bluuebunny/crossref_metadata_2025_split huggingface dataset:
Acute unilateral orbital varix thrombosis in preexisting bilateral orbital varices: illustrative case
Authors: Pichayawat Chanokgarn , Chokthaweesak Weerawan , Leelawongs Sasikant , Chanthanaphak Ekachat , Tritanon Oranan , Putthirangsiwong Bunyada 
Published: June 2023

OBJECTIVE
Orbital varix is a rare distensible orbital venous malformation. Most patients present with unilateral intermittent periorbital pain and positional proptosis that is exacerbated by the Valsalva maneuver. Complications include hemorrhage and thrombosis, leading to sudden painful proptosis and visual disturbance.

OBSERVATIONS
A 42-year-old female with a history of bilateral intermittent painless proptosis that was accentuated by a postural head-down position presented with acute painful proptosis in her right eye. Ophthalmic examination revealed right eye proptosis with a bluish mass at the right upper eyelid, and another bluish mass at the left lower eyelid that was prominent during the Valsalva maneuver. Computed tomography scans of the orbits indicated right orbital varix thrombosis and left orbital varix. Surgical excision of the right thrombosed varix was performed along with intralesional bleomycin injection in the left orbital varix. Histopathological examination confirmed the right thrombosed varix diagnosis. The patient had good clinical improvement at the 6-month follow-up.

LESSONS
Orbital varices have a spectrum of clinical manifestations, from asymptomatic to severe visual loss. Most cases are successfully treated conservatively; however, in complicated cases, interventions with a multidisciplinary team approach such as sclerotherapy, embolization, and surgical excision should be considered.
Internal iliac artery aneurysm masquerading as a sciatic nerve schwannoma: illustrative case
Authors: Bhenderu Lokeshwar S. , Taghlabi Khaled M. , Hassan Taimur , Guerrero Jaime R. , Cruz-Garza Jesus G. , Goldstein Rachel L. , Sharma Shashank , Le Linda V. , Dinh Tue A. , Faraji Amir H. 
Published: June 2023

BACKGROUND
Schwannomas are common peripheral nerve sheath tumors. Imaging techniques such as magnetic resonance imaging (MRI) and computed tomography (CT) can help to distinguish schwannomas from other types of lesions. However, there have been several reported cases describing the misdiagnosis of aneurysms as schwannomas.

OBSERVATIONS
A 70-year-old male with ongoing pain despite spinal fusion surgery underwent MRI. A lesion was noted along the left sciatic nerve, which was believed to be a sciatic nerve schwannoma. During the surgery for planned neurolysis and tumor resection, the lesion was noted to be pulsatile. Electromyography mapping and intraoperative ultrasound confirmed vascular pulsations and turbulent flow within the aneurysm, so the surgery was aborted. A formal CT angiogram revealed the lesion to be an internal iliac artery (IIA) branch aneurysm. The patient underwent coil embolization with complete obliteration of the aneurysm.

LESSONS
The authors report the first case of an IIA aneurysm misdiagnosed as a sciatic nerve schwannoma. Surgeons should be aware of this potential misdiagnosis and potentially use other imaging modalities to confirm the lesion before proceeding with surgery.
Subependymal giant cell astrocytoma in the absence of tuberous sclerosis: illustrative case
Authors: Shelley India , Mahtabfar Aria , Farrell Christopher J. 
Published: June 2023

BACKGROUND
Subependymal giant cell astrocytoma (SEGA) is a benign intraventricular tumor classically arising near the Foramen of Monro. SEGAs almost always present as a component of tuberous sclerosis complex (TSC), an autosomal dominant disorder characterized by lesions in multiple organs.

OBSERVATIONS
A 22-year-old female with no past medical history presented with new-onset right-eye pressure, floaters in the right visual field, and pulsatile tinnitus. Imaging revealed an avidly enhancing mass abutting the right Foramen of Monro, causing obstructive hydrocephalus. Following resection, histopathological analysis identified the lesion as a SEGA. However, on further workup, the patient was found to have no genetic or clinical findings of TSC, which exemplifies a rare case of SEGA in the absence of a TSC diagnosis.

