bluuebunny/crossref_metadata_2025_split huggingface dataset:
Patient‐reported postoperative pain, body image, and cosmetic satisfaction after transumbilical laparoendoscopic single‐site adrenalectomy
Authors: Nomura Takeo , Takei Kohei , Abe Satoki , Fukuda Yuko , Yamanaka Naoyuki , Sejiyama Shinya , Yamasaki Mutsushi , Shibuya Tadamasa , Ando Tadasuke , Mori Ken‐ichi , Sumino Yasuhiro , Sato Fuminori , Mimata Hiromitsu 
Published: February 2017

AbstractIntroductionLaparoendoscopic single‐site surgery is a recently innovated urologic surgical procedure. Transumbilical laparoendoscopic single‐site adrenalectomy (LESS‐A) is technically safe and feasible in patients with benign adrenal tumors. To improve patient counseling and informed consent, we evaluated patient‐reported postoperative pain, body image, and cosmetic satisfaction after transumbilical LESS‐A.MethodsWe reviewed 24 patients who underwent transumbilical LESS‐A and assessed their operative and esthetic outcomes and incisional pain. Incisional pain was evaluated using a 10‐point visual analog scale, and the body image and cosmetic satisfaction were measured using a questionnaire that included a body image scale (range, 5–20 points) and a cosmetic scale (range, 3–24 points).ResultsPure LESS‐A was performed on 10 patients using a multichannel port; an additional 5‐mm trocar was used in two obese patients. Supplementary to the single‐incision approach, one or two 3‐mm ports were used in 12 patients. The mean operative time was 203 min; the mean blood loss was 41 mL. The mean pain visual analog scale scores on postoperative days 1, 3, and 7 were 3.5, 2.2 (P = 0.012), and 1.5 points (P = 0.018), respectively. The mean body image scale and cosmetic scale scores indicating wound satisfaction 1 month after the surgery were 20 and 22 points, respectively. Although one patient had liver injury during surgery, the postoperative course during the 3‐month follow‐up was uneventful.ConclusionTransumbilical LESS‐A confers less postoperative pain and better cosmetic satisfaction than conventional laparoscopic adrenalectomy. Therefore, this procedure could potentially become a standard treatment option for benign adrenal tumors.
Heart disease in East Timor: cross‐sectional analysis of 474 patients attending Timor‐Leste's first cardiology service
Authors: Paratz Elizabeth D. , Bayley Noel 
Published: February 2017

BackgroundEast Timor is a developing country and is a close neighbour of Australia. The prevalence of cardiac disease is unknown.AimsTo describe the prevalence and patterns of cardiac disease in patients attending the first cardiology service of Timor‐Leste.MethodsA cross‐sectional retrospective analysis was performed of demographic and clinical data of 474 unique patients referred to outpatient cardiology clinics conducted in East Timor from 2003 to 2016.ResultsMean age was 29.9 ± 18.5 years, with females significantly younger than males (28.8 ± 16.9 vs 32.3 ± 20.6 years). Congenital cardiac disease patients were the youngest (15.5 ± 13.9 years) and cardiomyopathy patients the oldest (46.7 ± 17.8 years).Of patients with rheumatic heart disease, the majority had mitral stenosis (59.4%) and multi‐valvular involvement (61.6%). Of note, 28.3% of patients with rheumatic heart disease presented with severe mitral stenosis. Amongst congenital heart disease patients, the most common diagnosis was atrial or ventricular septal defects (61% combined). A total of 19.2% of patients either required immediate referral for intervention or palliation for their cardiac disease. Patients referred to Australia for treatment were significantly younger (19.7 ± 11.7 years) than all other outcome groups.ConclusionAmongst young East Timorese, rheumatic heart disease and unrepaired congenital cardiac defects impose a significant burden. One‐fifth of patients present to clinics with severe disease requiring urgent referral for surgery or palliation.
The Type IVa Pilus Machinery Is Recruited to Sites of Future Cell Division
Authors: Carter Tyson , Buensuceso Ryan N. C. , Tammam Stephanie , Lamers Ryan P. , Harvey Hanjeong , Howell P. Lynne , Burrows Lori L. 
Published: February 2017

