bluuebunny/crossref_metadata_2025_split huggingface dataset:
Intra-abdominal Hypertension and its Outcome in Patients Admitted in Surgical ICU after Laparotomy
Authors: Malik Muhammad Irfan , Khan Burki Ahmed Mujadid , Ameer Khalid , Iqbal Muhammad Rashid , Jalil Asif , Aslam Mehreen 
Published: May 2023

Objective: To assess the frequency of intra-abdominal hypertension and its relationship with outcomes among patients of laparotomy admitted to the intensive care unit.
Study Design: Comparative cross-sectional study
Place and Duration of Study: Combined Military Hospital ,Rawalpindi Pakistan, from Apr to Sep 2021.
Methodology: Two-hundred patients who underwent laparotomy admitted to the intensive care unit of Combined Military Hospital were recruited in our study. Intra-abdominal pressure was measured after every 8 hours for 72 hours after admission to the intensive care unit. In addition, patients were followed up for two weeks from admission in the intensive care unit to assess the outcome.
Results: Out of two hundred patients, 150(75%) had good outcomes, while 50(25%) had poor outcomes. The mean age of patients who underwent the surgery was 40.63±9.448 years. 171(85.5%) patients did not have raised intra-abdominal pressure, while 29(14.5%) had intra-abdominal hypertension. High Body mass index and poor outcome had a significant association with the presence and severity of intra-abdominal hypertension among study participants (p-value<0.05).
Conclusion: Considerable number of patients had intra-abdominal hypertension during their stay in the critical care unit after laparotomy. A high grade of intra-abdominal hypertension was associated with poor outcomes in our study participants.
The Ever-Worsening Antimicrobial Resistance in Enterobacterales; A wakeup call
Authors: Ali Fatima , Mirza Irfan , Waseem Hafsa , Zafar Humaira 
Published: May 2023

Objective: To determine the comprehensive antibiotic susceptibility profile of carbapenem-resistant Enterobacterales among clinical samples received at the Armed Forces Institute of Pathology (AFIP), Rawalpindi.
Study Design: Cross-sectional study.
Place and Duration of Study: Department of Microbiology, Armed Forces Institute of Pathology (AFIP), Rawalpindi Pakistan, from Apr to Sep 2020
Methodology: Over six months, 150 carbapenem-resistant Enterobacterales were isolated at the Armed Forces Institute ofPathology, Rawalpindi Pakistan. The antimicrobial susceptibility testing was performed using the Kirby-Bauer Disk-Diffusion technique, and their susceptibility was interpreted according to the CLSI 2020 and EUCAST 2020 guidelines.
Results: Out of 150 clinical isolates resistant to Carbapenems, 99(66%) were identified as Klebsiella Pneumoniae, followed by Escherichia Coli 38(25.7%), Proteus Mirabilis 7(4.6%), Enterobacter Cloacae, Serratia Marcescens, Citrobacter Freundii, Providencia retgerii 1(0.6%) each. The isolates were highly resistant to the following categories of antibiotics tested. For Penicillins/Cephalosporins and their combinations, the resistance range was between 94 to 100%, and it was and >79% for Aminoglycosides, >97% for Fluoroquinolones and >48% for Tetracyclines. Isolates showed the highest susceptibility to Colistin, 94(92%) out of 102 then to Tigecycline 81(81%) out of 100, followed by Fosfomycin 60(78.9%) out of 76, Minocycline 41(52%) out of 79 and Doxycycline 33(50%) out of 66.
Conclusion: Extensively drug-resistant Enterobacterales ‘Superbugs’ with ever-worsening antimicrobial resistance threaten the human race back to the pre-antibiotic era. This real menace cautions against the lack of antimicrobials for treating lethal and hazardous infections caused by such difficult-to-treat bacteria in times to come.
Effect of Lower Limb Compression Stockings on Hemodynamic Stability in Obstetric Patients undergoing Lower Segment Cesarean Section under Spinal Anaesthesia
Authors: Ali Iftikhar , Iftikhar Hina , Rahman Habib Ur , Majeed Kaukab , Khalid Usman , Latif Hira 
Published: May 2023

