bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pemanfaatan tepung ampas kopi arabika (Coffea arabica) sebagai substitusi tepung terigu (Triticum compactum) dalam pembuatan bolu klemben
Authors: Santoso Jennifer , Minantyo Hari 
Published: July 2024

Introduction: Coffee production in Indonesia has increased. Increase of production followed by the increase of consumption of coffee. Increase in consumption of coffee causes the stock of coffee dregs to increase. Coffee dregs come from the making of coffee beverages and coffee dregs usage are still at their minimum usage or coffee dregs are not used or discarded. The purpose of this study is to reduce waste which is coffee dregs and optimize that waste as a substitute material in making food and beverages. Besides that, to know the best treatment and substitution percentage to coffee dried flour klemben cake in texture, color, taste and scent. Methods: This study uses experimental and research and development methods. In this study, researchers use two types of treatment to coffee dregs which are drying using sun and roast and using 10%, 15% and 20% as the substitution percentage. Every sample will be tested by organoleptic test with 30 untrained panelists and repetition will be done 3 times. Results: Based on organoleptic test, the most preferred sample by panelists is coffee dregs flour klemben cake with roast treatment and 10% substitution percentage. Conclusion: Utilization of arabica coffee dregs flour gives influence to the color, taste, scent and texture of the sample. The higher substitution percentage usage of coffee dregs flour causes panelists to dislike the sample more.
The Brand Gestalt And Green Marketing As Part of Achieving Village Tourism Sustainability
Authors: Noor Tubagus Dicky Faldy Syahid , Mulyana Mumuh 
Published: July 2024

Brand Gestalt, Green Marketing and Tourism

_____1081

Submitted:
MAY 2024

Accepted:
JULY 2024

Indonesia has many tourist villages that have the potential to be developed and have their characteristics. However, the COVID-19 pandemic has affected tourism, especially tourist villages. Therefore, tourist villages must rise again. As a form of support to create a sustainable tourism village and have a good business. How does the head of the tourism village manager in the developing category in the Java and Bali regions seek to develop a tourist village in their area by creating the establishment of a destination brand, doing green marketing, and, of course, becoming a sustainable tourism village? This research can be regarded as the contribution of a new model that uses other elements and aspects to form a brand destination for a tourist village destination.

Keywords: Brand Gestalt, Green Marketing, Village Tourism Sustainability
Procedural outcomes of percutaneous closure of perimembranous and other ventricular septal defects using Konar-MF occluder and short-term follow-up
Authors: Laha Somrita , Gangopadhyay Debasree , Roy Mahua , Singh Anoop , Nandi Debabrata , Dutta Joyeeta 
Published: July 2024

ABSTRACT

Introduction:
The study aims to assess the procedural outcomes and follow-up after transcatheter closure of ventricular septal defects (VSDs) in children utilizing the Konar-MF™ occluder (Lifetech Scientific, Shenzhen, PRC) device.

Materials and Methods:
Clinical features, demographic characteristics, and follow-up findings of children undergoing percutaneous VSD device closure were retrospectively analyzed from the medical records.

Results:
Fifty-seven patients underwent VSD closure using the Konar-MF occluder between January 2019 and April 2023. Median age and body weight of patients were 36 (5–216) months and 12.5 (3.8–42) kg, respectively. The mean size of the defect on the left ventricular side was 6.5 ± 2.4 mm on echocardiography; the mean pulmonary artery pressure was 19.1 ± 9.7 mmHg. Three patients with severe pulmonary hypertension had successful device closure. The most used device size was 8 mm × 6 mm. The initially chosen device was upsized in 4 (7.01%) patients and downsized in 1 (1.7%) patient. Forty-five patients (78.9%) had device closure through the retrograde route. The procedure was successful in 53 (93.0%) patients. Immediate shunt occlusion was achieved in 86.8% of patients. Major complications, namely, embolization (1) and moderate aortic regurgitation (1) in two patients were successfully managed by surgery. One patient with severe tricuspid regurgitation has been on close follow-up. There was no mortality. Late complications such as valve regurgitation or rhythm disturbance were not identified on a median follow-up of 6 (1.5–47) months.

