bluuebunny/crossref_metadata_2025_split huggingface dataset:
Humanistic and graded psychological nursing care for patients undergoing endoscopic submucosal dissection of gastrointestinal tumors
Authors: Jiang Ying , Bu Bao-Lian , Yang Wei , Zhi Yuan , Ye Hong-Yan 
Published: January 2025

BACKGROUND
Endoscopic submucosal dissection (ESD) has become a widely accepted, minimally invasive treatment for gastrointestinal submucosal tumors. It has been reported that humanistic nursing care with graded psychological interventions can effectively enhance patients’ physical activity in patients, reduce postoperative complications, and improve their postoperative quality of life.
AIM
To investigate the effects of combining humanistic care with graded psychological support on nursing satisfaction and quality of life in patients undergoing ESD for gastrointestinal submucosal tumors.
METHODS
A retrospective analysis was conducted on the clinical data of 180 patients who underwent ESD surgery for gastrointestinal submucosal tumors at our hospital between March 2021 and February 2023. Patients were allocated into groups based on the nursing care they received: The control group, which received routine care (n = 90), and the observation group, which was subjected to humanistic nursing care in combination with graded psychological support (n = 90). Patient anxiety and depression were assessed using the self-rating anxiety scale (SAS) and self-rating depression scale (SDS). Quality of life was evaluated using the short-form 36 health survey, and additional indications such as time to first food intake, surgery duration, length of hospital stay, nursing satisfaction, and adverse reactions were also recorded. Data was analyzed using SPSS22.0, with t -tests employed for continuous variables and χ 2 tests for categorical data.
RESULTS
Patients in the observation group experienced significantly shorter times to first postoperative meal, surgery, and hospital stay compared to the control group. After the intervention, the SAS score of the observation group was 43.17 ± 5.68, and the SDS score was 41.57 ± 6.52, both significantly lower than those of the control group, with SAS score of 52.38 ± 5.21 and SDS score of 51.23 ± 8.25. In addition, the observation group scored significantly higher in daily living, physical function, psychological well-being, and social functioning (80.01 ± 6.39, 83.59 ± 6.89, 81.69 ± 5.34, and 85.23 ± 6.05, respectively). Moreover, the observation group also exhibited higher satisfaction and self-efficacy scores and a lower incidence of adverse reactions compared to the control group (P < 0.05).
CONCLUSION
For patients undergoing ESD for gastrointestinal submucosal tumors, humanistic nursing care in combination with graded psychological nursing care significantly shorten the times to first postoperative meal, surgery, and hospital stay, effectively alleviates anxiety and depression, improves quality of life and nursing satisfaction, and mitigate the incidence of adverse reactions.
Retrospective comparative study of different surgical methods for gastric ulcer perforation: Efficacy and postoperative complications
Authors: Pang Yu-Fan , Shu Liang , Xia Cheng-Wei 
Published: January 2025

BACKGROUND
Gastric ulcer perforation is a critical condition that can lead to significant morbidity and mortality if not promptly addressed. It is often the result of chronic peptic ulcer disease, which is characterized by a breach in the gastric wall due to ulceration. Surgical intervention is essential for managing this life-threatening complication. However, the optimal surgical technique remains debatable among clinicians. Various methods have been employed, including simple closure, omental patch repair, and partial gastrectomy, each with distinct advantages and disadvantages. Understanding the comparative efficacy and postoperative outcomes of these techniques is crucial for improving patient care and surgical decision-making. This study addresses the need for a comprehensive analysis in this area.
AIM
To compare the efficacy and postoperative complications of different surgical methods for the treatment of gastric ulcer perforation.
METHODS
A retrospective analysis was conducted on 120 patients who underwent surgery for gastric ulcer perforation between September 2020 and June 2023. The patients were divided into three groups based on the surgical method: Simple closure, omental patch repair, and partial gastrectomy. The primary outcomes were the operative success rate and incidence of postoperative complications. Secondary outcomes included the length of hospital stay, recovery time, and long-term quality of life.
RESULTS
The operative success rates for simple closure, omental patch repair, and partial gastrectomy were 92.5%, 95%, and 97.5%, respectively. Postoperative complications occurred in 20%, 15%, and 17.5% of patients in each group, respectively. The partial gastrectomy group showed a significantly longer operative time (P < 0.001) but the lowest rate of ulcer recurrence (2.5%, P < 0.05). The omental patch repair group demonstrated the shortest hospital stay (mean 7.2 days, P < 0.05) and fastest recovery time.
CONCLUSION
While all three surgical methods showed high success rates, omental patch repair demonstrated the best overall outcomes, with a balance of high efficacy, low complication rates, and shorter recovery time. However, the choice of the surgical method should be tailored to individual patient factors and the surgeon’s expertise.
Acute abdominal pain complicated by cecal perforation caused by an unnoticed swallowed toothpick: A case report
Authors: Chen Tao 
Published: January 2025

