bluuebunny/crossref_metadata_2025_split huggingface dataset:
Marketing Communication Strategy Of Bengkulu Provincial Government Towards Tabut Festival As An International Event
Authors: Octaviani Vethy , Heriniazwi Dianthi Martha , Dinero Rio 
Published: May 2024

The tourism sector is currently starting to grow again after experiencing a crisis that occurred due to the Covid-19 Pandemic that occurred almost all over the world. This development is utilized by the Bengkulu Provincial Government to develop tourism owned by Bengkulu by holding the 2023 Ark Festival. Unlike the Tabut Festival in previous years, the Bengkulu Provincial Government currently has a strategy to move towards the Tabut Festival as an international event. This research uses descriptive qualitative research methods with data collection through in-depth interviews and literature studies. Therefore, it can be explained that based on segmentation, the Bengkulu Provincial Tourism Office targets local visitors in areas near Bengkulu Province, namely West Sumatra, South Sumatra, Jambi and Lampung. As for international visitors, the target is ASEAN members, Middle Eastern countries and Europe. The visitor target for the 2023 Tabut Festival is 150,000 both internationally and nationally. For now, social media is the priority media in promoting the Festival Tabut. The theme used is’ Keramaian Asli Bengkulu’. This theme is expected to be an attraction for visitors and be able to attract economic movements in Bengkulu Province. However, the obstacle felt by the Tourism Office is the limited media used and the human resources it has. Therefore, to go to the International Event still needs more careful preparation for next year, especially on promotional media and human resources at the Bengkulu City Tourism Office.
Penyalahgunaan Media Sosial dan Buli Siber dalam kalangan Pelajar Sekolah Menengah di Selangor
Authors: Mohamed Kamsiah , Muhammad Shireen , Zahrul Azwan ABSL Kamarul Adzhar  , Mohd Nazran Mohammed Pauzi  
Published: May 2024

Kajian ini bertujuan untuk menganalisis penyalahgunaan media sosial dan buli siber di kalangan pelajar sekolah menengah. Kajian ini mengkaji faktor-faktor seperti tingkatan, pencapaian akademik, dan salah laku disiplin mempengaruhi pelajar-pelajar sekolah menengah. Metodologi kajian melibatkan kajian lapangan dengan menggunakan kaedah kaji selidik. Data diperolehi daripada 472 sampel pelajar tingkatan 1, 2, dan 4 mengikut tiga kategori sekolah menengah iaitu Sekolah Menengah Kebangsaan, Sekolah Menengah Agama, dan Sekolah Berasrama Penuh di Selangor. Dapatan kajian menunjukkan bahawa tahap pencapaian akademik responden secara keseluruhannya adalah signifikan dengan etika yang tinggi iaitu sebanyak 399 (84.5 %) pada kadar signifikan nilai p =.000. Selain itu, dapatan kajian juga menunjukkan bahawa terdapat kaitan yang signifikan antara pencapaian akademik, tingkah laku disiplin, dan penyalahgunaan media sosial di kalangan pelajar sekolah menengah. Oleh itu, kajian ini telah membuktikan bahawa pencapaian akademik pelajar sekolah menengah mempunyai hubungan yang signifikan dengan tahap salah laku disiplin dan tahap penyalahgunaan media sosial. Hasil dapatan kajian boleh digunakan dalam merangka tindakan untuk mengurangkan kesan negatif penyalahgunaan media sosial yang tertumpu di kalangan kumpulan pelajar yang telah dikenalpasti. Oleh yang demikian, dapatan kajian ini diharap dapat menyedarkan masyarakat tentang implikasi penyalahgunaan media sosial dan buli siber di kalangan pelajar sekolah menengah.
Cervical Disk Replacement Versus Anterior Cervical Diskectomy and Fusion: Effect of Procedural Variant on Patients With a Prolonged Preoperative Duration of Symptoms From Disk Herniation
Authors: Hartman Timothy J. , Nie James W. , Khosla Ishan , Oyetayo Omolabake O. , MacGregor Keith R. , Zheng Eileen , Anwar Fatima N. , Roca Andrea M. , Loya Alexandra C. , Medakkar Srinath S. , Federico Vincent P. , Massel Dustin H. , Sayari Arash J. , Lopez Gregory D. , Singh Kern 
Published: May 2024

Introduction:
Patients with a prolonged preoperative symptom duration (PSD) in the setting of cervical disk herniation (DH) may suffer inferior outcomes after surgical intervention. Comparison between anterior cervical diskectomy and fusion (ACDF) versus cervical disk arthroplasty (CDA) in this at-risk population has not yet been conducted.

