bluuebunny/crossref_metadata_2025_split huggingface dataset:
Multiple etiologies of secondary headaches associated with arachnoid cyst, cerebrospinal fluid hypovolemia, and nontraumatic chronic subdural hematoma in an adolescent: A case report
Authors: Shimizu Sae , Ito Sayaka , Higuchi Kazushi 
Published: August 2022

Background:
Diagnosing the cause of headaches can be challenging. Even if intracranial lesions are found in a patient, careful assessment is essential for diagnosis, and treatment strategies will differ for each etiology.

Case Description:
A 16-year-old boy presented with sudden-onset headache which had lasted for 2 days. His headache was aggravated in the orthostatic position. The patient denied recent head trauma. He had been diagnosed with an arachnoid cyst (AC) in his right middle cranial fossa. Computed tomography (CT) revealed bilateral subdural effusions and slit-like lateral ventricles with no significant changes to the AC. After intravenous hydration followed by 2 days bed rest, his symptoms abated. He was diagnosed as having suffered spontaneous cerebrospinal fluid (CSF) hypovolemia. One month later, the patient experienced recurrent gradual onset headache and vomiting. CT revealed chronic right side subdural hematoma (SDH) with intracystic hemorrhage, which resulted in the elevation of intracranial pressure. An urgent hematoma evacuation was performed. He became symptom-free immediately after surgery. Postoperative follow-up CT showed no change in the AC and no recurrence of SDH. The lateral ventricles and subdural space were normal in size.

Conclusion:
We report a case presenting multiple types of secondary headaches, which were caused by intracranial hypotension or hypertension, with different etiologies. These were spontaneous CSF hypovolemia, nontraumatic intracystic hemorrhage form of AC, and nontraumatic chronic SDH. Although lesions seen at the time of initial diagnosis did not need surgical treatment, careful observation and repetitive imaging assessments might be useful for discovering unsuspected additional etiologies requiring surgical intervention.
Modified lateral orbitotomy approach for resection of anterior temporal cavernous malformation
Authors: Rennert Robert C. , Bounajem Michael T. , Budohoski Karol P. , Mortimer Vance R. , Couldwell William T. 
Published: August 2022

Background:
The lateral orbitotomy approach (LOA) provides a direct and minimally invasive corridor to orbital apex, cavernous sinus, and middle cranial fossa (MCF) lesions. Removal of the lateral orbital wall and retraction of the orbital contents, as performed with a traditional LOA, can cause diplopia and enophthalmos and affect visual acuity. The modified LOA (mLOA) preserves the lateral orbital wall to limit this morbidity.

Case Description:
A 58-year-old man experienced new-onset headaches and anxiety attacks that improved with anti-seizure medication. He was neurologically intact on examination. Magnetic resonance imaging demonstrated a 2-cm right anterior temporal cavernous malformation with an associated hemosiderin ring. Electroencephalogram revealed right temporal intermittent rhythmic delta activity suspicious for anterior temporal lobe epilepsy. He underwent an endoscopic-assisted keyhole mLOA for resection of the cavernoma and hemosiderin-stained brain. Key steps included a Y-shaped incision in the upper eyelid/lateral canthus, removal of a 1.5-cm segment of the lateral orbital rim, drilling of the lateral orbital wall with preservation of the medial cortex, drilling the lateral sphenoid ridge to access the anterior temporal lobe, resecting the cavernoma with endoscopic assistance for removal of all potentially epileptogenic abnormal brain, and plating the orbital rim as part of a layered closure. Postoperatively, he remained neurologically intact. He was discharged on postoperative day 4 after resolution of a cerebrospinal fluid leak with lumbar drainage. On follow-up, his anxiety attacks had completely resolved, and his incision was well-healed.

Conclusion:
The mLOA is an ideal keyhole technique for selected lesions of the MCF.
Thirty-two nails injected into the head: An operative report and review of the literature
Authors: Zima Laura A. , Srinivasan Subhiksha , Budde Brad , Kitagawa Ryan 
Published: August 2022

Background:
Self-inflicted nail gun injuries are a rare phenomenon that can result in traumatic damage. The velocity of the nail is generally fast enough to penetrate the skull. However, the extent of damage depends on the exact angle and structures of the brain encountered by the nails.

