bluuebunny/crossref_metadata_2025_split huggingface dataset:
Surgical treatment of thoracolumbar tuberculosis
Authors: Kumar L. Kiran , Ramesh L. , Ramakrishna K. , Reddy D. Bharat 
Published: August 2022

Introduction: Over last forty years a lot of changes has occurred in the diagnosis, medical treatment and surgical procedures in the treatment of spinal tuberculosis. Objective: To study the functional outcome of surgical management of thoracolumbar tuberculosis. Materials and Methods: Twenty two patients with tuberculosis of thoraco-lumbar spine who underwent decompression and spinal instrumentation were included in this study.Pre-operative Clinical examination was performed and neurological status also evaluated. Kyphotic angle was measured using Cobb method and documented.The affected vertebral body is approached posteriorly, decompressed, infected bone and disc material evacuated. Pedicle screws fixed to the spine.All patients were seen at 1, 3, 6, and 12 months after surgery.At each follow- up evaluation, plain radiographic studies were obtained to determine the fusion status, progression of deformity after surgery, and instrumentation failure. Results : out of the 22 patients 17 patients were in the age group of 21 to 60 with mean age of 45.5 years.10 patients(45.5%) with tuberculosis in the thoracic spine of which 6 were in single level, 3 were in two levels and one was in three levels . There were 8 (36.4%) patients with tuberculosis at thoraco-lumbar level(T11 to L2).
Effect of Integrated neuromuscular inhibition technique versus instrument assisted soft tissue mobilization on chronic mechanical neck pain
Authors: Mohamed Rania R , Edris Hajar M , Elsayed Wadida H , Mohamed Nabil H 
Published: August 2022

Background: Mechanical Neck Pain is considered one of the commonly known musculoskeletal conditions with active trigger points. It incorporates a great effect on economic productivity and becomes a major health problem. Purpose: to compare the effect of integrated neuromuscular inhibition technique versus instrument assisted soft tissue mobilization in patients with chronic mechanical neck pain. Methods: 60 participants were randomly enrolled into three equal groups. Group A received a conventional physical therapy program, Group B received a conventional physical therapy program plus integrated neuromuscular inhibition technique, and Group C received a conventional physical therapy program plus instrument assisted soft tissue mobilization. The measurements were conducted using the Visual Analogue Scale, Cervical Range of Motion, Neck Disability Index and Pressure Algometer. Results: MANOVA test demonstrated a significant pain reduction in the three groups. Cervical ROM revealed that there was more improvement in group C. Neck disability index, there were no significant differences in improvement of three groups. Pain pressure threshold, there was more improvement in group C. Conclusion: Integrated Neuromuscular Inhibition Technique showed superiority than Instrument Assisted Soft Tissue Mobilization in improvements of pain intensity level, cervical ROM, neck disability level and pressure pain threshold in patients with chronic mechanical neck pain.
Belajar dalam Perspektif Psikologi dan Islam
Authors: Sarnoto Ahmad Zain 
Published: August 2022

Penelitian ini untuk mengungkap konsepsi Belajar dalam perspektif psikkologi dan Islam, belajar adalah kegiatan yang berproses dan merupakan unsur yang sangat fundamental dalam setiap kegiatan penyelenggaraan jenis dan jenjang pendidikan. Ini berarti bahwa berhasil atau gagalnya pencapaian tujuan pendidikan itu amat tergantung pada proses belajar yang dialami siswa, baik ketika ia berada di sekolah maupun dilingkungan rumah atau keluarganya sendiri. Teori belajar adalah teori yang pragmatik dan eklektik. Teori dengan sifat demikian ini hampir dipastikan tidak pernah mempunyai sifat ekstrim. Tidak ada teori belajar yang secara ekstrim memperhatikan siswa saja, guru saja, kurikulum saja, dan sebagainya.
Penelitian ini pendekatannya melalui metode kualitatif dengan menggunakan data kepustakaan tanpa data statistik seperti pada metode kuantitatif, sehingga kegiataannya sering disebut sebagai library research.
Secara umum hasil penelitian ini membuktikan bahwa pandangan kognitif melihat belajar sebagai sesuatu yang aktif. Mereka berinisiatif mencari pengalaman untuk belajar, mencari informasi untuk menyelesaikan masalah, mengatur kembali, dan mengorganisasi apa yang telah ada, sedangkan dalam perspektif Islam, belajar merupakan kewajiban bagi setiap muslim dalam rangka memperoleh ilmu dan pengetahuan sehingga dejarat kehidupannya meningkat. Hal ini dinyatakan dalam al-Qur’an surat al-Mujadilah ayat 11 “….Allah akan menginggikan orang-orang yang beriman diantaramu dan orang-orang yang diberi ilmu pengetahuan beberapa derajat ..”. Ilmu dalam hal ini tentu saja berupa pengetahuan yang relevan dengan tuntutan zaman dan bermanfaat bagi kehidupan manusia
KEPEMIMPINAN PADA LEMBAGA PENDIDIKAN DALAM PEMBINAAN PROFESIONALISME GURU
Authors: Sarnoto Ahmad Zain , Gunadi Nanang 
Published: August 2022

