bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pulse oximetry in pediatric care: Balancing advantages and limitations
Authors: Al-Beltagi Mohammed , Saeed Nermin Kamal , Bediwy Adel Salah , Elbeltagi Reem 
Published: August 2024

BACKGROUND
Pulse oximetry has become a cornerstone technology in healthcare, providing non-invasive monitoring of oxygen saturation levels and pulse rate. Despite its widespread use, the technology has inherent limitations and challenges that must be addressed to ensure accurate and reliable patient care.
AIM
To comprehensively evaluate the advantages, limitations, and challenges of pulse oximetry in clinical practice, as well as to propose recommendations for optimizing its use.
METHODS
A systematic literature review was conducted to identify studies related to pulse oximetry and its applications in various clinical settings. Relevant articles were selected based on predefined inclusion and exclusion criteria, and data were synthesized to provide a comprehensive overview of the topic.
RESULTS
Pulse oximetry offers numerous advantages, including non-invasiveness, real-time feedback, portability, and cost-effectiveness. However, several limitations and challenges were identified, including motion artifacts, poor peripheral perfusion, ambient light interference, and patient-specific factors such as skin pigmentation and hemoglobin variants. Recommendations for optimizing pulse oximetry use include technological advancements, education and training initiatives, quality assurance protocols, and interdisciplinary collaboration.
CONCLUSION
Pulse oximetry is crucial in modern healthcare, offering invaluable insights into patients’ oxygenation status. Despite its limitations, pulse oximetry remains an indispensable tool for monitoring patients in diverse clinical settings. By implementing the recommendations outlined in this review, healthcare providers can enhance the effectiveness, accessibility, and safety of pulse oximetry monitoring, ultimately improving patient outcomes and quality of care.
WASIAT DALAM PERSPEKTIF HADITS AHKAM
Authors: Nasution Rusli Halil 
Published: August 2024

Penelitian ini bertujuan untuk mengkaji lebih dalam konsep Hadits yang menurut peneliti perlu untuk diteliti adalah hadits-hadits tentang wasiat, yang hadits-hadits tersebut memberikan informasi kepada kita bahwa wasiat harus ditulis ketika usia kita telah lanjut, dan ketika memberikan wasiat tidak boleh lebih dari sepertiga harta. Permasalahan yang akan dicari jawaban dalam skripsi ini adalah bagaimanakah kualitas hadits tentang wasiat tersebut. Sedangkan tujuan dari penelitian ini adalah untuk mengetahui kualitas hadits dan kandungannya dari hadits tentang wasiat tersebut. Penelitian ini adalah penelitian kepustakaan (library research), yang sifatnya termasuk penelitian deskriptif analisis. Metode pengumpulan data yang penulis gunakan ada dua yaitu data primer yang secara langsung diperoleh peneliti dari sumber asli seperti Sunan An-Nasai‟, Sunan Ibnu Majah dan Sunan Abi Daud. Selain itu menggunakan data sekunder yang diperoleh dari buku-buku yang berkaitan dengan wasiat. Selain itu juga dalam menganalisa penulis menggunakan kritik ekstern dan intern. Istilah kritik ekstern (an-Naqd al-Khariji), yaitu kritik yang ditunjukan kepada sanad hadits. Dengan demikian fokus kritik ekstern dalam sekripsi ini adalah sanad hadits tentang wasiat yang telah ditakhrij dan kritik intern (naqad al-dakhili) yang ditujukan pada matan dengan menggunakan alat bantu Al-Maktabah Al-Syamilah.
NILAI-NILAI KEBAIKAN PERKOPERASIAN DALAM PERSPEKTIF HUKUM ISLAM
Authors: KY Yuliusman , Tanjung Dhiauddin 
Published: August 2024