ABSTRACT

Type IVa pili (T4aP) are ubiquitous microbial appendages used for adherence, twitching motility, DNA uptake, and electron transfer. Many of these functions depend on dynamic assembly and disassembly of the pilus by a megadalton-sized, cell envelope-spanning protein complex located at the poles of rod-shaped bacteria. How the T4aP assembly complex becomes integrated into the cell envelope in the absence of dedicated peptidoglycan (PG) hydrolases is unknown. After ruling out the potential involvement of housekeeping PG hydrolases in the installation of the T4aP machinery in
Pseudomonas aeruginosa
, we discovered that key components of inner (PilMNOP) and outer (PilQ) membrane subcomplexes are recruited to future sites of cell division. Midcell recruitment of a fluorescently tagged alignment subcomplex component, mCherry-PilO, depended on PilQ secretin monomers—specifically, their N-terminal PG-binding AMIN domains. PilP, which connects PilO to PilQ, was required for recruitment, while PilM, which is structurally similar to divisome component FtsA, was not. Recruitment preceded secretin oligomerization in the outer membrane, as loss of the PilQ pilotin PilF had no effect on localization. These results were confirmed in cells chemically blocked for cell division prior to outer membrane invagination. The hub protein FimV and a component of the polar organelle coordinator complex—PocA—were independently required for midcell recruitment of PilO and PilQ. Together, these data suggest an integrated, energy-efficient strategy for the targeting and preinstallation—rather than retrofitting—of the T4aP system into nascent poles, without the need for dedicated PG-remodeling enzymes.

IMPORTANCE
The peptidoglycan (PG) layer of bacterial cell envelopes has limited porosity, representing a physical barrier to the insertion of large protein complexes involved in secretion and motility. Many systems include dedicated PG hydrolase components that create space for their insertion, but the ubiquitous type IVa pilus (T4aP) system lacks such an enzyme. Instead, we found that components of the T4aP system are recruited to future sites of cell division, where they could be incorporated into the cell envelope during the formation of new poles, eliminating the need for PG hydrolases. Targeting depends on the presence of septal PG-binding motifs in specific components, as removal of those motifs causes delocalization. This preinstallation strategy for the T4aP assembly system would ensure that both daughter cells are poised to extrude pili from new poles as soon as they separate from one another.
Intra-articular corrective osteotomies combined with the Ilizarov technique for the treatment of deformities of the knee
Authors: Xu J. , Jia Y. , Kang Q. , Chai Y. 
Published: February 2017

Aims To present our experience of using a combination of intra-articular osteotomy and external fixation to treat different deformities of the knee. Patients and Methods A total of six patients with a mean age of 26.5 years (15 to 50) with an abnormal hemi-joint line convergence angle (HJLCA) and mechanical axis deviation (MAD) were included. Elevation of a tibial hemiplateau or femoral condylar advancement was performed and limb lengthening with correction of residual deformity using a circular or monolateral Ilizarov frame. Results At a mean follow-up of 2.8 years (1.5 to 4.1), the mean HJLCA improved from 15.6° (10° to 23°) pre-operatively to 0.4° (0° to 2°). The mean MAD improved from 70.0 mm (20.1 to 118.5) pre-operatively to 9.1 mm (3 to 15). The mean tibiofemoral angle improved from 31.0° (8° to 54°) pre-operatively to 4.9° (2° to 8°). The mean limb-length discrepancy decreased from 6.3 cm (2.9 to 13.6) pre-operatively to 1.1 cm (0 to 5). All osteotomies and distraction zones healed without complications. Conclusion The use of intra-articular corrective osteotomies combined with the Ilizarov technique allowed correction of deformities of the knee joint with satisfactory HJLCA and overall mechanical axis in six patients with a good functional and cosmetic outcome in the short term. Cite this article: Bone Joint J 2017;99-B:204–10.
Aimed for the Better, Ended up with the Worst: Russia and International Order
Authors: Morozov Viatcheslav 
Published: February 2017

