bluuebunny/crossref_metadata_2025 huggingface dataset:
Maria Theresa’s reign and Hungary
Authors: Horváth Zita
Published: February 2023

In 1762, Maria Theresa awarded the rank of academy to the School of Mining and Metallurgy (Bergschola), established in Selmecbánya in 1735, whose name was Academy of Mining and Metallurgy (Bergakademie) from this time on. This paper commemorates the monarch on the 260th anniversary of making the school an academy. I strive to give a brief but comprehensive overview of the 18th century history of Hungary, the interconnectedness of the fate of the Habsburg dynasty and Hungary as well as the forty years’ reign of this outstanding queen. Her judgement – just like that of the Habsburg Empire – has changed through time both in public opinion and in historiography but in this paper, my aim is not primarily to present special literature findings.
Az elméleti érdesség analitikus modellezése néhány jellegzetes gépipari megmunkáló eljárásnál
Authors: Felhő Csaba
Published: February 2023

A cikk témája az elméleti felületi érdesség analitikus modellezése különböző megmunkálási eljárásoknál. Négy különböző megmunkálási mód segítségével előállított felület esetére kerülnek bemutatásra az elméleti profil analitikus számításához szükséges lépések: esztergálás, homlokmarás, gyémántvasalás, valamint köszörülés. Ezek közül az első háromnál a Gyártástudományi Intézet fő kutatási területeihez tartozott az elméleti érdesség modellezése az utóbbi évtizedben, míg a köszörült felületek modellezése egy új iránynak tekinthető, amely várhatóan a következő években fog beérni. Az egyes eljárásoknál ismertetésre kerülnek a módszerek főbb lépései, valamint az első háromnál a számított eredmények valós kísérletek során mért adatokkal is összehasonlításra kerülnek.
A felületvasalás ferdeségi és lapultsági érdességi mérőszámra gyakorolt hatásának elemzése
Authors: Ferencsik Viktória
Published: February 2023

A publikáció a felületvasalási eljárás ferdeségi és lapultsági 3D-s érdességi jellemzőkre gyakorolt hatását taglalja EN AW-2011 tengelyszerű darabokra vonatkozóan. A cikk bemutatja a 3 szinten vizsgált vasalási paramétereket (vasalóerő, előtolás, sebesség és vasalási járatszám), illetve azok 2 mikrotopográfiai jellemzőre gyakorolt hatását. A továbbiakban ismertetett kutatómunka célja annak feltérképezése, hogy ezen jellemzők milyen módon korrelálnak egymással, ezáltal elősegítve az eljárás gyakorlatban való hatékonyabb alkalmazhatóságát. A vasalás előtti, illetve utáni mérési folyamatok megvalósítása - 120°-os elfordítással 3 felületen - Altisurf 520 háromdimenziós felületi topográfia mérő berendezésen történt.
Mérési beállítások hatása a topográfia mért értékeire homlokmart felületen
Authors: Nagy Antal , Kundrák János
Published: February 2023

Az érdességmérési beállítások hatással lehetnek a forgácsolt felület mért 3D-s topográfiai értékeire. E hatásokat a kutatók kevésbé vizsgálták, pedig az adott megmunkálás forgácsolási, elsősorban kinematikai viszonyainak függvényében ennek (a mérési beállítások) figyelmen kívül hagyása a pontosságát és reprodukálását akár jelentősen is befolyásolhatja. Ezért indokoltnak láttuk a mérési beállítások hatásának feltárását és ezen vizsgálatok eredményeinek elemzését. A cikkben homlokmart síkfelületen vizsgáltuk a mérőrendszeren beállítható értékek – a mért pontok távolsága és a mérési sebesség – hatását az érdességi paraméterekre.
Furatköszörülés kiváltása szuperkemény dörzsköszörüléssel
Authors: Szabó Ottó
Published: February 2023

A befejező megmunkálásoknál (pl. köszörülés, hosszú- és rövid-löketű dörzsköszörülés, stb.) új lehetőségeket biztosítanak a szuperkemény szintetikus szemcseanyagok (gyémánt, köbös bórnitrid) és azokból készített szerszámok. A termelékenység és minőség növelhető. A szerző dörzsköszörülésnél elméletileg és kísérletileg vizsgálta nagyméretű, szintetikus gyémánt szemcsékből gyártott szerszámokkal az anyagleválasztási lehetőségeket. Jelentős termelékenység növelés érhető el. Gazdaságosan ilyen módon a furatköszörülés kiváltható, ami igen sok hibával és kis termelékenységgel dolgozik. Ugyanakkor a felületminőség és megmunkálási pontosság is jobb lehet, ha kettő vagy háromfokozatú (nagyoló-, simító- és befejező) dörzsköszörülést alkalmazhatunk. A technológiai folyamat átértékelése és újratervezése szükséges, melyet a dolgozat tartalmazza.
Implementasi Pendidikan Akhlak Melalui Pembiasaan Di MI Muhammadiyah Padi 3 Pacitan
Authors: Shidiq Farid Fajar , Maslamah Maslamah
Published: February 2023

