bluuebunny/crossref_metadata_2025_split huggingface dataset:
Surgical Treatment of Neglected Elbow Dislocation by Posterior Approach
Authors: Islam Md Nazrul , Islam Md Rabiul , Begum Tahmina , Islam Md Moshabbirul 
Published: August 2023

Background: Neglected elbow dislocation often results in contracture and functional impairments. Surgical treatment is challenging because of the accompanying triceps retraction.
Objectives: The purpose of the present study was to surgical outcomes of treating the neglected dislocations of elbow joint using the posterior approach.
Methodology: This was a non-randomized clinical trial over a three years period from January 2017 to December 2019. All the patients who were presented with a neglected elbow dislocation which was older than 21 days were selected as study population. The average follow-up was 18 months with the range 12 to 24 months after surgical procedure.
Results: A total number of 10 patients were treated with an average age of 24.6±10.52 years (range 14 to 48 years). The dislocations were 6.6±3.69 months old on average (range 2 to 12months). Average elbow flexion was 46.5±26.04(15º-90º) and the extension deficit was 14.5±19.58(0º-50º) before the surgery. A paratricepital approach was used in all patients. In 7 patients, the dislocation was reduced without triceps lengthening. In 3 patients, a V-Y plasty of the triceps muscle was required. The improvements in the overall range of motion were statistically significant. Average elbow flexion was118±11.35 (100º-130º) and extension deficit was 20.5±15.17. Complications included one case of ulnar nerve paresis, which subsided within two months, and one case of superficial infection.
Conclusion: In conclusion the functional improvement in neglected elbow dislocations is outstanding.
Journal of Current and Advance Medical Research, July 2022;9(2):63-68
Topographic Pattern of Keratoconus patient at First Presentation in Tertiary Eye Hospital of Bangladesh
Authors: Mallick Abeer , Romance Naoroze Ferdous , Akter Yasmin , Islam Md Atikul , Dey Hymonti , Quader Md Abdul 
Published: August 2023

Objective: To evaluate the topographic pattern of keratoconus patient at first presentation in a tertiary eye hospital of Bangladesh.
Methods: This was a cross sectional study conducted over 200 eyes of 100 keratoconus patients attending at National Institute of Ophthalmology & Hospital, Dhaka, for a period of 6 months. Selected patients underwent detail history, ocular and systemic examination as well as related investigations which includes corneal topography, keratometry and auto refractometry.
Results: Mean age of the patients was 21.24 ± 6.25(SD) years and among the patients male predominance was observed, male to female ratio was 2.1:1. The mean unaided visual acuity of better eye was 0.86 ± 0.38(SD) Log MAR and mean unaided visual acuity of worse eye was 1.16 ± 0.44 Log MAR. Among 200 eyes there were 36 mild (18.0%), 100 moderate (50.0%) and 64 severe (32.0%) keratoconus eyes. Majority of the eyes (81.0%) showed three common topographic pattern, these are asymmetric bowtie with skewed axis (32.0%), asymmetric bowtie with inferior steepening (30.0%) and inferior steepening (19.0%). In mild keratoconus patients topography showed largely one pattern, inferior steepening (30.6% of mild keratoconus). In case of moderate keratoconus patients topography shows mainly three patterns, asymmetrical bowtie with skewed axis (19.0%), asymmetric bowtie with inferior steepening (16.5%) and inferior steepening (10.5%). In severe keratoconus patients topography shows mainly three patterns, asymmetrical bowtie with inferior steepening (10.5%), asymmetric bowtie with skewed axis (9.5%) and irregular pattern (8.5%). There was no round, superior steepening, symmetric bowtie or asymmetric bowtie with superior steepening pattern in severe keratoconus.
Conclusion: The pattern of topography varies among the different stages of keratoconus patients. From the topography pattern we can diagnose the keratoconus early and also get the information of severity of the disease and treat accordingly.
J. Natl. Inst. Ophthalmol. 2022; 5(2):31-36
Bangabandhu Sheikh Mujib and Education in Emergencies
Authors: Rahaman Muhammed Mahbubur , Wahiduzzaman M 
Published: August 2023

