bluuebunny/crossref_metadata_2025_split huggingface dataset:
Beyond the Needle: Unmasking Atypical Mycobacteria in Postvaccination Abscesses in Children
Authors: Shah Amar , Joshi Devesh N. , Shah Anirudh 
Published: July 2024

ABSTRACT

Introduction:
Atypical or nontuberculous mycobacteria (NTM) are an environmental organism responsible for opportunistic infection. Rapid-growing NTM are more commonly associated with hospital-acquired infections. Many of the organisms responsible for diseases in immunocompromised patients and hospital-acquired infections originate from tap water, such as Mycobacterium kansasii, Mycobacterium xenopi, Mycobacterium gordonae, Mycobacterium simiae, Mycobacterium mucogenicum, Mycobacterium fortuitum, Mycobacterium chelonae, and Mycobacterium abscessus. NTM is a rare organism responsible for the injection abscess. Considering low incidents, not much clinical data are available for this condition. Here, we discuss such cases which can be helpful to spread awareness and provide data for future policy makers.

Materials and Methods:
This was a retrospective study. Data on patients with injection abscess were collected from the last 6 years. Detailed history and clinical examination findings were analyzed. Children with injection abscess were operated and their further management and outcome were studied.

Results:
A total of 13 cases with confirmed culture of NTM were treated over 6 years. The age ranged from 2½ months to 5¾ years with male:female ratio of 7:6. All patients hailed from the same geographical area. All children were healthy with no history of any long-term or chronic illness, without additional symptoms and had received Bacillus Calmette-Guérin vaccination at birth. The total duration of illness varied from 1 to 5 months, with a mean of 3 months. All patients had a history of intramuscular age-appropriate vaccination as per the national immunization schedule. All patients were followed up to 6 months after intervention and none of our patients developed relapse.

Conclusion:
Patient who does not respond with optimum treatment should have a high suspicion of such opportunistic infection, which is crucial to their management. Hospital-acquired NTM infections often result from contaminated instruments or fluids. Adherence to strict aseptic precautions, hand hygiene and environmental precautions are the key to preventing these infections. In case of skin and soft tissue infections / abscesses, surgical intervention plays a significant role for managing the patient.
Clinical Profile, Management, and Outcome of Posterior Urethral Valves in Children – Experience from a Tertiary Care Hospital
Authors: Divya Gali , Kundal Vijay Kumar , Addagatla Rajasekhar , Kumar Ritesh , Jaglan Sandeep Kumar , Debnath Pinaki Ranjan , Meena Atul Kumar , Shah Shalu 
Published: July 2024

ABSTRACT

Background:
Posterior urethral valves (PUV) are the most common obstructive anomaly of the lower urinary tract in children. End-stage renal disease (ESRD) in 17% of the children is due to PUV. The present study helps know the spectrum of the disease, management options, and the outcome in these children.

Methods:
The present study is a descriptive type of study by review of medical records of all the children presented to the hospital from 2015 to 2019. Profile of PUV includes any abnormality in antenatal ultrasonography (USG), age at presentation, presenting complaints, general condition at the time of presentation, biochemical investigations like serum creatinine and electrolytes at admission, clinical progression during hospital stay and the type of intervention. Outcome variables studied were improvement in the stream and overall well-being of the child, renal function, recurrent urinary tract infections (UTIs). Follow-up period varied from 1 to 6 years.

Results:
A total of 73 patients were included in the study. The mean age of presentation was 3.4 years. The most common presenting complaints were poor urinary stream and dribbling of urine. Antenatal USG showed abnormality in 23 patients. Renal function was abnormal in 28 patients. Out of 73 patients, 51 underwent endoscopic ablation of valves, 19 underwent vesicostomy, and three patients underwent supravesical diversion. During the follow-up recurrent UTI was observed in 11 patients, 15 patients progressed to chronic kidney disease, and 15% of patients were hypertensive. Mortality in the present study was 4%.

