bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Competitiveness of Indonesian Sugar Export in The South East Asia Region
Authors: Abdullah Muhammad Irfani , Wijayanti Irene Kartika Eka , Kusnaman Djeimy 
Published: October 2023

Sugar industry has an important role in the Indonesian economy because of its ability to absorp a lot of manpower. AFTA (ASEAN Free Trade Area) provides transaction convenience both export and import between the member of ASEAN. This study aims to analyze the competitiveness of Indonesian sugar export inside ASEAN area and to estimate the trend of Indonesian sugar export. The competitiveness analysis uses RCA (Revealed Comparative Advantage) method while trend estimation uses Trend analysis. The RCA analysis result shows that Indonesia has low competitiveness but shows progress in last 3 years. While RCA analysis of Thailand and Myanmar shows declining trend. The declining trend of Thailand’s RCA is caused by the development of sugar cane based ethanol industry. While the declining trend of Myanmar’s RCA is caused by the decrease of sugarcane area and only temporary. The trend analysis result shows that Indonesian sugar export is increasing. The main export destination country for Indonesian sugar product is Vietnam. Vietnam also shows increasing trend in sugar import. So it will become an opportunity for Indonesia to increase its export value.
PELATIHAN PENGELOLAAN BISNIS DAN MANAJEMEN WIRAUSAHA DAK NON FISIK TAHUN 2022
Authors: Nolasary Mega Putri 
Published: October 2023

Industri Kecil dan Menengah IKM) Kota Padang memilki peran yang strategis dalam mewujudkan ketahanan ekonomi kota padang, namun ada bebrapa permasalahan, diantaranya masih terbatasnya kemampuan sumber daya masnusia dalam pengelolaan usaha yang professional, laku usha IKM belum mampu mebuat rancangan usaha (business plan) sesuai kebutuhan pasar dan masih adanya Industri Kecil Menengah (IKM) yang belum mampu menjangkau pangsa pasar dengan baik. Adapun yang menjadi tujuan dari kegiatan pengabdian ini adalah untuk memberikan pemahaman dan pengetahuan pada pelaku IKM mengenai pengelolaan usaha serta bagaimana menyusun rancangan usaha (Business Plan) karena akan berpengaruh pada tindakan dan langkah yang akan diambil di masa mendatang dalam menumbuh kembangkan usaha di persaingan yang semakin kompetitif baik berskala, nasional maupun regional. Kegiatan pengabdian ini dilaksnakan selama 3 hari dengan metode ceramah, diskusi, praktek dan persentasi. Kegiatan ini diikuti oleh 30 orang peserta wirausahawan berskala kecil. Luaran dari kegiatan ini adalah: a). peserta mengetahui dan memahami konsep dan teori kewirausahaan dan pemasaran, b). peserta mengetahui dan memahami konsep rancangan usaha (Business plan), c) peserta mampu menyusun rancangan ussaha (business plan) secara sederhana.
Spas in the Socio-Cultural Geography of Sri Lanka: Interrogating the Social Space of Spas through Lefebvre’s Spatial Triad
Authors: Risini W. Ilangasingha  , Deanna Grant-Smith  , Robyn Mayes  
Published: October 2023

The focus of this paper, the organisational entity termed the spa, signifies a local place with a significant presence in the (semi)urban areas of Sri Lanka. Spas play diverse roles within the local specificity, as legally endorsed wellness service providers and, on the contrary, as places of commercial sex work. In this context, we explore the social construction of the spa within the broader socio-cultural geography of Sri Lanka, utilising a socio-spatial perspective. For this purpose, we draw upon Henry Lefebvre’s conceptual spatial triad to examine the ongoing spatial practices, representational space, and representations of the space of the spa. In doing so, this paper provides insights into the way in which the interplay of class and gender relations in the local geography of Sri Lanka forms this organisational entity as a distinctive social space. Informed by a qualitative methodology, the paper draws on data generated from in-depth interviews conducted with the social actors who occupy the urban spas of Sri Lanka, specifically the female spa workers who form the labour force of these spas. Focusing on an organisational context that has become a space of tension in Sri Lankan society, the study provides original insights into the complex socio-political dimensions producing this unique social space in the urban geographies of Sri Lanka.
Keywords: Class Relations, Gender Relations, Socio-Cultural Geography, Power, Social Space, Sri Lankan Spas
Social Listening Practices towards Social CRM and Customer Relationship Performance in the Fast-Food Industry in Sri Lanka
Authors: S. Gurunathasivam  , G. D. Samarasinghe  , G. N. Kuruppu  
Published: October 2023

