bluuebunny/crossref_metadata_2025_split huggingface dataset:
Assessment of Antimicrobial Prophylaxis in Surgical Procedures in a Tertiary Care Hospital in Southern India: A Cross-sectional Study
Authors: Agrawal Ananyaa , Acharya Swathi 
Published: October 2023

ABSTRACT

Context:
Surgical site infections (SSIs) are the second-most common cause of health care-associated infections and are responsible for postoperative illness leading to increased morbidity and mortality. There are various preventive strategies against SSIs such as proper surgical technique, strict asepsis in the operating theater, control of infection within the hospital or general practice, and antibiotic prophylaxis. Widespread use of prophylactic antibiotics has the disadvantage of the emergence of multiresistant organisms. Thus, the implementation of proper surgical antimicrobial prophylaxis (SAP) practice is highly recommended to assess the pattern of SAP practiced in a tertiary care hospital in southern India.

Subjects and Methods:
A prospective, observational, cross-sectional study was conducted in a tertiary care hospital where data were collected from 175 inpatients admitted to the surgical ward. The pattern of SAP practice was analyzed using descriptive statistics.

Results:
The pattern of antibiotic prophylaxis revealed that the most commonly used agents were third-generation cephalosporins (57.71%), followed by broad-spectrum penicillins (18.86%), second-generation cephalosporins (13.71%), fluoroquinolones (4.57%), and antiamebic drugs (13.14%) mainly for gastrointestinal surgeries.

Conclusions:
Assessing the pattern of antimicrobial prophylaxis will help us to determine the appropriateness of the drugs prescribed with respect to the procedure and will help us to give feedback to the clinician and policymakers regarding the need for improvement in case of deviation in the practice compared to the guidelines given in the hospital antibiotic policy.
Use of Artificial Pancreas in the Management of Diabetes Mellitus: A Bibliometric Study
Authors: Marin-Garaundo Eileen , Torre-Beteta Rosario La , Munive-Degregori Arnaldo , Alvitez Juan , Barja-Ore John , Mayta-Tovalino Frank 
Published: October 2023

Objectives:
To describe the trends and characteristics of the worldwide scientific production on the use of artificial pancreas (AP) in the management of diabetes mellitus (DM).

Materials and Methods:
Scientific papers published between 2017 and 2022 were retrieved from the Scopus database using relevant keywords. Only original articles, reviews, and short surveys were included. The metadata were exported to the SciVal software for retrieving quantitative data and the main characteristics such as journals, authors, institutions, journal metrics by quartiles, subcategories, and collaborative networks were extracted.

Results:
A total of 642 articles were included after applying the inclusion/exclusion criteria: original articles, 489; reviews, 151; and short surveys, 2. The most common type of collaboration was at the national level (38.3%; citations per publication: 22.3; field-weighted citation index [FWCI]: 2.2) followed by international collaboration (29.4%; citations per publication: 19.6; FWCI: 1.94). More than 70% of articles in each year were published in journals listed in Q1. Two journals, Diabetes Technology and Therapeutics and Journal of Diabetes Science and Technology, accounted for about 22% of all publications. Six of the top 10 universities were from the United States, with The University of Virginia having the most publications (n = 54; 59 authors; citations per publication: 38.4; FWCI: 3.73).

Conclusions:
The findings of this study highlight that most research on this topic is published in high-quality journals and has a good citation impact. Notably, most research has been conducted in developed countries, thereby indicating the need for research efforts in this field from developing countries.
Prevalence and Risk Factors of Cytomegalovirus Colitis in Inflammatory Bowel Disease Patients in Riyadh, Saudi Arabia: A Tertiary Center Experience
Authors: Alotaibi Yazeed , AlLehibi Abed , Almtawa Abdullah , Alotaibi Nawaf , Alghamdi Adel , Alrajhi Saad , AlQutub Adel , AlEid Ahmad , Alamr Abdulrhman , Ibrahim Bashaar Al , Alahmari Mohammed , Alhamidi Hussam , Ahmad Shameem , Alshammari Fouad , Almotawa Fahad , Altannir Youssef , Alghamdi Ahmed 
Published: October 2023

Background:
Patients with inflammatory bowel disease (IBD) are at a higher risk of cytomegalovirus (CMV) colitis because of their immunocompromised status. There are no studies from Saudi Arabia regarding the prevalence of CMV colitis in patients with IBD.

Objective:
To determine the prevalence, characteristics, and risk factors of CMV colitis in patients with IBD in Riyadh, Saudi Arabia.

