bluuebunny/crossref_metadata_2025_split huggingface dataset:
Risk factors for cerebrospinal fluid leak after extended endoscopic endonasal surgery for adult patients with craniopharyngiomas: a multivariate analysis of 364 cases
Authors: Qiao Ning , Li Chuzhong , Liu Fangzheng , Ru Siming , Cai Kefan , Jia Yanfei , Cao Lei , Liu Chunhui , Zhang Yazhuo , Gui Songbai 
Published: June 2023

OBJECTIVE
Over the last decade, the extended endoscopic endonasal approach (EEEA) has evolved as a credible surgical alternative for removing craniopharyngiomas. However, postoperative cerebrospinal fluid (CSF) leak remains one of the most pressing concerns. Craniopharyngiomas often invade the third ventricle, resulting in a higher rate of third ventricle opening after surgery and potentially increasing the risk of postoperative CSF leak. Identifying the risk factors associated with CSF leak after EEEA for craniopharyngiomas may have more clinical value. Nevertheless, there is a lack of systematic studies on the topic. Previous studies yielded inconsistent results, probably due to heterogeneous pathologies or small sample sizes. Hence, the authors present the largest known single-institution case series of the use of purely EEEA for craniopharyngiomas to systematically study the risk factors for postoperative CSF leak.

METHODS
The authors retrospectively reviewed 364 cases of adult patients with craniopharyngiomas who were treated at their institution from January 2019 to August 2022, and they analyzed the risk factors for postoperative CSF leak.

RESULTS
The overall rate of postoperative CSF leak was 4.7%. In the univariate analysis, larger dural defect size (OR 8.293, 95% CI 3.711–18.534, p < 0.001) and lower preoperative serum albumin level (OR 0.812, 95% CI 0.710–0.928, p = 0.002) were associated with higher rates of postoperative CSF leak. Predominantly cystic tumors (OR 0.325, 95% CI 0.122–0.869, p = 0.025) were linked to decreased risk of postoperative CSF leak. However, postoperative lumbar drainage (OR 2.587, 95% CI 0.580–11.537, p = 0.213) and third ventricle opening (OR 1.718, 95% CI 0.548–5.384, p = 0.353) were not related to postoperative CSF leak. In the multivariate analysis, larger dural defect size (OR 8.545, 95% CI 3.684–19.821, p < 0.001) and lower preoperative serum albumin level (OR 0.787, 95% CI 0.673–0.919, p = 0.002) were identified as independent risk factors for postoperative CSF leak.

CONCLUSIONS
The authors’ repair technique yielded a reliable reconstructive outcome for high-flow CSF leak in EEEA for craniopharyngioma. Lower preoperative serum albumin level and larger dural defect size were identified as independent risk factors for postoperative CSF leak, potentially providing new insights into minimizing the risk of postoperative CSF leak. Third ventricle opening was not associated with postoperative CSF leak. Lumbar drainage may not be necessary for high-flow intraoperative leak, but this finding may require validation with a prospective randomized controlled trial in the future.
PERMBERDAYAAN KADER KESEHATAN DALAM PELAKSANAAN PROGRAM PERENCANAAN PERSALINAN DAN PENCEGAHAN KOMPLIKASI
Authors: Olii Nancy , Claudia Juli Gladis , Yanti Febri Dwi , Abdul Nurnaningsih Ali , Tompunuh Magdalena Martha , Suherlin Ika , Luawo Herman Priyono 
Published: June 2023