Kepemimpinan pendidikan adalah kemampuan menggerakkan semua personil satuan pendidikan dalam melaksanakan tugas pembelajaran sesuai dengan prinsip-prinsip pedagogik atau tindakan (tingkah laku) di antara individu-individu dan kelompok-kelompok yang menyebabkan mereka bergerak ke arah tercapainya tujuan-tujuan pendidikan
Tanggung jawab guru tersebut pada gilirannya menuntut manajemen sekolah untuk secara sinambung mengembangkan profesionalitas guru, lantaran bukan saja pada satu sisi subject matter jadi bertambah luas, namun mengajar itu sendiri jadi lebih kompleks dan lebih menantang. Siswa sebagai mitra guru dalam mengembangkan ilmu, yang pada dirinya memiliki rasa tanggung jawab untuk lebih berhasil dan lebih baik dari generasi sebelumnya, merupakan sisi lain yang menantang guru untuk lebih berhasil dan lebih baik dari generasi sebelumnya, merupakan sisi lain yang menantang guru untuk selalu memberi materi yang relevan dan up-to-date
Edukasi Maternal Perspektif Al-Qur’an
Authors: Sarnoto Ahmad Zain , Siregar Riadi Jannah 
Published: August 2022

Maternal education in the Qur'an can be understood in the sense of: Education about being a mother relating to the role of the mother during pregnancy and postnatal child care, including maternal education which includes the role of the mother in the public and domestic environments
The process of education stages of maternal education which consists of three stages, namely: 1. Pre-marital period, is education for women (also for men) to understand about how to find a partner in accordance with his teachings. about the Qur'an and hadith, mental readiness in facing marriage and getting offspring; 2. Prenatal period, namely mental readiness education, awareness of maintaining physical health, including maternal efforts to build emotional closeness and spiritual education to prospective babies while still in the womb. It aims to develop and develop innate potential in the form of spiritual, emotional, intellectual and social intelligence; and 3. Post-delivery, namely education that includes breastfeeding education to understand the importance of exclusive breastfeeding for children's health, shape the character of children, help children in building social relations and independence, and oversee the process of children's education both formally, informally and informally
Le partage du financement des services de l’agglomération de Montréal en 2020: État des lieux, analyse et éléments de comparaison
Authors: Vaillancourt François , Magnan Michel 
Published: August 2022

Ce texte se divise en quatre parties. La première présente l’agglomération de Montréal, ses dépenses et ses mécanismes de financement. L’agglomération crée en 2006 couvre le territoire administratif de l’île de Montréal. Ce territoire englobe la Ville de Montréal (qui regroupe 88% de la population) et 15 municipalités de banlieue. En 2020, les principales dépenses de l’agglomération comprennent les services policiers (28%), le transport en commun (25%), le service d’incendie (16%) et le service d’eau (10%). Son financement se fait par quotes-parts. Ces dernières reflètent à plus de 90 % la répartition de la richesse foncière entre les municipalités membres. Les municipalités de banlieue s’exprimant par leur association jugent leur contribution au financement des dépenses d’agglomération trop élevée. La deuxième partie du rapport présente les grands principes pouvant être utilisés pour choisir le mode de financement des services publics. On y examine comment les services de l’agglomération génèrent plus ou moins d’externalités et correspondent plus ou moins à la notion de bien collectif. La troisième partie présente des exemples de formule de partage des coûts entre municipalités pour cinq services publics : police, incendie, transport en commun, matières résiduelles et eau. La dernière partie indique que l’insatisfaction des banlieues ne s’explique pas par une détérioration de leur situation à travers le temps. L’utilisation de la population dans le calcul des quotes-parts ne constitue pas une pratique plus équitable que les valeurs foncières, mais peut représenter un compromis advenant un nouveau partage de la charge fiscale entre les municipalités.
ANALISIS EFEKTIVITAS PROSES PENCAIRAN DANA PADA KANTOR PELAYANAN PAJAK PRATAMA BEKASI UTARA
Authors: Natrion  
Published: August 2022

