bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Influence of Internal Control and Client Importance on Audit Quality with Time Budget Pressure as a Moderating Variable
Authors: Yeni Yeni 
Published: October 2024

This study aims to empirically examine the influence of internal control and client importance on audit quality, with time budget pressure as a moderating variable. The data used in this study was sourced from a questionnaire survey distributed to respondents in March via Google Forms. Respondents were selected using purposive sampling, with criteria including junior auditors, senior auditors, and Managing Partners (leaders) from audit firms (KAP) in Bogor, Jakarta, Bali, and East Java. The final sample used in this study was 50 observations. The results of this study show that client importance has a negative effect on audit quality. Internal control has a positive effect on audit quality. Time budget pressure moderates the relationship between client importance and audit quality in a positive direction. Time budget pressure moderates the relationship between internal control and audit quality in a negative direction. Time budget pressure itself has a positive effect on audit quality.

Keywords: Internal Control, Client Importance, Kualitas Audit dan Time Budget Pressure
Estilos de Afrontamiento al Estrés en los Estudiantes de Segundo Semestre de Enfermería del Instituto Superior Universitario Stanford
Authors: Vallejo Avilés Bryan Esteban 
Published: October 2024

El estrés es una de las enfermedades que ha cobrado importancia en actual sociedad por el ritmo de vida acelerado en el que se vive, este trastorno puede afectar a todos los grupos poblacionales sin discriminación, pero aún más a los estudiantes de una institución de educación superior, en América Latina, alrededor de 50 millones de personas sufren de algún trastorno mental, y se ha observado un aumento de trastornos de humor en la última década, es por esto que se planteó como objetivo analizar estilos de afrontamiento al estrés en los estudiantes de segundo semestre de enfermería del Instituto Superior Universitario “Stanford”. Esto dado que el ritmo de vida y a la elección de la carrera, los alumnos están en constante riesgo de padecer alguna enfermedad mental. La metodología se basa en un enfoque cuantitativo y un diseño no experimental para analizar los estilos de afrontamiento al estrés. Dentro de los resultados obtenidos en esta investigación se obtuvo que el estilo de afrontamiento más utilizado por los estudiantes de segundo semestre de enfermería del Instituto tecnológico Superior Stanford es la planificación de solución de problemas mientras que el menos utilizado es la aceptación de la responsabilidad, en cuanto al trastorno mental que más se pudo identificar en los estudiantes es el estrés. Se pudo concluir que el estilo de afrontamiento guarda una estrecha relación con el ejercicio de su profesión al momento de controlar su emocionalidad en momento de un impacto psicológico o de generar vínculo con los pacientes.
Alumni Rating Index and Monitoring Dashboard Technology to Improve University’s Performance and Service Quality
Authors: Hendrik Lamsali  , Lily Julienti Abu Bakar  , Nor Idayu Mahat  , Saadi Ahmad Kamaruddin  , Sany Sanuri Mohd Mokhtar  , Ahmad Bashawir Abdul Ghani5  
Published: October 2024

Limited number of university ranking systems have considered the perspectives of alumni or individuals who have availed themselves of the educational programs or services provided by the institutions. In Malaysia, there is a lack of comprehensive rankings or assessments that primarily focus on assessing university performance through the lens of student experiences. In the absence of authentic user experiences, prospective students and other relevant parties commonly rely on conventional academic rankings such as the QS or THE to ascertain the quality of a university. The primary aims of this research endeavour encompass the identification of pivotal variables for the evaluation of higher learning institution’s performance, the creation of an alumni rating index, and the establishment of a performance monitoring tool utilizing dashboard technology. The goals are to enhance performance and service quality of institutions of higher education. The present study utilizes a quantitative research approach and centres its investigation on many cohorts of graduates originating from a prominent Malaysian university. A rigorous cluster sampling procedure was implemented. The assessment of alumni rating is conducted across twelve dimensions, with each component being evaluated using appropriate variables that enable the calculation of the desired index and facilitate the execution of intricate studies. The analytics that were performed and the alumni rating index that was calculated were subsequently shared with stakeholders through the use of an analytical dashboard. The dashboard was developed on user experience (UX) design principles. The evaluation of the produced dashboard is thereafter conducted by a group of stakeholders who have direct involvement in enhancing alumni engagement. The findings suggest that the university attained elevated ratings in the domains of social involvement, educational resources, and financial value. However, the scores for financial aid, student development, and student well-being were significantly lower. Despite the provision of various financial support, the respondents hold the belief that these forms of assistance are inadequate. The paper concludes by demonstrating the implementation of an alumni rating dashboard. The research is expected to facilitate the development of a localise university rankings and ratings, as well as informed policy-making efforts at the ministry level.
Using a Military-Civilian Partnership to Enhance Clinical Readiness and Sustainment for Air Force Critical Care Nurses
Authors: Armon Jennifer L. , Lucca Yvette , Salas Roman Aguon 
Published: October 2024

