bluuebunny/crossref_metadata_2025 huggingface dataset:
Hypertonic Saline Solution in Children with Adenoidal Hyperytrophy: Preliminary Evidence
Authors: Ciprandi G. , Varricchio A. , Capasso M. , Varricchio A.M. , de Lucia A. , Ascione E. , Avvisati F. , di Gioacchino M. , Barillari U.
Published: January 2017

Adenoidal hypertrophy (AH) is a frequent problem in children. A preliminary study evidenced that intranasal hypertonic solutions may exert an anti-inflammatory activity. The aim of the study is to evaluate the effect of intranasal hypertonic or isotonic solutions in children affected with AH. For this purpose, 78 children with AH were evaluated in a randomised and controlled study. Inclusion criteria for the study required that each patient had to have a III or IV degree of AH on the initial endoscopic examination. Children were treated with intranasal hypertonic or isotonic saline solution for 8 weeks. After treatment, endoscopy was performed to evaluate AH degree. Hypertonic treatment was associated with significant (p<0.05) reduction of AH degree. There was a consistent reduction of children with III degree of AH. No adverse events were reported. This preliminary study demonstrates that an 8-week treatment with intranasal hypertonic solution is associated with significant reduction of AH. Therefore, this study evidences that hypertonic solution may exert an anti-inflammatory activity and is safe.
The in vitro-Induction of Type II Collagen-Specific Immune Tolerance in BALB/C Mice
Authors: Farooq S.M. , Ashour H.M.
Published: January 2017

Type II collagen (CII) protein is the main component of hyaline cartilage. The clinical importance of CII in arthritis, aging, and osteoarthritis is significant, but its ability to induce specific immune tolerance has not been extensively studied previously. We have recently proven that CII is capable of inducing Anterior Chamber Associated Immune Deviation (ACAID) when injected into the eye. Here, we hypothesized that ACAID-mediated tolerance could be induced in Balb/c mice that receive an intravenous administration of CII-induced in vitro-generated ocular-like antigen-presenting cells (APCs) or T regulatory cells (Tregs). Delayed hypersensitivity (DTH) assays were used to examine this hypothesis. In mice injected with CII-specific ACAID APCs, the specific regulatory activities resided in the spleen cells, splenic T cells, and ACAID CD8+ T cells, as proven by local adoptive transfer (LAT) assays. Conversely, there was a lack of regulatory activity in the CD4+ CD25+ T cell compartment of the recipient mice. Thus, ACAID CD8+ Tregs generated in vitro could be directly responsible for the expression of CII-driven ACAID-mediated tolerance and could be used as potential therapeutic tools in the treatment of CH-associated autoimmune diseases.
Muscle Strength and Balance Training in Sarcopenic Elderly: A Pilot Study with Randomized Controlled Trial
Authors: Bellomo R.G. , Iodice P. , Maffulli N. , Maghradze T. , Coco V. , Saggini R.
Published: January 2017

In aging, there is a gradual decrease in muscle mass (sarcopenia) and muscle strength which contributes to a decline in physical functions, increased disability, frailty, and loss of independence. Physical activity can reduce functional decline due to aging. Randomized controlled trials (RCT) are needed to determine the effectiveness of different exercise stimuli on muscle strength and balance in the sarcopenic elderly. Forty male volunteers diagnosed with sarcopenia (CDCP) (70.9±5.2yrs) were enrolled in this study. A randomized, controlled trial, with blind assessment, was designed to study the effect of global sensorimotor, high intensity focused vibrational (intensity: 300Hz) and resistance training (intensity: 60–80% of maximum theoretical force, 10–12 repetitions for 3 sets) stimuli on muscle strength and balance confidence. The subjects were randomly assigned to three different training programs or a control group which was encouraged to maintain their habitual activity level. The training was performed for 12 weeks in all groups: 2 sessions/week in Gsm and Ret groups; 1 session/week for the first 8 weeks and 3 sessions/week for the last 4 weeks in Vam group. The main outcome was maximal force contraction of the lower limbs, and secondary outcomes were static and dynamic balance confidence. All the training regimens increased isometric strength. Both the sensorimotor and the vibrational training increased stability with a reduction of sway area and of ellipse surface (p<0.01). Gait analysis showed a significant increase in the length of the half-step in all three groups (respectively 108%, p <0.01; 92% p< 0.01; 65% p <0.05). AH the training programs implemented in the present investigation increase muscle strength. In addition, sensorimotor and vibrational training intervention aims to transfer these peripheral gains to the functional and more complex task of balance, in order to reduce the risk of falls.
Intravenous Immunoglobulin Therapy When Plasmapheresis Fails in Thrombotic Thrombocytopenic Purpura Associated with Severe ADAMTS 13 Deficiency in Childhood: A Case Report
Authors: Pavone P. , Passaniti E. , Taibi R. , Longo M.R. , Nunnari G. , Verrotti A. , Serra A. , Falsaperla R. , Cocuzza S.
Published: January 2017

