bluuebunny/crossref_metadata_2025_split huggingface dataset:
Microneurosurgical anatomy of the basal cisterns: A brief review for cisternostomy
Authors: Villanueva Pablo , Baldoncini Matías , Forlizzi Valeria , Campero Alvaro , Rangel Carlos Castillo , Granja Jaime Ordóñez , Sufianov Albert , Lucifero Alice Giotta , Luzzi Sabino 
Published: March 2023

Background:
Cisternostomy is a surgical technique thought of and developed as an option for severe brain trauma treatment. It demands a particular knowledge and skill to microsurgically approach basal cisterns and effectively manipulate their contents. To perform this procedure safely, the anatomy and pathophysiology must be clearly understood.

Methods:
Detailed microscopic dissection and anatomical review were done, after a detailed reading of facts and recent publications about cisternostomy. Cisternal pathways and landmark planning are described and augmented using a new method to show de arachnoid borders. Finally, a brief discussion is written as a synopsis.

Results:
Cisternostomy requires thorough microscopic knowledge and microsurgical skills. This paper intends to provide information to understand better the anatomy related, thus, easing the learning curve. The technique used to show arachnoid borders, complementing cadaveric and surgical images, was useful for this purpose.

Conclusion:
To perform this procedure safely, it is mandatory to handle microscopic details of cistern anatomy. Reaching a core cistern is necessary to assure effectiveness. This procedure needs, as well, surgical step-by-step landmark planning and performing. Cisternostomy could be a life-saving procedure and a new powerful tool for severe brain trauma treatment. Evidence is being collected to support its indications.
Pituitary hyperplasia resulting in visual deficit
Authors: Altaib Wail Salah , Dablouk Mohamed Osman , Jansen Michael , Khan Mohammed Habibullah , Kamel Mahmoud 
Published: March 2023

Background:
Pituitary hyperplasia is an infrequent cause of visual disturbance and few such cases have been reported in the literature.

Case Description:
We describe the case of a 16-year-old female who presented with a short history of progressive headache and visual blurring. Examination revealed markedly constricted visual fields. Imaging revealed an enlarged pituitary gland. Hormonal panel was normal. Following endoscopic endonasal transsphenoidal biopsy and decompression of the optic apparatus, an immediate improvement in vision was noted. Final histopathological examination revealed pituitary hyperplasia.

Conclusion:
In patients with pituitary hyperplasia, visual deficit, and no identifiable reversible causes, surgical decompression can be considered to preserve vision.
Proper ophthalmic artery aneurysms
Authors: Hendrix Philipp , Bohan Christian , Dalal Shamsher Singh , Weiner Gregory M. , Kanmounye Ulrick S. , Schirmer Clemens M. , Goren Oded 
Published: March 2023

Background:
The ophthalmic segment of the internal carotid artery (ICA) represents a common site for cerebral aneurysms. However, aneurysms of the ophthalmic artery (OphA) itself represent rare lesions and have been associated with trauma and flow-related lesions such as arteriovenous fistulas or malformations. Here, we explore clinical and radiological features of four patients managed for five proper ophthalmic artery aneurysms (POAAs).

Methods:
Patients undergoing diagnostic cerebral angiogram (DCA) between January 2018 and November 2021 with newly or previously identified POAA were retrospectively reviewed. Clinical and radiological data were analyzed to identify common and unique features.

Results:
Four patients with identification of five POAA were identified. Three patients suffered traumatic brain injury with subsequent identification of POAA on DCA. Patient 1 presented with a traumatic carotid-cavernous-sinus fistula requiring transvenous coil embolization and second stage flow diversion of the ICA. Patient 2 suffered a gunshot wound with ICA compromise, ethmoidal dural arteriovenous fistula (dAVF) development with rapid growth of two POAAs eventually requiring Onyx embolization. Patient 3 was assaulted and DCA showed a POAA without any other cerebrovascular pathology. Patient 4 had undergone N-butyl cyanoacrylate embolization of an ethmoidal dAVF 13 years ago with the feeding OphA carrying a large POAA. Re-DCADCA was performed for a newly developed and unrelated transverse-sigmoid-sinus dAVF.

Conclusion:
Management of POAAs poses a challenge to neurovascular surgeons since POAAs inherit a risk for visual deterioration or hemorrhage. DCA facilitates identification of coexisting cerebrovascular pathology. If clinically silent and not accompanied by cerebrovascular disease, observation appears reasonable.
Repeat discectomy for recurrent same level disc herniation: A literature review of the past 5 years
Authors: Musa Gerald , Barrientos Rossi E.C , Makirov Serik K. , Chmutin Gennady E. , Antonov Gennady I. , Kim Alexander V. , Otarov Olzhas 
Published: March 2023

Background:
Recurrent disc herniations remain a challenge in spinal surgery. Although some authors recommend a repeat discectomy, others offer more invasive secondary fusions. Here, we reviewed the literature (2017–2022) regarding the safety/efficacy of treating recurrent disc herniations with repeated discectomy alone.

