bluuebunny/crossref_metadata_2025 huggingface dataset:
PENGEMBANGAN HANDOUT BERMUATAN PENDIDIKAN KARAKTER BERBASIS KONTEKSTUAL PADA MATERI KINGDOM PLANTAE DI KELAS X SMAK FRATER DON BOSCO TARAKAN
Authors: Siahaan Susi Yantika , Wijarini Fitri , Adhani Aidil
Published: February 2023

AbstrakPenelitian ini bertujuan untuk menghasilkan Handout Bermuatan Pendidikan Karakter Berbasis Kontekstual Pada Materi Kingdom Plantae di Kelas X SMAK Frater Don Bosco Tarakan yang berkualitas dari segi kelayakan dan respon siswa. Penelitian ini merupakan jenis penelitian Research and Development (RD) dengan menggunakan model pengemmbangan 4-D yang terdiri dari 4 tahapÂ  yaitu Define, Design,Â  Development, Disseminate. Akan tetapi, pada pengembangan ini hanya dilakukan sampai tahap ke 3 yaitu tahap Development. Data penelitian dianalisis melalui uji kelayakan dan respon siswa. Pengujian produk dilakukan oleh validator ahli media, ahli materi, dan praktisi (guru biologi). Uji coba lapangan dilakukan secara online melalui google formulir yang dibagikan pada siswa SMAK Frater Don Bosco Tarakan kelas XI IPA dengan jumlah siswa sebanyak 30 orang. Hasil validasi yang diperoleh dari ahli media sebesar 89% dengan kategori sangat layak, ahli materi sebesar 96% dengan kategori sangat layak, praktisi sebesar 94% dengan kategori sangat layak dan respon siswa sebesar 87% dengan kategori sangat menarik. Berdasarkan hasil penelitian tersebut, maka dapat disimpulkan bahwa Handout Bermuatan Pendidikan Karakter Berbasis Kontekstual Pada Materi Kingdom Plantae yang dikembangkan telah memenuhi kriteria kualitas bahan ajar yang baik dan layak digunakan dalam pembelajaran biologi di sekolah.Kata Kunci: Bahan Ajar, Handout, Pendidikan karakter, Kontekstual.AbstractÂ This study aimed to produce high quality handouts with contextual-based character education on Kingdom Plantae Material for tenth Grade Students of SMAK Frater Don Bosco Tarakan in terms of student eligibility and response. This Research and Development (RD) study used a 4-D development model consisting of 4 stages, namely Define, Design, Development was only carried out until the 3 rdÂ  stage (Deveopment stage). The research data were analyzed through feasibility test and student responses. Product testing was validated by media expert, material experts, and practitioners (biology tearchers). Field trials were carried out online via a google form which was distributed to a total of 30 students.Â The validations result obtained from media experts were 89% which meant very feasible, 96% from material experts meaning feasible, 94% from practitioners meaning very feasible, 87% from student response meaning very interesting. It could be concluded that the handout with Contextual-Based Character Education on the Kingdom Plantae material developed met the criteria for good quality teaching materials and was suittable for use in learning biology in the school.Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Keywords:Â  Teaching Materials, Handouts, Character education, Contextual.
INVENTARISASI PENGOLAHAN TUMBUHAN OBAT DI KECAMATAN LUBUKLINGGAU UTARA I
Authors: Arif M. Furqon , Triyanti Merti , Widiya Mareta
Published: February 2023

AbstrakPenelitian ini bertujuan mengetahui cara pengolahan tumbuhan obat di Kecamatan Lubuklinggau Utara I. Penelitian ini dilaksanakan di Kecamatan Lubuklinggau Utara I. Teknik pengumpulan data berupa observasi, wawancara, dan dokumentasi tumbuhan obat. Teknik analisis data menggunakan teknik deskriptif kualitatif yaitu data hasil wawancara dikelompokkan. Hasil penelitian ditemukana 202 jenis tumbuhan obat yang terdiridari 26 famili. Sementara itu untuk pengolahannya ditemukan 8 teknik pengolahan tumbuhan obatKata kunci Inventarisasi, Tumbuhan Obat, cara pengolahanÂ Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â  AbstractThis study aims to determine the way of utilization of medicinal plants in the District of North Lubuklinggau I. The date collection techniques were observation, interviews and documentation of medicinal plants. The date analysis technique used a qualitive descriptive technique, namely the date from interviews. The results of the study found 202 types of medicinal plants consisting of 26 families. In addition, for the utilization researchers found 8 ways to use the medicinal plants.Â Keywords Inventory, Medicinal Plants, utilization
INVENTARISASI JENIS-JENIS TUMBUHAN OBAT DI KECAMATAN SALING KABUPATEN EMPAT LAWANG
Authors: Dianci Pipi Deka , Triyanti Merti , Harmoko Harmoko
Published: February 2023

Penelitian ini bertujuan untuk mengetahui jenis-jenis tumbuhan obat, bagian-bagian yang dimanfaatkan dan cara pengolahan tumbuhan obat di Kecamatan SalingÂ  KabupatenÂ  Empat Lawang. Penelitian ini dilaksanakan di Tujuh Desa yang berada di Kecamatan Saling. Teknik pengumpulan data berupa observasi, wawancara,Â  dan dokumentasi tumbuhan. Teknik analisis data mengunakan teknik deskriptif kualitatif yaitu data hasil wawancara dikelompokkan berdasarkan spesies tumbuhan obat, bagian-bagian yang di manfaatkan serta cara pengolahannya yang diketahui oleh masyarakat di kecamatan Saling. Hasil penelitian yangÂ  ditemukan 78 jenis tumbuhan obat yang terdiri dari 46 famili. Bagian yang paling banyak digunakan adalah bagian daun dari tumbuhan yang dijadikan sebagai obat dan bagian yang paling sedikit digunakan adalah lendir, biji, dan umbi. Cara pengolahan tumbuhan obat yang digunakan oleh masyarakat di Kecamatan Saling masih sangatÂ  sederhana, yang paling banyak mengelolah tumbuhan untuk obat dengan cara di rebus dan yang paling sedikit dengan cara diiris, dilalap, dilayukan, ditetes, dan di panaskan.Â Â
NATURE OF MODEL (NoM) DALAM PEMBELAJARAN SAINS
Authors: Nurafina Eka , Roshayanti Fenny , Dzakiya M. Anaz , Hayat Muhammad Syaipul
Published: February 2023

