bluuebunny/crossref_metadata_2025_split huggingface dataset:
Growth and Rupture Mechanism of Partially Thrombosed Aneurysms
Authors: Krings T. , Alvarez H. , Reinacher P. , Ozanne A. , Baccin C.E. , Gandolfo C. , Zhao W.-Y. , Reinges M.H.T. , Lasjaunias P. 
Published: January 2017

Within the group of giant and large aneurysms the subgroup of the so-called “partially thrombosed” aneurysms can be differentiated according to clinical and neuroimaging findings. The present study was carried out to determine the site of bleeding of these aneurysms and what implications concerning their pathomechanism can be drawn from these findings. Twenty patients aged two to 77 (mean 44) years who exhibited a partially thrombosed aneurysm that had recently bled were included. Images (MRI including T1 pre- and postcontrast and T2 weighted images in multiple planes, CT and digital subtraction angiography) and patients' charts were reviewed. MRI showed an onion-skin appearance of the thrombus in 19 patients, rim enhancement of the aneurysm wall (either partial or complete) in 17, and a perifocal edema in 16 patients. The acute hemorrhage was typically crescent-shaped and located at the periphery of the aneurysm, distant from the perfused lumen of the aneurysm within the thrombosed part of the aneurysm. The current denomination “partially thrombosed” intracranial arterial aneurysms leads to the presumption that thrombus is present endoluminal whereas in fact the site of hemorrhage is within the vessel wall. A more accurate nomination would, therefore, be “aneurysms with intra mural hemorrhage”. The enhancing wall and the edematous reaction of the adjacent brain parenchyma might be a sign for an inflammatory pathomechanism which is reinforced by histological and pathophysiological studies. This disease should be regarded as a clinical entity separate from saccular or non-thrombosed giant or large aneurysms.
Intracerebral Hemorrhage after Carotid Artery Stenting without Evidence of Hyperperfusion in Positron Emission Tomography
Authors: Shindo A. , Kawai N. , Kawakita K. , Kawanishi M. , Tamiya T. , Nagao S. 
Published: January 2017

A 75-year-old man with a recent history of transient left hemiparesis and dysarthria was referred to our hospital. Angiography showed right internal carotid artery (ICA) occlusion and left ICA 89% stenosis. Positron emission tomography (PET) showed decreased cerebral blood flow (CBF), and increased oxygen extraction fraction (OEF) and cerebral blood volume (CBV) in the right hemisphere. In the left hemisphere, CBV was increased, but CBF and OEF remained normal. One month after the transient ischemic attack, left carotid artery stenting (CAS) was performed without complications. Diffusion-weighted magnetic resonance imaging (MRI) on the day after CAS showed no fresh ischemic lesion. PET on the second day after CAS showed increased CBF and decreased OEF and CBV in the right hemisphere as compared with those before CAS. In the left hemisphere, decreased CBV was observed and CBF was slightly increased as compared with those before CAS. The postoperative course was uneventful, but on the fifth day after CAS, the patient suddenly showed a focal seizure and right motor weakness. Emergency computed tomography scanning showed massive intracranial hemorrhage with severe brain edema in the left hemisphere. Although CBF study is useful to predict the hyperperfusion syndrome, we cannot disregard the possibility of intracerebral hemorrhage after CAS for carotid artery stenosis when there is no evidence of hyperperfusion on postoperative CBF study.
Provocation Lumbar Diskography at Previously Fused Levels
Authors: Dulai H.S. , Bartynski W.S. , Rothfus W.S. , Gerszten P.C. 
Published: January 2017