Methods:
Our literature search of recurrent lumbar disc herniations included; Medline, PubMed, Google scholar, and the Cochrane database. We focused on the types of discectomy performed, perioperative morbidity, costs, length of surgery, pain scores, and incidence of secondary dural tears.

Results:
We identified 769 cases that included 126 microdiscectomies, and 643 endoscopic discectomies. Rates of disc recurrence ranged from 1% to 25% with accompanying secondary durotomy varying from 2% to 15%. In addition, operative times were relatively short, ranging from 29.2 min to 125 min, with a relatively small average estimated blood loss (i.e., minimal to maximally 150 mls).

Conclusion:
Repeated discectomy was the most commonly performed treatment for same-level recurrent disc herniations. Despite minimal intraoperative blood loss and short operating times, there was a significant risk of durotomy. Notably, patients must be informed that more extensive bone removal for treating recurrent disc increases the risk for instability warranting subsequent fusion.
Late-onset aqueductal membranous occlusion treated neuroendoscopic procedure and consideration of its pathological findings: A case report
Authors: Nakamura Kazuki , Kuge Atsushi , Yamaki Tetsu , Shimokawa Yu , Tanaka Masahiro , Saito Shinjiro , Kondo Rei , Sonoda Yukihiko 
Published: March 2023

Background:
Aqueduct of Sylvius stenosis/obstruction interferes with cerebrospinal fluid (CSF) flow and leads to the non-communicating hydrocephalus. Acquired non-neoplastic causes of aqueduct of Sylvius stenosis/ obstruction include simple stenosis, gliosis, slit-like stenosis, and septal formation, but the detailed mechanisms are not clear. In the present study, we experienced a case of late-onset aqueductal membranous occlusion (LAMO) successfully treated by neuroendoscopic procedure, which allowed us to examine the pathology of the membranous structures of the aqueduct of Sylvius occlusion.

Case Description:
A 66-year-old woman presented with gradually progressive gait disturbance, cognitive dysfunction, and urinary incontinenc. Brain magnetic resonance imaging (MRI) showed enlargement of the bilateral lateral ventricles and the third ventricle without dilatation of fourth ventricle, and heavily T2-weighted images showed an enlarged aqueduct of Sylvius and a membranous structure at its caudal end. Gadolinium contrast-enhanced T1-weighted images showed no neoplastic lesions. We diagnosed this case that the hydrocephalus due to late-onset idiopathic aqueductal stenosis or LAMO and the patient underwent endoscopic third ventriculostomy and endoscopic aqueduct oplasty. Membranous tissue specimens were obtained from the occluded aqueduct of Sylvius at the time of treatment. Histopathological examination revealed gliosis, and inside the gliosis, there were cell clusters that appeared to be ependymal cells and were corpora amylacea. We confirmed CSF flow at the site of obstruction of the aqueduct of Sylvius and the stoma of the third ventricle floor by MRI images. Her symptoms were improved immediately.

Conclusion:
We experienced a case of LAMO successfully treated by neuroendoscopic procedure, which allowed us to examine the pathology of the membranous structure of the aqueduct of Sylvius. The pathological study of LAMO is rare, and we report it, including a review of the literature.
PENGARUH FAKTOR USIA, PENDIDIKAN, JUMLAH ANGGOTA KELUARGA TERHADAP PENDAPATAN NELAYAN TRADISIONAL KABUPATEN CILACAP (Studi Kasus: TPI Lengkong dan TPI Menganti Kisik Cilacap)
Authors: Putranto Yogi , Sudarmo Agnes Puspitasari , Patanda Mercy 
Published: March 2023

