bluuebunny/crossref_metadata_2025_split huggingface dataset:
Features of educational discourse in the system of institutional discourses
Authors: Chen Xi , Ma Xuchen 
Published: May 2023

The purpose of the study is to determine the place of educational discourse in the system of institutional discourses and to actualize modern approaches and methods of educational discourse. Unlike some other types of discourse, educational discourse is subject to changes under the influence of extralinguistic factors, including the development of scientific thought and technological progress, achievements of psychology and sociology, transformation of the methodology of the educational process, and others. The article presents the main characteristics of the educational discourse, describes the participants of the discourse and their status roles, postulates the importance of the educational text as a center of communication in educational discourse, and identifies new formats of information transmission in the structure of educational discourse. The variability of the content side of the educational discourse requires the attention of linguistic researchers at each time stage, this determines the scientific novelty of the work. As a result, certain conclusions have been formulated, including that the educational text has such features as factual, conciseness, brevity and others. The texts of educational discourse exist at the levels of teacher—student, teacher—teacher and student—student relations. They are associated with various communication situations within the framework of education. Educational discourse is always purposeful, includes methods of information transmission, is based on an educational text, has a number of precedent texts of certain genres in its structure. The opinion of some linguists on the prospects for the development of this area of scientific thought is given/
Pencatatan Perkawinan Menurut Perspektif Tokoh Agama Kecamatan Selupu Rejang
Authors: Agustian Linda , Amda Ahmad Dibul , Ridwan Rifanto Bin , Elkhairati Elkhairati 
Published: May 2023

Abstract:The purpose of this study is to determine the views of the community and religious leaders of the Selupu Rejang area regarding the urgency of marriage registration according to Islamic law and positive law. This type of research is field research using descriptive qualitative research methods and a socio-normative approach with legal theory. The results of this study show that the urgency of marriage registration according to the perspective of religious leaders in Selupu Rejang District is very important for the sustainability of social and state life. The legal status of an unregistered marriage is incorrect in the sense that it must receive legal certainty and recognition from the State. Therefore, it is appropriate between the two that is theologically correct and juridically correct to have the harmony to create a benefit in marriage for the realization of the purpose of marriage. According to article 6 of the Compilation of Islamic Law, marriage has no legal force if it is not recorded, because justified legal acts are followed by legal protection against all consequences arising from such legal acts.
The Progressivity of Umar Ibn Al-Khattab's Ijtihad in Responding to Community Social Changes
Authors: Arrasyid Fauzan , Pagar Pagar , Tanjung Dhiauddin , Nor Mohd Roslan Mohd 
Published: May 2023

This study aims to see how Umar Ibn Al-Khattab's legal ijtihad typology responds to social changes that occur in society. Ijtihad is a legal decision-making process based on syar'i arguments. During his leadership, Umar ibn Khattab was known to history as one of the caliphs who often performed ijtihad and the results often differed from those of other companions of the Prophet in terms of understanding and practice of Islamic law. Umar bin Khattab often recited the Quranic texts and hadith of the Prophet by contextualizing verses and hadiths through his maqasid approach. This research uses normative legal research methods. The data were obtained through literature review and analyzed using a descriptive analysis approach. The results showed that Umar's ijtihad pattern of Islamic law in some cases is considered as an integrated, integral, and authentic understanding in order to realize the benefit of Muslims. He carried out the policy of Islamic law by paying attention to rapidly developing social changes. Although his Ijtihad seems contrary to the provisions of the text, in fact Umar can be said to be able to understand the general principles (al-ushul al-kulliyat) of the Koran. So that the Quranic text, which has descended historically, can always provide answers and solutions to social problems of society that are always undergoing changes.
Manajemen Ulkus Diabetikum (Edukasi, Pelatihan dan Pendampingan) Melalui Family Care Giver Pada Penderita Diabetes Mellitus
Authors: Siti Rofiatun Rosida  , Lestyani  , Sudaryanto  
Published: May 2023

