bluuebunny/crossref_metadata_2025_split huggingface dataset:
Medication stewardship in the operating theatre in Malaysia: A quality improvement project
Authors: Yunus Siti Nadzrah , Suhaimi Nur Haryanti Izumi , Ng Ka Ting , Jamal Azmi Ili Syazana , Md Hashim Noorjahan Haneem , Shariffuddin Ina Ismiarti 
Published: September 2024

Background and Aims:
A quality improvement project (‘Safe Anaesthesia for ALL-SEAL’) was implemented to reduce preventable medication errors and drug wastage in the operating theatre (OT) of a tertiary hospital. The primary objective of this quality improvement project was to prevent the incidence of medication errors, and the secondary objective was to reduce the wastage of unused drugs.

Methods:
A pre-intervention questionnaire and an audit survey were performed, and multidirectional interventions were designed post-survey. A post-intervention survey was conducted to evaluate effectiveness. The incidence of medication errors, including near misses, was assessed for root causes. Unused drugs drawn or diluted in syringes were recorded daily in each OT. The weekly drug orders and mid-week reordering frequency were also monitored. The data were reported as simple means and percentages.

Results:
Ninety-eight anaesthesia care providers participated in the survey (72.4% doctors and 27.6% anaesthetic nurses). Pre-intervention, 76.1% of respondents had experienced medication errors during their practice. Common errors included misidentification of ampoules or vials (65.2%), miscalculation of dosages (65.2%), improper syringe labelling (56.5%), accidental drug omission (54.3%) and wrong prescriptions (39.1%). The main sources of errors were fatigue/overwork (80.4%) and a hectic OT environment (71.7%). Post-intervention, no incidents of medication errors were reported. In addition, there was a significant reduction in drug wastage.

Conclusions:
The SEAL project positively prevented medication errors and reduced drug wastage, which should be further validated in other clinical settings.
Bridging the pain gap after cancer surgery – Evaluating the feasibility of transitional pain service to prevent persistent postsurgical pain – A systematic review and meta-analysis
Authors: Thota Raghu S. , Ramkiran S , Jayant Aveek , Kumar Koilada Shiv , Wajekar Anjana , Iyer Sadasivan , Ashwini M 
Published: September 2024

Background and Aims:
The lack of a dedicated pain service catering to the postsurgical period has resulted in the origination of the pain–period gap. This has led to a resurgence of transitional pain service (TPS). Our objective was to evaluate the feasibility of TPS in pain practice among postsurgical cancer patients and its prevention of persistent postsurgical pain (PPSP), culminating in chronic pain catastrophising.

Methods:
The protocol for this meta-analysis was registered in the International Prospective Register of Systematic Reviews (ID: CRD42023407190). This systematic review included articles involving all adult cancer patients undergoing cancer-related surgery experiencing pain, involving pharmacological, non-pharmacological and interventional pain modalities after an initial systematic pain assessment by pain care providers across diverse clinical specialities, targeting multimodal integrative pain management. Meta-analysis with meta-regression was conducted to analyse the feasibility of TPS with individual subgroup analysis and its relation to pain-related patient outcomes.

Results:
Three hundred seventy-four articles were evaluated, of which 14 manuscripts were included in the meta-analysis. The lack of randomised controlled trials evaluating the efficacy of TPS in preventing PPSP and pain catastrophising led to the analysis of its feasibility by meta-regression. The estimate among study variances τ2 was determined and carried out along with multivariate subgroup analysis. A regression coefficient was attained to establish the correlation between the feasibility of TPS and its patient outcome measures and opioid-sparing.

Conclusion:
TPS interventions carried out by multidisciplinary teams incorporating bio-physical-psychological pain interventions have resulted in its successful implementation with improved pain-related patient outcomes mitigating the occurrence of PPSP.
Does the resistive index of the radial artery change after arterial cannulation in patients undergoing abdominal surgery? A prospective observational study
Authors: Kumar Lakshmi , Subramaniam Rajasri , Kartha P Anandajith , Thomas Dimple E. , Patel Sunil , Kartha Niveditha 
Published: September 2024

Background and Aims:
To evaluate the flow at the cannulation site in the radial artery, the resistive indices (RIs) before cannula insertion and 6 h after decannulation were measured (primary outcome). The secondary outcomes were measurement of the artery size by anteroposterior (AP) diameter at the insertion site, RI and AP diameter at a point 4 cm proximal and in the ipsilateral ulnar artery before insertion and 6 h after cannula removal.

