bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Comparative Study on Effectiveness of Parental Presence versus Sedative Premedication for Reducing Anxiety in Children Undergoing General Anesthesia
Authors: Jain Shalini , Patel Suruchi , Arora Kishore Kumar , Sharma Aseem 
Published: August 2023

Background:
Preoperative anxiety is an important, yet often unattended problem in children. Minimizing anxiety and distress at the time of anesthetic induction may reduce adverse psychological and physiological outcomes. Sedative premedication and parental presence during anesthesia induction are among the most commonly employed strategies for reducing child anxiety.

Aims and Objective:
The study aimed to compare the effectiveness of a pharmacological intervention (premedication with midazolam) versus behavioral intervention (parental presence) in reducing preoperative anxiety in children undergoing general anesthesia.

Methodology:
Sixty patients of age group of 4–12 years, of ASA Grade 1 and 2 and either sex posted for elective surgery under general anesthesia were divided into two groups of 30 each Group M (midazolam group) and Group P (parental presence). Group M received intravenous midazolam 0.03–0.05 mg/kg preoperatively and anxiety was measured in preoperative room, during separation from parents and during introduction of anesthesia mask, whereas in Group P, parents accompanied the child inside the operation theater and anxiety was measured at preoperative room and during introduction of mask. Parental anxiety was measured in both groups at preoperative room and waiting room. Modified Yale Preoperative Anxiety Scale (mYPAS) and State Trait Anxiety Inventory (STAI) tool was used to measure anxiety in children and parents, respectively.

Results:
The mean mYPAS score while the introduction of anesthesia mask in Group M was 31.30 ± 12.04 and in Group P was 63.19 ± 25.31, and the difference was found to be statistically significant (P = 0.001). In preoperative room, there was no significant difference in anxiety in the two study groups. The mean STAI score in Group P was 45.63 ± 1.45 and in Group M was 41.10 ± 1.69, and the difference was found to be statistically significant (P = 0.001). In preoperative room, parental anxiety was found to be comparable among the two groups. The mean duration of induction of anesthesia in Group M was 5.53 ± 1.01 min, and in Group P, it was 8.77 ± 2.03 min. The difference was found to be statistically significant (P = 0.001).

Conclusion:
Both interventions were effective in reducing anxiety in children, but midazolam was more effective compared to parental presence. Parents in Group M were less anxious in the waiting room than Group P. Children in Group M were more compliant during the induction of anesthesia, hence a lesser duration of induction than Group P.
Dimensional Approach to Gender Dysphoria in Nigeria: Association with Socio-Demographic and Psycho-Sexual Variables
Authors: Chikani UN , Bisi-Onyemaechi AI , Onu JU , Nduagubam O , Mbanefo NR , Ohuche IO , Chime PU , Onyia JOT , Ogugua CF , Ugege MO 
Published: August 2023

ABSTRACT

Background:
Recent changes across the world with respect to gender transitioning of children and adolescents have generated a bio-psycho-socio-cultural discourse among interest groups.

Aim:
This study sought to examine gender dysphoric symptoms among adolescents and young persons in an African population, using a dimensional approach.

Method:
A total of 747 primary/secondary school and university students aged 10–24 years were studied using the 27-item Gender Identity/Gender Dysphoria Questionnaire for Adolescents and Adults (GIDYQ-AA). Participants were divided into early, mid- and late adolescents. The composite and domain scores were calculated using the criteria described by Deogracias, and comparison of the median scores was done using Mann–Whitney U-test and Kruskal–Wallis test as appropriate. Dunnett’s post-hoc test was used for pairwise comparisons.

Results:
The prevalence of self-identified transgender and self-reported non-heterosexuals was 0.9% (95%CI: 0.36–1.92) and 18.6% (15.85–21.59), respectively. The participants as a group scored 4.56 out of a possible 5 on the gender dysphoria scale, indicating less gender dysphoric symptoms in this cohort. However, participants in mid- and late adolescents had significantly lower scores when compared with early adolescents (P = 0.009). Self-reported transgender had significantly lower scores in the social (P = 0.001) and socio-legal (P < 0.001) indicators of the scale.

