bluuebunny/crossref_metadata_2025_split huggingface dataset:
Continuous Wound Infusion as an Alternative to Continuous Epidural Infusion for Postoperative Analgesia in Renal Transplant Surgery
Authors: Narayan Vinitha , Sethi Sameer , Kajal Kamal , Singh Sarbpreet 
Published: April 2021

Background:
Pain management is often challenging in patients undergoing renal transplant owing to the various comorbidities. Epidural analgesia is currently the standard technique but is not without complications. Continuous wound infusion (CWI) is emerging as a simple and effective technique of postoperative analgesia. Therefore, the purpose of our study was to compare the efficacy of CWI with continuous epidural infusion (CEI).

Methods:
Forty-two patients undergoing renal transplant surgery were randomized to receive either CEI or CWI. The visual analogue score at rest and on movement was assessed. Opioid consumption, patient satisfaction, and complications were also assessed.

Results:
The pain scores measured at rest 4, and 8 h postoperatively were significantly lower in the CWI group.(2.45 ± 1.317) in CWI versus (3.45 ± 1.050) in CEI, P = 0.012 at 4 h, and (1.95 ± 1.146) in CWI versus (2.75 ± 0.786) in CEI, P = 0.014 at 8 h. The pain scores at other time points were lower in the CWI group but not statistically significant. The morphine used in the first 8 h was significantly higher in the CEI group. There was a higher incidence of hypotension in the CEI group (P = 0.028). The patient satisfaction and other side effects were comparable between the groups.

Conclusion:
Continuous wound infiltration is an effective technique for postoperative analgesia in renal transplant surgery and can be used as an alternative to epidural analgesia.
Comparison of Histidine-Tryptophan-Ketoglutarate Solution Versus Ringer Lactate as Perfusion Fluid in lIve Donor Renal Transplant - A Randomised Controlled Trial
Authors: Agarwal Ambuj , Kenwar Deepesh Benjamin , Sharma Ashish , Singh Sarbpreet , Sujata W. 
Published: April 2021

Objective:
Ringer's lactate (RL) was one of the perfusion fluid used in renal transplants, which were replaced by perfusion fluid with an intracellular composition like histidine-tryptophan-ketoglutarate (HTK) solution. These are preferred in cadaveric renal transplants. However, there are no guidelines for live-related donor renal transplant. We study whether HTK solution is better than RL solution, an extracellular composition fluid in preserving allograft in live-related donor renal transplantation.

Materials and Methods:
A single-blinded randomized trial comparing HTK solution and RL solution in 80 patients undergoing live-related donor renal transplantation from July 2017 to June 2018. The outcome was measured in serum cystatin C and plasma malondialdehyde (MDA) and serum creatinine for 30 days.

Results:
In 19 cases, surgeons preferred HTK solution as perfusion fluid due to the presence of multiple arteries; hence, these cases are removed from analysis due to deviation from the study protocol. Four patients in the HTK group and five patients in the RL group were excluded due to loss to follow-up. Recipient age, sex, and donor age, sex, and basic disease were comparable in both groups. The higher warm ischemia in the HTK group (5.58 min [standard deviation (SD) 1.44 min]) as compared to the RL group (5.00 min [SD 1.12 min]) with P 0.096. Similarly, the longer cold ischemia in the HTK group (82.00 min [SD 21.31 min]) as compared to the RL group (70.32 min [SD 24.56 min]) with P 0.783. 8.3% rejection in the HTK group and 17.9% rejection in the RL group. Serum cystatin C, marker of glomerular filtration was comparable, HTK group ((3.75 ± 1.98 mg/l) and RL (3.94 ± 1.68 mg/l) with P 0.714. The plasma MDA marker of ischemia-reperfusion injury was also comparable HTK group (80.16 ± 80.08 ng/ml) and RL group (61.50 ± 92.23 ng/ml) with a P 0.446. Fall in serum creatinine was significantly more in the HTK group than RL. At the end of 30 days, both groups had similar levels of serum creatinine level.

