bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparative Assessment of the Cardiodepressive Effect in Traditional and Modified Induction Schemes of Anesthesia in Elderly Patients with Ischemic Heart Disease
Authors: Vitovskyi Andrii 
Published: December 2024

most anesthetic drugs have a cardiodepressant action, which in elderly patients leads to a greater inhibition of the contractile functions of cardiomyocytes. Reducing the cardiodepressant action during the induction of anesthesia in elderly patients can reduce the incidence of peri- and postoperative complications and improve the safety of anesthesia in this category of patients. The aim of the study was to improve the safety of anesthesia in elderly patients with ischemic heart disease (IHD) by determining and applying an induction scheme with minimal cardiodepressant action. We examined 40 patients over 60 (in group 1, propofol and fentanyl were used for induction; in group 2, propofol, fentanyl, ketamine). Hemodynamic parameters were recorded at the following stages: 1) upon delivery of the patient to the operating room; 2) after administration of induction drugs; 3) after intubation; 4) 25 minutes after tracheal intubation. The echocardiography data were used to calculate the stroke volume index (SVI) and cardiac index (CI). It was found that upon delivery of patients to the operating room, the values of hemodynamic parameters indicated the stability of the overall health status of patients (SVI was 31.99 ± 3.91 ml/m2 for group 1 and 32.19 ± 4.29 ml/m2 for group 2; СI was 2.49 ± 0.32 l/min/m2 for group 1 and 2.44 ± 0.39 l/min/m2 for group 2). After the administration of drugs for induction, a decrease in the indicators characterizing the contractility of the myocardium was recorded compared with the baseline: SVI was 90.7 ± 3.71% for group 1, 89.9 ± 5.86% for group 2, CI was 81.5 ± 6.6% for group 1, 85.63 ± 10.17% for group 2. There were no statistically significant differences in these indicators between the groups. After insertion of the intubation tube, a significant difference (p < 0.05) between the groups was noted in the indicators of SVI (99.91 ± 2.5% for group 1, 109.6 ± 8.16% for group 2 of the initial values) and CI (96.63 ± 11.8% for group 1, 110.38 ± 12.37% for group 2 of the initial values). In 25 minutes after intubation, statistically significant differences between the groups were observed in the parameters of SVI (87.09 ± 5.3% for group 1, 108.21 ± 8.32% for group 2; CI (79.59 ± 10.11% for group 1, 108.29 ± 9.95% for group 2). Thus, it has been demonstrated that the addition of ketamine to the combination of propofol + fentanyl prevents a decrease in myocardial contractility during induction into anesthesia in patients of the older age group.
Purple Sweet Potato Flour Substitution And Fermentation Time In White Bread Modification
Authors: Miranti  , Muji Paramuji  , Barus Wan Bahroni Jiwar , M. Nuh  , Faridhil Wafiq  
Published: December 2024

The rapid development of noodle consumption in Indonesia provides this lesson that noodles are a type of food by needs or favorite Indonesian consumers, it could even be said that noodles have become an alternative food main after rice. The management of purple sweet potatoes is another alternative to consuming carbohydrates so that they can be processed into food products such as bread, pasta, noodles instant, etc. Utilization of sweet potatoes purple can also be substituted with wheat flour and is the first step in reducing the consumption of wheat flour, remembering that Indonesia is not a wheat-producing country which is the raw material for wheat flour, so it is an advantage because No need to import flour wheat. This research aims to find the best substitution for purple sweet potato with wheat flour and the best drying temperature in producing modified dry noodles. The design model used in this research was a completely randomized design (RAL) factorial consisting of two factors that is: Factor I (U = Substitution of purple sweet potato with wheat flour) consisted of 4 treatments namely: U1 (20%:80%), U2 (30%:70%), U3 (40%:60%), and U4 (50%:50%). Factor II (S = Drying Temperature) consists of 4 treatments, namely: S1 (65Â° C), S2 (70Â° C), S3 (75Â° C) and S4 (80Â° C). The parameter observed consists of rate water, rate ash, rate fat, organoleptic texture, taste, and color. The results of the research show that the substitution of purple sweet potato with wheat flour is influential and very significant (P>0.01) to rate water, rate ash, organoleptic texture, taste, and color but the effect is not significant (P<0.05) to rate fat. Temperature drying influences different very significantly (P>0.01) to rate water and rate ash. However influential no significant (P<0.05) on fat content, organoleptic texture, taste, and color. Interaction treatment is influential with no significance (P<0.05) for all parameters analyzed. To obtain noodles dry sweet potato purple which is quality good recommended for use 20% sweet potato purple, 80% flour wheat, and temperature drying 80Â° C.
التنظيم الدستوري للأحكام الختامية
Authors: حسين علاء ياسر , حسن مروان 
Published: December 2024

