bluuebunny/crossref_metadata_2025_split huggingface dataset:
Improving The Ability To Recognize Object Through Flip Chart For Deaf Children (Single Research Subject in SLB Al-Ishlaah, Padang City)
Authors: Mitra Welgiana , Damri Damri 
Published: December 2022

This research is motivated by the problems that researchers found at SLB Al-Ishlaah Padang, a deaf child with the initial A has not been to recognize object in the surrounding environment. Based on this, this study aims to improve the ability to recognize objects correctly and see if this flip cahrt media can have a positive impact.
This study uses an experimental approach in the form of singgle subject research (SSR) with an A-B-A design. The assessment in this study is consistent with measuring the correct number of objects. The results of this study indicate that the ability of deaf children to recognize objects increases, in the initial baseline conditions carried out four times the child is only able to know four objects, namely mirrors, keys, tables and clocks correctly. In the intervention condition or when given the observed treatment. During the five meetings the child’s ability increased, the child was able to recognize six objects, namely lamps, mirrors, keys, tables, clocks and brooms. Then, at the final baseline the child’s ablity to recognize objects remained good. The result of this study prove that the use of flip chart media can improve the ability to recognize objects in deaf children.
The Influence of Leadership Style and Environment Work to Work Motivation of SMP Teachers in Bandar Sribhawono Distric Lampung Timur District
Authors: Dacholfany Muhammad Ihsan , Emawati Emawati 
Published: December 2022

This study aims to investigate: (1) the Influence of leaderships style toward Teachers’ Work Motivation at Junior High Schools in Bandar Sribhawono Distric, East Lampung Regency, (2) the Influence of work environment toward Teachers’ Work Motivation at Junior High Schools in Bandar Sribhawono Distric, East Lampung Regency, and (3) the influence of leaderships style and work environment toward teachers’ work motivation at Junior High Schools in Bandar SribhawonoDistric, East Lampung Regency.
This was a quantitative study. The research population comprised teachers at Junior High Schools in Bandar Sribhawono Distric, East Lampung Regency. The sample consisted of 35 respondents from 9 Junior High Schools in Bandar SribhawonoDistric, East Lampung Regency. The research instruments were a questionnaire, observation, and interview. The data analysis technique in the study was multiple regression analysis.
The results of the study are as follows. (1) There is a significant and positive influence of leadership style toward teachers’ work motivation. It can be seen from the result of TCount is 1,689 greater that Ttabel is 1,689 and the significant value was 0,000 at the significant level of 5% (0,05). So it can be said that 0,000<0,05. The influence value of leadership style toward teachers’ work motivation is 43.2%. (2)There is a significant and positive influence of work environment toward teachers’ work motivation. It can be seen from the result of TCount is 7,812 greater that Ttabel is 1,689 and the significant value was 0,000 at the significant level of 5% (0,05). So it can be said that 0,000<0,05. The influence value of work environment toward teachers’ work motivation is 39,0%. (3) There is a significant and positive influence of leadership style and work environment toward teachers’ work motivation. It can be seen from the result of FCount is 31,112 greater that Ttabel is 2,247 and the significant value was 0,000 at the significant level of 5% (0,05). So it can be said that 0,000<0,05. The influence value of leadership style and work environment toward teachers’ work motivation is 66,0%.
The Effect of Work Motivation Performace of Elementary School Teachers
Authors: Purba Lailatul Adila , Rambe Hasian , Siregar Siti Masdelina , Siregar Meli Suryani , Naibaho Dina , Lukmaw Lukmaw 
Published: December 2022