Conclusion:
The findings of this study, although, preliminary demonstrated less gender dysphoric symptoms in this cohort of Nigerian adolescents and young adults compared to the Western population. Nevertheless, some degree of GD was noticed, revealing that this condition is existent in our society.
Medical Ozone Treatment on Prevention of Epidural Fibrosis in the Rat Model
Authors: Dayanır H , Dayanır D , Emmez G , Emmez H , Akyol SN , İşeri N , Uludağ OM , Kavutçu M , Özoğul C , Babacan AC 
Published: August 2023

ABSTRACT

Background/Aim:
Epidural fibrosis is one of the problems that can be seen after spinal surgery. The aim of this study was to investigate the possible preventive role of medical ozone (O) treatment on epidural fibrosis.

Materials and Methods:
Twenty-four Sprague Dawley rats were randomly split into four groups: control (C), O, laminectomy (L), and L+O groups. Animals in the C group were sacrificed at the beginning of the experiment. The L and L+O groups had L procedure, while O treatment was supplied for the O and O+L groups. After 42 days of follow-up, for histological evaluation and biochemical measurements, the ratio of epidural fibrosis and catalase (CAT) with malondialdehyde (MDA) levels in serum, respectively, were analyzed in terms of statistical differences.

Results:
Histologically, a distinct difference was o bserved in the epidural space after O treatment. A significant difference in epidural fibrosis areas is found to be between the O, L, and O+L groups (P < 0,0001). There was no statistically significant difference between CAT and MDA levels that were obtained by spectrophotometric analysis.

Conclusion:
Histological results suggest that medical O treatment after L can be used as an alternative method to prevent epidural fibrosis. Further studies with wide cohorts and interval measures are required to detail the effects of doses.
Effectiveness of Cold Application and Lavender Oil on Pain during Drain Removal: A Randomized Clinical Trial
Authors: Çelebi C , Sivrikaya I , Ölmez H , Güvenç Sİ , Urkan M 
Published: August 2023

ABSTRACT

Background and Aim:
Analgesics are frequently used to prevent acute pain while removing the drain. Additional non-pharmacological methods have come to the agenda as a result of the fact that the pain cannot be fully controlled, and the pharmacological treatment response is variable. Our research was intended to determine the effectiveness of lavender aromatherapy and cold application in controlling pain during drain removal procedure.

Materials and Methods:
The sample of the prospective randomized controlled study consisted of 121 patients. Patient data were collected using the introductory information form and the numerical pain scale. Four groups of patients were formed (lavender oil, oxygen, cold application, control), respectively. In all groups, vital signs and pain levels were evaluated before the drain removal procedure, as soon as and 15 minutes after it was withdrawn.

Results:
Within the limits of study, lavender aromatherapy and cold application to the drainage area were found to be effective in reducing pain during drainage. When the effect on vital signs was evaluated, it was found that the pre-procedure systolic blood pressure was higher in both the lavender group and the cold application group than the post-procedure systolic blood pressure, and the respiratory rate was higher in the control group during the procedure.

Conclusions:
According to the study, it was found that applying lavender and cold application to the patients before the drainage procedure was effective in controlling pain.
Caries Arrest Using Silver Diamine Fluoride: Knowledge, Attitude, and Perception of Parents in Saudi Arabia
Authors: Alhabdan A , Almogbel S , Alawaji R , Aldosari G 
Published: August 2023

ABSTRACT

Objectives:
The objective was to assess the current knowledge, attitudes, and perceptions of parents toward the use of Silver Diamine Fluoride in children’s primary teeth and identify related factors.

Materials and Methods:
In this cross-sectional study, data were collected from Parents of pediatric patients who had appointments at the King Saud University Pediatric Dentistry Clinic and several private clinics in Riyadh, Saudi Arabia from Jan to April 2021. A simple random sampling method was used. An electronic questionnaire was designed to collect data regarding participants’ demographics and their knowledge, attitude, and perception toward the use of SDF for their children.

Results:
A higher proportion of parents/relatives (87.3%) was strongly satisfied with the speed of treatment and its benefits. In terms of disadvantages, 23.8% and 30.4% of the parents/relatives were satisfied and dissatisfied, respectively (P < 0.05). Regarding attitudes, the majority of participants 22.8% responded as neutral to using SDF to treat their children’s anterior primary teeth (P < 0.05), whereas 32.2% agreed to the use of SDF in their children’s posterior primary teeth (P < 0.05). A higher proportion of parents/relatives who were in the age group of >50 years (27.8%) had responded as “satisfied” compared with the responses of other age groups (P < 0.05).

