bluuebunny/crossref_metadata_2025_split huggingface dataset:
Anesthetic challenges for pheochromocytoma surgery in pediatric patients
Authors: Vyas Raksha , Sharma Ankur , Goyal Shilpa , Vyas Varuna , Kothari Nikhil 
Published: March 2023

ABSTRACT
Pheochromocytoma in children is an exceptionally uncommon cause of hypertension in this age group. These tumors pose a significant threat of adverse cardiovascular events during the perioperative phase. In this article, we describe three cases of pediatric pheochromocytoma to shed light on the difficulties associated with administering anesthesia to patients with this condition. The foundations for successful perioperative outcomes include preoperative blood pressure control, extensive intraoperative hemodynamic evaluation, and appropriate coordination with surgeons.
Radial artery duplication
Authors: Mohanty Chitta Ranjan , Radhakrishnan Rakesh Vadakkethil , Das Subhasree , Tripathy Prabhas Ranjan , Behera Shri Hari Priya 
Published: March 2023

ABSTRACT
The radial artery is the most common choice for arterial cannulation, coronary interventions, and various interventional radiological procedures. Here, we describe a case of unilateral duplication of the radial artery detected during radial artery cannulation using point-of-care ultrasonography (POCUS). The duplication of the radial artery in the forearm can hinder trans-radial access secondary to variations in the diameter. An actual duplication also carries a high risk of accidental injury to the arterial wall during routine invasive procedures and other forearm procedures such as free flap construction. POCUS is invaluable for detecting arterial anomalies before proceeding with any interventional procedures.
Anesthetic management of a young primigravida a case of symptomatic long QT syndrome with a permanent pacemaker in-situ undergoing lower segment cesarean section delivery
Authors: Pegu Baby , Singh Ram 
Published: March 2023

ABSTRACT
The patient with Long QT syndrome (LQTS) presents a unique challenge to the anesthesiologist. The anesthetic management of such patients requires a good knowledge of the pathophysiology of this rare disease. General anesthesia (GA) or combined spinal epidural anesthesia (CSEA) are the most preferred anesthetic techniques among anesthesiologists for such patients posted for the lower segment cesarean section delivery. In this report, we would like to share our experience of anesthetic management of a young primigravida, a case of symptomatic LQTS with a permanent pacemaker in situ. Anesthetic technique used for the lower segment cesarean section delivery was single-shot spinal anesthesia using a combination of a local anesthetic and strong opioid in the lumber subarachnoid space. Until recently, only one report in the literature has described this single-shot spinal technique for such cases. The advantages of single shot spinal over GA and CSEA can be utilized in a select group of these patients, which include fast onset, dense, reliable block with low local anesthetic toxicity, reduced catecholamine release, and relatively prolonged analgesia when combined with an opioid.
Streptococcus suis meningitis in a COVID-19 patient
Authors: Viana Patrícia Bastos , Penedos Constança , Medeiros Rita , Monte Raquel 
Published: March 2023

ABSTRACT

Streptococcus suis is a Gram-positive, facultative anaerobic bacterium and has its natural reservoir in pigs. Infection by this microorganism usually manifests in humans as meningitis, endocarditis, sepsis, and/or arthritis after contact with pigs or pork. Meningitis is a very common manifestation and Streptococcus suis may be considered its second most common cause. A clinical course may manifest acutely or with a more chronic course. Streptococcus suis is endemic in pork-consuming and pig-rearing countries, but may occur all over the world, especially in individuals with occupational exposure to pigs and/or pork, such as abattoir workers, butchers, and farmers. Most infections are observed in adults without preexisting diseases. We report a case of Streptococcus suis meningitis in a healthy patient with occupational exposure and with an asymptomatic infection by severe acute respiratory syndrome coronavirus 2, who was admitted to an intensive care unit in a tertiary hospital in the North of Portugal.
Anesthetic management of deep brain stimulation in Hallervorden–Spatz syndrome
Authors: Monteiro Joseph Nascimento , Bedekar Unmesh Pramod 
Published: March 2023

