bluuebunny/crossref_metadata_2025_split huggingface dataset:
Preferences of Patients for Discussing Sudden Unexpected Death in Epilepsy
Authors: Sūna Normunds , Gūtmane Evija , Lazdāne Madara , Karelis Guntis , Folkmanis Valdis 
Published: September 2017

Abstract
People with epilepsy have increased mortality rates, which is partially attributed to sudden unexpected death in epilepsy syndrome (SUDEP). Poor seizure control appears to be the strongest SUDEP risk factor. Management of epilepsy and adherence to therapy is critical to seizure control. The belief by caregivers of negative influence caused by being informed about the syndrome is the main reason SUDEP is not disclosed. There are no clear recommendations when to disclose the risk of SUDEP and how much information should be provided. We addressed the preferences of Latvian epilepsy patients for discussing SUDEP as well as awareness of the syndrome. Our study involved 55 epilepsy patients. We found that, as in other studies, our patients were relatively well informed about SUDEP. We found that a considerable proportion of patients preferred to receive information about SUDEP from a general practitioner. We note the belief of patients that the disclosure of SUDEP would either improve or have no effect on the quality of life. We were able to identify groups of patients with a self-reported belief of more frequent expected anxiety and poor adherence to medical treatment. Our data improves the understanding of preferences of patient for discussing the negative aspects of epilepsy.
Survival, Growth and Mycorrhization of Containerised Pinus sylvestris and Picea abies Seedlings of Different Provenances Outplanted in a Forest Clear-Cut
Authors: Klaviņa Dārta , Muižnieks Indriķis , Baumanis Imants , Jansons Jurģis , Gaitnieks Tālis , Menkis Audrius 
Published: September 2017

Abstract
We studied field performance of containerised Pinus sylvestris and Picea abies seedlings of different provenances. Shoot height, needle chemical composition, root collar diameter, root mycorrhization and mycorrhizal species composition were evaluated after four growing seasons following outplanting. The results showed that in general spruce had better survival than pine. Ectomycorrhizas on spruce were dominated by Wilcoxina, Amphinema and Tylospora, while on pine — by Suillus and Thelephora species. Spruce and pine showing best growth rates were colonised by ectomycorrhizal fungus Amphinema sp. In conclusion, the results demonstrated that forest nursery practices as well as provenance can significantly impact survival, growth and mycorrhization of the containerised pine and spruce seedlings.
The Model of Fitness in a Heterogeneous Environment on Reaction Norms
Authors: Gerasymenko Volodymyr 
Published: September 2017

Abstract
The understanding of genetic mechanisms of natural selection to a large extent became possible as a result of modelling research carried out in the fields of evolutionary and population genetics. However, genetic models cannot be considered exhaustive in the description of natural selection because a phenotype of individual, environment and fitness remains beyond their framework. Consequently, the value of fitness is not derived from the algorithmic model but arbitrarily assigned by a researcher to genotypes in their genetic formula. This work proposes a model of genotype fitness in heterogeneous environments on reaction norms in connection with the genetic structure of the population. Two equations represent the model. The first is an incomplete second order polynomial that describes the dependence of fitness on the phenotype of an adaptive trait and environmental conditions. The second is a linear equation of the reaction norm of the adaptive trait that determines its phenotype in specific environmental conditions. According to the model algorithms, rating of fitness in the population, and, consequently, their probability of selection, is determined by phenotype optimality and their norm of reaction in certain environmental conditions.
Principal Component Analysis of Some Quantitative and Qualitative Traits in Iranian Spinach Landraces
Authors: Mohebodini Mehdi , Sabaghnia Naser , Behtash Farhad , Janmohammadi Mohsen 
Published: September 2017