Methods:
In 96 patients requiring an arterial line during surgery, peak systolic velocity (PSV) and end-diastolic velocity (EDV) were measured to derive RI using a linear ultrasound transducer. The RI was measured at R1 (insertion point), R2, 4 cm proximal to R1, and U1 on the ipsilateral ulnar artery. The AP diameter of the arteries at baseline R10, R20 and U10 was measured and repeated 6 h after removal of the cannula, R16, R26 and U16.

Results:
RI or AP diameter in R1 or R2 did not differ pre- and post-cannulation. Mean R10 1.143 [standard deviation (SD: 0.239)] versus R16 1.181 (SD: 0.260) m/sec [mean difference (MD): -0.0372 (95% confidence interval (CI): -0.098, 0.023), P = 0.230]. Mean AP diameter at baseline versus 6 h decannulation 0.177 (SD: 0.042) versus 0.172 (SD: 0.045) cm [MD: 0.005 (95% CI: 0.003, 0.013), P = 0.222] was also similar. The mean PSV in U10 versus U16 was higher: 0.480 (SD: 0.178) versus 0.528 (SD: 0.316) m/sec [MD: 0.120 (95% CI: -0.185, -0.054), P = 0.002] and AP diameter was also higher than baseline (P = 0.001).

Conclusion:
The flow in the radial artery did not change following cannulation. The PSV and AP diameter in the ulnar artery increased after decannulation, suggesting a compensatory increase in flow.
Thoracic spinal anaesthesia – An effective alternative to general anaesthesia in breast surgeries: A randomised, non-blinded study
Authors: Karthik G S , Srinivasan Rangalakshmi , Sudheer R , Amabareesha M , Monisha T S , Kumar M Dilip 
Published: September 2024

Background and Aims:
General anaesthesia (GA) is the preferred modality for breast surgeries; however, neuraxial anaesthesia can be performed in cases where GA poses a significant risk. We hypothesise that neuraxial blockade is a safe and effective alternative to GA in short-duration breast surgeries.

Methods:
This randomised study included 30 patients of the American Society of Anesthesiologists physical status I and II, who were scheduled for elective breast surgeries of a duration of less than 90 min. Group I received thoracic spinal anaesthesia, while in Group II, standardised GA was administered. The primary outcome was the time to the first rescue analgesic, and the secondary outcomes were time to recovery, patient satisfaction and the cost incurred.

Results:
The demographic characteristics of both groups were comparable (P > 0.05). The time to first rescue analgesic in Group I was more than in Group II (P = 0.001). Patient satisfaction score was superior in Group I compared to Group II (P = 0.002). The average cost was lower in Group I compared to Group II (P = 0.002). Recovery was quicker in Group I than in Group II (P = 0.001). There were no significant haemodynamic disturbances or major complications in either group.

Conclusion:
Thoracic spinal anaesthesia is an excellent alternative to GA in terms of analgesic efficacy, patient satisfaction, recovery and cost-effectiveness for short-duration breast surgeries.
False Alarms: The Intriguing Cases of Granulomatous Mastitis Mimicking Malignancy along with Review of the Literature
Authors: Dogra Natasha , Singh Bhanu Pratap , Pal Seerat , Dwivedi Surjeet Kumar , Tilak Deepti , Pothedar Jayanth 
Published: September 2024

Abstract

Background:
Granulomatous mastitis is a rare and challenging condition that can mimic malignancy in the breast. This condition often presents with clinical and radiological features that overlap with those of breast cancer, making it difficult to differentiate between the two based solely on clinical assessment.

Aims and Objective:
The objective of this study is to highlight the diagnostic dilemmas, the clinico-pathological profile of such cases and what enables a correct diagnosis in such cases.

Materials and Methods:
A retrospective study of 5 patients with histologically proven granulomatous mastitis attending OPD/IPD at a tertiary care center in south India during a period of 18 months from Jan 2022 – Jul 23. We present five cases of granulomatous mastitis highlighting the inconsistency of the clinical, imaging and initial biopsy findings, briefly review the relevant literature and discuss the challenges associated with its diagnosis.

