bluuebunny/crossref_metadata_2025 huggingface dataset:
Prevalence and antibiogram of aerobic bacterial isolates from pus samples in a tertiary care hospital of north Kerala, India
Authors: RAJALAKSHMY K. , KUMARI Saravana P. , AHMED Syed M.
Published: April 2024

Assessment of pathogens diversity and evolving drug-resistant pattern is quite essential in the systematic management of infections. To regulate the pyogenic infection, 1350 (783 males and 567 females) pus samples collected from individuals attending a tertiary care hospital in Northern Kerala. Pathogens isolated from the collected pus samples were identified based on the colony morphology, microscopic examination, and biochemical characteristics. About 84.44% of samples showed significant bacteria. The causative organisms were Staphylococcus aureus (28%), Escherichia coli (13%), Pseudomonas aeruginosa (12%), Klebsiella pneumonia (10%), coagulase negative Staphylococcus sp. (8%), Proteus mirabilis (6%), Streptococcus sp. (2%), Enterococcus faecalis (2%), Acenitobactor baumanii (1%), Citrobactor koseri (2%), Enterococcus faecium (2%), Enterococcus sp. (2%), Morganella morganii (1%), Proteus vulgaris (2%), and other less prominent bacteria (3%). The drug-resistant pattern of pathogens analyses against 29 contemporary antibiotics. Pathogenic Gram-negative bacteria (GNB) were sensitive to amikacin > imipenem > meropenem > tazobactum > gentamycin > chloramphenicol> ciprofloxacin > levofloxacin and resistant to clindamycin, erythromycin, linezolid, oxacillin, penicillin, and vancomycin. Gram-Positive Bacteria (GPB) were susceptible to linezolid > vancomycin > tetracycline > clindamycin > chloramphenicol > gentamycin > ciprofloxacin, and resistant to amikacin, imipenem, meropenem, and tazobactum. Overall, the study concludes that MDR S. aureus was the predominant cause of pyogenic infections, drug resistance pattern of the pathogens in the selected region and raises concerns for the need to analyze signaling mechanism that transforms a susceptible strain into a resistant to develop a suitable treatment strategy.
ЭКОНОМИКАҒА НЕГІЗДЕЛГЕН ИНВЕСТИЦИЯЛЫҚ ШЕШІМДЕР ҚАБЫЛДАУ КЕЗІНДЕ ҚАРЖЫЛЫҚ ЕСЕПТІЛІК КОМПОНЕНТТЕРІНІҢ ПАЙДАЛЫЛЫҒЫ
Authors: Жолаева Маргарита , Ракаева Алия , Кайранбеков Бауржан
Published: April 2024

Мақаланы зерттеу мақсаты инвесторлардың инвестициялық шешімдер қабылдауы үшін қаржылық есептілік компоненттерінің пайдалылығын бағалау. Қаржылық есептілік элементтері ұйымның сыртқы пайдаланушылар үшін қаржылық ақпаратының негізгі көздері болып саналады. Қаржылық есептілік дұрыс инвестициялық шешімдер қабылдау үшін маңызды ақпарат көзі ретінде танылды.
Зерттеу әдіснамасы ыңғайлы іріктеуге негізделген және тек Астана қаласын қамтиды. Астанада тұратын инвесторларға шешім қабылдау үшін компоненттердің пайдалылығына қатысты жақсы дайындалған сауалнама ұсынылды. Оған тек 44 инвестор онлайн Survey платформа арқылы өз пікірлерін білдірді, одан кейін деректер сипаттамалық статистика, Корнбах-Альфа, корреляция анализі көрсеткіштері арқылы есептелді.
Зерттеудің бірегейлігі / құндылығы:қаржылық есептілік инвесторлардың бірнеше инвестициялық шешімдеріне айтарлықтай әсер ететіні анықталды. Қаржылық есептіліктің элементтері инвесторларға олардың инвестициялары туралы шешім қабылдауға айтарлықтай көмектеседі. Зерттеу инвесторлардың шешім қабылдау процесі қаржылық есептіліктің құрамдас бөліктерімен тығыз байланысты екенін көрсетті. Талдаудың барлық дерлік мәндері 50% - дан жоғары болды, оған қаржылық есептілік элементтері арқылы берілген ақпарат инвесторларға бірнеше шешім қабылдауда пайдалы екенін көрсетті.
Зерттеу нәтижелері: инвесторларды қаржылық есептіліктегі ақпаратты негізделген инвестициялық шешім қабылдау мақсатында пайдалануға итермелейді. Зерттеуде Қазақстан Республикасының шектеулі аумағын ғана қамтыды, инвесторлар үшін қаржылық есептіліктің пайдалылығының нақты сценарийін анықтауға әрекет жасалды.
Upaya meningkatkan derajat kesehatan melalui perilaku hidup bersih dan sehat di lingkungan masyarakat
Authors: Sari Ayu Permata , Susilawati Susilawati
Published: April 2024

Penerapan perilaku hidup bersih dan sehat di masyarakat masih rendah karena kurangnya sosialisasi terkait manfaat dan resiko bila tidak menerapkan perilaku hidup bersih dan sehat dalam kehidupan sehari-hari, karena rendahnya sosialisasi perilaku hidup bersih dan sehat dan kurangnya pengetahuan masyarakat, maka kemauan masyarakat dalam penerapan juga rendah yang berakibat kepada kesehatan masyarakat yang terganggu. Upaya meningkatkan derajat kesehatan ini bertujuan untuk memberdayakan masyarakat, meningkatkan, melindungi dan memelihara kesehatan sehingga sadar, mau dan mampu secara mandiri ikut terlibat aktif dalam penerapan perilaku hidup bersih dan sehat. Keberhasilan akan pelaksanaan pembangunan kesehatan masyarakat yang bertujuan untuk meningkatkan kualitas kesehatan masyarakat tidak bisa lepas dari berbagai dukungan dan peran aktif yang dilakukan oleh seluruh masyarakat. Metode yang dilakukan dalam penelitian ini menggunakan studi literatur. Metode ini memanfaatkan pengumpulan data dengan pengumpulan dari jurnal-jurnal penelitian terdahulu yang telah diteliti dari pihak-pihak lain.
Analisis pengendalian faktor resiko dan vektor kejadian Demam Berdarah Dengue (DBD)
Authors: Nanda Meutia , Saragih Putri Amaliyah , Nasution Diana Himayanti , Daulay Afnidar , Sari Dian Permata , Ridho Najah Ulfa
Published: April 2024

