bluuebunny/crossref_metadata_2025 huggingface dataset:
PERAN RESILIENSI DAN KESEJAHTERAAN SUBJEKTIF DALAM MEMPREDIKSI KEBIJAKSANAAN IRT PENUH WAKTU YANG MENGALAMI PARENTAL BURNOUT
Authors: Sahrani Riana , Dewi Fransisca Iriani Roesmala , Kirana Liuciana Handoyo
Published: November 2024

Penelitian menunjukkan bahwa ibu rumah tangga (IRT) penuh waktu di Indonesia sering mengalami parental burnout akibat rutinitas yang berulang. Tujuan dari penelitian ini adalah untuk menganalisis peran resiliensi dan kesejahteraan subjektif ibu terhadap kebijaksanaan pada IRT penuh waktu yang mengalami parental burnout. Metode yang digunakan dalam penelitian ini adalah kuantitatif dengan teknik purposive sampling, melibatkan 347 IRT penuh waktu yang mengalami parental burnout.  Partisipan terdiri dari IRT penuh waktu yang masih dalam ikatan pernikahan dan memiliki setidaknya satu anak di bawah usia 18 tahun. Instrumen pengukuran yang digunakan meliputi Brief Self-Assessed Wisdom Scale untuk mengukur kebijaksanaan, Connor-Davidson Resilience Scale untuk mengukur resiliensi, dan Subjective Well-Being for Mother untuk mengukur kesejahteraan subjektif ibu. Hasil penelitian menunjukkan bahwa resiliensi dan kesejahteraan subjektif ibu memiliki pengaruh signifikan terhadap kebijaksanaan pada IRT penuh waktu yang mengalami parental burnout. Implikasi dari penelitian ini menekankan pentingnya meningkatkan resiliensi dan kesejahteraan subjektif ibu untuk meningkatkan kebijaksanaan pada IRT yang mengalami parental burnout.
Assessment of hygienic-sanitary status and implementation of an integral risk management program in butcher shops from Tafí Viejo city, Tucumán, Argentina
Authors: Moreno Mochi Maria Paula , Vargas Juan Martin , Costa Magdalena , Solorzano María Victoria , Vega Silvia , Condori Susana , Leotta Gerardo Anibal , Jure María Angela
Published: November 2024

Meat and meat products promote the growth of pathogens such as Shiga toxin-producing Escherichia coli and Salmonella spp. In this work, an evaluation was carried out through risk quantification and microbiological analysis on ground beef and environmental surfaces in butcher shops, of Tafí Viejo city, Tucumán province. The study was carried out in three periods: period 1 (description of the health-status), period 2 (implementation of improvement actions) and period 3 (verification of success). Ground beef samples and environmental surfaces were analyzed in the previously described periods. The improvement actions in each butcher shop were implemented on the deviations detected in the first period. An increase of 35.7 % in low-risk butchers was observed. Microbial indicators in ground beef were significantly lower for total aerobic mesophilic microorganisms and Stapylococcus aureus, compared to the first period. In ground beef samples and environmental surfaces, the detection/isolation of STEC non-O157, presented a 100 % decrease in the verification period. The detection of Salmonella spp. showed a reduction of 14.3 % only on ground beef samples. This study confirms that the implementation of a risk management program in butcher shops would reduce contamination of ground beef and the environment with pathogens.
IMPLEMENTASI MUSAQAH DALAM PRAKTEK PENGELOLAAN KEBUN KELAPA SAWIT DI DESA KOREK SUNGAI AMBAWANG KABUPATEN KUBU RAYA
Authors: Dillah Ubay , Riza Moch Fahmi , Pulungan Ishar
Published: November 2024

Tujuan diadakannya penelitian ini yaitu untuk mengetahui: 1) Perjanjian pengelolaan kebun kelapa sawit antara pemilik lahan dengan pengelola lahan di Desa Korek; 2) Apakah perjanjian pengelolaan kebun kelapa sawit di Desa Korek sudah memenuhi ketentuan musaqah dalam KHES. Metode pengumpulan data dalam penelitian ini adalah penelitian lapangan atau empiris, dalam teknik pengumpulan data penelitian ini mengguakan teknik observasi, wawancara dan dokumentasi. Analisis data dilakukan secara deskriptif melalui empat tahapan yaitu: pengumpulan data, reduksi data, penyajian data dan penarikan kesimpulan. Hasil menunjukkan bahwa: 1) Terkait modal, praktik musaqah  yang dilakukan oleh pemilik lahan dengan pengelola lahan, pemilik lahan menyerahkan tanaman kelapa sawit (modal) dan pengelola lahan bertanggung jawab atas modal yang diserahkan oleh pemilik lahan. Pembagian hasil dari praktek akad musaqah dinyatakan secara lisan yaitu dengan pembagian keuntungan 30% dan 70% yang mana pihak pengelola lahan mendapatkan 30% sedangkan pemilik lahan mendapatkan 70% dan ada juga yang pembagian keuntungannya 40% dan 60% keuntungan yang diperoleh dari praktik akad musaqah tersebut. Berdasarkan data dalam penelitian ini waktu kerja yang dilakukan oleh para pihak  bervariasi dari beberapa pihak ada yang menentukan waktu kerja yang mana dua tahun sekali dengan memulai akad baru sedangkan lainnya tidak menggunakan batas waktu. 2) Tidak semua pasal yang ada dalam Kompilasi Hukum Ekonomi Syariah itu diterapkan dalam akad musaqah khususnya yang tertara dalam Pasal 266 tentang rukun musaqah, namun ada sebagian besar pasal yang sudah di terapkan dalam praktek pengelolaan kebun kelapa sawit di Desa Korek Kecamatan Sungai Ambawang Kabupaten Kubu Raya.
Pengaruh Pengetahuan Akuntansi, Skala Usaha dan Pengalaman Usaha terhadap Penggunaan Informasi Akuntansi pada UMKM di Kecamatan Ponorogo
Authors: Mujakar Sogin Bayu , Hartono Arif , Ulfah Ika Farida
Published: November 2024