تبنى الدساتير على مجموعة من الاجزاء تكون باجتماعها وحدة الدستور, كل جزء يتكون من مجموعة من النصوص و يمثل بالوقت نفسه فلسفة معينة , و تتسلسل هذه الاجزاء ابتداء من الديباجة الى اخر جزء و هو الاحكام الختامية , الذي يتميز بنواح شكلية و اخرى موضوعية و اهمها شموله على مجموعة من الاحكام الدستورية المختلفة غير المنسجمة من الجانب الموضوعي , و قد جرت الدساتير على تضمين هذا الجزء في ختامها غير انه لم يكن بصيغة واحدة بل ظهر بعدة صور تتعلق بالجوانب الشكلية و الموضوعية اثرت على شكل و طبيعة فلسفة الدستور .
ان صياغات النصوص الدستورية لا تأتي بصورة سردية بل تكون مقسمة الى اجزاء كل جزء يختص بعدد من النصوص و يمثل بالوقت نفسه فلسفة معينة، و من ضمن اجزاء الدستور الاحكام الختامية, اذ تنص الدساتير الحديثة على باب اخير في الدستور يسمى الاحكام الختامية, يتضمن المواد المرتبطة بالموضوعات التي لم يسبق و ان تناولها الدستور ضمن ابوابه, و تعد هذه التسمية حديثة نسبيا اذ ظهرت مع ظهور الدساتير الحديثة بعد عام 1990 فكانت قبلها تصبغ عليها الدساتير تسمية الاحكام العامة .
Perencanaan Inovasi Kewirausahaan Lembaga Dakwah
Authors: Aswari Nuha Nabila , Castrawijaya Cecep 
Published: December 2024

Planning entrepreneurial innovation in da'wah institutions is a strategic effort to combine social and religious missions with entrepreneurial principles. The aim of this planning is to increase the economic independence of Da'wah institutions, expand their reach, and make a greater contribution to society. Entrepreneurial innovation involves developing business models that are in line with Islamic values, diversifying funding sources, and utilizing digital technology to optimize operations and da'wah activities. The planning process starts with analyzing the needs and potential of the institution, determining the entrepreneurial vision and mission that are in line with the goals of Da'wah, and then implementing innovative programs. The main challenge in implementation is maintaining a balance between commercial objectives and missionary objectives, as well as creating a model that is sustainable in the long term. We hope that da'wah institutions can achieve economic independence and strengthen their position as agents of social change with broad impacts through effective planning
Komparasi Berbagai Metode Klasifikasi Teks Untuk Sentimen Pengguna Gawai Di Usia Dini
Authors: Meliana Yovi , Suryono Ryan Randy 
Published: December 2024

