bluuebunny/crossref_metadata_2025_split huggingface dataset:
Characteristics of Patients with Spinal Cord Injury Caused by Accident in Denpasar during 2020–2022
Authors: Budiman Ardelia Clara , Wardhana Wisnu , Maliawan Sri , Niryana I Wayan 
Published: April 2024

Background:
Spinal cord injury (SCI) is an injury located on the medulla spinalis, which could cause damage to the motor and sensory system. There are four mechanisms of accidents, which are traffic accidents, falls from height, sports accidents, and occupation-related accidents. Research regarding SCI caused by accident in Denpasar is still limited; therefore, to understand patients’ demography and clinical characteristics, further research is needed.

Subjects and Methods:
This research was a descriptive, cross-sectional research using total sampling and a prospective approach taken from the medical records of patients who are referred to the neurosurgeon department at Prof. Ngoerah General Hospital.

Results:
Based on the research results, most patients who are suffering from SCIs are male (73.5%), within the age range of 50–59 years old (22.1%), with falling from heights as the most common mechanism of accident, majority of it are classified as Grade A classification (33.8%). Most cases appeared with fractures (77.9%), and most were found in the cervical region (66%). As for the treatment, surgery interventions are more common (63.2%).

Conclusions:
Patients with SCI due to accidents are dominated by men, with the largest age group being 50–59 years old. The most common mechanism of accident is falling from height, and the majority of the cases are classified into Grade A using the American Spinal Injury Associaton classification. The majority of the cases are accompanied by fractures, especially in the cervical. Most of the cases are carried out by surgery interventions.
Ocular sarcoidosis: A clinicopathological study
Authors: Fajardo Angela , Marcotte Emily , Regueira Stephanie , Deschenes Jean , Darvish Mahshad , Burnier Miguel 
Published: April 2024

Abstract

Purpose:
This study aims to deliver an in-depth analysis and detailed account of 15 patients diagnosed with ocular and periocular sarcoidosis, each case substantiated by biopsy and histopathological examination. Furthermore, our series emphasizes the critical role of computed tomography (CT) scans in assessing the lacrimal gland, particularly when clinical symptoms, paraclinical findings, and radiological evidence suggest the presence of sarcoidosis.

Methodology:
We conducted a retrospective analysis of biopsy-diagnosed sarcoidosis cases at the MUHC-McGill University Ocular Pathology and Translational Research Laboratory spanning from 1995 to 2023. Pathological descriptions were thoroughly assessed, and clinical information was obtained from medical records for each patient.

Results:
A total of 15 cases were analyzed, 8 females and 7 males, with ages ranging from 16 to 89. All biopsies revealed granulomatous inflammation characterized by discrete, noncaseating granulomas. The most common site for biopsy was the lacrimal gland, followed by conjunctiva. Patients who underwent lacrimal gland biopsy exhibited bilateral, symmetrical enlargement of the gland, as confirmed by a CT scan.

Conclusion:
Diagnosing sarcoidosis presents significant challenges. Conducting blind biopsies is inadvisable and should be avoided. Targeted biopsies of abnormal lesions in the conjunctiva and eyelid have been proven to be diagnostic. In cases of suspected sarcoidosis, a CT scan of the orbit serves as an invaluable tool for determining the optimal biopsy site, thereby enhancing diagnostic accuracy.
Superior Vena Cava Syndrome in a Case of Interstitial Lung Disease
Authors: Anuja R. , Alina K. , Midhun M. , Sukumaran P. , Lintu R. K. 
Published: April 2024

