bluuebunny/crossref_metadata_2025_split huggingface dataset:
Neurological and neuropsychological characteristics of postconcussion syndrome following blast mild traumatic brain injury
Authors: Zavaliy Yurii V. 
Published: June 2022

A common complication of blast mild traumatic brain injury (mTBI) is postconcussion syndrome (PCS), the diagnostic criteria of which are based on the patient's subjective complaints. Creation of reliable tools for clinical signs of blast mild TBI objectification is of great priority.
Objective: using a comprehensive neurological and neuropsychological examination to determine the characteristics of clinical signs of blast mild TBI in the long-term period to assess the correlation with the data of neurophysiological and radiological studies.
Materials and methods. The study involved 115 male participants of hostilities in the East of Ukraine (main group) with a diagnosis of " PCS after previous blast mTBI " and 30 healthy individuals (control group). Patients were in the long-term period of injury (from 6 months to 3 years). After collecting complaints and medical history data, the neurological status and the state of cognitive functions were examined. The latter were studied using the questionnaire "Cicerone". Neuropsychological testing according to the Montreal Cognitive Assessment score (MoCA) was carried out. The Hospital Anxiety and Depression Scale (HADS) was also used, and to objectify asthenic disorders - the Asthenic State Scale (ASS).
Results. Assessment of the severity of cognitive impairment using the questionnaire "Cicerone" allowed identifying three clinical variants of PCS: 1) with cognitive impairment in combination with affective disorders (44,3 ± 9,1) % of patients), 2) with a predominance of affective disorders (23,5 ± 7,7) % of patients), 3) moderate and mild disorders of the cognitive and affective spectrum in combination with moderate autonomic disorders ((32,2 ± 8,5) % of patients). In 43,5% of cases, according to the MoCA scale, a decrease in cognitive impairment was found for memorization (memory), attention, delayed recall, total score. According to the HADS scale, the distribution of patients was as follows: clinically significant anxiety was noted in (9,6%) patients, depression - in (11,3%) patients, combination of clinically significant anxiety with depression - in (5,2%) patients, subclinical symptoms of anxiety of various severity - in (55,7%) patients. The phenomena of asthenia due to fatigue with mood swings, loss of the ability to concentrate for a long time on mental and physical tasks occurred in all patients with PCS. Factors with a probably higher risk of cognitive impairment were identified: 1) complaints of extreme fatigue and headache, 2) neurological signs in the form of pyramidal insufficiency, brisk tendon reflexes, 3) anxiety level according to the HADS scale. They can be considered as predictors of detection of cognitive deficit in patients with PCS as a result of blast mild TBI.
Conclusions. Comprehensive neurological and neuropsychological examination is an effective tool for diagnosing cognitive changes in PCS as a result of blast mild TBI.
DESAIN KEMASAN JAMUR CRISPY MBAH MAN SNACK MENGGUNAKAN METODE VALUE ENGINEERING (VE)
Authors: Betanursanti Ida , Maldini Khoerul Rizal 
Published: June 2022

The packaging used as a silent salesman to attract consumer attention. Mbah Man's UMKM sells various snack products and has not implemented packaging as a silent salesman. This study aims to identify information on the packaging characteristics of Mbah Man's UMKM products, mushrooms crispy and to determine the packaging design that has sale value.The method for packaging design uses value engineering which consists of a five-phase job plan, namely the information stage, the creative stage, the analysis stage, the development stage, and the presentation stage. The information stage is carried out by identifying needs packaging, material characteristics, quality and packaging function. The identification needs packaging stage is the core stage in a packaging design. The creative stage makes alternative packaging designs including logos, background colors, text colors, images and product images. The analysis stage performs an analysis of the value-for-sale packaging function. The development stage assesses the packaging based on cost. The presentation stage determines the best packaging design results according to the assessment needs packaging. Furthermore, the validity test was carried out on the results of the mushroom crispy packaging which were of sale value. Based on the results of the validity test with an r value of 0.05, it was stated that need was packaging valid as a variable that had an effect on packaging design. The five obtained needs are packaging, namely: attractive, strong, informative, easily recognizable and unique. After being designed in accordance with the needs packaging that are of sale value, the packaging is made of paper a bowl with specifications has a product name with 11.8 pt font on the lid and 17.4 pt on the container, the color background used is red (C: 185 M: 52 K: 55 (# B93437)), product logo image mushroom product image crispy, and mushroom motifs
PAUD: Pengembangan Media Bambu Aroma Berbantuan Kartu Gambar pada Kemampuan Indra Penciuman Anak
Authors: Sandra Ifa Aritia , Mubarokah Nailul 
Published: June 2022