Conclusion:
Transcatheter VSD closure using a Konar-MF occluder device is safe and effective, even in smaller children. The ability to deliver both anterogradely and retrogradely is a unique advantage.
Transcatheter management of superior vena cava obstruction following cardiac surgery: A case report from a resource-limited set-up
Authors: Islam Nurul , Saha Siddhartha 
Published: July 2024

ABSTRACT
Obstruction of the superior vena cava (SVC) is a rare complication after cardiac surgery in infants and children. We present the case of an 8-year-old boy who underwent bi-directional Glenn shunt followed by takedown of Glenn shunt and complete repair for cyanotic congenital heart disease. After 4 years of surgery, the child developed features of superior vena caval (SVC) syndrome. Echocardiography and CT angiography revealed complete obstruction of SVC without any forward flow. Transcatheter intervention was performed successfully to re-canalize and stent the SVC to maintain its patency. The patient was doing well at follow-up appointments, with good laminar flow through the stent. In conclusion, transcatheter management of post cardiac surgery SVC obstruction was successful in this patient.
Mitral annular disjunction with atrial septal defect in children: An intriguing association
Authors: Agarwal Mridul , Relan Jay , Aggarwal Neeraj , Joshi Raja 
Published: July 2024

ABSTRACT
Mitral annular disjunction (MAD) is defined as a separation between the mitral annulus and the left ventricular myocardium and is most often seen in association with mitral valve prolapse (MVP). MAD has been linked to ventricular arrhythmias in adults, independent of MVP. However, it has rarely been reported in children. We, hereby, report two cases of MAD associated with a large atrial septal defect (ASD). Thus far, there are no consensus guidelines for the management of MAD. The additional association of large ASD further complicates the decision-making in these patients. To the best of our knowledge, this is the first report of the association of MAD with ASD. We further discuss the challenges in the management of this condition.
Long-term outcome of permanent epicardial pacemaker implantation in neonates: Experience from an Indian center
Authors: Bhattacharya Deepanjan , Namboodiri Narayanan , Nair Krishna Kumar Mohanan , Dharan Baiju S. , Sasikumar Deepa , Gopalakrishnan Arun , Krishnamoorthy K. M. , Menon Sabarinath , Ramanan Sowmya , Baruah Sudip Dutta 
Published: July 2024

ABSTRACT

Introduction:
Permanent pacemaker implantation (PPI) in neonates is challenging with respect to indications, device selection, implantation technique, and long-term outcomes. Complex anatomy, the need for long-term pacing with high rates, and a problematic postoperative period are the major problems.

Methods:
We prospectively followed up 22 newborns who underwent PPI below 28 days of life at our institute.

Results:
The median age at implantation was 2 days (interquartile range 1–9 days), and 9% were born preterm. The average heart rate before implantation was 46.4 ± 7.2 bpm. Maternal lupus antibodies were positive in 8 (36.4%) neonates, whereas 11 (50.0%) had associated congenital heart disease. Nineteen neonates underwent single chamber (VVI) and three underwent dual chamber (DDD) pacemaker implantation. Over a median follow-up of 46 months (range 2–123 months), the average ventricular pacing percentage was 87.5 ± 24.9%, with a stable pacing threshold. Seven children underwent pulse generator replacement due to battery depletion at a median age of 47 months. Pacing-induced ventricular dysfunction was seen in five children at a median age of 23.6 months, and two underwent upgradation to cardiac resynchronization therapy. Overall mortality was 13.6%, all due to tissue hypoperfusion and lactic acidosis in the postimplantation period.

Conclusions:
PPI in neonates has a favorable outcome with excellent lead survival. Overall mortality is 13.6%, which is predominantly in the postimplantation period and related to myocardial dysfunction.
Artificial intelligence-based model for automatic real-time and noninvasive estimation of blood potassium levels in pediatric patients
Authors: Torshizi Hamid Mokhtari , Omidi Negar , Khorgami Mohammad Rafie , Jamali Razieh , Ahmadi Mohsen 
Published: July 2024

ABSTRACT

Background:
An abnormal variation in blood electrolytes, such as potassium, contributes to mortality in children admitted to intensive care units. Continuous and real-time monitoring of potassium serum levels can prevent fatal arrhythmias, but this is not currently practical. The study aims to use machine learning to estimate blood potassium levels with accuracy in real time noninvasively.

Methods:
Hospitalized patients in the Pediatric Department of the Rajaie Cardiology and Medical Research Center and Tehran Heart Center were recruited from December 2021 to June 2022. The electrocardiographic (ECG) features of patients were evaluated. We defined 16 features for each signal and extracted them automatically. The dimension reduction operation was performed with the assistance of the correlation matrix. Linear regression, polynomials, decision trees, random forests, and support vector machine algorithms have been used to find the relationship between characteristics and serum potassium levels. Finally, we used a scatter plot and mean square error (MSE) to display the results.

