bluuebunny/crossref_metadata_2025_split huggingface dataset:
Sport als Therapie im klinischen Alltag
Authors: Suhr R. , Spamer M. 
Published: January 2019

ZusammenfassungAbhängig von der Krankheitsphase sollten sportliche Aktivitäten in die Physiotherapie einbezogen werden. Nach eingehender Untersuchung werden Therapieziele und die Behandlung auch im Hinblick auf bisher ausgeübte oder geplante Sportarten festgelegt. Neben dem Verbessern von Beweglichkeit und Gelenkachsen, können ab dem inaktiven Krankheitsstadium gezielt Bewegungsfolgen und Kraftfähigkeiten für die jeweilige Sportart trainiert werden. Direkter Bestandteil der Therapie sind sportliche Aktivitäten wie Klettern, Medizinische Trainingstherapie, Hippound Reittherapie, Wing Tsun, Jonglieren oder das Bewegungsbad. Andere Angebote wie z. B. Yoga, Tanzen, Nordic Walking oder Fußballtechniktraining dienen dem Ausprobieren für eine sportliche Aktivität zu Hause. Ob eine Klinik oder Ambulanz einen Sportkurs für die dauerhafte Teilnahme anbieten kann oder zeitlich kurzbefristete Sportangebote schafft, hängt auch von der Größe des Einzugsbereichs der Patienten ab. Ein breites Repertoire an Bewegungsprogrammen ist im Sinne der kindlichen Individualität und Komplexität chronischer (rheumatischer) Erkrankungen in jedem Fall sinnvoll. Viele dieser Angebote lassen sich jedoch nur mit Hilfe von wohltätigen Organisationen umsetzen, deren finanzielle Unterstützung daher auch für zukünftige Projekte hochgradig bedeutend ist.
Arthrogene Muskelinhibition und ihre
Bedeutung
Authors: Keller Karsten , Engelhardt Martin 
Published: January 2019

ZusammenfassungBesonders nach Knieverletzungen oder -operationen ist auffällig, wie schwach die
das Kniegelenk umgebende Muskulatur ist. Für die Schwäche der Muskulatur ist
nicht nur eine Muskelatrophie verantwortlich, sondern auch der neuronale Prozess
der arthrogenen Muskelinhibition (AMI). Die Autoren beschreiben, welche
Mechanismen zu einer AMI führen und welche Auslöser bekannt sind.
The Impact of Age on Perioperative Complications after Extremity Reconstruction with the Free Gracilis Flap: A Retrospective Cohort Study Involving 153 Patients
Authors: Weitgasser Laurenz , Amr Amro , Hladik Michaela , Wechselberger Gottfried , Daigeler Adrien , Schoeller Thomas , Medved Fabian 
Published: January 2019

Background The need for plastic and reconstructive surgery on elderly patients has been on the rise due to an increase in life expectancy in the past decades. Therefore, a study was conducted on young and elderly patients following microsurgical extremity reconstructions with free gracilis muscle flaps with the primary aim to investigate the influence of age and the American Society of Anesthesiologists (ASA) score on the general outcome, as well as surgical and medical complications.
Methods A retrospective analysis of 153 patients receiving free gracilis muscle flaps for extremity reconstructions between November 2009 and January 2018 was performed at two partner institutions specialized in microsurgical reconstructions. A logistic regression analysis was performed to correlate age and the ASA score with postoperative complication probability. Patients younger than 70 years were directly compared with elderly patients with respect to age, gender, ASA score, preexisting comorbidities, localization, and postoperative medical and surgical complications.
Results Age turned out to be not significantly associated with major flap complications (p = 0.925) but with higher ASA scores (p = 0.016). However, an age-related significant increase in minor flap complications could be observed in the elderly (p = 0.008). A significant correlation between minor medical complications and age could be observed (p = 0.001) in contrast to ASA score (p = 0.912).
Conclusion An increased minor flap, as well as minor and major medical complications, must be expected in extremity reconstructions with free gracilis flaps in elderly patients. Higher ASA scores correlate with a higher incidence of major flap complications. Septuagenarians are more prone to develop perioperative major medical complications than patients younger than 70 years. Age and general medical condition, coupled with the performance of each patient, should be thoroughly assessed individually to facilitate a tailored reconstructive approach using risk assessment tools and established scoring systems.
Wide Pulse Pressure Is Not Associated with Patent Ductus Arteriosus in the First Week of Life
Authors: Bin-Nun Alona , Kasirer Yair , Mimouni Francis , Schorrs Irina , Fink Daniel , Hammerman Cathy 
Published: January 2019

