bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Obesity Paradox: A Nonlinear Relationship Between 30-Day Postoperative Complications and Body Mass Index After Total Shoulder Arthroplasty
Authors: Hones Keegan M. , Hao Kevin A. , Cueto Robert J. , Wright Jonathan O. , King Joseph J. , Wright Thomas W. , Friedman Richard J. , Schoch Bradley S. 
Published: September 2023

Background:
An inverse relationship coined the “obesity paradox” has been propositioned, in which body mass index (BMI) may be contradictorily protective in patients undergoing surgery or treatment of chronic disease. This study sought to investigate the BMI associated with the lowest rate of medical complications after total shoulder arthroplasty (TSA).

Methods:
The American College of Surgeons National Surgical Quality Improvement Project database was queried to identify adults who underwent elective primary TSA between January 2012 and December 2020. Thirty-day postoperative medical complications were extracted, which included death, readmission, pneumonia, pulmonary embolism, renal failure, and cardiac arrest, among others. BMI was classified into five categories (underweight [BMI <18.5 kg/m2], normal weight [BMI ≥18.5 and <25 kg/m2], overweight [BMI ≥25 and <30 kg/m2], obese [BMI ≥30 and <40 kg/m2], and morbidly obese [BMI ≥40 kg/m2]). We examined the risk of any 30-day postoperative complications and BMI categorically and on a continuous basis using multivariable logistic regression controlling for age, sex, procedure year, and comorbidities.

Results:
Of the 31,755 TSAs, 84% were White, 56% were female, and the average age of patients was 69.2 ± 9.3 years. Thirty-day postoperative medical complications occurred in 4.53% (n = 1,440). When assessed on a continuous basis, the lowest risk was in patients with a BMI between 30 and 35 kg/m2. Underweight individuals (BMI <18.5 kg/m2) had the highest postoperative complication rates overall. The probability of medical complications increased with age and was greater for female patients.

Conclusion:
The relationship between BMI and complication risk in TSA is nonlinear. A BMI between 30 and 35 kg/m2 was associated with the lowest risk of medical complications after TSA, and BMI<18.5 kg/m2 had the highest risk overall, indicating some protective aspects of BMI against 30-day medical complications. Thus, obesity alone should not preclude patients from TSA eligibility, rather surgical candidacy should be evaluated in the context of patients' overall health and likelihood of benefit from TSA.

Level of evidence:
III, Retrospective Comparative Study.
Hubungan antara Kecerdasan Emosional dan Perilaku Profesional Mahasiswa Fakultas Kedokteran Universitas Tanjungpura Angkatan 2019
Authors: Simangunsong Tama Roma Ida , Armyanti Ita , Fitrianingrum Iit 
Published: September 2023

Latar Belakang: Mahasiswa Fakultas Kedokteran dengan kecerdasan emosional dan perilaku perfesional yang baik akan dapat memberikan kualitas pelayanan terbaik, sehingga memaksimalkan pelayanan kesehatan. Kecerdasan emosional juga diperlukan untuk pengembangan perilaku profesional. Tujuan: Mengetahui hubungan kecerdasan emosional dengan perilaku profesional mahasiswa Fakultas Kedokteran Universitas Tanjungpura angkatan 2019. Metode: Studi analitik observasional jenis cross-sectional. Populasi penelitian merupakan mahasiswa Fakultas Kedokteran angkatan 2019. Teknik pengumpulan sampel, yaitu total sampling dengan subjek penelitian 171 orang. Analisis bivariat menggunakan uji korelasi Spearman. Hasil: Mahasiswa Program Studi Kedokteran Fakultas Kedokteran Universitas Tanjungpura angkatan 2019 sebagian besar memiliki tingkat kecerdasan emosional sedang dan memiliki perilaku profesional di bawah rata-rata. Terdapat hubungan positif bermakna antara variabel pengendalian diri, empati, dan keterampilan sosial pada kecerdasan emosional terhadap perilaku profesional mahasiswa Fakultas Kedokteran Universitas Tanjungpura angkatan 2019.
Background: Faculty of medicine students with high emotional control will manage their feelings and emotions well to provide the best quality of service. Students need to develop their professional behavior from the beginning of educational process. Purpose: To determine the relationship between emotional intelligence and professional behavior among Faculty of Medicine students, Tanjungpura University batch 2019. Method: A cross-sectional observational analytical study. The respondents were Faculty of Medicine students, Tanjungpura University batch 2019 with a total sampling of 171 respondents. Bivariate analysis used the Spearman correlation test. Result: Students of the Medical Study Program, Faculty of Medicine, Tanjungpura University batch 2019 mostly have a moderate level of emotional intelligence and below-average professional behavior. There is a significant positive relationship between emotional intelligence and professional behavior on the variables of self-control, empathy, and social skills.
Doctors' Knowledge of Shisha and Attitudes Toward Clinical Counseling of Shisha Smokers: Nigerian Study
Authors: Kanmodi Kehinde Kazeem , Nwafor Njideka Jacob , Omoleke Semeeh Akinwale , Enaibe Tega Worship 
Published: September 2023

