bluuebunny/crossref_metadata_2025_split huggingface dataset:
Intraventricular hemorrhage volume and younger age at surgery may be risk factors for postoperative hydrocephalus after hemispherotomy in children
Authors: Yoshitomi Munetake , Iijima Keiya , Kosugi Kenzo , Takayama Yutaro , Kimura Yuiko , Kaneko Yuu , Kawashima Takahiro , Tachimori Hisateru , Sumitomo Noriko , Baba Shimpei , Saito Takashi , Nakagawa Eiji , Morioka Motohiro , Iwasaki Masaki 
Published: December 2023

OBJECTIVE
Hemispherotomy is an effective treatment for intractable hemispheric epilepsy; however, hydrocephalus remains a common complication of the procedure. The causes of hydrocephalus following hemispherotomy have not been fully elucidated; therefore, the purpose of this study was to identify the risk factors associated with the condition.

METHODS
The authors investigated the records of all patients aged < 18 years who underwent hemispherotomy at their institution between 2003 and 2020 and were monitored for hydrocephalus for at least 1 year after the procedure. To identify the risk factors for hydrocephalus, the following information about each patient was collected: sex, corrected age at surgery, body weight at surgery, previous intracranial surgery, etiology of epilepsy, results of PET for hypermetabolism, side of surgery, type of operation (vertical or horizontal approach), operation time, blood loss during surgery, use of intraventricular drainage, occurrence of intraventricular hemorrhage (IVH) on the 1st postoperative day, duration of postoperative fever of > 38°C, and maximum C-reactive protein level after the operation. Multivariate logistic regression analyses were performed.

RESULTS
This study included 51 children who underwent hemispherotomies for drug-resistant epilepsy at our hospital. Seven patients (13.7%) experienced hydrocephalus and were treated with ventricular or subdural peritoneal shunts or fenestration. Multivariate logistic analysis using the Bayesian information criterion revealed that 3 factors were associated with the occurrence of hydrocephalus: age at surgery, postoperative IVH volume, and duration of postoperative fever of > 38°C.

CONCLUSIONS
This study showed that younger age at surgery, postoperative IVH volume, and duration of postoperative fever of > 38°C might be risk factors for hydrocephalus after hemispherotomy. The risk of hydrocephalus should be considered in cases of early surgical indication in children. Intraoperative hemostasis and postoperative use of anti-inflammatory measures may reduce the risk of hydrocephalus.
Gender disparities in postoperative outcomes following elective spine surgery: a systematic review and meta-analysis
Authors: Kumar Neerav , Akosman Izzet , Mortenson Richard , Kumar Abhinav , Xu Grace , Lathrop Cooper , Bakhmat Kylie , Amen Troy B. , Hussain Ibrahim 
Published: December 2023

OBJECTIVE
Several studies have described disparities between male and female patients following spine surgery, but no pooled analyses have performed a robust review characterizing differences in postoperative outcomes based on gender. The purpose of this study was to broadly assess the effects of gender on postoperative outcomes following elective spine surgery.

METHODS
Between November 2022 and March 2023, PubMed, MEDLINE, ERIC, and Embase were queried using artificial intelligence–assisted software for relevant cohort studies. Cohort studies with a minimum sample of 100 patients conducted in the United States since 2010 were eligible. Studies related to trauma, tumors, infections, and spinal cord pathology were excluded. Independent extraction by multiple reviewers was performed using Nested Knowledge software. A fixed- or random-effects model was used if heterogeneity among included studies in a meta-analysis was < 50% or ≥ 50%, respectively. Risk of bias was assessed independently by multiple reviewers using the Newcastle-Ottawa Scale. Pooled effect sizes were calculated for readmission, nonroutine discharge (NRD), length of stay (LOS), extended LOS, reoperation, mortality, all medical complications (individual analyses for cardiovascular, deep venous thrombosis/pulmonary embolism, genitourinary, neurological, respiratory, and systemic infection complications), and wound-related complications. For each outcome, two subanalyses were performed with studies that used either center-based (single- or multi-institution) or high-volume (national or state-wide) databases.

