bluuebunny/crossref_metadata_2025_split huggingface dataset:
Post-COVID-19 mucormycosis: A prospective, observational study in patients undergoing surgical treatment
Authors: Wadhawan Sonia , Kerai Sukhyanti , Husain Farah , Labani Preeti , Agarwal Munisha , Saxena Kirti N. 
Published: July 2023

Abstract

Background and Aims:
Post the second wave of COVID-19 in India, our institute became a dedicated center for managing COVID-19-associated mucormycosis (CAM), but there was a paucity of data regarding perioperative considerations in these patients. The objectives of present study was to describe the preoperative clinical profile, the perioperative complications and outcome of CAM patients undergoing urgent surgical debridement.

Material and Methods:
This prospective observational study was conducted on CAM patients presenting for surgical debridement from July to September 2021. During preoperative visits, evaluation of extent of disease, any side effects of ongoing medical management and post-COVID-19 systemic sequalae were done. The details of anaesthetic management of these patients including airway management, intraoperative haemodynamic complications and need for perioperative blood transfusion were noted.

Results:
One hundred twenty patients underwent surgical debridement; functional endoscopic sinus surgery (FESS) was carried out in 63% of patients, FESS with orbital exenteration in 17.5%, and maxillectomy in 12.5%. Diabetes mellitus was found in 70.8% and post-COVID new onset hyperglycemia in 29.1% of patients. Moderate-to-severe decline in post-COVID functional status (PCFS) scale was observed in 73.2% of patients, but with optimization, only 5.8% required ICU management. The concern during airway management was primarily difficulty in mask ventilation (17.5%). Intraoperatively, hemodynamic adverse events responded to conventional treatment for hypotension, judicious use of fluids and blood transfusion. Perioperatively, 10.8% of patients required blood transfusion and 4.2% of patients did not survive. Non-surviving patients were older, with a more aggressive involvement of CAM, and had comorbidities and a greater decline in functional capacity.

Conclusion:
A majority of patients reported a moderate-to-severe decline in PCFS that required a preoperative multisystem optimization and a tailored anesthetic approach for a successful perioperative outcome.
Comparison of analgesic efficacy of ultrasound-guided quadratus lumborum block versus erector spinae plane block in children undergoing elective open pyeloplasty – A randomized, double-blinded, controlled study
Authors: Ralte Isaac Lalfakzuala , Bhoi Debesh , Talawar Praveen , Prasad Ganga , Subramaniam Rajeshwari , Goel Prabudh 
Published: July 2023

Abstract

Background and Aims:
Comparison of analgesic efficacy of ultrasound-guided transmuscular quadratus lumborum block (QL-3) and erector spinae block (ESP) in children undergoing open pyeloplasty was done in this study.

Material and Methods:
This was a randomized, double-blinded, controlled study conducted in a tertiary care center, operating rooms, post-anesthesia care unit (PACU), and paediatric surgical ward. Sixty children of age 1–6 years, with American Society of Anesthesiologists (ASA) status I or II, undergoing elective open pyeloplasty were included in the study. Patients were randomized into two groups: group I (QL block-3) and group II (ESP). Both blocks were performed under USG guidance using 0.5 ml/kg of 0.25% ropivacaine after induction of general anesthesia. Postoperative Modified Objective Pain Score (MOPS), perioperative hemodynamic parameters, perioperative time for first rescue analgesia, total rescue analgesia, and incidence of complications were recorded. Statistical tests were applied as follows: (i) quantitative variables were compared using independent t-test/Mann–Whitney test (when the data sets were not normally distributed) between the two groups, and repeated measure analysis of variance (ANOVA)/Friedman test was used for comparison between different time intervals within the same group and (ii) qualitative variables were correlated using the Chi-square test/Fisher’s exact test. A P value of <0.05 was considered statistically significant.

