bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Association of obesity with postoperative hypoxia: A meta-analysis
Authors: Ting Yang , Bin Liu , Mudabbar Muhammad Saqib 
Published: February 2021

Post-operative hypoxia is a fairly common clinical complication with severe consequences that can result in permanent organ damage, increased morbidity, increased cost, poor prognosis, and increased fatality. To effectively understand the factors that contribute to such a disease, we conducted a study to determine if obesity is a risk factor of post-operative hypoxia. A thorough search for articles was conducted on various databases. A total of 15658 potential studies were identified out of which 8 were included in this meta-analysis. Data was extracted and analyzed which included 2500 subjects; 1265 subjects in the obese group, and 1235 subjects in the lean group. The combined effect size was 0.19. The results showed that the incidence of post-operative hypoxia in obese was not significantly higher than the lean patients. In conclusion, the meta-analysis reveals that there is no significant correlation between obesity and postoperative hypoxia.
Key words: Meta-analysis; Hypoxia; Obesity; Postoperative; Risk factor
Citation: Ting Y, Bin L. Association of obesity with postoperative hypoxia: A meta-analysis. Anaesth. Pain intensive care 2021;25(1):55-62.
DOI: 10.35975/apic.v25i1.1335
Received: 18 February 2020, Reviewed: 16 March 2020, Accepted: 30 April 2020
The role of home healthcare in managing cancer-related pain during COVID-19 pandemic: ‘The Triple Triage Protocol’
Authors: Ergönenç Tolga , Ergönenç Jalan Şerbetçigil , Altınpulluk Eve Yamak 
Published: February 2021

The coronavirus disease 2019 (COVID-19) can be responsible for severe acute respiratory syndrome and death. To limit the infection spread, non-urgent surgical procedures, day procedures, including interventional pain management, and patient visits, have been postponed or interrupted during the COVID-19 pandemic. Pain management is defined as a fundamental human right, but the rapidly changing nature of the COVID-19 outbreak requires revisions in clinical practice for chronic pain. This article describes the role of home healthcare services in managing cancer pain based on clinical practice during the COVID-19 pandemic and emphasizes the triple triage concept and the use of telemedicine.
Key words: Coronavirus; COVID-19; Telemedicine; Home care; Cancer Pain
Citation: Ergönenç T, Ergönenç JS, Altınpulluk EY. The role of home healthcare in managing cancer-related pain during COVID-19 pandemic: ‘The Triple Triage Protocol’. Snaesth. Pain intensive care 2021;25(1):1-4.
DOI: 10.35975/apic.v25i1.1430
Received: 4 January 2021, Reviewed & Accepted: 8 January 2021
Pain estimation after coronary angiography based on vital signs by using artiﬁcial neural networks
Authors: Heravi Mohammad Amin Younessi , Gazerani Akram , Yaghubi Mohsen S. , Amini Zakiehe A. , Salimi Parisa S. , Falahi Zahra Z. 
Published: February 2021

