bluuebunny/crossref_metadata_2025_split huggingface dataset:
Extra Loading Dose of Dexmedetomidine Enhances Intestinal Function Recovery After Colorectal Resection: A Retrospective Cohort Study
Authors: He Guo-Zun , Bu Ning , Li Ya-Juan , Gao Yuan , Wang Ge , Kong Zhi-Dong , Zhao Min , Zhang Shan-Shan , Gao Wei 
Published: April 2022

Importance: Postoperative gastrointestinal dysfunction (POGD) may be caused by postoperative vagus nerve tension inhibition and systemic inflammation. Dexmedetomidine (Dex) increases vagus nerve tone and affords an anti-inflammatory property, which may play a role in pathogenesis.Objective: To investigate whether a higher dose of Dex enhances gastrointestinal function recovery.Design: In this retrospective study, patients receiving colorectal surgery at the First Affiliated Hospital of Xi’an Jiaotong University from 2017 to 2019 were included. We evaluated the postoperative flatus time between recipients who received loading plus maintenance dose of DEX (LMD group, 237 recipients) and those who recieved maintenance dose of DEX (MD group, 302 recipients). Data were analyzed by logical regression and stratified and interaction analyses. The simulated pharmacokinetics of two DEX regimens was compared using the Tivatrainer software. Thirty paired blood samples from patients whose propensity scores matched with POGD-related factors at 24 h postoperatively were randomly selected, and their tumor necrosis factor-α (TNF-α), cyclooxygenase-2 (COX-2), d-lactate (DLA), acetylcholine (Ach), interleukin (IL)-10, lipopolysaccharide (LPS), IL-6, and inducible nitric oxide synthase (iNOS) levels were measured.Setting: Operating rooms and general surgery wards.Participants: Among the 644 patients undergoing colorectal surgery, 12 who had a colostomy, 26 without Dex infusion, 20 whose Dex administration mode cannot be classified, and 47 with a history of intestinal surgery were excluded. A total of 539 patients were included.Result: Compared with the MD group, the LMD group had a shorter recovery time to flatus; lower incidences of nausea, vomiting, abdominal distension, and abdominal pain (p &lt; 0.05); and a slightly decreased heart rate. The LMD group was the independent factor of POGD (OR = 0.59, 95% CI = 0.41–0.87, p = 0.007) without being reversed in stratified and interaction analyses and had higher Dex plasma concentration from skin incision to 8 h postoperatively. The LMD group had a 39% and 43% increase in Ach and IL-10 levels, respectively, and a 33%–77% decrease in TNF-α, IL-6, COX-2, iNOS, LPS, and DLA levels (p &lt; 0.05).Conclusion: Adding an extra loading dose of Dex can increase parasympathetic tone and decrease inflammation; hence, it can enhance postoperative gastrointestinal function recovery following colorectal surgery.
Association Between Body Mass Index and All-Cause Mortality in a Prospective Cohort of Southern Chinese Adults Without Morbid Obesity
Authors: Hu Feng , Cheng Jianduan , Yu Yun , Wang Tao , Zhou Wei , Yu Chao , Zhu Lingjuan , Bao Huihui , Cheng Xiaoshu 
Published: April 2022

Objective: This prospective study examined the relationship between body mass index (BMI) and all-cause mortality in Chinese adults without morbid obesity.Methods: We prospectively examined the relationship between BMI and all-cause mortality in 12,608 Southern Chinese adults with age ≥35 years who participated in the National Key R&amp;D Program from 2013–2014 to 2019–2020. Cox proportional hazards models were used to examine the association between BMI and all-cause mortality.Results: The prevalence of being underweight, normal weight, overweight and having moderate obesity was 7.36%, 55.83%, 28.51% and 8.31%, respectively. A total of 683 (5.65%) deaths occurred during a median follow-up period of 5.61 years. The Cox proportional hazards models indicated that a continuous BMI level was negatively associated with all-cause mortality [adjusted-hazard ratio (HR) per 1 kg/m2 increase: 0.96, 95% CI 0.93 to 0.98, p &lt; 0.001]. Furthermore, the HRs of all-cause mortality in the underweight, overweight and moderate obesity groups were 1.31 (1.05, 1.64), 0.89 (0.73, 1.08) and 0.64 (0.44, 0.92), respectively in the confounder model relative to the normal weight group. Survival analysis further confirmed this inverse association of the four BMI categories with mortality.Conclusion: BMI was negatively associated with all-cause mortality in southern Chinese adults without morbid obesity. Compared to the normal weight category, adults in the moderate obesity category had lower all-cause mortality, whereas being underweight was associated with increased all-cause mortality.
The Effects of Eccentric Strength Training on Flexibility and Strength in Healthy Samples and Laboratory Settings: A Systematic Review
Authors: Vetter Sebastian , Schleichardt Axel , Köhler Hans-Peter , Witt Maren 
Published: April 2022

