bluuebunny/crossref_metadata_2025_split huggingface dataset:
Characterizing peroneal nerve injury clinicoradiological patterns with MRI in patients with sciatic neuropathy and foot drop after total hip replacement
Authors: Wu Kitty Y. , Amrami Kimberly K. , Hayford Kirsten M. , Spinner Robert J. 
Published: June 2023

OBJECTIVE
Sciatic nerve injury following total hip arthroplasty (THA) predominantly affects the peroneal division of the sciatic nerve, often causing a foot drop. This can result from a focal etiology (hardware malposition, prominent screw, or postoperative hematoma) or nonfocal/traction injury. The objective of this study was to compare the clinicoradiological features and define the extent of nerve injury resulting from these two distinct mechanisms.

METHODS
Patients who developed a postoperative foot drop within 1 year after primary or revision THA with a confirmed proximal sciatic neuropathy based on MRI or electrodiagnostic studies were retrospectively reviewed. Patients were divided into two cohorts: group 1 (focal injury), including patients with an identifiable focal structural etiology, and group 2 (nonfocal injury), including patients with a presumed traction injury. Patient demographics, clinical examinations, subsequent surgeries, electrodiagnostic study results, and MRI abnormalities were noted. The Student t-test was used to compare time to onset of foot drop and time to secondary surgery.

RESULTS
Twenty-one patients, treated by one surgeon, met inclusion criteria (8 men and 13 women; 14 primary THAs and 7 revision THAs). Group 1 had a significantly longer time from THA to the onset of foot drop, with a mean of 2 months, compared with an immediate postoperative onset in group 2 (p = 0.02). Group 1 had a consistent pattern of localized focal nerve abnormality on imaging. In contrast, the majority of patients in group 2 (n = 11) had a long, continuous segment of abnormal size and signal intensity of the nerve, while the other 3 patients had a segment of less abnormal nerve in the midthigh on imaging. All patients with a long continuous lesion had Medical Research Council grade 0 dorsiflexion prior to secondary nerve surgeries compared with 1 of 3 patients with a more normal midsegment.

CONCLUSIONS
There are distinct clinicoradiological findings in patients with sciatic injuries resulting from a focal structural etiology versus a traction injury. While there are discrete localized changes in patients with a focal etiology, those with traction injuries demonstrate a diffuse zone of abnormality within the sciatic nerve. A proposed mechanism involves anatomical tether points of the nerve acting as points of origin and propagation for traction injuries, resulting in an immediate postoperative foot drop. In contrast, patients with a focal etiology have localized imaging findings but a highly variable time to the onset of foot drop.
Myelomeningocele repair at pediatric hospitals: association with routine discharge and shorter hospital stay
Authors: Han Jane S. , Rangwala Shivani D. , Ge Brandon B. , Liu Kristie Q. , Ding Li , Mack William J. , Durham Susan , Krieger Mark D. , Attenello Frank J. 
Published: June 2023

OBJECTIVE
Postnatal repair for myelomeningocele (MMC) is a time-sensitive and technically challenging procedure. More experienced hospitals may provide improved outcomes for the complexity of care associated with these patients. No prior study has investigated the impact of MMC treatment at pediatric hospitals. The authors sought to examine the effect of pediatric hospital designation on patients undergoing postnatal MMC repair to identify factors associated with maximizing improved patient outcomes.

METHODS
The Nationwide Readmissions Database records from 2010 to 2018 were analyzed retrospectively to determine the effect of hospital designation on patient outcomes after postnatal MMC repair. Univariate and multivariate regression analyses of patient and hospital characteristics were conducted to evaluate if MMC repair at a designated pediatric hospital was independently associated with patient outcomes of perinatal infection rates, discharge disposition, and length of stay.

