bluuebunny/crossref_metadata_2025_split huggingface dataset:
Recession of the Inferior Rectus Muscle Under Topical Anesthesia in Thyroid Ophthalmopathy
Authors: Köse Süheyla , Üretmen Önder , Emre Sinan , Pamukcu Kemal 
Published: January 2019

ABSTRACT
Purpose: To evaluate the results of inferior rectus muscle recession with adjustable loop suture under topical anesthesia for vertical deviations secondary to thyroid ophthalmopathy.
Patients and Methods: Five patients with a vertical deviation greater than 1 5 PD and severe limitation of upgaze were enrolled in the study. Before proceeding with corrective strabismus surgery, we waited at least 6 months after stabilization of ocular alignment and norrnauzation of thyroid chemistries. All patients underwent inferior rectus muscle recession with adjustable loop suture under topical anesthesia. The posisurgical follow-up was at least 12 months.
Results: Preoperatively, the mean vertical deviation was 24 PD. At 1 year postoperatively, it had decreased to 2.4 PD. Two patients were orthotroptc and 3 patients had residual hypotropia ranging lrorn 2 to 6 PD. The limitation of upgaze was relieved significantly in the postoperative period. Two patients had minimal limitation of downgaze, but none cornplained of diplopia in the primary or reading positions. Surgery did not trigger a flare-up of orbital inflammation in the early postoperative period.
Conclusion: We advocate that recession of the inferior rectus muscle with adjustable loop suture under topical anesthesia is safe and effective in patients with thyroid ophthalmopathy.
J Pediatr Ophthalmol Strabismus 2002;39:331-335.
Preliminary Results of Intraoperative Daunorubicin in Strabismus Surgery
Authors: Dadeya Subhash , Fatima Shibal 
Published: January 2019

ABSTRACT
Purpose: To evaluate the safety and efficacy of intraoperative daunorubicin (0.02%) for patients with strabismus undergoing a second surgical procedure.
Patients and Methods: Twenty-four patients with strabismus undergoing a second surgical procedure were randomly divided into two groups. In group A, daunorubicin 0.02% was applied subconjunctivally over the surface of the muscle and bare sclera for 3 minutes by cellulose sponge and then washed off thoroughly. In group B, distilled water was applied for 3 minutes in place of daunorubicin after the removal of adhesions.
Results: Satisfactory alignment in primary position with improved ocular motility was obtained in 80% of the patients in group A compared with 40% of the patients in group B after 12 months of follow-up (P = .16).
Conclusion: We recommend intraoperative daunorubicin 0.02% for 3 minutes as an adjunct for better results in patients with strabismus undergoing a second surgical procedure.
J Pediatr Ophthalmol Strabismus 2002;39:340344.
Magnetic Resonance Imaging in Duane's Retraction Syndrome
Authors: Ozkurt Huseyin , Basak M , Oral Y , Ozkurt Y 
Published: January 2019

ABSTRACT
Purpose: The aim of this study was to visualize the subarachnoid portion of the nervus abducens by magnetic resonance imaging and to analyze whether aplasia of the nervus abducens is an etiologic factor in Duane's retraction syndrome.
Methods: We performed thin-sectioned magnetic resonance imaging across the brainstem level in 8 cases (11 eyes) that were clinically diagnosed as Duane's retraction syndrome. The same test was applied to 8 healthy control subjects to verify the accuracy of this technique.
Results: The nervus abducens on the affected side could not be observed in 6 (54.5%) of 11 eyes (8 cases) that were clinically diagnosed as having Duane's retraction syndrome. The nervus abducens was observed in 15 (94%) of 16 eyes that were screened as the control group.
Conclusions: The results showed that aplasia of the nervus abducens, although an important etiologic factor, is not the only factor responsible for the diagnosis of Duane's retraction syndrome.
J Pediatr Ophthalmol Strabismus 2003;40:19-22.
Comparison of Anti-Emetic Effects of Ondansetron and Low-Dose Droperidol in Pediatric Strabismus Surgery
Authors: Bharti Neerja , Shende Dilip 
Published: January 2019

