bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Qualitative analysis of parturients’ experience of spinal anesthesia and postoperative complaints
Authors: Arunachalam R , Sudhakar DS , Selvakumar R , Bharathi T Prathiba , Murugesan K , Anbazhagan Rakesh , Dhungana Rashmi 
Published: January 2025

Background:
Cesarean deliveries have increased globally, with regional anesthesia being the preferred technique. Despite the advantages of the procedure, parturients experience apprehension regarding pain, mobility, and complications. The postoperative period following cesarean delivery can also be challenging. However, there is limited qualitative research exploring parturients’ experiences with regional anesthesia for cesarean delivery and postoperative recovery.

Methods:
A qualitative study using in-depth interviews was conducted with 12 primiparous parturients who underwent cesarean delivery under regional anesthesia. Interviews explored knowledge, perceptions, and experiences regarding regional anesthesia, cesarean delivery, and postoperative recovery. Data were analyzed using thematic analysis.

Results:
Parturients in the study reported experiencing pregnancy-related complications necessitated for opting cesarean delivery instead of vaginal delivery. The study revealed substantial knowledge gaps among parturients regarding cesarean section (CS) and anesthesia. Their decision for CS was driven by prioritizing fetal safety over personal comfort. Parturients did not have many concerns about anesthesia and were focusing mainly on neonatal wellbeing. They had limited recollection of the anesthesia experience but vividly remembered the delivery process and postoperative pain. A strong desire for recovery to provide neonatal care was expressed. Despite challenges, parturients reported overall satisfaction with the CS experience and willingness to recommend it when medically indicated.

Conclusion:
The study highlights the need for comprehensive education on regional anesthesia, postoperative care, and coping strategies for parturients undergoing cesarean delivery. It emphasizes judicious use of cesarean delivery based on medical necessity while ensuring optimal maternal and neonatal outcomes. Further qualitative research with larger samples is recommended.
Acute postoperative pain management after living donor hepatectomy during the transition from an open to minimally invasive surgical approach
Authors: Majeed Amer , Abdelgadir Noon E. , AlFattani Areej A. G. , Hafeez Muhammad , Jahangir Muhammad A. , Nagy Mohamad S. 
Published: January 2025

Background:
Acute post-surgical pain is a common concern for patients undergoing living donor hepatectomy (LDH), potentially leading to unfavorable outcomes if not treated adequately. This study aimed to evaluate the impact of the transition of surgical techniques from open and laparoscopic to robot-assisted minimally invasive surgical (MIS) approach, and the different types of graft resection, including right, left, and left lateral partial lobectomy (LL), on analgesia requirements during the first two postoperative days.

Methods:
A single-center retrospective electronic chart review of all patients who underwent LDH procedures between 2018 and 2020 was performed.

Results:
Patients underwent LDH procedure (n = 414) through open (n = 93, 22%), laparoscopic (n = 68, 16%), or robot-assisted MIS (n = 253, 61%) approaches; and had right lobectomy (n = 215, 52%), left lobectomy (n = 121, 29%), or LL (n = 78, 19%). Postoperatively within the first 48 h, the pain reported on a 3-point Visual Analogue Scale (VAS), was mild 77%, moderate 21%, or severe only 2%. The laparoscopic approach and LL resection were associated with higher pain scores, whereas the robotic approach was the least painful overall.

Conclusions:
Robot-assisted MIS approach for LDH procedure resulted in lower acute pain scores when compared with other surgical approaches, obviating the need for intravenous (IV) patient-controlled analgesia (PCA).
Evaluation of acute postoperative pain management after living donor nephrectomy during the transition from open access to laparoscopic and minimally invasive robotic surgical approach
Authors: Majeed Amer , Abdelgadir Noon E. , AlFattani Areej A.G. , Tufail Bilal , Shabbir Muhammad , Rasool Sajjad , Jobeir Basel A. 
Published: January 2025

Background:
Living donor nephrectomies (LDN) at our institution transitioned from open access to laparoscopic and, more recently, to a minimally invasive robotic surgical approach between 2019 and 2022. Concurrently, postoperative analgesia transitioned from regional anesthesia to intravenous patient-controlled analgesia (PCA) and eventually to simple analgesics with additional rescue analgesic agents, as needed, in accordance with individual physicians’ preferences. This retrospective study was designed to evaluate the impact of these changes on surgical practice on the analgesic requirements and effectiveness of postoperative pain management.

