bluuebunny/crossref_metadata_2025_split huggingface dataset:
Predicting short-term major postoperative complications in intestinal resection for Crohn’s disease: A machine learning-based study
Authors: Wang Fang-Tao , Lin Yin , Yuan Xiao-Qi , Gao Ren-Yuan , Wu Xiao-Cai , Xu Wei-Wei , Wu Tian-Qi , Xia Kai , Jiao Yi-Ran , Yin Lu , Chen Chun-Qiu 
Published: March 2024

BACKGROUND
Due to the complexity and numerous comorbidities associated with Crohn’s disease (CD), the incidence of postoperative complications is high, significantly impacting the recovery and prognosis of patients. Consequently, additional studies are required to precisely predict short-term major complications following intestinal resection (IR), aiding surgical decision-making and optimizing patient care.
AIM
To construct novel models based on machine learning (ML) to predict short-term major postoperative complications in patients with CD following IR.
METHODS
A retrospective analysis was performed on clinical data derived from a patient cohort that underwent IR for CD from January 2017 to December 2022. The study participants were randomly allocated to either a training cohort or a validation cohort. The logistic regression and random forest (RF) were applied to construct models in the training cohort, with model discrimination evaluated using the area under the curves (AUC). The validation cohort assessed the performance of the constructed models.
RESULTS
Out of the 259 patients encompassed in the study, 5.0% encountered major postoperative complications (Clavien-Dindo ≥ III) within 30 d following IR for CD. The AUC for the logistic model was 0.916, significantly lower than the AUC of 0.965 for the RF model. The logistic model incorporated a preoperative CD activity index (CDAI) of ≥ 220, a diminished preoperative serum albumin level, conversion to laparotomy surgery, and an extended operation time. A nomogram for the logistic model was plotted. Except for the surgical approach, the other three variables ranked among the top four important variables in the novel ML model.
CONCLUSION
Both the nomogram and RF exhibited good performance in predicting short-term major postoperative complications in patients with CD, with the RF model showing more superiority. A preoperative CDAI of ≥ 220, a diminished preoperative serum albumin level, and an extended operation time might be the most crucial variables. The findings of this study can assist clinicians in identifying patients at a higher risk for complications and offering personalized perioperative management to enhance patient outcomes.
Comparison of the clinical effects of dual-modality endoscopy and traditional laparotomy for the treatment of intra- and extrahepatic bile duct stones
Authors: Wang Wei , Xia Hui , Dai Bin 
Published: March 2024

BACKGROUND
Bile duct stones (BDSs) may cause patients to develop liver cirrhosis or even liver cancer. Currently, the success rate of surgical treatment for intrahepatic and extrahepatic BDSs is not satisfactory, and there is a risk of postoperative complications.
AIM
To compare the clinical effects of dual-modality endoscopy (duodenoscopy and laparoscopy) with those of traditional laparotomy in the treatment of intra- and extrahepatic BDSs.
METHODS
Ninety-five patients with intra- and extrahepatic BDSs who sought medical services at Wuhan No.1 Hospital between August 2019 and May 2023 were selected; 45 patients in the control group were treated by traditional laparotomy, and 50 patients in the research group were treated by dual-modality endoscopy. The following factors were collected for analysis: curative effects, safety (incision infection, biliary fistula, lung infection, hemobilia), surgical factors [surgery time, intraoperative blood loss (IBL) volume, gastrointestinal function recovery time, and length of hospital stay], serum inflammatory markers [tumor necrosis factor (TNF)-α, interleukin (IL)-6, and IL-8], and oxidative stress [glutathione peroxidase (GSH-Px), superoxide dismutase (SOD), malondialdehyde (MDA), and advanced protein oxidation products (AOPPs)].
RESULTS
The analysis revealed markedly better efficacy (an obviously higher total effective rate) in the research group than in the control group. In addition, an evidently lower postoperative complication rate, shorter surgical duration, gastrointestinal function recovery time and hospital stay, and lower IBL volume were observed in the research group. Furthermore, the posttreatment serum inflammatory marker (TNF-α, IL-6, and IL-8) levels were significantly lower in the research group than in the control group. Compared with those in the control group, the posttreatment GSH-Px, SOD, MDA and AOPPs in the research group were equivalent to the pretreatment levels; for example, the GSH-Px and SOD levels were significantly higher, while the MDA and AOPP levels were lower.
CONCLUSION
Dual-modality endoscopy therapy (duodenoscopy and laparoscopy) is more effective than traditional laparotomy in the treatment of intra- and extrahepatic BDSs and has a lower risk of postoperative complications; significantly shortened surgical time; shorter gastrointestinal function recovery time; shorter hospital stay; and lower intraoperative bleeding volume, while having a significant inhibitory effect on excessive serum inflammation and causing little postoperative oxidative stress.
Analysis of Leadership Failures, Crises, and Scandals in Various Sectors and Contexts in Argentina
Authors: Castro Emilia 
Published: March 2024