Dalam konteks perkembangan digital yang pesat, penggunaan perangkat gawai di kalangan anak-anak Indonesia menjadi topik yang sangat penting untuk diteliti. Penelitian ini bertujuan untuk menganalisis sentimen terkait penggunaan gawai dengan menerapkan metode klasifikasi seperti Support Vector Machine (SVM), Naïve Bayes, dan Decision Tree. Untuk mengatasi ketidakseimbangan data, Setelah penerapan teknik SMOTE, hasil penelitian mengungkapkan bahwa SVM memperoleh akurasi tertinggi sebesar 99% dengan SMOTE, diikuti oleh Decision Tree yang mencapai 98% dan Naïve Bayes yang memperoleh 94% saat SMOTE diterapkan. Selain itu, penerapan teknik preprocessing seperti tokenisasi, stemming, dan filtering berkontribusi pada peningkatan kualitas data. Temuan ini menekankan pentingnya pemilihan metode yang tepat dalam analisis sentimen untuk memahami dampak penggunaan gawai terhadap perkembangan anak-anak. Penelitian ini memberikan wawasan yang berarti bagi pengembangan kebijakan dan praktik yang lebih baik terkait penggunaan perangkat digital oleh anak-anak.
Effects of Pulmonary Rehabilitation on Body Mass Index In Patients With Copd
Authors: Ahmed Mohammad Nesar Uddin , Begum Shelina , Ali Taskina , Rahman Md  Maruf Ur , Hussain Dilroze , Kabir Farhana , Nayem Mohammad , Hussain Mahmud 
Published: December 2024

Background: COPD is preventable, as well as treatable disease with some important extra pulmonary effects which may contribute to the severity of this disease. Pulmonary rehabilitation (PR) is known to be beneficial treatment for COPD patients.
Objective: To evaluate the effects of pulmonary rehabilitation on anthropometry in male patients with moderate stable COPD.
Methods: This prospective study was conducted in the Department of Physiology, BSMMU, Dhaka from 1st July 2010 to 30th June 2011 on 116 male stable moderate COPD patients aged 50 to 65 years. They were enrolled from the OPD of the Department of Medicine of BSMMU and NIDCH Dhaka. All the patients were grouped as control (56 patients without rehabilitation) and experimental (60 patients with rehabilitation). Pulmonary Rehabilitation (PR) program includes breathing exercises (pursed lip breathing and diaphragmatic breathing) and lower extremity endurance training (ground based walking); and was advised to the experimental patients to perform for 30 minutes duration per session at home twice daily, for consecutive 60 (Sixty) days along with the standard drug treatment of COPD. On the contrary, the control patients were advised to continue their standard drug treatment alone for consecutive 60 days. Anthropometry was assessed by measuring the BMI. Study variable was assessed on day 0 and day 60 for both the groups and the statistical analysis was done by independent sample ‘t’ test and paired Student’s ‘t’ test. In the interpretation of results, p≤0.05 was accepted, as level of significance.
Results: BMI was significantly increased in comparison to the control patients after 60 days of follow up.
Conclusion: The study reveals improvement of BMI with this sort of combination of PR program in stable COPD patients.
J. Dhaka National Med. Coll. Hos. 2014; 20 (02) : 6-10
Factors for Noncompliance of Antiepileptic Drugs
Authors: Salma Umma , Sattar Mohammed Shameem , Sarker Mohammad Abdus Sattar , Rahman Motlabur , Zafrin Nahida , Mohammad Quazi Deen , Chowdhury MA Jalil 
Published: December 2024

This observational cross-sectional study was conducted to understand factors for compliance of epilepsy patients. This study was done in epilepsy clinic of Department Neurology, Dhaka Medical College &Hospital, from February to June 2010. A total of 100 patients were included in the study. Epileptic patients who had been prescribed medication for more than three months were included for this study. Data collected on variables of interest were analyzed using different approaches including Chi-squared (2) statistical analysis.56% of the patients has found non-compliant at some or multiple stages of prescribed medication. 55% of noncompliant is due to monetary reason. Location, Family size and monthly income of patient’s family were socioeconomic factors that had statistical significance when it comes to compliance (p < 0.05). Gender and age did not have statistical significance. It was also observed that counseling was a statistically significant factor when it observed amongst study population. Similarly patient who sought alternative treatment was found to be more non compliant. It was observed that patients on phenobarbital was found to be mostly (88%) compliant and patients on sodium valproate or phenytoin were least compliant (20%).
J. Dhaka National Med. Coll. Hos. 2014; 20 (02): 30-32
Number of diaphyseal nutrient foramen on fully ossified dry left femur and their surgical importance
Authors: Chowdhury Md  Shahajahan , Naushaba Humaira , Begum Jahanara , Khan Laila Farzana , Ara Jubaida Gulshan , Parash Tanvir Hossain 
Published: December 2024

