bluuebunny/crossref_metadata_2025_split huggingface dataset:
Stimulation of acupoint P6 before induction of anesthesia to prevent postoperative nausea and vomiting; a randomized control trial
Authors: Hamid Saman , Butt Mohsin Nazir , Rehman Azhar , Afshan Gauhar 
Published: February 2022

Background & Aims: Laparoscopic surgery has been associated with troublesome postoperative nausea and vomiting (PONV) in patients. Various regimens have been tried by the anesthesiologist to prevent PONV in laparoscopic cholecystectomy (LapChole). The primary objective of this study was to determine the role of stimulation of acupoint P6 for this purpose in patients undergoing LapChole at our institution.
Methodology: A randomized clinical trial was conducted at the Aga Khan University Hospital, Karachi, Pakistan. The research setting took place at the Post Anesthesia Care Unit (PACU) of the hospital. A total of 84 participants undergoing LapChole, ASA Status I or II, were enrolled and randomly allocated into two groups: 41 in control and 43 in the intervention group. In the intervention group, a commercially available band – PressureRight™ was applied at the wrist and the beads were placed exactly at P6 point. In the control group, the band was applied at the wrist with the beads placed on the dorsal surface. In both groups, acupressure band was applied before the induction of anesthesia in the waiting area of the operating room and continued during the intraoperative period and six hours postoperatively.
Measurements: Postoperatively, patients were monitored for postoperative nausea and vomiting at the time of arrival in post anesthesia care unit [PACU], after half hour, three hour and six hours postoperatively using numerical pain scale [NPS] from 1-10 [1=none, 2-5=mild, 6-7=moderate, 8-10=severe] for PONV separately.
Main Results: The results of PONV in PACU, at 30 minutes, three hours and six hours postoperatively showed an insignificant difference in intervention and control group. The frequencies of mild to moderate PONV were gradually reduced in both groups but the reduction was more pronounced in the control group than in the intervention group. There were no reported events of severe PONV at three hours and six hours postoperatively in both groups. The use of rescue antiemetics was statistically insignificant between the two groups [P = 0.744].
Conclusions: Our study reports that acupressure at Neiguan P6 point starting before the induction of anesthesia till 6 hours postoperative has no significant role in preventing PONV in patients undergoing laparoscopic cholecystectomy. Rescue antiemetics were required in both groups with a similar frequency.
Key words: Acupoint P6; Acupressure; PONV; Laparoscopic cholecystectomy; Antiemetics; Randomized Clinical Trial
Ethical approval: AKU No. 5365-ane-ERC-18, dated July 17, 2018
Citation: Hamid S, Butt MN, Rehman A, Afshan G. Stimulation of acupoint P6 before induction of anesthesia to prevent postoperative nausea and vomiting; a randomized control trial. Anaesth. pain intensive care 2022;26(1):96-101.
DOI: 10.35975/apic.v26i1.1774
Received: August 6, 2021, Reviewed: October 22, 2012, Accepted: December 15, 2021
Difficult airway management in Apert syndrome for maxillofacial reconstruction: a case report
Authors: Purwoko Purwoko , Azhar Andre , Permana Septian Adi 
Published: February 2022

Apert syndrome (AS) is an autosomal dominant disease associated with several craniofacial and limb deformities. Craniofacial deformities in AS patients requiring surgery are usually associated with difficult airway management. We report a case of a 21-year-old male patient, ASA III, with AS, who had a mandibular fracture and reconstruction was planned. The patient had all the features of AS. He had no comorbidities such as hypertension and diabetes mellitus. Awake intubation with fiberoptic bronchoscope was planned. In these patients with AS, intravenous access might also be difficult due to limb deformities. Some surgical procedures make intravenous access even more difficult. Rarely, if intravenous access is judged to be mandatory in an emergency, intraosseous or intramuscular access may be an alternative.
Abbreviations: AS - Apert syndrome; ED - emergency department; MSCT - Multislice Computerized Tomography
Key words: Apert syndrome; Acrocephalosyndactylia / diagnostic imaging; Acrocephalosyndactylia / pathology; Syndactyly / pathology; Maxillofacial reconstruction, Airway management
Citation: Purwoko P, Azhar A, Permana SA. Difficult airway management in Apert syndrome for maxillofacial reconstruction: a case report. Anaesth. pain intensive care 2021;26(1):119-122.
DOI: 10.35975/apic.v26i1.1781
Received: October 27, 2021, Reviewed: November 11, 2021, Accepted: November 14, 2021
Increasing Students' Ability In Writing Procedure Text Through Learning Model Pictures And Pictures
Authors: Nasution Dina Syarifah , Batubara Muhammad Hasyimsyah , Rahmayana Rahmayana 
Published: February 2022