Conclusion:
The present study demonstrates that SDF is acceptable among Saudi parents/relatives to arrest dental caries. However, pigmentation of anterior teeth is a major concern.
Peri-Intubation Cardiac Arrest, a risk that isn’t talk about much
Authors: Areeba Saleem  , Islam Hira 
Published: August 2023

Madam,
Among the many high-risk treatments used on critically sick patients, tracheal intubation (TI) is one of the most preferred actions. Out of many risk factors associated with tracheal intubation, cardiac arrest (CA) is a rare, the most serious and least considered risk. In most studies, peri-intubation CA (PICA) is referred to as, when it occurs within 5-60 minutes following the intubation procedure (1). According to different studies, the estimated incidence of PICA varies from 1.8% to 3.1% (1,2,3). One would think that the rate of PICA would be higher outside of the hospital because the environment isn't as good as in the hospital and it's harder to get help if there are problems with intubation. Significantly, in a study performed by Jardine C G at al, the incidence rate (2.5) of out of hospital PICA is comparable to that reported earlier in hospitalized patients who required emergency intubation.
According to Jardine C G at al, PICA is linked to several parameters that contribute to arterial oxygen desaturation during intubation (2). One such factor was being overweight (2,5). Arteriole desaturation happens much more rapidly in obese patients than in those of normal BMI because of their diminished oxygen reserves. A greater number of intubation attempts is also one of the main factors leading to PICA (1,3,4). Increased risk of peri-intubation CA was also seen in individuals with increased lactate levels (metabolic acidosis) compared to those without (1,5). Cardiogenic pulmonary ooedema patients are also at risk of PICA (1). Due to their inhibitory influence on catecholamine release caused by stress, neuromuscular blocking drugs like succinylcholine and rocuronium may cause cardiac arrest (2,4,5)
PICA being a serious risk factor associated with TI, these preventative steps may significantly lower the likelihood of developing PICA.

It should be made sure that successful intubation should be done at the first attempt to avoid risk of PICA.
Ketamine and etomidate use should be preferred as they have favourable hemodynamic effect (3).
PICA incidence may be decreased by using bag mask ventilation prior to intubation, which lessens the possibility of arterial desaturation.
It is imperative that immediate resuscitation in case of PICA can reduce the number of deaths caused by it.
Calculating shock index prior to intubation can help in improved management of the patient.
Normothermic Perfusion: a game-changer for kidney transplantation?
Authors: Memon Midori , Zafar Nazia , Khaliq Rameen 
Published: August 2023

Respected Madam,
Organ transplantation has revolutionized the field of medicine. Kidney transplant, in particular, is of significant importance in Pakistan as there is an estimated prevalence rate of patients with end-stage renal disease (ESRD) of 100 per million population. The annual transplant rate is only about 8 to 10 cases per million.1,2 Due to this shortage in organ transplants, over 15,0000 people lose their lives each year due to end-stage organ failure, among which 15000 are patients with end-stage kidney failure. These numbers can be reduced greatly if the number of kidneys available is increased.3
As the number of organs available for a kidney transplant is limited in Pakistan owing to strict regulations to end transplant tourism, it is crucial to increase the viability of the organs available to ensure the success and survival of patients suffering from ESRD.4 An exciting finding was revealed by Kidney Research UK, where 100 kidneys could potentially be saved for transplant each year after being retrieved from donors in the UK via normothermic perfusion, This technique has shown promising results in numerous research.5 As evident from the name, in this technique, oxygen is provided to organs during preservation to allow aerobic metabolism. In a review conducted by Franka Messner et al, it was concluded that this technology may be used as an ex-vivo organ assessment and treatment platform. During renal NMP, mesenchymal stromal/stem cells, multipotent adult progenitor cells, and microRNA have been used in studies, and preliminary data shows that these therapies do indeed reduce kidney injury and inflammatory response. Furthermore, in comparison to any cold preservation approach, normothermic ex vivo kidney perfusion (NEVKP) revealed a considerable reduction in preservation harm in a study conducted by Laura I Mazilescu et al.6
As the demand for kidney transplants increases in Pakistan, normothermic perfusion can be studied further to provide an efficient technique for the preservation of organs. By ensuring the better viability of the available organs, we can perhaps help to increase the chances of survival of patients suffering from ESRD since we already face a shortage in the number of organs available for transplantation.
RANCANG BANGUN MAGNETIC SOLENOID DOOR LOCK DENGAN SPEECH RECOGNITION MENGGUNAKAN NODEMCU BERBASIS ANDROID
Authors: Achmady Sayed , Qadriah Laila , Auzan Abthal 
Published: August 2023

