkan kepatuhan sehingga angka kegagalan bisa diminimalisir. Tujuan dari penelitian ini adalah mengetahui pengaruh metode mnemonic terhadap kepatuhan ibu dalam mengkonsumsi pil KB di Ngimbang kabupaten Lamongan.
Desain penelitian menggunakan pra-eksperimental design dengan pendekatan one group pre test and post test design. Populasinya adalah seluruh ibu yang mengkonsumsi pil KB di di desa Ngimbang Lamongan dengan jumlah sampel sebanyak 33 akseptor Pil KB yang diambil berdasarkan simple random sampling. Instrument menggunakan kuesioner terbuka dan data dianalisis dengan menggunakan uji MC Nemar.
Hasil penelitian menunjukkan sebelum diberikan metode mnemonic dari 33 responden sebagian besar (64%) tidak patuh dalam mengkonsumsi Pil KB. Setelah diberikan metode mnemonic hampir seluruhnya (94%) patuh dalam mengkonsumsi Pil KB. Berdasarkan hasil diatas sehingga nilai sig 2 tailed 0,000 (P<0,05) yang artinya terdapat pengaruh metode mnemonic terhadap kepatuhan ibu dalam mengkonsumsi Pil KB Di Desa Drujugurit Kecamatan Ngimbang Kabupaten Lamongan. Metode mnemonic merupakan salah satu alternatif yang dapat digunakan ibu untuk meningkatkan daya ingat ibu untuk minum Pil KB sesuai jadwal.
Motivasi Dan Dukungan Keluarga Dengan Keaktifan Masyarakat Mengikuti Program Posbindu PTM
Authors: Yuniarti Asih Media , Fardiansyah Arif , Putri Salma Wulida 
Published: October 2021

Permasalahan PTM yang tinggi dan dampaknya besar membutuhkan upaya pengendalian faktor resiko PTM dengan kegiatan Posbindu PTM. Tujuan penelitian ini adalah untuk mengetahui hubungan motivasi dan dukungan keluarga dengan keaktifan masyarakat dalam mengikuti program Posbindu PTM. Metode penelitian menggunakan desain penelitian Cross sectional. Populasi dalam penelitian ini sebanyak 136 orang, dan siambil dengan menggunakan teknik Simple Random Sampling sebanyak 57 sampel. Instrumen yang digunakan adalah kuesioner motivasi dan kuesioner dukungan keluarga. Hasil penelitian hubungan motivasi dan dukungan keluarga dalam mengikuti program Posbindu PTM di UPT Puskesmas Jatirejo menunjukkan bahwa sebagian besar responden tidak aktif dalam mengikuti Posbindu PTM sebesar 45 orang (78.9%). Data di analisis menggunkan Chi-Square Test dengan hasil p value 0.00009 untuk motivasi dengan keaktifan , dan 0.00005 untuk dukungan keluarga dengan keaktifan masyarakat mengikuti program Posbindu PTM. P value < α: 0.05 artinya masing-masing variabel terdapat hubungan dengan keaktifan masyarakat dalam mengikuti program Posbindu PTM di UPT Puskesmas Jatirejo Kabupaten Mojokerto. Kesimpulkan dari penelitian ini adalah terdapat hubungan motivasi dan dukungan keluarga dengan keaktifan masyarakat dalam mengikuti Posbindu PTM di UPT Puskesmas Jatirejo. Pengtingnya ikut kegiatan sosialisasi preventif dan promotif akan dapat mempengaruhi perilaku dan presepsi masyarakat dalam mengikuti program Posbindu PTM.
واسط في الشعر العربي القديم
Authors: وصال قاسم د. 
Published: October 2021

