bluuebunny/crossref_metadata_2025_split huggingface dataset:
Antimicrobial resistance in <em>Staphylococcus aureus</em>, Enterobacterales, and <em>Pseudomonas</em> spp. clinical isolates at a Teaching Hospital in Sri Lanka
Authors: Senanayake Nilanthi , Sathsarani Gangani , Assella Palinda , Abeygoonawardena Harshi , De Silva Nelun 
Published: September 2024

Background: Antimicrobial resistance (AMR) is a signifi-cant global health issue in the 21st century, posing a serious threat to human health.Objectives: This study was to determine the burden and predictors of AMR and multidrug resistance (MDR) among bacterial pathogens isolated from specimens submitted to the diagnostic laboratory of a hospital in Sri Lanka.Methodology: This retrospective study used laboratory records of 1,204 clinical specimens submitted for bacterial culture submitted to the diagnostic laboratory of Neville Fernando Teaching Hospital in Sri Lanka for bacterial culture and sensitivity testing between October 2021 and May 2024. Records from specimens positive for Enterobacteriaceae, Staphylococcus aureus, or Pseudomonas spp. isolates were included for analysis.Results: Number of samples which yielded Gram negative Enterobacterales was 758 (62.95%). Of these 499 (65.83%) were ESBL and 59 (7.78%) were carba-penemase producers. Among the 214 participants, Staphylococcus aureus was isolated from 206 (96.26%) participants. This included 74 (35.92%) participants who were colonized with Methicillin Resistant Staphylococcus aureus (MRSA) isolates and Methicillin Sensitive Staphylococcus aureus (MSSA) 132 (64.07%). Among Pseudomonas spp. isolates, 29.48% were resistant to one or more aminoglycosides, 29.48% were resistant to a fluoroquinolone and only 8.54% were resistant to carbapenems.Conclusion: This study shows that there is a high level of microbial resistance in Sri Lanka. The high levels of extended-spectrum cephalosporin resistance and multi-drug resistance (MDR) among Enterobacterales observed in this study are of concern. However, the relatively low levels of methicillin-resistant Staphylococcus aureus (MRSA) and MDR S. aureus, as well as the very low levels of carbapenem resistance among Pseudomonas spp. isolates, are encouraging.
Implementing B-BBEE: Leader Experiences in the South African Banking Industry
Authors: Myeni Thembekile P. , Singh Paul 
Published: September 2024

Orientation: Large banking institutions in South Africa remain complex organisations facing a myriad of challenges as they navigate the Fifth Industrial Revolution (5IR) and strive to remain relevant. A significant challenge relates to how these organisations can utilise Broad-Based Black Economic Empowerment (B-BBEE) to create diverse and inclusive teams for organisational success and sustainability.Research purpose: To explore the experiences and sense-making processes of senior leaders tasked with the implementation of affirmative action as part of a B-BBEE strategy as they navigate this responsibility within a South African bank.Motivation for the study: To shine on the complex experiences of senior leaders tasked with implementing affirmative action within a B-BBEE strategy in a large financial institution.Research approach/design and method: A qualitative interpretivist case study was applied to explore senior leaders’ negotiation of their perceptions and experiences of leading the implementation of B-BBEE in a large bank. Ten semi-structured interviews were utilised as the main data generation tool.Main findings: Study reveals how senior leaders hold strong convictions about the value of diversity and inclusion in the workplace. This included the continued necessity for legislation such as B-BBEE given South Africa’s racial history and existing personal biases that impact workplace diversity and inclusion. The study further reveals that senior leaders believe that B-BBEE is poorly implemented and attribute this to the tension leaders experience between diversity and performance, a lack of organisational policies and practices required to hold leaders accountable for B-BBEE implementation and leaders who lack the skills and expertise required to successfully create diverse and inclusive work environments.Practical/managerial implications: Positive contributions to diversity and inclusion policies and practices, leadership development and transformation of the banking organisations in South Africa and the industry at large.Contribution/value-add: Banking institutions as large market players can play a significant role in leading workplace transformation through improved implementation of diversity and inclusion legislation and principles within B-BBEE.
Neoliberalism in South African higher education language policy: A decolonial perspective
Authors: Munyaradzi Julliet 
Published: September 2024

