bluuebunny/crossref_metadata_2025_split huggingface dataset:
Sodium-glucose cotransporter–2 (SGLT2) inhibitors and the reporting of falls and fractures: an european pharmacovigilance analysis
Authors: Mascolo Annamaria , Rafaniello Concetta , di Mauro Gabriella , Ruggiero Donatella , Campitiello Maria Rosaria , Donniacuo Maria , Berrino Pasquale Maria , Rossi Francesco , Paolisso Giuseppe , Capuano Annalisa 
Published: November 2023

Background: The risk of falls and bone fractures with sodium-glucose co-transporter-2 (SGLT2) inhibitors has been characterized by conflicting evidence. Therefore, we decided to investigate the reporting probability of falls and fractures by comparing SGLT2 inhibitors with DPP4 inhibitors.Methods A retrospective, pharmacovigilance study of the European database of Individual Case Safety Reports (ICSRs) was conducted. Disproportionality analyses (Reporting Odds Ratio, ROR) were conducted to compare the reporting probability of falls or fracture between treatments.Results A total of 507 ICSRs reporting at least one fall or fracture with SGLT2 inhibitors were identified. The most reported SGLT2 inhibitor was canagliflozin (N = 188; 36.9%), followed by empagliflozin (N = 176; 34.5%), and dapagliflozin (N = 143; 28.0%). A total of 653 events related to fall or bone fracture were reported. Fall was the most reported event (N = 333; 51.0%). Among fractures (N = 320; 49.0%), the most reported were foot fractures (N = 40; 6.1%) and hip fractures (N = 32; 4.9%). SGLT2 inhibitors were associated with a lower reporting probability of fall than DPP4 inhibitors (ROR, 0.66; 95%CI, 0.57-0.78). The lower reporting probability of fall was also observed when the single SGLT2 inhibitor was compared to DPP4 inhibitors: dapagliflozin (ROR, 0.67; 95%CI, 0.53-0.83), canagliflozin (ROR, 0.56; 95%CI, 0.45-0.70), and empagliflozin (ROR, 0.77; 95%CI, 0.63-0.94). For fractures, canagliflozin showed a slightly significant increased reporting when compared with DPP4 inhibitors (not confirmed in the sensitivity analysis), whereas all other comparison showed no statistically significant difference.Conclusion SGLT2 inhibitors were associated with a lower reporting probability of fall than DPP4 inhibitors, in accordance with the reassuring evidence about the safety profile of these drugs. Future researches will help to confirm their long-term safety profile.
The great pretenders? Individuals’ responses to threats to their remote worker identities
Authors: Felix Bruno , Tiussi Bruno Lorencini , Mahadevan Jasmin , Dias Rogério Correia 
Published: November 2023

IntroductionThis study aims to understand (a) how remote workers respond to threats to their identity and (b) the conditions in which each coping response tends to occur more frequently.MethodsTo this end, we pursued a grounded theory approach, conducting interviews with 71 individuals who chose to work remotely.ResultsOur model and theoretical propositions create insights into how remote workers respond to negative stigma from a range of origins. While some responses lead to restructuring the remote workers’ identity (identity restructuring responses), others involve keeping the enactment of such identity (identity-preserving responses) or maintaining a paradoxical relationship between restructuring and preserving the identity (paradoxical identity work responses). We also theorise on the conditions under which each response is more likely to occur.DiscussionWe expand the predominant focus on the meso and macro aspects of this type of work to the micro-interactions in which these individuals engage, thus highlighting how identity is made, performed, created, and enacted, within specific boundary conditions. In addition, by reflecting upon remote workers’ identity threats in light of the wider macro context. We also explore the conditions under which specific kinds of responses tend to emerge.
New and continuing physician-based outpatient mental health care among children and adolescents during the COVID-19 pandemic in Ontario, Canada: a population-based study
Authors: Toulany Alene , Vigod Simone , Kurdyak Paul , Stukel Therese A. , Strauss Rachel , Fu Longdi , Guttmann Astrid , Guan Jun , Cohen Eyal , Chiu Maria , Hepburn Charlotte Moore , Moran Kimberly , Gardner William , Cappelli Mario , Sundar Purnima , Saunders Natasha 
Published: November 2023

