bluuebunny/crossref_metadata_2025_split huggingface dataset:
PERBANDINGAN HASIL BELAJAR IPA SISWA YANG DIAJAR DENGAN MODEL QUANTUM DAN YANG DIAJAR DENGAN MODEL PEMBELAJARAN KONVENSIONAL
Authors: Sudarto Sudarto 
Published: April 2024

This research was an experiment study with a Randomized Control Group Only design which aimed to determine the comparison of Science learning outcomes of students taught using quantum model and student Science learning outcomes that were taught using conventional learning model. The population were all the grade 7th students of SMPN 33 Makassar. The sampling method is Simple Random Sampling. The research data was obtained by providing tests in the form of multiple-choice questions and essays. Data analysis techniques were by inferential analysis using an independent sample t-test. The results showed that tcount (7.16) > ttabel (1.67). Conclusion: the science learning outcomes of students taught with quantum learning model were better than the science learning outcomes of students taught with conventional models.
POLA ASUH OTORITER (AUTHORITARIAN PARENTING) DAN PERILAKU AGRESIF PADA SISWA DI SALAH SATU SMA DI MALUKU TENGAH
Authors: Marchelino Nick Salenussa  , Christiana Hari Soetjiningsih  
Published: April 2024

Perilaku agresif yang sering dilakukan oleh remaja yaitu dengan menyakiti atau melukai orang lain secara fisik, verbal maupun psikologis. Perilaku agresif dipengaruhi oleh beberapa faktor salah satunya adalah pola asuh otoriter. Penelitian ini menggunakan metode kuantitatif yang bertujuan untuk mengetahui adanya hubungan antara pola asuh otoriter dan perilaku agresif pada siswa di salah satu SMA di Maluku Tengah. Metode pengumpulan data menggunkan skala The Aggression Questionnaire yang dikembangkan oleh Buss dan Perry (1992) dan skala pola asuh otoriter oleh Baumrind (1991). Analisis data yang digunakan berupa uji asumsi yaitu uji normalitas dan uji lineritas dengan bantuan program SPSS 21.0 for windows. Hasil penelitian menunjukkan adanya hubungan positif yang signifikan antara pola asuh otoriter dan perilaku agresif pada siswa SMA, yang berarti makin tinggi pola asuh otoriter maka makin tinggi perilaku agresif, dan sebaliknya. Pola asuh otoriter orang tua terhadap perilaku agresif memberikan sumbangan efektif sebesar 53,8% sedangkan 46,2% dipengaruhi oleh faktor lain.
The Statistical Fragility of Tranexamic Acid Use in the Orthopaedic Surgery Literature: A Systematic Review of Randomized Controlled Trials
Authors: Brown Ashley N. , Yendluri Avanish , Lawrence Kyle W. , Cordero John K. , Moucha Calin S. , Hayden Brett L. , Parisien Robert L. 
Published: April 2024

Introduction:
Randomized controlled trials (RCTs) represent the highest level of evidence in orthopaedic surgery literature, although the robustness of statistical findings in these trials may be unreliable. We used the fragility index (FI), reverse fragility index (rFI), and fragility quotient (FQ) to evaluate the statistical stability of outcomes reported in RCTs that assess the use of tranexamic acid (TXA) across orthopaedic subspecialties.

Methods:
PubMed, EMBASE, and MEDLINE were queried for RCTs (2010–present) reporting dichotomous outcomes with study groups stratified by TXA administration. The FI and rFI were defined as the number of outcome event reversals needed to alter the significance level of significant and nonsignificant outcomes, respectively. FQ was determined by dividing the FI or rFI by sample size. Subgroup analyses were conducted based on orthopaedic subspecialty.

Results:
Six hundred five RCTs were screened with 108 studies included for analysis comprising 192 total outcomes. The median FI of the 192 outcomes was 4 (IQR 2 to 5) with an associated FQ of 0.03 (IQR 0.019 to 0.050). 45 outcomes were reported as statistically significant with a median FI of 1 (IQR 1 to 5) and associated FQ of 0.02 (IQR 0.011 to 0.034). 147 outcomes were reported as nonsignificant with a median rFI of 4 (IQR 3 to 5) and associated FQ of 0.04 (IQR 0.023 to 0.051). The adult reconstruction, trauma, and spine subspecialties had a median FI of 4. Sports had a median FI of 3. Shoulder and elbow and foot and ankle had median FIs of 6.