This study is carried out to identify the impact of social listening practices on social CRM and customer relationship performance in the fast-food industry in Sri Lanka. The target population for this study included the internal stakeholders from the organizations in the fast-food industry located in the Colombo metropolitan area which uses social media. The data was obtained via a structured questionnaire using a sample of 150 registered organizations. The time horizon was cross-sectional, and data were analyzed through both descriptive and inferential analysis. Based on the Resource-Based View (RBV) and the Capabilities Based Perspective, especially the dynamic capabilities theories, the conceptual model of this research study was developed by expecting that, organizations in the fast-food industry in Sri Lanka can exploit capabilities which are social listening practices and social CRM capabilities and resources which are customer relationship orientation and social media technology usage to obtain higher customer relationship performance. Further, gain a competitive advantage over their competitors by effectively utilizing such resources. This is one of the few papers to exclusively focus on the impact of social listening practices on social CRM and customer relationship performance in the fast-food industry in Sri Lanka. The findings of this study have important implications for the fast-food industry in Sri Lanka.
Keywords: Customer Relationship Management (CRM); Customer Relationship Orientation (CRO); Customer Relationship Performance; Social Customer Relationship Management (Social CRM) capabilities; Social media technology; Fast-food industry
Study of adherence to treatment of patients with diabetes in Ukraine.
Authors: Власенко І. О. 
Published: October 2023

The patient's medication adherence significantly affects the achievement of therapy goals.
Adherence to DM therapies ranges from 36% to 93%. Improving adherence is expected to reduce healthcare costs, reduce HbA1c and the risk of complications. In Ukraine, the majority of patients with diabetes (PwD) do not achieve satisfactory glycemic goals. Adherence to the treatment of PwD has not been studied in Ukraine. Survey of their adherence to therapy of PwD was conducted.
The aim of the work was to study the adherence to treatment of PwD.
The survey of PwD regarding adherence to treatment was conducted by the questionnaire method using remote forms with applying Google forms.
The conducted survey identified the numerous problems regarding the use of drugs and adherence to the treatment of PwD in Ukraine. Main reasons of low adherence to therapies of PwD are memory problems and cognitive impairment fear of hypoglycemia; problems with the use of equipment (glucometers, pens); emotional exhaustion; poor communication with the doctor; polypharmacy; unavailability of necessary treatment and control DM. At the same time, the survey revealed communication problems with doctors and pharmacists. According to PwDs view in Ukraine, the attributes they expect from a doctor and pharmacist are: more information and training; a more accessible explanation of the goals and regimen of treatment. To improve the situation, medical and pharmaceutical workers should use accessible language, without using complex terms and show interest, support, compassion, tolerance, empathy and sometimes appropriate humor. In the words three intervention strategies of pharmacists to increase adherence to treatment are identified: educational (increasing patients' knowledge about DM), behavioral (consultations, monitoring treatment goals, behavior change, monitoring adverse reactions), and educational-behavioral.
Intervention strategies by pharmacists will improve adherence to treatment, which can be implemented according to GPP, tailored to patients of this nosology. Improving adherence to diabetes treatment will improve treatment efficacy and achieve glycemic goals and prevent the development of complications.
An Intracranial Hemorrhage Complication: Terson Syndrome
Authors: Işık Muhammet İkbal , Cuce Ferhat , Taşar Mustafa 
Published: October 2023

Abstract
Vitreous hemorrhage associated with subarachnoid hemorrhage is known as Terson's Syndrome (TS). However, it is also seen in the literature in cases of traumatic brain injury or intracranial hemorrhage. Management of visual manifestations is necessary in patients with intracranial hemorrhage.
A vitreous hemorrhage was found in the evaluation made due to visual symptoms in a patient who presented to the emergency department with intracranial hemorrhage. In addition to clinical findings, imaging techniques have an important place in the diagnosis of TS. Vitreous hemorrhage findings can be detected with imaging studies such as Computed Tomography (CT) and Magnetic Resonance Imaging (MRI).
In this case, the diagnostic findings and the importance of diagnosis in CT and MRI examinations in a patient with TS will be discussed. The purpose of this case report is to share the imaging findings of TS.