Conclusion:
PUV includes a spectrum of diseases from mild form to lethal conditions. Early intervention by relieving obstruction may prevent or delay the ESRD; hence, timely intervention is necessary in these children.
A Pilot Survey of Indian Stakeholders: Parents, Doctors, and Grown-Up Patients of Disorders of Sexual Differentiation on Management Decisions and Associated Gender Dysphoria
Authors: Ratan Simmi K. , Neogi Sujoy , Ahmad Md Fahim , Das Kanishka , Raman Vijaya , Bendre Pradnya S. , Banerjee Arka , Sharma Shilpa , Acharya Himanshu , Agrawal Vikesh , Babu Ramesh 
Published: July 2024

ABSTRACT

Background and Aims:
Of late, there are many legal representations from select quarters to halt all medical interventions in children with differences of sex development (DSD). In this survey on management decisions in DSD, we distil the views of Indian stakeholders: parents, physicians, and grown-up patients with DSD on their management decisions to identify decisional satisfaction or gender dysphoria.

Methods:
The survey domains included the patient demographics, final diagnosis, decision on the sex of rearing, surgical interventions, opinion of the stakeholders on the preferred age of sex assignment, final sex of rearing, and agreement/disagreement about sex assignment (gender dysphoria).

Results:
A total of 106 responses were recorded (66% parents, 34% grown-up patients aged 12–50 years). Among parents, 65/70 (95%) preferred the sex to be assigned soon after birth. All grown-up patients preferred sex to be assigned soon after birth. Regarding decisions on surgery, 74% of physicians and 75% of the grown-up patients felt parents should be allowed to decide interventions. Among Indian parents, 90% felt they should have the right to decide surgery in the best interest of their child for a safe social upbringing. Overall, gender dysphoria among Indian DSD patients was <1% (1/103, 0.97%).

Conclusions:
The predominant preference and opinion of major Indian stakeholders (physicians, parents, and grown-up DSD patients) support the existing approach toward DSD management, including early sex assignment and necessary medical intervention.
Knowledge and Awareness of Emotional Artificial Intelligence as Tool in Child’s Oral Health Care Assessed Among Dental Professionals of Eastern India. A Cross Sectional Study
Authors: Sharma Varsha , Sharma Mukul , Dutta Brahmananda , Bagchi Anandamoy 
Published: July 2024

ABSTRACT

Background:
One of the most crucial steps in providing the child’s oral health care and treatment needs is modifying his/her behavior, mood and emotion in any primary care/dental home or any speciality centre. This is very important parameters for any dental professionals and paediatric dentist. Through this study we investigated the knowledge, awareness of Emotional Artificial Intelligence (AI) as tool for modifying their behaviour prior to any treatment requirement.

Materials and Methods:
The study was conducted among dental professionals of located in different regions of eastern India. We used a consecutive sampling method to collect our sample.

Results:
Out of the 120 participating dental professionals, 30% professionals believed that emotional AI could monitor a child’s acceptance to treatment. Despite a low perception level of emotional AI by the dentist, 71% agreed on the beneficial effect of Emotional Artificial Intelligence (AI) in an emergency or uncooperative child if such technology exist.

Conclusion:
Regression model showed that certain key influencers can increase the quality of healthcare by 3 times which could favors Emotional Artificial Intelligence as an adjunct to Pediatric dentists in managing children.
Histological Analysis of Platelet-Rich Fibrin in Diabetics, Non-diabetics, and Smokers Suffering with Chronic Periodontitis: An In Vitro Study
Authors: Polepalle Tejaswin , Mannava Padmakanth , Pesala Divya Sai , Sharma Rohini , Elango Akshitha , Ghate Sonalika 
Published: July 2024

ABSTRACT

Aim:
The present study was aimed at evaluating the variations in fibrin network patterns of the platelet-rich fibrin (PRF) procured from diabetics, non-diabetics, and smokers suffering from chronic periodontitis.

