bluuebunny/crossref_metadata_2025_split huggingface dataset:
Detection of an Abnormally Thick LASIK Flap With Anterior Segment OCT Imaging Prior to Planned LASIK Retreatment Surgery
Authors: Izquierdo Luis , Henriquez Maria A. , Zakrzewski Peter A. 
Published: February 2019

Purpose:
To report a case of an abnormally thick flap that was detected with the use of anterior segment optical coherence tomography (OCT) prior to planned LASIK retreatment surgery.

Methods:
A 43-year-old man presented 6 years after bilateral LASIK surgery with uncorrected visual acuity (UCVA) of 20/20 in the right eye and 20/100 in the left eye, and best spectacle-corrected visual acuity (BSCVA) of 20/20 in the right eye and 20/20 in the left eye (refraction −2.25 −1.25 × 131). Anterior segment OCT was performed before LASIK retreatment surgery in the left eye.

Results:
The flap was found to be 394 μm and the residual stromal bed was too thin (152 μm) to allow for safe LASIK retreatment surgery. After waiting 4 months to ensure refractive stability, photorefractive keratectomy was performed. Postoperative UCVA was 20/20 plano.

Conclusions:

The use of anterior segment OCT in the preoperative examination for planned LASIK retreatment surgery provided more reliable data. [
J Refract Surg.
2008;24:197–199.]
Selection of Calf Bedding Sites by Female Elk in the Central Appalachian Mountains
Authors: Duchamp Joseph E. , DeVivo Melia T. , DeBerti Jon M. , Heffernan Lindsey M. , Kougher Jason D. , Larkin Jeffery L. 
Published: February 2019

AbstractAcross eastern North America, Rocky Mountain elk Cervus canadensis nelsoni have been reintroduced to 11 states and provinces that were previously occupied by the extinct eastern elk C. canadensis canadensis. Outside of Kentucky, these elk reintroductions have resulted in small populations, typically numbering fewer than 1,000 elk per state. Limited information is available about the demographics and habitat selection within these small eastern populations. The availability of high-quality habitat during the first weeks of life is important for promoting annual recruitment and the identification of these characteristics should aid in management efforts. We characterized habitat at two spatial scales surrounding the bedding sites of 83 elk calves (≤ 7 d old) in the Pennsylvania Elk Management Area during the annual calving seasons of 2005–2008. A concurrent study found that calves in this area experienced high survival (92%) during the first 4 mo of life, despite occupying an area with high predator densities. At a local scale, bedding sites used by calves were closer to ecotones, had less leaf litter, and had greater density of vegetation below 1 m compared to random sites (n = 82). At a landscape scale, calf habitat surrounding bedding sites had greater density of edges between forest and open vegetation and less coniferous forest compared to random areas. The selected habitats appear to balance the high energetic needs of lactating females at the landscape scale and the need for cover to conceal calves and reduce predation risk at a local scale. Conclusions drawn from our models suggest future habitat management include enhancements of transitional vegetation along ecotones between forest and herbaceous openings that address the needs of both lactating females and recently born calves. We recommend that managers periodically evaluate the availability of calf habitat and calf survival rates. These monitoring activities will provide insight necessary to adaptively manage elk and the habitats driving their population growth to maintain their viability in the central Appalachian Mountains.
La membrana L-PRF e suoi derivati utili nella chirurgia del wound care/The L-PRF membrane and its derivatives useful in wound care surgery
Authors: Crisci Alessandro , Rescigno Carmela , Crisci Michela 
Published: February 2019