ObjectiveTo assess physician-based mental health care utilization during the COVID-19 pandemic among children and adolescents new to care and those already engaged with mental health services, and to evaluate differences by sociodemographic factors.Study designWe performed a population-based repeated cross-sectional study using linked health and administrative databases in Ontario, Canada among all children and adolescents 3–17 years. We examined outpatient visit rates per 1,000 population for mental health concerns for those new to care (no physician-based mental healthcare for ≥1 year) and those with continuing care needs (any physician-based mental healthcare &lt;1 year) following onset of the pandemic.ResultsAmong ~2.5 million children and adolescents (48.7% female, mean age 10.1 ± 4.3 years), expected monthly mental health outpatient visits were 1.5/1,000 for those new to mental health care and 5.4/1,000 for those already engaged in care. Following onset of the pandemic, visit rates for both groups were above expected [adjusted rate ratio (aRR) 1.22, 95% CI 1.17, 1.27; aRR 1.10, 95% CI 1.07, 1.12] for new and continuing care, respectively. The greatest increase above expected was among females (new: aRR 1.33, 95% CI 1.25, 1.42; continuing: aRR 1.22 95% CI 1.17, 1.26) and adolescents ages 13–17 years (new: aRR 1.31, 95% CI 1.27, 1.34; continuing: aRR 1.15 95% CI 1.13, 1.17). Mood and anxiety concerns were prominent among those new to care.ConclusionIn the 18 months following onset of the pandemic, outpatient mental health care utilization increased for those with new and continuing care needs, especially among females and adolescents.
Successful pedicled vertical rectus abdominis myocutaneous flap reconstruction with negative-pressure wound therapy for deep sternal wound infection: a case report and comprehensive review
Authors: Lee Dong Yun , Eo SuRak , Lim SooA , Yoon Jung Soo 
Published: November 2023

IntroductionDeep sternal wound infection (DSWI) is a serious complication that may occur after median sternotomy, with potentially devastating consequences. By reporting our case and analyzing the existing literature, this article aimed to provide a thorough understanding of the role of negative-pressure wound therapy (NPWT) and the importance of flap choice in managing DSWI accompanied by severe heart injury and high hemodynamic risk.Case descriptionA 60-year-old woman with severe aortic stenosis, aortic valve regurgitation, and heart failure underwent redo sternotomy, which resulted in an intraoperative right ventricle injury. She required extracorporeal membrane oxygenation support because of low blood pressure and subsequently developed complications, including surgical site hematoma, wound dehiscence, and fat necrosis. She was referred for wound closure, where a significant 10 × 20-cm soft tissue defect in the anterior chest wall was observed. A pedicled vertical rectus abdominis myocutaneous flap addressed the soft tissue defect. The wound showed remarkable improvement at the 8-month follow-up visit.ConclusionsDSWI management is a complex and multifaceted challenge. NPWT, when combined with appropriate surgical strategies, including wound debridement and flap selection, may promote successful wound healing. This case report highlights the successful management of a complex DSWI using a multidisciplinary approach, including debridement, appropriate antibiotic therapy, and free-flap reconstruction, which resulted in favorable outcomes.
Patients with severe mental illness and their carers’ expectations for GPs’ communication skills: a qualitative approach in Spain
Authors: Ramos-Ruiz Juan Andrés , Pérez-Milena Alejandro , Noguera-Cuenca Carmen , Rodríguez-Bayón Antonina , Ruiz-Díaz Beatriz 
Published: November 2023

BackgroundEffective communication with GPs (General Practitioners) enables higher rates of patient satisfaction and adherence to treatment plans. People with severe mental illness (SMI) and their caregivers present unique characteristics that present difficulties in the GP–carer–patient communication process.AimTo explore the expectations of patients with SMI and their caregivers regarding GPs’ communication skills in primary care consultations.Design & settingFace-to-face interviews, using focus group methodology, which were undertaken in southern Spain.MethodForty-two participants took part in 21 paired semi-structured interviews with an average duration of 19±7.2 minutes. Information was audio-recorded and transcribed verbatim. Qualitative content analysis was undertaken, obtaining a codification in categories by means of triangulation.ResultsFour themes emerged from the analysis. Theme 1 was interviewer communication characteristics. The ability of GPs to use a language that was colloquial and adapted to each person was perceived as a determinant of the quality of care provided. An empathetic attitude, low reactivity, and efficient time management were the most valued communication skills. Theme 2 was telemedicine: telephone consultation and video consultation. The telephone consultation was perceived as a useful tool to care for people with SMI. Video consultation was valued as a requirement in isolated rural areas. Theme 3 was the role of the caregiver during the clinical interview. The caregiver was considered by the patients as an ally who improves the clinical interview. Theme 4 was the perceived barriers and facilitators during the clinical interview. The continuity of care, defined by a low turnover of GPs, determined the quality perceived by those who required care.ConclusionThemes emerging from this study have suggested that people with SMI require an inclusive, collaborative, and personalised approach in the care they receive from the public health system. Improved communication between GPs and patients with SMI is an essential requirement for quality medical care.
Financial Satisfaction of MSMES Influenced by Financial Literacy through Financial Technology
Authors: Budiarti* Isniar , Lutfiah Lula 
Published: November 2023

