bluuebunny/crossref_metadata_2025_split huggingface dataset:
Case Report : Volvulus Sigmoid Pada Usia 45 Tahun di RSUD Kabupaten Mamuju Provinsi Sulawesi Barat
Authors: Jayyadi Ahmad Irfan , Mukti Andi Muh. Yasser , Sari Ratna Oelan , Irawan Julchritno 
Published: October 2024

Untuk melaporkan kasus volvulus sigmoid pada pasien berusia 45 tahun pada RSUD Kabupaten Mamuju, kami melakukan investigasi dan pencitraan menggunakan Xray BNO 3 posisi, kemudian dilakukan Laparotomi eksplorasi, release volvulus, reseksi colon sigmoid, dilanjutkan dengan colonostomy double barrel. pasien usia 45 tahun dengan keluhan sakit perut yang dirasakan sejak 1 minggu yang lalu, pasien tidak bisa BAB sejak 4 hari. Tidak ada flatus selama 4 hari, pasien juga mengeluh mual dan muntah. Pada pemeriksaan fisik abdomen didapatkan distensi, bising usus kesan menurun, nyeri tekan pada seluruh kuadran abdomen. Pemeriksaan foto polos Abdomen 3 posisi didapatkan dilatasi sistema usus dengan coffee-bean appearance. Pengobatan Volvulus pada pasien ini dilakukan tindakan awal berupa pemasangan Nasogastric Tube, puasakan, pemberian antibiotik dan antinyeri serta dilakukan tindakan definitif berupa Laparotomi eksplorasi, release volvulus, reseksi colon sigmoid, dialanjutkan dengan colostomy double Barrel.
Sejarah Berdiri dan Berkembangnya PGRI dari Masa Kolonial Sampai Reformasi (1912-1998)
Authors: Rahmadi Darmawan 
Published: October 2024

Penelitian ini bertujuan untuk mengetahui sejarah Bedirinya dan berkembangnya PGRI pada masa Kolonial, masa Kemerdekaan, Sejarah perkembangan PGRI pada masa Orde lama, Orde Baru sampai masa Reformasi. Metode penelitian yang digunakan adalah metode penelitian sejarah. dengan teknik pengumpulan sumber yang diambil dari berbagai sumber di Arsip Nasional, Perpustakaan Nasional, Perpustakaan Pusat UI, dan Perpustakaan Unindra, Kantor PGRI serta Wawancara. Hasil Penelitian menujukan bahwa pertama Pada kongres pertamanya di kota Magelang tanggal 12 februari 1912, terbentuklah kepengurusan besar PGHB lalu tanggal 24 – 25 November 1945 melahirkan Persatuan Guru Republik Indonesia (PGRI). Sejak saat itu PGRI lahir sebagai wadah perjuangan kaum Guru untuk turut serta menegakkan dan mempertahankan serta mengisi Negara Kesatuan Republik Indonesia yang merdeka. kedua Pada awal pendirian sampai pada masa Orde Lama, Orde Baru dan Reformasi PGRI selalu mengalami perekembangan dalam berbagai hal terutama yang menyangkut kepentingan guru dan pendidikan. Ketiga PGRI dari awal pendirian sampai masa reformasi memiliki peranan yang berbeda beda. Peranan yang paling penting PGRI adalah ikut melahirkan Undang – undang guru dan dosen. keempat Tantangan PGRI dari awal pendirian sampai masa reformasi PGRI selalu mengalami tantangan yang berbeda - beda tantangan yang paling berat adalah pada masa demokrasi terpimpin..
Evaluating of IL-34 as a Biomarker for Asthma in Children: Findings from Dhi Qar Province, Iraq
Authors: Kadhim Atyaf Ali , Mahmood Thikra Abdullah 
Published: October 2024

