bluuebunny/crossref_metadata_2025_split huggingface dataset:
The effect of mother’s voice on pain and physiological parameters during arterial blood sampling in children hospitalized in PICUs
Authors: Shoghi Mahnaz , Ahmadi Marzieh , Rasouli Mahboube 
Published: February 2021

Introduction: Arterial blood sampling is a painful procedure, and is frequently performed in PICUs. Listening to mother's voice may be effective in reducing pain during arterial blood sampling in children. This study was aimed to determine the effect of mother’s recorded voice on pain and physiological parameters during arterial blood sampling in children hospitalized in PICUs.
Methodology: This study was a single blind randomized clinical trial with crossover design. Fifty children hospitalized in PICUs participated in this study. The participants were selected through “sequential sampling” and randomly allocated into two groups; e.g., Group AB (n = 25) and Group BA (n = 25). Physiological parameters and pain in each child were measured before and during arterial blood sampling with (B) and without (A) listening to their mothers’ voices with a minimum of 24 hrs interval. To measure the pain, COMFORT pain scale was used and the physiological parameters were measured using the monitoring devices connected to the children. Data were analyzed with SPSS version 22, repeated measure test, paired and non-paired t-test, Wilcoxon and Mann-Whitney test.
Results: Means of pain scores and physiologic parameters did not show a significant difference before the intervention on the first and second day between the two groups (AB-BA). The results showed the period effect (f = 0.581 and p = 0.89) and carry over effect (f = 0.055, p-value = 0.881) were not significant. Results of paired t-test showed that the mean pain score during arterial blood sampling with (B: 21.82 ± 5.53) and without (A: 22.40 ± 4.76) listening to their mothers’ voices was significantly different (p = 0.002). That is, with the mother’s voice, the children felt a lower level of pain. The SpO2 decline during the sampling was less with the mother’s voice. Additionally, the heart rate declined less during the sampling compared to the rate before the sampling with the mother’s voice; still, the difference was not significant (p > 0.05).
Conclusion: Listening to mothers’ recorded voice was effective to alleviate pain during arterial blood sampling in children hospitalized in PICUs. The use of this method to reduce pain during this painful procedure is effective even in the absence of the mother.
Key words: Pain; Mother’s voice; Arterial blood sampling; Physiological indices; PICU
Citation: Shoghi M, Ahmadi M, Rasouli M. The effect of mother’s voice on pain and physiological parameters during arterial blood sampling in children hospitalized in PICUs. Anaesth. pain intensive care 2021;25(1):40-47.DOI: 10.35975/apic.v25i1.1440
Received: 20 June 2020, Reviewed: 16 September 2020, Accepted: 25 November 2020
Endotracheal tube cuff pressure: An overlooked risk
Authors: Fallatah Summayah M. , Al-metwalli Roshdi R. , Alghamdi Talal M. 
Published: February 2021

The endotracheal tube (ETT) cuff's principal function is to implement proper tracheal sealing at a pressure high enough to prevent both gas leak and fluid aspiration, and low enough to maintain tracheal perfusion. Clinicians are often concerned primarily with the volume of air required to inflate an ETT cuff. However, the most important factor is how much pressure will be exerted on the tracheal mucosa when the cuff is properly distended. Cuff over-inflation complications range from sore throat to tracheal ischemia with tracheal rupture and fistula formation. The ideal ETT cuff pressure has not been defined with a high degree of certainty however most anesthesiologists generally recommend a target pressure of 20 to 30 cmH2O. Although trachea-gas sealing can be achieved at ETT cuff pressure of 20 cmH2O, microaspiration can occur at a cuff pressure of 60 cmH2O. Since the introduction of cuffed ETT in the mid- 20th century, several modifications in the cuff's shape and material have been done to address these challenges. It has been proven that the pressure within the inflated cuff is a dynamic process. As such, various clinical factors will significantly impact the pressure reading. Thus, continuous regulation of ETT cuff pressure should be routine practice. Our review included 158 articles that addressed the background into the development of cuffed ETT, function and anatomy of the ETT cuff system, cuff pressure and sealing characteristics, ETT cuff pressure regulation, microaspiration, and factors affecting ETT cuff pressure.
Key words: Endotracheal Tube; Cuff pressure; Microaspiration
Citation: Al-metwalli RR, Fallatah SM, Alghamdi TM. Endotracheal tube cuff pressure: An overlooked risk. Anaesth. pain intensive care 2021;25(1):88-97;
DOI: 10.35975/apic.v25i1.1445
Received: 2 November 2020, Reviewed: 24 December 2020, Accepted: 1 January 2021
PENEGAKAN HUKUM DALAM PENANGANAN TINDAK PIDANA PENGGELAPAN
Authors: Syarif Nurbaiti 
Published: February 2021

