bluuebunny/crossref_metadata_2025_split huggingface dataset:
Liver Abscess Caused by Klebsiella Pneumoniae, Series of Cases with Different Management
Authors: Radu Adelina Maria , Munteanu Elena , Totoiu Raluca , Talposi Irina , Melinte Violeta , Rusu Adina , Minca Alexandra , Calinoiu Amalia , Gheorghita Valeriu 
Published: October 2023

Abstract
We present two cases of liver abscess caused by Klebsiella pneumoniae with different management, one of them resolved under antibiotherapy without theraputic drainage. Klebsiella pneumoniae is a gram-negative, lactose-fermenting, rod-shaped bacterium that is part of natural intestinal flora and one of the common causes of nosocomial infections. The liver is one of the viscera in which abscesses frequently occur and is associated with intraabdominal or hepatobiliary diseases.
The first patient was admitted to „Prof. Dr. Agrippa Ionescu” Hospital with sepsis due to liver abcess. The CT examination revealed a liver lesion in segments VI-VII, limited by a hypodense margin with fluid-parafluid content (with maximal axial diameters 54/32 mm), without any other focal hepatic lesions. Laboratory workup revealed neutrophilia and lymphopenia, anemia, trombocytopenia, increased inflammatory syndrome, a high level of procalcitonin and blood cultures positives with Klebsiella pneumoniae sensitive. Based on the information presented, the diagnosis established was liver abscess caused by Klebsiella pneumoniae with favorable outcome under initial empirical antibiotherapy with Vancomycin and Meropenem, de-escalated later to I.V. Ceftriaxone, due to the result of the antibiogram. At the 14 day mark, an abdominal CT reveals a slight dimentional progression. Percutaneous ecographic guided drainage was considered but the patient denied it.The patient was released with the antibiotherapy recomandation of 14 more days of orally administered Cefixime. After 4 weeks of antibiotherapy treatment, the patient is ecographically reassesed. The liver abscess is observed to have achieved complete remission without drainage, despite the classical literature recommended protocol.
The second case, a male patient admitted with sepsis due to multiple liver abscess (the largest one 100/50 mm with negative blood cultures and unfavorable outcome, despite maximal empirical therapy. Percutaneous ecographic guided drainage was performed and Klebsiella pneumoniae was isolated from the drainage samples .Under target antibiotherapy with Ertapenem for 4 weeks the outcome was very good with complete resolution of the hepatic lesions.
Hepatic abscess is associated with a high mortality rate and several complications, despite its low incidence. Prompt recognition is important for effective management and achieving good outcomes. Usually, the liver abscess is treated by either percutaneous drainage or surgical drainage in combination with antibiotics.The key to succesful outcomes is early diagnosis, institution of appropriate therapy and attentive evolution monitoring.More prospective trials with large cohorts are needed to refine our understanding of this serious condition.
Surrogate Modelling of an Industrial Distillation Column Obtained from Statistical Techniques and Machine Learning
Authors: Leite Marcos Sousa , Silva Sarah Lilian de Lima , Fernandes Thalita Cristine Ribeiro Lucas , Da Silva Sidinei Kleber , De Araújo Antonio Carlos Brandão 
Published: October 2023

Purpose: To study a case of modeling an industrial distillation system, using the Aspen Plus simulator as the mathematical model and subsequently generating surrogate models using Machine Learning techniques in Matlab.

Theoretical Framework: Metamodels are reduced models obtained from data generated by rigorous models, replacing them entirely or partially when the computational codes originating from them require excessively large computational effort to be used feasibly.

Method/Design/Approach: The simulation of the process was performed in Aspen Plus. Subsequently, the most important variables were selected, and an experimental design was created using Latin Hypercube Sampling in Matlab, generating points to be used in sensitivity analysis in Aspen Plus. The next step was the construction of metamodels using the Statistics and Machine Learning toolbox in Matlab, employing linear regression and Gaussian process regression models. Finally, a statistical analysis was conducted.

