bluuebunny/crossref_metadata_2025_split huggingface dataset:
A comparative study of two operative procedures in anterior hypospadias repair: limited urethral mobilization and tubularized incised plate urethroplasty.
Authors: Shafiq ur Rehman  , Fareena Ishtiaq  , Zarlish Fazal  , Muhammad Anwar  , Saad Fazal  
Published: November 2021

Objectives: This study is aimed to compare the results of limited urethral mobilization and tubularized incised plate urethroplasty in the management of anterior hypospadias, in terms of cosmetic and functional outcomes, complication rate, operative time, and hospital stay. Study Design: Prospective Randomized Controlled study. Settings: Department of Pediatric Surgery, DHQ Teaching Hospital Sahiwal. Period: January 2019 to December 2020. Material and Methods: A total of 89 patients with anterior hypospadias were included. Patients were divided randomly into two groups. In group A, limited urethral mobilization was performed and in group B, tubularized incised plate urethroplasty was carried out. A self-structured performa was used to collect the data of all patients. Both groups were compared in terms of the operation time, hospital stay, postoperative complications, cosmetic appearance, and functional outcomes. Results: Forty-five patients were included in group A, age ranged from 2.5 to 12 years (mean 4.83years). Forty-four patients were included in group B and their ages ranged from 3.5 to 11years (mean 4.76 years). The operation time was significantly less for group A than for group B. In group A, it ranged from 54 to 69 min with an average time of 60.51 min and in group B from 70 to 88 min, with an average of 79.34 min. The mean hospital stay period in group A was 7.37 days, ranged from 7 to 9 days, and in group B was 11.04 days, ranging from 10 to 13 days. The mean follow-up period in both groups was 7.45 months, ranging from 3 months to 12 months. Meatal stenosis was the most common complication in group A, which developed in 6.66% (n=3) patients. Urethrocutaneous fistula was the most common complication in group B, which developed in 6.81% (n=3) patients. Cosmetic appearance and functional outcome were good and comparable in both groups. Conclusion: Although both techniques, tubularized incised plate and limited urethral mobilization urethroplasty are acceptable modalities for the management of anterior hypospadias. But limited urethral mobilization urethroplasty seems to be a good option due to its simplicity, short hospital stay, significant shorter operative time, low fistula formation rate, and good cosmetic and functional outcomes.
Upaya Memutus Rantai Infeksi Melalui Edukasi Good Hand Hygiene pada Keluarga Penunggu Pasien yang dirawat di Rumah Sakit Dr. Slamet Garut
Authors: Patimah Iin , Hani Ai , Dewi Astrie , Setiawan Budi , Arumandana Devita 
Published: November 2021

Health Care Associated Infection (HAIs) adalah infeksi yang terjadi pada pasien rawat inap di pelayanan kesehatan. HAIs merupakan masalah yang umum ditemukan di berbagai rumah sakit, baik dalam negeri maupun luar negeri. HAIs berdampak pada penurunan kualitas layanan rumah sakit dan merugikan pada pasiennya sendiri. Oleh karena itu diperlukan pencegahan untuk mmutus rantai infeksi. Salah satu upaya pencegahan untuk memutus rantai infeksi yaitu dengan cara melakukan edukasi pada penunggu pasien untuk meningkatkan perilaku yang baik dalam memutus rantai infeksi. Tujuan dari kegiatan ini adalah untuk memberikan pengetahuan kepada keluarga penunggu pasien tentang pentingnya mencuci tangan dan mengetahui bagaimna langkah mencuci tangan. Metode yang digunakan adalah penyuluhan langsung bertatap muka dengan keluarga penunggu pasien melalui media power point dan leaflet serta evaluasi berupa instrument pengetahuan tentang cuci tangan yang berjumlah 10 pertanyaan. Hasil yang didapatkan menunjukkan bahwa, dari 20 peserta kegiatan, setelah dilakukan edukasi hand hygiene, 15 peserta menunjukkan pengetahuan yang baik (75%) dan 5 orang (25%) dalam kategori pengetahuan cukup. Diperlukan program edukasi yang berkesinambungan kepada setiap pengunjung rumah sakit.
THE MILLENNIALS’ EMOTION IN LEARNING USING TECHNOLOGY: DEMONSTRATING RESILIENCE OR FEELING DESPERATION?
Authors: Suryani Adi , Soedarso Soedarso 
Published: November 2021

