bluuebunny/crossref_metadata_2025_split huggingface dataset:
Incidence and trends in workplace violence within emergency departments in the United Kingdom 2017–2022: an observational time series analysis
Authors: Donald Neil , Lindsay Tim 
Published: June 2023

BackgroundWorkplace violence (WPV) is a notable issue facing healthcare services and workers globally. WPV impacts upon the well-being of staff and can put healthcare provision at risk with detrimental effects on patient care. This study aims to investigate and quantify, at national and regional levels, the incidence and trends of WPV within emergency departments (EDs).MethodsWe requested data relating to WPV from all 152 trusts with an ED in the United Kingdom from January 2017–March 2022. We applied interrupted time series and trend analysis to check for significant differences in WPV across the COVID-19 pandemic.ResultsWe conducted time series analysis on 58 million attendances and detected statistically significant increases in WPV in March 2020–5.06/100,000 attendances (95% CI 1.59/100,000–8.53/100,000 p &lt; 0.01) and May 2020–20.63/100,000 attendances (95% CI 9.39–31.87 p &lt; 0.01). Rises in incidents of 0.37/100,000 attendances per month (95% CI 0.21–0.53 p &lt; 0.0001) were found January 2017–March 2020. We analyzed 96 million attendances for yearly trends, which revealed statistically significant increasing trends of WPV in London and North-West England (p &lt; 0.05), and physical WPV in the North West England (p &lt; 0.05).ConclusionThere have been dramatic increases in incidents of WPV in United Kingdom EDs over the last 5 years with concerning rises during the COVID-19 period. Our findings highlight the potential to further demoralize a workforce already under significant strain, resulting in increased absences for physical or mental health and an exodus of staff. Therefore, trusts should ensure there are robust systems in place to protect and safeguard staff.
A comparative study between traditional and sports school uniforms on cardiorespiratory and muscular fitness and waist-height-to-ratio in adolescents
Authors: Cristi-Montero Carlos , Martínez-Flores Ricardo , Porras Felipe , Sadarangani Kabir P. , Ferrari Gerson , Aguilar-Farias Nicolas , Silva Inacio Crochemore M. , Reyes-Amigo Tomas , Rodriguez-Rodriguez Fernando 
Published: June 2023

BackgroundImproving health of children and adolescents is crucial for their overall development. Therefore, it is essential to explore factors that may influence their health at both the public health and school system levels.ObjectiveThis study compares physical fitness components and waist-height-to-ratio (WHtR) in adolescents according to school uniforms, namely the traditional uniform (i.e., shirt and school necktie in boys and skirt and blouse in girls) and the sports uniform (i.e., polo shirts or t-shirts and sport or short trousers). Additionally, it seeks to investigate potential differences in these measures based on sex and school type (i.e., public, subsidized, and private).MethodsThis cross-sectional study used data from the Chilean national learning outcome assessment system (SIMCE)–2014 and involved 8,030 adolescents. Cardiorespiratory fitness (CRF) and muscular fitness (MF) were measured. WHtR was assessed as a health cardiovascular indicator. Mixed models and ANCOVA were performed to compare uniform types, adjusting for multiple covariates. value of p and effect size (ES) was used to establish significant results.ResultsOverall, sports uniforms (SU) were linked to higher CRF (p &lt; 0.001) than the traditional uniform (TU). Boys from private schools wearing SU presented higher CRF (p = 0.016; ES = 0.37), and a positive trend was observed for MF (p = 0.645; ES = 0.21). In subsidized, a trend was found in CRF (p = 0.005; ES = 0.16). Girls wearing SU from private schools showed a positive trend in CRF (p = 0.167; ES = 0.28). Trends in WHtR were found in both sexes from private (p = 0.555; ES = 0.24; p = 0.444; ES = 0.25, respectively).ConclusionWearing SU seems a promissory alternative to promote healthy physical fitness and body composition at the educational level. However, the relationship between higher physical activity and CRF, MF, and lower WHtR due to SU must be verified. Finally, when deciding to implement this measure, special attention must be paid to boys from public schools and girls from all types of schools.
Evaluation of public awareness and performance toward the safe use of household disinfectants-cleaners to prevent COVID-19 in the Emirate of Abu Dhabi
Authors: Alwan Nisreen , Almazrouei Shatha , Almazrouei Mariam , Aldhaheri Jawaher , Alismaili Fahad , Ghach Wissam 
Published: June 2023

