bluuebunny/crossref_metadata_2025_split huggingface dataset:
Management of CVVHDF for Acute Renal Failure Patients with Sepsis After Post Exploratory Laparotomy Colonic Resection in Intensive Care Unit: A Case Report
Authors: Bangun Yohanes Gunanta , Hidayat Hanna 
Published: February 2023

Acute renal failure (ARF) is a condition that may occurs in susceptible postoperative patients. The incidence of ARF reaches 30−60% and it is more after major surgery (e.g., laparotomy, heart surgery). It is often caused by hypovolemia, hypoperfusion, and systemic inflammation. Laparotomy is a major and complex operation that can lead to complications including ARF, acute pulmonary edema, sepsis, and increased morbidity and mortality.
A 76-year-old female patient underwent exploratory laparotomy for acute abdominal indications with suspected obstructive ileus with sepsis. Postoperatively, the patient was treated in the ICU using a ventilator. On the third day the patient's renal function and urine volume decreased. Creatinine level 5.19 mg/dL, urea 217 mg/dL and urine was 0.2 ml/kg/h. The patient was given diuretics but she did not show clinical and laboratory improvement. We decided to perform hemodialysis with continuous veno-venous hemodiafiltration (CVVHDF) mode because the patient was in septic condition and hemodynamic instability. CVVHDF was performed for three days, periodic laboratory examinations were performed to assess the patient's renal function. After three days CVVHDF, the clinical and laboratory indices improved and the patient could be extubated. Hemodialysis with CVVHDF mode has benefits in ARF, especially if the patient has unstable hemodynamics.
Key words: Acute Renal Failure; CVVHDF; Hemodialysis, Laparotomy, Sepsis
Citation: Bangun YG, Hidayat H. Management of acute renal failure with CVVHDF in a patient with sepsis after post exploratory laparotomy: a case report. Anaesth. pain intensive care 2022;27(1):131−134.
DOI: 10.35975/apic.v27i1.2086
Received: December 11, 2022; Reviewed: December 22, 2022; Accepted: January 12, 2023
Bilateral ultrasound guided erector spinae plane block for postoperative pain management in lumbar spine surgery
Authors: Gamal Dr. Amgad Ahmed Hamdi , Mohamed Abo Professor Gihan Seif Elnasr , Al Shaer Professor Ahmed Nagah , Shoukry Mohamed Professor Randa Ali , Sayed Dr. Amr Gaber 
Published: February 2023

Background & Objective: The postoperative pain after spine surgery is almost always severe. A recently described loco-regional procedure called the erector spinae plane block (ESPB) has been claimed to be associated with positive outcomes. We evaluated the ESPB's efficacy for the relief of postoperative pain after lumbar spine surgery.
Methodology: This randomized controlled clinical investigation was conducted at the Ain Shams University Hospitals during the course of a year starting January 2021. Patients were randomly allocated to one of the two groups: Group C (the control group) patients underwent lumbar spine surgery under conventional general anesthesia (GA) in accordance with hospital policy. Group ESP was administered GA similar to the control group, but the patients received bilateral ultrasound-guided ESPB before starting lumbar spine surgery. The primary objective was total morphine consumption. Numeric rating scale (NRS) scores were measured at rest on shifting to post-anesthesia care unit (PACU) and then at 2 h, 6 h, 10 h, 14 h, 18 h and 24 h in the ward. Complications, e.g., PONV and hemodynamic parameters were recorded on shifting to PACU and then at 2 h, 6 h, 10 h, 14 h, 18 h and 24 h in the ward.
Results: Total morphine consumption was higher in the control group than the Group ESP, at the 6th, 12th, and 18th hours postoperatively, the numeric rating scale scores in Group ESP were lower compared to the control group, and ESPB significantly reduced the time to first mobilization when compared to the control group. In terms of PONV and postoperative vital signs, there was no statistically significant difference; however, the patient satisfaction was higher in Group ESP was far more satisfied than the control group overall.
Conclusion: We conclude that bilateral ultrasound guided ESPB is useful for postoperative analgesia in patients having lumbar spine operations. It lowered postoperative opioid consumption, decreased pain scores at various time intervals, and increased patient satisfaction while reducing the occurrence of PONV.
Key words: Ultrasound; Erector spinae plane block; Pain; Pain management; Spine surgery
Citation: Hamdi AA, Abo Zeid GSE, Al Shaer AN, Shoukry RA, Sayed AG. Bilateral ultrasound guided erector spinae plane block for postoperative pain management in lumbar spine surgery. Anaesth. pain intensive care 2022;27(1):37−42; DOI: 10.35975/apic.v27i1.2115
Received: August 28, 2022; Reviewed: December 20, 2022; Accepted: December 22, 2022
Knowledge and safety practices on occupational hazards among operating room staff in Mardan Medical Complex, Mardan, Pakistan
Authors: Amin Bahrul , Ali Nasir , Shahzeb Muhammad , Ahmad Shehryar , Shah Abidullah , Ahmad Naqash 
Published: February 2023

