bluuebunny/crossref_metadata_2025_split huggingface dataset:
Efektivitas Exercise Dan Scar Massage Pada Chronic Wound e.c Post Debridement Dan STSG : Study Case
Authors: Astuti Dwi Nur , Aisah Siti , Triyana Triyana 
Published: January 2025

STSG dilakukan untuk menutupi berbagai luka yang disebabkan oleh luka bakar, trauma atau pengangkatan tumor dll dengan cara mengambil kulit dari lokasi donor yang akan menyembuhkan dan memindahkan kulit ke area yang membutuhkan. Pasca dilakukan STSG akan menimbulkan jaringan parut pada bekas luka, terindikasi munculnya kontraktur jaringan parut dan ROM terbatas, peningkatan tingkat nyeri pruritus peningkatan tingkat kecemasan dan penurunan kualitas hidup terkait kesehatan. Peran fisioterapi berupa pemberian exercise dan scar massage diharapkan akan mempercepat proses perbaikan remodelling jaringan kulit. Tujuan penelitian ini untuk mengetahui efektifitas exercise dan scar massage pada kasus chronic wound e.c post debridement dan STSG. Metode penelitian menggunakan case report, dengan pemberian intervensi exercise dan scar massage sebanyak 4x terapi dengan frekuensi 1x dalam seminggu dan 15 menit untuk durasi massagenya, setelah dilakukan evaluasi. Hasil penelitian menunjukkan adanya peningkatan kekuatan grup otot fleksi hip sinistra dan ekstensi hip sinistra, peningkatan LGS fleksi, ekstensi, abduksi dan adduksi hip sinistra, serta adanya perbaikan skala POSAS pada pasien. Kesimpulan dari case report ini adalah pemberian exercise dan scar massage pada chronic wound terbukti efektif
APLIKASI REAKSI REDOKS SECARA KONTEKSTUAL BAGI SISWA KELAS XII SMA NEGERI 6 MALUKU TENGAH
Authors: Sunarti Sunarti , Nazudin Nazudin , Untailawan Romelos 
Published: January 2025

Kegiatan ini bertujuan untuk memberikan informasi dan pengetahuan kepada siswa kelas XII MIA 2 SMA Negeri 6 Maluku Tengah tentang reaksi redoks dalam kehidupan sehari-hari serta mempraktekkannya menggunakan alat dan bahan yang sederhana di sekitar lingkungan siswa. Kegiatan ini terdiri dari tiga tahap yaitu persiapan, pelaksanaan dan evaluasi. Pelaksanaan kegiatan dimulai dengan memberikan materi dan dilanjutkan dengan praktikum menggunakan bahan-bahan sederhana.Siswa menyimak semua materi yang diberikan dan antusias melakukan keempat percobaan sesuai dengan prosedur. Siswa begitu senang dengan setiap perubahan yang terjadi pada semua percobaan, baik perubahan warna, pembentukan gas dan endapan serta adanya ledakan dan percikkan api. Pada tahap evaluasi, siswa diberikan kuisioner untuk mengetahui respon terhadap kegiatan yang dilakukan. 89% siswa memberikan respon sangat baik dan baik terhadap penyajian materi, praktikum, serta suasana kegiatan. Kegiatan yang dilakukan ini membuat siswa senang dan tidak bosan dalam mempelajari reaksi redoks yang dianggap sulit dan membosankan oleh kebanykan siswa.
Theology of Migration: A Theoretical and Theological Contribution to the Understanding of Religion in the Fight Against Human Trafficking in East Nusa Tenggara (NTT)
Authors: Oematan Isakh Bendris 
Published: January 2025

