bluuebunny/crossref_metadata_2025_split huggingface dataset:
Conservative Management of a Traumatic Rotator Cuff Tear in a Patient With Multiple Comorbidities: A Case Study
Authors: Anders Jonathan 
Published: August 2024

BACKGROUND: Rotator cuff pathology is quite common in older adults, but traumatic rotator cuff tears are seen less frequently. The multifaceted nature of rotator cuff tears can make intervention selection challenging. This is especially true for high complexity patients with multiple comorbidities. CASE PRESENTATION: An elderly female presented with right shoulder pain, active range of motion deficits, and weakness after a fall on an outstretched hand 3 weeks prior. Examination findings pointed toward a likely full-thickness rotator cuff tear. Balance testing also indicated that the patient was a significant fall risk due to balance deficits. The patient also had many comorbidities, such as poorly controlled type II diabetes, that restricted invasive treatment options. OUTCOME AND FOLLOW-UP: Right shoulder active range of motion and strength greatly improved over the 14 weeks the patient was in physical therapy. Her self-rated disability greatly decreased during this time. These improvements were maintained at the 6-month follow-up. The patent continued to report falls, but at a reduced rate postdischarge from physical therapy. DISCUSSION: The outcomes of this case report suggest that there are potential benefits of individualizing established and evidenced-based protocols. The multicenter orthopaedic outcomes network (MOON) exercises were the basis of her rehabilitation. It was modified to the patient's specific capabilities and needs throughout her plan of care. JOSPT Cases 2022;2(4):181–188. Epub: 17 October 2022. doi:10.2519/josptcases.2022.10990
The Use of Spinal High-Velocity Thrust Manipulation and Changes in Serratus Anterior Strength in an Individual With Long Thoracic Nerve Palsy: A Case Report
Authors: Wise Christopher H. , Arnone James 
Published: August 2024

BACKGROUND: Spinal manipulation may produce neurophysiologic effects by stimulating central control mechanisms that result in an increase in strength. The purpose of this case report was to observe changes in serratus anterior (SA) strength in an individual with long thoracic nerve palsy who received spinal manipulation and exercise. CASE PRESENTATION: A 28-year-old female with diagnosis of long thoracic nerve palsy with SA weakness was seen for 8 visits for spinal manipulation, followed by 15 weeks of scapulothoracic stabilization exercise. OUTCOME AND FOLLOW-UP: Immediate and short-term (20 weeks) improvement in SA strength was reported. Scapular posture and dyskinesis improved, but deficits persisted. DISCUSSION: Although cause and effect cannot be established, manipulation followed by resistance training may have an impact on strength deficits resulting from peripheral nerve injury but appears to be insufficient in the amelioration of scapular dyskinesis. JOSPT Cases 2022;2(4):248–254. Epub: 12 October 2022. doi:10.2519/josptcases.2022.11177
Efficacy and safety of Ibalizumab for the treatment of HIV-1 infected patients: A systematic review
Authors: Murthy Aravind Baskar , Palaniappan Vijayasankar , Karthikeyan Kaliaperumal , Mohan Reenaa , Mary J. Jenifer Florence 
Published: August 2024

Objectives:
Human immunodeficiency virus (HIV) infection is a significant global health concern, due to the emerging complexity in the management of infection. The emergence of novel therapeutic agents, such as ibalizumab, has provided a ray of hope for individuals living with HIV. This systematic review provides a comprehensive analysis of the efficacy and safety of ibalizumab for the treatment of HIV-1-infected patients.

Material and Methods:
Using online medical literature databases and the preferred reporting items for systematic reviews and meta-analysis (PRISMA) guidelines, four of the 86 articles met the acceptance criteria to be analyzed. Details such as author name, year of publication, demographic characteristics, mode, and dose of drug administration, duration of treatment, comparator if any, baseline CD4 counts, and viral load, change in CD4 count and viral load, and the adverse events were noted in the studies.

