bluuebunny/crossref_metadata_2025_split huggingface dataset:
Objective Comparison of the First-Person–View Live Streaming Method Versus Face-to-Face Teaching Method in Improving Wound Suturing Skills for Skin Closure in Surgical Clerkship Students: Randomized Controlled Trial
Authors: Halim Freda , Widysanto Allen , Wahjoepramono Petra Octavian Perdana , Candrawinata Valeska Siulinda , Budihardja Andi Setiawan , Irawan Andry , Sudirman Taufik , Christina Natalia , Koerniawan Heru Sutanto , Tobing Jephtah Furano Lumban , Sungono Veli , Marlina Mona , Wahjoepramono Eka Julianta 
Published: August 2024

Abstract

Background
The use of digital online teaching media in improving the surgical skills of medical students is indispensable, yet it is still not widely explored objectively. The first-person–view online teaching method may be more effective as it provides more realism to surgical clerkship students in achieving basic surgical skills.

Objective
This study aims to objectively assess the effectiveness of the first-person–view live streaming (LS) method using a GoPro camera compared to the standard face-to-face (FTF) teaching method in improving simple wound suturing skills in surgical clerkship students.

Methods
A prospective, parallel, nonblinded, single-center, randomized controlled trial was performed. Between January and April 2023, clerkship students of the Department of Surgery, Pelita Harapan University, were randomly selected and recruited into either the LS or FTF teaching method for simple interrupted suturing skills. All the participants were assessed objectively before and 1 week after training, using the direct observational procedural skills (DOPS) method. DOPS results and poststudy questionnaires were analyzed.

Results
A total of 74 students were included in this study, with 37 (50%) participants in each group. Paired analysis of each participant’s pre-experiment and postexperiment DOPS scores revealed that the LS method’s outcome is comparable to the FTF method’s outcome (LS: mean 27.5, SD 20.6 vs FTF: mean 24.4, SD 16.7; P=.48) in improving the students’ surgical skills.

Conclusions
First-person–view LS training sessions could enhance students’ ability to master simple procedural skills such as simple wound suturing and has comparable results to the current FTF teaching method. Teaching a practical skill using the LS method also gives more confidence for the participants to perform the procedure independently. Other advantages of the LS method, such as the ability to study from outside the sterile environment, are also promising. We recommend improvements in the audiovisual quality of the camera and a stable internet connection before performing the LS teaching method.
Assessment of Heavy Metal Concentrations in Roadside Soils from Mafraq, Jordan
Authors: Al-Sarhan Ahmed , Al-Massaedh "Ayat Allah" , Al-Momani Idrees Faleh 
Published: August 2024

In the present study, the concentrations of nine heavy metals (Cr, Cd, Cu, Mn, Pb, Co, Fe, Ni, and Zn) in roadside soils were measured by flame atomic absorption spectroscopy (FAAS). Roadside soils were collected during the summer semester from Mafraq, Jordan (N = 97). Four sampling sites were selected for this study, including commercial area, industrial area, residential area, and Irbid-Mafraq highway. The average metal concentrations (±SD) in the collected soils were 16840 (± 9479), 40 (± 40), 99 (± 44), 478 (± 155), 60 (± 62), 2 (± 1), 73 (± 23), 14 (± 5), and 45 (± 13) mg/kg for Fe, Cu, Zn, Mn, Pb, Cd, Cr, Co, and Ni, respectively. The results of this study revealed that the highest Mn, Cu, Co, Ni, Zn, Fe, and Pb concentrations were found in the industrial area, and the highest Cd concentration was found at the Irbid-Mafraq highway. The values of the enrichment factors for Zn, Cr, Cd, and Ni in the collected roadside soils were found to be higher than 10, confirming the presence of anthropogenic pollution in the studied areas. The results of this study were also compared with other studies performed in different countries in the world.
Implementasi Standar Operasional Prosedur (Sop) Housekeeping dalam Menyiapkan Kamar Tamu Check In
Authors: Putra I Putu Wahyu Sadena , Juniarta Pande Putu 
Published: August 2024

