bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prevalence of Acute Postoperative Pain with Risk Factors following Appendectomy and Cholecystectomy in Tertiary Hospitals in Eastern Libya
Authors: Makhlouf Salim M. , Algabaily Abdullah K. , Hawil Mohammed R. , Albkouri Faraj O. 
Published: February 2025

Background:
Worldwide, individuals frequently have moderate-to-severe acute postoperative pain (POP) throughout the first 24 h following the operation. According to reports, 86% of patients had POP, and in the first 24 h, appendectomy and cholecystectomy were followed by such pain in 30% – 55% of cases. It’s still unclear how common POP is in Libya. Even with the availability of numerous guidelines for POP therapy, assessment and treatment of this type of pain continues to be a significant issue and difficulty globally, particularly in low- and middle-income countries (LMICs) like Libya.

Aims:
The study aims to assess acute POP’s prevalence and risk factors after elective abdominal operation in the first 24 h among adult patients at tertiary hospitals in Eastern Libya.

Materials and Methods:
This cross-sectional study involved a convenience sample of 150 patients with abdominal surgery. The response rate was 72%. Data gathering was done by unitizing the American Pain Society Patient Outcome Questionnaire--Revised. Version 26 software of Statistical Package for the Social Sciences (SPSS) was used for data analysis. The numerical rating scale (NRS) was applied to measure POP at 2, 12, and 24 h postoperatively.

Results:
According to an independent t-test, only two items did show differences between risk factors associated with POP between the two groups (appendectomy and cholecystectomy) regarding interfering with the pain in the patient’s activities of daily living (ADLs), P < 0.5. Libyan patients showed an incidence of moderate-to-severe POP (NRS = 8–10) by 28.6%, 7.4%, and 54.6% at 2, 12, and 24 h postoperatively, respectively. Multiple regression results also revealed that the type of drugs used for POP management (POPM) was the only variable with significant differences (B = −0.0330, P < 0.05).

Conclusion:
Comparing our findings to those of other studies, we found that Libyan patients had a greater prevalence of moderate-to-severe acute POP. Consistent with this result, patients in Libya may not have received as much POPM as patients in other nations, as few Libyan patients were given opioids for POPM. We agree that more implementation and patient education for acute POP is essential in Libya.
Endophthalmitis after intravitreal injection with or without triamcinolone – A 10-year investigation in a tertiary hospital
Authors: Chen Yen-Ju , Yeh Cyuan-Yi , Cheng Cheng-Kuo 
Published: February 2025

Abstract

PURPOSE:
Intravitreal injections (IVIs) have been the most important treatment strategies in retinal diseases. With the increasing use of IVIs, the incidence of endophthalmitis has inevitably risen. Triamcinolone acetonide (TA) used in IVIs has been suspected as a risk factor for post-IVI endophthalmitis. This study investigates the incidence, clinical presentations, and microscopic findings of post-IVI endophthalmitis with or without TA, aiming to provide a better understanding of this issue.

MATERIALS AND METHODS:
This retrospective study included patients receiving IVIs at a tertiary referral center from September 2010 to August 2020. Injections were performed under sterile conditions, and endophthalmitis was diagnosed based on acute ocular symptoms within 6 weeks postinjection. Statistical analysis was preformed between endophthalmitis with or without TA.

RESULTS:
Out of 18,365 IVIs, the incidence of endophthalmitis was 0.038%. The incidence of TA-associated endophthalmitis (TAAE) (5 in 939 IVIs, 0.532%) was significantly higher (P < 0.0001) than that of non-TAAE (2 in 17,426 IVIs, 0.011%). All five TAAE cases were culture negative, while the two non-TAAE cases were culture positive with Staphylococcus epidermidis (P < 0.0001). The outcomes for TAAE were generally good, with patients returning to their preendophthalmitis vision levels. Risk factors for TAAE included prior IVIs and prior TA injections. Microscopy revealed fern-like crystalline materials in the anterior chamber of one TAAE case.

