bluuebunny/crossref_metadata_2025_split huggingface dataset:
Five-Year Outcomes After Treatment for Acute Instability of the Tibiofibular Syndesmosis Using a Suture-Button Fixation System
Authors: Förschner Paul F. , Beitzel Knut , Imhoff Andreas B. , Buchmann Stefan , Feuerriegel Georg , Hofmann Felix , Karampinos Dimitrios C. , Jungmann Pia , Pogorzelski Jonas 
Published: April 2017

Background: Suture-button repair is a widely accepted surgical treatment for acute and isolated ankle syndesmosis injuries. To our knowledge, midterm results have not previously been reported. Purpose: To evaluate the clinical, qualitative, and quantitative radiological midterm outcomes of suture-button repair after acute isolated ankle syndesmosis injuries. Study Design: Retrospective case series; Level of evidence, 4. Methods: Clinical outcomes were measured using the Foot and Ankle Disability Index (FADI) and the American Orthopaedic Foot and Ankle Society (AOFAS) score. Three-tesla magnetic resonance imaging (MRI) was performed bilaterally at the ankle. Besides morphological sequences for evaluation of the syndesmosis and degenerative changes of the ankle using the Ankle Osteoarthritis Scoring System (AOSS), the MR protocol included a coronal 2-dimensional multislice multiecho sequence for quantitative cartilage T2-weighted mapping. Spearman correlations and paired t tests were used for statistical analysis. Results: This retrospective study included 19 consecutive patients (mean age, 29.7 ± 11.5 years) with acute isolated syndesmosis injuries treated with a suture-button system between January 2006 and June 2014, with a mean follow-up of 5.1 ± 2.6 years. Postoperatively, the median FADI score was 136 (range, 78-136), and the median AOFAS score was 100 (range, 87-100). Seventeen (89.5%) patients reported to have reached their preinjury level of sports activities. MRIs of 16 patients were obtained and all showed intact anterior and posterior syndesmotic ligaments; however, in most patients, the previously injured syndesmotic ligament was thickened compared with the uninjured ankle. Average width of the anterior ( P = .81) and posterior ( P = .60) syndesmosis was not significantly different between the ipsilateral (3.2 ± 1.2 and 4.4 ± 0.9 mm) and contralateral ankles (3.0 ± 0.6 and 4.2 ± 0.7 mm). The median AOSS score was 1.5 (range, 0-11) for the ipsilateral ankle and 0 (range, 0-6) for the contralateral ankle. T2 values of articular cartilage did not significantly differ between the involved and the uninjured ankle ( P = .68). Five patients needed hardware removal due to persistent skin irritation, and 1 patient suffered from reinstability of the ankle resulting in revision surgery 2 years after the index surgery. Conclusion: Suture-button fixation is an excellent treatment for acute and isolated syndesmosis injuries, resulting in stable ankles without early or advanced osteoarthritic changes at midterm follow-up.
Multiple Tooth Fractures in Posterior Teeth Diagnosed Following Emergency Intubation
Authors: Elbahary Shlomo , Breslauer Salmon , Rosen Eyal 
Published: April 2017

Abstract

Background
This report presents a case of a patient with multiple tooth fractures in posterior teeth that were diagnosed several months following an emergency intubation.

Findings
A 68-year-old woman, with a history of an emergency intubation during ascending aorta dissection repair performed 7 months ago, presented with a complaint of long lasting pain in the right side of her face, and a recent pain evoked by mastication and cold stimuli, located in her right mandibular area. Upon clinical examination, the 1st mandibular molar was diagnosed with chronic apical abscess associated with a vertical root fracture (VRF); the 2nd mandibular molar was diagnosed with extensive cracks across the floor of the pulp chamber, extending apically deep into the distal root. Both teeth were extracted, and the symptoms were resolved.

