bluuebunny/crossref_metadata_2025_split huggingface dataset:
Experience in applying the strategy of simultaneous selective perfusion of the brain, heart and lower body in reconstruction of the aortic arch in infants
Authors: Bazylev V. V. , Shcheglova K. T. , Artemyev N. N. , Magilevets A. I. , Shikhranov A. A. , Kokashkin M. V. , Makogonchuk N. E. , Bofanov D. A. 
Published: December 2023

Relevance. The choice of perfusion strategy is vital for the protection of internal organs during surgery. In several studies of recent years, as well as by us, a strategy of sustained total all region (STAR) perfusion (selective brain, heart and lower body perfusion) has been proposed, allowing to avoid ischemic and reperfusion injuries of internal organs.The objective was to evaluate the benefits of STAR perfusion during reconstruction of the aortic arch in children.Materials and methods. The prospective study included 15 patients who underwent aortic arch reconstruction using a strategy of simultaneous selective brain, heart and lower body perfusion (STAR perfusion) in the period from June 2022 to May 2023. The average age at the time of surgery was 1.3 months (95 % CI (confidence interval) 6.0–16.0), the average body weight was 3.4 kg (95 % CI 2.7–4.1).Results. Сhanges of the tissue oximetry index, measured at two points, did not fall below reference ranges at any stage of the operation. The greatest mean value of lactate concentration during the operation was 2.8 ± 1.0 mmol/l, recovery of the indicator was noted after 6 hours – 1.9 ± 0.9 mmol/l. Kidney function evaluation – the rate of diuresis and creatinine levels did not exceed reference levels. The average treatment time in the intensive care unit was 7.7 ± 4.3 days (95 % CI 4.5 10.9), in the hospital – 15.4 ± 5.8 days (95 % CI 11.4–19.4). There were no deaths among those operated using the new perfusion strategy.Conclusion. The use of the strategy of Sustained Total All Region (STAR) perfusion in case of reconstruction of the aortic arch in newborn, infants and young children is safe and advanced, since it avoids ischemia of internal organs and reduces the risk of post-ischemic complications.
The attitude of the resuscitation team members and the patient’s companions toward the presence of the patient’s first-degree relatives during cardiopulmonary resuscitation in the emergency departments
Authors: Isfahani M. N. , Borojeni F. B. , Pakravan F. , Masoumi B. 
Published: December 2023

The presence of the patient’s family at their bedside during cardiopulmonary resuscitation (CPR) is one of the challenging issues that has been frequently taken into consideration. Considering the importance of this topic. The objective of the present study was conducted to determine the attitude of the CPR team members and the patient’s companions toward the presence of the patient’s first-degree relatives during CPR.Materials and methods. The descriptive-analytical cross-sectional study was conducted on 100 CPR team members of two University Hospitals and 120 near relatives of patients undergoing CPR in 2021. The data were collected by the researcher-made questionnaire and depression, anxiety, stress scale (DASS) during CPR. The collected data were analyzed by SPSS (version 22) statistical software.Results. From the perspective of both the CPR team members and the patient’s companions, the highest mean response was related to the fact that it would be better for the patient to agree on the presence or absence of their family before hospitalization and whether they have favorable conditions. The attitude toward the presence of the patient’s family during CPR was statistically significantly associated with the companions’ gender (p < 0.05) and with the experience of work and participation in CPR of the CPR team members (p < 0.05).Conclusion. Taking into account the different opinions of the CPR team members and the patient’s relatives about the presence of family during resuscitation, additional studies with a large sample size should be carried out.
Prediction of adverse clinical outcomes in pregnant women with severe and extremely severe forms of coronavirus infection
Authors: Shchegolev A. V. , Lakhin R. E. , Nikulin A. A. , Meshchaninova S. G. , Bezhenar V. F. 
Published: December 2023