Methods:
Patients undergoing ACDF or CDA for DH with a PSD > 180 days were selected. Six-week (6W) and final follow-up (FF) patient-reported outcome measures (PROMs) as well as magnitude of postoperative improvements (∆PROM) were compared between cohorts using multivariable linear regression. Intercohort achievement rates of minimal clinically important difference (MCID) in each PROM were compared.

Results:
Seventy-seven of 190 patients were in the CDA cohort. 6W Patient-Reported Outcomes Measurement Information System-Physical Function (PROMIS-PF) was superior in the CDA cohort. The ACDF cohort demonstrated notable improvements in the 6W Neck Disability Index (NDI), visual analog scale-neck pain (VAS-N), visual analog scale-arm pain (VAS-A), and 9-item Patient Health Questionnaire (PHQ-9). The CDA cohort demonstrated notable improvements in 6W PROMIS-PF, NDI, VAS-N, and VAS-A. FF VAS-A was better in the CDA cohort. The ACDF cohort demonstrated notable improvements in FF PROMIS-PF, NDI, VAS-N, and VAS-A. The CDA cohort demonstrated notable improvements in all FF PROMs. ∆PROM-6W in PROMIS-PF was greater in the CDA cohort.

Conclusion:
Patients with prolonged PSD due to cervical DH demonstrated notable improvements in physical function, disability, pain, and mental health regardless of fusion versus arthroplasty techniques. Accounting for demographic variations, patients undergoing CDA demonstrated a greater magnitude of improvement and superior scores in physical function at the first postoperative follow-up. Rates of clinically tangible improvements in PROMs did not markedly vary by surgical procedure. Patients undergoing CDA may perceive greater early improvements to physical function compared with patients undergoing ACDF for prolonged PSD due to DH.
Prolonged Opioid Use Is Associated With Poor Pain Alleviation After Orthopaedic Surgery
Authors: Marmor Meir T. , Hu Stephanie , Mahadevan Varun , Floren Alexander , Solans Belen Perez , Savic Rada 
Published: May 2024

Introduction:
Severe pain after orthopaedic surgery is common and often results in chronic postsurgical pain and chronic opioid use (COU). Poor pain alleviation (PPA) after surgery is a well-described modifiable risk factor of COU. Although PPA's role in inducing COU is recognized in other areas, it is not well defined in orthopaedic surgery. The aim of this study was to evaluate the influence of PPA on COU in the population who underwent orthopaedic surgery.

Methods:
Medical records from a large academic medical center from 2015 to 2018 were available for analysis. Patients undergoing nononcologic surgical procedures by the orthopaedic surgery service that also required at least 24 hours of hospital stay for pain control were included in the study. Surgery type, body location, basic demographics, preoperative opioid use, comorbidities, medications administered in the hospital, opioid prescription after discharge, and length of stay were recorded. COU was defined as a continued opioid prescription at ≥ 3 months, ≥ 6 months, or ≥ 9 months after surgery. PPA was defined as having a recorded pain score of eight or more, between 4 and 12 hours apart, three times during the hospital stay.

Results:
A total of 7,001 patients were identified. The overall rate of COU was 25.3% at 3 months after surgery. Charlson Comorbidity Index > 0 and PPA were statistically significant predictors of opioid use at all time points. Preoperative opioid naivety was associated with decreased COU. The type and location of surgical procedures were not associated with COU, after controlling for baseline variables.

