bluuebunny/crossref_metadata_2025_split huggingface dataset:
Emerging Nosocomial Trichosporon asahii in a Tertiary Hospital in Southern Saudi Arabia
Authors: Assiry Mohammed Mushabub , Joseph Martin R. P. , Alqahtani Abdulaziz S. , Assiri Abdullah M. , Alshahrani Abdullah S. S. , Asiri Hassan A. , Alghamdi Sami S. , Abdelrahim Ihab Mohammad , Alqahtani Abdulah J. , Tobeigei Faisal , Alfaki Mona E. E. , Alkahtani Abdullah M. , Al Bshabshe Ali , Hamid Mohammed E. 
Published: July 2024

Background:

Trichosporon species are pathogenic yeasts that colonize diverse human body sites and cause superficial in addition to invasive trichosporonosis, especially in immunosuppressed patients. The disease is an emerging health-care problem, as it has shown a noticeable increase in recent years. The leading risk factors are antibiotic use, invasive medical equipment, and chemotherapy. Informed evidence on the disease and its causal agent is needed.

Objective:
Presentation of clinical cases caused by Trichosporon sp. and identification of isolates recovered from various specimens in Aseer Central Hospital setting.

Materials and Methods:
The study analyzed fungal cultures (n = 20) from different clinical specimens submitted on a routine basis from hospital wards for general microbiological investigation at Aseer Central Hospital, Abha, Saudi Arabia (2021–2023). Mycologically proven trichosporonosis cases were initially identified by desktop methods, automated Vitek 2, and confirmed by sequence analysis of the ribosomal targets, namely the large-subunit RNA gene (D1–D2 region) and internal transcribed spacers 1 and 2 (ITS1 and ITS2 regions), patients were treated with fluconazole, and treatment outcomes were recorded.

Results:
Clinical features and culture results confirmed trichosporonosis caused by Trichosporon asahii with different clinical presentations. The majority of the cases were urinary tract (44%), followed by skin (28%) and respiratory tract (12%). All trichosporonosis cases responded to fluconazole. The neighbor-joining phylogenetic tree based on the rRNA regions and ITS and comparative analysis using GenBank reference data showed the association of our strains to the reference T. asahii clade, closely related to T. faecale and T. insectorum but different from other species.

Conclusions:
The study offered accurate species identification of the Trichosporon isolates by routine phenotypic tests as well as sequence-based techniques. Urinary tract infections were the most common manifestation of the infection, followed by skin and then respiratory tract infections. The cases of trichosporonosis responded well to fluconazole treatment. T. asahii is possibly underreported and should be considered in routine diagnostic investigations, notably in nosocomial infections.
Intensive care management of organophosphate insecticide (sniper) poisoning: a Preventable death—a case series
Authors: Adekola Oyebola Olubodun , Oladimeji Motunrayo Adebukunola , Gabriel Kolawole Asiyanbi , Olanipekun Simeon Olafimihan 
Published: July 2024

Background
Organophosphate poisoning is the commonest accidental and suicidal poisoning in developing countries like Nigeria. Respiratory distress, unconsciousness, and acute cholinergic crisis are reasons for critical care.

Objective
We determined the clinical presentation and outcome following sniper poisoning in critically ill patients.

Methods
This was a retrospective case series of 13 patients managed for sniper poisoning in a six-bed private intensive care unit in Lagos, Nigeria, from June 2016 to June 2022. The diagnosis of sniper poisoning was made based on a positive history of ingestion of sniper before presentation, and clinical signs of cholinergic hyperactivity.