Il crescente settore multidisciplinare dell’ingegneria tissutale mira a rigenerare, migliorare o sostituire in modo prevedibile i tessuti danneggiati o mancanti per una varietà di condizioni causate da traumi, malattie e vecchiaia. Per garantire che i metodi per l’ingegneria tissutale siano ampiamente applicabili in ambito clinico, è necessario modificarli in modo da renderli prontamente disponibili e relativamente facili da usare nella routine clinica quotidiana. Pertanto, i passaggi tra la preparazione e l’applicazione devono essere ridotti al minimo e ottimizzati per renderli pratici e l’implementazione realistica. L’obiettivo generale di sviluppare concentrati piastrinici di origine naturale può essere prodotto vicino al paziente e accelerare il processo di impianto essendo finanziariamente realistico per il paziente e per il sistema sanitario. La fibrina ricca di piastrine (PRF) e i suoi derivati sono stati utilizzati in un’ampia varietà di campi medici per la rigenerazione dei tessuti molli. In conclusione, i risultati della presente revisione sistematica evidenziano gli effetti positivi del PRF sulla guarigione delle ferite dopo terapia rigenerativa per la gestione di vari difetti dei tessuti molli riscontrabili nel wound care.
Growing multidisciplinary field of tissue engineering aims to regenerate, improve or replace predictably damaged or missing tissues for a variety of conditions caused by trauma, disease and old age. To ensure that tissue engineering methods are widely applicable in the clinical setting, it is necessary to modify them in such a way that they are readily available and relatively easy to use in daily clinical routine. Therefore, the steps between preparation and application must be minimized and optimized to make them realistic implementation. General objective of developing platelet concentrates of natural origin can be produced close to the patient and accelerate the implantation process, being financially realistic for the patient and the health system. Fibrin rich in platelets and leukocytes (PRF) and its derivatives have been used in a wide variety of medical fields for soft tissue regeneration. In conclusion, the results of this systematic review highlight the positive effects of PRF on wound healing after regenerative therapy for the management of various soft tissue defects found in wound care.
Challenges to and Resources for Participation in Interprofessional Collaborative Practice: Perceptions of Collegiate Athletic Trainers
Authors: Manspeaker Sarah A. , Hankemeier Dorice A. 
Published: February 2019

Context
Health care systems are increasing their emphasis on interprofessional collaborative practice (IPCP) as a necessary component to patient care. However, information regarding the challenges athletic trainers (ATs) perceive with respect to participating in IPCP is lacking.

Objective
To describe collegiate ATs' perceptions of challenges to and resources for participation in IPCP.

Design
Qualitative study.

Setting
College and university.

Patients or Other Participants
The response rate was 8% (513 ATs [234 men, 278 women, 1 preferred not to disclose sex], years in clinical practice = 10.69 ± 9.33).

Data Collection and Analysis
Responses to survey-based, open-ended questions were collected through Qualtrics. A general inductive qualitative approach was used to analyze data and establish relevant themes and categories for responses. Multianalyst coding and an external auditor confirmed coding saturation and assisted in triangulation.

Results
Challenges were reported in the areas of needing a defined IPCP team structure, respect for all involved health care parties, and concerns when continuity of care was compromised. Communication was reported as both a perceived challenge and a resource. Specific resources seen as beneficial to effective participation in IPCP included communication mechanisms such as shared patient health records and educational opportunities with individuals from other health care professions.

Conclusions
As ATs become more integrated into IPCP, they need to accurately describe and advocate their roles, understand the roles of others, and be open to the dynamic needs of team-based care. Development of continuing interprofessional education opportunities for all relevant members of the health care team can help to delineate roles more effectively and provide more streamlined care with the goal of improving patient outcomes.
Success of a Resident-Led Safety Council: A Model for Satisfying CLER Pathways to Excellence Patient Safety Goals
Authors: Cohen Sarah P. , Pelletier Jonathan H. , Ladd Jennifer M. , Feeney Colby , Parente Victoria , Shaikh Sophie K. 
Published: February 2019

ABSTRACT

Background
The Accreditation Council for Graduate Medical Education (ACGME) Clinical Learning Environment Review (CLER) program focuses on aspects of the graduate medical education learning environment, such as patient safety. Data from CLER site visits reveal that many resident physicians do not receive adequate training on patient safety.

Objective
We evaluated a pediatric resident-led safety council as a method to meet CLER Pathways to Excellence patient safety objectives.

