bluuebunny/crossref_metadata_2025 huggingface dataset:
Effect of Preoperative Oral Carbohydrate Fluid on Post Operative Nausea and Vomiting in Laparoscopic Cholecystectomy Patients Under General Anesthesia
Authors: Mathur Charvi , Kohli Jasvinder Kaur , Khurana Tina , Kaur Mohandeep , Bhasin Himanshu
Published: September 2023

Background: Postoperative nausea and vomiting (PONV), an unpleasant complication following anaesthesia and surgery has various components such as nausea, retching and vomiting. Although PONV is usually self-limiting and non-fatal, it often causes substantial patient distress and dissatisfaction, augmenting healthcare costs by delaying discharge from post anaesthesia care units and causing unexpected hospital re-admissions. Different pharmacological and non-pharmacological approaches have been used for preventing PONV. Nonetheless, the most effective prophylactic regime has not been determined.
Methods: We conducted a prospective randomised study for evaluation of effect of preoperative oral carbohydrate fluid (GROUP- C) and placebo drink (clear water) (GROUP-P) on PONV in 90 adult patients undergoing laparoscopic cholecystectomy surgery under general anaesthesia. The number of episodes of nausea, retching and vomiting, total requirement of antiemetic dose in 24 hours, pre and postoperative blood glucose levels, patient satisfaction score, VAS score and haemodynamic parameters were recorded in the two groups and statistical analysis was done.
Results: Demographic data was comparable between the two groups with respect to age, gender and BMI. The surgical time and intra-abdominal pressures throughout the surgery were similar in the two groups. In our study the pre-induction blood glucose levels were found to be higher in group C and preoperative thirst was found to be less in group P. Both the groups were comparable in terms of number of episodes of PONV, total requirement of anti-emetic dose in 24 hours, patient satisfaction and well-being. VAS score for pain and requirement of analgesic dose was also similar in the two groups.
Conclusion: Pre-operative oral monosaccharide carbohydrate fluid does not prevent PONV, alter requirement of antiemetic, patient satisfaction and well-being, VAS score for pain, requirement of analgesic dose in patients undergoing laparoscopic cholecystectomy under general anaesthesia, as compared to placebo drink.
Comparison of Two Different Doses of Buprenorphine as Adjuvants to Intrathecal Levobupivacaine in Lower Abdominal Surgeries
Authors: Adate Kavita , Panse Neha , Mhaske Pooja , Shinde Asmita
Published: September 2023

Background: Levobupivacaine because of its longer duration of action and better safety profile has gained popularity in regional anaesthesia. Intrathecal opioids synergise with Local anaesthetics and potentiate subarachnoid block. We conducted this study with the primary aim to compare analgesic efficacy of two different doses of buprenorphine as adjuvant to isobaric Levobupivacaine and the secondary aim to compare the onset and duration of sensory and motor blockade, hemodynamic variability and adverse effects if any.
Methods: One hundred and twenty patients of American society of anaesthesiologist (ASA) I and II were divided in 3 groups of 40 each. Group A :0.5%levobupivacaine, group B: 0.5%levobupivacaine with 60 mcg buprenorphine Group C:0.5 %levobupivacaine with 90mcg buprenorphine. Duration of analgesia, onset of sensory and motor block, VAS scores, haemodyanamic parameters and adverse effects were noted.
Results: The duration of analgesia was significantly prolonged in group C (11±0.41) h than group B (8.5±0.61) hour and Group A (4.8 ±40) hour (p < 0.001). Onset and duration of Sensory and motor blockade was not significantly different. VAS score was significantly lower in group C (p<0.001), hemodynamic parameters were well preserved with higher incidence of PONV in group C (10%).
Conclusion: Addition of buprenorphine to intrathecal Isobaric Levobupivacaine prolonged the duration and quality of postoperative analgesia after lower abdominal surgery. Increasing the dose of buprenorphine from 60mcg to 90mcg provided longer duration of analgesia with minimal adverse effects like dizziness and PONV which were not significant to hinder recovery.
Investigating the Effective Factors in Nurses’ Intention to Leave the Critical Care Unit
Authors: Khoshfetrat Masoum , Dahmardeh Alireza Rahat , Khodadadi Hosseini Bibi Mahdie , Keykha Aliakbar
Published: September 2023