CONCLUSION:
This study highlights that TA is significantly associated with a higher incidence of post-IVI endophthalmitis, which is also significantly associated with culture-negative results. This implies the possibility of a noninfectious cause in TAAE.
Increasing Flexibility sebagai Pencegahan Risiko Jatuh pada Lansia: Studi Kasus
Authors: Elmaghfuroh Dian Ratna 
Published: February 2025

Proses penuaan yang dikaitkan dengan terjadinya penurunan fungsi fisiologis pada lansia merupakan indikator awal munculnya gejala penyakit terkait usia. Perubahan fiologis yang sering dijumpai pada lansia yaitu pada sistem muskuloskeletal, seperti adanya keterbatasan sendi, perubahan postur, penurunan kekuatan otot dan ketahanan otot serta penururnan fleksibiltas yang menyebabkan lansia berisiko untuk jatuh. Penelitian ini bertujuan untuk memberikan intervensi pada lansia dalam meningkatkan fleksibilitas pada lansia untuk mencegah risiko jatuh pada lansia. Instrumen yang digunakan untuk mengukur perkembangan pada lansia adalah Timed Up and Go Test (TUG) untuk mengukur risiko jatuh yang terjadi pada lansia. Hasil implementasi yang dilakukan selama 7 hari menunjukkan hasil terdapat penurunan skor TUG dari hari pertama yaitu 18 sampai evaluasi yang dilakukan pada hari ketujuh menunjukkan skor TUG 14, walaupun kategori tersebut lansia masih berisiko untuk jatuh, namun sudah terdapat perkembangan penurunan skor TUG di hari ketujuh. Sehingga hasil tersebut menunjukkan bahwa masih perlunya intervensi lanjutan yang diberikan kepada lansia secara berkala dalam peningkatan keseimbangan lansia melalui peningkatan fleksibilitas untuk mencegah lansia berisiko untuk jatuh.
Resurgence of Small Eateries Through Partnerships for the Goals: The Successful Business Model of Online Food Apps in Kerala
Authors: Kumar Suresh , Thanikkad Jaseela , Shehnaz  , Salam Shiny 
Published: February 2025

Introduction: The success of business models in India, such as e-tailing, transportation or online food ordering apps, despite any trend in GDP growth, needs to be evaluated in the context of technology adoption. This paper reviews the business model where small and medium restaurants align with delivery partners and payment gateways for successful coexistence.

Objectives: The study aims to explore the dimensions of customer satisfaction of end users and job potential of individual delivery partners by probing whether customer satisfaction and job potential influence success of the online eatery business model and identifying whether success of online eatery business model impacts the benefits derived by participant eateries or restaurants.

Theoretical Framework: The research is grounded in Customer Value and Satisfaction (CVS), which underpins the need of new business models that consider customer-supply strategies and continuous improvements as cornerstones of managerial effectiveness. The framework integrates theoretical perspectives that can help build typologies for business model innovation, explaining customer bliss, delivery partner benefits, and advantages for small eateries through partnerships for goals.

Methods: A systematic literature review followed by a survey among 120 each of regular users of online food apps, delivery boys and restaurant partners from Kerala was conducted. Structural equation modelling was applied to identify the impact of end customer (diner) satisfaction and delivery partner (biker) benefit on the benefits to the eateries (restaurants).

Results and Discussion: Findings reveal that the web support offered by online food apps through interfaces of apps and background support from restaurants had been influential on customer satisfaction. The results validate that customer satisfaction and job potential significantly predicts the success of business model and such success in partnerships for goals directly impacts the benefits derived by eateries.

Research Implications: The theoretical and practical implications of this research are highlighted in the need for development of innovative technology and web interfaces that are more user-friendly. Policies should comprehensively integrate the service providers, logistics mechanism and end users. The results of the study if properly applied in eatery and online food delivery models can definitely influence practices in the field of e-businesses and online food delivery.