The objective was to identify prognostic criteria for unfavorable outcome in pregnant women with severe and extremely severe forms of COVID-19 and to build a model for predicting clinical outcome.Materials and methods. The cohort single-center retrospective study was conducted, which included 83 patients who were treated in the intensive care unit (ICU) from January 1 to December 31, 2021. Of these, 13 patients had an unfavorable outcome – death, and 70 patients with a successful outcome – recovery. The differences in the main clinical and laboratory parameters of patients of both groups during hospitalization in the ICU and on the 3rd day of treatment (Δ – delta) were analyzed.Results. The Cox regression analysis identified laboratory parameters, the difference of which (Δ) on admission to the ICU and on the 3rd day of treatment is associated with the development of the unfavorable outcome (death). These indicators were used as variables in a linear regression equation. The equation for calculating the prognostic index met the criteria of a statistically significant model (sensitivity 84.6 %, specificity 85.7 %, area under the operating characteristic curve (AUROC – Area Under Receiver Operator Curve) – 0.959 (95 % confidence interval [95 % CI] 0.918 – 1.0).Conclusion. The calculation of the prognostic index can be an additional clinical tool that allows one to predict the development of an unfavorable outcome, concentrate the work of a multidisciplinary team, attract additional reserves of a medical institution and/or evacuate such patients to high-level hospitals.
Factors influencing the spread of local anesthetic during the transverse abdominal plane block (study on unfixed corpses)
Authors: Bespalov E. K. , Novikov D. I. , Zaitsev A. Yu. , Svetlov V. A. , Evstropova A. A. 
Published: December 2023

Introduction. Despite the proven clinical effectiveness of the transverse abdominal plane block (TAP block), the factors affecting the distribution of local anesthetic in the fascial case have not been fully studied, and there are no clear recommendations regarding the choice of the volume of local anesthetic taking into account anthropometry.The objective was to identify anthropometric factors influencing the choice of an adequate volume of local anesthetic for performing a TAP block.Materials and methods. In the pathology department, 40 upper and 40 lateral TAP blocks were performed in 20 corpses using ultrasound navigation. On the right side, 20 ml (block group A) of diamond green dye solution was injected, on the left side - 30 ml (block group B). The dependence of the area of distribution of the dye solution on the volume of the body, weight and height of the corpse was investigated. The analysis of the effect of damage in the execution zone on the area of dye distribution was carried out.Results. In the group B, the dye in 100 % of cases (n=18) spread to the nerve passage areas Th6 – Th9 in the upper TAP block and Th9 – L1 in the lateral TAP block. In group A, in 38.8 % of cases (n=7), the dye did not spread to the Th8-Th9 nerve passage area with the upper TAP block, as well as to the Th10 and Th12–L1 passage areas with the lateral TAP block. An inverse correlation of the growth and the dye distribution area was revealed (p < 0.01). In all unfixed corpses whose height exceeded 179 cm, the dye could not compromise all the zones of passage of nerve structures. Tissue damage in the area of the block limited the spread of the dye.Conclusion. Adequate distribution of local anesthetic depends on the patient’s height. With the height of >179 cm, 20 ml may not be enough to perform a TAP block, and <177 cm – 30 ml may be excessive.
Clinical case of lightning injury
Authors: Kazarinov D. N. , Kirov M. Yu. 
Published: December 2023

Atmospheric electricity damage as a result of lightning strike is a relatively rare condition in intensive care medicine, however it can be accompanied by high mortality and serious complications in the majority of survived patients.The objective was to demonstrate a clinical case of lightning injury and discussion of diagnostic and treatment aspects in this condition.Materials and Methods. 18-yr old patient was delivered to hospital after lightning strike. She lost consciousness, there was no breathing for a short time, and the witnesses provided artificial respiration and external cardiac compressions. On admission, the signs of shock were present in parallel with dopamine infusion, the skin was pale-grey and cold, with traces of thermal damage according to the type of contact with metal of various localization on the neck, scalp, front surface of the chest and abdominal wall, in the groin, on the left foot. The patient was hospitalized to ICU, therapeutic and diagnostic measures were started. We revealed decompensated lactic acidosis, biochemical signs of myocardial and muscle damage. The infusion therapy, analgesics, antibiotics, proton pump inhibitors, anticoagulants were administered. During the therapy in the first 6 hours, the signs of shock were attenuated, in 4 days, the patient was transferred to traumatological department in a stable state. After the transfer from the ICU, hearing decline as well as pain and sensory disturbances in the left foot are persisting.Conclusion. An integrated approach is required in the diagnosis, treatment, and rehabilitation of patients with lightning injury.
Challenges Visually Impaired Students Face in Acquiring Fashion Skills: A Case Study among Visually Impaired Training Institutions in Ghana
Authors: Ogoe J. , Howard E. K. , Appiah N. 
Published: December 2023