Thrombotic thrombocytopenic purpura (TTP) is a disorder of the blood-coagulation system, causing extensive microscopic clots to form in the small blood vessels throughout the body. TTP is quite a rare pathology in childhood, being more frequent among adults. Often it is hardly to distinguish from other haematological pathologies in children both for its uncommon incidence and for the presence of clinical forms that are heterogeneous and difficult to classify. We report the case of an 11-year-old girl suffering from TTP, in whom the study of metallo-protease ADAMST 13 showed a low value (<10%) with positive anti-ADAMTS 13 Ig G and inhibitor, strengthening the hypothesis of autoimmune genesis. The girl was initially treated with cycles of plasmapheresis with both poor compliance and benefit for the girl and later treated with IV Immunoglobulin. This last treatment resulted in a rapid improvement of the symptomatology and no reappearance of the clinical signs at four-year follow-up.
Keratocystic Odontogenic Tumor Surgical Management: Retrospective Analysis on 77 Patients
Authors: Cassoni A. , Valentini V. , Della Monaca M. , Pagnoni M. , Prucher G.M. , Brauner E. , Guarino G. , Fadda M.T. , Jamshir S. , Pompa G. , Iannetti G.
Published: January 2017

In 2005 the WHO introduced the former odontogenic keratocyst to the category of benign odontogenic tumours. The change in terminology was based on the observation that the odontogenic keratocyst behaves as a neoplasm and not like a benign cystic lesion. The present paper is a retrospective analysis on the management of keratocystic odontogenic tumor over a period of 11 years (2001–2012) in the Department of Maxillo-Facial Surgery at the University of Rome “Sapienza”, with particular focus on the surgical choices and the relative rates of relapse. The patient population consisted of 34 females and 43 males. Administered treatment modalities consisted of enucleation in 55 cases and radical resection in 22 cases. Nineteen percent of patients who underwent enucleation suffered KCOT relapse. No relapse was observed in the radical resection group with follow-up of 3–7 years. The goals of the treatment include elimination of the pathology and decrease of potential recurrence while minimizing harm to the patient. In the Authors' experience, conservative treatment still encompasses a high rate of recurrence; otherwise, resection provides the lowest recurrence rate, yet causes the most suffering to the patient. The issue surgeons encounter is whether to choose a conservative approach, reducing the morbidity to the patient, knowing that several operations may be required to eliminate recurrence; or being more aggressive and potentially more destructive, at the same time ensuring the best condition to avoid recurrence. Other studies are needed in order to find definitive guidelines for this challenging pathology.
An Examination of Age-Based Stereotype Threat About Cognitive Decline
Authors: Barber Sarah J.
Published: January 2017

“Stereotype threat” is often thought of as a singular construct, with moderators and mechanisms that are stable across groups and domains. However, this is not always true. To illustrate this, the current review focuses on the stereotype threat that older adults face about their cognitive abilities. Drawing upon the multithreat framework, I first provide evidence that this is a self-concept threat and not a group-reputation threat. Because this differs from the forms of stereotype threat experienced by other groups (e.g., the threat that minority students face about their intellectual abilities), the moderators of stereotype threat observed in other groups (i.e., group identification) do not always generalize to age-based stereotype threat about cognitive decline. Looking beyond the forms of stereotype threat elicited, this review also provides evidence that the mechanisms underlying stereotype-threat effects may vary across the adult life span. Because of age-related improvements in emotion-regulation abilities, stereotype threat does not seem to reduce older adults’ executive-control resources. Overall, this review highlights the need to approach the concept of stereotype threat with more granularity, allowing researchers to design more effective stereotype-threat interventions. It will also shed light on why certain stereotype threat effects “fail to replicate” across domains or groups.
How Orthogonal Are the Big Two of Social Perception? On the Curvilinear Relation Between Agency and Communion
Authors: Imhoff Roland , Koch Alex
Published: January 2017

Humans make sense of their social environment by forming impressions of others that allow predicting others’ actions. In this process of social perception, two types of information carry pivotal importance: other entities’ communion (i.e., warmth and trustworthiness) and agency (i.e., status and power). Although commonly thought of as orthogonal dimensions, we propose that these Big Two of social perception are curvilinearly related. Specifically, as we delineate from four different theoretical explanations, impressions of communion should peak at average agency, while entities too high or too low on agency should be perceived as low on communion. We show this pattern for social groups across one novel and five previously published data sets, including a meta-analysis of the most comprehensive data collection in the group perception literature, consisting of 36 samples from more than 20 countries. Addressing the generalizability of this curvilinear relation, we then report recent and unpublished experiments establishing the effect for the perception of individuals and animals. On the basis of the proposed curvilinear relation, we revisit the primacy of processing communion (rather than agency) information. Finally, we discuss the possibility of a more general curvilinear relation between communion and dimensions other than agency.
Social inequalities in the allocation of learning support in a Swedish upper secondary school
Authors: Johansson Monica
Published: January 2017