Objectives Widened pulse pressure is generally associated with patent ductus arteriosus (PDA). Surprisingly, this is often not true for preterm infants during the first week of life when systolic and diastolic pressures are both reduced and pulse pressure may remain unchanged.
Study Design This is a retrospective, observational review of individual blood pressure (BP) parameters preterm neonates <30 weeks' gestational age during the first week of life as correlated with ductal patency and severity.
Results Sixteen preterm neonates had a closed ductus on initial echocardiogram during the first week of life; 30 had a PDA that was open but hemodynamically insignificant; and 16 were found to have a hemodynamically significant PDA. Pulse pressure showed no correlation (p = 0.266) with the degree of ductal patency, whereas diastolic BP was best correlated with ductal severity (p < 0.001).
Conclusion We found that low diastolic pressures are better correlated with ductal patency and severity than is pulse pressure in preterm neonates during the first week of life.
Impact of Capnoperitoneum on Renal Perfusion and Urine Production in Infant and Adolescent Pigs: Crystalloid versus Colloid Fluid Resuscitation
Authors: Schukfeh Nagoud , Huber Dirk , Metzelder Martin L. , Vieten Gertrud , Keil Oliver , Dennhardt Nils , Suempelmann Robert , Ure Benno M. , Kuebler Joachim F. 
Published: January 2019

Background Infants are likely to develop anuria during laparoscopy which is uncommon in older patients. The reason for this susceptibility remains unknown. We compared the impact of CO2 pneumoperitoneum on renal perfusion and urine production in piglets compared with adolescent pigs. We furthermore investigated the effects of different resuscitation strategies.
Materials and Methods Male piglets (n = 21) were divided into four groups: (a) infant controls (n = 5), (b) infants with crystalloid restitution (n = 6), (c) infants with colloidal restitution (n = 5), and (d) adolescents with crystalloid restitution (n = 5). Animals were ventilated, the central vessels and ureters were cannulated, and the animals were subjected to a 3-hour, 10 mm Hg CO2 pneumoperitoneum followed by 2-hour resuscitation. Renal perfusion was assessed by fluorescent microspheres and the rate of urine flow was measured.
Results Urine production significantly decreased after insufflation only in the infant crystalloid and adolescent group, but not in controls or infants treated with colloids. In the infant crystalloid group, urine production remained at levels below 20% of baseline throughout the experiment. In this group, the renal perfusion dropped significantly after the beginning of the capnoperitoneum and remained significantly reduced throughout the experiment.
Conclusion Our data indicates that capnoperitoneum impairs renal perfusion and urine production in infants. In moderate-pressure capnoperitoneum, this effect cannot be compensated by application of crystalloids but with colloids.
Management of Chronic Infected Intra-Articular Fractures of the Proximal Tibia with Ilizarov Ring Fixation
Authors: Bhowmick Kaushik , Boopalan P.R.J.V.C. , Gunasekeran Chandrasekaran , Livingston Abel , Jepegnanam Thilak Samuel 
Published: January 2019

