bluuebunny/crossref_metadata_2025_split huggingface dataset:
A case report of frontal spontaneous epidural hematoma associated with cranial osteomyelitis and epidural abscess due to paranasal sinusitis
Authors: Xiao Zongyu 
Published: September 2021

Background:
Intracranial epidural hematoma (EDH) is frequently secondary to trauma, but in some rare cases, spontaneous EDH (SEDH) could develop without trauma. Cranial osteomyelitis is an uncommon osseous infection that most frequently presents as a postoperative complication but also rarely originates from paranasal sinusitis and can develop extracranially to form a subperiosteal abscess or intracranially to form an epidural, subdural, or cerebral abscess. Intracranial epidural abscess (EDA) is an uncommon infection that forms in the space between the cranial bone and dura mater. It is rare to have a case of SEDH associated with cranial osteomyelitis and EDA due to paranasal sinusitis.

Case Description:
An 18-year-old male was admitted to the hospital with headache, nausea, and vomiting for 2 days. The patient denied a history of head trauma, operation, and any other infectious and systemic diseases, and he was not taking any medication. CT scan demonstrated a mixed density lenticular mass with some air collection in the frontal region. The axial sinus CT image demonstrated opacification of the left frontal, ethmoid, and maxillary sinuses. An emergency operation confirmed the diagnosis of frontal SEDH associated with EDA and frontal osteomyelitis. The frontal EDH, abscess, and the infected bone were completely removed during the operation without opening the dura. The patient recovered well after receiving 8 weeks of antibiotic therapy, and a cranioplasty was performed 9 months after the craniectomy.

Conclusion:
To the best of our knowledge, SEDH associated with EDA is very rare. It is important to recognize the possibility of SEDH associated with cranial osteomyelitis and EDA due to paranasal sinusitis, and the presence of an EDA should, therefore, be considered in the differential diagnosis of cases of SEDH.
Pulmonary cement embolism following transpedicular screws placement for thoracolumbar fractures
Authors: Gomez Fernando Alvarado , Herrera Omar Marroquín , Gaona Jorge L. Villán , Reyes Carlos A. Fuentes , Gutiérrez Martha L. Caicedo , Saenz Luis C. Morales 
Published: September 2021

Background:
Symptomatic pulmonary cement embolism in patients undergoing thoracic transpedicular fenestrated screw placement is rare. Here, we have added a 64-year-old female undergoing transpedicular screw placement for a T11 fracture who developed a pulmonary cement embolism intraoperatively and add this case to 13 others identified in the literature.

Case Description:
A 64-year-old female presented with a type “C”, ASIA “E” T11 fracture. The thoracolumbar pedicle screw fixation was supplemented with bone cement due to her underlying severe osteoporosis. During the fluoroscopy-guided supplementation with bone cement, a leak through the paravertebral venous system was noted. Thirty minutes later, the patient acutely developed extreme respiratory failure and required mechanical ventilation for the next 2 days. The diagnosis of pulmonary embolism due to bone cement was confirmed on a contrast computed tomography study of the chest.

Conclusion:
Symptomatic pulmonary cement embolization supplementing transpedicular screws placement for osteoporotic bone is rare. Here, we present a 64-year-old female who during transpedicular fixation of a T11 fracture developed an acute pulmonary embolism from the bone cement resulting in the need for 2 days of postoperative artificial ventilation.
To Ultrasound or not to Ultrasound: A REBOA Femoral Access Analysis from the ABOTrauma and AORTA Registries
Authors: Tatum Danielle , Juan Duchesne  , David McGreevy  , Kristofer Nilsson  , Joseph DuBose  , Todd E. Rasmusse  , Megan Brenner  , Tomas Jacome  , Tal Hörer  
Published: September 2021