The upper secondary school is in Sweden practically mandatory even though attendance is voluntary and today almost all students in Sweden continue their studies at upper secondary school. But not all of them leave this school with a complete certificate of schooling as a result of experiencing a range of difficulties which may be due to cognitive, physical, sensory or social factors. This article uses ethnographic data from a case study to explore how one municipal upper secondary school allocates additional support to students with different social characteristics. The study focussed on students in the following three upper secondary schools programme all in the same school: (1) Individual, (2) Health and Social Care, and (3) Technology. The results show that existing social inequalities are reinforced through everyday activities and interactions. The prevalence and type of additional support that the students are offered is one of the factors reinforcing existing social differentiation, and is closely linked to the type of programme they are studying. Successful support services appear to be focused on Swedish male pupils from higher socio-economic backgrounds on the Technology Programme. Students from lower social backgrounds enrolled in either the Individual or Health and Social Care Programmes receive much less appropriate support. The social justice implications of these priorities for resource allocation are discussed.
Subdural B Cell Lymphoma
Authors: Vemuri Naga Varaprasad , Karanam Lakshmi Sudha Prasanna , Rambabu L. , Rao V.S.N. , Kalyan K. , Sateesh G.
Published: January 2017

Dural-based B cell lymphomas are rare and have a female preponderance. A 60-year-old Asian man with a history of trivial trauma presented with generalised tonic clonic seizures and headache. Imaging and clinical work-up was done. A temporoparietal subdural lesion with no evidence of systemic lymphoma was detected. Intraoperatively, a dural-based mass lesion was seen with thickened dura and biopsy-proven B cell lymphoma, and the patient was then kept on chemotherapy. A suspicion of this rare entity should be considered in imaging of dural-based lesions.
The Semantic Ambiguities of Fair Trade: A Micro-Mythanalysis of the Imaginaries of Consumption
Authors: Robert-Demontrond Philippe , Özçaǧlar-Toulouse Nil
Published: January 2017

Over and beyond questions of familiarity with the offering, purchase intention and willingness to pay, fair trade actors are currently questioning the motivations of consumers and the cognitive representations that they develop. Pursuing the same track as the initial academic investigations into this problematic, this study examines the semantic content of the signifier “fair trade” by clarifying the various semio-narrative programs associated with it. An original method of inquiry, the micro-mythanalysis of discourse, is proposed and the findings, drawn from ten types of narrative, are discussed.
Dietary Recommendations in Fracture Healing in Traditional Persian Medicine: A Historical Review of Literature
Authors: Kasnavieh Seyed Mohammad Hosseini , Sadeghi Seyed Mohammad Hasan , Khameneh Seyed Mehdi Hosseini , Khodadoost Mahmood , Bazrafshan Azam , Kamalinejad Mohammad , Jaladat Amir Mohammad , Jafari Shirin , Yasinzadeh Mohammad Reza , Gachkar Latif
Published: January 2017

Background.

Fracture repair is a complex process. An inappropriate diet is a contributing risk factor for fracture nonunion. The aim of this study was to extract dietary recommendations for fracture healing according to traditional Persian medicine (TPM) literature.

Method.

The contents relevant to diets in fracture healing were selected from main textbooks in TPM like Al Qanon fi Al-teb ( The Canon). Other reference textbooks in traditional medicine were also used for a comprehensive study in this respect. Finally content analysis was used for summarizing and describing the results. Findings. Food stuffs are classified in TPM according to their nutritive value, their assimilability, and the quality of achieved chyme. Some light meals like chicken soup are recommended for the early days of fracture and high-nutrient and dense foods such as goat’s or sheep’s head and nuts are advised in following days for fracture healing acceleration and callus formation. Several recommendations are also provided for pacing the healing process.

Conclusion.

A comparison of Avicenna and other Persian sage’s recommended regimens with the recent evidence revealed the potential positive effects of their regimen for bone healing acceleration. It can shed light on a part of history of orthopedics and add to current knowledge about bone fracture and its management.
A Complex View of Industry 4.0
Authors: Roblek Vasja , Meško Maja , Krapež Alojz
Published: January 2017

This article is focused on the importance and influence of Industry 4.0 and consequently the Internet-connected technologies for the creation of value added for organizations and society. The contribution of the article is mainly conceptual. With the development of the Internet, the Internet of things that is central to the new industrial revolution has led to “Industry 4.0.” The aim of this article is to synthesize the known theory and practices of Industry 4.0, and to investigate the changes that will result from Industry 4.0 and with the development of the Internet of things.
Violence in the Lives of Incarcerated Aboriginal Mothers in Western Australia
Authors: Wilson Mandy , Jones Jocelyn , Butler Tony , Simpson Paul , Gilles Marisa , Baldry Eileen , Levy Michael , Sullivan Elizabeth
Published: January 2017

Drawing on in-depth interviews with incarcerated Aboriginal and Torres Strait Islander mothers in Western Australia, we report on the women’s use of violence in their relationships with others. Results reinforce that Aboriginal women are overwhelmingly victims of violence; however, many women report also using violence, primarily as a strategy to deal with their own high levels of victimization. The “normalization” of violence in their lives and communities places them at high risk of arrest and incarceration. This is compounded by a widespread distrust of the criminal justice system and associated agencies, and a lack of options for community support.
The Occupational Health Nurse as the Trusted Clinician in the 21st Century
Authors: Burgel Barbara J. , Childre Frances
Published: January 2017

