bluuebunny/crossref_metadata_2025_split huggingface dataset:
Conducting practical classes of phase II MBBS students (CBME batch) during COVID 19 pandemic: Experience of a paraclinical resident
Authors: Mukhida Sahjid S. , Kannuri Sriram , Bhaumik Shalini , Das Nikunja K. , Patil Rajashri 
Published: July 2024

ABSTRACT
The Medical Council of India, now the National Medical council changed the teaching pattern of the Under Graduate Medical Course (MBBS) after 22 years. The new revised curriculum and teaching pattern is known as Competency Based Medical Education (CBME). CBME pattern started from the 2019 MBBS batch. In the second year of MBBS, they have to learn para clinical subjects, Pathology, Microbiology, and Pharmacology. Teaching Practical classes to MBBS students for the first year PG residents is a new experience for them, as they just start their paraclinical specialty journey, and it is even more difficult for them when they are teaching the CBME batch. To take one practical class MBBS, PG residents must start the preparation before at least one week. In that one week, we read the topic thoroughly with concepts. They must prepare the PowerPoint presentation followed by a microteaching presentation to the departmental faculties and have to do the correction to the presentation. PG residents make many arrangements like smear slides for staining, culture plates, and biochemical reactions to demonstrate to MBBS students but when only 4–5 students were attending the physical demonstration classes, all the preparation look useless.
Metachronous Tumours in the Head and Neck in a Retroviral Disease Positive Patient: A Case Report and Review of Literature
Authors: Shofoluwe Nurudeen Adebola , Aliyu Halima Oziohu , Kabir Balarabe , Mohammed Ibrahim Babatunde , Hamza Manir Anka , Abdullahi Amina Mohammed , Yahaya Saadat Titilayo 
Published: July 2024

Abstract
Patients diagnosed with head and neck squamous cell carcinoma (HNSCC), particularly those seropositive for human immunodeficiency virus (HIV), face a heightened risk of second primary malignancies (SPMs), with common regions being the head, neck, lung, and oesophagus. This risk amplifies the severity of their clinical condition, as these SPMs contribute significantly to the mortality rates in patients with HNSCC. We detail a case of a young woman, seropositive for HIV, who developed a second squamous cancer in the nasopharynx after achieving remission from her initial oropharyngeal squamous cell carcinoma through chemo-radiotherapy. This case study highlights the increased vulnerability of HIV-positive HNSCC patients to SPMs, with an observed association of HIV infection leading to a lower overall survival rate. As a result, we recommend long-term follow-up in HNSCC patients with HIV for early detection of SPMs. Our findings emphasize the importance of regular screening for HNSCC, particularly in people living with HIV, to ensure timely detection and treatment, which can significantly improve their prognosis.
The Impact of De-Roofing of Lateral Calcaneal wall in Open Reduction and Internal Fixation of Intra-Articular Fractures: Clinico-Radiological Outcomes of a Novel Technique and Review of Literature
Authors: Bansal Mohit , Singh Nirottam , Singh Amit , Siwach Gaurav , Saini Mukesh Kumar , Raichandani Kishore 
Published: July 2024

Abstract

Background:
Most displaced intra-articular calcaneus fractures need to be treated surgically but postoperative soft tissue complications limit to achieve of optimal functional outcomes. Certain mini-invasive techniques lead to better soft tissue healing but anatomical reduction gets compromised.

Objectives:
We aim to evaluate the results of lateral wall de-roofing of the calcaneum to achieve good anatomical reduction as well as to minimise soft tissue complications in the internal fixation of calcaneal fractures.

Materials and Methods:
Thirty-two patients (40 ft) with displaced intra-articular calcaneus fractures (10 were of Sanders type II, 16 were of type III, and 14 were of type IV) were treated between January 2018 and September 2021. All patients were managed surgically with open reduction and internal fixation using lateral extensile approach combined with de-roofing of the lateral wall. All patients were followed up for ≥1 year using functional parameters American Orthopaedic Foot and Ankle Score (AOFAS), visual analogue scale (VAS) and radiological parameters (Bohler angle, Gissane angle, height of the calcaneus, width of the calcaneus and pitch of calcaneus).

