bluuebunny/crossref_metadata_2025_split huggingface dataset:
Management of Long-Term Complications in the Setting of Lateral Meniscal Deficiency After Saucerization of a Discoid Lateral Meniscus in an Adolescent Patient
Authors: Smith Ryan A. , Vandenberg Curtis D. , Pace J. Lee 
Published: December 2018

Case:A 14-year-old adolescent with bilateral discoid menisci who had previously undergone discoid meniscal saucerization presented with pain and mechanical knee symptoms bilaterally. She had a torn left discoid lateral meniscus, a right lateral meniscal deficiency with an associated osteochondral defect, and valgus collapse of the right femur. She underwent successful repair of the left discoid meniscus as well as a femoral osteotomy, a meniscal transplant, and an osteochondral allograft transplantation in the right knee.Conclusion:New treatment paradigms following initial interventions for discoid menisci are discussed. Patients may benefit from longer follow-up after discoid meniscal surgery, and providers should consider joint-preserving techniques early in the setting of meniscal deficiency.
Acute Radial Nerve Repair with Humeral Shaft Shortening and Fixation Following a Closed Humeral Shaft Fracture
Authors: Martin Anthony R. , Gittings Daniel J. , Levin L. Scott , Donegan Derek J. , Gray Benjamin L. 
Published: December 2018

Case:
A 65-year-old woman sustained a closed segmental humeral shaft fracture with a complete radial nerve palsy. Radial nerve neurotmesis was found during acute surgical exploration and fixation. Treatment included a 2-cm shortening osteotomy of the humeral shaft and osteosynthesis in order to obtain a tension-free primary end-to-end repair of the radial nerve.

Conclusion:
Tension-free primary nerve repair can be technically challenging with humeral shaft fractures. A shortening osteotomy of the humeral shaft and osteosynthesis are feasible to achieve tension-free neurorrhaphy without nerve-grafting.
Unstable Osteochondritis Dissecans of the Glenoid Fixed with Autogenous Osteochondral Plugs in a College Baseball Player
Authors: Tsujino Shohei , Tsujino Megumi , Tsujino Akihito 
Published: December 2018

Case:
A 19-year-old college baseball outfielder presented with a 3-month history of right shoulder pain. Radiographs, computed tomography, and magnetic resonance imaging showed a large osteochondral defect at the posterosuperior aspect of the glenoid. Arthroscopic evaluation identified an unstable fragment that was partially attached. Fixation of the osteochondral fragment was achieved with autogenous osteochondral plugs through a posterior arthrotomy. At 8 months after surgery, the patient was able to return to his former competitive level of performance.

Conclusion:
Osteochondritis dissecans (OCD) rarely affects the glenoid. Fixation of a large glenoid OCD lesion with autogenous osteochondral plugs was a successful treatment in this patient.
Bilateral Congenital Vertical Talus in Association with Beals Contractural Arachnodactyly
Authors: Morris Holly , Navarre Pierre 
Published: December 2018

Case:
Congenital vertical talus (CVT) is a rare rigid flatfoot disorder with a rocker-bottom flatfoot appearance. It is characterized by hindfoot valgus and equinus, with associated midfoot dorsiflexion and forefoot abduction. We describe a patient who was born with dysmorphic features and subsequently was diagnosed with Beals contractural arachnodactyly. After the diagnosis of bilateral CVT was made, it was treated with a single-stage open reduction. There was a unilateral recurrence, which was treated with revision surgery. The patient had an excellent functional outcome.

Conclusion:
CVT often requires surgical management and may recur. To our knowledge, this is the first reported case of CVT associated with Beals contractural arachnodactyly.
Pediatric Terrible Triad Injury of the Elbow: A Rare and Easily Missed Injury
Authors: Rooke Gareth M.J. , Maarschalk Jeremy A. , Navarre Pierre 
Published: December 2018

Case:
We report the case of a pediatric terrible triad injury of the elbow consisting of an ulnohumeral dislocation, a radial neck fracture, and a coronoid chondral injury, which was diagnosed at 14 days following injury. We describe our surgical technique and provide details of the postoperative course, including the development of a rotational contracture following heterotopic ossification.