Recurrent or persistent low back pain (LBP) after lumbar fusion can be related to many factors. We reviewed the provocation lumbar diskogram (PLD) features and redo-fusion outcome in our patients evaluated for recurrent/persistent LBP after technically successful fusion. LD was performed in 27 patients with recurrent/persistent LBP after prior successful lumbar surgical fusion (31 fused levels: single-level fusion-23; two-level fusion-4). PLD response and imaging characteristics at fused and non-fused levels were assessed including: intra-diskal lidocaine response, diskogram-image/post-diskogram CT appearance, presence/absence of diskographic contrast leakage, and evidence of fusion integrity or hardware failure. Outcomes in patients having redo-fusion were assessed. Concordant pain was encountered at 15 out of 23 (65%) single-level fusions, non-concordant pain in one fusion with non-painful response in seven. Adjacent-level concordant pain was identified in seven out of 23 (30%) patients (three of 15 with painful fused levels; four of seven with non-painful fusions). In two-level fusions, concordant pain was encountered at one fused level in each patient. In painful fused levels, leaking and contained disks were encountered with partial or complete pain elimination after intra-diskal lidocaine injection. In anterior fusions, space or contrast surrounding the cage was noted at five of 11 levels. Pseudoarthrosis was noted only with trans-sacral screw fusions. Redo-fusion in 13 patients resulted in significant improvement in nine and moderate improvement in one. Patients with recurrent/persistent LBP after technically successful fusion may have a diskogenic pain source at the surgically fused or adjacent level confirmed by lidocaine-assisted PLD.
Otorrhagia from the “Aberrant Internal Carotid” Artery in the Middle Ear
Authors: Söderman M. , Moersdorf M. , Lysdahl M. , Mendel L. 
Published: January 2017

Agenesis of the cervical portion of the internal carotid artery (ICA) may result in blood supply to the ipsilateral cerebral hemisphere being provided by an enlarged inferior tympanic branch of the ascending pharyngeal artery. This enlarged vessel, passing through Jacobson's canal and anastomosing with the likewise enlarged caroticotympanic branch of the ICA in front of the promontorium, may simulate a middle ear mass. We present five patients with this unusual anatomical variant, three of which underwent biopsy of what was believed to be a middle ear tumour. One patient experienced rupture of an arterial aneurysm in the middle ear successfully treated with endovascular application of detachable platinum coils. It is mandatory for ENT-surgeons and radiologists who perform head-and-neck examinations to recognize this anatomical variant, not mistaking it for a tumour, since biopsy of a large artery supplying the brain may have disastrous consequences. In patients with otorrhagia, an arterial aneurysm must be considered as a possible source of bleeding, in some cases amenable for treatment with an endovascular technique. The diagnosis of “aberrant internal carotid artery” is usually made with CT of the temporal bone or MR of the skull base. Cerebral angiography is in most cases not necessary, unless an endovascular procedure is planned.
Embolisation of Branches of the Ophthalmic Artery
Authors: Matsumaru Y. , Alvarez H. , Rodesch G. , Lasjaunias P.L. 
Published: January 2017

Nine patients presenting various orbital and skull base pathologies embolised through the ophthalmic artery are reported. All cases were catheterised beyond the bend around the optic nerve (second portion of the intraorbital ophthalmic artery). Embolisation was carried in all with n-butyl cyano-acrylate without post interventional visual disturbance. Relying on the classic description as well as previous personal work on the ophthalmic artery anatomy and angiographic anatomy, all procedures were performed under general anaesthesia without functional testing. The central retinal artery and the long ciliary arteries arise from the first or second portion of the ophthalmic artery. For embryological reasons no branch to the visual tract can arise from the ophthalmic trunk distal to the origin of the superficial recurrent meningeal artery or the lacrimal artery. Therefore distal catheterisation at least beyond the second portion, (and injection without reflux) makes safe embolisation possible in all variations of internal carotid origin of the ophthalmic stem. Independent from the expected goal of the embolisation, the use of particles in this territory should in our opinion be discouraged.
Predilation technique with balloon angioplasty to facilitate percutaneous groin access of large size sheath through scar tissue
Authors: Pecoraro Felice , Krishnaswamy Mayur , Steuer Johnny , Puippe Gilbert , Mangialardi Nicola , Pfammatter Thomas , Rancic Zoran , Veith Frank J , Cayne Neal S , Lachat Mario 
Published: January 2017