Occupational health nurses as trusted clinicians use their direct care skills in both on-site and off-site roles to protect human resources and contain health care costs. On-site clinics leverage the knowledge, skills, and abilities of occupational health nurses. To maximize the health of the work force, occupational health nurses use strategies aimed at improving health, engaging employees, enhancing accountability of employees, linking provider strategies, using technology creatively, and promoting healthy work environments. Occupational health nurses maintain a proactive and effective impact on occupational health and safety as part of a broader framework of holistic primary care.
Research to Practice in Occupational Health Nursing
Authors: McCauley Linda A.
Published: January 2017

Occupational health nursing research has gained a significant place in national and international nursing programs and has advanced occupational health nurses' understanding of the most effective ways to prevent occupational illness and injury, provide access to quality care for workers, and manage occupational injuries and return to work. This article describes the history of nursing research in general and highlights the current national shortages that must be addressed to ensure that nurses continue to impact the field. Occupational health nursing priorities are described and examples are given of nurse scientists who have established the foundation of occupational health nursing research and who illustrate varied expertise and the interdisciplinary context in which the work is conducted.
Strategic Thinking
Authors: Randolph Susan A.
Published: January 2017

Strategic thinking will enable occupational and environmental health nurses to implement organizational change initiatives.
Minimizing Nurses' Risks for Needlestick Injuries in the Hospital Setting
Authors: Rohde Karin A. , Dupler Alice E. , Postma Julie , Sanders Allan
Published: January 2017

Despite advances in safety mechanisms for sharps, nurses continue to be at high risk for needlestick injuries, with more than half of all nurses experiencing at least one needlestick injury during their careers. Needlestick injury risk appears to be the result of three incident factors: nurses' sense of urgency, variable shift work, and lower skill level related to years of experience, academic degree, and younger age. This article synthesizes the evidence related to these risk factors among nurses in the hospital setting. Evidence linking needlestick injury risk with both variable shift work and lower skill level is demonstrated. The evidence supporting a relationship between needlestick injury risk and nurses' sense of urgency is conflicting. It is the authors' goal to reduce needlestick injury risk for nurses; therefore, specific changes to hospital nursing practice are recommended based on the evidence identified.
Factors Associated with Hospital Staff Nurses Working on-Call Hours
Authors: Bae Sung-Heui , Trinkoff Alison , Jing Hongjuan , Brewer Carol
Published: January 2017

When nurses work on-call hours, they have limited ability to control the hours they work. Nurses may be required to work extra hours and, if they are unable to detach from work during break time, can experience fatigue and sleep disturbances. Previous studies have not examined factors associated with on-call work. In this pilot study, the authors examined state regulatory, organizational, and personal factors related to nurse on-call hours. Data were collected from registered nurses working in hospitals in two states; the final analytic sample consisted of 219 nurses. The authors found that four variables (teaching hospital employment, patient-to-nurse ratio, race/ethnicity of the nurse, and living with children) were significantly related to working on-call hours. Additional research is needed to understand nurse on-call hours and develop agency policies to promote nurses' health and well-being.
Limitations of Body Mass Index to Assess Body Fat
Authors: Buss Julia
Published: January 2017

Body Mass Index is a useful screening measure, but there are limitations to consider when using it to evaluate body fat.
Future Time Perspective, Hope and Life Satisfaction: A Study on Emerging Adulthood
Authors: Dwivedi Akansha , Rastogi Renu
Published: January 2017

Purpose: This paper explores the relationship between the concept of hope, future time perspective, and satisfaction with life scale (SWLS) of emerging adults. Design/methodology/approach: The present study is basically correlational in nature. Data were collected from 140 (57.14 percent boys and 42.86 percent girls) undergraduate students of Technological Institutes of India. The responses of the participants had been collected on three questionnaires: adult hope scale (Snyder, 2002), Zimbardo time inventory (ZTPI—13, Zimbardo and Boyed), and SWLS (SWLS-5, Diener et al., 1985). Multiple regression analysis was used for data analysis. Findings: The result demonstrated that hope is emerges as significant predictor of life satisfaction. Originality/value: The study offers a model that extends the scope of previous researches in the field of life satisfaction. It provides a new research paradigm to the area of emerging adulthood and introduces some individual factors that could produce variance emerging adults’ life satisfaction. These two individual factors (FTP and hope) are associated with ones future perspective directly and author(s) assumed might be they are potential factors to influence life satisfaction.
The Role of Oncofertility Clinics in Facilitating Access to Reproductive Specialists
Authors: Hariton Eduardo , Bortoletto Pietro , Cardozo Eden R , Hochberg Ephraim P , Sabatini Mary E
Published: January 2017

Purpose:

To determine the impact of the establishment of a dedicated oncofertility clinic on the frequency of patient referrals for fertility preservation (FP) consultation and the time from patient referral to consultation.

Methods:

A retrospective chart review of all women aged 21 to 44 years with an active cancer diagnosis who were referred for FP consultation from 2011 to 2015.