Results:
Of 463 patients (mean age: 8 ± 1 year; 56% boys) hospitalized, 428 patients met the inclusion criteria, with 35 patients having a high noise of ECG were excluded. After the dimension reduction step, 11 features were selected from each cardiac signal. The random forest regression algorithm showed the best performance with an MSE of 0.3.

Conclusion:
The accurate estimation of serum potassium levels based on ECG signals is possible using machine learning algorithms. This can be potentially useful in predicting serum potassium levels in specific clinical scenarios.
Prevalence of use of nonpharmacological methods of pain relief among patients following onco surgeries – A prospective, observational cohort study from a single center
Authors: Bakshi Sumitra G. , Arya K , Dhurwe Badal 
Published: July 2024

Abstract

Background and Aims:
For the aggressive treatment of postoperative pain, nonpharmacological methods (NPMs) are gaining importance complementary to routine multimodal pain management. The primary aim of the study was to assess the incidence of use of NPMs in our hospital. Secondary objectives were to correlate the pain scores, patient satisfaction, and percentage of time the patient was in severe pain within 72 h postsurgery with the use of NPMs when in pain/not in pain. The effect of NPMs on the physical and emotional outcome of patients as per the American Pain Society Patient Outcome Questionnaire (APS-POQ) was also assessed.

Material and Methods:
After obtaining approval from the institutional ethics committee (IEC), the trial was registered with the Clinical Trials Registry of India (CTRI). Informed consent was obtained from adult patients on the third postoperative day of elective surgeries. Their responses to the APS-POQ and to a few additional questions about their beliefs on the use of NPM were recorded.

Results:
Only one-fourth of the total study population were using NPMs for pain management in the hospital. After propensity matching for surgery and postoperative analgesia, two groups were made: one using NPM for pain relief (n = 49) and the other not using NPM (n = 98). There was no significant difference among the satisfaction score (P = 0.31), least pain score (P = 0.68), and worst pain score (P = 0.43) within 72 h postoperatively in either of the groups. Emotional and physical outcomes as per the APS-POQ were similar in both the groups.

Conclusion:
NPMs are rarely practiced and used during postoperative pain in our hospital. No difference in pain scores, patient satisfaction, and emotional and physical outcomes of the APS-POQ was seen in the group that indulged in NPMs.
Efficacy and safety of sublingual buprenorphine in managing acute postoperative pain – A systematic review
Authors: Nair Abhijit S. , Dudhedia Ujjwalraj , Bodas Prasad Vilas , Rangaiah Manmohan , Borkar Nitinkumar 
Published: July 2024

Abstract
Sublingual (SL) buprenorphine has been used as a modality of managing acute postoperative pain in many studies. This systematic review aimed to investigate the safety and efficacy of SL buprenorphine as an analgesic for various surgeries. After registering the protocol with PROSPERO, we searched PubMed, Cochrane Library, and Ovid databases with relevant keywords. The primary outcomes were 24-hour pain scores, and the secondary outcomes were postoperative nausea and vomiting, sedation scores, pruritus, rescue analgesia, and urinary retention. The risk of bias scale was used to identify the quality of evidence. From the 103 articles identified, four randomized-controlled trials fulfilled the inclusion criteria for qualitative analysis. The overall risk of bias was low. Most of the studies showed that the use of SL buprenorphine led to either better or comparable pain scores when compared to a control group with lesser or tolerable adverse events. There was a lot of heterogeneity across the studies in this systematic review in terms of the type of surgery performed, the comparison groups, doses of buprenorphine, and the outcomes that were assessed. Therefore, a quantitative meta-analysis was not performed. The results of this systematic review should be interpreted with caution due to heterogeneity in the methodology. Adequately powered studies with robust methodology should investigate the safety and efficacy of SL buprenorphine when used for postoperative analgesia.
The role of intravenous lidocaine infusion in enhanced recovery after laparoscopic renal surgeries: A randomized control trial
Authors: Prajapati Dinesh J. , Patel Manoj , Patel Pankaj , Ganpule Arvind , Mistry Deepak 
Published: July 2024

Abstract

Background and Aims:
Enhanced recovery after surgery (ERAS) has been applied in various laparoscopic procedures. Intravenous lidocaine (IVL) infusion is used for laparoscopic procedures as a part of ERAS protocols. The study aimed to evaluate the role of IVL infusion in enhanced bowel recovery after laparoscopic renal surgeries.