Pendidikan seharusnya mampu mencetak manusia yang cerdas secara intelektual (IQ), emosional (EQ), dan spiritual (SQ). akan tetapi realitanya adalah sistem pendidikan yang ada di Indonesia hanya mampu mencetak peserta didik yang cerdas secara intelektual saja, dan mengesampingkan kecerdasan emosional dan spiritual. Hal inilah yang menjadikan bangsa ini mengalami krisis akhlak, sehingga angka kriminalitas meningkat drastis. Pendidikan akhlak merupakan solusi bagi problem moralitas dan karakter bangsa saat ini. Maka dari itu, lembaga pendidikan memiliki tanggung jawab besar untuk menginternalisasikan nilai-nilai akhlak serta menerapkan metode yang efektif melalui proses pembelajaran. Nilai-nilai pendidikan akhlak merupakan suatu hal yang perlu untuk ditanamkan pada diri anak, dan hal itu yang juga coba diterapkan oleh Madrasah Ibtidaiyah Muhammadiyah Padi 3 Pacitan. Adapun tujuan penulisan jurnal ini adalah untuk mengetahui bagaimana pendidikan akhlak yang ada di Madrasah Ibtidaiyah Muhammadiyah Padi 3 Pacitan, baik dari segi program, metode dan prosesnya. Penelitian ini memakai penelitian kualitatif by research, yakni terdapat penelitian lapangan juga penelitian pustaka. Hal ini dilakukan guna untuk mendapatkan gambaran yang lebih detail mengenai pendidikan akhlak pada sekolah tersebut. Sampel penelitian yang digunakan adalah Madrasah Ibtidaiyah Muhammadiyah Padi 3 Pacitan. Hasil dari penelitian ini meliputi program yang digunakan dalam pendidikan akhlak pada Madrasah Ibtidaiyah Muhammadiyah Padi 3 Pacitan adalah program pembelajaran ditambah program halaqah tarbiyah, adapaun metode pendidikan akhlak yang diterapkan adalah metode mauidzah hasanah, keteladanan, dan kisah. serta proses dalam pendidikan akhlak dilakukan dengan memperhatikan berbagai hal, yakni pendidikan akhlak yang berkaitan dengan Allah, kepada diri sendiri dan kepada sesama. Diharapkan ketika metode, program dan proses berjalan dengan baik dan maksimal, maka akan menghasilkan anak didik yang memiliki kepribadian yang baik sesuai dengan ajaran Islam.
Machine Learning: A Literature Review for Breast Cancer
Authors:   Research Scholar, Department of Computer Science and Engineering, IES IPS Academy, Indore (MP), India., Karma Vaishnavi , Nahar Prateek ,   Assistant Professor, Department of Computer Science and Engineering, IES IPS Academy, Indore (MP), India.
Published: February 2023

Breast cancer is, after lung cancer, the most prevalent form of the disease in the globe. Women are the demographic most likely to be affected by this condition. Breast cancer is the most common kind of cancer to result in a woman's death if she is of childbearing age. Because there is always more to learn and there is room for improvement in every line of work, medical imaging is not an exception to this rule. It is expected that the death rate associated with cancer would decrease if it is discovered early and effectively treated. The diagnosis accuracy of persons working in the health care profession may be improved via the use of machine learning techniques. The technique known as deep learning has the potential to differentiate between breasts that are healthy and those that have cancer also known as neural networking. This method might be used to differentiate between healthy breast tissue and breast tissue affected by illness. Long-term research on the topic aimed, among other things, to examine breast cancer and screening practises among Indian women. This was one of the primary goals of the inquiry. A literature study was carried out with the assistance of several databases along with additional sources. Participants in the study were instructed to use phrases linked to breast cancer such as "breast carcinoma" and "breast cancer awareness," in addition to terms such as "knowledge" and "attitude," as well as the gender neutral term "women." In addition, India had a role in the study that was done. This search does not look for articles that have been published in the English language in the last 12 years.
FAKTOR – FAKTOR YANG MEMPENGARUHI MINAT INVESTASI CIVITAS AKADEMIKA STIE PANCASETIA BANJARMASIN DI PASAR MODAL INDONESIA
Authors: Rofinus Leki  , Asruni
Published: February 2023

Abstrak : Penelitian ini dirancang  untuk menguji dan menjelaskan pengaruh dari variable bebas Financial Literacy, Return Perception, Risk Perception, dan Risk Tolerance terhadap Minat Investasi Civitas Akademika STIE Pancasetia Banjarmasin di Pasar Modal Indonesia. Data penelitian diolah secara kuantitatif dengan metode analisis Uji Regresi Linier Berganda via aplikasi IBM SPSS 26. Hasil penelitian menunjukan bahwa, Variabel Return Perception, dan Risk Tolerance memiliki pengaruh positif dan signifikan secara parsial terhadap Minat Investasi Civitas Akademika STIE Pancasetia Banjarmasin di Pasar Modal Indonesia, sedangkan variable Financial Literacy dan  Risk Perception tidak berpengaruh. Namun ke empat variable tersebut yakni Financial Literacy, Return Perception, Risk Perception, dan Risk Tolerance memiliki pengaruh signifikan secara simultan terhadap Minat Investasi Civitas Akademika STIE Pancasetia Banjarmasin di Pasar Modal Indonesia. Hasil penelitian ini  mendukung beberapa hasil penelitian  terdahulu, tetapi sekaligus juga berlawanan dengan beberapa hasil penelitian terdahulu yang dilakukan oleh peneliti yang berbeda.

 

Kata Kunci, Financial Literacy, Return Perception, Risk Perception, Risk Tolerance dan Minat Investasi Civitas Akademika STIE Pancasetia Banjarmasin di Pasar Modal Indonesia.
A ‘can’t intubate, can’t oxygenate’ situation during an elective redo thyroid surgery; successful rescue and the lessons learnt
Authors: Jayaweera Danushi Ashani , Abayadeera Anuja , Dassanayake Vihara
Published: February 2023

Pre-operative assessment of a patient for routine redo thyroidectomy requires a detailed airway assessment, clear documentation and formulation of an appropriate airway management plan by the anesthetist. Failure to identify problems related to oxygenation and ventilation during surgery will cause grave consequences to the patient and an unpleasant experience to the anesthetist and the surgeon. Redo thyroid surgery can be challenging. There is a possibility of preoperative vocal cord palsy due to previous surgical insult and infiltration by tumour recurrence, that can lead to difficulty in ventilation following induction of anesthesia. Therefore, it is mandatory to perform a detailed assessment of the airway using conventional as well as the advanced techniques.