Results
A total of 13 patients were reviewed, 3 females and 10 males with median age and APACHE II score of 23.5 years (IQR, 5.75, 27.75) and 26 (IQR, 24, 27.5), respectively. Deliberate ingestion of sniper occurred in 10 patients. Respiratory insufficiency/unconsciousness, and bradycardia/hypoxia occurred in 11 and 10 patients, respectively. The median duration of ICU admission was 6.5 days, (IQR: 4, 8). Intravenous atropine and glycopyrrolate were administered in 10 and 2 patients, respectively. The median dose of atropine on days 1, 2, and 3 were 38.9 mg, 27.6 mg and 18.5 mg, respectively. Mechanical ventilation was initiated in 10 patients, 8 of whom were discharged home. Out of 13 patients, 10 survived, while 3 died.

Conclusion
This case series showed that sniper poisoning is a life-threatening condition that requires immediate diagnosis and treatment. Early referral for critical care, initiation of atropine, and supportive mechanical ventilation can save lives.
Surgical Abdominal Emergencies among Patients with Cerebral Palsy: A Case Report and Review Article
Authors: Aboelmaaty Sara A. , Gomaa Ibrahim A. , Pachon Mauricio E. Perez , Rumer Kristen K. 
Published: July 2024

Abstract
Surgical abdominal emergencies among patients with cerebral palsy (CP) are infrequently reported. The most commonly reported reason for urgent and emergent abdominal surgery among patients with CP is intestinal volvulus. Intestinal volvulus leads to obstruction and vascular compromise, potentially resulting in life-threatening ischemia and necrosis. Volvulus typically presents with abdominal pain and decreased bowel function. When patients are nonverbal and have baseline bowel dysfunction, symptoms of volvulus can be difficult to diagnose. Here, we present a case of an adult female patient with CP who presented with ischemic colitis with perforation and underwent emergency total colectomy and end-ileostomy. Her postoperative course was complicated by two episodes of intestinal volvulus that occurred one and three months after the initial operation. At the second presentation, she had global bowel ischemia due to the volvulus, which led to her death. We have reviewed and summarized the current literature regarding abdominal emergencies among patients with CP.
An Uncommon Cause of Appendicitis “Actinomyces Turicensis,” A Rare Species Causing Abdominal Actinomycosis
Authors: Soomro Naveed , Benkhaduoura Mohamed , Kraus Aisling , Abdelhafiz Tarig , Soomro Mona , Toor Asad A. 
Published: July 2024

Abstract
Primary actinomycosis of the appendix is a rare clinical entity. It is generally diagnosed based on histological examination or culture of actinomyces obtained from a peritoneal fluid sampling, and the treatment frequently requires surgical resection.
Strategi Pengembangan Kecamatan Cibeureum Sebagai Pusat Pelayanan Kota di Kota Sukabumi.
Authors: Ibnu Sopian Abdurahman , Trilusianthy Hidayat Janthy , Mahmud Zafrullah Rudi 
Published: July 2024

Kota Sukabumi sebagai kota menengah telah mengalami pertumbuhan pesat dalam beberapa tahun terakhir. Kecamatan Cikole sebagai pusat layanan kota mengalami masalah perkotaan yang kompleks seperti kepadatan penduduk, kemacetan, aksesibilitas dan keterbatasan ruang untuk pembangunan, sehingga diperlukan pusat layanan kota baru. Dengan adanya peraturan daerah baru tentang tata ruang, pusat layanan kota di Sukabumi akan dibagi menjadi dua bagian, yaitu pusat kota kecamatan Cikole dan pusat kota kecamatan Cibeureum. Berbagai kebijakan pengembangan baru ditujukan untuk Kecamatan Cibeureum, seperti pengembangan kawasan perkantoran, pusat perbelanjaan, pasar grosir, terminal dan fasilitas strategis lainnya. Tujuan penelitian ini adalah (1) Memprediksi kebutuhan sarana dan prasarana di Kecamatan Cibeureum untuk memenuhi kebutuhan pusat pelayanan kota (PPK) baru. (2) Mengidentifikasi berbagai rencana kegiatan pembangunan dan permasalahan tata ruang di Kecamatan Cibeureum. (3) Merumuskan strategi arah pengembangan Kecamatan Cibeureum sebagai pusat pelayanan kota (PPK) baru. Hasil penelitian ini menunjukkan bahwa kebutuhan fasilitas di Kecamatan Cibeureum untuk mendukungnya sebagai pusat layanan kota baru masih minim, namun dari sisi indikasi program kebijakan, ada banyak rencana pembangunan yang akan dilakukan di Kecamatan Cibeureum, dari berbagai potensi dan kendala, strategi yang perlu dilakukan untuk pengembangan Kecamatan Cibeureum berpusat pada 5 aspek utama, Yakni aspek kebijakan, pembiayaan pembangunan, pengelolaan transportasi, permukiman, dan pembangunan berwawasan lingkungan (kebencanaan).
Balancing Flexibility and Stability as SDGs: Gig Economy Adoption, Flexible Recruitment Policies, and Employee Performance in North Sumatra’s Public Sector
Authors: Saragih Jopinus , Pratami Eggi Indriani 
Published: July 2024

