bluuebunny/crossref_metadata_2025 huggingface dataset:
Clinical Outcomes for Impella Patients Associated with Hyperlipidemia: An Analysis of the National Inpatient Sample
Authors:   Rowan University, Elias Tony , Vatsa Sonika , Gamal Kyrillos , Syed Taha , Beshai Rafail
Published: August 2024

The Impella, a ventricular assist device, is crucial for managing severe heart failure and cardiogenic shock. Despite its widespread use, there's scant information on how hyperlipidemia affects Impella patients. To address this gap, we delved into the National Inpatient Sample Database from 2019 and 2020. Our aim was to scrutinize in-hospital outcomes among these patients. We identified 8233 Impella patients, among whom 1012 (12.3%) had hyperlipidemia. Those with hyperlipidemia displayed higher rates of hypertension, diabetes mellitus, and chronic kidney disease compared to their counterparts without hyperlipidemia. Shockingly, in-hospital mortality was notably elevated in the hyperlipidemia group, emphasizing its clinical significance. After meticulous multivariate regression analysis, it became evident that hyperlipidemia was a significant risk factor for heightened inpatient mortality and escalated total hospital charges. Additionally, these patients endured prolonged hospital stays. Further analysis unveiled that hyperlipidemia amplified the odds of complications such as acute kidney failure, ventricular arrhythmia, stroke, deep vein thrombosis, and sepsis. In summary, our nationally representative retrospective cohort study underscores the detrimental impact of hyperlipidemia on Impella patients. These findings advocate for tailored management strategies and heightened vigilance in this high-risk subgroup to ameliorate outcomes and enhance patient care.
Clinical Outcomes for Impella Procedure in Octogenarians, Nonagenarians, and Centenarians: A Retrospective Cohort Study
Authors:   Rowan University, Elias Tony , Vatsa Sonika , Girgis Kyrillos , Valderrama Michael , Beshai Rafail
Published: August 2024

The Impella, a vital ventricular assist device, has seen extensive use in managing severe heart failure and cardiogenic shock. However, the impact of this procedure on older individuals remains poorly understood. To address this gap, we scrutinized the National Inpatient Sample Database from 2019 to 2020 to elucidate in-hospital outcomes among older patients who underwent the Impella procedure. Among the 8233 patients who underwent Impella insertion, 1389 (16.8%) were in the older population, aged 80 years or older. This subgroup exhibited a higher prevalence of comorbidities such as hypertension, diabetes mellitus, and chronic kidney disease compared to younger patients. Alarmingly, in-hospital mortality was significantly elevated among the older population. Multivariate regression analysis underscored that older patients undergoing the Impella procedure faced substantially higher inpatient mortality rates. Additionally, advanced age correlated with increased mortality. Moreover, older patients incurred greater total hospital charges and endured longer hospital stays compared to their younger counterparts. Further analysis revealed that older Impella patients were at heightened risk of experiencing complications including ventricular arrhythmia, stroke, acute kidney failure, deep vein thrombosis, and sepsis. In conclusion, our nationally representative retrospective cohort study highlights the elevated mortality and poorer outcomes associated with the Impella procedure among older patients. These findings emphasize the need for tailored approaches and enhanced vigilance when managing older individuals undergoing this intervention to improve patient outcomes and optimize care.
How Does Schizophrenia Affect the Expression of Alpha 7 Nicotinic Acetylcholine Receptors in the Brain?
Authors: Varshney Shruti , Acharya Nimish
Published: August 2024

Schizophrenia (SZ) is a psychiatric disorder with a pathophysiology that has not yet been fully understood. This mental illness is characterized by disruptions in cognition, social activity, affect, and perception, and affects approximately 0.085% of individuals worldwide. The Alpha 7 Nicotinic Acetylcholine Receptor (α7nAChR) has been connected to auditory function gating deficits. The purpose of this review is to understand the current literature in how the levels of α7nAChR expression and function are affected by SZ, information that could be used to develop therapies to modulate auditory hallucinations in patients with SZ. A literature search was conducted for peer-reviewed journal articles with adult participants and filtered for randomized controlled trials and clinical studies. From this search, several studies were selected. These studies investigated α7nAChR levels in various brain regions (hippocampus, thalamus, frontal cortex, parietal cortex, cingulate cortex, orbitofrontal cortex, and temporal cortex), sera, and overall gene expression. Analysis reveals inconsistencies in changes in receptor levels, several studies without significant results, and several studies with low numbers of initial participants. Therefore, while conclusions were drawn based on the current literature that α7nAChR expression and function are decreased in patients with SZ compared to control subjects, more research is required to confirm. This need is especially focused on the hippocampus, since previous literature has suggested a link between α7nAChR, the hippocampus, and auditory signal gating deficits in SZ. Further research is also required into the development and testing of α7nAChR agonist medications and their effects on α7nAChR expression and function in the previously listed brain regions.
Cut The Pressure: Blood Pressure Screening in a Community Based Setting
Authors: Knight Harold Kareen Jr. , Milani Katharine
Published: August 2024