The purpose of this historical review article is to explore how Bangabandhu’s education philosophy contributed to education in emergencies (EiE). The article analyzed historical documents and events to show how Bangabandhu’s speeches and activities were aligned with the idea of the EIE system. The methodology for this study was chosen to apply scientific method to the description and analysis of Banghabandhu’s biography from an educational and philosophical standpoint. Two basic methodological techniques were used: (a) the critical analysis of all the available documents relating to Banghabandhu; and (b) descriptive details to show the extent of the influence of various factors on Banghabandhu’s lifestyle and deeds. The findings establish a significant relationship between the educational thoughts of Bangabandhu and the modern concepts, theories, and practices of education in emergencies (EiE). Analyzing Bangabandhu’s educational thoughts and deeds, the findings indicated that Bangabandhu’s philosophy could be the basis of the contemporary idea of EiE. The findings are significant enough to claim Bangabandhu as one of the founders of EiE. Finally, applying strategies developed by Bangabandhu’s realistic initiatives may have implications in “real-life” situations involving EIE. In this way, the findings may enable educators, policymakers, and personnel working in the field of EiE to understand the local contextual perspective of EiE based on Bangabandhu’s educational principles and thoughts, with policy implications for mitigating the loss of education for thousands during and after emergencies.
Vol. 48 (University of Dhaka Centennial Special Issue), June 2022 p.7-26
SISTEM INFOMASI KOPERASI SIMPAN PINJAM PEGAWAI NEGERI (KPN) “MITRA HATI” PADA SMAN 8 KOTA BENGKULU BERBASIS WEB
Authors: Rahmadiansyah Aditya , KZ Oktoeberza Widhia 
Published: August 2023

Perkembangan teknologi informasi telah memberikan dampak signifikan pada berbagai sektor kehidupan, termasuk dalam manajemen keuangan dan pengelolaan pinjaman. Dalam konteks ini, koperasi SMAN 8 Kota Bengkulu membutuhkan perancangan sistem informasi yang efektif untuk mengelola kegiatan simpan pinjam pegawai negeri mereka. Tujuan dari penelitian ini adalah merancang sistem informasi yang dapat mmembantu koperasi SMAN 8 Kota Bengkulu untuk mengelola kegiatan simpan pinjam pegawai negeri dengan lebih efisien dan akurat. Sistem informasi yang dirancang akan mencakup fitur-fitur seperti pencatatan data anggota, pengelolaan simpanan, perhitungan bunga dan laporan keuangan. Metode yang digunakan dalam penelitian ini adalah pengumpulan data melalui observasi langsung, wawancara, dan studi pustaka. Data yang terkumpul akan dianalisis dan digunakan sebagai dasar untuk merancang sistem informasi yang sesuai dengan kebutuhan koperasi SMAN 8 Kota Bengkulu. Hasil dari penelitian ini adalah perancangan sistem informasi yang terintegrasi dan user-friendly untuk kegiatan simpan pinjam pegawai negeri pada koperasi SMAN 8 Kota Bengkulu. Sistem ini diharapkan dapat meningkatkan efisiensi pengelolaan keuangan, mengurangi kesalahan pencatatan, dan memberikan informasi yang akurat dan terpercaya kepada para anggota koperas.

Kata kunci: sistem informasi, simpan pinjam, pegawai negeri, koperasi SMAN 8 Kota Bengkulu.
Análise comparativa do diagnóstico clínico e radiológico de pacientes pediátricos com suspeita de displasia congênita do quadril
Authors: Barbosa Felipe Horta , Cassol Augusto Cassi , Petroli Caroline Menegotto , Oliveira Júnior Aloir Neri de , Barbosa Marcelo Horta , Jorge Marcia Angéllica Delbon Atiê 
Published: August 2023

Objetivo: Analisar o perfil epidemiológico de pacientes com suspeita de displasia do desenvolvimento do quadril (DDQ) no estado do Rio Grande do Sul, correlacionado ao diagnóstico clínico e radiológico da patologia. Métodos: Estudo observacional transversal executado pelo serviço de Ortopedia e Traumatologia de um hospital filantrópico do estado do Rio Grande do Sul. Foi realizado um levantamento de dados epidemiológicos, análise dos diagnósticos clínicos e radiológicos de pacientes pediátricos com suspeita DDQ atendidos na unidade durante o período de 2016 a 2021. Resultados: Foram incluídos 85 pacientes no estudo, a análise do perfil epidemiológico demonstrou predominância do sexo feminino e da etnia caucasiana, com maior prevalência de acometimentos relacionados ao parto cesáreo. Na comparação do exame físico com radiografia ou US, não foi observada associação estatisticamente significante (p>0,05). Quando comparado US com radiografia, também não houve concordância entre os exames (p>0,05). Conclusão: O exame clínico é considerado o mais eficiente dos métodos de rastreio e diagnóstico. Exames complementares, como a radiografia e a ultrassonografia são fundamentais em situações nas quais são mantidas as suspeitas diagnósticas. No entanto, estes testes não devem ser avaliados de forma isolada, visto que a avaliação com o uso exclusivo de apenas um método diminui a acurácia do diagnóstico.
THEMATIC-BASED STORY ILLUSTRATION PICTURE AS A CREATIVITY STIMULUS FOR THE FIRST-GRADE ELEMENTARY STUDENTS
Authors: Sari Yofita , Syahdan Aldin 
Published: August 2023