Results:
The total number of patients enrolled in each study ranged from 22 to 82 with a median age ranging from 39 to 53. Except for the open-label dose-ranging cohort study, baseline CD4 counts and post-intervention CD4 counts were assessed in all the studies. The patients who received a higher dose of ibalizumab showed an early significant rise in CD4+T-cell count at week 16 and week 48. Although the viral reduction after ibalizumab injection increases from the dose of 3 mg/kg, it was noted that beyond 10mg/kg the viral load reduction was not increasing proportionately with 25 mg/kg. The adverse effects encountered among the four studies ranged from 45% to 91%. The commonly observed adverse effects were headache, diarrhea, nausea, fatigue, somnolence, and rash.

Conclusion:
Ibalizumab demonstrates promise as a therapeutic option for individuals with multidrug-resistant HIV-1. Its unique mechanism of action and positive impact on viral load reduction and CD4 cell counts make it a valuable addition to the armamentarium of HIV treatment options.
Factors affecting physicians’ specialty selection: A demographic and socioeconomic perspective
Authors: Magzob Mohamed , Mutasim Ali 
Published: August 2024

Objectives:
The medical field is advancing toward increasing specialization in knowledge, technology, and expertise. To meet the demands of quality health care, a practical, pragmatic, and well-balanced enrollment and distribution of physicians among specialties is crucial. The process of selecting a specialty as an ultimate future career is sensitive and conveys multidimensional implications on physicians, the health systems and society as a whole. Numerous complex and miscellaneous factors contribute to the development and adjustment of that decision that needs rigorous efforts to understand and hopefully control.

Material and Methods:
This is a cross-sectional and descriptive study, conducted through a comprehensive questionnaire encompassing demographic information, socioeconomic indicators, and components of the modified Kuppuswamy and MacArthur Scales. Data were collected using simple random sampling with considering design efficiency. Two-variable analysis with Pearson correlation and Chi-squared test was used to identify the associations and their significance. P < 0.05 was considered statistically significant.

Results:
A total of 389 respondents completed the questionnaire: 58.87% females, 41.13% males. Among them, 67.8% were internship physicians, and 32.2% were general practitioners. The mean Kuppuswamy score was 15.17, and the mean subjective socioeconomic status (SES) score was 4.28. Female physicians presented a critical propensity toward choosing obstetrics and gynecology, and pediatrics as their primary future career (P ≤ 0.01), whereas male physicians were more willing to specialize in surgical specialties (P ≤ 0.01). Obstetrics, gynecology, and family medicine correlated with below-average Kuppuswamy scores (P = 0.010359), while surgical specialties correlated with higher scores (P < 0.01). Physicians with above-average subjective SES scores preferred surgical specialties (P = 0.036596). Family medicine, obstetrics, gynecology, and pediatrics correlated with below-average subjective SES scores (P = 0.041828).

Conclusion:
Demographic and socioeconomic factors have a significant influence on physicians’ specialty preferences and selection.
Knowledge and attitude toward menopause among females’ secondary school teachers in Northcentral, Nigeria
Authors: Umar Sulaiman , Bilyaminu Yahya Bala 
Published: August 2024

Objectives:
The objectives of the study were to assess the knowledge and attitude toward menopause among females secondary school teachers in Northcentral Nigeria. and to find out the statistically significance association between their level of knowledge and their selected sociodemographic variables.

Material and Methods:
The research design used for this study was a descriptive survey design; a purposive sampling technique was used to select 50 respondents. Data were collected using a self-structured questionnaire to assess knowledge and attitude toward menopause among females secondary school teachers in Northcentral Nigeria. The data were analyzed using descriptive and inferential statistics with IBM Statistical Package for the Social Sciences Statistics version 26.0.

Results:
The results showed that 8 (16.0%) of the respondents had good knowledge, 10 (20.0%) had average knowledge, and the majority 32 (64.0%) had poor knowledge of menopause. Therefore, the H1:0 Hypothesis was accepted, while the H1:1 Hypothesis was rejected. The majority of the respondents, 36 (68.0%), had a positive attitude, while 16 (32.0%) had negative attitude toward menopause. Therefore, the H0:2 Hypothesis was rejected, while the H2:2 Hypothesis was accepted. There was a statistically significance association between their level of knowledge of menopause and their selected sociodemographic variables such as age (≥50 years), educational qualification (MA/MEd/MSc), and previous history of menopause (yes), P < 0.05. Hence, the H0:3 Hypothesis was rejected, while the H1:3 Hypothesis was accepted.