This study addresses the pressing issue of cardiovascular health disparities in African American males through community-based interventions, specifically blood pressure screenings and surveys conducted in a local barbershop setting. Despite a preference among participants for clinical settings, an overwhelming 97.7% expressed high comfort levels in the community-based environment, highlighting the importance of culturally sensitive approaches in healthcare delivery. With 92.5% indicating willingness to return for future screenings, the study underscores the efficacy of non-traditional settings in fostering healthcare engagement. Findings suggest the potential for broader impact through scalable, community-centric initiatives, offering promising avenues for improving health outcomes in underserved populations.
Community Health Worker: High Risk Stabilization Study
Authors:   Rowan University, Infosino Benjamin , Jermyn Richard , Jabon Jaimy
Published: August 2024

Introduction: Hypertension is a common health concern among Americans of all age groups. Unregulated hypertension can lead to complications such as atherosclerosis that contributes to an increased risk of heart attack and stroke. The identification of individuals with hypertensive blood pressures allows for the targeted distribution of health management advice and resources. Methods: Blood Pressure measurements are obtained by Community Health Workers at public events through free health screenings Results: Assessing the efficacy of CHW’s efforts to direct high-risk individuals to proper resources for control of their blood pressure relies on the presence of follow up BP measurements that can be compared over time. This level of consistency proved difficult to obtain since data points were only gathered at community events where attendees are not always consistently the same people. Discussion: Free health screenings by CHWs provide the foundation for change by identifying individuals with blood pressures that put them at a high risk of dangerous health complications. Comparing BP measurements at different time intervals, such as 30 and 60 days, can help assess the degree of improvement in blood pressures.
Efficacy of Current Sanitation Recommendations at Reducing Rates of Toxic Shock Syndrome in Menstruating Women Using a Menstrual Cup
Authors: Gingerich Alexa , Conti Antonia
Published: August 2024

Introduction: Menstrual toxic shock syndrome (mTSS) is a rare but serious complication associated with the prolonged use of intra-vaginal menstrual products. Significant research has been aimed at reducing incidence of mTSS that has resulted in proven sanitary practices. Reusable menstrual products have become increasingly appealing to consumers due to cost savings as well as the feel-good notion that comes with reducing waste. It is unclear if hygiene recommendations for menstrual cups are as efficacious at preventing the incidence of menstrual toxic shock syndrome when compared to that of tampons. Methods: A database search was conducted using PubMed, Medline, and Embase to review literature published after 1978. Specifications outlined in existing publications relating to menstrual cups and mTSS that have been found to reduce incidence of mTSS were chosen and analyzed for consistency in instructions for use of the top 5 most popular menstrual cup brands. Results: Of the five brands analyzed according to recommendations aimed at reducing mTSS in women using menstrual cups, only one brand met 3/5 recommendations. Discussion: MC hygiene protocols should be updated based on the suggestions presented in the reviewed literature in order to further prevent incidence of mTSS. Popular MC brands fall short of these recommendations most frequently in sizing, insertional instruction, and cleansing. Conclusion: The CDC guidelines lack clear guidance on hygiene measures for menstrual cups and need to be updated with specific information gleaned from research. Further studies should continue to examine the relationship between MCs, tampons, and mTSS.
Comparative Analysis of Health Outcomes in Gastric Cancer: Robotic vs. Laparoscopic Gastrectomy
Authors:   Rowan University, Kurbonnazarova Maftuna
Published: August 2024

Exploring the most effective surgical approach for gastrectomy is crucial for determining superior health outcomes in patients. This research compares robotic and laparoscopic techniques with the aim of pinpointing the optimal method, offering valuable insights for improved postoperative well-being.
Chronic Schizophrenia Presenting with Psychogenic Polydipsia Masking Stage IV Uterine Adenocarcinoma
Authors:   Rowan University, Pastore Dakota B. , Jaludi Kamayel , Sica Angelo
Published: August 2024

Background: Psychogenic polydipsia (PPD) is a condition of excessive water intake and seeking behavior with a 6-20% prevalence among patients with psychiatric illnesses, commonly Schizophrenia. It remains unknown how often concomitant disease can mask other, more serious conditions in psychiatric patients. Case Description: The patient is a 58-year-old Hispanic, white female with chronic schizophrenia complicated by multiple hospitalizations for hyponatremia secondary to PPD. The patient initially presented to the emergency department (ED) in 2016 with abdominal pain, was treated symptomatically and discharged. From 2020 to 2023, the patient was readmitted seven more times, with two suspected aspirin overdoses, an Ambien overdose, and multiple ED visits for PPD, each time with complaints of abdominal pain, which were attributed to either PPD or overdose. In 2021 the patient was found to have severe iron deficiency anemia, and an initial abdominal ultrasound was unremarkable. In 2022, tumor marker tests yielded abnormal results including: CA125 85.9/50.1, CA19-9 >10, and CEA 0.3. A pelvic ultrasound was completed after another three ED visits, revealing an infiltrative uterine mass measuring up to 5.6 cm, which was confirmed by CT abdomen and pelvis to be Stage IV Uterine Adenocarcinoma. Discussion: Several potential opportunities for intervention were missed in this patient including: (1) primary prevention (i.e., no documented/completed cancer screenings), (2) inadequate physical exam and history acquisition, (3) delayed diagnostic imaging from onset of abdominal pain to diagnosis. This case highlights the shortcomings across disciplines to provide early intervention, and the disparities of basic patient care in psychiatric patients.
Examining the Differences in Functional Outcomes for Patients with Traumatic Brain Injury After Acute Rehabilitation and Subacute Rehabilitation: A Review of the Literature
Authors: Rangel Michael , Kakkanatt Ashley
Published: August 2024

