bluuebunny/crossref_metadata_2025_split huggingface dataset:
Du désir au Nirvãna . Le destin bouddhique de la sexualité
Authors: Kaluaratchige Elizabeth 
Published: June 2016

Cet article veut prolonger jusqu’au bouddhisme, le dialogue que Freud a commencé autour de l’expérience religieuse du monothéisme. Sans appliquer la psychanalyse au bouddhisme, nous traitons le rapport entre le bouddhisme et la culture, pris par l’idéal « morale sexuelle civilisée des bouddhistes ». Notre réflexion sur le thème « sexualité » dans le bouddhisme, tient compte de l’usage des concepts désignant non seulement les « comportements observables », mais les phénomènes de la vie qui restent à l’arrière plan inconscient.
Puiser à la source, les rituels du corps en islam
Authors: Ayouch Soraya 
Published: June 2016

Cet article analyse les prescriptions sexuelles au plus près du vécu subjectif des sujets. À la source de l’islam, on décrypte la réalité du texte sacré, dans la métaphore d’une parole révélée, fluide comme l’eau. C’est l’amour qui est au centre du processus, disent des maîtres qui ont effectué le travail d’érudition nécessaire. Ce qui est prescrit c’est le couple, qui retrouve l’unité originelle dans la célébration de la création divine ; et la figure mariale, réceptacle de la parole du fils.
Contrast Sensitivity in Patients With Emmetropic Presbyopia Before and After Small-Aperture Inlay Implantation
Authors: Lin Ling , van de Pol Corina , Vilupuru Srividhya , Pepose Jay S. 
Published: June 2016

PURPOSE:
To develop a normative contrast sensitivity function and examine the postoperative contrast sensitivity outcomes for emmetropic patients with presbyopia implanted with a KAMRA intracorneal inlay (AcuFocus Inc., Irvine, CA) in their non-dominant eyes.

METHODS:

A prospective, non-randomized, multicenter clinical trial was conducted on 507 patients between 45 and 60 years of age who were monocularly implanted with the KAMRA inlay. A predetermined subgroup of 335 patients in the contrast sensitivity substudy were measured preoperatively and postoperatively with the Functional Acuity Contrast Test (FACT) chart in the Optec 6500 Vision Tester (Stereo Optical Co., Chicago, IL) under monocular and binocular, photopic and mesopic without glare, and binocular mesopic with glare conditions each over four spatial frequencies (3, 6, 12, and 18 cycles per degree for photopic conditions and 1.5, 3, 6, and 12 cycles per degree for mesopic conditions). Normative ranges were developed using 1.96 standard deviations from the preoperative mean logCS (log
10
unit of contrast sensitivity).

RESULTS:
The preoperative contrast sensitivity measurements were used to develop the normative contrast sensitivity curves. Postoperatively, contrast sensitivity was stable both monocularly and binocularly and average contrast sensitivity remained within the normative ranges. Postoperative contrast sensitivity was mildly reduced monocularly but not binocularly, and the ratio of area under logCS function comparing postoperative to preoperative values was above 90% for all but one condition.

CONCLUSIONS:
Normative contrast sensitivity curves for a presbyopic population are established to provide a referent in the investigation of the impact of other presbyopia-correcting ophthalmic procedures on contrast sensitivity.

[
J Refract Surg.
2016;32(6):386–393.]
Corneal Astigmatism in Patients After Cataract Surgery: A 10-Year Follow-up Study
Authors: Kim Hyojin , Whang Woong-Joo , Joo Choun-Ki 
Published: June 2016

PURPOSE:
To report the long-term outcomes of corneal astigmatism after cataract surgery.

METHODS:
The study included 55 eyes of 46 patients who underwent cataract surgery with temporal 3-mm clear corneal incisions from January 2001 to December 2003. All patients underwent complete ophthalmological examination including keratometry at the preoperative visit and at 2 months and 10 years after surgery. Only those eyes that underwent a follow-up of 10 years or longer from the time of cataract surgery were enrolled. Arithmetic and vector analyses were performed to obtain the change in corneal astigmatism with advancing age.

RESULTS:
The mean age of the patients was 59.11 ± 12.33 years (range: 18 to 75 years), and 58.7% of the patients were women. The mean follow-up period was 131.28 ± 14.36 months. The average magnitudes of surgically induced astigmatism and long-term astigmatism change were 0.66 ± 0.42 and 0.57 ± 0.47 diopters (D), respectively. The vector difference was 0.56 ± 0.55 D at 90° ± 0° between the preoperative and 2-month visits. However, there was no difference in vector values between postoperative 2 months and 10 years (0.00 ± 0.74 D at 0° ± 0°).

