bluuebunny/crossref_metadata_2025_split huggingface dataset:
Practice of Ultrasound-Guided Palpation of Neck Landmarks Improves Accuracy of External Palpation of the Cricothyroid Membrane
Authors: You-Ten Kong Eric , Wong David T. , Ye Xiang Y. , Arzola Cristian , Zand Atoosa , Siddiqui Naveed 
Published: June 2018

BACKGROUND:Ultrasonography can accurately identify the cricothyroid membrane; however, its impact on the subsequent accuracy of external palpation is not known. In this study, we tested the ability of anesthesia participants to identify the midpoint of the cricothyroid membrane using external palpation with and without ultrasound (US)-guided practice.METHODS:Following institutional ethics approval and informed consent, anesthesia participants consisting of anesthesia residents, fellows, and practicing anesthesia assistants underwent didactic teaching on neck landmarks. The participants were then randomized to practice palpation of neck landmarks with US guidance (US group) or without ultrasonography (non-US [NUS] group). After the practice session, each participant identified the cricothyroid membrane using external palpation on the neck of 10 volunteers and marked the anticipated entry point for device insertion (palpation point [PT]). The midpoint of the cricothyroid membrane of each volunteer had been premarked with invisible ink using ultrasonography (US point) by a separate member of the research team. The primary outcome was the accuracy rate defined as the percentage of the attempts with the distance ≤5 mm measured from the PT to US point for the participant. The primary outcome was compared between NUS and US groups using Wilcoxon rank sum test. A mixed-effect logistic regression or mixed-effect linear model was also conducted for outcomes accounting for the clustering and adjusting for potential confounders.RESULTS:Fifteen anesthesia participants were randomized to US (n = 8) and NUS (n = 7) groups. A total of 80 and 61 attempts were performed by the US and NUS groups, respectively. The median accuracy rate in the US group was higher than the NUS group (65% vs 30%;P= .025), and the median PT-US distance in the US group was shorter than in the NUS group (4.0 vs 8.0 mm;P= .04). The adjusted mean PT-US distance in the US group was shorter compared to the NUS group (adjusted mean [95% CI], 3.6 [2.9–4.6] vs 6.8 [5.2–8.9] mm;P< .001).CONCLUSIONS:Anesthesia participants exposed to practice with US-guided palpation of the cricothyroid membrane location were better able to identify the cricothyroid membrane using only blind palpation than participants without US-guided practice. Practice with US-guided palpation of neck landmarks improves subsequent blind localization of the cricothyroid membrane using palpation alone.
Metabolic traits of cancer stem cells
Authors: Peixoto Joana , Lima Jorge 
Published: June 2018

ABSTRACTCancer stem cells are a subpopulation of cells within a tumour believed to confer resistance to standard cancer therapies. Although many studies have addressed the specific mechanisms of tumour recurrence driven by cancer stem cells, cellular metabolism is an often-neglected attribute. The metabolic features of cancer stem cells are still poorly understood, and they thus constitute a promising field in cancer research. The findings published so far point to a distinct metabolic phenotype in cancer stem cells, which might depend on the cancer type, the model system used or even the experimental design, and several controversies still need to be tackled. This Review describes the metabolic phenotype of cancer stem cells by addressing the main metabolic traits in different tumours, including glycolysis and oxidative, glutamine, fatty acid and amino acid metabolism. In the context of these pathways, we also mention the specific alterations in metabolic enzymes and metabolite levels that have a role in the regulation of cancer stemness. Determining the role of metabolism in supporting resistance to therapy driven by cancer stem cells can raise the opportunity for novel therapeutic targets, which might not only eliminate this resistant population, but, more importantly, eradicate the whole tumour in a relapse-free scenario.
A TECNOLOGIA DE GESTÃO E O HOLOCAUSTO: É POSSÍVEL “HACKEAR” ISSO?
Authors: Silva Orlando Gomes da 
Published: June 2018

