bluuebunny/crossref_metadata_2025_split huggingface dataset:
Developing and introducing structured cooperative self-directed learning activities for undergraduate medical students
Authors: Dulloo Puja , Patel Minal , Vedi Neeraj 
Published: June 2024

Objectives:
The National Medical Commission of India introduced Competency-based Medical Education in 2019 mandated duration allocation for the self-directed learning (SDL) activity in each course throughout the undergraduate medical programme. A successful implementation requires a structured methodology for the introduction of SDL activities for the undergraduate learner. The objectives of this study were as follows: (1) To develop and implement structured cooperative self-directed learning (Sc-SDL) activity for 1st-year medical students. (2) To explore perceptions of students for the developed process (Sc-SDL).

Materials and Methods:
A prospective cohort study for 1st-year medical students was initiated, exposing them to three Sc-SDL activities having sessions in a blended manner. The formative assessment score was analysed by mean, standard deviation and paired t-tests. A validated learner feedback questionnaire was submitted by the participants, which was analysed by the Friedman rank test and satisfaction index. Analysis for open-ended questions from the participants 3 months after completion of the course was by thematic analysis manually.

Results:
The academic score for topics taught through the Sc-SDL approach ranged from 67.62 ± 21.72 to 83.72 ± 24.34 (Activity-1–3), showing significant differences in scores for Activity-1 with 2, and Activity-1 with 3. The maximum satisfaction index score and Friedman rank, from the learner feedback questionnaire were for item 8 (8.80; 93.6%) and the minimum for item 10 (3.28; 57.83%). Three major themes other than suggestions for improvement were identified from the open-ended questionnaire.

Conclusion:
The Sc-SDL approach showed an increase in academic gain, thus enhancing the cognitive approach of the learner. The activity encouraged undergraduate students to attain attributional and social skills such as team-building, sharing, presentation skills and time and conflict management. However, input from other stakeholders needs to be considered.
Comparison of active release and post-isometric relaxation techniques on functional performance in patients with chronic lateral epicondylitis
Authors: Hanif Ans , Hafeez Sana , Arif Tooba , Habib Sidra 
Published: June 2024

Objectives:
Lateral epicondylitis (LE) occurs as a result of repetitive strain near the place of origin of the extensor carpi radialis brevis tendon. This is due to eccentric overload and repetition, causing chronic degeneration of the forearm’s common extensor tendons, which are attached to the lateral epicondyle of the humerus. This study aimed to assess the comparative effects of post-isometric relaxation (PIR) and active release techniques (ARTs) on pain inhibition, grip strength, and functional ability among individuals suffering from chronic LE.

Methods:
A randomized clinical trial was conducted on 30 individuals suffering from chronic LE. All of the subjects were randomly assigned to one of two treatment groups: PIR method or active release approach. Both groups received 12 sessions over four weeks. The numerical pain rating scale (NPRS), handheld dynamometer, and patient-rated tennis elbow evaluation (PRTEE) were used to assess the impacts of therapy before and after treatment sessions.

Results:
The results showed that the NPRS pain score, strength of the grip, and functional performance all showed substantial differences between the two groups (P < 0.05) as well as within-group differences (P < 0.05).

Conclusion:
The study concluded that PIR techniques were more effective as compared to ARTs for pain reduction, improved strength of gripping, enhanced functionality, and showed better outcomes in terms of mean difference of NPRS, dynamometer, and PRTEE scoring across the groups.
Effects of abdominal bracing maneuver during walking on trunk muscle endurance in healthy staff of Northwest Institute: A randomized controlled pilot study
Authors: Mumtaz Hifsa , Durani Alishba , Shoaib Waqas , Ahmad Uzair , Abidin Syed Zain Ul 
Published: June 2024

Objectives:
This study aimed to find the effect of abdominal bracing (AB) maneuver during walking on trunk muscle endurance in healthy individuals.

