bluuebunny/crossref_metadata_2025_split huggingface dataset:
Mature cystic teratoma of spinal cord in an adult
Authors: Misra Rajneesh , Kumar Sushil , Sharma Sandeep 
Published: September 2023

Aim: Reporting a rare case of mature cystic teratoma of spinal cord in an adult
Background: Teratomas of the central nervous system are rare lesions accounting for less than 0.5-2% of all CNS tumors. Most of these are found in pediatric age group and favor sellar - suprasellar, pineal and sacro-coccygeal regions. Their occurrence in spinal cord in an adult is incredibly rare.
Case presentation: A 22-year-old male presented with low back ache and weakness of both lower limbs. Clinical examination and radiological workup revealed presence of a cystic lesion causing diffuse enlargement of the cord from L1 to L5-S1. Histo-pathological examination of the excised lesion revealed it to be teratoma.
Conclusion and clinical significance: Mature teratoma of the spinal cord in adults is extremely rare occurrence. However, this diagnosis should be kept in mind when evaluating a cystic lesion of cord even in adults. Maximal safe resection of the lesion results in prolonged deficit-free survival.
Incomplete Currarino triad in an adult woman
Authors: Al-Youzbaki Rasha A. , Mahmoud Emad Hazim , Alsubaihawi Zahraa A. , Almeran Mohammed A. , Albanaa Saja A. , Hoz Samer S. 
Published: September 2023

Introduction: Currarino Syndrome (CS) is a rare entity characterized by a triad of sacral agenesis, anorectal malformations, and pre-sacral masses. CS is typically diagnosed during the first decade of life.
Case Description: We present a rare case of incomplete Currarino syndrome manifesting in a 36-year-old lady who presented with back pain, urinary retention, anal paresthesia, and lower limb weakness. The patient underwent multiple laminectomies and partial resection of an epidermoid cyst and regained function.
Conclusion: Although rare, the possibility of Currarino syndrome should be entertained in adult patients with lower lumbosacral symptoms and a pre-sacral mass. A thorough physical examination and strategic pre-operative planning are mandatory to maximize patient outcomes.
Delayed intraoperative rupture of clipped aneurysm during the awaking from anaesthesia
Authors: Ismail Mustafa , Al-Hadeethi Bandar Mohammed , Moushib Amir Ibrahim , Algburi Hagar A. , Al-Khafaji Aktham O. , Al-Jehani Hosam , Hoz Samer S. 
Published: September 2023

Introduction. Intraoperative rupture (IOR) of an aneurysm is a frightful complication that causes significant morbidity and mortality worldwide. IOR can be attributed to various parameters, including hypertension, increased intracranial pressure (ICP), fragility of the vessels, and inadequate anaesthesia. IOR due to insufficient anaesthesia is scarcely reported in the literature. Here, we describe a re-ruptured anterior communicating artery (ACoA) after incomplete clipping of the neck during craniotomy closure due to unintended early wake-up from anaesthesia with a discussion about the management.
Case description. A 38-year-old male suddenly developed a severe headache, a brief loss of consciousness, and vomiting. Computed tomography (CT) scan showed a subarachnoid haemorrhage in the basal cistern. CT angiography showed a bilobed right ACoA aneurysm with a wide neck and Murphy's teat. The patient was considered for surgery. Clipping of the aneurysm neck was done through two curved clips. During craniotomy closure, the patient started coughing and gagging then a huge IOR was encountered. These events can be mainly attributed to unintended inadequate anaesthesia, particularly muscle relaxants. The bleeding ceased after two suction catheters were inserted, temporary clips were applied, and the readjustment of permanent clips. After surgery, the patient showed a left-sided weakness. His postoperative CT scan showed a right distal anterior cerebral artery (ACA) territory infarction. The weakness improved in the follow-up period.
Conclusion. Delayed IOR due to early awaking from anaesthesia should be considered a potential source of complications and bad outcomes in aneurysm surgery.
Electroencephalographic findings in autistic non-epileptic children
Authors: Ibrahem Arwa K. , Shareef Hula , Shaker Kanar , Mohammed Dhay , Bader Hamdan Farqad 
Published: September 2023

