bluuebunny/crossref_metadata_2025_split huggingface dataset:
Clinical, surgical and postoperative outcome analysis of tumors occupying both posterior and middle cranial fossa
Authors: Singh Rahul , Prasad Ravi Shankar , Singh Ramit Chandra , Singh Kulwant , Sahu Anurag 
Published: June 2021

Objectives: To analyse clinical, surgical and postoperative outcome perspectives of tumors occupying both middle and posterior cranial fossa.
Materials and Methods: This retrospective cohort study includes 23 patients operated for tumors involving both middle and posterior cranial fossa in our department between August 2016 and August 2020. Each patient was evaluated for age, sex, co morbidities, tumour histopathology, clinical presentation, radiological characteristics, surgical and outcome characteristics. Unpaired t- test and chi-square test was used for statistical analysis. P < 0.05 was considered statistically significant.
Results: The mean age was 46 years (range 40–57 years), with the majority of patients being female (56.5%). Most tumors (65.3%) were trigeminal schwannoma, with the remaining being vestibular schwannoma (21.7%), facial schwannoma (8.7%) and epidermoid (4.3%). The most commonly used surgical approach was the retrosigmoid approach (30.4%) and combined approach (30.4%). Gross total resection (GTR) was done in 14 patients while subtotal resection (STR) was done in 9 patients. STR was significantly associated (p<0.05) with persisting cranial nerve deficit and tumour progression. Midbrain compression, internal carotid artery and cavernous sinus involvement were significantly (p<0.05) associated with STR.
Conclusions: Trigeminal schwannoma is the most common tumour involving both middle and posterior cranial fossa. Combined approach for such tumours is required in tumours having significant size in both middle cranial fossa and posterior cranial fossa. The intent of surgery is to achieve a gross total resection (GTR) but adhesions and involvement of critical brain structures results in STR.
O USO DE CANDIDATURAS LARANJAS DENTRO DO CONTEXTO DO FINANCIAMENTO PÚBLICO DE CAMPANHAS NO ESTADO DO ACRE: um estudo de caso
Authors: Belo Caio de Alcantara Moura 
Published: June 2021

Escândalos recentes como a operação Lava Jato revelaram que a corrupção no Brasil era muito mais sistêmica do que se imaginava. Percebeu-se que empresas com imenso poder econômico interferiam nas eleições em benefício próprio. A revelação dos fatos promoveu reconsiderações quanto á natureza do financiamento de campanhas políticas que culminou coma reforma política de 2015. Campanhas eleitorais que eram anteriormente financiadas por empresas, passaram a ser financiadas com recursos públicos. Paralelamente ganharam ímpeto políticas que asseguravam que pelo menos 30% de recursos públicos para financiamento de campanha seriam distribuídos a mulheres candidatas, que deveriam compor nessa mesma proporção mínima as candidaturas de cada legenda aos cargos proporcionais. Considerando que o crime é um fenômeno social que se adapta à realidade histórica, o artigo se vale do conhecimento produzido pela polícia com apuração de fatos inerentes às eleições 2018 no Acre para analisar a nova dinâmica da corrupção eleitoral após reforma política e definição de cotas de gênero, e o quão representativo pode ser o caso acreano perante o contexto nacional – tanto quanto ao uso de candidaturas laranjas dentro de estratégias partidárias quanto desvio de recursos públicos que financiam campanhas.
NOVO TERRORISMO? Do fracasso da guerra ao terror à radicalização virtual
Authors: Chuy José Fernando Moraes 
Published: June 2021