ABSTRACT
Anesthetic management of dystonic patients with uncontrolled involuntary movements refractory to medical management is a challenge to neuroanaesthetists. According to some studies, the prevalence of Panthothenate Kinase Associated Neurodegeneration is 1 to 9/1,000,000. Report of Deep Brain Stimulation for Hallervorden–Spatz is extremely rare in literature. “Awake” bilateral electrode placement, with microelectrode recording (MER) and stimulation with a scalp nerve block, titrated conscious sedation with Monitored Anesthesia Care (MAC) is preferable. However, in those patients needing general anesthesia, a balanced anesthesia technique with careful selection and monitored titration of anesthetic drugs ensuring MERs for precise placement and stimulation of target nuclei along with adequate plane and depth of anesthesia and prevention of awareness are essentially the key factors in the anesthetic management. Surgery is the mainstay of the disease due to poor response to medical management. Multidisciplinary collaboration and cooperation among neurologists, neurosurgeons, neuroradiologists, and neuroanaesthesiologists are imperative to ensure good patient outcomes.
Sedation for adult ICU patients
Authors: De Bels David , Bousbiat Ibrahim , Perriens Emily , Blackman Sydney , Honoré Patrick M 
Published: March 2023

ABSTRACT
The optimization of patients’ treatment in the intensive care unit (ICU) needs a lot of information and literature analysis. Many changes have been made in the last years to help evaluate sedated patients by scores to help take care of them. Patients were completely sedated and had continuous intravenous analgesia and neuromuscular blockades. These three drug classes were the main drugs used for intubated patients in the ICU. During these last 20 years, ICU management went from fully sedated to awake, calm, and nonagitated patients, using less sedatives and choosing other drugs to decrease the risks of delirium during or after the ICU stay. Thus, the usefulness of these three drug classes has been challenged. The analgesic drugs used were primarily opioids but the use of other drugs instead is increasing to lessen or wean the use of opioids. In severe acute respiratory distress syndrome patients, neuromuscular blocking agents have been used frequently to block spontaneous respiration for 48 hours or more; however, this has recently been abolished. Optimizing a patient's comfort during hemodynamic or respiratory extracorporeal support is essential to reduce toxicity and secondary complications.
Pengaruh Program Gerakan Literasi Sekolah terhadap Minat Baca Siswa Desa Pargadungan
Authors: Pasaribu Yuswitari Pasaribu , Situmeang Rizky Akbar , Putri Helva Diansyah , Novariany Novariany , Siagian Melsa , Zainuddin Zainuddin 
Published: March 2023

It is known that in Indonesia there are as yet many individuals who are keen on perusing, in all circles and particularly understudies and understudies who are sorted as individuals who are battling in the realm of training. reading is because people do not understand how the benefits or functions of literacy are. difficulties when carrying out reading activities. Currently, the government has set a regulation to develop the literacy movement by routinely making a student read for approximately 10-15 minutes before carrying out the lesson. The core of this research is students or students from elementary school to high school. Then for the detailing of the issue, in particular: 1) How is the influence of the School Literacy Program to increase reading interest in students? 2) What are the difficulties or obstacles in literacy? And as for the purpose of this analysis to find the influence and constraints on the GLS program on students' reading interest in elementary school to high school. Qualitative is this analysis. Then the data collection stage used is a questionnaire. The results of this study indicate that students' or students' reading interest or interest increases, it can be observed from the results of the questionnaire which shows that a student's reading interest increases after the GLS is made, students' literacy programs usually increase, students' reading activities can be observed, and students' reading skills improve well by fostering a culture of literacy for students.
Keywords: Impact, SchoolLiteracy Development, ReadingInterest
Moderasi Beragama Berbasis Budaya dan Kearifan Lokal di Desa Sibolangit
Authors: Telaumbanua Satria Ramadhan K. , Harahap Mhd. Yadi , Ningsih Aceh Ika Ramdhan , Herman⁴ Nurwinda , Arli Wahyu 
Published: March 2023