Purpose Percutaneous remote access for endovascular aortic repair is an advantageous alternative to open access. Previous surgery in the femoral region and the presence of synthetic vascular grafts in the femoral/iliac arteries represent major limitations to percutaneous remote access. The aim of this study was to evaluate an original technique used for enabling percutaneous remote access for thoracic or abdominal endovascular aortic repair in patients with scar tissue and/or a vascular graft in the groin. Methods Twenty-five consecutive patients with a thoracic (11/25; 44%) or an aortic aneurysm (14/25; 66%) and with a synthetic vascular graft in the groin (16/25; 64%) or a redo groin access (9/25; 36%) were managed through the percutaneous remote access. In all patients, a percutaneous transluminal angioplasty balloon was used to predilate the scar tissue and the femoral artery or the synthetic vascular graft after preclosing (ProGlide®; Abbott Vascular, Santa Clara, CA, USA). In 10 patients, requiring a 20 Fr sheath, a 6 mm percutaneous transluminal angioplasty balloon was used; and in the remaining 15, requiring a 24 Fr sheath, an 8 mm percutaneous transluminal angioplasty balloon. Preclosing was exclusively performed using ProGlide®. Mean follow-up was 15 months. Results In all cases, stent-graft deployment was successful. There was one surgical conversion (4%; 1/25) due to bleeding from a femoral anastomosis. Two cases required additional percutaneous maneuvers (postclosing with another system in one patient and endoluminal shielding with stent-graft in the other patient). No pseudoaneurysm or access complication occurred during the follow-up. Conclusions Percutaneous access in redo groins with scar tissue and/or synthetic vascular graft using ultrasound-guided punction, preclosing with ProGlide® system and predilation with percutaneous transluminal angioplasty balloon to introduce large size sheath as used for endovascular aortic repair showed to be feasible, safe and with few local complications.
Evaluation of “Steroid-Sparing” Effects of Xanthena® Cream in Patients with Mild to Moderate Atopic Dermatitis
Authors: Cassano N. , Amoruso A. , Masci S. , De Paola S. , Salvatori S. , Agnusdei C. P. , Calabretta S. , Callea A. , Cellini F. , Centofanti S. , Cuomo M. , Curia S. , Dattola S. , De Caro C. , Del Brocco L. , Donato L. , Ferrari A. , Lopreiato R. , Puglisi A. , Ruggiero G. , Russo F.M. , Valenti G. , Vernaci R. , Verrina F. , Liotti G. , Vena G.A. 
Published: January 2017

Emollients play an important role in the management of atopic dermatitis (AD). The aim of this study was to evaluate the efficacy and the “steroid-sparing” activity of an emollient cream (Xanthena® cream) in patients with mild to moderate AD. Patients were asked to apply twice a day for 7 days a cream containing hydrocortisone butyrate on the lesionai skin and then to apply Xanthena® cream only on the left side of affected areas. During the 2-month study period, the use of the corticosteroid cream was resumed in case of flare-up in any side. The results obtained show significant differences of both the total severity score and the intensity of each symptom and sign of AD between the skin areas treated with Xanthena® cream and the control areas (P<0.05); a relevant reduction of steroid requirement was also noted in correlation with the use of this emollient cream (P<0.05). A significant improvement was observed even after the first month of therapy for most symptoms, except for excoriations/fissuring, oozing/crusting and burning which improved only at 2 months. Treatment was well-tolerated by the majority of patients; adverse local reactions, mostly transient and of mild intensity, were observed in 7% of cases.
An Open Randomized Controlled Study on the Efficacy of Low-Sodium Water Intake Evaluated by Non-Invasive Methods in Patients with Cellulite
Authors: Puddu P. , Ventrice C. , Pennasilico G. , Guarnaccia G. , Ruffelli M. , Di Pietro A. , De Pità O. 
Published: January 2017

Cellulite is the result of complex physiological changes of the subcutaneous fat layer and of microcirculation, clinically manifesting as orange peel skin especially in women and involving thighs, buttocks, and abdomen. An adequate water intake has been suggested to be helpful in controlling the development and worsening of the disease. An open randomized controlled study has been performed to evaluate modification induced by an adequate diet associated to low-sodium or high-sodium water intake on some clinical features of patients affected with mild to moderate cellulite. Non-invasive instrumental investigations (Bioelectrical Impedance Analysis (BIA), thermography and skin echography) were used before and after dietary treatment. A significant improvement of the disease, in terms of weight loss, cutaneous microcirculation and reduction of subcutaneous fat layer, was observed in the group of patients who underwent low-sodium water intake. An adequate dietary treatment associated to a low-sodium water intake is able to efficiently controll some biological and clinical parameters of mild to moderate cellulite.
Informal care givers' experiences with support in primary palliative care when a case manager is involved: A descriptive study in the Netherlands
Authors: van der Plas Annicka GM , Francke Anneke L , Deliens Luc , Jansen Wim JJ , Vissers Kris C , Onwuteaka-Philipsen Bregje D 
Published: January 2017