Demam Berdarah Dengue (DBD) merupakan penyakit menular yang disebabkan oleh virus dengeu yang di tularkan melalui nyamuk Aedes Agepty sebagai vektornya. Salah satu masalah kesehatan yang dialami negara tropis dan sebagian negara sub tropis adalah tingginya kasus Demam Berdarah Dengue (DBD). Penelitian ini dilakukan di Kelurahan Besar, Kecamatan Medan Labuhan, Kota Medan. Penelitian ini bertujuan untuk mengetahui pengendalian faktor resiko serta vektor kejadian DBD di Kel. Besar, Kec. Medan Labuhan, Kota Medan. Jenis penelitian ini merupakan jenis penelitian deskriptif kualitatif dengan desain cross sectional. Sumber data yang digunakan adalah Data primer. Pengumpulan data dilakukan melalui observasi, wawancara dan dokumentasi. Hasil penelitian ini bahwa terdapat 38 kasus DBD dalam kurun 3 bulan terakhir pada tahun 2022. Selain itu, masih terdapat permasalahan persampahan yang belum diatasi secara optimal. Kesimpulan dari penelitian ini bahwa Pengendalian faktor resiko DBD dapat dilakukan dengan beberapa kegiatan seperti penyuluhan Kesehatan tentang pencegahan DBD, gotong royong berantas DBD dan pemberian bubuk abate dan lotion anti nyamuk.
Хронология правлений консулов Каффы по данным регистров сталий Генуэзского
государственного архива (1448–1475 гг.)
Authors: Карпов Сергей Павлович , Кравченко Иван Витальевич
Published: April 2024

В статье производится реконструкция дат правления высших магистратов главного города Генуэзской Газарии - консулов Каффы, назначаемых Банком св.Георгия в Генуе. В качестве источника привлечены не введенные еще в научный оборот архивные источники - регистры сталий (уплачиваемых магистратами налогов), хранящиеся в Генуэзском государственном архиве. Уточнение дат правлений генуэзских консулов Каффы позволяет реконструировать события и обстоятельства политической истории региона в середине XV в., после захвата турками Константинополя в 1453 г.
Архитектурные особенности церкви св. Георгия в Оморфокклисии (Кастория)
Authors: Заворина Мария Леонидовна
Published: April 2024

В статье представлен анализ архитектурных особенностейц еркви св.Георгия в Оморфокклисии близ Кастории (западная Македония). На основе тщательного исследования типологических, морфологических, композиционных ид екоративных характеристик памятника, сопровождающегося подбором круга аналогий, предоставлена последовательная и развернутая аргументация гипотезы о принадлежности церкви в Оморфокклии к эпирской архитектурной традиции. Скорректирован архитектурный контекст церкви, в качестве которого предлагается северо-эпирская группа памятников раннепалеологовского времени. Приводится попытка уточнения спорной датировки храма от второй половины 90-х гг. XIII в. до начала XIV в. (1303 г.).
Effects of Inclusion of Gongronema Latifolium Leaf Extract as a Supplementary Source of Vitamins and Minerals on the Growth Performance and Haematology of Broiler Finishers
Authors:   Department of Microbiology/Biochemistry. Federal Polytechnic Nekede, Owerri, Nigeria, Osuchukwu C. O. , Onwusonye J. C. , Obinna J. M. , Elukposi B. R.
Published: April 2024

The present study was conducted to determine the effects of Gongronema latifolium leaves extract (GLLE) as a supplementary source of vitamins and minerals on growth performance and haematology of broiler finishers. A total of 20 four (4) weeks old broilers were randomly selected and assigned to five treatment groups, namely water (control), water+ vitalyte, water+ 60ml GLLE, water+ 30ml GLLE and water+ 10mIGLLE. Results showed that there were significant (P<0.05) differences in weight gain but there were no significant differences (P>0.05) in Hb, PCV and RBC. The relative weights of gizzard, heart and liver of the broilers fed extract (except 30ml extract) were significantly (P<0.05) reduced compared with the broilers fed vitalyte. The group fed 30ml extract had the highest weight in gizzard. 30ml GLLE enhanced the growth performance of broilers without any adverse effect on their blood. GLLE can serve as a substitute to the commercially synthetic vitamins and minerals premixes in feeding poultry.
Introducing learning models focusing on elementary school science activity in terms of a systemic literature review
Authors: Rahmadina Annisa , Rohmani Rohmani , Haryadi Rofiq Noorman
Published: April 2024

Education is an effort made by individuals to follow the learning process. Implementing and selecting the appropriate learning model is critical to achieving ideal learning success. This study examines learning models for increasing science learning activities in elementary schools. The research method applied in this study is the Systematic Literature Review (SLR). This systematic approach allows us to investigate and synthesize the latest research findings in primary school learning. The data obtained comes from literature studies using the PRISMA approach through the stages of identification, screening, eligibility, and Inclusion. The data came from the Google Scholar or Google Cendikia databases, with the research time range covering the last six years, from 2018 to 2023. The results of this study obtained a database with the keywords Learning Model AND Science Learning Activity AND Elementary School Students. the results were selected, and ten articles were taken that met the inclusion criteria for analysis. To achieve the best possible learning success for students, implementing suitable learning models in scientific instruction in primary schools can positively affect their learning activities. It is recommended that further research be able to describe more learning models in increasing science learning activities in students in elementary schools.
A Critical Review of Elemental Odes by Pablo Neruda
Authors: Munish Kumar Thakur
Published: April 2024