AbstractCreating a media of study that can be used to make it easier to teach children their sense of smell by using bamboo media and picture cards is the aim of this research. The research method from Borg and Gall is used here, the research succeeds in summarizing the results of this research method including media validation tests in the teaching and learning process, as well as improving children's abilities in the ability to sense smell. Validator I got a score of 4.60 (no revision, valid), and validator II got a score of 4.51 (not revised, valid). Aroma bamboo media is expected to be a way out in adding the creativity of educators which is packaged attractively for early childhood. The problem with the use of aroma bamboo media is that it requires more than one bamboo, because it reduces the mixing of one aroma with another. It is also advisable to use bamboo that is completely dry to avoid the smell of bamboo with the aroma that will be introduced to the child.Keywords: Bottle media, sense of smell, and Early Childhood AbstrakMenciptakan media pengkajian yang dapat digunakan buat memudahkan mengajarkan kemampuan indra penciuman anak dengan menggunakan media bambu dan kartu bergambar merupakan tujuan dari penelitian ini. Metode penelitian dari Borg and Gall digunakan disini, penelitian berhasil merangkum hasil dari metode penelitian ini diantaranya uji validasi media dalam proses belajar mengajar, serta meningkatkan kemampuan anak dalam kemampuan indra penciuman. Validator I mendapat skor 4,60 (tidak ada revisi, valid), dan validator II mendapat skor 4,51 (tidak revisi, sah). Media bambu aroma diharapkan dapat menjadi jalan keluar dalam menambahkan kreativitas pendidik yang dikemas menarik untuk anak usia dini. Kendala dengan penggunaan media bambu aroma yaitu membutuhkan bambu yang lebih dari satu, dikarenakan untuk mengurangi pencampuran aroma satu dengan yang lainnya. Dianjurkan pula dengan penggunaan bambu yang benar-benar kering untuk menghindari aroma bambu dengan aroma yang akan diperkenalkan ke anakkata kunci: Media botol, Indra penciuman, Anak Usia Dini
Social polarization: towards the text mining study
Authors: Kyrychenko Roman 
Published: June 2022

This article suggests a way to concretize the concept of social polarization, which will be most suitable for a) empirical operatio­nalization; b) a complete description of existing social conflicts; c) will be consistent with existing sociological theories. The implementation of this task opens the way to studying this phenomenon through the method of text mining. We see two main problems with the concept of social polarization in sociology: (1) Social polarization is used as a beautiful metaphor to describe contemporary political situations, not as a strong operationalized concept. The concept must create vast opportunities to study social reality, interpret more processes; (2) The mathematic interpretation of social polarization is conducted on somewhat idealized distributions; there is a lack of real empirical data verification. These two problems also create one big problem: mathematical conceptualization of social polarization and empirical studies of social polarization are unrelated. We propose a way to solve this problem through the construction of our social polarization theoretical framework. The way that allowed us to do this was in the concretization of social polarization and its connection with sociological theories of conflict. The article’s key idea is to show that this concept is suitable for operationalization for two reasons: its ability to describe the causes and nature of social conflicts and its measurability.
This article also discusses the main modern social polarization theories, their features, advantages, and disadvantages. Since the concept of social polarization is mostly the focus of political science research, the author’s goal was to find opportunities to use this concept in sociology and the ideas that will allow it. There are currently two approaches to studying this issue: the party association approach and the opinion-based group approach. An important task, which was also solved in this article, is the concept’s connection with the sociological concepts of conflict. The path was found using the concept of Lipset and Rokkan. This concept’s key advantage is the combination of social inequality, conflict, attitudes, and social distance. Typically, these concepts are used separately to explain social cleavages. The concept of polarization, in this case, allows them to be integrated into a single whole
Design Of Sales Information System In Website-Based Isaylees Sport Store
Authors: Juvana Ekhwan , Lestariningsih Endang 
Published: June 2022