Embezzlement in the Criminal Code is classified as a crime. The embezzlement is contained in Article 372 of the Criminal Code. The focus of this research is law enforcement in dealing with criminal acts of embezzlement and the inhibiting factors of law enforcement in handling embezzlement. Based on the results of research and discussion, it shows that law enforcement in handling embezzlement is carried out using non-penal and penal methods. The non-penal approach is carried out by providing counseling and socialization in the context of fostering social responsibility for citizens of the crime of embezzlement. Legal counseling is particularly carried out in areas prone to criminal acts. The criminal approach is carried out through legal measures so that the perpetrators of the criminal act of embezzlement are processed legally in order to obtain criminal sanctions and guarantee legal certainty. Inhibiting factors for law enforcement in handling criminal acts of embezzlement include: criminal sanctions in Article 372 of the Criminal Code have not provided a deterrent effect, limitations on law enforcement agencies, limited state special budget for law enforcement, lack of public awareness of the importance of understanding crime, society becomes a criminal act.
Keywords : Law Enforcement, Crime, Embezzlement.
Damage control surgery in non traumatic emergencies
Authors: Camacho Marente V , Tallón Aguilar L , Sánchez Arteaga A , Aparicio Sánchez D , Tinoco González J , Durán Muñoz-Cruzado VM , Tamayo López MJ , Pintor Tortolero J , Padillo Ruiz J 
Published: February 2021

Resumen

La cirugía de control de daños (CCD) es un recurso importante en pacientes inestables y potencialmente graves. A pesar de que sus indicaciones iniciales estuvieron orientadas al paciente politraumatizado, actualmente esta estrategia quirúrgica es empleada también en determinados pacientes con patología quirúrgica urgente de origen séptico no traumático que condiciona una situación crítica de inestabilidad hemodinámica.

Las indicaciones de la CCD en los pacientes no politraumatizados se centra en un determinado grupo de pacientes y la base del tratamiento se rige por un manejo individualizado. Uno de los escenarios más representativos dentro de la emergencia quirúrgica abdominal es la isquemia mesentérica aguda debido a la alta morbi-mortalidad que asocia y a la potencial reversibilidad de algunas de las lesiones tras la estabilización del paciente. Sus indicaciones en los pacientes sépticos una vez controlado el foco infeccioso, son la inestabilidad hemodinámica intraoperatoria o el síndrome compartimental abdominal.

El objetivo del la cirugía de control de daños en el paciente no politraumatizado es trasladar las estrategias de la CCD para pacientes traumáticos a un escenario donde los pacientes se beneficien de asumir una estrategia quirúrgica en la cual el objetivo principal no consista en solucionar en una única intervención y de forma definitiva el problema en cuestión, si no en modular la agresión quirúrgica realizando intervenciones secuenciadas que optimicen los resultados.

El objeto de este trabajo es realizar una revisión bibliográfica con los aspectos más relevantes sobre la cirugía de control de daños en el paciente no politraumatizado.
Closure methods of appendiceal stump during laparoscopic appendectomy
Authors: Navas Cuéllar JA , Jiménez Vega FJ , Sánchez Gálvez MÁ , García Vico A , Cañete Gómez J , Tallón Aguilar L 
Published: February 2021

Resumen

La apendicectomía por abordaje laparoscópico constituye en la actualidad el tratamiento de elección en el tratamiento de la apendicitis aguda. El control del muñón apendicular remanente constituye un paso quirúrgico fundamental, con el fin de evitar fuga de contenido intestinal y complicaciones infecciosas postoperatorias. El objetivo de esta revisión es exponer las distintas opciones técnicas para el cierre del muñón apendicular durante la apendicectomía laparoscópica empleadas en la actualidad, en base a la evidencia científica actual.
Use of indocyanine green to prevent iatrogenic biliary tract injuries during laparoscopic cholecystectomy
Authors: Pérez Saborido B , Toledano Trincado M , Pacheco Sánchez D 
Published: February 2021

