bluuebunny/crossref_metadata_2025_split huggingface dataset:
ATRATIVIDADE DO MERCADO MADEIREIRO AO INVESTIMENTO PRIVADO NO ESTADO DO PARÁ
Authors: Ribeiro Leal Silmara , Valente de Oliveira Douglas , De Lima Lobato Laura Fernanda , Mendes de Oliveira Juliana , Noce Rommel 
Published: May 2018

RESUMO: Objetivou-se analisar a relação risco-retorno dos principais municípios produtores de madeira em tora no período de 2008 a 2014. Admitiu-se a taxa geométrica de crescimento (TGC) como indicativo de retorno e o coeficiente de variação (CV) como indicativo de risco. A atratividade do mercado madeireiro ao investimento privado no estado do Pará mostrou-se bastante variado entre os municípios avaliados. A relação risco/retorno coerente possui valores positivos para a expectativa de retorno, ou seja, atrai investimento, entretanto, nos municípios que apresentaram valores negativos, à relação risco/retorno revelou-se incoerente e consequentemente não atrairia o investimento privado. Observou-se ainda um mercado atrativo a diferentes perfis de investidores, classificados como avesso ao risco, tradicional e propenso ao risco. A maioria dos municípios é classificada como atrativa ao investidor tradicional. De acordo com os resultados, conclui-se que o mercado madeireiro dos municípios do estado do Pará em sua grande maioria é coerente e mais atrativo ao investimento privado de perfil tradicional.PALAVRAS-CHAVE: Economia florestal, Mercado madeireiro, Risco e retorno.
Use of Intra-Articular Corticosteroids in Orthopaedics
Authors: Martin Scott D. , Conaway William K. , Lei Pengfei 
Published: May 2018

➤ A review of the evidence-based research on the efficacy of intra-articular corticosteroid injections of the osteoarthritic knee was inconclusive.➤ Combining intra-articular corticosteroid injection with a higher-dose anesthetic may compound chondrotoxic effects.➤ Compared with corticosteroid injections for osteoarthritis, intra-articular viscosupplements have not shown a substantial difference in pain relief or functional outcomes.➤ Although rare and usually transient, systemic effects of intra-articular corticosteroid injections may occur and can be influenced by the type, frequency, and dosage of the corticosteroid used.➤ Practitioners are encouraged to use corticosteroid injections judiciously to treat pain and joint inflammation from osteoarthritis and inflammatory arthritis of large joints.
Five to Ten-Year Outcomes of Operatively Treated Scapular Fractures
Authors: Tatro Joscelyn M. , Gilbertson Jeffrey A. , Schroder Lisa K. , Cole Peter A. 
Published: May 2018

Background:
The purpose of this study was to assess the 5 to 10-year clinical and patient-reported functional outcomes after open reduction and internal fixation (ORIF) of intra-articular and extra-articular scapular fractures.

Methods:
We conducted a retrospective review of prospectively collected data on 106 patients who underwent ORIF of a scapular fracture at a single level-I trauma center between January 2005 and December 2010. Eight patients were excluded from the study because they had either severe neurologic injury or an isolated process fracture, and 66 patients (37 with an isolated extra-articular fracture and 29 with an intra-articular fracture) participated in the 5 to 10-year follow-up, yielding a follow-up rate of 67%. A physical examination including a strength assessment and range-of-motion measurements was performed on 89% of the follow-up cohort. Disabilities of the Arm, Shoulder and Hand (DASH) and Short Form-12 version 2 (SF-12v2) or SF-36v2 questionnaires were completed by all participating patients. Intra-articular and extra-articular fractures were analyzed in separate groups.

Results:
The mean follow-up was 7.8 years in the extra-articular group and 7.3 years in the intra-articular group, with a range of 4.7 to 10.3 years. The mean DASH score was 8.9 in the extra-articular group and 9.1 in the intra-articular group (normal population = 10.1). Strength examination revealed no significant differences between the injured and uninjured shoulders for any movement (p > 0.05), while the range of external rotation was slightly decreased in both the extra-articular (p = 0.01) and the intra-articular (p = 0.01) group. The abduction range of motion was also slightly decreased in the intra-articular cohort (p = 0.03). Arthroplasty was indicated as a subsequent procedure for 2 patients in the intra-articular cohort. Sixty-one of the 66 patients returned to their original occupation or changed occupations for reasons unrelated to the shoulder injury.

