bluuebunny/crossref_metadata_2025_split huggingface dataset:
Recent advances in system management, decision support systems, artificial intelligence and computing in anaesthesia
Authors: Gupta Bhavna , Sahay Nishant , Vinod Krishnagopal , Sandhu Kirandeep , Basireddy Hariprasad Reddy , Mudiganti Rama Krishna Reddy 
Published: January 2023

ABSTRACT
Advances in artificial intelligence, telemedicine, block-chain technology and electronic medical records are paving the way for a new era in anaesthetic care through automation, non-invasive monitoring, system management and decision support systems. Their utility has been demonstrated in a variety of contexts in the peri-operative setting, including but not limited to, monitoring anaesthesia depth, maintaining drug infusion, predicting hypotension, critical incident evaluation, risk management strategies, antibiotic administration, haemodynamic monitoring, precise ultrasound-guided nerve blocks and a future where possibilities are entirely dependent on how we decide to embrace this progression. The main objective of this article is to provide up-to-date and valuable knowledge about the recent advances in anaesthesia technology during the past few years.
Impact of Menstrual Cycle Phases on the Selected Physiological Parameters and Skill-Related Components
Authors: Yadav Tanu Shree , Pandey Gayatri 
Published: January 2023

Context:
Numerous researches have been conducted to investigate the changes in various types of physical and physiological profiles in the menstrual cycle, but the results have been inconsistent and conflicting. Researchers also noticed that studies have not focused on athletes who participate in sports dominated by speed endurance specifically.

Aims:
The intent of the study was to analyze the physiological parameters and skill°related components during the various stages of the menstrual cycle, namely, menstrual, follicular, ovulation, and luteal phases.
Settings and Design: Randomized clinical trial conducted on female athletes from Gwalior.

Methods and Material:
Data were collected on 20 randomly selected female athletes from LNIPE, Gwalior, who are having a regular menstrual cycle. Vital capacity, VO2 max, 50°m sprint, and 12°min run/walk test were measured in each phase using appropriate tests and equipment.

Statistical Analysis Used:
The data were analyzed using repeated measures ANOVA at a 0.05 level of significance with SPSS 20.

Results:
The results of the study showed a significant difference in the vital capacity during the luteal phase, while no significant difference was observed in VO2 max during all the four phases. The finding for skill related components, namely, speed and endurance, also shows a significant difference in the follicular phase

Conclusions:
The study may conclude that variations in physiological parameters and skill related components are observed during the various stages of the menstrual cycle.
The experience of 100 cases of 8K/two-dimensional laparoscopic colorectal surgery – The evaluation of 8K/two-dimensional laparoscopy and how to use it
Authors: Shonaka Tatsuya , Tani Chikayoshi , Takeda Tomohiro , Otani Masahide , Ohara Mizuho , Kita Kengo , Hasegawa Kimiharu , Yokoo Hideki , Matsuno Naoto , Sumi Yasuo 
Published: January 2023

Background:
The resolution of 8K ultra-high-definition imaging technology (7680 × 4320 pixels) is 16-fold higher than the current high-definition technology (1920 × 1080 pixels). 8K/two-dimensional (2D) laparoscopy was clinically available in 2014, but few reports concerning its application have been published. The aim of this study was to evaluate the appropriate methods of usage and problems learned from clinical use of 8K/2D laparoscopy.

Subjects and Methods:
The patients were 100 colorectal surgery patients who underwent 8K/2D laparoscopy at Asahikawa Medical University Hospital between November 2018 and March 2021. We evaluated the effectiveness, operating conditions, methods and issues of 8K/2D laparoscopy.

Results:
The median age was 68.5 years. The primary disease was malignancy of the left side of the colon and rectum in 92 patients. The right-sided colectomy was performed in five cases, total proctocolectomy of ulcerative colitis was performed in 3 cases. The proper application of 8K/2D laparoscopy can be achieved by adhering to certain tips, such as darkening the operation room and keeping an appropriate distance from the monitor. Regarding intraoperative complications caused by the 8K/2D laparoscope, skin burns due to heat from the tip of the laparoscope were observed in one patient. There were no cases of complications due to the 8K/2D laparoscopy.

Conclusion:
8K/2D laparoscopy can be used safely in colorectal surgery. There are still some tips for proper use, such as keeping an appropriate distance to the monitor and darkening the room. However, 8K/2D laparoscopy can provide delicate images and can be used without any operational problems.
Endoscopic totally extraperitoneal repair for groin hernia: Experience from a tertiary care centre
Authors: Khan Washim Firoz , Rathore Yashwant Singh , Aggarwal Sandeep , Chumber Sunil , Arumugaswamy Prasanna Ramana , Baig Khaja Abdul Moin , Patidar Amit , Rai Sanjeet Kumar 
Published: January 2023

Background:
Totally extra-peritoneal (TEP) and transabdominal preperitoneal (TAPP) repair are two established minimal access techniques of groin hernia surgery. TEP offers the advantage of avoiding violation of the peritoneal cavity.

