bluuebunny/crossref_metadata_2025_split huggingface dataset:
Disease prevalence among nursery school children after the Great East Japan earthquake
Authors: Ishikuro Mami , Matsubara Hiroko , Kikuya Masahiro , Obara Taku , Sato Yuki , Metoki Hirohito , Isojima Tsuyoshi , Yokoya Susumu , Kato Noriko , Tanaka Toshiaki , Chida Shoichi , Ono Atsushi , Hosoya Mitsuaki , Yokomichi Hiroshi , Yamagata Zentaro , Tanaka Soichiro , Kure Shigeo , Kuriyama Shinichi 
Published: March 2017

ObjectiveTo investigate the relationship between personal experience of the Great East Japan Earthquake and various disease types among nursery school children.DesignWe conducted a nationwide survey of nursery school children born between 2 April 2006 and 1 April 2007. Nursery school teachers completed questionnaires if they agreed to join the study. Questionnaire items for children consisted of their birth year and month, sex, any history of moving into or out of the current nursery school, presence of diseases diagnosed by a physician at the age of 66–78 months and type of disaster experience. The survey was conducted from September 2012 to December 2012.SettingJapan, nationwide.ParticipantsA total of 60 270 nursery school children were included in the analysis, 840 of whom experienced the disaster on 11 March 2011.Main outcome measuresThe health status of children 1.5 years after the disaster based on nursery school records.ResultsExperiencing the disaster significantly affected the prevalence of overall and individual diseases. Furthermore, there was a difference in disease prevalence between boys and girls. In boys, experiencing the tsunami (OR 2.53, 95% CI 1.22 to 5.24) and living in an evacuation centre (OR 2.92, 95% CI 1.46 to 5.83) were remarkably associated with a higher prevalence of atopic dermatitis, but these trends were not observed among girls. Instead, the home being destroyed (OR 3.50, 95% CI 2.02 to 6.07) and moving house (OR 4.19, 95% CI 2.01 to 8.71) were positively associated with a higher prevalence of asthma among girls.ConclusionsOur study indicates that experiencing the disaster may have affected the health status of nursery school children at least up to 1.5 years after the disaster. Continuous monitoring of the health status of children is necessary to develop strategic plans for child health.
Global systematic review of Indigenous community-led legal interventions to control alcohol
Authors: Muhunthan Janani , Angell Blake , Hackett Maree L , Wilson Andrew , Latimer Jane , Eades Anne-Marie , Jan Stephen 
Published: March 2017

ObjectivesThe national and subnational governments of most developed nations have adopted cost-effective regulatory and legislative controls over alcohol supply and consumption with great success. However, there has been a lack of scrutiny of the effectiveness and appropriateness of these laws in shaping the health-related behaviours of Indigenous communities, who disproportionately experience alcohol-related harm. Further, such controls imposed unilaterally without Indigenous consultation have often been discriminatory and harmful in practice.Setting, participants and outcome measuresIn this systematic review of quantitative evaluations of Indigenous-led alcohol controls, we aim to investigate how regulatory responses have been developed and implemented by Indigenous communities worldwide, and evaluate their effectiveness in improving health and social outcomes. We included articles from electronic databases MEDLINE, EMBASE, CINAHL, PsycINFO and Web of Science from inception to December 2015.ResultsOur search yielded 1489 articles from which 18 met the inclusion criteria. Controls were implemented in rural and remote populations of high-income nations. Communities employed a range of regulatory options including alcohol rationing, prohibition of sale, importation or possession, restrictions on liquor sold, times of sale or mode of sale, Indigenous-controlled liquor licensing, sin tax and traditional forms of control. 11 studies reported interventions that were effective in reducing crime, injury deaths, injury, hospitalisations or lowering per capita consumption. In six studies interventions were found to be ineffective or harmful. The results were inconclusive in one.ConclusionsIndigenous-led policies that are developed or implemented by communities can be effective in improving health and social outcomes.
Determinants of second pregnancy among pregnant women: a hospital-based cross-sectional survey in China
Authors: Xu Xianglong , Zuo Hanxiao , Shi Zumin , Rao Yunshuang , Wang LianLian , Zeng Huan , Zhang Lei , Sharma Manoj , Reis Cesar , Zhao Yong 
Published: March 2017