Background & Objectives: Healthcare workers (HCWs) are prone to occupational hazards, which may have a significant impact on their health and safety. Inadequate worker training, a lack of appropriate protection measures, and a high workload could worsen the situation, resulting in increased morbidity and mortality among exposed workers. The purpose of this study was to assess the knowledge and safety practices on occupational hazards among operating room (OR) staff of Mardan Medical Complex.
Methodology: From April to September 2021, 109 OR staff participated in this cross-sectional study including the surgeons, the anesthetists, the technologists and the OR nurses. Data regarding the level of knowledge and safety practices among OR staff were recorded on a validated questionnaire. Data were analyzed on SPSS version 19 and presented in the form of tables and graphs. Chi-square test was used to find an association between categorical variables and P < 0.05 were considered statistically significant.
Results: Among all participants, 95% of surgeons were aware of the work-related hazards and their types, followed by OR nurses, technologists, and the anesthetists. The majority of OR personnel with less experience were least aware of the occupational hazards. The association with the participants job experience, degree of knowledge, and the safety practices was not statistically significant (P > 0.05).
Conclusion: The knowledge of the surgeons regarding occupational hazards and the safety practices was the highest, followed by the anesthetists, technicians/technologists, and the OR nurses in that order. Measures are required to promote safety practices and reinforcement of strategies aimed to minimize exposure to hazards. Routine training of staff on safety practices need to be initiated and made mandatory.
Key words: Healthcare workers; Occupational Hazard; Occupational Health Risk
Citation: Amin B, Ali N, Shahzeb M, Ahmad S, Shah A, Ahmad N. Knowledge and safety practices on occupational hazards among operating room staff in Mardan Medical Complex, Mardan, Pakistan. Anaesth. pain intensive care 2022;27(1):59−64. DOI: 10.35975/apic.v27i1.2119
Received: Jul 28, 2022; Reviewed: Dec 15, 2022; Accepted: Dec 18, 2022
Wet cupping therapy increases the time withdrawal latency (TWL) and decreases GABA-A receptor expression in the spinal cord in a rat model of neuropathic pain
Authors: Hidayati Hanik Badriyah , Qurnianingsih Ema , . Widjiati , Khaerunnisa Siti , Puspamaniar Vania Ayu , Susetyo Rizky Danang 
Published: February 2023