Abstract
The annexation of Crimea in March 2014 and the subsequent intervention in Ukraine created a shockwave in the European security system. It suddenly became apparent that certain key rules of international conduct in Europe could no longer be taken for granted. Opponents of Vladimir Putin’s Russia in the West, and especially in the Baltic states, immediately put the events in and around Ukraine in the context of previous developments, in particular the 2008 Russian-Georgian war. Their conclusion was that the intervention was part of a long-term plan of imperial expansion, which is going to continue in the nearest future.
Time and Space in Early Norwegian Radio
Authors: Vagle Wenche 
Published: February 2017

Abstract
The present article takes its points of departure in medium and modernity theory (Meyrowitz 1985), as well as in the research on the special meaning patterns in developed broadcasting referred to as “para-social interaction” (Horton & Wohl 1956) and “flow” (Williams 1974, Ellis 1982). The empirical focus is on the early years of radio broadcasting in Norway (1925-1940). Through a detailed analysis of the relation between radio’s production and distribution technologies, on the one hand, and the formation of the medium’s textuality and discursive roles and relationships, on the other, the article assesses which stage in the fostering of a new sense of time and place Norwegian broadcasting had reached when the 1930s ebbed out. It is shown that very little in the way of the “blurring” of traditional distinctions between here and there, live and mediated, personal and public had become realities in the Norwegian context of the 1930s.
Strategic Essentialism and Ethnification
Authors: Eide Elisabeth 
Published: February 2017

AbstractThe present article sets out to explore certain aspects of how individuals with an ethnic minority background experience the journalistic media. It is derived from a project based on in-depth interviews aimed at mapping the media experiences and strategies of individuals with a minority background. Many tell of their experiences of being ethnified or subject to culturalization by the reporters – and thereby ascribed a lesser Norwegian identity even if they happen to be born and raised in Norway. In several cases, the interviewees demonstrate how they have had to emphasize their ethnicity in order to gain better access to media with regard to issues and causes that have nothing to do with their minority background. These continuing intersecting processes may inspire (strategic) essentialism among minority groups as a necessary albeit disputed way of obtaining media attention and recognition. Anthropologists’ approaches to essentialism, ethnification and culturalization are discussed, and by way of conclusion, the article discusses Gayatri Spivak’s “strategic essentialism”, its advantages, pitfalls and limitations.1
Nice to Have – or Need to Have?
Authors: Kristensen Nete Nørgaard 
Published: February 2017

AbstractThe present article argues that despite the considerable development and expansion of strategic communication as both an academic field and professional practice during the 20thcentury, strategic communication continues to have an ambiguous status in academia as well as professionally. The article argues for two related explanations of this ambiguity: 1) a communication-internalperspective concerning the interdisciplinary, practice-based and semi-professional nature of strategic communication, and 2) a communication-externalperspective concerning the integration of and priority given to strategic communication in organizations. Both aspects constantly challenge the effectiveness, position and power of communication employees, making it necessary for them to continuously prove their worth – in relation to other professionals, in times of crisis, etc. Strategic communication in the Danish public sector is included as an empirical example, as communication practitioners, especially in this context, seem to be faced with professional challenges not least related to the organizational (external) setting, but also based on the (internal) nature of strategic communication.
Exploitation of cloud computing in management of construction projects in Slovakia
Authors: Mandičák Tomáš , Mesároš Peter , Kozlovská Mária 
Published: February 2017

Abstract
The issue of cloud computing is a highly topical issue. Cloud computing represents a new model for information technology (IT) services based on the exploitation of Web (it represents a cloud) and other application platforms, as well as software as a service. In general, the exploitation of cloud computing in construction project management has several advantages, as demonstrated by several research reports. Currently, research quantifying the exploitation of cloud computing in the Slovak construction industry has not yet been carried out. The article discusses the issue of exploitation of cloud computing in construction project management in Slovakia. The main objective of the research is to confirm whether factors such as size of construction enterprise, owner of construction enterprise and participant of construction project have any impact on the exploitation level of cloud computing in construction project management. It includes confirmation of differences in use between different participants of the construction project or between construction enterprises broken down by size and shareholders.
Application Protocol for the Consolidation of Calcareous Substrates by the Use of Nanolimes: From Laboratory Research to Practice
Authors: Borsoi Giovanni , Lubelli Barbara , van Hees Rob , Veiga Rosário , Santos Silva António 
Published: February 2017