Conclusion:
Graft perfused by HTK solution and RL solution at our center had comparable 30-day outcomes. Although none of the differences was statistically significant, the HTK group had consistently better metrics in terms of fall in creatinine and serum cystatin C despite a trend to longer ischemia times and higher plasma MDA levels.
Pure Peripheral Spondyloarthritis, Is It Exceedingly Rare? A Real-World Experience from an Indian Tertiary Care Hospital
Authors: Hegde Arun , Mangal Vishal , Vasdev Vivek , Singh Kavita , Bhanu Kovilapu Uday 
Published: April 2021

Background:
Peripheral spondyloarthritis (pSpA) is usually associated with psoriasis, inflammatory bowel disease, or preceding infection (called reactive arthritis). Pure pSpA is a clinical entity wherein there are enthesitis, dactylitis, or arthritis, without any of the above-associated conditions. We aimed to describe the clinical, laboratory, radiological, and management profile of pure pSpA, among patients with pSpA presenting to the rheumatology outpatient department.

Materials and Methods:
In this retrospective, observational study, medical records of all the patients diagnosed as pSpA by a rheumatologist, between January 1, 2016, and December 31, 2018, were included. Among these, thirty patients qualified to be called pure pSpA, and we reported their demographic characteristics (age and sex), clinical features (onset of disease, clinical signs, and symptoms), laboratory parameters (erythrocyte sedimentation rate, hemoglobin, and C-reactive protein), radiological findings, and treatment pattern.

Results:
Thirty patients fulfilled the criteria for pure pSpA. The mean age (standard deviation) of the patients at onset was 32 ± 5.8 years. The mean disease duration before diagnosis was 9.7 months. Arthritis, enthesitis, and dactylitis were present in 29 (96.7%), 8 (26.7%), and 9 (30%) patients, respectively. Eighteen (60%) patients had monoarthritis, while 11/30 (36.7%) had oligoarthritis, at presentation. HLA B27 was positive in 24/30 (80%) patients. Seven patients (23.3%) had bilateral sacroiliitis on imaging and two (6.7%) had unilateral sacroiliitis. Twenty patients (66.7%) required conventional synthetic disease-modifying anti-rheumatic drugs (csDMARDs), while two (6.7%) required biological DMARDs in the form of anti-tumor necrosis factor-alpha inhibitors.

Conclusion:
Pure pSpA is a relatively rare clinical disease which presents with either a mono or oligoarthritis and shows good treatment response to csDMARDs.
Vitamin D Status and its Determinants among Young Unmarried Adult Females in Northeast India
Authors: Nagaraja N. , Chakrabarty Barun Kumar , Singh Y. , Jayalakshmi (Retd) M 
Published: April 2021

Context:
Undiagnosed Vitamin D deficiency is a widely prevalent problem in the Indian subcontinent. The prevalence and severity of Vitamin D deficiency are more commonly revealed among Indian females compared to males.

Subjects and Methods:
The study subjects comprised 198 female students of a nursing college located in Northeast India who were attending the gynecology outpatient department of a tertiary care center. Study participants were invited to respond to online queries related to Vitamin D deficiency and associated sociocultural practices. Among them, 126 students who had volunteered, 25 OH Vitamin D total levels were estimated by enzyme-linked fluorescent assay method along with linked blood parameters.

Results:
In this cross-sectional study, among the 198 study subjects attending outpatient services, 75.3% reported less than an hour daily exposure to the sun though 93.4% had awareness that sunlight exposure is the best natural resource of Vitamin D. All eight participants who did not have the proper knowledge of Vitamin D source were detected to be deficient. Our study showed that out of studied 126 students, half of them had severe Vitamin D deficiency (<8.1 ng/ml) and 45.2% demonstrated Vitamin D level <20 ng/ml (deficient). About 3.2%, i.e., four females, divulged Vitamin D level of 20–29 ng/ml (insufficient).

Conclusions:
Our study revealed relevant knowledge, belief, and sociocultural practices related to Vitamin D deficiency among young adult females of Northeast India. Contrary to previous studies, the findings also highlighted the alarmingly high prevalence of Vitamin D deficiency in the studied population.
TANTANGAN LIMBAH (SAMPAH) INFEKSIUS COVID-19 RUMAH TANGGA DAN TEMPAT-TEMPAT UMUM
Authors: Kusumaningtiar Devi Angeliana , Irfandi Ahmad , Azteria Veza , Veronika Erna , Nitami Mayumi 
Published: April 2021