References
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Application of resistance trainer for dynamic mechanical properties of conjugated polymer materials in daily physical strength tensile training
Authors: Hu Wei 
Published: October 2023

Resistance training is an important means to improve human function and health level, and tensile training, as an important form, has significant effects on enhancing muscle strength, improving body flexibility, and promoting body coordination. Tensile training can provide external resistance through the use of resistance trainers, allowing muscle groups to work under load. This load stimulation can gradually promote muscle adaptation and enhancement. This article took conjugated polymer materials as the research object. By analyzing and testing their dynamic mechanical properties, the mechanical response characteristics of polyacetylene materials were analyzed using strain rate functions. The mechanical properties and deformation behavior of polyacetylene materials under different conditions were evaluated. It was found that conjugated polymer materials had good strength, elasticity, and wear resistance, making them suitable for making resistance trainers. The experimental results indicated that this study used a conjugated polymer material resistance trainer to train the testing personnel for a period of 3 months. During this training period, the tester’s endurance increased by 21%–29%, flexibility increased by 17%–25%, and explosive power increased by 24%–31%. The research results indicated that conjugated polymer materials had good plasticity and adjustability in the preparation of resistance training devices. Resistance devices of different shapes, sizes, and intensities can be prepared according to the needs and purposes of trainers, providing diverse and personalized choices for daily physical tensile training. The conjugated polymer material resistance trainer has significant effects and can effectively improve the physical fitness of testers. In addition, conjugated polymer materials exhibit excellent tensile performance and durability in resistance training, which can effectively meet the needs and requirements of trainers.
Risk factors and outcome associated with coinfection with carbapenem-resistant Klebsiella pneumoniae and carbapenem-resistant Pseudomonas aeruginosa or Acinetobacter baumanii: a descriptive analysis
Authors: Sophonsri Anthony , Kelsom Corey , Lou Mimi , Nieberg Paul , Wong-Beringer Annie 
Published: October 2023

BackgroundNearly 30% of patients infected with carbapenem-resistant Klebsiella pneumoniae (CRKP) were previously shown to be coinfected with carbapenem-resistant Pseudomonas aeruginosa (CRPA) or Acinetobacter baumannii (CRAB). Infections caused by multiple carbapenem-resistant pathogens present significant challenge to infection control and therapeutic management. The study objective was to identify risk factors for acquisition of multiple carbapenem-resistant pathogens and associated outcomes.MethodsA descriptive analysis of adults infected with either CRKP alone or coinfected with CRPA or CRAB was performed. Patient groups were compared on demographics, clinical characteristics, treatment, and outcome.Results86 patients with CRKP monoinfection and 60 patients with coinfections were evaluated. Respiratory tract was the predominant infection site for coinfected patients involving mostly CRPA whereas urinary tract was the primary site for CRKP-only group. More coinfected patients were severely debilitated, had prior carbapenem exposure (37% vs 13%, p&lt;0.001) and history of pneumonia in the past year (67% vs 41%, p&lt;0.01). More coinfected patients required direct ICU admission (45% vs 27%, p=0.02) and had prolonged length of stay (median 15 vs 10 days, p&lt;0.01) than the CRKP-only group but mortality rates (18% vs 16%) were similar.ConclusionsCRKP coinfection with another carbapenem-resistant pathogen adds significant morbidity and healthcare burden overall. Empiric therapy with reliable activity against both CRKP and carbapenem-resistant Pseudomonas aeruginosa may be prudent for at risk patients with pneumonia.
Proteomic analyses of smear-positive/negative tuberculosis patients uncover differential antigen-presenting cell activation and lipid metabolism
Authors: Ju Yingjiao , Jin Chengji , Chen Shan , Wang Jie , Li Cuidan , Wang Xiaotong , Wang Peihan , Yue Liya , Jiang Xiaoyuan , Tuohetaerbaike Bahetibieke , Li Ying , Sheng Yongjie , Qimanguli Wushou’er , Wang Jing , Chen Fei 
Published: October 2023

