bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Study of the Usefulness of Tissue Doppler Imaging for the Diagnosis of Coronary Artery Disease in Patients with Left Bundle Branch Block
Authors: Imamuddin Syed , Srinivas Ravi , Parvathareddy Krishna Malakonda Reddy , Nagula Praveen , Suneetha K. , Ganesh M 
Published: February 2024

Abstract

Background:
In patients with left bundle branch block (LBBB), the diagnosis of ischemia by noninvasive modalities is cumbersome. Most of them such as stress tests, nuclear imaging, and magnetic resonance imaging have limitations in the detection of ischemia in this subset. The postsystolic motion (PSM) during the isovolumetric relaxation period on tissue Doppler imaging (TDI) is a sensitive and specific marker of ischemia. We aimed to see whether the TDI parameters can detect coronary artery disease (CAD) in patients with LBBB.

Materials and Methods:
Patients with LBBB (n = 64) who underwent coronary angiography were divided into two groups. Group A (n = 30) included patients with left anterior descending (LAD) artery stenosis of ≥70%, and group B (n = 34) included patients without LAD stenosis. All patients underwent TDI and various myocardial tissue velocity parameters were analyzed to detect the presence of CAD. P < 0.05 was considered significant.

Results:
The TDI of the mid-interventricular septum showed a higher delayed amplitude of PSM (>100 ms after aortic valve closure), lower myocardial systolic (Sm), and early diastolic (Em) velocities, and a higher late diastolic (Am) velocity in group A when compared to group B (all were significant, P < 0.0001). Both the ratios Sm/PSM and Em/Am were significantly lower in group A compared to group B (P < 0.0001). On receiver operating characteristic curve analysis to predict the presence of significant LAD stenosis, the value of Sm/PSM ratio <0.8 showed the best combination of sensitivity (78%) and specificity (96%) with an area under the curve of 0.936.

Conclusion:
TDI, a noninvasive imaging modality, is reliable and effective in identifying myocardial ischemia in patients with LBBB.
Microbiological Profile of Diabetic Foot Ulcer Patients in a Tertiary Care Hospital in Kerala
Authors: Joseph Jithin , Khan M. H. Firoz , Mohan L. Raj , Safwan Mohamad 
Published: February 2024

Abstract

Introduction:
One of the major complications of diabetes mellitus is diabetic foot ulcer (DFU). Fifteen percent of diabetes mellitus patients develop DFUs and 84% of foot amputations. The present study was carried out to determine the aerobic bacterial isolates cultured from diabetic foot infections and their susceptibility to commonly used antibiotics.

Aim:
The aim of this study was to determine the aerobic bacterial isolates cultured from diabetic foot infections and their susceptibility to commonly used antibiotics.

Materials and Methods:
We conducted a prospective observational study involving 104 patients with DFUs, who attended the general surgery/endocrinology outpatient department of our institution over 18 months.

Results:
This study showed that the most common organisms present in diabetic foot infections were Gram-negative aerobes, which accounted for 73.4%, while Gram-positive was 26%. Pseudomonas aeruginosa (20.1%) was the most predominant single organism isolated from the ulcer, followed by Klebsiella pneumonia and Escherichia coli (15.6% each). Staphylococcus aureus (7.8%) was the most common Gram-positive infective bacteria in DFU. Pseudomonas showed high sensitivity towards cefepime (93.3%), amikacin (93.6%), meropenem (89.7%) and piperacillin-tazobactam (83.9%) and low resistance towards ceftazidime (6.9%). In the current study, K. pneumonia showed good sensitivity towards meropenem (81.8%), amikacin and imipenem (70% each). One of the most important observations was the high resistance rate towards ertapenem (63.6%) and cefepime (60%). E. coli showed 100% sensitivity towards amikacin; it also had good sensitivity towards meropenem (89.5%) and imipenem (87.5%). Proteus species showed 100% sensitivity towards piperacillin-tazobactam, amikacin and meropenem, while an alarming rate of resistance towards imipenem (71.4%). Enterococcus spp. was 100% sensitive to amikacin, vancomycin and linezolid. S. aureus was 100% sensitive to cloxacillin, cefuroxime and ceftriaxone, and also showed 66.7% sensitivity to clindamycin. We also found that all the patients with methicillin-resistant S. aureus in diabetic foot infection wound swabs were 100% sensitive to vancomycin, linezolid and teicoplanin.