Theology of Migration represents a form of praxis that elucidates the relationship between theology (religion) and social reality, with a particular focus on migration. This relationship is characterized by intricate, intertwining, and constructive engagement. This leads to the question of whether migration theology can address the issue of migrants who eventually become involved in the criminal act of trafficking in persons (TPPO). Since 2016, NTT has been identified as a key area of concern in the context of human trafficking. Recent research on the phenomenon of human trafficking has identified a number of socio-structural issues that contribute to its prevalence, including deficiencies in education, poverty, patriarchal structures, feudalistic systems, and the scarcity of natural and human resources. The objective of this paper is to demonstrate that religion can play a significant role in the fight against TPPO in NTT. As an integral aspect of human existence, religion can serve as a foundation for efforts to provide crucial insights into the phenomenon of migration. Migration theology endeavors to reflect the phenomenon of migration in the light of public theology, thereby providing a basis for defense. This is then realized in practical actions against TPPO, with the objective of actively involving religion. In this context, migration theology will undertake a comprehensive examination of the various factors underlying the migration of people in NTT. It will then engage in interdisciplinary dialogue with the results obtained, particularly with regard to the teachings of Christianity concerning the phenomenon of migration (in terms of tradition, doctrine, the Bible, and theology). The latter can be enhanced with additional theological perspectives, particularly those pertaining to interfaith dialogue, in order to develop a comprehensive theological perspective on migration and to foster a distinctive theological approach to the migration patterns of the people of NTT. This research is grounded in a literature review employing a prosessional correlation approach, wherein Scripture, theological-dogmatic tradition, and socio-cultural human experience converge and engage in a dynamic interplay, ultimately manifesting itself in theological and practical terms.
Primer Congreso Femenino Internacional de Buenos Aires (1910). Por la emancipación, los derechos sociales y el sufragio en América Latina
Authors: Ortega Muñoz Víctor José , Félez Castañé Nuria 
Published: January 2025

El periodo de entre siglos, esas décadas que transitan del siglo XIX al XX, representó un punto de inflexión en la historia del feminismo. Se caracterizó por la efervescencia de grupos de mujeres que reivindicaban la igualdad y la mejora de sus condiciones de vida en una sociedad patriarcal. Estos hechos se produjeron en un contexto de contradicciones y transformaciones, resultado de nuevos protagonismos y de una tendencia revolucionaria —plural en su concepción y estrategias— que pretendía modificar el orden social y político existente. Participaron numerosas obreras y otras agentes sociales que organizaron o formaron parte de huelgas y movilizaciones.
Exploring Clinical Profiles, Patterns, and Outcomes of Heart Failure Patients in Selected Hospitals of Chennai: A Descriptive Study
Authors: Kanchana G , Vijayalakshmi K , Merlin A 
Published: January 2025

Background: Cardiovascular disease is still the most common cause of death and disability in industrialized nations, and its prevalence is rising rapidly. Heart failure is associated with shorter life expectancy, increased frequency of hospitalization and poor quality of life (QoL) Methods: This study was conducted in selected hospitals, Chennai, India among 200 patients, who were selected by consecutive sampling technique. Ethical approval was obtained from Institutional Ethics Committee. The data was collected using Patients demographic variables proforma, Clinical variables proforma and selected patient outcomes proforma. Follow-up data for patient outcome included re-hospitalizations and mortality status of the patient. Results: Majority of the patients were aged ≥60 years (73.5%), males (67.5%), married (96%), and residing in urban areas (66.5%), non-vegetarians (70%). Regarding other variables, 41.5% of patients were overweight, and 37.5% had been unwell for more than 24 months. With regard to risk factors, in 84.5% of instances, cardiac reasons were the main precipitant with 70% having coronary artery disease and 77% having hypertension as a comorbid illness. The mortality rates at one month and two months were 3% and 9 % respectively. The readmission rate was the, 8.5% and 15.5 % in 1 month and 2 months. Conclusion: Heart failure is becoming more prevalent, especially in adults over 60, and is often linked to comorbidities such as obesity, diabetes, coronary artery disease and hypertension. Nurses play a vital role in managing heart failure by providing education, monitoring symptoms, coordinating care, and promoting lifestyle changes. Comprehensive nursing care improves quality of life, reduces hospitalizations, and enhances survival outcomes.
Enhanced WSN security based on Trust-Based Secure Intelligent Opportunistic Routing Protocol in agriculture data transmission sector
Authors: Anulekshmi S 
Published: January 2025