Objective: To compare the effects of lower limb compression stockings and control in terms of frequency of bradycardia, hypotension and hypotensive symptoms in a group of obstetric patients undergoing lower segment cesarean section under spinal anaesthesia.
Study Design: Quasi-experimental study.
Place and Duration of Study: Department of Anesthesiology Combined Military Hospital, Multan Pakistan, from Aug 2020 to Feb 2021.
Methodology: One hundred women undergoing cesarean section under spinal anaesthesia from 18-45 years were included. Obstetric patients between 18–45 years of age, Non-labouring parturient, ASA Status I / II planned for Caesarean section were included. Patients were randomly divided into two treatment groups, i.e., Mechanical pump Group (Group M) and the Control Group (Group C), with Consecutive Non-probability sampling. The frequency of hypotensive symptoms, hypotension and bradycardia in both groups was noted.
Results: Frequency of hypotensive symptoms, hypotension and bradycardia in the compression stockings group was found in 18(36.0%), 8(16.0%) and 11(22.0%) patients while in 38(76.0%), 32(64.0%) and 30(60.0%) patients in the control group (p-value = 0.0001).
Conclusion: We concluded that the frequency of hypotensive symptoms, hypotension and bradycardia is less after lower limb compression stockings given to obstetric patients undergoing lower-segment cesarean section under spinal anaesthesia.
Diagnosis of Fungal Sinusitis; Is Fungal Culture a Must?
Authors: Aziz Mubashrah , Mailk Sadia , Manzoor Muniba , Aziz Sadaf , Aziz Munazzah , Manzoor Muzammil 
Published: May 2023

Objective: To determine the diagnostic accuracy of computed tomography (CT) of paranasal sinuses (PNS) in detecting fungal sinusitis keeping fungal culture as the gold standard.
Study Design: Cross-sectional validation study.
Place and Duration of Study: Department of Radiology, Combined Military Hospital, Rawalpindi Pakistan, from Jun 2018 to Jun 2019.
Methodology: A total of 323 patients of either gender were included in the study (aged from 10-70 years). All the patients underwent plain CT scans of paranasal sinuses, and the CT scan findings were reported and recorded on pre-designed proforma. Results were then compared with the culture report of each patient respectively.
Results: Among all the patients undergoing CT scans, paranasal sinuses 177 were True Positives, while 07 were False Positives. Out of a total of 139 CT scan-negative patients, 6 (False Negative) had fungal sinusitis on culture, whereas 133 (True Negative) had no fungal sinusitis on culture (p=0.001). Overall sensitivity, specificity, positive predictive value, negative predictive value and diagnostic accuracy of CT scan Paranasal sinuses were 96.72%, 95.0%, 96.20%, 95.68% and 95.98%,respectively.
Conclusion: CT scan of paranasal sinuses is a highly sensitive and accurate non-invasive investigation in detecting fungal sinusitis.
Comparison of Depression, Anxiety and Stress in Caregivers of Patients with Schizophrenia and Bipolar Affective Disorder
Authors: Ain Qurat ul , Mansoor Sawera , Zubair Usama Bin , Abbas Nadeem , Latif Tooba , Baqir Muhammad 
Published: May 2023