Despite the well-acknowledged link between autism spectrum disorders (ASDs) and epilepsy, the prevalence and significance of electroencephalogram (EEG) changes in epileptic children in the absence of clinical seizures remains underdetermined.
Aim. The primary goal of this study is to report the prevalence of EEG abnormalities in non-epileptic or pre-epileptic autistic children, investigate their association with a set of pre-determined risk factors, speculate on their significance, and direct future research efforts.
Methods. A case-based sampling for children diagnosed with autism was done. Only patients without a history of epilepsy and those under the age of 15 were included. All patients underwent an EEG study. Children with abnormal EEG findings (case group) were compared to age-matched controls with normal EEG findings using a set of pre-determined factors.
Results. A total of 38 patients were enrolled in our study, of whom 31.6% (n=12) had abnormal EEG readings. Of those, the presence of the following EEG abnormalities were noted – each being present in two patients: frontal sharp waves, frontal slowing, temporal slowing, bitemporal slowing, frontal sharp waves, and generalized sharp waves, Frontal intermittent rhythmic delta activity (FIRDA). Patients with abnormal EEG findings were more likely to have a positive family history of epilepsy and/or autism, with odd ratios of 28.05, and 12.62, accordingly.
Conclusion. Aberrant brain connectivity patterns have been observed in non-epileptic ASD patients, and our findings support these findings. Furthermore, we believe that gender, mother's age, mode of delivery, and speech abnormalities could all have an impact on the EEG results. However, more research is needed to expand on these findings.
Cerebellopontine angle tumours: clinico-radiological features and surgical outcome
Authors: Kankane Vivek Kumar , Gujral Ketan , Sharma Avinash , Shrivastava Aditya 
Published: September 2023

Object. Our aim is to demonstrate the various aspects of clinical-Radiological presentation and surgical Outcome with association to the tumour size concerning cerebellopontine angle (CPA) tumours.
Materials and method. This is a prospective study of 40 patients at the Department of Neurosurgery, Jayarogya Group of Hospitals, GRMC Gwalior, M.P. India. All of the patients were pre-operatively evaluated with either non-enhanced and enhanced computerized tomography (CT) or Magnetic-resonance (MR) imaging or both.CPA tumours (predominantly acoustic neuroma) that underwent surgical removal using a suboccipital retro sigmoid approach over a 2-year period (June 2019 to May 2021).
Results. There was a female preponderance. The most common presentation was Sensorineural hearing loss (90%) followed by Headache (67.5%). The majority of cases of Vestibular Schwannoma have heterogenous enhancement with cystic component.65% of patients have large (26-40mm) size tumours and facial nerve preservation is 86.4% in medium size tumours (10-25 mm).and Incidence of post-postoperative of facial nerve palsy is more in Giant size tumour (> 40mm) so Positive association between size of lesion and Incidence of Post-operative facial nerve palsy. CSF leak occurs in 6 patients and postoperative Hydrocephalus occur in 2 patients and Mortality occurs in 3 patients.
Conclusion. CP angle Tumor was common in middle age group, with the incidence in females slightly more than in males. The majority of lesions were of large size (26-40mm). Most of the patients on admission had a non-serviceable hearing. Heterogeneous enhancement with cystic components was found in most of the lesions. Gross-total excision was one in the majority of cases and vestibular schwannoma was the most common histopathological lesion obtained. Facial nerve palsy was the most complication and as the size of the lesion increased, the possibility of facial nerve palsy also increased post-operatively. Overall mortality is 7.5%.
La Loi dans la pensée d'Isaac Breuer (1883-1946)
Authors: Friedemann Charles 
Published: September 2023