The global spread and hegemony of English as a medium of teaching, learning and research has come to be closely associated with neoliberalisation of higher education in the universities across the world, and has negatively impacted on epistemic issues, especially in Global South universities. No permanent solution has been found on challenges of English hegemony, particularly in African higher education. This article adds to the advancement of neoliberal discourse in higher education in South Africa by analysing neoliberal manifestations in its higher education language policy agenda. The article used desktop analysis to assess relevant literature on mainstream neoliberal ideologies and manifestations in the language policy reform post-apartheid. Drawing on relevant literature and through critical discourse analysis, it integrated evidence from the selected sources associated with mainstream neoliberal ideologies and then analysed the neoliberal manifestations in the language policy reforms pursued in South African post-apartheid context to bring out how the neoliberal actors in the higher education sector have reconfigured neoliberal principles. The decolonial perspective premised on concepts such as coloniality of being, power and knowledge was used to critique the neoliberal manifestations in South African higher education language policy directives. The paper presents the argument that universities in the country are deeply entrenched in linguistic hierarchisation which perpetuates epistemic injustices in teaching and learning. The African higher education should endeavour to underpin its language policies in indigenous knowledge systems to help harness the African content while existing in a global space where all knowledges should be regarded as equally relevant.Contribution: This article contributes to the emerging discourse of neoliberalism in higher education in the Global South and its impact on language policy formulation and implementation.
Tear film parameters and meibography in eyes of children with vernal keratoconjunctivitis
Authors: Gupta Ruchi , Arora Ritu , Gupta Isha , Jain Parul 
Published: September 2024

Purpose:
To study tear film parameters and Meibomian glands in pediatric patients with vernal keratoconjunctivitis (VKC).

Methods:
Forty-four eyes of 22 patients with VKC and 44 eyes of 22 age-matched controls were studied in a hospital-based cross-sectional study. Each subject underwent a complete ophthalmological examination including slit-lamp biomicroscopy, non-invasive break-up time (NIBUT), fluorescein break-up time (FBUT), corneal fluorescein staining, and Schirmer’s test. Non-contact meibography was performed using a Sirius topographer.

Results:
All patients had VKC grades between 1 and 3 (Bonini scale). The mean NIBUT for cases was 8.83 ± 4.02 s and in controls, it was 15 ± 2.8 s (P value < 0.001). The mean FBUT for cases was 9.41 ± 3.45 s and in controls, it was 16.7 ± 2.5 s (P value < 0.001). Schirmer’s values were 32 ± 3.1 mm in cases and 21.4 ± 4.1 mm in controls, which were significantly higher (P value < 0.001). Also, 22.72% of the cases had corneal fluorescein staining in the form of superficial punctuate keratitis, whereas none of the control groups showed corneal staining. The examination of Meibomian glands using non-contact meibography showed a mean Meibomian gland dropout in the upper lid to be 29.7 ± 14.4% in VKC cases and 10.5 ± 3.2% in controls (P value < 0.001). Meibography of the lower lid showed 25.9 ± 10.2% dropout in cases and 20.5 ± 6.1% in controls (P value = 0.004).

Conclusion:
Tear film parameters were significantly deranged in children with VKC in the active stage as compared to age-matched controls. Children with VKC also had a higher Meibomian gland dropout.
Clinico-demographic profile and visual outcomes of pseudophakic bullous keratopathy in a multi-tier eyecare network in India
Authors: Das Anthony Vipin , Kaup Soujanya , Das Sujata 
Published: September 2024

Purpose:
The purpose of this study is to present the clinico-demographic characteristics of pseudophakic bullous keratopathy (PBK), its visual outcomes, factors associated with the choice of treatment, and poor visual outcomes of PBK.