AbstractInfected nonunion and malunion of tibial plateau are rare injuries with no standardized protocols for treatment. This study assessed the outcome of chronic infected intra-articular proximal tibial fractures with and without metaphyseal bone loss managed with the Ilizarov ring fixator. A series of six patients of intra-articular infected nonunion of the tibial plateau and two patients with malunited plateau with metaphyseal nonunion were treated in a tertiary care hospital. Three of these eight patients had a metaphyseal bone loss or bone gap after debridement and underwent internal transport with distal corticotomy to obtain the bone length. The remaining five patients underwent static ring fixation after correction of the articular deformity. Clinical evaluation was done by Knee Society Score, Rasmussen radiological and Association for the Study and Application of Methods of Ilizarov scores. All patients but one achieved union with the ring fixator. The average follow-up was 33 months (range, 12–120 months). Average time to achieve union was 11.5 months (range, 3–30). The scores were good in four patients and poor in the rest four, out of which three had undergone internal transport. Proximal tibia intra-articular infected nonunion and malunion with or without metaphyseal bone loss can be treated successfully with the Ilizarov fixator. Malunion of the tibial plateau has to be addressed in cases with varus alignment of the limb or articular step-off of ≥ 5mm between the two tibial surfaces. Patients with associated metaphyseal bone loss tend to have complications and take a longer duration to heal. Single-stage treatment avoids intra-articular malunion and loss of limb alignment.
The Role of Low Molecular Weight Heparins for Venous Thromboembolism Prevention in Medical Patients—What Is New in 2019?
Authors: Haas Sylvia 
Published: January 2019

AbstractLow molecular weight heparins and fondaparinux have been the cornerstones for prevention of venous thromboembolism (VTE) in acutely ill medical patients for almost two decades. Guidelines recommend the use of these parenteral anticoagulants for 6 to 14 days but advise against extended-duration thromboprophylaxis after hospital discharge because no compelling scientific evidence has been provided for pharmacological prophylaxis beyond hospital stay. Five large randomized clinical trials, one with low molecular weight heparin and four with nonvitamin K antagonist oral anticoagulants, have failed to show significant clinically relevant benefit in this indication. Obviously, the development of VTE is more complex in medical patients than in patients undergoing major surgical procedures. Thus, it can be expected that guideline recommendations for VTE prevention with low molecular weight heparins or fondaparinux in medical patients will remain unchanged in 2019.
Conservative Treatment of an Intra-Articular Shear Fracture of the Ulnar Head
Authors: Miyamoto Hideaki , Sasaki Gen , Kurozumi Taketo , Watanabe Yoshinobu 
Published: January 2019

Background Isolated intra-articular fracture of the ulnar head is rare.
Case Description A 59-year-old woman experienced an ulnar head fracture involving the distal radioulnar joint after a fall at ground level. The intra-articular fragment of the ulnar head was rotated into anatomical alignment with an above-elbow cast in 90° of supination for 4 weeks. A below-elbow night splint was retained for 2 additional weeks. Twelve months post-injury, full active motion and bone union were achieved.
Literature Review Only three studies have reported treatment of isolated intra-articular ulnar head fractures, and in all cases open reduction and internal fixation were performed.
Clinical Relevance Our report demonstrated good results for the conservative treatment of an intra-articular ulnar head shear fracture, with early recovery of forearm rotation and wrist function.
Postoperative Complications and Impact of Diabetes Mellitus Severity on Revision Total Knee Arthroplasty
Authors: Gu Alex , Wei Chapman , Robinson Hannah N. , Sobrio Shane A. , Liu Jiabin , Sculco Thomas P. , Sculco Peter K. 
Published: January 2019

