bluuebunny/crossref_metadata_2025_split huggingface dataset:
30-year experience of the diagnosis and treatment of gallstone ileus
Authors: Korol Ya. , Bokhonko R. , Pater Ya. , Stasyshyn A. , Fedchyshyn N. , Holyk Yu. 
Published: August 2024

Background. Gallstone ileus is a pathology characterized by a variety of clinical manifestations and types of the course. Therefore, it is difficult in the diagnostic and therapeutic aspect and leads to unsatisfactory treatment results. The aim of the work is to find out the features of diagnosis and treatment of patients with gallstone ileus. Materials and methods. A retrospective analysis was performed of 51 medical records of inpatients with gallstone obstruction operated in the clinic from 1990 to 2020. Women aged 61 to 85 (median of 74.20 ± 12.95) years predominated — 44 (86.3 %). Most patients (81 %) had concomitant diseases, which in combination with gallstone ileus caused high surgical risk: coronary heart disease — 26 (51 %), essential hypertension — 11 (21.6 %), diabetes mellitus — 3 (5.9 %), obesity — 1 (2 %). Results. During the clinical, laboratory and instrumental examinations, the following preliminary diagnoses were made, for which surgical treatment was performed: acute adhesive intestinal obstruction — 29 (56.9 %), gallstone ileus — 9 (17.6 %), acute bowel obstruction — 4 (7.8 %), acute mesenteric circulatory failure — 4 (7.8 %), acute cholecystitis — 3 (5.9 %), hernia — 1 (1.9 %), peritonitis — 1 (1.9 %). Gallstone obstruction was detected at different levels: in the duodenum — in 3 (5.9 %) patients, jejunum — in 17 (33.3 %), ileum — in 23 (45.1 %) and colon — 8 (15.7 %) patients. The cause of stones in the lumen of the digestive tract was cholecystoduodenal fistula — in 48 (94.1 %) and choledochoduodenal fistula — in 3 (5.9 %) patients. Diagnosis of biliary fistulas was performed during postoperative radiological and endoscopic examination. The scope of surgery was aimed at eliminating acute intestinal obstruction; enterotomy was performed 5–10 cm distal to the site of obstruction with lithoextraction. In one patient with areas of focal necrosis at the site of stone entrapment, a loop of the small intestine was resected with entero-enterostomy “side-by-side”. In case of duodenal obstruction, lithoextraction was performed through gastrotomy. In the perioperative period, 43 (84.3 %) patients received antibiotic prophylaxis using cephalosporines, fluoroquinolones and metronidazole. Purulent-septic complications in the postoperative period developed in 9 (17.6 %) patients: suppuration of the postoperative wound in 6, infiltrate of the abdominal cavity in 1 and bronchopneumonia in 2. Two patients died, postoperative mortality was 3.9 %. Conclusions. Gallstone intestinal obstruction is difficult to diagnose due to a variety of clinical manifestations and course, and, accordingly, it is accompanied by frequent complications and high mortality. Surgical treatment should eliminate intestinal obstruction in conditions of high surgical risk without repair of biliodigestive fistula. Early detection and determination of indications for planned surgical sanitation of the biliary tract is a reliable way to prevent gallstone ileus.
Pengaruh Metode Latihan Drill Bowling Terhadap Ketepatan Bowler Mahasiswa UKM Cricket Universitas Jambi
Authors: Al Asyam Muhammad Farras , Muzaffar Ahmad 
Published: August 2024