Materials and Methods:
This retrospective study included patients with a confirmed diagnosis of IBD (aged 14–75 years) who were followed up at King Fahad Medical City, a referral care center in Riyadh, between January 2016 and December 2021; patients with indeterminate colitis or incomplete medical records were excluded.

Results:
A total of 341 patients with IBD were included, of which 236 (72.2%) had Crohn’s disease (CD) and 105 (27.8%) had ulcerative colitis (UC). Qualitative CMV PCR was done for 192 patients (60 UC and 132 CD patients), of which 14 patients were positive for CMV colitis (7.3%), and all positive CMV colitis cases were among UC patients (23.3%). However, the hematoxylin and eosin (H and E) stain and immunohistochemistry were negative for all patients. Most patients with CMV colitis were on steroids (71.4%), had at least one flare-up (64.3%), and were on biologic treatment (71.4%). Significant predictors of CMV colitis were hemoglobin (OR: 0.7; 95% CI: 0.51–0.96), albumin (OR: 0.88; 95% CI: 0.78–0.98), and C-reactive protein (OR: 1.03; 95% CI: 1.01–1.06) levels.

Conclusion:
This study found that the prevalence of CMV colitis was 7.3% among patients with IBD, and no case was diagnosed in patients with CD. In addition, as all cases diagnosed using qualitative CMV PCR were negative on H and E stain and immunohistochemistry, there is need for large-scale studies to improve the diagnosis of CMV colitis.
The Role of Pre-bone Marrow Transplantation Pulmonary Function Test in Predicting Post-transplant Noninfectious Pulmonary Complications
Authors: Ahmed Amani S. , Gassas Roaa S. , Ahmed Mohamed E. , Osman Ghaya , Alsaeed Ahmed S. , Absi Ahmed N. , Alamoudi Sameer M. , Alahmadi Majed D. , Khalil Manar M. , ElDadah Saleem K. , Hemaidi Ihab Y. , Rajkhan Walaa A. 
Published: October 2023

Background:
Pulmonary function test (PFT) is used as a tool for pre-transplant risk assessment and as a predictor of post-transplant outcomes. As there are currently few studies that discuss the role of PFT in bone marrow transplantation (BMT) patients in Saudi settings, and as the number of transplant patients with benign and malignant conditions continues to increase, this study was conducted with the aim of assessing the local practice.

Methods:
This retrospective cohort study included all adult patients who underwent BMT at Princess Noorah Oncology Center, King Abdulaziz Medical City, Jeddah, between 2014 and 2020. The association between established patient-related risk factors and the incidence of pulmonary complications among autologous and allogeneic groups was assessed.

Results:
A total of 186 patients were included (autologous = 143; allogenic = 43), of which 115 (61.8%) were male. At the pre-BMT phase, about 30% of the patients had comorbidities and 51% had received two rounds of salvage chemotherapy, while 16.1% had received radiation therapy. In the autologous group, the only PFT parameter that was a significant predictor of post-BMT pulmonary complications was forced vital capacity <80% (P = 0.012), while in the allogenic group, no parameter was significantly associated with pulmonary complications. The patient-related factors that were associated with respiratory distress in the autologous group were lung involvement (P = 0.03) and pre-transplant radiation (P = 0.044).

Conclusion:
The findings of this study indicated that forced vital capacity <80% was a significant factor in predicting non-infectious complications in the autologous group. Furthermore, lung involvement and pre-transplant radiation were the patient-related factors associated with pulmonary complications.
Impact of Pyrethroid Plus Piperonyl Butoxide Synergist-Treated Nets on Malaria Incidence 24 Months after a National Distribution Campaign in Rwanda
Authors: Kabera Michee , Mangala Jean-Louis N. , Soebiyanto Radina , Mukarugwiro Beata , Munguti Kaendi , Mbituyumuremyi Aimable , Lucchi Naomi W. , Hakizimana Emmanuel 
Published: October 2023