RESULTS
Of the total of 6353 pediatric patients who underwent postnatal MMC repair between 2010 and 2018, 2224 (35.0%) received care at a pediatric hospital. Those with an extreme level of disease burden as defined by the all patient refined diagnosis-related group severity of illness index were more likely to be treated at a pediatric hospital (p = 0.03). Patients undergoing repair at a pediatric hospital were also associated with a decreased likelihood of perinatal infection (OR 0.54, 95% CI 0.35–0.83, p = 0.005); greater likelihood of routine disposition (OR 4.85, 95% CI 2.34–10.06, p < 0.0001); and shorter length of stay (incidence rate ratio 0.88, 95% CI 0.77–0.995, p = 0.04).

CONCLUSIONS
Pediatric patients requiring intervention for postnatal repair of MMC may benefit from the multidisciplinary subspeciality care offered at pediatric hospitals. The authors found that postnatal repair of MMC at pediatric hospitals was associated with a greater likelihood of improved patient outcomes.
First-time tethered cord release among adults with myelomeningocele: an analysis of people in the National Spina Bifida Patient Registry
Authors: Dias Mark S. , Wang Ming , Liang Menglu , Rizk Elias B. , Bowman Robin , Partington Michael D. , Blount Jeffrey P. , Rocque Brandon G. , Hopson Betsy , Lee Amy , Walker William O. 
Published: June 2023

OBJECTIVE
The authors analyzed the National Spina Bifida Patient Registry (NSBPR), a national registry that tracks the outcomes for people with various forms of spinal dysraphism, to determine the ongoing longitudinal risk for tethered cord release (TCR) among adults with myelomeningocele who had not previously undergone TCR during childhood. The authors also sought to identify the impact of lesion level, ambulation status, and prior treatments for hydrocephalus or Chiari malformations on TCR rates.

METHODS
Adults in the registry who had not previously undergone TCR during childhood were studied. This group was compared with the remaining adults in the registry. The frequency of first-time TCR and time to TCR (using Kaplan-Meier analysis) were determined independently for males and females. Cox proportional hazards analysis identified correlations between sex, best lesion level and ambulation status prior to TCR, and previous treatments for hydrocephalus and Chiari decompression.

RESULTS
Among 967 adults in the NSBPR (422 [43.6%] males and 545 [56.4%] females) who had not undergone TCR during childhood, the authors identified 47 people (4.9%) who underwent their first TCR during adulthood. This study cohort had significantly better mean functional motor levels and ambulation compared with the remaining adult cohort (both p < 0.001). The study group included 35 females (74.5%) and 12 males (25.5%); this sex distribution was significantly different in comparison with the remaining adult cohort (p = 0.016). The Kaplan-Meier curves for first TCR for females and males were significantly different (p = 0.01, log-rank test). TCR rates were correlated with sex (males had decreased risk; OR 0.31, 95% CI 0.16–0.62, p < 0.001), prior treatment for hydrocephalus (those who underwent prior treatment had decreased risk; OR 0.21, 95% CI 0.20–0.42, p < 0.001), and prior treatment for Chiari malformation (those who underwent prior treatment had greater risk; OR 3.84, 95% CI 1.50–9.88, p = 0.005).

CONCLUSIONS
Adults with myelomeningocele who escape childhood without undergoing TCR have an ongoing, albeit decreased, risk for spinal cord tethering requiring TCR. This risk is obviously not due to spinal column growth and therefore must reflect other factors such as dynamic changes in spinal cord health over time. Among people with MMC who underwent their first TCR as adults, females seemed to be overrepresented. Similar to the authors’ prior childhood study, people who underwent previous Chiari decompression seemed to be overrepresented, whereas those who underwent previous treatment for hydrocephalus seem to be underrepresented. These novel findings deserve further study.
EDUKASI PERILAKU PENCEGAHAN COVID-19 BERBASIS TEORI HEALTH BELIEF MODEL PADA KELOMPOK DEWASA MUDA
Authors: Tondong Henrietta Imelda , Usman Hastuti , Hadina Hadina 
Published: June 2023

