bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparison of safety and efficacy of thoracic epidural block and erector spinae plane block for analgesia in patients with multiple rib fractures: A pilot single-blinded, randomised controlled trial
Authors: Singh Swati , Avinash Raja , Jaiswal Shreyas , Kumari Anita 
Published: July 2023

Background and Aims:
Pain associated with rib fractures is challenging to manage. This pilot trial aimed to assess the efficacy of erector spinae plane block (ESPB) compared with thoracic epidural analgesia (TEA) for controlling pain associated with multiple rib fractures.

Methods:
This randomised, single-blinded, controlled pilot study was conducted on trauma patients who had three or more rib fractures and had been admitted at a tertiary care centre. The study was conducted after receiving ethical approval and trial registration. Patients were randomised into two groups: TEA and ESPB, from February 2019 to February 2020. In the ESPB group, a unilateral or bilateral catheter was inserted in the erector spinae space, and an infusion of 0.125% bupivacaine was started. In the TEA group, the thoracic epidural catheter was inserted, and 0.125% bupivacaine infusion was started. Rescue analgesia using intravenous morphine (0.1 mg/kg) was administered if the Visual Analogue Scale (VAS) score was >3 for 48 hours postoperatively. The primary endpoint was total morphine consumption after administration of ESPB and TEA in patients with a rib fracture.

Results:
Forty patients completed the study, with 20 in each group. Total morphine consumption by patients in the ESPB group was 5.38 ± 2.6 mg per 48 hours, and by those in the TEA group was 5.22 ± 2.11 mg per 48 hours (P = 0.883). Thirty minutes after starting the infusion, mean arterial pressure (MAP) was 64.8 ± 2.1 mmHg in the ESPB group and 57.2 ± 1.3 mmHg in the TEA group (P = 0.00001).

Conclusion:
Total morphine consumption was not statistically different in this pilot trial among the two groups. ESP block may provide similar analgesia with better haemodynamic stability compared to TEA in patients with multiple traumatic rib fractures.
Does Baska mask deserve its own niche among extraglottic airway devices? A prospective, single-arm study
Authors: Shah Vinisha , Sharma Kailash S. , Kulkarni Atul P. 
Published: July 2023

Background and Aims:
A variety of extraglottic airway devices (EADs) are available. Main concerns with EADs are protection against aspiration and ability to ventilate patients with high airway pressures. Baska mask meets these criteria and is the only third-generation device available for clinical use.

Methods:
After institutional ethics committee approval and informed consent were obtained, this prospective study was performed in 100 adult patients undergoing surface surgeries at a tertiary referral centre. The primary outcome was the success rate of insertion, while the secondary outcomes were the sealing pressure, stability of the device and the perioperative complications of Baska mask. We then compared it with other currently used EADs.

Results:
The first attempt at insertion and overall success rates, showed values of 81% and 98%, respectively. Insertion was quick (median 12; interquartile range [IQR] 9–15 s). The mask sealing pressure, was 35 cmH2O (median [IQR 20–50 cmH2O]). Also, the mask remained stable in 95% of patients intraoperatively. Sore throat and dysphagia were seen in 37% and 24% of patients, respectively. No patient had laryngospasm or desaturation at any time. It compared favourably well with other EADs, while achieving higher sealing pressures.

Conclusion:
We found that the Baska mask performs well with excellent first attempt at insertion and overall success rates, higher sealing pressures and minimal complications compared to currently used EADs in clinical anaesthesia.
Ethno pharmacological survey in the MifiDivision (Cameroon)
Authors: Wandji Yimta Foutse , Teukam DarillN goubeyou , Djogang Anselme Michel Yawat , Djoko Ernest , Nguimatsia François , Wouessidjewe Denis 
Published: July 2023