يمتاز المكان بامتلاكه بعداً شعرياً، فهو عامل فاعل في تشكيل النص الأدبي بصورة عامة والنص الشعري بصورة خاصة لما له من أثر واضح يرتبط بالبعد النفسي والواقعي للشاعر.
وقد تناول هذا البحث نموذجا مكانيا ظهر في بعض نماذج الشعر العربي القديم وهذا المكان هو (واسط)الذي دل على أماكن متعددة أكثرها حضورا هو(واسط العراق) ،وكذلك دل على مواضع أخرى، وهو ما سيوضحه هذا البحث الموسوم بـ(واسط في الشعر العربي القديم).
وقد قسم البحث إلى مدخل ومبحثين، تناولت في المدخل معنى كلمة واسط ،وكان المبحث الأول خاصا بـ(واسط العراق) وورودها في الشعر القديم، والمبحث الثاني تناول (المواضع الأخرى لواسط) وتوظيفها في الشعر، ثم ختم البحث بخاتمة لأهم النتائج، وقائمة بالمصادر والمراجع .
PRIMARY EDUCATION ISSUES IN THE CREATIVE HERITAGE OF THE UKRAINIAN EDUCATOR NIKIFOR YAKOVICH GRIGORIYEV (1883–1953)
Authors: Лілія Моргай  
Published: October 2021

In the article, there is a list of contributions from a prominent teacher, historical, and community member of Ukraine – Nikifor Yakovich Grigoriyev. The contribution of the teacher to the process of Ukrainianization of the educational process has been grounded before the hour of his transfer to the seat of the Ministry of Education of the Ukrainian People's Republic in the office of the head of the People's Ministries of V. Golubovich. The manuals and books in the Ukrainian language with the help of educating the people about the formulation of their national consciousness have been analyzed. The assessment of the pedagogical study and methods of the study of the Ukrainian language and history decline was made.It is noted that N. Hryhoriyiv took a course on the revival of education, namely: primary education, native language, customs, and traditions in educational institutions. This period is characterized by the study of the Ukrainian language in primary school, the teaching of the Ukrainian language in teachers' seminaries, the creation of Ukrainian gymnasiums. The purpose of the article is to highlight the issues of primary education in the creative heritage of the Ukrainian teacher Nikifor Yakovlevich Hryhoriyiv (1883–1953). To write the article, we used the following methods: periodization – to determine in accordance with reasonable criteria for the selection of periods of educational activity of the scientist; method of reconstruction – to reproduce the socio-cultural and socio-political context of educational development; interpretations – for creative rethinking of pedagogical ideas of N. Grigoriev taking into account modern educational and organizational-pedagogical tasks. N. Hryhoriyiv's activity as the Minister of Education of the Ukrainian People's Republic was aimed at the nationalization of the public education system, which could educate a new generation of conscious citizens of Ukraine. After becoming the Minister of the Ukrainian People's Republic, in 1918 the teacher introduced compulsory teaching in schools in the Ukrainian language and issued a document “Schools in Ukraine”, which testified to the opening of schools in 39 settlements of Ukraine.
FEATURES OF FUTURE ELECTRICIANS’ PROFESSIONAL TRAINING FOR REPAIR AND MAINTENANCE OF ELECTRICAL EQUIPMENT IN VOCATIONAL EDUCATION INSTITUTIONS
Authors: Віталій Свиридюк  
Published: October 2021

The article analyzes the regulatory framework for future electricians’ professional training in the repair and maintenance of electrical equipment in vocational education institutions. A typical basic structure for the training of skilled workers has been presented in the article. Subjects that are included in general professional training, professional-theoretical training, professional-practical training are indicated. It has been emphasized that the standard basic structure establishes the total amount of time and its division into sections of working curricula of vocational training in professions for which the state standards of vocational education or standard curricula are not approved. The educational institution on the basis of the Standard basic structure independently determines the forms and methods of training, the term of vocational training, the content and frequency of control overtraining. According to the author, the distribution of general and vocational subjects should be as follows: general education creates a basis for general technical, and that, in turn, for special vocational. Ways to improve the educational process in vocational education institutions have been outlined, taking into account the problem of the relationship between general education and vocational training. It is emphasized that the relationship of general and vocational education ensures the formation of professionally significant qualities of the student's personality, because it contributes to the formation of a positive attitude to work in general, to his profession, which becomes the primary source of creative personality of the future specialist. The relationship of general and vocational education provides the formation of professionally significant qualities of the student's personality because it contributes to the formation of a positive attitude to work in general, to their profession, which becomes the primary source of creative personality of the future specialist.
External validation of the Lawton brainstem cavernous malformation grading system in a cohort of 277 microsurgical patients
Authors: Catapano Joshua S. , Rutledge Caleb , Rumalla Kavelin , Raygor Kunal P. , Srinivasan Visish M. , Koester Stefan W. , Kimata Anna R. , Ma Kevin L. , Labib Mohamed A. , Spetzler Robert F. , Lawton Michael T. 
Published: October 2021

