bluuebunny/crossref_metadata_2025_split huggingface dataset:
Development of learning materials for English Engineering Course: ESP (English for Specific Purpose) with a Functional Contextualism Approach for Mechanical Engineering students of South Aceh Polytechnic
Authors: Jannah Dina Miftahul 
Published: September 2024

The students of mechanical engineering at vocational college must be able to communicate in English, both written and spoken, using the specific term related to their department, and need to learn vocabulary with the integration of technology to confront the world of work. The study aimed to develop the English learning materials for specific purposes specifically for mechanical engineering students through functional contextualism approach. The study employed the qualitative descriptive method. The subjects of this study were English lecturers and mechanical engineering students of the South Aceh Polytechnic in grades II. The data were collected by interviews, observations, and questionnaires. Data analysis with data classification, transcription, verification, and conclusions. The results of the study showed that development of English language teaching materials for mechanical engineering study programs based on the ESP and functional contextualism approach includes in the form of textual development packages, namely (1) textbooks (2) lecturer guides and (3) student guides. The purpose of the development is that learners can improve the quality of their learning outcomes in English Engineering and use them in the workplace (market place). In other words, the material also develop based on the context of their surroundings, like integrated approaches, functional contextualism blends sociocultural and historical context, but with the pragmatic and scientific aims of behaviour analysis. In addition to taught and constructed learning, functional contextualists suggest functional change in meaning is the process of recontextualization.
Intrathecal placement of percutaneous spinal cord stimulation leads: illustrative cases
Authors: Olmsted Zachary T , Wu Peter B , Katouzian Alireza , Dorsi Michael J 
Published: September 2024

BACKGROUND
Spinal cord stimulation (SCS), including the percutaneous placement of epidural stimulation leads, has been increasingly utilized to treat chronic pain. Although lead migration is a well-characterized complication, few studies have reported on malpositioned leads in the intrathecal space. Here, the authors discuss two cases of intrathecal lead placement necessitating surgical revision.

OBSERVATIONS
This report is a two-case series on the inadvertent placement of percutaneous SCS leads in the intrathecal space. The authors describe the identification of malpositioned leads, describe the clinical presentation, characterize stimulation parameters, and report improvement following neurosurgical revision for each case. Two patients originally presenting with chronic low-back pain underwent percutaneous SCS lead implantation. Both patients presented with atypical pain symptoms in the acute to subacute postprocedural period, raising suspicion for malpositioned leads. Imaging was consistent with intrathecal malpositioning. Both patients underwent revision surgery resulting in symptomatic improvement.

LESSONS
Indicators of malpositioned thoracic SCS leads in the intrathecal space include thoracoabdominal or flank pain exacerbated by movement, insufficient pain relief versus that in the SCS trial, very low electrode impedances, direct visualization on imaging, and lack of epidural lead visualization following laminectomy. Revision options include removal of the intrathecal leads and the surgical placement of a paddle electrode in the epidural space.
https://thejns.org/doi/10.3171/CASE24275
Silicone allergy manifestation in pediatric ventriculoperitoneal shunting: navigating diagnostic challenges and customizing therapeutic approaches. Illustrative case
Authors: Riffo Cristian , Rolack Natalia , Mohor Daniela , Berkhoff Andreas , Monnier Eduardo , Antonio Lilia , Cerda Carolina , Araya José P 
Published: September 2024

BACKGROUND
A silicone allergy can significantly impact the efficacy of ventriculoperitoneal shunt devices used in hydrocephalus treatment. Its clinical presentation often resembles infectious ventriculitis, characterized by altered cerebrospinal fluid (CSF) parameters, including low glucose levels, elevated protein concentrations, and increased white blood cell counts predominantly comprising eosinophils.

OBSERVATIONS
The authors report the case of an 18-month-old male who experienced recurrent shunt malfunction linked to CSF changes indicative of infectious ventriculitis. The patient underwent surgeries for suspected infection management. Notably, he exhibited increased eosinophil counts in both blood and CSF, as well as the development of neoformation tissue. This, along with the absence of microbial infection, indicated silicone hypersensitivity. While navigating medical device scarcity, innovative methods were employed to secure a silicone-free valve, markedly improving the patient’s clinical outcome.

