bluuebunny/crossref_metadata_2025_split huggingface dataset:
Laparoscopic sleeve gastrectomy without over-sewing the staple line: A case series demonstrating efficacy and minimization of both intra- and post-operative complications
Authors: Moradian S. , Daneshpajouh A. , Patel A. , Kitzman K. , Gomez N. , Choi M. 
Published: May 2017

Abstract

Introduction
Bariatric surgery, specifically laparoscopic sleeve gastrectomy (LSG), has become one of the standard bariatric operations in the U.S. for weight loss and improvement in associated co-morbidities. It has been shown that associated co-morbidities such as obstructive sleep apnea, diabetes mellitus, hypertension, hypercholesterolemia, and obesity have all been improved, if not cured. Many bariatric surgeons insist on over-sewing the staple line in an attempt to minimize post-operative leaks and/or hemorrhage, without substantial evidence to support the benefit of applying this additional step.

Methods
Retrospective data for the first 50 consecutive patients undergoing LGS and conversion from laparoscopic gastric banding (LGB) to LSG from September 2014 to April 2015 at Larkin Community Hospital were analyzed. All patients were seen and evaluated pre-operatively in the private practice of the bariatric surgeon. Each case was completed with two surgeons and one resident. The majority of the case was split between one of the two surgeons in the Bariatric practice and the resident assisting. The LSG was performed without over-sewing the staple line and none of the patients received an upper GI series or any pharmaceutical anticoagulation while they were hospitalized. All patients were discharged on POD# 1.

Results
Weight loss at 1 and 3 months were 19.6 lbs (8.91 kgs) and 41.3 lbs (18.8 kgs) respectively. The most common complication was hair loss in the post-operative period (3/50). No major complications including, but not limited to, leaks, fistulas, pulmonary emboli, or deep venous thrombosis were observed.

Conclusion
Our technique, to our knowledge, is the first to describe laparoscopic sleeve gastrectomy without over-sewing the staple line, no post-operative anticoagulation, no UGI series on POD#1, and discharge home on POD#1 with no major complications.

Highlights
IT Is From Mars and Physicians From Venus: Bridging the Gap
Authors: Huang Mark E. 
Published: May 2017

AbstractWith increasing adoption of electronic health records (EHRs) and legislative mandates for its use within the United States, collaboration between physicians and information technology (IT) staff is essential. Current challenges that physicians face include addressing EHR usability, system performance, adequate training, issue resolution, regulatory compliance, and lack of awareness of IT roles. These challenges lead to gaps in communication between clinicians and IT staff. Strategies to improve collaboration between physicians and IT staff include increasing physician involvement with health information technology software development, involvement with legislative regulations and standards, IT project implementation, as well as system stabilization and optimization. Other key strategies to improve collaboration are also addressed, including proper leadership support, proper training, and proper issue triage. Improved collaboration can result in more effective EHR design and implementation which in turn can enhance the end user experience and patient care.
Telehealth in Physical Medicine and Rehabilitation: A Narrative Review
Authors: Tenforde Adam S. , Hefner Jaye E. , Kodish‐Wachs Jodi E. , Iaccarino Mary A. , Paganoni Sabrina 
Published: May 2017

AbstractTelehealth refers to health care interactions that leverage telecommunication devices to provide medical care outside the traditional face‐to‐face, in‐person medical encounter. Technology advances and research have expanded use of telehealth in health care delivery. Physical medicine and rehabilitation providers may use telehealth to deliver care to populations with neurologic and musculoskeletal conditions, commonly treated in both acute care and outpatient settings. Patients with impaired mobility and those living in locations with reduced access to care may particularly benefit. Video‐teleconferencing has been shown to be effective for management of burn patients during acute rehabilitation, including reduced health care use expenses and less disruptions to care. Telehealth can facilitate developing interprofessional care plans. Patients with neurologic conditions including stroke, spinal cord injury, traumatic brain injury, and amyotrophic lateral sclerosis may use telehealth to monitor symptoms and response to treatment. Telehealth also may facilitate occupational and physical therapy programs as well as improve weight management and skin care in patients with chronic conditions. Other applications include imaging review in sports medicine, symptom management and counseling in concussion, traumatic brain injury, and pain management programs. Limitations of telehealth include barriers in establishing relationship between medical provider and patient, ability to perform limited physical examination, and differences in payment models and liability coverage. The expansion of telehealth services is expected to grow and has potential to improve patient satisfaction by delivering high quality and value of care.
Data Sharing and Data Registries in Physical Medicine and Rehabilitation
Authors: Capó‐Lugo Carmen E. , Kho Abel N. , O'Dwyer Linda C. , Rosenman Marc B. 
Published: May 2017

