bluuebunny/crossref_metadata_2025_split huggingface dataset:
Less invasive spinal deformity surgery: the impact of the learning curve at tertiary spine care centers
Authors: Wang Michael Y. , Tran Stacie , Brusko G. Damian , Eastlack Robert , Park Paul , Nunley Pierce D. , Kanter Adam S. , Uribe Juan S. , Anand Neel , Okonkwo David O. , Than Khoi D. , Shaffrey Christopher I. , Lafage Virginie , Mundis Gregory M. , Mummaneni Praveen V. , _ _ 
Published: August 2019

OBJECTIVEThe past decade has seen major advances in techniques for treating more complex spinal disorders using minimally invasive surgery (MIS). While appealing from the standpoint of patient perioperative outcomes, a major impediment to adoption has been the significant learning curve in utilizing MIS techniques.METHODSData were retrospectively analyzed from a multicenter series of adult spinal deformity surgeries treated at eight tertiary spine care centers in the period from 2008 to 2015. All patients had undergone a less invasive or hybrid approach for a deformity correction satisfying the following inclusion criteria at baseline: coronal Cobb angle ≥ 20°, sagittal vertical axis (SVA) > 5 cm, or pelvic tilt > 20°. Analyzed data included baseline demographic details, severity of deformity, surgical metrics, clinical outcomes (numeric rating scale [NRS] score and Oswestry Disability Index [ODI]), radiographic outcomes, and complications. A minimum follow-up of 2 years was required for study inclusion.RESULTSAcross the 8-year study period, among 222 patients, there was a trend toward treating increasingly morbid patients, with the mean age increasing from 50.7 to 62.4 years (p = 0.013) and the BMI increasing from 25.5 to 31.4 kg/m2 (p = 0.12). There was no statistical difference in the severity of coronal and sagittal deformity treated over the study period. With regard to radiographic changes following surgery, there was an increasing emphasis on sagittal correction and, conversely, less coronal correction. There was no statistically significant difference in clinical outcomes over the 8-year period, and meaningful improvements were seen in all years (ODI range of improvement: 15.0–26.9). Neither were there statistically significant differences in major complications; however, minor complications were seen less often as the surgeons gained experience (p = 0.064). Operative time was decreased on average by 47% over the 8-year period.Trends in surgical practice were seen as well. Total fusion construct length was unchanged until the last year when there was a marked decrease in conjunction with a decrease in interbody levels treated (p = 0.004) while obtaining a higher degree of sagittal correction, suggesting more selective but powerful interbody reduction methods as reflected by an increase in the lateral and anterior column resection techniques being utilized.CONCLUSIONSThe use of minimally invasive methods for adult spinal deformity surgery has evolved over the past decade. Experienced surgeons are treating older and more morbid patients with similar outcomes. A reliance on selective, more powerful interbody approaches is increasing as well.
Use of Patient Health Questionnaire–2 scoring to predict patient satisfaction and return to work up to 1 year after lumbar fusion: a 2-year analysis from the Michigan Spine Surgery Improvement Collaborative
Authors: Zakaria Hesham Mostafa , Mansour Tarek R. , Telemi Edvin , Asmaro Karam , Macki Mohamed , Bazydlo Michael , Schultz Lonni , Nerenz David R. , Abdulhak Muwaffak , Schwalb Jason M. , Park Paul , Chang Victor 
Published: August 2019