Introduction: The knowledge and attitude of a doctor towards shisha and tobacco cessation counseling goes a long way in achieving a successful quit for smokers. This study was conducted with the aim of assessing the knowledge of doctors in Nigeria, using Kebbi State as a case study, on shisha and also exploring their attitudes and willingness towards clinical tobacco cessation counseling of shisha smokers.
Methods: This study was a questionnaire-based survey of 78 doctors in Kebbi State, Nigeria. The collected data was analyzed using SPSS version 20 software.
Results: Only 63 (80.8%) of the respondents were aware of shisha. Among these 63 respondents that were aware of shisha, 4.8% of them were shisha smokers, 46.0% knew that shisha smoking can lead to periodontal disorder, 65.1% agreed that shisha smoking is a gateway to the use of other tobacco products, and 53.2% had had an encounter with a shisha smoker, of which only 63.6% of them (i.e. those 33 respondents who had the encounter) engaged themselves in a discussion on smoking cessation with the encountered shisha smokers. The majority of the surveyed doctors, irrespective of their age, gender, specialization, departmental affiliation, years of practice and shisha smoking history, were positively disposed towards clinical counseling of shisha smokers on tobacco cessation.
Discussion: This study shows that the surveyed doctors are positively disposed towards counseling their shisha-smoking patients on the importance of tobacco cessation; despite their inadequate knowledge on shisha.
Conclusion: Clinical counseling on tobacco cessation among shisha smokers should be encouraged in Nigeria.
Faktor Yang Mempengaruhi Kualitas Laba Dengan Penerapan Psak 72 Sebagai Variabel Moderating Pada Sektor Property Dan Real Estate Di Bursa Efek Indonesia Tahun 2017 - 2020
Authors: Adi Martin 
Published: September 2023

berbisnis adalah laporan keuangan, karena ini yang akan menjadi penentu usaha akan berkembang atau sebaliknya.
Untuk menguji dan menganalisis pengaruh Profitabilitas terhadap Kualitas Laba, Untuk menguji dan menganalisis pengaruh Pertumbuhan Laba terhadap Kualitas Laba, Untuk menguji dan menganalisis pengaruh Leverage terhadap Kualitas Laba.metode deskriptif verifikatif untuk melihat gambaran dan perbedaan dampak yang terjadi antar variabel tentang penerapan PSAK 72 dan dampaknya pada kinerja keuangan.
Tidak Terdapat pengaruh signifikan Profitabilitas Terhadap Kualitas Laba, Terdapat pengaruh signifikan Pertumbuhan Laba Terhadap Kualitas Laba, Tidak Terdapat pengaruh signifikan Leverage Terhadap Kualitas Laba.
Rhegmatogenous Retinal Detachment in High Myopia
Authors: Natan Priscilla Christina , Budhiastra Putu , Andayani Ari , Tridiyoga Komang Putra 
Published: September 2023

Latar Belakang: Miopia tinggi berhubungan dengan pemanjangan bola mata, dan pemanjangan bola mata yang berlebihan dapat menyebabkan peregangan mekanis dan penipisan lapisan koroid dan epitel pigmen retina (RPE), sehingga menyebabkan berbagai perubahan degeneratif retina, salah satunya adalah ablasi retina. Ablasio retina adalah suatu kondisi ketika retina neurosensori terlepas dari RPE dengan miopia tinggi sebagai salah satu faktor risikonya.

Tujuan: Melaporkan kasus ablasio retina regmatogenosa dan robekan retina multipel pada pasien miopia tinggi. Melaporkan kasus ablasio retina regmatogenosa dan robekan retina multipel pada pasien miopia tinggi.

