bluuebunny/crossref_metadata_2025_split huggingface dataset:
Optimization of an Arterialized Venous Fasciocutaneous Flap in the Abdomen of the Rat
Authors: Casal Diogo , Mota-Silva Eduarda , Pais Diogo , Iria Inês , Videira Paula A. , Tanganho David , Alves Sara , Mascarenhas-Lemos Luís , Martins Ferreira José , Ferraz-Oliveira Mário , Vassilenko Valentina , O’Neill João Goyri 
Published: August 2017

Background:
Although numerous experimental models of arterialized venous flaps (AVFs) have been proposed, no single model has gained widespread acceptance. The main aim of this work was to evaluate the survival area of AVFs produced with different vascular constructs in the abdomen of the rat.

Methods:
Fifty-three male rats were divided into 4 groups. In group I (n = 12), a 5-cm-long and 3-cm-wide conventional epigastric flap was raised on the left side of the abdomen. This flap was pedicled on the superficial caudal epigastric vessels caudally and on the lateral thoracic vein cranially. In groups II, III, and IV, a similar flap was raised, but the superficial epigastric artery was ligated. In these groups, AVFs were created using the following arterial venous anastomosis at the caudal end of the flap: group II (n = 13) a 1-mm-long side-to-side anastomosis was performed between the femoral artery and vein laterally to the ending of the superficial caudal epigastric vein. In group III (n = 14), in addition to the procedure described for group II, the femoral vein was ligated medially. Finally, in group IV (n = 14), the superficial caudal epigastric vein was cut from the femoral vein with a 1-mm-long ellipse of adjacent tissue, and an end-to-side arterial venous anastomosis was established between it and the femoral artery.

Results:
Seven days postoperatively, the percentage of flap survival was 98.89 ± 1.69, 68.84 ± 7.36, 63.84 ± 10.38, 76.86 ± 13.67 in groups I–IV, respectively.

Conclusion:
An optimized AVF can be produced using the vascular architecture described for group IV.
ULTRASONOGRAPHIC FINDINGS IN THE VITREOUS OF PATIENTS WITH AGE-RELATED MACULAR DEGENERATION TREATED WITH INTRAVITREAL ANTI-VASCULAR ENDOTHELIAL GROWTH FACTOR INJECTIONS
Authors: MATO-GONDELLE TAMARA , Bande Manuel F. , Paniagua Laura , Rodríguez-Cid María J. , Abraldes Maximino , Fernández Maribel , Blanco-Teijeiro María J. , Piñeiro Antonio 
Published: August 2017

Purpose:
We aimed to assess the relationship of repeated intravitreal injection of anti–vascular endothelial growth factor, the main treatment for exudative age-related macular degeneration, with changes in vitreous ultrasonographic findings in patients with age-related macular degeneration.

Methods:
We retrospectively collected data from 41 patients (41 age-related macular degeneration eyes, 41 control eyes) on age, sex, number of injections, and type of anti–vascular endothelial growth factor (ranibizumab, aflibercept). Ocular ultrasonography was performed with open eyelids, under topical anesthesia, and using carbomers as ultrasonographic gel. Topographic, quantitative, and kinetic ultrasonography was performed in all eye quadrants using a 10-MHz posterior pole probe, and vitreous reflectivity was assessed.

Results:
The mean age of patients was 79 (range: 59−94) years, with a mean of five intravitreal anti–vascular endothelial growth factor injections (range: 1−13). No significant ultrasonographic differences were found relative to the incidence of partial or complete posterior vitreous detachment. Vitreous hyperechogenicity increased in the treated eye (P < 0.001), and the vitreous reflectivity range increased with the number of injections (P = 0.041, R2 = 0.214). However, the type of anti–vascular endothelial growth factor used and the time elapsed since the last intravitreal injection was not significant (P > 0.05).

Conclusion:
These preliminary results indicate a proportional increase in ultrasonographic reflectivity of vitreous gel with the number of injections.
The Effect of Interprofessional Rounds on Length of Stay and Discharge Destination for Patients Who Have Had Lower Extremity Total Joint Replacements
Authors: Ronnebaum Julie , Utley Cindy 
Published: August 2017

Purpose:
To determine whether inclusion of interprofessional rounds (IPR) during hospitalization affects patient length of stay and discharge destination (eg, home and skilled nursing facility) following total hip or knee arthroplasty.

