bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effect of statin treatment on vasospasm-related morbidity and functional outcome in patients with aneurysmal subarachnoid hemorrhage: a systematic review and meta-analysis
Authors: Shen Jian , Huang Kai-Yuan , Zhu Yu , Pan Jian-Wei , Jiang Hao , Weng Yu-Xiang , Zhan Ren-Ya 
Published: October 2016

OBJECTIVEThe efficacy of statin therapy in treating aneurysmal subarachnoid hemorrhage (SAH) remains controversial. In this meta-analysis, the authors investigated whether statin treatment significantly reduced the incidence of cerebral vasospasm and delayed neurological deficits, promoting a better outcome after aneurysmal SAH.METHODSA literature search of the PubMed, Ovid, and Cochrane Library databases was performed for randomized controlled trials (RCTs) and prospective cohort studies investigating the effect of statin treatment. The end points of cerebral vasospasm, delayed ischemic neurological deficit (DIND), delayed cerebral infarction, mortality, and favorable outcome were statistically analyzed.RESULTSSix RCTs and 2 prospective cohort studies met the eligibility criteria, and a total of 1461 patients were included. The meta-analysis demonstrated a significant decrease in the incidence of cerebral vasospasm (relative risk [RR] 0.76, 95% confidence interval [CI] 0.61–0.96) in patients treated with statins after aneurysmal SAH. However, no significant benefit was observed for DIND (RR 0.88, 95% CI 0.70–1.12), delayed cerebral infarction (RR 0.66, 95% CI 0.33–1.31), mortality (RR 0.69, 95% CI 0.39–1.24) or favorable outcome, according to assessment by the modified Rankin Scale or Glasgow Outcome Scale (RR 0.99, 95% CI 0.92–1.17).CONCLUSIONSTreatment with statins significantly decreased the occurrence of vasospasm after aneurysmal SAH. The incidence of DIND, delayed cerebral infarction, and mortality were not affected by statin treatment. Future research should focus on DIND and how statins influence DIND.
Quantitative evaluation of vision-related and health-related quality of life after endoscopic transsphenoidal surgery for pituitary adenoma
Authors: Wolf Amparo , Coros Alexandra , Bierer Joel , Goncalves Sandy , Cooper Paul , Van Uum Stan , Lee Donald H. , Proulx Alain , Nicolle David , Alexander Fraser J. , Rotenberg Brian W. , Duggal Neil 
Published: October 2016

OBJECTIVEEndoscopic resection of pituitary adenomas has been reported to improve vision function in up to 80%–90% of patients with visual impairment due to these adenomas. It is unclear how these reported rates translate into improvement in visual outcomes and general health as perceived by the patients. The authors evaluated self-assessed health-related quality of life (HR-QOL) and vision-related QOL (VR-QOL) in patients before and after endoscopic resection of pituitary adenomas.METHODSThe authors prospectively collected data from 50 patients who underwent endoscopic resection of pituitary adenomas. This cohort included 32 patients (64%) with visual impairment preoperatively. Twenty-seven patients (54%) had pituitary dysfunction, including 17 (34%) with hormone-producing tumors. Patients completed the National Eye Institute Visual Functioning Questionnaire and the 36-Item Short Form Health Survey preoperatively and 6 weeks and 6 months after surgery.RESULTSPatients with preoperative visual impairment reported a significant impact of this condition on VR-QOL preoperatively, including general vision, near activities, and peripheral vision; they also noted vision-specific impacts on mental health, role difficulties, dependency, and driving. After endoscopic resection of adenomas, patients reported improvement across all these categories 6 weeks postoperatively, and this improvement was maintained by 6 months postoperatively. Patients with preoperative pituitary dysfunction, including hormone-producing tumors, perceived their general health and physical function as poorer, with some of these patients reporting improvement in perceived general health after the endoscopic surgery. All patients noted that their ability to work or perform activities of daily living was transiently reduced 6 weeks postoperatively, followed by significant improvement by 6 months after the surgery.CONCLUSIONSBoth VR-QOL and patient's perceptions of their ability to do work and perform other daily activities as a result of their physical health significantly improved by 6 months after endoscopic resection of pituitary adenoma. The use of multidimensional QOL questionnaires provides a precise assessment of perceived outcomes after endoscopic surgery.
Midline and off-midline infratentorial supracerebellar approaches to the pineal gland
Authors: Matsuo Satoshi , Baydin Serhat , Güngör Abuzer , Miki Koichi , Komune Noritaka , Kurogi Ryota , Iihara Koji , Rhoton Albert L. 
Published: October 2016

