bluuebunny/crossref_metadata_2025_split huggingface dataset:
Perkembangan Seni Bela Diri Maenpo Cikalong di Kabupaten Cianjur Tahun 1907-2019
Authors: Fatmawati Wulan Rizki , Bariyah Rima Khoerul , Zarkasih Rosani Tazkiyah , Az Zahra Nurshafwah , Rasyid Athhar Faza , Khairunnisa Ersa 
Published: January 2024

Maenpo Cikalong adalah aliran pencak silat asal Jawa Barat tepatnya Kecamatan Cikalong, Kabupaten Cianjur. Aliran pencak silat atau bela diri ini pertama kali diciptakan dan dikembangkan oleh Raden Jayaperbata atau dikenal juga dengan nama Raden Haji Ibrahim di Cikalong, Cianjur. Tujuan dari penelitian ini adalah untuk mengetahui bagaimana proses dan sejarah terciptanya Maenpo Cikalong serta bagaimana proses perkembangannya sejak awal hingga diakui UNESCO. Metode penelitian yang digunakan dalam penelitian ini adalah metode penelitian sejarah menurut Kuntowijoyo yaitu pemilihan topik, heuristik, verifikasi, interpretasi, dan historiografi. Dari penelitian ini, dapat diketahui bahwa Seni Bela Diri Maenpo telah ada sejak tahun 1907 dengan dipelopori oleh Raden Haji Ibrahim. Maenpo Cikalong pada awal perkembangannya hanya dapat dipelajari oleh kalangan-kalangan tertentu seperti kalangan manak Cianjur dan keturunan dari Raden Haji Ibrahim saja. Hal tersebut dikarenakan Maenpo Cikalong memiliki perbedaan dengan aliran-aliran bela diri lainnya. Yang membedakan Maenpo Cikalong dengan aliran bela diri lainnya yaitu Maenpo Cikalong lebih mengutamakan rasa dibandingkan kekerasan fisik, maka dari itu Maenpo Cikalong akan berbahaya apabila dikuasai oleh orang-orang sembarangan yang tidak bertanggungjawab. Namun seiring dengan perkembangan zaman, maenpo Cikalong akhirnya dapat dipelajari oleh semua kalangan masyarakat khususnya masyarakat Cianjur. Maenpo Cikalong bahkan diakui sebagai warisan budaya seni bela diri asli Indonesia oleh UNESCO pada tahun 2019.
Analisis Dampak Pandemi COVID-19 terhadap Ketidakseimbangan Beban di Shopping Center serta Solusi Alternatifnya
Authors: Nugroho Endang Retno , Niam Ahmad Lutfi , Kusuma Idris , Keraf Adhiarta 
Published: January 2024

Tingkat hunian gedung berkurang akibat Pandemi COVID-19. Gedung-gedung perkantoran, hotel, apartemen dan pusat belanja mengalami penurunan pengunjung. Sementara sebagian toko menghentikan usahanya. Pihak Pengelola gedung akan tetap mengoperasikan peralatan listrik untuk menunjang kegiatan. Dampaknya beban listrik tidak seimbang. Ini berpengaruh pada kesetimbangan beban dalam gedung. Kondisi ini akan merugikan dan dalam jangka panjang akan merusak transformator. Tujuan penelitian ini melakukan pengukuran tingkat kesetimbangan beban listrik di gedung Tang City Mall. Hasil pengukuran pada 5-unit trafo yang ada menunjukkan ketidakseimbangan antara 0.63% sampai dengan 4.76%. Pengukuran ini dilakukan pada kondisi jam sibuk yaitu pukul 17.30 WIB. Berdasarkan data perhitungan tersebut, selama sebulan akan mengalami kerugian daya arus netral sebesar 2848 kWh dan kerugian daya pada arus ground sebesar 175 kWh. Pegukuran sesaat pada jam-jam rawan buka dan tutup mal tercatat adanya ketidakseimbangan yang signifikan mencapai 7.9% pada trafo2. Untuk menghindari hal tersebut, maka perlu dilakukan pembagian grup ulang khususnya pada beban 1 fasa. Sementara jam buka dan tutup <em>tenant</em> gedung wajib serentak.
Surgical prescription opioid trajectories among state Medicaid enrollees
Authors: McCauley Jenna L. , Ward Ralph C. , Taber David J. , Basco, Jr William T. , Gebregziabher Mulugeta , Reitman Charles , Moran William P. , Cina Robert A. , Lockett Mark A. , Ball Sarah J. 
Published: January 2024