This study aims to determine the effect of profitability, solvency, liquidity, and market value on stock prices. The population and samples used were 22 mining companies. The sampling technique used was purposive sampling with descriptive and verification analysis methods, and using Eviews 9. The data analysis technique used was panel data regression analysis. Based on the results of the F test, shows that profitability, solvency, liquidity, and market value together have a significant effect on stock prices. Also, the results of the t-test show that profitability has no effect on stock prices, while solvency has a significant effect on stock prices, liquidity has a significant effect on stock prices and finally, market value also has a significant effect on stock prices. The implication of this research is that the company is expected to keep the company in a solvable state by being aware of the amount of debt it has because it will bring the risk of non-payment of debt.
Keywords: Profitability; Solvency; Liquidity; Market Value; Stock Price
Company Size Asset Structure and Share Ownership Affect Capital Structure in the Property Sector Listed on the Indonesia Stock Exchange for the Period 2017-2021
Authors: Suhayati* Ely , Sihole Krismawati Br 
Published: November 2023

This study aims to determine the effect of company size, asset structure and share ownership on capital structure in the property sector listed on the IDX for the 2017–2021 period. The method used is a quantitative approach analysis as well as descriptive and verification methods with the sample used, namely the 2017-2021 financial reports with 6 companies, a total of 30 samples. The results showed that the t-test of firm size had a significant negative effect on capital structure, asset structure had no significant positive effect on capital structure, and share ownership had no significant negative effect on capital structure. The results of the F test show the influence of company size, asset structure and share ownership on capital structure. If the three variables experience an increase or decrease, it will have an impact on the Capital Structure which will experience a similar increase or decrease as the three variables.
Keywords: Company Size; Assets Structure; Share Ownership; Capital Structure; Property Sector
Analysis of Fundamental Factors Affecting Stock Prices
Authors: Harjadi Dikdik , Komarudin* Munir Nur , Fitriani Lili Karmela , Indriarto Enricho Dwi 
Published: November 2023

This study aims to determine the effect of profitability, solvency, liquidity, and market value on stock prices. The population and samples used were 22 mining companies. The sampling technique used was purposive sampling with descriptive and verification analysis methods, and using Eviews 9. The data analysis technique used was panel data regression analysis. Based on the results of the F test, shows that profitability, solvency, liquidity, and market value together have a significant effect on stock prices. Also, the results of the t-test show that profitability has no effect on stock prices, while solvency has a significant effect on stock prices, liquidity has a significant effect on stock prices and finally, market value also has a significant effect on stock prices. The implication of this research is that the company is expected to keep the company in a solvable state by being aware of the amount of debt it has because it will bring the risk of non-payment of debt.
Keywords: Profitability; Solvency; Liquidity; Market Value; Stock Price
Green Finance and Sustainability: A Systematic Review
Authors: Wahyudi* Arif , Triansyah Fadli Agus , Acheampong Kennedy 
Published: November 2023

This research aims to explore and analyze the recent focus on green finance and sustainability from 2022 to 2023. It employs a systematic review approach to understand the predominant areas of study during this two-year period. The data search revealed that research focusing on the impact of green finance on decarbonization has gained significant popularity in the past two years. Additionally, other studies have delved into various variables such as Environmental (Management, Economics, Performance, and sustainability), Technology (AI, Blockchain, Smart, and adoption), and Renewable Energy & its Output. This research primarily concentrates on topics that have emerged as trends in the last two years. However, it's noteworthy that among these studies, there are 14 research topics that have been explored less frequently. These include Green Financing, Insurance, Non-Performing Loan Ratio, Ecological Footprints, Climate Mitigation Finance, Solvency, Biofuel, Fuel Cell, Geothermal, Solar, and Wind.
Keywords: Green Finance; Sustainability; Systematic Review; Economics; Environmental
Retaining Talent: The Impact of Entrepreneurial Leadership in Indonesian Startup Companies
Authors: Qibtiyah* Mariah Rabiatul , Salsabil Imanirrahma 
Published: November 2023

