bluuebunny/crossref_metadata_2025 huggingface dataset:
Follow-up strategy for early detection of delayed pseudoaneurysms in patients with blunt traumatic spleen injury: A single-center retrospective study
Authors: Cho Sung Hoon , Kim Gun Woo , Hwang Suyeong , Lim Kyoung Hoon
Published: September 2024

BACKGROUND

The spleen is the most commonly injured solid organ in blunt abdominal trauma, and splenic pseudoaneurysm rupture is associated with a high risk of mortality. Nonoperative management has become the standard treatment for hemodynamically stable patients with splenic injuries. On the other hand, delayed splenic pseudoaneurysms can develop in any patient, and at present, there are no known risk factors that may reliably predict their occurrence. Furthermore, there is a lack of consensus regarding the most appropriate strategies for monitoring and managing splenic injuries, especially lower-grade (I-III).

AIM

To determine the predictors of pseudo-aneurysm formation following splenic injury and develop follow-up strategies for early detection of pseudoaneurysms.

METHODS

We retrospectively analyzed patients who visited the Level I Trauma Center between January 2013 and December 2022 and were diagnosed with spleen injuries after blunt abdominal trauma.

RESULTS

Using the American Association for the Surgery of Trauma spleen injury scale, the splenic injuries were categorized into the following order based on severity: Grade I (n = 57, 17.6%), grade II (n = 114, 35.3%), grade III (n = 89, 27.6%), grade IV (n = 50, 15.5%), and grade V (n = 13, 4.0%). Of a total of 323 patients, 35 underwent splenectomy and 126 underwent angioembolization. 19 underwent delayed angioembolization, and 5 under-went both initial and delayed angioembolization. In 14 patients who had undergone delayed angioembolization, no extravasation or pseudoaneurysm was observed on the initial computed tomography scan. There are no particular patient-related risk factors for the formation of a delayed splenic pseudoaneurysm, which can occur even in a grade I spleen injury or even 21 days after the injury. The mean detection time for a delayed pseudoaneurysm was 6.26 ± 5.4 (1-21, median: 6, interquartile range: 2-9) days.

CONCLUSION

We recommend regular follow-up computed tomography scans, including an arterial and portal venous phase, at least 1 week and 1 month after injury in any grade of blunt traumatic spleen injury for the timely detection of delayed pseudoaneurysms.
Risk factors and survival prediction model establishment for prognosis in patients with radical resection of gallbladder cancer
Authors: Li Xing-Fei , Ma Tan-Tu , Li Tao
Published: September 2024

BACKGROUND

Gallbladder cancer (GBC) is the most common malignant tumor of the biliary system, and is often undetected until advanced stages, making curative surgery unfeasible for many patients. Curative surgery remains the only option for long-term survival. Accurate postsurgical prognosis is crucial for effective treatment planning. tumor-node-metastasis staging, which focuses on tumor infiltration, lymph node metastasis, and distant metastasis, limits the accuracy of prognosis. Nomograms offer a more comprehensive and personalized approach by visually analyzing a broader range of prognostic factors, enhancing the precision of treatment planning for patients with GBC.

AIM

To identify risk factors and develop a predictive model for GBC prognosis.

METHODS

A retrospective study analyzed the clinical and pathological data of 93 patients who underwent radical surgery for GBC at Peking University People's Hospital from January 2015 to December 2020. Kaplan-Meier analysis was used to calculate the 1-, 2- and 3-year survival rates. The log-rank test was used to evaluate factors impacting prognosis, with survival curves plotted for significant variables. Single-factor analysis revealed statistically significant differences, and multivariate Cox regression identified independent prognostic factors. A nomogram was developed and validated with receiver operating characteristic curves and calibration curves.

RESULTS

Among 93 patients who underwent radical surgery for GBC, 30 patients survived, accounting for 32.26% of the sample, with a median survival time of 38 months. The 1-year, 2-year, and 3-year survival rates were 83.87%, 68.82%, and 53.57%, respectively. Univariate analysis revealed that carbohydrate antigen 19-9 expression, T stage, lymph node metastasis, histological differentiation, surgical margins, and invasion of the liver, extrahepatic bile duct, nerves, and vessels (P ≤ 0.001) significantly impacted patient prognosis after curative surgery. Multivariate Cox regression identified lymph node metastasis (P = 0.03), histological differentiation (P < 0.05), nerve invasion (P = 0.036), and extrahepatic bile duct invasion (P = 0.014) as independent risk factors. A nomogram model with a concordance index of 0.838 was developed. Internal validation confirmed the model's consistency in predicting the 1-year, 2-year, and 3-year survival rates.

CONCLUSION

Lymph node metastasis, tumor differentiation, extrahepatic bile duct invasion, and perineural invasion are independent risk factors. A nomogram based on these factors can be used to personalize and improve treatment strategies.
Surgical and non-surgical risk factors affecting the insufficiency of ileocolic anastomosis after first-time surgery in Crohn’s disease patients
Authors: Cwaliński Jaroslaw , Lorek Filip , Mazurkiewicz Łukasz , Mazurkiewicz Michał , Lizurej Wojciech , Paszkowski Jacek , Cholerzyńska Hanna , Zasada Wiktoria
Published: September 2024

BACKGROUND

Crohn's disease (CD) often necessitates surgical intervention, particularly when it manifests in the terminal ileum and ileocecal valve. Despite undergoing radical surgery, a subset of patients experiences recurrent inflammation at the anastomotic site, necessitating further medical attention.

AIM

To investigate the risk factors associated with anastomotic insufficiency following ileocecal resection in CD patients.