Background: The intensive care unit is one of the most specialized hospital units that need nurses with a high level of skill and experience. The leave of experienced nurses from this unit reduces the quality of nursing care and imposes heavy costs on the health care system. This study aimed to investigate the reasons for nurses' intention to leave the ICU.
Methods: This cross-sectional study was performed on 247 nurses in the ICU affiliated with Zahedan, Tehran, and Mashhad University of Medical Sciences, Iran, from 2018 to 2021. Nurses were included in the study by Census sampling method based on inclusion criteria. They completed a four-part questionnaire including demographic variables, Job Satisfaction Survey (JSS), intention to leave, and reasons for intention to leave the ICU. Data were analyzed with SPSS software using descriptive-analytic statistics, Chi-square, independent t-test, one-way ANOVA, and Pearson correlation. The significance level was considered less than 0.05.
Results: Out of 247 nurses studied, 183 (74.1%) were female and 64 (25.9%) were male. The mean age of participants was 32.47± 6.68 years. The mean score of job satisfaction was 115.45±58.20 and the mean score of intention to leave was 15.98±3.76. The mean score of the three areas of reasons for intention to leave had a negative correlation with job satisfaction and a positive correlation with the intention to leave the ICU, which was statistically significant in all cases (p= 0/001). The mismatch between the workload and legal benefits, shortage of nurses, forced overtime, the disproportion of nurse-patient ratio, and lack of welfare facilities had the greatest effect on nurses' intention to leave the ICU.
Conclusion: The results of the study showed that the most common reasons for the increase the intention to leave of nurses are related to the mismanagement of nursing managers and authorities of ICU. Therefore, reforming old management styles, observing justice among employees, involving nurses in decisions and the process of patient's treatment are among the things that can increase nurses' self-esteem, job satisfaction and reduce the leave of ICU without providing additional funding for the organization.
Comparison of Baska Mask Versus I-Gel in Short Gynaecological Laparoscopic Surgeries Under General Anaesthesia in Adult Female: A Randomized Interventional Study
Authors: Jain Priyanka , Sharma Urvashi , Modi Yogesh Chand , Morwal Sanjay Kumar
Published: September 2023

Background: Various newer generations of Supraglottic Airway Devices (SAD) with improved designs and performance are available for use by anaesthesiologist. We conducted the present study to compare 3rd generation SAD Baska Mask with 2nd generation SAD I-gel with the aim of comparing their clinical performance in terms of insertion parameters and oropharyngeal leak pressure in short laparoscopic gynaecological surgeries in adult females.
Methods: 80 adult female patients were randomly allocated to either Baska Mask (n=40) or I-gel (n=40) groups. Insertion characteristics that included number of attempts, mean insertion time and manipulation frequency were recorded and compared. Oropharyngeal leak pressure was measured just after insertion of device and after 5 min of creating pneumoperitoneum in both devices and were compared.
Results: Baska Mask insertion was successfully achieved in first attempt in 38/40 patients in Baska group vs 35/40 patients in I-gel group. Mean oropharyngeal leak pressure (OLP) in Baska Mask versus I-gel just after insertion was (29.24±4.20cm H20 vs 26.33±2.51cm H2O, P=0.003) whereas it was (29.42±2.70 vs 26.18±2.54 cm H2O) after 5 min of creating pneumoperitoneum. Both groups were comparable in terms of removal characteristics and postoperative laryngopharyngeal airway morbidities.
Conclusion: Baska Mask provided more effective ventilation in terms of greater oropharyngeal leak pressure as compared to I-gel. However Baska Mask was more difficult to insert and the incidence of postoperative laryngopharyngeal morbidity was higher in case of Baska Mask.
Evaluation of the Relationship between Oxygenation Indices and the Extent of Radiographic Findings in Hospitalized COVID-19 Patients: A Cross-Sectional Study
Authors: Heroabadi Arash , Mehrjerdi Hegameh Shahmoradi , Varpaei Hesam Aldin , Pak Neda , Marashi Mojtaba
Published: September 2023

Background: Oxygenation indices are used to assess the condition of patients with pneumonia and ARDS. These indexes determine the status of patients as well as the mortality rate of respiratory diseases and the need for intubation. The aim of this study was to determine and compare oxygenation indices and the extent of radiographic findings in patients with COVID-19 in ICU at Shariati Hospital.
Methods: The present study was a cross-sectional study that was performed prospectively in the intensive care units of Shariati Hospital in Tehran. Patients admitted to the intensive care unit were examined if they met the inclusion criteria. Data were analysed by SPSS software version 26.
Results: In this study, 39 patients were evaluated. Of these, 35.9% were men and 64.1% were women. The mean age of the population was 62 ±17. On average, SpO2 and PaO2 were not significantly different based on pulmonary involvement, severity of pulmonary involvement and also the pattern of pulmonary involvement (p> 0.05). No significant relationship was found between the severity of ARDS and the parameters of pulmonary involvement severity on CT scan (p> 0.05).
Conclusion: It seems that there is no significant relationship between oxygenation indices and the extent of radiographic findings in hospitalized patients with COVID-19. Also, the severity of ARDS has no significant relationship with the extent of radiographic findings (CT scan). Oxygen saturation should be used as an adjunct when considering a CT scan of the lung, but should not be used as the sole means of diagnosis.
An Observational Study on the Relationship of Patient’s Body Mass Index and Depth of Spinal Needle Insertion
Authors: Paulina Shirley , Ramachandran Haripriya , Kalappa Rakesh , Sathyamurthy Shilpa
Published: September 2023

