bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effect of different patient positions on endotracheal tube cuff pressure in patients undergoing urological procedures: a prospective study
Authors: Tok Eda , Karaca Nursen , Karakoc Ozge , Alper Isik 
Published: October 2024

BACKGROUND:
The endotracheal tube (ETT) contains a cuff that is placed in the trachea to prevent gas leakage and aspiration of secretions and gastric contents. However, patient positioning after intubation may cause ETT displacement and changes in cuff pressure.

OBJECTIVES:
Evaluate the effect of different patient positions on ETT cuff pressure in patients undergoing urological procedures in supine, prone, lateral flank, and lithotomy positions.

DESIGN:
Prospective and observational study

SETTING:
A university hospital in Turkey

PATIENTS AND METHODS:

Patients who underwent surgeries under general anesthesia in different patient positions were involved. After intubation (T0), the cuff pressure was checked with a manometer and adjusted to 25 cmH
2
O and continuously monitored. The cuff pressure was checked before (T1) and after achieving the final position (T2) and then at 5, (T3), 10, (T4), 15 minutes (T5) of the position, at the end of the procedure (T6) and before extubation (T7). At postoperative 2nd and 12th hours, the patients were interviewed for sore throat, hoarseness, and cough.

MAIN OUTCOME MEASURES:
The effect of different patient positions on the ETT cuff pressure.

SAMPLE SİZE:
200 patients

RESULTS:

The cuff pressure increased significantly at T2 in the lithotomy, lateral flank, and prone groups (
P
<.001 each). The highest increase in cuff pressure occurred in the prone group (34.3 [7.5] cmH
2
O). Over time, the cuff pressure decreased in all groups during surgery. Postoperative complications at the 2nd postoperative hour were similar in all groups; however, the mean cuff pressure was significantly higher in the patients with postoperative sore throat or cough (sore throat:
P
=.003; cough:
P
=.047).

CONCLUSION:
ETT cuff pressures are affected by different patient positioning; therefore, regular recording and adjustment of cuff pressure are necessary for patient safety.

LIMITATION:
We used ETT of a single manufacturer. Therefore, our findings may not be applicable to other types of ETT.
Impact of SARS-CoV-2 infection and vaccination on cesarean section outcomes: a retrospective analysis
Authors: Yeniocak Ali Selcuk , Tercan Can , Dagdeviren Emrah , Arabaci Onur , Arabaci Emine Elif Genc 
Published: October 2024

BACKGROUND:
Pregnant individuals have faced unique challenges during the COVID-19 pandemic, necessitating a closer examination of maternal and fetal health outcomes.

OBJECTIVES:
Investigate the morbidity and mortality associated with SARS-CoV-2 infection among pregnant individuals, considering vaccination status and variant strains.

DESIGN:
Retrospective cohort

SETTING:
Tertiary state hospital

PATIENTS AND METHODS:
Patients who underwent cesarean sections were categorized into three periods: pre-vaccination (before 31 August 2021), early post-vaccination (from September 2021), and late post-vaccination (aligned with 70% immunization coverage by 2 September 2021). Data collected included demographic information (age, gravidity, parity count, gestational age, newborn APGAR scores), cesarean section indications, chronic diseases, vaccination status, vaccine type and doses, SARS-CoV-2 variant status, ICU admission, and mortality due to COVID-19.

MAIN OUTCOME MEASURES:
ICU admission and mortality rates, focusing on the impact of SARS-CoV-2 infection and vaccination status.

SAMPLE SIZE:
297 COVID PCR-positive symptomatic patients who underwent cesarean sections.

RESULTS:

In the pre-vaccination group, there were 13 mortalities (8.1%) compared to 9 (6.6%) post-vaccination (
P
=.610). Maternal ARDS was seen in 46.2% of pre-vaccination mortalities versus 11.1% post-vaccination (
P
=.045). COVID-19 delta variant patients had higher ICU admission (80%) and mortality rates (40%). Rates of COVID-19 PCR-positive cesarean sections, ICU admissions, and mortality declined significantly in early (
P
=.021,
P
=.004,
P
=.009), respectively and late post-vaccination periods (
P
<.001,
P
<.001,
P
=.0019), respectively. Vaccinated patients had no ICU admissions or mortality.