Conclusion:
Majority of the respondents had poor knowledge and a positive attitude toward menopause.
MEMORI DAN TRAUMA DALAM DUA NOVEL SASTRA INDONESIA-TIONGHOA KONTEMPORER
Authors: Russida Corvi Aldhecca 
Published: August 2024

In this paper, we will discuss two novels by contemporary Chinese authors, Debur Ombak Memanggilmu Kembali and Perkumpulan Anak Luar Nikah. This research aims to find out the memory and trauma that Chinese authors still carry in their works. This research uses Maurice Halbwachs' collective memory theory and Caruth's trauma theory. This research is qualitative and using two types of data, namely primary data and secondary data. Primary data is taken from the source of the material object, while secondary data consists of obtained from various sources such as books, scientific journals, articles, and video interviews and news (if needed). The results of the analysis of this paper show that the memory and trauma of Chinese-Indonesian authors are at least manifested in three ways, namely the memory and trauma of the events of May 1998, the author's tendency to bring up monoethnic characters in the novel, and the phenomenon of arranged marriages between Singkawang women and Taiwanese men. The events of May 1998 are considered as an event that psychologically attacked Chinese-Indonesians ethnic on a massive scale. That showed from the re-emergence of the event as a manifestation of the characters' trauma through flashbacks.Pada tulisan ini, peneliti mengkaji dua novel karya pengarang keturunan Tionghoa kontemporer, yaitu Debur Ombak Memanggilmu Kembali dan Perkumpulan Anak Luar Nikah. Penelitian ini bertujuan untuk mengetahui memori dan trauma yang masih dibawa oleh para pengarang keturunan Tionghoa dalam karyanya. Penelitian ini menggunakan teori memori kolektif Maurice Halbwachs dan teori trauma Caruth. Penelitian ini bersifat kualitatif dengan menggunakan dua jenis data, yaitu data primer dan data sekunder. Data primer diambil dari sumber objek material, sementara data sekunder terdiri dari diperoleh dari berbagai sumber seperti buku, jurnal ilmiah, artikel, dan video wawancara dan berita (jika diperlukan). Hasil analisis tulisan ini menunjukkan bahwa memori dan trauma pengarang beretnis Tionghoa-Indonesia setidaknya termanifestasi dalam tiga hal, yakni memori dan trauma peristiwa Mei 1998, kecenderungan pengarang memunculkan tokoh-tokoh yang monoetnis dalam novel, dan fenomena pernikahan pesanan antara perempuan Singkawang dengan pria berkebangsaan Taiwan. Peristiwa Mei 1998 dianggap sebagai peristiwa yang secara psikologis menyerang etnis Tionghoa-Indonesia secara masif. Hal tersebut terbukti dari dimunculkannya kembali peristiwa tersebut sebagai manifestasi trauma tokoh-tokohnya dengan cara kilas balik.
The impact of kahoot-based formative assessment on student learning outcomes at a Junior High School in Samarinda
Authors: Rahmayana Lia , Halim Abdul 
Published: August 2024

This study explores the impact of using Kahoot! as a formative assessment tool on student learning outcomes in English at SMPN 22 Samarinda. The research utilized a quasi-experimental design with pre- and post-test measures on Class VII-7 B. Findings revealed that Kahoot! significantly improved students' understanding of English grammar, particularly tenses. Data analysis was conducted using SPSS software, showing a notable increase in student achievement post-intervention. The study emphasizes the importance of integrating technology like Kahoot! in the classroom to enhance learning. Recommendations for future research and teacher strategies are also provided.
Kahoot! in a flipped classroom: A case study at Junior High School in Samarinda
Authors: Ananda Wiza , Halim Abdul 
Published: August 2024

