bluuebunny/crossref_metadata_2025_split huggingface dataset:
Efficacy of combined thoracic paravertebral block and intravenous dexmedetomidine in medical thoracoscopy
Authors: Maaly Ayman M. , Abdelhady Ahmed M. , Abdelaziz Rehab A. 
Published: September 2024

Background
Medical thoracoscopy has become the gold standard for evaluation of intrapleural space. Thoracic paravertebral block is instillation of local anesthetic drug in the thoracic paravertebral space and can be used in several procedures such as medical thoracoscopy. Dexmedetomidine is a potent α-2 agonist with a higher potency and short duration of action. It has a rapid onset and offset. It produces an ‘interactive’ form of sedation and does not induce respiratory depression. This study was conducted to evaluate the efficacy of paravertebral block with intravenous (i.v.) infusion of dexmedetomidine compared with standardized general anesthesia method in medical thoracoscopy.

Patients and methods
A randomized controlled trial was conducted in the Department of Chest Diseases at Alexandria Main University Hospital, on patients indicated for medical thoracoscopy.
Patients were randomized into two groups (30 patients each). Group A received general anesthesia. Group B received paravertebral block at the level of medical thoracotomy covering three levels: at, above, and below thoracotomy level plus i.v. dexmedetomidine. Demographic data, hemodynamics, patient-rated procedural pain, and operator-rated overall procedure satisfaction scores were recorded.

Results
A significantly lower means of heart rate and blood pressure were found in group B after thoracotomy and immediately postoperative. Patient-rated procedural pain score in group A ranged from 2 to 5 with a mean of 3.90±0.85, while in group B, it ranged from 0 to 3 with a mean of 1.40±0.68. This difference was statistically significant (P<0.001). A significantly higher operator-rated overall procedure satisfaction score was found in group B (95.77±1.74) compared with group A (90.03±2.33) (P<0.001).

Conclusion
Use of thoracic paravertebral block plus use of i.v. dexmedetomidine in medical thoracoscopy is comparable to general anesthesia as it is comfortable to the patient and the operator without dealing with airway and its difficulties.
Predictive value of chest ultrasound in differentiation between cardiogenic and noncardiogenic pulmonary edema
Authors: Kasem Sohier M. , Soliman Mona M. , Sadek Samiaa H. , Thabet Ahmed A. , Tawfeek Samir El-Hadidy , Elhefny Noor Eldeen A.M. 
Published: September 2024

Background
Adult respiratory distress syndrome (ARDS) and acute cardiogenic pulmonary edema (CPE) are common clinical issues. Based on clinical data, it is a big challenge to differentiate between both. Secondary to many limitations of computed tomography, chest ultrasound (CUS) provides pleuropulmonary signs that help in differentiation.

Objective
The current work aimed to assess the accuracy of CUS in differentiating CPE from ARDS.

Patients and methods
This is a cross-sectional study conducted on patients admitted to different ICUs with pulmonary edema, comprising 25 patients with CPE and 35 patients with ARDS. CUS, ECG, echocardiography, and chest radiograph were done for all patients.

Results
The mean age of patients with ARDS was 48.90±11.23 years, whereas the mean age of patients with CPE was 49.10±10.10 years. The majority of both groups were males. Systolic dysfunction and pneumonia were the most frequent etiology in CPE and ARDS, respectively. All patients in both groups had alveolar-interstitial syndrome. Pleural line, absence of lung sliding, and the spared area were presented in all cases with ARDS and absent in those with CPE. Moreover, none of those with CPE had lung pulse, but this finding was presented in 18 (51.4%) patients with ARDS.