Discussion:
Statistical outcomes reported in RCTs on the use of TXA in orthopaedic surgery are fragile. Reversal of a few outcomes is sufficient to alter statistical significance. We recommend reporting FI, rFI, and FQ metrics to aid in interpreting the outcomes reported in comparative trials.
5-Factor Modified Frailty Index as a Predictor of Outcomes After Hemiarthroplasty or Total Hip Arthroplasty for Femoral Neck Fracture
Authors: Kim Andrew G. , Grits Daniel , Zhong Jeffrey , Chiu Austin M. , Reading Landon , Zuke William , Kamath Atul F. 
Published: April 2024

Introduction:
Although the 5-factor modified frailty index (mFI-5) has been shown to be an independent predictor of complications after primary total hip arthroplasty (THA), its predictive value has not been evaluated in the setting of hip fracture. We therefore assessed the utility of mFI-5 score as an independent predictor of morbidity and mortality in patients who underwent THA or hemiarthroplasty for femoral neck fracture.

Methods:
The American College of Surgeons National Surgical Quality Improvement database was queried for all patients with femoral neck fractures treated with THA or hemiarthroplasty between 2006 and 2020. A multivariate logistic regression analysis was done using mFI-5 as a predictor while controlling for baseline demographic and clinical variables.

Results:
In total, 45,185 patients (hemiarthroplasty: 37,645; THA: 7,540) were identified. For hemiarthroplasty patients, the mFI-5 strongly predicted risk of any complication (OR, 1.1; 95% CI, 1.1 to 1.2; P < 0.001), bleeding (OR, 1.2; 95% CI, 1.1 to 1.3; P < 0.001), and readmission (OR, 1.2; 95% CI, 1.1 to 1.3; P < 0.001). For THA patients, the mFI-5 was a strong predictor of any complication (OR, 1.2; 95% CI, 1.0 to 1.3; P = 0.023), pneumonia (OR, 1.4; 95% CI, 1.0 to 2.0; P = 0.047), and readmission (OR, 1.3; 95% CI, 1.1 to 1.6; P = 0.004).

Discussion:
The mFI-5 is an independent predictor of morbidity and complications after hemiarthroplasty and THA for femoral neck fracture. Importantly, readmission risk was predicted by the mFI-5. The mFI-5 may present a valuable clinical tool for assessment of high-risk patients who might require additional resources and specialized care after femoral neck fracture.
Rapid Return to Braking After Anterior and Posterior Approach Total Hip Arthroplasty
Authors: Richards John T. , Slaven Sean E. , Yow Bobby G. , Tracey Robert W. , Mack Andrew W. , Cody John P. 
Published: April 2024

Background:
Little is known about the effect of surgical approach on return to braking after total hip arthroplasty (THA), and few studies have investigated braking after THA with modern surgical techniques and rehabilitation protocols.

Methods:
In a prospective comparative design, we enrolled 65 patients who received right-sided primary THA at our institution from April 2018 through March 2020, 34 with a direct anterior approach (DAA) and 31 with a posterior approach (PA). Braking tests measuring brake reaction time (BRT) and brake pedal depression (BPD) were administered to patients preoperatively and at 1, 2, and 4 weeks postoperatively using a realistic driving simulator. BRT and BPD were compared between groups and preoperatively versus postoperatively using mixed-effects models.

Results:
Preoperative BRT averaged 638 msec in the DAA group and 604 msec in the PA group (P = 0.31). At 1 week postoperatively, the DAA group had significantly prolonged BRT compared with preoperatively (694 msec, P = 0.02). No significant difference was observed in the PA group (633 msec, P = 0.31). Both groups had returned to baseline by 2 weeks, and both had significantly faster BRT at 4 weeks compared with preoperatively (583 msec for DAA, P = 0.01; 537 msec for PA, P < 0.001). BPD was similar between groups, and there were no significant differences between preoperative and postoperative BPD at any time point.

