bluuebunny/crossref_metadata_2025_split huggingface dataset:
Laryngeal foreign body impaction: A case series
Authors: Fuentes Matthew Elyss A , Soriano Ronaldo G , Aragon Miguel 
Published: October 2023

Abstract
The objectives of the study were to report a case series of foreign body (FB) impaction in adult larynx and to describe their clinical presentation, diagnostic approach, and therapeutic management. This is a case series study design in a tertiary government hospital. One case had a sewing needle at the glottic level piercing the left arytenoid posteriorly and the inferior border of the epiglottis anteriorly. The second case had a fish operculum in a sagittal position located at the subglottis. And, the third case had a chicken bone in the supraglottis and airway obstruction due to a massive blood clot. Direct laryngoscopy with successful removal of FBs was performed under general anesthesia or intravenous (IV) sedation. Plain radiographs are the ideal initial diagnostic imaging in these cases but there is a possibility of false negative of 47%, and thus, CT scan is recommended for meat bone with a higher specificity rate of 45% in stable patients with protracted duration of symptoms. Emergency FB extraction is warranted in these cases to prevent airway trauma, massive bleeding, and laryngoedema, but the anesthetic and surgical approach is still a case-to-case basis depending on the size, location, nature of FB, and status of the patient.
A Review of Krukenberg Tumors from a Gastrointestinal Primary Site
Authors: Kovalev Vitaley , Tariq Ayesha 
Published: October 2023

Abstract
Krukenberg tumors are a type of rare metastatic ovarian cancer that are primarily derived from the gastrointestinal tract. The literature does not agree on a single classification of Krukenberg tumors and uses several characteristics to describe them including histopathology and cancer origin. This can lead to incorrect or delayed diagnoses, which can affect management, treatment, and overall patient outcome. This review compiles current knowledge of Krukenberg tumors including tumor pathophysiology, diagnostics, and treatment options.
Rectal Pocket Syndrome: A Symptomatic Rectal Pseudodiverticula as a Long-Term Complication of Failed Purse-String Suture During Stapled Hemorrhoidopexy
Authors: Varela Cristopher , Terán Adrian , Lopez Sthephfania , Millan German 
Published: October 2023

Abstract
Short- and long-term complications of stapled hemorrhoidopexy have been extensively discussed during the popularization of the technique, with set complications remarkably decreasing with the progress of learning curves and improvements in the technique. We describe the management of a 58-year-old woman with a history of stapled hemorrhoidopexy who presented with proctalgia and recurrent tenesmus 12 months after the intervention. A 4-cm diverticulum in the lower rectum with fecal material inside was evidenced without a fistula. A transanal diverticulectomy was performed with primary repair of the rectal wall, with the postoperative disappearance of the symptoms. Iatrogenic rectal pseudodiverticul is an infrequent complication due to areas of focal weakness along the rectal wall after failing to complete resection of the mucosa at the circumference of the anastomosis or ineffective stapling of the entire circumference.
Survival and Prognostic Factors Predicting Outcomes of Patients with Primary Non-Metastatic Colorectal Cancer who have not had Curative Intervention
Authors: Rizk Mariam , Cremona Simone , Toor Asad A. , Nunoo-Mensah Joseph W. 
Published: October 2023

Abstract

Background:
The natural progression and life expectancy of patients following a diagnosis of treatable colorectal cancer who receive only symptomatic treatment, nonoperative palliative therapy, or noncurative surgical interventions are relatively unknown.

Objectives:
The objective of this retrospective study was to examine the survival of patients following a diagnosis of primary nonmetastatic colorectal cancer who did not undergo major surgery for the purpose of curative treatment.

Design:
A retrospective observational study.

Study Settings:
Department of Colorectal Surgery, King’s College Hospital, London.

Patient and Methods:
A retrospective study of patients with stages I–III colorectal cancer who had not undergone noncurative surgery, palliative chemotherapy, or radiotherapy between 2012 and 2019 was conducted. Multivariate and univariate analyses were used to evaluate the prognostic factors associated with overall survival (OS).

Main Outcome Measure:
OS.

Sample Size:
A total of 78 patients.

