bluuebunny/crossref_metadata_2025_split huggingface dataset:
Stigma and Quality of Life in Women With Breast Cancer: Mediation and Moderation Model of Social Support, Sense of Coherence, and Coping Strategies
Authors: Zamanian Hadi , Amini-Tehrani Mohammadali , Jalali Zahra , Daryaafzoon Mona , Ramezani Fatemeh , Malek Negin , Adabimohazab Maede , Hozouri Roghayeh , Rafiei Taghanaky Fereshteh 
Published: February 2022

ObjectivesThe breast cancer stigma affects Health-related quality of life (HRQoL), while general resilience resources (GRRs), namely, sense of coherence (SOC), social support, and coping skills, are thought to alleviate this effect. The study aimed to explore the mediating/moderation role of GRRs in the relationship between stigma and HRQoL and its dimensions in Iranian patients with breast cancer.MethodsIn this cross-sectional study, Stigma Scale for Chronic Illness 8-item version (SSCI-8), SOC-13, Medical Outcome Survey- Social Support Scale (MOS-SSS), Brief COPE, and Functional Assessment of Cancer Therapy-Breast (FACT-B) were investigated in a convenience sample of Iranian women with confirmed non-metastatic breast cancer. Following the establishment of correlations using Pearson’s correlation, single and parallel mediation analysis and moderation analysis were conducted to determine the extent to which each GRR might be impacted by stigma or decrease the adverse impact of stigma on HRQoL.ResultsAn analysis of 221 women (response rate of 87.5%) with the mean age of 47.14 (9.13) showed that stigma was negatively correlated to all HRQoL’s dimensions (r = −0.27∼0.51, p &lt; 0.05), SOC (r = −0.26∼0.35, p &lt; 0.01), social support (r = −0.23∼0.30, p &lt; 0.01), and the bulk of coping skills. In the single mediation analysis, stigma affected all facets of SOC, all subscales of social support, and positive reframing, which partially reduced breast cancer HRQoL. Stigma affects general HRQoL through damaging meaningfulness, social support (except for tangible), and positive reframing. Meaningfulness was marked as the most impacted GRR in terms of all domains of HRQoL. In parallel mediation, reduced meaningfulness, total social support, and positive reframing were highlighted as the pathways of diminished breast cancer HRQoL. Moderation analysis indicated the higher levels of humor, behavioral disengagement, and use of instrumental support behaviors to be functional in protecting different dimensions of HRQoL, while the results were mixed for venting, especially in patients with mastectomy surgery.ConclusionWhile GRRs may be impacted by stigma, they exert a relatively small protective effect against the impact of stigma on HRQoL. This study provides some novel findings, but longitudinal studies are needed to further verify these before any causal conclusion or recommendations for health policy can be drawn.
Maybe It's Not the Meth: Considering Biopsychosocial Contributors to Cognitive Impairment in Methamphetamine Polydrug Use
Authors: Gooden James R. , Petersen Vanessa , Bolt Georgia L. , Curtis Ashlee , Manning Victoria , Cox Catherine A. , Lubman Dan I. , Arunogiri Shalini 
Published: February 2022

