bluuebunny/crossref_metadata_2025_split huggingface dataset:
Nomophobia and the psycho-physiological effects of PUBG gaming on medical college student’s health and academic performance
Authors: Aakash Kumar B.  , Latha R. 
Published: September 2022

Introduction and Aim: Nomophobia is a psychological condition, where people have a fear of being detached from mobile phone connectivity. The medical college students are suffering from PUBG addiction which affects their psycho-physiological parameters. The aim is to assess the prevalence of nomophobia in the medical college students, to assess the stress and anxiety in the absence of smartphone and correlate it with the conduction velocity of median nerve.
Materials and Methods: A cross-sectional study was conducted in the physiology department of a tertiary care teaching hospital for a period of 2 months involving 169 medical students using smartphones. For studying nomophobia, the students in the study group were divided into groups A and B according to their smartphone usage and on the basis of a Smartphone Addiction Scale (SPAS) Questionnaire.

Results: Out of the 169 students, 80 were subjected for the assessment of the variability in the median nerve conduction velocity as a quantitative measurement to detect the decrease in the terminal latency index, motor distal latency and the conduction velocity due to excessive gaming or chronic smartphone usage. As per our hypothesis 94.37 % of the study sample had decreased terminal latency index and about 85.62 % of students had a decreased nerve conduction velocity.
Conclusion: The prevalence of nomophobia in our study was 37.39 % as per the ICD-10 diagnostic criteria for dependence syndrome. Hence medical education to school-going children, teenagers and adolescents about the risks of excessive smartphone usage should be given as they are the most vulnerable to this disorder.
Efficacy of physiotherapy intervention on craniovertebral and craniohorizontal angle using on protractor mobile app and neck muscle strength in chronic nonspecific neck pain
Authors: V. Rajalaxmi , R Niranjana , C.V. Senthil Nathan  , G. Mohan Kumar  
Published: September 2022

Introduction and Aim: The chronic nonspecific neck pain is common in all age groups since it is non-specific it may be due to any reasons right from school children to elderly. Factors like muscle strain, worn joints, nerve compression, poor posture, neck pain are found to reduce the cervical angle. The aim of the study is to find the efficacy of physiotherapy intervention on craniovertebral angle, craniohorizontal angle, neck muscle strength and hand grip in subjects with chronic nonspecific neck pain.

Materials and Methods: The subjects with chronic nonspecific neck pain (n=30) were selected randomly from the physiotherapy outpatient department of ACS medical college and hospital as per inclusion criteria and divided into two groups. The pre-test and post-test measurements of craniovertebral and craniohorizontal angles, craniovertebral angle were measured using on protractor mobile app. The neck muscle strength was measured using modified dial sphygmomanometer and hand grip was measured using hand held dynamometer. Group A received craniocervical flexion exercise and group B received stretching and strengthening for a period of 12 weeks. Post test was conducted after 12 weeks.

Results: The comparison within Group A and Group B pre- and post-test values in both groups showed highly significant difference in mean values at P ? 0.001, but group A which has a higher mean value is more effective in craniovertebral angle, craniohorizontal angle, neck muscle strength (Flexor and Extensor) and hand grip.

Conclusion: The craniocervical flexion exercise given to chronic nonspecific neck pain patients was found to reduce neck pain by improving the neck muscle strength, hand grip strength and by correcting the craniocervical and craniohorizontal angles.
Características demográficas y desenlaces clínicos en los pacientes con carcinoma de pulmón de célula no pequeña en el Instituto Oncológico Carlos Ardila Lülle-Fundación Santa Fe de Bogotá
Authors: Pino Villareal Luis Eduardo , Ospina Aylen Vanessa , Segovia Javier Mauricio , Triana Avellaneda Iván Camilo 
Published: September 2022