Abstrak: Bencana non alam COVID-19 di Indonesia menimbulkan peningkatan jumlah korban jiwa, harta benda, meluasnya wilayah bencana dan berimplikasi aspek sosial ekonomi. Pemerintah melakukan berbagai upaya pencegahan dan pengendalian COVID-19. Respon pencegahan pandemi menuntut masyarakat mengubah kebiasaan hidup dan menerapkan perilaku pencegahan COVID-19. Konsep Health Belief Model (HBM), kepatuhan perilaku pencegahan ditentukan oleh kepercayaan dan keyakinan individu terhadap ancaman kesehatan. Penduduk dewasa muda dengan aktifitas dan mobilitas tinggi, berisiko tertular dan menularkan COVID-19. Kegiatan bertujuan meningkatkan pengetahuan dan pemahaman masyarakat dewasa muda tentang perilaku pencegahan COVID-19 berbasis health belief model. Metode pelaksanaan diawali kegiatan apersepsi kelompok dewasa muda melalui wawancara, diskusi atau tanya jawab terkait Covid 19. Kegiatan ini dilaksanakan bersama dua orang bidan Puskesmas Pembantu (Pustu) Kampung Asean Huntap Tondo. Kegiatan terlaksana dengan baik dengan adanya 93% kelompok dewasa muda dapat memahami edukasi yang diberikan. Hal ini terlihat dalam proses tanya jawab serta pernyataan tentang keinginan peserta menerapkan perilaku pencegahan COVID-19 sebagai bagian upaya pencegahan penyebaran penyakit. Abstract: COVID-19 non-natural disaster in Indonesia has caused an increase the number of casualties, property, expansion areas and has implications socioeconomic. Government has made various efforts to prevent and control COVID-19. The pandemic prevention response requires people change their living habits and implement COVID-19 prevention behaviors. Concept of Health Belief Model (HBM), adherence to preventive behaviors determined by individual's trust and confidence in health threats. Young adult residents with high activity and mobility, at risk of contracting and transmitting COVID-19. The aims to increase knowledge and understanding of young adult community about COVID-19 prevention behaviors based on health belief model. Implementation method begins with apperception activities through interviews, discussions related to Covid 19. This activity was carried out with two midwives of the Auxiliary Community Health Center (Pustu) of Huntap Tondo Asean Village. Activity was carried out well with 93% able to understand education provided. This can be seen in discussions process and the participant statements to implement COVID-19 prevention behaviors.
PELATIHAN PENGUATAN KEMANDIRIAN KELUARGA UNTUK MENCEGAH STUNTING
Authors: Sulistyowati Heny , Tristanti Lia Budi 
Published: June 2023

