bluuebunny/crossref_metadata_2025_split huggingface dataset:
ANALISIS TINGKAT KEPUASAN PENGGUNA JASA TERHADAP LAYAYAN DI PELABUHAN BANDAR BENTAN TELANI MENGGUNAKAN METODE CUSTOMER SATISFACTION INDEX DAN IMPORTANCE PERFORMANCE ANALYSIS
Authors: Lim Karuniko Ariyadhana , Siswanto Henri 
Published: August 2024

Abstrak : Kepuasan pengguna jasa adalah prioritas dari suatu layanan transportasi terutama bagi pelabuhan. Pelabuhan bandar bentan telani sebagai pintu masuk Pulau Bintan perlu memperhatikan kualitas dari layanan agar pengguna jasa dapat tertarik dan merasa puas dengan layanan yang diberikan. Tujuan dari penelitian ini adalah untuk mengetahui karakteristik pengguna jasa, tingkat kinerja pelayanan pelabuhan dan tingkat kepuasan pengguna jasa terhadap pelayanan pelabuhan bandar bentan telani. Metode yang dipakai untuk mengetahui nilai tingkat kepuasan pengguna jasa pelabuhan bandar bentan telani adalah metode Importance Performance Analysis (IPA) dan metode Customer Satisfaction Index (CSI). Hasil penelitian menunjukkan karakteristik pengguna jasa pelabuhan bandar bentan didominasi dengan orang yang berjenis kelamin perempuan, usia rentang 26–35 tahun, bekerja sebagai pegawai swasta, pendapatan perbulan sebesar Rp. 3.000.000–Rp. 4.500.000, tujuan perjalanan wisata keluarga/pribadi, dan frekuensi perjalanan 1–3 kali dalam sebulan. Dari metode IPA didapatkan nilai tingkat kesesuaian sebesar 86,32 percent yang berarti pengguna jasa merasa layanan memiliki kinerja yang baik dan penting sesuai dengan pelayanan yang diberikan oleh pelabuhan. Atribut-atribut yang perlu ditinjau ulang dan diperbaiki terdapat pada kuadran I yaitu ketersediaan petugas kesehatan, kursi roda, dan tandu serta kebersihan toilet. Hasil dari metode CSI didapatkan nilai indeks sebesar 74,53 percent yang berarti bahwa secara keseluruhan pengguna jasa pelabuhan merasa “puas” terhadap kualitas pelayanan yang diberikan.
Renal biomarkers of Rosemarinus officinalis L. on gentamicine induced acute kidney injury in adult male albino rats (Rattus norvegicus)
Authors: Waswa Kennedy W. , Kori Scolastica 
Published: August 2024

Background: Gentamicin (GN) drug is a common choice for treating severe gram-negative bacteria infections especially in resource-limited settings where cost effective options are considered. However, its potential effect of causing acute kidney injury (AKI) has limited its wide use in clinical applications. R. officinalis (rosemary) is a traditional herb rich in antioxidants and anti-inflammatory properties. Conversely, renal biomarkers effect of Rosmarinus Officinalis (RO) on GN has not yet been elucidated. The main objective was to investigate the renal biomarkers and protective effect of R. officinalis against Gentamicin induced acute Kidney injury in adult Albino rats.
Methods: 25 adult male Albino rats were equally divided into five groups (5 Albino rats per group). Control group received rat pellets plus water ad libitum, GN (100 mg/kg/bwt/i.p), low dose RO (RO 100 mg/kg/bwt/po+GN), Medium RO(150 mg/kg/bwt/po+GN), and high dose RO (200 mg/kg/bwt/po+GN) groups. GN was administered intraperitoneal, and RO orally for seven consecutive days. After completion of 24hours of the last drug administration, they were humanely sacrificed, serum biochemical analysis of renal biomarkers (creatinine and urea) was determined.
Results: Gentamicin was able to induced acute kidney injury by increasing levels of creatinine and urea. However, with concurrent administration of high dose of RO, Serum creatinine and urea remained within the normal ranges.
Conclusions: These findings showed that, Concurrent administration of a high dose of RO 200 mg/kg/bwt with Gentamicin protects kidneys against Gentamicin induced injuries.
Triple to double trouble: a rare case report of fetal reduction of triplets to twin pregnancy
Authors: Rajashekar Radhika , Munisamaiah Munikrishna 
Published: August 2024