ObjectivesThis study aimed to explore determinants of second pregnancy and underlying reasons among pregnant Chinese women.DesignThe study was a population-based cross-sectional survey.Setting16 hospitals in 5 provinces of Mainland China were included.ParticipantsA total of 2345 pregnant women aged 18 years or above were surveyed face to face by investigators between June and August 2015.Main outcome measuresThe pregnancy statuses (first or second pregnancy) and reasons for entering second pregnancy.ResultsA total of 1755 (74.8%) and 590 (25.2%) women in their respective first and second pregnancies were enrolled in this study. The most common self-reported reasons for entering second pregnancy among participants included the benefits to the first child (26.1%), love of children (25.8%), adoption of the 2-child policy (11.5%), concerns about losing the first child (7.5%) and suggestions from parents (7.5%). Pregnant women with low (prevalence ratio (PR) 1.96; 95% CI 1.62 to 2.36) and moderate education level (PR 1.97; 95% CI 1.65 to 2.36) were more likely to have a second pregnancy than their higher educated counterparts. Income was inversely associated with second pregnancy. However, unemployed participants (PR 0.79; 95% CI 0.66 to 0.95) were less likely to enter a second pregnancy than those employed. Women with moderate education were 3 times more likely to have a second child following the ‘2-child policy’ than the low education level subgroup.Conclusions1 in every 4 pregnant women is undergoing a second pregnancy. The benefits of the firstborn or the love of children were the key drivers of a second pregnancy. Low socioeconomic status was positively associated with a second pregnancy as well. The new 2-child policy will have an influence on China's demographics.
Stenotic lesion level did not affect outcomes of carotid endarterectomy
Authors: Suhara Masamitsu , Hoshina Katsuyuki , Akai Atsushi , Isaji Toshihiko , Akagi Daisuke , Yamamoto Kota , Miyahara Takuya , Watanabe Toshiaki 
Published: March 2017

Background Carotid endarterectomy is the established treatment for carotid artery stenosis, and remains the primary surgical option due to its superior outcomes compared to carotid arterial stenting. However, Japanese patients are known to have unfavorable anatomical conditions for carotid endarterectomy, with a relatively higher level of the carotid artery bifurcation than in the Western population. We investigated the outcomes of carotid endarterectomy in our institute and evaluated the procedural quality by comparing patients based on higher or lower lesion levels. Methods The clinical data of 65 patients who underwent carotid endarterectomy were collected retrospectively. The outcomes reviewed included stroke-free survival and stroke-free rate. The patients were divided into a higher group ( n = 25) and a lower group ( n = 40), based on lesion location in respect of the 2nd cervical vertebral level. Results There was no perioperative death and only one case of stroke in the higher group within 30 days after carotid endarterectomy. At 5 years after carotid endarterectomy, the stroke-free survival rates were 83.4% in the higher group and 87.8% in the lower group, while the stroke-free rates were 96.0% and 94.0%, respectively; there were no significant differences between groups. Conclusions Stenotic lesion level did not affect the outcome or procedural quality of carotid endarterectomy.
Effective dose in low-dose CT compared with radiography for templating of total hip arthroplasty
Authors: Geijer Mats , Rundgren Gustav , Weber Lars , Flivik Gunnar 
Published: March 2017

Background Recently, total hip arthroplasty (THA) has come to focus on restoration of individual anatomy including femoral neck anteversion and global offset (femoral and acetabular offset). Three-dimensional (3D) computed tomography (CT) data could provide a better basis for preoperative templating. The use of CT has been hampered by high radiation dose. Purpose To evaluate the effective dose used in pelvis and hip CT for THA templating. Material and Methods CT data from two clinical trials of THA were evaluated for CT scan length and volume CT dose index (CTDIvol). The effective doses from hip-knee-ankle CT and pelvis and hip radiography were compared. Conversion factors for effective dose for radiography were calculated using the PCXMC software. Results A reduced dose CT protocol for pelvis imaging gave a substantial dose reduction compared with standard CT, while maintaining sufficient image quality. Between the two clinical trials there was a significant reduction in effective CT dose corresponding to changes in the CT protocol ( P < 0.01). The CT dose for the latter group was similar to, but nevertheless significantly higher than for, radiography ( P < 0.01). However, in the latter group the theoretical minimum dose for CT, using the minimum scan length required by the templating software, was equal to the dose from radiography. Conclusion Although the CT dose remained higher than for radiography, potential reductions in scan length could reduce the dose further so that CT would have a comparable level of risk to radiography with the added benefit of 3D templating.
Epidemiology and Outcomes of Lisfranc Injuries Identified at the National Football League Scouting Combine
Authors: McHale Kevin J. , Vopat Bryan G. , Beaulieu-Jones Brendin R. , Sanchez George , Whalen James M. , McDonald Lucas S. , DiGiovanni Christopher W. , Theodore George H. , Provencher Matthew T. 
Published: March 2017