Abstrak: Rejoslamet merupakan salah satu desa di Jombang yang merupakan lokasi fokus (lokus) penanganan stunting. Balita stunting sebanyak 144 atau sebesar 15,7%. Berdasarkan permasalahan tersebut maka Desa Rejoslamet merupakan salah satu sasaran wilayah STKIP PGRI Jombang mengabdi 2022 dengan tema “Penguatan terhadap Gerakan Keluarga Sehat, Tanggap dan Tangguh bersama Cegah Stunting” sebagai salah satu bentuk intervensi pencegahan stunting di kabupaten Jombang yang dilaksanakan insan Perguruan Tinggi. Tujuan pengabdian ini adalah untuk peningkatan pemahaman kemandirian keluarga untuk pencegahan dan penurunan angka stunting. Mitra pada kegiatan ini adalah ibu-ibu PKK Desa Rejolamet, dengan jumlah partisipan sebanyak 30 peserta. Metode pelaksanaan pengabdian berbentuk pelatihan terkait kemandirian keluarga. Pelaksanaan kegiatan dilakukan dengan beberapa tahap yaitu persiapan, identifikasi masalah, pengadaan, pelaksanaan, dan evaluasi serta umpan balik peserta. Pada saat pretest sebanyak 20% peserta paham terkait kemandirian keluarga, 30% peserta memahami pola asuh, dan 70% peserta yang paham terkait stunting. Sedangkan pada saat posttest sebanyak 90% peserta paham terkait kemandirian keluarga, 95% peserta memahami pola asuh, dan 100% peserta yang paham terkait stunting. Sehingga prosentase pemahaman peserta terhadap materi penguatan kemandirian keluarga kader PKK desa Rejoslamet kecamatan Mojowarno Jombang menunjukkan peningkatan dan dalam kriteri baik. Abstract: Rejoslamet is one of the villages in Jombang which is the location of the focus (locus) for handling stunting. There are 144 stunting toddlers or 15.7%. Based on these problems, Rejoslamet Village is one of the target areas of STKIP PGRI Jombang to serve 2022 with the theme "Strengthening the Healthy, Responsive and Resilient Family Movement with Preventing Stunting" as a form of stunting prevention intervention in Jombang district carried out by university personnel. The purpose of this service is to increase understanding of family independence for preventing and reducing stunting rates. The partners in this activity were PKK mothers in Rejolamet Village, with a total of 30 participants. The method of implementing community service is in the form of training related to family independence. The implementation of activities is carried out in several stages, namely preparation, problem identification, procurement, implementation, and participant evaluation and feedback. During the pretest, 20% of participants understood family independence, 30% of participants understood parenting, and 70% of participants understood stunting. Meanwhile, during the posttest, 90% of participants understood family independence, 95% of participants understood parenting, and 100% of participants understood stunting. So that the percentage of participants' understanding of the material for strengthening family independence of PKK cadres in Rejoslamet village, Mojowarno sub-district, Jombang showed an increase and was in good criteria.
PENDAMPINGAN TROUMA HEALING PADA MASYARAKAT YANG TERDAMPAK BENCANA GEMPA BUMI DI KABUPATEN CIANJUR, JAWA BARAT
Authors: Widiastuti Sri Hunun , Siregar Henrianto Karolus , Pangaribuan Santa Maria , Siringoringo Lince 
Published: June 2023

Abstrak: Indonesia merupakan negara yang sangat rentan terhadap bencana gempa bumi. Bencana gempa bumi di Indonesia merupakan suatu kejadian yang tidak hanya pada daerah rawan bencana, namun juga terjadi pada daerah yang relatif aman. Kondisi trauma yang dialami oleh masyarakat yang terdampak bencana gemap bumi memang tidak bisa dibiarkan terlalu lama. Disaat proses perbaikan pasca gempa harus meliputi perbaikan fisik, yang tidak kalah penting yaitu memperbaiki kerusakan jiwa pada diri masyarakat dan anak-anak. Tujuan Pengabdian Masyarakat ini adalah memberikan pendampingan Trouma Healing pada masyarakat yang terdampak bencana gempa bumi. Metode pelaksanaan pada pengabdian masyarakat dilakukan dengan memberikan pendampingan Trouma Healing selama dua hari di Kabupaten Cianjur Jawa Barat pada tanggal 12-13 Desember 2022 di ikuti masyarakat cianjur yang terdampak bencana sebanyak 33 peserta. Dari pretest dan posttest yang sudah dilakukan semua peserta mendapat gambaran dan dapat mempraktikkan materi dan latihan yang sudah diajarkan dengan baik. Berdasarkah hasil pre-test dengan jumlah 33 orang menunjukkan rata-rata 11,03% mengalami distress akibat bencana gempa bumi. Sedangkan pada post-test dengan jumlah peserta 30 orang menunjukkan bahwa nilai/skor rata-rata 10,64%. Abstract: Indonesia is a country that is very vulnerable to earthquakes. The earthquake disaster in Indonesia is an event that does not only occur in disaster-prone areas, but also occurs in areas that are relatively safe. The traumatic condition experienced by the people affected by the earthquake cannot be allowed to go on for too long. While the post-earthquake repair process must include physical repairs, which is no less important, namely repairing the mental damage to the community and children. The purpose of this Community Service is to provide Trouma Healing assistance to communities affected by the earthquake. The implementation method for community service is carried out by providing Trouma Healing assistance for two days in Cianjur Regency, West Java on December 12-13 2022, attended by 33 people in Cianjur who were affected by the disaster. From the pretest and posttest that have been carried out, all participants get an overview and can practice the material and exercises that have been taught properly. Based on the results of the pre-test with 33 people showing an average of 11.03% experiencing distress due to the earthquake. Whereas in the post-test with 30 participants it showed that the average value/score was 10.64%.
Analysis of hippocampus in rats with acute brain ischemia-reperfusion injury treated with leuprolide acetate, an agonist of GnRH
Authors: Montoya-García Rosario , Fernández-Vargas Valeria , Albor-Martínez Karla Nalini , Martínez-Martínez Alicia , Hernández-Jasso Irma , Quintanar-Stephano Andrés , Calderón-Vallejo Denisse , Quintanar J. Luis 
Published: June 2023