IntroductionResuscitative endovascular balloon occlusion of the aorta (REBOA) is becoming a standardizedadjunct in the management of non-compressible hemorrhage. Ultrasound (US)-guided femoralaccess has been taught as the best practice for femoral artery cannulation. However, there is lackof evidence to support its use in patients in extremis with severe hemorrhage. We hypothesizethat no differences in outcome will exist between US-guided in comparison to blindpercutaneous or cutdown access methods.MethodsThis was an international, multicenter retrospective review of all patients managed with REBOAfrom the ABOTrauma Registry and the AORTA database. REBOA characteristics and outcomeswere compared among puncture access methods. Significance was set at P &lt; 0.05.ResultsThe cohort included 523 patients, primarily male (74%), blunt injured (77%) with median age 40(27 – 58), ISS 34 (25 – 45). Percutaneous using external landmarks/palpation was the mostcommon femoral puncture method (53%) used followed by US-guided (27.9%). There was nosignificant difference in overall complication rates (37.4% vs 34.9%; P = 0.615) or mortality(47.8% vs 50.3%; P = 0.599) between percutaneous and US-guided methods; however, access bycutdown was significantly associated with emergency department (ED) mortality (P = 0.004), 24hour mortality (P = 0.002), and in-hospital mortality (P = 0.007).ConclusionsIn patients with severe hemorrhage in need of REBOA placement, the percutaneous approachusing anatomic landmarks and palpation, when compared to ultrasound-guided femoral access,
was used more frequently without an increase in complications, access attempts, or mortality.Surgical cutdown was associated with highest ED, 24-hour, and in-hospital mortality.
Level of Evidence: Level III; Prognostic
PENERAPAN SISTEM INFORMASI AKUNTANSI MANAJEMEN TERHADAP KINERJA UMKM MELALUI LOCUS OF CONTROL
Authors: Mufidah Eva , Ghifary M. Tahajjudi 
Published: September 2021

Pandemi covid-19 ini menyebabkan sebagian besar UMKM mengalami gulung tikar sehingga diperlukan adanya usaha ataupun strategi yang digunakan untuk mengatasi permasalahan tersebut untuk menjaga keberlangsungan hidup UMKM. Dalam perkembangan teknologi informasi karakteristik sistem informasi akuntansi manajemen sangatlah penting untuk mendukung pertumbuhan UMKM. Namun perkembangan teknologi informasi tumbuh dalam kondisi lingkungan yang sulit diprediksi sehingga kondisi tersebut dapat mempengaruhi locus of control yang dampaknya dapat mempengaruhi kinerja UMKM. Populasi penelitian ini meliputi semua pelaku UMKM di wilayah Pasuruan dan Malang yang masih aktif usahanya. Menurut data dari Dinas Koperasi, Perindustrian dan Perdagangan, jumlah UMKM sebanyak 1625 unit dengan berbagai sektor. Teknik pengambilan sampel yang digunakan adalah metode purposive sampling. Sampel yang diambil sebesar 20% dari jumlah populasi sehingga diperoleh sampel sebesar 325 responden. Teknik analisis yang dipilih untuk menganalisis data dalam penelitian ini adalah analisis faktor konfirmatori dan maximum likehood estimation pada SEM (Structural Equation Model) dengan menggunakan aplikasi STATA 14. Dari hasil penelitian diketahui bahwa sistem informasi akuntansi manajemen berpengaruh positif dan signifikan sebesar 0,27 terhadap kinerja UMKM. Sistem informasi akuntansi manajemen berpengaruh positif dan signifikan sebesar 0,77 terhadap Locus of control. Locus of control berpengaruh positif dan signifikan sebesar 0,34 terhadap kinerja UMKM. Sistem informasi akuntansi manajemen berpengaruh positif dan signifikan sebesar 0,26 terhadap kinerja UMKM melalui Locus of control. Hasil penelitian ini menjelaskan bahwa Keberhasilan UMKM yaitu ada pada kemampuan diri (locus of control) dalam mengendalikan permasalahan yang terjadi di perusahaan. Kemampuan perusahaan dalam menggunakan sistem informasi akuntansi manajemen dengan adanya locus of control dari pelaku (UMKM) sehingga dapat meningkatkan kinerja UMKM.
STRUKTUR MODAL SEBAGAI VARIABEL MODERASI PENGARUH LIKUIDITAS DAN PROFIBILITAS TERHADAP FIRM VALUE
Authors: Indira Irma , Wany Eva 
Published: September 2021

