bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pengembangan Strategi Kualitas Pelayanan Dalam Meningkatkan Kepuasan Pelanggan Pada Pabrik AMDK Abillaits Di Ambunten
Authors: Saifuddin Saifuddin  , Laurentina Maria Husada  
Published: December 2024

This Bottled Drinking Water Factory (AMDK) is drinking water that is packaged and processed through electronic machines and is safe to drink. It is processed according to quality standards and in accordance with applicable techniques and meets the specified requirements so that bottled drinking water is safe for consumption by the public. This study aims to determine the service quality strategy carried out by the Abillaits AMDK factory in the Ambunten subdistrict, Sumenep Regency. Which was carried out using a qualitative approach method. Methods of data collection using observation, interviews, and documentation. With 1 key informant and 6 supporting informants. Data analysis techniques using data collection, data reduction, data presentation, and drawing conclusion. The results of research conducted at the Abillaits AMDK factory show 2 strategies implemented by the Abillaits AMDK factory in Ambunten in an effort to meet customer satisfaction, namely the basic and main strategy. Basic service strategies such as thanking customers, communicating with customers. Listening to customer complints and neat appearance. The main strategy is the services provided in accordance with SOP, fast and responsive, competitive advantage, building good relationships with customers, and timeliness.
Diagnóstico por imágen de displasia septo-óptica.
Authors: Valle Ochoa Carlos Jacinto , Izquierdo Galo , Navas Palma Carmen Matilde , González Pazmiño Paola , Galló Valverde Jean Carlos , Celi Simbaña Stalin Santiago 
Published: December 2024

Introducción: La displasia septo-óptica (SOD), también conocida como síndrome De Morsier, descrito en 1956, es una rara disrupción del desarrollo del prosencéfalo, con una prevalencia estimada de 1 en cada 50,000 nacidos vivos. Se caracteriza por hipoplasia del nervio óptico, ausencia del septum pellucidum y, en dos tercios de los casos, disfunción hipotalámica-pituitaria, formando parte del espectro de la holoprosencefalia. Los factores de riesgo incluyen diabetes materna, edad materna temprana, parto pretérmino, preeclampsia, exposición a ciertos fármacos, abuso de sustancias e infecciones virales como el citomegalovirus.
Caso clínico: Adolescente mujer de 14 años, con nistagmus congénito y miopía, tratada mediante el uso de lentes correctivos. Tiene retardo en el desarrollo general y en el lenguaje. Entre los síntomas adicionales, tiene cefalea recurrente y movimientos mioclónicos eventuales, los cuales no han sido consistentes ni han progresado en frecuencia. En cuanto a los antecedentes obstétricos, la paciente fue producto de una cesárea debido a la presencia de ruptura prematura de membranas (RPM).
Conclusión: La displasia septo-óptica requiere un enfoque diagnóstico que combine ecografía prenatal y resonancia magnética (RMI). La ecografía es fundamental para la detección inicial de anomalías estructurales en el período fetal, mientras que la RMI ofrece una confirmación detallada de las características típicas de la enfermedad, como la hipoplasia del nervio óptico y la ausencia del septum pellucidum. Esta estrategia de diagnóstico combinado es esencial para optimizar el manejo clínico y resalta la importancia de estudios longitudinales que permitan desarrollar criterios diagnósticos.
Hemorragia intracraneal por deficiencia de factor VIII y X.
Authors: Mejía Andrade Paul , Abad Taniana , Layana Mayra 
Published: December 2024