Background: The hippocampus is highly vulnerable to damage in the brain ischemia-reperfusion injury model. Leuprolide acetate has been shown to promote neurological recovery after injury in various regions of the central nervous system. Objective: The objective of this study was to assess the histology of the hippocampus and the expression of neuronal recovery markers, specifically the 200 kDa neurofilaments and the myelin basic protein, in rats with brain ischemia-reperfusion injury treated with leuprolide acetate. Methods: The rats were divided into three groups: Sham, ischemia-reperfusion with saline solution, and ischemia-reperfusion treated with leuprolide acetate. Coronal brain slices were obtained and stained with hematoxylin-eosin. The histological analysis involved quantifying the number of neurons in the hippocampal regions CA1, CA3 and DG. The myelin basic protein and neurofilaments were quantified using western blot. Results: The number of neurons in CA1 and DG was significantly higher in the leuprolide acetate group compared to the untreated group. Additionally, the expression of neurofilament and myelin basic protein markers was significantly increased in rats treated with leuprolide acetate compared to the untreated rats. Conclusions: Leuprolide acetate promotes the recovery of hippocampal neurons in an acute brain ischemia-reperfusion injury model. These findings suggest that leuprolide acetate could be a potential therapeutic intervention for reversing damage in hippocampal ischemic lesions.
Gambaran Tingkat Pengetahuan dan Kepatuhan Terhadap Vaksinasi COVID-19 pada Mahasiswa Kedokteran Angkatan 2022 Fakultas Kedokteran dan Kesehatan Universitas Muhammadiyah Jakarta
Authors: Muhammad Izazuddin , Anandani Adinta 
Published: June 2023

Vaksinasi COVID-19 merupakan salah satu langkah untuk memutus rantai penyebaran dan mengendalikan pandemi yang terjadi sekarang ini. Berdasarkan data Kementerian Kesehatan Republik Indonesia, diketahui bahwa pelaksanaan vaksinasi COVID-19 di Indonesia belum mencapai target sasaran vaksinasi nasional. Dengan demikian, diperlukan pengetahuan dan pemahaman masyarakat terkait vaksinasi, sehingga kepatuhan masyarakat terkait vaksinasi dapat meningkat. Penelitian ini bertujuan untuk mendeskripsikan seberapa banyak pengetahuan dan kepatuhan mahasiswa kedokteran angkatan 2022 di Fakultas Kedokteran dan Kesehatan Universitas Muhammadiyah Jakarta terhadap vaksinasi COVID-19. Desain penelitian ini adalah deskriptif observasional dengan pendekatan cross sectional. Data yang dikumpulkan adalah data primer, dengan teknik pengumpulan data yaitu total sampling melalui pengisian kuesioner pada 166 mahasiswa kedokteran. Hasil penelitian ini menunjukkan bahwa dari 164 responden yang termasuk kriteria inklusi, sebagian besar berusia antara 17-19 tahun sebanyak 142 responden (86,6%), berjenis kelamin perempuan sebanyak 100 responden (61,0%), dan status vaksinasi dosis tiga sebanyak 115 responden (70,1%). Tingkat pengetahuan responden tergolong baik sebanyak 128 responden (78,0%). Tingkat kepatuhan responden tergolong sangat patuh sebanyak 116 responden (70,7%). Dari hasil penelitian, dapat ditarik kesimpulan bahwa responden menunjukkan tingkat pengetahuan dan kepatuhan yang baik.
PREVALENSI BEBERAPA FAKTOR YANG BERPENGARUH TERHADAP PENGGUNAAN ALAT PELINDUNG DIRI OLEH PETANI KARET
Authors: Febriani Ratika , Noviyanti Noviyanti , Bellano Medalion 
Published: June 2023

