bluuebunny/crossref_metadata_2025_split huggingface dataset:
URETHRAL INJURY IN REGIONAL HOSPITAL IN THE BPJS ERA: A CASE REPORT
Authors: Muhammad Omar R  , Muhammad Taufiq Reza  
Published: September 2023

ABSTRACT
Objective: To present a case of urethral injury treated in a male adult. Case(s) Presentation: A 48 year old Asian male patient previously involved in a motor vehicle accident presented to the hospital with a chief complaint of pain and bleeding from the genitalia. On examination, it is revealed bleeding from the urethral meatus, pain in touch, palpable bladder, high riding prostate, and a butterfly-shaped bruising on the perineum. X-ray examination demonstrated soft tissue mass in the right scrotal region. The patient is diagnosed with urethral rupture with urinary retention and then underwent ultrasonography-guided cystostomy and perineal hematoma evacuation. The patient is followed-up 1 month later with a complaint of difficulty in voiding and erectile dysfunction. The patient is then diagnosed with urethral stricture and underwent direct vision urethrotomy. Discussion: Urethral injury is a rare type of injury of genitourinary trauma that may cause long term morbidity such as strictures, incontinence, impotence, and infertility. Urethral injury can be classified into posterior urethral injury which is associated with pelvic fracture and anterior urethral injury which is associated with blunt trauma. The gold standard of radiographic examination in urethral injury is dynamic retrograde urethrography. Prompt diagnosis, staging, and selecting intervention must be done for minimalizing complications. Sequelae may also develop which also affects quality of life. The usage of universal health coverage such as BPJS in In Indonesia can increase the accessibility of medical treatment. Conclusion: Urethral injury is a rare injury that requires prompt and careful management to minimize complications and increase the patient’s quality of life.
Keywords: Urethral Injury, urethrotomy, urethral stricture.
RISK FACTORS ASSOCIATED WITH FEMALE SEXUAL DYSFUNCTION IN MARRIED WOMEN WORKING IN HEALTH CARE SYSTEM
Authors: Ridwan Fanny Riana , Ali Zulfikar , Gautami Hidayah Kemala , Faradila Utari Nazlah , Innayah Ulfa 
Published: September 2023

ABSTRACT
Objective: In this study, we want to evaluate the risk factors associated with sexual dysfunction in married women working in health care system. Material & Methods: The sexual function was assessed in the questionnaire using Female Sexual Function Index (FSFI). The analysis was conducted using chi-square test or Fisher Exact Test. Results: All participants who were overweight/obese had highest pain problem (p-value 0.034). Women with diabetes mellitus had higher satisfaction problems (p=0.002, OR 13.13, CI 1.73-99.91). The females who used contraception had significantly lower orgasm problems (p<0.004, OR 0.33, CI 0.15-0.72. Participants who worked as medical staff such as nurse/midwife, pharmacist, radiographer had higher pain problems (71.43%) compared to medical staff (administration staff) (OR 27.47, CI 3.73-202). Conclusion: The BMI (overweight/obesity), diabetes mellitus, the use of contraception, and the medical occupation were the significant risk factors to sexual dysfunction problem in women working in the hospital.
Keywords: Female sexual dysfunction, working women, hospital.
URINARY DIVERSION AFTER RADICAL CYSTECTOMY, ORTHOTOPIC NEOBLADDER VS ILEAL CONDUIT: A SYSTEMATIC REVIEW AND META-ANALYSIS OF POSTOPERATIVE COMPLICATION
Authors: Fahri Muhammad , Gampo Alam Irdam  
Published: September 2023

ABSTRACT
Objective: The purpose of this study is to compare orthotopic neobladder (ONB) and ileal conduit (IC) formation in terms of surgical outcome and complication. Material & Methods: Computerized bibliographic search on different databases related to this study. The PICO criteria method was applied to define research eligibility, per PRISMA recommendations and conducted a systematic review of the literature with meta-analysis. Weighted mean differences with 95 percent confidence intervals were used to compare continuous outcomes. Results: There were 479 publications were discovered and only 6 studies fulfilled the criteria included. The random-effect model's pooled result for urinary leakage complication revealed a significant difference of 1.62 between ONB and IC with higher incidence in neobladder group (95 percent CI, 1.85, 8.69, P = 0.0004) with non-significant heterogeneity (Chi2 = 0.65, df = 3 (P = 0.89), I2 = 0%). Other complications (ileus complication, anastomosis site stenosis, sepsis, urinary infection) showed non-significant difference. Conclusion: Because of the heterogeneity in several aspects of the analyzed papers, further study comparing Orthotopic Neobladder and Ileal conduit in terms of complication following urinary diversion are needed to conﬁrm superiority of ONB or IC as the urinary diversion of choice.
Keywords: Orthotopic neobladder, ileal conduit, urinary diversion, radical cystectomy
LONG URETERIC STRICTURES MANAGED BY USING BUCCAL MUCOSAL GRAFTS
Authors: Nerli Rajendra , Patel Keyur , Rai Shreyas , Jogula Abhinay , Jasuja Pranav , Setya Nishant 
Published: September 2023

