bluuebunny/crossref_metadata_2025_split huggingface dataset:
OUTCOMES OF BASAL CELL CARCINOMA EXCISION IN HEAD AND NECK AREA: EVALUATING THE EFFICACY OF 5MM CLEARANCE MARGIN
Authors: MALIK AH , AHMAD R , YOUNIS Z , KHAN A , TAUQEER Z 
Published: September 2024

Basal cell carcinoma (BCC) is the most prevalent type of skin cancer affecting the head and neck region. Surgical excision with histologically negative margins is still the mainstay of management for patients with this condition. Objective: To evaluate the efficacy of using a 5mm clearance margin in the surgical treatment of BCCs in the head and neck area regarding recurrence rate, functional impairment, and cosmetic satisfaction. Methods: This descriptive study was conducted at the Department of Plastic Surgery, Lady Reading Hospital, Peshawar, between 1st June 2023 and 31st May 2024. Male and female patients in the age range of 30 to 90 years with basal cell carcinoma of the head and neck region were enrolled. A surgical excision with a 5mm free margin was carried out. Efficacy was assessed regarding tumor recurrence in 6 month follow-up period. Results: 200 patients were enrolled with a mean age of 65.5 ± 13.27 years. Male patients were 123 (61.5%). Distribution of the tumor sites was at the nose (n = 61, 30.5%), cheek (n = 51, 25.5%), and forehead (n = 38, 19.0%). Free surgical margins were obtained in 180 (90.0%) patients on the primary excision. The rate of recurrence was 4.0% (n = 8), and the highest rate was observed in the periorbital localization (n = 2, 6.9%), with infiltrative histology (n = 3, 16.7%). Conclusion: A surgical margin of 5mm in the excision of BCC in the head and neck area reduces the recurrence rate to an acceptable level without compromising on functional and cosmetic results. These results are in accord with the practice of adopting a 5mm margin width for BCC excisions in this area of the body.
Merdeka Belajar dan Implikasinya terhadap Evaluasi Pembelajaran Pendidikan Agama Islam
Authors: Ikhsanudin Ikhsanudin  , Nyarminingsih	Nyarminingsih  , Mukh Nursikin  
Published: September 2024

Artikel ini disusun untuk melihat bentuk kebijakan Menteri Pendidikan dan Kebudayaan Republik Indonesia dan implikasinya terhadap pengembangan evaluasi pembelajaran pendidikan agama Islam (PAI). Adapun metode penelitian yang digunakan dalam penulisan artikel ini adalah metode kualitatif dengan pendekatan studi literatur. Pada studi literatur data dikumpulkan melalui proses pencermatan, analisis, dan penyajian hasil. Berdasarkan pada kajian literatur yang telah dilakukan, kebijakan Kementerian Pendidikan dan Kebudayaan, dikenal dengan kebijakan ―Merdeka Belajar. Kebijakan ini meliputi 4 hal: ujian sekolah berstandar nasional (USBN) dikembangkan oleh sekolah masing- masing; ujian nasional (UN) berubah menjadi asesmen kompetensi minimum dan survei karakter; kebebasan pendidik untuk mendesain rencana pelaksanaan pembelajaran (RPP); dan fleksibilitas dalam peraturan penerimaan siswa baru (PPSB). Kebijakan Merdeka Belajar memiliki karakteristik yang menekankan pada kreativitas, orientasi pembelajaran pada pemecahan masalah, pembelajaran berbasis tuntutan kebutuhan masyarakat dan dunia kerja, serta sistem penilaian yang komprehensif. Hal ini berdampak pada kebutuhan pengembangan evaluasi pembelajaran PAI. Adapun dalam arikel ini peneliti menyimpulkan bahwa: pengembangan evaluasi evaluasi berlandaskan pada tujuan penciptaan manusia sebagai ‘abdun dan khalīfah; evaluasi pembelajaran PAI mencakup aspek ‘aqliya, batiniah, dan ‘amaliya evaluasi pembelajaran PAI dilakukan untuk menyeimbangkan daya pikir, zikir, dan amal.
Pengaruh Model Pembelajaran Kooperatif Tipe Jigsaw Terhadap Hasil Belajar Mata Kuliah Bahasa Inggris di DIII Kebidanan Institut Kesehatan dan Bisnis St. Fatimah Mamuju
Authors: Ariawati Susiandari  
Published: September 2024