Purpose: This study explored the challenges visually impaired (VI) students face concerning fashion skill acquisition.
Design/Methodology/Approach: The research design was based on qualitative. The combination of purposive and snowball sampling techniques was chosen to ensure a diverse participant pool, capturing a range of perspectives on what visually impaired students face concerning fashion skill acquisition. Thematic analysis was employed to uncover patterns and themes, contributing to a rich understanding of the subject matter.
Findings: The findings revealed that the visually impaired are challenged by barriers to enrolment in fashion programmes, the cost-intensive nature of training, lack of sight, lack of skilled teachers and perceptions about Students with Visual Impairments (SVI) in Fashion. The study initiates further stakeholder discussions regarding designing a simplified inclusive curriculum to accommodate individuals with visually impaired and interested in enrolling on fashion courses.
The Research Limitation: Purposive and snowball sampling techniques may introduce selection bias, as participants are recruited based on specific criteria and through referrals. This may result in a sample that is more inclined to share similar perspectives, potentially overlooking the diversity of experiences within the visually impaired student community.
Practical Implication: Implementation of these practical measures can contribute to breaking down barriers and ensuring equal access to opportunities in the field of fashion for all students, regardless of visual ability.
Social Implication: Inclusive fashion education for the visually impaired has the potential of developing such individuals socially and economically thereby relieving the government of potential financial burden and reducing the social exclusion that the visually impaired experience.
Originality/ value: The novelty of studying visually impaired students regarding fashion skill acquisition lies in its potential to uncover unique challenges, innovative solutions, and opportunities for inclusivity in education and vocational training.
The influence of Simvastatin carried by Chitosan nanoparticle on bone regeneration using Masson’s Trichrome histochemical stain
Authors: Alsaeed Muna A , Al-Ghaban Nada MH , Karaibrahimoğlu Adnan 
Published: December 2023

Background: Due to the complicated and time-consuming physiological procedure of bone healing, certain graft materials have been frequently used to enhance the reconstruction of the normal bone architecture. However, owing to the limitations of these graft materials, some pharmaceutical alternatives are considered instead. Chitosan is a biopolymer with many distinguishing characteristics that make it one of the best materials to be used as a drug delivery system for simvastatin. Simvastatin is a cholesterol lowering drug, and an influencer in bone formation process, because it stimulates osteoblasts differentiation, bone morphogenic protein 2, and vascular endothelial growth factor. Objectives: histological, histochemical and histomorphometrical analyses were carried out to evaluate the effect of local application of chitosan simvastatin nanoparticles (ChSimN) on bone healing. Materials and Methods: New Zealand rabbits (n=14) were used in this study. Two defects were made: one on the right side (the experimental side) that received ChSimN and the other one on the left side (the control side), which left to heal spontaneously. Seven rabbits were sacrificed after 2 weeks of the experiments, while the others after 4 weeks. Bone samples were taken for histological and histomorphometric study after the sacrifice. Results: The histological study, using both H&E and Masson’s Trichrome stain, revealed that the ChSimN group recorded an increased amount of bone formation at both time points. Histomorphometrical analysis recorded a significant increment in bone marrow and trabecular areas in the ChSimN group. Conclusion: ChSimN had a pronounced effect on bone formation.
MAKNA FILOSOFIS MOTIF SENI UKIR REK PALEMBANG
Authors: Hudaidah Hudaidah , Trianti Lilis , Rukmana Lisa 
Published: December 2023

The wood carving motifs of Palembang, known as “rek,” have been a traditional craft since the era
of Srivijaya and continue to endure to this day. This craftsmanship holds high philosophical values
influenced by Hindu-Buddhist and Islamic cultures. Its uniqueness lies in the predominant use of golden
yellow color, and its carvings are exceptionally distinctive. The purpose of this writing is to unveil the
philosophical meanings embedded in the motifs of Palembang’s wood carvings. The central issue is to
explore the philosophical meanings of these motifs in Palembang’s wood carvings. This study employs a
historical research method, with heuristic, source criticism, interpretation, and historiography steps. The
tradition of wood carving art exhibits distinct characteristics and the uniqueness of various motifs, each
carrying different philosophical values. The research findings indicate that the various motifs found in
Palembang’s wood carvings hold profound philosophical meanings. For example, the motif of budding
bamboo shoots symbolizes that humans should be beneficial to others, and the golden color represents
triumph. Therefore, it is crucial to preserve this heritage for the younger generation so that they can
develop an appreciation for their local culture, strengthen personal values, and enhance their identity,
and self-awareness.