Purpose: This study aims to develop a framework for understanding the impact of gig economy adoption and flexible recruitment policies on the performance of contractual government employees (PPPK) in the regional government of North Sumatra, with work engagement as a mediating variable.

Design/methodology/approach: Data were collected from 320 PPPK employees through questionnaires. Statistical analyses, including classical assumption tests and path analysis, were conducted using SPSS to examine the direct and indirect effects of gig economy adoption and flexible recruitment policies on employee performance, mediated by work engagement.

Findings: The results indicate that both gig economy adoption and flexible recruitment policies significantly and positively impact employee performance. Furthermore, work engagement serves as a significant mediating variable, enhancing the relationship between these independent variables and employee performance. This suggests that creating a balance between flexibility and stability in employment can improve PPPK performance.

Research limitations/implications: The study focuses on PPPK employees in the North Sumatra regional government, including teachers, healthcare workers, and technical staff. Future research could expand the scope to include other types of employees and regions, as well as consider additional mediating variables such as job satisfaction and organizational support.

Originality/value: Unlike previous studies that often address either gig economy or recruitment policies in isolation, this research integrates both elements and examines their combined effects on employee performance within a governmental context. The study provides a comprehensive framework for policymakers to enhance employee performance by balancing flexibility and stability in the workforce.
The Juridical Review of Investors' Legal Protection in the Development of New Renewable Energy
Authors: Budiono David Permana , Paulus Darminto Hartono 
Published: July 2024

Energy is closely related to the economic development of all countries, useful for meeting consumption needs and activities in various sectors. This implication is the impact of the haste in drafting the Presidential Regulation and only focusing on the economic approach. What is the guarantee of legal protection for investors in the development of Renewable Energy in Indonesia? and second, how is the community involved in preparing legal protection for investors in the development of renewable energy? This legal research and writing uses normative juridical methods because the problems and implications contained in legal writing are dominated by differences in policies issued by the government. Indonesia doesn’t yet have a Law on New and Renewable Energy specifically as a main legal source and optimization effort in terms of management and development that regulates new and renewable energy. The idea of ​​energy democracy in developing New and Renewable Energy can be implemented through public participation by opening up transparency in New and Renewable Energy development policies.
The Unachieved Momentum of Liberation: The French Résistance
Authors: Salazar Philippe-Joseph 
Published: July 2024

ABSTRACT
Taking the example of the French Résistance and by summoning up the twin rhetorical concepts of kinesis and energeia, this article establishes the long reach of a national liberation trajectory, of which the Résistance was a key moment in its attempt to free the country and to move ahead with the project and promise of an ideal republic.
Moving in the Manner of the Adverb
Authors: Constable Marianne 
Published: July 2024

