bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Clinical Study on Functional Outcome of Percutaneous Transforaminal Endoscopic Discectomy under Local Anesthesia
Authors: Nema Suryansh , Agarwal Varun Kumar 
Published: September 2024

Abstract

Background:
Many surgical approaches from conventional open discectomy, microdiscectomy, percutaneous endoscopic interlaminar discectomy, and transforaminal endoscopic discectomy have been used for the treatment of prolapsed intervertebral disc. Transforaminal endoscopic discectomy through a Kambin’s triangle is a minimally invasive procedure which can be done under local anesthesia, without muscle splitting, with short hospital stay and minimal complications compared to other techniques used.

Aim:
The aim of this study was to evaluate the functional outcomes following percutaneous transforaminal endoscopic discectomy (PTED) under local anesthesia for lumbar disc herniations.

Materials and Methods:
This interventional study was conducted between November 2020 and October 2021 in our Orthopaedics Department after the clearance of the Ethical Committee. This study included 54 patients with radicular pain for at least 3 weeks with a positive nerve root compression sign and who underwent PTED under local anesthesia. The Visual Analog Scale (VAS) and the Oswestry Disability Index (ODI) have been used for pre- and postoperative clinical assessment of the patients, and follow-up was done at 6 weeks, 3 months, 6 months, and 1 year postoperatively.

Results:
Maximum patients were in the age group of 61–70 years, and 65.2% of the patients were male. 68.2% of patients had lumbar disc herniation at L4-L5 level. The mean operative time of PTED was 70.6 min. Out of 16 cases of L5-S1 disc prolapse, 1 case was operated by making an iliac bone window due to the inaccessibility of disc space because of highly placed iliac crest. The mean preoperative VAS and ODI scores were 8.1 and 56.6, respectively. The postoperative VAS and ODI scores were dramatically improved at each follow-up interval (P < 0.0001). Out of 66 patients who underwent operation, 4 patients developed surgical site infection and 2 were found to have dysesthesia, and no serious complications were noted.

Conclusion:
PTED has been shown to be a safe, effective, and minimally invasive alternative for the treatment of lumbar disc herniation. PTED found to be favorable because it had a shorter operational time and less epidural scarring, allowing for simple revision procedures as needed. As a result, this points to a greater acceptability of endoscopic procedures and their possible widespread use in the future.
Study on needle stick injury in a tertiary-level government teaching hospital
Authors: Ellenkil Anitta Jose , Bharadwaj Nitin , Mishra Uday Bhakar 
Published: September 2024

Background and Objective:
A safe injection does not harm the recipient, nor does it expose the provider of injection at risk and, does not result in the generation of hazardous waste. The study was performed with the aim to assess the knowledge, attitude and practice (KAP) about needle stick injury (NSI) with respect to biomedical waste management rules 2016 among staff of a government tertiary care teaching hospital.

Methodology:
It was a cross-sectional descriptive study conducted in the clinical care areas of a tertiary care government teaching hospital. The study was conducted from June 2019 to June 2020. Institutional ethics committee approval was attained before taking up the study. A study sample of 407 was calculated by applying the population proportion to size formula to each stratum and was drawn among the resident (academic) doctor, staff nurse, paramedical staff and housekeeping staff of the institute. The results were analysed statistically.

Results:
Out of 407 study participants, 91 (22.4%) were resident (academic) doctors, 122 (30%) were staff nurses, 23 (5.7%) were paramedical staff and 171 (42%) were housekeeping staff, respectively. Regarding the knowledge aspect, most of the study participants were unaware of the safe injection practices such as not to recap the needle and to use a needle cutter to discard the used needle immediately and NSI. The overall KAP mean score of the study participants was 0.43 out of 1, 2.7 out of 3 and 0.73 out of 1, respectively.