Introducción: el presente estudio describe las características demográficas y los desenlaces clínicos de los pacientes con cáncer de pulmón de célula no pequeña (CPCNP) para un centro oncológico de referencia nacional. Materiales y métodos: se realizó un estudio observacional descriptivo, retrospectivo en una cohorte de pacientes con CPCNP. Se realizó un seguimiento de 50 meses desde agosto de 2015 a octubre de 2020, analizando variables clínicas, tiempo libre de progresión, supervivencia global y complicaciones relacionadas al tratamiento. Para el análisis de supervivencia se realizó un modelo de Kaplan-Meier por el tamaño de muestra. Resultados: 68 pacientes fueron incluidos, 57.3 % corresponden a estadios IV, 16.1 % a estadios III, 11.7% a estadios II y 14.7 % a estadio I. En los estadios I ningún paciente ha progresado, en los estadios II, los estadios IIA el 42 % de los pacientes ha progresado, con medianas de supervivencia de 26 meses. En los estadios III aproximadamente el 33-36 % de los pacientes ha progresado, pero sin ningún fallecimiento este grupo. En los estadios avanzados las medianas de supervivencia según grupofueron, EGFR 25.6 m, ALK 24 m, PDL-1 >50 % 12.5 m, PDL-1 1-49 % manejados con quimioinmunoterapia 36.5m, PDL-1 <1 % sin adicción oncogénica manejados con quimioterapia 10.8m y PDL-1 <1 % sin adicción oncogénica manejados con quimioinmunoterapia 21.6m. El efecto adverso más relacionado a la inmunoterapia fue hipotiroidismo 21.7 %. En la toxicidad grado 3 relacionada a la terapia dirigida en enfermedad metastásica se presentó un 13 % de diarrea y un 13 % de hepatotoxicidad, seguido de un 8.3 % de hemoptisis por bevacizumab y un 8.6 % de complicaciones dermatológicas. La toxicidad grado 3 con quimioterapia en el escenario metastásico el evento más frecuente fue emesis en un 9 % seguido de falla renal, diarrea e hiporexia en un 4.5 %. La quimioterapia adyuvante presentó un 14.2 % de diarrea grado 3, los demás eventos adversos se presentaron en menos de dos casos. En la toxicidad severa por inmunoterapia solo se presentó un caso de colitis autoinmune y un caso de un síndrome miofascial.
Blastoma pulmonar del adulto : una rara neoplasia, reporte de un caso con respuesta completa
Authors: Yepes Pérez Andrés , Correa Muñoz Tatyana , Zapata González Ricardo 
Published: September 2022

Introducción: el blastoma pulmonar (BP) es un cáncer pulmonar poco frecuente, corresponde al 0.5 % de las neoplasias pulmonares primarias. Desde la primera descripción en 1945, solo se han descrito alrededor de 350 casos en todo el mundo. La edad promedio de los pacientes al momento del diagnóstico es entre 39 a 53 años. Los factores de riesgo asociados al BP no están claramente definidos. El tabaquismo se ha informado hasta en el 80 % de los casos. Los síntomas reportados con mayor frecuencia son: tos, hemoptisis, disnea, infecciones respiratorias recurrentes, fiebre y pérdida de peso. La cirugía es el tratamiento de elección en el BP localizado; la radioterapia se utiliza en tumores irresecables. El uso de la quimioterapia se ha informado en pocos casos, no existe un esquema de preferencia en primera línea. El pronóstico del BP es malo, el 60 % de los pacientes mueren los primeros dos años del diagnóstico. La presencia de metástasis al momento del diagnóstico está presente en el 43 % de los casos. Las recaídas ocurren generalmente en los primeros 12 meses posteriores a la resección quirúrgica. Presentación del caso: mujer de 35 años sin antecedente de tabaquismo, cuadro clínico de dos meses de dolor torácico, tos, hemoptisis, disnea y pérdida de peso. La tomografía de tórax documenta masa de 41x45x43 mm en lóbulo inferior derecho con cavitación y necrosis. Laboratorios con anemia (Hb 10.8 g/dl) sin alteraciones en función renal ni hepática. Tuberculina, baciloscopias, prueba de VIH negativas. Fibrobroncoscopia con lesión vegetante ocluye la luz bronquial en un 100 %, sangrado fácil en bronquio para el segmento apical del lóbulo inferior derecho. Reporte de patología con necrosis y negativo para malignidad. Biopsia por Tru-cut con reporte de patología con necrosis no concluyente. Se solicita PET/CT (Figura 1) en pulmón derecho con SUV max de 14.7 masa en segmento apical del lóbulo inferior, mide 6.5x6.5x5.5cm. Se realiza lobectomía inferior y lobectomía media derecha con linfadenectomía mediastinal por toracotomía posterolateral derecha. Estudios de congelación negativos para malignidad. Reporte de patología postoperatorio informa blastoma pulmonar de 6.7 cm, necrosis presente en más del 50 % del tumor, ganglios negativos, inmunohistoquímica positiva para beta-catenina, CK, CD56 y vimentina; pT3pN0.
Sarcoma de Ewing, desde la progresión de la neurofibromatosis hasta la malignidad
Authors: Bolaños Montero Marco Andrés , Lasso Juan Felipe , Quintero Henry Idrobo 
Published: September 2022