Berdasarkan data Kementarian lingkungan hidup dan kehutanan data limbah medis rumah sakit rujukan dan rumah sakit tidak rujukan mengalami peningkatan setiap bulannya. Total limbah medis dan non medis yang dihasilkan sebesar 57.253 Kg/hari. Jumlah limbah medis yang dihasilkan sebanyak ± 242 ton/hari dari sekitar 2.813 rumah sakit di seluruh Indonesia dengan rata-rata timbulan sampah medis sebesar 87 kg/hari/rumah sakit.Hal ini menggambarkan jumlah limbah medis yang belum dikelola masih sangat besar. Tujuan webinar ini adalah mensosialisasikan terkait penanganan limbah medis dan regulasi terkait limbah medis pada tenaga kesehatan maupun masyarakat. Metode pelaksanaannya menggunakan metode ceramah (sosialisasi), tanya jawab, dan monitoring serta evaluasi terhadap peserta. Hasil webinar ini memberikan gambaran bahwa perlu adanya kegiatan sosialisasi secara terus menerus untuk menyampaikan regulasi terkait dan pemahaman kepada masyarakat mengenai penanganan limbah maupun sampah yang terkontaminasi covid-19.Dengan kegiatan pengabdian masyarakat webinar ini diharapkan dapat memberikan wawasan dan solusi dalam penanganan limbah (sampah) medis sehingga tidak membahayakan bagi masyarakat maupun petugas kebersihan dalam penanganan sampah ini. Kata kunci : Limbah medis, limbah infeksius, covid-19, new normal
PERAN KELUARGA DALAM PENCEGAHAN WABAH COVID-19
Authors: Yuliati Yuliati 
Published: April 2021

COVID-19 merupakan penyakit menular yang dapat menular dari orang yang membawa virusnya kepada orang lain yang rentan untuk tertular. Salah satu peran perawat adalah menjadi edukator pada masyarakat dilingkungan kampus dalam membantu melakukan pencegahan penularan wabag covid-19. Pemerintah terus berupaya guna memutus mata rantai dari wabah Covid-19. Kegiatan edukasi ini menampilkan diskusi yang memberikan penjelasan mengenai peran keluarga dalam melakukan pencegahan penularan wabah “Covid-19”. Kegiatan ini menggunakan metode pemberian edukasi dengan mengacu pada pencegahan penularan covid-19 berdasarkan studi pustaka. Data yang diperoleh dalam makalah ini didasarkan pada pencarian data melalui dokumen-dokumen. Hasil kegiatan menunjukkan bahwa dengan menjalankan peran secara optimal dan baik, maka keluarga dapat mencegah para anggotanya dari persebaran wabah Covid-19. Peran keluarga menjadi penting dan garda terdepan untuk memutus mata rantai dari penyebaran wabah covid-19. Edukasi kepada masyarakat kampus yang merupakan basis keluarga yang menentukan keberhasilan untuk membangun kebiasan baru di antara anggota keluarga. “Kita melakukan pencegahan bukan karena diperintahkan oleh institusi tempat kerja kita, tapi kita melakukan karena sepenuhnya adalah kesadaran kita karena untuk aman dari COVID-19. Program edukasi untuk masyarakat kampus dalam membangun kebiasaan baru harus terus menerus. Inilah upaya kita sebagai anggota masyarakat untuk menghentikan penyebaran COVID-19 yang sampai saat ini masih terus terjadi, Kata kunci : peran, keluarga, covid 19
La Mujer Consumible: #vaginasdesdentatas
Authors: Penalva-Leal María 
Published: April 2021

<p>Este artículo aborda cuestiones como la violencia sexual, la heteronormalización obligatoria y la denuncia la cosificación heterosexual y reproductiva de las mujeres a través de los mitos de la Vagina Dentata. Planteamos una reflexión histórica, literaria, artística y con perspectiva de género de estos mitos universales donde es misión del héroe heteronormalizar a la monstrua arrancándole los dientes para convertir esos órganos genitales en un constructo social heteronormativo usable y disfrutable por el varón. Establecemos la actualidad de este tema y vindicamos desde la investigación y la creación artística con perspectiva de género a las mujeres como personas y no como órganos reproductores o lúdicos al servicio del heteropatriarcado pasado, presente y futuro.<strong></strong></p>
A Rare Case of Acute Bilateral Endothelial Decompensation after Prophylactic Nd:YAG Laser Iridotomy Requiring Endothelial Keratoplasty
Authors: Zadok David , Smadja David , Weill Yishay , Abulafia Adi , Roditi Eduardo , Hanhart Joel 
Published: April 2021

ABSTRACT

Aim
To describe a case of acute bilateral endothelial decompensation following prophylactic Nd:YAG laser iridotomy (LI) for occludable angles.