There has been an increase in triple pregnancies in the last few years due to the increasing age of mothers and the use of birth control devices. To reduce the risks associated with triplets, embryo reduction (ER). The most common procedures are ultrasound-guided transabdominal injection of potassium chloride into the fetal heart or chest in trichorionic triamniotic (TCTA) pregnancies, or ultrasound-guided laser ablation or radiofrequency ablation in dichorionic triamniotic (TCTA) pregnancies (DCTA). 23-year-old GA1, who had amenorrhea for 6months with satisfactory fetal movements, came with complaints of abdominal pain. She gives history of conceiving after ovulation induction and history of fetal reduction. On presentation, patient was conscious oriented, tachycardia was present. On examination, uterus 24-28weeks size, and presented in active labour. Bed side ultrasound scan was done which showed dichorionic diamniotic twin gestation, with presence of FHR of both twins. She had a spontaneous expulsion of abortus of twin-A and twin-B and twin-C expelled with intact sac in toto. Post-delivery she had fever episodes with thrombocytopenia for which she was evaluated further. Multiple pregnancies are increasing due to developments in birth control services. Multiple pregnancy reduction improves fetal outcomes by reducing the risk of premature birth and other complications. There are reports showing that there is a higher risk of miscarriage and stillbirth in monochorionic and dichorionic triple pregnancies compared to trichorionic pregnancies and other complications such as twin-to-twin transfusion syndrome, growth inequality, twin anemia polycythemia sequence. In our case, spontaneous labor occurred at gestational age of 21 weeks, that is, before 24 weeks, and after thorough assessment of our patient, different measures were not taken to stop labor since patient came in active stage of labour. Triplet pregnancies reduced to twin pregnancies had significantly lower risks of adverse pregnancy outcomes, severe preterm deliveries, and low birthweight than nonreduced triplet pregnancies. However, triplet pregnancies reduced to twin pregnancies were potentially associated with a 5.6% increased risk of miscarriage.
To study the relation of volume of local anaesthetic and diaphragmatic motility in ultrasound guided supraclavicular brachial plexus block
Authors: Pokhriyal Abhimanyu Singh , Mehta Deepti , Khurana Gurjeet 
Published: August 2024

Supraclavicular brachial plexus block is a valuable technique for upper limb surgeries, but it carries the risk of hemi diaphragmatic paresis due to phrenic nerve involvement, which can limit its utility. Thirty-six patients undergoing forearm and hand surgery received ultrasound-guided supraclavicular brachial plexus blocks with varying volumes of 0.5% ropivacaine, determined by Dixon and Massey's up-and-down approach starting at 25 ml. We assessed diaphragmatic paralysis/paresis incidence and spirometry parameters across different volumes to optimize clinical outcomes. Among the patients, 15 ml of 0.5% ropivacaine consistently provided effective surgical anesthesia without causing diaphragmatic paralysis or paresis. The study showed no significant changes in spirometry parameters such as FEV1 and FVC with lower volumes, while higher volumes correlated with increased diaphragmatic impairment. Reducing the volume of 0.5% ropivacaine mitigates the risk of diaphragmatic paralysis associated with supraclavicular brachial plexus blocks, ensuring safe and effective anesthesia for upper limb surgeries.
Role of Pleth variability index and perfusion index for predicting hypotension following spinal anaesthesia in patients undergoing caesarean section
Authors: Paul Anju , Hemantkumar Indrani , Saji Daniel Arun , Patil Madhuri 
Published: August 2024