Results and Conclusion:
This study highlights the importance of awareness of granulomatous mastitis and its clinicopathological characterstics. The study also emphasizes that a multidisciplinary approach involving Surgeons, radiologists, pathologists, and medical oncologists is crucial to accurately diagnose and manage this condition. Review of literature revealed few studies highlighting the clinic-radiological and histopathological profile of such cases of granulomatous mastitis mimicking malignancy however such studies are far less and encompass only isolated single case reports or occasional series of 2-3 cases. To our knowledge this is one of the largest case series with 5 cases highlighting the clinicopathological details and the diagnostic dilemmas.
Building Bridges: Catalyzing Institutional Change at Utah State University via Experiential Learning with Ute and Navajo Students
Authors: Soyer Mehmet , Yigit Mehmet Fatih , Gonzalez-Dogan Shyla , Ovando-Montejo Gustavo A , Ahmad Saeed , Chapoose TiSean 
Published: September 2024

This article presents the development, implementation, and impact of a cultural competence course initiated by the Mentoring and Encouraging Academic Success (MESAS) Program at Utah State University (USU). The MESAS Program supports American Indian, Alaska Native, and Native Hawaiian students through various initiatives, including the Faculty Advocate initiative, talking circles, the Indigenous Knowledge Symposium, and the Native American Living/Learning Community. Under MESAS, the cultural competence course aims to enhance appreciation among faculty, staff, and non-Indigenous students for the contributions of Native American and other underrepresented groups, while addressing institutional barriers to their academic success and social well-being. The course has been adapted for faculty, staff, and graduate students involved in roles such as summer research mentoring and emphasizing the importance of cultural sensitivity in creating a supportive environment for Native American students, particularly those transitioning between campuses. The article also highlights a case study of a USU professor who applied the course's teachings in interactions with students from the Ute Tribe and Navajo Nation, illustrating the practical application of Culturally Responsive Teaching practices and the Funds of Knowledge framework. Overall, the study highlights the course's positive impact on fostering inclusive teaching practices and deepening relationships with Native American students. The findings contribute to the broader discourse on integrating cultural competence in higher education to enhance the experiences of underrepresented student populations.
Potential of Eco-enzyme Averrhoa bilimbi L. Fruit as an Innovation in Tempeh Wastewater Treatment in Plaju District, South Sumatra
Authors: Soleha Siti , Maretha Delima Engga , Saputra Andi 
Published: September 2024

Tempeh home industries have been established in residential areas, one of which is in the assisted village of PT Pertamina Internasional RU III Plaju Factory, Palembang, South Sumatra. Eco-enzyme is one of the methods for processing and reducing pollutant organic matter in liquid waste. This study aims to determine the eco-enzyme characteristics of Averrhoa bilimbi L. fruit and exploit its potential to reduce chemical oxygen demand (COD), total suspended solid (TSS), and total dissolved solid (TDS) in tempeh wastewater. Eco-enzymes are characterized by measuring pH, COD, TSS, TDS, and most probable number (MPN). The reduction in COD, TSS and TDS of tempeh wastewater was observed using a simple bioreactor which was treated with the addition of 10% eco-enzyme (three replicates) and without the addition of eco-enzyme (control). The characterization results showed that the eco-enzyme of A. bilimbi L. fruit had a pH of 1.84, COD of 85.33 mg/L, TSS of 440 mg/L, TDS of 15,800 mg/L, protein concentration of 0.459 U/mg, and MPN value of 0.03 CFU/100 mL. The COD value of tempeh liquid waste can be reduced from the initial COD of 256 to 154.67 mg/L. The TSS value of tempeh wastewater decreased by 60% from the initial value of 4,000 mg/L. It takes 18 days to reduce the TSS content below the quality standard. The TDS value of tempeh liquid waste can be reduced by 70% from the initial TDS of 7,333.33 to 1,666.67 mg/L.
Penyelenggaraan Program Unggulan Teknologi Informasi di MAN 1 Malang
Authors: Hastriana Umniyatis Sholiha 
Published: September 2024

