bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Impact of Comorbidities On Pain Severity in Patients With Low Back Pain: A Cross-Sectional Study
Authors: Tarigan Abul A'la , Tiara Anita , Pane Mustika Dewi 
Published: January 2025

The quality of life for people who suffer from low back pain (LBP) is significantly reduced, making it a major worldwide health concern. Patients with LBP frequently have comorbid diseases like hypertension and hyperlipidemia, which can exacerbate pain and make therapy more difficult. The purpose of this study is to examine the connection between comorbidities and the incidence of LBP in patients who visit the RSUDZA Banda Aceh Neurology Outpatient Clinic. In this study, 237 LBP patients from the Neurology Outpatient Clinic at RSUDZA were selected using a cross-sectional methodology between 12 April to May 2023. A sociodemographic questionnaire and the Modified Self-Administered Comorbidity Questionnaire (MSACQ) were used to gather data. The association between comorbidities and the incidence of LBP was examined using the chi-square test. The most prevalent comorbid conditions among the 237 responders were hypertension and hyperlipidemia, with 161 people (67.9%) having comorbidities. Mild pain was experienced by 87.8% of patients. Comorbid conditions had a substantial impact on the severity of pain in patients with LBP, according to the chi-square test, which revealed a strong correlation between comorbidities and the occurrence of LBP (p-value = 0.000). This study suggests a strong correlation between comorbidities and LBP incidence. In relation to LBP, hypertension and hyperlipidemia are the most prevalent comorbidities. To enhance treatment results and patients' quality of life, a comprehensive strategy to managing LBP is required, taking into account both the pain and any concomitant conditions.
Analisis SWOT Dalam Meningkatkan Strategi Pemasaran Kedai Kopi Par’s Life
Authors: Yuliatin Al Amiri Akif , Sholekhah Asrialiatus , Fatmasari Diah , F. Sanjaya Vicky 
Published: January 2025

Tingkat perkembangan teknologi yang semakin signifikan mempengaruhi kehidupan masyarakat terutama dalam sektor kedai kopi, hal tersebut menyebabkan pelaku bisnis harus lebih meningkatkan kualitas produknya. Penelitian ini bertujuan untuk menganalisis strategi pemasaran dengan mengidentifikasi kekuatan, kelemahan, peluang dan ancaman (SWOT). Analisis SWOT dilakukan dengan matriks IFAS (Internal Factor Analysis Summary) yang terdiri dari kekuatan dan dan kelemahan kedai kopi serta matriks EFAS (Eksternal Factor Analysis Summary) yang terdiri dari peluang dan ancaman kedai kopi. Penelitian ini menggunakan metode kualitatif yang bertujuan untuk memahami fenomena pemasaran secara mendalam berdasarkan data yang diperoleh dari wawancara dan observasi. Data yang terkumpul dianalisis menggunakan metode kualitatif melalui analisis SWOT. Hasil dari penelitian ini diperoleh skor kekuatan sebesar 1,55, skor kelemahan sebesar 1,70, skor peluang sebesar 1,06 dan skor ancaman sebesar 1,60. Selisih dari total skor matriks IFAS dan matriks EFAS masing-masing sebesar 0,15 dan 0,54 yang dimana menunjukkan bahwa kedai kopi Par's Life memiliki peluang dan kekuatan besar sehingga dapat memanfaatkan peluang yang ada.
Pengaruh Manajemen Strategik Terhadap Keberhasilan Inovasi Produk Ice Cream Momoyo (Studi pada Ice Cream Momoyo di daerah Sukarame, Kota Bandar Lampung)
Authors: Sari Desma Ratna , Lestari Nabila Ayu , Ayu Septiana Tria , Sanjaya Vicky 
Published: January 2025