Purpose: The aim of the study was to investigate the analysis of leadership failures, crises, and scandals in various sectors and contexts.
Methodology: This study adopted a desk methodology. A desk study research design is commonly known as secondary data collection. This is basically collecting data from existing resources preferably because of its low cost advantage as compared to a field research. Our current study looked into already published studies and reports as the data was easily accessed through online journals and libraries.
Findings: An analysis of leadership failures, crises, and scandals in Argentina reveals recurring patterns across various sectors and contexts. Instances of corruption, mismanagement, and lack of accountability have plagued political, corporate, and social spheres. The failure to address systemic issues has exacerbated economic instability and social unrest, undermining trust in leadership. These challenges underscore the pressing need for comprehensive reforms and ethical leadership to foster sustainable development and restore public confidence.
Unique Contribution to Theory, Practice and Policy: Transformational leadership theory, contingency theory & ethical leadership theory may be used to anchor future studies on the analysis of leadership failures, crises, and scandals in various sectors and contexts. Encourage practitioners to consider the perspectives of various stakeholders when analyzing leadership failures and developing strategies for crisis management and stakeholder engagement. Develop evidence-based policy recommendations aimed at preventing leadership failures and promoting effective leadership practices.
Clinical Pharmacy Services at The Central Public Hospital "X"
Authors: Luthfiana Farisa , Astiani Rangki , Piter Piter , Sukartiningsih Yulita 
Published: March 2024

Background: Pharmaceutical service is a direct and responsible service to patients related to pharmaceutical preparations with the aim of achieving definite results to improve the patient's quality of life.Objective: The aim is to find out how clinical pharmacy services are at “X” Hospital with eleven clinical pharmacyservice indicators based on Minister of Health Regulation Number 72 of 2016.Methods: The method used is descriptive, which aims to obtain a realistic and objective picture of pharmaceuticalservices at “X” Center General Hospital.Results: The results of the study found that eleven indicators of clinical pharmacy services were Assessment and Prescription Services, Tracing Drug Use History, Drug Reconciliation, Drug Information Services (PIO), Counseling, Visitation, Drug Therapy Monitoring (PTO), Drug Side Effects Monitoring (MESO), Evaluation Medication Use(EPO), Dispensing of Sterile Preparations, and Monitoring Blood Drug Levels (PKOD) have been carried out properly in accordance with Minister of Health Regulation No. 72 of 2016, except for PKOD because there is no request from the doctor or pharmacist's initiative to do so.
Association of pro-atherogenic risk factors with thyroid-stimulating hormone level in women 25–44 years old
Authors: Alferova V. I. , Mustafina S. V. , Rymar O. D. , Shcherbakova L. V. , Voevoda S. M. , Stakhneva E. M. , Denisova D. V. 
Published: March 2024

Thyroid hormones play an important role in regulating metabolism. A large body of literature suggests an increased risk of developing metabolic syndrome (MS) in individuals with hypothyroidism, but little data exists on the effects of high-normal levels of thyroid-stimulating hormone (TSH) on metabolism.Material and methods. The study was conducted on a representative sample of people aged 25–44 years (n = 1513, of which 840 were women). The analysis included the results of 343 women. A questionnaire, anthropometric and biochemical study were carried out. Biochemical parameters were analyzed in quartiles of TSH content. Determination of MS was carried out using the criteria of NCEP ATP III (2001), IDF (2005), VNOK (2009).Results. TSH content in the examined sample was 1.5 [1.0; 2.2] mU/l (median [lower quartile; upper quartile]). Among women 25–44 years old, women with highly normal TSH level (3.1 [2.7, 3.8] mU/l) have less favorable metabolic parameters. MS was detected in 31 % cases, with a predominant increase in the frequency of abdominal obesity – in 51 %, with increased triglyceride levels in 18 %. Women with hypertriglyceridemia had higher TSH content than those with normal triglyceride levels (2.4 ± 1.6 vs. 1.8 ± 1.3 mU/L, respectively, p = 0.007).Conclusions. In women 25–44 years of age, high-normal TSH content is more often associated with metabolic unhealth.
Mapping the Literature and Future Research Agenda of Employee Engagement: A Bibliometric Analysis of the past 20 years
Authors: Prof. (Dr) Sandhya Mehta Guneet Kaur, 
Published: March 2024