CONCLUSIONS:
Patients with corneal astigmatism who underwent cataract surgery did not show a long-term against-the-rule change in corneal astigmatism during a 10-year follow-up. These results provide useful information when planning toric intraocular lens implantation in patients with corneal astigmatism.

[
J Refract Surg.
2016;32(6):404–409.]
Long-term Results of Combined LASIK and Monocular Small-Aperture Corneal Inlay Implantation
Authors: Igras Estera , O'Caoimh Rónán , O'Brien Paul , Power William 
Published: June 2016

PURPOSE:
To evaluate the long-term effectiveness and safety of combined LASIK and small-aperture intracorneal inlay implantation (KAMRA; AcuFocus, Irvine, CA) for the surgical compensation of presbyopia and refractive errors.

METHODS:
Retrospective chart review of all ametropic, presbyopic patients who underwent combined LASIK and KAMRA inlay implantation at a single clinic. Demographic data and preoperative uncorrected and corrected monocular and binocular near and distance visual acuity (UNVA, UDVA, and CDVA) with manifest refractive spherical equivalent (MRSE) were collected and analyzed. All perioperative adverse events were recorded.

RESULTS:
In total, 132 patients were available (median age: 56 years; interquartile range (IQR) ± 5; range: 44 to 68 years). Median preoperative MRSE was +1.37± 1.20 diopters (D). The majority (113; 85%) were hypermetropic. Preoperative median UNVA improved from N24 (J13) ±6 to N6 (J5) ±1 by day 1 postoperatively, remaining stable throughout follow-up. At last follow-up, 97% of patients achieved UNVA of N5 (J3) or better. Median UDVA (implanted eye) improved from 20/40 (0.50 ± 0.41 on the decimal chart) preoperatively to 20/25 (0.80 ± 0.13) at month 12. Binocular UDVA was 20/20 in 88%, with CDVA unchanged for 84% at 12 months. No patient lost more than one line of CDVA. MRSE was also stable, albeit +0.25 D off-target refraction (−0.75 D). Two inlays were explanted due to suboptimal adaptation/corneal haze.

CONCLUSIONS:
The results of this follow-up study show that combined insertion of a small-aperture corneal inlay with LASIK in presbyopic patients improves near vision with a slight compromise in distance vision in the implanted eye. Overall, it appears to be a safe, effective procedure for the treatment of presbyopia.

[
J Refract Surg.
2016;32(6):379–384.]
Topography-Guided Transepithelial Surface Ablation in the Treatment of Moderate to High Astigmatism
Authors: Chen Xiangjun , Stojanovic Aleksandar , Simonsen David , Wang Xiaorui , Liu Yanhua , Utheim Tor Paaske 
Published: June 2016

PURPOSE:
To analyze the outcomes of treatment of astigmatism of 2.00 diopters (D) or greater with topography-guided transepithelial surface ablation.

METHODS:
Retrospective analysis of a series of 206 eyes divided into two groups: myopic astigmatism (153 eyes) and mixed astigmatism (53 eyes). All cases were treated with topography-guided transepithelial surface ablation. Efficacy, safety, and predictability were evaluated, and vector analysis of cylindrical correction was performed.

RESULTS:
The median preoperative spherical equivalent was −2.63 and −0.63 D for the myopic and mixed astigmatism groups, respectively, with median cylinder of −2.50 D. Postoperative uncorrected distance visual acuity was 20/20 or better in 92% and 83% of eyes in the myopic and mixed astigmatism groups, respectively; the corresponding efficacy indices were 1.00 and 0.96 and residual astigmatism of 0.50 D or less was present in 82.4% and 56.7% of eyes in the myopic and mixed astigmatism groups, respectively. The arithmetic mean magnitude of the difference vector was 0.38 (myopic) and 0.65 (mixed) D. Difference vector magnitude was positively correlated with the magnitude of target induced astigmatism in both groups. The geometric mean coefficient of adjustment index was 1.04 and 1.19, representing undercorrection of 4% and 19% in the myopic and mixed astigmatism groups, respectively.

CONCLUSIONS:
Topography-guided transepithelial ablation is a safe, effective, and predictable treatment for moderate to high astigmatism.