Keywords: Philosophical Meaning, Motif, Wood Carving, Typical of Palembang
PATHET SEBAGAI STRUKTUR ADEGAN WAYANG KULIT JAWATIMURAN SUBGAYA MALANGAN
Authors: Pangestu Dwi Cahyo , Suhita Raheni , Suryanto Edy 
Published: December 2023

Malangan’s puppet is a shadow puppet that grows and develops in East Jawa, precisely in the Greater Malang
area. Malangan’s puppet differs from other styles in the scene structure department, which is covered by five
pathet (Javanese gamelan modes) concepts. The purpose of this research is to describe the structure of the
scene using five pathet concepts with the sample of the Malangan’s puppet script, Gathotkaca Lair. This
Study applied the descriptive qualitative method. The research data were drawn from the data source of the
Malangan’s puppet script with the Gathotkaca Lair’s play. The data collection employed content analysis
techniques by evaluating several character dialogues that represent the scene structure in each pathet. The
data analysis technique implemented the Miles & Huberman interactive model. The results of the study
suggest that the scene structure in the Gathotkaca Lair’s script is well packaged into five pathets. The five
pathets are pathet sepuluh (tenth), pathet wolu (eight), pathet sanga (ninth), pathet miring, and pathet
serang. Pathet sepuluh serves as the opening act, while pathet serang is the closing act.

Keywords: Structur of the Scene,, Malangan’s Puppet, Pathet
Diversidade religiosa em Xavier Zubiri
Authors: Gonçalves Paulo Sérgio Lopes 
Published: December 2023

Objetiva-se neste artigo expor analiticamente as contribuições filosóficas de Xavier Zubiri acerca da pluralidade religiosa. Justificam esse objetivo dois aspectos fundamentais, um de ordem filosófica e outro de ordem histórica. No âmbito filosófico, tem-se um saber acadêmico que se põe a pensar a realidade do ser humano e do mundo em suas relações intrínsecas e profundas, nas quais se situa o problema da religião, que, na obra de Xavier Zubiri, pertence ao problema de Deus. No âmbito histórico, a diversidade religiosa é um acontecimento arcaico, complexo e modernizado, em que é possível visualizar fenomenologicamente as estruturações primitivas, clássicas e atuais da religião. Nesse sentido, Zubiri analisou filosoficamente a religião, promovendo um diálogo científico com a sociologia da religião, com a história das religiões e com a teologia. Para atingir nosso objetivo, tomar-se-ão a obra Sobre la Religión (2017a), como objeto material fundamental, e as obras El Hombre y Dios (2017b) e Escritos Menores (1953-1983) (2019), para apresentar o núcleo fundamental do pensamento zubiriano na análise da religião, presente na categoria “religación”, e para analisar filosoficamente a diversidade religiosa e seus desdobramentos fundamentais.
Abstract: The objective of this article is to analytically expose the philosophical contributions of Xavier Zubiri about religious plurality. This objective is justified by two fundamental aspects, one of a philosophical order and the other of a historical one. In the philosophical sphere, there is an academic knowledge that begins to think about the reality of the human being and the world in its intrinsic and profound relations, in which the problem of religion is situated, which in the work of Xavier Zubiri belongs to the problem of God. In the historical context, diversity is an archaic, complex and modernized historical event, in which it is possible to visualize phenomenologically the primitive, classical and current structures of religion. In this sense, Zubiri philosophically analyzed religion, promoting a scientific dialogue with the sociology of religion, with the history of religions and with theology. To achieve our goal, we will take the work Sobre la Religión (2017a) as a fundamental material object, and the works El Hombre y Dios (2017b) and Escritos Menores (1953-1983) (2019) to present the fundamental core of Zubirian thought in the analysis of religion, present in the category “religación”, and to analyze philosophically the religious diversity and its fundamental developments.
Keywords: Religion; Deity; “Religación”; Realistic metaphysics.
Response to An Outbreak of Locally Transmitted Dengue in Key Largo, FL, by The Florida Keys Mosquito Control District
Authors: Boehmler Michael B. , Pruszynski Catherine 
Published: December 2023

