bluuebunny/crossref_metadata_2025_split huggingface dataset:
Omeprazole (Risek®) Use in Inpatient and Outpatient Departments: A Post-marketing Surveillance Investigation
Authors: Kamal Khan Jahanzeb , Danish Syed Hasan , Shaikh Muhammad Nauman , Mahmud Rizwan , Shafqat Saima , Usama Muhammad 
Published: May 2023

Proton pump inhibitors (PPIs) are widely used for the treatment of acid-related gastrointestinal disorders. However, their overuse or inappropriate prescription can lead to adverse effects, increased healthcare costs, and development of antibiotic-resistant infections. Objectives: To ascertain whether the Omeprazole (Risek®)-PPIs prescription patterns by practitioners in the inpatient and outpatient departments of various healthcare facilities in Pakistan are in compliance with the therapeutic indications and to evaluate the safety profile associated with each therapeutic indication. Methods: A cross-sectional multicenter study was conducted for 4 months at various healthcare facilities inpatient and outpatient departments. A total of 1384 patients ≥ 18 years prescribed Omeprazole (Risek®) were enrolled while pregnant or lactating women, patients with chronic diarrhea, those with a history of Omeprazole allergic reaction, and with diagnosed malignancy of the GI tract were excluded. The drug use was determined based on the prescribed frequency, dosage, and duration of therapy with respect to each indication. Results: Of the total, 29.8% were already taking oral PPI or Histamine H2-Receptor Antagonists. The common indication for Omeprazole (Risek®) was Gastroesophageal Reflux Disease (GERD), followed by peptic ulcer. Mostly the drug was infused/injected in 40 mg dosage, once daily and for five days among 76.6% and 41.8%, respectively. Around 13.3% of patients experienced mild adverse events like flatulence, fever, vomiting, abdominal pain, constipation, diarrhea, nausea, rash, etc. Most off-label uses were observed in GERD concerning the duration of therapy (55.9%), prescribed frequency (19.7%), and dosage (5.9%). The Omeprazole (Risek®) treatment was also prescribed for stress ulcer prophylaxis and upper GI bleeding against the treatment protocol for the particular therapeutic indication. The adverse events were most frequent among patients with GERD, followed by NSAID-induced ulcers. Conclusions: This study provides clinical evidence on the Omeprazole (Risek®) use in concordance with the product label, in both inpatient and outpatient departments of Pakistan for various therapeutic indications.
Comparison of Intra Cardiac Echo (ICE) Guided Verses Non- Intra Cardiac Echo Radiofrequency Catheter Ablation of Cavotricuspid Isthmus Dependent Atrial Flutter
Authors: Ahmad Salman , Ahmad Khan Zahoor , Zahid Ayesha , Ikram Jibran , Aslam Awan Zahid 
Published: May 2023

The isthmus-dependent atrial flutter can be effectively treated with Radiofrequency (RF) catheter ablation. Objectives: To compare the ICE guided versus non-ICE radiofrequency catheter ablation of Cavo tricuspid isthmus dependent atrial flutter. Methods: A cross-sectional study was carried out on 40 patient’s atrial flutter data in the Cardiac Electrophysiology Department, Hayatabad medical Complex Peshawar, Pakistan from August 2017 to August 2022. Patients were categorized into two groups: Group-I (ICE-guided RF catheter ablation) and Group-II (non-ICE RF catheter ablation). The standard protocol of ablation was followed using 40-50 watts power at temperature 60oC. In the case of an irrigated cooled tip catheter, the flow was limited to 30 mL/hour and the power was limited to 30 watts. Results: The overall mean ablation and flouro time was 9.44 ± 6.93 minutes and 20.64 ± 9.77 minutes respectively. The frequency of patients in Group-I and Group-II was 29 (72.5%) and 11 (27.5%) respectively. Out of the total patients, about 8 (20%) patients had shown failed status in terms of procedure success, out of which 5 (62.5%) were from Group-II. Compared to non-ICE guided procedure, the ICE guided procedure had lesser flouro and ablation time with higher rate of success and lower complications and recurrence. Conclusions: The present study observed that intracardiac echocardiography (ICE) can effectively disclose the Cavo tricuspid isthmus and guide ablation anatomy. Additionally, ICE guided radiofrequency catheter ablation had higher success rate, less flouro and ablation time, and lower complications than non-ICE guided radiofrequency catheter ablation.
Robotics Process Automation (RPA) and Project Risk Management
Authors: Al Zarooni Latifa , El Khatib Mounir 
Published: May 2023