The study explores the integration of Kahoot! within a flipped classroom approach at Junior High School in Samarinda, focusing on its impact on student involvement, motivation, and educational achievements in English language learning. The research employs a qualitative case study design involving first-grade students. Data collection methods include pre- and post-implementation surveys, semi-structured interviews, and observation. Thematic analysis analyzes the data, revealing insights into students’ experiences and perceptions. The study aims to contribute to both theoretical understanding and practical application of Kahoot! in language learning within a flipped classroom context. This study examines how Junior High School Samarinda uses Kahoot! in flipped classrooms, with an emphasis on how it affects student motivation, engagement, and academic performance when learning English. Data was gathered via surveys, interviews, and observations using a qualitative case study approach with students in first-grade students. The results showed that Kahoot! greatly raises student achievement and motivation, and average scores show a strong desire to use it. Although there are some technical difficulties and a learning curve, Kahoot! creates an engaging and dynamic learning environment that improves comprehension and retention of the content. The present study highlights the potential of Kahoot! to enhance academic results and suggests further investigation into creative pedagogical approaches that incorporate technology, like Kahoot!, to augment student involvement and the efficacy of instruction.
Pembinaan Guru Model dalam Matematika untuk Mengembangkan Minat dan Bakat Siswa dengan Teknik Self Management Semester Ganjil Tahun Pelajaran 2019/2020
Authors: Nafi’ah Siti 
Published: August 2024

Abstrak: Pembelajaran Matematika tidak lagi mengutamakan pada penyerapan melalui pencapaian informasi, tetapi lebih mengutamakan pada pengembangan kemampuan dan pemrosesan informasi. Teknik Self Management adalah metode untuk menunjang penelitian ini sebagai penyelesaian masalah manajemen dan motivasi dalam program-program pembelajaran individual. Tujuan penelitian ini adalah untuk (1) Mendeskripsikan peningkatan Mengembangkan Minat dan Bakat Siswa Matematika setelah melaksanakan program Matematika dengan diterapkannya metode pembelajaran Guru model dengan Teknik Self Management di SD Negeri 3 Demuk. (2) Meningkatan motivasi mengajar guru Matematika dengan diterapkannya metode pembelajaran Guru model dengan Teknik Self Management di SD Negeri 3 Demuk. (3) Mendeskripsikan hasil belajar siswa, setelah guru Matematika melaksanakan program Matematika dengan menerapkan metode pembelajaran Guru model dengan Teknik Self Management di SD Negeri 3 Demuk. Penelitian ini menggunakan metode pembelajaran Guru model dengan Teknik Self Management sebanyak dua siklus. Setiap siklus terdiri dari empat tahap, yaitu : rancangan, kegiatan dan pengamatan, refleksi, dan refisi. Sasaran penelitian ini adalah siswa kelas V dan VISD Negeri 3 Demuk Semester 1tahun pelajaran 2019/2020. Data yang diperoleh berupa hasil tes formatif, lembar observasi kegiatan belajar mengajar. Dari hasil analisis didapatkan bahwa ketuntasan belajar siswa dalam setiap siklus, yaitu siklus I naik 31,5% dan 35,5, siklus II naik 25.0% dan 20.7% Simpulan dari penelitian ini adalah metode pembelajaran Guru model dengan Teknik Self Management dapat berpengaruh positif terhadap Mengembangkan Minat dan Bakat Siswa serta dapat meningkatkan prestasi dan motivasi belajar siswa SD Negeri 3 Demuk, serta model pembelajaran ini dapat digunakan sebagai salah satu alternative pembelajaran Matematika.
Penerapan Metode Drill dalam Upaya Peningkatan Hasil Belajar Matematika yang Memuat Pangkat dan Akar Pada Siswa Kelas IX-E Semester 1 SMP Negeri 2 Campurdarat Tulungagung Tahun Pelajaran 2018/2019
Authors: Nafisah Zuhrotun 
Published: August 2024

