bluuebunny/crossref_metadata_2025_split huggingface dataset:
Endogenous-Lesioned Cervical Disc Herniation: A Retrospective Review of 9 Cases
Authors: Zhang Zifeng , Bai Yushu , Hou Tiesheng 
Published: December 2012

Abstract
The purpose of this study was to analyze the pathogenic mechanisms, clinical presentation, and surgical treatment of cervical disc herniation without external trauma. Between 2004 and 2008, 9 patients with cervical disc herniation and no antecedent history of trauma were diagnosed with cervical disc herniation and underwent surgical decompression. Pathogenic mechanisms, clinical presentation, surgical treatment, and prognosis were analyzed retrospectively. In 6 patients, herniation resulted from excessive neck motion rather than from external trauma. An injury from this source is termed an endogenous-lesioned injury. Patients exhibited neurologic symptoms of compression of the cervical spinal cord or nerve roots. In the other 3 patients, no clear cause for the herniation was recorded, but all patients had a desk job with long periods of head-down neck flexion posture. After surgery, all patients experienced a reduction in their symptoms and an uneventful recovery. Cervical disc herniation can occur in the absence of trauma. Surgical decompression is effective at reducing symptoms in these patients, similar to other patients with cervical disc herniation. Surgical treatment may be considered for this disorder when the herniation becomes symptomatic.
Survival Predictors of Patients With Primary Duodenal Adenocarcinoma
Authors: Kawahira Hiroshi , Miura Fumihiko , Saigo Kenichi , Matsunaga Akinao , Natsume Toshiyuki , Akai Takashi , Horibe Daisuke , Suzuki Kazufumi , Nabeya Yoshihiro , Hayashi Hideki , Miyauchi Hideaki , Shuto Kiyohiko , Asano Takehide , Matsubara Hisahiro 
Published: December 2012

Abstract
This single-institution experience retrospectively reviewed the outcomes in 21 patients with primary duodenal adenocarcinoma. Twelve patients underwent curative surgery, and 9 patients underwent palliative surgery at the Chiba University Hospital. The maximum follow-up period was 8650 days. All pathologic specimens from endoscopic biopsy and surgical specimens were reviewed and categorized. Twelve (57.1%) patients underwent curative surgery (R0): 4 pancreaticoduodenectomies (PD), 4 pylorus-preserving PDs (PpPD), 2 local resections of the duodenum and 2 endoscopic mucosal resections (EMR). Palliative surgery was performed for 9 patients (42.9%) following gastro-intestinal bypass. The median cause-specific survival times were 1784 days (range 160–8650 days) in the curative surgery group and 261 days (range 27–857 days) in the palliative surgery group (P  =  0.0003, log-rank test). The resectability of primary duodenal adenocarcinoma was associated with a smaller tumor size, a lower degree of tumor depth invasiveness, and less spread to the lymph nodes and distant organs.
Simultaneous Laparoscopic Resection of Colorectal Cancer and Synchronous Metastatic Liver Tumor
Authors: Hayashi Michihiro , Komeda Koji , Inoue Yoshihiro , Shimizu Tetsunosuke , Asakuma Mitsuhiro , Hirokawa Fumitoshi , Okuda Junji , Tanaka Keitaro , Kondo Keisaku , Tanigawa Nobuhiko 
Published: December 2012

AbstractLaparoscopic colorectal resection has been applied to advanced colorectal cancer. Synchronous liver metastasis of colorectal cancer would be treated safely and effectively by simultaneous laparoscopic colorectal and hepatic resection. Seven patients with colorectal cancer and synchronous liver metastasis treated by simultaneous laparoscopic resection were analyzed retrospectively. Three patients received a hybrid operation using a small skin incision, 2 patients underwent hand-assisted laparoscopic surgery using a small incision produced for colonic anastomosis, and 2 patients were treated with pure laparoscopic resection. The mean total operation duration was 407 minutes, and mean blood loss was 207 mL. Negative surgical margins were achieved in all cases. Mean postoperative hospital stay was 16.4 days. No recurrence at the surgical margin was observed in the liver. For selected patients with synchronous liver metastasis of colorectal cancer, simultaneous laparoscopic resection is useful for minimizing operative invasiveness while maintaining safety and curability, with satisfying short- and long-term results.
A Case of Marked Response to Preoperative Chemoradiotherapy for Rectal Cancer With Para-Aortic Lymph Node Metastasis
Authors: Horiuchi Atsushi , Matsuda Keiji , Akahane Takuya , Shimada Ryu , Shibuya Hajime , Hayama Tamuro , Yamada Hideki , Ishihara Souichirou , Nozawa Keijirou , Watanabe Toshiaki 
Published: December 2012