Tujuan dalam penelitian ini adalah untuk mencari Pengaruh Model Pembelajaran Kooperatif Tipe Jigsaw Terhadap Hasil Belajar Mata Kuliah Bahasa Inggris di DIII Kebidanan Institut Kesehatan dan Bisnis St. Fatimah Tahun 2021. Jenis penelitian yang digunakan adalah True Eksperimen. Penelitian ini dilaksanakan pada bulan April 2021. Populasi dalam penelitian ini adalah semua mahasiswa tingkat II DIII Kebidanan sebanyak 110 orang. Sampel dalam penelitian ini adalah sebagian mahasiswa tingkat II di DIII Kebidanan Institut Kesehatan dan Bisnis St. FatimahTahun 2021 yaitu sebanyak 52 orang dengan teknik pengambilan sampel Random Sampling. Hasil penelitian menunjukkan bahwa dari 52 orang yang dijadikan sebagai sampel, semua diberikan metode pembelajaran jigsaw sebanyak 52 orang (100,0%). Hasil penelitian menunjukkan bahwa dari 52 orang yang dijadikan sebagai sampel, yang lulus dengan mata kuliah Bahasa Inggris komunitas sebanyak 38 orang (73,1%) dan yang tidak lulus sebanyak 14 orang (26,9%). Ada pengaruh model pembelajaran kooperatif tipe jigsaw terhadap hasil belajar mata kuliah bahasa Inggris di DIII Kebidanan Institut Kesehatan dan Bisnis St. Fatimah Tahun 2021. Diharapkan dapat meningkatkan pengembangan ilmu pengetahuan yang dapat menambah pengetahuan mengenai Bahasa Inggris.
Increasing Community Self-Reliance through Maggot at Villa 1 Asri Waste Bank, Bekasi Regency
Authors: Sumiyarti Sumiyarti , Rahayu Hartini Rahayu , Ratna Ratna Ningsih 
Published: September 2024

This community service activity (PkM) is intended to help increase income from organic waste management through maggot cultivation. The activity method used is training, by applying appropriate technology in the form of portable bioponds and drying machines to make dried maggot. The activity implementation period is November 26 to December 23, 2022. The results of the activity show the potential for increased income and environmental independence in managing organic waste through maggot. Before the PkM activity was carried out, the source of income from maggot only came from fresh maggot. After the PkM activity, there is an additional source of income from dried maggot products, with a range between Rp23 thousand - Rp30 thousand for every one kilogram of dried fresh maggot. The application of portable bioponds has increased the amount of fresh maggot production between 60 kilograms - 80 kilograms. The application of portable bioponds as maggot enlargement media has increased the amount of organic waste that is managed independently. Before the PkM activity, the amount of organic waste managed was 240 kilograms - 320 kilograms. After the PkM activity, the amount of managed waste increased to 360 kg - 480 kg. In general, it can be concluded that PkM activities through the application of technology in maggot cultivation carried out by the Trisakti University PkM Team at the Villa 1 Asri Waste Bank have succeeded in increasing community independence both in terms of economy and environment.
Relevansi Pelatihan Kepemimpinan Dalam Organisasi Pendidikan
Authors: Nadia Dwi Nur Aufa  , Aisyah  , Diah Lestari  
Published: September 2024

Leadership is the art or ability of a person in coordinating and directing each individual or group towards achieving the expected goals. Leadership in an organization is seen as one of the most important aspects. An organization certainly needs a leader in order to run efficiently in accordance with its goals. A leader must not only lead its members but also become a representative of the organization, because a leader has a big influence on how an organization runs. Regardless of the roles and responsibilities of the leader, leadership traits and spirit can greatly help the running of an organization. Leadership training in general does not only aim to produce excellent leaders. It also provides education on organizational dynamics and how to run an organization efficiently. Leadership training that is held at the high school and college level are usually organized by the students themselves, the core of this training is activities organized by students and aimed at students. Leadership training can also be seen as a means to build a positive culture in educational organizations. It triggers active collaboration between staff and students, creating positive interactions within the educational organization. The leadership training takes the form of classroom-based training, workshops and seminars, online training, and mentoring and coaching.
Implementasi Surat Pemesanan PT ADE Dengan Menggunakan ZOHO Form
Authors: Adinda Anastasya Febi Valentina  , Anisa Ika Wardhani  , Bernadeta Winda Putri Permatasari  , Nurhasan Hamidi  
Published: September 2024