Tulisan ini bertujuan bahwa pada umumnya modus kejahatan investasi seperti arisan bodong, investasi bodong dan lainnya adalah berawal dari iming-iming oknum dengan bujuk rayu yang menjanjikan keuntungan berlipat ganda. Perbuatan gharar yang di-make up dengan berbagai rupa dan kerap menelan korban tersebut ternyata tidak lantas membuat masyarakat jera, bahkan diminati para individu yang bermimpi hidupnya akan berubah secara instan. Fenomena ini menunjukan tingginya animo masyarakat terhadap bisnis investasi namun sayangnya tidak dibarengi pengetahuan dan itikad baik. Salah satu upaya pemerintah dalam mencerdaskan dan melindungi bangsa adalah dengan cara mendorong terlaksananya usaha bersama berbentuk koperasi sebagaimana ketentuan Undang-Undang No.17 Tahun 2012 tentang Perkoperasian yang di dalamnya terdapat klausul nilai-nilai kebaikan sejalan dengan ajaran agama islam seperti halnya syirkah yakni bentuk usaha bersama. Karenanya jurnal ini mengulas seperti apakah nilai-nilai kebaikan dimaksud berdasarkan sudut pandang islam yang hukumnya mengatur perilaku umat.
PENGARUH STRATEGI PEMASARAN, KUALITAS PELAYANAN, DAN KEPUASAN PELANGGAN TERHADAP PENINGKATAN PENJUALAN PRODUK SARI KURMA GINGSENG SALSABIL PADA PT. SHAD GLOBAL INDONESIA MSUT27 MEDAN DELI
Authors: Muhairani Nurul , Miko Jeroh 
Published: August 2024

Adapun penelitian ini bertujuan untuk mengetahui dan menganalisis pengaruh strategi pemasaran, kualitas pelayanan dan kepuasan pelanggan terhadap peningkatan penjualan produk sari kurma gingseng salsabil pada PT. Shad Global Indonesia MSUT27 Medan Deli secara simultan. Penelitian ini merupakan penelitian deskripsi kuantitatif. Teknik pengumpulan data dilakukan melalui daftar pernyataan (questioner) dan studi dokumentasi. Sampel dalam penelitian ini sebanyak 48 responden, dengan analisis regresi linear berganda. Pengujian hipotesis regresi linear berganda melalui uji t dan uji f. Secara parsial Strategi Pemasaran berpengaruh Terhadap Peningkatan Penjualan, diketahui hasil perhitungan thitung > ttabel yaitu 13,328 > 2,014 dan nilai sig 0,000 < 0,05 maka H1 diterima dan H0 di tolak. Kualitas Pelayanan berpengaruh Terhadap Peningkatan Penjualan, diketahui hasil perhitungan thitung > ttabel yaitu 5,264 > 2,014 dan nilai sig 0,000 < 0,05 maka H2 diterima dan H0 di tolak. Dan Kepuasan Pelanggan berpengaruh Terhadap Peningkatan Penjualan hal ini dapat dilihat dari hasil perhitungan thitung > ttabel 2,546 > 2,014 dan nilai sig 0,014 < 0,05 maka H3 diterima dan H0 di tolak. Secara simultan Strategi Pemasaran, Kualitas Produk dan Kepuasan Pelanggan berpengaruh Peningkatan Penjualan, diketahui hasil perhitungan fhitung > ftabel yaitu 431,340 > 3,20 dan nilai sig 0,000 < 0,05 maka H4 diterima dan H0 di tolak. Sehingga dapat disimpulkan bahwa Strategi Pemasaran, Kualitas Pelayanan dan Kepuasan Pelanggan berpengaruh terhadap Peningkatan Penjualan. Nilai koefisien determinan sebesar 0,967 berarti Peningkatan Penjualan produk sari kurma gingseng salsabil pada PT. Shad Global Indonesia MSUT27 Medan Deli dipengaruhi strategi pemasaran, kualitas produk dan kepuasan pelanggan sebesar 96,7%.
Early clinical outcomes of two regimens of prophylactic antibiotics in cardiac surgical patients with delayed sternal closure
Authors: Eissa Mahmoud Ismail Allam , Kaddoura Rasha , Hassan Danial , Carr Cornelia S , Hanoura Samy , Shouman Yasser , Almulla Abdulwahid , Omar Amr Salah 
Published: August 2024

