bluuebunny/crossref_metadata_2025_split huggingface dataset:
ANALYSIS OF COMPLICATIONS IN PATIENTS UNDERGOING TRANSFORAMINAL LUMBAR INTERBODY FUSION: A CRITICAL EXAMINATION OF SURGICAL INTERVENTIONS FOR LUMBAR CANAL STENOSIS
Authors: SINGH RAHUL KUMAR , DEEPAK PRIYANK , TOPGIA CHHEWANG 
Published: March 2024

Objective: The lumbar spine undergoes degenerative changes with age, leading to lumbar canal stenosis (LCS). Surgical interventions, including transforaminal lumbar interbody fusion (TLIF), become essential when conservative measures fail. Understanding complications associated with TLIF is crucial for informed decision-making and improved patient outcomes.
Methods: A study involving 40 LCS patients undergoing TLIF was conducted at Indira Gandhi Medical College, Shimla. Records were retrospectively evaluated for 15 patients (pre-May 2016) and prospectively for 25 patients (May 2016-May 2017). Surgical indications, inclusion/exclusion criteria, preoperative preparation, and TLIF procedures were outlined. Postoperative care and follow-up assessments were detailed. Statistical analysis utilized SPSS 17.0 with a significance level of 0.05.
Results: Age and sex distribution demonstrated a significant association (p=0.0049), with a male predominance (57.5%). Occupation analysis revealed 32.5% farmers, 15% laborers, 5% drivers, and 47.5% 'others.' Neurological deficits were present in 75% of cases, while facet joint arthropathy affected 67.5% of patients. Preoperative Oswestry Disability Index indicated severe disability in 62.5% of cases.
Conclusion: This study provides critical insights into TLIF complications for LCS, emphasizing male predominance, occupation-related considerations, and significant preoperative disability. Findings contribute to refining surgical protocols, minimizing risks, and optimizing patient safety in TLIF for LCS, essential for advancing spinal surgery standards.
STUDY OF MULTIDRUG-RESISTANT GRAM-NEGATIVE BACILLI IN URINARY TRACT INFECTIONS AND THEIR ANTIBIOGRAM AT A TERTIARY CARE HOSPITAL
Authors: PYDI SUNEETHA , LAVANYA K. , MANJULA M. , SWAPNA S. , KUMAR P. V. PRASANNA , KAMALA P. 
Published: March 2024

Objective: To study the frequency of multidrug-resistant Gram-negative bacilli in urinary tract infections and antibiotic susceptibility pattern of multidrug-resistant Gram-negative bacilli in urinary tract infections.
Methods: This study was conducted on urine samples received at the Department of Microbiology, Andhra Medical College, for a period of six months from August 2022 to January 2023. During the study period, a total of 3361 urine samples were processed and conventional microbiological techniques were used to isolate uropathogens. Antibiotic susceptibility was tested by the Kirby-Bauer Disc diffusion method and interpreted according to Central Laboratory Standard Institute (CLSI) guidelines 2022. Multidrug-resistant bacilli in this study were defined as Gram-negative bacilli that were resistant to at least one agent in three or more antibiotic classes.
Results: Out of 3361 urine samples received from outpatient and inpatient departments of our hospital, 858 samples were culture positive-839 were Gram-negative isolates and 19 were Gram-positive isolates. Mean age was 40-60 y. Urinary tract infections were more common in females than males. Among Gram-negative bacilli isolated, Escherichia coli was the most common organism isolated-435(50.69%), followed by Klebsiella species-232(27.03%), Acinetobacter species-105(12.25%), Pseudomonas species-55(6.41%), Proteus species-10(1.16%), Citrobacter species-2(0.23%). Among Gram-positive cocci, Staphylococci-17(1.98%) and Enterococci-2(0.23%) were isolated. Out of 858 isolates, 177 (20.62%) were identified as multidrug-resistant bacilli and all were resistant to the drug groups Cephalosporins, Carbapenems and Quinolones. Most of the Multidrug-resistant gram-negative bacilli were sensitive to Fosfomycin and Nitrofurantoin.
Conclusion: Multidrug-resistant Gram-negative bacilli in urinary tract infections have become a major health problem. Assessment of Risk factors, Surveillance of Resistance patterns and policies for proper use of antibiotics are urgently needed.
BACTERIOLOGICAL PROFILE AND ANTIBIOGRAM PATTERN IN ISOLATES FROM NEONATAL SEPSIS IN A TERTIARY CARE HOSPITAL
Authors: DEVI K. URMILA , MANJULA B. , KAMALA P. 
Published: March 2024