AbstractCalcareous materials such as limestone and lime-based mortars, widely used in the Built Heritage, are often subjected to degradation processes that can lead to loss of cohesion and material loss. Consolidation of these materials with liquid products via the surface is a common practice; however, the most used consolidation products (e. g. TEOS-based) show a poor physical-chemical compatibility with calcareous substrates. For application on calcareous materials, the so-called nanolimes, i. e. dispersions of lime nanoparticles in alcohols, are an alternative to TEOS-based products, thanks to their chemical compatibility with lime-based substrates. Nanolimes can help to recover a superficial loss of cohesion. However, their in-depth consolidation effect is not always satisfactory. Previous work has shown that a better deposition of lime nanoparticles in depth can be achieved by adapting the properties of the nanolime dispersion (kinetic stability and evaporation rate) to the moisture transport properties of the substrate, through optimization of the solvent. In this paper, freshly synthetized nanolimes were dispersed in pure ethanol and/or in binary mixture of ethanol (95 %) and water (5 %). These nanolimes were applied on Maastricht limestone and on a lime-based mortar by capillary absorption (method commonly used for laboratory tests) and by nebulization (method widely usedin situ). The aim of this research is to fill the gap between laboratory tests and on site application, providing an application protocol for restorers and professionals in the field. The research shows that results obtained by application by capillary absorption do not always correspond to those obtained by nebulization. This fact should be considered when deciding on the use of a consolidation surface treatment in practice.
The Myth of the Angry Voters: Parliamentary Election in Slovak Republic
Authors: Žúborová Viera , Borarosová Ingrid 
Published: February 2017

Abstract
The recent parliamentary elections which took place in The Slovak Republic in March 2016 opened for many national and international commentators the bottled of demons from the past history of Slovakia. For the first time a Far right extremist political party entered into parliament and held seats there. They gained more than some standard political parties and also were not dubbed as the “black” horse of this election. As they were not measured by public opinion. The main purpose of this article is to analyze the fundamental purpose of voters that had elected this political party and on the other hand the main reason that has opened the parliamentary door to such a political entity that was not visible in the previous electoral periods or played any important role in the independence of Slovak republic. Our main assumption will be that which is taken from the media analysis before the parliamentary election and public opinion research. Our main variable from the external environment will be the migration refugee crisis and the rhetoric of political parties acting at national level. We can assume that this was one of the main reason for the entry of this political party within others which were “hidden” or covered by this crisis and were not mediatized in the media.
Preliminary Results Regarding the Present Morphometric Characters of Thermal Rudd, Scardinius racovitzai Müller 1958 from Pețea Spring Natural Reserve
Authors: Grigoraş Gabriela , Müller Tamás , Gagiu Adrian , Şerban Cecilia , Bontaş Ionuţ 
Published: February 2017

Abstract
The precarious temperature regime, associated with the negative influence of other environmental and biotic factors, represents a major risk for the survival of the thermal rudd from the lake Ochiul Mare, located in the Pârâul Peţea natural reserve. Therefore, a complex morphometric and body geometry analysis was conducted on specimens collected in 2013 in order to define the variability of the present population. The relatively small sample size is due to legislative restrictions on collecting endangered species, so statistical methods of analysis were applied to increase confidence in the assertions.
A New Recommended Practice for Fit-for-Purpose Well Abandonment
Authors: Wilson Adam 
Published: February 2017

