bluuebunny/crossref_metadata_2025_split huggingface dataset:
Post Cholecystectomy Choledochoduodenal Fistula: A Case Report
Authors: Joshi Anip , Shakya Samita , Thapa Surakshya , Sultan Rifka , Rajbhandari Alish , Baral Priya 
Published: November 2024

Choledochoduodenal fistula is an abnormal connection between the common bile duct and the duodenum. The commonest cause is cholecystolithiasis, however, other causes are iatrogenic factors, bile duct stones (choledocholithiasis), and chronic duodenal ulcers. Here, we report a case of choledochoduodenal fistula secondary to long standing choledocholithiasis post cholecystectomy who presented with intermittent abdominal pain in the past three years which revealed choledochoduodenal fistula during Endoscopic Retrograde Cholangiopancreatography. As the patient had recurrent pain along with choledocholithiasis, surgical intervention was indicated. Choledochoduodenal fistula is suspected in case of recurrent cholangitis and surgery is recommended for refractory and complicated cases. Surgical treatment is also recommended for larger fistulas and especially with non-resolving medical treatment. This case highlights the treatment option for choledocholithiasis with choledochoduodenal fistula.
Haemorrhoids among Patients Visiting the Department of Surgery in a Tertiary Care Military Hospital of Nepal: An Observational Study
Authors: Bista Chiran Bhakta , Chhetri Suchit Thapa , Kunwor Bishal , Sah Sumit Kumar , Adhikari Tekendra , Kafle Nilam , Gurung Dhiran , Tamang Priyanka , Thayayat Prem Khadka , Shah Nitesh Kumar 
Published: November 2024

Introduction: Haemorrhoids is a common issue in the anorectal region and involves venous engorgement in the region. It greatly diminishes the overall quality of life of affected individuals by disrupting their physical and mental health. This descriptive cross-sectional study aimed to ascertain the prevalence of haemorrhoids and the associated risk factors among patients visiting a tertiary care center's surgery department.
Methods: A descriptive cross-sectional study was conducted in the Department of Surgery of a tertiary care center from July 2023 to November 2023 after obtaining ethical approval. Convenience sampling method was used. The total sample size included in the study was 385. The data was analyzed in IBM SPSS Statistics software. Point estimate was calculated at 95% confidence interval.
Results: Among 385 patients included in the study, haemorrhoids was prevalent in 53 (13.76%, 95% CI: 8.76%-18.76%). Internal haemorrhoids was most prevalent with 30 (56.60%) cases. 22 (41.51%) cases presented with Grade 1 haemorrhoids. The most prevalent symptoms were bleeding in 29 (54.72%) cases, perianal pain in 25 (47.17%) cases, itching in 28 (33.96%) cases and burning sensationin 15 (28.30%) cases.
Conclusions: The prevalence of haemorrhoids in our center was found to be higher as compared to similar studies done in Southeast Asian region but similar with studies done in other region.
Counseling to Strength Religious Moderation In The Framework of Handling Religious And National Conflicts In Riau Province
Authors: Azni  , Irien Violinda Anggraini  , Mutasir  , Luqman Hakim Alhudry  , Rian Vebrianto  
Published: November 2024

Religious conflicts often occur in heterogeneous communities, including communities in Riau province. This paper aims to determine the results of community service carried out in the form of counseling on strengthening religious moderation in order to overcome religious conflicts and national conflicts in Riau Province. The community service carried out uses the PAR (Participation Action Research) method, which is a method for developing moderate attitudes and behaviors and promoting peace among religious leaders, community leaders, and youth in Riau Province, with 3 stages, namely planning, implementation and the reflection or evaluation stage. The results of this community service obtained that the implementation of this service was successfully carried out according to planning. Then, this service reflects a positive impact on the participants who attended the counseling, which further fosters the spirit of moderation in their religion, a steady spirit of tolerance and increasingly appreciates local wisdom and of course gets new knowledge that is useful in heterogeneous community for harmonious and peaceful life.
Mengkritisi Pernikahan Dini Remaja Melalui Metode Diskusi Kelompok Terfokus pada Siswa Menengah di Solo Raya
Authors: Pambuka Fian Rizkyan Surya , Anganthi Nisa Rachmah Nur , Indratama Inmas , Handayani Ninuk Dwi Puspa , Faizah Nihayatul , Pratama Kukuh Yudha , Syifa' Farichah Nurus , Madina Moh Wahyu 
Published: November 2024