Methods:
A randomized control pilot study was conducted at Northwest Institute of Health Sciences Peshawar from July to December 2023. A total of 32 participants aged 25–40 were randomized to Groups A and B. Group A received AB maneuver with walking, while Group B received walking only. Both groups received a total of 12 sessions. Pre- and post-endurance testing was performed using McGill’s Torso Muscular Endurance Test.

Results:
The mean age of participants in Group A was 29.06 ± 5.14 years, while the mean age of participants in Group B was 27.62 ± 2.84 years. The mean and standard deviation of the flexor endurance test between Groups A and B after treatment were 27.37 ± 3.26 and 16.21 ± 2.24, respectively. A significant difference was observed in flexor endurance and right and left lateral flexor endurance between the two groups (P < 0.05). In contrast, no significant difference was observed in extensor endurance between the two groups, having P > 0.05. Within-group analysis in Group A revealed a significant difference in pre-post-intervention flexion, right and left lateral flexors, and extensors (P < 0.05). However, within-group analysis in Group B revealed a statistical difference in flexors endurance, which is not clinically significant.

Conclusion:
The AB maneuver with walking compared with walking alone may improve the endurance of the trunk flexors, specifically the right and left lateral flexors.
Cauda equina myxopapillary ependymoma in von Hippel-Lindau disease: A case report
Authors: Ribeiro Lucas , Rigau Valérie , Bauchet Luc 
Published: June 2024

Background:
Patients affected by Von Hippel-Lindau (VHL) are prone to develop central nervous system neoplasms such as hemangioblastomas (HBs). Myxopapillary ependymoma (MPE) is not commonly associated with VHL disease.

Case Description:
We present the first case of a VHL patient affected by simultaneous silent cauda equina MPE and a symptomatic conus medullaris HB. The patient was first operated for systemic tumors and followed for asymptomatic HBs. Simple surveillance was maintained until neurological symptoms appeared. Regular follow-up demonstrated objective growth of the cystic conus medullaris tumor while the cauda equina lesion remained stable. Surgery was performed to avoid further neurological worsening. Histopathological examination showed conus medullaris HB and a nearby cauda equina MPE.

Conclusion:
Simultaneous spinal HBs and isolated MPE may exceptionally occur in VHL patients.
A ventral brainstem neurenteric cyst – A case report and review of the pre-brainstem location
Authors: Lemos Samuel Sequeira , Sá Maria Inês , Casimiro Carlos Daniel , Guerreiro Carla , Faria Claudia 
Published: June 2024

Background:
Neurenteric cysts are uncommon, benign endoderm-derived lesions that result from aberrant embryologic development of the notochord. They are typically located in the intradural extramedullary spinal cord and rarely located intracranially. Contrary to spinal-located cysts, intracranial cysts are rarer in the pediatric population. Clinically, they may present with symptoms of mass effect, or they can be incidentally discovered.

Case Description:
A 10-year-old healthy female child presented with recurrent headaches. The physical and neurological examination was unremarkable. Brain magnetic resonance imaging (MRI) showed a well-demarcated lesion anterior to the pontomedullary junction with striking T1 and T2/T2 fluid-attenuated inversion recovery high-signal intensity and a small rounded nodule within of low signal on T1, T2, and T2*. On initial conservative strategy with serial brain MRI, there was a progressive enlargement of the lesion with significant mass effect on the brainstem. The patient underwent a right retrosigmoid craniotomy, and the cyst wall was fenestrated and drained. Part of the cyst wall and the solid nodule were adherent to the brainstem and basilar artery and were not removed. The histologic findings were consistent with the diagnosis of a benign endodermal cyst. The postoperative period was uneventful.