Materials and Methods:
Five milliliters of blood were drawn using a syringe from 60 participants (systemically healthy non-diabetics, diabetics, and smokers) who were diagnosed with chronic periodontitis. Five milliliters of blood were transferred to a dry glass tube. The clot (PRF) obtained after centrifugation from the glass tube was processed for light microscopy analysis.

Results:
The PRF samples have demonstrated the presence of both dense and loose fibrin networks. There is an increase in cellular content in diabetic participants compared to systemically healthy and smoker participants. Smoker participants demonstrated a higher amount of loose fibrin content, which was arranged irregularly.

Conclusion:
A significantly greater increase in cellular content and loose fibrin network is seen in diabetics and smokers, respectively, compared to systemically healthy individuals. As compared to the systemically healthy participants, there is a variation in the fibrin network pattern and distribution of cellular structures in diabetic and smoker participants.
Evaluation of the Efficacy and Complications of Different Hysterectomy Techniques in the Management of Uterine Fibroids
Authors: Asati Pranshi , Asati Swati , Sinha Varsha , Dixit Heena , Mahajan Akriti , Alraddadi Yasser Khalid , Syed Afroz Kalmee 
Published: July 2024

ABSTRACT

Introduction:
Uterine fibroids, which are benign tumors affecting a significant proportion of women, often necessitate hysterectomy for suggestive relief. Understanding the relative efficiency and safety profiles of different techniques is crucial for optimizing patient care.

Materials and Methods:
This prospective cohort study enrolled women diagnosed with symptomatic uterine fibroids who underwent hysterectomy. Surgical techniques included “total abdominal hysterectomy (TAH)”, “laparoscopic hysterectomy (LH)”, and “vaginal hysterectomy (VH)”. Efficacy outcomes included operative time, blood loss, and recurrence rates, while complications encompassed intraoperative and postoperative adverse events.

Results:
Laparoscopic hysterectomy demonstrated the shortest operative time and least blood loss compared with TAH and VH. Total abdominal hysterectomy had the highest rates of both intraoperative and postoperative complications, followed by LH and VH. Recurrence rates were comparable among the three techniques.

Conclusion:
Laparoscopic hysterectomy offers advantages in operative efficiency and complication rates compared with total abdominal and vaginal hysterectomy techniques.
Pendidikan Kristen Dalam Pendidikan Nasional: Peran dan Tantangannya
Authors: Purwanto Hary 
Published: July 2024

Pendidikan agama Kristen mengajarkan dan mendidik siswa mampu berperan di lingkungannya supaya bisa mengabarkan keselamatan yang telah diterimanya. Pendidikan Kristen tidak sekadar bersifat deskriptif atau sekadar memperkuat pengayatan dan memperdalam penghayatan iman Krisen, melainkan merupakan kehidupan ataupun hubungannya dengan lingkungan masyarakat yang lebih luas. Iman Kristiani akan menjadi landasan sikap, tingkah laku, karakter dimanapun berada dengan berbagai latar belakang keagamaan, suku, ras tradisi dan sebagainya. Pemerintah dibantu dan ditopang dengan adanya perguruan swasta (Kristen). Namun ada kecurigaan yang terlalu tajam pada lembaga pendidikan Kristen. Padahal maksud dan tujuan mata pelajaran agama Kristen di sekolah sama sekali tidak memaksa siswa menjadi pemeluk agama Kristen. Tidak ada dan tak mengenal istilah kristenisasi di lembaga pendidikan Kristen. Namun sebagai wujud rasa bertanggung jawab ikut serta mencerdaskan kehidupan bangsa. Pendidikan yang diselenggarakan oleh lembaga Kristen justru menyajikan pendidikan yang holistik yang berdasarkan visi Kristen (mengenai ekologi, hubungan antar manusia, dan cinta kasih). Pendidikan Kristen dalam Pendidikan Nasional telah tertuang pada SISDIKNAS dan peraturan Menteri Pendidikan dan Kebudayaan Republik Indonesia. Namun perlu diingat bahwa lembaga pendidikan Kristen merupakan pendidikan yang mempunyai ciri khas dan jati diri sesuai UU No 2 Tahun 1989.
Kompetensi Profesional Guru Pendidikan Agama Kristen dalam Penguatan Profil Pancasila
Authors: Alisyah Alisyah , Riniwati Riniwati 
Published: July 2024