BACKGROUND
Acute abdominal pain is one of the most common gastrointestinal symptoms. The etiology of acute abdomen can be challenging for gastroenterologists to establish. Cecal foreign body is a rare cause of cecal perforation.
CASE SUMMARY
We report a 35-year-old male from China who initially exhibited symptoms suggestive of acute appendicitis. However, during a minimally invasive colonoscopy procedure, the authors found that a wooden toothpick caused the perforation. The patient presented to our emergency department with a 2 days history of right lower abdominal pain and low grade fever. The patient was in good health and had eaten fish 2 days earlier. Physical examination revealed mild pain with positive rebound tenderness in the right lower abdomen. However, computed tomography of the abdomen confirmed a strip of high-density shadows protruding beyond the intestinal cavity outline, with a small amount of peritoneal seepage in the ileocecal area. Combined with the medical history, the possibility of foreign body perforation by a fishbone and peripheral peritonitis were considered. However, the high-density shadow was identified as a wooden toothpick, which was removed via a minimally invasive procedure using a foreign body forceps under colonoscopy. The patient's condition improved significantly within 5 days after treatment.
CONCLUSION
We emphasize the importance of a detailed patient history, accurate diagnosis and proper treatment in patients with acute abdomen.
Magnamosis for rectal reconstruction in canines
Authors: Liu Shi-Qi , Zhang Hong-Ke , Lv Yi , Xu Xiang-Hua , Li Yu-Feng , Quan Dong-Wen 
Published: January 2025

BACKGROUND
The magnamosis, a minimal invasive, suture-free procedure, has been used for digestive tract or vessel reconstruction, such as gastrointestinal anastomosis, bilioenteric anastomosis, and coronary artery bypass. Although some case reports have demonstrated the potential of magnamosis for the treatment of congenital rectal atresia (RA), they cannot provide strong evidence for its widespread application.
AIM
To assess the feasibility and safety of magnamosis in treating RA in dogs as compared to suturing anastomosis. The findings of this study can be beneficial in guiding the clinical application of magnamosis.
METHODS
Thirty-six dogs were randomly assigned to the magnamosis group (n =18) and the suturing anastomosis group (n =18). The rectum was freed laparoscopically in all dogs. In the magnamosis group, rectal anastomosis was performed using a pair of magnetic rings, while the suturing anastomosis group underwent a straight-sighted end-to-end rectal anastomosis with 4-0 absorbable sutures. The anastomosis time was recorded, and abdominal plain film examination was performed to locate the magnets until they were expelled postoperatively. Specimens of the anastomosis were evaluated at one month, three months, and six months after surgery.
RESULTS
The mean time for rectal anastomosis was significantly shorter in the magnamosis group (12.22 ± 2.78 minutes) than the suturing anastomosis group (18.11 ± 1.68 minutes). There was one incidence of anastomotic bleeding in the suturing anastomosis group, whereas no complication was recorded in the magnamosis group. The magnets were discharged post-surgery in 7.17 ± 1.30 days in all the dogs. The histopathological examination revealed a smoother healing of anastomotic mucosa in the magnamosis group as compared to that in the suturing anastomosis group. Moreover, the fiber alignment was also more natural in the magnamosis group with minimal inflammation.
CONCLUSION
Rectal reconstruction using magnamosis is a feasible, safe, and effective alternative to suturing anastomosis in dogs, with the added benefit of faster and more natural healing of the anastomosis.
Analysis of risk factors for dysphagia in patients after laparoscopic radical gastrectomy
Authors: Chen Sang-Sang , Dong Zhe-Bin , Xiang Han-Ting , Chen Zheng-Wei , Chen Tian-Ci , Huang Jia-Rong , Liang Chao , Yu Wei-Ming 
Published: January 2025