Case Description:
A 55-year-old male presented with 32 nails in the head and was found down. Initially, the patient presented with localization but had to be intubated soon after due to declining condition. This report describes the operative technique for safe removal of all nails, separated into six categories based on location and structures of the brain encountered. A review of literature revealed potential complications such as hemorrhage and infections and how to protect against these undesired effects.

Conclusion:
Self-inflicted nail gun head injuries are an uncommon form of traumatic head injury. Some important tools that helped prevent our patient from developing major complications included stereotactic navigation, antibiotic prophylaxis, and angiography to carefully monitor for vascular injuries.
Epidemiological profile of COVID-19 in the French overseas department Mayotte, 2020 to 2021
Authors: Subiros Marion , Robert De Latour Charlotte , Parenton Fanny , Soulaimana Ibtissame , Hassani Youssouf , Blondé Renaud , Pousset François , Boué Yvonnick , Estagnasie Camille , Martin-Lecamp Gonzague , Diallo Abdoulahy , Balloy Lucas , Niang Mohamadou , Caralp Christophe , Cann Aurélie , Chamouine Abdourahim , Miquel Alice , Dennetière Geneviève , Durand Julie , Jean Maxime , Olivier Sophie , Collet Louis , Tayeb Nicole , Combe Patrice 
Published: August 2022

Background
During the COVID-19 pandemic, national and local measures were implemented on the island of Mayotte, a French overseas department in the Indian Ocean with critical socioeconomic and health indicators.

Aim
We aimed to describe the COVID-19 outbreak in Mayotte from March 2020 to March 2021, with two waves from 9 March to 31 December 2020 and from 1 January to 14 March 2021, linked to Beta (20H/501Y.V2) variant.

Methods
To understand and assess the dynamic and the severity of the COVID-19 outbreak in Mayotte, surveillance and investigation/contact tracing systems were set up including virological, epidemiological, hospitalisation and mortality indicators.

Results
In total, 18,131 cases were laboratory confirmed, with PCR or RAT. During the first wave, incidence rate (IR) peaked in week 19 2020 (133/100,000). New hospitalisations peaked in week 20 (54 patients, including seven to ICU). Testing rate increased tenfold during the second wave. Between mid-December 2020 and mid-January 2021, IR doubled (851/100,000 in week 5 2021) and positivity rate tripled (28% in week 6 2021). SARS-CoV-2 Beta variant (Pangolin B.1.351) was detected in more than 80% of positive samples. Hospital admissions peaked in week 6 2021 with 225 patients, including 30 to ICU.

Conclusion
This massive second wave could be linked to the high transmissibility of the Beta variant. The increase in the number of cases has naturally led to a higher number of severe cases and an overburdening of the hospital. This study shows the value of a real-time epidemiological surveillance for better understanding crisis situations.
Sosialisasi Pendampingan Belajar Anak Pada Masa Pandemi Untuk Kelas Rendah Di SDIT Bina Insani Kediri
Authors: Fahmi Imron Ilmawati , Sri Mujiwati Endang , Erwin Putera Permana  , Alfi Laila  
Published: August 2022

The purpose of conducting the socialization of children's learning assistance during the pandemic period for the lower classes at SDIT Bina Insani Kediri is to increase the understanding of the guardians of students about children's learning styles, learning characteristics, psychological development of their sons and daughters so that in accompanying students' learning online, the guardians of the students already have the provisions that enough. This community service uses community assistance methods. This method is used in activities that aim to provide information, increase understanding and awareness to the public. The results of the socialization are based on interviews during socialization at zoom and the results of the questionnaire are that the majority of student guardians already understand about online learning, the obstacles that students experience while learning, and are able to accompany their children to study at home because they realize that parents are important players in learning children at home as a substitute for the teacher at school.
The purpose of conducting the socialization of children's learning assistance during the pandemic period for the lower classes at SDIT Bina Insani Kediri is to increase the understanding of the guardians of students about children's learning styles, learning characteristics, psychological development of their sons and daughters so that in accompanying students' learning online, the guardians of the students already have the provisions that enough. This community service uses community assistance methods. This method is used in activities that aim to provide information, increase understanding and awareness to the public. The results of the socialization are based on interviews during socialization at zoom and the results of the questionnaire are that the majority of student guardians already understand about online learning, the obstacles that students experience while learning, and are able to accompany their children to study at home because they realize that parents are important players in learning children at home as a substitute for the teacher at school.
PELATIHAN PEMBUATAN SOAL KOGNITIF MENGGUNAKAN APLIKASI KAHOOT UNTUK MENINGKATKAN MOTIVASI BELAJAR SISWA DALAM PEMBELAJARAN DARING PADA GURU SDN LIRBOYO 1 DAN SDN LIRBOYO 2
Authors: Primasatya Nurita , Kharisma Eka Putri  , Kukuh Andri Aka  , Wahid Ibnu Zaman  , Sutrisno Sahari  , Novi Nitya Santi  , Dhian Dwi Nurwenda  , Rian Damariswara  , Ilmawati Fahmi Imron  , Zahara Violina Afya  , Arim Septiawan  
Published: August 2022

