bluuebunny/crossref_metadata_2025_split huggingface dataset:
Utility of minimally invasive endoscopic skull base approaches for the treatment of drug-resistant mesial temporal lobe epilepsy: a review of current techniques and trends
Authors: Phillips H. Westley , Miller Tracy A. , Liu Hilary Y. , Abel Taylor J. , McDowell Michael M. 
Published: June 2023

Mesial temporal lobe epilepsy (mTLE) is an important cause of drug-resistant epilepsy (DRE) in adults and children. Traditionally, the surgical option of choice for mTLE includes a frontotemporal craniotomy and open resection of the anterior temporal cortex and mesial temporal structures. Although this technique is effective and durable, the neuropsychological morbidity resulting from temporal neocortical resections has resulted in the investigation of alternative approaches to resect the mesial temporal structures to achieve seizure freedom while minimizing postoperative cognitive deficits. Outcomes supporting the use of selective temporal resections have resulted in alternative approaches to directly access the mesial temporal structures via endoscopic approaches whose direct trajectory to the epileptogenic zone minimizes retraction, resection, and manipulation of surrounding cortex.
The authors reviewed the utility of the endoscopic transmaxillary, endoscopic endonasal, endoscopic transorbital, and endoscopic supracerebellar transtentorial approaches for the treatment of drug-resistant mesial temporal lobe epilepsy. First, a review of the literature demonstrated the anatomical feasibility of each approach, including the limits of exposure provided by each trajectory. Next, clinical data assessing the safety and effectiveness of these techniques in the treatment of DRE were analyzed. An outline of the surgical techniques is provided to highlight the technical nuances of each approach.
The direct access to mesial temporal structures and avoidance of lateral temporal manipulation makes endoscopic approaches promising alternatives to traditional methods for the treatment of DRE arising from the temporal pole and mesial temporal lobe. A dearth of literature outlining clinical outcomes, a need for qualified cosurgeons, and a lack of experience with endoscopic approaches remain major barriers to widespread application of the aforementioned techniques. Future studies are warranted to define the utility of these approaches moving forward.
Portable MRI to assess optic chiasm decompression after endoscopic endonasal resection of sellar and suprasellar lesions
Authors: Hong Christopher S. , Lamsam Layton A. , Yadlapalli Vineetha , Parasuram Nethra , Mazurek Mercy , Chavva Isha , Lalwani Dheeraj , Zabinska Julia , Schiff Steven J. , Manes R. Peter , Vining Eugenia M. , Rimmer Ryan A. , Kimberly W. Taylor , Sheth Kevin N. , Omay Sacit Bulent 
Published: June 2023

OBJECTIVE
Low-field portable MRI (pMRI) is a recent technological advancement with potential for broad applications. Compared with conventional MRI, pMRI is less resource-intensive with regard to operational costs and scan time. The application of pMRI in neurosurgical oncology has not been previously described. The goal of this study was to demonstrate the efficacy of pMRI in assessing optic nerve decompression after endoscopic endonasal surgery for sellar and suprasellar pathologies.

METHODS
Patients who underwent endoscopic endonasal surgery for sellar and suprasellar lesions at a single institution and for whom pMRI and routine MRI were performed postoperatively were retrospectively reviewed to compare the two imaging systems. To assess the relative resolution of pMRI compared with MRI, the distance from the optic chiasm to the top of the third ventricle was measured, and the measurements were compared between paired equivalent slices on T2-weighted coronal images. The inter- and intrarater correlations were analyzed.

RESULTS
Twelve patients were included in this study (10 with pituitary adenomas and 2 with craniopharyngiomas) with varying degrees of optic chiasm compression on preoperative imaging. Measurements were averaged across raters before calculating agreement between pMRI and MRI, which demonstrated significant interrater reliability (intraclass correlation coefficient [ICC] = 0.78, p < 0.01). Agreement between raters within the pMRI measurements was also significantly reliable (ICC = 0.93, p < 0.01). Finally, a linear mixed-effects model was specified to demonstrate that MRI measurement could be predicted using the pMRI measurement with the patient and rater set as random effects (pMRI β coefficient = 0.80, p < 0.01).