Conclusion:
Our findings demonstrated an overall high rate of COU. The known risk factors of COU were evident in our study population, particularly the modifiable risk factor of acute postsurgical PPA. Better management of postsurgical pain in orthopaedic patients may lead to a decrease in the rates of COU in this group.
Fractures in Patients With Diabetes Mellitus: Findings From a 20-year Registry at a Single Level 1 Trauma Center
Authors: Hoffa Matthew T. , Furdock Ryan J. , Moon Tyler J. , Bacharach Abigail , Heimke Isabella M. , Vallier Heather A. 
Published: May 2024

Introduction:
Diabetes mellitus (DM) is a risk factor of infection. Although DM has been associated with worse functional outcomes after acetabular fracture, literature regarding the effect of DM on surgical site infection and other early complications is lacking.

Methods:
A 20-year registry from a level 1 trauma center was queried to identify 134 patients with DM and 345 nondiabetic patients with acetabular fractures.

Results:
The diabetic patient population was older (57.2 versus 43.2; P < 0.001) and had higher average body mass index (33.6 versus 29.5; P < 0.001). Eighty-three patients with DM and 270 nondiabetics were treated surgically (62% versus 78%; P < 0.001). Diabetic patients who were younger (54.6 versus 61.4; P = 0.01) with fewer comorbidities (1.7 versus 2.2; P = 0.04) were more frequently managed surgically. On univariate analysis, patients with DM more commonly developed any early infection (28.4% versus 21%; P = 0.049) but were no more likely to develop surgical site infection, or other postoperative complications. Older patient age, length of stay, baseline pulmonary disease, and concurrent abdominal injury were independent predictors of postoperative infection other than surgical site infection. Diabetics that developed infection had more comorbidities (2.4 versus 1.5; P < 0.001) and higher Injury Severity Score (24.1 versus 15.8; P = 0.003), and were more frequently insulin-dependent (72.7% versus 41%; P = 0.01).

Discussion:
Independent of management strategy, diabetic patients were more likely to develop an infection after acetabular fracture. Insulin dependence was associated with postoperative infection on univariate analysis. Optimal selection of surgical candidates among patients with DM may limit postoperative infections.
Analisis Gaya Bahasa Sinisme pada Novel Gendut? Siapa Takut! Karya Alnira
Authors: Tiorida Niken , Charlina Charlina , Elmustian Elmustian 
Published: May 2024

Penelitian ini bertujuan untuk mendeskripsikan bentuk gaya bahasa sinisme pada novel Gendut? Siapa Takut! karya Alnira dan bentuk tindakan body shaming pada novel Gendut? Siapa Takut! karya Alnira. Penelitian ini merupakan penelitian kualitatif deskriptif. Penelitian ini disebut dengan penelitian kualitatif deskriptif karena data yang diperoleh akan dideskripsikan dan dianalisis dalam bentuk uraian dan kata-kata bukan angka. Teknik pengumpulan data yang digunakan dalam penelitian ini yaitu teknik dokumentasi dan teknik catat. Cara memperoleh data yaitu dengan cara membaca dan memilah kalimat atau ungkapan yang mengandung gaya bahasa yang sesuai dengan masalah penelitian. Data dalam penelitian ini adalah kata, frasa, klausa, dan kalimat bentuk gaya bahasa sinisme yang terdiri dari dua bentuk, yaitu sinisme sindiran kasar dan sinisme sindiran halus dalam novel Gendut? Siapa Takut!. Hasil yang diperoleh dari penelitian ini terdapat dua bentuk sinisme pada novel Gendut? Siapa Takut!. dua bentuk sinisme tersebut, diantaranya bentuk sinisme sindiran halus dan bentuk sinisme sindiran kasar. Adapun bentuk tindakan body shaming yang terdapat pada novel Gendut? Siapa Takut! karya Alnira di antaranya adalah fat shaming, warna kulit shaming, bentuk tubuh shaming dan cyberbullying.
Knowledge, Attitude and Practice among Nurses Regarding Prevention of Central Line Associated Bloodstream Infection in Tertiary Care Hospital of Peshawar
Authors: Khan Mudassir , Ahmad Imran Waheed , Waheed Mehwish , Tahir Haseena , Hurain Khush , Monica . 
Published: May 2024