Background : The femur is the strongest and longest bone of the human body which extends from the pelvis to the knee. It is the weight bearing typical long bone. The nutrient foramina are cavities that conduct the nutrient arteries. The majority blood supply for femur originates from the nutrient arteries, mainly during the growing period and during the early phase of ossification1. In bone grafts the nutrient blood supply is crucial and it should be preserved in order to promote the healing.
Objective : The anatomy and number of nutrient foramen of femur is very essential for orthopedic & vascular surgeons as well as to radiologist for planning of treatment. This data could be useful as reference for surgical procedures of the lower limb.
Material & Methods : This is a purposive sampling type of study carried out in the Department of Anatomy, Sir Salimullah Medical College (SSMC), Dhaka from July 2011 to June 2012. The study comprised 199 fully ossified left sided dry femur (n=89 male, n=110 female). The bones were collected from the Department of Anatomy, Sir Salimullah Medical College Dhaka. Morphometric study of nutrient foramen was carried out on all samples by direct physical and photographic methods.
Result : The nutrient foramen were observed single in number in 84.36% male and 76.67% female samples, double in number in 13.28% male and 21.33% female samples and triple in number in 2.36% male and 2% female samples of left femur respectively. The anatomical knowledge about the study is useful in certain surgical procedures to preserve the circulation. As micro vascular bone transfer is becoming more popular, a convention for the anatomical description of nutrient foramen is important.
J. Dhaka National Med. Coll. Hos. 2014; 20 (02): 40-42
Morbid Obesity with Complications
Authors: Rahman Md  Mazibur , Rahman Molla Mizanur 
Published: December 2024

Over weight technically refers to an excess of body weight. where as obesity refer to an excess of fat. The Body Mass Index (BMI) is the accepted standered measure of overweight and obesity BMI provides a guideline for weight in relation to height and is equal to the body weight divided by the height in meters squared. Adults with a BMI between 25 and 30 are considered overweight, those with a BMI of 30 are considerd to be obse. In adults, a BMI threshed of 40 kg/m2, distinguishes individuals with severe obesity and the high risks for co-morbidities. This category is sometimes termed as "Class 111 obesity" or "Super obesity" or "Morbid obesity". The term Morbid obesity is sometimes used to identify individuals with obesity related co-morbidities. The likelihood of persistence of childhood obesity into adulthood is related to age, parental obesity, and severity of obesity. In longitudinal studies, approximately those 50% of obese 6 years old children, and 80% of obese 10 to 14 years old children. who had an obese parent. Girls are more prone than boys to develop persistent obesity during adolescence. This is related to changes in body composition that occur at puberty, when body fat decreases in boys and increases in girls.
J. Dhaka National Med. Coll. Hos. 2014; 20 (02): 63-64
Determinants of Sovereign Credit Rating in BRICS, G7 and NEXT11 Countries: A Comparative Analysis
Authors: Alber Nader , Massoud Muhammad 
Published: December 2024

