bluuebunny/crossref_metadata_2025_split huggingface dataset:
Compatibility of the 'Fun and Fit with Baby Exercise Programme' for mothers
Authors: Hashim Asha Hasnimy Mohd , Ibrahim Halijah , Zainuddin Zainal Abidin , Ghani Diyana Zulaika Abdul 
Published: June 2023

Background:
The positive effects of physical activity on health have been extensively recorded; however, mothers with young children often face difficulties when it comes to engaging in exercise.

Aim and Objective:
The objective of this study was to assess the programme's suitability for mothers with young children.

Materials and Methods:
A programme called 'Fun and Fit with Baby' was created, consisting of 5-week exercise routines. The programme included weekly gatherings, and participants were given assistance in following the guided exercise routines while carrying young children in a baby carrier. These routines were as follows: (1) exercises for balance and posture, (2) exercises for muscle toning, (3) exercises for fat loss, (4) exercises for core pelvic muscles and (5) cardio exercises. Twelve mothers with children under the age of 6 years volunteered to participate in this programme. The compatibility of this programme was measured through body composition measurement, questionnaire after the participants completed the programme and participant observation.

Results:
The findings indicate that the programme provided an acceptable and supported opportunity for mothers with young children to participate in physical activity.

Conclusion:
This initiative demonstrates that a group exercised with similar goals have a key role in influencing, enabling, and supporting people to participate in health activities.
Comparing Malaysian and international track and field records through strength, weaknesses, opportunity and threats analysis to formulate strategies for performance improvement
Authors: Thung Jin Seng , Gao Jianhong , Hao Christopher Pok Yong , Azis Nur Zubillah , Amin Mohd Quasyairy Ajmain Mohd , See Min , Nor Emy Nor Asmieza Mohd , Kasim Mohamad Fajar Mohamed , Fazil Mohammad Hazwan Nizam , Kok Lian Yee 
Published: June 2023

Introduction:
Resources for improving Malaysian track and field performance are limited and this may lead to gradual performance decrement at both local and international levels. The objective of this study was to assess current Malaysian outdoor track and field performance against regional multi-sport games.

Methods:
A historical analysis approach was conducted to understand previous track and field records through examination and interpretation of available online archives. A total of 179 records from the Malaysian Open, Malaysian National Records, Southeast Asian Games (SG), Asian Games (AG) and Commonwealth Games (CG) were identified from online databases and converted into World Athletics score points for the analysis of strength, weaknesses, opportunity and threats.

Results:
The results revealed that 11 events (eight males and three females) were identified as Malaysian strengths that were highly likely to succeed in upcoming SG.

Conclusions:
A few Malaysian records were set decades ago and there is a significant decrease in performance. Considerable attention is needed to close the performance gaps with other countries and unveil the true performance potential of Malaysian track and field athletes. A long-term development programme for talent recruitment, coach development, technology utilisation and nurturing the local competitive environment is needed to meet the AG and CG standards.
Topical anesthetics oxybuprocaine versus bupivacaine 0.5% in intravitreal injections
Authors: Mohamed Dina Moustafa , El-Sayeh Samy Mohamed , Salem Abeer Samir , Mahmoud Sara R. , Abuelela Manal Hassan , Fouly Marwa Abdel Kader , Mansour Marwa Ahmed El Biomey 
Published: June 2023

Aim
This study aimed to compare the efficacy and safety of the local anesthetic bupivacaine 0.5% and oxybuprocaine hydrochloride 0.4% used topically to provide surface anesthesia before intravitreal injection (IVI) procedures.

Settings and design
This double-blinded, randomized, controlled trial was carried out at the Research Institute of Ophthalmology, Egypt.

Patients and methods
This trial included diabetic patients with glycated hemoglobin less than 7.5 mmol/l of both sexes, aged from 30 to 70 years, American Society of Anesthesiologists I, II, or III, who had central retinal vein occlusion and choroidal neovascularization. A total of 110 eligible patients were randomly allocated into two groups. Patients in group A received bupivacaine 0.5%, while those in group B received oxybuprocaine hydrochloride 0.4%. Both drugs were topically applied, three times, at 5 min intervals, for 15 min, which was followed by the IVI. The primary outcome was pain during the injection and the secondary outcome was corneal adverse effects.