Objective: The objective of this study was to evaluate opioid use trajectories among a sample of 10,138 Medicaid patients receiving one of six index surgeries: lumbar spine, total knee arthroplasty, cholecystectomy, appendectomy, colon resection, and tonsillectomy.
Design: Retrospective cohort.
Setting: Administrative claims data.
Patients and participants: Patients, aged 13 years and older, with 15-month continuous Medicaid eligibility surrounding index surgery, were selected from single-state Medicaid medical and pharmacy claims data for surgeries performed between 2014 and 2017.
Interventions: None.
Main outcome measures: Baseline comorbidities and presurgery opioid use were assessed in the 6 months prior to admission, and patients' opioid use was followed for 9 months post-discharge. Generalized linear model with log link and Poisson distribution was used to determine risk of chronic opioid use for all risk factors. Group-based trajectory models identified groups of patients with similar opioid use trajectories over the 15-month study period.
Results: More than one in three (37.7 percent) patients were post-surgery chronic opioid users, defined as the dichotomous outcome of filling an opioid prescription 90 or more days after surgery. Key variables associated with chronic post-surgery opioid use include presurgery opioid use, 30-day post-surgery opioid use, and comorbidities. Latent trajectory modeling grouped patients into six distinct opioid use trajectories. Associates of trajectory group membership are reported.
Conclusions: Findings support the importance of surgeons setting realistic patient expectations for post-surgical opioid use, as well as the importance of coordination of post-surgical care among patients failing to fully taper off opioids within 1-3 months of surgery.
Opioid use disorder and motivational interviewing: Training physician assistants for the epidemic
Authors: Peacock Brian B. , Shull Catherine N. , Hildebrandt Carol A. , Bodner Gayle B. , Lindaman Kristin J. , Gillette Chris 
Published: January 2024

Objectives: (1) To evaluate the effectiveness of a curriculum on physician assistant (PA) students’ knowledge about opioid use disorder (OUD) treatment and management and (2) present student satisfaction with the curriculum.
Methods: Three cohorts of PA students completed pre- and post-intervention questionnaires about their knowledge of motivational interviewing (MI) for OUD. One cohort of students completed the 11-item questionnaire without exposure to the intervention (control group). Students’ satisfaction with the curriculum was assessed as was their pre- and post-intervention knowledge about using MI for OUD. Bivariate statistical tests were used to analyze the quantitative data.
Results: Three hundred complete and usable responses were obtained from the four cohorts of PA students (n = 300, 87.7 percent response rate). The intervention groups answered a higher number of items correctly (median = 7) than the control group (median = 6, Wilcoxon sign test M = 31, p < 0.0001). Among the intervention group, there was not a statistically significant between cohort difference on: (1) the number of identical pre- and post-intervention questionnaire items answered correctly (Chi-square = 3.77, DF = 2, p = 0.15), and (2) the total number of items answered correctly on the post-intervention questionnaire (Chi-square = 0.32, DF = 2, p = 0.85). Student comments suggest students were supportive of the curriculum, with improvements noted on how to deliver the material.
Conclusions: An educational intervention using MI for PA students was found to be valuable, and students who completed the intervention had greater knowledge about using MI with OUD patients than those who did not complete the training. The size of the effect was small, and more research on the curriculum is necessary prior to widespread adoption.
Patterns of opioid use among Texas dental practitioners during the COVID-19 pandemic
Authors: Jeske Arthur H. , Anderson Aimee , Do Kim-Anh , Ning Jing , Ma Junsheng , Bruera Eduardo 
Published: January 2024