This paper tries to investigate the determinants of sovereign credit ratings from 2016 to 2020. This has been conducted using S&P, Fitch and Moody’s ratings in 23 countries, including G7 (i.e. Canada, France, Germany, Italy, Japan, United Kingdom and United States), BRICS (i.e. Brazil, Russia, India, China, South Africa) and NEXT11 (i.e. Bangladesh, Egypt, Philippines, South Korea, Turkey, Vietnam, Indonesia, Iran, Mexico, Nigeria and Pakistan). Using panel analysis according to GMM technique, results reveal the importance of macroeconomic variables in explaining the sovereign credit rating, where GDP per Capita, GDP Growth, Economic Growth, External Debt, Unemployment Rate, Foreign Reserves and Inflation Rate seem to have significant effects on sovereign credit rating. In addition, robustness checks - using country types as control variables – have supported the significant effects of macroeconomic variables in explaining the sovereign credit rating, with explanation power ranged from 71.1% to 92.5%. Country type seems to have different effects, where including in G7 may have a negative effect on S&P rating, while including in BRICS may have a negative effect on Fitch rating. In addition, including in NEXT11 may have a positive effect on Moody’s rating. This needs to be more elaborated using additional analysis for each country, where investors and policymakers may consider the potential changes in credit rating when taking investment decisions and reviewing market regulations.
Evaluasi Kebijakan Clearance Sistem Pemerintahan Berbasis Elektronik, Studi Pada: Kementerian dan Lembaga
Authors: Hendiyani Mesy Faridah , Fansuri Hamzah 
Published: December 2024

Kebijakan evaluasi belanja SPBE instansi pusat dalam rangka pemberian rekomendasi (clearance) telah berjalan sejak tahun anggaran 2021 hingga saat ini. Kebijakan clearance diselenggarakan dalam rangka mewujudkan keterpaduan perencanaan penganggaran belanja SPBE kementerian dan lembaga sehingga menjadi lebih terarah, efisien, dan efektif. Untuk melihat apakah kebijakan clearance tersebut berhasil mencapai tujuan dari penerapan kebijakannya, perlu dilakukan evaluasi terhadap kebijakan. Teori yang digunakan adalah teori evaluasi kebijakan dari Dunn (2000) dengan melihat dimensi efektivitas, efisiensi, kecukupan, pemerataan, responsivitas, dan ketepatan. Metode penelitian yang digunakan adalah kualitatif deskriptif dengan teknik pengumpulan data menggunakan teknik observasi, wawancara, dan dokumentasi. Hasil penelitian ditemukan bahwa penerapan kebijakan clearance pada dimensi efektivitas telah berhasil mewujudkan keterpaduan perencanaan dan penganggaran SPBE, dimana perencanaan dan penganggaran SPBE dilaksanakan berpedoman kepada Arsitektur dan Peta Rencana SPBE. Pada dimensi efisiensi, kebijakan clearance mampu menurunkan potensi penggunaan sumber daya anggaran yang saling overlapping. Pada dimensi kecukupan ditemukan bahwa kebijakan clearance tidak cukup untuk diterapkan pada kementerian dan lembaga saja, namun perlu diterapkan di pemerintah daerah. Pada dimensi pemerataan ditemukan bahwa tidak semua kementerian dan lembaga dilakukan clearance. Hal tersebut disebabkan pengajuan clearance dilakukan secara mandiri oleh masing-masing instansi sehingga kecenderungan untuk tidak mengajukan sangat tinggi. Pada dimensi responsivitas, pelaksanaan kebijakan ini masih perlu ditingkatkan responsivitasnya dilihat dari beberapa pengajuan yang melebihi durasi Standar Operasional Prosedur (SOP) 15 hari kerja untuk penyelesaian setiap pengajuan clearance. Pada dimensi ketepatan, ditemukan bahwa kebijakan clearance relevan dengan prinsip SPBE yaitu efektivitas dan efisiensi.