Results:
A total of 78 patients were enrolled in this study. The median survival rate was 296 days or 9.7 months, and the mean survival rate was 385 days (15–1894 days). The 1- and 2-year OS rates were 37.2% and 3.8%, respectively. Univariate analysis revealed that three parameters were statistically significant for OS with a significant correlation with performance status (PS) (P = 0.004), tumor stage (pT) (P = 0.030), and lymph node metastasis (pN) (P = 0.001). Multivariate analysis revealed that pN2 (hazard ratio: 2.19, 95% confidence index: -1.1–4.4) and PS 3 and 4 (hazard ratio: 0.525, 95% confidence index: 0.3–1.0, P = 0.026) were prognostic factors associated with OS.

Conclusion:
Operable colorectal cancer patients without surgical resection have an OS rate of <1 year; a higher T and N stage is associated with adverse prognosis.

Limitations:
Our study is limited by its retrospective nature and small sample size. In addition, patients underwent various palliative interventions based on their unique clinical, pathological, and social needs.

Conflict of Interest:
The authors have no conflict of interest to declare.
Spotlight effect as one of the problems of self-realization of the youth (case study of cadets of the Academy of the FPS of Russia)
Authors: Пашукова А.Д. , Мачульная Л.Г. 
Published: October 2023

Актуальные для прогрессивно развивающегося современного общества сложные проблемы образования молодых людей, выбора ими ориентиров жизненного пути, профессии и самореализации исследуют ученые многих стран. В научной статье представлен анализ важнейшей составляющей профессиональной подготовки молодежи (курсантов) – самореализации личности. Эффект прожектора – одна из проблем современной молодежи. Психологический страх пред сценой не обходит стороной молодых людей, начинающих строить свое профессиональное будущее и пытающихся самореализоваться. В статье выделены и описаны характерные особенности людей, у которых сильно выражен эффект прожектора, а также предложены рекомендации по преодолению рассматриваемого феномена. Предмет исследования – психологические проблемы самореализации современной молодежи. Цель исследования – изучить эффект прожектора как одну из проблем. Для этого использовался анализ статистических данных и результатов социологических опросов. Полученные результаты вносят вклад в развитие комплексных исследований по вопросам самоопределения и самореализации современной молодежи. Материалы статьи будут полезны образовательным организациям, а также научному сообществу при исследовании взаимосвязанных проблем самоопределения и самореализации молодежи.
Scientists from many countries discuss complex problems of education of young people, their choice of life orientations, professions and self-realization that are relevant for a progressively developing modern society. The scientific article presents an analysis of the most important component of professional training of young people (cadets) – self-realization of personality. The spotlight effect is one of the problems of modern youth. Psychological fear of the stage does not bypass young people who are beginning to build their professional future and trying to self-actualize. The article highlights and describes characteristic features of people who have a strong spotlight effect and also proposes recommendations for overcoming the phenomenon under consideration. The subject of the research is psychological problems of self-realization of modern youth. The purpose of the paper is to consider a spotlight effect as one of the problems of modern youth. The analysis of statistical data and results of sociological surveys was used to study the described phenomenon. The obtained results contribute to the development of comprehensive research in self-determination and self-realization of modern youth. The materials of the article will be useful to educational organizations, as well as to the scientific community in the study of interrelated problems of self- determination and self-realization of young people.
Integrating Social-Economic Approaches for Integrated Watershed Management and Coastal Area
Authors: Kaunang Stella , Lengkong Meilany , Ompi Medy 
Published: October 2023

Integrated watershed management is a holistic and sustainable approach in managing water resources and the environment associated with river flow. One of the important aspects in integrated watershed management is to pay attention to the socio-economic aspects of the people living around the river. In many places in Indonesia, watershed bears a heavy burden due to its high population density and intensive utilization of natural resources, leading to environmental degradation and a decline in watershed conditions. On the other hand, the demands on watershed to support livelihood systems, including community activities and fisheries from upstream to downstream, coastal areas, and the sea, are substantial. The purpose of the study was to identify the socio-economic situation of the community and how to manage the watershed with the approach of the socio-economic aspects of the community. The method used was Qualitative analysis with observation, deep interview, and questionary. The purpose of the study was to identify the socio-economic situation of the community and how to manage the watershed with the approach of the socio-economic aspects of the community. The method used was Qualitative analysis with observation, deep interview, and questionary. The results showed that education level in the upstream area is higher than the downstream area. The level of education, employment, and community income can affect their attitudes and participation in watershed management activities. Communities who have higher education, jobs related to watersheds and coastal areas, and adequate income tend to be more active and aware of maintaining the sustainability of watersheds and coastal areas.
Loyalty as Language Attitude to Sustain Nusa Penida Balinese Language
Authors: WIdhiarcani Matradewi Ni Ketut , Gde Sosiowati I Gusti Ayu 
Published: October 2023