CONCLUSIONS
The results of this study suggest that resolution of pMRI is comparable to that of conventional MRI in assessing the optic chiasm position in relation to the third ventricle. Portable MRI sufficiently demonstrates decompression of the optic chiasm after endoscopic endonasal surgery. It can be an alternative strategy in cases in which cost, scan-time considerations, or lack of intraoperative MRI availability may preclude the ability to assess adequate optic nerve decompression after endoscopic endonasal surgery for sellar and suprasellar lesions.
Thalamic responsive neurostimulation for the treatment of refractory epilepsy: an individual patient data meta-analysis
Authors: Bystrom Lauren L. , Levy Adam S. , Brown Erik C. , Fajardo Marytery , Wang Shelly 
Published: June 2023

OBJECTIVE
In recent years, the treatment of drug-resistant epilepsy (DRE) has made greater use of surgery and expanded options for neurostimulation or neuromodulation. Up to this point, responsive neurostimulation (RNS) has been very promising but has mainly used only the cortex as a target. In this individual patient data meta-analysis (IPDMA), the authors sought to establish if a novel RNS target, the thalamus, can be used to treat DRE.

METHODS
The literature regarding the management of DRE by targeting the thalamus with RNS was reviewed per IPDMA guidelines. Five databases were searched with keywords [((Responsive neurostimulation) OR (RNS)) AND ((thalamus) OR (thalamic) OR (Deep-seated) OR (Diencephalon) OR (limbic))] in March 2022.

RESULTS
The median (interquartile range) age at implantation was 17 (13.5–27.5) years (n = 42) with an epilepsy duration of 12.1 (5.8–15.3) years. In total, 52.4% of patients had previously undergone epilepsy surgery, 28.6% had prior vagus nerve stimulation, and 2.4% had prior RNS. The median preimplant seizure frequency was 12 per week. The median seizure reduction at last follow-up was 73%. No study in this IPDMA reported complications, although 7 cases (16.3%) did require reoperation. Behavioral improvements and reduced antiepileptic drug dose or quantity were reported for 80% and 28.6% of patients, respectively.

CONCLUSIONS
This review indicates that thalamic RNS may be safe and effective for treating DRE. Long-term and controlled studies on thalamic RNS for DRE would further elucidate this technique’s potential benefits and complications and help guide clinical judgment in the management of DRE.
PENINGKATAN KOMPETENSI PENDIDIK MELALUI PELATIHAN PREPROSPEC PADA PEMBELAJARAN DARING
Authors: Indrawati Farah , Hartati Leny 
Published: June 2023

