bluuebunny/crossref_metadata_2025_split huggingface dataset:
Minimum cochlear dose impacts hearing after radiosurgery for sporadic vestibular schwannoma
Authors: Morshed Ramin A. , Khandalavala Karl R. , Dornhoffer James R. , Babajanian Eric E. , Daher Ghazal S. , Marinelli John P. , Brown Paul D. , Lohse Christine M. , Carlson Matthew L. , Link Michael J. 
Published: November 2024

OBJECTIVE
It is uncertain which cochlear dose parameters significantly impact hearing after stereotactic radiosurgery (SRS) for sporadic vestibular schwannoma (VS). The objective of this study was to determine the impact of cochlear dose parameters on hearing outcomes for patients with serviceable hearing (SH).

METHODS
This was a historical cohort study performed at a single tertiary center that included patients with sporadic VS and SH who underwent single-session Gamma Knife radiosurgery treatment from 2007 to 2022. Associations of cochlear dose parameters with time to non-SH and rates of change in pure-tone average (PTA) and word recognition score (WRS) following SRS were assessed.

RESULTS
A total of 205 patients with SH underwent SRS for a sporadic VS. At SRS, 54 (26%) tumors were confined to the internal auditory canal and 151 (74%) extended into the cerebellopontine angle. At 2, 5, and 10 years following SRS, 62%, 37%, and 15% of patients maintained SH, respectively. The median time to non-SH was 1.8 years. The median rates of change in PTA and WRS were 6.0 dB of hearing loss per year and −6.5% per year, respectively. In a multivariable analysis, each 1-Gy increase in minimum cochlear dose was significantly associated with time to non-SH (HR 1.5, 95% CI 1.2–1.9), rate of change in PTA decibel hearing loss per year (parameter estimate [PE] 3.4, 95% CI 0.6–6.2), and rate of change in WRS percentage per year (PE −6.4, 95% CI −11.2 to −1.5). The associations of each 1-Gy increase in mean cochlear dose with hearing outcomes were only significant among patients with class B hearing (time to non-SH HR 1.3, 95% CI 1.1–1.6; rate of change in PTA PE 3.6, 95% CI 1.2–5.9; and rate of change in WRS PE −5.7, 95% CI −9.7 to −1.7).

CONCLUSIONS
The minimum cochlear dose impacts hearing outcomes after SRS for VS and should be considered in radiosurgical treatment planning. In this cohort, the mean cochlear dose was only associated with hearing outcomes in the subgroup of patients with class B hearing at SRS.
Impact of preoperative nutritional status on morbidity and mortality in elderly patients undergoing subdural hematoma evacuation: the role of the Geriatric Nutritional Risk Index
Authors: Serrato Paul , Craft Samuel , Sayeed Sumaiya , Hengartner Astrid C. , Belkasim Selma , Sadeghzadeh Sina , DiLuna Michael L. , Elsamadicy Aladine A. 
Published: November 2024

OBJECTIVE
Nutritional status has been shown to impact patient outcomes across several neurosurgical procedures. However, few prior studies have assessed associations between preoperative nutritional status and outcomes in elderly patients undergoing subdural hematoma evacuations. The aim of this study was to identify associations between preoperative nutritional status and short-term outcomes in patients aged 65 years and older undergoing subdural hematoma evacuation.

METHODS
A retrospective cohort study was performed using the American College of Surgeons National Surgical Quality Improvement Program database. Geriatric patients (≥ 65 years of age) were categorized into three groups based on the Geriatric Nutritional Risk Index (GNRI): normal, malnourished, and severely malnourished. Patient demographic characteristics, comorbidities, and adverse events (AEs) were assessed. Multivariate logistic regression analyses were used to identify independent predictors of 30-day postoperative AEs, extended length of hospital stay (LOS), 30-day mortality, and nonroutine discharge.