CONCLUSIONS:
Vaccination against COVID-19 is crucial for pregnant individuals as it significantly reduces the risk of severe illness. While vaccines offer substantial protection, the pandemic’s acute phase might be waning, yet COVID-19 remains a global threat, particularly in regions with limited vaccine access. Continued vigilance and proactive measures are essential to mitigate ongoing risks and the emergence of new variant strains.

LIMITATIONS:
Retrospective observational design and the single-center setting, which may affect the generalizability of the findings.
Estimating the prevalence of select non-communicable diseases in Saudi Arabia using a population-based sample: econometric analysis with natural language processing
Authors: Alghnam Suliman , Bosaeed Mohammad , Aljouie Abdulrahman , Alshahrani Saeed Mastour , Alshenqeety Omar , Atun Rifat , Alqahtani Saleh 
Published: October 2024

BACKGROUND:
Non-communicable diseases (NCDs) are a major public health challenge globally, including in Saudi Arabia. However, measuring the true extent of NCD prevalence has been hampered by a paucity of nationally representative epidemiological studies.

OBJECTIVES:
Assess the prevalence of selected NCDs, using population-based electronic health records and applying novel analytical methods to identify cases of NCDs.

DESIGN:
Retrospective

SETTINGS:
A large healthcare network in Saudi Arabia.

PATIENTS AND METHODS:
We included all beneficiaries aged 16 years or older (n=650 835[a]) and used the International Classification of Disease (ICD-10) codes, laboratory results, and associated medications to identify individuals with diabetes, obesity, hypertension, dyslipidemia, mental disorders, and injuries. For diabetes and hypertension, we used natural language processing (NLP) on clinical notes in the electronic health records. The prevalence of multimorbidity across age groups was also tabulated, and logistic regression was used to examine its association with glycemic control.

MAIN OUTCOME MEASURES:
The primary outcomes measured were the prevalence of diabetes, hypertension, and multimorbidity, and their association with glycemic control.

SAMPLE SIZE:
650 835 individuals aged 16 years or older.

RESULTS:
The study population was relatively young, with 41.2% aged between 26 and 45 years, and around two-thirds were married. The prevalence of diabetes and hypertension was 18.5% (95% CI: 18.5-18.7) and 13.0% (95% CI: 12.9-13.1), respectively. Approximately 26.7% (95% CI: 26.7-26.8) of the population had multimorbidity, with levels increasing to 62.9% for those aged 65 or older. Multimorbidity was associated with a four-fold increase in the likelihood of poor glycemic control. NLP analysis suggested that the prevalence of diabetes or hypertension may be underestimated by no more than 1.5%.

CONCLUSIONS:
The study suggests a higher prevalence of NCDs than earlier national estimates. Electronic health records with regular analysis provide an opportunity to estimate changes in the prevalence of NCDs in Saudi Arabia. Health policies and interventions are needed to address the high levels of multimorbidity, which adversely impact glycemic control.

LIMITATIONS:
Retrospective design and reliance on electronic health records, which may not capture all cases of NCDs.
Chemical and mineralogical characterisation of Duguri Galena (Bauchi State, Nigeria)
Authors: Munyao, H.  , Alabi, O. O.  , Aramide, F. O  , Gbadamosi, Y. E.  
Published: October 2024

This paper presents a detailed study of Galena samples' chemical and mineralogical properties collected from the Duguri area in Bauchi State, Nigeria. The sample for the research was sourced from Duguri town, Bauchi State, Nigeria. The sourced sample underwent comminution, homogenization, and sampling using the Coning and Quartering method followed by the Jones Riffle sampling method. Chemical analysis results of the crude ore sample showed the presence of Lead oxide (PbO) at an assay of 36.827 %, with Silica as the major gangue mineral present at 45.823 %. The other compounds present in the ore are ZnO (9.656 %), Fe2O3 (8.290 %), Al2O3 (3.409 %), TiO2 (1.072 %), WO3 (0.312 %), and AgO (0.001 %). Mineralogical Characterisation using XRD revealed the phases present in the ore as; Galena (47 %), Cerussite (19.0 %), Quartz (18.8 %), and Gratonite (15 %), hence confirming that the soured ore was Galena (PbS). SEM/EDS results showed the morphology of the sourced sample, containing Lead with other impurities in their quartz form within the ore matrix, with the presence of other elemental constituents (Si, C, and O).
Keywords: Galena, Chemical analysis, Mineralogical characterisation, Duguri area, Bauchi State, Nigeria.
Green financing in the oil and gas industry: Unlocking investments for energy sustainability
Authors: Yetunde Adenike Adebayo  , Augusta Heavens Ikevuje  , Jephta Mensah Kwakye  , Andrew Emuobosa Esiri  
Published: October 2024