Originality/Value: This study uniquely addresses the effective integration of supplier, logistic partner and final user for enriched customer satisfaction. The study contributes to the literature by highlighting the application of innovative partnership for goals in improved customer satisfaction.
The effect of obstructive sleep Asghari on hearing impairment: A Cross-Sectional Study among Noise-Exposed Workers
Authors: Kabir-Mokamelkhah Elaheh , Aghilinejad Mashallah , Omid Asghari , Amini Marjan 
Published: February 2025

Purpose. The principal goal of this investigation was to assess how obstructive sleep apnea affects hearing impairments in workers who are regularly exposed to occupational noise.
Materials and methods. In this investigation, we assessed 920 noise-exposure workers in one of the metal industries in Iran. Noise-induced, high-frequency, and low-frequency hearing loss were classified based on the mean hearing thresholds of more than 25 dB at 500–2000 Hz, 300–8000 Hz, and 4000 Hz, respectively. We used the STOP-Bang questionnaire for screening for sleep apnea, and a score of ≥3 indicated a high risk of obstructive sleep apnea. Multivariable logistic regression analyses were used to evaluate the correlation between hearing impairment and obstructive sleep apnea risk.
Results. The mean hearing thresholds at 3000–8000 Hz and specifically at 4000 Hz were significantly higher among workers at high risk for obstructive sleep apnea compared to those at low risk (p-value <0.05). Following the multivariate logistic regression analysis and the confounding factor adjustment, individuals with high obstructive sleep apnea risk showed a higher incidence of noise-induced hearing loss (p = 0.002, OR = 1.85, 95% CI = 1.28–2.36) and high-frequency hearing loss (p = 0.02, OR = 2.05, 95% CI = 1.28–2.16) compared to those with low risk.
Limitations. The cross-sectional design and use of a subjective screening method instead of objective methods such as polysomnography for evaluating obstructive sleep apnea are weaknesses of this study.
Conclusion. The current study showed obstructive sleep apnea in noise-exposed workers increased the risk of developing high-frequency hearing loss and hearing impairment from noise. So, identifying and managing workers with obstructive sleep apnea risk, early hearing screening, and periodic audiometry can help to prevent hearing loss in the primary stage.
PROSES PENYIDIKAN TINDAK PIDANA PERZINAHAN BERDASARKAN PASAL 284 KUHP DI KOTA MEDAN
Authors: Lubis Muhammad Ridwan , Nurita Cut , Lubis Muhammad Ansori , Silangit Nusantara Tarigan , Novita Rini 
Published: February 2025

Zina merupakan hal yang rumit di dalam prakteknya, sebab untuk mengetahui adanya perzinahan tersebut bukanlah hal yang mudah dan umumnya hanya dapat dilakukan dengan persangkaan saja. Penelitian yang dilakukan adalah penelitian normatif dan didukung dengan data empiris. Data yang dipergunakan adalah data primer dan sekunder dan metode pengumpulan data yang digunakan dalam penelitian ini adalah penelitian kepustakaan Analisis data yang digunakan adalah data kualitatif. Upaya yang dilakukan penyidik Kepolisian Resort Kota Medan dalam mengurangi tindak pidana perzinahan adalah dengan melakukan upaya preventif yaitu melakukan pencegahan dan represif yaitu menjerat pelaku tindak pidana perzinahan dengan ancaman hukuman yang berat. Disarankan agar tindak pidana perzinahan (Pasal 284 KUHP) yang berlaku saat ini harus segera diganti karena telah gagal menjalankan fungsi pencegahannya dari berbagai dampak buruk yang mengancam masyarakat di Indonesia.
PENYULUHAN PERAN ORANG TUA/WALI MENINGKATKAN SEMANGAT BELAJAR SISWA DALAM MANAJEMEN WAKTU DAN KEUANGAN (Pada Orang Tua/Wali Siswa SMK Pelita Nusantara 1 Semarang)
Authors: Kurniawati Endang , Mohklas Mohklas 
Published: February 2025