ABSTRACT
Objective: This study aims to describe the reconstruction of long ureteric strictures using buccal mucosal patch grafts and to report the short term outcome. Material & Methods: We retrospectively looked at our hospital inpatient and outpatient records of all patients who underwent surgical treatment for benign ureteric strictures. Imaging records and films, histopathological reports were reanalysed. The short term outcomes were also noted. Results: During this 10 years’ study period 8 patients (six Males and two Females) underwent 10 buccal mucosal grafts procedures. The mean age of the patients was 36.25 years and the mean length of the stricture was 7.13.41 cm. There were intraoperative complications noted and none of the patients needed either intra or post-operative blood transfusions. Serum creatinine remained stable at 6 and 12 weeks after surgery. Radioisotope renograms done 12-16 weeks after surgery showed improvement in function on the affected sides in all patients with adequate drainage. Conclusions: Buccal mucosal patch grafting and omental wrapping is feasible, effective, less complicated and associated with good outcomes at short term follow-up.
Keywords: Reconstruction, ureteric stricture, buccal mucosa.
HIGH FLOW PRIAPISM IN 7 YEARS-OLD BOY AFTER ACCIDENTALLY CONSUMING APHRODISIAC CHOCOLATE: A CASE REPORT
Authors: Samudra Fathan Satria , Seputra Kurnia Penta , Daryanto Besut , Nurhadi Pradana 
Published: September 2023

ABSTRACT
Objective: This case report aimed to present our experience of conservative treatments for High Flow Priapism in children. Case(s) Report: A 7 years old boy presented with persistent and painless erections without sexual stimulation for 24 hours, the erection was first noticed when he woke up in the morning after accidentally consuming aphrodisiac chocolate 2 days before admitted to the hospital. There was no previous history of priapism and trauma or other risk factors. Discussion: Laboratory studies were within normal limits. Physical examination revealed a fully erect, nontender penile with rigid corpora cavernosa, soft glans, and erection hardness scale (EHS) 3. A cavernosal blood gas analysis was collected with the following values PH 7.41, pO2 117,7 mmHg, and pCO2 24, 8 mmHg. With diagnosis of High Flow Priapism, he was observed and got conservative treatments; ice and site-specific compression and after that EHS become 1. On follow-up after 2 months reported that patient had normal erections with no further episodes of priapism. Conclusion: High flow priapism in old boy after accidentally consuming aphrodisiac chocolate can managed by conservative therapy with favourable outcome.
Keywords: Aphrodisiac chocolate, penile erection, priapism.
Pengaruh Self Efficacy dan Fleksibilitas Kerja Terhadap Kinerja Karyawan dengan Kepuasan Kerja sebagai Variabel Mediasi
Authors: Findriyani Findriyani , Parmin Parmin 
Published: September 2023

Penelitian ini bertujuan untuk menguji dan menganalisis pengaruh self efficacy dan fleksibilitas kerja terhadap kinerja karyawan dengan kepuasan kerja sebagai variabel mediasi pada karyawan PT Sung Shim Internasional Cabang Sempor. Metode pengambilan sampel yang digunakan adalah teknik non-probability sampling dengan teknik sampling jenuh. Sampling jenuh adalah teknik penentuan sampel bila semua anggota populasi digunakan sebagai sampel. Responden pada penelitian ini adalah semua karyawan PT Sung Shim Internasional Cabang Sempor yang berjumlah 59 karyawan. Penelitian ini menggunakan metode analisis deskriptif dan analisis statistik dilakukan uji validitas, uji reliabilitas, uji multikolinearitas, uji heterokedastisitas, uji normalitas, uji korelasi, koefisien determinasi, uji t, analisis jalur, perhitungan pengaruh dan uji sobel. Alat bantu pengolahan data yang digunakan adalah SPSS for Windows versi 25. Hasil penelitian ini menunjukkan bahwa (1) self efficacy berpengaruh positif dan signifikan terhadap kepuasan kerja karyawan PT Sung Shim Internasional Cabang Sempor. (2) fleksibilitas kerja berpengaruh positif dan signifikan terhadap kepuasan kerja karyawan PT Sung Shim Internasional Cabang Sempor. (3) self efficacy berpengaruh signifikan terhadap kinerja karyawan PT Sung Shim Internasional Cabang Sempor. (4) fleksibilitas kerja berpengaruh positif dan signifikan terhadap kinerja karyawan PT Sung Shim Internasional Cabang Sempor. (5) kepuasan kerja berpengaruh positif dan signifikan terhadap kinerja karyawan PT Sung Shim Internasional Cabang Sempor. (6) kepuasan kerja dapat memediasi antara self efficacy dengan kinerja karyawan. (7) kepuasan kerja dapat memediasi antara fleksibilitas kerja dengan kinerja karyawan.
Analisis Pengaruh Semangat Kerja, Promosi Jabatan dan Kompetensi Terhadap Kinerja ASN di Sekretariat Daerah Kabupaten Simeulue
Authors: Yayan Muhammad 
Published: September 2023