Abstract
Superior vena cava (SVC) syndrome is mostly seen secondary to malignancies, while benign causes account for only 30% of cases. This case report is of a 62-year-old obese male diagnosed with interstitial lung disease (ILD) non specific interstitial pneumonia (NSIP) pattern on steroids for 1 year and antifibrotics for 3 months came with exacerbation of dyspnea, orthopnea, and nonproductive cough of 3 months duration. He had a facial plethora, watering of eyes, dilated veins over the chest, striae over the abdomen, and Grade 2 clubbing clinically suggestive of SVC obstruction. Contrast-enhanced computed tomography (CT) thorax revealed mediastinal lipomatosis compressing SVC and bilateral brachiocephalic veins. His steroids were tapered and stopped, and he was initiated on pioglitazone. Serum cortisol level was normal suggestive of exogenous Cushing’s disease. Repeat CT taken after 5 months showed reversal of SVC obstruction with no progression of ILD.
Atypical Presentation of an Unusual Infection
Authors: Soumya Vasantha Somarajan , Ameer K. A. , Arjun Rajalakshmi , Abraham Sujith Varghese , Mohammed Sanowfer , Padmanabhan Arjun 
Published: April 2024

Abstract
Melioidosis presents with a diverse range of clinical manifestations affecting various organs, with pneumonia being the most common pulmonary presentation. Isolated mediastinal lymphadenopathy with fever as presentation is rare. Here, we present a case of melioidosis, presenting as pyrexia of unknown origin with mediastinal lymphadenopathy.
COVID-19 Vaccine Hesitancy and Its Causes among Elderly Family Members of Health-care Workers
Authors: Thomas Nisha , Adarsh N. , Adyanthaya B Shreyas , Bopaiah K. Nisha , Harshith K. H. , Sharma M. Vishnu 
Published: April 2024

Abstract

Introduction:
Vaccination has proven to be an effective preventive measure against COVID-19. The main hindrance for COVID-19 vaccination is vaccine hesitancy. Attitude of health-care workers (HCWs) toward vaccination is vital to promote vaccination and reduce vaccine hesitancy. HCWs are expected to promote COVID-19 vaccination and educate their family members for vaccination. Thus, it is important to know the reasons for vaccine hesitancy among elderly family members of HCWs so that these barriers can be overcome by proper measures.

Methodology:
This was a single-center cross-sectional study conducted by questionnaire-based interviews of HCWs pertaining to the COVID-19 vaccination details of their elderly household members. Questions with Likert scale-type responses were used to discern the reasons for vaccine hesitancy.

Results:
Among the study group, 38% were found to have high vaccine hesitancy. Low educational status (P = 0.0001), rural area of residence (P = 0.001), and female gender (P = 0.028) as well as the occupation of the HCW respondent (P = 0.011) were found to be significantly associated with high vaccine hesitancy. Fear of unknown side effects (52.6%), difficulties with vaccination slot booking (48.4%), belief of low risk for contracting COVID-19 disease, fear of the vaccine side effects, fear of vaccine itself causing COVID-19 illness, and mistrust against the vaccine manufacturers were the most common reasons for vaccine hesitancy.

Conclusion:
High vaccine hesitancy was found among elderly individuals with lower education status, female gender, and residence in rural areas. Fear of side effects of vaccine and contracting COVID-19 from the vaccine, logistical and technical difficulties, belief of low disease risk, and mistrust against the vaccine manufacturers were the most common reasons for vaccine hesitancy.
Estimating Prevalence and Infection Intensity of Soil-Transmitted Helminths Using Quantitative Polymerase Chain Reaction and Kato-Katz in School-Age Children in Angola
Authors: Soultani Muzhgan , Bartlett Adam W. , Mendes Elsa P. , Hii Sze Fui , Traub Rebecca , Palmeirim Marta S. , Lufunda Luis M. M. , Colella Vito , Lopes Sergio , Vaz Nery Susana 
Published: April 2024