Potensi perikanan dan kelautan yang melimpah pada Kabupaten Cilacap ternyata belum mampu membuat nelayan tradisional di Kabupaten Cilacap hidup sejahtera. Oleh sebab itu, diperlukan studi untuk mendalami indikator-indikator yang mempengaruhi pendapatan nelayan tradisional di Kabupaten Cilacap. Penelitian ini dilaksanakan dengan mengambil sampel nelayan tradisional di Kabupaten Cilacap khususnya pada TPI Lengkong dan TPI Menganti Kisik. Pengumpulan data primer dengan menggunakan purposive sampling dilakukan pada bulan Juli sampai dengan Oktober tahun 2020 dengan menyebarkan angket sebanyak 90 nelayan dengan ukuran kapal di bawah 5 GT. Karakteristik nelayan usia responden yang terbanyak pada kisaran usia 35-40 tahun TPI Lengkong sebanyak 42,22% sedangkan pada TPI Menganti Kisik sebanyak 16 orang 35,56 %, Pendidikan nelayan sebagian besar pendidikan Sekolah Dasar (SD) yaitu 86,67 % responden nelayan pada TPI Lengkong sementara pada TPI Menganti Kisik sebanyak 60 %. Jumlah anggota keluarga responden nelayan pada kedua TPI sama-sama dominan dengan tiga sampai empat orang pada TPI Lengkong 71,11 % sementara pada TPI Menganti Kisik sebanyak 89,89 %. Hasil analisis regresi menunjukkan bahwa faktor usia, pendidikan terakhir dan jumlah anggota keluarga nelayan tidak memberikan pengaruh signifikan pada pendapatan nelayan tradisional Kabupaten Cilacap. Rekomendasi yang dapat disampaikan kepada pemangku kepentingan dalam penyusunan kebijakan yang lebih berpihak pada kesejahteraan nelayan tradisional.
Kata kunci: Cilacap, nelayan tradisional, pendapatan, TPI Lengkong, TPI Menganti Kisik
Smart Elevator Systems
Authors: Al-Kodmany Kheir 
Published: March 2023

Effective vertical mobility is a crucial element in the design and construction of tall buildings. This paper reviews recent “smart” developments in elevator technologies and analyzes how they affect the construction and operation of tall buildings. In an approachable and non-technical discourse, it maps out, arranges, and compiles complicated and dispersed information on various elements of elevator design. It discusses hardware-based machinery, such as AC and gearless motors, machine-room-less (MRL) elevators, regenerative drives, elevator ropes, and LED lighting, as well as software-based solutions, such as destination dispatching systems, people flow solutions, standby mode, and predictive maintenance applications. Future vertical transportation models are also discussed, including multi-directional elevators, and circulating multi-car elevators. Lastly, the paper suggests fruitful avenues for further studies on the subject, such as robotics, 3D printing, and the impact of COVID-19 pandemic on elevator design.
PENGARUH UPAH TERHADAP KEPUASAN KERJA
Authors: Sakad Bedjo Santoso 
Published: March 2023

Gold dinar activists proposed gold dinar as money physically to be implemented in the current monetary system. Some efforts have been done for 3 decades but the result is not significant. Some proponent then come up to propose gold is just as measurement of value combined to infrastructures of ICT, however, the design is not specify yet. Therefore, this paper attempt to explore a framework mobile payment system based on gold as measurement of value a case study in Aceh. Design method is used to develop the model. Data is taken from observation, library, and secondary sources. The research is qualitative employed deductive analysis. Mobile payment system commodity money based on gold as measurement of value is the best way to implement gold as money in the current monetary system initiated by any communities or societies. The proposed model is enabling customers; whether individual or business for conducting any transactions efficiently and easily by using mobile phone.Â Besides that, the proposed model has several advantages in term of economic, social and Islamic value.
A INFLUÊNCIA DA INTERVENÇÃO PRECOCE NO DESENVOLVIMENTO MOTOR, COGNITIVO E SOCIAL DE BEBÊS DE RISCO.
Authors: De Almeida Carla Skilhan , De Oliveira Renata Pianezzola , Gerzson Laís Rodrigues 
Published: March 2023

Objetivos: Verificar a influência da Atenção Precoce (AP) no desenvolvimento de bebês nos aspectos motores, cognitivos e sociais de bebês de risco que participam do programa de intervenção motora precoce (PIMP).
Métodos: Trata-se de um estudo ex post facto. A coleta de dados foi realizada em uma Clínica de Fisioterapia e a amostra foi composta por sete bebês de ambos os sexos que realizaram por quatro meses atendimentos de AP, duas vezes por semana, por 50 minutos. As atividades realizadas perfazem o campo motor, cognitivo e social. Resultados: O grupo foi homogêneo em relação às características. As atividades referentes à postura e deslocamento, melhorou em 85% dos bebês, exploração de objetos manualmente em 71% e o reconhecimento da função de objetos 57%. A atividade de execução de tarefas a pedido foi a que menos os bebês evoluíram (57%). Conclusão: A intervenção precoce traz benefícios sobre o desenvolvimento motor e social dos bebês de risco. O desenvolvimento cognitivo, que representa tarefas com mais redes neuronais envolvidas, necessita de mais tempo para ser avaliada.
EFFECT OF DYNAMIC EXERCISE (AEROBIC+RESISTANCE), MORE STATIC STRETCHING ON FLEXIBILITY IN WOMEN WITH BREAST CANCER
Authors: REIS ANDRÉA DIAS , Diniz Renata Rodrigues , Barros Êmili Amice da Costa , De Castro Filha Jurema Gonçalves Lopes , Freitas Júnior Ismael Forte , Garcia João Batista Santos 
Published: March 2023