IntroductionDisinfection is one of the most effective hygienic practices that would limit the spread of the Coronavirus Disease (COVID-19) through deactivating the coronavirus on contaminated skin, supplies, and surfaces. However, the type and concentration of disinfectants should be carefully selected to avoid damaging surfaces and to limit the side effects of these chemicals on household members and users. The aim of this study is to assess the public levels of awareness and performance concerning the safe use of household cleaning products and disinfectants during the spread of COVID-19 in the Emirate of Abu Dhabi.MethodsThe cross-sectional study was conducted between October and December 2021 among 750 residents of Abu Dhabi, Al Dhafrah, and Al-Ain regions. A google survey was distributed electronically for the online recruitment of the general population. Mann-Whitney and Kruskal-Wallis tests were used to determine whether significant differences exist in the levels of awareness and performance with regard to gender, region, education level, and diagnosis with COVID-19. Spearman correlation was used to test if any correlation existed between levels of awareness and performance. Kruskal-Wallis test was also used to check if significant differences exist in the mean score of performance with respect to irritation-to-poisoning symptoms.ResultsThe study population recorded a lower mean score of awareness (5.37 out of 12) than performance (11.75 out of 16). The majority of the study population claimed a minimum of one irritation-to-poisoning symptom during the handling of household cleaners and disinfectants. Significant differences exist in the awareness and performance mean scores among various educational levels (P &lt; 0.001). The level of awareness was statistically significant with regard to infection with SARS-CoV-2 (P &lt; 0.05). Also, the level of performance was significantly different between males and females (P &lt; 0.001). Kruskal-Wallis test showed that the mean score of performance is statistically significant with all the studied irritation-to poisoning symptoms (P &lt; 0.05).ConclusionsAwareness campaigns and training programs are recommended to address the safe use of household cleaning products and disinfectants in the United Arab Emirates (UAE).
Improving kidney care for people with severe mental health difficulties: a thematic analysis of twenty-two healthcare providers’ perspectives
Authors: Cogley Clodagh , Carswell Claire , Bramham Jessica , Bramham Kate , Smith Aoife , Holian John , Conlon Peter , D’Alton Paul 
Published: June 2023

IntroductionPeople with severe mental health difficulties (SMHDs) and concurrent kidney disease have less access to quality kidney care and worse clinical outcomes. Our research investigates the barriers and facilitators to effective kidney care for people with SMHDs, and how care might be improved for this underserved population.MethodsWe conducted semi-structured interviews with twenty-two physical (n = 14) and mental (n = 8) healthcare professionals with experience working with people with SMHDs and concurrent kidney disease. Interview data were analysed and interpreted using reflexive thematic analysis.ResultsFour themes were generated from the data: 1. “It’s about understanding their limitations and challenges, without limiting their rights” describes how some people with SMHDs need additional support when accessing kidney care due to challenges with their mental state, motivation, cognitive difficulties, or mistrust of the healthcare system. 2. “There are people falling through the cracks” describes how the separation of physical and mental healthcare, combined with under-resourcing and understaffing, results in poorer outcomes for people with SMHDs. 3. “Psychiatry is a black spot in our continuing medical education” describes how many renal healthcare providers have limited confidence in their understanding of mental health and their ability to provide care for people with SMHDs. 4. “When they present to a busy emergency department with a problem, the staff tend to go ‘…psych patient”” describes how stigma towards people with SMHDs can negatively impact quality of care.ConclusionHealthcare professionals accounts’ describe how people with SMHDs and kidney disease can have favourable outcomes if they have appropriate hospital, community and social supports. Findings indicate that effective management of kidney disease for people with SMHDs requires integrated physical and mental health care, which takes an individualised “whole person” approach to addressing the interaction between kidney disease and mental health.
Case report: Squamous cell carcinoma and spindle cell sarcoma (SCS) arising in a mature cystic teratoma of the ovary
Authors: Qian Xue-qian , Chen Li-li , Zhu Chang-kun , Chen Ya-xia , Wan Xiao-yun 
Published: June 2023