This study investigated increasing students' ability to write procedure text through learning model pictures and pictures in ninth grade at SMPN 4 Takengon. The study used the quantitative method with experimental design. To collect the data, the writer uses the test (pre-test and post-test). The population in this research is all students of the ninth grade in SMPN 4 Takengon, which consists of 196 students. The writer uses purposive sampling to take the sample in this research. A first group is an experimental group, which amounts to 37 students, and the second group is the control group which amounts to 37 students. The writer uses the t-test formula to analyze data in this research. The result of tscore is 5,71. Compared with the ttable, the tscore is higher, i.e., 5,71, than ttable is 1,99. It can be concluded that learning model pictures and pictures can increase students' ability in writing procedure text. The writer suggests that students try to write in English as habitual because it can help add more vocabulary and make the students have good writing.
Foreign body: undercover cause of intestinal perforation
Authors: Díaz Granados A , Gallart Aragón T , García Martínez MÁ , Delgado Carrasco S , Mirón Pozo B 
Published: February 2022

Resumen

La perforación intestinal por ingestión de cuerpos extraños es una entidad que ocurre en torno al 1% de las veces en que estos se ingieren y llegan al intestino delgado. El cuadro clínico y la etiología del mismo suelen ser difícilmente reconocibles, abriéndose un gran abanico de diagnósticos diferenciales a tener en cuenta.

Presentamos el caso de un varón de 65 años, al que en primer lugar se atribuye el dolor abdominal a la presencia de una hernia supraumbilical incarcerada. Los hallazgos intraoperatorios son una peritonitis aguda abscesificada con colección abdominal adyacente debido a una perforación intestinal por cuerpo extraño.
The renal function and laparoscopic surgery: a comparison of the pneumoperitoneum and the open technique.
Authors: Díaz Roldán J , Aguilar Luque J , Parra Membrives P , Estepa Zabala J , Sainz Bueno JA , Ruiz Juliá ML , Ruiz Luque V , Rodríguez García R 
Published: February 2022

Resumen

Objetivo: analizar los efectos de la cirugía sobre la función renal en abordaje por laparotomía o laparoscopia.

Material y métodos: ensayo clínico prospectivo comparativo entre ambas técnicas. Aleatorizamos pacientes con colelitiasis sintomática y patología ginecológica. Se analizaron parámetros de respuesta a la agresión quirúrgica pre y postoperatorio. Para la función renal (entre otros) en plasma: urea, creatinina y cistatina C. En orina: microalbuminuria, IgG, alfa-1-microglobulina, creatinina. Calculados: excreción fraccional de urea, tasa de filtración glomerular (FG) según cistatina C. Se reclutaron 49 pacientes en el grupo laparoscópico y 37 en el abierto.

Resultados: Se elevaron parámetros de agresión quirúrgica en ambos grupos. La elevación fue mayor en cirugía abierta con diferencia significativa de leucocitos, neutrófilos, CPK, y PCR y en la excreción urinaria de albúmina.

No encontramos diferencias entre grupos en urea, creatinina, aclaramiento de creatinina, IgG en orina, alfa-1-microglobinuria y cistatina C.

Aumentó el FG postoperatorio inmediato. Esta mejoría fue más importante en el grupo laparoscópico.