Background & Objective: Neuropathic pain (NP) is a pain due to a somatosensory lesion. NP leads to disruption of health, work, social relationships, hobbies, sleep, mood, and cognitive function. Up till now, the treatment of NP remains unsatisfactory. It makes many patients seek alternative therapies, including wet cupping therapy (WCT). We aimed to analyze the effects of WCT against NP in chronic constriction injury (CCI) in a rat model by assessing the increase in time withdrawal latency (TWL) and GABA-A receptors expression in the spinal cord.
Methodology: We used CCI as one of the NP models in Rattus norvegicus species of rats and treated with WCT. We used 21 four months old male rats, divided into 3 groups (n = 7); P1 (sham CCI group), P2 (CCI group), and P3 (CCI plus WCT group). WCT was given two times every week for three weeks with 5 min of first cupping using −200 mmHg, and followed by ten punctures and then 5 min of second cupping using −200 mmHg. TWL assesment was conducted by using hotplate. Expresion of GABA-A receptor was evaluated with immunohistochemistry.
Results: WCT significantly increased TWL with P = 0.0001 and decreased expresion of GABA-A receptors in the spinal cord of CCI rat model.
Conclusion: This research concluded that wet cupping therapy could increase time withdrawal latency and decrease the expression of GABA-A receptors in the spinal cord in chronic constriction injury rat model. This result suggests a promising method in controlling neuropathic pain. However, further investigations are required to understand the mechanism.
Abbreviations: CCI: Chronic Constriction Injury; CT: Cupping Therapy; DCT: Dry Cupping Therapy; NP: Neuropathic Pain; TWL: Time Withdrawal Latency; WCT: Wet Cupping Therapy;
Key words: Chronic constriction injury; CCI rat model; GABA-A receptors; Neuropathic pain; Pain; Time withdrawal latency; TWL; Wet cupping therapy.
Citation: Hidayati HB, Qurnianingsih E, Widjiati, Khaerunnisa S, Puspamaniar VA, Susetyo RD. Wet cupping therapy increases the time withdrawal latency (TWL) and decreases GABA-A receptor expression in the spinal cord in a rat model of neuropathic pain. Anaesth. pain intensive care 2022;27(1):97−103; DOI: 10.35975/apic.v27i1.2124
Received: July 05, 2022; Reviewed: July 08,2022; Accepted: December 12, 2022
Pengaruh Penerapan Metode Everyone is a Teacher Here Terhadap Keterampilan Berbicara Siswa SMP
Authors: Aini Rini Qurratul , Rahim Abdul 
Published: February 2023

Penelitian ini bertujuan untuk mengetahui pengaruh penerapan metode Everyone Is A Teacher Here terhadap kemampuan berbicara siswa. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan quasy ekperiment. Populasi dalam penelitian ini seluruh siswa kelas VII SMPN 1 Maronge berjumlah 91. Teknik pengambilan sampel dalam penelitian ini adalah teknik cluster random sampling (pengambilan sampel acak), Kelas VII A yang terdiri dari 23 siswa sebagai kelas eksperimen dan kelas VII B yang terdiri dari 23 siswa sebagai kelas kontrol. Data dalam penelitian diperoleh dari nilai keterampilan berbicara siswa pada pre-test dan post-test. Validitas yang digunakan dalam penelitian adalah validitas isi dan analisis data menggunakan uji-t. Berdasarkan analisis keterampilan berbicara dengan menggunakan statistik uji t (t-test) yang menunjukkan bahwa nilai t-hitung lebih besar daripada t-tabel ( 4.727 > 1684) dengan taraf signifikan 5% artinya hipotesis alternatif (Ha) di terima dan (Ho) ditolak, Dengan demikian terdapat pengaruh penerapan Metode Everyone is teacher here terhadap keterampilan berbicara siswa SMP Kelas VII.
The Effect Implementation of Everyone is a Teacher Here Method to the Speaking Skills of Junior High School Students
Abstract
This study aims to know effect the implementation of everyone is a teacher here method on students’ speaking skill. This study was quantitative study which used quasi experiment method. The populations in this study were all VII graders students of SMPN 1 Maronge with number of students were 91. The sample determination technique used in this study was cluster random sampling consisted of two classes namely class VII A consisted of 23 students as experiment class and class VII B consisted od 23 students as control class. The data in this study obtained through students’ speaking skill grade on pre-test and post-test. The validity used in this study was content validity. The data was analyzed used t-test. Based on the speaking skill analysis result which used t-test showed that the t-value was higher than t-table (4.726 > 1.684) with significance degree of 5%, it means that alternative hypothesis (Ha) was accepted and Ho was rejected. Thus there is an effect of applying the Everyone is teacher here method to the speaking skills of Grade VII Junior High School students.
Identifikasi Potensi Akuifer Dengan Metode Schlumberger di Dusun Mangkung Lauk, Desa Mangkung, Kecamatan Praya
Authors: Windhari Gusty Ayu Esty , Dewi Ni Putu Ety Lismaya , Atmaja I Gde Dharma 
Published: February 2023