Kegiatan pengabdian masyarakat ini adalah mengkritisi pernikahan dini remaja melalui metode focus group discussion (FGD) yang terfokus pada siswa menengah di Solo Raya. Tujuan dilaksanakannya pengabdian masyarakat dengan tema “Generasi Cinta: Menggenggam Masa Depan Dengan Bijak Dalam Pernikahan” adalah meningkatkan pemahaman dan melatih berpikir kritis terakait fenomena pernikahan dini. Metode menggunakan focus group discussion (FGD), yang dilakukan dalam tiga tahap yaitu pra-FGD, Pelaksanaan FGD, dan pasca-FGD. Peserta berjumlah 35 siswa yang terdiri dari: SMA dan SMP umum (sederajat); 2) SMA dan SMP yang berbasis boarding school atau pondok pesantren. Hasil dari kegiatan pengabdian masyarakat adalah siswa-siswi memiliki pengetahuan terkait pernikahan dini dalam tiga perspektif yaitu psikologi, kesehatan, dan Islam (hukum positif), serta memiliki daya kritis dalam mengambil sikap terhadap problematika pernikahan dini secara tepat. Kesimpulan dari kegiatan ini adalah bahwa metode FGD tepat untuk dijadikan media dalam mensosialisasikan dan menginternalisasikan problema remaja seperti pernikahan dini. Implikasi kegiatan adalah perlunya menggunakan metode yang tepat dan menarik untuk menginformasikan isu-isu remaja, agar remaja tertarik untuk mengikuti dan menerapkan dalam kehidupan mereka.
Utilization of Short Stories as Educational Media "Stop Bullying" for Students of UPT SPF SD Inpres Unggulan Toddopuli Makassar
Authors: Soraya Andi Inayah , Khaerana A. ST. Aldilah , Ramadhani Rezky , Ismail Nur Syamsu 
Published: November 2024

UPT SPF SD Inpres Unggulan Toddopuli is one of the strategical schools in Makassar City due to its location which is near to various public fasilities. Therefore, this school is in great demand by the community. Being in great demand by the community becomes one of the factors for the high level of heterogeneity of family backgrounds and behavior patterns of its students. This situation often triggers friction between individuals in the form of bullying between students both among themselves and between grade levels. The lack of knowledge of students and teachers about bullying is one of the reasons this behavior still often occurs in the school environment. Many students have become perpetrators and victims but they do not realize it. Based on this fact, the team of Community Service Program finds the potential of utilizing literary work namely short story as an educational medium to campaign “Stop Bullying” to the students at UPT SPF SD Inpres Unggulan Toddopuli. The method that applied in this community service was field observation that consists of some activities. Firstly, the students were given a pre-test to find out the students’ knowledge about bullying. Then, the students were given the chance to read and to review some short stories which contain the information about bullying. Lastly, the post-test was given to the students to measure the improvement of the students’ knowledge about bullying. The descriptive analysis of the questionnaire data shows that there is an increase on the students’ knowledge about bullying after reading and reviewing the short stories. It is also found that the students are happy to get knowledge about bullying through the short stories because they provide the stories which relevant to the students’ daily lives so that they are easy to understand and fun. Furthermore, the Community Service team also socialized the information about bullying. In addition, the team also created a draft of team that consists of teachers who will be in charge for handling bullying in the school and the programs that should be conducted in an effort to educate the teachers sustainably about the dangers of bullying.
ANALISA KEGAGALAN ENGINE STUDI KASUS CONNECTING ROD PADA ENGINE BULLDOZER KOMATSU D85ESS-2
Authors: Djafri Gazali , Halim Asiri Muhammad , Mardin Mardin 
Published: November 2024