Abstract
The Robotics process is a technological software program to improve digital technology systems. The robotic process identifies the factors to process data in a digital security system to mitigate risk in managing projects. Atisalat is a renowned company that successfully utilizes a robotic process in their service, and they are the pioneer in using the robotic system in UAE. By adopting the process, they have facilitated the digital model development objective of UAE through VISION 2021.
Digital transformation in project management is analyzed to change adaptability and shift of cultural processes both in adopting new technologies and project management. The robotic process also helps Etisalat to secure the position of the 4th strongest brand in the world. Technological innovation changes the system of network channels. The company implemented Pega centralized decision engine through the robotic system for implementing the best-personalized action and to address the gap in professional communication. The software robots used by the company support to make the back-office task 70% faster than before with accuracy. The robotic process enhances telecommunication systems and also develops the industry related to telecommunication. Technology adaptation through the introduction of an RPA system improves customer experience and serves excellence to get revolutionized with AI. Society also gets accustomed to using technology for fun.
Critical Evaluation on Business Excellence Models (BEM) – A Case Study
Authors: Alqurashi Maryam , Alnuaimi Alreem , Alshaer Amna , El Khatib Mounir 
Published: May 2023

ABSTRACT
When looking at companies that have adopted TQM as part of their corporate strategic planning, DEWA stands out as one of the most successful. Examining the specifics of DEWA's strategy and the rules it follows to be an innovative corporation is essential to understand how the company got successful. This research analyzes quality management and discusses various topics relevant to Excellence and TQM. Subsequently, how DEWA practices and implements overall quality management, with an emphasis on multiple divisions, where several patent applications have been filled. The results indicate that DEWA systematically assesses its quality management concepts highlighting TQM and the BEM they use (EFQM) to ensure they are in line with the strategy of the business and the global innovation index. Due to organization’s high level of implementation and focus on quality, no major gaps were observed. However, there is always a need to maintain forward momentum, in which it requires the company's concepts to be in sync with all these principles (TQM & BEM) along with ISO, and risk management.
FORENSIC ACCOUNTING IN INDIA: AN EXPLORATION OF EDUCATION, PRACTICE, AND CAREER OPPORTUNITIES
Authors: Dave Nirali , Patel Dharini 
Published: May 2023

Forensic accounting gained popularity in India following the Enron, Rajat Gupta, and Satyam cases. Few chartered accounting firms specialize in fraud investigation as a practice area. The big four consulting firms Deloitte, KPMG, PricewaterhouseCoopers, and Ernst & Young control a large portion of this industry. Forensic accounting should be included in the curriculum at undergraduate and postgraduate levels across the country. This will help corporations and governments keep a lid on crime at the outset, writes Shashank Joshi. Forensic accounting is an area where forensic accountant examines financial information to detect and investigate financial fraud. ICAI has incorporated a Certified Course on Forensic Accounting and Fraud Detection for practicing CAs. 40% of the top American accounting firms are expanding their offerings to include fraud and forensics. Many accountants in India lack the expertise and knowledge required to conduct forensic accounting or fraud detection effectively. This course is crucial in India because it ensures that accountants can provide reliable testimony in court and during criminal investigations. Through this course, accountants in India can learn how to apply their accounting, auditing, and investigation skills to spot financial irregularities and gain a thorough understanding of the idea of forensic accounting. CFAPs are qualified individuals with the knowledge to look into cases of fraud, money laundering, and other financial crimes. The primary goal of CFAPs is to close the communication gap between financial data and legal proceedings. They do this by utilizing the most recent tools and technologies. A forensic accounting course may be included as a separate subject in the university curriculum.
ANALISIS STATISTIK UNTUK MENENTUKAN PENGARUH KEMAGNETAN DAN FRAKSI TERHADAP EKSTRAKSI Al2O3 PADA PROSES MAGNETIC SEPARATION
Authors: Winarni Sri , Suryo Stefanus , Sunengsih Neneng 
Published: May 2023