LESSONS
It is essential for physicians to be aware of the possibility of SEGA in the absence of other characteristics of TSC, which has many implications for a patient’s clinical course. The authors present the seventh case of SEGA without genetic or clinical features of TSC described in the literature.
Development of multifocal glioblastoma after radiotherapy for craniopharyngioma: illustrative case
Authors: Yuan Edith , Lin Michelle , Min Elliot , Liu Kristie , Attenello Frank J. 
Published: June 2023

BACKGROUND
Radiation-induced glioblastoma (GBM) in patients previously treated for craniopharyngioma is a rare phenomenon. To the authors’ knowledge, only seven cases have previously been documented in the literature.

OBSERVATIONS
Herein, the authors report a case of a patient presenting with a new diagnosis of multifocal GBM 15 years after having received adjuvant radiotherapy for a craniopharyngioma. Magnetic resonance imaging revealed an extensive enhancing infiltrative lesion in the right frontal lobe as well as two satellite lesions in the contralateral frontal lobe. Histopathology on biopsy was consistent with GBM.

LESSONS
Even though this case is rare, it is nevertheless important to recognize GBM as a potential side effect of radiation. Long-term follow-up in postradiation craniopharyngioma patients is crucial for early detection.
Analisis Implementasi Sistem Penilaian Perilaku Kerja Pegawai pada Badan Kepegawaian Daerah Provinsi Jawa Barat
Authors: Azzahra Alya , Supriatna Metha Djuwita 
Published: June 2023

Behavioral appraisal for civil servants is part of performance appraisal by using a 360-degree method. This method involves a team which consists of ratee’s direct superiors, co-workers, ratee, and subordinates, to evaluate civil servant’s work behavior in accordance with the provisions of the legislation. However, in practice there are some obstacles, such as in the Regional Personnel Agency (BKD: Badan Kepegawaian Daerah of West Java Province. Therefore, this study aimed to: 1) find out the behavior appraisal system with the 360 method at the West Java BKD, 2) improve the behavior appraisal system, and 3) find out the results of the evaluation of the behavior appraisal system improvement. A qualitative method with a descriptive approach was used in this study, through interviews and observations. As result, there were three problems i.e. the behavioral appraisal instrument used by the BKD did not fully support performance appraisal, the performance appraisal rater were incompetent, and the results of the behavior appraisal were only in the form of values that would be used as the basis for providing additional employee allowance (or TPP: Tambahan Penghasilan Pegawai). Therefore, improvements were made to the system by designing comprehensive behavioral assessment guidelines and then evaluating the improvements to the system. So that the compiled guidelines can be used as a reference for the implementation of civil servants’ behavior appraisal at the BKD West Java Province.
Otonomi Daerah dan Upaya Peningkatan Pelayanan Publik di Indonesia
Authors: Dawud Joni 
Published: June 2023

Seiring dengan bertambahnya daerah otonom dan besarnya alokasi anggaran yang disalurkan ke daerah semestinya akan berkorelasi dengan meningkatnya perkembangan pencapaian tujuan dari otonomi daerah. Tujuan dari otonomi daerah menurut undang-undang Nomor 32 Tahun 2004 tentang Pemerintahan Daerah, Pasal 2 ayat 3 menyebutkan bahwa tujuan otonomi daerah ialah menjalankan otonomi yang seluas-luasnya, kecuali urusan pemerintahan yang memang menjadi urusan pemerintah, dengan tujuan untuk meningkatkan kesejahteraan masyarakat, pelayanan umum, dan daya saing daerah. Sedangkan dalam UU 23 Tahun 2014 tidak tergambar secara ekplisit tujuan dari otonomi daerah seperti apa. Adapun Menurut Bagir Manan mengidentifikasi 5 fungsi dari otonomi, salah satunya adalah fungsi pelayanan publik, yaitu agar lebih dekat dengan rakyat yang wajib dilayani, selain fungsi pengelolaan pemerintahan, fungsi politik, fungsi polisionil, dan fungsi keragaman Sedangan Tujuan otonomi daerah seperti yang dijelaskan oleh Bhenyamin Hoessein (1994) adalah untuk mengurangi beban dipundak pemerintah yang lebih atas, tercapainya efisiensi dan efektivitas layanan kepada masyarakat, penggunaan sumber daya yang lebih efektif, pemantapan perencanaan pembangunan dari bawah, peningkatan persatuan dan kesatuan nasional serta keabsahan politik pemerintah dengan memberikan kesempatan yang lebih besar kepada masyarakat untuk mengenali masalah yang dihadapi dan menyampaikannya kepada instansi pemerintah tersebut.
Occupational Therapist-Led Mindfulness Training Program for Older Adults Living with Early Cognitive Decline in Primary Care: A Pilot Randomized Controlled Trial
Authors: Tran Todd , Finlayson Marcia , Nalder Emily , Trothen Tracy , Donnelly Catherine 
Published: June 2023

