bluuebunny/crossref_metadata_2025_split huggingface dataset:
PENINGKATAN HASIL BELAJAR TEMATIK PESERTA DIDIK KELAS III DENGAN MODEL PROBLEM BASED LEARNING BERBANTU MEDIA PANDUDEWAN
Authors: Ullul Fatjar Kharomah  , Agustina Tyas Asri Hardini  
Published: October 2023

Tujuan Penelitian ini adalah untuk meningkatkan hasil belajar peserta didik dengan menggunakan Model Pembelajaran Problem Based Learning (PBL) pada pembelajaran Tematik Tema 1 Pertumbuhan dan Perkembangan Makhluk Hidup Subtema 3 Pertumbuhan Hewan dengan berbantuan media Papan Daur Hidup Hewan (Pandudewan). Dengan mengacu pada model Kemmis dan Mc.Taggart, jenis penelitian ini disebut Penelitian Tindakan Kelas (PTK). Subjek penelitiannya adalah peserta didik kelas III SD Kecandran 01 Kota Salatiga berjumlah 22 peserta didik yang terdiri dari 11 peserta didik perempuan dan 11 peserta didik 11 laki-laki. Teknik pengumpulan data yang digunakan adalah observasi, dan tes tertulis berupa pilihan ganda dan uraian singkat. Analisis data yang digunakan yaitu analisis data kuantitatif dan kualitatif. Hasil penelitian menunjukkan terjadi peningkatan hasil belajar peserta didik. Perolehan nilai rata-rata hasil belajar siklus I adalah 75, sebanyak 15 peserta didik yang mencapai ketuntasan dengan persentase 68%. Sedangkan perolehan nilai rata-rata di siklus II mengalami peningkatan dengan perolehan nilai yakni 83, sebanyak 18 peserta didik yang mencapai ketuntasan dengan persentase 82%. Berdasarkan uraian tersebut, dapat disimpulkan bahwa dengan menggunakan Model Problem Based Learning (PBL) berbantu media Papan daur Hidup Hewan (Pandudewan) terbukti dapat meningkatkan hasil belajar peserta didik kelas III.
Abstract
The purpose of this study was to improve the learning outcomes of students by using the Problem Based Learning (PBL) Learning Model on Thematic learning Theme 1 Growth and Development of Living Things Subtheme 3 Animal Growth with the help of Animal Life Cycle Board media (Pandudewan). This type of research is a collaborative Classroom Action Research (PTK) with reference to the Kemmis and Mc.Taggart model. The research subjects were third grade students of Kecandran 01 Elementary School in Salatiga City, totaling 22 students consisting of 11 female students and 11 male students. The data collection techniques used were observation, and written tests in the form of multiple choice and short descriptions. The data analysis used was quantitative and qualitative data analysis. The results showed an increase in student learning outcomes. The acquisition of the average value of learning outcomes in cycle I was 75, as many as 15 students who reached completeness with a percentage of 68%. While the acquisition of the average value in cycle II has increased with the acquisition of a value of 83, as many as 18 students who reached completeness with a percentage of 82%. This description leads to the conclusion that third grade students' learning outcomes are improved when the Problem Based Learning (PBL) paradigm is used in conjunction with the Animal Life Cycle Board (Pandudewan) media.
Esprits migrants, esprits adolescents. Transitions, transformations, migrations : avancer sur les marges
Authors: De Micco Virginia 
Published: October 2023

Les noyaux traumatiques liés à la migration et à l’éradication sont examinées. En particulaire, sont analysées les mémoires traumatiques et les transformations des vécus corporelles dans la migration. Enfin, une attention spéciale est donnée à la complexité des dynamiques relationnelles dans les centres d’accueil, où très souvent les membres de l’équipe se retrouvent à « r-accueillir » dans leurs esprits les éléments traumatiques insoutenables que les migrants portent avec eux.
Demande, précarité des familles et dispositifs d’accueil des équipes
Authors: Mellier Denis 
Published: October 2023

Les pratiques psychanalytiques tendent à s’approfondir au fur et à mesure de l’extension de leur domaine d’application. Les terrains actuels de la clinique se complexifient, suite notamment à différentes évolutions sociétales, comme la précarité sociale, les réaménagements de la famille, l’individualisme ou la désinstitutionnalisation. L’auteur tente de conceptualiser les enjeux de cette clinique en mettant l’accent sur : 1) La fragilité des demandes de soin liée à la présence de souffrances très primitives de ces familles en situation de rupture d’étayage. 2) La place des équipes pluridisciplinaires qui peuvent développer dans leurs interventions une attention à ces souffrances, notamment grâce à des dispositifs d’accueil. 3) La prise en compte du travail des équipes et des réseaux qui conditionne ainsi le travail thérapeutique. Des exemples tout particulièrement en périnatalité illustrent ces propositions.
La Boîte à Tartines, un endroit qui fait lieu…
Authors: Cornez Johan , d’Oultremont Alexandra , du Bled Nicolas , Santana Bauza Barbara 
Published: October 2023