Neste ensaio, discutimos a condição, vista por Bauman pelas lentes do Holocausto, do que ainda se apresenta como lógica dominante das tecnologias de gestão disseminadas na formação em Administração no Brasil. Mostra-se que, além das graduações enviesadas por uma racionalidade questionável, há um imaginário que condiciona a percepção geral e afeta as possibilidades emancipatórias dos estudantes. Contextualiza-se, assim, o que o Holocausto pode representar em termos da tecnologia de gestão; aborda- se uma orientação epistemológica a ser assimilada como ponto de partida nos desenvolvimentos em torno de racionalidades alternativas e, com um exemplo de protagonismo de estudantes de Administração na Internet, situa-se uma distinção entre mídia social e mídia tática, de modo a falar sobre possíveis hackings nesse campo. Conclui-se enfatizando a possibilidade do estudo/atuação das/com tecnologias online a partir da distinção entre modelo de negócio e prática política.
Recent advances in understanding and managing diverticulitis
Authors: Severi Carola , Carabotti Marilia , Cicenia Alessia , Pallotta Lucia , Annibale Bruno 
Published: June 2018

In the past few decades, the increasing socioeconomic burden of acute diverticulitis (AD) has become evident, and with the growth of the population age, this significant economic impact will likely continue to rise. Furthermore, recent evidence showed an increased rate of hospital admissions especially evident among women and younger individuals. The natural history and pathophysiology of this clinical condition is still to be fully defined, and efforts continue to be made in the identification of risk factors and the establishment of relative preventive strategies. The actual therapeutic strategies aimed to modulate gut microbiota, such as rifaximin or probiotics, or to reduce mucosal inflammation, such as mesalazine, present a relatively poor efficacy for both the prevention of the first AD episode (primary prevention) and its recurrence (secondary prevention). In the last few years, the main goal achieved has been in the management of AD in that uncomplicated AD can, to a larger extent, be managed in an outpatient setting with no or little supportive therapy, a strategy that will certainly impact on the health costs of this disease. The problem of AD recurrence remains a topic of debate. The aim of this review is to present updated evidence on AD epidemiology and relative open clinical questions and to analyze in detail predisposing and protective factors with an attempt to integrate their possible modes of action into the several pathogenic mechanisms that have been suggested to contribute to this multifactorial disease. A unifying hypothesis dealing with the colonic luminal and extra-luminal microenvironments separately is provided. Finally, evidence-based changes in therapeutic management will be summarized. Because of an ascertained multifactorial pathogenesis of uncomplicated and complicated AD, it is probable that a single ‘causa prima’ will not be identifiable, and a better stratification of patients could allow one to pursue tailored therapeutic algorithm strategies.
Norwegian e-Infrastructure for Life Sciences (NeLS)
Authors: Tekle Kidane M. , Gundersen Sveinung , Klepper Kjetil , Bongo Lars Ailo , Raknes Inge Alexander , Li Xiaxi , Zhang Wei , Andreetta Christian , Mulugeta Teshome Dagne , Kalaš Matúš , Rye Morten B. , Hjerde Erik , Antony Samy Jeevan Karloss , Fornous Ghislain , Azab Abdulrahman , Våge Dag Inge , Hovig Eivind , Willassen Nils Peder , Drabløs Finn , Nygård Ståle , Petersen Kjell , Jonassen Inge 
Published: June 2018

The Norwegian e-Infrastructure for Life Sciences (NeLS) has been developed by ELIXIR Norway to provide its users with a system enabling data storage, sharing, and analysis in a project-oriented fashion. The system is available through easy-to-use web interfaces, including the Galaxy workbench for data analysis and workflow execution. Users confident with a command-line interface and programming may also access it through Secure Shell (SSH) and application programming interfaces (APIs). NeLS has been in production since 2015, with training and support provided by the help desk of ELIXIR Norway. Through collaboration with NorSeq, the national consortium for high-throughput sequencing, an integrated service is offered so that sequencing data generated in a research project is provided to the involved researchers through NeLS. Sensitive data, such as individual genomic sequencing data, are handled using the TSD (Services for Sensitive Data) platform provided by Sigma2 and the University of Oslo. NeLS integrates national e-infrastructure storage and computing resources, and is also integrated with the SEEK platform in order to store large data files produced by experiments described in SEEK. In this article, we outline the architecture of NeLS and discuss possible directions for further development.
Inconclusive benefit of adjuvant90Yttrium hydroxyapatite to radiosynovectomy for diffuse-type tenosynovial giant-cell tumour of the knee
Authors: Gortzak Y. , Vitenberg M. , Frenkel Rutenberg T. , Kollender Y. , Dadia S. , Sternheim A. , Morag G. , Farkash U. , Rath E. , Kramer M. , Drexler M. 
Published: June 2018