METHODS

This study enrolled 77 patients who underwent open ileocolic resection with primary stapled anastomosis. Patients were stratified into two groups: Group I comprised individuals without anastomotic insufficiency, while Group II included patients exhibiting advanced anastomotic destruction observed endoscopically or those requiring additional surgery during the follow-up period. Surgical and non-surgical factors potentially influencing anastomotic failure were evaluated in both cohorts.

RESULTS

Anastomotic insufficiency was detected in 12 patients (15.6%), with a mean time interval of 30 months between the initial surgery and recurrence. The predominant reasons for re-intervention included stenosis and excessive perianastomotic lesions. Factors associated with a heightened risk of anastomotic failure encompassed prolonged postoperative obstruction, anastomotic bleeding, and clinically confirmed micro-leakage. Additionally, patients in Group II exhibited preoperative malnutrition and early recurrence of symptoms related to CD.

CONCLUSION

Successful surgical outcomes hinge on the attainment of a fully functional anastomosis, optimal metabolic status, and clinical remission of the underlying disease. Vigilant endoscopic surveillance following primary resection facilitates the timely identification of anastomotic failure, thereby enabling noninvasive interventions.
Clinical evaluation of sintilimab in conjunction with bevacizumab for advanced colorectal cancer with microsatellite stable-type after failure of first-line therapy
Authors: Wang Liang , Diao Yong-Zhi , Ma Xin-Fu , Luo Yu-Shuang , Guo Qi-Jing , Chen Xiao-Qian
Published: September 2024

BACKGROUND

At present, immune checkpoint inhibitors (ICIs) remain the 1st-line therapy method for patients suffering from high microsatellite instability /deficient mismatch repair metastatic colorectal cancer (mCRC). However, ICI treatments demonstrate minimal therapeutic efficacy against microsatellite stable (MSS)/proficient mismatch repair (pMMR) CRC. This is mainly because this type of tumor is a “cold tumor” with almost no lymphocyte infiltration. Anti-angiogenic drugs have been found to improve the immune microenvironment by promoting many immune cells to enter the immune microenvironment, thereby exerting anti-tumor effects.

AIM

To investigate the effects of ICIs combined with bevacizumab monoclonal antibody on tumor immune cells in MSS/pMMR advanced CRC patients with first-line treatment failure.

METHODS

A total of 110 MSS/pMMR patients with advanced CRC after first-line treatment failure in the Affiliated Hospital of Qinghai University were enrolled for a randomized controlled trial. In short, patients in the experimental group (n = 60) were given sintilimab plus bevacizumab for 4 cycles, and those in the control group (n = 50) patients were treated with FOLFIRI combined with bevacizumab for 4 cycles. The expression levels of cluster of differentiation (CD) 8 (+) T cells, tumor-associated macrophages (TAMs), and cancer-associated fibroblasts (CAFs) were comprehensively evaluated to assess the effects of sintilimab combined with bevacizumab on MSS/pMMR advanced CRC sufferers following failure of 1st-line therapy.

RESULTS

The positive expression rates of CD8 (+) T lymphocytes (30% vs 50%), TAMs (23.30% vs 60%), and CAFs (23.30% vs 50%) before and after treatment in both groups exhibited statistical significance (P < 0.05). Additionally, the therapeutic effects of both groups (partial remission: 26.67% vs 10%; objective response rate: 26.70% vs 10%) were significantly different (P < 0.05). Although the experimental group showed a higher progression-free survival, median progression-free survival, and disease control rate than the control group, the difference was not statistically significant. Moreover, no significant difference in the occurrence rate of drug-related adverse reactions after treatment between the two groups was found (P > 0.05).

CONCLUSION

ICIs in combination with bevacizumab can not only improve the patient’s prognosis but also yield safe and controllable adverse drug reactions in patients suffering from MSS/pMMR advanced CRC after failure to a 1st-line therapy.
Structured magnetic resonance imaging and endoanal ultrasound anal fistulas reporting template (SMART): An interdisciplinary Delphi consensus
Authors: Sudoł-Szopińska Iwona , Garg Pankaj , Mellgren Anders , Spinelli Antonino , Breukink Stephanie , Iacobellis Francesca , Kołodziejczak Małgorzata , Ciesielski Przemysław , Christian Jenssen ,   SMART Collaborative Group, Santoro Giulio Aniello
Published: September 2024

BACKGROUND

There is still considerable heterogeneity regarding which features of cryptoglandular anal fistula on magnetic resonance imaging (MRI) and endoanal ultrasound (EAUS) are relevant to surgical decision-making. As a consequence, the quality and completeness of the report are highly dependent on the training and experience of the examiners.

AIM

To develop a structured MRI and EAUS template (SMART) reporting the minimum dataset of information for the treatment of anal fistulas.

METHODS

This modified Delphi survey based on the RAND-UCLA appropriateness for consensus-building was conducted between May and August 2023. One hundred and fifty-one articles selected from a systematic review of the literature formed the database to generate the evidence-based statements for the Delphi study. Fourteen questions were anonymously voted by an interdisciplinary multidisciplinary group for a maximum of three iterative rounds. The degree of agreement was scored on a numeric 0–10 scale. Group consensus was defined as a score ≥ 8 for ≥ 80% of the panelists.

RESULTS

Eleven scientific societies (3 radiological and 8 surgical) endorsed the study. After three rounds of voting, the experts (69 colorectal surgeons, 23 radiologists, 2 anatomists, and 1 gastroenterologist) achieved consensus for 12 of 14 statements (85.7%). Based on the results of the Delphi process, the six following features of anal fistulas were included in the SMART: Primary tract, secondary extension, internal opening, presence of collection, coexisting lesions, and sphincters morphology.