ABSTRAK
Tujuan penelitian ini untuk melihat apakah variabel pengawasan, Sumber Daya Manusia (SDM), Standar Operasional Prosedur (SOP) serta Sistem Informasi mempengaruhi efektifitas proses pencairan dana pada KPP Pratama Bekasi Utara. Desain penelitian adalah penelitian klausal, untuk mengidentifikasi tingkat dan sifat hubungan sebab-akibat. Adapun populasi dan sampel adalah Pejabat Pembuat Komitmen (PPK) dari Satuan Kerja serta Rekanan yang terdaftar dilingkungan KPPN Bekasi. Jenis data, berupa data primer yang diperoleh langsung dari sumber asli (tanpa melalui perantara) dengan teknik pembagian kuisioner secara online. Adapun metode analisis data yang digunakan untuk menguji penelitian ini berupa analsis statistik deskriptif, uji validiatas, uji reabilitas, uji asumsi klasik, uji regresi linear berganda serta pengujian hipotesis. Berdasarkan hasil penelitian ini bahwa Variabel Pengawasan, Sumber Daya Manusia (SDM), Standar Operasioanl Prosedur (SOP), tidak berpengaruh dalam efektifitas proses pencairan dana, akan tetapi variabel Sistem Informasi mempengaruhi kegiatan efektifitas proses pencairan dana pada Kantor Pelayanan pajak Pratama Bekasi Utara
PENGARUH PENERAPAN E-SPT PPN DAN E-FAKTUR TERHADAP KEPATUHAN WAJIB PAJAK DENGAN KEMAMPUAN INTERNET SEBAGAI VARIABEL MODERASI
Authors: Simarmata Jahormin , Laili Isrofatul 
Published: August 2022

This research aims to determine partially the application of the e-SPT PPN and the e-tax invoice effects on taxpayers compliance with internet capabilities as a moderating variable. The populations on this research are taxable entrepreneurs on Prama Tax Office Gambir Tiga Jakarta, who are still active in 2021 that uses the e-SPT PPN and e-tax invoice application. Sampling technics using the simple random sampling with totally 86 respondents. Data analyzed with multiple linier regression using tools of SPSS, 26 version . The result of this research sow that partially the application of e-SPT PPN and e-tax invoice has significant effect on tax compliance, while the internet skilled does not moderating e-SPT PPN and e-tax invoice application on taxpayer compliance.
TECNOLOGIA ASSISTIVA COMO RECURSO PARA MELHORIA DA APRENDIZAGEM DE EDUCANDOS COM DEFICIÊNCIAS
Authors: Souza Adelice Pereira , Aguiar Denise Regina da Costa 
Published: August 2022

Introdução: As deficiências são definidas legalmente em cinco grandes categorias: física, auditiva, visual, mental (intelectual), múltipla. Com objetivo de ofertar atendimento adequado a todos os estudantes com deficiência, o Ministério da Educação (MEC) introduziu o Serviço de Tecnologia Assistiva nas escolas públicas por meio do Programa “Salas de Recursos Multifuncionais”. As Salas de Recursos Multifuncionais são espaços onde o professor especializado, realiza o “Atendimento Educacional Especializado. (AEE) para educandos com deficiência, no contraturno escolar. Esse atendimento tem como função identificar, elaborar e organizar recursos pedagógicos e de acessibilidade que eliminem as barreiras para a plena participação dos educandos, considerando suas necessidades específicas. Objetivos: O objetivo central foi investigar a importância do uso da tecnologia assistiva como um recurso para a melhoria da aprendizagem dos educandos na escola. Material e Métodos: A metodologia utilizada foi uma revisão bibliográfica. A pesquisa bibliográfica foi desenvolvida com revisão de literatura por meio de livros, artigos, pesquisa em documentos legais e oficiais sobre o tema proposto. Resultados e Discussões: A Tecnologia Assistiva é desenvolvida para simplificar as atividades do cotidiano e favorecer a autonomia do educando, por meio de instrumentos que facilitam o desempenho em funções pretendidas e promove a ampliação de uma habilidade funcional, para que todos possam ter acesso ao ambiente escolar com qualidade. Conclusões: Pode-se concluir que a Tecnologia Assistiva favorece a tomada de consciência do educando com deficiência, como um sujeito capaz, potente, criativo, que consegue realizar suas tarefas sem a ajuda de outras pessoas, que se sente mais seguro e confiante, havendo assim uma melhora significativa no seu aprendizado.
Subsurface geology of east-central New Mexico, 1972
Authors: Foster R. W. , Frentress R. M. , Riese W. C. 
Published: August 2022