Penguasaan terhadap teknologi komputer adalah tuntutan dunia maju yang persebarannya telah menyentuh ke seluruh lini termasuk pendidikan. Diantara alasan atau latar belakang pengadaan program ini adalah (1) banyaknya lulusan tidak melanjutkan pendidikan ke jenjang berikutnya; (2) siswa agar mendapatkan keterampilan praktis, dan keterampilan teknis bidang komputer yang siap pakai; (3) perlunya sebuah penghargaan keterampilan –sertifikasi- di bidang komputer; dan (4) tuntutan dunia industri dan dunia usaha. Penelitian menggunakan metode qualitatif pendekatan fenomenologi. Teknik analisis data yang digunakan adalah observasi dan wawancara. Hasil penelitian menunjukkan mekanisme pelaksanaan program adalah (1) mata pelajaran tetap memenuhi standar dan tidak mengganggu pada mata ajar yang lain pembelajaran materi selama satu tahun di program diploma, akan dimasukkan kedalam pembelajaran selama tiga tahun di Aliyah; (2) waktu program diploma bersamaan dengan pembelajaran reguler lainnya di Aliyah adalah selama 2,5 tahun -punya sertifikat keahlian-; (3) pelaksanaan magang dijadwalkan pada saat liburan panjang selama satu minggu dengan penempatan ditentukan Madrasah; (4) tenaga pengajar khusus program diploma ini dari FKK SDI ITS dan selebihnya dari guru MAN Malang 1 yang telah lulus sertifikasi dari ITS.
Manajemen Sarak Opat dalam Pembinaan Akhlak Remaja (Study Deskriptif di Kampung Simpang Balek Kecamatan Wih Pesam)
Authors: Husaini Husaini , Musdalifah Musdalifah 
Published: September 2024

Penelitian ini bertujuan untuk mengetahui perencanaan, pelaksanaan dan evaluasi, Sarak Opat dalam pembinaan akhlak remaja di Kampung Simpang Balik Kecamatan Wih Pesam. Penelitian ini menggunakan metode deskriptif jenis field research dengan pendekatan kualitatif yaitu mengambarkan fenomena fenomena yang terjadi. Hasil penelitian adalah perencanaan Perencanaan program dilakukan oleh pihak pemerintah kampung dibantu oleh masyarakat seperti (a) melibatkan remaja disetiap kegiatan keagamaan; (b) membentuk tim olahraga serta mempasilitasinya; (c) membentuk remaja masjid, (d) melibatkan remaja pada kegiatan bakti sosial. Imam biasanya hanya memberikan pembinaan, masukan terhadap remaja. Perencanaan program ditangani oleh tokoh masyarakat pelatih sesuai dengan kemampuan dan keahlian masing-masing. Pelaksanaan Sarak Opat dalam Pembinaan Akhlak Remaja di Kampung Simpang Balik Kecamatan Wih Pesam dengan cara: (a) mengikut sertakan remaja pada kegiatan keagamaan yang dilaksanakan pada malam hari di Masjid. Program ini disebut dengan pengajian lepas magrib; (b) membentuk serta mempasilitasi kegiatan olahraga, jegiatan ini juga dilakukan pada malam hari, karena pada siang hari remaja memiliki kegiatan masing-masing; (c) membentuk dan mengadakan pengajian remaja masjid, (d) melibatkan remaja pada kegiatan bakti sosial, salah satunya diterapkan pada hari-hari tertentu seperti Jum’at bersih. Kegiatan ini diharapkan agar generasi mudah dapat mandiri berdasarkan bidang keahlian dan bakat yang dimilikinya dapat tersalurkan dengan baik. Evaluasi Sarak Opat dalam pembinaan akhlak remaja di Kampung Simpang Balik Kecamatan Wih Pesam yaitu evaluasi keagamaan dilakukan oleh imam dan tokoh masyarakat setiap satu bulan sekali, sedangkan evaluasi pembinaan olahraga dilakukan oleh pemuda dan pemudi setelah hasil musyawarah.
Concept Formation Teaching Model: A Correlational Study of Concept Development
Authors: Ullah Irshad , Minaz Maksal , Shahzad Saqib 
Published: September 2024