Religious modernization is the life of human beings related to the behavior of carrying out their religious teachings influenced by changes in political systems, religion, economics, psychology, science, advances in technology and information. Diversity includes differences in culture, religion, race, language, ethnicity, tradition and so on. In such a multicultural society, tensions and conflicts often occur between cultural groups and have an impact on the harmony of life. The purpose of this paper is to discuss the cultural diversity in the village of Sibolangit. The method requires multicultural understanding and awareness that respects differences, pluralism and the willingness to interact socially with anyone fairly. Religious moderation is needed in the form of minimizing violence in difference. The role of community leaders and the role of religious instructors is needed to socialize, develop religious moderation to the Sibolangit village community for the realization of harmony and peace.
Keywords: Society, Compound, Social
Pemanfaatan Agama Bagi Anak-Anak Melalui Gerakan “Maghrib Mengaji” di Desa Hamparan Perak, Kabupaten Deli Serdang
Authors: Rabiatul Hawawa Rabiatul Hawawa Rabiatul Hawawa , Anas Nirwana 
Published: March 2023

The selection of Religion and Social-based Real Work Lectures (KKN) more specifically, namely the Koran action subsequent to playing out the Maghrib supplication in Hamparan Perak Town, Shop Serdang Rule is one of the endeavors to work with kids in learning the Koran which so far has not been accessible. The strategy utilized in the execution of this Social-based genuine work addresses is resource based local area improvement (ABCD) where the local area is the entertainer and determinant of advancement endeavors in the climate or frequently alluded to as local area driven improvement (CDD). As well as being a spot or office for learning the Koran, this action is supposed to proceed with even after the Genuine Work Talk period is over so kids have better Koran abilities. The positive effect of this "Maghrib Koran" movement is that youngsters are acclimated with perusing the Qur'an subsequent to playing out the Maghrib supplication. Moreover, youngsters who recently had not retained short letters presently have remembered a few short letters of the Qur'an.
Keywords: Reciting Al-Qur’an, Practice, Religion, Social.
Public-School Teachers and Social Media: Understanding Free Speech and Constitutional Limitations
Authors: McBride Megan , Mayers Stewart 
Published: March 2023

Constitutional protections are unalienable rights in the United States for most citizens. However, public employees are held to a higher standard due to set legal precedents regarding First Amendment protections and rights. Free speech, freedom of expression, and freedom of association are foundational rights of the United States for citizens working in the private sector, and public sector with untaught conditions. Limitations imposed on public-school teachers are historically difficult to decipher and navigate. Due to substantial technological advances in nearly every aspect of modern society, interpretations of current precedents may not be inherently viewed as applicable in regards to public-school teachers’ freedom of expression relating to individual social media usage.
In this research paper, various landmark decisions, including Pickering v. BOE Township (1968) and Melzer v. BOE New York City (2003), are analyzed and applied to current societal concerns relating to public-school teachers’ social media usage and content. Recommendations for public-school teachers and administration encompass modeling pro-social behaviors, comprehensive social media policies, enhancing digital citizenship, and ethical decision-making practices.
The Extent of Gender Stereotypes and Hegemonic Masculinity Within Film Characters
Authors: Willis Natalie 
Published: March 2023

Within the film, Legally Blonde, female stereotypes further encourage hegemonic masculinity through the implementation of differing female types and the placement of the men in power positions. The research paper explores specific camera angles and attire worn by the female characters along with the gender's behavior towards the other. The continuos representation of interactional cultural expectations highlights the concept of trading power for patronage between the protagonists of the film. The research also draws connections with the female characters and their categorization of desiring one-dimensional love. Overall, the female chacater's need to attend Harvard Law School with the goal to obtain marriage fuels the dialogue of hypersezualization and hegemonic masculinity in relation to women.
Mental Health and Homelessness Among Youth Aging Out of Foster Care
Authors: Clemens Amira 
Published: March 2023