ObjectiveIn considering the cognitive harms of methamphetamine (MA) use, there is currently a limited appreciation of the profile of pre-existing, comorbid, or modifiable risk factors for cognitive impairment in individuals with MA-polydrug use who present to clinical services. This is in contrast to the well-recognized evidence in alcohol use groups. The aim of this study was to investigate the biopsychosocial and neuropsychological profiles of MA-polysubstance using individuals reporting cognitive impairment in comparison to an alcohol-using group.MethodsA retrospective file audit was undertaken of individuals who presented for assessment to a specialist addiction neuropsychology service and reported either more than 1 year of heavy MA use as part of a polydrug use history (n = 40) or having only used alcohol (n = 27). Clinical histories including demographic, medical, mental health, substance use, and neuropsychological assessment results were extracted from medical records. Between group comparisons were conducted to explore differences in the MA-polydrug vs. the alcohol group.ResultsIndividuals in the MA-polydrug group were significantly younger, commenced substance use at an earlier age, were more likely to have an offending history, and experienced an overdose than those in the alcohol group. No differences in comorbid neurodevelopmental, psychiatric or acquired brain injury diagnoses were observed between groups. For neuropsychological functioning, significant group differences were observed in overall IQ, semantic verbal fluency, and psychomotor tracking, where individuals in the alcohol group performed significantly worse.ConclusionsNeuropsychological profiles were largely equivalent between groups across cognitive domains, with minor differences in favor of the MA-polydrug group. Relative to the general population, cognitive functioning was reduced for both groups across a range of domains. High rates of comorbid mental health concerns were common across both groups, however, individuals in the MA-polydrug group presented with a higher risk of overall harm from substance use at a significantly younger age which is a unique concern for this group. These findings highlight the importance of considering the biopsychosocial factors, such as age of first use, emotional distress, indirect substance related harms including overdose and blood born virus infection that may be relevant to experiences of cognitive difficulty in MA-polydrug users.
Reconstruction of Complex Soft Tissue Defects of the Heel With Versatile Double Skin Paddle Anterolateral Thigh Perforator Flaps: An Innovative Way to Restore Heel Shape
Authors: He Jiqiang , Guliyeva Gunel , Wu Panfeng , Yu Fang , Qing Liming , Tang Juyu 
Published: February 2022

BackgroundComplex heel defects constitute a significant challenge for plastic surgeons.ObjectivesIn this study, versatilities of free double skin paddle ALT flaps in the reconstruction of complex soft tissue defects of heels were explored.MethodsFrom January 2010 to December 2019, 16 patients (13 male and 3 females) aged 16–74 years underwent double skin paddle ALT flap reconstruction in our department. All the patients had large defects located at the heel, and 5 had a dead space. Underlying structures such as vessels, bones, and tendons were exposed in all cases.ResultsFlap survival rate was 100% after the reconstruction. Eleven double skin paddle ALT flaps and 5 vastus lateralis muscle-chimeric double skin paddle ALT flaps were used. The size of the skin flap ranged from 9.5 × 4.5 cm2 to 22 × 10 cm2, and the size of a muscle segment ranged from 6 × 3 × 1 cm3 to 10 × 3 × 2 cm3. The mean follow-up was 22.6 months (range: 10–81 months). The wounds healed well, providing reliable soft tissue coverage and good heel contour. All the patients ambulated independently during the follow-up period. Most of them regained protective sensation. The average two-point discrimination was 32.7 mm (range: 27–37 mm).ConclusionDouble skin paddle ALT flaps are a feasible option for the reconstruction of complex heel defects, with good functional and aesthetic results. Nonetheless, further studies comparing double skin paddle ALT flaps to other flap techniques are needed.
Hepatolithiasis After Living Donor Liver Transplantation in Pediatric Patients: Mechanism, Diagnosis, Treatment, and Prognosis
Authors: Sanada Yukihiro , Sakuma Yasunaru , Onishi Yasuharu , Okada Noriki , Hirata Yuta , Horiuchi Toshio , Omameuda Takahiko , Lefor Alan Kawarai , Sata Naohiro 
Published: February 2022

There is little information about the outcomes of pediatric patients with hepatolithiasis after living donor liver transplantation (LDLT). We retrospectively reviewed hepatolithiasis after pediatric LDLT. Between May 2001 and December 2020, 310 pediatric patients underwent LDLT with hepaticojejunostomy. Treatment for 57 patients (18%) with post-transplant biliary strictures included interventions through double-balloon enteroscopy (DBE) in 100 times, percutaneous transhepatic biliary drainage (PTBD) in 43, surgical re-anastomosis in 4, and repeat liver transplantation in 3. The median age and interval at treatment were 12.3 years old and 2.4 years after LDLT, respectively. At the time of treatments, 23 patients (7%) had developed hepatolithiasis of whom 12 (52%) were diagnosed by computed tomography before treatment. Treatment for hepatolithiasis included intervention through DBE performed 34 times and PTBD 6, including lithotripsy by catheter 23 times, removal of plastic stent in 8, natural exclusion after balloon dilatation in 7, and impossibility of removal in 2. The incidence of recurrent hepatolithiasis was 30%. The 15-years graft survival rates in patients with and without hepatolithiasis were 91% and 89%, respectively (p = 0.860). Although hepatolithiasis after pediatric LDLT can be treated using interventions through DBE or PTBD and its long-term prognosis is good, the recurrence rate is somewhat high.
Sarcoma de Ewing en Pelvis Pediátrica
Authors: Jiménez Soto Daniela 
Published: February 2022