Healthcare Associated Infections (HAIs), particularly Central Line-Associated Bloodstream Infections (CLABSIs), remain a significant global public health concern. CLABSIs, associated with catheter use, pose critical challenges in critical care and cancer treatment settings, necessitating evidence-based measures for prevention. Objective: To assess the knowledge, attitude and practice of nurses regarding prevention of central line associated bloodstream infection in tertiary care hospital of Peshawar. Methods: This conducted study possessed a cross sectional study design with a random sample of 173 nurses who were presently working or had worked in ICUs of the hospital. Data were collected through a self-administered questionnaire. Data analysis was performed on SPSS version 22.0. Results: 45% of nurses demonstrated good knowledge with mean score of 12.35 and standard deviation of ± 1.45, positive attitudes were observed in 74% with mean score of 33.7 and standard deviation of ±2.1 and good practices in 80% of participants with mean score of 40.5 and standard deviation of 1.45 observe. Conclusions: This study clearly indicated that majority of the nurses (54.9%) have poor knowledge regarding CLABSI. Despite of the poor knowledge level most nurses (74%) followed standard practice. Interestingly, greater number of nurses (85%) were found to have positive attitude towards CLABSI.
Neuromuscular compatibility and its relationship to the speed of skill performance among Abbasiya Youth Forum football players
Authors: Ali Hamid Abadi  , Ahmed Abdel Moneim Hasnawi  
Published: May 2024

ان اداء الحركه يتطلب درجة من التوافق ما بين الجهازين العصبي والعضلي وتبرز اهمية التوافق العصبي العضلي بجمالية الأداء في لعبة كرة القدم وهذا ِيأتي من خلال إتقان المهارات الأساسية لها فضلا عن تكامل الأداء البدني وهذا بدوره يؤدي إلى اتقان الاداء المهاري وتسجيل الأهداف وهو غاية هذه اللعبة والتي يسعى اللاعبون إلى الوصول إليها . ومن خلال كون الباحثان مهتمين بهذه اللعبة لاعبين ومتابعون لمبارياتها لاحظو هناك خلل وضعف واضح في سرعة الاداء المهاري وخاصا عندما يؤدي اللاعبون مواقف متعددة للعب داخل أرضية الملعب والتي تتطلب الدمج بين مهارتين أو استخدام التوافق بين العينين والقدمين أو العينين وباقي أجزاء الجسم والتي تعد مطلبا أساسيا لتكامل الأداء الفني اما هدف البحث هوالتعرف على العلاقة بين التوافق العضلي العصبي وسرعة الاداء المهاري لدى لاعبي منتدى شباب العباسية بكرة القدم . اما فرض البحث وجود وجود علاقة ارتباط معنوية بين التوافق العضلي العصبي وسرعة الاداء المهاري لدى لاعبي منتدى شباب العباسية بكرة القدم وقد تم استخدام المنهج الوصفي وذلك لملائمته وطبيعة ومشكلة البحث وتكونت عينة البحث من (18) لاعبا من منتدى شباب العباسية وتم اخيارهم بطريقة القرعة لتنفيذ المنهج وكانت اهم الاستنتاجات توجد علاقة ارتباط معنوية بين التوافق العضلي العصبي وسرعة الاداء المهاري لدى لاعبي منتدى شباب العباسية بكرة القدم واما اهم التوصيات التأكيد على قيام المدربين باختبار فرقهم اختبارات دورية للتوافق وسرعة الاداء المهاري وكذلك الاهتمام بتطوير التوافق العضلي العصبي لدى لاعبي كرة القدم والتمرينات المستعملة من قبل المدربين يجب ان تنمي صفة التوافق العضلي العصبي اثناء الاداء.
The wear-off phenomenon of repeated botulinum toxin injection for chronic migraine treatment: A retrospective study
Authors: Ruşen Emir , Hafez Gaye , Tunç Yeşim 
Published: May 2024

