bluuebunny/crossref_metadata_2025 huggingface dataset:
Emigración navarra a Estados Unidos de América en la segunda mitad del siglo XX (primera parte)
Authors: Aramburu Zudaire Mikel , Barandiaran Amarika Asier , Inda Aldaz Jaione
Published: July 2024

Esta es la primera parte de un trabajo realizado por tres investigadores donde se trata de analizar la emigración navarra reciente a Estados Unidos de América. Intentamos aproximarnos al objeto del estudio desde un punto de vista etnológico, antropológico y, parcialmente, lingüístico. La contextualización histórica del fenómeno migratorio reciente se tendrá en cuenta sobre todo para enmarcar con mayor sentido el estudio que hemos realizado. Después de asentar las bases teóricas y metodológicas de este análisis, se muestran los resultados de entrevistas pormenorizadas hechas a emigrantes que viven en Estados Unidos o que han regresado a su tierra de origen.
Assessing the Use of Creative Writing Strategies in English Language Teaching in Jordan: Challenges and Teacher-Proposed Solutions from their Point of View
Authors: Al-Manaseer Amani M. , Al-Omari Hamzah A.
Published: July 2024

Objectives: This study aimed to investigate the degree English Language Teachers (ELTs) in Jordan apply creative writing strategies to teach writing. It also aimed to explore the challenges that face teachers when they apply the strategies, and their suggestions to overcome them.
Methods: This study employed a mixed-methods approach, collecting quantitative data through a structured questionnaire involving 200 teachers from 48 government and private schools in Jordan. Qualitative data were also gathered through classroom observation notes and interviews with 20 participating teachers from the questionnaire.
Results: The analyses revealed significant differences in teachers' usage of creative writing techniques based on their teaching experience. Specialized English language teachers with less than three years of experience showed a greater preference for these methods compared to those with longer teaching experience. However, academic qualifications, whether bachelor's or master's/doctorate degrees, did not significantly impact the usage of these strategies.
Conclusions: The study highlights the necessity of implementing targeted training programs to enhance the usage of creative writing strategies among English language teachers. Additionally, it encourages further research to better understand the motivations and effects of using these strategies on improving English language teaching.
مستوى ممارسة المعلمين لمعايير جودة الممارسات التقييمية في المدارس الحكومية في مملكة البحرين
Authors: Alawadhi Ahmed M. , Alomari Hassan
Published: July 2024

الأهداف: هدفت الدراسة الحالية إلى الكشف عن مستوى ممارسة المعلّمين لمعايير جودة الممارسات التقييمية في مملكة البحرين.
المنهجية: اتبع في هذه الدراسة المنهج الوصفي التحليلي، وقد تكونت عينة الدراسة من (430) معلّما ومعلّمة من مختلف مراحل التعليم تم اختيارهم بالطريقة الطبقية العشوائية، ولتحقيق أهداف الدراسة؛ تم ببناء قائمة معايير جودة الممارسات التقييمية مكونة من (53) فقرة في صورتها النهائيّة، موزعة على (5) مجالات، وهي (تطوير الأدوات والأساليب التقييمية، التصحيح ورصد الدرجات، الإخبار بنتائج التقويم، الممارسات الأخلاقية للتقويم، استخدام نتائج التقويم) بعد التحقق من خصائصها السايكومتريّة.
النتائج: وتبيّن من نتائج الدراسة أن مستويات ممارسة المعلّمين لمعايير جودة الممارسات التقييمية جاءت مرتفعة في جميع مجالات الاستبانة وعلى الاستبانة ككل، حيث تراوحت المتوسطات للمجالات بين (3.08 - 3.44)، حيث كان المجال الأقل متوسطًا هو مجال ممارسات تطوير الأدوات والأساليب التقييمية، بينما كان المجال الأعلى هو مجال الممارسات الأخلاقية للتقويم، واتضح من نتائج الدراسة وجودة فروقٍ ذات دلالة إحصائية عند مستوى الدلالة (α=0.05) في مستوى الممارسة تعزى لمتغيري المؤهل ولصالح حاملي البكالوريوس، والخضوع لتدريب في القياس والتقويم ولصالح من تلقى أكثر من دورة متخصصة في بناء الاختبارات والقياس والتقويم، بينما لم تظهر أي فروق ذات دلالة إحصائية عند مستوى الدلالة (α=0.05) تعزى لمتغيرات الجنس والمرحلة التدريسية وسنوات الخبرة.
الخلاصة: اتضح أن مستويات ممارسة المعلمين لمعايير جودة الممارسات التقييمية جاء بدرجة مرتفعة، وأوصت الدراسة بضرورة بإجراء دراسة مماثلة على المدارس الخاصة، والاستمرار في دعم وتعزيز سياسات وبرامج التدريب بوزارة التربية والتعليم في تقييم تحصيل الطلبة.
أثر تدريس التربية الإسلامية باستخدام تقنية الواقع المعزز في تنمية مهارات التفكير الإبداعي لدى طلبة الصف الخامس الأساسي
Authors: Bani Mari Ahmad Saleh Mahmoud
Published: July 2024

الأهداف: هدفت الدّراسة تعرف أثر تدريس مبحث التربية الإسلامية بتوظيف تقنية الواقع المعزز في تنمية مهارات التفكير الإبداعي لدى طالبات الصف الخامس الأساسي في الأردن
المنهجية: اتبعت الدراسة المنهج شبه التجريبي، وتكونت عينة الدراسة من (59) طالبة، توزعت في مجموعتين: تجريبية، درست باستخدام تقنية الواقع المعزز ، بلغ عددها (29) طالبة، ومجموعة ضابطة درست بالطريقة الاعتيادية، بلغ عددها (30) طالبة. ولتحقيق أهداف الدراسة، جرى إعداد دليل للمعلمة؛ لتنفيذ التجربة. وجرى إعداد اختبار قبلي - بعدي في التفكير الإبداعي مكون من ثلاثة مستويات: (الطلاقة،المرونة،التوسع)، تم التحقق من صدقه وثباته.
النتائج: أظهرت نتائج الدّراسة وجود فرق دال إحصائياً عند مستوى الدلالة (α =0.05) بين المتوسطيْن الحسابيين لأداء أفراد مجموعتي الدّراسة في كل مستوى من مستويات اختبار التفكير الإبداعي منفردةً ومُجتمعةً يُعزى لمتغير استراتيجية التدريس، لصالح أداء أفراد المجموعة التجريبية.
الخلاصة: بما أن استخدام تقنية الواقع المعزز كانت لها أثر في تنمية مهارات التفكير الإبداعي، فقد أوصت الدراسة باستخدام معلمي التربية الإسلامية تقنية الواقع المعزز في التدريس، إضافة لعقد دورات تدريبية وورش عمل لمعلمي ومعلمات التربية الإسلامية حول استخدام تقنية الواقع المعزز في التدريس.
أثر برنامج تدخل مُبكر محوسب في تطوير مهارات التواصل الاجتماعي لدى الأطفال ذوي الإعاقة
Authors: AlQawod Ghada Awwad , Al-Dababneh Kholoud Adeeb
Published: July 2024

