bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparison of a Simple Angiographic Approach With a Synergy Between Percutaneous Coronary Intervention With Taxus and Cardiac Surgery Score–Based Approach for Left Main Coronary Artery Stenting
Authors: Lee Pil Hyung , Lee Jong-Young , Lee Cheol Whan , Kim Seon-Ok , Ahn Jung-Min , Park Duk-Woo , Kang Soo-Jin , Lee Seung-Whan , Kim Young-Hak , Park Seong-Wook , Park Seung-Jung 
Published: January 2018

Background—
The applicability of Synergy Between Percutaneous Coronary Intervention With Taxus and Cardiac Surgery scores to left main coronary artery disease (CAD) has been questioned. A simplified alternative is needed for guiding decision making.

Methods and Results—

We evaluated the prognostic value of a simplified angiographic classification in comparison with a Synergy Between Percutaneous Coronary Intervention With Taxus and Cardiac Surgery score–based approach for patients with left main CAD undergoing drug-eluting stent implantation. The proposed approach classified left main CAD as either extensive (n=819), defined as left main bifurcation lesions with an involvement of ostial left circumflex artery or as any left main lesion plus multivessel CAD, or limited (n=453), defined as ostial/midshaft lesions or left main bifurcation lesions without an involvement of ostium of left circumflex artery, alone or plus 1-vessel disease. The databases from 4 prospective Premier of Randomized Comparison of Bypass Surgery versus Angioplasty Using Sirolimus-Eluting Stent in Patients with Left Main Coronary Artery Disease studies were pooled, and the primary outcome was a major adverse cardiac event, defined as death, myocardial infarction, or repeat revascularization. During follow-up (median 38 months; interquartile range, 36–61 months), the risk for major adverse cardiac event was significantly higher with extensive than with limited left main CAD (adjusted hazard ratio, 2.13; 95% confidence interval, 1.54−2.94;
P
<0.001). The risk for a composite outcome of death or myocardial infarction was also higher with extensive left main CAD (adjusted hazard ratio, 1.75; 95% confidence interval, 1.08−2.85;
P
=0.02). However, Synergy Between Percutaneous Coronary Intervention With Taxus and Cardiac Surgery score tertiles did not effectively stratify these 2 outcome measures.

Conclusions—
Compared with Synergy Between Percutaneous Coronary Intervention With Taxus and Cardiac Surgery scores, the simpler angiographic approach provided better discrimination for future cardiovascular events in patients with left main CAD undergoing drug-eluting stent implantation.
Contemporary Sex-Based Differences by Age in Presenting Characteristics, Use of an Early Invasive Strategy, and Inhospital Mortality in Patients With Non–ST-Segment–Elevation Myocardial Infarction in the United States
Authors: Gupta Tanush , Kolte Dhaval , Khera Sahil , Agarwal Nayan , Villablanca Pedro A. , Goel Kashish , Patel Kavisha , Aronow Wilbert S. , Wiley Jose , Bortnick Anna E. , Aronow Herbert D. , Abbott J. Dawn , Pyo Robert T. , Panza Julio A. , Menegus Mark A. , Rihal Charanjit S. , Fonarow Gregg C. , Garcia Mario J. , Bhatt Deepak L. 
Published: January 2018

Background—
Prior studies have reported higher inhospital mortality in women versus men with non–ST-segment–elevation myocardial infarction. Whether this is because of worse baseline risk profile compared with men or sex-based disparities in treatment is not completely understood.

Methods and Results—
We queried the 2003 to 2014 National Inpatient Sample databases to identify all hospitalizations in patients aged ≥18 years with the principal diagnosis of non–ST-segment–elevation myocardial infarction. Complex samples multivariable logistic regression models were used to examine sex differences in use of an early invasive strategy and inhospital mortality. Of 4 765 739 patients with non–ST-segment–elevation myocardial infarction, 2 026 285 (42.5%) were women. Women were on average 6 years older than men and had a higher comorbidity burden. Women were less likely to be treated with an early invasive strategy (29.4% versus 39.2%; adjusted odds ratio, 0.92; 95% confidence interval, 0.91–0.94). Women had higher crude inhospital mortality than men (4.7% versus 3.9%; unadjusted odds ratio, 1.22; 95% confidence interval, 1.20–1.25). After adjustment for age (adjusted odds ratio, 0.96; 95% confidence interval, 0.94–0.98) and additionally for comorbidities, other demographics, and hospital characteristics, women had 10% lower odds of inhospital mortality (adjusted odds ratio, 0.90; 95% confidence interval, 0.89–0.92). Further adjustment for differences in the use of an early invasive strategy did not change the association between female sex and lower risk-adjusted inhospital mortality.

