bluuebunny/crossref_metadata_2025_split huggingface dataset:
COGNITIVE BIAS ANALYSIS TERHADAP KINERJA USAHA KECIL DAN MENENGAH (UKM) DENGAN KEPUTUSAN INVESTASI SEBAGAI VARIABEL INTERVENING PADA MASA PANDEMI COVID 19
Authors: Hidayati Siti Aisyah , Wahyulina Sri , Suryani Embun 
Published: October 2023

This study aims to analyze the Effect of Cognitive Bias on Company Performance with Investment Decisions as an Intervening Variable in Small and Medium Enterprises (SMEs) on Lombok Island during the Covid 19 Pandemic. The theoretical contribution of this research is expected to contribute to science and theory development behavioral finance related to investment decision making and company performance in Small and Medium Enterprises (SMEs). In addition, it is also expected that behavioral finance will become the subject of discussion in financial management courses. Furthermore, the practical contribution of this research is expected to provide input, suggestions and recommendations to the policy makers of the NTB Provincial Government in making policies related to the development of SMEs.
This research is a quantitative approach-based research, with explanatory research as the type of research. The research population is all SMEs on the island of Lombok. The sampling technique was carried out using non-probability sampling, namely using judgment sampling, namely selecting SMEs engaged in the pottery industry and already exporting. From the existing population, there are 34 (thirty four) SMEs that can be taken as samples. Respondents in this study are the owners of each of these SMEs. The data collection technique used in this study was a questionnaire. In order to achieve the research objectives and to test the hypothesis, the data obtained will be processed as needed using the GSCA (Generalized Structured Component Analysis) statistical tool.
The results of the study show that Cognitive Bias have a positive and significant effect on company performance. The decision to place funds for working capital does not intervene with Cognitive Bias on Company Performance in Small and Medium Enterprises (SMEs) on Lombok Island during the Covid 19 Pandemic. Most of them have high school and university education and the length of business is more than 15 (fifteen) years.
Acute toxicity test of anthelmintic herbal on Artemia salina larvae
Authors: Wicaksana I Ketut Devananda , Roiyan Kamelia , Aini Dinatul , Amani Syauzatta , Wulandari Widya , Fardiaz Muhammad Abdurrahman , Hasina Raisya 
Published: October 2023

Jamu X is a traditional medicine that is believed to provide anti-inflammatory effects, contains natural ingredients such as Curcuma xanthorrhiza Robx and Curcuma aeruginaosa Robx, has long been used to treat worm infections in children, but it has not passed preclinical tests. The use of traditional medicine in Indonesia has also increased to 44.3%, 55.3% in liquid form, and the rest in powder form. Therefore, this study aimed to determine the potential acute toxicity of Jamu X to Artemia salina larvae presented as its Furthermore, to determine the damaged parts of the larval organs using the Brine Shrimp Lethality Test (BSLT) method. This experimental study used 10000, 1000, 100, 10, 1, and 0.1 ppm, and each concentration contained 10 Artemia salina larvae. Then, we obtained the upper limit of 10,000 and the lower limit of 1000. In the following test, the larvae were grouped into six groups consisting of 10 Artemia salina larvae, and each group was given Jamu "X" solution with a series of concentrations 10000, 7820, 5640, .168, 1780, and 1000 ppm. Mortality data of Artemia salina larvae were analyzed by probit analysis to determine the value of . The results of this study showed the value was 1548.81 µg/mL, and damage was found in the thorax, antennae, antennule, stigma, and abdomen. It shows that Jamu X does not have the potential for acute toxicity or is non-toxic, which is indicated by the value of > 1000 ppm.
Sabat dan Sikap Eskapis: Analisis Struktur Ibrani 4:1-16
Authors: Liling Ekawaty Rante , Siah Lidya 
Published: October 2023