ABSTRACT
Background and Objective: Strabismus surgery is associated with a high incidence of postoperative nausea and vomiting. A dose of 150 µg/kg^sup -1^ of ondansetron has been found to be effective in reducing nausea and vomiting in pediatric patients. However, droperidol (20 to 75 µg/kg^sup -1^) has shown variable success with various side effects. This randomized, double-blind, placebo-controlled clinical trial was conducted to evaluate the efficacy and safety of 25 µg/kg^sup -1^ of droperidol and compare it with that of 150 µg/kg^sup -1^ of ondansetron in pediatrie strabismus surgery.
Patients and Methods: After institutional approval and parental informed consent, 120 children aged 1 to 15 years were prospectively randomized into one of three groups. Croup 1 received normal saline (placebo), group 2 received 25 µg/kg^sup -1^ of droperidol, and group 3 received 150 µg/kg^sup -1^ of ondansetron after induction of anesthesia. Children were assessed postoperatively for the incidence and severity of vomiting, recovery from anesthesia, and analgesic requirement for 24 hours.
Results: There was a significant (P < .05) reduction in the incidence of postoperative nausea and vomiting in the ondansetron (37.5%) and droperidol (30%) groups compared with the placebo (62.5%) group. The vomiting was also significantly less severe in these groups.
Conclusion: Doses of 25 µg/kg^sup -1^ of droperidol and 150 µg/kg^sup -1^ of ondansetron administered at induction of anesthesia are equally effective in reducing the incidence and severity of postoperative nausea and vomiting in children undergoing strabismus surgery.
J Pediatr Ophthalmol Strabismus 2003;40:23-26.
Subtenon Injection of Botulinum Toxin for Treatment of Traumatic Sixth Nerve Palsy
Authors: Kao Ling Yuh , Chao An Ning 
Published: January 2019

ABSTRACT
Purpose: Subtenon injection of botulinum toxin may produce results similar to intramuscular injection of the medial rectus muscle for the treatment of acute traumatic sixth nerve palsy. This study was designed to evaluate the clinical efficacy of subtenon injection and to compare our results with those in previously published reports.
Methods: During 3 years at a single institution, 13 patients with traumatic sixth nerve palsy of less than 6 months' duration were treated with subtenon injection of botulinum toxin. The deviation angles before and after injection were recorded. A distance esotropia of less than 10 prism diopters (PD) in the primary position or absence of diplopia at 3 months was defined as recovery.
Results: Of the 13 patients treated, 11 (84.5%) had unilateral palsy and 2 (15.4%) had bilateral palsy. The average pre-injection deviation was 39.5 PD of esotropia, and the average post-injection deviation was 17.0 PD. Seven patients experienced recovery and regained binocular single vision; the overall recovery rate was 53.8% (unilateral, 63.6%; bilateral, 0%). Six patients did not recover and subsequently underwent strabismus surgery.
Conclusion: Patients with traumatic sixth nerve palsy treated with subtenon injection of botulinum toxin showed higher recovery rates than did most patients treated with conservative measures in published reports. The result of subtenon injection of botulinum toxin without electromyography (EMG) guidance was comparable to that obtained using EMG-guided intramuscular injection of botulinum toxin. Patients with unilateral palsy demonstrated a better recovery rate than did patients with bilateral palsy.
J Pediatr Ophthalmol Strabismus 2003;40:27-30.
Thrombocytopenia and the Risks of Intraocular Surgery
Authors: Papamatheakis Demosthenes G , Demers Pierre , Vachon André , Jaimes Louise Brossard , Lapointe Yves , Harasymowycz Paul J 
Published: January 2019

* BACKGROUND AND OBJECTIVE: In thrombocytopenia, a hemorrhagic diathesis is usually present due to a low platelet count and has been related to the development of cataracts and retinopathy. The concomitant administration of nonsteroidal anti-inflammatory drugs can increase the hemorrhagic diathesis. The purpose of this study was to investigate the impact of thrombocytopenia during and after intraocular surgery.
* PATIENTS AND METHODS: A retrospective study of medical files of patients who had undergone cataract and glaucoma filtering surgery and were diagnosed as having thrombocytopenia between 1994-1995 and 1998-1999 was conducted. Eight patients with a total of 11 surgical procedures were included in this study.
* RESULTS: Hemorrhagic complications occurred in 2 of the 11 procedures, for an incidence of 18%. These 2 cases are described in detail.
* CONCLUSIONS: The current study confirms that thrombocytopenia is a significant risk factor for perioperative bleeding in ocular surgery. A routine questionnaire should be completed before ocular surgery and a complete blood cell count obtained in suspect cases. Consultation with a hematologist is warranted in cases of thrombocytopenia.
[Ophthalmic Surg Lasers Imaging 2005 ;36: 103107.]
Ultrasound Biomicroscopy Features of Iris and Ciliary Body Melanomas Before and After Brachytherapy
Authors: Torres Virginia L L , Allemann Norma , Erwenne Clélia M 
Published: January 2019