Background: Lisfranc injuries are challenging to treat and may have a detrimental effect on athletic performance. Purpose: (1) Determine the epidemiological characteristics of Lisfranc injuries at the annual National Football League (NFL) Scouting Combine, (2) define player positions at risk for these injuries, and (3) evaluate the impact that these injuries and radiographic findings have on NFL draft position and performance. Study Design: Cohort study; Level of evidence, 3. Methods: All players who sustained a Lisfranc injury prior to Combine evaluation between 2009 and 2015 were evaluated. The epidemiological characteristics, player positions affected, treatment methods, and number of missed collegiate games were recorded. Radiographic outcomes were analyzed via Combine radiograph findings, while NFL performance outcomes were assessed for all Lisfranc injuries (2009-2013) compared with matched controls in the first 2 years of play. Results: A total of 41 of 2162 (1.8%) Combine participants were identified with Lisfranc injuries, of whom 26 of 41 (63.4%) were managed operatively. Players who underwent surgery were more likely to go undrafted compared with players managed nonoperatively (38.5% vs 13.3%, operative vs nonoperative management, respectively; P = .04) and featured a worse NFL draft pick position (155.6 vs 109; P = .03). Lisfranc-injured players when compared with controls were noted to have worse outcomes in terms of NFL draft position (142 vs 111.3, Lisfranc-injured players vs controls, respectively; P = .04), NFL career length 2 years or longer (62.5% vs 69.6%; P = .23), and number of games played (16.9 vs 23.3; P = .001) and started (6.8 vs 10.5; P = .08) within the first 2 years of their NFL career. Radiographs demonstrated that 17 of 41 (41.5%) athletes had residual Lisfranc joint displacement greater than 2 mm compared with the contralateral foot. Lisfranc-injured athletes with greater than 2 mm residual displacement, when compared with matched controls, had worse draft position (156.9 vs 111.2 for Lisfranc-injured players vs controls, respectively; P = .009) and fewer games played (14.4 vs 23.3; P = .001) and started (3.1 vs 10.5; P = .03). Moreover, athletes with greater than 2 mm residual displacement featured worse outcomes across all assessed NFL variables versus athletes with residual displacement of 2 mm or less. Conclusion: Lisfranc injuries identified at the NFL Combine have an adverse effect on an NFL athlete’s draft status, draft position, and overall play during initial NFL seasons. In particular, residual displacement of the Lisfranc joint has a detrimental effect on the first 2 seasons of NFL play and may lead to long-lasting negative effects on the athlete’s career.
Magnetic resonance imaging tumor regression shrinkage patterns after neoadjuvant chemotherapy in patients with locally advanced breast cancer: Correlation with tumor biological subtypes and pathological response after therapy
Authors: Ballesio Laura , Gigli Silvia , Di Pastena Francesca , Giraldi Guglielmo , Manganaro Lucia , Anastasi Emanuela , Catalano Carlo 
Published: March 2017

The objective of this study is to analyze magnetic resonance imaging shrinkage pattern of tumor regression after neoadjuvant chemotherapy and to evaluate its relationship with biological subtypes and pathological response. We reviewed the magnetic resonance imaging studies of 51 patients with single mass-enhancing lesions (performed at time 0 and at the II and last cycles of neoadjuvant chemotherapy). Tumors were classified as Luminal A, Luminal B, HER2+, and Triple Negative based on biological and immunohistochemical analysis after core needle biopsy. We classified shrinkage pattern, based on tumor regression morphology on magnetic resonance imaging at the II cycle, as concentric, nodular, and mixed. We assigned a numeric score (0: none; 1: low; 2: medium; 3: high) to the enhancement intensity decrease. Pathological response on the surgical specimen was classified as complete (grade 5), partial (grades 4–3), and non-response (grades 1–2) according to Miller and Payne system. Fisher test was used to relate shrinkage pattern with biological subtypes and final pathological response. Seventeen patients achieved complete response, 25 partial response, and 9 non-response. A total of 13 lesions showed nodular pattern, 20 concentric, and 18 mixed. We found an association between concentric pattern and HER2+ (p < 0.001) and mixed pattern and Luminal A lesions (p < 0.001). We observed a statistical significant correlation between concentric pattern and complete response (p < 0.001) and between mixed pattern and non-response (p = 0.005). Enhancement intensity decrease 3 was associated with complete response (p < 0.001). Shrinkage pattern and enhancement intensity decrease may serve as early response indicators after neoadjuvant chemotherapy. Shrinkage pattern correlates with tumor biological subtypes.
Evidence-Based Design and Research-Informed Design: What’s the Difference? Conceptual Definitions and Comparative Analysis
Authors: Peavey Erin , Vander Wyst Kiley B. 
Published: March 2017