Penelitian ini mengkaji analisis statistik pada proses magnetic separationmineral Al2O3. Percobaan dilakukan oleh Pusat Penelitian dan Pengembangan Teknologi Mineral dan Batubara (Puslibang tekMIRA). Dicobakan faktor kekuatan medan magnet (kemagnetan) dan ukuran mineral (fraksi). Pengukuran yang dilakukan pada proses magnetic separationini berupa persentase kadar Al2O3. Tujuan penelitian ini adalah mendapatkan kombinasi perlakuan dari faktor kemagnetan dan fraksi yang menghasilkan kadar Al2O3 terbaik. Metode analisis statistik yang digunakan adalah Anova dan uji lanjut Duncan. Pengujian asumsi Anova dilakukan dan didapatkan bahwa asumsi kenormalan dan kehomogenan ragam residual terpenuhi sehingga hasil pengujian dijamin valid. Hasil yang diperoleh adalah pada faktor kemagnetan, kekuatan medan magnet 7500 gauss menghasilkan kadar Al2O3 tertinggi dengan rata-rata sebesar 57,25% dan standar deviasi sebesar 1,62. Pada faktor fraksi, kadar Al2O3 tertinggi dihasilkan oleh fraksi -30+60 mesh (F2) dengan ratarata 57,39% dengan standar deviasi 1,79.
PEMANTAUAN PERGERAKAN TANAH PADA JEMBATAN TOL SEMARANG–SOLO (JEMBATAN PENGGARON) MENGGUNAKAN GPS–REAL TIME KINEMATIC
Authors: Harmoko Antonius Alex , Hespiantoro Suryo 
Published: May 2023

Menurut laporan PT Trans Marga Jateng, pada Maret 2011 diidentifikasi adanya perubahan kondisi Jembatan Penggaron yang terletak di ruas jalan tol Semarang–Solo km 20-21. Perubahan tersebut terindikasi karena adanya pergerakan tanah sehingga terjadi erosi dan amblesan di sebelah kiri timur Jembatan Penggaron. Akibat dari pergerakan tanah tersebut timbul rekahan pada expansion jointdi sisi kanan dan terjadi penurunan tanah. Berdasakan hal tersebut, dilakukan pemantauan gerakan tanah dengan mempelajari data geologi, kejadian gerakan tanah, geomorfologi, keairan, curah hujan, penggunaan lahan, dan pemasangan patok. Metode yang digunakan berupa patok geser yang diukur menggunakan Global Position System(GPS)–Real-time Kinematic (RTK) untuk mendapatkan vektor posisi dengan akusisi tinggi. Hasil Pengukuran menunjukkan bahwa ada beberapa titik pada patok geser yang mengalami adanya perubahan antara 0,7–69 cm pada 6 titik patok geser. Pergeseran secara horizontal menunjukkan arah vektor ke selatan dan tenggara, dan buang. Secara vertikal besar perubahan kenaikan patok berkisar 2–13 cm dan penurunan patok sekitar 0,7–17,5 cm dalam kurun waktu 10 bulan pada Februari dan November 2018.
Successful Treatment of Urolith in a Neutered Persian Cat: A Case Report
Authors: Asadi Ardebili Ahmad , Razavi Seyed Amin 
Published: May 2023