Objective: To compare depression, anxiety, and stress amongst caregivers of patients with Schizophrenia and Bipolar Affective Disorder
Study Design: Cross-sectional study.
Place and Duration of Study: Psychiatry Department, Fauji Foundation Hospital, Rawalpindi Pakistan, from May to Nov 2021
Methodology: One hundred caregivers of patients with Schizophrenia and Bipolar Affective Disorder took part in the study. The “Depression Anxiety Stress Scales” scale assessed depression, anxiety and stress. The difference in both groups was checked by the chi-square test.
Results: One hundred caregivers (46 caregivers of patients with Schizophrenia and 54 caregivers of patients with the bipolar affective disorder) were recruited. Among caregivers of patients with Schizophrenia, 29(63%) had significant depression, 33(71%) had anxiety, and an equal proportion had stress. Of those who cared for patients with bipolar affective disorder,16(29.6 %) had depression, 29(53.7 %) had anxiety, and 25(46.29%) had stress. Depression, anxiety, and stress among caregivers had a statistically significant association with clinical diagnosis in our target population (p-valve 0.002, 0.033, 0.007), respectively.
Conclusion: Depression, anxiety, and stress are significantly higher among caregivers of patients with Schizophrenia as compared to caregivers of patients with bipolar affective disorder. Our findings have identified a significant need for supporting caregivers of patients with serious mental illness.
Etiology of Pancreatitis in Patients at a Tertiary Care Center
Authors: Haider Muhammad Fahd Bin , Ali Irfan , Zafar Humaira , Ahsan Mehak , Shah Syed Zubair Hussain , Sher Farrukh 
Published: May 2023

Objective: To compare etiological frequencies in patients of acute pancreatitis presenting to our setup with international data.
Study Design: Cross-sectional study
Place and Duration of Study: Department of Gastroenterology, Pakistan Emirates Military Hospital & Combined Military Hospital, Rawalpindi Pakistan, from Aug 2020 to Jan 2022.
Methodology: Patients over 12 years suffering from pancreatitis were recruited using a convenience sampling technique based upon predefined criteria for diagnosis of pancreatitis on a questionnaire. Relevant basic lab tests, including chemistries and imaging, including Ultrasound abdomen and CECT abdomen, were analyzed to establish aetiology. Data were continuously uploaded into an electronic data sheet. International Consensus Diagnostic Criteria (ICDC) algorithms were applied to diagnose autoimmune pancreatitis.
Results: Out of 120 patients, 74(61.7%) were males, and 46(38.3%) were females. Biliary pancreatitis was the most common aetiology 50(41.7%), followed in descending order by idiopathic 36(30%), drug-induced pancreatitis (DIP) 9(7.5%), Post ERCP Pancreatitis (PEP) 8(6.7%), tumours 5(4%), Autoimmune pancreatitis (AIP), Hypertriglyceridemia and alcohol-induced pancreatitis each 2(1.7%).
Conclusion: Biliary pancreatitis has the highest frequency, followed by idiopathic and drug-induced pancreatitis.
Analisis Pengelolaan Anggaran Dana Desa Berdasarkan Kebutuhan Masyarakat di Kapanewon Bambanglipuro Kabupaten Bantul Propinsi DIY
Authors: Isfaatun Eliya , Hidayat Taufik 
Published: May 2023

Village Funds according to Government regulation Number 6 of 2014 are funds sourced from the APBD for villages transferred through Regency/City Regional Budgets and Expenditures and used to finance government administration, development implementation, community development, and community empowerment. Village funds can play a major role in reducing the number of villages left behind if managed properly. This study aims to analyze the efficient and effective use of village funds in Kapanewon Bambanglipuro which consists of three villages, namely Sidomulyo Village, Mulyodadi Village, and Sumbermulyo Village.
The analytical tool used in this research is the combination method (Mix Methods), which analyzes the target data, between the realization of expenditure and income by using the ratio of efficiency and effectiveness, and complements it with interview data. Data collection uses the Sequential Explanatory Design model, where the model is characterized by data collection and quantitative data analysis in the first stage, followed by qualitative data collection and analysis in the second stage, in order to strengthen the results of quantitative research conducted in the first stage.
The results of this study indicate that the average level of efficiency of Village Fund management in Kapanewon Bambanglipuro Bantul Regency is 98% which meets the criteria of being less efficient, and the average level of effectiveness is 98%, including in the effective category.