Conclusion:
We describe a rare and challenging injury that should be recognized early and managed surgically to maintain acceptable elbow function.
Isolated Tear of the Pectoralis Minor Tendon in a Professional American Football Quarterback
Authors: McNeilan Ryan J. , Rose Michael , Mayer Braden , Boublik Martin 
Published: December 2018

Case:
A 27-year-old right-hand-dominant National Football League (NFL) quarterback injured his right shoulder after falling with the elbow flexed and the shoulder flexed and slightly abducted. He noted an immediate onset of right anterior shoulder pain, but was able to continue playing and throwing without notable deficit. Magnetic resonance imaging of the chest revealed an isolated tear of the pectoralis minor tendon. The patient received nonoperative local treatment and was able to start as quarterback at the next game.

Conclusion:
An isolated pectoralis minor tear in the dominant arm of a professional throwing athlete may be successfully treated with nonoperative local treatment and shoulder strengthening and stabilization exercises, allowing an early return to competition.
Type-V Median Nerve Entrapment in a Pediatric Medial Condyle Fracture
Authors: McCarthy Conor F. , Kyriakedes James C. , Mistovich R. Justin 
Published: December 2018

Case:
A 30-month-old boy with a displaced medial condyle fracture and no history of an elbow dislocation was found to have an entrapped median nerve.

Conclusion:
Entrapment of the median nerve is a potential consequence of a displaced medial condyle fracture, even when there are no neurologic deficits on presentation. This provides additional support for open reduction of these fractures rather than percutaneous treatment or nonoperative management. Prompt identification and extraction of an interposed ulnar or median nerve is imperative to prevent the catastrophic consequences of an upper-extremity nerve palsy in children, as well as to optimize fracture-healing and elbow growth and development.
PERBEDAAN HASIL BELAJAR MATEMATIKA SISWA MENGGUNAKAN MODEL PEMBELAJARAN SNOWBALL THROWING DAN MODEL TALKING STICK
Authors: Syafi’i Mohamad , Fatmalawati Kiki 
Published: December 2018

Penelitian ini dilakukan untuk mengetahui ada tidaknya perbedaan hasil belajar matematika dengan menggunakan model pembelajaran Snowball Throwing dan model pembelajaran Talking Stick. Model pembelajaran Snowball Throwing merupakan model pembelajaran yang melibatkan siswa aktif dalam proses pembelajaran dengan kegiatan memberikan pertanyaan kepada siswa lain dengan cara melempar bola kertas. Model pembelajaran Talking Stick merupakan model pembelajaran dengan media tongkat, siapa yang memegang tongkat wajib menjawab pertanyaan yang diberikan oleh guru. Penelitian ini dilakukan di SMA Asyariah Gintung, Tangerang pada bulan Maret sampai April 2017. Berdasarkan hasil penelitian, rata-rata hasil belajar matematika menggunakan model Snowball Throwing adalah 80,1 sedangkan rata-rata hasil belajar matematika menggunakan model Talking Stick adalah 60,83. Dalam penelitian komparasional ini, pengujian hipotesis statistik menggunakan uji – t. Hasil analisis data uji beda dua rata – rata hasil belajar matematika menggunakan uji – t diperoleh thitung = 6.712 dan ttabel = 2.002 dengan dk = 58 dan a = 0.05 Berdasarkan hasil tersebut dapat disimpulkan bahwa thitung > ttabel yang artinya terdapat perbedaan hasil belajar matematika siswa dengan menggunakan model pembelajaran Snowball Throwing dan model pembelajaran Talking Stick.
Intermittent warm blood cardioplegia versus crystalloid cardioplegia in coronary artery bypass grafting surgery patients: Is there any difference in the early postoperative period?
Authors: Bazylev V. , Evdokimov M. , Gornostaev A. , Schegolykov A. , Bulygin A. 
Published: December 2018