Purpose: To identify the risk of homelessness and mental health needs of youth aging out of foster care. This integrative review aims to synthesize the literature on the health outcomes of aging out of foster care. The intent is to highlight the mental health needs and risk of homelessness in those who have aged out of foster care and to determine the role of nursing care in this population.
Design: Systematic integrative literature review
Methods: Integrative review methods will be used to identify the risk associated with aging out of foster care and the adverse health outcome, including mental health and homelessness. Current research, including experimental and non-experimental studies, was retrieved using OVID, MEDLINE, PubMed, and CINAL. The PRISMA guidelines' general framework will provide guidance for reviewing, structuring, reporting, and discussing the findings from the various computer database searches.
Findings: Fifty-eight abstracts were reviewed, and twenty-five met the inclusion criteria. They were reviewed using the Joanna Briggs Institute approach for mixed methods using the PICo inclusion criteria. Both qualitative and quantitative studies were used to support the identified problem with the phenomenon of interest.
Conclusions and Clinical Relevance: This literature review provided an in-depth understanding of adolescents aging out of foster care and their struggle with mental health issues. This synthesis of the literature offers nurses suggestions on important suggestions for important research questions and clinical care in this population.
Coordination of the Development of Renewable Energy and Small Business as a Mechanism for Ensuring the Sustainable Development of Russia
Authors: Nekrasov Sergey Aleksandrovich , Egorova Natalya Evgenievna 
Published: March 2023

The article deals with the development of renewable energy in Russia, taking into account the coordination of this sector with small and medium-sized businesses. The aim of the study is to theoretically substantiate the strategy for the transition to renewable energy based on small and medium-sized businesses and to develop practical recommendations using the example of solar energy in Russia. The methodological basis of the article is the general organizational science of tectology A.A. Bogdanov, which was subsequently developed in the general theory of systems by L. von Bertalanffy. On the basis of a system analysis of a transformable energy complex, the authors carried out a theoretical justification for the emergence of synergy as a result of the involvement of small and medium-sized businesses in the development of renewable energy. It is shown that the formation of new links between small and medium-sized businesses and renewable energy has a positive effect, consisting in diversifying the country's fuel and energy balance and reducing the negative anthropogenic impact on nature without increasing electricity prices for end consumers. Using the example of installing solar panels on the vertical enclosing surfaces of buildings and structures with the involvement of small and medium-sized businesses, the reserves currently not fully used for the development of solar energy, mainly in the northern and eastern regions of Russia, without withdrawing territories from economic circulation, have been identified. The information base of the study is the data of the International Energy Agency, IRENA, and the Photovoltaic Geographical Information System. A graphical method was used to determine the feasibility of installing solar panels in different regions, taking into account seasonal fluctuations in the intensity of insolation, as well as the dependence of the coefficient of conversion of sunlight energy into electricity on temperature and snow cover albedo. The results of the study can be recommended for countries with similar natural and environmental conditions to Russia.

Received: 21 December 2022 | Revised: 24 February 2023 | Accepted: 6 March 2023

Conflicts of Interest
The authors declare that they have no conflicts of interest to this work.

Data Availability Statement
Data sharing not applicable – no new data generated.
Metabolites of Mangrove Sediment Bacteria from Semarang and Karimunjawa as Anti-Fungal and Antibacterial
Authors: Pringgenies Delianis , Setyati Wilis Ari 
Published: March 2023

Pathogenic bacteria are microorganisms that cause disease in humans because bacteria grow cosmopolitan with human life, both on land and underwater. This research aimed to obtain mangrove sediment bacteria that have the potential as antibacterial and antifungal bacteria from mangrove sediments in Semarang and Karimunjawa waters. Mangrove sediment bacteria that have the potential as antibacterial and antifungal bacteria from Semarang and Karimunjawa waters, as well as identification of their compounds using the GCMS method. Sediment samples were collected from Semarang and Karimunjawa, and bacterial screening and isolation were then carried out. Bacterial isolates were tested with pathogenic fungi Malassezia furfur and Candida albicans. As well as the pathogenic bacteria Staphylococcus aureus, Escherichia coli, and Staphylococcus typhi. Then, the potential bacteria were identified by the molecular DNA method and analyzed by the GC-MS method to determine the secondary metabolite compounds that act as antifungal and antibacterial. The results showed that the bacterial isolation of mangrove sediments from Karimunjawa and Semarang that had antibacterial activity against pathogenic bacteria E. coli, S. aureus, and S. typhi were 3 isolates, namely SKK 1 MA, SKS 2 ISP, and SKS 4 ISP. The 3 isolates also had antifungal activity against the fungal pathogens Malassezia furfur and Candida albicans. The molecular identification showed that the 3 potential isolates, namely SKK 1 MA, SKS 2 ISP, and SKS 4 ISP, were Bacillus sp., Bacillus cereus, and Alcaligenes faecalis, respectively. Results of the analysis of the content of bacteria as antifungal and antibacterial showed that the bacteria were dominated by the content of unsaturated fatty acids (omega 9) and saturated fatty acids.
HIGHLIGHTS