Objectives: This study aimed to evaluate the efficacy, predictors of response, clinical considerations, and analysis of patient-reported wear-off events during injection periods of onabotulinumtoxinA (Onabot-A).
Patients and methods: This retrospective study was conducted with 30 adult chronic migraine patients (26 females, 4 males; mean age: 37.9±9.3 years; range, 24 to 72 years) followed between January 2017 and December 2022. All patients received Onabot-A injections at different frequencies throughout their treatment and responded to Onabot-A. The duration between cycles was 3 months in 26 patients, and this period varied in four patients. The Visual Analog Scale scores were measured before and after the injection, all patients responded to Onabot-A.
Results: Nine patients stated that they experienced wear-off at least once during their treatment cycles. In some patients, the duration of action lasted less than 12 weeks, resulting in a wear-off phenomenon. Although sex and age were not significant variables in terms of the presence or absence of wear-off phenomenon, the number of Onabot-A injections (Onabot-A treatment cycles) among patients was found to be a statistically significant variable in terms of the presence of wear-off (p<0.011).
Conclusion: Repeated treatments using Onabot-A appear to be safe and well-tolerated, but the effectiveness of the drug appears to be affected by wear-off phases that may occur during long-term treatment with Onabot-A.
Online Engagement and Learners’ Academic Performance: A Correlational Study
Authors: Sy Agosto Jr. Mateo 
Published: May 2024

The COVID-19 pandemic has led the Department of Education to rethink and redirect the way education is delivered in the country. One of the innovations was engaging students in the online modality. This study investigated the online engagement of 32 grade VI learners in one of the schools in the Division of Cadiz City and correlated it to their academic performance. The respondents of the study were composed of 11 males and 21 females. The study utilized descriptive correlational research with the use of a questionnaire as an instrument to gather data. Due to restrictions on the face-to-face conduct of the study, the instrument was sent to the learners through their respective advisers. Results revealed that there was a great extent of online engagement among the learners (M=3.99, SD= 0.71). The academic performances of the learners showed a very satisfactory result (M=88.31, SD=1.874). It further showed that there was a significant relationship between online engagement and academic performance (p value=0.056) of grade 6 learners. The results only show that online learning is a significant learning modality that would address the concern of learning continuity among learners.
NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG VÀ MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN BỆNH GHẺ TẠI BỆNH VIỆN DA LIỄU THÀNH PHỐ CẦN THƠ
Authors: Đặng Thị Tiểu Vi , Nguyễn Thị Như Bình , Phạm Phúc Xuyên , Nguyễn Ngọc Hào , Nguyễn Thị Thùy Trang 
Published: May 2024