Green financing is emerging as a critical tool for the oil and gas industry to transition towards energy sustainability and decarbonization. As global climate initiatives intensify, oil and gas companies are under pressure to reduce their carbon footprint while maintaining profitability. Green financing, through mechanisms such as green bonds, sustainability-linked loans, and carbon credits, provides essential capital to fund projects focused on reducing emissions, integrating renewable energy, and adopting cleaner technologies. This paper explores how green financing can unlock investments in energy efficiency, carbon capture and storage (CCS), and renewable energy solutions within oil and gas operations. By leveraging green finance, companies can meet stringent regulatory requirements, align with investor expectations for sustainability, and enhance their long-term economic resilience. This research examines the growing demand for sustainable investments and how oil and gas companies can attract green financing by demonstrating strong environmental, social, and governance (ESG) performance. Furthermore, it addresses the role of policy frameworks and financial institutions in facilitating the flow of green capital to oil and gas companies. Case studies of successful green financing initiatives within the industry are presented, highlighting their impact on emissions reductions, cost savings, and improved corporate reputation. Challenges, such as navigating the complex criteria for green finance eligibility and balancing the demands of traditional investors with sustainability goals, are also discussed. However, innovative financing mechanisms, such as blended finance and partnerships with renewable energy companies, are emerging to address these barriers. This paper concludes that green financing offers a strategic pathway for the oil and gas industry to secure investments for sustainability while driving profitability. The industry's ability to adapt and innovate within this framework will be critical in achieving a low-carbon future.
Keywords: Green Financing, Oil and Gas Industry, Sustainability, Renewable Energy, Carbon Capture, Green Bonds, ESG Performance, Decarbonization, Sustainable Investments, Energy Transition.
Sustainable business operations in technology startups: A model for leadership and administrative excellence
Authors: Godwin Ozoemenam Achumie  , Chikezie Paul-Mikki Ewim  , Adams Gbolahan Adeleke  , Ifeanyi Chukwunonso Okeke  , Chukwunweike Mokogwu  
Published: October 2024

Sustainable business operations have become a critical factor for success in technology startups, where rapid growth and resource constraints pose unique challenges. This review proposes a comprehensive model for sustainable operations management in tech startups, emphasizing the synergy between leadership and administrative excellence. The proposed model aims to guide startups in balancing profitability, scalability, and environmental responsibility while fostering long-term growth. The explores the challenges of achieving sustainability in startups, including limited resources, pressures of rapid scaling, and the environmental impact of tech-driven innovations. It emphasizes the pivotal role of visionary leadership in setting long-term sustainable goals, fostering a culture of innovation, and effectively managing change. Leadership’s ability to align sustainability with operational goals is critical in navigating the dynamic and competitive nature of the tech industry. Additionally, the review highlights the importance of administrative innovations in optimizing resource management, implementing data-driven decision-making, and streamlining processes. By leveraging automation and technology, startups can create more efficient and environmentally friendly operational systems. The model integrates leadership vision with administrative processes, creating a holistic approach that encourages continuous improvement and innovation. The benefits of adopting sustainable operations, such as enhanced financial resilience, competitive advantage, and improved brand reputation, are also discussed. Moreover, sustainability offers tech startups a significant edge in attracting and retaining top talent while fostering customer loyalty. Ultimately, this model serves as a blueprint for technology startups to build scalable, efficient, and responsible operations, ensuring their success in the long term by aligning leadership and administrative strategies with sustainability objectives.
Keywords: Sustainable Business, Technology Startups, Leadership, Administrative Excellence.
Pengaruh Sapta Pesona, Citra Destinasi dan Promosi terhadap Niat Berkunjung Kembali pada Wisata BeeJay Bakau Resort Kota Probolinggo
Authors: Safarani Elinda , Elmas Muhammad Syarif Hidayatullah , - Tumini 
Published: October 2024