Methods:
Electronic records of all LDN cases operated between January 2019 and March 2022 were accessed, and a comparative analysis of patient demographics, surgical approach, duration of surgery, postoperative pain scores, and the analgesics administered within the first 48 h was performed.

Results:
LDN (n = 527) was performed via laparoscopic (n = 432, 82%), robotic (n = 87, 17%), and open (n = 8, 2%) approaches. All patients were administered regular paracetamol 1 g 6 hourly. IV PCA was used in 85% of cases, predominantly in the laparoscopic (99%) and open (75%) groups (LG and OG, respectively); in contrast, the robotic group (RG) was mostly treated without PCA (81.7%). A variety of analgesic techniques were employed for the remaining patients, including epidural (25% of OG) and rectus sheath/transversus abdominis plane (TAP) block (2% of LG). Additional rescue analgesics were administered to 98% of the patients; 92% of LG needed 1–3 analgesic agents, whereas all of the OG and 37% of RG needed 1–2 rescue analgesics. No correlation was found between patient demographics and surgery duration on pain scores or analgesic requirements.

Conclusions:
Robotic surgery was associated with the lowest postoperative pain scores and analgesic demand; laparoscopic resection was the most painful of all.
Comparison of analgesic efficacy of continuous transversus abdominis plane (TAP) block with continuous epidural analgesia in renal transplant recipients
Authors: Ojha Hemant , Bhukal Ishwar , Jayant Aveek , Singh Sarbpreet , Mulla Reshma , Padhi Pulak Priyadarshi 
Published: January 2025

Background:
Transversus abdominis plane (TAP) block has been shown to be an effective analgesic modality for various abdominal surgeries. In this study, a direct comparison between continuous TAP block with continuous epidural block was made in kidney transplant recipients.

Methods:
A total of 62 participants were randomly allotted to receive either continuous epidural or continuous TAP block.

In the epidural group,
infusion of 0.25% ropivacaine at a rate of 4–10 mL per hour depending on patient characteristics and block level as assessed clinically.

In the TAP block group,
after an ultrasound-guided posterior approach TAP block, a bolus of 0.25% ropivacaine (20 mL) was deposited in the plane, followed by a continuous infusion of 0.25 ropivacaine. In both groups, the infusion was continued for 24 h postoperatively. Rescue analgesia was provided in the form of patient-controlled fentanyl intravenously. Numerical pain rating score (0–100) was recorded at each of the study points (0, 1, 2, 6, 12, and 24 postoperatively).

Results:
Demographic data and baseline investigations were not significantly different between the groups. No significant difference was found between the median numerical pain rating scale (NRS) scores at rest and on coughing at all study points (P > 0.05). The mean consumption of fentanyl in 24 h postoperatively was similar in group E (685.48 ± 76.86) and group T (695.16 ± 78.37). Similarly, no significant difference was noted in the hemodynamic parameters and patient satisfaction (P > 0.05).

Conclusions:
Continuous TAP block is non-inferior to epidural technique for postoperative analgesia in patients undergoing renal transplant recipients.
Erector spinae plane block in Caesarean sections: A scoping review
Authors: Brosnan Kieran , Moore Mary , Eochagáin Aisling Ní 
Published: January 2025

Background:
Pain management for Caesarean section focuses on multimodal analgesia with a growing interest in the use of regional techniques. Currently, there is no gold standard peripheral regional analgesia technique for Caesarean section. The Erector Spinae Plane Block is a relatively new fascial plane block that may be used to provide analgesia for numerous surgical procedures of the trunk. In recent years it is the fascial plane block that has accumulated the most enthusiasm and debate. Its use in Caesarean section has grown over the past three years.

