bluuebunny/crossref_metadata_2025_split huggingface dataset:
Simulasi Penerapan Kebijakan Sistem Transportasi Perkotaan Menggunakan Software Pluto
Authors: Dewi Kartika Puspa , Sumabrata Jachrizal 
Published: July 2023

Suatu kota dapat berkembang apabila sistem transportasinya bisa berfungsi secara optimal, karena sistem transportasi merupakan motor penggerak perekonomian di suatu kota. Agar sistem transportasi dapat berfungsi secara optimal, maka permasalahan-permasalahan terkait sistem transportasi harus bisa diatasi. Untuk mengatasi permasalahan tersebut, dibutuhkan peran para perencana kota untuk bisa merencanakan sistem transportasi dengan baik di suatu kota dan juga peran pemerintah untuk memberikan kebijakan-kebijakan yang mampu mengatasi permasalahan yang ada. Untuk melatih kemahiran para perencana dalam merencanakan suatu sistem transportasi perkotaan maka University of Leeds mengembangkan sebuah software yang bernama PLUTO sebagai tools. Penelitian ini bertujuan untuk mensilmulasikan penerapan kebijakan di Kota Hipotesis Plutopia dengan sasaran mewujudkan keadilan dan kesetaraan sosial di Kota Plutopia melalui pengembangan sistem transportasi yang efisien dan ramah lingkungan. Penelitian ini menggunakan software PLUTO sebagai tools untuk simulasi dengan menerapkan tiga kebijakan utama selama lima tahun, yaitu layanan bus, pengelolaan lalu lintas dan pembatasan, serta pengendalian lalu lintas dan keselamatan. Evaluasi dilakukan terhadap kebijakan yang diterapkan dengan menggunakan indikator seperti biaya penggunaan kendaraan pribadi, biaya penggunaan angkutan umum, tingkat kecelakaan, dan kondisi lingkungan. Hasil analisis dan evaluasi menunjukkan bahwa kebijakan tersebut memiliki potensi untuk meningkatkan mobilitas, mengurangi kemacetan, meningkatkan keamanan jalan, dan memperbaiki kondisi lingkungan di Kota Plutopia. Penelitian ini memberikan wawasan bahwa tidak semua kebijakan dapat diterapkan, untuk menerapkan kebijakan transportasi di suatu kota harus memilih kebijakan yang sesuai dengan kota tersebut.
Faktor Media terhadap Kejadian Bullying pada Anak Usia Sekolah
Authors: Novitasari Selvia , Ferasinta Ferasinta , Padila Padila 
Published: July 2023

This study aims to determine the relationship between media factors and the incidence of bullying in school-age children. The research method used is quantitative, using an explanatory survey method with a cross-sectional approach. The results showed that the media factor chi-square test obtained a p-value of 0.001 < (α = 0.05). In conclusion, there is a relationship between media factors and the incidence of bullying in school-age children.
Keywords: School Age Children, Bullying, Media
Relaksasi Otot Progresif terhadap Tekanan Darah Pasca Histerektomi pada Lansia
Authors: Yunita Siti Retnowati , Maria Lisda 
Published: July 2023

This study aims to determine the effectiveness of progressive muscle relaxation on blood pressure after hysterectomy in the elderly. This research method uses quantitative research with a quasi-experimental design with a pre-post test approach with a control group. The results showed a decrease in blood pressure of 29.2 mmHg in systolic blood pressure and 16.2 mmHg in diastolic blood pressure (p-value = 0.000; α = 0.05). In conclusion, progressive muscle relaxation effectively reduces blood pressure in post-hysterectomy elderly patients.

Keywords: Hypertension, Elderly, Progressive Muscle Relaxation
Motivasi Menjadi Perawat bagi Prestasi Akademik Program Sarjana (S1) Universitas Advent Indonesia
Authors: Ngapa Meryli Haryati Dala , Haro Masta 
Published: July 2023

This study aims to determine the relationship between the motivation to become a nurse and the academic achievement of the Bachelor (S1) program at the Adventist University of Indonesia. The research method used is quantitative research with a correlation descriptive design. The results showed that the p-value between the motivation to become a nurse and GPA was 0.001 <0.05. In conclusion, there is a significant relationship between learning motivation and academic achievement in the Bachelor Program (S1) of the Adventist University of Indonesia, which has a close and positive relationship.