* BACKGROUND AND OBJECTIVE: To determine ultrasound biomicroscopy (UBM) features of iris and ciliary body melanomas before and after brachytherapy.
* PATIENTS AND METHODS: Four uveal anterior melanoma cases undergoing brachytherapy were retrospectively studied. All cases were examined by UBM prior to treatment and repeatedly after treatment.
* RESULTS: Before brachytherapy, UBM examination showed a solid mass in the iris, ciliary body, or both in all four cases and allowed its characterization, sizing, and positioning. Two cases had a pigmented scleral lesion corresponding to the tumor location, but UBM did not detect any scleral infiltration at those sites. After brachytherapy, all lesions showed progressive decrease in size and progressive attenuation of their limits. Internal reflectivity was variable. Complications related to brachytherapy were demonstrated, including cataract, peripheral anterior synechiae at tumor location, and secondary scleral thinning.
* CONCLUSION: UBM played an important role as a complementary diagnostic method for anterior uveal melanomas, particularly ciliary body melanomas, but also allowed therapeutic planning (brachytherapy or surgery) and follow-up after treatment.
[Ophthalmic Surg Lasers Imaging 2005,36:129-138.]
Long-Term Results of Pars Plana Vitrectomy Combined With Filtering Surgery for Neovascular Glaucoma
Authors: Kono Toshihiro , Shiga Sousuke , Takesue Yoshiko , Sakamoto Taiji 
Published: January 2019

* BACKGROUND AND OBJECTIVE: To analyze the effectiveness of vitrectomy combined with filtering surgery for neovascular glaucoma.
* PATIENTS AND METHODS: Twenty-one eyes with neovascular glaucoma underwent pars plana vitrectomy combined with filtering surgery between January 1995 and December 2003. Thirteen eyes (10 cases) had neovascular glaucoma secondary to proliferative diabetic retinopathy and 8 eyes (8 cases) had neovascular glaucoma secondary to central retinal vein occlusion. The initial intraocular pressures ranged from 21 to 70 mm Hg with full medication. All cases were observed for more than 12 months after the last surgery and the ophthalmic records were retrospectively reviewed.
* RESULTS: During the follow-up period, 19 eyes (90.5%) had intraocular pressures of less than 21 mm Hg with or without antiglaucoma eye drops, whereas 18 eyes (85.7%) had a stable or improved visual acuity.
* CONCLUSION: Vitrectomy combined with filtering surgery is considered to be an effective treatment for neovascular glaucoma to maintain the visual function for a long period.
[Ophthalmic Surg Lasers Imaging 2005;35:211-216.]
Entre Alpes et Apennins : le voyage à Rome du cardinal Pierre de Colombier (9 février-27 juin 1355)
Authors: Lemaitre Jean-Loup 
Published: January 2019

À l’issue du consistoire du 4 février 1355, tenu à Avignon, Pierre Bertrand, al. de Colombier (un Ardéchois), cardinal d’Ostie, est chargé d’aller procéder à Rome au couronnement impérial de Charles IV, roi des Romains depuis 1346 et de Bohème depuis 1347. Il quitte la cour pontificale le 9 février pour arriver à Rome le 2 avril. Il procède au couronnement à Saint-Jean de Latran le dimanche de Pâques et repart le 11 avril pour Avignon, où il arrive le 27 juin, passant à l’aller par la Provence et la côte ligure, jusqu’à Pise, et au retour par la Lombardie, Suse et le col de Montgenèvre. Son chapelain et secrétaire, Jean Porte, d’Annonay, a tenu le journal de cette légation, complété en particulier par l’itinéraire quotidien aller et retour, étape par étape. Le journal lui-même comporte de nombreuses notations sur le déroulement matériel du voyage. Le texte, conservé au xviie siècle dans les archives du couvent des célestins de Colombier, a été publié à partir d’un manuscrit du xve siècle de Prague par Richard Salomon en 1913. Des extraits du manuscrit ont été donnés par Matthieu de Goussainville (bibliothèque de l’Arsenal), Joseph Labbe (1657) et François Duchesne (1660). Malgré cela, cet itinéraire exceptionnel est resté négligé par les historiens.
Le flottage du bois sur la Garonne : archéologie d’un espace économique et d’un savoir-faire (xviie-xixe siècle)
Authors: François Anh Linh 
Published: January 2019

Peu d’études archéologiques ont été entreprises sur le cours supérieur de la Garonne. L’aspect torrentiel du fleuve, les crues destructrices et l’absence de navigation actuelle ont pu faire penser à l’absence totale de sites archéologiques encore en place. Pourtant, des aménagements en bois de plusieurs mètres de long sont encore présents dans le lit du fleuve, correspondant à des équipements liés à la pratique du flottage au xviiie siècle. Ces structures résistantes combinant des systèmes d’assemblages spécifiques ont été retrouvées récemment et sont étudiées dans cet article.
Un outil de desserte et de désenclavement : le téléphérique
Authors: Tinet Michel 
Published: January 2019