Digitalization carried out by companies has an impact on marketing parties to carry out the ordering process online. Meanwhile, marketing parties need time to adapt to technology. The purpose of implementing the dedication to PT Atmi Duta Engineering is to increase knowledge and insight so that the marketing division sales can use Zoho Form sales for online forms. Given the lack of knowledge about how to create a questionnaire using the Zoho Form application. Implementation of dedication to PT Atmi Duta Engineering using observation and interview methods. Based on the results of the trial and outreach, it shows that the marketing division finds it helpful in filling out order letters and it is easy for the admin to manage order data.
EVALUASI PERFORMA JEMBATAN GANTUNG TIPE SUSPENDED PEJALAN KAKI DENGAN LANTAI KACA BERDASARKAN UJI PEMBEBANAN STATIS
Authors: Nugraha Widi , Subrata Budi , Permadi Indra Sidik , Sukmara Gatot , Chairulloh Achmad Riza , Triwibowo Hari , Saripudin Umar 
Published: September 2024

Jembatan Kaca Bromo merupakan jembatan gantung tipe suspended dengan lantai kaca struktural yang dibangun oleh Kementerian PUPR di Kawasan Strategis Prioritas Nasional (KSPN) Taman Nasional Bromo Tengger Semeru, Jawa Timur, Indonesia. Jembatan ini dibangun untuk memberikan pengalaman yang unik bagi para pengunjung, yaitu dengan melihat pemandangan indah di sekitar gunung Bromo dari atas lantai jembatan yang transparan. Penggunaan kaca struktural sebagai lantai jembatan perlu diuji terhadap aspek keamanan dan kenyamanan dengan pengujian pembebanan pada segmen lantai kaca struktural dan struktur jembatan secara keseluruhan. Uji pembebanan bertujuan untuk mengetahui apakah jembatan mampu menahan beban yang akan dilewatinya, dalam hal ini beban pejalan kaki. Pada penelitian ini, uji pembebanan pada Jembatan Kaca Bromo dilakukan dengan beban operasional rencana, yaitu sekitar 100 orang pejalan kaki. Besaran beban tersebut dikonversi menjadi 240 buah karung pasir yang digunakan untuk uji pembebanan dengan berat masing masing karung sekitar 35 kg. Respons maksimum jembatan hasil pengukuran akibat beban uji terbesar antara lain deformasi vertikal 72.70 mm pada kondisi beban merata sepanjang bentang, gaya kabel kabel maksimum sebesar 19.84 ton, dan tegangan frame baja sistem lantai kaca sebesar 125.96 MPa. Besaran respons struktur jembatan hasil pengukuran tersebut dapat dimodelkan dengan baik melalui model struktur yang digunakan dalam penelitian ini, sehingga dapat dilakukan simulasi pembebanan yang lebih besar untuk evaluasi beban layan. Hasil dari analisis menunjukkan bahwa Jembatan Kaca Bromo aman untuk digunakan dengan pembatasan beban layan hingga 400 kg/m2. Selain itu, jembatan tersebut memiliki deformasi yang relatif kecil dibanding deformasi izin, sehingga memenuhi kriteria kenyamanan.
ANALISIS BLACKSPOT DI INDONESIA BERDASARKAN PERBEDAAN KONDISI JALAN, FATALITAS KECELAKAAN, DAN ANALISIS RISIKO
Authors: Sutandi Anastasia Caroline 
Published: September 2024