The millennial generation is recognized as digital generation. The flourish and fast changing technology and information surround their lives. It is likely to influence and direct how they learn and socialize. One of significant learning media which is popular among today’s generation is video. The use of video, including vlog in English Language Teaching is prevalent today. However, how EFL students feel when they learn and create vlog are still under-examined. Thus, this study aims to explore several EFL students’ emotional experiences when they create vlog and academic video during COVID-19 pandemic outbreak. The study adopts qualitative research method. The data are collected through the students- participants’ narrative and vlog or video analysis. The study reports several findings. The first is the students-participants experience emotional roller coaster of negative and positive states. The second finding is the student-participants develop resilient capacity after regulating emotion by developing self-assurance of personal benefits of learning, creating economic prospect orientation and establishing social senses and global relationship goals. The third finding is it highlights the need to incorporate technology, emotion and cognition learning to fulfil the need and passions of today’s generation.
ARDUINO MKR FOX 1200, MKR1000, AND MKR VIDOR 4000 ANALYSIS USING A SIMPLE RTC ALARM METHOD
Authors: Desnanjaya I Gusti Made Ngurah , Adnyana I Made Wira , Anugrah Kadek Aldy Adhistya 
Published: November 2021

Arduino MKR merupakan salah satu bagian dari keluarga arduino yang memiliki kemampuan yang berbeda dengan arduino biasa. Dalam penelitian ini, penulis akan membahas kemampuan dari IC RTC yang sudah tertanam pada papan Arduino MKR dan membandingkan data dari ketelitian pembacaan nilai RTC. Nilai yang didapatkan akan menunjukkan papan Arduino MKR yang memiliki kemampuan pembacaan nilai RTC terbaik. Adapun papan Arduino MKR yang digunakan dalam penelitian ini yaitu dengan tipe Arduino MKR 1000, Arduino MKR Fox 1200, dan Arduino MKR Vidor 4000. Untuk mendukung penelitian, penulis menggunakan metode penelitian kuantitatif eksperimental. Penggunaan metode ini sangat cocok digunakan karena metode ini menonjolkan angka sebagai data dan penulis juga melakukan percobaan langsung pada papan Arduino MKR. Setelah penelitian dilakukan, maka dari hasil percobaan diperoleh rata-rata MKR 1000 memiliki selisih waktu terkecil sebesar 2.912 detik dibandingkan dengan MKR Fox 1200 dengan selisih waktu rata-rata 4.097 detik dan MKR Vidor 4000 memiliki selisih waktu rata-rata 5.804 detik. Untuk proyek yang menggunakan RTC (Real Time Clock) direkomendasikan menggunakan MKR 1000.
High-flow bypass using saphenous vein grafts with trapping of ruptured blood blister-like aneurysms of the internal carotid artery: patient series
Authors: Ishiguro Taichi , Yamaguchi Koji , Ishikawa Tatsuya , Ottomo Daiki , Funatsu Takayuki , Matsuoka Go , Omura Yoshihiro , Kawamata Takakazu 
Published: November 2021

BACKGROUND
Trapping an aneurysm after the establishment of an extracranial to intracranial high-flow bypass is considered the optimal surgical strategy for ruptured blood blister–like aneurysms (BBAs) of the internal carotid artery (ICA). For high-flow bypass surgeries, a radial artery graft is generally preferred over a saphenous vein graft (SVG). However, SVGs can be advantageous in acute-phase surgeries because of their greater length, easy manipulability, ability to act as high-flow conduits, and reduced risk of vasospasms. In this study, the authors presented five cases of ruptured BBAs treated with high-flow bypass using an SVG followed by BBA trapping, and they reported on surgical outcomes and operative nuances that may help avoid potential pitfalls.

OBSERVATIONS
After the surgeries, there were no ischemic or hemorrhagic complications, including symptomatic vasospasms. In three of the five cases, postoperative modified Rankin scale scores were between 0 and 2 at the 3-month follow-up. In one case, the SVG spontaneously occluded after surgery while the protective superficial temporal artery (STA) to middle cerebral artery (MCA) bypass became dominant, and the patient experienced no ischemic symptoms.