الأهداف: تقييم أثر برنامج التدخل المبكر المحوسب على تطوير مهارات التواصل الاجتماعي لدى الأطفال ذوي الإعاقة.
المنهجية: استخدمت الدراسة منهجية دراسة الحالة الواحدة، حيث تكونت عينة الدراسة من 5 أطفال من ذوي الإعاقة (اضطراب طيف التوحد، إعاقة ذهنية) ضمن الفئة العمرية (4-6) سنوات والملتحقين في مركز الزرقاء الشامل للخدمات النهارية الدامجة. وتم تطوير برنامج تدخل مبكر محوسب ومقياس لمهارات التواصل الاجتماعي للأطفال ذوي الإعاقة من وجهة نظر المعلمين لقياس أثر البرنامج، مكون من (18) فقرة.
النتائج: أظهرت نتائج الدراسة وجود فروق ذات دلالة إحصائية في الدرجة الكُلية بين القياس القبلي والقياس البعدي للمقياس لصالح القياس البعدي، أي تحسُن مهارات التواصل الاجتماعي لدى الأطفال ذوي إلاعاقة تبعاً للبرنامج التدريبي. كما أظهرت عدم وجود فروق ذات دلالة إحصائية في الدرجة الكُلية بين القياس البعدي والقياس التتبعي للمقياس، مما يشير إلى استقرار تأثير البرنامج على مهارات التواصل الاجتماعي لدى الأطفال ذوي الإعاقة على القياس البعدي لدى عينة الدراسة.
الخلاصة: توصي الدراسة بتعزيز برامج التدخل المُبكر في مرحلة الطفولة المُبكرة بالتكنولوجيا والتقنيات المساندة، وتطوير برمجيات حاسوبية بالاستفادة من القصص الاجتماعية المخصصة لهم في أدب الأطفال لما لها من دور في تحفيز الأطفال ذوي الإعاقة، وزيادة مستوى التركيز لديهم، وتقديم التغذية الراجعة الفورية التي يحتاجونها للاستمرار في العملية التعليمية، بالإضافة إلى ضرورة مواكبة برامج التدخل المبكر للأطفال ذوي الإعاقة للتطوير التكنولوجي الذي يشهده العالم في ميدان التعلم والتعليم.
الخصائص السيكومترية لمقياس قدرات التكيف المهني في المجتمع الأردني
Authors: Al Masoud Hala F.
Published: July 2024

الأهداف: هدفت الدراسة للتحقق من الخصائص السيكومترية لمقياس قدرات التكيف المهني بصورته الأردنية، وتوفير أداة للاستفادة منها في تقديم خدمات الإرشاد المهني في المجتمع الأردني، ومساعدة الطلبة على التعرف إلى قدراتهم في مواجهة متطلبات المهن ومتطلبات سوق العمل.
المنهجية: طبق مقياس قدرات التكيف المهني بصورته الأردنية على (259) طالباً وطالبة من الملتحقين ببرنامج البكالوريوس في عدد من الكليات العلمية والإنسانية في جامعة حكومية وأخرى خاصة. تم اعتماد التحليل العاملي الاستكشافي لتقييم طبيعة البناء العاملي لمقياس قدرات التكيف المهني بصورته الأردنية المكونة من (24) فقرة.
النتائج: بينت نتائج الدراسة أن مقياس قدرات التكيف المهني بصورته الأردنية يتمتع بدلالات صدق وثبات عالية تتوافق مع الخصائص السيكومترية للمقياس العالمي، وأن المقياس بصورته الحالية يعد أداة ملاءمة لقياس قدرات التكيف المهين من قبل المختصين في الإرشاد المهني.
الخلاصة: ٕتوصي الدراسة باستخدام المقياس في إجراء مزيد من البحوث المستقبلية في مجال الإرشاد والتوجيه المهني، في المجتمع الأردني. والتحقق  من الخصائص السيكومترية لمقياس قدرات التكيف المهني بصورته الأردنية على عينات وتخصصات جديدة على مستوى طلبة الدراسات العليا في الجامعات الأردنية الحكومية والخاصة، وكذلك على عينات من طلبة نهاية المرحلة الأساسية والثانوية في التعليم العام.
الخصائص السيكومترية للصورة السعودية لمقياس وكسلر لذكاء الأطفال في مرحلة ما قبل المدرسة والمرحلة الإبتدائية الدنيا
Authors: Ejbara Mohammad Adnan
Published: July 2024