Conclusions:
With modern surgical techniques, BRT after right-sided THA returns to baseline levels approximately 2 weeks after surgery. There seems to be a quicker return to preoperative BRT observed in patients with a PA.
Interplay of Sleep Quality, Insomnia and Quality of Life in Individuals Undergoing Hemodialysis
Authors: Saboor Farheen , Malik Nudra 
Published: April 2024

Insomnia is the most commonly occurring disorder of sleep experienced by individuals with chronic kidney disease. It is associated with physical and psychological health issues specifically the ones on hemodialysis. Objective: To find out the frequency of insomnia in individuals undergoing hemodialysis and to examine the relationship between sleep quality and quality of life. Methods: It was a cross sectional study and non-probability purposive sampling technique was used for selecting the sample of patients undergoing hemodialysis from a dialysis center of Lahore. The sample consisted of both men and women (N=100) with age range 40 and above (M=51.40, SD=7.25). Insomnia, general sleep scale and quality of life scale were used to collect data from the participants. Results: Insomnia was found to be prevalent in 6% of the patients. Quality of Life (QOL) was significantly poor in individuals with insomnia and poor sleep quality as compared to the ones with better sleep. Older age, increasing duration of hemodialysis and poor sleep quality were significant predictors of quality of life in our sample. Conclusions: Insomnia and/or poor-quality sleep have a detrimental effect on patients’ quality of life in kidney disease. These findings can provide basis for awareness campaigns and health promotion programs aimed at timely diagnosis and management of insomnia and improvement in sleep quality as well as quality of life in individuals undergoing hemodialysis
Peranan Teokrasi Terhadap Kecenderungan Israel Menyembah Berhala Berdasarkan Keluaran 25:1-40:38
Authors: Madjan Herman Pratikno 
Published: April 2024

Sejak semula Bangsa Israel dibentuk Tuhan, bangsa ini tidak mempunyai dewa-dewi tetapi Tuhan Allah saja yang menjadi pemimpin dan Raja mereka (Teokrasi). Bangsa-bangsa lain disekitarannya dipimpin oleh seorang raja (Monarkhi) dan menyembah berhala. Bangsa Israel yang berkembang selama 400 tahun di Mesir jadi mempunyai kecenderungan hati mengikuti bangsa lain yang dipimpin seorang raja dan menyembah berhala, mereka meragukan Imam, Nabi atau hanba Tuhan dengan alasan tidak bisa membedakan perintah atau kehendak Tuhan, apakah sungguh dari Tuhan atau dari hamba Tuhan itu. Alasan utamanya adalah bangsa Israel menolak Tuhan dan hidup dalam penyembahan berhala, Tuhan dengan kasihNya tetap menegakkan Teokrasi walaupun memerlukan waktu yang sangat panjang.
METABOLIC EFFECTS OF CARBON DIOXIDE INSUFFLATION DURING LAPAROSCOPIC SURGERY: CHANGES IN PH, ARTERIAL PARTIAL PRESSURE OF CARBON DIOXIDE (PACO2) AND END TIDAL CARBON DIOXIDE (ETCO2)
Authors: Bachh Mohd Dawood , Farooq Nyla , Gillani Yousha Muneeb 
Published: April 2024

Background: Laparoscopy involves inspecting the abdomen and pelvis using an endoscope. Carbon dioxide (CO2) is the gas that is commonly used to insufflate the abdomen so as to facilitate the surgical view.
Aim: The present study was under taken to determine the Metabolic effects of carbon dioxide insufflation during laparoscopic surgery.
Methods: An observational study on 50 patients above 18 years of age with physical status of American Society of Anaesthesiologists (ASA) Class I and II after obtaining approval from institutional ethical committee and consent of the patient was conducted in the Postgraduate Department of Anaesthesiology and Critical Care, Government Medical College Srinagar.
Results: There was a progressive decrease in the pH during pneumoperitoneum in keeping with the hypercarbia. An increase towards baseline was observed during recovery but pH was still significantly lower than baseline 15 minutes into recovery (p<0.118). The Pco2 increased after 15 mins Co2 insufflation & peaked at 30 mins with mean & SD 42.82,2.775 & 46.16,2.909 respectively which was statically significant. Etco2 also increased after 15 mins of Co2 insufflation & peaked at 30 mins with mean 41.56 & 44.50 respectively which was statically significant. Similarly, Hco3 decreased over period of time with peak decrease at 30 mins of Co2 insufflation with mean 23.70, SD 1.919 & range 19-27.
Conclusion: Co2 insufflation does bring metabolic changes in Ph, Pco2, Etco2 & HCO3 but with proper monitoring & management laparoscopic procedure can be safely performed.
Orthostatic Hypotension and its Relationship with HbA1c Levels in Patients with Diabetes Mellitus
Authors: Bavaria Deep , Rathod Asmita , Patel Ankur , Chaudhari Jigisha 
Published: April 2024