Conclusion:
We report a successful surgical treatment of this rare congenital cyst located in the ventral brainstem. We present pre-and post-operative imaging findings, intraoperative microscopic images of the procedure, and a brief review of relevant clinical literature on the topic.
Neuroendoscopic cyst fenestration for delayed enlargement of perianeurysmal cyst formation through long-term follow-up after endovascular treatment: A case report and review of literature
Authors: Sato Koichiro , Suzuki Kohei , Nakano Yoshiteru , Murakami Yu , Saito Takeshi , Yamamoto Junkoh 
Published: June 2024

Background:
Perianeurysmal cyst formation after endovascular treatment of cerebral aneurysms is a rare complication; however, the number of reports has gradually increased in recent years due to the development of several endovascular treatments.

Case Description:
We present a case of delayed perianeurysmal cyst enlargement 8 years after endovascular treatment for multiple recurrences of a large cerebral aneurysm in the anterior communicating artery. The patient presented with obstructive hydrocephalus caused by an enlarged perianeurysmal cyst. The patient underwent cyst fenestration using neuroendoscopy and ventriculoperitoneal shunting, recovered from the clinical symptoms, and had a good prognosis. Histopathological findings showed that the cyst wall contained a fibrotic layer under the monoependymal layer with hemosiderosis without evidence of neovascularization or inflammatory cell infiltration. These findings suggest that the origin of the perianeurysmal cyst wall is not the aneurysm itself but the adjacent brain tissue.

Conclusion:
Perianeurysmal cysts can develop during long-term follow-up, and clinicians should consider surgical treatment, including cyst fenestration, using neuro-endoscopy if the cyst presents with clinical symptoms.
acumulação originária que se renova
Authors: Prestes Pazello Ricardo , Uchimura Guilherme Cavicchioli , Soares Ferreira Matheus 
Published: June 2024

A partir de trabalho em campo de observação participante, pretendemos discutir a categoria da acumulação originária permanente a partir de dados e informações sobre o contexto epidemiológico de Barra Longa/MG, município brutalmente atingido pelo rompimento da Barragem de Fundão no ano de 2015. Observamos que os movimentos que organizam as populações atingidas pelo rompimento da barragem do Fundão, em Barra Longa, em especial o Movimento dos Atingidos por Barragens, têm no centro de sua intencionalidade política a reivindicação na participação e controle da proposta de reparação dos danos Ã saúde. Trata-se de uma participação protagônica, em oposição Ã participação agônica, esta realizada sob a forma da gestão empresarial do processo de reparação.
Surveillance of vancomycin-resistant enterococci reveals shift in dominating clusters from vanA to vanB Enterococcus faecium clusters, Denmark, 2015 to 2022
Authors: Hammerum Anette M , Karstensen Kasper Thystrup , Roer Louise , Kaya Hülya , Lindegaard Mikkel , Porsbo Lone Jannok , Kjerulf Anne , Pinholt Mette , Holzknecht Barbara Juliane , Worning Peder , Nielsen Karen Leth , Hansen Sanne Grønvall Kjær , Clausen Marianne , Søndergaard Turid S , Dzajic Esad , Østergaard Claus , Wang Mikala , Koch Kristoffer , Hasman Henrik 
Published: June 2024

Background
Vancomycin-resistant enterococci (VRE) are increasing in Denmark and Europe. Linezolid and vancomycin-resistant enterococci (LVRE) are of concern, as treatment options are limited. Vancomycin-variable enterococci (VVE) harbour the vanA gene complex but are phenotypically vancomycin-susceptible.

Aim
The aim was to describe clonal shifts for VRE and VVE in Denmark between 2015 and 2022 and to investigate genotypic linezolid resistance among the VRE and VVE.

Methods
From 2015 to 2022, 4,090 Danish clinical VRE and VVE isolates were whole genome sequenced. We extracted vancomycin resistance genes and sequence types (STs) from the sequencing data and performed core genome multilocus sequence typing (cgMLST) analysis for Enterococcus faecium. All isolates were tested for the presence of mutations or genes encoding linezolid resistance.