Penelitian ini bertujuan untuk mendalami material Connecting Rod D85ESS-2 dengan fokus pada analisis kegagalan dan evaluasi sifat mekanisnya. Data dikumpulkan pada sistem Engine yang memiliki nilai Risiko Prioritas Tinggi (RPN). Metode Failure Mode and Effect Analysis (FMEA) untuk mengidentifikasi penyebab kegagalan. Analisis dilanjutkan dengan metode Fish Bone untuk mendetailkan faktor penyebab, operator, supervisi, mekanik, kondisi mesin (kerusakan pada Rubber Mounting Mesin), prosedur (kurangnya Layanan Periodik, absennya Jadwal Overhaul), dan aspek material (fatigue pada Connecting Rod, keausan Connecting Rod dan Bearing). Metode Vickers pada pengujian kekerasan Connecting Rod, Nilai rata-rata kekerasan dari keenam titik pengujian adalah 290 N/mm². Terjadi penurunan kekerasan pada bagian Beam (titik 1-3) ke bagian Big End dan Rod Cap (titik 4-6). Nilai dengan kekerasan tertinggi adalah pada titik 2 dengan nilai 328 N/mm², sedangkan nilai kekerasan terendah adalah pada titik 4 dengan nilai 245,5 N/mm². Hasil Uji Energy Dispersive X-Ray Spectroscopy (EDS) dominasi oleh unsur Besi (Fe) dengan persentase massa 96,42%, persentase atom 89,40%, dan persentase mol 98,97% berdasarkan hasil analisis komposisi. Oksigen (O) menyumbang sekitar 2,85% dari massa, 9,22% dari atom. Aluminium (Al) memiliki kontribusi massa 0,46%, atom 0,89%, dan mol 0,49%, sementara Silikon (Si) hadir dengan massa 0,27%, atom 0,49%, dan mol 0,54%. struktur mikro menunjukkan adanya fasa α (Fe) dan fasa β (Si), dengan fasa α yang mendominasi. Ditemukan juga adanya aglomerasi dalam struktur mikro, yang berpotensi mempengaruhi sifat mekanis yang menjadi titik awal terbentuknya retakan akibat tegangan internal yang berlebih.
EFFECTIVENESS OF COLD PRESSED JUICE COMBINATION OF RED SPINACH, PINEAPPLE, HONEY AND PIR ON INCREASING HEMOGLOBIN LEVELS IN WOMAN ADOLESCENT
Authors: Hasanah Intan Nugraheni , Ariyanti Ida , Octaviani Dhita Aulia 
Published: November 2024

Background: Anemia in young women is still quite high, worldwide the prevalence of diabetes is estimated at between 40% and 88%. Prevalence of anemia among young people in developing countries is about 27%, while in developed countries around 6%, the incidence of anemia often affects the young women due to stress and menstruation. Red spinach has a higher iron content rather than other leafy vegetables. The honey pineapple contains bromelain which is useful in boosting the body's immune system. The pears contain antioxidants that are useful for fighting inflammation. Methods: This study used a quasi experimental approach with a pretest posttest design. The study population consisted of students from the Semarang Health Ministry's Polytechnic majoring in midwifery with a sample of 15 people in the treatment group. Respondents previously measured their Hb first and then given treatment from the first day to the seventh day. On the 8th day Hb is measured again. The sampling technique used consecutive sampling. The research instrument used a digital Hb meter and checklist. Results: As a result, the mean hemoglobin level of the treatment group before the combination of time count, pineapple honey and cold fruit juice was 13.32 g/dL, the lowest value is 11, 3 g/dL, the highest value is 15.7 g. /dl, and the mean hemoglobin level after treatment was 11.8 g/dl. dl, the lowest is 11.8 gr/dl, the highest is 15.8 gr/dl. Test results with independent t-test in p-value of 0.003 (0.005), so Ho is rejected and Ha is accepted giving of cold pressed juice combination red spinach pineapple honey and pears are effective within increasing hemoglobin levels in woman adolescents. Conclusion:. The cold pressed juice are the combination of red spinach and honey pineapple that increased hemoglobin on young women. The preventive and promotive efforts can be used through consumeing the iron food and some of foods, so that the adolescent nutrients fulfilled. The results of this study should provide information about childbirth and community health, provide future research, and be used for research. Hopefully, next researcher can discover new innovations, such as combinations of different foods that can increase blood hemoglobin levels.
THE EFFECTIVENESS OF EMPIRIC TRANSARTERIAL GLUE EMBOLIZATION (TAGE) OF GASTRODUODENAL ARTERY (GDA) FOR BLEEDING DUODENAL ULCER - A RETROSPECTIVE STUDY
Authors: Lee Wil Sern , Ong Hui Jun , Chua Zi Wei , Loh Kok Beng 
Published: November 2024

ABSTRACT:
Purpose
To conduct a clinical audit on clinical outcome of empiric transarterial glue embolization (TAGE) of gastroduodenal artery (GDA) for bleeding duodenal ulcers to evaluate treatment efficacy.