O presente trabalho tem por objetivo estudar o “novo terrorismo”, expressão que, de certa forma, acabou popularizada após o 11 de setembro, por meio de um planejado discurso político que justificou a “Guerra Global ao Terror” e que trouxe como marca a rejeição do terrorismo como crime. Buscar-se-á trazer à baila algumas consequências da priorização do recurso à força militar frente ao fenômeno, especialmente a formação de uma segunda geração de líderes terroristas por meio da radicalização virtual. What do you want to do ?New mailCopy
Pseudarthrosis rate following anterior cervical discectomy with fusion using an allograft cellular bone matrix: a multi-institutional analysis
Authors: Bergin Stephen M. , Wang Timothy Y. , Park Christine , Rajkumar Shashank , Goodwin C. Rory , Karikari Isaac O. , Abd-El-Barr Muhammad M. , Shaffrey Christopher I. , Yarbrough Chester K. , Than Khoi D. 
Published: June 2021

OBJECTIVE
The use of osteobiologics, engineered materials designed to promote bone healing by enhancing bone growth, is becoming increasingly common for spinal fusion procedures, but the efficacy of some of these products is unclear. The authors performed a retrospective, multi-institutional study to investigate the clinical and radiographic characteristics of patients undergoing single-level anterior cervical discectomy with fusion performed using the osteobiologic agent Osteocel, an allograft mesenchymal stem cell matrix.

METHODS
The medical records across 3 medical centers and 12 spine surgeons were retrospectively queried for patients undergoing single-level anterior cervical discectomy and fusion (ACDF) with the use of Osteocel. Pseudarthrosis was determined based on CT or radiographic imaging of the cervical spine. Patients were determined to have radiographic pseudarthrosis if they met any of the following criteria: 1) lack of bridging bone on CT obtained > 300 days postoperatively, 2) evidence of instrumentation failure, or 3) motion across the index level as seen on flexion-extension cervical spine radiographs. Univariate and multivariate analyses were then performed to identify independent preoperative or perioperative predictors of pseudarthrosis in this population.

RESULTS
A total of 326 patients met the inclusion criteria; 43 (13.2%) patients met criteria for pseudarthrosis, of whom 15 (34.9%) underwent revision surgery. There were no significant differences between patients with and those without pseudarthrosis, respectively, for patient age (54.1 vs 53.8 years), sex (34.9% vs 47.4% male), race, prior cervical spine surgery (37.2% vs 33.6%), tobacco abuse (16.3% vs 14.5%), chronic kidney disease (2.3% vs 2.8%), and diabetes (18.6% vs 14.5%) (p > 0.05). Presence of osteopenia or osteoporosis (16.3% vs 3.5%) was associated with pseudarthrosis (p < 0.001). Implant type was also significantly associated with pseudarthrosis, with a 16.4% rate of pseudarthrosis for patients with polyetherethereketone (PEEK) implants versus 8.4% for patients with allograft implants (p = 0.04). Average lengths of follow-up were 27.6 and 23.8 months for patients with and those without pseudarthrosis, respectively. Multivariate analysis demonstrated osteopenia or osteoporosis (OR 4.97, 95% CI 1.51–16.4, p < 0.01) and usage of PEEK implant (OR 2.24, 95% CI 1.04–4.83, p = 0.04) as independent predictors of pseudarthrosis.

CONCLUSIONS
In patients who underwent single-level ACDF, rates of pseudarthrosis associated with the use of the osteobiologic agent Osteocel are higher than the literature-reported rates associated with the use of alternative osteobiologics. This is especially true when Osteocel is combined with a PEEK implant.
Correlation of AGR2 expression with the incidence of metastasis in luminal breast cancer
Authors: Kereh David Samuel , Pieter John , Hamdani William , Haryasena Haryasena , Sampepajung Daniel , Prihantono Prihantono 
Published: June 2021