Pengukuran geolistrik yang dilakukan bertujuan untuk mengetahui keberadaan, kedalaman, ketebalan, jumlah dan penyebaran akuifer. Hasil pengukuran geolistrik menggunakan konfigurasi Schlumberger di Dusun Mangkung Lauk Desa Mangkung, Kecamatan Praya Kabupaten Lombok Tengah menunjukkan terdapat 5 lapisan penyusun. Lapisan ke-1 berupa lempung dengan tahanan jenis 3.42 – 12.59 Ohm-m. Lapisan ke-2 berupa breksi dengan nilai tahanan jenis 12.50 Ohm-m. Lapisan ke-3 berupa lempung dengan nilai tahanan jenis 7.20 – 7.90 Ohm-m. Lapisan ke-4 berupa breksi gampingan dengan nilai tahanan jenis 1.96 – 13.27 Ohm-m. Lapisan akuifer (muka air) diduga berada pada kedalaman 13.89 m yang berada pada lapisan breksi gampingan. Lapisan akuifer yang ada pada daerah ini termasuk sebagai akuifer bebas karena berada dalam daerah cekungan air tanah (CAT).
Identification of Potential Aquifers based on Schlumberger Configuration in Dusun Mangkung Lauk Desa Mangkung, Kecamatan Praya
Abstract
Geoelectric measurements carried out aim to determine the existence, depth, thickness, and the distribution of aquifers. The results of geoelectrical measurements using the Schlumberger configuration in Dusun Mangkung Lauk, Desa Mangkung, Praya, Central Lombok, show that there are 5 constituent layers. The 1st layer is clay with a resistivity of 3.42 – 12.59 Ohm-m. The second layer is a breccia with a resistivity value of 12.50 Ohm-m. The 3rd layer is clay with a resistivity value of 7.20 – 7.90 Ohm-m. The 4th layer is a calcareous breccia with a resistivity value of 1.96 – 13.27 Ohm-m. The aquifer layer (water level) is thought to be at a depth of 13.89 m which is in the limestone breccia layer. The aquifer layer in this area is classified as a free aquifer because it is in the groundwater basin area.
La política como profesión: perfiles y tipos de trayectorias de los senadores argentinos
Authors: Levita Gabriel 
Published: February 2023

El propósito de este artículo es sistematizar los resultados de una investigación cualitativa sobre los senadores nacionales argentinos que ocuparon sus bancas entre 2001 y 2011. Realizamos una reconstrucción de sus trayectorias en base a entrevistas y fuentes secundarias, tales como datos oficiales del Senado, bases de datos de organizaciones no gubernamentales, investigaciones periodísticas, información publicada por los propios senadores en internet, entrevistas y artículos de prensa. Basándonos en los cargos ocupados con anterioridad a su llegada a la Cámara, construimos una tipología identificando cinco perfiles y locus de construcción política: los gobernadores, los intendentes, los legisladores, los ministros y los reconvertidos. Estos tipos ideales permiten comprender los distintos modos de llegar al Senado y los diversos recorridos de las elites políticas argentinas. En diálogo con los trabajos académicos sobre los políticos del período en cuestión (Jones, 2001; 2008; Jones et al., 2002; De Luca, 2008) y con la sociología política francesa (Gaxie, 2004; Offerlé, 2011) nos preguntamos por la cuestión de la profesionalización política de los senadores. El trabajo termina mostrando una gran heterogeneidad en las características, orígenes y posiciones sociales de los individuos que, junto con las distintas lógicas descriptas, demuestran la coexistencia de diferentes tipos de profesionalización política.
Cultura de servicio en la optimización del servicio al cliente
Authors: García Arminda 
Published: February 2023