Background: The distance from the skin to the subarachnoid space varies at different levels of the vertebrae and from patient to patient. Knowing the distance from the skin to the subarachnoid space beforehand may help the procedure go more smoothly and ensure that the spinal needle use is of the right length.
Methods: An observational study was conducted on 100 patients posted for infra umbilical surgeries of various specialties under spinal anaesthesia. Intraoperatively after a successful spinal with midline approach at the L3-L4 level, the length of the needle from the skin to the subarachnoid space was immediately measured and this actual length was compared with the expected length obtained using Bonadio's formula. The relationship between a patient's BMI and depth of spinal needle insertion and the reliability of Bonadio's formula to predict skin-to-subarachnoid space was studied.
Results: From our study, a positive correlation was obtained between patients' weight, BMI, waist circumference and depth of spinal needle insertion and also between the Skin to Subarachnoid space distance (SSD) measured intraoperatively with the predictive value obtained using Bonadio's formula. The correlation between height and arm circumference was not much significant.
Conclusion: Skin-to-subarachnoid space distance correlates with weight more than BMI. Bonadio's formula can be used to calculate the skin to subarachnoid space depth before performing spinal anaesthesia. After seeing the results, weight was the variable which had a significant correlation with Spinal Needle Depth (SND), hence we formulated two equations using weight to predict the depth of spinal needle insertion to reduce the incidence of multiple attempts during the procedure and to enhance patient comfort. The regression equation using actual values of needle depth: SND = 2.292 + [0.044 x weight] And regression equation using Bonadio's values of needle depth is: Needle depth= 2.681 + [0.037 x weight]
Comparative Evaluation of I-Gel with Uncuffed Endotracheal Tube for Adequacy of Ventilation in Elective Paediatric Surgeries
Authors: Sancheti Abhay , Konnur Shweta , Parmar Vishwa , Swami Sarita
Published: September 2023

Background: Uncuffed endotracheal tubes (ETTs) are standard of care for airway management in children up to eight years of age. Direct Laryngoscopy and endotracheal intubation are invasive techniques which may cause hemodynamic changes and can give rise to airway complication. Supraglottic airway devices have been introduced since the past few decades for the management of airway in both adults and children. I-Gel, a second generation supraglottic airway device, is used frequently for securing airway for children.
Methods: Total of 90 children of age 2-8 years of age were randomized into two groups, 45 children were ventilated with I-Gel and remaining 45 were ventilated with an uncuffed ETT. Ventilatory parameters like oropharyngeal leak, peak airway pressure and airway sealing quality (ASQ) score were monitored intraoperatively and possible complications were observed at a timely interval after removal of device.
Results: Mean oropharyngeal leak pressure in the I-Gel and uncuffed ETT group observed were 20 cmH2O and 19.56 cmH2O respectively. ASQ score was comparable in both groups. Ten patients in the I-Gel group while two in the uncuffed ETT group had blood staining of the device after removal and the difference was statistically significant. Incidence of cough and sore throat post-extubation and after six hours was significantly higher in the ETT group as compared to the I-Gel group.
Conclusion: Both devices were comparable and equally effective for adequacy of ventilation while blood staining of the device was observed in the I-Gel group however, cough and sore throat were observed in the ETT group.
Comparison of Intubating Conditions on the basis of Neuromuscular Monitoring versus Clinical Assessment Guided Tracheal Intubation: A Randomized Interventional Study
Authors: Prajapati Namita Garg , Meena Reema , Joshi Adhokshaj , Sharma Ashish kumar
Published: September 2023

Background: Laryngoscopy and endotracheal intubation have been associated with marked hemodynamic responses and hazards. This study was undertaken with the purpose to compare the intubating conditions when the suitable time for intubation was judged by either clinical assessment or train-of-four monitoring.
Methods: 60 patients without any difficult airway predictors, posted for surgery under general anaesthesia, were randomised into two groups. In Group A patients, the trachea was intubated after train of four counts became zero in adductor pollicis muscle, whereas in Group B patients, intubation was done after clinically judging jaw muscle relaxation. The primary objective was to compare Intubating conditions and mean duration of time between the administration of a neuromuscular blocker and endotracheal intubation. The secondary objectives included number of attempts, changes in hemodynamic parameters. Results were analysed by the Analysis of variance and chi-square tests.
Results: In all Group A patients excellent and good intubating conditions were observed, whereas 25 out of 30 patients (83%) in Group B showed excellent and good intubation conditions. The mean time required for intubation was significantly longer in Group A compared to Group B (369 ± 79 s vs. 191 ± 5 s). HR and mean arterial pressure were significantly higher in Group B as compared to Group A after laryngoscopy and tracheal intubation (P < 0.05).
Conclusion: Better intubating conditions and more haemodynamic stability are seen after attaining complete relaxation of laryngeal muscles, as detected by neuromuscular monitoring of adductor pollicis muscle.
Guillian-Barré Syndrome Following Vaccination with Covishield Vaccine: An Adverse Event of Special Interest
Authors: Chauhan Richa , Bose Abhirup , R Lakshmi
Published: September 2023

