bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparison of dexmedetomidine versus nalbuphine in ketamine based procedural sedation for pediatric cathlab procedures: A prospective double blinded randomized trial
Authors: Sharma Karuna , Bhiwal Anil Kumar , Patel Pooja Mitkumar , Meena Pinki , Chhabra Alka 
Published: August 2024

: The aim of the current study was to compare the effects of nalbuphine and dexmedetomidine as premedication sedative agent for ketamine based deep sedation on hemodynamics, sedation level and need for additional boluses of ketamine, and recovery time in pediatric patients undergoing various cardiac catheterization procedure.: Sixty pediatric patients undergoing cardiac catheterization were enrolled in the current study. Patients were randomly distributed to two equal groups of 30 patients each: Group D and Group N. Patients randomized to Group D received a bolus of dexmedetomidine at 1 μg/kg over 10 min and Group N received a bolus of nalbuphine 0.1 mg/kg over 10min. In both the groups patients were induced with Inj ketamine 2mg/kg. After induction dose inj ketamine 0.5mg/kg boluses were given to achieve and maintain the target Ramsay Sedation Score (RSS)≥ 4. Mean arterial pressure (MAP), heart rate (HR), peripheral oxygen saturation (SPO2), and sedation scores were recorded. Recovery time, perioperative adverse events, and total ketamine consumption required for anesthesia maintenance were also recorded.: There was significant decreased in HR from baseline in group D at 10, 20, and 30min of the procedure with no significant difference as regards the MAP between the two study groups. Ketamine consumption in group N was significantly lower than in group D to maintain RSS in desired range. The recovery time was significantly shorter in group N when compared with group D. Respiratory variables were maintained in both the groups with two patients reported airway obstruction which was partial. No significant difference was found in intra and postoperative adverse effect between the groups. : The nalbuphine was found to be superior to dexmedetomidine as a premedication sedation for pediatric cathlab procedure in terms of reduced consumption of ketamine for adequate intraoperative sedation to conduct the procedure with better hemodynamic control and the shorter recovery time.
An observational study to compare the efficacy of intravenous dexmedetomidine versus intravenous esmolol for attenuation of pressor response during laryngoscopy and endotracheal intubation
Authors: Ghetiya Sujay B , Shah Pooja Arpan , Tailor Richa Mukeshbhai , Thomas Sara Mary 
Published: August 2024

Laryngoscopy and endotracheal intubation during general anaesthesia is an invasive stimulus associated with release of circulating catecholamine leading to hemodynamic and cardiovascular responses resulting in tachycardia, hypertension and arrhythmias. Many prophylactic drugs have been used to decrease cardiovascular response to laryngoscopy & intubation. Aim of this study is to compare effectiveness of Dexmedetomidine 1μg/kg and Esmolol 1 mg/kg intravenously in attenuating cardiovascular response during laryngoscopy and intubation during general anaesthesia.This randomised double blinded prospective study was conducted on 50 patients, of either gender between age group 18-60 years and American Society of Anaesthesiology (ASA) classification I & II, undergoing various surgeries under General anaesthesia requiring intubation. Patients were randomly divided into 2 groups of 25 patients each. Group D patients received intravenously Inj. Dexmedetomidine 1 mcg/kg as an infusion in 100ml Normal Saline over 20 minutes before induction of general anaesthesia. Group E patients received intravenously Inj. Esmolol 1 mg/kg diluted with normal saline to volume of 10ml given just before induction of general anaesthesia.Hemodynamic parameters such as Heart rate (HR),systolic blood pressure (SBP),diastolic blood pressure (DBP) and mean arterial pressure (MAP) were recorded at baseline, after study drug administration, after induction, at laryngoscopy and intubation and 1, 3, 5 and 7 min after Endotracheal intubation.: Comparison of two groups reveals that dexmedetomidine shows less rise in heart rate (P-0.0003) and mean arterial pressure (P-0.0106) at the laryngoscopy and intubation. It also shows less rise in systolic and diastolic blood pressure after induction and after intubation (P&#60; 0.05) than Esmolol. This study suggests that Dexmedetomidine 1µg/kg was more effective in attenuating the stress response to laryngoscopy and intubation as compared to Esmolol 1mg/kg.
Preoperative chewing gum versus pericardial p6 point acupressure for attenuation of postoperative nausea and vomiting in patients undergoing laparoscopic cholecystectomy – A comparative evaluation
Authors: Mehrotra Shreesh , Ahuja Chirag , Asthana Veena , Dhasmana Dilip Chander 
Published: August 2024