BACKGROUND/PURPOSE Traumatic brain injury (TBI) is one of the major causes of morbidity in the US [1-4]. Studies suggest TBI patients’ enrollment in a rehabilitation program strongly predicts social reintegration. The structure and outcomes of inpatient rehabilitation programs, including acute and subacute rehabilitation, are not well-delineated [5-7]. DESIGN A structured review of current literature was conducted. Articles were screened using the search string: (post-traumatic brain injury OR post-TBI OR traumatic brain injury OR TBI) AND (acute rehabilitation OR subacute rehabilitation) AND (outcomes OR functional outcomes) NOT (outpatient OR outpatient populations) NOT (pediatric OR pediatric populations). Articles were limited to 1990 – 2023 and excluded outpatient and pediatric populations. Articles were classified into two categories: those addressing either acute or subacute rehabilitation. Outcome measures included disability ratings, physical independence, independence with ADLs, social re-integration inside and outside of home, cognitive recovery, and general mobility, FIM scores, and HSQ-12 scores. Articles examined included meta-analyses, clinical trials, comparative studies, and other literature reviews. FINDINGS Sixteen articles addressed outcomes after acute rehabilitation [5, 8-22]. They suggest: 1) improved functional independence, cognition, and odds of discharge to home with earlier intensive acute rehabilitation following TBI, and 2) better FIM scores and HSQ-12 scores compared to those who were discharged from acute care to long term care. Only one article addressed outcomes after subacute rehabilitation [23]. DISCUSSION/CONCLUSIONS Acute rehabilitation programs lack uniformity in data collection methods, comprehensive metrics for outcome measurements, and homogenous and well-defined rehabilitation structures [24-27]. Our study suggests there is little-to-no data to support that subacute rehabilitation facilities have improved patient outcomes over acute rehabilitation. In conclusion, current research critically lacks information regarding outcomes after subacute rehabilitation. As trends move towards increased utilization of subacute rehabilitation services, future research must focus on outcomes in patient populations at the subacute rehabilitation level.
Case Report: Post-Obstructive Pneumonia Secondary to Foreign Body Aspiration
Authors: Chaudhry Aashna , Vasta Andrew
Published: August 2024

Post-obstructive pneumonia is described as a pulmonary infiltrate that occurs proximal to the site of an obstructed bronchus. Studies show that post-obstructive pneumonia most commonly secondary to obstruction caused by neoplasms. According to a study done on post obstructive pneumonia in lung cancer, most cases of post obstructive pneumonias are associated with advanced neoplasms with up to 50% of those with advanced cancer getting endobronchial compromise. While neoplasms are the most common cause of post obstructive pneumonia, research is scarce on other potential causes of post obstructive pneumonia. This case reports presents a unique clinical case in which an adult patient developed post obstructive pneumonia secondary to foreign body ingestion.
Chilling Complications: A Case of COVID-Associated Cold Autoimmune Hemolytic Anemia (AIHA)
Authors: Coz Julian , Patel Kishan
Published: August 2024

Cold Agglutinin disease (CAD) also known as Cold Autoimmune Hemolytic Anemia (AIHA) is a form of autoimmune hemolytic anemia wherein cold agglutinins (IgM autoantibodies against red blood cell (RBC) antigens) bind during cold temperatures causing clinical symptoms related to RBC agglutination resulting to hemolytic anemia. Clinicians should recognize that Cold Agglutinin disease can be secondary to an underlying pathology such as COVID-19. Here we describe an unusual case of Cold Agglutinin Autoimmune Hemolytic Anemia which was diagnosed in the Emergency Department with the presence of COVID-19 and with a hospital course complicated by acute deep vein thrombosis (DVT) and bilateral pulmonary embolisms (PE’s).
Complications Following Hemivertebrectomy for Congenital Scoliosis
Authors:   Rowan University, Davuluri Sanjana , Oh Taemin , Akhnoukh Kyrillos , Weingrad Zachary , Lesgart Michael , Ishmael Terrence , Pahys Joshua , Samdani Amer , Hwang Steven
Published: August 2024