Results:
Pain was assessed using MOPS in the postoperative period at 0, 30 min, 1, 2, 4, 6, 12, and 24 h. Overall, the pain scores were low and showed a decreasing trend toward baseline as time progressed. Group I showed lower score, but was statistically significant only at the sixth hour. Highest mean score was 2.4 ± 2.01 in group I and 2.67 ± 2.32 in group II. Perioperative hemodynamic parameters were comparable. Total rescue analgesia during the perioperative period was not statistically significant (intraoperative P = 0.075 and postoperative P = 0.928). Also, 63.33% patients in group I and 63% patients in group II required rescue analgesia in the postoperative period and were comparable. Mean ± standard deviation (SD) for first rescue analgesia time was 6.32 ± 12.57 in group I and 16.67 ± 31.25 in group II, but not significant. The distribution in group II was skewed, hence the larger value for group II, but when compared to group I, this was statistically not significant.

Conclusion:
Both ultrasound-guided ESP block and QL block using 0.25% ropivacaine 0.5 ml/kg provided adequate analgesia during the first 24 h post-surgery in children undergoing open pyeloplasty. The fentanyl requirement during the first 24-h postoperative period was also decreased.
Evaluation of perfusion index as a predictor of successful caudal block in pediatric patients: A prospective randomized study
Authors: Vashishth Sumedha , Nandal Nancy , Kaur Kiranpreet , Kadian Yogender S. , Johar Sanjay , Kaur Svareen , Bhardwaj Mamta , Mahor Vaishali 
Published: July 2023

Abstract

Background and Aims:
Caudal block is among the most widely administered regional anesthesia in pediatric patients. The clinical signs and objective assessments are not fast and reliable enough to provide a good feedback. Perfusion index (PI) is considered as a sensitive marker to assess the efficacy of caudal block. We aim to assess PI as an indicator for success of caudal block in pediatric patients.

Material and Methods:
Sixty pediatric patients scheduled for elective surgery of lower abdomen and below were included. Patients were randomly allocated into two groups (n = 30): Group 1 received caudal block after general anesthesia and Group 2 only received general anesthesia. PI, heart rate, mean arterial pressure, and anal sphincter tone (AST) were recorded at 5, 10, 15, and 20 min following induction of anesthesia.

Results:
A persistent increase in the PI value was observed in Group 1 starting from 5 min till 20 min, as compared to Group 2, at all the time intervals. When mean PI was statistically compared between both the groups, it was found to be highly significant (P = 0.001). Group 1 patients have progressive laxity of AST which was found to be significantly different from Group 2 (P < 0.001).

Conclusion:
We have found that both PI and AST are good indicators for assessing success of caudal block onset in pediatric patients but AST took slightly longer time (~20 mins). Therefore, we conclude that PI is simple, economical, and noninvasive monitor that predicts the caudal onset much earlier than AST.
A prospective observational study to assess the efficacy of “SICK” score in pediatrics
Authors: Thangaraj Shalini , Veerappan Ilamaran , Karthik S. Venkatesh 
Published: July 2023

Background:
There is a need for pediatric scoring systems to monitor the progress in clinical outcomes, which are noninvasive, reliable, and easily measurable.

Subjects and Methods:
This prospective observational study evaluated the utility of a prevalidated “SICK” score for the purpose of assessing the score’s efficacy in hospitalized children of age 1 month to 12 years.

Results:
Of the 531 cases, 145 (27.3%) were admitted to the pediatric intensive care unit (PICU) and 386 (72.7%) were admitted to the pediatric ward. The probability of PICU admission was 11.42 (95% confidence interval [CI] 6.3–20.7) when the “SICK” score was ≥2. Children with a score ≥2 had a significantly longer duration of stay (mean difference = 45.58 h, 95% CI [30.65–60.51], P = 0.001). The score performed with an area under curve of 0.691 for a cut off score. The positive predictive value of the score is 73.53% (95% CI 62.66–82.13) and the negative predictive value is 79.48% (95% CI 77.45–81.37).

