bluuebunny/crossref_metadata_2025_split huggingface dataset:
Variations in Tibial Tuberosity to Trochlear Groove and Posterior Cruciate Ligament Distances due to Tibial External and Valgus Rotations
Authors: Smith Bradley , Millar Emily , Jones Kerwyn , Elias John 
Published: July 2017

AbstractTibial rotations with respect to the femur influence measurements used to assess the lateral position of the tibial tuberosity. This study utilized computational modeling to quantify how the tibial tuberosity to trochlear groove (TT-TG) and tibial tuberosity to posterior cruciate ligament attachment (TT-PCL) distances vary with tibial internal/external and varus/valgus rotations. Computational models were developed from magnetic resonance imaging data to represent eight knees with patellar instability. TT-TG and TT-PCL distances were quantified from the computational models for a neutral orientation and with the tibia rotated internally and externally and into varus and valgus in 1-degree increments to 5 degrees. Regression analyses related tibial rotations to TT-TG and TT-PCL distances. TT-TG distance increased with tibial external rotation, and both TT-TG and TT-PCL distances increased with valgus orientation (r
2 > 0.94 for all regressions). The average increase in TT-TG distance for each 1 degree of tibial external rotation was 0.55 mm (range: 0.50–0.62 mm), compared with 0.00 mm (range: −0.05 to 0.04 mm) for TT-PCL distance. The average increase in TT-TG distance for each 1 degree of valgus was 1.01 mm (range: 0.91–1.14 mm), compared with 0.46 mm (range: 0.32–0.60 mm) for TT-PCL distance. TT-TG distance varies more with tibial rotations than TT-PCL distance due to both points being on the tibia and a smaller proximal–distal distance between the points for TT-PCL distance.
Einfluss der Kardioanästhesie auf das Patientenoutcome
Authors: Nowak-Machen Martina 
Published: July 2017

ZusammenfasssungDie Kardioanästhesie ist ein hoch technisierter, subspezialisierter Bereich der Anästhesiologie. Die Verbesserung des Patientenoutcomes wurde untersucht für hämodynamisches Management durch zielgerichtete Therapie, Nierenprotektion durch ischämische Fernpräkonditionierung, Myokardprotektion durch pharmakologische Präkonditionierung mittels volatiler Anästhetika, Neuroprotektion durch Nahinfrarotspektrometrie und perioperative Echokardiografie.
Ich sehe was, was du nicht siehst
Authors: Layfield Larry 
Published: July 2017

Zusammenfassung
Konstruktivismus in der Beziehungsgestaltung Durch die kongruente
Beziehungspflege können Pflegende ihre Patienten zur Selbstreflexion ermuntern.
Dadurch lernen sie alternative Verhaltensformen kennen und können persönlich
wachsen. Aber auch für die Pflegenden selbst ist es wichtig, ihre Auffassungen
und Meinungen zu reflektieren, um für den Beziehungsprozess frei zu sein. Wie
das gelingt und welche Rolle der „blinde Fleck“ dabei spielt, erklärt unser
Autor.
Verständnis für Verborgenes
Authors: Traxel Ingrid 
Published: July 2017

Zusammenfassung
Kohärenzerleben bei Trauma-Erfahrungen durch Kriegserlebnisse Haben Sie
sich schon einmal bewusst gemacht, welche vielfältigen Einflüsse auf die
Patienten in der Gerontopsychiatrie einwirken beziehungsweise auf deren Leben
bereits eingewirkt haben? Dabei spielen unbearbeitete Traumata sicherlich eine
ebenso große Rolle wie das Kohärenzgefühl der betreffenden Person. Welche
Verantwortung und welche Aufgaben Pflegende haben, um das Kohärenzgefühl bei
Menschen mit traumatischen Kriegserlebnissen zu stärken, beschreibt unsere
Autorin.
Cité Duits
Authors: Auer Peter , Cornips Leonie 
Published: July 2017

Abstract
In the late 1930s and 1940s, locally born children of immigrant coal miners in Tuinwijk, a neighborhood in the village of Eisden in Belgian Limburg, developed a way of speaking among themselves which they later labelled Cité Duits. Having become coal miners themselves, they continued to use Cité Duits as an in-group language throughout their lives when working underground as well as in their private lives. We will show that Cité Duits is a hybrid variety resulting from combining elements of German, Belgian Dutch and the Maasland dialect spoken in Belgian Limburg through focusing and sedimentation. We argue that Cité Duits developed and continues to be employed as a symbolic language for expressing group identity
Us, them and all the others
Authors: Banaś Anna 
Published: July 2017