Tujuan dari penelitian ini adalah untuk menguji pengaruh metode latihan drill bowling terhadap ketepatan bowler mahasiswa UKM cricket Universitas Jambi. Penelitian ini menggunakan rancangan pre- experimental dengan desain one group pretest posttest design. Penelitian ini dilakukan selama 16 kali pertemuan dengan frekuensi latihan 3 kali seminggu dalam 5 minggu. Berdasarkan hasil penelitian dengan analisis data dan pengujian hipotesa, maka dapat di Tarik kesimpulan bahwa terdapat Pengaruh Metode Latihan Drill Terhadap Ketepatan Bowling Mahasiswa UKM Universitas Jambi. Apabila dilihat dari angka Mean Difference atau rata-rata pada tes awal sebesar 12,50 dan rata-rata tes akhir sebesar 25,65, hasil penelitian ini diperkuat dengan hasil uji t dapat dilihat bahwa t hitung (2,708) > t tabel (1,729), maka hipotesis pada penelitian ini diterima. Dengan demikian dapat disimpulkan bahwa terdapat Pengaruh Metode Latihan Drill Terhadap Ketepatan Bowling Mahasiswa UKM Cricket Universitas Jambi
Towards the Knowledge Management: Improving The Role of Organizational Citizenship Behavior Through the Job Satisfaction
Authors: Perkasa Didin Hikmah , Purwanto Setiyo , Dhyan Parasakti Ryani , Soelton Mochamad , Arief Harefan 
Published: August 2024

Objective: The objective of this research is to evaluate and analyze the impact of effective good corporate governance and knowledge management on organizational citizenship behavior. In addition, this research also investigated the mediating role of job satisfaction.Methodology: This research involved the saturated sample of 179 employees. Quantitative analysis was carried out through a survey approach using questionnaires and the Smart-PLS model structural analysis method.Findings: An interesting finding in this research is that consistent and structured implementation of GCG has been able to improve organizational performance by reaching the right people through the right channels in a short time. Therefore, employee job satisfaction is no longer the dominant factor in this research.Conclusion: Organizational citizenship behavior has a positive influence on Good Corporate Governance and knowledge management. The implementation of good corporate governance and well-functioning knowledge management makes a positive contribution to the level of job satisfaction. Even though job satisfaction has a significant positive impact on Organizational Citizenship Behavior, job satisfaction does not act as an intermediary in the relationship between Good Corporate Governance and Organizational Citizenship Behavior. In contrast, in the knowledge management framework, job satisfaction plays a role as a mediator that connects the influence of knowledge management on organizational citizenship behavior.
SOCIAL IMPLICATIONS OF EARTHQUAKES ON THE WORK ETHIC OF TRADERS AT MANONDA PRESIDENTIAL MARKET, HAMMER CITY
Authors: Jamaluddin  , Abdul Hakim  , Nisbah  
Published: August 2024

This study aims to investigate the work ethic of traders in public markets after experiencing the socioeconomic impacts of the earthquake. The social implications of the earthquake include the capabilities that arise in response to the impact of the earthquake, the adaptability to the challenges faced, and the dynamics in the social relations of traders.The results of this study reveal facts that explain the social implications of the earthquake on the work ethic of traders in the Inpres Manonda Market, Palu City. After experiencing the impact of the earthquake; 1) the traders created a social environment and production activities as a unity of functions in the m anagement of the trading business 2) strengthening work orientation with the belief that work is a gift from Allah SWT, 3) applying the principle of flexibility in the use of capital, 4) each trader gave strength to the construction of group roles as a safeguard from price pressures and competition.
Aromaterapia e imágenes guiadas estrategias no farmacológicas para el manejo del dolor agudo tardío postoperatorio
Authors: Pinto-Anaya Diana Marcela , Puerto-Toloza Leidy Johanna , Parra Dora Inés 
Published: August 2024