El presente artículo tiene como objetivo analizar cómo la cultura de servicio presente en las organizaciones puede favorecer la optimización del servicio al cliente, basado en factores internos que influyen en la forma de generar los servicios que brindan a los usuarios, para así satisfacer sus expectativas. De esta forma, se hace necesario tomar en cuenta que el mismo implica un conjunto de actividades que debe combinarse oportunamente para ofrecer al cliente el mejor resultado posible. Se requiere, entonces, estudiar nociones como el servicio al cliente, sus características, la cultura en la organización, tipos y funciones, claves para su desarrollo, objetivos para lograr la trasformación cultural y la metodología para generar una cultura de servicio. En cuanto a la técnica utilizada para ese propósito, se basó en la revisión documental o bibliográfica a través de distintos textos, artículos, así como fuentes electrónicas. Este trabajo está sustentado en autores como Albrecht (2006), Aguilar y Vargas (2010), Serna (1999), Leppard y Molyneux (2000), Zeithaml y Bitner (2002), Moreno (2009), entre otros. A manera de consideraciones finales, se establece que aunque no existen métodos instantáneos se debe intervenir en la cultura de servicio para influir en esos asuntos internos, logrando el mejoramiento de la cultura y del servicio al cliente.
Servicio desconcentrado en la República Bolivariana de Venezuela: ¿autonomía o autogestión?
Authors: Tavares Fabiola , Chirinos Loiralith 
Published: February 2023

El objetivo general es analizar el servicio desconcentrado en la República Bolivariana de Venezuela. Este objetivo es abordado conforme a la estrategia de investigación documental, sustentada en el método analítico. Las fuentes para la recolección de información atienden a cinco ámbitos: constitucional, legal, sublegal, doctrinal y jurisprudencial. El servicio desconcentrado, manifestación del principio de desconcentración (Peña Solís, 2001; Matheus Inciarte y Tavares Duarte, 2002) y especie perteneciente al género órgano desconcentrado, configura un órgano dotado de un grado de autogestión, creado en el ámbito nacional por el Presidente de la República en Consejo de Ministros, en ejercicio de la potestad organizativa, ex novo y por conversión, mediante decreto o reglamento orgánico, con el propósito de desarrollar actividades orientadas a la obtención de recursos destinados a la prestación de un servicio público, dependiente jerárquicamente de la Vicepresidencia Ejecutiva, la Vicepresidencia Sectorial, el Ministerio, el Viceministerio o la Oficina Nacional. El Decreto con Rango, Valor y Fuerza de Ley Orgánica de la Administración Pública de 2014 (Presidencia de la República, 2014) y el derogado Decreto con Rango, Valor y Fuerza de Ley Orgánica de la Administración Pública de 2008 (Presidencia de la República, 2008) utilizan las denominaciones servicio desconcentrado sin personalidad jurídica y servicio desconcentrado. La derogada Ley Orgánica de la Administración Pública de 2001 (Asamblea Nacional, 2001) utiliza las denominaciones servicio autónomo sin personalidad jurídica y servicio autónomo. Este cambio de denominación implica una modificación de fondo en la organización administrativa venezolana consistente en la supresión de la autonomía y su sustitución por la autogestión. Se recomienda, en una eventual modificación del Decreto con Rango, Valor y Fuerza de Ley Orgánica de la Administración Pública de 2014 (Presidencia de la República, 2014) utilizar exclusivamente la denominación servicio desconcentrado y obviar la denominación servicio desconcentrado sin personalidad jurídica, pues el servicio desconcentrado configura un órgano y todo órgano carece de personalidad jurídica.
Problems of The Teacher Profession In Indonesia (Review From The Perspective of Law Number 14 of 2005)
Authors: Saekan Mukhamad 
Published: February 2023