Orang tua/wali siswa memainkan peran kunci dalam menciptakan lingkungan belajar yang kondusif serta membentuk kebiasaan pengelolaan waktu yang baik bagi anak. Selain itu, kemampuan orang tua dalam mengatur keuangan keluarga secara bijak juga berkontribusi pada dukungan pembelajaran, seperti penyediaan alat dan fasilitas belajar. Metode penyuluhan ataupun pengabdian ini menggunakan pendekatan kualitatif dengan diskusi, penyuluhan dan wawancara mendalam terhadap sejumlah orang tua dan siswa. Harapannya setelah penyuluhan ini memberikan hasil dan menunjukkan bahwa keterlibatan aktif orang tua dalam pengelolaan waktu dan keuangan secara signifikan berpengaruh positif terhadap semangat belajar siswa. Kata Kunci: Manajemen Waktu, Manajemen Keuangan, dan Orang Tua/Wali Siswa
PELATIHAN MANAJEMEN UNTUK PENINGKATAN KUALITAS PENGELOLAAN MADRASAH AL JAELANIYAH, DESA JOLOTUNDO, KECAMATAN LASEM, KABUPATEN REMBANG
Authors: Suryandani Wulan , Alliyah Siti , Sari Dian Anita 
Published: February 2025

Madrasah Al Jaelaniyah Desa Jolotundo merupakan salah satu lembaga Pendidikan nonformal yaitu madrasah diniyah yang beroperasi di Desa Jolotundo, Kecamatan Lasem, Kabupaten Rembang. Permasalahan internal yang dihadapi oleh Madrasah Al Jaelaniyah adalah kesulitan dalam pengelolaan Madrasah. Hal ini terjadi karena kurangnya kemampuan SDM dalam pengelolaan. Selain itu untuk menunjang kegiatan belajar mengajar Madrasah Al Jaelaniyah ini termasuk minim sarana dan pra sarana selain itu juga kurangnya motivasi murid untuk bersekolah di madrasah. Tujuan kegiatan pengabdian masyarakat ini untuk memberikan pengetahuan manajemen administrasi pengelolaan madrasah, memberikan sarana prasarana yang mendukung kegiatan belajar mengajar dan juga memberikan motivasi untuk pengajar Madrasah Al Jaelaniyah. Solusi yang ditawarkan untuk Mitra sesuai dengan prirotas adalah: (1) mampu melakukan manajemen administrasi pengelolaan madrasah Al Jaelaniyah, (2) memiliki sarana dan prasarana yang mendukung, (3) motivasi pengajar sehingga bisa memotivasi murid untuk terus melanjutkan berskolah di Madrasah Al Jaelaniyah.
Hubungan Kecerdasan Emosional dengan Burnout pada Perawat di Instalasi Gawat Darurat Rumah Sakit Ari Canti Gianyar
Authors: Rezeki Dewa Ayu Tri Wahyu , Martini Ni Made Dwi Ayu , Wulandari Ni Putu Dita 
Published: February 2025

Background: Nurses are the profession that suffers the most from Burnout with a prevalence of 43% due to low ability to manage emotional intelligence. Nurses who are emotionally intelligent will be better able to understand and manage their own emotions and others, motivate themselves so that burnout is lower. The purpose of this study was to determine the relationship between emotional intelligence and burnout in nurses. Methods: this study was observational analysis research with cross-sectional study design. The sample size of 42 people was selected by total sampling. Instruments to measure emotional intelligence using a self-report questionnaire and burnout using a questionnaire, analysis using the Spearman Rank test. Results: The results of the study of nurses' emotional intelligence were mostly in the moderate category, namely 25 respondents (59.5%). Burnout experienced by nurses is mostly moderate category as many as 27 respondents (64.3%). Rank Spearman test results obtained p value = 0.000 (<0.05) indicates there was a relationship between emotional intelligence with burnout in nurses. Conclusion: this study can be concluded that emotional intelligence is significantly related to burnout. It is recommended for nurses to consult with leaders if they experience symptoms of burnout so that they can be treated and given a quick and appropriate solution according to the symptoms experienced.
Aplicación de herramientas de inteligencia artificial en el diseño arquitectónico por estudiantes y profesionales en Panamá
Authors: Donoso Luis Felipe , Pardo Esmeralda , Cabrera Arias Magela 
Published: February 2025