ABSTRACT.
Quantitative polymerase chain reaction (qPCR) is gaining recognition in soil-transmitted helminth (STH) diagnostics, especially for Strongyloides stercoralis and differentiating hookworm species. However, sample preservation and DNA extraction may influence qPCR performance. We estimated STH prevalence and infection intensity by using qPCR in schoolchildren from Huambo, Uige, and Zaire, Angola, and compared its performance with that of the Kato-Katz technique (here termed Kato-Katz). Stool samples from 3,063 children (219 schools) were preserved in 96% ethanol and analyzed by qPCR, of which 2,974 children (215 schools) had corresponding Kato-Katz results. Cluster-adjusted prevalence and infection intensity estimates were calculated by qPCR and Kato-Katz, with cycle threshold values converted to eggs per gram for qPCR. Cohen’s kappa statistic evaluated agreement between qPCR and Kato-Katz. DNA extraction and qPCR were repeated on 191 (of 278) samples that were initially qPCR negative but Kato-Katz positive, of which 112 (58.6%) became positive. Similar prevalence for Ascaris lumbricoides (37.5% versus 34.6%) and Trichuris trichiura (6.5% versus 6.1%) were found by qPCR and Kato-Katz, respectively, while qPCR detected a higher hookworm prevalence (11.9% versus 2.9%). The prevalence of moderate- or high-intensity infections was higher by Kato-Katz than by qPCR. Agreement between qPCR and Kato-Katz was very good for A. lumbricoides, moderate for T. trichiura, and fair for hookworm. Strongyloides stercoralis prevalence was 4.7% (municipality range, 0–14.3%), and no Ancylostoma ceylanicum was detected by qPCR. Despite suboptimal performance, presumably due to fixative choice, qPCR was fundamental in detecting S. stercoralis and excluding zoonotic A. ceylanicum. Further evaluations on sample fixatives and DNA extraction methods are needed to optimize and standardize the performance of qPCR.
Cultura Complexa e Comunidades Singulares: ensaios sobre a fratura de si nas formas do contemporâneo
Authors: Farina Mauricius Martins 
Published: April 2024

Esse texto tratará de uma metáfora do coletivo relacionada à dificuldade de estabelecer sentidos de futuro, estando a linguagem enredada numa falácia ao se construir o pensamento. Investirá também sobre um cogitar, através das imagens, relacionado às distopias singulares que se abrem ao outro, por um sentimento de complexidade que se envolve com a vida em comum, considerando ainda uma dificuldade objetiva de se manifestar sobre o devir das comunidades.
El Artista como Autor, Prácticas Colaborativas en Arte: mediaciones
Authors: Montoya Josep 
Published: April 2024

Este articulo expone el hecho de las prácticas colaborativas en arte, como resultado de la interrelación entre autoría artística y la mediación en entornos sociales y entornos formativos. La búsqueda y transmisión de conocimiento es el punto de partida para conseguir nuevas estructuras auto-transformadoras, tanto en lo social, como en lo académico.
Um Olhar para o Processo de Di Iório
Authors: Rodrigues Maria Regina 
Published: April 2024

Nossa investigação concentra-se no processo de criação das obras em grandes dimensões da artista plástica Mary Di Iório, que foram executadas a partir da década de 1980. Nossa proposta é apresentar os mecanismos criativos utilizados pela artista, levando em conta seus depoimentos, esboços, projetos e fotografias das produções de suas obras, para elucidar seu processo. A investigação se fundamenta nos pressupostos teóricos e metodológicos da crítica genéticas, e busca a gênese da obra a partir dos documentos de processo, registros que permitem acompanhar o movimento para a produção das obras deixadas pela artista.
Desdobramentos da Recepção Crítica Diante da Abstração Construída de Cícero Dias (1948/1952)
Authors: Grando Angela 
Published: April 2024

Num período em que a arte brasileira introduzia o debate crítico, em torno das noções de figurativismo e abstracionismo, e organizava a exposição inaugural do Museu de Arte Moderna de São Paulo, o modernista Cícero Dias – único artista brasileiro convidado para participar daquela mostra inaugural – foi responsável por manifestações singulares do Abstracionismo. Discutiremos sobre esse processo construtivo do artista, tanto no contexto de sua recepção crítica como na abordagem de seu espaço pictórico rigorosamente articulado na relação da superfície do quadro integrando-se ao “feito mural”.
Génese do Processo Criativo e Condição Social do Escultor na Sociedade Romana
Authors: Gonçalves Luís Jorge 
Published: April 2024