Introduction Case managers have been introduced in primary palliative care in the Netherlands; these are nurses with expertise in palliative care who offer support to patients and informal care givers. The case manager provides support in addition to the care provided by the home care nurse and general practitioner, potentially leading to more complexities in care coordination. This study describes what informal care givers think about the number of professionals involved in primary palliative care and what support is and is not provided by the general practitioner, the community nurse and the case manager according to the informal care givers. Methods A questionnaire was filled in by the case manager upon referral, and the informal care giver ( n = 178) completed a questionnaire two months after the patient had died. Frequencies (the number of professionals) and cross tabs (for support) were calculated. Results The number of healthcare professionals involved was appropriate according to the vast majority (91%) of informal care givers. Support was provided by all three professionals, but a small proportion (14%) of informal care givers did not receive sufficient information on possibilities of care and support from any of the care providers. Discussion Reluctance to involve a case manager is unnecessary, as long as the role of each professional is explained to patients and informal care givers. At all times, support should be offered to the informal care givers as well as to the patient. Added value of the case manager is found in offering specific knowledge of palliative care.
Outcome and 2-Year Survival Rate in Elderly Patients With Lateral Compression Fractures of the Pelvis
Authors: Höch Andreas , Özkurtul Orkun , Pieroh Philipp , Josten Christoph , Böhme Jörg 
Published: January 2017

Introduction: Osteoporotic pelvic ring fractures are a rising problem for surgeons in industrialized countries. There is no evidence-based treatment strategy especially for lateral compression (LC) fractures involving the sacrum. The aim of this study was to evaluate and compare outcome and survival rate of nonoperative and operative treatment strategies for lateral compression fractures. Patients and Methods: In a retrospective study, 128 patients (aged ≥65 years) with an Orthopedic Trauma Association (OTA) types B2.1 and B3.3 fracture were included and analyzed regarding demographic and treatment data and adverse events. After a follow-up period of at least 2-year survival rate, quality of life and pain were evaluated using the EuroQol-5D and Short Form–12 questionnaires and the visual analog scale. Results: Fifty patients (78.3 ± 7.6 years) obtained operative treatment and 77 patients (82.7 ± 7.9 years) obtained nonoperative treatment. One died within 24 hours after admission. High rates of complications occurred in both groups (operative group: 18% and nonoperative group: 8%). Eighteen percent (14 of the 77) of conservatively treated patients needed operative treatment after discharge due to worsening pain and mobilization. The 2-year follow-up showed a high overall mortality (30%), with a significant higher survival rate for operatively treated patients (2-year survival: operatively treated 82% vs conservative 61%). No difference was found in pain and quality of life. Discussion: Elderly patients display a high rate and variety of complications and mortality in the aftermath of lateral compression fractures of the pelvis. Although a significantly higher 2-year survival rate for operatively treated patients was found, this study cannot give proof of superior position for operative treatment. Due to lacking data for alternative treatment algorithms especially for fracture-related immobilized patients, we recommended operative treatment with the aim to reduce complications related to prolonged bed rest and ensure early mobilization.
Treatment of B-cell disorder improves renal outcome of patients with monoclonal gammopathy–associated C3 glomerulopathy
Authors: Chauvet Sophie , Frémeaux-Bacchi Véronique , Petitprez Florent , Karras Alexandre , Daniel Laurent , Burtey Stéphane , Choukroun Gabriel , Delmas Yahsou , Guerrot Dominique , François Arnaud , Le Quintrec Moglie , Javaugue Vincent , Ribes David , Vrigneaud Laurence , Arnulf Bertrand , Goujon Jean Michel , Ronco Pierre , Touchard Guy , Bridoux Frank 
Published: January 2017