Results:
Out of 32 patients, one patient lost to follow-up. At 1 year follow-up, mean AOFAS hindfoot score was 86.2 ± 5 (Sanders type II: 91.2, Sanders type III: 87.6, and Sanders type III: 81.4), mean VAS score was 91.3 ± 2.1, mean Bohler angle (°) was 27.2 ± 4.7, mean Gissane angle (°) was 136.4 ± 5.2, mean calcaneus height was 46.2 ± 2.1 mm and mean calcaneus width was 45.1 ± 3.2 mm. Patients with decreased Bohler angle between postoperative images and follow-up had lower AOFAS hindfoot scores. Complications included persistent swelling (64.10%), stiffness (33.33%), superficial infections (5.12%), and wound dehiscence (10.25%).

Conclusion:
Lateral wall de-roofing is a useful technique which allows the lateral wall to get flattened reducing soft tissue complications and providing bone graft as well. This approach also adequately exposes fracture fragments, subtalar and calcaneocuboid joints for good anatomical reduction. Hence, it can act as a useful adjunct in the internal fixation of intra-articular calcaneus fractures.

Level of Evidence:
III
A Prospective Study on Tibial Shaft Fractures Treated with Suprapatellar Approach
Authors: Chandar Shamith , Rao Maddula Venkataramana , Druva Vijayakumar , Dorai Raghavendra 
Published: July 2024

Abstract

Background:
Tibial diaphysis represents the primary location for tibial fractures, accounting for 80% of such cases, often accompanied by fibular fractures. In terms of surgical management, the recommended technique for addressing both displaced and undisplaced tibial shaft fractures in adults is intramedullary nail fixation. Additionally, there is a growing consideration for suprapatellar nailing, which involves performing the procedure with the knee in a semi-extended position, as a potentially safe and efficacious alternative.

Objectives:
To evaluate the clinical and functional union amongst tibial shaft fracture cases, managed by nailing in the suprapatellar approach, and to study the complications associated with it.

Materials and Methods:
Our study with prospective observational design was conducted for 18 months on 30 patients with tibial shaft fractures. Following comprehensive laboratory assessments and confirmation of surgical fitness, the patients underwent surgical intervention through a specialised suprapatellar approach employing expert tibial nailing.

Results:
The mean age of the subjects was 42.83 ± 11.47 years, and the majority were males (70.0%). Notably, there was a statistically significant reduction in Visual Analogue Scale scores and a concurrent increase in Lysholm Knee Scoring Scale scores during the follow-up period, indicating substantial enhancements in both clinical and functional outcomes. Delayed union was the complication observed in three individuals. We found that the younger the age of the subjects, the earlier the surgery after an injury, the better the functional outcome.

Conclusion:
Expert tibial nailing with a suprapatellar approach was successful in yielding clinical and functional union amongst the subjects with tibial shaft fractures. In addition, delayed union was the complication observed in the approach, which was evident in a few cases.
The Study of Correlation between Symptoms of Gastritis and Endoscopic Biopsy
Authors: Dave Shravan R. , Bagada Jayeshkumar B. , Desai Jitesh H. , Jha Shivangi 
Published: July 2024

Abstract

Background:
Gastritis is a very common disorder that is widely distributed worldwide, representing one of the most prevalent pathological entities in gastroenterology and digestive endoscopy. This study aims to analyse the correlation between the endoscopic findings and the symptoms of gastritis. Upper gastro-intestinal (UGI) endoscopy is a widely used investigation for a variety of UGI symptoms namely dysphagia, dyspepsia, abdominal pain, etc., and when combined with biopsy, its diagnostic accuracy get increased manifold.

Materials and Methods:
This is a study with 70 patients with symptoms of gastritis underwent UGI endoscopy and biopsy included in study. Biopsy was taken from gastric/duodenal mucosa and was sent for histopathology examination. Data of patient’s age, gender, food habits, oral hygiene, etc., were then taken into consideration and findings of UGI endoscopy were correlated with these data and also correlated with histopathological report.