Objective: The primary objective of this study is to assess factors that influence opioid prescribing by dentists and the role of these factors in the practice of dental pain control.
Design: A 25-question survey instrument was distributed to the study population for anonymous responses, covering dentist and practice demographics and opioid prescribing characteristics.
Setting: Private solo and group practice settings, including general practitioners and dental specialists.
Participants: Potential participants included all active members of a large state dental professional association.
Main outcome measures: They were practitioner and practice demographic traits, types of opioids prescribed, and statistical correlations. Outcome variables included practice type, practitioner gender, practice location, practice model, and years in practice. Categorical covariates were summarized statistically by frequencies and percentages, and continuous covariates were summarized by means, medians, ranges, and standard deviations.
Results: Strongest correlations with opioid prescribing included general practitioner (vs specialist) and male gender. The coronavirus disease 2019 pandemic was confirmed as having exerted a significant impact on opioid prescribing among the survey respondents.
Conclusions: Further research is warranted to assess post-pandemic opioid prescribing patterns, and additional educational strategies regarding limitations of opioid prescriptions should be applied to general, rather than specialty, dental practitioners.
Erector spinae plane block for radiofrequency ablation of hepatic focal lesions: Randomized controlled trial
Authors: Elghamry Mona Raafat , Lotfy Mohamed Ahmed , Ramadan Kareem Mohammed , Abduallah Mohammad Ali 
Published: January 2024

Objective: This study evaluated the opioid sparing and pain relief effect of erector spinae plane block (ESPB) for radiofrequency ablation (RFA) of hepatic focal lesions under conscious sedation.
Design: A randomized controlled trial.
Setting: Tanta University Hospitals.
Patients: Fifty patients aged 30-60 years old and eligible for RFA of hepatic focal lesions were included.
Interventions: Patients randomized to receive either local anesthetic infiltration (group I) or ESPB (group II). Both groups received sedation by propofol infusion.
Main outcome measure(s): The primary outcome was total fentanyl consumption. Secondary outcomes were nonverbal pain score (NVPS), time to first analgesic request post-procedure, radiologist's satisfaction, and complications.
Results: In group I, NVPS was significantly increased at 10, 15, 25, and 30 minutes during RFA compared to group II (p = 0.008, <0.001, 0.018, and 0.001, respectively) with no significant differences on arrival to post-anesthesia care unit (PACU) and after 1 hour. Total fentanyl consumption during the procedure was significantly increased in group I compared to group II (160.9 ± 38.2 and 76 ± 21 μg, respectively; p < 0.001) with prolonged time to first analgesia request post-procedure in group II compared to group I (392.7 ± 38.8 and 101.1 ± 13.6 minutes, respectively; p < 0.001). The level of radiologist's satisfaction was significantly increased in the group II (p = 0.010). Three patients in group I and one patient in group II needed general anesthesia. Lower incidence of complications in group II occurred with statistical insignificance.
Conclusions: The ESPB provided adequate analgesia and reduced opioids consumption during the hepatic RFA, with high radiologist's satisfaction.
Language Development and Building Character Early Children through Role Playing Method
Authors: Novalina Sesti , Anwar Khairul , Maharani Ria , Suryani Dewi , Sari Diana , Hariandi Rizki 
Published: January 2024

