bluuebunny/crossref_metadata_2025_split huggingface dataset:
Complex Cyanotic Congenital Heart Disease and Cervical Spine Surgery: Ticking All the Right Boxes
Authors: Jaswal Sanjay , Narayan Vinitha , Gowda Punith , Mahajan Shalvi 
Published: October 2023

ABSTRACT
Although complex congenital heart disease (CHD) patients usually present in childhood, it is not rare to see adults well past middle age. These patients undergo continuous pathophysiological changes in their heart and blood vessels, making anesthetic management more challenging if surgery is required. Herein, we report a case in which understanding the anatomy and pathophysiology helped optimally manage a patient with a double outlet right ventricle (DORV) who underwent plating and fixation for a hangman’s fracture in the prone position.
The ProtekDuo Cannula for Acute Right Ventricular Support in Thyrotoxicosis
Authors: Maybauer Marc O. , Brewer Joseph M. 
Published: October 2023

ABSTRACT
A 25-year-old female was presented with acute right heart failure (aRHF) and cardiogenic shock secondary to thyrotoxicosis with concomitant acute respiratory failure. A ProtekDuo cannula was placed to provide temporary percutaneous right ventricular assistance and extracorporeal membrane oxygenation (ECMO) in venopulmonary (V-P) configuration, which provided both decompression of the right ventricle (RV) and oxygenation. With treatment of the underlying thyrotoxicosis, the RV function improved and respiratory failure resolved. She was discharged home in good condition. This case details alternative ECMO management with ProtekDuo compared to the gold standard of venoarterial (V-A) ECMO.
Comparison of Success Rate of Abducted and Neutral Arm Position for Right Infraclavicular Subclavian Vein Cannulation Under Real-Time Ultrasound Guidance in Patients Undergoing Elective Neurosurgery Under General Anesthesia
Authors: Choudhary Nirmala , Banerjee Neerja , Singh Jyoti , Kumari Meena , Kaur Mohandeep 
Published: October 2023

ABSTRACT

Background:
Classically subclavian vein catheterization is done in neutral arm position; recently, it has been done in different arm positions to compare success rate and catheter misplacement. There is a paucity of literature for comparing abducted and neutral arm position for right infraclavicular subclavian vein cannulation.

Aim:
Comparison of success rate of abducted and neutral arm position for right infraclavicular subclavian vein cannulation under real-time ultrasound guidance in patients undergoing elective neurosurgery under general anesthesia.

Design:
Randomized comparative study.

Materials and Methods:
After approval from Institutional Review Board and Ethical Committee, 100 patients of 18–70 years of age, of either sex, posted for elective neurosurgery under general anesthesia, requiring right subclavian vein cannulation were included in our study. They were randomly divided into two groups: abducted arm position (group 1-AG) and neutral arm position (group 2-NG) using sealed envelope technique.

Results:
First attempt success rate was higher in AG group compared to NG group (P value- 0.741). Times taken (seconds) for cannulation in NG and AG group, catheter misplacement and hematoma (P value- 0.37, P value- 0.37, P value- 1, respectively) were lesser in AG Group.

Conclusion:
For USG-guided infraclavicular subclavian vein cannulation, abducted arm position, and neutral arm position in terms of first attempt success rate, number of attempts and associated complications has comparable results; however, further studies with larger group of patients are required to assess the overall advantage of abducted arm position over neutral arm position.
Role of Magnesium Alone or in Combination with Diltiazem and/or Amiodarone in prevention of Atrial Fibrillation following Off-Pump Coronary Artery Bypass Grafting
Authors: Tempe Deepak K. , Maheshwari Ankit , Fatima Nirmeen , Khurana Priyanka , Geelani Muhammad A. , Minhas Harpreet S. 
Published: October 2023

ABSTRACT

Objectives:
In this study the authors have tried to examine the role of magnesium alone or in combination with diltiazem and / or amiodarone in prevention of atrial fibrillation (AF) following off-pump coronary artery bypass grafting (CABG).

Background:
AF after CABG is common and contributes to morbidity and mortality. Various pharmacological preventive measures including magnesium, amiodarone, diltiazem, and combination therapy among others have been tried to lower the incidence of AF. Most of the studies have been performed in patients undergoing conventional on-pump CABG. In this uncontrolled trial, efficacy of magnesium alone or in combination with amiodarone and / or diltiazem has been studied in patients undergoing off-pump CABG.