ABSTRAK
Penelitian ini bertujuan untuk mengetahui pengaruh sapta pesona, citra destinasi dan promosi secara parsial dan simultan terhadap niat berkunjung kembali pada wisata Beejay Bakau Resort Kota Probolinggo. Metode penelitian yang digunakan adalah kuantitatif dengan variabel bebas sapta pesona, citra destinasi, promosi dan variabel terikat yaitu niat berkunjung kembali. Populasi penelitian ini adalah wisatawan yang berwisata ke BeeJay Bakau Resort Kota Probolinggo. Teknik pengambilan sampel dilakukan pada 120 responden dan teknik pengambilan sampel menggunakan insidental sampling. Tahap analisis yang diawali dengan uji validitas uji reliabilitas, uji asumsi klasik, analisis regresi linear berganda, uji koefisien determinasi dan uji hipotesis dengan menggunakan SPSS versi 26. Hasil Penelitian menunjukkan bahwa sapta pesona dan citra destinasi berpengaruh secara parsial terhadap niat berkunjung kembali, sedangkan promosi tidak berpengaruh secara parsial terhadap niat berkunjung kembali, dan ada pengaruh secara simultan antara sapta pesona, citra destinasi dan promosi terhadap niat berkunjung kembali pada wisata BeeJay Bakau Resort Kota Probolinggo.

Kata Kunci : Sapta Pesona, Citra Destinasi, Promosi, Niat Berkunjung Kembali
Analisis Pengaruh Motivasi Kerja Dan Kedisiplinan terhadap Kinerja Karyawan Bagian Produksi PT. XXX
Authors: Rozci Fatchur , Oktaviani Dewi Anggun , Lidyana Novita 
Published: October 2024

Penelitian ini bertujuan untuk menganalisis pengaruh Motivasi Kerja dan Kedisiplinan, secara simultan dan parsial terhadap Kinerja Karyawan Bagian Produksi di PT. XXX, dan menentukan manakah diantara motivasi kerja dan kedisiplinaan yang memiliki pengaruh dominan terhadap Kinerja Karyawan Bagian Produksi di PT. XXX. Penelitian ini menggunakan metode kuantitatif. Populasi yang digunakan adalah karyawan bagian produksi PT. XXX. Pengambilan sampel menggunakan Teknik Purposive Sampling dengan kriteria: karyawan merupakan karyawan tetap dan berusia lebih dari 20 tahun dengan masa kerja lebih dari satu tahun. Sampel dalam penelitian ini berjumlah 46 responden. Teknik pengumpulan data yang digunakan berupa kuisioner dan wawancara. Teknik analisis data yang digunakan adalah Regresi Linier Berganda. Dari penelitian yang telah dilakukan dapat iketahui bahwa terdapat pengaruh secara simultan antara variable Motivasi Kerja (X1) dan Kedesiplin (X2) terhadap kinerja (Y) dibuktikan dengan nilai Fhitung sebesar 23.289 dengan taraf signifikan sebesar 0,000. Secara parsial Motivasi Kerja (X1) dan Kedesiplin (X2) juga berpengaruh terhadap kinerja (Y) dibuktikan dengan nilai thitung variabel motivasi kerja sebesar 2.441 dengan taraf signifikan sebesar 0,000dan nilai thitungvariabel kedisiplinan sebesar 2.215 dengan taraf signifikan sebesar 0,000. Variabel Motivasi Kerja (X1) memiliki pengaruh yang dominan terhadap kinerja karyawan (Y) dibuktikan dengan nilai Standardized Coefficients Beta dari variabel Motivasi Kerja (X1)sebesar 0.261 yang lebih besar dari variabel Kedisiplinan (X2) sebesar 0.151.
A APRENDIZAGEM BASEADA EM PROJETOS NA EDUCAÇÃO INFANTIL: REFLEXÕES E POSSIBILIDADES
Authors: Maia Suelen Pina de Vasconcelos , Dórea Márcia de Melo 
Published: October 2024

Este artigo pretende abordar a Aprendizagem Baseada em Projetos como uma metodologia ativa aplicada à Educação Infantil (EI). Apresenta um breve estudo de natureza teórica sobre a constituição das creches no Brasil para compreensão deste espaço educativo. Também são abordadas considerações sobre a aprendizagem baseada em projetos, uma metodologia ativa proposta para a faixa etária atendida. No processo reflexivo sobre a aplicação desta metodologia na prática pedagógica da creche, consideradas principalmente as ideias de Barbosa e Horn (2008), são apresentados possibilidades sobre sua aplicabilidade no cotidiano da sala de aula tanto na creche quanto na pré-escola.
MOTIVASI BELAJAR SISWA DALAM PEMBELAJARAN PENDIDIKAN JASMANI OLAHRAGA DAN KESEHATAN DI SDN 73/VI TANJUNG DALAM KECAMATAN LEMBAH MASURAI
Authors: Sastra Ali , Maulana Putra Ikhsan 
Published: October 2024