Abstract
The problem in this study is that the performance of the Regional Secretariat of Simeulue Regency is still not optimal, this is motivated by the not yet maximal application of the Job Promotion variable while the Work Spirit and Competence variables are considered to have been running well as a State Civil Apparatus. The purpose of this study was to analyze the influence of work morale, position promotion and competence on the performance of ASN at the Regional Secretariat of Simeulue Regency either simultaneously or partially. The research method used is a quantitative survey research method with a population of 87 people, namely all employees both in positions and at the staff level. The type of data or information used is primary data with data collection techniques through questionnaires and literature studies. The data analysis technique was carried out using a data analysis approach of validity, reliability and classical assumption test, then multiple linear regression analysis, determination test, simultaneous test and partial test were carried out. The findings from the results of this study simultaneously the variables of Work Morale, Position Promotion and Competence have a positive effect on improving performance. while partially, only two independent variables have a positive effect, namely the work spirit variable and the competence variable, while the job promotion variable has no positive effect on performance, this is influenced by other indicators outside the analysis of this study.
Fasilitas E-Commerce (Lazada) Meningkat Minat Beli Masyarakat Indonesia
Authors: Nasution Muhammad Iqbal , Suci Indriani , Nurbaiti Nurbaiti 
Published: September 2023

Jurnal ini bertujuan untuk mendata sekaligus mensurvei daya beli masyarakat dengan meningkatkannya Fasilitas E-Commerce (Lazada) tersebut. Penelitian Ini menggunakan semacam Metode yaitu ekspanatori research berdasarkan pendekatan kuantitatif. Metode Penelitian yang dipakai saat ini adalah tentu nya dengan menggabungkan berbagai survey yang di social media. Lazada merupakan sebuah Aplikasi e-commerce yang berbasis penjualanan melalui online. Lazada sendiri cukup terkenal di kalangan masyarakat Indonesia, Akan tetapi jika Platform ini tidak ingin ketinggalan oleh yang lain maka harus memikirkan sebuah kebijakan yaitu pembaharuan dalam hal Fasilitas yang bisa memberi kenyamanan terhadap konsumennya. Dalam hal ini tentu merupakan sebuah Tantangan dimana dalam hal kebijakan, strategi, fasilitas dan cara pengelolaannya juga harus bisa lebih modern dan berbeda dari yang lain.
TopoRadio
Authors: Silberberg Eric 
Published: September 2023

This article analyzes the construction of TopoRadio (toporadio.org), an interactive map that showcases publications and archives about Spanish-language radio in the U.S. The map aims to promote a more inclusive and comprehensive representation of U.S. radio history by improving the visibility of contributions from Latinx broadcasters. The article addresses how map-making historically suppressed Spanish-language radio programs and proposes using critical cartography as a framework for mapping back this history. The technical elements of TopoRadio, including publication selection criteria, metadata design, geocoding process, and the appraisal of Geographic Information Systems (GIS) software, are described to provide scholars with a reproducible method for creating interactive mapping projects. The article concludes with an assessment of the map's effectiveness as a research tool and an analysis of the publications in the field of Spanish-language radio studies included on the map.
Self-breeding Fake News
Authors: P R BIJU , Gayathri O  
Published: September 2023

