bluuebunny/crossref_metadata_2025_split huggingface dataset:
Uniqueness Deposit of Sediment on Floodplain Resulting From Lateral Accretion on Tropical Area
Authors: Yuskar Yuniarti , Choanji Tiggi 
Published: March 2017

Kampar rivers has a length of 413 km with average depth of 7.7 m and width of 143 m. Sixty percent of this rivers are meandering fluvial system which transport and deposit a mixture of suspended and bed-load (mixed load) along low energy. River channel that moving sideways by erosion is undergoing lateral migration and the top of the point bar becomes the edge of the floodplain and the fining-upward succession of the point bar will be capped by overbank deposits of Kampar River. Along the Kampar Rivers, there are more than 60% of ﬂoodplain sediments and almost all of the ﬂoodplain formed by bend migration on the suspended-load channels of Kampar watershed. This formation consist of succession of fine to medium sand and silt/mud, with root traces, that form as drapes on the prograding bank. These beds dip mostly channel wards and quickly wedge out as they grade up and onto the ﬂoodplain. The depositional model is presented showing how lateral accretion can make a signiﬁcant contribution to the preservation of ﬁne-grained within channel deposits in contemporary ﬂoodplains. The examples presented here demonstrate that analogues to ancient point-bar deposits containing alternating sandstone and shale sequences are common in the low-energy ﬂuvial environments of Riau rivers especially Kampar rivers.
Effectiveness of the National Program for Community Empowerment (PNPM) for Infrastructure Development Accelerated and Geoplanology in District of Marpoyan Damai, Pekanbaru
Authors: Fatriadi Riry , Asteriani Febby , Cahyaningsih Catur 
Published: March 2017

Since 2007 PNPM Urban realize that poverty is a structural problem and multi-dimensional. In PNPM Urban perspective , the complexity of the various dimensions of poverty -related social , political , economic , and asset . this research aim is to know the Effectiveness of the National Program for Community Empowerment for Infrastructure Development Accelerated. In this research , the authors use an explanatory survey research methods . Selected number of samples in the analysis of the effectiveness of PNPM Urban infrastructure improvements are stakeholders involved in PNPM Urban population in the research area of all stakeholders involved in PNPM Urban in District Marpoyan Damai , the authors take purposively respondents who meet the criteria and are associated with research.
The results showed that increasing road infrastructure with the PNPM Mandiri. The average improvement of road infrastructure after the PNPM Urban amounted to 35.8 %. The average increase in the quality of infrastructure before the PNPM Urban program is only at 4.4 % per year . This indication shows that roads infrastructure and the quality of the road surface to be increased significantly in the presence of the PNPM Urban Marpoyan Damai in the District . From interviews with relevant stakeholders PNPM Urban, respondents said PNPM Urban was very effective against the improvement of infrastructure in District Marpoyan Damai . Respondents argue that any proposed activity in infrastructure always realized by PNPM Urban .
Geological condition of study consists of alluvium Sand, Gravel, Clay, Peat Swamp, Plant Remain in Quaternary age. There are two anticline in this area that is part Western and Southern and fault inferred direction Northwest-Southeast in the middle area of research so that the topography of the area of research a bit wavy and faulted that need observation on land-use planning such as drainage, airport, residential and availability of clean water..
Evaluation for association between urolithiasis and chronic kidney disease in cats
Authors: Cléroux Andréanne , Alexander Kate , Beauchamp Guy , Dunn Marilyn 
Published: March 2017