Results
In total 99% of the VRE and VVE isolates were E. faecium. From 2015 through 2019, 91.1% of the VRE and VVE were vanA E. faecium. During 2020, to the number of vanB E. faecium increased to 254 of 509 VRE and VVE isolates. Between 2015 and 2022, seven E. faecium clusters dominated: ST80-CT14 vanA, ST117-CT24 vanA, ST203-CT859 vanA, ST1421-CT1134 vanA (VVE cluster), ST80-CT1064 vanA/vanB, ST117-CT36 vanB and ST80-CT2406 vanB. We detected 35 linezolid vancomycin-resistant E. faecium and eight linezolid-resistant VVEfm.

Conclusion
From 2015 to 2022, the numbers of VRE and VVE increased. The spread of the VVE cluster ST1421-CT1134 vanA E. faecium in Denmark is a concern, especially since VVE diagnostics are challenging. The finding of LVRE, although in small numbers, ia also a concern, as treatment options are limited.
Pendampingan Pembuatan Suplemen Bahan Ajar Matematika dan Penelitian Tindakan Kelas di MGMP Matematika SMA/MA Kabupaten Tanah Laut
Authors: Idris Mochammad , Lestia Aprida Siska , Abdurrahman Saman , Hijriati Na’ímah , Lissa Hermei , Gunawan I Wayan Ari , Amalia Zharfa Rizqi , Andriani Asfia 
Published: June 2024

Pasca pandemi Covid-19, institusi pendidikan berbenah kembali dengan mengatur ulang pelaksanaan kurikulumnya. Hal ini menuntut guru berinovasi dalam mengembangkan keterampilannya. Guru sebagai salah satu sumber belajar menjadi tumpuan peserta didiknya dalam mencari informasi dan penjelasan, terutama mengenai kesulitan dalam memahami materi pelajaran, khususnya pelajaran matematika di tingkat SLTA. Tim Pengabdian Kepada Masyarakat (PKM) dari Program Studi Matematika FMIPA Universitas Lambung Mangkurat (ULM) berinisiatif mengajak mitra yaitu forum Musyawarah Guru Mata Pelajaran (MGMP) Matematika SMA/MA Kabupaten Tanah Laut Kalimantan Selatan dalam kegiatan PKM dengan peserta guru anggota MGMP tersebut. Tujuannya untuk meningkatkan inovasi guru dalam pembelajaran siswa dan dapat menerbitkan artikel ilmiah pada jurnal nasional. Metode yang digunakan dalam kegiatan ini berupa diskusi dan sharing dengan materi tentang pembuatan suplemen pelajaran matematika, teknis dalam Penelitian Tindakan Kelas (PTK), dan pengenalan metode statistika untuk analisis data. Pelaksanaan kegiatan berlangsung dengan lancar dan sesuai harapan. Para peserta memberikan apresiasi yang baik dan bersemangat untuk membuat PTK serta menyusun materi tambahan dalam pelajaran matematika. Harapan selanjutnya, peserta didik dari anggota MGMP dapat bertambah wawasan dan semakin meningkat kualitas hasil belajarnya.

After the Covid-19 pandemic, educational institutions have reorganized their curriculum implementation. This requires teachers to innovate in developing their skills. Teachers as one of the sources of learning become the focus of their students in seeking information and explanations, especially regarding difficulties in understanding subject matter, especially mathematics lessons at the high school level. The Community Service Team (PKM) from the Mathematics Study Program FMIPA Lambung Mangkurat University (ULM) took the initiative to invite partners, namely the forum for the High School Mathematics Teacher Consultation (MGMP) in Tanah Laut Regency, South Kalimantan, in PKM activities with teacher participants from the MGMP. The goal is to increase teacher innovation in student learning and be able to publish scientific articles in national journals. The method used in this activity is in the form of discussion and sharing with material on making math lesson supplements, techniques in Classroom Action Research (PTK), and introduction to statistical methods for data analysis. The implementation of the activity went smoothly and as expected. The participants gave good appreciation and were eager to make PTK and compile additional materials in math lessons. The next hope is that students from MGMP members can gain more insight and improve the quality of their learning outcomes.
Pemberdayaan MGMP Matematika SMA/MA Negeri dan Swasta Kabupaten Banyuwangi melalui Kemampuan Perancangan Program GUI-MATLAB untuk Mendukung Pembelajaran Matematika
Authors: Rohmah Ni'matur , Izaati Imama Nurus , Supriadi Supriadi 
Published: June 2024