Materi pembelajaran sebagai salah satu sumber belajar utama bagi siswa di dalam kegiatan pembelajaran tidak bisa diabaikan dan perlu dipilih secara tepat, Model dapat digunakan untuk meningkatkan pemahaman dan kemampuan sains siswa. Model yang digunakan tanpa pemahaman kuat justru akan menghambat pemahaman siswa. Tujuan dari penelitian ini untuk mengetahui Nature of Model (NoM) dalam pembelajaran sains. Metode penelitian ini yaitu penelitian kualitatif dengan teknik pengolahan data berupa analisis deskriptif hasil studi literatur. Kemudian data dianalisis menggunakan tiga jalur yaitu kondensasi data, penyajian data dan penarikan kesimpulan. Hasil dari penelitian berdasarkan studi literatur yaitu Nature of Model (NoM) memiliki banyak kelebihan jika diterapkan pada pembelajaran sains. Nature of Model (NoM) dalam pembelajaran sains mampu membantu meningkatkan pemahaman, kemampuan berfikir dan kemampuan literasi sains siswa. Namun dalam menentukan model dalam pembelajaran sains haruslah tepat. Agar materi abstrak yang ingin tersampaikan tidak menimbulkan kesalahpahaman persepsi oleh siswa.Â Â
ANALISIS KETERAMPILAN PROSES SAINS MAHASISWA MELALUI PEMBELAJARAN BERBASIS PROYEK
Authors: Ilma Silfia , Nursia Nursia
Published: February 2023

Keterampilan proses sains berperan dalam pengembangan keterampilan mahasiswa dalam memeroleh fakta, konsep, dan pelibatan keterampilan berpikir tingkat tinggi. Tujuan penelitian ini adalah menganalisis keterampilan proses sains mahasiswa dalam pembelajaran berbasis proyek selama pandemi COVID-19. Metode dalam penelitian ini adalah deskriptif. Instrument penelitian yang digunakan adalah lembar observasi keterampilan proses sains. Teknik analisis data dengan menggunakan persentase. Hasil penelitian diperoleh bahwa aspek obeservasi persentase 82 kategori sangat baik, prediksi persentase 80 kategori baik, melakukan pengukuran persentase 73 kategori baik, berkomunikasi persentase 85 kategori sangat baik, dan klasifikasi persentase 71 kategori baik. Kesimpulan dalam penelitian ini adalah keterampilan proses sains mahasiswa selama masa pandemic COVID-19 tertinggi pada aspek berkomunikasi dengan persentase 85 kategori sangat baik. Kemudian terendah pada aspek klasifikasi dengan persentase 71 kategori baik.Â  Penerapan pembelajaran berbasis proyek secara online direkomendasikan dalam memberdayakan keterampilan proses sains mahasiswa.
TINJAUAN INJIL YOHANES 15:18-21 TENTANG PENGANIAYAAN DAN RESPON ORANG PERCAYA TERHADAP PENGANIAYAAN
Authors: Budiman Sabda , Fanmabi Yosina Pada , Harming Harming
Published: February 2023

Beriman kepada Yesus tidak selamanya merasakan ketentraman dan kedamaian, tetapi juga ada pengalaman yang membuat orang percaya merasa sedih dan menangis. Penganiayaan tidak terlepas dari kehidupan orang percaya. Penganiayaan merupakan peristiwa nyata yang terjadi saat ini. Penganiayaan juga terkadang membuat orang percaya merasa kecewa terhadap gereja, pemerintah, dan bahkan Tuhan. Oleh karena itu, perlu adanya pemahaman yang benar terkait penganiayaan yang orang percaya alami. Dalam tulisan ini, penulis merumuskan masalah ialah bagaimana tinjauan Injil Yohanes 15:18-21 terhadap penganiayaan dan respon orang percaya terhadap penganiayaan? Adapun tujuan penulisan dalam tulisan ialah untuk memaparkan tinjauan Injil Yohanes 15:18-21 terhadap penganiayaan dan respon orang percaya terhadap penganiayaan. Hasil dari pembahasan ini ialah dalam konteks Yohanes 15:18-21 berbicara tentang penganiayaan karena iman kepada Yesus yang dilakukan melaui penolakan. Respon orang percaya terhadap penganiayaan ialah dengan meneladai Yesus, semakin tekun berdoa dengan ucapan syukur, serta setiap orang percaya perlu saling bergandeng tangan sebagai anggota tubuh Kristus.
Paradigma Berekoteologi dan Peran Orang Percaya Terhadap Alam Ciptaan: Kajian Ekoteologi
Authors: Budiman Sabda , Rutmana Kiki , Takameha Kristian Kariphi
Published: February 2023

Ecotheology is a discipline that discusses the relationship of God, man, with nature. In berekoteology the need for a proper and biblical paradigm as the basis for maintaining the environment. The problem formulation in this study is: What is the right and biblical paradigm in philoteology? What is the attitude of believers towards the nature of creation? The purpose of this writing is to describe the right and biblical paradigm in theology and explain the attitude of believers towards the nature of creation. This research uses qualitative method with descriptive approach. The result of the discussion is that believers should have a theocentric paradigm. In addition, believers play a role as stewardship, build solidarity with nature and be directly involved in the recovery of environmental crises.
PENELITIAN KEPUSTAKAAN DALAM PENELITIAN PENGEMBANGAN PENDIDIKAN BAHASA INDONESIA
Authors: Sari Rita Kumala
Published: February 2023

