bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluating intraoperative ultrasound (IOUS) in focal cortical dysplasia (FCD) resection surgery: A systematic review
Authors: Al-Sousi AbdelSalam Nedal , Whelan Maria C. , Khalaf Zahra 
Published: May 2024

Background:
Surgery is the best approach to treating focal cortical dysplasia (FCD)-related epilepsy; yet, it has suboptimal outcomes because distinguishing the boundaries between the FCD region and normal brain tissue intraoperatively poses a challenge. The use of intraoperative ultrasound (IOUS) helps demarcate FCD lesion borders leading to more accurate intraoperative resection. In this review, the use of IOUS for the resection of FCD was evaluated.

Methods:
This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The Medline, Embase, Cochrane Library, Scopus Library, and Dynamed Library databases were searched, and two independent reviewers examined the articles. The search terms related to “drug-resistant epilepsy” and “intraoperative ultrasound.” The results between January 2008 and April 2022 were abridged for FCD type, ultrasound resolution, extent of lesion resection, correction of brain shift, postoperative neurological deficits, and postoperative seizure freedom (Engel classification).

Results:
Ten articles were included in the study. The parameters used to assess the efficacy of IOUS in FCD surgery were ultrasound resolution, demarcation of lesion boundaries, correction of brain shift, postoperative neurological deficits, and seizure freedom. Most studies have shown that IOUS produces high-resolution images. Surgery for Type 2 FCD patients had better outcomes than surgery for Type 1 FCD patients due to better visualization by IOUS. Patients were classified as Engel class 1 or class 2 postoperatively. Eight studies found that IOUS was superior to magnetic resonance imaging in brain shift correction.

Conclusion:
The preliminary results look promising, especially for the international league against epilepsy class 2 FCD. However, there is a need for more high-quality research evaluating the use of IOUS in FCD and comparing it to other intraoperative imaging modalities.
Apresentação - Linguagens, direitos humanos e diversidades
Authors: Silva Kleber Aparecido da , Silva Francisca Cordelia Oliveira da , Guedes Sônia Margarida Ribeiro , Dias Tatiana Rosa Nogueira 
Published: May 2024

Este dossiê foi gestado durante diversas discussões sobre educação e sobre o incômodo de perceber o quanto estamos distantes ainda de uma educação em que prevaleçam os direitos humanos e as diversidades. Apesar de a educação, em todas as suas conformações, acompanhar o desenvolvimento da humanidade; nações, países e povos sempre a utilizaram como ferramenta de poder, como meio para se chegar a lugares de poder, daí nossa necessidade de apresentar este dossiê com vozes oriundas de diferentes instituições e de diferentes lugares sociais.
Educação é poder e Lebrun (2004, p. 18) chama a atenção para um aspecto dicotômico do poder: “Só podemos o possuir às custas de outra pessoa” ou “o poder que possuo é a contrapartida do fato de que alguém não o possui”. No entanto, ressalta que o poder nem sempre é um “puro limite imposto à liberdade” (ibid., p. 20), já que ele se faz presente em todos os tipos de relação (econômicas, intelectuais, sexuais e em outras). Com a força dessa assertiva, podemos afirmar ser a educação uma das mais significativas arenas de poder em que direitos humanos e diversidades são, muitas vezes, postos à parte.
Quanto aos direitos humanos, a UNICEF[1] define-os como: "Os direitos humanos são normas que reconhecem e protegem a dignidade de todos os seres humanos. Os direitos humanos regem o modo como os seres humanos individualmente vivem em sociedade e entre si, bem como sua relação com o Estado e as obrigações que o Estado tem em relação a eles". Nesse rol de obrigações encontram-se a educação e o respeito à diversidade: temas aqui discutidos.

[1] Disponível em <https://www.unicef.org/brazil/o-que-sao-direitos-humanos>. Acesso em 1º dez. 2021.
Kemampuan Menyimak Bahasa Jerman Melalui Media Deutschtrainer A1
Authors: Magvira Magvira , Dalle Ambo 
Published: May 2024

Abstract. This research is a classroom action research that aims to improve the German listening skills of class X IPS 2 SMAN 4 Luwu through Deutschtrainer A1 learning media. The research was conducted in two cycles. Each cycle contains the stages of planning, implementing, observing and reflecting. The research data consisted of two types of data, namely qualitative data which is a description of the results of the implementation and results of observations during the learning process and quantitative data in the form of test results of students' listening abilities. The average score for the listening ability of class X IPS 2 students in cycle I was 56.47 and increased in cycle II to 80.88. The results showed that the Deutschtrainer A1 media could improve the German listening skills of class X IPS 2 students of SMAN 4 Luwu.Keyword: Listening Ability, Deutschtrainer A1, Germany
Hubungan Tingkat Pengetahuan Terhadap Perilaku Swamedikasi Diare Di Desa Gondang, Kecamatan Tugu Trenggalek
Authors: Marhenta Yogi Bhakti , Seran Krisogonus Ephrino , Farida Umul , Admaja Wika , Walujo Djembor Sugeng 
Published: May 2024