Penelitian ini bertujuan untuk memahami implementasi Standar Operasional Prosedur (SOP) Housekeeping dalam menyiapkan kamar tamu check-in di Villa Sunset Hill Uluwatu. Penelitian dilaksanakan dalam rentang waktu 3 bulan, dimulai dari bulan September hingga bulan November. Teknik analisis data yang digunakan adalah teknik analisis deskriptif kualitatif dengan melakukan pendekatan observasi, dokumentasi, dan wawancara kepada informan, yaitu supervisor dan staf, untuk mengetahui penerapan standar operasional prosedur yang berlaku. Dari hasil penelitian di lapangan, yang penulis lakukan pada bulan September hingga November di Villa Sunset Hill Uluwatu terhadap supervisor dan staf housekeeping yang bertugas menangani check-in, ditemukan bahwa sering terjadi kekurangan dalam membersihkan semua hal yang kotor dan mengumpulkan lapisan kotor di kamar tamu atau pengunjung. Dapat ditarik simpulan bahwa penerapan SOP oleh Housekeeping di Villa Sunset Hill Uluwatu sudah memenuhi syarat dengan sangat baik.

This study aims to understand the Implementation of Standard Operating Procedures (SOP) for Housekeeping in the Management of Check-In Guest Rooms at Villa Sunset Hill Uluwatu. The research was conducted within a span of 3 months starting from September to November. The data analysis technique used is a Qualitative Descriptive analysis technique by taking an observation, documentation, and interview approach to informants, namely supervisors and staff, to find out the applicable standard operating procedures. From the results of research in the field, which the author conducted from September to November at Villa Sunset Hill Uluwatu, towards supervisors and housekeeping staff who are in charge of handling check-ins, it was found that there was a lack of cleaning all dirty items and collecting dirty layers in guest or visitor rooms. Sanctions can be drawn that the implementation of the SOP by Housekeeping at Villa Sunset Hill Uluwatu has met the requirements very well.
Inovasi Pembuatan Wine Berbahan Dasar Buah Nanas dan Semangka dengan Menggunakan Tuak sebagai Bahan Pengganti Ragi
Authors: Wijaya I Putu Agung Surya , Rinayanthi Ni Made 
Published: August 2024

Tujuan dari penelitian ini yaitu: 1) Mengetahui efektivitas penggunaan tuak sebagai pengganti ragi dalam proses fermentasi wine. 2) Membandingkan rasa, warna, kadar alkohol dan aroma wine yang berasal dari fermentasi ragi dengan fermentasi tuak. 3) Mengetahui tanggapan masyarakat terhadap wine dengan fermentasi tuak. Metode dalam penelitian ini menggunakan metode penelitian pengembangan produk dengan pendekatan eksperimen. Hasil penelitian menunjukan bahwa: 1) Penggunaan tuak sebagai pengganti ragi efektif digunakan dalam proses fermentasi wine. Hal ini terlihat dari kadar alkohol sebesar 8% sedangkan fermentasi menggunakan ragi wine menghasilkan alkohol sebesar 6%. 2) Rasa wine dengan ragi tuak sangat manis, sedangkan dengan ragi wine. Warna menggunakan tuak lebih terang jika dibandingkan dengan ragi yakni cukup terang. Kadar alkohol wine menggunakan ragi dari tuak dan ragi wine sama-sama sangat hangat. Sedangkan pada aroma pembuatan wine dengan tuak pengganti ragi dan ragi wine itu yakni sangat harum.

The aims of this study were: 1) To find out the effectiveness of using palm wine as a substitute for yeast in the wine fermentation process. 2) Comparing the taste, color, alcohol content and aroma of wine from yeast fermentation with palm wine fermentation. 3) Knowing the public's response to wine with palm wine fermentation. The method in this study uses product development research methods with an experimental approach. The results showed that: 1) The use of palm wine as a substitute for yeast was effective in the wine fermentation process. This can be seen from the alcohol content of 8% while fermentation using wine yeast produces 6% alcohol. 2) The taste of wine with old yeast is very sweet, whereas with yeast mani. The color of using palm wine is lighter than that of yeast, which is quite light. The alcohol content of wine using yeast from toddy and wine yeast are both very warm. Meanwhile, the aroma of making wine with palm wine as a substitute for yeast and wine yeast is very fragrant.
Pemanfaatan Ekstrak Daun Kelor (Moringa Oleifera) dalam Pembuatan Kue Tradisional Cenil
Authors: Cahyani Ni Putu Septia Dewi , Koeswiryono Dika Pranadwipa 
Published: August 2024