Penelitian ini merupakan Penelitian Kepustakan (Library Research) dengan tujuan dalam untuk mendeskripsikan dari hasil dari penelitian Kepustakaan (Library Research) pada penelitian pengembangan di Jurusan Pendidikan Bahasa Indonesia Universitas Borneo Tarakan.Metode Penelitian yang digunakan merupakan penelitian deskriptif dengan kajian Library Research (penelitian kepustakaan). Dalam penelitian ini, penulis menggunakan penelitian deskriptif dengan lebih menekankan pada kekuatan analisis sumber-sumber dan data-data yang ada dengan mengandalkan teori-teori dan konsep-konsep yang ada untuk diinterpretasikan berdasarkan tulisan-tulisan yang mengarah pada pembahasan.Hasil dari penelitian ini ditemukan bahwa penelitian pengembangan yang dilakukan oleh mahasiswa Jurusan Pendidikan Bahasa Indonesia menggunakan penelitian pengembangan milik Borg and Gall dengan 10 tahapan yang sudah dimodifikasi oleh Setyosari menjadi 7 tahapan dalam penelitian. Rekomendasi yang dihasilkan untuk penelitian selanjutnya pada penelitian pengembangan hendaknya dilakukan menjadi 10 tahapan atau dapat menggunakan model pengembangan yang lain.
Deserción estudiantil en la UTN-FRLP
Authors:   , Istvan Romina Mariel
Published: February 2023

El sistema educativo superior enfrenta diversas dificultades a lo largo del trayecto de formación académico de los estudiantes, que se manifiesta en los altos valores de deserción y repercute directamente en el número de graduados. Como parte de las instituciones educativas, la UTN Facultad Regional La Plata (UTN-FRLP) no está exenta a esta problemática; por este motivo, desde principios del año 2017 se encuentra trabajando en nuevos proyectos de tecnología informática aplicada en educación con impacto en la deserción estudiantil. Dentro de esta línea de investigación surge la presente tesis, la cual plantea el diseño y desarrollo de un sistema software de gestión tutorial, cuya caracteristica principal se basa en calcular automáticamente factores de riesgo de deserción, presentar alertas tempranas y gestionar de manera eficiente el seguimiento de los estudiantes facilitando el conjunto de tareas de gestión tutorial. Siguiendo este objetivo, en su etapa de análisis, la investigación profundiza en las características y funcionalidades de herramientas existentes en Latinoamérica, en base a las cuales obtiene puntos de referencia sobre el potencial del nuevo software. Sustentados en este estudio, se definen como funcionalidades esenciales del sistema: (i) La gestión del seguimiento y acompañamiento estudiantil y su trazabilidad. (ii) La incorporación de un modelo de predicción basado en la historia académica y elementos de análisis de índole familiar, económico y psicosocial. (iii) La visualización del modelo de predicción mediante un semáforo. (iv) La identificación temprana de posibles desertores y la presentación de alertas tempranas de deserción según tipos de riesgo. (v) La generación de informes y estadísticas para el análisis y toma de decisiones para la prevención de la deserción. En función de lo anterior, se optimizan los objetivos, contextualizando los módulos y fuentes de datos necesarias, identificando los actores con sus roles y perfiles; modelando, así, la interactividad con el sistema. La herramienta incorpora su propio modelo de riesgo de deserción, el cual se fundamenta en los principales enfoques que conforman el marco teórico y el análisis particular del perfil de los estudiantes desertores de la institución, conformando tres pilares o ejes de análisis: Perfil Socioeconómico, Inasistencias y Rendimiento Académico. Cada uno de estos ejes se asocia con una medida de importancia relativa o peso, que representa la incidencia sobre la estimación. A mayor peso, mayor incidencia. De esta manera, la estimación de riesgo de deserción obtenida para cada alumno en particular se visualiza en el sistema mediante un semáforo de colores: verde (sin riesgo), amarillo (riesgo leve), naranja (riesgo moderado) y rojo (crítico). Consecuentemente, el nuevo software se ajusta a la problemática general de la deserción, a la vez que se lo particulariza a las necesidades de la institución. En 2022 se realiza la implementación y puesta en marcha del sistema en la UTN-FRLP.
Framework diagnostics PE_Leukel, Loibl, Leuders
Authors: Leukel Christian , Loibl Katharina , Leuders Timo
Published: February 2023

Accurate diagnostic judgments from teachers are important in education, e.g., for providing feedback to students that supports learning. Explaining diagnostic judgment requires understanding of the components of cognitive processes underlying judgment formation. Many aspects ascribed to these components are specific to a particular domain, like physical education. In the physical education domain, research on judgment accuracy and cognitive processes of judgment formation is scarce, and not substantially driven and reflected by theory. In this paper, we provide a theoretical framework on cognitive processes of judgment formation for physical education, with the aim to support guiding and pooling of future research activities in this domain. In addition, this framework serves as a heuristic example to other domains which may want to adopt it according to their needs.
Tata Kelola, Tekanan Luar, Dan Kinerja Keuangan terhadap Integritas Laporan Keuangan (Corporate Governance, External Pressure, and Financial Performance on Integrity of Financial Statements)
Authors: Nizam Fahrul , Nur Emrinaldi , Supriono Supriono
Published: February 2023

This study aims to analyze the effect of good corporate governance, external pressure and financial performance on the integrity of financial statements. Empirical study on manufacturing companies listed on the Indonesia Stock Exchange in 2017-2019. Using 75 samples of companies with the selection using purposive sampling. Using the SPSS program to test the data analysis, namely multiple linear regression and classical assumption test. The results of the study indicate that audit tenure and leverage have no effect on the integrity of financial statements. Institutional ownership, independent commissioners, audit committees, and profitability have a significant effect on the integrity of financial statements.
DESIGN AND TEST OF AUTOMATIC CONTROL SYSTEM FOR HEADER HEIGHT OF COMBINE HARVESTER
Authors: RUAN Mingjian , JIANG Hanlu , ZHOU Haili , YE Jun , HU Jinpeng
Published: February 2023