Na época romana o escultor era parte de uma cadeia produtiva, onde não havia lugar ao processo criativo, como o entendemos nos nossos dias. Neste sentido, aborda-se neste texto como a sociedade romana olhava para o processo criativo e para o seu estatuto no interior duma sociedade em que a imagem, particularmente a escultura, tinha uma função social de grande importância.
Novos Desafios do Fim da História
Authors: Costa Ricardo da 
Published: April 2024

O artigo analisa a crise das Ciências Humanas com o declínio da consciência histórica na pós-modernidade e a influência do relativismo neste processo. Para isso, oferece uma narrativa imagética com quadros (turner, Corot, Goya, Friedrich Caspar David e Salomão Delane) e propõe o resgate da bela escrita, da verdade e da erudição como fundamentos da investigação humanística.
A perda da contemplação serena e a percepção colaborativa num piscar de olhos
Authors: Neves Alexandre Emerick 
Published: April 2024

A partir dos modos de figurar o corpo, procuro discutir a noção de presença na experiência artística como algo indissociável da ideia de colaboração. Com a proposição de uma discussão ampliada sobre a presença colaborativa do espectador, busco certa aproximação do pensamento fenomenológico com os comentários de Didi-Huberman sobre o característico anacronismo no pensamento de Aby Warburg. Para esquivar-me da concentração nas especificidades de certas propostas contemporâneas, submeto a inclinação do corpo em figurar-se a um olhar histórico mais amplo, desde a figuração clássica à apreensão da presença do espectador como corpo figurado em obra.
A Paisagem em Linhas/Lines
Authors: Salvatori Maristela 
Published: April 2024

A representação, a paisagem e a fotografia povoam meu imaginário artístico já de longa data. Ao utilizar essencialmente processos de gravura e de técnicas afins, meu interesse pela representação de amplas perspectivas se direcionou, aos poucos, à construção de espaços urbanos. A fotografia perpassa todas as criações como ponto de partida, imagem de referência. Mais recentemente a fotografia, sobretudo, de tecnologia digital, tem sido incorporada às imagens elaboradas e introduzido novas questões.
Algunas Reflexiones sobre el Arte Político para América Latina
Authors: Contreras Mónica 
Published: April 2024

El texto presenta diferentes reflexiones sobre el arte contemporáneo de cuño político en América Latina, región que ha experimentado una escalada de violencia y explotación en los últimos años, este trabajo se centra en 3 casos: Santiago Sierra, Teresa Margolles y Doris Salcedo. Aquí encontramos discusiones sobre las relaciones entre la ética, la política y la institución artística en el contexto latinoamericano.
La photographicité: comme réflexion sur les images (d’images)
Authors: Soulages François 
Published: April 2024

Boltanski a raison : images d’images chez Lichtenstein et chez lui.Mais est-ce propre à Lichtenstein ? Non. À un premier niveau d’analyse, on pourrait dire qu’un certain nombre d’artistes partent non pas de la réalité, mais de tableaux déjà existants, d’images déjà existantes, soit pour s’en inspirer, soit en étant marqués par elles, soit pour les détourner, etc…. Mais, à un deuxième niveau d’analyse, il serait intéressant de se demander si cela n’est pas le propre de l’art. À savoir, non pas de peindre la réalité, mais de s’inscrire consciemment dans le monde de l’art, dans l’histoire de l’art pour peindre ou faire image en fonction de ces deux réalités – monde et histoire de l’art. Est-ce que Malraux ne disait pas déjà cela ?
The impact of a single music therapy session on pain perception of patients with sickle cell disease
Authors: Mariagracia Rivas Berger  , Anthony Meadows  , James Bost  , Stefanie Marguiles  , Brenda Martin  , Brittany Moffitt  , Barbara Speller-Brown  
Published: April 2024