Keywords: Motivation to Be a Nurse, Academic Achievement
The Implication of Cooperative Integrated Reading and Composition (CIRC) Technique on English Reading Comprehension for Madrasah Aliyah Students
Authors: Hakim M. Arif Rahman , Amrulin Pengky Kemadi , Zasrianita Fera , Kurniawan Yuda Septian 
Published: July 2023

The objective of this study was to find out whether or not there was an effect of the Cooperative Integrated Reading and Composition (CIRC) Technique on Students Reading Comprehension in understanding the Narrative text at MA Pancasila Bengkulu City. In this study, researcher used a Quasi Experimental research nonequivalent pretest-posttest control group. The population of this research was the tenth grade students at MA Panacasila Bengkulu. The sample was X MIPA.1 which was treated as experimental class and taught by using CIRC Technique and X MIPA.2 was treated as control class and taught by using conventional strategy. There were 30 students who were sampled as 19 experimental classes and 19 control classes. To determine the sample, the researcher used Total sampling technique. In the process of data collection, researcher used test and documentation as research instruments. The test take form of multiple choice containing 20 questions. Test is given to both experimental and control classes as pre-test and post-test. The data from the pre- test and post-test were examined using the t-test. The result of this research showed that students reading comprehension test for the experimental class's mean score was 54.21, while the control class was 44.47, and for post-test findings reveal that the experimental class has an average value of 80.79, while the control class has an average value of 71.58. The hypothesis test results show that the output of the independent sample t-test (sig. 2-tailed) is 0.001 which is lower than 0.05. So, Ho was rejected and Ha was accepted. In brief, it can be concluded that Cooperative Integrated Reading and Composition (CIRC) Technique can be one of effective ways in teaching reading for tenth grade students in Madrasah Aliyah level.
Keywords: Cooperative Integrated Reading and Composition (CIRC), Madrasah Aliyah, Narrative Text Reading Comprehension
Politeness Strategies Employed by Lecturers in Undergraduate EFL Classroom
Authors: Ardianto Septian 
Published: July 2023

This study investigates the politeness strategies employed by lecturers in EFL undergraduate online classroom. This study focuses on answering a research question; (1) how do the strategies employed by the lecturers in their teaching-learning activity. The qualitative method was used to fulfil the objective of the study. The data was collected from sit-in observation during their teaching-learning process. It was transcribed and analysed descriptively. The result shows that there are three strategies that employed by the lecturers namely positive politeness, negative politeness and bald-on-record. It can be concluded that this study will enrich the discussion which relates to the used of politeness strategies in teaching-learning program and how this study helps other lecturers/teacher to enrich their view in conducting kinds of strategies in their teaching-learning activity.
Keywords: EFL Undergraduate Classroom, Online Classroom, Politeness Strategies
Outcomes following surgical intervention for acute hemorrhage in severe traumatic brain injury: a review of the National Trauma Data Bank
Authors: Silva Nicole A. , Mengistu Jonathan , Pillai Minakshi , Anand Gaurav , Sindelar Brian D. 
Published: July 2023

OBJECTIVE
Severe traumatic brain injury (TBI) is a public health issue posing significant morbidity and mortality to afflicted patients. While the effect of time to surgery as the primary factor for survival has been extensively studied, long-term dispositional outcomes following intracranial hemorrhage evacuation have not been well described in the literature. Therefore, the aim of this study was to elicit potential prognostic factors in patients presenting with severe TBI that may have a significant impact on discharge disposition.

METHODS
The authors searched the National Trauma Data Bank (NTDB) for patients included between 2010 and 2019, solely focusing on those with a Glasgow Coma Scale score ≤ 8, signifying severe TBI, and with associated intracranial hemorrhage treated via surgical intervention. Numerous characteristics were analyzed, including demographics (age, sex, race, ethnicity, payment status), discharge disposition, time to surgery, pupillary response, midline shift (> 5 mm), and postoperative inpatient complications and comorbidities. Disposition included routine discharge to home, discharge to home with home health services (HHSs), discharge to acute inpatient rehabilitation (AIR), discharge to a skilled nursing facility (SNF)/long-term acute care hospital (LTACH), and death.

