bluuebunny/crossref_metadata_2025_split huggingface dataset:
Safe radiological spinal intervention: A multicenter snapshot survey of musculoskeletal radiologists in the UK and India
Authors: Aslam Aiman , Iyengar Karthikeyan P. , Sharma Gaurav Kant , Botchu Rajesh 
Published: November 2022

Objectives:
Research, knowledge, and technological advances have promoted minimally invasive image-guided diagnostic and therapeutic intervention. Such interventions are increasingly performed for musculoskeletal diseases by radiologists within outpatient settings. The objective of this study was to ascertain levels of safe practice among musculoskeletal radiologists in the United Kingdom and the Indian public health-care system, as defined by access to spinal surgeons and anesthetists during radiological spinal procedures.

Material and Methods:
An online cross-sectional survey of eight questions (multiple choice and free text) was circulated among musculoskeletal radiologists in the UK and India, to evaluate: (i) Image-guided practice among musculoskeletal radiologists. (ii) Types of interventions undertaken. (iii) Practice setting. (iv) Availability of supportive, backup access to spinal surgery services.

Results:
A total of 53 replies were received of which 43 (81.1%) were from musculoskeletal radiologists who perform spinal interventional procedures. Spinal biopsies and injections were the most common procedures performed by the 43 eligible radiologists (79.1% and 74.4%, respectively), with vertebroplasty and sacroplasty performed by only 16.3% and 11.6%, respectively. Less than half (46.5%) of musculoskeletal radiologists performing interventional procedures did so within a hospital setting with both a spinal surgeon and an anesthetist on site, 20.9% had an anesthetist on site but no spinal surgeon and 16.3% had neither on-site.

Conclusion:
Minimally invasive image-guided diagnostic and therapeutic intervention is a niche sub-specialty practiced by a few musculoskeletal radiologists. Enhanced resource allocation, skills training, and multidisciplinary service provision will ultimately minimize existing deficiencies, improving patient-related clinical outcomes, and quality of care.
Relationship of MTHFD1 G1958A and CBS 844ins68 polymorphism with congenital heart defects in North Indian population (Jammu and Kashmir): A case-control study
Authors: Bala Ankush , Raina Jyotdeep Kour , Sudershan Amrit , Digra Sanjeev , Dhar Manoj K. , Panjaliya Rakesh K. , Kumar Parvinder 
Published: November 2022

Objectives:
There are many multifactorial causes for Congenital Heart Defects (CHDs) in which both genetic and non-genetic factors play role. MTHFD1 and CBS are two of the key enzymes that plays pivotal role in the metabolic pathway of homocysteine. Most of the studies revealed that genes involved in folate/homocysteine pathways are involved in the occurrence of CHDs. The present study was planned to investigate the role of common polymorphisms in MTHFD1 and CBS gene in children with CHD in Jammu region of Jammu and Kashmir UT.

Material and Methods:
A total of 160 (80 CHD patients and 80 controls) children were enrolled for the present case-control study. After extraction of genomic DNA genotyping of SNP MTHFD1 G1958A(rs2236225) was done by PCR-RFLP and CBS 844ins68 polymorphism was done by PCR technique.

Results:
Our results show that there is no significant association between MTHFD1G1958A and CBS 844ins68 polymorphism with CHD. In case of SNP MTHFD1 G1958A allele A found to be higher in both patient and control group and inCBS 844ins68 polymorphism frequency of risk allele ‘I’ found higher in cases (0.06) as compared to controls (0.04). The homozygous genotype for 844ins68 (II) was found absent in both the patients and control group.

