bluuebunny/crossref_metadata_2025_split huggingface dataset:
Early Functional, Radiological Outcomes and Satisfaction Rates of Total Ankle Arthroplasty in an Asian Population
Authors: Tan Shi Ming , Bin Abd Razak Hamid Rahmatullah , Singh Rikhraj Inderjeet 
Published: January 2018

Background. Few studies have outlined the outcomes and complications in Asians undergoing total ankle arthroplasty. This study reports the functional, radiological outcomes and satisfaction rates in our Asian population. Methods. Patients who underwent primary total ankle arthroplasty from 2007 to 2013 were recruited. Outcomes evaluated were the AOFAS Ankle-Hindfoot Score (AHS), Visual Analogue Scale (VAS), and the Short Form 36 (SF-36)questionnaire. Outcome scores were collected prospectively up to 2 years. Patient satisfaction was evaluated on a 6-point scale based on North American Spine Society Low Back Pain Instrument and classified as satisfied or unsatisfied. Results. Forty-one patients underwent primary total ankle arthroplasty. All patients experienced improvements in AHS, VAS, and Mental Component Summary score of the SF-36 at both 6-month and 2-year postoperative interval. The mean AHS score improved from 35 ± 19 points preoperatively to 64 ± 24 at 6 months (P<.001) and 72 ± 26 at 24 months (P <.001). VAS scores improved from 7 ± 2 preoperatively to 3 ± 3 (P < .001) at 6 and 24 months. The Physical Component Summary (PCS) of the SF-36 has an established minimum clinically important difference (MCID) of 5. The mean improvement in PCS in our cohort met this MCID for the PCS; 63% and 71% of patients were satisfied with the procedure at 6 months and 2 years postoperatively, respectively. Revision rate in this series was 9.7%. Conclusion. Total ankle arthroplasty has good patient satisfaction rates, with favorable early clinical outcome in Asian patients. Levels of Evidence: Therapeutic, Level II
Study of Telomere Length in Preimplanted Cultured Chondrocytes
Authors: López-Alcorocho Juan Manuel , Guillén-Vicente Isabel , Rodríguez-Iñigo Elena , Guillén-Vicente Marta , Fernández-Jaén Tomás Fernando , Caballero Rosa , Casqueiro Mercedes , Najarro Pilar , Abelow Steve , Guillén-García Pedro 
Published: January 2018

Design In the process of cell division, the extremes of the eukaryotic chromosomes are progressively shortening, and this phenomenon is related to cell degeneration and senescence. The treatment of cartilage lesions with autologous chondrocytes implies that cells proliferate in an artificial environment. We have studied the viability of cultured chondrocytes after measurement of their telomere length before implantation. Methods Articular cartilage biopsies (B1, B2, and B3) were obtained from 3 patients (2 males and 1 female) with knee cartilage defects, who were going to be treated with chondrocyte implantation. Chondrocytes were cultured in DMEM with autologous serum. After the third passage, an aliquot of 1 million cells was removed to estimate the telomere length and the remaining cells were implanted. Telomere length was measured by quantitative fluorescent in situ hybridization (Q-FISH). Patients’ clinical outcome was determined preoperatively, and 12 and 24 months postimplantation with the International Knee Documentation Committee (IKDC) questionnaire. Results After chondrocyte implantation, IKDC score doubled at 12 and 24 months with regard to the basal value. After 3 passages, chondrocytes were cultured for a mean of 45.67 days, the mean duplication time being 4.53 days and the mean number of cell divisions being 10.04 during the culture period. The 20th percentile of telomere lengths were 6.84, 6.96, and 7.06 kbp and the median telomere lengths 10.30, 10.47, and 10.73 kbp, respectively. No significant correlation was found between IKDC score and telomere length. Conclusion Culturing autologous chondrocytes for implantation is not related to cell senescence in terms of telomere length.
Obesity and sudden cardiac death in the young: Clinical and pathological insights from a large national registry
Authors: Finocchiaro Gherardo , Papadakis Michael , Dhutia Harshil , Cole Della , Behr Elijah R , Tome Maite , Sharma Sanjay , Sheppard Mary N 
Published: January 2018