Objetivos: describir el caso de una paciente con antecedente de neurofibromatosis tipo 1 que en su evolución natural progresó a sarcoma de Ewing. Presentación del caso: se trata de una paciente de 18 años que consulta por un cuadro de aproximadamente 18 meses de evolución, consistente en la aparición de un tumor en el brazo izquierdo, de crecimiento progresivo y doloroso asociado a déficit neurológico debido al compromiso del nervio ulnar y radial. Se inician estudios y reportan en resonancia nuclear magnética una gran lesión heterogénea de tejidos blandos, en tercio proximal del brazo izquierdo, más hacia el compartimento posteromedial, involucrando el paquete vascular, con destrucción lítica. Se le realiza biopsia de la lesión observando células neoplásicas que tienen expresión fuerte para vimentina y CD99, con expresión débil de desmina. Son negativas para AML, H-CALDESMON, HMB-45, S-100, CD34, BCL-2 y PD2-40. El índice de proliferación nuclear evaluado con el Ki67 es del 90 %, con lo cual se llega a la conclusión de que los hallazgos morfológicos y el perfil de expresión inmunofenotipico son compatibles con sarcoma de Ewing/tumor neuroectodérmico primitivo (PNET). La paciente presenta un fenotipo característico de la enfermedad de Von Recklinghausen, en la cual se presenta lesiones maculares tipo manchas café con leche, neurofibromas, efélides, macrocefalia y baja estatura. En Colombia se considera una prevalencia de 1 en cada 3.000 habitantes, su etiología se asocia a la mutación del gen NF-1, un gen supresor tumoral, localizado en el 17q11.2 y el cuál codifica la neurofibromina, la cual al mutar pierde su capacidad antisupresora. Estos pacientes presentan una incidencia de cáncer de 3 % superior a la población general. Los tumores malignos de la vaina del nervio periférico se presentan con frecuencia a partir de un neurofibroma plexiforme o nodular, dando origen a osteosarcomas o rabdomiosarcomas. El sarcoma de Ewing tiene una incidencia en Colombia de 0.1 por cada 100.000 habitantes. En la búsqueda de datos en PubMed, se encontró la descripción
Gambaran Psikologis Ibu Postpartum Primipara di Wilayah Kerja Puskesmas Rejosari Kecamatan Tenayan Raya Kota Pekanbaru
Authors: Khutami Tresawati 
Published: September 2022