Background
Decreases in size, capability, clinical volumes, case mixes, and complex care opportunities in military treatment facilities contribute to the atrophy of clinical skills among medical professionals in these facilities.

Local Problem
The COVID-19 pandemic resulted in a 39% decline in admissions to a military critical care unit. The decrease in patient census contributed to skill sustainment challenges.

Methods
To identify methods to combat skill atrophy, the CINAHL and PubMed databases were searched using the terms peacetime effect, military-civilian partnership, and skill sustainment. Active-duty critical care nurses stationed at a military treatment facility implemented a military-civilian partnership with a civilian medical facility for clinical skill sustainment.

Results
One year after implementation, 39 critical care nurses had completed 511 shifts, gaining clinical experiences seldom achieved at the military facility. A survey of these nurses demonstrated that 8 of 17 (47%) gained experience treating patients requiring intra-aortic balloon pumps or continuous renal replacement therapy, 6 of 17 (36%) gained experience with patients requiring a ventricular assist device, 12 of 17 (71%) acquired hands-on experience with intracranial pressure monitoring, and 14 of 17 (82%) reported vasoactive intravenous infusion manipulation.

Conclusions
This article highlights the importance of evaluating clinical practice within the military health system, developing military-civilian partnerships, and removing military-civilian partnership barriers for nurses and other health care professionals. Failure to implement military-civilian partnerships may adversely affect the clinical competency of the military nurse force.
Effect of Music on Working Memory of Female Operators Working in a Medical Infusion Set Assembly Company
Authors: Abbasi Melika , Esmaeili Reza , Pourabdian Siamak , Shakerian Mahnaz 
Published: October 2024

Abstract

Aim:
With the increasing presence of individuals, particularly women, in the workplace, it becomes imperative to prioritize the well-being of employees. Numerous interventions exist to enhance working conditions, and one such intervention is the incorporation of music. This research aims to investigate the correlation between music exposure and the working memory of female operators employed in a medical infusion set assembly company.

Methods:
The study involved the assessment of 81 employees from the assembly unit of a company specializing in the production of infusion sets. The current research is an interventional study, the data of which were collected by the method of interview and cognitive tests (N-back test). The evaluation was conducted under two conditions: with background music and without background music. The research focused on assessing the working memory and productivity (task performance) of the participants.

Results:
The mean age of the participants in this study was 37 ± 33.09 years, with a mean work history of 0.2 ± 1.3 years. Furthermore, 56.7% of the participants were married. The results of the study showed that productivity was significantly better in the music-playing mode (P = 0.005). Furthermore, the results of the N-back test significantly showed an increase in correct answers in the condition of playing music (P < 0.05).

Conclusions:
The integration of background music in the workplace emerges as a beneficial factor, contributing to enhanced working memory and improved performance among female employees.
Preoperative prostate magnetic resonance imaging does not impact surgical outcomes of radical prostatectomy
Authors: Bozorgmehr Christopher K. , Wang Johnny , Gross James T. , Pickersgill Nicholas A. , Vetter Joel M. , Ippolito Joseph E. , Kim Eric H. 
Published: October 2024

ABSTRACT

Objective:
We reviewed our institutional experience of radical prostatectomy with and without preoperative multiparametric magnetic resonance imaging (mpMRI) to assess the impact of preoperative prostate mpMRI on surgical outcomes of radical prostatectomy.