Aim:
This study aims to describe the decade-long experience of TEP in groin hernia repair in a tertiary care teaching institute and the feasibility of the same in difficult scenarios.

Materials and Methods:
Retrospective analysis of the database of patients undergoing TEP repair for inguinal hernia in a single surgical unit at a tertiary teaching hospital between January 2008 and December 2019 was performed. Detailed pre-operative clinical details, operative duration, intraoperative and post-operative complications, including pain, length of post-operative hospital stay and hernia recurrence data were analysed.

Results:
Over 12 years’ duration, 511 patients underwent endoscopic TEP mesh repair and the total number of hernias repaired was 614. Majority (97.45%) of patients were male. The mean age of the patient population was 51.3 years. Primary hernia was seen in 490 patients. The mean operating time for unilateral inguinal hernia repair was 56.8 ± 16 min and for bilateral repair 80.9 ± 25.2 min. TEP in previous lower abdominal/suprapubic surgical scars was attempted in 17 (3.3%) patients, with only one requiring conversion. The intraoperative peritoneal breach was the most common documented complication (34.8%). Seroma was seen in 9.4% of patients. Seventeen patients required conversion (14 TAPP and 3 open). Recurrence was seen in 4 (0.7) patients.

Conclusion:
TEP repair is an effective method of groin hernia repair and can be attempted in the majority of patients groin hernia, including patients with previous lower abdominal incisions.
Choice and adequacy of sedation in critically ill mechanically ventilated children
Authors: Jose Meenu , Prakash Ardra , Gupta Neetu , Subhash Swathy , Shijukumar C , Joji Prameela 
Published: January 2023

Background:
Sedation management is a crucial element of pediatric critical care medicine, aiming at reducing children's anxiety, distress, and oxygen demand. Prolonged administration of sedatives may result in drug tolerance and physical dependency. Abrupt discontinuation of these drugs in children may cause withdrawal symptoms. Our study aims to evaluate the choice and adequacy of sedation in ventilated children using the University of Michigan Sedation Scale score.

Subjects and Methods:
All the children aged between 1 and 12 years who were subjected to invasive ventilation during the time period October 2019 to June 2021 in the tertiary care pediatric intensive care unit (PICU) were included in the study.

Results:
Of the 35 children enrolled in the study, most of them spend the majority of their time in adequate sedation which accounts for around 87.1% of the total time of ventilation. Fentanyl and midazolam were the most frequently used drug combination. Oversedation and undersedation accounted for 7.9% and 5% of total ventilation hours, respectively. Out of 35 children, 10 (28%) developed iatrogenic withdrawal symptoms and 4 (11%) developed severe withdrawal symptoms.

Conclusions:
Fentanyl and midazolam were the most frequently used drug combination for attaining adequate sedation in our PICU. Irrespective of adequate sedation, no increase in the incidence of iatrogenic withdrawal syndrome, undersedation, or oversedation was noted in our study population.
Predictors of Practice of breast self-examination among women in District Ambala (Haryana)
Authors: Gupta Shilpi , Bhardwaj Anu , Nadda Anuradha , Mittal Anshu , Singh Khajan 
Published: January 2023

Background: Breast cancer is the most common cancer among women and its early detection is critical to improve survival. Breast self-examination is a cheap, basic and non-intellectual method to detect breast cancer. Aims and objectives: 1To determine the knowledge, attitude and practices regarding breast self-examination2. To explain the various factors which affect the practice of BSE Material and Methods: The present study was carried out among 300 women residing in rural and urban areas of district Ambala using a self-designed pretested semi-structured questionnaire. Results: In this study 127 (42.3%) of the participants had heard of BSE and 107 (35.7%) of the participants knew how to perform BSE. Overall, 47.7%, 30.3%, and 22% of the study participants had poor (<50%), medium (50–75%), and good knowledge (>75) on BSE, respectively. Educational qualification, knowing the three positions to perform BSE, knowing how often should BSE be done, taught how to do BSE, BSE is a useful tool to detect breast cancer were seen to be significantly associated with practice of BSE. Conclusion: This study elucidates that the knowledge as well as practice of BSE was significantly low in the population. This study provides insights into the various factors which affect the practice of BSE .
EKSPERIMEN PEMBUATAN KOMPOSIT BERBAHAN DASAR TANAMAN MENDONG MENGGUNAKAN METODE VACUUM BAGGING
Authors: Diaza Erlangga Briyan Nugraha  , Ferry Setiawan  , Sehono  
Published: January 2023