Conclusion:
The attitude and practice aspect concerning the approach to NSI was found to be better for the housekeeping staff and nursing officers when compared with the resident doctors.
PROCESS DISCOVERY PADA TRANSAKSI PENJUALAN CV. JATAYU CATRA INTERNUSA
Authors: Setiyani Lila 
Published: September 2024

Process discovery merupakan tahapan dari business process management life cycle. Dalam tahapan tersebut dilakukan identifikasi proses bisnis yang berjalan(as-is process). Penelitian ini bertujuan untuk memodelkan proses bisnis yang berjalan pada transaksi penjualan CV. Jatayu Catra Internusa. Pemodelan dilakukan dengan menggunakan business process modelling notation(BPMN). Metode pengumpulan data pada penelitian ini dilakukan dengan wawancara semi-terstruktur dengan nara sumber karyawan CV. Jatayu Catra Internusa yang menangani transaksi penjualan. Berdasarkan informasi dari narasumber, penelitian ini menghasilak pemodelan proses bisnis berjalan untuk transaksi penjualan. Pemodelan proses bisnis transaksi penjualan ini, dapat dimanfaatkan oleh CV. Jatayu Catra Internusa untuk melakukan perbaikan dan peningkatan proses sehingga dapat proses yang lebih baik
SISTEM INFORMASI FORUM KONSULTASI MAHASISWA PADA AMIK WAHANA MANDIRI TANGERANG BERBASIS WEB
Authors: Efendi Yasin 
Published: September 2024

By this time computers were already an indispensable part of human life. The role of computers is felt in almost all areas of life, especially along with the rapid development of computer network technology, all the information we need can be obtained in just a short time. One of the protocols used for communication between one computer and another is HTTP (Hyper Text Transfer Protocol) which is a protocol used by all web-based systems. In this study, we will discuss the design of a web-based student consultation forum information system at AMIK Wahana Mandiri Tangerang Selatan. This system is an application system for student activities in consultations that are carried out manually to be more effective, accurate and computerized. So that the processing and storage process can be easier and more efficient. This system is designed with UML (Unified Modelling Language) modeling consisting of Use Case Diagrams, Class Diagrams, Activity Diagrams, and Sequence Diagrams. The implementation results of this research are expected to be useful for AMIK Wahana Mandiri, especially for student consultation activities at AMIK Wahana Mandiri
IMPLEMENTASI SAMBA PADA LOCAL AREA NETWORK MENGGUNAKAN LINUX MANDRAKE 9.1
Authors: Halim Abdul , Kurniawanto Hadi 
Published: September 2024

Linux as a free, open (Open Source), and stable Operating System, has very high Internet and networking capabilities. This can be proven by the number of companies engaged in Internet services and e-commerce using Linux as the main Operating System on its Server, such as eToys.com, freshmeat.net, Mweb.co.id, Satunet Group, and others.
All Linux software can be freely owned under the GNU General Public License. Based on the license, anyone can have a program in both source code (readable by humans) and binary (machine language), so that the program can be learned, changed, distributed, or further developed by anyone. Another case with Microsoft Windows that cannot be freely owned and is required to pay a license at a very expensive price for those who want to have it. In addition, Microsoft Windows is closed (Close Source), where users or users cannot change, copy and distribute the program.
Although the Linux Mandrake 9.1 Operating System began to be much loved and in demand, Microsoft's Operating System is still the top priority for computer users in Indonesia. Almost all Linux Mandrake 9.1 users in Indonesia leave some space on their hard drive for the Windows family Operating System. For those who are accustomed to using the Windows Operating System, of course, they are familiar with the term File Sharing, Print Sharing or Drive Mapping. The program application is run to be able to share Resources (Files, Folders and Printers) with other Client computers on a network that uses the SMB protocol. To bridge this, a program was created in the Linux environment called Samba, so that Unix / Linux systems can communicate with other Windows-based computers.
Samba programs can bridge the complexity of various Unix/Linux Operating System platforms with Windows machines running on a network. Samba is an application of Unix and Linux known as SMB (Server Message Block) protocol. Many Operating Systems such as Windows use SMB to create a Client Server network.
From the explanation above, the author raises this issue to be presented into a discussion, so that we can act as our own network System Administrator, without the need to pay someone else to install and configure Samba on a Linux 9.1-based Server Computer Mandrake 9.1.
PENERAPAN METODOLOGI TOGAF ADM UNTUK ANALISIS DAN PENYUSUNAN RENCANA STRATEGIS SISTEM INFORMASI DAN TEKNOLOGI INFORMASI DI CALL CENTER 112 KOTA PALANGKA RAYA
Authors: Angelina Yulia 
Published: September 2024