Results and Conclusion: The distillation system simulation converged, and the obtained metamodels had good regression indicators, especially the Gaussian process regression models, making them the most suitable for representing the rigorous Aspen Plus model.

Research Implications: Understanding the multicomponent distillation process integrated with computational tools and data regression models, leading to a reduction in computational effort.

Originality/Value: Development of a tool that enables the simulation and evaluation of a distillation process without the need to acquire software with rigorous equation databases.
Optimization of Domestic and Industrial Biodigestors Based on Machine Learning Techniques
Authors: Leite Marcos Sousa , Silva Sarah Lilian de Lima , Fernandes Thalita Cristine Ribeiro Lucas , Da Silva Sidinei Kleber , De Araújo Antonio Carlos Brandão 
Published: October 2023

Purpose: Development of an application for determining the technical and economic feasibility of implementing and operating domestic biodigesters using rigorous mathematical modeling of the anaerobic digestion process in conjunction with Machine Learning techniques to obtain reduced metamodels.

Theoretical Framework: The generation of biodegradable waste results from human activities and has detrimental environmental impacts. To mitigate this problem, anaerobic digestion in biodigesters emerges as a viable solution, promoting the production of biogas and biofertilizers, generating economic and environmental benefits. However, implementing and operating this system requires significant investments.

Method/Design/Approach: The combination of the ADM1 model with Machine Learning techniques is used to create simplified metamodels, allowing for more feasible simulations and optimizations, thereby developing an application to assess the technical and economic feasibility of biodigesters. This application is obtained by packaging the reduced metamodel using the MATLAB Compiler, which will be made available as an Excel add-in.

Results and Conclusion: The reduced metamodel effectively represented the rigorous Simulink model, and the optimization of the process proved satisfactory. Furthermore, the add-in generated through the MATLAB Compiler met expectations.

Research Implications: Enhanced understanding of the waste biodigestion process, demonstrating the economic and environmental returns achieved when focusing more on this area.

Originality/Value: Development of a tool that enables the simulation and evaluation of a biodigestion process without the need to purchase expensive software.
MASIH ADAKAH EFEK KOMPENSASI TERHADAP KINERJA YANG DIBERIKAN KARYAWAN?
Authors: Sudirman M. Azwar Anas , Tiarapuspa  
Published: October 2023

SDM adalah aspek yang begitu penting terhadap suatu organisasi bisnis, sebab apabila sumber daya manusia yang terdapat baik maka organisasi bisnis dapat memenuhi tujuan organisasi bisnis. Sehingga, organisasi harus memperhatikan pemberian kompensasi bagi seluruh karyawannya guna mempertahankan motivasi dan kinerja dari karyawan. Kompensasi yang diberikan dapat berupa pemberian finansial dan non-finansial misalnya gaji atau upah, tunjangan, jaminan sosial, insentif karyawan serta pengadaan fasilitas yang nyaman. Kompensasi dapat dijadikan sebagai semangat bagi karyawan agar bekerja dengan sebaik-baiknya serta mempertahankan kinerja dengan sangat baik. Kinerja adalah hal yang sangat di harapkan bagi organisasi kepada para karyawannya untuk hasil maksimal agar tujuan organisasi dapat tercapai, namun masih terdapat organisasi bisnis yang belum memberikan hak kepada karyawan dan menunaikan kewajiban yang setara kepada para karyawan, oleh karenanya organisasi bisnis seharusnya memberikan perhatian khusus akan pentingnya pemberian kompensasi ini supaya kinerja dari karyawan selalu terjaga. Tujuan penelitian ini ialah agar dapat mengetahui pengaruh pemberian kompensasi terhadap kinerja dari karyawan bernilai positif atau bahkan sebaliknya. Metode yang dipergunakan ialah literatur review dan studi pustaka yang di lakukan dengan menulis kata kunci : kinerja, motivasi dan kompensasi, sedangkan jurnal yang direview di pilih dari Google Scholar serta jurnal busnis dan entrepreneur review sebanyak 10 jurnal yang tersaring serta sesuai dengan laporan ini.
FAKTOR-FAKTOR YANG MEMPENGARUHI KUALITAS AUDIT KEPABEANAN
Authors: Juniana Offy puteri , Pohan Hotman Tohir 
Published: October 2023