Sickle Cell Disease (SCD) is a genetic condition characterized by pain. The neuromatrix theory of pain suggests pain is a multimodal experience, recognizing the importance of interventions like music therapy (MT), which address the physical and emotional pain experience. This study examined the impact of a MT session on 21 hospitalized patients’ self-reported VOC and its overall benefits. Utilizing a convergent mixed methods design, pain scores were collected prior to, during, and after sessions, with a follow-up interview. Significant changes were observed. Patients reported an average 3.03-point difference between their pre-intervention and MT-intervention score (p<0.001). When pre- and post-intervention scores were compared, patients reported an average 1.9-point pain reduction (p<0.001). Five themes emerged: decreased pain, increased insight, openness in verbal engagement, improved mood, and expressive freedom. The ways in which patients engaged suggest the importance of simultaneously addressing the physical, cognitive and emotional pain experience. When patients became agents of their own pain management, it engaged them in a reflexive process that altered their pain perception, improved their mood, and changed their relationship with SCD. MT is beneficial in reducing pain, simultaneously addressing the multidimensional pain experience. Further research is needed to evaluate mechanisms of impact, including addressing medication dosage.

Keywords: Music therapy, sickle cell disease, pain management, neuromatrix theory, hematology
UPAYA PENINGKATAN HASIL BELAJAR MENGGUNAKAN MODEL PROBLEM BASED LEARNING PADA MATERI TURUNAN FUNGSI ALJABAR
Authors: Novitasari Fitri , Harun Lukman , Utami Rizky Esti , Susilawati Padmi 
Published: April 2024

Tujuan penelitian ini meningkatkan hasil belajar siswa khususnya materi turunan fungsi aljabar melalui penerapan model Problem Based Learning (PBL). Jenis penelitian menggunakan Penelitian Tindakan Kelas (PTK) yang dilaksanakan dalam dua siklus. Indikator keberhasilan dilihat dari meningkatnya ketuntasan belajar klasikal siswa minimal 85% dari banyak siswa. Setiap siklus terdiri atas tahap perencanaan, pelaksanaan, pengamatan, dan refleksi. Subjek penelitian ini ialah siswa kelas XI MIPA 6 SMAN 11 Semarang tahun ajaran 2022/2023. Teknik utama pengumpulan data menggunakan tes dan pengamatan, sedangkan wawancara dan dokumentasi digunakan sebagai teknik pendukung. Hasil penelitian menunjukkan bahwa penerapan model pembelajaran Problem Based Learning (PBL) dapat meningkatkan hasil belajar siswa kelas XI MIPA 6 mulai dari prasiklus, siklus I, dan siklus II, yakni ketuntasan belajar klasikal siswa sebesar 25% pada tahap prasiklus meningkat menjadi 44,44 % pada siklus I dan kembali meningkat menjadi 86,11% pada siklus II. Dengan demikian pembelajaran dengan model Problem Based Learning (PBL) dapat meningkatkan hasil belajar khususnya materi turunan fungsi aljabar siswa XI MIPA 6 SMAN 11 Semarang.
PENGARUH PEMBERIAN AROMATERAPI CENDANA TERHADAP KEJADIAN INSOMNIA PADA IBU MENOPAUSE DI PMB ENY ISLAMIATI KECAMATAN BULULAWANG KABUPATEN MALANG
Authors: Putri Nur Aulia , Safitri Rani , Purwanti Anik Sri 
Published: April 2024

