bluuebunny/crossref_metadata_2025_split huggingface dataset:
Use of Social Media in Stroke: A Systematic Review
Authors: Garg Divyani , Agarwal Ayush , Srivastava MV Padma , Vishnu Venugopalan Y. 
Published: May 2023

Background:
Stroke is a leading cause of death and disability globally. Over the last decade, digital health and related technology has emerged as a useful adjunct in the management of persons with stroke, particularly with the development of a large number of mobile phone applications dedicated to various aspects of stroke. However, whether social media can provide similar key support in stroke is an intriguing question. In this systematic review, we aimed to the scope and limits of social media platforms in care and research pertinent to persons with stroke.

Methods:
PubMed database was searched using Medical Subject Headings terms and exploded keywords. The search retrieved 556 abstracts, which were screened by two reviewers. Of these, 14 studies met the review inclusion criteria. Given the small number of studies and heterogeneity of outcomes, quantitative analysis was not possible. The review was registered on PROSPERO (CRD42022324384).

Results:
The social media platforms employed by the included studies comprised YouTube (n = 5), Twitter (n = 5), Facebook (n = 2), both Twitter and Facebook (n = 1), and WhatsApp (n = 1). Four assessed quality and accuracy of videos on YouTube available for stoke patients and caregivers. Three used social media to research link between role of gender and stroke descriptors on social media platforms, and one studied Twitter-derived racial/ethnic perceptual construction on the occurrence of cardiovascular disease. Three studies described use of social media by stroke survivors, in post-stroke care and engagement. 11 studies were assessed to be of “fair” quality and three were assessed to be of “poor” quality.

Conclusions:
Limited preliminary data of low quality indicates that social media is used by persons with stroke and their caregivers, and may be harnessed as a tool of education and research. Future studies must address the current lack of high-quality evidence for the use of social media in stroke care.
Modification and Validation of a Diagnostic Questionnaire for Restless Legs Syndrome: Modified-Restless Legs Syndrome Diagnostic Questionnaire (m-RLS-DQ)
Authors: Kumar Rohit , Krishnan Vijay , Das Anindya , Kumar Niraj , Gupta Ravi 
Published: May 2023

Abstract

Background:
Diagnostic questionnaire that are available for restless legs syndrome does not include items related to RLS mimics and, hence, increases chances of false positive cases. This study aimed at modification and validation of RLS-diagnostic Questionnaire.

Methods:
During modification, additional items were identified, developed, and subjected to evaluation by experts. Experts were requested to validate the content of each item. Based on their responses, content validity indices (average and universal agreement) were calculated. It was then translated to Hindi and validated in a clinical population that included patients with RLS, somatic symptoms disorder, anxiety, other RLS mimics, and osteoarthritis. In addition, a group of healthy controls was also included. Face, concurrent, and discriminant validities were calculated.

Results:
Among 209 subjects, nearly 40 subjects had clinical diagnosis of RLS, osteoarthritis, somatic-symptoms-disorder, and anxiety disorder, each. In addition, 16 patients had other RLS mimics (akathisia, varicose veins, BFS, leg-cramps, chronic insomnia) and 30 were healthy controls. After multiple revisions, content validity indices achieved a score of 1 for m-RLS-DQ. Sensitivity and specificity of m-RLS-DQ v. 1.4 for the diagnosis of RLS were 94.9% and 94.1%, respectively. For the diagnosis of RLS, PPV was 78.7%, and NPV was 98.7% with an accuracy of 94.3%. Less than one fourth of participants having chronic insomnia, somatic symptoms disorder, anxiety disorder, and knee osteoarthritis were found to be false positive on m-RLS-DQ; however, none of the healthy controls were found positive on m-RLS-DQ. Concurrent validity with clinical diagnosis of RLS was 0.83 (P < 0.001). Discriminant validity with somatic symptoms disorder was −0.14 (P = 0.03) and with osteoarthritis −0.24 (P < 0.001).