Penelitian ini bertujuan untuk mengetahui kualitas kue tradisional cenil dengan penambahan ekstrak daun kelor dinilai dari segi warna, aroma, rasa dan tekstur, daya tahan, biaya produksi yang diperlukan, serta minat konsumen. Penelitian ini menggunakan 3 formulasi penambahan ekstrak daun kelor yaitu P1 (25%), P2 (50%) dan P3 (75%). Jenis data yang digunakan dalam penelitian ini yaitu menggunakan jenis data kualitatif dan kuantitatif dengan pendekatan penelitian komparatif. Teknik analisis data yang digunakan ialah analisis kualitatif yang memaparkan daya tahan kue cenil dengan penambahan ekstrak daun kelor, dan analisis kuantitatif yang menjabarkan kualitas organoleptik, serta biaya produksi kue cenil dengan penambahan ekstrak daun kelor. Hasil uji organoleptik menunjukan bahwa kue cenil dengan campuran 75% ekstrak daun kelor merupakan campuran yang paling tepat dengan kualitas warna menarik yaitu tidak terlalu pucat dan tidak terlalu pekat, aroma sangat sedap yaitu beraroma khas daun kelor, rasa sangat enak yaitu rasa enak dari daun kelor tersebut yang bercampur juga dengan rasa manis dari saus gula merah (kinca) dan rasa gurih dari kelapa parut, serta tekstur yang kenyal. Dalam uji daya tahan produk hanya dapat bertahan selama 1 hari bila disimpan dalam suhu ruangan. Dari analisis biaya produksi, adapun biaya produksi yang dibutuhkan sebesar Rp 29.285 dengan harga jual 50gr/kemasan sebesar Rp 1.000.

This study aims to determine the quality of traditional cenil cakes with the addition of moringa leaf extract in terms of color, aroma, taste and texture, durability, required production costs, and consumer interest. This study used 3 formulations of the addition of moringa leaf extract, namely P1 (25%), P2 (50%) and P3 (75%). The type of data used in this study is using qualitative and quantitative data types with a comparative research approach. The data analysis technique used is qualitative analysis which describes the durability of cenil cake with the addition of moringa leaf extract, and quantitative analysis which describes the organoleptic quality, as well as the production cost of cenil cake with the addition of moringa leaf extract. The results of the organoleptic test showed that cenil cake with a mixture of 75% Moringa leaf extract was the most appropriate mixture with attractive color quality, not too pale and not too thick, very pleasant aroma, namely the distinctive aroma of Moringa leaves, very good taste, namely good taste from Moringa leaves. which is also mixed with the sweet taste of brown sugar sauce (kinca) and the savory taste of grated coconut, as well as a chewy texture. In the product endurance test, it can only last for 1 day when stored at room temperature. From the analysis of production costs, the required production costs are IDR 29,285 with a selling price of 50gr/pack of IDR 1,000.
SPATIAL ANALYSIS OF HIGH CONSERVATION VALUE AREAS AS PROVIDERS OF NATURAL ENVIRONMENTAL SERVICES IN THE KRUENG PEUSANGAN WATERSHED, ACEH PROVINCE
Authors: Syafjanuar Tito Eka , Ichwana Ramli  , Nasrul Arahman  
Published: August 2024

Watershed is a unity of ecosystem from upstream to downstream consisting of the main elements of soil, vegetation, water, and air. Watershed has an important function in sustainable community economic development. Changes in land use result in most of the rainwater flowing as surface water which directly or indirectly has caused land degradation. This study aims to identify the presence of high conservation value areas as providers of natural environmental services in the Krueng Peusangan watershed. This study used the HCV Toolkit Indonesia approach and SIG analysis with a tiered quantitative method of slope, soil type, land cover and averaged daily rainfall intensity. The results obtained showed that the Krueng Peusangan watershed has 40.54% of high conservation value areas as providers of natural environmental services, with 23.15% of water supply and flood control areas and 20.01% of erosion and sedimentation control areas. It also identified, 2.67% of the Krueng Peusangan watershed is water supply and flood control areas as well as erosion and sedimentation control areas. This research offers important information about areas providing natural environmental services to the central government, local governments, non-governmental organizations and communities to work together to answer the big challenges in managing the Krueng Peusangan watershed
Distancia a la vegetación, trazado de la carretera y atropello de vertebrados silvestres en Puntarenas, Costa Rica
Authors: Granados-Rodríguez Federico , Esquivel Carolina , Barquero-González José Pablo , Quesada-Ávila Gabriela , Tenorio-Brenes Javier 
Published: August 2024