Objective. was to assess flexibility in women with breast cancer who underwent combined training (CT) (static stretching, more aerobic+resistance).
Methods. This was a controlled pilot study, with 31 women (age 30 to 59) under breast cancer treatment, 14 women were allocated to a training group (TG) who underwent CT, concomitant to hospital treatment and 17 women for the control group (CG) who only underwent hospital treatment. The CT was performed in 12 weeks with 5 sessions per week, three sessions (aerobic+resistance) and two sessions (stretching exercises) on alternate days. The flexibility of the shoulder was measured by means of the 360º Sanny pendulum goniometer.
Results. The TG presented increased flexibility in the horizontal abduction of the right shoulder (p=0.001) and in the lower limbs (p
Praktik Keagamaan pada Penderita HIV/AIDS
Authors: Andrianto Muhammad Bagus 
Published: March 2023

This study aims to determine the relationship between religious practices of people living with HIV/AIDS. The design in this study is a descriptive analytic study. The results of the study from 153 respondents that most of the religious practices of Islam in the HIV/AIDS group were moderate 105 (68.6%). There is a significant relationship between religious practices in people with HIV/AIDS. Most of the religious practices are moderate and most are moderate. In conclusion, there is a significant relationship between the level of religious practice of people living with HIV/AIDS.

Keywords: HIV/AIDS, Religious Practice
Pengalaman Single Parents dalam Merawat Anak yang Terkonfirmasi Positif Covid-19
Authors: Padila Padila , Andri Juli , Sartika Andry , Andrianto Muhammad Bagus , J Harsismanto 
Published: March 2023

This study aims to explore the experience of single parents in caring for children with confirmed COVID-19. This research design is qualitative research with a phenomenological approach. The results of this study obtained six themes, namely the signs of COVID-19 symptoms that occur in children, namely children have fever, cough, runny nose, and loss of appetite, the transmission of covid-19 occurs due to lack of implementing health protocols and traveling to crowded places, when knowing their child confirmed that covid-19 single parents experience feelings of anxiety, panic and worry, single parents, get support from family, the surrounding environment and work friends. In conclusion, in caring for their children, single parents prepare children's needs such as medicines, vitamins, healthy food, and a comfortable play environment. In dividing the time to care for children confirmed positive for COVID-19, on average, mothers ask for leave at home.

Keywords: Covid-19, Phenomenology, Caring for Children, Single Parents
Penurunan Tekanan Darah pada Pasien Hipertensi Menggunakan Teknik Alternate Nostril Breathing Exercise
Authors: Permata Fahri , Andri Juli , Padila Padila , Andrianto Muhammad Bagus , Sartika Andry 
Published: March 2023

This study aims to determine the effect of alternative nostril breathing exercises on reducing blood pressure in hypertensive patients in the Telaga Dewa Health Center work area, Bengkulu City. This research is quantitative research with a quasi-experimental research design. The results of the univariate analysis obtained that the respondent's age was 64 years, all genders of the respondents were found, and most of them had a family history. The results of the bivariate analysis showed that the p-value <0.05. In conclusion, there was a decrease in systolic and diastolic blood pressure before and after an alternative breathing exercise intervention in hypertension patients in the Telaga Dewa Health Center work area, Bengkulu City. Keywords: Nostril Alternative Breathing, Blood Pressure
Kualitas Hidup Pasien Diabetes Melitus Tipe 2
Authors: J Harsismanto , Padila Padila , Andri Juli , Sartika Andry , Andrianto Muhammad Bagus 
Published: March 2023

This study aims to determine the effect of Diabetes Self Management Education (DSME) on patients' quality of life with type 2 diabetes mellitus by using a pre-experimental design one group pre and post-test with a sample of 15 respondents. The results of the study, most of the respondents, as many as eight people (53.3%) aged 56-70 years, most of them 14 people (93.3%) were women, most of them eight people (53.3%) had junior high school education, most of them were nine people (60.0%) 1-5 years had diabetes, before the DSME the lowest quality of life score was 86. The highest was 99, the average was 90.93, while after DSME, the most inferior quality of life score was 88, and the highest was 105. The average standard is 98.67. The middle grade of life after treatment has increased. The difference in the mean quality of life scores before and after using DSME with p-value = 0.000. In conclusion, there is an effect on the quality of life of type 2 DM patients before and after being given Diabetes Self Management Education (DSME) in the Work Area of ​​the Pasar Ikan Bengkulu Health Center.