Penelitianiini bertujuaniuntuk mengetahuiipengaruh pengetahuangakuntansi, skalagusaha dan pengalaman usahagterhadap penggunaan informasigakuntansi pelaku UMKMgdi Kecamatan Ponorogo. Metode yang digunakankdi dalamkpenelitian inikadalah metode deskriptif kuantitatif. Populasigdalam penelitian inigadalah pelaku UMKMgyang terdaftar di Kecamatan Ponorogo KabupatengPonorogo. Pengambilangsampel ditentukanfdengan menggunakan Cluster Random Sampling. Analisisfdata dilakukanfdengan menggunakan analisis regresi linier bergandakdan hipotesisimenggunakan ujiit, ujiiF dan koefisien determinan. Hasilidari penelitianiini menunjukkan bahwa secara parsiali(1) Pengetahuan akuntansi berpengaruh positif dan signifikan terhadap penggunaan informasi akuntansi; (2) Skala usaha berpengaruhgpositif dan signifikan terhadapgPenggunaan InformasigAkuntansi; (3) Pengalaman usahagberpengaruh positifgdan signifikan terhadapgPenggunaan InformasigAkuntansi. Kemudian secara simultangmenunjukkan bahwagPengetahuan akuntansi, skalagusaha dan pengalamangusaha berpengaruhgpositif dan signifikan terhadapgPenggunaan InformasigAkuntansi.
The Effect of Good Corporate Governance and Profitability On Earnings Management Pharmaceutical Companies
Authors: Faisal Yusuf , Gumala Sari Egi
Published: November 2024

This research aims to examine and analyze the factors that can affect of Earnings Management in pharmaceutical companies listed on the Indonesia Stock Exchange (IDX). The independent variable used to analyzed of Earnings Management is Good Corporate Governance and Profitability. This research aims at pharmaceutical companies listed on the Indonesia Stock Exchange (IDX) during the 2017-2021 period. The population in this study amounted to 11 companies. The sampling method used was the purposive sampling method and obtained a sample of  5 companies. The data analysis method used is the multiple linear regression analysis and the residual test method. The result of this research show that simultaneously Good Corporate Governance and Profitability had positive influence and significant on Earnings Management. While, partially Good Corporate Governance and Profitability had positive influence and significant on Earnings Manegement in companies listed on the Indonesia Stock Exchange (IDX) for the 2017-2021 period
Structural equations modeling for the entry into becoming a sport sponsorship of the halal product in Thailand
Authors: Iampatcharawoot Kassamara , Laesan Sarawut , Soonthornpipit Hathaipan , Lert-Asavapatra Pachoke , Khan Muhammad Shahid
Published: November 2024

This research study aims 1) to create a structural equation model for sports sponsorship of halal products in Thailand and 2) to examine the direct and indirect influence of variables that are components of the structural equation model for halal products, specifically in the context of becoming a sports sponsorship for halal products in Thailand. The study focused on a sample group of Thai Muslims interested in watching and following the news and participating in Thai sporting events. The researcher chose a sample size of 400 participants from this population, excluding backup data gathering and data analysis, to ensure the questionnaire’s quality and dependability. The results of the data analysis from the structural equation model created show that it is consistent with empirical data. The results of the statistical hypothesis test reveal that the level of religious adherence and the level of awareness of entering into sponsorship have both direct and indirect influences on consumer attitudes and purchase intentions with statistical significance at 0.01. It can also be identified that if a sponsor increases awareness among Muslim viewers through branding or product presentations in events that feature halal symbols or indicate compliance with religious standards, it will lead to a more positive attitude and higher purchase intentions. This insight can be applied to marketing promotion in administrative regions or countries where the majority of the population is Muslim.
Analyzing financial interdependencies: The cointegration of Jordan and BRIC stock markets
Authors: S. Othman Mahdy
Published: November 2024

This study examines the financial integration between Jordan and the BRIC economies (Brazil, Russia, India, and China) to determine whether long-term equilibrium relationships exist and to assess implications for portfolio diversification and policy. Drawing on daily stock index data from 01 January 2014, to 31 August 2024, the study employs econometric techniques, including Granger Causality tests, Johansen Cointegration, and Vector Autoregression (VAR). The stationarity of stock indices at the first difference level is confirmed through unit root testing. Results indicate minimal long-term cointegration between Jordan and BRIC markets, pointing to low integration and potential diversification benefits for institutional investors. However, short-term causal links—particularly between Jordan and the Russian and Indian markets—highlight these countries’ influence on Jordan’s stock fluctuations. The findings suggest that, in the absence of long-term cointegration, investors may mitigate risk by investing in less correlated markets, such as Jordan, while leveraging short-term partnerships with Russia and India. Additionally, the study provides valuable insights for business leaders considering strategic alliances with BRIC counterparts in sectors like technology, agriculture, and energy, and calls for future research into factors like regulatory frameworks and geopolitical stability that may limit long-term financial integration. These results have significant implications for institutional investors, business executives, and policymakers, suggesting targeted strategies for financial stability, risk mitigation, and economic collaboration.
A importância da publicidade no mercado consumidor e os desafios frente ao avanço tecnológico: um olhar à proteção de dados
Authors: Schwanke Humberto Luis , Serafini Lucas
Published: November 2024