Introducción. Existen diferentes estrategias no farmacológicas para el manejo, siendo una de ellas la aromaterapia e imágenes guiadas. Este artículo tiene como objetivo describir una experiencia de la práctica de enfermería donde se utilizó estas estrategias para disminuir el nivel de dolor tardío en personas adultas sometidas a procedimiento quirúrgico. Materiales y Métodos. Consistió en un proyecto práctico en el que se aplicó una intervención obtenida a partir de una búsqueda sistemática de la literatura científica. Se utilizó el NOC “Nivel del dolor” antes y después de la intervención para evaluar: dolor referido, expresiones faciales de dolor, gemidos y gritos e inquietud. Resultados. El nivel de dolor disminuyó un 17.2%, pasando de un 80% a un 62.8%. El NOC “Nivel de dolor” inicial en los participantes fue: el 50% dolor sustancial, el 23% dolor moderado, el 15.3% un dolor grave y el 11.5% un dolor leve. El NOC final fue el 42.3% dolor moderado, el 30.7% un dolor leve y el 3.8% un dolor sustancial. Además, el 23% de los pacientes refirieron no sentir dolor alguno después de la intervención. En cuanto a las expresiones faciales de dolor antes de la intervención, el 76.9% de los pacientes presentaban expresiones faciales moderadas, el 3.8% graves y el 19.2% no se observaron. Posterior a la intervención, en el 19.2% de los pacientes se observaron expresiones faciales moderadas, en el 3.8% graves y en el 76.9% no se observaron. Conclusiones. La experiencia anterior, motiva a la evaluación permanente con la lectura crítica, en búsqueda de la mejor evidencia científica que soporta los cuidados de enfermería, es así que, el nivel inicial de dolor disminuyó en comparación al nivel post intervención el cual se ubicó en su mayoría en un nivel “ninguno demostrado”, lo que sugiere que es una intervención efectiva en el manejo del dolor postoperatorio como se indica en la literatura científica.
Effect of SARS-CoV-2 Infection on Incident Diabetes by Viral Variant: Findings From the National COVID Cohort Collaborative (N3C)
Authors: Wong Rachel , Hall Margaret A. , Wiggen Talia , Johnson Steven G. , Huling Jared D. , Turner Lindsey E. , Wilkins Kenneth J. , Yeh Hsin-Chieh , Stürmer Til , Bramante Carolyn T. , Buse John B. , Reusch Jane ,   N3C Consortium
Published: August 2024

OBJECTIVE
The coronavirus 2019 (COVID-19) pandemic has evolved over time by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variant, disease severity, treatment, and prevention. There is evidence of an elevated risk of incident diabetes after COVID-19; our objective was to evaluate whether this association is consistent across time and with contemporary viral variants.

RESEARCH DESIGN AND METHODS
We conducted a retrospective cohort study using National COVID Cohort Collaborative (N3C) data to evaluate incident diabetes risk among COVID-positive adults compared with COVID-negative patients or control patients with acute respiratory illness (ARI). Cohorts were weighted on demographics, data site, and Charlson comorbidity index score. The primary outcome was the cumulative incidence ratio (CIR) of incident diabetes for each viral variant era.

RESULTS
Risk of incident diabetes 1 year after COVID-19 was increased for patients with any viral variant compared with COVID-negative control patients (ancestral CIR 1.16 [95% CI 1.12–1.21]; Alpha CIR 1.14 [95% CI 1.11–1.17]; Delta CIR 1.17 [95% CI 1.13–1.21]; Omicron CIR 1.13 [95% CI 1.10–1.17]) and control patients with ARI (ancestral CIR 1.17 [95% CI 1.11–1.22]; Alpha CIR 1.14 [95% CI 1.09–1.19]; Delta CIR 1.18 [95% CI 1.11–1.26]; Omicron CIR 1.20 [95% CI 1.13–1.27]). There was latency in the timing of incident diabetes risk with the Omicron variant; in contrast with other variants, the risk presented after 180 days.