RESULTS
Across 124 included studies, male patients had an increased incidence of mortality (OR 0.54, p < 0.0001) and all medical complications (OR 0.80, p = 0.0114), specifically cardiovascular (OR 0.68, p < 0.0001) and respiratory (OR 0.76, p = 0.0008) complications. Female patients were more likely to experience a wound-related surgical complication (OR 1.16, p = 0.0183). These findings persisted in the high-volume database subanalyses. Only center-based subanalyses showed that female patients were at greater odds of experiencing an NRD (OR 1.18, p = 0.0476), longer LOS (SMD 0.23, p = 0.0036), and extended LOS (OR 1.28, p < 0.0001).

CONCLUSIONS
Males are more likely to experience death and medical complications, whereas females were more likely to face wound-related surgical complications. At the institution level, females more often experience NRD and longer hospital stays. These findings may better inform preoperative expectation management and provide more detailed postoperative risk assessments based on the patient’s gender.
PENERAPAN MEDIA VISUAL UNTUK MEMUDAHKAN PEMBELAJARAN ANAK USIA DINI
Authors: Indah Herawati  
Published: December 2023

Pada era digital seperti sekarang ini, penerapan media visual telah menjadi bagian yang penting dalam pembelajaran anak usia dini. Media visual memiliki peranan yang signifikan dalam meningkatkan daya serap dan pemahaman anak terhadap materi pembelajaran. Dalam artikel ini, akan dijelaskan mengenai pentingnya penerapan media visual dalam pembelajaran anak usia dini serta manfaat dan strategi yang dapat digunakan dalam implementasinya seperti yang sudah di jelaskan di dalam pembahasan, pengaruh teknologi terhadap media pembelajaran pada anak usia dini.Contoh perubahan atau perkembangan dari media tersebut yaitu terdapat di dalam media audio visual, di mana awalnya prndidik mrnggunakan media sosio/drama atau bercerita mengguunakan alat peraga namun saat ini pendidik tersebut menggunakan film sebagai media pembelajaran Pada usia dini, anak-anak memiliki kemampuan daya serap yang tinggi, namun mereka juga memiliki keterbatasan dalam memahami konsep yang abstrak. Oleh karena itu, penerapan media visual menjadi solusi yang tepat untuk memudahkan pembelajaran anak usia dini. Berikut adalah beberapa alasan mengapa penerapan media visual penting dalam pembelajaran anak usia dini:Penerapan media visual dalam pembelajaran anak usia dini adalah pendekatan yang efektif dan bermanfaat. Media visual dapat memudahkan pemahaman anak, meningkatkan daya ingat, mengembangkan kreativitas, dan membantu perkembangan bahasa.
Kata Kunci: Media Pembelajaran ; Media Visual ; Anak Usia Dini
Likuiditas dan Solvabilitas Implikasinya Terhadap Profitabilitas Pada PT Bumi Serpong Damai Tbk Periode Tahun 2010-2020
Authors: Supatmin Supatmin , Sutiman Sutiman , Faisal Faisal 
Published: December 2023

Penelitian ini bertujuan untuk Menguji Current Ratio dan Debt to Equity Ratio terhadap Return on Equity pada PT Bumi Serpong Damai Tbk Periode 2010-2020. Jenis penelitian ini bersifat deskriptif kualitatif. Adapun populasi yang dipergunakan berupa data laporan keuangan dari PT Bumi Serpong Damai Tbk periode 2010-2020, sedangkan analisis data yang dipergunakan meliputi rasio keuangan dengan current ratio, debt to equity ratio dan return on equity, uji deskriptif, uji asumsi klasik, uji hipotesis dan uji regresi linier berganda. Adapun Hasil uji t (parsial) diperoleh current ratio berpengaruh terhadap return on equity, sedangkan debt to equity ratio berpengaruh terhadap return on equity. Hasil uji F (simultan), current ratio dan debt to equity ratio berpengaruh terhadap return on equity. Kata kunci: Current Ratio; Debt to Equity Ratio; Return on Equity
PENGARUH PROFITABILITAS, LEVERAGE DAN CAPITAL INTENSITY TERHADAP PENGHINDARAN PAJAK PADA SUBSEKTOR KIMIA DI BEI TAHUN 2017 â€“ 2021
Authors: Kasir Kasir 
Published: December 2023