Methods:
In this hospital-based retrospective study, electronic medical records data of new patients who presented to a multi-tier ophthalmology hospital network in India (November 2010–June 2022) were extracted. Patients with at least 4 weeks of follow-up were analyzed for visual outcome data. Bivariate analysis and multivariate logistic regression were used to determine the factors associated with the treatment choice and poor visual outcomes.

Results:
Of the 3,323,247 electronic records (with an average follow-up of 293 days) examined, 10,522 eyes of 10,158 patients (0.3%) had PBK. The majority were managed non-surgically (n = 7372; 70.1%), with increased odds of poor visual outcome by 3.46 times (AdjOR: 3.04–3.92, P < 0.001). Those belonging to the non-paying category had higher odds of poor visual outcome (AdjOR: 1.48, 95%CI: 1.29–1.69; P < 0.001). Surgical management improved vision by 0.72 logMAR (95%CI: 0.60–0.73; P < 0.001). A total of 41.2% (n = 113/274) of cases that underwent Descemet’s membrane endothelial keratoplasty and 18.4% (n = 285/1551) of Descemet’s stripping endothelial keratoplasty attained last follow-up visual acuity (LVA) of 6/18 or better.

Conclusion:
About three in every thousand patients had PBK. Surgical interventions improved visual acuity significantly. About four in ten patients who underwent DMEK attained a vision of 6/18 or better at the last follow-up visit. Markers of lower socioeconomic strata were independently associated with poor visual outcomes.
Modified hepatic left lateral lobe inversion in laparoscopic proximal gastrectomy: An analysis of 13 cases
Authors: Lin Jian-An , Wu Chu-Ying , Ye Kai 
Published: September 2024

BACKGROUND
In laparoscopic proximal gastrectomy (LPG), the prolapse of the hepatic left lateral lobe near the lesser curvature and esophageal hiatus can obstruct the field of vision and operation. Therefore, it is necessary to retract or obstruct the hepatic left lateral lobe to ensure a clear field of vision.
AIM
To investigate the safety and clinical efficacy of the modified hepatic left lateral lobe inversion technique for LPG.
METHODS
A retrospective analysis was conducted on the clinical data of 13 consecutive patients with early-stage upper gastric adenocarcinoma or adenocarcinoma of the esophagogastric junction treated with LPG from January to December 2023 at the Department of Gastrointestinal Surgery, Second Affiliated Hospital of Fujian Medical University. The modified hepatic left lateral lobe inversion technique was used to expose the surgical field in all patients, and short-term outcomes were observed.
RESULTS
In all 13 patients, the modified hepatic left lateral lobe inversion technique was successful during surgery without the need for re-retraction or alteration of the liver traction method. There were no instances of esophageal hiatus occlusion, eliminating the need for forceps to assist in exposure. There was no occurrence of intraoperative hepatic hemorrhage, hepatic vein injury, or hepatic congestion. No postoperative digestive complications of Clavien-Dindo grade ≥ II occurred within 30 days after surgery, except for a single case of pulmonary infection. Some patients experienced increases in alanine aminotransferase and aspartate aminotransferase levels on the first day after surgery, which significantly decreased by the third day and returned to normal by the seventh day after surgery.
CONCLUSION
The modified hepatic left lateral lobe inversion technique has demonstrated satisfactory results, offering advantages in terms of facilitating surgical procedures, reducing surgical trauma, and protecting the liver.
Evaluation and analysis of neurocognitive dysfunction in patients with colorectal cancer after radical resection: A retrospective study
Authors: Wang Yu , Wang Chao , Guo Han , Wang Su-Hang , Chen Fang-Fang , Chen Qiao-Xiang , Zhou Kai 
Published: September 2024