Keywords: Village funds, efficiency, effectiveness
Intervenções de enfermagem aos pacientes atendidos no ambulatório de feridas cutâneas em uma Policlínica de referência
Authors: Mola Rachel , Leticia Rodrigues Ferreira Jessica , Campos de Souza Plasencia Aguirre Victória , Emília Cavalcante Valença Fernandes Flávia 
Published: May 2023

Lesões cutâneas são definidas como a descontinuidade da pele, e exige expertise do profissional de enfermagem para elaboração de um plano de cuidados, cujas intervenções atendam às necessidades de forma singular. Este estudo visou elaborar as Intervenções de Enfermagem prevalentes aos pacientes atendidos em um ambulatório de feridas cutâneas. Estudo descritivo e documental, realizado de novembro de 2021 a fevereiro de 2022, no ambulatório de feridas cutâneas da Policlínica HU-UNIVASF. Participaram da pesquisa pacientes de ambos os sexos, maiores de 18 anos de idade, sendo a amostra não probabilística. Foi utilizado instrumento de coleta de dados com informações sobre perfil de atendimento, nas esferas estrutural, material e funcional do serviço. O estudo foi aprovado pelo Comitê de Ética em Pesquisa UPE, CAAE: 33127320.3.0000.5207. Resultados: A amostra final totalizou 47 pacientes, com prevalência do sexo masculino, média de idade de 53,75 anos e etnia parda. A especialidade prevalente de atendimento foi ortopedia/traumatologia. A partir do perfil clínico dos pacientes atendidos e dos cuidados de enfermagem prestados, foram formuladas Intervenções de Enfermagem com base na Classificação das Intervenções de Enfermagem (NIC). Conclusão: Foi possível conhecer os cuidados de Enfermagem providos aos pacientes, elaborar as Intervenções de Enfermagem mediante as ações prestadas e evidenciar a importância da classificação quanto ao êxito do tratamento e planejamento do cuidado individualizado.
Production of knowledge on climate change perception – actors, approaches, and dimensions
Authors: Zorn Anika , Schäfer Susann , Tzschabran Sophie 
Published: May 2023

Abstract. Research on perceptions of climate change impacts contributes to understanding motivations for adaptation action and increases the legitimacy of climate adaptation research and policy. The body of literature on climate change perception (CCP) is extensive. Given that the perception of climate change is commonly presented as being dependent on an individual's sociocultural and spatial contexts and that climate change is an abstract concept with different dimensions of meaning, this paper systematizes the research in an actor-centered manner. Using a systematic literature review, the abstracts from 821 interdisciplinary studies on CCP were coded and statistically analyzed. The results show that predominantly knowledge about the CCP of vulnerable groups of actors and regions was generated using quantitative methods. Impacts at the collective and institutional levels of CCP were rarely explored. This indicates an individualizing perspective of research on climate adaptation of vulnerable actors. Conclusions for future research are drawn.
GEB v0.1: a large-scale agent-based socio-hydrological model – simulating 10 million individual farming households in a fully distributed hydrological model
Authors: de Bruijn Jens A. , Smilovic Mikhail , Burek Peter , Guillaumot Luca , Wada Yoshihide , Aerts Jeroen C. J. H. 
Published: May 2023