Conclusions:
The score performed reasonably well in our center for a profile of moderately sick children and can be recommended to be used as an effective triaging tool in a similar setting.
Case Report: Leptospirosis after a Typhoon Disaster Outside the Endemic Region, Japan
Authors: Yamamoto Yukichika , Hagiya Hideharu , Hayashi Ruiko , Otsuka Fumio 
Published: July 2023

ABSTRACT.
Leptospirosis is a zoonotic disease that primarily affects people in tropical and subtropical areas worldwide. Owing to the temperate climate of Japan, leptospirosis is not endemic across the country. Domestic cases of leptospirosis have been mainly reported in Okinawa and the southwestern subtropical islands, but not in the other regions. Here, we describe a case of leptospirosis that developed and was diagnosed outside the domestically endemic region. Notably, disease onset occurred shortly after the patient experienced a flood after a typhoon disaster. With global warming, the international prevalence of leptospirosis may change. Physicians outside currently endemic areas must be aware of this tropical disease.
Analysis Of The Effectiveness Of Implementing Voluntary Disclosure Programs In Cicadas Bandung
Authors: Purwanti Meilani , Luhung Budi 
Published: July 2023

Taxpayer awareness and compliance in terms of tax payments are still low and on the other hand there are also several Indonesian assets that are outside the territory of the Unitary State of the Republic of Indonesia. The target of increasing state revenue every year causes the government to try to make new policies related to the Voluntary Disclosure Program (Tax Amnesty Volume II). The purpose of this study is to see, know and analyze the effectiveness of the implementation of the Voluntary Disclosure Program policy (Tax Amnesty Volume II) as stated in HPP Law Number 7 of 2021 at KPP Pratama Bandung Cicadas.
This type of research is qualitative with a descriptive approach where the goal is to describe the situation systematically. Data analysis aims to simplify the results of data processing, making it easy to read and interpret. The data used are primary data with field study research techniques, namely interviews and documentation.
The results of this study show that the effectiveness of the implementation of the Voluntary Disclosure Program (Tax Amnesty Volume II) runs well and effectively. This can be seen from the revenue that increased significantly by 130% in 2022 and the number of taxpayers who paid PPS of 807 WP, with the number of taxpayers who paid PPS effectively because considering its voluntary nature there is no target set. The Voluntary Disclosure Program (Tax Amnesty Volume II) is also based on clear legal protections so as to increase taxpayers' confidence in new regulations made by the government.
Implementación de varios niveles de harina de botón de oro (Tithonia diversifolia) para cuyes (Cavia porcellus) en etapa de engorde
Authors: Santana Alvarado Wilver , Monge Freile Marlon Fernando , Durazno Delgado Leonilo Alfonso , Muñoz Mestanza Roberto 
Published: July 2023

La investigación se realizó en la parroquia Valle Hermoso, localizada en el km 10 Vía los Bancos Santo Domingo, provincia de Santo Domingo de los Tsáchilas. El objetivo de la investigación fue determinar los parámetros productivos (peso inicial, peso final, ganancia de peso y mortalidad). Se aplicó un Diseño Completo al Azar con 4 tratamientos (0%, 10%, 15% y 20% de harina de botón de oro) 10 cuyes por unidad experimental. Se aplicó la prueba de rangos de significancia de Tukey (P≤0,05). En peso inicial sin de harina de botón de oro en dieta el que mayor peso presento fue T1 700.8 g, el peso final T1 fue el que mayor peso mostró con el 10 % de harina de botón de oro con un peso de 805 g, la mayor ganancia de peso fue del T1 (10% harina botón de oro) con 104. 2 g siendo altamente significativo y para la conversión alimenticia lo registró el tratamiento T3 (20% harina botón de oro) con 3.81. Los tratamientos presentaron la misma mortalidad con promedio de 1 cuy. La mejor relación beneficio/costo fue T1:10% harina de botón de oro con $ 1.15 dólares representando una utilidad de 0.15 ctvs.
Family Stressors Experienced by Adolescents in Secondary Schools in Nairobi City County
Authors: Ndehi Violet , Ndung’u Elijah , Nyagah Virginia 
Published: July 2023