This research aims to conduct testing as well as know the capital structure moderating the influence of liquidity and profitability on firm vaue. The place where this research was conducted is in IDX where it uses the banking sector. The samples used in this study used purposive sampling method with samples of 96 companies from 2016 to 2019. In research studies the use of methods is used to explain the relationship and influence on variables using multiple analysts. The results of this study have proven the results if liquidity has a negative and significant impact on the firm value,while profitability has a positive impact on the firm value. The capital structure is able to moderate liquidity in firm value but does not moderate the influence of prifitability on firm value.
Pengaruh Motivasi Berprestasi dan Persepsi Siswa Tentang Cara Guru Mengajar Terhadap Hasil Belajar Matematika Siswa
Authors: Wulandari Wulandari , Azmi Syahrul , Kurniati Nani , Hikmah Nurul 
Published: September 2021

This study aims to: (1) find out how achievement motivation affects the mathematics learning outcomes; (2) knowing how the influence by student perceptions of how teachers teach on mathematics learning outcomes; and (3) to find out how the influence of achievement motivation and student perceptions about how teachers teach on the mathematics learning outcomes at VIII grade students of SMPN 16 Mataram in academic year 2019/2020. This type of research is ex post facto research. The population of this study were all students at VIII grade as many as 110 students consisting of classes A, B, C and D. The sample used was saturated sampling where the entire population was the sample in this study. The data collection technique used was a questionnaire and tests. This research uses prerequisite test analysis techniques and inferential analysis techniques. The results obtained show: (a) There is a significant effect of achievement motivation on the mathematics learning outcomes with a contribution of 10.1%; (b) there is a significant influence on student perceptions of how teachers teach on mathematics learning outcomes with a contribution of 17.8%; and (c) there is a significant influence on achievement motivation and student perceptions of how teachers teach on mathematics learning outcomes with a contribution of 20.1%.
Sistem Informasi Penjualan Pada Toko Jahit UD.EDIQ Pohgading
Authors: Buyut Achmarain Saihul Amri , Nugraha Gibran Satya , Indah Nurmala 
Published: September 2021

UD.Ediq merupakan toko Jahit lokal di Desa Pohgading Kecamatan Pringgabaya Kabupaten Lombok Timur. Ud.Ediq berpotensi dapat memiliki marketing yang besar, tetapi saat ini sistem pengolahan data maupun sistem pemasaran masih manual sehingga berdampak pada sempitnya jangkauan pemasaran, dan pelanggan yang ingin membeli produk harus datang ke toko untuk mencari produk yang di inginkan. Jika produk yang diinginkan pelanggan tidak tersedia, maka akan membuat kecewa, untuk itu penulis ingin menjawab permasalahan tersebut dengan membuat Sistem Informasi Penjualan Pada Toko Jahit UD.Ediq Pohgading.
Tujuan dari penelitian ini adalah merancang suatu sistem informasi penjualan produk berbasis website menggunakan metode waterfall yang digunakan untuk pemenuhan kebutuhan dan mempermudah proses pengolahan data dari Toko Jahit “UD.Ediq”. Output yang dihasilkan dari penelitian ini berupa aplikasi berbasis website.
Referenciação dos Cuidados de Saúde Primários ao Serviço de Urgência de Pediatria de um Hospital Nível II: Que Realidade?
Authors: Vale Filipa , Pinto Filipa , Oliveira Rui , Martins Cecília , Lopes Susana 
Published: September 2021