Aim. The purpose of this study was to assess the effectiveness of two types of cardioplegia solutions, namely, blood and crystalloid cardioplegia in terms of clinical outcomes in patients undergoing coronary artery bypass grafting.Methods. The retrospective study recruited 2,539 coronary artery bypass grafting patients, with 1,070 (45%) of them receiving crystalloid and 1,289 (55%) blood cardioplegia as a primary cardioplegic agent. Propensity score matching was performed to create comparable patient groups. The primary endpoint of the study was hospital mortality and different postoperative outcomes.Results. Patients receiving blood cardioplegia versus those with crystalloid cardioplegia were found out to have higher rate of acute kidney injury (15.7% vs 11.8%; OR=0.72; p=0.01) and postoperative ventilatory support (Ме=5:35 vs Me=5; p<0.05). During ventilatory support, the crystalloid cardioplegia patients demonstrated lower hemoglobin (Me=65 g/l vs Me=74 g/l; p<0.01) and hematocrit (Me=21% vs Mе=24%; p<0.01). Intraoperatively, packed red blood cells were administered in blood cardioplegia patients by 30% more often than in crystalloid cardioplegia ones (24% vs 19.6%; OR=0.77; p=0.02). Patients receiving crystalloid cardioplegia had a greater postoperative fluid balance (Me=1,700 ml vs Mе=1,350 ml; p<0.01) more frequent use of inotrope and vasopressor therapy (4.5% vs 2.8%; OR=1.64; p=0.04) and a longer stay in intensive care unit (p<0.01).No statistically significant differences were observed concerning perioperative and postoperative myocardial infarction, low cardiac output syndrome or intra-aortic balloon pumping, allogeneic blood transfusions in the postoperative period, episodes of atrial fibrillation, gastrointestinal complications, reoperation due to any cause, length of stay in hospital, hospital mortality.Conclusion. Blood cardioplegia might decrease the need in inotrope and vasopressor therapy, length of stay in intensive care unit, but it increases the rate of acute kidney injury, risk of allogeneic blood transfusions and durability of postoperative ventilatory support. Received 1 August 2018. Revised 18 October 2018. Accepted 22 October 2018.Funding: The study did not have sponsorship.Conflict of interest: Authors declare no conflict of interest.Author contributionsConception and study design: M.E. Evdokimov, A.A. Gornostaev, V.V. BazylevData collection and analysis: M.E. Evdokimov, A.A. Gornostaev, A.A. Schegolkov, A.V. BulyginStatistical analysis: A.A. Schegolkov, A.V. BulyginDrafting the article: A.A. Schegolkov, A.V. BulyginCritical revision of the article: M.E. Evdokimov, A.A. Gornostaev, V.V. BazylevFinal approval of the version to be published: V.V. Bazylev, M.E. Evdokimov, A.A. Gornostaev, A.A. Schegolkov, A.V. Bulygin
PROJECT-BASED SCIENCE LEARNING AND PRE-SERVICE TEACHERS’ SCIENCE LITERACY SKILL AND CREATIVE THINKING
Authors: Suryandari Kartika Chrysti , Fatimah Siti , Sajidan Sajidan , Rahardjo Sentot Budi , Prasetyo Zuhdan Kun 
Published: December 2018