BACKGROUND
Gastric cancer is among the most prevalent malignancies worldwide. Despite significant advancements in chemoradiotherapy, targeted therapy, and neoadjuvant therapy, conventional surgical intervention remains the cornerstone of gastric cancer management. Improvements in surgical techniques, coupled with the use of staplers and other advanced instruments, have substantially reduced the incidence of complications and mortality following gastric cancer surgery. However, dysphagia remains a common postoperative complication.
AIM
To retrospectively investigate the potential factors contributing to dysphagia in patients who have undergone laparoscopic radical gastrectomy for gastric cancer and to explore effective strategies for its postoperative management.
METHODS
In this retrospective study, we analyzed data from patients who underwent elective laparoscopic total gastrectomy at Lihuili Hospital, Ningbo University, between January 2018 and May 2022. A total of 115 eligible postoperative patients were included. Postoperatively, patients completed questionnaires and were categorized into two groups based on their responses: The dysphagia group (Eating Assessment Tool-10 score ≥ 3) and the non-dysphagia group (Eating Assessment Tool-10 score < 3). Risk factors associated with dysphagia following total gastrectomy were assessed using χ 2 tests, Fisher’s exact tests, t -tests, Pearson correlation coefficients, and univariate and multivariate regression analyses.
RESULTS
Multivariate analysis further identified anastomotic style, prolonged intubation time, advanced age, and low albumin (ALB) levels as independent risk factors for postoperative dysphagia. Implementing targeted preventive measures for high-risk groups may significantly enhance postoperative quality of life.
CONCLUSION
Univariate analysis revealed that anastomotic style, low serum ALB levels, advanced age, and prolonged intubation time were significantly associated with postoperative dysphagia in gastric cancer patients. Multivariate analysis further identified anastomotic style, prolonged intubation time, advanced age, and low ALB levels as independent risk factors for postoperative dysphagia. Implementing targeted preventive measures for high-risk groups may significantly enhance postoperative quality of life.
Clip-stone and T clip-sinus post laparoscopic biliary surgery: Two case reports and review of the literature
Authors: Huang Ying-Zi , Lin Yuan-Yu , Xie Ju-Ping , Deng Gang , Tang Di 
Published: January 2025

BACKGROUND
Laparoscopic cholecystectomy (LC) and laparoscopic common bile duct exploration (LCBDE) are widely used in gallbladder and biliary tract diseases. During these procedures, vessels or tissues are commonly ligated using clips. However, postoperative migration of clips to the common bile duct (CBD) or T-tube sinus tract is an overlooked complication of laparoscopic biliary surgery. Previously, most reported cases of postoperative clip migration involved metal clips, with only a few cases involving Hem-o-lok clips and review of the literature.
CASE SUMMARY
This report describes two cases in which Hem-o-lok clips migrated into the CBD and the T-tube sinus tract following laparoscopic surgery. Case 1 is a 68-year-old female admitted due to abdominal discomfort, and two Hem-o-lok clips were found to have migrated into the CBD 17 months after LC and LCBDE with T-tube drainage, and were removed using a stone extraction balloon. The patient was discharged smoothly after recovery. Case 2 is a 74-year-old male who underwent LC and LCBDE with T-tube drainage and laparoscopic biliary tract basket stone extraction. Nine weeks postoperatively, following T-tube removal, a Hem-o-lok clip was found in the sinus tract, and was extracted from the T-tube sinus tract. The patient recovered smoothly postoperatively. This study also reviews the literature from 2013 to July 2024 on using Hem-o-lok clips in LC and/or LCBDE treatment of gallbladder and biliary diseases and the postoperative migration of these clips into the CBD, T-tube sinus tract, or duodenum.
CONCLUSION
In patients with a history of LC and/or LCBDE, clip migration should be considered as a differential diagnosis.
Sensing Dance
Authors: Miranda Krista 
Published: January 2025