Methods:
We identified patients at our institution who underwent radical prostatectomy for prostate cancer (PCa) between January 2012 and December 2017 (n = 1044). Using propensity scoring analysis, patients who underwent preoperative mpMRI (n = 285) were matched 1:1 to patients who did not receive preoperative mpMRI (n = 285). Multivariable regression analysis was performed to identify factors predictive of operative time, estimated blood loss (EBL), lymph node yield, rates of complications within 30 days, and positive surgical margin (PSM).

Results:
There were no significant differences in operative time, EBL, PSM, lymph node yield, or complication rates between the two cohorts. Multivariable analysis demonstrated that preoperative mpMRI was not predictive of the measured perioperative outcomes. Significant comorbidity (Charlson Comorbidity Index ≥3) was the sole predictor of perioperative complications (P = 0.015). Increasing biopsy Gleason score predicted increased lymph node yield (P < 0.001). The probability of PSM was associated with increasing preoperative prostate-specific antigen (odds ratio 1.036, P = 0.009). Body mass index was a predictor of operative time (P = 0.016) and EBL (P = 0.001).

Conclusions:
Although preoperative mpMRI has an important role in the diagnosis and staging of PCa, it does not impact perioperative radical prostatectomy outcomes. Our findings do not support the routine use of preoperative mpMRI for surgical planning in patients already diagnosed with clinically localized PCa.
Performance and Clinical Implications of VI-RADS in detecting muscle invasion in bladder tumors: A prospective observational study
Authors: Reddy Bommireddy V. , Gali Kasi Viswanath , Chawla Arun , Singh Anshuman , Bhaskara Sunil Pillai , Hegde Padmaraj 
Published: October 2024

ABSTRACT

Introduction:
Bladder cancer staging is pivotal for guiding therapeutic decisions. In this study, the primary objective was to assess the diagnostic accuracy of multiparametric magnetic resonance imaging (mpMRI), The study aimed to classify bladder tumors as either nonmuscle-invasive bladder cancers or muscle-invasive bladder cancers (MIBC) using the Vesical Imaging Reporting and Data System (VI-RADS) scoring. A secondary objective of the study focused on the accuracy of biparametric magnetic resonance imaging (bpMRI) in comparison to mpMRI.

Methods:
Thirty-three patients with bladder tumors were enrolled and underwent both mpMRI and bpMRI scoring assessments. VI-RADS scores were assigned and subsequently compared with histopathological findings posttransurethral resection of bladder tumor., Statistical measures included sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accuracy for VI-RADS scores at cutoff thresholds of ≥4 and 5.

Results:
MpMRI at a VI-RADS cutoff of ≥4 yielded an 83.33% sensitivity and 100% specificity, with a diagnostic accuracy of 90.91%. At a cutoff of 5, sensitivity was 100%, specificity was 77.27%, and diagnostic accuracy was 84.85%. bpMRI at a cutoff of ≥4 showed an 80% sensitivity and 100% specificity, with diagnostic accuracy matching mpMRI at 90.91%.

Conclusions:
This prospective analysis demonstrates that VI-RADS scoring with mpMRI provides reliable diagnostic accuracy for bladder cancer staging. mpMRI exhibits high sensitivity and specificity at a cutoff of ≥ 4, making it a robust tool for MIBC detection. bpMRI is an effective alternative in select patients. The study validates the use of VI-RADS scoring in clinical practice for effective treatment planning.
Artificial intelligence in prostate cancer: The potential of machine learning models and neural networks to predict biochemical recurrence after robot-assisted radical prostatectomy
Authors: Singh Gurpremjit , Agrawal Mayank , Talwar Gagandeep , Kankaria Sanket , Sharma Gopal , Ahluwalia Puneet , Gautam Gagan 
Published: October 2024

ABSTRACT

Introduction:
This study aimed to evaluate the usefulness of machine learning (ML) and neural network (NN) models versus traditional statistical methods for estimating biochemical recurrence (BCR) in men following robot-assisted radical prostatectomy (RARP).