Abstract: This study set out to examine the effectiveness of project-based science learning towards pre-service teachers literacy skills and learning creativity in wave and optical materials. This quasi-experimental study involved 115 students of Primary Teacher Education Program, Universitas Sebelas Maret Surakarta. Direct and in-depth data dissemination techniques were used in this study. The aspects of creative thinking abilities include fluency, authenticity, elaboration, and flexibility. Mann Withney U test was used to test the hypothesis, while the N-Gain test was performed to determine the pre-service teachers improvement in scientific literacy skills and creative thinking. Both qualitative and quantitative data analyses were performed in this study. The results showed that: 1) material and optical tools–based learning activities are appropriate for the pre-service teachers scientific literacy skills and creative thinking. The correct answer term includes the highest average probability statistics from other subindicators; 2) aspects of science that are used in the aspects of literacy is in good category but the originality aspect in its ability needs to be developed and processed continuously. Keywords: science literacy skill, creative thinking skill, project based learning, waves and optics PENGARUH PEMBELAJARAN SAINS BERBASIS PROYEK TERHADAP KETERAMPILAN LITERASI ILMU DAN PEMIKIRAN KREATIF CALON GURU Abstrak: Penelitian ini bertujuan untuk mengukur keefektifan pembelajaran sains berbasis proyek terhadap keterampilan literasi dan kreativitas belajar dalam materi gelombang dan optik. Penelitian ini dilakukan secara eksperimen semu. Subjek penelitian ini adalah 115 siswa semester Program Pendidikan Guru Pratama, Universitas Sebelas Maret Surakarta. Teknik penyebaran data langsung dan mendalam. Aspek kemampuan berpikir kreatif meliputi kelancaran, keaslian, elaborasi, dan fleksibilitas. Untuk menentukan besarnya peningkatan keterampilan literasi sains dan siswa berpikir kreatif digunakan N-Gain Test hipotesis menggunakan tes Mann Withney U. Analisis data dilakukan secara kualitatif dan kuantitatif. Hasil penelitian menunjukkan bahwa: 1) kegiatan pembelajaran berbasis material dan alat optik sesuai untuk keterampilan literasi sains dan pemikiran kreatif siswa. Istilah jawaban yang benar mencakup statistik probabilitas rata-rata tertinggi dari subindikator lainnya; 2) aspek ilmu yang digunakan dalam aspek literasi dalam aspek yang baik tetapi aspek orisinalitas dalam kemampuannya perlu dikembangkan dan diolah terus- menerus. Kata kunci: keterampilan literasi sains, keterampilan berpikir kreatif, pembelajaran berbasis proyek, gelombang dan optik
STUDENTS’ DESCRIPTIVE WRITING PERFORMANCE: THE ANALYTIC SCORING ASSESSMENT USAGE
Authors: Sumekto Didik Rinan , Setyawati Heny 
Published: December 2018

Abstract: This study explores students’ performance in descriptive writing. Forty-five English Education sophomore students participated to be the respondents. The data were collected from students’ descriptive writing performance using a 5-Likert scale and they were quantitatively analyzed through the descriptive and factor analysis tests. Students’ descriptive writing were measured through the means of components of grammar, punctuation, coherence, cohesion, and content. Other substantial findings corresponded with the principal component analyses that determined the presence of 5 components with the eigenvalue outreaching 1, positioning 31%, 27.3%, 19.7%, 12.6%, and 9.4% of the variances accordingly. This referred to the factorial analysis that claimed 2 extracted components with a total of 58.32% of the variance. The component 1 was 31.00% and component 2 was 27.32%. The interpretation of these components is coherent with the pilot results on the descriptive writing performance scale, in which the component 1 shows the positive affect items and the component 2 partially indicates the negative affect items. Keywords: Analytic scoring, descriptive writing, factor analysisPENINGKATAN MENULIS DESKRIPTIF MAHASISWA: PENERAPAN ASESMEN PENSKORAN ANALITIK Abstrak: Penelitian ini mengeksplorasi capaian peningkatan mahasiswa dalam menulis esai deskriptif. Empatpuluh lima mahasiswa pendidikan Bahasa Inggris berpartisipasi sebagai responden. Pengumpulan data diambil melalui hasil esai deskriptif mahasiswa dengan menggunakan 5 skala Likert dan analisis data dilakukan secara kuantitatif melalui uji deskriptif dan analisis faktor. Esai deskriptif mahasiswa diraih melalui rata-rata hitung komponen gramatika, tanda baca, koherensi, kohesi, dan konten. Temuan substansi lainnya terkait dengan analisis komponen utama yang menetapkan 5 komponen dengan raihan 1 nilai eigen yang menempatkan 31%, 27,3%, 19,7%, 12,6%, dan 9,4% varian. Temuan ini merujuk pada analisis faktor dengan 2 komponen yang diraih sebesar 58,32% dari keseluruhan varian, di mana komponen 1 sebesar 31,00% dan komponen 2 sebesar 27,32%. Tafsiran atas dua komponen ini koheren dengan hasil awal skala capaian peningkatan esai deskriptif, di mana komponen 1 menunjukkan butir positif dan komponen 2 menunjukkan sebagian butir negatif. Kata Kunci: Penskoran analitik, esai deskriptif, analisis faktor
THE EFFECT OF WORKLOAD, INDIVIDUAL CHARACTERISTICS, AND SCHOOL CLIMATE ON TEACHERS’ EMOTIONAL EXHAUSTION IN ELEMENTARY SCHOOLS OF PAPUA
Authors: Werang Basilius Redan 
Published: December 2018