AimsIntra-articular90Yttrium (90Y) is an adjunct to surgical treatment by synovectomy for patients with diffuse-type tenosynovial giant-cell tumour (dtTGCT) of the knee, with variable success rates. Clinical information is, however, sparse and its value remains unclear. We investigated the long-term outcome of patients who underwent synovectomy with and without adjuvant treatment with90Yttrium.Patients and MethodsAll patients with dtTGCT of the knee who underwent synovectomy between 1991 and 2014 were included in the study. Group A patients underwent synovectomy and an intra-articular injection of90Yttrium between six and eight weeks after surgery. Group B patients underwent surgery alone.ResultsThere were 34 patients in group A and 22 in group B. Recurrence of dtTGCT was identified by MRI, which was undertaken in patients with further symptoms. At a mean follow-up of 7.3 years (2.5 to 25.4), there was residual disease in 15 patients in group A and 11 in group B (p < 0.363). The mean Musculoskeletal Tumor Society (MSTS) score at final follow-up was 85% and 83%, respectively (p < 0.91).ConclusionThere were no significant differences in outcome between patients treated surgically for dtTGCT of the knee with or without an adjuvant intra-articular injection of90Yttrium. We were unable to provide conclusive evidence of any benefits derived from the adjuvant treatment. Cite this article: Bone Joint J 2018;100-B:984–8.
Skin crease ‘bikini’ incision for the direct anterior approach in total hip arthroplasty
Authors: Leunig M. , Hutmacher J. E. , Ricciardi B. F. , Impellizzeri F. M. , Rüdiger H. A. , Naal F. D. 
Published: June 2018

Aims The classical longitudinal incision used for the direct anterior approach (DAA) to the hip does not follow the tension lines of the skin and can lead to impaired wound healing and poor cosmesis. The purpose of this retrospective study was to determine the satisfaction with the scar, and functional and radiographic outcomes comparing the classic longitudinal incision with a modified skin crease ‘bikini’ when the DAA is used for total hip arthroplasty (THA). Patients and Methods A total of 964 patients (51% female; 59% longitudinal, 41% ‘bikini’) completed a follow-up questionnaire between two and four years postoperatively, including the Oxford Hip Score (OHS), the University of North Carolina ‘4P’ scar scale (UNC4P) and two items for assessing the aesthetic appearance of the scar and symptoms of numbness. The positioning of the components, rates of heterotopic ossification (HO) and rates of revision were assessed. Results The mean OHS was similar in both groups (p = 0.41). The mean UNC4P total score was slightly better (p = 0.01) and the proportion of patients who were very satisfied with the cosmetic aspects of the scar was higher in the ‘bikini’ group (p < 0.001). The proportion of patients reporting numbness in the scar was higher in the longitudinal group (14.5% vs 7.5%, respectively, p < 0.001). The abduction angle of the acetabular component, the position of the stem and rates of HO did not differ between the groups. There were no differences in the revision rates of both groups, being 2.3% in the longitudinal and 1.5% in the ‘bikini’ group (p = 0.911). Conclusion We found that a short oblique ‘bikini’ skin crease incision is safe when used for the DAA at THA, without compromising the positioning of the components or increasing the rate of lateral femoral cutaneous nerve dysaesthesia. Although it leads to a superior scar satisfaction, as it is less extensile, it should be used after having gained experience with the classic longitudinal incision. Cite this article: Bone Joint J 2018;100-B:853–61.
Does acetabular coverage influence the clinical outcome of arthroscopically treated cam-type femoroacetabular impingement (FAI)?
Authors: Ibrahim M. M. , Poitras S. , Bunting A. C. , Sandoval E. , Beaulé P. E. 
Published: June 2018