Background: Community-dwelling older adults with early cognitive deficits experience less efficiency in performing everyday life tasks, resulting in decreased satisfaction and other adverse psychological outcomes. Mindfulness training has been linked to cognitive and psychological improvements and, most recently, has been identified as a potential intervention supporting performance of everyday life activities. Objective: This study aimed to evaluate whether mindfulness practice can improve perceived performance and satisfaction with everyday life activity and secondary psychological outcomes. Methods: This study is a pilot randomized controlled trial (RCT) in an interprofessional primary care team practice in Toronto, Ontario, Canada. The participants were 27 older adults aged 60 years of age or older living with early cognitive deficits. Participants were randomized into an 8-Week mindfulness training program ( n = 14) group or a Wait-List Control (WLC; n = 13) group compared at baseline, post-intervention and 4-weeks follow-up. MANOVAs with post-hoc independent t-tests were used to compare between groups at different time points. Results: There was a significant improvement in anxiety for the intervention group compared to the WLC group at post-intervention; Time-2 (mean difference = 3.90; CI = 0.04-7.75; p = 0.04) with large effect size ( d = 0.80). Conclusion: Mindfulness training significantly improved anxiety scores for patients with early cognitive deficits post-intervention. Further work is required to test the sustainability of reduced anxiety over time, but this study demonstrated that MBSR is a promising primary care intervention for those living with early cognitive deficits. This study warrants the pursuit of a future study in exploring how long the reduced anxiety effects would be sustained.
Respiratory-Swallow Coordination in Individuals with Parkinson’s Disease: A Systematic Review and Meta-Analysis
Authors: Rangwala Rabab , Saadi Raneh , Lee Jungwha Julia , Reedy Erin L. , Kantarcigil Cagla , Roberts Megan , Martin-Harris Bonnie 
Published: June 2023

Background: Swallowing impairment, including altered physiology and aspiration, occur across the progression of Parkinson’s disease (PD). The phase of respiration during which a swallow is initiated has been linked to swallowing impairment and aspiration in cohorts with dysphagia following stroke and head and neck cancer treatment, but has been understudied in PD. If similar findings are shown in individuals with PD, the implications for swallowing assessment and treatment are significant. Objective: The aim of this systematic review and meta-analysis of literature was to examine respiratory-swallow coordination measures and potential implications on swallowing physiology in individuals with PD. Methods: An extensive search of 7 databases (PubMed, EMBASE, Central, Web of Science, ProQuest Dissertations & Theses, Scopus, and CINAHL) with predetermined search terms was conducted. Inclusion criteria were individuals with PD and the use of objective evaluations of respiratory-swallow coordination. Results: Of the 13,760 articles identified, 11 met the inclusion criteria. This review supports the presence of atypical respiratory swallow patterning, respiratory pause duration and lung volume at swallow initiation in individuals with PD. The meta-analysis estimated an occurrence of 60% of non-expiration-expiration and 40% of expiration-expiration respiratory phase patterns surrounding swallowing. Conclusion: Although this systematic review supports the occurrence of atypical respiratory-swallow coordination in individuals with PD, the evidence is limited by the variability in the methods of data acquisition, analysis, and reporting. Future research examining the impact of respiratory swallow coordination on swallowing impairment and airway protection using consistent, comparable, and reproducible methods and metrics in individuals with PD is warranted.
Conjunctive query answering over unrestricted OWL 2 ontologies
Authors: Igne Federico , Germano Stefano , Horrocks Ian 
Published: June 2023

