bluuebunny/crossref_metadata_2025_split huggingface dataset:
Gambaran Kejadian Agitasi pada Pasien Pediatrik Post General Anestesi Inhalasi di Rsi Purwokerto
Authors: Huda Aldyan Renandika Noer 
Published: November 2024

Agitasi merupakan gangguan psikomotor yang ditandai dengan peningkatan aktivitas yang nyata motorik dan psikologis yang biasanya berupa bangun gelisah dan iritabel dengan gerakan-gerakan akibat dari sensasi internal ketidaknyamanan atau ketegangan psikologis dan ini sering berkaitan dengan kecemasan. Penelitian ini untuk mengetahui gambaran kejadian agitasi pada pasien pediatrik post general anestesi inhalasi di ruang pemulihan instalasi bedah sentral Rumah Sakit Islam Purwokerto. Penelitian ini merupakan non eksperimen dengan desain penelitian Cross Sectional. Populasi dalam penelitian ini adalah semua pasien pediatrik yang menjalani operasi dengan tindakan general anestesi inhalasi, sampel dalam penelitian ini diambil menggunakan teknik purposive sampling 42 sampel. Analisa data menggunakan analisis univariat. Hasil penelitian yang telah dilakukan diperoleh sejumlah 26 responden mengalami agitasi dengan presentase (61,9%) secara keseluruhan. Hasil kejadian agitasi pada umur 6-10 tahun sejumlah 15 responden (35,7%) yang mengalami agitasi, kejadian agitasi berdasarkan jenis pembedahan ORIF sejumlah 15 responden (35,7%) yang mengalami agitasi, kejadian agitasi berdasarkan jenis kelamin laki-laki sejumlah 19 responden (45,2%) yang mengalami agitasi, kejadian agitasi berdasarkan lama operasi ≥ 60 menit sejumlah 14 responden (33,3%) yang mengalami agitasi. Dapat disimpulkan dari hasil penelitian agitasi masih terjadi pada pasien pediatrik yang menjalani anestesi inhalasi
Red Blood Cell Transfusion Practices
Authors: Lindholm Paul F. , Saluja Rasleen K. , Long Thomas , Coulter Suzanne , Blond Barbara J. , Perrotta Peter L. 
Published: November 2024

Context.—
Opportunities to improve transfusion safety occur at lower hemoglobin (Hgb) thresholds and single-unit transfusions. Efforts to improve compliance with transfusion guidelines and single-unit transfusion practices reduce transfusions and lead to improved outcomes.

Objective.—
To evaluate demographic and practice characteristics associated with lower Hgb thresholds and single red blood cell (RBC) unit transfusion practices.

Design.—
This study used the College of American Pathologists (CAP) Q-Probes format with the recent 2020 and 2017 surveys of participating institutions.

Results.—
High rates of transfusion review and compliance were observed with institutions reporting RBC transfusions meeting institutional guidelines. CAP inspection participants and those with a formal policy to encourage single-unit transfusions showed a trend toward greater compliance. Comparison of 2020 and 2017 survey results showed favorable downward trends in the Hgb threshold for transfusion compliance review and pretransfusion and posttransfusion Hgb values. Institutions reporting initiatives to decrease transfusions, teaching hospitals, and those with updated guidelines in alignment with recent literature reported lower pretransfusion Hgb levels in both studies. The 2020 study showed greater single-unit transfusion use among hospitals with patient blood management programs, larger institutions, and those training pathology residents. Single-unit transfusion rates varied by hospital service, with highest rates reported within hematology/oncology (99 of 138 [71.7%]), intensive care (147 of 215 [68.4%]), and medicine (419 of 666 [62.9%]) services.

Conclusions.—
Transfusion practice improvement programs to decrease RBC transfusions include the use of single-unit transfusions and lower institutional pretransfusion Hgb thresholds. Opportunities to lower transfusion thresholds and increase single-unit transfusions exist in surgical and obstetrics services.
Analisis Naratif tentang Pengalaman Komunikasi Interpersonal pada Pasangan Muda
Authors: Almadina Rakhmaniar  
Published: November 2024