Methods
The Duke Pediatric Residency Safety Council (PRSC) created an infrastructure for residents to participate in department safety efforts, review safety events, and act as leaders for safety initiatives. Annual surveys were distributed to graduate medical education trainees through the institution's patient safety center and the PRSC. Survey results of safety attitudes were compared over time within the pediatrics program and between pediatrics and nonpediatrics trainees at the institution. Resident-submitted safety reports were tracked through an institutional safety event repository.

Results
From 2013 to 2017, the percentage of residents who strongly agreed that they could submit a safety report doubled (from 35% [6 of 17] to 73% [22 of 30], P = .011). The average number of safety reports submitted by a pediatrics resident per year did not significantly change during this period (from 3.0 to 3.8, P = .11). In 2017, 90% of pediatrics residents (27 of 30) agreed or strongly agreed that their concerns would be addressed if they entered a safety report.

Conclusions
The council addressed 5 of the 7 CLER Pathways to Excellence in patient safety.
Examining Clinical Meaningfulness in Randomized Controlled Trials: Revisiting the Well Elderly II
Authors: Schelly David , Ohl Alisha 
Published: February 2019

Abstract
OBJECTIVE. Randomized controlled trial (RCT) interventions often rely on p values, where statistical significance is assumed to provide evidence of an intervention effect. This study provides a secondary data analysis of the Well Elderly II RCT using multiple approaches that examine clinical meaningfulness.
METHOD. We reanalyzed the Well Elderly II RCT using effect size, standard deviation, standard error of measurement, minimal difference, a fragility index, an assessment of poor scores at baseline, and an analysis with a small subgroup of participants removed.
RESULTS. Although some participants improved on several scales, most stayed the same, and a small subset declined. Omitting a small subgroup of participants led to nonsignificant p values.
CONCLUSION. There is evidence that disparities in baseline scores and regression to the mean may have created the appearance of an intervention effect. Our methods of considering clinical meaningfulness suggest improved approaches to analyzing RCT data.
Comparing variations of peak expiratory flow among healthy adults from the Kuyavia-Pomeranian and Lublin districts of Poland
Authors: Składanowski Maciej R. , Jarosz Paweł , Mackiewicz Barbara 
Published: February 2019

IntroductionPeak expiratory flow (PEF), a measure of lung function, was first described by Hadorn in 1942. The definition of PEF, written by the European Respiratory Society, states that it is the maximum flow achieved during the expiration phase, delivered with maximal force, starting from the maximum level of lung inflation. The aim of this study was to evaluate the variations of PEF associated with height, age, body surface area, place of residence and environmental factors among healthy adults in an urban setting in Poland.Material and methodsThe study comprised 88 healthy, non-smoking subjects: 30 females and 58 males, aged 20–80 years. Epidemiological and demographic data were collected from each participant, as well as information on symptoms and the occurrence of lung diseases. Only healthy subjects were selected for analysis. Participants completed spirometry testing; physical parameters were measured, and appropriate additional data obtained.ResultsAmong the study group of 88 participants (30 females and 58 males), peak expiratory flow rate was negatively correlated with age (p = 0.000001), and positively correlated with height and body surface area (both p < 0.000001). There was a significant negative correlation between PEF and longitudinal environmental factors such as different particulate matter levels (p = 0.0007) present at the place of residence.ConclusionsPeak expiratory flow changes are present in a healthy adult population. Place of residence and environmental factors influence the results of spirometry tests.
The relationship between demographic and anthropometric characteristics and diabetic complications and number of hospitalizations in hospitalized diabetic patients
Authors: Kayar Yusuf , Agin Mehmet 
Published: February 2019

