bluuebunny/crossref_metadata_2025_split huggingface dataset:
A comparative study to assess I-gel as an alternative to endotracheal tube in laparoscopic surgeries
Authors: Quraishi Athar Un Nisa , Goel Akshi , Quraishi Kamran Ahmad , Ul Ayoub Touseef 
Published: May 2023

Background: This study was conducted to compare and evaluate the effectiveness of I-gel over endotracheal tube with regards to respiratory and hemodynamic parameters in laproscopic surgeries.
Methods: In this study 60 adult patients of either sex, of ASA status I or II, aged 16 to 60 years, undergoing laparoscopic surgeries under general anesthesia were randomly studied. In Group-A (I-gel) appropriate sized I-gel was inserted, and in Group-B (ETT) patient’s airway was secured with laryngoscopy-guided endotracheal intubation. Monitoring of PR, MBP, SpO2 and EtCO2 was done throughout the peri-operative period. Haemodynamic and ventilatory parameters were recorded before induction (baseline), just after intubation, then at 1, 3 and 5 min after I-gel insertion/intubation, after pneumoperitoneum, after change of position, before and 5 min after release of pneumoperitoneum and after I-gel removal/extubation.
Results: Following the insertion of airway device there was significant rise in PR (3 min after intubation [P = 0.011, df-58, CI-95%]) and MBP (3 min after intubation [P = 0.02, df-58, CI-95%], 5 min after intubation [P = 0.04, df-58, CI-95%]) in Group-B patients when compared to Group-A patients. Following insertion of airway device there was no significant difference in EtCO2 (3 min after intubation [P = 0.778, df-58, CI-95%]), 5 min after intubation [P = 0.75, df-58, CI-95%]) in Group-B patients when compared to Group-A patients.
Conclusions: I-gel requires less time for insertion with minimal haemodynamic changes when compared to ETT. I-gel can be a safe and suitable alternative to ETT for laparoscopic surgery.
Surgical stress markers for postoperative complications: a prospective prognostic factor study
Authors: Bhupathi Meghana , Mathi Akshay , Sivakumar D. C. U. 
Published: May 2023

Background: Postoperative complications have previously been defined as “deviation from the normal postoperative course”. Although surgical advancements have reduced the postoperative mortality over the last few decades, the postoperative morbidity has remained high. Multiple factors as well as the severity of the surgical procedure itself are associated with adverse postoperative outcomes. Having prognostic factors established and available to assist with prognosis would be helpful in treatment planning and decision-making in post-operative patients. Objective of the study was to assess surgical stress markers as potential prognostic factors for postoperative complications.
Methods: This is a prospective cohort study conducted in department of general surgery over a period of 4 months. A total of 120 patients were included in the study. Data entry and statistical analysis were done using statistical package for the social sciences (SPSS) version 23. Chi-square test was used. Area under curve (AUC) and logistic regression were applied and odd’s ratio was calculated in 95% confidence interval.
Results: Serum C-reactive protein (CRP) levels done at 72 hours, ALB levels at 24 hours were most predictive postoperative levels compared to the other perioperative serum levels.
Conclusions: Elevated serum CRP, albumin were associated with infective and non-infective complications and longer length of hospital stay and duration of the procedure.
Management of giant amoebic liver abscess with severe sepsis by open drainage: a study of 28 cases in 20 years
Authors: Ray M. S. , Patel Vishal , Raval Aditya , Thakore Digpal , Modi Naresh , Singh Amandeep , Patel Milan , Goyal Shyam , Bhatt Rudrax , Yadav Abhishek , Panchal Brinda 
Published: May 2023