Introduction: Hemivertebrae are rare congenital anomalies that can cause severe scoliosis requiring surgical correction. We aimed to determine whether severity of deformities is associated with more long-term surgical complications following surgical correction. Methods: We performed a retrospective, single-institution review on patients who underwent hemivertebrectomy and spinal fusion for congenital scoliosis between 2008-2020. We extracted pertinent data on demographics, radiographic parameters, operative details, and complication rates. Subgroup analyses were also done by complication severity, deformity complexity, and construct length. Results: In our series, 30 patients underwent hemivertebrectomy and fusion. Mean age was 9±4.2 years and there was 2:1 male preponderance, with median follow-up of 74.5 months. 43% of patients had complex deformities, defined as ≥3 bony abnormalities on X-ray. In cases of multiple hemivertebrae (n=2), only the dominant lesion was excised. Half the patients underwent long segment fixation (>5 levels), which were chosen for larger deformities, and resulted in similar coronal and sagittal balance to shorter constructs. Mean EBL was 533.7±502.0 mL. Three patients had intraoperative neuromonitoring changes, which subsequently improved with minimal or no long-term deficits. Surgical correction improved the major coronal Cobb angle and deformity angular ratio (both p<0.01) at both first and last follow-up. In the short-term, there were 5 complications: pneumothorax (n=2), retained surgical drain requiring takeback (n=1), postop pneumonia (n=1), and T12 nerve root avulsion (n=1). There were 2 long-term complications requiring revision surgery: displaced and prominent hardware, and pseudarthrosis with wound dehiscence. Three other patients showed evidence of disease progression, and two of them underwent revision fusions. On subgroup analysis comparing complications vs no complications, construct length, and deformity complexity, no significant differences in demographics, surgical planning, or outcomes were found. Conclusions: Surgical and long-term complication rates were 17% and 7%, respectively. While no specific risk factors for complications were found in our cohort, hemivertebrectomy resection and correction of congenital scoliosis should be approached with caution and careful planning.
Clinical Outcomes for Patients with NAFLD and Acute Hepatitis: An Analysis of the National Inpatient Sample
Authors:   Rowan University, Pastore Dakota B. , Elias Tony , Senatore Peter
Published: August 2024

Introduction: Non-alcoholic fatty liver disease (NAFLD) is the most common form of chronic liver disease in the United States and has been found to play a significant role in cardiovascular disease risk through several mechanisms including dyslipidemia, insulin resistance, coagulability, and inflammation. Acute-on-chronic liver disease continues to contribute to worse health outcomes via acute hepatitis. Methods: This case-control study investigated the relationship between NAFLD and acute hepatitis using data extracted from the National Inpatient Sample (NIS) Database for the years 2019 and 2020. The NIS was searched for hospitalizations of adult patients with acute hepatitis with and without NAFLD. Using multivariate logistics to adjust for confounders, the primary outcome was inpatient mortality, and the secondary outcomes were hospital length of stay (LOS), and total hospital charges. Results: This study included 208,145 patients with acute hepatitis, of which 12,406 patients had NAFLD. The study found a statistically significant higher inpatient mortality (OR:1.041, 95% CI:1.1.036-1.046, p <0.001) among those with acute hepatitis and NAFLD. While mean LOS and hospital charges were less for patients with acute hepatitis and NAFLD (6.1days vs. 6.0days, p <0.001; $68,745 vs. $67,460, p <0.001). Secondary analysis found that patients with acute hepatitis and NAFLD had statistically significantly higher odds of high output heart failure, shock, arrhythmias and acute kidney injury compared to those with acute hepatitis and no NAFLD. Conclusion: In this nationally representative population‐based case-control study, acute hepatitis with NAFLD was associated with higher inpatient mortality and worse outcomes compared to those with acute hepatitis alone.
Lizardite “kolskite” from the Lesnaya Varaka alkaline ultrabasic massif (Kola peninsula): new data
Authors: Bulakh M. O.
Published: August 2024

Background. A rare morphological variety of magnesian serpentine, described in 1939 in the veins of the Lesnaya Varaka alkaline ultrabasic massif (Kola Peninsula) under the name “kolskite” is studied. For a long time, this variety has been considered an antigorite.

Aim. Identification of the polymorphic modification of “worm-like” serpentine; determination of its crystal chemical features and possible genesis.

Materials and methods. Samples were studied using electron probe analysis and scanning electron microscopy by a Jeol JSM-IT500 scanning electron microscope equipped with an INCA X-Max energy dispersion spectrometer; powder X-ray diffraction; infrared spectroscopy using a FSM-1201 IR Fourier spectrometer; and Raman spectroscopy using a EnSpectr R532 spectrometer.

Results. Serpentine “kolskite” is represented by lizardite with the empirical formula (Mg2.79Al0.04Fe3+0.01)∑2.84[Si2.06O5](OH)4. The calculated parameters of the trigonal unit cell are as follows: a = 5.32(1) Å, c = 7.88(2) Å, V = 193.0(1) Å3. An increase in parameter c compared to that of apoolivine lizardite typical of ultrabasic objects indicates an expansion of the interlayer distance and is associated with serpentine hydration.

Conclusion. The formation of “worm-like” lizardite aggregates could occur either by replacing vermiculite under the action of low-temperature alkaline hydrothermal solutions, or as a result of hypergenic alteration in the earlier apoolivine serpentine.
Study into the reshaping process of large reservoir banks using remote sensing
Authors: Stepanova M. V. , Ekzaryan V. N.
Published: August 2024

Background. During the first 10—20 years after the creation of large reservoirs, the process of processing of coastal territories is activated, which leads to the loss of land resources, has a negative impact on the existing coastal infrastructure and changes in the depth of the reservoir as a result of activation of the process of rock accumulation, destruction of coastal slopes. Shoreline retreat is 10—15 meters per year. The paper considers the process of recycling of reservoir banks on the example of the Volgograd reservoir.