This paper explores the reconstituted style of the classical Ode by the Chilean poet Pablo Neruda in his Odas Elementales. Pablo Neruda is the pen name of Ricardo Eliecer Neftali Reyes Basoalto. He was born in Parral, Chile on July 12, 1904. Pablo Neruda wrote his odes in the latter half of the twentieth century. His first volume of odes known as Elemental Odes published in 1954. In his odes, Neruda has explored and celebrated the wonder of ordinary things. The simplicity of his odes is very surprising to see that it is an ode, which traditionally meant a poem to be sung in an elevated manner for celebrating a person or an object. Pablo Neruda has written four volumes of Odes, Elemental Odes (1954), New Elemental Odes (1956), Third Book of Odes (1957), and Voyages and Homecomings (1959). In order to distinguish Neruda’s odes from that of the classical prototypes of the ode as a poetic form one needs to dwell briefly on its birth and growth as a poetic form. Therefore, the current research will focus on the comparative study between the traditional ode form and the odes written by Pablo Neruda in his poetry.
Portraits of Contradiction: Kerala's Popular Cinema and the Shifting Narratives of Subjectivity
Authors: Arunlal K
Published: April 2024

Popular cinema, particularly domestic melodrama, has played a vital role in understanding how families interact with the state and how the popular understanding of the subject changes. The concept of normal subjects has changed drastically with modern norms superimposed on pre-modern social identities. This resulted in a composite construct of subject normality, including pre-modern belief systems and values hidden within the modern secular state's norms. Malayali popular culture narrates the internal biases of the population better than the analyses of 'economics'. Kerala has a unique development trajectory, with family norms and popular cinema playing significant roles in shaping the state's narrative structures. The state's development model is influenced by its economic objectives, with the family being seen as the building blocks of modern society. Popular cinema in Kerala has been instrumental in capturing the contradictions and exceptions in the state's development. Domestic melodramas, which revolve around male subjects, have provided commentary on the discourse of the state and economics. The context of Kerala's popular cinema and its connection with the 'social' of the state allows for various points of ideological import. Popular cinema is a space where the 'exception', resultant contradictions, and connection between popular culture in Kerala during 1989-2009 and the new face of governmentality are portrayed through domestic melodramas. These films enable us to better understand the attitudes of the people engendered by the changed context.
War Trauma in Second Generation: Suffering of Zaid from The Good Muslim
Authors: Krupali Parekh
Published: April 2024

This study investigates the long-lasting effects of war trauma over multiple generations, focusing on the analysis of Tahmima Anam’s novel The Good Muslim. The narrative centres around the suffering experienced by Sohail, a Bangladeshi revolutionary combatant dealing with post-traumatic stress disorder, guilt, and religious extremism in the aftermath of the 1971 conflict. Additionally, it explores the unintended consequences of his little son Zaid, who becomes a victim of the second generation without his knowledge.
The paper examines the transformation of Sohail from a carefree young person to a disturbed individual who strongly adheres to fundamentalist Islam. This highlights the profound psychological scars caused by the brutalities experienced during the conflict—his adherence to rigorous religious practices and emotional detachment from family showcase hallmark PTSD symptoms. Nevertheless, Sohail’s trauma has profound repercussions for Zaid, a six-year-old who is deprived of parental affection and normal childhood freedoms due to his father’s rigid rules. Zaid experiences social isolation and receives cruel treatment in a religious school, leading to episodes of violent outbursts, a tendency to steal, and repetitive recitations that indicate a possible anxiety problem.
Through the lens of psychoanalytic theory on childhood trauma, the paper argues that Zaid represents the ‘silent victims’ of war - a second generation forced to inherit the suffering borne of their parents’ anguish. This comprehensive depiction highlights the broader event and serves as a sombre reminder of the human toll of violence. Achieving reconciliation requires addressing invisible wounds that perpetuate across generations.
CARACTERÍSTICAS GERAIS E COMPORTAMENTOS DE PACIENTES COM ESQUIZOFRENIA; UMA REVISÃO INTEGRATIVA
Authors: Nascimento Sidrayton Pereira do , Nascimento Idernon Cândido , Sandrin Gustavo de Santana , Araújo Kennedy Mirenda de , Magalhães Kaline Torres , Oliveira Lécia Gama Conceição de Medeiros , Bezerra Lucélia de Lira , Silva Maria Luiza Araújo e , Silva João Filipe Ferreira , Lacerda Victor Carmo Andrade de , Granja Analice de Alencar , Sobral Daniel César de Macedo , Mendonça Weverton Gabriel do Nascimento , Gonçalves Gabriel da Silva
Published: April 2024