Abstrak: Masalah kesehatan ibu, kesehatan balita dan pencegahan penularan penyakit menular masih menjadi prioritas utama dalam pembangunan nasional bidang kesehatan. Salah satu cara untuk melaksanakan strategi tersebut adalah Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K). Peran kader kesehatan di posyandu memiliki esensi yang tidak dapat dilepaskan dengan pelayanan kesehatan khususnya pelayanan kesehatan Ibu dan Anak. Peran kader disandingkan dengan peran bidan dan tenaga kesehatan lainnya. Tujuan dari kegiatan pengabdian kepada masyarakat ini adalah untuk meningkatkan pengetahuan dan keterampilan kader dalam membantu bidan untuk melaksanakan P4K sesuai dengan tujuan dan target yang diharapkan melalui buku P4K. Tahapan kegiatan terdiri dari edukasi tentang P4K, simulasi dan praktik cara pemberian edukasi dan mengisi stiker P4K. Hasil yang dicapai yaitu adanya peningkatan pengetahuan sebelum dan sesudah diberikan edukasi dengan peningkatan mean 90%, dan nilai signifikan 0,004<0,05 dengan nilai t-3.873. Diperoleh kesimpulan bahwa peserta mampu memberikan edukasi tentang P4K pada ibu hamil dan pengisian stiker P4K. Abstract: Maternal health, under-five health and prevention of transmission of infectious diseases are still the main priorities in the National development of the health sector. One way to implement this strategy is the Childbirth Planning and Complications Prevention (P4K) Program. The role of health cadres in posyandu has an essence that cannot be separated from health services, especially maternal and child health services. The role of cadres is juxtaposed with the role of midwives and other health workers. The purpose of this community service activity is to improve the knowledge and skills of cadres in helping midwives to carry out P4K in accordance with the goals and targets expected through the P4K book. The activity stages consist of education about P4K, conducting simulations and practices on how to provide education and filling out P4K stickers. The results achieved are an increase in knowledge before and after given education with an increase in the mean 90%, and a significant value of 0.004 <0.05 with a t-value of -3.873. Participants are able to provide education about P4K to pregnant women and filling out P4K stickers.
WORKSHOP PERENCANAAN SISTEM PRESENSI AKADEMIK ONLINE BERBASIS SMS GATEWAY DI ERA NEW NORMAL
Authors: Hasan Nur Fitrianingsih , Fitriana Yasinta Bella 
Published: June 2023

Abstrak: Kegiatan presensi di SD PK Muhammadiyah Abepura menggunakan sistem konvensional yakni dilakukan dengan memanggil peserta didik satu per satu kemudian pencatatan hanya dibuku oleh guru. Hal ini membuat mitra belum siap beradaptasi pada keadaan force mejeur seperti pandemi COVID 19 dan sistem pembelajaran baru di era new normal. Maka diperlukan suatu alat yang dapat mengatur proses presensi menjadi lebih akurat dan efisien. Tujuan kegiatan PkM ini adalah untuk membantu peserta pelatihan lebih memahami mengenai konsep sistem presensi SMS gateway dan mengetahui bagaimana langkah-konkrit mengaplikasikannya kedalam manajerial sekolah. Kegiaatan PkM dihadiri oleh 13 peserta dengan metode pelaksanaan meliputi beberapa tahap yaitu: (1) Persiapan, berupa identifikasi dan materi kebutuhan mitra; (2) Pelaksanaa, berupa workshop dan diskusi menghasilkan analisis kebutuhan awal sistem sesuai kebutuhan mitra; (3) Evaluasi, berupa penugasan dan diskusi yang menghasilkan rekomendasi teknologi tepat guna. Hasil yang diperoleh dari kegiatan ini yaitu pemahaman peserta meningkat 12% menjadi 89%, menghasilkan rekomendasi dan desain prototipe sistem presensi akademik online berbasis SMS gateway. Abstract: Attendance activities at SD PK Muhammadiyah Abepura use a conventional system, which is done by calling students one by one and then recording is only recorded by the teacher. This makes partners not ready to adapt to force majeure situations such as the COVID 19 pandemic and new learning systems in the new normal era. So we need a tool that can regulate the attendance process to be more accurate and efficient. The purpose of this PkM activity is to help trainees better understand the concept of the SMS gateway presence system and know how to apply it in concrete steps to school management. PkM activities were attended by 13 participants with the implementation method covering several stages, namely: (1) Preparation, in the form of identification and material needs of partners; (2) Implementation, in the form of workshops and discussions resulting in an analysis of initial system requirements according to the needs of partners; (3) Evaluation, in the form of assignments and discussions that produce recommendations for appropriate technology. The results obtained from this activity are that participants' understanding increased by 12% to 89%, resulted in recommendations and prototype designs for online academic attendance systems based on SMS gateways.
EDUKASI PENCEGAHAN PERNIKAHAN DINI BERBASIS BUDAYA DI KALANGAN REMAJA
Authors: Nurismawan Ach. Sudrajad , Fahruni Findivia Egga , Naqiyah Najlatun 
Published: June 2023