CONCLUSION

A structured template, SMART, was developed to standardize imaging reporting of fistula-in-ano in a simple, systematic, time-efficient way, providing the minimum dataset of information and visual diagram useful to referring physicians.
Formation and rupture of liver hematomas caused by intrahepatic gallbladder perforation: A case report and review of literature
Authors: Huang Hong-Wei , Wang Hao , Leng Chao , Mei Bin
Published: September 2024

BACKGROUND

Gallbladder perforation is a serious complication of acute cholecystitis. Such perforation is a rare but life-threatening situation that can lead to the formation and rupture of liver hematomas. Here, we report a case of a ruptured intrahepatic hematoma caused by intrahepatic gallbladder perforation, and we present a literature review.

CASE SUMMARY

A 70-year-old male was admitted to the hospital with a complaint of right upper quadrant abdominal pain, flustering and dizziness. The preoperative diagnosis was a ruptured malignant liver tumor, and the patient’s medical images and increased level of carbohydrate antigen-199 suggested that the gallbladder had been invaded. However, the tumor was proven to be a liver hematoma secondary to gallbladder perforation after surgery. The patient was discharged uneventfully on the fifteenth postoperative day.

CONCLUSION

Intrahepatic gallbladder perforation is difficult to diagnose preoperatively. Radiological examinations play a crucial role in the diagnosis but only for partial cases. Early diagnosis and appropriate surgery are key to managing this rare condition.
Reassessment of palliative surgery in conversion therapy of previously unresectable hepatocellular carcinoma: Two case reports and review of literature
Authors: Zhu Yang-Bo , Qin Jia-Yi , Zhang Ting-Ting , Zhang Wen-Jin , Ling Qi
Published: September 2024

BACKGROUND

Most patients with hepatocellular carcinoma (HCC) have lost the opportunity for direct surgery at the time of diagnosis. Transarterial chemoembolization (TACE) combined with immune checkpoint inhibitors or tyrosine kinase inhibitors (TKI) can partially transform some unresectable HCC and improve the prognosis effectively. However, based on the promising prospects of combined targeted and immunotherapy for the effective treatment of HCC, the positive role of palliative surgery in the conversion treatment of advanced HCC urgently needs further intensive re-assessment.

CASE SUMMARY

In this study, we describe two successful cases of "conversion therapy for unresectable HCC" achieved mainly by palliative surgery combined with TACE plus immunotherapy and TKIs. A 48-year-old patient with newly diagnosed HCC, presenting with a 6-cm mass in the segment VII/VIII of the right liver with multiple intrahepatic metastases, could not undergo one-stage radical surgical resection. He underwent palliative surgery with radiofrequency of metastatic lesions and the palliative resection of the primary mass, and received subsequent TACE treatments twice in the early postoperative period (2 weeks and 6 weeks), in addition to targeted and immune combination therapy with sintilimab injection and oral lenvatinib. No evidence of recurrence was observed during the 11-month follow-up period after surgery. The other patient was a 47-year-old patient with massive HCC (18 cm × 15 cm × 4.5 cm) in the left liver with severe cirrhosis. The left portal branch was occluded and a tumor thrombus formed, and the tumor partly involved the middle hepatic vein. The patient underwent palliative surgery of left hemihepatectomy (including resection of the middle hepatic vein) for HCC, followed by three TACE procedures and oral TKIs 2 weeks after surgery. Six months later, the re-examination via computed tomography revealed no tumour activity in the remaining right liver, while magnetic resonance imaging revealed slight local tumor enhancement in the caudate lobe of the liver considered, TACE was performed once again, and during the next follow-up of 10 months did not reveal new intrahepatic lesions or distant metastases.

CONCLUSION

These cases demonstrate that the addition of palliative surgery to conversion therapy in a selected population with a high tumor burden could benefit patients with initially unresectable HCC.
Lung cancer metastasis-induced distal esophageal segmental spasm confirmed by individualized peroral endoscopic myotomy: A case report
Authors: Shi Hong , Chen Su-Yu , Xie Zhao-Fei , Lin Li-Lin , Jiang Yan
Published: September 2024

BACKGROUND

Peroral endoscopic myotomy (POEM) has been widely performed as a standard treatment for achalasia; however, its efficacy and safety for treating distal esophageal segmental spasms induced by cancer metastasis remain unknown.

CASE SUMMARY

A 72-year-old male was referred to our hospital and complained of progressive dysphagia for two years. Endoscopy revealed a 2 cm long segment esophageal stenosis with intact mucosa and normal cardia. Computed tomography showed a right upper lung mass, and pathology of the right pleural effusion confirmed the diagnosis of right upper lung adenocarcinoma with multiple rib and mediastinal lymph node metastases and right malignant pleural effusion. Individualized POEM was performed first to alleviate dysphagia, and the final diagnosis was changed to esophageal muscle metastasis arising from lung adenocarcinoma. After treatment, the patient could eat soft solid food and received multiple rounds of pembrolizumab-combination chemotherapy. The patient’s progression-free survival was approximately 16 months. Long stable disease was obtained during the 24-month follow-up.