Results
The frequency of pain-free IVI was equal in both groups (83.6% each, P=0.100). The difference in the mean heart rate after injection between groups A (81.4±12.7) and B (82.5±15.6) was nonsignificant (P=0.678). The rate of corneal side effects in terms of opacity or allergy to the topically applied drugs was nonsignificantly lower in group A compared with group B (9.1 vs. 12.7%, P=0.541).

Conclusions
The topical use of bupivacaine 0.5% had anesthetic efficacy similar to that of oxybuprocaine hydrochloride 0.4% during the IVI. Both the topical anesthetics were well tolerated by patients.
Diagnostic accuracy of the Brest score for prediction of acute heart failure in the emergency department
Authors: Fatah Ahmed Abd El , Wagdy Sherif , Alim Mohammed A. , Montasser Mina 
Published: June 2023

Background
Early diagnosis and appropriate management of acute heart failure (AHF) is aimed at better hemodynamic balance, improved functional capacity, decreased mortality, and shorter length of hospital stay. However, this is often a challenge in the emergency department (ED), where diagnosis is mainly based on clinical signs and standard parameters. Early use of Brest score could reduce the diagnosis time and improve diagnostic accuracy.

Purpose
The aim of this study is to evaluate the validity of the Brest score in the prediction of AHF in undifferentiated dyspnea in ED.

Patients and methods
The study was conducted on 100 adult patients admitted to the ED of Alexandria Main University Hospital with acute dyspnea. The study was conducted to reach initial impression about AHF diagnosis, which was then compared with the final diagnosis to determine accuracy, agreement, sensitivity, and specificity.

Results
The data acquired from Brest score in the diagnosis of HF is compared with echocardiography as a gold standard. The area under the receiver-operating characteristic curve for the data received from Brest score was 0.84, 95% confidence interval: 0.667–1, with a P value lower than 0.001 being highly significant.

Conclusion
The Brest score showed high accuracy in identifying AHF in ED, so it is considered a bedside, reliable, rapid, and noninvasive technique.
Different maneuvers for reducing postlaparoscopic shoulder and abdominal pain: a randomized controlled trial
Authors: Wahdan Rehab A. , Abd Ellatif Shereen E. 
Published: June 2023

Purpose
The aim was to evaluate the effect of combination of recruitment maneuver (RM) or intraperitoneal saline infusion (IPS) to low-pressure pneumoperitoneum in reducing postlaparoscopic shoulder and abdominal pain in patients undergoing laparoscopic gynecologic surgeries.

Patients and methods
This prospective blinded randomized controlled study was conducted on 108 patients undergoing laparoscopic gynecologic surgery. Patients were randomly allocated to four groups: group C (control group) patients received standard pressure pneumoperitoneum, group L received low-pressure pneumoperitoneum, group LR received low-pressure pneumoperitoneum and intermittent five times RM at a pressure of 40 cmH2O, and group LS received low-pressure pneumoperitoneum and IPS (15–20 ml/kg). Primary outcome was visual analog scale score for shoulder pain and abdominal pain at 2, 6, 12, 24, 48, 72, and 96 h postoperatively.

Results
The visual analog scale values of shoulder pain and abdominal pain were statistically significantly higher in the control group at different timings postoperatively compared with the interventional groups. Moreover, the LR group had the lowest statistically significant values at all different timings except at 2, 48, 72, and 96 h, where it had no significant difference with the LS group regarding shoulder pain. However, regarding abdominal pain values, the LS group had the lowest statistically significant values at 72 and 96 h postoperatively.

Conclusion
Adding of RM or IPS to low-pressure insufflation could significantly decrease the intensity of postlaparoscopic shoulder and abdominal pain. However, RM seems to be more effective but it is a relatively short-acting maneuver, whereas IPS seems to be less effective but it has a longer lasting effect.
Comparison between total intravenous anesthesia using propofol or dexmedetomidine versus sevoflurane during anesthesia of children undergoing bone marrow aspiration
Authors: ElHoshy Hassan S. , Khalifa Ayman F. 
Published: June 2023

Background
Although bone marrow aspiration (BMA) in children is a familiar short duration procedure, nearly 65% of patients develop sever anxiety that may extend more beyond, up to chronic postoperative behavioral changes. Consequently, the objectives of any related anesthetic technique is to afford smooth nontraumatic induction with safe maintenance and rapid recovery. The rational of the current study is to assess the outcomes of total intravenous anesthesia (TIVA) using propofol or dexmedetomidine versus sevoflurane for maintenance of anesthesia in children scheduled for BMA.