Abstract
A 67-year-old man had rectal cancer with para-aortic lymph node metastasis. Prior to surgical resection, tegafur-uracil and leucovorin had been administered orally as chemotherapy, and radiotherapy (50.4 Gy) was applied for the rectum and para-aortic lymph nodes. Low anterior resection was then performed, followed by 45 cycles of chemotherapy in total. Enlargement of the left axillary lymph nodes was noted during treatment, but nodes shrank in response to treatment with bevacizumab + FOLFIRI (i.e., irinotecan + 5-fluorouracil/leucovorin). As of the time of writing, 36 months after diagnosis, no swelling of the para-aortic lymph nodes was evident and chemotherapy was being continued. This patient was alive after achieving response to neoadjuvant therapy comprising chemotherapy and irradiation of the para-aortic lymph nodes, along with postoperative chemotherapy. This therapeutic approach of preoperative chemotherapy plus irradiation of the primary lesion and para-aortic lymph nodes has potential as an effective treatment.
Cyclin E Low-Molecular-Weight Isoform as a Predictor of Breast Cancer in Japanese Women
Authors: Tokai Yukiko , Maeda Shigeto , Yamaguchi Junzo , Uga Tatsuya , Hayashida Naomi , Taniguchi Ken , Eguchi Susumu , Kanematsu Takashi 
Published: December 2012

Abstract
Overexpression of low-molecular-weight isoforms (LMWI) of cyclin E in breast cancer cells is associated with poor prognosis and could serve a novel role in breast cancer progression. LMWI originate from proteolytic processing of cyclin E, which is deregulated and hyperactive. In this study, levels of full-form/LMWI cyclin E were determined with the use of Western blot analysis in 69 Japanese breast cancer patients. LMWI cyclin E levels were significantly correlated with known parameters such as tumor grade and estrogen/progesterone receptor expression. In multivariate analysis, patient survival was significantly correlated with tumor grade but not with either form of cyclin E. LMWI was not as strong a predictor as tumor grade in this study, whereas some cases of early relapse with LMWI overexpression and lower tumor grade were reported. Thus, LMWI might be a good complementary factor to other predictors for early relapse of breast cancer.
Minilaparotomy for Perforated Duodenal Ulcer
Authors: Ishida Hideyuki , Ishiguro Toru , Kumamoto Kensuke , Ohsawa Tomonori , Sobajima Jun , Ishibashi Keiichiro , Haga Norihiro 
Published: December 2012

Abstract
The usefulness of the minilaparotomy approach for perforated duodenal ulcer repair was retrospectively evaluated in 37 patients (26 men; mean age, 56.5 years). Simple closure with an omental patch by minilaparotomy (skin incision, ≤7 cm) was successful in 86.5% of the cases, with an operative mortality of 2.7%. Compared with the results in historic control patients who underwent conventional open surgery (n  =  27), a shorter operative time (P &lt; 0.01), lower frequency of analgesic use (P  =  0.03), earlier passage of flatus (P &lt; 0.01), and shorter hospital stay (P  =  0.04) were obtained in the patients undergoing minilapartomoy. The postoperative morbidity was identical between the two groups (16.2% versus 33.3%, P  =  0.40). On multivariate analysis, a large amount of intra-abdominal fluid was the only significant risk factor for extension of the minilaparotomy wound (P  =  0.012). The minilaparotomy approach appears to be a feasible, safe, and less invasive approach compared with the conventional open approach and could be a useful alternative to the laparoscopic approach in selected patients with perforated duodenal ulcer.
Incarcerated Diaphragmatic Hernia With Intrathoracic Bowel Obstruction After Right Liver Donation
Authors: Dieter Raymond A. , Spitz Jonathon , Kuzycz George 
Published: December 2012