Abstract
This study examines the linguistic practices of a group of Japanese immigrant women temporarily living in Amstelveen, and their ways of constructing belonging. Taking as an example three linguistic variables: (i) personal pronouns ‘I’ and ‘we’; (ii) specific ethnic labels (single self-referring label Nihonjin ‘The Japanese’ versus multiple labels Orandajin, Oranda no hito/hitotachi, Orandajin no hito/hitotachi, Oranda ‘The Dutch’); and (iii) the use of non-standard Osaka Japanese negation I discuss how speakers in this group (re)create various boundaries, and how they draw on ‘us’ versus ‘them’ dichotomy as a way of achieving group cohesion.
What’s up in town
Authors: Petrović Tanja 
Published: July 2017

Abstract
This chapter discusses linguistic strategies employed by the author of the Facebook page Koe ima po grad (What’s up in the town), who in his posts discusses various events and issues from local urban life of Leskovac, a city in Southeastern Serbia. Combining dialect with recognizable genres and discourses, he makes local idiom appropriate for use in diverse realms of communication, as well as an effective medium for place-making. Leskovac depicted in the Koe ima po grad texts is the place marked by deindustrialization, impoverishment, and the dysfunctional administration. Its citizens use dialect to critically and self-ironically relate to this reality. At the same time, they love their city and the local, real, and symbolic geographies that define it, and enjoy the sociality based on the use of local dialect.
Place-making and dialect
Authors: Monka Malene 
Published: July 2017

Abstract
In the chapter I argue that focus on place and place-making is crucial when trying to explain differences in language change in two municipalities situated in distinct Danish dialect areas, Vinderup in Western Jutland and Tinglev in Southern Jutland. Quantitative analyses of data from a real time panel study show different patterns of language change among the informants. In the early recordings, the language use in both municipalities contained substantial amounts of dialect features. The new recordings show that there has been a decrease in the use of dialect in Vinderup, whereas there has been a minor increase in Tinglev. Qualitative analyses point to how differences related to place-making processes affect the informants’ conceptualization of the perceived relations between language and place in the two municipalities. This affects the informants’ metalinguistic awareness and attitudes towards the local dialect which again may explain the different patterns of language change and dialect leveling.
Alternative place naming in the diverse margins of an ideologically mono-lingual society
Authors: Quist Pia 
Published: July 2017

Abstract
This chapter presents an analysis of the sociolinguistic practice of giving places unofficial names, i.e. the practice of ‘alternative place naming’. The theoretical starting point is a discussion of ‘place’ as a topical challenge in sociolinguistics. While place as a holder of linguistic variation can be criticized and links between people, languages and places can be deconstructed as symbolic formations, strong ideologies of monolingualism and a place-people-language unity remain to dominate in society. The chapter studies this encounter between the national ideological construction of a mono-lingual society on the one hand and the practice based polylingual reality of young people on the other. Analyses of hip-hop and graffiti practices in Copenhagen, Denmark, suggest that alternative place naming may be a means of managing diversity in the context of a monolingualism ideology. Through the use of unofficial names, the young people create their own symbolic links between themselves, their places and languages.
Yooperisms in tourism
Authors: Remlinger Kathryn A. 
Published: July 2017

Abstract
This ethnography explores interpretive practices in the multimodal landscape of Michigan’s Upper Peninsula, a remote and rural region in the United States, to examine the role of tourism in discursive representations of identity. The study is distinct from other linguistic landscape research in that it investigates the role of commodified enregistered features in redefining cultural values about identity and its relationship to place in the periphery. The indexes communicated through enregistered features in signs, souvenirs, monuments, digital media, and news accounts lead to new and limited meanings. More significantly, as commodities, these contextualized features function not only to sell souvenirs, but also to sell the idea of a dialect, a sense of place, and a regional persona, but only because their meanings are recognizable, valued, and valuable. Their value lies in regenerated ideological schemas that have emerged from sociohistorical processes and events and related discursive practices. At the center of this intersection is tourism, which affects enregisterment and commodification, and the semiotic practices that link identity, and place.
International comparison of AC-DC current transfer standards
Authors: Heine G , Garcocz M , Waldmann W 
Published: July 2017