Key PointsMonoclonal gammopathy is associated with C3 glomerulopathy. Specific treatment of the underlying B-cell clone improves renal survival.
Satisfaction with current martial arts’ uniforms and purchase intention of new uniforms
Authors: Perry Anna , Lee Juyoung 
Published: January 2017

AbstractThe purpose of the present study is to investigate martial arts practitioners’ satisfaction with their current uniforms and purchase intention of new uniforms. A total of 588 martial arts practitioners were recruited via Amazon Mechanical Turk, including 401 men and 187 women. The results indicated that martial art practitioners were satisfied with their current uniforms when three functional attributes were good: quality, fit, and comfort. The aesthetic variable, fashion, only moderately influenced satisfaction with the current uniforms. However, when purchasing new uniforms, both functional and aesthetic attributes were essential factors. In addition, benefits of martial arts and protection from injury were two necessary conditions for commitment to martial arts. However, neither commitment to martial arts or satisfaction with the current uniform contributed to purchase intention of new uniforms. The purchase intention was only related to the characteristics of the new uniforms: whether the new uniforms can enhance practitioners’ functional performance and aesthetic appearance. The present study, for the first time, revealed marital arts practitioners’ strong desire of protection: protection strongly contributed to expected performance, expected appearance, and commitment to martial arts.
Networking Cooperation of Educational Institutions of Higher, General and Vocational Education in the Terms of Implementation of Extracurricular Activities in Application of the Federal State Educational Standard
Authors: �������  , Ivanova Irina 
Published: January 2017

The study is relevant in the context of global projects supported by the government and initiated by the President of the Russian Federation: the federal
state educational standards, the complex project of modernization of education, national educational initiative �Our new school�, �Concept of the
spiritual and moral development and education of a citizen of Russia.� In the context of extracurricular activities in the design development of the FSES
becoming especially popular networking projects that brings together institutions of diff erent levels (schools, supplementary education for children, psychological
urban centers, higher education institutions). The interaction of educational institutions is becoming a modern highly innovative technology
that allows them to develop dynamically.
The article describes a model of network interaction of educational-governmental organizations of the city of Kaluga in the framework of the extracurricular
activity of younger schoolboys in the terms of realization of the FSES of primary education.
Model networking educational institutions of the city of Kaluga in the framework of the extracurricular activity of younger schoolboys in the development
of the FSES of primary education has been successfully tested on the basis of four elementary schools in the city of Kaluga, the study involved 177 students
and 7 primary school teachers. Social partners of educational networking were: Children and Youth Space Education Center �Galaxy� of the city of Kaluga
and Kaluga State University named after K.E. Tsiolkovsky. The basis of networking cooperation were programs of extracurricular activities of I.V. Ivanova.
The main results of testing of the model is the development of individual students in the development of programs that increase the level of professional
competence of primary school teachers in the organization of extracurricular activities of the FSES of the primary general education.
The study contributes to a system of total innovative design, Further and Higher Education; It shows the possibility of the contents and forms of social and
pedagogical partnership in the system of education in the introduction of the FSES of primary education. The practical signifi cance of the study consists
in the possibility of using the developed model in educational practice. The study will allow to make science-based contribution to the practical implementation
of the regional. Prospects for the development of research consist in the development of new models of a network of educational cooperation,
attraction of new bases for cooperation.
This publication was prepared within the framework of a research project supported by the Russian Foundation for Humanities �14-16-40007.
Monitoring of Language Training in a Technical University As a Condition of Effectiveness of Educational Process
Authors: �������  , Markova Nataliia 
Published: January 2017

The article considers construction characteristics of monitoring language training model in a technical university. Stages of pedagogical monitoring by
the example of educational process at Foreign Languages Department at Tomsk Polytechnic University are summarized and presented in the article. Analyzing
the specifi cation of a fi nal exam test for a Foreign Language course, the author notes compliance with the standards as a whole, but also reveals
the technological shortcomings of the monitoring process at the Department. The article develops strategic measures and provides recommendations
for the monitoring of educational achievements in language training in the framework of fi nal exams. The paper gives an example of a codifi er of a Foreign
Language discipline. In our opinion, it will help align the objectives of the language learning with the objectives of the fi nal exam test. The author
describes the successful conditions and eff ective principles of monitoring language training in a technical university.