This study examines the importance of open and honest communication in personal and professional relationships and its impact on group dynamics, team effectiveness, and individual well-being. Through literature review and empirical analysis, it was found that openness in sharing feelings, thoughts, and concerns is key in maintaining healthy and harmonious relationships. Couples who regularly discuss important issues report higher levels of satisfaction in their relationships. Active listening, where full attention is given without distraction, also increases understanding and emotional closeness between couples. However, the study also identified communication challenges such as misunderstandings and conflicts that often trigger disputes, especially among young couples who face difficulties in conveying messages clearly and understanding emotional context. Emotion management during conflict is a major challenge, as many couples find it difficult to remain calm and rational in situations that trigger negative emotions.
overcome this challenge, strategies such as using humor and spending quality time together have proven effective. Humor can ease tension and improve mood after conflict, while quality time without technological distractions strengthens bonding and communication. The influence of technology in couples' communication is also reviewed, with an emphasis on the importance of setting boundaries for technology use to avoid misunderstandings and loss of emotional nuance. Social support from family and friends was found to play an important role in helping couples overcome conflict and strengthen their relationship. Couples who had a strong support network felt more confident and optimistic about the future of their relationship. In addition, the evolution of communication in relationships suggests that couples learn to communicate more effectively and efficiently over time, with improved communication skills such as empathy, emotion management, and constructive problem solving.
Kontruksi Sosial : Pengelolaan Wilayah Konservasi Pantai Cemara Banyuwangi Oleh KUB Sekar Arum Dalam Upaya Peningkatan Kesejahteraan Melalui Sektor Ekowisata
Authors: Ida Tri Widiyaningsih  , Alina Ratna Anjali  , Galuh Putri Rahayu  
Published: November 2024

The purpose of this study is to examine how the development of cypress conservation in the coastal area of ​​Cemara Pancer Beach, Banyuwangi Regency. Spruce conservation itself aims to rebuild forests that have been damaged by the tsunami in 1994, so that the coast will no longer become arid, and minimize the impact caused by tidal floods and coastal abrasion. With the conservation of fir in the coastal area, the coastal area becomes cooler and shady, so that people from outside the city and within the city are interested in visiting and enjoying the beauty of the cypress beach. Then, from this, economic and tourism activities can be built in the surrounding area. So that this can improve the welfare of the community through ongoing economic activities.
Peran Komunikasi Intapersonal dalam Meningkatkan Motivasi Diri Mahasiswa UIN Syarif Hidayatullah Jakarta
Authors: Cheirunnisa Gunawan  , Nasichah Nasichah  , Arini Bunga Firdaus  
Published: November 2024

Mahasiswa UIN Syarifhidayatullah Jakarta memiliki motivasi pada komunikasi intrapersonal, dilihat dari 37 partisipan 90,6% mahasiswa setuju dengan pertanyaan-pertanyaan terkait pengetahuan dan pendapat mengenai peran komunikasi intrapersonal dalam meningatkan motivasi dirinya. Adapun tujuandari penelitian ini adalah untuk menjelaskan apakah komunikasi intrapersonal mampu untuk meningkatkan Motivasi diri Mahasiswa UIN Syarif Hidayatullah Jakarta. Artikel ini berbasis fenomena komunikasi intrapersonal dalam memotivasi diri berdasarkan subjek dilakukan secara online dari mahasiswa uin syarif hidayatullah jakarta, sampel yang terlibat dalam penelitian ini adalah 37 partisipan, 90,6% mahasiswa setuju dengan pertanyaan-pertanyaan terkait pengetahuan dan pendapat mengenai peran komunikasi intrapersonal dalam meningatkan motivasi dirinya. aktivitas mahasiswa UIN SyarifHidayatulla Jakarta dari komunikasi intrapersonal yang dilakukan sehari-hari dalam upaya memahami diri pripadi diantaranya adalah; berdo’a, bersyukur, intropeksi diri dengan meninjau perbuatan kita dan reaksi hati nurani kita, mendayagunakan kehendak bebas, dan berimajinasi secara kreatif. Namun ada juga mahasiswa yang tidak memiliki aktivitas komunikasi intrapersonal yang baik.
Analisis Pelaku Kenakalan Remaja “Klitih” dalam Perspektif Teori Asosiasi Diferensial Sutherland
Authors: Ciek Julyati Hisyam  , Alma Miftaqiyah  , Aryo Anargya Hakim Putra  , Chieka Aisyah Kinanti  , Dela Novi Ardani  , Nadya Petricia Lubis  , Sylmi Adila  
Published: November 2024