The island of Nusa Penida is one of the islands in the province of Bali, Indonesia that has been known as a tourist destination. The research that was conducted in this island has the purposes of (1) finding out the language attitude of the people of Nusa Penida towards the three languages spoken on the island namely the Indonesian language, Nusa Penida dialect of the Balinese language (NPB) as well as foreign languages and (2) the factors that make the condition as it is at present. This research is very important to find out the recent condition of NPB to be used as the authority as the bases of making language policy. The respondents of this research were taken from three different generations to see the system of language transfer and to find out how much of the language is spoken these days. The findings show that NPB is still spoken in all generations in vital domains like household, social, traditional and religious activities as well as at school (outside classroom); the reasons for the strength of NPB are the type of tourism they mostly have, their loyalty to the language considering that it is used as a symbol of ethnicity, and their pride of being the people of Nusa Penida, the island that is famous for its religious as well as ecotourism.
PELATIHAN DAN PENDAMPINGAN TEKNIK BUDIDAYA KAKAO DI DESA MIRRING, KABUPATEN POLEWALI MANDAR, SULAWESI BARAT
Authors: Arhim Muhammad , Widyanti Utami A.  , Ade Mulawarman  , Mufti Hatur Rahmah  
Published: October 2023

ABSTRAK
Kegiatan Program Kemitraan Masyarakat ini dilaksanakan di Desa Mirring, Kecamatan Binuang,
Kabupaen Polewali Mandar, Suawesi Barat. Tujuan kegiatan ini untuk meningkatkan produktivitas tanaman kakao. Adapun mitra pada kegiatan ini adalah kelompok tani di daerah setempat yaitu Kelompok Tani Hutan Buttu Puang, yang di Ketuai oleh Bapak Muhiddin, yang beranggotakan sebanyak 70 orang. Berdasarkan hasil wawancara dengan para mitra, terjadi penurunan produktivitas tanaman kakao yang disebabkan oleh beberapa faktor, diantaranya; 1) terbatasnya pengetahuan petani tentang cara perawatan dan pengelolaan perkebunan kakao, 2) banyak tanaman kakao yang terserang penyakit khususnya pada buah, dan 3) ketergantungan petani terhadap penggunaan pupuk dan pestisida kimia yang berdampak pada membengkaknya pengeluaran dan menurunnya kualitas tanah serta menimbulkan resistensi hama. Mempertimbangkan kemampuan tim pelaksana kegiatan PKM maka solusi untuk mengatasi masalah mitra yaitu: 1) Penyuluhan, pelatihan dan pendampingan pengelolaan dan perawatan perkebunan kakao. 2) Pelatihan konversi limbah kakao sebagai pupuk kompos sehingga dapat mengurangi pengeluaran untuk biaya pembelian pupuk dan petani dapat memproduksi pupuk kompos secara mandiri. 3). Pelatihan pembuatan pestisida nabati dari limbah kakao dapat mengurangi pengeluaran untuk biaya pembelian pestisida dan petani dapat memproduksi pestisida nabati secara mandiri. Pencapaian tujuan kegiatan Program Kemitraan Masyarakat ini dilakukan dengan melalui beberapa kegiatan, yaitu; 1) kegiatan penyuluhan dan pendampingan perawatan dan pengelolaan perkebunan kakao, 2) pelatihan pembuatan pupuk kompos dan pestisida nabati.