ABSTRAKKegiatan pengabdian kepada masyarakat yang dilakukan ini bertujuan memberi kesadaran kepada pendidik untuk meningkatkan kompetensi, sehingga pendidik mampu meningkatkan kemampuan representasi peserta didik dengan ilmu pengetahuan dan keterampilan yang mereka miliki, melalui ketepatan dalam pemilihan, serta penggunaan model, media, dan aplikasi pembelajaran daring. Metode yang digunakan adalah metode pelatihan, dengan tiga tahap pelaksanaan (persiapan, pelaksanaan, dan evaluasi). Hasil dari kegiatan pengabdian kepada masyarakat ini adalah kegiatan pengabdian kepada masyarakat terlaksana dengan baik dan lancar. Pendidik SMA Bakti Idhata memberikan respon yang positif terhadap pelaksanaan kegiatan pengabdian kepada masyarakat. Pendidik SMA Bakti Idhata dapat memahami dan menguasai materi mengenai peningkatan kompetensi melalui pelatihan preprospec yang diberikan oleh tim pelaksana kegiatan pengabdian kepada masyarakat. Kesimpulan dari kegiatan pengabdian kepada masyarakat ini adalah pendidik SMA Bakti Idhata menyadari bahwa peningkatan kompetensi melalui ketepatan dalam pemilihan serta penggunaan berbagai inovasi model pembelajaran, media pembelajaran, dan aplikasi pembelajaran merupakan suatu hal yang sangat penting dalam mencapai tujuan pembelajaran secara bermakna, terutama untuk meningkatkan kemampuan representasi peserta didik pada pelaksanaan pembelajaran secara daring. Kata kunci: kompetensi pendidik; preprospec; daring. ABSTRACTThe community service activity aims to provide awareness to educators to improve competence, so that educators are able to improve the representation ability of students with knowledge and skills they have, through accuracy in selection, as well as the use of models, media and online learning applications. The method used is the training method, with three stages of implementation (preparation, implementation, and evaluation). The result of this community service activity is that community service activities are carried out well and smoothly. Bakti Idhata High School educators gave a positive response to the implementation of community service activities. Bakti Idhata High School educators can understand and master the material regarding competency improvement through preprospecting training provided by the implementing team for community service activities. The conclusion of this community service activity is that Bakti Idhata High School educator realizes that increasing competence through accuracy in the selection and use of various learning model innovations, learning media, learning applications is very important in achieving meaningful learning goals, especially to improve the ability of students representation in the implementation of online learning Keywords: educators competence; preprospec; online.
SOSIALISASI PEMBERIAN ASI EKSKLUSIF PADA PESERTA IBU GUNA MENINGKATKAN PENGETAHUAN DAN SIKAP
Authors: Fitria Tasya Nur , Alamsah Deni , Asmi Nur Fauzia , Sopia Cica , Aprilianti Putri , Azzizah Riva , Dewi Remita 
Published: June 2023

ABSTRAKBerdasarkan data World Health Organization (WHO) sampai tahun 2020 hanya sekitar 44% bayi di seluruh dunia yang berusia 0-6 bulan yang mendapatkan ASI eksklusif. Cakupan ASI eksklusif di Indonesia tahun 2018-2019 mengalami penurunan dari 68,74% menjadi 67,74%. Maka perlunya tidakan untuk meningkatkan pemberian ASI eksklusif pada bayi 0-6 bulan. Tujuan kegiatan ini adalah untuk memberikan edukasi dan meningkatkan pengetahuan terkait pemberian asi ekskulusif bayi 0-6 bulan pada ibu di posyandu seroja 1c desa telaga murni. Metode kegiatan berupa penyuluhan, dengan evaluasi berupa pre-test dan pos-test sebagai parameter untuk mengetahui peningkatan pengetahuan sesuai tujuan yang ingin dicapai. Hasil kegiatan diperoleh tidak ada perbedaan setelah dilakukan pre-test dan post-test mengenai ASI eksklusif sehingga tingkat pengetahuan dan sikap responden tidak menunjukan adanya peningkatan yang signifikan. Kata kunci: ASI eksklusif; edukasi; ibu. ABSTRACTBased on data from the World Health Organization (WHO) until 2020 only around 44% of babies around the world aged 0-6 months are getting exclusive breastfeeding. Exclusive breastfeeding coverage in Indonesia in 2018-2019 has decreased from 68.74% to 67.74%. So the need for action to increase exclusive breastfeeding in infants 0-6 months. This activity aims to provide education and increase knowledge regarding exclusive breastfeeding for babies 0-6 months to mothers at Posyandu Seroja 1c, Telaga Murni Village. The activity method is counseling, with evaluation in the form of a pre-test and post-test as parameters to determine the increase in knowledge according to the goals to be achieved. The results of the activity showed that there was no difference between the pre- and post-test regarding exclusive breastfeeding, so the level of knowledge and attitudes of the respondents did not show a significant increase. Keywords: exclusive breastfeeding; education; mother.
EDUKASI KESEHATAN DALAM UPAYA PERUBAHAN SIKAP REMAJA TENTANG PERNIKAHAN DINI DARI PERSPEKTIF KESEHATAN REPRODUKSI DAN BUDAYA DI DESA KENALAN JAWA TENGAH
Authors: Sarwadhamana Raden Jaka , Rahayu Mirna , Barang Nurul Ilmi Daeng , Isnaini Dwi Hasanah , Sudana Zanwar Hendry , Tiyas Fitri Ariyaning 
Published: June 2023

