bluuebunny/crossref_metadata_2025_split huggingface dataset:
Importance of Clinical Practice Guidelines (CPGs) in Anesthesia: Who is responsible for implementing it?
Authors: Khan Fazal Hameed , Sohail Yamna 
Published: October 2024

Clinical practice guidelines (CPGs) incorporate and support clinical decisions. CPGs can improve clinicians’ and patients’ decision-making by explicitly describing and evaluating the scientific evidence, based on the potential benefits and risks underpinning clinical recommendations, making them relevant to the specific patient encounter. The number of clinical research publications have increased to the point that new medical knowledge is expected to be double every 72 days. Consequently, clinicians depend heavily on the available evidence that has been condensed into clinical CPGs by the representative institutions or societies.
CPGs can have potential benefits and harms. Different groups have different opinions on whether clinical recommendations are useful or bad for medicine considering these contradictory effects. Though guidelines that are carefully prepared and supported by research reduce the potential risks; however, in our country CPGs have not yet been used in full potential and it is still a gray area.
Key words: Anesthesia; Healthcare professional; Clinical practice guidelines; Evidence based practice; Decision making
Citation: Khan FH, Sohail Y. Importance of clinical practice guidelines in anesthesia: Who is responsible for implementing it? Anaesth. pain intensive care 2023;27(2):147−149; DOI: 10.35975/apic.v27i2.2155
Received: March 04, 2023; Revised: March 24, 2023; Accepted: March 24, 2023
Digital pain interventions: a promising new paradigm for pain control
Authors: Nasir Amara , Mahmood Saiyid S. , Mahmood Syed 
Published: October 2024

Background & Objective: A digitally enabled care environment offers a more holistic approach in managing pain in our patients and have the potential to fight the opioid crisis. Accordingly, several digital pain technologies have recently been introduced in our healthcare lexicon and are quickly transforming the healthcare industry. To our knowledge, no one has catalogued the use of these digital health technologies in the chronic pain patient population. The objective of this review article is to identify and classify the medical knowledge, concepts and properties of digital interventions that can be used to treat pain, and describe the most prominent trends in literature to guide future research.
Methodology: PubMed NCBI and EMBASE databases, Google Scholar and Google were searched for information on digital technology for pain management, individual devices, and to review studies describing each individual device. Manuscripts that explored the terminology, development or application of digital pain intervention technologies were selected. Eligible devices and manuscripts were assessed for quality features of relevancy in today’s healthcare environment, relative promise of the technology, and maturity of products and/or approval status, and inclusion in current practice or guidelines.
Results: Several novel digital pain therapeutics were reviewed including their mode of action, specific role in pain management, clinical trials, FDA regulatory status, relevance and advancements compared to their predecessors.
Conclusions: Digital health interventions are poised to become an accessible means of alleviating pain. Improving our knowledge about these novel digital patient-centric approaches to treating patients' pain has the potential to transform our health system.
Key words: Pain; Digital Intervention; Food & Drug Administration; Wearables
Citation: Nasir A, Mahmood S, Mahmood S. Digital pain interventions: a promising new paradigm for pain control. Anaesth. pain intensive care 2022;27(2):256−265; DOI: 10.35975/apic.v27i2.2175
Received: December 23, 2022; Reviewed: January 14, 2023; Accepted: February 10, 2023
Fluid management using cardiometry versus simplified ‘Fluid and Catheter Treatment Trial’ protocol in acute respiratory distress syndrome
Authors: Shaheen Mostafa Mohamed , Elgebaly Ahmed Said , Elbaradey Ghada Fouad , Elkeblawy Amira Mahfouz 
Published: October 2024