BACKGROUND: AGR2 expression is associated with luminal breast cancer. Overexpression of AGR2 is a predictor of poor prognosis. Several studies have found correlations between AGR2 in disseminated tumor cells (DTCs) in breast cancer patients. OBJECTIVE: This study aims to determine the correlation between anterior Gradient2 (AGR2) expression with the incidence of distant metastases in luminal breast cancer. METHODS: This study was an observational study using a cross-sectional method and was conducted at Wahidin Sudirohusodo Hospital and the network. ELISA methods examine AGR2 expression from blood serum of breast cancer patients. To compare the AGR2 expression in metastatic patients and the non-metastatic patient was tested with Mann Whitney test. The correlation of AGR2 expression and metastasis was tested with the Rank Spearman test. RESULTS: The mean value of AGR2 antibody expression on ELISA in this study was 2.90 ± 1.82 ng/dl, and its cut-off point was 2.1 ng/dl. Based on this cut-off point value, 14 subjects (66.7%) had overexpression of AGR2 serum ELISA, and 7 subjects (33.3%) had not. The mean value AGR2 was significantly higher in metastatic than not metastatic, 3.77 versus 1.76 (p < 0.01). The Spearman rank test obtained a p-value for the 2 tail test of 0.003 (p < 0.05), which showed a significant correlation of both, while the correlation coefficient of 0.612 showed a strong positive correlation of AGR2 overexpression and metastasis. CONCLUSIONS: AGR2 expression is correlated with metastasis in Luminal breast cancer.
The effect of Apis dorsata honey as complementary therapy on IL-37 levels and fatigue in breast cancer patients undergoing chemotherapy
Authors: Syam Yuliana , Prihantono Prihantono , Sjattar Elly L. , Puspitha Arnis , Majid Sintawati 
Published: June 2021

OBJECTIVE: The purpose of this study is to determine the effect of Apis dorsata Honey as a complementary therapy on IL-37 levels and fatigue in breast cancer patients undergoing chemotherapy. METHOD: The study used a quasi-experimental pretest-posttest design with a control group. A total of 30 subjects were recruited using a concurrent sampling technique. The intervention group consisted of 15 subjects who received oral honey at a dose of 13 ml (1 tablespoon × 3) for 15 days, and the control group consisted of 15 subjects. The groups’ samples were chosen at random. The Fatigue Symptom Inventory (FSI) was used to assess the side effects of chemotherapy. RESULTS: Although the effect of Apis dorsata Honey on IL-37 levels was not statistically significant (p > 0.05), the group given honey experienced a clinically significant increase in IL-37 levels, with a mean before (632.37514.93) and post (632.37514.93). (1,003.021,248.88). Fatigue decreased statistically significantly in the group given mean honey values prior to 13.205.59 and after 11.805.07 (p = 0.004). CONCLUSION: Honey administration increases IL-37 levels clinically, though the increase is not statistically significant. Giving honey to patients with breast cancer can help alleviate fatigue caused by chemotherapy.
Skansen tourist activity in the system of updating the resources of cultural intangible heritage
Authors: Dychkovskyy Stepan 
Published: June 2021

The purpose of the article consists of the study of the activity of skansen in the intangible cultural heritage system. The methodology is the application of historical, bibliographic, and analytical methods. The scientific novelty of the work is to justify the appropriateness and application of the new concept of tourism activity of scans in the system of intangible cultural heritage. Conclusions. Features of the development of tourism in a post-industrial society influenced the conceptual approaches to the museum topes, which first broadcast chronological meaning, but with the proliferation of skansen museums was beyond the phenomenological limits of time and space. The proliferation of scansions as interactive open-air exhibits became a reflection of changes in the cultural and socio-economic life of modern society. The trends in the development of active consumerism in the social and economic spheres, globalization processes, the growth of cultural and creative industries have identified new areas of activity for museums - skansens, which transformed from museums that showed ethnographic collections in the space of the formation of a new cultural being.
Courtly Motives In The Art Of The High Middle Ages
Authors: Slivinska Alina , Tzvetkova Larysa 
Published: June 2021