Abstrak: Budaya menjadi salah satu faktor krusial pendorong terjadinya pernikahan dini di kalangan remaja, karena itu pemberian edukasi pencegahan pernikahan dini dengan menyisipkan muatan budaya lokal menjadi agenda penting yang harus dilaksanakan pada remaja, khususnya di kabupaten Gresik yang belakangan angka perceraian dan pernikahan dininya meningkat. Tujuan utama dari kegiatan edukasi ini ialah meningkatkan pemahaman para remaja terkait bahaya dan dampak negatif dari pernikahan dini. Pelaksanaan kegiatan dilaksanakan secara luring selama sehari melalui diskusi kelompok terfokus dengan melibatkan konselor dan 29 siswa di salah satu SMA swasta Gresik. Sedangkan untuk media penyampaian edukasi menggunakan power-point dan video pendek bertema dampak negatif pernikahan dini bagi remaja. Dari hasil pre-test dan post-test, diketahui bahwa kegiatan edukasi pencegahan pernikahan dini berbasis budaya di kalangan remaja dapat meningkatkan pemahaman siswa sebesar 2,79 poin terhadap bahaya dan dampak pernikahan dini dalam perencanaan karier siswa di masa mendatang. Abstract: Culture is one of the crucial factors driving the occurrence of early marriages among adolescents, therefore providing early marriage prevention education by inserting local cultural content is an important agenda that must be carried out for adolescents, especially in the Gresik district, where recently the number of divorces and early marriages has increased. The main objective of this educational activity is to increase the youth's understanding of the dangers and negative impacts of early marriage. The activities were carried out offline for a day through focus group discussions involving counselors and 29 students at one of Gresik's private high schools. Meanwhile, the media for delivering education uses power-points and short videos on the negative impact of early marriage on adolescents. From the pre-test and post-test results, it is known that culture-based early marriage prevention education activities among adolescents can increase students' understanding by 2.79 points of the dangers and impacts of early marriage in student career planning in the future.
PENGEMBANGAN DESA WISATA BERBASIS WELLNESS TOURISM MELALUI RUMAH TOGA
Authors: Lestari Trijati Puspita , Octavia Devi Ristian , Majid Abdul 
Published: June 2023

