bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pengaruh Program Jaminan Sosial Tenaga Kerja (Jamsostek) Terhadap Kinerja Karyawan Bprs Amanah Bangsa Pematangsiantar
Authors: Tarigan Vitryani , Tumanggor Bagudek 
Published: August 2024

Penelitian ini bertujuan untuk mengetahui apakah Program Jaminan Sosial Tenaga Kerja (Jamsostek) berpengaruh terhagap Kinerja karyawan BPRS Amanah Bangsa Pematangsiantar. Jenis sampel yang digunakan dalam penelitian ini adalah strata random sampling. Maka yang menjadi sampel dalam penelitian ini penulis menarik kesimpulan sebanyak 49 orang perwakilan pegawai BPRS Amanah Bangsa Pematangsiantar. Hasil pengujian hipotesis telah membuktikan terdapat pengaruh antara jaminan social tenaga kerja terhadap kinerja pegawai. Melalui hasil perhitungan yang telah dilakukan diperoleh nilai t hitung sebesar 9,129 dengan taraf signifikansi hasil sebesar 0,000 tersebut lebih kecil dari 0,05, dengan demikian Ha diterima dan Ho ditolak. Pengujian ini secara statistik membuktikan bahwa jaminan social tenaga kerja berpengaruh positif dan signifikan terhadap kinerja pegawai. Artinya bahwa ada pengaruh antara variabel jamina social tenaga kerja terhadap kinerja pegawain pegawai BPRS Amanah Banga Pematangsiantar. Berdasarkan hasil penelitian dan pembahasan serta kesimpulan yang trelah diuraikan sebelumnya, maka penulis mengemukakan beberapa saran yang dapat dijadikan bahan masukan bagi Kantor pegawai BPRS Amanah Banga Pematangsiantar, yang mudah-mudahan dapat diambil manfaatnya dalam rangka meningkatkan keefektifan jaminan Sosial Tenaga Kerja yang akan berpengaruh positif terhadap peningkatan kinerja pegawai
The Development Of Web-Based Islamic Law E-Book Library Application in Sharia Faculty UIN Sultan Maulana Hasanuddin Banten
Authors: Wahyudi M. Iman , Wahyu Wibowo Eko , Mustaghfiroh Mustaghfiroh , Muliasih Wanda Tsania 
Published: August 2024

The purpose of this study is to develop a web-based e-book library application that can be accessed through a website application platform as a digital literacy activity service so that the literacy of the academic community of the Faculty of Sharia can be accommodated properly, which focuses on a collection of digital ebooks about Islamic law, so that it can mediate the excavation of knowledge about Islamic law anytime and anywhere without being hindered by space and time that focuses on Collection of digital e-books on Islamic law. This research uses the Research Development method or also known as Research and Development (R&D), the results showed that there was an increase compared to the first validation there was an increase in the average value and criteria with a percentage value of 81%, the average score obtained was 4.05 with very good criteria compared to the initial validation which only got a percentage value of 78% of the average value obtained is 3.9
The Impact of Financial Report Quality and Performance-Based Budget Implementation on the Accountability Performance of Government Agencies with Accounting Control as a Moderator
Authors: Wardani Erlinda Kusuma , Hasibuan David 
Published: August 2024

This study aims to examine the influence of accounting controls in moderating the relationship between financial reporting quality, the implementation of performance-based budgeting, and performance accountability of government agencies in Local Government Work Units (SKPD) across Bogor City. The research employs a quantitative approach using Structural Equation Modeling (SEM) with PLS software and IBM Statistics SPSS 26.0. The unit of analysis consists of employees with specific criteria within the Regional Apparatus Organizations of Bogor City. The sample consisted of 144 respondents, and data collection was conducted through a questionnaire. The results of the study indicate that financial reporting quality and the implementation of performance-based budgeting have a positive impact on the performance accountability of government agencies in SKPD Bogor City. Furthermore, accounting controls positively moderate the relationship between financial reporting quality and the implementation of performance-based budgeting on the performance accountability of government agencies across SKPD in Bogor City.