ABSTRAKKondisi pergaulan bebas yang sering terjadi pada anak remaja serta kurangnnya pengawasan orang tua menjadikan anak remaja bebas untuk berteman dan berpasacara secara tidak sehat. Kondisi ini di perburuk oleh perekonomian masyarakat yang menjadikan sebagian orang tua memilih jalan pintas dengan menikahkan anaknya pada usia dini sehingga dapat meringankan beban keluarga. Kondisi tersebut harus segara ditangani melalui edukasi kesehatan dengan tujuan memberikan pemahaman kepada remaja dan orang tua tentang bahanya pernikahan dini dari perspektif kesehatan repoduksi dan budaya. Pelaksanaan kegiatan dilakukan pada dua tempat yaitu Dukuh Kewiran dan Dukuh Kenalan dengan metode edukasi tentang kesehatan reproduksi dan diskusi kebudayaan setempat tentang seks di luar nikah. Kegiatan diikuti oleh 39 remaja yang berada di Wilayah Desa Kenalan dan dilakukan pengukuran pretest dan postest untuk mengetahui perubahan sikap remaja tentang pernikahan dini. Hasil pengukuran sikap menujukan bahwa terjadinya peningkatan sikap positif yang dimiliki remaja untuk tidak melakukan pernikahan dini setelah diberikannya edukasi tentang kesehatan reproduksi dan dapat bertukar pikiran, bercerita dengan teman sebaya serta orang tua secara terbuka tentang dampak seks di luar nikah. Kata kunci: Sikap remaja; kesehatan reproduksi; budaya. ABSTRACTThe condition of promiscuity that often occurs in adolescents and the lack of parental supervision make adolescents free to make friends and engage in unhealthy relationships. This condition is exacerbated by the community's economy which makes some parents choose shortcuts by marrying off their children at an early age to ease the burden on the family. This condition must be addressed immediately through health education to provide understanding to adolescents and parents about the dangers of early marriage from the perspective of reproductive health and culture. The activities were carried out in two places, namely Dukuh Kewiran and Dukuh Kenalan with educational methods on reproductive health and a discussion of local culture about sex outside of marriage. The activity was attended by 39 youths in the Kenalan Village Area and pretest and posttests were to determine changes in adolescent attitudes about early marriage. The results of the attitude measurement indicated that there was an increase in the positive attitude of adolescents not to engage in early marriage after being given education about reproductive health and being able to exchange ideas, and talk to peers and parents openly about the impact of sex outside of marriage. Kata kunci: Adolescent attitude; reproduction health; culture
BIMBINGAN PENGELOLAAN GUDANG LOGISTIK DI PENGUNGSIAN DAMPAK GEMPA BUMI DI KABUPATEN CIANJUR JAWA BARAT
Authors: Murtado Asep Dodo , Yani Ade Vera 
Published: June 2023