Conclusions—
Although women were less likely to be treated with an early invasive strategy compared with men, the lower use of an early invasive strategy was not responsible for the higher crude inhospital mortality in women, which could be entirely explained by older age and higher comorbidity burden.
Isolation of nematode DNA from 100 g of soil using Fe3O4 super paramagnetic nanoparticles
Authors: Gorny Adrienne M. , Hay Frank S. , Wang Xiaohong , Pethybridge Sarah J. 
Published: January 2018

An economical method for extracting nematode DNA from 100 g of soil was developed to facilitate nematode detection and quantification, and tested using the Northern root-knot nematode,Meloidogyne hapla. The method utilised enzymatic laundry detergent lysis, Fe3O4super paramagnetic iron oxide nanoparticle (SPION) capture, and polyvinylpolypyrrolidone (PVPP) purification. Resultant DNA from this SPION capture method was approximately 100-fold less but of similar quality to DNA obtained from a standard phenol procedure and a commercial DNA extraction kit. An addition of 10 mg of nanoparticles to the extraction lysate was identified to maximise DNA yield while minimising co-capture of contaminants. The detection limit of the SPION capture method was approximately 100 nematodes (100 g soil)−1. The SPION capture method extracted nematode DNA from mineral soils but requires further optimisation for extraction from high organic matter (i.e., ‘muck’) soils. The benefits of this method compared to alternative techniques are discussed.
New distribution data for some charismatic tramp species of Platygastroidea (Hymenoptera)
Authors: POPOVICI OVIDIU ALIN , MASNER LUBOMÍR , VICIRIUC MĂDĂLINA , PINTILIOAIE ALEXANDRU , NOTTON DAVID G. , TALAMAS ELIJAH 
Published: January 2018

This paper documents what we consider to be expanding distributions in three genera of Platygastroidea: Platyscelio Kieffer (Scelionidae), Aphanomerus Perkins (Platygastridae) and Tetrabaeus Kieffer (Platygastridae). Platyscelio africanus Risbec is the first record of Platyscelio in the Western Hemisphere (French Guiana). Aphanomerus is a new record for the continental Nearctic region (USA, Los Angeles) and Tetrabaeus is a new record for the Palaearctic (Ukraine, Georgia, and South Korea) and Sino-Japanese (Japan) regions. Tetrabaeus also expands its known distribution in the Nearctic (Canada and Mexico). Scanning electron micrographs and brightfield images are provided to enhance knowledge of the morphology of these genera, and to make them more easily recognized in the future. Tetrabaeus americanus (Brues, 1909) and Aphanomerus rufescens Perkins, 1905 are redescribed.
The North Pacific Gyre Oscillation and Mechanisms of Its Decadal Variability in CMIP5 Models
Authors: Yi Daling Li , Gan Bolan , Wu Lixin , Miller Arthur J. 
Published: January 2018

AbstractBased on the Simple Ocean Data Assimilation (SODA) product and 37 models from phase 5 of the Coupled Model Intercomparison Project (CMIP5) database, the North Pacific Gyre Oscillation (NPGO) and its decadal generation mechanisms are evaluated by studying the second leading modes of North Pacific sea surface height (SSH) and sea level pressure (SLP) as well as their dynamical connections. It is found that 17 out of 37 models can well simulate the spatial pattern and decadal time scales (10–30 yr) of the NPGO mode, which resembles the observation-based SODA results. Dynamical connections between the oceanic mode (NPGO) and the atmospheric mode [North Pacific Oscillation (NPO)] are strongly evident in both SODA and the 17 models. In particular, about 30%–40% of the variance of the NPGO variability, which generally exhibits a preferred time scale, can be explained by the NPO variability, which has no preferred time scale in most models.Two mechanisms of the decadal NPGO variability that had been proposed by previous studies are evaluated in SODA and the 17 models: 1) stochastic atmospheric forcing and oceanic spatial resonance and 2) low-frequency atmospheric teleconnections excited by the equatorial Pacific. Evaluation reveals that these two mechanisms are valid in SODA and two models (CNRM-CM5 and CNRM-CM5.2), whereas two models (CMCC-CM and CMCC-CMS) prefer the first mechanism and another two models (CMCC-CESM and IPSL-CM5B-LR) prefer the second mechanism. The other 11 models have no evident relations with the proposed two mechanisms, suggesting the need for a fundamental understanding of the decadal NPGO variability in the future.
Buoyant Gravity Currents Released from Tropical Instability Waves
Authors: Warner Sally J. , Holmes Ryan M. , M. Hawkins Elizabeth H. , S. Hoecker-Martínez Martín , Savage Anna C. , Moum James N. 
Published: January 2018