Conclusion:
Appropriate management of DFU is of paramount importance as it can prevent limb amputation and even sometimes potentially life-threatening limb complications. Isolation of microbial agents and determination of the sensitivity/resistance of different antimicrobial drugs are vital for the in-hospital management of these patients. The development of multi-drug resistance can be prevented by the institution of an appropriate antibiotic regimen.
Selective plication and grading of plication for correction of torsion in superior oblique palsy
Authors: Rao Sonali , Raghunandan Nithya 
Published: February 2024

Abstract:
Acquired palsy of the trochlear nerve has been associated with closed-head injuries. We report the case of a 33-year-old male patient, who presented with complaints of torsional diplopia in the straight gaze which increased in the down gaze following head trauma. After a detailed ophthalmic evaluation, the patient was diagnosed with bilateral superior oblique (SO) palsy causing torsional diplopia. To counteract excyclotorsion, we have plicated the anterior one-third of the fibers of the SO in both eyes. Postoperatively, the patient was diplopia free and orthophoric, which maintained up to 3-month follow-up. Correction of excyclotorsion by selective plication of anterior fibers of the SO has already been reported in literature. However, the amount of plication to be performed for various degrees of torsion has not been appropriately described in the previously reported articles. We aim to improve the efficacy of plication anterior fibers of the SO by objective gradation.
Strategi Pendidikan Anak Jalanan Oleh Jaringan Kemanusiaan Jawa Timur (JKJT) di Kota Malang
Authors: Indari  , ST Fatimah  , Dalilah  
Published: February 2024

Permasalahan anak jalanan sebagai permasalahan yang tak ada ujung pangkalnya, bagaikan lingkaran setan yang tak habis-habisnya. Dalam penangannya diperlukan adanya penelitian terhadap program pemberdayaan anak jalanan yang dilakukan JKJT dalam rangka pengentasan anak jalanan. Tujuan penelitian ini adalah untuk mengetahui strategi JKJT dalam rangka meningkatkan pengentasan anak jalanan. Program pembinaan yang diberikan oleh JKJT kepada anak jalan tidak hanya dibidang pendidikan. Rendahnya tingkat pendidikan anak dan remaja jalan tidak luput dari perhatian Agustinus Tedja selaku pendiri JKJT. Selain mendirikan rumah belajar untuk anak dan remaja jalanan, Agustinus Tedja juga memberikan pelatihan skill dan keterampilan lainya kepada anak asuhnya, seperti fotografi, memasak, menjahit, merakit CCTV, kerajinan kayu dan musik.
The Effect of Internal and External Factors on SMEs Individual Taxpayer Non-compliance Behavior
Authors: Cahyani Puspita Indah , Puspitosari Indriyana 
Published: February 2024

This study aims to determine the variables of opportunity for non-compliance, costs of compliance, perceptions, and tax information on non-compliance by SMEs individual taxpayers. In this study, the SMEs individual taxpayer objects in the Surakarta area are used. This study analyzes the non-compliance factors of SMEs individual taxpayers in Surakarta.
This study uses a quantitative approach. The type of data used is primary data obtained from the results of the questionnaire. The population in this study amounted to 17,965 SMEs. This study uses data from 100 respondents who meet the sample criteria. Data were analyzed using multiple regression analysis.
The results showed that the variables of opportunity for non-compliance can increase tax non compliance behavior, cost of compliance and tax information reduce tax non-compliance behavior of SMES taxpayers in Surakarta.
The influence of Hedonic Shopping Motivation, Shopping Lifestyle, and Shopping Enjoyment on Fashion Consumers' Impulse Purchases in e-Commerce
Authors: Fitriani Desi Dwi , Auliya Zakky Fahma 
Published: February 2024