Kahoot merupakan salah satu media pembuatan soal secara online. Guru dapat menentukan model soal sesuai dengan kebutuhan belajar siswanya, seperti menggunakan model pilihan, ganda, benar salah, puzzle dan lain sebagainya. Guru dapat menampilkan gambar, audio bahkan video dalam soal yang telah dibuat. Siswa dapat mengerjakan soal melalui link yang dibagikan oleh guru tanpa mengunduh aplikasi. Guru juga dimudahkan karena tidak perlu mengoreksi hasil pekerjaan siswa. Hal ini menjadikan proses evaluasi lebih efisien dari segi waktu dan pengadministrasian. Tujuan kegiatan pengabdian kepada masyarakat yang dilaksanakan bagi guru SDN Lirboyo 1 dan 2 Kediri ialah memberikan pelatihan dan pendampingan kepada guru agar guru dapat menyusun soal dengan tampilan yang menarik menggunakan aplikasi kahoot. Hasil dari pengabdian masyarakat menunjukkan 78% guru telah mengimplementasikan pembuatan soal menggunakan aplikasi kahoot, artinya kegiatan pelatihan telah terlaksana dengan baik. Hasil questioner menunjukkan bahwa aplikasi mudah digunakan namun memiliki kendala khususnya dalam penggunaan aplikasi versi gratis yang memiliki model soal yang terbatas.
Hubungan Tingkat Pengetahuan Perawat tentang Identifikasi dalam Patient Safety dengan Pelaksanaannya di Ruang Rawat Inap RSUD SK. Lerik Kupang
Authors: Arini Diyah , Yuliastuti Christina , Jawa Ito Rofina Lusia 
Published: August 2022

Patient identification is a process for give a sign or identifier that includes the medical record number and patient identification with the purpose to make differences between another patients in order to accuracy of the provision services, the treatment and the implementation procedure to the patient. The purpose of this research was to determine The Relationship Level of Nurses Knowledge About Identification in Patient Safety with the Implementation at S. K Lerik Kupang inpatient hospital. Design an observational analytic study with cross sectional approach. The number of samples in this research from 64 nurses who were taken through simple random sampling technique. The results from of the study showed that 78.1% had good enough knowledge and 21.9% had good knowledge. In its implementation 79,7% were good enough and 20,3% were good at carrying out patient safety identification. The Spearman rho test indicate that presence of relationship between the level of nurses knowledge about identification in patient safety with implementation, p = 0.001(p< a = 0.05). The conclusion from this research is the nurses knowledge in the implementation of patient identification in pretty good category. The results of this study can be input in order to more improve their knowledge through seminars and training about patient identification as well as apply the nurses knowledge in the implementation of patient identification. Keywords : Knowledge, Identification in patient safety
ANALISIS HUBUNGAN TINGKAT AKTIFITAS FISIK TERHADAP KEJADIAN RESIKO JATUH PADA PASIEN FRAKTUR DI RSUD MARDI WALUYO BLITAR
Authors: Laili Nurul 
Published: August 2022

