bluuebunny/crossref_metadata_2025_split huggingface dataset:
Biomechanical tests and finite element analyses of pelvic stability using bilateral single iliac screws with different channels in lumbo-iliac fixation
Authors: Sun Yangyang , Fu Ying , Liu Fanxiao , Zhang Wen , Ma Huanzhi , Li Qinghu , Zhou Dongsheng , Fu Baisheng 
Published: November 2022

BackgroundIn lumbo-iliac fixation, the iliac screw can be placed in several locations and directions. There is no uniform standard for the placement of a single iliac screw. Biomechanical tests and finite element analyses were used to compare the effect of bilateral single iliac screws with three channels on pelvic stability to determine the best channel.MethodsFive embalmed adult cadaver pelvic specimens were selected. An unstable Tile C1 pelvic injury model was established. Lumbo-iliac fixation for the treatment of left sacral Denis II fracture includes the following: three channels of bilateral, single iliac screws (channel A from posterior superior iliac spine (PSIS) to anterior inferior iliac spine (AIIS), channel B from 1 cm medial and 1 cm caudal of PSIS to AIIS, and channel C from 2 cm below PSIS to AIIS). Biomechanical testing was performed for stiffness evaluations. A finite element model was established to study the stress distribution of the model and the maximum von Mises stress of internal fixation.ResultsBiomechanical tests revealed that under vertical compression loading. The compressive stiffness fixed by channel B (246.15 ± 27.85 N/mm) was better than that fixed by channel A and channel C. Under torsional load, the torsional stiffness fixed by channel B (2.234 ± 0.223 N·m/°) was stronger than that fixed by channel A and channel C. However, there was no significant difference in terms of compressive and torsional stiffness between channel B and channel A (P &gt; 0.05). Finite element analyses conformed that the maximum von Mises stress of the internal fixator fixed in channel B under the conditions of vertical, forwards bending, backwards extension, left bending, left rotating, and right bending (213.98 MPa, 338.96 MPa, 100.63 MPa, 297.06 MPa, 200.95 MPa and 284.75 MPa, respectively) was significantly lower than those fixed in channel A and channel C.ConclusionsThe construct stiffness of the channel from 1 cm medial and 1 cm caudal of PSIS to AIIS is better than that of the other two channels. This channel has the advantages of good biomechanical stability, small maximum von Mises stress of internal fixation.
Effect of Penetrative Combustion on Regression Rate of 3D Printed Hybrid Rocket Fuel
Authors: Yu Xiaodong , Yu Hongsheng , Zhang Wei , DeLuca Luigi T. , Shen Ruiqi 
Published: November 2022

3D printing manufacturing is used to manufacture hybrid rocket fuel grains featuring a special grid-like structure in order to control combustion performance. An innovative penetrative combustion mechanism, capable of affecting regression rate, was noticed during the combustion of low-packing density grains. The 3D printing manufacture was implemented using acrylonitrile-butadiene-styrene (ABS) material to clarify this mechanism and the corresponding combustion performance. Grid-like structure fuels with different packing densities were prepared to assess the effects of penetrative combustion on fuel combustion performance. The thermal decomposition of ABS was analyzed by infra-red spectroscopic analysis (FTIR) and thermogravimetric analysis-differential thermal scanning (TG-DSC). The internal structure of the ABS grains was observed by high-resolution 3D micro-computed tomography (μCT). All fuel grains were burned in a hybrid 2D radial burner, allowing visualization of the combustion process and evaluation of the ballistic parameters. The experimental results suggest that the combustion process of the ABS porous grains includes two regimes, both featuring an increased regression rate. In the normal layer-by-layer burning regime, at Gox=45 kg/(m2·s), the regression rates of 100% and 90% ABS increased by 29.6% and 38.1%, respectively, compared with solid ABS which was manufactured by a computerized numerical control (CNC) lathe. In the fracture-led volumetric burning regime, data acquisition is more difficult, but the regression rate is again observed to increase as the packing density decreases.
Salinity Tolerance and the Effect of Salinity and Algal Feed on the Demographics of Cultured Harpacticoid Copepods Tisbe holothuriae and Tigriopus sp. from the Messolonghi Lagoon (W. Greece)
Authors: Hotos George N. , Kourelea Evi , Fotodimas Ioannis 
Published: November 2022