BACKGROUND
With the continuous progress of colorectal cancer treatment technology, the survival rate of patients has improved significantly, but the problem of postoperative neurocognitive dysfunction has gradually attracted attention.
AIM
To analyze the risk factors for delayed postoperative neurocognitive recovery (DNR) after laparoscopic colorectal cancer surgery and constructed a risk prediction model to provide an evidence-based reference for the prevention and treatment of DNR after laparoscopic colorectal cancer surgery.
METHODS
The clinical data of 227 patients with colorectal cancer who underwent laparoscopic surgery and regional cerebral saturation oxygenation (rScO2) monitoring at our hospital from March 2020 to July 2022 were retrospectively analyzed. Common factors and potential factors affecting postoperative DNR were used as analysis variables, and univariate analysis and multifactor analysis were carried out step by step to determine the predictors of the model and construct a risk prediction model. The predictive performance of the model was assessed by the receiver operating characteristic (ROC) curve, the calibration curve was used to assess the fit of the model to the data, and a nomogram was drawn. In addition, 30 patients who met the inclusion and exclusion criteria from January 2023 to July 2023 were selected for external verification of the prediction model.
RESULTS
The incidence of postoperative DNR in the modeling group was 15.4% (35/227). Multivariate analysis revealed that age, years of education, diabetes status, and the lowest rScO2 value were the independent influencing factors of postoperative DNR (all P < 0.05). Accordingly, a DNR risk prediction model was constructed after laparoscopic colorectal cancer surgery. The area under the ROC curve of the model was 0.757 (95%CI: 0.676-0.839, P < 0.001), and the Hosmer-Lemeshow test of the calibration curve suggested that the model was well fitted (P = 0.516). The C-index for external validation of the row was 0.617.
CONCLUSION
The DNR risk prediction model associated with rScO2 monitoring can be used for individualized assessment of patients undergoing laparoscopic colorectal cancer surgery and provides a clinical basis for the prevention of DNR after surgery.
Benefits of endoscopic gallbladder stenting following percutaneous transhepatic gallbladder drainage
Authors: Niiya Fumitaka , Tamai Naoki , Yamawaki Masataka , Noda Jun , Azami Tetsushi , Takano Yuichi , Nishimoto Fumiya , Nagahama Masatsugu 
Published: September 2024

BACKGROUND
Endoscopic transpapillary gallbladder drainage is challenging because of the complexity of the procedure and high incidence of adverse events (AEs). To overcome these problems, endoscopic gallbladder stenting (EGBS) after percutaneous transhepatic gallbladder drainage (PTGBD) can be effective, as it mitigates inflammation and adhesion.
AIM
To examine the benefits of EGBS after PTGBD to assess its efficacy and impact on AEs.
METHODS
We retrospectively analyzed data from 35 patients who underwent EGBS after PTGBD at a single center between January 2016 and December 2023. The primary outcomes were technical success and AEs, and the rate of recurrent cholecystitis was evaluated. In addition, the reasons for the failure of the procedure were identified.
RESULTS
Among the 35 patients, the technical success rate was 77.1% and the final contrast of the cystic duct was successful in 97.1% of patients. The incidence of early AEs was relatively low (11.4%), with no instances of cystic duct perforation. The rate of recurrent cholecystitis was 3.7%, and no other biliary events were observed.
CONCLUSION
EGBS after PTGBD may be significantly beneficial, with a substantial success rate and minimal AEs in both short- and long-term follow-ups.
Menilik Kriteria “liyan”: Mewujudkan Kerukunan Umat Beragama di Yogyakarta
Authors: Artarini Magdalena Pura Adiputra 
Published: September 2024