Abstract
OBJECTIVE To determine whether urolithiasis is associated with chronic kidney disease (CKD) in cats.
DESIGN Retrospective case-control study.
ANIMALS 126 cats (59 and 67 with and without urolithiasis, respectively).
PROCEDURES Medical records from June 2006 to July 2013 were searched to identify cats that underwent abdominal or focal urinary tract ultrasonography and for which serum creatinine concentration and urine specific gravity data were obtained ≤ 14 days before or after the examination. In cats with (urolithiasis group) and without (control group) urolithiasis, the presence of CKD was determined according to International Renal Interest Society guidelines. Information recorded included signalment, body weight, serum creatinine concentration, and urine specific gravity; when present, the location and number of uroliths were noted. Differences between groups and associations between group and categorical variables were analyzed statistically.
RESULTS Age, weight, sex, and breed did not differ between groups. The prevalence of CKD was significantly higher in cats with urolithiasis than in the control group. Among cats with urolithiasis, there was a negative association between CKD and presence of cystoliths. There was no association between urolithiasis and the stage of CKD or between presence of CKD and location of nephroliths in the kidney.
CONCLUSIONS AND CLINICAL RELEVANCE Results confirmed a positive association between urolithiasis and CKD in the feline population studied and suggested that cats with urolithiasis should be evaluated for CKD. Further research is warranted to assess the nature of the relationship between CKD and urolithiasis in cats.
Spinal neurenteric cyst in a dog
Authors: Alder Daniela S. , Oevermann Anna , Pfister Stephan A. , Steffen Frank 
Published: March 2017

Abstract
CASE DESCRIPTION An 11-year-old English Cocker Spaniel was evaluated because of chronic progressive ataxia of the hind limbs.
CLINICAL FINDINGS The dog had no history of previous illness, and findings of physical examination and laboratory tests were unremarkable. Neurologic examination revealed that the dog was ambulatory with severe ataxia of the hind limbs. Proprioception was decreased in the right and left hind limbs (right affected more than left), and spinal reflexes were bilaterally unremarkable. Moderate signs of pain were detected during palpation of the lumbar portion of the vertebral column. Findings suggested a lesion within the thoracolumbar or lumbar segments of the spinal cord. Magnetic resonance imaging revealed extradural spinal cord compression attributable to an extradural space-occupying lesion originating from or infiltrating the L4 lamina on the right side.
TREATMENT AND OUTCOME Hemilaminectomy was performed to remove the extradural lesion. Histologic findings for tissue samples collected during the procedure were consistent with a neurenteric cyst. The late onset and progression of clinical signs of this rare congenital malformation were suspected to have been the result of enlargement of the neurenteric cyst through continuous production of mucus by goblet cells. The dog responded favorably to surgical decompression and was clinically normal 1 year after surgery. It was euthanized 2 years after surgery for an unrelated reason (end-stage heart disease), and no neurologic deficits were evident before that point.
CLINICAL RELEVANCE Congenital neurenteric cysts should be considered as a differential diagnosis for neoplastic disease in dogs in which results of diagnostic imaging indicate the presence of an extradural mass affecting vertebral structures.
Evaluation of the economic and clinical feasibility of introducing rigid endoscopy and laparoscopy to a small animal general practice
Authors: Jones Kelly , Case J. Brad , Evans Brian , Monnet Eric 
Published: March 2017

Abstract
OBJECTIVE To evaluate the economic and clinical feasibility of introducing rigid endoscopy and laparoscopy to a small animal general practice.
DESIGN Prospective study.
SAMPLE A single 2-veterinarian small animal practice in southern California.
PROCEDURES In early 2012, endoscopic equipment was purchased, and both veterinarians in the practice undertook training in rigid endoscopic and laparoscopic procedures. Subsequently, information for client-owned animals that underwent endoscopic and laparoscopic procedures during a 12-month period (2012 to 2013) was collected. Cost of equipment and training, revenue generated, specific procedures performed, surgery time, complications, and client satisfaction were evaluated.
RESULTS 78 endoscopic procedures were performed in 73 patients, including 71 dogs, 1 cat, and 1 rabbit. Cost of endoscopic and laparoscopic equipment and training in the first year was $14,809.71; most equipment was financed through a 5-year lease at a total cost of $57,507.70 ($ 10,675.20/y). Total revenue generated in the first year was $50,423.63. The most common procedures performed were ovariectomy (OVE; n = 49), prophylactic gastropexy (6), and video otoscopy (12). Mean ± SD surgery times for OVE (n = 44) and for OVE with gastropexy (5) were 63.7 ± 19.7 minutes and 73.0 ± 33.5 minutes; respectively. Twelve of 54 patients undergoing laparoscopic procedures experienced minor intraoperative complications. Conversion to laparotomy was not required in any patient. There were no major complications. All 49 clients available for follow-up were satisfied.
CONCLUSIONS AND CLINICAL RELEVANCE With appropriate training and equipment, incorporation of basic rigid endoscopy and laparoscopy may be feasible in small animal general practice. However, results of the present study are not applicable to all veterinarians and practice settings, and patient safety considerations should always be paramount.
Computed tomography angiography as a confirmatory test for the diagnosis of brain death
Authors: Garrett Mark P. , Williamson Richard W. , Bohl Michael A. , Bird C. Roger , Theodore Nicholas 
Published: March 2017