Methods:
One hundred and fifty patients undergoing off-pump CABG were divided into 3 groups, Group M (n=21) received intraoperative magnesium infusion at 30mg/ kg over 1 hour after midline sternotomy; Group MD (n=78) received magnesium infusion in similar manner with diltiazem infusion at 0.05 μg/kg/hr throughout the intraoperative period; Group AMD (n=51) received preoperative oral amiodarone at a dose of 200 mg three times a day for 3 days followed by 200 mg twice daily for another 3 days followed by 200 mg once daily till the day of surgery along with magnesium and diltiazem infusion as in other groups. AF lasting more than 10 min or requiring medical intervention was considered as AF.

Results:
The overall incidence of postoperative AF was 12.6% with 11.7% in group AMD, 19% in group M, and 11.5% in group MD, which was not statistically significant.

Conclusions:
It is concluded that the use of amiodarone and/or diltiazem in addition to magnesium did not result in additional benefit of lowering the incidence of AF.
Ultrasound: A Novel Alternative Technique for Cervical Epidural Space Visualization—A Pilot Study
Authors: Asai Omshubham G. , Gondode Prakash , Raipure Amrusha , Saxena Divish , Tiwari Vivek 
Published: October 2023

ABSTRACT

Background:
Neuraxial ultrasound (US), a newer modality, can be used for neuraxial imaging, helping in visualizing and aiding in epidural space catheterization. The aim of this study was to evaluate the efficacy of the US for cervical epidural access and to determine the failure rate and complication associated with this technique.

Methods:
A prospective single-arm pilot study was conducted on 21 participants. The neuraxial US image quality assessment by Ultrasound Visibility Score (UVS), epidural space depth measurement by US and by conventional loss of resistance (LOR) technique, and post-procedure epidural catheter confirmation by real-time US were the study parameters. Any procedural complications or failure rate were recorded. The Kolmogorov–Smirnov test, paired-samples t-test, and Chi-square test were used for the statistical comparison.

Results:
The pre-procedural UVS by the transverse interlaminar view (x/21) was 2.81 ± 1.94 and by the oblique paramedian sagittal view was 16.66 ± 2.39 with UVS being best in the paramedian oblique sagittal view (P- value < 0.05). The comparison of depth of the epidural space identified by USG and that by the LOR technique was statistically insignificant (P = 0.83). The average puncture attempts were 1.1 ± 0.3. Post-procedure US epidural catheter confirmation score (x/3) was 1.44 ± 0.44 with either epidural space expansion or microbubbles seen or both.

Conclusion:
The pilot study has successfully demonstrated the implication of US for visualizing and aiding in epidural space catheterization. Also, the failure rate and procedural complications were drastically minimized with the help of US as compared to the traditional blind technique.
Anesthesia for Cesarean Delivery in a Patient with Congenitally Corrected Transposition of the Great Arteries: A Case Report
Authors: Naoum Emily E. , Ortoleva Jamel P. , Militana Ryan M. , Soffer Marti D. , Yeh Doreen DeFaria 
Published: October 2023

ABSTRACT
Congenitally corrected transposition of the great arteries (CCTGA) is a rare form of congenital heart disease often associated with other cardiac defects. The adaptations and physiologic changes in pregnancy can present maternal challenges and complications; multidisciplinary care allows for the safest management of pregnancy and delivery in these patients. We present a case of the anesthetic management of cesarean delivery in a woman with CCTGA with her pregnancy complicated by recurrent volume overload, pulmonary hypertension, and dysrhythmias.
Analgesic efficacy of the inferior alveolar nerve block for maxillofacial cancer surgery under general anaesthesia – A randomised controlled study
Authors: Shetmahajan Madhavi , Kamalakar Maya , Narkhede Amit , Bakshi Sumitra 
Published: October 2023

Background and Aims:
Mandibular resection during maxillofacial cancer surgery evokes a strong sympathetic response requiring high doses of opioids. We studied the effect of the inferior alveolar nerve block (IANB) for analgesia in maxillofacial cancer surgeries.

Methods:
This randomised controlled study was conducted over five months in a tertiary care cancer hospital following Institutional Ethics approval and trial registration. Fifty consenting adult patients belonging to the American Society of Anesthesiologists (ASA) physical status I and II requiring maxillofacial cancer surgery with unilateral mandibular resection were recruited. Twenty-five patients in the study arm received ipsilateral IANB; a mock injection was given to the control group. Fentanyl requirement and haemodynamic parameters during primary tumour excision were the primary and secondary endpoints. Student’s t-test was applied to compare primary and secondary endpoints.