Conclusion
CUS can help in differentiating ARDS from CPE in clinical practice. Based on CUS findings, absent or reduced lung sliding, pleural line abnormalities, and spared areas are diagnostic of ARDS.
Ultrasound-guided rectus-sheath block compared with thoracic epidural analgesia for major abdominal cancer surgeries with a midline incision
Authors: Gad Mona , Abdelkhalek Mohamed , Gaballa Khaled , Elbalka Saleh S. , Hegazy Mohammed A. 
Published: September 2024

Background
The thoracic epidural analgesia (TEA) is considered as a standard technique for postoperative pain relief in major abdominal surgeries, but sometimes, it is contraindicated or complicated. Rectus-sheath block (RSB) bilaterally has developed recently to offer analgesia in these operations. This study was designed to evaluate the promising RSB as a suitable alternative to TEA in major operations for abdominal cancers through a midline incision.

Patients and methods
The current clinical trial that had been performed on American Society of Anesthesiologists I, II, and III patients underwent major operations for abdominal cancers through a midline incision, and randomly allocated into either the TEA group: received TEA with bupivacaine+fentanyl or RSB group: received RSB with bupivacaine+fentanyl bilaterally. The primary outcome was the cumulative intravenous (IV) fentanyl doses consumed through the postoperative 24 h. The secondary outcomes were the patients’ number who needed analgesia, the duration spent till the first analgesic request, visual analog score with rest and cough, and any complications related to either the block techniques or drugs.

Results
Cumulative IV fentanyl consumed and the titration doses of IV fentanyl during the postoperative 24 h, the time to the first request of fentanyl, number of patients who needed analgesia, and visual analog score with rest and cough at the time points of the study, all did not show any statistical significant difference between both groups. The RSB group recorded significant shorter time to ambulation compared with the TEA group. Sedation scores were comparable in both groups at all time points of the trial. Both groups were comparable regarding the incidence of fentanyl-associated side effects, time to passing flatus, and patient-satisfaction score.

Conclusion
RSB could be used as an efficient alternative to TEA, especially whenever the latter is contraindicated in patients subjected to major abdominal surgeries with midline incision.
A comparative study between 1 and 3 mg of granisetron in the prevention of postoperative nausea and vomiting in strabismus ophthalmic surgeries during general anesthesia
Authors: Khair Tamer M. , Ahmed Mohamed Y.M. , Mohamed Ahmed A. , Sayed Islam M. , Saafan Tamer F.H. 
Published: September 2024

Aims
To compare the safety and efficacy of 1 and 3 mg of granisetron in the prevention of postoperative nausea and vomiting (PONV) in strabismus surgeries under general anesthesia.

Settings and design
This single-blinded, randomized, controlled trial was conducted at the ophthalmology operating theater of Kasr Al-Ainy Hospitals.

Patients and methods
We recruited 210 patients and allocated them randomly to receive either granisetron 1 mg (n=105) or 3 mg (n=105). The two groups were compared regarding demographic data, hemodynamic parameters, and percentage of patients with no complaints of PONV during the first 24 h.

Results
There was no statistically significant difference upon comparison of the two groups regarding PONV (P>0.05). The two doses (1 and 3 mg) provided total control of nausea and vomiting in 46.7 and 43.8% of patients during the first 24 h postoperatively, respectively. Moreover, we found no significant difference between the two groups regarding mean values of the heart rate or mean arterial pressure both preoperatively and intraoperatively (P>0.05). However, during the postoperative 24 h, both groups had significant differences regarding mean values of heart rate and mean arterial pressure at 2–4 h, 8–12 h, and 12–24 h postoperatively.

Conclusions
The comparison between two doses of granisetron (1 and 3 mg) showed no statistical difference regarding the total control of nausea and vomiting for 24 h postoperatively but showed a statistical difference regarding some postoperative vital sign readings.
Evaluation of rational drug use in primary healthcare centres of Probolinggo District, Indonesia
Authors: Rokayah  , Puspitasari Hanni Prihhastuti , Nita Yunita 
Published: September 2024