CONCLUSIONS
Incident diabetes risk after COVID-19 was similar across different SARS-CoV-2 variants. However, there was greater latency in diabetes onset in the Omicron variant era.
From the “abyss of misunderstanding” to the “abyss of meanings” (on methodological approaches to the study of the story by T. Tolstaya “Look on the back” in the 11th grade)
Authors: Кочетова Е.В. 
Published: August 2024

В статье рассматривается специфика урока литературы, в котором учтена природа изучаемого текста на уровне композиции, формы, стиля, образно-смысловых связей. Автором проиллюстрированы на примере урока по рассказу Т. Толстой «Смотри на обороте» особенности организации мыслительной деятельности читателей-школьников, опирающейся на синтезированные структуры.
The article considers the specifics of a literature lesson, in which the nature of the text studied at the levels of composition, style, figurative and semantic connections is taken into account. By the example of a lesson based on the story of T. Tolstaya "Look on the back", the author illustrates the features of a student reader’s mental activity basing on synthesized structures.
Analisis Sistem Pengendalian Internal Terhadap Pengelolaan Dana Pada Badan Usaha Milik Desa (BUMDes)
Authors: Sukarmayasa Ketut , Atmadja Anantawikrama Tungga 
Published: August 2024

Sistem Pengendalian Internal merupakan sebuah sistem yang perlu dikembangkan oleh setiap organisasi, agar tujuan dapat dicapai secara efektif dan efisien. Penerapan sistem pengendalian dengan menciptakan lingkungan pengendalian, melakukan aktifitas pengendalian, pengelolaan risiko, informasi dan komunikasi, serta pemantauan kegiatan secara berkesinambungan merupakan serangkaian aktifitas yang sangat berguna untuk menjaga dan meningkatkan aset usaha. BUMDes Giri Amertha Sadhu adalah badan usaha milik desa Bontihing, yang mengembangkan usaha di Unit Simpan Pinjam, Unit Toko, Unit PAM desa atau UPS dalam menjalankan aktifitas operasional usaha, telah memiliki struktur organisasi yang terdiri dari dewan pengawas, penasehat, direktur, ketua unit usaha, bendahara dan sekertaris, dan beberapa karyawan. Berdasarkan hasil penelitian lapangan yang dilaksanakan di BUMDes Giri Amertha Sadhu. Desa Bontihing Kec. Kubutambahan, diperoleh kesimpulan bahwa, dari aspek komponen COSO, sistem pengendalian internal BUMDes Giri Amertha Sadhu sudah cukup berjalan dengan baik, hanya pada komponen penelian resiko ,informasi dan komunikasi yang masih terdapat kelemahan. Selain itu, BUMDes perlu secara rutin melaksanakan pelatihan yang dapat meningkatkan kompetensi karyawannya. Adapun Kelemahan yang saat ini yang di alami pada Bumdesa. Kelemahan yang masih dijumpai yaitu masi kurangnya SDM yang memiliki kompetensi di bagiannya masing – masing baik dari segi pencatatanya maupun pelaporan yang menggunakan dan mengoprasikan prangkat lunak.
Peanfaatan Okra (Abelmoschus Esculentus) Sebagai Tambahan Dalam Pembuatan Dendeng SapiI
Authors: Yonsen Ketut Meli 
Published: August 2024

Penelitian ini bertujuan untuk mengetahui : (1) menentukan formula Dendeng sapi dengan tambahan okra ; (2) dalam penelitian ini bertujuan mengetahui kualitas dendeng dengan tambahan okra dari aspek aroma, tekstur dan warna. Jenis penelitian ini adalah penelitian kuantitatif dengan metode eksperimen. Dengan ini Panelis dalam penelitian ini adalah panelis terlatih dengan jumlah 20 panelis. Dalam penelitian ini menggunakan metode pengumpulan data yang digunakan adalah observasi melalui lembar uji kualiatas. Pada hasil penelitian ini menunjukan : (1) untuk Formula yang tepat pada pembuatan dendeng yaitu: 20% okra dan 80% daging sapi daging sapi 800 gram, okra 200 gram, gula merah 300 gram, bawang putih 64 gram, cabai merah 60 gram, garam 30 gram, ketumbar 15 gram, asam 8 gram, merica 4 gram. (2) dilihat dari Kualitas dendeng sapi dengan tambahan okra dari aspek aroma diperoleh nilai rata-rata 2,65 dalam kategori baik, sesuai dengan tolak ukur yaitu beraroma daging dan rempah. Kualitas dendeng sapi dengan tambahan okra dilihat dari aspek tekstur diperoleh nilai sebesar 2,5 dengan kategori baik, sesuai dengan tolak ukur dengan tekstur alot. Kualitas dendeng sapi dengan tamabahan okra dilihat dari aspek warna memperoleh skor 2,8 yaitu kategori baik, sesuai dengan tolak ukur adalah memiliki warna coklat.
Pangan Lokal Tepung Kacang Gude (Cajanus Cajan (L) Millsp.) Dalam Pembuatan Brownies Kukus
Authors: Murni Ni Nyoman , Masdarini Luh , Ida Ayu Putu Hemy Ekayani  
Published: August 2024