: Preoperative use of non-pharmacological agents like chewing gum and acupressure at Pericardial p6 point in prevention on postoperative nausea and vomiting in patients posted for laparascopic cholecystectomy under general anaesthesia. The primary objective of the study was to compare the efficacy of preoperative chewing gum and pericardial P6 acupressure point application in reduction of postoperative nausea and vomiting. Secondary objective was to assess the anxiety and satisfaction scores of the patients in the study. In this Quasi experimental study,3 groups of 62 patients each, with intact mental status in the age group of 18-60 years of either gender posted for laparoscopic cholecystectomy under general anaesthesia, after obtaining written informed consent were included in the study.Group 1 patients received standard treatment, group 2 patients received standard treatment plus Wrigley’s extra sugar free chewing gum, group 3 patients received standard treatment plus bilateral p6 point acupressure by pressure right drug free single use pressure sensitive wrist strip." Patients were assessed for anxiety in preoperative period, before and after the intervention. In postoperative period patients were assessed for nausea and vomiting, requirement of rescue antiemetic and patient satisfaction.The Chi-square test or Fischer’s exact test, as applicable was employed to compare the postoperative incidence of nausea and vomiting.Highly significant decrease in Amsterdam anxiety score in chewing gum group (p&#60;0.001), followed by significant decrease in acupressure group (p=0.005). No significant change in nausea in all the groups, but in context of vomiting, both chewing gum and acupressure showed significant decrease in number of episodes in first 6 hrs (p=0.013). For rescue antiemetics in nausea, there was no significant variance in usage among the groups. However, for vomiting, a substantial decrease was found. Group 2 required significantly less (p=0.001) amount of antiemetics followed by group 3.The patients in the chewing gum group scored more in the satisfaction scoring index and this was found to be statistically significant (p = 0.010). Bothchewing gum and acupressure reduced nausea and vomiting and the need for rescue antiemetics. However, chewing gum proved to be better among the two.
Parasacral ischial plane block for lower limb surgeries: A case series
Authors: Pandya Parth , Shah Sudha , Bharad Yatin 
Published: August 2024

The para-sacral ischial plane block (PIP block) is a novel fascial plane approach targeting the sacral plexus. This technique simplifies the process as direct visualization of the sacral plexus or sciatic nerve is unnecessary. This retrospective case series includes ten patients with American Society of Anesthesiologists (ASA) physical status II-IV, aged over 18 years, undergoing elective or emergency lower limb surgeries such as debridement and below-knee amputation between May 2023 and November 2023. The block was performed in ≤ 6 minutes for all patients. Onset of subjective analgesia was almost immediate in those presenting with pain. Sensory loss occurred within 9 to 12 minutes. Motor block in the sciatic nerve distribution did not reach Grade 2 in any patient. Hemodynamic stability was notably maintained in all high-risk cases. Intraoperative supplementation with ketamine was required for one patient. The PIP block is a quick, easy-to-perform technique that offers satisfactory surgical conditions and hemodynamic stability in high-risk patients undergoing lower limb surgeries. It also provides prolonged postoperative analgesia and early resumption of oral intake with minimal procedural discomfort.
The Review Article: Ethiopian Coffee Production Trend Analysis: Comparison with Major Coffee Producing Countries of The World
Authors: Asfaw Efrem 
Published: August 2024

Ethiopia is believed to be the birth place of Arabica coffee and coffee takes a lion share in Ethiopian economy and socio-economic development since it is a prime export commodity in the country. Cognizant of its importance, Ethiopian government made key development plan and strategies to increase coffee production and productivity. As a result, many efforts were made in coffee research and extension in the last five decades; but so far Ethiopia has not attained to fully capitalize its potential in the coffee sector and there is no information on change over years of production and productivity of coffee. FAOSTAT and International Coffee Organization data were used and analyzed by descriptive statistics. Descriptive results depicted that even if coffee productivity is not significantly increased in the last decades, coffee production increased from around 180,000 metric ton in 1993 to 487,808.44 metric ton in 2021. However, still Ethiopia left behind in coffee production as compared to the major world coffee producing countries and its contribution to global coffee production is less than 5% over several years. To change and improve the historical growth trend of coffee production and productivity, it is the responsibility of all stakeholders to support coffee producers to use full package of recommended production technologies and to stump old coffee trees and work on soil and water conservation practices.
Citizens’ Perception on Livability in Indian Metropolitan Cities
Authors: Bharat Asheeta , Chadchan Jayprakash 
Published: August 2024