This study aims to explore the indirect influence of entrepreneurial leadership on employee turnover intention through affective commitment while examining the moderating effect of perceived organizational support. The Structural Equation Modeling (SEM) approach was employed with 120 respondents in startup companies. The results indicate that entrepreneurial leadership has a negative and significant influence on employee turnover intention, with affective commitment mediating this relationship. Furthermore, perceived organizational support significantly moderates the negative correlation between affective commitment and turnover intention. The implication is that startup companies can reduce employee turnover intention to operate more effectively.
Keywords: Affective Commitment; Entrepreneurial Leadership; Perceived Organizational Support; Startup; Turnover Intention
Empowering SME Entrepreneurs: Exploring E-Mind and Financial Self-Efficacy
Authors: Yusnita* Maya , Wardhani Rulyanti Susi , Yunita Anggraeni 
Published: November 2023

This study aims to analyze the readiness of SME entrepreneurs in Pangkal Pinang for digital entrepreneurship acceleration and global expansion, taking into consideration the perspectives of Entrepreneurial Mindset (E-Mind) and Financial Self-Efficacy. Data collection was conducted through surveys with in-depth interviews and questionnaires administered to SME entrepreneurs in Pangkal Pinang. Data analysis used a quantitative descriptive approach with IBM SPSS software. The research findings reveal that SME entrepreneurs in Pangkal Pinang possess a strong Entrepreneurial Mindset (E-Mind), as evidenced by their consistent initiative-taking and responsibility for their actions. They are also adept at recognizing and capitalizing on opportunities for business development. The study further highlights the favorable Financial Self-Efficacy among SME entrepreneurs in Pangkal Pinang, characterized by their confidence in financial management and belief in their ability to achieve financial goals in business management.Keywords: E-Mind; Financial Self-Efficacy; Digital Marketing; Financial Technology; Digital Leadership
PERANCANGAN UI/UX APLIKASI “DENGERIN” BERBASIS MOBILE MENGGUNAKAN METODE DESIGN THINKING
Authors: Mazaya Nila Nazilatul , Suliswaningsih Suliswaningsih 
Published: November 2023

Changes in people's lifestyles are caused by the ease of use of technology, especially in the entertainment sector. In the field of entertainment, music is certainly no stranger to society, from children to parents. With digital advances and internet technology, music can be heard by millions of music lovers from all over the world. Music applications can increase interest and attract user attention to continue using them or diminish because they are bored using them. Problems that often occur when listening to music include not being user friendly, prices are quite expensive especially for students or students and also the services provided are less attractive. This study aims to find out how to increase user interest and keep it interesting using a music application. Therefore, the author tries to design a music application, namely the Dengerin Application. This design uses the Design Thinking method because it can produce creative solutions. In testing using a usability testing system with a score of 77,5. The result of this research is the design of mobile-based “Dengerin” application interface ehich was designed using figma.
Implementasi Teknologi Augmented Reality Pada Katalog Perumahan Sebagai Media Pemasaran Berbasis Android
Authors: Nurhidayat Helmi , Romli Moh. Ali 
Published: November 2023