Tujuan dari penelitian ini adalah untuk mengetahui pengaruh profitabilitas, leverage dan capital intensity terhadap penghindaran pajak pada perusahaan subsektor kimia.Dalam penelitian ini data yang digunakan adalah data sekunder dengan sampel sebanyak 9 perusahaan dari 18 perusahaan yang terdaftar di BEI subsektor kimia. Adapun model regresi yang dipergunakan dalam penelitian ini adalah dengan menggunakan Analisa Regresi Berganda.Hasil penelitian ini secara uji t (parsial) menunjukan bahwa profitabilitas tidak berpengaruh terhadap penghindaran pajak, untuk leverage dan capital intensity berpengaruh terhadap penghindaran pajak. Sedangkan secara uji F (simultan) menunjukan bahwaÂ profitabilitas, leverage dan capital intensity secara bersama-sama berpengaruh terhadap penghindaran pajak dengan tingkat koefisien determinasi sebesar 21,6%, sisanya sebesar 78,40% dipengaruhi oleh faktor lain yang tidak di masukan dalam penelitian ini, seperti size, current ratio dan intensitas persediaan
Analisis Faktor Yang Berpengaruh Terhadap Audit Delay Melalui ROA (2016-2020)
Authors: Simanjuntak Winda , Gultom Alex Sandra Fernando , Sulia Sulia 
Published: December 2023

Penelitian ini dilakukan untuk mengevaluasi dampak ukuran perusahaan, usia perusahaan, DER, CR, dan pendapat auditor terhadap keterlambatan audit, dengan ROA berperan sebagai variabel perantara. Studi ini difokuskan pada perusahaan yang beroperasi di sektor barang konsumsi yang terdaftar di Bursa Efek Indonesia dari tahun 2016 hingga 2020. Sampel penelitian mencakup 25 perusahaan yang dipilih melalui metode purposive sampling, menghasilkan total 125 observasi. Analisis data melibatkan regresi linear berganda dan analisis jalur. Temuan menunjukkan bahwa ukuran perusahaan, usia perusahaan, DER, CR, pendapat auditor, dan ROA perusahaan secara bersama-sama memengaruhi keterlambatan audit. Secara khusus, usia perusahaan dan ROA memberikan kontribusi pada keterlambatan audit, sementara ukuran perusahaan, DER, CR, dan pendapat auditor tidak menunjukkan pengaruh signifikan terhadap keterlambatan audit. Analisis jalur menunjukkan bahwa ROA tidak berperan sebagai perantara dalam hubungan antara ukuran perusahaan, usia perusahaan, DER, CR, dan pendapat auditor terhadap keterlambatan audit.Â Kata Kunci: Audit Delay, CR, ROA, Ukuran Perusahaan, Umur Perusahaan
Penyuluhan Kesehatan: Upaya Pencegahan Dampak Jangka Panjang Infeksi Saluran Kemih di SMA Negeri 8 Ternate
Authors: Albaar Muhamad Taha , Masrika Nur Upik En , Wahyudi Ridwan Bachtiar 
Published: December 2023