Objective: This article provides critical examination and comparison of the conceptual meaning and underlying assumptions of the concepts evidence-based design (EBD) and research-informed design (RID) in order to facilitate practical use and theoretical development. Background: In recent years, EBD has experienced broad adoption, yet it has been simultaneously critiqued for rigidity and misapplication. Many practitioners are gravitating to the term RID to describe their method of integrating knowledge into the design process. However, the term RID lacks a clear definition and the blurring of terms has the potential to weaken advances made integrating research into practice. Method: Concept analysis methods from Walker and Avant were used to define the concepts for comparison. Results: Conceptual definitions, process descriptions, examples (i.e., model cases), and methods of evaluation are offered for EBD and RID. Although EBD and RID share similarities in meaning, the two terms are distinct. When comparing evidence based (EB) and research informed, EB is a broad base of information types (evidence) that are narrowly applied (based), while the latter references a narrow slice of information (research) that is broadly applied (informed) to create an end product of design. Conclusions: Much of the confusion between the use of the concepts EBD and RID arises out of differing perspectives between the way practitioners and academics understand the underlying terms. The authors hope this article serves to generate thoughtful dialogue, which is essential to the development of a discipline, and look forward to the contribution of the readership.
Distribution of Subchondral Bone Puncture Strength in the Talus and Tibial Plafond: A Biomechanical Study
Authors: Ulrich Slif D. , Parks Brent G. , Tsai Michael A. , Miller Stuart D. 
Published: March 2017

We investigated talus and tibial plafond subchondral bone puncture strength based on surface location. Puncture tests of the subchondral bone were performed in 9 equal zones on the articular surface of 12 cadaver specimens aged 49.1 years (range, 36-56 years). Compressive load was applied through a microfracture awl at 2 mm/min. Puncture strength was defined as the first load drop in load-deflection curves. In the talus, zone 1 (215 ± 91 N) and zone 2, the anterior medial and anterior middle zones, had significantly greater puncture strength than zones 7, 8, and 9, the posterior medial, middle, and lateral zones (104 ± 43 N, 115 ± 43 N, and 102 ± 35 N, respectively; P < .001). In the tibial plafond, zone 3, the anterior-lateral zone, and zone 7, the posterior medial zone, had significantly greater strength than zone 8, the posterior middle zone (202 ± 72 N, 206 ± 121 N, and 112 ± 65 N, respectively; P < .001) These results suggest that the subchondral bone is significantly weaker to penetrative force in the posterior region than in the anterior region of the talar dome and of the tibial plafond. These findings may have implications for microfracture awl design and for understanding the complex anatomy and physiology of the ankle joint. Levels of Evidence: Controlled laboratory study
Steinmetzite, Zn2Fe3+(PO4)2(OH)·3H2O, a new mineral formed from alteration of phosphophyllite at the Hagendorf Süd pegmatite, Bavaria
Authors: Grey I. E. , Keck E. , Kampf A. R. , Mumme W. G. , Macrae C. M. , Gable R. W. , Glenn A. M. , Davidson C. J. 
Published: March 2017