Conclusions:
At 5 to 10 years after ORIF of a scapular fracture, patients have excellent functional outcomes albeit with a small decrease in external rotation motion relative to the contralateral, normal shoulder. Interestingly, we found the outcomes after intra-articular and extra-articular fractures to be comparable.

Level of Evidence:
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
Uncemented Tantalum Monoblock Tibial Fixation for Total Knee Arthroplasty in Patients Less Than 60 Years of Age
Authors: DeFrancesco Christopher J. , Canseco José A. , Nelson Charles L. , Israelite Craig L. , Kamath Atul F. 
Published: May 2018

Background:
Although tibial component loosening has been considered a concern after total knee arthroplasty without cement, such implants have been used in younger patients because of the potential for ingrowth and preservation of bone stock. However, mid-term and long-term studies of modern uncemented implants are lacking. We previously reported promising prospective 5-year outcomes after using an uncemented porous tantalum tibial component in patients who underwent surgery before the age of 60 years. The purpose of this study was to determine clinical and radiographic implant survivorship at 10 years in this large series of young patients.

Methods:
The original cohort included 79 patients (96 knees) who were <60 years old at the time of surgery. All procedures were performed with an uncemented, posterior-stabilized femoral component and a porous tantalum monoblock tibial component by 1 high-volume arthroplasty surgeon at a single institution. Patients were followed prospectively. The Knee Society Score (KSS), radiographic findings, and any complications or revisions were recorded.

Results:
At the latest follow-up, 76% (60) of the 79 patients (74% [71] of the 96 knees) were available for evaluation or had undergone revision (n = 6); 7 patients had died with the implants in place, and 12 patients were lost to follow-up. The average follow-up for the available implants was 10 years (range, 8 to 12 years). There were no progressive radiolucencies on radiographic review. The mean functional KSS was 68 points (range, 0 to 100 points). All revisions were for reasons unrelated to tibial fixation: femoral component loosening (1), stiffness (1), pain and swelling (2), and instability (2). The all-cause revision rate was 6% (6 of 96 knees).

Conclusions:
Uncemented porous tantalum monoblock tibial components provided reliable fixation, excellent radiographic findings, and satisfactory functional outcomes at a mean of 10 years postoperatively. We identified no cases of tibial component loosening. These promising clinical and radiographic results support the use of uncemented tibial components. Such implants may produce well-integrated, durable long-term constructs in young patients.

Level of Evidence:
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
An Increased Lateral Femoral Condyle Ratio Is a Risk Factor for Anterior Cruciate Ligament Injury
Authors: Pfeiffer Thomas R. , Burnham Jeremy M. , Hughes Jonathan D. , Kanakamedala Ajay C. , Herbst Elmar , Popchak Adam , Shafizadeh Sven , Irrgang James J. , Debski Richard E. , Musahl Volker 
Published: May 2018

Background:
The purpose of this study was to examine the relationship between distal femoral morphology and anterior cruciate ligament (ACL) injury, ACL reconstruction (ACLR) failure, and contralateral ACL injury. It was hypothesized that increased posterior femoral condylar depth, quantified as the lateral femoral condyle ratio, would correlate with increased risk of primary ACL injuries, ACLR failures, and contralateral ACL injuries.

Methods:
The charts of consecutive patients who underwent arthroscopic knee surgery at an academic medical center from 2012 to 2016 with minimum follow-up of 24 months were retrospectively reviewed. Patients were stratified into 4 groups: (1) a control group of patients with no ACL injury, (2) patients with primary ACL injury, (3) patients with failed ACLR, and (4) patients with previous ACL injury and subsequent contralateral ACL injury. With use of lateral radiographs, the ratio of posterior femoral condylar depth to total condylar length was defined as the lateral femoral condyle ratio. Differences between study groups were identified with use of analysis-of-variance (ANOVA) and post-hoc testing with significance set at p < 0.05. Receiver operating characteristic (ROC) curve analysis was performed to determine the optimal cutoff for detecting increased risk of ACL injury.