Objective: To determine the microbiological profile and their Antibiogram pattern in isolates from neonatal sepsis.
Methods: This study was conducted from October 2022 to January 15th 2023. Total 663 blood samples received from NICU, which were processed in the department of microbiology Andhra Medical College, Visakhapatnam. Organisms were identified by conventional methods and an antibiotic susceptibility test was done by Kirby Bauer disc diffusion method as per CLSI guidelines.
Results: Out of 663 samples 200 (30.16%) are culture positives, in which males are more affected than females, that is 103 (51.5%). Among the culture positives, the most predominant isolate was klebsiella species 106 (53%) followed by pseudomonas 28 (14%) Escherichia coli 28 (14%) Acinetobacter 24 (12%), MRSA 11 (0.05%), MSSA 3(0.015%). Regarding its antibiogram, klebsiella species and Escherichia coli were most sensitive to penicillins+beta lactamase inhibitors (83%), fluroquinolones (75%) and aminoglycosides (75%), respectively. Pseudomonas, Acinetobacter was sensitive to penicillins+betalactamase inhibitors (100%) and aminoglycosides (72%). Gram-positive organisms were mostly sensitive to vancomycin, linezolid, aminoglycosides (MRSA) and cefoxitin (MSSA). There was widespread resistance to third-generation cephalosporins (77.77%) among gram-negative organisms.
Conclusion: Gram negative bacteria are the most common cause of neonatal sepsis and klebsiella species are the predominant pathogens. These gram negative bacteria were resistant to cephalosporins. Antibiogram helps as a guide to antimicrobial therapy and resistance to antibiotics, as it is the common problem that causes ineffectiveness of empirical treatment.
COMPARATIVE ANALYSIS OF STAGING MODALITIES IN CARCINOMA STOMACH: UNRAVELING THE SYNERGY BETWEEN STAGING LAPAROSCOPY AND CECT ABDOMEN
Authors: CHAUDHARY ABHINAV , YADAV MANISH , KANWAR ARVIND , MALHOTRA PARIKSHIT , CHANDEL UK 
Published: March 2024

Objective: Stomach carcinoma, a complex challenge in oncology, necessitates refined staging for optimal therapeutic strategies. The comparative analysis of staging laparoscopy and contrast-enhanced computed tomography (CECT) emerges as a key exploration in this context.
Methods: Conducted at Indira Gandhi Medical College and Hospital, Shimla, this prospective study spanned one year. Biopsy-proven gastric carcinoma patients meeting inclusion criteria underwent extensive investigations, including CECT, staging laparoscopy, and diagnostic lavage. The study employed specific protocols for each procedure, ensuring comprehensive data collection.
Results: Analysis of 32 cases revealed a prevalence in the 61-70 y age group, predominantly affecting males. Diverse symptoms included pain (68.75%) and palpable mass (81.2%). Well-differentiated adenocarcinoma (43.8%) dominated, with distinct age-related patterns. The study showcased the intricate nature of gastric carcinoma, demanding tailored diagnostic approaches.
Conclusion: This study unravels the interplay between staging laparoscopy and CECT in gastric carcinoma, offering a comprehensive staging approach. The nuanced insights gained through their synergy address individual limitations, contributing to more precise evaluations and tailored interventions. The collaborative use of these modalities promises to enhance precision, ultimately improving patient outcomes in gastric carcinoma management.
Pemanfaatan Kertas Karton sebagai Media Pembelajaran Bangun Ruang di SB Subang Mewah
Authors: Almani Almani , Annafas Tazkia , Pratiwi Mita Adi , Handayani Trisakti , Kusparlina Eny Pemilu , Sofyanhadi Sofyanhadi 
Published: March 2024