Studies have found that artificial intelligence (AI) bots and cookies automate fake news in zones of social conflict such as race, religion, gender, and class. In this background, this paper investigates whether fake news is automated with the social structure unique to India. The research collected campaigning activities of political parties and politicians on the Internet but was limited to a select number of Facebook profiles, websites, hashtags, and Twitter profiles during India’s 2014 and 2019 general elections. Politicians and political parties on Twitter, Facebook and other websites formed the contact points where empirical data were collected in the research design. By reviewing hashtags such as #Nationwantsrammandir; #NaamVaapsi; #RamMandir; #AntiNationals; #caste; and #Hindutva, as well as fake social media accounts; discussion forums; and profiles of followers of politicians, the paper corroborated that bots, AI, and trolls serve fake news in the conflict zones of India and some forces are using it to perpetuate social divisions based on caste, class, religion, gender, and region. This paper argues that automated social media accounts spread false information that likely polarizes social conflicts in India.
Implementasi Model Pembelajaran Life Kinetic Terhadap Peningkatan Atensi Belajar Siswa Sekolah Dasar
Authors: Susilawati Dewi , Suherman Ayi , Rahman Aam Ali , Herdiansyah Herdiansyah 
Published: September 2023

Tujan kegiatan ini dilaksanakan dalam rangka meningkatkan kualitas guru dalam melakukan proses pembelajaran melalui berbagai model. Peneliti mencoba memberikan pembelajaran menggunakan model Life Kinetic dalam rangka peningkatan atensi belajar siswa yang dilihat dari tingkat atensi siwa di salah satu sekolah dasar, Kecamatan Cisitu, Kabupaten Sumedang. Kegiatan pengabdian yang dilakukan ini berupa kegiatan sosialisasi dan implementasi model pembelajaran Life Kinetic dalam pembelajaran penjas bagi guru-guru penjas yang ada di Sumedang. Dari hasil implementasi tersebut diperoleh hasil pembelajaran meningkat sejalan dengan atensi belajar siswa melalui model Life Kinetic. Hasil evaluasi setelah dilakukan sosialisasi penggunaan tentang model ini menunjuk bahwa program tersebut telah memenuhi kebutuhan guru-guru serta telah dirasakan manfaatnya. Secara umum bahwa hasil implementasi model pembelajaran Life Kinetic ini sangat bermanfaat, khususnya bagi guru-guru pendidikan jasmani.
Penilaian Karakteristik Siswa Untuk Pembelajaran Yang Efektif Di SMA Negeri 1 Purwakarta
Authors: Destiany Agnesh Prima , Robandi Babang 
Published: September 2023

Dalam pendidikan sekolah menengah, mengembangkan metode pengajaran yang efektif sangat penting untuk memastikan bahwa siswa tidak hanya belajar tetapi juga berkembang dalam pengejaran akademis mereka. Salah satu pendekatan untuk mencapai hal ini adalah dengan memahami dan memenuhi karakter siswa. Penilaian karakter siswa adalah aspek penting dalam dunia pendidikan yang melibatkan evaluasi aspek non-akademik dari siswa, termasuk nilai-nilai moral, sikap, keterampilan sosial, dan kepemimpinan. Dalam konteks siswa SMA, karakter siswa yang baik memainkan peran yang krusial dalam keberhasilan akademik dan masa depan mereka. Penilaian karakter menjadi proses penting untuk menentukan metode pembelajaran yang paling efektif untuk siswa. Artikel ini bertujuan untuk menganalisis dan menguraikan pentingnya penilaian karakter siswa dalam menentukan metode pembelajaran pada siswa di SMA Negeri 1 Purwakarta. Dalam artikel ini, kita akan mengeksplorasi pentingnya memahami sifat-sifat karakter siswa dalam metode pengajaran yang efektif, teknik untuk mengidentifikasi sifat-sifat karakter siswa, dan langkah-langkah untuk mengembangkan dan menerapkan metode pengajaran yang memenuhi sifat-sifat karakter yang berbeda.
Light At The End Of The Tunnel? The Staging of Expertise During the COVID-19 Vaccination Campaign
Authors: Prettner Robert , Molder Hedwig te , Hajer Maarten A. , Vliegenthart Rens 
Published: September 2023