Background: Coronary angiography is gold standard method to diagnose coronary arteries diseases. The aim of this study was to estimate pain after coronary angiography based on vital signs for determining best position by using artiﬁcial neural networks ANN.
Methodology: This study used a database containing 86 subjects that refer to angiography center. For each subject Vital signs were measured that included blood pressure, percent of blood oxygen saturation, heart rate, respiratory rate and temperature. The Numeric Rating scale (NRS) was used to determine pain intensity. The vital signs were the inputs and the pain value was the corresponding output. These data were applied to train the ANN in the learning process. The model was implemented in MATLAB software. The results of pain estimation were compared with the results of NRS method and the error rate was calculated.
Results: The absolute error and error percentage between NRS method and the present method were 5.41 ± 2.63 mmHg, 4.09 ± 1.59%. The results indicated that the pain measurement by NRS method and pain value predicted with trained ANN differ by only less than 11%. It is obvious that the neural network prediction fit properly to the NRS results.
Conclusion: The results of proposed method were closely in agreement with the results of the NRS. so this method can be suggested for reliving the pain and determining the best patient's position after the angiography procedure.
Key words: Artiﬁcial neural network; Coronary angiography; Pain
Citation: Heravi MAY, Yaghubi MS, Amini ZA, Salimi PS, Falahi ZZ, Gazerani AG. Pain estimation after coronary angiography based on vital signs by using artiﬁcial neural networks. Anaesth. pain intensive care 2021;25(1):27–32.
DOI: 10.35975/apic.v25i1.1433
Received: 21 November 2020, Reviewed: 2 December 2020, Accepted: 12 December 2020
Increase in the glutamate transporter 1 and time withdrawal latency following wet cupping therapy in chronic constriction injury in rats
Authors: Hidayati Hanik Badriyah , Machfoed Muhammad Hasan , . Kuntoro , Subadi Imam , Khaerunnisa Siti , . Widjiati 
Published: February 2021

Objective: Neuropathic pain (NP) is a chronic debilitating pain and is caused by disease or lesion of somatosensory system. NP respond worse to the pharmacological drugs leading to this pain still a big problem in medical treatment and furthermore make many patients seek alternative treatment. Wet cupping therapy (WCT) has been widely used to relief both of acute and chronic pain, but the mechanism for reducing pain has not yet been clear. Recent studies have shown that NP is associated with alteration of GLT-1/EAAT2, and WCT has beneficial role to reduce the pain in various pain models. This is the pilot study, no other study has applied WCT in chronic constriction injury (CCI) models, the most commonly employed animal model of NP. Therefore, we investigate the association between WCT and the reducing pain by looking at the increase of GLT-1 and time withdrawal latency (TWL) in rats with CCI.
Methodology: The study design was randomized, post-test only, controlled trial with a total of 21 male rats (Rattus Norvegicus) with CCI, aged 4 months, weighing 220 to 250 g, randomly divided into three groups, P1 (sham CCI group), P2 (CCI group), and P3 (CCI group plus WCT). WCT had been applied 2 times/week for 3 weeks to all of the groups in paralumbar region, both left and right side. TWL was recorded to assess pain threshold of the rats by hot plate and the expression of GLT-1 on glial cells in spinal cord were counted.
Results: This study revealed that mean ± SD values for P1, P2, and P3 were 7.20 ± 1.30, 2.57 ± 1.27, and 18.20 ± 3.50 respectively. There were significant differences in the TWL between groups P1-P2, P1-P3, and P2-P3 (p = 0.003, p = 0.0001, and p = 0.0001 respectively) and GLT-1 increase was significant between groups P2-P3 (p = 0.009).
Conclusion: It can be concluded that wet cupping therapy decreases the pain by increasing the time withdrawal latency and GLT-1 in chronic constriction injury models. We suggest that wet cupping therapy as a promising method to reduce pain in peripheral neuropathic pain models. However, further investigation is still needed to confirm its mechanism of action.
Key words: GLT-1/EAAT2; Neuropathic pain; Wet cupping therapy; Chronic constriction injury; CCI, TWL
Citation: Hidayati HB, Machfoed MH, Kuntoro, Subadi I, Khaerunnisa S, Widjiati. Increase in the glutamate transporter 1 and time withdrawal latency following wet cupping therapy in chronic constriction injury in rats. Anaesth. pain & intensive care 2021;25(1):48-54.
DOI: 10.35975/apic.v25i1.1441
Received: 24 January 2019, Reviewed: 4 January 2019, 14 January 2019, Revised: 24 January 2019, Accepted: 20 May 2019
Optimizing training programs and opportunities for professional development in the era of digital pain interventions: A unique opportunity for collaboration
Authors: Mahmood Syed H, , Nasir Amara 
Published: February 2021