This research is used the effect of work motivation performance of elementary school teachers in the fulfillment of competitive human resources in the development of science and technology as well as substantial aspects, namely spiritual in order to be able to produce quality products. To avoid the rampant degradation of character, it is necessary to implement character education management in educational institutions. The purpose of this study was to determine the implementation of character education management through the principal's academic supervision on the performance of elementary school teachers. This research uses qualitative methods. Qualitative research is research that presents data with a description. Data collection techniques are carried out by observation methods. This type of research is field research. Data analysis consists of three components, namely data reduction, data presentation and drawing conclusions. Based on the results of research, the implementation of character education management is integrated in school activities, namely the principal's academic supervision on the performance of elementary school teachers. Character education management activities are carried out in order to achieve the vision and mission of the school. So, teacher work motivation is an encouragement that excites the teacher's personality to play an active role in achieving learning goals. The encouragement comes from other people or comes from oneself. The process of the emergence of teacher work motivation is a combination of the components of needs, encouragement, goals and rewards
Gomo Toma Game Media as a Means to Improve Understanding of Multiplication Concepts in Mathematics Subjects in Class IIA Students of Ende 3 SDK Ende Regency
Authors: Novianti Chatarina , Wangge Yuliani Sepe 
Published: December 2022

The selection of Gomo Toma game media in learning Mathematics is as follows. First, the Gomo Toma game media is a game that is very close to children's lives and is played by children. Second, it is hoped that the Gomo Toma game media can improve the understanding of mathematics concepts for class IIA students in learning mathematics, this is because elementary school students still like to play, so the game approach will be more effective. Third, in the Gomo Tomo game there are competitive, cooperative, and entertainment values. Fourth, there are many positive sides contained in the snake and ladder game, including training in psychomotor development, cognitive, communicative balance so that it is beneficial for the mental development of elementary school age children. 7-12 years This is supported by the opinion of several experts who state how important games are for children. According to Ljublinskaja Games are a reflection of reality, as an initial form of acquiring knowledge. This is also reinforced by Freeman which states that in general, experts agree that playing is an activity that helps children achieve complete development, both physically, intellectually, socially, morally and emotionally. Rofi'uddin states that the use of forms of games in learning will provide a pleasant climate for students, so that the learning process of students is carried out without coercion, but instead with a sense of harmony. In addition, by playing, students can learn in a relaxed manner. In a relaxed way, students' brain cells can develop, which in the end students can absorb information and get a deep impression of the subject matter. Subject matter can be stored continuously in long-term memory.
Improving Free Poetry Writing Skills Using the Cooperative Roud Table Type Model in Elementary Schools
Authors: Zahra Lulu Kamila , Marta Rusdial , Pahrul Yolanda 
Published: December 2022

This research is motivated by the low ability of students to choose, arrange words, and express ideas in writing, especially writing poetry. One solution to overcome this problem is to use a round table cooperative learning model . The purpose of this study was to describe the planning, implementation and improvement of free poetry writing skills using the round table cooperative model in elementary schools. This research method is a classroom action research carried out in two cycles. Each cycle consists of two meetings and four stages, planning, action, observation and reflection. The subjects of this study were 14 grade IV students, 7 boys and 7 girls. Data collection techniques in the form of observation, documentation and tests. The results of this study can be concluded that the pre-cycle obtained an average class value of 57.4 with classical completeness of 42.85%, increased in cycle 1 meeting 1 to 59.28 with classical completeness of 50%, increased in cycle 1 meeting 2 to 67.5 with a classical completeness of 64.28%. The class average score in cycle 2 meeting 1 was 71.78 with classical completeness of 71.42% and increased in cycle 2 meeting 2 which was 77.14 with classical completeness of 85.71%. Thus it can be concluded that by using the round table type of cooperative learning model can improve the skills of free poetry writing class IV SDN 004 Bangkinang Kota.
Keywords: Cooperative round table type, Writing, and Free Poetry
Non-prompt surgery for patients with acute type A aortic dissection without pre-operative shock and malperfusion
Authors: Wu Shye-Jao , Fan Ya-Fen , Tsai Yu-Chu , Sun Shen , Chien Chen-Yen , Li Jiun-Yi 
Published: December 2022