Conclusions
Multiple posterior teeth may fracture as a result of emergency intubation procedure and the diagnosis of such fractures may be delayed and complicated. A thorough dental evaluation and follow-up after the emergency procedures is indicated. Additional clinical studies are warranted in order to shed light on this complication.
Characteristics and generation mechanism of gullies and mega-pockmarks in the Zhongjiannan Basin, western South China Sea
Authors: Geng Minghui , Song Haibin , Guan Yongxian , Chen Jiang Xin , Bai Yang 
Published: April 2017

The paleoceanography and deep-water circulation process of the South China Sea (SCS) is still poorly understood. We have evaluated multibeam bathymetry and multichannel seismic reflection data acquired by Guangzhou Marine Geological Survey in recent years, and we investigate the characteristics, distribution, and generation mechanism of submarine seabed gullies and mega-pockmarks in the northern Zhongjiannan Basin of the SCS. Our data reveal that there are northwest–southeast-trending gullies and randomly or linearly arraying mega-pockmarks in the northern depression of the Zhongjiannan Basin. Gullies are 1 km or more in width and tens of kilometers in length. The long-axis diameter for the largest mega-pockmarks can reach up to 4293 m. The mega-pockmarks found in the west block of the northern depression are the manifestation of focused fluid flow migrating along shallow inclined faults induced by slumps that reached the seabed. Gullies are trending southeast and perpendicular to the contours of the continental slope, suggesting that gravity flows have played an important role in the evolution of gullies. Our data demonstrate that the gullies have a close relationship with mega-pockmarks, and that they were formed through the interaction of intense focused fluid flow and gravity flows. The pockmarks formed first, subsequently growing in size and number under the effect of subsurface fluid flows. The southeastward moving gravity flow caused discrete pockmarks to coalesce and form immature gullies. After being fully converged, gullies finally become smooth-bottomed and matured. Because gullies and mega-pockmarks are the manifestation of the geologic process of fluid escape at the seabed, they should be taken into account when assessing the potential for gas hydrates and seafloor instability.
Effects of the US Food and Drug Administration Boxed Warning of Erythropoietin-Stimulating Agents on Utilization and Adverse Outcome
Authors: Bian John , Chen Brian , Hershman Dawn L. , Marks Norman , Norris LeAnn , Schulz Richard , Bennett Charles L. 
Published: April 2017

Purpose In March 2007, a US Food and Drug Administration boxed warning was issued for erythropoietin-stimulating agents (ESAs) regarding serious adverse events, such as venous thromboembolism (VTE). We evaluated the US Food and Drug Administration’s boxed warning of ESAs used to treat chemotherapy-induced anemia because evidence on the effectiveness of boxed warnings remains inconclusive. Patients and Methods Using 2004 to 2009 SEER-Medicare data, we exploited a natural experiment to examine the effects of ESA boxed warnings on utilization and risk of VTE. The intervention group included Medicare fee-for-services patients diagnosed with colorectal, breast, or lung cancers targeted by this warning and undergoing chemotherapy; the control group included patients with myelodysplastic syndromes not targeted by this warning. The period from January 2004 to September 2006 was used as the prewarning period; the period from April 2007 to September 2009 was used as the postwarning period. The two binary dependent variables included ESA use and hospitalized VTE. Linear probability models with a difference-in-differences specification were used for estimation. Results Our sample consisted of 45,319 unique patients between 2004 and 2009. The trends in ESA use remained similar between the intervention and control groups before the warning, but started declining sharply in the intervention group only after the warning. The trends in hospitalized VTE were relatively stable. Regressions showed that the ESA boxed warning was associated with a 20.2-percentage-point reduction ( P < .001) in the likelihood of ESAs being used to treat cancers targeted by the warning, but not significantly associated with the likelihood of hospitalized VTE. Conclusion Our study showed that the warning was effective in reducing ESA utilization. Future studies should examine other regulatory drug safety actions, such as the Risk Evaluation and Mitigation Strategy initiative, whose effectiveness remains unknown.
On Hu Shih's Coattails: Reflections on and Prognostications for Research on Chan Buddhism
Authors: Zhaoguang Ge 
Published: April 2017