OBJECTIVE
The brainstem cavernous malformation (BSCM) grading system predicts neurological outcomes associated with microsurgical resection and assists neurosurgeons in selecting patients for treatment. The predictive accuracy of the BSCM grading system should be validated in a large cohort from high-volume centers to generalize its use.

METHODS
An external validation cohort comprised patients with a BSCM resected by the senior author (M.T.L.) since the publication of the BSCM grading system and those resected by another neurosurgeon (R.F.S.) over a 16-year period. Size, crossing the axial midpoint, the presence of a developmental venous anomaly, patient age, and timing of last hemorrhage were used to assign BSCM grades from 0 to VII. Poor neurological outcomes were recorded as modified Rankin Scale scores > 2 at last follow-up examination.

RESULTS
A total of 277 patients were included in the study. The average BSCM grade was 3.9, and the majority of BSCMs (181 patients, 65%) were intermediate grade (grades III–V). Outcomes were predicted by BSCM grade, with good outcomes observed in 47 of 54 patients (87%) with low-grade BSCMs, in 135 of 181 patients (75%) with intermediate-grade BSCMs, and in 21 of 42 patients (50%) with high-grade BSCMs. Conversely, proportions of patients with neurological deterioration increased with increasing BSCM grade, with worsening observed in 2 of 54 patients (4%) with low-grade BSCMs, in 29 of 181 patients (16%) with intermediate-grade BSCMs, and in 17 of 42 patients (40%) with high-grade BSCMs. In the chi-square analysis, high-grade BSCMs were associated with increased odds of neurological worsening compared to low- and intermediate-grade BSCMs (OR 5.0, 95% CI 2.4–10.4; p < 0.001). The receiver operating characteristic analysis demonstrated acceptable discrimination for predicting unfavorable functional outcomes (modified Rankin Scale score > 2) with an area under the curve of 0.74 (95% CI 0.68–0.80; p < 0.001).

CONCLUSIONS
This study validates the BSCM grading system in a large cohort of patients from two high-volume surgeons. BSCM grade predicted neurological outcomes with accuracy comparable to that of other grading systems in widespread use. The BSCM grading system establishes categories of low-, intermediate-, and high-grade BSCMs and a boundary or cutoff for surgery at BSCM grade V. BSCM grading guides the analysis of a particular patient’s condition, but treatment recommendations must be individualized, and neurosurgeons must calibrate BSCM grading to their own outcome results, unique abilities, and practices.
Stereotactic radiosurgery for prostate cancer cerebral metastases: an international multicenter study
Authors: Pikis Stylianos , Bunevicius Adomas , Lee Cheng-Chia , Yang Huai-Che , Zacharia Brad E. , Liščák Roman , Simonova Gabriela , Tripathi Manjul , Kumar Narendra , Mathieu David , Perron Rémi , Peker Selcuk , Samanci Yavuz , Gurewitz Jason , Bernstein Kenneth , Kondziolka Douglas , Niranjan Ajay , Lunsford L. Dade , Mantziaris Nikolaos , Sheehan Jason P. 
Published: October 2021

OBJECTIVE
As novel therapies improve survival for men with prostate cancer, intracranial metastatic disease has become more common. The purpose of this multicenter study was to evaluate the safety and efficacy of stereotactic radiosurgery (SRS) in the management of intracranial prostate cancer metastases.

METHODS
Demographic data, primary tumor characteristics, SRS treatment parameters, and clinical and imaging follow-up data of patients from nine institutions treated with SRS from July 2005 to June 2020 for cerebral metastases from prostate carcinoma were collected and analyzed.