Methods:
A retrospective medical record review was conducted for 300 patients who underwent a total hip arthroplasty or a total knee arthroplasty. These patients were categorized into groups based on whether IPRs were received or not received (NR) between the dates of January 2011 and February 2013. Patient demographics and functional outcomes, length of hospital stay, and discharge destination were analyzed for each group.

Results:
Length of stay was shorter for patients who received IPR (n = 150) compared with those who did not (NR) (n = 150), P < .001. For functional outcomes, ambulation distance was significantly longer for patients in the IPR group. A significant difference was not found between the groups and discharge destination.

Conclusions:
The inclusion of IPRs may have a positive effect on decreasing the length of stay in the hospital and on ambulation distance for patients who have had a total hip arthroplasty or a total knee arthroplasty. Further studies are recommended to further investigate the benefits of including IPRs in other patient populations.
Physical Therapy Intervention for an Individual With Severe Thrombocytopenia
Authors: Rosenfeldt Anson. B. , Covert Stephanie 
Published: August 2017

Introduction:
Individuals can develop refractoriness to platelet transfusions, defined as a platelet count that does not rise after transfusion. This report describes the complex physical mobility needs of an individual who incurred platelet refractoriness and physical deconditioning after undergoing a hematopoietic stem cell transplant (HSCT).

Case Description:
A 47-year-old man with a diagnosis of myelodysplastic syndrome was admitted to an inpatient hospital setting and underwent an allogenic HSCT. After the transplant, he developed thrombocytopenia refractory to platelet transfusion with accompanying physical deconditioning. At the time of the physical therapy evaluation, the patient required moderate assistance for transfers and moderate assistance to ambulate 2 ft.

Intervention:
Over the course of 8 physical therapy sessions, the patient's platelet count ranged from 1000/μL to 6000/μL. The sessions focused on functional mobility with modifications to reduce joint and muscle strain.

Results:
No bleeding events occurred as a result of the physical therapy intervention. Following the 8 physical therapy sessions, the patient was able to ambulate 150 ft, ascend/descend several stairs, and complete the 5-time sit-to-stand test in 18.9 seconds. The patient's 6-Clicks score improved from 12 (60%-79% functional impairment) to 24 (0% functional impairment).

Discussion:
Despite severe thrombocytopenia, the patient made significant improvements in mobility. It is critical for therapists to consider the entire clinical situation when weighing the risk and benefits of mobilizing individuals with chronic thrombocytopenia.
Minoxidil Use in Alopecia
Authors: Zito Patrick M. , Hin Nady 
Published: August 2017

ABSTRACT
By definition, a drug is a medicine or substance that exerts a physiologic effect on an organism. In dermatology, various medications and substances are utilized on a daily basis, ranging from topical treatments to anesthetics in micrographic surgery. The purpose of this section is to focus on some of the more common substances, specifically how they work, how they are utilized, and their routine alternatives (if available). The mechanism of action, usage, and alternative options of the medication minoxidil are discussed.
White, Sclerotic Lesions of the Head, Neck, and Fingers
Authors: Masoud Melanie , Wahjudi Ingrid , Moncrieff Norma , Jacob Sharon E. 
Published: August 2017

ABSTRACT
The patient presented here is a 68-year-old man with mildly itchy white lesions on the head, neck, and fingers for 7 years. This article guides the reader to identify a diagnosis based on the symptoms and appearance of the lesions, discusses the differential diagnoses, and presents the diagnosis and treatment plan.
Reactive Osteochondromatous Lesion of the Femoral Neck in a Highly Active Preadolescent Patient: Is This the Pathogenesis of a Cam Deformity?
Authors: Matsuda Yoko , Kobayashi Naomi , Inaba Yutaka , Kubota So , Yukizawa Yohei , Choe Hyonmin , Kato Ikuma , Ohashi Kenichi , Saito Tomoyuki 
Published: August 2017

Abstract:
Here, we present a rare case of a preadolescent boy with a prominent bony bump on the femoral neck. The main histological feature was concordant with a reactive osteochondromatous lesion possibly induced by repetitive microtrauma, probably because of overtraining as a soccer goalkeeper. The nature of this pathological change is consistent with the growth of a cam deformity. Especially in the preadolescent age group, we should note that repetitive use of the same joint kinematics may induce a prominent cam deformity.
TRest as a New Diagnostic Variable for Chronic Exertional Compartment Syndrome of the Forearm: A Prospective Cohort Analysis of 124 Athletes
Authors: Barrera-Ochoa Sergi , Correa-Vazquez Eva , Gallardo-Calero Irene , Haddad Sleiman , Sallent Andrea , Soldado Francisco , Campillo-Recio David , Mir-Bullo Xavier 
Published: August 2017