Aim. Development of a methodology for studying and forecasting the process of reshaping of reservoir banks using remote sensing.

Materials and methods. The data of 1980—1990 on the actual magnitude of bank reprocessing of the Volgograd reservoir were collected, processed and analyzed, and the coastal territory was typified. It is proposed to use remote sensing materials to obtain the values of coastal overbanking for the period from the 1990s to the present time. Forecasting of the process of reformation of reservoir banks is carried out on the basis of application of mathematical statistics methods.

Results. On the basis of solving the set tasks, a universal new methodology for studying and forecasting reservoir bank reformation was proposed. The methodology was tested on the materials of the Volgograd reservoir.

Conclusion. The proposed new methodology makes it possible to obtain data on the dynamics of the Volgograd reservoir bank reformation process and to make a forecast for the next 10 years. This methodology can be used to study the process of bank reformation of large reservoirs.
Comparative Analysis of Diabetic Neuropathy Examination Scores and Nerve Conduction Velocity in Patients with Diabetic Neuropathy
Authors: Anand Ravi , Bhushan Sneha , Bhushan Bharat
Published: August 2024

Background: Diabetic neuropathy is a prevalent consequence of diabetes, resulting in substantial morbidity. Precise evaluation is essential for prompt intervention and control. The study assessed the correlation and effectiveness of the Diabetic Neuropathy Examination (DNE) scores and Nerve Conduction Velocity (NCV) as diagnostic tools in individuals with diabetic neuropathy.
Methods: An observational research was done, comprising 200 diabetic patients who were diagnosed with diabetic sensory-motor polyneuropathy. Participants completed Dynamic Neuromuscular Examination (DNE) grading and Nerve Conduction Velocity (NCV) testing. The data were analysed using SPSS version 20.0.
Results: The study found a considerable negative correlation (r = -0.68, p < 0.001) between DNE scores and NCV results. Higher DNE scores were associated with lower NCV values. Specifically, 20% of participants had mild neuropathy, 40% had moderate neuropathy, and 40% had severe neuropathy according to DNE scores. NCV testing revealed that 65% of participants had abnormal nerve conduction, with 25% showing mild reduction, 25% moderate reduction, and 15% severe reduction. Multivariate regression confirmed that DNE scores are significant predictors of NCV outcomes (Beta = -0.52, p < 0.001), even after adjusting for confounding variables such as gender, age, diabetes duration, and HbA1C levels.
Conclusion: DNE scoring is a reliable tool for assessing neuropathy severity in diabetic patients, correlating well with NCV results. Integrating DNE scoring in routine clinical practice can enhance the early detection and management of diabetic neuropathy.
Recommendations: Routine use of DNE scoring along with NCV testing is recommended for comprehensive evaluation of diabetic neuropathy. Further research should explore additional diagnostic tools to improve early detection and intervention.
Keywords: Diabetic Neuropathy, Diabetic Neuropathy Examination Score, Nerve Conduction Velocity Testing, Diabetic Polyneuropathy, Neuropathy Assessment..
Incidence of Various Tuberculous Lesions in Indian Patients with Diabetes Mellitus: A Cross-Sectional Study
Authors: Anand Ravi , Bhushan Sneha , Bhushan Bharat
Published: August 2024

Background: Globally, TB is a major health issue, especially in low- and middle-income nations. Diabetes mellitus (DM) increases TB risk and complicates treatment. Due to the greatest worldwide TB burden and rising DM incidence, India faces a double public health problem. This study investigated the incidence and types of tuberculous lesions in Indian patients with diabetes mellitus.
Methods: A total of 250 individuals with a history of DM and respiratory symptoms were included. Data were collected through patient interviews, clinical examinations, and diagnostic tests. The association between diabetes-related factors and the incidence of tuberculous lesions was analyzed.
Results: Out of 250 patients, 70 (28%) were diagnosed with tuberculous lesions. Pulmonary tuberculosis was the most common type (16%), followed by extrapulmonary tuberculosis (8%) and disseminated tuberculosis (4%). The duration of diabetes and higher HbA1c levels were considerably correlated with an increased risk of tuberculous lesions (p<0.05). Patients commonly presented with cough with sputum (85.7%), weight loss (78.6%), and loss of appetite (71.4%). Sputum examination for Acid-Fast Bacilli (AFB) was positive in 64.3% of cases, and chest X-rays showed lesions in 71.4% of patients.
Conclusion: The study highlights a significant incidence of tuberculous lesions among diabetic patients, with pulmonary tuberculosis being the predominant type. Poor glycemic control and longer duration of diabetes are critical risk factors. These findings emphasize the need for regular TB screening and proactive management in diabetic patients to prevent complications and improve outcomes.
Recommendation: Healthcare providers should integrate routine TB screening into the care protocols for diabetic patients, particularly those with poor glycemic control and long-standing diabetes. Public health strategies should focus on the dual burden of TB and DM to enhance early detection and treatment, thereby improving patient outcomes.
Keywords: Tuberculosis, Diabetes Mellitus, Incidence, Glycemic Control
Analisis dan Pemodelan Proses Bisnis Katering pada UMKM Menggunakan BPMN
Authors: Hananto April Lia , Rosalina Elsa , Hananto Agustia , Huda Baenil
Published: August 2024