الأهداف: هدفت هذه الدراسة إلى التحقق من الخصائص السيكومترية للصورة السعودية لمقياس وكسلر لذكاء الأطفال لمرحلة ما قبل المدرسة والمرحلة الابتدائية الدنيا.
المنهجية: تم استخدام المنهج الوصفي لتحقيق أهداف الدراسة، تكوّن مجتمع الدراسة من جميع الأطفال في منطقة جدة التعليمية من عمر 4 – 7.3 سنوات. وقد تكونت عينة الدراسة من (788) مفحوصاً للأعوام 2018-2022 و تم اختيارهم بالطريقة العشوائية الطبقية. وتم استخدام مقياس وكسلر لذكاء الأطفال لمرحلة ما قبل المدرسة النسخة الثالثة الذي تكون من (11) اختباراً فرعياً (5 أدائي – 6 لفظي).
النتائج: تم التوصل إلى دلالات عن صدق البناء للمقياس من خلال أسلوب التحليل العاملي التوكيدي والاستكشافي. أما نتائج الصدق التمييزي فبينت وجود فروق دالة إحصائياً بين الأطفال العاديين، وفئات التربية الخاصة ولصالح العاديين، وتبعاً للفئة العمرية ولصالح العمر الأكبر، كما تم التحقق من الصدق التلازمي حيث بلغ معامل الارتباط بين مقياس وكسلر بينيه للذكاء الصورة السعودية (0.81)، ومقياس رسم الرّجل الصورة السعودية (0.71)، كما توفرت دلالات عن ثبات المقياس بطريقة التجزئة النصفية والإعادة وبطريقة الاتساق الداخلي. كما تم اشتقاق المعايير الأولية للمقياس بتحويل الدرجة الخام إلى درجة موزونة ونسبة ذكاء انحرافية متوسطها 100 وانحرافها 15.
الخلاصة: استخدام مقياس وكسلر في تقييم الأطفال لمرحلة ما قبل المدرسة والمرحلة الابتدائية الدنيا.
Challenges of Using Multimedia Tools in the Teaching and Learning Process: Instance from a college of Bangladesh
Authors: Huda Shamsul
Published: July 2024

The growing acceptance of multimedia-based education among students and its effectiveness are the reasons behind its popularity. Multimedia instruction in the classroom presents several challenges in addition to opportunities. Thus, the study aims to highlight the difficulties of using multimedia resources in the classroom and explore potential solutions. To evaluate the efficacy of multimedia technologies in the current teaching-learning process, the first focus of this study was on how to get data from the teachers and students of Patuakhali Government College (PGC). Second, a questionnaire was used to guide the conduct of six case studies and two focus group discussions (FGDs). In this study, the qualitative research method was employed. It is significant to note that, according to the opinions and data gathered for this study, most educators and students concur that teachers have no interest in implementing multimedia resources in the classroom. Factors such as slow internet connectivity, lack of adequate teacher training, inadequate digital classrooms and inconsistency in teacher-student ratio were identified in the study’s findings. The results of case studies and focus group discussions (FGD) helped to identify the difficulties associated with employing multimedia tools in the classroom. Addressing all these challenges can effectively ensure an up-to-date education system in tune with the global educational landscape.
Common practices and dissimilarities in greening residential routine mobility in selected countries of Europe, based on a comparative analysis
Authors: Vona Gábor
Published: July 2024

This article aims at widening the knowledge about green mobility choices related consumer behaviour and attitudes of retail customers. The calculations rely on the dataset of a survey conducted in Hungary, Italy, Norway, Poland, and Spain between 2016 and 2019 by the ENABLE.EU team. The analysis revealed the potential enablers and disablers of environmentally friendly mobility by utilising linear regression, binary logistic regression, probit analysis, and multilayer perceptron networks on 39 predictors. Policymakers can improve the position of preferred travel modes by (i) disadvantaging traditional four-wheel vehicles, (ii) bolstering the spread of electric four-wheel vehicles, (iii) educating individuals regarding CO2 emissions and their impacts, (iv) launching easy-to-popularise government actions affecting the transport system, (v) developing the infrastructure and accentuating the progress made, and targeting both (vi) economically active and (vii) rural citizens. Depending on the countries, supplementary areas are proposed for acting on. The scrutiny sheds light on country specificities (e.g. systemic dissimilarities, the advanced position of Norway on the electromobility pathway) and presumed paradoxes that must be addressed.
Poor Future
Authors: Kisiel Michał
Published: July 2024

This article discusses Tadeusz Kantor’s theory and theatre in reference to a convoluted figure of the future. It reconstructs the principles of Kantor’s unorthodox vitalism permeating the theatre of death, rooted in affirmation of theatrical encounter. As it turns out, Kantor’s “impoverished” style might also be read as a blueprint for thinking the eponymous “poor future”: a figure of the future that escapes hopes and expectations, and functions as a trope of uncanny difference. Within the renegotiated boundaries of life and death, such a difference allows us to rethink our coexistence with alien, often unreconcilable, temporalities. The text is concluded with a tentative reading of Today Is My Birthday, Kantor’s final work, which integrates all domains of “poor future” discussed in the article.
Time of Agreements in Joseph Conrad’s An Outcast of the Islands
Authors: Szczepan-Wojnarska Anna Marta
Published: July 2024

This article examines the temporality of human agreements on the basis of Joseph Conrad’s novel, An Outcast of the Islands, and in reference to John M. Taggart’s thesis about the unreality of time. The execution of contracts is a mastery over time, but since, as Conrad’s contemporary, the philosopher J.M. McTaggart proclaimed in his work The Unreality of Time, time is not part of the real world, contracts cannot be so either. Commercial contracts, civil contracts, gentlemen’s agreements, and marriage contracts – although they concern very specific matters that are fraught with consequences and they are a kind of farce precisely because of their temporal aspect. Making alliances and taking up responsibilities turns out to be, in the light of McTaggarts’s theory, not only a contractual, but also hazardously ambivalent action, because it never stops time, nor does it lead to eternal duration, but contradicts it entirely. From such a perspective, knowledge of the explicit and hidden terms of the contract becomes more important than the struggle for its duration.
Fenomenologia święta na przykładzie wybranych kultów pogańskich
Authors: Krzysztoforski Piotr
Published: July 2024