AbstractTwo extremely sharp fronts with changes in sea surface temperature >0.4°C over lateral distances of ~1 m were observed in the equatorial Pacific at 0°, 140°W and at 0.75°N, 110°W. In both cases, layers of relatively warm and fresh water extending to ~30-m depth propagated to the southwest as gravity currents. Turbulent kinetic energy dissipation rates averaging 4.5 × 10−6 W kg−1 were measured with a microstructure profiler within the warm layer behind the leading edge of the fronts—1000 times greater than dissipation in the ambient water ahead of the fronts. From satellite images, these fronts were observed to propagate ahead of the trailing edge of a tropical instability wave (TIW) cold cusp. Results from an ocean model with 6-km grid resolution suggest that TIW fronts may release gravity currents through frontogenesis and loss of balance as the fronts approach the equator and the Coriolis parameter weakens. Sharp frontal features appear to be ubiquitous in the eastern tropical Pacific, have an influence on the distribution of biogeochemical tracers and organisms, and play a role in transferring energy out of the TIW field toward smaller scales and dissipation.
Are technology-informed methods better than traditional approaches in educating patients? A meta-analysis
Authors: Veneri Diana Aziz , Zdanis Kayla 
Published: January 2018

Objective: Healthcare educators are usually well-intended in their educational efforts for and with patients. The purpose of this study was to conduct a meta-analysis comparing traditional versus technology-delivered healthcare education. Design: Systematic review with meta-analysis. Methods: Educational technology was operationally defined to include videos, DVDs, websites and other computer-based education programmes. Proquest Health Management, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Proquest Nursing & Allied Health, PubMed, Medline and Academic Search Premier databases were searched. Search limits included articles published between January 2006 and September 2016, authored in English and peer reviewed. There were four search terms: patient education, videos, DVDs and computer-assisted technology (CAT). A total of 5,003 articles were identified. Articles were screened for inclusion by study title, reducing the list to 407. Abstracts were read, reducing the list to 201. The remaining articles were read. Inclusion and exclusion criteria were established, and 24 studies were included in the final analysis. Effect sizes were calculated, and a meta-analysis was performed. Results: Of the 24 studies included, 12 measured improvements in knowledge, with 10 asserting statistically significant improvements with the use of technology compared to traditional delivery. According to the results of the meta-analysis, however, evidence from pooling the data more strongly favours traditional education compared to technology driven interventions. Conclusion: This meta-analysis compared traditional versus technology-delivered healthcare education; the results suggest preference for traditional.
In honor of Jurgen Ruesch: Remembering his work in psychiatry
Authors: Balbuena Rivera Francisco 
Published: January 2018