The purpose of this study is to analyze the effect of Hedonic Shopping Motivation, Shopping Lifestyle, and Shopping Enjoyment on the impulse purchases of fashion consumers on Shopee. The population in this study is consumers domiciled in Karanganyar Regency. The sample in this study is fashion consumers at Shopee who have used and are users of Shopee. The respondents used in this study numbered 120. Data was analyzed using IBM SPSS Statistic software version 26.
This research method is quantitative research method. The data analysis method used is multiple linear regression analysis. The results showed that: (1) From the results of significant values of 0.329 > 0.05 and calculated values of 0.980 < table 1.658 so that it can be concluded that Hedonic Shopping Motivation (X1) has no effect on Impulse Buying (Y). (2) From the results of a significant value of 0.000 < 0.05 and a calculated value of 4.862 > table 1.658, it can be concluded that Shopping Lifestyle (X2) has a significant effect on Impulse Buying (Y). (3) From the results of significant values of 0.010 < 0.05 and calculated values of 2.625 > table 1.658 so that it can be concluded that Shopping Enjoyment (X3) has a significant effect on Impulse Purchases (Y). So it can be seen from the three independent variables above that Shopping Lifestyle is the most influential variable in this study, with the value of significance and calculated value.
PERBANDINGAN MINDSET BERWIRAUSAHA KONVENSIONAL DAN SYARIAH TERHADAP KEMAMPUAN MELIHAT PELUANG USAHA BAGI MAHASISWA SINJAI
Authors: Ridwan Hardiyanti , Wahidayanti Wahidayanti , Fardana Nurayani 
Published: February 2024

Penelitian ini bertujuan untuk membandingan mindset berwirausaha konvensional dan syariah terhadap kemampuan melihat peluang usaha bagi mahasiswa Fakultas Ekonomi dan Hukum Islam Universitas Islam Ahmad Dahlan Sinjai. Kegiatan berwirausaha adalah salah satu kegiatan yang sudah banyak dilirik oleh masyarakat guna mengurangi jumlah pengangguran dan kemiskinan. Namun sering ditemui ditengah masyarakat khususnya mahasiswa yang telah terjung didunia usaha belum mampu mengatur dan membedakan mindset berwirausaha sehingga melewatkan begitu saja setiap peluang usaha yang ada, padahal kunci sukses seorang wirausahawan adalah mampu mengatur mindset berwirausahanya. Penelitian ini menggunakan penelitian komparatif dengan pendekatan penelitian kuantitatif. Jumlah responden dalam penelitian adalah 126 orang mahasiswa yang diperoleh secara acak. Adapun hasil dalam penelitian ini adalah terdapat perbandingan antara mindset berwirausaha konvensional dan syariah terhadap pemampuan melihat peluang usaha bagi mahasiswa Fakultas Ekonomi dan Hukum Islam Universitas Ahmad Dahlan Sinjai, hal ini dilihat dari hasil uji independent sample t-test dengan nilai 0.000 < 0.05 yang artinya Ha diterima dan Ho ditolak.
PENGARUH LINGKUNGAN KERJA TERHADAP PEGAWAI DENGAN EFEKTIVITAS KINERJA PADA KANTOR KEMENTERIAN AGAMA KAB SINJAI
Authors: Akhmad Jafar  , Fajar Nur Muhammad 
Published: February 2024