Introduction: Uroliths or calculi are the formations of stones in the bladder. The formation of stones is influenced by specific metabolic conditions such as nutritional factors (e.g., protein-rich diet), hydration (lack of water), pH modification, low urine volume, hypercalcemia, or hypophosphatemia. In pet medicine, urolithiasis is common, particularly in cats.
Case report: In October 2022, a 2-year-old neutered male Persian cat with a weight of 4 kg was referred to Ardebili Veterinary Pet Clinic (Mashhad, Iran) due to urinating outside the litter box, painful urination, and blood in the urine. A physical examination, ultrasonography, and blood analysis were performed. The physical examination included an assessment of the cat’s body temperature, heart rate, respiratory rate, mental state, mucous membrane color, capillary refill time, cardiopulmonary auscultation, and abdominal palpation. The cat appeared to be in good general health. No abnormalities were detected during the palpation of the bladder. Ultrasonography was performed using a real-time scanner with a 7.5-10 MHz broadband curvilinear probe, and the kidney parenchyma was examined. During the examination, a urolith with a size of 1 mm was observed. According to history and ultrasonography, and physical examination, the diagnosis was urolithiasis. To treat intermittent bladder pain, a spasmolytic drug (Prazosin) was administered at a dose of 0.5 mg/kg for 7 days. By the second day, the symptoms of pain had subsided.
Additionally, ciprofloxacin at 20 mg/kg was used to combat infections. Fluoxetine at a 1 mg/kg dose was also administered to control inappropriate urination outside the litter box. After 3 days, the owner reported that the pet’s health improved, and most clinical signs disappeared.
Conclusion: Administering appropriate medication (spasmolytic drug, antibiotic, and antidepressant in case of depressed animal and behavioral problems) can alleviate the calculi crystals in a cat’s urinary bladder and prevent future recurrences. In this instance, fluoxetine was discovered to be a successful option for managing pain and solving behavioral problems.
PERAN LINGKUNGAN BELAJAR TERHADAP KONSENTRASI BELAJAR PESERTA DIDIK DI SMK KATOLIK MUKTYACA
Authors: Pemba Yasintha , Darmawang Darmawang , Kusuma Nur Risnawati 
Published: May 2023

Konsentrasi belajar adalah pemusatan pikiran, atau terpusatnya perhatian terhadap informasi yang diperoleh seorang peserta didik selama periode belajar. Konsentrasi belajar diperlukan agar peserta didik lebih fokus dan lebih mudah menerima pelajaran yang diberikan guru. Banyak faktor yang mempengaruhi konsentrasi belajar, salah satunya adalah lingkungan belajar sebagai tempat peserta didik melakukan proses pembelajaran. Lingkungan belajar merupakan semua kondisi yang mempengaruhi tingkah laku subjek yang terlibat di dalam pembelajaran, terutama guru dan peserta didik sebagai ujung tombak proses pembelajaran di sekolah. Fokus penelitian ini adalah untuk melihat peran lingkungan belajar terhadap konsentrasi belajar peserta didik di SMK Katolik Muktyaca. Metode penelitian yang digunakan adalah metode penelitian kualitatif. Teknik pengumpulan data melalui wawancara mendalam (indepth interview), pengamatan dan studi dokumen . Analisis data dilakukan dengan cara reduction, data display, dan conclusion drawing atau verification. Uji keabsahan data menggunakan pendekatan triangulasi data yakni pengujian berdasarkan waktu ketika data dikumpulkan, orang yang terlibat dalam proses pengumpulan data serta tempat darimana data diperoleh. Berdasarkan hasil penelitian dapat disimpulkan bahwa lingkungan belajar yang kondusif berperan penting dalam peningkatan konsentrasi belajar peserta didik.
PENERAPAN MODEL PEMBELAJARAN PROBLEM BASED LEARNING UNTUK MENINGKATKAN HASIL BELAJAR KIMIA ELEKTROLISIS
Authors: Hasanah Noor 
Published: May 2023