The purpose of this research is to explain the role-playing method in the process of language development and building children's character from an early age. Role playing is expected to be able to have an effect on the early childhood education process so that it contributes to the control of early childhood education in Indonesia. References are obtained through literature review in order to obtain sources related to the data needed for analysis and then conclusions. Role playing is able to develop language and build character, through the roles played by children it is easier to interact and have the opportunity to play various kinds of characters so as to provide appropriate learning to build character so that they are able to directly differentiate between good and bad roles. The rampant actions of children against parents, teachers and bullying and the lack of maximum implementation of character education values in children is the background for research and is a special concern and must be immediately taken seriously by educators.
Keywords: Language Development, Role Playing Method, Building Character Children
ROLE OF EMBLICA OFFICINALIS IN COPPER INDUCED LIVER TOXICITY IN ADULT ALBINO RATS
Authors: Zulfiqar Hadia , Sitwat Amna  , Muhammad Suhail  , Tayyaba Muzaffar  , Iqbal Javaid , Amjad Saba 
Published: January 2024

Background: Copper (Cu) is an important heavy metal used widely in all industries. However, its toxicity on various organs is established. Emblica officinalis, commonly known as Amla, is a potential antioxidant and can prevent Cu induced hepatotoxicity.
Objective: To evaluate the effects of Emblica officinalis extract on liver histology and Alanine Aminotransferase (ALT) levels after Cu induced toxicity on adult albino rats.
Methods: This was an experimental study of 28 days duration. 36 adult male albino rats were divided into three groups of twelve animals each. Group A was control group in which rats were given 1.5 ml normal saline while group B rats were given CuSO4 200mg/kg b.w./day. Rats in Group C were given both CuSO4 (200mg/kg b.w/day) and Emblica officinalis fruit extract (300mg/kg bw/day). The agents were fed via orogastric tube for four weeks and rats were sacrificed 24 hours after administration of last dose.
Results: Cu treated rats showed necrosis of hepatocytes and Increased serum ALT levels. Emblica officinalis co-treatment attenuated Cu-induced hepatic necrosis and variation in ALT levels. The difference among the groups was statistically significant with p-value <0.05.
Conclusion: Emblica officinalis fruit extract improves liver function in Cu induced hepatotoxicity by limiting oxidative damage.
SALINE INFUSION SONOGRAPHY: A VALID TOOL FOR DETECTION OF INTRAUTERINE PATHOLOGY IN WOMEN WITH ABNORMAL UTERINE BLEEDING
Authors: Fatima Umber , Anees Fatima  , Iffat Imran  , Humaira Zafar  , Mubashra Naz  , Shakeela Irfan  
Published: January 2024

ABSTRACT:
OBJECTIVE:
To evaluate the diagnostic accuracy of transvaginal ultrasound and saline infusion sonography for the detection of intra-cavity lesions of uterus using histopathology on hysterectomy specimens as the gold standard.
STUDY DESIGN:
Cross-sectional (validation) study.
Place & duration of study:
Department of obstetrics & gynecology, Madina Teaching Hospital, Faisalabad from January 18, 2022 to September 30, 2022.
METHODOLOGY:
Sixty patients with abnormal uterine bleeding and postmenopausal bleeding were included in the study. All participants were evaluated by transvaginal ultrasound (TVS) and saline infusion sonography (SIS) to detect uterine cavity pathologies. The findings at TVS and SIS were compared with the findings of histopathology on hysterectomy specimens. Sensitivity, specificity, positive predictive value, negative predictive value and diagnostic accuracy were calculated.
RESULTS:
Mean age was 49.68±5.9 years. Polyps, proliferative endometrium, endometrial hyperplasia and sub mucous fibroid are noted in 32 (53.3%), 16 (26.7%), 3 (5%) and 9 (15%) patients, Sensitivity, specificity, PPV, NPV and diagnostic accuracy of TVS are 61.36%, 100%, 100%, 48.48% and 71.67% and for SIS are 88.64%, 100%, 100%, 76.19% and 91.67% respectively.
CONCLUSION:
SIS is highly sensitive and specific investigation to detect intra-cavity abnormalities of uterus. SIS can be used as an alternative investigation tool in low resource settings whenever hysteroscopy in not readily available.
KEY WORDS: Uterine cavity lesions, sensitivity, specificity, saline infusion sonography
IMMUNOHISTOCHEMICAL EXPRESSION OF THYMIDYLATE SYNTHASE IN DIFFERENT GRADES OF COLORECTAL CARCINOMA
Authors: Umber Irshad Butt  , Munazza Hassan  , Afia Sarwar  , Atiya Begum  , Uzma Nabi  , Sadaf Zahid  
Published: January 2024