Pestisida memberi manfaat bagi petani dalam menekan organisme yang mengganggu hasil pertanian. Masuknya pestisida ke dalam tubuh manusia memberikan berbagai dapat menimbulkan berbagai efek negatif. Berdasarkan hasil studi didapatkan data lebih dari 3 juta orang terpapar pestisida, baik yang terpapar secara disengaja maupun tidak sengaja. Hal ini menyebabkan terjadinya 300.000 kematian setiap tahunnya. Jadi penting untuk menggunakan Alat Pelindung Diri (APD) sehingga dapat meminimalkan dampak pestisida bagi tubuh kita. Tujuan dari penelitian ini adalah untuk menunjukkan prevalensi beberapa faktor yang mempengaruhi penggunaan alat pelindung diri oleh petani karet yang menggunakan pestisida. Penelitian ini merupakan penelitian deskriptif yang menggunakan desain laporan kasus. Responden pada penelitian adalah semua petani karet yang bekerja dengan menggunakan pestisida. Teknik purposive sampling digunakan untuk pengambilan responden penelitian. Pada penelitian didapatkan responden sebanyak 165 responden dan dari jumlah tersebut sebanyak 57% responden memiliki tingkat pengetahuan yang kurang tentang penggunaan dan manfaat APD. Sebanyak 60,6% responden mengaku tidak diawasi penggunaan Alat Pelindung Dirinya selama bekerja. Kemudian 63% responden mengaku tidak nyaman jika menggunakan APD selama bekerja. Sebagian besar responden (66,7%.) tidak pernah mmendapatkan pelatihan mengenai penggunaan APD. Dan semua responden (100%) tidak ada yang menggunakan APD lengkap selama berkontak dengan pestisida. Minimnya pengetahuan mengenai manfaat menggunaan APD selama bekerja dan kurangnya pengawasan, menjadi faktor yang dapat menyebabkan para petani karet tidak menggunakan APD secara lengkap terutama selama berkontak dengan pestisida. Kata kunci: APD, Petani, Pestisida
ВИДИ ДОЗВОЛЕНИХ І ЗАБОРОНЕНИХ ПРЕДМЕТІВ, ВИРОБІВ ТА РЕЧОВИН ДЛЯ ВИКОРИСТАННЯ ЗАСУДЖЕНИМИ В УСТАНОВАХ ВИКОНАННЯ ПОКАРАНЬ
Authors: Бондар І. В. , Кондратов Д. В. , Кирієнко А. І. 
Published: June 2023

The article notes that today in the practical and scientific environment the opinion prevails that security in penitentiary institutions consists of three components: dynamic, physical and procedural. The authors come to the conclusion that, despite the three- component nature of this type of activity, special attention is paid to dynamic security, however, it is necessary to pay attention to other components, namely the seizure of prohibited items from convicts, as a guarantee of normal activities to prevent penitentiary relapse, as well as to reduce level of post-penitentiary crime.
The types of permitted and prohibited items, products and substances for use by convicts in penitentiary institutions are considered. The author's classification of objects, products and substances, the storage and use of which is prohibited by convicts in penitentiary institutions, is presented.