OBJECTIVEA common approach to lesions of the pineal region is along the midline below the torcula. However, reports of how shifting the approach off midline affects the surgical exposure and relationships between the tributaries of the vein of Galen are limited. The purpose of this study is to examine the microsurgical and endoscopic anatomy of the pineal region as seen through the supracerebellar infratentorial approaches, including midline, paramedian, lateral, and far-lateral routes.METHODSThe quadrigeminal cisterns of 8 formalin-fixed adult cadaveric heads were dissected and examined with the aid of a surgical microscope and straight endoscope. Twenty CT angiograms were examined to measure the depth of the pineal gland, slope of the tentorial surface of the cerebellum, and angle of approach to the pineal gland in each approach.RESULTSThe midline supracerebellar route is the shortest and provides direct exposure of the pineal gland, although the culmen and inferior and superior vermian tributaries of the vein of Galen frequently block this exposure. The off-midline routes provide a surgical exposure that, although slightly deeper, may reduce the need for venous sacrifice at both the level of the veins from the superior cerebellar surface entering the tentorial sinuses and at the level of the tributaries of the vein of Galen in the quadrigeminal cistern, and require less cerebellar retraction. Shifting from midline to off-midline exposure also provides a better view of the cerebellomesencephalic fissure, collicular plate, and trochlear nerve than the midline approaches. Endoscopic assistance may aid exposure of the pineal gland while preserving the bridging veins.CONCLUSIONSUnderstanding the characteristics of different infratentorial routes to the pineal gland will aid in gaining a better view of the pineal gland and cerebellomesencephalic fissure and may reduce the need for venous sacrifice at the level of the tentorial sinuses draining the upper cerebellar surface and the tributaries of the vein of Galen.
Characteristics of infarction after encephaloduroarteriosynangiosis in young patients with moyamoya disease
Authors: Kim Hyun Gi , Lee Seung-Koo , Lee Jung-Dong 
Published: October 2016

OBJECTIVE
Young patients with moyamoya disease can exhibit infarction after revascularization surgery. This analysis of the characteristics of infarction after encephaloduroarteriosynangiosis (EDAS) in young patients with moyamoya disease was undertaken in an effort to elucidate the infarction mechanism.

METHODS
The authors retrospectively collected clinical information and reviewed pre- and postoperative MRI studies from cases involving patients younger than 18 years who underwent EDAS for the treatment of moyamoya disease between January 2012 and February 2015. Infarction patterns were categorized into watershed, territorial, or mixed pattern. The Wilcoxon rank sum test, chi-square test, and Fisher exact test were used to compare the clinical and imaging variables between patient groups. The characteristics of patients with and without postoperative infarction were compared using univariate and multivariate analysis. The cumulative proportion of patients without postoperative infarction according to operation stage was calculated using the Kaplan-Meier method and the resulting curves were compared using the log-rank test.

RESULTS
In 100 patients, 171 EDAS procedures had been performed. There were 38 cases of preoperative infarction in 35 patients and 20 cases of postoperative infarction in 13 patients. Territorial infarction was more frequent in the postoperative infarction group than in the preoperative infarction group (55.0% vs 37.8%, p = 0.037). Infarction was more common on the bilateral or contralateral side of the operation after first-stage EDAS (9 [75.0%] of 12 infarctions) than in the second-stage operation (2 [25.0%] of 8 infarctions), but the difference was not statistically significant (p = 0.068). The frequency of postoperative infarction was not significantly different depending on the stage of the operation (p = 0.694).