AbstractTotal knee arthroplasty (TKA) is a common and effective treatment of knee osteoarthritis. As the amount of TKAs performed increases, so does the number of TKA failures and subsequent revisions. Diabetes mellitus (DM) has been shown to increase complications following orthopaedic procedures. For these reasons, it is important to understand the association between severity of DM and the risk of postoperative adverse events following revision TKA. A retrospective cohort study was conducted using the American College of Surgeons' National Surgical Quality Improvement Program database. Patients who underwent revision TKAs between 2007 and 2016 were identified and recorded as having noninsulin-dependent DM (NIDDM), insulin-dependent DM (IDDM), or no DM. Univariate and multivariate analysis were used to evaluate the incidence of multiple adverse events within 30 days after revision TKA. A total of 13,246 patients who underwent revision TKA were selected (without DM = 10,381 [78.4%]; NIDDM = 1,890 [14.3%]; IDDM = 975 [7.4%]). Patients with NIDDM were found to have an increased risk of developing renal insufficiency and urinary tract infection (UTI) compared with patients without DM, while patients with IDDM were found to have an increased risk of developing 10 of 20 adverse events compared with patients without DM. NIDDM is an independent risk factor for UTI and IDDM is an independent factor for development of three complications compared with no DM. Insulin dependency is an independent factor for septic shock, postoperative blood transfusion, and extended postoperative hospital stay. Relative to patients with NIDDM, those with IDDM have a greater likelihood of developing more adverse perioperative outcomes than patients without DM. Although complication rates remain relatively low, orthopaedic surgeons must consider the implications of diabetes and insulin dependence on patient selection, preoperative risk stratification, and postoperative outcomes.
Hearing Preservation in Stereotactic Radiosurgery for Vestibular Schwannoma
Authors: Tolisano Anthony , Hunter Jacob 
Published: January 2019

AbstractDespite no universally accepted definition of hearing preservation following vestibular schwannoma (VS) treatment, numerous variables have been identified as possible factors that may affect hearing outcomes following radiotherapy. Age, pretreatment hearing, radiation dose, tumor location and size, length of follow-up, fractionation, and timing of radiation have all been explored, among other variables, as factors related to hearing outcomes following radiation. These variables and associated hearing outcomes will be explored in detail, summarizing the literature to date to improve patient counseling for those patients who present with serviceable hearing and are considering their VS management options.
The Persian tradition
Authors: Azadibougar Omid , Haddadian-Moghaddam Esmaeil 
Published: January 2019

Abstract
From ancient Persia to modern Iran, translation has been consistently significant, which may be due to the geographical location of the political territory – placing it at the crossroads of many different languages and cultures throughout history. Despite its importance, however, translation remains a contested field in a variety of ways, and coherent discourses and theories on translation, its assessment, and its socio-political or cultural roles are yet to appear. In this report, we present the Persian tradition of translation in the past century, during which the scope and extent of the act in all its forms have been most effective and noticeable. We address four pressing issues of the tradition, method and approach, copyright, the politics of culture, and multilingualism, and suggest that the Persian tradition is translator-oriented, socially prestigious, ethically subversive, politically bounded and composed of diverse languages.
Mixed paradigms in Italo-Romance
Authors: Štichauer Pavel 
Published: January 2019

Abstract
This paper advocates a morphological approach to the phenomenon of mixed paradigms attested in a wide range of Italo-Romance varieties (cf. Loporcaro 2001, 2007, 2014; Manzini and Savoia 2005, among others). In these varieties, two auxiliary verbs, habere and esse, alternate within one and the same paradigm. As a result, such mixed paradigms exhibit various patterns which can range from morphosyntactically motivated to apparently unmotivated distributions (‘morphomic’). Starting from the notion of ‘inflectional periphrasis’ (cf., e.g. Brown 2012 et al.), under which auxiliary verb constructions can be accommodated, and from the notion of ‘lexical splits’ (cf. Corbett 2013, 2015, 2016), I describe the attested splits induced by such intraparadigmatic auxiliary alternations. Following Bonami (2015) and Štichauer (2016, 2018), I introduce a typology of such splits and I provide examples from the rich array of Italo-Romance data drawn mainly from Manzini and Savoia (2005). I conclude with a brief discussion of the historical origin of mixed paradigms arguing that the commonly accepted explanation (Bentley and Eythórsson 2001) is in need of further verification.
A person split analysis of the progressive forms in some southern Italian varieties
Authors: Lorusso Paolo 
Published: January 2019

Abstract
This paper explores the distribution of finite and non-finite constructions in the progressive periphrasis of (southeastern) Apulian varieties. The periphrases are formed by an inflected stay auxiliary, an optional connecting element a (=to) and an embedded verb which can be inflected or uninflected. Since progressives are commonly realized as locative constructions crosslinguistically (Bybee, Perkins and Pagliuca 1994), we propose a unique locative-like structure for both inflected and uninflected constructions. They differ for their aspectual interpretation: only uninflected progressives allow frequentative readings (Chierchia 1995). In some varieties, the 1st and 2nd plural persons cannot be found in the inflected periphrasis but they allow only the infinitive (uninflected) counterpart. This is due to the referential complexity of the 1st and 2nd plural persons.
N morphology and its interpretation
Authors: Manzini Maria Rita , Savoia Leonardo M. 
Published: January 2019