LESSONS
Clinicians must be vigilant for silicone allergy in patients with ventriculoperitoneal shunts, particularly when elevated serum eosinophil counts and negative microbiological tests are present. This rare condition demands a multidisciplinary approach for timely diagnosis and management to reduce morbidity, unnecessary surgeries, and healthcare costs. The limited availability of non–silicone-based shunts further complicates management. This case emphasizes the need for considering silicone allergy in differential diagnoses, especially in pediatric patients.
https://thejns.org/doi/10.3171/CASE2474
Penerapan Sistem Pemanfaatan dan Penggunaan Tanah Dalam Perspektif Hukum Investasi Berwawasan Lingkungan Untuk Kemakmuran Rakyat
Authors: Widiadnyani I Gusti Ayu 
Published: September 2024

Hukum dalam dunia investasi (bisnis) harus mampu menjamin certainty (kepastian), predictability (bahwa setiap kasus yang sama harus diputus sama), calculability (bahwa setiap ketentuan yang menyangkut finansial harus dapat diperhitungkan lebih dahulu). Beberapa sengketa tanah bermunculan di perkataan bukan saja dipicu arus urbanisasi, tapi juga dengan adanya proyek-proyek infrastruktur berskala besar, politik pertanahan (seperti menggusur warga miskin perkotaan dari tanah berlokasi strategis untuk kepentingan pembangunan proyek-proyek komersial) banyak berakhir pada penggusuran paksa masyarakat miskin di perkotaan. Metode penelitian ini yang digunakan dalam tulisan ini adalah menggunakan metode penelitian hukum normatif karena fokus kajian berangkat dari kekaburan norma, menggunakan pendekatan: statute approach, conceptual approach, serta analytical approach. Tehnik penelusuran bahan hukum menggunakan tehnik studi dokumen, serta analisis kajian menggunakan analisis kualitatif. Pendekatan yang digunakan adalah pendekatan perundang-undangan yaitu pendekatan yang dilakukan dengan menelaah semua perundang-undangan dan regulasi yang bersangkut paut dengan isu hukum yang sedang ditangani.Ketidakpastian hukum dapat terjadi bila jangka waktu HGU, HGB atau HP berakhir, tetapi permohonan perpanjangan atau pembaharuan hak atas tanah tidak dapat diterima (ditolak) maka demi hukum hak atas tanah tersebut menjadi tanah yang dikuasai negara, sehingga perusahaan yang sedang berjalan dan produktif harus direlokasi atau bahkan harus ditutup sehingga tidak sesuai dengan prinsip investasi yang berkelanjutan dan mensejahterakan rakyat. Kegiatan investasi (ekonomi/bisnis) ditempatkan pada suatu zona wilayah tertentu yang dalam pelaksanaannya dapat dikendalikan dan diawasi pertumbuh kembangnnya. Disamping itu tetap mewajibkan kepada perusahaan penanaman modal agar melakukan bina lingkungan melalui Program CSR agar lingkungan menjadi lestari dan masyarakat sekitar menjadi lebih makmur dan sejahtera yang sudah tentu melalui pengalokasian dana yang disisihkan dari keuntungan perusahaan.
CRIMINOLOGICAL STUDY ON THE CRIME OF CHILD ABUSE IN TERNATE CITY (CASE STUDY 2019 - 2021)
Authors: Fahria Fahria , M Djafar Muh Mufti 
Published: September 2024

This study aims (1) to find out what factors are causing the occurrence of criminal acts of child abuse in Ternate City. (2) what are the efforts to overcome the occurrence of criminal acts of child abuse. This research was conducted in the jurisdiction of the City of Ternateto be precise at the South Ternate City Sector Police Office and the North Maluku NGO Daulat Perempuan (Daur Mala) office. The type of research used is empirical, namely research using an approach model by looking at the legal reality in society. In this study, the authors conducted interviews with the Satlantas Sector of Ternate City and also made direct observations in the field of this research using qualitative and quantitative analysis techniques.The author obtained data by conducting direct interviews by taking data directly from the South Ternate City Sector Police Office and the North Maluku Daulat Perempuan NGO office (Daur Mala) and taking data from the relevant literature, namely literature, books and legislation relating to the problem. The results of the research that have been carried out, it is concluded that (1) That the factors that cause child abuse, the main cause is economic factors, this cause is the main driving force for parents to abuse children and cultural factors of the people of Ternate City who have a strong character. hard at dealing with a problem.
Pertimbangan Hakim Dalam Menjatuhkan Putusan Pemidanaan Terhadap Tindak Pidana Pembakaran yang Menimbulkan Bahaya Bagi Orang Lain
Authors: Miekhel J. Sam , Delmiati Susi 
Published: September 2024