CONCLUSIONS
An acute infarction pattern after EDAS was more frequently territorial, suggesting an underlying occlusive mechanism. Operation stage did not affect the rate of postoperative infarction occurrence.
3. Cyriote Antiquities from Nicosia-Ayia Paraskevi acquired by the Melbourne Cyprus Expedition in 1955/56
Authors: Merrillees Robert Stuart 
Published: October 2016

En étudiant la topographie de ce quartier de Nicosie au début des années 1950,
l’auteur retrace le contexte du site de «Nicosie Ayia Paraskevi » , où ont été alors mises au jour d’importantes tombes de l’Âge du Bronze. Les objets parvenus à Melbourne sont répertoriés et commentés.
Nouvelle donne géopolitique en Seine-Saint-Denis
Authors: Subra Philippe , Serisier Wilfried 
Published: October 2016

Aux élections locales de 2014-2015, la droite a, pour la première fois, fait pratiquement jeu égal avec les partis de gauche en Seine-Saint-Denis, un département longtemps emblématique de la « banlieue rouge ». Cette nouvelle étape dans la recomposition du paysage politique et électoral local est le résultat d’évolutions structurelles du territoire et de tendances nationales. Mais elle s’explique aussi par les faiblesses ou, au contraire, l’efficacité des stratégies mises en œuvre par les différents partis : l’incapacité de l’appareil du Parti communiste à s’adapter au nouveau contexte sociologique et à capitaliser sur l’impopularité du gouvernement, les divisions, au sein du PCF, entre orthodoxes et rénovateurs (dont la stratégie de modernisation du territoire n’a guère été plus payante), et, en face, la stratégie de conquête de la droite. La gauche non communiste, menée par Claude Bartolone, a échoué dans sa tentative de s’emparer de nouvelles positions de pouvoir et a connu une véritable déroute.
Le trafic d’armes en Seine-Saint-Denis : aspects géopolitiques et enjeux
Authors: Antoine Jean-Charles 
Published: October 2016

Le département de la Seine-Saint-Denis est de plus en plus sous le feu des projecteurs depuis novembre 2015. Vu désormais par une partie de la population française comme un territoire hors de contrôle où les trafics de tous ordres pulluleraient, celui des armes à feu devient emblématique au même titre que dans les quartiers nord de Marseille. Or la comparaison ne peut tenir puisque les deux situations sont différentes dans leurs aspects géographiques, dans l’origine des rivalités internes, dans les pratiques des acteurs mais également dans la représentation que l’État central, proche du 9-3, et qu’une partie des Français se font de ce territoire francilien. Les enjeux sont par conséquent encore plus amplifiés en Seine-Saint-Denis qu’ailleurs en France puisque la proximité de Paris fait planer la menace d’une ceinture criminelle autour de la capitale, qui ferait de ce département une sorte de laboratoire antisystème à même de rogner le monopole étatique de la violence légitime.
L’école en Seine-Saint-Denis : une pauvre école pour des enfants de pauvres ?
Authors: Elie Gatien 
Published: October 2016

La question scolaire en Seine-Saint-Denis est chargée de représentations, souvent misérabilistes et spectaculaires. Enseigner et apprendre dans les classes de ce département ne constituent pas pour autant des activités de nature différente. Analyser ce qui se déroule ici permet de comprendre ce qui se joue dans l’école en général. Car, dans ce département, les contradictions de la société française sont exacerbées. Les ressorts de l’échec scolaire s’en trouvent plus facilement identifiables. De la salle de classe à la nation en passant par le quartier, chaque niveau d’observation tend à prouver que la relation entre l’école de la République et les enfants des milieux populaires est problématique, surtout lorsque ces derniers sont issus de l’immigration postcoloniale. Entre les deux, les travailleurs de l’éducation, souvent démunis sur le plan pédagogique et de plus en plus précaires, tentent, tant bien que mal, de résoudre ces contradictions.
Égalité entre hommes et femmes : les mères en première ligne. Un hommage à Camille Lacoste-Dujardin
Authors: Loyer Barbara 
Published: October 2016

Cet article souligne l’apport de l’œuvre de Camille Lacoste-Dujardin, directrice de recherche au CNRS, ethnologue spécialiste de la société kabyle, à l’analyse du statut et du rôle des femmes dans les sociétés maghrébines. Son livre Des mères contre les femmes fait apparaître la centralité du rouage féminin au sein du système patriarcal maghrébin où les garantes de la domination masculine sont les mères. Ses recherches dessinent l’image d’un système idéologique et social qui, même lorsqu’il est fragilisé par la modernité, enferme les individus dans des rôles où la liberté individuelle n’a pas de place. Camille Lacoste montre que la société patriarcale, et son corollaire de ségrégation des sexes, est contraire à l’épanouissement individuel des femmes et que l’idéologie islamiste est un vecteur de ce système familial de domination masculine. Les travaux de Camille Lacoste rappellent le rôle crucial des mères dans la transmission à leurs filles des valeurs de soumission ou d’égalité.
Le verbe au sein des manuels à l’école primaire :
Authors: Gourdet Patrice 
Published: October 2016