Juriste et théologien, Isaac Breuer a su donner une expression philosophique nouvelle à la doctrine de son grand-père, Samson Raphaël Hirsch (le fondateur de la néo-orthodoxie juive moderne), en lui donnant pour infrastructure la notion de Loi.
L'auteur (prématurément décédé) de V étude établit d'abord le lien entre les sources juridico-philosophiques générales et la notion spécifiquement juive de tōrāh dans la pensée d'Isaac Breuer. Puis il montre comment celle-ci est tributaire à la fois du système kantien et d'une critique de ce système, réfractaire à la notion d'hétéronomie qui seule permet d'arracher la Loi à l'arbitraire en la soumettant à une volonté qui la dépasse. Cette volonté «formatrice » de la loi n'est, en fin de compte, pas différente de la place qu'occupe la notion de «forme» dans la mystique juive et notamment celle du Maharal. L'étude éclaire ainsi, sous un jour entièrement nouveau, le canevas mystique d'une doctrine qui se veut essentiellement rationnelle.
A compatibilidade do procedimento arbitral quando a discussão versar sobre matérias atinentes ao direito das famílias e sucessões
Authors: Tokumi Carine Alfama Lima 
Published: September 2023

O objetivo do presente trabalho é analisar a arbitragem e as matérias que podem ser submetidas ao procedimento arbitral, bem como sua compatibilidade com o Direito de Família e Sucessõe e a justiça privada, tendo em vista que a noção tradicional do caráter público desses dois ramos do Direito Civil impede a discussão dessa posibilidade e impõe a regra do litígio. Para tanto, o trabalho utilizou o método hipotético-dedutivo, com base em revisão bibliográfica. Como resultado, verifica-se a possibilidade de submissão de controvérsias com esse conteúdo na seara arbitral, na medida em que a jurisprudência e a legislação permitem sua utilização em casos específicos. Em que pese o debate doutrinário, a medida não é festejada no plano da aplicabilidade, fator que dificulta a análise de sua repercussão. A escolha pela arbitragem em questões que envolvem Direito de Família deve ser analisada com base no caso concreto, já que o meio alternativo pode trazer tanto benefícios como prejuízos às partes.
O agulhamento a seco melhora a dor no trapézio superior? Uma revisão sistemática com metanálise
Authors: De Oliveira Lílian Maria Magalhães Costa , Ferreira Mariana Antonia de Carvalho , Chagas Maria Yasmim da Conceição , Moura Monaliza de Sousa , De Sousa Maria Marta Oliveira Ferreira , Da Silva Verônica Letícia Magalhães , Mesquita Laiana Sepúlveda de Andrade 
Published: September 2023

Verificar a eficácia do dry needling (DN) na dor proveniente de pontos-gatilhos em trapézio superior. Trata-se de uma revisão sistemática com metanálise, onde as bases de dados Pubmed, BVS e PEDro foram consultadas, a busca foi feita com a combinação dos termos a seguir: dry needling, trigger point , upper trapezius muscle. Os ensaios foram incluídos apenas se estimassem os efeitos do DN de forma isolada comparado com outros tratamentos (eletroterapia, kinesio tape, terapia manual). O desfecho de interesse foi dor, e, para o risco de viés foi utilizado a escala PEDro. Os avaliadores analisaram os artigos para elegibilidade pelo software Rayann QCRI. A análise dos dados foi feita pelo RevMan 5.4. Seis estudos foram incluídos, três apresentaram alto risco de viés; três, baixo risco. Todos os estudos ao compararem DN a outros tratamentos não verificaram diferença estatisticamente significante a favor do DN. Os resultados dessa revisão sistemática sugerem que o dry needling reduz a dor proveniente de pontos-gatilhos no músculo trapézio superior a curto prazo, porém não é mais eficaz que outros tratamentos já utilizados. O DN pode, portanto, ser uma opção, cabendo ao profissional o poder de escolha para a qual tem mais expertise. Outros estudos com baixo risco de viés e amostras maiores devem ser publicados para obter maior poder estatístico nas análises.
Pengaruh Bakteri Pelarut Fosfat terhadap Pertumbuhan dan Hasil Kedelai pada Pertanaman Kelapa Sawit TM-I
Authors: Suherman Cucu , Nugroho Arya Hanif , Soleh Mochamad Arief 
Published: September 2023