Penelitian ini bertujuan untuk mengeksplorasi pengaruh manajemen stategik terhadap keberhasilan inovasi produk ICE CREAM MOMOYO dari persepektif kualitatif . Dengan menggunakan metode wawancara observasi penelitian ini melibatkan konsumen untuk mengumpulkan data mengenai praktik manajemen strategik yang diterapkan di ice cream Momoyo serta dampaknya terhadap inovasi produk . Dengan menggunakan metode kualitatif dapat dengan mudah melakukan survei secara langsung kepada konsumen. Penelitian ini diharapkan menjadi acuan bagi perusahaan lain dalam mengembangkan inovasi produk melalui pendekatan manajerial yang efektif dan penelitian ini juga bertujuan untuk mengetahui minat beli konsumen terhadap produk ice cream momoyo dan bagaimana cara strategik manajement yang dilakukan terhadap minat beli konsumen dalam produk baru yang ada di ice cream momoyo yang berada di jalan Harapan jaya, Kec, sukarame, Kota bandar lampung
Strategi Promosi Untuk Meningkatkan Minat Baca di Perpustakaan SMAIT Al-Ittihad Pekanbaru
Authors: Meisya Aya , Hasanah Lailatul , Ramadhani Rezka Devi 
Published: January 2025

This research was conducted to find out the promotional strategies carried out by researchers at SMAIT AL-ITTIHAD Pekanbaru for students through promotions carried out by the SMAIT AL-ITTIHAD Pekanbaru library. In this study, using a descriptive method with a form of qualitative research. Qualitative research methods that focus on observing events, phenomena, which are studied in complex, unrecognizable social characters. Data collection techniques using observation, documentation and interviews. From the results of this study it appears that the promotion strategy can increase students' reading interest in the SMAIT AL-ITTIHAD Pekanbaru library. There are several ways that are used to promote the library, including: outreach, journalistic seminars held in the library, through competitions held in the library, and the flagship program is the mini library in every class, and there are also bulletin boards where books are placed as promotion media
2024 TCMIID®中医药传承创新发展大赛获奖项目032：基于AI技术的高职中兽医教学模式创新与实践
Authors: 中华中医药传承创新发展学会  
Published: January 2025

8

三等奖

基于AI技术的高职中兽医教学模式创新与实践

张瑜 姚华

红河职业技术学院
Faktor-Faktor Yang Berhubungan Dengan Pengetahuan Perawat Tentang Perawatan Paliatif Pada Anak Kanker di RS Wilayah Jakarta
Authors: Carolina Putri Indah Sari  
Published: January 2025

Perawatan paliatif pediatrik berfokus pada penyediaan perawatan holistik dan terintegrasi untuk meningkatkan kualitas hidup anak-anak dan remaja dengan penyakit yang diderita. Tantangan yang dimiliki oleh perawat yaitu menyamakan persepsi antara orang tua dengan tim medis dalam melakukan perawatan paliatif. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan pengetahuan perawat tentang perawatan paliatif pada anak kanker di RS wilayah Jakarta. Penelitian ini menggunakan desain cross sectional dengan teknik total sampling sebanyak 47 responden. Alat ukur yang digunakan adalah kuisioner pengetahuan perawat tentang perawatan paliatif yang berasal dari penelitian Abuhammad yang telah diterjemahkan dan dimodifikasi oleh peneliti. Analisa data menggunakan SPSS versi 25 dengan uji statistik Spearman’s rho yang digunakan untuk menguji kuatnya dari hubungan antara dua variabel yang tidak berdasarkan nilai data sebenarnya. Hasil penelitian menunjukkan bahwa tidak terdapat hubungan antara usia (p = 0,961), pendidikan terakhir (p = 0,822), lama bekerja (p = 0,307), keterampilan yang dimiliki (p = 0,076), dan penguasaan terhadap pekerjaan (p = 0,272) dengan pengetahuan perawat tentang perawatan paliatif. Perawat perlu meningkatkan pengetahuan yang dapat dilakukan dengan cara mengikuti pelatihan dan pendidikan tentang perawatan paliatif, sehingga dapat meningkatkan kepercayaan diri perawat.
The interaction between financial, market and environmental components in the banking sector of the Serbia
Authors: Kalaš Branimir , Mirović Vera , Pavlović Nataša 
Published: January 2025