Results:
Gastritis significantly affects the lifestyle of the majority of our participants as out of 70, 65 (95%) had gastritis in our study. Helicobacter pylori was present among 41.5 % of study participants. Other less common findings were esophagitis in 20 % and duodenitis in 7% of study participants. The mean age of participants were 46.76 ± 16.25 years.

Conclusion:
Histopathology plays a major role in diagnosing H. pylori infection. So, histological examination as an adjunct to UGI endoscopy should be considered as best diagnostic tool rather than UGI endoscopy alone or clinical examination or radiological examination alone. It helps to treat the gastritis patients by diagnosing the underlying cause and management accordingly.
Lymphoepithelial carcinoma in the orbit: A case report and review of the treatment modalities
Authors: Cheng Li-Wei , Liao Shu-Lang 
Published: July 2024

Abstract
To present a unique case of lymphoepithelial carcinoma originating from the orbit, an exceedingly rare manifestation with no precedent in English literature. A 49-year-old male patient exhibited progressive right eye bulging, blurred vision, diplopia, and ophthalmoplegia. Imaging revealed a tumor involving the orbital space, nasolacrimal duct, and maxillary sinus. The patient underwent tumor excision, revealing lymphoepithelial carcinoma on histopathology. Immunohistochemistry supported the diagnosis with EBV reactivity. After then, the patient received concurrent chemoradiotherapy following orbital tumor excision. Subsequent imaging indicated tumor regression over orbit and periocular regions. Although parotid gland metastasis was detected, we arranged parotidectomy and adjuvant therapy, resulting in no recurrence and symptomatic improvement six months after treatment. This case extends the existing understanding of clinical manifestation of lymphoepithelial carcinoma. The unique presentation of lymphoepithelial carcinoma originating from the orbit emphasizes the importance of considering rare manifestations when approaching complex clinical scenarios. The correlation between EBV infection and lymphoepithelial carcinoma in the context of Asian populations was discussed, although not entirely confirmed in this case. Treatment strategies were influenced by the rarity of the tumor, combining surgical resection, induction chemotherapy, and concurrent chemoradiotherapy. This report presents a case of lymphoepithelial carcinoma originating from the orbit, adding to the understanding of the clinical spectrum of this rare malignancy. The management showcases a multidisciplinary strategy that considers the tumor’s rarity and aggressive behavior. Given the lack of established guidelines, further research of cases are essential to optimize the treatment of lymphoepithelial carcinoma across diverse presentations.
Wrangling MathML: Markup Do’s and Don’ts for best results — 2024 edition
Authors: Kaplansky Jean 
Published: July 2024

Presentational MathML, when created using current best practices and some general rules for good encoding, can support publication of accessible digital math content in retail and LMS platforms for all learners, including students preparing for licensing exams, college students, and professionals looking to supplement their existing knowledge or earn continuing education credits.
Technical, Academic, and Educational publishers are increasingly migrating their math content to MathML to enable single-sourcing and repurposing content integrated into physical publications and digital-only learning management systems for assignments and assessments. Successful deployment depends on math content markup that meets publishers’ presentational requirements and includes the implied semantics needed by the tools. Tools helping publishers mark up and publish accessible math have changed significantly in the last ten years.
Pengembangan Sumberdaya Manusia untuk Meningkatkan Kinerja Pegawai di Balai Wilayah Sungai Sulawesi Satu Provinsi Sulawesi Utara
Authors: Theresye Langi Chelly 
Published: July 2024