Pleth variability index and perfusion index are noninvasive continuous hemodynamic monitors that can assess peripheral vascular tone and intravascular volume status and thus can predict hypotension following spinal anaesthesia. Spinal anaesthesia is the choice of anaesthesia in caesarean sections. Approximately 70% of patients will develop hypotension after spinal anaesthesia, which can lead to maternal and fetal complications. Thus, the Pleth Variability Index (PVI) and perfusion index (PI) allow the identification of patients with an increased susceptibility to hypotension following spinal anaesthesia.: This prospective observational study was conducted in a tertiary care centre with 102 obstetric patients undergoing spinal anaesthesia for caesarean section in the age group of 18-35 years who were full term with ASA≤ grade II, BMI 35kg/m. Pleth variability index and Perfusion index were measured before and after spinal anaesthesia. The data was analysed using ROC and multiple linear regression models using SPSS software. In the hypotension group PVI and PI at one minute is higher than without the hypotension group. PVI at one minute is an independent factor for predicting hypotension following spinal anaesthesia (P=0.039). ROC analysis of baseline and one-minute PVI showed only one-minute PVI can predict hypotension with an AUC-0.633(95% CI-0.492-0.774) and an optimal cut-off value of 19.5. ROC analysis of baseline and one-minute PI revealed both baseline and one-minute PI could predict hypotension with AUC-0.507 (95% CI 0.378-0.636) and 0.540 (95% CI 0.410-0.682) respectively. The optimal cut-off of baseline PI for predicting hypotension is 2.5 with a sensitivity of 51.4%, specificity of 61.5% and one-minute PI is 4.5 with a sensitivity of 60.8% and specificity of 53.8%. Baseline PVI is not a predictor of hypotension and one-minute PVI ≥19.5 can predict hypotension following spinal anaesthesia. One minute PI ≥ 4.5 is more sensitive in predicting hypotension than Baseline PI ≥2.5.: The Pleth Variability Index and Perfusion Index are noninvasive monitors which can predict hypotension following spinal anaesthesia in cesarean sections.
Comparative study of two different intubating doses of cisatracurium for hemodynamic changes during coronary artery bypass grafting under general anaesthesia
Authors: Paul Arnab , Mali Sonali , Deshpande Gargi , Gandhe Uday , Gajendragadkar Supriya , D’Mello Jacqueline 
Published: August 2024

: The aim of the study was to compare hemodynamic response, assessment of intubating condition, time to achieve TOF 0 and any adverse effects associated with two different doses of cisatracurium i.e., 0.15mg/kg (3x ED95) and 0.3mg/kg (6x ED95) for endotracheal intubation during Coronary artery bypass grafting (CABG). : It was a prospective single blinded randomized controlled clinical trial, conducted by two investigators in 296 patients aged between 50-70 years of both sexes of ASA III grades. Patients having ejection fraction &#62;45% and undergoing CABG were included in the study. Patients with neuromuscular diseases, anticipated difficult airway, morbid obesity and any associated valvular heart diseases were excluded from the study. Patients were randomly allocated into 2 groups depending on the doses of cisatracurium. Group R (n=148) → received 0.15 mg/kg, Group D (n=148) → received of 0.3 mg/kg. After 60 seconds of injecting cisatracurium, TOF was recorded every 30 seconds until it reaches 0, then laryngoscopy and endotracheal intubation was carried out using Macintosh laryngoscope blade no. 4 by one of the senior investigators who was blinded. The vital parameters such as heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), Mean arterial pressure (MAP) were monitored for 10 minutes after the administration of cisatracurium. Patients were monitored clinically for any adverse effects of histamine release. : The mean time required to achieve TOF 0 in Group D (0.3mg/kg) was shorter compared to Group R (0.15mg/kg) which was statistically significant. During intubation Group D showed statistically significant stable heart rate variation than Group R. Mean SBP, DBP and MAP did not differ between groups. No incidence of histamine release was observed in any of the group. : Patients who received 0.3mg/kg of cisatracurium showed stable heart rate fluctuation during laryngoscopy and intubation and lesser time to achieve TOF 0 compared to patients who received 0.15mg/kg of cisatracurium.
Transverse ultrasound scanning of lumbar-epidural depth and its co-relation with conventional method: A prospective observational study in obese Indian parturients
Authors: Bhatia Rohan , Chauhan Amit Kumar , Mehrotra Shreesh , Yadav Neeru 
Published: August 2024