Background: Presently large amoebic liver abscesses are treated by intravenous antibiotics coupled with less invasive procedure like pigtail drainage. Pigtail drainage may not be adequate enough to drain thick pus and solid necrotic component in good number of large amoebic liver abscesses. In these cases, with severe sepsis, open surgical drainage is a life saver and a game changer. Aim of this study was to determine whether in critically ill patient with large amoebic liver abscesses results in good clinical outcome, by open surgical drainage.
Methods: Over a 20-year period, 28 patients with giant amoebic liver abscesses, in severe sepsis, were managed by, an up-front open surgical drainage. In this prospective study we tried to evaluate time to reversal of the toxic features of sepsis, recovery of hemodynamic stability, degree of morbidity and hospital stay.
Results: In all 28 patients treated by open surgical drainage (OSD), there was certainly rapid reversal of toxic features of sepsis, decrease in leukocyte count and accelerated recovery of hemodynamic stability in all are cases Three patients had surgical site infection, which were managed accordingly. The average hospital stay was 12 days. No mortality occurred in our study.
Conclusions: The results of our study show that for large amoebic liver abscesses with severe sepsis, OSD provides better clinical outcomes in terms of treatment success, rapid recovery, recovery of hemodynamic stability, less morbidity and no mortality.
Fournier’s gangrene of the scrotum after inguinal hernia repair: case report
Authors: Vagholkar Ketan , Kunal Deshmukh  , Haragovind Sai  , Tanay Purandare  
Published: May 2023

Fournier’s gangrene is a severe necrotizing fasciitis affecting the scrotum, perianal and perineal region. Development of this condition after inguinal hernia repair is extremely rare. A 54-year-old diabetic male patient who had undergone right inguinal hernia repair in a private clinic presented with severe necrotizing infection of the scrotum, predominantly of the right side. He was referred to our surgical unit. Initial resuscitation followed by broad spectrum antibiotic therapy and aggressive debridement of necrotic tissue followed by closure of scrotum was performed with excellent outcome. The purpose of presenting this case is to create awareness about this complication after hernia repair surgery especially in cases with comorbidities like diabetes mellitus.
Combination of exchange nailing augmented with plate and allograft in treating femoral shaft nonunion after intramedullary nailing – Our experience
Authors: Patil Sujeet Ramesh , Joshi Milind 
Published: May 2023

Risk factors for femoral nonunion after intramedullary nailing are open fracture, delay in weight bearing, and tobacco use. The treatment of nonunion with a statically locked intramedullary nail in place is either bone grafting in situ, dynamization of the nail by locking screw removal, or exchange nailing. We combined exchange nailing augmented with plate and bone grafting to study its usefulness in treating femur shaft nonunions after nailing.We did a retrospective study. Cases were collected between Aug 2020-June 2022. 15 patients were collected. They had underwent intramedullary nailing for femur fracture. Infection was ruled out. Mean period for presentation of nonunion - 20 months after primary surgery. Initially old nail was removed. Then we freshened the ends of the nonunion till the ends bleed. Then we passed a nail, did distal interlocking and then added a plate. We used a muller device to compress the nonunion, added a bone graft & then finally locked proximally. All 15 of the patients achieved postoperative bony union uneventfully at a mean time of 22.1 weeks (range, 12–40 weeks). The mean operative time was 105 minutes (range, 60–150 minutes), and the mean blood loss was 340 ml (range, 150–700 ml). All of the patients could walk bearing full weight without pain within 3 months. There were no significant complications such as broken hardware, implant back-out, axial or rotational malalignment, or deep infections. Exchange nailing with plate and graft augmentation is a good option in treating femur shaft nonunions after open reduction and internal fixation with intramedullary nailing. We used exchange nailing augmented with plate and bone graft and found it to lead to union in 100% cases.
Memória do Instituto Federal de Educação, Ciência e Tecnologia da Paraíba
Authors: Perucchi Valmira , Silva Simão Pedro Viana da , Paz Alber Jonathas Nunes 
Published: May 2023