Penelitian ini bertujuan untuk menganalisa spengembangan sumberdaya manusia untuk meningkatkan kinerja pegawai di Balai Wilayah Sungai Sulawesi Satu Provinsi Sulawesi Utara. Penelitian menggunakan rancangan penelitian dengan pendekatan deskriptif kualitatif. Penelitian ini difokuskan pada tahapan pengembangan SDM sebagai suatu strategi untuk meningkatkan kinerja pegawai yang didasarkan pada indikator yang terdiri dari motivasi, kepribadian dan dengan informan yang berjumlah 12 orang. Analisa data dilakukan dengan tahap reduksi data, penyajian data dan penarikan kesimpulan atau verifikasi.Hasil penelitian menunjukkan bahwa dalam rangka pengembangan sumber daya manusia untuk meningkatkan kinerja pegawai di BWS 1 Provinsi Sulawaesi Utara pada indikator motivasi, terdapat dua bentuk motivasi yaitu motivasi langsung dan motivasi tidak langsung. Dimana motivasi langsung berupa pujian, penghargaan, bonus dan bintang jasa. Sedangkan motivasi tidak langsung dengan memberikan fasilitas-fasilitas pendukung pekerjaan. Pengembangan SDM dari indikator kepribadian, pimpinan membangun rasa kepemilikan terhadap pekerjaan yang diberikan, “sense of belonging” serta memberikan bentuk kaderisasi bagi bawahan dengan mengembangkan keterampilan dalam bekerja. Berdasarkan indikator keterampilan, para pegawai diberikan coaching and conseling yang berorientasi pada kemampuan menjalankan pekerjaan dengan hasil yang berkualitas serta pimpinan mengasah kemampuan pegawai dengan meberikan pekerjaan dan individu harus mau mengembangkan diri termasuk dengan mampu memanfaatkan peluang digitasl sebagai bagian investasi diri dan mampu menetapkan prioritas dengan baik. Kesimpulan dalam penelitian ini, pengembangan SDM bagi pegawai di BWS 1 provinsi Sulawesi Utara telah dijalankan dalam rangka untuk meningkatkan kinerja pegawai baik dari segi motivasi, kepribadian maupun keterampilan
Pelatihan Kewirausahaan Sablon bagi Warga Binaan Pemasyarakatan Lapas Kelas IIA Samarinda
Authors: Wulaningrum Ratna , Kadafi Muhammad , Cahyadi Dwi , H Rony 
Published: July 2024

Lembaga pemasyarakatan merupakan salah satu lembaga yang berperan dalam hal pengayoman terhadap warga binaan agar dapat memperbaiki dan membentuk jati diri yang berguna. Hak-hak warga binaan dapat dipenuhi melalui program-program pembinaan yang dilakukan oleh lembaga pemasyarakatan di mana para warga binaan tersebut berada, namun juga dapat dilakukan oleh lembaga/instansi lain. Keterlibatan lembaga/instansi lain dalam program pembinaan kepada warga binaan sangat diperlukan, karena jika terbatas dilakukan oleh lembaga pemasyarakatan, masih belum dapat mengakomodir kebutuhan yang lebih luas. Kekosongan ini dapat dilengkapi dengan bantuan dari lembaga/instansi lain. Oleh karena itu diperlukan adanya program kemitraan antara lembaga pemasyarakatan dengan lembaga/instansi lain agar dapat berpartisipasi dalam memberikan kegiatan-kegiatan yang berupa pembinaan kepada warga binaan lembaga pemasyarakatan. Kegiatan Pengabdian kepada Masyarakat dengan tema Pelatihan Kewirausahaan Sablon bagi Warga Binaan Pemasyarakatan Lapas Kelas IIA Samarinda diharapkan menjadi suatu upaya untuk memberikan pengetahuan wirausaha sablon bagi Warga Binaan Pemasyarakatan (WBP) Lembaga Pemasyarakatan Kelas IIA Samarinda. Diharapkan pelatihan ini dapat membekali WBP setelah nantinya mereka kembali ke Masyarakat.
PENGARUH LINGKUNGAN KERJA, MOTIVASI, DAN DISIPLIN KERJA TERHADAP EFEKTIVITAS KARYAWAN DI INDUSTRI TEKSTIL TANGERANG
Authors: Firdaus Ahmad , Jati Prihatina , Milisani Meirna , Jusdienar Akka Latifah 
Published: July 2024