RESULTS
The authors analyzed data on 7308 patients, 69.6% of whom were White and 11.2% of whom were Black. More young Black and Hispanic patients had severe TBI events than their matched elders, whereas more elderly White patients had severe TBI events than their matched younger counterparts. The most common disposition across all ages was SNF/LTACH. Septuagenarians and octogenarians were 12.1 and 21 times more likely, respectively, to die following a severe TBI than their younger counterparts (p < 0.001). Patients aged 18–29 were 1.7 times more likely to be discharged with HHSs (p < 0.001). Minority race/ethnicity groups were less likely to be discharged to AIR. As age increased, a patient’s intensive care unit stay increased by 15 days (p < 0.001) and total hospital length of stay increased by 25 days (p < 0.001).

CONCLUSIONS
Neurosurgical evacuation of intracranial hemorrhage in severe TBI has variable long-term morbidity. Utilizing the largest collection of trauma data within the United States, the authors present quantitative evidence on discharge disposition. Understanding these tangible points can help neurosurgeons present potential outcomes to patients, promote preventative care, and generate tangible conversations with patients and their family members.
Emergency decompressive surgery in patients with transtentorial brain herniation and pupillary abnormalities: the importance of improved pupillary response after osmotherapy and surgery
Authors: Griepp Daniel W. , Miller Aaron , Sorek Sahar , Naeem Komal , Moawad Stephanie , Klein David , DeMattia Joseph A. , Rahme Ralph 
Published: July 2023

OBJECTIVE
The predictors of survival and functional recovery following emergency decompressive surgery in patients with transtentorial brain herniation, particularly those with pupillary abnormalities, have not been established. In this study, the authors aimed to assess the outcome of patients with intracranial mass lesions, transtentorial brain herniation, and nonreactive mydriasis, following emergency surgical decompression.

METHODS
A retrospective chart review was performed of all patients with transtentorial herniation and pupillary abnormalities who underwent craniotomy or craniectomy at two trauma and stroke centers between 2016 and 2022. The functional outcome was determined using the modified Rankin Scale (mRS).

RESULTS
Forty-three patients, 34 men and 9 women with a mean age of 47 years (range 16–92 years), were included. The underlying etiology was traumatic brain injury in 33 patients, hemorrhagic stroke in 8 patients, and tumor in 2 patients. The median preoperative Glasgow Coma Scale score was 3 (range 3–8), and the median midline shift was 9 mm (range 1–29 mm). Thirty-two patients (74.4%) had bilaterally fixed and dilated pupils. The median time to surgery (from pupillary changes) was 133 minutes (mean 169 minutes, range 30–900 minutes). Eighteen patients (41.9%) died postoperatively. After a median follow-up of 12 months (range 3–12 months), 11 patients (26.8%) had a favorable functional outcome, while 10 remained severely disabled (mRS score 5). On univariate analysis, younger age (p < 0.001), less midline shift (p = 0.049), and improved pupillary response after osmotic therapy (p < 0.01) or decompressive surgery (p < 0.001) were associated with favorable outcomes at 3 months.

CONCLUSIONS
With aggressive medical and surgical management, patients with transtentorial brain herniation, including those with bilaterally fixed and dilated pupils, may have considerable rates of survival and functional recovery. Young age, less midline shift, and improved pupillary response following osmotic therapy or decompressive surgery are favorable prognosticators.
Use of MR signal intensity variations to highlight structures at risk along brain biopsy trajectories
Authors: Zanello Marc , Debacker Clément , Moiraghi Alessandro , Peeters Sophie , Roux Alexandre , Deboeuf Louise , Parraga Eduardo , Dezamis Edouard , Chrétien Fabrice , Oppenheim Catherine , Pallud Johan 
Published: July 2023

OBJECTIVE
Postoperative intracerebral hemorrhages are significant complications following brain stereotactic biopsy. They can derive from anatomical structure (sulci, vessels) damage that is missed during stereotactic trajectory planning. In this study, the authors investigated the ability to detect contact between structures at risk and stereotactic trajectories using signal analysis from MRI obtained during clinical practice, with the aim to propose a visual tool to highlight areas with anatomical structures at risk of damage along the biopsy trajectory.

METHODS
The authors retrospectively analyzed actual stereotactic trajectories using intraoperative imaging (intraoperative 2D radiographs in the exploratory data set and intraoperative 3D scans in the confirmatory data set). The MR signal variation along each biopsy trajectory was matched with the patient’s anatomy.