LESSONS
High-flow bypass using an SVG with a protective STA-MCA bypass followed by BBA trapping is a safe and effective treatment strategy.
Pemanfaatan Sistem Informasi Pada Usaha Kecil Menengah Untuk Pencatatan dan Pelaporan Transaksi Penjualan
Authors: Harjoseputro Yulius , Thomas Adi Purnomo Sidhi  
Published: November 2021

Pemanfaatan teknologi khususnya sistem informasi belakangan ini menjadi cukup popular di kalangan usaha kecil menengah (UKM). Sudah banyak pemanfaatan sistem informasi yang digunakan di berbagai macam UKM yang ada di Indonesia. Salah satu pemanfaatan sistem informasi yang sering digunakan adalah untuk membantu dalam mengelola transaksi di suatu UKM.
Pengelolaan transaksi pada usaha retailer atau UKM secara digital memberikan banyak keunggulan, diantaranya adalah memberikan kepastian pendataan transaksi, mempermudah pembuktian pemasukan sebagai laporan pajak, memberikan kenyamanan didalam mengelola laporan keuangan toko. Toko Besi dan Bangunan Central sudah berdiri kurang lebih 10 tahun. Sejak toko ini berdiri, semua transaksi penjualan dan pembelian masih dilakukan dengan nota dan secara manual dihitung setiap hari.
Sistem Informasi ini telah berhasil dibangun dan dimanfaatkan sehingga dapat membantu menyelesaikan semua permasalahan yang ada pada Toko Besi dan Bangunan Central Yogyakarta. Pemanfaatan sistem ini juga tidak hanya menyelesaikan permasalahan yang ada, namun juga dapat memberikan kelebihan efisiensi transaksi dan keabsahan transaksi.
Pure Mucinous Breast Carcinoma with Micropapillary Pattern in a 32-Year-Old Female
Authors: Sadeghi Nahid , Shahnazari Razieh , Asadi Fariba 
Published: November 2021

Background: Mucinous carcinoma (MC) is a rare breast malignancy with a large extracellular mucin secretion. It has a good prognosis in comparison to other breast malignancies.
Case presentation: We report a 32 years old female with multiple hard palpable masses in the left breast with rapid growth in 6 months. She was mentally retarded with lower limb varicose veins associated with mucocutaneous lesions on the face. She underwent ultrasound examination of the breast, thyroid and lower extremity veins. Core needle biopsy and fine needle aspiration from left breast lesions and right thyroid nodules showed MC and follicular lesion with hurtle cell change, respectively. Suspected metastasis in the left rib and calvarium in the subsequent bone scan survey and brain magnetic resonance imaging was reported. She underwent radical mastectomy and right hemi-thyroidectomy.
Conclusion: Pure mucinous carcinoma with micropapillary pattern (MUMPC) is a new histology variant of Pure Mucinous Carcinoma (PMC) that shows favorable prognosis with less aggression and occurs in older patients. However, PMC in our patient occurred at a young age with greater aggression.
Dermatofibrosarcoma Protuberans and Adjuvant Radiotherapy: A Case Report with Uncertain Surgical Margins in The Breast
Authors: Arslan Alaettin , Karagoz Eren Saliha , Ozcan Serdal Sadet , Akay Ebru , Ozdemir Mustafa 
Published: November 2021

Background: Dermatofibrosarcoma Protuberans (DFSP) is a rare, locally aggressive superficial soft tissue tumor that can occur in many parts of the body. Surgical resection with a wide margin of safety is the main treatment modality of this rare tumor of the breast. According to the postoperative pathology report, the patient can be followed up or adjuvant radiotherapy (RT) can be added.
Case presentation: A 22-year-old woman presented with a mass filling the lower inner quadrant of her right breast. Tru-cut biopsy revealed a mesenchymal tumor, but excision was recommended for definitive diagnosis. A right breast quadrantectomy was performed. The result came as DFSP. Tumor diameter was 10x9x6.5 cm and the tumor was positive in most of the surgical margins. The patient underwent re-resection and a residual tumor with a diameter of 0.2 cm was detected at a distance of 3.3 cm from the surgical margin. Although the surgical margins were negative, the distance of the posterior surgical margin, in particular, could not be assured. Because of the uncertainty of surgical margins, 60 Gy RT was planned.
Conclusion: The localization of DFSP in the breast is extremely rare and surgery is the primary treatment. RT should be added as an adjuvant when safe surgical margins cannot be obtained.
Diseminasi Pengelolaan Keuangan Rumah Tangga: Perencanaan Pensiun
Authors: Komalasari Farida , Ganiarto Eko 
Published: November 2021