Banks are one of the essential institutions in the financial systems worldwide, whereby profitability is the ultimate goal for banks’ business. To provide success, bank management should create an attractive market portfolio that will continuosly generate profit. However, banks have to support eco-friendly initiatives and projects and try to implement corporate social responsibility in their business. The goal of the research is to investigate the connection between financial, environmental and market components in the banking sector of the Serbia from 2014 to 2021. The empirical findings of T-test indicate that banks with green loans in portfolio registered higher profitability compared to banks that do not offer this loan type. The obtained results of correlation show that green loans and market share are positively correlated to bank profitability indicators. This does not mean that green loans are a factor that shapes banks' profitability, but that their presence in the portfolio does not negatively affect the level of the bank's realized profit.
Sociodemographic and Clinical Determinants of the Quality of Life of Moroccan People With Multiple Sclerosis
Authors: Raji Ilham , Bourkhime Hind , Ragala Mohammed El Amine , Nejjar Fedwa , Belahsen Mohammed Faouzi 
Published: January 2025

ABSTRACT

BACKGROUND:
The quality of life (QOL) of people with multiple sclerosis (MS) is considerably poorer than the QOL of people with other chronic diseases. QOL management should not be restricted to only clinical aspects but also factors modifying QOL. The aim of this study was to identify the sociodemographic and clinical determinants of QOL in people with MS.

METHODS:
A cross-sectional study conducted from 2022 to 2023 included 200 participants aged 18 and over recruited from the Hassan II University Medical Hospital in Fez, Morocco. QOL assessment was performed using the Arabic version of the Multiple Sclerosis Quality of Life-54 (MSQOL-54) questionnaire. Univariate analysis using Student t test, analysis of variance, and Pearson correlation was performed, followed by multiple linear regression analysis to determine the main factors associated with QOL.

RESULTS:
QOL was impaired in the physical health (PH) (48.51±22.08) and mental health (MH) (48.69±17.18) components of the MSQOL-54. Male sex, unemployment, and high scores on the Expanded Disability Status Scale (EDSS) were factors significantly associated with lower scores on both the PH and MH components. In contrast, later age at MS diagnosis and older age were significantly associated with worse PH and MH, respectively. EDSS score was a strong predictor of QOL (PH: β = −34.983; 95% CI, −39.64 to −30.31; MH: β = −23.383; 95% CI, −27.62 to −19.14).

CONCLUSIONS:
The results highlight the importance of sociodemographic and clinical determinants of QOL. Clinicians need to integrate a biopsychosocial approach into therapeutic education programs, considering the risk factors and specific needs of people with MS to optimize their QOL.
Prophylactic Irradiation for the Prevention of Heterotopic Ossification After Foot Amputation: A Case Series
Authors: Kavanagh Amber M. , Miller John D. , McKeon Kelly , Atves Jayson N. , Steinberg John S. , Attinger Christopher 
Published: January 2025

Background: The formation of heterotopic ossification (HO) is a common complication after transosseous partial foot amputation. Development of HO in weightbearing and/or superficial areas can lead to increased pressures, which increases the likelihood of wound formation and pain. Current treatment modalities for HO of the foot include mechanical off-loading and surgical resection; however, prophylactic measures such as nonsteroidal anti-inflammatory drugs, bisphosphonates, and other medical therapies have been attempted previously with mixed efficacy. Radiation therapy is another prophylactic method that may be used for the prevention of HO in patients after transosseous partial foot amputation.
Methods: The present case series evaluated ten patients who underwent transosseous partial foot amputation for HO resection immediately followed by single low-dose radiation treatment. All of the patients received radiation between 700 and 800 cGy, with 6 MV photons directed at the area of concern within 48 hours of surgery.
Results: Postoperatively, 10% of patients had HO recurrence, 80% remained fully weightbearing, 90% went on to primarily heal their surgical incisions, and 80% had postoperative pain relief; however, 30% went on to below-the-knee amputation due to chronic pain and/or infectious or nonfunctional pathology.
Conclusions: Radiation therapy is a relatively available and safe modality for the prevention of HO that may be used prophylactically in cases of high suspicion of or known HO formation of the foot.
Comparison of Bicortical Headless Cannulated Screw Fixations, Tension Band Fixations, and Kirschner Wire Fixations of a Jones Fracture: A Biomechanical Study
Authors: Yilmaz Onur , Mutlu İbrahim , Kuru Tolgahan , Bilge Ali , Güngör Berna , Kizilay Hasan , Olcar Hacı , Özkılıç Recai , Erken H. Yener 
Published: January 2025