Blackspot adalah lokasi yang dinyatakan rawan karena jumlah kecelakaan yang tinggi. Terdapat banyak definisi blackspot, berdasarkan negara, lokasi, dan tingkat keparahan korban kecelakaan lalu lintas jalan (kecelakaan). Salah satu definisi blackspot di Indonesia, yaitu lokasi sepanjang 300 – 500 meter dengan jumlah kecelakaan yang tinggi. Blackspot pada umumnya hanya dianalisis berdasarkan jumlah korban dan keparahan korban kecelakaan saja. Dalam studi ini blackspot dianalisis berdasarkan 3 kriteria (1) perbedaan kondisi jalan, (2) jumlah korban kecelakaan meninggal dunia, dan (3) analisis risiko dalam satuan waktu tertentu. Perbedaan kondisi jalan ditinjau dari kondisi geometrik jalan, kondisi permukaan perkerasan jalan, dan kondisi perlengkapan jalan. Jumlah korban kecelakaan meninggal diambil dari data Kepolisian Republik Indonesia atau dari Biro Pusat Statistik (BPS). Analisis risiko adalah analisis yang menentukan nilai risiko, kategori risiko, dan rekomendasi aksi untuk mengurangi jumlah kecelakaan dan tingkat keparahan korban kecelakaan yang terjadi. Selanjutnya, dilakukan perbandingan antara penentuan lokasi blackspot berdasarkan jumlah dan keparahan korban kecelakaan dengan penentuan lokasi blackspot berdasarkan 3 kriteria dalam studi ini. Hasil dari analisis berdasarkan 3 kriteria menunjukkan bahwa penentuan lokasi blackspot lebih akurat. Hasil analisis blackspot dalam studi ini lebih akurat dan detail serta dapat digunakan di seluruh lokasi di Indonesia dengan menggunakan data kecelakaan yang lengkap, tepat, dan up to date, agar hasilnya sahih dan bermanfaat untuk menggambarkan kondisi riil sebenarnya.
Conservative Lymph Node Sampling Is Clinically Appropriate in Intestinal Resections Related to Nonneoplastic Inflammatory Bowel Disease
Authors: Mayer Chen , Liang Tom Z. , Karimi Saman , Zhang Yujie , Larman Tatianna , Voltaggio Lysandra 
Published: September 2024

Context.—
In this era of health care challenges, efficient resource use is crucial. Patients with inflammatory bowel disease (IBD) may undergo surgery owing to treatment-refractory disease or strictures. Unlike colorectal cancer resections, there are no guidelines for lymph node retrieval in nonmalignant IBD resections.

Objective.—
To assess the usefulness and cost-effectiveness of extensive lymph node examination in nonmalignant IBD resections.

Design.—
A retrospective analysis of 354 cases from 2011 to 2018 was conducted. Resections for suspected malignancy or lesions grossly suggestive of carcinoma were excluded. Patient data, resection type, lymph node count, and follow-up information were collected.

Results.—
Results showed 51% (180) of cases had 12 or more examined lymph nodes. Only 1 case (0.3%) revealed microscopic invasive carcinoma associated with stricture without metastasis to 26 examined lymph nodes. No metastatic disease was found among the 4972 evaluated lymph nodes. Estimated total savings were at least $19 812, with approximately 10.4 minutes saved on microscopic evaluation. During a mean 5.7-year follow-up, no patients developed metastatic disease from an intestinal primary tumor. Among the 20 deceased patients, cause of death was available for 14 patients (70%), of whom 11 (55%) died of nonneoplastic causes and 3 (15%) of nonintestinal malignancies.

Conclusions.—
While lymph node assessment is crucial in IBD-associated colorectal carcinoma, a colorectal cancer protocol–type lymph node search is unnecessary without clinical or gross pathologic suspicion. A conservative approach to lymph node sampling optimizes resources without compromising patient care.
Penerapan Media Pembelajaran Wordwall untuk Meningkatkan Keaktifan Belajar pada Mata Pelajaran IPA Kelas III di SDIT Muhammadiyah 01 Kotapinang
Authors: Nurbaya Harahap  , Sakban Sakban  , Deprizon Deprizon  , Wismanto Wismanto  , Radhiyatul Fithri  , Salman Salman  
Published: September 2024