RESULTS
In the exploratory data set (n = 154 patients), 32 contacts between the actual biopsy trajectory and an anatomical structure at risk were identified along 28 (18.2%) biopsy trajectories, corresponding to 8 preventable intracerebral hemorrhages. Variations of the mean derivative of the MR signal intensity were significantly different between trajectories with and without contact (the pathological threshold of the mean derivative of the MR signal intensity was defined as ± 0.030 arbitrary units; p < 0.0001), with a sensitivity of 89.3% and specificity of 74.6% to detect a contact. In the confirmatory data set (n = 73 patients), the sensitivity and specificity of the 0.030 threshold to detect a contact between the actual stereotactic trajectory and an anatomical structure at risk were 81.3% and 68.4%, respectively.

CONCLUSIONS
Variations of the mean derivative of the MR signal intensity can be converted into a green/red color code along the planned biopsy trajectory to highlight anatomical structures at risk, which can help neurosurgeons during the surgical planning of stereotactic procedures.
Exploration of clinical predictors of the degree of ventricular catheter obstruction: a multicenter retrospective study
Authors: Hariharan Prashant , Gluski Jacob , Sondheimer Jeffrey , Petroj Alexandra , Jea Andrew , Whitehead William E. , Del Bigio Marc R. , Marupudi Neena I. , McAllister James P. , Limbrick David D. , Rocque Brandon G. , Harris Carolyn A. 
Published: July 2023

OBJECTIVE
The aim of this study was to explore how clinical factors, including the number of lifetime revision surgeries and the duration of implantation, affect the degree of obstruction and failure rates of ventricular catheters (VCs) used to manage hydrocephalus.

METHODS
A total of 343 VCs and their associated clinical data, including patient demographics, medical history, and surgical details, were collected from 5 centers and used for this analysis. Each VC was classified by the degree of obstruction after macroscopic analysis. Univariate, multivariate, and binned analyses were conducted to test for associations between clinical data and degree of VC obstruction.

RESULTS
VCs from patients with 0 to 2 lifetime revisions had a larger proportion of VC holes obstructed than VCs from patients with 10 or more revisions (p = 0.0484). VCs implanted for less than 3 months had fewer obstructed holes with protruding tissue aggregates than VCs implanted for 13 months or longer (p = 0.0225). Neither duration of implantation nor the number of lifetime revisions was a significant predictor of the degree of VC obstruction in the regression models. In the multinomial regression model, contact of the VCs with the ventricular wall robustly predicted the overall obstruction status of a VC (p = 0.005). In the mixed-effects model, the age of the patient at their first surgery emerged as a significant predictor of obstruction by protruding tissue aggregates (p = 0.002). VCs implanted through the parietal entry site were associated with more holes with nonobstructive growth and fewer empty holes than VCs implanted via other approaches (p = 0.001).

CONCLUSIONS
The number of lifetime revisions and duration of implantation are correlated with the degree of VC obstruction but do not predict it. Contact of the VC with the ventricular wall and the age of the patient at their first surgery are predictors of the degree of VC obstruction, while the entry site of the VC correlates with it.
Surgical management of pediatric occipital neuralgia: a single-center experience of an uncommon pathology
Authors: Villeneuve Lance M. , Coulibaly Nangorgo J. , Raza Syed M. , Poinson Brittany , Chrusciel Deepti , Desai Virendra R. 
Published: July 2023

OBJECTIVE
Occipital neuralgia (ON) is a rare headache disorder characterized by sharp pain in the distribution of the greater occipital nerve (GON), lesser occipital nerve, or third occipital nerve. ON is commonly associated with traumatic injury, and effective identification and diagnosis can be difficult given the infrequent presentation and similarities to other pediatric headache disorders. While GON decompression has been well described in adults for refractory pain, there is a paucity of data in the pediatric population, with no previously published series on ON. The primary aim of this study was to identify the characteristics of pediatric patients with ON prior to surgical intervention and to describe the natural history of postoperative outcomes after decompression or neurectomy in a pediatric population.

METHODS
A single-center retrospective case series was performed to evaluate factors predisposing children to refractory ON and the surgical efficacy of GON decompression or neurectomy. Six patients (mean age 15.0 ± 2.2 years) were identified for inclusion from October 2021 to October 2022. All patients had refractory ON as diagnosed by a pediatric neurologist. After medical therapy and repeated occipital nerve blocks failed, the patients were referred for GON decompression. Five patients had a history of trauma.