RESULTS
Forty-six patients were treated in 51 SRS procedures for 120 prostate cancer intracranial metastases. At SRS, the mean patient age was 68.04 ± 9.05 years, the mean time interval from prostate cancer diagnosis to SRS was 4.82 ± 4.89 years, and extracranial dissemination was noted in 34 (73.9%) patients. The median patient Karnofsky Performance Scale (KPS) score at SRS was 80, and neurological symptoms attributed to intracranial involvement were present prior to 39 (76%) SRS procedures. Single-fraction SRS was used in 49 procedures. Stereotactic radiotherapy using 6 Gy in five sessions was utilized in 2 procedures. The median margin dose was 18 (range 6–28) Gy, and the median tumor volume was 2.45 (range 0.04–45) ml. At a median radiological follow-up of 6 (range 0–156) months, local progression was seen with 14 lesions. The median survival following SRS was 15.18 months, and the 1-year overall intracranial progression-free survival was 44%. The KPS score at SRS was noted to be associated with improved overall (p = 0.02) and progression-free survival (p = 0.03). Age ≥ 65 years at SRS was associated with decreased overall survival (p = 0.04). There were no serious grade 3–5 toxicities noted.

CONCLUSIONS
SRS appears to be a safe, well-tolerated, and effective management option for patients with prostate cancer intracranial metastases.
The degenerative changes of the sacroiliac joint after S2 alar-iliac screw placement
Authors: Ikeda Norimasa , Fujibayashi Shunsuke , Otsuki Bungo , Masamoto Kazutaka , Shimizu Takayoshi , Shimizu Yu , Murata Koichi , Matsuda Shuichi 
Published: October 2021

OBJECTIVE
The goal of this study was to investigate clinical outcomes and risk factors for the progression of sacroiliac joint (SIJ) degeneration and bone formation after S2 alar-iliac screw (S2AIS) insertion.

METHODS
Using preoperative and follow-up CT scan findings (median follow-up 26 months, range 16–43 months), the authors retrospectively studied 100 SIJs in 50 patients who underwent S2AIS placement. The authors measured the progression of SIJ degeneration and bone formation after S2AIS insertion, postoperative new-onset SIJ pain, S2AIS-related reoperation, and instrumentation failures. Stepwise multivariate logistic regression modeling was performed to clarify the risk factors associated with the progression of SIJ degeneration.

RESULTS
Significant progression of SIJ degeneration was observed in 10% of the group with preoperative SIJ degeneration (p = 0.01). Bone formation was observed in 6.9% of joints. None of the patients with these radiographic changes had new-onset SIJ pain or underwent reoperation related to instrumentation failures. Multivariate logistic regression analysis revealed that preoperative SIJ degeneration (p < 0.01) and a young age at surgery (p = 0.03) significantly affected the progression of SIJ degeneration.

CONCLUSIONS
The progression of SIJ degeneration and bone formation neither led to major screw-related complications nor affected the postoperative clinical course during the median follow-up period of 26 months. Although S2AIS insertion is a safe procedure for most patients, the results of this study suggested that preoperative degeneration and younger age at surgery affected SIJ degeneration after S2AIS insertion. Further long-term observation may reveal other effects of S2AIS insertion on SIJ degeneration.
Anterior instrumentation surgery for the treatment of Lenke type 1AR curve patterns
Authors: Inami Satoshi , Moridaira Hiroshi , Takeuchi Daisaku , Sorimachi Tsuyoshi , Ueda Haruki , Aoki Hiromichi , Iimura Takuya , Nohara Yutaka , Taneichi Hiroshi 
Published: October 2021

OBJECTIVE
Previous studies have demonstrated that Lenke lumbar modifier A contains 2 distinct types (AR and AL), and the AR curve pattern is likely to develop adding-on (i.e., a progressive increase in the number of vertebrae included within the primary curve distally after posterior surgery). However, the results of anterior surgery are unknown. The purpose of this study was to present the surgical results in a cohort of patients undergoing scoliosis treatment for type 1AR curves and to compare anterior and posterior surgeries to consider the ideal indications and advantages of anterior surgery for type 1AR curves.