Abstract
Landraces of spinach in Iran have not been sufficiently characterised for their morpho-agronomic traits. Such characterisation would be helpful in the development of new genetically improved cultivars. In this study 54 spinach accessions collected from the major spinach growing areas of Iran were evaluated to determine their phenotypic diversity profile of spinach genotypes on the basis of 10 quantitative and 9 qualitative morpho-agronomic traits. High coefficients of variation were recorded in some quantitative traits (dry yield and leaf area) and all of the qualitative traits. Using principal component analysis, the first four principal components with eigen-values more than 1 contributed 87% of the variability among accessions for quantitative traits, whereas the first four principal components with eigen-values more than 0.8 contributed 79% of the variability among accessions for qualitative traits. The most important relations observed on the first two principal components were a strong positive association between leaf width and petiole length; between leaf length and leaf numbers in flowering; and among fresh yield, dry yield and petiole diameter; a near zero correlation between days to flowering with leaf width and petiole length. Prickly seeds, high percentage of female plants, smooth leaf texture, high numbers of leaves at flowering, greygreen leaves, erect petiole attitude and long petiole length are important characters for spinach breeding programmes.
Environmental geology and hydrology
Authors: Nakić Zoran , Mileusnić Marta , Pavlić Krešimir , Kovač Zoran 
Published: September 2017

AbstractEnvironmental geology is scientific discipline dealing with the interactions between humans and the geologic environment. Many natural hazards, which have great impact on humans and their environment, are caused by geological settings. On the other hand, human activities have great impact on the physical environment, especially in the last decades due to dramatic human population growth. Natural disasters often hit densely populated areas causing tremendous death toll and material damage. Demand for resources enhanced remarkably, as well as waste production. Exploitation of mineral resources deteriorate huge areas of land, produce enormous mine waste and pollute soil, water and air. Environmental geology is a broad discipline and only selected themes will be presented in the following subchapters: (1) floods as natural hazard, (2) water as geological resource and (3) the mining and mineral processing as types of human activities dealing with geological materials that affect the environment and human health.
Measurements of excitation functions of α-particle induced reactions on natNi: possibility of production of the medical isotopes 61Cu and 67Cu
Authors: Uddin Md. Shuza , Kim Kwangsoo , Nadeem Muhammad , Sudár Sandor , Kim Guinyun 
Published: September 2017

Abstract
Excitation functions of the natNi(α,x)60,61Cu and 64Ni(α,p)67Cu reactions were measured using the stacked-foil activation technique. The experimental data achieved were compared with literature data as well as with nuclear model calculations performed using the code TALYS-1.8. Integral yields from the respective thresholds to 44 MeV were deduced from the measured excitation curves. The >99% pure 61Cu can be produced using the energy window of Eα=20→7 MeV, the yield amounting to 116 MBq/μAh. After a 2 h cooling time, the short-lived 60Cu (T1/2=23 min) impurity will be reduced to <0.1%. Due to low isotopic abundance of 64Ni, the enriched 64Ni target would be needed for the production of 67Cu via the (α,p) reaction. The cost would, however, be very high. In a few cases, particularly above 24 MeV, we have given new data points. In general, our measurements have strengthened the database.
Sham transcranial electrical stimulation and its effects on corticospinal excitability: a systematic review and meta-analysis
Authors: Dissanayaka Thusharika D. , Zoghi Maryam , Farrell Michael , Egan Gary F. , Jaberzadeh Shapour 
Published: September 2017

AbstractSham stimulation is used in randomized controlled trials (RCTs) to assess the efficacy of active stimulation and placebo effects. It should mimic the characteristics of active stimulation to achieve blinding integrity. The present study was a systematic review and meta-analysis of the published literature to identify the effects of sham transcranial electrical stimulation (tES) – including anodal and cathodal transcranial direct current stimulation (a-tDCS, c-tDCS), transcranial alternating current stimulation (tACS), transcranial random noise stimulation (tRNS) and transcranial pulsed current stimulation (tPCS) – on corticospinal excitability (CSE), compared to baseline in healthy individuals. Electronic databases – PubMed, CINAHL, Scopus, Science Direct and MEDLINE (Ovid) – were searched for RCTs of tES from 1990 to March 2017. Thirty RCTs were identified. Using a random-effects model, meta-analysis of a-tDCS, c-tDCS, tACS, tRNS and tPCS studies showed statistically non-significant pre-post effects of sham interventions on CSE. This review found evidence for statically non-significant effects of sham tES on CSE.
Ozone therapy – a rare and avoidable source of infectious pathology of the spine
Authors: Balan Corneliu , Schiopu Mihai , Balasa Daniel , Balan Corina 
Published: September 2017