Results:

A total of 6895 female patients eligible for FP were seen at the Massachusetts General Hospital (MGH) Cancer Center. Of those eligible, a total of 209 patients were referred for FP consultation with 150 included in the final analysis. Since the establishment of the oncofertility clinic, the mean time to nonemergent consultation with a reproductive endocrinologist decreased by 27%, from 10.4 to 7.6 days ( P = .03). Furthermore, the proportion of reproductive-aged females seen at the MGH Cancer Center referred for FP consultation increased from 1.7% to 3.0% ( P < .01).

Conclusion:

A dedicated oncofertility clinic increases physician referrals for FP and decreases the mean time to consultation, improving access to FP consultation for reproductive-aged women with cancer.
Impact of Laws Regulating Pain Clinics on Opioid Prescribing and Opioid-Related Toxicity Among Texas Medicare Part D Beneficiaries
Authors: Raji Mukaila A. , Kuo Yong-Fang , Chen Nai-Wei , Hasan Hunaid , Wilkes Denise M. , Goodwin James S.
Published: January 2017

Background: Pain management clinics are major sources of prescription opioids. Texas government passed several laws regulating pain clinics between 2009 and 2011 to reduce opioid-related toxicity. Understanding the impact of these laws can inform policy geared toward making the laws more effective in curbing the growing epidemic of opioid overdose, especially among the elderly population. Objectives: To examine the longitudinal association of laws regulating pain clinics on opioid-prescribing and opioid-related toxicity among Texas Medicare recipients. Methods: The 2007 to 2012 claims data for Texas Medicare Part D recipients were used to assess temporal trends in the percentage of patients filling any schedule II or schedule III opioid prescription, hospitalization for opioid toxicity, and their relationships to the 2009 to 2011 Texas laws regulating pain clinics. We excluded those with a cancer diagnosis. Join-point trend analysis with Bayesian Information Criterion selection methods were used to evaluate the change in monthly percentages of patients filling opioid prescriptions and hospitalization over time. Results: There was a short-lived decline in the monthly percentages of patients who filled a schedule II or schedule III opioid prescription after the 2009 laws regulating pain clinics. The decline lasted about 3 months. Subsequent new laws had no effect on the percentages of patients who filled any opioid prescription or were hospitalized for potential opioid toxicity. Hospitalizations for opioid toxicity were highest in the winter and lowest in the summer. Conclusions: Changes in the percentages of opioid-prescribing or opioid-related hospitalizations over time were not associated with laws regulating pain clinics.
Mood disorders in first- and second-generation immigrants: Systematic review and meta-analysis
Authors: Mindlis Irina , Boffetta Paolo
Published: January 2017

Background

Although there are consistent reports of higher psychosis rates among immigrants, the information on mood disorders is limited.

Aims

To review and quantify the difference in incidence of mood disorders in first- and second-generation immigrant (FGI and SGI) groupsv.non-immigrants.

Method

PubMed, EMBASE and PsycINFO were searched for articles from cohort studies reporting incidence of mood disorders among FGIs and SGIs.

Results

Eighteen studies met our inclusion criteria. The summary relative risk (RR) for FGIs was 1.25 (95% CI 1.11–1.41), based on 17 effect sizes and 6120 cases, and 1.16 (95% CI 0.96–1.40) for SGIs based on three effect sizes. Men seemed at higher risk (RR = 1.29, 95% CI 1.06–1.56).

Conclusions

Clinicians should view FGIs as a group at risk of mood disorders, especially men. Further research is needed to understand immigrants' risk, especially in SGI.
What Definition Is Used to Describe Second Impact Syndrome in Sports? A Systematic and Critical Review
Authors: Stovitz Steven D. , Weseman Jonathan D. , Hooks Matthew C. , Schmidt Robert J. , Koffel Jonathan B. , Patricios Jon S.
Published: January 2017

Concern about what has been termed, “second impact syndrome” (SIS) is a major factor determining return-to-play decisions after concussion. However, definitions of SIS vary. We used Scopus to conduct a systematic review and categorize the definitions used to describe SIS. Of the 91 sources identified, 79 (87%) clearly specified that SIS involved either cerebral edema or death after a concussion when a prior concussion had not resolved. Twelve articles (13%) could be interpreted as merely the events of two consecutive concussions. Among the articles that listed mortality rates, nearly all (33/35, 94%) said the rate of death was “high” (e.g., 50% to 100%). Our review found that most articles define SIS as a syndrome requiring catastrophic brain injury after consecutive concussive episodes. Given that it is unclear how common it is to have a second concussion while not fully recovered from a first concussion, the actual mortality rate of SIS is unknown.
American Board of Vascular Surgery: The First 7 Years
Authors: Stanley James C. , Veith Frank J.
Published: January 2017

The American Board of Vascular Surgery (ABVS) was incorporated in 1996 with a vision of improved training standards and certification of vascular surgeons. At that time, 91% of those holding American Board of Surgery Certificates of Added Qualifications in Vascular Surgery supported the formation of the ABVS. Subsequent events have led to a clear definition of specific educational issues important to the vascular surgery community. Unresolved issues relate to the need to complete a general surgery residency before beginning a vascular surgery fellowship, the continued inclusion of vascular surgery as a primary component of general surgery training, and the absence of a designated Residency Review Committee for Vascular Surgery. These issues have persisted since the inception of the ABVS.