Penelitian bertujuan menguji pengaruh pengalaman auditor, joint audit, dan ukuran auditee terhadap kualitas audit kepabeanan. Data penelitian diperoleh dari Laporan Hasil Audit (LHA) Direktorat Audit Kepabeanan dan Cukai. LHA Kepabeanan pada periode 01 Januari 2019-31 Desember 2021 merupakan sampel dalam penelitian ini. Metode pengambilan sampling adalah metode purposive sampling. Berdasarkan kriteria, diperoleh sampel sebanyak 536. Jenis data adalah data sekunder yang bersifat kuantitatif. Penelitian ini menggunakan analisis regresi berganda dengan alat analisis dalam pengujian hipotesis adalah E-views. Hasil dalam penelitian ini menunjukkan bahwa pengalaman auditor dan ukuran auditee berpengaruh positif terhadap kualitas audit, dan joint audit berpengaruh negatif terhadap kualitas audit.
PENGARUH GREEN ACCOUNTING, CORPORATE SOCIAL RESPONSIBILITY DAN FINANCIAL DISTRESS TERHADAP NILAI PERUSAHAAN PADA PERUSAHAAN MANUFAKTUR SEKTOR CONSUMER GOODS YANG TERDAFTAR DI BEI 2019-2021
Authors: Selvia Selvia Monica , Virna Sulfitri  
Published: October 2023

Tujuan penelitian ini adalah untuk menganalisis pengaruh Green Accounting terhadap Nilai perusahaan, Menganalisis pengaruh Corporate Sosial Responsibility terhadap nilai perusahaan, Menganalisis dampak Financial Distress terhadap nilai perusahaan. Pemilihan data melalui laporan financial dan annual report yang terdaftar di BEI 2019-2021. Unit analysis dalam penelitian ini company manufaktur dari layanan data BEI. Data yang akan dipakai dalam penelitian ini ialah data sekunder dengan metode Purposive Sampling. Hasil yang diharapkan dalam penelitian ini disimpulkan bahwa Green accounting berdampak signifikan dan positif, Corporate Social Responsibilty berdampak signifikan dan positif, Financial Distress berdampak signifikan dan negatif terhadap nilai company manufaktur periode 2019–2021.
PENGARUH KOMITE AUDIT, DEWAN KOMISARIS INDEPENDEN, DEWAN DIREKSI DAN KEPEMILIKAN INSTITUSIONAL TERHADAP KINERJA KEUANGAN PERUSAHAAN
Authors: Pramudityo Wifa Arum , Sofie  
Published: October 2023

Penelitian ini bertujuan untuk menguji dan menganalisis pengaruh komite audit, dewan komisaris independent, dewan direksi dan kepemilikan institusional dengan populasi perusahaan perbankan terdaftar dalam Bursa Efek Indonesia periode 2017 – 2021 dengan menggunakan metode purposive sampling dengan sampel sebanyak 193. Teknik analisis data yang digunakan adalah analisis regresi linear berganda. Hasil analisis menunjukan bahwa secara parsial (1) Dewan Direksi berpengaruh positif terhadap Kinerja Keuangan. (2) Komite Audit tidak berpengaruh terhadap Kinerja Keuangan. (3) Dewan Komisaris Independen tidak berpengaruh terhadap Kinerja Keuangan Perusahaan. (4) Kepemilikin instusional tidak berpengaruh terhadap Kinerja Keuangan.
PENGARUH GREEN ACCOUNTING DAN KINERJA LINGKUNGAN TERHADAP NILAI PERUSAHAAN DENGAN PROFITABILITAS SEBAGAI VARIABEL MODERASI
Authors: Goldie Kelly Sandra , Deliza Henny  
Published: October 2023