Abstract
Ozone therapy is considered by many as an effective therapy for spinal degenerative pathologies. Despite its possible favorable results, we present a series of serious infectious complications, clearly related to ozone therapy and their treatment. The authors discuss their results compared with the literature and advocate for prudence when recommending ozone therapy.
High lumbar disc herniation coexisting with thoracic meningioma – an issue of differential diagnostic
Authors: Dabija M. , Dorobăţ V. , Paiu Alina 
Published: September 2017

Abstract
Meningiomas involving the spinal compartment are relatively rare compared to the intracranial ones representing between 7,5% and 12,5% of all CNS meningiomas, most of them being located in the intradural compartment respecting the pial layer of the spinal cord. Affecting ten times more often women rather than men, especially in the 5th and 6th decade of life, they pose a difficult diagnostic setting despite modern neuroimagistic techniques. The matter of correct differential diagnosis becomes even more doubtful, most of the patients of that age having also associative degenerative disorders, e.g. lumbar disc herniation. In this case proper neurological examination is the key as we will furthermore demonstrate - the MRI exam being targeted on the level of the sensorial dysfunction and not on the most common region which gives according pathology. The following case presentation can be considered “classic” representing a patient with all the criteria mentioned above including a long history of rheumatologic and chronic back pain medication for pain relief. We used the Frankel Scale for grading the pre- and postoperative neurological status. Acute neurological deterioration (under 24 hours) is an important criteria for admission in emergency unit with around the clock exploration followed by microsurgical operation for the best possible outcome. Coexisting chronic lesions may be left behind and kept under surveillance, operated only when clear signs of health disorder appear. Because there are reported cases of thoracic meningiomas discovered after hernia disc operation and even cases of paraplegia due to a missed lesion, the aim of this article is to emphasize the importance of proper neurological examination preceding any MRI exploration.
Multilevel “fish vertebrae” in a patient with tumor-induced osteomalacia
Authors: Adam D. , Iftimie D. , Burduşa Gina , Moisescu Cristiana 
Published: September 2017

Abstract
Background and importance: “Fish vertebra” is an uncommon anomaly of vertebral body shape, consisting of central depression of the superior and inferior vertebral surfaces. It has been associated with various conditions: osteoporosis, osteomalacia, hyperparathyroidism, Paget disease, sickle cell disease, multiple myeloma and systemic lupus erythematosus.
Clinical presentation: A 29-year-old male patient, previously treated for ankylosing spondylitis (with NSAIDs and TNFα inhibitor), without any clinical improvement, was admitted to our Neurosurgical Department. He complained of difficult gait, possible only with the aid of a cane, low back pain and bilateral hip pain, but without leg pain. He denied any history of recent trauma. Neurological examination was normal. Plain thoracic and lumbar spine X-rays revealed multilevel “fish vertebrae”. Lumbar spine MRI and contrast thoraco-abdominal CT scan showed fractures of multiple structures: left L4 pedicle, right L4 lamina and pars interarticularis, right II-VII costal arches, left I-V costal arches and bilateral sacral alae. We performed extensive laboratory tests that detected low seric phosphorous and PTH levels, with increased alkaline phosphatase, indicating a possible endocrinological cause for this condition. Subsequently, we decided to transfer the patient to an Endocrinological Department. A diagnosis of hypophosphatemic osteomalacia was established and increased FGF23 levels, later determined, suggested it was tumor-induced osteomalacia. Whole-body MRI was unable to locate the tumor, but Gallium-68 DOTATATE PET/CT revealed a small (15 mm in diameter), hyperfixating mass in the head of the right femur. The patient was treated with oral calcitriol and phosphate, with alleviation of symptoms. Surgical excision of the tumor was recommended, but the patient decided to postopone the operation.
Conclusion: Modern medical imaging and biochemical testing have made the leap from merely observing vertebral biconcavities to diagnosing their cause and, consequently, the possibility to adequately treat uncommon causes of “fish vertebra”, such as neuroendocrine tumor-induced osteomalacia.
Giant Subgaleal cerebrospinal fluid leakage: An unusual complication of chronic subdural hematoma surgery
Authors: Moscote-Salazar Luis Rafael , Alvis-Miranda Hernando Raphael , Agrawal Amit , Calderon-Miranda Willem , Pacheco-Hernandez Alfonso 
Published: September 2017