Conclusion:
We conclude that both MTHFD1 G1958A and CBS 844ins68 polymorphism were not found to be genetic risk factor in the development of CHD in population of Jammu region of Jammu and Kashmir UT.
External validation of the Glasgow coma scale-pupils in low- to middle-income country patients with traumatic brain injury: Could “motor score-pupil” have higher prognostic value?
Authors: De Souza Matheus Rodrigues , Pipek Leonardo Zumerkorn , Fagundes Caroline Ferreira , Solla Davi J. Fontoura , da Silva Gustavo Carlos Lucena , Godoy Daniel Agustin , Kolias Angelos G. , Amorim Robson Luis Oliveira , Paiva Wellingson Silva 
Published: November 2022

Background:
The objective of this study is to validate the admission Glasgow coma scale (GCS) associated with pupil response (GCS-P) to predict traumatic brain injury (TBI) patient’s outcomes in a low- to middle-income country and to compare its performance with that of a simplified model combining the better motor response of the GCS and the pupilar response (MS-P).

Methods:
This is a prospective cohort of patients with TBI in a tertiary trauma reference center in Brazil. Predictive values of the GCS, GCS-P, and MS-P were evaluated and compared for 14 day and in-hospital mortality outcomes and length of hospital stay (LHS).

Results:
The study enrolled 447 patients. MS-P demonstrated better discriminative ability than GCS to predict mortality (AUC 0.736 × 0.658; P < 0.001) and higher AUC than GCS-P (0.736 × 0.704, respectively; P = 0.073). For hospital mortality, MS-P demonstrated better discrimination than GCS (AUC, 0.750 × 0.682; P < 0.001) and higher AUC than GCS-P (0.750 × 0.714; P = 0.027). Both scores were good predictors of LHS (r2 = 0.084 [GCS-P] × 0.079 [GCS] × 0.072 [MS-P]).

Conclusion:
The predictive value of the GCS, GCS-P, and MS-P scales was demonstrated, thus contributing to its external validation in low- to middle-income country.
Delayed aneurysm rupture in a patient treated with flow redirection endoluminal device: A case report and literature review
Authors: Tsukagoshi Eisuke , Sato Hiroki , Kohyama Shinya 
Published: November 2022

Background:Delayed aneurysm rupture after flow-redirection endoluminal device (FRED) implantation is rare. We report a case of internal carotid-cavernous fistula (CCF) caused by a delayed aneurysm rupture of the cavernous portion of the internal carotid artery (ICA) after FRED implantation.Case Description:A 75-year-old woman had a gradually enlarging aneurysm at the C4 portion of the left ICA. We performed FRED implantation for the same. The FRED implantation procedure was smooth and the FRED expanded well and attached to the vessel wall. Five days after surgery, the patient developed a strong headache, hyperemia of the left eye, and disturbance of the left eye movement. Magnetic resonance imaging and angiography revealed a left CCF with cortical venous reflux. We performed transarterial aneurysmal and transvenous cavernous sinus embolization. Postoperatively, angiography showed no fistula and complete occlusion of the aneurysm; however, minor eye movement disorder persisted.Conclusion:To prevent the development of delayed aneurysm rupture in patients treated with FRED, preoperative consideration of whether to add coil embolization is important, even if the aneurysm is located in the C4 portion of the ICA and there is no risk of subarachnoid hemorrhage, including the size of aneurysm. In this report, we have tried to alert surgeons regarding the risk of delayed aneurysm rupture due to FRED implantation.
Torticollis in an 8-year-old child due to Grisel’s syndrome - A case report
Authors: Ghodke Aashish , Gadkari Alok , Trivedi Rishi , Tikoo Agnivesh , Chaddha Ram 
Published: November 2022

Background:
Grisel’s syndrome is a nontraumatic atlantoaxial subluxation resulting from an ongoing local inflammatory process.

Case Description:
An 8-year-old male presented to the emergency department with neck pain which was sudden in onset without any history of any significant fall or trauma. On physical examination, the patient had torticollis with a head tilt to the left side and the chin rotated to the right. The CT scan confirmed atlantoaxial subluxation with C1 rotated to the right on the odontoid process without anterior displacement. The patient was managed conservatively with antibiotics, anti-inflammatory agents, and head-halter traction.