Introducción: La hemofilia, caracterizada por una deficiencia de los factores VIII (Hemofilia A) o IX (Hemofilia B) de la coagulación, predispone a los pacientes a sufrir hemorragias severas, incluyendo la hemorragia intracraneal (HIC). La HIC en pacientes hemofílicos puede ocurrir a cualquier edad y tiene una alta tasa de mortalidad.
Caso clínico: Hombre de 67 años con hipertensión arterial fue ingresado con ataxia, cefalea intensa, síncope, disartria, fotofobia y vómitos recurrentes. Al examen tenía una presión arterial de 150/90 mmHg, frecuencia cardíaca 57 lpm y signos de bloqueo AV de primer grado en el electrocardiograma. Una tomografía de cráneo mostró hemorragia subaracnoidea y dilatación ventricular. No se encontraron lesiones en la panarteriografía. Al segundo día, presenta deterioro cognitivo y se realizó ventriculostomía con derivación externa. Al quinto día se le retira el catéter, y el paciente permanece despierto, obedece órdenes y mueve las cuatro extremidades. Después de cuatro días de hospitalización y tratamiento, fue dado de alta con mejoría clínica y neurológica. Diecisiete días después, el paciente retornó al hospital con cefalea, mareos, vómitos y debilidad generalizada. Una nueva TC mostró un hematoma subdural. Se realizó una craniectomía para evacuar el hematoma. Permaneció 9 días en UCI intercurre con hiponatremia hiposomolar, trombocitopenia y caída de la hemoglobina. Se confirma deficiencia de los factores VIII y X. El paciente recibió tratamiento específico para la hemofilia y fisioterapia. Una resonancia magnética posterior mostró una reabsorción significativa de los hematomas.
Conclusión: La hemorragia intracraneal no debe atribuirse exclusivamente a traumatismos o rupturas vasculares. Es fundamental investigar otras etiologías, como los trastornos de la coagulación, incluso en formas leves como la hemofilia. Un seguimiento exhaustivo, evaluando factores de riesgo y comorbilidades, es esencial para un diagnóstico y tratamiento oportunos.
Insuficiencia cardiaca aguda descompensada refractaria a tratamiento, en un paciente con mixoma auricular gigante
Authors: López Mendoza Richard , Barrio Nuñez Eduardo Fernando , Medina Cáceres Juan Carlos , Maldonado Gómez Michael 
Published: December 2024

Introducción: Los tumores cardiacos primarios se presentan entre 10 a 30 casos por 100 mil habitantes, el 75% son benignos y los mixomas cardiacos corresponden al 50% de este tipo de tumor. El objetivo es presentar este caso, poco frecuente, donde la presentación clínica del mixoma cardíaco conocido como “el gran imitador”, cuenta con datos clínicos inespecíficos según la localización, tamaño del tumor, presentando signos y síntomas obstructivos, sistémicos y embólicos que simulan varias patologías, lo que podría retrasar el diagnóstico.
Caso clínico: Mujer de 48 años, con antecedente de hipertensión arterial. Ingresa por cuadro de clínico de 2 semanas de evolución, con deterioro de la clase funcional (NYHA III), disnea y tos que porgresa a ortopnea. Se acompaña de síntomas neurovegetativos y sensación de muerte. Al examen físico presenta hipertensión, taquipne, estertores crepitantes difusos bilaterales e hipoventilación bibasal, la auscultación cardiaca R1 R2 hiperfonéticos, soplo mitral leve irradiado a axila, ingurgitación yugular, reflujo hepatoyugular y edema de miembros inferiores +. En la Radiografía de tórax hay edema agudo de pulmón y derrame pleural bilateral. En la ecocardiografia se observa una masa auricular izquierda gigante que afecta la apertura de válvula mitral con alto riesgo de ruptura y embolización. Realiza episodios de taquicardia ventricular aislada en monitor. Fue sometida a cirugía, se extirpo masa de 55x35x47mm en procedimiento sin complicaciones. El diagnóstico de anatomía patológica fue un mixoma auricular. En el seguimiento, la paciente en remisión clínica y sin recidiva en ecocardiografía de control posterior a los 6 meses de resolución quirúrgica.
Conclusión: El presente caso la ecocardiografía fue indispensable del diagnóstico. El mixoma causó obstrucción auriculoventricular, simulando una estenosis mitral severa, generando insuficiencia cardiaca descompensada refractaria a tratamiento farmacológico. El tratamiento definitivo fue la extirpación precoz, para prevenir complicaciones como embolia, síncope, insuficiencia cardíaca y muerte súbita.
Pengaruh Lingkungan Kerja dan Stres Kerja terhadap Produktivitas Kerja Karyawan Studi Kasus pada PT. Telkom Witel Bekasi
Authors: Chintya Aprilianti  , Melyani  
Published: December 2024

The purpose of this study is to understand how work stress and work environment affect employee work productivity simultaneously and proportionately. The purpose of this case study is to determine the important variables that cause the productivity of PT. Telkom Witel Bekasi's workers. In this case study, a saturated sampling method is used, which means that each member of the population is used as a sample from a relatively small population. The study involved 47 workers. Validity, reliability, linear multiple regression, and classical assumptions such as normality, heteroscedasticity, and multicollinearity are used. The hypothesis was then tested with the F and T tests. Data was collected through questionnaires. The results of the hypothesis test show that stress and the work environment have a positive and significant impact on employee performance. The results of multiple regression analysis also show that stress and work environment have a positive and significant effect on productivity. In addition, hypothesis tests show that there is a positive and significant impact on employee work productivity greatly increased. Therefore, companies must always reduce stress in the workplace, even create a more stress-free environment, and build a better working atmosphere to increase employee productivity.
Perbandingan Efektivitas Persiapan Persalinan antara Media Offline dan Online Menggunakan Lembar Balik dan Leaflat di Era Pandemi Covid-19
Authors: Tridiyawati Feva 
Published: December 2024