A concept is an idea. It helps to classify things in mind. Concepts are one of the key parts of the teaching-learning process. These are always related to learner academic success. Academic success always depends on a student’s clear concept. The study objective was to find the relationship between the concept formation teaching model and students’ academic success. An experimental study was conducted for a period of two months to determine the effect of this model on the academic success of the students. The study was concluded that students who instructed by this model scored significantly high than the students who instructed by a conventional way of teaching. A retention test was also taken for the purpose of knowing the students’ retention levels. The study results of retention test showed that students retain their concepts for a longer period of time with accuracy. Removal of misconception and strengthening of precise and accurate concepts is only possible when teaching is based on conceptual learning. To substitute the procedural learning from conceptual learning, this model is helpful and proved to be significant in teaching-learning process. It is recommended to use this model to form and develop concepts.
Interpreting in NZ: research on training and practice
Authors: Guo Christal , Jannink Tineke 
Published: September 2024

The population of New Zealand is now highly linguistically diverse, yet we have a relatively under-developed professional infrastructure for interpreting services which are critical to equitable access to society. In these two short talks by doctoral candidates, we will hear about their research into aspects of interpreter training and court interpreting practices in New Zealand. Interpreter Training Programs: Participants’ Motivations, Expectations and Learning ChallengesChristal’s PhD study evaluates two interpreter training programmes in Aotearoa New Zealand—one offered in-house by an interpreting service provider and the other by a university. In this presentation she will present findings on learners’ motivations and expectations for undertaking the training, as well as the challenges they face in their learning experiencesInterpreting mode in New Zealand criminal courts: Judges', lawyers' and interpreters' views This presentation will focus on the preliminary findings of the first study of Tineke's PhD; interviews with practising judges, lawyers and interpreters, which is part of her larger doctoral study which investigates the potential impacts of the correspondence and/or gaps between the current guidelines, academic literature and practice, particularly in regard to interpreting modes (simultaneous vs. consecutive) being used in criminal trials.
Strategies of entering the labour market by secondary vocational education graduates: sociological analysis
Authors: Ломтева Е.В. , Логинов Д.М. , Янковская М.А. 
Published: September 2024

Введение. Выпускники образовательных организаций СПО сталкиваются с рядом трудностей при выходе на рынок труда. Среди основных причин – отсутствие практического опыта, неразвитость системы взаимодействия образовательных организаций с работодателями, несоответствие желаемого уровня заработной платы реальному. Цель. Анализ стратегий выхода студентов профессиональных образовательных организаций на рынок труда с учетом региональной специфики и ресурсной обеспеченности семей. Методы. В основе анализа – социологическое исследование, проведенное Центром экономики непрерывного образования РАНХиГС весной 2023 года среди 1098 учащихся выпускных курсов образовательных организаций СПО трех регионов – Свердловской, Волгоградской и Ивановской областей. Регионы отбирались с учетом географического положения и места в рейтинге социально-экономического положения регионов. Результаты. Исследованы планы обучающихся профессиональных образовательных организаций (ПОО) после получения диплома, а также роль ПОО в содействии занятости молодежи. Научная новизна. Представлены прожективные модели трудоустройства выпускников СПО. Практическая значимость. Результаты исследования могут быть полезны при разработке управленческих и организационных решений, направленных на совершенствование молодежной политики в сфере занятости, а также для совершенствования методов профориентационной работы среди учащейся молодежи.
Introduction. Graduates of secondary vocational education institutions face a number of difficulties when entering the labour market. Among the main reasons are the lack of practical experience, the underdevelopment of the system of interaction between educational organisations and employers, and the discrepancy between the desired salary level and the real one. Aim. Analysis of strategies for students of professional educational organisations to enter the labour market, taking into account regional specifics and resource security of families. Methods. The leading method was a sociological study conducted by the Centre for Economics of Lifelong Learning of the RANEPA in the spring of 2023 among 1,098 senior year students of secondary vocational education organisations. The survey was conducted in three regions – Sverdlovsk, Volgograd and Ivanovo regions. The regions were selected taking into account their geographical location and place in the ranking of the socio-economic situation of the regions. Results. The result of the study was the analysis of graduates’ ideas about employment prospects, as well as the role of colleges in promoting youth employment. Scientific novelty. The projective models of employment of secondary vocational education graduates are presented. Practical significance. The obtained research results can be used for the development of managerial and organisational decisions aimed at improving the state youth policy in the field of employment. The findings of the study may be of interest for improving the methods of career guidance among students