Tujuan dari kehadiran kami sebagai mahasiswa KKN/KI Se-Indonesia ini selama 28 hari di sanggar bimbingan ini sangat memberi kesempatan kepada mahasiswa se-Indonesia dimana kami disini dapat memanfaatkan ilmu pengetahuan, teknologi, dan keterampilan yang dimiliki dengan bekerja sama dengan pemangku kepentingan dan membantu percepatan pembangunan sanggar bimbingan yang ada di SB Subang Mewah Kuala Lumpur Malaysia. pelaksanaan media pembelajaran menggunakan kertas karton di Sanggar Bimbingan Kuala Lumpur Malaysia. Kegiatan media pembelajaran menggunakan kertas karton adalah kegiatan yang dilaksanakan pada Sanggar Bimbingan SB SUBANG MEWAH. Kegiatan ini dijalankan pada tanggal 21 Maret 2023 dan tanggal 29 Maret 2023 mahasiswa KKN/KI memulai salah satu kegiatan program kerja kami yaitu media pembelajaran menggunakan kertas karton selama kami berada di Kuala Lumpur Malaysia. Anak-anak Sanggar Bimbingan Subang Mewah Kuala Lumpur Malaysia berjumlah 33 anak. Kegiatan ini dilaksanakan dengan tahapan yaitu pelaksanaan,pengamatan, dan refleksi. Teknik pengumpulan data yang digunakan ialah observasi dan dokumentasi. Bertujuan untuk mengembangan media pembelajaran menggunakan kertas karton dengan membuat jaring-jaring kubus yang biasanya terdapat pada mata pelajaran matematika, melatih keterampilan dan juga pemahaman langsung bagi anak-anak Sanggar Bimbingan Subang Mewah, agar siswa-siswi Sanggar Bimbingan Subang Mewah mengetahui cara pembuatan kubus, memahami apa itu kubus dan mengenal jaring-jaring. Kegiatan ini dilakukan pada siswa-siswi kelas 3-5 dengan metode yang dilakukan ialah menentukan luas sisi jaring-jaring, memberi garis pada kertas yang telah ditentukan luasnya, pengguntingan pada kertas yang telah diberi garis dengan tentuan ukuran dan akhir pelipatan pada kertas karton menjadi jaring-jaring kubus. Kegiatan ini bermanfaat bagi siswa-siswi serta tenaga pengajar yang di mana siswa mendapat pembelajaran baru serta tenaga pelajar menemukan media pembelajaran baru yaitu media belajar menggunakan media kertas karton. Diharapkan media pembelajaran dengan menggunakan kertas karton ini dapat memotivasi guru (tenaga pengajar) untuk menggunakan media pembelajaran dalam melaksanakan pembelajaran matematika tepatnya di Sanggar Bimbingan Subang Mewah ini
Deteksi Kualitas Bawang Merah dengan Circularity Image Pro-cessing
Authors: Pradana Yan Aditya , Dewi Lenny Puspita , Muthiah Suci , Setyawati Yayuk , Prakoeswa Flora Ramona Sigit , Untari Ida 
Published: March 2024