Background & Objective: Fluid management is a complicated subject and an important part of medical care. Fluid balance has been shown to improve respiratory physiology in patients with acute respiratory distress syndrome (ARDS). We compared fluid management in ARDS guided by electrical cardiometry (EC) versus guided with conservative fluid protocol, simplified Fluid and Catheter Treatment Trial (‘FACTT Lite’).
Methodology: This prospective randomized study was conducted on 70 patients, who were 18 y or older and who fulfilled the Berlin definition of ARDS. Enrolled patients were randomly allocated into two equal groups; Group A: fluid management was guided by ‘FACTT Lite’ and Group B, in which fluid management was guided by EC.
Results: Mortality at 28th day was lower in Group B than in Group A; the hazardous ratio of mortality in Group A was 2.55 times than Group B. Duration of survival was higher in Group B than in Group A. Intensive care unit (ICU) stay and duration of mechanical ventilation (MV) were significantly lower in Group B than in Group A. Weaning was better in Group B than Group A. Lung Injury Score (LIS) was significantly decreased in Group B than Group A at 4, 5, 6, 7 and 14 days. Intravenous fluid intake and urine output were significantly decreased in Group B than Group A at all time measurements.
Conclusions: Electrical cardiometry was superior to ‘FACTT Lite’ in the fluid management in ARDS in terms of decreased 28-day mortality, Lung Injury Score, fluid intake, duration of mechanical ventilation and ICU stay.
Abbreviations: ARDS - acute respiratory distress syndrome; EC - electrical cardiometry; ‘FACTT Lite’- Simplified conservative fluid protocol, Fluid and Catheter Treatment Trial; MV - mechanical ventilation
Key words: Electrical Cardiometry; FACTT Lite; Fluid management; Mechanical ventilation; Acute Respiratory Distress Syndrome.
Citation: Shaheen MM, Elgebaly AS, Ghada Fouad Elbaradey GF, Elkeblawy AM. Fluid management using cardiometry versus simplified ‘Fluid and Catheter Treatment Trial’ protocol in acute respiratory distress syndrome. Anaesth. pain intensive care 2023;27(2):204−213.
DOI: 10.35975/apic.v27i2.2186
Received: September 06, 202; Reviewed: July 18, 2022; Accepted: July 26, 2022
Pulmonary hypertension following severe COVID–19: a case report
Authors: Karmakar Chandra Shekhar , Abdul Hannan Mohammad , Shafiqul Islam Md , Bhowmik Dilip Kumar , AKM Akhtaruzzaman 
Published: October 2024

Persistence of symptoms or development of new symptoms, late in the course of COVID–19 puts a constant burden on our healthcare facilities. In its severe form, COVID–19 patient may present as acute respiratory distress syndrome (ARDS), shock, and multiorgan failure and other immunological disharmony. With extensive parenchymal and vascular endothelial damage to lung vasculature, some patient may develop extensive fibrosis and pulmonary hypertension. Our patient a 60–year–old male, slightly overweight (BMI = 28.3) with history of IGT suddenly developed fever, sore throat and anosmia with myalgia. At 7th day of symptom his saturation fell down and patient was admitted in Bangabandhu Sheikh Mujib Medical University (BSMMU) for advance management. Initially patient was treated in COVID–19 ward, latter he was shifted to ICU as oxygen saturation was not maintained by HFNC. After a long battle of 56 days in ICU and 19 days stay in post COVID ward patient was discharged home with intermittent oxygen therapy only to develop pulmonary hypertension as a sequelae of post COVID syndrome. A holistic approach to management of post COVID syndrome is needed for such multisystem involvement of severe COVID patients.
Key words: COVID–19; Pulmonary hypertension; Post–COVID syndrome; CTEX CPAP; HFNC
Citation: Karmakar CS, Hannan MA, Islam MS, Bhowmik DK, Akhtaruzzaman AKM. Pulmonary hypertension following severe COVID–19: a case report. Anaesth. pain intensive care 2021;25(4):539–543.
DOI 10.35975/apicare.v25i4.1554
Received: May 29, 2021, Reviewed: June 10, 2021, Accepted: June 21, 2021
GAMBARAN PROSES IMPLEMENTASI REKAM MEDIS ELEKTRONIK DI UNIT RAWAT JALAN DENGAN METODE HOT-FIT DI RUMAH SAKIT UMUM ARI CANTI
Authors: Juliantari Ni Ketut , Adiningsih Luh Yulia , Putri Putu Chrisdayanti Suada , Putra Gede Wirabuana , Pradnyani Putu Erma 
Published: October 2024