À partir du Service de santé mentale « Ulysse », dédié à la prise en charge de personnes exilées en précarité du droit au séjour et en souffrance psychologique, une équipe de cliniciens aménage un nouvel espace ouvert aux enfants entre 0 et 4 ans accompagné d’un parent. Cet espace qui fait « lieu », inspiré par le modèle des maisons ouvertes de Françoise Dolto, propose de donner une voix à l’enfant porteur d’un message dans des échanges où la mère n’a pas toujours la possibilité de l’entendre. Il cherche également à repérer les modalités des échanges entre enfants et parents, souligner les processus répétitifs désorganisateurs du lien et réfléchir à d’autres modalités. La Boîte à Tartines est aussi un espace utilisé par chacun d’une manière singulière ; pour y jouer librement, parler avec d’autres parents, s’y reposer et souffler un moment,… À travers quelques vignettes cliniques, les auteurs interrogent les avatars de la relation parents-enfants, à travers trois dimensions fondamentales : l’entrée dans le langage, la transmission et la filiation, le lien et la séparation.
Notes sur les espaces de la réalité psychique et le malêtre en temps de pandémie
Authors: Kaës René 
Published: October 2023

Durant les 55 jours qu’a duré le confinement imposé en France par les autorités en mesure de protection contre la contagion du virus Covid-19, du 13 mars au 11 mai 2020, j’ai pris des notes, à chaud, et je les ai reliées avec beaucoup de coupures et de coutures. Mon propos a été d’ouvrir quelques voies de réflexion sur l’impact de cette pandémie dans trois principaux espaces de la réalité psychique dont j’ai caractérisé les formations et les processus : l’espace intrapsychique propre aux sujets considérés dans leur singularité ; celui, intersubjectif, des liens qu’ils établissent avec d’autres sujets ; celui des ensembles plurisubjectifs dont ils sont membres, tels que les familles, les groupes et les institutions. Ces espaces ne sont pas étanches les uns par rapport aux autres, ils sont poreux, en rapport d’interférence et de transformation réciproques C’est donc sur les flux de la réalité psychique entre ces espaces en ce temps de pandémie que je porte mon attention. Elle se focalise plus précisément sur ce qui m’apparait comme l’arrière-fond du malêtre dans la culture contemporaine, un malêtre qui affecte l’ensemble et chacun des espaces psychiques. Ces notes sont un état de mes réflexions, provisoires et partielles, sur les espaces de la réalité psychique et les manifestations du malêtre au cours de cette période de la pandémie.
Le pouvoir des mots dans « El hombre muerto » (1920) de Horacio Quiroga : sacralisation, incantation et conjuration
Authors: Roux Eva Le 
Published: October 2023

Le présent article propose une nouvelle lecture du conte « El hombre muerto » (1920) de l’écrivain uruguayen Horacio Quiroga, en partant de l’analyse des effets de sacralisation, d’incantation et de conjuration du logos. Contrairement à ce qu’une grande partie de la critique souligne, l’absence de tension et la quasi‑absence de l’élément fantastique ne suffisent pas à appauvrir l’efficacité narrative de ce conte. Nous souhaitons montrer que l’adoption d’une perspective stylistique permet de considérer la répétition, la densité et l’étirement du temps du récit comme de véritables stratégies d’écriture.
Genre, mémoire et sororité dans le roman La sangre de la aurora (2013) de Claudia Salazar Jiménez
Authors: Barrios Tania Romero 
Published: October 2023

L’article suivant1 porte sur le roman La sangre de la aurora (2013) de l’autrice péruvienne Claudia Salazar Jiménez. Il s’agira d’aborder l’écriture éthique et féministe de la violence politique dans ce roman portant sur l’histoire de trois femmes victimes de violence sexuelle pendant le conflit armé (1980‑2000). Pour ce faire, l’article analyse la construction et la confrontation aux « mémoires androhéroïques » du conflit armé, qui se fait depuis les masculinités et les voix féminines du roman.
Les photos de la marge : captations de l’espace vide chez Ramón Masats et Francisco Gómez
Authors: Cristini Corinne 
Published: October 2023