The locally isolated harpacticoid copepods Tigriopus sp. and Tisbe holothuriae were subjected to salinity tolerance experimentation at salinities under and above of 40 ppt, and presented high halotolerances in Tigriopus LC50 (24 h) of 1 ± 4.43 ppt and 132 ± 5.35 ppt, respectively, and in Tisbe of 15 ± 2.41 ppt and 93 ± 3.23 ppt, respectively. Tetraselmis suecica, among other microalgal feeds (Asteromonas gracilis, Rhodomonas salina, Dunaliella salina and Isochrysis galbana), resulted in the higher production of nauplii in Tigriopus and R. salina and D. salina in Tisbe (also close to T. suecica in Tigriopus). The demographics (number of nauplii, egg sacs, completion of hatching) of both copepods, using combinations of salinities in the range of 22–60 ppt and D. salina and R. salina as feeds, exhibited almost the same preference for microalgae but were negatively affected by the salinity of 60 ppt. The present experiments showed that these local copepods that have extreme salinity tolerance and a wide preference for easily cultured microalgae can be used in ecological studies and for mass production as live feed in marine fish hatcheries.
Le statut juridique de la mer Caspienne : la Convention d’Aktau du 12 août 2018
Authors: Momtaz Djamchid 
Published: November 2022

The elaboration of the new legal status for the Caspian Sea mainly results from the will of the new coastal States created following the dissolution of the USSR. The new
status has been formalized by the Aktau Convention. It seeks to find a balance between those States’ and former coastal States’ concerns. So far as security issues are concerned, its provisions seek to alleviate the threats that could come from both inside and outside the region, while, so far as economic issues are at stake, they reflect the willingness to
guarantee access to the sea for landlocked States of the Caspian region, to share its natural resources between the States concerned as well as to ensure their proper management.
Context Matters: A Qualitative Synthesis of Adherence Literature for People on Hemodialysis
Authors: Taylor Kathryn S. , Umeukeje Ebele M. , Santos Sydney R. , McNabb Katherine C. , Crews Deidra C. , Hladek Melissa D. 
Published: November 2022

Key Points

Qualitative research that explores hemodialysis patient perspectives about adherence may point to gaps in existing adherence interventions.Patients' goals included balancing treatment and competing priorities, preserving a sense of their “old selves,” and minimizing symptoms.Adherence may improve when clinicians routinely elicit patients' goals and partner to resolve conflicts between those goals and adherence.

Background
Patients with ESKD treated with hemodialysis in the United States have persistently higher rates of nonadherence compared with patients in other developed countries. Nonadherence is associated with an increased risk of death and higher medical expenditure. There is an urgent need to address it with feasible, effective interventions as the prevalence of patients on hemodialysis in the United States continues to grow. However, published adherence interventions demonstrate limited long-term efficacy.

Methods
We conducted a synthesis of qualitative studies on adherence to hemodialysis treatment, medications, and fluid and dietary restrictions to identify gaps in published adherence interventions, searching PubMed, CINAHL, PsychInfo, Embase, and Web of Science databases. We analyzed qualitative data with a priori codes derived from the World Health Organization's adherence framework and subsequent codes from thematic analysis.

Results
We screened 1775 articles and extracted qualitative data from 12. The qualitative data revealed 20 factors unique to hemodialysis across the World Health Organization's five dimensions of adherence. In addition, two overarching themes emerged from the data: (1) adherence in the context of patients' whole lives and (2) dialysis treatment as a double-edged sword. Patient-level factors reflected in the qualitative data extended beyond knowledge about hemodialysis treatment or motivation to adhere to treatment. Patients described a profound grieving process over the loss of their “old self” that impacted adherence. They also navigated complex challenges that could be exacerbated by social determinants of health as they balanced treatment, life tasks, and social roles.

Conclusions
This review adds to the growing evidence that one-size-fits-all approaches to improving adherence among patients on hemodialysis are inadequate. Adherence may improve when routine care incorporates patient context and provides ongoing support to patients and families as they navigate the logistical, physical, and psychological hardships of living with dialysis. New research is urgently needed to guide a change in course.
Strategi Bertanya dalam Acara "Hotman Paris Show" dan Pemanfaatannya sebagai Materi Ajar Teks Diskusi
Authors: Isnaini Rohmatika Nur , Wuryaningrum Rusdhianti , Murti Fitri Nura 
Published: November 2022