Fafiras Kitchen is a family business that focuses on food catering services. This business involves three main operational stages, namely the ordering process, procurement of raw materials, and delivery of products to customers. From the results of observations and interviews, several problems were identified such as the absence of good records in the ordering process resulting in errors in order fulfillment and loss of customer data, dependence on one raw material supplier increases the risk of delays and disruptions in the supply chain and inefficient delivery management caused by human error and no real time tracking, so this has an impact on customer loyalty. This research aims to analyze and model the current business process and provide recommendations for improvement. Modeling is done using Business Process Model and Notation (BPMN) with a qualitative approach to investigate existing business processes. The results of this research can identify areas of improvement to increase the efficiency and effectiveness of MSMEs operations so that MSMEs can better understand, manage, and optimize their business processes. In addition, this research also conducted simulations using the Bizagi Modeler application to test the validity of the business process modeling that has been made. The simulation results show an increase in time in the implementation of business processes.
EXPORT OPPORTUNITIES OF UKRAINE IN THE CONTEXT OF FOOD SECURITY OF AFRICAN COUNTRIES
Authors:   National University of Food Technologies, Kaira Ludmila
Published: August 2024

Ukraine was and remains a guarantor of global food security. Our country is one of the leading exporters of agri-food products on the world market, traditionally ranking high among agrarian countries and being one of the ten largest global producers and exporters of grain, oil, and honey. The demand for Ukrainian agri-food products on the world markets determines the prospects for the development of the country's economy. Ukraine receives its main foreign exchange earnings from the export of agricultural food to geographical regions such as the EU, Asia, and Africa, which together import more than 94% of Ukrainian agricultural products. The search for new opportunities to expand sales markets for Ukrainian agricultural products and ensure Ukraine's interests in the global food security system remains relevant. The possibilities and effectiveness of expanding the export of Ukraine's agri-food products to the African market in modern conditions have been studied. The level of food security of African countries has been determined, and it has been established that the food problem for the African population is worsening, with their food security depending significantly on Ukrainian agricultural exports. The dynamics of export volumes of Ukrainian agri-food products by the main product subgroups for the African market for the period from 2021 to 2023 have been analyzed. Considering the positive export dynamics of Ukraine with African countries, the rapid economic and demographic growth of these countries, and the increasing need to import food products, the African market is an extremely promising market for the export of Ukrainian agri-food products. Ukraine's export capabilities in the context of ensuring food security of African counties, despite ongoing active hostilities, are quite high, and Ukraine's ability to transport products is also improving. It is evident that the expansion of the export of Ukrainian agri-food products to the African market supports the economic stability of Ukraine, the stability of world markets, and the food security of African countries.
DEFINITIONAL BASES OF ASSESSMENT OF THE DUAL EDUCATIONAL AND PROFESSIONAL PROGRAMS IMPLEMENTATION RESULTS IN HEIs
Authors:   Admiral Makarov National University of Shipbuilding, Kanash Olesia , Parsyak Volodymyr ,   Admiral Makarov National University of Shipbuilding
Published: August 2024

According to the main features, the dual form of acquiring professional competences is a business process with social features, which requires delineation and quantitative measurement of investing resources results in each ring of the intellectual capital chain of individuals and organizations formation. Among them are time, competences transferred from a mentor to a student, money invested in material, scientific-methodical, information-communication provision, software. Based on this hypothesis, the author's vision of methodical approaches for assessing the economic consequences of the dualization of the educational process in higher education institutions is outlined in the article. Without this definitional basis the work on the relevant toolkit is doomed to errors. The methodology based on it could be useful during the development of educational and professional programs by guarantors, the selection of an individual educational trajectory by applicants as a means of realizing personal professional potential, planning by organizations of participation in the implementation of academic and applied forms of their future employees training, when justifying the size of budget funding and application of other support tools by the state or local territorial communities of relevant initiatives. The results of the survey conducted by the authors based on a self-developed questionnaire are presented. It confirmed the favorable attitude of students, the academic community, employees of enterprises of intellectual digital businesses to dual educational and professional programs. The results of the questionnaire were laid in the basis of the generalization of benefits from the implementation of the dual education system, presented as a graphic model. The author's definition of the meaning of the definitions "effect" and "efficiency" is presented. Of all the types of effects that accompany the accent is made on the activity of social systems, the authors were focused on the economic effect. Economic-mathematical models for calculating the effect and efficiency of the dual forms of professional competence acquisition introduction in the higher education system are proposed.
MODERN APPROACHES TO OPTIMIZING THE PROCESS OF MANAGEMENT OF THE FINANCIAL RESULTS OF THE ENTERPRISE
Authors:   O.M. Beketov National University of Urban Economy in Kharkiv, Illiashenko Olena , Morar Ievgen ,   O.M. Beketov National University of Urban Economy in Kharkiv
Published: August 2024