Introduction: For the diagnosis of diabetes mellitus, various tests are available such as FBS (Fasting blood sugar), PPBS ( Post Prandial Blood Sugar), Oral Glucose Tolerance Test, Random Plasma Glucose Test, HBA1c, etc, of which HBA1c is considered to be the most standard test. As diabetes mellitus can be asymptomatic initially, it can lead to important complications such as neuropathy, nephropathy, retinopathy, cardiovascular diseases, etc if not detected early. Postural blood pressure measurement which diagnoses orthostatic hypotension is a cheap, easy and useful tool to predict HBA1c level even in asymptomatic diabetic patients.
Methods: This is a randomized cross-sectional study of 100 diabetic patients attending Medicine OPD or admitted in our tertiary care hospital of South Gujarat. Pretested proforma was used to collect data after taking informed consent. Investigations including blood pressure measured with a standard Sphygmomanometer at the end of 3 min after standing and HBA1c as mentioned in the proforma was carried out. Final analysis has been done with the help of Open EPI and SPSS software.
Results: 33% of patients of our study population were found with abnormal orthostatic hypotension. Our data shows orthostatic hypotension is directly associated with high HbA1c,longer duration of DM, and higher value of BMI. No correlation was found between age and gender.
Conclusion: Among diabetic patients, high HbA1c, prolong duration of DM and high BMI were associated with abnormal orthostatic hypotension, which can be alarming sign of complications of diabetes mellitus.
Comparative Analysis of Vaccination Status in Enteric Fever: Correlating Clinical and Laboratory Parameters
Authors: Patel Nixat , Sasani Khyati , Shah Swapnil 
Published: April 2024

Introduction: The emergence of resistant haplotypes of Salmonella makes control via vaccination an urgent priority. This study was conducted to evaluate the clinical and investigative profile of enteric fever cases admitted during study period at Nirmal hospital private limited, Surat and their typhoid immunization status to assess difference in presentation and clinic-investigation profile between immunized and unimmunized group.
Methodology: This cross-sectional study conducted among children admitted with enteric fever. All the children were assessed for hepatitis vaccination status. Clinical and laboratory parameters were correlated with vaccination status.
Results: Out of 101 study subjects, only 19 (18.81%) were immunized with any of the typhoid vaccine. Signs-symptoms and complications were not associated with immunization status (p > 0.05). Lower hemoglobin level and higher WBC count were associated with immunization status (p <0.05). The mean difference in Absolute Eosinophil Count was found statistically insignificant. (p 0.109) between two groups.
Conclusion: The enteric fever is more common in school going age group of 5-14 years of age. Vaccination against typhoid provides protection against infection with S. Typhi. Vaccination can also help to reduce anemia during episode of enteric fever.
A Comparative Study of Serum Lipid Profile and Common Bile Duct Dimensions in Pre and Post Cholecystectomy Patients
Authors: Reddy Suryateja , Ali Iqbal , Athavale Virendra S , Nichkaode Prabhat B , Tonape Trupti , Dnyanmote Anuradha 
Published: April 2024

Introduction: Post cholecystectomy the common bile duct dilates in an effort to restore the storage function of gall bladder and helps in metabolism of lipids. There are many studies determining the association of abnormal lipid parameters with gall stones but there are not many studies comparing the diameter of CBD pre and post cholecystectomy and its clinical implication.
Hence, under the light of above-mentioned data, we planned the present study to assess the effect of cholecystectomy on common bile duct diameter and lipid profile.
Methodology: Patients with gall bladder stone eligible for cholecystectomy were included in the study. In this study pre and post operative cholecystectomy values of lipid profile and CBD diameter were compared. Patients were followed up till one year post operative to assess changes.
Results: Out of total 55 cases included in the study 38.2% were male and 78.2% has mixed type of stone. Post operatively Serum cholesterol, triglyceride, HDL and LDL value improved significantly at the end of one year follow up (p<0.01). Pre operative mean CBD diameter was 4.38 mm which was increased to 5.6 mm at the end of one year post operatively (p<0.01)
Conclusion: Cholecystectomy leads to significant impact on in lipid profile. Significant compensatory dilatation of common bile duct diameter occurs post cholecystectomy. This indicates a very positive impact of cholecystectomy on lipid profile.
Pengelolaan Sumber Daya Manusia Dalam Meningkatkan Komitmen Kerja Karyawan
Authors: Eka Rachmawati  , Wahdatul Laili  , Ade Rizaldi Hidayatullah  , Iriani Ismail  
Published: April 2024