<p>This community empowerment activity is intended to improve people awareness in financial household management, especially in retirement planning. By doing a good retirement planning, it is expected that people will have a good quality of life during their retirement. This activity is also intended to increase households’ financial literacy. This activity was done at Sunday, 3 November 2019 at 4-6pm, participated by 18 members of Komunitas Ibu RT 09 RW 03 Kelurahan Dukuh Kecamatan Kramat Jati Jakarta Timur. Lecturing, true or fals, guided teaching, question &amp; answer, simulation and discusion were used along this activity. All participants were actively following the all program, from the beginning to the end of session. Questions and opinions from participants show their awareness on the importance of retirement planning. At the end of session, the participants agreed that having a good retirement planning before entering the retirement period is important. Retirement planning is needed to reach a good wealth during the retirement. The problem is that they do not have an enough knowledge to make a good retirement planning. Therefore, a guidance and help are needed to increase their financial literacy, especially in composing a retirement plan. Some topics that could be delivered to them in the future are introducing investment instruments and selecting a Financial Institution Pension Fund.</p>
FACTORS INFLUENCING INDONESIAN MILLENIALS’ TRAVEL DECISION: A CASE OF BANGKOK
Authors: Komalasari Farida , Ganiarto Eko 
Published: November 2021

<p>The number of Indonesian millenials visiting Bangkok is increase year by year. There must be a strong reason, why Indonesian millenials decide to visit Bangkok. This research aims to find out the factors influencing Indonesian millenials’ travel decision to visit Bangkok. The push and pull travel motivations theory are used to develop the research framework. A quantitative research with primary data collected by using a questionnaire is done. The data analysis used in this research is linear regression. There are two models, multiple linear regression and simple linear regression. A multiple linear regression is used to find out the factors of traveler satisfaction, while a simple linear regression is used to find out the influence of traveler satisfaction toward travel decision. The result shows that there are five push factors and five pull factors influencing traveler satisfaction, and at the end, traveler satisfaction influences travel decision. The five push factor are knowledge and culture, friendship, social status, sightseeing, and new experience. Meanwhile the five pull factors are local values, destinations features, historical values, cultural values, and outdoor attraction. Relaxation, as a part of push factor, does not influence traveler satisfaction.</p><p>Keywords: Push and Pull Travel Motivations, Traveler Satisfaction, Travel Decision,Indonesian Millenial, Bangkok</p>
The Analysis of pH Performance for Equalization Detention Time Design Case Study : WWTP2 PT. Jababeka Infrastruktur
Authors: Apriliani Rizka Dwi 
Published: November 2021

<strong>Abstract. </strong>PT. Jababeka Infrastruktur is a subsidiary company of PT. Jababeka Tbk., as estate manager. One of the PT. Jababeka Infrastruktur duty is manage Wastewater Treatment Plant 2 (WWTP2). The most of incoming wastewater in WWTP2 PT. Jababeka Infrastruktur is came from food industries, whereas has potential degradable to fatty acid and caused the pH tend to be low and fluctuates. pH is one of the important parameters, especially in biological wastewater treatment system as applied in WWTP2. pH value can affect the microorganism performance in decompose the pollutant compound in wastewater. pH control action is needed to make the treatment run better. <strong>Objectives:</strong> To know the primary settling tank (PST) with ̴3 hours detention time performance in equalizing wastewater pH. To develop the new equalization tank, it was provide an analysis the pH inlet performance by measuring pH of wastewater. <strong>Method and results:</strong> Statistical analysis of secondary data by comparing standard deviation value of wastewater before and after accommodated in PST also paired sample t-Test to see the performance of PST in equalizing of pH. Besides that, taken and measuring inlet wastewater pH in every one hour also adding to the previous wastewater inlet sample to determine the optimum wastewater detention time in terms of pH. <strong>Conclusion:</strong> PST was significant unit process that can be equalize the pH value. The observation of pH characteristic pattern by time showed that the optimum equalization time was 1-2 hours. This result can be as reference to more utilize of the existing PST.
Sanksi Pidana Adat terhadap Pelaku Tindak Pidana Melarikan Anak Perempuan Dibawah Umur di Desa Selat Kabupaten Batanghari
Authors: Islah Islah , Siregar Nella Octaviany , Ardinata Ade 
Published: November 2021

Special customary law of customary criminal comes from the custom of the community so it is referred to as the law born from below. Customary law as an unwritten law is the basis in determining good and bad behavior in a particular traditional society. Customary law, especially customary criminal law, has certain sanctions if one or more members of the traditional community commit irregularities or actions that are not in accordance with the norms and rules of decency (Adat Law). Article 332 of the Penal Code is understood to be taking away an immature woman with a view to mastering it, by our society is often associated with the term eloping. Eloping itself when it is interpreted simply is between a man and a woman who performs marriage without being approved by his parents or guardians. Taking away an underage woman or child abduction is again widely talked about by the public. Cases of fleeing underage women are spread almost all over Indonesia, our concerns are becoming even greater because the victims of child abduction are the majority of underage girls. To investigate, investigate and dismantle the chain of cases that are quite complicated it takes "extra energy and spirit" because of the problems of unemployment, poverty, education, gender inequality, patriarchy culture, as well as the lack of rule of law, public awareness, and the role of the authorities in addressing the problem.
Methods of Creating Creativity through De-familiarization Technique and the Role of the Audience in Interactive Graphics
Authors: Dehkordi Razieh Mokhtari , Azam Atapour  
Published: November 2021