Wide space among oil palm Mature Stage I (MS I) plantations has a potential to be planted with soybean by using intercropped system. One type of soil in oil palm plantations in Indonesia is Inceptisol which generally has low P availability. Efforts possible to increase P availability are the applications of inorganic P fertilizer and phosphate solubilizing bacteria (PSB). This study aims to learn the effects of various inorganic P fertilizer and PSB doses on the growth and yield of soybean in oil palm MS I plantation and determine the effects of intercropping soybean on the growth and physiology of oil palm MS I. The research was conducted at Ciparanje Experimental Field, Faculty of Agriculture, Universitas Padjadjaran, from February to May 2023. The study used randomized block design with seven treatments and four replications. Treatment consisted of different doses of Bacillus sp. and SP36 which included: 100% SP36, 50 kg/ha PSB + 25% SP36, 50 kg/ha PSB + 50% SP36, 50 kg/ha PSB + 75% SP36, 75 kg/ha PSB + 25% SP36, 75 kg/ha PSB + 50% SP36, and 75 kg/ha PSB + 75% SP36. Results showed PSB and P fertilizer had a significant effect on the dry weight of 100 seeds and leaf chlorophyll index of soybean. Dose of 50 kg/ha PSB + 50% SP36 increased the dry weight of 100 seeds by 3,99% and leaf chlorophyll index by 15,35%.
Produktivitas Tenaga Kerja Sektor Pertanian dan Korelasinya dengan Usia Petani di Jawa Barat
Authors: Juswadi Juri , Sumarna Pandu 
Published: September 2023

This study aims to determine the labor productivity of the West Java agricultural sector and its correlation with the age of the workforce. The research method is descriptive quantitative. The secondary data used in this study comes from the book State of the Labor Force Situation in Indonesia, 2013 to 2022 the results of the National Labor Force Survey (Sakernas) published by the Central Bureau of Statistics (BPS), and the book Jawa Barat in Figures from 2008 to 2023 published by BPS West Java Province. The results showed: a) growth in labor productivity in the agricultural sector during the 2012-2022 period from IDR 22.29 million per worker per year in 2012 to IDR 31.56 million per worker per year in 2022; b) the largest number of workers starting sequentially is the age group of 45-54 years, age 35-44 years, age ≥ 60 years, and age 25-34 years, while the age group 15-24 years and age 55-59 years much lower; c) there was a decrease in the number of workers in the agricultural sector, except for the 55-59 year old group which an increase during the 2006-2017 period; d) the results of the Pearson correlation analysis show that there is a negative and significant correlation between labor productivity in the agricultural sector and the workforce in the 15-24 year old group (-0.821), 25-34 year old (-0.921), 35-44 year old (-0.948) ), and age 45-54 years (-0.848), while the workforce age group 55-59 years and age ≥ 60 is not related.
PENGELOLAAN ASET TETAP TANAH DAN BANGUNAN DALAM MENINGKATKAN PENDAPATAN ASLI DAERAH DI KOTA GORONTALO
Authors: Alvionita Elsa , Aneta Yanti , Tohopi Rustam 
Published: September 2023