Keywords: accounting control, quality of financial reports, implementation of performance-based budgeting, accountability for the performance of government agencies
Trauma-Induced Double-Seronegative Ocular Myasthenia Gravis: A Case Report
Authors: Khalid Mohammad Ali , Awan Muhammad Jawad , Gull Ambreen , Hafeez Nida , Ali Bushra , Niazi Fuad Ahmad Khan 
Published: August 2024

We present here a 12-year-old child who presented with complaints of blurring of vision and drooping of the left upper eyelid for the past 4 years, which started 1 month after he encountered blunt trauma to the left-sided orbital region. History, examination and pharmacological (neostigmine test) tests were suggestive of ocular myasthenia gravis, however anti-acetylcholine receptor antibodies and anti-musk antibodies were negative. Repetitive nerve stimulation tests and electromyography were also unremarkable. The patient was labelled as a case of trauma-induced double-Seronegative Ocular Myasthenia Gravis and was started on oral Pyridostigmine. The patient reported a drastic improvement in both diplopia and ptosis that he initially presented with. Ocular Myasthenia Gravis can be a diagnostic challenge as its initial presentation can vary to a great degree. Thorough history and examination remain of prime importance which can provide adequate clues to lead us to the diagnosis of ocular myasthenia gravis. Trauma should also be recognized as a triggering factor for myasthenia gravis and more attention needs to be given to understand the pathophysiology of this interesting association.
Effect Of Vitamin D Supplements In Improving Glycemic Control In Type 2 Diabetes Mellitus
Authors: Javaid Yusra , Sikandar Roma , Wasif Amreen 
Published: August 2024

Abstract
Objective: To evaluate the efficacy of Vitamin D supplements in improving glycemic control in Type 2 Diabetic patients
It was a Quasi-Experimental trial conducted at the Department of Chemical Pathology of Fauji Foundation Hospital Rawalpindi, from Sep 2019 to December 2019.
Method:100 patients between the ages of 20-65 years with serum 25(OH)D conc <25nmol/L and HbA1c >8.0% were given 200000 IU of vitamin D for 3 months and then their Vitamin D and hbA1c levels were compared with the baseline.
Results: The average alterations in HbA1c associated with initial Vitamin D levels of ≤ 40 nmol/L were 8.440 ± 1.787, subsequently reducing to 7.373 ± 1.093 after three months, demonstrating a statistically significant p-value of 0.000. Similarly, for individuals with initial Vitamin D levels > 40 nmol/L, the mean changes in HbA1c were 8.644 ± 1.928 initially, transforming to 7.551 ± 1.047 after three months, with a statistically significant p-value of 0.000.
Conclusion: The inclusion of Vitamin D supplements in conjunction with conventional anti-diabetic medications and exogenous insulin demonstrates an improvement the glycemic status of diabetic patients, as indicated by a reduction in HbA1c levels.
Alcohol Use Disorders in Patients Suffering from Obsessive–Compulsive Disorder: A Cross-sectional Study
Authors: Dsilva Chrisenn Hansel , Mythri Starlin Vijay , Arora Sahej , Karia Sagar , Desousa Avinash , Reddy M. S. 
Published: August 2024

Background:
Comorbidity in obsessive–compulsive disorder (OCD) is known, especially alcohol use disorders (AUDs) in OCD. Data are lacking regarding the prevalence, the obsessions and compulsions in people with OCD with comorbid alcohol use.

Aims and Objectives:
The aim was to study the prevalence of AUDs in people with OCD. The primary objective was to study the prevalence of AUDs in 100 people with OCD. Secondary objective was to study the clinical characteristics, obsessions, and compulsions of people with OCD and comorbid alcohol use.

Settings and Designs:
The study design was a cross-sectional study.

Materials and Methods:
100 patients of Asha Hospital diagnosed with OCD were screened and included in the study after a written informed consent. YBOCS checklist and scoring were done. People satisfying the criteria for AUD were further assessed with SADQ questionnaire. SPSS software was used for statistical analysis.