Purpose: The aim of this study was to determine the different sorts of family stressors among adolescents in secondary schools in Nairobi County have observed.
Methodology: The study employed a parallel convergent mixed-method design with a target population of 38,641 adolescents in Nairobi County secondary schools. Quantitative Data was collected from 398 adolescents in forms 2 and 3 via simple random sampling. All school categories were represented through cling cluster sampling, while simple random sampling selected respondents within each school. Qualitative data was purposively obtained from 10 students, 10 parents, and 10 teachers. Proven psychometric tools like Assessment of identity Development in Adolescence, Strengths and Difficulties Questionnaire, Children’s Perception of Inter-Parental Conflict Scale, and Dhaka Stress Scale-Adolescent collected quantitative data. Pearson coefficient correlations were calculated using Statistical Package for Social Sciences (SPSS version 25) to explore relationships between variables.
Findings: The study established the types of family stressors and confined itself to parental conflict and family changes. The findings of the study revealed that a slight majority of secondary students experienced less intense parental conflict. However, the study results also showed slight high rate of separation, followed by extramarital affairs and divorce among the families’ stressors. Additionally, the qualitative data analysis showed that parental conflict, separation, and divorce were among the few family stressors unanimously reported by all three respondent groups (parents, teachers and students). Furthermore, both the students and parents reported domestic violence as one of family stressors.
Unique Contribution to Theory, Practice and Policy: The study was anchored on Family Systems Theory. The study recommended the involvement of a counsellor, a chaplain and the government. There should also be a wide spread training of parents and the wider community. These interventions should be implemented not only within schools but also within communities. Therefore, parents, teachers, Non-governmental Organizations, churches, the government and stakeholders in psychological counselling must collaborate and implement interventions. This can create a more robust and holistic support system by adopting a comprehensive approach encompassing educational institutions and community settings.
A Relação entre Mídias Sociais e Lealdade de Alunos às Instituições de Ensino Superior
Authors: Silva Leonilde da Conceição , Silva Leonardo da Conceição , Silva Leonice da Conceição 
Published: July 2023

Esta pesquisa teve como objetivo analisar a relação entre mídias sociais, confiança, satisfação e lealdade de alunos de IES. A coleta de dados ocorreu por meio de um questionário on-line, que obteve uma amostra de 239 alunos. A análise do modelo proposto se deu com o uso de Modelagem de Equações Estruturais (MEE). A presente pesquisa contribuiu com a literatura científica sobre as mídias sociais no âmbito educacional ao criar e testar um modelo capaz de identificar a relação entre as mídias sociais, confiança, satisfação e lealdade de alunos de IES. O que propicia uma melhor compreensão das contribuições das mídias sociais para as instituições. Os resultados apontam que a confiança e a satisfação dos alunos às IES influenciam sua lealdade. Apontam ainda que o uso das mídias sociais pelos alunos e a comunicação gerada por outros alunos nas mídias sociais influenciam a confiança nas IES, enquanto a comunicação gerada pelas IES nas mídias sociais influencia a confiança e a satisfação. Por fim, os resultados revelam que as mídias sociais representam uma ferramenta estratégica relevante para as IES, pois permitem que construam e gerenciem melhor o seu relacionamento com o público-alvo, gerando confiança, satisfação e lealdade.
THE TEORI CONTIGUITY EDWIN RAY GUTHRIE
Authors: Mustofa Ghulamul 
Published: July 2023