Aiming at the problems of poor applicability of traditional header height detection mechanism, poor stability and large lag of automatic control system of combine harvesters, an automatic control system of header height of combine harvester was designed, which mainly included the profiling mechanism, controller, proportional valve, manual operation handle and display module. The profiling detection mechanism was composed of angle sensor, profiling plate, torsion spring and other structures. The key structural parameters of the profiling mechanism were determined by using the Adams simulation software and its working performance was verified. The gray prediction PID algorithm of header height was used to reduce the lag of the control model. The control system detected the height of the header from the ground through the profiling mechanism. After being processed by the controller, the height of the header was changed by adjusting the expansion of the header oil cylinder. The field test results showed that the working performance of the header automatic control system was stable. Under the working conditions of preset header height of 100mm and 200mm, the average deviation of the control system was within 21 mm, which met the real-time control demand of header height during normal operation of combine harvester. This research could provide intelligent design methods of combine harvesters.
DESIGN AND TEST OF KEY COMPONENTS OF BIOCHAR RETURN MACHINE BASED ON ROCKY
Authors: REN Dezhi , ZHANG Luji , HUANG Wanyuan , CHENG Huiting , HE Tian'yi , MENG Jun
Published: February 2023

To realize the integrated technology of biochar return to the soil, the key components of the biochar discharge system applicable to the biochar return machine were designed, and the force analysis of the return shovel was carried out to obtain the main working parameters affecting the effect of biochar return. Single factor and multi factor simulation tests were conducted with the coefficient of variation of biochar content uniformity as evaluation indexes, and outlet distance, conduit diameter, baffle angle as influencing factors. The data were processed and parameters were optimized using Design-Expert, and the results were optimized and experimentally verified. The results from the experimental the coefficient of variation of biochar content uniformity and simulation data from the model showed good agreement. Therefore, the procedures of this study can be used for the integrated technology of biochar return.
Plasma processing technique by combination of plasma-assisted reactive sputtering and plasma annealing for uniform electrical characteristics of InGaZnO thin film transistors formed on large-area substrates
Authors: Takenaka Kosuke , Yoshitani Tomoki , Endo Masashi , Hirayama Hiroyuki , Toko Susumu , Uchida Giichiro , Ebe Akinori , Setsuhara Yuichi
Published: February 2023

The homogeneous formation of high-mobility oxide semiconductor thin films over large areas at low temperatures was accomplished by optimizing both the film formation process and the low-temperature post-processing via plasma annealing. Increasing the substrate-to-target distance (D
ST) and the applied target voltage was found to produce more uniform deposition. The results of the field-effect mobility distributions of IGZO TFTs processed using plasma annealing were founded that plasma annealing generated essentially uniform distributions with μ
FE values in the range of 32–35 cm2 V−1 s−1.
Low-power and high-resolution capacitance sensing using CMOS inverter-based RC oscillator by employing voltage-integration feedback
Authors: Li Zixuan , Lee Sangyeop , Ishihara Noboru , Ito Hiroyuki
Published: February 2023

In this paper, new circuit techniques are proposed and applied for low-power, high-resolution capacitance sensing. The first is a CMOS inverter-based resistor-capacitor oscillator that consists of a resistor, a capacitor, and three inverters, allowing it to operate at low supply voltage and low power with a wide sensing range. The second is a voltage-integration feedback (VIF), which suppresses low-frequency jitter noise generated by internal and external noise. As a result, a fabricated circuit with a 0.18 μm CMOS process technology exhibits the sensitivity of 10.5 μs pF−1 with 2.12 ppm resolution in the oscillation frequency, in addition to 7.52 μW power consumption under a 1 V power supply.
Performance improvement of in-materio reservoir computing by noise injection
Authors: Hakoshima Masaya , Usami Yuki , Kotooka Takumi , Tanaka Hirofumi
Published: February 2023

Computation performance of in-materio reservoir device was evaluated by varying intensity of noise injection. Materials for the reservoir device was synthesized using a α-Fe2O3/titanium bismuth oxide composite by using the sol–gel method. The prepared samples were characterized by conducting X-ray diffractmetry, transmission electron microscopy, and energy dispersive X-ray spectroscopy to confirm presence of α-Fe2O3, TiO2, and Bi4Ti3O12 nanoparticles. The I–V and V–t curves show nonlinearity, and phase differences between input and output signals, and the fast Fourier transform of the V–t curve showed high harmonics at the input sine wave with 11 Hz of frequency. In the waveform prediction task, the prediction accuracy was improved only when a small intensity of white noise voltage was superimposed to the input information signal.
Intrathecal midazolam is a comparable alternative to fentanyl and nalbuphine as adjuvant to bupivacaine in spinal anesthesia for elective Cesarean Section; a randomized controlled double-blind trial
Authors: Amin, MD Samar Rafik , , MD Ibrahim Souidan , Abdelzaam Elsayed M.
Published: February 2023

Background: Different adjuvants have been introduced to enhance the quality of local anesthetics and reduce its adverse events. This study was directed to compare the anesthetic and analgesic properties of intrathecal hyperbaric bupivacaine when three different adjuvant drugs were added.

Methodology: One hundred full-term parturients aged 18 to 40 years, scheduled for elective cesarean section, were randomly assigned to 4 groups. Each group received 12.5 mg of 0.5% hyperbaric bupivacaine combined with either 0.5 ml saline (Group-B), 25µg fentanyl (Group-F), 0.8 mg nalbuphine (Group-N) or 2 mg midazolam (Group-M). The outcomes included the postoperative effective analgesia time, the sensorimotor characteristics, postoperative VAS score, pethidine consumption, maternal complications, and neonatal Apgar score.