Conclusion:
m-RLS-DQ is a valid instrument with acceptable psychometric properties, which can be used for the screening as well as diagnosis of RLS in clinical practice and research studies.
Spectrum of Posterior Cerebral Artery Dissection: A Retrospective Observational Study and a Critical Review
Authors: Chakraborty Uddalak , Gupta Subhadeep , Dutta Arpan , Ray Biman Kanti , Gandhi Ashok , Srivastava Trilochan , Kumar Rahul , Das Deep 
Published: May 2023

Background and Aims:
Intracranial arterial dissections commonly involve the vertebrobasilar system leading to subarachnoid hemorrhage (SAH) or cerebral infarction attributable to a dissecting aneurysm of the vessel or occlusion of the lumen depending on the depth of dissection. However, isolated posterior cerebral artery dissections (PCADs) are rare and sparsely reported in the literature.

Methodology:
A retrospective multicentric observational study was carried out after collecting data from 14 patients admitted with PCAD in three hospitals of Kolkata, Jaipur, and Patna within the period of July 2021 to June 2022.

Results:
The median age of the population was 48.5 years, and 64.28% were females. SAH was the most common presentation with dissecting aneurysms in all patients barring one, who presented with a left occipital infarct consequent to ipsilateral PCAD. Among the 14 patients, three patients denied endovascular intervention and were lost to follow-up; one patient with an occipital infarct and another patient with a dissecting left P3 aneurysm, which underwent spontaneous thrombosis, were managed conservatively. Among the nine patients scheduled for endovascular coiling, one patient succumbed before intervention and one patient succumbed to sepsis in the postoperative period. A complete recovery was noted in six patients, whereas residual neurodeficits were present in three patients. Among the six patients who had an uneventful recovery at the end of 3 months, five patients had an endovascular intervention.

Conclusion:
PCAD may present with large-scale neurodeficits and is associated with high morbidity and mortality, hence necessitating prompt management. Conservative management is preferable for consequent infarcts, whereas endovascular management is desirable in cases of dissecting aneurysms, which usually tend to have a favorable outcome if intervened early.
NOTCH3 Variants in Patients with Suspected CADASIL
Authors: Gorukmez Orhan , Gorukmez Ozlem , Topak Ali , Seferoglu Meral , Sivaci Ali O. , Ali Asuman , Tepe Nermin , Kabay Sibel C. , Taskapılıoglu Ozlem 
Published: May 2023

Abstract

Background:
Cerebral autosomal dominant arteriopathy with subcortical infarctions and leukoencephalopathy (CADASIL) is the most common hereditary form of cerebral small vessel disease. It is clinically, radiologically, and genetically heterogeneous and is caused by NOTCH3 mutations.

Methods:
In this study, we analyzed NOTCH3 in 368 patients with suspected CADASIL using next-generation sequencing. The significant variants detected were reported along with the clinical and radiological features of the patients.

Results:
Heterozygous NOTCH3 changes, mostly missense mutations, were detected in 44 of the 368 patients (~12%).

Conclusions:
In this single-center study conducted on a large patient group, 30 different variants were detected, 17 of which were novel. CADASIL, which can result in mortality, has a heterogeneous phenotype among individuals in terms of clinical, demographic, and radiological findings regardless of the NOTCH3 variant.
A study of stressors, family environment, coping patterns, and family burden in persons with dissociative disorder
Authors: Mohammad Yasir , Kumar Rajesh , Sinha Niska , Kumar Priya 
Published: May 2023

ABSTRACT

Background:
Dissociative disorder is a stress-related disorder usually present in adolescents and younger age groups. It is also accompanied by significant impairment in activity of daily living and family relations. Family environment and use of dysfunctional coping strategies play important roles in the initiation and maintenance of symptoms and this puts a considerable burden on the family.

Objectives:
This study aims to study the presence of stressors, the role of family environment, the role of family burden, and the use of coping mechanisms in persons with dissociative disorder.

Materials and Method:
This was a descriptive cross-sectional study in which 100 persons with a dissociative disorder were included after fulfilling inclusion and exclusion criteria from the outpatient department (OPD) of psychiatry.

Results:
In this study, the major part of the sample were women (87%), most were educated up to 12th standard or less than 12 years of formal education. According to stressors, 44% had family stress/problems. 77% (mostly women) had dissociative stupor. The dissociative disorder caused a considerable degree of burden on the other family members. There was a significant difference in financial burden among caregivers of persons who were married, belonging to rural areas, joint families, and from lower socio-economic classes. There was a significant difference in disruption of routine family activities, and burden in persons having a longer duration of illness. There was a significant difference found in conflict, achievement orientation, and dimensions of family environment between males and females. A significant difference in the venting of emotions, behavioral disengagement, and restraint as a coping strategy between males and females was found.