ABSTRAKGempa di Cainjur dengan kekuatan 5,6 magnetudo, terjadi pada tanggal 21 November 2022 yang dipicu oleh pergeseran sesar baru Patahan Cugenang. Akibatnya mereka harus mengungsi di tenda tenda penampungan dengan menggantungkan para donator untuk memenuhi kebutuhan kehidunya.. Bantuan mengalir dari berbagai pihak, pemerintah maupun swasta. Kebutuhan pangan menjadi prioritas para donator. Beras, minyak goreng,mie instan, telur, biscuit, air minum dll datang tiap hari yang ditampung dalam tenda darurat. Penumpukan barang yang tidak teratur mulai terjadi yang berdampak pada kerusakan dan sulit dalam pencatatn dan pengawasan barang di dalam gudang.. Diperlukan penataan dan pengelolaan gudang yang baik untuk meminimalisir kerusakan dan memudahkan pengontrolan dan pendistribusiannya. Untuk itu dibutuhkan bimbingan untuk parta relawan pengelola logistic. Bimbingan dilakukan dengan memberikan pengarahan dan diskusi serta melakukan bimbingan langsung saat penurunan barang dari angkutan dan saat penyusunan di dalam gudang. Dihasilkan gudang menjadi tertata rapi, seluruh barang tercatat menurut jenis dan jumlahnya, kerusakan barang akibat penumpukan berkurang, barang kadaluwarsa tidak lagi ditemukan, pendistribusian lebih mudah, pencatatan dan pengawasanpun lebih mudah dilakukan Kata kunci: pengelolaan; logistic; gempa ABSTRACTAn earthquake in Cainjur with a magnitude of 5.6 magnetudo, occurred on November 21, 2022 which was triggered by a new shift in the Cugenang Fault. As a result, they had to take refuge in shelter tents by depending on donors to meet their needs. Assistance flowed from various parties, government and private. Food needs are a priority for donors. Rice, cooking oil, instant noodles, eggs, biscuits, drinking water etc. came every day which were accommodated in the emergency tents. Irregular stockpiling of goods began to occur which resulted in damage and uncontrolled warehouse. Good warehouse arrangement and management is needed to minimize damage and facilitate control and distribution. For this reason, guidance is needed for volunteer logistics managers. Guidance is carried out by providing directions and discussions as well as conducting direct guidance when unloading goods from transport and when preparing them in the warehouse. The resulting warehouse is neatly organized, all goods are recorded by type and quantity, damage to goods due to accumulation is reduced, expired goods are no longer found, distribution is easier, recording and monitoring are easier to do Keywords: management; logistics; earthquake
PENINGKATAN PENGETAHUAN PENCEGAHAN COVID-19 PADA MASYARAKAT KELURAHAN TUGU KECIL KECAMATAN PRABUMULIH TIMUR TAHUN 2021
Authors: Rosnani Rosnani , Jawiah Jawiah , Sulistini Rumentalia , Mediarti Devi , Wibowo Wahyu Dwi Ari 
Published: June 2023

ABSTRAKPandemi CoronaVirus Disease-2019 (COVID-19) menjadi masalah darurat kesehatan bagi seluruh dunia saat ini, di Sumatera Selatan, sampai dengan 21 April 2021 angka kejadian COVID-19 sebanyak 19.387 kasus, dengan angka kematian sebanyak 933 kasus, sedangkan pada peta sebaran resiko COVID-19 Kota Prabumulih, termasuk kedalam kota dengan tingkat penyebaran dengan resiko tinggi, akan tetapi minimnya pengatahuan masyarakat terhadap pencegahan COVID-19 menjadi masalah utama dari penyebaran dan peningkatan kasus, sehingga para masyarakat perlu diberikan edukasi kesehatan terkait pencegahan COVID-19 melalui prilaku hidup bersih dan sehat (PHBS). Kegiatan pendidikan kesehatan ini dilaksanakan pada Kecamatan Prabumulih Timur pada bulan Juni 2021 pada 40 warga Kecamatan Prabumulih Timur, dengan metode penyuluahan dengan cara cermah dan demonstrasi. Hasilnya terjadi peningkatan rata-rata pengetahuan warga dari rata-rata 43.75 menjadi 83.25, dengan persentase sebelum mendapatkan edukasi, katagori pengetahuan kurang 95%, katagori sedang 5%, dan setelah mendapatkan edukasi menjadi 12.5% katagori sedang, dan 87.5% dalam katagori baik. Kesimpulannya kegiatan edukasi kesehatan dengan menggunakan media leaflet dan demonstarsi dapat meningkatkan pengetahuan warga terkait pencegahan COVID-19 dengan PHBS, dan dapat menjadi program dalam menekan angka penyebaran kasus COVID-19. Kata kunci: COVID-19; edukasi kesehatan; PHBS; komunitas. ABSTRACTThe CoronaVirus Disease-2019 (COVID-19) pandemic is now a health emergency for the whole world; in South Sumatra, as of April 21 2021, the incidence of COVID-19 was 19,387 cases, with a death rate of 933 cases, while on the risk distribution map Prabumulih City's COVID-19, is included in a city with a high level of spread with a high risk. Still, the lack of public knowledge about preventing COVID-19 is the main problem with the increase in cases, so the community needs to be given health education regarding the prevention of COVID-19 through life behaviour clean and healthy (PHBS). This health education activity was carried out in East Prabumulih District in June 2021 to 40 residents of East Prabumulih District, using lectures and demonstration methods. The result was an increase in the average knowledge of residents from an average of 43.75 to 83.25, with the percentage before getting an education in the knowledge category being less than 95%, the moderate type was 5%, and after getting an education it was 12.5% in the moderate category, and 87.5% in the excellent category. In conclusion, health education activities using leaflets and demonstration media can increase residents' knowledge regarding the prevention of COVID-19 with PHBS and can be a program to reduce the spread of COVID-19 cases Keywords: COVID-19; health education; PHBS; community.
PEMANFAATAN SAMPAH ORGANIK RUMAH TANGGA SEBAGAI PAKAN FERMENTASI HEWAN TERNAK
Authors: Fihiruddin Fihiruddin , Hanafi Fachrudi , Inayati Nurul , Hasbi Muhammad 
Published: June 2023