The purpose of this research is to identify human resource management in increasing work commitment at the Alvarezi Clothing Store, Kamal, Bangkalan Regency. The method used is descriptive qualitative. We use 2 data. Primary and secondary data. Primary data was obtained through direct observation and interviews. Meanwhile, we got secondary data from a collection of literature. The research results show that good human resource management will increase employee commitment and morale.
PKM EDUKASI DAN ANTISIPASI PENYEBARAN COVID 19 DALAM MENINGKATKAN PROTOKOL KESEHATAN 4M DI DESA LUWUK GUNUNG SARI SERANG
Authors: Dewi Sintia , Ramadhan Dzikri , Nurani Anis , Kusuma Jaka Wijaya , Hamidah Hamidah 
Published: April 2024

Luwuk Village is a village located in Gunungsari district, Serang regency. Where in the village there is very little knowledge to equip themselves to avoid dangerous viruses, where in every house there are still many residents who do not provide masks and equipment to do 5M in the form of preventing the covid 19 virus, therefore we as active students of KKM group 26 universirtas bina bangsa, conduct counseling and socialization to intensify the spread of covid 19 in the village. Currently, we are still facing challenges that require adapting to the Corona Virus Disease 2019 (COVID-19) pandemic situation. Corona Virus Disease-19 is a virus that attacks the respiratory system and can cause mild disorders of the respiratory system, severe lung infections, and even death. Covid-19 can be transmitted from human to human through droplets from patients who sneeze or cough and close contact with sufferers or contact with contaminated surfaces and objects. Covid-19 enters the body through the eyes, nose, and mouth through hands contaminated with the virus. From there, we have held the distribution of masks and hand sanitizers to anticipate the spread of the COVID-19 virus, the community has an important role in breaking the chain of transmission of COVID-19 so as not to cause new sources of transmission / clusters in places where there is movement of people, interaction between people and gathering of many people. People must be able to resume their activities in the COVID-19 pandemic situation by adapting to new habits that are healthier, cleaner, and more obedient, which are implemented by all components in the community and empower all existing resources. The role of the community to be able to break the chain of transmission of COVID-19 (risk of contracting and transmitting) must be carried out by implementing health protocols through individual health protection and public health protection
PENDAMPINGAN PEMAHAMAN KEKUATAN, PELUANG DAN PENDAPATAN PADA USAHA KERUPUK MARTABAK DI KATULISAN KASEMEN KOTA SERANG
Authors: Fatonah Siti , Nabilah Syifa , Ridwan Ahmad 
Published: April 2024

The purpose of this study was to determine the strength of the martabak cracker product, to determine the opportunities possessed by the martabak cracker, and the last is to determine the net income obtained from daily and monthly sales of martabak crackers in the Katulisan Kasemen area of ​​Serang City.
This research method uses qualitative research methods with a descriptive approach. The data collection techniques used observation, interview and documentation techniques. The analysis used is a SWOT analysis in formulating a strategy for a product where with this analysis it can be seen to the maximum extent the strengths, opportunities, weaknesses and threats by suppressing the level of weaknesses and threats that may exist in every business run.
The results show the strength (strength) of martabak crackers, namely the product is made with quality, healthy and suitable ingredients for consumption, martabak crackers are different from other types of crackers in that they have a darker color resembling a line on each side, the taste of martabak crackers is savory, the texture is crunchy and suitable. for all situations, the color of martabak crackers is very familiar because it has a common color, namely brownish yellow, the price of martabak crackers is very affordable by all people and competes with the same product. Opportunities (Opportunities) for martabak crackers, namely there are no martabak cracker products outside the city of Serang, so there is still a big opportunity if you expand your market share to the Serang district and other districts in the Banten province, it is still wide open to open resellers because the products are still obtained directly from producers, the price is still relatively cheap when compared to similar cracker products, increasing production capacity because the crackers always run out in a day. The net income earned every day is Rp. 490,000,-, and the monthly income is deducted from holidays, which is Rp. 12.740.000