Pendahuluan: Menopause adalah masa proses alami menuju penuaan yag ditandai dengan berhentinya siklus menstruasi. Menopause terjadi pada usia 45-55 tahun. Diagnosa menopause dapat ditetapkan saat berhentinya menstruasi sekurang-kurangnya satu tahun. Insomnia adalah keadaan sulit dalam memulai tidur, mempertahankan tidur, dan tidur yang tidak menyegarkan. Kejadian insomnia meningkat lebih cepat pada ibu dengan umur di atas 40 tahun. Sekitar 40% perempuan usia 40-54 tahun mengeluh insomnia. Minyak aromaterapi cendana adalah salah satu terapi komplementer yang juga dapat digunakan dalam mengatasi kejadian insomnia. Tujuan penelitian untuk menganalisis pengaruh pemberian aromaterapi cendana terhadap kejadian insomnia pada ibu menopause di PMB Eny islamiati Bululawang. Metode: Rancangan penelitian pra eksperimen dengan pendekatan satu kelompok (pre-post-test), populasi seluruh ibu menopause dengan kejadian di PMB Eny Islamiti Bululawang, jumlah 20 orang dengan jumlah sampel 16 orang. Teknik peneliitian ini menggunakan purposive sampling. Intrumen yang digunakan pada penelitian ini adalah lembar Kelompok Studi Psikiatri Biologi Jakarta-Insomnia Rating Scale (KSPBJ-IRS) dan Lembar observasi, dengan menggunakan uji Wilcoxon. Hasil: Hasil penelitian menunjukkan bahwa kejadian insomnia pra-intervensi (43,8%) insomnia tingkat sedang dan pasca-intervensi (75,0%) insomnia tingkat ringan, p-value 0,02 ≤ α 0,05. Kesimpulan: Kesimpulannya pemberian aromaterapi cendana berpengaruh terhadap kejadian insomnia pada ibu menopause di PMB Eny Islamiati Bululawang. Diharapkan bagi ibu yang sudah mengalami menopause dapat meningkatkan lagi pengetahuan kesehatan tentang pentingnya istirahat/tidur bagi ibu menopause.
Kata kunci: Pemberian Aromaterapi, Kejadian Insomnia, Ibu Menopause
FAKTOR PREDIKTOR TERAPI AKUPUNKTUR PADA PASIEN KELEMAHAN ANGGOTA GERAK POST STROKE ISKEMIK AKUT YANG MEMPENGARUHI SKOR BARTHEL INDEX : LITERATURE REVIEW
Authors: Fitriani Elies , Darmawan Maria Anastasia , Putranto Nirawan , Srilestari Adiningsih 
Published: April 2024

Pendahuluan: Stroke merupakan masalah kesehatan utama yang berpengaruh signifikan terhadap kualitas hidup dan disabilitas dalam melakukan pekerjaan sehari-hari. Akupunktur diduga berperan dalam proses penyembuhan stroke melalui serotonin reuptake inhibitor, dan serangkaian mekanisme lokal, segmental, sentral. Beberapa RCT membuktikan terdapat pengaruh signifikan akupunktur dalam terapi stroke pada akut dan subakut stroke iskemik. Namun kebanyakan penelitian menggunakan jumlah sampel yang sedikit dan metodologi yang lemah. Metode: Artikel ini merupakan literature review yang bertujuan untuk untuk mengetahui faktor-faktor prediktor yang mempengaruhi keberhasilan terapi akupunktur pada pasien kelemahan anggota gerak post stroke iskemik akut, pencarian dilakukan menggunakan database dari Pubmed, Cochrane dan Embase yang selanjutnya diinklusi jurnal yang sesuai mengikuti PRISMA flowchart sehingga diperoleh 4 jurnal yang direview. Hasil: Faktor-faktor yang mempengaruhi keberhasilan terapi akupunktur pada pasien post stroke antara lain usia, jenis kelamin, riwayat penyakit dahulu, penyakit penyerta, kondisi klinis pasien saat awal masuk perawatan, perjalanan penyakit, dan keparahan infark. Kesimpulan: Dengan efek samping yang minimal, terapi akupunktur pada stroke iskemik akut dapat direkomendasikan sebagai terapi adjuvan pada stroke iskemik akut. Diperlukan penelitian yang melibatkan jumlah peserta lebih banyak dengan metodologi yang lebih baik untuk membuktikan efektifitas akupunktur dan faktor prediktornya pada kelemahan ekstremitas post stroke.
Kata kunci: akupuntur, Barthel Index, kelemahan ekstremitas, predictor factor, stroke iskemik.