bluuebunny/crossref_metadata_2025_split huggingface dataset:
Clinical Characteristics and Outcome of Acute on Chronic Liver Failure Patients at Fatmawati General Hospital
Authors: Darnindro Nikko , Manurung Annela , Mulyana Edi , Harahap Arnold , Dewiastuti Marlina , Fedrizal Fenandri Fadillah , Prabhasworo Mohammad Sadhyo 
Published: August 2022

Background: Acute-on-chronic liver failure (ACLF) is a syndrome characterized by acute liver decompensation with extrahepatic organ failure in patients with pre-existing liver disease causing high short-term mortality. A good knowledge about characteristics and diagnostic of ACLF will help us to give proper treatment. The aim of this study is to know the profile and characteristics of ACLF patientMethod: Retrospective study was conducted to find patient with ACLF between January 2017-January 2018 at Fatmawati General Hospital.Results: Ten patients were diagnosed with ACLF. Six patients admitted with a chief complaint: unconscious, 2 of them had hematemesis in the course-of-treatment. Three patients were admitted with abdominal pain, and 1 patient with hematemesis-melena. Seven patients had Hepatitis-B infection. Aspartate-transaminase to platelet-ratio index (APRI) values varied (median 8.1;minimum 2.81-maximum 34.67). Hepatic encephalopathy, ascites, and acute renal failure were found in 90% of patients. Jaundice can be found in all patients, with mean values of bilirubin levels in patients undergoing test for bilirubin level were 18.56 mg/dL (9/10). Coagulation disorders were found in 60% of patients undergoing haemostasis test. Four patients were diagnosed with grade 3 ACLF. All ACLF patients eventually died during treatment, including third-degree patients who all died within 7 days. Only 2 patients survived more than 7 days, and 4 patients died within 3 days of treatment. Conclusion: mortality rates of ACLF were very high, and are often found in patients with advanced liver disease characterized by high APRI values. The prognosis is related to the number of organ failures. Central nervous system, kidneys and liver are the organs that are often impaired. Because the current treatment method is still limited, further research is needed, especially on biomarkers for better prevention, diagnosis and treatment.
The Management Problems of Patient with Chronic Hepatitis B Infection and Its Reactivation
Authors: Imro'ati Tri Asih , Maimunah Ummi 
Published: August 2022

Hepatitis B virus infection is a major global health problem in the world and particularly in Indonesia. It can cause chronic infection and puts people at high risk of death from cirrhosis and liver cancer. In this case, we will show about the problems that may occur while we manage a patient. A 55 years old man with chronic hepatitis B has been treated with Telbivudin 600 mg for 8 years and and then stop for 2 years (The HBsAg has been non reactive, HBeAg has been seroconversion from positive to negative, and HBV DNA has been not detected since 2014 until January 2016). In 2018, patients undergo surgery to remove nodules in the liver. After that, there were transaminase and bilirubin elevation, and then HBsAg become reactive again. After giving combination therapy of Telbivudin 600 mg with Entecavir 0.5 mg and metyl prednisolone 8 mg (per os, three times a day) for 1 months, the transaminase became decrease, but the bilirubine was still high. The patient was reported to have died in February 2019 after being hospitalized in a hospital outside Java, so we could not know or investigasted the cause of his mortality.
Does emergency surgery have impact on lymph node harvest in colorectal cancer surgery?
Authors: NİKOLOVSKİ Andrej , DERVİSHOV Kristijan , ULUSOY Cemal 
Published: August 2022

Aim: Adequate oncologic surgery for colorectal cancer implies proper resection margin of the resected specimen and complete mesocolic excision in order to achieve objective postoperative pathologic staging. Current recommendations require a minimum of 12 lymph nodes retrieval. In emergency colon cancer surgery, questions are raised about its impact on the lymph node number harvest. Aim of this study is to determine the impact of emergency colorectal cancer surgery on the lymph node number retrieval.
Methods: Retrospective analysis of 102 patients operated for colorectal cancer in the period of 1 year was conducted. Two groups (emergency and elective) were formed. Six surgeons performed all of the operations (three high-volume and three low-volume surgeons).
Results: Twenty patients presented as surgical emergencies and the rest 66 were elective cases. Sixteen patients with stage IV were excluded. Mean number of lymph nodes retrieved in the emergency group was 11.1 [5 - 20], and 14.7 [4 – 34] in the elective one, respectively (p = 0.004). Sufficient number of lymph nodes (≥ 12) extraction was achieved in 7 patients in the emergency group and in 48 patients in the elective one (p = 0.003).
Conclusions: Emergency colon cancer surgery did have impact on the lymph node number harvest. Adequate colorectal training is expected to improve the surgical technique in order to achieve reliable TNM staging.
Faktor-Faktor Yang Mempengaruhi Kualitas Laporan Keuangan Pada Organisasi Perangkat Daerah Kabupaten Jember
Authors: Khoirunisa Nurulita , Ahmad Arisona 
Published: August 2022