This research was conducted to find rhetorical strategies related to the types of questions and choice of words (diction) used in the “Hotman Paris Show” and their use as teaching materials for discussion texts. This study used a qualitative research design and a descriptive type of research. The data in this study are speech events indicated by using rhetorical strategies related to the types of questions and choice of words (diction). Data were collected by using documentation, listening, and recording techniques. The analysis technique uses data reduction, data presentation, and drawing conclusions. The results showed that the most common types of questions found were informative questions. There are six dictions used, namely denotative, connotative, general, special, scientific, and popular diction with dominant use. Popular diction is used because it is easier for the audience to understand what the presenter is saying and these dictions are familiar to the public.Keywords: rhetoric; word choice; discussion textAbstrak: Penelitian ini dilakukan untuk menemukan strategi retorika berkaitan dengan jenis pertanyaan dan pilihan kata (diksi) yang digunakan pada acara Hotman Paris Show serta pemanfaatannya sebagai materi ajar teks diskusi. Penelitian ini menggunakan rancangan penelitian kualitatif dan jenis penelitian deskriptif. Data dalam penelitian ini berupa peristiwa tutur yang diindikasikan menggunakan strategi retorika yang berkaitan dengan jenis pertanyaan dan pilihan kata (diksi). Data dikumpulkan dengan teknik dokumentasi, simak dan catat. Teknik analisis menggunakan reduksi data, penyajian data, dan penarikan simpulan. Hasil penelitian menunjukkan jenis pertanyaan yang paling banyak ditemukan yaitu jenis pertanyaan informatif. Ada enam diksi yang digunakan yaitu denotatif, konotatif, umum, khusus, ilmiah, dan diksi populer penggunaannya dominan. Diksi populer digunakan karena para penonton lebih mudah memahami apa yang disampaikan oleh pembawa acara dan diksi-diksi tersebut tidak asing lagi di kalangan masyarakat.Katakunci: retorika; pilihan kata; teks diskusi
Dominant Factors of Compliance With Health Protocol Implementation During The Covid-19 Pandemic at Tourism Place in Jambi City
Authors: Putri Fitria Eka , Ningsih Vinna Rahayu , . Yuliana , . Hubaybah , Fitri Adelina , Hidayati6 Fajrina , Azhary M Rifqi 
Published: November 2022

Abstract
The current handling of COVID-19 in Indonesia has entered a new phase, namely the new normal. This condition allows people to return to productive lives, while still complying with health protocols. Tourist attractions have the potential to become the locus of the spread of COVID-19 if there is a gathering of visitors while traveling, it is necessary to comply with the application of health protocols in order to break the chain of transmission of COVID-19. The emergence of the term Revenge Tourism or revenge tourism after the new normal was implemented, during the pandemic people felt bored doing activities at home until when there was a new policy, traveling was a way to reduce boredom while at home. The type of research used is observational with a cross sectional design. This study aims to determine the relationship between knowledge, trust and facilities with compliance with the application of health protocols during the COVID-19 pandemic at tourist attractions in Jambi City, the study was conducted at tourist attractions in Jambi City in June-August 2022. The population in this study are visitors to tourist attractions as many as 378 people. The minimum sample size is 345 people. Sampling using accidental random sampling method. Data were obtained through interviews with a questionnaire instrument. The data is processed using a computer device and then analyzed descriptively and analytically. The results of the statistical test showed that there was a significant relationship between knowledge (p = 0.007), trust (p = 0.000) and facilities (p = 0.003) with compliance with the application of health protocols during the covid-19 pandemic in tourist attractions in Jambi City.
A comparative study between intravenous and intraperitoneal magnesium sulphate for pain management in laparoscopic mini gastric bypass: a randomized clinical trial
Authors: El-Sesy Mostafa Galal Mahrous , Hameed Amr E. Abdel , Abdelaziz Abdelaziz A. , Ahmed Ibrahim M. , Elhennawy Ahmed M. 
Published: November 2022