Patients and methods
A total of 60 children aged 3–12 years of American Society of Anesthesiologists physical status I and II, who planned to undergo elective BMA and biopsy were enrolled randomly to one of three groups (20 child each) receiving either sevoflurane inhalational anesthesia for induction, then sevoflurane and fentanyl infusion for maintenance (group S), propofol infusion for induction afterward propofol and fentanyl infusions for maintenance of anesthesia (group P) or dexmedetomidine infusion for induction after that dexmedetomidine and fentanyl infusions for maintenance (group D). The primary endpoint was postoperative sedation score on arriving the postanesthetic care unit after the procedure. Secondary outcomes included procedure duration, hemodynamic variables, parents and surgeons satisfaction and incidences of any adverse events.

Results
Hemodynamics revealed statistically comparable significant decrease in the three studied groups relative to the preoperative baseline levels. Values of oxygen saturation in group D showed significant increase relative to those of group P. Time for spontaneous eye open were significantly shorter in group P comparable to the other two groups (P<0.001). Members of group D were more sedated relative to the other two groups. Satisfaction of both parents and surgeons were significantly higher in the group D relative to the other two studied groups (P<0.05).

Conclusion
TIVA with dexmedetomidine can be a superior alternative to TIVA with propofol or sevoflurane for maintenance of anesthesia in children scheduled for BMA in consequence of favorable hemodynamic stability and smooth recovery profile.
Open lung approach versus conventional protective ventilation in obese patients undergoing open abdominal surgery: a randomized controlled trial
Authors: Aly Amani A. , Medhat Marwa M. 
Published: June 2023

Purpose
Open abdominal surgeries are associated with an increased risk of postoperative pulmonary complications, especially in obese patients, which seem to be related directly to intraoperative mechanical ventilation. The present study aimed to compare the effect of using conventional protective ventilation (CPV) [low tidal volume and fixed positive end expiratory pressure (PEEP)] with open lung approach (OLA) (recruitment maneuver followed by personalized PEEP) on postoperative pulmonary complications.

Patients and methods
A total of 56 obese patients undergoing open abdominal surgery under general anesthesia were enrolled and randomly assigned to either the CPV group in which they received a tidal volume of 7 ml/kg with fixed PEEP level of 5 cmH2O or the OLA group in which they had alveolar recruitment maneuver followed by individualized PEEP. The primary outcome was the early postoperative pulmonary complications during the first 5 days after surgery. Secondary outcomes included lung mechanics, gas exchange, and hemodynamics during the intraoperative period as well as length of hospital stay, postoperative extrapulmonary complications, and intrahospital mortality.

Results
Postoperative pulmonary complications in the first 5 days were significantly higher in the CPV than in the OLA group. During the intraoperative period, the static compliance, the PEEP, and plateau pressure were significantly higher in the OLA group than the CPV group. On the contrary, driving pressure was significantly lower in the OLA group. Better oxygenation was observed in the OLA group in the intraoperative period and postoperative days 1 and 3. Pulmonary function tests were significantly better among patients who received the OLA on the first and third postoperative days.

Conclusion
The OLA may be used as an acceptable alternative to CPV as it was associated with less postoperative pulmonary complications, better intraoperative and postoperative oxygenation, and better postoperative pulmonary functions.
Sacral ESP for pain management in transforaminal lumbar interbody fusion cases: A case series
Authors: Gupta Anju , Diwan Sandeep , Shankar Vivek 
Published: June 2023