ABSTRACT.
Malaria remains a public health priority in Rwanda. The use of insecticide-treated nets (ITNs) is a key malaria prevention tool. However, expanding pyrethroid resistance threatens the gains made in malaria control. In 2018, the Rwandan malaria program strategic approach included the use of newer types of ITNs such as pyrethroid plus piperonyl butoxide (PBO) synergist-treated nets to counter pyrethroid resistance. In February 2020, 5,892,280 ITNs were distributed countrywide; 1,085,517 of these were PBO nets distributed in five districts. This study was a pragmatic observational study that leveraged the 2020 net distribution and routinely collected confirmed malaria cases to determine the impact of PBO nets 1 and 2 years after ITN distribution. No differences were observed in the average net coverage between the PBO and standard net districts. A significant reduction in malaria incidence was reported in both the PBO (P = 0.019) and two control districts that received standard nets (P = 0.008) 1 year after ITN distribution. However, 2 years after, this reduction was sustained only in the PBO (P = 0.013) and not in the standard net districts (P = 0.685). One year after net distribution, all districts had a significant reduction in malaria incidence rate (incidence rate ratio < 1). In the second year, incidence in districts with PBO nets continued to decrease, whereas in districts with standard nets, incidences were similar to predistribution levels. The results indicate that PBO nets are a promising tool to combat pyrethroid resistance in Rwanda, with protective effects of up to 2 years post distribution.
Foreign Equity Portfolio Investments and Market Returns at the NSE20 Share Index; Kenya
Authors: Oyucho O. , Ochieng’ I. , Agong’ O. 
Published: October 2023

Purpose: Foreign portfolio investments have continued to play an important role in the world today because investors are more interested in investments that will give them higher returns for their investments. The purpose the study was to establish the effect of foreign portfolio investments and market returns in Kenya. The specific variables studied were foreign equity portfolios, foreign bond portfolios, foreign portfolio of treasury bills and foreign portfolio of exchange traded funds and how they affect the market returns at the NSE20 share index in Kenya.
Methodology: The research methodology applied panel regression for inferential findings and Langrage multiplier test done to determine the pooled effect with the aid of STATA 18 software. Secondary data was sourced from the NSE annual reports, CMA bulletins, CBK websites of the respective companies listed in the index for the period between 2013 to 2022.
Findings: The study findings indicated a positive and significant relationship of foreign equity portfolios, foreign portfolio of T Bills and foreign portfolio of ETFs with market returns at the NSE20 share index. Conversely, foreign bond portfolio exhibited a negative significant relationship with market returns at the NSE 20 share index.
Unique Contribution to Theory, Practice and Policy: The study supported Modern Portfolio Theory(MPT) that suggests that for an investor to maximize returns, an investor will choose from a wide array of portfolios that will suit his needs and risk profiles and Neoclassical Theory of Investment that suggests that investors will take advantage of location differences to profit from arbitrage opportunities and Total portfolio theory that suggests that combination of securities posits a higher performance due to significant diversification benefits linked to a basket of securities. The Modern portfolio theory measuring market return seemed to hold in that it will give an investor an understanding of the most efficient portfolio that will give the largest returns at a given level of risk. The theory was suggested for future related research because it will give an investor a strategy for successful portfolio investments.
Interest Rate and Volatility of Share Prices of Firms Listed at the Nairobi Securities Exchange, Kenya
Authors: Kengere Petronilah , Kimani Maina , Manyaga Caleb 
Published: October 2023

Purpose: The study sought to establish the effect of interest rate on volatility of share prices of companies listed at the NSE. The study was anchored the loanable funds theory.
Methodology: The study employed a descriptive research design. The population of the study was the 20 companies listed at the NSE that forms the NSE share index as of December 2022. The study applied census where all the accessible population of all the 20 NSE share index was used. Data was gathered from secondary sources by the aid of a secondary data collection sheet. Data was obtained from financial and statistical reports released by the CBK. Data was analyzed using descriptive and inferential statistics. The descriptive statistical tools included frequencies, percentages, means, variances and standard deviations. Inferential statistic tools included Pearson’s Product Moment correlation and the multiple regression analysis.
Findings: The findings indicated that interest rate (β3=0.52939, P=003) have significant positive effect on share price volatility. The study recommended that the monetary committee at CBK should maintain stable interest rates in order to encourage borrowing as it would foster investment in the NSE and other sectors.
Unique Contribution to Theory, Practice and Policy: The recommendation is in line with the Loanable Funds Theory, as it seeks to establish a reliable and advantageous climate for borrowing. This approach allows businesses and investors to make more effective investment plans, as they can predict the cost of borrowing over time. Additionally, the monetary committee at the Central Bank of Kenya (CBK), responsible for setting the policy rate, should take into account how their decisions influence short-term interest rates in the economy. This consideration is important for the well-being of businesses, investors and the Nairobi Securities Exchange (NSE).
KOMUNIKASI EFEKTIF SEBAGAI PERWUJUDAN PELAYANAN PRIMA DI PUSKESMAS NGANTANG KABUPATEN MALANG JAWA TIMUR
Authors: Dewi Mariana Puspa , Mulyaningtyas Mulyaningtyas , Alamsyah Agus Rahman 
Published: October 2023

