bluuebunny/crossref_metadata_2025_split huggingface dataset:
Brain metastasis from a thoracic myxofibrosarcoma: A case report and literature review
Authors: Ferreira Neto Otávio da Cunha , Bezerra Roberto Borges , Silva Rhuann Pontes dos Santos , Silva Melissa Helena Rodrigues , de Alencar Neto Joaquim Fechine , Lopes Arthur José Maia 
Published: November 2022

Background:
Myxofibrosarcoma (MFS) is a type of sarcoma that mainly affects elderly people; it represents only 5% of all sarcomas and shows no line of differentiation. Intracranial MFS is a rare condition. At present, limited data exist regarding brain metastasis from MFS. This article reports a case of MFS and reviews the literature regarding MFS metastasis.

Case Description:
We report a case of brain metastasis from chest wall MFS. The patient was diagnosed with an anterior thoracic MFS and underwent surgery and radiotherapy. One year later, he noticed a tumor on his left shoulder, and more than 1 year thereafter, bilateral lung metastasis was observed. Twelve months after lung metastasis, he presented to the emergency department and underwent contrast-enhanced magnetic resonance imaging, which demonstrated a left frontal tumor suggestive of brain metastasis. Since the main hypothesis was a sarcoma metastasis at the location close to the left motor area, and the patient had a good Karnofsky performance scale, the patient underwent neuronavigation-guided surgery. After surgery, the patient developed Grade III hemiparesis and aphasia. Brain tumor histopathology confirmed a malignant neoplasm with osteosarcomatous differentiation and metastasis from MFS.

Conclusion:
We report a rare case of MFS metastasis. To the best of our knowledge, this is the eighth case of intracerebral metastasis from MFS.
The future of artificial intelligence in neurosurgery: A narrative review
Authors: Iqbal Javed , Jahangir Kainat , Mashkoor Yusra , Sultana Nazia , Mehmood Dalia , Ashraf Mohammad , Iqbal Ather , Hafeez Muhammad Hassan 
Published: November 2022

Background:
Artificial intelligence (AI) and machine learning (ML) algorithms are on the tremendous rise for being incorporated into the field of neurosurgery. AI and ML algorithms are different from other technological advances as giving the capability for the computer to learn, reason, and problem-solving skills that a human inherits. This review summarizes the current use of AI in neurosurgery, the challenges that need to be addressed, and what the future holds.

Methods:
A literature review was carried out with a focus on the use of AI in the field of neurosurgery and its future implication in neurosurgical research.

Results:
The online literature on the use of AI in the field of neurosurgery shows the diversity of topics in terms of its current and future implications. The main areas that are being studied are diagnostic, outcomes, and treatment models.

Conclusion:
Wonders of AI in the field of medicine and neurosurgery hold true, yet there are a lot of challenges that need to be addressed before its implications can be seen in the field of neurosurgery from patient privacy, to access to high-quality data and overreliance on surgeons on AI. The future of AI in neurosurgery is pointed toward a patient-centric approach, managing clinical tasks, and helping in diagnosing and preoperative assessment of the patients.
Pengembangan Paket Pelatihan Pola Bimbingan Peningkatan Emotional Spiritual Quotient (ESQ) Anak
Authors: Wardhani Ardha , Santoso Agus 
Published: November 2022

The purpose of this research is to improve the competence of teacher guidance and counseling in classical guidance services through a school-based lesson study (LSBS) in District Jatinangor Sumedang. The used approach is a quantitative study with single-subject design with a pattern AB. Research carried out by conducting a preliminary study, the measurement of the baseline condition three times, the provision of school-based interventions lesson study conducted four sessions once a week while the measurament intervention condition, and data analysis. The results of a preliminary study of 101 guidance and counseling teachers competence showed that 77 teachers were included in competent category, 24 teachers were incompetent teachers. Than it was measured by baseline, there 3 guidance and counseling teachers were incompetent. Empirical test results showed that school-based lesson study can improve the competence of guidance and counseling teachers in junior high school Jatinangor Sumedang District. The implementation of classical guidance services through school-based lesson study can improve the competence of the 3 guidance and counseling teachers in many aspects: 1) Mastering the theoretical framework and practical guidance and counseling, (2) Mastering the concepts and practice of assessment to understand the conditions, the needs and the problems of the counselee, (3) Designing the guidance and counseling program, (4) Assessing the process and results of operations guidance and counseling.
Pendekatan Spiritual dalam Bimbingan Konseling di Era Disrupsi
Authors: Mierrina Mierrina 
Published: November 2022