ABSTRACT
Lumbar erector spinae plane block (ESPB) is effective for spine surgeries but is deep and technically demanding. Sacral ESPB is a novel approach for sacrococcygeal procedures and can potentially cover lumbar dermatomes by the cranial drug spread. This is the first reported case series demonstrating the potential analgesic efficacy of sacral ESPB for lumbar spine surgeries. Five patients with radiculopathy at the lumbosacral area level were scheduled for transforaminal lumbar interbody fusion (TLIF). General anaesthesia was induced as per standard practice. All patients received sacral ESP in a prone position under ultrasound guidance with a needle inserted in-plane while targeting the fascial plane between the S2 median crest and overlying muscles. All the included patients had good analgesia in the postoperative period and required minimal opioid analgesic doses. Sacral ESPB is an easy, effective, and safe technique in the scheme of multimodal analgesia for TLIF surgeries as a component of pre-emptive analgesia, where the main goal is an opioid-sparing effect.
Ultrasound-guided erector spinae plane block compared to serratus anterior muscle block for postoperative analgesia in modified radical mastectomy surgeries: A randomized control trial
Authors: Nyima Tenzin , Palta Sanjeev , Saroa Richa , Kaushik Robin , Gombar Satinder 
Published: June 2023

ABSTRACTBackground and Objectives:The present study was undertaken to compare the analgesic efficacy of erector spinae plane (ESP) block with serratus anterior muscle (SAM) block in patients undergoing modified radical mastectomy (MRM). We hypothesized that ESP block would provide better postoperative pain relief than SAM block following MRM.Methods:Eighty American Society of Anaesthesiologists (ASA) I–II adult females, scheduled for MRM, were randomly allocated to receive either ultrasound-guided ipsilateral single-shot ESP or SAM block after induction in the respective planes, using 20 ml of 0.25% ropivacaine. Both the groups received postoperative intravenous patient-controlled analgesia (IV-PCA) (morphine) for 24 h. The primary outcome was to assess pain severity using a visual analogue scale (VAS) score. Postoperative 24-h opioid consumption, time to first opioid analgesia, hemodynamic variables, total dose of antiemetics, and safety profile of both the blocks were also evaluated. Data analysis was carried out using Statistical Package for the Social Sciences version 21.0 (SPSS Inc. Chicago, Illinois, USA).Results:VAS scores were lower in the ESP block group, at rest and on movement, and the difference was statistically significant (p< 0.05). Postoperative morphine consumption was also significantly less in patients receiving ESP block as compared to SAM block (3.13 ± 1.44 mg vs 4.33 ± 1.69 mg;P= 0.001). The time to first analgesia request was significantly prolonged in the ESP group as compared to the SAM group (9.58 ± 4.11 h vs 6.46 ± 2.95 h;P= 0.001). No major side effects were observed in any of the study groups.Conclusions:ESP block provides better analgesia as compared to SAM block after MRM.Clinical trial registration number:CTRI/2019/03/018067.
Emergency cesarean section in glanzmann thrombasthenia: Anaesthetic management without recombinant factor VIIa
Authors: Priyanka Andal , Arulprakasam Santhosh , Rudingwa Priya 
Published: June 2023

ABSTRACT
Glanzmann thrombasthenia (GT) is a congenital disorder inherited autosomal recessively, caused by deficiency of platelet membrane glycoprotein IIb-IIIa complex leading to defective platelet aggregation, and manifesting as mucocutaneous bleeding. Parturients with GT requiring emergency cesarean section are at high risk for perioperative bleeding complications. The anesthetist should be prepared with the necessary measures to control bleeding. This paper presents the successful management of a 23-year-old primigravida with GT undergoing cesarean section in a resource-limited setup where thromboelastography and recombinant factor VIIa (rFVIIa) are not available.
Peripheral nerve blocks for the management of lumbo-sacral radiculopathy: A prospective study
Authors: Kumar Sumedha Suresh , Kumar Ajit , Talawar Praveen , Kaushal Ashutosh , Rekha  , Sangadala Priyanka , Kumar Deepak , Kumar Karthikeyan Suresh 
Published: June 2023

ABSTRACT

Background:
The epidural injections used to treat lumbar radiculopathy are potentially associated with serious complications like neurological injuries and epidural abscess. The nociceptors have the unique property of being pseudo-unipolar, as its both ends are expected to be functionally same. We have hypothesized that peripheral nerve blocks given at the distal site should be able to provide pain relief. This prospective study was planned to assess the efficacy of peripheral nerve blocks in lumbar radiculopathy.