Our study took place in the Mifi Division, western Cameroon. The aim of this study was to identify the medicinal plants used in this Division. To carry out this survey, we used three methods to collect data: the field study, the comparative study and the interview of traditional healers from a pre-established list. We interviewed 15 traditional healers who were recommended to us by traditional chiefs, some churchmen and health workers. The interviews with 15 traditional healers yielded 39 plants in Bafoussam, 62 plants in Baleng, 20 plants in Bamougoum, 12 plants in Bapi and 16 plants in Badeng. There is a similarity in magnitude in the use of herbs between infectious, childhood and general traumatic pathologies respectively 17.54% and 15.78%. This represents the highest percentage of plant use in this Division. Gynaecological and obstetrical diseases come in third place with 14.03% of plants used. Then come the pathologies of the otorhinolaryngological system with a use of 10.52% of plants. Nervous system pathologies use 7.01%. Parasitic pathologies are treated by 5.20% of the plants. Dermatological and cardiovascular pathologies use 3.50% of plants respectively. Finally, viral and gastro-enteritis diseases are treated with 5.20% of plants each. The Plants species collected will certainly contribute to the production of the original traditional pharmacopoeia. The 149 plants mentioned above would form the basis for the development of improved traditional medicines for start.
Efectos contables de la bioeconomía familiar en pandemia y uso de los recursos hacia el utilitarismo en microemprendimientos
Authors: Elizabeth Aguilar Nole Norma , Magally Camargo Villacís Jannet , Edelmira Carrión Cusme Nelly , Enrique Dattus Torres Damián , Del Cisne Martínez Camacho Piedad , Elizabeth Morocho Bustamante Maritza , Edith Ramos Guachilema Margot , Lisbeth Zavala Camargo Priscila 
Published: July 2023

Este estudio investigativo es multidisciplinar. Se unen tres aspectos: el comercial, el informático y el de salud para establecer el entorno que acompaña al emprendimiento en época de pandemia y establecer si los parámetros contables varían o no con una amenaza letal como la pandemia. El escenario de estudio de campo europeo se lo hizo entre Madrid en visitas guiadas a instituciones técnicas y humanísticas de la capital española desde 2009 a 2013 y en Guayaquil a partir de 2020 en instituciones de la Perla del Pacífico y los alrededores de hospitales de la seguridad social. Luego se prolongó la investigación en el efecto postpandemia a ciudades como Huaquillas y Loja para medir el desarrollo de la inteligencia financiera en estudiantes que habían llevado emprendimientos en la EGB, bachillerato y en la Educación Superior. El objetivo es caracterizar al recurso humano como parte de la bioeconomía utilizando el razonamiento empresarial en medio de la pandemia y postpandemia para orientar el criterio hacia un utilitarismo humano. Como metodología se aplica por estadios la investigación cualitativa y cuantitativa, de campo, bibliográfica sobre la metodología de estudio de eventos, sucesos o acontecimientos o event studies, aplicados exclusivamente a estudios empresariales. Se concluye que los emprendimientos necesitan de los procesos contables para llegar a una buena utilidad y que lo complejo para emprender es universal, es decir se tiene sus efectos tanto en Europa como América Latina.
Effect of Smriti Meditation in Generalized Anxiety Disorder - A Single Group Pre-Test - Post-Test Design
Authors: K Achuthan Anu  , R Vinod  , K V Dilipkumar  
Published: July 2023

The prevalence rate of generalized anxiety disorder is increasing constantly in the modern era. In Ayurveda, the symptoms of this disease show a resemblance with the condition called Cittodvega (excited state of mind), which is one among the Manovikara in Ayurveda caused by dysfunction of increased Vata and Pitta dosha. The present study was conducted as a clinical trial to study the effect of Smriti meditation on ten diagnosed participants of generalized anxiety disorder within the age group of 18–60 years selected from the Manassanthi outpatient department of VPSV Ayurveda college, Kottakkal. 3-5 sessions of smriti meditation for 1-2 hours were done for all the participants within 15 days, and the follow-up assessment was done 1 week after the last meditation session. The Smriti meditation technique is an interactive guided psychotherapeutic meditation technique derived from the descriptions of Satvavavjaya chikitsa mentioned in Caraka Samhita. Assessment scores of different intervals were statistically analysed using repeated measures analysis of variance. Based on the results, it was found that smriti Meditation has a statistically significant effect in reducing the symptoms of all the domains of the Hamilton anxiety rating scale and also improves the quality of life of participants within a short period.
Ayurvedic Management of Anxiolytic Withdrawal Disorder - A Case Report
Authors: Preetha Karuvanthodi  , Jithesh M  , Aparna P M  
Published: July 2023