El sarcoma de Ewing en pelvis pediátrica se vuelve todo un enigma, en relación a su manejo interdiciplinar. Es uno de los tumores más complejos de tratar y con un pronóstico reservado en muchos de los casos.
Son poco frecuentes, pero cuando se presenta existen pocas estrategias en pacientes pediátricos, en cuanto su manejo, en esta revisión se recopilan los datos más importantes para el diagnóstico, tratamiento y evolución en todos los casos.
Description of Dental and Oral Health Maintenance Behavior of Elementary School Students
Authors: Katili Laurencia , Anindita Pritartha S. , Juliatri Juliatri 
Published: February 2022

Abstract: The 2018 Basic Health Research (Riskesdas) stated that the prevalence of students with dental and oral problems in North Sulawesi showed a fairly high number, which was 66.5%. In children, behavioral factors that ignore dental and oral hygiene could affect the development of dental and oral health. Behavior can be measured by using three domains, namely knowledge, attitudes, and actions. This study aimed to obtain the description of dental and oral health maintenance behavior of elementary school students. This was a descriptive study with a cross sectional design. Population of this study were students at the elementary school SDN 1 Bulawan East Bolaang Mongondow, North Sulawesi, Indonesia. Meanwhile, samples were students of grades 5-6 totaling 44 children obtained by using total sampling method. Data were collected by using an online oral health maintenance behavior questionnaire via googleform. The results showed that the measurement scores were as follows: category of knowledge was 405; category of attitude was 394, category of action was 396, with a total score of 1195. In conclusion, the behavior of dental and oral health maintenance of students at SDN 1 Bulawan is classified as good.Keywords: behavior; dental and oral health maintenance Abstrak: Riset Kesehatan Dasar (Riskesdas) 2018 menyebutkan bahwa prevalensi siswa yang bermasalah gigi dan mulut di Sulawesi Utara menunjukkan angka yang cukup tinggi yaitu sebesar 66,5%. Pada anak faktor perilaku mengabaikan kebersihan gigi dan mulut berpengaruh terhadap perkembangan kesehatan gigi dan mulut. Perilaku dapat diukur dengan tiga domain yaitu pengetahuan, sikap, dan tindakan. Penelitian ini bertujuan untuk mendapatkan gambaran perilaku pemeliharaan kesehatan gigi dan mulut siswa sekolah dasar. Jenis penelitian ialah deskriptif dengan desain potong lintang. Populasi penelitian ini yaitu siswa di SDN 1 Bulawan, Bolaang Mongondow Timur, Sulawesi Utara. Sampel penelitian yaitu anak SDN kelas 5-6 berjumlah 44 orang. Teknik pengambilan sampel yang digunakan metode total sampling. Pengumpulan data menggunakan kuesioner perilaku pemeliharaan kesehatan gigi dan mulut secara online melalui googleform. Hasil penelitian mendapatkan bahwa skor hasil pengukuran kategori pengetahuan sebesar 405, kategori sikap 394, kategori tindakan 396, dengan skor total 1195. Simpulan penelitian ini ialah gambaran perilaku pemeliharaan kesehatan gigi dan mulut siswa SDN 1 Bulawan tergolong baik.Kata kunci: perilaku; pemeliharaan kesehatan gigi dan mulut
ANALISIS STRATEGI BAURAN PEMASARAN 7P DALAM MENYIKAPI ERA NEW NORMAL DI TENGAH PANDEMI COVID-19 PADA BALE BRANTI TEA ART & CULTURE di KABUPATEN KARANGANYAR (Studi Kasus Pada Bale Branti Tea Art & Culture di Kabupaten Karanganyar)
Authors: Sikyatma Maria Mutya Pradipta , Handoko Trio , Sulistiyono M. Nurhadi 
Published: February 2022