This study aims to analyze the effect of implementing Government Accounting Standards, human resource competence, internal control, and utilization of information technology on the financial reports quality in regional government organizations of Jember Regency. This study uses quantitative methods with research instruments in the form of questionnaires. The data analysis technique used is multiple linear regression analysis using SPSS. Tests were carried out on the variables of the Government Accounting Standards implementation (X1), human resource competence (X2), internal control (X3), information technology utilization (X4) and financial reports quality (Y). The results of this study indicate that government accounting standards implementation and information technology utilization have a significant positive effect on financial reports quality, while human resources competence and internal control have an insignificant effect on the quality of financial reports in regional government organizations in Jember Regency.

Penelitian ini bertujuan untuk menganalisis pengaruh penerapan Srandar Akuntansi Pemerintahan, kompetensi sumber daya manusia, sistem pengendalian intern, dan pemanfaatan teknologi informasi terhadap kualitas laporan keuangan pada Organisasi Perangkat Daerah Kabupaten Jember. Penelitian ini menggunakan metode kuantitatif dengan instrumen penelitian berupa kuisioner. Teknik analisis data yang digunakan adalah analisis regresi linear berganda dengan menggunakan SPSS. Pengujian dilakukan pada variabel penerapan Standar Akuntansi Pemerintahan (X1), kompetensi sumber daya manusia (X2), sistem pengendalian intern (X3), pemanfaatan teknologi informasi (X4) dan kualitas laporan keuangan (Y). Hasil dari penelitian ini menunjukkan bahwa penerapan standar akuntansi pemerintahan dan pemanfaatan teknologi informasi berpengaruh positif signifikan terhadap kualitas laporan keuangan, sedangkan kompetensi sumber daya manusia dan sistem pengendalian intern berpengaruh tidak signifikan terhadap kualitas laporan keuangan pada Organisasi Perangkat Daerah kabupaten Jember.
Sirenomelia: A Case Report
Authors: Serudji Joserizal 
Published: August 2022

Sirenomelia is an extremely rare anomaly, an incidence of 1 to 4.2 in 100,000 births, in which a newborn born with legs joined together featuring amermaid-like appearance (head and trunk like humans and tail like ﬁsh), and in most cases die shortly after birth. Gastrointestinal and urogenital anomalies and single umbilical artery are clinical outcome of this syndrome. There are two important hypotheses for pathogenesis of mermaidsyndrome: vitelline artery steal hypothesis and defective blastogenesis hypothesisThe cause of the sirenomelia is unknown, but there are some possible factors such as age younger than 20 years and older than 40 years in mother and exposure of fetus to teratogenics. Here, we introduced 39 year old mother’s ﬁrst neonate with Sirenomelia syndrome. The mother had gestational diabetes mellitus and neonate was born with single lower limb, ambiguous genitalia, and thumb anomalies, and 4 days after birth, the neonate dieddue to multiple anomalies and imperforated anus.
Analysis of Factors Affecting Breastfeeding Patterns During the 2021 Covid-19 Pandemic
Authors: Safaringga Miranie 
Published: August 2022

Breast milk is the most ideal nutrition for babies because it contains nutrients that are most suitable for the baby's needs and contains antibodies that can protect babies from various diseases, especially during the Covid-19 period.This study aims to determine the factors that influence breastfeeding patterns during the COVID-19 pandemic in 2021.The research design used Correlative Analytical with Crosssectional approach. The sample of this research used purposive sampling. The number of samples is 97 breastfeeding mothers in the city of Padang in 2021. Collecting data using a structured questionnaire to determinethe level of knowledge, attitudes, work status and breastfeeding patterns during COVID-19. The data analysis used was univariate and bivariate usingChi-square statistical test (p < 0.05). Based on the results of the Kruskal Wallis test, of the 4 variables that are associated with breastfeeding patternsduring Covid-19, only the knowledge variable has an Assymp sig = 0.049 (< 0.05), it can be concluded that there is a difference between a person's level of knowledge on breastfeeding patterns. during Covid-19. While the education, work and attitude variables have an Assymp Sig value > 0.05 which means there is no difference between education, work and attitudes with breastfeeding patterns during Covid-19.
Pathophysiology of Preeclamsia
Authors: Karmia Hudila Rifa , Serudji Joserizal 
Published: August 2022