Introducción: Comprender el impacto de las carreteras en la fauna es crucial para implementar medidas de protección; Costa Rica es uno de los países tropicales más estudiados en este aspecto, pero algunas áreas siguen siendo poco conocidas. Objetivo: Evaluar la relación entre la frecuencia de atropellos de fauna, el trazado de la carretera y la distancia a la vegetación. Métodos: Trabajamos durante 15km del 8 al 10 de abril de 2016 en la Carretera Nacional Pacífica Fernández, Puntarenas, Costa Rica. Contamos todos los atropellos visibles. Resultados: Registramos 56 individuos atropellados, principalmente sapos (Rhinella horribilis) e iguánidos. La vegetación cercana aumentó el número de víctimas, mientras que no hubo diferencias entre los tramos rectos y curvos de la carretera. Conclusiones: Recomendamos la implementación de barreras, reductores de velocidad y pasos de fauna adecuados, especialmente en áreas con vegetación densa cerca de la carretera.
Correlations of spheno-occipital synchondrosis, cervical vertebrae, midpalatal suture, and third molar maturation stages
Authors: Booth Evan , Viana Grace , Shirazi Sajjad , Miller Steven , Sellke Terry , Elnagar Mohammed , Viana Marlos , Atsawasuwan Phimon 
Published: August 2024

ABSTRACT

Objectives
To estimate the joint correlations among cervical vertebrae maturation (CVM), spheno-occipital synchondrosis (SOS), midpalatal suture maturation (MPS), and third molar mineralization (TMM) and to assess the predictive potential of SOS on CVM and MPS.

Materials and Methods
570 pretreatment cone-beam computed tomogram (CBCT) scans from three private practices were analyzed, and MPS, CVM, SOS, and TMM stages were categorized and recorded by two independent investigators. Intra- and inter-rater reliability tests were evaluated with weighted Cohen’s kappa tests. Spearman correlation coefficients for ordinal data were used to estimate the pairwise correlations among SOS, CVM, MPS, and TMM. To evaluate if SOS could predict CVM and MPS, ordinal regression models were estimated and cross-validated.

Results
The analysis demonstrated a robust positive correlation between SOS and CVM (r = 0.845) and between SOS and MPS (r = 0.742). A significant correlation was also observed between CVM and MPS (r = 0.659). Further correlations were identified between TMM and SOS (r = 0.444), TMM and MPS (r = 0.392), and TMM and CVM (r = 0.358). Ordinal regression models indicated the potential of using SOS as a predictive marker for CVM and MPS stages.

Conclusions
With a comprehensive analysis, SOS is strongly correlated with CVM and MPS, and SOS stage can be used to predict CVM and MPS using ordinal regression. Since MPS stages are challenging to categorize due to their anatomy, this finding suggests a diagnostic tool using SOS stages or when more information on skeletal maturity of the patient is desired.
Forecasting A Long-Term Landslide Hazard in Paweden and Kalilunjar Sub-District, Banjarnegara, Indonesia
Authors: Lestari Diah Valentina , Prasetyaningtiyas Gayuh Aji 
Published: August 2024