Pendahuluan : Kejadian Fraktur menjadi masalah kesehatan dunia. Mobilitas transportasi yang semakin tinggi berakibat terjadinya kecelakaan dan menjadi penyumbang terbesar kejadian Fraktur. Keterbatasan aktifitas fisik pada kondisi Fraktur dapat meningkatkan kejadian jatuh pada saat perawatan di Rumah Sakit. Tujuan penelitian adalah untuk mengidentifikasi hubungan tingkat aktifitas fisik terhadap kejadian resiko jatuh pada pasien Fraktur. Metode: Desain yang digunakan dalam penelitian ini adalah cross sectional. Populasi dalam penelitian ini adalah seluruh pasien yang mengalami Fraktur. Tehnik sampling yang di gunakan adalah purposive sampling. Sampel dalam penelitian ini adalah pasien Fraktur yang di rawat di RSUD Mardi Waluyo Blitar pada bulan April-Mei 2019 sebanyak 42 responden. Analisa yang dilakukan dalam penelitian ini dengan menggunakan Uji Korelasi Pearson.Hasil : Hasil Uji Korelasi Pearson diperoleh nilai Significancy p value 0,000, artinya ada hubungan antara tingkat aktivitas fisik dengan resiko jatuh pada pasien Fraktur di RSUD Mardi Waluyo Blitar.Analisis:Semakin tinggi tingkat aktifitas pasien dengan fraktur melakukan tindakan atau aktifitas fisik, semakin tinggi resiko jatuh yang akan di alami pasien tersebut. Fraktur menyebabkan penurunan kemampuan aktifitas atau rentang pergerakan. Aktifitas fisik merupakan gerakan tubuh yang dihasilkan oleh otot rangka yang memerlukan pengeluaran energi.Kesimpulan : Hasil penelitian menunjukkan bahwa tingkat aktifitas fisik yang sedang berhubungan dengan kejadian resiko jatuh yang rendah dengan analisis keeratan hubungan kedua variable tersebut lemah. Dari hasil penelitian tersebut diharapkan seorang perawat dapat mengidentifikasi pasien yang mengalami resiko jatuh dengan memberikan tanda (gelang kuning) dan memberikan alat bantu pengaman bagi pasien yang beresiko tinggi sebagai bentuk manajement pasien safety.
Perbedaan Efektifitas Breathing exercise dan Batuk Efektif terhadap Peningkatan Ekspansi Paru Penderita TB Paru
Authors: Rinarto Nisha Dharmayanti , Setiadi Setiadi , Sari Ninik Ambar 
Published: August 2022

Introduction: Pulmonary TB is a contagious disease in the respiratory system caused by the bacterium Mycobacteria tuberculosis. The purpose of this research is to analyze the difference in the effectiveness of breathing exercise and effective cough to increase lung expansion of pulmonary tuberculosis patients. Objectives: the purpose of this research is to analyze the difference in the effectiveness of breathing exercise and effective cough to increase lung expansion of pulmonary tuberculosis patients. Methods: The research design used Quasy experiment with a Pre-postes approach with a control group design. The population of this research was pulmonary TB patients at Perak Timur Surabaya Public Health Center amounting to 33 people. The sampling technique used Probability Sampling with Simple Random Sampling got a sample of 30 people. Independent variables were aromatherapy eucalyptus oil and breathing exercises. The dependent variable was pulmonary expansion in pulmonary tuberculosis patients. Instrumen in this research used Peak Flow Meter and an observation sheet. Data analysis used the One Way Annova Test. One Way Annova test results showed that breathing exercise was more effective when compared with aromatherapy eucalyptus oil in influencing the process of increasing pulmonary expansion in patients with pulmonary tuberculosis. Results: Results of aromatherapy analysis of eucalyptus oil with pulmonary expansion ρ = 0,530 (ρ ˃ α = 0,05), and breathing exercise with pulmonary expansion ρ = 0.026 (ρ < α = 0,05. Conclusions: The implications of the study show that breathing exercise is more effective for non pharmacology therapy to help increase lung expansion in patients with pulmonary tuberculosis so as to reduce shortness of breath.
IMPLEMENTASI SERTIFIKASI HALAL PADA PRODUK PANGAN DALAM RANGKA PERLINDUNGAN KONSUMEN (STUDI KASUS DOMINOS PIZZA)
Authors: Raisqi Najib Rasid 
Published: August 2022