Several formulations of vaccines against novel coronavirus have been launched. Thereby, increasing the plausibility of having one or more successful vaccines. India put in place the world’s largest Covid-19 vaccination drive in January 2021. However, the side effects of these vaccines are slowly unfolding. Each new vaccine has potential adverse events of special interest (AESI) that warrant a focused evaluation. We report a very rare neurological complication Guillain-Barré syndrome, immediately following the first dose of COVID vaccination in a young female. An apparently healthy 35 years old female presented with acute onset lower backache, weakness of bilateral lower limbs 11 days after receiving the first dose of Covishield vaccine, which rapidly ascended to upper limbs over 5 days with symmetric motor weakness, power 1/5 in bilateral lower limbs, 3/5 in bilateral upper limbs, with absent deep tendon reflexes. Mild sensory involvement was seen. Evolving dysphagia and hoarseness of voice. Bladder/bowel function, respiratory pattern, and hemodynamics were unaffected. A provisional diagnosis of Guillain-Barre Syndrome was made on basis of clinical presentation, neurological examination, and nerve conduction studies suggesting axonal polyneuropathy. Gradual improvement of the muscle power over the next 2 weeks following Human Intravenous immunoglobulin was seen. The risk-benefit analysis for an individual should be considered prior to Covid-19 vaccination, including the implementation of a pre-vaccination screening checklist to ensure vaccine safety for every vaccine recipient. The vaccine continues to be far more beneficial than detrimental for the public at large. Nonetheless, increased awareness amongst healthcare professionals and the public regarding the potential adverse effects of the vaccine is warranted.
Interscalene Block in the Modern Era: When Stuck, Go Back to the Roots!
Authors: Ayalasomayajula Sashank , Jain Amrita , Khatoon Shahida , Sahu Sonali
Published: September 2023

The traditional interscalene block has evolved over time to lower, lateral and posterior approaches, coinciding with the advent of Peripheral Nerve Stimulator and Ultrasonography. In limited infrastructure settings, such technology remains elusive and the classical paresthesia technique comes to the rescue. This approach is however very difficult to elicit in pediatric patients. It is here that the grassroot approach of a fascial “click” or “pop” emerges as the savior to administer a satisfactory block. We describe a case of a young boy with successful conduct of anaesthesia for K wire fixation of supracondylar fracture of humerus under lower interscalene block with loss of resistance technique. In light of recent research showing about 40-50% variation in the brachial plexus anatomy around the subclavian artery, use of technology in anaesthesia is the future. However, till such technology is made universally affordable, it is pertinent to remember the roots of interscalene block!
Serum Lipid Profile İn Children with Thalassemia Major: A Study On 184 Cases
Authors: TERZİ ÖZLEM
Published: September 2023

Background: Patients with thalassemia major are at risk of developing abnormal lipid profiles.
Aim: In this study, the relationship between iron accumulation and blood lipid profile in TM children was evaluated.
Methods: In this study, blood hemoglobin, ferritin, and lipid levels of pediatric patients with TM aged 1-18 years were investigated. Those with other chronic diseases were excluded from the study.
Results: The median age of 184 patients included in the study was 8 (range 1-18), and 96 (52.2%) of the patients were girls. There is an inverse and statistically significant relationship between age and total cholesterol (TC) level (p<0.05) and age and low-density lipoprotein cholesterol (LDL-C) level (p<0.05). There was an inverse, and statistically significant correlation between ferritin- high-density lipoprotein cholesterol (HDL-C) levels (p:0.015).
Conclusion: As ferritin levels increase in children with thalassemia, HDL-C levels decrease. For cardiac iron accumulation, HDL-C level may be a guide instead of ferritin.
The Need for Psycho-Spiritual History in Clinical Medicine
Authors: Padmanabhan Vijayaraghavan
Published: September 2023

In diseases of the body where the pathogenesis is presumed to be a disorder of structure and/or function of one or more of its components, the psychological aspect of the patient is side-lined and the spiritual aspect is out of consideration. In the presence of negative thoughts, the way a patient responds to a given treatment can be below expectations. Such negative thoughts can be recognized by probing into the patient’s mental attitude. Similar is the adverse effect when the patient feels a lack of genuine love and understanding in one’s social circle. Not recognising the presence of negativity in a patient’s psycho-spiritual history can lead to inappropriate or ineffective treatment. Inclusion of psycho-spiritual history in clinical medicine leads to opening up of a hidden aspect of the patient’s problem, which when tackled has significant therapeutic potential.
NA The Effect of Personal Selling and Fairness of Price Using Brand Image as an Intervening Variable on Students' Decision to Choose School at Smkti Bali Global Denpasar
Authors: Desiani Luh Putu Ayu , Agung Anak Agung Putu , Dharmadewi Atmaja Ni Putu Cempaka
Published: September 2023

The purpose this research for understanding the impact of personal selling and fairness of price on the decision to choose a school with a brand image as a mediating variable at SMKTI Bali Global Denpasar. Quantitative research using pre-existing measurement scales related to personal selling, fairness of price, brand image and the decision to choose a school. The sample consist of 119 parents of SMKTI Bali Global Denpasar students, with an analysis tool utilizing the SEM PLS model. The reasearch finds a direct impact of personal selling on the decision to choose school, fairness of price on the decision to choose school, brand image on the decision to choose school shows significant positive result. The impact of personal selling on brand image, the impact of fairness of price on brand image show positive and significant results. Brand image is able to mediate the indirect effect of personal selling on the decision to choose a school. Brand image is able to mediate the indirect effect of fairness of price on the decision to choose a school. Implication this research in order to schools are expected to adopt an integrated marketing approach that involves various aspects, such as fairness of price, personal selling, and brand image. By developing a comprehensive and coordinated marketing strategy, schools can achieve greater efficiency in attracting prospective students and parents. It is important for schools to provide appropriate training and development for their sales team. This will help them become more effective communicators and be able to convey information clearly and convincingly to prospective students and parents. A well-trained sales team will increase the effectiveness of personal selling and contribute to improving the decision to choose a school. The research offers new insights, fills the study gap on the effect of brand image mediating personal selling on the decision to choose a school.
Proprioception analysis of patients with anterior cruciate ligament reconstruction
Authors: ERKURT Nazım , YERLİ Mustafa , YÜCE Ali , BAYRAKTAR Tahsin Olgun , ATAR Sevgi , TURAN Kaya , ÇABUK Haluk
Published: September 2023