Pendahuluan: Psikologis ibu pada masa postpartum mempunyai kaitan yang erat dengan kesehatannya, khusus nya ibu dengan kelahiran anak pertama. Penelitian ini bertujuan untuk mengetahui gambaran psikologis ibu postpartum dengan kelahiran anak pertama di wilayah kerja puskesmas Rejosari Kota Pekanbaru. Metode: Penelitian ini menggunakan desain deskriptif kuantitatif . Sampel penelitian adalah 30 responden yang diambil menggunakan tektnik total sampling dengan menggunakan kuesioner EPDS (Edinburg Postnatal Depression Scale). Analisis yang digunakan adalah analisis univariat. Hasil: Dari 30 orang responden terdapat 6 orang atau (20%) yang mengalami gejala depresi pada masa postpartum dan terdapat 24 orang responden atau (80%) yang dapat melewati masa postpartum dengan baik dan masuk dalam kategori normal. Kesimpulan: Psikologis ibu postpartum mayoritas mengalami masa postpartum dengan baik. Saran: Penelitian ini diharapkan dapat meningkatkan peran perawat khususnya dalam memberikan promosi kesehatan tentang gejala depresi yang bisa terjadi pada masa postpartum kepada ibu postpartum dengan kelahiran anak pertama.
Pengaruh Edukasi Thaharoh (Bersuci) Terhadap Peningkatan Kesehatan Masyarakat Melalui Kegiatan Posyandu Di Desa Gapuk Tua
Authors: Pasaribu Heka Afriannur 
Published: September 2022

ABSTRACT
In the life of Islam, the problem of taharah is a basic thing that every Muslim must know. Thaharah or purification has a close relationship with health. Because holiness is definitely clean, and cleanliness is the base of health. In Indonesia, the problem of thaharah is still not well known by the public, according to random sampling conducted on 56 respondents as many as 24 respondents (42.9%) still do not know about this thaharah. They only know cleanliness, even though clean is not necessarily holy, but if it is pure it must be clean. This study uses a descriptive design through posyandu activities carried out in the village of Gapuk Tua.
Keywords: taharah, knowledge, society
Aktivitas Antibakteri Handsanitizer Ekstrak Daun Pandan Wangi (Pandanus amaryllifolius Roxb)
Authors: Diningsih Ayus 
Published: September 2022

Daun pandan wangi (Pandanus amaryllifolius, Roxb) telah banyak dikenal mengandung senyawa antibakteri. Ekstrak daun pandan wangi menunjukkan aktivitas antibakteri spectrum luas terhadap bakteri gram positif dan negative. Penelitian ini bertujuan untuk mengetahui bahwa ekstrak daun pandan wangi dapat diformulasikan menjadi gel handsanitizer dan untuk mengetahui aktivitas antibakteri Staphylococcus aureus. Penelitian ini merupakan penelitian eksperimental berbasis laboratorium. Penelitian di lakukan di laboratorium farmasetika Universitas Aufa Royhan Di Kota Padangsidempuan dan Laboratorium Mikrobiologi USU. Formulasi handsanitizer ekstrak daun pandan wangi adalah F1 dengan ekstrak daun pandan 0,1 %, F2 dengan ekstrak daun pandan 0,2 %, F3 dengan ekstrak daun pandan 0,3 % dan F4 dengan ekstrak daun pandan 0,4 %. Hasil yang diperoleh menunjukkan bahwa formulasi gel handsanitizer kombinasi ekstrak daun pandanwangi (Pandanus amaryllifolius,Roxb) dengan alkohol memiliki karakteristik yang bagus secara organoleptis. Hasil uji antibakteri pada Staphylococcus aureus dengan diameter zona hambat keempat konsentrasi gel berturut F1 adalah 6,57 mm, F2 adalah 8,25 mm, F3 adalah 7,43 mm, F4 adalah 7,85 mm. Kesimpulan dari penelitian ini adalah diameter zona hambat terbesar ada pada Formula 2 dengan konsentrasi ekstrak 0,2 % menujukkan bahwa penghambatan terbaik pada Staphylococcus aureus.
Measurement report: Plume heights of the April 2021 La Soufrière eruptions from GOES-17 side views and GOES-16–MODIS stereo views
Authors: Horváth Ákos , Carr James L. , Wu Dong L. , Bruckert Julia , Hoshyaripour Gholam Ali , Buehler Stefan A. 
Published: September 2022

