bluuebunny/crossref_metadata_2025_split huggingface dataset:
PENENTUAN STRATEGI KEBERLANJUTAN TELEVISI DIGITAL LOKAL DI ERA KETIDAKPASTIAN
Authors: Hadirawati Hadirawati , Mutmainnah Laila , Rahayu Utari 
Published: April 2024

Berbagai gangguan di era ketidakpastian mempengaruhi keberlanjutan televisi digital lokal. Oleh karena itu diadakanlah penelitian yang bertujuan untuk menentukan strategi keberlanjutan televisi digital lokal di era ketidakpastian. Penelitian ini diadakan Juli sampai dengan Agustus 2023 di Kabupaten Takalar dengan memilih Takalar TV sebagai objek penelitian. Data primer diperoleh melalui wawancara dan pengisian kuisioner oleh 20 orang pakar. Data sekunder diperoleh dari studi literatur. Metode penelitian yang digunakan adalah metode penelitian kualitatif dan kuantitatif yaitu Focus Group Discussion (FGD) dan dilanjutkan dengan analisis SWOT, yaitu mengidentifikasi aspek kekuatan, kelemahan, peluang, dan ancaman yang dihadapi oleh Takalar TV dan dari penilaian kekuatan, kelemahan, peluang dan ancaman tersebut akan ditentukan strategi terpilih. Hasil yang diperoleh adalah nilai faktor internal yaitu -56 diperoleh dari total nilai faktor kekuatan dikurangi dengan total nilai faktor kelemahan. Nilai faktor eksternal yaitu 120 diperoleh dari total nilai faktor peluang dikurangi dengan total nilai faktor ancaman. Berdasarkan pada nilai faktor internal dan faktor eksternal maka strategi keberlanjutan televisi digital di era ketidakpastian adalah turn around, yaitu memaksimalkan kekuatan yang dimiliki untuk mengimbangi kelemahan dan merebut peluang yang ada. Wujud dari strategi turn around adalah meningkatkan keterlibatan masyarakat (engagement) dan memaksimalkan penggunaan media sosial pada penciptaan produk, pemasaran dan layanan. Kesimpulan dari penelitian ini adalah strategi keberlanjutan dari televisi digital lokal yaitu turn around. Strategi ini diterapkan untuk mengurangi resiko karena adanya kelemahan pada sumberdaya manusia dan keterbatasan dalam finansial dan peralatan.
ANALISIS DAYA TAHAN USAHA HORTIKUKTURA: TINJAUAN ASET DAN EKOSISTEM KEWIRAUSAHAAN
Authors: Subaedah Subaedah , Puspitasari Ayu , Agus Agus , Syamsari Syamsari 
Published: April 2024

Penelitian tentang daya tahan usaha hortikultura diperlukan karena semua jenis usaha mengalami banyak gangguan sehingga ada usaha yang tutup dan ada yang tetap bertahan karena memiliki daya tahan usaha yang tinggi. Tujuan penelitian ini adalah untuk menganalisis aset petani dan ekosistem kewirausahaan dalam membentuk daya tahan usaha hortikultura di era disrupsi. Metode penelitian yang digunakan adalah deskriptif. Data diperoleh melalui wawancara, kuisioner dan survey yang dilakukan pada bulan Agustus sampai September 2023 dengan melibatkan 50 responden yang berprofesi sebagai petani hortikultura dan telah menjalankan usaha minimal lima tahun. Lokasi penelitian ini adalah dataran tinggi Kabupaten Gowa yaitu Kecamatan Tombolopao. Hasil penelitian adalah usaha hortikultura yang memiliki daya tahan tinggi ditunjukkan oleh beberapa indikator yaitu usaha tersebut telah bertahan hidup minimal lima tahun dan memiliki kinerja usaha yang baik yaitu hasil yang diperoleh dari usaha tersebut mampu mensejahterakan pelaku usaha hortikultura. Daya tahan usaha hortikulutra tinggi karena petani memiliki aset dan didukung oleh ekosistem kewirausahaan. Aset petani yaitu aset sumberdaya manusia yang ditunjukkan oleh pendidikan mayoritas petani adalah sekolah menengah atas dan sarjana, aktif menambah pengetahuan melalui berbagai media, usaha didukung oleh tenaga kerja dari dalam internal keluarga; aset sosial yaitu keikutsertaan petani pada kelompok tani; aset alam berupa ketersediaan air dari alam; aset fisik berupa ketersediaan lahan dan tanaman hortikultura dan adanya penyewaan peralatan; aset finansial yang beragam yaitu keuntungan usaha, kredit dari perbankan, modal dari keluarga. Ekosistem kewirausahaan yang mendukung yaitu dukungan pemerintah dalam bentuk penyuluhan, alsintan, jalan tani, pupuk subsidi serta fasilitas publik lainnya. Budaya yang mendukung yaitu gotong royong dalam membangun dan merawat fasilitas umum dan budaya tolong menolong dalam memenuhi kebutuhan hidup. Adanya pasar yang beragam. Kesimpulan penelitian ini adalah usaha hortikultura memiliki daya tahan tinggi dalam menghadapi berbagai gangguan usaha karena petani memiliki beberapa aset dan didukung oleh ekosistem kewirausahaan.
The state of emergency medicine in Greece: at critical momentum
Authors: Tsiftsis Dimitrios , Ulrich Andrew , Notas George , Patrikakou Anna , Reid Eleanor 
Published: April 2024