Aims Obesity is an increasing public health problem and a risk factor for cardiovascular diseases. The aim of the study was to determine the main features and aetiologies in a large cohort of sudden cardiac deaths that occurred in obese subjects. Methods Between 1994 and 2014, 3684 consecutive cases of unexpected sudden cardiac death were referred to our cardiac pathology centre. This study was confined to young individuals (age ≤ 35 years) for whom information about body mass index was available and consisted of 1033 cases. Results Two-hundred and twelve individuals (20%) were obese. In obese sudden cardiac death victims the main post-mortem findings were: normal heart (sudden arrhythmic death syndrome) ( n = 108; 50%), unexplained left ventricular hypertrophy ( n = 25; 12%) and critical coronary artery disease ( n = 25; 12%). Less common were hypertrophic cardiomyopathy ( n = 4; 2%) and arrhythmogenic right ventricular cardiomyopathy ( n = 4;2%). When compared with non-obese sudden cardiac death victims, sudden arrhythmic death syndrome was less common (50% vs. 60%, P < 0.01), whereas left ventricular hypertrophy and critical coronary artery disease were more frequent (12% vs. 2%, P < 0.001 and 12% vs. 3%, P < 0.001, respectively). The prevalence of critical and non-critical coronary artery disease was significantly higher in obese individuals (23% vs. 10% in non-obese individuals, P < 0.001). Conclusions Various conditions underlie sudden cardiac death in obesity, with a prevalence of sudden arrhythmic death syndrome, left ventricular hypertrophy and coronary artery disease. The degree of left ventricular hypertrophy measured by heart weight is excessive even after correction for body size. Almost one in four young obese sudden death patients show some degree of coronary artery disease, underscoring the need for primary prevention in this particular subgroup.
Right orbital edema masquerading a hematologic malignancy
Authors: Tiu Andrew C , Arguello-Guerra Vivian , Varadi Gabor 
Published: January 2018

Introduction: Multiple myeloma is caused by abnormal proliferation of plasma cells that affects more commonly African Americans. It classically presents with hypercalcemia, renal failure, anemia, and lytic bone lesions. The aim of this article is to present an unusual case of a 63-year-old African-American female with multiple myeloma who presented with worsening right-sided eye swelling for the past 3 weeks and to briefly review ophthalmologic manifestations of multiple myeloma. Case description: Our patient’s presentation was associated with a throbbing frontal headache, nasal congestion, malaise, and weight loss. Differential diagnosis on admission included giant cell arteritis, conjunctivitis, preseptal cellulitis, glaucoma, acute sinusitis, or cavernous sinus thrombosis. Extensive ophthalmologic evaluation did not show any intraocular abnormality. However, a magnetic resonance imaging of the brain showed hyperintense foci in the right frontal calvarium leading to the eye swelling. Further evaluation revealed pancytopenia, elevated protein levels, and inverse albumin–globulin ratio suggestive of a plasma cell dyscrasia. A skeletal survey revealed multiple osteolytic lesions. Serum and urine protein electrophoresis revealed elevated immunoglobulin G Kappa monoclonal gammopathy. Bone marrow biopsy demonstrated a hypercellular marrow comprised at least 70% mature appearing plasma cells staining positive for CD138. Chemotherapy with cyclophosphamide, bortezomib, and dexamethasone was initiated. After 2 months of chemotherapy, orbital swelling has resolved with decrease in M-spike, immunoglobulin G, and serum kappa light chains. Conclusion: This case illustrates an unusual presentation of multiple myeloma which was eye swelling caused by bony infiltration in the calvarium. Although hematologic malignancies tend to have more specific signs and symptoms, they should be included in the differentials of unilateral orbital edema.
Improved cognitive performance and event-related potential changes following working memory training in patients with multiple sclerosis
Authors: Covey Thomas J , Shucard Janet L , Benedict Ralph HB , Weinstock-Guttman Bianca , Shucard David W 
Published: January 2018

Background Few studies of cognitive rehabilitation in multiple sclerosis (MS) have targeted working memory specifically. Objective We examined the effects of n-back working memory training on cognitive performance and brain function in patients with MS. Methods Patients with MS ( n = 12) and healthy controls (HC; n = 12) underwent 20 sessions of n-back working memory training. Before and after training (pre- and posttest) cognitive event-related potential (ERP) measures were obtained during a 3-back task. In addition, a battery of cognitive tests was administered. Results Following n-back training, both MS patients and HCs showed significant improvement on tests of working memory, processing speed, complex attention, and reasoning ability. MS and HCs also exhibited an enhancement of N2 ERP component amplitude, and earlier N2 and P3 latencies, following n-back training. Conclusions Targeted training of working memory with the n-back task may improve cognitive function in MS. Enhancement of N2 ERP component amplitude and shorter N2 and P3 latency following training in patients with MS is consistent with plasticity of neural processes that are involved in working memory.
Replantation and revascularization of amputated upper limb appendages outcome and predicting the factors influencing the success rates of these procedures in a tertiary hospital: An 8-year retrospective, cross-sectional study
Authors: Kamarul Tunku , Mansor Azura , Robson Noorzurani , Albusaidi Salim HH , Suhaeb Abdulrazzaq M , Samsudin Ely Z 
Published: January 2018