Results: Earlier onset of sensory and motor block was observed in Group F and N than in Group B and M. Duration of postoperative effective analgesia was longer in Groups F, N and M (252.42 ± 46.11, 227.34 ± 36.54 and 243.71 ± 44.95 hours, respectively) than in Group B (172.11 ± 20.99) (P < 0.001). VAS scores decreased in adjuvant groups during the first 12 hours postoperative and required pethidine doses were less.

Conclusion: Addition of adjuvant agents to intrathecal bupivacaine improved the quality of subarachnoid block without increasing side-effects. Intrathecal midazolam provided comparable outcomes as the frequently used opioids.

Abbreviations: CS: Cesarean section; LA: Local anesthetics; SA: Spinal anesthesia

Key words: Intrathecal; Nalbuphine; Midazolam; Fentanyl; Postoperative analgesia; Cesarean section.

Citation: Amin SR, Souidan I, Abdelzaam EM. Intrathecal midazolam is a comparable alternative to fentanyl and nalbuphine as adjuvant to bupivacaine in spinal anesthesia for elective cesarean section: a randomized controlled double-blind trial. Anaesth. pain intensive care 2022;27(1):89−96; DOI: 10.35975/apic.v27i1.1923

Received: June 26, 2022; Reviewed: November 28, 2022; Accepted: December 14, 2022
Adductor canal block as an adjuvant in a multimodal analgesia protocol vs. multimodal analgesia alone for total knee arthroplasty
Authors: Mohsen Ahmed Radwa Khairy Abd El , Mohamed Ahmed Saeed , Nassef John Nader , Elsatar Yasmin Hassan Abd , Fawal Sanaa Mohamed Mohamed El
Published: February 2023

Background & Objective: Effective analgesia is necessary for early postoperative recovery following total knee arthroplasty (TKA). Various combinations of pain relief modalities have been used for postoperative pain in TKA. Adductor canal block (ACB) has been suggested to have a role in this scenario. We evaluated the effectiveness of ACB following spinal anesthesia (SA) in terms of postoperative pain relief, early ambulation and patient satisfaction.

Methodology: A total of 72 patients were enrolled in the study. Out of these 36 patients (Group A) were randomized to receive ACB in addition to SA, while 36 patients (Group B) received only SA. Postoperative numerical rating scale (NRS) score, and morphine consumption were noted at shifting to PACU, at 6, 12, 18 and 24 h postoperatively as a primary outcome measure. As a secondary outcome measures, quadriceps muscle power, time to ambulation and patient satisfaction were evaluated.

Results: A statistically significant drop in NRS was noted in Group A, at 6, 12, 18, and 24 h after surgery, but not in the postoperative care unit (P = 0.75), and a decrease in the total morphine use among patients who underwent an ACB. A significant change was noted in ambulation and patient satisfaction in the Group A, with no significant change in quadriceps muscular power among both groups.

Conclusion: ACB as a part of pain management strategy is successful in reducing postoperative pain, morphine consumption, enabling early ambulation, and elevating patient satisfaction.

Key words: Adductor canal block; Spinal Anesthesia; Total knee arthroplasty

Citation: Ahmed RKA, Mohamed AS, John Nader Nassef JN, Abd Elsatar YH, El Fawal SMM. Adductor canal block as a part of multimodal analgesia protocol for total knee arthroplasty. Anaesth. pain intensive care 2022;27(1):31−36; DOI: 10.35975/apic.v27i1.1941

Received: August 18, 2022; Reviewed: November 5, 2022; Accepted: November 19, 2022
Efficacy of dexmedetomidine as an adjuvant in erector spinae plane block in breast cancer surgery: a randomized controlled trial
Authors: Hassan, MD Mohamed Elsayed , MD Ahmed S. Abdelgalil,
Published: February 2023

Background: The erector spinae plane block (ESPB) is a new potential inter-fascial block technique used to decrease pain after breast surgery. Dexmedetomidine (Dex) is used as an adjuvant to local anesthetics and is thought to improve the analgesic profile and duration of different anesthetic techniques. We evaluated the effect of adding Dex in local anesthetic solution for ESPB in breast cancer surgeries regarding the analgesic effect and duration.

Methodology: This prospective randomized controlled study included 60 female patients scheduled for breast cancer surgery. All patients were anesthetized in a standard manner, and then were randomized into three equal groups; 1. ESP group, to receive an ultrasound-guided ESPB with 20 ml bupivacaine 0.5%; 2. Dex group, to receive ESPB with 19 ml bupivacaine 0.5% and 1 ml of normal saline containing 1 µg/kg Dex, and the control group received the standard general anesthesia only. The intraoperative fentanyl and postoperative morphine consumption were noted. Postoperative pain was assessed on numerical pain rating scale (NRS)

Results: The duration of analgesia was significantly prolonged in ESPB and Dex groups than in the control group and in the Dex group than in ESPB group (P < 0.001). Intraoperative fentanyl and postoperative morphine consumption were significantly lower in ESPB and Dex groups than in the control group. NRS pain scores were comparable in the three groups during the first 24 h.

Conclusions: Adding dexmedetomidine 1 µg/kg to bupivacaine 0.5% prolongs the duration of analgesia of the ESPB in breast cancer surgeries.

Key words: Analgesia; Breast Cancer; Breast Surgery; Bupivacaine; Dexmedetomidine; Nerve Block

Citation: Hassan ME, Abdelgalil AS. Efficacy of dexmedetomidine as an adjuvant in erector spinae plane block in breast cancer surgery: a randomized controlled trial. Anaesth. pain intensive care 2022;27(1):16−22; DOI: 10.35975/apic.v27i1.2109

Received August 16, 2022; Reviewed: November 13, 2022; Accepted: December 03, 2022
Effect of neuromuscular electrical stimulation on renal functions in pregnancy related-acute kidney injury: a randomized controlled trial
Authors: Ahmed Ali Ahmed Talaat , Abdelaal Ibraheem Ibraheem Mohammad , Obiedallah Ahmed Mohamed Ali , Abdelbadie Amr Shehata
Published: February 2023

Background: Various therapies have been used to restore blood flow and stabilize renal function in patients with pregnancy related acute kidney injury (AKI-P). There are favorable effects of electrical stimulation on muscle metabolism, microcirculation and possibly renal function; therefore, this study suggests for the first time that neuromuscular electrical stimulation (NMES) has a positive effect on renal functions of women with AKI-P.

