bluuebunny/crossref_metadata_2025_split huggingface dataset:
Preliminary experience on systemic effects of perineural dexamethasone sodium phosphate and methylprednisolone acetate through adductor canal block in total knee arthroplasty: A single center retrospective study
Authors: Li Jinlei , Dai Feng , Zhou Bin , Cortes Milaurise , Baldev Khushboo 
Published: May 2023

Abstract

Background and Aims:
Glucocorticoids are commonly utilised as adjuvants to enhance nerve block quality and prolong the analgesic duration. Its systemic effects, after a single-injection adductor canal block (ACB) followed by a continuous infusion, are unclear. The aim of the study was to assess the systemic effects of a single dose of dexamethasone sodium phosphate (DEX), or a combination of DEX and methylprednisolone acetate (MPA), on fasting blood glucose (FBG) and white blood cell count (WBC) when administered perineurally via ACB.

Material and Methods:
A single-center retrospective study on total knee arthroplasty (TKA) was performed and a total of 95 patients were included in the final analysis. Patients were divided into three groups based on adjuvants received in ACB: Control group (N = 41) and two treatment groups, DEX group (N = 33) and DEX/MPA group (N = 21). Our primary outcomes were the change of FBG from its preoperative baseline value on postoperative day (POD) 2. The secondary outcomes included change of FBG on POD 0 and POD 1, and change of WBC on POD 0, POD 1, and POD 2.

Results:
The FBG change from baseline in the DEX group was significantly higher than that in the control group (difference = 14.04, 95% CI: 1.3 to 26.77), P = 0.031) on POD 0. The WBC change from baseline in the DEX/MPA group was statistically significant higher than control on POD 0 (2.62 (1.52 to 3.37), P < 0.0001). No significant differences between DEX and DEX/MPA group were found on any given postoperative days for FBG and WBC.

Conclusion:
This study provided preliminary safety data on the use of a combination of glucocorticoids with hydrophilic (DEX) and lipophilic (MPA) properties as local anesthetic adjuvants in ACB, which induced similar levels of changes on FBG and WBC as those from both control and DEX alone group.
Comparative evaluation of lignocaine nebulization with and without dexmedetomidine for flexible videoendoscopic guided awake nasal intubation for general anaesthesia
Authors: Gaikawad Jyoti , Choudhary Santosh , Sharma Sandeep , Meena Khemraj , Verma Devendra , Bedi Vikram 
Published: May 2023

Abstract

Background and Aims:
Awake fibreoptic intubation is considered a safe approach in airway management of a patient with difficult airway. Awake fibreoptic endoscopy needs appropriate anaesthesia of airway to suppress airway reflexes and prevent discomfort. We planned this study to evaluate effect of adding dexmedetomidine to lignocaine nebulization on conditions for awake videoendoscopic intubation.

Material and Methods:
In this prospective randomized double blind controlled study, ninety six ASA grade I, II patients of either gender, aged 18-65 years, scheduled for elective surgeries under general anaesthesia, were randomly allocated into two groups, Group D and L to receive nebulization with 4% Lignocaine 5 ml + Dexmedetomidine 2 mcg/kg and 4% Lignocaine alone respectively, 20 min before procedure. Time taken to intubate the patient, ease of intubation assessed by cough severity score, patient comfort score, post-intubation patient satisfaction and hemodynamic changes were recorded and compared.

Results:
Group D and L had comparable intubation time (196.8 ± 61.2 s) and (205.8 ± 52.2 s) (p = 0.437). Cough severity, patient comfort and quality of procedure with post intubation patient satisfaction score were significantly better in Group D. Haemodynamics parameters were better post nebulization in group D as compared to group L.