Conclusion:
As Grisel’s syndrome can have catastrophic outcomes, early diagnosis and treatment are critical. It must be considered in patients presenting with acute torticollis following an infection or prior surgery.
Sequential aneurysms with incidental persistent primitive trigeminal artery: Is this association purely coincidental? A case study and review of the literature in search for a pathobiological mechanism
Authors: Sreenivasan Sanjeev A. , Agarwal Neha , Roychowdhury Sudipta , Khandelwal Priyank , Nanda Anil , Gupta Gaurav 
Published: November 2022

Background:
The appearance of sequential bilateral aneurysms in patients with persistent primitive trigeminal artery (PTA) is not described in the literature. No clear guidelines on screening and follow-up of patients with incidental PTAs for the detection of associated lesions have been established.

Case Description:
A 55-year-old lady presented with occasional headaches. Detailed evaluation showed a left ophthalmic segment internal carotid artery (ICA) aneurysm measuring (11.2 × 5.5) mm. A bovine aortic arch configuration (type III) and a persistent left PTA were identified. A pipeline flex flow diverter was placed and aneurysm was coiled. Follow-up angiography after 6 months showed a completely occluded aneurysm with preserved PTA and a new aneurysm in the right ICA ophthalmic segment measuring 3.5 × 1.5 mm. It was followed up serially with angiography which revealed significant increase in 6 months. The base measured 5.4 mm and two blebs 3.1 mm and 2.5 mm had appeared on the dome. A SUPRASS flow diverter was placed across this aneurysm. Serial follow-up showed complete occlusion of the left aneurysm and significant reduction in filling of the right aneurysm. A review of the literature identified 34 cases of incidental PTAs associated with 50 aneurysms with increased prevalence of anterior circulation aneurysms in patients with incidental PTA.

Conclusion:
Sequential angiography of a patient with incidental PTA and an ICA aneurysm shows presence of a new aneurysm in contralateral circulation and its progression in size and morphology. Detailed large-scale studies are needed to assess the impact of incidental PTA on aneurysm development and management.
Rod migration through foramen magnum into posterior fossa after cervical spine lateral mass fixation: A case report and literature review
Authors: Ezzat Ahmed Adel , Salah Ahmed Mohamed 
Published: November 2022

Background:
Posterior cervical fusion is one of the most common surgical procedures performed for the treatment of many cervical spine pathologies. Hardware failure, due to rod displacement either cranially or caudally, may occur.

Case Description:
Two years following a subaxial laminectomy/lateral mass fusion (from C3 to C6) for stenosis, a 67-year-old female, with a history of trauma 2 months ago, presented with headaches, right-sided facial palsy, and right complete ophthalmoplegia. When the computed tomography scan showed migration of the left-sided rod extending into the posterior fossa through the foramen magnum plus malpositioning of the right rod, she underwent bilateral rod removal resulting in marked headache improvement without improvement of ophthalmoplegia and facial palsy.

Conclusion:
Cephalad rod migration/displacement extending through the foramen magnum into the posterior fossa is a rare complication of cervical laminectomy/rod lateral mass screw instrumented fusion.
Parasagittal meningiomas: surgical treatment outcomes
Authors: Sirko Andrii H. , Perepelytsia Vadym A. 
Published: November 2022