Abstract. We estimated geometric plume heights for the daytime
eruptions of La Soufrière in April 2021 using visible red band
geostationary side views and geostationary–polar orbiter stereo views. Most
of the plumes either spread near the tropopause at 16–17 km altitude or
penetrated the stratosphere at 18–20 km altitude. Overshooting tops reached
heights of up to 23 km. These geometric heights were compared with radiometric
heights corresponding to the coldest plume temperature, which usually
represent ambiguous estimates within a wide range between a tropospheric and a
stratospheric height match. The tropospheric lower bound of the radiometric
height range always underestimated the geometric height by a couple of
kilometers, even for smaller plumes. For plumes near or above the
tropopause, the midpoint or the stratospheric upper bound of the radiometric
height range was in reasonable agreement with the geometric heights. The
geometric overshooting top height, however, was always above the radiometric
height range. We also found that geometric plume heights can be estimated
from infrared band side views too, albeit with increased uncertainty
compared to the visible red band. This opens up the possibility of applying
the side view method to nighttime eruptions.
Fire–climate interactions through the aerosol radiative effect in a global chemistry–climate–vegetation model
Authors: Tian Chenguang , Yue Xu , Zhu Jun , Liao Hong , Yang Yang , Lei Yadong , Zhou Xinyi , Zhou Hao , Ma Yimian , Cao Yang 
Published: September 2022

Abstract. Fire emissions influence radiation, climate, and ecosystems through aerosol
radiative effects. These can drive rapid atmospheric and land surface
adjustments which feed back to affect fire emissions. However, the magnitude
of such feedback remains unclear on the global scale. Here, we quantify the
impacts of fire aerosols on radiative forcing and the fast atmospheric
response through direct, indirect, and albedo effects based on the two-way
simulations using a well-established chemistry–climate–vegetation model.
Globally, fire emissions cause a reduction of 0.565 ± 0.166 W m−2
in net radiation at the top of the atmosphere with dominant contributions by the
aerosol indirect effect (AIE). Consequently, terrestrial surface air
temperature decreases by 0.061 ± 0.165 ∘C with coolings of
>0.25 ∘C over the eastern Amazon, the western US, and boreal
Asia. Both the aerosol direct effect (ADE) and AIE contribute to such cooling,
while the aerosol albedo effect (AAE) exerts an offset warming, especially
at high latitudes. Land precipitation decreases by 0.180 ± 0.966 mm per month (1.78 % ± 9.56 %) mainly due to the inhibition in central
Africa by AIE. Such a rainfall deficit further reduces regional leaf area
index (LAI) and lightning ignitions, leading to changes in fire emissions.
Globally, fire emissions reduce by 2 %–3 % because of the fire-induced
fast responses in humidity, lightning, and LAI. The fire aerosol radiative
effects may cause larger perturbations to climate systems with likely more
fires under global warming.
STRATEGI PENDIDIKAN AKHLAK BAGI GENERASI MUDA DI ERA DISRUPSI
Authors: Wahyudi Tian 
Published: September 2022

The revolution in the field of information technology today has been able to change fundamentally the social order of society. The presence of information technology provides a lot of comfort for humans, but it also has a destructive side that threatens young generation. This paper through the study of literature aims to analyse the extent of the urgency and strategy of moral education for young generations of Muslims in the Disruption Era. The results of this study show the increasing importance of moral education for the younger generation, even becoming a primary need. This is due to a variety of morality problems that are increasingly widespread in this era with easy access to information technology. For that, the steps that need to be pursued to build individuals who have good morality, namely by: 1) providing a comprehensive understanding of the concept of morality; 2) giving and showing an example; 3) prevent learners to dissolve in pleasure and luxury; 4) strengthen the relationship between educators and students; 5) use a variety of methods in accordance with the conditions of students; and 6) building and controlling the environment of students (the surrounding environment and the influence of cyberspace).
“Retrospective Significance”: On Reparations, Ontological Incoherence and Living in a Catastrophe
Authors: Walcott Rinaldo 
Published: September 2022