AbstractGreece is a parliamentary republic in southeastern Europe populated by over 10 million permanent residents: 9 million reside on the mainland, with almost 4 million in the greater Athens area. The remaining 1 million populate the over 1200 Greek islands. In addition, more than 160,000 asylum-seekers reached Greece in 2022, and more than 25 million tourists have visited Greece in the last two years. Modern Greek Emergency Medicine (EM) is now in its 4th decade. The Greek government has focused the last few years on enhancing the quality of emergency services provided in public hospitals. Emergency Departments (EDs) are being modernized, undergraduate medical education gradually incorporates EM, and a specialty training program in emergency nursing has been established. However, the late recognition of the critical importance of EM as a specialty in Greece has resulted in the subsequent need to create three alternative pathways to EM, none of which are direct from residency. The first is a 24-month Emergency Medicine fellowship after completing a residency in another specialty and then passing the national exam. The second is for physicians who have worked in a public hospital ED (Gr: Ethniko Systima Ygeias (ESY) ESY for at least three years and successfully passed the national exam. The third, which no longer exists, is a ‘grandfather’ pathway for those physicians who worked in an ESY ED for five years prior to the creation of the fellowship training program. As a result, there is a critical shortage of EM-trained physicians, resulting in most care being provided by physicians without formal training in EM. This is further confounded by the country’s challenging geography, with frequent air transfers from the islands to mainland hospitals. Creating an EM Residency training program is a critical next step to overcoming many of the challenges facing EM provision in Greece today: it would address the shortage of EM-trained providers, decrease the need for costly ground and air transfers, and improve the quality of emergency care throughout Greece.
Impact of severe postoperative complications on the prognosis of older patients with colorectal cancer: a two-center retrospective study
Authors: Matsubara Daiki , Soga Koji , Ikeda Jun , Kumano Tatsuya , Mitsuda Masato , Konishi Tomoki , Komatsu Shuhei , Shimomura Katsumi , Taniguchi Fumihiro , Shioaki Yasuhiro , Otsuji Eigo 
Published: April 2024

Abstract
Background
The occurrence of postoperative complications may affect short-term outcomes and prognosis of patients with various malignancies. However, the prognostic impact of these complications in older patients with colorectal cancer (CRC) remains unclear. Therefore, this study aimed to investigate the impact of severe postoperative complications on the oncological outcomes of older (aged ≥ 80 years) and non-older (aged < 80 years) patients with CRC.

Methods
We retrospectively analyzed 760 patients with stage I–III CRC who underwent curative surgery in two institutions between 2013 and 2019. The patients were categorized into older (aged ≥ 80 years, 191 patients) and non-older (aged < 80 years, 569 patients) groups. Short- and long-term outcomes were compared between the two groups.