Kata Kunci: Evaluasi Kebijakan, Clearance, Sistem Pemerintahan Berbasis Elektronik, Efisiensi.
Assessing the relationship between pigs’ stress resilience and their behavior in response to weaning
Authors: Lee Bora , Luttman Andrea M. , Ernst Catherine W. , Raney Nancy E. , Oh Soyeong , Siegford Janice M. 
Published: December 2024

IntroductionAs pigs are exposed to multiple stressors in production systems, we must understand their ability to be resilient to a range of environmental challenges to maintain production and welfare. Stress-resilience (SR) is the capacity to cope with and recover from stressors while maintaining healthy emotional functioning. In contrast, stress-vulnerability (SV) contributes to and predicts the onset and persistence of mood disorders and pathological processes following exposure to stress.Methods52 focal gilts were identified through a physiological marker (cortisol) in a previous study to compare resilience to weaning stress and behavioral responses at weaning. Within pigs’ home pen, we observed agonistic behavior, non-agonistic social behavior, and daily maintenance behaviors. Behavior was observed over two 4-hour periods (6 AM to 10 AM): one (D1) and four days post-weaning (D4).ResultsOn D1, SV pigs displayed a higher average frequency of non-injurious contact behavior (P = 0.0198) compared to SR pigs, while SR pigs exhibited a significantly longer average duration of lying behavior (P = 0.018) compared to SV. On D4, SV pigs exhibited a significantly longer duration of fighting behavior (P = 0.025) on average compared to SR pigs. Additionally, a significant effect of time on behavioral adaptation patterns was observed. On D1 post-weaning, pigs spent more time fighting (P &lt; 0.001) and exploring (P &lt; 0.001) and showed more frequent non-injurious contact (P = 0.029) and drinking behaviors (P &lt; 0.001) compared to D4. Conversely, on D4, pigs spent more time feeding (P = 0.005) and lying (P &lt; 0.001) compared to D1.DiscussionOur findings imply that non-injurious contact and lying behaviors immediately after weaning and fighting behavior several days later may be promising indicators of pigs’ ability to be resilient to the stress associated with weaning. However, to better understand how pigs change their behavior in response to the stress of weaning, we need standard approaches for measuring their behavior and evaluating the degree of change. Understanding behavioral variation between SR and SV pigs can facilitate the development of resilience indexes that could be helpful in breeding programs, facilitating the selection of resilient pigs that overcome challenges associated with weaning.
A new therapy for microcystic lymphatic malformations: the combination of intralesional laser thermolysis and percutaneous sclerotherapy
Authors: Wu Zhiping , Zou Yun , Fu Ronghua , Cheng Jun , Bai Hanxiang , Huang Mengyu , Yuan Hua 
Published: December 2024

BackgroundOver the past few decades, percutaneous sclerotherapy has been proven to be efficacy in treating macrocystic lymphatic malformations (LMs). Unfortunately, there still remains challenging in the treatment of microcystic LMs given their size. We introduce the intralesional laser thermolysis (ILT) technique, a novel enhancement technique for the traditional percutaneous sclerotherapy in the treatment of microcystic LMs.MethodsA retrospective analysis of children with microcystic LMs treated using ILT combined with percutaneous sclerotherapy was done. All patients underwent clinically and cross-sectional imaging to assess response to treatment.ResultsBetween January 2020 and April 2022, 16 consecutive patients (female/male ratio: 7:9; average age, 32.6 months; range: 6 months to 16 years) with microcystic LMs received treatment with ILT combined with percutaneous sclerotherapy. A total of twenty-six sessions of combination therapy were performed, with a mean number of sessions per patient of 1.6 (±0.7), ranging from 1 to 3 sessions. The follow-up time ranged from 6 to 24 months, with a mean of 15.8 (±6.3) months. Almost all patients showed significant improvement after the combination therapy. No major complications were observed. Minor complications included circumscribed skin blisters, postoperative non-infectious fever, transient skin edema, pigmentation, and slight depressions of localized skin.ConclusionThe treatment of intralesional laser thermolysis combined with traditional sclerotherapy is considered as a safe, feasible and effective therapy in treating microcystic LMs.