bluuebunny/crossref_metadata_2025_split huggingface dataset:
Should we encourage the use of robotic technologies in complicated diverticulitis? Results of systematic review and meta-analysis
Authors: Panin S. I. , Nechay T. V. , Sazhin A. V. , Tyagunov A. E. , Shcherbakov N. A. , Bykov A. V. , Melnikov-Makarchuk K. Yu , Yuldashev A. G. , Kuznetsov A. A. 
Published: September 2023

Introduction: Complicated diverticulitis is a common abdominal emergency that often requires a surgical intervention. The systematic review and meta-analysis below compare the benefits and harms of robotic vs. laparoscopic surgery in patients with complicated colonic diverticular disease.Methods: The following databases were searched before 1 March 2023: Cochrane Library, PubMed, Embase, CINAHL, and ClinicalTrials.gov. The internal validity of the selected non-randomized studies was assessed using the ROBINS-I tool. The meta-analysis and trial sequential analysis were performed using RevMan 5.4 (Cochrane Collaboration, London, United Kingdom) and Copenhagen Trial Unit Trial Sequential Analysis (TSA) software (Copenhagen Trial Unit, Center for Clinical Intervention Research, Rigshospitalet, Copenhagen, Denmark), respectively.Results: We found no relevant randomized controlled trials in the searched databases. Therefore, we analyzed 5 non-randomized studies with satisfactory internal validity and similar designs comprising a total of 442 patients (184 (41.6%) robotic and 258 (58.4%) laparoscopic interventions). The analysis revealed that robotic surgery for complicated diverticulitis (CD) took longer than laparoscopy (MD = 42 min; 95% CI: [-16, 101]). No statistically significant differences were detected between the groups regarding intraoperative blood loss (MD = −9 mL; 95% CI: [–26, 8]) and the rate of conversion to open surgery (2.17% or 4/184 for robotic surgery vs. 6.59% or 17/258 for laparoscopy; RR = 0.63; 95% CI: [0.10, 4.00]). The type of surgery did not affect the length of in-hospital stay (MD = 0.18; 95% CI: [–0.60, 0.97]) or the rate of postoperative complications (14.1% or 26/184 for robotic surgery vs. 19.8% or 51/258 for laparoscopy; RR = 0.81; 95% CI: [0.52, 1.26]). No deaths were reported in either group.Discussion: The meta-analysis suggests that robotic surgery is an appropriate option for managing complicated diverticulitis. It is associated with a trend toward a lower rate of conversion to open surgery and fewer postoperative complications; however, this trend does not reach the level of statistical significance. Since no high quality RCTs were available, this meta-analysis isnot able to provide reliable conclusion, but only a remarkable lack of proper evidence supporting robotic technology. The need for further evidence-based trials is important.
Monitoring the effect of integrated nutrient management practices on soil health in maize-based cropping system
Authors: Bamboriya Jitendra Singh , Purohit H. S. , Naik B. Sri Sai Siddartha , Pramanick Biswajit , Bamboriya Shanti Devi , Bamboriya Sumitra Devi , Doodhawal Kiran , Sunda Shankar Lal , Medida Sunil Kumar , Gaber Ahmed , Alsuhaibani Amnah Mohammed , Hossain Akbar 
Published: September 2023