Penelitian ini bertujuan untuk mengetahui pengelolaan Aset Tetap Tanah dan Bangunan dalam meningkatkan Pendapatan Asli Daerah Kota Gorontalo dilihat dari Perencanaan, pelaksanaan dan pengawasan , dan untuk mengetahui faktor-faktor yang menentukan pengelolaan aset dilihat dari alur manajemen aset yang meliputi Inventarisasi aset, penilaian dan legal audit. Teknik pengumpulan data dilakukan dengan cara observasi, dokumentasi dan wawancara pada 4 informan utama. Teknik analisis data menggunakan reduksi data, penyajian data dan penarikan kesimpulan. Temuan hasil penelitian menunjukan bahwa dalam pengelolaan aset tetap tanah dan bangunan dalam meningkatkan pendapatan asli daerah kota Gorontalo baik dalam perencanaan, pelaksanaan dan pengawasan pada dasarnya sudah terlaksana namun belum berjalan dengan baik karena masih ada kendala dalam pemanfaatan, yaitu kendala dalam melakukan penilaian aset guna memperoleh nilai wajar. kurangnya tenaga penilai pemerintah menjadi kendala dalam pemanfaatan sehingga dapat mempengaruhi pendapatan asli daerah dan Faktor-Faktor yang menentukan pengelolaan Aset Tetap Tanah dan Bangunan dalam Meningkatkan Pendapatan Asli Daerah Kota Gorontalo dilihat dari alur manajemen aset yang meliputi Inventarisasi aset, penilaian dan Legal audit, belum terlaksana dengan baik karena dalam proses penilaian masih terdapat kendala yaitu kurangnya tenaga penilai dari pemerintah dan dalam Legal audit ada beberapa proses yang belum dilakukan sesuai dengan pedoman yang digunakan Badan Keuangan Kota Gorontalo seperti masih ada aset tanah milik pemerintah yang belum memiliki bukti kepemilikan. Hal ini ditunjukkan dengan Belum adanya SOP tentang pengelolaan aset daerah di Badan Keuangan Kota Gorontalo Sebagaimana tercantum dalam Permendagri No 19 Tahun 2016.
INNOVATIONS IN MSME DEVELOPMENT OF SMALL INDUSTRIAL PRODUCTS CERAMIC IN BANDAR DUA PIDIE JAYA REGENCY
Authors: Ismayli  , Fakhrurrazi  , Zulfikar  
Published: September 2023

ABSTRACT
The purpose of this study was to analyze the innovation of MSME development of ceramic small industrial products in Bandar Dua District, Pidie Jaya Regency. The population in this study were all small ceramic industries in Bandar Dua District, Pidie Jaya Regency, which consisted of 3 ceramic businesses, namely Various Work Enterprises, Cheap Raya Enterprises and Makmur Jaya Enterprises, which were studied with a workforce of 42 people. Data was collected using a questionnaire, data analysis uses a multiple linear regression model, with the independent variables of model innovation (X1) and shape/size innovation (X2), as well as the dependent variable of the ceramics industry (Y), with the following formula. The research results show that the relationship between the independent variables and the dependent variable is 69,7%. Meanwhile, to see the coefficient of Termination is 0.486 or (48.6%). This means that 46.6% has an influence between the model development innovation variable and size/shape development innovation on the UMKM Development variable, while the remaining (51.4%) is influenced by other variables not discussed in this study
ANALISIS KINERJA SUB DIREKTORAT PATEN KEMENTERIAN HUKUM DAN HAK ASASI MANUSIA
Authors: Novinda Serikandi  , Mawar  
Published: September 2023