This study aims to analyze the forms of deviant behavior commonly practiced by teenagers, one of which is "klitih" from Sutherland's perspective in the "Differential Association" theory. The author used a qualitative method by analyzing relevant reading sources, publications, and so on for this discussion. From the results of the conducted study, it is known that Sutherland's theory has a strong connection in explaining how perpetrators of "klitih," predominantly teenagers in Yogyakarta, are able to engage in actions that endanger themselves and the lives of others based on the premises that have been put forward.
Pola Komunikasi Dakwah Ar-Risalah dalam Pembinaan Masyarakat Muallaf Suku Akit di Desa Sungai Upih Kecamatan Kuala Kampar Kabupaten Pelalawan
Authors: Ranti Santriyani  , Muhammad Firdaus  
Published: November 2024

The research aims to determine the Ar-Risala Da'wah Communication Pattern in the Development of the Akit Tribe Converting Community in Sungai Upih Village, Kuala Kampar District, Pelalawan Regency. This research method uses a qualitative research approach, namely by conducting research that produces descriptive data, the research method is by conducting interactive direct observations and explaining according to the data obtained. The results of the research on Ar-Risala Da'wah Communication Patterns in the Development of the Akit Tribe Converted Community in Sungai Upih Village, Kuala Kampar District, Pelalawan Regency which the researchers made based on data that the researchers had obtained from observations, interviews and documentation during the research process. Based on the results of the research and discussion, it can be concluded that communication between the supervisors and the Akit tribe converts went well

Keywords: Ar-Risala Da'wah Communication Pattern, Akit Tribe Converts
Komunikasi Massa Sebagai Bentuk Pengawasan Terhadap Kebijakan Politik
Authors: Kartini Kartini  , Novia Elisa  , Nurtia Asty Rahman  , Adiva Amanda  , Nada Hanifah Harahap  , Rahmi Hilda Yanti Lubis  
Published: November 2024

This research was written and packaged to provide information related to mass communication. This article links mass communication to political policy. Mass communication can be used as a medium to monitor policies made by the government. Basically, Indonesia is a democratic country and the people's prosperity will be prioritized. Therefore, to follow up on unfair policies carried out by the government, a forum is needed to be able to correct this. This article will discuss how mass communication can fulfill the function of monitoring political policies. Political policies will also be described in this article, accompanied by an examination of policies that are not appropriate by society. The mass communication model will determine the direction of how this mass communication will run. Mass communication will definitely have the effect of building public awareness and correction towards the government.
Analisis Strategi Negosiasi China Terhadap Upaya Normalisasi Saudi-Iran 2023
Authors: Dina Hikmatu Zahra  , Agussalim Burhanuddin  
Published: November 2024

. An analysis of China’s negotiating strategy toward Saudi Arabia and Iran’s efforts to normalize relations highlights China’s important role as a mediator in resolving the long-standing and complex rivalry between the two countries. Geopolitical, economic, and diplomatic factors underpin China’s strategy to minimize conflict and promote regional stability. Through its multilateral approach, economic cooperation, balancing interests, and focus on energy, China has played a key role in facilitating dialogue and reaching an agreement between Saudi Arabia and Iran. By maintaining its position as a neutral and respected mediator, China has the potential to strengthen economic and diplomatic ties in the region and promote peace and stability in the Middle East.
Previsão do comprometimento cognitivo leve: integrando variáveis cognitivas e motoras
Authors: Wuillaume Maria Luiza , Rafael Jefferson de Moraes , Lago Lucas Martins , Plácido Jessica , De Oliveira Felipe , Pereira Pedro Amaral , Saisse Manoel Carlos , Miceli Claudio , Deslandes Andréa , Carvalho Andréa Nunes 
Published: November 2024

Objetivo: O Comprometimento Cognitivo Leve (CCL) representa uma fase intermediária entre o envelhecimento normal e a demência, exigindo uma detecção precoce para impedir a sua progressão. Este estudo tem como objetivo desenvolver um modelo de classificação de aprendizado de máquina para prever com precisão o prognóstico de indivíduos com CCL, diferenciando-os dos saudáveis. Método: O método integra variáveis motoras e cognitivas, além de informações autorrelatadas. Foram aplicados os algoritmos SVM, KNN e XGBoost. A melhor previsão foi avaliada pelo método Shapley Value para determinação da importância de cada variável. Resultados: O SVM apresentou melhor resultado, alcançando 88% de sensibilidade e revelando que as variáveis do domínio motor e dos domínios cognitivo e motor são altamente relevantes para a classificação. Conclusão: O método desenvolvido, além de ser mais acessível, apresentou alta sensibilidade na classificação do CCL a partir da integração de variáveis cognitivas e motoras.
Detecção de epilepsia em eletroencefalogramas utilizando redes neurais convolucionais reduzidas
Authors: Anghinoni Luiz Antonio Nicolau , Teixeira Marcelo , Barbosa Marco Antonio de Castro , Casanova Dalcimar , Oliva Jefferson Tales 
Published: November 2024