<p>Esta pesquisa aborda a memória institucional para a construção da história do Instituto Federal de Educação, Ciência e Tecnologia da Paraíba (IFPB). Visa promover o resgate da memória do IFPB, por meio de fatos referentes à Instituição, sem citar nomes de pessoas. O objeto do trabalho será a memória, que proporcionará à comunidade e à própria instituição conhecerem um pouco mais do passado do IFPB, tornando precisas datas, acontecimentos e fatos, que permitirão que se conheça o contexto histórico-cultural, o cotidiano, a história administrativa e a representação junto à comunidade. Tem-se como problema desta pesquisa, questionar se o IFPB conhece seu passado registrado no acervo de fita de vídeo em seus cento e três (103) anos de atividades e o objetivo é conhecer a memória do IFPB, através de um levantamento nas fitas de vídeo VHS. Trata-se de uma pesquisa de caráter exploratório que envolve levantamento bibliográfico e documental. O universo é a Coordenação de Multimeios – Campus João Pessoa do IFPB. Para esse processo, foi necessário assistir aos vídeos e, a cada conteúdo ou produção, identificar os detalhes relevantes (o que aparece, onde, quando, etc.) que foram inseridos em uma planilha, para posterior referenciamento, para facilitar o acesso às informações e contribuir para a construção da história com os conteúdos das trinta fitas de vídeo localizadas que evidenciam a trajetória, ações, datas e fatos referentes ao IFPB contemplando, assim, mais de duas décadas de informações sobre o Instituto.</p>
Comparison of Anterior Segment Parameters in Obese Children And Healthy Control Group
Authors: ESKİ Mehmet Tahir , TEBERİK Kuddusi , SEZER Taha , ARSLANOĞLU İlknur 
Published: May 2023

Objective:: To evaluate anterior segment parameters in obese children
Material and methods: 55 obese and 30 control group children subjects participated. All participants and the control group were examined and anthropometric measurements were made. The measurements of fasting blood glucose(FBG), triglyceride(TG), total cholesterol (TC), high-density lipoprotein-cholesterol (HDL-C), low-density lipoprotein-cholesterol (LDL-C), and insulin values were performed. The homeostasis model assessment of insulin resistance (HOMA‑IR) was calculated. Each participant underwent a detailed ophthalmic examination and IOP, CCT, ACD and LT were measured.
Results: The gender distribution of the groups was similar (p=0.893). The mean of CCT and LT were significantly higher in the obese group (572.9 ± 14.5 vs. 559.5 ± 10.1 µm, p=0.001; 3.6 ± 0.14 vs. 3.48 ± 0.25 mm, p=0.007) . No significant difference was found between the obese and control groups in terms of other parameters. BMI and WC had a significant negative correlation with LT control groups. The obese group showed a significant positive correlation between IOP and TG (r=0.276, p=0.042), and a significant negative correlation with HDL-C (r=-0.273, p=0.043). In the control group, there was a significant positive correlation between IOP and BMI (r=0.389, p=0.034), WC (r=0.497, p=0.005), HOMA-IR (r=0.384, p=0.036), Insulin (r=0.407, p=0.026), and a significant negative correlation with TC (r=-0.511, p=0.004). A significantly positive correlation between ACD and LDL-C (r=0.371, p=0.043) and a significantly negative correlation between HOMA-IR in the control group were detected (r=-0.682, p=0.000).
Conclusion: The obese group had higher CCT and LT than the control groups.
Asas Publisitas Perjanjian Perkawinan (Post Nuptial Agreement): Konsep kepastian dan perlindungan hukum bagi pihak ketiga
Authors: Werdiningsih W. 
Published: May 2023

The marriage agreement after the Constitutional Court Decision Number 69/PUU/XII/2015 has a slight difference from the initial concept regarding the marriage agreement. The pre-nuptial agreement which was later extended to the post-nuptial agreement basically had several issues, especially regarding the publicity of the marriage agreement. The enforceability of a post-nuptial agreement in certain conditions may create uncertainty for third parties regarding the husband and wife's assets. Based on these legal issues, this research aim to find out the formulation of the principle of publicity in the arrangement of the marriage agreement during the marriage (Post Nuptial Agreement) so that it can have binding power to provide legal protection for third parties. This study uses a normative juridical method, which is a process to find and study doctrines, principles and legal rules as an effort to answer the legal issues under study. There are five approaches used, including: a statutory approach (statute approach) by reviewing the Burgerlijk Wetboek, the Law on Marriage and its amendments, the Law on the Position of Notary Public and its amendments and related implementing regulations; conceptual approach (conceptual approach), namely exploring various expert opinions regarding the concept of agreement, the concept of marriage, the principles of marriage law, the concept of marriage agreements, the theory of legal protection, the theory of justice, the principle of balance, the principle of freedom of contract to the position of a third party in the agreement; historical approach (historical recht approach) aims to study the history of the enactment of laws and regulations that have been in force, especially those relating to marriage agreements, in addition to reviewing the treatise on the formation and legal politics regarding the Marriage Law and treatises on marriage agreements in effect in Indonesia; case approach, namely Constitutional Court Decision Number 69/PUU-XIII/2015 and Supreme Court Decision Number 598 PK/Pdt/2016; comparative approach, namely the Netherlands, the United States and Australia.
KEYWORDS: Marriage Agreement, Principle of Publicity, Third Parties
Imperiofilia e imperiofobia
Authors: Burón Díaz Manuel , Redondo Carrero Emilio 
Published: May 2023