Era disrupsi adalah era revolusi industri 4.0 yang ditandai perubahan fundamental dalam kehidupan yang lebih efisien dan bermanfaat di masyarakat, sebagai dampak dari inovasi teknologi digital melalui penguasaan dan pemanfaatan ilmu pengetahuan dan teknologi untuk meningkatkan kualitas hidup. Dampak di era disrupsi saat ini adalah interaksi antar manusia cenderung menggunakan media sosial teknologi digital, dan memperkecil interaksi tatap muka. Seiring dengan hal itu, berbagai permasalahan manusia muncul di permukaan, seorang suami yang menceraikan suaminya melalui pesan whatsapp, seorang suami atau istri yang kecanduan game online yang pada akhirnya melakukan perselingkungan secara virtual, anak-anak yang sibuk dengan gawainya dan kecanduan game, dan masih banyak lagi. Bahkan semakin banyak profesi atau pekerjaan yang tergantikan oleh robot atau artificial intellegence. Namun bagi tata laksana bimbingan konseling, era cyber ini bukanlah momok, melainkan sebagai suatu tantangan yang harus dihadapi dengan suatu tindakan nyata. Dalam hal ini aspek rasa, empati dan kepekaan sosial yang dilakukan dalam bimbingan konseling oleh seorang konselor, masih belum bisa tergantikan oleh peran artificial intellegence. Utamanya lagi tata laksana bimbingan konseling dengan menggunakan pendekatan spiritual, memungkinkan untuk menjawab tantangan revolusi industri 4.0 untuk menangani permasalahan manusia seperti tersebut di atas.
Inventarisasi makanan tradisional dalam menunjang pengembangan wisata kuliner
Authors: Harsana Minta , Rinawati Wika , Fauziah Afia 
Published: November 2022

<span lang="EN-US">Inventarisasi makanan tradisional di Kabupaten Sleman Daerah Istimewa Yogyakarta di fokuskan pada makanan tradisional yang masih dapat ditemui di berbagai sentra kuliner di wilayah Kabupaten Sleman dan bertujuan untuk: Mengidentifikasi potensi makanan tradisional di Kabupaten Sleman dari jenis sajian. Penelitian ini menggunakan metode penetian deskriptif dengan analisis model Miles dan Hubermen. Dalam analisis tersebut terdapat beberapa tahap yaitu: data reduction, data display dan conclutions drawing/verification. Penilitian dilakukan dengan melakukan wawancara, observasi dan dokumentasi terhadap sample yang diperoleh secara snowball purposive sampling dari populasi dari penilitian ini yaitu seluruh pasar makanan tradisional dan sentra-sentra kuliner makanan tradisional yang addi Kabupaten Sleman Daerah Istimewa Yogyakarta.Hasil Penelitian ini: Identifikasi jenis sajian Makanan Tradisional di Kabupaten Sleman di kategorikan menjadi 5 jenis sajian. Yaitu (1) Hidangan Pokok, (2) Lauk pauk, (3) Kudapan, (4) Minuman dan (5) Hidangan Sepinggan. Makanan tradisional yang terdata sebanyak 212 produk makanan tradisional dari 31 pasar tradisional yang ada di Kabupaten Sleman. Produk makanan tradisional yang terdata kemudian di kelompokan ke dalam 5 jenis sajian makanan dengan sebaran: 12 hidangan pokok, 15 lauk paku, 152 kudapan dan 8 minuman dan 25 hidangan sepinggan.</span>
Upaya peningkatan hasil belajar pembagian pecahan biasa dengan pendekatan konstruktivisme di kelas VI sekolah dasar
Authors: Syair Nofrianti 
Published: November 2022