Background: The Indonesian government has been working on optimising drug use in primary healthcare centres (puskesmas) of the Probolinggo District Health Office (dinkes). Objective: This study aimed to evaluate the rationality of drug use (RDU) using indicators set by the Indonesian Ministry of Health.
Method: A retrospective descriptive study was conducted using data from 33 Puskesmas in Probolinggo Dinkes during the year 2022. Data on patients diagnosed with Acute Respiratory Infection (ARI) non-pneumonia (n = 36,378), non-specific diarrhoea (n = 4,291), and myalgia injection cases (n = 9,641) were collected.
Result: The study's findings showed that the percentage of antibiotics for ARI was 17.11%, meeting the standard. Of the 33 Puskesmas, 67% met the standard, while 33% did not. Meanwhile, the antibiotic used for non-specific diarrhoea was 9.58%, exceeding the tolerance limit, with 55% of Puskesmas meeting the standard and 45% not. The percentage for injectable drugs in myalgia cases was 0.43%, in line with the standard, with 82% of Puskesmas meeting the standard and 18% not.
Conclusion: The study found that antibiotic usage for ARI and injections for myalgia met the standards, but for non-specific diarrhoea cases did not.
Analisis Faktor Risiko dan Protektif Terhadap Kejadian Diabetes Mellitus Berbasis Regresi Linier Berganda dan GSEM Gaussian Identity
Authors: Istyanto Febry , Aswar Sophian , Jumu La 
Published: September 2024

Diabetes Mellitus (DM) merupakan penyakit metabolik yang ditandai dengan tingginya kadar gula darah dan dapat menimbulkan berbagai komplikasi serius. Sampai saat ini DM masih menjadi salah satu penyakit tidak menular (PTM) tertinggi di Indonesia tidak terkecuali di Papua Khususnya di Kabupaten Biak Numfor Kecamatan Sumberker. Identifikasi faktor-faktor yang mempengaruhi kejadian DM penting untuk pencegahan serta pengelolaan penyakit ini. Penelitian ini bertujuan untuk menganalisis faktor risiko dan protektif yang mempengaruhi kejadian DM dengan menggunakan model analisis regresi linier berganda. Dalam penelitian ini, data dikumpulkan dari populasi pasien yang didiagnosis DM dan populasi kontrol yang sehat di wilayah Kecamatan Sumberker. Dari setiap populasi diambil masing-masing sebanyak 35 kasus dan 35 kontrol. Variabel dependen dalam penelitian ini adalah DM sedangkan variabel independen terdiri dari 2 faktor risiko (tingkat stress; minuman kemasan) dan 2 faktor protektif (konsumsi sayur; konsumsi buah). Analisis Regresi Linier Berganda dan GSEM Gaussian Identity digunakan untuk menentukan faktor-faktor yang berkontribusi terhadap kejadian DM, baik sebagai faktor risiko maupun protektif dalam satuan unit. Hasil penelitian didapatkan tingkat stress 1,99 unit (P Value= 0,025); minuman kemasan 7,47 unit (P Value =0,000); konsumsi sayur -5,71 unit (P Value= 0,03); -4,90 unit (P Value=0,004). Kesimpulan didapatkan bahwa tingkat stress dan minuman kemasan menjadi faktor risiko kejadian DM dan secara statistik signifikan; didapatkan konsumsi sayur dan buah secara teratur berpotensi menjadi faktor protektif terhadap kejadian DM dan secara statistik signifikan.
American History through American Sports
Authors: Coombs Danielle Sarver , Batchelor Bob 
Published: September 2024

Filled with insightful analysis and compelling arguments, this book considers the influence of sports on popular culture and spotlights the fascinating ways in which sports culture and American culture intersect.
This collection blends historical and popular culture perspectives in its analysis of the development of sports and sports figures throughout American history.American History through American Sports: From Colonial Lacrosse to Extreme Sportsis unique in that it focuses on how each sport has transformed and influenced society at large, demonstrating how sports and popular culture are intrinsically entwined and the ways they both reflect larger societal transformations.
The essays in the book are wide-ranging, covering topics of interest for sports fans who enjoy the NFL and NASCAR as well as those who like tennis and watching the Olympics. Many topics feature information about specific sports icons and favorite heroes. Additionally, many of the topics' treatments prompt engagement by purposely challenging the reader to either agree or disagree with the author's analysis.
The Great American Mosaic
Authors: Okihiro Gary , Bascom Lionel , Seelye James , Robinson Emily , Compeán Guadalupe 
Published: September 2024