Resumen

Las lesiones yatrógenas de la vía biliar representan un problema importante con una incidencia en la colecistectomía laparoscópica del 0,4-0,6%. Se han postulado muchas medidas para evitarla y entre ellas la más importante es la correcta identificación de la anatomía biliar extrahepática utilizando la técnica quirúrgica de la visión crítica de seguridad. El uso de la colangiografía clásica de manera rutinaria no está consensuado pero en los últimos años, la aparición de la colangiografía por fluorescencia con verde de indocianina parece ser una herramienta muy eficaz en la correcta identificación del conducto cístico y vía biliar principal y por lo tanto una medida de apoyo para evitar lesiones biliares. Se han publicado numerosas experiencia en cirugía laparoscópica y robótica con muy buenos resultados. El problema fundamental es definir la dosis de verde de indocianina a administrar y con qué antelación al momento de la cirugía para conseguir una mejor definición de la imagen. Por otro lado, la penetración de las fuentes de luz actuales es de 5-10 mm y por ello se puede ver dificultada la visualización de las estructuras biliares cuando los tejidos están engrosados como en obesidad, colecistitis aguda, etc. A pesar de todo ello, es una técnica fácil, barata y muy bien acogida entre los cirujanos, que puede ser usada para disminuir la incidencia de lesiones biliares durante procedimientos de colecistectomía por abordaje mínimamente invasivo.
First approach of the superior mesenteric artery in the whipple procedure. Advantages about classic approach.
Authors: Álamo JM , Gómez MA , Bernal C , Suárez G , Marín LM , Cepeda C , Beltrán P , Padillo FJ 
Published: February 2021

Resumen

El abordaje primero de la arteria mesentérica superior (APAMS) permite valorar la resecabilidad al inicio de la intervención, identificar variantes anatómicas de la arteria hepática y disecar la "lámina retroperitoneal" antes de seccionar el cuello del páncreas.

A pesar de la existencia de varios estudios que apuntan a que la técnica APAMS aumenta la tasa de resecciones R0, aumenta el número de ganglios extirpados y parece reducir las tasas de recurrencia local, con una mayor supervivencia a corto plazo, faltan estudios randomizados y controlados y con un análisis a mayor largo plazo para valorar si aumenta las tasas de curación del cáncer periampular. A priori, esta técnica de abordaje de la cabeza pancreática y su meso es atractiva en tanto en cuanto anula la aferencia vascular previamente a la manipulación del tumor, pero está por ver si este hecho, desde el punto de vista oncológico, presenta alguna relevancia en cuanto a la aparición de recidivas locales o a distancia.
Adenocarcinoma on colostomy in patient affected by Chrohn's disease
Authors: Martínez Mojarro R , García del Pino B , Pérez Quintero R , Rada Morgades R , Perea Sánchez MJ , Martín-García de Arboleya R , Balongo García R 
Published: February 2021

Resumen

Los tumores malignos periostomales más ampliamente descritos son adenocarcinomas en pacientes con colitis ulcerosa que precisan colectomía total o subtotal. La localización más común es la piel de pared abdominal, pero también sobre el estoma, piel periostomal o cicatrices quirúrgicas anteriores incluyendo la cicatriz de la colostomía. En casos de malignidad previa, las vías de diseminación pueden ser sanguínea, linfática, por contigüidad, por implantación iatrogénica o debido a otros procedimientos invasivos como la colonoscopia. Las neoplasias del estoma ocurren frecuentemente con pocos signos clínicos pero evidentes, y el diagnóstico precoz es la mejor forma de controlar la enfermedad, determinando baja morbilidad y mayor supervivencia de los pacientes ostomizados. Realizamos una revisión de esta entidad para conocer la naturaleza, pronóstico y para recomendar pautas de actuación.
Neural correlates of sex-related differences in attachment dimensions
Authors: Altavilla Daniela , Ciacchella Chiara , Pellicano Gaia Romana , Cecchini Marco , Tambelli Renata , Kalsi Navkiran , Aceto Paola , Lai Carlo 
Published: February 2021