OBJECTIVEThe Michigan Spine Surgery Improvement Collaborative (MSSIC) is a prospective, longitudinal, multicenter, quality-improvement collaborative. Using MSSIC, the authors sought to identify the relationship between a positive Patient Health Questionnaire–2 (PHQ-2) screening, which is predictive of depression, and patient satisfaction, return to work, and achieving Oswestry Disability Index (ODI) minimal clinically important difference (MCID) scores up to 2 years after lumbar fusion.METHODSData from a total of 8585 lumbar fusion patients were analyzed. Patient satisfaction was measured by the North American Spine Society patient satisfaction index. A positive PHQ-2 score is one that is ≥ 3, which has an 82.9% sensitivity and 90.0% specificity in detecting major depressive disorder. Generalized estimating equation models were constructed; variables tested include age, sex, race, past medical history, severity of surgery, and preoperative opioid usage.RESULTSMultivariate analysis was performed. Patients with a positive PHQ-2 score (i.e., ≥ 3) were less likely to be satisfied after lumbar fusion at 90 days (relative risk [RR] 0.93, p < 0.001), 1 year (RR 0.92, p = 0.001), and 2 years (RR 0.92, p = 0.028). A positive PHQ-2 score was also associated with decreased likelihood of returning to work at 90 days (RR 0.76, p < 0.001), 1 year (RR 0.85, p = 0.001), and 2 years (RR 0.82, p = 0.031). A positive PHQ-2 score was predictive of failure to achieve an ODI MCID at 90 days (RR 1.07, p = 0.005) but not at 1 year or 2 years after lumbar fusion.CONCLUSIONSA multivariate analysis based on information from a large, multicenter, prospective database on lumbar fusion patients was performed. The authors found that a positive score (≥ 3) on the PHQ-2, which is a simple and accurate screening tool for depression, predicts an inability to return to work and worse satisfaction up to 2 years after lumbar fusion. Depression is a treatable condition, and so in the same way that patients are medically optimized before surgery to decrease postoperative morbidity, perhaps patients should have preoperative psychiatric optimization to improve postoperative functional outcomes.
PENGEMBANGAN PRAKTIKUM DECODER DAN ENCODER MENGGUNAKAN VIRTUAL INSTRUMENT
Authors: Irwansyah Nurkahfi 
Published: August 2019

Dalam perkembangan teknologi pengukuran sangatlah penting dalam melakukan berbagai pekerjaan maupun pengumpulan data yang bersifaf objektif. Yang dimana hasil tersebut dapat memiliki keakuratan dan dapat di pertanggung jawabkan hasilnya. Dalam pengukuran tersebut banyak sekali alat yang di pergunakan dalam hal pengukuran yeng tentu saja merepotkan dalam hal efektifitas bekerja tidak hanya banyak namun besar dari ukuran alat menyulitkan untuk di bawa kemanapun dalam beraktifitas. Oleh karena itu pengembangan dalam hal pengukuran sangatlah membantu para pekerja dalam mementukan nilai dari suatu data yang akan di ambil. Terutama alat yang mudah di bawa kemanapun dam memiliki berbagai kemampuan dalam hal pengukuran dengan menggunakan teknologi digital yang di keluarkan oleh Nasional Instrument terciptalah NI myRIO alat yang dapat di program untuk proses pengukuran dan dapat di tampilkan pula ke dalam suatu perangkat lunak LabVIEW dengan hasil berupa grafik ataupun angka. Dengan ukuran yang tidak terlalu besar alat inipun mudah di bawa kemanapun dan dimanapun. Dengan menggunakan alat yang berbasis virtual instrument tersebut dapat menumpulkan data hasil praktikum dalam hal pengujian alat yang berhubungan dengan elektronika digital dengan baik sesuai dengan ketentuan dari alat tersebut.
ISLAMISASI DI KUPULAUAN MELAYU NUSANTARA
Authors: Di Mul ya 
Published: August 2019

ABSTRAK
Tulisan ini menguak tentang pandangan Syed Muhammad Naquib Al-Attas terhadap bagaimana Islamisasi di Kepulauan Melayu Nusantara. Dalam ini Al-Attas melakukan studi kritis terhadap sarjana Barat yang cenderung mempersempit peranan Islam, dan sebaliknya menonjolkan signifikansi Hinduisme dan Buddhisme dalam sejarah dan kebudayaan Islam di Melayu Nusantara. Para sarjana Barat tersebut lebih mengunggulkan Hindu-Buddha sebagai agama yang sangat berpengaruh di dunia Melayu Nusantara dibandingkan pengaruh Islam. Argumentasi para sarjana tersebut terkesan sangat melemahkan peranan Islam sebagai agama terbesar yang dianut oleh masyarakat Nusantara selama berabad-abad. Beberapa sarjana Barat yang akan diklarifikasi pandanganya oleh al-Attas adalah Van Leur, Schrike, Snouck Hurgronje, dan Winstedt. Perlu ditegaskan di sini bahwa Islamisasi merupakan sebuah teori yang digagas oleh al-Attas untuk mempertegas pengaruh Islam di Kepulauan Melayu Nusantara melalui konsep metafisika sufisme.