OBJECTIVEFor a diagnosis of brain death (BD), ancillary testing is performed if patient factors prohibit a complete clinical examination and apnea test. The American Academy of Neurology (AAN) guidelines identify cerebral angiography (CA), cerebral scintigraphy, electroencephalography, and transcranial Doppler ultrasonography as accepted ancillary tests. CA is widely considered the gold standard of these, as it provides the most reliable assessment of intracranial blood flow. CT angiography (CTA) is a noninvasive and widely available study that is also capable of identifying absent or severely diminished intracranial blood flow, but it is not included among the AAN's accepted ancillary tests because of insufficient evidence demonstrating its reliability. The objective of this study was to assess the statistical performance of CTA in diagnosing BD, using clinical criteria alone or clinical criteria plus CA as the gold-standard comparisons.METHODSThe authors prospectively enrolled 22 adult patients undergoing workup for BD. All patients had cranial imaging and clinical examination results consistent with BD. In patients who met the AAN clinical criteria for BD, the authors performed CA and CTA so that both tests could be compared with the gold-standard clinical criteria. In cases that required ancillary testing, CA was performed as a confirmatory study, and CTA was then performed to compare against clinical criteria plus CA. Radiographic data were evaluated by an independent neuroradiologist. Test characteristics for CTA were calculated.RESULTSFour patients could not complete the standard BD workup and were excluded from analysis. Of the remaining 18 patients, 16 met AAN criteria for BD, 9 of whom required ancillary testing with CA. Of the 16 patients, 2 who also required CA ancillary testing were found to have persistent intracranial flow and were not declared brain dead at that time. These patients also underwent CTA; the results were concordant with the CA results. Six patients who were diagnosed with BD on the basis of clinical criteria alone also underwent CA, with 100% sensitivity. For all 18 patients included in the study, CTA had a sensitivity of 75%, a specificity of 100%, a positive predictive value of 100%, and a negative predictive value of 33%.CONCLUSIONSClinical examination with or without CA remains the gold standard in BD testing. Studies assessing the statistical performance of CTA in BD testing should compare CTA to these gold standards. The statistical performance of CTA in BD testing is comparable to several of the nationally accepted ancillary tests. These data add to the growing medical literature supporting the use of CTA as a reliable ancillary test in BD testing.
Remote motor system metabolic profile and surgery outcome in cervical spondylotic myelopathy
Authors: Craciunas Sorin C. , Gorgan Mircea R. , Ianosi Bogdan , Lee Phil , Burris Joseph , Cirstea Carmen M. 
Published: March 2017