IntroductionSoil organic matter (SOM) plays a vital role in enhancing soil characteristics and promoting sustainable crop production. The active and passive components of SOM tend to be more effective indicators of soil changes than total SOM content.MethodsThis study aimed to examine the impact of integrated nutrient management (INM) on the active and passive segments of SOM in maize during the kharif seasons of 2019 and 2020 at the Instructional Farm of Rajasthan College of Agriculture, Udaipur. A total of 11 treatments comprising of control (no application of manures/fertilizers/biofertilizers), different INM combinations, and application of inorganic fertilizers were laid in a randomized block design (RBD) with three replications tested in this study.ResultsThe use of INM through enriched phosphorus compost (EPC), biofertilizers, and chemical fertilizers significantly boosted both the active and passive constituents of the organic matter of the soil. In this study, a combination of 75% NPK fertilizers via soil test response (STR), EPC @ 5 t ha−1, an Azotobacter consortium, phosphorus solubilizing bacteria (PSB), and a foliar spray of 0.5% Zn considerably increased the active fraction of SOM than other treatments as indicated by microbial biomass carbon (251 mg kg−1), microbial biomass nitrogen (36.8 mg kg−1), microbial biomass phosphorus (6.82 mg kg−1), water-soluble organic carbon (73.9 mg kg−1), water-soluble carbohydrates (43.8 mg kg−1), presence of dehydrogenase in soil (6.82 μg TPF g−1 soil 24 h−1), and carbon mineralization (43.8 mg CO2C kg−1 soil 24 h−1). This treatment was also found to increase the passive fraction as shown by the presence of humic acid (0.332%), fulvic acid (0.210%), hymatomelanic acid (0.052%), brown humic acid (0.252%), and humin (0.604%).DiscussionFrom this study, it can be concluded that the application of 75% NPK fertilizers as per STR + EPC + Azotobacter + PSB + 0.5% foliar Zn spray can improve soil health in maize-based cropping systems.
How do risk preferences influence forage planting behaviors among farmers in the agro-pastoral ecotone of China?
Authors: Zhang Wene , Khan Aftab , Luo Yu , Qi Tian , Zhao Minjuan 
Published: September 2023

IntroductionThis study analyzes the influence of risk preference on the forage planting behavior of farmers in the agro-pastoral zone from three aspects-whether or not to plant forage, the scale of forage planting, and the duration of forage planting—and pays attention to the indirect effect of credit on the farmers' forage planting behavior, as well as the heterogeneity of the influence of risk preference on the forage planting behavior of farmers from the perspectives of different farming scales, types of farmers, and differences between generations.MethodsExperimental economics, a two-stage model, is used to analyze this problem.Results and conclusionThe results show that, first, risk preference can significantly promote farmers' forage planting probability, expand forage planting scale, and increase forage planting duration. Specifically, when risk preference increases by one unit, the probability of farmers choosing to plant forage increases by 7.8%, the planting scale increases by 0.205 hm2, and the planting duration increases by 0.519 years. This conclusion remained robust after changing the explanatory variables. Second, risk preference not only directly affects farmers' forage planting behavior but also indirectly affects farmers' forage planting behavior by influencing farmers' participation in credit. Third, heterogeneity analysis shows that risk preference has a significant effect on forage planting behavior among farmers with a medium breeding degree, among pure farmers and concurrent farmers, as well as middle-aged and elderly farmers.
Significance of intramedullary T2* signal voids in the magnetic resonance imaging of paraplegic deep pain-negative dogs following intervertebral disc extrusion at short-term follow-up
Authors: Clark Robert , Ferreira Amy , Behr Sebastien 
Published: September 2023

IntroductionDogs presenting as paraplegic without nociception due to a thoracolumbar intervertebral disc extrusion provide a difficult decision to both the clinician and the owner. The prognosis when performing surgical decompression remains guarded. Aside from significant extradural compression, these dogs often have a significant secondary spinal cord injury, which has shown to be an important factor in determining both the likelihood of developing progressive myelomalacia and the return to ambulation.Materials and methodsThis is a retrospective, observational, single centre study including 82 dogs presenting as paraplegic with absent nociception diagnosed with an intervertebral disc extrusion. Patients underwent MRI of the thoracolumbar spine, including a gradient echo sequence which was evaluated for the presence of intramedullary signal void artefacts. Decompressive surgery was performed, and patients were evaluated for the presence of nociception at short term follow up (at least four weeks post-surgery).ResultsOverall, 59.8% of patients regained nociception within the study period. This number was significantly reduced to 33.3% when multiple gradient echo signal voids were present (compared to 67.3% of dogs without signal voids). There was no significant difference in the rate of developing progressive myelomalacia between groups.ConclusionsThis paper adds to the existing literature and suggests that the gradient echo sequence may be of use when assessing acute spinal cord injury in the context of intervertebral disc extrusion and how it relates to prognosis.
Microanatomical findings with relevance to trigeminal ganglion enhancement on post-contrast T1-weighted magnetic resonance images in dogs
Authors: Santifort Koen M. , Glass Eric N. , Pumarola Marti , Aige Gil Vicente 
Published: September 2023