Objectives: This study evaluates the effect of tibial stump mechanoreceptor preservation on proprioception, muscle strength, recovery and functional outcomes after arthroscopic anterior cruciate ligament surgery (ACLS).
Methods: Patients undergoing ACLS between January-July 2019 were evaluated by a single surgeon. The HUMAC NORM 2 device measured patients' proprioceptive sensation and muscle strength before and after surgery; KOOS and Oxford scales were used to score patients’ functional results. The patients were divided into two groups: those who underwent stump-preserving surgery (SP group) and those who underwent conventional surgery (C group).
Results: Our study evaluated 27 patients, 11 in the SP and 16 in the C groups. The two groups had no statistical difference in muscle strength, proprioception, and functional scores in the first and third postoperative months. In the sixth-month evaluation, significantly better functional scores were found in the C group. Further, the athletic function was better in patients with good proprioception recovery, regardless of the group comparison.
Conclusions: Preserving the stump and mechanoreceptors on the tibial face was not determined to provide additional benefit to the patients in the first six months after surgery. Returning to sports was faster and functional scores were better in patients with good proprioception recovery.
Crecimiento, biomasa, rendimiento y componentes de canola (Brassica napus L.) en respuesta a la fuente nitrogenada
Authors: López-Arias Claudia A. , ESCALANTE ESTRADA JOSE ALBERTO SALVADOR , RODRÍGUEZ-GONZÁLEZ MARIA T , AGUILAR CARPIO CID
Published: September 2023

La canola es un cultivo oleaginoso de gran importancia mundial. De los elementos que incrementan la producción del cultivo destaca el nitrógeno; por lo que es importante para los productores conocer además de los requerimientos de dicho nutrimento, que tipo de fuente utilizar. El objetivo del estudio fue determinar el efecto de la fuente nitrogenada sobre el crecimiento, biomasa y rendimiento de canola. La siembra del cultivar “Canorte” fue bajo régimen de lluvia. Los tratamientos consistieron en el testigo (sin nitrógeno), fertilizante nitrogenado en forma de urea, fosfonitrato y sulfato de amonio. Para evaluar el crecimiento y rendimiento del cultivo se registró la altura de la planta, área foliar, biomasa total, índice de cosecha, rendimiento y sus componentes. El cultivo no presentó diferencias en la altura de la planta, biomasa total, índice de cosecha y rendimiento de grano, con la aplicación de las fuentes de nitrógeno. El sulfato de amonio generó una mayor área foliar, número de racimos; y las silicuas se vieron favorecidas por el fosfonitrato. Las fuentes de nitrógeno promovieron un efecto positivo en el crecimiento de la planta y en el rendimiento de grano. El componente que mayor relación presentó con el rendimiento fue la biomasa total.
Effectiveness of a school-based obesity prevention program on the BMI Z-score and body fat at 6 months in Mexican children: study protocol of a cluster randomized controlled trial
Authors: Ramírez Rivera Diana Laura , Martínez Contreras Teresita , Villegas Valle Rosa Consuelo , Álvarez Hernández Gerardo , Gonzáles Fimbres Roberto , Bello Chavolla Omar Yaxmehen , Pineda Elisa , Esparza Romero Julián , Haby Michelle , Díaz Zavala Rolando Giovanni
Published: September 2023

School-based obesity prevention programs show positive effects on obesity and lifestyle parameters. However, the most efficient way of implementing them is unknown. In Mexico, available studies present methodological limitations. The aim of this study is to evaluate the feasibility and effectiveness of a school-based obesity prevention program 1) implemented by advanced undergraduate nutrition and physical activity students, and 2) the same program implemented by schoolteachers and advanced undergraduate physical activity students, each compared to a control group of Mexican children. This study is a cluster randomized controlled trial. Children from several schools in Hermosillo, Sonora, Mexico will be invited to participate. The schools will be randomly assigned to one option: 1) the Planet Nutrition Program (PNP) delivered by advanced undergraduate nutrition and physical activity students, 2) PNP by schoolteachers, or 3) a control group. The intervention will consist of nutritional education and physical activity sessions for children and nutrition information for parents. The BMI Z-score, body fat, and lifestyle parameters will be evaluated at baseline and at 6 months. If successful, we expect that the program turns out a model for obesity prevention in this age group, with a potential for dissemination in Mexican schools.
Recreation on the Battlefield: Planning for Shifting Visitor Use at Monocacy National Battlefield
Authors: Zajchowski Chris A. B. , Scruggs Caleb J. , Fefer Jessica P. , Henry Cait , McCormack Colin , Berry Chandler
Published: September 2023