This paper discusses the importance of religious harmony in Yogyakarta, a city with a significant number of newcomers, making it rich in diversity, one of which is religion. This diversity makes Yogyakarta also vulnerable to conflict. Through qualitative research methods with a literature study approach, the author looks at and explores the factors that influence the occurrence of intolerance. It was found that intolerance in Yogyakarta was strongly influenced by factors such as narrow-minded religious thinking, religious fanaticism, and exclusive interpretations of the concept of "the Other.” Therefore, a more inclusive introduction to the concept of “the Other” can help people appreciate religious differences, diversity in Yogyakarta and achieve religious harmony. This can be achieved through recognition of differences, interfaith dialogue, and an ethic of hospitality. It is hoped that the people of Yogyakarta will not only be able to overcome religious conflict, but also strengthen religious harmony and build sustainable communication among different religious communities. Makalah ini membahas pentingnya kerukunan umat beragama di Yogyakarta, sebagai kota dengan jumlah pendatang yang cukup banyak, menjadikan kota Yogyakarta kaya akan keragaman salah satunya agama. Tentunya keberagaman ini menjadikan Yogyakarta juga rentan terjadi konflik. Melalui metode penelitian kualitatif dengan pendekatan studi literatur, penulis melihat dan menggali faktor apa saja yang mempengaruhi terjadinya intoleransi. Ditemukan bahwa intoleransi di Yogyakarta kuat dipengaruhi oleh faktor seperti pemikiran sempit mengenai keagamaan, fanatisme beragama, dan interpretasi eksklusif tentang "liyan." Maka pengenalan secara lebih inklusif pada konsep "liyan" dapat membantu masyarakat menghargai perbedaan dan keberagaman umat beragama di Yogyakarta serta mencapai harmoni agama. Hal ini dapat dilakukan melalui pengakuan pada perbedaan, dialog lintas iman, dan etika keramahan. Diharapkan masyarakat Yogyakarta tidak hanya dapat mengatasi konflik keagamaan, namun juga memperkuat harmoni agama, dan membangun komunikasi yang berkelanjutan di antara komunitas agama yang berbeda.
Analisis Multidimensi Narasi Matius 8
Authors: Ziraluo Theophylus Doxa 
Published: September 2024

The background of the research is, First, Jesus is considered as a pro-Jewish person. Secondly, this text is considered within the framework of religious moderation. Thirdly, it emphasises Roman culture when explaining the term ‘pais’ (child). Fourthly, it doubts the healing that Jesus did - it was just a pretence. Considering this, the method used in this research is qualitative hermeneutic with Grant R. Osborne's narrative criticism steps. Based on the literature review, this research is important because previous studies did not discuss narrative texts based on Grant R. Osborne's aspects. Therefore, this study serves as an evaluation and contribution to other studies. In addition, this article aims to show the importance of examining narrative texts based on the aspects of narrative criticism. Analysing the dimensions can help the reader to follow the storyline so as to characterise the psychology, ideology, conflicts, strengths and weaknesses of a characterisation, as well as provide an accurate interpretation. Yang melatarbelakangi penelitian yaitu, Pertama, Yesus dinilai sebagai orang yang pro dengan non Yahudi. Kedua, teks ini dinilai dalam kerangka moderasi beragama. Ketiga, menekankan kebudayaan Romawi ketika menjelaskan istilah “pais” (anak). Keempat, meragukan penyembuhan yang Yesus lakukan – hanya berpura-pura. Mencermati hal tersebut, metode yang digunakan dalam penelitian ini adalah kualitatif hermeneutik dengan langkah-langkah kritik narasi Grant R. Osborne. Berdasarkan studi literatur, penelitian ini penting dikarenakan penelitian-penelitian sebelumnya tidak membahas teks narasi berdasarkan berdasarkan aspek-aspek yang digunakan Grant R. Osborne. Oleh karena itu, penelitian ini berfungsi sebagai evaluasi dan kontribusi bagi penelitian lainnya. Selain itu, artikel ini bertujuan untuk menunjukkan akan pentingnya meneliti teks-teks narasi berdasarkan spek-aspek kritik narasi. Analisis terhadap dimensi-dimensi mampu menolong pembaca untuk mengikuti alur cerita sehingga memberikan karakteristik psikologi, ideologi, konflik, kekuatan dan kelemahan dalam sebuah penokohan, serta memberikan penafsiran dengan tepat.
KAJIAN PENILAIAN KINERJA SUNGAI LUK ULO
Authors: Budiyanto Muchamad Arif , Hanafi Fahrudin 
Published: September 2024