Climate change has been a global issue for the past decades. It has impacted numerous aspects in landslide, particularly in the slope stability. The soil mass rupture leads to damage to infrastructure and death. Thus, any prevention is urgently needed to minimize the risk. Forecasting the hazards is part of disaster management. The Initial step of this action is forecasting the rainfall due to climate change for the next 20 years since 2010, given that most of the landslide hazards in Paweden and Kalilunjar are triggered by rainfall. This study uses CORDEX-SEA to obtain the rainfall forecasting data as the input to simulate the slope stability. The rainfall seepage is performed to obtain slope safety factor by using Geo-studio. Two chosen sub-districts in Banjarnegara, Paweden and Kalilunjar, are expected to experience more extreme daily rainfall by the end of 2030 compared to 2010 conditions. This study also shows that all rainfall cases trigger a slope failure (FS<1.2). This study is expected to support the local government in deciding the next hazard mitigation plan.
Use of first aid kits on board a regional airline
Authors: Paxinos Odysseas , Alexelis Angelique , Alexelis Vasilis , Savourdos Petros 
Published: August 2024

Objectives:
In-flight medical events (IMEs), although relatively rare, they may be demanding. First aid on board is provided by cabin crew members or passengers who are healthcare professionals. Airline aircrafts are required by legislation to have medical kits on board, but the usefulness of the required medications is still under investigation. The objective of this study was to evaluate the use of medical kits on board a regional airline.

Material and Methods:
We prospectively collected all IME reports from the biggest airline in Greece during a 5-year period (2014–2018) and investigated the use of medical kits on board.

Results:
During the study period, 990 IMEs were recorded, corresponding to 16 IMEs for each million passengers or 1.8 IMEs for every 10,000 flights. The most frequent event was loss of consciousness (38.4%). The first aid kit was opened in 18% of IMEs but was used in 15%. Medications frequently used were burn hydrogel (in 4.7% of IMEs) and paracetamol (in 3.6% of IMEs). Only three passengers were treated with advanced medications (two with nitroglycerin and one with corticosteroid intramuscular injection).

Conclusion:
Despite the availability of an advanced cardiac life support level, emergency medical kit on board, basic first aid, and over-the-counter medications were sufficient to successfully manage 98% of all IMEs in a regional airline. The required list of medications for onboard medical kits needs further study.
A novel approach to addressing intercavernous sinus bleeding: Preoperative onyx embolization in the endoscopic endonasal approach for craniopharyngioma resection
Authors: Gomez Diego , Garcia Rairan Luis , Mejia Juan Andres , Hakim Fernando 
Published: August 2024

Background:
Hemorrhage originating from the intercavernous sinuses during transsphenoidal approaches for skull base injury is a common occurrence, but it can be easily controlled. However, in specific cases, it may necessitate suspending the surgery or result in hemodynamic instability.

Case Description:
We present the case of a 7-year-old female patient who underwent transsphenoidal endoscopic endonasal for craniopharyngioma resection. The patient’s parents gave consent for the procedure. During the procedure, significant intraoperative bleeding occurred, which was necessary to stop the resection. After the surgery, cerebral angiography was performed, which identified a prominent anterior intercavernous venous sinus as the source of the bleeding. A successful embolization using onyx was performed, leading to a satisfactory postoperative recovery without any complications. The patient then underwent a second surgical intervention for the resection of the craniopharyngioma through an endoscopic endonasal transsphenoidal approach. This procedure achieved a complete resection of the lesion without complications, and the patient experienced an adequate postoperative recovery.

Conclusion:
The objective of this case is to describe a previously unreported technique involving onyx embolization for controlling prominent bleeding from the intercavernous sinus and as a presurgical embolization method to reduce the risk of bleeding during endoscopic endonasal surgery for resection of a craniopharyngioma.
Acute spinal hematoma during pregnancy: A case report
Authors: Jha Sangam , Jha Vikas Chandra , Sinha Vivek Saran 
Published: August 2024

Background:
Spontaneous spinal subdural-epidural hematoma during pregnancy is rare.

Case Description:
A 29-year-old gravida II patient experienced the onset of vomiting, headache, and progressive paraparesis. The initial non-contrast brain computed tomography and coagulation profiles were negative. The next day, the spine magnetic resonance imaging (MRI) revealed a C7–T4 epidural hematoma; contrast studies revealed no accompanying vascular lesions. On day 3, she underwent a cesarean delivery followed by a C3–T1 laminectomy. Her sensory and sphincteric function returned on postoperative day 2, but at 6 postoperative months, she continued to exhibit a 3/5 paraparesis.

Conclusion:
Pregnant patients with acute paraparesis should undergo STAT MRI screening of the spine to look for epidural/subdural hematomas.