O presente artigo tem como tema a importância da publicidade no mercado consumidor e os desafios frente ao avanço tecnológico: um olhar à proteção de dados. Partindo do objetivo de investigar a tutela de proteção de dados no país bem como a relação da mesma com a publicidade, analisando a importância da publicidade no mercado consumidor e também a regulamentação da mesma no Código de Defesa do Consumidor com o objetivo final de relacionar as publicidades importunadoras com a proteção de dados do consumidor frente tais publicidades. O problema no presente tema se dá em decorrência do surgimento da legislação de proteção de dados e os possíveis impactos que essa nova legislação irá gerar nas publicidades relacionadas ao consumo. Para a produção do artigo utilizou-se do método de pesquisa dedutivo, baseando em pesquisa bibliográfica, composta de doutrina, legislação e jurisprudência. Obtendo-se assim resultados positivos, como o entendimento da importância da publicidade no mercado consumidor e os desafios frente ao avanço tecnológico, e também, a importância da proteção de dados pessoais frente as publicidades em relação ao grande avanço tecnológico dos últimos tempos.
Avanços e retrocessos trazidos pela Lei Henry Borel – Lei 14.344/2022
Authors: Lang Natascha Konopka , Ningeliski Adriane de Oliveira
Published: November 2024

Este artigo tem como finalidade demonstrar os avanços e retrocessos trazidos pela Lei n.º 14.344/2022, também conhecida como Lei Henry Borel, promulgada diante do assassinato da criança que deu nome à Lei, visando criar meios de enfrentamento à violência doméstica familiar contra a criança e o adolescente. O objetivo geral é apresentar os avanços e retrocessos da nova legislação. Os objetivos específicos abordam inicialmente o sistema de protecionismo das crianças e adolescentes no Brasil, sendo em seguida analisado o conceito de violência intrafamiliar e doméstica no país, para, por fim, abordar o objetivo geral. A metodologia adotada é qualitativa, com método de abordagem dedutivo, aplicando-se em pesquisa teórica, utilizando obras literárias e artigos científicos sobre o tema para fundamentação. Também utiliza-se como apoio a pesquisa documental, sendo realizada análise de legislações. Conclui-se que a Lei n. 14.344/2022 trouxe diversos avanços no sistema de proteção à criança e ao adolescente, em especial a inclusão do crime de homicídio contra menores de 14 anos no Código Penal e o crime passar a ser considerado hediondo na Lei 8.072/1990.
Família mosaico: uma reflexão a partir das relações entre os irmãos socioafetivos
Authors: Chupel Larissa Amanda , Ningeliski Adriane de Oliveira
Published: November 2024

O surgimento da família mosaico é resultado de uma longa transformação histórica pela qual passou a família e influenciou o Direito Brasileiro. Tal núcleo, exsurge a partir da reconstituição de relações anteriores, a qual tem aumentado em decorrência do crescimento do número de divórcios, trazendo consigo uma configuração familiar pluralizada, que engloba, além do cônjuge ou companheiro(a), os filhos não comuns do novo casal. Com isso, novos dilemas surgem ao ordenamento jurídico no que diz respeito à socioafetividade e sua extensão aos membros do núcleo familiar, principalmente ante a possibilidade da configuração de vínculo socioafetivo além da figura do padrasto, madrasta ou enteados, mas também aos irmãos (filhos não comuns do cônjuge ou companheiro) a ponto de ensejar reflexos e implicações no Direito de Família. Nesse contexto, o presente artigo objetiva analisar a família mosaico e a extensão da socioafetividade entre os filhos não comuns dentro desse núcleo familiar, bem como seus efeitos e consequências no ordenamento jurídico, no âmbito das relações fraternas. Para tanto, utilizou-se o método de abordagem dedutivo, partindo do pressuposto de que a convivência contínua pode acarretar vínculos socioafetivos entre os irmãos. Concluiu-se, a partir deste estudo, que já há decisões pacificadas dos Tribunais que reconhecem a socioafetividade entre os irmãos passíveis de gerar direitos e obrigações recíprocas.
Application of Hyperspectral Image Recognition Technology in Monitoring the Pollution Level of Insulators
Authors: Hao Jiangang , Sun Pengjing , Li Li , Gao Yuan
Published: November 2024

The pivotal aspect of ensuring the secure and stable functioning of Electrical Power Systems (EPS) lies in the online monitoring of transmission line insulator pollution levels, aimed at forestalling pollution flashover incidents. These flashovers typically stem from the buildup of contaminants on insulator surfaces, which, under humid conditions, establish a conductive layer, gravely jeopardizing grid security. Traditional pollution detection approaches, inclusive of manual inspections and offline sampling analyses, suffer from drawbacks like inefficiency, inadequate real-time capabilities, and vulnerability to human intervention, thereby struggling to align with the demands of contemporary power grid intelligence and automation. In view of this, this article innovatively proposes an insulator pollution monitoring model based on hyperspectral image recognition technology. This model fully utilizes the unique spectral integration feature of hyperspectral images, which can provide rich spectral data while obtaining image information, covering a wide spectral range from visible light to infrared and even more, and has extremely high spectral resolution. The experimental results show that the model not only significantly improves the accuracy and real-time performance of pollution detection, but also overcomes many shortcomings of traditional methods.
Academic Dishonesty from the Perspective of Primary School Teachers
Authors: Ferková Štefánia , Zacharová Zlatica
Published: November 2024

Introduction:
Academic dishonesty is addressed by various experts in pedagogy and psychology who seek to preserve academic integrity in accordance with the moral and ethical principles of contemporary society.