“Sensing Dance” discusses returning to dance during the onset of COVID-19 to explore how dancing while quarantined can help us imagine practices in line with what Mia Mingus calls “access intimacy” (2017) specifically for people with eating disorders and body dysmorphia. In this essay, I ask: What would it mean for dance pedagogy to undergo a largescale reorientation that dismantles the hierarchical structures of both the teacher/student relationship and the ocularcentrism that tends to dominate our engagement with dance? What would it do to shift agency from instructor to student, and for the tyranny of the visual to be replaced by a more phenomenological felt sense? Beginning with a meditation on my experience taking Alexandra Beller’s Bartenieff Fundamentals™ classes, this essay discusses Jose Miguel Esteban and Devon Healey’s duet “The Breath and Movement of Blindness” (2022), and Heather Shaw and Krishna Washburn’s documentary screendance Telephone (2023). I argue that turning to the works and access practices of Esteban, Healey, Shaw, and Washburn as models can transform the way dance practitioners engage with dance as both an aesthetic and a pedagogical practice, thereby making it more accessible for chronically ill bodyminds that are often neglected when we think of access.
ANALISA PEMANTAUAN KUALITAS UDARA AMBIEN (PM2,5 PM10 DAN TSP) DI PT SUCOFINDO KOTA BANDUNG
Authors: Mulyani Tri , Ainingsih Shofiah Nurul 
Published: January 2025

Pemantauan kualitas udara ambien merupakan bagian dari pengelolaan kualitas udara dengan tujuan menjadikan kualitas udara di lingkungan layak bagi kesehatan manusia dan sekitarnya. Penelitian ini menggunakan pendekatan secara kuantitatif menggunakan analisis data dan kesimpulan data. Pemantauan kualitas udara ambien sampel yang diambil di PT Sucofindo, Kota Bandung adalah konsentrasi (Particulate Matter) PM2,5, PM10 dan TSP. Konsentrasi yang didapat PM2,5 pada titik 1 25,58 μg/m³, 23,06 μg/m³ dan 22,33 μg/m³, pada titik 2 35,20 μg/m³, 31,47 μg/m³ dan 28,10 μg/m³. Konsentrasi PM10 titik 1 36,83 μg/m³, 33,81 μg/m³ dan 30,86 μg/m³, pada titik 2; 53,79 μg/m³, 50,60 μg/m³ dan 46,80 μg/m³. Konsentrasi di bawah baku mutu sebesar 55 μg/m³ dan 75 μg/m³. TSP titik 1 yaitu 87,76 μg/m³, 81,53 μg/m³ dan 77,79 μg/m³, titik 2; 123,76 μg/m³, 120,60 μg/m³ dan 111,3 μg/m³. Konsentrasi TSP yang didapat masih di bawah baku mutu sebesar 230 μg/m³.
Determinants of Generation Z Green Investment Interest: The Role of Social Media Platforms as Moderating Variables
Authors: Nilasari Priyanti Dewi , Fitriyah Fitriyah 
Published: January 2025

Green investment interest is a response to increasing greenhouse gas emissions that have the potential to damage the sustainability of life on Earth. This study aims to analyze elements that can increase Generation Z's green investment interest in Malang City, with social media platforms as moderating variables. The study used quantitative methods with Cochran's Formula technique to identify a subset of 100 respondents from Within the study from four state universities in Malang City. Structural Equation Modeling-Partial Least Square is the test tool used in this study The significance between independent variables on green investment interest in Generation Z in Malang City was estimated through WrapPLS 7.0 software. The results showed that attitude, behavioral control, and green investment knowledge significantly positively affect green investment interest, while subjective norms are not positively insignificant to Generation Z's green investment interest. Social media platforms strengthen the relationship between attitude and knowledge of green investment interest. However, Generation Z's green investment interest in Malang City, which is influenced by subjective norms and behavioral control, cannot be strengthened by the existence of social media platforms.
Relationship between Work Environment and Employee Performance among Public Servants Attending Senior Management Course in Kenya
Authors: Kimotho Susan , Okello Osoo 
Published: January 2025