Purpose of the article. The article presents a study of courtly motives in the art of the high Middle Ages and the foundations of the ideological and figurative-symbolic representation of courtly images in various artistic forms of this era. Methodology. The study of the content of courtly motives and images, the definition of the ideological foundations of their figurative and symbolic representation was carried out through the use of historical, analytical, symbolic, and allegorical methods. Scientific novelty. The article examines courtly motives and courtly images presented in the art of the High Middle Ages, identifies the ideological foundations of their figurative and symbolic representation in various artistic forms of this era. Conclusions. The visual images of medieval masters create the world of courtly, filling the courtly universe with numerous subjects that reflect the image and lifestyle of both knights and their Beautiful ladies. And thus they help to understand the norms and prescriptions of courtesy, the models of the participants' behavior in the courteous action, the corresponding rituals and etiquette norms of courteous relations, their attributes, and stylistics. In order to do this, the artists used various techniques - bright colors, saturation with symbols, heraldry, outfits, etc. Especially popular was the use of the rose image, which became the quintessence of Gothic art, its courtly and religious symbol, the embodiment of the ideal of chivalry to the Beautiful Lady, and a kind of reflection of the Christian image of the Virgin Mary.
Cuban Laurel Thrips, Gynaikothrips ficorum (Marchal) (Insecta: Thysanoptera: Phlaeothripidae)
Authors: Denmark Harold A. , Fasulo Thomas R. , Funderburk Joseph E. 
Published: June 2021

Watson (1923) recorded the Cuban laurel thrips in Florida as Gynaikothrips uzeli (Zimmerman 1900). Since Priesner (1939) found that G. uzeli and G. ficorum (Marchal 1908) are distinct species, most specialists accept ficorum as the name of the Cuban laurel thrips. Specimens supposedly collected in Florida in 1887 are in the U.S. National Museum. G. ficorum appears in the Entomological Society of America's common name list as the Cuban laurel thrips, and is the name used here. This document is EENY-324 (IN599) (originally published as DPI Entomology Circular 59), one of a series of Featured Creatures from the Entomology and Nematology Department, Florida Cooperative Extension Service, Institute of Food and Agricultural Sciences, University of Florida. Published: August 2004. Revised: December 2005.
EENY324/IN599: Leaf-Gall Thrips of Ficus Gynaikothrips ficorum (Marchal) and Gynaikothrips uzeli (Zimmerman) (Insecta: Thysanoptera: Phlaeothripidae) (ufl.edu)
Naturally Occurring Radionuclides in Agricultural Products
Authors: Hanlon Edward A. 
Published: June 2021

This document is a summary of research with the naturally occurring radionuclides in agricultural products associated with phosphatic clays in Florida. This document is SL221, a fact sheet of the Soil and Water Science Department, Florida Cooperative Extension Service, Institute of Food and Agricultural Sciences, University of Florida. Originally published as SS-MLR-5, June 1993. Revised as SL221, December 2004.
GAMBARAN TINGKAT DEPRESI PADA LANSIA DI MASA PANDEMIC COVID-19
Authors: Hartutik Sri , Nurrohmah Anjar 
Published: June 2021