Methods:
The intention of the research was to find out how teachers evaluate different types of cheating by students during class, how they react to different types of academic dishonesty, and how they themselves were dishonest during their time in college. Teachers (N=272, mean age 40.85 years) responded on a 5-point Likert scale the attitudes towards morality, but also whether students cheated or self-reported their academic dishonesty when they were students.

Results:
Factor analysis indicated the existence of 4 factors of teachers’ moral beliefs (Trust in implicit morality, Teacher-given morality, Need for explicit rules, and Internalization of moral principles), which were correlated with students’ assessment of academic dishonesty (Use of external resources, Cooperation) and with teachers’ self-reported academic dishonesty (Utilitarianism, Unauthorized advantage, and Helping others).

Discussion:
The research findings suggest that teachers should focus more on understanding their pupils’ behaviour rather than condemning or punishing academic dishonesty and seek to develop their moral competence.

Limitations:
The research sample size is not representative, also the research method is not standardized.

Conclusions:
The role of teachers is to apply teaching strategies that will promote honest and responsible student behaviour.
A Systematic Literature Review of Synchronous E-Learning Challenges in Higher Education Institutions in Developing Nations during the COVID-19 Pandemic
Authors: Musikavanhu Tichaona Buzy , Scheepers Elizabeth Isabel
Published: November 2024

Introduction:
The COVID-19 pandemic has accelerated the transition to online learning, with synchronous e-learning becoming a critical modality in higher education institutions (HEIs) worldwide. This shift, while ensuring educational continuity, has unveiled numerous challenges, especially in developing nations where resources and infrastructure may not adequately support such a rapid transition.

Purpose:
This study aims to provide a systematic literature review of the challenges encountered by students in developing nations during the implementation of synchronous e-learning amid the COVID-19 pandemic. It focuses on identifying and analysing technological, pedagogical, infrastructural, socioeconomic, and health-related challenges that have impacted the efficacy of online learning.

Methods:
Through a systematic literature review of 43 peer-reviewed studies conducted in developing nations, dated between 2020 and 2022 sourced from the SCOPUS database, this article synthesises findings on the multifaceted challenges faced by HEIs students during the COVID-19 pandemic. The study employs a thematic analysis approach to categorise these challenges and discuss their implications for educational equity, student well-being, and the resilience of higher education systems in developing countries.

Conclusions:
The study underscores the need for comprehensive strategies to address the identified challenges, emphasising the importance of infrastructural improvements, pedagogical support, socioeconomic interventions, and health-focused measures. It calls for a collaborative effort among educational institutions, governments, and international organisations to enhance the resilience and inclusivity of e-learning environments, ensuring equitable access to quality education in developing nations during and beyond the pandemic.
009. Case Report: Cloacal Exstrophy a Rare Case of Abdominal Defect on Pediatrics
Authors: Adhikara Wayan Satwika , Ariyanta Kadek Deddy
Published: November 2024

Background: Cloacal Exstrophy (CE) is a rare congenital disorder. CE caused by rupture of the cloacal membrane before the urogenital septum is formed, then causes herniation. CE has incidence of 1: 200,000 to 1: 400,000. Embryologically, CE is considered to be the result of a defect in the caudal mesoderm, around 29 developmental days, or failure of mesodermal migration during the primitive streak period resulting in failure of cloacal septation. The aims and objectives of this case report are to explain the case in depth with existing literature and its suitability. Case: The method used is prospective direct observation. The case, a female 2-days-old patient, presented with omphalocele, ileal prolapse, incompletely formed hindgut, open bladder, abdominal wall defect, and urine come from the hemiblader and meconium from the cecal plate. The patient was born via cesarean because the mother with fetal distress. The patient underwent a Dual Stage Pathway (DSP), first the abdominal wall defect was closed with a colostomy, then bladder reconstruction was carried out. The reconstruction procedure in CE cases can be carried out with Dual Stage Pathway (DSP), which consists of omphalocele reconstruction, bladder closure, gastrointestinal diversion and closure of the abdominal wall. Conclusion: CE is a congenital disorder in many organ systems including neurological, gastrointestinal, musculoskeletal, renal and genitourinary. Surgical management of CE patients requires multidisciplinary care with a multi-stage approach.
020. A Preliminary Study of Post-Reconstructive Basal Cell Carcinoma Scars with Hyperbaric Oxygen Therapy Using Bates-Jensen Wound Assessment Tool Erick Latun1, Mendy Hatibie Oley2, Stevy Suoth2
Authors: Latun Erick , Oley Mendy Hatibie , Suoth Stevy
Published: November 2024