Aktivitas perekonomian yang kian normal setelah pandemic covid-19 menjadi salah satu pemicu isu kesehatan lingkungan. Adanya Green Topic yang muncul hari-hari ini meningkatkan kesadaran masyarakat tentang pentingnya kesehatan lingkungan. Perusahaan yang memiliki aspek kesehatan lingkungan yang yang baik akan memiliki nilai perusahaan yang baik di mata masyarakat dan investor. Penelitian ini dilakukan untuk menguji dan menganalisis pengaruh Akuntansi Hijau dan Kinerja Lingkungan perusahaan terhadap Nilai Perusahaan yang dimoderasi profitabilitas. Populasi pada penelitian ini adalah seluruh perusahaan sub sektor Food& Beverage yang terdaftar di Bursa Efek Indonesia yaitu sebanyak 33 perusahaan. Sampel penelitian ini ditentukan dengan teknik purposive sampling sehingga diperoleh sejumlah 51 sampel. Analisis data dilakukan dengan Moderate Regression Analysis. Hasil penelitian menunjukkan bahwa green accounting dan kinerja lingkungan tidak berpengaruh secara langsung pada nilai perusahaan, profitabiltias berpengaruh terhadap nilai perusahaan, sedangkan dengan adanya variable intervening profitabilitas membuktikan green accounting dan kinerja lingkungan berpengaruh pada nilai perusahaan.
PENGARUH MODAL MANUSIA HIJAU, MODAL STRUKTURAL HIJAU, MODAL RELASIONAL HIJAU TERHADAP KINERJA PERUSAHAAN DENGAN KEUNGGULAN KOMPETITIF HIJAU SEBAGAI VARIABEL MODERASI
Authors: Hunafah Diftya Rachmitha , Rachmawati Sistya 
Published: October 2023

Tujuan dari penelitian ini untuk mengetahui pengaruh modal structural hijau, modal manusia hijau, dan modal relasional hijau terhadap kinerja perusahaan. Penggunaan variabel moderasi yaitu keunggulan kompetitf hijau. Laporan tahunan yang berlanjut didapatkan dari riset ini, yaitu instansi sektor bukan keuangan yang ada pada Bursa Efek Indonesia (BEI), merupakan data sekunder pada riset ini. Sampel pada target sampling menggunakan 420 instansi di tahun 2021. Penggunaan analisis regresi linier ganda yaitu SPPS v 22.0 dipilih penelitii. Hasil menunjukkan bahwa modal manusia hijau dan modal relasional hijau tidak berpengaruh terhadap kinerja perusahaan. Yang berpengaruh dalam kinerja perusahaan yaitu modal struktural hijau. Variabel keunggulan kompetitf hijau memperlemah modal manusia hijau, dan modal relasional hijau terkait dengan kinerja perusahaan, sedangkan keunggulan kompetitf hijau dapat memperkuat modal struktural hijau terkait dengan kinerja perusahaan.
Evaluation of unruptured aneurysm scoring systems and ratios in subarachnoid hemorrhage patients with multiple intracranial aneurysms
Authors: Boutarbouch Mahjouba , Dokponou Yao Christian Hugues , Bankole Nourou Dine Adeniran , El Ouahabi Abdessamad , El Khamlichi Abdeslam 
Published: October 2023

Background:
This study aims to appraise aneurysm scores and ratios’ ability to discriminate between ruptured aneurysms and unruptured intracranial aneurysms (UIAs) in subarachnoid hemorrhage (SAH) patients harboring multiple intracranial aneurysms (MICAs). We, then, investigate the most frequent risk factors associated with MICAs.

Methods:
We retrospectively applied unruptured intracranial aneurysm treatment score (UIATS) and population hypertension age size of aneurysm earlier SAH from another aneurysm site of aneurysm (PHASES) score, aspect, and dome-to-neck ratio to the 59 consecutive spontaneous SAH patients with MICAs admitted between January 2000 and December 2015 to the Department of Neurosurgery of the University Hospital Center “Hôpital des Spécialités” of Rabat (Morocco). Patients with at least two intracranial aneurysms (IAs) confirmed on angiography were included in the study.