Nous nous intéresserons, dans cette étude, à deux photographes espagnols : Ramón Masats (né à Caldes de Montbui, en Catalogne, en 1931) et Francisco Gómez (né à Pamplona, en 1918, et mort à Madrid, en 1998). Ils ont tous deux été membres de la Real sociedad fotográfica de Madrid et du groupe photographique AFAL (Agrupación Fotográfica de Almería), ont été cofondateurs de La Palangana, et ont participé activement au renouveau de la photographie espagnole des années 1950 et 1960 encore tout imprégnée du pictorialisme ambiant. Dans les deux œuvres en noir et blanc de cette période, qu’il s’agisse des photos documentaires de Masats ou des photos plus abstraites de Gómez, le rôle prégnant du vide sera interrogé, que celui‑ci soit le reflet d’une réalité socio‑économique dans cette Espagne archaïque du franquisme ou encore une construction esthétique de la vacuité qui tend vers une forme poétique et symbolique.
Apnea Management During WATCHMAN Device Deployment with Apneic Oxygenation: A Case Report of Three Cases
Authors: Maeda Makishi , Yoshikawa Yusuke , Oura Shunsuke , Takahashi Kanako , Ohno Sho , Hirata Naoyuki , Yamakage Michiaki 
Published: October 2023

ABSTRACT
WATCHMAN is a percutaneous left atrial appendage closure device that is implanted in patients who are unsuitable for anticoagulation therapy for atrial fibrillation. During WATCHMAN implantation, inducing apnea in the patient is preferable to allow stable deployment. We present three cases in which apneic oxygenation was employed to maintain oxygenation during apnea, and oxygen reserve index (ORi™) was measured to evaluate its safety and efficacy. Oxygen was administered continuously via the endotracheal tube during apnea. During all four apneic events in three patients (mean duration of 356 seconds), the ORi values maintained above 0.24, which is generally considered the threshold of partial pressure of arterial oxygen (PaO2) > 100 mmHg. Transcutaneous oxygen saturation and PaO2 remained above 99% and 300 mmHg, respectively. There were no respiratory or circulatory complications during or after the surgery.
Role of Transesophageal Echocardiography in Early Detection of Myocardial Ischemia before Electrocardiography Changes Post Arterial Switch Operation
Authors: Negi Sunder L. , Chakorvarthy Loganathan , Gowda Nischita , Kumar Rupesh 
Published: October 2023

ABSTRACT
Myocardial ischemia after arterial switch operation is most commonly associated with imperfect translocation of coronary arteries to the neoaorta. Early post-operative myocardial ischemia is the main cause of morbidity and mortality in these patients. We present a rare case of intra-operative myocardial ischemia after ASO, detected with transesophageal echocardiography before electrocardiography changes.
Effects of a Forced-Air Warming System and Warmed Intravenous Fluids on Hemodynamic Parameters, Shivering, and Time to Awakening in Elderly Patients Undergoing Open Cardiac Surgery
Authors: Roshan Mohammad Bagher Akbarpour , Jafarpoor Hasanali , Shamsalinia Abbas , Fotokian Zahra , Hamidi Seyed Hossein 
Published: October 2023

ABSTRACT

Background:
As one of the most common postoperative complications, hypothermia is the main cause of numerous problems during treatment, especially in elderly patients with decreased cardiac reserves.

Objectives:
The aim of the present study was to compare the effects of forced-air warming system (FAWS), warmed intravenous fluids (WIVFs) and routine method on hemodynamic parameters, arterial blood gases (ABGs), shivering, and time to awakening in elderly patients undergoing open cardiac surgery (OCS).

Methods:
This clinical randomized controlled trial was conducted on 94 elderly patients who underwent OCS at Ayatollah Rouhani Hospital, Babol, Iran. They were divided into three groups, namely FAWS (n=31), WIVFs (n=31) and routine rewarming method (RRWM, with a blanket) (n=32). The data were then recorded in a checklist. Descriptive and inferential statistics were performed using SPSS 26 at a significance level of less than 0.05.

Results:
The findings demonstrated that the degree of hypothermia had a significant decreasing trend in the groups receiving FAWS and WIVFs (P=0.002). Additionally, increased respiratory rate (P=0.013), higher bicarbonate (HCO3-) levels on arrival up to 4 hours after surgery (P=0.045), reduced lactate level (P=0.005), normal base excess (BE) and accelerated time to awakening (P=0.004) were observed in patients receiving FAWS. There was no significant difference in the study groups regarding shivering.