Materials and Methods
All patients treated for bleeding duodenal ulcers between June 2019 and June 2023, in a single tertiary center (Penang General Hospital) were identified based on intervention radiological reports. Patients with bleeding duodenal ulcers underwent empiric transarterial glue embolization (TAGE) of gastroduodenal artery (GDA) following endoscopic hemostasis were included. Information was extracted from patients' medical records, endoscopic and radiological reports. Data was computed and analyzed using Statistical Package for Social Sciences (SPSS).

Results
During the study period, a total of 26 patients were planned for empiric transarterial glue embolisation (TAGE) of gastroduodenal artery (GDA) for bleeding duodenal ulcer. The median age was 68 with 68% male (n=18) and 32% female (n=8). A total of 25 patients with duodenal ulcers of Forrest 1a (n=5), 1b (n=12), 2a (n=4), 2b (n=3) and 2c (n=1) who successfully underwent prophylactic TAGE of GDA were included in this study. It has a high technical success rate of 96.2% (n=25) with only one case of failure in cannulation due to tortuous arterial anatomy. Clinical success rate amongst the 25 patients who successfully underwent empiric TAGE of GDA was 84% (n=21) with only four patients developed rebleeding and required repeated endoscopic clipping. One of the four patients succumbed secondary to refractory bleeding.

Conclusion
Empiric transarterial glue embolisation (TAGE) of gastroduodenal artery (GDA) can be a useful adjunct treatment option in high risk bleeding duodenal ulcer with high technical and clinical success.
Pengaruh Formulsi Nutrisi Hidroponik pada Sistem Drip Terhadap Pertumbuhan dan Potensi Hasil Melon
Authors: Darmawan Ahmad Arif , Dinarto Wafit , Widodo Dwi Agus 
Published: November 2024

Penelitian bertujuan untuk mengetahui pertumbuhan dan hasil melon secara hidroponik sistem irigasi tetes dengan formulasi nutrisi AB Mix pabrikan (goodplant) dan AB Mix racikan. Penelitian telah dilaksanakan di rumah plastik Banaran, Somokaton, Ngluwar, Magelang. Penelitian ini merupakan percobaan faktor tunggal yang disusun dalam Rancangan Acak Lengkap (RAL) dengan dua ulangan. Perlakuan yang diujikan formula nutrisi terdiri atas dua jenis yaitu AB mix racikan dan AB mix pabrikan. Data dianalisis dengan independen sampel t-test pada taraf signifikan 5%. Hasil penelitian menunjukkan pertumbuhan tanaman melon yang diberi nutrisi AB mix racikan dan AB mix pabrikan tidak berbeda nyata, kecuali pada jumlah daun, tanaman melon yang diberi perlakuan nutrisi AB mix pabrikan jumlah daunnya lebih banyak daripada AB mix racikan. Pada parameter hasil menunjukkan bobot dan diameter buah melon pada tanaman yang diberi AB mix racikan lebih besar daripada AB mix pabrikan, sedangkan ketebalan daging buah dan kadar gula pada tanaman yang diberi nutrisi AB mix pabrikan lebih besar daripada AB mix racikan.
Estudo das manifestações patológicas da Igreja de São Pedro e São Paulo Apóstolos
Authors: Silva Iasmim Sales Vieira da , Ferreira Ruan Landolfo da Silva , D’Aguiar Savanna Cristina Medeiros , Diniz Hugo Alessandro Almeida , Pinto Isabelly Christiny Monteiro de Souza , Barbalho Otacília Maria Lopes 
Published: November 2024

A investigação de manifestações patológicas em edifícios é fundamental para o desenvolvimento de estratégias de intervenção eficazes, visando à correção de problemas existentes e à prevenção de danos futuros. O principal objetivo deste artigo é apresentar os resultados de uma análise detalhada das manifestações patológicas identificadas na Igreja de São Pedro e São Paulo Apóstolos, localizada em Belo Jardim, Pernambuco (Brasil). A metodologia do estudo consistiu em uma pesquisa de campo qualitativa, do tipo estudo de caso, realizada por meio de visitas técnicas, registros fotográficos e criação de mapas de danos. Após uma inspeção visual completa, as anomalias foram analisadas e comparadas com a literatura especializada. Os resultados mostraram que as manifestações patológicas mais comuns são causadas pela presença de umidade e que fissuras devido a uma provável corrosão da armadura também foi identificada. Com base nos resultados obtidos, o estudo propôs terapias e intervenções para mitigar os problemas identificados, enfatizando a importância dessas propostas para garantir a preservação da igreja para as gerações futuras.
Enhancing ICU Candida spp. surveillance: a cost-effective approach focused on Candida auris detection
Authors: Nascimento Teresa , Inácio João , Guerreiro Daniela , Diaz Priscila , Patrício Patrícia , Proença Luís , Toscano Cristina , Barroso Helena 
Published: November 2024