Recientemente hemos asistido a un considerable aumento del interés popular y editorial por la historia de los imperios en general y la Conquista de América en particular. El presente artículo busca indagar en las relaciones entre imperio e historiografía en las últimas décadas; y, muy específicamente, en todo un tipo de literatura que ha convertido el pasado colonial en un campo de batalla cultural.
“First of all, let’s go learn something”
Authors: Urru Patrick , Zitelli Conti Giulia 
Published: May 2023

This article presents a “story of Oral history” in Italy, from the beginning to today, dwelling in particular on the 70-90s and on the directions of the new millennium. Oral interviews are stories “from below”, where the authorship is shared between the interviewed people and an empathic interviewer.
Explored for decades in the Anglo-Saxon context, only recently the discipline obtained its own autonomy and academic dignity in Italy, overcoming a long-lasting scepticism about its “reliability”. In the 1980s, archival institutions began to take an interest in oral history, because it became then clear that “domestic” conservation could not give any guarantees of preservation and accessibility to these unique sources.
The bibliographic selection offered by this essay well illuminates how this approach can be employed to study in an innovative way the most various historical phenomena: the Resistance, the story of the unions, the lesbian movement, migrations, tragic events such as earthquakes, and much more.
The experience of nurses in providing holistic nursing care for COVID-19 patients at Banyuwangi Hospital
Authors: Pramesti Wilujeng Atik , Yanuar Fahmi Pamunhgkas Akhmad , Rizal Mahardika Dwiky , Sonontiko Essy 
Published: May 2023

Background: COVID-19 is a new virus that was discovered at the end of December 2019 and has marked a global pandemic around the world. Not only has a high-risk infection, nuthe most contact with COVID-19 patients are also at risk of experiencing physical and emotional stress. Anxiety, nurses' fear about the risk of contracting the COVID-19 virus can lead to unprofessional attitudes and behavior of nurses in providing holistic nursing care to the patients. This study aimed to explore the experience of nurses in providing holistic nursing care to COVID-19 patients
Methods: This research used phenomenological qualitative research. Data collection was done by in-depth interview. The participants in this study were 7 nurses who served in the isolation room of Blambangan Hospital, Banyuwangi. Purposive sampling method was used to select participants according to the inclusion criteria. Descriptions of nurses experiences were analyzed using the Colaizzi approach.
Results: The study result revealed 6 themes; changes in the emotional status of nurses while caring for COVID-19, social stigma against COVID-19 nurses, support during caring for COVID-19 patients, expectations during caring for COVID-19 challenges during caring for COVID-19 patientsand fulfillment holistic nursing carefor COVID-19 patients.
Conclusion: The nurses experience in treating COVID-19 patients showed that when they ware caring for patients, they have to go through ups and downs. This research was expected to improve nursing services, prepare nurses to adapt to the growing pandemic, and as a reference for further research related to the experience of nurses in treating COVID-19 patients.
Resilience after stroke and its correlation with functional independence
Authors: Heltty Heltty , Zahalim Zahalim 
Published: May 2023