Dans cet article, nous proposons une réflexion diachronique sur les règles définissant le verbe, proposées par des manuels destinés à l’école élémentaire. Au niveau de la langue, le verbe est en effet une notion centrale mais complexe à enseigner. Il est essentiel de mettre en perspective et de combiner différentes dimensions en jeu – sémantique, morphologique, syntaxique – sans les cloisonner ou les réduire à la conjugaison, par exemple. Par une approche comparative modeste, nous tentons de comprendre la nature et l’évolution des propriétés mises en avant depuis un siècle, et l’influence des différents apports linguistiques et didactiques qui ont marqué ces cinquantes dernières années dans les manuels. Le manuel scolaire est en effet un outil particulier à l’articulation entre des programmes officiels et les pratiques des maitres au sein de l’école primaire. C’est un outil chargé d’une valeur institutionnelle, qui « légalise » le savoir enseigné à l’École.
DEVELOPMENT OF AN EFFICIENT APPROACH OF ARCHAEOLOGICAL HERITAGE IN THE INTERTIDAL ZONE OF THE BELGIAN NORTH SEA
Authors: Decock Michiel , Stal Cornelis , Van Ackere Samuel , Vandenbulcke Annelies , De Maeyer Philippe , De Wulf Alain 
Published: October 2016

The knowledge of the submerged cultural heritage in the North Sea is rather limited. The Belgian North Sea is being used for a lot of different purposes, such as fishing, aggregate extraction, wind farms, dredging, etc. Due to these increasing economic activities, the underwater archive is in danger. In the context of the UNESCO Convention on the Protection of the Underwater Cultural Heritage of 2001, gathering more information about the submerged cultural heritage in the intertidal zones of the North Sea is one of the main objectives of the Belgian scientific project ‘SeArch’. It will give a clearer picture of the broader cultural and archaeological heritage in the region and it can be used as a basis for a sustainable management by government agencies. The Department of Geography (Ghent University, Belgium) contributes to the SeArch project in two ways. First, an innovative survey methodology has been developed which allows an accurate and cost-efficient evaluation of the archaeological potential in the intertidal zones of the Belgian beaches. Secondly, the Department of Geography is developing an interactive webGIS platform, which makes it possible to share, integrate and visualize the gathered archaeological and environmental data and information in a user-friendly way. Hereby, the total potential of this project is fully exploited in a time-efficient manner. To create an interactive webGIS platform, a good structured spatial database is needed. It enables manipulation of a wide variety of georeferenced information in both raster and vector formats. This paper provides more information about the configuration and application of the spatial database. Moreover, it focusses on the development of a fully functional Spatial Data Infrastructure (SDI) using the most reliable, powerful and state-of-the-art technological components. Besides, a new way of collecting geomatic data in a fast and accurate manner will be discussed. Some processing results will show the possibilities for detecting and visualizing underground structures and archaeological objects.
EUROPEAN FINANCIAL SUPPORT AND SUCCESFUL ROAD PPP PROJECTS
Authors: Garrido Maza Laura 
Published: October 2016

The EU has been promoting the use of PPPs in order to accelerate the development of the Trans-European Transport Network (TEN-T) for ensuring economic, social and territorial cohesion and increasing accessibility throughout the Union. To encourage the use of PPPs, the European Commission has put several financing mechanisms at the disposal of the Member States, including a series of innovative financial instruments developed along with the European Investment Bank. The Bank has in turn played a major role in the promotion and financing of PPPs across the EU. The paper undertakes a review of the main financial instruments developed by the EU that are available to PPPs so as to determinate to what extent the European financial support has been channelled to road projects under that scheme in Spain. On the basis of the results obtained, a multiple regression model has been developed to analyse whether the PPP projects which enjoyed the financial support of the European Union tend to be significantly more successful from an economic point of view. The paper concludes that there is a positive correlation between receiving European financial support and the success of the PPP road projects.DOI: http://dx.doi.org/10.4995/CIT2016.2016.3492
ANALISIS DINÁMICO DE COSTOS DE OPERACIÓN LOGÍSTICA
Authors: Tellez Vazquez Sandra , Serrato Roberto Baeza 
Published: October 2016