Tindak pidana pembakaran yang menimbulkan bahaya bagi orang lain diatur dalam Pasal 187 KUHP Buku Ke-2 Bab VII tentang kejahatan yang membahayakan keamanan umum bagi orang atau barang. Penelitian ini bersifat deskriptif yaitu suatu penelitian dengan menjabarkan dan menguraikan objek penelitian atau masalah yang diteliti. Objeknya adalah Putusan 581/Pid.B/ 2020/PN.PDG dan Putusan Nomor 712/Pid.B/2020/PN.Pdg. Pendekatan yang digunakan dalam penelitian ini adalah pendekatan yuridis normatif. Pertimbangan Hakim dalam Menjatuhkan Putusan Pemidanaan terhadap Tindak Pidana Pembakaran yang Menimbulkan Bahaya Bagi Orang Lain pada Putusan Nomor 581/Pid.B/2020/PN.PDG dan Pada Putusan Nomor 712/Pid.B/2020/PN.Pdg sudah merujuk pada pertimbangan yuridis dan non yuridis. Penerapan Pidana oleh Hakim terhadap Tindak Pidana Pembakaran yang Menimbulkan Bahaya Bagi Orang Lain pada Putusan Nomor 581/Pid.B/2020/PN.PDG hakim menjatuhkan putusan kepada terdalwa Novriadi panggilan Adi Bin Syafiii dengan pidana penjara selama 5 (lima) tahun sedangkan pada Putusan Nomor 712/Pid.B/2020/ PN.Pdg kepada terdakwa Nikman Sertius panggilan Nipe dengan pidana penjara selama 2 (dua) tahun.
Nociceptive Pain in Patients with Neuromuscular Disorders: A Cross-Sectional Clinical Study
Authors: Sagerer Elena , Wirner-Piotrowski Corinna , Mijic Marko , Arndt Marcela , Garcia-Angarita Natalia , Schoser Benedikt , Wenninger Stephan 
Published: September 2024

Background: Muscle pain is a common symptom in patients with neuromuscular disorders (NMD) and accounts for severely reduced quality of life. OBJECTIVE: This clinical study aimed to observe possible differences in pain prevalence among distinct NMDs and to determine whether the patients’ nociceptive pain is influenced by gender, muscle strength and psychological factors and to examine potential pain-associated alterations in muscle properties. Methods: The cross-sectional study on nociceptive pain in various NMDs involved patient-reported outcomes, muscle strength evaluations (dynamometry and quick motor function test (QMFT)), nociceptive pain evaluations (muscular pressure pain threshold (PPT)), and non-invasive measurement of muscle stiffness, frequency, decrement, relaxation, and creep (myotonometry). Results: Involving 81 NMD patients and a control group, the study found high variability in pain prevalence among the subgroups. Patients with DM2 and FSHD had significantly higher levels of pain prevalence compared to other examined NMD subgroups and the control group. Female gender, high fatigue levels (representing factors such as depression, anxiety, stress, and impairment of quality of life), and low QMFT scores (representing reduced muscle strength) showed an association with increased sensitivity to pressure pain in the arm and leg region. As assessed by myotonometry, less pain is experienced in neck muscles with a high muscle tone, high stiffness, and a short relaxation time highlighting the importance of intrinsic muscular tone for their pressure pain sensitivity. Conclusion: Individualized therapeutic concepts including psychological and physical approaches in the pain management of patients with NMDs, especially in women, should be considered. Further research in this field is necessary to gain a more detailed insight into the perception of muscle pain.
Comparative study of myocardial perfusion and coronary flow velocity reserve derived from adenosine triphosphate stress myocardial contrast echocardiography in coronary lesions with no/mild stenosis
Authors: Liu Xuebing , Li Chunmei , Zhang Qingfeng , Meng Qingguo , Zhang Hongmei , Li Zhaohuan 
Published: September 2024