Jenis penelitian adalah Penelitian Tindakan Kelas menggunakan pendekatan kualitatif dan kuantitatif. Subjek penelitian guru dan 21 siswa kelas VI. Teknik pengumpulan data menggunakan observasi, tes, dokumentasi. Analisis data menggunakan analisis data kualitatif yaitu reduksi data, penyajian data, kesimpulan. Analisis data kuantitatif yaitu analisis deskriptif. Penelitian dilaksanakan II siklus. Setiap siklus terdiri dari perencanaan, pelaksanaan, pengamatan, refleksi. Hasil penelitian menunjukkan peningkatan dari siklus I ke siklus II, perencanaan pembelajaran dari 71,43% (baik) menjadi 89,29% (sangat baik). Aktivitas guru dari 67,5% (cukup) menjadi 87,5% (sangat baik), aktivitas siswa dari 68,75% (cukup) menjadi 87,5% (sangat baik). Hasil belajar aspek kognitif siswa dari 66,13 (cukup) menjadi 81,02 (sangat baik), afektif dari 60,41 (cukup) menjadi 80,45 (sangat baik), psikomotor dari 59,46 (kurang) menjadi 81,44 (sangat baik). Dapat disimpulkan bahwa pendekatan konstruktivisme dapat meningkatkan hasil belajar pembagian pecahan biasa di Kelas VI UPT SDN 13 Kubang Kec. Bayang Kabupaten Pesisir Selatan.
Penerapan Solution-Focus Brief Counseling (SFBC) Untuk Meningkatkan Kemampuan Kerjasama Pada Mahasiswa
Authors: Atika Amelia , Hastiani Hastiani 
Published: November 2022

Tujuan penelitian yaitu menghasilkan panduan solution focus brief counseling (SFBC) untuk meningkatkan kemampuan kerja sama mahasiswa bimbingan dan konseling. Fokus masalah dalam penelitian ini adalah meningkatkan kemampuan kerjasama mahasiswa IKIP-PGRI Pontianak. Pendekatan menggunakan Penelitian Tindakan Kelas (PTK) melalui dua siklus. Penilaian aspek kerjasama mahasiswa dalam penerapan panduan SFBC untuk meningkatkan kemampuan kerjasama mahasiswa. Penilaian aspek kerjasama mahasiswa dalam dalam penerapan panduan SFBC menggunakan pedoman observasi adapun indikator mencangkup komunikasi, koordinasi, kontribusi, toleransi, tanggung jawab, dan motivasi. Hasil penelitian menunjukkan bahwa panduan SFBC dapat meningkatkan keterampilan kerjasama mahasiswa. Adapun perolehan indikator kerjasama pada setiap siklus tergolong “Baik” dan “Sangat Baik”, untuk perolehan rerata setiap siklus. Panduan SFBC untuk meningkatkan kemampuan kerjasama mahasiswa, yang terdiri dari: Rasional, tujuan pelaksanaan, pelaksanaan, teknik-teknik terapi SFBC, evaluasi, dan tindak lanjut. Setelah penerapan panduan SFBC maka dapat disimpulkan bahwa panduan SFBC dapat digunakan untuk meningkatkan kemampuan kerjasama mahasiswa.
JAPONYA GENELKURMAY BAŞKANLIĞI İSTİHBARAT BÜROSUNUN OLUŞUMU
Authors: ALTIN Uğur 
Published: November 2022