Kegiatan Pengabdian Masyarakat ini dikemas dalam bentuk workshop mengenai Komunikasi Efektif sebagai Perwujudan Pelayanan Prima di Puskesmas Ngantang Kabupaten Malang. Puskesmas merupakan garda terdepan dalam mewujudkan sumber daya manusia Indonesia yang sehat karena Puskesmas merupakan fasilitas kesehatan yang terdekat dengan masyarakat untuk menyelesaikan problem atau masalah kesehatan yang sedang dialami. Upaya peningkatan kualitas pelayanan Puskesmas dalam mewujudkan pelayanan prima saat ini menjadi semakin penting mengingat bahwa Puskesmas merupakan penanggungjawab wilayah dan pelaksana utama pencapaian Standar Pelayanan Minimal bidang kesehatan kabupaten/kota.Selain itu, pelaksanaan Jaminan Kesehatan Nasional (JKN) dan perkembangan media informasi yang semakin luas di era digitalisasi industri 4.0 juga menuntut Puskesmas untuk memberikan pelayanan yang berkualitas. Sistem kesehatan di era ini bukan hanya menuntut Puskesmas mampu sebagai gatekeeper yang kuat namun juga memberikan peluang bagi masyarakat untuk memilih fasilitas kesehatan tingkat pertama yang dianggap paling berkualitas dan dipercaya untuk menjadi kontak pertamanya dalam mencari solusi mengenai kesehatan.Di era keterbukaan dan kemudahan akses informasi melalui internet dan media sosial yang semakin luas, citra sebuah fasilitas termasuk Puskesmas dengan mudah akan terbentuk dan tersebar berdasarkan pengalaman yang disampaikan masyarakat melalui media sosial tersebut. Oleh karenanya Puskesmas yang memberikan pelayanan prima (service excellence) adalah Puskesmas yang mampu memberikan pelayanan secara konsisten memenuhi kebutuhan (needs) pasien atau masyarakat bahkan dapat melampaui keinginan dan kebutuhan atau ekspektasi (wants and demands) masyarakat sebagai pengguna.
PROTOTYPE TEKNOLOGI TEPAT GUNA DAN PENGELOLAAN KEUANGAN BERBASIS PEMBUKUAN LAPORAN KEUANGAN PADA UMKM CARANG MAS
Authors: Shofi Nada Husniah , Kurniawati Fitri Widiya , Anam Choirul 
Published: October 2023

UMKM carang mas "Novita" yang berada di di desa rejoso RT 2 RW 10 kecamatan junrejo Kota Batu adalah usaha kecil yang bergerak di bidang makanan ringan. permasalahan yang terdapat di UMKM tersebut adalah beberapa proses produksi masih secara cara manual dan pemasarannya dilakukan secara pasif yang berdasarkan pesanan pembeli, yang akan dijual kembali selain itu juga masih belum memiliki sistem pembukuan dan laporan keuangan dalam menjalankan usahanya dan juga dari sisi kesehatan dan kebersihan masih belum memperhatikan kehigienisan produk yang diproduksi oleh carang mas “Novita”.Tujuan adanya kuliah kepada masyarakat ini dapat berkontribusi secara langsung untuk membantu mempertimbangkan potensi, masalah dan kebutuhan serta kondisi khusus daerah kerja. Oleh karena itu program kerja pengabdian masyarakat diarahkan pada penerapan ipteks yang lebih menekankan pada teknologi tepat guna pemberian motivasi dinamis dan mobilisasi masyarakat untuk membangun aktualisasi pola ilmiah pokok universitas dan pengembangan sikap mental perilaku. Pelaksanaan dilakukan pada UMKM carang mas "Novita" , meliputi dokumentasi, observasi, dan wawancara pada pengelola UMKM perihal permasalahan yang dihadapi saat ini.Hasil pelaksanaan diketahui bahwa terwujudnya desain (prototype) berupa mesin pengupas dan pencuci bahan baku ubi. kedua, terwujudnya pembukuan pelaporan keuangan.
PENGARUH BUDAYA ORGANISASI, DUKUNGAN ORGANISASI DAN MOTIVASI KERJA TERHADAP KINERJA PEGAWAI DINAS PENANAMAN MODAL DAN PELAYANAN TERPADU SATU PINTU KABUPATEN BOJONEGORO
Authors: Murthy Yustika Chandra , Prasetyo Indra , Utari Woro 
Published: October 2023