AbstractThe field of physical medicine & rehabilitation (PM&R), along with all the disciplines it encompasses, has evolved rapidly in the past 50 years. The number of controlled trials, systematic reviews, and meta‐analyses in PM&R increased 5‐fold from 1998 to 2013. In recent years, professional, private, and governmental institutions have identified the need to track function and functional status across providers and settings of care and on a larger scale. Because function and functional status are key aspects of PM&R, access to and sharing of reliable data will have an important impact on clinical practice. We reviewed the current landscape of PM&R databases and data repositories, the clinical applicability and practice implications of data sharing, and challenges and future directions. We included articles that (1) addressed any aspect of function, disability, or participation; (2) focused on recovery or maintenance of any function; and (3) used data repositories or research databases. We identified 398 articles that cited 244 data sources. The data sources included 66 data repositories and 179 research databases. We categorized the data sources based on their purposes and uses, geographic distribution, and other characteristics. This study collates the range of databases, data repositories, and data‐sharing mechanisms that have been used in PM&R internationally. In recent years, these data sources have provided significant information for the field, especially at the population‐health level. Implications and future directions for data sources also are discussed.
Can Heidegger's Poetic Saying Account for More (or Less) Than Great Artworks?
Authors: MATHIEU OLIVIER 
Published: May 2017

ABSTRACT:In this paper I mobilize the Heideggerian concept of poetic saying [Dichtung] to describe features that pertain to the accomplishment of an artwork in the institutional setting of an artworld. Following Binkley and Davies, I first describe performances generative of artworks as ‘piece-specification’. I argue that a condition of ‘artistic creativity’ bears upon piece-specification that is insufficiently accounted for by these authors and that Heidegger's concept of poetic saying can help flesh it out. To that end, I show that it is at least coherent with some of Heidegger's phenomenological insights to argue that (1) poetic sayings are not necessarily tied to the advent of ‘great artworks’ and that (2) poetic sayings thus lend themselves to an analysis that views them as the intentional accomplishment of a meaning-event [Sinnereignis]. I then use the intentional structure of poetic sayings to describe how one can intend to achieve piece-specification in a creative yet recognizable manner.
Prevalence of potential smoking-related conditions among tobacco users in the emergency department and their perception that their visit may be smoking-related – ERRATUM
Authors: Tsai A.P.Y. , Tsai J. P.-N. , Stewart L. , Brubacher J. , Cheung K.W. 
Published: May 2017

RÉSUMÉIntroductionLes fumeurs qui consultent au service des urgences (SU) souffrent de nombreuses maladies directement causées ou potentiellement causées par l’usage du tabac. Il a déjà été démontré dans des études antérieures que le taux d’abandon du tabac augmentait chez les personnes qui percevaient correctement le fait que la consultation au SU était liée à l’usage du tabac.ObjectifsL’étude visait : 1) à calculer la prévalence des affections potentiellement liées à l’usage du tabac parmi les fumeurs dans un SU de soins tertiaires rattaché à un hôpital universitaire; et 2) à déterminer quelles affections étaient plus ou moins susceptibles d’être perçues par les patients comme liées à l’usage du tabac.MéthodeOnt participé à l’étude des adultes de 19 ans et plus qui ont déclaré avoir fait usage de tabac dans les 30 jours précédant la consultation au SU et qui ont participé à un essai comparatif à répartition aléatoire (ClinicalTrials.gov. : NCT01454375) du 1er décembre 2011 au 31 août 2012. On a demandé aux patients d’indiquer s’ils croyaient que la consultation au SU était liée à l’usage du tabac. Par ailleurs, les diagnostics ont été codés, au moment du congé du SU, comme liés ou non liés à l’usage du tabac, d’après le Surgeon General’s Report de 2004, aux États-Unis.RésultatsAu total, 893 patients (hommes : 62 %; âge moyen : 40 ± 15 ans) ont été sélectionnés, dont 120 (13 %) souffraient d’une maladie potentiellement liée à l’usage du tabac. Il y avait 6 (5 %) cas de néoplasie; 18 (15 %), de maladie cardiovasculaire; 67 (56 %), de maladie respiratoire; 3 (3 %), de troubles de la reproduction; 7 (6 %), de complications postopératoires; 9 (8 %), d’affection dentaire; 9 (8 %), d’ulcère gastroduodénal; 0 (0 %), de maladie oculaire; et 1 (1 %), de maladie osseuse. Parmi les affections potentiellement liées à l’usage du tabac, 46 (38 %) étaient perçues comme telles par les patients : 61 % des maladies cardiovasculaires; 33 % des néoplasies; 43 % des maladies respiratoires; 22 % des affections dentaires; 14 % des complications postopératoires; 11 % des ulcères gastroduodénaux, et 0 % des autres affections.ConclusionsDans l’étude en question, 13% des consultations au SU parmi les fumeurs étaient motivées par des affections potentiellement liées à l’usage du tabac, et 38 % d’entre elles étaient perçues comme telles par les patients. L’éducation du public visant à sensibiliser les gens aux affections liées à l’usage du tabac pourrait accroître le taux d’abandon du tabac.
The topological entropy of non-dense orbits and generalized Schmidt games
Authors: WU WEISHENG 
Published: May 2017