Abstract
We report a rare case of chronic subdural hematoma complicated with a Giant subgaleal cerebrospinal fluid leakage. Physical examination was performed with no alteration in mental status and no focal neurological disorder. The subdural hematoma was drained and two weeks later, patient was admitted to our hospital with a giant scalp swelling. Physical examination revealed a left parietal subcutaneous collection. The patient was reoperated with a correction in the fistula, he presented a satisfactory postoperative evolution. To our knowledge, this is the first report in literature of a chronic subdural hematoma with a complicated giant subgaleal cerebrospinal fluid leakage.
Antioxidant therapies in traumatic brain injury: a review
Authors: Romero-Rivera Hector Rolando , Cabeza-Morales Marticela , Soto-Zarate Enrique , Satyarthee Guru Dutta , Padilla-Zambrano Huber , Joaquim Andrei F. , Rubiano Andres M. , Hernandez Alfonso Pacheco , Agrawal Amit , Moscote-Salazar Luis Rafael 
Published: September 2017

Abstract
Oxidative stress constitute one of the commonest mechanism of the secondary injury contributing to neuronal death in traumatic brain injury cases. The oxidative stress induced secondary injury blockade may be considered as to be a good alternative to improve the outcome of traumatic brain injury (TBI) treatment. Due to absence of definitive therapy of traumatic brain injury has forced researcher to utilize unconventional therapies and its roles investigated in the improvement of management and outcome in recent year. Antioxidant therapies are proven effective in many preclinical studies and encouraging results and the role of antioxidant mediaction may act as further advancement in the traumatic brain injury management it may represent aonr of newer moadlaity in neurosurgical aramamentorium, this kind of therapy could be a good alternative or adjuct to the previously established neuroprotection agents in TBI.
Pre-hospital care: Data profile from traumatic brain injury registry
Authors: Jena Ranjan Kumar , Agrawal Amit , Ashok M. , Subrahmanyam B.V. 
Published: September 2017

Abstract
Introduction: There are multiple factors from injury spot till patient reach trauma unit, which affect their outcome. The literature of same from developing country is mere. The present study investigates primary care, mode of transportation and emergency management among TBI patients visiting a tertiary institute.
Methods: The data of 337 patients was selected from a trauma registry. The data of TBI patients visiting emergency were entered in standard computer interface after obtaining their consent. The standard proforma was developed by FileMaker Pro Advanced 13 (Copyright © 1994-2015, FileMaker, Inc) and web data entry interface Drupal CMS. Data was analyzed using Stats Direct version 3.0.150.
Results: Seventy five percent of patients were from rural setup. About 67% of patients visiting emergency had undergone first aid from both rural and urban setup. Forty percent of patients came directly, only about 5% were referred from other hospitals. Majority of patients were accompanied by relatives (87%) followed by spouse (8.6%). Non ambulance mode (31%) was more than ground ambulance (25%) to reach emergency setup. Emergency management of airway, breathing and circulation was significant with outcome at discharge (p<0.001).
Conclusion: The study reports that majority of patients had undergone first aid before reaching trauma unit. Non ambulance mode of transportation is more. The study emphasis for detail study on pre hospital care variables with larger sample size.
Brain hydatidosis: review of the literature
Authors: Maraby-Salgado Johana , Mo-Carrascal Joulen , Aquino-Matus Jorge , Calderon-Miranda Willem Guillermo , Agrawal Amit , Joaquin Andrei F. , Al-Dhahir Mohammed , Hoz Samer , Pacheco-Hernandez Maria Teresa , Padilla Huber , Moscote-Salazar Luis Rafael 
Published: September 2017

Abstract
Hydatidosis is a common disease worldwide. The causal agent may compromise any Organ of the body, the cerebral location is infrequent. The infection is caused by the larval form of Cestodo Echinococcus granulosus. The man is an accidental intermediary host for food consumption or water contaminated with eggs present in animal feces. We present a review of the literature. At the imaging level, the disease has a classic characteristic consisting of single, usually unilocular and less frequent multilocular, intra-axial and more frequently hemispheric cerebral lesions, compromising the vascular territory of the middle cerebral artery by the hematogenous dissemination of the parasite.
The many faces of primary cauda equina myxopapillary ependymoma: clinicoradiological manifestations of two cases and review of the literature
Authors: Mehrjardi Mohammad Zare , Mirzaei Samira , Haghighatkhah Hamid Reza 
Published: September 2017