Abstract. The Sabbath is a topic that continues to receive attention in Christianity. However, it also becomes a continuing source of debate its practical application. The Sabbath often turns to mere escapism, which is, having time for oneself. Therefore, through an exegetical-expositional method—a thorough analysis of the structure of the Epistle to Hebrews 4—this research presents the biblical basis for entering the Sabbath. The structural analysis in this study showed that the entire letter to Hebrews 4 is an inseparable series. Hebrews 4:1-11 shows that the Sabbath is God's promise that is still progressively valid. Verse 12-13 emphasizes the role of God's word as the basis for entering the resting place, and verse 14-16 suggests the significance of the High Priest, Jesus Christ, who is the intermediary for entering the resting place. With these three biblical foundations, the Sabbath is no longer an escapism but a momentum to entering God’s own rest.Abstrak. Sabat merupakan topik yang terus mendapat perhatian di dalam Kekristenan. Namun, Sabat juga terus menjadi sumber perdebatan pada penerapan praktisnya. Seringkali Sabat juga hanya menjadi sekadar eskapisme, yakni waktu bagi diri sendiri. Karena itu, melalui metode eksegetikal-eksposisional – analisis menyeluruh pada struktur Surat Ibrani 4 – penelitian ini hendak menyajikan landasan biblis untuk memasuki Sabat. Analisis struktur dalam penelitian ini menunjukkan bahwa keseluruhan surat Ibrani 4 merupakan rangkaian yang tak terpisahkan. Ibrani 4:1-11 menunjukkan bahwa Sabat sebagai hari perhentian merupakan janji Allah yang masih berlaku secara progresif. Sementara Ibrani 4:12-13 menekankan peran firman Allah sebagai landasan untuk memasuki tempat perhentian, dan Ibrani 4:14-16 mengemukakan mengenai peran Imam Besar yaitu Yesus Kristus yang menjadi pengantara untuk memasuki tempat perhentian. Dengan ketiga landasan biblis ini, maka Sabat tidak lagi sekadar menjadi eskapisme, tetapi menjadi momentum untuk memasuki perhentian Allah sendiri.
Risks of Stunting and Interventions to prevent Stunting
Authors: Wardani Lingga Kusuma , Aulia Vestin , Hadhikul Muhammad , Kardila Menina 
Published: October 2023

Stunting is defined as a ratio of a child's height to age and gender that is below the standard deviation. Children are said to be short if their height is below -2 SD of the WHO standard deviation. Stunting occurs due to the impact of chronic malnutrition during the first 1000 days of life. According to Bloem 2013 the cause of stunting is malnutrition which involves several things, namely inadequate nutritional intake, difficulty in accessing strong food, lack of knowledge, and social, economic and political aspects as basic aspects. Stunting can cause cognitive disorders in the long term which will affect their economic potential (Prendergast, 2014). The risk of stunting can be caused by low birth weight (LBW), exclusive breastfeeding for less than 6 months, parents' education level, parents' income, and parents' height. To overcome the problem of stunting, the Government through Presidential Decree Number 42 of 2013 concerning the National Movement for the Acceleration of Nutrition with a focus on the age group in the first 1000 days of life (Ministry of Health of the Republic of Indonesia, 2013), including: Pregnant women receive a minimum of 90 Blood Supplement Tablets during pregnancy , Providing Supplementary Food to pregnant women, Fulfillment of nutrition, Delivery with an expert doctor or midwife, Providing Early Breastfeeding Initiation , Providing exclusive breast milk (ASI) to babies up to 6 months of age, Providing Complementary Foods for Breast Milk (MP-ASI) for babies over 6 months to 2 years, Providing complete basic immunization and vitamin A, Monitoring the growth of toddlers at the nearest integrated health care center, Implementing Clean and Healthy Living Behavior. The main target is aimed at expectant mothers, pregnant women and mothers with children under five.
Cambios en las propiedades del suelo en función de la severidad del fuego en el suelo utilizando teledetección. Un caso de estudio en el incendio de Sierra Bermeja (S. España) de 2021
Authors: Fernandez Filgueira Cristina , Llorens Rafael , Sobrino Rogriguez Jose Antonio 
Published: October 2023

La evaluación de los cambios en el suelo en función de la severidad es un paso crítico en la planificación de las acciones de restauración pero depende de muestreos de campo, ya que su posible relación con índices espectrales apenas se han explorado hasta ahora. En este trabajo se ha realizado una evaluación de la severidad del fuego tras un incendio forestal en Sierra Bermeja (S de España). Se analizaron varias propiedades del suelo indicadoras de su erodibilidad en relación con diferentes niveles de severidad del fuego en el suelo, a dos profundidades (0-1 cm y 1-2 cm). Además, para cada parcela de muestreo, se calcularon diferentes índices espectrales.
El diámetro medio de los agregados y el carbono orgánico del suelo disminuyeron con la severidad del fuego en el suelo solo en el estrato más superficial. No se detectó repelencia al agua del suelo en la superficie del suelo en los niveles más altos de severidad.
El Burned Area Index para Sentinel-2 (BAIS2) fue el mejor predictor del diámetro medio del peso de los agregados del suelo y del carbono orgánico del suelo.
Los resultados del estudio confirman la importancia de evaluar la severidad del fuego en el suelo y muestran que los cambios más significativos en las propiedades del suelo tienen lugar en el suelo más superficial. Aunque las técnicas de teledetección pueden ayudar a evaluar la severidad del fuego en el suelo, sigue siendo necesaria su evaluación sobre el terreno.
Assessment of Serum Levels of Advanced Oxidation Protein Products in Type 2 Diabetic Patients with and without Retinopathy Taking Different Antidiabetic Treatments
Authors: Sara Asaad Kadhim  , Eman Saadi Saleh  , Aymen Dheaa Jaafer  
Published: October 2023