Komplikasi kronik dari DM adalah ulkus diabetikum yang disebabkan oleh angiopati, neuropati dan adanya infeksi. 10% sampai 25% dari pasien diabetes yang memiliki luka berkembang menjadi ulkus kaki diabetic. Kegiatan ini bertujuan untuk peningkatan status kesehatan masyarakat terutama keluarga dengan anggota diabetisi dapat memahami tentang pencegahan ulkus diabetik serta mengetahui tentang cara perawatan dasar ulkus diabetik. Pada kegiatan ini yang dilakukan adalah penyuluhan/pemberian edukasi, demonstrasi dan simulasi perawatan kaki callus serta perawatan dasar luka diabetikum dan pendampingan care giver dalam pemberian perawatan kaki diabetikum pada diabetesi. Kegiatan ini dilaksanakan pada 18 Agustus 2022, bertempat di Desa Jabung Plupuh Sragen, diikuti oleh 40 orang peserta, 20 kader posyandu Lansia dan 20 anggota keluarga dengan diabetisi. Pada kegiatan ini terdapat peningkatan yang siginifikan pada tingkat pengetahuan caregiver, sebelum diberikan materi tingkat pengetahuan terbanyak kategori cukup 16 orang dan pada postes meningkat didominasi tingkat pengetahuan baik 30 orang. Dari 17 diabetesi, pada kunjungan hari ke-2 setelah pelatihan terdapat 10 orang masih bergantung penuh dalam memberikan perawatan kaki, tetapi pada kunjungan hari ke-5 setelah pelatihan meningkat menjadi 9 caregiver sudah mandiri, 6 masih dibantu dan hanya 2 yang bergantung penuh. Kesimpulan kegiatan ini adalah peningkatan kemampuan dalam praktik senam kaki diabetes mellitus sebagai upaya menghindari risiko terjadinya gangguan vaskular darah, neuropati dan infeksi pada kaki. Peserta family caregiver menunjukkan peningkatan pengetahuan Dan peningkatan kemampuan dalam memberikan perawatan dasar ulkus diabetikum.
In Charcot’s Shadow: On the Allure of “Great Men” and the Privileging of Epistemology in the History of Science and Medicine
Authors: Thompson Courtney E. 
Published: May 2023

Abstract.This article explores the allure of “great men” in medical history through a comparative account of the work and lives of Jean-Martin Charcot and his student and collaborator, Désiré-Magloire Bourneville, in late nineteenth-century France. While historians of science and medicine have self-consciously rejected Whiggish and hagiographic “great man” history, the fixity of certain historical actors within our social and cultural histories reveals the continued hold of these figures and what they stand for within the grand narrative. The privileging of institutional and intellectual contributions has been perpetuated in such a way that bottom-up experiences and contributions in realms such as public health have been neglected. I argue that the continued prominence of certain historical medical figures, like Charcot, over forgotten contemporaries, like Bourneville, is representative of the way that historians of science and medicine have implicitly privileged intellectual contributions over social, political, or structural contributions.
“More a Matter for Medical Men”: The King’s Road Reserve Relocation and Public Health in Early 20th-Century Sydney, Nova Scotia
Authors: Mrazek Courtney 
Published: May 2023

Abstract.The forced removal and relocation of the King’s Road Reserve in Sydney, Nova Scotia, between 1915 and 1926 is a key example of how settlers used public health discourses to dispossess Indigenous lands in Canada. At the turn of the twentieth century, non-Indigenous Sydney residents lobbied the government to remove the Mi’kmaw reserve, which was located in an expanding downtown core. They justified this removal by arguing that Mi’kmaq were public health threats to themselves and their white neighbours. Ottawa responded to this case, and other cases across Canada, by implementing section 49A of the Indian Act in 1911. This amendment allowed settlers to request an Exchequer Court trial to rule on urban reserve relocations if land surrenders could not be obtained. The King’s Road Reserve relocation has yet to be examined with a medical lens. Doing so illuminates the centrality of medical expert testimony during this particular episode of twentieth-century colonialism.
De l’automédication au monopole de la prescription d’antalgiques : processus de confiscation d’un savoir profane en France
Authors: Dubus Zoë 
Published: May 2023