INTRODUÇÃO: A esquizofrenia trata-se de um transtorno psiquiátrico de caratér complexo, originado habitualmente por distorções do pensamento, da percepção de si e da realidade externa, podendo-se ser definido como uma psicose crônica idiopáticade de início precoce, associada a uma série de  sintomas  e  sinais  como  alucinações. OBJETIVO: Analisar na literatura os diferentes subtipos de esquizofrenia e seus aspectos gerais. METODOLOGIA: Realizou-se uma revisão integrativa da literatura com buscas  nas  bases  de  dados eletronicas de Lilacs  e Medline, BVS (Biblioteca Virtual em Saúde) e as fontes de dados Scientific Eletronic Library onLine (SciELO), Peer-Reviewed Journal Covers Science Of Improvement Across Healthcare Service & Provision. BMJ e ano de publicação referente ao período de 2010 a 2024, ser artigo de pesquisa; estar no idioma português e inglês, com descritores como: “Esquizofrenia”, “subtipos de esquizofrenia”, “agitação psicomotora” e “características gerais”, como critério de exclusão considerou-se a não pertinência ao tema.  Foram identificadas 12 publicações que contemplavam os critérios e 06  foram  utilizadas. RESULTADOS: A  esquizofrenia  apresenta-se como um transtorno que possui  características  peculiares, podendo apresentar-se pela presença de ideias delirantes, frequentemente de perseguição, presença  proeminente  de  uma  perturbação  dos  afetos e grealmente isolamento social,  distúrbios psicomotores proeminentes que  podem  alternar  entre  extremos  ou  entre  a  obediência automática  e  o  negativismo e presença de sintomas “negativos”, como  alterações  no  comportamento,  nas  emoções  e  na interação social. CONSIDERAÇÕES FINAIS: Conhecer e diferenciar os subtipos das esquizofrenias é de caratér relevante no dia a dia da prática médica,permitindo e facilitando o manejo adequado desses pacientes, bem como a terapêutica  medicamentosa  e  psicoterápica objetivando a qualidade de vida do indivíduo acometido.
ABORDAGEM CIRURGICA DE ABDÔMEN AGUDO INFLAMATÓRIO
Authors: Brum Dara Lima Albuquerque , Pimentel Laíza Machado Leite , Basuino Letícia , Munhoz Jéssica Lopes , Luz Matheus Henrique Clemente Corrêa , Viana Isadora de Resende , Oliveira Guilherme Augusto Brito Bucar , Machado Iago Martins , Meneguetti Nathalia Fim , Oliveira Antônio Bosi Castro de , Pinto João Pedro Santos , Souza Lorena Stéfani dos Santos , Oliveira Lucas Xavier Farias de
Published: April 2024

INTRODUÇÃO: O termo "abdome agudo" refere-se a uma dor súbita e intensa na região abdominal, que pode começar de repente ou gradualmente e geralmente dura menos de sete dias, sendo comum durar menos de 48 horas. OBJETIVO: Apresentar as principais abordagens cirurgicas de abdomen agudo inflamatório. METODOLOGIA:  Foram estipulados os critérios de inclusão, levando em consideração: artigos completos publicados nos últimos dez anos (2014-2024), em inglês, português e espanhol. Posteriormente, foi realizada a leitura minuciosa dos títulos e resumos, seguidas dos artigos elegíveis na íntegra, descartando artigos conforme os critérios de exclusão: publicações que não contemplassem o objetivo do estudo, artigos na modalidade de tese, sendo que artigos duplicados não foram contabilizados. Desta forma, foram selecionados 13 artigos para compor a amostra bibliográfica desta revisão. RESULTADOS E DISCUSSÃO: No tratamento geral, a prioridade reside na identificação da necessidade de intervenção cirúrgica, especialmente em condições como apendicite e colecistite. CONCLUSÃO: Em suma, esta revisão oferece informações valiosas para profissionais de saúde envolvidos no manejo do abdome agudo inflamatório, destacando as estratégias cirúrgicas disponíveis e fornecendo informações importantes para a prática clínica. No entanto, são necessárias mais pesquisas para investigar ainda mais a eficácia e segurança das diferentes abordagens cirúrgicas, bem como para explorar novas opções terapêuticas para essa condição clínica desafiadora.
AVALIAÇÃO DAS CONDIÇÕES DE SAÚDE DE IDOSOS LONGEVOS ASSISTIDOS PELA ESTRATÉGIA DE SAÚDE DA FAMÍLIA DO MUNICÍPIO DE MONTES CLAROS, MINAS GERAIS
Authors: Cardoso Leonardo Lamêgo , Prado Maria Eduarda Fernandes do , Moreira Maria Eduarda Neves , Boitrago Sarah Caroline Oliveira de Souza , Santiago Marianne Caldeira de Faria , Martins Andréia Christiane Amâncio , Costa Fernanda Marques da , Carneiro Jair Almeida
Published: April 2024

Objetivo: Analisar as condições de saúde de idosos longevos assistidos pela Estratégia de Saúde da Família do município de Montes Claros, norte de Minas Gerais (MG), Brasil. Metodologia: Trata-se de estudo transversal, descritivo, com abordagem quantitativa, constituído por idosos com idade igual ou superior a 80 anos. Resultados: A maioria dos idosos era do sexo feminino. As patologias mais prevalentes foram diabetes e hipertensão. Em relação às deficiências, houve uma maior prevalência da auditiva. Conclusão: A diabetes, hipertensão e doença cardíaca devem ser consideradas pela equipe de atenção primária à saúde durante a elaboração de propostas e condutas para os idosos longevos, visando uma melhor saúde para essa população.
Clostridium Cadaveris Bacteremia in an Immunocompromised Host
Authors: Saito Ashley , Wu Simon , Kwoh Eric
Published: April 2024

Clostridial bacteremia is an exceedingly rare clinical entity that can cause significant morbidity and mortality. Immunocompromised patients with insult to the gastrointestinal mucosa are especially prone to the development of clostridial sepsis based on limited existing literature. Here we report a case of a 65-year-old male nursing home resident with incompletely treated colorectal adenocarcinoma who was admitted for sepsis. He was found to have polymicrobial bacteremia with Escherichia coli and Clostridium cadaveris. He was successfully treated with intravenous piperacillin/tazobactam followed by an oral regimen of amoxicillin/clavulanic acid.
Meant to Be
Authors: Lilley Brenna , Vasishta Shilpa , Patel Satya
Published: April 2024

We describe an elderly patient who presented with progressively worsening weakness, significant subacute constitutional symptoms associated with pulmonary nodules and lymphadenopathy.
Ticked-Off Rash
Authors: Solaiman Rakin , Kilcup Jeff , Josephsen Samuel , Zhang Kang
Published: April 2024