ObjectiveMalignant transformation of mature ovarian teratoma is a rare phenomenon, mainly occurring in postmenopausal period. Squamous cell carcinoma accounts for 80% of all malignant transformations. Sarcoma transformation is much less common and tends to imply a poorer prognosis and aggressiveness.Case reportWe report a case of undifferentiated sarcoma with squamous cell carcinoma in a mature cystic teratoma of the ovary in a 36-year-old woman. The tumor shows epithelial and stromal components. This is a unique report of a benign teratoma of the ovary with malignant transformation, showing epithelial and sarcomatous components. This young woman presented with abdominal distension and a rapidly enlarging ovario-derived pelvic mass with a slightly elevated CA199 tumor marker of 115.9 U/ml. The woman underwent transabdominal excision of the left ovarian cyst on October 20, 2020. During the operation, rapid freezing pathological examination did not indicate malignancy. The postoperative paraffin pathology revealed undifferentiated sarcoma with squamous cell carcinoma (from mature cystic teratoma malignancy), and she finally received comprehensive staging surgery. Postoperative paraffin pathology showed no residual cancer in uterus and other tissues, and all lymph nodes were negative. The patient was finally diagnosed with ovarian malignant tumor IC1 stage (high-grade spindle cell sarcoma complicated with squamous cell carcinoma). Chemotherapy was completed three times after surgery, and no signs of recurrence were found after follow-up.ConclusionThe preoperative diagnosis and intraoperative rapid freezing examination of malignant transformation of mature teratoma of ovary are challenging.
Alr Gene in Brucella suis S2: Its Role in Lipopolysaccharide Biosynthesis and Bacterial Virulence in RAW264.7
Authors: Hao Mingyue , Wang Minghui , Zhao Danyu , Shi Yong , Yuan Ye , Li Junmei , Zhai Yunyi , Liu Xiaofang , Zhou Dong , Chen Huatao , Lin Pengfei , Tang Keqiong , Liu Wei , Jin Yaping , Wang Aihua 
Published: June 2023

Brucella suis, the causative agent of brucellosis, poses a significant public health and animal husbandry threat. However, the role of the alanine racemase (alr) gene, which encodes alanine racemase in Brucella, remains unclear. Here, we analyzed an alr deletion mutant and a complemented strain of Brucella suis S2. The knockout strain displayed an unaltered, smooth phenotype in acriflavine agglutination tests but lacked the core polysaccharide portion of lipopolysaccharide (LPS). Genes involved in the LPS synthesis were significantly upregulated in the deletion mutant. The alr deletion strain exhibited reduced intracellular viability in the macrophages, increased macrophage-mediated killing, and upregulation of the apoptosis markers. Bcl2, an anti-apoptotic protein, was downregulated, while the pro-apoptotic proteins, Bax, Caspase-9, and Caspase-3, were upregulated in the macrophages infected with the deletion strain. The infected macrophages showed increased mitochondrial membrane permeability, Cytochrome C release, and reactive oxygen species, activating the mitochondrial apoptosis pathway. These findings revealed that alanine racemase was dispensable in B. suis S2 but influenced the strain’s rough features and triggered the mitochondrial apoptosis pathway during macrophage invasion. The deletion of the alr gene reduced the intracellular survival and virulence. This study enhances our understanding of the molecular mechanism underlying Brucella’s survival and virulence and, specifically, how alr gene affects host immune evasion by regulating bacterial LPS biosynthesis.
PENGUKURAN KINERJA PERUSAHAAN MENGGUNAKAN BALANCED SCORECARD PADA PT ALHAS JAYA GROUP
Authors: Rumangu Mario , Manossoh Hendrik , Rondonuwu Sintje 
Published: June 2023

Penelitian ini bertujuan untuk mengetahui kinerja perusahaan PT Alhas Jaya Group menggunakan metode Balanced Scorecard. Peneletian ini mengunakan metode kualitatif deskriptif dengan melakukan dokumentasi dan wawancara kemudian mengukur kinerja perusahaan. Penelitian yang dilakukan menunjukkan bahwa kinerja perusahaan dari perspektif keuangan dan perspektif pembelajaran dan pertumbuhan sudah di anggap baik, kemudian kinerja dari perspektif proses bisnis internal menunjukkan hasil yang cukup sedangkan kinerja dari perspektif pelanggan menunjukkan hasil yang kurang baik. Berdasarkan hasil kinerja perusahaan dari empat perspektif tersebut menunjukkan bahwa hasil kinerja secara keseluruhan PT Alhas Jaya Group berada dalam kondisi yang cukup.