BackgroundTuberculosis (TB) remains a major global health concern, ranking as the second most lethal infectious disease following COVID-19. Smear-Negative Pulmonary Tuberculosis (SNPT) and Smear-Positive Pulmonary Tuberculosis (SPPT) are two common types of pulmonary tuberculosis characterized by distinct bacterial loads. To date, the precise molecular mechanisms underlying the differences between SNPT and SPPT patients remain unclear. In this study, we aimed to utilize proteomics analysis for identifying specific protein signatures in the plasma of SPPT and SNPT patients and further elucidate the molecular mechanisms contributing to different disease pathogenesis.MethodsPlasma samples from 27 SPPT, 37 SNPT patients and 36 controls were collected and subjected to TMT-labeled quantitative proteomic analyses and targeted GC-MS-based lipidomic analysis. Ingenuity Pathway Analysis (IPA) was then performed to uncover enriched pathways and functionals of differentially expressed proteins.ResultsProteomic analysis uncovered differential protein expression profiles among the SPPT, SNPT, and Ctrl groups, demonstrating dysfunctional immune response and metabolism in both SPPT and SNPT patients. Both groups exhibited activated innate immune responses and inhibited fatty acid metabolism, but SPPT patients displayed stronger innate immune activation and lipid metabolic inhibition compared to SNPT patients. Notably, our analysis uncovered activated antigen-presenting cells (APCs) in SNPT patients but inhibited APCs in SPPT patients, suggesting their critical role in determining different bacterial loads/phenotypes in SNPT and SPPT. Furthermore, some specific proteins were detected to be involved in the APC activation/acquired immune response, providing some promising therapeutic targets for TB.ConclusionOur study provides valuable insights into the differential molecular mechanisms underlying SNPT and SPPT, reveals the critical role of antigen-presenting cell activation in SNPT for effectively clearing the majority of Mtb in bodies, and shows the possibility of APC activation as a novel TB treatment strategy.
Impact of gut microbiome on serum IgG4 levels in the general population: Shika-machi super preventive health examination results
Authors: Koshida Aoi , Karashima Shigehiro , Ogura Kohei , Miyajima Yuna , Ogai Kazuhiro , Mizoguchi Ren , Ikagawa Yasuo , Hara Satoshi , Mizushima Ichiro , Fujii Hiroshi , Kawano Mitsuhiro , Tsujiguchi Hiromasa , Hara Akinori , Nakamura Hiroyuki , Okamoto Shigefumi 
Published: October 2023

IntroductionImmunoglobulin G4 (IgG4) is a member of the human immunoglobulin G (IgG) subclass, a protein involved in immunity to pathogens and the body’s resistance system. IgG4-related diseases (IgG4-RD) are intractable diseases in which IgG4 levels in the blood are elevated, causing inflammation in organs such as the liver, pancreas, and salivary glands. IgG4-RD are known to be more prevalent in males than in females, but the etiology remains to be elucidated. This study was conducted to investigate the relationship between gut microbiota (GM) and serum IgG4 levels in the general population.MethodsIn this study, the relationship between IgG4 levels and GM evaluated in male and female groups of the general population using causal inference. The study included 191 men and 207 women aged 40 years or older from Shika-machi, Ishikawa. GM DNA was analyzed for the 16S rRNA gene sequence using next-generation sequencing. Participants were bifurcated into high and low IgG4 groups, depending on median serum IgG4 levels.ResultsANCOVA, Tukey’s HSD, linear discriminant analysis effect size, least absolute shrinkage and selection operator logistic regression model, and correlation analysis revealed that Anaerostipes, Lachnospiraceae, Megasphaera, and [Eubacterium] hallii group were associated with IgG4 levels in women, while Megasphaera, [Eubacterium] hallii group, Faecalibacterium, Ruminococcus.1, and Romboutsia were associated with IgG4 levels in men. Linear non-Gaussian acyclic model indicated three genera, Megasphaera, [Eubacterium] hallii group, and Anaerostipes, and showed a presumed causal association with IgG4 levels in women.DiscussionThis differential impact of the GM on IgG4 levels based on sex is a novel and intriguing finding.
Incidence and predictors of recurrent acute coronary syndrome among adult patients with acute coronary syndrome in West Amhara, Ethiopia: a multicenter retrospective follow-up study
Authors: Alamaw Addis Wondmagegn , Asefa Tseganesh , Abebe Gebremeskel Kibret , Zemariam Alemu Birara , Liyew Bikis 
Published: October 2023