Abstrak: Desa Wisata merupakan salah satu destinasi wisata yang dapat dikembangkan dan dapat memberikan dampak positif bagi masyarakat sekitar desa. Wisata Bumi Ganjaran memiliki potensi sumber daya alam yang baik, namun pemanfaatannya masih belum maksimal sehingga kurang menarik minat wisatawan. Pengabdian ini bertujuan untuk meningkatkan pengetahuan dan minat masyarakat desa sekitar dalam memanfaatkan sumber daya alam yang ada (tanaman obat keluarga) sebagai salah satu fasilitas wisata kesehatan. Metode pendekatan dengan model Partisipatory Rural Appraissal (PRA) digunakan dalam program ini melalui kegiatan edukasi dan pembuatan rumah toga. Mitra dalam kegiatan ini yaitu Kelompok Sadar Wisata (pokdarwi s) yang terdiri dari (perangkat desa Pajangan dan kelompok usaha jamu). Anggota pokdarwis yang mengikuti kegiatan ini sebanyak 36 orang. Hasil yang didapatkan sebelum edukasi tingkat pengetahuan baik (66,66%) dan pengetahuan kurang (13,88%). Setelah edukasi mengalami peningkatan pengetahuan baik (91,67%) dan pengetahuan kurang (0%). Pokdarwis juga memiliki minat postif dalam memanfaatkan dan melestarikan toga (83,33%). Selain itu melalui kegiatan ini juga menghasilkan rumah toga. Abstract: Tourism Village is one of the tourist destinations that can be developed and can have a positive impact on the community around the village. Bumi Ganjaran tourism has good natural resource potential, but its utilization is still not maximized so that it is less attractive to tourists. This service aims to increase the knowledge and interest of the surrounding village community in utilizing existing natural resources (family medicinal plants) as one of the health tourism facilities. The approach method with the Participatory Rural Appraissal (PRA) model is used in this program through educational activities and making a toga house. Partners in this activity are pokdarwis (Pajangan village officials and herbal medicine business groups). Pokdarwis members who participated in this activity were 36 people. The results obtained before education level of good knowledge (66.66%) and poor knowledge (13.88%). After education, there was an increase in good knowledge (91.67%) and less knowledge (0%). Pokdarwis also has a positive interest in utilizing and preserving the toga (83.33%). In addition, this activity also produces a toga house.
PERAN KARANG TARUNA DALAM PELAKSANAAN KELAS IBU HAMIL
Authors: Podungge Yusni , Nurhidayah Nurhidayah , Mile Sri Yulianti , Gue Fitriyani T , Ananda Avia Dwi 
Published: June 2023

Abstrak: Antenatal care merupakan faktor protektif terhadap komplikasi. Sejak awal merupakan cara yang efektik untuk mencegah morbiditas dan mortalitas pada ibu hamil. Salah satu upaya pemerintah dalam pelayanan kesehatan ibu hamil adalah dengan program Kelas Ibu Hamil (KIH). Bulotadaa Timur merupakan salah satu wilayah yang ada di Kecamatan Sipatana yang memiliki ibu hamil sebanyak 20 orang dimana ibu hamil jarang untuk ikut pelaksanaan kelas KIH dan 20 orang karang taruna. Karang taruna merupakan remaja putri yang akan mendapatkan materi tentang kesehatan reproduksi dan kesehatan ibu anak, selain itu juga remaja putri mengunjungi ibu hamil dalam kegiatan kelas ibu hamil, serta dilaksanakan pendampingan pelaksanaan kelas ibu hamil di masa pandemic Covid-19. Tujuan dilakukannya kegiatan pengabdian kepada masyarakat agar karang taruna berperan aktif dalam pelaksanana kelas ibu hamil. Dengan dilakukannya kelas ibu hamil adanya peningkatan pengetahuan remaja sebesar 18.04%, dan pada sikap kehamilan remaja meningkat menjadi 29.57%, serta karang taruna berperan aktif dalam pelaksanaan KIH serta meningkatkan partisipasi ibu hamil dalam pelaksanaan kelas ibu hamil menjadi 55%. Kegiatan pengabdian kepada masyarakat terlaksanan dengan baik dan mendapat dukungan penuh dari pemerintah Kelurahan Bulotadaa Timur, Kecamatan Sipatana dan Puskesmas Sipatana. Abstract: Antenatal care (ANC) is a protective factor against complications. Since the beginning is an effective way to prevent morbidity and mortality in pregnant women.. East Bulotadaa is one of the areas in Sipatana Subdistrict which has 20 pregnant women where pregnant women rarely participate in the implementation of the pregnant women class (KIH) and 20 Karang taruna (youth organization). Karang taruna (youth organization) is a young woman who will get material on reproductive health and maternal child health, in addition to that young women also visit pregnant women in class activities for pregnant women, as well as assistance in the implementation of classes for pregnant women during the Covid-19 pandemic. The purpose of community service activities is to make cadets play an active role in implementing classes for pregnant women. With the implementation of the pregnant women class, there was an increase in adolescent knowledge by 18.04%, and in adolescent pregnancy attitudes increased to 29.57%, and cadets played an active role in the implementation of KIH and increased the participation of pregnant women in the implementation of pregnant women's classes to 55%. Community service activities were carried out well and received full support from the government of East Bulotadaa Village, Sipatana District and Sipatana Health Center.
CAPACITY BUILDING-BASED LITERATION ON BIRDWATCHING FOR FORESTRY STUDENTS TO SUPPORT BIRD CONSERVATION IN CONSERVATION AREAS
Authors: Iswandaru Dian 
Published: June 2023