CONCLUSION

The incidence of distal esophageal segmental spasms induced by muscular metastasis arising from lung adenocarcinoma is extremely low. Individualized POEM can effectively improve a patient’s nutritional status before subsequent chemotherapy can be combined with immune checkpoint inhibitors.
Influencing factors and preventive measures of infectious complications after intestinal resection for Crohn’s disease
Authors: Lv Shi-Rong , Huang Xiao , Zhou Li-Yun , Shi Jie , Gong Chu-Chu , Wang Ming-Ke , Yang Ji-Shun
Published: September 2024

The incidence of Crohn’s disease (CD) has increased in recent years, with most patients requiring intestinal resection. Complications after intestinal resection for CD can lead to poor prognosis and recurrence, among which infectious complications are the most common. This study aimed to investigate the common risk factors, including medications, preoperative nutritional status, surgery-related factors, microorganisms, lesion location and type, and so forth, causing infectious complications after intestinal resection for CD, and to propose corresponding preventive measures. The findings provided guidance for identifying susceptibility factors and the early intervention and prevention of infectious complications after intestinal resection for CD in clinical practice.
Aristotelov posnetek kot posnetek v razliki
Authors: Vrečko Janez
Published: September 2024

In his 2000-year history, Western man has, in addition to Plato’s iconoclasm and abstraction, discovered mimesis, which transcends the mechanical relationship of mere doubling between that which is represented and the representation itself. According to Aristotle, the imitated object evokes pleasure if its imitation is as faithful as possible, but it can only be such if it is not the same as the real object that it imitates.
Kocijanove empirične obravnave literature in preizkus modela invariantnih kratkoproznih značilnosti
Authors: Perenič Urška
Published: September 2024

The author briefly presents the empirical treatment of the short prose by Gregor Kocijan, whereby his main works are listed. In particular, Kocijan’s empirical approach is recognised by the author in his tendency to fully capture data, and in the organisation of the material that, on the one hand, adopts the form of a comprehensive bibliography, and, on the other hand, that of a generally applicable model of short prose features. The latter is tested on the opus of Milica S. Ostrovška.
Slovenska kratka proza od 1980 do 2000 preštevno
Authors: Žbogar Alenka
Published: September 2024

The article examines the quantity and dynamics of Slovene short prose published from 1980 to 2000,author’s prose type labels in titles and subtitles of prose collections, and size-of-the-text parameters (number of words) in the individual stories included in the selected compilations. The number of words was counted in 1,229 stories penned by 76 authors (i.e., 10% of Slovene short prose production for adults, published in the 1980s and 1990s). The statistical results have a descriptive rather than normative value, considering that size limits of short prose are, in fact, a matter of agreement.
Mednarodna znanstvena konferenca Korpusi in diskurzi
Authors: Šorli Mojca
Published: September 2024

Mednarodna znanstvena konferenca Korpusi in diskurzi
Innovation in Licensing Services at the One-Stop Licensing Service Office (Serve) Dili-East Timor
Authors: Magno Marito
Published: September 2024

Innovation in licensing services is key to creating a more effective and efficient system, particularly in the context of one-stop licensing in Dili, Timor Leste. This research aims to describe the innovation of SERVE licensing services and identify new concepts that can improve the effectiveness and efficiency of one-stop licensing services. The method used is a qualitative method with a descriptive approach, which allows in-depth analysis of the constraints and opportunities for innovation in the licensing system. The results showed that the one-stop licensing system in Dili has not run optimally, with overlapping division of authority between institutions, as well as challenges in terms of policy, budget support, human resources, infrastructure, and service systems that have not been integrated. This research recommends the implementation of the Integrated Digital Service System (IDSS), which is a digitally integrated licensing service system through one national portal, to provide convenience, speed, and accuracy in applying for licenses. The implications of this research show that the use of more advanced and integrated technology can improve the quality of public services, provide the value of justice, and create a system that is more responsive to the needs of the community.
AI in Healthcare: ChatGPT's Significance in Transforming Patient-Physician Communication and Clinical Assistance
Authors: FNU Nizamullah , Zeb Shah , Abbasi Nasrullah , Umer Qayyum Muhammad , Fahad Muhammad
Published: September 2024

Artificial intelligence (AI) is bringing revolutionary changes in healthcare, especially in improving communication between patients and doctors and supporting clinical decisions. The background of this study is the increasing complexity of modern healthcare which requires more efficient tools in managing communication and decision-making. The purpose of this study was to evaluate the effectiveness of ChatGPT in improving patient-physician communication, supporting clinical decisions, and increasing patient engagement. The methods used included a combination of qualitative data collection through interviews with healthcare professionals and quantitative data analysis from electronic medical records to evaluate the impact of ChatGPT. The results showed that ChatGPT significantly improved patient-physician communication, provided evidence-based recommendations, and automated repetitive tasks, ultimately improving patient satisfaction and care outcomes. The implications of this study suggest that AI integrations such as ChatGPT can reduce the administrative burden on healthcare workers and enable more efficient and personalized care delivery. Ethical and technical challenges related to data privacy and bias in AI systems remain a concern going forward.
Ornamental Fish Marketing at Laladon Ornamental Fish Exchange, Bogor, West Java
Authors: Nuradzani Daffa , Hadiroseyani Yani , Effendi Irzal , Budiardi Tatag
Published: September 2024

The ornamental fish business in Indonesia, especially at Laladon Ornamental Fish Exchange, Bogor, has experienced a significant decline after the Covid-19 pandemic. This study aims to analyze the factors that influence the sale of ornamental fish at the location. The research was conducted from May to August 2023 using purposive sampling method on 9 active ornamental fish traders. Data collected included location profile, technical and economic aspects of marketing. Data analysis was carried out with qualitative and quantitative descriptive analysis, as well as statistical tests using Kruskal-Wallis and Spearman rank correlation. The results showed that the variables that significantly influenced sales were fish stock (0.833), number of fish species (0.711), fish storage capacity (0.833), repeat purchases by businesses (0.900), and fish sales (0.983). The decline in sales in the post-pandemic period was caused by various internal and external factors. These findings indicate the need for improvements in product management and marketing strategies to improve sales performance of ornamental fish at Laladon Ornamental Fish Exchange. This research provides important insights for businesses and stakeholders in optimizing the potential of the ornamental fish market.
Evaluasi Kualitas Fisik Pakan Amoniasi Fermentasi (Amofer) Limbah Jerami Padi
Authors: Nuruzzahri Nuruzzahri , Al Adam Koji , Fadli Chairul , Fridayati Diah , Koesmara Hendra , Ammar Muhammad
Published: September 2024