Results:
Two hundred patients met the inclusion criteria. The mean lateral femoral condyle ratios (and standard deviations) were 61.2% ± 2.4% in the control group, 64.2% ± 3.8% in the primary ACL injury group, 64.4% ± 3.6% in the failed ACLR group, and 66.9% ± 4.3% in the contralateral ACL injury group. Patients who had a primary ACL injury, failed ACLR, or contralateral ACL injury had significantly higher ratios compared with the control group (p < 0.008). ROC curve analysis demonstrated that a lateral femoral condyle ratio of >63% was associated with an increased risk for ACL injury, with a sensitivity of 77% and a specificity of 72%.

Conclusions:
The data from this study show that increased posterior femoral condylar depth, quantified as the lateral femoral condyle ratio, is associated with an increased risk of ACL injury, including primary and contralateral ACL injuries. The data from this study may help clinicians to identify patients at a greater risk of ACL injury.

Level of Evidence:
Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence.
Factors Affecting the English Reading Literacy of Junior High School Students
Authors: Setianingsih Ika Sulis 
Published: May 2018

This study aims at finding out how: (1) amount of input, (2) amount of vocabulary, (3) learner’s motivation, (4) amount of input, amount of vocabulary, and learner’s motivation affect the English reading literacy; (5) amount of input affects amount of vocabulary, (6) amount of vocabulary affects learner’s motivation, and (7) amount of input affects learner’s motivation. This study was an ex-post facto. The population comprised year VII students of SMP’s in Bantul District in the second semester of the academic year of 2013/2014. A sample of 384 students was established using the proportional sampling technique. The data were collected through a close-ended questionnaire and test. The close-ended questionnaire was used to collect the data related to students’ learning input and motivation. The test was used to find out the students’ knowledge on vocabulary and reading comprehension. The data were analyzed by employing the linear regression analysis for the linear variables, continued by the multiple regression analysis for the whole variables, and then followed by partial correlation. The findings showed that there is a significant effect of: (1) amount of input; (2) amount of vocabulary; (3) amount of inputs, the learner’s motivation, and amount of vocabulary; (4) amount of inputs and learner’s motivation; (5) learner’s motivation and amount of vocabulary; and (6) amount of inputs and amount of vocabulary on the English reading literacy of SMP students in Bantul District. Meanwhile, there is no significant effect of learner’s motivation on the English reading literacy of SMP students in Bantul District.
The role of sodium carbonate in PAM coagulation-flocculation for oil acidized wastewater treatment
Authors: Qin Jinyi , Wang Hainan , Qin Chuan , Meng Hailong , Qu Wengang , Qian Hui 
Published: May 2018

Abstract
The pH value of oil acidized wastewater is relatively low (pH = 6.1), which seriously affects the flocculation of polyacrylamide (PAM). NaOH was used to adjust the pH value, but the maximum was only 7.5. The regulation was limited as the Ca2+ in aqueous phase up to 1,350 mg L−1 consumed OH−. A novel formulation of Na2CO3 + PAM was proposed to form CaCO3 floc core to facilitate PAM coagulation. When the concentration was above 400 mg L−1, the PAM precipitation tended to be maximum, followed by NaOH adjustment of pH to 8.0 that could enhance PAM flocculation successively. The sewage sludge (SS) remained and residue oil reduced to 25 mg L−1 and 34mg L−1 respectively. The analysis of the species and composition of fatty acids indicated that the coagulation-flocculation selectively effected the sedimentation of saturated fatty acids (SAT). This provides a new idea for recovery of high value-added residual oil. The optimal additive of Na2CO3 is expected as promising coagulant aid to improve the PAM coagulation-flocculation of oil acidized wastewater.
Switching Dipeptidyl Peptidase-4 Inhibitors to Tofogliflozin, a Selective Inhibitor of Sodium-Glucose Cotransporter 2 Improve Arterial Stiffness Evaluated by Cardio-Ankle Vascular Index in Patients with Type 2 Diabetes: A Pilot Study
Authors: Bekki Munehisa , Tahara Nobuhiro , Tahara Atsuko , Igata Sachiyo , Honda Akihiro , Sugiyama Yoichi , Nakamura Tomohisa , Sun Jiahui , Kumashiro Yuki , Matsui Takanori , Fukumoto Yoshihiro , Yamagishi Sho-ichi 
Published: May 2018

Background:
We have found that anagliptin, a dipeptidyl peptidase-4 inhibitor (DPP-4) significantly
ameliorates arterial stiffness in Type 2 Diabetes Mellitus (T2DM) patients compared with an
equivalent hypoglycaemic agent, glimepiride. However, it remains unclear whether switching DPP-4
inhibitors to tofogliflozin, a selective inhibitor of Sodium-Glucose Cotransporter 2 (SGLT2) improves
arterial stiffness in T2DM patients.