Abstract
This article surveys the legacy of Hu Shih in order to assess the current state of the field of Chan studies in mainland China. Though the work of Hu Shih was long neglected in the mainland, his work has enjoyed renewed popularity since the 1980s and the dynamics of “culture fever” in Chinese intellectual communities. The article demonstrates that the strengths of Chinese scholarship today are particularly indebted to the methodological advances achieved by Hu Shih in the last century. Comparisons with Japanese and Euro-American scholarship underscore the particular contributions of Chinese scholars. The article concludes with a few prognostications regarding the field of Chan history in Chinese academia as well as a defense of Hu Shih's legacy.
Fundamental Bonding Properties of Douglas-Fir and Southern Yellow Pine Wood
Authors: Mirabile Kyle V. , Zink-Sharp Audrey 
Published: April 2017

Abstract
Bonding properties of southern yellow pine (Pinus spp.) and Douglas-fir (Pseudotsuga menziesii) were compared in terms of density, chemical composition, surface energy, shear stress, percent wood failure, and delamination. Specimens were taken from two trees of loblolly pine (Pinus taeda) and one tree of Douglas-fir. Density measurements showed that for mature wood, southern pine exhibited a higher average density than Douglas-fir, but for juvenile wood, southern pine showed a lower average density than Douglas-fir. Chemical analysis determined that southern yellow pine contained higher percent hemicellulose, lignin, and extractives, whereas Douglas-fir had higher percent cellulose. Static sessile drop contact angle measurements revealed that southern yellow pine specimens exhibited a lower average contact angle than Douglas-fir and, accordingly, higher average surface energy. Shear strength, percent wood failure, and delamination due to accelerated weathering were measured for bonded specimens constructed with either a one-part moisture-cure polyurethane (PUR) or a two-part ambient-curing phenol-resorcinol-formaldehyde (PRF) and three different assembly time combinations. Shear strength for southern yellow pine was affected the most by assembly time, whereas Douglas-fir shear strength was affected by the type of adhesive and interaction with the growth region at the bond. Delamination results showed that southern yellow pine exhibited less delamination than Douglas-fir when using PRF. Delamination measurements from the PUR bonds were similar and extremely high for both wood types. Although statistically significant differences were found in a few wood factors, limited differences were found in shear strengths, percent wood failure, and delamination due to accelerated testing for the two wood types.
Food, research, design: What can food studies bring to food design education?
Authors: Parasecoli Fabio 
Published: April 2017

Abstract
As the presence and visibility of food design grows in academia, synergies are particularly promising with food studies, which promotes and practises the analysis of cultural, social and political issues concerning the production, distribution and consumption of food in its material and cultural aspects, as well as in its social and political implications. The analytical tools developed in food studies have the potential to inform and integrate the practical applications that food design focuses on, while food design methods can help food studies scholars to include applied approaches in their work. The article presents three cases in which food studies analysis and methods were introduced in educational formats otherwise focussed – explicitly or not explicitly – on design.
Food as a system and a material for the creative process in design education
Authors: Perrone Raffaella , Fuster Albert 
Published: April 2017

Abstract
The aim of this article is to explore how food and gastronomy can be integrated within the discipline of design. The first part of the study explores the parallel between gastronomy and design from two perspectives: as system and as sciences. The second part focuses on the special context of Catalonia, where the work of the chef Ferran Adrià has radically transformed gastronomy and, as a consequence, created a network of institutions, designers and studios centered on food.
The last part describes several projects carried out at ELISAVA, which were based on three areas of study: understanding food as a system on the basis of its life cycle and its semantic value; understanding the sensory dimension of food as a material in the context of the Mediterranean culture and studying the creative process of design in parallel with the creative process of gastronomy.
Use of the interleukin-17A inhibitor secukinumab in psoriatic arthritis: a subanalysis of the Russian population in the international randomized clinical trials FUTURE 1 and FUTURE 2
Authors: Korotaeva T. V. , Zotkin E. G. , Nesmeyanova O. B. , Vezikova N. N. , Ershova O. B. , Izmozzherova N. V. , Petrova M. S. , Kastanyan A. A. , Yakupova S. P. , Agafina A. S. , Stanislav M. L. , Novoderezhkina E. A. , Nasonov E. L. , Mease P. J. 
Published: April 2017

