bluuebunny/crossref_metadata_2025_split huggingface dataset:
Análise estrutural do sistema de grabens do Rio Tocantins, borda oeste da Bacia do Parnaíba (estados do Tocantins, Pará e Maranhão - Brasil)
Authors: Souza Kauê Seoane , Sá Emanuel Ferraz Jardim de , Silva Fernando César Alves da 
Published: April 2017

A borda oeste da Bacia do Parnaíba apresenta estruturas que a diferenciam do contexto em outras regiões na bacia. Destacam‑se duas estruturas do tipo graben (Araguaína e Muricizal), que compõem o sistema de grabens em estudo, a primeira já no interior da bacia, a segunda implantada diretamente sobre o embasamento cristalino (Faixa Araguaia). Nas bordas do graben principal (Araguaína), as formações Motuca e Pedra de Fogo são balizadas por falhas normais ou normais oblíquas sinistrais. Mais a sul, na região de Palmas-Miracema do Tocantins, o Grupo Serra Grande, a Formação Pimenteiras e o embasamento cristalino estão em contato por falhas normais. O segundo graben, localizado a oeste do principal, também acomoda a Formação Motuca e unidades sotopostas, possuindo a mesma orientação. A análise de imagens SRTM auxiliou na cartografia dos fotolineamentos, dos grabens e, associada aos dados de campo, permitiu a proposição de três eventos deformacionais (D1, D2 e D3). A orientação N-S das falhas envolve uma variação de 20º-30º para E ou W, controlada pelas anisotropias do embasamento cristalino nesta borda da bacia, relacionadas à Faixa Araguaia. Falhas de regime normal e normal sinistral evidenciam uma distensão NE durante a formação dos grabens (evento D1). A idade mínima para D1 é estimada no intervalo Permo-Triássico, baseada nas relações estruturais e estratigráficas. Na região norte do mesmo, fotolineamentos E-W/ENE controlam o alojamento de basaltos e diabásios eojurássicos da Suíte Mosquito (evento D2), que interceptam as estruturas do graben principal. A distensão NNE na Suíte Mosquito e falhas normais ou transcorrentes exibindo distensão NW (evento D3) são tentativamente correlacionadas aos eventos de abertura do Atlântico Central e Sul, respectivamente.
Tidal Energy Loss, Internal Tide Radiation, and Local Dissipation for Two-Layer Tidal Flow over a Sill
Authors: Arneborg Lars , Jansson Pär , Staalstrøm André , Broström Göran 
Published: April 2017

AbstractA simple analytical model for tidal energy loss at fjord sills and its partitioning into local dissipation and radiated internal tides is presented. The analytical model builds on a two-layer assumption with quasi-steady nonlinear flow over the sill and wave radiation in the far field. When the interface is situated above sill level, upstream- and downstream-propagating internal waves are generated as the bottom-layer flow becomes partially blocked because of a hydraulic control over the sill. When this control sets in, energy is lost in the transition from supercritical flow over the sill to subcritical flow downstream of the sill. The analytical model is compared with observations at the Drøbak sill in the Oslo Fjord and with idealized numerical simulations with a nonhydrostatic primitive equation model. The overall good agreement between observations, analytical model, and numerical model results indicates that the hydraulic control over the sill is a key player for both the generation of internal tides and the local energy loss. The tidal energy loss decreases with increasing height of the interface above the sill. At the same time, the fraction of energy dissipated locally increases from about 20% for the interface situated at sill level to >50% when the upper-layer thickness is less than about 80% of the sill depth. These results correspond well with the observations in the Oslo Fjord where more energy is dissipated near the sill than is radiated away.
Sinonasal Inverted Papilloma: Risk Factors for Local Recurrence After Surgical Resection
Authors: Lisan Quentin , Laccourreye Ollivier , Bonfils Pierre 
Published: April 2017