Results:
Forty-nine patients completed the study. Both arms were comparable with respect to age, gender distribution, ASA physical status and baseline heart rate (HR) and blood pressure (BP). The mean (standard deviation) intravenous fentanyl requirement during primary tumour excision in the IANB arm was 70(32) µg, significantly lower than 183(48) µg in the control arm, P < 0.001. The mean maximum HR during primary tumour excision was 82 and 99 per minute in the IANB and control arms, respectively (P < 0.001) whereas the maximum mean BP was 88 and 101 mm Hg, respectively (P < 0.001).

Conclusion:
IANB significantly reduced intraoperative fentanyl requirement and caused fewer haemodynamic changes during maxillofacial cancer surgery requiring unilateral mandibular excision.
Violence against healthcare workers in the emergency departments of Al-Madinah hospitals, Saudi Arabia
Authors: Al-Sayaghi Khaled M. 
Published: October 2023

BACKGROUND:Workplace violence (WPV) directed against healthcare workers (HCWs) in healthcare facilities has always been neglected. These occupational hazards have been investigated in recent times and received greater attention from decision-makers. This study aimed to assess the WPV committed against HCWs in the emergency departments (EDs).MATERIALS AND METHODS:All the emergency department (ED) healthcare workers (HCW) in the hospitals of Al-Madinah Province, Saudi Arabia, were invited to participate in this cross-sectional study by completing an online questionnaire during May 15 to August 15, 2020. Information sought included characteristics of the participant and workplace, violence, the participants’ responses and emotions, the consequences of the WPV incident, and the level of satisfaction with the management of the WPV incident. Data was analyzed using SPSS; Chi-square test was used to assess the association between WPV and various participant and workplace characteristics. Binary logistic regression analysis performed to identify independent predictors of work place violence.RESULTS:A total of 250 HCW filled the questionnaire. One-third of the participants were victims of at least one violent event, mostly nonphysical. The perpetrators were primarily the patient’s companions, and a heavy workload/understaffing or an overcrowded environment was the main cause of the violence. The most frequent reaction was to call the hospital security. The emotions the participants experienced were disappointment, low self-esteem, and sadness. Most victims did not report the WPV incident because they believed that reporting was useless, insignificant, or they were fearful of adverse consequences.CONCLUSION:The rate of violence in EDs in Al-Madinah hospitals was lower than expected, and only 33.3% of HCWs had experienced a violent incident in the last year. However, there is a substantial margin for interventions to improve the situation and protect the HCWs in the EDs.
Prevalence of long-lasting loss of smell and taste after coronavirus disease 2019 infection in Saudi Arabia
Authors: Allhaiby Nada M. , Allihybi Sultan M. , Almhmadi Amir H. , Alkot Mohammad M. 
Published: October 2023

BACKGROUND:
People with coronavirus disease 2019 (COVID-19) who experience symptoms for more than 35 weeks are said to have long COVID. Anosmia can occur on its own or in combination with other COVID-19 symptoms. Anosmia may be a significant differential presentation for the suspicion and diagnosis of COVID-19 in patients with asymptomatic-to-mild COVID-19 disease and may disappear in 3 weeks. This study sought to determine the prevalence of persistent loss of taste and smell following COVID-19 in Saudi Arabia.

MATERIALS AND METHODS:
A population-based cross-sectional study was conducted among Saudi citizens who had been diagnosed with COVID-19 for more than 2 weeks and had experienced a loss of taste and smell. Data was collected using a questionnaire having questions about demographics, long-lasting loss of taste and smell, whether this related to COVID-19 infection, and whether respondents had received the COVID-19 vaccine. SPSS was used for data analysis; statistical significance was determined using Chi-square test.

RESULTS:
A total of 383 Saudis who had a history of COVID-19 participated in the study. About 43.3% study participants had experienced persistent loss of taste and smell after COVID-19 infection. A significant association was found between loss of smell and the region, Northern region having highest proportion of study participants who had loss of smell and Western region having the lowest prevalence (34%).