[
J Refract Surg.
2016;32(6):418–425.]
Transepithelial Corneal Cross-linking Using an Enhanced Riboflavin Solution
Authors: Gatzioufas Zisis , Raiskup Frederik , O'Brart David , Spoerl Eberhard , Panos Georgios D. , Hafezi Farhad 
Published: June 2016

PURPOSE:
To assess the efficacy of a modified high concentration riboflavin solution containing benzalkonium chloride 0.01% for transepithelial corneal cross-linking (CXL).

METHODS:

In this prospective, interventional multicenter cohort study, 26 eyes of 26 patients with documented progressive keratoconus who underwent transepithelial CXL were included. Follow-up at 6 and 12 months postoperatively included slit-lamp examination, uncorrected and corrected distance visual acuity (logMAR), maximum keratometry (Kmax), and corneal pachymetry (corneal thinnest point) as determined by Scheimpflug imaging. Statistical analysis was performed using repeated measures analysis of variance and the Friedman test for parametric and non-parametric data, respectively.
P
values less than .05 were considered significant.

RESULTS:
Kmax did not change significantly at postoperative months 6 and 12. Changes in corneal thinnest point did not change postoperatively over 12 months. Uncorrected and corrected distance visual acuity did not change postoperatively. Progression (defined by an increase in Kmax greater than 1.00 diopter occurred in 46% of eyes at 12 months. Corneal epithelial defects were observed in 46% of the patients and marked punctate corneal epitheliopathy/loose epithelium in 23% of the patients in the immediate postoperative period. No corneal infection, sterile infiltrates, or haze were observed.

CONCLUSIONS:
Transepithelial CXL with an enhanced riboflavin solution did not effectively halt progression of keratoconus. Significant epithelium damage was evident in the immediate postoperative period.

[
J Refract Surg.
2016;32(6):372–377.]
Stability of a Novel Intraocular Lens Design: Comparison of Two Trifocal Lenses
Authors: Poyales Francisco , Garzón Nuria , Rozema Jos J. , Romero Concepción , de Zárate Begoña Ortíz 
Published: June 2016

PURPOSE:
To compare visual outcomes, rotational stability, and centration in a randomized controlled trial in patients undergoing cataract surgery who were bilaterally implanted with two different trifocal intraocular lenses (IOLs) with a similar optical zone but different haptic shape.

METHODS:
Twenty-one patients (42 eyes) with cataract and less than 1.50 D of corneal astigmatism underwent implantation of one FineVision/MicoF IOL in one eye and one POD FineVision IOL in the contralateral eye (PhysIOL, Liège, Belgium) at IOA Madrid Innova Ocular, Madrid, Spain. IOL allocation was random. Outcome measures, all evaluated 3 months postoperatively, included monocular and binocular uncorrected distance (UDVA), corrected distance (CDVA), distance-corrected intermediate (DCIVA), and near (DCNVA) visual acuity (at 80, 40, and 25 cm) under photopic conditions, refraction, IOL centration, haptic rotation, dysphotopsia, objective quality of vision and aberration quantification, patient satisfaction, and spectacle independence.

RESULTS:

Three months postoperatively, mean monocular UDVA, CDVA, DCIVA, and DCNVA (40 cm) under photopic conditions were 0.04 ± 0.07, 0.01 ± 0.04, 0.15 ± 0.11, and 0.16 ± 0.08 logMAR for the eyes implanted with the POD FineVision IOL and 0.03 ± 0.05, 0.01 ± 0.02, 0.17 ± 0.12, and 0.14 ± 0.08 logMAR for those receiving the FineVision/MicroF IOL. Moreover, the POD FineVision IOL showed similar centration (
P
> .05) and better rotational stability (
P
< .05) than the FineVision/MicroF IOL. Regarding halos, there was a minimal but statistically significant difference, obtaining better results with FineVision/MicroF. Full spectacle independence was reported by all patients.

CONCLUSIONS:
This study revealed similar visual outcomes for both trifocal IOLs under test (POD FineVision and FineVision/MicroF). However, the POD FineVision IOL showed better rotational stability, as afforded by its design.