Bu makalenin amacı, Japonya Kara Kuvvetlerinin ayrıcalıklı başkomutanlığı olan Japonya Genelkurmay Başkanlığı’nın altında kurulan istihbarat toplama bürosunun, Meiji döneminden I. Dünya Savaşına kadar nasıl değişime uğradığını ve bu büronun ne şekilde bürokratik bir yapılanma geliştirdiğini ortaya koymaktır. Bunun yanı sıra, Japonya Genelkurmay Başkanlığının yabancı ülkelerde kurduğu istihbarat ağı incelenecektir.
I. Bölümde, Japonya Genelkurmay Başkanlığı kurulmadan önceki dönemde Ordu Bakanlığı altında var olan istihbarat birimi incelenecektir. Ayrıca, bu istihbarat biriminin istihbarat kapasitesi, görev ve işlevleri hususunda yapılan yönetmelik değişiklikleriyle ortaya konulacaktır.
II. bölümde, Prusya modeline göre yapılandırılan Japonya Genelkurmay Başkanlığı’nın kurulma süreci ayrıntılı bir şekilde incelenecektir. Japonya Genelkurmay Başkanlığı, yaptığı yönetmelik değişiklikleriyle istihbarat toplama sistemini nasıl değiştirdiği, istihbarat ağının hangi nedenlerle genişlediği açığa çıkarılacaktır.
Son olarak III. Bölümde, gerçekleştirilen yapısal reformlarla askeri ataşe ve gözlemcilerin Avrupa ve Amerika’da oluşturduğu istihbarat ağı kronolojik olarak ortaya çıkarılacaktır. Öte yandan, Japonya Genelkurmay Başkanlığı’nın istihbarat hedef ve amaçları, bunların dönemin konjonktürüne göre nasıl değiştiği irdelenecektir.
PENGARUH PELATIHAN DAN PENGEMBANGAN KARIR TERHADAP KINERJA PEGAWAI NEGERI SIPIL SEKRETARIAT DAERAH KABUPATEN KARAWANG
Authors: Ari Hashari Ari Hashari , Nadeak Banuara , Chaerudin Chaerudin 
Published: November 2022

The purpose of this study is to determine the effect of training on employee performance, to determine the effect of career development on employee performance, to determine the effect of training and career development to employee performance.
The research method used is descriptive and verification. Respondents in this study were 106 employees of the Regional Secretariat of Karawang Regency. The data collection technique used is a questionnaire. The data analysis method used is the classical assumption test, multiple linear regression analysis, correlation analysis, coefficient of determination, and hypothesis testing. Data analysis was performed using SPSS 16.
The results of this study indicate that the variable of Career Training and Development has a correlation coefficient of 39.4% with a weak and unidirectional relationship. In the partial regression coefficient test (t test) the training variable has a t count of (6.345) and career development has a t count of (2.992) both have a t count greater than t table (1.983) and a significance value smaller than ( 0.05). Meanwhile, based on the results of simultaneous regression coefficient testing (f test) it is obtained that f count (37.963) is greater than f table (3.08). The total effect of training and career development on employee performance is 42.4% and the remaining 57.6% is the contribution of other variables (ɛ) which were not examined in this study.
PELATIHAN PEMBUATAN RANSUM FLUSHING DOMBA
Authors: Sudrajat Deden , Handarini Ristika , Kardaya Dede , Malik Burhanudin , Anggraeni  , Wahyuni Dewi , Baharun Abdulah 
Published: November 2022