The role of information technology has penetrated into various sectors of life. With information technology allows organizational data to be processed quickly and easily so that the presentation of the required reports can be obtained precisely, quickly and efficiently. This can also be applied to the Palangka Raya City Emergency Call Fast Service (Call Center 112). Call Center 112 is a service center in receiving complaints and providing emergency information under the auspices of the Palangka Raya City Fire and Rescue Service. Call Center 112 has not implemented an information system that can increase effectiveness and efficiency in service quality. Therefore, proper IS/IT strategic planning is needed to support organizational performance. This research uses the TOGAF ADM method. The results of this research are in the form of technology proposals and information systems in the form of strategic planning blueprints to be applied by organizations
TINDAK PIDANA PENGGELAPAN KENDARAAAN BERMOTOR RODA DUA OLEH PEKERJA RUMAHTANGGA (STUDI PUTUSAN NOMOR. 3557/ PID.B/2018/PN.Mdn)
Authors: Septia Tri Yelly , Maysarah Andi 
Published: September 2024

Pengaturan Hukum Terhadap Tindak Pidana Penggelapan Kendaraaan Bermotor Roda Dua, Timbulnya tindak pidana penggelapan yang dilakukan oleh pekerja rumah tangga terhadap barang (kendaraan bermotor roda dua tersebut), disebabkan oleh adanya penyalahgunaan hak, ini diatur didalam buku tentang “kejahatan”,Pasal 372 sampai dengan Pasal 377. Pengaturan hukum terhadap tindak pidana penggelapan kendaraaan bermotor roda dua, sebagaimana diatur dalam Pasal 372.Bentuk Pertanggungjawaban pidana adalah salah satu bentuk seseorang yang bertanggungjawab dari suatu perbuatan pidana. Pertanggungjawaban pidana berlandaskan adanya suatu kesalahan, kesalahan ini lah yang diminta pertanggungjawabannya sehingga dapat memberikan suatu kepastian hukum. Adapun pertanggungjawaban pidana haruslah dilihat dari kemampuan bertanggungjawab, kesengajaan, kejiwaan, dan tanpa ada suatu alasan pemaaf. Kesalahan adalah suatu hal yang sangat penting untuk menentukan pertanggungjawaban pidana, tanpa didasari kesalahan maka pertanggungjawaban tidak pernah ada. Pada suatu prinsipnya kita mengenal dengan azas tiada pidana tanpa kesalahan, hal inilah suatu bentuk yang sangat fundamental untuk menentukan unsur pertanggungjawaban pidana.Pertimbangan hakim dalam menjatuhkan hukuman pada pelaku sangatlah subtantif dan mempunyai rasa keadilan bagi korban sehingga sanksi yang dijatuhkan pada pelaku memberikan suatu pembalasan dari suatu tindakan yang diperbuatnya,dikarenakan dalam teori hukum kita mengenal bahwasanya penjatuhan hukuman adalah suatu balas dendam, menakut-nakuti dan memperbaiki pelaku menjadi lebih baik.
Efficacy and safety of proton pump inhibitors for diabetes mellitus in patients with gastroesophageal reflux disease: A meta-analysis
Authors: Lv Na , Li Ning , Qi Caihui 
Published: September 2024