IntroductionDiabetes mellitus is the most common endocrine disease in the world. A total of 371 million people with diabetes lived in the world in 2012, 4.8 million people lost their lives due to diabetes, and 612–1099 billion dollars are spent on diabetic patients each year. The aim of our study was to investigate the relationship between the number of hospitalized patients, the demographic and anthropometric characteristics, and diabetic complications.Material and methodsFive hundred patients hospitalized with DM diagnosis were included in this study. Patients were divided into three groups according to the number of hospitalizations. The relationship between the number of hospitalizations and risk factors was examined. Parameters were analyzed using linear regression, 2 test and independent t-test.ResultsWhen the number of hospitalizations was classified, the groups were formed as the patients who were hospitalized once, twice, or three times or more, respectively: 351 (70.2%), 86 (17.2%), and 63 (12.6%). In our study, it was found that patients with three times or more hospitalizations had worse glycemic control, duration of diabetes, and rate of taking insulin treatment, which was found to be significantly high (p < 0.05), the number of non-smokers was significantly low (p < 0.05), the quitting rate was significantly high (p < 0.05), nephropathy, retinopathy, and cerebrovascular events and cardiovascular diseases were significantly high (p < 0.05) compared to one and two hospitalizations.ConclusionsIn our study, it was found that glycemic control and diabetic complications were important determinants in the control of diabetes-related hospitalizations; and well-controlled diabetes was found to reduce the number of hospital admissions of patients with diabetes in Turkey. There are no financial data; however, in this context, it can be envisaged that it will have a lowering effect on the cost per patient.
Articulation and speaking rates of Polish-French bilingual children
Authors: Michalik Mirosław , Czaplewska Ewa , Solak Anna , Szkotak Anna 
Published: February 2019

BackgroundBilingualism or multilingualism, while being of great benefit, often presents a significant challenge for experts. In fact, the linguistic development process for monolingual and bilingual speakers differs significantly. Even though such milestones as a baby’s first words or sentences are often reached at the same time in both cases, other phenomena typical for bilingualism may appear to be disorders or delays if considered within the categories of monolingualism. The objective of the present study was to determine whether there were differences between the achievements of monolingual and bilingual children in the field of some prosodic speech aspects.Participants and procedureThe objective of the study was to collate research results concerning the speaking rates of bilingual speakers, and to compare them to the established standards in the field. The research material was obtained from a group of 16 bilingual children, unaffected by developmental, language or communication disorders, which was then described and analysed in terms of established research criteria, and compared to analogical data derived from a control group consisting of 16 monolingual children. The average age of the bilingual children was 8;11 and of the monolingual children from the control group 9;0.ResultsThe analysis of the material collected leads to the conclusions that, in terms of the basic parameters determining the speaking rates of the speech produced, statistically significant differences occurred between the monolingual and bilingual groups in the categories of average speaking rate (speech sounds and syllables per second, and pause duration) and the average articulation rate (speech sounds, syllables). There were no significant differences regarding number of pauses or the average duration of filled pauses.ConclusionsThe quantitative results and their statistical analysis agree with the hypothesis regarding slower speech production by bilingual children.
Assessing the impact of acid rain and forest harvest intensity with the HD-MINTEQ model – soil chemistry of three Swedish conifer sites from 1880 to 2080
Authors: McGivney Eric , Gustafsson Jon Petter , Belyazid Salim , Zetterberg Therese , Löfgren Stefan 
Published: February 2019

Abstract. Forest soils are susceptible to anthropogenic acidification. In the past,
acid rain was a major contributor to soil acidification, but, now that
atmospheric levels of S have dramatically declined, concern has
shifted towards biomass-induced acidification, i.e. decreasing soil solution
pH due to tree growth and harvesting events that permanently remove base
cations (BCs) from forest stands. We use a novel dynamic model, HD-MINTEQ (Husby Dynamic MINTEQ), to
investigate possible long-term impacts of two theoretical future harvesting
scenarios in the year 2020, a conventional harvest (CH, which removes stems
only), and a whole-tree harvest (WTH, which removes 100 % of the
above-ground biomass except for stumps) on soil chemistry and weathering
rates at three different Swedish forest sites (Aneboda, Gårdsjön, and
Kindla). Furthermore, acidification following the harvesting events is
compared to the historical acidification that took place during the 20th century
due to acid rain. Our results show that historical acidification due
to acid rain had a larger impact on pore water chemistry and mineral
weathering than tree growth and harvesting, at least if nitrification
remained at a low level. However, compared to a no-harvest baseline, WTH and
CH significantly impacted soil chemistry. Directly after a harvesting event
(CH or WTH), the soil solution pH sharply increased for 5 to 10 years before
slowly declining over the remainder of the simulation (until year 2080). WTH
acidified soils slightly more than CH, but in certain soil horizons there
was practically no difference by the year 2080. Even though the pH in the WTH
and CH scenario decreased with time as compared to the no-harvest scenario
(NH), they did not drop to the levels observed around the peak of historic
acidification (1980–1990), indicating that the pH decrease due to tree growth
and harvesting would be less impactful than that of historic atmospheric
acidification. Weathering rates differed across locations and horizons in
response to historic acidification. In general, the predicted changes in
weathering rates were very small, which can be explained by the net effect of
decreased pH and increased Al3+, which affected the weathering rate in
opposite ways. Similarly, weathering rates after the harvesting scenarios in
2020 remained largely unchanged according to the model.
An Anthropological Perspective on Jayeel S. Cornelio&#x92;s Being Catholic in the Contemporary Philippines: Generalizability, Geographic Differences, and Ideal-Typical Protestants
Authors: Bräunlein Peter J. 
Published: February 2019