Đặt vấn đề: Bệnh ghẻ là một bệnh da khá phổ biến ở nước ta. Bệnh thường xuất hiện ở những vùng dân cư đông đúc, nhà ở chật hẹp, thiếu vệ sinh, thiếu nước sinh hoạt. Mục tiêu nghiên cứu: Mô tả đặc điểm lâm sàng và xác định một số yếu tố liên quan đến bệnh ghẻ tại Bệnh viện Da liễu thành phố Cần Thơ. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang trên 82 bệnh nhân được chẩn đoán bệnh ghẻ tại Bệnh viện Da liễu Thành phố Cần Thơ từ tháng 05/2022 đến 05/2023. Kết quả: Kết quả nghiên cứu cho thấy thể ghẻ thông thường chiếm 69,5%, ghẻ bội nhiễm chiếm 24,4% và 6,1% ghẻ chàm hóa. Triệu chứng ngứa ở bệnh nhân mắc bệnh ghẻ trong đó ngứa nhiều về đêm chiếm 100%, có nhiều người cùng ngứa chiếm 15,9% và triệu chứng ngứa cả ngày lẫn đêm là 6,1%. Thương tổn da hay gặp nhất là sẩn hồng ban 84,1%, rảnh ghẻ 59,8%, mụn nước 51,1%. Vị trí thương tổn hay gặp nhất là vùng cẳng tay 72%, kẽ ngón tay và lòng bàn tay 65,9%, vị trí bụng và quanh thắt lưng 58,5%. Tỷ lệ bệnh nhân mắc bệnh ghẻ từ 1 đến 3 tháng ở nhóm tuổi ≥60 tuổi và <6 tuổi lần lượt là 20,7% và 14,6% cao hơn so với nhóm bệnh nhân có tuổi từ 6-15 tuổi và 36-59 tuổi (p<0,05). Tỷ lệ mắc ghẻ thông thường ở trẻ dưới 6 tuổi và ≥60 tuổi lần lượt là 12,2% và 31,7% (p<0,05). Tỷ lệ bệnh nhân mắc ghẻ thông thường có triệu chứng ngứa nhiều về đêm và có nhiều người cùng ngứa lần lượt là 64,6% và 4,9%, cao hơn so với tỷ lệ bệnh nhân mắc ghẻ thông thường có triệu chứng ngứa cả ngày và đêm (p<0,05). Kết luận: Triệu chứng ngứa ở bệnh nhân mắc bệnh ghẻ trong đó ngứa nhiều về đêm chiếm 100%, có nhiều người cùng ngứa chiếm 15,9% và triệu chứng ngứa cả ngày lẫn đêm là 6,1%. Qua nghiên cứu cho thấy có mối liên quan giữa nhóm tuổi với thời gian mắc bệnh và thể lâm sàng của bệnh ghẻ.
School Culture: Pillars of Organizational Culture in Developing Disciplinary Character
Authors: Utaminingtyas Endah , Hanafi Syadeli , Suherman Suherman 
Published: May 2024

There is a strong relationship between elements of school organizational culture and the results of character achievements in students. In the context of organizational culture, schools strive to build a conducive environmental system so that disciplinary character is formed in students. The vision of Nurul Fikri Islamic Junior High School makes all graduates have leadership characters, namely Smart sholeh and mushlih. The discipline of students towards discipline is the focus of the institution to overcome it. The purpose of this study is to analyze the elements of positive organizational culture prevailing in Nurul Fikri Islamic Junior and Senior High School in developing disciplinary character. The research method used is qualitative with data collection techniques in the form of interviews, documentation, observation and questionnaires. Data analysis techniques use theory according to miles and Huberman with stages of data reduction, data presentation and data verification. The results of the study found that elements of organizational culture in the form of moral and academic leadership, were able to foster disciplinary character in students.
The Relationship between Long Time Undergoing Hemodialysis and Stress Levels in Chronic Kidney Failure Patients Undergoing Hemodialysis at Bendan Regional Hospital, Pekalongan City
Authors: Winarti Rahayu , Hidayat Wahyu , Prasetya Chandra Hadi 
Published: May 2024

Chronic renal failure is characterised by irreversible decline in kidney function. Chronic renal failure requires haemodialysis therapy. Long time undergoing haemodialysis can cause psychological problems such as stress. The purpose of this study was to assess the relationship between length of haemodialysis and stress level in chronic renal failure patients undergoing haemodialysis at Bendan Hospital, Pekalongan City. Methods: The research design used descriptive correlative with cross sectional approach. The study population were all chronic renal failure patients undergoing haemodialysis at Bendan Hospital, Pekalongan City, as many as 70 people. The study sample were 70 patients with chronic renal failure who underwent haemodialysis at Bendan Hospital, Pekalongan City by total sampling. The research instruments were questionnaires and Perceived Stress Scale (PSS). Data analysis used spearman rank correlation test. Results: the majority of respondents, 36 people (51,4%) had undergone haemodialysis for ≤ 1 year and the majority of respondents, 58 people (82.9%) experienced moderate stress. The results showed that there was relationship between the length of undergoing haemodialysis with stress levels in chronic renal failure patients undergoing haemodialysis at Bendan Hospital, Pekalongan City with a ρ value: 0,000 with a correlation value of rho of -0,438, which means that the length of haemodialysis has a moderate strength of relationship with stress levels. Conclusion: length of haemodialysis is associated with stress levels of chronic kidney failure patients