Abstract. Humans play a large role in the hydrological system, e.g.
by extracting large amounts of water for irrigation, often resulting in
water stress and ecosystem degradation. By implementing large-scale
adaptation measures, such as the construction of irrigation reservoirs,
water stress and ecosystem degradation can be reduced. Yet we know that many
decisions, such as the adoption of more effective irrigation techniques or
changing crop types, are made at the farm level by a heterogeneous farmer
population. While these decisions are usually advantageous for an individual
farmer or their community, aggregate effects of those decisions can have
large effects downstream. Similarly, decisions made by other stakeholders,
such as governments, often have basin-wide effects and affect each farmer
differently. To fully comprehend how the human–natural water system evolves
over time and space and to explore which interventions are suitable to
reduce water stress, it is important to consider human behaviour and
feedbacks to the hydrological system simultaneously at the local household
and large basin scales. Therefore, we present the Geographical,
Environmental, and Behavioural (GEB) model, a coupled agent-based
hydrological model that simulates the behaviour and daily bidirectional
interaction of more than 10 million individual farm households with the
hydrological system on a personal laptop. Farmers exhibit autonomous
heterogeneous behaviour based on their characteristics, assets, environment,
management policies, and social network. Examples of behaviour are
irrigation, generation of income from selling crops, and investment in
adaptation measures. Meanwhile, reservoir operators manage the amount of
water available for irrigation and river discharge. All actions can be taken
at a daily time step and influence the hydrological system directly or
indirectly. GEB is dynamically linked with the spatially distributed
grid-based hydrological model CWatM at 30′′ resolution (< 1 km at the
Equator). Because many smallholder farm fields are much smaller than
1 × 1 km, CWatM was specifically adapted to implement dynamically
sized hydrological response units (HRUs) at the farm level, providing each
agent with an independently operated hydrological environment. While the
model could be applied anywhere globally at both large and small scales, we
explore its implementation in the heavily managed Krishna basin in India,
which encompasses ∼ 8 % of India's land area and
∼ 12.1 million farmers.
DESAIN KEMASAN BOLU SUSU LEMBANG SEBAGAI UPAYA MENINGKATKAN PROMOSI KULINER BANDUNG
Authors: Triyadi Agus 
Published: May 2023

Bolu susu Lembang adalah salah satu produk kuliner kota Bandung, sebagai oleh-oleh khas yang tersohor. Tujuan utama pemiliknya menggunakan nama Bolu Susu Lembang untuk memperkenalkan bolu kukus bercita rasa Bandung yang berbahan dasar susu. Dengan bahan dasarnya dari Lembang yang terkenal dengan peternakan sapi penghasil susu. Dalam memperkenalkan suatu produk kepada masyarakat diperlukan visualiasi yang menarik. Peran kemasan berperan penting dalam pemasaran suatu produk. Desain kemasan merupakan salah satu faktor untuk meningkatkan penjualan produk dan didukung dengan media promosi yang baik juga. Desain kemasan yang menarik akan membuat produk ini jadi lebih fresh dan desain yang baru dibuat menggunakan konsep elegant yang bisa dinikmati oleh semua kalangan masyarakat.
RUMPUT LAUT SEBAGAI BAHAN BAKU KEMASAN, BENTUK DUKUNGAN DESAIN TERHADAP GAYA HIDUP BERKELANJUTAN
Authors: Adityawan Oki , Rahadi Panji Firman , Azaria Syahda Isyela 
Published: May 2023

Dunia sedang mengalami pergeseran. Tanpa disadari hal tersebut meninggalkan banyak permasalahan dalam lingkup global. Berbagai negara di dunia melalui organisasi PBB bahkan telah merumuskan berbagai permasalahan tersebut dalam satu rumusan yang dikenal sebagai SDG - Sustainable Develoment Goals. Masyarakat harus beradaptasi di masa depan dengan HOTS - High Order Thinking Skills. Pola pikir ini menuntut manusia untuk berpikir secara kompleks, berjenjang dan sistematis. Inilah yang kemudian disebut sebagai cara berpikir tingkat tinggi di era baru Society 5.0. Sebuah produk desain tentu saja tidak lahir begitu saja. Produk tersebut lahir dari sebuah proses yang terstruktur dan sistematis. Dalam konteks kegiatan mendesain, proses ini disebut sebagai Design Thinking. Istilah ini merupakan sebuah pola pikir dan perspektif dalam melihat sebuah permasalahan dan menemukan solusinya. Design Thinking sangat dibutuhkan di dalam setiap tapahan dalam proses desain. Tahapan-tahapan tersebut antara lain : (1). Defined, (2). Research, (3). Ideate, (4). Prototyping, (5). Selection, (6). Implementation dan (7). Learning. Permasalahan yang dapat diselesaikan dengan metode Design Thinking dalam cakupan SDG (sustainable Development Doals) salah satunya adalah menjaga ekosistem lingkungan yaitu limbah dan sampah yang dihasilkan dari kemasan. Banyak cara untuk meminimalir dan mencari alternatif untuk mengurangi sampah dan limbah. Salah satunya dengan mengganti kemasan plastic dengan bahan olahan dari ganggang atau rumput laut. Pengelolaan rumput laut yang berlimpah di Indonesia sangat memungkinkan untuk dijadikan alternatif kemasan untuk berbagai macam kebutuhan industry di Indonesia. Saat ini sudah mulai bermunculan perusahaan start up yang mulai memproduksi kemasan rama lingkungan dan sudah seharusnya pemerintah mendukung Gerakan ini agar tercipta Kembali lingkungan yang sehat dan bebas dari pencemaran sampah kemasan plastik.
Writing against the abyss: An exergue
Authors: Hedley Jenny 
Published: May 2023