Purpose: Worldwide advances in microsurgery have made salvaging of amputated hand via replantation and revascularization common procedures. The present study examines the outcome of these procedures in a tertiary hospital in Malaysia. Methods: Patients with hand amputation who underwent replantation or revascularization from 2005 to 2012 were identified and reviewed for patient characteristics, amputation characteristics and survival rates. Successfully treated patients were interviewed to assess the functional outcome using Quick Disability of the Arm, Shoulder and Hand (Quick-DASH) questionnaire and Michigan Hand Outcome Questionnaire (MHQ). Statistical analysis was performed to evaluate outcome and elicit predictive factors. Results: Fifty-five patients were enrolled: 37 (67.3%) underwent replantation and 18 (32.7%) underwent revascularization. The overall success rate of 78% ( n = 43) was within the range of previously reported data (61.6% to 96.0%). Ischaemic time <6 h provided significantly better survival rates ( p < 0.05). Functional outcomes were successfully assessed in 34 patients (79%), at a mean follow-up of 40 months (range 11–93 months). The overall Quick-DASH and MHQ scores were 42.82 ± 23.69 and 60.94 ± 12.82, respectively. No previous reports of functional outcome were available for comparison. Both Quick-DASH ( p = 0.001) and MHQ scores ( p < 0.001) were significantly higher for finger injuries, followed by thumb, wrist and palm injuries. Conclusion: Ischaemic time and level of injury are important predictors of success rate of replantation and revascularization of amputated upper limb appendages.
Spinal Motocross Injuries in the United Kingdom
Authors: Singh Rohit , Bhalla Amit , Ockendon Matthew , Hay Stuart 
Published: January 2018

Background: Motocross is a form of motorcycle racing held on established off-road circuits and has been a recreational and competitive sport across the world for >100 years. In the United Kingdom alone, motocross has grown into a phenomenally ambitious and popular franchise. There are >200 motocross clubs across the country, permitting >900 events annually. Purpose: To assess the current trend of spine-related motocross injuries over the past 5 years. Study Design: Descriptive epidemiology study. Methods: Data were prospectively collected over 5 years (August 2010–August 2015) at our regional trauma and spine unit, regardless of whether the rider was performing the sport competitively or recreationally. Results: During the study period, spine-related injuries were identified for 174 patients (age range, 6-75 years) who were directly referred to our department following recreational or competitive motocross, with most injuries being sustained within the early spring and summer months, representing the start of the motocross season. A significant number of injuries were in males (n = 203, 94%), with the majority of injuries occurring within the 21- to 30-year-old age group. A total of 116 (54%) injuries required operative treatment. The most common spinal injury was thoracolumbar burst fracture (n = 95), followed by chance fractures (n = 26). Conclusion: This data series emphasizes the prevalence and devastation of motocross-related spinal injuries in the United Kingdom and may serve in administering sanctions and guidelines to governing bodies of motocross. The spinal injuries that occur during motocross have significant capital connotations for regional spinal centers. The recent surge in motocross popularity is correlated with the number of injuries, which have increased over the past 5 years by almost 500%.
Anatomic Total Shoulder Arthroplasty Using a Self-Pressurizing Pegged Bone-Preserving Cemented Glenoid Component: A 2- to 5-Year Follow-up Study
Authors: Sanchez-Sotelo Joaquin , Nguyen Ngoc Tram V , Morrey Mark 
Published: January 2018