Background
Although regarded safe, LI can occasionally be a source of various ocular complications, including corneal endothelial damage. In the herein case, we describe the first case of acute bilateral endothelial decompensation after Nd:YAG LI.

Case description
A 63-year-old man was referred for consultation due to visual acuity deterioration in both eyes 2 weeks after undergoing an uneventful prophylactic LI for occludable angles. On examination, bilateral corneal edema with Descemet's membrane folds was observed. Direct corneal damage from the laser beam was not seen. Specular microscopy failed to count endothelial density. Anterior-segment optical coherence tomography (OCT), ultrasound biomicroscopy, and ocular biometry were performed. The patient was referred for bilateral endothelial keratoplasty.

Conclusion
Subacute endothelial dysfunction should be considered as a possible adverse event following Nd:YAG LI and patients should be advised accordingly.

Clinical relevance
Surgeons should be aware of the potentially devastating complication of bilateral corneal decompensation following routine Nd:YAG LI, even in patients without preexisting corneal injury. Patients should be advised accordingly.
How to cite this article
Weill Y, Abulafia A, Smadja D, et al. A Rare Case of Acute Bilateral Endothelial Decompensation after Prophylactic Nd:YAG Laser Iridotomy Requiring Endothelial Keratoplasty. J Curr Glaucoma Pract 2020;14(3):109–111.
Secrets to Success in Sport & Play
Authors: Torbert Marianne 
Published: April 2021

In Secrets to Success in Sport & Play: A Practical Guide to Skill Development, author Marianne Torbert provides insights into biomechanical principles that will help parents, players, teachers, and coaches understand how to creatively and scientifically improve players’ skills.
This revised text presents
instruction on improving balance—which in turn affects agility, power, and accuracy of movement;guidance in improving the understanding of spins—which can enhance performance in sports such as basketball, tennis, bowling, soccer, and golf;insight into the basic mechanics of movement that can be applied to many sports and play;experiments and activities to hone and develop players’ biomechanical abilities and form problem-solving intuitions and habits that can be used in many sports; andtrue-or-false questions at the end of each chapter (correct answers are detailed in an appendix) to test readers’ knowledge of the material.
The engaging text is presented in an easy-to-understand format with more than 100 illustrations that drive home the principles. The secrets to success unfold page by page as you learn about the biomechanical principles involved in acquiring and refining sport skills. Players are excited to learn these skills because they can see improvement as they learn and practice.
Play can greatly contribute to personal growth and quality of life. It can open doors to social interaction and to enhanced self-confidence. Everyone can learn and improve skills and increase their joy of participating in games and sports. With Secrets to Success in Sport & Play, players will do just that.
Assessment-Driven Instruction in Physical Education
Authors: Lund Jacalyn , Veal Mary Lou 
Published: April 2021

Assessment-Driven Instruction in Physical Education: A Standards-Based Approach to Promoting and Documenting Learning shows you how to use standards-based assessment to advance and support student learning in middle and high school physical education programs. In this text, authors Lund and Veal, both experienced physical education teachers and teacher educators, help readers not only understand assessment concepts and applications but also develop the skills to implement assessment.
Assessment-Driven Instruction in Physical Education can be used in a methods class, in an assessment class, or for in-service teacher education. It contains numerous examples of assessments and unique practice tasks that help teachers develop assessment skills. Current and future teachers can use these practice tasks to apply their knowledge to specific teaching situations and design their own assessments as they move through the text. Readers will also gain knowledge and strategies for assessing the psychomotor, cognitive, and affective domains based on current assessment research aligned with National Association for Sport and Physical Education (NASPE) standards.
Inclusion in Physical Education
Authors: Rouse Pattie 
Published: April 2021