INTRODUÇÃO: O objetivo foi caracterizar os episódios referenciados pelos cuidados de saúde primários (CSP) ao serviço de urgência (SU) do Centro Hospitalar do Médio Ave, assim como classificar a adequabilidade da referenciação.MATERIAL E MÉTODOS: Foi realizado um estudo observacional retrospetivo, incluindo todos os utentes com idade inferior a 18 anos referenciados por parte dos CSP ao SU, durante o ano de 2017. A referenciação foi considerada adequada sempre que foram realizados exames complementares de diagnóstico ou terapêuticas não disponíveis nos CSP. Assim como, a observação por outra especialidade que não a pediatria, a necessidade de internamento e a transferência para outro hospital.RESULTADOS: Foram obtidos 406 episódios de urgência, dos quais 25,9% obtiveram como diagnóstico de saída a patologia gastrointestinal e 29,4% a patologia respiratória. Foram consideradas adequadas 65,3% das referenciações, sendo as mais frequentes a patologia gastrointestinal, respiratória e trauma. As patologias genitourinária e infecciológica foram as mais constantes quanto à referenciação inadequada (OR = 11,5 e OR = 3,49, respetivamente, ajustado à idade). Verificou-se concordância entre o motivo de referenciação e o diagnóstico de saída nas patologias gastrointestinal, otorrinolaringológica, trauma e oftalmológica (kappa > 0,7). A grande maioria (92,2%) das crianças teve alta clínica.CONCLUSÃO: A taxa de referenciação adequada aos serviços hospitalares no presente estudo foi semelhante à descrita na literatura. No entanto, a otimização da comunicação entre os CSP e o SU, a implementação de protocolos, bem como, a formação dos profissionais dos CSP permitirão melhorar a referenciação.
STUDENTS' PROBLEMS FACE IN ONLINE LEARNING AMIDT PANDEMIC COVID 19
Authors: .S Joko Prayudha 
Published: September 2021

ABSTRACT

The existence of the corona virus requires face-to-face teaching to be replaced with online teaching. As a new alternative in learning, it will certainly bring up several obstacles that will be faced by students while studying. This study aims to determine the difficulties faced by students during online learning by using various applications that support online learning such as WhatsApp, Google Classroom and Zoom Meeting. In this study, qualitative methods have been used and a descriptive approach was used to explain the data. In data collection, questionnaires and interviews were used to obtain in-depth information about the difficulties faced by students during online learning. The results in this study indicate that students experience various kinds of obstacles in the implementation of online learning, such as (1) operating learning applications, (2) limited internet quota, (3), incomplete learning resources / materials, (4) poor communication, and (5) decreased learning motivation during online learning, however, even though there were obstacles faced by the students, it did not stop them from continuing to study in difficult times such as the Covid 19 pandemic.
ANALISIS SALURAN PEMASARAN DAN RISIKO DISTRIBUSI MELON (Cucumis melo L.) YANG DIJUAL DI PASAR TRADISIONAL KOTA BOGOR
Authors: Ramadhan Januar , Yoesdiarti Arti , Miftah Himmatul 
Published: September 2021

Penelitian bertujuan untuk menganalisis efisiensi saluran pemasaran dan risiko distribusi Melon yang dijual di pasar tradisional Kota Bogor. Penelitian dilaksanakan di Pasar Jambu Dua dan Pasar Baru Bogor, pemilihan lokasi ini dilakukan secara purposive karena kedua pasar tersebut merupakan pasar tradisional terbesar di Kota Bogor yang mendistribusikan buah dengan kuantitas terbanyak salah satunya yaitu Melon. Penentuan sampel dilakukan secara purposive untuk pedagang retail di pasar tradisional Kota Bogor dan snowball sampling untuk pelaku tataniaga yang menyuplai ke pedagang eceran. Hasil penelitian menunjukan terdapat dua saluran pemasaran yang terbentuk. Saluran I Pedagang pengumpul di Klaten dan Kulonprogo - pedagang besar Pasar Induk Kramat Jati-pedagang pengecer Pasar Tradisional Kota Bogor - konsumen akhir, saluran II Pedagang pengumpul di Grobogan - pedagang besar Pasar Induk Kramat Jati - pedagang pengecer Pasar Tradisional Kota Bogor - konsumen akhir. Nilai marjin pemasaran dan farmer’s share pada analisis efisiensi saluran pemasaran menunjukan saluran pemasaran I dan II memiliki nilai marjin total yang sama yaitu Rp. 10.000 dan farmer’s share paling tinggi yaitu pada saluran pemasaran II sebesar 23,08%. Hasil analisis risiko distribusi dengan pendekatan Enterprise Risk Management (ERM) menunjukan risiko paling tinggi adalah susut bobot tingkat pedagang pengumpul, rusak fisik di tingkat pedagang besar dan susut bobot di tingkat pedagang pengecer
Occupational Health and Safety Hazards among Workers in Laboratory Animal Research Facilities in Singapore and Philippines
Authors: Bibay JI , Agapito JD 
Published: September 2021