Purpose: to improve the outcomes of surgical treatment of parasagittal meningioma patients by implementing a differentiated approach to the choice of surgical intervention, given the preoperative assessment of patency of the superior sagittal sinus (SSS) and collateral venous circulation.
Materials and methods. Analysis of short-term and long-term outcomes of surgical treatment of 199 patients in the Department of Neurosurgery № 2, Mechnikov Dnipropetrovsk Regional Clinical Hospital was carried out. In the first follow-up period (2000 to 2012), the data were obtained retrospectively (95 cases). In the second follow-up period (2013 to 2021), the data were obtained prospectively (104 cases). The patients were assigned to the groups according to a differentiated approach (implemented in 2013) to the choice of surgical treatment tactics based on preoperative angiographic data (selective cerebral angiography and CT angiography).
Results. In the first follow-up period, the completeness of surgical resection according to Simpson Grading Scale was: type I, 23 (24.2%) cases; type II, 37 (38.9%) cases; type III, 13 (13.7%) cases; type IV, 22 23.2%) cases. 53.7% of patients had intraoperative or postoperative complications. Among patients with tumors of the middle third of the SSS, 21 (41.2%) had their neurological status improved postoperatively. Mortality rate was 4.2%. 14 (14.7%) patients had further parasagittal meningioma growth after its removal grade II–IV according to Simpson Scale.
In the second follow-up period, the completeness of surgical intervention according to Simpson Scale was: type I, 74 (71.2%) cases; type II, 26 (25%) cases; type III, 2 (1.9%) cases; type IV, 2 (1.9%) cases. 19.2% of patients had intraoperative or postoperative complications. Among the patients with tumors of the middle third of the SSS, 46 (79.3%) patients had postoperative improvement of neurological status. No lethal outcome was reported. 3 (2.9%) patients had further parasagittal meningioma growth after radical surgical removal according to Simpson grade II.
Conclusions. Adequate analysis of instrumental methods of brain study using cerebral vasculature study, application of neuronavigation station (with brain MRI and/or CT angiography data available) and new microsurgical techniques contributed to the completeness of surgery and minimally invasive removal of parasagittal meningioma with reduced intraoperative and postoperative complications, which affected the immediate and long-term treatment outcomes.
PEMBENTUKAN KELAS PRENATAL YOGA DI DESA SELOKERTO SEMPOR KEBUMEN
Authors: Sumarni Sumarni , Dewi Adinda Putri Sari , Rosmawati Rosmawati , Mutoharoh Siti , Prabandari Fitria 
Published: November 2022

Prenatal yoga can provide benefits, including increasing the chances of a pregnant woman giving birth normally, reducing the incidence of prolonged labor, reducing stress and injuries during childbirth. The purpose of this activity is to provide a platform for pregnant women in Selokerto Village, Sempor District, Kebumen Regency so that they can improve their health and prepare for normal births through prenatal yoga classes for pregnant women. The method used in this service is lectures and prenatal yoga exercises with gymball. Data was collected by using a cadre knowledge questionnaire about prenatal yoga. The number of respondents in this activity amounted to 20 health cadres. Evaluation of activities was carried out using pre-test and post-test. The level of pre-test knowledge of health cadres about prenatal yoga is mostly in the sufficient category, which is 50%, while the post-test knowledge level of health cadres is mostly in the good category, which is 80%. Conclusion: Increased knowledge of health cadres from before and after prenatal yoga counseling and prenatal yoga classes have been formed.
PENINGKATAN PENGETAHUAN TENTANG KESEHATAN REPRODUKSI PADA PASANGAN USIA SUBUR
Authors: Umrah Andi Sitti , Indriani Indriani , Suriati Israini 
Published: November 2022

Kesadaran masyarakat terhadap pentingnya pemeliharaan kesehatan reproduksi pada PUS saat ini masih kurang. Hal ini di karenakan kurangnya pengetahuan masyarakat terhadap kesehatan reproduksi. Dengan adanya kendala tersebut mengakibatkan tenaga kesehatan sulit mendeteksi masalah kesehatan reproduksi pada PUS yang terjadi. Menurut hasil pendataan yang di dilakukan sebelum penyuluhan di dapatkan data sebanyak 86% wanita usia subur di wilayah kelurahan Salekoe yang memiliki pengetahuan kurang terhadap kesehatan reproduksi. Mayoritas masih kurang mengetahui gejala atau ciri-ciri dari gangguan reproduksi. Oleh karena itu, perlu diberikan informasi dalam mengenali gejala yang timbul pada gangguan reproduksi. Setelah diberikan penyuluhan tentang Kesehatan Reproduksi khususnya jenis penyakit reproduksi dan gejala awal gangguan reproduksi mayoritas WUS memiliki tingkat pengetahuan yang baik sebanyak 23 orang (92%). Hal ini menggambarkan pemberian edukasi tentang kesehatan reproduksi sangat penting dengan harapan para Wanita Usia Subur dapat segera mendeteksi kelainan pada sistem reproduksinya.
PENINGKATAN POTENSI WIRAUSAHA MASYARAKAT DESA TANGKIL MELALUI PELATIHAN PEMBUATAN SABUN CUCI TANGAN DAN HAND SANITIZER
Authors: Fahri Mirad , Ariyanti Dita , Apriliyanto Yusuf Bramastya , Nurrosyid Naufan , Kurniadi Tedi , Hasibuan Anggi Khairina Hanum , Basuki Rahmat , Yunita Amalia , Tiarani Sekar Ilma , Putri Regita Andriani Wiana , Mayori Ersha , Putra Budi Riza , Wihadi Muh. Nur Khoiru , Perdani Meka Saima 
Published: November 2022