Pembelajaran jarak jauh (online) di masa pandemi covid-19 mengharuskan guru berperan aktif dalam menyiapkan pembelajaran yang menarik, tidak membosankan, dan memahamkan bagi peserta didik. Tantangan lebih bagi guru matematika di era program merdeka belajar yaitu harus mampu menjadi fasilitator bagi peserta didik dengan melakukan inovasi-inovasi pembelajaran dikarenakan matematika menjadi pelajaran yang dianggap sulit, membosankan, dan terlalu abstrak. Oleh karena itu, salah satu cara agar matematika mudah divisualisasikan adalah melalui pembelajaran berbasis komputer. Adapun software yang dapat digunakan adalah dengan GUI-MATLAB. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan kompetensi guru dalam menyajikan media pembelajaran khususnya pelajaran matematika agar lebih menarik bagi peserta didik dengan alternatif program GUI-MATLAB. Pelaksanaan kegiatan ini melibatkan MGMP Matematika SMA/MA Kabupaten Banyuwangi dengan menggunakan metode penyajian materi pengantar, demonstrasi desain sederhana, praktik merancang GUI-MATLAB, dan diskusi dengan peserta. Kegiatan ini amat menarik bagi para guru matematika di era teknologi ini, dikarenakan dengan GUI-MATLAB dapat menarik bagi peserta didik, desain tampilan program dapat diatur semenarik mungkin, dan dapat memberikan pemahaman konsep matematika secara utuh.

Distance learning (online) during the COVID-19 pandemic requires teachers to play an active role in preparing interesting, not boring, and understanding learning for students. More challenges for mathematics teachers in the era of independent learning programs is must be able to become facilitators for students by making learning innovations because mathematics is a subject that is considered difficult, boring, and too abstract. Therefore, one way to make mathematics easy to visualize is through computer-based learning. The software that can be used is GUI-MATLAB. This community service activity aims to improve teacher competence in presenting learning media, especially mathematics lessons to make it more attractive to students with an alternative GUI-MATLAB program. The implementation of this activity involved the Mathematics MGMP of SMA/MA Banyuwangi Regency by using introductory material presentation methods, simple design demonstrations, GUI-MATLAB designing practices, and discussions with participants. This activity is very interesting for mathematics teachers in this technological era, because the GUI-MATLAB can be attractive to students, the program display design can be arranged as attractive as possible, and can provide a complete understanding of mathematical concepts.
Penguatan Literasi Matematika dan Sains melalui Pengelolaan Perpustakaan di Madrasah Tsanawiyah Padang Pariaman
Authors: Hasibuan Lilis Harianti , Jannah Miftahul , Putri Darvi Mailisa , Annur Lathifah , Syahadah Nadila 
Published: June 2024

Literasi adalah salah satu keterampilan yang harus dimiliki untuk menghadapi kemajuan teknologi saat ini. Kemampuan literasi membantu seseorang memahami suatu informasi secara akurat sehingga terhindar dari berita hoax yang marak beredar. Selanjutnya, dengan kemampuan literasi seseorang bisa berbagi pengetahuan melalui karya tulis yang berkualitas. Kemampuan literasi harus dilatih sejak dini, khususnya kemampuan literasi matematika dan sains. Kemampuan ini membuat seseorang dapat merumuskan, menggunakan dan menafsirkan matematika dalam berbagai konteks kehidupan yang tercangkup pada konsep, prosedur, fakta dan angka. Salah satu upaya yang dapat dilakukan untuk meningkatkan literasi matematika dan sains di sekolah adalah pengoptimalan peran perpustakaan. Metode yang digunakan dalam pengaplikasian upaya ini adalah service learning dimana metode yang membangun budaya pelayanan dan keterlibatan untuk bekerja bersama. Diperoleh dari hasil penelitian bahwa penguatan literasi matematika dan sains dapat dilakukan melalui pengoptimalan peran perpustakaan. Misalnya, diupayakan penyediaan ruang baca yang nyaman, tersedianya buku bacaan yang lengkap dan menarik. Ditambah program kunjungan perpustakaan dan pengelolaan pustaka meliputi adanya perencanaan, pengorganisasian, pelaksanaan dan pengawasan.