The goal of this study was to investigate the protein peroxidation role by measuring serum levels of advanced oxidation protein products (AOPP) in type 2 diabetic patients with or without retinopathy and comparing them to controls to see if circulating AOPP levels can be used as a detection biomarker for DR. And see which of the two widely used antidiabetic treatment groups had the most impact on this oxidative stress marker. The groups were divided into two subgroups: 1) 70 type 2 diabetic patients (36 male, 34 female), 35 with diabetic retinopathy (DR) and 35 with no evidence of DR, and 2) non-diabetic controls (11 male, 9 female) were chosen from Ibn AL-Haitham Hospital for Ophthalmology and a Specialized Center for Endocrinology and Diabetes. AOPP levels were significantly higher in diabetic patients with (12.5±5.6 ng/ml) or without DR (5.1±4 ng/ml) when compared to those of controls (1.45 0.8 ng/ml) (p<0.05). AOPP levels were higher in the late stage of DR compared to the early stage(14 3.15 ng/ml ) and ( 10 2.13 ng/ml) respectively so. Furthermore, Dipeptidyl peptidase-4 inhibitors (DPP-4 inhibitors) cause a better reduction in AOPP levels compared to Sulfonylureas (SUs) in the NDR group. Increased protein oxidation may involve in the pathogenesis and severity of DR and the serum AOPP levels have the prospect to become a marker for the diagnosis of DR. DPP-4 inhibitors were better in slowing the progression of the disease compared to SUs.
Hipoadrenocorticismo primário atípico em um cão: Relato de caso
Authors: Barbosa Viana Danilo , Nassar de Marchi Paula , Nelson Gava Fábio 
Published: October 2023

Hypoadrenocorticism is an endocrinopathy defined as a deficiency in the production of glucocorticoids and/or mineralocorticoids. It is uncommon in dogs, with primary and secondary causes, the former having typical and atypical presentations. The clinical signs are unspecific and highly variable, and the patient may present only sporadic hyporexia, vomiting and diarrhea, or even hypovolemic shock and death. Diagnosis is based on anamnesis, clinical signs, laboratory tests and imaging, with the ACTH (adrenocorticotrophic hormone) stimulation test being the hormonal test of choice for diagnosing the disease. Treatment is based on exogenous hormone replacement, based on the patient's needs. The aim of this report is to describe the case of a five-and-a-half-year-old, neutered, male German Dane with a history of hyporexia, progressive weight loss, vomiting, intermittent pasty stool and anemia for almost a year. Based on the laboratory and imaging findings, the suspicion of hypoadrenocorticism was raised and the diagnosis was concluded based on the ACTH stimulation test and basal ACTH dosage. The treatment instituted was exogenous glucocorticoid replacement and, after a short period of treatment, the patient showed considerable clinical and hematological improvement. It was concluded that hypoadrenocorticism is a disease with an often challenging diagnosis, but with excellent prognosis if treatment is instituted quickly and assertively, which improves the quality of life both both the patient and their guardian.
Delayed ischemic events with low-dose prasugrel medication for stent-assisted coil embolization in intracranial aneurysm patients
Authors: Choi Hyun Ho , Lee Heui Seung , Lee Sung Ho , Kim Kangmin , Cho Won-Sang , Kim Jeong Eun , Kang Hyun-Seung 
Published: October 2023

OBJECTIVE
Much emphasis has been put on the use of antiplatelet medication for the prevention of ischemic events in the treatment of cerebral aneurysms with stent assistance. In this regard, the effectiveness and safety of a low-dose prasugrel regimen during the periprocedural period was recently reported. The purpose of this study was to present the outcomes of patients on low-dose prasugrel regimens during the follow-up period after stent-assisted coil embolization (SACE) of cerebral aneurysms.

METHODS
For the 396 consecutive patients undergoing SACE procedures, low-dose prasugrel therapy (5 mg of prasugrel and 100 mg of aspirin) was recommended for 3 months after the endovascular treatment. The authors performed a retrospective review of a single-center experience focusing on delayed ischemic events beyond 1 month after treatment. The mean follow-up period was 24.6 ± 11.3 months.