The measurements of the international comparison of ac-dc current transfer standards identified as EURAMET.EM-K12 started in June 2012 and were completed in December 2014. Twenty NMIs in the EURAMET region and one NMI in the AFRIMET region took part: BEV (Austria), CMI (Czech Republic), PTB (Germany), METAS (Switzerland), JV (Norway), UME (Turkey), GUM (Poland), IPQ (Portugal), CEM (Spain), INRIM (Italy), SP (Sweden), DANIAmet-MI-Trescal (Denmark), BIM (Bulgaria), MKEH (Hungary), SIQ (Slovenia), LNE (France), NSAI NML (Ireland), VSL (The Netherlands), NPL (United Kingdom), Metrosert (Estonia), NIS (Egypt).
The comparison was proposed to link the National Metrology Institutes organised in EURAMET to the key comparison CCEM-K12. The ac-dc current transfer difference of each travelling standard had been measured at its nominal current 10 mA and 5 A at the following frequencies: 10 Hz, 55 Hz, 1 kHz, 10 kHz, 20 kHz, 50 kHz, 100 kHz. The test points were selected to link the results with the equivalent CCEM Key Comparison (CCEM-K12), through five NMIs participating in both EURAMET and CCEM key comparisons (PTB, JV, NPL, SP and BEV). The report shows the degree of equivalence in the EURAMET region and also the degree of equivalence with the corresponding CCEM reference value.

Main text

To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/.
The final report has been peer-reviewed and approved for publication by the CCEM, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).
Learning Similar Actions by Reinforcement or Sensory-Prediction Errors Rely on Distinct Physiological Mechanisms
Authors: Uehara Shintaro , Mawase Firas , Celnik Pablo 
Published: July 2017

AbstractHumans can acquire knowledge of new motor behavior via different forms of learning. The two forms most commonly studied have been the development of internal models based on sensory-prediction errors (error-based learning) and success-based feedback (reinforcement learning). Human behavioral studies suggest these are distinct learning processes, though the neurophysiological mechanisms that are involved have not been characterized. Here, we evaluated physiological markers from the cerebellum and the primary motor cortex (M1) using noninvasive brain stimulations while healthy participants trained finger-reaching tasks. We manipulated the extent to which subjects rely on error-based or reinforcement by providing either vector or binary feedback about task performance. Our results demonstrated a double dissociation where learning the task mainly via error-based mechanisms leads to cerebellar plasticity modifications but not long-term potentiation (LTP)-like plasticity changes in M1; while learning a similar action via reinforcement mechanisms elicited M1 LTP-like plasticity but not cerebellar plasticity changes. Our findings indicate that learning complex motor behavior is mediated by the interplay of different forms of learning, weighing distinct neural mechanisms in M1 and the cerebellum. Our study provides insights for designing effective interventions to enhance human motor learning.
Barriers to Medical Students’ Electronic Health Record Access Can Impede Their Preparedness for Practice
Authors: Welcher Catherine M. , Hersh William , Takesue Blaine , Stagg Elliott Victoria , Hawkins Richard E. 
Published: July 2017

Medical students need hands-on experience documenting clinical encounters as well as entering orders to prepare for residency and become competent physicians. In the era of paper medical records, students consistently acquired experience writing notes and entering orders as part of their clinical experience. Over the past decade, however, patient records have transitioned from paper to electronic form. This change has had the unintended consequence of limiting medical students’ access to patient records. This restriction has meant that many students leave medical school without the appropriate medical record skills for transitioning to residency.
In this article, the authors explore medical students’ current access to electronic health records (EHRs) as well as policy proposals from medical societies, innovative models implemented at some U.S. medical schools, and other possible solutions to ensure that students have sufficient experiential learning opportunities with EHRs in clinical settings. They also contend that competence in the use of EHRs is necessary for students to become physicians who can harness the full potential of these tools rather than physicians for whom EHRs hinder excellent patient care. Finally, the authors argue that meaningful experiences using EHRs should be consistently incorporated into medical school curricula and that EHR-related skills should be rigorously assessed with other clinical skills.
Evaluation of Appropriate Venous Thromboembolism Prophylaxis in Patients With Orthopaedic Trauma With Symptom-Driven Vascular and Radiographic Studies
Authors: Domes Christopher M. , Schleyer Anneliese M. , McQueen James M. , Pergamit Ronald F. , Beingessner Daphne M. 
Published: July 2017

Objective:
To evaluate venous thromboembolism (VTE) prophylaxis adherence and effectiveness in orthopaedic trauma patients who had vascular or radiographic studies showing deep vein thromboses or pulmonary emboli.