Kompoait merupakan sebuah teknologi matrial yang saat ini sedang berkembang, komposit sendiri merupakan gabungan dari dua atau lebih matrial yang tersusun dari penguat dan matriks. Komposit memiliki beberapa cara pembuatan salah satunya adalah vacuum bagging dimana car aini adalah salah satu cara termudah dalam pembuatan komposit, vacuum bagging menggunakan mesin vacuum untuk menciptakan daya hisap dan tekan yang nantinya berguna untuk menghilangkan gelembung gelembung udara yang ada pada proses pembuatan komposit. Dalam pembuatan komposit bahan yang digunakan biasanya matriks yang berupa resin dan katalis, dan bahan penguat yang biasanya menggunakan serat, serat sendiri terdiri dari serat buatan dan serat alam, serat yang sering digunakan dalam dunia industry adalah serat buatan seperti nylon atau fiber, dimana serat nylon atau fiber ini memiliki kekuatan dan ketahanan yang bagus, sedangkan serat alam sendiri masih dikembangkan guna untuk mengganti bahan bahan sintetis yang mempunyai dampak buruk bagi lingkungan. Mendong merupakan salah satu tanaman yang banyak tumbuh dan dibudidayakan di Indonesia, tanaman ini memiliki nama ilmiah (Fimbrystylis Globulosa), tanaman ini biasa hidup di lahan basah atau rawa rawa, tanaman ini biasanya dimanfaatkan batangnya yang nantinya dijadikan sebuah kerajinan tangan berupa topi, tas, tikar dan lain sebagainya.pada penelitian ini dilakukan eksperimen pembuatan komposit berbahan dasar tanaman mendong dan untuk mengetahui kekuatan tarik dari komposit tersebut. Hasilnya Anyaman tanaman mendong yang sudah direndam dengan NaOH ternyta mempengaruhi struktur dari tanaman dimana warna tanaman berubah menjadi lebih gelap dan memiliki tekstur yang kaku. Setelah di jadikan komposit spesimen terlihat kuat, kaku dan tidak elastis, terdapat juga beberapa lubang yang dihasilkan oleh gelembung resin yang tidak merata pada permukaan.anyaman. pada pengujian tarik dari semua sampel yang diuji memiliki kekuatan yang terbilang baik dimana rata rata kekuatan tariknya sebesar 1,44 KgF/mm2.
Análisis del campo magnético y su incidencia en la salud de los estudiantes del IST Cotopaxi
Authors: Villamarin Juan , Peñaherrera Garzón Verónica Vaneza , Llango Pullotasig Manuel Edmundo 
Published: January 2023

Las radiaciones magnéticas conllevan el peligro de "efectos biológicos" que pueden desencadenar en "efectos adversos" para la salud, mismas que son preocupantes pues en los últimos tiempos ha crecido significativamente, razón por lo que, el presente trabajo se centra en mitigar el impacto en la salud y mantener un control sobre ellas, a través de un análisis de datos levantados en tiempo real en el transformador, laboratorio, cables de media y baja tensión en el Instituto Superior Tecnológico Cotopaxi, para determinar que las mediciones expuestas se encuentran dentro de los límites permisibles de acuerdo a la normativa establecida. La investigación descriptiva fue la base para este trabajo con un enfoque cualitativo a través del diseño de la investigación de campo, con apoyo en lo documental, desde los datos que se obtengan de la realidad, apoyados en una revisión bibliográfica especializada en el tema y su simulación respectiva, lo que permite interpretar a profundidad la realidad. Como resultado se obtuvo que el nivel de exposición en las zonas vulnerables no supera los umbrales señalados, por tanto, el personal administrativo, docentes y estudiantes de esta institución, no son afectados en su salud por las radiaciones magnéticas
Upaya Peningkatan Hasil Belajar Siswa Pada Mata Pelajaran IPS Terpadu Melalui Model Pembelajaran Modelling The Way
Authors: Lase Asali , Halawa Karib Boy 
Published: January 2023