Teori belajar behavioristik adalah sebuah teori yang dicetuskan oleh Gege dan Berliner tentang perubahan tingkah laku sebagai hasil dari pengalaman. Menurut teori behavioristik dalam belajar yang penting adalah input yang berupa stimulus dan output yang berupa respon. Salah satu dari teori belajar aliran behavioristik adalah teori contiguous conditioning. Teori ini dicetuskan oleh seorang profesor psikologi University of Washington. Untuk menghadapi masalah yang terjadi dalam proses pembelajaran teori ini cocok untuk dikembangkan dalam dunia pendidikan. Artikel ini membahas tentang gambaran teori contiguous conditioning Edwin Ray Guthrie dan penerapannya teori ini dalam pembelajaran PAI di sekolah. Teori contiguous conditioning mempunyai makna sebuah kedekatan kondisi yang terjadi berdasarkan hubungan antara stimulus dengan respon yang relevan. Menurut paham teori contiguous conditioning, belajar adalah suatu proses perubahan yang terjadi karena adanya syarat-syarat (conditions) yang kemudian menimbulkan reaksi (respons). Beberapa aspek yang tidak lepas dari teori ini yaitu seperti lupa, hukuman, dorongan, niat, dan transfer training. Edwin Ray Guthrie mencetuskan tiga metode yang bisa digunakan untuk mengubah tingkah laku kebiasaan, yaitu Metode Ambang (Threshold Ambang), Metode Kelelahan (Fatigue Method), dan Metode Reaksi Berlawanan (Incompatible Response Method). Ketiga metode tersebut bisa menjadi modal awal bagi seorang guru PAI dalam menerapkannya pada pembelajaran PAI di kelas. Dalam pembelajaran PAI di sekolah teori contiguous conditioning cocok diaplikasikan untuk menumbuh kembangkan kemampuan peserta didik baik dari ranah kognitif, afektif, maupun psikomotorik. Salah satu cara agar teori ini bisa berjalan secara maksimal yakni seorang guru bisa menggunakan metode atau strategi pembelajaran yang menarik.
Kata kunci :Contiguous, PAI, Pembelajaran
PENYULUHAN KONSERVASI LINGKUNGAN BERBASIS AL QUR’AN
Authors: Said Muhammad , Yunus Muhammad , Rahman Abd. , Asiah Siti , Tahir Muh. Tarmizi , Paizin Khaerul , Wulandari Suci 
Published: July 2023

Artikel ini membahas tentang penyuluhan konservasi lingkungan berbasis Al Qur'an dan penguatan nilai-nilai Qur'ani terhadap ayat-ayat ekologi dan konservasi di Sembalun Bumbung, Lombok Timur, NTB. Tujuan dari kegiatan ini adalah untuk meningkatkan kesadaran masyarakat akan pentingnya menjaga kelestarian lingkungan dan memberikan pemahaman tentang bagaimana Al Qur'an memberikan panduan dalam menjaga alam. Metode yang digunakan dalam kegiatan penyuluhan ini adalah ceramah dan diskusi kelompok. Hasilnya menunjukkan bahwa kegiatan ini berhasil meningkatkan pengetahuan dan kesadaran masyarakat tentang pentingnya konservasi lingkungan serta mendorong mereka untuk mengimplementasikan nilai-nilai Qur'ani dalam kehidupan sehari-hari untuk menjaga kelestarian lingkungan.
Kata Kunci: penyuluhan, konservasi, ayat ekologi, nilai qur;ani.
Influence of manganese cycling on alkalinity in the redox stratified water column of Chesapeake Bay
Authors: Thibault de Chanvalon Aubin , Luther George W. , Estes Emily R. , Necker Jennifer , Tebo Bradley M. , Su Jianzhong , Cai Wei-Jun 
Published: July 2023