Material and Methods:
A randomized, double-blind, placebo-control trial was conducted on 80 patients (with American Society of Anesthesiologists physical status I–II) who presented for laparoscopic renal surgeries under general anesthesia. The study period was from Oct 2018 to Sept 2019. By computer-generated codes, patients were randomly divided into two groups: L (lidocaine) and C (control). Group L received an intravenous (IV) bolus (1.5 mg/kg) of 2% lidocaine over 2 min, followed by an IV lidocaine infusion at the rate of 1.5 mg/kg/h until skin closure. Group C received the same volume of bolus followed by normal saline infusion. Patients were monitored for bowel functions, total hospital stay, and total analgesic consumption. Student’s t-test and Chi-square test were used for quantitative data and occurrence of events, respectively. P <0.05 was considered to be statistically significant.

Results:
First bowel sound, flatus, and defecation occurred in 16.4 ± 2.50, 26.7 ± 9.02, and 39.1 ± 6.31 h, respectively, in group L and 18.2 ± 2.90, 32.3 ± 3.11, and 43.3 ± 4.22 h, respectively, in group C (P = 0.006, 0.001, and 0.01, respectively). Total hospital stay was 4.0 ± 0.74 and 5.3±0.0.91 days in groups L and C, respectively (P < 0.001).

Conclusion:
The present study concluded that IVL could enhance the bowel recovery and reduce total hospital stay after laparoscopic renal surgeries.
“Weighing it Down”: Technique to Reduce the Weight of an Obturator
Authors: Nanda Aditi , Kaur Harsimran , Koli Dheeraj 
Published: July 2024

Abstract

Objective:
The objective during the obturator fabrication (interim or definitive) should be to reduce the weight of the obturator prosthesis. This is because the increased weight of the maxillary obturator is detrimental to the success of the prosthesis due to decreased retention (pulled by gravity), constant rubbing of prosthesis on mucosa and increased patient discomfort.

Design and Interventions:
Of the many simple baby-steps to ensure enhanced retention of the prosthesis, a simple method to reduce the weight has been described using the subtractive technique of obturator fabrication.

Results:
Reduced weight of the obturator prosthesis which makes the prosthesis more acceptable to the patient and more successful overall.
Huge Choledochal Cyst in a 26-Year-Old Female: A Case Report
Authors: Adebajo Glory , Adebunmi Aduragbemi , Olugbami Adebayo , Ijarotimi Oluwasegun , Aderibigbe Adeniyi , Ojumu Titilayo , Adisa Adewale 
Published: July 2024

Abstract
We present the case of a 26-year old woman who developed obstructive jaundice and massive abdominal swelling. Investigations revealed a huge choledochal cyst with obstructive pattern of hyperbilirubinaemia. She had exploratory laparotomy, drainage and excision of the choledochal cyst and Roux-en-Y hepaticojejunostomy. She has been followed up for 6 months in good clinical condition.
Open Versus Laparoscopic Appendectomy: A Comparison of Outcome in a Teaching Hospital, Northeast Nigeria
Authors: Mba Emmanuel Louis , Guduf Mohammed Ibrahim , Mshelia Nuhu Musa , Babayo Usman Deba , Misauno Michael Ayedima , Wina Felix Markus 
Published: July 2024

Abstract

Background:
Appendectomy could be open or laparoscopic. Laparoscopic appendectomy (LA) is gradually gaining ground in Nigeria, but its outcome is not entirely known.

Objective:
This study compared the outcomes of LA with those of open appendectomy (OA) in terms of the surgical site infection rate, post-operative pain, time to return of bowel sounds, length of hospital stay, return to normal activities and direct cost of treatment.

Patients and Methods:
This was a prospective randomised study. All patients above 18 years who were diagnosed with acute appendicitis in Federal Teaching Hospital, Gombe, were recruited after adequate counselling and consent obtained over the 18 months of the study.

Results:
Forty (40) patients were recruited with 20 on each arm. The average age was 25 years (±) 6 years and M:F was 1:1.9. The rates of surgical site infection and post-operative pain between both methods were not statistically different, while the time to return of bowel sound, the length of hospital stay and the return to normal activity were significantly reduced in LA compared to OA. However, OA was cheaper in terms of direct cost compared to LA.