We generalize the notion of Schmidt games to the setting of the general Caratheódory construction. The winning sets for such generalized Schmidt games usually have large corresponding Caratheódory dimensions (e.g., Hausdorff dimension and topological entropy). As an application, we show that for every $C^{1+\unicode[STIX]{x1D703}}$-partially hyperbolic diffeomorphism $f:M\rightarrow M$ satisfying certain technical conditions, the topological entropy of the set of points with non-dense forward orbits is bounded below by the unstable metric entropy (in the sense of Ledrappier–Young) of certain invariant measures. This also gives a unified proof of the fact that the topological entropy of such a set is equal to the topological entropy of $f$, when $f$ is a toral automorphism or the time-one map of a certain non-quasiunipotent homogeneous flow.
Patient Cessation Activity after Automatic Referral to a Dedicated Cessation Support Service
Authors: Amato Katharine A. , Reid Mary E. , Bansal-Travers Maansi , Ochs-Balcom Heather M. , Cummings K. Michael , Mahoney Martin , Marshall James , Hyland Andrew 
Published: May 2017

Introduction: We characterised tobacco use, cessation patterns, and patient satisfaction with a cessation support program at an NCI Designated Comprehensive Cancer Center following a mandatory tobacco assessment and automatic referral.Methods: A 3-month follow-up survey (via web, paper, or telephone) was administered between March 2013 and November 2013 for all patients referred to and contacted by a cessation support service, and who consented to participation three months prior to administration. Patients were asked about their perceived importance and self-efficacy to quit smoking, quit attempts, and satisfaction with the cessation service.Results: Fifty-two percent (257/499) of patients who participated in the cessation support service, and consented to be contacted again, completed a follow-up survey. Of those who participated, 9.7% were referred to the service as having recently quit tobacco (in the past 30 days) and 23.6% reported having quit at the time of first contact. At the 3-month follow-up, 48.1% reported being smoke-free for the previous seven days. When patients were asked about their experience with the cessation service, 86.4% reported being very or mostly satisfied with the service, and 64.3% reported that their experience with the service increased their satisfaction with the care received at the cancer centre.Conclusions: Our findings suggest that recently diagnosed cancer patients are aware that quitting tobacco is important, are making attempts to quit, and are amenable to an opt-out automatic referral cessation support service as part of their cancer care.
Alternate Mediterranean diet score is positively associated with skeletal muscle mass index in middle-aged adults
Authors: Tian Hui-yuan , Qiu Rui , Jing Li-peng , Chen Zhan-yong , Chen Geng-dong , Chen Yu-ming 
Published: May 2017