Abstract. The alkalinity dynamics in coastal environments play a crucial role in
controlling the global burial of carbonate minerals and the ocean's capacity
to sequester anthropogenic CO2. This study presents results from high
vertical resolution profiles obtained during two summers in the temperate
Chesapeake Bay estuary, enabling detailed investigation of carbonate
dynamics over salinity and redox gradients, along with measurement of the
speciation of most redox-sensitive elements. Under oxygen-rich conditions,
carbonate dissolution, primary production and aerobic respiration explain
the evolution of total alkalinity (TA) versus dissolved inorganic carbon
(DIC), once adjusted for fresh and oceanic water mixing. A significant
flooding event in 2018 promoted carbonate dissolution. In oxygen-depleted
waters, we observed a previously unreported 2.4 mol increase in DIC per 1 mol of TA production, which was consistent over the 2 years.
Stoichiometric changes suggest that MnO2 reduction followed by Mn
carbonate precipitation is responsible for this characteristic carbonate
signature, likely produced in sediment pore water and then transferred to
the water column along with other by-products of anoxic respiration at the
onset of summer. Our findings highlight the critical role of Mn in
alkalinity dynamics in the Chesapeake Bay and potentially other
river-dominated environments where it can limit H2S oxidation to
SO42- and promote sulfur burial.
A APLICAÇÃO DA TOXINA BOTULÍNICA NA ESTÉTICA FACIAL AFETA O PROCESSAMENTO DAS EMOÇÕES: UMA REVISÃO SISTEMÁTICA
Authors: Costa Ana Carolina de Figueiredo , Silva Everton Cavalcante da , Vieira Lorena Vasconcelos , Gondim Delane Viana 
Published: July 2023

Introdução: O uso da toxina botulínica do tipo A (TB-A) no terço superior da face, além do benefício estético, está associado ao bem-estar emocional. Objetivos: Investigar, através de uma revisão sistemática, se a aplicação da TB-A na estética facial afeta oprocessamento das emoções. Metodologia: Realizou-se uma busca irrestrita até julho de 2022 nas bases de dados PubMed, Scopus, Web of Science, Cochrane Library e LILACS por de uma estratégia PICOS. Incluíram-se ensaios clínicos randomizados (ECRs) que comparassem o tratamento com BT-A a um placebo em pacientes com transtornos emocionais. Realizou-se a extração de dados e a avaliação do risco de viés com a ferramenta da Cochrane Collaboration. Revisão de literatura: Sete estudos foram selecionados e apresentaram baixo risco de viés para a maioria dos domínios. As amostras variaram de 30-255 pacientes, de 30-65 anos e com predominância do sexo feminino. Os efeitos da TB-A foram avaliados no transtorno depressivo maior, depressão/ansiedade e depressão unipolar resistente. Os sítios de aplicação englobaram os músculos prócero, corrugador do supercílio, frontal e orbicular do olho, com 29-50 unidades. Diferentes escalas foram utilizadas para avaliar os sintomas dos distúrbios avaliados em um período de 6-24 semanas. Os desfechos mostraram que houve uma melhora dos parâmetros avaliados após uso da TB-A. Considerações finais: Os estudos mostraram que a aplicação da TB-A no terço superior da face melhora os transtornos avaliados.
ANALYTICAL MODEL FOR CALCULATING THE AMOUNT OF BASALT FIBER TO PRODUCE DISPER-SION-REINFORCED CONCRETE WITH AN OPTIMAL STRUCTURE
Authors: BELAMESAVA K. , PAULAVA I. 
Published: July 2023

The article deals with the main provisions of the proposed calculation model allowing to determine the amount of basalt fiber required to obtain dispersion-reinforced cement composites based on expansive binders with required stiffness characteristics. The proposed model is based on consideration of cement composite as a three-component material consisting of aggregate, cement matrix with conditionally separated from it transition zone, and fiber. The model applies the main provisions of the Effective Medium Theory taking into account the influence of the properties of the transition zone.
The proposed model allows taking into account the influence of the mix of the self-stressing concrete, as well as the properties of its components on the amount of basalt fiber required to optimize the structure.