Tujuan penelitian ini sebagai upaya dalam menurunkan faktor pembatas penggunaan jerami padi sebagai pakan ternak. Penelitian ini dilaksanakan di Laboratorium Lapangan Peternakan (LLP) Universitas Syiah Kuala pada tanggal 15 Juli hingga 26 Agustus 2023. Rancangan yang digunakan dalam penelitian ini adalah Rancangan Acak Lengkap (RAL). Dimana metode amofer dilakukan dengan level lama pemeraman. Adapun Faktornya terdiri dari 4 perlakuan yang berbeda berdasarkan lama hari pemeraman (B0 = 0 hari, B1 = 7 hari ; B2= 14 hari ; B3= 21 hari). Setiap perlakuan terdiri dari 3 ulangan, sehingga diperoleh 16 unit perlakuan. Hasil penelitian menunjukkan bahwa perlakuan amofer pada jerami padi secara keseluruhan mampu mempengaruhi kualitas fisik jerami padi.
PENGARUH GAYA KEPEMIMPINAN TERHADAP KINERJA KARYAWAN PADA PT. REKAYASA CAKRAWALA RESOURCES DIVISI CLEANING SERVICE JAKARTA
Authors: Rahayu Siti , Yahdi MUhammad
Published: September 2024

Penelitian  ini  bertujuan  untuk  mengetahui  pengaruh  gaya  kepemimpinan  terhadap  kinerjakaryawan di PT. Rekayasa Cakrawala Resources Divisi Cleaning Service di Jakarta. Dengan menggunakan teknik total sampling, seluruh 52 karyawan dijadikan sampel. Hasil analisis regresi menunjukkan bahwa gaya kepemimpinan berpengaruh signifikan terhadap kinerja karyawan, dengan persamaan Y = 4,441 + 0,778X dan nilai thitung  sebesar 9,646 yang lebih besar dari ttabel1,680, sehingga Ho  ditolak dan Ha  diterima. Nilai koefisien determinasi (KD) sebesar 65,0%menunjukkan bahwa gaya kepemimpinan memiliki pengaruh kuat terhadap kinerja karyawan, sementara 35,0% dipengaruhi oleh faktor lain.
PENGARUH LINGKUNGAN KERJA FISIK, DISIPLIN KERJA, DAN KOMITMENAFEKTIF TERHADAP KINERJA KARYAWAN PT. MULTICENTAL ARYAGUNA TAHUN 2019 – 2024
Authors: Mustofa Afaf Riski , Sari Anindya Nurani Mutiara
Published: September 2024

Tujuan penelitian ini adalah untuk mengetahui pengaruh lingkungan kerja, disiplin kerja, dan komitmen afektif pada kinerja karyawan di PT. Multicentral Aryaguna. Metode penelitian yang digunakan adalah deskriptif kuantitatif. Populasi dalam penelitian berjumlah 117 responden yang merupakan karyawan PT. Multicentral Aryaguna. Analisis data dilakukan dengan uji regresi linier berganda, uji t, uji f, dan koefisiensi determinasi (R2). Hasil penelitian ini menunjukkan bahwa terdapat pengaruh positif dan signifikan antara variabel lingkungan kerja terhadap kinerja karyawan pada PT. Multicentral Aryaguna. Selain itu juga terdapat pengaruh positif dan signifikan antara variabel komitmen afektif terhadap kinerja karyawan pada PT. Multicentral Aryaguna.
PENGARUH MANAJEMEN KINERJA TERHADAP PRODUKTIVITAS KERJA PADA BADAN AMIL ZAKAT NASIONAL KOTA SERANG
Authors: Ulaini Siti Zahra , Ayunani Faras Zulina , Mawarni Sani
Published: September 2024

Zakat, selain sebagai kewajiban bagi umat Muslim yang memenuhi syarat, adalah bentuk redistribusi kekayaan yang penting dalam mengurangi kesenjangan ekonomi dan membantu mereka yang membutuhkan. Program zakat yang efektif dan transparan dapat meningkatkan kesejahteraan ekonomi masyarakat Indonesia secara signifikan. Amil Zakat tidak hanya menghimpun dan menyalurkan dana, tetapi juga mendampingi dan membina mustahik untuk meningkatkan produktivitas dan kemandirian ekonomi. Untuk mencapai produktivitas maksimal, perlu peningkatan efisiensi administrasi dan kapasitas Amil Zakat dalam melaksanakan tugasnya dengan lebih efektif dan bersaing. Pelatihan dan pengembangan kapasitas Amil Zakat di Kota Serang juga penting agar mereka dapat bekerja lebih profesional. Produktivitas Amil Zakat dipengaruhi oleh keterampilan manajerial yang kurang, sumber daya yang tidak memadai, dan sistem pendukung yang tidak efisien. Selain itu, kondisi ekonomi yang tidak stabil atau tingkat pendidikan yang rendah bisa menjadi hambatan dalam implementasi program zakat yang efektif. Manajemen kinerja yang baik, yang mencakup pengukuran kinerja, analisis dampak, dan umpan balik dari para pemangku kepentingan, penting untuk memastikan program zakat berjalan sesuai tujuan dan memberikan dampak yang diharapkan. Penelitian ini menggunakan metode kuantitatif dengan survei, kuesioner, dan observasi, serta analisis data menggunakan SPSS versi 29. Hasilnya menunjukkan bahwa peningkatan satu satuan dalam manajemen kinerja meningkatkan produktivitas kerja sebesar 0,687, dengan hubungan positif dan signifikan antara kedua variabel tersebut.
Predictors of early removal of intragastric balloon due to intolerance: Insights from a multiethnic Asian cohort
Authors: Choo Amadora , Lim Eugene , Eng Alvin , Chan Weng Hoong , Asokkumar Ravishankar , Tan Jeremy , Tan Ai Shan , Chong Agnes , Md Shahrin Yumni Binte , Wang Xuan , Lee Phong Ching , Lim Chin Hong
Published: September 2024