AbstractResearches have suggested Mediterranean diet might lower the risk of chronic diseases, but data on skeletal muscle mass (SMM) are limited. This community-based cross-sectional study examined the association between the alternate Mediterranean diet score (aMDS) and SMM in 2230 females and 1059 males aged 40–75 years in Guangzhou, China. General information and habitual dietary information were assessed in face-to-face interviews conducted during 2008–2010 and 3 years later. The aMDS was calculated by summing the dichotomous points for the items of higher intakes of whole grain, vegetables, fruits, legumes, nuts, fish and ratio of MUFA:SFA, lower red meat and moderate ethanol consumption. The SMM of the whole body, limbs, arms and legs were measured using dual-energy X-ray absorptiometry during 2011–2013. After adjusting for potential covariates, higher aMDS was positively associated with skeletal muscle mass index (SMI, SMM/height2, kg/m2) at all of the studied sites in males (all Ptrend<0·05). The multiple covariate-adjusted SMI means were 2·70 % (whole body), 2·65 % (limbs), 2·50 % (arms) and 2·70 % (legs) higher in the high (v. low) category aMDS in males (all P<0·05). In females, the corresponding values were 1·35 % (Ptrend=0·03), 1·05, 0·52 and 1·20 %, (Ptrend>0·05). Age-stratified analyses showed that the favourable associations tended to be more pronounced in the younger subjects aged less than the medians of 59·2 and 62·2 years in females and males (Pinteraction>0·10). In conclusion, the aMDS shows protective associations with SMM in Chinese adults, particularly in male and younger subjects.
A Bargaining Theory of Conflict with Evolutionary Preferences
Authors: Little Andrew T. , Zeitzoff Thomas 
Published: May 2017

AbstractBargaining models play a central role in international relations, particularly in the study of conflict. A common criticism of this approach is that it fails to account for nonmaterial (e.g., psychological) factors that may influence the bargaining process. We augment a standard bargaining model by allowing actors’ preferences over conflict to diverge from the “fitness” payoffs (e.g., resources) typical of such models. Preferences are subject to evolutionary forces—those who attain high fitness reproduce more. We find that (1) there is a trade-off where being “irrationally” tough leads to better bargains but also more inefficient conflict; (2) actors develop behavioral biases consistent with empirical findings from psychology and behavioral economics; and (3) these behavioral biases inevitably lead to conflict. By bridging the strategic and psychological approaches to conflict, our models provide new insights into questions such as how changes in military and intelligence-gathering technology affect the likelihood and expected cost of war, and how to interpret the purported decline of violence over recent human history.
Impact on the medical decision-making process of multiplex PCR assay for respiratory pathogens
Authors: GUILLON A. , AYMERIC S. , GAUDY-GRAFFIN C. , SONKE J. , DEBLONDE M. P. , CAPSEC J. , DIOT P. , GAROT D. , GOUDEAU A. , GRAMMATICO-GUILLON L. 
Published: May 2017

SUMMARYThe objective of this study was to determine how clinicians make use of the modern multiplex PCR assays (MPAs) to manage patients hospitalized for community-acquired pneumonia (CAP). We studied the use of MPAs in 1648 patients hospitalized for CAP over a 3-year period at the moment of the setup of the new PCR assay. We observed that the use of MPAs for the identification of multiple respiratory pathogens marks a radical change in the investigation of CAP etiology. Surprisingly, the contribution of MPAs to the medical decision-making process varies drastically according to the units of care.
The rise of crowd equity funding: where to now?
Authors: Nehme Marina 
Published: May 2017

AbstractCrowd equity funding is a type of crowdfunding that allows companies to obtain seed or other capital through small equity investments from a large range of investors via an online portal. This form of finance has been viewed as a way to remedy the shortfall of capital for small and medium enterprises. As a result, a number of countries such as the US, Italy and New Zealand have promoted this form of finance. Accordingly, the paper first considers the reasons behind the rise of crowd equity funding on government agendas around the world. It then focuses on the Australian setting, by highlighting the different proposals that have been put forward to introduce legislation friendlier to crowd equity funding. The aim is to view the extent to which the proposed models provide the right balance between investor protection and entrepreneurship.
On the ‘New’ Burma Road: From Mule Caravans to Motorcycle Bands
Authors: Chang Wen-Chin 
Published: May 2017