Conclusion:
Addition of Dexmedetomidine 2 mcg/kg with 4% Lignocaine during nebulization improves intubating conditions during awake flexible videoendoscopy in terms of ease of intubation, cough severity, patients comfort and satisfaction along with providing stable Haemodynamics profile.
Hemorrhagic Morbidity in Nulliparous Patients with Placenta Previa without Placenta Accrete Spectrum Disorders
Authors: Choi SK , Chung HS , Ko HS , Gen Y , Kim SM , Shin JE , Kil KC , Kim YH , Wie JH , Jo YS 
Published: May 2023

ABSTRACT

Background:
Placental adhesion spectrum (PAS) is a disease in which the trophoblast invades the myometrium, and is a well-known high-risk condition associated with placental previa.

Aim:
The morbidity of nulliparous women with placenta previa without PAS disorders is unknown.

Patients and Methods:
The data from nulliparous women who underwent cesarean delivery were collected retrospectively. The women were dichotomized into malpresentation (MP) and placenta previa groups. The placenta previa group was categorized into previa (PS) and low-lying (LL) groups. When the placenta covers the internal cervical os, it is called placenta previa, when the placenta is near the cervical os, it is called the low-lying placenta. Their maternal hemorrhagic morbidity and neonatal outcomes were analyzed and adjusted using multivariate analysis based on univariate analysis.

Results:
A total of 1269 women were enrolled: 781 women in the MP group and 488 women in the PP-LL group. Regarding packed red blood cell transfusion, PP and LL had adjusted odds ratio (aOR) of 14.7 (95% confidence interval (CI): 6.6 – 32.5), and 11.3 (95% CI: 4.9 – 26) during admission, and 51.2 (95% CI: 22.1 – 122.7) and 10.3 (95% CI: 3.9 – 26.6) during operation, respectively. For intensive care unit admission, PS and LL had aOR of 15.9 (95% CI: 6.5 – 39.1) and 3.5 (95% CI: 1.1 – 10.9), respectively. No women had cesarean hysterectomy, major surgical complications, or maternal death.

Conclusion:
Despite placenta previa without PAS disorders, maternal hemorrhagic morbidity was significantly increased. Thus, our results highlight the need for resources for those women with evidence of placenta previa including a low-lying placenta, even if those women do not meet PAS disorder criteria. In addition, placenta previa without PAS disorder was not associated with critical maternal complications.
The Impacts of Pieh Marine Protected Area on Reef Fish Resources In Its Adjacent Areas
Authors: Puspasari Reny , Nugraha Budi , Fitri Rachmawati Puput , Rachmawati Rita , Oktaviani Dian , Hanif Andriyanto 
Published: May 2023

Reef fish have a high economic value. Excessive fishing causes degradation of reef fish resources, as has occurred in the West Sumatera waters. Marine protected areas (MPA) offer one of the better management strategies in support of the restoration of the overexploited fish resources by protecting fish habitat and limiting exploitation. This study aims to analyze the impacts of the establishment of MPA on reef fish resources in its adjacent areas. The research was carried out in Pieh MPA and its adjacent areas located in the West Sumatra waters. Fishing experiments were conducted inside the core zone of the MPA and the catch was compared to similar experiments outside MPA. The result showed that the catch per unit effort (CPUE) of reef fishes in the core zone of MPA was 2.47 times higher than that of in the outside of MPA. However, the size composition was not significantly different between those two areas, except for Lutjanus russellii, which shows that the maximum length inside MPA was about 2.5 times higher. The length and weight of Epinephelus areolatus were analyzed to determine the biological condition of the grouper caught in both areas. The length-weight analysis shows that 86.67% of E. areolatus were matured. Nevertheless, the length of maturity in the MPA is smaller, indicating there is the impact of epreviously fishing pressure on E. areolatus. Research results showed that the MPA is double in fish abundance.
The Influence of Primary Stakeholder, Secondary Stakeholder, and Regulatory Stakeholder on Carbon Emission Disclosure
Authors: Nuriyani Fina Dwi , Dewi R. Rosiyana 
Published: May 2023