Diare merupakan penyakit yang ditandai dengan adanya perubahan bentuk dan konsistensi tinja, lembek sampai mencair dan bertambahnya frekuensi buang air besar lebih dari biasanya, bisa tiga kali atau lebih dalam sehari.Menurut data laporan yang dihasilkan dari BPS RI Provinsi Jawa Timur pada tahun 2020 data pemerintah Kabupaten Trenggalek mencatat adanya kasus diare yaitu mencapai 4596 kasus dengan prevalensi 6,01%. Tujuan penelitian ini untuk Mengetahui tingkat pengetahuan dan tingkat perilaku swamedikasi terhadap penyakit diare pada masyarakat Desa Gondang, Kecamatan Tugu, Kabupaten Trenggalek dan Mengetahui hubungan tingkat pengetahuan terhadap perilaku swamedikasi diare pada masyarakat Desa Gondang, Kecamatan Tugu, Kabupaten Trenggalek. Metode Penelitian ini adalah observasional analitik dengan desain penelitian berupa cross sectional. Kemudian data dianalisis menggunakan SPSS, data yang diambil berjumlah 152 responden. Hasil penelitian ini menunjukkan tingkat pengetahuan yang baik dengan jumlah 134 responden dengan persentase 88,2%, memiliki tingkat pengetahuan yang cukup yaitu 13 responden dengan persentase 8,6% dan tingkat pengetahuan yang kurang/rendah dengan 5 reponden dan persentase 3,3%. Sedangkan untuk hubungan tingkat pengetahuan dan tingkat perilaku swamedikasi memiliki nilai P value 0,000<0,05 dan kekuatan hubungan antara kedua variabel tersebut menunjukkan nilai 0,526 maka dinyatakan memiliki hubungan kuat.
The role of platelet rich plasma enriched fat graft for correction of deformities after conservative breast surgery
Authors: Shaaban Ahmed , Anwar Medhat , Ramadan Rabie 
Published: May 2024

BACKGROUND: Fat transfer has been widely used after breast conservative surgery (BCS) where it aims to recover shapes as a simple, inexpensive, biocompatible method but the technique is not without complications. Platelet Rich Plasma (PRP) is a promising approach to enhance fat graft survival and subsequently improve the outcome. The aim of this study was to evaluate the effect of enriching fat graft with PRP for delayed correction of deformities after conservative surgery for breast cancer regarding esthetic outcome and incidence of complications. METHODS: The current study included 50 female patients who were scheduled for delayed lipofilling for correction of deformities after conservative surgery for breast cancer. The studied patients were randomly allocated into 2 groups: Group I (G I) included 25 patients scheduled for PRP enriched lipoinjection and Group II (G II) included 25 patients scheduled for lipoinjection without PRP as a control group. RESULTS: Number of sessions of lipoinjection was significantly less in G I in comparison to G II (P = 0.024). During the 2nd session; the amounts of fat injected and harvested were significantly less in G I in comparison to G II (P = 0.049 and 0.001 respectively). Recipient site complications were significantly more evident in G II in comparison to G I (P = 0.01). Surgeon and patient satisfactions were significantly more evident in GI in comparison to G II (P = 0.005 and 0.029 respectively). CONCLUSION: The addition of PRP to fat grafts is a simple, cost-effective and safe method to improve esthetic outcome and decrease complications.
Assessment of Gray Matter Microstructural Alterations in Alzheimer’s Disease by Free Water Imaging
Authors: Nakaya Moto , Sato Noriko , Matsuda Hiroshi , Maikusa Norihide , Ota Miho , Shigemoto Yoko , Sone Daichi , Yamao Tensho , Kimura Yukio , Tsukamoto Tadashi , Yokoi Yuma , Sakata Masuhiro , Abe Osamu 
Published: May 2024