Pre-procedural ultrasound (US) imaging as a tool of determining the proper insertion site and assessing lumbar-epidural depth in obese Indian parturients. The current study’s goal was to assess the epidural depth space in obese Indian parturients by ultrasound imaging with conventional technique and also to assess whether if it decreases the failure rate and number of attempts. Twenty-five obese parturients with a BMI of more than 30 kg/m who were scheduled for elective lower segment caesarean sections under lumbar epidural anesthesia and were classified as American Society of Anaesthesiology grade I & II were included. Using a curvilinear US probe (frequency 2–5 MHz), ultrasound depth-UD (lumbar epidural) was recorded in the transverse axial plane at the L3–L4 and L4–L5 intervertebral regions. Afterwards, the needle depth (ND) was monitored using a sterile linear scale during the epidural administration process using the traditional loss of resistance (LOR) approach. Any modifications to the intervertebral spacing, needle reorientation, or the quantity of tries were recorded. The results showed that UD and ND were, respectively, 4.6140 ± 0.252 cm (range 4.20–5.30 cm) and 4.720 ± 0.271 cm (range 4.2–5.5 cm). Pearson's correlation coefficient (r) for UD and ND was 0.953 (95% confidence interval: 0.8948–0.9793, r = 0.908, P &#60; 0.001), and the 95% limits of agreement were found to be 0.266 to 0.546 cm using Bland-Altman analysis. Of all the subjects, 92% needed only one try to put the epidural, whereas 8% needed two. The current study demonstrates a significant association of ultrasound (UD) and needle depth (ND) in obese pregnant females (BMI &#62;30 kg/m). For lumbar epidurals, a preprocedural US scan in the transverse-axial plane provides a precise needle entry site with a high success rate.
Comparative study of different doses of intrathecal clonidine as an adjuvant to bupivacaine for lower limb surgeries: A prospective observational study
Authors: Chhaiya Kavita Varajangbhai , Shah Sonal Aashish , Kapadia Rupal Ketan , Pandya Dimple Kinjal , Pipaliya Dhaval Pragjibhai 
Published: August 2024

Clinical studies suggested that intrathecal clonidine as an adjuvant to hyperbaric bupivacaine prolongs sensory as well as the motor block of spinal anesthesia, decreases local anesthetic drug requirement, and provides postoperative analgesia.In the present study, we have examined the effects of two distinct clonidine dosages administered intrathecally as an adjuvant to hyperbaric bupivacaine in individuals undergoing elective lower limb operations, to find out the optimal dose among them. Two groups of thirty patients each posted for lower limb surgery were included in this study. Patients in Group A Received inj. bupivacaine (hyperbaric) 0.5% 3ml (15 mg) + inj. clonidine 0.2 ml (30 µg) + normal saline 0.1 ml intrathecally, in Group B patients received inj. bupivacaine (hyperbaric) 0.5% 3ml (15 mg) + inj.clonidine 0.3 ml (45 µg) intrathecally.Throughout spinal anesthesia; both groups were prospectively observed for various parameters.Compared to patients in group A, patients in group B experienced sensory and motor block for longer durations of time. As compared to group A patients, group B patients experienced increased hypotension, bradycardia, and dry mouth; however, overall adverse effects are mild and easily treated. In addition, we observed that group B patients experienced analgesia for a longer duration of time than did Group A patients. Addition of intrathecal clonidine to bupivacaine significantly hastens the onset of sensory and motor block, provides excellent surgical analgesia, prolongs the duration of superior quality postoperative analgesia and reduced postoperative analgesic requirements with relative hemodynamic stability.
Domestication of Women
Authors: Qonita Alfi , Ilyas Hamim 
Published: August 2024