Penelitian ini bertujuan untuk mengetahui strategi bauran pemasaran 7P, kendala dan solusi dalam menyikapi era new normal di tengah pandemi Covid-19 pada Bale Branti Tea Art & Culture di Kabupaten Karanganyar.
Desain penelitian ini mengacu pada studi kasus. Metode yang digunakan adalah observasi, wawancara dan analisis pembahasan secara deskriptif dengan cara kualitatif yaitu dengan cara mengumpulkan, mengolah, dan menganalisis data dan kemudian menyajikannya dengan bentuk yang baik dan menjelaskan dengan keadaan yang sebenarnya.
Pandemi Covid-19 yang ditetapkan sebagai bencana nasional dan ditetapkan sebagai Kejadian Luar Biasa di Kabupaten Karanganyar sejak tanggal 16 Maret 2020 yang tercantum di Keputusan Bupati Karanganyar no 537 tahun 2020 tentang Penetapan Status Siaga Darurat Percepatan Penanganan Corona Virus Disease (Covid-19) Kabupaten Karanganyar. Hampir semua segi kehidupan terdampak pandemi Covid-19 ini, salah satunya yaitu dunia pariwisata. Bale Branti Tea Art & Culture juga cukup terdampak bahkan sempat tutup beberapa waktu mengingat adanya edaran dari Pemerintah setempat dan juga untuk mengantisipasi adanya klaster baru. Untuk itu, Bale Branti Tea Art & Culture perlu melakukan beberapa strategi untuk kembali membuat konsumen merasa aman ketika berwisata kuliner di tengah pandemi Covid-19.
Dengan adanya dampak pandemi Covid-19 yang cukup berpengaruh, Bale Branti Tea Art & Culture melakukan beberapa perubahan kebijakan terkait strategi bauran pemasaran 7P. Dalam menerapkan perubahan tentunya Bale Branti Tea Art & Culture mengalami berbagai kendala. Tetapi untuk mengatasi kendala tersebut, Bale Branti Tea Art & Culture selalu berusaha mencari solusi yang sesuai dengan situasi dan kondisi sekarang ini.
Kata Kunci: Bauran Pemasaran 7P, Pandemi Covid-19
Analisis Kemampuan Pemahaman Konsep Siswa Kelas Iv Sekolah Dasar Dalam Pemecahan Soal-Soal Geometri
Authors: Azahara Dara 
Published: February 2022

Tujuan Penelitian: sebagai pemahaman konsep perlu ditanamkan sejak dini kepada siswa agar mereka mengerti tentang defenisi
Metodologi: Pendekatan dalam penelitian ini adalah pendekatan kualitatif. Data dalam penelitian ini berupa uraian penjelasan atau deskripsi dari data hasil observasi siswa dan hasil wawancara dengan siswa. Teknik sampling dalam penelitian ini yaitu Purposive Sampling. Subjek dalam penilitian ini adalah siswa kelas IV yang berjumlah 26 siswa, terdiri dari 11 laki-laki dan 15 perempuan. Sedangkan objek penelitian yaitu untuk mengetahui kemampuan pemahaman konsep siswa kelas IV A dalam menyelesaikan soal-soal geometri pada Kompetensi Dasar. Teknik analisis data ini menggunakan model Miles dan Huberman.
Temuan Utama: Siswa yang memiliki kemampuan pemahamn konsep rendah cenderung malas mempelajari matematika, kurang antusias dalam pembelajaran sehingga mereka menganggap bahwa pembelajaran matematika (geometri) adalah pelajaran yang sulit karena ada rumus dan hitung-hitungannya. Siswa B4 mewakili kategori kemampuan pemahaman konsep matematika sedang dapat menguasai lima indikator kemampuan pemahaman konsep, namun dengan sedikit kekurangan dan kesalahan dalam mengaplikasikannya. Siswa C1 dan C7 mewakili kategori kemampuan pemahaman konsep matematika rendah dapat menguasai tiga indikator kemampuan pemahaman konsep.
Analisis Penerapan Full Day School dalam Membentuk Karakter Religius Siswa Sekolah Dasar
Authors: Rezki Wella 
Published: February 2022