Background: In a highly technical civilization like ours, in which the interest in human communication transcends academic barriers and clinical practice, it seems necessary to look back to Ruesch’s work in psychiatry. The main reason of it rests upon the idea that he was one of the few truly outstanding clinicians, researchers, and theoretical in the field of normal and abnormal communication. In fact, he did not only present a wealth of observational and clinical data; more importantly, he used these data to formulate creative hypotheses about the conflict between man and other human beings. Aim/Objective: The main purpose of this article is to pay tribute to Dr. Jurgen Ruesch (1909-1995), distinguished psychiatrist, communications experts and psychotherapist. For that reason, here we want to pay tribute to the enormous value of his work for the promotion of mental health and the clinical assessment of normal and pathological communication behavior. Methods: In working out his theoretical stance toward communication, all Ruesch’s works here have been reviewed. In line with this, the author also mentions similarities between Ruesch and other psychiatric/psychotherapeutic authors. Also similarities have been established between Ruesch and Frank on “non specific factors in psychotherapy”, and tensions within contemporary training of psychiatrists, almost predicted by Ruesch. Results and Conclusions: While some of Ruesch’s ideas about the nature and origins of communication has been discounted, many of his preoccupations are now part of the mainstream, and it is to here that we should look for evidence of his legacy. In fact, he has been the author of rich and fruitful ideas, which are essential to clinical understanding of mental diseases and their treatments. It is not surprising, therefore, that Ruesch’s burning interest in the clinical assessment of normal and pathological communicative behavior finds a significant echo in today’s proliferation of books, papers, and conferences on communication. For all that, we should honor him.
Mudslide and/or animal attack are more plausible causes and circumstances of death for AL 288 (‘Lucy'): A forensic anthropology analysis
Authors: Charlier Phillippe , Coppens Yves , Augias Anaïs , Deo Saudamini , Froesch Philippe , Huynh-Charlier Isabelle 
Published: January 2018

Following a global morphological and micro-CT scan examination of the original and cast of the skeleton of Australopithecus afarensis AL 288 (‘Lucy’), Kappelman et al. have recently proposed a diagnosis of a fall from a significant height (a tree) as a cause of her death. According to topographical data from the discovery site, complete re-examination of a high-quality resin cast of the whole skeleton and forensic experience, we propose that the physical process of a vertical deceleration cannot be the only cause for her observed injuries. Two different factors were involved: rolling and multiple impacts in the context of a mudslide and an animal attack with bite marks, multi-focal fractures and violent movement of the body. It is important to consider a differential diagnosis of the observed fossil lesions because environmental factors should not be excluded in this ancient archaeological context as with any modern forensic anthropological case.
Interrupted Constructions: The Brazilian Health-Industrial Complex in Historical Perspective
Authors: Muzaka Valbona 
Published: January 2018

Officially launched in 2007, Brazil’s health-industrial complex can be seen as an institutional innovation that seeks to overcome social inequality in health care, dependency on foreign technology, and weaknesses in the national innovation and productive structures. An analysis adopting a historical perspective and deploying Celso Furtado’s concept of the marginalization-modernization polarity shows how misarticulated social and economic policies hindered earlier efforts to construct a robust domestic health-pharmaceutical sector. To the extent that this polarity persists, an understanding of the trajectory of this (indeed, any) high-tech sector can be achieved only by considering the social and economic dynamics that continue to shape Brazil’s development. Despite its promise, the rise of the hybrid neodevelopmentalist state has not succeeded in overcoming the marginalization-modernization polarity. Without resolving old inconsistencies between industrial, macroeconomic, and social policies, it has introduced new ones that, as in the past, risk hindering the success of this institutional experiment. Lançado oficialmente em 2007, o complexo industrial de saúde brasileiro pode ser visto como inovação institucional que busca suplantar a desigualdade social no tratamento de saúde, a dependência na tecnologia estrangeira, bem como as deficiências na inovação e nas estruturas produtivas nacionais. Uma análise que adota uma perspectiva histórica e utiliza o conceito da polaridade entre marginalização e modernização, concebido por Celso Furtado, demonstra como políticas sociais e econômicas desarticuladas prejudicaram esforços para construir um setor doméstico de saúde robusto. À medida que essa polaridade persiste, uma compreensão da trajetória desse setor de alta tecnologia (e de fato de qualquer setor) pode ser alcançada somente por meio de avaliação das dinâmicas sociais e econômicas que continuam a moldar o desenvolvimento do Brasil. Não obstante as promessas que emanam do estado do neodesenvolvimento híbrido, sua ascensão não logrou o desmantelamento da polaridade marginalização-modernização. Além de não resolver antigas inconsistências entre políticas sociais, macroeconômicas e industriais, introduziu novas inconsistências que, como no passado, ameaçam o êxito desse novo experimento institucional.
Validations of the OM‐6 Parent‐Proxy Survey for Infants/Toddlers with Otitis Media
Authors: Tao Joy , Schulz Kristine , Jeffe Donna B. , Lieu Judith E. C. 
Published: January 2018