In recent years agriculture is a developing environment through remote sensing environment with support of Wireless Sensor Network (WSN). Increasing communication and Internet of things make a communication behind to share the information all over the monitoring fields However, due to the open nature of WSNs, they are vulnerable to various security attacks, which can lead to serious consequences, such as data integrity breaches, denial-of-service attacks, and identity theft. Machine Learning (ML) can be used to improve the security of WSNs to detect and prevent security attacks. ML algorithms analyze the normal behavior of WSNs and to detect anomalies that may indicate an attack. To propose a TBSIOP (Trust-Based Secure Intelligent Opportunistic Routing Protocol) for improving the security in WSN-agriculture environment. Initially the Weighted Trust Mechanism (WTM) is evaluated to find behaviors aspects of nodes in the communication medium. Then the data packets are secured through Elliptic Diffie-Hellman Encryption Integrated Cryptography (EDHEIC) on each handover to the communication nodes. In addition, the Substitutive Padding Key Verification (SPKV) is applied to securely handover the data by getting key authentication policy. Which prevents non-legitimate users from accessing the network. The security can be carried out by flooding the network with packets, by sending malicious code to the network, or by overloading the network's resources. Finally, the TBSIOP works on the principle of best candidate selection model to ensure the routing to improve the security. The proposed system achieves high performance to ensure the security in the level of trust-based routing, node authentication, secure data handover with proof of knowledge to deliver the data. This improves the security as well in higher data transmission rate, low level packet drop ratio with redundant time complexity compared to the other system.
Gambaran Senam Peregangan Sendi Sebagai Terapi Mengurangi Rasa Nyeri Sendi Lutut
Authors: Rianti Emilia Devi Dwi , Ernawati Sie , Cahyani Noviana Ayu , Widyaningsih Indah , Simamora Dorta 
Published: January 2025

Tubuh manusia dapat mengalami Osteoartritis (OA), hal ini menyerang sendi sebagai penopang beban tubuh, dan didalam menajemen OA maka dilakukan kombinasi fisioterapi dan terapi latihan. Terapi latihan membantu menggerakkan bagian-bagian tubuh dan mengurangi rasa sakit otot, maka latihan peregangan dilakukan selama 15 menit. Metode yang digunakan sesuai dengan tujuan penelitian adalah metode deskriptif dan pemberian pelatihan peregangan. Populasi yang digunakan adalah Lansia di Posyandu, dan Teknik pengambilan sampel adalah total sampling sebesar 42 peserta. Alat yang digunakan dalam penelitian ini adalah kursi, flichat gambaran pengetahuan tentang pelatihan gerakan sendi serta pemutaran video untuk memberi contoh gambaran gerakan senam. Hasil yang diperoleh yaitu dengan memberi pelatihan berupa latihan gerakan senam kaki, posisi tumit dilantai dan angkat kedua jari-jari kaki lakukan sebanyak 10 kali hitungan, mengangkat kedua tumit dan kedua jari-jari kaki tetap dilantai lakukan sebanyak 10 kali hitungan, mengangkat kedua kaki keatas serta meluruskan lutut lakukan 10 kali hitungan, dan mengangkat satu kaki kanan gerakkan menuju arah samping membentuk 900 . Kesimpulan,terdapat lansia sebanyak 45 % dengan usia 61-70 tahun, dengan melakukan gerak peregangan senam sendi terutama pada kaki maka otot-otot pada kaki akan membantu sendi untuk dapat menopang tubuh, sehingga kualitas hidup lansia akan meningkat.
Hemorrhagic astroblastoma: atypical presentation of a rare tumor. Illustrative case
Authors: Zumaeta Jorge , Martinez Raul , Santiago Rea Noe , Anicama-Lima William Efrain , Casavilca-Zambrano Sandro , Valerio Jose 
Published: January 2025

BACKGROUND
Astroblastoma is an extremely rare tumor of the central nervous system, and its origin and validity as a different entity are still being debated. Because of its rarity and similarities to other glial neoplasms, it is often misdiagnosed, impacting treatment and outcomes.

OBSERVATIONS
Astroblastoma is very rare and mainly affects children and young adults. It does not have a definitive World Health Organization grade and is divided into low- and high-grade categories. The clinical presentation is consistent with signs of intracranial hypertension. Radiographic imaging shows a bubbly, solid-cystic supratentorial mass with irregular contrast enhancement. The case reported herein is unusual because the intratumoral hemorrhage caused compression and midline shift, requiring urgent surgery.