Introduction: Intolerance frequently limits the use of intragastric balloons (IGBs) in the treatment of obesity. This includes refractory nausea, vomiting and abdominal discomfort. Our study aims to identify predictors of balloon intolerance and early removal, which will help to guide patient selection for this intervention and peri-procedure care.

Method: We conducted a retrospective cohort study of 54 consecutive patients who underwent IGB insertion from July 2017 to July 2022 in a single tertiary institution in Singapore. Forty-seven (87.0%) patients completed therapy, while 7 patients (13.0%) had early removal of the balloon due to intolerance. Characteristics of both groups were compared.

Results: Multivariate analysis revealed significant associations between early balloon removal and both depression (P=0.012) and anxiety (P=0.001) after adjusting for age, sex, ethnicity, height, nulliparity, balloon type and volume. Univariate analysis revealed that anxiety was the main risk factor (P=0.004, odds ratio 9.111, 95% confidence interval 1.624–51.124), while depression was no longer a significant predictor.

Conclusion: Identifying predictors of balloon intolerance and early removal can enhance patient selection and improve peri-procedural care. In patients with a history of depression or anxiety, it is important to ensure adequate counselling and preparation prior to balloon insertion.
Investigating urinary characteristics and optimal urine white blood cell threshold in paediatric urinary tract infection: A prospective observational study
Authors: Teo Jean Nee , Teo Yong Teck , Ganapathy Sashikumar , Maiwald Matthias , Ng Yong Hong , Chong Shu-Ling
Published: September 2024

Introduction: While the definitive diagnosis of urinary tract infection (UTI) requires a positive urine culture, the likelihood of UTI can be determined by urinalysis that includes white blood cell (WBC) count. We aimed to determine the optimal urine WBC threshold in urinalysis to predict UTIs in children presenting at the emergency department (ED).

Method: We performed a prospective observational study in the ED at KK Women’s and Children’s Hospital for children below 18 years old who underwent both urine microscopy and urine cultures, between 10 January and 7 November 2022. We assessed the various urine WBC thresholds associated with culture-proven UTIs using sensitivity, specificity, positive and negative predictive values, positive and negative likelihood ratios, and area under receiver operating characteristic curve.

Results: We found a culture-proven UTI rate of 460/1188 (38.7%) among all patients analysed, and 278/998 (27.9%) among those with nitrite-negative urine samples. Among all patients, a urinalysis WBC threshold of 100/µL had a sensitivity of 82.2% (95% confidence interval [CI] 78.4–85.5) and negative predictive value of 86.2% (95% CI 83.6–88.4). Among those who were nitrite-negative, a WBC threshold of ≥100/µL resulted in a potential missed rate of 48/278 (17.3%). By lowering the WBC threshold to ≥10/µL, the potential missed cases reduced to 6/278 (2.2%), with an estimated increase in 419 urine cultures annually.

Conclusion: A urine microscopy WBC threshold of ≥100/μL results in a clinically significant number of missed UTIs. Implementation of various thresholds should consider both the potential missed UTI rate and the required resource utilisation.
Analisis Beban Kerja Fisik dan Situation Awareness pada Unit Apron Movement Control (AMC) Bandar Udara Halu Oleo Kendari
Authors: Muhlis Laode Muhammad
Published: September 2024

Transportasi udara telah mengalami perkembangan pesat dengan adanya kemajuan teknologi penerbangan seperti mesin yang lebih efisien bahan bakar, sistem navigasi yang akurat, dan desain pesawat yang inovatif. Setiap Bandar Udara banyak kegiatan yang dilakukan, untuk melakukan tugas dan fungsi dari kegiatan yang ada. Bandar Udara Halu Oleo Kendari pada tahun 2022-2023 terdapat peninhkatan baik dari jumlah pesawat penumpang dan juga pesawat kargo. Dengan adanya perkembangan tersebut dapat bepotensi menyebabkan beban kerja fisik yang tinggi dapat menyebabkan kelelahan, yang dapat menurunkan situasion awareness. Penelitian ini menggunakan jenis penelitian dengan metode deskriptif kualitatif. Dengan data primer berupa wawancara, observasi, dan data sekunder berupa studi pustaka, arsip SOP (Standar Operasional), serta dokumentasi kejadian yang terkait. Teknik pengumpulan data melibatkan observasi, wawancara, dan dokumentasi. Proses analisis data melibatkan pengumpulan data, reduksi data, penyajian data, dan penarikan kesimpulan. Keabsahan penelitian diukur menggunakan teknik triangulasi Teknik. Hasil penelitian menujukkan bahwa kondisi beban kerja fisik masih tergolong sedang karena beban kerja yang diberi belum berdampak hingga kelelahan atau mengganggu Kesehatan fisik personel. Sedangkan untuk kondisi situation awareness termasuk dalam kondisi yang baik dan berada pada level 3 untuk situation awareness. Hal ini disebabkan karena personel mampu memfungsikan diri secara efektif dalam lingkungan sekitar, khususnya terkait keterlibatan dan respon terhadap kejadian di wilayah airside.
Pengaruh Pelayanan Keamanan Petugas AVSEC Pasca Event MotoGP 2023 terhadap Kepuasan Penumpang Bandar Udara Internasional Zainuddin Abdul Majid Lombok
Authors: Sanita Audya , Frisnawati Elnia
Published: September 2024