Results and Conclusions:
The lifetime prevalence of substance use disorders was found 18%. Point prevalence of any substance use was 13%, out of which 7% had AUDs. 2% had a dependence pattern and 5% had an abuse pattern. When comparing people with alcohol versus non-alcohol use, there was a significant difference in the proportion of males in the alcohol group (P = 0.0011). Nicotine was used in higher proportion in the alcohol group (P = 0.0001). Alcohol users were not regular with medications (P = 0.01). Miscellaneous obsessions are more common in them (P = 0.002). Alcohol users had a higher proportion of nil compulsions (P = 0.057) implying that obsessions were more prominent than compulsions in them. Mean scores of OCD in both groups were around moderate severity, with no significant difference between the two.
Management of lupus thrombocytopenia through Ayurveda- A case report
Authors: Harshitha K. S. , Mutha Rashmi , Sahu Ajay Kumar , Joshi Ram Kishor , Gautam Shankar 
Published: August 2024

Abstract
Immune thrombocytopenic purpura (ITP) is one of the complications of systemic lupus erythematosus (SLE). SLE is often complicated by cytopenias. Thrombocytopenia is usually mild and its frequency ranges from 20% to 40%. There are no evidence-based guidelines that will help choose one drug over another. The present article deals with a case diagnosed with SLE-ITP. In Ayurveda, it can be diagnosed with Raktapitta (lupus thrombocytopenia) and was effectively managed with internal medications based on treatment principles of Jwara (fever) and Raktapitta. The platelet count during the first visit was 0.37/lacs/mm3, which was raised to 190 × 109/L after the management with Ayurvedic principles. SLE disease activity index (SLEDAI) was 13 points on her first visit. After treatment, SLEDAI was reduced to two points. The effectiveness of treatment was assessed by improvement in symptoms and platelet count before and after treatment. There was relief in all the symptoms and increase was also noted in the platelet count after the treatment. Ayurveda can definitely be a treatment modality in treating steroid-dependent SLE-ITP.
Public awareness about common ocular diseases among a sample of Egyptian population
Authors: El-Mayah Esraa , Zein Marwa M. , Hegazi Ahmed S. , Abdelghany Eman O. 
Published: August 2024

Background
Globally, the most common causes of blindness in adults are cataracts, glaucoma, age-related macular degeneration, and diabetic retinopathy. Inadequate knowledge of these conditions leads to lag in medical advice requisition, losing the opportunity for prevention and early intervention with an increased rate of disease complications.

Aim
This study aimed to detect the level of public awareness about common eye problems in Egypt to help build strategies to prevent complications related to these eye problems.

Patients and methods
This is a prospective cross-sectional analytical study that used a pre-tested e-questionnaire to collect data from the study participants during the period from September 2022 to June 2023 at Kasr Alainy School of Medicine, Cairo, Egypt. A Google form was created, and participants were invited through social media. It included four sections: socio-demographic characteristics, medical history of study participants, knowledge about common ocular diseases, and sources of gaining knowledge.

Results
The study included 802 participants, 54.2% of them were females, more than 55% of them were between the ages of 18–30 years, and 74.4% were university graduates. Awareness of cataracts, glaucoma, corneal opacity, diabetic retinopathy, and age-related macular degeneration was reported in 45.7, 34.8, 38.3, 80, and 77.5% of the study participants, respectively. Physicians and social media were the most common efficient sources of gaining knowledge. Higher education and working in a medical profession, especially physicians and pharmacists were associated with higher knowledge scores.

Conclusion
Low levels of knowledge of most of the blinding conditions among the study participants raise the importance of adopting health education programs by our healthcare systems taking into consideration that physicians and social media were among the most convenient routes to reach the targeted population.
Six surgical principles for safe excision of superotemporal dermolipoma
Authors: Awad Ahmad A. , Aly Momen A.M. 
Published: August 2024

Purpose
The aim of this study was to describe six surgical principles that were applied for safe excision of superotemporal dermolipomas.

Patients and methods
This retrospective interventional clinical study included 32 dermolipomas (in 29 patients) that presented to the Orbit Clinic of Assiut University Hospital, Assiut, Egypt and were subjected to surgical excision. The six surgical principles applied for safe dermolipoma excision were: conjunctival incision at the junction between normal and abnormal conjunctiva sparing as much bulbar conjunctiva as possible, hooking the lateral rectus muscle and dissecting the lesion free from the muscle and the covering Tenon’s capsule, eversion of the upper lid using Descemar’s retractor, incision at the upper bulbar conjunctiva, and dissection of the superior surface of the lesion away from the levator muscle, dissection of the lateral surface of the lesion from its attachment to the lateral canthus sparing a stump of the conjunctiva, dissection of the deep part of the lesion from the underlying normal orbital tissue, and suturing the bulbar conjunctiva to the preserved conjunctival stump at the lateral canthus. The follow up ranged from 3 to 35 months (mean=21±3.2 months) during which the patients were assessed for improvement in the presenting manifestations as well as for the presence of complications such as ptosis, dry eye, strabismus, limitation of ocular motility, or symblepharon.