Abstrak: Berdasarkan hasil observasi yang dilakukan di Kelas IX-Epada waktu pembelajaran Matematika diperoleh hasil bahwa Hasil belajarsiswa kurang memuaskan, yaitu dari 33 siswa hanya 14 siswa yang nilainya dapat mencapai KKM atau ≥ 70, sedangkan 19 siswa lainnya masih belum dapat mencapai KKM atau ≤ 69. Hal ini disebabkan karena guru kurang memberikan penekanan materi yang jelas tentang Pangkat dan Akar tersebut, setelah memberikan tugas kepada siswa, guru meninggalkan ruangan, guru tidak menggunakan strategi, maupun metode yang dapat digunakan untuk mengembangkan kreatif siswa, serta masih banyak siswa yang bermain sendiri pada saat pembelajaran berlangsung. Untuk itu agar dapat meningkatkan Hasil belajar siswa dalam menyelesaikan soal tentang Pangkat dan Akar serta untuk tercapainya tujuan pembelajaran perlu diadakan perbaikan pembelajaran dengan menerapkan Metode Drill. Penelitian ini menggunakan jenis penelitian tindakan kelas (PTK). Subjek penelitian adalah siswa Kelas IX-E. Dalam penelitian ini peneliti sebagai guru (pengajar), guru kelas (mitra peneliti) sebagai observer proses pembelajaran Pangkat dan Akar. Hasil penelitian menunjukkan bahwa penerapan Metode Drill untuk meningkatkan Hasil belajar siswa pada materi Pangkat dan Akarsiswa Kelas IX-E SMP Negeri 2 Campurdarat Tulungagung mempunyai kriteria keberhasilan baik. Hal inidibuktikan dengan adanya peningkatan Hasil belajar siswa berdasarkan nilai post test per siklus dengan nilai di atas KKM yaitu persentase pada siklus I 66,7%dan pada siklus II87,9%. Simpulan yang diperoleh dari hasil penelitian ini adalah bahwa penerapan pembelajaran Pangkat dan Akarmelalui Metode Drill dapat meningkatkan Hasil belajar siswa Kelas IX-E SMP Negeri 2 Campurdarat Tulungagung dan dapat mempermudah siswa dalam menyelesaikan persoalan Pangkat dan Akar. Oleh karena itu guru menggunakan Metode Drill dalam pembelajaran Matematika pada materi Pangkat dan Akar agar Hasil belajar siswa meningkat.
Peningkatan Penguasaan Kosakata dan Hasil Belajar Bahasa Inggris Materi Teks Naratif melalui Penerapan Model Pembelajaran Contextual Guessing Pada Siswa Kelas X Ips 5 SMA Negeri 1 Garum Tahun Pelajaran 2019/2020
Authors: Widaryanto Widaryanto 
Published: August 2024

Penelitian ini dilakukan untuk menjawab pertanyaan: (1) Apakahpenerapan model pembelajaran Contextual Guessing pada matapelajaran Bahasa Inggris materi Teks Naratif dapat meningkatkan penguasaan kosakata siswa kelas X IPS 5 SMA Negeri 5 Taruna Brawijaya Jawa Timur Tahun Pelajaran 2019/2020?, dan (2) Apakah penerapan model pembelajaran Contextual Guessing pada mata pelajaran Bahasa Inggris materi Teks Naratif dapat meningkatkan hasil belajar siswa kelas X IPS 5 SMA Negeri 1 Garum Tahun Pelajaran 2019/2020? Jenis penelitian yang dilakukan yaitu Penelitian Tindakan Kelas (class roo maction research). Penelitian dilakukan dalam dua siklus dimana setiap siklus meliputi perencanaan (planning), tindakan (action), observasi (observation), dan refleksi (reflection). Penelitian dilaksanakan di SMA Negeri 1 Garum. Subjek yang diteliti adalah siswa kelas X IPS 5 Tahun Pelajaran 2019/2020. Hasil penelitian menunjukkan bahwa penerapan model pembelajaran Contextual Guessingdapat meningkatkan penguasaan kosakata siswa. Hal ini dibuktikan dengan data pengamatan dan kuisioner siswa bahwa 81,43% siswa menyatakan peningkatan pada aspek konteks penggunaan kosa kata. Selain itu, 85,71% siswa berpendapat bahwa ada peningkatan pada aspek pengetahuan kosakata. Kemudian 75,71% siswa menyampaikan bahwa peningkatan juga terjadi pada aspek proses fundamental. Dan 70% siswa menyatakan bahwa ada peningkatan pada strategi metakognitif untuk aspek penggunaan kosakata. Penerapan model pembelajaran Contextual Guessing juga dapat meningkatkan hasil belajar siswa. Hal ini ditunjukkan dari hasil belajar siswa, nilai rata-rata kelas sebelum penerapan model pembelajaran contextual guessing adalah 55,66, mengalami peningkatan 13,77 poin menjadi 69,43 pada siklus I, dan kembali meningkat 9,71 poin menjadi 79,14 pada siklus II. Jumlah siswa yang memperoleh nilai mencapai KKM dan dinyatakan tuntas pun mengalami peningkatan. Pada data observasi awal hanya terdapat 7 dari 35 siswa yang tuntas (20%), kemudian mengalami peningkatan sebesar 46,67% pada siklus II menjadi 20 dari 35 siswa yang tuntas (66,67%), dan kembali meningkat sebesar 16,19% menjadi 29 dari 35 siswa yang tuntas (82,86%).
Strategi Peningkatan Hasil Belajar Bahasa Jawa tentang Tembang Macapat Dhandhanggula dengan Memanfaatkan Model Pembelajaran Direct Learning pada Siswa Kelas VIII-A Semester 2 SMP Negeri 1 Karangrejo Tulungagung Tahun Pelajaran 2018/2019
Authors: Nurkasanah Siti 
Published: August 2024