Anxiolytic drugs are a valuable tool in the management of mental disorders, but inappropriate use can cause serious harm. The continued use or misuse of drugs is also termed "substance use. Overuse causes intoxication and withdrawal symptoms. The 12-month prevalence of DSM-IV sedative, hypnotic, or anxiolytic use disorder decreases as a function of age and is greatest among 18 to 29 years old (0.5%) and lowest among individuals 65 years and older (0.04%). The prevalence of sedative, hypnotic, or anxiolytic withdrawal is unclear. A 54 year old male heavily using anxiolytic drug named Lopez MD 2 for 2 years presented in Government Ayurveda Research Institute for Mental health and hygiene with symptoms of seizure attack for the first time 2 days back: He got aggressive at that time with increased sound making and incontinence of urine and grinding of teeth. He had decreased sleep, self talk, anger, crying spells since 2 months. The signs and symptoms were correlated through Dosha assessment. The patient mainly presented with the signs and symptoms of Pitha, which include anger and reduced sleep, and Kapha, which includes mood liability and slurred speech. He was treated at IP level treatment with Ayurvedic internal medicines and 21 days Panchakarma treatment. The Panchakarma treatment includes Sadyovirechana, Sirodhara, Snehapana, and Virechana. There was significant improvement in his symptoms anger, crying spells, self talk with significant change in sleep quality index through Pittsburgh sleep quality index.
Effect of An Ayurvedic Management in Computer Vision Syndrome
Authors: Jinoop.P  , C. S. Kannadas  , Dhanisha. B. K  
Published: July 2023

Computer Vision Syndrome (CVS) is the new nomenclature to the visual, ocular, and systemic symptoms arising due to the long time and improper working on the computer and is emerging as a pandemic in the 21st century. On critical analysis of the symptoms of CVS, it seems to be a Vata-Pitta ocular cum systemic disease which needs systemic as well as topical treatment approach. Shushkakshipaka is a similar disease explained in Sarvakshigatha roga. The management includes Anutaila nasya and Jeevaneya ghritha tarpana. Hence an attempt is made to study the benefit of this therapy in CVS which is having similarity with Shushkakshipaka. Patients aged 20-50 diagnosed as CVS were selected for the study and 30 eyes were studied. Data was collected by case proforma, clinical examination and investigations such as Visual analysis, Schirmer’s test, Tear break up time test. Then they were subjected to Deepana- Pachana, Snehana with Jeevaneya gritha, Swedana, Kayasodhana as Virechana with Gandharva eranda taila, Marsa nasya with Anutaila, Tharpana with Jeevaneya gritha and Putapaka with Jeevaneya puatapaka rasa. During the analysis of the distribution of symptoms there was significant improvement noted which sustained during follow up period also. Nasya gives Bala to Uttamanga thus preventing Stanasamsraya due to Kha vaigunya. Here Vicharana snehapana with Jeevaneya gana gritha and Tarpana with the same is done along with Anutaila nasya. Jeevaneya gritha is used for the Snehana karma and nourishes the eyes. Gritha itself is Vatapitta sama and helps to reduce the symptoms which are Vatapitta in nature.
An Outlook to Clinical Utility of Swedana chikitsa in Chikitsamanjari with Respect to Vatavyadhi
Authors: Geethu Krishna M  , Divya M  , Shitha Thomas  , Pooja Prakash  , Seena S  
Published: July 2023