Conclusion:
The results revealed that FAWS could mitigate the degree of hypothermia, increase body temperature and decrease the postoperative serum lactate levels. Moreover, BE as one of the most important parameters for ABGs, could remain at a normal level. Besides, the use of FAWS could lead to early awakening, and thus facilitate weaning and extubation of these patients.
Effect of Intravenous Levosimendan or Milrinone on Left Atrial Pressure in Patients Undergoing Off-Pump Coronary Artery bypass Grafting—A Prospective Double-Blind, Randomized Controlled Trial
Authors: Mondal Abhinandan , Ghosh Kakali , Kar Sandeep Kumar , Dammalapati Pavan Kumar , Dasgupta Chaitali S. 
Published: October 2023

ABSTRACT

Background:
Maintaining a low left atrial pressure (LAP) in off-pump coronary artery bypass grafting (OPCAB) is desirable. This study was done to compare the effects of intravenous levosimendan or milrinone on LAP at different stages of OPCAB.

Materials and Methods:
After institutional ethics committee clearance, this two-arm double-blind randomized control trial was done in 44 adult patients with triple vessel coronary artery disease undergoing OPCAB at cardiac OT of IPGME&R, Kolkata. The patients were randomly allocated into two groups receiving intraoperative either levosimendan or milrinone. Pulmonary capillary wedge pressure (PCWP) was compared as the primary outcome parameter, whereas other echocardiographic and hemodynamic parameters were also assessed during six stages of OPCAB, that is, after sternotomy, proximal(s), left anterior descending artery (LAD), obtuse marginal (OM), posterior descending artery (PDA) grafting, and before sternal closure. Numerical parameters were compared using Student’s unpaired two-tailed t-test.

Results:
PCWP was found to be significantly lower (P < 0.05) in the levosimendan group during proximal (P = 0.047), LAD (P = 0.018), OM (P < 0.0001), PDA grafting (P = 0.028), and before sternal closure (P = 0.015). Other parameters indicate LAP, that is, from mitral early diastolic inflow velocity to mitral annular early diastolic velocity ratio (E/e’), which indicated significantly lower LAP in levosimendan group during LAD, OM, and PDA grafting and before sternal closure.

Conclusion:
Levosimendan may be used as a primary inotrope in terms of better reduction in left atrial pressure during different stages of OPCAB, translating to a decrease in left ventricular end-diastolic pressure, therefore maintaining optimum coronary perfusion pressure, which is the primary goal of the surgery.
Absent Right Superior Vena Cava and Persistent Left Superior Vena Cava: An Incidental Finding
Authors: Joshi Swati , Singh Ajmer 
Published: October 2023

ABSTRACT
A patient with Marfan syndrome undergoing Bentall operation was found to have an absent right superior vena cava and persistent left superior vena cava. The dilation of coronary sinus raised the suspicion of persistent left superior vena cava. The diagnosis was confirmed by agitated saline contrast echocardiography and computed tomography of the chest.
Comparison of ultrasound-guided genicular nerve block and knee periarticular infiltration for postoperative pain and functional outcomes in knee arthroplasty – A randomised trial
Authors: Eid Gehan M. , El said Shaban Shiamaa , Mostafa Tarek A. 
Published: October 2023

Background and Aims:
Optimal analgesia after total knee arthroplasty (TKA) enhances patients’ and surgical outcomes. The study investigated the ultrasound-guided genicular nerve block versus the periarticular infiltration in TKA.

Methods:
Eighty-eight patients aged above 50 years scheduled for unilateral TKA were randomised as: Group 1 received intraoperative periarticular infiltration (0.5 mL adrenaline [4.5 µg/mL], 20 mL bupivacaine 0.5% with 89.5 mL saline) and Group 2 received immediate postoperative genicular nerve block (15 mL bupivacaine 0.25% with 2.5 g/mL adrenaline). The postoperative morphine consumption was during the first two postoperative days the primary outcome. The secondary outcomes were time to rescue analgesia, pain scores and functional outcomes. The comparison between groups was performed using the Chi-square test, the Student’s t-test and the Mann–Whitney U test, as appropriate.

Results:
The postoperative morphine consumption during the first two postoperative days and pain scores at rest at 12 h postoperatively were less in Group 1 than in Group 2 (P < 0.001). Pain scores during movement on the first postoperative day were lower in the periarticular group than the genicular group at 6, 12 and 24 h (P < 0.001). At 18 h, pain scores were higher in the periarticular group than in the genicular group at rest and movement (P < 0.001). Quadriceps motor strength scores were comparable between groups (P > 0.05). The knee range of motion and time up and go test during both days showed a statistically significant difference in the periarticular group compared to the genicular group (P < 0.05).