Latar belakang dilakukan penelitian ini adalah ditemukannya nilai kimia peserta didik kelas XII MIPA SMAS PGRI Pelaihari semester ganjil Tahun 2020 pada materi Elektrolisis masih rendah (di bawah Kriteria Ketuntasan Minimum). Hal ini dikarenakan peserta didik sulit memahami materi yang disampaikan oleh guru dengan menggunakan metode ceramah dan tidak melibatkan aktivitas peserta didik. Penerapan model pembelajaran Problem Based Learning pada penelitian ini bertujuan untuk meningkatkan hasil belajar peserta didik pada mata pelajaran Kimia Elektrolisis. Subjek penelitian ini adalah peserta didik kelas XII MIPA SMAS PGRI Pelaihari sebanyak 30 peserta didik. Pelaksanaan penelitian ini dilakukan sebanyak 3 (tiga) siklus. Kriteria Ketuntasan Minimal untuk mata pelajaran Kimia bagi peserta didik adalah 75. Metode yang digunakan adalah praktikum dengan pendekatan STEAM. Pengumpulan data dilakukan dengan menggunakan teknik observasi dan evaluasi di akhir pembelajaran di setiap siklus. Hasil penelitian ini menunjukkan bahwa dengan penerapan Model Pembelajaran Problem Based Learning dapat meningkatkan hasil belajar peserta didik. Pada siklus I nilai rata-rata 56 dengan ketuntasan 46%, nilai rata-rata pada siklus II terjadi peningkatan menjadi 76 dengan ketuntasan 66% , dan pada siklus III nilai rata-rata mencapai 90 dan ketuntasan mencapai 100%.Based on the writer teaching experience in SMAS PGRI Pelaihari the writer found some problems dealing with subject electrolysis by low value of the Minimum Completeness Criteria on the first semester in 2020. This is caused by the teaching method using lecture method and does not involve students in learning. The completion of the Problem Based Learning model is an effort by teachers to improve the learning outcomes of chemistry subjects learners. This research is a classroom action study that aims to improve learning outcomes in Reaction Rate Chemistry subjects through the Problem Based Learning Model. The subjects of this study were students of class XII MIPA SMAS PGRI Pelaihari as many as 30 students. The implementation of this study divided by 3 (three) cycles. Minimum Completeness Criteria for chemistry subjects for learners is 75. The practical work method with STEAM approach. Data collections is conducted using observation and evaluation techniques at the end of each cycle. The results of this study show that with the application of Problem Based Learning Model can increase the subjects learners. In cycle I the average value of 56 with a completion of 46%, the average value in cycle II increased to 76 with a completion of 66% and in cycle III the average value reached 90 and the completion reached 100%.
Conception et modèle logique de l’intervention BIWI sur la réinsertion au travail de
personnes avec un trouble de personnalité limite
Authors: Larivière Nadine , Dahl Kathy , Corbière Marc 
Published: May 2023