Abstract
This paper attempts to articular a notion of a Black ontological order or form experienced through a set of conditions that seek to produce a coherent incoherent blackness. I argue that Black being is one that is only known through an external essential imposition of a Euro-American narrative of what I call global niggerdom in which all Black people are made the same through post-Enlightenment modernist antiblack logics. The conditions, identifications, and practices that constitute global niggerdom, however, only hold insofar as Black people are specified from without. The paper turns to the debates on reparations and their ethnicization to make the case that the Euro-American logics that produce global niggerdom also collapse when Black people turn to nation as the force through which to make sense of themselves.
Ontology and Lalangue (or, Blackness and Language)
Authors: Marriott David S. 
Published: September 2022

Abstract
In this essay I reconsider Lacan’s theory of the signifier in relation to the late concept lalangue and blackness. The article is intended as a summary of the arguments put forward in the author’s Lacan Noir (Palgrave Macmillan, 2021).
THE CUSTOMER LOYALTY OF PATAS PURWAKARTA TRAIN SERVICE USERS
Authors: Riyaldi Muhamad Sapta , Amrizal Amrizal , Silalahi Tiur Merry Bunga 
Published: September 2022

The aim of this research is to find out the influence of service quality, ticket price, and customer satisfaction to the customer loyalty. It is a quantitative research using the data analysis method of Path Analysis. The results indicate that both variables of Service Quality (X1) and Ticket Price (X2) have a significant direct influence to the variable of Customer Satisfaction (Y1), whereas the variable of customer satisfaction has a significant indirect influence to the variable of Customer Loyalty (Y2) [through intervening the variable of customer satisfaction]. It is found in a sequence that the variables most influential to the increase of Customer Loyalty are: Service Quality, Customer Satisfaction, and the Ticket Price in the last rank.The results of path analysis indicate that service quality can directly influence the customer loyalty. It can be optimistically improved as maximal as possible through 5 factors having positive influences in enhancing customer loyalty. Meanwhile, Ticket Price still indirectly influences the customer loyalty and it can pesimistically still be enhanced through the policy on tariff and it is difficult to implement, only can be driven if the ticket price provided by the transport service provider is more competitive and more various as well as affordable for the consumer purchase power of that transport sevice.
Layanan Transportasi dalam Pengembangan Pariwisata di Kabuapten Kerinci
Authors: Al Abror Baddal Hayat , Manullang Okto Risdianto 
Published: September 2022

Indonesia is one of the best tourist destination countries in the world. It can be concluded fromthe availability of tourism transportation services in Indonesia. Sungai Penuh as a promoted city of Regional Activity Center (PKWp) has not served as the brand of Kerinci Regency for tourism in Jambi Province. It is caused by the lack of route services of public transportation for tourism in Kerinci Regency. The purpose of this study is to determine the form of transportation services in the tourism development of Kerinci Regency. The analytical method used in this study was quantitative descriptive method by utilizing questionnaire data, observation interviews and documents to identify tourist characteristics, tourism activities and transportation infrastructure. The data processing was using Arcgis Software on Route Analysis, in order to find out the travel time, travel distance, costs incurred and types of tourist movements. The results of this study shows that there are two types of movements, which are the type of tour movement determined by the closest distance between attractions and the type of trip destination movement determined by the length of time needed to reach a tourist attraction. The result will be displayed in the form of Kerinci Regency tourism map. It is expected that with the availability of tourism transportation services in Kerinci regency, tourists could travel easily, safely and comfortably, which is expected to attract the number of tourists and increase the economic activities in Sungai Penuh.