LESSONS
Astroblastoma with intratumoral hemorrhage is atypical and is associated with high-grade tumors. Managing severe intracranial hypertension requires emergency surgery to prevent fatalities. Treatment can include adjunctive chemotherapy and radiation therapy based on the extent of tumor resection.
https://thejns.org/doi/10.3171/CASE24486
Intentional staged embolization via the “highway bypass” using a radial artery graft for a large posterior circulation aneurysm: illustrative case
Authors: Indo Masahiro , Oya Soichi , Nakamura Sho , Kobayashi Ikuo , Yoshida Shinsuke , Shojima Masaaki , Nemoto Shigeru 
Published: January 2025

BACKGROUND
The presence of significant tortuosity in access routes to aneurysms can interfere with catheter guidance and manipulation and significantly impact treatment strategies.

OBSERVATIONS
In this report, the authors combined intentional staged aneurysm embolization with the construction of a new direct access route, which they call a “highway bypass,” for a symptomatic posterior circulation cerebral aneurysm that was difficult to access with a catheter. Notably, the highway bypass is used for catheter passage, and technical tips should be considered. The patient had a symptomatic unruptured cerebral aneurysm in the first segment of the left posterior cerebral artery with bilateral internal carotid artery occlusion and severe tortuosity of the bilateral vertebral arteries. The highway bypass using a radial artery graft was performed in the first stage; in the second stage, the aneurysm was accessed using the graft, and embolization was performed. The catheter was passed through the graft without complications. The aneurysm was successfully embolized, no ischemic lesions were found in the postoperative images, and the patient was discharged without worsening neurological findings.

LESSONS
Intentional staged aneurysm embolization combined with the highway bypass effectively treats aneurysms that are difficult to access. Anastomoses should be designed to allow catheters to pass through the graft.
https://thejns.org/doi/10.3171/CASE24527
Coexisting sellar Rathke cleft cyst and planum sphenoidale meningioma: illustrative case
Authors: Akhavan-Sigari Amirhossein , Park David J. , Harary Paul M. , Chivakula Maya , Theodros Debebe , Bharani Krishna L. , Hori Yusuke S. , Persad Amit R. L. , Lam Fred C. , Emrich Sara C. , Ustrzynski Louisa , Tayag Armine , Chang Steven D. 
Published: January 2025

BACKGROUND
The co-occurrence of Rathke cleft cysts (RCCs) and meningiomas in the sellar and parasellar regions represents an exceedingly rare clinical entity. Achieving maximal resection through a single operative approach while minimizing adverse events is challenging, often necessitating multiple surgical approaches, as suggested by previous reports.

OBSERVATIONS
The authors report the case of a 49-year-old female with a history of kidney transplant who presented with headaches and was diagnosed with coexisting RCC and meningioma in the sellar and planum sphenoidale regions, respectively. Given the prolonged, refractory nature of her symptoms and based on her treatment preferences, a two-stage surgical approach was planned. This involved an endoscopic transnasal transsphenoidal approach followed by a right craniotomy to achieve maximal tumor resection while minimizing potential complications. No residual disease or tumor remnants were present at the 6-month follow-up. The pituitary gland was preserved, and the patient’s preoperative symptoms had fully resolved.

LESSONS
The preoperative diagnosis of concurrent skull base tumors is essential for effective management planning and determining the optimal surgical approach. The proximity of these tumors to critical neurovascular structures necessitates meticulous surgical planning to minimize adverse effects while ensuring maximal tumor resection.
https://thejns.org/doi/10.3171/CASE24551
Rathke cleft cyst with squamous metaplasia and activating mutations of mitogen-activated protein kinase signaling: illustrative case
Authors: Halaoui Adham , Estrella Melanie , Yan Carol H. , Goodwill Vanessa S. , Beaumont Thomas L. 
Published: January 2025

BACKGROUND
Rathke cleft cysts (RCCs) are benign sellar/suprasellar lesions that result from mucin-secreting vestigial remnants within the pars intermedia of the pituitary gland. When symptomatic, they can present with retro-orbital headaches, visual field defects, and/or pituitary dysfunction.