Objective: To investigate the possible role of interleukin-34 in development of asthma in children and determine its effectiveness as a biomarker for monitoring disease severity. Methods: the current study focused on asthmatic children who were admitted to the two hospitals in Dhi-Qar province: Muhammad Al-Moussawi Children's Hospital, Bint Al-Huda Teaching Hospital for Women and Children. The period of study was placed between December 2023 to March 2024. Specifically included (85) asthmatic children’s patients, their ages ranged from 6 months to 6 years old. To compare the results with healthy control subjects (85) children of the same ages and sex as the patients were randomly selected from the local community and hospital. The concentration level of serum interleukin-34 was measured by Enzyme-linked immunosorbent assay (ELISA). Results: the present study revealed a striking difference in IL-34 concentrations between asthma patients and controls. Asthma patients exhibited significantly elevated IL-34 levels (409.4±114.7 pg/ml) compared to their healthy counterparts (307.6±56.43 pg/ml), with a p-value of <0.001.
Exploring the Link between ABO Blood Groups and Obesity among Young Adults
Authors: Shaikh Shakil Ahmed , Yousfani Nazia Azam , Mangi Muhammad Muqeem , Memon Salma Farukh , Laghari Keenjhar Rani , Arsalan Ahmed Uqaili  
Published: October 2024

Objective: To explore the link between the ABO blood groups and obesity among young adults of Hyderabad district, Sind, Pakistan.
Methods: This cross-sectional study was conducted from February 2021 to January 2022, and included 582 randomly selected participants, including 301 males and 281 females, aged between 18 to 40 years, from various institutions of district Hyderabad, including students, faculty members, and employee of universities, colleges, hospitals. A simple random sampling technique was used for the collection of data. Before induction, verbal consent was taken from all the participants. Data was collected by a self-structured questionnaire including sociodemographic characteristics. A brief history was taken relevant to the parameters of the study followed by measuring Body Mass Index, waist circumference, and waist-hip ratio. BMI was categorized with South Asian standards. Data collected through structured questionnaires and anthropometric parameters were analyzed by SPSS version 20.0.
Results: In this study, the data of 582 participants were included out of 600 participants, as the remaining 18 could not provide complete data. The mean age in male participants was 27.83 ± 5.478 and in females was 22.27 ± 4.730. The average BMI in male participants was 25.81 ± 5.08 and in females was 24.00 ±4.90. Overall, 205 B blood group participants were found obese, which included 111 male participants and 94 female participants, followed by blood 197 group O participants, 130 A blood group participants, and 50 AB group individuals. In total, there were 536 Rh positives, and only 42 Rh negatives. Individuals with blood group B and Rh-positive status were identified at being greater risk of developing higher BMI, waist-hip ratio, and waist circumference.
Conclusion: The evidence found in this study proved a positive association of the types of blood groups with BMI, waist-hip ratio, and waist circumference.
The Influence of Service Quality and Customer Satisfaction on Customer Loyalty of BCA Mobile in Bandar Lampung
Authors: Rusdiansyah Muhammad , Wiryawan Driya , Ramelan Mudji Rachmat 
Published: October 2024

PT. Bank Central Asia, Tbk, founded in 1957, is one of the largest private banks in Indonesia today with an asset value of 1,408 trillion rupiah with a net profit of 48.6 trillion rupiah. The results of the Bank Service Excellence Monitor (BSEM) survey conducted by Marketing Research Indonesia (MRI) in the 2020-2021 edition produced data that BCA Mobile was ranked second and the 2023-2024 edition was ranked fifth in the 10 best mobile banking performances in Indonesia. The problem in this research is that there has been a decline in BCA Mobile's performance followed by many complaints about the use of the BCA Mobile application, which has become a trending topic on the X social media platform (Twitter). BCA Mobile must attention to this so that customers do not think about looking for alternatives to other mobile banking. The aim of this research is to test whether service quality and customer satisfaction have an influence on BCA Mobile customer loyalty in Bandar Lampung City. This research uses a survey method by distributing questionnaires to 90 respondents via Google Form. The analytical method used is simple regression using the partial test (t test) and Sobel test with the SPSS 25 application. The results of the research show that the service quality variable and customer satisfaction variable have an influence on the BCA Mobile customer loyalty variable in Bandar Lampung City.
JIRA КУРСЫН ОҚУ ҮРДІСІНЕ ЕНГІЗУДІҢ ҚАЖЕТТІЛІКТЕРІ МЕН АРТЫҚШЫЛЫҚТАРЫ
Authors: Уандыкова Мафура , Миркасимова Толкын , Астаубаева Гулнар , Мухамеджанова Гульнар , Елеукулова Асель 
Published: October 2024