Perkembangan dunia di bidang IT sangatlah pesat seiring dengan berbagai inovasi penerapan di berbagai bidang. Salah satu penerapannya adalah dalam bidang produksi pangan yaitu Bawang Merah. Menurut data statistik sekjend kementrian pertanian tahun 2012 adalah setiap minggu penduduk per kapita membutuhkan 72 kg Bawang Merah.Banyak terjadi ketika konsumen menggunakan produksi pangan ini sudah dalam kondisi tidak layak karena kedaluarsa. Penelitian ini bertujuan membuat pemodelan deteksi kualitas Bawang Merah berbasis citra yang dapat digunakan untuk mengetahui usia Bawang Merah. Memang beberapa peniliti sebelumnya juga membuat pemodelan kulitas Bawang Merah akan tetapi biasanya ditujukan untuk mengetahui apakah dapat ditetaskan atau tidak. Metode penelitian ini adalah pendekatan circularity image processing dengan menggunakan perangkat lunak Matlab. Hasil penelitian ini adalah dapat dibangun pemodelan deteksi kualitas Bawang Merah berbasis citra dengan obyek pada bagian kantung udara Bawang Merah. Prosentase hasil keakuratan diatas 66% untuk mendapatkan kualitas bawang merah yang baik. Semakin besar tingkat circularity, maka semakin tinggi kualitas bawang merah tersebut.
ENTREPRENEURIAL SELF-EFFICACY (ESE) DAN PERANNYA TERHADAP KEBERTAHANAN BISNIS
Authors: Agung Chris Petra , Debby Teresia , Tiffani Ignasia , Gomulia Budiana 
Published: March 2024

The number of micro, small, and medium enterprises (MSMEs) in West Java is constantly increasing during 2016-2021 period. Many of them are new ventures which are in the process of introducing their products or services to the market; or are developing their customer base. Previous researches find that new venture viability is determined by owner-manager’s Entrepreneurial Self-Efficacy (ESE). This research aims to analyse three factors that are thought to influence ESE, namely: formal education of entrepreneurship (PFK), family support (DK), and entrepreneurial personality (EP). Furthermore, the effect of ESE to new venture viability will be tested. The samples used in this research are graduate of Bachelor of Management program, X Private University in Bandung Municipality who have undertaken Entrepreneurship courses and owned and managed his or her own business. Data is collected through close-ended questionnaires and is processed using SEM-PLS. Thereafter, a Focus Group Discussion (FGD) was conducted to validate the statistical results. The research finds that: (1) EP significantly and positively affects ESE, and (2) ESE significantly and positively affects new venture viability.
Keywords: entrepreneurial self-efficacy (ESE); entrepreneurial personality; new venture viability.
Jumlah usaha mikro, kecil, dan menengah (UMKM) di Jawa Barat terus meningkat selama periode 2016-2021. Banyak dari pelaku UMKM tersebut adalah usaha mula-mula yang berada pada tahap memperkenalkan produk atau jasa yang ditawarkan ke pasar atau sedang memperkuat basis pelanggan. Beberapa penelitian terdahulu menyimpulkan bahwa kebertahanan usaha mula-mula dipengaruhi oleh Entrepreneurial Self-Efficacy (ESE) pemilik-pengelola usaha. Penelitian ini bertujuan untuk menganalisis tiga faktor yang diduga memengaruhi ESE yakni: pendidikan formal kewirausahaan (PFK), dukungan keluarga (DK), dan entrepreneurial personality (EP). Selanjutnya, penelitian ini akan menguji pengaruh ESE terhadap kebertahanan usaha mula-mula. Sampel dari penelitian ini adalah alumni program Studi Manajemen, Perguruan Tinggi Swasta (PTS) X di Kota Bandung yang telah mengambil mata kuliah kewirausahaan serta memiliki dan mengelola usaha sendiri. Pengambilan data menggunakan kuesioner close-ended dan teknik pengolahan data menggunakan SEM-PLS. Setelah itu, Focus Group Discussion (FGD) dilakukan untuk memvalidasi hasil pengolahan data secara statistik. Hasil penelitian menunjukkan bahwa: (1) EP berpengaruh positif dan signifikan terhadap ESE; dan (2) ESE berpengaruh positif dan signifikan terhadap kebertahanan usaha mula-mula.
Kata kunci: entrepreneurial self-efficacy (ESE); entrepreneurial personality; kebertahanan usaha mula-mula.
ANALISA NILAI PERUSAHAAN PADA PERUSAHAAN SEKTOR MANUFAKTUR YANG TERDAFTAR DI BURSA EFEK INDONESIA
Authors: Saputri Inola Gravinova , Anwar Muhadjir 
Published: March 2024