Introduction: Resilience involves the ability to adapt to the conditions of disability experienced by post-stroke patients. The purpose of this study was to investigate the resilience of post-stroke patients and determine the relationship with the patient's functional ability.
Methods: This research was a cross-sectional study that included 122 post-stroke patient respondents who had undergone a stroke recovery phase for 5 - 8 weeks. Selection of the sample used simple random sampling method. Univariate analysis was used to describe the characteristics of each respondent. Bivariate analysis was carried out to determine the relationship between resilience and functional abilities of respondents, especially functional abilities related to activities of daily living.
Results: The results of this study found that there was a significant relationship between resilience and functional ability of the respondents (p = 0.000; 95% CI).
Conclusions: Respondents with a high level of resilience can make better use of their abilities so that they can increase their functional independence abilities. Thus, it can achieve a better quality of life improvement.
Effects of the tailored intervention program in lowering blood glucose levels and diabetes distress among patients with diabetes in Indonesia: a randomized controlled trial
Authors: Pranata Satriya , Wu Shu-Fang Vivienne , Wang Tsae-Jyy Tiffany , Liang Shu-Yuan , Bistara Difran Nobel , Chuang Yeu-Hui , Lu Kuo-Cheng , Vranada Aric 
Published: May 2023

Introduction: Blood glucose levels and diabetes distress are the foremost factors contributing to diabetes treatment outcomes and managements. No tailored intervention program was implemented for patients with diabetes in Indonesia. This study aimed to investigate the effectiveness of a tailored intervention program in lowering blood glucose levels and diabetes distress among patients with diabetes patients in Indonesia.
Methods: A randomized controlled trial (RCT) with pre-test and post-tests was applied. A total of 163 people with diabetes were collected for both intervention (n=80) and control (n=83) groups: A diabetes-tailored intervention program was attempted in the intervention group. Descriptive statistics, Analysis of Variant (ANOVA) and inferential statistics were used to analyze the data (significance level <0.05).
Results: The mean blood glucose levels and diabetes distress before and after in the intervention group were 255.19 mg/dl, and 245.60 mg/dl (p-value >0.05); 2.46 and 2.01 (p-value <0.01). While the control group's mean of blood glucose levels and diabetes distress before and after the intervention was were 227.81 mg/dl, and 245.94 mg/dl (pvalue <0.05); and 2.37 (p-value >0.05).
Conclusions: The diabetes-tailored intervention program is effective on decreasing blood glucose levels and diabetes distress, and showed a significant result to diabetes distress.
GABRA6 and SLC6A4 genotypes are correlated with the fasting blood glucose and physical fitness in the seemingly healthy young adults
Authors: Viskasari P Kalanjati  , Mariana Wahjudi  , Kusuma E. Purwantari  , Visuddho  , Peppy Nawangsasi  , Rury T. Oktariza  , Krisnawan A. Pradana  , Dzanuar Rahmawan  , Bambang E. Suwito  
Published: May 2023

Introduction: We examined environmental and genetic factors potentially correlated with the blood glucose and physical fitness in Kediri, East Java, Indonesia to elucidate the predominant cardiovascular disease risk.
Methods: This was a cross-sectional study on 68 adults aged 18-22 years. Direct interview was conducted to get socio-economy, daily diets (rice/ R, snacks and sweets/ SS, veggies and fruits/ VF), daily activity (locomotors and non-locomotors) data. Peripheral blood-GABRA6 and SLC6A4 polymorphisms, fasting blood glucose (FBG), blood pressure, 3 fitness parameters (1 min push-up, 3 minutes step up, pulse rate after 3 minutes step-up) were measured by 2 independent and pre-trained medical doctors. Kruskal-Wallis, Chi-Square, and eta-coefficient tests were used to seek differences between genotypes and correlation strength between variables, respectively (significant if p<0.05).
Results: Both gene’s genotypes showed significant correlations with the FBG (p=0.042, p=0.013, respectively); GABRA6 polymorphism significantly correlated with SU (p=0.033). There was a significant difference in the FBG between 2 VF subgroups (p=0.02). Strongest association was found between FBG and SLC6A4 (η=0.3); PR and GABRA6 (η=0.168), PU and SLC6A4 (η=0.38); SU and Locomotors (η=0.237).
Conclusions: In these seemingly healthy young adults, daily diets and the genotypes of both genes have a good association with the FBG and physical fitness levels.