Penelitian ini bertujuan untuk meningkatkan hasil prestasi belajar siswa terhadap mata pelajara Bahasa Jawa materi tembang macapat dhandhanggula dengan menggunakan model pembelajaran direct learning pada siswa kelas VIII-A Semester 2 SMP Negeri 1 Karangrejo Tulungagung Tahun Pelajaran 2018/2019. Hal ini didasari oleh masih rendahnya nilai ketuntasan siswa akan materi tersebut. Diharapkan dengan menggunakan model pembelajaran direct learning maka nilai siswa dapat meningkat. Metode yang digunakan yakni penelitian penelitian tindakan kelas (PTK). Siklus yang digunakan sebanyak 2 dan masing – masing siklus memiliki tahapan yang terdiri dari perencanaan, tindakan, observasi dan refleksi. Hasil tindakan dengan model pembelajaran direct learning menunjukkan hasil jika dengan penerapan metode ini dapat meningkatkan hasil prestasi belajar siswa. Pada siklus I nilai ketntasan siswa yakni 61,4% dan pada siklus II mengalami kenaikan menjadi 93,2%.
Upaya Meningkatkan Prestasi Belajar IPA tentang Sistem Peredaran Darah Manusia melalui Creative Problems Solving pada Siswa Kelas VIII-G Semester 1 SMP Negeri 1 Karangrejo TulungagungTahun Pelajaran 2018/2019
Authors: Yamah Yamah 
Published: August 2024

Hasil observasi yang telah dilakukan apda siswa kelas VIII-G Semester 1 SMP Negeri 1 Karangrejo TulungagungTahun Pelajaran 2018/2019 mata pelajaran IPA materi sistem peredaran darah manusia diketahui jika nilai siswa masih rendah. Siswa mengaku masih banyak mengalami kesulitan dalam mempelajari materi tersebut. Oleh karen aitu diperlukan pengembangan metode pembelajaran salah satuya dengan Creative Problems Solving. Metode penelitian yakni PTK dengan 2 siklus dan 4 tahapan. Data yang diperoleh selanjutnya dianalisis dengan pendekatan deskriptif. Hasil penelitian menunjukkan jika penerapan pembelajaran Creative Problems Solving dapat meningkatkan aktifitas belajar dan nilai hasil prestasi belajar siswa kelas VIII-G Semester 1 SMP Negeri 1 Karangrejo TulungagungTahun Pelajaran 2018/2019 mata pelajaran IPA materi sistem peredaran darah manusia. Siklus I mendapatkan nilai 65,6% dan mneingkat pada siklus II menjadi 90,6%.