BackgroundQualitative myocardial perfusion (QMP) derived from myocardial contrast echocardiography reflects the capillary flow, while coronary flow velocity reserve from Doppler spectrum (D-CFVR) of the left anterior descending coronary artery (LAD) is used to assess coronary microvascular function, particularly after excluding severe epicardial coronary stenosis. The present study aimed to assess the relationship of QMP and D-CFVR in detecting coronary microvascular disease (CMVD) by using adenosine triphosphate stress myocardial contrast echocardiography (ATP stress MCE).Methods and resultsSeventy-two patients (mean age: 54.22 ± 12.78 years) with chest pain and &lt;50% coronary stenosis diagnosed by quantitative coronary angiography or dual-source CT underwent ATP stress MCE. The distribution of myocardial perfusion and CFVR value was estimated by experienced physicians. Of the 72 LAD with 0%–50% diameter stenosis, 15 (21%) exhibited abnormal CFVR and 31 (43%) displayed abnormal perfusion with ATP stress MCE. Eleven of the 15 LAD territories (73%) with abnormal CFVR values showed abnormal perfusion. However, CFVR was considered normal in 20 LAD territories (35%), despite the presence of perfusion defect in the territory.ConclusionAbnormal myocardial perfusion during ATP stress MCE was found in a sizable percentage of patients in whom CFVR of the supplying vessel was considered normal.
A comparative study of fetal cardiovascular assessment: utilizing Doppler ultrasound gated MRI and echocardiography with detailed analysis using five axial views
Authors: Hergert B. , Tavares de Sousa M. , Herrmann J. , Bannas P. , Huber L. , Götz S. , Hecher K. , Adam G. , Dargahpour Barough M. , Schoennagel B. P. 
Published: September 2024

ObjectivesTo investigate the diagnostic performance of fetal cardiovascular magnetic resonance imaging (MRI) using Doppler ultrasound (DUS) gating for the evaluation of the standardized five axial views in comparison with fetal echocardiography.MethodsIn this prospective study 29 pregnant women (median: 34.4 weeks of gestation) underwent fetal cardiovascular MRI using DUS gating at 3 Tesla. The standardized five axial views in prenatal screening (fetal abdomen, four-chamber view, left ventricular outflow tract, right ventricular outflow tract, and three-vessel view) were independently assessed and analysed by both fetal MRI and fetal echocardiography on the same day. Image analysis included qualitative assessment and quantitative measurements of cardiovascular structures. MR image quality was assessed using a 4-point scale (from 1 = low to 4 = excellent). Postnatal echocardiography was performed for validation.Results17/28 fetuses (60.7%) had pathological findings [16 congenital heart defect (CHD), one diaphragmatic hernia] in prenatal echocardiography. One fetus was excluded due to severe motion. Overall sensitivity and specificity in detecting fetal cardiac abnormalities was 88% and 100%, respectively, for fetal MRI and 100% and 100% for fetal echocardiography. MR image quality for evaluation of cardiac structures was high with a mean score of 2.8 (±0.8) (score 4: 15.9%, score 3: 53.8%, score 2: 19.3%, score 1: 11%). Quantitative measurements did not differ between fetal cardiovascular MRI and fetal echocardiography (all p &gt; 0.05).ConclusionDiagnostic performance of fetal cardiovascular MRI using DUS gating was comparable to fetal echocardiography. Fetal cardiovascular MRI using DUS gating might be a valuable diagnostic adjunct for the prenatal evaluation of CHD.
Faculty verbal messages: scale development and initial validation
Authors: Violanti Michelle T. , Garland Michelle E. 
Published: September 2024