Keywords: Diabetes Self Management Education (DSME), Quality of Life
Studi Konstruksi Sosial Perkosaan pada Kelompok Pelaku Berusia di Bawah 18 Tahun
Authors: Kosvianti Emi , Suhadi Agung , Wati Nopia , Yanuarti Riska , Pratiwi Bintang Agustina 
Published: March 2023

This study aims to explain the construction of rape among underage perpetrators (14 to 17 years). The design of this research is qualitative with a phenomenological approach. The results of the study found that boys who were involved in rape cases could interpret rape in 3 forms, namely: as forced sex, consensual sex and deviant solidarity in boys' friendship groups. Overall, the construction they built illustrates the strong existence of patriarchal culture in rape cases involving perpetrators under 18 years of age. This is reflected in the form of domination, oppression, and victim blaming. In conclusion, the role of patriarchal culture in rape and injustice against women.

Keywords: Social Construction, Patriarchy, Child Perpetrators, Rape
Tingkat Pengetahuan dengan Sikap Remaja terhadap Pendewasaan Usia Perkawinan
Authors: Oktarianita Oktarianita , Pratiwi Bintang Agustina , Febriawati Henni , Padila Padila , Sartika Andry 
Published: March 2023

This study aims to determine the level of knowledge with adolescent attitudes towards Maturation Age of Marriage (PUP). This research method is a quantitative research with a cross sectional approach. The results showed that there were 63 female adolescents (63%), the most aged 18-19 years 51 (51%), good knowledge 65 people (65%) and a positive attitude of Maturation of Marriage Age (PUP) namely 61 people (61 %). In conclusion, there is no relationship between the level of knowledge with adolescent attitudes towards Maturation Age of Marriage.

Keywords: Age of Marriage Maturity, Adolescents, Attitudes, Knowledge Level
Bermain Edukatif Ular Tangga Mampu Mengatasi Kecemasan pada Anak Hospitalisasi
Authors: Padila Padila , Andri Juli , Andrianto Muhammad Bagus , Sartika Andry , Oktaviyani Yesi 
Published: March 2023

This study aims to determine the effect of snake and ladder educational game therapy (APE) on reducing anxiety in hospitalized children. This study uses an experimental method with a one-group pre-post test design. The results showed that the average level of anxiety before playing snake and ladder therapy in treated children was 19.13 with moderate anxiety category. The rate after snake therapy in treated children was 14.20 with a mild grade. In conclusion, snake and ladder play therapy reduces anxiety levels in hospitalized children.

Keywords: Hospitalization, Educational Game (APE) Snakes and Ladders, Children's Anxiety Level
Birting Ball Exercise terhadap Nyeri Persalinan Kala I
Authors: Yusri Viki , Febriyanti Febriyanti 
Published: March 2023

This study aims to determine the effect of the birthing ball on labor pain during the first active phase in women giving birth at the Kurao maternity clinic, Padang. This research uses a quantitative approach with a quasi-experimental non-randomized control group pretest-posttest design. The results showed that the effect of the birth ball method on the intensity of labor pain in the active phase 1 before and after being given the birth ball method obtained moderate pain before providing the process was 1.80. In contrast, after being given the technique, the average pain scale was 1.30 Standard deviation of pain before the method was 0.42, and after being given the standard deviation method 0.38. The results of the statistical test showed a p-value = 0.000. In conclusion, there is a significant effect of providing the birth ball method to reduce the intensity of labor pain in the active first stage.

Keywords: Birthing Ball, Pain Intensity, Pelvic rocking, Labor
Optimalisasi Penerapan Five Moment Hand Hygiene pada Staf Puskesmas Pematang Tiga
Authors: J Harsismanto , Handayani Elisa Fitriana , Padila Padila , Andri Juli 
Published: March 2023

This study aims to optimize the application of five-moment hand hygiene for the Pematang Tiga Health Center staff. This research method uses a quantitative methodology with a quasy experiment, one group pre-test, and a post-test design approach. The results showed that the average score of staff knowledge related to five moments of hand hygiene before the intervention was 67.50, or in the excellent category. The bivariate analysis of the two data using the Paired sample t-test showed a value of p = 0.000 <0.05. In conclusion, there is a difference in the average score of staff knowledge related to five-moment hand hygiene before and after giving the intervention.

Keywords: Five Moments of Hygiene, Staff