Background: Non-melanoma skin cancer is 18-20 times more common among Caucasians and has a lower fatality rate. The study also indicated that women have more basal cell carcinoma than men. Treatments for basal cell carcinoma include surgery and on-surgical methods. Hyperbaric oxygen therapy is meant to speed up wound healing and prevent scarring. Through the use of the Bates-Jensen Wound Assesment Tool, basal cell carcinoma patients who undergo adjuvant hyperbaric oxygen therapy will be assessed in this study. Methods: The Bates-Jensen Wound Assessment Tool were used to collect data in this preliminary study. Participants who met the criteria were interviewed and given questionnaires to complete. According to the variable type, data is processed descriptively. Results: Six participants who fulfilled the inclusion criteria were interviewed about their Bates-Jensen Wound Assessment Tool showed to have good outcome with low score after the use of hyperbaric oxygen therapy. Conclusion: The Bates-Jensen Wound Assessment Tool is projected to be lower in severity in patients receiving hyperbaric oxygen therapy than in other control groups in this study.
021. Outcomes of Adult Patients That Got Full Thickness Skin Graft with Skin Defects After the Surgical Wide Excision: Observational Case Series Study
Authors: Perdana Raden Airlangga Putro Bagus , Kurniawan Rifqi
Published: November 2024

Background: Full-thickness skin grafting plays an important role in reconstruction for excessive skin defects after the surgical wide excision. For closed defect consideration, full-thickness skin grafts can be used, The most common full-thickness skin graft donor sites include the retroauricular region, supraclavicular region, inguinal fold, buttock fold, hypothenar area, and anterior wrist fold. In this study. Methods: This is a single institutional, retrospective, observational case series study. We included 8 patients who underwent skin reconstruction using full-thickness skin grafts to close skin defects caused by the excision of skin tumor or trauma, between January 2024 and July 2024. Demographic data, including sex, age, location and photographs, and were collected. Results: the follow up for 8 patients that got full-thickness skin graft, we can make conclusion that full-thickness skin graft, can be the choice to closed the defect. The outcome of the patient is good with the defect is closed. Conclusion: Full-thickness skin grafting is a common technique for reconstructing skin defects after surgical wide excision. This case series demonstrates that using full-thickness grafts can effectively close these defects. Despite the challenges posed by the extent and location of the defects, the grafts provided a reliable solution when primary closure was not possible. Overall, this study highlights the importance of full-thickness skin grafting in the field of reconstructive surgery.
037. Outcomes of Management of Adult Patients with Acute Limb Ischemia Using Catheter-Directed Thrombolysis (CDT) and Thrombectomy: A Systematic Review
Authors: Ronadi Daniel , Winatha I Made Arya
Published: November 2024

Background: Acute limb ischemia (ALI) is one of the arterial emergencies of sudden decrease in limb perfusion and poses a threat to limb viability. Immediate management is required for better prognosis of the patient. Treatment with Catheter-directed thrombolysis (CDT) and thrombectomy methods have their own advantages and disadvantages that require further study. Methods: The authors completed a descriptive systematic review of retrospective cohort studies and randomised controlled trials (RCTs) based on PRISMA guidelines, including studies that included CDT and thrombectomy interventions in patients with acute limb ischemia.  Data were extracted on sample size, age, diagnosis, mechanism of intervention, treatment outcome and complications. Results: Of the 304 studies, the authors included 5 cohort studies and RCTs, with a total sample size of 5,781 samples aged 60-72 years. All studies used CDT method, compared with various thrombectomy (Percutaneous aspiration thrombectomy (PAT), Pharmacomechanical thrombectomy (PMT), Percutaneous mechanical thrombectomy (PMT), Catheter-based thrombectomy (CBT), and Operative embolectomy. It was found that therapeutic outcomes based on risk of amputation, mortality and complications did not show significant differences between the two groups, but hospitalisation duration outcomes appeared longer in patients with CDT than thrombectomy (p value 0.0001 and 0.000). Conclusion: ALI is a condition that requires immediate management to reopen arterial flow so that ischaemic conditions in the tissue can be avoided, various intervention methods either with medication (thrombolysis) or invasive procedures with thrombectomy are considered to provide good outcomes in patients.
039. Obstructive Ileus Caused by Colitis Tuberculosa: A Case Report
Authors: Kurniati Rizki , Pustaka I Gusti Ngurah
Published: November 2024

Background: Gastrointestinal TB (GTB) constituting approximately 1% to 3% of all TB globally and characterized including of any part of digestive system and its related organs. Results: A 61 years old man was admitted to emergency departement with abdominal pain and abdominal distention since 6 months and getting worse in 1 day. He also complained dispneu. On examination, the abdomen was rigid, distended, and tender and the lung has wheezing. The radiographs of abdomen revelved dilated loops of the small intestine with multiple air-fluid levels suggestive of small intestine obstruction. A chest radiograph showed active TB with opacity of the right lung.  The patient was planned for exploratory laparotomy and founded anastomosis, peritoneal deposits, matted bowel, and a perforation of ileus. Intraoperative biopsy was taken from the ileus perforation and revelved tuberkulosa infected. Postoperatively, he was started antituberculous theraphy (ATT) of Rifampicin, isoniazid, and ethambutol (RHE). Conclusion: Obstructive Ileus is a complication of gastrointestinal tuberculosis in patients with a history of untreated latent tuberculosis.
051. Incarcerated Umbilical Hernia in A 45-Year-Old Male with Chronic Kidney Disease: A Case Report
Authors: Harahap Kevin Imansyah
Published: November 2024