RESULTS
In this cohort of patients on a low-dose prasugrel regimen, cerebral infarction occurred in 1 patient (0.3%, 95% CI 0%–1.8%) beyond 1 month after SACE. No intracranial hemorrhage occurred. Overall ischemic events occurred in 14 patients (3.5%, 95% CI 2.1%–5.9%), all within 6 months of the coiling procedure. All patients had transient symptoms. The events occurred within 2 months after cessation of prasugrel in 11 patients (78.6%). Prasugrel maintenance for 6 months was found to result in lower ischemic events compared with maintenance for 3 months.

CONCLUSIONS
For patients undergoing SACE, a low-dose prasugrel regimen was a safe and reliable treatment option for the prevention of delayed ischemic events. Transient ischemic events often occurred within 2 months of stopping prasugrel medication.
Interaction of admission platelet count with current medications and the risk for chronic subdural recurrence
Authors: Eagle Shawn R. , Mittal Aditya M. , Kellogg Ryan T. , Vargas Jan , Nwachuku Enyinna , Deng Hansen , Buell Thomas J. , Okonkwo David O. , Pease Matthew 
Published: October 2023

OBJECTIVE
Chronic subdural hematoma (cSDH) has a reported 10%–24% rate of recurrence after surgery, and prognostic models for recurrence have produced equivocal results. The objective of this study was to leverage a data mining algorithm, chi-square automatic interaction detection (CHAID), which can incorporate continuous, nominal, and binary data into a decision tree, to identify the most robust predictors of repeat surgery for cSDH patients.

METHODS
This was a retrospective cohort study of all patients with SDH from two level 1 trauma centers at a single institution. All patients underwent cSDH evacuation performed by 15 neurosurgeons between 2011 and 2020. The primary outcome was the rate of repeat surgery for recurrent cSDH following the initial evacuation. The authors used CHAID to identify relevant predictors of repeat surgery, including age, sex, comorbidities, postsurgical complications, platelet count prior to the first procedure, midline shift prior to the first procedure, hematoma volume, and preoperative use of anticoagulants, antiplatelets, or statins.

RESULTS
Sixty (13.8%) of 435 study-eligible patients (average age 74.0 years) had a cSDH recurrence. These patients had 2.0 times greater odds of having used anticoagulants. The final CHAID model had an overall accuracy of 87.4% and an area under the curve of 0.76. According to the model, the predictor with the strongest association with cSDH recurrence was admission platelet count. Approximately 26% of patients (n = 23/87) with an admission platelet count < 157 × 109/L had a cSDH recurrence, whereas none of the 44 patients with admission platelets > 313 × 109/L had a recurrence. Approximately 17% of patients in the 157–313 × 109/L platelet group who had used preoperative statins required a second procedure, which was associated with a 2.3 times increased risk for repeat surgery compared to those who had not used statins preoperatively. Among those who had not used preoperative statins, a platelet count ≤ 179 × 109/L on admission for the first procedure was the strongest differentiator for a second surgery (n = 5/22 [23%]), which increased the risk of recurrence by 4.5 times. Among the patients using preoperative statins, the use of anticoagulants was the strongest differentiator for requiring repeat surgery (n = 11/33 [33%]).

CONCLUSIONS
The described model identified platelet count on admission as the most important predictor of repeat cSDH surgery, followed by preoperative statin use and anticoagulant use. Critical cutoffs for platelet count were identified, which future studies should evaluate to determine if they are modifiable or reflective of underlying disease states.
The implications of antithrombotic agents on subdural hematoma evacuation: what does "reversal" truly entail?
Authors: Dang Danielle D. , Mugge Luke A. , Ramanathan Purushotham , Dang John V. , Awan Omar K. , Diekemper Noah , Teicher Erik J. , Ziu Mateo 
Published: October 2023

OBJECTIVE
The optimal perioperative management of antithrombotic therapy (ATT) in patients requiring urgent neurosurgical intervention for subdural hematoma (SDH) is poorly understood. The delicate equilibrium of effective hemostasis while preventing thrombosis is complex and relies on numerous factors such as indication for and type of ATT, medical comorbidities, and extent of neurological injury. This study aimed to analyze the impact of ATT and reversal strategies on surgical outcomes to highlight current challenges in the management of these high-risk patients.

METHODS
The authors performed a retrospective surgical cohort analysis of 100 patients undergoing urgent SDH evacuation at a level I trauma center between March 2020 and May 2021. The patients were first stratified into two cohorts based on preoperative ATT use and then further segregated by receipt of reversal agents. Statistical analysis included the chi-square test, Welch two-sample t-test, and multivariate logistic regression. The primary outcome was mortality. Secondary endpoints included radiographic SDH reexpansion, revision surgery, improvement in preoperative neurological deficits, and incidence of thromboembolism. A crossover cohort was secondarily analyzed in patients for whom ATT was interrupted for a minimum duration equal to effective drug metabolism. Finally, ATT reinitiation patterns were examined.