Literacy is one of the skills that must be possessed to deal with today's technological advances. Literacy skills help a person understand information accurately so as to avoid hoax news that is rampant in circulation. Furthermore, with literacy skills one can share knowledge through quality written works. Literacy skills must be trained from an early age, especially math and science literacy skills. This ability allows a person to formulate, use and interpret mathematics in various life contexts that include concepts, procedures, facts and figures. One of the efforts that can be made to improve mathematics and science literacy in schools is to optimize the role of the library. The method used in the application of this effort is service learning which builds a culture of service and engagement to work together. The research found that strengthening mathematics and science literacy can be done through optimizing the role of the library. For example, the provision of a comfortable reading room, the availability of complete and interesting reading books. In addition, library visit programs and library management include planning, organizing, implementing and monitoring.
ANALASIS KEBUTUHAN PENGEMBANGAN MODEL PEMBELAJARAN PENDIDIKAN JASAMANI BERBASIS KECERDASAN MAJEMUK DI SEKOLAH DASAR
Authors: Gani Ismail , Tomoliyus Tomoliyus , Hariono Awan , Rizkyanto Willy Ihsan , Adji Tito Pangesti 
Published: June 2024

Model pendidikan jasmani di Sekolah Dasar dapat dilaksanakan secara humanis serta memfasilitasi kecerdasan majemuk peserta didik. Penelitian ini bertujuan untuk mengetahui tingkat kebutuhan guru pendidikan jasmani dalam pengembangan model pembelajaran berbasis kecerdasan majemuk pada jenjang Sekolah Dasar.
Penelitian ini adalah penelitian deskriptif, dengan pendekatan kuantitatif. Fokus penelitian diarahkan pada lima faktor yaitu; 1) syntax; 2) sistem sosial; 3) prinsip reaksi; dan 4) sistem pendukung, dan 5) dampak. Sampel dalam penelitian ini adalah 48 responden guru PJOK Sekolah Dasar dari lima kabupaten/kota di propinsi DIY yang didapatkan menggunakan sistem purpose sampling. Pengumpulan data dalam penelitian ini dilakukan dengan menggunakan instrument berupa angket (kuesioner) yang terdiri dari 15 butir pernyataan dengan menggunakan skala likert skala 1 – 5. Teknik analisis data kuantitatif dilakukan dengan menggunakan uji statistik deskriptif dengan bantuan software SPSS. Data yang telah diperoleh melalui skor butir angket kemudian dikonversi menjadi persentase dan kategori.
Hasil penelitian memberikan gambaran bahwa kebutuhan pengembangan model pendidikan jasmani berbasis kecerdasan majemuk di sekolah dasar DIY dengan persentase 87.00 dan masuk dalam kategori sangat tinggi. Kelima faktor dari model pembelajaran masuk dalam kategroi sangat tinggi; diantaranya faktor sintax sebesar 87.63%, faktor sistem sosial sebesar 81.11%, prinsip reaksi sebesar 85.97%, sistem pendukung sebesar 87.39%, dan faktor dampak instruksional dan pengiring sebesar 88.12%. Hasil ini perlu ditindak lanjuti untuk pengembangan sebuah model pembelajaran pendidikan jasmani berbasis kecerdasan majemuk di Sekolah Dasar yang berlandaskan teori pendukung, teruji, serta efektif untuk diimplementasikan.