ABSTRAK Infeksi Saluran Kemih (ISK) merupakan infeksi kedua tersering pada tubuh manusia setelah infeksi saluran pernafasan. Kejadian ISK di Indonesia masih cukup banyak sekitar 180.000 kasus baru pertahun. Penyakit ISK ini erat kaitannya dengan personal higien yang bisa disebabkan kondisi kamar mandi yang tidak bersih dan kebiasaan menahan kencing. Sekolah merupakan tempat siswa menimba ilmu dengan agenda pembelajaran yang padat, sarana kebersihan yang dipakai secara umum, dan usia siswanya tergolong dalam usia produktif. Dampak dari ketidaktahuan dan keterlambatan penanganan dapat memberikan efek buruk pada organ Ginjal di masa akan datang. Pengabdian ini dilakukan untuk memberikan pengetahuan kepada para siswa-siswi terkait penyakit ISK, dampak jangka panjang dan bagaimana proses mencegahnya. Kegiatan pengabdian dilaksanakan di Sekolah Menengah Atas Negeri (SMA N) 8 Ternate berupa pemberian materi dengan mengukur tingkat kepemahaman peserta dengan kuesioner pre-pasca kegiatan. Didapatkan bahwa terjadi peningkatan pengetahuan mahasiswa dalam menerima materi yang diukur melalui nilai rata-rata dalam menjawab soal dengan benar pada pre kegiatan sebesar 63% dan pada pasca kegiatan meningkat menjadi 83%. Metode penyuluhan berhasil meningkatkan pengetahuan siswa-siswi dalam mencegah kejadian dan komplikasi akibat ISK. Kata Kunci: Infeksi Saluran Kemih (ISK), Personal Higien, SMA, Ternate ABSTRACT Urinary Tract Infection (UTI) is the second most common infection in the human body after respiratory tract infections. The incidence of UTI in Indonesia is still quite high, with around 180,000 new cases per year. UTI is closely related to personal hygiene, which can be caused by unclean bathroom conditions and the habit of holding urine. School is a place where students gain knowledge, It has a busy learning agenda, clean facilities are generally used, and the students are of productive age. The impact of ignorance and slow treatment can have negative effects on the kidney organs in the future. This service is carried out to provide knowledge to students regarding UTI, its long-term impacts, and how to prevent it. Service activities carried out at State Senior High School (SMA N) 8 Ternate took the form of providing material by measuring participants' level of understanding through pre- and post-activity questionnaires. It was found that there was an increase in students' knowledge of receiving material as measured by the average score in answering questions correctly in the pre-activity by 63%, and in the post-activity it increased to 83%. The counseling method was successful in increasing students' knowledge about preventing incidents and complications due to UTI. Keywords: Urinary Tract Infection (UTI), Personal Hygiene, SMA, Ternate
Faktor – Faktor yang Berhubungan dengan Partisipasi Lansia Pada Posyandu Lansia di Wilayah Kerja Puskesmas Sukamakmur Kabupaten Aceh Besar
Authors: Nurlia Feby , Ramadhaniah Ramadhaniah , Aramico Basri 
Published: December 2023

ABSTRACT Posyandu elderly to improve the quality of life of the elderly. All activities in the services of the Elderly Posyandu are provided free of charge. However, the level of participation of the elderly in Posyandu activities for the elderly is still low. To find out the factors related to the participation of the elderly in the Posyandu for the elderly in the working area of the Sukamakmur Health Center, Aceh Besar District. This research is descriptive analytic with cross sectional study design. The population of all elderly aged 60-90 years in the Working Area of the Sukamakmur Health Center is 917 people. The research sample was 90 people. Sampling was carried out by Accidental Sampling. Data collection was done by interview and observation. The analysis used was univariate and bivariate analysis with the Chi-Square test. The results of the study showed that 58.9% of the elderly did not participate in the elderly Posyandu, 75.6% of the elderly had less knowledge, 47.8% of the elderly received less family support, 55.6% of the elderly had low motivation and 30% stated the role of health workers. less health. There is a relationship between knowledge (p = 0.001), motivation (p = 0.002) and the role of health workers (p = 0.009) with the participation of the elderly in the elderly posyandu. Keywords: Participation, Posyandu, Elderly, Knowledge, Family Support, Motivation, The Role of Health Workers ABSTRAK Posyandu lanjut usia bertujuan untuk meningkatkan mutu kehidupan lanjut usia. Seluruh kegiatan dalam pelayanan posyandu Lansia disediakan secara gratis. Namun tingkat partisipasi Lansia dalam kegiatan posyandu Lansia masih rendah. Tujuan Untuk mengetahui faktor-faktor yang berhubungan dengan partisipasi Lansia pada posyandu Lansia di wilayah kerja puskesmas Sukamakmur Kabupaten Aceh Besar. Penelitian ini bersifat Deskriptif analitik dengan desain cross sectional study. Populasi seluruh Lansia umur 60-90 tahun di Wilayah Kerja Puskesmas Sukamakmur 917 orang. Sampel penelitian sebanyak 90 orang, Pengambilan sampel dilakukan secara Accidental Sampling. Pengumpulan data dilakukan dengan wawancara dan observasi. Analisis yang digunakan yaitu analisa univariat dan bivariat dengan uji Chi-Square. Hasil penelitian diperoleh sebanyak 58,9% Lansia kurang berpartisipasi pada posyandu Lansia, 75,6% Lansia yang memperoleh berpengetahuan kurang, 47,8% Lansia memperoleh dukungan keluarga kurang, 55,6% Lansia yang memiliki motivasi rendah dan 30% menyatakan peran tenaga kesehatan kurang. Ada hubungan antara pengetahuan (p= 0,001), motivasi (p =0,002) dan peran tenaga kesehatan (p = 0,009) dengan partisipasi Lansia pada posyandu Lansia. Kata Kunci: Partisipasi, Posyandu, Lansia, Pengetahua, Dukungan Keluarga, Motivasi, Peran Tenaga Kesehatan.
إحياءُ واستثمارُ الأراضي الْمَوات في ماليزيا من خلال التمويل الأصغر الإسلامي
Authors: Edris Mahmoud Mohamed Ali Mahmoud , Bashir Mohamed Sharif , Mohammed Hasan Baidar Mohammed 
Published: December 2023