AbstractSince the opening of the Sino-Burmese border trade in 1988, the movement of goods and people from both sides has increased rapidly. In 2011, China became Burma's largest trading partner and over half the total volume of goods was accrued in cross-border trade via Yunnan. However, national figures on import-export volumes are derived solely from legal flows, while contraband is largely overlooked. To date, academic studies on contraband have remained insufficient, partly due to the difficulty accessing Burmese border areas, and partly due to the mere challenges in obtaining information about smuggling from those who engage in such activity. This paper, based on multiple fieldwork sites over several years, examines a particular contraband – the smuggling of Chinese motorcycles to Burma on the ‘new’ Burma Road. This shadow economy thrived between 2000 and 2014. While highlighting its economic rationality beyond state control, I attempt to make diachronic and synchronic comparisons by engaging with dialogues within the historical trading mechanism of the mule convoys in the region and also with theories of shadow economies generated from contemporary case studies in other parts of the world. I argue that the formation of this shadow economy is not haphazard but adheres to the ethos of the mule caravan trade, predicated on local knowledge and social networks.
Rnf138 deficiency promotes apoptosis of spermatogonia in juvenile male mice
Authors: Xu Longchang , Lu Yalan , Han Deqiang , Yao Rongyan , Wang Han , Zhong Shunshun , Luo Yanyun , Han Ruiqin , Li Kai , Fu Jun , Zong Shudong , Miao Shiying , Song Wei , Wang Linfang 
Published: May 2017

AbstractSpermatogenesis, the process by which haploid sperm cells are produced from a diploid precursor cell, is essential for sexual reproduction. Here, we report that RING-finger protein 138 (Rnf138) is highly expressed in testes, especially in spermatogonia and spermatocytes. The role ofRnf138in spermatogenesis was examined using aRnf138-knockout mouse model.Rnf138deficiency resulted in increased apoptosis in spermatogenic cells, loss of proliferative spermatogonia, delayed development of spermatozoa and impaired fertility. The proportion of PLZF+Ki67+ cells within the PLZF+ population decreased in the knockout mice. The phenotype was further assessed by RNA-sequencing (RNA-seq), which determined that the expression levels of many genes involved in spermatogenesis were altered in the testis ofRnf138-knockout mice. Thus,Rnf138deficiency promotes the apoptosis of spermatogenic cells, which may have been caused by the aberrant proliferation of spermatogonia in mouse testis development.
Lhx1/5 control dendritogenesis and spine morphogenesis of Purkinje cells via regulation of Espin
Authors: Lui Nga Chu , Tam Wing Yip , Gao Caiji , Huang Jian-Dong , Wang Chi Chiu , Jiang Liwen , Yung Wing Ho , Kwan Kin Ming 
Published: May 2017

AbstractIn the cerebellar cortex, Purkinje cells (PCs) receive signals from different inputs through their extensively branched dendrites and serve as an integration centre. Defects in the dendritic development of PCs thus disrupt cerebellar circuitry and cause ataxia. Here we report that specific inactivation of both Lhx1 and Lhx5 in postnatal PCs results in ataxic mutant mice with abnormal dendritic development. The PCs in the mutants have reduced expression of Espin, an F-actin cytoskeleton regulator. We show that Espin expression is transcriptionally activated by Lhx1/5. Downregulation of Espin leads to F-actin mislocalization, thereby impairing dendritogenesis and dendritic spine maturation in the PCs. The mutant PCs therefore fail to form proper synapses and show aberrant electrophysiological properties. By overexpressing Espin, we can successfully rescue the defects in the mutant PCs. Our findings suggest that Lhx1/5, through regulating Espin expression, control dendritogenesis and spine morphogenesis in postnatal PCs.
Solid frustrated-Lewis-pair catalysts constructed by regulations on surface defects of porous nanorods of CeO2
Authors: Zhang Sai , Huang Zheng-Qing , Ma Yuanyuan , Gao Wei , Li Jing , Cao Fangxian , Li Lin , Chang Chun-Ran , Qu Yongquan 
Published: May 2017

AbstractIdentification on catalytic sites of heterogeneous catalysts at atomic level is important to understand catalytic mechanism. Surface engineering on defects of metal oxides can construct new active sites and regulate catalytic activity and selectivity. Here we outline the strategy by controlling surface defects of nanoceria to create the solid frustrated Lewis pair (FLP) metal oxide for efficient hydrogenation of alkenes and alkynes. Porous nanorods of ceria (PN-CeO2) with a high concentration of surface defects construct new Lewis acidic sites by two adjacent surface Ce3+. The neighbouring surface lattice oxygen as Lewis base and constructed Lewis acid create solid FLP site due to the rigid lattice of ceria, which can easily dissociate H–H bond with low activation energy of 0.17 eV.