The uncertainty of the etiology and underlying mechanisms of the pathophysiology of this disease makes causal structuring and primary prevention of preeclampsia impossible, making it difficult to control morbidity and mortality, both maternal and perinatal. From the many theories on preeclampsia, the disease can be classified into Placental preeclampsia, maternal preeclampsia, and Vascular Disorders of Pregnancy (VDP). Increased inflammatory response to placental factors, excessive inflammatory response to placental factors, and primary vascular disorders are the basis of distinction and also the basis of pathophysiology among the three forms of preeclampsia.
KUALITAS PRODUK, RESTO ATMOSPHERE, DAN PERSEPSI HARGA TERHADAP KEPUTUSAN PEMBELIAN
Authors: Kusumawati Octavia Yuli , Hayuningtias Kristina Anindita 
Published: August 2022

AbstrakResearch problem is the low purchase decision on Mie Gacoan in Semarang City during the Covid-19 pandemic. The purpose of this study was to determine how much influence product quality, restaurant atmosphere, and price perception had on purchasing decisions at Mie Gacoan in Semarang during the pandemic. This research was conducted on consumers of Mie Gacoan in the city of Semarang. The research technique used is purposive sampling, namely the technique of determining the sample by selecting a sample according to the criteria. The type of data used is primary data. The data collection technique was done by distributing questionnaires through google forms. The results of this study prove that the results of the independent variables of product quality, restaurant atmosphere, and price perception have a partially significant positive effect on the purchasing decision of Mie Gacoan Semarang. The better product quality, restaurant atmosphere, and price perception will influence and improve purchasing decisions. The three independent variables that dominate the most are the independent variable restaurant atmosphere where the value is greater than the other two independent variables.Keywords: Product Quality, Restaurant Atmosphere, Price Perception, Purchase Decision. AbstrakMasalah penelitian ini adalah rendahnya keputusan pembelian pada Mie Gacoan kota Semarang di masa pandemi Covid-19. Tujuan penelitian ini untuk mengetahui seberapa besar pengaruh kualitas produk, resto atmosphere, dan persepsi harga terhadap keputusan pembelian pada Mie Gacoan kota Semarang di masa pandemi. Penelitian ini dilakukan terhadap konsumen Mie Gacoan di kota Semarang. Teknik penelitian yang digunakan adalah purposive sampling yaitu teknik penetapan sampel dengan cara memilih sampel sesuai dengan kriteria. Jenis data yang digunakan adalah data primer. Teknik pengambilan data dilakukan dengan penyebaran kuesioner melalui google formulir. Hasil penelitian ini membuktikan bahwa hasil variabel independen kualitas produk, resto atmosphere, dan persepsi harga berpengaruh secara positif signifikan secara parsial terhadap keputusan pembelian Mie Gacoan Semarang. Semakin baik kualitas produk, resto atmosphere, dan persepsi harga akan mempengaruhi dan meningkatkan keputusan pembelian. Ketiga variabel independen yang paling mendominasi adalah variabel independen resto atmosphere dimana nilainya lebih besar dibandingkan dengan dua variabel independen lainnya.Kata kunci: Kualitas Produk, Resto Atmosphere, Persepsi Harga, Keputusan Pembelian.
PERBANDINGAN KEPENTINGAN ANTARA DANA DARURAT DAN DANA PENSIUN BESERTA PENGELOLAANNYA
Authors: Shellyna Shellyna , Putri Shieny Tan , Yanty Yanty , Marcelino Marcelino , Akbar Muhammad Azril 
Published: August 2022