Las herramientas basadas en inteligencia artificial (IA) están revolucionando la industria de Arquitectura, Ingeniería y Construcción (AIC) a nivel mundial al automatizar tareas repetitivas, generar múltiples alternativas, y optimizar el uso de recursos enriqueciendo y mejorando enormemente el proceso de diseño. Este artículo expone los resultados de una investigación con base en un muestreo de conveniencia realizado el día 12 al día 23 de julio del año 2024 entre estudiantes y profesionales de la Arquitectura en Panamá. El propósito del mencionado muestreo de conveniencia fue estar al corriente sobre el conocimiento, aplicación y desarrollo de herramientas de inteligencia artificial en Panamá. Además, se realizó un análisis de la literatura relacionada al uso de la IA en la industria AIC en Panamá. Los resultados muestran un uso incipiente de las herramientas de inteligencia artificial evidenciando un vacío crítico en los procesos de preparación académica de profesionales actuales y futuros –situación esencial para alcanzar avances significativos en la industria AIC panameña. Por otra parte, se incluye -a manera de demostración- la aplicación de una herramienta IA -Stable Diffusion- orientada al desarrollo de alternativas de materiales del concepto arquitectónico de un proyecto y sus beneficios en los procesos de diseño arquitectónico.
ẢNH HƯỞNG CỦA UỐNG DUNG DỊCH CARBOHYDRATE TRƯỚC GÂY MÊ CHO TRẺ EM ĐƯỢC PHẪU THUẬT KHE HỞ MÔI VÒM
Authors: Lưu Xuân Võ , Nguyễn Thị Thu Hà , Nguyễn Thị Linh , Đào Thị Huyền Trang , Trần Hồng Đức , Phạm Quang Minh , Vũ Hoàng Phương , Nguyễn Hữu Tú 
Published: February 2025

Nhịn ăn, nhịn uống qua đêm trước phẫu thuật để tránh biến chứng phổi hít sặc trong quá trình gây mê được áp dụng từ lâu. Tuy nhiên, điều này lại gây ra khó chịu cho người bệnh, đặc biệt là đối tượng trẻ em. Hiện nay chương trình tăng cường hồi phục sau phẫu thuật (ERAS) đã khẳng định là việc nhịn ăn, nhịn uống quá lâu là không có lợi, nhịn uống trong khoảng 2 giờ trước phẫu thuật là an toàn, đặc biệt ở đối tượng trẻ em. Năm 2024, Bộ Y Tế cũng đã đưa ra hướng dẫn về nhịn ăn uống trước phẫu thuật cho các đối tượng người lớn và trẻ em với việc nhịn uống chỉ cần 2 giờ trước gây mê. Mục tiêu: Chúng tôi tiến hành nghiên cứu trên 50 trẻ em có chỉ định phẫu thuật khe hở môi vòm được uống dung dịch carbohydrate 12,5% nhằm đánh giá tỉ lệ chấp nhận dung dịch, tỉ lệ trào ngược trên lâm sàng sau gây mê và tỉ lệ nôn, buồn nôn sau phẫu thuật. Đối tượng và phương pháp nghiên cứu: Tất cả các trẻ em đủ điều kiện theo tiêu chuẩn lựa chọn và loại trừ được uống carbohydrate maltodextrin 12,5% theo nhu cầu đến trước gây mê 2 giờ. Kết quả: nghiên cứu cho kết quả tỉ lệ chấp nhận dung dịch là 100%, với tỉ lệ buồn nôn là 4%, không có trường hợp nôn sau mổ hoặc hít sặc nào sau gây mê. Kết luận: sử dụng dung dịch carbohydrate 12,5% trước gây mê 2 giờ là an toàn với tỉ lệ chấp nhận dung dịch cao, tỉ lệ buồn nôn thấp và không ghi nhận trường hợp nào nôn và trào ngược trên lâm sàng nào trong gây mê.
MỘT SỐ YẾU TỐ ẢNH HƯỞNG ĐẾN CHỈ ĐỊNH VÀ KẾT QUẢ ĐIỀU TRỊ CỦA BỆNH NHÂN CHẤN THƯƠNG LÁCH ĐƯỢC NÚT ĐỘNG MẠCH LÁCH
Authors: Nguyễn Văn Thắng , Lê Thanh Dũng , Phan Nhật Anh , Trần Quang Lộc , Phạm Hồng Đức 
Published: February 2025