ABSTRACT
Learning to move slowly and attentively offers alternatives to how a fast-paced world induces us to act. The Feldenkrais Method’s® awareness-through-movement (ATM)® lessons encourage students to notice what they actually do and how, rather than cathecting on what they should accomplish and how well. Within the constraint of a lesson, one shifts focus from “movement” as noun to “moving” as verb. Students learn that options about how to move—slowly, quickly, lightly, jerkily, smoothly, delicately, precisely, roughly, loosely, energetically, lazily, and more—correspond to choices. Such freedom of choice entangles us in grand philosophical matters as well as in mundane grammatical rules. Insofar as freedom within constraints characterizes how we move and act, including how we write and speak, the seemingly adverbial choices we make reveal who we are: not only in what we do, but in the manner in which as subjects we relate to predicates.
Effectiveness of Virgin Coconut Oil (VCO) Topically to The Formation Granulations of Grade I and II Pressure wound (Decubitus)
Authors: Onggang Fransiskus  Salesius , Batbual Bringiwatty , Romana Aben , Mau Amelianus 
Published: July 2024

Decubitus ulcers or pressure sores are local tissue necrosis when soft tissue is compressed between the bony prominences and the external surface for a long period of time, due to pressure or due to frictional forces. Virgin Coconut Oil (VCO) is pure coconut oil produced from the processing of coconut meat without heating or through low-temperature heating, thus producing oil with a clear color and free from free radicals due to heating. This research aims to determine the effectiveness of using Virgin Coconut Oil (VCO) topically to treat pressure sores (decubitus) grade I and II. The research method used in quantitative research is quasi-experimental with a one-group pre-test and post-test design. Population study This is respondents who experienced wound press decubitus because of prolonged bed rest with condition decubitus wounds grade 1 and 2. Intervention study on group treatment with give virgin coconut oil with a temperature 37 degrees Celsius with method oil done light massage of the back (3 ml), sacrum (1 ml), heel (0.5 ml), buttocks (1.5 ml), ischium (1 ml), elbow (1 ml), malleolus (1 ml) and trochanter (1 ml) for approximately 5 minutes with frequency twice a day during seven days. The results study showing from treatments 1, II, III, IV, V , VI, and VII show results significant exists growth granulation grade II decubitus tissue. Wilcoxon Test showing There is an influence of CVO on growth network granulation on decubitus injury Grade 2. The conclusion is Virgin Coconut Oil is effective in the growth process grade II decubitus granulations. It is recommended that future studies explore the use of technologies, such as laser or ultrasound therapy, along with topical application of VCO to see if there is an improvement in the speed and quality of pressure sore healing.
Hubungan Kecemasan dengan Gangguan Tidur pada Anak Autism Spectrum Disorder (ASD) di Peduli ASD Research Center Tahun 2022
Authors: Purnama Olifia Agustin , Lestari Nur Eni , Anindya Isti , Rokhmiati Eka 
Published: July 2024

Pendahuluan: Permasalahan yang muncul dari ketidaksiapan menghadapi menarche selain psikologis juga terdapat masalah fisik yang dapat terjadi seperti sakit kepala, sakit pinggang, mual-mual dan berisiko terjadi infeksi pada saluran kemih (ISK).
Tujuan: Penelitian ini dilakukan untuk melihat hubungan kecemasan anak dengan gangguan tidur pada anak ASD di 2022.
Metode: Menggunakan metode studi kolerasi dengan design cross- sectional. Sampel penelitian ini melibatkan 77 orang tua anak ASD pada Platform Peduli Autism Spectrum Disorder. Instrumen penelitian yang digunakan yaitu Children’s Sleep Habits Questionnaire (CSHQ) dan Anxiety Scale for Children with Autism Spectrum Disorder (ASC-ASD). Uji statistik bivariat penelitian menggunakan Spearman Corelation.
Hasil: Didapatkan hasil bahwa hubungan antara variabel Kecemasan dengan gangguan tidur anak Autism Spectrum Disorder (ASD) dengan nilai p-value 0.296 (p-value >0,05).
Kesimpulan: Tidak terdapat hubungan antara variabel Kecemasan dengan gangguan tidur anak Autism Spectrum Disorder (ASD).
Hubungan Tingkat Kecemasan Orang Tua dengan Fase Demam Berdarah Dengue (DBD) pada Anak Usia 1-18 Tahun
Authors: Nurillah Al Fitri 
Published: July 2024