Guru dalam melaksanakan tugas di sekolah memerlukan kompetensi profesional, yaitu melalukan tugas dengan penuh tanggung jawab sesuai dengan keahliannya. Kompetensi profesional guru Pendidikan Agama Kristen harus dapat diwujudnyatakan dalam penguatan profil pancasila. Sehingga siswa dalam belajar tidak hanya mengalami perkembangan dari segi pengetahuan, tetapi siswa juga mengalami perkembangan dari segi karakter yang mulia dan terpuji sesuai dengan makna dari butir-butir pancasila. Guru PAK harus memiliki kompetensi profesional yang mencakup: 1) Guru menguasi materi. Penguasaan Materi perlu ditingkatkan baik dari segi isi maupun pengembangan materi yang inovatif sehingga kualitas pendidikan semakin menigkat. 2) Guru menggunakan Teknologi sesuai dengan perkembangan jaman. Guru diharapkanb untuk meningkatkan penguasaan dalam menggunakan teknologi untuk mendukug proses kegiatan pembelajaran agar lebih interaktif dan berkualitas. 3) Guru mengembangkan ketrampilan kegiatan pembelajaran lebih efektif. Penulis menggunakan pendekatan studi pustaka dalam metode penelitian kualitatif untuk meneliti dan menganalisis berbagai literatur seperti buku, jurnal, dan artikel yang relevan dengan topik yang dibahas. PAK memiliki peran sentral dalam membentuk karakter dan moral keagamaan siswa. Untuk mencapai tujuan ini, kompetensi profesional guru PAK sangatlah penting. Kompetensi ini tidak hanya mencakup pemahaman yang dalam terhadap materi pelajaran, tetapi juga keterampilan mengajar, karakter guru, dan kemampuan untuk mengintegrasikan nilai-nilai Kristen dalam proses pembelajaran.
Design of Coal Hauling System for Optimized Detection of Coal Hauler Status Based on RFId
Authors: Prihana Yoni Widhi , Mukhlishinurrahman Mukhlishinurrahman , Primandani Rosmelia Cipta 
Published: July 2024

PT Adaro Indonesia (PT AI) is one of the biggest coal mining companies in Indonesia located in South Kalimantan. PT AI manages 8 coal stock areas called Run of Mine (ROM). Coals from ROM are transported and blended to produce final coal products. The blending process is organized by the Dispatch Team. In carrying out its operations, the Dispatch Team is supported by The Radio Frequency Identification (RFId) system. This system utilises RFId units installed along the hauling road to generate production data. This research aims to improve RFId system so that the system is able to distinguish the status of empty and loaded coal hauler. This research succeeded in increasing the reading radius of the RFId reader from 15 meters to 35 meters and also changing the existing RFId system so that one RFId unit is able to distinguish the status of empty and loaded coal hauler units.
PT Adaro Indonesia (PT AI) merupakan salah satu perusahaan tambang batubara terbesar di Indonesia yang terletak di Kalimantan Selatan. PT AI mengelola 8 area stock batubara yang disebut Run of Mine (ROM). Batubara dari ROM diangkut dan dicampur untuk menghasilkan product akhir batubara. Proses pencampuran diatur oleh Tim Dispatch. Dalam menjalankan operasionalnya, Tim Dispatch disupport menggunakan sistem Radio Frequency Identification (RFId). Sistem ini memanfaatkan unit RFId yang terpasang di sepanjang jalan hauling untuk menghasilkan data produksi. Penelitian ini bertujuan untuk memodifikasi sistem RFId sehingga satu unit RFId mampu membedakan status pengangkut batubara kosongan dan muatan. Penelitian ini berhasil menambah radius pembacaan reader RFId dari 15 meter menjadi 35 meter dan juga merubah sistem RFId yang ada sehingga satu unit RFId mampu membedakan status unit pengangkut batubara kosongan dan muatan.
MENINGKATKAN MOTORIK HALUS ANAK USIA 4- 5 TAHUN MELALUI KEGIATAN MENGGUNTING BENTUK GEOMETRI DI RA ROUDLOTUL ULUM ARROYAN
Authors: Kholifah Kholifah , Warih Windasari Indriana 
Published: July 2024