An 89-year-old female initially presented to outpatient clinic for systemic symptoms of high-grade fever, malaise and unintentional weight loss along with a rash that was presumed to be non-purulent cellulitis. After several courses of antibiotics, the patient’s symptoms worsened and was eventually hospitalized. Blood cultures resulted positive for Francisella tularensis . After more history taking the patient noted that she was bit by a tick during a camping trip that resulted with the initial rash.
1-Minute Pearls/Pitfalls for the Clinician
Authors: Dapaah-Afriyie Kwame
Published: April 2024

This article describes some pearls/pitfalls pertinent to the management of heart failure exacerbation in patients with asymptomatic hypotension along with treatment strategies for patients with new atrial fibrillation.
Recurrent Vision Loss in a Patient with Giant Cell Arteritis while on High Dose Corticosteroids
Authors: Barton Andrew T. , Francis Elizabeth R. , Feibelman Palmer , Geary Meghan , Booy David
Published: April 2024

Giant cell arteritis (GCA) is a chronic vasculitis that can lead to permanent vision loss. In this case we describe a patient with permanent monocular vision loss from GCA, managed with long-term glucocorticoids, who presented with elevated erythrocyte sedimentation rate and acute visual loss. This patient was promptly given intravenous steroids, with initial improvement, however, she again experienced acute vision loss on the fourth day of treatment. Given the rare nature of this recurrent GCA-related vision loss during treatment, a broader workup was pursued without an alternative cause identified. Temporal biopsy was not performed due to concern of a false-negative in the setting of chronic steroid use. In this report we discuss the long-term monitoring and management of GCA, recurrence in the acute treatment setting, and present evidence related to diagnosis of GCA in the context of long-term steroid use.
Fostering Emotional Intelligence in Hospital Medicine Education
Authors: Hoque Farzana
Published: April 2024

Emotional intelligence (EI) is our ability to identify, logically reason, and manage our emotions rather than act impulsively based on our feelings about a situation. Research indicates emotional intelligence positively influences patient satisfaction and clinical outcomes. Each trainee has a unique approach to learning. Hospital medicine doctors must be vigilant in tailoring their teaching methods according to the trainees’ knowledge, learning ability, and goals. This article explores the critical role of emotional intelligence in hospital medicine education, highlighting its impact on teaching effectiveness, communication improvement, knowledge sharing, and overall clinical performance.
A Diagnostic Paradox: Identifying IgG4-Related Disease in a Patient Previously Diagnosed with Sjogren’s Syndrome
Authors: Lee Ju Young , Reichl Allison , O'Brien Courtney , Ayoub Michael
Published: April 2024

We present the case of a 77-year-old male with a history of rectal adenocarcinoma and Sjogren’s disease who was admitted for severely elevated liver function tests. Cross-sectional imaging demonstrated a dilated bile duct, and eventual biopsy of the area showed fibrosis and lymphocytic infiltrate consistent with IgG4-related disease. The patient was treated with rituximab and a prednisone taper. This case discusses the clinical, laboratory, and imaging hallmarks of this rare disease and illustrates the practical challenges of distinguishing it from other rheumatologic conditions.
Specialty Neurosurgery Hospitalists: Neurosurgeons’ Perspectives
Authors: Momin Arbaz A , Daniel Rene , Patel Pious D , Kelly Patrick D , Mouchtouris Nikolaos , Evans James J
Published: April 2024

Neurosurgery is increasingly performed on patients with significant medical co-morbidities. These could both delay surgery and can lead to postoperative complications. This situation highlights the role played by internal medicine-trained physicians, which include both outpatient providers and hospitalists. In our experience, the best care is provided in close collaboration between neurosurgeons and internal medicine physicians. In this article, we provide the view from the standpoint of a neurosurgeon. Management of co-morbidities by internal-medicine physicians enables neurosurgeons to focus on surgical care, improves patient’s experience and leads to improved resident training.
Hospitalist Recognition and Treatment of Obesity in Inpatients: A Quality Improvement Cohort Study
Authors: Hoppenfeld Mita , Moss Julia , Johnson Stacy
Published: April 2024

Background

Obesity is primarily managed in the outpatient setting, however its impact on the frequency and course of hospitalizations is well-established. Considering the rising prevalence of obesity and the broad implications on population health when untreated, hospitalizations may represent an untapped opportunity to address obesity management.

Methods

We performed a retrospective cohort study comparing the frequency of inpatient obesity documentation to initiation of obesity-targeted therapy, including weight management clinic referral and weight management medication prescription on discharge from hospitalization by hospitalists for patients with class 2 and 3 obesity. We also queried the frequency of weight management clinic referrals and weight management medication prescriptions prior to hospitalization for these cohorts.

Results

The cohorts included 1531 patients with class 2 (49.2%) or class 3 (50.8%) obesity. During hospitalization, obesity was frequently documented as a medical problem in patients with both class 2 (48.4%) and class 3 (75%) obesity. Patients with class 3 obesity were more likely to be referred on discharge to a weight management clinic and initiated on weight management medications, however the overall absolute number of referrals and prescriptions were low.

Conclusions

We observed that hospitalists documented the presence of obesity in over 60% of patients, yet rarely implemented targeted treatment on discharge. Our results suggest a gap exists between awareness of obesity and subsequent intervention. This highlights an opportunity to generate an inpatient workflow to bridge a gap in care for patients with obesity.
The Role of Culture in Hospital Medicine
Authors: Dapaah-Afriyie Kwame
Published: April 2024

This article describes the need for a binding culture and the ways to establish, grow and maintain a positive culture through the “DARE” approach.
Saddle Pulmonary Embolus Treated With Bilateral Emergent Aspiration Pulmonary Thrombectomy
Authors: Lee Roger M. , Lazarus Michael E. , Kang Jeanney , Peng Mavis S. , Soong Chenpang J.
Published: April 2024