We report the lessons learnt from a 42-year-old, ASA I, male patient scheduled for a redo thyroidectomy who could not be intubated nor ventilated, following a “missed difficult airway,” despite a clean history and the available past records. An emergency airway was declared and managed according to Difficult Airway Society (DAS) guidelines which finally resulted in a successful outcome.

Subsequent evaluation by the ENT team revealed an absent glottic opening due to bilateral vocal cord palsy which resulted in a “can’t intubate, can’t oxygenate” state in this patient.

Citation: Jayaweer DA, Abayadeera A, Dassanayake V. ‘Can’t intubate, can’t oxygenate’ during an elective redo thyroid surgery; A successful rescue and the lesson learnt. Anaesth. pain intensive care 2022;26(5):727-729.

DOI: 10.35975/apic.v26i5.1984
SAPS 3 as a 28-day mortality predictor in critically ill COVID-19 patients
Authors: Aditianingsih Dita , Sukmono Raden Besthadi , Manggala Sidharta Kusuma , Priscilla Priscilla
Published: February 2023

Background: The case fatality rate (CFR) of COVID-19 was 8.7% in Indonesia on April 2020. Simplified Acute Physiology Score 3 (SAPS 3) has been used to predict the hospital mortality based on different variables including acute physiologic derangements, current conditions and interventions, and previous health status assess the severity of condition during the first hour of admission to the ICU. We assessed SAPS 3 to predict the outcome and mortality of critical COVID-19 patients in ICU over a period of 28 days.

Methodology: This retrospective cohort study consisted of adult patients admitted to ICU with probable or confirmed COVID-19 in our hospital. We recorded the patients SAPS 3 score from the medical record as well as the 28-day mortality. Validity of the SAPS 3 score was done by the Area Under Curve (AUC) measurement and Hosmer-Lemeshow calibration test.

Results: The mortality rate of critical COVID-19 patients was 43.8%. The age, intra-hospital location before ICU admission, use of vasoactive drugs (P < 0.0001), focal neurological deficits (P < 0.0001), respiratory failure (P = 0.004), creatinine ≥ 3.5 mg/dL (P = 0.005), and platelets < 50,000 /µL (P = 0.032) were significantly associated with 28-days mortality in the ICU. SAPS 3 showed good discrimination and predictability. The optimal cut-off point was 39 with 70.3% sensitivity and 74.4% specificity.

Conclusion: SAPS3 score system was valid in predicting the 28-day mortality of COVID-19 patients in the ICU with good discrimination and calibration value; therefore, it is an important predictor tool for early prognosis screening that will help reduce the strain over the ICU resources.

Abbreviations: CFR: Case Fatality Rate; SAPS 3: Simplified Acute Physiology Score 3; COVID-19: The Coronavirus Disease 2019; ICU: Intensive Care Unit; APACHE: Acute Physiology and Chronic Health Evaluation; SPSS: Statistical Package for Social Sciences; GCS: Glasgow Coma Scale; ROC: Receiver Operating Characteristic; PHEIC: Public Health Emergency of International Concern; OR: Odds Ratio;

Citation: Sukmono RB, Manggala SK, Priscilla P, Aditianingsih D. SAPS 3 as a 28-day mortality predictor in critically ill COVID-19 patients. Anaesth. pain intensive care 2022;26(5):640-648.

DOI: 10.35975/apic.v26i5.1986
Lung ultrasound as an evolving tool in the detection of extravascular lung water following goal-directed fluid therapy in septic cancer patients
Authors: MD Walaa Y.Elsabeeny, , MD Mostafa A.Ibrahim, , MD Eman D. El Desouky, , MD Mohamed Hamed, , MD Ehab H.Shaker,
Published: February 2023

Background: Severe sepsis can result in septic shock with a high mortality rate. This study aimed to assess the correlation between B-lines detected by lung ultrasound (LUS) and thoracic fluid content (TFC) and to compare their sensitivity and specificity to predict lung congestion on conventional chest radiograph following early goal-directed fluid therapy in septic cancer patients.

Methods: This study included 30 patients suffering from sepsis admitted to the intensive care unit. They received resuscitation according to the surviving sepsis campaign 2018 guidelines. Lung ultrasonography, TFC, central venous pressure (CVP), and inferior vena cava (IVC) scanning were done upon admission then after 3, 6, and 12 h. Chest X-ray was done after 6 h then at the study end (12 h) and CT chest at 12 h.

Results: B-lines showed a moderate-to-strong positive correlation with TFC, a moderate and positive correlation with CVP, and a negative and weak-to-moderate correlation with IVC collapsibility index. The performance of LUS was good at 6 h (AUC = 0.872, 95% CI = 0.700 to 0.965, P < 0.001), and the optimal cut-off value was 7 with a sensitivity and specificity of 75% and 95.5%, respectively. The sensitivity and specificity increased to reach 100% at 12 h using a cut-off value of 9. Meanwhile TFC had lower AUCs compared to B-lines at the two-time points though the difference was statistically non-significant.

Conclusion: Lung ultrasound can be considered a useful non-invasive bedside tool for early detection of extravascular lung water during the early resuscitation phase of goal-directed fluid therapy in sepsis patients.