Inclusion in Physical Education is a practical, easy-to-use guide filled with inclusion strategies that focus on developing the physical and social skills and fitness of students with disabilities. And these strategies do not involve extended planning or setup time or extra equipment.
Written by Pattie Rouse, a teacher who has been working with students with disabilities since 1982, this book takes the guesswork out of including students with disabilities in general physical education. Inclusion in Physical Education is divided into chapters according to specific disabilities, thus helping you immediately find the information you need as well as the basic characteristics and expected behaviors of children with each type of disability. Rouse offers chapters on inclusion for students with these conditions:
• Autism disorder
• Limited use of limbs, requiring wheelchair use
• Intellectual disabilities
• Cerebral palsy and other orthopedic impairments
• Visual and hearing impairments
Also included are chapters on the importance of inclusion (and the importance of paraeducators and peer facilitators in the process of inclusion), on differentiating instruction to include students with disabilities in general physical education, and on using adapted games to teach students empathy for their peers with disabilities. These games provide opportunities for all students to be equal and to be more understanding of and receptive toward others’ differences.
Written from Rouse's own experience and based on feedback from students with disabilities, this book is a guide that you can immediately put to use in including students with disabilities or delayed motor skills and can continue to use throughout your career as an educator. The book helps you set realistic goals for students with disabilities and correlates with many objectives found in the national physical education standards.
With Inclusion in Physical Education, you can include students with any disability in your curriculum. The book's ready-to-use resources will help you confidently create a program that benefits all students.
PENGEMBANGAN DESAIN PEMBELAJARAN TEMATIK PADA TEMA INDAHNYA KEBERAGAMAN DI NEGERIKU BERBANTUAN LKS BUDAYA LOKAL BERORIENTASI MODEL PEMBELAJARAN KOOPERATIF JIGSAW UNTUK SISWA SEKOLAH DASAR
Authors: Tando Ferdinandus , Ngurah Laba Laksana Dek , Yosefa Awe Ermelinda 
Published: April 2021

Penelitian ini bertujuan untuk: 1) mengembangkan desain rencana pelaksanaan pembelajaran tematik pada tema Indahnya Keberagaman di Negeriku Berbantuan LKS Budaya Lokal Ngada Berorientasi Model Pembelajaran Kooperatif tipe Jigsaw untuk siswa SD. 2) Mengetahui kualitas produk hasil pengembangan desain rencana pelaksanaan pembelajaran tematik pada tema Indahnya Keberagaman di Negeriku Berbantuan LKS Budaya Lokal Ngada berorientasi model pembelajaran kooperatif tipe Jigsaw untuk siswa SD. Penelitian ini termasuk dalam penelitian pengembangan yang mengacu pada model pengembangan Dick and Carey. Metode yang digunakan dalam penelitian ini adalah berupa observasi, wawancara dan pencatatan dokumen. Sedangkan instrumen berupa angket yang berpatok pada Penilaian Badan Standarnisasi Nasional (BSN). Hasil penelitian ini adalah desain pembelajaran tematik pada tema Indahnya Keberagaman Di Negeriku Berbantuan LKS Budaya Lokal Ngada yang terdiri dari: Rencana pelaksanaan pembelajaran berbantuan lembar kerja siswa budaya lokal Ngada. Hasil kelayakan produk desain pembelajaran antara lain sebagai berikut: penilaian ahli materi memperoleh nilai rata-rata 97,57% dengan kategori sangat layak, penilaian ahli desain pembelajaran memperoleh nilai rata-rata 81,82% dengan kategori layak dan penilaian ahli bahasa memperoleh nilai rata-rata 93,33% dengan kategori sangat layak. Berdasarkan hasil data tersebut maka, desain pembelajaran tematik pada tema Indahnya Keberagaman di Negeriku Berbantuan LKS Budaya Lokal Ngada berorientasi model pembelajaran kooperatif tipe Jigsaw untuk siswa SD layak untuk digunakan.
SUJEITO E O OUTRO NO TRATAMENTO DA TOXICOMANIA
Authors: Vasconcelos Gláucia Brandão de 
Published: April 2021

Esse artigo é resultado de uma pesquisa bibliográfica, realizada com o objetivo de investigar as contribuições da psicoterapia voltada às pessoas que buscam a ressignificação da sua relação com a droga. Como resultado da pesquisa, evidenciou-se que é possível, a partir da queixa clínica e do desejo manifesto do sujeito diante à busca pelo tratamento da toxicomania, contribuir com intervenções que possibilitem a produção de novas subjetivações, ressignificando o papel do objeto droga através do processo de fala e das elaborações fomentadas no âmbito psicoterapêutico, onde se estabelece uma outra noção de sujeito. Conclui-se que as intervenções psicológicas e o setting estabelecido favorecem a ampliação do manejo do sofrimento, possibilitando ao sujeito em tratamento, o rearranjo de suas ações em suas formas de existências.