Objectives:Sinonasal inverted papillomas (SIP) present a potential for recurrence years after the surgery, but most studies report short-term follow-up, and risk factors for recurrence are still debated. Furthermore, several classifications are described, and no consensus exists regarding which one should be used. The aims of this study were to report our long-term results, investigate for potential risk factors for recurrence, and compare the existing 8 staging systems.Methods:Over a 28-year period, 110 patients with a diagnosis of SIP were enrolled. The median follow-up time was 55.6 months.Results:In multivariate Cox regression modeling, history of previous surgery was the only variable associated with recurrence (hazard ratio = 4.91, 95% CI, 1.80-13.39). Recurrences occurred up to 60 months after the surgery. Among the 8 staging systems, none proved to be associated with recurrence.Conclusion:The only factor associated with recurrence of SIP was prior surgery, probably corresponding to an incomplete initial resection. Due to late recurrences, an extended follow-up of at least 5 years is mandatory. In the absence of a classification predicting prognosis, Krouse’s staging system should be used to homogenize studies’ report since it is the most widely used.
Hayek and the Use of Physics in Economics: Towards a Progressive Synthesis?
Authors: Schinckus Christophe 
Published: April 2017

F. Hayek is known as an economist and a political philosopher who provided a specific social theory based on the idea of spontaneous order. This order state comes from a process that Hayek called ‘catallaxy’ and that results from a particular phenomenon of emergence. In this context, social systems such as money, market or language are presented as spontaneous orders, resulting from a particular evolutionary process of society. Although Hayek is well known to be an opponent of importation of physical concepts into economics, this article proposes a parallel between the Hayekian theory and a new field called ‘econophysics’. More precisely, I will show how the way of characterizing the phenomenon of emergence by econophysicists might, to some extent, be an analytical characterization of the Hayekian emergence. This claim will be explained and illustrated with the presentation of econophysical works describing money and language as a spontaneous order taking the form of a power law. The last section will discuss the debates about the methodological relevance to associate Hayek’s theory with an area of knowledge coming from physics and the potential\economic implications of such a rapprochement. JEL: B25, B41, P11
Anosognosia and Its Relation to Psychiatric Symptoms in Early-Onset Alzheimer Disease
Authors: Yoon Bora , Shim Yong S. , Hong Yun Jeong , Choi Seong Hye , Park Hee Kyung , Park Sun Ah , Jeong Jee Hyang , Yoon Soo Jin , Yang Dong-Won 
Published: April 2017

Background: We investigated differences in the prevalence of anosognosia and neuropsychiatric symptoms (NPSs) characteristics according to disease severity in patients with early-onset Alzheimer disease (EOAD). Methods: We recruited 616 patients with EOAD. We subdivided participants into 2 groups based on the presence or absence of anosognosia and then again by Clinical Dementia Rating (CDR) scale. We compared the differences in the Neuropsychiatric Inventory (NPI) scores according to anosognosia and disease severity. Results: The percentage of patients with anosognosia in each CDR group steadily increased as the CDR rating increased (CDR 0.5 8.6% vs CDR 1 13.6% vs CDR 2 26.2%). The NPI total score was significantly higher in patients with anosognosia in the CDR 0.5 and 1 groups; by contrast, it had no association in the CDR 2 group. Frontal lobe functions were associated with anosognosia only in the CDR 0.5 and 1 groups. After stratification by CDR, in the CDR 0.5 group, the prevalence of agitation ( P = .040) and appetite ( P = .013) was significantly higher in patients with anosognosia. In the CDR 1 group, patients with anosognosia had a significantly higher prevalence of delusions ( P = .032), hallucinations ( P = .048), and sleep disturbances ( P = .047). In the CDR 2 group, we found no statistical difference in the frequency of symptoms between patients with and without anosognosia. Conclusion: These results confirm that the prevalence of anosognosia as well as the individual NPS and cognitive functions associated with it differ according to EOAD severity.
It’s not all about moral reasoning: Understanding the content of Moral Case Deliberation
Authors: Svantesson Mia , Silén Marit , James Inger 
Published: April 2017