Abbreviations: LUS: Lung ultrasound; EVLW: Extravascular Lung Water; TFC: Thoracic fluid content; CVP: Central venous pressure; IVC: Inferior vena cava; AUC: Area under the curve; PAOP: Pulmonary artery occlusion pressure; IVC-CI: Inferior vena cava collapsibility index

Citation: Elsabeeny WY, Ibrahim MA, El Desouky ED, Hamed M, Shaker EH. Lung ultrasound as an evolving tool in the detection of extravascular lung water following goal-directed fluid therapy in septic cancer patients. Anaesth. pain intensive care 2022;26(5):623-632; DOI: 10.35975/apic.v26i5.1987
Erythropoietin as a prophylactic measure against anemia in critically ill patients: A combined prospective and retrospective study
Authors: Amer Asmaa Fawzy , Elatrozy Hytham Ibrahim , El Mourad Mona Belogh
Published: February 2023

Background & Objective: Critically sick patients often develop moderate to severe anemia, due to various factors. We tested the hypothesis that administering prophylactic recombinant human erythropoietin (rHuEPO) together with early identification and correction of iron deficiency anemia in traumatic brain injury patients would have a positive effect on the incidence of RBCs transfusions.

Methodology: One hundred and seventeen head-trauma patients were enrolled. They received 40,000 units of prophylactic rHuEPO, starting on day three after admission and continuing at weekly intervals for 6 weeks, with follow-up of iron biomarkers. Any patient developing iron deficiency anemia was prescribed oral or intravenous iron supplement. The incidence of RBCs transfusion was recorded.

Results: The number of RBCs transfusion was significantly less in the prospective group (27.35%) than the retrospective group (42.86%). Hemoglobin and hematocrit levels were significantly less in the first and second weeks after admission and then began to rise. Serum iron, transferrin saturation, and ferritin were at their lowest levels in the fourth week. Meanwhile, total iron binding capacity was higher in the fourth week and lower in the sixth.

Conclusion: The administration of prophylactic rHuEPO with early discovery and correction of iron deficiency anemia resulted in a significant reduction in the incidence of RBCs transfusion in the head-trauma patients.

Abbreviations: rHuEPO: recombinant human erythropoietin, RBC: red blood cell, ICU: intensive care unit, TBI: traumatic brain injury, GCS: Glasgow Coma Scale, APACHE: Acute Physiology and Chronic Health Evaluation

Citation: Amer AF, Elatrozy HI, El Mourad MB. Erythropoietin as a prophylactic measure against anemia in critically ill patients: A combined prospective and retrospective study. Anaesth. pain intensive care 2022;26(5):633−639.

DOI: 10.35975/apic.v26i5.1481
Neuropathic pain: The missing link at the general physician level
Authors: Anwar Shahzad
Published: February 2023

Summary: An important public health issue is neuropathic pain. It is a common, persistent, and severely disabling condition experienced by those in primary care. An important first step is an accurate diagnosis. It is the first step toward effective pain and disability reduction and management. The history may indicate the presence of pain, and a physical examination may confirm it. Medical professionals lack the skills necessary to diagnose and treat neuropathy pain, in part due to inadequate training during medical school and residency. The primary care physician is critical in avoiding delay in diagnosis, providing proper evaluation and treatment, and improving outcomes while reducing the financial burden on society economy.

Citation: Anwar S. Neuropathic pain: The missing link at the general physician level. Anaesth. pain intensive care 2022;26(5):585-587; DOI: 10.35975/apic.v26i5.2021
Single cycle, low temperature radiofrequency ablation is effective for trigeminal neuralgia
Authors: Budisulistyo Trianggoro , Arlina Yani
Published: February 2023

Background & Objective: Trigeminal neuralgia (TN) is the most common cause of neuropathic pain with few issues regarding medications whereas surgeries need careful consideration. Radiofrequency ablation (RFA) can be used as an intervention treatment bridging the gap of long-term medication and surgical intervention. RFA procedure has its own complications following electrode placement and ablation procedures. We analyzed the effectiveness of low temperature RFA treatment in patients with trigeminal neuralgia.

Methodology: This study was a prospective analysis of the data from the medical records of 21 patients. A single cycle of RFA  at 60° C of for 90 sec was performed from November 2018 to July 2019. Data collection included preoperative pain scores, analgesics prescribed, pain  scores on numerical rating scale (NRS) for 6 months follow up.

Results: The subjects 53.86 ± 10.48 y (43% men and 57% women) observed NRS decrease significantly (mean 2.15, SD 0.9; p < 0.05). No significant influence of analgesic combination gabapentin and Amitriptyline, or carbamazepine and Amitriptyline to pain spectrum improvement underwent RFA.

Conclusion: A single cycle of of RFA treatment at 60° C for 90 sec among TN patients showed significant improvement of pain at 6 months without complications.

Abbreviations: TN: trigeminal neuralgia; NMDA: N-methyl-d-aspartate GABA: gamma aminobutyric acid; TCA: tricyclic antidepressant; MVD: microvascular decompression; RFA: radiofrequency ablation; PRF: pulsed radiofrequency; NRS: numerical rating score; SNRI: serotonin-norepinephrine reuptake inhibitor

Citation: Budisulistyo T, Arlina Y. Single cycle, low temperature radiofrequency ablation for trigeminal neuralgia shows clinical improvement of pain. Anaesth. pain intensive care 2022;26(5):669-673.

DOI: 10.35975/apic.v26i5.2024
Anesthetic management for drainage of cerebral abscess in a child with uncorrected Tetralogy of Fallot
Authors: Ayesha Kiran
Published: February 2023

Tetralogy of Fallot is the most common cause of cyanotic congenital heart disease that consists of four defects. Children with uncorrected tetralogy of fallot can present for non-cardiac surgeries. Such patients are prone to develop cerebral abscess because of right to left shunting of blood and absence of pulmonary clearance of microorganisms. These cases are a significant challenge for anesthesiologists. General anesthesia is a riskier anesthetic technique. I present a case of six years male child with uncorrected tetralogy of fallot who underwent drainage of brain abscess under scalp block with sedation and had uneventful recovery.