Methods:
Thirty-four patients who fit the eligibility criteria were included in this open labeled prospective preliminary study. They were administered peripheral nerve blocks at ankle level with 4 ml of 0.25% bupivacaine and 40 mg of triamcinolone.

Outcomes measured:
The outcomes measured at 15 days, 1 month, 2 months, and 3 months after the intervention were the pain intensity (Numerical Rating Scale), the Global Perceived Effect, functional status (Roland Morris Disability Questionnaire), Beck’s Depression Inventory score, employment status, and analgesic intake.

Results:
At 15 days, 1 month, and 2 months, 88% of the patients reported a ≥50% decrease in their pain scores and a GPE ≥6, while at 3 months 85% of the patients reported a significant decrease in their pain scores and a GPE ≥6.

Conclusion:
Peripheral nerve blocks are effective in the management of pain in patients with chronic lumbosacral radiculopathy. The ability to administer it in an outpatient setting, without image guidance and the absence of debilitating side effects, makes it an attractive treatment option.
Post‐quantum identity‐based authenticated multiple key agreement protocol
Authors: Yang Yang , Yuan Hongji , Yan Linbo , Ruan Yinglan 
Published: June 2023

AbstractAuthenticated multiple key agreement (AMKA) protocols provide participants with multiple session keys after one round of authentication. Many schemes use Diffie–Hellman or authenticated key agreement schemes that rely on hard integer factorizations that are vulnerable to quantum algorithms. Lattice cryptography provides quantum resistance to authenticated key agreement protocols, but the certificate always incurs excessive public key infrastructure management overhead. Thus, a lightweight lattice‐based secure system is needed that removes this overhead. To answer this need, we provide a two‐party lattice‐ and identity‐based AMKA scheme based on bilateral short integer or computational bilateral inhomogeneous small integer solutions, and we provide a security proof based on the random oracle model. Compared with existing AMKA protocols, our new protocol has higher efficiency and stronger security.
Digital educational platforms: structure and principles of work
Authors: Garanin M. A. , Ivashcheva K. A. 
Published: June 2023

The purpose of the study is to study the conditions and principles for the formation of digital educational platforms as a stage in the development of the system of staffing industries and human capital. To achieve this goal, the following main tasks were set and solved: an analysis was made of existing trends and factors in the development of the system of vocational education, resource constraints of educational organizations; development of the structure and principles of the formation of digital educational platforms, the economic model of its work; the nature of the relationship between key performance indicators is determined.The object of the study is digital platforms that emulate the management of vocational education. Such platforms are seen as the next stage in the evolution of the vocational education system. The subject of the study is the process of implementing professional educational programs, which evolves from educational organizations that own educational programs to digital educational platforms that unite participants in the educational process (developers of educational programs, teachers, students, business).The practical significance of the study lies in expanding the possibility of using digital educational platforms that can be used in parallel with traditional systems of vocational education. The main result of the presented research is the development of the structure, principles of formation and economic model of digital educational platforms, which are considered as the next stage in the development of the vocational education system.This study is part of a comprehensive scientific study on the improvement of the human capital development system, conducted on the basis of the Samara State Transport University.
Methodology for using digital educational tools
Authors: Rusinova E. S. 
Published: June 2023

The article discusses the process of designing a modern lesson using electronic educational resources and digital tools, the role of teaching aids in the educational process.Analyzed didactic model of V.P. Smirnov, which is used in both traditional and distance learning. The process of designing a lesson through this model is looked at.In pedagogical work, when summing up the final results of training, mental skills are systematized and classified using the taxonomy of the American psychologist B.S. Bloom. In accordance with the taxonomy, the learning outcomes make it possible to understand how well the student has mastered the content of the discipline.The studies of Robert Gagne were studied, who developed a simple 9-step algorithm that can make the learning process as efficient as possible. Each level of education corresponds to a specific task, for the solution of which a variety of techniques, methods, teaching aids are offered. These stages of events are known to pedagogy even before Gagne, he designed and assembled them into his system. Stimulating internal learning processes with digital tools can dramatically improve performance.The teacher is asked to be careful about the choice of digital tools for implementation in their professional activities, to use well-established teaching methods and tools, to introduce new resources gradually.