IntroductionCandida auris is an emerging pathogen that represents a worldwide health problem due to its global expansion, multidrug resistance, and difficult laboratory identification. Among the risk factors for colonization/infection by C. auris, a stay in an intensive care unit (ICU) stands out. This prospective multicenter study aimed to monitor the trend of the local epidemiology of Candida spp. and unveil the prevalence of C. auris.MethodsFrom 2020 to 2022, axillar/inguinal swabs were collected from adult patients at three points: upon admission (D1) and on the fifth (D5) and eighth (D8) days of their ICU stay. We employed culture-based screening methods combined with molecular techniques to identify Candida spp. down to the species level. Specific screening for Candida auris was conducted using a real-time PCR assay in combination with an improved selective culture medium, mannitol salt agar auris (MSAA). To validate the effectiveness of MSAA, a collection of reference C. auris strains representing the four major geographical clades was used.ResultsWe enrolled 675 patients, and 355 Candida isolates were retrieved from the 988 swab samples collected. From those, 185/355 (52.1%) were identified as C. albicans and 170/355 (47.9%) as non-albicans Candida (NAC). MSAA medium showed a specificity of 94.8%, albeit C. auris was not detected in this cohort. The dynamics of Candida spp. colonization by ICU were significant at the three collection points. Upon admission, C. albicans was associated with the Beatriz Ângelo Hospital ICU (p=0.003) and C. tropicalis with the general Hospital Professor Doutor Fernando Fonseca (FFH) ICU (p=0.006). C. parapsilosis and C. lusitaniae were associated with FFH ICUs, with the general ICU at D5 (p=0.047) and surgical ICU at D8 (p=0.012). The dynamics of NAC colonization by ICU were significantly different at D1 (p=0.011), D5 (p=0.047), and D8 (p=0.012).ConclusionWe developed and implemented a screening protocol for C. auris while uncovering the colonization patterns of Candida in the ICU. Our findings contribute to the optimization of overall patient management, ensuring that ICU protocols are resilient and adaptive to emerging fungal threats.
Future precipitation projections for Brazil and tropical South America from a convection-permitting climate simulation
Authors: Kahana Ron , Halladay Kate , Alves Lincoln Muniz , Chadwick Robin , Hartley Andrew J. 
Published: November 2024

Understanding precipitation properties at regional scales and generating reliable future projections is crucial in providing actionable information for decision-makers, especially in regions with high vulnerability to climate change, where future changes impact ecosystem resilience, biodiversity, agriculture, water resources and human health. The South America Convection-Permitting Regional Climate Model experiment (SA-CPRCM) examines climate change effects in convection-permitting simulations at 4.5 km resolution, on climate time scales (10 year present-day and 10-year future RCP8.5 around 2100), over a domain covering most of South America, using the Met Office Unified Model (UM) convection-permitting RCM.Under the RCP8.5 scenario, precipitation in the CPRCM decreases, becomes less frequent and more seasonal over the Eastern Amazon region. Dry spells lengthen, increasing the risk of drought. In the Western Amazon, precipitation increases in the wetter austral autumn (Apr. – Jun.) and decreases in the drier austral winter and spring (July – Oct.), leading to a more distinct dry season and imposing a greater risk of contraction of the tropical forest. Over South-eastern Brazil, future precipitation increases and becomes more frequent and more intense, increasing the risk of floods and landslides. A future increase in the intensity of precipitation and extremes is evident over all these regions, regardless of whether the mean precipitation is increasing or decreasing. The CPRCM and its driving GCM respond in a similar way to the future forcing. The models produce broadly similar large-scale spatial patterns of mean precipitation and comparable changes to frequency, intensity, and extremes, although the magnitude of change varies by region and season.