Results
The surgery was successful in all patients without permanent dry eye, blepharoptosis, or permanent strabismus. Temporary limitation of adduction was observed in two patients that resolved spontaneously within 1 month.

Conclusion
Adherence to the six surgical principles outlined in the study allowed the authors to safely excise the dermolipomas without damaging the lateral rectus, levator complex, and lacrimal gland ductules. Thus, postoperative squint, ptosis, and dry eye were avoided. In addition, preserving the forniceal conjunctiva and suturing the bulbar conjunctiva prevented symblepharon formation and restricted mobility.
Corneal endothelium and central corneal thickness changes in patients with type 2 diabetes mellitus
Authors: Dardyr Mohammed E.A. , Mostafa Shaimaa M. , Elsayed Sherif F. 
Published: August 2024

Background
Understanding the effect of diabetes mellitus on the corneal endothelium is essential for developing effective strategies for early detection, monitoring, and management of diabetic eye disease.

Aim
The aim of this study was to investigate the changes in corneal endothelium and central corneal thickness (CCT) in patients with type 2 diabetes mellitus.

Patients and methods
This is a prospective, nonrandomized, comparative study that included 500 eyes of 500 participants that were divided into two groups: group A: 250 eyes of type 2 diabetic patients and group B: 250 eyes of healthy controls. The diabetic group was further subdivided into two subgroups based on the duration of diabetes (<10 years and >10 years) and glycemic control (uncontrolled diabetes and controlled diabetes). Specular microscopy was performed in all eyes.

Results
The CCT was significantly higher in the diabetic group (516.93±36.43 μm) than in the control group (503.47±41.89 μm) (P=0.001). However, the two groups were relatively similar in cell density (CD) (cells/mm2), coefficient of variation (%), and hexagonality, with no statistically significant differences (P>0.05 for all). The CD was significantly higher in the patients with a duration of diabetes less than 10 years than those with a duration more than 10 years (2834.04±268.54 vs. 2277.13±244.54 cells/mm2, respectively, P=0.001). In addition, the hexagonality was significantly less in those with the duration of diabetes of more than 10 years (P=0.005). The CD was significantly less in the uncontrolled group than in the controlled group (2292.27±263.4 vs. 2644.69±370.88 cells/mm2, respectively, P=0.001).

Conclusion
Diabetic patients may exhibit alterations in their corneal parameters, particularly the CCT and endothelial CD. These changes are more in diabetic patients with a disease duration of more than 10 years and those with poor glycemic control.
Screening for Fabry disease in patients on Hemodialysis
Authors: Batta Gaurav , Vishnuprasad R. , Batta Anshita , Santhanalakshmi D. , Dwivedi Aradhana 
Published: August 2024

AbstractBackground:Fabry disease is an under-recognized X-linked lysosomal storage disorder characterized by the accumulation of trihexosylceramides in multifarious tissues, leading to end-organ damage, including progressive renal failure. Antecedent screening studies worldwide have shown inconsistent prevalence in the hemodialysis population. We conducted this study to screen for Fabry disease in patients undergoing dialysis at a tertiary care hospital.Materials and Methods:All patients undergoing dialysis were screened with a gal assay using dried blood spots (DBS) on filter paper using the fluorescence method. Patients with positive DBS test results were further tested for underlying mutations.Results:A total of 112 patients (64.3% males and 35.7% females) on dialysis were screened. Nineteen patients (13 males and 6 females) were found to have low enzyme activity on DBS. Further mutation analysis confirmed that one female patient had Fabry disease. The mutation detected was a heterozygous missense variation in exon 7 of the GLA gene, which resulted in the amino acid substitution of histidine for arginine at codon 363 (p.Arg363His). Subsequent screening of the family members revealed that the son of the patient was asymptomatic and carried the same genotypic mutation. Genetic counseling was performed, and enzyme replacement therapy was offered to both patients.Conclusions:Fabry disease remains underdiagnosed, especially in high-risk populations such as those undergoing dialysis. DBS is a convenient and effective screening tool for Fabry disease. Facilities should be augmented for similar screening studies in the dialysis population.
A Giant Basal-Cell Carcinoma: A Rare Subtype at a Rare Site
Authors: Chandanwale Shirish Sahebrao , Singh Madhuri , Raj Akshi , Viswanathan Vidya , Bharadwaj Saloni 
Published: August 2024