Outdoor recreation is increasing worldwide, driving recreationists to seek new sites for active leisure pursuits. Recreational use at sites of cultural significance (i.e., historic battlefields) may conflict with their primary legislated purpose, diverting financial and human resources. We documented this process at Monocacy National Battlefield, a U.S. National Park Service site in an urbanizing region of the State of Maryland. A novel mixed-methods approach included a 1) scoping review of relevant peer-reviewed literature; 2) an anonymized, spatiotemporal analysis of visitor trips and place of residence; and 3) cross-sectional, on-site visitor survey of local and destination visitors using an Importance-Performance Analysis. Results illustrate a significant segment of local visitors and recent growth in trips to sites other than the battlefield visitor center. Local visitors were also significantly more likely to identify higher importance to recreation-related facilities, services, and park attributes. While population growth slowed in the recent decade within Frederick County, future increases may yield potential for conflict between recreational and historic uses. Triangulating spatiotemporal and survey-based methods can assist managers in understanding recreation demand in similar units experiencing scope creep to inform iterative outreach, monitoring, planning, and adaptive management to respond to changing demography.
Castillo, G. y Soria, L. (2023). La ciudad desde la antropología: miradas etnográficas. Lima: Fondo Editorial de la Pontificia Universidad Católica del Perú, 404 pp.
Authors: Vega Romá Pablo
Published: September 2023

La ciudad desde la antropología: miradas etnográficas es un libro, editado por Gerardo Castillo y Laura Soria, que reúne un conjunto de artículos académicos que brindan una reflexión diversa, a nivel temático y metodológico, sobre los debates antropológicos alrededor de la ciudad. Esta publicación, que vincula en sus capítulos el análisis de la espacialidad de los lugares abordados con las dinámicas que constituyen los grupos

sociales que los habitan, representa un aporte clave en el campo de la investigación de la antropología urbana.
Learning Habits and Speech Intelligibility of EFL Learners
Authors: Irawan Lalu Ari
Published: September 2023

The idea of intelligibility is essential within a conversation. The status of English as a global language and its emergence varieties, the notion of standard English (British and American) may no longer appropriate within the context of global communication. This leads to the importance of teaching learners to achieve intelligibility, which is more realistic and attainable rather than forcing the students to have native like proficiency. This study aimed to examine various learning habits that may affect the quality of intelligibility of EFL learners in an English Community namely GEC in Mandalika University of Education. Qualitative narrative research approach was used. The data were collected by using two instruments:(1) indirect observation by the of a native speaker acted as a rater; (2) face to face interview which aim to find out students’ strategies in improving their pronunciation. The subjects of the study were five members of GEC who met a set of criteria. Among  the five students, two performed well in aspects like word stress, segmental pronunciation, and voice quality, and these high achievers showed active improvement in both receptive and productive English skills, while the predominant issue observed among these students stems from a lack of established learning habits that facilitate consistent practice, particularly in developing productive language skills, which affects their level of intelligibility in pronouncing English words
Teachers’ Evaluation and Their Professional Development in Greece
Authors: Maggopoulos Giorgos , Svarna Konstantia
Published: September 2023

The purpose of this study is to explore the views of teachers regarding their evaluation and professional development. The preferred methodology is a qualitative approach which has used the semi-structured interview as a data collection technique on a sample of ten primary school teachers. The respondents considered as the main purpose of their evaluation the improvement which results from the interlinkage between the identification of weaknesses and the implementation of training interventions. As far as the evaluation criteria are concerned, they mainly highlighted the teacher's professional skills, the learning environment and the consistency of service. Persons close to the teacher, such as the director, colleagues, the teachers themselves and the Education Advisοr are considered to be the most appropriate actors. The benefits of the evaluation include the rewarding of the teachers and the recognition of their work, as well as the establishment of a culture of evaluation, while the disadvantages include negative emotions and unfair practices (e.g., stress, fear, pressure, insecurity, competition), negative consequences (e.g., salary reduction, dismissal), categorization of teachers and additional workload. Professional development is regarded as extremely useful and necessary and is achieved through formal, non-formal or informal processes. Finally, the respondents considered that the teachers’ evaluation is directly linked to their professional development, as the former feeds the latter.
The Effect of Online Learning on Interest in Studying Chemistry Courses
Authors: Eralita Norma , Siti Khuzaimah
Published: September 2023

The Covid-19 virus in 2020 had a tremendous impact on almost all fields, one of which was in the field of education. Online learning is a solution for teaching and learning activities during the Covid-19 pandemic. This study aims to determine the effect of online learning on interest in learning in chemistry courses during the Covid-19 pandemic. Respondents taken were students of the Faculty of Industrial Technology, University of Nahdlatul Ulama Al Ghazali, Cilacap. The research design used linear regression analysis, with the data collection method in the form of a questionnaire. The results of the analysis for the normality test show a sig value of 0.200 more than 0.05 which means the data is normally distributed and the results of the linearity test show a sig value of 0.393 more than 0.05 which means that the correlation between online learning variables and interest in learning is linear. Based on the results of the linear regression test, the regression coefficient of 0.779 is positive, so it can be said that the direction of the influence of the variable x on y is positive. Based on the significance value: the table coefficients obtained a significance value of 0.001 <0.05, so it can be concluded that the online learning variable (x) has an effect on the learning interest variable (y). Based on the t-count value of 3.607> t-table 2.0484, it can be concluded that the online learning variable (x) affects the learning interest variable (y)
The Effectiveness of Virtual Learning Process on Environmental Chemistry Laboratory Course
Authors: Ardhayanti Lutfia Isna , Anju Asmara Adelia , Wantoputri Noviani Ima , Sulistyo Elita Nurfitriyani , Marlina Nelly
Published: September 2023