Results:
Fifty-nine patients were harboring 128 IAs. The most frequent patient-level risk factors were arterial hypertension (AHT) 30.5 % (n = 18) and smoking status 22.0 % (n = 13). A PHASES score recommended treatment in 52 of 60 ruptured aneurysms and in six of 68 UIAs with a sensitivity of 31.67% and a specificity of 76.47%. UIATS recommended treatment in 26 of 62 ruptured aneurysms and in 35 of 55 UIAs with a sensitivity of 41.9% and a specificity of 63.6%. Aspect ratio recommended treatment in 60 of 60 ruptured aneurysms and in 63 of 68 UIAs with a sensitivity of 100% and a specificity of 88.24%. Dome-to-neck ratio recommended treatment in 45 of 60 ruptured aneurysms and in 48 of 68 UIAs with a sensitivity of 80% and a specificity of 63.24%. The aspect ratio (area under the curve [AUC] = 0.953) AUC > 0.8 has a higher discriminatory power between ruptured aneurysms and UIAs.

Conclusion:
AHT and smoking status were the most common risk factors for intracranial multiple aneurysms and the aspect ratio and PHASES score were the most powerful discrimination tools between ruptured aneurysms and the UIAs.
A novel technique of managing an irreducible posteriorly displaced type 2 odontoid fracture: A case report
Authors: Rathod Tushar , Prabhu Rudra Mangesh , Mohanty Shubhranshu Shekhar , Chandanwale Ajay 
Published: October 2023

Background:
Type 2 odontoid fractures with posterior displacement are rare. Most acute cases reported in the literature are readily reduced with traction alone. Here, we reviewed the management of a chronic, posteriorly displaced odontoid fracture that was managed with a unique posterior reduction maneuver.

Case Description:
A 58-year-old male with a chronic type 2 retro-odontoid displaced fracture was managed with traction and an anterior force applied to the displaced odontoid fragment using rods attached to bilateral C1 lateral mass screws. Notably, this included a simultaneous cantilever maneuver using a lever placed between the C1 and C2 facet joints. Following reduction, an atlantoaxial fusion was performed. The postoperative course of the patient was uneventful and the bone union was achieved in 1 year.

Conclusion:
Closed reduction is rarely successful in chronic posteriorly displaced type 2 odontoid fractures. These cases require meticulous open reduction and fixation.
Intraoperative embolectomy of a left illiac artery thrombus during an anterior lumbar interbody fusion
Authors: Tigre Joseph Yunga , Puerto Aiko , Russo Jean-Paul , Kloehn Andrew J. , Abdullah Naaman , Burks S. Shelby , Levi Allan D. 
Published: October 2023

Background:
Anterior lumbar interbody fusion (ALIF) offers direct midline access to the lumbar intervertebral discs utilizing an anterior retroperitoneal approach. Here, a 33-year-old female undergoing ALIF developed an acute intraoperative left iliac artery thrombus and underwent immediate successful embolectomy.

Case Description:
A 33-year-old female was undergoing routine L5-S1 ALIF when an acute intraoperative left iliac vein injury occurred, requiring immediate repair by a vascular surgeon. Her left foot pulse oximeter showed a decreased reading, and her Doppler ultrasound confirmed reduced flow in the distal external iliac artery due to a thrombus. She required an immediate left iliac artery embolectomy, and flow was immediately restored. Postoperatively, she recovered well, and 3 months postoperatively, she remained neurologically intact without any further complications.

Conclusion:
Using pulse oximeters in patients undergoing ALIF surgery can aid in facilitating the diagnosis and treatment of acute artery thrombi. When such vascular injuries arise, having immediate access to experienced vascular surgeons is critical to obtain expeditious treatment and optimize patient outcomes.
The Paradox Paradox Non-Paradox and Conjunction Fallacy Non-Fallacy
Authors: Greenstein Noah 
Published: October 2023