Résumé.Au XIXesiècle, alors que la pharmacopée s’enrichit d’un nombre considérable de psychotropes, la plupart ayant des propriétés antalgiques, l’automédication est la norme. Les individus de l’époque disposent en effet de connaissances traditionnelles sur les substances disponibles, actualisées pour les médicaments nouveaux grâce à de nombreux contenus de vulgarisation médicale. Les médecins et pharmaciens participent à cet accroissement de la médicalisation qui favorise leur installation en tant que professionnels reconnus. Mais à mesure que leur statut s’institutionnalise, le corps médical officiel œuvre à interdire toute pratique de soins en dehors de son contrôle, qu’il s’agisse du recours aux thérapeutes traditionnels (guérisseuses et guérisseurs, rebouteuses·et rebouteux, herboristes, etc.) ou de l’automédication. Nous analyserons dans cet article les pratiques médicales des individus du XIXesiècle en lien avec les psychotropes et montrerons les conséquences sanitaires de la confiscation des savoirs profanes sur ces substances.
Containment Analysis: Rigorous Planning for Safety in Rotor Spin Testing
Authors: Murner Rob 
Published: May 2023

Abstract
High-speed rotating components in gas turbines, flywheels, and turbo machinery can be a lethal threat in the event of a failure due to the energy they possess. To assess the risks associated with such failures, rotor assemblies can be evaluated by spin testing although there are inherent risks in the tests themselves. This article discusses these risks and explains what can be done to minimize the potential dangers of high-speed performance testing.
Fatigue Performance of Mg Alloy Laser-Assisted Self-Piercing Riveted Lap Joints
Authors: Jiang Chonghua (Cindy) , Hunt Justin , Su Xuming , Khosrovaneh AK , Quinn James , Zhang Lin 
Published: May 2023

Abstract
Self-pierce riveting is a candidate for joining magnesium alloy sheet, extrusions, and castings in automotive applications. This article evaluates the fatigue performance of magnesium lap joints held together by laser-assisted self-piercing rivets (SPR) with and without the addition of adhesives.
Development of a Microscale Fatigue Testing Technique
Authors: Szczepanski C.J. , Shade P.A. , Groeber M.A. , Larsen J.M. , Jha S.K. , Wheeler R. 
Published: May 2023

Abstract
A microscale fatigue testing technique for characterizing mechanical response and relating it to microstructure promises to improve fatigue life prediction for turbine engine components.
PENGARUH MODEL PEMBELAJARAN COOPERATIVE SCRIPT TERHADAP KETERAMPILAN BERBICARA SISWA KELASVII SMP
Authors: Vera Foti , Agustina Rini , Alimin A A 
Published: May 2023

Penelitian ini bertujuan untuk mengetahui pengaruh penerapan keterampilan berbicara pada materi menceritakan kembali is legenda siswa kelas VII SMP Negeri 2 Sebawi Kabupaten Sambas. Metode yang digunakan adalah metode experimental design, rancangan penelitian one group-pretest-postest design. Sampel penelitian ini adalah siswa kelas VII sebagai kelas eksperimen berjumlah 24 siswa. Instrumen untuk mengukur hasil belajar dengan jumlah 1 soal. Dari hasil pengolahan data, diperoleh informasi bahwa rata-rata hasil belajar siswa kelas eksperimen pretest adalah 62,71 sedangkan rata-rata hasil belajar siswa kelas eksperimen posttest adalah 75,75. Berdasarkan uraian tersebut dari hasil uji-t didapat hasil perhitungan memperhitungkan (α)=5% atau 0,05 maka hipotesis diterima. Hal ini karena tingkat signifikan (α) atau thitung 5.492 ttabel. 2,068 hal ini berari Ha diterima, terdapat pengaruh model pembelajaran cooperative script terhadap keterampilan berbicara pada materi menceritakan kembali isi legenda. Hasil hitungan menggunakan uji-t diperoleh nilai thitung sebesar 5.492 dan ttabel (α=5% dan db=n-24 siswa=23 sebesar 2,068 karena thitung pengaruh model pembelajaran cooperative script terhadap keterampilan berbicara pada materi menceritakan kembali isi legenda. Hasil hitungan Effect size Es 1.8 = 1.8 1.0 = tergolong tinggi. Terdapat perbedaan hasil belajar siswa dalam keterampilan berbicara pada materi menceritakan kembali isi legenda siswa kelas VII SMP Negeri 2 Sebawi Kabupaten Sambas.Kata Kunci: Keterampilan Berbicara dan Menceritakan Kembali Isi Legenda
Hemorrhagic cervical juxta-facet cyst presenting with Brown-Séquard syndrome: illustrative case
Authors: Shimura Shigeyoshi , Saito Ryu , Yagi Takashi , Yoshioka Hideyuki , Kinouchi Hiroyuki 
Published: May 2023