Purpose: The aim of this study is to highlight the intricacies involved in the conceptualization and theorization of Employee Engagement in the past twenty years. By analyzing the antecedents and, this study aims to identify the gaps in the present literature so that future research directions can be deliberated.
Design/methodology/approach: This research applies a bibliometric analysis approach in order to synthesize upcoming themes in the area of employee engagement.
Findings: Employee Engagement as a concept has been widely conceptualized and mainly differentiated into two dimensions – psychological or attitudinal and behavioural. Less research has taken place on the behavioural front of the topic wherein the extra-role performance by engaged employees’ discretionary behaviour should be studied. Also, factors like the nature of work and leadership, and emotional intelligence need attention.
Limitations: The present study has only undertaken articles and has not focused on book chapters, conference proceedings and focused on English language research papers. Also, the study excluded research studies where engagement was examined as a moderator or mediator as the emphasis was on understanding the antecedents of engagement.
Implications: Since engagement levels have dropped in the past decade, it becomes imperative for practitioners to overhaul it’s understanding and make every employee’s experience a unique one by engaging them.
The epidemiology and clinical features of the neglected myiasis: A pilot surveillance study from Oman
Authors: Almayahi Zayid K , Al Hattali Mahfoudha , Al Kharusi Zalkha , Al Shaqsi Dalal , Anis Khairy 
Published: March 2024

Background: Myiasis is a neglected disease, characterized by ill-defined diagnostics and management protocols. Published epidemiological and clinical studies of myiasis are still scarce, although several countries, such as Oman, have reported a few cases over the past 30 years. This study explores the epidemiological profile and clinical characteristics of myiasis in South Batinah Governorate (SBG), Oman.
Methodology: A prospective surveillance study was conducted in SBG from 1st November 2018 to 31st October 2019. Clinical and epidemiological data were collected using a pre-designed reporting form for suspected and confirmed cases.
Results: A total of 188 cases were reported, of which 81.4% were male. One-third of cases were 11–20 years old, and a quarter reported exposure inside house. The rate of exposure was 16 per 10000 in Nakhal and Wadi Mawel. About 57% patients reported multiple re-exposure. Almost 60% of patients developed nasal or oral myiasis, 25% developed myiasis in the eye, and 4% in the ear. The most common respiratory symptoms were cough (83%), runny nose (48%), and foreign body sensation (35%). Over 50% of patients with eye exposures had redness, pain, and itchiness. Most patients (89.3%) kept animals at homes. Many cases occurred between December 2018 and April 2019, with almost one-third of exposures occurring at 5 p.m. Re-exposure likelihood for patients residing in Nakhal and Wadi Mawel was high; OR = 2.49 (95% CI 1.14–5.45), with OR = 3.59 (95% CI 1.37–9.39) for 11–20-year-olds and, OR = 3.01 (95% CI 1.07–8.42) for patients ≥ 31 years.
Conclusion: The myiasis exposure rate is high in certain areas and age groups, which is most likely associated with animal-related activities. The disease has a significant impact upon people’s health in SBG. Therefore, urgent active-surveillance and clinical studies are warranted to explore possible preventive measures and treatment options. Adopting one health approach could offer an effective strategy for preventing myiasis in human and animal populations.
Changing the Story: Indigenous Youth Belong in Post-Secondary Education
Authors: First Rider Wanda , Hanson Aubrey Jean , Houle Angela , McCallum Patricia , Miles Teresa M. , Plante Maureen , Spring Erin 
Published: March 2024