Introduction: All workers, regardless of occupation are vulnerable to various hazards present at work. This study was carried out to determine the commonly encountered occupational hazard of laboratory animal workers in Singapore and the Philippines. Moreover, to determine the percentage of hazard exposure according to the workers’ personal profile, work profile, and frequency of exposure.
Methods: All members of the Association for Laboratory Animal Science of Singapore (n=150) and the Philippines (n=130) were invited in an online survey administered anonymously via email. Only those respondents who fulfilled the inclusion criteria (i.e. 18 years old and above and working in direct contact to animals and its environment) were included in the analysis.
Results: Laboratory animal workers experienced all hazards identified in the laboratory animal facilities. The three most common hazards encountered by workers based on the mean (M) and median (Mdn) number of exposures were animal-related injuries (M= 1.269, Mdn= 1), ergonomics (M= 1.067, Mdn= 0) and sharp-related injuries (M= 0.885, Mdn=1). There was no significant difference noted between these three hazards when compared to one another. These hazards were consistent regardless of age, gender, education, job, biosafety level of the facility, years of experience and type of animal exposures.
Conclusion: Laboratory animal workers in Singapore and the Philippines are exposed to various hazards in the workplace. Younger workers, and workers with higher day-to-day exposure to laboratory animals, should be prioritized for information dissemination, training, and supervision.
The Relationship Between Organizational Safety Culture and Organization Safety Performance. The Mediating Role of Safety Management System
Authors: Otitolaiye VO , Abd Aziz FS , Munauwar M , Omer F 
Published: September 2021

Introduction: Safety performance is defined as efforts undertaken by organizations with the crucial aim of curtailing accidents and injuries to workers. It plays a crucial role in an organization aiming to achieve an anticipated outcome. A plethora of studies have found positive association between safety culture and safety performance of organizations. However, little is known on how the mechanism through which organizational safety culture exerts its influence on safety performance. Thus, this study investigates the indirect effect of safety management system in the relationship between organizational safety culture and safety performance.
Methods: This study employs the use of a 5-point Likert questionnaire to collect data from 134 respondents who are head of safety officers in F&B industries located in Lagos, Nigeria. SmartPLS 2.0 was used for data analysis.
Results: Results from path analysis revealed that safety culture and safety management system positively relate to safety performance. Furthermore, the mediation analysis indicated an indirect effect of safety management system in the relationship between safety culture and safety performance.
Conclusion: It is concluded that though safety culture has a significant positive relationship on safety performance, however its effect will be more if F&B organizations create and constantly implement a robust safety management system.
Job Satisfaction among School Teachers in Duwakot, Bhaktapur District, Nepal
Authors: Manandhar P , Manandhar N , Joshi SK 
Published: September 2021