Abstract:This study was aimed to investigate the potential effect of workload, individual characteristics, and school climate on teachers’ emotional exhaustion in Christian elementary schools of Boven Digoel district, Papua. The problems guided the study, namely: (a) does workloadeffectsignificant positively on teachers’ emotional exhaustion elementary schools?; (b) does individual characteristics effectsignificant positively on teachers’ emotional exhaustion in elementary schools?; and (c) does school climate effect significant positively on teachers’ emotional exhaustion in elementary schools?. Four quantitative questionnaires using Likert’s scale were administered to 94 teachers who have been decided as respondents. Data were analyzed quantitatively using simple linear regression analysis technique by employing SPSS version 21 for windows. Results of the study revealed that workload, individual characteristics, and school climate partially effect significant positively on teachers’ emotional exhaustion in elementary schools. These findings might be worthwhile for the school supervisors as well as The Head of Education Office in regional government level to eliminate teachers emotional exhaustion by creating different programs to improve workload system and to improve school climate on one hand and, on the other hand, to foster teachers’ character of hard-working.Keywords: workload, individual characteristics, school climate, emotional exhaustion, teachers PENGARUH BEBAN KERJA, KARAKTERISTIK INDIVIDU, DAN IKLIM SEKOLAH TERHADAP KELELAHAN EMOSIONAL GURU SD DI PAPUAAbstrak: Tujuan penelitian ini adalah untuk menginvestigasi pengaruh beban kerja, karakteristik individu, dan iklim sekolah terhadap kelelahan emosional guru SD Kristen di Kabupaten Boven Digoel, Papua. Masalah yang menuntun penelitian ini adalah: (a) apakah beban kerja guru berpengaruh secara positif dan signifikan terhadap kelelahan emosional guru SD?; (b) apakah karakteristik individu berpengaruh secara positif dan signifikan terhadap kelelahan emosional guru SD?; dan (c) apakah iklim sekolah berpengaruh secara positif dan signifikan terhadap kelelahan emosional guru SD? Empat angket kuantitatif yang menggunakan Skala Likert disebarkan kepada 94 guru yang menjadi responden. Data dianalisis secara kuantitatif menggunakan SPSS versi 21. Hasil analisis data menunjukkan bahwa beban kerja, karakteristik individu, dan iklim sekolah secara parsial berpengaruh secara positif dan signifikan terhadap kelelahan emosional guru SD. Hasil penelitian ini dapat menjadi pertimbangan bagi penyelia sekolah dan Kepala Dinas Pendidikan pada level pemerintah Kabupaten Boven Digoel dalam mengupayakan berbagai program yang berbeda untuk memperbaiki sistem pembebanan kerja dan iklim sekolah serta mendorong karakter guru yang suka bekerja keras dan pantang menyerah.Kata Kunci: beban kerja, karakteristik individu, iklim sekolah, kelelahan emosional, guru
HOW LEARNING DISABILITIES TEACHERS IN THE KINGDOM OF SAUDI ARABIA DEFINE STUDENTS WITH GIFTEDNESS AND LEARNING DISABILITIES
Authors: Alsamiri Yasir 
Published: December 2018