Aims What represents clinically significant acetabular undercoverage in patients with symptomatic cam-type femoroacetabular impingement (FAI) remains controversial. The aim of this study was to examine the influence of the degree of acetabular coverage on the functional outcome of patients treated arthroscopically for cam-type FAI. Patients and Methods Between October 2005 and June 2016, 88 patients (97 hips) underwent arthroscopic cam resection and concomitant labral debridement and/or refixation. There were 57 male and 31 female patients with a mean age of 31.0 years (17.0 to 48.5) and a mean body mass index (BMI) of 25.4 kg/m2 (18.9 to 34.9). We used the Hip2Norm, an object-oriented-platform program, to perform 3D analysis of hip joint morphology using 2D anteroposterior pelvic radiographs. The lateral centre-edge angle, anterior coverage, posterior coverage, total femoral coverage, and alpha angle were measured for each hip. The presence or absence of crossover sign, posterior wall sign, and the value of acetabular retroversion index were identified automatically by Hip2Norm. Patient-reported outcome scores were collected preoperatively and at final follow-up with the Hip Disability and Osteoarthritis Outcome Score (HOOS). Results At a mean follow-up of 2.7 years (1 to 8, sd 1.6), all functional outcome scores significantly improved overall. Radiographically, only preoperative anterior coverage had a negative correlation with the improvement of the HOOS symptom subscale (r = -0.28, p = 0.005). No significant difference in relative change in HOOS subscale scores was found according to the presence or absence of radiographic signs of retroversion. Discussion Our study demonstrated the anterior coverage as an important modifier influencing the functional outcome of arthroscopically treated cam-type FAI. Cite this article: Bone Joint J 2018;100-B:831–8.
Two-centre radiological survivorship of acetabular distraction technique for treatment of chronic pelvic discontinuity
Authors: Sheth N. P. , Melnic C. M. , Brown N. , Sporer S. M. , Paprosky W. G. 
Published: June 2018

Aims The aim of this study was to examine the results of the acetabular distraction technique in achieving implantation of a stable construct, obtaining biological fixation, and producing healing of chronic pelvic discontinuity at revision total hip arthroplasty. Patients and Methods We identified 32 patients treated between 2006 and 2013 who underwent acetabular revision for a chronic pelvic discontinuity using acetabular distraction, and who were radiographically evaluated at a mean of 62 months (25 to 160). Of these patients, 28 (87.5%) were female. The mean age at the time of revision was 67 years (44 to 86). The patients represented a continuous series drawn from two institutions that adhered to an identical operative technique. Results Of the 32 patients, one patient required a revision for aseptic loosening, two patients had evidence of radiographic loosening but were not revised, and three patients had migration of the acetabular component into a more stable configuration. Radiographically, 22 (69%) of the cohort demonstrated healing of the discontinuity. The Kaplan–Meier construct survivorship was 83.3% when using revision for aseptic acetabular loosening as an endpoint. At the time when one patient failed due to aseptic loosening (at 7.4 years), there were a total of seven patients with a follow-up of seven years or longer who were at risk of failure. Conclusion The acetabular distraction technique demonstrates encouraging radiographic outcomes, with healing of the discontinuity in over two-thirds of our series. This surgical technique permits biological fixation and intraoperative customization of the construct to be implanted based on the pattern of the bone loss identified following component removal. Cite this article: Bone Joint J 2018;100-B:909–14.
Are adverse outcome rates higher in multiple sclerosis patients after total hip arthroplasty?
Authors: Newman J. M. , Khlopas A. , Sodhi N. , Curtis G. L. , Sultan A. A. , George J. , Higuera C. A. , Mont M. A. 
Published: June 2018

Aims This study compared multiple sclerosis (MS) patients who underwent primary total hip arthroplasty (THA) with a matched cohort. Specifically, we evaluated: 1) implant survivorship; 2) functional outcomes (modified Harris Hip Scores (mHHS), Hip Disability and Osteoarthritis Outcome Score, Joint Replacement (HOOS JR), and modified Multiple Sclerosis Impact Scale (mMSIS) scores (with the MS cohort also evaluated based on the disease phenotype)); 3) physical therapy duration and return to function; 4) radiographic outcomes; and 5) complications. Patients and Methods We reviewed our institution’s database to identify MS patients who underwent THA between January 2008 and June 2016. A total of 34 MS patients (41 hips) were matched in a 1:2 ratio to a cohort of THA patients who did not have MS, based on age, body mass index (BMI), and Charlson/Deyo score. Patient records were reviewed for complications, and their functional outcomes and radiographs were reviewed at their most recent follow-up. Results Compared with the matched cohort, MS patients had lower all-cause implant survivorship at eight years (91.5% (95% confidence interval (CI) 82.7 to 100) vs 98.7% (95% CI 96.2 to 100)) (p = 0.033), lower mHHS scores (66 vs 80, p < 0.001), and HOOS JR scores (79 vs 88, p = 0.009). Multiple sclerosis patients also required more physiotherapy (five weeks vs three weeks, p = 0.002) and took longer to return to baseline (seven weeks vs five weeks, p = 0.010) than the matched cohort. Furthermore, MS patients had more complications than the non-MS patients (six vs zero, p < 0.001). The worse outcomes of the MS group can potentially be explained by predisposition of these patients to mechanical complications and progression of their disease during the period of this study, as demonstrated by worsening of the mMSIS scores (2.9 vs 3.4; p = 0.008). Conclusion MS patients had lower implant survivorship, lower functional outcome scores, and increased complication rates; in addition, MS patients took longer to return to their baseline functional level after THA. Cite this article: Bone Joint J 2018;100-B:875–81.
Results of trabecular metal augments in Paprosky IIIA and IIIB defects
Authors: Eachempati K. K. , Malhotra R. , Pichai S. , Reddy A. V. G. , Podhili Subramani A. K. , Gautam D. , Bollavaram V. R. , Sheth N. P. 
Published: June 2018