This research aims to analyze about direct and indirect influence between internal primary stakeholders, external primary stakeholders, secondary stakeholders and regulatory stakeholders on carbon emissions disclosure. The population of this research are non-financial companies listed on the Indonesia Stock Exchange (IDX) in 2019-2021 period.
The sample in this research was 196 samples with purposive sampling method. The type of data in this study is secondary data, and panel data regression analysis with the eviews 10. The results of this research showed that investor-oriented industry, industry close to consumers, media exposure, and government pressure have a positive effect on carbon emission disclosure. Meanwhile employee-oriented industries and creditor pressure have a negative effect on carbon emission disclosure. Environmentally sensitive industries and the audit by KAP Big 4 had no influence on carbon emissions disclosure.
YAYIN ÇAĞINDAN SOSYAL YAYIN ÇAĞINA: RİSK YÖNETİMİNDE BİR YAPAY ZEKÂ MODELİ ÖNERİSİ
Authors: KARA Ayşe Simin , KAYA Satı 
Published: May 2023

İtibar yönetimi, iletişim altyapısındaki gelişimlerle birlikte büyük değişiklikler yaşamış; Web 2.0’ın ortaya çıkması gibi iletişim mekanizmalarının gelişmesi, itibar yönetimini daha riskli bir yönetişim modeline dönüştürmüştür. Tüketiciler ve müşteriler artık geleneksel ve şirket tarafından kontrol edilen kitle iletişim kanallarına bağımlı olmamakla birlikte sosyal medyayı diğer tek yönlü iletişimi benimsemiş geleneksel kaynaklardan daha güvenilir olarak görmeye başlamıştır.
Amaç: İtibarın bir sermaye olarak kurumlar nezdinde önemini vurgulamak, itibarın kurumlara sağladığı avantajları ve riskleri görünür kılmak ve çevrimiçi itibar yönetiminin gelenekselden farkını ortaya koyarak sosyal medyayı doğrudan itibarı etkileyen dolaylı bir itibar riski olduğuna yönelik bir çerçeve sunmaktır.
Yöntem: Araştırma kısmında, Twitter ile işbirliği yapılarak örneklem grubunu oluşturan GSM operatörü özelinde 1200 adet veri çekilmiş, veriler yapay zekâ kütüphanaleriyle temizlenmiş, içerdikleri iletişim tonlarına göre itibara yönelik risk oranlarını temsilen kırmızı, sarı ve yeşil kategorilere ayrılmıştır. Uygulama aşamasında ise gruplara ayrılan tweetler; tweet sahibinin takipçi sayısı, ilgili tweetin erişim ve etkileşim sayısı, bulunduğu gruba göre analiz edilip, her birine seviye ağırlıkları atanarak, marka itibarını etkileyeceği negatif etki yüzdesinin tahminlemesini sağlayan çevrimiçi itibar yönetiminde uygulanabilecek yapay zekâ tabanlı bir model önerisi sunulmuştur.

Bulgular: İncelenen 1200 tweetin %53,49’unu markaya karşı öfkeli kırmızı grup, %32,49’unu olumsuz deneyimi paylaşmaya odaklanan sarı grup, %13,99’unu çözüm odaklı yeşil grup oluşturmaktadır. Bu tweetlerin %85,98’inin kurum itibarını doğrudan etkileyecek bir potansiyele sahip olması, markanın itibarını tehdit eden önemli bir sonuçtur. Hedef kitlesinin benzer konularda memnuniyetsizliklerini sosyal medyada dile getiren markanın; bu süreci otomasyona çevirerek anlık olarak takip etmesi, iletişimi en kısa sürede başlatarak aksiyon alması son derece önemlidir. Şikayet tweetlerinin doğru sınıflandırılmasıyla olası riskin derecesinin anlaşılması ve dereceye göre oluşturulan iletişim stratejileriyle sürece müdahale edilmesi kriz boyutunun artmasına engel olabilecektir.
Özgünlük: Çalışma kapsamında yapay zekâ, itibar yönetimi, risk yönetimi ve sosyal medya dinamiklerinin bir arada kullanıldığı ve sosyal medyada itibar yönetimine yönelik yapay zekâ modeli sunan bu çalışmanın alan yazına katkıda bulunması beklenmektedir.
ANALISIS MODEL PEMBELAJARAN THINK PAIR SHARE (TPS) UNTUK MENINGKATKAN HASIL BELAJAR MAHASISWA PADA JURUSAN AKUNTANSI PSDKU POLNEP DI KABUPATEN SANGGAU
Authors: Pratiwi Nia , Hendreo Chornolius , Toliang Ermina 
Published: May 2023