[
J Refract Surg
. 2016;32(6):394–402.]
Une approche pluridisciplinaire et pluri-scalaire des dynamiques paysagères du bassin minier du Nord-Pas-de-Calais
Authors: Raffin Fabrice , Luginbühl Antoine , Pollet Olivier 
Published: June 2016

Ce texte revient sur la démarche de recherche participative et pluridisciplinaire menée durant trois ans dans le cadre du programme ITTECOP sur le territoire de la communauté d’agglomération d’Henin Carvin (CAHC) dans le Nord-Pas-de-Calais. Une caractéristique de cette recherche est d’avoir rassemblé une équipe de paysagistes et une de sociologues. La démarche part d’une conception du paysage comme cadre intégrateur de réflexion et d’action et outil capable de faire émerger une action territoriale concertée et durable. Le propos dépasse néanmoins une définition commune et désormais assez consensuelle du paysage comme « construction sociale », en ajoutant une interrogation sur la diversité des acteurs aménageurs, au-delà de l’image erronée de la toute-puissance des acteurs publics et aménageurs légitimes du territoire (ou à l’inverse de leur perte de pouvoir et de la privatisation des espaces urbains au profit des seuls acteurs économiques devenus tout puissants). La démarche scientifique et les données produites servent alors d’éléments de débat dans la phase participative. L’identification de la diversité des acteurs aménageurs (publics, privés, associatifs) et la mise à jour des catégories qu’ils mobilisent dans leurs actions servent de fondement à une interrogation collective sur les dynamiques paysagères que nous observons.
CD10 and CD138 can be expressed in giant cell tumor of bone: An immunohistochemical study
Authors: Al-Abbadi Mousa A , Al-Yousef Mohammed J , Yousef Mohammad M , Sheikh Salwa S , Almasri Nidal M , Amr Samir S 
Published: June 2016

AbstractGiant cell tumor of bone (GCTB) is a primary bone neoplasm which is characterized by the presence of mononuclear cells (MCs) and osteoclast-like multinucleated giant cells (MNGCs). Up to our knowledge, CD10 immunoreactivity in GCTB has not yet been studied, and only one study touched on CD138 immunoreactivity in GCTB. The objective of this study is to investigate the immunoreactivity of CD10 and CD138 in GCTB. We offer a discussion of our findings in the context of the differential diagnosis, particularly in small biopsy material. We retrieved and reviewed 15 well-documented cases of GCTB from January 2008 to December 2014. Well-controlled standard immunohistochemical satins were performed on these cases for CD10 and CD138 and few other selected antibodies. Immunoreactivity for CD10 was membranous and was found in 14 (93%) cases. This immunoreactivity was found only in the MCs, whereas the MNGC were all negative. CD138 showed variable positivity in 11 (73%) while 4 (37%) were completely negative. Similar to CD10, staining for CD138 was only seen in the MC; however, the immunoreactivity was predominantly concentrated in the peri-vascular areas. Most of GCTB cases can show variable immunoreactivity for CD10 and CD138. The aforementioned immune-expression raise the possibility of a role in the pathogenesis of GCTB. Paying attention to this immunoreactivity is recommended when considering the clinical and radiological differential diagnosis, especially in small biopsy specimens.
Assessment of the cardiac autonomic neuropathy among the known diabetics and age-matched controls using noninvasive cardiovascular reflex tests in a South-Indian population: A case-control study
Authors: Sukla Pradeep , Shrivastava Saurabh RamBihariLal , Shrivastava Prateek Saurabh , Rao Nambaru Lakshmana 
Published: June 2016

Abstract
Aim: Diabetes mellitus is a chronic condition characterized by hyperglycemia. The objective of the study was to estimate the prevalence of cardiac autonomic neuropathy in a rural area of South India, among the known diabetics after comparing them with the age-matched healthy controls, utilizing noninvasive cardiac autonomic neuropathy reflex tests. Materials and Methods: A case-control study was conducted for 4 months (October 2014 to January 2015) at an Urban Health and Training Center (UHTC) of a Medical College located in Kancheepuram district, Tamil Nadu. The study was conducted among 126 diagnosed Type 2 diabetes patients and in 152 age- and sex-matched healthy controls to ensure comparability between the cases and controls and, thus, reduce variability due to demographic variables. All the study subjects (cases and controls) were selected from the patients attending UHTC during the study duration, provided they satisfied the inclusion and exclusion criteria. Study participants were subjected to undergo noninvasive cardiac autonomic neuropathy reflex tests. The associations were tested using paired t-test for the continuous (mean ± standard deviation) variables. Results: The overall prevalence of cardiac autonomic neuropathy among diabetic patients was found to be as 53.2% (67/126). On further classification, positive (abnormal) results were obtained in 56 (sympathetic - 44.4%) and 51 (parasympathetic - 40.5%) diabetic cases. Overall, heart rate variation during deep breathing was found to be the most sensitive test to detect parasympathetic autonomic neuropathy while the diastolic blood pressure response to sustained handgrip exercise was the most sensitive method to detect sympathetic neuropathy dysfunction. Conclusion: The overall prevalence of cardiac autonomic neuropathy among diabetic patients was found to be as 53.2%. Even though cardiac autonomic neuropathy can be detected by various invasive tests, noninvasive tests remain a key tool to detect it in the remote settings in a cost-effective and user-friendly manner without making people visit higher centers.
Usability Testing of Two Ambulatory EHR Navigators
Authors: Hultman Gretchen , Marquard Jenna , Arsoniadis Elliot , Mink Pamela , Rizvi Rubina , Ramer Tim , Khairat Saif , Fickau Keri , Melton Genevieve 
Published: June 2016