Background: The aim of study was to biomechanically compare the fixation of Jones fracture using headless cannulated screw, tension band, and two Kirschner wires.
Methods: A total of 60 fourth-generation, fifth metatarsal synthetic bone models were divided into three groups according to the fixation techniques. A vertical load, oriented from plantar to dorsal and lateral to medial, was applied to the metatarsal specimen that were potted with molding material. The stiffness and fatigue values were compared between the three fixation groups.
Results: In the plantar to dorsal load test, the stiffness values were found to be significantly higher in Group 1 compared to the other groups (P = .034, P = .013). No significant difference was found in the analysis in terms of fatigue values in plantar to dorsal load testing (P = .348, P = .416). No significant difference was found between compression screw and tension band groups in lateral to medial loading test, in terms of stiffness and fatigue values (P = .096, P = .762). However, the stiffness values and fatigue values of these two groups were found to be statistically significantly higher than the Kirschner wire group (P = .003, P = .002, P = .016, P = .023).
Conclusions: The result of this study showed that the bicortical fixation of headless compression screw provides a more stable fixation than other fixation methods, especially in plantar to dorsal loading.
Beyond support: exploring the dynamic and static biomechanical changes induced by preventive ankle taping: a novel cross-sectional study
Authors: Bravo-Aguilar María , Abuín-Porras Vanesa , Blanco-Morales María , Romero Morales Carlos , Almazán-Polo Jaime , Villafañe Jorge Hugo , Canosa-Carro Lorena 
Published: January 2025

Introduction
In sports, 80% of all ankle injuries are sprains of the external compartment. Functional bandages are usually used preventively, specially in individuals with a history of lateral ankle injuries. To this day, the actual benefits of such taping remain unknown as important modifications are introduced in the ankle biomechanics.

Objective
The aim of the present study is to describe the biomechanical processes underlying these effects, such as modification during stance times, balance, contact surface and maximum and average pressures in the rearfoot, forefoot and midfoot, using a sprain preventive taping for the external ankle compartment.

Methods
An observational, analytic, cross-sectional study was designed. Data from static and dynamic plantar pressures with a pressure platform and balance data assessed with the Y Balance Test (YBT) were analysed in 50 participants (age = 21.00 ± 2.34 years, weight = 71.11 ± 13.12 kg, height = 1.75 ± 00.9 m, BMI = 22.94 ± 2.50 kg/m2, foot size = 41.60 ± 3.00) with and without preventive functional taping for lateral ankle sprain (LAS).

Results
A statistically significant decrease in YBT was observed in the taped participants toward anterior (p = 0.001) and posterolateral (p = 0.005) motion. On the static measures at the pressure platform, an increase in peak pressure at the midfoot (p = 0.001), a decrease in the maximum pressure in the forefoot (p = 0.003) and a decrease in the contact surface in the rearfoot (p = 0.003) were recorded. Dynamic measures at the pressure platform analysis showed a statistically significant decrease in contact surface at the rearfoot (p = 0.001), an increase in mean pressure in both the midfoot (p = 0.044) and forefoot (p = 0.001) and a significant decrease in velocity in the forefoot (p = 0.003).

Conclusions
In conclusion, we observed that ankle taping led to increased peak pressures in the midfoot and decreased maximum pressures in the forefoot, indicating a shift in load distribution within the plantar surface. Simultaneously, a significant reduction in the velocity at the forefoot during dynamic tasks suggests that taping may alter natural gait dynamics, potentially affecting movement efficiency and stride characteristics. In addition, the application of ankle taping significantly altered balance, as evidenced by a decrease of YBT scores anterior and posterolateral directions. Prophylactic taping in patients with no prior history of LAS is not recommended.
Super Partition: fast, flexible, and interpretable large-scale data reduction in R
Authors: Queen Katelyn J. , Barrett Malcolm , Millstein Joshua 
Published: January 2025

Motivation
As data sets increase in size and complexity with advancing technology, flexible and interpretable data reduction methods that quantify information preservation become increasingly important.