This article, written by Special Publications Editor Adam Wilson, contains highlights of paper OTC 27084, “Introducing a New Recommended Practice for Fit-for-Purpose Well Abandonment,” by David Buchmiller, SPE, Per Jahre-Nilsen, Stian Sætre, and Eric Allen, SPE, DNV GL, prepared for the 2016 Offshore Technology Conference, Houston, 2–5 May. The paper has not been peer reviewed. Copyright 2016 Offshore Technology Conference. Reproduced by permission.
DNV GL is introducing a new, risk-based recommended practice for performing and qualifying well abandonments titled DNVGL-RP-E103, Risk-Based Abandonment of Offshore Wells. Most of the current regulations use prescriptive requirements for well-abandonment design and the necessary plugging operations. As an alternative to the established one-size-fits-all approaches, the DNV GL recommended practice analyzes the abandonment requirements for each well and field using a quantitative method that takes into account subsurface uncertainties.
Introduction
There is an ongoing paradigm shift toward differentiating plug-and-abandonment requirements on a well-by-well basis instead of having prescriptive requirements, which not only will provide the appropriate focus for complex wells and facilitate development of new technology but also will potentially reduce plug-and-abandonment expenditures.
The recommended practice is intended to provide an alternative approach based on functional requirements and risk-acceptance criteria to assess abandonment designs. This is consistent with offshore engineering practice and is in-tended to facilitate cost-efficient solutions, including the development of new technology. By calculating the risk levels for the proposed solutions and cross checking them with the risk-acceptance criteria, more-cost-effective solutions can be identified and implemented.
Advantages of this approach are that it has
Explicit criteria for environmental protection
Plug-and-abandonment spending focused on higher-risk wells
The ability to optimize well-abandonment design
The flexibility to make use of new plugging technology in the future
Site-specific considerations
Methodology, Data, and Results
The methodology for performing risk-based assessments of well-abandonment designs is composed of five steps. The steps are
Establishing the risk context
Identifying well-barrier-failure modes
Performing a risk analysis
Performing a risk evaluation
Conducting qualification for well-abandonment design
Fig. 1 depicts the elements in a well-abandonment risk assessment. Establishing the risk context is the first step in the process and applies to the entire assessment. The second, third, and fourth steps are part of the risk-assessment process, where the well-abandonment risks are identified, analyzed, and evaluated. At the conclusion of the risk-assessment process, a qualification of the well-abandonment design is performed.
Serum Uric Acid and the Risk of Incident and Recurrent Gout: A Systematic Review
Authors: Shiozawa Aki , Szabo Shelagh M. , Bolzani Anna , Cheung Antoinette , Choi Hyon K. 
Published: February 2017

Objective.Lowering serum uric acid (SUA) levels can essentially cure gout; however, this is not widely practiced. To summarize epidemiologic evidence related to this causal link, we conducted a systematic review of the published literature reporting the association between SUA level and incident and recurrent gout (i.e., gout flares).Methods.We systematically searched Medline, EMBASE, and the Cochrane Database of Systematic Reviews using separate search strategies for incident gout and recurrent gout. We screened 646 abstracts to identify 8 eligible articles reporting gout incidence and 913 abstracts to identify 18 articles reporting recurrent gout.Results.For both gout incidence and recurrence, a graded trend was observed where the risk was increased with higher SUA levels. Gout incidence rates per 1000 person-years from population-based studies ranged from 0.8 (SUA ≤ 6 mg/dl) to 70.2 cases (SUA ≥ 10 mg/dl). Recurrent gout risk in clinical cohorts ranged from 12% (SUA ≤ 6 mg/dl) to 61% (SUA ≥ 9 mg/dl) among those receiving urate-lowering therapy (ULT), and 3.7% (SUA 6–7 mg/dl) to 61% (SUA > 9.3 mg/dl) after successful ULT. Retrospective database studies also showed a graded relationship, although the strength of the association was weaker. Studies reporting mean flares or time-to-flare according to SUA showed similar findings.Conclusion.This systematic review confirms that higher SUA levels are associated with increased risk of incident and recurrent gout in a graded manner. Although few prospective cohorts have evaluated incident and recurrent gout according to SUA, the existing evidence underscores the need to treat to SUA targets, as recommended by the American College of Rheumatology and the European League Against Rheumatism.