Tujuan Penelitian: Usia sekolah dasar merupakan pondasi peserta didik dalam mengembangkan kemampuan berpikir melalui kemampuan metakognisi yang baik. Metakognisi merupakan kesadaran seseorang dalam berpikir mengenai pemikiran itu sendiri. Penelitian ini bertujuan untuk menganalisis penerapan dari full day school. Dalam penelitian ini berdasarkan pengelompokkannya adalah menggunakan sumber primer. Data primer dalam penelitian ini berupa data hasil observasi dan data hasil wawancara
Metodologi: Pendekatan dalam penelitian ini adalah pendekatan kualitatif. Peneliti memilih sampel sumber data yang bersifat Snowball Sampling. Peneliti menggunakan analisis data model Miles and Huberman sebagai acuan untuk menganalisis semua data yang diperoleh oleh peneliti. Dengan adanya penerapan full day school yang diterapkan di Sekolah Dasar Negeri 47/ Kota Jambi sekolah dapat memantau kegiatan keagamaan siswa. Jenis penelitian ini adalah penelitian fenomenologi
Temuan Utama: Full day school merupakan metode bagus untuk meningkatkan kemampuan siswa dan membentuk karakter siswa. Dengan waktu delapan jam perhari di sekolah, siswa akan mendapatkan kesempatan untuk mengembangkan bakat dan kemampuannya dibidang pendidikan dengan bantuan guru dan tenaga pendidik lainnya.
Revitalisasi Perpustakaan Sekolah Untuk Meningkatkan Minat Baca Siswa
Authors: Siti Munawarah  
Published: February 2022

Tujuan Penelitian: Berdasarkan hasil observasi di SDN 122/IX Petaling, dilihat dari segi ruangan perpustakaan yang besar dan didukung dengan sarana dan prasarana yang cukup memadai, perpustakaan sudah terlihat bagus, namun disini dari siswa yang berjumlah kurang lebih 1.200 terlihat sedikit yang berkunjung keperpustakaan, dikarenakan pada saat observasi tersebut ruangan perpustakaan terlihat berantakan, berantakan disini artinya buku-buku yang tidak terpakai lagi masih bertumpuk disudut-sudut ruangan perpustakaan maupun ditempat siswa membaca, sehingga tataan ruangan dan kebersihan perpustakaan menjadi tidak teratur dan berpengaruh kepada minat baca siswa, kemudian peneliti melihat staf perpustakaan bersama rekan-rekan melakukan revitalisasi perpustakaan agar minat baca siswa kembali meningkat ke perpustakaan, disinilah perlu dilakukan penelitian dan menggali informasi lebih mendalam tentang revitalisasi perpustakaan untukmeningkatkan minat baca siswa agar dapat dicontoh bagi sekolah lain. Penelitian ini bertujuan untuk mengetahui bagaimana revitalisasi perpustkaan sekolah dalam meningkatkan minat baca siswa.
Metodologi: Data penelitian ini diperoleh dengan menggunakan pendekatan kualitatif. Pendekatan kualitatif menggunakan instrumen observasi, wawancara dan dokumentasi. Setelah data didapatkan maka akan di analisis menggunakan teknik analisis Miles and Huberman.
Temuan Utama: Hasil penelitian menunjukkan bahwa revitalisasi perpustakaan sekolah untuk meningkatkan minat baca siswa sudah meningkat dengan baik. Hal ini dibuktikan berdasarkan hasil observasi bahwa dengan adanya revitalisasi, perpustakaan sudah terlihat bagus, sarana dan prasarana sudah cukup memadai, kondisi dan kenyamanan ruangan sudah ditingkatkan. Didukung dengan hasil wawancara yang mana dengan adanya revitalisasi perpustakaan, pihak sekolah membuat kegiatan berkunjung secara rutin ke perpustakaan dengan bimbingan guru, setiap satu hari satu kelas yang telah ditentukan untuk berkunjung ke perpustakaan. Dengan kegiatan yang bernilai positif seperti itu maka siswa akan terbiasa untuk berkunjung ke perpustakaan dan minat baca siswa akan lebih meningkat.
Polarization-based Speckle Nulling Using a Spatial Light Modulator to Generate a Wide-field Dark Hole
Authors: Murakami Naoshi , Yoneta Kenta , Kawai Kenya , Kawahara Hajime , Kotani Takayuki , Tamura Motohide , Baba Naoshi 
Published: February 2022

