bluuebunny/crossref_metadata_2025_split huggingface dataset:
Treatment with oral or inhaled bronchodilator without inhaled corticosteroids in bronchial asthma: A dangerous weapon!
Authors: Patil Shital , Toshniwal Sham , Gondhali Gajanan 
Published: May 2024

Abstract
Bronchial asthma is the most common chronic lung disease in the obstructive airway disease category with the characteristic feature of “reversible” airflow obstruction. Despite an increase in awareness of risk factors, diagnosis, and treatment options available to treat bronchial asthma, more than half of cases received irrational treatment. Inadequate treatment is reasoning more morbidity and mortality of this easily treatable disease. Inhaled short- and long-acting bronchodilators, antimuscarinic agents, and inhaled corticosteroids (ICSs) are the cornerstone of the treatment of asthma and are categorized as “rescue and controller” role in disease management. Bronchodilators without ICSs are not recommended because of more harm than benefit in bronchial asthma. ICSs are the gold standard and the recommended treatment for asthma due to their anti-inflammatory and disease-modifying property labeled as “game changer role.” Bronchodilators with ICSs will have added benefit of symptom control, improvement in quality of life, and decrease in exacerbation. Combo of bronchodilators with ICSs will decrease the overall cost of care in asthma by improving disease control and decrease in emergency room visits and hospitalizations in intensive care units due to exacerbations.
Isolated Cystic Duct Dilatation: Type VI Choledochal Cyst
Authors: Jose Toney 
Published: May 2024

Abstract
Isolated cystic duct dilatation is an extremely rare congenital anomaly with fewer than 100 reported cases. Often referred to as Type VI choledochal cysts, they are associated with abnormal pancreaticobiliary junctions. Complete cyst excision with histopathological examination is the recommended treatment option. Here, we describe a patient with isolated dilatation of cystic duct who underwent laparoscopic cholecystectomy with cyst excision.
Lymphoma Masquerading as Thyroid Mass
Authors: Reslin T. K. Shifa , Viswanath U. V. Akshay , Maliekkal Joji I. , Joseph Abraham 
Published: May 2024

Abstract
Lymphomas are divided into Hodgkin’s and non-Hodgkin’s lymphoma (NHL). NHL arises usually from lymph nodes, but can rarely involve extranodal sites. Primary thyroid lymphomas are very rare, accounting for 2% of thyroid malignancies. Usually, primary thyroid malignancies manifest as a rapidly enlarging neck mass with pressure symptoms and cervical lymphadenopathy. Early diagnosis is crucial as it could alter the course of treatment and improve the prognosis. Here, we depict a rare case of NHL presenting as a thyroid mass; which appeared as frank pus intraoperatively.
A Prospective Study to Assess the Safety, Effectiveness and Outcome of Ultra-mini-Percutaneous Nephrolithotomy Surgery in the Management of Renal Stone Disease
Authors: Salim Faby , Ramjith U. S. , Shanavas C. 
Published: May 2024

Abstract

Introduction:
Renal stone disease is a common urological emergency. Percutaneous nephrolithotomy (PCNL) is considered the standard of care for large-volume stone disease. However, the morbidity associated with it has led the clinicians to consider the minimally invasive techniques such as mini-PCNL and ultra-mini-PCNL (UMP).

Aim:
This study aims to assess the efficacy and safety of UMP based on renal parenchymal tissue injury and intraoperative bleeding. The outcome of UMP based on the requirement of post-operative stenting, complication rates, incidence of residual stones, requirement of additional procedures on follow-up, duration of hospital stay and post-operative morbidity rate were also assessed.

Materials and Methods:
This was a prospective, hospital-based, observational study conducted in all patients who had renal stone disease with a relatively low stone volume, 5–25 mm stone size and who underwent UMP in the institution during 18 months. The data collected were statistically evaluated in terms of safety, outcome and effectiveness of UMP.

Results:
Of the 80 patients enrolled in this study, 62 (77.5%) were male and 18 (22.5%) were female. Complete stone clearance was achieved in 77 (95%) out of 80 patients using UMP, whereas the remaining 3 were converted into PCNL. The mean age of the patients was 49.73 ± 12.12 years. The average stone size was 11.57 ± 3.27 mm. The mean haemoglobin fall was only minimal 0.77 ± 0.71 g/dl. 96.3% of cases were stone free in the immediate post-operative period. The average pain score was 1.81 ± 0.92 on a Visual Analogue Scale of 10. The average hospital stay was 4.21 + 1.24 days.