This research is motivated by the low learning activity of students in science subjects because the learning activities carried out are still using the lecture method which is only centered on the teacher, causing learning to tend to be monotonous so that students feel bored, sleepy, and tired during the learning process. This study aims to improve students' learning activity in science subjects in class IV of SDIT Muhammadiyah 01 Kotapinang by implementing wordwall learning media. This research is a classroom action research (CAR). The subjects in this study were 20 students in class III of SDIT Muhammadiyah 01 Kotapinang. While the object of this research is the application of wordwall learning media to improve students' learning activity. This research was conducted in two cycles, each cycle of which was carried out for two meetings. Each cycle consists of four stages, namely planning, implementation, observation, and reflection. The results of the study on the application of wordwall learning media in science subjects for grade III at SDIT Muhammadiyah 01 Kotapinang are that in cycle I, teacher activity was 78.75% in the good category, student activity was 68.75% in the sufficient category and student learning activity was 74.16% in the sufficient category. In cycle II, the results of the application of wordwall learning media increased, teacher activity was 98.75% in the very good category, student activity was 93.75% in the very good category and student learning activity was 93.54% in the very good category. The results of this study indicate that the application of wordwall learning media in science subjects for grade III at SDIT Muhammadiyah 01 Kotapinang can increase student learning activity.
Transarterial Chemoembolization for Hepatocellular Carcinoma: An Evaluation of Long-Term Outcomes in Beijing, China
Authors: Xi Liang-Wu  
Published: September 2024

Introduction: Transarterial chemoembolization (TACE) is a widely used treatment for unresectable hepatocellular carcinoma (HCC). This study aimed to evaluate the long-term outcomes of TACE in a cohort of patients with HCC in Beijing, China.
Methods: This retrospective cohort study included patients who underwent TACE for HCC at a tertiary care hospital in Beijing, China, between 2010 and 2018. Data on patient demographics, tumor characteristics, treatment details, and outcomes were collected from medical records. Overall survival (OS) and progression-free survival (PFS) were the primary endpoints. Survival analysis was performed using the Kaplan-Meier method and Cox proportional hazards regression.
Results: A total of 352 patients were included in the study. The median follow-up duration was 48 months (range: 6-120 months). The median OS was 36 months, and the 5-year OS rate was 28%. The median PFS was 12 months, and the 3-year PFS rate was 15%. Tumor size, Barcelona Clinic Liver Cancer (BCLC) stage, and alpha-fetoprotein (AFP) level were independent predictors of OS and PFS.
Conclusion: TACE can provide long-term survival benefits for patients with HCC in Beijing, China. Tumor size, BCLC stage, and AFP level are important prognostic factors for TACE outcomes.
Pengaruh Media Pembelajaran Audio Visual Terhadap Hasil Belajar Tematik Siswa Kelas III SDN 10 Pontianak Timur
Authors: Hasanah Atikahiatul , Setyowati Dessy , Nurcahyo Muhammad Aqmal 
Published: September 2024

Penelitian ini dilatarbelakangi oleh hasil belajar tematik siswa kelas III SDN 10 Pontianak Timur masih banyak yang tidak memenuhi standar ukuran penyelesaian akhir, dimana dari 29 siswa di kelas III D yang dijadikan sampel, ada 20 siswa yang tidak memenuhi kriteria standar penilaian minimal atau sekitar 69% siswa yang tidak tuntas. Hal terebut karena tidak tepatnya penggunaan media pembelajaran. Berdasarkan latar belakang di atas saya berinisistif mengangakat permasalahan dengan judul “Pengaruh Media Pembelajaran Audio Visual terhadap Hasil Belajar Tematik siswa kelas III SDN 10 Pontianak Timur”.
Jenis penelitian ini adalah penelitian kuantitatif dengan metode penelitiannya yaitu metode deskriptif. Sampel penelitian ini sebanyak 53 orang siswa. Pengumpulan informasi diselesaikan dengan melibatkan tes tertulis sebagai berbagai pertanyaan keputusan. Untuk menganalisis data yang sudah terkumpul, maka rumus yang digunakan untuk menjawab masalah tersebut yang digunakan adalah program IBM SPSS komputer.
Dilihat dari hasil eksplorasi dan percakapan, maka dapat dimaklumi bahwa pengujian spekulasi dengan menggunakan program SPSS pada persamaan Matched Sample Test dari pengujian posttest kelas eksplorasi dan kelas kontrol, diperoleh t hitung sebesar 2,450. dan t tabel (α = 5%, dk = 27 + 26 - 2 = 51) sebesar 1,675. Ha diterima karena t hitung sebesar 2,450 lebih besar dari t tabel 1,675. Dengan demikian diduga terdapat perbedaan dan dampak yang sangat besar antara kelas eksploratif yang menerapkan media pembelajaran media audio visual dengan kelas kontrol yang tidak menggunakan media pembelajaran media audio visual.
Implementasi Projek Penguatan Profil Pelajar Pancasila Dalam Membangun Karakter Mandiri Anak Usia 5-6 Tahun di TK Karya Yosef Pontianak
Authors: Verawati Verawati , Verawati Aunurrahman , Lukmanulhakim Lukmanulhakim 
Published: September 2024