The investigators carried out an analysis of the efficacy and safety of secukinumab (SEC) in the randomized placebocontrolled trials (RPCTs) FUTURE 1 and FUTURE 2, as well as a subanalysis of the data obtained in the Russian population of patients with active psoriatic arthritis (PsA). The FUTURE 1 and FUTURE 2 trials enrolled a total of 1003 patients with active PsA. They received SEC (n = 703) or placebo (PL) (n = 300). The use of SEC 300 or 150 mg without previous intravenous (IV) loading dose or either 150 or 75 mg with the IV loading dose led to a significant improvement in patients with PsA. The positive changes in the main clinical manifestations of PsA at 24 weeks persisted until 52 weeks of therapy. SEC was effective in both the patients who had not previously received tumor necrosis factor-α inhibitors and those who had previously taken these drugs, and the result of therapy did not depend on concomitant methotrexate use.The incidence of cancer was low and comparable in the SEC and PL groups. Analysis of the combined data on the safety of the two RPCTs showed that the treatment duration-adjusted incidence of malignant neoplasms was 0.5 per 100 patient-years in the SEC groups and 0.9 in the PL groups. The safety profile of SEC in these RPCTs corresponds to that in the previous studies of the drug.The data from the pooled analysis of the Russian subpopulation of patients with PsA fully agree with the results obtained in the evaluation of all the patients included in FUTURE 1 and FUTURE 2 and confirm the most important role of IL-17А in the pathogenesis of PsA.
An investigation of postpartum mothers’ readiness for hospital discharge and the affecting factors
Authors: Kaya Şenol Derya , Aydın Özkan Semiha , Hotun Şahin Nevin 
Published: April 2017

Introduction: Postpartum period which contains important changes in the woman’s and newborn’s life, WHO recommends monitoring the mother and newborn in health care system, encouraging breastfeeding, monitoring the newborn’s development, and supporting and empowering parents about newborn care.Purpose: The purpose of this study is to identify postpartum mothers’ readiness for hospital discharge and the affecting factors. Method and material: The study was conducted with 190 mothers who gave birth between May and July, 2014 in a Maternity and Children Hospital located in Mersin. The data were collected through the Identification Form developed by the researcher in line with the related literature and Readiness for Hospital Discharge Scale-Postpartum Mother Form (RHDS-PMF).Results: Of all the participants, 84.7% were ready for discharge, 69.4% received information from midwives or nurses about their own care, and 68.7% received information about the baby’s care. Mean scores for the participants’ Readiness for Hospital Discharge Scale was found 50.47±12.16 for Personal State, 45.08±12.33 for Knowledge, 21.0±75.68 for Ability, 28.13± 8.91 for Expected Support and 144.76±30.15 for total score. The scores were found to be significantly higher for mothers who reported to be ready for discharge, who stated to have received information about their own care and the baby’s care, who were multiparous, and who would receive support for their care and the baby’s care after hospital discharge (p<0.05).Conclusion: Majority of the participants in this study were found to be ready for hospital discharge and factors affecting readiness for hospital discharge were identifed as informing mothers about their care and the baby’s care after delivery, mothers’ being multiparous, and receiving support about their care and the baby’s care after hospital discarge.
Methods of Assessing the Economic Efficiency of Small and Medium Farms
Authors: Panagoret Dragos , Panagoret Ioana , Panagoret Andreea 
Published: April 2017

Abstract
Farm profitability assessment is of particular importance, displaying its economic character. There are simple procedures for small farmers to carry out a correct analysis of the mode of land use and exploitation of animals, so that, by reorganizing the holding and proper management, to become profitable.
Methodologically, this analysis consists of: identifying the factors influencing the level of yields per hectare; measure the influence of each factor on results achieved; establish critical points of the technical system of production; establishing the measures
necessary to eliminate the weak elements of the system and design a new improved technical system for production for each crop; new design of new productions per hectare and of production costs, as well as evaluating the effectiveness of the extra production costs.
Determinant Factors of Cow’s Milk Production in the Mountain Area
Authors: Manea Roger Catalin 
Published: April 2017