Conjunctive Query (CQ) answering is a primary reasoning task over knowledge bases. However, when considering expressive description logics, query answering can be computationally very expensive; reasoners for CQ answering, although heavily optimized, often sacrifice expressive power of the input ontology or completeness of the computed answers in order to achieve tractability and scalability for the problem. In this work, we present a hybrid query answering architecture that combines various services to provide a CQ answering service for OWL. Specifically, it combines scalable CQ answering services for tractable languages with a CQ answering service for a more expressive language approaching the full OWL 2. If the query can be fully answered by one of the tractable services, then that service is used, to ensure maximum performance. Otherwise, the tractable services are used to compute lower and upper bound approximations. The union of the lower bounds and the intersection of the upper bounds are then compared. If the bounds do not coincide, then the “gap” answers are checked using the “full” service. These techniques led to the development of two new systems: (i) RSAComb, an efficient implementation of a new tractable answering service for RSA (role safety acyclic) (ii) ACQuA, a reference implementation of the proposed hybrid architecture combining RSAComb, PAGOdA, and HermiT to provide a CQ answering service for OWL. Our extensive evaluation shows how the additional computational cost introduced by reasoning over a more expressive language like RSA can still provide a significant improvement compared to relying on a fully-fledged reasoner. Additionally, we show how ACQuA can reliably match the performance of PAGOdA, a state-of-the-art CQ answering system that uses a similar approach, and can significantly improve performance when PAGOdA extensively relies on the underlying fully-fledged reasoner.
Pelatihan Penggunaan Simulator Online sebagai Alat Bantu Ajar Materi Rangkaian Listrik
Authors: Sari Lydia , Harahap Devianda Sari , Surjati Indra , Ningsih Yuli Kurnia , Fitriana Rina 
Published: June 2023

Sejak Pemerintah Indonesia memberlakukan Pembatasan Sosial Berskala Besar guna menekan laju penyebaran virus Covid-19 pada bulan Maret 2020, proses pembelajaran di sekolah harus dilaksanakan secara jarak jauh. Hal ini menimbulkan kesulitan dalam penyampaian materi ajar yang memerlukan peralatan laboratorium. Pengabdian kepada Masyarakat (PkM) ini bertujuan mengatasi kesulitan tersebut dan berupa pelatihan penggunaan simulator online untuk Materi Rangkaian Listrik. Materi ini memerlukan pemahaman konsep yang abstrak, dan biasanya diajarkan menggunakan alat laboratorium. Metode pembelajaran materi ini perlu disesuaikan agar siswa tetap dapat memahami materi tersebut walaupun tidak dapat mengakses perangkat percobaan di sekolah. Simulator yang akan digunakan adalah Multisim Live, yang dapat diakses secara mudah dan gratis, serta tidak memerlukan instalasi perangkat lunak apapun untuk dapat digunakan. Kegiatan PkM ini dilaksanakan dengan mitra MTs Tarbiyatul Falah, secara daring. Dalam pelatihan, dilakukan demonstrasi penggunaan simulator yang memungkinkan guru dan siswa merancang rangkaian menggunakan berbagai komponen dan mengamati keluarannya secara real time. Dari hasil pelatihan diketahui bahwa peserta memahami materi dengan baik, terlihat dari hasil post-test dimana 58,3% hingga 100% peserta menjawab dengan benar. Berdasarkan evaluasi yang dilakukan, 100% peserta menyatakan materi pelatihan yang diberikan bermanfaat, dan 86,96% peserta menyatakan pelatihan metode pembelajaran daring perlu dilanjutkan.
Gambaran Pengetahuan Ibu Hamil tentang Deteksi Dini Tanda Bahaya Kehamilan di Puskesmas Tambelan Sampit
Authors: Nisma Nisma , Hidayah Nurul , Jamil Nurul 
Published: June 2023