Background:Livability is a complex and multifaceted concept, but is important in creating places where people can thrive. Investing in the factors contributing to livability can create more attractive, sustainable, and equitable communities. Livability is important for several reasons. It can affect people’s health, well-being, and productivity. It can also influence whether people live in a particular place and whether businesses are willing to invest there.Methods:A survey was conducted to review the top livable cities of India as per the Global Livability Index parameters such as sociocultural, environmental, healthcare, education, and infrastructure aspects. A mixed method approach, having both qualitative and quantitative analyses, was adopted for the survey. The targeted sample size was 100 people, covering stakeholders from around the campus.Findings:As an outcome of the survey analysis, the most livable cities were categorized.Conclusion:In conclusion, policy narratives and frameworks are outlined emphasizing the need and the importance of citizens’ participation in assessing the quality of life across Indian metropolitan cities.
ADOLESCENT MARRIAGES AND RISK OF STUNTING IN CHILDREN UNDER FIVE YEARS IN INDONESIA
Authors: Simbolon Demsa , Riastuti Frensi 
Published: August 2024

Introduction. The 2018 Basic Health Research Report recorded that 58.8% of women aged 10-19 years had been pregnant and 25.2% were pregnant. Aims: The study aimed to determine the relationship between adolescent marriage and the risk of stunting in Indonesia. Method. This research used Indonesian Family Life Survey (IFLS) 2014 data with a cross-sectional approach. The study sample was 4,809 children who met the inclusion criteria, such as biological children, live births, children aged 1-5 years in the 2014 IFLS, children living with biological parents, complete data on the child's length or height, data on the characteristics of the child, mother, and family, the child does not have a disease. Independent variable is the age of the mother at marriage. The dependent variable is the incidence of stunting. Bivariate analysis used the Chi-Square test and multivariate analysis used logistic regression. Result. The risk of stunting in children under five years in Indonesia in 2014 was 36.6%. The risk of stunting is higher in children under five years of married mothers in adolescence (42.4%) compared to mothers who are married at an old age (35%). Adolescent marriage is associated with the risk of stunting in children under five years, married adolescents have a 1.2 times risk of stunting compared to mothers who are married at an older age (p-value 0.046). Conclusion. Adolescent marriage increases the risk of stunting. Cross-sectoral integrated interventions are needed to implement the marriage age maturity program to prevent adolescent marriages to reduce the risk of stunting
STUNTING REDUCTION STRATEGY IN INDONESIA: MATERNAL KNOWLEDGE ASPECTS
Authors: Putri Prima Maharani , Shafira Aqilla Shafa , Mahardhika Gembong Satria 
Published: August 2024

Introduction: Based on an Indonesian Ministry of Health report, the incidence of stunting has decreased from 24.4% in 2021 to 21.6% in 2022. Reducing stunting rates in children is a global nutrition target in 2025. One of the causes of nutritional problems in children is inadequate intake of nutrients according to their nutritional needs. Based on the above explanation, maternal nutritional knowledge and the government’s role are essential in reducing stunting in Indonesia. Aim: The research investigation was aimed at investigating the level of maternal nutritional awareness as well as the government's participation in reducing stunting in children under the age of five. Methods: This quantitative study was an analytical observational design using a cross-sectional study approach. The samples were mothers of children under five carried out using non-probability purposive sampling, while respondents for the stunting intervention program provider used the snowball sampling technique. Data collection was conducted in locations with high prevalence of stunting, comprising two distinct groups of participants. Result: The statistical result using chi-square shows a significant correlation between maternal nutritional knowledge and the government’s role in reducing stunting in children under five, with a p-value (0.000) < α (0.05) and p-value (0.008) < α (0.05). Conclusion: There is a relationship between the level of nutritional knowledge of mothers under five and the role of the government in the incidence of stunting. There is a need for further and multidisciplinary management in stunting cases, especially in Indonesia.
PENCEGAHAN ANEMIA PADA REMAJA PUTRI DENGAN PEMBERIAN PIL CANTIK MERAH UNTUK MENCEGAH STUNTING
Authors: Rahmanindar Nora , Maulida Iroma , Qudriani Meyliya , Arti Tias Dwi , Zulfiana Evi , Hidayah Seventina Nurul 
Published: August 2024