An application for the ABVS to become an American Board of Medical Specialties (ABMS) primary board was submitted in 2002 with a preliminary hearing before a liaison committee composed of American Medical Association and ABMS members. The American Board of Surgery (ABS) and a minority of the vascular surgery community vigorously opposed the application. The perceived divisiveness created by their actions contributed to the application's initial rejection and the necessity for an appeal.

Certain ABS directors have recently stated that they would consider approving multiple track-type training that could allow single certification in vascular surgery, following 5 to 6 years of postgraduate training after medical school. The ABVS cautiously supports this action, recognizing that this radical change for the ABS may not be feasible given the broad-ranging interests of general surgery and restrictive ABMS guidelines for certifying medical specialists. The impact of not resolving the critical issues facing vascular surgery in a timely manner is that there will be inadequate numbers of competent vascular surgeons to provide for society's needs. An independent ABMS-approved ABVS provides a clear opportunity to resolve the recognized failings of the status quo.
Critical Hand Ischemia After Radial Access for Coronary Angiography – Case Report
Authors: Bojakowski Krzysztof , Zawadzki Michał , Mruk Bartosz , Andziak Piotr , Walecki Jerzy
Published: January 2017

Background: Radial artery is now the most frequent access for coronary angiography and intervention. Despite the common opinion that it is safer than femoral access, it has the potential for serious complications. One of them is upper limb ischemia caused by radial artery thrombosis.

Case Report: We are presenting a case of critical hand ischemia after coronary angiography performed through radial access despite existing risk factors, which may be considered as relative contraindications.

Conclusions: In the presented case, decision was made to use radial access despite several risk factors of upper limb ischemia – diabetes, end-stage renal failure, hyperparathyroidism, or even symptoms of left upper limb ischemia. Furthermore, for diagnostic coronary angiography 5F instead of 4F introducer was used.
Texture analysis of the developing human brain using customization of a knowledge-based system
Authors: Gentillon Hugues , Stefańczyk Ludomir , Strzelecki Michał , Respondek-Liberska Maria
Published: January 2017

Background: Pattern recognition software originally designed for geospatial and other technical applications could be trained by physicians and used as texture-analysis tools for evidence-based practice, in order to improve diagnostic imaging examination during pregnancy.

Methods: Various machine-learning techniques and customized datasets were assessed for training of an integrable knowledge-based system (KBS), to determine a hypothetical methodology for texture classification of closely-related anatomical structures in fetal brain magnetic resonance (MR) images. Samples were manually categorized according to the magnetic field of the MRI scanner (i.e. 1.5-tesla (1.5T), 3-tesla (3T)), rotational planes (i.e. coronal, sagittal and axial), and signal weighting (i.e. spin-lattice, spin-spin, relaxation, proton density). In the machine-learning sessions, the operator manually selected relevant regions of interest (ROI) in 1.5/3T MR images. Semi-automatic procedures in MaZda/B11 were performed to determine optimal parameter sets for ROI classification. Four classes were defined: ventricles, thalamus, grey matter, and white matter. Various textures analysis methods were tested. The KBS performed automatic data pre-processing and semi-automatic classification of ROIs.

Results: After testing 3456 ROIs, statistical binary classification revealed that combination of reduction techniques with linear discriminant algorithms (LDA) or nonlinear discriminant algorithms (NDA) yielded the best scoring in terms of sensitivity (both 100%, 95% CI: 99.79-100), specificity (both 100%, 95% CI: 99.79-100) and Fisher coefficient (≈E+4, ≈E+5, respectively).

 Conclusions: LDA and NDA in MaZda can be useful data mining tools for screening a population of interest subjected to a clinical test.
Case Article—Growing Pains: A Case Study for Large-Scale Vehicle Routing
Authors: Milburn Ashlea Bennett , Kirac Emre , Hadianniasar Mina
Published: January 2017

This is a case study focused on the quantitative modeling of transportation services for use in undergraduate and graduate level transportation and logistics or optimization courses. The problem considered in the case is a capacitated vehicle routing problem (CVRP) with additional side constraints corresponding to delivery windows and United States Department of Transportation drive and duty time regulations. The case is presented in the context of a fictional company, Northeastern Home Goods (NHG), but is based on a problem encountered by a real organization. NHG is considering outsourcing its transportation services to a firm having logistics as a core competency. Specifically, NHG wishes to evaluate the transportation costs that will result if a single distribution center is used to serve all of NHG’s current stores according to a preexisting store delivery schedule. The primary objective of the case is to provide students with hands-on experience developing and applying solution techniques for a large unstructured vehicle routing problem. Secondary objectives include requiring students to think logically through the process of creating good solutions, promoting continuous improvement, and encouraging students to consider the business implications of their recommendations.
Patent Publication and the Market for Ideas
Authors: Hegde Deepak , Luo Hong
Published: January 2017

In this paper, we study the effect of invention disclosure through patent publication on the market for ideas. We do so by analyzing the effects of the American Inventor’s Protection Act of 1999 (AIPA)—which required U.S. patent applications to be published 18 months after their filing date rather than at patent grant—on the timing of licensing deals in the biomedical industry. We find that post-AIPA U.S. patent applications are significantly more likely to be licensed before patent grant and shortly after 18-month publication. Licensing delays are reduced by about 10 months, on average, after AIPA’s enactment. These findings suggest a hitherto unexplored benefit of the patent system: by requiring inventions to be published through a credible, standardized, and centralized repository, it mitigates information costs for buyers and sellers, and thus facilitates transactions in the market for ideas.