Pathogenic fungal infections are difficult to treat besides infections caused by pathogenic bacteria
Natural substances produced by microorganisms are very diverse in structure and are an essential source in the search for new drugs for various diseases in humans, including infections by pathogenic fungi and pathogenic bacteria
The mangrove sediment bacteria were found to have potential as antifungal and antibacterial and were proven to contain fatty acids
Bacteria found to be useful as antifungal and antibacterial agents for various bio-industrial activities

GRAPHICAL ABSTRACT
Typology of civic identity
Authors: Petrovska Inha 
Published: March 2023

BackgroundCivic identity is considered a kind of organizational identity, which is a value-semantic experience of the individual’s identity with themself as a citizen of the state. It is manifested in the institutional, community, and individual dimen-sions. Each of the mentioned dimensions of civic identity can be differently developed (actualized) in a particular individual, which suggests the existence of certain types of civic identity. The article aims to empirically verify the typology of the civic identity of an individual and identify both the most common and least common types among Ukrainian citizens.Participants and procedureThe study involved 965 citizens of Ukraine aged 16-60, of whom 377 were men (39.1%) and 588 women (60.9%). To assess the dimensions of civic identity and establish the development degree of each of them, the author’s ques-tionnaire “Diagnosis of maturity and type of civic identity” was used.ResultsThe existence of 8 main types of civic identity inherent in Ukrainians has been empirically established, namely Insti-tutional-community (17%), Latent (16%), Game (16%), Community-game (15%), Institutional-game (12%), Com-munity (11%), Versatile (8%), and Institutional (5%).ConclusionsMost citizens of Ukraine tend to engage in game interaction with the state, which is dominated by subject-object par-adigms. The orientation of the game interaction with the state is also societal, which indicates that games and scenar-ios are borrowed from others and conditioned mainly by conformity rather than conscious choice. The prevalence of the Latent (indeterminate) type of civic identity coincides with the study subjects’ relatively low level of civic identity maturity.
Perceived significant others’ values: Are they important in the relationship between personal values and self-reported prosociality?
Authors: Danioni Francesca , Barni Daniela , Russo Claudia , Zagrean Ioana , Regalia Camillo 
Published: March 2023

BackgroundPersonal values have been extensively found to be relevant variables linked to prosociality; they are desirable and trans-situational goals that serve as guiding principles in people’s lives to select modes, means and actions, these reflecting what people consider relevant and worthy. Research has investigated how cultural background influences people’s personal values and prosociality, but little is known about the influence of the perception of the values en-dorsed by significant others, namely the people belonging to the micro-relational context with whom daily interac-tions and exchanges are possible. Based on Schwartz’s theory of basic human values, we analyzed the moderating role of the perceptions of significant others’ values in the relationship between personal values and self-reported prosociality.Participants and procedureTwo hundred and forty-five Italian young adults (66.9% women) aged between 18 and 30 years (M = 22.58, SD = 2.53) completed a self-report questionnaire.ResultsSpecifically, openness to change values were a significant positive predictor of self-reported prosociality when re-spondents perceived low importance assigned both to openness to change and self-transcendence by significant oth-ers, whereas conservation values were a significant positive predictor of self-reported prosociality when respondents perceived low importance assigned to self-enhancement by significant others.ConclusionsOur findings show a complex interplay between personal values and perceived significant others’ values in shaping young adults’ self-reported prosociality.