Abstrak: Ekspedisi merupakan salah satu kegiatan ilmiah yang berkontribusi terhadap konservasi burung di kawasan konservasi, salah satunya di taman nasional. Namun, pengetahuan dan ketrampilan birdwatching yang terbatas dapat menghambat kegiatan ekspedisi. Tujuan pelatihan ini adalah meningkatkan pengetahuan dan ketrampilan birdwatching berbasis letirasi. Metode yang digunakan antara lain pemaparan materi teknik identifikasi burung, bioekologi burung, metode pengumpulan data dan analisisnya serta simulasi lapangan yang disampaikan kepada peserta ekspedisi SHOREA yaitu 10 mahasiswa kehutanan perwakilan Himasylva. Penyampaian teori dilakukan di kelas, sedangkan simulasi dilakukan di lapangan. Teknik pengukuran perubahan pengetahuan dan pemahaman dilakukan melalui pre-test dan post-test. Hasil pelatihan menunjukkan peningkatan rata-rata akan pengetahuan dan ketrampilan peserta sebesar 60% dari semua indikator untuk pengetahuan spesies burung dan 46% dari semua indikator untuk pengetahuan metode pengumpulan data dan analisisnya. Abstract: The expedition is a scientific activity that contributes to bird conservation in conservation areas, one of which is in a national park. However, limited birdwatching knowledge and skills can hinder expedition activities. This training aims to increase the knowledge and skills of birdwatching based on lethargy. The methods used included presentations on bird identification techniques, bird bioecology, data collection, analysis methods, and field simulations taught to the SHOREA expedition participants, namely ten forestry students representing Himasylva. Giving theory submissions is made in class, while simulations are conducted in the field. The process of measuring changes in knowledge and understanding is done through a pre-test and post-test.The training results showed an average increase in participants' knowledge and skills by 60% of all indicators for knowledge of bird species and 46% of all indicators for knowledge of data collection and analysis methods.
DETEKSI DINI DAN EDUKASI TUMBUH KEMBANG PSIKOSOSIAL SEBAGAI UPAYA PENCEGAHAN MASALAH KESEHATAN MENTAL PADA REMAJA
Authors: Sarfika Rika , Roberto Mulyanti , Wenny Bunga Permata , Freska Windy , Mahathir Mahathir , Adelirandy Okky , Yeni Fitra , Putri Dewi Eka 
Published: June 2023