Rekam medis elektronik sangat penting untuk mengatasi berbagai masalah yang sering terjadDi di rumah sakit seperti hilangnya rekam medis, tempat penyimpanan yang besar, dan PERMENKES Republik Indonesia Nomor 24 Tahun 2022 Tentang Rekam Medis, Pasal 45 menyatakan bahwa seluruh fasilitas pelayanan kesehatan menyelenggarakan rekam medis elektronik sesuai dengan ketentuan dalam peraturan menteri ini paling lambat pada 31 Desember 2023. Di Rumah Sakit Umum Ari Canti tidak adanya keluhan terkait pelayanan, namun Rumah Sakit Umum Ari Canti masih semi rekam medis. Rekam medis elektronik adalah versi dari rekam medis kertas yang dibuat menjadi elektronik. Hambatan penerapan rekam medis elektronik di rumah sakit meliputi 4 aspek antara lain sumber daya manusia (SDM), kebijakan dan regulasi, infrastruktur dan biaya, Penelitian ini bertujuan untuk menggambarkan proses implementasi rekam medis elektronik dengan model Hot-Fit. Model ini menempatkan komponen penting dalam sistem informasi yakni Manusia (Human), Organisasi (Organization) dan Teknologi (Technology) dan Net-benefit. Hasil dari penelitian ini adalah terdapat hubungan yang signifikan terhadap komponen human, organization, dan technology terhadap net-benefit.
EVALUASI SISTEM INFORMASI KESEHATAN E-PUSKESMAS DI PUSKESMAS SUKAWATI II MENGGUNAKAN METODE EUCS
Authors: Suci Putu Jyothi Eka Suci , Laksmini Putu Ayu , Wirajaya Made Karma Maha , Sudiari Ni Made 
Published: October 2024

Evaluasi sistem informasi kesehatan atau yang dikenal SIK E –Puskemas di Puskemas Sukawati II dengan metode end user computing satisfaction (EUCS). Tujuan Penelitian adalah mengevaluasi sistem informasi kesehatan di Puskesmas Sukawati II dengan metode end user computing satisfaction (EUCS). Penelitian ini berbentuk kuantitatif dan bersifat cross-sectional yang dilaksanakan pada bulan April-Juni 2022 yang dilakukan di Puskemas Sukawati II. Jumlah sampel yang diambil yaitu sebanyak 12 responden. Metode pengumpulan data yaitu dengan melakukan observasi dan wawancara dan dibantu dengna instrument berupa kuesioner. Hasil penelitian ini menyatakan bahwa evaluasi penerapan SIK E-Puskemas dengan metode EUCS mendapatkan hasil yang baik dengan nilai rata-rata jawaban responden memilih pernyataan yang baik terhadap format, accuracy, timeliness, dan ease of use. Namun untuk bagian content, responden menyatakan bahwa content sering tidak sesuai. Dari hasil penelitian disimpulkan bahwa hasil jawaban responden terhadap SIK E-Puskesmas memiliki hasil yang baik atau positif ditinjau dari evaluasi menggunakan EUCS.
Kata Kunci : Sistem Informasi Kesehatan; E-Puskemas; End User Computing Satisfaction (EUCS)
أثر السياق في إيضاح معاني المفردات في تفسير الأمثل
Authors: الفتلاوي محمد , شبلاوي مظفر 
Published: October 2024