Objetivo: Criação e comparação de modelos de aprendizado profundo a partir de segmentos de eletroencefalogramas (EEG) representados no domínio de tempo e de frequência para a detecção de epilepsia. Método: Foram implementados e avaliados dois modelos de Redes Neurais Convolucionais, sendo cada um alimentado por dados de eletroencefalografia em diferentes domínios (tempo e frequência). Resultados: Os modelos avaliados apresentaram acurácia média entre 73,37% e 82,08%. O modelo treinado a partir de EEG representado no domínio de frequência atingiu maiores valores para todas as métricas. Com a aplicação do teste estatístico de hipótese U de Mann-Whitney, considerando um nível de significância de 5%, foi evidenciado diferença estatisticamente significativa entre os modelos. Conclusão: Os resultados apontam que o modelo treinado com segmentos EEG representados em frequência teve desempenho promissor na detecção de crises epilépticas. Adicionalmente, mesmo que a arquitetura dos modelos desenvolvidos sejam mais simples em comparação com trabalhos relacionados, foram atingidos resultados competitivos.
Análise computacional da biomecânica de movimentos da coluna vertebral
Authors: Rodrigues Marcelo Alvarez , Ferraz Alexandre Peiter , Lee Huei Diana , Spolaôr Newton , Takaki Weber Shoity Resende , Coy Claudio Saddy Rodrigues , Chung Wu Feng 
Published: November 2024

Objetivo: Analisar computacionalmente o comportamento biomecânico de movimentos do segmento toracolombar da coluna vertebral sem enfermidades usando acelerômetro de smartphone. Método: Nove sujeitos, entre 40 e 50 anos, sem lesão na coluna vertebral confirmada por exames físico e de imagens, realizaram três ciclos de movimentos. Dados foram coletados pelo Sistema de Monitoramento de Movimentos e Análise Remota em Telemedicina-SMMAR-T, que permitiu definir automaticamente curvas Aceleração versus Tempo e Deslocamento angular versus Tempo de cada movimento. Resultados: Para cada movimento, comparações entre curvas experimentais e ajustadas alcançaram nos eixos mais representativos R² superiores a 0,91. Entre as curvas padrão individuais e as ajustadas, a maioria alcançou R² acima de 0,90. Já as curvas de padrão individual com as de padrão geral apresentaram maiores variações, com R² entre 0,53 e 0,92. Conclusão: O comportamento dos movimentos toracolombares sem enfermidades pode ser analisado de modo eficiente e acurado por meio biomecânico e computacional.
Identificação de padrões covid-19 pós-agudos em tomografia usando inteligência artificial
Authors: Mogami Roberto , Chantong Carolina Gianella Cobo , Grisolia Alexandra Maria Monteiro , Tavares Breno Brandão , Sierpe Otton Cavalcante , Lopes Agnaldo José , Dos Santos Glenda Aparecida Peres , Da Costa Hanna da Silva Bessa , Leite Karla Tereza Figueiredo 
Published: November 2024

Objetivo: Desenvolver modelos de IA capazes de reconhecer padrões pulmonares pós-COVID em exames de tomografia computorizada. Método: Os radiologistas analisaram 87 exames de TC para estabelecer padrões tomográficos para treinar e testar modelos de aprendizagem profunda. O melhor modelo foi então selecionado para ler oito exames completos. Resultados: O modelo escolhido apresentou uma acurácia média de 92,21% na detecção de padrões pós-COVID.
Conclusão: Embora o tamanho da amostra fosse limitado, os testes com conjuntos de imagens e exames completos apresentaram resultados promissores. A amostra utilizada no estudo reflete o perfil epidemiológico encontrado na literatura.
Uma nova abordagem de padrões binários em radiografias de tórax para avançar o diagnóstico de tuberculose
Authors: Da Fonseca Afonso Ueslei da Fonseca , Nogueira Emilia Alves , Chagas Ana Luisa de Bastos , Felix Juliana Paula , Fernandes Deborah Silva Alves , Soares Fabrizzio 
Published: November 2024