Kata Kunci: Islamisasi, Melayu Nusantara, Hindu, Buddha, Syed Muhammad Naquib Al-Attas.

ABSTACT
This paper discusses the outlook Syed Muhammad Naquib Al-Attas of the Islamization of the Malay Archipelago. Al-Attas argue that most Western scholars tend to narrow the role of Islam, and instead highlight the significance of Hinduism and Buddhism in the history and culture of the Malays. Western scholars are more favor Hindu-Buddhism as a religion is very influential in the world than the Malay Archipelago Islamic influence. This view was impressed greatly weaken the role of Islam as a religion that is embraced by the community's largest archipelago for centuries. Some Western scholars that the consideration to be clarified by al-Attas was Van Leur, Schrike, Snouck, and Winstedt. It should be emphasized here that Islamization is a theory that was initiated by al-Attas to reinforce the influence of Islam with metafisic of slamic sufism in Malay Archipelago.

Kay Word: Islamization, Malay Archipelago, Hinduism, Buddhism, Syed Muhammad Naquib Al-Attas.
STUDY OF PEDIATRIC INJURIES: PATTERNS AND OUTCOME
Authors: Elshambaty Yasir. B. 
Published: August 2019

Purpose this study aims to show the patterns and outcome of pediatric injury among those living in Albaha region in Saudi Arabia
Methods this is a cross-sectional descriptive household-based study, included children between 0-17 years old both male and female. The data were collected with structured questionnaire between 20 Nov – 20 Dec 2018 and analyzed with SPSS version 25
Results the total of participants was 257 injured child. 199(77.4%) are male and 58(22.6%) are female. About 44%of them were injured at pre-school level and 56% were traumatized at school age. The least incidence of injury occurred in those less than 2 yrs and higher incidence in those between 3-10 yrs old. The most common mechanism of injury was falling from height. The most affected group age by RTA accidents was 11-17 yrs old. Approximately 83% of the injured children required hospital management. Only one third of the injuries were associated complications. The most common injured anatomic part was the upper limb and the least affected part was the spine. Only 5% of the injuries were associated with a disability and the common was loss of organ or part of it. Paralysis occurred in less than 1% and head injury resulted in disabilities more than 1%.
Conclusion the vast majority of the injuries in our participants are not serious. The severe injuries were associated with RTA-related trauma. Most of injuries due to falling from height are not serious. We recommend not to allow the children to drive cars.
Keywords: pediatric injuries; injury patterns; household.
ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN PENGGUNAAN ALAT PELINDUNG DIRI PADA PERAWAT DI RUANGAN RAWAT INAP RS ISLAM IBNU SINA
Authors: Khairunnisak Puti 
Published: August 2019