Kata Kunci: pengukuran kinerja, Balanced Scorecard
COMPARATIVE STUDY OF CONSUMER PREFERENCE BETWEEN KOPI KENANGAN AND BLACK CUP COFFEE CUSTOMERS
Authors: Kalesaran Andrea , Kindangen Paulus , Pandowo Merinda H. C. 
Published: June 2023

The presence of coffee house modern or coffee shop has given a change of culture in Indonesia, where it is no longer only a big fan of coffee who wants to go to a coffee shop because nowadays it is not only to fulfill the functional needs, but it leads to emotional needs. It became the part of modern lifestyle where some people need to consume coffee before they do their own activity. Consequently, coffee consumption in Indonesia continues to increase, and it also increase consumer demand for Coffee business. The aim of this research is to analyze consumer preferences of coffee shop between Kopi Kenagan and Black Cup Coffee in Manado measure by brand image, brand loyalty, perveived price and electronic word of mouth. This research is quantitative type of research, which uses primary data obtained through questionnaires and uses independent sample t-test as the analytical tool. The population of this research is peoples in Manado who has experience in Kopi Kenagan and Black Cup Coffee, where the sample size is taken from 130 respondents who also has experience with both stores. The result from this research found that there is no significant difference between Kopi Kenagan and Black Cup Coffee measured by brand image, brand loyalty, perceived price and electronic word of mouth. Kopi Kenagan and Black Cup Coffee should more considering and be more focus on these factors that influence the consumer buying behavior.

Keywords: brand image, brand loyalty, perceived price, e-wom, consumer preferences, coffee shop
PENGARUH GAYA KEPEMIMPINAN DAN LINGKUNGAN KERJA TERHADAP KINERJA KARYAWAN PADA PT. BUMI MINERAL SULAWESI
Authors: Farhan M. , Kasran Muhammad , Suparni  
Published: June 2023

Penelitian ini bertujuan untuk mengetahui dan menganalisis hubungan antara gaya kepemimpinan dan lingkungan kerja dengan kinerja karyawan di PT. Bumi Mineral Sulawesi. Penelitian ini menggunakan 70 responden sebagai sampel. Hipotesis diuji dengan menggunakan analisis regresi linear berganda menggunakan aplikasi SMART PLS. Hasil penelitian menunjukkan bahwa gaya kepemimpinan dan lingkungan kerja memiliki pengaruh positif yang signifikan terhadap kinerja karyawan di PT. BUMI MINERAL SULAWESI.
Kata kunci: gaya kepemimpinan, lingkungan kerja, dan kinerja karyawan
ANALISIS PENGARUH PROMOSI, KUALITAS PELAYANAN, ELECTRONIC WORD of MOUTH, dan CITRA MERK TERHADAP MINAT BELI KONSUMEN PADA SITUS E – COMMERCE LAZADA DI KOTA SEMARANG
Authors: Prasetyaningrum Indah Dwi , Rahmawati Noor Indah 
Published: June 2023