“Archive”, from the Greek word arkheion, signals a place of commencement and commandment (Derrida, 1995a). Dig deep enough into the etymology of “archive” and there is water (Crowcroft, 2022). This creative-critical essay takes a speculative approach to understanding my late mother’s literary archives, which are locked in storage overseas. Derrida would say that as guardian of the archive, my purpose is curation. This essay serves as an exergue to that exercise, by setting the stage and establishing a prearchival lexicon through citation (Derrida, 1995a). Through writing memory, speculation and theory, scaffolded by narrative threads of bodies and loss, this essay languages the relationship between mother and daughter and archive. It adopts the form of a braided essay (Miller, 2013; Miller & Paola, 2004; Walker, 2017) titrating between narrative threads and critical theory to “see what is displaced” (Eades, 2015, p. 31), allowing for fragmentation that reflects broken bodies in a broken world (Walker, 2017), abjection (Kristeva, 1982) and ugliness (Ellis, 2018), the formation of cellular writing or écriture cellulaire (an extension of Eades’s écriture matière), and prepositioning trauma (Rendle-Short, 2021). Hope becomes a matter of survival, of writing around, against and through, in wave after wave, in order to leave no space for the abyss (Cixous, 1991).
Effects of using composite flour containing wheat flour with different levels of green banana pulp flour on the quality of saj flatbread
Authors: Abu-Alruz Khaled 
Published: May 2023

There is an increasing trend in formulating food to contain dietary fibers and particularly resistant starch. Saj bread (a type of flatbread baked on a plate placed directly on fire) is a potential candidate to act as a vehicle for delivering resistant starch. This study aimed to investigate the effects of using composite flour containing wheat flour substituted with different levels (0, 5, 10, 15, and 20%) of green banana pulp flour "GBPF" on some physicochemical properties of flour (moisture, ash, wet and dry gluten content, gluten index, falling number, and farinograph parameters) and the quality of saj bread as measured by CIELAB color space, texture (stretchability and texture profile analysis "TPA"), and sensory properties. The texture of the saj bread was monitored during three days of storage. Composite flour moisture content and falling number were unaffected by wheat flour substitution with GBPF, while dry gluten content decreased significantly for composite flour containing 15% or more GBPF. With increasing wheat flour substitution level with GBPF, dough stability decreased. For saj bread color, the L* and b* values decreased with increasing substitution levels, while a* and ∆E*ab values increased. With increasing substitution levels, the stretchability of bread decreased, and all tested TPA parameters increased. With increasing saj bread storage time, the stretchability of bread decreased, and all TPA parameters increased except cohesiveness which decreased. Using composite flour improved bread taste and odor scores and decreased color acceptability scores. Texture and overall acceptability scores were not affected. In conclusion, GBPF can potentially substitute up to 20% wheat flour without negatively affecting saj bread quality.