ABSTRAKSampah dan pengelolaannya menjadi masalah yang sangat penting, jika tidak dikelolah dengan baik dapat mengakibatkan terjadinya perubahan keseimbangan lingkungan. Sampah rumah tangga yang dihasilkan oleh masyarakat di desa Karang Bayan biasanya hanya dibakar, sehingga dapat terjadi pencemaran lingkungan seperti polusi udara dan lingkungan menjadi kotor serta dapat menimbulkan masalah kesehatan bagi masyarakat. Mata pencaharian sebagian besar penduduk Desa karang bayan adalah petani dan peternak. Pengabdian kepada masyarakat ini dilakukan untuk mengatasi permasalahan sampah rumah tangga di desa Karang Bayan menjadi bahan yang mempunyai nilai ekonomis yaitu pakan ternak. Pengolahan pakan ternak secara fermentasi berguna untuk meningkatkan produktivitas hewan ternak. Kegiatan pengabdian kepada masyarakat dilakukan dengan metode penyuluhan, demontrasi dan latihan. Hasil kegiatan di penyuluhan yang diberikan, masyarakat Desa Karang Bayan mengetahui dampak negatif sampah rumah tangga yang tidak dikelolah dengan baik terhadap kesehatan dan lingkungan, masyarakat mengetahui jenis sampah organik dan anorganik serta mampu melakukan pemisahan kedua jenis sampah rumah tangga tersebut dan masyarakat dapat mengolah sampah organik rumah tangga menjadi pakan ternak dengan metode fermentasi secara mandiri. Pakan fermentasi yang dibuat sudah dimanfaatkan oleh beberapa peternak di Desa Karang Bayan sebagai pakan terutama untuk ternak unggas. Kata kunci: sampah organic; masalah kesehatan; pakan fermentasi. ABSTRACTWaste and its management become a very crucial problem, if not managed properly it can lead to changes in the environmental balance. Household waste produced by the community in Karang Bayan village is usually only burned, so that environmental pollution can occur such as air pollution and the environment becomes dirty and can cause health problems for the community. The livelihoods of most residents of Karang Bayan Village are farmers and ranchers. This community service is carried out to overcome the problem of household waste in Karang Bayan village into material that has economic value, that is animal feed. Fermentation of animal feed processing is useful for increasing the productivity of livestock. Community service activities are carried out using counseling, demonstration and training methods. The results of the activities from the counseling given to the people of Karang Bayan Village to find out the negative impact of household waste that is not managed properly on health and the environment. The community knows the types of organic and inorganic waste and is able to separate the two types of household waste and the community can process household organic waste into animal feed with the fermentation method independently. Fermented feed has been used as animal feed in Karang Bayan Village, especially for poultry. Keywords: organic waste; helath problem; fermented feed.