Menurut Direktorat Jenderal Perhubungan Udara dengan nomor SKEP/2765/XII/2010 Bab I Butir 9, peran Keamanan Penerbangan (AVSEC) diperlukan sebagai personel keamanan penerbangan yang memiliki (wajib) surat izin atau surat keterangan kemahiran petugas (STKP). dan siapa yang diberi tugas dan tanggung jawab di bidang keamanan penerbangan. Dalam industri penerbangan, keselamatan adalah hal terpenting dan tidak dapat dikompromikan atau ditoleransi. Meskipun pemerintah berdedikasi untuk memastikan “keselamatan adalah nomor satu” sesuai dengan undang-undang nomor 15 tahun 1992, perusahaan-perusahaan di industri jasa juga memiliki tanggung jawab untuk memprioritaskan kepuasan pelanggan dan kualitas layanan. Penelitian ini mencoba untuk mengetahui apakah layanan keamanan petugas AVSEC setelah event MotoGP berdampak pada penumpang. Peneliti menggunakan metodologi penelitian kuantitatif. Selain itu, regresi linier dasar digunakan oleh peneliti sebagai metode analisis data dan kuesioner sebagai alat pengumpulan data. Sampel penelitian terdiri dari penumpang yang tiba di Bandara Internasional Zainuddin Abdul Majid Lombok setelah balapan MotoGP 2023. Berdasarkan temuan penelitian, kepuasan penumpang Bandara Internasional Zainuddin Abdul Majid Lombok dipengaruhi secara signifikan dan positif oleh variabel pelayanan keamanan. Nilai t hitung sebesar 17,734 dan nilai signifikansi (Sig) sebesar 0,000 < 0,05 menunjukkan hasil tersebut. Nilai signifikansinya kurang dari 0,05. Dengan demikian, dapat dikatakan hipotesis Ha yang menyatakan bahwa kenikmatan penumpang di Bandara Internasional Zainuddin Abdul Majid Lombok dipengaruhi oleh pelayanan keamanan petugas Avsec diterima. Nilai R Square sebesar 0,762 atau 76,2% digunakan untuk menghitung dampak pelayanan keamanan terhadap kepuasan penumpang di Bandara Internasional Zainuddin Abdul Majid Lombok. Berdasarkan temuan tersebut, variabel kepuasan penumpang (Y) dipengaruhi secara signifikan oleh variabel pelayanan (X) sebesar 7,62%, sedangkan sisanya sebesar 23,8% dipengaruhi oleh variabel lain.
Structural analysis of physical activity, self-efficacy on academic achievement, and critical thinking abilities of elementary school children
Authors: Yuliawan Dhedhy , Sundawan Suherman Wawan , Nopembri Soni
Published: September 2024

(CT), along with the moderating role of Self-Efficacy (SE) in this relationship. Methods: Data collection was carried out through statistical analysis of test and survey results given to research participants. Results: The results of the analysis indicate that physical activity has a significant influence on AG and CT at the 95% confidence level, which is strengthened by the P value and t statistic which exceed the significance threshold. In addition, Self-Efficacy was also proven to have a significant role in linking physical activity with AG and CT. The implications of this research show the urgency of promoting physical activity as an element of improving academic performance and critical thinking abilities, with a special focus on strengthening self-efficacy. Conclusion: The conclusions of this research can be a guide for policymakers, educators and other stakeholders in designing comprehensive and sustainable education strategies.
Keywords: Physical activity, critical thingking, self-efficacy, academic grades, structural equation modelling.
The contribution of physical education and sports attitudes to emotional intelligence: an examination of secondary school students
Authors: Sarikabak Murat , Ayrancı Mert , Ayranci Ebru
Published: September 2024

The primary aim of this study was to examine the attitudes of secondary school students towards physical education and sports and their emotional intelligence levels. The study was conducted with 360 students. Data were collected using a personal information form and a voluntary consent form. Emotional intelligence was assessed with a 60-item measurement tool developed by Bar-On and adapted into Turkish by Köksal. Students' attitudes were measured using the 24-item “Physical Education and Sports Attitude Scale” developed by Demirhan and Altay. The data were analyzed with SPSS 25 program. Normality tests revealed that the data were normally distributed, so independent sample t-test and one-way analysis of variance (ANOVA) were used. The significance level was set at 0.05. Analyses revealed significant differences in physical education and sport attitude scores and emotional intelligence scores based on gender and participation in sport activities. In addition, significant differences were observed in emotional intelligence scores depending on the educational level of the parents. However, no significant differences were found in physical education and sport attitude scores depending on these variables. The findings were discussed in the light of the literature and recommendations were made.
Keywords: Secondary Education, Physical Education and Sports, Attitude, Emotional Intelligence
Article RETRACTED due to manipulation by the authors Badminton training management strategy with circuit training method to improve athlete performance among students
Authors: Adirahma Ahmad Septiandika , Widiyanto Wahyu Eko , Setyawan Hendra , Hamsyah Khairul , Darmawan Arief , Nurkadri Nurkadri , Novita Novita , Safrudin Safrudin , HB Gusliana , Harmanto Harmanto , Pranoto Nuridin Widya , Pavlovic Ratko
Published: September 2024