The impact of advanced technology is perceived in every sector, including education. As the Ministry of Education and Culture program, distance learning has become applied in Indonesia, especially with this pandemic COVID-19. The learning model used in the course will affect student understanding in this situation, especially for an experimental study that aims to enhance student skills in the laboratory. The virtual laboratory practice is an additional learning model used in Environmental Chemistry Laboratory Course. Before, the Environmental Laboratory Course used only video to deliver learning materials. This research is experimental research that aims to evaluate the additional virtual laboratory practice's impact on student grades compared to the previous method. The research result was obtained by comparing the practical course's assessment results in 2019/2020 to 2020/2021. A questionnaire was also used to collect student opinions about the new learning method. The number of samples in this research was 395 students. The results show that the average students' grades using explanatory video only is 89, then with additional virtual laboratory practice are 88. From the questionnaire, 46% of the respondent said the application increased their understanding of the learning materials, and they also enjoyed using the application. It could be concluded that the virtual laboratory practice did not improve the assessment result of the course but enhanced the student interest.
Keywords: Distance learning, Laboratory course, virtual laboratory practice
PENGARUH PENGGUNAAN WORKSHEET IPA BERORIENTASI HOTS TERHADAP HASIL BELAJAR KOGNITIF SISWA SD MUHAMMADIYAH 4 DAN 5 JAKARTA
Authors: Sarwinda Wiratamasari , Meilana Septi Fitri
Published: September 2023

This study aims to determine the effect of using Science Worksheet Based-HOTS on cognitive learning outcomes of fifth grade students of SD Muhammadiyah 4 and 5 Jakarta. Design research in this research is Quasi Experimental Design or commonly called a quasi experiment. with the aim that researchers can control all variables that affect the course of the experiment. The independent variable is the use of Science Studentâ€™s Worksheet based-HOTS and the dependent variabel is students' cognitive learning outcomes. The research subjects were 62 students, consisting of 34 students for the experimental class, and 28 control class students. The research instrument used to collect data is a test of students' Cognitive Science learning outcomes. Data from the pretest and posttest results were analyzed using independent t-test with a significance level of 5% (Î± = 0.05). Based on the data from the t-test analysis results obtained for pretest values, t-count â‰¥ t-table is 1,810 35 2,035 so it can be concluded that there is no significant difference between the control class and the experimental class. Whereas for the posttest value, the value of t-table is 10,053 â‰¥ 2,035, it can be concluded that there are significant differences between the results of the post-test control class and the experimental class. This shows that there is a significant effect of the application of Science Worksheet Based-HOTS to Studentâ€™s science cognitive learning outcomes of elementary school students of Class V Muhammadiyah 4 and 5 Jakarta
MEMBANGUN PENDIDIKAN ANTIKORUPSI DI SEKOLAH DASAR
Authors: Widodo Slamet
Published: September 2023

Korupsi terjadi hampir di semua segi pemerintahan mulai dari bawahan sampai elit. Korupsi dilakukan secara masif oleh pelakunya menggunakan berbagai cara dan bentuk yang sangat kompleks tanpa memandang status. Oleh karena itu, diperlukan usaha untuk memerangi korupsi tersebut, terutama bagi siswa sekolah dasar dilakukan dengan cara preventif. Usaha tersebut dilakukan dengan membangun pendidikan antikorupsi di sekolah dasar. Hal ini bertujuan memberikan pengetahuan, jenis, dan cara mencegah berbagai bentuk korupsi. Pendidikan antikorupsi merupakan usaha yang dilakukan secara sadar untuk mengajarkan siswa tentang antikorupsi. Tidak hanya guru saja yang memiliki kewajiban untuk mengajarkan pendidikan antikorupsi, tetapi juga kepala sekolah sebagai leader di sekolah dasar memiliki peran penting dalam mewujudkan pendidikan antikorupsi. Kurikulum pendidikan antikorupsi ditekankan pada semua pelajaran yakni pelajaran sosial, sains, dan bahasa. Sedangkan untuk memfasilitasi berbagai gaya belajar siswa (visual, auditory, dan kinesthetic), maka guru dapat menggunakan model pembelajaran yang bervariasi sehingga pembelajaran tidak monoton dan siswa tidak cepat bosan. Asesmen yang dapat digunakan dalam pendidikan antikorupsi adalah asesmen autentik.
PENGARUH PENGGUNAAN MEDIA AUDIO VISUAL TERHADAP HASIL BELAJAR IPA SISWA KELAS IV SEKOLAH DASAR
Authors: Windasari Tahan Suci , Syofyan Harlinda
Published: September 2023