The Think Pair Share (TPS) learning model is one of the learning models that need to be used in the implementation of teaching and learning activities, because the Think Pair Share (TPS) model is designed to invite students to think about finding answers to a question from a concept through a group (in pairs). One of the problems faced in accounting learning is the low student accounting learning outcomes because lecturers always use the lecture method so there is less interaction. This study aims (1) to find out how to analyze the Think Pair Share (TPS) learning model to improve student learning outcomes in joint venture material for the fifth grade advanced financial accounting course majoring in accounting at PSDKU POLNEP in Sanggau district (2) to find out how student learning outcomes are accounting in the joint venture material for the fifth grade advanced financial accounting course majoring in accounting at PSDKU POLNEP in Sanggau district after analyzing the Think Pair Share (TPS) learning model. This type of research is Classroom Action Research. This research was conducted in 2 cycles, using pre-test and post-test cycles, second cycle using post-test. Sources of data obtained from lecturers and students. The data collection techniques by means of interviews, observation, and documentation.
UPAYA MENINGKATKAN KEMAMPUAN BERFIKIR KRITIS DENGAN MENGGUNAKAN METODE EXAMPLE NON EXAMPLE
Authors: Safitri Ayu , Lubis Nur Ainun , Syahirani Siti , Elmania Putri , Rizqi Nur Rahmi 
Published: May 2023

Penelitian ini bertujuan untuk mengetahui pengaruh penalaran matematika siswa menggunakan metode Scientific Approachpada mata pelajaran matematika materi himpunan dikelas IX B EX PGA PROYEK UNIVA MEDAN. Penelitian ini menggunakan pendekatan kualitatif dengan jenis penelitian variabel terikat dengan desain berfokus pada pretest danposttes. Populasi yangdigunakan dalam penelitian ini adalah siswa kelas IX B dengan jumlah siswa nya 19 orang. Teknik pengumpulan data dalam penelitian ini dengan menggunakan observasi sebelum penelitian, uji t dan uji t deskriptif dengan tarap signifikan (a) = 5 % berdasarkan hasil penelitian, pengolahan, dan analisis data, menunjukan terdapat pengaruh penggunaan lembar kerja peserta didik (LKPD) berbasis scientific approach untuk penalaran matematika siswa dikelas IX B EX PGA PROYEK UNIVA MEDAN 2022 /2023.
Archery Fundamentals
Authors: Johnson Teresa 
Published: May 2023

Archery is one of the hottest sports out there, and there's no better introduction to the sport than Archery Fundamentals, Second Edition.
Inside are all of the essentials you need to succeed and get on target. From stringing your bow to learning basic shooting technique, instructions and accompanying photographs will guide you through every step of the shot.
You'll also find insider tips for choosing, adjusting, and maintaining archery equipment as well as recommendations for using accessories to improve your accuracy. You'll discover how to correct errors and fine-tune your approach. And, if you want to compete, you'll appreciate our how-tos for trying archery tournaments.
Archery Fundamentals is a better, faster, and safer way to learn the basics. With this book, you'll have as much fun learning the art of shooting as you'll have hitting your target!
High-Scroing Baseball
Authors: Guilliams Todd 
Published: May 2023