BACKGROUND
Intraspinal juxta-facet cysts of the spine are known to predominate at the lumbar level and is relatively rare at the cervical level. Most cervical spinal lesions are found incidentally, but they sometimes cause myelopathy or radiculopathy in a chronic course.

OBSERVATIONS
The authors present a rare case of hemorrhagic cervical juxta-facet cyst presenting with Brown-Séquard syndrome. An 86-year-old woman presented with acute-onset right hemiparesis following neck pain and was admitted to the local hospital. She was started on antithrombotic therapy with a suspected diagnosis of cerebral infarction, but quadriplegia progressed 2 days later. Cervical magnetic resonance imaging revealed an intraspinal mass at the C4–5 level and she was referred to the authors’ hospital. Her neurological findings on admission revealed right Brown-Séquard syndrome. In emergency surgery, the mass was resected with a posterior approach. Pathological findings showed hemosiderin deposition and fibroblast proliferation, consistent with a juxta-facet cyst with intracystic hemorrhage. The patient recovered well and returned to an independent daily life.

LESSONS
Rarely, juxta-facet cyst of the cervical spine can cause acute Brown-Séquard syndrome due to intraspinal hemorrhage. In a case of hemiparesis that develops following neck pain, hemorrhagic cervical juxta-facet cyst should be taken into consideration as a differentiation.
Uniportal full endoscopic spinous process–preserving laminectomy for bilateral decompression in cervical stenotic myelopathy: patient series
Authors: Ma Hyun-Jin , Lee Sang-Ho , Park Chan Hong 
Published: May 2023

BACKGROUND
Endoscopic decompression for cervical stenotic myelopathy has several advantages over conventional open surgery. However, sometimes performing bilateral decompression, especially contralateral decompression, can be dangerous. The cervical spine has specific characteristics, including a shallower lamina angle and thinner lamina than the lumbar or thoracic lamina. These characteristics may cause cord compression when instruments approach the contralateral side of the lamina. This article introduces a novel surgical technique that can overcome the specificities of the cervical spine and discusses the efficacy and safety of uniportal full endoscopy for cervical decompression.

OBSERVATIONS
Fourteen patients underwent uniportal full endoscopic spinous process–preserving laminectomy (ESP-L) for bilateral decompression of multilevel cervical stenotic myelopathy. The mean follow-up period was 13.44 months (range: 4–17 months). The preoperative and postoperative cervical spine angle and cervical range of motion did not differ significantly. The Japanese Orthopaedic Association score significantly improved postoperatively. The numeric rating scale scores significantly improved postoperatively. The mean duration of postoperative hospitalization was 2.3 days.