he aim of the assessment is to see the level of children's fine motor skills, and how to improve children's fine motor skills by cutting out geometric shapes at RA ROUDLOTUL ULUM ARROYA. The study is a class room [PTK] assessment which is carried out in two cycles consisting of the design, implementation levels. , exploration, and description. The research results show the level of children's fine motor skills during teaching and learning activities at RA ROUDLOTUL ULUM ARROYAN. Before the researchers implemented the geometric shape cutting activity, 10 children [90%] had not yet developed and 1 child [9%] was starting to develop. results of the assessment of improving children's fine motor skills before the activity of cutting out geometric shapes [pre] cycle. Of 5 children [54%] with very low criteria. and in cycle 1 there was an increase to 90% with a very high increase. This shows that the actions carried out through the activity of cutting out geometric shapes can improve children's fine motor skills at RA ROUDLOTUL ULUM ARROYAN for the 2023-2024 academic year.
Keywords : Cutting, Fine Motor Skills, Geometric Shapes
MENINGKATKAN KEMAMPUAN MOTORIK KASAR ANAK USIA 3-4 TAHUN MELALUI KEGIATAN MELONCAT DENGAN PAPAN LONCAT di KB AZ ZAHRA
Authors: Lisatus sobah  , Prasetiya Benny 
Published: July 2024

This research aims to improve the gross motor skills of children aged 3-4 years through (jumping activities) using a diving board game (used cardboard APE) at KB Az Zahra. In the first semester of the 2023-2024 Academic Year. The research method used is the Kemmis and MC model Classroom Action Research method. Taggart, carried out in two cycles and each cycle consists of 5 meetings. Each step consists of 4 step, namely : a) planning, b) action, c) observation, d) reflection.Qualitative data analysis was carried out by observing the increase in the development of children’s gross motor ability criteria starting before the cycle until the second cycle. The criteria for children’s gross motor skills were set at 50%. Pre cycle data obtained an average of 57 %, then cycle I data obtained an average percentage of 79%, and cycle II data obtained an average of 83%. From the final results of cycle II, children obtained the highest results at 83%. Meanwhile, the one who got the lowest results with an average percentage of 46% was Raja. The conclusion is that the diving board game with jumping activities can improve the gross motor skills of children aged 3-4 years at KB Az Zahra.

Keywords: Gross Motor Ability, Jumping Activies, Classroom Action Research
PENGARUH KEPEMIMPINAN KEUCHIK TERHADAP PEMBERDAYAAN EKONOMI MASYARAKAT GAMPONG DI KECAMATAN PEUSANGAN KABUPATEN BIREUEN
Authors: Subarni Subarni , Yusuf M. , Musrizal Musrizal 
Published: July 2024

The research aims to analyze the influence of Keuchik leadership on the economic empowerment of gampong communities. This is a case study in Peusangan District, Bireuen Regency in 2022. With a quantitative approach using questionnaire instruments and analysis using regression and correlation. The research results stated; (1) the success rate of keuchik leadership is not optimal at 79.81%. And the village government's efforts to empower the community's economy have only reached 75.37%, which is in line with expectations. (2) From the regression analysis, it is proven that there is a significant influence of keuchik leadership in empowering the community's economy. From the correlation analysis, it was obtained that the geuchiek leadership variable contributed 63% to the economic empowerment of the community in Peusangan sub-district, Bireuen Regency.
APLICABILIDADE DOS CONHECIMENTOS CARTOGRÁFICOS EM SITUAÇÕES COTIDIANAS DOS ALUNOS DOS 6º ANOS DA ESCOLA DE ENSINO FUNDAMENTAL TARCILA CRUZ DE ALENCAR, EM JUAZEIRO DO NORTE, CEARÁ, 2024
Authors: Da Costa Terezinha Gonçalo 
Published: July 2024