Firsthand sources are brought together to illuminate the diversity of American history in a unique way—by sharing the perspectives of people of color who participated in landmark events.
This invaluable, four-volume compilation is a comprehensive source of documents that give voice to those who comprise the American mosaic, illustrating the experiences of racial and ethnic minorities in the United States. Each volume focuses on a major racial/ethnic group: African Americans, American Indians, Asian Americans and Pacific Islanders, and Latinos. Documents chosen by the editors for their utility and relevance to popular areas of study are organized into chronological periods from historical to contemporary.
The collection includes eyewitness accounts, legislation, speeches, and interviews. Together, they tell the story of America's diverse population and enable readers to explore historical concepts and contexts from multiple viewpoints. Introductions for each volume and primary document provide background and history that help students understand and critique the material. The work also features a useful primary document guide, bibliographies, and indices to aid teachers, librarians, and students in class work and research.
Icons of Women's Sport
Authors: Sagert Kelly Boyer , Overman Steven J. 
Published: September 2024

This collection of fascinating biographies of outstanding women athletes past and present including superstars such as Nadia Comaneci, Mia Hamm, Jackie-Joyner Kersee, Danica Patrick, and Serena and Venus Williams.
Icons of Women's Sportidentifies and examines the individuals who have impacted history, challenged the status quo, influenced sport culture, and garnered wide public interest. Including stars from the past and present, ranging from Babe Didrikson Zaharias and Billie Jean King to Dara Torres and Venus and Serena Williams, the featured athletes are iconic not only because of their achievements in the sports arena, but also because of their contributions to society: advancing cultural diversity and gender equity, breaking class barriers, and transcending stereotypes.
The book contains biographies of 36 women athletes—American and international—who excelled in competitive sports from the post-World War I era through the modern era in a dozen different sports.Icons of Women's Sportspotlights athletes across a wide range of women's sports, with appropriate attention given to the major sports. Readers will enjoy learning about stars from both amateur and professional sports arenas, including Olympic athletes, as well as female competitors who have reached the top of their game in newer arenas such as golf and snowboarding.
Impact of Institutional Pressure on Competitive Advantage: The Mediating Role of Sustainable Supply Chain Management Practices
Authors: Yousaf Shoaib , Fiaz Khawaja Kausar , Ali Shah Tazeem 
Published: September 2024

Purpose: The main purpose of this research is to investigate the impact of institutional pressure on competitive advantage with the mediating role of sustainable supply chain management practices.
Design/Methodology/approach: The current study is quantitative. The survey approach was chosen as the research strategy. The Statistical Package for Social Sciences (SPSS) version 22. The software was applied for Exploratory Factor Analysis (EFA). Analysis of Moment Structures (AMOS) software version 22 was applied for Confirmatory Factor Analysis (CFA). Data was collected from 373 managers in Pakistani manufacturing industries using a structured questionnaire. Targeted individuals working in industries include those dealing with sustainability issues, such as the leather, steel, textile, and rice industries. Completed questionnaires collect primary data. The current study is based on the Resource Based View (RBV) theory.
Findings: This research found that institutional pressure has a significant direct impact on competitive advantage. Further, sustainable supply chain management practices have a substantial direct impact on competitive advantage. Besides, sustainable supply chain management practices mediate the relationship between institutional pressure and competitive advantage. In general, the findings of this study provide substantial support for all of the hypotheses regarding direct and indirect effects.
Practical Implication: This research will help managers and practitioners achieve long-term corporate sustainability, vital firm performance, sustainable competitive advantage, and value creation.
Original/Value: This research attempts to make a significant contribution to the current body of knowledge. The study is novel in terms of understanding the pressures for implementing sustainable supply chain management practices in Pakistan's manufacturing industries. Stakeholders can successfully implement sustainable supply chain management practices in day-to-day operations by understanding the contextual relationships between pressures and sustainable supply chain management practices. This study also adds empirical support to the RBV theory.
A batalha em torno do cais e o peso dos capitais: uma leitura bourdieusiana acerca da disputa dos possíveis destinos (e sentidos) do Cais José Estelita, no Recife.
Authors: Fortes Bernardo 
Published: September 2024