Pembahasan pada artikel ini yaitu Pengaruh lingkungan kerja terhadap pegawai dengan efektivitas kinerja pada kantor kementerian agama Kab Sinjai yang di jabarkan dalam rumusan masalah yaitu bagaimana pengaruh lingkungan kerja terhadap efektifitas kinerja pegawai sedangkan tujuan dari penelitian ini adalah Untuk mengetahui apaka terdapat pengaruh Lingkungan kerja dan pengaruh pengalaman kerja terhadap evektifitas kinerja pegawai pada Kantor Kementerian Agama Kab. Sinjai. Penelitian ini termasuk penelitian asosiatif. Asosiatif merupakan penelitian yang bertujuan untuk mengetahui hubungan antara dua variabel atau lebih. Adapun jenis penelitian yang digunakan dalam penelitian ini adalah penelitian kuantitatif. Sedangkan teknik pengolahan dan analisis data dalam penelitian ini menggunakan Statistic melalui program computer Microsoft excel dan SPSS. Hasil penelitian menunjukkan bahwa 1. Terdapat pengaruh positif dan signifikan terhadap lingkungan kerja dan kinerja pegawai, 2. Terdapat pengaruh positif dan tidak signifikan pengalaman kerja dan kinerja pegawai, 3. Efektivitas kerja mampu memediasi pengaruh lingkungan kerja terhadap kinerja pegawai 4. Efektivitas kerja tidak mampu memediasi pengaruh lingkungan kerja terhadap kinerja pegawai
Encantamento na escola: a convivência como via de cuidado em saúde mental com jovens.
Authors: Estevez Alvarez Ariadna Patricia , Paulanti de Melo Teixeira Gabrielle , Galvão de Albuquerque Gregorio , Goulart Ribeiro Simone , De Camargo Amaral de Miranda Thaina 
Published: February 2024

O propósito do artigo é compartilhar a experiência de criação do Espaço Convivência da Escola Politécnica de Saúde Joaquim Venâncio / Fiocruz como via de encantamento na escola. Problematizamos as ações de cuidado em saúde mental com jovens na escola ao propormos atividades artístico-culturais coletivas e abertas que rompem com o desencantamento da vida. As quatro experiências narradas mostraram que a escola que se encanta em conviver deve ser construída na encruzilhada de espaço educativo e de cuidado comprometida com a construção de caminhos capazes de transformá-la.
A RELEVÂNCIA DO PLANEJAMENTO ESCOLAR PARA O DESENVOLVIMENTO DO CONHECIMENTO
Authors: Junqueira Elivaine Aparecida Borges , Santos Isabel Cristina dos , Oliveira Suriá Ferreira Rodrigues de , Moreira da Silva Jeromice 
Published: February 2024

RESUMO: O presente estudo concentra-se no planejamento da atividade docente em uma instituição educacional para a construção do conhecimento, originando-se da seguinte questão-problema: De que maneira o planejamento escolar pode ser considerado um elemento crucial e determinante para potencializar o desenvolvimento do conhecimento em diversos cenários educacionais, e como essa relevância se manifesta na prática pedagógica, impactando diretamente o processo de aprendizagem dos estudantes? O objetivo foi analisar e destacar a importância do planejamento escolar como fator determinante para o desenvolvimento do conhecimento em contextos educacionais. Os objetivos específicos buscaram investigar as bases teóricas que fundamentam a importância do planejamento escolar no contexto educacional, avaliar a influência do planejamento escolar no processo de construção do conhecimento em ambientes educativos e identificar práticas eficazes de planejamento escolar que promovem o desenvolvimento cognitivo dos estudantes. Este estudo se classifica como bibliográfico, sendo assim, ao longo da elaboração do trabalho, foram analisadas e comparadas as ideias de diversos autores que abordam a temática, incluindo Vasconcellos (2000), Ferreira (2009), Lück (2009), Libâneo (2013), entre outros. A escolha desta pesquisa fundamenta-se na necessidade premente de compreender e destacar o papel do planejamento escolar como um fator determinante para o desenvolvimento do conhecimento no contexto educacional. A relevância desta investigação reside na constante busca por aprimorar as práticas pedagógicas e, consequentemente, otimizar a qualidade do processo de ensino-aprendizagem. Os resultados obtidos revelam a importância de conceber o planejamento escolar, de maneira eficaz, para desempenhar um papel central na promoção de ambientes educacionais mais estruturados e dinâmicos. A compreensão aprofundada dessa temática torna-se essencial para educadores, gestores e demais envolvidos no cenário educacional, uma vez que o planejamento não apenas delineia metas, mas também influencia diretamente a efetividade das estratégias educativas.