Methods: This randomized controlled design study evaluated the effect of NMES on renal blood flow and hemodynamics for women with AKI-P. Patients were randomized into two groups; NMES group (Group ES) versus Control group (Group C). Group ES received routine care and NMES while Group C received routine care only, data was collected from obstetric ICU. Improvement of renal functions was considered the primary outcome and secondary outcome was improvement of hemodynamics.

 Results: NMES application had caused no a statistical significant change in serum creatinine in Group ES than Group C on mid period and last day of the study (230.13 ± 83.69 in Group ES versus 258.3 ± 115.77 in Group C) and (180.21 ± 63.65 in Group ES versus 201.32 ± 84.78 in Group C) (P = 0.285 & P = 0.297) respectively.

Conclusion: Application of NMES had no effect on their renal functions but there are improvements on hemodynamics.

Trial registration: The study registered in Clinical-Trials.gov at 8 October 2020 - prospectively registered, http://www. Clinical- Trials.gov.com/ NCT04580329

Abbreviations: CVP: Central venous pressure; ES: Electrical stimulation; GCS: Glasgow coma scale; HR: Heart rate; MAP: Mean arterial pressure; NMES: Neuromuscular electrical stimulation; AKI-P: Pregnancy related acute kidney injury; RR: Respiratory rate

Key words: Neuromuscular electrical stimulation; Acute kidney injury; Renal functions

Citation: Ali ATA, Abdelaal IIM, Obiedallah AMA, Abdelbadie AS. Effect of neuromuscular electrical stimulation on renal functions in pregnancy related acute kidney injury: a randomized controlled trial. Anaesth. pain intensive care 2022;27(1):104−111; DOI: 10.35975/apic.v27i1.2112

Received: March 10, 2022; Reviewed: November 09, 2022; Accepted: December 17, 2022
Impact of femoral nerve block versus fascia iliaca block on postoperative pain control after hip arthroscopy: a prospective randomized trial
Authors: Alansary Amin Mohammed , Elgouhary Mohamed O , Rashed Mohamed Mohsen , Ali Mohamed Mourad
Published: February 2023

Background & Objectives: Hip arthroscopy is a minimally invasive technique that has been widely used to treat a variety of hip joint diseases. However, severe postoperative pain usually follows these surgeries, necessitating the use of multimodal pain control strategies. Regional blocks like femoral nerve block (FNB) and fascia iliaca compartment block (FICB) allow for better postoperative analgesia while using less parenteral opioids. The purpose of this study was to evaluate and compare the efficacy of ultrasound guided FNB versus ultrasound guided FICB for postoperative analgesia.  

Methodology: A total of 60 patients, planned for hip arthroscopy, aged 21−65 y, of either sex and ASA I−II were randomly divided into two groups: Group FICB (n= 30), in which FICB with 40 mL levobupivacaine 0.25% was done after induction of general anesthesia (GA) and Group FNB (n = 30) in which FNB with 20 mL levobupivacaine 0.25% was done after induction of GA. Time to the first analgesic use was the primary outcome, whereas total pethidine consumption as rescue analgesic in the first 24 h postoperatively, VAS scores, and the assessment of postoperative early ambulation were the secondary outcomes.

Results: Patients in the Group FICB experienced a significantly shorter time to ambulation compared to Group FNB; 17.2 ± 2.1 vs. 19.8 ± 2.1 h respectively (P < 0.001). There were no significant differences between the two groups regarding time to first analgesic requirement (pethidine), total pethidine consumption, and the VAS scores. No cases of drug allergy were reported in both groups.

Conclusion: Both fascia iliaca compartment block and femoral nerve block were effective in reducing postoperative pain; however, fascia iliaca compartment block was superior regarding early ambulation.

Abbreviations: FNB: Femoral Nerve Block; FICB: Fascia Iliaca Compartment Block; GA: General Anesthesia; US: Ultrasound; VAS: Visual Analog Scale

Key words: Hip arthroscopy; Fascia iliaca compartment block; Femoral Nerve Block; Pain; Pain Management; Postoperative pain

Citation: Alasnsary AM, Elgouhary MO, Rashed MM, Ali MM. Impact of femoral nerve block versus fascia iliaca block on postoperative pain control after hip arthroscopy: a prospective randomized trial. Anaesth. pain intensive care 2022;27(1):23−30; DOI: 10.35975/apic.v27i1.2120

Received: September 10, 2022; Reviewed: November 05, 2022; Accepted: November 16, 2022
Dexmedetomidine vs dexamethasone as adjuvants to levobupivacaine in ultrasound-guided erector spinae plane block for patients undergoing modified radical mastectomy: a randomized double-blind study
Authors: Ahmed Heba Ismail , Ali Ashgan Raouf , Emam Norhan Hisham El , Magdy Mohamed , Gamal Reham Mohamed
Published: February 2023

Background & Objective: Erector Spinae Plane block (ESPB) is used in patients subjected to modified radical mastectomy (MRM) as a part of balanced anesthesia technique, and to offer prolonged postoperative analgesia. Local anesthetic agents are usually combined with various adjuvants to augment the effect. We compared dexmedetomidine (Dex) versus dexamethasone as adjuvants to ESPB in patients undergoing MRM.

Methodology: This randomized controlled study involved 90 patients subjected to MRM under general anesthesia with preoperative ESPB using 30 ml levobupivacaine 0.25%. They were randomly assigned into three equal groups according to the adjuvants used. Dex Group (n = 30) received 1 µg/kg dexmedetomidine, Dexa Group (n = 30) received 10 mg dexamethasone, and ESPB Group (n = 30) received no adjuvants. Patients were monitored for pain using VAS scores and vital signs. The primary outcome measure was total morphine consumption. The secondary outcomes were intraoperative fentanyl consumption, pain intensity, and analgesia duration.