ABSTRAK
Peternak domba di Desa Sukaresmi tergabung dalam Gabungan Kelompok Peternak Sukaresmi dengan sistem pemeliharaan secara tradisional, sehingga berdampak pada produktivitasnya antara lain: pertambahan bobot badannya rendah sehingga pemeliharaan untuk tujuan penggemukan memerlukan waktu yang lebih lama yaitu 8 bulan, kelahiran 1 anak per tahun, bobot lahir anak rendah, mortalitas tinggi dan skor kondisi tubuh ternak rendah. Kondisi ini dapat diperbaiki dengan cara pemberian flushing yaitu pakan dengan kandungan protein dan energi tinggi yang diberikan pada kondisi tertentu sehingga meningkatkan performa produksi dan reproduksi ternak domba pada fase pertumbuhan, menjelang perkawinan, bunting, beranak dan menyusui. Tujuan kegiatan pengabdian ini untuk meningkatkan pengetahuan dan keterampilan peternak dalam pembuatan pakan fluhing ternak domba sebagai upaya peningkatan produktivitas ternak domba dan hilirisasi dari hasil penelitian untuk mencapai indikator kinerja utama (IKU) 5 dan 7. Peserta pelatihan adalah: 24 orang peternak domba yang tergabung dalam Gabungan Kelompok Peternak Sukaresmi (Gapoktan Sukaresmi). Kegiatan pengabdian dilaksanakan di Desa Sukaresmi Kecamatan Megamendung Kabupaten Bogor. Metode pengabddian adalah: penyuluhan dan praktek pembuatan pakan flushing ternak domba. Sebelum dan sesudah pemberian materi diberikan pre test dan post test untuk mengetahui peningkatan pengetahuan peternak domba setelah diberikan penyuluhan dan praktek pembuatan pakan flushing. Peternak mengikuti seluruh kegiatan yang terbagi atas 5 sesi: survey untuk pemetaan kondisi existing peternakan domba, sosialisasi kegiatan pengabdian, pre test dan penyuluhan pembuatan pakan flushing, praktek pembuatan pakan flushing dan post test, terakhir pemberian pakan flushing pada ternak domba (aplikasi). Kesimpulan dari kegiatan pengabdian ini adalah peningkatan pengetahuan peternak sebagai proses transfer knowledge dan teknologi sebesar 16.65%. Kegiatan diharapkan akan berlanjut melalui pendampingan bagi peternak untuk menggali potensi sumber pakan yang ada di Desa Sukaresmi sehingga keterampilan peternak lebih baik lagi dalam memanfaatkan sumber-sumber bahan pakan yang ada disekitar peternakan
Role of Histopathology in diagnosis of Soft Tissue Tumors at Tertiary Care Center
Authors: Gautam Nikita , Makaju Ramesh , Dhakal Rachana , Basnet Dipika , Lama Binita 
Published: November 2022

Introduction: Soft tissue tumors (STTs) are a diverse group of neoplasms. It varies from the most common benign tumors to some self-limited lesions and rare malignant soft tissue tumors. Because of the overlap in their clinical and radiological characteristics, histopathology is crucial in determining their diagnosis.
Objectives: To study the relative frequencies of types of soft tissue tumors (benign, intermediate and malignant) as well as their histological pattern in relation to age, gender and site of distribution.
Methodology: This was a retrospective study conducted over a period of three years from January 2018 to December 2020 in the Department of Pathology, Dhulikhel Hospital, Kavre Nepal. This study included STTs of all the anatomical sites excluding STTs of the female reproductive system. The tumors were classified as benign, intermediate, or malignant using the WHO 2013 classification of soft tissue and bone tumors. The sarcomas were further graded into grades 1, 2, and 3 using the FNCLCC (French Federation Nationale des Centres de Lutte Contre le Cancer) grading system. Immunohistochemistry (IHC) and special staining procedures were also performed as and when required.
Result: A total of 198 STTs were studied, of which benign cases were 191 (96.45%), intermediate 03 (1.52%) and malignant 04 (2.03%) in number. The most common type of STTs was vascular tumors 77(38.89%) followed by adipocytic tumors 52(26.26%) and nerve sheath tumors 13(6.56%). STTs were most common in the third decade of life, with the head and neck region being the commonest site. All four malignant tumors were categorized using the FNCLCC grading system. There were three cases of Grade 2 sarcoma and one case of Grade 3 sarcoma.
Conclusion: The most common benign tumors were vascular tumors followed by adipocytic tumors and nerve sheath tumors. STTs were most common in the third decade of life. Benign tumors were more common than malignant tumors. In comparison to malignant tumors, benign tumors were found at a younger age group. STTs were found mainly in the head and neck region followed by upper and lower limbs. Despite the fact that molecular diagnostics is gaining popularity in the field of soft tissue tumors, histopathology still remains the gold standard.
Clinico-pathological Study of Solid Cancer patients receiving chemotherapy at Birat Medical College Teaching Hospital
Authors: Sapkota Sulav , Priyadarshini Mona 
Published: November 2022