AbstractThe purpose of this study was to investigate sex-related differences in the electrophysiological response to socioemotional stimuli (positive, negative, and ambiguous) depicting couple interactions. The associations between anxiety and avoidance attachment dimensions (measured with the Experiences in Close Relationships–Revised questionnaire) and the strength of cortico-limbic circuit intensity was explored, recorded using a 256-Hydrocel Geodesic Sensor-Net. Event-related potentials (ERPs) and standardized low-resolution electromagnetic tomography (sLORETA) data were analyzed for a total sample of 74 participants. Regression analyses showed that the women presented increased brain intensity compared with that in men, and the avoidance score was positively associated with brain intensity, particularly in response to negative socioemotional stimuli. The interaction sex per avoidance was a significant predictor of intensity in many brain areas, with women displaying significantly more pronounced positive associations between avoidance and brain intensity than men. In conclusion, the findings of the present study showed that women appeared to be more emotionally involved during the socioemotional task. Avoidance was positively associated with intensity of the cingulate and prefrontal regions, and these associations were more pronounced in women than in men. These findings suggested that avoidance seems to represent two different socioemotional strategies, in which women appear to activate an avoidant strategy to modulate increased emotional involvement in relationships, whereas men appear to adopt avoidance with a more intense emotional suppression.
The McDonald Accelerating Stars Survey (MASS): White Dwarf Companions Accelerating the Sun-like Stars 12 Psc and HD 159062
Authors: Bowler Brendan P. , Cochran William D. , Endl Michael , Franson Kyle , Brandt Timothy D. , Dupuy Trent J. , MacQueen Phillip J. , Kratter Kaitlin M. , Mawet Dimitri , Ruane Garreth 
Published: February 2021

Abstract
We present the discovery of a white dwarf companion to the G1 V star 12 Psc found as part of a Keck adaptive optics imaging survey of long-term accelerating stars from the McDonald Observatory Planet Search Program. Twenty years of precise radial-velocity monitoring of 12 Psc with the Tull Spectrograph at the Harlan J. Smith telescope reveals a moderate radial acceleration (≈10 m s−1 yr −1), which together with relative astrometry from Keck/NIRC2 and the astrometric acceleration between Hipparcos and Gaia DR2 yields a dynamical mass of M

B
=

M
⊙ for 12 Psc B, a semimajor axis of

au, and an eccentricity of 0.84 ± 0.08. We also report an updated orbital fit of the white dwarf companion to the metal-poor (but barium-rich) G9 V dwarf HD 159062 based on new radial-velocity observations from the High-Resolution Spectrograph at the Hobby–Eberly Telescope and astrometry from Keck/NIRC2. A joint fit of the available relative astrometry, radial velocities, and tangential astrometric acceleration yields a dynamical mass of M

B
=

M
⊙ for HD 159062 B, a semimajor axis of

au, and preference for circular orbits (e < 0.42 at 95% confidence). 12 Psc B and HD 159062 B join a small list of resolved Sirius-like benchmark white dwarfs with precise dynamical mass measurements which serve as valuable tests of white dwarf mass–radius cooling models and probes of AGB wind accretion onto their main-sequence companions.
The JPL Planetary and Lunar Ephemerides DE440 and DE441
Authors: Park Ryan S. , Folkner William M. , Williams James G. , Boggs Dale H. 
Published: February 2021

Abstract
The planetary and lunar ephemerides called DE440 and DE441 have been generated by fitting numerically integrated orbits to ground-based and space-based observations. Compared to the previous general-purpose ephemerides DE430, seven years of new data have been added to compute DE440 and DE441, with improved dynamical models and data calibration. The orbit of Jupiter has improved substantially by fitting to the Juno radio range and Very Long Baseline Array (VLBA) data of the Juno spacecraft. The orbit of Saturn has been improved by radio range and VLBA data of the Cassini spacecraft, with improved estimation of the spacecraft orbit. The orbit of Pluto has been improved from use of stellar occultation data reduced against the Gaia star catalog. The ephemerides DE440 and DE441 are fit to the same data set, but DE441 assumes no damping between the lunar liquid core and the solid mantle, which avoids a divergence when integrated backward in time. Therefore, DE441 is less accurate than DE440 for the current century, but covers a much longer duration of years −13,200 to +17,191, compared to DE440 covering years 1550–2650.
Are There Transit Timing Variations for the Exoplanet Qatar-1b?
Authors: Su Li-Hsin , Jiang Ing-Guey , Sariya Devesh P. , Lee Chiao-Yu , Yeh Li-Chin , Mannaday Vineet Kumar , Thakur Parijat , Sahu D. K. , Chand Swadesh , Shlyapnikov A. A. , Moskvin V. V. , Ignatov Vladimir , Mkrtichian David , Griv Evgeny 
Published: February 2021