Penelitian ini bertujuan untuk mengetahui formula dan kualitas brownies kukus dari tepung kacang gude dilihat dari segi warna, tekstur dan rasa. Penelitian ini merupakan penelitian eksperimen dengan jumlah panelis terbatas 5 orang dosen kuliner program studi Pendidikan Vokasional Seni Kuliner (PVSK), Universitas Pendidikan Ganesha. Metode pengumpulan data penelitian adalah observasi melalui uji organoleptik dengan 5 tingkatan dalam skala Likert yaitu sangat sesuai, sesuai, cukup sesuai, kurang sesuai dan sangat tidak sesuai. Data dianalisis dengan teknik deskriptif kuantitatif. Hasil penelitian menunjukkan bahwa (1) Formula brownies kukus tepung kacang gude yaitu, 75 gram tepung kacang gude, 100 gram margarin, 100 gram cokelat batang, 75 gram gula pasir, 15 gram cokelat bubuk, 3 butir telur dan ½ sendok teh baking powder, (2) Kualitas brownies kukus tepung kacang gude dari segi warna memperoleh skor rata-rata 4,8 dengan kategori “sangat sesuai” dengan tolok ukur yaitu berwarna cokelat tua atau cokelat pekat. Dari segi tekstur brownies kukus tepung kacang gude memperoleh skor rata-rata 4,4 dengan kategori “sangat sesuai” dengan tolok ukur yaitu tekstur lembab atau Moist, memiliki pori-pori kecil, dan kurang mengembang. Dari segi rasa brownies kukus tepung kacang gude memperoleh skor rata-rata 4,6 dengan kategori “sangat sesuai” dengan tolok ukur yaitu memiki rasa manis legit khas cokelat.
Kata Kunci: Brownies Kukus, Tepung Kacang Gude, Pangan Lokal,
PENGEMBANGAN BUSANA READY TO WEAR DENGAN SUMBER IDE BARONG LANDUNG
Authors: Dilla Ayu , Widiartini Ni Ketut , Mayuni Putu Agus 
Published: August 2024