Introduction: Solid cancers are increasing in eastern region of Nepal. There are very few centers providing chemotherapy treatment to solid cancer patients in eastern region of Nepal.
Objectives: The aim of this study is to stratify the types of solid cancers and study their socio-demographic and clinicopathological features of solid cancer.
Methodology: This descriptive cross sectional study was conducted from 1st September 2020 to 1st july 2021 at the department of Oncology . All the histologically proven patients of solid cancers, derived from solid organs like lung, stomach, liver, breast etc, receiving chemotherapy during the study period were taken as study population. All the relevant data were entered in the excel sheet and analyzed by the help of statistical software.
Result: There were total seventy three cases who got admitted for chemotherapy during the study duration at the department of Oncology. The patients were between 30-85 years, with the mean age of 59 years and the proportion of females were almost double (64%) than male. 78% cancers were advanced staged in contrast to 22% early stage cancers. Cases were majorly with clinical remission (30%) out of which most common were breast and colorectal cancers. Total 58% of the cases were alive while 42% of the cases expired during the study period.
Conclusion: There is a need of comprehensive cancer center in eastern region of Nepal due to increase in the burden of solid cancers.
Outcome of unstable intertrochanteric fractures managed with Proximal Femoral Nail Anti-rotation-II: A study in elderly Nepalese population.
Authors: Kunwar Suman Dhoj , Sitoula Prakash , Jha Ranjib Kumar , Thapa Bishwamber , Rajthala Ashish 
Published: November 2022

Introduction: The ideal implant for treating unstable intertrochanteric fracture has been controversial. Studies have shown good results with various intra-medullary nails. Likewise, Proximal Femoral Anti-rotation-II (PFNA-II) has been designed for the Asian population. But the knowledge about the outcomes of PFNA II in our particular region has been lacking.
Objectives : To evaluate the radiological and functional outcome of unstable intertrochanteric fractures in elderly patients managed with PFNA-II.
Methodology: This is a prospective clinical study conducted at Nobel Medical College between February 2019 and March 2021. Patients above 65 years of age with unilateral unstable intertrochanteric fracture were managed with PFNA-II. Radiological union and complications were recorded. Functional outcome was assessed on the basis of modified Harris Hip Score.
Results: Twenty-nine patients were included in the final evaluation and had at least one year follow-up. Two patients (6.8%) had superficial infection. The average Tip Apex Distance (TAD) was 22.28 mm (range, 18- 28 mm). Mean modified Harris Hip Score at one year was 82.59 with good outcome in 23(79.3%) patients.
Conclusion: This study showed that good clinical outcome can be obtained when radiological parameters are restored. Good intra-operative fracture reduction, and optimal positioning and length of helical blade are crucial. We believe that PFNA-II is an excellent implant to treat unstable intertrochanteric fractures in elderly patients.
Prevalence of Escherichia coli and Salmonella spp from Chicken Meat Samples of Bharatpur, Chitwan
Authors: Thapa R. , Thapa D. B. , Chapagain A. 
Published: November 2022

Bacterial contamination and high antibiotic resistance properties of broiler chicken meat are of major risk to public consumers and poultry farming. With the major objective to determine the prevalence rate of E. coli and Salmonella and their antibiotic resistance properties we conducted this cross-sectional study for the period of three months (April- July, 2018) at National Avian Disease Investigation Laboratory, Bharatpur, Chitwan. A total of 100 samples were collected in sterile/dry plastic bags from different shops located in the vicinity of Bharatpur, and transported to the laboratory for further processing following standard microbiological techniques. Samples were crushed in mortar pestle followed by streaking on EMB agar and XLD agar for isolation of E. coli and Salmonella. Isolates were identified by determining their colony characters, gram staining and biochemical results. Major isolates in our study was E. coli (n=56/100; 56%) and isolation rate was higher from the fresh meat sample (n=51/70; 72.8%) and which was washed by ground water (n=63/88; 71.5%). Isolation rate of E. coli and Salmonella was not significantly associated with the areas from where the samples were collected in urban areas (for E. coli; p=0.68 and for Salmonella; p=0.50 respectively) however higher rate of isolation was seen form shop located in urban area. Antibiotic sensitivity testing revealed that Ciprofloxacin was most effective against E. coli (n=45/56; 80.3%) and Azithromycin was effective against Salmonella, (n=9/10; 90.0%) however, both isolates showed maximum resistance over Nalidixic Acid. This study is strongly indicative of improper sanitary practices for chicken meat handling and suggests for performing antibiotics susceptibility testing against the bacteria before prescribing any antibiotics.