RESULTS
Of 100 patients, 48% received ATT, 54.2% of whom were given reversal agents. ATT use was significantly associated with decreased rates of postoperative neurological improvement (p = 0.023) with trends toward increased mortality (p = 0.078), SDH reexpansion (p = 0.12), and need for revision surgery (p = 0.10). Patient crossover revealed a 4 times greater likelihood of death in patients without ATT interruption prior to surgery (p = 0.040) without an observable impact on secondary outcomes. ATT reversal contributed no improvement in outcomes other than a decreased intensive care unit length of stay when adjusted for in-hospital mortality (p = 0.014). The rate of postoperative thromboembolism following ATT reversal was 11.5%. ATT reinitiation was highly variable, occurring in 59.5% of patients, with median times of 17 and 15 days for antiplatelets and anticoagulants, respectively.

CONCLUSIONS
Use of preoperative ATT portends poor clinical outcomes following nonelective SDH evacuation regardless of attempts to reverse these medications with replacement blood products. This study further reinforces the critical need for judicious use of ATT and optimization of reversal strategies in high-risk patient populations as best guided by multidisciplinary teams and evolving clinical practice guidelines.
Safety and comparative efficacy of initiating low-molecular-weight heparin within 24 hours of injury or surgery for venous thromboembolism prophylaxis in patients with spinal cord injury: a prospective TRACK-SCI registry study
Authors: Lui Austin , Park Christine , Chryssikos Timothy , Radabaugh Hannah , Patel Arati , Aabedi Alexander A. , Ferguson Adam R. , Torres Espin Abel , Mummaneni Praveen V. , Dhall Sanjay S. , Duong-Fernandez Xuan , Saigal Rajiv , Chou Austin , Pan Jonathan , Singh Vineeta , Hemmerle Debra D. , Kyritsis Nikos , Talbott Jason F. , Pascual Lisa U. , Huie J. Russell , Whetstone William D. , Bresnahan Jacqueline C. , Beattie Michael S. , Weinstein Philip R. , Manley Geoffrey T. , DiGiorgio Anthony M. 
Published: October 2023

OBJECTIVE
Venous thromboembolism (VTE) following traumatic spinal cord injury (SCI) is a significant clinical concern. This study sought to determine the incidence of VTE and hemorrhagic complications among patients with SCI who received low-molecular-weight heparin (LMWH) within 24 hours of injury or surgery and identify variables that predict VTE using the prospective Transforming Research and Clinical Knowledge in SCI (TRACK-SCI) database.

METHODS
The TRACK-SCI database was queried for individuals with traumatic SCI from 2015 to 2022. Primary outcomes of interest included rates of VTE (including deep vein thrombosis [DVT] and pulmonary embolism [PE]) and in-hospital hemorrhagic complications that occurred after LWMH administration. Secondary outcomes included intensive care unit and hospital length of stay, discharge location type, and in-hospital mortality.

RESULTS
The study cohort consisted of 162 patients with SCI. Fifteen of the 162 patients withdrew from the study, leading to loss of data for certain variables for these patients. One hundred thirty patients (87.8%) underwent decompression and/or fusion surgery for SCI. DVT occurred in 11 (7.4%) of 148 patients, PE in 9 (6.1%) of 148, and any VTE in 18 (12.2%) of 148 patients. The analysis showed that admission lower-extremity motor score (p = 0.0408), injury at the thoracic level (p = 0.0086), admission American Spinal Injury Association grade (p = 0.0070), and younger age (p = 0.0372) were significantly associated with VTE. There were 3 instances of postoperative spine surgery–related bleeding (2.4%) in the 127 patients who had spine surgery with bleeding complication data available, with one requiring return to surgery (0.8%). Thirteen (8.8%) of 147 patients had a bleeding complication not related to spine surgery. There were 2 gastrointestinal bleeds associated with nasogastric tube placement, 3 cases of postoperative non–spine-related surgery bleeding, and 8 cases of other bleeding complications (5.4%) not related to any surgery.

CONCLUSIONS
Initiation of LMWH within 24 hours was associated with a low rate of spine surgery–related bleeding. Bleeding complications unrelated to SCI surgery still occur with LMWH administration. Because neurosurgical intervention is typically the limiting factor in initializing chemical DVT prophylaxis, many of these bleeding complications would have likely occurred regardless of the protocol.