IntroductionTrigeminal ganglion contrast enhancement (TGCE) is reported to be a normal and a common finding on magnetic resonance imaging studies of dogs, cats and humans. The intent of the present study was to describe the anatomical characteristics of the trigeminal ganglion, its surrounding structures, and histological features that are relevant to explain or hypothesize on the reason for TGCE on T1-weighted post-contrast MRI studies of the brain in dogs.MethodsEight dog cadavers were dissected to study the anatomy of the trigeminal ganglion. The presence and anatomy of vessels was studied by dissection and by histological techniques. Two trigeminal ganglia were isolated and stained with hematoxylin–eosin (HE). Two other trigeminal ganglia included in the trigeminal canal and trigeminal cavity were decalcified with formic acid/formalin for 12 weeks and stained with HE to study the related vessels. Additionally, a corrosion cast was obtained from a separate canine specimen.ResultsLeptomeninges and a subarachnoid space were identified at the level of the trigeminal nerve roots and the trigeminal ganglion. No subarachnoid space was identified and leptomeninges were no longer present at the level of the three trigeminal nerve branches. Small arterial vessels ran to and supplied the trigeminal ganglion, passing through the dura mater. No venous plexus was visualized at the level of the trigeminal ganglion in the dissections. A complex arterial vascular network was identified within the leptomeningeal covering of the trigeminal ganglion and was best appreciated in the corrosion cast. Histological examination revealed small-to moderate-sized blood vessels located in the epineurium around the ganglion; from there a multitude of arterioles penetrated into the perineurium. Small endoneurial branches and capillaries penetrated the ganglion and the trigeminal nerve branches.DiscussionLimitations to this study include the limited number of canine specimens included and the lack of electron microscopy to further support current hypotheses included in our discussion. In conclusion, this study provides further support to the theory that TGCE in dogs may be due an incomplete blood-nerve barrier or blood-ganglion barrier at the interface between the central nervous system and the peripheral nervous system.
Process Integration Approach to the Methanol (MeOH) Production Variability from Syngas and Industrial Waste Gases
Authors: Yousuf Abu , Hossain Md Shahadat , Paul Nishat , Shikder Md Woashib , Kumar Deepak , Pirozzi Domenico , Sakib Ahmed Nazmus , Kazempoor Pejman 
Published: September 2023

Methanol is expected to be a possible solution for reducing global greenhouse gas emissions and minimizing the dependency on fossil fuels. This paper presents a systematic approach of methanol (MeOH) production from industrial waste gases including flue gas (FG) and coke oven gas (COG) that are considered an important threat to the environment. The impact of process parameters, including dimensional parameters (length, diameter, and number of tubes) and operational parameters (reactor temperature, pressure, and thermal fluid temperature) over the MeOH synthesis, are investigated by Aspen Plus. Firstly, the synthesis process is designed and optimized using syngas (SG) as a feed material. Secondly, by replacing the feed material with FG and COG, methanol production variability is investigated and demonstrated for the same optimized process. Afterward, an efficient heat exchange network system is developed for all three different processes using Aspen Energy Analyzer. The optimized dimensional parameters of the MeOH synthesis reactor are determined to be a length of 12 m, a diameter of 0.06 m, and 5000 tubes for achieving a conversion rate of 75%. Meanwhile, the optimized operational parameters are identified as a reactor temperature of 209 °C, reactor pressure of 70 bar, and thermal fluid temperature of 196 °C. Furthermore, the influence of the stoichiometric number (SN) on the process was observed with higher SN values resulting in increased hydrogen (H2) concentration and an improved forward reaction of MeOH synthesis, leading to higher conversion rates. The findings and insights gained from this study can serve further improvements and advancements in MeOH synthesis processes.
PENERAPAN PROSES ASUHAN GIZI TERSTANDAR TERHADAP ASUPAN ZAT GIZI MAKRO DAN LAMA HARI RAWAT PADA PASIEN GERIATRI DI RUMAH SAKIT
Authors: Artawa I Kadek Andi , Wiardani Ni Komang , Sri Sugiani Pande Putu 
Published: September 2023