This paper was prepared at the request of Editors V. C. Kelley and F. D. Trauger to appear in the Guidebook of the New Mexico Geological Society's Twenty-Third Field Conference. Instead, it appears as the Society's "Special Publication Number Four" to accompany the Guidebook. An explanation is in order as this is a precedent-setting procedure.The first step when a guidebook for a particular area is planned is to contact those people who know the region, its geology, and the associated problems, and to obtain from them a pledge to contribute their time, energy and special knowledge in the form of papers to be published in the guidebook. The uncertainties attendant upon this initial effort have ramifications often never considered by the contributor, or those who casually leaf through a guidebook, wondering, perhaps, why in heaven's name the editors did this, or that.A field conference guidebook, unlike almost any other book publication, must be ready for distribution on a given day. A hard-cover guidebook poses special problems, and therein lies the reason for "Special Publication Number Four."A hard cover must be ordered 10 weeks in advance of printing and binding deadlines. That means the size of the guidebook -- the number of pages to be bound in -- must be determined at the time the covers are ordered. On the basis of the response from potential contributors, and the page estimate as specified, a cover to accommodate 200 pages was ordered.The papers began coming in, and coming, and coming. Authors from whom the editors had no initial response sent papers, and at least 50 percent of the papers exceeded the lengths specified. The deluge resulted in estimates by the printer, based on galley proof, of 257 pages a number impossible to accommodate. A thinner paper was selected and it was found that 238 pages could be bound. The editors then had a choice eliminate three to five short papers or one long one.One contribution, a paper of 21 pages, prepared to treat one phase of the geology of the conference area, was determined to be capable of standing alone, and by removing it from the guidebook, all other papers could be accommodated. But this paper was considered essential to complete the theme and purpose of the conference guidebook. The Publications Committee, with the approval of the Executive Committee of the Society, agreed the paper should be published as a supplement to the Guidebook, and at the same time be made available as a separate publication for those with a special need for its particular contribution. The paper, Subsurface Geology of East-Central New Mexico, by Roy W. Foster, Richard M. Frentress, and Walter C. Riese is here presented exactly as prepared for the Guidebook.
Influence of smoking on clinical outcomes in shoulder surgeries among young population– a review article
Authors: SHARMA RITA 
Published: August 2022

ABSTRACT
Tobacco smoking has a range of detrimental effects on the musculoskeletal system and is a risk factor for poor postoperative outcomes following various surgical operations. The study's objective was to look at the impact of smoking on shoulder operations and clinical results in the younger age group. According to the findings, smoking is linked to rotator cuff tears, shoulder dysfunction, and shoulder discomfort. Shoulder injuries involving several tendons are a severe problem for surgeons, and we must decrease the unfavourable risk factors by quitting smoking before shoulder surgery in order to have an optimal functional outcome.
Keywords: Smoking, Rotator Cuff Tear, Arthroscopy, Shoulder, Tobacco, Rotator Cuff Tendinopathy.
Chronic Medication Use and Factors Associated With Polypharmacy Among Outpatient Pediatric Patients
Authors: Ewig Celeste L.Y. , Wong Kai Sang , Chan Pak Hei , Leung Ting Fan , Cheung Yin Ting 
Published: August 2022