What is the definition of a high-scoring offense? How do you measure a player’s offensive productivity? How do you keep your team on track throughout the course of a long season?
High-Scoring Baseball is the definitive guide for establishing an aggressive, opportunistic, and disciplined offense. Inside you’ll find detailed coverage of the four offensive team goals and the six ways to create offensive pressure that gives every team a chance to be high scorers.
Then go inside the numbers for an in-depth analysis of run production. Discover the most common predictors for achieving a big inning, the importance of getting the lead-off hitter on, and the importance of collecting free bases. You’ll identify the most effective strategies based on specific game situations as well as the proper mental approach and physical adjustments to execute in those situations.
Offense is more than a player’s batting average or a team’s ability to hit the long ball. It’s all about run production. It’s a player’s ability to achieve a high-quality at-bat and a team’s ability to create a big inning. High-Scoring Baseball will change the way you see and play the game.
Play Ball
Authors: O’Connell Tom 
Published: May 2023

“Amateur baseball has been waiting for a book like Play Ball. Tom O'Connell has done a magnificent job in laying out the practice-to-game concept for the readers.”
Ron Polk
Assistant Baseball Coach, University of Alabama at Birmingham
“Tom O’Connell, one of the most respected baseball coaches in the world, has hit a home run with Play Ball: 100 Baseball Practice Games. It should be required reading for every baseball coach on all levels of the game.”
Lou Pavlovich
Editor, Collegiate Baseball newspaper
“Coach O’Connell has assembled learning, teaching, and playing all in one book. Play Ball is a must-have for any baseball library, and I have never seen a more comprehensive book that can be used by coaches, parents, and players at all levels and all ages. You will use this book over and over.”
Tim Saunders
Dublin Coffman High School
2000 USA Baseball Developmental Coach of the Year
Ohio High School Baseball Coaches Association Hall of Fame Member
“Making kids comfortable with competing, giving them that feeling that they must do their best and accept the result is the coach’s job. This phenomenon is the subject of Tom O’Connell’s excellent new book Play Ball: 100 Baseball PracticeGames.”
-John Miller
Coach and player for the Brussels Kangaroos
The Complete Guide to Pitching
Authors: Johnson Derek 
Published: May 2023

There is more to becoming a great pitcher than sound mechanics, a blazing fastball, and a live arm. A pitcher must know how to pitch–what to throw, when to throw it, and where to locate it. He must have a me-versus-you mind-set, that unique blend of confidence and determination that fuels a passion to set the tone of the game, own the mound, and shut down the opponent.
The Complete Guide to Pitching is the most comprehensive pitching resource available. Derek Johnson, one of the game’s premier pitching coaches, takes you inside the art and science of pitching. You’ll discover these strategies:
• Upper- and lower-body pitching mechanics
• Most effective arm and shoulder strengthening workouts
• Shutting down the opponent’s running game
• Developing a potent pitching arsenal, including the splitter, curve, and changeup
• Creating a pregame pitching plan
• Situational strategies and recognizing hitters’ weaknesses
• Fielding the position
• In- and off-season conditioning programs
• Windup, stretch, and follow-through
From pregame warm-ups to cultivating the pitcher–catcher relationship, it’s all here in this one-of-a-kind book and DVD package. Featuring skill instruction, development drills, exercises, personal insights, and instruction on every aspect of pitching, The Complete Guide to Pitching is a must-have for every pitching coach, pitcher, and baseball fan.
Youth Basketball Drills
Authors: Paye Burrall , Paye Patrick 
Published: May 2023