IntroductionGastroesophageal reflux disease (GERD) is prevalent in patients with type 2 diabetes mellitus (T2DM). The use of proton pump inhibitors (PPIs) is recognized as an effective method to reduce gastric acid secretion in patients with GERD. Nevertheless, whether PPIs are effective or safe for the treatment of T2DM complicated by GERD remains unknown.Material and methodsTo assess the efficacy and safety of PPIs in the management of T2DM complicated with GERD, databases including Web of Science, Cochrane Library, PubMed, and Embase, were comprehensively searched for randomized controlled trials (RCTs) focusing on the treatment of T2DM complicated with GERD published before December 2023. Following data extraction and quality assessment, outcomes, including endoscopic efficiency, fasting blood glucose (FBG), symptom relief rates, levels of glycosylated hemoglobin A1c (HbA1c), and the incidence of adverse reactions, were analyzed using RevMan 5.4.ResultsThe results suggest that the PPI group exhibited a higher efficacy rate compared to the control group in endoscopic efficiency (69.32% vs. 5.45%, OR: 40.50, 95%CI: 18.77¬–87.39), symptom relief rates (92.94% vs. 54.65%, OR: 6.45, 95%CI: 3.41–12.20). Furthermore, PPI treatment was associated with a significant reduction in HbA1c levels (WMD=-0.41, 95%CI: −0.68 to −0.14) and FBG levels (WMD=−10.15 mg/dL, 95%CI: −19.64 to −0.66) in patients with T2DM complicated with GERD. In terms of safety, the incidence of adverse reactions was not significantly different between the two groups (PPI group: 10.78% vs. control group:11.88%, P>0.05).ConclusionsPPIs can effectively improve the glycemic index of patients with T2DM complicated with GERD.
The Association Between Metabolic Associated Fatty Liver Disease and Depression in Adults: The Role of Physical Activity Levels and Types
Authors: Wang Chenghui , Zhou Tong , Cui Wenlai , Miao Chuyuan , Li Dong 
Published: September 2024

IntroductionAt now, the association between levels of physical activity and depression is not well understood, however depressive symptoms are common in patients with metabolic dysfunction associated fatty liver disease (MAFLD).Material and methodsThis study aims to investigate whether there is a correlation between MAFLD patients' levels of moderate to vigorous recreational exercise and depression. From the National Health and Nutrition Examination Survey (NHANES) database, 2656 individuals with MAFLD were included in this investigation. Depressive symptoms were examined in connection to varying degrees of entertainment activity using a generalized linear model that was weighted on numerous factors.ResultsAfter accounting for all potential confounding factors, the weighted generalized linear model revealed a negative correlation between moderate entertainment activity and depression (OR=0.599, 95% CI: 0.475-0.755; P<0.001). This correlation persisted even after controlling for other variables. In spite of this, after controlling for all potential confounding variables, there was still no correlation between the intensity of entertainment activity and depression. Females who engage in moderate amounts of amusement are less likely to suffer from depression, according to subgroup analysis (OR=0.657, 95% CI: 0.440-0.983; P =0.036).ConclusionsThis link persists after controlling for other variables; patients with MAFLD are more prone to depression, whereas those with higher levels of moderate recreational activity are less likely to suffer from depression. Their depressed symptoms may be treatable by modest recreational activity, according to these results.
Impact of emergency point of care ultrasound on time to diagnosis and treatment amongst patients with ectopic pregnancy: A systematic review and meta-analysis
Authors: Ren Yuanyuan , Shao Xupeng 
Published: September 2024

IntroductionEctopic pregnancy, a significant cause of morbidity in women of reproductive age, requires timely diagnosis and treatment to reduce adverse outcomes. This study examines the impact of point-of-care ultrasound in the emergency department on the time to diagnosis, treatment, and surgical intervention for ectopic pregnancies.Material and methodsOur review encompassed studies involving patients with ectopic pregnancies who underwent point-of-care ultrasound in emergency settings. The comparator was standard radiology department ultrasound. We included studies of any design and the key outcomes were time to diagnosis, treatment, and operating room. Data synthesis employed a random-effects inverse-variance model. The GRADE approach was used to assess evidence quality, and the PRISMA checklist guided our methodology.ResultsOverall, four studies were included. For time to diagnosis, the pooled Standardized Mean Difference (SMD) was -1.965, indicating a significant reduction. For time to treatment, the pooled SMD was -0.809, showing a modest effect with considerable heterogeneity (I² = 87.5%). In surgically treating ectopic pregnancies, the impact was not statistically significant overall, but significant for the subgroup of ruptured ectopic pregnancies. The overall quality of evidence was deemed very low due to moderate risk of bias, high heterogeneity, and publication bias.ConclusionsPoint-of-care ultrasound in emergency departments significantly reduced the time to diagnose ectopic pregnancies. The effect on time to treatment and operating room varied, with notable benefits observed in more severe cases. Despite these promising findings, the quality of evidence and high heterogeneity necessitate cautious interpretation and call for further research.
Assessing the potential of free-tropospheric water vapour isotopologue satellite observations for improving the analyses of convective events
Authors: Schneider Matthias , Toride Kinya , Khosrawi Farahnaz , Hase Frank , Ertl Benjamin , Diekmann Christopher J. , Yoshimura Kei 
Published: September 2024