Background: Cortical neurodegenerative processes may precede the emergence of disease symptoms in patients with Alzheimer’s disease (AD) by many years. No study has evaluated the free water of patients with AD using gray matter-based spatial statistics. Objective: The aim of this study was to explore cortical microstructural changes within the gray matter in AD by using free water imaging with gray matter-based spatial statistics. Methods: Seventy-one participants underwent multi-shell diffusion magnetic resonance imaging, 11C-Pittsburgh compound B positron emission tomography, and neuropsychological evaluations. The patients were divided into two groups: healthy controls ( n = 40) and the AD spectrum group ( n = 31). Differences between the groups were analyzed using voxel-based morphometry, diffusion tensor imaging, and free water imaging with gray matter-based spatial statistics. Results: Voxel-based morphometry analysis revealed gray matter volume loss in the hippocampus of patients with AD spectrum compared to that in controls. Furthermore, patients with AD spectrum exhibited significantly greater free water, mean diffusivity, and radial diffusivity in the limbic areas, precuneus, frontal lobe, temporal lobe, right putamen, and cerebellum than did the healthy controls. Overall, the effect sizes of free water were greater than those of mean diffusivity and radial diffusivity, and the larger effect sizes of free water were thought to be strongly correlated with AD pathology. Conclusions: This study demonstrates the utility of applying voxel-based morphometry, gray matter-based spatial statistics, free water imaging and diffusion tensor imaging to assess AD pathology and detect changes in gray matter.
Multidomain Dementia Risk Reduction in Primary Care is Feasible: A Proof-of-concept study
Authors: Van Asbroeck Stephanie , Köhler Sebastian , Wimmers Sophie C.P.M. , Muris Jean W.M. , van Boxtel Martin P.J. , Deckers Kay 
Published: May 2024

Background: Dementia risk reduction is a public health priority, but interventions that can be easily implemented in routine care are scarce. Objective: To evaluate the feasibility of integrating dementia risk reduction in regular consultations in primary care and the added value of a dedicated smartphone app (‘MyBraincoach’). Methods: 188 participants (40–60 years), with modifiable dementia risk factors were included from ten Dutch general practices in a cluster-randomized trial (NL9773, 06/10/2021). Practices were randomly allocated (1 : 1) to provide a risk-reduction consultation only or to additionally provide the app. During the consultation, participants learned about dementia risk reduction and how to improve their risk profile. The app group received daily microteaching-notifications about their personally relevant risk factors. Feasibility was evaluated after 3 months using questionnaires assessing knowledge on dementia risk reduction and health behavior change. The primary outcome was change in the validated “LIfestyle for BRAin health” (LIBRA) score. In-depth interviews were conducted with participants and primary care providers (PCPs). Results: The interventions were positively perceived, with 72.0% finding the consultation informative and 69.2% considering the app useful. Drop-out was low (6.9%). LIBRA improved similarly in both groups, as did Mediterranean diet adherence and body mass index. Knowledge of dementia risk reduction increased, but more in the app group. Interviews provided insight in participants’ and PCPs’ needs and wishes. Conclusions: Integrating dementia risk reduction in primary care, supported by a smartphone app, is a viable approach towards dementia risk reduction. Larger trials are needed to establish (cost-)effectiveness.
More efficient use of household consumption and expenditure surveys (HCES) to inform food security
Authors: Mathiassen Astrid , Siyoto Owen , Kiøsterud Ellen Cathrine 
Published: May 2024

Household Consumption and Expenditure Surveys (HCES) collect comprehensive information on households’ consumption and can provide a range of analyses on access to food. They are key to estimating poverty (SDG 1.2.1) and Prevalence of Undernourishment (SDG 2.1.1). Before the food data becomes meaningful for analysis, it needs extensive preparation. While NSOs are responsible for poverty statistics and typically prepare the data for this purpose, it is often organizations or researchers that use the data for food security. Although the preparation of the data for these two purposes has a lot in common, they rely on different traditions and guidelines. This paper presents results from an ongoing project that aims to bridge the gap between these two processes. The project’s goal is that NSOs take the lead in preparing the HCES food data for all uses. An expected result is that the food security statistics will be available at the same time as the other main outputs from the survey and can be used for planning for improved food security. The project includes preparing a guideline for NSOs and others (endorsed by the United Nations’ Statistical Commission in 2024), building capacity in NSOs, and using results in a regional context.
Uji Efektivitas Infusa Rimpang Lengkuas Merah (Alpinia Purpurata K. Schum) Terhadap Kematian Larva Aedes Aegypti
Authors: Juariah Siti , Yusrita Eli , Nurliuta Nurliuta 
Published: May 2024