ABSTRACT Geriatric patients are elderly patients with multi-diseases who are prone to malnutrition. One of the efforts to improve macronutrient intake and the length of stay for geriatric patients who are hospitalized in a hospital is the standardized nutrition care process (NCP). Objective: To determine differences in macronutrient intake and length of stay between geriatric patients with standardized NCP and geriatric patients without standardized NCP in the hospital. Method: The type of research that has been done is a quasi-experimental with post test only control group design. The subjects who had fulfilled the inclusion criteria were 36 people then divide into 2 groups, namely the standardized NCP group at RSUD Klungkung and non-standardized NCP group at RSUD Bangli. Data collection on macronutrient intake was carried out by the food weighing method, and data on length of stay was collected by medical record observation. Hypothesis testing is done by unpaired t-test and Mann-Whitney. Results: The average age of the study subjects was 70,08 years and most were in 61-69 years. Assessment of nutritional status based on MNA was obtained at 44,4% of the subjects were malnourished. The results of the unpaired t-test produced a p-value of 0,001 (p0,05) which showed that the average macronutrient intake in the standardized NCP group was significantly higher than the non-standardized NCP group. The average length of stay in the standardized NCP group (7,33 days) was shorter when compared to the non-standardized NCP (10 days). Mann-Whitney’s test produced a p-value of 0,023 (p0,05) showed that there were significant differences in the average length of stay of the two groups. Conclusions and Suggestions. The application of standardized NCP has an effect on improving macronutrient intake and length of stay in geriatric patients, so nutritionists are advised to apply the standardized NCP to geriatric patients to improve their nutritional status. Keyword: the standardized nutrition care process, macronutrient intake, length of stay
PENGARUH ASUPAN GIZI TERHADAP KEJADIAN OBESITAS PADA LANSIA DIWILAYAH KERJA PUSKESMAS BAITUSSALAM, ACEH BESAR
Authors: Wulandari Dian , W. Arnisan 
Published: September 2023

The population growth of the elderly above 60 years has increased rapidly. In 2015, there were 901 million people aged 60 years or over, comprising 12% of the global population. Elderly in Indonesia who are in a state of malnutrition as much as 3.4%, underweight 28.3%, ideal body weight is 42.4%, overweight is 6.7% and obesity is 3.4%. Nutritional problems in the elderly arise due to wrong eating behavior, namely an imbalance between nutritional consumption and the recommended nutritional adequacy. The research objective was to determine the effect of nutritional intake on the incidence of obesity in the elderly in the working area of the Baitussalam Community Health Center, Aceh Besar District. This research is analytic observational. The number of samples was 68 elderly (34 elderly in the obese group and 34 in the non-obese group). The research variables consisted of nutritional intake and nutritional status of the elderly. The study was conducted in January 2020, the data analysis used the chi-square test with the desired confidence level of 95%. The research data are presented in tabular and textual form. From the results of statistical tests using the chi-square test, there is no effect between nutrient intake on obesity in the elderly with the p-value on energy intake = 0.726, p-value on carbohydrate intake = 0.454, p-value on protein intake = 0.445, and p-value on fat intake = 550. In conclusion, there is no relationship between energy intake, KH intake of protein intake and fat intake on obesity in the elderly. Keywords: Energy intake, carbohydrate intake, fat intake, protein intake and elderly obesity.
Hubungan Tingkat Konsumsi Protein, Zat Besi, dan Vitamin C Terhadap Siklus Menstruasi Remaja di Sai Study Group Denpasar
Authors: Arisanti Ni Ketut Rani , Ariati Ni Nengah , Gumala Ni Made Yuni 
Published: September 2023