Бұл мақалада жоғары оқу орындарында жобалық оқытуға (PBL) көшуді жеңілдетудегі Jira жүйесінің шешуші рөлі зерттеледі. Жобалық оқыту дәстүрлі білім беру тәжірибесінде өзгеріс жасау мүмкіндігі бар студентті оқытуға бағытталған педагогикалық тәсіл ретінде пайда болды. Жоғары оқу орындарында жобаға бағытталған оқытуға көшу бірлескен жұмысты жеңілдету, тапсырмаларды оңтайландыру және жобаның табыстылығын қамтамасыз ету үшін тиімді жобаларды басқару құралдарын қажет етеді. Бұл мақала жоғары білім беру жүйесін жаңғырту және жобалық оқытуға көшу контекстінде Jira жүйесін зерттеудің маңызды рөлін, маңыздылығын және қажеттілігін зерттейді. Жобаны басқарудың сенімді мүмкіндіктерімен танымал Jira жүйесі жоғары оқу орындарында бірлескен, жобаға бағытталған оқыту тәжірибесін жеңілдетуде үлкен мүмкіншілікке ие. Jira жоғары біліммен толықтай біріктіру жобаға негізделген оқытуды өзгертуге, ынтымақтастықты жақсартуға және студенттердің маңызды жобаларды басқару дағдыларын дамытуға керемет мүмкіндік береді. Jira жоғары білімдегі рөлі мен орнын жан-жақты сараптау оның трансформациялық маңыздылығы мен оның білім берудің болашағына әсері туралы құнды түсінік береді. Jira жоғары оқу орындарына біріктіру арқылы мекемелер кәсіби орталардың өсіп келе жатқан талаптарын қанағаттандыра алады және студенттерге болашақ мансабына қажетті практикалық дағдылар мен құзыреттерді бере алады. Мақаланың басты мақсаты: Jira курсын бакалавриат бағдарламаларына енгізу қажеттілігіне негіздеу, оқыту әдістемесі бойынша артықшылықтар мен ұсыныстарды сипаттау. Jira курсын бакалавриаттың оқу бағдарламаларына енгізу маңызды бола түсуде. Заманауи кәсіби орта түлектерден терең теориялық білімді ғана емес, сонымен қатар жобаларды басқару мен топтық жұмысты жеңілдететін құралдармен жұмыс істеудің практикалық дағдыларын талап етеді. Jira жобаны басқарудың жетекші платформаларының бірі ретінде ерекше назар аударуға тұрарлық. Бұл мақалада Jira неліктен бакалавриат деңгейіндегі білім беру процесіне енгізілуі керек, бұл студенттер мен жұмыс берушілерге қандай артықшылықтар әкеледі және курсты енгізу үшін қандай әдістемелік тәсілдерді қолдануға болатындығы қарастырылады. Аталған мақалада шетелдік және отандық әдебиеттерге шолу келтіріле отырып, жобаларды басқарудың заманауи құралдарының бірі JIRA ортасы мен оны қолдану әдістері атап көрсетілген. Жобаларды икемді жоспарлаумен және тапсырмаларды жедел орындаудағы ең мықты құралдардың бірі JIRA ортасының мүмкіндіктері мен қолдану әдістері анықталған.
ЖЭС ОТЫН САҚТАУҒА АРНАЛҒАН РЕЗЕРВУАРЛАРДЫҢ ЖЫЛУ ТАСЫМАЛДАУЫН МАТЕМАТИКАЛЫҚ МОДЕЛЬДЕУ
Authors: Ожикенова Жанат , Балекова Акнур , Епенова Жанар , Бусурманова Эсемгул , Заузанбаева Агия 
Published: October 2024

Қазіргі энергетикалық кешенде жылу электр станциялары электр энергиясымен қамтамасыз етуде шешуші рөл атқарады. Отын сақтауға арналған резервуарлардағы жылу процестерін тиімді басқару ЖЭС-тің сенімді жұмысын қамтамасыз етудің маңызды аспектісі болып табылады. Мақалада ЖЭС резервуарлары мен қазандықтардың жылу шығынын нақты пайдалану шарттарында зерттеудің перспективті тәсілдерінің бірі қарастырылады. ЖЭС резервуарлары мен қазандықтардың жылу тасымалын математикалық модельдеу және осындай жағдайларда қарастырылып отырған объектілердің жылу шығынын сандық талдаулар жүргізіледі. Алынған нәтижелер отынды сақтау процестерін оңтайландыру, энергия тиімділігін арттыру және жылу электр станцияларының сенімділігін арттыру үшін пайдаланылуы мүмкін.
Effectiveness of combined physical exercise and cognitive training in older adults with cognitive impairment: A systematic review and meta-analysis
Authors: Wati Dwi NK. , Lin Heng Y. , Wang Jing J. 
Published: October 2024