Guanajuato es considerada una de las plataformas logísticas más importantes de México debido a que la mayoría de los cruces interoceánicos atraviesan la entidad. De acuerdo con datos estadísticos de Secretaria de Economía el sector de transporte de carga continuará creciendo anualmente entre 15 y 20%, y desde Guanajuato se maneja el 74% de la carga consolidada de la región y 9% del total nacional. Por esta razón la presente investigación realiza un análisis de la fluidez de carga, tomando como base un caso de estudio aplicado a una de las empresas con mayor movimiento en la región. El estudio se centra en desarrollo de un modelo dinámico para evaluar los factores que afectan el consumo de combustible el cual impacta directamente en los costos logísticos de la organización. Para el análisis se consideran las condiciones topográficas de la ruta utilizando como herramienta el software Globalmap, las políticas establecidas en la NOM-012 de pesos y dimensiones de la Secretaria de Comunicaciones y Transportes (SCT), y el tipo de camión a utilizar. El resultado del modelo evalúa factores que pueden variar según la ruta elegida, y permite a la empresa tomar decisiones para mejorar la fluidez de carga dentro de lo establecido en el marco regulatorio de la Secretaría de Comunicaciones y Transportes de México.DOI: http://dx.doi.org/10.4995/CIT2016.2016.3516
Analysis of multistage chains in public transport: The case of Quito, Ecuador
Authors: Bastidas Zelaya Efrain 
Published: October 2016

Because of the growth of cities in size and population, people get used to perform several stage trips involving transfers due to advantages such as time or price paid, being multistage trips more attractive compared to single stage trips. In Quito, Ecuador, nowadays multistage trips represent one third of total daily trips. This paper seeks to identify main characteristics of multistage trips as well as find relationships and inferences that allow recommendations regarding best practices to policy makers and transport managers. The information used belong to the data collected in the Household Survey Mobility held in Quito in 2011. Based on these data, the present work starts using an analysis with descriptive statistics. The next phase of this research involves the search for a methodology in order to identify correlations between demographic, socioeconomic and transport variables related with traveler´s choice for making or not a transfer. Best methodology found was the use of Binary Logistic Regression (Logit) and specific computer software, with which different statistic's models were performed to find the strongest correlation. The paper ends with conclusions and recommendations as well as suggestions for future research.DOI: http://dx.doi.org/10.4995/CIT2016.2016.3530
Modelización de la Movilidad Urbana Vertical y su relación con el Transporte Público de Pamplona
Authors: Díaz Carrero José Luis , Rives Navarro Laura 
Published: October 2016

La movilidad urbana vertical (MUV) ha estado relacionada con el transporte de pasajeros desde su origen. Escaleras mecánicas, cintas transportadoras y elevadores son elementos que hacen accesibles las estaciones tren, de metro o de autobuses. Su función es que estos medios de transporte sean accesibles, que se reduzcan los tiempos de viaje y que se mejoren las conexiones entre los diferentes medios. En las ciudades de un tamaño medio como el Área Metropolitana (AM) de Pamplona, en las que, por sus distancias, gran parte de la población puede realizar sus itinerarios caminando, es fundamental estudiar las barreras urbanas que pueden existir, tanto las generadas por la propia topografía como por el diseño de los espacios públicos. Los elementos de MUV no solo resuelven los problemas de accesibilidad del entorno, sino que, según su posición, en ocasiones son capaces de generar nuevos ejes urbanos que modifican en parte la movilidad urbana. Como veremos, estos elementos de MUV pueden plantear una alternativa al transporte público en zonas de peor accesibilidad o pueden complementarse con la red de transporte público urbano como intercambiador. Para analizar la movilidad peatonal del AM de Pamplona se tomarán como base los datos de la Encuesta Domiciliaria de Movilidad de 2013. Además, con la experiencia en modelización y en estudios de accesibilidad de transporte público durante los últimos años, se ha elaborado un modelo sencillo de movilidad peatonal en el que se han integrado los ascensores y analizado su impacto.DOI: http://dx.doi.org/10.4995/CIT2016.2016.4076