Conclusion:
UMP is a technically safe, highly effective surgery for low-volume renal stone disease, with high stone clearance, lower complication rates and better patient compliance.
Indication and Role of Laparostomy in Management of Patients with Acute Intra-abdominal Sepsis and Trauma
Authors: Priyadharshini D. , Arockia M. Scott , Jeyasekharan Sabu , Vidyasagar P. Bala , Nithila C. 
Published: May 2024

Abstract

Introduction:
Laparostomy is a surgical treatment method, in which the peritoneal cavity is entered and deliberately left un-sutured, hence often called ‘open abdomen’. The abdominal contents are exposed and protected with temporary coverage. It is mainly done to avoid abdominal compartment syndrome (ACS).

Aim:
This study aimed to identify the indications and analyse the outcome of laparostomy in patients with acute intra-abdominal sepsis and trauma.

Materials and Methods:
This prospective study was conducted on laparostomy cases over a period of 14 months. Data were analysed for the indication, clinical course and outcome. Results were expressed as frequency percentage, means, procedural morbidity and overall mortality.

Results:
A total of 17 laparostomies were performed during the study period. Massive intra-abdominal sepsis with ACS was the most common indication followed by gangrenous intestine requiring re-looks. Mortality observed was 17%. The common complications noted were spontaneous enterocutaneous fistula in 33% of patients. Seventeen per cent of patients underwent redo surgeries. Primary closure was possible only in 11 patients.

Conclusion:
Laparostomy is a valuable emergency damage control measure in desperate situations of severe abdominal sepsis or trauma where it can prevent ACS which is life-threatening, despite its association with high morbidity and, consequently, long hospital stay.
An inflammatory Renal Pseudotumour Mimicking Urothelial Carcinoma
Authors: Gurugubelli Krishna Rao , Boda Bharat Kumar , Darsan S Lal , Moorthy H. Krishna 
Published: May 2024

Abstract
Although the incidence of renal malignancies has been on the rise, a broad spectrum of lesions, including hyperplastic, metaplastic, inflammatory, infectious and reactive, may occur in the urinary tract, which can mimic cancer and causing erroneous diagnoses. We present a rare case of chronic pyelonephritis with an inflammatory mass which mimicked urothelial carcinoma, which almost ended up in nephrectomy.
Kewirausahaan Untuk Kepemudaan: Pelatihan Pengelolaan Limbah Tempurung Kelapa Dalam Meningkatkan Pendapatan Pemuda Desa
Authors: Khoirin Kurniatul Fil , Erlina Een , Siswati Siswati , Julia Julia , Mashitah Dian , Miami Sukron 
Published: May 2024

Pengabdian masyarakat ini bertujuan untuk memberikan pemuda Desa Bantan Timur peluang wirausaha melalui pelatihan kewirausahaan. Proses kaji yang digunakan adalah PAR (Participatory Action Research). Ini dimulai dengan menganalisis masalah dan kebutuhan di wilayah Desa Bantan Timur, membuat rencana pelatihan untuk mendapatkan kemandirian ekonomi, kemudian melakukan tindakan, seperti mengubah tempurung kelapa menjadi benda yang berfungsi, dan terakhir, evaluasi dan refleksi. Bros jilbab, kotak tisu, hiasan dinding, hadiah, dan mahar pernikahan adalah produk akhir dari pelatihan ini. Produk ini akan menjadi modal usaha pemuda di desa Bantan Timur.
Pengembangan Aplikasi Pemandu Wisata Budaya dan Alam di Kabupaten Maluku Tenggara Berbasis Android
Authors: Martinino Watratan Andreas , Tundjungsari Vitri 
Published: May 2024