Design:
Retrospective review.

Setting:
A level I trauma center that independently services a 5-state region.

Patients:
Four hundred seventy-six patients with orthopaedic trauma who underwent operative treatments for orthopaedic injuries and had symptom-driven diagnostic VTE studies.

Intervention:
The medical records of patients treated surgically between July 2010 and March 2013 were interrogated using a technical tool that electronically captures thrombotic event data from vascular and radiologic imaging studies by natural language processing.

Main Outcome Measurements:
Patients were evaluated for hospital guideline–directed VTE prophylaxis adherence with mechanical or chemical prophylaxis. Patient demographics, associated injuries, mechanism of injury, and symptoms that led to imaging for a VTE were also assessed.

Results:
Of the 476 orthopaedic patients who met inclusion criteria, 100 (mean age 52.3 median 52, SD 18.3, 70% men) had positive VTE studies. Three hundred seventy-six (age 47.3, SD 17.3, 69% men) had negative VTE studies. Of the 100 patients with VTE, 63 deep vein thromboses, and 49 pulmonary emboli were found. Eight-five percent of all patients met hospital guideline–VTE prophylaxis standards.

Conclusion:
The study population had better than previously reported VTE prophylaxis adherence, however, patients still developed VTEs.

Level of Evidence:
Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence.
Lengthening With Monolateral External Fixation Versus Magnetically Motorized Intramedullary Nail in Congenital Femoral Deficiency
Authors: Szymczuk Vivian L. , Hammouda Ahmed I. , Gesheff Martin G. , Standard Shawn C. , Herzenberg John E. 
Published: July 2017

Background:
Limb lengthening for congenital femoral deficiency (CFD) with or without fibular hemimelia can be performed with both external and internal devices. The purpose of this study is to compare clinical outcomes of femoral lengthening utilizing monolateral external fixation versus a magnetically motorized intramedullary nail in patients with CFD with or without fibular hemimelia.

Methods:
This retrospective review included 62 patients with femoral lengthening, 32 patients had monolateral external fixation (group A), 30 patients had internal lengthening nail (group B). Mean age in years was 9.4±3.8 and 15.4±4.9 for groups A and B, respectively. Mean follow-up in years was 4.47±2.7 and 1.86±0.7 years for groups A and B, respectively.

Results:
Mean lengthening achieved was 5.6±1.7 and 4.8±1.4 cm for group A and group B, respectively (P=0.052). Mean distraction index was 0.7±0.2 mm/d for group A and 0.7±0.2 mm/d for the group B (P=0.99). Mean consolidation index for group A was 29.3±12.7 and 34.8±11.2 d/cm for group B (P=0.08). Mean arc of motion before surgery and at final follow-up were similar between groups (P=0.35). Group A had significantly less range of motion at the end of distraction (P=0.0007) and at consolidation (P<0.0001). Both groups had similar rates of obstacles and complications. A significant difference between groups was found in the total problems (P<0.001) specifically with pin site/superficial infection (P<0.0001).

Conclusions:
The intramedullary nail had superior range of motion during the lengthening phase and at consolidation and an overall lower problem complication rate, while maintaining similar distraction and healing indices to monolateral external fixation. Internal lengthening nails represent a significant advance in technology for CFD lengthening.

Level of Evidence:
Level IV—therapeutic.
The Lumbar Pelvic Angle, the Lumbar Component of the T1 Pelvic Angle, Correlates With HRQOL, PI-LL Mismatch, and it Predicts Global Alignment
Authors: Protopsaltis Themistocles S. , Lafage Renaud , Smith Justin S. , Passias Peter G. , Shaffrey Christopher I. , Kim Han Jo , Mundis Gregory M. , Ames Christopher P. , Burton Douglas C. , Bess Shay , Klineberg Eric , Hart Robert A. , Schwab Frank J. , Lafage Virginie 
Published: July 2017

Study Design.
Prospective multicenter analysis of adult spinal deformity (ASD) patients.

Objective.
The aim of this study was to introduce the lumbar pelvic angle (LPA), a novel parameter of spinopelvic alignment.

Summary of Background Data.
The T1 pelvic angle (TPA), a measure of global spinopelvic alignment, correlates with health-related quality of life (HRQOL), but it may not be measureable on all intraoperative x-rays. In patients with previous interbody fusion at L5-S1, the plane of the S1 endplate can be blurred, creating error in pelvic incidence and lumbar lordosis (PI-LL) measure. The LPA is more readily measured on intraoperative imaging than the TPA.