Metode: Seorang wanita berusia 45 tahun datang ke Rumah Sakit Balimed dengan pandangan kabur mendadak pada mata kiri, ketajaman penglihatan menghitung jari (3/60) dan riwayat miopia tinggi pada kedua mata. Mata kanan S-9.00 dan Mata kiri S-6.00. Pada pemeriksaan oftalmologi ditemukan ablasi retina dan robekan retina multiple pada mata kiri. Dia dirujuk ke Rumah Sakit Mata Ramata Denpasar, dan menjalani pars plana vitrectomy (PPV) dengan injeksi gas C3F8 intravitreal dan endolaser (EL) untuk robekan retina multipel pada mata kiri sekitar 2 minggu kemudian (12 September 2022). Satu bulan setelah vitrektomi, tekanan intraokular normal. Operasi berhasil dilakukan dan pada kunjungan tindak lanjut tampak retina menempel dan terdapat peningkatan tajam penglihatan yaitu 6/38 pada mata kiri.
VERSTEK DECISION IN DIVORCE CASE IN RELIGIOUS COURTS OF RANTAUPRAPAT
Authors: Risdalina Risdalina , Kusno Kusno , Panjaitan Bernat , Jannah Maya 
Published: September 2023

Background: In a Civil Judgment, one of which is called a Verstek Judgment, there is a divorce case trial process, the Panel of Judges has the authority to decide cases in accordance with applicable laws and regulations. Verstek is a judgment rendered by a judge in the absence of the Defendant at trial even though the Defendant has been duly summoned by the bailiff of the court. Therefore the judge can decide the case with a verstex verdict. The author took the research site at the Rantauprapat Religious Court.

Objective: The purpose of this study was to analyze verstek decisions in divorce cases in rantauprapat religious courts.

Methods: The method used in this writing is the Empirical normative method, which is research based on the provisions of applicable laws and regulations by looking at the implementation conditions in the field.

Results: The Rantauprapat Religious Court is domiciled in Labuhanbatu Induk Regency which is in charge of North Labuhanbatu Regency and South Labuhanbatu Regency, which has the duty and authority to receive, examine, adjudicate, decide and settle cases of marriage, inheritance, wills, grants, waqf, and alms as well as resolve disputes in the field of sharia economy among Muslims to uphold law and justice, as stipulated in Law Number 3 Year 2006 concerning amendments to Law Number 7 of 1989 concerning Religious Courts.

Conslusion: Verstek Decision Legal Remedies in Divorce Cases is by filing a challenge against the verstek decision within 14 (fourteen) days after the notification is received by the defendant.
Een veilige en gezonde werkplek als fundamenteel mensenrecht
Authors: Boonstra K. 
Published: September 2023

Een veilige en gezonde werkplek als fundamenteel mensenrecht
In 2022 voegde de algemene vergadering van de ILO het recht op een veilige en gezonde werkplek toe aan de fundamenteel erkende arbeidsverdragen, de core labour conventions. Daarmee staat dit recht op gelijke voet met de alom ook buiten de ILO erkende mensenrechten zoals het verbod op dwang- en kinderarbeid en op discriminatie en het recht op vrijheid van vakvereniging en collectief onderhandelen. Dit artikel beschrijft welke gevolgen die keuze heeft voor de lidstaten van de ILO met betrekking tot de doorwerking en de toepassing van het toezichtmechanisme, welke consequenties dat heeft voor de Nederlandse wetgever en welke voornemens de huidige (demissionaire) regering heeft uitgesproken met betrekking tot ratificatie van deze verdragen.
De bijzondere rechtspositie van de militair
Authors: Hummel N. 
Published: September 2023

De bijzondere rechtspositie van de militair
Op 8 oktober 2020 verdedigde Nataschja Hummel met succes haar proefschrift De bijzondere rechtspositie van de militair. Met de uitzonderingspositie van militairen in de Wet normalisering rechtspositie ambtenaren (Wnra) als aanleiding, onderzoekt zij in dit proefschrift onder welke voorwaarden de rechtspositie van de militair, gelet op diens bijzondere positie, kan worden genormaliseerd. In deze bijdrage kijkt Nataschja terug op haar methode van onderzoek, in het bijzonder op de keuze voor een ‘artikelenproefschrift’. Ook reflecteert zij, mede in het licht van de ontwikkelingen na 8 oktober 2020, op haar belangrijkste bevindingen, waaronder haar conclusie dat zij het mogelijk én wenselijk acht om de rechtspositie van de militair te normaliseren.
Potato processing: phenomenology and influence of vibration on bed movement
Authors: Finzer José Roberto Delalibera , Kieckbusch Theo Guenter , Capuci Ana Paula da Silva , De Lima Euclides Antônio Pereira , De Lima Adriano Dawison 
Published: September 2023