Results: The postoperative analgesia duration was significantly longer in the Dex group compared with the ESPB group (P = 0.029) but not in the dexamethasone group. Intraoperative fentanyl and postoperative morphine consumption were significantly lower in the Dex group than in the ESPB group. VAS scores were significantly lower in the Dex group than in the ESPB group at rest and movement. VAS scores of the Dexamethasone group were similar to that of the ESPB group at rest and movement.

Conclusion: As an adjuvant to levobupivacaine in erector spinae plane block, dexmedetomidine reduces pain at rest and with movement, reduces intraoperative fentanyl and postoperative morphine consumption, and prolongs the analgesia duration. It is superior to dexamethasone in pain reduction and duration of analgesia.

Key words: Analgesia; Dexamethasone; Dexmedetomidine; Erector Spinae Plane Block; Radical Mastectomy; Postoperative Pain

Citation: Ahmed HI, Ali AR, El Emam NH, Magdy M, Gamal RM. Dexmedetomidine vs dexamethasone as adjuvants to levobupivacaine in ultrasound-guided erector spinae plane block for patients undergoing modified radical mastectomy: a randomized double-blind study. Anaesth. pain intensive care 2022;27(1):65−72.

DOI: 10.35975/apic.v27i1.2122

Received: Oct 08, 2022; Reviewed: Nov 10, 2022; Accepted: Nov 22, 2022
Major reasons involved in rejection of scientific research papers –an issue faced by the authors
Authors: PT Amina Irfan, , PT Tahir Mahmood,
Published: February 2023

In health sector, the academics require the faculty members to publish their scientific or scholarly work to contribute to the ever-evolving knowledge and understanding. It also develops connections with people of same field to promote learning and knowledge as a part of continuing education. Due to lack of formal coaching and instruction at the undergraduate level, regarding research methodology, including hypothesis development, sample size calculation, data collection and ethical approvals, the poorly constructed articles are often rejected by the reviewers. Thorough understanding of manuscript writing makes it potentially strong to be accepted by the editorial team. A quality article is a positive addition to the vast field of scientific research. Thus, to ensure the accuracy of scientific knowledge, the manuscripts have to be evaluated intricately. By addressing the issues responsible for rejections, one can maximize the rate at acceptance.

Key words: Authors; Health Sciences; Rejection; Reasons; Publications; Research papers; Solutions

Citation: Irfan A, Mahmood T. Major reasons involved in rejection of scientific research papers –an issue faced by the authors. Anaesth. pain intensive care 2022;27(1):06−08; DOI: 10.35975/apic.v27i1.2137

Received: January 10, 2023; Accepted: January 16, 2023
Book Review: Oxford Textbook of Anaesthesia for Oral and Maxillofacial Surgery Second edition
Authors: Jadoon Humaira
Published: February 2023

Turning out its second edition, ‘Oxford Textbook of Anaesthesia for Oral And Maxillofacial Surgery’ has been meticulously revised by new editors and a highly proficient contributor team while retaining its original clear and concise approach. It enlightens the readers with up-to-date information and practical approach to keep abreast with quickly evolving areas of anaesthesia related to oral and maxillofacial surgery.
A difficult extubation!
Authors: Kalyanasundaram Raghavendran
Published: February 2023

A difficult extubation!

An 8 y old male child suffered from Crouzon syndrome, in whom intubation was perceived to be difficult, but extubation expected to be much more difficult. Crouzon syndrome is a genetic disorder characterized by the premature fusion of skull bones (craniosynostosis). This early fusion prevents the skull from growing normally and affects the shape of the head and face.
In-Home Video and IMU Kinematics of Self Guided Tasks Correlate with Clinical Bradykinesia Scores
Authors: Strandquist Gabrielle , Dixon Tanner , Frączek Tomasz , Ravi Shravanan , Zeng Alicia , Bechtold Raphael , Lawrence Daryl , Little Simon , Gallant Jack , Herron Jeffrey
Published: February 2023

 Deep brain stimulation (DBS) delivers electrical stimulation directly to brain tissue to treat neurological movement disorders such as Parkinson’s Disease (PD). Adaptive DBS (aDBS) is an advancement on DBS that uses symptom-related biomarkers to adjust therapeutic stimulation parameters in real time to improve clinical outcomes and reduce side-effects. A significant challenge for the field of aDBS is developing automated methods to optimize stimulation parameters using remote assessments of symptom severity. To address this challenge, we designed a prototype at-home data collection platform that can remotely update aDBS algorithms and explore objective assessments of motor symptom severity. Our platform collects neural, inertial, and video data, and supports clinician validation of automated symptom assessments. We deployed the system to the home of an individual with PD and collected pilot data across six days. We evaluated motor symptom severity by recording data with stimulation amplitudes set to varying levels during self-guided clinical tasks and free behavior. We assessed movement features including frequency, speed, and peak angular velocity from video-derived pose estimates and inertial data during three clinical tasks. All features showed a reduction during periods of under-stimulation and were significantly correlated with video-based clinical scores of symptom severity (Spearman rank test, p < 0.006). These results demonstrate that our prototype is capable of remote multimodal data collection and that these data can enhance aDBS research outside the clinic. 
Atividade física: a importância dessa pratica no envelhecimento
Authors: Leite Morganna Luiz , Ribeiro Leila Batista , Evangelista Lorena Brito , Pereira Divinamar , Correia Sara Fernandes , Lopes Alberto César da Silva , Ferreira Marcus Vinícius Ribeiro , Pacheco Diana Ferreira
Published: February 2023