Objective: To Evaluate the Immunohistochemical Expression of Thymidylate Synthase in different grades and histological types of Colorectal Carcinoma.
Study Design: Cross sectional, Descriptive study
Place and duration of study: This study was conducted from June 2019 to November 2020 in the Department of Pathology at Postgraduate Medical Institute Lahore / Lahore General Hospital.
Methodology: Forty resected gut specimens diagnosed on light microscopy as Colorectal adenocarcinoma were included on the basis of non-probability, consecutive sampling technique. Cases were reviewed and histological typing and grading was done separately by two competent Histopathologists. Immunohistochemical staining for Thymidylate Synthase was performed. Results of Thymidylate Synthase immunostaining were interpreted by the two observers based on the cytoplasmic staining of tumor cells. Thymidylate Synthase expression was quantified through a visual grading system depending upon the staining intensity and percentage of stained cells.
Results: Out of 40 cases of adenocarcinoma, majority of the patients (45%) belong to the age range of 51-60 years. There were 31(77.5%) male patients while 9(22.5%) were females. 28 (22%) cases were classified as low grade while 12 (11%) cases were reported as high-grade carcinomas. Amongst these Thymidylate Synthase expression was seen in 78.6% of low-grade carcinoma and 91.6% of high-grade carcinomas. Regarding histological subtyping, 23(57.5 %) cases were identified as non-mucinous adenocarcinomas, (9)22.5% as mucinous adenocarcinoma and (8) 20% as signet ring adenocarcinoma. Thymidylate Synthase expression was found to be similar i.e., 78% in non- mucinous as well as mucinous carcinomas however, 100% positivity was noticed in signet ring carcinomas. The overall positivity for Thymidylate Synthase was found to be 82.5%.
Conclusion: Colorectal carcinoma was prevalent among males of 51-60 years of age. 82.5% cases of colorectal carcinoma expressed Thymidylate synthase receptors and its expression was found to be higher in high grade tumors.
EXPLORING PERSPECTIVES OF MEDICAL FACULTY AND UNDERGRADUATE MEDICAL STUDENTS ON CHATGPT IN MEDICAL EDUCATION
Authors: Javed Kainat , Arooj Mahwish 
Published: January 2024

Background and Objective: There is considerable interest in the likely application of AI-based tools like ChatGPT in medical education, considering the rapid growth of AI technologies. However, there is limited research, notably in Pakistan, on the perspectives and experiences of educators and learners with ChatGPT.
The purpose of this study was to determine whether teachers and students at UCMD university college of Medicine and Dentistry were aware of the potential advantages, perceived drawbacks, issues, and limitations of using ChatGPT in medical education.
Methods: Focused group discussions with medical faculty and students who had varied levels of ChatGPT experience took place as part of a qualitative study. The main themes and subthemes that emerged from the discussions were identified using a thematic analysis.
Results: Participants showed a thorough understanding of ChatGPT and its features. The main aspects covered in this study were comprehension and perception of ChatGPT. The gathering and summarizing of data as well as the work and timesaving’s were among the recognized advantages. The probable lack of critical thinking in the facts laid out, the ambiguity of the references, the ability to access limitations, dependence on Chat GPT's output, and the ethical issues were among the primary reasons of concerns and restrictions.
Conclusions: This study offers significant details about how medical teachers and students view and interact with ChatGPT in medical education. Although Chat GPT's advantages were acknowledged, participants also expressed concerns and limitations that needed further study for its successful integration into medical education. This research ought to explore Chat GPT's effects on learning outcomes, student and faculty satisfaction, and the development of critical thinking skills.
Keyword: ChatGPT, Medical Education, Medical faculty, Educational technology
PENINGKATAN KOMPETENSI GURU SLB BHAKTI LUHUR NANGA PINOH DALAM MENGIMPLEMENTASIKAN KURIKULUM MERDEKA BELAJAR MELALUI DIKLAT
Authors: RUMAHORBO ROSMAWATY 
Published: January 2024