LESSONS
ESP-L is a new, safe, effective, and noninvasive technique that can achieve complete decompression of multilevel cervical stenotic myelopathy.
Urgencias en Psiquiatría de la Infancia y la Adolescencia: ¿Dónde está el límite?
Authors: Morer Liñán Astrid 
Published: May 2023

El incremento de las urgencias hospitalarias de psiquiatría de niños y adolescentes ha sido continúo en la última década (1) y en muchos casos puede considerarse el reflejo de la necesidad no cubierta por recursos asistenciales comunitarios. Este incremento se venía observando ya en los años previos a la pandemia (2,3), pero la crisis postCOVID-19 lo ha acelerado (llegándose a cifras del 50% de aumento durante el 2021 y de hasta del 83% respecto a cifras previas a la pandemia en la provincia de Lleida) (4,5). Este incremento parece que se ha estabilizado en los últimos meses. Sin duda la pandemia ha ayudado a aumentar la conciencia social de la salud mental de niños y adolescentes, pero el dato relevante es que el incremento de las visitas a urgencias sigue una pendiente continua desde la crisis económica de 2009 y no en forma de “oleada” derivada de la pandemia (1,3,6) . Aún así, son escasos los estudios longitudinales publicados al respecto y es difícil contrastar los datos generados en diferentes entornos geográficos y sociales. Aunque parece claro que ha habido aumento de casos tanto en niños como en adolescentes, más del 90% de estas consultas suelen ser en jóvenes mayores de 12 años.
BIMBINGAN PEMBUATAN GELANG MANIK PADA SISWA SLBN PEMBINA PROVINSI KALIMANTAN TIMUR 2023
Authors: Afdal Afdal 
Published: May 2023

Kegiatan ini bertujuan untuk meningkatkan keterampilan belajar siswa melalui kegiatan meronce, yaitu membuat gelang manik dengan model pembelajaran langsung pada mata pelajaran Seni Budaya dan Prakarya di SLBN Pembina Provinsi Kalimantan Timur. Kegiatan ini dilaksanakan sebanyak dua siklus, setiap siklus dilakukan dua kali pertemuan melalui tahapan perencanaan, pelaksanaan, observasi dan refleksi. Dari hasil observasi pada siswa mengalami peningkatan dari hasil siklus I sampai siklus II yaitu, siklus I pertemuan pertama rata-rata nilai yaitu 67 dengan persentase ketuntasan 0%, pada siklus I pertemuan kedua dengan nilai rata-rata 72,8 dengan persentase ketuntasan 50%, Pada siklus II pertemuan pertama nilai rata-rata 78 dengan persentase ketuntasan 66%, Pada siklus II pertemuan kedua rata-rata yaitu 81 dengan persentase ketuntasan 83%. Kata Kunci : Bimbingan, Pembuatan, Gelang Manik
Characterizing PRN Use of Psychotropic Medications for Acute Agitation in Canadian Long-Term Care Residents with Dementia Before and During COVID-19
Authors: Wang Hui Jue , Kusumo Raphael W. , Kiss Alex , Tennen Gayla , Marotta Giovanni , Viaje Shirley , Lanctôt Krista L. 
Published: May 2023

Background: Agitation is a disabling neuropsychiatric symptom of dementia. Pro re nata (PRN) injections of psychotropics can be administered for severe acute agitation, but little is known about the frequency of their actual use. Objective: Characterize actual use of injectable PRN psychotropics for severe acute agitation in Canadian long-term care (LTC) residents with dementia and compare use before and during the COVID-19 pandemic. Methods: Residents from two Canadian LTC facilities with orders for PRN haloperidol, olanzapine, or lorazepam between January 1, 2018– May 1, 2019 (i.e., pre-COVID-19) and January 1, 2020– May 1, 2021 (i.e., COVID-19) were identified. Electronic medical records were reviewed to document PRN injections of psychotropic medications and collect data on reason and demographic characteristics. Descriptive statistics were used to characterize frequency, dose, and indications of use, and multivariate regression models were used to compare use between time periods. Results: Of the 250 residents, 45 of 103 (44%) people in the pre-COVID-19 period and 85 of 147 (58%) people in the COVID-19 period with standing orders for PRN psychotropics received ≥1 injections. Haloperidol was the most frequently used agent in both time periods (74% (155/209 injections) pre-COVID-19; 81% (323/398 injections) during COVID-19). Residents in the COVID-19 period were almost two times more likely to receive injections compared with those in the pre-COVID-19 period (odds ratio = 1.96; 95% CI = 1.15–3.34; p = 0.01). Conclusion: Our results suggest that use of PRN injections increased in LTC during the pandemic and contribute to the mounting evidence that agitation worsened during that time.
Hypofractionated Radiation Therapy (Hypo-RT) for the Treatment of Localized Bladder Cancer
Authors: Moore Assaf , Lobaugh Stephanie M. , Zhang Zhigang , Rosenberg Jonathan E. , Iyer Gopa , Teo Min Yuen , Bochner Bernard , Donahue Timothy , Nunez David Aramburu , Dreyfuss Alexandra , Gorovets Daniel , Zelefsky Michael J. , Kollmeier Marisa A. 
Published: May 2023