Latar Belakang: Respon kecemasan merupakan hal yang paling umum yang di alami orang tua ketika ada masalah kesehatan pada anaknya. Anak dengan DBD sering kali berakibat fatal dan menyebabkan kecemasan tinggi pada orang tua terutama pada fase fasenya.
Tujuan: Untuk mengetahui hubungan tingkat kecemasan orang tua dengan fase Demam Berdarah Dengue pada anak usia 1-18 tahun di RSU Bunda Margonda Depok.
Metode: Penelitian ini menggunakan metode kuantitatif. Teknik analisa data yang digunakan adalah Uji Spearman rank. Populasinya ialah 62 kasus di antaranya adalah pasien anak. Dalam penelitian ini terdapat 55 responden. Penelitian dilakukan mulai bukan Desember 2022 sampai dengan Februari 2023 di RSU Bunda Margonda. Instrumen yang di gunakan yaitu lembar kuesioner, lembar observasi. Analisis data menggunakan software SPSS secara univariat untuk melihat karakteristik responden dan distribusi variabel.
Hasil: Data yang di dapatkan dari 55 responden yang di peroleh dengan cara wawancara, pengisian kuesioner, dan lembar observasi di dapatkan analisa Spearman’s rho menunjukan bahwa P-value 0.000 dimana P-value <0.05 dengan Tingkat Correlation -.519 yang bermakna sangat rendah.
Kesimpulan: Ada hubungan antara tingkat kecamasan orang tua dengan fase Demam Berdarah Dengue (DBD) tetapi korelasi nya rendah yaitu orang tua akan merasa cemas saat anaknya sakit tanpa melihat fase-fasenya.
Analisis Tingkat Profitabilitas Pada Perusahaan Yang Terdaftar Di Bursa Efek Indonesia Periode 2018-2022 (Studi Kasus Pt Activity Based Management Investama Tbk)
Authors: Suardi Suardi , Yuliana Yuliana 
Published: July 2024

Masalah utama dalam penelitian ini yaitu Bagaimana Tingkat Profitabilitas Pada Perusahaan Yang Terdaftar Di Bursa Efek Indonesia Periode 2018-2022 ( Studi Kasus PT ABM Investama Tbk). Penelitian ini bertujuan untuk mengetahui tingkat profitabilitas PT ABM Investama Tbk. Metode penelitian ini adalah metode kuantitatif deskriptif. Analisis data dalam penelitian ini menggunakan GPM, NPM, ROA, ROE. Hasil penelitian yang diperoleh berdasarkan perhitungan menunjukkan bahwa Gross Profit Margin pada tahun 2018 sebesar 23%, 2019 sebesar 18%, 2020 sebesar 17%, 2021 sebesar 36%, dan pada tahun 2022 sebesar 36%, dengan rata rata keseluruhan sebesar 26% dan rata-rata industri sebesar 24,90%. Net Profit Margin pada tahun 2018 sebesar 9%, 2019 sebesar 1%, 2020 sebesar 6%, 2021 sebesar 18%, dan pada tahun 2022 sebesar 24%, dengan rata-rata rasio sebesar 12% dan rata-rata rasio industri sebesar 3,92%. Return On Asset pada tahun 2018 sebesar 8%, 2019 sebesar 0%, 2020 sebesar 5%, 2021 sebesar 18%, dan pada tahun 2022 sebesar 17%, dengan rata-rata rasio sebesar 10% dan rasio rata-rata industri sebesar 5,98%. Return On Equity pada tahun 2018 sebesar 27%, 2019 sebesar 2%, 2020 sebesar 23%, 2021 sebesar 52%, dan pada tahun 2022 sebesar 55%, dengan rata-rata rasio 32% dan rasio rata-rata industri sebesar 8,32%. Berdasarkan hasil perhitungan rasio profitabilitas dari tahun 2018-2022, PT ABM Investama Tbk mengalami Fluktuasi
Pulmonary Embolism in Klippel-Trenaunay-Weber Syndrome With Slipped Capital Femoral Epiphysis
Authors: Chen Yi-Chih , Kuo Ken N. , Shih Po-Jen , Yeh Peng-Lin , Wu Kuan-Wen 
Published: July 2024