The theory of de-familiarization was first introduced in the field of literature and later due to its consistency and maturity, it was also studied in other fields and branches of art. The basis of interactive graphics is based on inviting the audience in the process of forming the work, and the de- familiarization technique can provide a platform for more creativity and interaction. The purpose of this study is to identify ways to create creativity through de-familiarization techniques and the role of the audience in interactive graphics. The question of what interactive graphics is and why they are formed is one of the issues that this research seeks to address. The main question of this article is how interactive graphics can create creative works to attract the audience through the familiarization technique? To achieve the desired goals, a qualitative research method with a descriptive-analytical nature was adopted and the studied works, which were collected through library resources, were analyzed by qualitative content analysis. The results showed that interactive graphic designers can create more creative and interactive works in the field of graphics through various methods of de- familiarization.
Diagnóstico de dificuldades de ensino-aprendizagem de Física no Ensino Fundamental e Médio e implicações das competências e habilidades das novas diretrizes
Authors: Rocha Denise Ferreira da Silva Soares , Siqueira Crediana , Braga Claudilene Ribeiro , Oliveira Adhimar Flávio 
Published: November 2021

Neste trabalho é apresentado resultados de uma pesquisa que teve como objetivo analisar as causas da defasagem existente no ensino de física nos anos finais do ensino fundamental, resultando em dificuldades no aprendizado de física no ensino médio e as implicações das novas diretrizes do ensino fundamental e médio. A pesquisa contou com a revisão de trabalhos que buscam caracterizar as causas de dificuldades apresentadas por alunos nos anos iniciais do ensino médio. Além disso, foram buscadas informações acerca dos tópicos que devem ser abordados nos últimos anos do ensino fundamental e no primeiro ano do ensino médio de acordo com o BNCC e os PCNs, que indicam as habilidades e competências que precisam ser desenvolvidas. Assim, foram elaborados questionários referentes as habilidades e competências que deveriam ser desenvolvidas nos anos finais do ensino fundamental, um questionário direcionado aos alunos e outro sobre a principais dificuldades em sala de aula direcionados aos professores. Através destes questionários, foram analisadas as repostas de 50 docentes do ensino de ciências dos anos finais do ensino fundamental e 100 alunos do primeiro ano do ensino médio, levaram em conta os tópicos dos documentos do PCN e BNCC. Os resultados indicam dificuldades no ensino de física tanto para professores, que muitas vezes deixam de apresentar alguns tópicos devido a sua formação e para alunos que em consequência apresentam dificuldades ao embarcarem no primeiro ano do ensino médio, indicando a necessidade de uma capacitação dos docentes para melhor atender a formação dos discentes.
Recent Progresses in NIR-I/II Fluorescence Imaging for Surgical Navigation
Authors: Li Songjiao , Cheng Dan , He Longwei , Yuan Lin 
Published: November 2021

Cancer is still one of the main causes of morbidity and death rate around the world, although diagnostic and therapeutic technologies are used to advance human disease treatment. Currently, surgical resection of solid tumors is the most effective and a prior remedial measure to treat cancer. Although medical treatment, technology, and science have advanced significantly, it is challenging to completely treat this lethal disease. Near-infrared (NIR) fluorescence, including the first near-infrared region (NIR-I, 650–900 nm) and the second near-infrared region (NIR-II, 1,000–1,700 nm), plays an important role in image-guided cancer surgeries due to its inherent advantages, such as great tissue penetration, minimal tissue absorption and emission light scattering, and low autofluorescence. By virtue of its high precision in identifying tumor tissue margins, there are growing number of NIR fluorescence-guided surgeries for various living animal models as well as patients in clinical therapy. Herein, this review introduces the basic construction and operation principles of fluorescence molecular imaging technology, and the representative application of NIR-I/II image-guided surgery in biomedical research studies are summarized. Ultimately, we discuss the present challenges and future perspectives in the field of fluorescence imaging for surgical navigation and also put forward our opinions on how to improve the efficiency of the surgical treatment.