Key words: Tetralogy of Fallot; Cyanotic heart disease; cerebral abscess; Scalp block

Citation: Ayesha K. Anesthetic management for drainage of cerebral abscess in a child with uncorrected Tetralogy of Fallot. Anaesth. pain intensive care 2022;26(6):819−822; DOI: 10.35975/apic.v26i6.2004
Chronic Pelvic Pain; a tragic miss
Authors: Ali Liaquat , Malik Sara Haider , Ahmed Khaleel , Nasir Sana
Published: February 2023

Chronic pelvic pain is defined as pain in the perineal region that can be somatic or visceral in origin which persists for more than 6 months duration and is unresponsive to analgesic therapy. Its diagnosis is made on the basis of patient’s history, detailed physical examination and radiological studies. One of the important, rare and mostly missed cause of this pain is coccydynia either traumatic or atraumatic. The treatment of coccydynia includes supportive care, analgesic therapy as well as ganglion impar neurolysis.

Here, we report a case of a 42-year-old female suffering from severe chronic pelvic pain for past 15 years for which she had taken multiple analgesics including opiates and underwent multiple surgeries without any relief.

She was a misdiagnosed case of coccygeal fracture which was causing chronic pelvic pain for the past 15 years which when treated with ganglion impar neurolysis gave her complete pain relief.

 After 1 month of the intervention, on follow up in the pain clinic the patient was absolutely pain free with NRS 1/10.Coccydynia must be considered in differential diagnosis of chronic pelvic pain especially in females of child bearing age.
Conventional mechanical ventilation versus high-frequency oscillatory ventilation in congenital diaphragmatic hernia of neonates: a systematic review
Authors: Kapuangan Christopher , Wijaya Ramlan Andi Ade , Zahra Raihanita , Rahendra Dr , Soenarto Ratna Farida , Hanawi Ezra
Published: February 2023

Background: Neonates with congenital diaphragmatic hernia (CDH) present with respiratory distress and circulatory insufficiency, requiring immediate intubation and mechanical ventilation. Studies in the literature present contradictory results regarding the optimal ventilation mode for neonates with congenital diaphragmatic hernia. We present a systematic review of the selected literature regarding high-frequency oscillatory ventilation (HFOV) compared to conventional mechanical ventilation (CMV) in congenital diaphragmatic hernia.

Methodology: PubMed, SCOPUS, EBSCOhost, and ProQuest databases were used to identify literature regarding HFOV compared to CMV in a CDH. The methodological quality of the included studies was assessed using the Newcastle-Ottawa Scale (NOS) for cohort studies and the Joanna Briggs Institute critical appraisal tool for randomized clinical trials.

Results: Four studies were identified and considered eligible for the study. One study was a randomized clinical trial, and the other three cohort studies. Patients in the high-frequency oscillatory (HFO) group presented with a higher length of ventilation and hospital stay. There was a lack of evidence regarding any significant difference in the mortality rate.

Conclusion:  We cannot make an evidence-based recommendation regarding the superiority of either CMV or HFOV as the optimal ventilation method in neonates with CDH. However, almost all studies observed a lengthened period of ventilation and time required before surgical repair in the HFOV group.

Abbreviations: CDH: congenital diaphragmatic hernia; CLD: chronic lung disease; CMV: conventional mechanical ventilation; GER: gastroesophageal reflux; HFOV: high-frequency oscillatory ventilation; NOS: Newcastle-Ottawa Scale; RDS: respiratory distress syndrome

Key words: Congenital Diaphragmatic Hernia; Conventional Mechanical Ventilation; High-Frequency Oscillatory Ventilation

Citation: Kapuangan C, Ramlan AAW, Zahra R, Rahendra, Soenarto RF, Hanawi E. Conventional mechanical ventilation versus high-frequency oscillatory ventilation in congenital diaphragmatic hernia of neonates: a systematic review. Anaesth. pain intensive care 2022;26(6):000−000 ; DOI: 10.35975/apic.v26i6.2048
Non-technical factors for recurrence of sacroiliac joint pain after intra-articular steroid injection: a cohort study
Authors: Siahaan Yusak Mangara Tua , Pangestu Aristo Rinaldi , Sungono Veli
Published: February 2023

Background & Objective: The effectiveness of intra-articular corticosteroid injection therapy is still debatable, despite numerous studies which demonstrated the benefits of steroid injections. Injection failure can be caused by a variety of technical factors, some of which have been identified in studies, including the accuracy with the injection location is performed and the pattern of corticosteroid distribution. We investigated the non-technical factors that influence the effectiveness of intra-articular corticosteroid injection at the sacroiliac joint (SIJ) in the past.

Methodology: It was a prospective cohort study to determine non-technical factors associated with recurrence in patients with SIJ pain who had received multidisciplinary treatment for their ailment. A total of 55 patients met the inclusion and exclusion criteria for the study who were followed up. Patients who had SIJ injections before 9 months and, who had no improvement on the pain scale, or there was a worsening of the pain, or the patient returned with SIJ pain complaints on the same side, were included in the trial. The results were analyzed using logistic regression to determine the likelihood of recurrence.

Results: A total of 55 participants was enrolled in the study, with a higher proportion of females (n = 33; 60 %) than males (n = 22; 40 %). Thirty-one patients were returning patients (56.36 %) out of 55 patients. According to the results of the bivariate analysis, age was associated with recurrent SIJ pain. According to the results of the T-test, the mean age of the recurrent patients was 49.32 ± 16.68 y, whereas the mean age of the non-recurrent patients was 56.7 ± 12.76 y. The results of the multivariate analysis revealed that age, NSAID consumption, and unilateral SIJ pain, all had protective values in the context of recurrence of the sacroiliac joint pain.