Pada periode remaja (10-19 tahun), prevalensi anemia di negara berkembang adalah 27% dan 6% di negara maju, prevalensi anemia remaja di tingkat nasional sebesar 18,4%. Prevalensi anemia pada wanita usia reproduksi adalah 29,4%.Prevalensi anemia pada wanita usia reproduksi adalah 29,4%. Pemberian suplemen zat besi akan meningkatkan haemoglobin darah, Sekitar 50% dari anemia pada wanita bisa dihilangkan dengan suplementasi zat besi secara global. Anemia adalah berkurangnya haemoglobin (Hb) dalam darah. Hb adalah komponen di dalam sel darah merah (eritrosit) yang berfungsi menyalurkan oksigen ke seluruh tubuh. Jika Hb berkurang, jaringan tubuh kekurangan oksigen. Oksigen diperlukan tubuh untuk bahan bakar proses metabolisme. Pelaksanaaan pengabdian pada tanggal 25 Mei 2022 di SMAN 5 Kota Tegal dengan jumlah 40 orang remaja putri, dengan memberikan pendidikan kesehatan mengenai pencegahan anemia dengan cara ceramah secara lisan. Penanganan anemia salah satunya dengan program pemberian tablet tambah darah pada remaja putri. Tujuan dari pengabdian ini adalah Meningkatkan pengetahuan dan pemahaman remaja tentang Anemia, meningkatkan pengetahuan dan pemahaman remaja putri tentang dampak anemia, meningkatkan pengetahuan dan pemahaman remaja putri tentang cara meminum tablet tambah darah, meningkatkan pengetahuan dan pemahaman remaja putri tentanggizi pada remaja, meningkatkan pengetahuan dan pemahaman remaja putri tentang stunting. Pemberian pil cantik merah/ tablet tambah darah kepada remaja putri siswi SMA dinilai efektif dalam menurunkan dan mencegah terjadinya anemia. Dengan mengkonsumsi pil cantik, remaja putri akan memiliki wajah yang segar, tidak pucat, tidak mudah mengantuk dan berdaya konsentrasi tinggi. Selain itu, pil cantik yang dikonsumsi secara rutin dapat membantu mempersiapkan kondisi tubuh prima yang kelak senantiasa sehat saat hamil maupun melahirkan.
Perancangan Aplikasi Sistem Penilaian Kinerja Karyawan Metode TOPSIS Berbasis Website
Authors: Ardiansyah Fatur Rachman 
Published: August 2024

Perkembangan teknologi berkembang sejalan dengan berjalannya waktu. Perkembangan teknologi semakin mempengaruhi setiap bagian kehidupan manusia mengikuti perkembangan zaman. Barbagai macam teknologi yang berkembang pada dunia kerja sangat beragam. Mulai dari sistem yang ringan hingga sistem yang rumit. Dalam lingkup kerja saat ini, banyak aspek yang nyatanya belum tersentuh oleh kemajuan teknologi. Mulai dari bidang rekrutmen, pengembangan, perbaikan, bahkan evaluasi pun juga tidak luput dari sentuhan teknologi. Dalam bidang pengembangan tentu saja berbagai macam model pengembangan baik individu maupun organisasi juga dituntut bisa penggunaan teknologi. Dalam hal perbaikan tentu saja sangat lekat kaitannya dengan penggunaan teknologi. Sedangkan penelitian ini nantinya akan berfokus pada bidang evaluasi kerja yang mana nyatanya juga tersentuh oleh teknologi. Pada PT Sanjayatama Lestari, penilaian karyawan masih menggunakan cara manual dengan melakukan penilaian oleh supervisor dilapangan. Setelah itu supervisor akan ditanyai secara lisan dan dimasukkan pada data berupa catatan atau pada file aplikasi pengolah kata maupun angka. Penilaian yang disampaikan pada perusahaan dimana penilaian bisa saja bersifat objektif dan tidak transparan. Nantinya fokus masalah yang diambil dalam perancangan ini nantinya adalah merancang sistem penunjang keputusan untuk penilaian karyawan pada karyawan PT. Sanjayatama Lestari Surabaya. Metode yang digunakan untuk membuat aplikasi menggunakan metode waterfall. Untuk memudahkan pengguna dan menyesuaikan dengan perangkat maka digunakan bahasa pemrograman berbasis web. Dengan adanya rancangan aplikasi ini diharapkan akan memudahkan pengguna dan memiliki data yang valid serta menghindarkan transparansi dalam penilaian karyawan.
BOARD STRUCTURE AND ISLAMIC BANK STABILITY: A STANDALONE RISK COMMITTEE MODERATING EFFECT
Authors: Umar Umar Habibu , Abduh Muhamad , Besar Mohd Hairul Azrin , Kurawa Junaidu Muhammad 
Published: August 2024