This article describes a collaboration between an urban school board and a faculty of education aimed at supporting Indigenous youth transitions to post-secondary education. Drawing upon strengths-based approaches including wise practices, we offer a model for how postsecondary transition events can illuminate pathways for young people to see that they belong in higher education. We highlight the importance of connecting with Elders, hearing from successful Indigenous speakers, and seeing campus. The theme of our event reiterates to Indigenous youth that they have a story and that they can take the next steps to a new beginning in post-secondary education.
Keywords: Indigenous education, Indigenous youth, post-secondary education, school transitions, virtual events
Cet article décrit une collaboration entre une autorité scolaire en milieu urbain et une faculté d'éducation visant à soutenir la transition des jeunes autochtones vers l'enseignement postsecondaire. Puisant dans des approches fondées sur les forces, y compris les pratiques sages, nous offrons un modèle de la façon dont les événements liés à la transition vers l'enseignement postsecondaire peuvent éclairer les passerelles permettant aux jeunes de voir qu'ils ont leur place dans l'enseignement supérieur. Nous soulignons l'importance d'établir des liens avec les aînés, d'écouter des conférenciers autochtones qui ont réussi et de visiter le campus. Le thème de notre événement rappelle aux jeunes autochtones qu'ils ont une histoire et qu'ils peuvent franchir les prochaines étapes vers un nouveau départ dans l'enseignement postsecondaire.
Mots-clés : Éducation autochtone, jeunesse autochtone, éducation postsecondaire, transitions scolaires, événements virtuels
Pengembangan Sistem Pertanian Rumah dengan metode teknologi Hidroponik Di Desa Burni Bius, Kecamatan Silih Nara
Authors: Rahmi Faida , Mahara Zajuli Win , Mulia Jufri 
Published: March 2024

Teknologi hidroponik merupakan metode bercocok tanam yang menggunakan air sebagai media tanam dan nutrisi untuk pertumbuhan. Hidroponik awalnya digunakan untuk menananm tanaman di daerah yang sulit untuk ditanami secara konvensional. Tujuan dari teknologi hidroponik yang dilaksanakan di kampung Burni Bius dilakukan untuk memanfaatkan pekarangan rumah yang kosong dan tanaman yang dihasilkan berupa tanaman hortikultura. Hidroponik adalah metode bercocok tanam tanpa menggunakan tanah, di mana tanaman diberikan nutrisi yang larut dalam air. Metode ini telah digunakan secara luas di berbagai skala, mulai dari hobi rumahan hingga skala komersial besar. Dalam hidroponik, akar tanaman ditempatkan dalam wadah yang berisi larutan nutrisi yang sesuai, yang kemudian disirkulasikan atau diatur agar tetap dalam kondisi yang optimal bagi pertumbuhan tanaman.
Keuntungan dari sistem hidroponik termasuk penggunaan air yang lebih efisien, kontrol yang lebih baik terhadap nutrisi tanaman, dan kemungkinan untuk menanam tanaman di daerah yang mungkin tidak cocok untuk pertanian tradisional.
The European Commission’s Proposal for a Modernised Union Customs Code: A Brief Introduction
Authors: Pickett Eric , Wolffgang Hans-Michael 
Published: March 2024

The European Union (EU) Customs Union has existed since 1968, but to this day it is not fully harmonised. Although customs law is Union law, there are 27 different national customs administrations, resulting in the customs legislation not being uniformly applied. To remedy this, the European Commission has proposed a comprehensive customs reform, the Modernised Union Customs Code (MUCC), a draft of which was presented by the Commission on 17 May 2023 (COM (2023)258 final). The following innovations are worth highlighting: • establishing the new European Customs Authority to pool expertise and competence and support national customs authorities • establishing a Union-wide Customs Data Hub to ensure the monitoring of the movement of goods, including the supply chain, on the one hand, but at the same time allowing for the simplification of procedures • an independent legal regime for e-commerce: platform operators in e-commerce will become importers and customs debtors (‘deemed importers’) in the future. This is intended to reduce compliance costs and at the same time improve Union-wide risk analysis • the new ‘Trust and Check Trader (TCT)’ (which will be alongside the Authorized Economic Operator [AEO] until the TCT permanently replaces it), will communicate electronically via the Customs Data Hub with Union-wide effect. TCTs can benefit from further facilitations, such as performing certain controls themselves. In return, complete electronic monitoring of the TCT’s supply chain must be always ensured through real time access to the company’s internal data. The reform should be implemented within the next 10–15 years. The reform is to be welcomed. However, there are still pitfalls hidden in the details. The standardisation of IT systems is necessary for Union-wide centralised customs clearance. Better risk analysis can be performed on a Union-wide data platform, both to protect the EU’s financial interests and to enforce import and export restrictions to protect the Union and its citizens. An EU customs authority can reduce divergent administrative practices across member states through governance and support. The further development of the AEO, the TCT, can establish better cooperation between administration and business, and the ability of companies to perform certain controls and release the goods themselves can speed up customs procedures. Harmonised sanctions for misconduct by economic operators will lead to a level playing field. Much will depend on the concretising legal acts that are now being drafted and discussed.
BIAR MISKIN ASAL SOMBONG: KAJIAN REALITAS HIDUP DAN ETIKA ISLAM
Authors: Robingun Suyud El Syam  , Wahyu Sukoco  
Published: March 2024