Abstract: This study set out to examine how learning disabilities teachers define Students with Gifted and Learning Difficulties (SGLD). One rationale for interviewing learning disabilities teachers is that they work with students with learning disabilities and may be more aware than others of some of the characteristics of SGLD. The other rationale is that the education system in the Kingdom of Saudi Arabia does not focus on giftedness very much, and therefore, only a small number of teachers of giftedness were available for this study. The qualitative data garnered from the interviews were analysed using content analysis. Nine learning disabilities teachers participated in this study. Findings from the study suggested that the learning disabilities teachers’ definitions of SGLD are limited, indicating a lack of understanding of the characteristics of SGLD. The results of this study may assist teachers and educational personnel in seeking the optimal methods to identify and assist SGLD. Keywords: giftedness and learning disabilities, learning disabilities teachers BAGAIMANA GURU DARI SISWA DENGAN KESULITAN BELAJAR DI ARAB SAUDI MENDEFINISIKAN SISWA BERBAKAT DAN KESULITAN BELAJAR Abstrak: Penelitian ini bertujuan untuk menggali bagaimana guru siswa berbakat dan kesulitan belajar (SGLD) mendefinisikan arti berbakat serta kesulitan belajar yang dialami oleh siswa mereka. Salah satu alasan utamanya adalah karena karena mereka merupakan orang yang seharusnya sangat dekat dengan siswa-siswa tersebut, sehingga mereka selayaknya lebih paham serta mengetahui karakteristik dari siswa berbakat tersebut. Alasan lainnya adalah karena sistem pendidikan di Arab Saudi belum banyak memberikan perhatian pada pendidikan bagi anak berbakat serta mengalami kesulitan belajar, yang salah satunya tercermin dari sedikitnya jumlah guru anak berbakat ini. Data kualitatif yang diperoleh dari interview dianalisis dengan analisis konten. Sembilan orang guru terlibat dalam penelitian ini. Hasil penelitian menunjukkan bahwa definisi guru SGLD sangatlah terbatas atau kurang, yang ditunjukkan dari kurangnya pengertian mereka tentang pengertian SGLD itu sendiri. Hasil penelitian ini dapat digunakan untuk membantu guru serta pihak terkait dalam menyediakan metode terbaik untuk mengidentifikasi serta membantu siswa berbakat serta kesulitan belajar. Kata kunci: kebutuhan khusus dan kesulitan belajar, guru anak dengan kesulitan belajar
PENGARUH AKUNTANSI MANAJEMEN, KUALITAS INFORMASI, EFISIENSI BIAYA DAN KETEPATAN WAKTU TERHADAP KINERJA KEUANGAN PT.SURYA SUKSES
Authors: Kurniawati Elok 
Published: December 2018

In economic unstable conditions, the company is required to take advantage of existing capabilities as much as possible in order to maximum and tough competition,the company should have good management and identify the problems and selecting and implies a process manager, to improve performance to the maximum. Activity-based management includes two dimensions of the costs of providing cost information about resource activity products, customers, suppliers and distribution channels. Activity-based costing is useful to improve accuracy of charges. Dimension process of providing information about what to do why it should be carried out how an activity should be implemented in order to reduce costs. This research aims to demonstrate the effect of the use of accounting information management is focused on the frequency of publication of regular reports, the frequency of the publication of the report update and quality management accounting information as well as the personality of the manager of financial performance on PT.Surya Success. The population used in this study is the manager PT.Surya Success. This data used is secondary data types. This study is based on a quantitative approach to the techniques of multiple linear regression analysis with SPSS. According to the research done can be seen that the quality of information didn’t significantly affect financial performance, Management Accounting, Cost Efficiency, Timeliness real impact on financial performance.