METHODS
Patients with a Lenke type 1 or 2 and lumbar modifier AR (L4 vertebral tilt to the right) and a minimum 2-year postoperative follow-up were included. The incidence of adding-on and radiographic data were compared between the anterior and posterior surgery groups. The numbers of levels between the end, stable, neutral, and last touching vertebra to the lower instrumented vertebra (LIV) were also evaluated.

RESULTS
Forty-four patients with a mean follow-up of 57 months were included. There were 14 patients in the anterior group and 30 patients in the posterior group. The main thoracic Cobb angle was not significantly different between the groups preoperatively and at final follow-up. At final follow-up, the anterior group had significantly less tilting of the LIV than the posterior group (−0.8° ± 4.5° vs 3° ± 4°). Distal adding-on was observed in no patient in the anterior group and in 6 patients in the posterior group at final follow-up (p = 0.025). In the anterior group, no LIV was set below the end vertebra, and all LIVs were set above last touching vertebra. The LIV was significantly more proximal in the anterior group than in the posterior surgery patients without adding-on for all reference vertebrae (p < 0.001).

CONCLUSIONS
This is the first study to investigate the surgical results of anterior surgery for Lenke type 1AR curve patterns, and it showed that anterior surgery for the curves could minimize the distal extent of the instrumented fusion without adding-on. This would leave more mobile disc space below the fusion.
Characteristics of concussion based on patient age and sex: a multicenter prospective observational study
Authors: Babl Franz E. , Rausa Vanessa C. , Borland Meredith L. , Kochar Amit , Lyttle Mark D. , Phillips Natalie , Gilhotra Yuri , Dalton Sarah , Cheek John A. , Furyk Jeremy , Neutze Jocelyn , Bressan Silvia , Davis Gavin A. , Anderson Vicki , Williams Amanda , Oakley Ed , Dalziel Stuart R. , Crowe Louise M. , Hearps Stephen J. C. 
Published: October 2021

OBJECTIVE
Children with concussion frequently present to emergency departments (EDs). There is limited understanding of the differences in signs, symptoms, and epidemiology of concussion based on patient age. Here, the authors set out to assess the association between age and acute concussion presentations.

METHODS
The authors conducted a multicenter prospective observational study of head injuries at 10 EDs in Australia and New Zealand. They identified children aged 5 to < 18 years, presenting with a Glasgow Coma Scale score of 13–15, presenting < 24 hours postinjury, with no abnormalities on CT if performed, and one or more signs or symptoms of concussion. They extracted demographic, injury-related, and signs and symptoms information and stratified it by age group (5–8, 9–12, 13 to < 18 years).

RESULTS
Of 8857 children aged 5 to < 18 years, 4709 patients met the defined concussion criteria (5–8 years, n = 1546; 9–12 years, n = 1617; 13 to < 18 years, n = 1546). The mean age of the cohort was 10.9 years, and approximately 70% of the patients were male. Sport-related concussion accounted for 43.7% of concussions overall, increasing from 19.1% to 48.9% to 63.0% in the 5–8, 9–12, and 13 to < 18 years age groups. The most common acute symptoms postinjury were headache (64.6%), disorientation (36.2%), amnesia (30.0%), and vomiting (27.2%). Vomiting decreased with increasing age and was observed in 41.7% of the 5–8 years group, 24.7% of the 9–12 years group, and 15.4% of the 13 to < 18 years group, whereas reported loss of consciousness (LOC) increased with increasing age, occurring in 9.6% in the 5–8 years group, 21.0% in the 9–12 years group, 36.7% in the 13 to < 18 years group, and 22.4% in the entire study cohort. Headache, amnesia, and disorientation followed the latter trajectory. Symptom profiles were broadly similar between males and females.

CONCLUSIONS
Concussions presenting to EDs were more sports-related as age increased. Signs and symptoms differed markedly across age groups, with vomiting decreasing and headache, LOC, amnesia, and disorientation increasing with increasing age.