This study investigates the impact of board attributes on the stability of Islamic banks and whether the presence a standalone risk management committee (SARC) moderates their relation. Applying the feasible generalized least squares (FGLS) regression as well as the two-step system generalized method of moments (GMM) estimator for robustness to a panel sample of 43 Islamic banks across 15 countries over eleven years from 2010 to 2020, we document evidence suggesting that board meetings, board gender diversity and foreign directors do not influence the stability of Islamic banks. Conversely, board members holding doctorate degrees (PhDs) significantly and negatively affect the stability of Islamic banks. In addition, the presence of SARC significantly improves the stability of Islamic banks. The study further finds that SARC partially and positively moderates the effects of board members with PhDs and foreign directors on the stability of Islamic banks.
SORCHIC: Second Order Reversible Cellular Automata based Hybrid Image Cipher for IoT applications
Authors: Rao Vijaya Bhaskara , Rawat Umashankar , Roy Satyabrata , Lal Chhagan 
Published: August 2024

Abstract

In the rapidly evolving digital world, ensuring secure data transmission, especially in image data pivotal to modern communication, remains critical. The Internet of Things (IoT) amplifies the need for encryption systems that blend robust security with efficiency. However, current cryptosystems often compromise one for the other. To address this, emerging algorithmic techniques aim to strike a balance. Among these, First Order Cellular Automata (FOCA) show promise for image encryption, aligning seamlessly with image processing intricacies while maintaining lower implementation complexity. This paper introduces SORCHIC, a novel hybrid encryption algorithm designed specifically for IoT applications encrypting multichannel images. Leveraging Second-Order Cellular Automata (SOCA) and Chaotic Maps, SORCHIC undergoes comprehensive exploration within this work. Detailed insights into its inner workings are provided, followed by a rigorous experimental analysis comparing it to existing encryption methods. The results underscore SORCHIC’s resilience against diverse cryptanalysis attacks and highlight its superior efficiency compared to established techniques. This study contributes to advancing encryption methods, particularly in IoT, by presenting a robust, efficient, and secure approach tailored for image data transmission.
Strain-Dependent Charge Trapping and Its Impact on the Operational Stability of Polymer Field-Effect Transistors
Authors: Cho Kilwon , Park Sangsik , Kim Seung Hyun , Lee Hansol 
Published: August 2024

Abstract

Despite recent dramatic improvements in the electronic characteristics of stretchable organic field-effect transistors (FETs), their low operational stability remains a bottleneck for their use in practical applications. Here, the operational stability, especially the bias-stress stability, of semiconducting polymer-based FETs under various tensile strains is investigated. Analyses on the structure of stretched semiconducting polymer films and spectroscopic quantification of trapped charges within them reveal the major cause of the strain-dependent bias-stress instability of the FETs. Devices with larger strains exhibit lower stability than those with smaller strains because of the increased water content, which is accompanied by the formation of cracks and nanoscale cavities in the semiconducting polymer film as results of the applied strain. The strain-dependence of bias-stress stability of stretchable OFETs can be eliminated by passivating the devices to avoid penetration of water molecules. This work provides new insights for the development of bias-stable stretchable OFETs.