<p>Alat pelindung diri adalah suatu alat yang mempunyai kemampuan untuk melindungi seseorang yang fungsinya mengisolasi sebagian atau seluruh tubuh dari potensi bahaya di tempat kerja. Tujuan penelitian ini adalah untuk mengetahu hubungan motivasi, ketersediaan alat pelindung diri, peran petugas Peantia, Pembina Kesehatan dan Keselamatan Kerja dengan penggunaan alat pelindung diri pada perawat di ruangan rawat inap RS Islam Ibnu Sina Bukittinggi Tahun</p><p>2017.Penelitian ini menggunakan <em>desain cross sectional </em>dan dilaksanakan pada bulan September</p><p>2017. Populasi pada penelitian ini adalah 127 orang perawatdi ruangan rawat inap RS Islam Ibnu Sina Bukittinggi dengan jumlah sampel 97 orang sampel menggunakan teknik <em>total sampling. </em>Pengolahan dilakukan menggunakan analisis univariat, bivariat, dan multivariat Uji <em>(Chi- Square).</em>Dari hasil analisis univariat didapatkan 54,6% responden menggunakan alat pelindung diri yang sesuai. Terdapat 61,9% memiliki motivasi tinggi, 54,6% menyatakan petugas P2K3 berperan,</p><p>58,8% responden menyatakan SOP terlaksana. Hasil analisi bivariat menunjukkan terdapat hubungan yang signifikan antara motivasi dengan APD (p<em>value=0,016)</em>: OR=3,051) dan terdapat hubungan signifikan antara peran petugas P2K3 dengan penggunaan APD (p<em>value=0,023)</em>: OR=2,809). Sedangkan tidak ditemukan hubungan yang signifikan antara ketersediaan alat pelindung diri dan SOP dengan p<em>value=0,848 </em>dan 0,196. Hasil multivariat menunjukkan yang paling berhubungan adalah variabel motivasi dan peran petugas P2K3 p<em>value=</em>0,020 dan</p><p>0,028.Diharapkan kepada pihak rumah sakit untuk menyediakan alat pelindung diri lengkap sesuai bahaya dan resiko yang ada di tempat kerja dan lebih meningkatkan lagi peran petugas P2K3. Bagi perawat diharapkan untuk lebih aktif dalam menerapkan penggunaan alat pelindung diri.</p>
Study on Coverage of Measles Rubella Vaccine at Natore Sadar Upazila and Awareness of the Mothers Regarding the Vaccine
Authors: Hossain Md Belal , Haque Md Jawadul 
Published: August 2019

The present study was carried out with a view to explore the proportion of mothers vaccinated by Measles Rubella (MR) vaccine and to assess their knowledge level regarding MR vaccine in Natore Sadar Upazila. This study was a cross-sectional type of descriptive study. A total 153 mothers were selected purposively as respondents. Of them 140 were pregnant. The present study showed that 40% of the respondents were in the age group of 20-24 years with mean age of the respondents being 25.2 ± 4.5 years. The respondents were predominantly Muslim (94.1%), literate (96.1%) pregnant (91.5%) and belonged to nuclear family (55.8%). Over three-quarters (75.2%) of the respondents had monthly family income of up to Taka 10,000 with average monthly income being Tk. 9975 ± 9112. Out of 153 respondents, about 44% were farmer. The respondents were invariably familiar (94.8%) with MR vaccine and were aware about the total number of MR vaccines to be received to develop full immunity against measles and rubella. Majority (91.5%) of their children received MR vaccine. Over 80% of the respondents knew the dose schedule of MR vaccine. However, approximately 95% of them did not know that MR vaccine is required during pregnancy. As association of demographic characteristics of the respondents with their level of knowledge on MR vaccine was analyzed, none of the demographic characteristics (age, educational status of the respondents, husband’s occupation and monthly income) were found to be associated with their knowledge level (p > 0.05). The study concluded that mothers, particularly pregnant mothers, know that there is a vaccine known as MR, but majority of them do not have adequate knowledge about target groups of this vaccine. This gap in knowledge should be minimized through health education to make wider coverage of the vaccine.
TAJ 2019; 32(1): 1-8
Serum Sodium Level on the Recurrence of Febrile Seizure within the Same Febrile Illness-Experience in a District Level Hospital
Authors: Rahman M Luthfor , Hossain Belal , Uddin Belal , Mia Sanaul Haq 
Published: August 2019

Introduction: Febrile convulsion is the most common seizure disorder in the pediatric age group. It occurs in 2-5% of children. A febrile seizure is a seizure accompanied by fever (temperature 100.4°F or 38°C by any method), without central nervous system infection, that occurs in infants and children 6 through 60 months of age.
Aim: The study was conducted to see the effect of serum sodium level on the recurrence of febrile seizure during the same febrile illness. Materials and Method: A cross-sectional descriptive study which enrolled 65 children admitted with febrile seizures at 100 bed district hospital, Naogaon. They were divided in to two groups, those with a single seizure and the rest were children with more than one seizures. Serum sodium levels were estimated after stabilization of patients. The probability of recurrent febrile seizures and serum sodium level was analyzed.
Results: Hyponatremia (serum sodium <135 mmol/l) was seen in 12(18.5%) of 65 children and the remaining 81.5% children had normal serum sodium level (serum sodium 135-145 mmol/l). Among the hyponatremia group all children developed more than one seizure during the same febrile episode. The mean serum sodium level in patients with single and recurrent seizure was 138.48±2.17mmol/l and 135.27±3.11mmol/(P<0.001). The relationship between the probability of a recurrent seizure and serum sodium level is statistically highly significant.
Conclusion: Estimation of the seum sodium in children with febrile seizures help in deciding for admission in hospital as well as to predict seizure recurrence within the same febrile episode.
TAJ 2019; 32(1): 39-45
Estudio básico del comportamiento ambiental en la caldera del volcán inactivo Pululahua utilizando un sistema de adquisición y procesamiento de datos basado en UAV
Authors: Llugsi Cañar Ricardo , Lupera Pablo , Chango Ramón , Ledesma Fernando , Suarez Alexander 
Published: August 2019