Abstract— This study aims to create a website-based sales information system at the Isaylees Sport store. The design and manufacture of a sales information system at the Isaylees Sport store is carried out to make it easier for sellers to manage sales and purchase data. In this system, sellers are expected to be able to market products with a wider range and sell products effectively and efficiently. In addition to providing convenience for sellers, this system also makes it easy for customers to make buying and selling transactions at the Isaylees Sport store. The method used in system design is through the stages of making DFD and ERD diagrams. Results from this research, namely the sales information system at the website-based isaylees Sport store that has been designed to have automatic payment features using a payment gateway, automatic postage checks and order tracking. The system that has been designed also provides convenience for sellers and buyers. The result of this research is an e-commers application that is used in sales transactions.
Experience in surgical treatment of pediatric patients with adrenal tumors (monocenter study)
Authors: Tovkai O. A. , Voitenko V. V. , Palamarchuk V. O. , Shapoval N. A. , Tovkai A. O. 
Published: June 2022

Objective — to determine and analyze the structure of adrenal pathology in pediatric patients operated at the Center in the years 2009 to 2020 (retrospective analysis).
Materials and methods. A retrospective study was carried out. The analysis and investigation involved following data of 24 pediatric patients with adrenal neoplasms: age, gender, anamnesis, clinical features, preliminary diagnosis, diagnostic methods, hormonal background, radiological characteristics of tumors, surgical method of treatment, pathomorphological signs of tumors. The observation period was 2 to 11 years, on average 3 to 5 years.
Results. A total, 980 operations in patients with the pathology of the adrenal glands were performed, from them 24 interventions (2.4 %) were carried out in pediatric patients of age group 5 to 17 years, the age 12.2 years. The proportion of boys was 8 (33.3 %), girls — 16 (66.7 %). The duration of the disease was 1 to 97 months, 13.2 months at average. The following main complaints were determined: weight gain, increased blood pressure, increased body hair, impaired puberty, pain in the abdominal cavity. Malignant tumors included adrenocortical cancer — 12.5 %, ganglioneuroblastoma — 12.5 % and pheochromoblastoma — 1 case, in total — 29.1 %. Tumors of the adrenal cortex 25 %, the adrenal medulla 12.6 %, other types of tumors amounted to 33.3 %. The long-term results of malignant neoplasms of the adrenal glands were determined. In six cases (follow-up period was up to 10 years) there was no recurrence of the disease. Additional treatment in the form of radiation and chemotherapy was not carried out. 79.1 % were operated laparoscopically, 20.9 % had lumbotomy with adrenalectomy. There were large sized malignant tumors of 4 — 17 cm, on average 8 cm. Benign tumors were between 1 — 11 cm, on average 4.3 cm. 58 % of cases were not hormonally active. In the post-operative phase, attention was paid to the prevention of adrenal insufficiency. Blood cortisol was determined on the 3rd-5th day after the operation. 29 % of patients needed hormonal substitution therapy. Two clinical cases in children of the same biological family are considered separately.
Conclusions. Neoplasms of the adrenal glands in children, in the structure of operations performed for the pathology of the adrenal gland constituted 2.4 % of the total number of patients, the proportion of malignant neoplasms in children, according to our data was 29.1 % among pediatric patients. Malignant tumors of the adrenal glands do not have a clear age correlation. The presence of clinical manifestations associated with hormonal activity makes it possible to suspect a tumor. Hormonal activity was confirmed in 42 % of cases. At the same time, the absence of these changes does not exclude the possibility of a tumor. The disease had no clinical manifestations in 25 % of the investigated subjects.
Pigmentos sintetizados por hongos negros y su impacto en el deterioro del patrimonio documental en papel
Authors: Nitiu Daniela Silvana , Mallo Andrea Cecilia , Saparrat Mario Carlos Nazareno 
Published: June 2022