Abstract
In this research, the problem that the author found when conducting observations in the field was that students' motivation was still low in learning physical education, sports and health at SDN 73/VI Tanjung Dalam Lembah Masurai District. There are many factors that influence the learning process in physical education, sports and health, one of which is the motivation factor.
This type of research is descriptive. The aim of this research was to determine students' motivation in learning physical education, sports and health at SDN 73/VI Tanjung Dalam Lembah Masurai District. The population in this study was 58 students at SDN 73/VI. Samples were taken using random sampling technique, with a total sample of 38 people. directly by researchers by submitting questionnaires to students. Meanwhile, secondary data is taken from student documentation archives from School Administration. Next, the data was analyzed by percentage using the ideal value score.
Based on the results of data analysis, it shows that the variable intrinsic motivation of students at SDN 73/VI Tanjung Dalam Lembah Masurai District, obtained an achievement level of 84.70%, with a "Good" classification. Meanwhile, the extrinsic motivation of students at SDN 73/VI Tanjung Dalam Lembah Masurai District, achieved an achievement level of 83.07%, which was classified as "Good".

Keywords: Intrinsic Motivation, Extrinsic Motivation
PENERAPAN MODEL CONTEXTUAL TEACHING LEARNING UNTUK MENINGKATAKAN MOTIVASI DAN HASIL BELAJAR IPA DIKELAS V/A SDN 036/VI RANTAU PANJANG III
Authors: Nurjanah  , Wahyu Hidayat Puput 
Published: October 2024

ABSTRACT
The problem in this research is that student motivation and learning outcomes in Natural Sciences subjects for class VA SDN 36/VI Rantau Panjang III are still relatively low. The aim of this research is to describe the application of the contextual learning model in the VA class on motivation and learning outcomes. The method used in this research is classroom action research (PTK). This research consists of 2 cycles, each cycle is carried out through 4 stages, namely planning, action, observation and reflection and consists of 2 meetings.
Student learning motivation can be explained as follows: (1) the application of the contextual learning model can increase student learning motivation and the results of the learning motivation questionnaire show that in cycle I there was 55.45% while in cycle II it increased very well, namely 83.50%, this indicates s=tudent learning motivation increased according to the success indicator, namely 80%.
The results of this research can be explained as follows: (1) the application of the contextual learning model in learning in cycle I is still not optimal. This can be seen from the tests in cycle I. Only 60.40% of students got a score within the maximum completeness criteria and 39.60% did not reach the maximum completeness criteria. (2) Student learning outcomes improved very well in cycle II. From 45% (initial observation), to 60.40% (cycle I) and 80.00% (cycle II).

Keywords: Motivation, Science Learning Outcomes, Contextual Teaching Learning Model
A importância do processo sucessório nas empresas familiares
Authors: Silva Andreza Carla da , Oliveira Maria Suely da Silva Santos 
Published: October 2024

Hoje em dia o número de empresas familiares é bastante significativo no âmbito geral do mercado, exigindo que as mesmas criem uma cultura organizacional baseada na excelência da governança corporativa. Porém, um dos grandes desafios das empresas familiares é conseguir separar os sentimentos, os laços familiares que rondam este tipo de organização, para preparar um sucessor que possa dar continuidade aos negócios familiares. Desta forma, este trabalho tem como objetivo demonstrar a importância do processo sucessório em uma empresa familiar. Para elaboração desse artigo, utilizou-se a pesquisa bibliográfica, empregando a metodologia qualitativa com enfoque descritivo. O estudo mostrou que a implantação do processo sucessório deve ser bem planejado para garantir a sobrevivência da empresa. O estudo também mostrou que problemas pessoais e familiares relacionados à questão emocional podem se tornar uma desvantagem para o andamento das empresas familiares, já que a emoção em diversas vezes é que “fala mais alto”. Portanto, as empresas familiares precisam ter em sua estrutura administrativo-produtiva sucessores capacitados para dirigir o negócio da melhor forma possível, buscando assim atingir os resultados positivos que a organização busca.