AbstractLack of society’s awareness related to financial planning will have an impact on financial needs, both short-term and long-term financial goals. In meeting these financial needs, two types of funds that must be known are emergency fund and pension fund. The purpose of this study is to describe the level of importance of emergency fund and pension fund and how to manage them so that people are supposed to be aware and start thinking about their readiness and plan to fulfill the two funds. This study uses descriptive qualitative analysis with a scientific approach based on valid and reliable sources according to the facts on the ground. The results of the research discussion emphasize that the society must first understand their financial needs so that their management can run optimally and sustainably. In an emergency fund, the placement of funds must be in liquid and short-term financial instruments. Whereas in pension fund, the placement of fund can be done in long-term financial instruments as the fund will only be used when old age. Various financial instruments that can be used as placements for emergency and pension funds, namely time deposits, money market mutual funds, gold, stocks and bonds.Keywords: emergency fund; pension fund; management; investment. AbstrakKurangnya kesadaran masyarakat terkait dengan perencanaan keuangan akan berdampak pada kebutuhan finansial, baik itu tujuan keuangan jangka pendek maupun panjang. Dalam memenuhi kebutuhan finansial tersebut, dua jenis dana yang harus diketahui adalah dana darurat dan dana pensiun. Tujuan dalam penelitian ini adalah untuk mendeskripsikan tingkat kepentingan dana darurat dan dana pensiun serta cara mengelolanya sehingga masyarakat diharapkan dapat sadar dan mulai memikirkan kesiapan serta rancangannya dalam memenuhi kedua dana tersebut. Penelitian ini menggunakan analisis kualitatif deskriptif dengan pendekatan ilmiah yang didasari sumber valid serta reliabel sesuai dengan fakta di lapangan. Hasil pembahasan penelitian menegaskan bahwa masyarakat harus memahami terlebih dahulu kebutuhan finansial mereka supaya pengelolaannya dapat berjalan secara optimal dan berkelanjutan. Pada dana darurat, penempatan dananya harus pada instrumen keuangan yang likuid dan berjangka pendek. Sedangkan pada dana pensiun, penempatan dananya dapat dilakukan pada instrumen keuangan yang bersifat jangka panjang sebagaimana dana hanya akan terpakai ketika masa tua. Berbagai instrumen keuangan yang dapat dijadikan penempatan dana darurat yang bersifat dan pensiun, yaitu deposito, reksadana pasar uang, emas, saham dan obligasi.Kata kunci: dana darurat; dana pensiun; pengelolaan; investasi.
PENERAPAN KURVA TRIGONOMETRI UNTUK MOTIF KAIN BATIK - MEDIA PEMBELAJARAN PERSAMAAN TRIGONOMETRI
Authors: Endaryono Endaryono , Azzahra Wirda Hidayah 
Published: August 2022

The subject of trigonometric equations is a learning material given to high school students majoring in Mathematics and Natural Sciences and also deepened in student lectures in the fields of science such as mathematics, engineering, informatics and others. The problem discussed in this study is that learning media is still needed to support learning trigonometric equations. The purpose of this research is to create a media for visual simulation of the results of trigonometric equation functions, namely the sine function with various equation models and by modifying the coefficient values in the equation. The results of this simulation are various curve images and are used as a choice of batik motifs. The research methodology uses mathematical modeling with trigonometric equations of sine functions. By changing some of the coefficients in the modification of the sine function, we get an interesting selection of images for batik patterns. The results of the study were in the form of a batik cloth motif design. This research can be used as an interesting learning medium on the subject of trigonometric equations and to addto the richness of various types of batik cloth motifs as an option for lovers of batik cloth art.
PELATIHAN MEMBANGUN MINDSET BISNIS SYARIAH PADA IBU RUMAH TANGGA
Authors: Khalifaturofi'ah Sholikha Oktavi , Africa Laely Aghe , Nasution Zubaidah 
Published: August 2022