Tujuan dari penelitian ini adalah Untuk mendiskripsikan Budaya Organisasi, Dukungan Organisasi, Motivasi Kerja dan Kinerja Pegawai di Dinas Penanaman Modal dan Pelayanan Terpadu Satu Pintu Kabupaten Bojonegoro. Untuk menganalisis pengaruh budaya organisasi, dukungan organisasi dan motivasi kerja terhadap kinerja pegawai di Dinas Penanaman Modal dan Pelayanan Terpadu Satu Pintu Kabupaten Bojonegoro. Penelitian ini berjenis explanatory research dan menggunakan pendekatan penelitian kuantitatif. Populasi adalah seluruh pegawai Dinas Penanaman Modal dan Pelayanan Terpadu Satu Pintu Kabupaten Bojonegoro yang berjumlah 40 orang. Teknik pengambilan sampel secara total atau sensus sampling sehingga ditentukan sampel sebanyak 40 orang. Metode pengumpulan data dengan kuesioner dan dokumentasi. Teknik análisis data menggunakan regresi linier berganda. Hasil penelitian menunjukkan Budaya Organisasi, Dukungan Organisasi, Motivasi Kerja dan Kinerja Pegawai di Dinas Penanaman Modal dan Pelayanan Terpadu Satu Pintu Kabupaten Bojonegoro dalam kategori tinggi. Budaya organisasi, dukungan organisasi dan motivasi kerja semuanya mempunyai pengaruh yang signifikan terhadap kinerja pegawai di Dinas Penanaman Modal dan Pelayanan Terpadu Satu Pintu Kabupaten Bojonegoro
PRODUCT COMPETITIVENESS DEVELOPMENT THROUGH MODULATION-BASED INNOVATION AND REDUCTION OF EFFORTS
Authors: Dewanti Mentari Clara , Rosyanti Daisy Martina , Khoirotunnisa Fani 
Published: October 2023

Competition in an increasingly competitive business is one of the threats for every entrepreneur, they are required to be able to maintain and increase product sales in the midst of this competition, so efforts are needed to improve and change the products produced for the better and have competitiveness. The necessary effort is to innovate which aims to maintain and increase product sales volume. Innovation can be done based on modulation that involves changing the basic characteristics of the product through the increase or decrease of those characteristics. In addition, it can use innovation-based reduction efforts that do not change the product, but through changes to the increase in size on the market. The purpose of this study is to determine the role of modulation-based innovation and reducing efforts in developing product competitiveness in the Pia Latief Home Industry. This research is a field research and uses a qualitative approach. In data analysis, it includes data reduction, data presentation (display data), and conclusion drawing or verification. The results of this study show that innovation plays a role in developing product competitiveness as evidenced by an increase in sales volume as evidenced by an increase in sales starting in 2018-2021. The increase is due to modulation-based and effort-based product innovation.
PENERAPAN FOOT MASSAGE TERHADAP STATUS HEMODINAMIK PADA PASIEN TERPASANG VENTILATOR DI ICU RSUD Ir.SOEKARNO SUKOHARJO
Authors: Salsabila Choirunnisa , Husain Fida , Prastiwi Yohana Ika , Sulistyo Endar 
Published: October 2023

Pasien ICU kritis memiliki berbagai kondisi medis, oleh karena itu pasien ICU dapat disamakan dengan kata “pasif” karena mereka menstabilkan keadaan hemodinamik melalui pemasangan berbagai alat monitor dan penunjang kehidupan salah satunya ventilator. Pasien terpasang ventilator bisa menimbulkas reaksi stress tubuh yang memicu ketidastabilan pada status hemodinamik. Upaya yang umum dilakukan untuk menjaga kestabilan hemodinamik masih didominasi terapi farmakologi, disatu sisi terapi non-farmakologi mampu membantu mengoptimalkan seperti pemberian foot massage. Tujuan penelitian mengetahui hasil penerapan foot massage terhadap status hemodinamik pada pasien dengan terpasang ventilator di ICU RSUD Ir. Soekarno Sukoharjo. Jenis penelitian adalah studi kasus deskriptif. Penerapan dilakukan pada 2 pasien yang dipilih dengan metode purposive sampling dengan kriteria inklusi dan ekslusi. Foot massage dilakukan selama 40 menit sebanyak 1x/hari dalam 2 hari. Instrument penelitian menggunakan SOP foot massage, lembar observasi status hemodinamik, dan informed consent. Hasil penelitian terjadi penurunan status hemodinamik pada parameter tekanan darah, MAP, HR, RR, dan peningkatan SPO2 pada pasien I (Tn.G) dan terjadi penurunan status hemodinamik pada parameter tekanan darah, MAP, HR, RR, dan SPO2 stabil pada pasien II (Tn.J). Kesimpulan ada perubahan terhadap status hemodinamik pada pasien terpasang ventilator di ICU RSUD Ir.Soekarno Sukoharjo setelah diberikan foot massage