Abstract
Background: Laparoscopic bariatric surgery has become a regular procedure, and it has largely replaced traditional open surgery. Patients experience postoperative pain even after laparoscopic surgery, although the intensity is low compared to open surgery. We compared the effectiveness of intravenous (IV) vs. intraperitoneal (IP) magnesium sulphate (MgSO4) injection in pain management in laparoscopic mini-gastric bypass surgery.
Methodology: We selected 100 patients based on convenient sampling and randomly divided into two groups; the IV group (50 patients) received MgSO4 50 mg/kg in 250 ml normal intravenously, and the IP group (50 patients) received MgSO4 50 mg/kg in 30 ml normal saline intraperitoneally. Nalbuphine was used as rescue analgesic and its total postoperative consumption during the first 24 h was recorded based on VAS score. Postoperative nausea and vomiting (PONV), sedation score and hemodynamic changes with pneumoperitoneum were also assessed.
Results: Total nalbuphine consumption postoperatively was more in IV group than IP group (12 ± 3.03 mg vs. 8.3 ± 2.8 mg; P < 0.001). Postoperative pain score was significantly lower in IP group in comparison to IV group (P < 0.001). Intraoperative hypotension and bradycardia were significantly more (P = 0.03) in IV group (21% and 17% respectively) compared to IP group (10% and 7% respectively). Postoperative sedation and nausea and vomiting scores were reduced in IP group compared to IV group, the difference being highly significant (P < 0.001).
Conclusion: Intraperitoneal MgSO4 instillation has better results than intravenous infusion in attenuation of postoperative pain and hemodynamic response associated with pneumoperitoneum, and results in less PONV when used in laparoscopic minigastric bypass patients.
Key words: Analgesics / administration & dosage; Analgesics / pharmacology; Analgesics / therapeutic use; Bariatric; Magnesium Sulfate / administration & dosage; Magnesium Sulfate / pharmacokinetics; Magnesium Sulfate / therapeutic use; Mini-gastric bypass; Pain management; Pneumoperitoneum
Citation: El-Sesy MG, Abdel Hameed AE, Abdelaziz AA, Ahmed IM, Elhennawy AM. A comparative study between intravenous and intraperitoneal magnesium sulphate for pain management in laparoscopic mini gastric bypass: a randomized clinical trial. Anaesth. pain intensive care 2022;26(4):450-457; DOI: 10.35975/apic.v26i4.1947
Received: April 18, 2022; Reviewed: June 16, 2022; Accepted: July 10, 2022
Point-of-care procalcitonin for early detection of bacterial coinfection in patients with severe dengue admitted to the intensive care units
Authors: Shukeri Wan Fadzlina Wan Muhd , Wan Azmi Wan Nur Aida , Mat Nor Mohd Basri , Ramly Nur Fariza , Seevaunnatum Praveena 
Published: November 2022

Background: Early detection of bacterial coinfection in severe dengue remains challenging. Point-of-care (POC) procalcitonin (PCT) may be used for this role, but it needs to be investigated. We evaluated the performance of POC PCT for early detection of bacterial coinfection in patients with severe dengue admitted to the intensive care units (ICU).
Methodology: In this cross-sectional study, we analyzed PCT level in severe dengue patients with and without bacterial coinfection upon their ICU admission. The diagnostic efficacy of PCT for the coinfection was determined through analysis of the receiver operating characteristics (ROC) curve.
Results: Fifty patients with severe dengue were enrolled over a one-year period. Fourteen (28.0%) of these patients had bacterial coinfection on ICU admission. PCT was significantly higher in patients with the coinfection than those without (36.2 ± 41.8 vs 3.6 ± 5.6 ng/mL, P = 0.012). The Area Under the Curve (AUC) of 0.768, ideal cut-off of more than 4.6 ng/mL, sensitivity of 64.3% and specificity of 83.3% revealed that PCT was a good marker for detecting bacterial coinfection in our severe dengue cohort.
Conclusion: Point-of-care procalcitonin provides early detection of bacterial coinfection with a good performance in patients with severe dengue; however, larger studies are warranted to validate these findings with quantification.
Abbreviations: APACHE - Acute Physiological and Chronic Health Evaluation; AUC - Area Under the Curve; CRP - C-reactive protein; ICU - intensive care unit; POC - Point-of-care; PCT – procalcitonin; ROC - receiver operating characteristics curve
Key words: Procalcitonin; Coinfection; Severe Dengue; Intensive Care Units
Citation: Azmi WNAW, Shukeri WFWM, Nor MBM, Ramly NF, Seevaunnatum P. Point-of-care procalcitonin for early detection of bacterial coinfection in patients with severe dengue admitted to the intensive care units. Anaesth. pain intensive care 2022;26(4):523-529; DOI: 10.35975/apic.v26i4.1960
Received: January 02, 2022; Reviewed: May 12, 2022; Accepted: July 12, 2022
A rare case of late onset malignant hyperthermia
Authors: Rajan Govind , Victor Robert , Kelly Richard , Cockrill Ryan , Katrivesis Karen , Nelson Corey 
Published: November 2022