RESULTS
Of 2026 study patients, 908 (44.8%) had normal GNRI status, 564 (27.8%) had malnourished GNRI status, and 554 (27.3%) had severely malnourished GNRI status. The proportions of patients who experienced minor AEs (normal 12.7% vs malnourished 13.3% vs severely malnourished 19.0%, p = 0.003) and severe AEs (normal 25.3% vs malnourished 20.7% vs severely malnourished 35.7%, p ≤ 0.001) were greatest in the severely malnourished cohort. Mean LOS significantly increased along with increasing malnourishment (normal 9.1 ± 6.9 days vs malnourished 9.7 ± 7.0 days vs severely malnourished 11.3 ± 7.6 days, p ≤ 0.001), whereas the proportions of patients with 30-day mortality (normal 15.5% vs malnourished 15.6% vs severely malnourished 24.0%, p ≤ 0.001) and nonroutine discharge (normal 59.4% vs malnourished 66.1% vs severely malnourished 69.9%, p ≤ 0.001) similarly increased with increasing malnourishment. On multivariate analyses, severe malnourished status was significantly associated with increased odds of developing any AE (adjusted OR [aOR] 1.72, CI 1.33–2.23, p ≤ 0.001) and extended LOS (aOR 1.47, CI 1.11–1.95, p = 0.007), whereas malnourished status but not severely malnourished status was associated with increased odds of nonroutine discharge (aOR 1.46, CI 1.12–1.92, p = 0.006). Neither malnourished (p = 0.474) nor severely malnourished status (p = 0.367) was associated with increased odds of 30-day mortality.

CONCLUSIONS
The authors’ findings suggest that preoperative nutritional status may have implications for short-term outcomes after subdural hematoma evacuation in patients aged 65 years and older. Further studies are necessary to better optimize nutritional status perioperatively in this patient population.
Hair-sparing approach versus traditional hair clipping for cerebral spinal fluid shunt procedures: a retrospective comparative study
Authors: Arfaie Saman , Sarabi Ali , Solgi Arad , Michaud Eve , Rohr Eliana , Giampa Luca , Ieropoli Elyssia , Lasry Oliver , Dudley Roy W. R. 
Published: November 2024

OBJECTIVE
Cerebral spinal fluid (CSF) diversion methods, including ventriculoperitoneal (VP) shunts, are the standard treatment for hydrocephalus. Hair clipping (HC) has been a routine neurosurgical practice of the great majority of neurosurgeons, due to the perception that this will either decrease the risk of shunt infection or allow for a faster, unimpeded opening and closing of the skin. The benefits of not cutting or clipping hair in terms of normalizing appearance and self-esteem are obvious. The purpose of this study was to assess whether the rate of shunt infection would differ between pediatric patients receiving operation via the hair-sparing (HS) approach versus HC.

METHODS
A retrospective single-institution study comparing HS versus HC was conducted on pediatric patients undergoing long-term CSF shunt procedures at the Montreal Children’s Hospital between August 2014 and April 2021. The primary outcome measure was shunt infection at 90 days and at long-term follow-up. Inclusion criteria were having at least 18 months of follow-up after long-term CSF shunt procedures, including insertions or revisions of VP shunts, ventriculoatrial shunts, cystoperitoneal shunts, subdural-peritoneal shunts, ventriculosubgaleal shunts, and ventriculosubgaleal reservoirs. Excluded procedures were those involving external ventricular drains, externalized shunts, Omaya reservoirs, endoscopic third ventriculostomies, and lumbar shunts.

RESULTS
There were 434 CSF shunt procedures performed in 226 unique patients; 155 (35.71%) procedures were done using the HS approach versus 279 (64.29%) procedures via HC. At 90 days postoperatively, the infection rate was 1.29% in the HS group and 2.87% in the HC group, with an absolute risk difference of 1.58% (95% CI −1.07% to 4.23%, p = 0.24). At long-term follow-up (mean follow-up: 752 days and 716 days for the HS and HC groups, respectively), the rate of shunt infection remained at 1.29% for the HS group (no new infections) but rose to 4.66% for the HC group, with an absolute risk difference of 3.37% (95% CI 0.33%–6.41%, p = 0.03).

CONCLUSIONS
Performing CSF shunt procedures without cutting or clipping any hair has a very low risk of shunt infection, and certainly does not appear to increase the risk of infection (or malfunction) versus the hair removal approach. It is a safe alternative and should be considered due to its esthetic and psychological benefits regarding normalization of appearance and ease of resuming a normal life following shunt surgery.
Information Boards as Forest Conservation Campaign in Bahorok Research Center, Langkat Regency, North Sumatera Utara, Indonesia
Authors: Berliani Kaniwa , Elimasni  , Jumilawaty Erni , Nurtjahja Kiki , Wahyuningsih Hesti , Siregar Etti Sartina , Nurwahyuni Isnaini , Tanjung Masitta , Priyani Nunuk , Supriharti Deny , Siregar Julius Paolo 
Published: November 2024