A 77 year old man with recurrent lower extremity thrombosis presented with acute onset shortness of breath and new onset hypoxemia three days after prostatectomy for adenocarcinoma of the prostate. He had been off anticoagulation during the perioperative period. In addition to his new diagnosis of prostate cancer he also had a remote history of treated non-invasive melanoma. Based on this presentation he was at high risk of developing thromboembolic disease. Computed tomography angiogram (CTA) of his chest confirmed a large saddle pulmonary embolus, echocardiogram was positive for new right ventricular wall motion dyskinesis and lower extremity ultrasound revealed bilateral acute and chronic deep vein thrombosis. Given his high bleeding risk, hypoxia and elevated troponin I, he underwent emergent successful aspiration pulmonary thrombectomy. This case is of interest to hospitalists and intesivists as it provides an overview of the current invasive management of pulmonary embolus in the acute setting when systemic anticoagulation is contraindicated. Emergent Aspiration Pulmonary Thrombectomy can restore pulmonary artery flow and cardiopulmonary hemodynamics. A collaborative team based approach that involves the emergency department, intensive care unit, interventional teams and hospitalists is favored.
Peran Kompetensi terhadap Perencanaan Sumber Daya Manusia
Authors: Samsudin Acep , Prabowo Budi , Nur Bany Maulyna , Salma Fatiha , Karunia Sandhy Bella , Alivy Khumaira Made Ayu
Published: April 2024

This research aims to analyze the role of competence in human resource planning. The research method used in this journal is a literature review based on 5 international journals which discuss the role of competence between employees in human resource planning. The results of this research show that competency has long been a top priority, but is a serious challenge for organizations and human resource planning. In the current era of globalization and technology, competition is becoming increasingly fierce in terms of product quality, price, service, delivery, and so on. Therefore, businesses need to acquire knowledge and skills faster than competitors in order to stand out and thrive. Human resources, with the necessary knowledge and skills, are the main mechanism that allows any type of business to gain a competitive advantage and influence its overall performance.
Pengaruh Kepuasan Kerja terhadap Produktivitas Karyawan
Authors: Yasah Aulya Difta , Arifin Marcella Arthamevia , Azzahra Fannyza Aliefvia , Maghfiroh Putri Shaffa Arisqha
Published: April 2024

Companies must pursue technological development to gain competitive advantage and improve performance. To achieve and improve performance, companies require active participation of employees by increasing motivation and ensuring job satisfaction.. This research aims to determine the effect of job satisfaction on employee productivity. This research uses qualitative descriptive research. Qualitative descriptive research is used to describe situations or events precisely and accurately. Job satisfaction discussed in this paper is the quality and nature of a person/employee in an organization who carries out their work according to their heart and the desire to fulfill it so that the employee feels satisfied in creating the work they do, and is in line with the organization's mission Although employee engagement does not have a direct impact on performance, its mediating effects on motivation and job satisfaction can have a significant impact on employee performance.
Pengaruh Kompensasi terhadap Kinerja Karyawan dalam Perusahaan
Authors: Prabowo Budi , Samsudin Acep , Rahim Muhammad Auliya , Kurniawan Bima Wahyu , Nurtalia Athaillah Cindra
Published: April 2024

Compensation is a key element in human resource management that has a significant impact on employee performance in the company. Fair pay and financial motivation have long been topics of deep research in a variety of disciplines, including management, economics, and psychology. Compensation has a role in helping employees perform better. Employee performance will be influenced by compensation, so to ensure that workers work professionally, organizations must consult with them to decide on compensation levels. Business effectiveness and efficiency will be influenced by the quality of human resources, which will be determined by success in determining appropriate compensation for employees. This journal uses the library research or literature review method as the main basis in the process of writing scientific articles or journals. The reference sources used in this article were obtained through Google Scholar, a platform that facilitates access to various sources of scientific literature. In this way, we can ensure that this scientific article is supported by quality and relevant sources. The implications of this research indicate that companies should consider these factors in the planning and implementation of their human resource policies to achieve optimal employee performance and ensure employee well-being. Thus, these aspects can serve as guidelines in improving human resource management in organizations.
Analisis Proses Rekrutmen dan Seleksi terhadap Kinerja Karyawan
Authors: Samsudin Acep , Prabowo Budi , N Ahmad Zaky , Sitanggang Della Anzelia , Yulianti Dewi Rahmania
Published: April 2024

The aim of this research is to examine the influence of the recruitment and selection process on employee performance in various company contexts. In this study, researchers collected data from several sources, including questionnaires distributed to a number of companies or institutions. Data analysis shows that the recruitment and selection process has a significant effect on employee performance. Quality employee candidates can result from an effective recruitment process, while a careful selection process can ensure that the selected candidates match the company's needs and criteria. In addition, this research also notes that recruitment methods that primarily use recommendations have weaknesses, such as late feedback after interviews. Therefore, it is recommended that companies consider recruitment methods, such as using print or electronic advertisements to publicize available positions. The results of this research have important implications for human resource management and companies in order to optimize the employee recruitment and selection process to improve a company's performance. Apart from that, this research also estimates other factors that influence employee performance, such as education, experience and motivation. Overall, this research helps companies manage their human resources in a competitive business environment more effectively.
Pengaruh Analisis Jabatan terhadap Kinerja Karyawan dalam Mencapai Tujuan Organisasi
Authors: Samsudin Acep , Prabowo Budi , Alichia Wanda Noer , Al-Madani Bintaniya Zakka , Renardi Asyam Rafi
Published: April 2024

This research aims to understand the influence of job analysis on employee performance. With this job analysis, it can make it easier for organizations to direct human resources to carry out their duties, as well as influence employee performance so that they carry out their duties well, so that organizational goals will be achieved. The method used in this research is qualitative with a literature study approach. Meanwhile, collecting data and study materials through various journals relevant to the research. Then a conclusion can be drawn that job analysis greatly influences employee performance which is the main factor in achieving organizational goals.
Optimasi Eknomi Berkelanjutan UMKM Kelurahan Gunung Anyar Tambak Melalui Sosialisasi dan Pendampingan Sertifikasi Halal
Authors: Aulia Putri Devita Wahyu , Sholihah Dewi Deniaty
Published: April 2024