The Teacher profession is carried out through planning, implementing and evaluating learning. Teachers are called professionals if they are able to carry out learning properly and correctly which is shown by the skills to carry out learning techniques, methods, approaches and strategies properly and correctly. Every hour of learning The teacher must be in the school, if at the time of school hours being outside the school without justifiable reasons is categorized as having committed a violation of the teaching profession. The purpose of this study is to determine the problems of the teacher profession in Indonesia. By using the PTK research method carried out in schools. The results obtained are that the professionalresponsibility of teachers is carried out through planning, implementing and evaluating learning in schools. Consequently, therefore teachers must have a variety of knowledge and skills and have a sense of security and comfort in carrying out their professional duties.
PELATIHAN IMPACT KONSELING UNTUK MENINGKATKAN KREATIVITAS KONSELOR
Authors: Wirastania Aniek , Lianawati Ayong , Hartanti Jahju , Sutijono  , Qotrunnada Munawaroh Mufidu Ikhsan Alisa 
Published: February 2023

Pelatihan kegiatan impact konseling ini dilakukan untuk meningkatkan kreativitas konselor dalam melakukan layanan konseling. Permasalahan yang dihadapi individu saat ini berkembang dengan cepat serta dengan beraneka sumber permasalahan. Usaha dalam mengatasi permasalahan yang dihadapi oleh individu harus dilakukan dengan efektif. Kegiatan layanan konseling harus dilakukan secara cepat, efektif dan memberikan pengalaman yang konkret pada konseli dalam menyelesaikan permasalahan yang dihadapi oleh konseli. Pelatihan impact konseling ini dilakukan pada guru Bimbingan dan konseling yang tergabung dalam MGBK SMA SMK Mojokerto. Metode pelaksanaan pelatihan impact konseling ini dilakukan dengan tahapan berikut ini yaitu ceramah, role playing, dan forum grup discussion, serta refleksi. Pelatihan impact konseling ini efektif dalam meningkatkan kreativitas guru Bimbingan dan konseling. Pelatihan Impact Konseling yang dilakukan pada guru MGBK SMA SMK Mojokerto ini dinilai telah meningkatkan kreativitas guru bimbingan dan konseling
PENGEMBANGAN ALUR DALAM PENULISAN CERITA BAGI GURU-GURU DI DESA WONOMLATI, KECAMATAN KREMBUNG, KABUPATEN SIDOARJO
Authors: Ardhianti Mimas , Anwar M. Shoim , Astuti Sri Budi 
Published: February 2023

Kemampuan dalam menulis cerita untuk anak merupakan hal penting bagi guru yang mengajar di pendidikan dasar. Cerita yang ditulis oleh guru dan dipakai untuk bahan pembelajaran memiliki berbagai kelebihan. Namun, berdasarkan observasi awal, guru-guru belum memahami alur bercerita yang ditulis. Alur cerita yang disusun belum kontekstual, masih bingung menentukan tema, tata bahasa, penokohan, alur, maupun lingkungan sekitar anak. Unsur pendidikan karakter juga belum tampak ditekankan oleh para guru. Oleh karena itu, tujuan program pengabdian kepada masyarakat, yaitu meningkatkan kemampuan guru dalam mengembangkan alur bercerita. Program ini dilaksanakan dalam bentuk perlatihan dengan memembrikan sosialisai dan pendampingan. Program ini diikuti 13 dosen Pendidikan Bahasa Indonesia, Universitas PGRI Adi Buana Surabaya sebagai narasumber dan pendamping serta 35 guru-guru di Desa Wonomlati, Kecamatan Krembung, Kabupaten Sidoarjo. Pelaksananya adalah Program Studi Pendidikan Bahasa Indonesia, Universitas PGRI Adi Buana Surabaya. Hasil yang diperoleh setelah perlatihan tersebut, adalah para guru menjadi lebih mudah dan mampu mengembangkan alur cerita. Para guru dapat menyusun urutan alur cerita yang dikehendaki, dapat mengembangkan deskripsi dan dialog secara seimbang.