Conclusions: The use of non-steroidal anti-inflammatory drugs (NSAIDs) and the involvement of a single SI joint are protective factors against the recurrence of SI joint pain.

Abbreviations: COST: European Cooperation in Science and Technology; NSAIDs: Non-steroidal anti-inflammatory drugs; SIJ: Sacroiliac joint;

Key words: Anti-inflammatory agent; Non-technical risk factors; Intra-articular; Age; Recurrent sacroiliac joint pain

Citation: Siahaan YMT, Pangestu AR. Sungono V. Non-technical factors for recurrence of sacroiliac joint pain after intra-articular steroid injection: a cohort study. Anaesth. pain intensive care 2022;26(5):773-777.                          

DOI: 10.35975/apic.v26i6.2049
An updated review on anesthesia and emergency medicine for forensic medicine practice
Authors: Munasinghe B M , S Pranavan , U Mayorathan
Published: February 2023

‘Anesthesia’ and ‘Emergency Medicine’ for ‘Forensic Medicine’ practice is an infrequently discussed topic in the current English literature. Demand of anesthesia and emergency medicine for forensic medical cases will probably increase in the future due to the ever-growing rate of drug trafficking and escalated sexual crimes at the regional as well as global levels. To address the relative scarcity of a review on this aspect, a comprehensive literature search was conducted using Cochrane, Medline, Scopus, and Google Scholar databases, to put forward the most up-to-date recommendations and guidance on the topic, which would shed light and help raise awareness among the emergency physicians, anesthetists, and intensivists about this important aspect of medical practice, ultimately improving the medical care of the affected ones without any prejudice and thus improve the outcome.

Key words: Anesthesia; Body packers; Body stuffers; Emergency Medicine; Forensic Medicine; Sexual abuse

Citation: Munasinghe BM, Pranavan S, Mayorathan U. An updated review on anesthesia and emergency medicine for forensic medicine practice. Anaesth. pain intensive care 2022;26(6):803−806; DOI: 10.35975/apic.v26i6.2057
Low-cost simulation technique in planning and preparing perioperative team for conjoined twins separation surgery
Authors: Shamim Faisal , Syed Razia , Siddiqui Khalid , Khan Fauzia Anis
Published: February 2023

Summary: The authors present a low-cost simulation technique to discuss the airway management, the surgical technique, the problems to be faced by the anesthesia and the operating teams, and how to proceed with the operative surgery to separate the conjoined twins.

Key words: Conjoined twins; Simulation

Citation: Shamim F, Syed R, Siddiqui K, Khan FA. Low-cost simulation technique in planning and preparing perioperative team for conjoined twins separation surgery. Anaesth. pain intensive care 2022;26(2):833−834.

DOI: 10.35975/apic.v26i6.2059
Strategi Guru PAI dalam Mengelola Kemampuan Critical Thinking Siswa untuk Menghadapi Banjir Informasi dan Hoaks di SMK Plus Nurul Hakim Kediri
Authors: Sakaki Muhamad , Zaki Muh. , Malik Abdul
Published: February 2023

This study aims to determine the strategy of PAI teachers in managing students' HOTS-based critical thinking skills to deal with a flood of information and hoaxes at SMK Plus Nurul Hakim Kediri. This study uses a qualitative approach with a descriptive type of research. This research was conducted at SMK Plus Nurul Hakim Kediri for two months, the subjects of this study were PAI teachers at SMK Plus Nurul Hakim Kediri, research informants were school principals, teachers and students. Data collection techniques used in this study were observation, unstructured interviews and documentation. To analyze data with three steps: condensing data, presenting data, and drawing conclusions. The results of the study show that (1) PAI teachers can implement HOTS-based critical thinking in the form of teachers participating in Subject Teacher Deliberation training, compiling HOTS-based curriculum 13 learning tools, preparing students' souls before learning, training students' critical power, training students' metacognitive skills, training reflective thinking students, train students' psychomotor domains, PAI teachers are admired and emulated, analyze appropriate and accurate information and activate correct thinking. (2) The PAI teacher's strategy in managing HOTS-based students' critical thinking to deal with a flood of information and hoaxes is: problem-based learning strategies, creative and innovative learning strategies, contextual teaching learning strategies and inquiry strategies. (3) The results of the implementation of the learning process carried out to manage HOTS-based students' critical thinking abilities to deal with a flood of information and hoaxes are managing critical thinking power so that students are able to choose valid information, are able to train kinesthetic compliance, increase student activity, teacher strategies in diverse learning, and the achievement of learning objectives.
Manajemen Strategi Pemasaran Jasa Pendidikan Raudhatul Athfal Al-Muqoddasah Cimaung
Authors: Saepulloh Afni Fauziyah , Badrudin Badrudin
Published: February 2023

Education is one of the most important aspects of human life. Education requires good management, because in it there are other individuals with different types of traits, characters and thoughts, who are both in the process of achieving the same ultimate goal, namely organizational goals. In fact, the goals of educational institution organizations are competing to become superior educational institutions. To achieve this goal, an initial strategy is needed in promoting the institution which is called marketing of educational services. Educational institutions compete in designing excellent programs that are very diverse in order to attract customers to send their children to these institutions. This study intends to reveal the strategy used by Raudhatul Athfal Cimaung in marketing educational services using descriptive qualitative research methods through the stages of data collection by observing, interviewing interested parties and analyzing institutional documents. The results of the study show that Raudhatul Athfal Al-Muqoddasah Cimaung has a superior program that instills good morals in early childhood. Where this age is the golden age of children where brain and physical growth and development grow and develop optimally. Furthermore, this study presents strategic management in the marketing of educational services according to the concept of the marketing mix, abbreviated as 7P, which includes Product, Price, Place, Promotion, People, Physical Evidence, and Process.
The Influence of Teachers' Creativity on Learning Motivation to Read the Qur'an at Madrasah Aliyah Negeri (MAN) 1 Sumbawa
Authors: Mas’un Mas’un , Muhtar Fathurrahman , Ribahan Ribahan
Published: February 2023