Methods:
Nineteen T2DM patients who had received DPP-4 inhibitors for at least 1 year were enrolled
in this study. Clinical parameters and arterial stiffness evaluated by cardio-ankle vascular index (CAVI)
were measured at baseline and after 6-months treatment with tofogliflozin.

Results:
At 6 months after switching to tofogliflozin, CAVI, waist circumference, body weight, body
mass index, subcutaneous and visceral fat volume, white blood cell number, fasting plasma insulin, uric
acid, aspartate transaminase (AST), γ-glutamyl transferase (GTP), and advanced glycation end products
(AGEs) were significantly reduced, while red blood cell number, haemoglobin, and HbA1c values were
increased. When stratified by median values of change in CAVI after switching to tofogliflozin
(ΔCAVI), baseline serum levels of AGEs were significantly higher in the low ΔCAVI group (high responder)
than in the high one (low responder). ΔAST and ΔGTP were positively correlated with
ΔCAVI.

Conclusion:
The present study suggests that switching DPP-4 inhibitors to tofogliflozin ameliorates
arterial stiffness in T2DM patients partly via improvement of liver function. Baseline serum levels of
AGEs may identify patients who improve arterial stiffness more after treatment with tofogliflozin.
Characteristics and Outcomes of Patients with Anti-Glomerular Basement Membrane Antibody Disease and Anti-Neutrophil Cytoplasmic Antibodies
Authors: Balderia Percy G. , Andeen Nicole , Jefferson Jonathan A. 
Published: May 2018

Background:
It is unclear whether patients with Anti-Glomerular Basement Membrane
(GBM) disease and Anti-Neutrophil Cytoplasmic Antibodies (ANCA), so called “Double-Positive”
(DP), have a different clinical presentation and outcome compared to patients with anti-GBM antibody
disease alone. This study describes the clinical and histologic characteristics as well as the patient
and renal outcomes of DP patients at the University of Washington compared to patients with
anti-GBM antibody disease alone.

Methods:
Adults admitted to the University of Washington and Harborview Medical Centers from
2000 to 2016 who had a kidney biopsy showing anti-GBM disease characterized by crescentic
glomerulonephritis with strong linear staining of glomerular basement membranes for IgG by immunofluorescence
were included. Subjects were classified into anti-GBM or DP based on serologic
testing. Information on demographics, clinical presentation, biopsy findings, initial treatment, and
rates of relapse and patient and renal survival were collected. Continuous and categorical variables
were analyzed using the Mann-Whitney U and Fisher’s exact tests, respectively.

Results:
There were 6 anti-GBM and 7 DP patients. Two patients were lost to follow-up after one
year. There was no significant difference in clinical presentation or outcomes between the two
groups. Two DP patients had greater than 50% global glomerulosclerosis. All the subjects developed
ESRD. Two DP patients had a relapse while off immunosuppression. Two patients in each
group died within 5 years of diagnosis.

Conclusion:
Two DP patients in our cohort had a relapse within 5 years of diagnosis. Multicenter
studies are needed to determine whether DP patients have a higher relapse rate and need prolonged
immunosuppression.
Pain-Related Behavior and Brain Activation in a Cynomolgus Macaque Model of Postoperative Pain
Authors: Hama Aldric , Natsume Takahiro , Ogawa Shin`ya , Awaga Yuji , Hayashi Ikuo , Matsuda Akihisa , Takamatsu Hiroyuki 
Published: May 2018

Background:
Inadequate postoperative pain management could lead to persistent pain and
this is, in part, due to incomplete understanding of the mechanism of postoperative pain. Currently
available rodent models may have limited translatability to clinical postoperative pain. Thus, a preclinical
model of postoperative pain was developed in the cynomolgus macaque, a species that is
phylogenetically closer to humans than rodents.