Palavras Chaves: Planejamento escolar. Desenvolvimento do conhecimento. Prática pedagógica. Ensino-aprendizagem
PERFORMANCE CHARACTERISATION OF GUM ARABIC BONDED PARTICLE BOARD MADE FROM RICE HUSK AND CANDLE WAX
Authors: Raymond S. P. , Ndububa E. E. 
Published: February 2024

Particle boards from wood sources have negative impacts on the environment through deforestation. Binders from synthetic sources are also not economical due to high costs in some parts of the world. Agricultural waste materials like rice husk (RH) and readily available natural binders like gum Arabic (GA) are proposed as alternative component materials in particle board manufacture. This study therefore investigates the engineering performance of gum Arabic bonded particle board made from rice husk and candle wax. RH was kept at a constant 70% in the mixture, CW and GA were alternated at 0/30%, 5/25%, 10/20%, 15/15%, 20/10%, and 25/5 % respectively. The mixture was passed through cold and hot presses with compressions to produce particle board samples. The samples were micro-characterised using scanning electron microscopy (SEM) and Energy-dispersive spectroscopy (EDS). The Gum arabic bonded particle board were subjected to various engineering tests. The SEM results showed poor compaction of the material especially as CW content increased. The EDS results showed that caron and silica constituted about 75% of the matrix indicating free of toxic substances. The maximum compressive, flexural and split tensile strengths were 3.88, 0.33 and 1.90 N/mm2 respectively at 10/20% mix even with the lowest density of 565.29 kg/m3. The water absorption and swelling in thickness decreased significantly with increase of CW with values of 2.72 and 0.00% at 25/5 %. The boards may be classified as medium-density since the densities were above 560Kg/m3.
Pengembangan Media Pembelajaran Power Point Interaktif pada Keterampilan Membaca di Kelas III Sekolah Dasar
Authors: Septiana Vini Wela , Pratiwi Sekar Harum , Syakban Ismail , Muchlis Muchlis , Salju Sinny Putri 
Published: February 2024

Media yang digunakan kurang menarik. Untuk itu dikembangkan media pembelajaran power point interaktif pada keterampilan membaca dikelas III SD. Jenis penelitian adalah pengembangan (Reseach and Development) Penelitian ini menggunakan model ADDIE. Penelitian ini bertujuan untuk mengembangkan dan mengetahui tingkat ke layakan media pembelajaran power point interaktif pada keterampilan membaca di kelas III SD Muhammadiyah XI Abdul Muis Kota Padang. Model yang digunakan model ADDIE, terdiri dari lima tahapan yaitu Analyze, Design, Development, Implementation, Evaluation. Hasil dari penelitian ini menunjukkan bahwa media pembelajaran power point interaktif memenuhi kriteria valid dengan nilai 90% dengan kategori sangat valid, untuk dengan penilain praktis 97% dengan kategori sangat praktis dan hasil nilai efektifitas 90% dengan kategori sangat banyak. Jadi media pembelajaran power point interaktif ini mencapai valid, praktis dan efektif.
IMPROVING HIGHER EDUCATION COMPETITIVENESS THROUGH A CULTURE OF ACADEMIC QUALITY MEDIATED BY KNOWLEDGE MANAGEMENT IN JAKARTA
Authors: Sukardi  , Djumarno  , Herminingsih Anik , Kasmir  
Published: February 2024

Objective: This study aims to explain the factors that affect the competitiveness of universities in the Jakarta area. The Jakarta region was chosen because it is in the middle of the country's capital.

Methods: This study used quantitative methods, the population was 356 lecturers, the number of samples studied was 188 lecturers from 10 participating private universities. The research focus of the college is accredited "B". The sampling technique uses simple random sampling. Data collection is carried out by distributing questionnaires. Data was analyzed using SEM-PLS.

Results: The study are expected to provide input related to quality issues in the Jakarta area. The findings show that quality culture has a significant effect on competitiveness directly or indirectly mediated by knowledge management. The novelty of this study is that knowledge management was found to be able to mediate between quality culture and competitiveness.