Conclusion:
Present study showed dissociative disorder patients cause a considerable degree of burden on family members in terms of leisure, physical, mental, financial, and routine family interrelationship domains. In personal growth and relationship dimensions, the use of dysfunctional coping strategies in the family environment has a causal effect on the symptoms of dissociative disorder patients.
Thirty‐two‐tupling frequency millimeter‐wave generation based on eight Mach–Zehnder modulators connected in parallel
Authors: Chen Xinqiao , Dai Siyuan , Li Zhihan , Ba Wenyao , Chen Xu 
Published: May 2023

AbstractA new method is proposed to generate a 32‐tupling frequency millimeter wave (MMW) with eight Mach–Zehnder modulators (MZMs) connected in parallel. Theoretical analyses and simulation experiments are conducted. The optical sideband suppression ratio (OSSR) of the obtained ±16th order optical sidebands are 61.54 dB and 61.42 dB, and the radio frequency spurious suppression ratios (RFSSRs) of the generated 32‐tupling frequency MMW are 55.52 dB and 55.27 dB based on the theoretical analysis and simulation experiments, respectively; these outcomes verified the feasibility of the new method. The main parameters used to affect the stability of the generated signal are the modulation index and extinction ratio of MZM. Their effects on the OSSR and RFSSR of the generated signals are investigated when they deviate from their designed values. Compared with the other proposed methods for the generation of 32‐tupling frequency MMW by MZM, our method has the best spectral purity and stability, and it is expected to have important MMW over fiber applications.
The Invisibility of Chinese International High School Students: Perceived Support and Wellness during a Pandemic
Authors: Saito Lorine Erika 
Published: May 2023

Asian youth in the US had the highest self-reports of poorer cognitive and emotional health during the COVID-19 pandemic. With Chinese international high school students comprising one of the top three sending countries in the US, understanding the offerings and utilization of school support during the pandemic is less known. This qualitative study addresses Chinese international high school student perspectives of the identified in- and out-of-school supports, along with in depth interviews to understand how these supports are being leveraged. Results indicate a range of identified offerings in- and out-of-schools–with social networks being the largest source of connectivity. Re-examination of current structures, in-school support, and communication with international students and families are needed. Recommendations include private schools leveraging cultural assets to provide greater connections between students and schools.
Analysis of Village Infrastructure Project Success Factors by Considering Implementation Risks
Authors: Kusuma Yudha Adi , Khoiroh Siti Muhimatul 
Published: May 2023

Rural areas play an important role in supporting the circulation of a people-based economy through equitable development. One form of development that villages need is infrastructure. Difficult access to infrastructure causes villagers to urbanize in the city. This condition was also experienced by ABC Village before the Nawa Cita program, which made the flow of infrastructure development run massively. The infrastructure development process requires support and cooperation between the village government and the village community. This research examines the impact of infrastructure development and its risks. The results of the study of village government policies and the role of the community have a positive effect on the success of infrastructure projects. Model measurement with the SEM method is fit. The results of the risk analysis showed that there were 5 high-category risks, 12 medium-category risks, and 14 low-category risks.
Kawasan desa memegang peranan penting dalam mendukung perputaran ekonomi berbasis kerakyatan melalui pemerataan pembangunan. Salah satu bentuk pembangunan yang dibutuhkan desa adalah aspek infrastruktur. Sulitnya akses infrastruktur menyebabkan warga desa melakukan urbanisasi ke kota. Kondisi ini juga dialami oleh Desa ABC sebelum adanya program Nawa Cita yang membuat arus pembangunan infrastruktur berjalan masif. Proses pembangunan infrastruktur membutuhkan dukungan dan kerja sama antara pemerintah desa dengan masyarakat desa. Penelitian ini mengkaji terhadap dampak pembangunan infrastruktur dan risikonya. Hasil kajian terhadap kebijakan pemerintah desa dan peran masyarakat berpengaruh positif terhadap keberhasilan proyek infrastruktur. Pengukuran model dengan metode SEM bernilai fit. Hasil analisis risiko diketahui bahwa terdapat 5 risiko kategori tinggi, 12 risiko kategori sedang dan 14 risiko kategori rendah.
Prototype of Automatic Monitoring and Control System for Water Supply, Acidity, and Nutrition in Internet of Things Based DFT Hydroponics
Authors: Bakriansyah Andre Heri , Daud Muhammad , Taufiq Taufiq , Asran Asran 
Published: May 2023