The abundance of emerging technologies in a civilization demands the readiness of the people as human resources to be more creative in all aspects. In terms of the research objectives, the researchers would like to develop a thematic-based story illustration picture as a creativity encouragement for first-grade elementary students. The research is a Research and Development (R&D) with the ADDIE model. The research sample is based on the purposive sampling technique. The sample consisted of 29 male students and 47 female students at the first-grade level. As a result, the average score in the pretest was 7.59. After applying to this program, it increased to 9.3 with an increase of 1.71. The minimum pretest score of 6.68 increased to 8.00, and the maximum post-test score of 8.50 initially increased to 9.8. It shows a significant increase in students' creativity. Based on the value of t-test = 9.01 with t-table (a = 0.05:110) at 1.658, there is a significant difference between the pretest and post-test scores. The research in this paper can be an appropriate innovation for the creativity program development for elementary students. It is because, in general, creativity programs are still theoretical and do not teach awareness and creative skills yet. .
Implementation of the PREMIER model based on river area to improve fourth-grade students’ mathematical problem-solving ability
Authors: Prihandoko Yogi , Prastitasari Herti , Kurahmah Taufik , Fendrik Muhammad , Istianah Tia Nur 
Published: August 2023

The problem in this study is the low ability to solve mathematical problems in geometry materials (square, rectangle, and triangle). An effort to overcome this problem is to conduct learning using the PREMIER model, which combines Project Based Learning, Realistic Mathematics Education, and Course Review Horay. This research uses a qualitative approach with the type of Classroom Action Research (CAR), carried out with four meetings. The subject of the study was a grade IV student of a public elementary school in Banjarmasin City in the academic year of 2021/2022, with a total of 13 students. The data analysis used is qualitative and quantitative. The results of this study show that student activity has increased, which at meeting one only reached 38.5% until at meeting four, it increased to 92.3% with a very active category.
DEVELOPMENT OF LEARNING DEVICES BASED ON PBL OF SETS MATERIAL TO FACILITATE MATHEMATICAL PROBLEM SOLVING ABILITY FOR STUDENTS IN SMP/MTs
Authors: Khairunnisa Nur , Armis  , Heleni Susda 
Published: August 2023

In the curriculum for 2013, it is proposed that one of the objectives of teaching mathematics: learners is expected to have problem-solving ability. The teacher is expected to increase the sudents activation in the learning process, especially the development of the ability to solve mathematical problems. In this context, the purpose of this study is to create produce of learning devices (syllabus, RPP and LKPD) of grade VII set material using model PBL to facilitate the ability to solve valid and practical criteria problems. The development model was used a model 4D (define, design, develop, desseminate). The research uses an instrument that is the learning device validation sheet (syllabus, RPP and LKPD). Based on data analysis, it was concluded that the problemb based mathematics learning model is valid. The results of 83% validation of the syllabus in valid categories, RPP 88% and LKPD 88% in highly valid categories. The LKPD developed was declared practical in a small group trials with an average student response 72% in practice.
THE USE OF LKPD BASED ON THE TPACK FRAMEWORK ON THE MATHEMATICAL PROBLEM SOLVING ABILITY OF CLASS X MAN 4 AGAM STUDENTS
Authors: Aini Faizah Quratu , Sepriyanti Nana , Susanto Andi 
Published: August 2023

This research is motivated by the lack of support for the media used for mathematical problem-solving skills and mathematical dispositions of students in MAN 4 Agam for the 2021/2022 academic year. One way that can be done is to use LKPD based on the TPACK framework. This study aims to find out the mathematical problem-solving ability of students who learn using LKPD based on the TPACK framework higher than the problem-solving ability of students who learn using ordinary LKPD in class X MAN 4 Agam. The results showed that the average value of mathematical problem-solving ability of experimental class students was 73.47 and the control class was 54.51. Hypothesis test using t-test with α = 0,05 at 95% confidence level obtained.
Kinerja Manajerial FAKTOR-FAKTOR YANG MEMPENGARUHI KINERJA MANAJERIAL
Authors: RMD Romandhon Rom , ‘Avia Khikmatul 
Published: August 2023