Pandemi Covid -19 merupakan bentuk kasus baru di dunia kesehatan yang mempunyai beragam dampak, baik biologis, psikologis, sosial dan spiritual. Kondisi seperti ini harus benar-benar diwaspadai terutama pada usia rentan dan resiko yaitu salah satunya usia lansia. Depresi pada lansia merupakan gangguan psikiatri dan merupakan masalah kesehatan mental yang sering terjadi dikalangan lanjut usia. Prevalensi depresi didunia sekitar 8-15%. Hasil survey dari berbagai negara di dunia diperoleh prevalensi rata- rata depresi pada lansia adalah 13,5 % dengan perbandingan wanita:pria 14,1: 8,6 dimana wanita dua kali lebih banyak daripada pria. Penelitian ini bertujuan untuk Mengetahui gambaran tingkat depresi pada lansia di Masa Pandemic Covid-19. Jenis penelitian ini adalah penelitian desain deskriptif cross sectional dengan teknik consecutive sampling yang bertujuan untuk melihat gambaran tingkat depresi lansia menggunakan instrument penelitian berupa kuesioner Geriatric Depression Scale Short Form (GDS-S). Berdasarkan penelitian didapatkan hasil Umur lansia yang mengalami depresi pada masa Pandemic Covid-19 sebagian besar adalah Usia lanjut (60–74 tahun), jenis kelamin perempuan, status perkawinan lansia sebagian besar janda, riwayat penyakit lansia sebagian besar hipertensi, tingkat pendidikan lansia sebagian besar SD. Kesimpulan penelitian gambaran tingkat depresi pada lansia pada masa pandemic covid-19 sebagian besar mengalami depresi ringan.
Depression in the elderly is a psychiatric disorder and is a mental health problem that often occurs among the elderly. The prevalence of depression in the world is around 8-15% and survey results from various countries in the world show that the average prevalence of depression in the elderly is 13.5% with the ratio of women: men is 14.1: 8.6 where women are twice as many as men. . This research aimed to determine the level of depression in the elderly during the Covid-19 Pandemic. This type of research used a cross sectional descriptive design with consecutive sampling technique which aims to describe the level of depression in the elderly using a research instrument in the form of a Geriatric Depression Scale Short Form (GDS-S) questionnaire. The result showed Depression during the Covid-19 Pandemic was mostly elderly (60 - 74 years), female sex, most of the elderly marital status was widowed, history of elderly disease was mostly hypertension, education level of the elderly was mostly elementary school. The description of the level of depression in the elderly during the Covid-19 pandemic mostly experienced mild depression.
Kompres Hangat Untuk Menurunkan Disminore Di Desa Padang Tambak Kecamatan Way Tenong Kabupaten Lampung Barat
Authors: Isnainy Usastiawaty Cik Ayu Saadiah , Sari Yopita , Keswara Umi Romayati 
Published: June 2021

ABSTRAKMenstruasi adalah proses meluluhnya jaringan endometrium karena tidak adanya telur matang yang dibuahi oleh sperma. Menstruasi adalah keadaan yang wajar dan alami sehingga dapat di katakan semua wanita normal pasti akan mengalami proses menstruasi, akan tetapi kenyataannya banyak wanita yang mengalami masalah menstruasi, diantaranya adalah nyeri Dismenorea, Disminore merupakan karakteristik kram yang terjadi pada abdomen bagian bawah yang menjalar kepunggung bawah hingga kepaha, biasanya kram ini terjadi selama atau sebelum menstruasi, serta mencapai puncaknya dalam waktu 24 jam, namun setelah 2 hari akan menghilang. Pengobatan non parmakologi untuk nyeri disminor adalah dengan kompres hangat. Tujuan setelah penyuluhan dan demostrasi, diharapkan pemberian kompres hangat Pada Klien Disminore menurunkan nyeri disminore. Adapun kegiatan yang dilaukan berupa penyuluhan menggunakan leaflet dan demostrasi cara melakukan kompres hangat. Terdapat penurunan nyeri setelah melakukan Kompres Hangat pada Penderita Nyeri Disminore di Desa Padang Tambak Kecamatan Waytenong Kabupaten Lampung Barat. Dengan demikian, pemberian Kompres Hangat sangat efektif dalam menyurunkan nyeri disminore. Kata Kunci: Kompres Hangat, Nyeri Disminore ABSTRACTMenstruation is the process of melting endometrial tissue due to the absence of mature eggs fertilized by sperm. Menstruation is a natural and natural condition so that it can be said that all normal women will definitely experience menstrual processes, but in reality many women experience menstrual problems, including dysmenorrhoea pain, dysminorrhea is a characteristic of cramps that occur in the lower abdomen that radiates the lower back to the lower back thigh, usually this cramps occur during or before menstruation, and reaches a peak within 24 hours, but after 2 days will disappear. Non-pharmacological treatment for pain is a warm compress. The goal after health education and demonstration, is expected to give a warm compress to the Disminore Client to reduce the pain of disminore. The activities carried out in the form of health education using leaflets and demonstrations how to do warm compresses. There is a decrease in pain after a Warm Compress in Disminore Pain Patients in Padang Tambak Village, Waytenong District, West Lampung Regency. Thus, the administration of Warm Compress is very effective in reducing disminore pain. Keywords: Warm Compress, Disminorhea
Kesan Penggunaan Peta Pemikiran Dalam Program i-THINK Terhadap Peningkatan Tahap Penguasaan Pelajar Dalam Mata Pelajaran Pendidikan Islam
Authors: Zakaria Zarina Ashikin , Abdullah Norhana , Ahmad Mahir Normazla , Selamat Suzannah , Md Bahir Kharyati 
Published: June 2021