Pada situasi pandemi COVID-19 ini, pemerintah membentuk kebijakan adanya pembatasan hampir pada seluruh layanan rutin salah satu contohnya ialah pelayanan kesehatan maternal dan neonatal serta fasilitas pelayanan kesehatan lainnya. Hal ini mengakibatkan timbulnya kecemasan dari ibu hamil sehingga menunda melaksanakan pemeriksaan kehamilan. Metode penelitian yang digunakan dalam penelitian ini yaitu menggunakan metode kuasi eksperimen dengan metode komparatif (perbandingan). Lokasi dalam penelitian ini dilaksanakan di Puskesmas Kel. Jatibening yang beralamat di Jl. Amarilis RT/RW 002/012 Kel. Jatibening Kec. Pondok Gede Kota Bekasi Jawa Barat 17412, dalam pelaksanaannya penelitian dilakukan selama bulan Agustus 2021. Pengambilan sampel dalam penelitian ini menggunakan Accidental Sampling, sebanyak 30 sampel. Tujuan dari penelitian ini yaitu untuk mengetahui Perbandingan Efektivitas Persiapan Persalinan antara Media Offline dan Online Menggunakan Lembar Balik dan Leaflat di Era Pandemi Covid-19. Hasil penelitian pada ibu hamil dalam persiapan persalinan setelah diberikan konseling dengan media online menggunakan lembar balik yang baik sebesar 83.33% dibandingkan dengan konseling secara offline yaitu sebesar 73.33%, sebanyak 73.33% ibu hamil setelah dilakukan konseling secara offline sudah baik dalam mempersiapkan persalinannya, dibandingkan dengan ibu hamil yang dilakukan penyuluhan dengan media online mengunakan leaflet sebanyak 70%. Berdasarkan hasil penelitian diatas dapat dilihat bahwa konseling persiapan persalinan secara online dengan media lembar balik lebih efektiv dibandingkan dengan media online menggunakan leaflet dengan hasil uji p<0.05 (p=0.073).
Prevalence of sarcopenia after bariatric surgery: a systematic review and meta-analysis
Authors: Gomes Reis Marcela , Ivo Campos Pedro , Adrielle Lima Vieira Renata , Aparecida Oliveira Leopoldino Amanda , Almeida de Rezende Bruno , Sernizon Guimarães Nathalia 
Published: December 2024

Introduction: Bariatric surgery, after failed weight loss and comorbidity resolution, can lead to postoperative sarcopenia, characterized by the gradual loss of muscle mass and strength, impacting functionality and quality of life. Objective: This systematic review aims to determine the prevalence of sarcopenia after bariatric surgery. Methods: The protocol was registered on PROSPERO CRD42023447294). Comprehensive searches of electronic databases and journal references, without language restrictions, were conducted. Sarcopenia was defined as a progressive disorder involving muscle mass and function loss. The primary outcome was sarcopenia prevalence after bariatric surgery. Meta-analysis was realized using R software (version 4.1.0). Results: Among 1,445 reviewed studies from databases like MEDLINE, Embase, Web of Science, BVS, LILACS, and BDENF, eight met the criteria. The global sarcopenia prevalence was 32%, with an average age of 42 ± 10 years. It was higherin Roux-en-Y gastric bypass (RYGB) patients (59%). DXA was the primary data collection method (45%). After bariatric surgery, sarcopenia prevalence was 55% after more than a year, 3% within a year, and 24% at one year. Conclusion: The high sarcopenia prevalence highlights the need for healthcare professionals to enhance screening, intervention, and follow-up for this condition. Additional studies are needed to understand associated factors and develop interventions to prevent sarcopenia in this population.
ნიკოლოზ ბარათაშვილის ირგვლივ – ორი თარიღის დაზუსტებისათვის
Authors: ცერცვაძე მაია 
Published: December 2024