Yayasan Ekosistem Lestari (YEL) in Bahorok Research Station in Bahorok Sub-district, Langkat District, is a very important location for this work. The hilly terrain of the area provides a beautiful landscape and varied flora and fauna with the main attraction being the corpse flower (Amorphophallus sp). With a preserved natural environment and unique ecological features, this research station allows other parties to participate in protecting the area in various conservation campaign, one of which is the installation/establishment of conservation information boards. Conservation information boards can raise public awareness about the importance of protecting forests and their natural environment. Information on ecosystems, flora, fauna, management, and the importance of conservation can be conveyed through these information boards. Information boards are widely used as an educational tool for local communities and visitors to the forest at the research station. They can learn about forest ecology, the negative impacts of deforestation, and sustainable ways of utilizing forest resources. They can learn about forest ecology, the negative impacts of deforestation, and sustainable ways of utilizing forest resources. Information boards can also be used to invite community participation in conservation efforts, which is expected to improve the quality of knowledge and understanding of conservation areas for communities, researchers, and tourists. Therefore, the installation/establishment of conservation information boards needs to be carried out at Bahorok Research Station, Batu Katak as one of the campaign and solutions to maintain the natural conditions in the forest and river.
Implementation of Good Tourism Governance Based on Local Wisdom in Increasing Community Income in the Simanindo Samosir Tourism Village, North Sumatra
Authors: Revida Erika , Badaruddin  
Published: November 2024

Good tourism governance based on local wisdom is the management of tourist villages carried out based on the principles of participation, accountability and evaluation based on cultural values that grow and develop in society, such as mutual trust, mutual support, mutual cooperation and so on. The method of activity carried out in this community service is socialization, training, simulation and mentoring for several days to the community and tourism awareness groups in the Simanindo Samosir tourist village, North Sumatra so that there is an increase in knowledge, attitudes, skills and behavior of tourism awareness group administrators. and society and society and apply the concepts that have been presented in the training. The results of the activities carried out showed that the Simanindo tourist village community and village officials as well as tourism awareness groups seemed enthusiastic about listening to and following the event until it was finished and committed to implementing it. On the first day, the venue is mapped and the technicalities of the event are discussed, the event rundown and who will be invited the following day. On the second day it was held from 14 to 18, accompanied by lectures, questions and answers and long discussions. Thus, it can be concluded that community service activities have received a positive response and we hope that similar activities can be carried out in the future. This community service was closed with a group photo and distributing "I'm Tourist Friendly" stickers so that tourist friendliness remains embedded in the community of the Simanindo tourist village, Samosir, North Sumatra.
Pelatihan Pembuatan Rebusan Daun Kelor ( Moringo Oliefera) untuk Menurunkan Tekanan Darah pada Penderita Hipertensi
Authors: Raka I Made , Momot Simon Lukas , Abdullah Vera Iriani 
Published: November 2024