Instructional media especially audio visual media is very lacking in science learning causing students to get low learning outcomes. This study aims to determine the effect of the use of audio visual media on science learning outcomes of fourth grade students of SDN Duri Kepa 05. This study used a pre-experimental design type one group pretest-posttest design. The sampling technique that will be used by researchers is the nonprobability sampling Purposive sampling model. The number of samples used were 28 students from 31 students of class IV C. Instrument research was a multiple choice test of 30 questions and questionnaires as many as 20 statements. Before the instrument was used first it was tested on 28 students of class VB in SDN Duri Kepa 05. The results showed that the average pretest value was 59.29 and the posttest value was 75.07, for the significance value at the pretest of 0.126, the significance for posttest is 0.082, and the significance of audio-visual media is 0.200, each significant value of more than 0.05. Hypothesis testing with t test obtained a significant value of 0,000 <0,05, which means that there are significant differences, while the value of t is equal to 12,515 which means that the pretest value is smaller than the posttest of 12,515 so it can be stated that audio visual media have positive significant effect on learning outcomes.
PENGEMBANGAN AWAL BAHAN AJAR IPA DI SEKOLAH DASAR
Authors: Syofyan Harlinda , MS Zulela , Sumantri M Syarif
Published: September 2023

The purpose of this study is to develop teaching materials (IPA) thematic-based Integrated grade IV Primary School This research uses research and development methods that recommend the development model of Dick and Carey in developing learning products. From

preliminary study through observation, interview and field questionnaire indicated that integrated science learning that took place at SDN Kelapa Dua 06 Pagi, still minimal teaching materials used and teaching materials that have not improved the condition of student inquiry, it is necessary to develop teaching materials (learning ) Integrated Science with integrated thematic based for fourth grade students of elementary school. Validation of teaching materials (learning) is carried out by learning design experts, learning media experts and learning material experts. After the revision was then piloted through a one-to-one test, the results showed that thematic Integrated Science materials based on the 2013 curriculum were in either category. Respondents who participated in this research were fourth grade students of SDN Kelapa Dua 06 Pagi in West Jakarta. The results of the experiments show that the developed materials still need material reduction and specific revisions to produce teaching materials that are in accordance with the needs of the fourth grade students.
PENGARUH MANAJEMEN KELAS DAN MOTIVASI BELAJAR TERHADAP KEMAMPUAN BERPIKIR KRITIS SISWA SD NEGERI DI KECAMATAN WALED KABUPATEN CIREBON
Authors: Widiawati Hema
Published: September 2023

This research have a purpose for knowing the effect of classroom management and motivation of learning on the students' critical thinking skills in science subjects in class V SDN of Waled Cirebon. The research sample was in class V of SDN Waled as many as 100 respondents taken by the Cluster Sampling Area technique. In this study, we can conclude that there is a direct influence of the classroom management for the critical thinking of 0,603, there is a direct influence of motivation of learners to the critical thinking of 0,786, and there is a direct influence of the classroom management on motivation to learners at 0.536
MODEL PEMBELAJARAN ROUND CLUB DAN MODEL PEMBELAJARAN JIGSAW TERHADAP HASIL BELAJAR PPKN PESERTA DIDIK SEKOLAH DASAR
Authors: Bachtiar M. Yudha Yusuf Eka , Zulfahmi Ibnu Fadli , Indriani Dewi
Published: September 2023

The purpose of this study is to find the difference between Round Club Learning Model with Jigsaw Learning Model in PPKn study session. The study was held in State Elementary School Kapuk 14 Pagi West Jakarta on its second semester of the 2016-2017 academic year. The research population of 54 students were all observed using the saturation sampling technique. The research used Round Club Learning Model  in Experiment Class 1 and Jigsaw Learning Model in Experiment Class II. The round Club Learning Model was designed for a group work where students in groups help each other constructing the concept to conclude a problem.While Jigsaw Learning Model pushes students to actively help each other in gaining comprehension to achieve maximum result. The analysis result reveals, from data significance test, a result of tcount= 2,83 > 2,009 = ttable with significance level = 0,05 In accordance to the research criterion of H0 rejected H1 accepted, with student achievement average from Experiment Class 1  (V-A) 85,46 and Experiment Class II (V-B) 77,67 it could be concluded that there is a difference in PPKn results from students with Round Club Learning Model compared to students with the Jigsaw Learning Method.
Pengembangan PENGEMBANGAN KEMAMPUAN MAHASISWA PGSD DALAM MEMBUAT MEDIA PEMBELAJARAN MELALUI METODE PEMBELAJARAN RESITASI BERBANTUAN YOU TUBE
Authors: Purnamasari Ratih
Published: September 2023

This study aims to find out how the situation of the learning process by using the tube-assisted recitation method and knowing the ability of students to create learning media through you tube assisted recitation learning methods can develop. This research is a descriptive qualitative study. The subjects of this study were 5th semester students, PGSD FKIP Pakuan University. The instruments used were observation, interviews and documentation. The results showed that you tube assisted recitation method can improve student independence, motivation to display the best, creativity and self-confidence of students in making learning media in elementary school. But there needs to be an emphasis on the importance of involving IT and the importance of including a reference list.