IntroductionAcute coronary syndrome (ACS) is the most common cause of morbidity and mortality in patients with coronary heart disease. Furthermore, the recurrence of this problem has significant adverse outcomes. However, there is insufficient information pertaining to this problem in Ethiopia; hence, this study aims to assess the incidence rate and identify the predictors of ACS recurrence in the West Amhara region.MethodsA retrospective follow-up study was conducted among 469 patients diagnosed with primary ACS. Data from the patient chart were collected using a pre-tested structured data extraction tool. The study employed the Weibull regression analysis model, and the effect size was measured using an adjusted hazard ratio (HR) with a 95% confidence interval (CI). The statistical significance of the findings was established based on a p-value &lt;0.05.ResultA total of 429 patients were included in the final analysis [average age, 60 ± 13.9 years; and 245 (57.1%) men]. A total of 53 patients (12.35%; 95% CI: 9.55%–15.83%) experienced recurrent ACS. The overall risk time was found to be 93,914 days (3,130.47 months), and the recurrence rate was 17/1,000 patients/month. The identified predictors were the typical symptoms of ACS such as syncope (HR: 3.54, p = 0.013), fatigue (HR: 5.23, p &lt; 0.001), history of chronic kidney disease (HR: 8.22, p &lt; 0.001), left ventricular ejection fraction of &lt;40% (HR: 2.34, p = 0.009), not taking in-hospital treatments [aspirin (HR: 9.22, p &lt; 0.001), clopidogrel (HR: 4.11, p = 0.001), statins (HR: 2.74, p = 0.012)], and medication at discharge [statins (HR: 4.56, p &lt; 0.001)].ConclusionThis study found a higher incidence rate of recurrent ACS. Hence, the implementation of guideline-recommended anti-ischemic treatment should be strengthened.
Sandy aquifer collapse mechanism and accident treatment of the Qingdao metro tunnel
Authors: Zhang Liwei , Wang Zaiquan , Zhang Weiguo , Liu Sijia 
Published: October 2023

The tunnel collapse occurred during the construction of the Qingdao Metro Line Ⅰ, resulting in a pit measuring approximately 10 m in diameter and 7 m in depth on the ground surface. The collapse inflicted substantial economic losses, casualties, and subsequent disruptions to ongoing construction activities. To clarify the causes of this collapse and investigate the underlying factors, a comprehensive approach combining field surveys and numerical simulations was undertaken. The results show that the collapse was primarily attributed to inadequate support when facing the challenging geological conditions, poor surrounding rocks (Grade VI) and a high volume of groundwater. The combination of abundant water and sand seeped into the tunnel, culminating in a catastrophic ground collapse. Notably, the arch roof experienced extensive deformation and damage due to the significant seepage pressure, which was exacerbated by the absence of timely support. Then, ground grouting was promptly conducted to repair the affected area and reinforce the tunnel structure. Subsequent monitoring of surface deformations following the resumption of tunneling operations indicated the effectiveness of the disaster treatment approach. These achievements constitute a reliable theoretical foundation for similar projects, particularly in terms of environmental protection and ensuring safe construction practices.