Artykuł jest propozycją przedstawienia święta jako zjawiska kulturowego połączonego z kultem religijnym. Prezentuje fenomenologię święta według Mircei Eliadego jako zjawisko kulturowe zestawione z kultem religijnym. Przedstawia teorię święta, którą Roger Caillois nazywa „sacrum wykroczenia” i analogicznie do eliadowskiej opozycji sacrum – profanum pokazuje jako opozycję święto – dzień powszedni, wyraźnie ukazującą różnice między tym, co święte, a tym, co świeckie. Współczesna struktura święta jest z jednej strony bardzo różna od jego dawnej formy, z drugiej wydaje się bardzo podobna. Świadczy o tym to, że z utęsknieniem wyczekujemy, a następnie chętnie świętujemy. Należy jednak zwrócić uwagę na fakt, że ze względu na obszerność zagadnienia artykuł jest próbą syntetycznego przedstawienia analizy wybranych pod kątem artykułu kultów. Również dobór bibliografii miał na celu popularyzację twórczości i poglądów wybitnych religioznawców: Mircei Eliadego i Rogera Caillois.
Multimodal Metaphors and Metonymies in Editorial Cartoons about Türkiye in Kathimerini
Authors: Altun Hilal Oytun
Published: July 2024

Political cartoon is a multimodal genre that mainly relies on metaphors and metonymies. The main characteristics of political cartooning are, first, to expose the negative; second, to condense multidimensional complexities down into simplified depictions. Kathimerini, one of the oldest newspapers in the Greek press, interprets the news with editorial cartoons, which it publishes regularly. In this study, editorial cartoons in Kathimerini’s online English edition and those related to Türkiye were studied from the perspective of conceptual mapping theory. Interculturally recognizable scenarios function as readyto-use metaphorical conceptualizations in the cartoons. The involved parties are represented via predefined metonymic relations in such drawings. In other words, the selected properties of the source domain are projected onto the target domain by metonymy. In general, the messages in the cartoons are transmitted through metonymic relations more frequently than other strategies. Thus, formulaic multimodal expressions based on metonymy are produced as a result of the images to cooccur in regular patterns in various contexts.
Cangkok Aurikular Kondrokutaneus Komposit sebagai Alternatif untuk Rekonstruksi Defek Dorsum Nasal dengan Ketebalan Penuh Ketika Septal Hinge Flap Tidak Tersedia: Laporan Kasus
Authors: Lumintang Nico A. , Tandililing Sherly , Akmal Nuzly Q.
Published: July 2024

Abstract: Nose is an important structure of the face because it is centrally located and prominent, however, it is also weak and vulnerable to trauma. Nasal trauma, if not treated properly, can lead to functional and esthetic deformities. A full-thickness defect in dorsum nasal and septal area, caused by a traffic accident, can present a challenging reconstruction scenario. We present a case of a 21-year-old male with full-thickness defect in the dorsum nasal and septal area due to a traffic accident. The septal hinge flap is a common option for cartilage and lining reconstruction, but it may not always be available. Considering the complexity of the defect, we decided to perform a reconstruction using an auricular chondrocutaneous graft. A series of post-operative follow-ups were carried out from two months to four months postoperatively to evaluate in depth the function and aesthetic aspects of the patient. The results of the evaluation conducted showed that the patient had achieved a high level of satisfaction related to the restoration of his function and aesthetic appearance. This evaluation was essential to ensure that the interventions carried out had been functionally and aesthetically successful.
Keywords: nasal fracture; nasal reconstruction; full-thickness graft; auricular graft; septal hinge flap
  
Abstrak: Hidung merupakan struktur penting pada wajah karena letaknya di tengah dan menonjol, namun, struktur ini juga lemah dan rentan terhadap trauma. Trauma hidung, jika tidak ditangani dengan baik, dapat menyebabkan kelainan bentuk baik fungsional maupun estetika. Defek dengan hilangnya ketebalan penuh pada area dorsum hidung dan septum, yang disebabkan oleh kecelakaan lalu lintas, dapat menghadirkan skenario rekonstruksi yang menyulitkan. Kami menyajikan laporan kasus seorang laki-laki berusia 21 tahun dengan defek ketebalan penuh pada area dorsum nasal dan septum akibat kecelakaan lalu lintas. Septal hinge flap ialah pilihan umum untuk rekonstruksi tulang rawan dan lapisannya, tetapi mungkin tidak selalu tersedia. Dengan mempertimbangkan kompleksitas defek tersebut, diputuskan untuk melakukan rekonstruksi menggunakan cangkok aurikular kondrokutaneus. Serangkaian tindak lanjut pasca-operasi dilakukan sejak dua bulan hingga empat bulan pasca operasi untuk mengevaluasi secara mendalam aspek fungsi serta estetik pada pasien. Hasil evaluasi menunjukkan bahwa pasien telah mencapai tingkat kepuasan tinggi terkait dengan pemulihan fungsi dan penampilan estetiknya. Evaluasi ini sangat penting untuk memastikan bahwa intervensi yang dilakukan telah berhasil secara fungsional dan estetis.
Kata kunci: fraktur nasal; rekonstruksi hidung; full-thicknes graft; auricular graft; septal hinge flap
Fentanyl infusion in a multi-organ failure patient on adaptive support ventilation: a conundrum
Authors: Kukanti Chandini , Reazaul Karim Habib Md , Panda Chinmaya Kumar , Jain Akanksha
Published: July 2024

The authors present a case of an 85-year-old male patient with multiple co-morbidities. He underwent laparotomy for carcinoma rectum, recovered from anesthesia, and was shifted to the ward. On sixth day his condition deteriorated, so was shifted to ICU. In ICU, he was put on ventilator in ASV mode, and fentanyl infusion started. The next morning a high VT of 900-1000 mL was noticed to be delivered, while the respiratory rate was 8-10/min. Naloxone administration eased the respiratory parameters. Careful monitoring of sedation levels and respiratory drive becomes crucial for preventing volutrauma in ASV mode of ventilation.
Abbreviations: ASV - Adaptive support ventilation, FiO2 - Fraction of inspired Oxygen, MV - minute ventilation, PEEP - positive end expiratory pressure, RASS - Richmond Agitation Sedation Scale, RR - respiratory rate, Vt - tidal volume
Keywords: Closed loop ventilation, Complication, Opioids, Volutrauma
Citation: Kukanti C,  Karim HMR, Panda CK, Jain A. Fentanyl infusion in a multi-organ failure patient on adaptive support ventilation: a conundrum. Anaesth. pain intensive care 2024;28(3):608−610; DOI: 10.35975/apic.v28i3.2044
Received: February 20, 2024; Accepted: March 31, 2024
Efficacy of ultrasound guided rectus sheath block on the postoperative quality of recovery in laparotomy surgeries; a randomized control trial
Authors: Abougabal Ayman , Hamed Engy , Mannaa Asser , Nabil Nashwa , Badry Mahmoud
Published: July 2024