Chikitsamanjari is a traditional book widely used in Kerala after Ashtanga Hrudaya. Kerala Ayurveda physicians use this book as a quick reference for day to day clinical practice. Even though different types of Swedana procedures are elaborated in Brihathrayis, this book explains several types of Swedas using the drugs that are widely available and that can be done easily. The text has explained simple and effective internal and external treatments for Vataja diseases. The description of various single drug remedies in the local language is another noticeable feature of this clinical treatise. Dhara with milk, Pottali Sweda with Chincha leaves (Tamarindus indica) and coconut scraping are some examples. Some of the unique contributions of Chikitsamanjari include, preparation of Dhanyamla, the procedure of Avagaha Sweda, its duration and Samyak Lakshanas, usage of different medicinal herbs for preparation of Potali Sweda in various disease conditions and Dhara using Tila Taila, milk and different combinations. Management of Pittadhika Vata with Dhara is one of the contributions of Chikitsamanjari. This paper reviews application of various Swedakriyas in Chikitsamanjari with respect to Vatavyadhi.
Study for the Assessment of Macrovascular Complications of Madhumeha (T2DM) and its Association with Sara
Authors: Prajapati Chandrashekhar  , Tewari Priyadarshini  
Published: July 2023

Diabetic complications are generally classified into macrovascular and microvascular conditions. Depending on the location of the atherosclerotic lesion, macrovascular disease (coronary artery disease, cerebrovascular disease, peripheral vascular disease) may occur. The prevalence of diabetes and its complication is increasing all over the world, particularly in developing countries. It has emerged as a major public health problem in our country. The disease Madhumeha is described under Prameha and it is the subtype of Vataja Prameha Madhumeha manifest due to morbidity of Shukra and Shonita which is incurable. In Madhumeha, Sara is the most useful entity for the measurement of strength and the life span of an individual, so it’s very important to know about Sara from a treatment point of view because lean and thin persons may have Pravara Sara. Here the attempt will be made to highlight the study for the assessment of the macrovascular complication of Madhumeha and its association with Sara. This study has been done on the basis of subjective and objective parameters in T2DM patients with macrovascular complications. Sara was assessed in each subject as per the scheduled proforma. In the research, we found that the diabetic complications were related to Sara, which is statistically highly significant. The conclusion of the study is Avara Meda Sara patients were found with all types of complications, only a few patients with complications belong to Madhyama Meda Sara, and there are no patients belonging to Pravara Meda Sara. Maximum patients of T2DM complication of Asthi, Majja and Shukra Sara having Madhyama Sara.
Perbandingan Film Ayat Ayat Cinta 1 dan 2
Authors: Adzim Ahmad Syahrul , Aulia Qarina Vitri , Rositama Whida 
Published: July 2023

Film merupakan salah satu dari media massa yang saat ini digandrungi oleh masyarakat karena sebagai sarana hiburan untuk melepaskan penat. Selain itu, film juga sebagai media penggambaran realitas sosial yang mana dapat menggambarkan kondisi politik, agama, sosial, dan budaya sehingga penonton bisa merenungi dan mendapatkan hikmah dari sebuah film. Tidak heran jika film seringkali diadaptasi dari cerita nyata atau kejadian yang terjadi dalam kehidupan nyata dengan tujuan untuk menggugah emosi dan memotivasi para penonton. Sebagai negara berpenduduk mayoritas muslim, isu religi sangat menarik untuk diangkat menjadi sebuah film. Film ayat ayat cinta 1 dan 2 yang disutradarai oleh Hanung Bramantyo merupakan salah satu contoh film yang sangat kental mengangkat nilai religiusitas sebagai tema utamanya. Film ini diadaptasi dari novel yang ditulis oleh Habiburrahman El-Shirazy, sosok penulis berkebangsaan Indonesia yang terkenal akan karyanya yang bernuansa Islami. Oleh karena itu, disini penulis akan membandingkan film ayat ayat cinta 1 dan 2 dengan menggunakan studi bandingan. Dengan membandingkan dua film tersebut, penulis menemukan perbedaan dan persamaan dari unsur intrinsik. Penelitian ini akan menggunakan deskriptif kualitatif sebagai metode penelitian.
Kata kunci: Ayat ayat cinta, film, perbandingan, religi
Pengaruh Profitabilitas, Ukuran Perusahaan, dan Ukuran KAP terhadap Pengungkapan Corporate Social Responsibility (CSR)
Authors: Malisa Yuli , Gultom Selfi Afriani , Sibarani Jojor Lisbet 
Published: July 2023