Background: The risk of future injury appears to be influenced by agonist fascicle length (FL), joint range of motion (ROM) and eccentric strength. Biomechanical observations of the torque-angle-relationship further reveal a strong dependence on these factors. In practice, a longer FL improves sprinting performance and lowers injury risk. Classical stretching is a popular and evidenced-based training for enhancing ROM but does not have any effects on FL and injury risk. However, recent studies show that eccentric-only training (ECC) improves both flexibility and strength, and effectively lowers risk of injury.Objectives: To review the evidence on benefits of ECC for flexibility and strength.Methods: COCHRANE, PUBMED, SCOPUS, SPOLIT, and SPONET were searched for laboratory trials that compare ECC to at least one comparison group. Studies were eligible if they examined both strength and flexibility metrics in a healthy sample (&lt;65 years) and met criteria for controlled or randomized clinical trials (CCT, RCT). 18 studies have been included and successfully rated using the PEDro scale.Results: 16 of 18 studies show strong evidence of strength and flexibility enhancements for the lower limb. While improvements between ECC and concentric training (CONC) were similar for eccentric (+19 ± 10% vs. +19 ± 11%) and isometric strength (+16 ± 10% vs. +13 ± 6%), CONC showed larger improvements for concentric strength (+9 ± 6% vs. +16 ± 7%). While for ROM ECC showed improvements (+9 ± 7%), no results could be found for CONC. The overall effectiveness of ECC seems to be higher than of CONC.Conclusion: There is clear evidence that ECC is an effective method for changes in muscle architecture, leading to both flexibility and strength improvements for the lower limb. Due to limited data no shoulder study could be included. Further research is needed for the upper body joints with a focus on functional and structural adaptions.Systematic Review Registration:https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021283248, identifier CRD42021283248
Correlates of Positivity Among a Sample of Lebanese University Students
Authors: Moussa Sara , Malaeb Diana , Obeid Sahar , Hallit Souheil 
Published: April 2022

BackgroundPeople say it is hard to stay truly positive in Lebanon. Studies showed that 63% of Lebanese young adults are highly dissatisfied with their country. In fact, young adults are the most vulnerable population to stressors in Lebanon since their future is at stake and it is their time to shape their lives in a country that cripples them. This study aimed to assess factors (flourishing, religious coping, experiences in life, and the economic burden) associated with positivity among a sample of Lebanese university students despite the various stressors they are facing on top of the economic collapse and the COVID-19 pandemic.MethodsThis cross-sectional study was conducted between November and December 2021. A total of 333 participants (219 females and 114 males; mean age = 22.95 ± 4.79 years) was recruited through convenience sampling and snowball technique through several areas in Lebanon’s governorates. A linear regression taking the positivity score as the dependent variable was adopted and all variables that showed a correlation &gt; │0.24│ in absolute value were entered in the final model as independent.ResultsA linear regression taking the positivity score as the dependent variable showed that more positive experiences in life (Beta = 0.49; 95% CI 0.35–0.62), more flourishing (Beta = 0.10; 95% CI 0.05–0.14), living in rural area compared to urban (Beta = 3.06; 95% CI 2.02–4.11), and female gender (Beta = 1.56; 95% CI 0.50–2.61) were significantly associated with more positivity (NagelkerkeR2of the model = 45.8%).ConclusionThis study demonstrated that the youth’s positivity is strongly affected by age, gender, residency, and the country they live in that will both directly and indirectly shape their life experiences and their ability to flourish and prosper. Along with all the efforts done to help during this collapse and alleviate the stress that young adults are enduring, follow-up studies are still needed to determine accurate coping techniques that pushes these young adults to think positively in a country where negativity reigns and all else fails.
Impact of Legal Traditions on Forensic Mental Health Treatment Worldwide
Authors: Beis Pavlos , Graf Marc , Hachtel Henning 
Published: April 2022