OBSERVATIONS
A 35-year-old female presented with subacute retro-orbital headache, right ptosis, and blurred vision. Workup revealed panhypopituitarism with central hypothyroidism and adrenal insufficiency. Imaging demonstrated a sellar/suprasellar mass with subacute intralesional hemorrhage, which was thought to represent chronic pituitary apoplexy. The patient underwent an endoscopic endonasal approach in which the initial intraoperative frozen section suggested papillary craniopharyngioma. Subsequent specimens suggested RCC, thus presenting a surgical management conundrum. Hemihypophysectomy with lesionectomy was performed. Final histopathology demonstrated RCC with squamous metaplasia (RCC-SM), rupture, and hemorrhage. BRAF V600E was not detected. However, activating mutations in KRAS and MAP2K1 were identified.

LESSONS
RCC can undergo SM and rupture, leading to a hemorrhagic-appearing cystic sellar/suprasellar mass associated with cranial nerve palsies and hypopituitarism that mimics pituitary apoplexy. Intraoperative frozen sections can be ambiguous due to overlapping histopathological features with craniopharyngioma, complicating surgical decision-making. The authors hypothesize that RCC-SM may represent a transitional state between RCC and craniopharyngioma. Neurosurgeons should be mindful of this transitional entity and be prepared to modify their surgical strategy accordingly.
https://thejns.org/doi/10.3171/CASE24657
Implementation of The Clean and Healthy Living Behavior (PHBS) Fostering Program in Indramayu Regency : Case Study in The Work Area of UPTD Puskesmas Jatibarang
Authors: Ismanudin Ismanudin , Nirwana Senja 
Published: January 2025

This study was conducted to determine the implementation of the household PHBS development program in the working area of UPTD Puskesmas Jatibarang. The research focused on motivating, facilitating, directing, communicating, and controlling aspects carried out by UPTD Puskesmas leaders and PHBS program managers in the UPTD Puskesmas Jatibarang working area, Indramayu Regency. In addition, identifying and analyzing the constraining factors in the implementation of the PHBS coaching program. This study used a qualitative method with a descriptive phenomenological approach. Samples were selected purposively, with key informants being the head of the UPTD Puskesmas Jatibarang and the PHBS program manager. Research informants were PHBS cadres, housewives, and community leaders. Data collection techniques through in-depth interviews and observations of PHBS management informants at the puskesmas level, PHBS cadres, housewives, and community leaders, as well as documentation techniques. Data analysis techniques through qualitative data analysis techniques, through data reduction, data display, and conclusion drawing/verification. The results showed that the achievement of 10 indicators of PHBS in the work area of the UPTD Puskesmas Jastibarang in 2011 had reached 82.1%, while in 2012 the program achievement was seen to increase to 90.3% or an average of 86.2% per year. However, judging from the achievement of the total percentage of healthy households in 2012 only reached 36.4% or decreased compared to 2011 which had reached 56.3% of healthy households, so that the PHBS program in the family setting has not been fully effective. There are still internal and external constraints in the management of the PHBS program, as well as the need for coordination and synergistic cooperation with cross-program, cross-sector and other related.
Comparative Analysis of the Arabidopsis and Rice Expressed	Sequence Tag (EST) Sets
Authors: Ewing Rob , Poirot Olivier , Claverie Jean-Michel 
Published: January 2025

Large numbers of expressed sequence tags (ESTs) have now been generated from a variety of model organisms. In plants, substantial collections of ESTs are available for Arabidopsis and rice, in each case representing significant proportions of the estimated total numbers of genes. Large-scale comparisons of Arabidopsis and rice sequences are especially interesting due to the fact that these two species are representatives of the two subclasses of the flowering plants (Dicotyledonae and Monocotyledonae, respectively). Here we present the results of systematic analysis of the Arabidopsis and rice EST sets. Non-redundant sets of sequences from Arabidopsis and rice were first separately derived and then combined so that gene families in common between the two species could be identified. Our results show that 58% of non-singleton ESTs are derived from genes in gene families common to the two species. These gene families constitute the basis of a core set of higher plant genes.