Objetivo: A tuberculose (TB) afeta milhões de pessoas, principalmente as mais miseráveis, revelando desigualdades sociais. Apesar dos avanços da inteligência artificial (IA) no controle da TB, poucos benefícios chegam aos mais necessitados. Este estudo propõe uma IA otimizada para discriminar casos de TB de indivíduos saudáveis. Método: A abordagem incorpora descritores por congruência de fase e padrões binários locais em um modelo de otimização mínima sequencial (SMO) na análise de radiografias de tórax (RXT). Resultados: A IA otimizada apresenta desempenho superior a abordagens existentes na literatura, entregando valor de especificidade superior a 97% em diferentes bases e cenários de segmentação. Conclusão: A aplicação da IA proposta na análise de RXT pode representar um avanço significativo no controle da TB, especialmente em populações mais necessitadas, pois constitui uma solução acessível e eficaz que abre possibilidades para o desenvolvimento de novos sistemas de apoio ao diagnóstico.
Predição de idade óssea a partir de imagens radiográficas do carpo usando aprendizado profundo
Authors: Malanga Rafael Guimarães , Botelho Viviane Rodrigues , Pianoschi Thatiane Alves , Andrade Jose Rodrigo Mendes , Garcia Guilherme Ribeiro , Lykawka Rochelle , Bacelar Alexandre , Becker Carla Diniz Lopes 
Published: November 2024

A idade biológica, indicador crucial do desenvolvimento humano, reflete as mudanças físicas e mentais associadas ao envelhecimento. A estimativa da idade óssea, um método comum na prática clínica que busca informações sobre idade biológica, pode ser subjetiva e imprecisa. Objetivo: Este estudo propõe métodos baseados em técnicas de aprendizado profundo para estimar a idade esquelética a partir de imagens de raios-X da mão. Método: Utilizamos conjuntos de dados divididos por gênero e idade para treinar e testar os modelos. Resultados: Os resultados demonstram promissoras estimativas, com erros médios de 10,808 meses em um conjunto de dados público e 15,548 meses em um conjunto privado. A ferramenta desenvolvida, com sua interface gráfica intuitiva, oferece uma utilização prática para profissionais médicos e pesquisadores. Conclusão: Este estudo aplica aprendizado profundo para prever a idade óssea, o que pode auxiliar na avaliação do desenvolvimento esquelético em áreas como pediatria e ortopedia.
Osteomyelitis of the Proximal Ulna Positive for Aeromonas sobria Presenting as Olecranon Bursitis: A Case Report
Authors: Copling Sage , Lesley Amber , Lesley Nathan E. 
Published: November 2024

Background Osteomyelitis is a bone infection, often arising secondary to trauma or infection. It most often occurs in the long bones such as the femur and tibia, and is characterized by swelling, pain, erythema, and constitutional symptoms. Olecranon bursitis often shares many of the characteristic findings of osteomyelitis including swelling, redness, edema, and localized pain. Case Presentation We report the case of a 71-year-old female with a history of osteoporosis, hyperlipidemia, and hypothyroidism who presented with symptoms and physical exam findings consistent with olecranon bursitis, but was determined to have posterior ulnar osteomyelitis from Aeromonas sobria. Unlike the common presentations of osteomyelitis, this patient presented without fever, pain, or associated erythema of the posterior ulna. X-rays were nondiagnostic but revealed subtle changes in the proximal ulna. An MRI was obtained which was concerning for a diagnosis of osteomyelitis versus neoplasm. Operative cultures and pathology confirmed osteomyelitis, and the patient was successfully treated with debridement of the affected tissue, followed by antibiotics PO for 42 days. The patient recovered with a full range of motion after two months, with no radiographic evidence of ulno-humeral arthritis. Conclusions While olecranon bursitis is one of the most common musculoskeletal diagnoses of the elbow, osteomyelitis of the proximal ulna is exceedingly rare. While MRI is not part of the standard work-up for olecranon bursitis, in this case, it was critical for obtaining the proper diagnosis. This case illustrates the importance of accurate radiographic interpretation as well as a high index of suspicion for underlying pathology when treating routine conditions such as olecranon bursitis.