Teachers are educators, mentors, coaches, and curriculum balancers who can create conditions and a conducive learning atmosphere, such as a fun, interesting learning atmosphere, giving students space to think actively and innovatively in exploring and elaborating their abilities. The teacher's role is very important in improving student learning achievement so they must be more creative in choosing teaching methods. The purpose of this study was to determine the influence of teacher creativity on motivation to learn to read the Koran in students of Madrasah Aliyah Negeri (MAN) 1 Sumbawa. This type of research is ex post facto comparative causal research using a quantitative approach. The research instrument was a questionnaire based on the research procedures used in this study. Data analysis was carried out through research instrument tests which included validity and reliability followed by the classical assumption test. The method used is multiple linear regression analysis. The results of the study show that teacher creativity has a direct effect on learning motivation. Because it has a probability value (0.000) <0.05, which means there is a positive and significant influence between teacher creativity on learning motivation. This means that the higher the teacher's creativity in teaching, the higher the learning motivation of students in class X Madarasah Aliyah Negeri (MAN) 1 Sumbawa.
Design Prediction with Phylogenetic Networks
Authors: He Youwei , Lee Jeong-Dong , Jeong Dawoon , Choi Sungjun , Kim Jiyong
Published: February 2023

This study proposes an effective method to predict the development of technology from an evolutionary perspective. Product evolution is the result of technological evolution and market selection. A phylogenetic network is the main method to study product evolution. The formation of the dominant design determines the trajectory of technology development. How to predict future dominant design has become a key issue in technology forecasting and new product development. This study uses machine learning methods, combined with product evolutionary theory, and constructs a Fully Connected Phylogenetic Network dataset to effectively predict the future dominant design.
Design of Dispersion-Reconfigurable Phaser using PIN-Diode Loaded Stepped-Impedance Line
Authors: Lei Haoling , Huang Yi , Duan Chaijie , Zhang Qingfeng
Published: February 2023

This paper proposes a dispersion-reconfigurable reflection-type phaser based on PIN-diode loaded stepped-impedance microstrip line. By configuring `ON' and `OFF' states of PIN-diode, the proposed phaser exhibits positive-slope, negative-slope, and zero-slope linearly dispersive group delay responses.  For proof-of-concept demonstration, we use line connection/disconnection to mimic ON/OFF states of PIN diode. Three prototypes are hence fabricated to represent the three different states. The experimental results agree well with the expected responses, which finally validate the proposed concept.
Anisotropic Mesh Adaptation Based on Error Estimation for 3D Finite Element Simulation of Electromagnetic Material Processing
Authors: Garcia Carrero Jesus Oswaldo , Alves Zapata Jose , Ripert Ugo , Barlier Julien , Bay François
Published: February 2023

This work aims to develop an adaptive remeshing procedure for finite element method on electromagnetic computations. A thorough comparison of metric computation strategies is carried out as it constitutes a cornerstone of this developments. This procedure will focus on the mesh size adaptation to distribute the error uniformly over a computational domain, in order to obtain a user-prescribed accuracy of the solution. Also, it shall enable dealing with complex geometries for electromagnetic-coupled material processing applications. For this purpose, a quasi-steady state approximation of the Maxwell's equations in a time-domain formalism is considered. The automatic remeshing procedure is based on the following key steps: An a posteriori error estimator to pinpoint the critical areas needing refinement or allowing coarsening. An anisotropic metric approximation. Both steps use a global field recovery algorithm in order to enable robust gradient computation. Finally, several 3D test cases are presented.
Exploring a Hybrid Technique to Detect Network Intrusions in IoT Systems using PCC, ADASYN, and ALMA
Authors: Agbedanu Promise Ricardo , Musabe Richard , Gatare Ignace , Rwigema James , Pavlidis Yanis
Published: February 2023

The code and data that support the findings of this study are available from the corresponding author upon reasonable request.
Polar Coded Merkle Tree: Mitigating Data Availability Attacks in Blockchain Systems Using Informed Polar Code Design
Authors: Mitra Debarnab , Tauz Lev , Dolecek Lara
Published: February 2023

Data availability (DA) attack is a well-known problem in certain blockchains where users accept an invalid block with unavailable portions. Previous works have used LDPC and 2-D Reed Solomon (2DRS) codes with Merkle trees to mitigate DA attacks. These codes perform well across various metrics such as DA detection probability and communication cost. However, these codes are difficult to apply to blockchains with large blocks due to large decoding complexity and coding fraud proof size (2D-RS codes), and intractable code guarantees for large code lengths (LDPC codes). In this paper, we focus on large block size applications and address the above challenges by proposing the novel Polar Coded Merkle Tree (PCMT): a Merkle tree encoded using the encoding graph of polar codes. We provide a specialized polar code design algorithm called Sampling Efficient Freezing and an algorithm to prune the polar encoding graph. We demonstrate that the PCMT built using the above techniques results in a better DA detection probability and communication cost compared to LDPC codes, has a lower coding fraud proof size compared to LDPC and 2D-RS codes, provides tractable code guarantees at large code lengths (similar to 2D-RS codes), and has comparable decoding complexity to 2D-RS and LDPC codes.
Structure of the space of GL4 (Z2)-coinvariants Z2 ⊗ GL4 (Z2) P H∗ (Z42,Z2) in some generic degrees and its application
Authors: Võ Phúc Đặng
Published: February 2023