Falls among cognitively impaired older adults are a global concern. The aim of this study was to assess the efficacy of combining physical exercise and cognitive training to improve balance among older adults. A systematic search of databases, including Embase, Medline-OVID, CINAHL-EBSCOhost, and Central-Cochrane Library, was conducted from March 9 to April 6, 2023. The search used keywords based on the PICO question, where the population was older adults with cognitive impairment. Compared to a single therapy, the intervention involved a combination of muscle strengthening and cognitive therapy, with the outcome of falls or balance. Inclusion criteria were randomized controlled trials (RCTs) in any setting. Studies with participants under 60 years old and lacking baseline clinical assessments were excluded. EndNote 20 was used as a reference manager tool, and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 flow diagram was used to map out the number of identified records. Two investigators worked independently, and the Jadad scale was used for critical appraisal. The PROSPERO registration number is CRD42023454876. A fixed-effects meta-analysis was performed using an inverse-variance method. Four articles met the inclusion criteria, three of which were included in the meta-analysis. Studies were from Europe, New Zealand, and the Philippines, with a total sample of 255 participants and mean ages of 65.9–87.5 years. The studies used combined physical and cognitive training in one group. Results showed a significant moderate effect size (effect size (ES): 2.29; standardized mean difference (SMD): 0.41; p<0.05; heterogeneity (I2): 0%) indicating no heterogeneity. In conclusion, the combined intervention displayed the potential to improve balance for cognitively impaired older adults.
EDUKASI PENGGUNAAN SIX SIGMA MATRIX UNTUK PEMANTAPAN MUTU INTERNAL DILABORATORIUM
Authors: Bastian Bastian 
Published: October 2024

Quality control adalah pemeriksaan yang dilakukan untuk mengevaluasi proses pengujian sehingga sistem mutu berjalan dengan baik, serta menjamin hasil pemeriksaan Laboratorium yang akurat, meminimalkan penyimpangan dan mengetahui sumber dari penyimpangan. Meningkatnya otomatisasi di bidang klinis laboratorium telah meningkatkan kebutuhan bahan QC untuk pemantauan kinerja laboratorium. Peningkatan mutu laboratorium melibatkan tiga kegiatan yaitu kegiatan Good laboratory practice, pemantapan mutu internal (PMI) dan kegiatan pemantapan mutu eksternal (PME). Kegiatan pemantapan mutu internal (PMI) dibagi menjadi tiga fase: fase pra-analitik, fase analitik, dan fase pasca-analitik. Kesalahan terbesar terjadi pada tahap pra-analitik (60-70%), tahap analitik (10-15%). Untuk mengurangi kemungkinan terjadinya kesalahan maka dilakukan suatu alat manajemen mutu yang umum digunakan yaitu Six Sigma. Penerapan Six Sigma dalam pemantapan mutu internal dapat menggambarkan penyimpangan dalam setiap proses dan menunjukan seberapa sering terjadi kecacatan yang mungkin terjadi. Permasalahan yang dihadapi petugas laboratorium adalah kurangnya pengetahuan mengenai pentingnya pengaplikasian penggunan six sigma untuk pemantapan mutu internal dilaboratorium, sebagai upaya dalam menjawab permasalahan yang dihadapi petugas laboratorium berkaitan dengan hal ini maka perlu dilakukan sosialisasi dan edukasi melalui media poster, dan mendemonstrasikannya di akhir kegiatan. dengan tujuan dapat meningkatkan pengetahuan dan pemahaman pada petugas laboratorium mengenai pengaplikasian penggunaan six sigma sebagai wujud dari peningkatan kontrol kualitas di laboratorium untuk menganalisis kontrol kualitas yang dilakukan di laboratorium agar terjamin mutu dan keselamatan pasien. Media yang digunakan pada pengabdian Masyarakat ini adalah edukasi sosialisasi yang dimulai dengan Pre test, melalui media poster, dan post test di akhir kegiatan.
AKSI EDUKASI SECANTING (SEMANGAT CEGAH STUTING) MELALUI KONSUMSI PROBIOTIK DAN PREBIOTIK PADA REMAJA PUTRI DI SMK 2 MUHAMMADIYAH PALEMBANG
Authors: Novianty Novianty 
Published: October 2024