Kata kunci: Kakao, Pendampingan, Kompos, Pestisida Nabati.
GÜÇ YOZLAŞMASI ÖLÇEĞİ
Authors: NACAR Davut , NANTO Zülküf 
Published: October 2023

Toplumsal hayatın her aşamasında güç olgusundan bahsetmek mümkündür. Güç insanlara bir şeyi zorla yaptırabilme veya onları etkileyebilme yeteneğidir. Bundan dolayı insanlar farklı şekillerde gücü elde etme eğilimindedir. Yolsuzluk ise gücün karanlık yüzüdür. Gücün yozlaşması, kişisel kazanç sağlamak için gücü suiistimal eden bir kişiyi ifade eder. Gücün olası olumsuz etkileri, birçok organizasyonun yapısındaki değişiklikler ve gücü paylaşmanın potansiyel olumlu etkileri nedeniyle, gücün kullanımlarına ilişkin görüşler kısmen değişmektedir. Örgütler yönetici olarak dürüst kişileri atayabilir ve destekleyebilirler. Dürüst yöneticiler yozlaşmayla mücadelede güçlü bir yargı sistemine ihtiyaç duyabilirler.
Amaç: Bu çalışmanın amacı örgütlerde güç yozlaşmasının ortaya koyulmasında kullanılabilecek, geçerli ve güvenilir veri toplama aracının geliştirilmesidir.
Yöntem/Tasarım / Metodoloji / Yaklaşım: Araştırma ölçek geliştirme çalışması niteliğinde olup, var olan durumu sorgulayan, betimsel bir araştırmadır.
Bulgular: 30 maddelik soru havuzuna açımlayıcı ve doğrulayıcı faktör analizi yapılmıştır. Yapılan analizler sonucu 19 madde tek faktörlü örgütlerde güç yozlaşması ölçeği oluşturulmuştur.
Özgünlük: Ölçeğin uygulandığı hedef kitle ve analizlerle ilgili bulgular birlikte değerlendirildiğinde örgütlerde güç yozlaşmasının belirlenmesinde geçerliği ve güvenilirliği yüksek bir araç olduğu söylenebilir.
Decreased peroxidase activity of glycated hemoglobin inversely correlated with levels of glycated hemoglobin in type 2 diabetes patients
Authors: Saha Pinaki , Ghosh Pradipta , Sen Santanu , Biswas Bose Usashi , Mandal Shreya , Bhaskar Biswas Indira , Biswas Utpal Kumar 
Published: October 2023

Background and objectives:
Diabetes mellitus is a metabolic disorder with diverse etiological factors. Imbalances between oxidative stress and antioxidant defenses play critical roles in the pathogenesis and progression of diabetes. peroxidase, an antioxidant enzyme similar to superoxide dismutase and catalase, is involved in the etiology and progression of diabetes. This study aimed to elucidate the relationship between peroxidase activity of hemoglobin and glycated hemoglobin with fasting blood glucose levels in patients with type-2 diabetes mellitus.
Methods:
Sixty-four patients with type-2 diabetes mellitus and an equal number of healthy controls were recruited for the study. Peroxidase activity of hemoglobin and glycated hemoglobin was assayed using L. Goth's method for serum catalase assay, with further modification and standardization.
Results:
Peroxidase activity of hemoglobin was significantly reduced (P<0.0001) in patients with type 2 diabetes compared to healthy controls, as was peroxidase activity of glycated hemoglobin (P< 0.001). In both patients and controls, peroxidase activity of glycated hemoglobin was significantly higher than normal hemoglobin. In patients with type 2 diabetes, glycated hemoglobin showed a significant negative correlation (r=- 0.308, P= 0.013) with its peroxidase activity, indicating increased activity is associated with poorer glycemic control. Furthermore, peroxidase activiy of normal hemoglobin positively correlated with peroxidase activity of glycated hemoglobin (mainly HbA1c )(r= 0.305, P=0.014).
Conclsions:
Peroxidase activity of glycated hemoglobin increases with glycated hemoglobin levels, indicating deteriorating glycemic control in patients with type 2 diabetes.
Meningkatkan Motivasi Baca Tulis Al-Qur’an Siswa melalui Media Audiovisual di MTs Al-Jihad Medan
Authors: Arlina Arlina , Fehbrina Novia , Ningsih Setia , Anggitasarihasibuan Putri , Sipahutar Nurhasanah , Saif Muhammad 
Published: October 2023