المعجمات اللغوية هي الملجأ الذي يهرع إليه الدارس لأي لفظة وهو يشكل عليه معناها, وكلمات المعجم لفظة صامتة ثابتة التعريف أهل البينة اللغوية, ويستعان بالمعجم لمعرفة معنى ذلك اللفظ أو السِّياق, ولا نكفي أنّ نعول على المعجم في تعريف الدلالة اللفظية, فهو يمدنا بقرينة لا تغني عن القرينة المقامية, إضافة إلى ذلك ما يسمى بالترادف الكامل بين الألفاظ الترادف التام وغيره من العلاقات الدلالية , ويهدف البحث الى معرفة أثر السياق في إيضاح معاني المفردات في تفسير الأمثل في كتاب الله المنزل , وتأتي أهمية البحث من تأثير السياق في توضيح المعاني للمفردات في تفسير الامثل , وتأتي أيضا من تعطي الكلمات من المعاني والدلالات بقدر ما يتاح لها من الاستعمالات وكثرة الاستعمال تؤدي إلى خلق كلمات ودلالات جديدة, ويبقى المنبه الذي يبرز أثره في الكشف عن المعنى المراد هو السَّياق .وتكمن مشكلة البحث في السؤال التالي ما هو أثر السياق في إيضاح معاني المفردات في تفسير الأمثل؟ وتوصل البحث الى العديد من النتائج تم تدوينها في نهاية البحث.
The maxispan procedure makes the phonological similarity effect disappear while increasing recall performance
Authors: Gorin Simon , Camos Valérie , Barrouillet Pierre 
Published: October 2024

AbstractBased on the hypothesis of two maintenance mechanisms of verbal information in working memory, an articulatory loop and an attentional executive loop, Barrouillet et al. predicted and observed that facilitating the optimal use and separation of these two systems results in a strong increase in recall performance. They developed for this purpose the maxispan procedure, in which participants cumulatively rehearse aloud a limited number of the first items of the series (i.e., three or four) and keep rehearsing them until the end of the series before recall. Beyond increasing recall performance, the model also predicts that the maxispan procedure should also abolish the phonological similarity effect (PSE, the poorer recall of phonologically similar than dissimilar items) in both the rehearsed and the nonrehearsed items by permitting the perfect maintenance of the former in a nonoverloaded articulatory loop and preventing storage of phonological traces of the latter in the attentional system. However, the PSE should reappear if too many items are verbally rehearsed in the maxispan procedure. In this case, the overload of the articulatory loop should lead to offload its content into the attentional system where phonologically similar traces are prone to confusion. We tested and verified these hypotheses in two experiments.
The Efficiency of Utilizing The Physioex® Application Through E-Learning Among Students in The Field of Health at Universitas Negeri Gorontalo
Authors: Puluhulawa Tesya Gamananda , Pateda Sri Manovita , Abbas Jeane Novita Irene , Paramata Nanang Roswita , Irmawati Irmawati 
Published: October 2024

Introduction: Physiology is a study of the normal functions of the human body. However, the traditional lecture-based approach to teaching this subject has been observed to cause disengagement and boredom among students. Universitas Negeri Gorontalo was exploring the use of PhysioEx®, an interactive e-learning laboratory to studying physiology. This study aims to identify effective teaching methods to enhance student learning outcomes in physiology courses.Method: A true experimental study was carried out at the Faculty of Medicine in Universitas Negeri Gorontalo in October 2023 with a pretest and posttest group. Each test comprised of nine questions and had a time limit of nine minutes. The study population consisted of 200 Public Health students and 69 medical students from the year 2023. A sample of 161 random individuals was selected for analysis using the Slovin formula, and the data was analyzed using the T-test analysis.Results: Based on the statistical analysis of the pretest and posttest scores, it was observed that both the lecture method and the PhysioEx® method resulted in a significant increase in scores (p0.05). However, no substantial difference was observed in the learning outcomes between the two methods (p 0.05).Conclusion: The comparative effectiveness of the lecture method and the PhysioEx® method in the instruction of physiology has been analyzed. The findings indicate that both methods are similarly effective when employed in educational contexts pertaining to physiology. The results of this analysis underscore the utility and potential of both pedagogical approaches. Keywords: Learning effectiveness, e-learning, physiology, physioEx®
The Incidence of Anemia and Its Relationship With Nutritional Status (A Study on Female Students at SMA Negeri 3 Gorontalo)
Authors: Inayah Alifya Isty , Otto Suliyanti , Dungga Elvie Febriani , Ibrahim Sri Andriani , Ihsan Maimun 
Published: October 2024