Introduction: New digital health technologies provide accessible adjuncts to alleviating pain in the general population. The advent novel digital pain interventions have resulted in a rapidly evolving learning environment. Improving knowledge and understanding of these digital patient-centric approaches to treating pain is vital for our current practitioners and new cadre of trainees. The objective of this manuscript is to initiate a discussion about digital pain intervention educational needs of residents as well as attendings in PM&R, anesthesia and neurology.
Methodology: After reviewing Accreditation Council Graduate Medical Education (ACGME) and relevant American Board of Medical Specialties policies and best available evidence, including grey literature, we interviewed a group of practicing physicians in physiatry, anesthesiology and neurology, including program directors, to provide expert opinion, guidance and formulate recommendations on educational requirements, research endeavors, and learning techniques and opportunities in utilizing digital health interventions for management of pain. IRB approval was not required.
Conclusions: We hope that this manuscript will serve as the basis of designing a comprehensive educational program and outlining opportunities for research that prioritizes optimal care for pain patients and leverages the unique and complementary knowledge base within our fields.
Key words: Digital pain; Physiatry; anesthesiology; Neurology; Competency; Accreditation Council Graduate Medical education
Citation: Nasir A, Mahmood SH. Optimizing training programs and opportunities for professional development in the era of digital pain interventions: A unique opportunity for collaboration. Anaesth. pain intensive care 2021;25(1): 78–82.
D0I: 10.35975/apic.v25i1.1444
Received: 24 October 2020; Reviewed: 22 November 2020; Accepted: 5 December 2020
HAMBATAN PENDAFTARAN INDIKASI GEOGRAFIS TAHU SUMEDANG SEBAGAI ASET POTENSIAL DAERAH
Authors: Nugraha Yudha Agung , Haryanto Imam 
Published: February 2021

The purpose of this paper is to examine the barriers to registering geographic indications of Sumedang as potential regional assets. The research method used in the research is normative juridical research which means that it is carried out by examining library materials or secondary materials, then analyzing issues concerning Geographical Indications and their benefits to the area of ​​origin. The results of the analysis raise 2 themes discussed here, barriers to registering geographical indications of Sumedang tofu, as well as the impact on product listing as geographic indications. A study of these two themes is very useful in understanding the importance of registering geographic indications as well as the benefits generated by protecting Geographical Indications.
Keywords : Geographical Indications, Sumedang, Benefits of Geographical Indications
KEPATUHAN PENYELENGGARA PELAYANAN PUBLIK DALAM PELAKSANAAN REKOMENDASI OMBUDSMAN REPUBLIK INDONESIA TERKAIT TINDAKAN MALADMINISTRASI TAHUN 2019
Authors: Dharmawan Muhammad Fachry , Marbun Robinsar 
Published: February 2021

Public services are the key to running a perfect government in the framework of the obligation to serve its citizens. In practice, we often encounter complicated problems from the start to the end. So that this bureaucratic process becomes long, inefficient, and expensive. A fast and precise process is needed so that the public service process will be better in the future. One of the causes of not optimal public services in Indonesia is due to inadequate supervision of internal government. Finally, supervisory agencies have become important in their existence in Indonesia, both for direct investigation and following up on reports from the public. After conducting an investigation, the Ombudsman of the Republic of Indonesia will issue a recommendation if it is proven that the public service institution has committed maladministration. However, many question whether these recommendations are being followed. Then whether the recommendation is sufficient as a sanction for maladministration is still in question. This certainty is important to ensure that the government's performance remains prime and fully pro-people.
Keywords : Public Services, Bureaucracy, Public Service Supervisory Agency, Maladministration
Management of duodenal perforations post-endoscopic retrograde cholangiopancreatography
Authors: Perea del Pozo E , de la Herranz Guerrero P , Tallón Aguilar L , López Ruiz JA , Oliva Mompeán F , Padillo Ruiz J 
Published: February 2021