En este trabajo se presenta un análisis básico del comportamiento ambiental en la caldera volcánica habitada del volcán Pululahua. El análisis ha sido desarrollado mediante el uso de un sistema de adquisición y procesamiento de datos en tiempo real basado en un UAV (Unmanned Aerial Vehicle, Vehículo Aéreo No Tripulado) para vuelos a baja altura. El sistema es un prototipo de dos etapas desarrollado en base a software y hardware libre. La primera etapa (aire) del sistema es instalada en el Dron y permite la adquisición de información ambiental (temperatura, humedad y presión) con su respectiva georreferenciación, esta información es transmitida utilizando un enlace inalámbrico de 2,4 GHz y es procesada en la segunda etapa (tierra), para obtener isomapas de las variables mencionadas anteriormente, para altitudes de hasta 120 m desde la posición de despegue. La información obtenida en la caldera muestra, como es de esperarse, que tanto la temperatura como la presión, disminuyen con el incremento de la altura, contrariamente a la humedad que se eleva a la par que la altitud. A partir de los datos recopilados se puede ver que la temperatura y la humedad varían ampliamente durante los primeros 20 m (por encima del lugar de despegue) pero después de los 50 m se vuelven estables. Algo bastante llamativo también es la variación de la presión (aproximadamente de 6 a 10 hPa) en una misma altura pero en diferentes posiciones.
Upacara Tantulak Ambun Rutas Matei Pada Masyarakat Hindu Kaharingan (Persfektif Hukum Hindu)
Authors: Mariatie Mariatie 
Published: August 2019

Upacara kematian di kalangan umat Hindu Kaharingan yang disebut dimulai dengan proses perawatan jenazah, penguburan secara ritual dan proses tantulak Ambun Rutas Matei. Upacara tantulak Ambun Rutas Matei dilakukan tiga hari setelah upacara penguburan dengan tujuan untuk mengantarkan arwah Liau Haring Kaharingan dari lewu pasahan raung menuju Bukit Nalian Lanting tempat penantian bersama Nyai Bulu Indu Rangkang untuk sementara ditiwahkan dan sekaligus membersihkan keluarga duka dari sial atau rutas kapali belum artinya dari segala pantangan hidup yang mengakibatkan kematian, hidup sial, segala macam penyakit yang menimpa keluarga. Selain itu, upacara tantulak juga bertujuan untuk memulihkan keseimbangan magis, menjauhkan segala macam marabahaya dan menghilangkan segala kemalangan atau kesialan dan hal-hal yang tidak baik yang dapat timbul pada keluarga Tarantang Nule (keluarga duka) maupun pada seluruh warga di kampung.
Adanya upacara Tantulak Ambun Rutas Matei ini berawal dari proses Kematian manusia dimuka bumi ini (Lewu Injam Tingang Rundung Nasih Napui Burung) sebagai tempat sementara untuk kehidupan keturunan Raja Bunu.
Pendampingan Pembuatan Kerajinan Tangan Dari Kain Flanel Sebagai Usaha Kecil Menengah (UKM) Masyarakat Di Kelurahan Sei Langkai
Authors: Gusmania Yesi , Amelia Fitrah 
Published: August 2019