L’étude attentive des téléphériques comme moyens de transport polyvalents est révélatrice des genres de vie des populations en montagne, mais aussi des politiques de développement et des grands chantiers nés après la révolution industrielle. L’invention du câble d’acier en 1834, en Allemagne, amplifie ce phénomène largement sous-estimé, apparu avec l’usage déjà fort ancien de cordes au travers de gorges. Ces téléphériques développés d’abord pour le transport de marchandises, puis celui de personnes, vont rendre d’inestimables services aux populations montagnardes, participant au désenclavement de villages en Suisse (Valais, Uri), partout en Europe, puis au Nouveau Monde ou en Asie. Bois, bidons de lait, fourrage, vendanges, mais aussi charges lourdes, ciment, charbon, minerais divers... La liste longue, voire surprenante, des usages rendus possibles par ces câbles de toutes dimensions n’a d’égale que la souplesse d’adaptation aux reliefs, aux contraintes locales, sous tous les climats.
Over leven, dood en bewustzijn
Authors: De Waele J.W. 
Published: January 2019

Over leven, dood en bewustzijn. Een medisch-filosofische bespiegeling
Beslissen of iemand nog in leven is dan wel dood, is altijd een courante uitdaging binnen de geneeskunde geweest. Sinds de verbeterde reanimatietechnieken en IC-faciliteiten (met mechanische ventilatie) uit de tweede helft van de twintigste eeuw is het mogelijk geworden het leven langer aan te houden, niet tegenstaande het bewustzijn uitblijft. Wat is nu die relatie tussen leven en bewustzijn en hoe kan die ontkoppeld zijn? Wanneer is men hersendood? Wanneer spreekt men van coma, vegetatieve status of minimaal bewuste toestand en wat houdt dat fysiologisch en humaan in? Wat is de prognose in die gevallen? Welke juridische en ethische vraagtekens (denk aan orgaandonatie) brengt dit met zich mee?
Cuidado resolutivo de paracoccidioidomicose em uma Unidade Básica de Saúde: Relato de caso
Authors: Souza Maria Cristina Almeida de , Souza Edsneider Rocha Pires de , Côrtes Paula Pitta de Resende , Côrtes Júnior João Carlos de Souza , Vilagra Sandra Maria Barroso Werneck , Costa Elisa Maria Amorim da 
Published: January 2019

A paracoccidioidomicose é uma micose sistêmica endêmica nas regiões tropicais da América do Sul, sendo comum no Brasil. É causada pelo fungo Paracoccidioides brasiliensis, que infecta o homem pela via respiratória por meio de inalação. Após a sintomatologia pulmonar, por disseminação hematogênica, pode acometer vários órgãos e sistemas. Uma das dificuldades no diagnóstico dessa doença se deve à sua semelhança clínica com a tuberculose. Clinicamente, a doença pode apresentar-se nas formas crônica e aguda/subaguda. Constitui-se em um importante problema de saúde pública, pois é uma doença incapacitante, podendo levar o portador ao óbito. Descreve-se, neste artigo, um caso de paracoccidioidomicose em indivíduo do sexo masculino, cuja resolutividade do cuidado pela equipe da Unidade Básica de Saúde (UBS) foi fundamental para o sucesso do tratamento e para o bom prognóstico.
Sleep quality and its association with psychological distress and sleep hygiene: a cross-sectional study among pre-clinical medical students
Authors: Rezaei Mojtaba , Khormali Moein , Akbarpour Samaneh , Sadeghniiat-Hagighi Khosro , Shamsipour Mansour 
Published: January 2019

Objective: This study aimed to investigate subjective sleep quality and its association with demographics, psychological health, and sleep hygiene related behaviors in pre-clinical medical students.
Methods: In this cross-sectional study, a self-administered questionnaire consisting of demographics, sleep hygiene behaviors, Pittsburgh Sleep Quality Index (PSQI), and Depression, Anxiety and Stress Scale-21 (DASS21) was handed out to all medical students of Tehran University of Medical Sciences at pre-clinical stage.
Results: The questionnaire was filled out by 553 (89.7%) of 616 students approached. About 60% of our sample had a global PSQI score of more than 5 (cut off of poor sleep quality) with mean global PSQI score of 6.32 (SD=2.72). The prevalence of moderate to extremely severe depression, anxiety and stress scores were 26.1%, 29.61%, and 14.5% respectively. Poor sleep quality was associated with later year in the school, psychological distress and several lifestyle behaviors. Constructing a multivariate logistic model, depression, anxiety and some sleep hygiene behaviors were significantly associated with higher PSQI score.
Discussion: Our findings suggest that poor sleep quality is a common problem among pre-clinical medical students and is associated with some psychological symptoms and sleep hygiene behaviors. This issue demonstrates necessity of interventions to improve the sleep quality in this population group.
Main verb+gerund constructions in english explained by means of semantic transitive features
Authors: Gómez Castejón María Ángeles 
Published: January 2019