Introducción y objetivos: Los documentos en papel custodiados en museos y bibliotecas pueden mostrar signos notorios de deterioro causados por la actividad de diferentes hongos. Algunos de los principales colorantes de origen fúngico que deterioran estéticamente este sustrato y afectan al patrimonio cultural en soporte celulósico son los pigmentos oscuros o melaninas. El objetivo del presente trabajo es brindar un panorama actualizado del estado de arte de los hongos negros que colonizan papel y las melaninas que sintetizan, ocasionando un daño importante al patrimonio documental, el cual es una fuente inigualable para la historia de los pueblos.
M&M: Se realizó una búsqueda bibliográfica de la información actualizada y disponible sobre los pigmentos oscuros que sintetizan diferentes hongos negros que deterioran papel. Para ello se analizaron 74 trabajos especializados en el tema; la mayoría de ellos de reciente publicación en revistas nacionales e internacionales.
Resultados: El conocimiento sobre la diversidad y las características de los pigmentos oscuros que son sintetizados por los hongos negros que deterioran papel es clave para desarrollar estrategias de prevención y remediación para eliminar estos pigmentos de soportes celulósicos con valor patrimonial. Este trabajo presenta información sobre los hongos negros que deterioran papel, los tipos de melaninas que pueden sintetizar, las estructuras donde se acumulan, y su contribución en el deterioro estético de los materiales mencionados
Conclusiones: Este conocimiento sirve de base para desarrollar nuevas estrategias de restauración que pudieran ser efectivas y sustentables y que aseguren la conservación preventiva de documentos históricos y obras de arte en papel.
THE IMPACT OF POST-PANDEMIC GADGETS ON CHILDREN AND ADOLESCENTS
Authors: MSH Irsyad 
Published: June 2022

This descriptive qualitative research will aim to find out how the condition of the influence of gadgets post-pandemic on children and adolescents. This data collection will be carried out using interview techniques, observation, and also a documentation studio. The conditions that have been studied show the condition of the influence of gadgets post-pandemic in Kesesi Village which affects the communication process in children and adolescents. In addition, excessive use of gadgets during online learning from morning to evening causes children to usually rely on gadgets. This impact will occur if there is a lack of assistance and supervision from parents. It is hoped that parents will guide and supervise the things done by the child. The social environment can also be a cause of gadget abuse, for example, if the surrounding environment is children who like to play games, the child will model the behavior of playing games like others. So the role of parents is very important in sorting out and choosing the development of their children. In addition, with an understanding of knowledge and self-awareness of the impact of gadget addiction can prevent it. .
Attitude towards Online Classes among Nursing Students during COVID-19 Pandemic at Nobel Medical College Teaching Hospital
Authors: Adhikari Sunaina 
Published: June 2022