BackgroundForensic psychiatry is a subspecialty dealing with the diagnosis and treatment of mentally ill offenders. However, forensic treatment standards vary. Differences arise among forensic treatment standards, due to variations in either the legal framework, the general psychiatric treatment standards, or the forensic training standards. Thus, to date there is no evidence-based pattern for how forensic services should be organized and provided.AimsThe aim of this article is to compare forensic services in various countries in order to contribute to the current debate on international forensic treatment standards, by informing about existing differences in available policies.MethodsThis scoping review was conducted by reviewing the academic literature regarding forensic treatment around the world. Studies were identified from Pub-Med and Google-Scholar. Keywords for the search included “forensic psychiatry,” “mentally ill offenders,” “legal framework,” “jurisdiction,” and the names of geographical regions.ResultsForensic treatment admission varies significantly around the world. There are countries that do not recognize forensic psychiatry as a subspecialty, whereas other countries apply insufficient forensic training. Most countries provide inpatient treatment for mentally ill offenders. However, service organization varies, including where the services are delivered (prisons, high-security hospitals, and general psychiatric departments). Forensic services are mainly centralized, although the need for outpatient care is emerging. This manuscript updates the findings of a chapter by Anne G. Crocker, James D. Livingston, and Marichelle C. Leclair that conducted an international review on the organization of forensic mental health services internationally, by legal framework. We were also inspired by the classification of legal frameworks from that chapter conducting the present review. Building upon that chapter we reviewed current literature about forensic mental health treatment from countries with different legal traditions, accentuated similarities and differences among them and highlighted that further follow-up research is needed, aiming the optimization of forensic treatment standards.DiscussionDifferences may originate mainly from variations in the legal tradition. These differences combined with the limited evidence on the effectiveness of the intervention imply the need for the optimization of forensic treatment standards on an international level. Therefore, further follow-up studies are needed.
Cost-effectiveness of Same-day Discharge Surgery for Primary Total Hip Arthroplasty: A Pragmatic Randomized Controlled Study
Authors: Shi Yangyang , Zhu Peipei , Jia Jie , Shao Zengwu , Yang Shuhua , Chen Wei , Zhang Ke , Tong Wei , Tian Hongtao 
Published: April 2022

BackgroundTotal hip arthroplasty (THA) causes a great medical burden globally, and the same-day discharge (SDD) method has previously been considered to be cost saving. However, a standard cost-effectiveness analysis (CEA) in a randomized controlled trial (RCT) is needed to evaluated the benefits of SDD when performing THA from the perspective of both economic and clinical outcomes.MethodsEighty-four participants undergoing primary THA were randomized to either the SDD group or the inpatient group. Outcomes were assessed by an independent orthopedist who was not in the surgical team, using the Oxford Hip Score (OHS), EuroQol 5D (EQ-5D), SF-36 scores and the quality-adjusted life years (QALYs). All the cost information was also collected.ResultsThe mean stay of patients in the SDD group was 21.70 ± 3.45 h, while the inpatient group was 78.15 ± 26.36 h. This trial did not detect any significant differences in OHS and QALYs. The total cost in the SDD group was significantly lower than that in the inpatient group (¥69,771.27 ± 6,608.00 vs. ¥80,666.17 ± 8,421.96, p &lt; 0.001). From the perspective of total cost, when measuring OHS, the incremental effect was −0.12 and the incremental cost was –¥10,894.90. The mean incremental cost-effectiveness ratio (ICER) was 90,790.83. When measuring QALYs, the incremental effect was 0.02, and the ICER was negative. Sensitivity analysis produced similar results.ConclusionsSDD has an acceptable likelihood of being more cost-effective than the traditional inpatient option. After conducting cost–utility analysis, SDD resulted in better QALYs, while significantly reducing the total cost.
PENGARUH HUTANG TERHADAP HARGA SAHAM PERUSAHAAN AGRIKULTUR YANG TERDAFTAR DI BURSA EFEK INDONESIA
Authors: Vonna Sari Maulida 
Published: April 2022