BACKGROUND
Delayed sternal closure (DSC) can be a lifesaving approach for certain patients who have undergone cardiac surgery. The value of the type of prophylactic antibiotics in DSC is still debatable.
AIM
To investigate clinical outcomes of different prophylactic antibiotic regimens in patients who had DSC after cardiac surgery.
METHODS
This was a retrospective observational single-center study. Fifty-three consecutive patients who underwent cardiac surgery and had an indication for DSC were included. Patients were subjected to two regimens of antibiotics: Narrow-spectrum and broad-spectrum regimens.
RESULTS
The main outcome measures were length of hospital and intensive care unit (ICU) stay, duration of mechanical ventilation, and mortality. Of the 53 patients, 12 (22.6%) received narrow-spectrum antibiotics, and 41 (77.4%) received broad-spectrum antibiotics. The mean age was 59.0 ± 12.1 years, without significant differences between the groups. The mean duration of antibiotic use was significantly longer in the broad-spectrum than the narrow-spectrum group (11.9 ± 8.7 vs 3.4 ± 2.0 d , P < 0.001). The median duration of open chest was 3.0 (2.0-5.0) d for all patients, with no difference between groups (P = 0.146). The median duration of mechanical ventilation was significantly longer in the broad-spectrum group [60.0 (Δ interquartile range (IQR) 170.0) h vs 50.0 (ΔIQR 113.0) h, P = 0.047]. Similarly, the median length of stay for both ICU and hospital were significantly longer in the broad-spectrum group [7.5 (ΔIQR 10.0) d vs 5.0 (ΔIQR 5.0) d, P = 0.008] and [27.0 (ΔIQR 30.0) d vs 19.0 (ΔIQR 21.0) d, P = 0.031]. Five (9.8%) patients were readmitted to the ICU and 18 (34.6%) patients died without a difference between groups.
CONCLUSION
Prophylactic broad-spectrum antibiotics did not improve clinical outcomes in patients with DSC post-cardiac surgery but was associated with longer ventilation duration, length of ICU and hospital stays vs narrow-spectrum antibiotics.
Rhabdomyolysis-related acute kidney injury in patients with COVID-19
Authors: Murt Ahmet , Altiparmak Mehmet Riza 
Published: August 2024

BACKGROUND
Viral and bacterial infections may be complicated by rhabdomyolysis, which has a spectrum of clinical presentations ranging from asymptomatic laboratory abnormalities to life-threatening conditions such as renal failure. Direct viral injury as well as inflammatory responses may cause rhabdomyolysis in the course of coronavirus disease 2019 (COVID-19). When presented with acute kidney injury (AKI), rhabdomyolysis may be related to higher morbidity and mortality.
AIM
To compare rhabdomyolysis-related AKI with other AKIs during COVID-19.
METHODS
A total of 115 patients with COVID-19 who had AKI were evaluated retrospectively. Fifteen patients had a definite diagnosis of rhabdomyolysis (i.e. , creatine kinase levels increased to > 5 times the upper normal range with a concomitant increase in transaminases and lactate dehydrogenase). These patients were aged 61.0 ± 19.1 years and their baseline creatinine levels were 0.87 ± 0.13 mg/dL. Patients were treated according to national COVID-19 treatment guidelines. They were compared with patients with COVID-19 who had AKI due to other reasons.
RESULTS
For patients with rhabdomyolysis, creatinine reached 2.47 ± 1.17 mg/dL during follow-up in hospital. Of these patients, 13.3% had AKI upon hospital admission, and 86.4% developed AKI during hospital follow-up. Their peak C-reactive protein reached as high as 253.2 ± 80.6 mg/L and was higher than in patients with AKI due to other reasons (P < 0.01). Peak ferritin and procalcitonin levels were also higher for patients with rhabdomyolysis (P = 0.02 and P = 0.002, respectively). The mortality of patients with rhabdomyolysis was calculated as 73.3%, which was higher than in other patients with AKI (18.1%) (P = 0.001).
CONCLUSION
Rhabdomyolysis was present in 13.0% of the patients who had AKI during COVID-19 infection. Rhabdomyolysis-related AKI is more proinflammatory and has a more mortal clinical course.
Ambispective epidemiological observational study of varicella-zoster virus infection: An 18 year-single-center Bulgarian experience
Authors: Batselova Hristiana M , Velikova Tsvetelina V 
Published: August 2024