The configuration of the vibro-spouted bed dryer resembles that of a conventional spouted bed, but the circulation of the particles is controlled by a vertical imposed. As consequence, all the bed flows in a dense phase regime and the air velocity inside the bed is defined according to drying requirements alone. A dryer used in this study consists of a cylindrical chamber with a conical bottom (diameter 145 mm, height 390 mm) equipped with a perforated mobile base, which vibrated at a defined amplitude and frequency. Potato cubes consisting of 5 and 10 mm edges were dried and the behavior of the particles during drying was phenomenologically studied. Shrinkage of potato cubes during drying adequately fit the uniform drying model up to a moisture content of 0.9 kg water/kg dry potato. During the drying of cubes with 5 and 10 mm edges, cracks appear on the faces of the cubes. Fornell's modified model, denoted a good fit to the experimental points, and allowed the generation of characteristic drying curves both at the vary the temperature as the speed of the drying air, useful for computational modeling.
Controle alternativo de fitopatologias: uso de oléos essenciais no tratamento sanitário de sementes
Authors: Coelho Ana Paula de Freitas , Araujo Eduardo Fontes , Da Silva Camilla Sena , Lisboa Cristiane Fernandes , Dos Santos Samuel Gonçalves Ferreira 
Published: September 2023

O uso contínuo de defensivos sintéticos no controle de doenças vegetais faz com que alguns microorganismos adquiram resistência aos princípios ativos. Ademais, com a polurização dos efeitos negativos do uso indiscriminado de defensivos no meio ambiente e na saúde do consumidor tem incentivado a busca por práticas agrícolas mais sustentáveis. As fitopatologias transmitidas por órgãos de propagação vegetativa representam um desafio na produção sustentável de alimentos, sendo o uso de sementes sadias a medida mais eficaz para o controle da disseminação de fitopatógenos e da contaminação de novas áreas. O controle alternativo dessas doenças a partir de óleos essenciais extraídos de plantas medicinais tem sido cada vez mais explorado. Além de apresentarem fungitóxicidade cientificamente comprovada por diversos estudos, tais subtâncias apresentam amplo espectro de ação e são de fácil acesso aos agricultores. Diante da importância do tema, a presente revisão bibliográfica visa agrupar informações sobre a utilização de óleos essenciais no tratamento sanitário de sementes.
Association between Socio-Demographic Factors and Smoking Status of Dual and Single Tobacco Users Among Malaysian University Students
Authors: Elsaieh Afaf Masaud , Shohaimi Shamarina , Nadzir Mohd Noor Hisham Mohd , Puad Mohd Hazwan Mohd , Rahman Abdul Hafiz Ab , Elsaihi Fatma Masoud 
Published: September 2023

Objective: In order to develop effective interventions and policies to address the growing trend of dual tobacco and e-cigarette use among Malaysia's younger generation, it is crucial to understand the socio-demographic factors that influence this behaviour. This study aimed to bridge this knowledge gap by examining the relationship between socio-demographic characteristics and smoking status among university students in the Klang Valley region of Malaysia.

Method: The researchers used a cross-sectional field survey approach to collect data through a questionnaire administered to 386 university students in the Klang Valley region of Malaysia. The selected universities included Universiti Putra Malaysia (UPM), Universiti Kebangsaan Malaysia (UKM), Universiti Malaya (UM), and Sunway University, providing a diverse representation of the country's young population.

Results: The findings highlight the complex nature of factors influencing smoking behaviours, revealing that socio-demographic variables have a limited impact on an individual's smoking status. However, gender emerged as a notable exception, strongly associated with smoking status. This suggests that gender dynamics may play a significant role in shaping tobacco and e-cigarette use among students. Furthermore, the study identified additional influences, such as peer pressure, accessibility of tobacco products, and perceptions towards smoking, which are likely to affect smoking behaviours. Although these aspects were not the primary focus of the study, their importance is evident.

Conclusions: The study provides valuable information that can help policymakers, health professionals, and educators develop effective strategies to reduce smoking among young Malaysians. However, it also highlights the need for further research to better understand the complex factors involved in smoking and to develop more effective interventions to reduce smoking among university students.

Research Implications: The study's findings can guide the development of targeted interventions, educational campaigns, and policies aimed at reducing tobacco and e-cigarette use among university students. The strong association between gender and smoking status may also guide tailored interventions for different gender groups.