Background: Corona virus disease pandemic has hastened the adoption of digital technology and online classes have become part of nursing education. The transition from face-to-face learning towards online learning is full of challenges and it is very important to explore students’ viewpoints regarding online classes.
Materials and Methods: A descriptive cross-sectional study was carried out at Nobel Medical College among undergraduate nursing students. Non-probability consecutive sampling technique was adopted to collect data and 117 students participated in the study. A self-structured online form was developed and data were collected by a self-administered questionnaire through an online survey method. Data was entered and analyzed by SPSS 22.0 version. A Chi-square test was performed to assess the association between background variables and attitude level.
Results: The study revealed that 50.43% of the students had negative attitudes towards online classes. In total, two-thirds (67.5%) of students preferred face-to-face learning. Variables such as age, enrolled nursing program, and year of study was significantly associated (p ≤ 0.05) with students’ attitudes towards online classes.
Conclusion: Despite being the alternative solution, almost half of nursing students relatively had negative attitudes towards online classes. Students were more inclined towards face-to-face learning in future days.
A Comparative Study of Laparoscopic Appendectomy with Open Appendectomy at a Tertiary Care Hospital
Authors: Koirala Ashok , Gautam Manish , Shah Sachidanand , Adhikari Dinesh , Bhattarai Amit , Kumar Yadav Ajay 
Published: June 2022

Background: Appendectomy is most common surgical procedure done for treatment of acute appendicitis. Both laparoscopic and open techniques are used for its removal. The aim of this study is to compare the outcome of laparoscopic appendectomy with open appendectomy.
Materials and Methods: A retrospective study was conducted in Nobel Medical College And Teaching Hospital, Biratnagar, Nepal from April 2019 to February 2021.Total 90 patients were enrolled in the study of which 44 in laparoscopic appendectomy group and 46 in open appendectomy group. These two groups were compared for demographic profiles, operative time, postoperative pain, length of hospital stay and surgical site infections.
Results: Ninety patients underwent appendectomy of which 44 were in Laparoscopic group and 46 in Open group with similar demographic profiles. The mean operative time in Laparoscopic group was 42.95±2.46 minutes where as in Open group it was 35.25±1.87 minutes [p<0.001].The mean postoperative pain at 8 hours in Laparoscopic group was 7.77±1.03 and in Open group 8.45±1.16 [p=0.002], at day one Laparoscopic group 5.01±0.88 and in Open group 5.80±0.99 [p<0.001],at day two Laparoscopic group 3.54 ±1.19 and in Open group 4.26±0.89[p<0.001]. Mean duration of hospital stay in Laparoscopic group was 2.02±0.26 and Open group was 2.52 ±0.54[p<0.001]. Surgical site infections was noted 1(2.27%) in Laparoscopic group and 6(13.04%) in Open group[p=0.029].
Conclusion: Laparoscopic appendectomy offers less postoperative pain, shorter hospital stay, less surgical site infections but prolonged operative time compared to open appendectomy.
Outcome of Soft Tissue Coverage in Open Tibia Fractures with Non-Microvascular Flap at a Tertiary Care Hospital
Authors: Thapa Bishwamber , Sitoula Prakash , Kumar Jha Ranjib , Thapa Santosh , Kunwar Suman , Rajthala Ashish 
Published: June 2022

Background: Open tibia fractures are high energy injuries often associated with large soft defects, extensive soft tissue stripping and contamination requiring multiple debridement procedures. Collective ortho-plastic approach helps us achieve proper debridement, adequate fixation and early soft tissue coverage. Due to fairly high incidence of failure, steep learning curve, time consuming procedure and the cost of treatment for those tedious free flaps, non-microvascular flaps are being preferred to cover the soft tissue defects or exposed hardware in open tibia fractures.
Materials and Methods: A prospective study was carried out in 19 patients to assess the outcome of soft tissue coverage in open tibia fractures with non-microvascular flap. Out of these patients, 6 patients were treated with medial gastrocnemius flap, 5 patients with medial hemi-soleus, 5 patients with reverse sural fasciocutaneous flap, and 3 patients with local rotational random flaps. Outcome measures included bony union, deep surgical infection and flap failure.
Results: 84% patients were male whereas 16% patients were female. Road traffic accident was the major cause of the defect among the patients (74%). Complications in the form of deep infection (10%), non-union (21%), delayed union (10%) and marginal flap necrosis (21%) were observed.
Conclusion: In our study, early soft tissue coverage with appropriate non-microvascular flaps in management of severe open fractures of tibia was associated with more favourable outcomes.