A 42-year-old man with neck squamous cell carcinoma underwent awake fiberoptic intubation and tumor resection under general anesthesia. He developed malignant hyperthermia several hours into the surgical procedure. This case highlights malignant hyperthermia’s (MH) variable time course, pathognomonic signs, and the need for rapid diagnosis and treatment. Early recognition and treatment led to rapid resolution of MH. Ongoing discussion of MH is imperative because this disease is often difficult to diagnose early in its time course and may be fatal if not treated expeditiously.
Abbreviations: DS - Dantrolene sodium; DSIS - dantrolene sodium injectable suspension; GA - general anesthesia; MH - malignant hyperthermia; EtCO2 - end tidal carbon dioxide; RYR1 - Ryanodine Receptor gene
Key words: Anesthesia, General / methods; Dantrolene / therapeutic use; Diagnosis, Differential; Humans; Malignant Hyperthermia / diagnosis; Malignant Hyperthermia / etiology; Malignant Hyperthermia / physiopathology; Malignant Hyperthermia / therapy
Citation: Victor R, Kelly R, Cockrill R, Katrivesis K, Nelson C, Rajan G. A rare case of late onset malignant hyperthermia. Anaesth. pain intensive care. 2022;26(4):546-550; DOI: 10.35975/apic.v26i4.1963
Received: November 19, 2021; Reviewed: April 25, 2022; Accepted: July 12. 2022
Anesthetic management of insulinoma; case report and review of literature
Authors: Farooq Omar , Butt Fahad Rafiq , Durrani Romana Shaida 
Published: November 2022

Insulinoma is an insulin-producing tumor arising from the pancreas and secreting insulin in large quantities, which manifests itself as low blood sugar. It is a rare tumor with and incidence of only 4 cases per million developing every year. Other signs and symptoms include shakes, nervousness, vomiting, pulses, perspiration, and neuroglycopenic signs like migraine, vertigo, loss of vision, tiredness, loss of vision, amnesia, uncertainty, or convulsions. Anesthetic management aims to regulate irregular blood glucose levels as well as blood pressure. The authors present anesthetic management of two cases in this case report and discuss the consequences of insulinoma and the risks and their management during anesthesia.
Key words: Tumor, Insulin producing; Diagnostic Imaging / methods; Hepatectomy; Humans; Insulinoma / diagnosis; Insulinoma / therapy; Pancreatectomy; Pancreatic Neoplasms / diagnosis; Pancreatic Neoplasms / therapy; Treatment Outcome
Citation: Farooq O, Butt FR, Durrani RS. Anesthetic management of insulinoma; case report and review of literature. Anaesth. pain intensive care 2022;26(4):563-568; DOI: 10.35975/apic.v26i4.1967
Received: November 18, 2021; Reviewed: March 2022; Accepted: March 22, 2022
Rethinking body language in terms of power relations
Authors: Paxton Adeline 
Published: November 2022

The paper will examine power relations via body language, as an as pact of non-verbal communication. Studies of body language aries within such divergent (and often leo lated) disciplines as semiotics, pay. chology, and performance studies, while published works are further divided between the popular and the scientific. Popular works are often accused of being simplistic, while many of the specialised scientific works on non-verbal communication ignore the wider social context in which body language occurs.
Because the Cultural Studies approach explicitly links power rela tions and communication, it is able to offer a framework in which dis parate threads from different discl plines can be drawn together to fa cilitate a broader understanding of body language. Body language is thus as Important a tool of the Cul tural Studies project. It comple ments other aspects of communication studies, which have hitherto tended specifically to concentrate on studies of television, radio, news papers, film, magazines and other media, or on studies of Interper sonal communication
REDUCING SUGARS AND SUCROSE IN ROYAL JELLY
Authors: Репьева Лариса Анатольевна 
Published: November 2022

В статье представлены данные сравнительного анализа массовой доли восстанавливающих сахаров и сахарозы в маточном молочке в процессе хранения.
The article presents the data of a comparative analysis of the mass fraction of reducing sugars and sucrose in royal jelly during storage.
THE PLACE AND ROLE OF THE CONSTITUTIONAL COURT OF THE RUSSIAN FEDERATION IN THE JUDICIAL SYSTEM
Authors: Чудин Георгий Николаевич 
Published: November 2022

В настоящем исследовании анализируется роль и место Конституционного суда РФ.
This study analyzes the role and place of the Constitutional Court of the Russian Federation and its formation as a separate body outside the judicial system.