Program i-THINK adalah satu program hasil kerjasama Kementerian Pendidikan Malaysia (KPM) dengan Agensi Inovasi Malaysia (AIM) yang bertujuan untuk mempertingkatkan dan membudayakan kemahiran berfikir di kalangan para pelajar ke arah menghasilkan para pelajar berinovatif. Kajian ini bertujuan untuk mengenalpasti keberkesanan penggunaan peta pemikiran di dalam program i-THINK bagi meningkatkan tahap penguasaan pelajar tahun 5 dalam subjek Pendidikan Islam di bawah topik Tayammum. Peta pemikiran i-THINK berbentuk peta buih berganda telah dipilih untuk digunakan untuk kajian ini. Pelbagai teknik kajian digunakan untuk memperolehi data iaitu temubual, soal selidik dan ujian pra dan ujian pasca. Hasil kajian mendapati dengan penggunaan peta pemikiran i-THINK ini, minta para pelajar terhadap pembelajaran meningkat dan secara tidak langsung ia membantu mencetuskan inovasi dan kreativiti di kalangan para pelajar. Sekali gus, ini meningkatkan kemahiran berfikir aras tinggi (KBAT) mereka.
Job-Seeking Anxiety Resilience and Family Influence on Career Decision-Making among Senior Undergraduate Students in Southern Thailand during the COVID -19 Pandemic
Authors: Buathong Napakkawat , Pattanalertpaiboon Nattapong , Wattanapaiboon Kanokpit , Piriyakoontorn Jeerapat , Thaweechai Chutikarn , Pinkaew Pratsara , Sriket Phurinut , Setasuban Warat , Komjakraphan Suppanut 
Published: June 2021

Objective: A study of job-seeking anxiety, resilience quotient and family influence on career decision-making is apparently lacking; especially in regards to the impact of the financial crisis during the COVID-19 pandemic, and other factors, such as the political climate currently in Thailand. This study aimed to determine job-seeking anxiety, resilience quotient and family influence on career decision-making and related factors among senior, undergraduate university students.Materials and Methods: A cross-sectional descriptive study was conducted in a university in Southern Thailand; from May to October, 2020. Two hundred and seventy-one participants completed questionnaires regarding personal and parental demographic characteristics, resilience, family influence scale, job-seeking self-perception and job-seeking anxiety. Results: The prevalence of job-seeking anxiety among participants was low (40%), moderate (50%) and high (10%). In univariate analysis, factors significantly associated with job-seeking anxiety were: female gender (p=0.03), effects of the COVID-19 pandemic, economics and the current, political situation Thailand (p=0.03), resilience quotient (p<0.001) and job-seeking self-perception (p<0.001). The predictors of job-seeking anxiety, from multivariate analysis, were: resilience quotient (β = -1.169, P<0.001) and job-seeking self-perception (β = 2.232, P<0.001). Conclusion: Our study provided evidences that a significant proportion of senior, undergraduate students had experienced job-seeking anxiety, with the protective factor of job-seeking anxiety being individual resilience quotient. This information could be used as an effective management strategy for providing mental health promotion, and prevention for senior, undergraduate university students.