Method:
The presence of pressure hypersensitivity was assessed with non-noxious pressure applied
proximally and distally (approximately 10 cm) to an abdominal incision in macaques. The effect of the
opioid morphine (intramuscular, i.m.), the nonsteroidal anti-inflammatory drug diclofenac (i.m.) and
the anticonvulsant pregabalin (i.m.) on pressure hypersensitivity was evaluated one and two days following
surgery. Brain activation during non-noxious pressure stimulation was observed with functional
magnetic resonance imaging.

Results:
Hypersensitivity to non-noxious pressure applied proximally and distally (approximately 10
cm) to the incision was observed, lasting for up to seven days and three days, respectively, following
surgery. Postoperative pressure hypersensitivity was attenuated with morphine but not with either diclofenac
or pregabalin. Bilateral activation of the insular cortex and cingulate cortex was observed
during non-noxious pressure stimulation proximal to the incision, which was attenuated with morphine.
By contrast, pregabalin reduced only cingulate cortex activation.

Conclusion:
The lack of antinociceptive efficacy of pregabalin on postoperative pain could be due to
the incomplete suppression of pressure-evoked brain activation. It is speculated that incomplete postoperative
pain relief observed in general could be due to residual or persistent activity of key pain nuclei
such as the insular cortex. The current macaque model could be used for further elaborating the
mechanism of postoperative pain as well as confirming the efficacy of potential treatments for the
management of postoperative pain.
Installation and Maintenance Principles of Seismic Isolators: Erzurum Health Campus
Authors: Sağıroğlu Merve , Maali Mahyar , Aydın Abdulkadir Cüneyt 
Published: May 2018

Background:The objective of isolation is to reduce the seismic forces transmitted through the structure using active and/or passive insulation systems.Seismic isolators, which are passive insulation systems and are placed between the foundation of the structure and the structure, are discussed throughout this study. Isolators consist of rubber layers that have horizontal flexibility, steel layers that increase rigidity and a lead or ball core, which increases vertical stiffness. Installation and maintenance of seismic isolators require great care in order not to exceed the displacements/section forces envisaged at the design of the structure during the earthquake.Objective:Installation and maintenance principles of the friction pendulum type isolators used in Erzurum Health Campus (hospital) are presented throughout this study. While the seismic isolators are anchoraged to directly concrete in the general application, they are placed between two steel plates of type S355J2 in this application, because of cold-weather conditions. To evaluate this condition, it is investigated the models with and without steel plate and compared to each other.Methodology:The models with and without steel plate were formed using finite-element method to compare the stress distributions on the isolator.Conclusion:The results demonstrated that the model with steel plates occur the uniform stress through surface and keep under control deformation of cross-section in the reinforced concrete.
Clinical Model to the Analysis of Synergy Pattern Changes of Back Muscles and its Relationship with the Occurrence of Fatigue
Authors: Torbati Armin HakKak Moghaddam , Tahami Ehsan , Kobravi Hamid Reza 
Published: May 2018

Background:Right sitting not only leads to flatness of the lumbar spine and waistline, it also causes other problems for health. The curved body pushes into lungs and breathing will be problematic.Purpose:The main purpose of this study was investigating changing procedure of lumber muscles patterns and its relationship with the occurrence of fatigue.Methods:Participants were ten male with average age 24 ± 1. Firstly, the process of fatigue during sitting was observed by mid-frequency index. For performing the necessary analysis, the 10-second window of time was used. The 15 minutes of time trial was divided into 3 sub-terms. Each sub-term was investigated separately. The sub-terms contain: The beginning of record until the 90th second, from the 90th second to the 600th second and from the 600th second to the 900th second.Results:Results showed that in each subject there were synergy patterns in both of the first and the second sub-terms. Maximum error between basis vectors in all of the subjects were 0.87 and 0.79 respectively and standard deviations were 5 and 10 respectively (Mean square error index). In some participants, there were not any synergy patterns in the third sub-term (minimum error between basis vectors in all of the subjects was 18 and standard deviation was 7.5) while in other participants, their muscles still followed special synergy patterns (maximum error between basis vectors in all of the subjects was 0.98 standard deviation was 7.5).Conclusions:Comparing the synergy patterns between different participants has determined that the synergy patterns were the same only in the first sub-term.