BACKGROUND
Varicella (chickenpox) and herpes zoster (shingles) are outcomes of varicella-zoster virus (VZV) infection, and understanding their incidence trends is vital for public health planning.
AIM
To conduct an ambispective epidemiological study by analyzing the main epidemiological characteristics of VZV infection during an 18 year-period (2000-2018).
METHODS
We used descriptive and epidemiological methods to characterize chickenpox in Bulgaria, the city of Plovdiv and the region for a period of 18 years (2000-2018).
RESULTS
The average incidence of varicella-zoster infection for the period 2000–2018 in the Plovdiv region was estimated at 449.58‰. The highest relative share of the infection was assessed in the month of January at 13.6%, and the lowest in the months of August and September at 2.9% (both months). The age group most affected by the infection was 1-4 years, followed by 5-9 years. This corresponds to the so-called "pro-epidemic population" - a phenomenon typical for airborne infections, confirming their mass impact on the perpetuation of VZV infection.
CONCLUSION
Our findings reveal significant insights into VZV epidemiology, including age-specific incidence rates, clinical manifestations, and vaccination impact. This comprehensive analysis contributes to the broader understanding of VZV infection dynamics and may inform evidence-based preventive measures.
Dosage and utilization of dexamethasone in the management of COVID-19: A critical review
Authors: Sethi Imran , Shaikh Asim , Sethi Musa , Chohan Hira Khalid , Younus Sheraz , Khan Syed A , Surani Salim 
Published: August 2024

BACKGROUND
The severe respiratory manifestations observed in severe coronavirus disease 2019 (COVID-19) cases are often associated with an excessive inflammatory response. Dexamethasone, a synthetic glucocorticoid, exerts its anti-inflammatory effects by inhibiting the transcription of pro-inflammatory genes and suppressing the activity of various immune cells. This mechanism has implications for mitigating the cytokine storm observed in severe COVID-19 cases. Early on in the pandemic, the Recovery Collaborative working group showed a mortality benefit of using dexamethasone in decreasing mortality in patients with COVID-19 requiring respiratory support. However, the optimal dosage of corticosteroids remains debatable. Several studies that compare different doses of dexamethasone in COVID-19 exist, but the results are conflicting.
AIM
To review the latest evidence regarding dosage, safety, and efficacy of dexamethasone in severe COVID-19.
METHODS
We followed preferred reporting items for systematic reviews and meta-analysis guidelines. A detailed literature search was conducted across PubMed, Google Scholar, and Medline to include publications up to March 2024. Our keywords included “COVID-19” “SARS-CoV-2” “dexamethasone” “corticosteroid” “steroid” and “glucocorticoid”-along with their combinations. We employed the Cochrane Risk of Bias Tool and the Newcastle-Ottawa scale to evaluate the integrity and potential of bias in the included studies. A meta-analysis was conducted using a random-effects model, assessing pooled odds ratios and mean differences, with heterogeneity gauged by the I 2 statistic and the χ 2 tests.
RESULTS
No statistical differences were found in 28-day all-cause mortality [pooled odds ratio (OR) = 1.109, 95%CI: 0.918-1.340], 60-day all-cause mortality (OR = 0.873, 95%CI: 0.744-1.024; I 2 = 47.29%), mean length of hospital stay (mean difference = -0.08 days, 95%CI: -0.001 to 0.161) and adverse events (OR = 0.877, 95%CI: 0.707-1.087).
CONCLUSION
Differing doses of corticosteroids have no clinical implications on mortality, mean length of hospital stay, and adverse events in COVID-19 patients. Additional research is required in patients requiring invasive or non-invasive ventilation.
Transient elastography and diffusion-weighted magnetic resonance imaging for assessment of liver fibrosis in children with chronic hepatitis C
Authors: El-Guindi Mohamed A , Allam Alif A , Abdel-Razek Ahmed A , Sobhy Gihan A , Salem Menan E , Abd-Allah Mohamed A , Sira Mostafa M 
Published: August 2024