Results
The incidence of severe postoperative complications did not differ between the two groups (p = 0.981). Cancer-specific survival (CSS) was significantly worse in older patients with severe complications than in those without severe complications (p = 0.007); meanwhile, CSS did not differ between the non-older patients with severe complications and those without severe complications. Survival analysis revealed that the occurrence of severe postoperative complications was an independent prognostic factor for CSS in older patients (hazard ratio = 4.00, 95% confidence interval: 1.27–12.6, p = 0.017).

Conclusion
CRC surgery can be safely performed in older and non-older patients. Moreover, the occurrence of severe postoperative complications might more strongly affect the prognosis of older patients than that of non-older patients.
Breastfeeding self-efficacy in terms of sleep quality, perceived social support, depression and certain variables: a cross-sectional study of postpartum women in Turkey
Authors: Konukbay Dilek , Öksüz Emine , Guvenc Gulten 
Published: April 2024

Abstract
Background
Breastfeeding self-efficacy is one of the key factors that affect a healthy and successful breastfeeding process. A mother’s belief regarding her ability to breastfeed is influenced by social and psychological factors. This study aimed to investigate the breastfeeding self-efficacy levels of postpartum women, the factors affecting this, and its relationship with sleep quality, social support and depression.

Methods
This descriptive cross-sectional study was conducted in the pediatric department of a tertiary hospital in Ankara, Turkey. Data were collected from 200 postpartum women using the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF), the Pittsburgh Sleep Quality Index (PSQI), the Multidimensional Scale of Perceived Social Support (MSPSS) and the Edinburgh Postnatal Depression Scale (EPDS).

Results
The mean scores of the BSES-SF, PSQI, MSPSS and EPDS were 59.05 ± 8.28, 9.18 ± 3.67, 57.82 ± 18.81, and 8.98 ± 5.89, respectively. A statistically significant negative correlation was found among the BSES-SF, EPDS (r = -0.445, p = 0.001) and PSQI (r = -0.612, p = 0.004), while a positive correlation was found among the BSES-SF, total MSPSS (r = 0.341, p = 0.036), and family support (r = 0.373, p = 0.014) (p < 0.05). In addition, a statistically significant difference was found between the number of births and breastfeeding self-efficacy (F = 3.68; p = 0.001). The linear regression analysis revealed that sleep quality (β = -0.491, p = 0.001), perceived social support (β = 0.146, p = 0.015), family support (β = 0.153, p = 0.013), and depression (β = -0.228, p = 0.001) emerged as the predictors of breastfeeding self-efficacy.

Conclusions
In this study, the increase in sleep quality and perceived social support positively affected the breastfeeding self-efficacy of postpartum women, while giving birth for the first time and an increase in the risk of depression were negatively affected.
A case report: co-occurrence of probable Vogt-Koyanagi-Harada disease and diabetic retinopathy
Authors: Li Huan , Li Zhiyong , Mao Ailing , Dong Ping , Wang Wei 
Published: April 2024

Abstract
Background
Bilateral retinal detachment and choroidal detachment in a patient are rare occurrences. The presence of bilateral diabetic retinopathy (DR) in such a case is even rarer and complicates the condition.

Case presentation
In this study, we document a case of unconventional VKH. Manifestations in this patient included intense peripheral retinal detachment and choroidal detachment, along with vitreous opacities akin to cotton wool spots, concurrent with DR. The diagnosis was considered as probable VKH with DR. Treatment according to VKH protocols, including high-dose corticosteroids, yielded positive results.

Conclusions
VKH can co-occurrence with DR. VKH manifestations vary, and early, aggressive, and long-term treatment is essential. The complexity of treatment increases with concurrent DR, necessitating the use of immunosuppressants.
Sustained acute kidney injury as an independent risk factor for neurodevelopmental and growth outcomes in a single NICU center
Authors: Yen Chen-Wei , Chiang Ming-Chou , Chu Shih-Ming , Wang Hsiao-Chin , Wu Li-Chun , Yen Po-Cheng , Yu Mei-Ching 
Published: April 2024

Abstract
Purpose
Acute kidney injury (AKI) is commonly seen in neonatal intensive care units (NICUs) and is potentially associated with adverse prognoses in later stages of life. Our study evaluated the impact of sustained AKI (SAKI) on both neurodevelopmental impairment (NDI) and early growth restriction (EGR) in neonates.