Penggunaan smartphone telah menjadi krusial bagi para wisatawan, khususnya di Kabupaten Maluku Tenggara, yang memiliki potensi pariwisata beragam di Kei Kecil dan Kei Besar. Namun, keterbatasan infrastruktur menjadi hambatan, termasuk terbatasnya jadwal penerbangan dan angkutan umum. Untuk mengatasi ini, penelitian ini bertujuan mengembangkan aplikasi panduan wisata berbasis Android yang tidak hanya memberikan informasi tetapi juga memandu wisatawan selama perjalanan. Aplikasi ini diharapkan dapat memenuhi kebutuhan wisatawan modern dengan menyediakan akses cepat, akurat, dan relevan terhadap objek wisata. Dengan demikian, perencanaan perjalanan dapat lebih optimal, mendukung pertumbuhan sektor pariwisata, dan meningkatkan pengalaman wisatawan di Kabupaten Maluku Tenggara. Metode Yang digunakan pada penelitian ini adalah Metode Waterfall. Tahapan penelitian menjelaskan langkah-langkah dari kegiatan penelitian yang telah dilakukan untuk mencapai tujuan yang diinginkan. Hasil penelitian menunjukkan efektivitas aplikasi dalam memberikan informasi dilihat dari jawaban responden yang disimpulkan bahwa aplikasi yang diciptakan menunjukkan potensi yang signifikan dalam memberikan informasi serta mempromosikan wisata di Kabupaten Maluku Tenggara
Analisis Proses Pembelajaran Matematika dengan Menggunakan Sistem Kategori Aktivitas Metakognitif-Diskursif
Authors: Moza Florida , Cohors-Fresenborg Elmar , Rato Elsiani Ana , Bulu Sesilia Irmaya , Bida Albina A. L. , Ate Stefanus Mario Sangu Ate 
Published: May 2024

Penelitian ini termasuk penelitian kualitatif interpretatif. Subjek penelitian ini adalah siswa kelas VII SMPK St. Paulus Karuni dan guru mata pelajaran matematika yang telah menerapkan pendekatan pembelajaran Metakognitif-Diskursif. Teknik pengumpulan data yang digunakan adalah video pembelajaran dan dokumentasi. Video pembelajaran yang telah diambil akan ditranskrip dengan menggunakan aplikasi Video Trankrip 10.8. Kemudian peneliti akan menganalisis transkrip video pembelajaran tersebut dengan Menggunakan Sistem Kategori Aktivitas Metakognitif-Diskursif. Hasil analisis pembelajaran tersebut berupa garis pancaran yang didalamnya terdapat nama guru dan siswa yang sedang berbicara dan juga kode pengkategorian yang sesuai pendidikan yang telah diucapkan.
Tujuan penelitian ini adalah menjelaskan hasil analisis proses pembelajaran berdasarkan sistem kategori aktivitas metakognitif-diskursif. Penelitian ini diharapkan dapat memberikan hasil analisis proses pembelajaran dengan pengkategorian yang tepat yang dapat bermanfaat untuk para guru atau pendidik dalam perbaikan proses pembelajaran yang baik. Pembelajaran yang baik terjadi ketika siswa di dalam kelas yang aktif, banyak memberikan ide dan komentar sedangkan guru hanya sebagai fasilitator. Hasil dari penelitian ini adalah hasil analisis menunjukkan bahwa dalam pembelajaran, guru memainkan peran penting dalam melatih siswa untuk menjelaskan jawaban secara teliti, memeriksa jawaban siswa lainnya, bertanggung jawab terhadap jawaban dengan memberikan argumen yang tepat, serta melakukan refleksi terhadap jawaban mereka sendiri. Siswa juga terlibat dalam budaya diskursif yang mencakup menjelaskan jawaban, bertanya kepada teman sekelas, dan meminta komentar atau jawaban alternatif, yang menciptakan lingkungan belajar yang tertib, mandiri, dan proaktif. Pendekatan pembelajaran ini efektif dalam mengembangkan keterampilan berpikir kritis, kolaboratif, dan reflektif pada siswa.
Pemanfaatan Instrumen Pembelajaran Cerita Pendek Karya Siswa
Authors: Rahmawati Ane 
Published: May 2024

AbstractThis research aims to describe how to use short story learning instruments for class XI SMK Sultan Agung Sumber. The method used in this research is a qualitative descriptive method. The data source for this research is Sultan Agung Sumber Vocational School. The method used in collecting data for this research is the observation method. The data is in the form of words, sentences, discourse which are a variety of written language in students' short stories. In the research process, the advanced technique used is the skilled listening and involvement technique. The data in this research is in written form so the written technique is used. Based on the results of the research, it shows that the building blocks of the short story are analyzed in terms of plot, character, point of view and setting raised in a short story written by students. Starting from the plot of the story, united by the characters of each character and the setting of the place, time to show the unity of the facts of the story. Penelitian ini bertujuan untuk mendeskripsikan bagaimana pemanfaatan instrumen pembelajaran cerpen kelas XI SMK Sultan Agung Sumber. Metode yang digunakan dalam penelitian ini adalah metode deskriptif kualitatif. Sumber data penelitian ini yaitu SMK Sultan Agung Sumber. Metode yang digunakan pada pengumpulan data penelitian ini adalah metode simak. Data tersebut berupa kata-kata, kalimat, wacana yang merupakan ragam bahasa tulis pada cerpen karya siswaTeknik lain yang dipakai pada penelitian ini, yaitu teknik catat. Data pada penelitian ini berbentuk tulis sehingga digunakan teknik catat. Berdasarkan hasil penelitian menunjukkan bahwa unsur pembangun dari cerpen tersebut menganalisis dari segi alur, karakter, sudut pandang, serta latar yang diangkat dalam suatu cerita pendek karya siswa. Berawal dari alur cerita, disatukan dengan adanya karakter setiap tokoh dan latar tempat, waktu untuk menunjukkan kesatuan fakta cerita.
Penerapan Pendekatan Komunikatif Berbantuan Teks Multimodal dalam Meningkatkan Kemampuan Menulis Siswa
Authors: Dumarista Evi Yesifina , Kembaren Johanes Suranta 
Published: May 2024