Background: Moral Case Deliberation is one form of clinical ethics support described as a facilitator-led collective moral reasoning by healthcare professionals on a concrete moral question connected to their practice. Evaluation research is needed, but, as human interaction is difficult to standardise, there is a need to capture the content beyond moral reasoning. This allows for a better understanding of Moral Case Deliberation, which may contribute to further development of valid outcome criteria and stimulate the normative discussion of what Moral Case Deliberation should contain. Objective: To explore and compare the content beyond moral reasoning in the dialogue in Moral Case Deliberation at Swedish workplaces. Methods: A mixed-methods approach was applied for analysing audio-recordings of 70 periodic Moral Case Deliberation meetings at 10 Swedish workplaces. Moral Case Deliberation facilitators and various healthcare professions participated, with registered nurses comprising the majority. Ethical considerations: No objection to the study was made by an Ethical Review Board. After oral and written information was provided, consent to be recorded was assumed by virtue of participation. Findings: Other than ‘moral reasoning’ (median (md): 45% of the spoken time), the Moral Case Deliberations consisted of ‘reflections on the psychosocial work environment’ to a varying extent (md: 29%). Additional content comprised ‘assumptions about the patient’s psychosocial situation’ (md: 6%), ‘facts about the patient’s situation’ (md: 5%), ‘concrete problem-solving’ (md: 6%) and ‘process’ (md: 3%). Conclusion: The findings suggest that a restorative function of staff’s wellbeing in Moral Case Deliberation is needed, as this might contribute to good patient care. This supports outcome criteria of improved emotional support, which may include relief of moral distress. However, facilitators need a strategy for how to proceed from the participants’ own emotional needs and to develop the use of their emotional knowing to focus on the ethically difficult patient situation.
Patient satisfaction and its potential impact on refugee integration into the healthcare system
Authors: Mkanta William N , Ibekwe Opuruiche , Mejia de Grubb Maria C , Korupolu Chakravarthi 
Published: April 2017

Background: Health care constitutes an important aspect of services in the resettlement processes for newly arriving and resettling refugees. Objectives: We conducted a study to investigate levels of satisfaction related to health services delivered to refugee populations in a resettlement community and its surrounding areas. Methods: We used the experience of 92 adult refugee patients to examine social-cultural, clinical and economic characteristics affecting satisfaction with health care. A cross-sectional study using the Patient Satisfaction Questionnaire (PSQ) was conducted. Item analysis was conducted by considering each question on the PSQ as an item and by developing dimensions of satisfaction. Chi-square analyses were used to assess the relationships between satisfaction and patient factors. Results: Patients were satisfied with the initial health assessment (90%) and overall quality (86%). Only 59% of the patients were satisfied with phone interpreters. The general satisfaction dimension had a score of 4.05 on a scale of 5, while time spent with the doctor had the lowest score of 2.98. Having pre-arrival medical conditions was associated with poor satisfaction with both the initial health assessment (χ2=10.260; p=.036) and regular health services (χ2=4.550; p=.033). Conclusion: Although patients were generally satisfied with health services, improvements are recommended in different aspects of care to create a favorable environment of care and increase levels of satisfaction and trust with the healthcare system among refugee populations.
Incidence and Outcomes of Acute Implant Extrusion Following Anterior Cervical Spine Surgery
Authors: Smith Gabriel A. , Pace Jonathan , Corriveau Mark , Lee Sungho , Mroz Thomas E. , Nassr Ahmad , Fehlings Michael G. , Hart Robert A. , Hilibrand Alan S. , Arnold Paul M. , Bumpass David B. , Gokaslan Ziya , Bydon Mohamad , Fogelson Jeremy L. , Massicotte Eric M. , Riew K. Daniel , Steinmetz Michael P. 
Published: April 2017