Penelitian ini bertujuan (1) mendeskripsikan proses pengembangan busana ready to wear dengan sumber ide Barong Landung (2) mendeskrispikan kelayakan produk oleh ahli dan pengguna pada busana ready to wear dengan sumber ide Barong Landung. Penelitian ini merupakan penelitan pengembangan (research and development) dengan model pengembangan PPE: Perencanaan (Planning), Produksi (Production) dan Evaluasi (Evaluation). Pengumpulan data menggunakan kuesioner instrumen yang telah diuji validitasnya. Tahapan pengembangan PPE terhadap busana ready to wear dengan sumber ide Barong Landung melalui beberapa tahapan, antara lain: tahap pertama (Planning) yang terdiri atas perencanaan pengembangan produk meliputi analisis sumber ide yang akan dikembangkan menjadi busana ready to wear. Kemudian proses pembutan rancangan desain busana ready to wear deluxe dan rancangan bahan. Setelah menyelesaikan proses perencanaan maka dilanjutkan dengan tahap produksi (Production) yang meliputi proses memotong bahan, menjahit bagian busana hingga proses penyelesaian akhir. Dilanjutkan pada tahap akhir evaluasi (Evaluation) terhadap kelayakan hasil produk busana ready to wear dengan uji produk melalui penilaian ahli produj serta pengguna. Pengembangan busana ready to wear sumber ide Barong Landung yang terfokus pada ciri khusus sesuai dengan figur Barong Landung yakni Jro Gede dan Jro Luh. Berdasarkan hasil uji kelayakan produk dengan menilai desain busana, model busana pengembangan hingga hasil busana yang memilih subyek ahli produk mendapat nilai 98% dengan kulaifikasi sangat baik dan uji kelayakan produk oleh pengguna dengan menilai estetika produk serta hasil produk mendapat nilai 96,69% dengan kualifikasi sangat baik. Dari uji yang dilakukan maka pengembangan busana ready to wear dengan sumber ide Barong Landung disimpulkan layak untuk dikembangkan
ASEAN Outlook on The Indo-Pacific Concerning The Implementation of National Determined Contributions To Achieve Sustainable Development Goal 13
Authors: Wartini Sri 
Published: August 2024

The aim of the research is to analyze comprehensively the ASEAN Outlook on the Indo-Pacific (AOIP) concerning the Implementation of National Determined Contributions (NDCs) to achieve Sustainable Development Goal 13, namely “take urgent action to combat climate change and its impacts”. The bad impacts of climate change do not only cause serious impacts to the environment but also to the economic, social life and culture. International cooperation both regional and universal are important due to an individual state will not be able to overcome the bad impacts of climate change. The ambitious commitment of a single state as a member of the Paris Agreement to reduce emission stipulated in the NDCs should be performed in good faith. Indeed, the success of the NDCs will depend on the commitment of individual state to comply and perform the commitment due to the voluntarily character of the NDCs. The AOIP was formulated to guide cooperation and to create the environment for peace, stability, and prosperity while upholding the rules-based regional architecture. However, the AOIP is not legally binding. The research is a normative juridical research, and the approaches are employed are conceptual approach and statutory approach. The results of this research demonstrates that the implementation of NDCs faces many challenges in the ASEAN and Indo-Pacific which depend on the situation and condition of each state, however, there are some opportunities that can be performed.
Factors Causing Student Learning Difficulties in Following Online Learning and Teacher Guidance and Counseling Efforts to Overcome Them
Authors: Marsedes Mona Lisa , Syukur Yarmis 
Published: August 2024

This research is motivated by the phenomenon of students experiencing a decline in grades in certain subjects, not understanding the use of learning applications and having difficulty concentrating on learning. This is due to changes in learning situations that were previously face-to-face turned into online learning. This study aims to describe the factors that cause student learning difficulties in participating in online learning and the efforts of counseling teachers to overcome them. This type of research is descriptive using quantitative methods. The study population consisted of 408 students of SMA Negeri 13 Padang who were registered in the odd semester of the 2020/2021 school year, with a sample of 202. The sample selection used a proportional random sampling technique. The data collection technique used a questionnaire with a Likert scale model. Data were analyzed using descriptive statistical techniques. The results showed that the factors causing student learning difficulties in participating in online learning were generally in the high enough category. And based on indicators (1) the low factor of technology use is in the high enough category with a percentage of 33.17%, (2) the limited factor of facilities and infrastructure is in the very low category with a percentage of 37.13%, (3) the limited internet network factor is in the very high category with a percentage of 28.71% (4) the limited cost factor of many students was in the quite high category, with a percentage of 38.12%. Furthermore, the counseling teacher's efforts in overcoming are in the high enough category and based on the indicators (1) the increase in learning motivation is in the loe category with a percentage of 58.91% (b) the development of attitudes and good learning habits is in the sufficient category high with a percentage of 32.67%.