BACKGROUND
Chronic hepatitis C (CHC) is a health burden with consequent morbidity and mortality. Liver biopsy is the gold standard for evaluating fibrosis and assessing disease severity and prognostic purposes post-treatment. Noninvasive alternatives for liver biopsy such as transient elastography (TE) and diffusion-weighted magnetic resonance imaging (DW-MRI) are critical needs.
AIM
To evaluate TE and DW-MRI as noninvasive tools for predicting liver fibrosis in children with CHC.
METHODS
This prospective cross-sectional study initially recruited 100 children with CHC virus infection. Sixty-four children completed the full set of investigations including liver stiffness measurement (LSM) using TE and measurement of apparent diffusion coefficient (ADC) of the liver and spleen using DW-MRI. Liver biopsies were evaluated for fibrosis using Ishak scoring system. LSM and liver and spleen ADC were compared in different fibrosis stages and correlation analysis was performed with histopathological findings and other laboratory parameters.
RESULTS
Most patients had moderate fibrosis (73.5%) while 26.5% had mild fibrosis. None had severe fibrosis or cirrhosis. The majority (68.8%) had mild activity, while only 7.8% had moderate activity. Ishak scores had a significant direct correlation with LSM (P = 0.008) and were negatively correlated with both liver and spleen ADC but with no statistical significance (P = 0.086 and P = 0.145, respectively). Similarly, histopathological activity correlated significantly with LSM (P = 0.002) but not with liver or spleen ADC (P = 0.84 and 0.98 respectively). LSM and liver ADC were able to significantly discriminate F3 from lower fibrosis stages (area under the curve = 0.700 and 0.747, respectively) with a better performance of liver ADC.
CONCLUSION
TE and liver ADC were helpful in predicting significant fibrosis in children with chronic hepatitis C virus infection with a better performance of liver ADC.
Strategies for Developing Destination Incentive Travel in Nias Island, North Sumatera, Indonesia
Authors: Apriliani Lase  
Published: August 2024

ABSTRACT (Times New Roman 10pt)
Indonesia is a country that has rich marine resources, developing a deep archipelago consisting of more than 17,000 islands with 13,466 islands identified. Every region will grow and develop its potential area, one of the regions with regional potential in north Sumatra in Nias Island. Nias Island has many potential tourism objects attractive and has unique tourism potential.
This study aimed to identify and analyze MICE tourism's potential strategies for incentive travel in Nias Island, North Sumatra, Indonesia. Therefore, the research objectives in this study were focusing on (1) what is the role of the government and private sector in developing tourism incentives in Nias Island? (2) how does the government's strategy for tourism development in making Nias island one of the MICE industry destinations?
The results of the research found that South Nias has tremendous potential in MICE tourism activities. In addition, MICE Tourism in South Nias still requires more professional, creative, and more human resources to increase domestic and international tourists. The development of facilities and infrastructure is also necessary to support tourism activity. Research implications were also discussed. Providing full support to encourage increasing MICE activities in incentives was suggested for the government and the private sector. This study used a qualitative approach with semi-structured interviews and a case study method.
Analisis Variasi Lanskap Linguistik di Museum Negeri Provinsi Sumatera Utara sebagai Daya Tarik Wisata Budaya
Authors: Siti Aisyah  
Published: August 2024

Language has a very important role in tourist destinations, including museum destinations. As a part of the language used in public spaces, the language used at the Museum of North Sumatra as a Cultural Tourism destination is interesting to study in terms of form, function, meaning and value. This research focuses on finding variations in the linguistic landscape found in Museums of North Sumatera and the language function of the linguistic landscape found. The aims of this research is to obtain a description of the use of language variations used in the linguistic landscape of Museums in North Sumatra. This research uses a qualitative descriptive research design. The data in this research are in the form of visual images of information signs explaining historical heritage objects at the Museum of North Sumatera. The data was taken by taking photos in the form of visual images of information explaining historical heritage objects at the Museum of North Sumatera by using a smartphone camera. Two pictures were taken of each sign and the clearer one was chosen from the two pictures. Based on the results, the linguistic landscape variation that is most often found in the Museum of North Sumatera is the bilingualism variation. This is used to anticipate readability by museum visitors who come from foreign tourists.