Conclusion:
Periarticular infiltration and genicular nerve block yield effective postoperative analgesia and functional outcomes after TKA without motor affection.
Efficacy of intravenous nalbuphine for managing post-anaesthesia shivering: A systematic review and meta-analysis of randomised controlled trials with trial sequential analysis
Authors: Nair Abhijit , Dudhedia Ujjwalraj , Rangaiah Manamohan , Panchawagh Suhrud 
Published: October 2023

Background and Aims:
Post-anaesthesia shivering is distressing and is observed after spinal and general anaesthesia. Nalbuphine, a partial mu-opioid receptor antagonist with kappa-opioid receptor agonist properties, has been successfully used to manage post-anaesthesia shivering.

Methods:
After registering the review with the International Prospective Register of Systematic Reviews (PROSPERO), we searched PubMed/Medline, Scopus, Ovid, Cochrane Library and clinicaltrials.gov with keywords for randomised controlled trials. The risk of bias-2 (RoB-2) scale was used to assess the quality of evidence. We also used Grading of Recommendations, Assessment, Development and Evaluations (GRADE) guidelines to evaluate the strength of evidence and trial sequential analysis to validate the conclusions.

Results:
Of the 240 articles, 10 were considered eligible for review (700 patients, 350- nalbuphine, 350- control or placebo). When compared to placebo, the success rate of nalbuphine controlling shivering was significantly better (risk ratio [RR]: 2.37, 95% confidence interval [CI]:1.91, 2.94; P = 0.04, I² = 94%), but comparable to the control group drugs (opioids, dexmedetomidine, ondansetron, pethidine). Compared to placebo, shivering recurrence was significantly less with nalbuphine than with placebo (RR: 0.47, 95% CI: 0.26, 0.83; P = 0.01, I² = 61%), but comparable with the control group. The incidence of postoperative nausea/vomiting (PONV) was significantly less with nalbuphine when compared to the control group (RR: 0.67, 95% CI: 0.47, 0.95; P = 0.02, I² = 37%), but PONV in the nalbuphine group was comparable to placebo (RR: 1.20, 95% CI: 0.68, 2.12; P = 0.54, I² = 0%). Other outcomes, like the grade of shivering and hypotension, were comparable between the nalbuphine and control groups.

Conclusion:
Nalbuphine successfully controls post-anaesthesia shivering and reduces the recurrence of shivering.
Non-opioid versus Opioid Peri-operative Analgesia In Neurosurgery (NOPAIN): Study protocol for a multi-centric randomised controlled trial
Authors: Sriganesh Kamath , Singh Georgene , Bidkar Prasanna Udupi , Sethuraman Manikandan , Moningi Srilata 
Published: October 2023

Background and Aims:
Many patients suffer from post-operative pain after neurosurgery despite using intra-operative opioids. Opioid side effects are problematic in neurosurgical patients. Hence, non-opioid alternatives for the management of nociception and pain are needed. Previous studies comparing opioids with non-opioids in the neurosurgical population were few, from single centres, of small sample sizes and were equivocal in findings, which prevented change in clinical practice. To overcome these limitations, we are conducting a multi-centre trial with objectives to compare intra-operative rescue opioid requirements and post-operative pain scores (primary objectives), adverse events, quality of recovery from anaesthesia, quality of sleep and patient satisfaction during hospital stay, and persistent post-surgical pain and quality of life at 3 and 6 months (secondary objectives) in patients receiving opioid and non-opioid analgesia for brain tumour surgeries.

Methods:
This study protocol describes the methodology of a multi-centre randomised controlled trial. Ethics committee approval has been obtained from all five centres, the trial has been registered with the Clinical Trial Registry- India, and insurance has been obtained for this investigator-initiated funded study. In patients undergoing supra-tentorial brain tumour surgery (population), we will compare fentanyl (intervention) 1 µg/kg/h with dexmedetomidine (comparator) 0.5 µg/kg/h administered during surgery with regards to intra-operative rescue opioid requirement and post-operative pain (primary outcomes).

Results:
We describe the study protocol of the multi-centre trial (protocol version 2, dated 29/01/2022). The first patient was recruited on 19/10/2022, and we will complete recruitment before March 2024.

Conclusion:
We expect our study to establish dexmedetomidine as an effective non-opioid analgesic vis-à-vis opioids in the neurosurgical population.