Methods:
Patients who underwent RARP from November 2011 to July 2022 were taken in the study. Patients with BCR were assigned to Group 2, whereas those without BCR were placed in Group 1. Preoperative and postoperative parameters, together with demographic data, were recorded in the database. This study used one NN, the radial basis function NN (RBFNN), and two ML approaches, the K-nearest neighbor and XGboost ML models, to predict BCR.

Results:
Following the application of exclusion criteria, 516 patients were deemed eligible for the study. Of those, 234 (45.3%) developed BCR, and 282 (54.7%) did not. The results showed that the median follow-up period was 24 (15–42) months, and the median BCR diagnosis was 12.23 ± 15.58 months. The area under the curve (AUC) for the Cox proportional hazard analysis was 0.77. The receiver-operating characteristic curves (AUCs) for the XGBoost and K closest neighbor models were 0.82 and 0.69, respectively. The RBFNN’s AUC was 0.82.

Conclusions:
The classical statistical model was outperformed by XGBoost and RBFNN models in predicting BCR.
Effectiveness and safety of rocuronium or nitroglycerin plus ropivacaine on pain during intravenous regional anesthesia: A double–blind randomized controlled trial
Authors: Alikhani Shiva , Modir Hesameddin , Moshiri Esmail , Kamali Alireza , Shahtaheri Seyed Yosef 
Published: October 2024

Objective:
To compare the effects of adding rocuronium and nitroglycerin to ropivacaine in intravenous regional anesthesia (IVRA) on pain and hemodynamic parameters.

Methods:
This randomized controlled trial was done in 2023. Participants were 177 candidates for forearm operation surgery under IVRA selected from Valiasr Hospital, Arak, Iran. They were allocated by block randomization to three different groups, namely nitroglycerin group, rocuronium group and control group. Hemodynamic parameters were recorded before tourniquet application up to postoperative recovery time. Sensory block and motor block onset and duration and pain were also evaluated. The data analysis was carried out by IMB SPSS software 20.0.

Results:
177 Eligible patients were included in study, with 59 in each group. Time to sensory and motor block onset in the nitroglycerin group was significantly less than the other groups and the time of motor block in the rocuronium group was statistically higher than the control and the nitroglycerin groups (P<0.001). Seven participants in the nitroglycerin group experienced headache and three from the rocuronium group experienced dizziness. The side effects occurrence in the nitroglycerin group was more prevalent than in the control and rocuronium groups (P=0.009).

Conclusions:
Nitroglycerin significantly reduces the time to sensory and motor block onset, while rocuronium is more effective in prolonging the time of motor block. Although there is no difference between nitroglycerin and rocuronium respecting the pain score and opioid need administration, nitroglycerin is associated with a higher prevalence of medication side effects. Therefore, both nitroglycerin and rocuronium can be used as adjuvant for IVRA. The final choice relies on patients’ conditions and anesthesiologists’ judgment.
Erythema nodosum leprosum in a patient with lepromatous leprosy: A case report
Authors: Sunil Kumar Salkapuram , Sivannan Srinivasan , Balasubramaniyam Saranya , Elumalai Karthikeyan 
Published: October 2024

Rationale:
Lepromatous leprosy is a skin condition. Erythema nodosum leprosum (ENL) aids in its diagnosis. ENL is a type- 2 immune response, whereas lepra ENL is characterized by a hypersensitivity reaction and an exaggerated immune response through a different pathway.

Patient's Concern:
A 40-year-old male patient, previously diagnosed with lepromatous leprosy, displayed painful skin lesions on his extremities.

Diagnosis:
Type-2 lepra reaction, specifically erythema nodosum leprosum.

Interventions:
The patient was initially treated with 100 mg dapsone daily and then with fusidic acid, prednisone, and other MDT agents, after development of dapsone resisitance. After type- 2 lepra reaction was lessened in just two weeks, the regimen was adjusted to prednisolone (up to 2 g daily), thalidomide (300 mg daily), minocycline (1.5 g daily), ofloxacin (1 g twice daily), and pentoxifylline (400 mg three times daily) over a six-month period.

Outcomes:
The treatment effectively reduced the type-2 lepra reaction and improved the patient's skin lesions and overall health.