Siklus menstruasi adalah waktu sejak hari pertama menstruasi sampai datangnya menstruasi berikutnya. Faktor yang berpengaruh pada ketidakteraturan siklus menstruasi yaitu gangguan hormonal, psikis, status gizi, tingkat konsumsi, tingkat stress, dan aktivitas. Tujuan penelitian ini untuk mengetahui adanya hubungan tingkat konsumsi protein, zat besi, dan vitamin C terhadap siklus menstruasi pada remaja di Sai Study Group Denpasar. Jenis penelitian adalah observasional dengan rancangan cross-sectional. Jumlah sampel yang terlibat sebanyak 31 orang dengan kriteria yaitu remaja putri yang tergabung dalam Sai Study Group Denpasar, sudah mengalami menstruasi, dan bersedia menjadi sampel. Data tingkat konsumsi protein, zat besi, dan vitamin C diperoleh melalui wawancara langsung menggunakan formulir re-call 2 × 24 jam dan data siklus menstruasi melalui wawancara menggunakan kuisioner. Untuk mengetahui hubungan antara variabel digunakan uji statistik korelasi Rank Spearman. Hasil penelitian menunjukan rata-rata tingkat konsumsi protein tergolong sangat kurang (58,5%). Rata-rata tingkat konsumsi zat besi dan vitamin C tergolong kurang (45,0%) dan (31,6%). Siklus menstruasi remaja di Sai Study Group Denpasar tergolong polimenore (3,2%), normal (58,1%), dan oligomenore (38,7%). Terdapat hubungan antara tingkat konsumsi protein dan zat besi terhadap siklus menstruasi dengan (α0,05) dan tidak ada hubungan antara tingkat konsumsi vitamin C terhadap siklus menstruasi (α0,05). Disarankan kepada remaja di Sai Study Group Denpasar untuk meningkatkan konsumsi makanan sumber zat gizi khususnya protein, zat besi, dan vitamin C.
Covid-19 Salgını Döneminde Hemşirelerdeki Şefkat Yorgunluğu ve Tükenmişlik Düzeyleri Arasındaki İlişkinin Belirlenmesi
Authors: SOLMAZ Aynur , KUTLU Adalet 
Published: September 2023

Amaç: Bu çalışma, Covid-19 salgını döneminde hemşirelerdeki şefkat yorgunluğu ve tükenmişlik düzeyleri arasındaki ilişkinin belirlenmesi amacıyla yapıldı.
Yöntem: Tanımlayıcı ve kesitsel olan bu çalışmanın evrenini Turgutlu Devlet Hastanesi'nde çalışan hemşireler (N = 248) , örneklemini ise çalışmaya gönüllü olarak katılmayı kabul eden hemşireler (n = 181) oluşturdu. Araştırma verileri, Ağustos-Kasım 2020 tarihleri arasında toplandı. Araştırmanın veri toplama araçları olarak, Hemşire Bilgi Formu, Şefkat Yorgunluğu Ölçeği ve Masclach Tükenmişlik Ölçeği kullanıldı. Verilerin değerlendirilmesi SPSS 15.0 paket programında yapıldı.
Bulgular: Hemşirelerin şefkat yorgunluğu ölçeği toplam puanı 2,01±0,31, değer bilinci alt boyutu puan ortalaması 2,14±0,37, başkalarına değer verme alt boyutu puan ortalaması 1,69±0,26, güç algısı alt boyutu puan ortalaması 1,97±0,43 ve özdeğer alt boyutu puan ortalaması 2,05±0,51 olarak bulundu. Hemşirelerin Masclach Tükenmişlik Ölçeği alt boyutları puan ortalamaları; duygusal tükenme alt boyutu 20,32±8,09, duyarsızlaşma alt boyutu 7,46±4,27 ve kişisel başarı alt boyutu 20,30±7,87 olarak belirlendi.
Sonuç: Hemşirelerin Şefkat Yorgunluğu ve Masclach Tükenmişlik ölçekleri alt boyutları arasındaki korelasyonlarda genel olarak pozitif yönde zayıf ve çok zayıf korelasyonlar bulundu. Benzer çalışmaların pandeminin ilerleyen süreçlerinde belli aralıklarla daha büyük örneklem ile yapılması önerilir.
Os desafios da aprendizagem na formação do pedagogo e o ensino da matemática: uma análise na Universidade Estadual do Oeste do Paraná, campus de Cascavel
Authors: De Oliveira Luana Gabriele Lima , Mazzuco Neiva Gallina 
Published: September 2023