Abstract. Changes in the world of online business have occurred a lot due to the many demands of society related to consumers who increasingly want convenience in shopping which is currently a trend. This demand makes entrepreneurs have to adjust to the needs of these consumers. In order not to be unable to compete with other businesses, entrepreneurs must adapt to the increasing number of online businesses that are currently emerging. This study uses four main factors that will be examined in relation to consumer decisions in choosing online businesses, namely promotion variables, service quality, Electronic Word of Mouth, Brand Image, and consumer buying interest variables on the Lazada e-commerce site in the city of Semarang. This study used a questionnaire distributed to 100 respondents who had shopped at Lazada online trading site in Semarang City as a sample. The sample selected in this study used a purposive sampling method using SPSS version 24. The research used in this study was multiple regression analysis and hypothesis testing (t-statistical test, f-statistical test, and test of the coefficient of determination). The results of the study show that there is a positive and significant relationship between the variables of promotion, service quality, Electronic Word of Mouth, and Brand Image on the variable of purchase intention.
Abstrak. Perubahan dalam dunia bisnis online telah banyak terjadi dikarenakan banyaknya tuntutan masyarakat yang terkait dengan konsumen yang semakin menginginkan kemudahan dalam berbelanja yang saat ini sedang menjadi trend. Tuntutan ini membuat pengusaha harus menyesuaikan dengan kebutuhan konsumen tersebut. Agar tidak kalah bersaing dengan bisnis lain, maka pengusaha harus menyesuaikan diri dengan semakin banyaknya bisnis online yang muncul saat ini. Penelitian ini mengunakan empat faktor utama yang akan diteliti dalam kaitannya dengan keputusan konsumen dalam memilih bisnis online, yaitu variabel promosi, kualitas pelayanan, Electronic Word of Mouth, Citra Merek, dan variabel minat beli konsumen pada situs e – commerce Lazada di kota Semarang. Penelitian ini menggunakan kuesioner yang disebar kepada 100 responden yang pernah berbelanja di situs jual beli online Lazada yang berada di Kota Semarang sebagai sampel. Sampel yang dipilih dalam penelitian ini menggunakan metode purposive sampling dengan menggunakan SPSS versi 24. Penelitian yang digunakan dalam penelitian ini adalah analisis regresi berganda, dan uji hipotesis (uji t – statistik, uji f – statistik , dan uji koefisien determinasi). Hasil penelitian menunjukkan bahwa terdapat hubungan yang positif dan signifikan antara variabel promosi, kualitas pelayanan, Electronic Word of Mouth, dan Citra Merek terhadap variabel minat beli.
ANALISIS PENGARUH PENERIMAAN PAJAK DAERAH, PERTUMBUHAN JUMLAH PENDUDUK DAN PERTUMBUHAN JUMLAH WISATAWAN TERHADAP PENDAPATAN ASLI DAERAH KOTA MANADO
Authors: LAKAT JUNIOR 
Published: June 2023

Abstract. This study aims to analyze the proportion and trend of hotel, restaurant and advertisement tax revenue and explain its effect on the local revenue of Manado City in 2016-2018 with population growth and growth in the number of tourists as moderating variables. The results of the proportion test show that the average and realization of hotel and restaurant tax revenue from 2016-2018 is more than the revenue target. The result of tren analysis show that during 2016-2018 hotel, restaurants, and advertisement tax revenue showed an increase. The average realization of advertisement tax revenue during 2016 exceeded the revenue target. However, in 2017-2018 the realization of the advertisement tax did not reach the target. The results of the trend analysis show that during 2016-2018 hotel, restaurant and advertisement tax revenues showed an increase. The results of this study indicate that the hotel tax has a significant effect on the local revenue of the City of Manado, while the restaurant and advertisement taxes have no significant effect on the local revenue of the City of Manado.
Abstrak. Penelitian ini bertujuan untuk menganalisa proporsi dan tren penerimaan pajak hotel, restoran dan reklame serta menjelaskan pengaruhnya terhadap pendapatan asli daerah Kota Manado tahun 2016-2018 dengan pertumbuhan jumlah penduduk dan pertumbuhan jumlah wisatawan sebagai variabel moderasi. Hasil uji proporsi menunjukkan bahwa rata-rata dan realisasi penerimaan pajak hotel dan restoran dari tahun 2016-2018 lebih dari target penerimaan. Hasil analisa tren menunjukkan bahwa selama tahun 2016-2018 penerimaan pajak hotel, restoran, dan reklame menunjukkan kenaikan. Rata-rata realisasi penerimaan pajak reklame selama tahun 2016 melebihi target penerimaan. Namun, di tahun 2017-2018 realisasi pajak reklame tidak mencapai target. Hasil analisa tren menunjukkan bahwa selama tahun 2016-2018 penerimaan pajak hotel, restoran, dan reklame menunjukkan kenaikan. Hasil penelitian ini menunjukkan pajak hotel berpengaruh signifikan terhadap pendapatan asli daerah Kota Manado, sedangkan pajak restoran dan reklame tidak berpengaruh signifikan terhadap pendapatan asli daerah Kota Manado.