AbstractSteinmetzite, ideally Zn2Fe3+(PO4)2(OH)·3H2O, is a new mineral from the Hagendorf-Süd pegmatite, Hagendorf, Oberpfalz, Bavaria, Germany. Steinmetzite was found in a highly oxidized zone of the Cornelia mine at Hagendorf-Süd. It has formed by alteration of phosphophyllite, involving oxidation of the iron and some replacement of Zn by Fe. Steinmetzite lamellae co-exist with an amorphous Fe-rich phosphate in pseudomorphed phosphophyllite crystals. The lamellae are only a few μm thick and with maximum dimension ∼50 μm. The phosphophyllite pseudomorphs have a milky opaque appearance, often with a glazed yellow to orange weathering rind and with lengths ranging from sub-mm to 1 cm. Associated minerals are albite, apatite, chalcophanite, jahnsite, mitridatite, muscovite, quartz and wilhelmgümbelite.Goethite and cryptomelane are also abundant in the oxidized zone. The calculated density is 2.96 g cm–3. Steinmetzite is biaxial (–) with measured refractive indices α = 1.642(2), β = 1.659 (calc.), γ = 1.660(2) (white light). 2V(meas) = 27(1)°; orientation isY≈b,X^c≈ 27°, with crystals flattened on {010} and elongated on [001]. Pleochroism shows shades of pale brown;Y>X≈Z. Electron microprobe analyses (average of seven crystals) with Fe reported as Fe2O3and with H2O calculated from the structure gave ZnO 31.1, MnO 1.7, CaO 0.5, Fe2O321.9, Al2O30.3, P2O532.9, H2O 14.1 wt.%, total 102.5%. The empirical formula based on 2 P and 12 O, with all iron as ferric and OH–adjusted for charge balance is Zn1.65Fe1.193+Mn0.112+Ca0.03Al0.023+(PO4)2(OH)1.21·2.79H2O. The simplified formula is Zn2Fe3+(PO4)2(OH)·3H2O.Steinmetzite is triclinic,P1̄, with unit-cell parameters:a= 10.438(2),b= 5.102(1),c= 10.546(2) Å, α = 91.37(2), β = 115.93(2) and γ = 94.20(2)°.V= 502.7(3) Å3,Z= 2. The strongest lines in the powder X-ray diffraction pattern are [dobsin Å (I) (hkl)] 9.313(65) (100), 5.077(38) (010), 4.726(47) (002), 4.657(100) (200), 3.365 (55) (3̄02), 3.071(54) (11̄2) and 2.735(48) (3̄1̄2). The structure is related to that of phosphophyllite.
Cytoreductive conditioning intensity predicts clonal diversity in ADA-SCID retroviral gene therapy patients
Authors: Cooper Aaron R. , Lill Georgia R. , Shaw Kit , Carbonaro-Sarracino Denise A. , Davila Alejandra , Sokolic Robert , Candotti Fabio , Pellegrini Matteo , Kohn Donald B. 
Published: March 2017

Key Points
Retroviral vector clonal diversity and T-cell receptor diversity correlated with intensity of busulfan conditioning. Some patients had stable dominant clones with retroviral vectors adjacent to known proto-oncogenes.
Clinical Activity of the γ-Secretase Inhibitor PF-03084014 in Adults With Desmoid Tumors (Aggressive Fibromatosis)
Authors: Kummar Shivaani , O'Sullivan Coyne Geraldine , Do Khanh T. , Turkbey Baris , Meltzer Paul S. , Polley Eric , Choyke Peter L. , Meehan Robert , Vilimas Rasa , Horneffer Yvonne , Juwara Lamin , Lih Ann , Choudhary Amul , Mitchell Sandra A. , Helman Lee J. , Doroshow James H. , Chen Alice P. 
Published: March 2017

Purpose Desmoid tumors (aggressive fibromatosis) arise from connective tissue cells or fibroblasts. In general, they are slow growing and do not metastasize; however, locally aggressive desmoid tumors can cause severe morbidity and loss of function. Disease recurrence after surgery and/or radiation and diagnosis of multifocal desmoid tumors highlight the need to develop effective systemic treatments for this disease. In this study, we evaluate objective response rate after therapy with the γ-secretase inhibitor PF-03084014 in patients with recurrent, refractory, progressive desmoid tumors. Patients and Methods Seventeen patients with desmoid tumors received PF-03084014 150 mg orally twice a day in 3-week cycles. Response to treatment was evaluated at cycle 1 and every six cycles, that is, 18 weeks, by RECIST (Response Evaluation Criteria in Solid Tumors) version 1.1. Patient-reported outcomes were measured at baseline and at every restaging visit by using the MD Anderson Symptoms Inventory. Archival tumor and blood samples were genotyped for somatic and germline mutations in APC and CTNNB1. Results Of 17 patients accrued to the study, 15 had mutations in APC or CTNNB1 genes. Sixteen patients (94%) were evaluable for response; five (29%) experienced a confirmed partial response and have been on study for more than 2 years. Another five patients with prolonged stable disease as their best response remain on study. Patient-reported outcomes confirmed clinician reporting that the investigational agent was well tolerated and, in subgroup analyses, participants who demonstrated partial response also experienced clinically meaningful and statistically significant improvements in symptom burden. Conclusion PF-03084014 was well tolerated and demonstrated promising clinical benefit in patients with refractory, progressive desmoid tumors who receive long-term treatment.