Fix $k = \mathbb Z_2$ to be a field of characteristic 2, let $A$ denote the Steenrod algebra over $k.$ A problem of immense difficulty in algebraic topology is the determination of a minimal set of $A$-generators for the polynomial ring $P_q = k[x_1, \ldots, x_q] = H^{*}(k^{q}, k)$ on $q$ generators $x_1, \ldots, x_q$ with $|x_1|= |x_2| = \cdots = |x_q| =  1.$ By way of equivalence, one may choose to write an explicit basis for the cohit space $\pmb{Q}^{q} := k\otimes_{A} P_q$ in each non-negative degree $n.$ This subject, which has now a long history, is the content of the classical "hit problem" proposed in [Abstracts Papers Presented Am. Math. Soc.  \textbf{833} (1987), 55-89]. Furthermore, it is closely related to the $q$-th transfer homomorphism $Tr_q^{A}$ constructed by William Singer in [Math. Z. \textbf{202} (1989), 493-523]. This map $Tr_q^{A}$ passes from the space of $G(q)$-coinvariant $k\otimes _{G(q)} P_A((P_q)_n^{*})$ of $\pmb{Q}^{q}$ to the $k$-cohomology group of the Steenrod algebra, ${\rm Ext}_{A}^{q, q+n}(k, k),$ wherein $G(q)$ stands for the general linear group of degree $q$ over the field $k,$ and $P_A((P_q)_n^{*})$ is the primitive part of $(P_q)^{*}_n$ under the action of $A.$ Particularly, the assertion that $Tr_q^{A}$ is always an injective map has been conjectured by Singer himself, but as of now, this remains an open problem for all $q\geq 4.$ Accordingly, the aim of the present study is to deal with the Singer conjecture for rank 4 in certain internal degrees. Specifically, by the usage of the techniques of the hit problem in four variables, we explicitly determine the structure of the coinvariant $k\otimes _{G(4)} P_A((P_4)_{n}^{*})$ in some generic degrees $n.$ Then, applying these results and a representation of $Tr_4^{A}$ via the lambda algebra, we state that Singer's conjecture is true for rank $q = 4$ in respective degrees $n.$ This has significantly contributed towards the ultimate proof of Singer's conjecture within the rank 4 case.
Navigation Learning Assessment Using EEG-based Multi-Time Scale Spatiotemporal Compound Model
Authors: Wang Lingling , Liu Yixin , Li Yiqing , Chen Renxiang , Liu Xiaohong , Fu Li , Wang Yao
Published: February 2023

 This study presents a novel method to assess the learning effectiveness using Electroencephalography (EEG)-based Multi-Time Scale Spatiotemporal Compound Model (MTSC). Due to the evaluation of navigation learning, which is centered on the practice innovation ability devel?opment, it is difficult to assess the learning effectiveness in cultivating students’ ability objectively by questionnaire or other assessment methods. Research in the field of brain science has shown that innovation ability can be reflected from cognitive ability which can be embodied by EEG signal features. Therefore, a navigation learning assessment method was applied to detect the cognitive training traces by EEG-based MTSC. To verify the validity of the method, three navigation missions with increasing cog?nitive difficulty were designed, and 41 participants attended the experiment. The features of participants’ EEG signals were extracted and classified by MTSC. Comparing the results between experimental group and control group, it can be seen that MTSC can effectively distinguish the cog?nitive training traces of students in the navigation problem?solving process. In addition, MTSC achieved 89.2% accu?racy and 0.883 F1-Score on features classification, which had an average improvement of 15.7% over other three tra?ditional EEG classification models in accuracy. The results indicate that the navigation learning assessment method provides a useful evaluation approach for learning effec?tiveness using EEG-based MTSC. 
Design and Tuning of State Feedback-based Islanding Detection for Distributed Generators
Authors: Maulik Sugoto , John Vinod
Published: February 2023

This paper presents a method for islanding detection of power-electronic interfaced grid-tied distributed energy resources. A dynamic phasor-based modeling approach is used to synthesize a state-space model of the islanded network. This model leads to the formation of a  generalized framework wherein the application of state feedback is designed to destabilize the islanded network. The proposed method can detect islands within one fundamental cycle of operation with passive loads of unity, lagging, and leading power factors. The detection scheme has a zero Non-detection Zone (NDZ), and detection times are within the  criteria suggested in IEEE Std. 1547-2018. 
MCMC-PINNs: A modified Markov chain Monte-Carlo method for sampling collocation points of PINNs adaptively
Authors: Yu Tengchao , Yong Heng , Liu Li , wang Han , chen Hua
Published: February 2023

PINNs, MCMC
Detecting Depression in Social Media Posts using Machine Learning Models
Authors: Pininty Varun
Published: February 2023

A big issue that isn’t stressed enough for adolescents and emerging adults is depression. Depression can affect you in various ways, whether it be physically, mentally, or socially. Professional and academic performance, personal relationships, and other factors that are important to long-term success are negatively impacted. In trying to help those that need help, we come across a major issue; identifying depression. Social media has become increasingly popular over the years, with many younger generations spending vast amounts of time on it. Detecting depression from a platform that adolescents and emerging adults frequently visit would contribute significantly to helping those suffering from it. In this study, the datasets of tweets were utilized to create multiple machine-learning models that would accurately detect signs of depression. Out of 4 different machine learning models, this research used the Random Forest Classifier model to achieve an accuracy of 96.52%. 