The article examines the model of the financial results management process of Alfatech Optima LLC. The financial results reflect a multifaceted system of economic relations at the current stage of the development of society, which affects the competitiveness of the company's products. It is accepted that today the problems of managing financial results consist in finding ways to increase revenue, optimize costs, and generate profit (loss). One of the main tasks of managing the financial activities of enterprises is to ensure the financial stability and competitiveness of the business entity in the longterm and short-term perspectives. Profit plays an important role in solving these problems. It is the positive financial result of the enterprise that acts as the main protective component against the threat of bankruptcy, is the main criterion for evaluating the efficiency of activity and, of course, the main goal of entrepreneurial activity. It is impossible to achieve this without reasoned management decision-making in the day-to-day work of managing the financial results of the enterprise. Therefore, ensuring the effectiveness of financial management at the enterprise involves the formation and implementation of a model for managing financial results. Management of financial results is a set of measures, principles and methods of formation and implementation of management decisions regarding the formation, distribution and use of the company's profit. It has been proven that the application of the structural-functional model of financial results management will allow the enterprise to more effectively use its available resources, plan its activities in advance and effectively manage profits. The tools for maximizing indicators of financial results from economic and financial activities and improving the efficiency and effectiveness of the enterprise's activities in general have been determined. As tools, factor and taxonomic analyzes of optimizing the management of financial results of the enterprise are proposed.
The Influence of ROE, NPF, FDR, BOPO and Bank Size on Capital Buffer in Sharia Commercial Banks for the 2016-2022 Period
Authors: Sahrianti Ritonga Alpi , Falahuddin Falahuddin
Published: August 2024

This research aims to examine the influence of ROE, NPF, FDR, BOPO and Bank Size on Capital Buffer in Islamic commercial banks for the 2016-2022 period. The population in this study consisted of 14 banks. The sampling technique used purposive sampling to obtain 7 banking samples with 49 observations. This research is quantitative research using secondary data used in this research which comes from the annual financial reports of each bank via the official banking website which is analyzed using panel data regression analysis. The results of this research show that the Return on Equity (ROE) variable has a positive and insignificant effect on the Capital Buffer, the Non Performing Finance (NPF) variable has a negative and significant effect on the Capital Buffer, the Financing to Deposit Ratio (FDR) variable has a positive and insignificant effect on the Capital Buffer, the Operational Costs Operational Income (BOPO) variable has a positive and insignificant effect on the Capital Buffer, the Bank Size variable has a positive and insignificant effect on the Capital Buffer.
Analysis of PPH Calculations for Individual Taxpayers According to PP 55 2022 (Case Study Aertembaga District)
Authors: Miran Michael , Evinita Lenny , Feiby Worang Tesalonika
Published: August 2024

Income tax is a type of tax that is a source of state revenue. Income tax is a fee charged to individuals, companies, and other legal organizations on the profits they earn. This research aims to determine the criteria and calculations for individual taxpayers who run a business and have a certain gross turnover in accordance with PP 55 of 2022 for businesses in Aertembaga District. The objectives of this research are: 1. To find out whether the analysis of the criteria for individual taxpayers for business owners who have a certain distribution in Aertembaga sub-district is in accordance with PP 55 of 2022? 2. To find out whether the calculation of income tax for individual taxpayers for business owners who have a certain circulation in the Aertembaga sub-district is in accordance with PP 55 of 2022? The benefits of this research are: 1. Theoretical benefits of this research will be able to increase insight regarding individual taxpayers' income tax and gross turnover in accordance with PP 55 of 2022. 2. Practical benefits of this research will be able to provide opportunities for business owners to find out how to calculate income tax in accordance with PP 55 of 2022. The method used in this research is qualitative, the data processed as research material is primary data and secondary data for individual taxpayers in Aertembaga District in 2022. Results research shows that Gracia Restaurant, Jemi Workshop, Yemima Laundry and Feodora Laundry have met the criteria of PP 55 of 2022. The income tax calculation of PP 55 of 2022 is appropriate and can be used by Gracia Restaurant, Jemi Workshop, Yemima Laundry and Feodora Laundry, including income from Jemi Workshop whose income has reached above Rp. 500,000,000 so there is tax that must be paid by Jemi's Workshop.
Analysis of the Application of Environmental Accounting in Solid Waste Management in Karawang Health Center
Authors: Shokoshoci Norika , Sujaya Fista Apriani , Nasihin Ihsan
Published: August 2024