Abstract
The production of milk, the quantity of fat respectively constitute the main criterion of assessment of dairy cows in the mountain area and downhill. The average performance in the succession of eight lactations per total lactation is 3420.67 kg, and per normal lactation is 3209.20 kg milk. The limits vary between 1506 kg of milk and 8835 kg milk recorded for lactation and 1506 kg of milk and 7322 kg milk for normal lactation. The study of statistical parameters of index of the total duration of lactation allows us to affirm that the cows from the herd studied have the genetic potential to increase lactation beyond the limits of normal lactation of 305 per days. Milk production per day is higher with + 0.45 kg per total lactation than normal lactation. Extension of lactation and breast resting shortening represents loss of milk production in both current lactation and the next lactation. To estimate the effect of localities was used the analysis of variance within samples. Raw data tables have been processed to create tables of variances between herds of the 6 localities and within the herd in each locality. The influence of the locality on the milk production is null.
The output production of milk cows has as enablers: daily output and duration of lactation on her. The raise of the productive cows milk level in the mountain area and hence income breeders is achievable through the integration and expansion of biotechnology.
Issues on the Food and Feed Quality of Rye Crop in Sothern Hilly Area
Authors: Nitu Iulia 
Published: April 2017

Abstract
Rye is an important cereal because it is a very good alternative for wheat in harsh conditions of culture (less productive agricultural land, dry area). This cereal could be used as row material in food industry processing and for animal feed. From this point of view, this project was aimed to identifying the culture area of rye in Southern Hilly Area of Romania and assess yield in terms of quality. The activity was held during 4 years of study, period which we found that the rye was grown only in some years of study and not all counties of the region. Considering the potential and importance of this cereal, required that making some studies of the crop rye quality in different regions of Romania.
Nature and Environment in Collective Perception. Study on the Plain Countryside of the Northern Half Crisana Province, Romania
Authors: Dărăbăneanu Dragoș , Dincă Iulian 
Published: April 2017

Abstract
The main objective of this study is geared toward how the public understands the nature and the environment, and relates to them. The research universe is represented by the inhabitants of the plain step in the northern half of Crisana Province (north-western Romania). It started from the idea that social representations generate attitudinal and behavioral patterns and the way in which people interact with the environment and nature has a significant influence on quality of life and social development. Therefore, the social representations about the environment and nature have direct effects on our future and can be oriented towards the active participation to the efforts to protect the environment and the nature in general. There were 671 residents of 34 villages questioned and their answers have set a certain socio-geographical pattern on the specifics of life environment belonging to plain. The life environment was perceived by us as a way of reporting to the nature and the environment. The rural respondents from the plain come up with the most common answers, even identical in content, drawing the nature and the environment as ambience, as the space around them.
Population Structure in the Ialomiţa Subcarpathians
Authors: Baltălungă Monica Carmen 
Published: April 2017

Abstract
The analyisis of the demographic structures along with that of the main geo-demographic indicators is obligatory in any human geography study regarding a physical-geographic or administrative-territorial unit. The relation between various age groups, the dynamics of the ethnic, linguistic, or confessional structures, the variation of the socio-economic structure offers essential milestones for explaining the social, economic and cultural evolution of a region. Several specific indicators that can be calculated based on these types of structures lay at the basis of the demographic policies and of the identification of the most opportune development programs. This works aims to present a synoptic view of these aspects, of the dynamics of these indicators in the Ialomiţa Subcarpathians after the year 1990, and explain the factors that have influenced these processes and phenomena. This approach is important in the present conditions, when this zone (which holds a very diverse array of natural resources) is faced with a significant demographic and economic decline, which has determined, on the one hand, changes within these structures, and, on the other hand, implicitly, substantial changes on all the levels of the social and economic life.