ABSTRACT
Dengue virus (DENV) is an ever-increasing threat to the residents of South Florida. Seventy-two cases of locally acquired dengue were contracted by residents and visitors of Key Largo, FL, in 2020. The primary vector, Aedes aegypti, has been a large focus of the Florida Keys Mosquito Control District’s (FKMCD) control measures for over a decade. This paper recounts the 2020 outbreak of DENV in Key Largo, FL, and the FKMCD’s Ae. aegypti operational response. The overall House Index (13.43%) during the outbreak was considered high (&gt;5%) risk for local transmission. Larval habitat characterized from property inspections was similar to previous larval (τ = 0.78, P &lt; 0.005) and pupal (τ = 0.745, P &lt; 0.005) habitat studies. Adult surveillance of the active dengue transmission area provided 3 positive pools out of 1,518 mosquitoes tested resulting in a minimum infection rate of 1.976. Increased personnel response with long-term larvicide formulations and increased aerial, truck, and handheld ultra-low-volume adulticide control measures quickly reduced the Ae. aegypti surveillance numbers below the action threshold. No active cases of dengue have been reported since October 2020.
Visual Auditory and Kinesthetic Learning Model to Improve Students’ Motivation, Creativity, and Learning Outcomes
Authors: Malvigie Calvin , Novianto Victor , Marzuki Sharifah Zannierah Syed 
Published: December 2023

This study aims to identify how well the application of the VAK learning model can improve students' motivation, creativity, and scores in social science subjects. The study applies Classroom Action Research with two cycles. Each cycle consists of planning, implementing, observing, and reflecting. The respondents are 30 students of grade 9C grade at SMP N 1 Mlati which consists of 19 females and 11 males. The data analysis technique used quantitative descriptive methods. The results of the study show that applying the VAK learning model can increase the motivation, creativity, and outcomes of the students. The score of motivation of the pre-cycle is high and very high categories; as much as 43.34%, in cycle I it gets 70%, and finally, in cycle II it gets 100%. The score of creativity in the pre-cycle stage is good and very good categories; as much as 20%, the cycle I it gets 66.67%, and it gets 96.67% in cycle II. The minimum score for students in the pre-cycle stage is 46.67%, in the first cycle it gets 70% and the cycle II it gets 93.33%. It can be concluded that applying the VAK learning model can increase the students' motivation, creativity, and scores in social science.
Mangrove Plant Community Structure of Kwala Indah Village, Batu Bara Regency
Authors: Purba Ricky Tommy Fransiskus , Barat Welmar Olfan Basten , Siburian Daniel Tony E 
Published: December 2023

Coastal areas are transitional areas between land and marine ecosystems that have high biological productivity. Mangroves are a type of plant that grows in coastal areas or river estuaries and has an ecological function by acting as the last defense against sea waves after coral reef and seagrass ecosystems, as sediment traps, as a place to find fish food, as a fish spawning ground, as a shelter, and as a place for fish farming. Mangrove Plant Community Structure Research in the Kwala Indah Village Area was conducted in August–October 2023 with the aim of knowing the types of mangroves, mangrove diversity and uniformity, dominance, Important Value Index (INP), and mangrove crown cover in Kwala Indah Village. The method used in the observation of mangrove plant community structure is to use the quadrant transect method by analyzing species density, relative density, species frequency, relative frequency, species dominance, relative dominance, and important value index at the tree, sapling, and seedling levels, as well as crown cover. Based on the results of the study, 7 species were found, namely Xylocarpus granatum, Xylocarpus mekongensis, Rhizophora apiculata, Rhizophora mucronata, Soneratia alba, Bruguiera parviflora, and Excoecaria agallocha. Xylocarpus and Rhizopora have the highest INP, diversity, uniformity, and dominance. Canopy cover is in the medium category; coastal areas are transitional areas between terrestrial and marine ecosystems that have high biodiversity values.