This research aims to determine the application of environmental accounting in waste management activities as well as the stages of accounting treatment of environmental costs by referring to PSAK 2015 No.1 carried out by the Karawang Community Health Center. The method used in this research is descriptive qualitative with a case study approach. The results of the research found that the Karawang Community Health Center had incurred costs related to waste management and had managed its waste well, namely in collaboration with third parties. However, the storage of solid or B3 waste at the Karawang Community Health Center is still not in accordance with applicable standards. And in the accounting treatment stages, the Karawang community health center has not fully carried out these stages because there is no specific presentation of environmental cost reports, therefore the Karawang community health center has not implemented environmental accounting properly. The inhibiting factors in implementing environmental accounting at the Karawang Community Health Center are HR (Human Resources), level of understanding and development.
Analysis of the Implementation of Sales Accounting Systems with Based Payment Transactions Fintech MSMEs Telukjambe Karawang
Authors: Zalfahmi Raihan , Sujaya Fista Apriani , Trisyanto Ade
Published: August 2024

The development of digital technology has brought transformation in society. Financial technology or fintech is a risk-taking service that currently helps many people, this technology is used in the economic and financial sectors. Fintech comes in various forms to help people overcome their financial and business problems. Additionally, fintech is becoming increasingly popular due to its fast and simple methods and services. This research aims to analyze the application of fintech in helping the development of micro, small and medium enterprises. The method used is descriptive research with a qualitative approach. Data collection was obtained through interviews and observation. The data obtained is in the form of primary and secondary data. The results of this research state that the implementation of a fintech-based sales accounting system in payment transactions in MSMEs helps buying and selling transactions so that the payment system becomes more efficient and economical but remains effective. All interviewees from all samples have sufficient financial literacy because they have general knowledge about fintech payments, confidence and skills in using fintech payments.
Determinans Sustainability Report, Leverage and Tax Avoidance on Financial Performance with CEO Narcissism as Moderation Variable
Authors: Saepulloh Muhammad , Yanti Yanti , Arimurti Trias
Published: August 2024

Financial performance analysis is the process of critically reviewing finances which involves reviewing data, calculating, measuring and providing financial solutions. Sustainability reports, leverage, tax avoidance and CEO marcissism are among the factors that influence a company's financial performance. This study examines the impact of tax avoidance, leverage, and sustainability reports on financial performance using CEO narcissism as a moderating factor. With a population of 89 companies in the metals and minerals industry, the subjects of this study are manufacturing companies listed on the Indonesia Stock Exchange. Secondary data sources and quantitative techniques are used in this research methodology. Using SmartPLS version 3, the Partial Least Squares (PLS) approach was used in the data processing procedure. The results show that although the tax avoidance variable has no influence and the CEO narcissism variable cannot mitigate the relationship between tax avoidance and financial success, the sustainability report and leverage variables have a great influence on financial performance. This research is aimed at companies operating in the metal and mineral manufacturing industry to reveal the environmental, social and economic role of society as well as the attractiveness of external parties, namely investors.
Developing an Entrepreneurial Mindset in Youth: Investigating Locus of Control and Self-Efficacy among Students of Pringsewu Business Management Vocational School
Authors: Viguna Ayu Imelda , Indriayu Mintasih , Noviani Leny
Published: August 2024

The objective of this research is to investigate the Locus of Control and Self Efficacy among students in developing their entrepreneurial mindset in their Youth. Unemployment and poverty remain significant issues faced by the people of Indonesia both currently and in the coming years. The persistent high unemployment rate in Indonesia continues to be a pervasive problem. This study used a quantitative research design, employing both exogenous and endogenous variables, as well as moderator variables that either strengthen or weaken the relationship between the variables. The research was conducted at Vocational High School (SMK) in Pringsewu Regency during the 2023/2024 academic year's even semester. The study's population consisted of all class XI students majoring in business management at vocational schools across Pringsewu Regency, with a total of 114 students at each school. The sample size was determined using the Slovin formula, with a population of 89 students and a significance level of 0.05. The results showed that research was conducted on 73 students who obtained the results that locus of control had an effect on entrepreneurial intentions as seen in the tcount for the variable locus of control (X1) of 2.993 > ttable (1.667) with a probability value (sig.) of 0.004 < 0.05 with Thus, H0 is rejected and Ha is accepted, which means that the locus of control variable (X1) has a positive and significant effect on entrepreneurial intentions (Y). Self-efficacy influences entrepreneurial intentions as seen in the tcount for the self-efficacy variable (X2) of 4.132 > ttable (1.667) with a probability value (sig.) of 0.000 < 0.05, thus H0 is rejected and Ha is accepted, which means that the self-efficacy variable (X2) has a positive and significant effect on entrepreneurial intentions (Y).
Pengaruh Aplikasi Sistem Informasi Akuntansi Penjualan Dalam Meningkatkan Efektivitas Penerimaan Kas Pada PT. Gajah Tunggal, Tbk
Authors: Dali Rahmat Mulyana , Ammullah Irfan
Published: August 2024

Pengaruh penerapan system informasi penjualan bagi PT. Gajah Tunggal Tbk terhadap keefektivitasan penerimaan kas sangat besar, ini bias dilihat dari prosedur system informasi penjualan di PT. Gajah Tunggal Tbk yang dijalankan dengan baik berdampak pada perputaran piutang dan penagihan piutang tiap tahunnya mengalami kenaikan sehingga penerimaan kas yang terjadi tiap tahunnya pun meningkat, itu artinya bahwa keefektivitasan penerimaan kas di PT. Gajah Tunggal Tbk sudah tercapai.