Basketball’s best and most comprehensive drill book is now bigger and better than ever! Youth Basketball Drills, Second Edition, contains 160 drills for mastering every essential skill. Authors Burrall and Patrick Paye have outlined drills and variations that cover the entire scope of the game in both offense and defense. The book shows you how, when, and why to use each drill.
The progression of drills will help you develop your team from beginners to advanced players, skill by skill. The essentials of basketball offense and defense are addressed:
• Shooting
• Dribbling
• Ballhandling
• Passing
• Cutting
• Screening
• Rebounding
• Team offense
• Team defense
• Balance and agility
• Stance and footwork
When you’re coaching your players, it’s important to start out right. Youth Basketball Drills gives you the know-how and practice tools so you can teach your players the fundamentals they need in order to excel.
Bowling Execution
Authors: Jowdy John 
Published: May 2023

The sport's definitive work, from the game's master instructor. In Bowling Execution, legend and PBA Hall of Fame coach John Jowdy shares his expertise on every aspect of the sport, from developing skills to refining techniques for improved consistency.
Bowling Execution will show you how to
- improve each phase of your shot, from stance to follow-through;
- increase the accuracy of your hook;
- incorporate the free armswing for smoother mechanics;
- generate more power behind your shot to create greater pin action;
- analyze lane conditions and adjust your game accordingly; and
- develop strategies for achieving your personal best.
Whether your style is power or finesse, Bowling Execution will raise your game and your scores. It's the bowling resource you will turn to again and again.
Distance Cycling
Authors: Hughes John , Kehlenbach Dan 
Published: May 2023

Century, brevet, cross-state, ultradistance—there is only one book that covers them all. Distance Cycling is a comprehensive guide for planning, training, and competing in long-distance events.
Long-time distance cycling great John Hughes, an endurance coach and sport science expert, and coach Dan Kehlenbach team up to cover the sport from every angle. Combining sport science, including the latest research on training and conditioning, with hands-on advice for planning and performance, Distance Cycling will ensure you get the most from every ride.
With Distance Cycling, you will learn how to
• select the distance events best suited to you;
• prepare yourself for the physical and psychological demands of the sport;
• train for century rides and brevets using the 8- and 15-week conditioning programs; and
• conquer grueling ultradistance rides.
You’ll also learn how to fuel properly before, during, and after events; how to select the best equipment for your ride; how to perform basic roadside maintenance on your bike; and how to avoid the most common injuries in distance cycling.
Before you ride, read this book. As the ultimate guide for the ultimate sport, Distance Cycling will help you ride longer, stronger, and more comfortably in every event.
Mastering Cycling
Authors: Howard John 
Published: May 2023

Learn from a legend! Trim seconds off your time, train more efficiently, or simply maximize your fitness workouts with Mastering Cycling.
John Howard, three-time Olympian and 18-time national masters cycling champion, has created the ultimate cycling guide for serious riders, triathletes, and masters athletes. Cyclists from 18 to 88 will benefit from the targeted approach that covers these essentials:
• Technique instruction and refinement for cornering, climbing, and descending
• Workout plans for fitness and competition
• Training for road races, time trials, and triathlons
• Strategies that will shave seconds from your times
In addition, Mastering Cycling guides you in equipment selection, event-specific training, motivational strategies, nutrition, hydration, and selecting cycling clubs, coaches, and competitive events. With such comprehensive coverage, it is the one resource you’ll turn to time and time again for a lifetime of serious cycling.
Complete Linebacking
Authors: Tepper Lou 
Published: May 2023

Learn from a legend. Lou Tepper, coach to more than 20 NFL linebackers, including 3 Butkus Award winners, has created the most in-depth book ever written on football’s most important defensive position.
In Complete Linebacking, players and coaches receive a clinic on fundamentals, presnap keys, and techniques used by inside and outside linebackers in specific defenses, including the 32, 31, 52, 51, and 33. Coverage includes 4 key linebacker diagnostic tests, 44 drills to improve linebacking skills, presnap communication, relaying defense signals from the sideline, and special practice and game grading systems to evaluate and maximize performance.
The authoritative guide on playing the position, Complete Linebacking is a must-have for any linebacker, head coach, or defensive coach in today’s fast-paced, ever-evolving game.