Abstract.This study aims to determine the effect of accounting knowledge, budgetary participation and entrepreneurial personality and level of education on the managerial performance of a case study on UMKM processed palm sugar, Limbangan District, Kendal Regency. The population in this study were all 107 small and medium-sized micro, small and medium-sized enterprises of palm sugar processing located in Limbangan District. The research sample was determined using simple random sampling method and obtained a sample of 85 using the Slovin formula. Data were collected through questionnaires and the analytical method used in this study was multiple linear regression analysis with the help of statistical software SPSS version 24. The results showed that accounting knowledge has a positive effect on managerial performance, budgetary participation has no effect on managerial performance, entrepreneurial personality has a positive effect on managerial performance and level of education affects managerial performance in UMKM processed palm sugar, Limbangan district, Kendal district.
Keywords: accounting knowledge, budgeting participation, entrepreneurial personality, managerial performance.
Abstraksi.Penelitian ini bertujuan untuk mengetahui pengaruh dari pengetahuan akuntansi, partisipasi penyusunan anggaran dan kepribadian kewirausahaan dan tingkat pendidikan terhadap kinerja manajerial studi kasus pada UMKM olahan gula aren Kecamatan Limbangan Kabupaten Kendal. Populasi dalam penelitian ini adalah semua Usaha Mikro Kecil dan Menengah olahan gula aren yang berada di Kecamatan Limbangan sejumlah 107 buah. Penentuan sampel penelitian menggunakan metode simple random sampling dan memperoleh sampel sebanyak 85 buah dengan menggunakan rumus slovin. Data dikumpulkan melalui kuisioner dan metode analisis yang digunakan dalam penelitian ini adalah analisis regresi linier berganda dengan bantuan perangkat lunak statistik SPSS versi 24. Hasil penelitian menunjukkan bahwa pengetahuan akuntansi berpengaruh positif terhadap kinerja manajerial, partisipasi penyusunan anggaran tidak berpengaruh terhadap kinerja manajerial, kepribadian kewirausahaan berpengaruh positif terhadap kinerja manajerial berpengaruh terhadap kinerja manajerial pada UMKM olahan gula aren kecamatan Limbangan kabupaten Kendal.
Kata Kunci: kepribadian kewirausahaan, kinerja manajerial, partisipasi penyusunan anggaran, pengetahuan akuntansi.
Um Um algoritmo alternativo para o mapeamento de parâmetros estáveis em modelos Stock-Flow Consistent (SFC)
Authors: Costa Santos Júlio Fernando , Costa da Silva Guilherme Jonas 
Published: August 2023

O presente artigo desenvolve um algoritmo de análise de estabilidade através da junção das técnicas de simulação de Monte Carlo, Gauss-Seidel/Newton e Filtros de Variação. Para a comparação de resultados, utiliza-se tanto o algoritmo desenvolvido como uma solução numérico-analítica para o modelo Benchmark de Dos Santos e Zezza (2008). Os resultados mostram que há uma sobreposição entre os dois métodos de análise. Tendo em vista que nem sempre é possível ou viável a análise da estabilidade do sistema através de uma solução analítica, o algoritmo apresentado inova ao fornecer uma rota de fuga para o mapeamento de parâmetros estáveis em modelos dinâmicos SFC.
Pain control due to botulinum toxin therapy in cervical dystonia relates to the sensorimotor integration process
Authors: Wagle Shukla Aparna , Chen Robert , Hu Wei 
Published: August 2023