ABSTRACT
This response engages with Jayeel S. Cornelio&#x92;s Being Catholic in the Contemporary Philippines from an anthropological perspective, asking what conclusions can be drawn from this study for a broader perspective on Philippine Catholicism. The book focuses on young students as &#x93;creative Catholics&#x94; in contemporary Manila, but the sociological position taken by Cornelio may obscure larger differences between young Catholics across the archipelago. His well-educated interlocutors on college campuses appear as highly reflexive quasi-theologians. How do the values they express relate to the larger state of Philippine society? How are the attitudes of Manila-based Catholic youth related to those of youth in the rest of the country? &#x93;Creative Catholics&#x94; seem to adopt a rather &#x93;Protestant&#x94; attitude, regarding their &#x93;self&#x94; as the moral authority and emphasizing moral living and individual emotional experiences of God.
Wettelijk overgangsrecht en rechterlijke anticipatie ter zake van het gemoderniseerde Wetboek van Strafvordering
Authors: Borgers M.J. , Kooijmans T. 
Published: February 2019

Wettelijk overgangsrecht en rechterlijke anticipatie ter zake van het gemoderniseerde Wetboek van Strafvordering
De inwerkingtreding van het gemoderniseerde Wetboek van Strafvordering zal gepaard gaan met vragen van overgangsrechtelijke aard. Op dit moment heeft de minister nog niet voorzien in overgangsrecht. In deze bijdrage wordt besproken hoe de contouren van dat overgangsrecht eruit zouden kunnen zien. Daarnaast wordt de vraag besproken in hoeverre de rechter, voorafgaand aan de inwerkingtreding, kan anticiperen op het gemoderniseerde wetboek bij de uitleg van de huidige wettelijke bepalingen.
Determination of Total Folates in Complex Nutritional Drinks and Supplements Using a Tri-Enzyme Microbiological Method and Michaelis-Menten Kinetics
Authors: Kobany Stephanie , Schmieg Dana , Plank David W , Povolny Lisa A , Shepard Marilyn , Lam May , Galvan Noe , Brown Dana 
Published: February 2019

Abstract
Background: Recent development of LC methods for the determination of total folates (vitamin B9) in complex matrixes have been hindered by vitamer interconversion and yield variability. The official microbiological method (AOAC Official Methods of Analysis 944.12 and 960.46) uses an end point turbidity reading to determine folate concentration. However, when measuring complex matrixes, shifts are observed in the growth curves of the microorganism and inaccuracies are introduced to this quantification method. Objective/Methods: In addition to the tri-enzyme digestion of the standard microbiological method, we have applied enzyme modeling of the initial velocity of bacterial growth using Michaelis-Menten kinetics to achieve more accurate and reproducible determinations of total folates. Results/Conclusions: Accuracy determined through spike recovery in Infant/Adult Nutritional Drink and a complex vitamin matrix gave values acceptable to AOAC standards of 85–110%. Repeatability of the low mass fraction analyte measured at micrograms per 100 g yielded relative standard deviations &lt;15% for all matrixes tested, including three standard reference materials.