OBJECTIVEIn patients with cervical spondylotic myelopathy (CSM), the motor system may undergo progressive functional/structural changes rostral to the lesion, and these changes may be associated with clinical disability. The extent to which these changes have a prognostic value in the clinical recovery after surgical treatment is not yet known. In this study, magnetic resonance spectroscopy (MRS) was used to test 2 primary hypotheses. 1) Based on evidence of corticospinal and spinocerebellar, rubro-, or reticulospinal tract degeneration/dysfunction during chronic spinal cord compression, the authors hypothesized that the metabolic profile of the primary motor cortices (M1s) and cerebellum, respectively, would be altered in patients with CSM, and these alterations would be associated with the extent of the neurological disabilities. 2) Considering that damage and/or plasticity in the remote motor system may contribute to clinical recovery, they hypothesized that M1 and cerebellar metabolic profiles would predict, at least in part, surgical outcome.METHODSThe metabolic profile, consisting of N-acetylaspartate (NAA; marker of neuronal integrity), myoinositol (glial marker), choline (cell membrane synthesis and turnover), and glutamate-glutamine (glutamatergic system), of the M1 hand/arm territory in each hemisphere and the cerebellum vermis was investigated prior to surgery in 21 patients exhibiting weakness of the upper extremities and/or gait abnormalities. Age- and sex-matched controls (n = 16) were also evaluated to estimate the pre-CSM metabolic profile of these areas. Correlation and regression analyses were performed between preoperative metabolite levels and clinical status 6 months after surgery.RESULTSRelative to controls, patients exhibited significantly higher levels of choline but no difference in the levels of other metabolites across M1s. Cerebellar metabolite levels were indistinguishable from control levels. Certain metabolites—myo-inositol and choline across M1s, NAA and glutamate-glutamine in the left M1, and myo-inositol and glutamate-glutamine in the cerebellum—were significantly associated with postoperative clinical status. These associations were greatly improved by including preoperative clinical metrics into the models. Likewise, these models improved the predictive value of preoperative clinical metrics alone.CONCLUSIONSThese preliminary findings demonstrate relationships between the preoperative metabolic profiles of two remote motor areas and surgical outcome in CSM patients. Including preoperative clinical metrics in the models significantly strengthened the predictive value. Although further studies are needed, this investigation provides an important starting point to understand how the changes upstream from the injury may influence the effect of spinal cord decompression.
Posterior arch C-1 screw technique: a cadaveric comparison study
Authors: Moisi Marc , Fisahn Christian , Tkachenko Lara , Jeyamohan Shiveindra , Reintjes Stephen , Grunert Peter , Norvell Daniel C. , Tubbs R. Shane , Page Jeni , Newell David W. , Nora Peter , Oskouian Rod J. , Chapman Jens 
Published: March 2017

OBJECTIVEPosterior atlantoaxial stabilization and fusion using C-1 lateral mass screw fixation has become commonly used in the treatment of instability and for reconstructive indications since its introduction by Goel and Laheri in 1994 and modification by Harms in 2001. Placement of such lateral mass screws can be challenging because of the proximity to the spinal cord, vertebral artery, an extensive venous plexus, and the C-2 nerve root, which overlies the designated starting point on the posterior center of the lateral mass. An alternative posterior access point starting on the posterior arch of C-1 could provide a C-2 nerve root–sparing starting point for screw placement, with the potential benefit of greater directional control and simpler trajectory. The authors present a cadaveric study comparing an alternative strategy (i.e., a C-1 screw with a posterior arch starting point) to the conventional strategy (i.e., using the lower lateral mass entry site), specifically assessing the safety of screw placement to preserve the C-2 nerve root.METHODSFive US-trained spine fellows instrumented 17 fresh human cadaveric heads using the Goel/Harms C-1 lateral mass (GHLM) technique on the left and the posterior arch lateral mass (PALM) technique on the right, under fluoroscopic guidance. After screw placement, a CT scan was obtained on each specimen to assess for radiographic screw placement accuracy. Four faculty spine surgeons, blinded to the surgeon who instrumented the cadaver, independently graded the quality of screw placement using a modified Upendra classification.RESULTSOf the 17 specimens, the C-2 nerve root was anatomically impinged in 13 (76.5%) of the specimens. The GHLM technique was graded Type 1 or 2, which is considered “acceptable,” in 12 specimens (70.6%), and graded Type 3 or 4 (“unacceptable”) in 5 specimens (29.4%). In contrast, the PALM technique had 17 (100%) of 17 graded Type 1 or 2 (p = 0.015). There were no vertebral artery injuries found in either technique. All screw violations occurred in the medial direction.CONCLUSIONSThe PALM technique showed statistically fewer medial penetrations than the GHLM technique in this study. The reason for this is not clear, but may stem from a more angulated ”up-and-in” screw direction necessary with a lower starting point.
Immunoglobulin G4–related epidural inflammatory pseudotumor presenting with pulmonary complications and spinal cord compression: case report
Authors: Rumalla Kavelin , Smith Kyle A. , Arnold Paul M. 
Published: March 2017