Nilai perusahaan disebut sebagai nilai pasar yang beredar. Nilai perusahaan dapat berfungsi sebagai ukuran tingkat kesuksesan perusahaan dalam memaksimumkan kesejahteraan pemegang saham. Dalam penelitian ini memiliki sasaran untuk mancari tahu korelasi profitabilitas dan struktur modal kepada nilai perusahaan dengan kebijakan dividen sebagai variabel moderasi. Penelitian ini memakai 44 perusahaaan sektor Manufaktur sebagai sampel, dengan menggunakan teknik purpose sampling dengan standar yang dibutuhkan. Memakai data sekunder berbentuk laporan finansial yang diterbitkan pada periode yang dipakai pada riset. Penelitian ini menggunakan analisa regresi moderasi. Hasil riset menunjukan adanya profitabilitas berkorelasi positif dan signifikan kepada nilai perusahaan. Sebaliknya, struktur modal berkorelasi negatif dan signifikan kepada nilai perusahaan. Kebijakan dividen tidak memoderasi korelasi profitabilitas dan struktur modal korelasi nilai perusahaan.
PENGARUH KEBIJAKAN PEMISAHAN (SPIN-OFF) TERHADAP PROFITABILITAS BANK UMUM SYARIAH DI INDONESIA
Authors: Afandi Muhammad Anif , Ali Karnila , Imantoro Jati 
Published: March 2024

Penelitian ini dilakukan dengan tujuan untuk mengetahui efektivitas kebijakan pemisahan (spin-off) Unit Usaha Syariah (UUS) dari Bank Umum Konvensional (BUK) sehingga menjadi Bank Umum Syariah (BUS) baru yang salah satunya dapat diketahui dari kemampuan BUS dalam menghasilkan profitabilitas tanpa melupakan variabel lain yaitu variabel internal bank dan variabel makroekonomi. Metode penelitian yang digunakan dalam penelitian ini adalah regresi linier berganda dengan menggunakan variabel dependen berupa profitabilitas BUS dengan proksi Return on Asset(ROA). Selain itu, variabel independen yang digunakan mencakup variabel dummy, variabel internal bank, dan variabel makroekonomi. Hasil penelitian menunjukkan bahwa rata-rata profitabilitas bank sebelum spin-off adalah sebesar 1.650 persen. Sedangkan, rata-rata profitabilitas bank sesudah spin-off lebih tinggi sebesar 0.622 persen dibandingkan dengan profitabilitas bank sebelum spin-off dengan nilai p-value sebesar 0.000 yang artinya H0 ditolak atau dengan kata lain terdapat perbedaan yang signifikan antara profitabilitas bank sesudah dan sebelum dilakukan spin-off. Selain itu, dari variabel independen yang digunakan dapat disimpulkan bahwa DPK dan KAP berpengaruh positif namun tidak signifikan terhadap profitabilitas, PYD berpengaruh positif dan signifikan terhadap profitabilitas, NPF berpengaruh negatif dan signifikan terhadap profitabiltas, dan inflasi berpengaruh negatif dan tidak signifikan terhadap profitabilitas dengan nilai R Square sebesar 0.831 yang artinya variabel dummy (profitabilitas bank sebelum dan sesudah spin-off), DPK, PYD, KAP, NPF, dan tingkat inflasi mampu menjelaskan variasi ROA sebesar 83.1 persen, sementara sisanya yaitu sebesar 16.9 persen dijelaskan oleh variabel lain yang tidak diperhitungkan dalam model penelitian.
INCLUSION AND LEARNING: FACTORS AFFECTING STUDENTS WITH INTELLECTUAL DISABILITIES
Authors: Saratikyan Lilit 
Published: March 2024