Methods
This case-control study retrospectively analyzed the medical records of neonates diagnosed with SAKI in the NICU of a tertiary medical center during the period from January 2007 to December 2020. Cases without subsequent follow-up and those resulting in death were excluded. We analyzed demographic, biochemical, and clinical outcome data.

Results
Of the 93 neonates with SAKI, 51 cases (54.8%) were included in this study, while 42 cases (45.2%) were excluded due to a lack of follow-up or death. An age-matched control group comprised 103 neonates, who had never experienced AKI or SAKI, were selected at random. In total, 59 (38.3%) cases were identified as NDI and 43 (27.9%) as EGR. Multivariate analysis revealed that patients with SAKI had significantly higher risks of developing NDI (odds ratio, [OR] = 4.013, p = 0.001) and EGR (OR = 4.894, p < 0.001). The AKI interval had an area under the receiver operating characteristic curve of 0.754 for NDI at 9.5 days and 0.772 for EGR at 12.5 days.

Conclusions
SAKI is an independent risk factor for both NDI and EGR in neonates. Consequently, regular monitoring, neurological development assessments, and appropriate nutritional advice are crucial to these infants who have experienced renal injury.
Family systems approaches in pediatric obesity management: a scoping review
Authors: Wills-Ibarra Natasha , Chemtob Keryn , Hart Heather , Frati Francesca , Pratt Keeley J , Ball Geoff DC , Van Hulst Andraea 
Published: April 2024

AbstractFamily-based obesity management interventions targeting child, adolescent and parental lifestyle behaviour modifications have shown promising results. Further intervening on the family system may lead to greater improvements in obesity management outcomes due to the broader focus on family patterns and dynamics that shape behaviours and health. This review aimed to summarize the scope of pediatric obesity management interventions informed by family systems theory (FST). Medline, Embase, CINAHL and PsycInfo were searched for articles where FST was used to inform pediatric obesity management interventions published from January 1980 to October 2023. After removal of duplicates, 6053 records were screened to determine eligibility. Data were extracted from 50 articles which met inclusion criteria; these described 27 unique FST-informed interventions. Most interventions targeted adolescents (44%), were delivered in outpatient hospital settings (37%), and were delivered in person (81%) using group session modalities (44%). Professionals most often involved were dieticians and nutritionists (48%). We identified 11 FST-related concepts that guided intervention components, including parenting skills, family communication, and social/family support. Among included studies, 33 reported intervention effects on at least one outcome, including body mass index (BMI) (n = 24), lifestyle behaviours (physical activity, diet, and sedentary behaviours) (n = 18), mental health (n = 12), FST-related outcomes (n = 10), and other outcomes (e.g., adiposity, cardiometabolic health) (n = 18). BMI generally improved following interventions, however studies relied on a variety of comparison groups to evaluate intervention effects. This scoping review synthesises the characteristics and breadth of existing FST-informed pediatric obesity management interventions and provides considerations for future practice and research.
The relationship between family cohesion and bedtime procrastination among Chinese college students: the chain mediating effect of coping styles and mobile phone addiction
Authors: Huang Jiahao , Yang Zhenliang , Wang Qian , Liu Junling , Xie Wenlan , Sun Yuqi 
Published: April 2024

Abstract
Background
Bedtime procrastination refers to an individual’s inability to go to bed at a predetermined time without external obstacles. Previous researchers have found that the bedtime procrastination is harmful to human physical and mental health, but these research on bedtime procrastination have mostly focused on exploring individual factors, while ignoring the external environmental factors. Therefore, this is the first study to investigate bedtime procrastination from the perspective of family environments.

Methods
The study was conducted using a convenient sampling method and online questionnaires. Family Cohesion Scale, Coping Styles Questionnaire, Mobile Phone Addiction Tendency Scale and Bedtime Procrastination Scale were used to measure sleep and psychological condition of 1,048 college students.

Results
Family cohesion negatively predicted bedtime procrastination. Additionally, positive coping style and mobile phone addiction had significant independent mediating effects. Furthermore, positive coping style and mobile phone addiction had chain mediating effects between family cohesion and bedtime procrastination.