Study Design: Multi-institutional retrospective case series of 8887 patients who underwent anterior cervical spine surgery. Objective: Anterior decompression from discectomy or corpectomy is not without risk. Surgical morbidity ranges from 9% to 20% and is likely underreported. Little is known of the incidence and effects of rare complications on functional outcomes following anterior spinal surgery. In this retrospective review, we examined implant extrusions (IEs) following anterior cervical fusion. Methods: A retrospective multicenter case series study involving 21 high-volume surgical centers from the AOSpine North America Clinical Research Network. Medical records for 17 625 patients who received cervical spine surgery (levels from C2 to C7) between January 1, 2005, and December 31, 2011, were reviewed to identify occurrence of 21 predefined treatment complications. Results: Following anterior cervical fusion, the incidence of IE ranged from 0.0% to 0.8% across 21 institutions with 11 cases reported. All surgeries involved multiple levels, and 7/11 (64%) involved either multilevel corpectomies or hybrid constructs with at least one adjacent discectomy to a corpectomy. In 7/11 (64%) patients, constructs ended with reconstruction or stabilization at C7. Nine patients required surgery for repair and stabilization following IE. Average length of hospital stay after IE was 5.2 days. Only 2 (18%) had residual deficits after reoperation. Conclusions: IE is a very rare complication after anterior cervical spine surgery often requiring revision. Constructs requiring multilevel reconstruction, especially at the cervicothoracic junction, have a higher risk for failure, and surgeons should proceed with caution in using an anterior-only approach in these demanding cases. Surgeons can expect most patients to regain function after reoperation.
A Multicenter Study of the Presentation, Treatment, and Outcomes of Cervical Dural Tears
Authors: O’Neill Kevin R. , Fehlings Michael G. , Mroz Thomas E. , Smith Zachary A. , Hsu Wellington K. , Kanter Adam S. , Steinmetz Michael P. , Arnold Paul M. , Mummaneni Praveen V. , Chou Dean , Nassr Ahmad , Qureshi Sheeraz A. , Cho Samuel K. , Baird Evan O. , Smith Justin S. , Shaffrey Christopher , Tannoury Chadi A. , Tannoury Tony , Gokaslan Ziya L. , Gum Jeffrey L. , Hart Robert A. , Isaacs Robert E. , Sasso Rick C. , Bumpass David B. , Bydon Mohamad , Corriveau Mark , De Giacomo Anthony F. , Derakhshan Adeeb , Jobse Bruce C. , Lubelski Daniel , Lee Sungho , Massicotte Eric M. , Pace Jonathan R. , Smith Gabriel A. , Than Khoi D. , Riew K. Daniel 
Published: April 2017

Study Design: Retrospective multicenter case series study. Objective: Because cervical dural tears are rare, most surgeons have limited experience with this complication. A multicenter study was performed to better understand the presentation, treatment, and outcomes following cervical dural tears. Methods: Multiple surgeons from 23 institutions retrospectively identified 21 rare complications that occurred between 2005 and 2011, including unintentional cervical dural tears. Demographic data and surgical history were obtained. Clinical outcomes following surgery were assessed, and any reoperations were recorded. Neck Disability Index (NDI), modified Japanese Orthopaedic Association (mJOA), Nurick classification (NuC), and Short-Form 36 (SF36) scores were recorded at baseline and final follow-up at certain centers. All data were collected, collated, and analyzed by a private research organization. Results: There were 109 cases of cervical dural tears among 18 463 surgeries performed. In 101 cases (93%) there was no clinical sequelae following successful dural tear repair. There were statistical improvements ( P < .05) in mJOA and NuC scores, but not NDI or SF36 scores. No specific baseline or operative factors were found to be associated with the occurrence of dural tears. In most cases, no further postoperative treatments of the dural tear were required, while there were 13 patients (12%) that required subsequent treatment of cerebrospinal fluid drainage. Analysis of those requiring further treatments did not identify an optimum treatment strategy for cervical dural tears. Conclusions: In this multicenter study, we report our findings on the largest reported series (n = 109) of cervical dural tears. In a vast majority of cases, no subsequent interventions were required and no clinical sequelae were observed.
A Matched Cohort Analysis Comparing Stand-Alone Cages and Anterior Cervical Plates Used for Anterior Cervical Discectomy and Fusion
Authors: Overley Samuel C. , Merrill Robert K. , Leven Dante M. , Meaike Joshua J. , Kumar Abhishek , Qureshi Sheeraz A. 
Published: April 2017