Case:
A 12-year-old boy with Klippel-Trenaunay-Weber syndrome underwent surgery for unstable slipped capital femoral epiphysis who developed pulmonary embolism postoperatively.

Conclusion:
It is important to be vigilant about pulmonary embolism in children because it is rare but potentially fatal, especially in the presence of risk factors. Early diagnosis and treatment of unstable slipped capital femoral epiphysis are crucial to minimize immobility. Close monitoring of femoral head osteonecrosis is also necessary.
Influence of Training Background on Elbow Arthroplasty Case Numbers: An Analysis of the American Board of Orthopaedic Surgery Part II Oral Examination Case List Database
Authors: Schmidt Gregory J. , Hillesheim Richard A. , Hoyer Reed W. 
Published: July 2024

Introduction:
This study aimed to evaluate the influence of training background on the frequency and indications of elbow arthroplasty performed by early-career surgeons.

Methods:
A review of the American Board of Orthopaedic Surgery Part II Oral Examination Case List database from 2010 to 2021 was completed. The number of cases performed by surgeons from each individual training background were calculated and compared with the total number of surgeons who completed each fellowship during the study period.

Results:
Hand surgeons performed the most elbow arthroplasty cases (132, 44%), but a higher percentage of shoulder/elbow surgeons performed elbow arthroplasty in comparison (15% vs. 7%). The mean number of TEA cases performed by shoulder/elbow surgeons was significantly higher than in other subspecialties (P < 0.01). However, when comparing only surgeons who performed elbow arthroplasty during the board collection period, there was no significant difference between training backgrounds (P = 0.20).

Discussion:
While hand surgeons performed the most elbow arthroplasty cases, a higher percentage of shoulder/elbow surgeons performed elbow arthroplasty during the study period. The high prevalence of distal humerus fracture as an indication for arthroplasty reflected a shift in indications and was not related to training background.
Enforceability of Liquidated Damages Clauses and the Extent of Judicial and Arbitral Intervention
Authors: Ismail Youssef 
Published: July 2024

This article analyses the enforcement of liquidated damages (LDs) under both the English and Egyptian jurisdictions. It identifies the tests applicable to the assessment of LDs and the extent of judicial and arbitral involvement in their amendment. The article reflects on the tests applied in light of the principles of freedom of contract and protection of social order. After analysing the tests applied, and judicial and arbitral attitudes towards LDs, the article moves onto arbitral decision making, and questions whether arbitral tribunals possess the same powers as national courts to amend LDs. The article suggests that challenges to LDs under English law have become more difficult. However, there remains a lack of clarity as to the threshold of proportionality applied. It further determines that arbitral tribunals applying English law have no room to apply a different test than that applied by English national courts. Conversely, under Egyptian law, the Egyptian Civil Code leaves room for the competent judge to determine the applicable tests for the amendment of LDs. The Court of Cassation has set out clear tests which it has followed. The article questions whether arbitral tribunals are bound by the Egyptian Court of Cassation’s case law. It concludes that arbitral tribunals can deviate from the tests set out by the Egyptian Court of Cassation, as there is no strict doctrine of precedent under Egyptian law, but should still pay significant deference to the national courts’ applications.