Aedes aegypti merupakan jenis nyamuk yang berperan sebagai vektor utama penyakit demam berdarah dengue (DBD), Dengue Hemorhagic Fever (DHF), filariasis, demam kuning (yellow fever), chikungunya dan demam Zika yang disebabkan oleh virus Zika. Banyak upaya yang telah dilakukan untuk menanggulangi penyakit DBD, diantaranya pemberantasan sarang nyamuk (PSN) lewat 3M (Menguras,Menutup, dan Mengubur), melakukan fogging dan pemberian abate, serta memelihara ikan pemakan jentik, pemberantasan jentik/larva nyamuk A. Aegypti dengan pemberian larvasida sintetik dan penggunaan insektisida kimiawi. Penggunaan insektisida kimiawi dan larvasida sintetik secara terus menerus dapat menyebabkan nyamuk jadi resisten, umumnya meninggalkan residu yang dapat membahayakan kesehatan manusia dan mengganggu keseimbangan lingkungan serta dapat membunuh hewan peliharaan dan juga manusia. Sehubungan dengan hal tersebut, maka perlu adanya penelitian mengenai biolarvasida sebagai pengganti larvasida sintetik dari tanaman yang memiliki senyawa yang dapat membunuh jentik/larva yang tidak memiliki efek samping terhadap kesehatan dan juga lingkungan yang dapat membahayakan penggunanya. Salah satu tanaman yang berpotensi sebagai biolarvasida adalah rimpang lengkuas merah (Alpinia Purpurata K. Schum). Penelitian ini bertujuan untuk mengetahui jumlah kematian larva setelah diberikan infusa rimpang lengkuas merah (Alpinia Purpurata K. Schum). Jenis penelitian yang digunakan adalah Eksperimen Laboratorium dengan desain penelitian fokus untuk menguji efektifitas infusa rimpang lengkuas (Alpinia Purpurata K. Schum) terhadap kematian larva Aedes aegypti. Konsentrasi 25% merupakan konsentrasi yang paling efektif dalam membunuh larva nyamuk Aedes aegypti. Dengan begitu maka semakin tinggi konsentrasi maka semakin tinggi pula tingkat kematian larva nyamuk.
Pengaruh Aromaterapi Lavender Terhadap Intensitas Nyeri Persalinan Kala 1 Di Desa Sungai Keledang Kota Samarinda Provinsi Kalimantan Timur
Authors: Lestari Shelvi Ovi , Rahmawati Renyta 
Published: May 2024

Salah satu cara non-farmakologis untuk mengurangi nyeri persalinan yaitu dengan aromaterapi lavender. Penelitian ini bertujuan untuk mengetahui pengaruh aromaterapi lavender terhadap intensitas nyeri persalinan kala I di desa sungai keledang kota Samarinda Provinsi Kalimantan Timur. Jenis penelitian ini Pre-Eksperimen dengan model rancangan One-Group Pretest-Posttest Design. Populasi dalam penelitian ini adalah semua ibu bersalin di PMB Siti Murtofiah A.Md Keb dan klinik Kusuma desa sungai keledang kota Samarinda Provinsi Kalimantan Timur. Sampel penelitian diambil dengan teknik Accidental Sampling sebanyak 30 sampel. Hasil analisis bivariat dengan uji statistik Wilxocon Signed Ranks pada batas kemaknaan α=0,05 diperoleh nilai ρ value =0,000 (ρ < 0,05) artinya terdapat pengaruh yang bermakna antara tingkat nyeri sebelum dan setelah diberikan aromaterapi lavender sehingga dapat disimpulkan ada pengaruh aromaterapi lavender terhadap intensitas nyeri persalinan kala I di di desa sungai keledang kota Samarinda Provinsi Kalimanta Timur. Diharapkan aromaterapi lavender dapat dijadikan sebagai alternatif non-farmakologi untuk mengurangi nyeri persalinan dan dapat diaplikasikan dalam pelayanan kebidanan maternitas.
Kajian Program CANGKAL Dalam Percepatan Penurunan Stunting Di Kampung Keluarga Berkualitas Puruk Cahu Seberang, Kabupaten Murung Raya
Authors: Yuliani Ni Nyoman Sri , Faradila Faradila , Suparyani Ni Ketut Adhi , Riduan Muhammad , Sari Rahmita 
Published: May 2024