Este artigo reflete sobre a mobilização política em torno do Cais José Estelita, sobretudo nas dificuldades da causa em agregar o engajamento de diferentes classes sociais. Nessa disputa, travada no Recife entre 2012 e 2019, diferentes agentes opuseram visões sobre os possíveis usos do Cais e seus sentidos, buscando impor como mais legítimos seus habitus de classe, que revelam formas específicas de apreciação do terreno. Na cidade, agentes com maior capital econômico pleitearam com outros com maior capital cultural não apenas o destino do Cais, mas a legitimação dos capitais mais importantes, de modo que o Estelita também se constituiu em espaço de disputa de classes e seus respectivos habitus, sendo este um dos possíveis entraves para que o movimento de “intelectuais e artistas” tivesse uma maior diversidade de classe. O sucesso do empreendimento imobiliário sobre seus opositores, por sua vez, deu-se com a apropriação de muitas de suas alegações, isto é, com a domesticação da crítica, que é um dos mecanismos do capitalismo para se justificar e manter.
Penggunaan Alat Peraga Tangga Satuan Berat dengan Metode Demonstrasi untuk Meningkatkan Hasil Belajar Matematika Siswa
Authors: Wartini Yeni , Hidayati Djuita , Afifurrahman Afifurrahman 
Published: September 2024

Penelitian ini dilatarbelakangi oleh masih rendahnya hasil belajar matematika siswa kelas III SDN 26 Cakranegara. Berdasarkan hasil observasi yang peneliti temukan bahwa pada proses pembelajaran guru belum menggunakan alat peraga sebagai penunjang proses pembelajaran khususnya pada materi satuan berat dan masih cenderung menggunakan metode ceramah. Hal ini mengakibatkan siswa kurang tertarik dengan pelajaran matematika yang membuat hasil belajar siswa belum memenuhi Kriteria Ketuntasan Maksimal. Untuk mengatasi masalah tersebut peneliti melakukan perbaikan dengan menggunakan alat peraga tangga satuan berat yang bertujuan untuk meningkatkan hasil belajar siswa pada muatan matematika. Jenis penelitian ini adalah Penelitian Tindakan Kelas yang dilaksanakan di kelas III SDN 26 Cakranegara berjumlah 34 siswa. Prosedur penelitian menggunakan dua siklus: setiap siklus terdiri dari tahap perencanaan, tindakan, observasi dan refleksi. Teknik pengumpulan data menggunakan observasi, tes dan dokumentasi dengan analisis data kuantitatif yang dirincikan melalui metode deskriptif kualitatif. Hasil penelitian ini menunjukkan bahwa penggunaan alat peraga tangga satuan berat dalam pembelajaran matematika kelas III SDN 26 Cakranegara dapat meningkatkan hasil belajar siswa. Hal ini dapat dilihat pada hasil belajar siswa siklus I rata-rata nilai 56,2 dan siklus II mengalami peningkatan rata-rata nilai 70,9 dengan ketuntasan belajar pada siklus I 47% dan pada siklus II mengalami peningkatan menjadi 82%.
ISTINBAT AT TAFSIR
Authors: Wathani Syamsul 
Published: September 2024