AbstractThe focus of the research is to determine the application of a communicative approach assisted by multimodal text in improving students' writing skills at Tzu Chi International School. The researcher used a single subject research design research method because the target behavior consisted of one student who was a Chinese citizen. The analysis used an A-B-A pattern so that researchers obtained significant results regarding the initial description (baseline 1), intervention, and final description (baseline 2) of the research. Each treatment was carried out between 2-3 times so that researchers could find a range of data trends. The final results of this research are expected to increase students' understanding in analyzing context and improve their ability to develop sentence ideas through their writing. Fokus penelitian untuk mengetahui penerapan pendekatan komunikatif berbantuan teks multimodal (text multimodal) dalam meningkatkan kemampuan menulis siswa di Tzu Chi International School. Peneliti menggunakan metode penelitian desain penelitian subjek tunggal karena target behaviour terdiri atas satu orang siswa berkewarganegaraan Tiongkok. Analisis menggunakan pola A-B-A sehingga peneliti memperoleh hasil signifikan terhadap gambaran awal (baseline 1), intervensi, dan gambaran akhir (baseline 2) penelitian. Masing-masing perlakuan dilakukan antara 2-3 kali sehingga peneliti dapat menemukan rentang tren data. Hasil akhir penelitian ini diharapkan dapat meningkatkan pemahaman siswa dalam menganalisis konteks dan meningkatkan kemampuan mengembangkan gagasan-gagasan kalimat melalui tulisannya.
Keefektifan Metode Role Playing Pada Keterampilan Menceritakan Kembali Isi Teks Fabel Di Kelas VII SMP IT Al-Marwat Kabupaten Cirebon
Authors: Sa'adah Iim Khotimah 
Published: May 2024

AbstractThe application of the Role Playing method can improve speaking skills and arouse students' interest in learning during the learning process. Therefore, selecting appropriate learning methods has a positive impact on students' learning experiences. This research is a quantitative research with a quasi-experimental design which aims to evaluate the effectiveness of using the Role Playing method in learning. The subjects of this research were students in class VII A and B, Cirebon Regency, with each class consisting of 25 students. The n-gain value of 0.4210 is categorized as high, and the T test results show a significance value of 0.000 &#60; 0.05. This indicates that the Role Playing learning method is significantly effective in improving students' skills in retelling the content of fable texts. Penerapan metode Role Playing dapat meningkatkan kemampuan berbicara dan membangkitkan minat belajar siswa selama proses pembelajaran. Oleh karena itu, pemilihan metode pembelajaran yang sesuai memiliki dampak positif pada pengalaman belajar siswa. Penelitian ini merupakan penelitian kuantitatif dengan desain quasi eksperimen yang bertujuan untuk mengevaluasi efektivitas penggunaan metode Role Playing dalam pembelajaran. Subjek penelitian ini adalah siswa kelas VII A dan B, dengan masing-masing kelas terdiri dari 25 siswa. Nilai n-gain sebesar 0,4210 dikategorikan tinggi, dan hasil uji T menunjukkan nilai signifikansi sebesar 0,000 &#60; 0,05. Hal ini mengindikasikan bahwa metode pembelajaran Role Playing secara signifikan efektif terhadap peningkatan keterampilan siswa dalam menceritakan kembali isi teks fabel.
Pengunaan Media Video Pembelajaran Melalui Platform Nearpod Pada Materi Teks Berita SMP
Authors: Rifa Nisrina Najla , Nurhamidah Didah 
Published: May 2024