Objetivo: descrever a importância da atividade física no envelhecimento. Método: abordagem qualitativa e o método de revisão bibliográfica integrativa. A coleta dos dados deu-se em literatura nacional indexada no banco de dados da Scielo. Foram analisados 16 artigos que atenderam aos critérios de inclusão previamente estabelecidos. Resultados: evidenciou-se que a realização de atividade física, sem dúvida age diretamente na esfera biológica do envelhecimento, trazendo benefícios aos sistemas que se comprometem na terceira idade, dentre esses se podem citar o controle da pressão arterial, a melhora da capacidade cardiovascular, respiratória, amplitude da mobilidade, menor risco de doenças, e a prevenção de alguns tipos de câncer. Conclusão: O enfermeiro da atenção básica pode se atribuir de várias metodologias de trabalho, como a formação de grupos, onde ele, articulando-se com a equipe multiprofissional, pode desenvolver tanto para os cuidadores quanto para os idosos, ações reflexivas e motivadoras, que os possibilite perceberem o envelhecimento como um processo benigno e não patológico.
Descritores: Envelhecimento; Saúde do idoso; Atividade física.
The factory of the savage and the clash of imaginations. A post-ethnographic reading of Denilson Baniwa’s work
Authors: De Oliveira Eduardo Jorge
Published: February 2023

This text proposes a reflection on postethnography in two directions: firstly, make a frame on the historical context after the globalization and, secondly, discuss these aspects on the Denilson Baniwa’s artistic work. It points to verify the postethnographic hypothesis of the limits of art and literature vis-à-vis ethnographic practices in order to postulate a new statement of literary and artistic practices on the first decades of the 21rst century.
موقف النجف الاشرف من قضايا عربية قراءة في نماذج من أبحاث مجلة " أفاق نجفية " (2006 ـ 2017)
Authors: الرهيمي علاء , عبيد أنعام
Published: February 2023

تميزت النجف الأشرف لوجود المرجعية العليا فيها ، حيث تمثل ″قبلة العالم الشيعي″، بثقل وقيمة موقفها اتجاه اي قضية عربية كانت او اسلامية ، اذ تهدف الدراسة هذه الى الوقوف على نماذج معبرة من ابحاث ودراسات نشرتها مجلة " أفاق نجفية " في اعدادها الصادرة خلال سنوات (2006 ـ 2017) ، والبالغة (48) عدد، خصت منها موضوعات وقضايا عربية واسلامية ، بينت من خلالها مدى اهتمام مختلف الشرائح المجتمعية في النجف الأشرف من مرجعية وعلماء ونخب مثقفه وساسة واهالي بها، مسجلة صفحات مشرقه في تاريخ النجف الأشرف ، الامر ان دل على شيء انما يدل على حجم ″الوعي الفكري والديني والسياسي″ الذي تتمتع به مدينة باب علم الرسول لله() .
دور الإلتفات في انسجام القرآن الكريم في تفسيري الكشاف وإرشاد العقل السليم
Authors: فرزانه سيد بابك , باقر عليرضا , رئيسي عزيز
Published: February 2023

لاشك أنّ لِلتعبير القرآني أشكالاً وأسراراً فنية تدلّ علي أنّ هذا القرآن كلامٌ ادبيّ مقصود و تكسب نصّه جمالاً وروعةً ودواماً واستقامة. لعلّ مِن أبرز هذه السّمات، ظاهرة الانسجام وأثرها في أداء المعني القرآني متكاملاً من جميع الوجوه. لأنّ الانسجام في الاصطلاح هو الترابط الذي يتحقّق من خلال وسائل دلاليّة في المقام الأول، ويتمثّل في بنية عميقة على المستوى العميق للنص تُقدّم إيضاحاً لطرائق الترابط بين تراكيب ربما تبدو غير متسقة، أو مفكّكة على السطح، فهو ذو طبيعة دلاليّة تجريديّة تظهر من خلال علاقات تعكسها العناصر اللغويّة في النص، وهذا النوع من الربط هو ما يصح إطلاق مصطلح الانسجام عليه. ولتحقيق هذا الانسجام يعتمد القرآن الكريم علي الانتقال من حالة إلي أخري في الكلام وبشكل مفاجئ يجعل المعني يتردّد بصورة خاطفة وفجائية في ذهن المخاطب وهو فنّ الالتفات. يعتمد هذا المقال على المنهج التحليلي الوصفي لتقييم الانسجام بأنواع الالتفات في في القرآن الكريم في تفسيرين الكشاف و إرشاد العقل السليم. قمنا من خلال هذا البحث بدراسة أنواع الالتفات(الصيغ- العدد- الأدوات- الضمائر – البناء النحوي- المعجم) كمكوات الانسجام في هذا التفسيرين ولوحظ أن هذا التفسيرين متساوي في بعض المواطن القرآنية التي تمثلت فيها صورة الالتفات
La triple construcción de la gestión cultural en Latinoamérica
Authors: Mariscal Orozco José Luis
Published: February 2023

En la última década en América Latina se ha dado un proceso de profesionalización de la gestión cultural, sin embargo dicho proceso no solamente se centra en la formación de gestores culturales a nivel universitario, sino también en su construcción como campo académico de estudios interdisciplinares, lo cual ha implicado el reconocimiento de saberes, prácticas laborales y especificación de perfiles profesionales. El presente artículo brinda una panorámica general de las tendencias en que se ha venido dando el proceso de formalización de la gestión cultural en tres aspectos: como encargo social y ocupación laboral, al reconocerse como una actividad de importancia en las dinámicas actuales ya sea desde el voluntariado o como una actividad remunerada; como profesión(cuya especialidad es el diseño, operación y evaluación de la acción cultural) que busca el reconocimiento social y su diferenciación con otros profesionistas en el ámbito de la cultura; y finalmente como campo académico interesado en la organización y generación del conocimiento a partir de la sistematización de las prácticas y discursos de los gestores culturales en activo y de la articulación de conceptos y métodos de diferentes disciplinas tomando como objeto la cultura tanto para analizarla como para la generación de posibles estrategias de intervención.