Door locks are one of the most important requirements for today's security systems and provide privacy for a room with a specific purpose. Therefore, Speech Recognition technology is needed as a substitute for conventional keys to make it more practical. This research is to design a magnetic Solenoid door lock with Speech Recognition using an Android-based NodeMCU ESP8266 which can make it easier for humans to open door locks and close door locks easily just by opening the application and saying Voice commands. NodeMCU ESP8266 is the main controller for controlling the door when the command is spoken in the Voice Control application which is connected to the android smartphone as a controller for opening the door lock and closing the door lock. The design of this Door Control tool uses the main components, namely NodeMCU ESP8266, Magnetic Solenoid door lock, Relay Module, Power Adapter. While the supporting components are Breadboard, IC 7805, DC Power Jack, Jumper Cable. Speech Recognition application on Android smartphones as a control system to unlock doors and close door locks remotely or close. This application aims as a control tool to open the door lock and close the door lock with Voice commands. This tool can make it easier for users to open door locks and close door locks online.Keywords : Door Lock, NodeMCU, Magnetic Solenoid, Speech Recognition, Android
PENGARUH SUPERVISI DAN PENDELEGASIAN KEWENANGAN TERHADAP KONFLIK PERAN DAN DAMPAKNYA PADA PRESTASI KERJA PEGAWAI SEKTARIAT DAERAH KABUPATEN ACEH JAYA
Authors: Mahrizal Mahrizal 
Published: August 2023

This study was an empirical study that aimed to determine the effect of supervision and delegation of authority toward the role conflict and its impact on employee job performance of the Regional Secretariat of Aceh Jaya. The research was conducted at the Regional Secretariat of Aceh Jaya District. The study population was all employees of the Regional Secretariat of Aceh Jaya, amounting to 110 people. Due to the size of the population is enough and affordable for the research, thus the population sample was the entire population of the employees. Data was collected through a questionnaire distributed. Primary data were analyzed with path analysis by using SPSS software. Supervision significantly and negatively related to role conflict. Delegation of authority had a positive and significant effect on role conflict. Both supervision and delegation of authority had a positive and significant effect on job performance of employees at the office of the Regional Secretariat of Aceh Jaya. Role conflict became a barrier in mediating role of supervision activities on employee performance at the office of the Regional Secretariat of Aceh Jaya. However, role conflict could play a role in mediating the delegation of authority policy on employees’ job performance.Keywords : Supervision, Delegation of Authority, erole conflict performance of employees
HAMBATAN-HAMBATAN CABANG OLAHRAGA TINJU DI KABUPATEN PIDIE
Authors: Sumarjo Sumarjo 
Published: August 2023

Tinju merupakan cabang olahraga bela diri yang dimainkan oleh kaum pria dan wanita yang mempunyai sifat-sifat keras yang dipertandingkan di atas ring, dilakukan oleh dua orang yang saling berhadapan, masing-masing berusaha memukul lawan dengan cara melepaskan pukulan-pukulan. Permasalahan dalam rumusan ini adalah factor-faktor apakah yang menjadi hambatan-hambatan terhadap perkembangan cabang olahraga tinju di Kabupaten Pidie. Adapun tujuan dalam penelitian ini adalahuntuk mengetahui tentang faktor-faktor apakah yang menjadi hambatanhambatan perkembangan tinju di sasana yang ada di Kabupaten Pidie. Populasi dan sampel pada penelitian ini adalah seluruh Pengurus Cabang Pertina, pelatih dan atlet Kabupaten Pidie yang berjumlah 39 orang. Sedangkan yang menjadi sampel pada penelitian ini diambil dari keseluruhan jumlah populasi (total sampel).yaitu 39 orang. Hasil penelitian menunjukkan bahwa hipotesis yang diajukan dapat diterima kebenaranya. Dengan kata lain bahwa perkembangan cabang olahraga tinju di Kabupaten Pidie masih menemukan berbagai hambatan-hambatan Kata kunci Tinju, Cabang Olahraga, Hambatan
SISTEM PENDUKUNG KEPUTUSAN PERKIRAAN BIAYA JASA DEKORASI INTERIOR RUMAH MENGGUNAKAN METODE ESTIMASI USE CASE POINT (UCP) BERBASIS WEB
Authors: Yusrizal Yusrizal , Husaini Husaini , Salat Junaidi 
Published: August 2023