Salah satu teknologi yang menggabungkan objek tiga dimensi ke lingkungan nyata secara real time adalah Augmented Reality (AR). Salah satu sektor bisnis yang mengalami perkembangan pesat adalah bisnis perumahan. Untuk memudahkan pelanggan dalam melihat spesifikasi dan contoh perumahan, diperlukan visualisasi objek 3D dengan fitur rotasi, yang memungkinkan pengguna untuk melihat interior setiap ruangan, serta mengubah warna rumah sesuai keinginan. Penelitian ini bertujuan untuk menerapkan teknologi Augmented Reality untuk katalog penjualan rumah di Perumahan Griya Permata 2 Tanjungsari. Hasil pengujian menggunakan metode blackbox testing telah selesai dilakukan pada aplikasi dan menunjukkan bahwa aplikasi ini berjalan sesuai dengan fungsionalitas yang direncanakan. Namun, hasil Test intensitas cahaya, oklusi, dan jarak lacak menunjukkan bahwa proses pendeteksian memengaruhi hasil deteksi marker. Jarak maksimal pendeteksian adalah 100 cm, di mana pada jarak tersebut aplikasi akan mengalami kesulitan dalam melacak objek dan marker tidak dapat dideteksi hingga oklusi mencapai 75%. Penerapan teknologi Augmented Reality merupakan langkah yang tepat untuk meningkatkan efektivitas pemasaran dalam bisnis perumahan. Penggunaan teknologi Augmented Reality memberikan pengalaman interaktif dan realistis bagi calon pembeli, membantu memperluas jangkauan pemasaran, dan dapat meningkatkan daya tarik katalog perumahan.
Kata kunci : Augmented Reality, Marker Based Tracking, Android, Media Pemasaran
HUBUNGAN RIWAYAT PEMBERIAN ASI DENGAN KEJADIAN PNEUMONIA PADA BALITA
Authors: Fauziah Melinda , Cahyaningsih Henny , Sofyana Haris , Kusmiati Sri 
Published: November 2023

This research was based on the high incidence of pneumonia in West Java, especially on toddlers aged 1-4 years (78.616 cases). The numbers of those cases made West Java as the largest contributor to pneumonia cases in Indonesia. The theory states that one of the risk factors for pneumonia is a history of breastfeeding, where toddlers who get exlusive breastfeeding can be more protected from pneumonia. This study aims to determine the relationship between the history of breastfeeding and the incidence of pneumonia in toddlers at the Garuda Health Center in Bandung. The research design used was analytic survey with cross sectional approach. Data collection techniques used interviews and in determining the research sample used purposive sampling method. The population in this study were toddlers aged 12-59 months who visited the MTBS Polyclinic Garuda Public Health Center with cough symptoms leading to pneumonia, with sample of 60 toddlers studied. Data analysis used Chi Square test. The result showed there was a relationship between breastfeeding and the incidence of pneumonia in toddlers with a p value of = 0.002 (α = 5%). Recommendations for health care institutions are to be able to make effective pneumonia actions, especially concerning exlusive breastfeeding and prevention of pneumonia in children.

Keywords: Breastfeeding, Pneumonia, Toddler.
PENGARUH METODE PENGUMPULAN SALIVA SEBELUM DAN SETELAH MENYIKAT GIGI TERHADAP TITER STATUS SEKRETOR
Authors: Azizah Kamila Nurul , Nurhayati Betty , Marliana Nina , Durachim Adang 
Published: November 2023

Saliva merupakan salah satu cairan tubuh yang digunakan untuk pemeriksaan sekretor. Sekretor mengacu pada pada individu yang mengeluarkan antigen ABH pada cairan tubuhnya. Dalam pengumpulan saliva perlu diperhatikan bagaimana pengumpulan dan penanganan dari saliva tersebut. Pada penelitian ini bertujuan untuk menganalisis adanya pengaruh metode pengumpulan pada saliva sebelum dan setelah menyikat gigi terhadap titer status sekretor. Jenis penelitian yang dilakukan adalah kuarsi eksperimen dengan desain penelitian semu. Dalam penelitian ini saliva dikumpulkan sebelum dan setelah menyikat gigi, setiap pengumpulan dilakukan dengan metode yang berbeda. Titer status status sekretor diperiksa dengan metode hemaglutinasi inhibisi. Hasil penelitian dengan uji Willcoxon pada kelompok data saliva yang dikumpulkan sebelum menyikat gigi dengan metode yang berbeda didapatkan p 0,018 dan kelompok data saliva yang dikumpulkan setelah menyikat gigi dengan metode berbeda nilai p 0,027. Kedua kelompok data tersebut menunjukkan nilai sig p<0,05. Sedangkan, kelompok data saliva yang dikumpulkan dengan metode Passive drooling sebelum dan setelah menyikat gigi didapatkan nilai p 0.180 dan kelompok saliva yang dikumpulkan dengan metode Spitting sebelum dan setelah menyikat gigi didapatkan nilai p yaitu 0.317 kedua data menunjukkan p>0,05. Sehingga dapat disimpulkan terdapat pengaruh pengumpulan saliva dengan metode yang berbeda. Namun, tidak terdapat pengaruh pengumpulan saliva yang diambil sebelum dan setelah menyikat gigi.