Sejarah tafsir memperlihatkan karya tafsir yang memiliki genre fiqhi dengan pola penafsiran yang memainkan analisis istinbat dalam mengeluarkan hukum dari sebuah teks/ayat. Pola pemaknaan seperti ini melahirkan sebuah produk hukum yang menjadi rujukan sebuah madzhab dalam fuqaha’. Al-Jami’ li Ahkam al-Qur’an karya al-Qurtubi adalah tafsir yang memainkan genre ini. Tafsir ini memiliki genre tahlili-fiqhi bermadzhab Maliki. Artikel ini menggabungkan pola analisis penelitian tafsir dan usul alfiqh untuk mengkaji pemikiran al-Qurtubi. Kajian terhadap tafsir al-Qurtubi menghasilkan beberapa kesimpulan, (a) Istinbat at-Tafsir berarti mengkonstruksi paradigma tafsir fiqhi sebagai metode Istinbat dalam memahami dan merumuskan hukum Islam dari sebuah teks/ayat. Istinbat at Tafsir juga bermakna merumuskan metodologi interpretasi yang digunakan mufassir dalam membentuk pemikiran akidah dan amal syariat. (b) Interpretasi sebagai alat istinbat diaplikasikan oleh al-Qurtubi secara baik dalam tafsirnya, ia menggariskan metodologi interpretasi secara sistematis (c) Istinbat at-Tafsir dalam tafsir al-Qurtubi terhadap QS. An-Nisa’: 3menghasilkan kebolehan hukum poligami, ia menggunakan istinbat lafzi pada lafadz fankihu sebagai sebuah kebolehan dan perintah
Problematika Tafsir Sosial Dawam Rahardjo: Kritik Atas Etika dan Metodologi Penafsiran al-Qur`an
Authors: Syafirin Muhammad 
Published: September 2024

Perkembangan kajian al-Qur`an di Indonesia khususnya di era tahun 90-an mengalami pertumbuhan yang signifikan. Hal itu ditandai oleh munculnya beragam tawaran metodologis dari kalangan yang bukan hanya berspesialisasi sebagai mufassir, tetapi juga dari kalangan sarjana non-tafsir. Dawam Rahardjo dengan gagasan baru yang disebutnya sebagai “tafsir tematik sosial” (al-Mauḍū’īyyah al-Ijtimā’iyyah) adalah satu di antara sarjana non-tafsir yang ikut mewarnai dialektika penafsiran al-Qur`an. Tawaran metodologi tematik berbasis analysis of key terms-nya menjadi objek diskursus yang terus diperdebatkan hingga sekarang. Penelitian dalam artikel ini merupakan salah satu kajian kritis yang mencoba mengisi diskursus tersebut. Secara metodologis, penelitian ini adalah penelitian kualitatif yang dioperasionalkan dalam dua pendekatan: Pertama, pendekatan historis (kesejarahan) yang digunakan untuk menganalisis orisinalitas perkembangan (development) pemikiran tafsir Dawam Rahardjo. Kedua, melalui pendekatan kritis dari perspektif ‘ulūm al-Qur’ān, penulis melakukan rethinking dan pembacaan kritis terhadap metodologi penafsiran Dawam Rahadjo, baik dari segi kebaruan, keunggulan maupun kelemahannya. Hasil penelitian ini menunjukkan bahwa, tawaran metodologi tafsir tematik Dawam Rahardjo tidak memiliki perbedaan yang mendasar dengan metode tematik pada umumnya, meskipun beberapa aspek seperti “tafsir historis” dan “tafsir paradigmatis” menjadi kekhasan tersendiri. Akan tetapi, Dawam memiliki beberapa kelemahan. Dari sisi etika tafsir, dia cenderung apatis terhadap “persyaratan formal” yang disepakati mayoritas ulama, sehingga kerapkali mengabaikan prinsip-prinsip dasar di dalam penafsiran. Sementara dari sisi metodologis, gagasannya masih bersifat wacana yang diskursif, belum matang, sehingga tidak jarang ketika menafsirkan, gagasan-gagasannya tidak sejalan dengan toeri yang dikembangkannya, bahkan beberapa aspek pandangannya terkesan distorsif terutama uraiannya tentang genealogi tafsir tematik (mauḍū’ī).