Objective:
To determine the scope of literature published on ESPB in Caesarean sections and to identify deficits in the literature to guide future research.

Methodology:
This study was conducted using Arksey and O’Malley’s framework for scoping reviews. This included a search of four databases searching for articles published between 2016 and 2022. Studies involving patients receiving ESPB as part of an analgesic strategy after a Caesarean section were included.

Findings:
Sixteen articles were included for final review. The most common primary outcomes measured were postoperative pain scores and analgesia consumption. Six ESPB studies recorded a statistically significant reduction in pain scores while three studies described a statistically significant reduction in postoperative analgesia consumption.

Conclusion:
The use of ESPB for Caesarean section is gaining momentum however insufficient evidence currently exists to support its widespread use. Further research is required to evaluate the potential benefits of ESPB in specific patient cohorts and in terms of its efficacy about multidimensional patient-centric outcomes.
SISTEM PENDUKUNG KEPUTUSAN DALAM MENGUKUR EFEKTIVITAS DOSEN DALAM MENGAJAR DENGAN MENGGUNAKAN METODE MULTI OBJECTIVE OPTIMIZATION ON THE BASIC OF RATIO ANALYSIS (MOORA)
Authors: Kurniah Reni 
Published: January 2025

Efektivitas dosen dalam mengajar merupakan suatu perilaku nyata yang ditampilkan dalam bentuk kinerja seorang dosen untuk menilai kualitas kinerja seorang dosen perlu adanya penilaian yang jelas. untuk mengukur kualitas dari efektifitas dosen dalam mengajar diperlukannya suatu sistem.Sistem pendukung keputusan dapat digunakan untuk mengatasi permasalahan tersebut.Dengan menggunakan Sistem pendukung keputusan menggunakan metode MOORA maka akan didaptka suatu keputusan yang efektif karena Metode MOORA merupakan metode yang memiliki tingkat fleksibilitas dan kemudahan untuk dapat memahami dalam memisahkan bagian yang subjectif dari dalam suatu proses evaluasi yang ditentukan oleh kriteria bobot pada keputusn dengan beberapa atribut keputusan. Yang nantinya krteria tersebut dapat bernilai menguntungkan dan tidak menguntungkan.Dengan menggunakan metode ini maka tinkat selektifitas yang lebih baik. Kata Kunci— Sistem Pendukung Keputusan, MOORA Abstract The effectiveness of lecturers in teaching is a real behavior displayed in the form of a lecturer's performance to be able to determine the quality of a lecturer's performance, it is necessary to have clear criteria. To measure the quality of the effectiveness of lecturers in teaching, a system is needed. Decision support systems can be used to address these issues. By using a decision support system using the MOORA method, an effective decision will be made because the MOORA Method is a method that has a level of flexibility and ease of understanding in separating the subjective part from in an evaluation process determined by the weight criteria on the decision with several decision attributes. Which later can be both beneficial and unprofitable. By using this method, the selectiveness is better. Keywords— Decision, Support System, MOORA
Perspektif Pendidik Berakhlakul Karimah Menurut Hafidz Hasan Al Mas’ud dalam Kitab Taisirul Kholak Fi Ilmi Akhlak
Authors: Amin Muhammad , Ramadhan Syahri , Aziz Rahman HSB Abdul , Jamilah Ika Imroatul 
Published: January 2025