CONCLUSION:
There were permanent changes in the sense of taste or smell in 34.3% of participants. This might add to the growing weight of long COVID.
Auto centragem da placa de retenção de uma máquina de pistões axiais tipo swashplate
Authors: De Azevedo Glauco José Rodrigues , Zangrandi Filho João 
Published: October 2023

A proposta deste trabalho é comprovar matematicamente, por intermédio equações, a auto centragem da placa de retenção de uma máquina de pistões axiais tipo swashplate. O desenvolvimento destas equações é de fundamental importância para determinar o valor adequado do diâmetro do furo da placa, evitando assim um travamento na máquina provocado pelo sub-dimensionamento do furo da placa de retenção ou uma perda na eficiência do equipamento, neste caso, provocado pela folga excessiva entre os mancais e os furos da referida placa. Para esse estudo foi analisado várias posições de funcionamento da placa de retenção, e por intermédio das equações desenvolvidas verificou-se que o valor da distância entre o centro furo da placa e o centro da cabeça do pistão se manteve constante. Com isso, concluímos o mancal sempre tangenciará a borda do furo da placa, provocando uma auto centragem da placa de retenção.
MİZAH DERGİLERİ ÜZERİNDEN KARŞILAŞTIRMALI CUMHURİYET TARİHİNİN İLK SEÇİM BOYKOTU
Authors: CIMENLI Şakire 
Published: October 2023

Fransız İhtilali’nin fikir babalarından olan Jean-Jacques Rousseau’nun, tek meşru kaynağı ve sahibi olarak milleti gördüğü “egemenlik” kavramı her şeyden evvel ulusların kendini monarka karşı var etme savaşının bir sonucudur. Halkın, monarkın egemenliğini alt edip kendi egemenliğini yönetime yansıttığı bu savaşın ilk ciddi emareleri her ne kadar Fransa’da başlamışsa da kısa bir zaman sonra Avrupa’yı nihayetinde ise Osmanlı Devleti’ni de etkisi altına almış ve Osmanlı tebaası Tanzimat Dönemi’nde ilk kez yerel düzeyde seçimler vasıtası ile elde ettiği bu temsil hakkını Kanuni Esasi’yle genel düzeye taşımıştır.
Osmanlı Devleti’nde benimsenmeye başlanan ve kulların, bir kula biatını reddeden bu hak 1921 Anayasası’nda yer alan “Hakimiyet bilâkaydü şart milletindir.” maddesi ve sonrasında benimsenen Cumhuriyet rejimi ile daha da ileri bir menzile evrilmiş; lakin iç ve dış dinamiklerin etkisi ve 1946 yılına kadar yönetimin tek bir partinin elinde olması gibi nedenlerle tam olarak hayata geçirilememiştir. 1946’da kurulan partilerin ise hükümet icraatlarını yeren muhalif tavrı, yirmi üç yıldır iktidarda olan CHP tarafından hazmedilememiş ve CHP’nin egemen güç olma vasfını sürdürmek için baskın bir tavır geliştirmesine sebep olmuştur. İktidarın bu baskın tutumunu alt edip yeni konjonktürde kendine yer edinmek isteyen muhalefet, bunun tek yolunun yürürlükte olan antidemokratik yasaları değiştirmekten geçtiğini görmüş ve işe Seçim Kanunu’yla başlamıştır. Bu bağlamda muhalefet, iktidar ve kamu üzerinde baskı oluşturup Seçim Kanunu’nun tadil edilmesini sağlamak amacıyla 1947,1948,1949 yıllarında yapılan milletvekilliği ara seçimlerine girmeyerek Cumhuriyet tarihinin ilk sistematik ve koordineli pasif direnişine imza atmıştır.
UNDERSTANDING THE LAUSANNE CONFERENCE ON ITS 100th ANNIVERSARY: A CONCEPTUAL ANALYSIS
Authors: ERTAN Temuçin , TAĞMAT Çağla Derya 
Published: October 2023