Abstract

Language has a very important role in tourist destinations, including museum destinations. As a part of the language used in public spaces, the language used at the Museum of North Sumatra as a Cultural Tourism destination is interesting to study in terms of form, function, meaning and value. This research focuses on finding variations in the linguistic landscape found in Museums of North Sumatera and the language function of the linguistic landscape found. The aims of this research is to obtain a description of the use of language variations used in the linguistic landscape of Museums in North Sumatra. This research uses a qualitative descriptive research design. The data in this research are in the form of visual images of information signs explaining historical heritage objects at the Museum of North Sumatera. The data was taken by taking photos in the form of visual images of information explaining historical heritage objects at the Museum of North Sumatera by using a smartphone camera. Two pictures were taken of each sign and the clearer one was chosen from the two pictures. Based on the results, the linguistic landscape variation that is most often found in the Museum of North Sumatera is the bilingualism variation. This is used to anticipate readability by museum visitors who come from foreign tourists.
الممارسة الرياضية ودورها في الحفاظ على التفاعل الاجتماعي الاسري في ظل العولمة
Authors: نوار نوال 
Published: August 2024

الملخص
في عصر العولمة والتطور التقني والتكنولوجي، اصبحت الأسرة تعيش في عالم تقني رقمي تسيطر مجرياته على مجالات الحياة المعاصرة، ورغم ايجابيات الوسائل الحديثة والمبتكرة على الحياة الإنسانية أصبحت المجتمعات تواجه إشكالية التعايش والتفاعل مع هذا العالم المتغير، والإشكاليات التي يطرحها على عملية التفاعل الاجتماعي؛ حيث تسبَّب ذلك في زيادة التباعد والتفاوت الاجتماعي الاقتصادي والتعليمي والمعرفي بين الأفراد، بالاضافة الى انعكاساتها على جودة العلاقات الأسرية واستقرار القيم الاجتماعية في مجتمعنا بما يستدعي الدراسة والبحث، وعليه تهدف هذه الورقة البحثية إلى إلقاء الضوء على اثر العولمة على التفاعل الاجتماعي داخل الأسرة المعاصرة ، وكذا ابراز اهمية الممارسة الرياضية ودورها في ارساء اواصر التفاعل الاجتماعي الاسري في ظل التطور التكنولوجي والاستخدام المفرط للوسائط الاجتماعية بهدف قياس جودة العلاقات االعائلية.
الكلمات المفتاحية : الممارسة الرياضية، التفاعل الاجتماعي، الأسرة، العولمة.
فاعلية برنامج السيكومتر (حسي حركي) في تنمية وتطوير القدرات الادراكية الحسية الحركية لدى اطفال اضطراب طيف التوحد .
Authors: عبد العظيم سيهام 
Published: August 2024

يهدف البحث الى التعرف على مدى تأثير برنامج السيكومتر( نفس حركي ) على تنمية وتطوير القدرات الإدراكية الحسية الحركية لدى أطفال اضطراب طيف التوحد، وقد استخدامت الباحثة المنهج التجريبي، وقد بلغ مجتمع البحث )50) طفل وتم اختيار العينة بالطريقة العمدية من مراكز التاهيل وتم تطبيق العينة على (8)أطفال مناطفال مراكز التاهيل من المجتمع الاصلي لعينة البحث، حيث قامت الباحثة باجراء دراسة استطلاعية على (8)اطفال من المجتمع الأصلي ومن خارج عينة البحث، وقد استخدمت الباحثة مقياس هايود المعدل للقدرات الادراكية الحسية – الحركية بعمر (5-7) سنوات واستمارة تسجيل البيانات وقائمة معززات الطفل التوحدي من تصميم الباحثة، مقياس ستانفورد_بينيه للذكاء )الصورة الخامسة( ترجمة وتقنين/ محمود أبو النيل ،مقياس جيليام التقديري الإصدار الثالث تعريب )عادل عبد الله، عبير أبو المجد(، وقامت الباحثة بإجراء المعالجات الإحصائية المناسبة لهم، وقد توصل الباحث الى اهم النتائج ومنها تأثير البرنامج السيكوموتر( النفس حركي) على تنمية وتطوير القدرات الادراكية الحسية الحركية لدى أطفال اضطراب طيف التوحد تأثيرا إيجابيا،