Study Design: Retrospective cohort study. Objective: To compare perioperative characteristics of stand-alone cages and anterior cervical plates used for anterior cervical discectomy and fusion (ACDF). Methods: We reviewed 40 adult patients who received a stand-alone cage for elective ACDF and matched them with 40 patients who received an anterior cervical plate. We statistically compared operative time, length of stay, proportion of ambulatory cases, overall complications necessitating a trip to the ED, readmission, or reoperation related to index procedure. Results: There were 21 women and 19 men in the plate cohort with average ages of 53 years ± 12 and 20 women and 20 men in the stand-alone group with an average age of 52 years ± 11. With no statistical difference in total number, the plate group experienced 4 short-term (within 90 days of discharge) complications, including 3 patients who visited the emergency department for dysphagia and 1 who visited the emergency department for severe back pain, while the stand-alone group experienced 0 complications. There was no significant difference in operative time between the stand-alone group (75.35 min) and the plate group (81.35 min; P = .37). There was a significant difference between the proportion of ambulatory cases in the stand-alone group (25) and the plate group (6; P < .0001). Conclusion: Our results demonstrate that stand-alone cages have fewer complications compared to anterior plating, with a lower trend of incidence of postoperative dysphagia. Stand-alone cages may offer the advantage of sending patients home ambulatory after ACDF surgery.
Medial Patellar Instability: Treatment and Outcomes
Authors: Moatshe Gilbert , Cram Tyler R. , Chahla Jorge , Cinque Mark E. , Godin Jonathan A. , LaPrade Robert F. 
Published: April 2017

Background: Historically, a lateral retinacular release was one of the primary surgical interventions used to treat lateral patellar instability. However, disruption of the lateral structures during this procedure has been associated with medial instability of the patella. Hypothesis: We hypothesize that good to excellent outcomes can be achieved at midterm follow-up after lateral patellotibial ligament reconstruction. Study Design: Case series; Level of evidence, 4. Methods: Thirteen patients were treated for medial patellar instability with a lateral patellotibial ligament reconstruction between May 2011 and December 2013 by a single surgeon. All patients had previously undergone a lateral release procedure and had symptomatic medial patellar instability. Patients were evaluated using patient-reported outcome scores at a minimum of 2 years postsurgery. Results: The mean Lysholm score improved from 45.6 (range, 11-76) to 71.9 (range, 30-91). The median preoperative Tegner activity scale score was 3 (range, 1-7), while the median postoperative score was 4 (range, 1-9). The median Western Ontario and McMaster Universities Arthritis Index (WOMAC) total score improved from 38 (range, 1-57) preoperatively to 6 postoperatively (range, 0-52). The mean patient satisfaction postoperatively was 8.2 (range, 5-10). Conclusion: Significantly improved outcomes can be achieved at midterm follow-up with a low rate of complications when reconstructing the lateral patellotibial ligament in the setting of iatrogenic medial patellar instability.
European Stroke Organisation guidelines for the management of post-stroke seizures and epilepsy
Authors: Holtkamp Martin , Beghi Ettore , Benninger Felix , Kälviäinen Reetta , Rocamora Rodrigo , Christensen Hanne ,   For the European Stroke Organisation
Published: April 2017

Background Following stroke, acute symptomatic seizures (manifestation within seven days) and epilepsy, i.e. occurrence of at least one unprovoked seizure (manifestation after more than seven days), are reported in 3–6% and up to 12% of patients, respectively. Incidence of acute symptomatic seizures is higher in intracranial haemorrhage (10–16%) than in ischaemic stroke (2–4%). Acute symptomatic seizures and unprovoked seizure may be associated with unfavourable functional outcome and increased mortality. In view of the clinical relevance, the European Stroke Organisation has issued evidence-based guidelines on the management of post-stroke seizures and epilepsy. Method A writing committee of six clinicians and researchers from five European countries and Israel identified seven questions relating to prevention of (further) post-stroke seizures and epilepsy and to amelioration of functional outcome and prevention of mortality. Recommendations are based on findings in randomised controlled trials and observational studies using the grading of recommendations assessment, development and evaluation approach. Results In the absence of adequately powered randomised controlled trials, evidence for all recommendations is very low. Based on findings in observational studies, some weak recommendations have been made. In most instances, we suggest not to administer antiepileptic drugs. Due to high incidence of seizure recurrence after one post-stroke unprovoked seizure, secondary antiepileptic drugs prophylaxis needs to be considered. Conclusion Due to very low evidence, these guidelines only give some weak recommendations on prevention of occurrence and recurrence of post-stroke acute symptomatic seizures and unprovoked seizure. Adequately powered randomised controlled trials are required to assess interventions for post-stroke seizure management.