Methods.
ASD patients were included with either coronal Cobb angle >20°, sagittal vertical axis (SVA) >5 cm, thoracic kyphosis >60°, or pelvic tilt (PT) >25°. Measures of disability included Oswestry Disability Index (ODI), Scoliosis Research Society (SRS), and Short Form (SF)-36. Baseline and 2-year follow-up radiographic and HRQOL outcomes were evaluated. Linear regressions compared LPA with radiographic parameters and HRQOL.

Results.
A total of 852 ASD patients (407 operative) were enrolled (mean age 53.7). Baseline LPA correlated with PI-LL (r = 0.79), PT (r = 0.78), TPA (r = 0.82), and SVA (r = 0.61) (all P < 0.001). PI-LL, LPA, and TPA correlated with ODI (r = 0.42/0.29/0.45), SF-36 physical component score (−0.43/−0.28/−0.45) SRS (−0.354/−0.23/−0.37) with all P < 0.001. At 2 years’ follow-up, LPA correlated with PI-LL (r = 0.77), PT (r = 0.78), TPA (r = 0.83), and SVA (r = 0.57) (all P < 0.001). Categorizing patients by increasing LPA (<7°; 7°–15°; >15°) revealed progressive increases in all HRQOL, PI-LL (−3.2°/12.7°/32.4°), and TPA (9.7°/20.1°/34.6°) with all P < 0.001. Moderate disability (ODI = 40) corresponded to LPA 10.1°, PI-LL 12.6°, and TPA 20.6°. Mild disability (ODI = 20) corresponded to LPA 7.2°, PI-LL 4.2°, and TPA 14.7°.

Conclusion.
LPA correlates with TPA, PI-LL, and HRQOL in ASD patients. LPA can be used as an intraoperative tool to gauge correction with a target LPA of <7.2°. LPA predicts global alignment, as it correlates with baseline and 2-year TPA and SVA. Along with the cervical-thoracic pelvic angle and TPA, LPA completes the fan of spinopelvic alignment.

Level of Evidence: 3
Management of Bronchopleural Fistula Complicated by Skin Wound Necrosis after Thoracomyoplasty
Authors: Divisi Duilio , Barone Mirko , Zaccagna Gino , Di Francescantonio William , Crisci Roberto 
Published: July 2017

Summary:
Skin necrosis is a rare complication after thoracomyoplasty and usually needs conservative treatment. We described positive findings with surgical approach. A 54-year-old man showed bronchopleural fistula after undergoing right pneumonectomy for lung cancer, treated with thoracomyoplasty. On the 20th postoperative day, a skin wound lesion was noted, whose deterioration required a skin flap transposition. Patient was discharged from hospital on the 7th postoperative day and did not show relapse at the 7th year follow-up. Surgery can be the most viable alternative to medical treatments in the management of a chest wall cutaneous complication even in high-risk patients.
Comparison of Patient-reported Outcomes after Implant Versus Autologous Tissue Breast Reconstruction Using the BREAST-Q
Authors: Pirro Ortensia , Mestak Ondrej , Vindigni Vincenzo , Sukop Andrej , Hromadkova Veronika , Nguyenova Alena , Vitova Lenka , Bassetto Franco 
Published: July 2017

Background:
The demand for reconstructive breast procedures of various types has accelerated in recent years. Coupled with increased patient expectations, it has fostered the development of oncoplastic and reconstructive techniques in breast surgery. In the setting of postmastectomy reconstruction, patient satisfaction and quality of life are the most significant outcome variables when evaluating surgical success. The aim of this study was to evaluate the quality of life after implant breast reconstruction compared with autologous breast reconstruction.

Materials and Methods:
A cross-sectional study design was used. A total of 65 women who had completed postmastectomy implant-based or autologous reconstruction in the participating center were asked to complete the BREAST-Q (Reconstruction Module).

Results:
Data analysis demonstrated that women with autologous breast reconstruction were significantly more satisfied with their breasts (P = 0.0003) and with the overall outcome (P = 0.0001) compared with women with implant breast reconstruction. All other BREAST-Q parameters that were considered and observed were not significantly different between the 2 patient groups.

Conclusions:
Through statistical analysis, our results showed that patients who underwent autologous tissue reconstruction had better satisfaction with the reconstructed breast and the outcome, while both techniques appear to equally improve psychosocial well-being, sexual well-being, and chest satisfaction.