Introduction: The calibre of its human resources dramatically impacts the development of a nation. However, specific health concerns, such as malnutrition, specifically anemia, continue to impede the progress of women of reproductive age, particularly teenage girls, due to the increasing requirement for iron during puberty and menstruation. This study aims to explore the correlation between nutritional status and the prevalence of anemia in female students, specifically focusing on high school students.Method: This cross-sectional study examined the correlation between the nutritional status of female students in grade XI at SMA Negeri 3 Gorontalo from September to November 2023. Microtoise and digital scales will be employed to obtain the student's body mass index (BMI) values to evaluate their nutritional status. Anemia will be detected using a digital strip-test Hb measuring instrument, and purposive sampling will be used as the sampling technique. The Spearman rank analysis test will be used to determine the significance of the associative hypothesis.Results: The study primarily consisted of young women, with the majority being 15 years old (41.2%), possessing normal nutritional status (76.5%), and not experiencing anemia (66.7%). An intriguing correlation was discovered between nutritional status and anemia incidence among female students at SMA Negeri 3 Gorontalo (r=-0.364, p= 0.009).Conclusion: The prevalence of anemia among female students at SMA Negeri 3 Gorontalo is related to their nutritional status. It is recommended that healthcare professionals provide counselling and education on anemia, particularly for teenage girls. Keywords: Anemia, teenage girl, nutritional status.
The HD 191939 Exoplanet System is Well Aligned and Flat
Authors: Lubin Jack , Petigura Erik A. , Van Zandt Judah , Beard Corey , Dai Fei , Halverson Samuel , Holcomb Rae , Howard Andrew W. , Isaacson Howard , Luhn Jacob , Robertson Paul , Rubenzahl Ryan A. , Stefánsson Guđmundur , Winn Joshua N. , Brodheim Max , Deich William , Hill Grant M. , Gibson Steven R. , Holden Bradford , Householder Aaron , Laher Russ R. , Lanclos Kyle , Payne Joel , Roy Arpita , Smith Roger , Shaum Abby P. , Schwab Christian , Walawender Josh 
Published: October 2024

Abstract
We report the sky-projected spin–orbit angle λ for HD 191939 b, the innermost planet in a six-planet system, using Keck/KPF to detect the Rossiter–McLaughlin (RM) effect. Planet b is a sub-Neptune with radius 3.4 ± 0.8 R
⊕ and mass 10.0 ± 0.7 M
⊕ with an RM amplitude <1 m s−1. We find the planet is consistent with a well-aligned orbit, measuring λ = 3.°7 ± 5.°0. Additionally, we place new constraints on the mass and period of the distant super-Jupiter, planet f, finding it to be 2.88 ± 0.26 M
J on a 2898 ± 152 days orbit. With these new orbital parameters, we perform a dynamical analysis of the system and constrain the mutual inclination of the nontransiting planet e to be smaller than 12° relative to the plane shared by the inner three transiting planets. Additionally, the further planet f is inclined off this shared plane, the greater the amplitude of precession for the entire inner system, making it increasingly unlikely to measure an aligned orbit for planet b. Through this analysis, we show that this system’s wide variety of planets are all well-aligned with the star and nearly coplanar, suggesting that the system formed dynamically cold and flat out of a well-aligned protoplanetary disk, similar to our own solar system.
Redshift Prediction with Images for Cosmology Using a Bayesian Convolutional Neural Network with Conformal Predictions
Authors: Jones Evan , Do Tuan , Li Yun Qi , Alfaro Kevin , Singal Jack , Boscoe Bernie 
Published: October 2024