Purpose: The aim of this study was to establish the relationship between work environment and work performance of employees in public service in Kenya. This was necessitated by the numerous challenges faced by public servants amidst the budgetary constraints and increased taxes making the work environment laced with high stress levels that are either work-related or personal. The study therefore sort to determine the factors within the work environment and how they influence an employee’s work performance.
Methodology: The research design adapted was use of cross-sectional research survey, the target population was Public Servants represented by KSG Senior Management Course class 409/2023. The sample was 76 of the 112 public servants in the SMC 409/2023 class selected through simple random sampling. Data was collected using structured questionnaires, data analysis done descriptively and inferentially using Microsoft Excel and SPSS version 27. The results were presented through use of pie charts and tables.
Findings: 96.1% percent of the respondents believed that the work environment positively affected their job performance, which is 72 respondents, while 1.3% believed that it does not, which is only one respondent. Two respondents were unsure if the work environment affects their job performance. In the measurement of the extent of the work environment influencing their performance, 59.7% of them (46) agreed that it has very strong effects. 24.7% (19) respondents believed that work environment has a strong impact on their performance, 7.8% were not sure if it has or doesn't, 5.2% (4) respondents disagreed that each has an effect on the performance, while two people strongly disagreed if it has which is 2.6 percent. 46.8%, that is 36 people, were satisfied with their current work environment. 6.5%, which is five people, were very satisfied with their current work environment. 23.4%, 18 respondents, were neither satisfied nor dissatisfied with their current work environment, 16.7% (13) respondents were dissatisfied with their current work environment, and 5, 6.5%, were very dissatisfied with their current work environment.
Unique contribution to Theory, Practice and Policy: This study findings were important for theory because they brought forth new information about the levels of work performance among public servants. For practice, the study will guide on measures that can be done as recommendations to improve work performance and In Policy, the public service can utilize data from this study to improve on their work place policies to inculcate the unique needs of public servants thus hoping implementation will promote work performance.
Responsabilidad tributaria en cadena: más madera. STS de 24 de julio de 2024, rec. Núm. 991/2023
Authors: Eseverri Martínez Ernesto 
Published: January 2025

En casos excepcionales de la llamada responsabilidad «en cadena», el responsable solidario del art. 42.2 LGT puede impugnar el acto de derivación de su responsabilidad con fundamento en la declaración de fallido del deudor principal que, a su vez, sirvió de presupuesto para declarar como deudor tributario a un responsable subsidiario.
Surat Pernyataan Hibah Sebagai Alat Bukti Dalam Hukum Acara Perdata (STUDI KASUS PUTUSAN NOMOR:0160/Pdt.G/2015/PA.Bgl)
Authors: Zakiyah Adinda Rizqi , Sulatri Kristina , Sukron Ahmad 
Published: January 2025

Proses penyelesaian perkara dalam pembuktian hukum acara perdata, terkadang menjumpai suatu permasalahan di mana para pihak yang berperkara masih kurang memahami dasar - dasar dan ketentuan dari suatu alat bukti. Salah satunya ialah terdapat pada contoh kasus dalam putusan perkara Pengadilan Agama Bangil nomor:0160/Pdt.G/2015/PA.Bgl. Pada kasus ini pihak yang mengajukan gugatan pembatalan hibah menyertakan sebuah alat bukti akta di bawah tangan dalam bentuk surat pernyataan hibah, dan hanya di waarmeking di notaris tanpa menyertakan tanggal pembuatannya. Dalam hal ini surat pernyataan hibah masih belum cukup untuk memenuhi unsur - unsur serta dasar dari suatu perbuatan hukum. Sehingga dalam kedudukan dan kepastian hukum dari surat pernyataan hibah sebagai alat bukti masih diragukan. Untuk menjawab permasalahan tersebut digunakan metode penelitian hukum normatif dengan pendekatan analitis. Hasil analisis dari penelitian ini menyatakan bahwa Surat (akta) pernyataan dibawah tangan sebagai alat bukti memiliki kedudukan hukum berdasarkan pada 3 macam syarat yaitu, pertama diakui kebenarannya yang berdasar pada Pasal 1875 KUHPerdata, kedua surat pernyataan harus di periksa dipersidangan menyesuaikan ketentuan Yurispudensi Mahkamah Agung No.3901 K/Pdt/1985, dan terakhir didukung dengan alat bukti yang lain. Selain itu dalam mencakup kepastian hukum dari surat pernyataan hibah yang mendasari pada prsoses nya ijab/qobul pada kasus tersebut, harus memenuhi unsur dan syarat yang diatur dalam Pasal 682 (2) dan Pasal 687 (KHES).