Abstrak: Remaja merupakan individu yang rentan mengalami masalah kesehatan mental. Ketidaksiapan tumbuh kembang psikososial seringkali disebut sebagai penyebabnya. Tujuan kegiatan pengabdian masyarakat adalah untuk menilai potensi gangguan emosional dan tingkah laku sebagai upaya mendeteksi dini masalah kesehatan mental remaja. Kegiatan diikuti oleh 28 remaja Kelurahan Ampang, Padang yang dilaksanakan 1 hari. Pendidikan kesehatan diberikan menggunakan metode persiapan, pelaksanaan skrining menggunakan instrument SDQ-25 (Strengths and Difficulties Questionnaire), dan memberikan edukasi. Hasil yang diperoleh menggambarkan bahwa sebagian besar remaja (75%) memiliki perilaku prososial normal, mengalami hiperaktivitas normal (78,6%), terindetifikasi gejala emosional abnormal (35,7), mengalami masalah perilaku normal (60.7%), mengalami masalah dengan teman sebaya(50%), dan sebagian besar remaja (78,6%) memiliki kesulitan yang abnormal. Berdasarkan hasil ini, deteksi dini pada remaja perlu dilakukan agar tidak terlambat dalam melakukan penanganan yang dapat berdampak pada masalah kesehatan mental yang lebih serius. Abstract: Adolescents are individuals who are prone to mental health problems. The unpreparedness for psychosocial growth and development often causes it. The purpose of community service activities is to assess the potential for emotional and behavioral disorders as an effort to detect adolescent mental health problems early. The activity was attended by 28 youth from Ampang Village, Padang which was held for 1 day. Health education is provided using the preparation method, conducting screening using the SDQ-25 instrument (Strengths and Difficulties Questionnaire), and providing education. The results obtained illustrate that most adolescents (75%) have normal prosocial behavior, experience normal hyperactivity (78.6%), identify abnormal emotional symptoms (35.7), experience normal behavior problems (60.7%), experience problems with friends peers (50%), and the majority of adolescents (78.6%) have abnormal difficulties. Based on these results, early adolescent detection needs to be done so that it is not too late to carry out the treatment, which can impact more serious mental health problems.
PENINGKATAN PENGETAHUAN TENTANG REMAJA SEHAT DAN CERDAS UNTUK MENCIPTAKAN GENERASI ANTILOWBATT DI SMK
Authors: Latifah Ulfatul , H Riska Arsita , Mutiarawati Mutiarawati , Andari Istiqomah Dwi 
Published: June 2023

Abstrak: Makanan bergizi adalah power supply penting yang harus terpenuhi, akan tetapi menjadikan jauh lebih dahsyat, dengan asupan gizi yang seimbang akan membawa dampak luar biasa bagi tubuh. Kalau tubuh ini kita ibaratkan gadget, maka asupan makanan itulah yang jadi charger-nya yang akan mensuplai energi ke baterai tubuh kita Maka baterai kita perlu banget dicharge dengan gizi yang seimbang, lengkap karbohidrat, protein, lemak, vitamin, dan mineral, air dan serat. Tujuan Kegitan pengabdian kepada masyarakat ini untuk meningkatkan pengetahuan tentang Remaja sehat dan cerdas untuk menciptakan genarasi antilowbatt. Metode yang digunakan dalam bentuk sosialisasi kepada siswa SMK Negeri 2 Slawi yang di hadiri sejumlah 32 siswi, kegiatan dilaksanakan pada tanggal 12 – 13 Januari 2023. Hasil pretest dan posttest terdapat peningkatan pengetahuan para siswa yaitu dari nilai pre tes terdapat siswa dengan pengetahuan kurang sebanyak 89,7% setelah dilakukan post test terdapat 93,7% siswa mempunyai pengetahuan baik. Abstract: Nutritious food is an important power supply that must be fulfilled, but making it even more powerful, with a balanced nutritional intake will have a tremendous impact on the body. If we compare the body to a gadget, then food intake is the charger that will supply energy to our body's battery. So our batteries really need to be charged with balanced nutrition, complete with carbohydrates, protein, fat, vitamins and minerals, water and fiber. The purpose of this community service activity is to increase knowledge about healthy and intelligent youth to create an anti-lowbatt generation. The method used was in the form of outreach to students of SMK Negeri 2 Slawi which was attended by 32 students, the activity was carried out on January 12-13 2023. The pretest and posttest results showed an increase in students' knowledge, namely from the pre-test scores there were 89 students with less knowledge 89.7% after the post test was carried out there were 93.7% of students who had good knowledge.