Background: Botulinum toxin (BoNT) injections have been found to improve pain symptoms of isolated cervical dystonia (CD). In addition to muscle relaxation at the peripheral level, few studies suggest that BoNT has effects on the central brain circuitries. The effects of BoNT on central circuitries that may be pain-related have not been examined. We probed these central effects with transcranial magnetic stimulation (TMS) techniques in a CD cohort presenting with significant pain.Methods: TMS-based measures of sensorimotor integration that are mediated through central processes, such as the short and long latency afferent inhibition (SAI and LAI) and measures for motor cortical excitability including short-interval intracortical inhibition (SICI) and intracortical facilitation (ICF) were recorded. These measures were recorded at specific interstimulus intervals (ISI) using paired-pulse paradigms before and after the peak effects of BoNT injections. Normative TMS data from age-matched healthy controls were collected for comparisons. Clinical pain symptoms were recorded with Toronto Western spasmodic rating scale (TWSTRS)-pain and a visual analog scale (VAS).Results: Eleven CD subjects (mean age ±SD, 53.1 ± 6.3 years) and 10 age-matched healthy controls were enrolled. SAI was found to be increased in CD patients at baseline, however at the time of peak BoNT effects, it revealed a significant change with normalization to healthy control data (SAI ISI 20 ms, p = 0.001; SAI ISI 30 ms, p = 0.03). The change in SAI correlated with improvements in pain levels assessed with TWSTRS-pain and VAS and the total dose of BoNT injected (corrected for multiple correlations). LAI, SICI, and ICF measures were similar to the healthy controls and remained unchanged with BoNT therapy.Conclusion: Pain control in CD from BoNT therapy relates to modulation of sensorimotor integration at the cortical level.
Prognostic value of quantitative flow ratio in patients with coronary heart disease after percutaneous coronary intervention therapy: a meta-analysis
Authors: Chen Huaigang , Hong Lang , Xi Gang , Wang Hong , Hu Jing , Liu Qi , Yang Liu 
Published: August 2023

BackgroundCoronary atherosclerotic heart disease is one of the most serious health and life-threatening diseases. There is no doubt that despite the increasing number of assessment methods used clinically, the prognosis assessment is still not ideal, and newer assessment methods are needed.ObjectiveTo investigate the predictive value of quantitative flow ratio (QFR) for adverse events (vessel-oriented composite endpoint events/target lesion failure) in patients after percutaneous coronary intervention (PCI).MethodEight studies involving 4,173 patients (5,688 vascular lesions) were included. These are studies on the relationship between QFR values and prognosis of adverse cardiac events after PCI. This meta-analysis was performed after quality assessment and data extraction of clinical trials data that met the inclusion criteria.ResultEach of the eight studies described the cut-off values for the best predictive ability of post-PCI QFR and the hazard ratio (HR) between QFR values and adverse events, respectively. The pooled HR of these studies was 4.72 (95% CI: 3.29–6.75). Concurrently, lower post-PCI QFR values were associated with the occurrence of individual clinical events (cardiac death/myocardial infarction/target vessel revascularization), with relative risk values of 6.51 (95% CI: 4.96–8.53), 4.83 (95% CI: 3.08–7.57), and 4.21 (95% CI: 2.66–6.68), respectively.ConclusionQFR may have great potential in the assessment of prognosis. It is necessary to measure QFR value after PCI. A lower QFR value after PCI was an important predictor for experiencing adverse events.
Deterioration mechanism of physical and mechanical properties of phosphate rock under seismic disturbance and saturation
Authors: Li Shujian , Wang Hao , Wang Chongyang , Zhang Bin , Zhang Dongming 
Published: August 2023

Introduction: To explore the influence of seismic disturbance and saturation on the mechanical properties of phosphate rock, the paper divided phosphorus rock into natural group, water-saturated Group and “earthquake and water-saturated” group.Methods: Fatigue loading and conventional triaxial compression tests were carried out to study the physical characteristics, degeneration characteristics, strength characteristics and failure characteristics of the samples.Results: The conclusions are as follows: The average wave velocity of samples of water-saturated group and “earthquake and saturation” group is 29.7% and 52.9% lower than that in natural group, respectively, and the average peak strength under various confining pressure conditions is 32.2% and 48.3% lower than that in natural group, respectively, indicating that both seismic stress loading and saturation have deterioration effects on the samples.Discussion: Compared with natural group and watersaturated group, after simulated seismic stress loading, the stress-strain curve of “earthquake and water-saturated” group shakes obviously after the peak, and the steps appear frequently, showing obvious plastic characteristics. Due to the different deterioration degree of the samples, the samples of the natural group were in the overall state of compression during the triaxial test, while the samples of the water-saturated group were compressed before failure and expanded after failure. The sample of earthquake and water-saturated group is in the whole state of expansion. The failure characteristics of natural samples and water-saturated samples are shear or shear failure. The shear plane starts from the edge of sample end face and presents typical diagonal shear failure. The failure characteristics of “earthquake and water-saturated” group samples are heavy shear and through failure. There are several fracture zones extending inward from the end of the sample, resulting in obvious transverse expansion.