Background: Recovery after surgery and anesthesia is a complex process therefore a variety of measurement tools have been developed such as QoR-40 and QoR-15 questionnaires to assess quality of recovery. We assessed the opioid sparing effect of rectus sheath (RS) blocks in improving the quality of recovery following midline laparotomy surgeries.
Methodology: A randomized, controlled, open-labelled trial was conducted in the General surgery unit. Adult patients scheduled for elective midline laparotomy surgery under general anesthesia were included. Patients were divided into two groups: LA group and control group. Patients in the LA group received ultrasound guided, bilateral   rectus sheath block, while patients in the control group received patient-controlled analgesia for postoperative control.
Results: Fifty-two patients were screened for eligibility. Median (range) aggregated global QoR-15 scores at 24 h were significantly greater in the LA group, indicating good quality of recovery compared with the control group; 107 (101-112) vs. 72 (68-74) with P < 0.001. In addition, pain profile was better in the LA group as 10 out of 24 (41%) Patients in the LA group required additional boluses of morphine during the 24-h period compared to 100% of patients in the control group (P < 0.001).
Conclusion: Ultrasound guided rectus sheath block provides better quality of recovery profile in midline laparotomy   compared to opioids. 
Abbreviations: ERAS - Enhanced Recovery After Surgery; LA - Local Anesthetic; RS - Rectus Sheath; RSB - Rectus Sheath Block; US - Ultrasound; QoR-15 - Quality of Recovery-15 Questionnaire; QoR-40 - Quality of Recovery-40 Questionnaire.
Preregistration: The trial was registered on ClinicalTrials.gov (NCT05244746) after obtaining Ethical committee approval at Kasr AlAiny Cairo University (code:MS-202-2021).
Keywords: Anesthesia Recovery Period; laparotomy; Nerve Block.
Citation: Abougabal A, Hamed E, Mannaa A, Nabil N, Badry M. Efficacy of ultrasound guided rectus sheath block on the postoperative quality of recovery in laparotomy surgeries; a randomized control trial. Anaesth. pain intensive care 2024;28(3):489−494; DOI: 10.35975/apic.v28i3.2456
Received: May 12, 2023; Reviewed: January 17, 2024; Accepted: March 15, 2024
Effect of instrument-assisted soft tissue mobilization versus myofascial release therapy for pain, mobility, and disability in chronic low backache patients: a quasi-experimental study
Authors: Mahmood Tahir , Abrar Aroosha , Atif Malik Muhammad , Mahmood Wajeeha , Batool Farwah
Published: July 2024

Background & objective: Low back pain (LBP) is a common musculoskeletal disorder in the general population. The most common etiological factors are overuse syndromes, postural issues, and bad working environment. The conservative management using physical agents can be more satisfactory and beneficial before the interventional techniques. We aimed to compare manual myofascial release and instrument-assisted soft tissue mobilization (IASTM) techniques for improving pain, lumber mobility, and functional index in patients with chronic LBP.
Methodology: This non-randomized trial was conducted on 40 chronic low back pain patients and data was collected from Chaudhry Akram Research and Teaching Hospital, Lahore, Pakistan. We included patients with LBP for more than 3 months, ages 22-45 y. Group A received manual myofascial release (MFR), and Group B received instrument-assisted soft tissue mobilization (IASTM). The outcomes assessed were pain, low back functional index, and lumber range of motion. The data was analyzed using SPSS V.23. Repeated measurement ANOVA was used for within group comparison. While an Independent sample t-test was applied for inter-group comparison at a significance level of P < 0.05.
Results: There were 26 males and 14 females in the study. The study comprised of 20 participants in each group with mean ages of 33.17 ± 7.46 and 33.45 ± 7.63 y respectively. The results showed that pain improvement was more in group B compared to group A. While the disability and range of motion, including flexion, extension, and lumber right-side flexion, showed a statistically significant improvement (P < 0.05). Mean difference was 1.75 for pain, 8.65 for disability index and -5.15 for lumber flexion, -1.25 for extension, and 1.30 for right side flexion, but no statistical differences (P > 0.05) were found for left lumber flexion (P > 0.05) in both groups.
Conclusion: The results of our study show that chronic low back pain can be managed by myofascial release techniques but better effects can be achieved using instrument-assisted soft tissue mobilization technique.
Keywords: Chronic Low Back Pain; IASTM; Low Back Disability Index; Manual Myofascial Release; Pain; Range of motion; Well-being
Citation: Mahmood T, Abrar A, Atif MM, Mahmood W, Batool F. Effect of instrument-assisted soft tissue mobilization versus myofascial release therapy for pain, mobility, and disability in chronic low backache patients: a quasi-experimental study. Anaesth. pain intensive care 2024;28(2):452−458; DOI: 10.35975/apic.v28i3.2459
Received: August 28, 2023; Reviewed: December 09, 2023; Accepted: March 23, 2024
Monitored anesthesia care for percutaneous radiofrequency ablation of oncological lesions: a retrospective analysis and literature review
Authors: Akhilesh Pahade , Ashita Mowar , Joshi Vikas , Vishwadeep Singh , Chowdhury Itee
Published: July 2024