Kejadian stunting dapat bermula 8000 hari pertama kelahiran, yakni dimulai pada usia produktif remaja putri. Remaja putri perlu menjaga asupan makanan seimbang untuk mencegah kelahiran bayi stunting. Saat ini pengetahuan dan informasi terkait stunting pada remaja putri masih sedikit padahal sangat penting untuk diketahui. Remaja putri gemar mengkonsumsi makanan dan minuman siap saji yang tidak sehat, sedikit sekali remaja putri yang mengetahui probotik dan prebiotik sebagai makanan dan minuman sehat. Konsumsi probiotik dan prebioitik yang tepat sangat bermanfaat bagi kesehatan saluran cerna dan mikrobioma usus, serta untuk kesehatan reproduksi. Tujuan pengabdian masyarakat ini untuk memberikan pengetahuan pentingnya konsumsi probiotik dan prebiotik pada remaja putri untuk mencegah stunting di 8000 hari pertama lahir. Metode yang digunakan adalah ceramah dan diskusi interaktif. Pengabdian masyarakat dilakukan pada 18 Juli 2024, berlokasi di SMK 2 Muhammadiyah Palembang. Kegiatan ini dihadiri 25 remaja putri di SMK 2 Muhammadiyah Palembang. Semua peserta antusias mengikuti semua rangkaian kegiatan pengabdian masyarakat. Selama kegiatan berlangsung diskusi interaktif sehingga remaja putri SMK 2 Muhammadiyah Palembang mengetahui konsumsi probiotik dan prebiotik untuk mencegah stunting pada usia 8000 hari pertama kelahiran.
Internet Sehat, Sehat dengan Internet
Authors: Wahyudi Joko Tri , Ramadhani Dhia Ritaj 
Published: October 2024

Internet telah menjadi bagian integral dari kehidupan sehari-hari kita. Dari mencari informasi hingga berkomunikasi dengan orang lain, internet memberikan akses tak terbatas kepada kita. Namun, perlu diingat bahwa penggunaan internet yang tidak bijaksana dapat berdampak negatif pada kesehatan. Oleh karena itu, penting bagi kita untuk menggunakan internet dengan bijak agar tetap sehat secara fisik dan mental. Dalam era digital seperti sekarang, internet menjadi sumber informasi utama bagi banyak orang, termasuk informasi kesehatan. Namun, penting untuk melakukan pencarian informasi kesehatan dengan bijak agar mendapatkan informasi yang akurat dan dapat diandalkan. Remaja memiliki rasa ingin tahu yang sangat besar dan selalu mencari informasi apapun melalui internet. Perawat memiliki peranan penting dalam memberikan pendidikan kesehatan kepada masyarakat khususnya remaja agar dapat menggunakan internet dengan sehat dan dapat mencari informasi tentang kesehatan diinternet dengan baik. Tujuan: Tujuan pengabdian kepada masyarakat ini adalah untuk memberikan informasi kepada masyarakat tentang penggunaan internet meliputi bagaimana menggunakan internet yang sehat agar selalu aman dan terlindungi dan bagaimana cara mencari informasi tentang kesehatan di internet agar tidak terjebak pada informasi yang salah dan mendapatkan informasi yang salah pula. Metode: Kegiatan pengabdian kepada masyarkat ini diberikan dengan metode pendidikan kesehatan dengan media Leaflet kepada 21 peserta remaja pada kegiatan Gebyar Sehat Aisyiyah Kota Palembang dalam rangka Hari Kesehatan Nasional (HKN) Tahun 2024 di Balayudha, Kota Palembang. Hasil: Setelah dilakukan pendidikan kesehatan tentang penggunaan internet secara sehat, didapatkan rata-rata skor tingkat pengetahuan remaja sebelum diberikan pendidikan kesehatan adalah 67,87 dan setelah diberikan pendidikan kesehatan rata-rata skor pengetahuan remaja meningkat menjadi 88,34. Dengan demikian dapat disimpulkan bahwa pendidikan kesehatan dapat meningkatkan skor pengetahuan remaja tentang penggunaan internet yang sehat.
A qualitative assessment of behavioral interview method among anesthesiology residency applicants
Authors: Ramachandran Sujatha , Vick Angela , Nair Singh , Koushik Sarang , Stilli Ludovica , Slinchenkova Kateryna , Viswanath Omar , Gritsenko Karina , Shaparin Naum 
Published: October 2024