Cartography has existed since the time of nomadic people, who already felt the need to orient themselves in geographic space in the search for survival and used the natural stars as guides. There is currently a consensus that cartography is an indispensable pedagogical resource linked to the teaching of Geography, since the analysis of space in its dimensions and shapes using cartographic representations makes it possible to visualize what is learned and what is taught, which is fundamental for the acquisition of knowledge and the training of students capable of analyzing geographic phenomena and relating them. Covering the science of Geography, the study of geographic space, the original nature and other knowledge from the world of Geography, this work presents the importance of cartographic literacy in basic education in schools, focusing on the 6th year of Elementary School. We sought to understand the teaching and learning processes involved in teaching Cartography in the 6th year, observing, however, the skills to be worked on raised in the National Common Curricular Base, regarding the teaching of Cartography in Elementary School. The present investigation fits into the positivist paradigm, adapting to the quantitative methodology, as well as containing bibliographical analysis, based on books and scientific articles. The research works by collecting data from a specific population to obtain their input, namely, 6th year students at E.E.F. Tarcila Cruz de Alencar in the municipality of Juazeiro do Norte, Ceará, which will consist of the application of a closed questionnaire of a sectional nature
Risk factors and characteristics of cervical cancer patients under 40 years old at Prof Dr I.G.N.G. Ngoerah Hospital Denpasar, Bali from January until December 2022
Authors: I Nyoman Gede Budiana  , I Nyoman Bayu Mahendra  , I Gde Sastra Winata  , Kade Yudi Saspriyana  , Kevin Agastya Duarsa  , Pande Made Suwanpramana  , Rayvany Uil  , Dewi Putu Pradnya Paramitha , Made Yudha Ganesa Wikantyas Widia  , Eric Gradiyanto Ongko  , I Gede Indra Kumara  , Charles Richard Thene  , Johan Qalaba  , Made Ayu Prabawaty Indraswari  , Ida Bagus Arjuna  , Putu Harrista Indra Pramana  , Ernest T. B. Sianturi  
Published: July 2024

Background: Cervical cancer is the main cause of death for women worldwide. 500.000 new cases and 250.000 deaths are reported each year. In Indonesia, women as young as 25 are being diagnosed with this disease. The study will be conducted at Prof.Dr.I.G.N.G Ngoerah Hospital from January to December 2022 to analyze cervical cancer patients under 40. This study aimed to see the profile and the distribution of 40 year-old women with cervical cancer at our hospital.
Methods: This descriptive study was conducted using medical records that were centered around female patients who were below 40 years of age and had been diagnosed with cervical cancer in Prof.Dr.I.G.N.G Ngoerah hospital in January - December 2022. Purposive sampling was done, and the samples were selected according to the inclusion criteria. The resulting data was presented in a table format.
Results: Fifty-one cervical cancer patients aged under 40 years were included, with most of the age group being 30 – 39 years (88.2%). Twenty-eight patients (54.9%) were in the two-to-three parity group. The most dominant stage of cervical cancer is stage IIIB, with a total of 20 people (39.2%). Non-keratinizing squamous cell carcinoma (NKSCC) was the most common histopathological appearance (64.7%).
Conclusions: The study found that cervical cancer commonly affects those between 30-39 years old, particularly in the form of NKSCC. Many patients are diagnosed in advanced stages of the disease. Early screening, education, and vaccination programs are crucial in preventing cervical cancer.