Resumen

La colangiopancreatografía retrógrada endoscópica (CPRE) es una técnica endoscópica ideada como herramienta fundamental para el diagnóstico y tratamiento de diversos problemas pancreáticos y biliares. La incidencia de complicaciones de la técnica varía de 5,4% al 23,0% y la mortalidad general de 0,1% al 1%. Sin embargo la mortalidad puede verse incrementada en casos en los que se produce un retraso en el diagnóstico y tratamiento de la perforación duodenal alcanzado un 8-23%, como consecuencia de la sepsis y el fracaso multiorgánico secundario. La perforación duodenal post-CPRE es una complicación poco frecuente y potencialmente mortal, por lo tanto la clasificación y las pautas de tratamiento se basan en pequeñas series de casos y no existen estudios prospectivos con alto poder estadístico. La clasificación más comúnmente utilizada es la de Stapfer que tiene en cuenta el mecanismo, la ubicación anatómica y la gravedad de la lesión teniendo un mayor poder predictivo sobre la necesidad de intervención quirúrgica. Mediante la siguiente revisión bibliográfica exponemos las evidencias de la literatura con respecto al diagnóstico y tratamiento según los grados de Stapfer, proponemos del mismo modo un algoritmo de manejo basado en los datos recogidos y la casuística en dos centros de nuestra ciudad.
Management of perianal fistula in outpatient surgery
Authors: Turiño Luque JD , Pérez Reyes M , Cabelo Burgos AJ , Rivas Becerra J , Bayón Muñiz AÁ , Martínez Ferriz A , Santoyo Santoyo J 
Published: February 2021

Resumen

Introducción: la fístula anal se define como un trayecto que comunica el interior del canal anal con la piel perianal. Su origen puede ser multifactorial. Su complejidad viene determinado por la relación con la musculatura esfinteriana y factores interpersonales (enfermedad inflamatoria intestinal, síndrome de inmunodeficiencia adquirida, etc.). El tratamiento de elección es quirúrgico, existiendo gran variedad de técnicas (fistulotomía, fistulectomía, setón, LIFT, etc.), con posibilidad de complicaciones importantes (incontinencia).

Material y métodos: estudio descriptivo de los pacientes diagnosticados de fístula perianal desde 2015 a 2017 registrándose aspectos demográficos, tipo de fístula, tratamiento, complicaciones postquirúrgicas y régimen de intervención (ingreso vs. cirugía mayor ambulatoria).

Resultados: se incluyeron 151 pacientes, sometidos a 176 procedimientos, mayoritariamente fueron varones (74,2%) con mediana de edad de 48 años (DS±13,605). La mayoría de las fístulas se encontraron en el cuadrante inferior izquierdo con paciente en posición de litotomía, predominando el trayecto radial y un mayor porcentaje de diagnóstico postoperatorio de fístulas transesfinterianas de canal anal bajo. La técnica quirúrgica más empleada fue la fistulotomía y/o fistulectomía, seguido de colocación de setón (especialmente en el caso de fístulas complejas). El manejo del procedimiento en el 89,8% de los casos fue en régimen de cirugía mayor ambulatoria.

Conclusiones: la fístula perianal es una patología prevalente compleja pero que en manos de cirujanos proctológicos es factible en régimen de CMA. La fistulotomía y fistulectomía asociada o no a la colocación de setón, siguen siendo las técnicas de elección, con baja tasa de complicaciones.
Toxic megacolon as debut in ulcerative colitis
Authors: Pérez Quintero R , García del Pino B , González Benjumea MP , Reyes Moreno M , Perea Sánchez JM , Martín García de Arboleya R , Balongo García R 
Published: February 2021

Resumen

El megacolon tóxico (MT) es una colitis aguda fulminante asociada a la dilatación mayor de 6 cm no obstructiva del colon total o segmentaria acompañada de signos de toxicidad sistémica. El diagnóstico se basa en la sospecha clínica y pruebas de imagen; radiografía de abdomen y la TC (tomografía computarizada). El tratamiento es inicialmente médico y la cirugía debe plantearse si hay ausencia de respuesta en 48-72 horas, empeoramiento, progresión de la dilatación, perforación o hemorragia.