The implementation of the training held aims to increase the competency of teachers at SLB Bhakti Luhur Nanga Pinoh in implementing the Independent Curriculum in the implementation of learning in their respective classes. This training was carried out in stages over 2 months, starting from August, until the beginning of October 2022. The number of training participants from the teacher group was 15 people, while the school staff was 2 people. After the training implementation is complete, an evaluation and assessment is carried out. From the results of this evaluation and assessment, it was found that all teachers (15 people) of SLB Bhakti Luhur Nanga Pinoh were declared ready to implement the Independent Curriculum, because of the 15 teachers, there were 8 teachers with A Predicate (Very High Competence for Implementing the Independent Curriculum), and 7 teachers with Predicate B (High Competence for Implementing the Independent Curriculum). These results show that not a single Bhakti Luhur Nanga Pinoh SLB teacher received a score below the minimum criteria for the Independent Curriculum Implementation Competency assessment.
ABSTRAKPelaksanaan Diklat yang diselenggarakan, bertujuan untuk meningkatkan kompetensi guru-guru di SLB Bhakti Luhur Nanga Pinoh dalam mengimplementasikan Kurikulum Merdeka pada pelaksanaan pembelajaran di kelas masing-masing. Diklat ini dilaksanakan secara bertahap selama 2 bulan, mulai dari bulan Agustus, sampai awal bulan Oktober tahun 2022. Jumlah peserta Diklat dari kelompok guru berjumlah 15 orang, sedangkan staf skolah berjumlah 2 orang. Setelah pelaksanaan Diklat selesai, dilakukan evaluasi dan penilaian. Dari hasil evaluasi dan penilaian ini didapatkan hasil bahwa semua guru (15 orang) SLB Bhakti Luhur Nanga Pinoh, dinyatakan siap mengimplementasikan Kurikulum Merdeka, karena dari ke 15 guru, terdapat 8 orang guru dengan Predikat A (Sangat Tinggi Kompetensi untuk Mengimplementasikan Kurikulum Merdeka), dan 7 orang guru dengan Predikat B (Tinggi Kompetensi untuk Mengimplementasikan Kurikulum Merdeka). Hasil ini menunjukan bahwa tidak ada satupun guru SLB Bhakti Luhur Nanga Pinoh yang mendapat nilai di bawah keriteria minimal penilaian Kompetensi Implementasi Kurikulum Merdeka.
Improving Understanding Regarding Dangerous Goods and Blind Spot at SMAN 7 Denpasar
Authors: Gautama Nengah Widiangga , Novianto Hendra Yuda , Baskara Wahyu Padma , Sofiana Resza Ajie Okta , Raharjo Agung Slamet 
Published: January 2024

It is important to know and understand about dangerous goods and the procedures for transporting dangerous goods, especially for the younger generation can help the transport of dangerous goods reduce the number of accidents in the transportation of goods. Reducing the number of freight transport accidents is one way to implement safety and security when driving. Many young people do not understand safety and security in driving, and on this basis the Bali Land Transportation Polytechnic provides an understanding of the blind spots for dangerous goods transportation. This activity uses socialization/counseling methods to participants regarding the load of dangerous goods on the road and blind spots. The target of the Community Service Program (PKM) is aimed at students of SMAN 7 Denpasar, this is closely related to the role of youth/students and driving safety when dealing with dangerous goods transportation. It is hoped that this socialization will provide an understanding of dangerous goods in order to realize the role of the younger generation in the safety and security of the transportation of dangerous goods. After conducting socialization regarding dangerous goods, participants were able to understand the explanation given and answer the quiz questions properly and correctly.