Introduction: Job satisfaction is one of the determinant factors for professionals. The job satisfaction concerning school teachers reflects their strong motivation towards their job. This study aimed to measure the job satisfaction among teachers of Government and Private schools of Changu Narayan Municipality.
Methods: A cross-sectional study was done at seven government and five private schools of wards no. 1 and 2 of Changu Narayan Municipality Bhaktapur District, Nepal over one month (20th April - 19th May 2021). Schools of Changu Narayan Municipality Ward No. 1 and 2 were purposively selected. The data was collected through validated questionnaire on Job Description Index (JDI)8 which consists of 17 domains. Data were entered in Excel and data analysis was done in SPSS version 20.
Results: The overall job satisfaction was 65.77±11.52 which indicates that the majority of teachers were highly satisfied with their job.
Conclusion: The findings of this study indicate job satisfaction among school level teachers was satisfied in their occupation especially in teaching profession. The domain sources of job satisfaction in school teachers appear to be work itself, coworker, relationship with students and sense of achievement. Whereas motivation in profession is most likely to be less job satisfaction among Government and Private schools.
Penanganan Sengketa Penguasaan Tanah Hak Adat Melalui Peradilan Adat Sumatera Barat
Authors: Wahyuni Hesty , Mujiburohman Dian Aries , Kistiyah Sri 
Published: September 2021

Tanah ulayat merupakan bidang tanah pusaka beserta sumber daya alam yang ada di atasnya dan di dalamnya diperoleh secara turun temurun merupakan hak masyarakat hukum adat di Provinsi Sumatera Barat sesuai Pasal 1 Ayat (7) Perda Provinsi Sumatera Barat Nomor 16 Tahun 2008 tentang Tanah Ulayat dan Pemanfaatannya. Rumusan yang diangkat adalah (1) Bagaimana bentuk sengketa penguasaan tanah hak adat di KAN (Kerapatan Adat Nagari) Niniak Mamak Nan Salapan Suku Kota Padang, Provinsi Sumatera Barat? (2) Bagaimana pola penyelesaian sengketa penguasaan tanah hak adat di KAN Niniak Mamak Nan Salapan Suku Kota Padang, Provinsi Sumatera Barat? Penelitian ini merupakan penelitian hukum empiris dengan pendekatan sosio-legal. Ketidakpuasan penyelesaian sengketa ditingkat peradilan adat oleh masyarakat hukum adat mengakibatkan keberadaannya semakin kabur. Tulisan ini menemukan suatu bentuk pluralisme hukum yang diakui di Sumatera Barat, dan kedudukan putusan KAN di Pengadilan Negeri, serta relevansi Kementerian ATR/BPN dan KAN sebagai peradilan adat Minangkabau. Hal tersebut di lihat dari analisis bentuk dan pola penyelesaian sengketa penguasaan tanah pusako.
Clostridium septicum myonecrosis in a pediatric patient with a self-reported penicillin allergy
Authors: Parmar Parmvir , Feder Joshua , Pham-Huy Anne 
Published: September 2021

Infections with Clostridium septicum are especially rare in pediatric patients. C. septicum is the most common cause of spontaneous myonecrosis and is usually associated with comorbid malignancy. Treatment of choice for cases of C. septicum myonecrosis is prompt and thorough surgical debridement and antimicrobial therapy with high dose penicillin. The experience and management of C. septicum infections in patients who are unable to take penicillin are not well described, and the optimal duration of therapy is largely unknown. We describe a case of spontaneous myonecrosis in a 14-year-old receiving cytotoxic chemotherapy for Burkitt’s lymphoma who had an anecdotal history of a penicillin allergy. Her infection was initially treated with ceftazidime and metronidazole in concert with debridement but was ultimately cured with 3 weeks of intravenous penicillin therapy following a graded penicillin challenge in hospital. We observed a delayed inflammatory tissue response to a C. septicum skin, soft tissue infection that temporally corresponded to neutrophil reconstitution in our patient with severe neutropenia. Our experience demonstrates that C. septicum myonecrosis can present indolently and progress rapidly and highlights the need for clinical vigilance and repeat “second-look” surgeries. Our case also emphasizes the importance of de-labelling penicillin allergies.