Presentamos el caso de una mujer de 29 años sin antecedentes médicos que es diagnosticada en urgencias de megacolon tóxico perforado, requiriendo intervención urgente.
Laparoscopic endoluminal resection by transgastric single port of gist tumor
Authors: Licardie Bolaños RE , Suárez Grau JM , Bellido Luque A , Tejada Gómez AJ , Morales Conde S 
Published: February 2021

Resumen

Los tumores gástricos submucosos son infrecuentes, siendo los tumores del estroma gastrointestinal (GIST) los que se encuentran más habitualmente. Los tumores del estroma gastrointestinal representan el dos por ciento de los tumores digestivos.

La resección quirúrgica atípica sin realizar linfadenectomía es la primera opción de tratamiento quirúrgico. Las técnicas mínimamente invasivas, tales como combinar el abordaje transgástrico y endoscópico son útiles en tumores localizados cerca de la unión gastroesofágica, evitando riesgo de estenosis.

Se pretende describir el abordaje quirúrgico de tumores GIST y nuestra experiencia mediante resección transgástrica con puerto único. Asimismo valorar resección oncológica adecuada en los casos (R0) realizados con abordaje transgástrico. Presentamos el caso de un paciente con un tumor del estroma gastrointestinal submucoso localizado en cuerpo antro gástrico a quién se realiza resección transgástrica mediante puerto único laparoscópico.

El abordaje laparoscópico transgástrico de estos tumores, con o sin asistencia endoscópica, mantiene los mismos resultados oncológicos que los obtenidos tras cirugía convencional. Los abordajes mínimamente invasivos son una buena alternativa de abordaje a las técnicas tradicionales.
Role of the cholecystostomy in the treatment of acute cholecystitis
Authors: Marenco de la Cuadra B , Sánchez Ramírez M , Retamar Gentil M , Cano Matías A , Pérez Margallo E , Oliva Mompeán F , López Ruiz JA 
Published: February 2021

Resumen

La colecistitis aguda litiásica (CAL) es una de las patología más prevalentes en urgencias. Hoy en día la colecistectomía laparoscópica (CL) temprana, se considera el gold standard para el manejo de pacientes diagnosticados de CAL, ya que se trata de una técnica segura, eficaz y con una estancia hospitalaria postoperatoria corta; sin embargo, el manejo en pacientes de alto riesgo sigue siendo controvertido, ya que la CL en estos pacientes puede suponer una elevada morbimortalidad, motivo por el que la colecistostomía percutánea (CP) puede suponer un tratamiento alternativo a la CL bien como puente a una cirugía diferida, ó como tratamiento definitivo en pacientes seleccionados.
Current techniques in the treatment of the posterior hepatic segments by laparoscopic approach.
Authors: Ciria C , Durán M , Pérez Quintero R , Ayllón MD , Gómez Luque I , Padial A , Briceño J 
Published: February 2021

Resumen

El abordaje laparoscópico de las resecciones hepáticas constituye ya el presente demostrando su menor asociación con complicaciones, pérdida de sangre, transfusiones y estancia hospitalaria. La necesidad de disponer de scores de dificultad estandarizados es un hecho, sobre todo en los procedimientos técnicamente más exigentes y complejos, con el fin de conseguir de una expansión controlada y segura. El abordaje de los segmentos posterosuperiores por vía mínimamente invasiva supone un gran reto para el cirujano hepatobiliar y es debido a esto la existencia de diferentes recomendaciones publicadas sobre el posicionamiento del paciente y disposición de trocares. Aunque el abordaje robótico ofrece grandes ventajas, su introducción en la cirugía hepática y especialmente en el abordaje de los segmentos posterosuperiores está siendo lenta y limitada a ciertos centros con amplia experiencia.
Advantages of the medial approach in the dissection of the splenic angle of the colon
Authors: Moya Forcén P , Rubio F , Ferrer M , Reina A 
Published: February 2021