Micro, Small and Medium Enterprises (MSMEs) have an important role in local economic growth, including in Gunung Anyar Tambak Village. Halal certification has an important role in business sustainability, access to wider markets, increasing competitiveness, adding value to products, and access to financing and government support for MSMEs. However, many MSMEs in Gunung Anyar Tambak Village still do not have halal certification for their food products. This activity aims to increase understanding and assistance as an effort to optimize the sustainable economy of MSMEs. Halal certification also supports the goals of SDGs point 8 regarding sustainable economic growth. Through halal certification assistance, MSMEs are expected to increase their competitiveness, reach more marketers, and contribute to inclusive and sustainable economic growth.
Analisis Strategi Pemasaran dalam Meningkatkan Jumlah Kepesertaan Bukan Penerima Upah di BPJS Ketenagakerjaan Cabang Gorontalo
Authors: B. Wantu Mia Arista , Wolok Tineke , Ismail Yulinda
Published: April 2024

Mia Arista B. Wantu, 2024. "Marketing Strategy Analysis in Increasing the Number of Non-Wage Earner Participants in BPJS Employment Gorontalo Branch" Undergraduate Management study program, Faculty of Economics and Business, Gorontalo State University, Supervisor I Mrs. Dr. Tineke Wolok, S.T, M.M and Supervisor II Mrs. Yulinda L. Ismail M.si According to Employment Law No. 24 of 2011 concerning Social Security Administering Bodies which states that: all workers in Indonesia are required to register themselves as BPJS Employment participants for six months. BPJS Employment (Social Security Administering Body) is a public program that provides protection to workers to overcome certain socio-economic risks and its implementation uses sharia mechanisms. This research uses a descriptive qualitative research method with the focus of the research being (1) What are the marketing strategies carried out by the Gorontalo branch of BPJS Employment to increase the number of non-wage earners? and (2) What are the efforts of BPJS Employment Gorontalo Branch to ensure that BPU membership remains active in BPJS Employment Gorontalo? The results of this research are (1) The marketing strategy to increase the number of Non-Wage Earner participants used by BPJS Employment Gorontalo branch uses the Marketing Mix: product, price, people, and process (2) Efforts made by BPJS Employment to ensure membership remains active are marketing communication strategies and customer satisfaction strategies.
Antibacterial Activity Test of Endophytic Fungi Extraction Kasumba Turate (Carthamus tinctorius L.) Leaves From Galesong against Digestive Tract Infection
Authors: Amin Muhammad , Kosman Rachmat , Rusli Rusli
Published: April 2024

Digestive tract infection is still a significant health problem in Indonesia, it caused by pathogenic bacteria. Kasumba turate (Carthamus tinctorius L.) is a medicinal plant that empirically used as measles drug with several compounds such as flavonoids, quinocalcones, polyacetylenes, alkaloids, fatty acids, steroids, proteins and polysaccharides and kasumba turate (Carthamus tinctorius L.) leaves are believed to have antimicrobial activity against several microbes pathogens such as E.coli and S.aureus. This research was conducted to determine endophytic fungi isolates from kasumba turate (Carthamus tinctorius L.) leaves that can provide activity against bacteria that cause digestive tract infections seen from the bioautography profile determination. Three endophytic fungi isolated from kasumba turate (Carthamus tinctorius L.) leaves were purified and observe macroscopically. After purification an antibacterial screening test was conducted by observing the inhibition zone of each isolate; the isolate with largest inhibition zone is IFEDKT-03. Isolates were fermented for 21 days, mycelia and supernatant were separated, and extraction was performed. The endophytic fungi extract of kasumba turate (Chartamus tinctorius L.) leaves has antibacterial activity against Escherichia coli, Salmonella typhi, Shigella dysenteriae, and Vibrio cholera as indicated by Rf values of 0.23, 0.41, 0.49, 0.56, 0.70 and 0.76
Antibacterial Activity of Ethanol Extract of Sirih Cina Leaves (Peperomia pellucida) Using TLC-Bioautography and Agar Diffusion Methods
Authors: Ahsan Miftahul Khair , Herwin Herwin , Rusli Rusli
Published: April 2024

Sirih cina leaf (Peperomia pellucida) is a plant that contains active compounds of alkaloids, terpenoids, tannins, saponins, flavonoids and phenols that have potential antibacterial activity. This research aimed to determine the antibacterial activity of ethanol extract of sirih cina leaves (Peperomia pellucida) using the TLC-Bioautography and Agar Diffusion methods. Sirih cina leaf (Peperomia pellucida) was extracted by maceration and evaporated to obtain a thick extract. Screening test result showed that the extract was active at a concentration of 0.1% against the bacteria Propionibacterium acnes, Staphylococcus aureus and Pseudomonas aeruginosa. The results of antibacterial activity testing using the TLC-Bioautography method using the eluent methanol: chloroform (1:4) showed results with Rf values = 0.94, 0.80, 0.65, 0.54, 0.40, 0.30, 0.21, 0.10 against the bacteria Propionibacterium acnes, Staphylococcus aureus, and Pseudomonas aeruginosa. In determining the MIC, the value obtained was the same for the three test bacteria at a concentration of 0.5%, while the KBM value was at a concentration of 2% for Propionibacterium acnes bacteria, a concentration of 0.5% for Staphylococcus aureus bacteria, and a concentration of 1% for Pseudomonas aeruginosa bacteria. The results of antibacterial activity testing using the Agar Diffusion method obtained the largest inhibitory zone diameter at a concentration of 16% against Propionibacterium acnes bacteria with an inhibitory zone diameter of 23.20 mm, Staphylococcus aureus bacteria with an inhibitory zone diameter of 23.63 mm, and Pseudomonas aeruginosa bacteria with an inhibitory zone diameter. 24.48mm
KAJIAN KANDUNGAN UNSUR HARA MIKRO Fe, Mn dan Zn PADA BERBAGAI KANTONG LUMPUR DI BENDUNGAN LOMAYA DAN ALOPOHU
Authors: Lasoma Prawiro , , Nurmi , Jamin Fitriah S
Published: April 2024