Background: Umbilical hernias are common, but incarceration can lead to serious complications, particularly in patients with comorbidities. We present a case of an incarcerated umbilical hernia in a male patient with a history of chronic kidney disease (CKD) on hemodialysis, which required emergency surgical intervention. Case: A 45-year-old male presented with intermittent umbilical pain and a lump, which appeared during straining or coughing and spontaneously reduced upon rest. The patient also experienced nausea, absence of defecation for 3 days, and absent flatus for 1 day. There was no vomiting, but a history of chronic cough and CKD was noted. On physical examination, an umbilical lump measuring 4x3x2 cm was identified. Bloodwork revealed elevated creatinine levels (6.0 mg/dL), consistent with CKD. Imaging confirmed the diagnosis of an incarcerated paraumbilical hernia, and the patient underwent emergency herniorrhaphy. Post-operative recovery was uneventful. Conclusion: This case highlights the importance of timely intervention in patients with incarcerated umbilical hernias, especially in the presence of comorbid conditions such as CKD. Emergency herniorrhaphy remains the definitive treatment for preventing life-threatening complications.
055. The Comparative Efficacy Surgical Techniques of Transanal Endoscopic Microsurgery Versus Radical Resection for Early-Stage Rectal Cancer: A Systematic Review And Meta-Analysis
Authors: Bhyantari Ni Putu Ruspata , Mulyawan I Made
Published: November 2024

Background: Colorectal cancer ranks third in incidence and second in mortality among all tumours. Radical surgery has been the conventional treatment for early-stage rectal cancer. Advancements in medical technology have established Transanal Endoscopic Microsurgery (TEM.) as a viable minimally invasive surgical treatment for early-stage cancer. Nonetheless, there is still ambiguity regarding the selection of surgical methods for individuals with early-stage rectal carcinoma. This meta-analysis aims to compare the outcomes of two surgical techniques. Methods: We searched PubMed, Web of Science, and the Cochrane Library to discover research and trials published from 2010 up to 2023. We utilised Revman 5.4.2 to do the meta-analysis. Results: Five studies were considered, comprising 358 patients, including transanal endoscopic microsurgery and radical resection for early-stage rectal cancer. Our findings indicate that TEM surgical approach was significant in reducing intraoperative bleeding MD -131.18 95% CI [-205.79;-56.56] p=0.0006, operative time MD -82.37 95% CI [-97.59;-67,16] p< 0.00001. However, our result shows that TEM surgical increased hospital stay MD -2.50 95% CI [-10.94;-5.95] p< 0.56. We also found TEM surgery was associated with lowering the incidence of post-operative bleeding RR 0.32 95% CI [0.11,0.97] p =0.04 and permanent stoma RR 0.25 95% CI [0.07,0.83] p =0.02. Conclusion: This study demonstrated that TEM surgery was associated with reducing the incidence of intra-operative bleeding, operative time, post-operative bleeding and permanent stoma. Additional investigations are required to validate these findings.
057. The Comparative Efficacy of Robot-Assisted Versus Laparoscopic Surgery for Rectal Cancer: A Systematic Review and Meta-Analysis
Authors: Suadnyana I Putu Ramanda , Mulyawan I Made
Published: November 2024

Background: Background: Total mesorectal excision (TME) is the gold standard surgical intervention for rectal cancer, associated with effective local recurrence management and improved overall survival rates. Laparoscopic surgery for colon cancer is primarily recognised as a curative treatment. Nonetheless, laparoscopic surgery for rectal cancer presents technological limitations. Robot-assisted laparoscopic total mesorectal excision (TME) surgery for rectal cancer was established to address these technical difficulties. Our objective was to assess the clinical and oncological outcomes of robot-assisted surgery compared to laparoscopic surgery for rectal cancer. Methods: We searched PubMed, ScienceDirect, and CENTRAL to identify studies and trials published between 2014 and 2023. The outcomes of our study encompass operational duration, duration of hospital admission, and intra-operative haemorrhage. We employed Revman 5.4.2 to do the meta-analysis. Results: Seven trials were analysed, encompassing 1,231 patients, including 545 patients who underwent robotic-assisted surgery and 686 patients who received laparoscopic surgery. Our results demonstrate that robot-assisted surgery significantly reduced operation time (MD 74.04, 95% CI [28.12, 119.97], p = 0.002), hospital stay (MD -1.86, 95% CI [-2.68, -1.05], p < 0.00001), and intra-operative blood loss (MD 36.83, 95% CI [23.55, 50.11], p < 0.00001). Our study identified robot-assisted surgery as a viable option for rectal cancer treatment. Conclusion: Our study revealed that robot-assisted surgery correlated with decreased intra-operative blood loss, operative duration, and length of hospital stay. Further research is needed to corroborate these findings
061. A Rare Finding; Severe Intra Abdominal Infection and Colonic Necrosis in Geriatric Crohn’s Disease Patient
Authors: Tanaya I Putu Denny , Irmayanto Tomi , Abdillah Abdillah , Zuhan Arif , Ratna K.D Baiq , Eka S Herlina
Published: November 2024