ABSTRAK Menurut World Health Organization (WHO) mengatakan bahwa prevalensi hipertensi di dunia tahun 2013 mencapai 1 miliar orang dan meningkat menjadi 1,15 milyar atau sekitar 80% kenaikan ditahun 2025. Hipertensi atau tekanan darah tinggi adalah kenaikan tekanan darah sistolik lebih dari 140 mmHg dan tekanan darah diastolik lebih dari 90 mmHg pada dua kali pengukuran dengan selang waktu lima menit dalam keadaan cukup istirahat atau tenang. Hipertensi merupakan salah satu penyebab utama kematian dini diseluruh dunia. Pengobatan hipertensi dapat dilakukan secara non-farmakologi yaitu dengan menggunakan ekstrak daun kelor (Moringa aleifera ). Hal ini disebabkan karena daun kelor kalium senyawa kalium yang bersifat antihipertensi sehingga dapat membantu mengontrol tekanan darah, ritme dan fungsi jantung sehingga dapat mencegah hipertensi. Untuk meningkatkan pengetahuan dan sikap serta ketrampilan Masyarakat dalam pengolahan rebusan daun kelor. Metode yang digunakan adalah penyuluhan dan demonstrasi. Sebanyak 32 sasaran telah mengikuti kegiatan dengan baik dan 100% terjadi peningkatan pengetahuan, sikap dan ketrampilan. Terdapat 32 lansia yang mengalami hipertensi, kegiatan sosialisasi dan demonstrasi tentang manfaat rebusan daun kelor merupakan kegiatan pertama yang dilakukan di Puskesmas dan berjalan dengan sangat baik serta telah dilakukan pemeriksaan tekanan darah. Kata Kunci: Lansia, Peningkatan Tekanan Darah, Terapi Non Farmakologi ABSTRACT According to the World Health Organization (WHO), the prevalence of hypertension in the world in 2013 reached 1 billion people and will increase to 1.15 billion or around 80% increase in 2025. Hypertension or high blood pressure is an increase in systolic blood pressure of more than 140 mmHg and diastolic blood pressure of more than 90 mmHg on two measurements with an interval of five minutes in a state of sufficient rest or calm. Hypertension is one of the main causes of premature death throughout the world. Hypertension treatment can be done non-pharmacologically, namely by using Moringa aleifera leaf extract. This is because Moringa leaves contain potassium compounds which have antihypertensive properties so they can help control blood pressure, rhythm and heart function so they can prevent hypertension. To increase knowledge, attitudes and skills of the community in processing Moringa leaf decoction. Method: the method used is counseling and demonstration. 32 targets participated in the activities well and there was a 100% increase in knowledge, attitudes and skills. There were 32 elderly people who had hypertension, socialization activities and demonstrations about the benefits of boiled Moringa leaves were the first activities carried out at the Community Health Center and went very well and blood pressure checks were carried out. Keywords: Elderly, Increased Blood Pressure, Non-Pharmacological Therapy
Pemberdayaan Orang Tua dalam Manajemen Demam Non Farmakologis Pada Anak Balita melalui Intervensi Keperawatan Suportif-Edukatif di Kecamatan Semper, Jakarta Utara
Authors: Purwati Nyimas Heny , Nuraidah Nuraidah , Setiyaningrum Titik , Apriliawati Anita , Maharani Rahayu , Kurnianingsih Neniek , Istinganah Istinganah 
Published: November 2024

ABSTRAK Manajemen demam non-farmakologis pada anak merupakan komponen penting dalam perawatan anak di rumah yang membutuhkan pengetahuan, sikap, dan keterampilan orang tua. Banyak orang tua mungkin tidak memiliki pengetahuan yang memadai tentang managemen demam pada anak secara efektif. Oleh karena itu, Kegiatan Pengabdian kepada Masyarakat (PkM) ini bertujuan untuk memberikan pengetahuan dan keterampilan yang diperlukan kepada orang tua agar dapat mengelola demam pada anak secara efektif di rumah. Kegiatan PkM ini melibatkan 9 perawat anak dari IPANI DKI Jakarta dan terdiri dari empat sesi yaitu brainstorming, edukasi kesehatan, praktik kompres tepid water sponge dan sesi diskusi. Analisis data menggunakan metode analisis kuantitatif. Hasil PkM menunjukkan peningkatan signifikan dalam pengetahuan, dan keterampilan orang tua terkait manajemen demam non farmakologus pada anak. Temuan ini menegaskan pentingnya pendidikan dan pemberdayaan orang tua dalam meningkatkan kemampuan mengelola demam pada anak. Kata Kunci: Balita, Manajemen Demam, Orang tua ABSTRACT Non-pharmacological management of fever in children is an important part of home care that requires parental knowledge, attitudes and skills. Many parents may not have adequate knowledge about effective management of fever in children. Therefore, this community service activity aims to provide parents with the necessary knowledge and skills to effectively manage fever in children at home. This PkM activity involved 9 paediatric nurses from IPANI DKI Jakarta and consisted of four sessions, namely brainstorming, health education, tepid water sponge compress practice and discussion sessions. Quantitative analysis methods were used to analyse the data. The results showed a significant increase in parents' knowledge and skills related to non-pharmacological fever management in children. This finding confirms the importance of parental education and empowerment in improving fever management skills in children. Keywords: Toddlers, Fever Management, Parents
Penguatan Resilensi Ibu dalam Optimalisasi Tumbuh Kembang Balita dan Pencegahan Stunting
Authors: De Fretes Elzina Dina , Patimbang Asmiyati 
Published: November 2024