Abstract
Giant basal-cell carcinoma (BCC) is a rare subtype of BCC which is characterized by aggressive biological behavior with extensive local invasion, frequent metastasis, and poor prognosis. It arises almost exclusively on hair-bearing skin. It has been rarely reported on sole. Various pathogenic factors such as arsenic exposure, ionizing radiation, repeated trauma, and hereditary syndromes have been implicated. A combination of optical coherence tomography and reflectance confocal microscopy can provide useful information for both depth and horizontal extension of tumor and could be used before surgery to explore subclinical extension. Wide local excision of the lesion with histologically confirmed negative margins for the reconstruction of the defect, followed by adjuvant chemoradiation gives a better outcome compared to radiotherapy or chemotherapy alone. Chemotherapy with cisplatin-based treatment is the most common regimen. We report a case of giant BCC on the sole in an elderly male. After excision, the defect was treated with skin grafting.
Aberrant Right Coronary Artery from the Left Coronary Sinus Presenting with Inferior Wall Myocardial Infarction
Authors: Toshniwal Saket Satyasham , Toshniwal Satyasham S. , Kumar Sunil , Acharya Sourya 
Published: August 2024

Abstract
Coronaries arise normally from the aortic sinus which consists of one anterior and two posterior cusps of which the right coronary artery (RCA) arises from the anterior cusp and the left coronary artery arises from the left posterior cusp. Abnormal origin of coronary arteries is very rare and counts for about 2.33% of prevalence and below 1% incidence and are comparatively very difficult to diagnose through routine investigations. Till date, only one case has been reported in the literature where the culprit vessel was the victim as seen in our case. We report a case of a 68-year-old male, who underwent coronary angiography for his anginal chest pain, was diagnosed with coronary artery disease with an “abnormally arising RCA” from the left coronary cusp with a proximal stenotic lesion in the anomalously arising RCA, which was confirmed on multidetector computed tomography three-dimensional reconstruction volume-rendered imaging.
Correlation of Follicle-stimulating Hormone, Anti-Mullerian Hormone, and Antral Follicle Count with Age in Ovarian Reserve Testing
Authors: Das Subrata , Bhattacharya Namrata , Mahata Ritu , Ghosh Sudip , Bhar Anindya Sundar , Srivastava Pragati 
Published: August 2024

Abstract

Objective:
Ovarian reserve and hence ovarian response has a key role in assisted reproductive technology and predicting response to gonadotrophins in controlled ovarian hyperstimulation. Various tools, namely follicle-stimulating hormone (FSH), anti-Mullerian hormone (AMH), antral follicle count (AFC), estradiol, etc., have been studied to discover the best determinant of ovarian reserve. The aim of our study is to correlate different reproductive hormones with age of women to estimate ovarian reserve and to evaluate reliable marker for aiding infertility treatment.

Materials and Methods:
It is an observational study performed for 6 months, with 88 women (aged 21–39 years) having a complaint of infertility, enrolled in the infertility clinic of a tertiary care hospital. Baseline scan for AFC was done for every patient and their blood was sent for serum FSH, AMH analysis. Statistical procedures were employed to determine the association between age and reproductive hormones (i.e. FSH and AMH) as independent variables and AFC as a dependent variable.

Results:
A strong negative correlation was noted between FSH and AMH and between age and AMH (r = −0.492 and r = −0.498, respectively). A weak negative correlation was seen between AMH and total AFC (r = −0.241). A moderate positive correlation was seen on comparing age and FSH (r = 0.331), whereas no correlation was seen on comparing FSH with AFC and AMH with AFC. The presence of ovarian cyst did not affect AMH or AFC but reduced FSH values significantly.

Conclusion:
In the quest to determine a panel test for ovarian reserve testing we conclude, FSH and AFC should perform fairly in poor resource and low socioeconomic setting. The combination of FSH with AMH and AFC might aid in better determination of ovarian reserve in tertiary centers with available resources.