BackgroundAcute type A aortic dissection (ATAAD) requires urgent surgical treatment. However, during daily practice, there were some patients with ATAAD sought for medical attention several days after symptoms occurred and some other patients hesitated to receive aortic surgery after the diagnosis of ATAAD was made. This study aims to investigate the surgical outcomes of non-prompt aortic surgery (delayed diagnosis caused by the patient or delayed surgery despite immediate diagnosis) for ATAAD patients.MethodsFrom November 2004 to June 2020, of more than 200 patients with ATAAD patients who underwent aortic surgery at our hospital, there were 30 patients without pre-operative shock and malperfusion who sought for medical attention with symptoms for several days or delayed aortic surgery several days later despite ATAAD was diagnosed. Of the 30 patients (median age 60.9, range 33.4~82.5 years) in the study group, there were 18 patients undergoing surgery when they arrived at our hospital (delayed diagnosis by the patient) and 12 patients receiving surgery days later (delayed surgery despite immediate diagnosis). Patients with prompt surgery after symptom onset (control group) were matched from our database by propensity score matching. The surgical mortality rate and post-operative morbidities were compared between the study group and control group.ResultsThe in-hospital mortality was 3.3% for the study group and 6.7% for the control group (p = non-significant). The incidence of post-operative cerebral permanent neurological defect was 0% for the study group and 13.3% for the control group (p = 0.112). There were three patients receiving aortic re-intervention or re-do aortic surgery during follow-up for the study group and two patients for the control group.ConclusionPrompt surgery for ATAAD is usually a good choice if everything is well prepared. Besides, urgent but non-prompt aortic surgery could also provide acceptable surgical results for ATAAD patients without pre-operative shock and malperfusion who did not seek medical attention or who could not make their minds to undergo surgery immediately after symptom onset. Hospitalization with intensive care is very important for pre-operative preparation and monitoring for the patients who decline prompt aortic surgery.
Historical and projected spatial and temporal rainfall status of Dar es Salaam, Tanzania, from 1982 to 2050
Authors: Nyembo Latifa O. , Mwabumba Mohamed , Jahangeer Jahangeer , Kumar Vikram 
Published: December 2022

Dar es Salaam, like other cities in Africa, experiences flash floods during the rainfall season that destroy infrastructure due to the overflow of rivers and blocked sewage. This study investigates the historical and future variability and changes in spatial and temporal rainfall over Dar es Salaam. Station data and Climate Hazards Group Infrared Precipitation with Stations (CHIRPS) gridded data crossing 38 years (1982–2019) were used as a baseline and the Coordinated Regional Climate Downscaling Experiment (CORDEX) dataset from 2021 to 2050 was used for projection under Representative Concentration Pathway (RCP 4.5) forcing scenarios. A trend analysis of historical data was conducted at monthly, seasonal, and annual timescales. Mann–Kendall statistical tests and Sen’s slope estimator were applied to identify the current trend direction and magnitude of changes in rainfall patterns over time. A standardized anomaly index (SAI) was also employed to detect the region’s trends in wetness and dryness. The spatial distribution of rainfall in the city was investigated using an inverse distance weighted (IDW) interpolation technique. The statistical results reveal that a non-significant trend in rainfall was observed on monthly, seasonal, and annual timescales. Generally, in the future (2021–2050), the annual cycle of rainfall shows a slight decrease in monthly rainfall, especially from January to August, and an increase from September to December compared to historical (1982–2019) rainfall, for most of studied locations. Spatially, the distribution of projected rainfall shows that the southern part of the city will experience higher rainfall than other parts. The most significant findings were a decrease in annual projected rainfall by 20%, the MAM projected rainfall season increased by 42%, and an increase of 38% of the OND-projected rainfall season. The findings of this study will be useful for the improved management and planning of the city.
Diagnostic signature, subtype classification, and immune infiltration of key m6A regulators in osteomyelitis patients
Authors: Shi Xiangwen , Ni Haonan , Wu Yipeng , Guo Minzheng , Wang Bin , Zhang Yue , Zhang Bihuan , Xu Yongqing 
Published: December 2022