Abstract
In the emerging era of big data astrophysics, large-scale extragalactic surveys will soon provide high-quality imaging for billions of celestial objects to answer major questions in astrophysics such as the nature of dark matter and dark energy. Precision cosmology with surveys requires accurate photometric redshift (photo-z) estimation with well-constrained uncertainties as inputs for weak lensing models to measure cosmological parameters. Machine learning methods have shown promise in optimizing the information gained from galaxy images in photo-z estimation; however, many of these methods are limited in their ability to estimate accurate uncertainties. In this work, we present one of the first applications of Bayesian convolutional neural networks (BCNNs) for photo-z estimation and uncertainties. In addition, we use conformal mapping to calibrate the photo-z uncertainties to achieve good statistical coverage. We use the public GalaxiesML data set of ∼300k galaxies from the Hyper Suprime-Cam survey containing five-band photometric images and known spectroscopic redshifts from 0 < z < 4. We find that the performance is much improved when using images compared to photometry, with the BCNN achieving 0.098 rms error, a standard outlier rate of 3.9%, a 3σ outlier rate of 4.5%, and a bias of 0.0007. The performance drops significantly beyond z > 1.5 due to the relative lack of training data beyond those redshifts. This investigation demonstrates the power of using images directly and we advocate that future photo-z analysis of large-scale surveys include galaxy images.
Direction-dependent Effects on Global 21 cm Detection
Authors: Agrawal Yash , Kavitha K. , Singh Saurabh 
Published: October 2024

Abstract
Cosmic dawn represents a critical juncture in cosmic history when the first population of stars emerged. The astrophysical processes that govern this transformation need to be better understood. The detection of redshifted 21 cm radiation emitted from neutral hydrogen during this era offers a direct window into the thermal and ionization state of the Universe. This emission manifests as differential brightness between spin temperature and the cosmic microwave background. The SARAS experiment aims to detect the sky-averaged signal in the frequency range 40–200 MHz. SARAS’s unique design and operational strategy to float the antenna over a water body minimizes spectral features that may arise due to stratified ground beneath the antenna. However, the antenna environment can be prone to configuration changes due to variations in critical design parameters such as conductivity and antenna tilt. In this paper, we connect the variations in antenna properties to signal detection prospects. By using realistic simulations of a direction- and frequency-dependent radiation pattern of the SARAS antenna and its transfer function, we establish critical parameters and estimate bias in the detectability of different models of the global 21 cm signal. We find a correlation between the nature of chromaticity in antenna properties and the bias in the recovered spectral profiles of 21 cm signals. We also find stringent requirements for transfer function corrections, which can otherwise make detection prospects prohibitive. We finally explore a range of critical parameters that allow robust signal detection.
Two Radio Cores in GPS J1543-0757: A New Dual Supermassive Black Hole System?
Authors: Cheng Xiaopeng , Sohn Bong Won 
Published: October 2024

Abstract
We report on the discovery of a dual supermassive black hole system in the radio galaxy J1543−0757, with a projected separation between the two black holes of ∼46 mas. The result is based on recent multifrequency observations using the Very Long Baseline Array and European VLBI Network, which reveal two compact, variable, flat-spectrum, active nuclei within the elliptical host galaxy of J1543−0757. Multiepoch observations from the Very Long Baseline Array also provide constraints on the spectral index and proper motions of all components. The flat spectra of both N and S at both frequencies strongly support the hypothesis that these radio components are associated with two separate, accreting supermassive black holes. The two nuclei appear stationary, while the jets emanating from the weaker of the two nuclei appear to move out and terminate in bright hotspots. The discovery of this system has implications for the number of close dual black holes that might be sources of gravitational radiation.