This study aims to identify the revitalization and investment of abandoned land through Islamic microfinance in Malaysia, with a specific emphasis on the state of Negeri Sembilan. It discusses the concept of abandoned lands, examining methods for their revitalization and investment in accordance with the principles of Islamic law. In this regard, revitalizing and investing in abandoned land is posited as a solution to the financing problems faced by small and medium enterprises as well as enhance opportunities to increase the income of poor people in the Malaysian society. The study employed the descriptive analysis approach in demonstrating the importance of revitalizing and investing the abandoned land through Islamic microfinance approach which will boost the efforts of microfinance institutions in reducing poverty and overcoming the consequences of the COVID-19 pandemic. A key finding is that investing in abandoned land, in line with Shariah principles, offers an innovative approach to utilizing these lands for productive projects and reflects the importance of Islamic microfinance and its response to the requirements of revitalizing the abandoned land efficiently and effectively.

ملخص البحث
تهدّفُ هذه الدَراسة إلى التعريف بإحياء الأرض الموات واستثمارها من خلال التمويل الأصغر الإسلامي في ماليزيا؛ وعلى وجه الخصوص في ولاية نجري سمبيلان، وتحاول مناقشة مفهوم الأرض الموات في الفقه وطرق إحيائها واستثمارها وفقاً للضوابط الشرعية في الفقه الإسلامي، وبهذا الاعتبار فإنَّ إحياء الأرض الموات واستثمارها سيوفر حلاً لمشكلات التمويل التي تواجهها المشروعات الصغيرة والمتوسطة، ويعزز من فرص زيادة دخل الفئات الفقيرة في المجتمع الماليزي، تعتمد الدّراسة على منهج التحليل الوصفي في بيان أهمية إحياء الأرض الموات واستثمارها ، والدور الذي يمكن أن تقوم به صيغ وأساليب التمويل الأصغر الإسلامي في إحياء الأرض الموات وتهيئتها للاستخدام الإنتاجي الذي سيعزز من جهود مؤسسات الإقراض الصغيرة أو صناديق دعم الفقراء الأهلية والرسمية في التقليل من الفقر، وتجاوز تداعيات ما بعد جائحة كوفيد-19 على محدودي الدخل. ومن النتائج التي توصلت إليها الدِّراسة أن استثمار الأراضي الموات وفقاً لمبادئ الشريعة الإسلامية يمثل مدخلاً بديلاً لتوظيف الأراضي واستغلالها في مشروعات إنتاجية، ويعكس أهمية التمويل الأصغر الإسلامي وتلبيته لمتطلبات إحياء الأرض الموات واستغلالها بكفاءة وفاعلية.
Assessing E-business and Organizational Performance in Nigeria Today: Evidence from Jumia Ltd, Lagos
Authors: Nduji Romanus  , Marcus Garvey Orji  , Oyenuga Michael Oyedele  , Oriaku Chris  
Published: December 2023