Abstract
This contribution deals with the -a inflection in Italian varieties, which realizes plural as well as feminine singular. Thus the -a inflection externalizes apparently irreducible contents (singular/plural). We try to answer the question whether it is possible to unify these two readings. Feminine plural -a alternating with masculine singular characterize standard Italian and many South-Italian dialects (§§ 1–3). On the contrary, in North-Lombard, Romansh and North-Tuscany varieties -a characterizes feminine singular and plural, while the specialized (-)i plural morphology occurs on determiners (§§ 4–7). We argue that in both types of languages, the -a plural externalizes a nominal class property [aggregate]. We propose that [aggregate] is at the basis of the superficial syncretism between plural and singular/feminine in the occurrence of the -a inflection. Indeed [aggregate] introduces a notion of plurality as aggregate of individuals compatible at least with mass singulars (aggregates of parts). In general, the inflectional vowels of Romance languages, or in any event Italian -a, are not mere byproducts of paradigmatic organization, but are lexical items, endowed with interpretive content.
Syntactic variation across Greek dialects
Authors: Guardiano Cristina , Michelioudakis Dimitris 
Published: January 2019

Abstract
The syntax of demonstratives in the Greek varieties of southern Italy and more broadly in diaspora Greek can serve as a case study of how long-term unbalanced contact can give rise to syntactic borrowing, shedding light on both necessary and sufficient formal conditions of contact-induced reanalysis and change. Diachronically, Greek features adjective-like demonstratives. In southern Italy and Asia Minor, the adjectival syntax of demonstratives is being and has been lost under pressure from Italo-Romance dialects and Turkish respectively. This radical departure from the traditional Greek pattern is, arguably, impossible in the absence of contact. Crucially, however, a new grammatical rule can only be borrowed if its most characteristic outputs are already possible in the target language, or are made possible through language-internal dynamics.
“It is not just a fact that the law requires this, but it is a reasonable fact”
Authors: Goźdź-Roszkowski Stanisław 
Published: January 2019

This chapter investigates the construction of stance through nouns in two legal genres: academic journals and judicial opinions. The study builds on previous research into stance construal in judicial discourse which focuses on nouns followed by a that-clause complement. Nouns found in this pattern indicate the epistemic status of the proposition expressed in the that-clause and they are used to evaluate the reliability of propositions contained in the that-clause (e.g., the assumption that … is incorrect). The present analysis of the Noun that-pattern highlights its dependence on both genre- and discipline-specific factors. It reveals disciplinary similarities in the choice of noun and the dominance of the authority-building function in both legal academic enquiry and judicial argumentation. Genre-oriented differences are found, for example, in the higher frequencies in judicial corpora of ‘certainty’ nouns (e.g., fact) and ‘communication’ nouns (e.g., argument).
The evolution of a legal genre
Authors: Groom Nicholas , Grieve Jack 
Published: January 2019

This chapter provides a diachronic corpus-based analysis of a vitally important, yet currently very under-researched, legal genre: the patent specification. The empirical focus of the analysis is on changes in the rhetorical move structure of the patent specification genre over the first 150 years of its existence, as represented by a corpus of British patent specification texts ranging from 1711 to 1860. The methodology of the study involves reducing each exemplar text in the corpus to a simple letter code string representing its rhetorical move structure, and then submitting the resulting list of code strings to two kinds of computational analysis: one focusing on the frequency and distribution of individual rhetorical moves over the period of the study, and the other focusing on the frequency and distribution of the different move sequence types attested in the corpus. It is argued that the findings of the study are consistent with, and may thus be interpreted as providing empirical support for, generalized evolutionary theoretical models of genre change.