IntroductionThis study set out to create a scale of messages faculty use when communicating with students and provide initial validation evidence for that scale.MethodsThree studies were used to create and initially validate the scale. Study one used focus groups to have students generate a list of 65 messages. Study 2, a survey with exploratory factor analysis, yielded two factors: affirming (items) and disconfirming (items) messages. Study 3 confirmed the factor structure and provided initial construct validation based upon the relationship between messages and relational distance, motives to communicate, learner empowerment, and student motivation.ResultsWithdrawal mediates the relationship between faculty verbal messages and learner empowerment. Faculty verbal messages directly, without mediation, predict student motivation.DiscussionFaculty verbal messages matter inside and outside the classroom. Both affirming and discomfiting messages can have a positive effect on students’ learning/motivation as well as the instructor-student relationship.
Influence of horizontal alignment elements on operating speed of vehicles on two-lane highways
Authors: Tottadi Kiran Kumar , Mehar Arpan 
Published: September 2024

Earlier studies acknowledged that the design speed does not principally assure consistency in the design of highway geometric elements. Methodologies for estimating operating speeds are limited to specific or local traffic conditions and design standards, as in various studies conducted on two-lane and multi-lane highways. The present study develops operating speed models of the vehicle types observed on horizontal curves and tangent sections on two-lane highways in southern parts of India. Geometric features of the curve section and adjacent tangent sections, such as the radius of the curve, curve length, deflection angle, degree of curvature, gradient, carriageway width, and shoulder width, are obtained from the field. The speed data collected at 24 locations on the highway, including curved and tangent gradient sections, are used to analyze and model operating speed. The results indicate that the inverse of the square root of the radius appears to be an influencing parameter for modeling the operating speed of vehicles. The operating speed is sensitive for a curve radius of up to 600 m; thereafter, the operating speed appears insignificant. On tangent sections, the gradient has a larger influence on the operating speeds of all vehicle types. The operating speed models are validated and compared with models available in the literature. The proposed models developed in the present study are helpful to traffic engineers for predicting the operating speed on two-lane highways.
Distinct soluble immune checkpoint profiles characterize COVID-19 severity, mortality and SARS-CoV-2 variant infections
Authors: Paranga Tudorita Gabriela , Pavel-Tanasa Mariana , Constantinescu Daniela , Iftimi Elena , Plesca Claudia Elena , Miftode Ionela-Larisa , Cianga Petru , Miftode Egidia 
Published: September 2024

IntroductionOver the past four years, the COVID-19 pandemic has posed serious global health challenges. The severe form of disease and death resulted from the failure of immune regulatory mechanisms, closely highlighted by the dual proinflammatory cytokine and soluble immune checkpoint (sICP) storm. Identifying the individual factors impacting on disease severity, evolution and outcome, as well as any additional interconnections, have become of high scientific interest.MethodsIn this study, we evaluated a novel panel composed of ten sICPs for the predictive values of COVID-19 disease severity, mortality and Delta vs. Omicron variant infections in relation to hyperinflammatory biomarkers. The serum levels of sICPs from confirmed SARS-CoV-2 infected patients at hospital admission were determined by Luminex, and artificial neural network analysis was applied for defining the distinct patterns of molecular associations with each form of disease: mild, moderate, and severe.ResultsNotably, distinct sICP profiles characterized various stages of disease and Delta infections: while sCD40 played a central role in all defined diagrams, the differences emerged from the distribution levels of four molecules recently found and relatively less investigated (sCD30, s4-1BB, sTIM-1, sB7-H3), and their associations with various hematological and biochemical inflammatory biomarkers. The artificial neural network analysis revealed the prominent role of serum sTIM-1 and Galectin-9 levels at hospital admission in discriminating between survivors and non-survivors, as well as the role of specific anti-interleukin therapy (Tocilizumab, Anakinra) in improving survival for patients with initially high sTIM-1 levels. Furthermore, strong associations between sCD40 and Galectin-9 with suPAR defined the Omicron variant infections, while the positive match of sCD40 with sTREM-1 serum levels characterized the Delta-infected patients.ConclusionsOf importance, this study provides a comprehensive analysis of circulatory immune factors governing the COVID-19 pathology, and identifies key roles of sCD40, sTIM-1, and Galectin-9 in predicting mortality.