Results
Super Partition is a large-scale approximation of the original Partition data reduction algorithm that allows the user to flexibly specify the minimum amount of information captured for each input feature. In an initial step, Genie, a fast, hierarchical clustering algorithm, forms a super-partition, thereby increasing the computational tractability by allowing Partition to be applied to the subsets. Applications to high dimensional data sets show scalability to hundreds of thousands of features with reasonable computation times.

Availability and implementation
Super Partition is a new function within the partition R package, available on the CRAN repository (https://cran.r-project.org/web/packages/partition/index.html).
Clusters explaining the relation between menopause and self-reported periodontal disease: a cross-sectional study
Authors: Fadel Hani T. , Qarah Lujain A. , Alharbi Manal O. , Al-Sharif Alla , Al-Harkan Doaa S. , Kassim Saba , Abu-Hammad Osama , Dar-Odeh Najla 
Published: January 2025

Background
Menopause is an important milestone in the women’s life continuum and is associated with potentially adverse effects, including those related to oral health. This study assessed self-reported periodontal disease in relation to menopausal status.

Methods
A cross-sectional study involving a convenience sample of female university dental hospital attendees was conducted using a validated, self-administered, self-reported periodontal disease questionnaire. A two-step cluster analysis was used to categorize the participants based on menstrual period (MP) continuity, systemic diseases and age. Differences between clusters were analyzed using chi-square test.

Results
From 112 included participants, three clusters resulted from the analysis: Cluster #1 (37 ± 8 years, no systemic diseases and continued MP), Cluster #2 (40 ± 10, with systemic diseases and continued MP) and Cluster #3 (54 ± 9, with systemic diseases and discontinued MP). Cluster #3 tended to have less optimal oral hygiene habits and more missing teeth (p > 0.05). Clusters #1 and #2 insignificantly reported more gingival bleeding, tooth sensitivity and calculus (p > 0.05). Cluster #3, on the other hand, presented with more self-reported oral dryness (p ≤ 0.05).

Conclusions
Within study limits, clusters of menopausal women with systemic diseases reported high symptoms of periodontal disease that were not significantly different from younger individuals, with the exception of oral dryness.
On-Farm Cocoa Fermentation Practices and their Effect on the Quality of Cocoa Beans in Three Agroecological Zones of Uganda
Authors: Mulindwa Joseph , Atukwase Abel , Bitalo Daphne, N , Kaaya Archileo, N 
Published: January 2025

Little attention has been paid to on-farm cocoa fermentation practices, leading to poor-quality cocoa beans. A cross-sectional study was conducted in three agroecological zones of Uganda (Lake Victoria Crescent, Western Rangelands, and Lake Albert Crescent) to investigate on-farm fermentation practices, the association between farmer training and adoption of recommended fermentation practices as well as the impact of fermentation practices on cocoa quality. Data on fermentation practices and farmer training was collected using a questionnaire. The quality of cocoa beans collected from interviewed farmers was assessed for bean cut test, fermentation index, pH, and titratable acidity following recommended methods. Results revealed significant variation in fermentation practices used by farmers, with over 65% employing rudimentary methods such as sack, bucket, and jerrycan. Training of farmers did not increase the likelihood of farmers adopting the recommended fermentation practices. As a result, the quality of fermented cocoa beans was low with only 40-51% of the beans from all zones exhibiting the fully brown color, which is below the 60% threshold for commercial-grade cocoa beans. Furthermore, the fermentation index of cocoa beans from all zones ranged from 0.61-0.67, indicating a high percentage of under-fermented beans. Farmers who used the recommended practices (heap and box fermentation for 5-7 days while turning cocoa) in each zone, produced cocoa with a significantly (p<0.05) higher percentage of fully fermented beans. The continued use of rudimentary postharvest handling practices among farmers leads to the production of poor-quality cocoa beans. It is important to strengthen the enforcement of recommended fermentation practices to improve the quality of cocoa beans and ensure a sustainable market.