Brock and Glasgow recently introduced a new definition of paradox and argue that this conception of paradox itself leads to paradox, the so-called Paradox Paradox. I show that they beg the questions during the course of their argument, but, more importantly, do so in a philosophically interesting way: it reveals a counterexample to the equivalence between being a logical truth and having a probability of one. This has consequences regarding norms of rationality, undermining the grounds for the Conjunction Fallacy.
Peculiarities of the foregut organic disorders in patients with an acute pancreatitis
Authors: Andriushchenko V. P. , Andriushchenko D. V. , Kohut L. M. , Korol Ya. A. 
Published: October 2023

Objective. To study the character and peculiarities of structural changes of esophageal, gastric and duodenal wall in patients with an acute pancreatitis.
Materials and methods. Analysis of the esophago–gastro–duodenoscopy results was conducted in 86 patients with estimation of endoscopic signs of the motor–evacuation and organic disorders of foregut.
Results. Endoscopic signs of gastrostasis were observed in 17 (20.0%) patients, of duodeno–gastric reflux – in 29 (34.0%), and reflux–oesophagitis – in 14 (16.2%). Reactive inflammatory mucosal gastro–duodenal changes (erythematous and hemorrhagic–erosive gastro–duodenopathy) were determined in 22 (25.6%) patients: in 12 (14.0%) – in moderately severe, and in 10 (11.6%) – in severe acute pancreatitis. In 24 (28.0%) patients an acute erosions of gastric antrum and first duodenal segment were revealed, and in 14 (16.0%) – acute ulcers, which dominated in severe course of the disease.
Conclusion. The endoscopic signs of the foregut organic disorders established constitute the predictor of the course severity in an acute pancreatitis and serve a criterion of its diagnosis.
Pengaruh Model Pembeljaran Berbasis Proyek Terhadap Hasil Belajar Siswa Pada Materi Fluida Dinamis Kelas XI SMA Negeri 1 Bangun Purba
Authors: Barus Carolina  Sri Athena , Simanjuntak Elisabet , Helmi Dewilna 
Published: October 2023

Pembelajaran berbasis proyek merupakan rancangan peserta didik, perencanaan dan mengembangkan proyek dengan menghasilkan suatu karya berupa produk yang dapat diperlihatkan, dipublikasikan atau dipresentasikan. Penelitian ini bertujuan untuk mengetahui pengaruh penerapan model pembelajaran berbasis proyek terhadap hasil belajar fisika siswa pada materi Fluida Dinamis.Jenis penelitian ini adalah quasi experiment. Populasi dalam penelitian ini adalah seluruh siswa kelas XI Semester genap SMA Negeri 1 Bangun Purba yang terdiri dari tiga kelas. Sampel penelitian ini diambil dua kelas yaitu kelas XI-1 (sebagai kelas eksperimen) dan kelas XI-3 (sebagai kelas kontrol) yang masing-masing berjumlah 30 siswa yang ditentukan dengan teknik cluster random sampling, yaitu teknik pengambilan sampel dari populasi dilakukan secara acak tanpa memperhatikan strata yang ada dalam populasi itu. Instrumen yang digunakan berupa tes hasil belajar dalam ranah kognitif berbentuk uraian yang terdiri dari 8 soal yang sudah divalidasi. Dari analisa data untuk kelas eksperimen yang diberi pembelajaran dengan menggunakan model pembelajaran berbasis proyek diperoleh rata-rata pretes 38,25 dan nilai rata-rata postes 76,33. Kelas control diperoleh rata-rata pretes 38,33 dan rata-rata postes 69,07. Hasil penilaian di kelas eksperimen menunjukkan aktivitas dengan kategori sangat aktif. Keterampilan siswa termasuk dalam kategori sangat baik serta perubahan sikap pada kategori sangat baik. Hasil uji hipotesis menggunakan uji beda (uji-t) diperoleh ada pengaruh yang signifikan penerapan model pembelajaran berbasis proyek terhadap hasil belajar fisika siswa pada materi Fluida Dinamis di kelas XI SMA Negeri 1 Bangun Purba. Kesimpulan yang di dapat adalah ada pengaruh model pembelajaran berbasis proyek terhadap hasil belajar siswa pada materi fluida dinamis kelas XI SMA Negeri 1 Bangun Purba.