Lausanne Conference is a process which began on November 1922, continued in two parts and resulted with the treaty signed on July 24, 1923. There are several researches and memories about Lausanne Conference and Lausanne Treaty. Particularly in research sources there are some inconsistencies and random preferences about using the basic terms. Whereas Lausanne Conference and Lausanne Treaty are on the field of interests of not only history science but international relations, political science and international law. Thus one should be advertency while using the terms about the subject. With this study it is aimed to contribute to solve the problems about the approach of terminology in the context of the literature of the period with a unique expression. For that matter, it will be offered to the researchers to make a conceptualization not in the perspective of personal choices but according to the period of the conference.
During this work, the official reports of the Lausanne Conference and the letter of agreement will be the main sources. Also the correspondences during the conference will be analyzed and the used terms are going to be mentioned. Especially the telegrams between Ankara and Lausanne will be checked over. Also the topics talked during the conference and the diplomatic expressions will be stated. By the way the extensive and correct usages of the terms that took place both during conference and agreement letter will be argued and will be responded according to the analyzed datas. If there are new terms that didn’t used before an originality analysis will be done.
Comparing the Effects of Post Facilitation Stretching and Active Release Technique on Pain, Pain Pressure Threshold and Patients Satisfaction in Upper Trapezius Trigger Points
Authors: Naeem Ali Asad , Sajjad Yasha , Qureshi Dr. Adeel Mateen , Noor Laraib , Raza Qasim , Iqbal Amna , Maqsood Hafiz Muhammad umer , Shafique PT Dr. Kaiynat 
Published: October 2023

Purpose: Trigger points are localized, hyperirritable areas term as “Knots” and are palpable in taut band of muscle fibers, tendon or a ligament. To compare the effects on Post facilitation stretching and Active release technique on pain, pain pressure threshold and level of patients’ satisfaction in upper trapezius trigger points.
Methodology: It was a quasi-experimental study with sample size of 30 and convenient sampling was used. Inclusion criteria of study were females and males of age 25 to 40 years, positive jump sign and persistent pain for more than 4 months. Study setting was the physical therapy departments of private hospitals of Faisalabad and Lahore. Study duration was 6 months. Out of 30 patients 15 were enrolled in group-A (baseline therapy and Post facilitation stretching) and remaining 15 were enrolled in group-B (baseline therapy and Active release technique). Pain pressure threshold was measured by algometer, Intensity of pain was assessed by NPRS before and after the treatment of one week and patient satisfaction was measure by PSQ-18 after the treatment. Data was analyzed by software SPSS 24. Demographic data and test statistics was presented in form of tables.
Findings: Out of 30 patients, 33.3% were male and 66.7% were females. Wilcoxon Signed-Rank Test for within-group analysis revealed a significance difference (p≤0.05) in NPRS and PPT before and after the treatment in both groups. Mann-Whitney U test for between-group analyses showed the p>0.05, which means that no significant differences was observed in results produced by Post facilitation stretching in group A and Active release technique in group B.
Recommendations: A significantly reduction in the pain intensity and enhancement in pain pressure threshold was observed in both groups. Both Post facilitation stretching and active release techniques were equally effective in reducing intensity of pain, improving pain pressure threshold in upper trapezius trigger points and patients of both groups showed equally satisfaction level after the treatment. Informed by targeted intervention theories, the study utilized rigorous research methodologies for validation. Practitioners are advised to undergo specialized training for PFS and ART application, ensuring a tailored approach per individual needs. Policymakers should set stringent licensing standards and promote continued research to bolster the techniques' efficacy and widespread adoption.
The Effect of Marketing Mix and Brand Image towards Interest of Students at Riyadlul Jannah Islamic High School Jonggol
Authors: Aziz Thoriq , Noorman Haryadi Rofiq , Riyanto Sugeng , HM Usman 
Published: October 2023

The purpose of this study was to find out whether Marketing Mix and brand image have a significant effect on the Choice Decision students at Riyadlul Jannah Jonggol Islamic High School. The approach used is quantitative with data collection techniques or questionnaires, int erviews, observation, and documentation. The population in this study were madrasa heads, teachers, employees, and parents of students. Sampling amounted to 50 people from 168 people in the population using the slovin formula with probability random sampling. Data were analyzed using the classical assumption test and hypothesis testing with the help of the SPSS Version 22 program. The results showed that: (1) The Marketing Mix variable had a significant effect on the Choice Decision students at Riyadlul Jannah Jonggol Islamic High School by 54% with a significance value - 0.000 less than the value of α = 0.05 and the calculated t value of 1,598 is greater than the t table value of 0,278. (2) The brand image variable has a significant effect on the Choice Decision students at Riyadlul Jannah Jonggol Islamic High School by 42% with a significance value = 0.000 less than the value of α = 0.05 and a t-count value of 1,128 greater than t-table 0,278. (3) Simultaneously, Marketing Mix and brand image have a significant effect on the Choice Decision students at Riyadlul Jannah Jonggol Islamic High School by 64.9% with a significance value of 0.000 which is less than 0.05 and the calculated F value obtained is 43.376 greater than the value F table 2.90