Conclusiones: La mejoría en la FG en ambos grupos tras cirugía indica "protección" renal por el efecto de la hidratación. No hubo diferencias entre grupos. La cirugía laparoscópica no produce un efecto nocivo específico sobre la función renal.
COVID 19 infection and liver abscess. Casuality or relationship?
Authors: Begoña González S , Arteaga Peralta V , de la Plaza Llamas R 
Published: February 2022

Resumen

En el presente manuscrito, se ha recogido un caso de absceso hepático posiblemente causado por una colecistitis evolucionada, en la que está implicado un germen anaerobio, fusobacterium mortiferum, no descrito en la literatura como agente causal de este tipo de infecciones. Al tener una infección por la presencia de una bacteria infrecuente en un paciente con diagnóstico de COVID 19, podemos postular la posibilidad de que el estado inmunológico del paciente al presentar la enfermedad haya podido inducir la infección o simplemente ser 2 hechos independientes que ocurren en un mismo momento.
Providing Pedagogical Support to Novice Teachers in Universities: Theoretical and Applied Issues
Authors: Сучкова О.А. , Байкова Л.А. 
Published: February 2022

В статье представлены результаты теоретико-эмпирического исследования, цель которого заключалась в создании системы педагогического сопровождения профессионального становления будущих педагогов в вузе во внеаудиторной деятельности. Требования, используемые для успешной образовательной деятельности: материально-техническое оснащение в соответствии с нормами, учет индивидуальных особенностей обучающихся, применение и учет здоровьесберегающих технологий, научно-исследовательская, методическая и диагностическая работа, воспитательная и творческая деятельность.Уточнены определения понятий «педагогическое сопровождение» и «профессиональное становление будущих педагогов», раскрыта сущность данных феноменов, теоретически обоснованы критерии профессионального становления будущих педагогов в период ранней взрослости.Дана краткая характеристика авторской программы педагогического сопровождения профессионального становления будущих педагогов во внеаудиторной деятельности в вузе, созданной на основе теоретической модели в контексте деятельностного и синергетического подходов: целей, задач, методов, упражнений педагогического сопровождения профессионального становления, а также форм дистанционного педагогического взаимодействия обучающихся и преподавателя с использованием приемов педагогического коучинга, основанного на идеях способности человека к саморазвитию и креативности.Представлены результаты формирующего эксперимента.
The article presents the results of a theoretical and empirical research whose aim was to elaborate a system of pedagogical support of novice teachers during extracurricular activities. The article dwells on prerequisites to effective education: modern equipment satisfying students’ educational needs, health-saving technologies, research work, methodological work, diagnostics, academic and creative activities.The article focuses on such notions as pedagogical support and novice teachers’ professional development. It discusses the essence of the phenomenon and theoretically substantiates criteria of novice teachers’ professional development.The article provides a concise description of a program developed by the authors of the article and aimed at enhancing novice teachers’ pedagogical support during extracurricular activities in universities. The program is formulated within the framework of the activity approach and the synergy approach. The article characterizes the aims, objectives, methods, tasks used to ensure pedagogical support to novice teachers. It also focuses on student-teacher interaction in online learning environments. It is based on the principles of creativity and self-development.The article provides the results of an experimental investigation aimed at assessing the effectiveness of the aforementioned program.
Communicative Tolerance of Students Majoring in Journalism and Philology: Content Characteristics and Levels of Development
Authors: Казаренков В.И. , Карнелович М.М. 
Published: February 2022

В статье рассматриваются вопросы формирования коммуникативной толерантности в системе социально-личностных компетенций студентов гуманитарных специальностей, неотъемлемой частью профессиональной деятельности которых является социальное взаимодействие.Цель исследования — определить содержательные характеристики и уровни развития толерантности будущих специалистов сферы журналистики и филологии. Методы исследования: теоретический анализ научной литературы, тестирование, описательная статистика, критерий сравнения U Манна — Уитни.Приведены результаты эмпирического исследования коммуникативной толерантности российских и белорусских студентов специальностей «журналистика» и «филология». Представлены выявленные феномены противоречий между типологическим, ситуативным и профессиональным типами коммуникативной толерантности у будущих журналистов и филологов. Осуществлен анализ межполовых различий коммуникативной толерантности и влияния специфики содержания профессионального образования в высшей школе на толерантность будущих специалистов сферы образования (филологи) и средств массовой коммуникации (журналисты).Результаты эмпирического исследования могут быть использованы специалистами сферы непрерывного профессионального образования в практике системы сопровождения будущих и начинающих журналистов и филологов при разработке и реализации коррекционно-развивающих и профилактических программ по переосмыслению и согласованию аттитюдов и поведения в конкретных ситуациях межличностного взаимодействия.
The article focuses on the formation of communicative tolerance as an essential component of socially and personally significant competencies of students who major in humanities and are professionally involved in social interaction.The aim of the research is to investigate content characteristics and levels of tolerance in students majoring in journalism and philology. The authors employ such methods of research as theoretical analysis of research literature, testing, descriptive statistics, the Mann – Whitney U test.The article presents the results of an empirical assessment of communicative tolerance in Russian and Belorussian students majoring in journalism and philology. It analyzes the differences between typological, situational and professional types of communicative tolerance in novice journalists and novice philologists. It analyzes gender differences in students’ communicative tolerance and the impact of higher vocational education on novice journalists’ and novice philologists’ communicative tolerance.The results of the empirical research can be used in the system of continuous vocational training to encourage novice journalists and philologists to develop their communicative tolerance and improve their behaviour patterns in specific situations of interpersonal communication.
Individual Psychological Peculiarities of Subjective Perception of Loneliness
Authors: Сергеева О.М. , Чевакина М.А. 
Published: February 2022