Objectives:
To measure the accuracy of currently used intracompartmental pressure (ICP) diagnostic variables for forearm chronic exertional compartment syndrome (CECS) and a new ICP diagnostic variable, TRest, the recovery time between the maximum ICP and return to resting pressure.

Design:
Retrospective cohort. Level evidence IV.

Setting:
University-affiliated tertiary hospital.

Participants:
Patients with suspected forearm CECS, 1990 to 2014.

Interventions:
All patients underwent physical examination and exertional stress test, preceded and followed by measuring ICP in all suspicious CECS. Surgery was proposed when indicated. Minimum follow-up was 18 months. Final diagnosis was established at the final follow-up.

Main Outcome Measures:
Intracompartmental pressure measurements: PRest (baseline/pre-exercise pressure), P1 min (pressure 1 minute after exercise), P5 min (pressure 5 minutes after exercise), and TRest. Patients rated their pain and completed Quick-DASH in all follow-ups. Patients ultimately were classified into 4 groups (true positives, true negatives, false positives, and false negatives) for each ICP measurement relative to the final diagnosis. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated.

Results:
A total of 124 male athletes were diagnosed with CECS, 27 bilateral. Accuracy with standard ICP diagnostic variables was lower (sensitivity 73.5%, specificity 84.2%, positive predictive value 97%, and negative predictive value 31.4%) than with TRest (SN 100%, SP 94.7%, PPV 99.3%, and NPV 100%); 23% of patients would have been missed following the standard ICP diagnostic criteria.

Conclusions:
Diagnostic thresholds for current standard ICP measurements should be lowered. TRest, a new measure, might be more accurate.
Concomitant Panniculectomy Affects Wound Morbidity but Not Hernia Recurrence Rates in Abdominal Wall Reconstruction: A Propensity Score Analysis
Authors: Giordano Salvatore , Garvey Patrick B. , Baumann Donald P. , Liu Jun , Butler Charles E. 
Published: August 2017

Background:
Studies of abdominal wall reconstruction with concurrent panniculectomy have reported contradictory results. The authors hypothesized that patients undergoing abdominal wall reconstruction with concurrent panniculectomy experience more wound healing complications but similar rates of hernia recurrence compared with abdominal wall reconstruction alone.

Methods:
Of 548 consecutive patients, 305 patients (55.7 percent) underwent abdominal wall reconstruction alone and 243 (44.3 percent) underwent abdominal wall reconstruction with concurrent panniculectomy. Mean follow-up was 30 months. The authors compared these two groups’ postoperative complications and outcomes before and after propensity score analysis.

Results:
Abdominal wall reconstruction with concurrent panniculectomy patients had a significantly higher overall complication rate (38.3 percent versus 29.2 percent; p = 0.025) and a trend toward a higher surgical-site occurrence rate (27.6 percent versus 20.7 percent; p = 0.06) compared with abdominal wall reconstruction alone. There were significantly higher incidences of skin dehiscence (19.3 percent versus 12.5 percent; p = 0.032), fat necrosis (10.7 percent versus 3.6 percent; p = 0.002), and infection abscess (9.5 percent versus 4.3 percent; p = 0.023) but no significant difference in hernia recurrence (6.9 percent versus 11.5 percent; p = 0.27) at long-term follow-up. Propensity score analysis yielded 188 pairs of matched patients with no significant differences in overall complication and hernia recurrence rates. Significantly higher rates of fat necrosis (9.6 percent versus 4.3 percent; p = 0.041) and abscess (10.1 percent versus 3.2 percent; p = 0.007) were observed in the abdominal wall reconstruction with concurrent panniculectomy group.