Background: Crohn's disease (CD) is an immune-mediated inflammatory bowel disease (IBD) marked by segments of transmural inflammation in the gastrointestinal tract. Only 10% to 15% of IBD cases occur in those over 65. In a retrospective study of 281 surgeries, 43 were in colitis patients and 242 in Crohn's patients. The mortality rate was 5.7%, with 9 deaths due to sepsis, mainly linked to emergency procedures and corticosteroid use. CD symptoms include fatigue, prolonged diarrhea, weight loss, and fever, with or without bleeding. Case: A 69-year-old female with a 15-day history of abdominal pain. Patient referred to our hospital after laparotomy and ileostomy 15-days ago. Patient condition worsened, sepsis condition. Upon arrival, the patient exhibited mild hypotension, abdominal distension with midline incision, intra abdominal drain, and an active ileostomy on the right lumbal region. Laboratory tests shows anemia, electrolyte imbalances, and hypoglycemia. A CT scan abdomen revealed pneumoperitoneum and intestinal inflammation. During relaparotomy operation, ileal perforation was found near the stoma, with full-thickness necrosis of the ascending colon extending into part of the transverse colon, and colitis with mucosal necrosis from part of the transverse colon to the rectum. So, we performed a total colectomy, and ileostomy relocation. Pathology confirmed Crohn's disease with granulomatous inflammation. The patient received intravenous fluids and antibiotics. She was subsequently admitted to the intensive care unit for further management. Conclusion: Crohn's disease with severe intra abdominal infected ec perforated colon in patients over 65 is a rare case. Timely diagnosis through detailed anamnesis and examination is crucial. Surgical options should be taken if there are signs of peritonitis.
075. The Use of Tyrosine Kinase Inhibitor as Neoadjuvant Therapy in Patients with Thyroid Carcinoma: A Literature Review
Authors: Jubil Sebastian , Wibisana IGN Gunawan
Published: November 2024

Background: Papillary thyroid carcinoma (PTC) and medullary thyroid cancer (MTC) are the most common thyroid cancers in Indonesia, with an increasing incidence in recent years. The primary treatment for PTC is surgery, but it often faces challenges in managing invasive tumors. Tyrosine kinase inhibitors (TKI) have shown potential as neoadjuvant therapy to shrink tumors before surgery, though their use remains experimental. This study aims to evaluate the effectiveness of TKI as neoadjuvant therapy in patients with unresectable thyroid carcinoma, specifically PTC and MTC. Methods: Following PRISMA 2020 guidelines, a literature review was conducted using databases such as Cochrane, PubMed, EMBASE, and Scopus. The study selection was based on inclusion and exclusion criteria, with a risk of bias assessment performed using Joanna Briggs Institute tools. Data from case reports were extracted and analyzed qualitatively. Results: Eight case reports demonstrated that TKI, including Sunitinib, Lenvatinib, and Sorafenib, effectively reduced tumor size, allowing previously unresectable tumors to be surgically removed. Despite showing significant tumor shrinkage, adverse effects such as hypertension and gastrointestinal issues were noted, requiring careful management during treatment. Additionally, the duration of TKI therapy varied among the cases, but all showed notable improvements in tumor resectability. Conclusion: TKI shows promise as an effective neoadjuvant therapy for reducing tumor size in invasive PTC and MTC, making surgery more feasible. However, evidence is still limited to case reports, and further research is required to confirm the safety and effectiveness of TKI in this setting and to determine the appropriate patient selection criteria.
077. Ethanol Ablation as Therapeutic Options for Benign Thyroid Cyst: A Literature Review
Authors: Kallista Annissa , Wibisana IGN Gunawan
Published: November 2024

Background: Minimally invasive management of symptomatic cystic thyroid nodules has become common practice. Ethanol ablation for benign thyroid cysts has been performed since 1990. Various consensus guidelines have been developed, but a more detailed review regarding the safety and outcomes of this procedure is still needed. This study aims to identify and summarize the indications, techniques, outcomes, and complications of ethanol ablation for benign thyroid cysts through a literature search and review using PubMed and EMBASE. Results: A database search using specific keywords identified a total of 134 titles. Screening of titles and abstracts with inclusion and exclusion criteria excluded 124 titles. After removing duplicates, checking full-text availability, and study eligibility, 7 studies met the criteria. Clinical evaluations, indications, techniques, outcomes, and complications were extracted from each study. Conclusion: Ethanol ablation (EA) is a safe, repeatable, cost-effective procedure that can be performed in an outpatient setting. It has transient side effects and complications, most of which resolve spontaneously. Thus, EA can be considered a first-line non-surgical treatment for benign thyroid cysts and predominantly cystic thyroid nodules (PCTN).
089. TACE for Residive Malignant Peripheral Nerve Sheath Tumor and Leiomyosarcoma: Case Series
Authors: Ferdiansyah Rheza , Rizki Kiki Akhmad
Published: November 2024

Background: Malignant peripheral nerve sheath tumors (MPNST) are malignant, locally aggressive soft tissue sarcomas (STS) of the peripheral nerve or nerve sheath cells. Leiomyosarcomas are malignant tumors originating from the smooth muscle. Transarterial chemoembolization (TACE) is an interventional treatment to deliver chemoembolic materials. Case: First case is a 50-year-old male visited Oncology Surgery Polyclinic due to the presence of a tumor on his left forearm that was progressively increasing in size during the past two months. The MRI was done, the diagnosis of a residive malignant peripheral nerve sheath tumor was made. Second case is a 40-year-old female visited the Oncology Surgery Polyclinic due to the presence of a tumor on her right breast that was progressively increasing in size and the diagnosis of a Leiomyosarcoma at the right breast was made. Transarterial chemoembolization (TACE) was performed to both of the cases. Conclusion: MPNST and Leiomyosarcoma are malignant tumor that can be treated with doxorubicin chemotherapy through the TACE procedure.
092. Overview of the Prevalence of Chronic Kidney Disease (CKD) in Kidney and Ureter Stones at Zainoel Abidin Hospital Banda Aceh, 2021
Authors: Saputra Dwi Wahyu , Mauny M. Puteh
Published: November 2024