Background: As a recurrent inflammatory bone disease, the treatment of osteomyelitis is always a tricky problem in orthopaedics. N6-methyladenosine (m6A) regulators play significant roles in immune and inflammatory responses. Nevertheless, the function of m6A modification in osteomyelitis remains unclear.Methods: Based on the key m6A regulators selected by the GSE16129 dataset, a nomogram model was established to predict the incidence of osteomyelitis by using the random forest (RF) method. Through unsupervised clustering, osteomyelitis patients were divided into two m6A subtypes, and the immune infiltration of these subtypes was further evaluated. Validating the accuracy of the diagnostic model for osteomyelitis and the consistency of clustering based on the GSE30119 dataset.Results: 3 writers of Methyltransferase-like 3 (METTL3), RNA-binding motif protein 15B (RBM15B) and Casitas B-lineage proto-oncogene like 1 (CBLL1) and three readers of YT521-B homology domain-containing protein 1 (YTHDC1), YT521-B homology domain-containing family 3 (YTHDF2) and Leucine-rich PPR motif-containing protein (LRPPRC) were identified by difference analysis, and their Mean Decrease Gini (MDG) scores were all greater than 10. Based on these 6 significant m6A regulators, a nomogram model was developed to predict the incidence of osteomyelitis, and the fitting curve indicated a high degree of fit in both the test and validation groups. Two m6A subtypes (cluster A and cluster B) were identified by the unsupervised clustering method, and there were significant differences in m6A scores and the abundance of immune infiltration between the two m6A subtypes. Among them, two m6A regulators (METTL3 and LRPPRC) were closely related to immune infiltration in patients with osteomyelitis.Conclusion: m6A regulators play key roles in the molecular subtypes and immune response of osteomyelitis, which may provide assistance for personalized immunotherapy in patients with osteomyelitis.
Development of dynamical network biomarkers for regulation in Epstein-Barr virus positive peripheral T cell lymphoma unspecified type
Authors: Shen Dan , Hong Yin , Feng Zhengyang , Chen Xiangying , Cai Yuxing , Peng Qiliang , Tu Jian 
Published: December 2022

Background: This study was performed to identify key regulatory network biomarkers including transcription factors (TFs), miRNAs and lncRNAs that may affect the oncogenesis of EBV positive PTCL-U.Methods: GSE34143 dataset was downloaded and analyzed to identify differentially expressed genes (DEGs) between EBV positive PTCL-U and normal samples. Gene ontology and pathway enrichment analyses were performed to illustrate the potential function of the DEGs. Then, key regulators including TFs, miRNAs and lncRNAs involved in EBV positive PTCL-U were identified by constructing TF–mRNA, lncRNA–miRNA–mRNA, and EBV encoded miRNA–mRNA regulatory networks.Results: A total of 96 DEGs were identified between EBV positive PTCL-U and normal tissues, which were related to immune responses, B cell receptor signaling pathway, chemokine activity. Pathway analysis indicated that the DEGs were mainly enriched in cytokine-cytokine receptor interaction and chemokine signaling pathway. Based on the TF network, hub TFs were identified regulate the target DEGs. Afterwards, a ceRNA network was constructed, in which miR-181(a/b/c/d) and lncRNA LINC01744 were found. According to the EBV-related miRNA regulatory network, CXCL10 and CXCL11 were found to be regulated by EBV-miR-BART1-3p and EBV-miR-BHRF1-3, respectively. By integrating the three networks, some key regulators were found and may serve as potential network biomarkers in the regulation of EBV positive PTCL-U.Conclusion: The network-based approach of the present study identified potential biomarkers including transcription factors, miRNAs, lncRNAs and EBV-related miRNAs involved in EBV positive PTCL-U, assisting us in understanding the molecular mechanisms that underlie the carcinogenesis and progression of EBV positive PTCL-U.
Fascia iliaca compartment block can reduce the incidence of early post-operative cognitive impairment in elderly patients with high-risk hip replacement
Authors: Tang Li , Li Bo , Guo Shun , Zhao Xiaoyong , He Binbin , Liu Weiwei , Xia Rui 
Published: December 2022