Penelitian ini bertujuan untuk mengetahui Implementasi Projek Penguatan Profil Pelajar Pancasila dalam Membangun Karakter Mandiri Anak Usia 5-6 Tahun di TK Karya Yosef Pontianak. Metode yang digunakan adalah deskriptif kualitatif. Sumber data penelitian ini adalah anak usia 5-6 tahun. Alat pengumpulan data melalui lembar observasi, pedoman wawancara dan dokumentasi. Hasil penelitian ini menunjukan bahwa implementasi P5 pada TK Karya Yosef Pontianak sudah dilaksanakan pada tema “kreativitasku dan imajinasiku” dengan topik “market day” dan “kita semua bersaudara” dengan topik “budaya di lingkunganku”. Setiap tema yang dilaksanakan melewati tahap permulaan, pengembangan dan penyimpulan. Secara Umum dimulai dari perencanaan, pelaksanaan dan penyimpulan projek berjalan lancar dan berdampak positif dalam membangun karakter mandiri anak usia 5-6 tahun. Dengan demikian, projek penguatan profil pelajar Pancasila dapat membiasakan peserta didik untuk memiliki dimensi karakter anak usia dini serta dapat menjadi salah satu solusi dalam menghasilkan generasi Indonesia yang berkarakter. Hal ini dapat membantu mereka mengembangkan kemandirian dalam melakukan aktivitas sehari-hari.
Descriptive study on Acute Appendicitis: a single unit experience
Authors: Isthiyak A.R.M. , Rajasegaram E 
Published: September 2024

Introduction The appendix has significant relevance in the field of surgery, primarily due to its association with acute appendicitis, a common and urgent medical condition. Appendicectomy is an emergency procedure known to reduce morbidity and mortality associated with untreated appendicitis. The present study was conducted to observe, compile, and analyze the common symptomatology, demographic details, and post-operative complications of acute appendicitis. Material & Methods This descriptive cross-sectional study was conducted from May 2023 to May 2024 in surgical wards (05 & 17 (single unit)) at the National Hospital of Sri Lanka. Within the study period, 94 patients presented to the defined wards at met the criteria for the study, defined as any patient who presented with appendicitis and underwent an appendectomy for treatment. Patient demographic details, symptomatology and post-op complications were recorded to elucidate potential complicating factors and observe relevant trends. Results Of the total study population of 94, 64% were male and 36% were female. Additionally, a majority of the population (69%) belonged to the age subgroup defined as 15 to 30 years old. Of the 94 patients, 100% presented with abdominal pain, 90% had anorexia, 60% presented with a fever, and 45% complained of vomiting. The majority of the appendix (76.5%) found retrocecal in position during surgery. Of the appendectomies performed, 64% of patients successfully underwent appendectomies with no clinical complications; however, the remaining minority, 58.8% were observed to sustain some form of wound infection, 14.8% were diagnosed with paralytic ileus, and 11.8% had formed a pelvic abscess. Additionally, two patients featured assorted delayed complications and one patient suffered an adhesive small bowel obstruction and another was diagnosed with a fecal fistula. Conclusion Given the high prevalence of acute appendicitis in younger age groups, no matter the age the diagnosis of appendicitis is possible in any patient presenting with complaints of acute abdominal pain. Additionally, and a fact that should be celebrated, appendicectomy complications are extremely rare and have a favourable prognosis.