This study aims to examine badminton training management strategies with circuit training methods to improve athlete performance among students. The study was conducted using the systematic literature review method by obtaining data from Google Scholar. The data were selected based on certain inclusion criteria. For example, the study focused on journal articles indexed in the Scopus database. In addition, they must be published between 2019 and 2024. The keywords used were "Badminton Training AND Management Strategy AND Circuit Training Method AND Student Achievement" . For article selection, this study followed the PRISMA method. Based on the initial search, this study found 15,800 articles from various sources. Furthermore, they went through several stages of the screening process. These processes generated 17 articles that fit the theme and met the inclusion requirements. The results of this study showed that circuit training has significant benefits in improving physical fitness and athletic performance in various age groups and sports. Circuit training was shown to improve aerobic endurance, strength, and VO2 max capacity, which are crucial for athletic performance in sports such as badminton. Varied training methods, such as Gobak Sodor games and drilling exercises, were also found effective in improving agility and balance, thus emphasizing the importance of training variety for optimal athlete performance. Circuit training was also effective in lowering BMI, improving cardiometabolic health, reducing regional fat, and increasing oxygen supply to muscles, as well as incorporating various important elements such as muscular strength, endurance, flexibility, agility, balance, and cardiovascular endurance. Furthermore, HIIT showed great potential in efficiently improving physical fitness, with additional benefits in hormone regulation and improved aerobic capacity. A holistic approach to physical education and training, including monitoring technologies such as HRV and neurofeedback, can provide comprehensive benefits in managing the physical and psychological aspects of athlete performance.
Keywords: Badminton Training, Management Strategy, Circuit Training, Method, Student Achievement.
Does Place of Birth Affect the Anthropometric and Performance Characteristics of Papua New Guinean Athletes?
Authors: Sciberras Kieran , Deakin Glen B. , Alsop Aaron , Bird Stephen P.
Published: September 2024

Previous research has indicated that region of origin may influence the anthropometric and performance characteristics of an individual. The aim of this study was to determine the anthropometric and performance characteristics of Papua New Guineans and examine the relationship with the region of origin. 1176 Papua New Guinean athletes (666 males/510 females) aged between 14 and 39 years old completed anthropometric testing (height, seated height, arm span, body mass, body mass index), performance testing (sit and reach, medicine ball throw, vertical jump, Illinois agility, 5m/20m sprint, 60 second push-up/sit-up, multi-stage fitness test) and a heritage questionnaire (participant’s place of birth). Participants that met required criteria were categorised by ages groups (15-17 years, 18-20 years, 21-25 years and 26-30 years), sex (male and female) and by birth province (National Capital District, Morobe, Central, Sandaun, East Sepik, East New Britain, West New Britain and Milne Bay) before statistical analysis. Significant differences between birth provinces of participants were found for all tested anthropometric and performance characteristics (p<0.05), except for the leg length and Illinois agility test. Significant differences (p<0.05) were also found for all but one (body mass index) tested characteristics between the two sexes. Analysis of age indicated a significant difference for tested characteristics between age groups (p<0.05). Further analyses revealed that while birth province had an effect on some characteristics, sex and age demonstrated a significant and larger influence. Consequently, whilst there may be an association between the region of origin and anthropometric and performance characteristics of Papua New Guinean athletes, other variables such as sex and age also significantly influence anthropometric and performance characteristics.
Exploring the Benefits of Yoga Therapy for Depression in Diverse Cultural Contexts
Authors:   Corporate Director and Isha Holistic Yoga Teacher, Isha Foundation Phoenix, Arizona, USA, Reddy Aturi Nagarjuna
Published: September 2024

The intended belief was yoga assists with self-development believed to reduce stress, increase beauty, strength, and muscle flexibility. Yoga was originally founded in South Asia and it was practiced by various South Asian individuals. It is a spiritual practice about the mind and body, as well as the meaning of life and the nature of the universe. Several psychological interventions have demonstrated efficacy in improving holistic health outcomes, for example Cognitive Behaviour Therapy, Behavioural Therapies and Problem Solving Therapies. There is increasing recognition that the holistic goals of the child and family should be prioritised, and that interventions and outcomes should reflect these goals. The case of yoga and its appropriation by the Western culture creates a paradoxical situation. In this situation, approval and adoption of yoga in the West have made the practice trendier among middle-class urban Indian consumers and helped re-brand the practice. Such re-marketing has allowed to make yoga more appealing to the modern consumer and more concerned with the aspects related to physical performance, health and scientific explanation
The Importance of Physical Activity in the Treatment of Neurodegenerative and Mental Diseases
Authors:   Celestyna Grzywniak Faculty of Medicine and Health Sciences, Andrzej Frycz-Modrzewski Krakow University, Krakow, Poland, Grzywniak Celestyna
Published: September 2024

The article aims at drawing attention to the possibility of utilizing physical activity in treatment of neurodegenerative illnesses such as Parkinson’s, Alzheimer’s, multiple sclerosis, dementia and mental disorders, particularly depression and schizophrenia. On the basis of an analysis of the results of research on the effects of physical activity on secretion of neurotrophins, the author present the role of physical exercises in increasing their levels as well as in stimulation of cognitive processes and using them in treatment of neurodegenerative and mental illnesses. The research indicates that physical activity, appropriately dosed in case of various illnesses may be effective, sometimes to a degree similar to pharmaceuticals and in some cases even more effective. The author point out the types of exercises utilized in treatment of neurodegenerative and mental illnesses as well as the possibility of adjusting them to the psychophysical capabilities of the ones exercising. Next, the authors briefly characterize neurotrophins most commonly present in the human body and their role in stabilizing and treating neurodegenerative and mental illnesses and also present secretory functions of muscles during their activity. The concluding part of the article presents factors that stimulate secretion of neurotrophins including the BDNF as well as the types of physical exercises that can be utilized in rehabilitation of adults.