Mục tiêu: Nghiên cứu nhằm xác định một số yếu tố liên quan đến chỉ định và kết quả điều trị bảo tồn chấn thương lách bằng nút mạch. Đối tượng và phương pháp nghiên cứu: Nghiên cứu quan sát có phân tích, hồi cứu và tiến cứu 254 bệnh nhân chấn thương lách được điều trị tại bệnh viện Hữu nghị Việt Đức và Bệnh viện đa khoa Xanh Pôn từ tháng 12 năm 2019 đến tháng 12 năm 2022. Kết quả: Trong số 254 bệnh nhân chấn thương lách mức độ vừa và nặng trong nghiên cứu này, có 83 bệnh nhân được điều trị bảo tồn bằng nút mạch với tuổi trung bình là 36,7 ± 17,3 tuổi. Tỷ lệ thành công về mặt kỹ thuật là 100% và tỷ lệ thành công về mặt lâm sàng đạt 97,6% (81 bệnh nhân). Đáng lưu ý, loại vật liệu nút mạch, vị trí nút mạch không ảnh hưởng đến kết quả điều trị. Kết luận: Nút mạch nên được cân nhắc là biện pháp hỗ trợ cho điều trị bảo tồn không phẫu thuật các trường hợp chấn thương lách độ IV-V và không nên sử dụng thường quy với các trường hợp chấn thương độ III. Nút mạch là phương pháp điều trị an toàn, hiệu quả ngay cả khi có các chấn thương nghiêm trọng phối hợp.
Eskatologi : Keberadaan Alam Akhirat dalam Al-Qur'an
Authors: Abdul Majid  , Ainul Yaqin  
Published: February 2025

Every soul in this world will die. After life in the world there is another life, namely life after die or afterlife. Afterlife always has been a mystery. Making imagination always imagined with various perceptions. The life of the world is the life that is currently taking.But between they both, there are things become problematic, namely the existence of world life and the afterlife, especially in regrading place. Where is the place of world? where is the place of hereafter? this is a questions that will be interesting to answer. For the existence of the life of the World, it is clearly the place on Earth as we have felt this during today. So what about the existence of the Hereafter itself? whether in other worlds, as understood by the majority of the people or perhaps the afterlife will also occur on this earth, because humans will be raised from their respective graves? This is where perhaps the talk of eschatology will result in the disclosure of the mystery of the mystery of the existence of the place of afterlife.
A Comparative Review on Machine and Deep Learning Techniques for Thalassemia Identification and Classification
Authors: Gurbinder Kaur  
Published: February 2025

Introduction: Thalassemia is widely recognized as a significant global health concern in the present-day society. Thalassemia and structural HB abnormalities are the most common monogenic disorders worldwide. If recognition is not conducted promptly, it might result in fatalities within certain categories. Therefore, it is necessary to create computational approaches or methods to identify thalassemia in its early phases. Machine Learning (ML) and Deep Learning (DL) has become the crucial method for identifying thalassemia through the use of either inherited or newly developed models.
Objectives: This article provides a thorough and organized analysis of the latest developments utilizing ML and DL along with some other ensemble models for detecting Thalassemia, a hereditary blood condition.
Methods: This study specifically examined recent research conducted within the past seven years through consideration of good published review, emphasizing notable technical progress in ML and DL based models.
Results: The evaluation of the work reviewed has also been done considering the classifiers used, evaluation metrics and the blood parameters in this paper.
Conclusions: This study seeks to offer helpful insights into current research trends and forthcoming prospects in utilizing ML and DL for the identification and treatment of Thalassemia as well as related haematological sickness.