Одним из непростых и важных для современности социально-психологических феноменов является субъективное отношение к одиночеству. Социально изолированные люди не обязательно одиноки и одинокие люди не обязательно социально изолированы. Более важно то, как человек ощущает себя и относится к ситуации. Важно рассмотреть, связаны ли индивидуально-психологические особенности со склонностью переживания одиночества, а также субъективным представлением о нем. Можно предположить, что интенсивность переживания одиночества и субъективное представление о нем связаны с такими индивидуально-психологическими особенностями интровертированной личности, как чувствительность, консерватизм, подозрительность, пассивность и замкнутость.Нами проведено исследование интенсивности переживания одиночества, субъективного представления о нем и вышеуказанных личностных особенностей 102 человек в возрасте от 18 до 63 лет (21 — мужчины, 81 — женщины).Выявлены индивидуально-психологические особенности человека, с которыми связан уровень субъективного переживания одиночества, а также обнаружено, что люди с разными индивидуально-психологическими особенностями имеют различные субъективные представления о нем и с возрастом происходит изменение понимания одиночества.
One’s subjective perception of loneliness is a complicated and highly relevant issue of modern social and psychological research. People experiencing social isolation needn’t be single and not all single people suffer from social isolation. People’s perception of the situation they find themselves in predetermines whether they feel lonely or otherwise. It is essential to investigate whether individual psychological peculiarities are somehow connected with one’s predisposition to loneliness and with one’s subjective perception of loneliness. One can assume that the intensity of the subjective perception of loneliness is intricately associated with such introvert personality traits as sensitivity, conservatism, suspiciousness, passivity, reticence.The authors of the article attempt to research into the intensity of loneliness as a subjective perception of being lonely and to investigate whether one’s perception of loneliness is connected with one’s personality traits. The survey involved 102 people aged 18–63 (21 males and 81 females).The investigation enabled the authors to discover individual psychological peculiarities associated with one’s subjective perception of loneliness. It also shows that people with different individual psychological peculiarities treat loneliness differently. Moreover, one’s perception of loneliness changes with age.
New records of amphibians from Bac Kan Province, Vietnam
Authors: Luong Anh , Do Quyen , Hoang Chung , Phan Tien , Nguyen Truong , Pham Cuong 
Published: February 2022

Since the establishment of the Nam Xuan Lac Habitat and Species Conservation Area in 2003 in Bac Kan Province, northern Vietnam, only two herpetological studies have been conducted: One recorded 14 species of amphibians from Ban Thi-Xuan Lac area in 2004 and a recent study reported 32 species of amphibians from this protected area in 2019.
As a result of our field surveys in 2020 and 2021, a total of 23 species of amphibians was recorded from the Nam Xuan Lac Habitat and Species Conservation Area. Eight of them are recorded for the first time from Bac Kan Province, comprising one species of Microhylidae, two species of Megophryidae, one species of Dicroglossidae, two species of Ranidae and two species of Rhacophoridae. Besides morphological descriptions, we provide ecological notes of newly-recorded species of amphibians from Bac Kan Province.
Training to address vaccine hesitancy in first-year students
Authors: Downey La Vonne , Brock Cara 
Published: February 2022