Background: Kidney stones are a predictor and risk factor for CKD and the prevalence rate is 5-10% with comorbid factors which can increase the risk of CKD events. Chronic Kidney Disease (CKD) is a serious complication of urinary tract stones. Chronic kidney disease can occur as a result of urological procedures, obstruction or due to causes inherent in stone formation. Methods: This type of research is descriptive research using secondary data in the form of medical record data. The design of this research is cross sectional with data collection carried out retrospectively. The samples in this study were patients diagnosed with CKD in patients with ureteral stones or kidney stones at Zainoel Abidin Hospital, Banda Aceh. Samples were taken using the total sampling method. Results: In this study, 70 samples were taken and the results of this study based on gender are majority were found to be men 48 samples (68.6%), the most common age category was 41 - 50 years with 28 samples (40.0% ), the most common comorbid factor causing CKD was hypertension in 30 samples (42.5%), the type of urinary tract stones most often found was ureter stones, namely 34 samples (49.0%), and the most common location or urinary tract was ureter stones. bilateral, namely 22 samples (31.4%). Conclusion: The male gender most often experiences CKD due to complications from urinary tract stones, where the age range of 41 - 50 years is the age that experiences the most complications. The most common type of urinary tract stone is ureteral stone with a bilateral location.
098. Report in Emergency repair for Duodenum Part 1 Perforation in Referral Hospital Banyumas
Authors: Hanif Ahmad Shafa , Handaya Adeodatus Yuda , Bassyarah Yusuf Arif
Published: November 2024

Introduction: Duodenal perforation was frequent cause of hollow viscus perforation beside to gastric perforation. Immediate source control properties, reproducibility, simplicity and applicability was the prefer method in emergency setting to repair this perforation. Case: We present one case of female, 46 years old patient with duodenal part 1 perforation with Boey Score 1, where we performed repair with primary suturing, gastrojejunal – braun anastomosis and omental patch. We found part 1 duodenal perforation 1.5cm in diameter. Patient was in hospital for 5 days before being discharged. Conclusions: Primary suturing, gastrojejunal – braun anastomosis and omental patch applicable in referral hospital, were preferable method that has best result and easy repair technique based on this report.
099. Artificial Intelligence and Machine Learning in Trauma Outcome Prediction: A Literature Review
Authors: Sihombing Ivan Hisar Marolop , Panigoro Sonar Soni
Published: November 2024

Introduction: Trauma remains a leading cause of mortality and disability globally, particularly among young adults. Despite advancements, accurate prediction of trauma outcomes remains challenging. Artificial intelligence (AI) and machine learning (ML) has the potential to detect patterns and analyzing complex relationship of data from trauma patients to support decision making in the management of trauma. This study aims to explore the potential of AI and ML to enhance trauma outcome prediction in order to healthcare workers with basic understanding of AI and ML and the potential for them to utilize it management of trauma patients. Methods: A literature review was conducted using studies from PubMed, SCOPUS, Cochrane, EBSCOHost, and ScienceDirect database using PRISMA protocol. Data extraction focused on study design, population, interventions, outcomes, and methodological quality using the Oxford Centre for Evidence-Based Medicine levels of evidence. Results: From the literature review, 15 studies from total of 585 studies were included in this literature review. XGBoost and Neural Networks were the most common algorithms (60%). While six studies predicted mortality, others focused on length of stay and discharge outcomes. Overall, ML significantly improved trauma diagnosis by enhancing predictive models for injury severity and mortality. Conclusions: Machine learning models have shown superior performance compared to traditional scoring systems in their ability to predict trauma outcomes and could effectively forecast critical outcomes and guide treatment decisions. Subsequent studies should concentrate on creating more resilient models based on prospectively gathered data to enhance the performance of created algorithms.
Experience With Breakout for Collaborative Learning and Assessment in Higher Education
Authors: Martín-Caraballo Ana Martin , Paralera-Morales Concepción , Segovia-González Maria Manuela , Tenorio-Villalón Ángel Francisco
Published: November 2024

Aim: The aim of this study is to verify empirically that the combination of ICT and game-based teaching for teaching and assessment of mathematics at university level allows students to obtain meaningful learning that favours performance in the subjects of mathematics and statistics.
 
Theoretical framework: The main concepts and theories underpinning the research are presented, thus providing a solid basis for contextualising and gaining a better understanding of the research.
 
Method: The methodology adopted for this research comprises on the one hand a systematic review of the literature. Quantitative data were collected from experience with students in the fields of Economics and Engineering in quantitative and technical subjects.
 
Results and Discussion: The results obtained revealed that the students who carried out this experience performed better than those who did not. Therefore, focusing the activity as a game using different ICT tools (specifically, GeoGebra), allows us to change the classroom routine and, in a secondary way, to check the skills and competence level of each student in the use of technology and the subject itself. Likewise, in order to be able to base the decisions taken to formulate the evaluation activity, we have indicated the precedents in the literature that have been taken into consideration.
 
Implications of the research: These implications could cover all areas related to education and especially higher education, as it is not usual to use gamification at university levels, although on the other hand, it is more usual to use ICT.
 
Originality/Value: The implementation of an evaluative activity based on gamification and specifically on escape games (specifically a breakout) is not common in the field of university teaching in mathematics. This type of disruptive activities with the usual routine in the classroom not only favours meaningful learning, but also the motivation and interest of students before new situations. Therefore, there is a clear need to generate new projects that break the educational monotony in which students currently find themselves so that they can also learn social competences with their peers that facilitate their incorporation as citizens into society, promoting a better and sustainable world.