The online appendix is available at https://doi.org/10.1287/mnsc.2016.2622 .

This paper was accepted by Bruno Cassiman, business strategy.
Simplified Approach for Repair of Early Pseudoaneurysm of the Left Coronary Button Following Composite Graft Due to Acute Type A Aortic Dissection
Authors: Carrel Thierry , Hurni Samuel , Huber Christoph , Englberger Lars
Published: January 2017

We present a simplified surgical technique that was performed on a 37-year-old man who presented with a pseudoaneurysm of the left coronary ostium two months after repair of acute Type A aortic dissection with a composite graft. Intraoperatively, the surgical sites showed extreme adhesions. The leakage at the level of the coronary suture line was exposed from inside the aortic graft. Repair was performed using 7.0 polypropylene sutures, and the postoperative course was uneventful. The patient was discharged on postoperative day six without further complications.
Enhancing inter-professional education through low-fidelity simulation
Authors: Andersn Gail , Hughes Clare , Patterson Dorothy , Costa Janitha
Published: January 2017

Background

An interprofessional education initiative was developed and piloted in 2014 at Queen's University Belfast, within the School of Nursing and Midwifery and the School of Medicine.

Aims

The aim of the collaboration was to introduce concepts of normal labour and birth to fourth-year medical students, led by final-year midwifery students.

Methods

A variety of birthing resources were available to the midwifery students to promote interactivity with the medical students, including birthing balls and birth manikins. Artistic licence in relation to planning the activities was encouraged. Significant emphasis was placed on the importance of relationship-building with women in labour, and the concept of being ‘with woman’ was core to all elements of teaching. Midwifery students undertook acting roles such as the labouring woman, partner or midwife role and acted out mini scenarios such as contacting for advice about early labour, positions for labour or positions for birth. Medical students were encouraged to participate in the role play, and the interactive workshop culminated with a hands-on simulation of childbirth.

Findings

Evaluation of the workshops has been extremely positive. The midwifery students reported a perceived benefit of teamwork in preparing for the workshop and also a perceived increased level of confidence.

Conclusion

Both schools have recognised the benefits of this form of inter-professional education and have subsequently made a commitment to embed it within their respective curricula.
Examining an alcohol health worker service's patient coverage
Authors: Papworth Andrew , Lloyd Charlie , Baker Sarah
Published: January 2017

Alcohol health workers (AHWs) have been found to be effective at reducing alcohol-related hospital admissions, but there is still a paucity of evidence in keys areas. This was the first study to investigate what percentage of patients referred to an AHW service by alcohol screening tools are actually seen by the AHWs. The study—based in a large teaching hospital in the north of England—also investigated the impact of social deprivation on service usage. Research data came from a patient database and semi-structured interviews with AHWs. Further research is required to better understand the ‘harm paradox’ of patients' differential susceptibility to alcohol-related harm and how this might impact AHW service patient flow.
Striving for a good standard of maths for potential student nurses
Authors: Roberts Sheila , Campbell Anne
Published: January 2017

This article explores some of the issues surrounding numerical competence for potential pre-registration children's nursing students, with examples of success and failure, at the University of Hertfordshire. With poor numerical ability causing concern in the UK, and the effect of low competence on patient safety when calculating drug dosages in healthcare, this article considers some of the literature surrounding numerical ability, confidence and anxiety, along with considering whether a ‘C’ grade at GCSE is a suitable marker for assessing numerical competence before starting a pre-registration nursing programme.
When love is made out of card
Authors: Neville Sarah
Published: January 2017

Children of all ages can take part in the annual St Valentine's Day celebration, especially given its link to Expressive arts and design. A great reason to bring out the craft resources.
Sense and processes
Authors: Martland Rebecca
Published: January 2017

Do you care for a child who overreacts to a particular touch, taste, sound or smell; who is always on the go; clumsy; impulsive? Or a child who is always touching or hitting furniture?
Meet every child's needs
Authors: Webb Penny
Published: January 2017

People seem happy to tell you whether your practice is moving with the times or not – but just remember that it is your knowledge of the child, that should determine your provision.
Think before you use that bin
Authors: Garner Lynne
Published: January 2017

Despite recycling being part of everyday modern life, we still waste far too much stuff. Next time you head to the bin, think about what could be re-used in children's play.
Research roundup: January 2017
Authors: Greener Mark
Published: January 2017