Saham merupakan salah satu alternatif dalam berinvestasi. Seiring perkembangan zaman, semakin banyak yang tertarik untuk berinvestasi pada saham. Oleh sebab itu calon investor harus sangat memperhatikan harga saham perusahaan pada pasar modal sebelum memutuskan berinvestasi pada perusahaan tertentu. Naik turunnya harga saham diakibatkan oleh banyak hal, diantaranya adalah nilai hutang yang dimiliki perusahaan. Perusahaan dengan nilai hutang yang besar identik sebagai perusahaan yang besar pula, karena diasumsikan perusahaan tersebut memiliki aset atau ekuitas yang tinggi yang dapat menjamin hutang. Oleh sebab itu, penelitian ini bertujuan untuk menguji pengaruh hutang terhadap harga saham. Populasi pada penelitian ini adalah perusahaan agrikultur yang terdaftar di Bursa Efek Indonesia selama dua tahun yaitu tahun 2017 dan tahun 2018. Perusahan yang diteliti adalah perusahaan agrikultur yang selama dua tahun berturut-turut listing di Bursa Efek Indonesia dan tidak mengalami kerugian. Pemilihan populasi dengan menggunakan metode sensus dan diperoleh sebanyak 15 perusahaa. Metode analisis yang digunakan pada penelitian ini adalah analisis regresi, sedangkan untuk sumber data yang digunakan adalah data sekunder yaitu yang berasal dari laporan keuangan perusahaan. Hasil penelitian ini menunjukkan bahwa hutang berpengaruh negatif dan signifikan terhadap harga saham, yang berarti semakin tinggi hutang yang dimiliki perusahaan maka semakin rendah harga saham perusahaan tersebut, demikian juga sebaliknya.
Studi Komparasi Perilaku Struktur Gedung At-Tauhid Di Kota Surabaya Dengan Menggunakan SNI 1726-2012 Dan SNI 1726-2019
Authors: Istiono Heri , Lisawiyani Yasmin 
Published: April 2022

The seismic structure based on SNI 1726-2012 has been renewed in SNI 1726-2019 in term of the newest seismic map. This sort of renewal plan is necessary to anticipate the ruin of structure at At-Tauhid building in Surabaya. The plan for reinforced concrete structure was carried out based on SNI 2847-2013. To analyze the quake against the building, the researcher employed structural modeling by SAP 2000 program and eventually yielded the comparisons of spectrum response and structural behavior.The research results demonstrated that the spectrum response of seismic design improved by Sa12.99% and T 7.78%. In terms of control behavior analysis using SNI 1726-2012 and SNI 1726-2019, the structure of building has met the requirements of time period, mass participation, static and dynamic base shears, interstorey drift, and dual systems. Time period obtained the similar value as Ta SAP by 1.61 second. Meanwhile, the mass participation employing SNI 1726-2019 reached faster diverse number at the 30th mode. Static base shear increased 12.99%, whereas dynamic base shear inclined 32.95%. Interstorey drift improved 34.73% in X direction and 34.54% in Y direction. The dual systems based on SNI 1726-2012 got OMRF retaining the seismic force of design 50.83% in X direction and 43.75% in Y direction, whereas SNI 1726-2019 had OMRF resisting the seismic force of design 50.87% in X direction and 43.77% in Y direction.
Perancangan Aplikasi Manajemen Proyek, Tugas dan Kolaborasi dalam Meningkatkan Kinerja Pegawai
Authors: Endi Alzaidi , Afrina  , Wahyudiono Pratiwi Hendro 
Published: April 2022

Perkembangan sistem informasi manajemen telah menyebabkan terjadinya perubahan yang signifikan dalam pola pengambilan keputusan yang dilakukan oleh manajemen pada tingkat operasional dan pimpinan. Penelitian ini bertujuan untuk merancang dan mengimplementasikan Aplikasi Manajemen Proyek, Tugas dan Kolaborasi Dalam Meningkatkan Kinerja Pegawai yang diharapkan dapat bermanfaat untuk membantu dalam mengatur dan mengontrol sebuah proyek pengembangan perangkat lunak di TIK BP Batam sehingga proyek yang dikerjakan dapat berjalan dengan baik dan selesai tepat waktu serta dapat meningkatkan kinerja pegawai TIK BP Batam.
Project Management Application Design, Tasks and Collaboration in Improving Employee Performance
Abstract: The development of management information systems has led to significant changes in the pattern of decision making by management at the operational and leadership levels. This study aims to design and implement Project Management Applications, Tasks and Collaboration in Improving Employee Performance which is expected to be useful for assisting in managing and controlling a software development project at ICT BP Batam so that the projects carried out can run well and be completed on time and can improve the performance of ICT BP Batam employees.
Keywords: Information System, Project Management Application, Increasing Performance.
PEMBERDAYAAN KOMUNITAS UMKM PADA KSU GAPOKTAN RUKUN SANTOSO DESA BUMI SARI, KEC NATAR.
Authors: Dunan Hendri , Soewito Soewito , Redaputri Appin Purisky , Hesti Yulia , Satria Indah , Anita Okta 
Published: April 2022