Originality/value: The originality of this study lies in its focused investigation of socio-demographic factors influencing dual tobacco and e-cigarette use among university students in Malaysia. The research not only reveals the limited influence of socio-demographic variables but also highlights the significance of gender and other unexplored factors, providing a nuanced understanding of smoking behaviours within this specific context.
INTERFACES DO TRABALHO DOCENTE COM AS MUDANÇAS DA ATUALIDADE, COMPROMETIMENTO DA SAÚDE E A DESVALORIZAÇÃO PROFISSIONAL
Authors: Silva Fernanda , Paggioro Isabelle , Ferreira Joaquim 
Published: September 2023

O objetivo deste artigo é tecer reflexões sobre o trabalho docente no mundo em mudanças e suas interfaces com a saúde e a desvalorização da profissão docente. Esse estudo é de natureza exploratória e de cunho bibliográfico, foi utilizado diferentes bases teóricas para construir discussões sobre o tema. Neste sentido, apresentamos em um primeiro momento, o paradigma dessa sociedade em mudança que se relaciona às questões sobre estar atualmente na escola sendo um corpo-professor, enquanto vemos transformações em resultado da globalização, mobilidade, desigualdade e do aumento da demanda por educação profissional. Em um segundo momento, abordaremos sobre os aspectos de saúde mental docente, olhando o bem-estar como um prisma individual, não sendo estado absoluto de satisfação ou insatisfação, dependendo da relação da pessoa com o trabalho, suas representações, crenças e valores. No terceiro momento, refletimos sobre a desvalorização docente e a precarização do trabalho, atendendo a jogos e relações de poder possíveis com a educação. As compreensões construídas neste estudo nos permitiram assumir que as mudanças do mundo já se revelam em práticas e possibilidades, porém não em leis. Estas, nem sempre se alinham ao interesse docente, mas isso não significa que formas de resistências não acontecerão.
Rainfall Prediction Models for Katsina State, Nigeria: Machine Learning Approach
Authors: Iliyasu Umar , Obunadike G.N , Jiya Eli Adama 
Published: September 2023

Weather patterns and rainfall are essential pieces of information that drive the agricultural sector. For a peasant farmer in katsina, knowledge of pattern of rainfall is a vital determinant of which crops to plant and when to commence planting. Considering its implications for agriculture, water resource management, and disaster preparedness, this paper developed rainfall prediction models specifically tailored to the unique patterns in Katsina State, Nigeria. The work used Multiple Linear Regression (MLR) and Artificial Neural Network (ANN) with 10 years historical rainfall data obtained from the Nigerian Meteorological Agency Katsina where data were collected from Nigerian Meteorological Agency Katsina State, then preprocessed and subjected to the models, while the evaluation matrices that were used are Precision, Recall, Accuracy, F1-Score, R- Square, Mean Square Error (MSE) and Root Mean Square Error (RMSE). The results of this research indicate that the ANN model outperforms the MLR model with R-Square of ANN equal 0.532 and that of MLR equal to 0.099 and also the precision, recall and f1-score for ANN are 0.666, 0.666 and 0.661 respectively while for MLR they are 0.580, 0.583 and 0.564 respectively. These findings suggest that the ANN model is better at capturing the linear relationship between input variables and rainfall.
El cine de memoria de una generación
Authors: Ciavaldini Jhon 
Published: September 2023

Este trabajo enfoca la mirada en tres películas recientes Centroamericanas, obras que comparten muchos aspectos entre sí y que nacen de la necesidad de un cine de memoria en la región. Tres mujeres cineastas se dan a la tarea de contar en primera persona el trauma de su generación, compartiendo sus microhistorias que se insertan en el relato de la gran historia. Los ofendidos de Marcela Zamora Chamorro (2016) por El Salvador, Heredera del viento de Gloria Carrión Fonseca (2017) por Nicaragua y La asfixia (2018) de Ana Bustamante por Guatemala.

Señalaré las implicaciones de la creación de tales obras en el contexto social y político que rodean su realización, sus estrenos y distribución local y las repercusiones generadas en sus países. Apoyado en entrevistas realizadas a las directoras con motivo de este trabajo, para dialogar de la historia de sus países, la necesidad de un cine político de transformación social, de un cine de memoria, de sus motivaciones, el rol ético del documentalista y de las herencias de las militancias. Siempre teniendo un ojo puesto sobre las políticas de los Estados involucrados que generan estas narrativas disidentes.