Luk Ulo merupakan sungai yang melintas di Ibukota Kabupaten Kebumen dan bermuara ke Samudera Hindia. Sarana dan prasarana sungai yang telah dibangun diharapkan dapat bermanfaat dan dapat berfungi dengan baik maka perlu dioperasikan sesuai dengan peruntukannya dan harus senantiasa dipelihara. Sebelum pelaksanaan pengoperasian dan pemeliharaan maka diperlukan penilaian kinerja sehingga dapat diketahui kondisi dilapangan serta dapat menjadi acuan pada kegiatan O & P selanjutnya. Tujuan penelitian ini adalah sebagai upaya pengelolaan dan mengetahui kebutuhan operasi dan pemeliharaan sesuai dengan standar kriteria.
Sesuai dengan amanah dari Surat Edaran Dirjen SDA Kementerian Pekerjaan Umum dan Perumahan Rakyat Nomor 05/SE/D/2016 Tanggal 9 Juni 2016 tentang Pedoman Penyelenggaraan Kegiatan Operasi dan Pemeliharaan Prasarana Sungai serta Pemeliharaan Sungai. Penilaian terhadap komponen sarana Sungai Luk Ulo berdasarkan Surat Edaran Dirjen SDA Kementerian Pekerjaan Umum dan Perumahan Rakyat Nomor 05/SE/D/2016 meliputi palung sungai, bantaran sungai, tebing sungai, dan daerah sempadan sungai.
Kegiatan inventarisasi Sungai DAS Luk Ulo dilakukan di Sungai Luk Ulo Orde 1, Orde 2 dan Orde 3 sebanyak 113 Sungai dengan panjang total 464,5 Km dengan panjang sungai perkotaan 164,4 Km dan sungai luar perkotaan 300,1 Km. Berdasarkan analisis penilaian kinerja sungai diketahui 69% berkinerja Baik, 23% berkinnerja Cukup dan 8% berkinerja Buruk.
ANALISIS BANJIR SUNGAI KEDUNG JAMBAL DALAM KONTEKS NORMALISASI SUNGAI
Authors: Arifin Muhamad , Arif Budiyanto Muchamad , Nurmala Saridewi Ratih 
Published: September 2024

Sungai Kedung Jambal merupakan anak sungai yang bermuara di Sungai Bengawan Solo yang melintasi wilayah administrasi Kabupaten Sukoharjo. Pada musim hujan, sungai ini sering meluap dan menggenangi permukiman warga di sekitar ruas sungai tersebut. Apabila tidak mengganggu aktivitas masyarakat, kegiatan ekonomi, dan pembangunan, serta kegiatan yang dilakukan di daerah aliran sungai, maka banjir bukanlah suatu masalah. Analisis banjir dengan metode Collins memanfaatkan pengukuran hidrograf satuan dan HEC-RAS melakukan simulasi penampang sungai. Dari segi waktu, biaya, dan jadwal, manajemen pelaksanaan konstruksi pengendalian banjir sama pentingnya dengan aspek lain dalam proses konstruksi. Pengukuran hidrograf satuan metode Collins dengan Q25 sebesar 16,6 m3/Detik digunakan sebagai input analisis. Simulasi Q25 menunjukkan bahwa Sungai Kedung Jambal tidak mampu menampung debit limpasan sehingga perlu dilakukan pengendalian banjir. Setelah dilakukan penanganan, pengelolaan banjir memberikan dampak yang signifikan melalui normalisasi dan perbaikan tanggul sungai.