<p><strong>Abstract.</strong> Being a housewife is a noble position because of her role in taking care of the household and children. However, now there is a distortion. Housewives who are judged to just stay at home, it turns out that they also fill their activities with business. The purpose of this training is to build a sharia business mindset for Muslim women who are married. Women who are married, have children, always struggle with household activities and take care of their husbands and children. Therefore, we need a training that can improve the capability of housewives who are already married so that they can be self-actualized, independent, and have their own income. The method of implementation is preparatory training to start a business based on sharia economic principles, and is equipped with material on the history of the Prophet and why as a housewife should be able to work. The result of this activity is that partners are motivated to be able to do business and increase partner knowledge to build businesses based on sharia principles.</p><p> </p><p><strong>Abstrak.</strong> Menjadi seorang ibu rumah tangga adalah posisi yang mulia karena perannya dalam mengurus rumah tangga dan anak. Akan tetapi, saat ini mulai terjadi distorsi. Ibu rumah tangga yang dinilai hanya diam saja di rumah, ternyata juga mengisi kegiatan dengan berbisnis. Tujuan dari pelatihan ini adalah untuk membangun mindset bisnis syariah pada perempuan muslim yang sudah berkeluarga. Perempuan yang sudah menikah, mempunyai anak, selalu berkutat dengan kegiatan rumah tangga dan mengurus suami dan anak. Oleh karena itu, diperlukan suatu pelatihan yang dapat meningkatkan kapabilitas ibu rumah tangga yang sudah berkeluarga supaya dapat mengaktualisasi diri, mandiri, dan mempunyai penghasilan sendiri. Metode pelaksanaannya adalah pelatihan persiapan untuk memulai usaha berdasarkan prinsip ekonomi syariah, dan dilengkapi dengan materi sejarah Rasulullah dan mengapa sebagai seorang ibu rumah tangga harus dapat berkarya. Hasil dari kegiatan ini adalah mitra termotivasi untuk dapat berbisnis dan menambah pengetahuan mitra untuk membangun bisnis berdasarkan prinsip syariah.</p><p> </p><div id="gtx-trans" style="position: absolute; left: -42px; top: 358px;"> </div>
RELACIONES INTERPERSONALES ODONTÓLOGO-PACIENTE EN LA CONSULTA ODONTOLÓGICA DESDE UNA PERSPECTIVA PROFESIONAL
Authors: Poclin Quispe Kevin José , Coronel Zubiat Franz Tito 
Published: August 2022

Objetivo: Determinar el nivel de percepción de la relación interpersonal cirujano dentista – pacientes en la región Amazonas 2020.
Materiales y Métodos: El estudio fue descriptivo, prospectivo de corte transversal, con un enfoque cuantitativo. Se evaluó a 75 cirujanos dentistas.
Resultados: En la presente investigación, se apreció que las relaciones interpersonales de los cirujanos dentistas con sus pacientes fueron buenas, con un 89.3%; y de acuerdo a las dimensiones, se obtuvo que el nivel de comunicación presento un 90.1%, seguido del trato con 89.4 y la actitud 88.5% todos con un buen nivel.
Conclusión: El nivel de percepción fue buena respecto a la relación interpersonal de los cirujanos dentistas con sus pacientes de la Región Amazonas 2020.
Diagnostic Accuracy of Physical Examination Tests for Suspected Acute Anterior Cruciate Ligament Injury: A Systematic Review and Meta-Analysis
Authors: Tanaka Shigeharu , Inoue Yu , Masuda Yuki , Tian Hui , Jung Hungu , Tanaka Ryo 
Published: August 2022

Background Many tests are used to examine the knee when anterior cruciate ligament (ACL) injury is suspected. However, evidence of diagnostic accuracy in the Lachman, anterior drawer, pivot shift, and lever sign tests is limited. Purpose The purpose of this study was to perform a systematic review and meta-analysis of original research studies that assessed the diagnostic accuracy of four physical examination tests for ACL injury acutely after an injury. Study design Systematic review and meta-analysis. Methods A literature search was conducted in the PubMed, MEDLINE, CINAHL, Web of Science, and Ichushi databases. Original articles with prospective cohort and cross-sectional studies in English and Japanese were included. The searched words were “anterior cruciate ligament”, “injury”,” rupture”,” tear”, “lachman test”, “pivot shift test”, “anterior drawer test”, “lever sign test”. The methodological quality of the diagnostic studies was evaluated using QUADAS-2. Summary sensitivity, specificity, likelihood ratio (LR)+, and LR– with 95% confidence intervals were calculated. Results Eight studies were included in this review. The methodological quality of the included studies was mostly favorable. For the domain of flow and timing in the QUADAS-2, three studies did not assess the timing between the reference and index tests. The pooled sensitivities were 0.79, 0.78, 0.55, and 0.82 in the Lachman, anterior drawer, pivot shift, and lever sign tests, respectively, and the pooled specificities were 0.91, 0.91, 0.96, and 0.88, respectively. The lever sign test had the lowest LR− (0.21) and the pivot shift test had the highest LR+ (11.60). The area under the curve for the four physical examinations was > 0.70. Conclusion The lever sign and pivot shift tests are useful for diagnosing ACL injuries in an acute setting. Level of Evidence Level 2