In this paper, we compare the governmental and public framings of expertise in the Dutch Covid-19 vaccination campaign in the period between January 1st and April 30th, 2021. Specifically, we collected all statements regarding vaccination on three interrelated stages: (1) the official press conferences; (2) Twitter, for responses to government policies; and (3) political motions that were put forward by Members of Parliament in the days following the press conferences. We combine an interactional framing approach with a discursive psychological perspective to get insights into how framings between stages modify, contest, or build upon each other. We argue that the press conferences show a persistent technocratic framing, in the sense that a direct line between science and policy is assumed and promoted. Unlike the first period of the COVID-19 crisis in 2020, experts are not often quoted initially, but key political actors themselves act as responsible for the message that there is light at the end of the tunnel, if only citizens will get vaccinated. Once the AstraZeneca vaccine comes under fire, however, experts are again held accountable for the policy message. Throughout, governmental policies are disputed on Twitter and in Parliament, albeit in different ways, by making hidden moralities relevant, such as the government’s assumed complacency, rigidity, and inability to explain policies with the available evidence.
Interspecies comparison of the early transcriptomic changes associated with hepatitis B virus exposure in human and macaque immune cell populations
Authors: Roca Suarez Armando Andres , Planel Séverine , Grand Xavier , Couturier Céline , Tran Trang , Porcheray Fabrice , Becker Jérémie , Reynier Frédéric , Delgado Ana , Cascales Elodie , Peyrot Loïc , Tamellini Andrea , Saliou Adrien , Elie Céline , Baum Chloé , Vuong Bao Quoc , Testoni Barbara , Roques Pierre , Zoulim Fabien , Hasan Uzma , Chemin Isabelle 
Published: September 2023

Background and aimsHepatitis B virus (HBV) infection affects 300 million individuals worldwide, representing a major factor for the development of hepatic complications. Although existing antivirals are effective in suppressing replication, eradication of HBV is not achieved. Therefore, a multi-faceted approach involving antivirals and immunomodulatory agents is required. Non-human primates are widely used in pre-clinical studies due to their close evolutionary relationship to humans. Nonetheless, it is fundamental to identify the differences in immune response between humans and these models. Thus, we performed a transcriptomic characterization and interspecies comparison of the early immune responses to HBV in human and cynomolgus macaques.MethodsWe characterized early transcriptomic changes in human and cynomolgus B cells, T cells, myeloid and plasmacytoid dendritic cells (pDC) exposed to HBV ex vivo for 2 hours. Differentially-expressed genes were further compared to the profiles of HBV-infected patients using publicly-available single-cell data.ResultsHBV induced a wide variety of transcriptional changes in all cell types, with common genes between species representing only a small proportion. In particular, interferon gamma signaling was repressed in human pDCs. At the gene level, interferon gamma inducible protein 16 (IFI16) was upregulated in macaque pDCs, while downregulated in humans. Moreover, IFI16 expression in pDCs from chronic HBV-infected patients anti-paralleled serum HBsAg levels.ConclusionOur characterization of early transcriptomic changes induced by HBV in humans and cynomolgus macaques represents a useful resource for the identification of shared and divergent host responses, as well as potential immune targets against HBV.
Left atrial function index predicts poor outcomes in acute myocardial infarction patients treated with percutaneous coronary intervention
Authors: Tang Yijin , Peng Siling , Yao Hui-ling , Liu Zhibin , Zhang Liang , Zhong Changqing , She Chang , Liu Wei , Tang Yi , Fu Qinghua , Zhang Yi 
Published: September 2023

Background and aimsThe left atrial function index (LAFI) is an index that combines the left atrial emptying fraction, adjusted left atrial volume and stroke volume. The prognostic value of LAFI in acute myocardial infarction (AMI) patients treated with percutaneous coronary intervention (PCI) is unknown. This study aims to determine whether LAFI predicts prognosis in AMI patients treated with PCI.MethodsPatients with newly diagnosed AMI who were treated with PCI at Hunan Provincial People's Hospital from March 2020 to October 2021 were prospectively enrolled. All patients underwent transthoracic echocardiography (TTE) at baseline and follow-up. The endpoint events included rehospitalization due to unstable angina, nonfatal myocardial infarction, rehospitalization due to heart failure and cardiovascular death.ResultsA total of 368 patients with AMI (92 women; mean age, 61.45 ± 11.91 years) were studied with a median follow-up of 14 ± 6.58 months. Sixty-nine patients had endpoint events. Patients who presented with events had a significantly lower LAFI than patients without events (34.25 ± 12.86 vs. 48.38 ± 19.42, P &lt; 0.0001). Multivariate Cox analysis demonstrated that LAFI (HR = 0.97 [95% CI: 0.95; 0.99]; P = 0.012) and the Killip classification (HR = 1.51 [95% CI: 1.03; 2.22]; P = 0.034) were independently predictive of endpoint events. Kaplan–Meier survival curves showed that patients with LAFI ≤ 40.17 cm/ml/m2 had higher events than patients with LAFI &gt; 40.17 cm/ml/m2 (HR = 8.53 [95% CI: 4.74; 15.35]; P &lt; 0.0001).ConclusionLAFI is a strong and independent predictor of adverse events and can be used for risk stratification in patients with AMI treated with PCI.