Objectifs L’objectif de cette étude vise à concevoir le modèle
logique et le contenu de l’intervention Borderline Intervention for Work Integration
(BIWI).
Méthode La conception du modèle logique de BIWI s’est fondée sur
les recommandations de Chen (2015) pour établir le modèle de changement et le modèle
d’action. Pour ce faire, des entretiens individuels avec 4 femmes ayant un trouble de
personnalité limite (TPL) et des groupes de discussion focalisés avec des ergothérapeutes et
des intervenants affiliés à des organismes en employabilité, provenant de 3 régions
québécoises (n = 16), ont été menés. Les entretiens de groupe et individuels
comprenaient d’abord une présentation des données issues d’études dans le domaine. Par la
suite, une discussion portait sur les défis des personnes avec un TPL en lien avec leur
participation au travail, ainsi que les composantes essentielles à inclure dans une
intervention idéale. Une analyse de contenu a été réalisée à partir des transcriptions des
entretiens. Les composantes des modèles de changement et d’action ont été validées par ces
mêmes participants.
Résultats Le modèle de changement de l’intervention BIWI cible 6
thèmes, sur lesquels il semble opportun de s’attarder pour une population présentant un TPL
en processus de réinsertion au travail : 1) le sens accordé au travail ; 2) la connaissance
de soi et le sentiment de compétence comme travailleur ; 3) la gestion de facteurs internes
et externes qui affectent la charge mentale ; 4) les relations interpersonnelles dans le
contexte du travail ; 5) la divulgation du trouble mental ; 6) une routine plus
satisfaisante à l’extérieur du travail. En ce qui concerne le modèle d’action,
l’intervention BIWI est déployée en collaboration avec des professionnels de la santé et des
intervenants d’organismes en employabilité. Elle combine des rencontres de groupe
(n = 10) et individuelles (n = 2), en mode présentiel et en ligne. Les
cibles de changement priorisées sont de réduire le nombre d’obstacles perçus en lien avec la
réinsertion au travail et améliorer la mobilisation vers un projet de réinsertion en emploi
durable.
Conclusion La participation au travail est une dimension
essentielle à inclure dans les interventions destinées aux personnes avec un TPL. Grâce à un
modèle logique, il a été possible de dégager les composantes clés à considérer dans le cadre
d’une telle intervention. Ces composantes sont relatives à des enjeux centraux chez cette
clientèle tels que : la représentation du travail, la connaissance de soi comme travailleur,
le maintien du rendement et du bien-être au travail, les relations avec le collectif de
travail, ainsi que le travail dans un mode de vie. Ces composantes sont maintenant incluses
dans l’intervention BIWI. La prochaine étape sera de tester cette intervention auprès de
personnes avec un TPL sans emploi, prêtes à retourner sur le marché du travail.
TBM-Crise : intervention hospitalière brève basée sur la mentalisation
Authors: Greiner Christian , Debbané Martin , Besch Vincent , Prada Paco 
Published: May 2023

Contexte Notre équipe travaille dans une unité hospitalière psychiatrique de crise aux Hôpitaux universitaires de Genève (Suisse). Nous y accueillons pour 7 jours des personnes en situation de crise qui présentent des idées ou un comportement suicidaire. Comme facteurs précipitant la crise suicidaire, ces personnes traversent des évènements de vie s’accompagnant d’intenses difficultés interpersonnelles et menaçant l’image qu’ils ont d’eux-mêmes. Il y a dans notre population clinique environ 35 % de patients souffrant de trouble de personnalité limite (TPL). Chez ces patients, les crises à répétition et les comportements suicidaires engendrent des ruptures relationnelles et thérapeutiques fréquentes et dommageables. Notre objectif est de développer une approche spécifique à cette problématique clinique.
Intervention Nous avons développé une intervention psychologique brève focalisée sur la mentalisation en 4 temps : accueil, mentalisation affective des éléments de crise, formulation de la problématique, travail sur la sortie et la suite de soins ambulatoires. Cette intervention est adaptée à une équipe médicosoignantes. Du point de vue de la thérapie basée sur la mentalisation (TBM), la phase d’accueil est principalement consacrée à un mirroring et à une régulation affective afin de réduire l’intensité de la désorganisation psychique. Il s’agit ensuite d’activer la capacité à mentaliser, à savoir la curiosité au sujet des états mentaux, au travers d’un travail sur la narrative de crise avec un focus affectif. Nous travaillons ensuite à construire avec les personnes une formulation de sa problématique dans laquelle elle a peut assumer un rôle. Il s’agit de les rendre « agents » de leurs crises. Alors nous pouvons terminer l’intervention en travaillant tant la séparation qu’une projection dans le futur immédiat. Le but est alors de prolonger le travail psychologique entamé au niveau d’un réseau ambulatoire. Cette dernière phase voit se réactiver le système d’attachement et réapparaître les difficultés jusque-là extérieures à l’espace thérapeutique.
Implications cliniques La TBM est efficace pour le TPL notamment sur la réduction des gestes suicidaires et du nombre d’hospitalisations. Nous avons ajusté son dispositif théorique et clinique pour des individus hospitalisés en raison d’une crise suicidaire et qui présentent des profils psychopathologiques divers et comorbides. La TBM permet l’adaptation et l’évaluation d’outils psychothérapeutiques empiriquement fondés à différents contextes cliniques, mais aussi à différentes populations cliniques.