Background: High rates of radiographic loosening have been reported with various glenoid designs. Many available designs sacrifice most of the bone at the central portion of the glenoid vault, creating large areas of deficiency when revision becomes necessary. The purpose of this study was to report the 2- to 5-year outcome of shoulder arthroplasty using a bone-preserving all-polyethylene glenoid components with self-pressurizing pegs. Methods: Between August 2011 and December 2014, 202 consecutive anatomic total shoulder arthroplasties (TSAs) were performed by a single surgeon with implantation of a self-pressurizing cemented pegged glenoid component in 190 patients (12 patients had both shoulders replaced). Patients were followed up prospectively and evaluated for pain, motion, strength, American Shoulder and Elbow Surgeons (ASES) scores, and radiographic changes. The mean follow-up time was 2.7 (2–5) years. Results: TSA improved pain and function reliably. At the most recent follow-up, 94% of the shoulders had no or mild pain. Motion included 154 ± 25° of elevation, 68 ± 18° of external rotation, and median internal rotation to T10 (range, iliac crest to T4). The most recent average ASES score was 82 ± 15 points. Early postoperative radiographs showed no radiolucent lines. No humeral or glenoid component was considered radiographically loose at the most recent follow-up. Complications requiring reoperation included subscapularis insufficiency (4), posterior instability (2), deep infection (1), stiffness (1), and a painful loose body (1). No components were revised for loosening. Conclusions: Anatomic TSA using a cemented bone-preserving all-polyethylene pegged self-pressurizing glenoid component provided satisfactory clinical outcomes and survival at 2 to 5 years.
Minimal/measurable residual disease in AML: a consensus document from the European LeukemiaNet MRD Working Party
Authors: Schuurhuis Gerrit J. , Heuser Michael , Freeman Sylvie , Béné Marie-Christine , Buccisano Francesco , Cloos Jacqueline , Grimwade David , Haferlach Torsten , Hills Robert K. , Hourigan Christopher S. , Jorgensen Jeffrey L. , Kern Wolfgang , Lacombe Francis , Maurillo Luca , Preudhomme Claude , van der Reijden Bert A. , Thiede Christian , Venditti Adriano , Vyas Paresh , Wood Brent L. , Walter Roland B. , Döhner Konstanze , Roboz Gail J. , Ossenkoppele Gert J. 
Published: January 2018

Abstract
Measurable residual disease (MRD; previously termed minimal residual disease) is an independent, postdiagnosis, prognostic indicator in acute myeloid leukemia (AML) that is important for risk stratification and treatment planning, in conjunction with other well-established clinical, cytogenetic, and molecular data assessed at diagnosis. MRD can be evaluated using a variety of multiparameter flow cytometry and molecular protocols, but, to date, these approaches have not been qualitatively or quantitatively standardized, making their use in clinical practice challenging. The objective of this work was to identify key clinical and scientific issues in the measurement and application of MRD in AML, to achieve consensus on these issues, and to provide guidelines for the current and future use of MRD in clinical practice. The work was accomplished over 2 years, during 4 meetings by a specially designated MRD Working Party of the European LeukemiaNet. The group included 24 faculty with expertise in AML hematopathology, molecular diagnostics, clinical trials, and clinical medicine, from 19 institutions in Europe and the United States.
Compassion-focused therapy with children and adolescents
Authors: Carona Carlos , Rijo Daniel , Salvador Céu , Castilho Paula , Gilbert Paul 
Published: January 2018

SummaryCompassion-focused therapy (CFT) is embedded in an evolutionary, functional analysis of psychopathology, with a focus on affiliative, caring and compassion processes. CFT has been applied in a number of adult settings, but its clinical applications in child and adolescent psychopathology and psychotherapy have not been systematically explored. This article describes the applications of CFT in paediatric populations. Specifically, the following developmental considerations are discussed: the unique importance of parent-child and attachment relationships for the development of self-compassion, being open to compassion from others and being compassionate to others; the potential effect of com passion training on the maturing brain (affective regulation systems); and the therapeutic targeting of shame and self-criticism to alleviate psychological distress and enhance the effectiveness of cognitive-behavioural interventions.Learning Objectives• Understand and differentiate the three affect regulation systems and their links to different forms of child and adolescent psychopathology• Recognise the main components of compassionate mind training with children and adolescents, and related specific therapeutic strategies and exercises• Acknowledge the importance of adopting a parent-child approach in CFT
The midwife's role in suicide prevention
Authors: Holland Cindi 
Published: January 2018