ABSTRACT
Anak-anak MTs Al-Jihad Medan kelas VIII-1 tidak mau belajar membaca dan menulis, sehingga mereka kesulitan untuk membaca Alquran. Alat bantu audio-visual digunakan dalam penelitian ini untuk mengevaluasi apakah siswa termotivasi untuk belajar Alquran. Researchers use a mix of qualitative and quantitative techniques in their examinations of action research in the classroom. The Kemmis & Mc. model was employed in this study. Taggart, which consists of two cycles. Surveys, observations, interviews, and written data are used in this research. The results of this study show that the intervention put into place with the eighth grade and first year Muslim students at Al-Jihad Medan increased their motivation to learn the Koran using audiovisual media. Pre-cycle findings improved significantly in the second cycle, proving this to be the case. According to the data, 28 out of 43 students (or 65%) did not finish the course in the pre-cycle period, 18 out of 43 students (or 42%) did not finish the course in the first cycle, and 6 out of 43 students (or 14%) did not finish the course in the second cycle. When comparing the results from before the cycle to those after it, we find that, on average, students in MTs Al-Jihad Medan's eighth grade are 51% more motivated to read and write the Koran after being exposed to audiovisual materials.
Keywords: Motivation, BTQ, Audio-Visual Media
Strategi Contextual Teaching And Learning (CTL) dalam Pembentukan Minat Belajar Siswa
Authors: Nur Siti , Arlina Arlina , Aldi Muhammad , Sastra Purnama , Adawiyah Rabiatul 
Published: October 2023

The purpose of this journal is to examine contextual teaching and learning strategies in forming students' interest in learning. The method used in this research is library research (Library Research). The research results that can be obtained from researchers, that from the educational level, contextual teaching and learning strategies are able to restore and shape children's learning interests, this strategy can help students to be smarter, active, and able to think critically, giving rise to new enthusiasm that shapes interest. learning for every child/student at every level of education. This will be more advanced for the cognitive, affective and psychomotor development of students in learning.
Keywords: Strategy, Formation, Learning
Upaya Guru dalam Pengembangan Kurikulum 2013 di Sekolah MAS Al-Washliyah Tembung
Authors: Fattah Nasution Abdul , Aldi Muhammad , Sastra Purnama , Adawiyah Rabiatul , Nur Khalifah Siti 
Published: October 2023

The purpose of writing this journal is to analyze the teacher's efforts in developing the 2013 curriculum at the MAS Al-Washliyah Tembung school. The method used in this research is qualitative, descriptive with library research and field interviews. Research results that can be obtained from this study, that in developing the 2013 Curriculum, it has several components, principles, principles, and forms. So it should be noted, in developing the curriculum must pay attention to the aspects and conditions of student learning at school, starting from the affective, cognitive, and psychomotor aspects of the students themselves. This can be evaluated through several assessments which are the main goal in developing the curriculum, thus, curriculum development can take place effectively, and efficiency is as expected.
Keywords : Efforts, Development, Curriculum 2013
Strategi Manajemen Perpustakaan MAN Asahan dalam Meraih Peringkat Terbaik I Tingkat SLTA Se-Sumatera Utara Tahun 2021
Authors: Alamsyah Rizky , Titin Sumanti Solihah , Ismail Ismail 
Published: October 2023

A good library that is able to provide the right information for users,it’s all based on good management as well. The function of managements is so that goals can run in an orderly manner as expected. In this study using field research with a qualitative approach. Techniques used for data collection using observation, interviews and documentation. Meanwhile, the data analysis technique went throught the stages of data reduction, data presentation and verification. In this study, researchers want to examine the MAN Asahan library in management functions, namely planning, organization, actuacting, controlling and evaluation. The result of this study are that the MAN Asahan library has three planning programs, namely long-term, medium-term and short-term programs. Which the task is carried out or carried out in accordance with the duties of the libraries who work in accordance with their respective fields. The shortage of the MAN Asahan library is still the lack of the number of collection and the facilities of the MAN Asahan library are still many that are not suitable for users.
Keywords: Library Management, Management Function