The purpose of the article is to identify the factors affecting the educational activity of students with intellectual disabilities, under the conditions of the principle of universal formation of learning, which will provide an opportunity to develop the practical orientation of the pedagogical and psychological support services provided to them.
Research conducted among 119 teachers and 32, students with intellectual disabilities (8-10-year-old) from 25 general basic schools in Yerevan, Lori, Ararat, Tavush, Kotayk regions of the Republic of Armenia has allowed us to identify the factors affecting the learning process of students with intellectual disabilities, which cause many psycho-pedagogical problems in school.
The research was based on the issues identified during the additional special pedagogical support provided to these students, the complaints registered by the parents and the difficulties of the educators working with them, which are mainly related to the organization of joint learning and insufficient pedagogical conditions.
EXPLORING BARRIERS TO TEACHING SCIENCE TO HEARING IMPAIRED LEARNERS IN LESOTHO SECONDARY SCHOOL
Authors: Molahloe Maretsepile , Mokhele-Makgalwa Prof. Matseliso 
Published: March 2024

Globally, there is a strong advocacy for including all learners in the education system, irrespective of their disabilities. This initiative, known as Education for All (EFA), is articulated in policy documents across different countries. Lesotho has actively embraced this international protocol by welcoming learners with diverse needs into its educational fold. This inclusivity extends to hearing-impaired learners (HIL), who now have the opportunity to study all subjects, including Science. Science is considered pivotal in cultivating critical skills essential for addressing societal and economic challenges, making it a mandatory subject at the secondary level in most countries among which is Lesotho. However, teaching Science to HIL presents unique challenges.
Notably, HILs often face language deficiencies, and Science, being an abstract subject, relies on verbal communication for effective learning. This linguistic barrier contributes to suboptimal performance not only among HIL but also among learners without disabilities in various schools. To explore teachers' views on the barriers they experience when teaching science to hearing-impaired learners in Lesotho secondary schools. Semi-structured interviews were conducted with four Science teachers. The collected data underwent content analysis, employing both the opportunities to learn and a capabilities framework to understand teachers' difficulties encountered. The study revealed that language is a primary obstacle to the effective teaching of Science to HIL. In response, teachers employ diverse teaching approaches to facilitate learning for HIL, although these strategies often prove time-consuming. In light of these findings, the study recommends comprehensive in-service training for teachers to enhance their preparation for teaching HIL effectively. Additionally, teachers should be equipped with the skills to integrate Information and Communication Technology (ICT) into their teaching methods, allowing HIL to learn at their own pace. Furthermore, encouraging regular teachers to learn sign language can aid in detecting and addressing misconceptions among HIL. It also appeared that sign language interpreters should receive training in science subjects. In conclusion, addressing the language barrier is crucial for creating an accommodative learning environment for HIL in Science.
UNDERSTANDING THE EMOTIONAL IMPACT OF ADHD IN PRIMARY SCHOOL STUDENTS
Authors: Stepanyan Narine 
Published: March 2024

Today, a remarkable place in society is occupied by children who need special conditions of education and their inclusion in schools, which determines the peculiarities of the organization of education. In all historical eras, the development system of special education has been connected with the socio-economic structure of the country, the state's value system and society, and the state's policy towards children who have developmental problems.
The article highlights children with special educational needs, especially children with attention deficit and hyperactive behavior syndrome. Children with attention deficit and hyperactivity disorder are included in the inclusive education system, and the organization of their educational activities, their inclusion in schools is considered an important and primary issue. To organize the effective teaching of hyperactive children, it is necessary to study the features of the emotional sphere of these children, which will make it possible to identify their strengths, highlight their problems, and accordingly organize their education more effectively, as well as interpersonal interactions with classmates in public schools. At present, the syndrome of attention deficit and hyperactivity is the subject of study of many psychologists, because the features of the emotional sphere of these children are not so well studied.