Conclusions:
Abdominal wall reconstruction with concurrent panniculectomy is associated with higher wound morbidity but similar surgical-site occurrence and hernia recurrence rates at long-term follow-up. The authors believe that panniculectomy can be safely performed when indicated.
A New Method for Reconstruction of Vermilion Deficiency in Cleft Lip Deformity: The Bi-Winged Myomucosa Switch Flap
Authors: Chung Kyung Hoon , Lo Lun-Jou 
Published: August 2017

Background:
This study reviewed the method of using the bi-winged myomucosa switch flap for correction of secondary cleft lip deformity in patients with vermilion mucosa deficiency, lack of the central tubercle, and disproportionate lip projection, obviating the conventional Abbe flap when the prolabium has acceptable philtrum and Cupid’s bow definition.

Methods:
The technique was applied to adult patients with secondary vermilion deficiency after primary bilateral cleft lip repair. The flap consisted of the transverse vermilion mucosa and the superior part of the orbicularis oris muscle from the lower lip. It was elevated, leaving a central cuff of muscle and mucosa tissue for blood supply, and tapered down bilaterally. The flap was transposed cephalically and inset to the deficient upper vermilion. Division of the pedicle was performed 2 weeks later. The preoperative and postoperative vermilion heights were measured, and the upper-to-lower vermilion ratios were calculated.

Results:
All consecutive patients tolerated the operations without perioperative or flap complications. The vermilion discrepancy was corrected in all cases. The vermilion height and projection were improved in the upper lip and the prominent lower lip was reduced. The average vermilion ratio was 0.38 before and improved to 1.00 after surgery, as compared with the norm of 0.96. Adequate lip function and mobility were maintained. All patients expressed satisfaction after surgery.

Conclusion:
The described technique of bi-winged myomucosa switch flap is an effective method for reconstruction of upper lip vermilion deficiency with excellent aesthetic outcome.
Mortgage decisions in Swedish housing co-operatives
Authors: Hullgren Maria 
Published: August 2017

Purpose
This paper aims to highlight co-ops mortgage choice strategy and factors that influence the board’s master mortgage decisions in Swedish co-op associations.

Design/methodology/approach
Data are collected through a pre-study interviewing chair persons in co-ops in Stockholm followed up by a more extensive questionnaire. Answers from these are tested by logistic regression and compared to hypotheses based on earlier findings on mortgage choice on a household level and additional findings from the interviews.

Findings
The mortgage choice in co-ops seems to be more dependent on financial similarities than physical location. Loan-to-value (LTV) ratios have a dominant influence in that co-ops with high LTV ratios have a lower preference for adjustable-rate mortgages (ARMs). When checking for location, the media and individual chair persons also seem to affect the choice. Overall, there seems to be awareness in co-ops boards about the potential financial effects of their mortgage choice.

Practical implications
The negative connection between high LTV ratios and ARMs implies that boards try to make their mortgage expenditure more predictable. This reduces liquidity risks which may be of importance for financially constrained owners. Findings indicate that co-ops are risk averse and that the short-term threat for increasing interest costs is low. This is of value to both homebuyers and the financial industry.

Originality/value
This paper examines factors influencing mortgage choices in an organizational context such as co-op associations. The master mortgage in a co-op can have major influence on members financial situation but, to the author’s knowledge, a similar study has never been done before, neither in an international nor a Swedish context.
Health behaviour in the face of cultural conflict: perceptions of immigrant Muslim women
Authors: Sabir Ghezal , Sevenhuysen Gustaaf P. , Fieldhouse Paul , Roger Kerstin Stieber 
Published: August 2017

PurposeThe purpose of this paper is to describe immigrant Muslim women’s perceived barriers and facilitators to health behaviours relating to the interface between the cultural backgrounds of the participants and the predominant culture in Canada.Design/methodology/approachA case study approach was taken to conduct ten in-depth semi-structured interviews followed by three focus groups with immigrant women in Winnipeg, Canada. A demographic questionnaire, acculturation scale, and interview guides were used for data collection. Constant comparison analytic method was utilised to extract and refine themes.FindingsA total of 32 adult Muslim women who had emigrated from 14 countries in Asia and Africa participated in this study. Most of the participants had medium to high levels of acculturation and enculturation. Through the in-depth analysis of the participants’ insights, these factors emerged as determinants of health behaviours related to cultural interactions: changes in gender role, mistrusting the unfamiliar, feelings of alienation, new construction of time, and reconstruction of private and public spheres. These themes display the participants’ conceptual and practical adaptations in Canada.Research limitations/implicationsThe perspectives of those with poor spoken English language skill and the participants’ history of immigration were not obtained in this study limiting the study’s findings.Practical implicationsThis paper reveals factors that potentially influence immigrant Muslim women’s health behaviours and should be considered when designing health promotion programs for similar groups.Originality/valueThis is the first paper focusing on cultural determinants of immigrant Muslim women’s health behaviour in a non-metropolitan Canadian city. Findings can help health promoters design culturally competent programs for this growing population to garner its greater participation.
Sport league website: an effective marketing communication tool for corporate sponsors
Authors: Kim Doyeop , Walker Matthew , Heo Jun , Koo Gi-Yong 
Published: August 2017