Background Suicide has been found to be the leading cause of maternal death in the UK and has since been reclassified as a ‘direct’ cause of maternal death, with rates remaining unchanged since 2003. Aim To examine the literature and consider what midwives can do to reduce the rates of maternal suicide. Methods Qualitative and quantitative research were included into this literature review. Research from 2003-2017 was accessed via a university database. Findings Three key themes became apparent: the characteristics associated with women dying from suicide, risk factors, and the attitudes and perceptions of midwives and effective screening. Conclusion Suicide has devastating consequences for the woman, her family and her community. Every step must be taken to reflect on and improve midwifery practice, to finally begin reducing rates.
Overexpression of mTOR and p(240–244)S6 in IDH1 Wild-Type Human Glioblastomas Is Predictive of Low Survival
Authors: Machado Luis Eduardo , Alvarenga Arthur William , da Silva Fernanda Ferreira , Roffé Martín , Begnami Maria Dirlei , Torres Luís Fernando Bleggi , da Cunha Isabela Werneck , Martins Vilma Regina , Hajj Glaucia Noeli Maroso 
Published: January 2018

Summary PI3K/Akt/mTOR pathway activation is a hallmark of high-grade gliomas, which prompted clinical trials for the use of PI3K and mTOR inhibitors. However, the poor results in the original trials suggested that better patient profiling was needed for such drugs. Thus, accurate and reproducible monitoring of mTOR complexes can lead to improved therapeutic strategies. In this work, we evaluated the expression and phosphorylation of mTOR, RAPTOR, and rpS6 in 195 human astrocytomas and 30 normal brain tissue samples. The expression of mTOR increased in glioblastomas, whereas mTOR phosphorylation, expression of RAPTOR, and expression and phosphorylation of rpS6 were similar between grades. Interestingly, the overexpression of total and phosphorylated mTOR as well as phosphorylated rpS6 (residues 240–244) were associated with wild-type IDH1 only glioblastomas. The expression and phosphorylation of mTOR and phosphorylation of rpS6 at residues 240–244 were associated with a worse prognosis in glioblastomas. Our results suggest that mTOR and rpS6 could be used as markers of overactivation of the PI3K-mTOR pathway and are predictive factors for overall survival in glioblastomas. Our study thus suggests that patients who harbor IDH1 wild-type glioblastomas might have increased benefit from targeted therapy against mTOR.
Novel Phenolic 1-aryl-3-arylamino-1-propanones: Synthesis and Characterization
Authors: Roman Gheorghe 
Published: January 2018

Abstract
A small collection of 1-aryl-3-arylamino-1-propanones having a phenolic moiety in their structure has been obtained by the replacement of the tertiary amino group in ketonic Mannich bases with (hetero)aromatic amines. The installment of the phenolic moiety took place either through the N-alkylation of 4-aminophenol with ketonic Mannich base hydrochlorides, or via amine exchange in ketonic Mannich bases derived from either 2′-hydroxyacetophenone or 4′-hydroxyacetophenone.
Fabrication and characterisation of porous, calcium enriched coatings on titanium after plasma electrolytic oxidation under DC regime
Authors: Rokosz K. , Hryniewicz T. , Pietrzak K. , Sadlak P. , Valíček J. 
Published: January 2018

Abstract
The purpose of this work is to produce and characterize (chemical composition and roughness parameters) porous coatings enriched in calcium and phosphorus on the titanium (CP Titanium Grade 2) by plasma electrolytic oxidation. As an electrolyte, a mixture of phosphoric acid H3PO4 and calcium nitrate Ca(NO3)2·4H2O was used. Based on obtained EDS and roughness results of PEO coatings, the effect of PEO voltages on the chemical composition and surface roughness of porous coatings was determined. With voltage increasing from 450 V to 650 V, the calcium in PEO coatings obtained in freshly prepared electrolyte was also found to increase. In addition, the Ca/P ratio increased linearly with voltage increasing according to the formula Ca/P = 0.035·U+0.176 (by wt%) and Ca/P = 0.03·U+0.13 (by at%). It was also noticed that the surface roughness increases with the voltage increasing, what is related to the change in coating porosity, i.e. the higher is the surface roughness, the bigger are pores sizes obtained.
Rare earth elements and their importance for economy and safety
Authors: Gronek Sebastian , Łęczycki Krzysztof 
Published: January 2018

AbstractRare earth elements (REEs) are a group of elements of fundamental importance for the industry, including especially high-tech solutions. Lack of alternatives for this group of materials in some applications used in the armaments industry results in rare earth elements having a substantial impact on safety of highly developed countries. A complicated situation on the market of rare earth elements, arising out of the Chinese monopoly on the extraction and sale of REE-bearing minerals as well as huge price fluctuations caused by political turmoils contribute to the fact that the technology of extraction, processing and usage of rare earth elements is addressed in many scientific works. The article describes basic information regarding the rare earth elements, including technological, industrial and political conditions.