Kampung KB di Provinsi Kalimantan Tengah dilaksanakan dengan mengutamakan daerah yang masuk prioritas stunting termasuk Kabupaten Murung Raya yang prevalensi stuntingnya pada status merah yaitu 40,9 % tahun 2022. Kampung KB Puruk Cahu Seberang melaksanakan upaya percepatan penurunan stunting melalui Program kerja Puskesmas Puruk Cahu Seberang yaitu Program CANGKAL yang telah berhasil menurunkan angka stunting. Penelitian ini merupakan kajian praktik baik menggunakan cross sectional study dengan pendekatan kualitatif. Teknik pengumpulan data yaitu data Primer diperoleh wawancara mendalam (in depth interview), Focus Group Disscusion dan observasi kepada informan, observasi dan telaah dokumen. Analisis secara deskriptif dan validitas data mengunakan triangulasi metode, triangulasi sumber dan triangulasi data. Pelaksanaan program CANGKAL berupa pendataan keluarga berisiko stunting,, audit kasus stunting di tingkat kabupaten, edukasi sosialisasi pengetahuan tentang risiko kesehatan stunting, gerebek stunting, bantuan sosial kepada keluarga sasaran stunting, dan praktik Dapur Sehat Atasi Stunting (DASHAT). Pengasuhan anak stunting secara berkala telah dilakukan berupa kunjungan secara langsung datang ke rumah KRS. Pendampingan terintegrasi pada anak remaja putri, ibu hamil, ibu bersalin dan ibu balita kegiatan Posyandu rutin setiap bulannya. Program CANGKAL memberikan dampak positif dalam penurunan angka stunting di Kampung KB Puruk Cahu Seberang. Namun terdapat beberapa faktor hambatan yang memerlukan perbaikan agar program ini dapat berjalan dengan optimal untuk dapat mempertahankan hasil pemulihan stunting.
Dexmedetomidina vs midazolam: Desfecho no pós-operatório do paciente idoso
Authors: Menezes Gabrielle Campos de , Almeida Lara Aladim , Nóbrega Maria Eduarda Galvão Xavier da , Moreira Vinícius Machado 
Published: May 2024

Introdução: Em 2023, a Assembleia Mundial da Saúde organizada pela OMS comemorou o marco de aumento em 50% da média global da expectativa de vida. O impacto dessa transição demogŕafica no contexto médico e cirúrgico é expressivo, tendo em vista a necessidade de uma maior ponderação relacionada à maior sensibilidade de idosos a reações adversas no pós-operatório. Objetivo: Analisar o impacto do uso da medicação dexmedetomidina em detrimento do midazolam no desfecho pós operatório do paciente idoso. Metodologia: Trata-se de uma revisão integrativa da literatura, incluindo 20 artigos publicados entre os anos de 2018 e 2023 nas plataformas PubMED, Lilacs, BVS e Google Acadêmico. Utilizou-se os descritores dexmedetomidine, midazolam, elderly, postoperative, combinados com o operador booleano “AND”. Resultados: A dexmedetomidina se destacou por meio de significativas vantagens em relação ao número de delirium pós operatório, agitação psicomotora, depressão respiratória, dor, qualidade do sono, necessidade de oxigênio, tremores e sedação residual. É válido dar ênfase à proteção da função cognitiva proporcionada aos pacientes idosos que fizeram o seu uso. Conclusão: A administração da dexmedetomidina como sedação intraoperatória evidenciou um menor índice de complicações pós-operatórias na população idosa quando comparada ao midazolam. Contudo, faz-se necessário a elaboração de novos estudos acerca dos efeitos dessas drogas em contextos isolados, sem comparativos com outras medicações, especificamente no cenário intra e pós-cirúrgico.
Robotic exoskeleton-assisted walking rehabilitation for stroke patients: a bibliometric and visual analysis
Authors: Wen Shuangshuang , Huang Ruina , Liu Lu , Zheng Yan , Yu Hegao 
Published: May 2024

Objective:This study aimed to conduct a bibliometric analysis of the literature on exoskeleton robot assisted walking rehabilitation for stroke patients in the Web of Science Core Collection over the past decade.Method:Retrieved literature on exoskeleton robot assisted gait training for stroke hemiplegic patients from the Web of Science Core Collection from 1 January 2014 to 31 January 2024. The search method was topic search, and the types of documents were “article, meeting abstract, review article, early access.” CiteSpace was used to analyze the search results from countries, institutions, keywords, cited references and cited authors.Result:A total of 1,349 articles were retrieved, and 1,034 were ultimately included for visualization analysis. The annual publication volume showed an upward trend, with countries, institutions, and authors from Europe and America in a leading position. The core literature was also published by authors from European and American countries. The keywords were divided into 8 clusters: # 0 soft robotic exit, # 1 robot assisted gain training, # 2 multiple scales, # 3 magnetic rheological brake, # 4 test retest reliability, # 5 electromechanical assisted training, # 6 cerebra salary, and # 7 slow gain. The early research direction focused on the development of exoskeleton robots, verifying their reliability and feasibility. Later, the focus was on the combination of exoskeleton robot with machine learning and other technologies, rehabilitation costs, and patient quality of life.Conclusion:This study provides a visual display of the research status, development trends, and research hotspots, which helps researchers in this field to grasp the research hotspots and choose future research directions.