Resumen

La movilización del ángulo esplénico del colon es considerada una maniobra compleja y de las más desafiantes en la cirugía colorrectal con vía laparoscópica. A pesar de que existen distintas opciones quirúrgicas para llevarla a cabo, el abordaje de medial a lateral debe ser la técnica de elección. A continuación, se presenta la técnica quirúrgica y la ventajas de este abordaje.
Endoscopic repair of inguinal hernia. Learning curve.
Authors: Rivas Becerra J , Turiño Luque JD , Cabello Burgos A , Santoyo Santoyo J 
Published: February 2021

Resumen

La hernia inguinal es una patología muy frecuente a nivel mundial, por lo que su reparación debe ser lo menos dolorosa posible y con la menor tasa de complicaciones.

La cirugía endoscópica de la hernia inguinal aporta todas las ventajas de la cirugía sin tensión, por lo que acelera la reincorporación de los paciente a su vida normal.

Las guías clínicas actualizadas recomiendan la reparación endoscópica de la hernia inguinal siempre que haya suficiente experiencia.

Las técnicas endoscópicas requieren una curva de aprendizaje larga siendo recomendable estar tutorizados y realizar una cirugía sistemática.
Minimal invasive techniques in abdominal wall repair with component separation
Authors: Bellido Luque J , Sánchez Matamoros-Martín I , Oliva Mompeán F , Nogales Muñoz Á 
Published: February 2021

Resumen

La tendencia actual en cirugía mínimamente invasiva de pared abdominal es la reconstrucción completa de la línea media, restituyendo los músculos rectos a su posición original. Si se lleva a cabo dicha reparación musculoaponeurótica, conseguimos diferentes ventajas, una menor incidencia de seromas postoperatorios, de la recurrencia herniaria y una mejora considerable de la dinámica de pared abdominal y de la fuerza contráctil de los músculos rectos; así como de los músculos laterales del abdomen.

El cierre primario del defecto se puede conseguir en defectos menores de 7 cm de ancho sin excesiva tensión. Sin embargo, para conseguir cerrar defectos de línea media por encima de 7-8 cm de ancho, es necesario asociar diferentes técnicas para reaproximar los músculos rectos a la línea media y reconstruir completamente la pared abdominal. Es en estos casos en los que las diferentes técnicas de separación mínimamente invasiva de pared abdominal entran en juego.

La separación anterior endoscópica de componentes, La separación posterior endoscópica y la separación posterior tipo TAR, son alternativas válidas para conseguir el objetivo de reconstruir completamente la pared abdominal con técnicas mínimamente invasivas.
Rectal GIST synchronic to colon adenocarcinoma, an unusual association.
Authors: Alcaide Lucena M , Rubio López J , García Martínez MÁ , Zurita Saavedra MS , González Callejas C , de Castro Monedero P , Mirón Pozo B 
Published: February 2021

Resumen

Alrededor del 13-20% de los pacientes con tumores del estroma gastrointestinal (GIST) se han descrito un tumor sincrónico o metacrónico, afectando la mayoría de veces al tracto gastrointestinal. Describimos el caso de un hombre de 81 años derivado a nuestra consulta con clínica de rectorragia y proctalgia, diagnosticado mediante colonoscopia y biopsia informado de adenocarcinoma sigmoide y GIST rectal. El tratamiento que llevamos a cabo combinó resección anterior baja junto a resección de la lesión rectal por vía endoanal. La importancia de este caso reside en la infrecuencia de los GIST de localización rectal (7-11%) cuya asociación sincrónica a adenocarcinoma colorrectal, los hace aún más inusuales.