Penelitian ini bertujuan untuk mengetahui kandungan unsur hara Fe, Mn, Zn pada kantong lumpur pasir Bendungan Alopohu Lomaya. Penelitian dilakukan di dua Bendungan Lomaya yaitu Bendungan Bulango Bolango Kabupaten Bone Utara dan Bendungan Alopohu Bongomeme Kabupaten Gorontalo. Sampling diambil dari kantong lumpur pada titik koordinat Lomaya 00037'33.7N'' E123004'54.8'' dan Bendungan Alopohu diambil pada sediment trap (cekdam) di desa pada titik koordinat Iloponu 00040'01.6N'' E122 051' 14,3'. Waktu penelitian dimulai dari bulan Maret sampai April 2014 Penelitian ini menggunakan metode deskriptif. Analisis besi menggunakan Spektrofotometri Serapan Atom, Mangan kami menggunakan Spektrohotometri Serapan Atom dan Spektrofotometri Serapan Atom Seng. Analisis data di analisis menggunakan uji t membandingkan kandungan gizi dua kantong mudin terhadap objek pengamatan. Hasil penelitian menunjukkan bahwa pada kedua Damsand Alopohu Lomaya mengandung unsur hara Fe, Mn dan Zn. Rata-rata konsentrasi unsur hara pada mudbagdam Lomaya adalah Fe = 2253,6 (ppm), Mn =25,2 (ppm), Zn = 963,6 (ppm). Sedangkan rata-rata konsentrasi hara dalam kantong adalah sebagai ludgedam Alopohu Fe = 2357,6 (ppm), Mn = 27,8 (ppm), Zn = 723,3 (ppm). Dari hasil analisis statistik uji t menunjukkan bahwa kandungan hara rata-rata Bendungan kedua tidak nyata disproporsi pada parameter elyon Fe, Mn dan Zn. Rata-rata konsentrasi unsur hara pada mudbagdam Lomaya adalah Fe = 2253,6 (ppm), Mn =25,2 (ppm), Zn = 963,6 (ppm). Sedangkan rata-rata konsentrasi hara dalam kantong adalah sebagai ludgedam Alopohu Fe = 2357,6 (ppm), Mn = 27,8 (ppm), Zn = 723,3 (ppm). Dari hasil analisis statistik uji t menunjukkan bahwa kandungan hara rata-rata Bendungan kedua tidak nyata disproporsi pada parameter elyon Fe, Mn dan Zn. Rata-rata konsentrasi unsur hara pada mudbagdam Lomaya adalah Fe = 2253,6 (ppm), Mn =25,2 (ppm), Zn = 963,6 (ppm). Sedangkan rata-rata konsentrasi hara dalam kantong adalah sebagai ludgedam Alopohu Fe = 2357,6 (ppm), Mn = 27,8 (ppm), Zn = 723,3 (ppm). Dari hasil analisis statistik uji t menunjukkan bahwa kandungan hara rata-rata Bendungan kedua tidak nyata disproporsi pada parameter elyon Fe, Mn dan Zn.
Pertumbuhan dan Produksi Kedelai (Glycine max (L) Merrill) Menggunakan Pupuk Organik pada Pengolahan Tanah yang Berbeda
Authors: Pulukadang Nurhayati , , . Nurmi , , Zakaria Fauzan
Published: April 2024

This study aims to determine the dose of fertilization on the growth and yield of soybeans, to determine the effect of tillage on the growth and yield of soybeans and to determine the interaction of doses of the level of use of organic fertilizers and tillage on the growth and yield of soybeans. The research was conducted using factorial group random planning method or factorial RAK. The first factor is the amount of organic fertilizer (cow stage) which is divided into four levels, namely P0 without fertilization, P1 organic fertilizer (10 tons/ha), P2 organic fertilizer (30 tons/ha). The second factor is tillage which consists of two levels, namely T0 (least tillage) and T1 (perfect tillage). Each treatment combination was repeated 3 times so that there were 24 research plots. The results showed that there was no interaction between organic fertilizers and tillage. The application of organic fertilizer significantly affected the parameters of soybean plant height, number of leaves, rate of formation of flowers and pods, number of pods per plant, weight of 100 seeds, and dry weight of the plots. Tillage significantly affected plant height, number of leaves, percentage of flower pods, number of pods per plant, and weight per 100 seeds. The application of 20 tons of organic fertilizer per hectare and intensive tillage has the best effect on the growth and yield of soybeans
The North London Music Therapy Phone Support Service for NHS staff during the COVID-19 pandemic: Α report about the service and its relevance for the music therapy profession
Authors: Rizkallah Marianne
Published: April 2024

In March 2020, reports showed National Health Service (NHS) staff in the United Kingdom experienced significant strain treating COVID-19 patients. Music therapists have skills to offer in the treatment of mental health; this report describes how North London Music Therapy (NLMT) designed and ran a new Phone Support Service providing acute telephone support, rather than therapy, for NHS staff, launching three weeks before the NHS’ own support service. This report will outline the procedure for setting up the service and examine the motivations behind developing the service. NLMT received self-referrals from across the UK, with 50% of referrals accepting initial phone calls and 50% of these completing three phone support sessions. NLMT received 100% positive feedback from all participants, signposting effectively at the end of service. NLMT has been nominated for an Advancing Healthcare ESTEEM Award for the Phone Support Service, because of the speed in which it was set up and because of the service provided to key workers. The service is still available but, now the NHS has launched internal support services, NLMT’s focus has now shifted to aftercare support for key workers and their organisations.