Background The objective of residency recruitment is to select the most appropriate candidate. While cognitive skills are identified before an interview and can be measured objectively, non-cognitive skills can be harder to discern. These non-cognitive skills though are a good predictors of future residency performance. A structured behavioral interview is better at identifying noncognitive skills compared to a traditional interview. Objective Compare the noncognitive traits identified in the interviews with those identified in resident evaluations Methods Using the semi-annual evaluations 6 residents were split between satisfactory group and excellent group. Behavioral-based interviews and traditional unstructured interviews conducted on the same individual were compared and the results of the interview were compared to the semi-annual and annual evaluations submitted by the teaching faculty and the program directors. The interviews were analyzed for non-cognitive skills. Results Qualitative analysis of behavioral interview narratives and the narrative part of the semiannual evaluations independently identified the non-cognitive characteristics of adaptability, decisiveness, time management, judgment, and the ability to work in a team. It also identified other essential non-cognitive skills necessary for an anesthesiologist, such as ability to prioritize, study techniques, ability to destress. Conclusion The noncognitive traits found in the excellent group response to the structured interview match those found in the semi-annual evaluations. In this case individuals who are suited to the field of anesthesiology are adaptable, decisive, team-players with excellent judgment.
Proton pump inhibitors and all-cause mortality risk among cancer patients
Authors: Krishnan Arunkumar , Schneider Carolin Victoria , Walsh Declan 
Published: October 2024

BACKGROUND
Proton pump inhibitors (PPIs) are widely used, including among cancer patients, to manage gastroesophageal reflux and other gastric acid-related disorders. Recent evidence suggests associations between long-term PPI use and higher risks for various adverse health outcomes, including greater mortality.
AIM
To investigate the association between PPI use and all-cause mortality among cancer patients by a comprehensive analysis after adjustment for various confounders and a robust methodological approach to minimize bias.
METHODS
This retrospective cohort study used data from the TriNetX research network, with electronic health records from multiple healthcare organizations. The study employed a new-user, active comparator design, which compared newly treated PPI users with non-users and newly treated histamine2 receptor antagonists (H2RA) users among adult cancer patients. Newly prescribed PPIs (esomeprazole, lansoprazole, omeprazole, pantoprazole, or rabeprazole) users were compared to non-users or newly prescribed H2RAs (cimetidine, famotidine, nizatidine, or ranitidine) users. The primary outcome was all-cause mortality. Each patient in the main group was matched to a patient in the control group using 1:1 propensity score matching to reduce confounding effects. Multivariable Cox regression models were used to estimate hazard ratios (HRs) and 95% confidence interval (CI).
RESULTS
During the follow-up period (median 5.4 ± 1.8 years for PPI users and 6.5 ± 1.0 years for non-users), PPI users demonstrated a higher all-cause mortality rate than non-users after 1 year, 2 years, and at the end of follow up (HRs: 2.34-2.72). Compared with H2RA users, PPI users demonstrated a higher rate of all-cause mortality HR: 1.51 (95%CI: 1.41-1.69). Similar results were observed across sensitivity analyses by excluding deaths from the first 9 months and 1-year post-exposure, confirming the robustness of these findings. In a sensitivity analysis, we analyzed all-cause mortality outcomes between former PPI users and individuals who have never used PPIs, providing insights into the long-term effects of past PPI use. In addition, at 1-year follow-up, the analysis revealed a significant difference in mortality rates between former PPI users and non-users (HR: 1.84; 95%CI: 1.82-1.96).
CONCLUSION
PPI use among cancer patients was associated with a higher risk of all-cause mortality compared to non-users or H2RA users. These findings emphasize the need for cautious use of PPIs in cancer patients and suggest that alternative treatments should be considered when clinically feasible. However, further studies are needed to corroborate our findings, given the significant adverse outcomes in cancer patients.