Model pembelajaran Modelling The Way merupakan model pembelajaran yang memberi kesempatan kepada siswa untuk mempraktikkan keterampilan spesifik yang dipelajari di kelas. Dalam pembelajaran diharapkan siswa mampu menyampaikan apa yang telah diperolehnya dalam pembelajaran untuk didemonstrasikan. Model pembelajaran Modelling The Way merupakan model pembelajaran yang memberi kesempatan kepada peserta didik untuk mempraktekkan keterampilan spesifik yang dipelajari dikelas untuk demonstrasi. Tujuan Penelitian ini (1) Untuk mengetahui Penerapan Model Pembelajaran Modelling The Way dalam proses belajar mengajar pada Mata Pelajaran IPS Terpadu Kelas VIII di SMP Negeri 2 Onohazumba. (2) Untuk mengetahui hasil belajar siswa pada Mata Pelajaran IPS Terpadu Kelas VIII di SMP Negeri 2 Onohazumba Tahun Pelajaran 2020/2021 dengan penerapan model pembelajaran Modelling The Way. Penelitian ini dilaksanakan di SMP Negeri 2 Onohazumba, Kecamatan Onohazumba Kabupaten Nias Selatan, dengan subjek penelitian siswa Kelas VIIIB Semester I Tahun Pelajaran 2020/2021 yang berjumlah 30 orang. Metode
penelitian yang digunakan adalah Penelitian Tindakan Kelas (PTK). Penelitian dilakukan pada mata pelajaran IPS Terpadu dengan materi pokok Interaksi Antar negara-negara ASEAN. Instrumen penelitian yang digunakan adalah (1) lembar observasi, terdiri dari lembar observasi guru dan lembar observasi siswa, (2) tes hasil belajar, (3) dokumentasi/ foto. Berdasarkan analisis data, diperoleh bahwa (1) hasil lembar observasi untuk guru pada Siklus I sebesar 59,38% dan pada Siklus II mengalami peningkatan menjadi 89,06%. Sedangkan hasil analisis pada lembar observasi untuk aktifitas siswa pada Siklus I sebesar 50,21%, meningkat pada Siklus II menjadi 84,63%. Dengan demikian model pembelajaran Modelling The Way dapat diterapkan pada mata pelajaran IPS Terpadu. (2) Rata-rata hasil belajar siswa pada Siklus I adalah 67,12 dengan persentase ketuntasan belajar sebesar 56,67%, berada pada interval lemah dan cukup. Sedangkan nilai rata-rata hasil belajar siswa pada Siklus II meningkat menjadi 85,26 dengan persentase ketuntasan belajar sebesar 100% berada pada interval kuat dan sangat kuat.
Deskripsi Minat Dan Motivasi Belajar Siswa Pada Pembelajaran Biologi
Authors: Harefa Masalena , Lase Natalia Kristiani , Zega Novelina Andriani 
Published: January 2023

Penelitian ini bertujuan (1) Mendeskripsikan proses belajar siswa kelas X pada pembelajaran Blended Learning. (2) Mendeskripsikan minat belajar siswa kelas X pada pembelajaran biologi, (3) Mendeskripsikan motivasi belajar siswa kelas X pada pembelajaran biologi, (4) dan faktor-faktor yang mempengaruhi belajar siswa kelas X pada pembelajaran biologi. Jenis penelitian ini merupakan penelitian Ex post facto yang menggali fenomena permasalahan minat dan motivasi belajar siswa kelas X pada pembelajaran biologi tahun pelajaran 2021/2022 dengan metode yang digunakan peneliti dalam penelitian ini yaitu metode kualitatif. Informan penelitan ini adalah 17 prang siswa kelas X MIPA dan 1 orang Guru mata pelajaran biologi. Instrumen penelitian adalah: (1) wawancara, (2) angket/kuesioner, (3) dokumentasi. Hasil penelitian di SMA Negeri 2 Namohalu Esiwa tahun pelajaran 2021/2022 minat dan motivasi belajar siswa pada pembelajaran biologi yaitu (1) proses pembelajaran Blended Learning lebih bagus diterapkan pada masa pandemi covid-19 (2) minat belajar siswa pada pembelajaran biologi menurun dikarenakan proses pembelajaran dilaksanakan secara daring sehingga materi pelajaran yang di sampaikan guru kurang dipahami, (3) motivasi belajar siswa pada pembelajaran biologi menurun dikarenakan kekuatan didalam dirinya dan diluar dirinya untuk mewujudkan tujuan belajar tidak ada karena proses pembelajaran dilakukan secara daring, (4) faktor-faktor yang mempengaruhi belajar siswa pada pembelajaran biologi yaitu faktor dari dalam diri peserta didik sendiri antara lain: perasaan, perhatian, kebutuhan dan bakat faktor dari luar individu peserta didik antara lain: orang tua, guru, teman, sarana dan prasarana..
Intravenous thrombolytic therapies in the management of unknown onset and wakeup strokes: A scoping review
Authors: Nazish Saima 
Published: January 2023