Penelitian ini Berjudul Implementasi Sertifikasi Halal Pada Produk Pangan Dalam Rangka Perlindungan Konsumen Studi kasus pada Dominos Pizza. Merupakan salah satu studi untuk melihat Implementasi Sertifikasi halal bagi dunia Restaurant cepat saji Khusunya Dominos Pizza. Dan untuk memebrikan informasi bahwa Memakan makanan yang halal dan baik (halal dan thayyib) merupakan perintah agama yang disebutkan di dalam Al Quran Surat Al Baqarah ayat 168 dan hal ini memberi pengaruh terhadap pilihan dan pola konsumsi masyarakat (khususnya umat muslim). Sebagai produsen yang memahami hal ini, tentu pilihan bijak jika menyediakan dan memberikan keyakinan kepada konsumen atas produk pangannya dan secara umum merupakan cermin perlindungan atas hak konsumen untuk mendapat produk pangan yang halal dan baik sebagaimana diisyaratkan beberapa Peraturan Perundang-undangan. Penerbitan sertifikasi halal oleh MUI merupakan implementasi nyata sebagai suatu isyarat legal untuk menjadi ciri halal dan baik bagi suatu produk. Namun, perolehan sertifikasi bukan final karena justru memberikan implikasi bagi produsen agar secara internal menyiapkan berbagai perangkat dalam rangka menjaga kualitas dan kehalalan produknya. Salah satu kebijakan yang diambil oleh Dominos Pizza sebagai studi kasus dalam kajian ini adalah pembentukan QA (quality assurance) yang memegang otoritas untuk menguji, mengawasi dan mengeksekusi semua produk yang akan dikeluarkan mulai dari bahan baku, proses sampai akhirnya produk tersebut tiba ditangan konsumen. Kebijakan ini merupakan langkah yang cerdas yaitu selain untuk melindungi hak konsumen (memperoleh produk pangan yang halal dan baik) dengan cara terus menjaga keberadaan sertifikasi halal yang setiap dua tahun harus diperbaharui, namun secara tidak langsung dengan terjaganya kualitas dan kehalalan produknya maka Dominos Pizza telah maju selangkah di depan untuk merebut pangsa pasar (khususnya konsumen muslim) atas produk pangan sejenis
Patient satisfaction after multiple revision surgeries for adult spinal deformity
Authors: Durand Wesley M. , Daniels Alan H. , DiSilvestro Kevin , Lafage Renaud , Diebo Bassel G. , Passias Peter G. , Kim Han Jo , Protopsaltis Themistocles , Lafage Virginie , Smith Justin S. , Shaffrey Christopher I. , Gupta Munish C. , Klineberg Eric O. , Schwab Frank , Gum Jeffrey L. , Mundis Gregory M. , Eastlack Robert K. , Kebaish Khaled , Soroceanu Alex , Hostin Richard A. , Burton Douglas , Bess Shay , Ames Christopher P. , Hart Robert A. , Hamilton D. Kojo , _ _ 
Published: August 2022

OBJECTIVE
Revision surgery is often necessary for adult spinal deformity (ASD) patients. Satisfaction with management is an important component of health-related quality of life. The authors hypothesized that patients who underwent multiple revision surgeries following ASD correction would exhibit lower self-reported satisfaction scores.

METHODS
This was a retrospective cohort study of 668 patients who underwent ASD surgery and were eligible for a minimum 2-year follow-up. Visits were stratified by occurrence prior to the index surgery (period 0), after the index surgery only (period 1), after the first revision only (period 2), and after the second revision only (period 3). Patients were further stratified by prior spine surgery before their index surgery. Scoliosis Research Society–22 (SRS-22r) health-related quality-of-life satisfaction subscore and total satisfaction scores were evaluated at all periods using multiple linear regression and adjustment for age, sex, and Charlson Comorbidity Index.

RESULTS
In total, 46.6% of the study patients had undergone prior spine surgery before their index surgery. The overall revision rate was 21.3%. Among patients with no spine surgery prior to the index surgery, SRS-22r satisfaction scores increased from period 0 to 1 (from 2.8 to 4.3, p < 0.0001), decreased after one revision from period 1 to 2 (4.3 to 3.9, p = 0.0004), and decreased further after a second revision from period 2 to 3 (3.9 to 3.3, p = 0.0437). Among patients with spine surgery prior to the index procedure, SRS-22r satisfaction increased from period 0 to 1 (2.8 to 4.2, p < 0.0001) and decreased from period 1 to 2 (4.2 to 3.8, p = 0.0011). No differences in follow-up time from last surgery were observed (all p > 0.3). Among patients with multiple revisions, 40% experienced rod fracture, 40% proximal junctional kyphosis, and 33% pseudarthrosis.

CONCLUSIONS
Among patients undergoing ASD surgery, revision surgery is associated with decreased satisfaction, and multiple revisions are associated with additive detriment to satisfaction among patients initially undergoing primary surgery. These findings have direct implications for preoperative patient counseling and establishment of postoperative expectations.