Penelitian ini bertujuan untuk mengetahui Cara pandang Pendidik Bermoral Karimah Menurut Hafidz Hasan Al Mas’ud dalam kitab Taisirul Kholak Fi Ilmi Akhlak. Penelitian ini menggunakan metode penelitian kepustakaan (library study). Teknik pengumpulan data dalam penelitian ini adalah dengan mengedit, mengorganisasikan, dan mencari hasil data yang kemudian melakukan analisis lebih lanjut terhadap hasil pengorganisasian data dengan menganalisis isi untuk melakukan tinjauan pustaka terhadap konsep akhlak dalam kitab Taisirul Kholak karya Syaikh Hafidz Hasan Al-Mas'udi. Dalam konteks ini, teknik analisis data yang digunakan dalam penelitian ini meliputi Reduksi data, penyajian data, dan menarik Kesimpulan. Adapun hasil penelitian ini adalah pendidik berakhlak karimah menurut Syaikh Hafidz Hasan Mas’udi yang berkaitan dengan kitab Taisirul Kholak Fi Ilmi Akhlak merupakan hal yang sangat penting dalam kehidupan karena pendidikan menjadi investasi yang memberi keuntungan sosial dan pribadi yang menjadikan bangsa bermartabat dan menjadikan individunya menjadi manusia yang memiliki derajat. Sebaliknya, pendidikan merupakan salah satu bagian terpenting dari pembangunan nasional karena pendidikan bertujuan untuk mengembangkan potensi siswa dengan tujuan mereka menjadi orang yang beriman, berilmu, dan berakhlak mulia. Untuk mencerdaskan kehidupan bangsa, pendidikan nasional bertanggung jawab untuk menumbuhkan kemampuan, watak, dan peradaban bangsa yang unggul. Tujuan pendidikan nasional adalah untuk menumbuhkan potensi orang-orang yang beriman dan bertaqwa kepada Tuhan. kuat, baik hati, dan sehat. Jadilah orang yang terpelajar, inovatif, mandiri, dan bertanggung jawab sebagai warga Negara.
Electronic Arbitration as an Alternative Mechanism for Resolving E-Commerce Disputes
Authors: Kheira Ayad 
Published: January 2025

Purpose: Technological development and technological advancements have led to the emergence of a new type of electronic transaction known as e-commerce, which has become one of the fundamental pillars of the new global economic system.

Theoretical Framework: With the increasing number of disputes arising from e-commerce, there has been a need to explore new methods to resolve such disputes electronically. This has given rise to electronic arbitration, which is characterized by features not found in traditional dispute resolution systems, such as speed, efficiency, low cost, and a higher level of enforceability compared to traditional arbitration. Electronic arbitration aligns closely with the nature of e-commerce disputes.

Methodology: This research adopts a descriptive-analytical approach to comprehensively address all aspects of electronic arbitration as a means of resolving international trade disputes.

Findings: Due to advancements in the field of technological communication and the suitability of this new method, countries have adopted what is known as electronic arbitration. This method has proven to be highly significant in resolving arbitration disputes, aligning with the characteristics of commerce, particularly in terms of the speed of conducting both conventional and electronic transactions.

Research Implications: The findings of this research will contribute to the recognition of electronic arbitration as an important mechanism for resolving e-commerce disputes, particularly in the field of international trade. Its key features include saving both time and effort, offering flexible justice that aligns with the will of both disputing parties and the requirements of e-commerce.

Originality/Value: Given the importance and prominent position of arbitration among other dispute resolution methods, countries and international organizations have worked to regulate it as an alternative method of settlement in international trade, both in international and national legislation. Similarly, the Algerian legislator has organized its provisions within Law No. 08-09 concerning civil and administrative procedures.
Sustaining Nature Through Poetry: Analysing ‘Birds’ Between IBN Zaydun and Ahmad Shawqi
Authors: Singh Gurdip Kaur Saminder , Sheng Du , Dan Washima Che 
Published: January 2025

Objective: The objective of this study was to explore how nature has always contributed into poetry and vice versa, how poetry brings about the awareness on the importance of nature to life, contributing to sustainable development goal (SDG) 15-Life on Land.

Theoretical Framework: This study was grounded on the Ecocriticism Theoretical Framework, allowing a deep exploration of nature in poetry, as well as the specific function and meaning of natural imagery within literary works.

Method: The methodology adopted for this research comprises rules and standards of Al-Amidi's Dialectical Approach, the practical and theoretical aspects of Russian Formalism Literary Analysis.