Pengabdian masyarakat ini bertujuan sebagai salah satu kegiatan untuk dapat meningkatkan kemampuan masyarakat dalam menunjang perekonomian keluarga sebagai usaha kecil Menengah (UKM). . Berdasarkan survey lapangan dengan masyarakat RW 02 kelurahan sei langkai bahwa tingkat kesejahteraan masyarakat di Kavling Nato masih tergolong rendah, hal ini terlihat dari 50 % dari total jumlah penduduk di Kavling Nato termasuk ke dalam pra Keluarga Sejahtera. Selain itu, di Kavling Nato khususnya RW 02 masih banyak Ibu-ibu sebagai rumah tangga yang cenderung tidak mempunyai keahlian atau kegiatan sampingan. Hal ini disebabkan karena kurangnya kreativitas dalam melatih pola pikir masyarakat sewbagai runtinitas sehari-hari. Salah satu cara yang digunakan untuk meningkatkan minat masyarakat, dengan memberikan motivasi dan semangat untuk ibu-ibu dalam mengembangkan usaha kecil menengah (UKM) terutama pembuatan kerajinan tangan dalam menunjang perekenomian keluarga. Hasilnya menunjukkan bahwa: (1). Masyarakat sangat antusias dan semanagat, ketika ibu-ibu diberikan keterampilan kerajinan tangan dan direspon dengan baik. (2). Pelaksanaan program pengabdian pada masyarakat ini sangat bermanfaat bagi masyarakat, sehingga dapat dilaksanakan oleh warga di kavling nato sei langkai.
A synopsis of dated entries in the biological collecting notes from eastern and northern Australia made by Robert Brown (1773–1858) on theInvestigator voyage of 1801–1805
Authors: MOORE D. T. 
Published: August 2019

ABSTRACT:Manuscript notes made by Robert Brown in eastern and northern Australia formed the basis of later descriptions copied up on to his descriptive botanical slips. In some cases they also provide chronological evidence of his whereabouts when his diary notes are uninformative and also record his initial manuscript names. These names also occur on the original labels of his Australian dried plant gatherings.
Larval Terapi ve Kronik Yaralar
Authors: GAZİ Umut , TAYLAN ÖZKAN Ayşegül , MUMCUOĞLU Kosta 
Published: August 2019

İyileşmeyen yaralar
günümüzde halk sağlığı için önemli bir sorun teşkil etmeye devam etmektedir ve
antibiyotiğe dirençli mikroorganizmaların sebep olduğu cilt ve yumuşak doku
enfeksiyon prevalansındaki artış gibi faktörler nedeniyle bugün ilişkili
oldukları vaka sayıları hâlâ artmaktadır. Yara iyileşmesi, genellikle sorunsuz
ilerleyen dört örtüşen fizyolojik aşamadan oluşur: homeostaz, iltihaplanma,
çoğalma ve yeniden şekillenme / olgunlaşma. Bununla birlikte, iyileşmeyen
yaralarda, iyileşme genellikle doku döküntülerinin uzaklaştırılması, lokal
enfeksiyon ve / veya proteazlar gibi yıkıcı ürünlerin yara yatağından
uzaklaştırılması ile alakalı olan enflamatuar fazda durur. Larval terapi (LT) umut
verici tedavi yöntemlerinden biridir ve esas olarak nekrotize edilmiş dokularla
beslenen yeşil şişe sineği Lucilia
sericata'nın dezenfekte edilmiş larvalarının (kurtçukların) kullanılmasını
içerir. LT'nin esas olarak üzerinde en fazla çalışmanın yayımlandığı
debridmanın yanında dezenfeksiyon ve büyüme
uyarımı ile yara iyileşmesine yardımcı olduğu düşünülmektedir. Kronik yaraların
tedavisi pahalıdır ve LT uygun maliyetli bir alternatif tedavi stratejisi sunar.
Öte yandan, bakteriyel kaynaklı ülserlerin tedavisine ek olarak, mikotik
enfeksiyon ve leishmaniasis ile ilişkili semptomlar için de kullanılabilir.
Günümüzde LT, iyileşmeyen cilt ve yumuşak doku yaralarına karşı FDA onaylı bir
terapidir. Bu derlemede, iyileşmeyen yaraların tedavisinde LT tarafından
kullanılan etki mekanizmaları hakkındaki güncel literatürü özetledik.