ABSTRACT The morbidity and mortality that occurs in pregnant women is due to a lack of knowledge regarding the causes, effects and management of complications that occur during pregnancy. Lack of knowledge of pregnant women causes mothers to be unable to carry out early detection because they do not recognize the danger signs of pregnancy so that complications of pregnancy are often handled late. This study aims to identify mother's knowledge about early detection of danger signs of pregnancy at the Tambelan Sampit Health Center. This type of research is a type of descriptive research. Sampling in this study using total sampling. Research respondents were pregnant women who checked their pregnancies at the Tambelan Sampit Health Center. The research instrument was a questionnaire regarding the knowledge of pregnant women regarding the detection of danger signs of pregnancy. The results of the study showed that the majority of respondents had sufficient knowledge of 17 respondents (33.3%), had good knowledge of 7 respondents (23.3%) and a small portion had less knowledge of 6 respondents (20%). The conclusion of this study is that the majority of mothers who check their pregnancies at the Tambelan Sampit Health Center have sufficient knowledge about early detection of danger signs of pregnancy. Keywords: Knowledge, Pregnancy, Early Detection ABSTRAK Mordibitas dan mortalitas yang terjadi pada ibu hamil disebabkan masih kurangnya pengetahuan mengenai sebab, akibat dan penanggulangan komplikasi yang terjadi selama kehamilan. Kurangnya pengetahuan ibu hamil menyebabkan ibu tidak dapat melakukan deteksi dini karena tidak mengenali tanda bahaya kehamilan sehingga seringkali penanganan komplikasi kehamilan terlambat tertangani. Penelitian ini bertujuan mengidentifikasi pengetahuan ibu tentang deteksi dini tanda bahaya kehamilan di Puskesmas Tambelan Sampit. enis penelitian ini merupakan jenis penelitian deskriptif. Pengembilan sampel dalam penelitian ini menggunakan total sampling. Responden penelitian adalah ibu hamil yang memeriksakan kehamilan di Puskesmas Tambelan Sampit. Instrument penelitian berupa kuesioner tetang pengetahuan ibu hamil tetang deteksi tanda bahanya kehamilan. Hasil penelitian menujukan responden Sebagian besar berpengetahuan cukup sebanyak 17 responden (33,3%),berpengetahuan baik sebanyak 7 responden (23,3%) dan sebagian kecil berpengetahuan kurang sebanyak 6 responden (20%).Simpulan penelitian ini ialah bebagian besar ibu yang memeriksakan kehamilan di Puskesmas Tambelan Sampit memiliki pengetahuan cukup tetang deteksi dini tanda bahaya kehamilan.Kata Kunci: Pengetahuan, Kehamilan, Deteksi Dini
Identificationof Y Ang Factor Affects Level of Parental Anxiety Towards Covid 19 Vaccination in Children
Authors: Anggraini Ika Rizki , Aini Nurul 
Published: June 2023

ABSTRACT The covid 19 virus has affected children, and adolescents and children now account for more than a fifth of new cases in parts of the world. Vaccination is carried out from all ages, including children over 6 years old. But the challenge is about how parents can vaccinate their children. This is important to do because parents are the key in all decision-making determinants in children. In addition, this study is important to be carried out as an evaluation material in achieving the coverage of the covid 19 immunization target in children. The purpose of this study was to identify actors who influenced the level of parental anxiety towards covid 19 vaccination in Children. This research method uses descriptive analysis with a cross sectional study approach. The population and sample are parents who have children aged 6-18 years. This study used an accidental sampling method with the number of 30respondents of parents who had children aged 6-18 years. The research sites are located in several elementary schools in the Malang city area that have carried out covid 19 vaccinations. The results of this study showed that the age of <50 years old parents, namely 16 people (53.3%), of which 18 people (60%) did not experience anxiety. Ibu household (IRT) which was 17 respondents (56.7%) with a mild anxiety level of 5 people, respondents were dominated by those with 2 children, namely 21 people (70%) consisting of 4 people experiencing severe anxiety. Conclusion: The results show that parents who have psychological factors are related to the level of parental anxiety towards covid 19 vaccination in children. Keywords: Covid-19, Anxiety, Parents, Vaccination in Children
UJI AKTIVITAS ANTIKOLESTEROL EKSTRAK BATANG Uncaria cordata (Lour.) Merr. TERHADAP KADAR KOLESTEROL TOTAL MENCIT JANTAN (Mus musculus)
Authors: Indriyani Rika , Dewi Handayani  , Nurhamidah Nurhamidah , Sundaryono Agus 
Published: June 2023

The aim of this study was to determine the anticholesterol activity of the stem extract of Uncaria cordata (Lour.) Merr. on total cholesterol levels in male mice (Mus musculus). Before carrying out the anticholesterol activity test, phytochemical tests were carried out to determine the content of secondary metabolites in Uncaria cordata stems. Furthermore, the anticholesterol activity test was carried out in vivo using male mice, male mice were induced by high-fat diet (PTL) in the form of beef brain, quail egg yolk and propylthiouracil to increase cholesterol levels in mice until they experienced hypercholesterolemia, then mice were induced by plant extracts to see anticholesterol activity. Cholesterol levels were measured using a glucometer (Autocheck). Phytochemical test results showed the content of secondary metabolites in the form of flavonoids, saponins, alkaloids, tannins and terpenoids. The results of the anti-cholesterol activity test showed that there was anti-cholesterol activity as indicated by a decrease in cholesterol levels in mice with hypercholesterolemia. A decrease of 11.45% at a dose of 5.3 mg/30grW; 12.89% at a dose of 10.2mg/30grW and 21.05% at a dose of 21.2mg/30grW.
Key words : Anticholesterol, Uncaria cordata (Lour.) Merr., Hypercholesterolemia