Background : The efficacy and safety of thrombolytic therapies for the management of unknown time onset stroke (UTOS) and wake-up stroke (WUS) are in a debate.
Objective: The objective of this scoping review is to map the existing research literature to answer the research question: What is the efficacy and safety of intravenous thrombolysis in the management of unknown time onset stroke?
Data Sources: The literature search was conducted using the search terms {(Intravenous thrombolysis)} AND {(Unknown time onset stroke)} in pub med and Intravenous thrombolysis *, Unknown time onset stroke *in Cochrane. The review was limited to articles written in the English language. Databases searched included MEDLINE, PubMed and Cochrane electronic databases complemented with a manual search.
Study Selection and Data Extraction: 45 articles of potential relevance were selected. Out of them 14 were containing relevant information direct to the question. The analysis was conducted by charting descriptive numerical data and by content analysis of the narrative representations
Results: From 14 relevant papers, 2 Retrospective observational, 2 case control, 1 pilot study, and 5 recent randomized control trials were included for critical appraisal and review writing.
Conclusions: The penumbral mismatch in UTOS is a cogent method to recognize the patients for thrombolytic therapy without significant risk, but the appropriate imaging criteria to maximize the efficacy and minimize bleeding complications of thrombolytic treatment still has to be fully defined. Results from ongoing trials may be promising with the use of advanced imaging modalities in selected patients.
New species of Polycystididae (Platyhelminthes: Kalyptorhynchia) from Cuba and the Pacific coast of Panama
Authors: Diez Yander L. , Sanjuan Claudia , Monnens Marlies , Artois Tom 
Published: January 2023

Four new species of marine polycystidid microturbellarians (Platyhelminthes, Kalyptorhynchia) are described from Cuba and Panama. These species are Brachyrhynchoides ortizi sp. nov., Djeziraia adriani sp. nov., Phonorhynchoides lalanai sp. nov., and Sabulirhynchus ibarrae sp. nov. All species occur in Cuba, and P. lalanai sp. nov. was also retrieved from the Pacific coast of Panama. From the latter locality, we also report Sabulirhynchus axi Artois & Schockaert, 2000. All species are readily distinguished from their congeners by the morphology of the sclerotised structures of the male genital system. The prostatic stylet of B. ortizi sp. nov. is the shortest and widest known for Brachyrhynchoides. Djeziraia adriani sp. nov. can be recognized by its paired seminal vesicles and S-shaped prostate stylet. The prostatic stylet of P. lalanai sp. nov. is proximally twisted and the length proportion between its accessory and prostatic stylet is the largest among all known species of Phonorhynchoides. Sabulirhynchus axi and Sabulirhynchus ibarrae sp. nov. are morphologically similar, yet the latter species is unique due to the characteristic ridge in the middle of the proximally tubular prostatic stylet. With the data available today, a possible explanation of rhabdocoel biogeographic patterns across the Isthmus of Panama remains largely speculative.
Staying Online in Uncertain Times: A Nationwide Canadian Survey of Pathology Resident Uses of and Adaptations to Online Learning During COVID-19
Authors: Baranova Katherina , Driman David K. 
Published: January 2023

Context.—Because of restrictions as a result of the COVID-19 pandemic, medical educators rapidly transitioned to an online curriculum for pathology resident education. The benefits and challenges of the shift to online learning, as well as strategies to maximize learning, are yet to be fully elucidated.Objective.—To assess learner perception and satisfaction with the move to online learning. Understanding the benefits of online learning will allow future curricular changes to most effectively incorporate online learning. Understanding the common challenges will allow our current learning strategies to rapidly adapt and ideally mitigate these challenges as online learning is incorporated into medical education.Design.—This was a survey-based study distributed by email to pathology residents nationwide in Canada in anatomic pathology, general pathology, neuropathology, and hematopathology. Thirty residents participated, from anatomic pathology (n = 23; 76%), from general pathology (n = 5; 16%), and 1 participant each from hematopathology and neuropathology.Results.—All participants indicated that their program had transitioned to online learning at least in part. The majority of participants (n = 16; 53%) did not feel their pathology education was negatively affected by the transition to online learning; however, a significant minority (n = 6; 20%) felt their education had been negatively affected. Convenience and less intimidation were rated as benefits of online learning. Negative effects included technical issues and decreased engagement; we identified a number of strategies used by programs and pathology residents to mitigate these negative effects.Conclusions.—Our survey points to a need to use adaptations and best-practice recommendations to maximize the benefits of online learning moving forward.