Abstract
Introduction: Myxopapillary ependymoma (MPE) is a benign and slow growing tumor that originates exclusively from the conus medullaris and cauda equina nervous tissue. It occurs more commonly in young patients. In addition, clinical presentations are non-specific and may mimic benign conditions. Magnetic resonance imaging (MRI) is the imaging modality of choice for evaluating this tumor. We hereby report on two young patients with long-lasting non-specific symptoms, which were clinically attributed to benign conditions. However, cauda equina tumor was revealed on MRI in both patients.
Case report: Two cases of cauda equina MPE, a 19-year-old female and a 38-year-old male, with different clinical manifestations are reported. The first patient presented with paresis and paresthesia of the lower limbs, and the second patient’s complaint was chronic low-back pain and urinary incontinence. In both cases, MRI detected a tumor originated from the cauda equina, and histopathologic examination was compatible with MPE.
Conclusion: Cauda equina tumors should be considered as a differential diagnosis in the young patients presented with neurologic deficits in the lower limbs, sphincter or erectile dysfunction, and even a simple low-back pain (particularly when symptoms are long-lasting and/or progressive).
Unilateral traumatic hemorrhage of the basal ganglion and bihemisferic cerebral infarction
Authors: Moscote-Salazar Luis Rafael , Calderon-Miranda Willem Guillermo , Rubiano Andres M. , Agrawal Amit , Satyarthee Guru Dutta 
Published: September 2017

Abstract
Among the various injuries caused by the cerebral tramatic lesion are traumatic brain contusions. Hemorrhagic contusions of the basal ganglia are unusual. Different injuries such as cranial fractures, epidural hemorrhage, subdural hematoma, subarachnoid hemorrhage among others may be associated with brain contusions. In some cases traumatic brain injury arises. We present a case of a patient with unilateral cerebral contusion associated with bihemispheric cerebral infarction.
Spontaneous regression of extruded lumbar disc herniation: case report and its pathogenesis
Authors: Prasad Prajapati Hanuman , Deepak Kumar Singh , Rakesh Kumar Singh , Faran Ahmed 
Published: September 2017

Abstract
Lumbar disc herniation is a common disease that present with back pain and radicular pain. The most efficient method for the treatment of lumbar disc herniation is still controversial. Spontaneous regression of lumbar disc herniation has been recognized with the advancement of radiological diagnostic tools and can explain the reason of spontaneous relief of symptoms without treatment. The proposed hypothesis are; dehydration, retraction of the disc herniation in the annulus fibrosus, enzymatic catabolism and phagocytosis. In this study we present a case with large lumbar disc herniation regressing by itself and the potential mechanisms of disc regression have been discussed.
Burr hole site acute extradural hematoma after ventriculoperitoneal shunt surgery: a rare case report and its pathogenesis
Authors: Prasad Prajapati Hanuman , Deepak Kumar Singh , Rakesh Kumar Singh , Faran Ahmed , Anuj Chhabra 
Published: September 2017

Abstract
Ventriculoperitoneal (VP) shunt, a common neurosurgical procedure, has a long list of known complications associated with it. A rare but dangerous complication of VP shunt procedure is extradural hematoma (EDH). It can be diagnosed and managed easily before it turns into a catastrophic complication.
Cirsoid Aneurysm of the Scalp: a case report
Authors: Ahmad Faran , Singh Deepak Kumar , Prajapati Hanuman Prasad , Chhabra Anuj 
Published: September 2017

Abstract
Cirsoid aneurysms (arteriovenous malformations [AVMs]) are Anomalous fistulous arteriovenous communications of scalp with ill-defined natural course that are rarely encountered in neurosurgery. Patients with AVM of the scalp present clinically with headache and either a small innocuous-looking subcutaneous scalp lump or a large, pulsatile mass with or without bruit, which has a propensity to massive hemorrhage. Complex vascular anatomy and interconnections and high shunt flow make their management difficult. We report a rare case of a 40-year-old man who presented with a swelling over his occipital region that progressively enlarged over the course of 6 years. Being high flow shunt surgical excision was attempted.