This article aims to look at the portrait of the role of women both in the public and domestic. This Research is comparing the thoughts of Faqihuddin Abdul Kodir and Huzaemah Tahido Yanggo with their expertise that upholds the spirit of egalitarian and justice. The research is literature using a reciprocal hermeneutic approach. Reciprocal or often called mubadallah has the characteristics of returning to the text, context and contextualizing in life. Some of the principles used in this approach are to look for the main message in the text and ignore subjects/objects that point to a particular gender, so that all laws can apply equally. The dual role in this study is often experienced by women (it can also happen to men) because they do domestic work while working in the public sphere. This will be a big problem in every household if a family does not apply the concept of 'parallelism'. Both the thoughts of Faqihuddin Abdul Kodir and Huzaemah T. Yanggo use the concept of reciprocity when reading texts from both the Qur'an and hadith with relationships, so that the message of 'cooperation' and partners built in the relationship between men and women can be built in everyday life.
ПРАВОВА ХАРАКТЕРИСТИКА ОБ’ЄКТА ТА ОБ’ЄКТИВНОЇ СТОРОНИ ЗЛОЧИНУ – МАРОДЕРСТВО
Authors: Піскун Іван , Устич Олександр 
Published: August 2024

Мета: дослідити поняття та здійснити правову характеристику об’єкта та об’єктивної сторони злочину – «мародерство», а також здійснити системний аналіз особливостей юридичного складу кримінального злочину – «мародерство». Методи дослідження: становлять основні методи та засоби пізнання, такі, як: документального аналізу і синтезу, порівняння, об’єктивної істини, пізнавально-аналітичний, міжгалузевий метод юридичних досліджень, узагальнення. Результати: комплексно проаналізовано поняття та особливостей юридичного складу об’єкта та об’єктивної сторони кримінального злочину – «мародерства». Обговорення: об’єкт та об’єктивна сторона складу кримінального злочину – «мародерство» є обов’язковими частинами юридичного складу кримінального злочину, без яких кримінальний злочин не є дійсним, визначено об’єкти кримінального злочину «мародерства», об’єктивну сторону мародерства слід розглядати, як зовнішнє становище особи до скоєного злочину.
Автор робить висновок що, мародерство є серйозним порушенням закону, яке створює загрозу для громадської безпеки та порушує права та інтереси мирних громадян у кризових ситуаціях та воєнних конфліктах. Воно відображає явище беззаконня та безладу, яке може призвести до серйозних наслідків для суспільства та його членів.
Застосування відповідних кримінальних санкцій та заходів протидії мародерству є важливими для забезпечення правопорядку та захисту громадянських прав у кризових умовах. Також важливо підтримувати гуманітарні норми та міжнародне право в цих ситуаціях.
Загалом, боротьба з мародерством потребує комплексного підходу та спільних зусиль від правоохоронних органів, військових та громадських установ для забезпечення безпеки та порядку у кризових обставинах.
A Review Evaluating Intravascular Access for High Volume Resuscitation: Can You Keep Up?
Authors: Mishra Puneet , Wanderer Jonathan P , Edwards David A , Eagle Susan S , Bruehl Stephen P , Semler Matthew W , Mishra Kelly L 
Published: August 2024