Wirausaha berasal dari kata wira dan usaha. Wira, berarti pejuang, pahlawan, manusia unggul, teladan, berbudi luhur, gagah berani dan berwatak agung. Usaha, berarti perbuatan amal, berbuat sesuatu. Kami Tim LPPM Universitas Bandar Lampung bekerja sama dengan sama dengan PLN (Divisi Komunikasi dan TJSL (PLN Peduli) PT PLN (Persero) Distribusi Lampung melakukan kegiatan pengabdian masyarakat dengan fokus bidang kami tentang kewirausahaan. Pemberdayaan Komunitas UMKM pada KSU Gapoktan Rukun Santoso Desa Bumi Sari, Kec Natar menjadi salah satu judul kegiatan pengabdian kepada masyarakat kami pada kali ini. Beberapa masalah yang di hadapi oleh masyarakat Rukun Santoso Desa Bumi Sari, Kec Natar adalah ide dan Inovasi yang belum diiringi dengan kemampuan produksi, produk keripik masih distribusi dari supplier karena belum bisa produksi sendiri. Pemberian mesin vacum frying untuk membuat keripik nangka dan pisang pada masyarakat Rukun santoso Desa Bumi Sari Kecamatan Natar, Kabupaten Lampung Selatan adalah solusi yang Tim dapatkan.
BIODIESEL PRODUCTION OF WASTE COOKING OIL CATALYZED BY CAO DERIVED FROM SNAIL (ACHATINA FULICA) SHELL WASTE
Authors: Kurniawan Edi , Perdana Fitra 
Published: April 2022

Biodiesel can be production from waste cooking oil catalyzed by base heterogeneous catalysts. One type of heterogeneous base catalyst is CaO. CaO can be produced from mollusc animal waste, one of which is snail shell waste (Achatina fulica). The main constituent of snail shell waste (Achatina fulica) is a calcium oxide compound (CaCO3) which can be decomposed into CaO at high temperatures. In this study, a temperature of 900 oC for 10 hours was used to convert CaCO3 compounds into CaO compounds. Biodiesel production using CaO catalyst on the mole ratio of oil: methanol 1: 6, 3 g weight of catalyst, the reaction temperature at 60 °C, the reaction time of 3.5 hours, and stirring speed of 250 rpm with biodiesel results obtained at 84,28%.
THE ROLE OF CCU IN ENGLISH CLASSROOM IN INDONESIA
Authors: Hikmatulloh Hikmatulloh , Syafiâ€™i Ahmad 
Published: April 2022

Language cannot be separated from culture, so if we teach a language, we also need to correlate it with culture. It implies that to teach language means to also teach the culture. Since English now belongs to the world asÂ lingua franca, used by different nationalities, the number of students who learn English increases around the world. The increase of students who learn English in countries with various ethnicities makes multicultural education in the 21st century. This phenomenon happens especially in a diverse country such as Indonesia that has thousands of ethnicities, languages, religions, and cultures. Language and religious diversity are also increasing among the nationâ€™s student population (Dilg, 2003). ln an EFL country such as Indonesia, teaching cross-cultural understanding (CCU) is extremely needed in order to understand the language taught. This paper will discuss the use of CCU in English classrooms, especially in Indonesia.
INCREASING VOCABULARIES TO SUPPORT LANGUAGE SKILLS BY FIFTH SEMESTER STUDENTS OF AKRB YOGYAKARTA
Authors: Nurharjanti Marita 
Published: April 2022

This research was to figure out the students’ ways of increasing vocabularies to support language skills of fifth semester students of Radya Binatama Broadcasting Academy Yogyakarta. Class activities were insufficient for each student to learn maximally. This hindrance made some students to be more creative in learning vocabularies to support their language skills of English. The study was categorized as descriptive qualitative research. The writer used documentation, observation, in-depth interview, data triangulation and open-questionnaire methods. To analyze the data, the writer used constant comparative study. The results were as follows: first, the students increased vocabularies through listening from news and interview programs on TV and radio, music and films from their private collections such as CD, DVD, cassette or learning from the family member. Second, they increased vocabularies through reading from text, book, novel, newspaper and film/ song text. Third, they increased vocabularies through speaking by oral repeating from song and film, taking part in debating activities or competitions, making conversation in working place or in the organization, and delivering speech. Fourth, they developed vocabularies from writing via emails, composing story, writing articles and diary. Fifth, in translation, they used both internet because of the time efficiency and also dictionary.
Keywords: increasing vocabularies, students, language skills