Penelitian ini bertujuan untuk melihat pengaruh profitabilitas, ukuran perusahaan, dan ukuran KAP terhadap pengungkapan corporate social responsibility. Data dalam penelitian ini menggunakan data sekunder yang berupa laporan tahunan perusahaan infrastruktur, utility, dan transportasi yang terdaftar di BEI tahun 2016-2020. Metode pengambilan sampel pada penelitian ini adalah metode purposive sampling, sehingga jumlah sampel penelitian ini adalah 16 perusahaan. Penelitian ini menggunakan analisis regresi linier berganda. Sebelum melakukan analisis regresi, terlebih dahulu dilakukan pengujian asumsi klasik. Hasil dari penelitian ini menunjukkan bahwa: (1) Profitabilitas tidak memiliki pengaruh terhadap pengungkapan corporate social responsibility, (2) ukuran perusahaan tidak memiliki pengaruh terhadap pengungkapan corporate social responsibility, (3) ukuran KAP memiliki pengaruh terhadap pengungkapan corporate social responsibility.
Analisis Pembelajaran Menulis Naskah Drama Pada Siswa Kelas XI IPA 1 SMA Negeri 3 Woja Kabupaten Dompu Tahun Pelajaran 2023/2024
Authors: Adiprasetio Prabowo  
Published: July 2023

Abstract
Pembelajaran menulis naskah drama siswa kelas XI belum memuaskan, siswa masih mengalami kesulitan dalam memahami dan mengenal bentuk naskah drama. Hal ini sesuai dengan keterangan yang diperoleh dari guru bidang studi bahasa Indonesia yang menyatakan bahwa siswa belum mampu menulis naskah drama secara produktif, siswa menulis naskah drama jika mendapat tugas dari guru. Subyek penelitian ini adalah guru bahasa Indosia kelas XI IPA 1 dan siswa kelas XI IPA 1 SMAN 3 Woja Kabupaten Dompu. Metode pengumpulan data yaitu metode observasi, dokumentasi, wawancara, dan tugas. Analisis data dilakukan dengan mengunakan metode kualitatif dan kuantitatif. Kuantitatif digunakan untuk mencari kemampuan individu siswa dan kemampuan kelompok (IPK). Proses pembelajaran menulis naskah drama pada siswa kelas XI IPA 1 SMA Negeri 3 melalui berbagai tahapan yaitu, perencanaan pembelajaran, pelaksanaan pembelajaran, observasi pembelajaran, evaluasi pembelajaran, dan refleksi. Hasil penelitian ini menyimpulkan bahwa kemampuan siswa menulis naskah drama di kelas XI IPA 1 SMA Negeri 3 Woja Kabupaten Dompu tahun pelajaran 2023/2024 terdiri atas kemampuan individu dan kelompok. Kemampuan individu siswa sebagai berikut: a) kelompok yang berkemampuan tinggi = 69%; b) kelompok yang berkemampuan sedang = 26,9%; c) kelompok yang berkemampuan rendah = 4,1%. Indeks Prestasi Kelompok (IPK) siswa = 72,07 dan berada pada kategori kemampuan normal.

Kata kunci: pembelajaran, menulis, naskah drama, siswa Kelas XI
Thực trạng phát triển đội ngũ giáo viên các trường trung học cơ sở ở huyện Bù Đốp, tỉnh Bình Phước
Authors: Trần Đình Trọng 
Published: July 2023

Yêu cầu đổi mới căn bản, toàn diện giáo dục đáp ứng yêu cầu công nghiệp hóa, hiện đại hóa trong điều kiện kinh tế thị trường định hướng xã hội chủ nghĩa và hội nhập quốc tế đặt ra cho các trường trung học cơ sở phải thường xuyên tăng cường hoạt động bồi dưỡng nâng cao năng lực cho người giáo viên theo chuẩn nghề nghiệp đã quy định, đặc biệt cần chú ý đến khuyến cáo của UNESCO: Thầy giáo phải được đào tạo để trở thành những nhà giáo dục nhiều hơn là những chuyên gia truyền đạt kiến thức; phải làm chủ được môi trường công nghệ thông tin - truyền thông mới và phải chuẩn bị về mặt tâm lí cho một sự thay đổi cơ bản về vai trò của họ. Bài báo phân tích, đánh giá về thực trạng đội ngũ giáo viên các trường trung học cơ sở ở huyện Bù Đốp, tỉnh Bình Phước; từ đó, định hướng đề xuất các biện pháp nhằm phát triển đội ngũ giáo viên các trường trung học cơ sở ở huyện Bù Đốp, tỉnh Bình Phước đáp ứng yêu cầu đổi mới căn bản, toàn diện giáo dục trong bối cảnh hiện nay.
Thực trạng quản lý thiết bị dạy học ở các trường tiểu học huyện Lộc Ninh, tỉnh Bình Phước
Authors: Trần Đại Nghĩa , Nguyễn Đình Vĩ 
Published: July 2023