Conclusion
This study revealed the effect of coping styles and mobile phone addiction on the relationship between family cohesion and bedtime procrastination among Chinese college students. These findings explained the mechanisms of bedtime procrastination from the perspective of environment, so as to effectively intervene the bedtime procrastination of college students from the perspective of external environment.
Inappropriate study inclusion in meta-analysis of sham-controlled rTMS for treatment-resistant depression
Authors: Kennedy Kevin P. 
Published: April 2024

AbstractDr. Vida and colleagues have published an important meta-analysis on a critical topic in psychiatry: the efficacy of double-blind, sham-controlled rTMS in treatment-resistant depression (TRD) [1]. The primary reported finding was a significant effect of rTMS on remission and response (RR 2.25 and 2.78 respectively) compared to sham rTMS. A close evaluation of the studies included in this meta-analysis raises concerns about the accuracy of these findings.
Pathological findings with vacuoles in anti-mitochondrial antibody-positive inflammatory myopathy
Authors: Chen Yuanchong , Zhang Wei , Lv He , Wang Zhaoxia , Hao Hongjun , Yuan Yun , Zheng Yiming 
Published: April 2024

Abstract
Background
A few patients with inflammatory myopathy showed anti-mitochondrial antibody (AMA) positivity. This study aimed to report the clinical and pathological findings with vacuoles in 3 cases of such patients.

Methods
Three cases with myositis from the Myositis Clinical Database of Peking University First Hospital were identified with AMA positivity. Their clinical records were retrospectively reviewed and the data was extracted. All the 3 cases underwent muscle biopsy.

Results
Three middle-aged patients presented with chronic-onset weakness of proximal limbs, marked elevation of creatine kinase, and AMA-positivity. Two of the 3 cases meet the criteria of primary biliary cholangitis. All the 3 cases presented with cardiac involvement and proteinuria. Two cases developed type 2 respiratory failure. MRI of the thigh muscle showed multiple patches of edema bilaterally in both cases, mostly in the adductor magnus. Pathological findings include degeneration of muscle fibers, diffused MHC-I positivity, and complement deposits on cell membranes. Vacuoles without rims of different sizes were discovered under the membrane of the muscle fibers. A few RBFs were discovered in case 1, while a diffused proliferation of endomysium and perimysium was shown in case 2.

Conclusions
AMA-positive inflammatory myopathy is a disease that could affect multiple systems. Apart from inflammatory changes, the pathological findings of muscle can also present vacuoles.
Effect of different fabrication workflows on the passive fit of screw-retained bar splinting two interforaminal implants: a parallel blinded randomised clinical trial
Authors: Eldin Bassant Sherif Gamal , Talaat Ingy Amin , Nawar Noha Helmy Hassan , Mohamed Ahmed Mostafa Abdelfattah 
Published: April 2024

Abstract
Background
To clinically compare the effect of the conventional and the digital workflows on the passive fit of a screw retained bar splinting two inter-foraminal implants.

Methods
The current study was designed to be a parallel triple blinded randomised clinical trial. Thirty six completely edentulous patients were selected and simply randomized into two groups; conventional group (CG) and digital group (DG). The participants, investigator and outcome assessor were blinded. In the group (CG), the bar was constructed following a conventional workflow in which an open top splinted impression and a lost wax casting technology were used. However, in group (DG), a digital workflow including a digital impression and a digital bar milling technology was adopted. Passive fit of each bar was then evaluated clinically by applying the screw resistance test using the “flag” technique in the passive and non passive situations. The screw resistance test parameter was also calculated. Unpaired t-test was used for intergroup comparison. P-value < 0.05 was the statistical significance level. The study protocol was reviewed by the Research Ethics Committee in the author’s university (Rec IM051811). Registration of the clinical trial was made on clinical trials.gov ID NCT05770011. An informed consent was obtained from all participants.

Results
Non statistically significant difference was denoted between both groups in all situations. In the passive situation, the mean ± standard deviation values were 1789.8° ± 20.7 and1786.1° ± 30.7 for the groups (CG) and (DG) respectively. In the non passive situation, they were 1572.8° ± 54.2 and 1609.2° ± 96.9. Regarding the screw resistance test parameter, they were 217° ± 55.3 and 176° ± 98.8.

Conclusion
Conventional and digital fabrication workflows had clinically comparable effect on the passive fit of screw retained bar attachments supported by two dental implants.