At different times many respected and distinguished scientists, such as Ek. Takaishvili, D. Karichashvili, P. Ingorokva, Ak. Gatse­relia, G. Leonidze, Iv. Lolashvili, S.Phirtskhalava have worked on academic editions of Nikoloz Baratashvili's writings. Their merit in this work is undoubtedly great. For more than half a century, since the last academic edition of the poet's writings (we mean the 1972 edition by Ak. Gatserelia and Iv. Lolashvili, Tbilisi, "Soviet Geor­gia"), there have been a lot of noteworthy monographs, theses, re­sear­ches, articles and scientific letters in Baratashvilology, the re­sults of which must be reflected in the new academic two-volume edition of Nikoloz Baratashvili's writings and the bilingual (Geor­gian-English) digital chronicle of the poet's life and work. This res­ponsible work is currently being carried out within the grant pro­ject of the Shota Rustaveli National Science Foundation of Georgia (#FR-23-10216).
The present article is devoted to some recent studies mainly concerned with the poet's epistolary heritage, which is an important and integral part of his work and, according to tradition, will take place in this edition with the appropriate scientific apparatus. These studies, along with others, naturally implied the work of finding new documents in archival and museum funds and reviewing the existing ones with a critical eye.
The results obtained in the works and given in the article, consider the issues of the biography of Baratashvili's family circle – his two sisters.
It should be noted, that our first aim was to verify the facts and circumstances, which, taking into account the latest Baratashvi­liological studies, appeared doubtfull and they need to be clarified in the academic and other scientific editions of the poet's works.
In conclusion, it should be said that basing on the currently available archival materials, we tried to shed light on several issues of the biography of Nikoloz Baratashvili's two sisters: Ekaterine Baratashvili-Eristavi and Barbare Baratashvili-Vezirishvili. The results of the research, as already mentioned, should appear both in print and electronic editions determined by the grant project, as well as in other Baratashvilological and genealogical literature.
Legal Responsibility for Type C Mining Activities : a Study in Gondang District, Mojokerto, Indonesia
Authors: Mustiko Romadhoni Putro Widodo  , Dudik Djaja Sidarta  , Subekti Subekti  
Published: December 2024

mining activities are an important sector in the extractive industry which has the potential to make a significant economic contribution. However, in Gondang sub-district, Mojokerto Regency, East Java, C excavation mining activities also face challenges in terms of legal accountability. This research aims to analyze legal aspects related to the accountability of C excavation mining business actors in the area. The research methods used are literature studies and interviews with related parties, such as local government, business actors and the community. The research results show that there are a number of legal problems related to licensing, implementation of activities, and environmental impacts. Business actors often ignore legal obligations related to business permits, environmental protection and corporate social responsibility. The monitoring and law enforcement system at the local level also still experiences obstacles which result in a lack of effective sanctions for violations. Recommendations from this research include increasing coordination between relevant parties, implementing stricter environmental audits, and stricter law enforcement to ensure compliance with applicable regulations. With these steps, it is hoped that excavation C mining activities in Gondang District can take place sustainably and provide optimal benefits without harming the environment and society.
EQUIDADE NO ESPORTE: DESAFIOS E PERSPECTIVAS NA PARTICIPAÇÃO DE ATLETAS TRANSEXUAIS
Authors: Alves Icaro Thelon Pereira , Silva Hyarllison Silveira Da , Gomes Junior Antônio Carlos de Souza 
Published: December 2024

A discussão sobre gênero e sociedade tem se intensificado, trazendo transformações significativas nos conceitos de identidade e nos relacionamentos sociais. O reconhecimento da diversidade de experiências de vida tem levado ao entendimento de que o sexo biológico e a identidade de gênero nem sempre são congruentes, destacando a importância da cirurgia de mudança de sexo no Brasil, um marco na afirmação da identidade de gênero das pessoas trans. As mulheres trans, frequentemente marginalizadas e discriminadas, enfrentam desafios para garantir dignidade e inclusão social, especialmente no esporte, onde surgem questões sobre igualdade de condições com as mulheres cis. Este artigo propõe uma análise da evolução da cirurgia de mudança de sexo no Brasil, dos direitos das mulheres trans à inclusão social e das implicações legais e esportivas da sua inclusão, buscando um equilíbrio entre direitos, respeito à dignidade humana e igualdade no esporte. O estudo visa contribuir para o avanço das discussões acadêmicas sobre as transformações sociais contemporâneas e os direitos humanos, influenciando futuras pesquisas e práticas em diversas áreas do conhecimento. A metodologia adotada será uma revisão de literatura, englobando leis, regulamentações, artigos acadêmicos e estudos de caso sobre a participação de mulheres trans em competições esportivas femininas.
ATUAÇÃO DA ENFERMAGEM AOS IDOSOS COM DEPRESSÃO EM INSTITUIÇÕES DE LONGA PERMANÊNCIA
Authors: Bezerra Carla Thaís de Cristo , Souza Ronald da Silva , Teixeira Vofsi Gama , Sales Cleomirtes Da Silva , Oliveira Adriano dos Santos 
Published: December 2024