Abstract. Satellite-based observations of free-tropospheric water vapour isotopologue ratios (HDO / H2O, expressed in form of the δ value δD) with good global and temporal coverage have become available recently. We investigate the potential of these observations for constraining the uncertainties of the atmospheric analyses fields of specific humidity (q), temperature (T), and δD and of variables that capture important properties of the atmospheric water cycle, namely the vertical velocity (ω), the latent heating rate (Q2), and the precipitation rate (Prcp). Our focus is on the impact of the δD observations relative to the impact achieved by the observation of q and T, which are much more easily observed by satellites and are routinely in use for atmospheric analyses. For our investigations we use an Observing System Simulation Experiment; i.e. we simulate the satellite observations of q, T, and δD with known uncertainties and coverage (e.g. observations are not available for cloudy conditions, i.e. at locations where the atmosphere is vertically unstable). Then we use the simulated observations within a Kalman-filter-based assimilation framework in order to evaluate their potential for improving the quality of atmospheric analyses. The study is made for low latitudes (30° S to 30° N) and for 40 d between mid-July and the end of August 2016. We find that q observations generally have the largest impacts on the analyses' quality and that T observations have stronger impacts overall than δD observations. We show that there is no significant impact of δD observations for stable atmospheric conditions; however, for very unstable conditions, the impact of δD observations is significant and even slightly stronger than the respective impact of T observations. Very unstable conditions are rare but are related to extreme events (e.g. storms, flooding); i.e. the δD observations significantly impact the analyses' quality of the events that have the largest societal consequences. The fact that no satellite observations are available at the location and time of the unstable conditions indicates a remote impact of δD observations that are available elsewhere. Concerning real-world applications, we conclude that the situation of δD satellite observations is very promising but that further improving the model's linkage between convective processes and the larger-scale δD fields might be needed for optimizing the assimilation impact of real-world δD observations.
Drainage rearrangement in an intra-continental mountain belt: a case study from the central South Tian Shan, Kyrgyzstan
Authors: Gong Lingxiao , van der Beek Peter , Schildgen Taylor F. , Sobel Edward R. , Racano Simone , Mariotti Apolline , McNab Fergus 
Published: September 2024

Abstract. Fluvial drainage patterns in orogenic belts reflect interactions among tectonics, climate, and lithology. The central South Tian Shan displays a complex fluvial drainage pattern that shifts from longitudinal (flowing parallel to mountain ranges) in the west to transverse (flowing across ranges) in the east. Whether such drainage patterns reflect underlying patterns of tectonic deformation, lithology, climate, or the influence of surface processes within a drainage basin is often unclear. We focus here on the large Saryjaz catchment of SE Kyrgyzstan, which marks the transition between longitudinal and transverse drainages. We analyse topographic and fluvial metrics including slope, river steepness (ksn), and the integral proxy (χ) along the river profile, and we map the spatial distribution and characteristics of knickpoints to discern the possible controls on the observed drainage pattern. We discriminate between knickpoints of different origin, namely tectonic, lithologic, glacial, and those linked to transient waves of incision. We find a series of transient knickpoints in tributaries downstream of a sharp 180° bend in the main stem of the Saryjaz river, which also marks a striking increase in channel steepness. Both observations indicate accelerated incision along this lower reach of the catchment. Knickpoint elevations and ksn below the knickpoints decrease downstream, whereas χt values of knickpoints (χ measured from the tributary junctions) remain near-constant among tributaries. These results, together with a comparison of other rivers in the vicinity that show no evidence of transient knickpoints, suggest that transient incision in the Saryjaz catchment is driven “top-down” by a large-magnitude river capture event rather than “bottom-up” by accelerated uplift or base-level fall. We estimate an erodibility parameter from 10Be-derived catchment-average denudation rates and use this to estimate the celerity of knickpoints. We find that the knickpoints started retreating at a similar time between ca. 1.5 and 4.4 Myr ago. Considering the river patterns and the timing constraints, we suggest that this capture event was likely driven by the overfill of Neogene intermontane basins, potentially affected by both tectonic and climate factors.