Background & objective: Radiofrequency ablation (RFA) of solid tumors is a minimally invasive procedure intended to treat primary and/or metastatic, benign or malignant solid tumors; via thermal tissue destruction by means of targeted thermal energy guided coagulative necrosis. This procedure can be performed under sedation, general anesthesia (GA) or regional blocks. However, no defined modality exists. We analyzed the different anesthetic modalities and drug combinations which can provide optimal surgical conditions and a successful outcome. Secondary objectives were to analyze common adverse events associated with each anesthesia technique
Methodology: In this retrospective study, a total of 100 patients were included based on completeness of records, valid consent from 2008-2018. Outcome measures were; demographic characteristics, ASA status, comorbidities, anesthetic management including drug combinations used, pain management modality, and complications - both intra-operative and post-operative complications. Data was assessed and analyzed using descriptive statistics.
Results: Majority of the patients were male (55%), ASA physical class II/III (83%). Anesthesia drug combinations were classified as ketamine and non-ketamine based (85:15). Primary sites for RFA were liver (75%) followed by bone, kidney, adrenal and lungs. Main complications observed were pain and hypotension. Incidence of complications were higher in non-ketamine group.
Conclusions: Most cases of radiofrequency ablation can be performed successfully under sedation with local anesthesia. Despite being minimally invasive, it requires complete preparation with general anesthesia back-up, and pre-operative assessment/investigations. Ketamine based combinations exhibited better patient compliance with lower complication rates than non-ketamine-based combinations.
Abbreviations: GA - General anesthesia; MAC - Monitored anesthesia care; p-RFA - Percutaneous radiofrequency ablation; RFA - Radiofrequency ablation; TIVA - Total intravenous anesthesia;
Keywords: Keta-dex, Ketamine, Radiofrequency ablation, RFA, Pain, Sedation, Monitored anesthesia care, MAC
Citation: Pahade A, Mowar A, Vikas J, Singh V, Chowdhury C. Monitored anesthesia care for percutaneous radiofrequency ablation of oncological lesions: a retrospective analysis and literature review. Anaesth. pain intensive care 2024;28(3):534−540. DOI: 10.35975/apic.v28i3.2462
Received: January 24, 2024; Reviewed: March 29, 2024; Accepted: March 29, 2024
Evaluation of adiponectin serum levels and their association with oxidative stress in individuals with type 2 diabetes mellitus in Iraq
Authors: Al-Dulaimy Anwar Hammad , Abdul Ghafoor Khalid Farouk
Published: July 2024

Background: Diabetes stands among the top ten contributors to worldwide mortality, with diabetics facing 2 to 3 times greater susceptibility to all-encompassing mortality. The adipose tissue has garnered growing recognition as a vigorously dynamic endocrine organ, discharging an array of biologically impactful molecules, among which is adiponectin. We investigated the influence of serum adiponectin levels and their correlation with oxidative stress in individuals with type 2 diabetes mellitus (T2DM) in the province Anbar of Iraq.
Methodology: A case-control research was carried out at Al-Ramadi Hospitals located in Anbar province, Iraq. The study encompassed a total of 84 individuals, comprising 42 patients diagnosed with T2DM, and 42 individuals enrolled as healthy controls (HCs). Venous blood samples were collected and each sample was divided into four, to obtain the serum. Serum levels of adiponectin and oxidative stress were assessed through the utilization of enzyme-linked immunosorbent assays (ELISA).
Results: The study findings revealed that there was no significant impact on the lipid profile among patients when compared to the control group, as evidenced by statistically insignificant differences (P > 0.05). However, a noteworthy increase in glucose levels was observed in patients compared to healthy individuals, demonstrating a significant difference (P < 0.05). Furthermore, the average levels of malondialdehyde (MDA) displayed a significant rise in patients in comparison to the healthy cohort (P < 0.05). In a similar vein, superoxide dismutase (SOD) levels demonstrated a notable contrast, showcasing higher values in the healthy group in contrast to the patients (P < 0.05). The adiponectin levels exhibited remarkable divergence, with notably elevated values in the T2DM group relative to the healthy group, achieving statistical significance (P < 0.05). The data indicated positive associations between serum adiponectin levels and MDA, as well as fasting serum glucose (FSG), triglycerides (TGs), and very-low-density lipoprotein (VLDL). Nevertheless, no significant correlations were identified between adiponectin and SOD, as well as the other variables.
Conclusion The findings of the study indicated that reduced adiponectin levels are associated with elevated oxidative stress among T2DM patients.
Abbreviations: FSG - fasting serum glucose; MDA - malondialdehyde; SOD - superoxide dismutase; TGs - Triglycerides; T2DM - type 2 diabetes mellitus; VLDL - Very-low-density lipoprotein
Key words: Adiponectin; SOD; Oxidative Stress; Diabetes Mellitus
Citation: Al-Dulaimy AHH, Abdul Ghafoor KF. Evaluation of adiponectin serum levels and their association with oxidative stress in individuals with type 2 diabetes mellitus in Iraq. Anaesth. pain intensive care 2024;28(3):553−557; DOI: 10.35975/apic.v28i3.2475
Received: October 23, 2023; Revised: January 19, 2024; Accepted: April 02, 2024
Variasi Debit Aliran dan Padat Tebar pada Pemeliharaan Sistem Resirkulasi untuk Meningkatkan Kelangsungan Hidup dan Pertumbuhan Ikan Nila (Oreochromis Niloticus)
Authors: Ansyari Pahmi , Fauzana2 Noor Arida , Slamat Slamat
Published: July 2024

Sistem resirkulasi budidaya ikan nila merupakan sistem intensif dengan padat tebar sangat tinggi, sehingga memerlukan kualitas air prima dan debit aliran yang optimal.  Penelitian bertujuan mengetahui pengaruh interaksi debit aliran dan padat tebar yang berbeda terhadap pertumbuhan dan kelangsungan hidup ikan nila (Oreochromis niloticus) dengan sistem resirkulasi. Desain penelitian menggunakan Rancangan Acak Lengkap (RAL) Faktorial, dengan dua faktor, yaitu faktor Debit Aliran (D), dengan dua taraf, yaitu D1 = 0,25 liter/detik dan D2 = 0,50 liter/detik, dan faktor Padat Tebar (P), dengan dua taraf, yaitu P1 = 100 ekor/m3 dan P2 = 150 ekor/m3.  Hasil penelitian menunjukkan bahwa faktor debit aliran (D) tidak berpengaruh nyata, sedangkan faktor padat penebaran (P) berpengaruh nyata,dan tidak ada interaksi antar faktor.   Perlakuan D1P1 (0,25 liter/detik dan 100 ekor/m3) adalah perlakuan yang optimal, di mana tingkat kelangsungan hidup 99,1%, pertumbuhan berat relatif 784,56%, dan konversi pakan 1,34.
SPORTOLÁSI SZOKÁSOK ÉS A MUNKAEGÉSZSÉGÜGY KAPCSOLATA A KÖZIGAZGATÁS, VÉDELEM, KÖTELEZŐ TÁRSADALOMBIZTOSÍTÁS KERETÉBEN FOGLALKOZTATOTTAK KÖRÉBEN
Authors: Hidvégi Péter , Pucsok József Márton
Published: July 2024