OBJECTIVEThis study aimed to determine the prevalence and predictors of chronic polypharmacy among pediatric patients in an outpatient setting.METHODSWe conducted a review of medications dispensed to patients from an outpatient pediatric facility during a 12-month period. Patients who received chronic medications (≥30 days' supply), which contained at least 1 active pharmaceutical ingredient were included in the study. Descriptive analysis was used to determine prevalence of polypharmacy while predictive factors for polypharmacy were evaluated using logistic regression.RESULTSOur study included 3920 patients (median age, 9.9 years; IQR, 9.4) and 16,401 medications. The median number of chronic medications used among our study cohort was 2.0 (IQR, 1) with polypharmacy identified in 309 (7.9%) patients. Predictors for polypharmacy were age and the use of certain therapeutic class of medications. Patients 12 to &lt;19 years old (OR, 6.95; 95% CI, 4.1–10.1) were more likely to require ≥5 concurrent medications compared with patients younger than 2 years of age. Use of calcium supplements (OR, 21.2; 95% CI, 11.3–39.6), Vitamin D analogues (OR, 14.3; 95% CI, 8.0–25.8), and systemic glucocorticoids (OR, 18.8; 95% CI, 10.7–33.2) were also highly associated with polypharmacy.CONCLUSIONSAdolescents and children with chronic medical conditions who require prolonged systemic glucocorticoids, calcium, and Vitamin D supplements are at higher risk of incurring long-term polypharmacy. This subgroup of pediatric patients may be more vulnerable to the occurrence of negative outcomes resulting from the use of multiple chronic medications.
Dietary Intakes and Nutritional Status of Mother-Child (6-23 Months Old) Pair Targeted through the "Organic Residual Products for Biofortified Foods for Africa Project" in Rural Area in Senegal
Authors: Thiam Mbeugué , Diouf Adama , Coly Ousseynou Baba , Kébé Saliou Diombo , Diongue Ousmane , Badiane Abdou , Faye Mane Hélène , Doudou Sylla Papa Mamadou Dit , Idohou-Dossou Nicole , Medoc Jean Michel 
Published: August 2022

Background: Despite micronutrient supplementation and food fortification strategies carried out for decades, micronutrient deficiencies remain prevalent among children under 5 years old in rural area in Senegal. The OR4FOOD project was implemented as a preventive and long-term approach to reduce malnutrition through biofortification.
Objective: We aimed to assess the baseline dietary intakes and nutritional status of the mother-child (6-23 months old) pair in a rural community in Senegal.
Methods: Dietary intakes were assessed using dietary recall questionnaires and weight food records. All foods and beverages consumed from waking to bedtime were quantified, and nutrient intakes were calculated. The nutritional status was measured by anthropometry.
Results: Results showed that 77.2% of children had low dietary diversity score. Only 18% of them received an appropriate complementary feeding according to the minimum acceptable diet. Cereals and legumes were among the most consumed food groups, whereas orange-fleshed sweet potato (OFSP) and animal food products were rarely consumed. Median dietary intakes of iron, zinc, and vitamin A were lower than the recommended dietary allowances. Acute malnutrition and stunting affected 14.6% and 16.9% of children, respectively. Overall, 20.8% of mothers were underweighted, and overweight/obesity affected 23.1% of them.
Conclusion: Malnutrition remains prevalent in rural areas of Senegal and affects both mothers and children. Furthermore, their nutrient requirements were not covered by the diet. Millet and cowpea being widely consumed, optimizing their iron and zinc content through biofortification and the introduction of OFSP might improve micronutrient intakes and would be promising strategies to prevent child malnutrition.
Universal Health Coverage: A Catalyst for Achieving 2030 Sustainable Development Goals
Authors: Orjingene O. , Okoli Ugo , Adetunji-Hassan A. , Ganama M. 
Published: August 2022

Background: Achieving Universal Health Coverage is one of the prerequisites for improved health outcomes, a decline in the rate of Impoverishment due to health expenditure (IHE), and achieving Sustainable Development Goals 1,2, and 3. While some countries (primarily those in Sub-Saharan Africa) are still battling to achieve Health Coverage for their populations, Western countries have achieved this feat using several strategies and models. This study aims to identify Universal Health Coverage implementation strategies adopted by different countries and how the strategies have contributed to achieving the 2030 Sustainable Development Goal targets.
Method: A systematic literature review was employed, and a total of 10 studies conducted met our inclusion criteria. The sensitive search strategy was employed. The search was conducted with the use of appropriate keywords (guided by the research objective) in different databases such as MEDLINE (EBSCO), CINAHL (EBSCO), ProQuest, AMED (EBSCO), and PsycINFO. Articles were also retrieved through a manual search on google scholar. The search was also guided by the Population, Intervention, Comparison, Outcome PICO framework.
Findings: Studies identified health insurance schemes for the unemployed, self-employed, and private sector employees and implementation of user fee exemption or subsidized medical bills for a population sub-group deemed vulnerable as Universal Health Coverage implementation strategies in different countries. These strategies significantly increased health coverage and improved health outcomes as well.
Conclusion and Recommendations: The majority of countries in the sub-Saharan Africa region are yet to achieve Universal Health Coverage, this will pose a challenge to their ability to attain the 2030 Sustainable Development Goals. The study recommends that tested strategies such as improved health financing, sustainable health system strengthening, and a holistic approach to quality of healthcare services should be contextualized and implemented in countries that are yet to achieve Universal health coverage for their populations.