Conclusion: For the policies of university leaders in decision making in the implementation of a quality culture built from internal quality assurance and integrating knowledge management to all unit leaders to utilize knowledge as a driver of innovation in building higher education competitiveness.
Alternativas medicas ante las limitaciones en el trasplante de córnea penetrante: una revisión bibliográfica
Authors: López-Carrera Melanie Michelle , Mendoza-Rodríguez Saimara María 
Published: February 2024

El trasplante de córnea, considerado exitoso pero vulnerable al rechazo inmunológico, presenta tasas de rechazo entre el 18% y el 21%. El riesgo es mayor en los primeros 6 meses, con posibilidad de reacciones hasta 4 años después. La queratoplastia endotelial tiene una incidencia de rechazo del 9%. Aunque los inmunosupresores mejoran la supervivencia, sus efectos secundarios son preocupantes. Mejoras en técnicas quirúrgicas y gestión del tejido donante han elevado tasas de supervivencia al 95%. Factores como la edad, calidad del injerto y tipo de cirugía influyen en el fallo del injerto.
La escasez de donantes, agravada por el rechazo familiar, limita los trasplantes. La investigación se centra en alternativas médicas, como la queratoprótesis y técnicas emergentes, como Femtosecond láser y trasplante de membrana amniótica. La medicina regenerativa muestra promesa, especialmente con trasplantes de células epiteliales y el uso de sangre de cordón umbilical.
En cuanto a córneas artificiales, opciones como Boston KPro, OOKP y queratoprótesis tipo 1 se utilizan, con Boston KPro tipo 1 siendo el más común. Técnicas emergentes, como la queratoprótesis, buscan mejorar accesibilidad. Aunque el trasplante de córnea artificial es recomendado tras fallos de injertos, se necesitan más estudios comparativos. Estrategias para prolongar la viabilidad del tejido donante y prevenir la neovascularización también se exploran. En general, la investigación continua y la evolución de técnicas ofrecen perspectivas prometedoras para mejorar los resultados de los trasplantes de córnea.
Resguardo y conservación de cuerpos en reducción esquelética. Guía técnica y de aplicación para un Centro de Resguardo Óseo Forense, México
Authors: Ortega Palma Albertina , Juárez Reyes Yanet Josefina , Lira García Israel , Espinoza Suastegui Cesar Manuel , Cervantes Arróniz Arturo Gerardo , Solís Justo Jesús 
Published: February 2024

En nuestro país es necesaria una reflexión técnica sobre los parámetros para el resguardo digno de cuerpos en reducción esquelética, lo que resulta imperante en la actualidad ante la creciente necesidad de las labores de investigación e identificación forense.
En consecuencia, gracias a la colaboración interinstitucional y multidisciplinaria mostramos los lineamientos para la creación de un espacio de resguardo digno de cuerpos en reducción esquelética, que cuenten con parámetros estandarizados para el espacio físico, el embalaje y el almacenamiento, etiquetado, información y base de datos, control interno, área de entrega-recepción e indicadores de evaluación para desarrollar prácticas de resguardo humanitarias.
ANALISIS PERBANDINGAN USAHATANI KARET PROGRAM REGU RPBSK DAN USAHATANI KARET RAKYAT DI KABUPATEN TANAH BUMBU PROVINSI KALIMANTAN SELATAN
Authors: Mahyudi Fitri 
Published: February 2024

This research aim to to comparison analyse of Rubber Effort Program RPBSK and People Rubber Effort Tanah Bumbu Regency South Kalimantan Province with revenue rubber effort variable, Rubber Area Tap, Crop Economic Age, Production and Rubber Revenue.
The results of the research showed that rubber area tap much better with RPBSK Program, Longer crop economic age, higher rubber production and higher rubber revenue with RPBSK compared to non-RPBSK program. Earnings obtained by farmer responder in one month equal to Rp. 11.427.510, compared to non RPBSK farmer earnings mean of Rp. 6.117.097,26