Results and Discussion: The results obtained revealed that the poetic imagery of both poets, Ibn Zaydun and Ahmed Shawqi , highlight how nature’s creatures can symbolize a deeper human connection. By using birds as symbols of longing, freedom, and identity, they provided timeless metaphors that encourage modern readers to reflect on their own relationship with the environment.

Research Implications: The poetry of Ibn Zaydun and Ahmed Shawqi presents a cultural and emotional framework that ties in human identity with nature contributing to themes of SDG 15- nature. Their works suggest that the the relationship between man and the environment are at the core of both the natural world and human societies.

Originality/Value: This study looks at how poets, through their symbolic representations of birds, open up in literature a route for fostering ecological consciousness and spreading inspiration toward sustainable development goal (SDG) 15, adding to the much-needed broader dialogue on environmental stewardship and the protection of biodiversity.
Deep-Sea Fishing and Sustainability: An Empirical Study on the Readiness of the Fishermen from Tamilnadu, India
Authors: Sendurpandian Viswanathan , Apandkar Ashutosh , Sivasami Kolandasamy 
Published: January 2025

Introduction: Coastal fisheries resources are slowly depleting and the governments are pushing the fishers to extend their fishing activities into the EEZ (Exclusive Economic Zone) and beyond with the aim of tapping deep-sea fisheries resources for ensuring a continuous supply of protein-rich food for the country and for export. However, switching to deep sea fishing has many challenges and they need to be tackled by different stakeholders to ensure a smooth adaption of deep-sea fishing among the fishermen.

Objective: To analyse the fishermen's capabilities and challenges in adopting deep-sea fishing as an alternative and suggest measures in order to achieve sustainable deep-sea fishing operation.

Theoretical Framework: Technological innovation in vessel design, operations, fishing techniques and efficient ocean navigation can lead to more efficient and less ecologically harmful fishing practices.

Method: Five identified challenges were analysed through collecting data from 405 respondents from five deep-sea fishing harbours through structured questionnaire in order to find the measures to overcome those challenges.

Results and Discussion: The results were analysed, expressed in tables, bar and charts and discussed in order to understand the fishermen's readiness towards the sustainable deep-sea fishing operations.

Research Implications: The research will come out with the gaps in adopting deep-sea fishing operation. The measures to fill the challenges in adopting sustainable deep-sea fishing operation could be developed through the outcome of the study.

Originality/Value: The relevance and value of this research may be evidenced through a greater number of fishermen adopting deep-sea fishing operation and enhancing fishermen's knowledge and skills through training.
Bangladesh: Balancing Sovereignty and Security in the Future of Maritime and Territorial Governance Under International Law
Authors: Hosen Muhammad Farhad , Malek Abdul , Uddin Mohi 
Published: January 2025

Objectives: This study examines the critical concepts of land and maritime sovereignty within international law, focusing on their evolution from Roman times to contemporary challenges posed by global maritime claims.

Theoretical Framework: Anchored in principles of sovereignty and international legal structures, the study emphasizes the significance of the United Nations Convention on the Law of the Sea (UNCLOS) as a cornerstone of maritime governance.

Method: Through a qualitative analysis of legal texts, treaties, and case studies, the research evaluates the implications of UNCLOS in balancing sovereignty with global maritime interests, with a particular focus on Bangladesh’s context.

Results and Discussion: The findings underscore the vital role of the ocean in global trade, carrying over 85% of international commerce. Despite the structured legal framework provided by UNCLOS, maritime disputes persist, revealing vulnerabilities of coastal states due to external geopolitical pressures and internal limitations. Bangladesh emerges as a case study, illustrating the need for enhanced international cooperation and legislative reforms to address these challenges.

Research Implications: The study highlights the urgency for global recognition of coastal states' sovereign rights, advocating for balanced jurisdictional practices to protect territorial integrity and sustainably manage maritime resources.

Originality/Value: By situating sovereignty concerns within the broader scope of UNCLOS and international law, the paper provides a nuanced understanding of the interplay between national sovereignty and global governance, offering valuable insights for policymakers and international legal scholars.