In the hydroponic deep flow technique (DFT) system, in general, the measurement of water quality parameters is still done manually and because of this it often results in delays in adding nutrients, causing yellowing of plants. This study aims to design and realize a prototype system for automatic monitoring and replenishment of water supply, pH (acidity), and nutrients in DFT hydroponics based on Arduino UNO and the internet of things. The system is built with Arduino UNO, pH sensor, TDS sensor, HC-SR04 sensor, DC water pump, NodeMCU, ThingSpeak and Blynk applications. The results showed that the system prototype was able to work well. The difference in the measurement results by the sensor compared to the reference measuring instrument is relatively small, namely the difference in pH 2.058%, TDS 0.835%, distance 0.255% and pH control 0.43%, TDS 0.404%, and volume 0.69%. The system prototype has succeeded in maintaining the pH level of the solution, the TDS of the solution, and the quality of the water in the system.
Pada system hidroponik deep flow technique (DFT), secara umum pengukuran parameter-paramter kualitas air masih dilakukan secara manual dan karenanya sering mengakibatkan keterlambatan penambahan nutrisi sehingga membuat tanaman menguning. Penelitian ini bertujuan merancang dan merealisasikan prototipe sistem pemantauan otomatis dan pengisian pasokan air, pH (keasaman), dan nutrisi pada hidroponik DFT berbasis Arduino UNO dan internet of things. Sistem dibangun dengan Arduino UNO, sensor pH, sensor TDS, sensor HC-SR04, pompa air DC, NodeMCU, aplikasi ThingSpeak dan Blynk. Hasil penelitian menunjukkan bahwa prototipe sistem mampu bekerja dengan baik. Selisih hasil pengukuran oleh sensor dibandingkan alat ukur referensi relatif kecil yaitu selisih pH 2.058%, TDS 0.835%, jarak 0.255% dan pengendalian pH 0,43%, TDS 0,404%, dan volume 0,69%. Prototipe sistem telah berhasil mempertahankan kadar pH larutan, TDS larutan, dan kualitas air dalam sistem.
Evaluasi Layanan Digital BPJS Kesehatan Di Kantor BPJS Aceh Singkil
Authors: Raida  , Hajad Vellayati 
Published: May 2023

Penelitian ini membahas tentang Evaluasi pelayanan yang berbentuk digital untuk dapat meningkatkan kualitas layanan di Kantor BPJS kesehatan Aceh Singkil. Tujuan dari penelitian ini untuk melihat perkembangan pelayanan-pelayanan yang diberikan oleh Kantor BPJS Kesehatan kepada peserta melalui layanan pandawa, mobile JKN, Chika (Chat Asisten JKN), dan BPJS kesehatan Care Center165. Metode penelitian ini adalah metode kualitatif dengan pendekatan studi kasus. Narasumber adalah (1) staf kepersertaan; (2) staf jaminan manfaat; (3) satuan pengamanan/ satpam Kantor BPJS kesehatan Aceh Singkil; (3) peserta JKN. Hasil dari penelitian menunjukan bahawa layanan pandawa, mobile JKN, Chika (Chat Asisten JKN), dan BPJS kesehatan Care Center165 dimana layanan tersebut dapat digunakan oleh peserta JKN tanpa batas waktu dapat digunakan kapan saja dan di mana saja layanan tersebut dapat lebih efektif dan efesien. Kesimpulan dari penelitian ini adalah terjadinya peningkatan kualitas layananan yang diterapkan oleh Kantor BPJS kesehatan ada banyaknya terdapat manfaat yang di rasakan oleh peserta JKN ataupun manfaat dari pihak Kantor BPJS tersebut.
EFEKTIVITAS PELAYANAN PEGAWAI DI DINAS PERPUSTAKAAN DAN KEARSIPAN KOTA PEKANBARU
Authors: Millenia Millenia 
Published: May 2023