Thiết bị dạy học tạo điều kiện cho học sinh huy động các năng lực học tập, nâng cao khả năng tự học và rèn kỹ năng thực hành. Thiết bị dạy học còn giúp cho giáo viên đổi mới phương pháp dạy học. Vì thế thiết bị dạy học có vai trò rất quan trọng góp phần nâng cao chất lượng giáo dục. Để đạt mục tiêu bảo đảm chất lượng thiết bị dạy học thì công tác quản lý thiết bị dạy học phải được quan tâm thực hiện tốt. Kết quả nghiên cứu về thực trạng quản lý thiết bị dạy học ở các trường tiểu học huyện Lộc Ninh, tỉnh Bình Phước được chúng tôi xử lý SPSS 20.0 theo thang đo Likert 4 mức độ để tính điểm trung bình và tỷ lệ phần trăm, độ lệch chuẩn và được phân tích, đánh giá thực trạng cho thấy vẫn còn nhiều vấn đề bất cập trong công tác quản lý thiết bị dạy học ở các trường tiểu học địa phương này.
X-XIV. YÜZYILLARDA İSLAM COĞRAFYACILARININ VE SEYYAHLARIN ESERLERİNDE TESPİT EDİLEN HASTALIK TÜRLERİ
Authors: DOYGUN Meryem 
Published: July 2023

İnsanoğlunun en büyük imtihanlarından biri olan hastalıklar tarihçiler için de bir çalışma alanı olarak gözükmektedir. Tıp eserlerinin yanı sıra coğrafya eserleri ve seyahatnamelerin de bu konuda zengin malumat ihtiva ettiği görülür.
Bu çalışmada X.-XIV. yüzyıllarda İslam dünyasında Arapça ve Farsça olarak kaleme alınan coğrafya kitaplarında ve seyahatnamelerde tespit edilen hastalık türlerine yer verilmiş dolayısıyla bu tür kaynaklarda da dönemin hastalık izlerinin takip edilebileceği gösterilmeye çalışılmıştır. Bilhassa İslam coğrafyacılarının ve seyyahların notlarında bölgesel hastalıklar ön plana çıkmakta böylece X.-XIV. yüzyıllarda İslam şehirlerinin hastalık haritasını çıkarmak mümkün hale gelmektedir.
Daha önce dikkat çekilmemiş bu konu ile coğrafya eserleri ve seyahatnameler üzerinden farklı disiplinlere dair okumalar yapılabileceği gösterilmeye çalışılmıştır. Bilhassa tıp tarihi çalışmaları için önem taşıyan bu tür konuların yeni çalışmalara vesile olacağı kanaatindeyiz.
Utilization of SQ3R Method to Enhance English Reading Skills: Students’ Voices in The Indonesian Higher Education Context
Authors: Wahyuningsih Sri , Nafisah Putri , Mulyono Nono , Hidayat Yusuf 
Published: July 2023

The problem mostly experienced by EFL students is the assumption of difficulty in reading English texts. Thus educators are always looking for the best teaching approach methods to develop skills, especially in reading skills. The present study mainly describes the students’ voices about using SQ3R in improving reading skills in the Indonesian higher education context. This study belongs to a descriptive qualitative study. Data were gathered through observation and interviews with students. The results of the study demonstrate that most students believe that the existence of the SQ3R method can have an impact on the learning process of students. It has benefits including improving students' reading comprehension skills, increasing high curiosity, and being able to provide experiences of understanding discourse more easily.