ABSTRAK Stunting merupakan kondisi gagal tumbuh dan kembang balita yang disebabkan oleh kekurangan gizi dalam jangka waktu lama (Soliman et al., 2021). Dalam jangka panjang stunting mengakibatkan kerugian ekonomi akibat penurunan produktifitas. Pengabdian masyarakat dilakukan dalam bentuk penguatan resilensi ibu yang memiliki balita stunting yang berjumlah 25 orang. Tujuan: pengabdian ini adalah untuk memberikan pengetahuan dan penguatan kepada ibu yang memiliki anak stunting dalam optimalisasi kejar tumbuh dan kembang balita. Dari hasil evaluasi diperoleh pengetahuan ibu sebelum edukasii mayoritas cukup sebanyak 60 % dan setelah dilakukan edukasi dan pendampingan mayoritas baik dengan presentase 80 %. Dengan adanya kegiatan pengabdian masyarakat ini mampu meningkatkan pengetahuan ibu yang memiliki balita stunting serta meningkatkan resilensi ibu, karena dengan memiliki pengetahuan yang cukup tentang stunting, ibu dapat lebih mudah mengatasi kesulitan dalam merawat anak yang stunting guna optimalisasi tumbuh dan kembang anak. Kata Kunci: Penguatan, Resilensi Ibu, Pencegahan, Stunting ABSTRACT Stunting is a condition where toddlers fail to grow and develop due to long-term malnutrition (Soliman et al., 2021). In the long term, stunting results in economic losses due to reduced productivity. Community service is carried out in the form of strengthening the resilience of mothers who have 25 stunted toddlers. The aim of this service is to provide knowledge and strengthening to mothers who have stunted children in optimizing the growth and development of toddlers. From the evaluation results, it was found that the majority of mothers' knowledge before education was sufficient at 60% and after education and mentoring the majority was good with a percentage of 80%. This community service activity is able to increase the knowledge of mothers who have stunted toddlers and increase maternal resilience, because by having sufficient knowledge about stunting, mothers can more easily overcome difficulties in caring for stunted children in order to optimize the child's growth and development. Keywords: Strengthening, Maternal Resilience, Prevention, Stunting
Program Pemberdayaan Masyarakat untuk Pencegahan Penyakit Diare dengan Pengelolaan Bank Sampah di Desa Plumbon Gambang
Authors: Nurmayanti Demes , Sari Ernita , Kriswandana Ferry , Marlik Marlik , Amalina Avita , Setiawan Mahawiraja 
Published: November 2024

ABSTRAK Desa Plumbon Gambang Kabupaten Jombang menghadapi masalah timbulan sampah yang signifikan akibat dari aktivitas industri manik-manik dan kunjungan turis. Kurangnya pengetahuan masyarakat tentang pemilahan dan pengelolaan sampah menyebabkan tingginya insiden penyakit seperti diare. Tujuan dari kegiatan pengabdian masyarakat di desa ini bertujuan untuk membentuk organisasi bank sampah dan meningkatkan kesadaran serta pengetahuan masyarakat tentang pengelolaan sampah menggunakan metode 3R (Reduce, Reuse, Recycle). Metode yang digunakan adalah penyuluhan untuk meningkatkan pengetahuan masyarakat dalam memilah sampah, pendampingan dalam pembentukan organisasi bank sampah, dan pelatihan kepada pengelola bank sampah dalam melakukan pemilahan sampah. Hasil setelah sosialisasi, terdapat peningkatan pengetahuan peserta dari rata-rata nilai 53 menjadi 73 dan telah terbentuk organisasi bank sampah. Kesimpulannya bank sampah yang terbentuk memiliki struktur lengkap dan diharapkan mampu mengurangi timbunan sampah serta meningkatkan ekonomi lokal melalui pengelolaan sampah yang lebih efektif. Kata Kunci: Pengelolaan Sampah, Bank Sampah, 3R, Penyakit Diare ABSTRACT Plumbon Gambang Village in Jombang Regency faces significant waste generation problems due to the bead industry and tourist visits. The community's lack of knowledge about waste sorting and management has led to high incidences of diseases such as diarrhea. Purpose Community service activities in the village aim to establish a waste bank organization and raise awareness and knowledge about waste management using the 3R method (Reduce, Reuse, Recycle). The methods were counseling to increase community knowledge in sorting waste, assistance in forming waste bank organizations, and training for waste bank managers in sorting waste. Result There was an increase in participants' knowledge from an average score of 53 to 73 and a waste bank organization was formed. Conclusion The waste bank organization that was formed has a complete structure and is expected to be able to reduce waste accumulation and improve the local economy through more effective waste management. Keywords: Waste Management, Waste Bank, 3R, Diarrhea