Desain interior adalah merencanakan, menata ruangan dalam suatu bangunan yang berfungsi untuk memenuhi kebutuhan akan sarana berlindung dan aktivitas bagi penghuninya. Desain interior bertujuan untuk penghuninya dapat beraktivitas dalam ruangan secara efektif dan nyaman. Pada dasarnya setiap desain interior mempunyai unsur-unsur yang mempengaruhi seperti corak atau gaya desain, pencahayaan perabot atau miniatur yang digunakan, sirkulasi, pewarnaan, layout, sehingga masalah tentang desain interior suatu rumah merupakan termasuk persoalan yang bersifat kualitatif dan membutuhkan informasi-informasi yang bersifat pengalaman, intuisi, dan juga perasaan. Hal ini tidak bisa dihitung secara numerik, maka akan diselesaikan dengan menggunakan metode estimasi use case points (UCP). Use Case Point (UCP) merupakan sebuah model yang berbasis dari pemetaan use case diagram menjadi ukuran metrik yang dinamakan use-case points. Metode ini dipilih karena dapat membantu mengkonversikan unsur kualitatif menjadi numerik sehingga dapat dihitung tingkat prioritas desain interior rumah yang terbaik dan berkualitas.Kata kunci : Desain Interior Rumah, UCP, WEB, Sistem Pendukung Keputusan
SISTEM PENDUKUNG KEPUTUSAN PENILAIAN GAMPONG TERBAIK DI KABUPATEN PIDIE MENGGUNAKAN METODE SIMPLE ADDITIVE WEIGHTING (SAW) BERBASIS WEB
Authors: Yanti Nazari , Achmady Sayed , Khalid Zikrul 
Published: August 2023

Sistem pendukung keputusan penilaian Gampong terbaik di Kabupaten Pidie menggunakan metode Simple Additive Weighting (SAW) berbasis web merupakan pengambil keputusan akan dengan mudah menentukan urutan Gampong terbaik berdasarkan nilai bobot yang diperoleh dalam proses penilaian. SAW merupakan suatu metode penjumlahan terbobot. Adapun kriteria pada penilaian Gampong terbaik yaitu, pendidikan, kesehatan, ekonomi, kamtibtmas, dan pemerintahan Gampong. Sistem ini dirancang dan dibangun dengan menggunakan bahasa pemrograman PHP. Hasil pengujian menunjukkan bahwa sistem ini dapat menyelesaikan masalah dalam penilaian Gampong terbaik, sehingga dapat membantu dalam menyeleksi Gampong terbaik tersebut.Kata Kunci: Sistem pendukung keputusan, penilaian Gampong terbaik, Kriteria, Metode Simple Additive Weighting (SAW).
SISTEM PENDUKUNG KEPUTUSAN PROSPEK PELUANG USAHA KULINER DI KABUPATEN PIDIE MENGGUNAKAN WEIGHTED PRODUCT (WP) BERBASIS WEB
Authors: Ulfa Nurul , Achmady Sayed , Yuswardi Yuswardi 
Published: August 2023

Sistem pendukung keputusan prospek peluang usaha kuliner di Kabupaten Pidie menggunakan metode Weighted Product (WP) berbasis web merupakan pengambil keputusan akan untuk menentukan peluang bisnis kuliner khas daerah dengan mudah dengan menentukan urutan peluang usaha kuliner makanan basah berdasarkan nilai bobot yang diperoleh dalam proses penilaian. WP merupakan suatu bagian dari analisis multi kriteria keputusan dimana bobot preferensi tiap kriteria asumsi normalisasi, vektor dan nilai vector sebagai acuan hasil akhir dari perhitungan metode WP. Adapun kriteria prospek peluang usaha kuliner yaitu, modal, operasional, keuntungan, peminat dan pesaing. Sistem ini dirancang dan dibangun dengan menggunakan bahasa pemrograman PHP. Hasil pengujian menunjukkan bahwa sistem ini dapat menyelesaikan masalah dalam menentukan peluang prospek usaha kuliner, sehingga dapat membantu dalam proses tahapan pertama memilih peluang kuliner yang tepat.Kata Kunci: Sistem pendukung keputusan, peluang usaha kuliner, Kriteria, Weighted Product (WP).