Aims The advent of trabecular metal (TM) augments has revolutionized the management of severe bone defects during acetabular reconstruction. The purpose of this study was to evaluate patients undergoing revision total hip arthroplasty (THA) with the use of TM augments for reconstruction of Paprosky IIIA and IIIB defects. Patients and Methods A retrospective study was conducted at four centres between August 2008 and January 2015. Patients treated with TM augments and TM shell for a Paprosky grade IIIA or IIIB defect, in the absence of pelvic discontinuity, and who underwent revision hip arthroplasty with the use of TM augments were included in the study. A total of 41 patients with minimum follow-up of two years were included and evaluated using intention-to-treat analysis. Results There were 36 (87.8%) patients with a Paprosky IIIA defect and five (12.2%) patients with a Paprosky IIIB defect. The mean age was 56.7 years (28 to 94). There were 21 (51.2%) women and 20 (48.8%) men. The mean follow-up was 39.4 months (12 to 96). One (2%) patient died after eight years. No failures were noted in the series. The mean survivorship was 100% at the time of latest follow-up. Conclusion The results of this multicentre study showed encouraging short- and mid-term results for the use of TM augments in the management of Paprosky grade IIIA and IIIB defects. Cite this article: Bone Joint J 2018;100-B:903–8.
Kandungan Logam Berat Besi (Fe) Pada Air, Sedimen, Dan Kerang Hijau (Perna viridis) Di Perairan Tanjung Emas Semarang
Authors: Supriyantini Endang , Endrawati Hadi 
Published: June 2018

Logam berat Fe merupakan logam berat essensial yang keberadaannya dalam jumlah tertentu sangat dibutuhkan oleh organisme hidup, namun dalam jumlah yang berlebih dapat menimbulkan efek racun.Penelitian ini bertujuan untuk menganalisis kandungan dan tingkat pencemaran logam berat Fe pada air, sedimen, dan kerang hijau (Perna viridis) di perairan Tanjung Emas Semarang. Penelitian ini dilaksanakan pada tanggal 7 November dan 7 Desember 2013 dengan metode penelitian deskriptif. Logam berat Fe dalam sampel air, sedimen dan kerang hijau dianalisis di Laboratorium Balai Besar Teknologi Pencegahan Pencemaran Industri (BTPPI) Semarang dengan menggunakan metode AAS (AtomicAbsorption Spectrophotometry). Hasil penelitian menunjukkan bahwa perairan Tanjung Emas masih dalam taraf terkontaminasi logam Fe. Sedangkan pada sedimen dan pada kerang hijau (Perna viridis) sudah terindikasi tercemar logam Fe.Meskipun demikian variasi faktor lingkungan seperti suhu, salinitas, pH, kecepatan arus dan jenis sedimen juga memberikan kontribusi yang cukup penting terhadap kandungan logam Fe.Kata Kunci: logam Fe, Air, Sedimen, Perna viridis, metode AAS Heavy metalsiron(Fe) is anessentialheavy metalswhose presencein a certain amountis neededby living organisms, but inexcessiveamountscan causetoxic effects.The aims of the research is to analyze the heavy metals coccentration and the pollution level of Fe in water, sediment, and green mussels (Perna viridis) at Tanjung Emas Semarang. This research was conducted from 7 November and 7 December 2013 using the Atomic Absorption Spectrophotometry (AAS) and research methodswithdescriptive. The results showed that the waters of the Tanjung Emas is still in the stage of heavy metals contaminated iron (Fe). Sediment and green mussels (Perna viridis)already indicated heavy metal contaminatediron. However, variations inenvironmental factorssuch astemperature, salinity, pH, flow velocity an dsediment types also providean important contributionto heavy metal contentof iron(Fe).Key Words: Fe, water, sediment, Perna viridis, metode AAS