Penelitian ini bertujuan untuk menganalisis pengaruh lingkungan kerja, motivasi kerja, dan disiplin kerja terhadap kinerja karyawan di Industri Tekstil di Tangerang. Pendekatan kuantitatif digunakan dalam penelitian ini, dengan data dikumpulkan melalui survei yang melibatkan 100 karyawan sebagai responden. Metode analisis yang digunakan meliputi regresi linier berganda untuk menguji hubungan antara variabel independen (lingkungan kerja, motivasi kerja, dan disiplin kerja) dengan variabel dependen (kinerja karyawan). Hasil penelitian menunjukkan bahwa lingkungan kerja memiliki pengaruh signifikan dan positif terhadap kinerja karyawan, dengan koefisien regresi sebesar 0,35. Motivasi kerja juga ditemukan berpengaruh signifikan dan positif dengan koefisien regresi 0,40. Selain itu, disiplin kerja memiliki pengaruh signifikan dan positif terhadap kinerja karyawan, dengan koefisien regresi 0,30. Kesimpulan dari penelitian ini adalah bahwa ketiga variabel independen tersebut berperan penting dalam meningkatkan kinerja karyawan di di Industri Tekstil di Tangerang. Implikasi praktis dari temuan ini menunjukkan bahwa perusahaan harus memperbaiki lingkungan kerja, meningkatkan program motivasi, dan memperkuat disiplin kerja untuk mencapai kinerja karyawan yang lebih baik. Rekomendasi untuk penelitian selanjutnya adalah melakukan studi dengan sampel yang lebih besar dan memperluas lingkup variabel yang diteliti untuk memperoleh pemahaman yang lebih komprehensif mengenai faktor-faktor yang mempengaruhi kinerja karyawan. Temuan ini diharapkan dapat memberikan kontribusi positif bagi pengembangan teori manajemen sumber daya manusia dan praktik pengelolaan karyawan di industri. Kata Kunci Lingkungan Kerja, Motivasi Kerja, Disiplin Kerja dan Kinerja Karyawan
ETOS KERJA DAN PENGEMBANGAN KARIER TERHADAP KINERJA KARYAWAN PT. CAKRA JASA PASIFIC
Authors: Jusdienar Akka Latifah , Firdaus Ahmad , Ratnawita Ratnawita , Milisani Meirna , Astuti Indri , Aida Aida 
Published: July 2024

Penelitian ini menggunakan tiga variabel yang bersifat deskriptif kuantitatif. Secara bersamaan, motivasi dalam bekerja dan upaya untuk mengembangkan karir memberikan dampak positif dan penting terhadap hasil kerja para pegawai. PT.Cakra Jasa pasific. Hal tersebut dikarenakan nilai Konstanta intersep sebesar 6,213 menunjukkan bahwa jika variabel Etos Kerja (X1) dan Pengembangan Karir (X2) adalah nol, maka Kinerja Karyawan (Y) akan berada pada nilai 6,213. Koefisien regresi variabel Etos Kerja (X1) terhadap Kinerja Karyawan (Y) sebesar 0,401 mengindikasikan bahwa setiap peningkatan satu satuan pada Etos Kerja (X1) akan meningkatkan Kinerja Karyawan (Y) sebesar 0,401, dengan asumsi variabel lainnya konstan. Sedangkan koefisien regresi variabel Pengembangan Karir (X2) terhadap Kinerja Karyawan (Y) sebesar 0,421 berarti setiap peningkatan satu satuan pada Pengembangan Karir (X2) akan meningkatkan Kinerja Karyawan (Y) sebesar 0,421, dengan asumsi variabel lainnya konstan. Maka secara parsial etos kerja, pengembangan karier dan kinerja karyawan pada PT. Cakra Jasa Pasific diperoleh nilai parsial sebesar 0,605 yang berarti menunjukkan adanya pengatuh yang kuat atau pengaruhnya dengan koefisien determinasi sebesar 36,7%. Secara parsial pengembangan karier berpengaruh positif terhadap kinerja karyawan PT. Cakra jasa Pasific diperoleh nilai parsial sebesar 0,635 yang berarti ada pengaruh sangat kuat sebesar 40,3%. Hal ini kami jelaskan dari hasil perhitungan bahwa Fhitung lebih besar dari Ftabel yaitu 27,604 3,16 atau taraf sig 0,000 0,05 maka Ho ditolak dan Ha diterima. Hal inilah yang penulis sampaikan dalam penelitian ini. Semoga menambah wawasan pembaca dan bermanfaat.Kata Kunci: Etos Kerja, Pengembangan Karir, Kinerja Pegawai
ANALISA KINERJA KARYAWAN BERDASARKAN INSENTIF, LINGKUNGAN KERJA MELALUI DIGITALISASI SISTEM HRM DI PT GHEANANTA CAHAYA ABADI
Authors: Cecep Cecep , Utama Angka , Widodo Widodo , Mulyana Dede 
Published: July 2024