Penelitian bermaksud mengungkap stigma, biar miskin asal sombong dari segi realitas hidup dan etika Islam, menggunakan pendekatan diskrptif kualitatif. Setelah dibahas dan dianalisis menyimpulkan; biar miskin asal sombong merupakan gambaran perilaku hidup yang mengutamakan kebutuhan skunder, mengakhirkan kebutuhan primer dengan dalih gengsi. Sifat ini secara genealogis merupakan warisan setan yang ditiupkan kepada manusia yang berjiwa lemah. Perilaku ini terjadi dalam realitas hidup, diantaranya dalam gaya hidup mewah orang miskin. Ada yang menyebut ‘kaum miskin urban’, bisa juga dalam sebuah pemerintahan daerah yang APBD-nya fokus untuk hal yang kurang bermanfaat bagi masyarakat. Secara etika Islam, perilaku tersebut terkategori sifat buruk. Ada empat tanda orang miskin yang sombong: enggan berdoa (ibadah), malas menjalankan tugas, biasa melanggar aturan, dan tidak pandai berterima kasih. Sikap sombong bagi manusia merupakan keburukan, namun lebih buruk lagi orang miskin yang sombong, sebab tidak ada sesuatu yang bisa disombongkan.
UPAYA MENINGKATKAN PEMAHAMAN SISWA TERHADAP MATERI OPERASI HITUNG BILANGAN BULAT POSITIF DAN NEGATIF PEMBELAJARAN MATEMATIKA KELAS IV SDN 11 ALUR BANDUNG DENGAN MENERAPKAN METODE KOOPERATIF TIPE TAI (TEAM ASSISTED INDIVIDUALIZATION)
Authors: Susnari Susnari  
Published: March 2024

Hasil belajar siswa pada pembelajaran Matematika khususnya pada materi operasi hitung bilangan bulat positif dan negatif tahun pelajaran 2019/2020 sangat rendah. Hal ini dibuktikan berdasarkan hasil evaluasi yang dilakukan guru sekitar 70% mendapatkan nilai dibawah Kriteria Ketuntasan Minimum yang ditetapkan sekolah untuk pembelajaran Matematika kelas IV yaitu 60.
Untuk mengatasi masalah tersebut dilaksanakannya penelitian tindakan kelas sebagai upaya perbaikan pembelajaran dengan menerapkan metode kooperatif tipe Team assisted Individualization (TAI) mampu meningkatkan pemahaman siswa terhadap materi operasi hitung bilangan bulat positif dan negatif pada pembelajaran Matematika Kelas IV SDN 11 Alur Bandung semester genap tahun pelajaran
Hasil yang didapat setelah pelaksanaan penelitikan tindakan kelas dengan menerapkan metode kooperatif tipe Team assisted Individualization (TAI) selama 2 siklus penelitian adalah Pada Siklus II jumlah siswa yang mendapatkan nilai diatas KKM pada perbaikan pembelajaran siklus II meningkat dari jumlah yang sebelumnya 10 orang menjadi 14 orang mendapatkan nilai diatas KKM. Pada siklus II ini terjadi pula penurunan jumlah siswa yang mendapatkan nilai dibawah KKM setelah dievaluasi yaitu hanya tinggal 6 orang atau sekitar 30% dari 20 orang siswa.