Growth in the economy and production, as well as increased labor burdens, have led to an increase in the number of occupational health, including accidents at work and occupational diseases.
As the first steps of the methodology described in international models, this research facilitates the steps of assessment and evaluation, followed by planning, among individuals, organizations and the supporting environment. Within the framework of the series of surveys, we assessed, among others, the sports activity of workers in the sectors of public administration, defense and compulsory social security. Our hypothesis that the majority of employers (at least 70%) provide health promotion according to employees has not been confirmed. More than a third of worksites (37.9%) provide health promotion opportunities based on employee responses. Based on the results obtained, comprehensive proposals can be formulated that can be useful to employers, employees and actors in the supportive environment.
Does the Sustainability Report Influence Financial Performance in Indonesian Energy Companies?
Authors: Haji Sapto
Published: July 2024

This study empirically analyzes the influence of Sustainability Reporting on the financial performance of energy sector companies listed on the Indonesia Stock Exchange using a panel data regression. This study uses secondary data from Sustainability Reporting and financial reports of energy sector companies listed on the Indonesia Stock Exchange. Research findings on the Random Effect Model show that environmental, social, and governance performance scores do not have a significant effect on a company's financial performance. This is possible due to limited transparency regarding Sustainability Report performance scores. Leverage and company size contribute significantly to the company's financial performance. The publication of easily accessible financial reports makes investors take these two things into account as determinants of a company's financial performance. These research findings provide input for the Financial Services Authority to further encourage the publication of Sustainability Reports and publish company rankings based on their Sustainability Report performance. Future research may observe certain sectors with specific characteristics, and add intervening or moderating variables according to previous research findings.
Opini Publik Terhadap Kebijakan Pemerintah Mengenai Pemusnahan Pakaian Bekas Impor: Analisis Isi Kuantitatif Kolom Komentar Instagram
Authors: Maulidia Shafira Sekar , Saragih Nurhayani
Published: July 2024

The goal of this study is to examine the public's positive, negative, and neutral reactions to the March 27, 2023, post "Minister of Trade Will Destroy Imported Used Clothes" on Instagram @jktinfo. This study employs positivism as a paradigm and quantitative content analysis as a research method. We analyze the content of messages or texts per comment and conceptualize it using public opinion as the unit of analysis. This study had a population of 2,257, and the sample included 339 comments. Data collection techniques rely on random sampling. Additionally, intercoders with Hostly formulas test the data for validity and reliability.The results showed positive opinions of 63 (19 persen of comments) that supported the policies of the Minister of Trade, negative opinion categories of 263 (77 persen of comments) that rejected and did not support, and neutral opinions that received frequency results of 13 (4 persen of comments) that were impartial to any party. The study identified five sub-dimensions of language style: irony, cynicism, sarcasm, satire, and innuendo. Cynicism in negative opinions emerged as the most popular sub-dimension of language style, garnering up to 92 comments, indicating the public's rejection and disapproval of the Ministry of Trade's policy to destroy imported used clothes.
Pengaruh advertising, personal selling dan sales promotion terhadap keputusan mahasiswa memilih perguruan tinggi
Authors: Sumirat Pepen
Published: July 2024

This research aims at analyzing some of the influences of Advertising (X1), Personal Selling (X2), Sales Promotion (X3) as independent variables, either independently or individually concerning Decision for Lectures (Y) as the independent variables in STIKOM Prosia. The research uses a survey method with the application of the association as a result of using quantitative data, whereas the research describes the relationship between the dependent variable (Independent Decision and Sales Promotion) through the testing of the hypothesis. The questionnaire given to the respondent responders was made sideways by looking at the actual conditions behind the adoption of the second category of conditioning, personal selling, sales promotion, and institutional study. The data is collected in a conversation with weights that vary based on the response of the respondent for a valid test and reliability. testing of the prerequisite using a multiple correlations which aims to find the relationship between the two and the free variable (X) against the dependent variable (Y). The results of the study with the title of Affairs Advertising, Personal Selling, and Sales Promotion on the Decision for Lecture in STIKOM Prosia can be said to have a significant effect.
Representasi Feminisme Radikal dalam K-Drama sebagai Resistensi Budaya Patriarki
Authors: Novianty Suci Marini
Published: July 2024

This study examines the representation of radical feminism in the South Korean drama "Love to Hate You." Using a qualitative approach with a critical paradigm, the research employs Sara Mills' critical discourse analysis to understand how language and text structure create representations of women in the drama. The analysis aims to unveil how radical feminist values are reflected in dialogues, actions, and character relationships in the drama. The findings of the study suggest that the drama "Love to Hate You" provides a complex and nuanced representation of radical feminism. On the one hand, the drama portrays the protagonist, Yeo Mi Ran, as a strong and independent woman who resists patriarchal norms. Mi Ran rejects marriage, childbirth, and romantic relationships, and she pursues a career in law. On the other hand, the drama also shows how Mi Ran is still subject to patriarchal stereotypes and expectations. For example, Mi Ran is often portrayed as being cold and unemotional, and she is criticized for her lack of femininity. Overall, the study argues that the drama "Love to Hate You" provides a valuable contribution to the understanding of radical feminism in South Korean culture. The drama challenges traditional stereotypes about women, and it portrays a complex and multifaceted image of a radical feminist.
Analisis percakapan pada unggahan berbasis Artificial Intelligence akun Instagram Kementerian Luar Negeri Ukraina
Authors: Budiharjo Slamet , Putranto Algooth
Published: July 2024