Purpose
Although high-profile sport league website sponsorships have increased in popularity over the last decade, academic research on the topic has not kept pace, resulting in little knowledge of ways to improve the effectiveness of this sponsorship type. This paper aims to discuss this issue.

Design/methodology/approach
The current study examined the influence of three website-related variables (i.e. website interactivity, website fit, and website credibility), while controlling for a sponsor-related variable (i.e. sponsor familiarity), on consumer attitude toward the sponsor ad and willingness to click on its banner ad. Hierarchical multiple regression analyses indicated three main effects. Practical implications are discussed with limitations and suggestions for future research.

Findings
This study found three important things. First, website interactivity played an important role in attitude toward the ad and willingness to click on the banner ad. Second, website fit influenced attitude toward the ad and willingness to click on the banner ad. Third, website credibility influenced attitude toward the ad.

Originality/value
The findings suggest that in order to maximize online sports sponsorship outcomes, companies must keep in mind that the interactivity between the web users and the site should be regarded as the most pragmatic result which could come from the online sports sponsorship territory.
Human robot interaction for manipulation tasks based on stroke gesture recognition
Authors: Li Jiajun , Tao Jianguo , Ding Liang , Gao Haibo , Deng Zongquan , Luo Yang , Li Zhandong 
Published: August 2017

Purpose
The purpose of this paper is to extend the usage of stroke gestures in manipulation tasks to make the interaction between human and robot more efficient.

Design/methodology/approach
In this paper, a set of stroke gestures is designed for typical manipulation tasks. A gesture recognition and parameter extraction system is proposed to exploit the information in stroke gestures drawn by the users.

Findings
The results show that the designed gesture recognition subsystem can reach a recognition accuracy of 99.00 per cent. The parameter extraction subsystem can successfully extract parameters needed for typical manipulation tasks with a success rate about 86.30 per cent. The system shows an acceptable performance in the experiments.

Practical implications
Using stroke gesture in manipulation tasks can make the transmission of human intentions to the robots more efficient. The proposed gesture recognition subsystem is based on convolutional neural network which is robust to different input. The parameter extraction subsystem can extract the spatial information encoded in stroke gestures.

Originality/value
The author designs stroke gestures for manipulation tasks which is an extension of the usage of stroke gestures. The proposed gesture recognition and parameter extraction system can make use of stroke gestures to get the type of the task and important parameters for the task simultaneously.
Measurement of wheel-terrain contact angle for WMRs on rough terrain using laser scanning sensor
Authors: Xu He , Xu Yan , Wang Peiyuan , Yu Hongpeng , Ani Ozoemena Anthony , Gao X.Z. 
Published: August 2017

Purpose
The purpose of this paper is to explore a novel measurement approach for wheel-terrain contact angle using laser scanning sensors based on near-terrain perception. Laser scanning sensors have rarely been applied to the measurement of wheel-terrain contact angle for wheeled mobile robots (WMRs) in previous studies; however, it is an effective way to measure wheel-terrain contact angle directly with the advantages of simple, fast and high accuracy.

Design/methodology/approach
First, kinematics model for a WMR moving on rough terrain was developed, taking into consideration wheel slip and wheel-terrain contact angle. Second, the measurement principles of wheel-terrain contact angle using laser scanning sensors was presented, including “rigid wheel - rigid terrain” model and “rigid wheel - deformable terrain” model.

Findings
In the proposed approach, the measurement of wheel-terrain contact angle using laser scanning sensors was successfully demonstrated. The rationality of the approach was verified by experiments on rigid and sandy terrains with satisfactory results.

Originality/value
This paper proposes a novel, fast and effective wheel-terrain contact angle measurement approach for WMRs moving on both rigid and deformable terrains, using laser scanning sensors.