In the Nigerian Business environment, e-business is becoming an important initiative for companies to consider in every aspect of running a business. Business organizations have given their places to digital economies in a way that electronic technology interprets the language of every business transaction. E-business has gained prominence which has impacted much on the economy. This study aims at assessing e-business and organizational performance in Nigeria Today: Evidence from Jumia Ltd, Lagos. Three objectives were adopted for this study which are, to establish the effect of e-trading on performance of Jumia Ltd, Lagos, to examine the effect of e-marketing on performance of Jumia Ltd, Lagos. And to explore the effect of mobile commerce on performance of Jumia Ltd, Lagos. The research design adopted for this study was the descriptive research design. The target population of the study was 158 employees of the firm under study. This also served as the sample size. Data were obtained through questionnaire. Hypotheses were analyzed using multiple regression technique. The study revealed that e-business has positive effect on performance of Juima Ltd, Lagos. It was concluded that e-business if properly accorded a maximum attention by Jumia Ltd, Lagos would improve the organization marketing and objectives. It was recommended that Customers’ satisfaction should be the watchword for Jumia because customers are the king in any business organization. There should be free flow of information about Jumia and their products.
Promoting Resilience in Adolescents from Divorced Family: The Role of Social Support and Self-Efficacy
Authors: Murniasih Farhanah , Irvan Moh 
Published: December 2023

Divorce can be a tumultuous experience for adolescents; social support and self-efficacy are recognized as crucial factors in helping them navigate the challenges. Resilience, which pertains to an individual's ability to adapt positively to adversity, is essential during this transitional period. This research delves into the evolving understanding of how social support impacts resilience in adolescents from divorced families, with self-efficacy as a mediator. The research involved 400 respondents (318 females and 82 males) aged 15-21 from divorced families. Data were collected using the Resilience Scale (12 items, ), General Self Efficacy Scale (10 items, , and Social Provisions Scale (26 items, . The data analysis techniques applied in this study were descriptive, correlational, and regression-based mediating analyses. The mediating analysis used the PROCESS syntax in IBM SPSS. This study showed that social support increased resilience in adolescents from divorced families, and self-efficacy mediates social support and resilience. This study confirmed that self-efficacy partially mediates social support and resilience in adolescents from divorced families.
Orphan drugs in Italy: availability and time-to-access at regional level
Authors: Marino Maria Lucia , Alessi Eva , Di Filippo Aurora , Polistena Barbara , Macchia Francesco , Spandonaro Federico , Trotta Francesco 
Published: December 2023

Introduction: There are an estimated 26 million rare disease patients in Europe, about 2 million in Italy. Access to orphan drugs has been evaluated nationally and internationally, and delays have been observed due to evaluation of price and therapeutic value. The objectives of this study are: to assess the availability of EMA-authorized orphan drugs at national and regional level; to study time trends and regional variability in consumption and spending, and to estimate the time to access in Italian regions.
Methods: We evaluate the availability of EMA authorized orphan drugs in Italy. Based on data from the Traceability of medicines dataflow for period 2016-2021 we evaluate the expenditure, consumption and availability of orphan drugs in each region. To estimate the time to access we consider the days between the end of negotiation procedure and the first purchase by regions.
Results: In 2021 in Italy are available 94% of EMA authorized orphan drugs. The expenditure and consumption have grown during the last decade. The availability is higher in bigger regions, that also take care of patients from smaller regions. The pro capite expenditure and consumption in DDD/1,000 ab die is similar in all the geographic area. Time to regional access is on average 123 days, that grows to 224 excluding the orphan drugs dispensed before the end of reimbursement procedure.