Este artigo tem como objetivo compreender as dificuldades e os desafios que permeiam a formação do professor no Curso de Pedagogia com relação à Educação Matemática, na Universidade Estadual do Oeste do Paraná, campus de Cascavel, focalizando-se os discentes do quarto ano noturno que cursaram a disciplina de Teoria e Prática do Ensino de Educação Matemática. Este trabalho foi fundamentado, principalmente, em Brum (2013), Curi (2004) e Fiorentini (2008). Metodologicamente, desenvolveu-se uma pesquisa quali-quantitativa, que recorreu ao método da pesquisa bibliográfica. Para gerar os dados, aplicou-se um questionário a 25 acadêmicos, a fim de compreender se eles se sentem preparados para ministrar a disciplina de Matemática na Educação Infantil e nos anos iniciais do Ensino Fundamental, de verificar se há algumas lacunas em sua formação e de proporem sugestões de encaminhamentos de como amenizar as possíveis defasagens em sua formação após a conclusão do referido curso. Os resultados evidenciaram que muitos discentes têm algumas experiências malsucedidas com a aprendizagem da Matemática desde os anos iniciais do Ensino Fundamental. Além disso, revelaram que a carga horária da disciplina de Teoria e Prática do Ensino de Educação Matemática, no Curso de Pedagogia, é insuficiente para prepará-los, efetivamente, tanto nos aspectos teóricos quanto metodológicos. A necessidade de elevação da carga horária foi a sugestão mais marcante nas respostas dadas pelos discentes no instrumento de coleta de dados.
PENGARUH PENGEMBANGAN KARIR TERHADAP TURNOVER INTENTION MELALUI KINERJA KARYAWAN YANG DIMODERASI OLEH BUDAYA ORGANISASI
Authors: Situmorang Netty , Ramli Abdul Haeba , Reza Heru Kreshna 
Published: September 2023

<p align="justify">Intention to move is an early indicator of someone's possibility of leaving their job. The tendency for employees to leave can lead to a number of negative impacts including company costs to recruit and train new employees, lower productivity, volatility in terms of overall company performance and reduced satisfaction among remaining employees. The purpose of this study is to determine the effect of career development on turnover intention through employee performance which is moderated by organizational culture. Research data was collected using a questionnaire distributed during the survey period in July 2023 to 200 employees. Research data was processed and analyzed using the Structural Equation Model Partial Least Square (SEM-PLS). The results of the study show that career development has no significant effect on turnover intention, in other words the data does not support the hypothesis. Organizational culture does not moderate the relationship between career development and employee performance, in other words the data does not support the hypothesis.</p><p> </p><div><p><strong>Key words</strong>: Career Development, Turnover Intention, Employee Performance, Organizational Culture</p></div><p class="TOCHeading1"> </p>