SummaryDespite widespread electronic health record (EHR) adoption, poor EHR system usability continues to be a significant barrier to effective system use for end users. One key to addressing usability problems is to employ user testing and user-centered design.To understand if redesigning an EHR-based navigation tool with clinician input improved user performance and satisfaction.A usability evaluation was conducted to compare two versions of a redesigned ambulatory navigator. Participants completed tasks for five patient cases using the navigators, while employing a think-aloud protocol. The tasks were based on Meaningful Use (MU) requirements.The version of navigator did not affect perceived workload, and time to complete tasks was longer in the redesigned navigator. A relatively small portion of navigator content was used to complete the MU-related tasks, though navigation patterns were highly variable across participants for both navigators. Preferences for EHR navigation structures appeared to be individualized.This study demonstrates the importance of EHR usability assessments to evaluate group and individual performance of different interfaces and preferences for each design.Citation: Hultman G, Marquard J, Arsoniadis E, Mink P, Rizvi R, Ramer T, Khairat S, Fickau K, Melton GB. Usability testing of two ambulatory EHR navigators.
Exploring Dental Providers’ Workflow in an Electronic Dental Record Environment
Authors: Schwei Kelsey , Cooper Ryan , Mahnke Andrea , Ye Zhan , Acharya Amit 
Published: June 2016

SummaryA workflow is defined as a predefined set of work steps and partial ordering of these steps in any environment to achieve the expected outcome. Few studies have investigated the workflow of providers in a dental office. It is important to understand the interaction of dental providers with the existing technologies at point of care to assess breakdown in the workflow which could contribute to better technology designs.The study objective was to assess electronic dental record (EDR) workflows using time and motion methodology in order to identify breakdowns and opportunities for process improvement.A time and motion methodology was used to study the human-computer interaction and workflow of dental providers with an EDR in four dental centers at a large healthcare organization. A data collection tool was developed to capture the workflow of dental providers and staff while they interacted with an EDR during initial, planned, and emergency patient visits, and at the front desk. Qualitative and quantitative analysis was conducted on the observational data.Breakdowns in workflow were identified while posting charges, viewing radiographs, e-prescribing, and interacting with patient scheduler. EDR interaction time was significantly different between dentists and dental assistants (6:20 min vs. 10:57 min, p = 0.013) and between dentists and dental hygienists (6:20 min vs. 9:36 min, p = 0.003).On average, a dentist spent far less time than dental assistants and dental hygienists in data recording within the EDR.
Detection of one large insertion/deletion (indel) and two novel SNPs within the &lt;i&gt;SPEF2&lt;/i&gt; gene and their associations with male piglet reproduction traits
Authors: Chen Rui , Yu Shuai , Ren Fa , Lv Xiao Yan , Pan Chuan Ying 
Published: June 2016

Abstract. The sperm flagella 2 (SPEF2) gene is essential for normal sperm tail development and male fertility. To fully characterize the structure of the mutation and to further study the function of the pig SPEF2 gene, we explored the insertion/deletion (indel) and novel single-nucleotide polymorphisms (SNPs) within the pig SPEF2 gene, and tested their associations with the testicular sizes in male Large White (LW) and Landrace (LD) pigs from China. Herein, a large insertion located at the SPEF2 gene in chromosome 16 was found, and two alleles of "I" (insertion) and "D" (deletion) were designated. Allele "D" was dominant in all analyzed pigs. Two novel SNPs (namely (NC_010458) g.19642G > A, resulting in AfaI aCRS PCR–PFLP, and g.19886C > G, resulting in EcoRI aCRS PCR–PFLP) were found in LW and LD pigs. Association testing revealed that g.19886C > G was significantly associated with the testis long circumference (TLC) in LW pigs (P < 0.05), suggesting that this SNP would be the DNA marker for the marker-assisted selection (MAS) in reproduction traits. This preliminary result indicates that the pig SPEF2 gene had significant effects on male reproduction traits. These findings could not only extend the spectrum of genetic variations in the pig SPEF2 gene but also contribute to implementing MAS in genetics and breeding in pigs.