Immunoglobulin G4–related disease (IgG4-RD) is a recently defined condition characterized by inflammatory tumefactive lesions in various organ systems. IgG4-RD is a clinical and radiological diagnosis of exclusion and requires the presence of specific histopathological criteria for diagnosis.A 50-year-old man presented to an outside hospital with a 3-month history of progressively worsening back pain and symptoms of pleurisy, nasal crusting, and hematochezia. Radiological workup revealed an epidural-paraspinal mass with displacement of the spinal cord, destruction of the T5–6 vertebrae, and extension into the right lung. Biopsy sampling and subsequent histopathological analysis revealed dense lymphoplasmacytic infiltrate with an increased number of IgG4-positive plasma cells and a storiform pattern of fibrosis. With strong histopathological evidence of IgG4-RD, the patient was started on a regimen of prednisone. Further testing ruled out malignant neoplasm, infectious etiologies, and other autoimmune diseases. Two weeks later, the patient presented with acute-onset paraplegia due to spinal cord compression. The patient underwent decompression laminectomy of T5–6, posterior instrumented fusion of T2–8, and debulking of the epidural-paraspinal mass. After the continued administration of glucocorticosteroids, the patient improved remarkably to near-normal strength in the lower extremities and sensory function 6 months after surgery.To the authors' knowledge, this is the first case of IgG4-related epidural inflammatory pseudotumor and spinal cord compression in the United States. This case highlights the importance of early administration of glucocorticosteroids, which were essential to preventing further progression and preventing relapse. IgG4-RD evaluation is important after other diseases in the differential diagnosis are ruled out.
Comparative effectiveness of flexible versus rigid neuroendoscopy for endoscopic third ventriculostomy and choroid plexus cauterization: a propensity score–matched cohort and survival analysis
Authors: Wang Shelly , Stone Scellig , Weil Alexander G. , Fallah Aria , Warf Benjamin C. , Ragheb John , Bhatia Sanjiv , Kulkarni Abhaya V. 
Published: March 2017

OBJECTIVEEndoscopic third ventriculostomy (ETV)/choroid plexus cauterization (CPC) has become an increasingly common technique for the treatment of infant hydrocephalus. Both flexible and rigid neuroendoscopy can be used, with little empirical evidence directly comparing the two. Therefore, the authors used a propensity score–matched cohort and survival analysis to assess the comparative efficacy of flexible and rigid neuroendoscopy.METHODSIndividual data were collected through retrospective review of infants younger than 2 years of age, treated at 1 of 2 hospitals: 1) Boston Children's Hospital, exclusively utilizing flexible neuroendoscopy, and 2) Nicklaus Children's Hospital-Jackson Memorial Hospital, exclusively utilizing rigid neuroendoscopy. Patient characteristics and postoperative outcomes were assessed. A propensity score model was developed to balance patient characteristics in the case mix.RESULTSA propensity score model for neuroendoscope type was developed with 5 independent variables: chronological age, sex, hydrocephalus etiology, prior CSF diversion, and prepontine scarring. Propensity score decile-adjusted and 1-to-1 nearest-neighbor matching analysis revealed that compared with flexible neuroendoscopy, rigid neuroendoscopy had an ETV/CPC failure odds ratio (OR) of 1.43 (p = 0.31) and 1.31 (p = 0.47), respectively, compared with an unadjusted OR of 2.40 (p = 0.034). Furthermore, in a Cox regression analysis controlled by propensity score, rigid neuroendoscopy had a hazard ratio (HR) of 1.10 (p = 0.70), compared with an unadjusted HR of 1.61 (p = 0.031).CONCLUSIONSAlthough unadjusted analysis suggested worse ETV/CPC outcomes for infants treated by rigid neuroendoscopy, much of the difference could be attributed to the case mix and other predictors of outcome. A larger sample observational study or randomized controlled trials are required to provide evidence-based guidelines on ETV/CPC technique.
Monokinetic solutions to a singular Vlasov equation from a semiclassical perspective
Authors: Carles Rémi , Nouri Anne 
Published: March 2017

Solutions to a singular one-dimensional Vlasov equation are obtained as the semiclassical limit of the Wigner transform associated to a logarithmic Schrödinger equation. Two frameworks are considered, regarding in particular the initial position density: Gaussian initial density, or smooth initial density away from vacuum. For Gaussian initial densities, the analysis also yields global solutions to the isothermal Euler system that do not enter the frame of regular solutions to hyperbolic systems by P.D. Lax.