Conclusion:
This study showed that LA may be the preferred method when a quicker recovery from treatment is anticipated, provided the patient can afford the direct cost of the procedure.
PENGARUH KOMPENSASI TERHADAP MOTIVASI KERJA PEGAWAI BADAN NASIONAL PENCARIAN DAN PERTOLONGAN JAKARTA
Authors: Prasetyo Sigit , Basir Abdul 
Published: July 2024

Kompensasi merupakan strategi manajemen yang digunakan dalam lembaga untuk meningkatkan kepuasan kerja para pegawai. Kinerja sendiri didefinisikan sebagai hasil kinerja baik dari kualitas maupun kuantitas, yang dilakukan sesuai dengan tanggung jawabnya secara efisien. Penelitian bertujuan untuk menilai sejauh mana kompensasi memengaruhi kinerja pegawai di Badan Nasional Pencarian dan Pertolongan (Basarnas) Jakarta. Objek yang diteliti mencakup keseluruhan 60 pegawai yang bekerja di lembaga tersebut. Berdasarkan Uji T Parsial yaitu nilai t-hitung untuk variabel kompensasi (X) = variabel 0,1 dan thitung sebesar 2,950 ttabel sebesar 1,68385. Dengan demikian, kompensasi memiliki dampak signifikan dan positif secara parsial terhadap kinerja pegawai (Y), maka hipotesa diterima. Berdasarkan hasil penelitian Koefisien Determinasi (R2) dapat diketahui kompensasi memiliki pengaruh yang kuat terhadap kinerja pegawai pada Basarnas Jakarta. Berdasarkan hasil ini peneliti mengamati bahwa besarnya R Square 0,897. Ini menunjukan 89,70% variabel kinerja dapat dipengaruhi oleh kompensasi dan sisanya 10,30% dipengaruhi faktor-faktor lain yang tidak diamati oleh penulis. Kata Kunci : Kompensasi dan Kinerja Pegawai.
PENGARUH PENGGUNAAN SISTEM INFORMASI MANAJEMEN SDM TERHADAP KINERJA PEGAWAI PT BANK XYZ DI KOTA DEPOK
Authors: Azhari Munir , Atmojo Kunto , Muimah Fitri 
Published: July 2024

Pengaruh Penggunaan Sistem Informasi Sumber Daya Manusia (HRIS) Terhadap Kinerja Pegawai PT Bank XYZ Kota Depok. Sistem Informasi Sumber Daya Manusia (HRIS) dapat didefinisikan sebagai kumpulan sistem informasi yang saling berinteraksi yang bertanggung jawab untuk mengumpulkan dan memproses data untuk memberikan informasi yang berguna bagi semua tingkatan manajemen dalam kegiatan perencanaan dan pengendalian. Penggunaan Sistem Informasi Sumber Daya Manusia (HRIS) pada suatu perusahaan diduga dapat meningkatkan hasil kinerja karyawan. Penelitian ini dilakukan pada PT Bank XYZ yang mempunyai aplikasi kepegawaian, yaitu aplikasi yang digunakan oleh para pegawainya untuk menunjang aktivitasnya dalam hal-hal yang berkaitan dengan Human Capital (HC). Tujuan dari penelitian ini adalah untuk mengetahui besarnya hubungan antara penggunaan Sistem Informasi Sumber Daya Manusia (HRIS) dengan kinerja karyawan pada PT Bank XYZ.Jumlah responden dalam penelitian ini adalah 87 karyawan, peneliti menggunakan teknik simple random sampling. Tempat dilakukannya penelitian ini adalah PT Bank XYZ di Kota Depok. Peneliti menggunakan aplikasi komputer IBM SPSS Statistics 28.0.0.0 dengan melakukan uji uji validitas dan reliabilitas, uji normalitas, uji koefisien korelasi dan determinasi, serta uji signifikansi (uji t). Melalui uji hipotesis diperoleh nilai thitung sebesar 18,487 ttabel 1,98827 maka H0 ditolak dan Ha diterima yang berarti pemanfaatan Sistem Informasi Sumber Daya Manusia (HRIS) mempunyai hubungan yang sangat signifikan terhadap kinerja pegawai. Dari hasil uji koefisien korelasi diperoleh nilai sebesar 0,895 dan R Square sebesar 0,801 atau berdasarkan nilai Koefisien Determinasi (KD) sebesar 80,1%. Penerapan Sistem Informasi Sumber Daya Manusia (HRIS atau variabel X) mempunyai hubungan sebesar 80,1% dengan Kinerja Pegawai (Y) dan sisanya sebesar 19,9% dipengaruhi oleh faktor lain yang belum diteliti peneliti seperti budaya kerja, motivasi kerja, disiplin kerja dan lain-lain. dll. Kata Kunci: Manajemen Sumber Daya Manusia (HR Management), Sistem Informasi Sumber Daya Manusia (HRIS) dan Kinerja Pegawai