Anesthetists and anesthesiologists are frequently in the unique position of administering high-volume resuscitation in the setting of hemorrhage, hypovolemia, or vasodilatory shock. The ability to rapidly infuse intravenous (IV) fluid solutions differs vastly for different types and sizes of IV access. In patients that may require rapid large volume resuscitation, it is critical to understand the capacity of existing IV devices. Selecting the most appropriate IV access for patients can be paramount in preventing hypotension, end organ dysfunction, and even death. This article objectively reviews and compares the flow rates of commonly used central and peripheral intravenous devices to demonstrate the influence of catheter length and radius.
ASSESSMENT OF RISK FACTORS ASSOCIATED WITH ACUTE RESPIRATORY INFECTIONS (ARIS) AMONG CHILDREN UNDER 5 YEARS OF AGE, PAKISTAN
Authors: Adeel Tanzeela , Widiatmoko Dono 
Published: August 2024

Introduction: Acute respiratory infections account for approximately 6% of the total global burden of disease; almost double the proportion compared with the other communicable diseases. Aims: To investigate the link between risk factors & ARIs in Pakistani pediatric population under 5 with different socio-demographic profiles. Methods: Research was conducted as a cross-sectional study, utilizing the Pakistan DHS 2017-18 data, after ethical approval for the utilization of the dataset. Study variables were defined as age and gender of the child, place of residence, maternal education, wealth index, breastfeeding, and the immunization status of the child. Sample size (n = 39,799) was determined as per the inclusion and exclusion criteria. Prevalence of ARIs was estimated and the association between ARIs and socio-demographic factor and child’s immunization was examined. Results: Out of 39,799 children, 51.6% were males, 21.0 % were aged 36 – 47 months, 73.7% were the rural residents, 23% belonged to lowest wealth index quintiles. The mothers of 43.7% children were illiterate and 55.7% of the children were breastfed. ARIs proportion among the sample was 14.3%. Significant association was observed between ARIs and age (p=0.000), gender of the child (p=0.001), residence (p=0.000), economic deprivation (p=0.000), maternal education (p=0.000) and breastfeeding (p=0.000), vitamin A administration (p=0.021), BCG (p=0.008), pentavalent (p=0.008), measles (p=0.000), and pneumococcal vaccination (p=0.020). Conclusion: Socio-demographic characteristics, i.e., age and gender of the child, accommodation, economic deprivation, maternal education, breast-feeding and poor vaccination uptake were observed to be positively correlated with ARIs among children under 5 years of age in Pakistan.
Mengolahragakan Masyarakat Berbasis Kearifan Lokal
Authors: Febriani Ayu Rizky , Hidayat Rohman , Widanita Neva , Budi Didik Rilastiyo , Listiandi Arfin Deri , Festiawan Rifqi , Suhartoyo Topo 
Published: August 2024

Perkembangan dan kemajuan jaman menuntut setiap manusia untuk dapat bertahan dengan segenap kemampuan dalam hal ekonomi, ilmu dan pengetahuan, self improvement, kesehatan dan kebugaran jasmani. Perkembangan dan kemajuan jaman yang tak mengenal waktu berdampak pada kemampuan seseorang untuk dapat menjaga eksistensinya dimasyarakat agar hubungan individu satu dengan yang lain terjalin baik, dengan tujuan menjaga stabilitas emosi sosial. Hal ini kita dapat jumpai di desa-desa yang sangat kental dan terjaga keguyubannya. Pamijen adalah salah satu desa yang berada di Kecamatan Baturraden, Kabupaten Banyumas yang memiliki potensi lingkungan yang baik seperti keguyuban pada masyarakatnya, lingkungan yang sejuk, dan prasarana/tanah lapang. Kegiatan pengabdian pada masyarakat ini akan mengupayakan Desa Pamijen menjadi desa yang masyarakatnya aktif berolahraga. Tujuannya adalah meningkatkan physical Fitness masyarakat desa agar mereka lebih produktif dalam hal kebugaran jasmani. Peningkatan physical fitness akan diukur dengan fitness test dengan pengambilan data sebelum pelaksanaan kegiatan berolahraga dan pengambilan data setelah pelaksanaan olahraga dengan mengunakan instrumen Heart Rate.