Aim: This study's aim was to determine if an additional educational component on pharmacy students can increase their knowledge and skill level to address vaccine hesitancy and/or refusal related to a future Covid 19 vaccine.
Methods: First-year pharmacy students were given additional education beyond what they received in their Accreditation Council for Pharmaceutical Education (ACPE) module, on motivational interviewing (MI). They were given a pre-and post-survey assessing their knowledge and confidence in addressing vaccine hesitancy and the application of MI. This study was approved by the Institutional Review Board (IRB).
Results: This study showed that additional motivational interviewing education had a significant impact on the student's knowledge, self-assessment of skills in talking to patients, and understanding how the skills impacted patients regarding vaccines both general and Covid-19 vaccines.
Conclusion: The study’s findings indicate that additional training that focuses on motivational methods to engage patients is needed for students to be able to address vaccine hesitancy, especially when a new vaccine using different science is on the market.
TOXIC ELEMENTS AS A RISK FACTOR FOR THE SURVIVAL OF THE HONEY BEES (Apis mellifera L.)
Authors: Živkov Baloš Milica , Mihaljev Željko , Jakšić Sandra 
Published: February 2022

Toxic element pollution is an ecological concern in the regions where mining, industry and agriculture are developing. Anthropogenic impact on the environment results in the reduction of the population of honey bees over the world with varying degrees of morbidity and mortality. Bees exposed to contaminants produce polluted products through various sources, including foraging activities on contaminated plants. Therefore, monitoring of honey bee products in terms of toxic elements is very important for food safety and for preventing potential future ecological problems. The data presented in this review are useful for bee health protection and improving the quality and safety of honey production chain.
Niveles de Razonamiento de Van Hiele en Estudiantes de Séptimo Grado
Authors: Cuadrado Yelihsa López , Garcia Matilde Bolaño 
Published: February 2022

La geometría es parte primordial de la cotidianidad de los estudiantes, hace parte de su entorno, pero la mayoría de las veces se deja de lado y no se le presta la importancia necesaria que tiene en el desarrollo de las habilidades matemáticas y de otras asignaturas en los estudiantes. Esta investigación se centra en identificar los niveles de razonamiento de Van Hiele predominantes en un grupo de estudiantes del grado séptimo de la Institución Educativa San Juan del Córdoba del municipio de Ciénaga Magdalena. La metodología fue de tipo cualitativa, con un diseño de investigación acción, siguiendo una serie de fases, que permitieron la recolección, la aplicación, el análisis y la interpretación de los datos, con la ayuda de la implementación de instrumentos como una prueba diagnóstica que permitió evidenciar las falencias de los estudiantes en cada uno de los niveles de razonamiento que propone la teoría antes mencionada, permitiendo identificar los diferentes problemas propios del aprendizaje de los estudiantes, con el propósito de construir una serie de secuencias didácticas basadas en estos resultados y con ello desarrollar estrategias innovadoras para la enseñanza.
El nuevo modelo económico en México 2018
Authors: Soto Saúl Robles , Díaz Rigoberto Jiménez , Torres Claudia Esther del Rosario Aguilar , Romero Luis Humberto Ortiz 
Published: February 2022

En México, a partir del primero de diciembre del año 2018, se pretende implementar un nuevo modelo económico que cambie al impuesto en los últimos 36 años. El trabajo que se presenta es una investigación desarrollada por el Cuerpo Académico de Teoría Económica de la UAEUAZ[1], tiene como objetivos señalar de manera puntual los logros y fracasos del modelo neoliberal en México, poniendo énfasis en los principales resultados que generó entre otros mayor pobreza, inversión pública insuficiente, deuda pública alarmante y un desempleo muy notorio. Se presentan una serie de variables macroeconómicas que dan sustento a la hipótesis central de un modelo económico fracasado que es necesario revertir en el mediano plazo. Las conclusiones serán importantes para tratar de implementar un cambio importante en el papel del estado en los ejes fundamentales de la economía mexicana como factor fundamental que devuelva los índices de crecimiento y bienestar que estuvieron presentes tiempo atrás.