Penelitian ini bertujuan untuk menguji pengaruh Insentif, Lingkungan Kerja melalui digitalisasi HR Sistem terhadap Kinerja Karyawan pada PT Gheananta Cahaya Abadi serta menganalisis faktor yang paling dominan dalam mempengaruhi Kinerja Karyawan pada PT Gheananta Cahaya Abadi. Penelitian dilakukan di PT Gheananta Cahaya Abadi dengan mengambil sampel 93 karyawan sebagai sampel penelitian yang dihitung menggunakan rumus Slovin dari total populasi 93 karyawan pada margin error 5%. Pengambilan data dilakukan dengan instrument kuesioner tertutup skala dari sangat tidak setuju sampai dengan sangat setuju. Penelitian dilakukan dengan menganalisis data dibantu dengan program Smart PLS. Metode Penelitian ini dilakukan secara kuantitatif yaitu dengan mendeskripsikan data penelitian dan melakukan analisis deskriptif. pengujian hipotesis dilakukan dengan Uji outer model (validity dan reliability) , inner model (R Square dan Adjusted R Square) dan bootstrapping (t Values dan pValues). Berdasarkan hasil analisis yang telah dilakukan tentang pengaruh Insentif, Lingkungan Kerja dan Digitalisasi Terhadap Kinerja Karyawan PT Gheananta Cahaya Abadi, Penelitian ini menghasilkan 3 temuan utama yaitu: 1) Insentif memiliki pengaruh terhadap Kinerja Karyawan pada PT Gheananta Cahaya Abadi dengan arah positif. 2) Lingkungan Kerja memiliki pengaruh terhadap Kinerja Karyawan pada PT Gheananta Cahaya Abadi dengan arah positif. 3) Digitalisasi HR sistem memiliki pengaruh terhadap Kinerja Karyawan pada PT Gheananta Cahaya Abadi dengan arah positif.Kata kunci – Insentif, Lingkungan kerja, Digitalisasi HR Sistem, Kinerja Karyawan
Legal Regulation of Cybersecurity and Privacy on the Internet as SDG's
Authors: Polishchuk Volodymyr , Yurakh Vitalii , Kravchenko Olena , Warawa Wolodymyr , Kulchii Inna 
Published: July 2024

Objective: The article focuses on the conceptual framework for the formation and development of legal regulation of cybersecurity and privacy on the Internet.

Theoretical Framework: Technological development has provided humanity with many clear benefits. However, it has also created severe challenges and threats to national security, critical infrastructure, private persons and states, as well as the international community. In Ukraine, these issues have been exacerbated by the Russian-Ukrainian war.

Method: The research methodology is based on a logical and systematic presentation and analysis of the material related to the process of legal support for cybersecurity and privacy.

Results and Discussion: Today, states and international organizations have to pursue two different policies: one in the virtual environment and the other in the real world. The Presidential Commission on Critical Infrastructure Protection was established in 1996 in the United States. As of today, the definition of “cybersecurity” has been determined at the legislative level. It includes 10 fundamental principles related to the development of the Internet and its impact on human life.

Research Implications: The previous legislative experience of international law related to cybersecurity and privacy has been summarized.

Originality/Value: In Ukraine, the process of legal support for cybersecurity and privacy on the Internet is also ongoing. Ukraine has both ratified several international documents related to this issue and has its own legislative framework.