Analisa a partir de evidências e estudos científicos, as principais causas da depressão na terceira idade e descreve as principais ações que a enfermagem pode proporcionar ao públicoalvo. Trata-se de um estudo exploratório, analítico de caráter descritivo, que utiliza como técnica a revisão integrativa da literatura. A busca foi realizada dentro das bases de dados do Google Acadêmico e biblioteca virtual da saúde (BVS). Diante das informações expostas nos artigos, entende-se que a depressão que acomete os idosos ocorrem por inúmeros fatores, dentre eles: Institucionalização, patologias crônicas, restrições socioeconômicas, entre outras origens. Percebe-se que entre os estudos analisados há um consenso a respeito da prevalência da depressão em idosos institucionalizados e da importância do enfermeiro nas ILP’s.
دور الأمن القومي في ابرام المعاهدات الدولية
Authors: يونس بريز فتاح 
Published: December 2024

Abstract
National security is considered one of the important and fundamental issues that societies have worked to provide and achieve, both in ancient and modern times, because it reflects the protection of individuals and the achievement of social welfare for them on the one hand, and the protection of the form and system of the state internationally on the other hand. Countries have worked to provide national security through the stages that have swept the life of the international community, specifically after World War II, as the international community realized the importance of this issue and moved towards finding it by all means in order to achieve the requirements of welfare for its peoples and security and reassurance for them on the one hand, and on the other hand, protecting the political system of governments. Given the importance of national security globally, its work path has shifted from internal and national to regional and international, as the current stage is represented by the protection of this concept, through working to find a safe haven for countries by employing national security in the documents of international agreements and treaties, whether bilateral or collective, in order to protect small and developing countries from the ambitions of major countries, as well as the issue of providing global food security, which has become a real danger due to desertification and serious environmental problems and the problem of global inflation due to international wars and their repercussions on all countries, as the issue of water security played another role in the path of national security and protection and the necessity of providing it to countries as it is one of the vital factors for the continuity of life and the stability of countries, because it has become a strong economic threat to countries participating in international water rights, and thus it was a wide field for concluding treaties and agreements regarding the preservation of the rights of others in it, and the study resulted in living examples of everything that was stated about the protection of the national security rights of countries.
Keywords (national security - dimensions of national security - food security - water security - international treaties).
Consultative, Proactive Physical Therapy in Early Multiple Sclerosis
Authors: Hendricksen Monica , Boyer Jake , Rafferty Miriam , Hohl Kristen , Graham Edith L. , Balabanov Roumen , Kinnett-Hopkins Dominique 
Published: December 2024

ABSTRACT

BACKGROUND:
Exercise training may be the most effective nonpharmacological symptomatic treatment for patients with multiple sclerosis (MS). Physical therapy (PT) can facilitate increased exercise through education, individualized exercise routines, goal setting, and supportive resources. However, traditional PT focuses on function restoration rather than proactive measures to prevent the advancement of morbidity. We present the application of a proactive physical therapy (PAPT) approach for individuals with MS.

METHODS:
Neurologists referred patients to PT shortly after their MS diagnosis. Patients completed a shared decision-making–based evaluation of their current functional level, received education on exercise guidelines and goal-setting support, and established an exercise routine of an appropriate intensity. The patient and physical therapist communicated via email and telephone at 1 and 3 months. Assessments included physical function, Fatigue Severity Scale (FSS), and self-reported exercise at 6 months.

RESULTS:
Three patients were referred directly to PAPT, and 1 transitioned from restorative PT. At 6 months, 3 patients reported regular aerobic, strengthening, and flexibility participation that met or exceeded established exercise recommendations. Two of 3 patients demonstrated clinically meaningful changes in functional outcome measures (eg, 10-meter Walk Test), a third patient remained stable in all functional outcome measures. Three patients reported significant improvements on the FSS at 6 months. The fourth patient did not complete the 6-month follow-up due to pregnancy complications but reported meeting guidelines at 3 months.

CONCLUSIONS:
A PAPT model of care is feasible and effective for patients who have been newly diagnosed with MS. With minimal PT visits, patients met established exercise guidelines and maintained or improved physical function.