In brief

About a quarter of nursing home residents experience a medication error, while three-quarters receive a potentially inappropriate drug, a new systematic review shows About two-thirds of falls among older people occur in those who took at least one high-risk medication during the preceding 24 hours Individuals with albuminuria are at increased risk of cognitive impairment and dementia Duck-billed platypus venom could lead to a new drug for type 2 diabetes
Oral hormonal contraceptives
Authors: Bennett Stephen
Published: January 2017

Humans have long sought to control their own fertility. One relatively recent but widespread method of contraception is the oral administration of, usually, synthetic hormones or analogues to modify the female reproductive cycle. This article will discuss the mechanisms, correct uses and precautions involved in the safe and effective use of such medications.
Presacral abscess as a rare complication of sacral nerve stimulator implantation
Authors: Gumber A , Ayyar S , Varia H , Pettit S
Published: January 2017

A 50-year-old man with intractable anal pain attributed to proctalgia fugax underwent insertion of a sacral nerve stimulator via the right S3 vertebral foramen for pain control with good symptomatic relief. Thirteen months later, he presented with signs of sepsis. Computed tomography (CT) and magnetic resonance imaging (MRI) showed a large presacral abscess. MRI demonstrated increased enhancement along the pathway of the stimulator electrode, indicating that the abscess was caused by infection introduced at the time of sacral nerve stimulator placement.

The patient was treated with broad spectrum antibiotics, and the sacral nerve stimulator and electrode were removed. Attempts were made to drain the abscess transrectally using minimally invasive techniques but these were unsuccessful and CT guided transperineal drainage was then performed. Despite this, the presacral abscess progressed, developing enlarging gas locules and extending to the pelvic brim to involve the aortic bifurcation, causing hydronephrosis and radiological signs of impending sacral osteomyelitis. MRI showed communication between the rectum and abscess resulting from transrectal drainage. In view of the progressive presacral sepsis, a laparotomy was performed with drainage of the abscess, closure of the upper rectum and formation of a defunctioning end sigmoid colostomy. Following this, the presacral infection resolved.

Presacral abscess formation secondary to an infected sacral nerve stimulator electrode has not been reported previously. Our experience suggests that in a similar situation, the optimal management is to perform laparotomy with drainage of the presacral abscess together with simultaneous removal of the sacral nerve stimulator and electrode.
Componer las ciudades. Instrucciones de uso para un urbanismo de vecindad. Más allá de la participación en el diseño urbano
Authors: Estalella Adolfo
Published: January 2017

Este es un manual instrucciones para un urbanismo destinado componer una ciudad distinta. Un urbanismo que no se entiende como una disciplina encargada del planeamiento urbano sino como una forma de habitar que está concernida con la ciudad. Una guía para navegar el difícil itinerario entre un presente urbano infausto y un futuro incierto. Una manual destinado a instruir políticas de la participación urbana desafiantes y esperanzadas. Una invocación por unas políticas de la participación que no reinscriben el presente conocido sino que componen un futuro más justo, unas políticas de la participación que se encaminan hacia la composición de futuros urbanos esperanzados. Las políticas de la participación deben generar condiciones que permiten componer nuevas versiones de ciudad. Experimentos en la ciudalidad de la urbe, que nos ofrecen preguntas que no teníamos y alumbran futuros que no habíamos imaginado. Un modesto manual para versionar la ciudad en su condición experimental.
La concejala antropófaga y otras cuestiones de gusto (O de la desregulación social a través del consumo del espacio y de los espacios de placer)
Authors: Mateo-Cecilia Carolina , Miquel Bartual Mijo
Published: January 2017

"Estoy harta de todo: de los hombres, de las dietas, de los colágenos, de las liposucciones, de la política, de todo menos del sexo, tía. Soy concejala de asuntos sociales y tanto a nivel personal como a nivel profesional, yo creo que el sexo es un asunto profundamente social. El placer sexual es algo a lo que todo el mundo debería tener acceso sin prejuicios ni cortapisas…"  La concejala antropófaga (Pedro Almodóvar, 2009)El imaginario hipersexualizado de las mujeres que se difundió en la década de los 90, ha constituido la imagen de una nueva feminidad y se ha impuesto como la construcción mediática en la que la autodisciplina, la diligencia y la exigencia funcionan como nuevas tecnologías de regulación social en consonancia con el proyecto del neoliberalismo. En este contexto, usando la cocina como espacio narrativo, el cortometraje de 2009 de Pedro Almodóvar “La concejala antropófaga” subvierte en un movimiento doble estos principios. Por un lado, evidenciando a través de su uso (o más bien consumo) del espacio los valores antropófagos que van a dar pie a la crisis que se manifiesta abiertamente en España tras 2008, precedida por la crisis del mercado inmobiliario y de la gestión de lo público. Por otro lado, mientras destripa el perfeccionamiento que se espera de la(s) mujer (es), legitimando los espacios del placer y los placeres del cuerpo como motores de una sociedad más feliz.En este artículo analizaremos cómo nuestra grotesca protagonista desarticula a través de esta doble crítica los tres elementos postfeministas por excelencia según McRobbie: la agencia, el empoderamiento, y la libre elección.