AbstractThe research aims to evaluate the ability of class VIII middle school students in understanding news texts using learning video media via the Nearpod platform. A descriptive qualitative approach was used by observing junior high school students as the main data source. Students at Al-Ma'Arif Middle School filled out questionnaires as a data collection technique, which was then analyzed through reading, note-taking and documentation methods. The accuracy of the results of this research is guaranteed through source triangulation techniques, with researchers seeking information from various sources to ensure data accuracy. The research results show that the use of learning video media through the Nearpod platform received a positive response from students, thus indicating that the Nearpod platform is gaining acceptance of technology in the educational context. This research provides insight into how a multimedia approach can be an effective tool in improving educational standards by utilizing technology. The implications of this research can help develop more innovative learning strategies at junior high school level and can improve their understanding of news texts through video media. Penelitian ini bertujuan untuk mengevaluasi kemampuan siswa SMP kelas VIII dalam memahami teks berita dengan menggunakan media video pembelajaran melalui platform Nearpod. Pendekatan kualitatif deskriptif digunakan dengan mengamati siswa SMP sebagai sumber data utama. Siswa di SMP Al-Ma'Arif mengisi kuesioner sebagai teknik pengumpulan data, yang kemudian dianalisis melalui membaca, mencatat, dan metode dokumentasi. Keakuratan hasil penelitian ini dijamin melalui teknik triangulasi sumber, dengan peneliti mencari informasi dari berbagai sumber untuk memastikan keakuratan data. Hasil penelitian menunjukkan bahwa penggunaan media video pembelajaran melalui platform Nearpod meraih respons positif dari siswa, dengan begitu menandakan platform Nearpod mendapatkan penerimaan teknologi dalam konteks pendidikan. Penelitian ini memberikan wawasan tentang bagaimana pendekatan multimedia dapat menjadi alat yang efektif dalam meningkatkan standar pendidikan dengan memanfaatkan teknologi. Implikasi dari penelitian ini dapat membantu pengembangan strategi pembelajaran yang lebih inovatif di tingkat SMP dan dapat meningkatkan pemahaman mereka terhadap teks berita melalui media video.
Exploring Nonlinear Behavior of Gasket Joints in DEF Dosing Units through Finite Element Analysis
Authors: B. D. Patil  
Published: May 2024

Gaskets serve the crucial function of maintaining a durable seal within 2fixed components within a mechanical structure, even when subjected to varying pressures and temperatures during operation. Gasket joint is necessary in many mechanical systems to form a leak free joint. DEF dosing system is one of the examples where gasket joints are used to prevent exhaust gases leaking before going through SCR. Gasket joint requires certain minimum pressure to make leak free joints. If the gasket pressure goes below the pressure of the internal fluid in the assembly, then there are chances of leaking the fluid out. If the gasket pressure is increased by applying high bolt preload, then there may be chances of yielding of the flanges or this may cause damage to bolt/nut threads. So, there must be optimum gasket pressure in the assembly. The gasket pressure gets affected by many parameters. The present paper aims to avoid leak in case of gasket joints. There are number of parameters which affects the performance of the gaskets e.g. bolt preload, bolt tightening sequence, internal pressure, temperature of internal fluid, creep of gasket etc. Different analysis has been carried out to check effect of allthese parameter on the contact pressure at the gaskets joint. Initial gasket pressure was mainly controlled by bolt preload/torque. The effect of bolt torque on the performance of the gasket joint assembly was studied. A dimensional nonlinear finite element analysis was carried out on the gasket joint and sealing performance was correlated with experimental study. Different geometric configurations are studied at different bolt pre-load levels. Effect of bolt torque on gasket pressure as well as other components of the assembly was studied. The best configuration which gives gasket pressure above minimum required to maintain leak proof joint and with no yielding in the assembly has been recommended.
A Machine-based Robotic System for Precision Grinding Wheel Saw Replacement: Mathematical and Non-linear Analysis Perspective
Authors: Amit S. Chaudhary  
Published: May 2024

Steel is general material which is used in many applications and the demand of steel is huge in the world market. As the demand is huge then the industry need to produce the steel component in mass quantity. The cutting operation is done with the grinding wheel saw known as saving operation which need to be replaced frequently as it warn out quickly. The replacement need time which creates impacts on the productivity of needle, to avoid such delay in replacement an automatic system will be needed. This paper presents grinding wheel saw replacement through an intelligent robotic system, powered by machine technology, designed to swiftly replace grinding wheel saws. This system consists of mechanical arm with 6 axis and DOF manipulator. For the analysis purpose of newly system design FEA is applied. For the detection purpose a digital cam is placed for the positioning of machine vision. To test the system thousands of actual results are measured and collected for the reliable working of newly proposed system.