Lessons:
Healthcare providers should maintain a high level of awareness regarding the symptoms and medical history associated with ENL to facilitate timely diagnosis and appropriate management strategies. It is critical to tailor treatment to each patient’s symptoms and responses for successful management. Consistent monitoring of inflammatory markers and regular follow-up appointments play vital roles in preventing complications and ensuring positive outcomes for patients with ENL.
Tai Chi and its Impact on Health
Authors: Mahalakshmi A. L. , Shaji J. C. Helen 
Published: October 2024

Abstract
Tai Chi Chuan, often referred to as the “great ultimate,” possesses the remarkable ability to empower those who are physically frail, uplift individuals who are ailing, restore vigor to the debilitated, and still have confidence in those who are timid. In this holistic manner, Tai Chi Chuan serves as a comprehensive practice that caters to diverse physical and mental conditions. Recent research findings underscore the varied and extensive health advantages of Tai Chi, spanning multiple health domains such as cardiovascular health, osteoporosis, rheumatic arthritis, knee arthritis, psychoneuroimmunology, diabetes mellitus, polycystic ovarian disease, obesity, metabolic disorders, and functional disability. Tai Chi was first established by Zhang, a Taoist monk, during the 12th century. It is worth noting that the gentle influence of Tai Chi on muscles and joints ensures its suitability for individuals of all ages. In addition, its affordability and minimal equipment requirements make it accessible for both individual and group practice. Over time, Tai Chi has evolved into an effective strategy for managing stress and anxiety. Often described as “movement as a form of contemplation,” It fosters a sense of tranquility and inner peace. Specific Tai Chi movements are recognized for their ability to soothe emotions, enhance mental focus, and bolster the immune system. The deliberate and unhurried pace of Tai Chi promotes relaxation, proper posture, and equilibrium, contributing to a balanced state of being. The practice of Tai Chi not only contributes to maintaining youthful vitality as one ages but also makes a substantial contribution to overall health and well-being. Tai Chi seamlessly embodies both the essence of martial arts and exercise. Tai Chi as exclusively one or the other would be an oversimplification. Instead, Tai Chi elegantly blends elements of exercise and martial intent. While it certainly serves as a form of exercise, it simultaneously encompasses martial objectives. Importantly, Tai Chi’s historical origins underscore its martial prowess, a facet that should not be overlooked. The techniques of Tai Chi were meticulously honed in the context of life-and-death combat, an aspect that practitioners should acknowledge.
Skill Training in Undergraduate Students of Prosthodontics Using the Modified Peyton’s Method
Authors: Singhania Ashika , Pisulkar Sweta Kale , Sathe Seema , Paul Priyanka 
Published: October 2024

Abstract

Introduction:
Dentistry schools have always used simulation training. Any professional education program that makes appropriate use of simulation can help trainees clarify their clinical abilities without running the risk of endangering patients while they are learning. The literature is currently debating whether teaching strategies work best in skill laboratories. The Peyton method, which is intended for a 1:1 student–teacher ratio, is one of these. To overcome this, the modified Peyton’s method was created, allowing each student to practice their specific skill at least once. Therefore, the objective was to assess and contrast the modified Peyton’s technique with traditional instruction for prosthodontics undergraduate students’ skill development.

Materials and Methods:
This prospective interventional study aimed to do an interventional trial in a dental context by taking alginate imprints utilizing the dental skill laboratory, and compare traditional training methods with the modified Peyton’s approach. A total of 68 students in the third BDS were split into two equal groups at random. Each group included 30 students. Group B was split up into six groups and instructed using a modified Peyton’s approach; Group A was evaluated using an objective structured practical examination (OSPE) and a posttest.

Results:
By the end of the trial, pupils who had been taught utilizing modified Peyton had improved to a score of 5 on the posttest and OSPE. When comparing the modified Peyton group’s mean OSPE score to the traditional teaching method, it was higher. The feedback obtained of the students taught using the modified Peyton’s group proved that this method helps in easy understanding of the skill.

Conclusions:
The knowledge gain seen through the pretest and posttest scores in the modified Peyton’s group was considerably higher when compared with the conventional mode of teaching. Thus, teaching pupils the modified Peyton’s approach will help them acquire new skills.