ObjectiveIn this study, we aimed to observe the effects of ultrasound-guided fascia iliaca compartment block (FICB) combined with hypobaric spinal anesthesia on post-operative pain and cognitive function in elderly patients with high-risk hip replacement.MethodsA total of 84 elderly patients—aged 65–85 years, with American Society of Anesthesiologists physical status III–IV, and scheduled for hip arthroplasty between September 2021 and May 2022—were selected. One or more organs with moderate to severe impairment were included in all patients. The patients were randomly divided into a hypobaric spinal anesthesia group (group C, control group) and an ultrasound-guided FICB combined with hypobaric spinal anesthesia group (group E, experimental group). Group C was given 3.5 mL of 0.32% ropivacaine hypobaric spinal anesthesia, and group E received ultrasound-guided FICB combined with 3.5 mL of 0.32% ropivacaine hypobaric spinal anesthesia. The patients were compared using the visual analog scale (VAS) for pain, Harris hip function score, and simple Mini-Mental State Examination (MMSE) scale. Blood β-amyloid (Aβ) and neuronal microtubule-associated protein (tau) levels were measured. We compared intraoperative conditions and post-operative complications between the two groups to assess the effects of FICB combined with hypobaric spinal anesthesia on post-operative pain and cognitive function in elderly patients with high-risk hip replacement.ResultsAt 1 and 3 days after the operation, patients in group C had significantly higher VAS and lower MMES scores than those in group E. The differences were statistically significant at 1 (P &lt; 0.01) and 3 (P &lt; 0.05) days after the operation. At 1 day after operation, the Harris score of patients in group C was significantly lower than that of patients in group E (P &lt; 0.05). The Aβ and tau levels of patients in group C were significantly higher than those of patients in group E at 1 day after the operation (P &lt; 0.01). The Aβ levels of patients in group C were significantly higher than those of patients in group E at 3 days after the operation (P &lt; 0.05). The intraoperative conditions and post-operative complication rates did not differ significantly between the two groups. At 1 day before and 5 days after the operation, there was no difference in any of the indicators.ConclusionBy lowering pain and managing Aβ and tau protein concentrations, FICB can successfully lower the incidence of early post-operative cognitive impairment in elderly patients with high-risk hip replacement.Clinical trial registrationwww.chictr.org.cn, identifier: ChiCTR2100051162.
Concurrence of multiple aneurysms, extreme coiling of the extracranial internal carotid artery and ipsilateral persistent primitive hypoglossal artery: A case report and literature review
Authors: Wan Zheng , Liu Tianyi , Xu Ning , Liu Qin , Yu Xiaodong , Wang Honglei 
Published: December 2022

BackgroundThe primitive hypoglossal artery (PHA) is an anastomotic vessel of the carotid-basilar artery system that is prevalent only transiently during the embryonic period. Persistent primitive hypoglossal artery (PPHA) is a rare vessel variation in which PHA exists persistently in adulthood and occurs in approximately 0.02–0.1% of the population. Tortuosity of the extracranial internal carotid artery (ICA) is relatively common, impacting 10–43% of the population, and is caused by either congenital or acquired factors. It is still unknown whether PPHA and tortuosity of extracranial ICA are associated. Here, we present a case report of the concurrence of three types of pathologies of the carotid artery: extreme coiling of the extracranial internal carotid artery, multiple aneurysms and persistent primitive hypoglossal artery.Case descriptionA 66-year-old woman suffered intermittent headaches, dizziness and numbness of the right eyelid for 5 years. Magnetic resonance angiography performed in a local hospital reported an aneurysm of the posterior communicating artery segment of the left ICA and a left PPHA. Digital subtraction angiography conducted after admission showed a PPHA originating from the left cervical ICA and an extremely coiling segment of the ICA distal to the beginning of PPHA. Except for the aneurysm of the posterior communicating artery segment of the left ICA, multiple aneurysms were found at the coiling segment of the ICA.ConclusionTo the best of our knowledge, this is the first report of PPHA accompanied by an adjacent, extremely coiling ICA. There are no reports of similar tortuous ICAs to this extent or at this position. Including aneurysms, three types of pathologies suggest their congenital origin, and a review of the literature infers the probable association of these lesions.