There have been remarkable works on semantic transitivity although they are, to a certain extent, limited. Firstly, most of these works have only focused on syntactic constructions in which the second participant, syntactic direct object, is a Noun Phrase. Secondly, most of the works dealing with gerunds as syntactic direct objects, do not take semantic transitivity into consideration. We claim that gerund complements occurring after main verbs (i.e. [subject] [main verb] [gerund]) can be explained by taking the notion of semantic transitivity as a reference. In this sense, semantic transitivity is based on features relevant to two-participant events. In this context, a prototypical transitive event implies an event instigated by a volitionally acting agent that causes a change in an affected patient. Therefore, with the aid of a corpus, we aim to analyse the structure [subject] [main verb] [gerund] in English in relation to the most relevant features involved in coding semantic transitivity, in particular, in terms of the prototypical agent and patient.Ha habido trabajos destacados sobre la transitividad semántica a pesar de que presentan ciertas limitaciones. En primer lugar, la mayoría de estos trabajos se han centrado sólo en construcciones sintácticas en las que el segundo participante, objeto directo, es un sintagma nominal. En segundo lugar, la mayoría de los trabajos que se ocupan de los gerundios como objetos directos, no toman en cuenta la transitividad semántica. Afirmamos que los gerundios en función de complemento que aparecen después de los verbos principales (es decir, [sujeto] [verbo principal] [gerundio]) pueden explicarse tomando el concepto de transitividad semántica como referencia. En este sentido, la transitividad semántica se basa en las características relevantes que describen los eventos de dos participantes. En este contexto, un evento transitivo prototípico implica un evento instigado por un agente volitivo que causa un cambio en un paciente afectado. Por lo tanto, con la ayuda de un corpus, nos proponemos analizar la estructura [sujeto] [verbo principal] [gerundio] en inglés en relación con las características más relevantes que intervienen en la codificación de la transitividad semántica, en particular, en términos del agente y paciente prototípico.
Awareness, behavior and attitudes concerning sun exposure among beachgoers in the northern coast of Peru
Authors: Toro-Huamanchumo Carlos J. , Burgos-Muñoz Sara J. , Vargas-Tineo Luz M. , Perez-Fernandez Jhosuny , Vargas-Tineo Otto W. , Burgos-Muñoz Ruth M. , Zentner-Guevara Javier A. , Bada Carlos 
Published: January 2019

Background
Skin cancer incidence has increased over the last years, becoming a major public health problem.

Objective
To describe the awareness, behavior and attitudes concerning sun exposure among beachgoers in the northern coast of Peru.

Methods
We conducted a cross-sectional study in the Pimentel beach, Peru. The “Beach Questionnaire” was used and we surveyed all the beachgoers from 8 a.m. to 4 p.m. and from March 5 to March 19. For the statistical analysis, sun exposure habits, sunburns history, knowledge, attitudes and practices were crossed with sex using the chi2 test.

Results
We surveyed 410 beachgoers, the most frequent phototype was type III (40.5%). Only the 13.66% of the respondents correctly answered the seven knowledge questions related to sun exposure and skin cancer. Men more frequently agreed that “when they are tanned their clothes looks nicer” (p = 0.048). Likewise, regarding the questions “Sunbathing is relaxing” and “Sunbathing improves my mood”, men agreed or totally agreed with more frequency than women (63.64% vs. 46.15%, p < 0.001; and 61.36% vs 49.15%, p = 0.014, respectively). Regarding sun protection practices, women more frequently used sunshade (p = 0.001) and sunscreen (SPF ≥ 15) (p < 0.001) when compared to the male group.

Conclusion
Sun exposure is a potentially preventable risk factor for skin cancer. Thus, awareness of the risks of UVR overexposure and adequate sun-protective behaviors and attitudes are essential. Our results, however, are not as favorable as expected. Public health efforts should encourage sun-safety precautions and intervention campaigns should be carried out in recreational settings, such as the beaches.