Pandemi Covid-19 yang terus menyebar dengan cepat telah menimbulkan krisis ekonomi. Masyarakat perlu memiliki skill tambahan yang dapat meningkatkan potensi wirausaha mandiri masyarakat. Kegiatan ini bertujuan untuk meningkatkan potensi wirausaha mandiri ibu-ibu PKK Desa Tangkil melalui pelatihan pembuatan sabun cuci tangan dan hand sanitizer dan memberikan penyuluhan penyimpanan masker yang benar serta pentingnya melaksanakan 3M (mencuci tangan, memakai masker, dan menjaga jarak) untuk membatasi penularan Covid-19. Kegiatan ini dilakukan melalui tahap perencanaan, persiapan, pelaksanaan yang diawali dan diakhiri dengan survey, serta tahap evaluasi. Hasil kegiatan secara umum menunjukkan bahwa terjadi peningkatan kemampuan yang signifikan dalam pembuatan sabun cuci tangan dan hand sanitizer. Serta terjadi peningkatan kesadaran pentingnya penyimpanan masker dengan benar dan tetap melaksanakan 3M (mencuci tangan, memakai masker, dan menjaga jarak) untuk membatasi penularan Covid-19.
OPTIMALISASI SPIRITUALITAS LANSIA DIMASA COVID-19
Authors: Yuwono Podo , Ernawati Ernawati , Handoko Puji , Astutiningrum Diah 
Published: November 2022

Usia lanjut beresiko terinfeksi covid -19. Peningkatan usia dapat menyebabkan munculnya permasalahan fesehatan fisik, mental dan spiritual. Pandemic covid-19 berdampak pada aktivitas lansia baik aktivitas kegiatan posyandu lansia maupun aktivitas keagamaan. Posyandu lansia di Desa Bejiruyung masih belum maximal dalam penguatan spiritualitas pada lansia. Aktivitas keagamaan yang dilakukan penting untuk meningkatkan kondisi fisik dan psikologis lansia. Tujuan pengabdian masyarakat ini yaitu untuk mengetahui tingkat spiritualitas serta penguatan pemahaman dan aktivitas keagamaan lansia. Diikuti oleh 68 orang lansia dengan metode ceramah yang dilakukan selama 3 kali pertemuan menggunakan media power point dan lembar balik. Kegiatan diawali dengan pengukuran spiritualitas lansia menggunakan instrument Spiritualitas Daily Spiritual Experience Scale (DSES), dilanjutkan dengan pemberian topik pandangan islam terhadap lansia, menjaga kesehatan jasmani dan rohani selama masa lansia. Hasil menunjukkan bahwa tingkat spiritualitas pada lanjut usia pada posyandu Desa Bejiruyung, mayoritas lansia 51 orang dalam kategori spiritualitas baik. Lansia termotivasi kembali untuk melakukan aktivitas ibadah dan mengikuti kajian keagamaan di masyarakat. Solusi permasalahn mitra yaitu dengan melalukan penyuluhan tentang pandangan islam terhadap lansia, menjaga kesehatan jasmani dan rohani selama masa lansia, dengan melibatkan tokoh agama
EDUKASI DAN SOSIALISASI VAKSIN DAN VAKSINASI COVID-19 DI DESA PESAWAHAN, KECAMATAN BINANGUN, KABUPATEN CILACAP
Authors: Khuluq Husnul , Rahayu Titi Pudji , Agustin Sofingatun Tia 
Published: November 2022