BACKGROUND: Various radiotherapeutic regimens are used in the treatment of bladder cancer. OBJECTIVE: We aimed to evaluate early toxicity and outcomes associated with hypofractionated radiation therapy (Hypo-RT), 55Gy in 20 fractions. MATERIAL AND METHODS: We identified 40 patients who received definitive Hypo-RT for localized bladder cancer. Most patients were men (62.5%), elderly (median age 82), had high Charlson Comorbidity Index score (median 7, range 4–9) and were nonsurgical candidates (80%). Sixty-eight percent had a macroscopically complete transurethral resection of bladder tumor (TURBT) and 33 patients (82.5%) received concurrent chemotherapy. Acute (< =3mo) and late (>3mo) toxicities were assessed according to CTCAE v4.0. Survival outcomes were estimated using the Kaplan-Meier method. Median follow up after Hypo-RT was 32 months (95% CI: 28–49 months). RESULTS: Overall rates of acute grade 2 genitourinary (GU) and gastrointestinal (GI) toxicities were 40% each, most commonly urinary frequency and diarrhea. Two cases of acute grade 3 GU/GI toxicity occurred. Late grade 2+ toxicity occurred in 3 patients (7.5%): 2 grade 2 GU and 1 grade 3 GI. Seventy-seven percent achieved a complete response (CR). Six patients (20%) developed disease recurrence at a median time of 9.1 months. The estimated 2-year DFS and 2-year DSS rate were 59% (95% CI, 45–78%) and 78% (95% CI, 65–93%), respectively. Receipt of concurrent chemotherapy ( p = 0.003) and achieving a CR ( p = 0.018) were univariably associated with improved DSS. Tis component was associated with worse DSS ( p = 0.015). CONCLUSION: Hypo-RT had a favorable toxicity profile and encouraging cancer control outcomes in this mostly elderly and frail patient cohort.
Implementasi Algoritma Naïve Bayes dan Support Vector Machine (SVM) Pada Klasifikasi Penyakit Kardiovaskular
Authors: Desiani Anita , Akbar Muhammad , Irmeilyana Irmeilyana , Amran Ali 
Published: May 2023

Penyakit kardiovaskuler adalah penyakit yang diakibatkan penyempitan atau penyumbatan pembuluh darah di jantung penyakit ini disebabkan gangguan fungsi jantung dan pembuluh darah. Sistem kardiovaskular terdiri dari jantung dan pembuluh darahnya. Penelitian ini bertujuan melakukan klasifikasi penyakit kardiovaskular untuk memprediksi suatu pola. Pada penelitian ini akan menggunakan metode support vector machine dan naïve bayes dengan metode latih percentage split dan k-fold cross validation. Hasil akurasi pengolahan menggunakan Algoritma Naïve Bayes adalah sebesar 70% untuk metode latih percentage split dan 71% untuk metode latih k-fold cross validation. Kemudian dengan menggunakan algoritma support vector machine didapat akurasi 61% untuk metode latih percentage split dan 65% untuk metode latih k-fold validation. Hasil tersebut menunjukkan bahwa algoritma naïve bayes dengan metode latih k-fold validation cukup baik dalam melakukan klasifikasi penyakit kardiovaskular.