Penggunaan aplikasi Srikandi yang dilaksanakan di Dinas Perpustakaan dan Kearsipan Kota Pekanbaru memiliki tujuan untuk menciptakan proses pelayanan pegawai yang efektif. Dalam efektivitas pelayanan pegawai di Dinas Perpustakaan dan Kearsipan Kota Pekanbaru terdapat beberapa faktor penghambat yaitu terbatasnya SDM pelaksana bimbingan teknis, jaringan yang kadang kala tidak stabil maupun server aplikasi yang masih sering down, dan belum adanya notifikasi surat masuk yang dapat diterima saat aplikasi tidak di buka.. Penelitian ini bertujuan untuk mengetahui efektivitas pelayanan pegawai di Dinas Perpustakaan dan Kearsipan Kota Pekanbaru. Konsep teori yang peneliti gunakan yaitu teori efektivitas oleh Duncan dalam Ismaya dkk 2021. Dengan menggunakan metode penelitian kualitatif yang bersifat deskriptif dan teknik pengumpulan data berdasarkan wawancara, observasi, dan dokumentasi. Hasil penelitian yang peneliti dapat yaitu efektivitas pelayanan pegawai masih memiliki beberapa faktor yang menjadi hambatan yang dialami oleh Dinas Perpustakaan dan Kearsipan Kota Pekanbaru, sehingga pelayanan pegawai yang dilaksanakan belum efektif.
The community knowledge, awareness, and practices influencing transmission of toxoplasmosis in Mbeya District, Tanzania
Authors: Chalo Stela Lucas , Mafie Eliakunda , Katakweba Abdul , Mkupasi Ernatus 
Published: May 2023

Background: Toxoplasmosis caused by Toxoplasma gondii is an important but neglected zoonotic disease of global distribution. The study aimed at evaluating community knowledge, awareness, and practices linked to transmission and control of the disease among the residents of urban and peri-urban areas of Mbeya District, Tanzania.
Methods: A cross-section study was conducted from January 2022 to March 2022 in the Mbeya district. A semi-structured questionnaire was self-administered to gather information on social demographic characteristics, knowledge, and risk behaviors related to toxoplasma infection, chi squire was employed to test the difference where p-value < 0.05 was considered statistically significant.
Results: A total of 100 respondents were recruited. The majority (38.0%) of the respondents were aged 26 - 35 years and (49.0%) had attained primary education. The average mean age was 35.6 (+ 11.5 SD), 57% were male while 43.0% were female. Only 22 percent of the respondents were aware of toxoplasmosis and among them, 10 percent were aware of the clinical manifestations of the disease and 20 percent knew the mode of the disease transmission. Identified risk practices include lack of deworming in cats (81.0%), outdoor cats management (60.0%), disposal of cats' faces in gardens (36.0%), use of cats in controlling rodents (41.0%), and not wearing gloves during gardening (77.0%). Children are noted to be at the highest risk of contracting the disease as they are greatly involved in caring for cats. (49.0%). The knowledge of the disease was found to be associated with sex (males) p value= of 0.041, occupation (medical employees) p-value =0.002, and high level of education of the respondents' p value =0.000.\.
Conclusion: The study revealed a low level of knowledge of the participants and practiced risky behaviors for disease transmission. Thus, we recommend to relevant authorities to offer education to the community concerning Toxoplasmosis.
SANKSI PIDANA TERHADAP TINDAK PIDANA PENGANIAYAAN YANG MENGAKIBATKAN LUKA-LUKA
Authors: Muhtadli  
Published: May 2023

This research discusses the Criminal Sanctions for the Crime of Persecution That Causes Injury (Case Study No. 62/ Pid.B/2021/ PN Kbu), In line with the improvement of science and technology in Lampung, economic activities have become more advanced, seen from the aspect of variety or intensity, more developed humans are also capable of carrying out criminal acts. A criminal act is an evil that everything has been determined in the Criminal Code (KUHP). A criminal act is a treatment that is prevented by a prohibition law, followed by threats or punishments in the form of certain crimes, for those who commit the violation. Questions that can be taken from all chapters in this thesis are:
The judge's legal considerations when determining the criminal decision No.62/Pid.B/2021/PN Kbu, namely Article 351 paragraph (1) of the Criminal Code regarding Persecution and its references are seen from the explanations of witnesses, explanations of the perpetrators and based on the facts that have been seen in the in the trial, and the judge's certainty, so the decision given in the case is imprisonment for 1 (one) year 8 (eight) months, determining the prison time that has been experienced by the suspect, all of which is due to the punishment given, determining that the perpetrator is still in prison. prisoner.