Abstract
Motivated by the unsettled conclusion on whether there are any transit timing variations (TTVs) for the exoplanet Qatar-1b, 10 new transit light curves are presented and a TTV analysis with a baseline of 1400 epochs is performed. Because the linear model provides a good fit with a reduced chi-square of

and the false-alarm probabilities of the possible TTV frequencies are as large as 35%, our results are consistent with a null-TTV model. Nevertheless, a new ephemeris with a reference time of T
0 = 2455647.63360 ± 0.00008 (BJD) and a period of P = 1.4200236 ± 0.0000001 (day) is obtained. In addition, the updated orbital semimajor axis and planetary radius in units of stellar radius are provided, and the lower limit of the modified stellar tidal quality factor is also determined.
Radiation Hydrodynamics of Turbulent H ii Regions in Molecular Clouds: A Physical Origin of LyC Leakage and the Associated Lyα Spectra
Authors: Kakiichi Koki , Gronke Max 
Published: February 2021

Abstract
We examine Lyman continuum (LyC) leakage through H ii regions regulated by turbulence and radiative feedback in a giant molecular cloud in the context of fully coupled radiation hydrodynamics (RHD). The physical relations of the LyC escape with H i covering fraction, kinematics, ionizing photon production efficiency, and emergent Lyα line profiles are studied using a series of RHD turbulence simulations performed with ramses-rt. The turbulence-regulated mechanism allows ionizing photons to leak out at early times before the onset of supernova feedback. The LyC photons escape through turbulence-generated low column density channels that are evacuated efficiently by radiative feedback via photoheating-induced shocks across the D-type ionization fronts. The Lyα photons funnel through the photoionized channels along the paths of LyC escape, resulting in a diverse Lyα spectral morphology including narrow double-peaked profiles. The Lyα peak separation is controlled by the residual H i column density of the channels, and the line asymmetry correlates with the porosity and multiphase structure of the H ii region. This mechanism through the turbulent H ii regions can naturally reproduce the observed Lyα spectral characteristics of some of the LyC-leaking galaxies. This RHD turbulence origin provides an appealing hypothesis to explain high LyC leakage from very young (∼3 Myr) star-forming galaxies found in the local universe without need of extreme galactic outflows or supernova feedback. We discuss the implications of the turbulent H ii regions on other nebular emission lines and a possible observational test with the Magellanic System and local blue compact dwarf galaxies as analogs of reionization-era systems.
Measuring Distances to Low-luminosity Galaxies Using Surface Brightness Fluctuations
Authors: Greco Johnny P. , van Dokkum Pieter , Danieli Shany , Carlsten Scott G. , Conroy Charlie 
Published: February 2021

Abstract
We present an in-depth study of surface brightness fluctuations (SBFs) in low-luminosity stellar systems. Using the MIST models, we compute theoretical predictions for absolute SBF magnitudes in the LSST, HST ACS/WFC, and proposed Roman Space Telescope filter systems. We compare our calculations to observed SBF–color relations of systems that span a wide range of age and metallicity. Consistent with previous studies, we find that single-age population models show excellent agreement with observations of low-mass galaxies with 0.5 ≲ g − i ≲ 0.9. For bluer galaxies, the observed relation is better fit by models with composite stellar populations. To study SBF recovery from low-luminosity systems, we perform detailed image simulations in which we inject fully populated model galaxies into deep ground-based images from real observations. Our simulations show that LSST will provide data of sufficient quality and depth to measure SBF magnitudes with precisions of ∼0.2–0.5 mag in ultra-faint

and low-mass classical (M
⋆ ≤ 107
M
⊙) dwarf galaxies out to ∼4 Mpc and ∼25 Mpc, respectively, within the first few years of its deep-wide-fast survey. Many significant practical challenges and systematic uncertainties remain, including an irreducible “sampling scatter” in the SBFs of ultra-faint dwarfs due to their undersampled stellar mass functions. We nonetheless conclude that SBFs in the new generation of wide-field imaging surveys have the potential to play a critical role in the efficient confirmation and characterization of dwarf galaxies in the nearby universe.