ABSTRAK
Penelitian ini mengkaji kinerja Sub Direktorat Paten terkait beberapa permasalahan dalam sistem aplikasi yang belum maksimal, pemahaman pemohon atau pemegang paten terhadap aplikasi, kekurangan sumber daya manusia dan kemampuan yang terbatas, serta kurangnya sarana dan prasarana yang memadai, selain itu proses klasifikasi yang rumit menghambat kinerja pengiriman sertifikat masih manual dan alamat penerima sertifikat tidak diperbarui dengan baik. Tujuan penelitian ini adalah menganalisis kinerja Sub Direktorat Paten di Kementerian Hukum dan HAM dengan menggunakan teori kinerja organisasi Dwiyanto yang meliputi produktivitas, kualitas layanan, responsivitas, responsibilitas, dan akuntabilitas. Metode penelitian yang digunakan adalah deskriptif dengan pendekatan kualitatif, dengan sumber data penelitian berasal dari Direktorat Paten Kementerian Hukum dan Hak Asasi Manusia. Teknik pengumpulan data yang digunakan adalah wawancara yang dilakukan sebanyak 11 orang, observasi, dan dokumentasi, serta teknik analisis data yang digunakan adalah reduksi data, penyaajian data dan penarikan kesimpulan. Hasil penelitian menunjukkan bahwa produktivitas dapat menyelesaikan kegiatan atau program sesuai dengan target yang telah ditentukan. Namun, masih ada kendala dalam hal sumber daya manusia dan anggaran yang terbatas. Kualitas layanan Sub Direktorat Paten Paten telah memberikan pelayanan yang baik dengan sumber daya manusia berkualitas, kerja sama yang baik dengan instansi terkait dan sarana dan prasarana yang digunakan sudah memadai. Responsivitas dalam memberikan pelayanan yang cepat dan responsif terhadap kebutuhan pemohon. Responsibilitas optimal terlihat dari pengawasan pimpinan dan pelaksanaan kegiatan sesuai kebijakan. Akuntabilitas untuk setiap program dan kegiatan disusun laporan pertanggungjawaban. Adapun laporannya secara berkala termasuk, laporan bulanan, laporan triwulan, dan laporan tahunan. Hasil penelitian ini dapat digunakan sebagai bahan masukan instansi terkait dalam meningkatkan kinerja Sub Direktorat Paten Kementerian Hukum dan Hak Asasi Manusia.
OTOMATISASI ACL SQUID PROXY SERVER BERBASIS WEB
Authors: Ragil Prihantoro Candra 
Published: September 2023

Squid is the most widely used program by the network administrator as a program for squid proxy server is open source ( free ) that can be modified according to our wishes. In use squid proxy server must be configured directly to its squid file is to create a functioning ACL ( Access Control List ) manually . By writing scripts ACL ACL settings manually create quite prone to errors in setting and writing , it is because the complexity of the placement and write ACL scripts . If the administrator does not have the skills in the proxy server settings are still manually or still typing some script ACL , there will be difficulties in squid proxy server settings . Based on this background, the need for automation in the ACL Squid proxy -based web server that serves to facilitate configure squid proxy server in order to provide convenience and minimize errors on the write command squid proxy server ACL. The method used for the design automation Acl Squid Proxy Server Based Web consists of several stages: planning , data collection , analysis , design , system design , application development and preparation of reports.The results of this study in the form of web-based applications that can be used by the client to perform ACL configuration on squid proxy server so that the configuration changes made by administrators using the web based applications that have been made . Key words : Squid Proxy Server , Access Control List Squid , Otomatisasi Web based ACL
Hubungan Kondisi Geografis dan Lingkungan Sosial terhadap Kejadian Tuberkulosis di Wilayah Kerja Puskesmas Perawatan Satui Tahun 2022
Authors: Hanafi Muhammad Rizki , Rahman Eddy , Inayah Husnul Khatimatun , Ernadi Erwin 
Published: September 2023

Tuberculosis is an infectious disease caused by mycobacterium tuberculosis. Tuberculosis cases in the work area of the Satui Health Center are currently increasing with the cases as many as 13 cases in 2020 and has increased so far. This study aims to determine the relationship between geographical conditions and social environment on the incidence of tuberculosis in the work area of the satui care health center in 2022. Survey research method by distributing questionnaires and interviews with case control approach method. The total of samples used is 46 respondents with a total of 23 case respondents and 23 control respondents. The variables of this research were regional classification, economic occupation, knowledge and habits. Statistical test using Chi-Square test. The results of test show that there is a relationship between the independent variable and the dependent variable. The test results show that there is a relationship between the independent variable and the dependent variable. The result of test show that there is a relationship between regional classification (p-value = 0.025), occupation (p-value = 0.018), and economy (p-value = 0.003) with the incidence of Tuberculosis. Suggestion for the community to be able to get used to doing PHBS such as using masks in public places, using masks when sick with coughing, covering mouth when coughing and others. By getting used to doing good PHBS, individuals are not easily infected and do not transmit the seeds of disease.