Latar belakang: Program vaksinasi COVID-19 secara nasioanl kepada seluruh masyarakat Indonesia untuk meminimalisir penularan terus dilakukan. Sampai saat ini vaksinasi belum menjangkau seluruh masayarakat Indonesia terutama di daerah terutama pelosok. Pemerintah sudah merencanakan pengadaan 364 juta dosis vaksin sehingga perlu dukungan dan kesadaran dari seluruh lapisan masyarakat termasuk masyarakat awam non tenaga kesehatan tentang pentingnya vaksinasi dan pentingnya pengetahuan tentang kejadian paska imunisasi (KIPI). Disisi lain keberhasilan vaksinasi harus didukung pemahaman masayarakat tentang vaksin COVID-19. Tujuan: mensosialisasikan vaksin dan vaksinasi COVID-19 kepada masyarakat di Desa Pesawahan , kecamatan Binangun Kabupaten Cilacap. Metode: Edukasi tentang vaksin dan vaksinasi COVID-19 melalui media leaflet dan tatap muka kemudian dilakukan evaluasi dengan melakukan pre test dan pos test atau one group pretest-posttest design . Hasil: Peningkatan pengetahuan tentang vaksin dan vaksinasi dari nilai rata-rata pre tes 67.74 naik menjadi 79,35 Kesimpulan: Pemberian edukasi lewat tatap muka dan leaflet menaikkan pengetahuan masyarakat tentang vaksin dan vaksinasi
Kesesuaian Lahan Jenis Tanaman Kehutanan Pada Areal Lahan Terbuka Di Kawasan Hutan Pendidikan Gunung Walat (Hpgw), Sukabumi Jawa Barat
Authors: Supriyanto Supriyanto , Sayid Muhammad Hasan 
Published: November 2022

Gunung Walat Education Forest is a Special Purpose Forest for Education. At present many areas have lost their vegetation cover (trees) or become opened areas in the GWEF area. Land suitability by looking at topography, soil and climate factors needs to be done to find out the type of forestry plant that is suitable for planting on the open areas. Stages of land suitability, is consisted of image processing, visual interpretation of satellite imagery, ground checks, soil and litter observations, data collection on soil physical and chemical properties and climate, land characteristic observations, and matching processes. The results of matching with Liebeg's minimum law and scoring system showed that eucalypt (E. grandis), sengon (F. moluccana), caliandra (C. calothyrsus), mahagoni (S. mahagoni), pine (P. merkusii), lamtoro (F. moluccana), cajuput (M. leucadendron), damar (A. loranthifolia), acacia (A. auriculiformis), and rasamala (A. excelsa) are suitable for planting in open areas in the Gunung Walat Education Forest (GWEF). While teak (T. grandis) is not suitable for planting in opened areas in the GWEF.
Keywords: Forest tree, GWEF, land suitability, opened area.
Pengaruh Pemberian Kompos Terhadap Pertumbuhan Bibit Ylang-Ylang (Cananga odorata forma genuine)
Authors: Mansur Irdika , Baihaqi Muhammad Ridwan 
Published: November 2022

The high economic value of ylang-ylang oil has encouraged some entrepreneurs to develop ylang-ylang plants in Indonesia, especially in terms of increasing productivity. The objectives of this research were to analyze the effect of two types of commercial compost and identify optimal dosage for the growth of ylang-ylang seedlings. The research was carried out through several stages, e.g. the procurement of seeds, weaning, maintenance, collecting and retrieving data, experimental design, hypothesis and data analysis. The research revealed that the use of two types of compost, with four doses used significantly affects the height parameter of the ylang-ylang seedlings. The use of doses of 25 g was able to increase the growth of ylang-ylang seeds better than other doses.
Keywords: commercial, compost, ylang-ylang