­ABSTRACT The presence of Artificial Intelligence (AI) has brought many changes to human life. Many job conveniences have been helped by the development of AI. Jobs that previously could be completed by humans are slowly starting to be replaced by entities called AI. The use of AI technology brings various innovations and efficiencies, for example content personalization to create interesting and relevant content for users, account automation, and so on. The Ministry of Foreign Affairs of Ukraine uses AI as a provider of up-to-date and reliable information on consular affairs. The post on the Instagram account of the Ukrainian Ministry of Foreign Affairs stated that Victoria Shi would carry out the task of providing various information services to the public and media as well as Ukrainian consular affairs services. There were mixed reactions to the upload, many responded positively, although quite a few also responded negatively in the comments column. This research aims to describe, understand and analyze the content of conversations or texts and the use of emoticon symbols that occur in the Instagram posts of the Ministry of Foreign Affairs of Ukraine by paying attention to aspects such as the structure of speech transfer, construction of the exchange of ideas, parts of speech and identity. Analysis by paying attention to the form of conversation and interaction that occurs as a form of study in the field of communication.Keywords: Artificial Intelligence, social media, Ukraine, conversation
GESTAÇÃO MÚLTIPLA: DESAFIOS OBSTÉTRICOS E NEONATAIS
Authors: Souza Rebeca Ferreira , Da Rosa Victor Hugo Júlio , Nascimento Maria Eduarda Bezerra do , Oliveira Ana Beatriz Oliveira de , Lemos Heitor Augusto de Brito , Andrade Ilma Amaral , Oliveira Bruna Stéfanny Mota de
Published: July 2024

Introdução: A gravidez múltipla, caracterizada por dois ou mais fetos, aumenta significativamente o risco de nascimento tanto para a mãe como para o filho. Complicações como trabalho de parto prematuro, nascimento prematuro, restrição de crescimento intrauterino e diabetes gestacional são mais comuns nessas condições. A redução deste risco requer uma abordagem multifacetada e bem coordenada que inclua prevenção, intervenção médica apropriada, apoio nutricional e psicológico às mulheres grávidas e estratégias específicas de gestão do parto. A implementação de protocolos baseados em evidências pode melhorar os resultados maternos e neonatais e promover gravidezes mais seguras e saudáveis. Objetivo: Investigar diversas complicações obstétricas relacionadas à gravidez e avaliar métodos alternativos para reduzir complicações maternas e fetais. Métodos: A coleta de dados foi realizada nas bases de dados: Nursing Equipment Database (BDENF), Scientific Electronic Library Online (SCIELO), PubMed e Literatura Latino-Americana do Caribe em Ciências da Saúde (LILACS). Resultados e Discussão: Este estudo constatou que a gravidez múltipla está associada a um aumento significativo de complicações obstétricas, incluindo parto prematuro, hemorragia, diabetes gestacional e restrição de crescimento interno. Intervenções como o fortalecimento da contracepção, a administração de corticosteróides para amadurecer os pulmões fetais, a utilização do pulmão cervical demonstraram ser eficazes na redução de problemas. A pesquisa mostra que é importante gerenciar gestações múltiplas de maneira profissional e sem riscos. A implementação de protocolos específicos, como aconselhamento pré-natal e exames ultrassonográficos regulares, pode melhorar os resultados maternos e infantis. Conclusão: Concluindo, muitas gestações estão associadas a complicações obstétricas graves, mas a implementação de estratégias de vigilância e intervenção precoce pode reduzir as complicações maternas e fetais. Neste contexto, tratamentos eficazes e educação das mulheres grávidas são importantes para melhorar os resultados de saúde.
TERAPIA HORMONAL DURANTE A MENOPAUSA: BENEFÍCIOS E INDICAÇÕES
Authors: Batista Nertan Ribeiro , Aguiar Alessandra Honorato , Cervo Ana Carolina da Ponte , Ferreira Ana Rízia Dantas , Melo Elen Carla de , Zambrin Gabriel Camargo Villas Boas , Silva Lizandra Vidal , Souza Luiz Cláudio Félix Pereira de , Cantuaria Luma Rodrigues de Moura Peres , Alves Manuela Roque , Vieira Matheus Brito , Oliveira Nayara Cristina Ferreira de
Published: July 2024

Descrever os benefícios e as principais indicações para o tratamento de reposição de hormônios durante a menopausa. Métodos: O presente estudo foi realizado mediante uma revisão sistemática da literatura, que aborda os benefícios da terapia hormonal na menopausa, por meio das bases de dados EMBASE e MEDLINE, através dos descritores DeCS/MeSH “Hormone Replacement Therapy” e “Menopause”utilizando o operador booleano “and” entre os descritores, como representado a seguir: “Hormone Replacement Therapy” and “Menopause”. Resultados/Discussão: Após as etapas descritas na metodologia do estudo, foram selecionados 14 artigos mediante busca selecionada e direcionada nas bases de dados EMBASE e MEDLINE. Os estudos selecionados passaram, a posteriori, por um processo de leitura e análise crítica de forma a determinar o objetivo do presente estudo, que seria apresentar os benefícios e indicações para o tratamento hormonal na menopausa. Considerações Finais: A terapia hormonal é um tratamento eficaz para os sintomas provenientes da menopausa, contribuindo como, por exemplo, com efeitos protetores sobre os sistemas cardiovascular e músculo-esquelético.
Peningkatan Pengetahuan tentang Body Image dan Diet Sehat pada Remaja di Smart Fast Global Education
Authors: Rosalina Elvin , Hatussaadah Siti Fati , Fatmawati Tina Yuli
Published: July 2024

Adolescents experience rapid growth and need good nutrition to support their growth and development. Teenagers cannot regulate the intake that will be consumed properly in order to get the ideal body. Therefore, an understanding of a healthy diet with balanced nutrition settings in adolescents needs to be done. From a survey seen on Smart Fast Education Global. Based on the results of interviews, most teenagers do not understand that in an effort to achieve a good Body Image, the thing that must be considered is a healthy diet. The aim of this community service is to increase youth knowledge on body image and healthy diet for adolescents, to recognize the principle of nutritional balance and the contents of my diet. Implementation methods include planning, implementing activities as well as monitoring and evaluation. The results of this activity 100% of students attended this activity. The change in knowledge that was quite good in the participants. There was an increase in teenagers' knowledge about body image and healthy diet with an average of 42.35% (pretest) to 65.88% (posttest).