RESULTS
Six patients were identified and treated in our cohort, highlighting the infrequency of this pathology. All had at least one occipital nerve block, with 83% receiving varied relief. All underwent bilateral decompression or neurectomy of the GON and experienced relief, reporting improved visual analog scale scores (mean 8.3 ± 0.9 preoperatively to 1.0 ± 2.2 postoperatively, p = 0.0009). The patients were followed for an average of 10 months, and their mean number of medications decreased from 2.7 ± 0.5 preoperatively to 0.8 ± 0.7 postoperatively (p = 0.019). Each patient reported numbness or tingling in the GON distribution postoperatively, which spontaneously resolved over time. Two patients had recurrent pain in a delayed fashion.

CONCLUSIONS
GON decompression and neurectomy are efficacious treatments of refractory ON in the pediatric population.
Alexithymia and depression may predict treatment failure in patients undergoing Gamma Knife radiosurgery for trigeminal neuralgia: the potential contribution of colored pain drawings
Authors: Samanci Yavuz , Yoruk Oner Sanem Sultan , Peker Selcuk 
Published: July 2023

OBJECTIVE
Gamma Knife radiosurgery (GKRS) effectively achieves high rates of pain control in trigeminal neuralgia (TN); however, psychological factors can also impact how individuals perceive pain and respond to treatment. The authors aimed to measure the effects of alexithymia and depression on GKRS outcomes, as well as the potential role of colored pain drawings (CPDs) in identifying patients who require additional psychological support.

METHODS
Seventy-three medically intractable, typical patients with TN were included. Participants completed a visual analog scale (VAS), the Toronto Alexithymia Scale (TAS-20), and the Turkish version of the Beck Depression Inventory-II (BDI-II). Participants used colored pens to draw their pain patterns on standardized face charts and CPDs were categorized as expected or unexpected. Based on the Barrow Neurological Institute pain scale, patients were categorized as responders or nonresponders.

RESULTS
Most patients (63%) were female, and the median age was 60 (range 27–88) years. Of 73 patients, 56 (76.7%) were responders and 17 (23.3%) were nonresponders. Forty-nine patients (67.1%) had expected CPDs, whereas 24 (32.9%) had unexpected CPDs. Responder and nonresponder groups had similar ages, genders, education, comorbidities, and initial VAS scores. Both groups preferred the colors red and black to describe intense pain (79.2% vs 67.3%, p = 0.411). Significantly better pain relief was observed in patients with expected CPDs than in those with unexpected CPDs (87.8% vs 54.2%, p = 0.003). The unexpected CPD group had significantly more alexithymia (58.3% vs 32.7%, p = 0.045). The mean BDI-II score of the cohort was 26 (range 15–37) and was significantly higher in the unexpected group (28.3 vs 24.8, p = 0.028). Unexpected CPD (OR 12.540) and higher TAS-20 score (OR 3.22) increased treatment failure risk.

CONCLUSIONS
The outcomes of TN treatment can be influenced by psychological factors, and patients with TN with higher total TAS-20 and BDI-II scores, along with unexpected CPDs, had an increased likelihood of treatment failure. CPDs can be accessed quickly and may allow the physician to screen out most patients with unfavorable psychometrics and proceed with the necessary treatment with appropriate psychological support.
Determinan Keputusan Konsumen Membeli Kopi Di Kedai Kopi Serta Implikasi Nya Terhadap Omzet Penjualan
Authors: Arianto Nurmin , Asmalah Lia 
Published: July 2023

Penelitian ini bertujuan untuk mengetahui pengaruh kualitas produk, harga terhadap keputusan dan keputusan terhadap omzet penjualan serrta pengaruh kualitas produk, harga terhadap omzet penjualan dan kualitas produk terhadap omzet penjualan melalui keputusan serta harga terhadap omzet penjualan melalui keputusan. Tekinik analisis data dengan menggunakan uji instrumen yang terdiri dari Validitas dan Uji Reliabilitas sedangkan untuk uji Hipotesis dan Model peneliti menggunakan Uji Path Coefficient (Nilai R-square), Goodness of Fit Model (GoF), Nilai Relevansi Prediktif (Q2), Analisis Model Struktural. Dari hasil penelitian kualitas produk, harga memiliki pengaruh terhadap keputusan, keputusan memiliki pengaruh terhadap omzet penjualan serta kualitas produk , harga memiliki pengruh terhadap omzet penjualan dan keputusan dapat menjadi variabel intervening