ObjectiveTo validate the Otitis Media–6 (OM‐6), a parent‐proxy quality‐of‐life (QOL) questionnaire for infants/young children with OM, against other previously validated generic QOL questionnaires.Study DesignMulti‐institutional cross‐sectional study.SettingTwenty‐three otolaryngology, pediatric, and family practices across the United States.Subjects and MethodsCaregivers of 6‐ to 24‐month‐old children with a history of OM completed the OM‐6, OM History Form, and Pediatric Quality of Life (PedsQL) Infant Scales survey. Principal components analysis (PCA) examined the underlying factor structure of items on the OM‐6, and Cronbach's α measured the internal consistency of items on each factor. Discriminant validity was assessed with receiver operating curves (ROCs).ResultsSurveys from 1045 patients were analyzed. The overall OM‐6 was strongly to moderately correlated with the PedsQL Infant Scales scores (Pearson r = −0.649 for ages 6‐12 months and −0.566 for ages 13‐24 months). Two underlying constructs, “Behavior and Symptoms” and “Hearing and Speech,” emerged from the PCA. Each factor and the overall OM‐6 showed excellent internal consistency reliability (each Cronbach's α >0.75). The areas under the curve on the ROC analyses were <0.65 for recurrent and chronic OM using a variety of frequency and chronicity cut‐points and definitions.ConclusionThe OM‐6 measures 2 underlying QOL constructs, Behavior and Symptoms and Hearing/Speech. The overall OM‐6 showed acceptably high internal consistency reliability and good construct validity. However, the ability of the OM‐6 to identify children who have more severe clinical recurrent or chronic OM vs milder disease was not supported by our analysis.
Association of Time between Surgery and Adjuvant Therapy with Survival in Oral Cavity Cancer
Authors: Chen Michelle M. , Harris Jeremy P. , Orosco Ryan K. , Sirjani Davud , Hara Wendy , Divi Vasu 
Published: January 2018

ObjectiveThe National Cancer Center Network recommends starting radiation therapy within 6 weeks after surgery for oral cavity squamous cell carcinoma (OCSCC), but there is limited evidence of the importance of the total time from surgery to completion of radiation therapy (package time). We set out to determine if there was an association between package time and survival in OCSCC and to evaluate the impact of treatment location on outcomes.Study DesignRetrospective cohort study.SettingTertiary academic medical center.Subjects and MethodsWe reviewed the records of patients with OCSCC who completed postoperative radiation therapy at an academic medical center from 2008 to 2016. The primary endpoints were overall survival and recurrence‐free survival. Statistical analysis included χ2 tests and Cox proportional hazards regressions.ResultsWe identified 132 patients with an average package time of 12.6 weeks. On multivariate analysis, package time >11 weeks was independently associated with decreased overall survival (hazard ratio, 6.68; 95% CI, 1.42‐31.44) and recurrence‐free survival (hazard ratio, 2.94; 95% CI, 1.20‐7.18). Patients who received radiation therapy at outside facilities were more likely to have treatment delays (90.2% vs 62.9%, P =. 001).ConclusionsProlonged package times are associated with decreased overall and recurrence‐free survival among patients with OCSCC. Patients who received radiation therapy at outside facilities are more likely to have prolonged package times.
Art Expertise and the Processing of Titled Abstract Art
Authors: Mullennix John W. , Robinet Julien 
Published: January 2018

The effect of art expertise on viewers’ processing of titled visual artwork was examined. The study extended the research of Leder, Carbon, and Ripsas by explicitly selecting art novices and art experts. The study was designed to test assumptions about how expertise modulates context in the form of titles for artworks. Viewers rated a set of abstract paintings for liking and understanding. The type of title accompanying the artwork (descriptive or elaborative) was manipulated. Viewers were allotted as much time as they wished to view each artwork. For judgments of liking, novices and experts both liked artworks with elaborative titles better, with overall rated liking similar for both groups. For judgments of understanding, type of title had no effect on ratings for both novices and experts. However, experts’ rated understanding was higher than novices, with experts making their decisions faster than novices. An analysis of viewers’ art expertise revealed that expertise was correlated with understanding, but not liking. Overall, the results suggest that both novices and experts integrate title with visual image in similar manner. However, expertise differentially affected liking and understanding. The results differ from those obtained by Leder et al. The differences between studies are discussed.