Abstract
Direct detection of exoplanets requires a high-contrast instrument called a coronagraph to reject bright light from the central star. However, a coronagraph cannot perfectly reject the starlight if the incoming stellar wave front is distorted by aberrations due to the Earth’s atmospheric turbulence and/or the telescope instrumental optics. Wave-front aberrations cause residual stellar speckles that prevent detection of faint planetary light. In this paper, we report a laboratory demonstration of a speckle-nulling wave-front control using a spatial light modulator (SLM) to suppress the residual speckles of a common-path visible nulling coronagraph. Because of its large format, the SLM potentially has the ability to generate a dark hole over a large region or at a large angular distance from a star of up to hundreds of λ/D. We carry out a laboratory demonstration for three cases of dark hole generation: (1) in an inner region (3–8 λ/D in horizontal and 5–15 λ/D in vertical directions), (2) in an outer region (70–75 λ/D in horizontal and 65–75 λ/D in vertical directions), and (3) in a large region (5–75 λ/D in both directions). As a result, the residual speckles are rejected to contrast levels on the order of 10−8 in cases 1 and 2. In cases 2 and 3, we can generate dark holes at a large distance (up to >100 λ/D) and with a large size (70 λ/D square), both of which are out of the Nyquist limit of currently available deformable mirrors.
Centration and Stability of Small-Aperture Intraocular Lens in Aberrated Eyes
Authors: Yang Lily Wei Yun , Ong Hon Shing , Chiam Nathalie , Mehta Jodhbir S. 
Published: February 2022

PURPOSE:
To investigate the visual outcomes and postoperative stability of IC-8 intraocular lens (AcuFocus, Inc) implantation following femtosecond laser–assisted cataract surgery.

METHODS:
In this prospective study, the IC-8 IOL was implanted in the non-dominant eye of 12 patients. Centration and uncorrected and corrected distance, intermediate, and near visual acuities (UDVA, UIVA, UNVA, CDVA, CIVA, CNVA) were evaluated up to postoperative month 3 (POM3). Means ± standard deviations are reported in logMAR units.

RESULTS:

There were no significant differences in absolute, vertical, and horizontal centration postoperatively versus intraoperatively. From intraoperative to POM3, mean displacement was 0.17 ± 0.09 and 0.14 ± 0.07 mm (
P
= .52) relative to the capsulorhexis and 0.28 ± 0.22 and 0.25 ± 0.14 mm relative to the limbus (
P
= .62), respectively. Centration remained within the 1.36-mm IC-8 aperture. Excluding patients with ocular comorbidities, from preoperatively to POM3, UDVA improved significantly from 0.52 ± 0.39 to 0.20 ± 0.11 logMAR (
P
= .024), with an efficacy index of 0.80 ± 0.31. The safety index was 1.30 ± 0.40, with no adverse events experienced. At POM3, CDVA, UIVA, and UNVA of 0.04 ± 0.05, 0.27 ± 0.11, and 0.22 ± 0.10 logMAR were achieved, respectively. Binocularly, all achieved UDVA of 20/25 or better and UIVA and UNVA of N6 and better.

CONCLUSIONS:
The IC-8 IOL can attain good centration and positional stability up to POM3. It enables both extended depth of focus and tolerance to aberration, making it capable of achieving spectacle independence after surgery.

[
J Refract Surg
. 2022;38(2):98–105.]