Abstract
Liver transplantation has become an acceptable surgical procedure with the advancement of the technical and rejection considerations involved. Initially nonliving donors were used for transplantation procedures. However, with improved techniques, living donor procedures have become much more frequent. With this, complications involving the transplant organ donor may occur. We present 2 patients with intrathoracic bowel obstruction due to herniation of the small intestine and colon through a defect in the dome of the diaphragm with development of chest pain and gastrointestinal symptoms. Both patients were diagnosed by computerized tomography scan and had a right thoracotomy with lysis of the adhesions, reduction of the hernia, repair of the diaphragm, and mesh reinforcement of the diaphragm. Neither patient had a prior diaphragm defect. These patients, on review of the literature, represent the first 2 such reported cases and suggest the need to be aware of any potential diaphragm defects before closure of the abdomen after resection of the donor liver or if they develop appropriate symptomatology.
Popliteoperoneal In Situ Bypass Using the Small Saphenous Vein Enables Revascularization With Low Trauma
Authors: Lesser Thomas G. , Frisch Hans-Joachim , Freitag Siegfried , Venth Sabine 
Published: December 2012

Abstract
In patients with diabetes, a popliteocrural vein bypass frequently must be linked to the distal peroneal artery. To reduce trauma to the ischemically damaged tissue, we used a dorsal approach to the peroneal artery. With the patient prone, a incision parallel to the posterolateral margin of the Achilles tendon is made. After the deep crural fascia and flexor hallucis longus are split, access to the peroneal artery is easily obtained. The second segment of the popliteal artery is exposed in the popliteal cavity. The small saphenous vein is left in situ and anastomosed with the arteries after proximal and distal preparation and valvulotomy.
Planning for Baseline Medical Care Needs of a Displaced Population After a Disaster
Authors: Shrestha Sundar S. , Sosin Daniel M. , Meltzer Martin I. 
Published: December 2012

ABSTRACTObjective: To build a tool to assist disaster response planning and estimate the numbers of displaced persons that will require special medical care during a disaster.Methods: We developed a tool, titled MedCon:PreEvent, which incorporates data from the 2006 National Health Interview Survey, 2005 National Hospital Discharge Survey, and 2004 National Nursing Home Survey to calculate numbers of emergency room/emergency department (ER/ED) visits, surgeries, health care home visits, overnight hospital stays, office visits, and self-rated health status. We then used thresholds of more than 12 office visits or 6 or more ER/ED visits or 6 or more surgeries or more than 4 home visits or more than 6 overnight hospital stays within the past 12 months to calculate rates per million evacuees requiring special medical care, including daily bed hospital and nursing home bed occupancy.Results: We calculated that 79 428 (95% CI = 76 940-81 770) per million evacuees would need special medical care. The daily occupation of hospital beds would be 1710 beds (95% CI = 1328-2160) per million. The occupation of nursing home beds would be 5094 beds (95% CI = 5040-5148) per million. Changing the threshold to just those who self-rated health as “poor,” the demand for special medical care would be 24 348 (95% CI = 23 087-25 535) per million. Using threshold utilization values at half the original level would increase the estimate to 226 988 (95% CI = 224 444-229 384) per million.Conclusions: A substantial number of persons with preexisting conditions will need suitable medical care following a disaster. The MedCon:PreEvent tool can assist disaster planners to prepare for medical care needs of large numbers of evacuees and consider re-evaluating the approach to utilizing and augmenting medical care services.(Disaster Med Public Health Preparedness. 2012;6:335–341)
Critical Challenges and Impediments Affecting Rural Physicians During a Public Health Emergency
Authors: Putzer Gavin J. , Koro-Ljungberg Mirka , Duncan R. Paul 
Published: December 2012

ABSTRACTObjective: Disaster preparedness has become a health policy priority for the United States in the aftermath of the anthrax attacks, 9/11, and other calamities. It is important for rural health care professionals to be prepared for a bioterrorist attack or other public health emergency. We sought to determine the barriers impeding rural physicians from being prepared for a human-induced disaster such as a bioterrorist attack.Methods: This study employed a qualitative methodology using key informant interviews followed by grounded theory methods for data analysis. Semistructured interviews were conducted with 6 physicians in the state of Florida from federally designated rural areas.Results: The interview participants articulated primary barriers and the associated factors contributing to these barriers that may affect rural physician preparedness for human-induced emergencies. Rural physicians identified 3 primary barriers: accessibility to health care, communication between physicians and patients, and rural infrastructure and resources. Each of these barriers included associated factors and influences. For instance, according to our participants, access to care was affected by a lack of health insurance, a lack of finances for health services, and transportation difficulties.Conclusions: Existing rural organizational infrastructure and resources are insufficient to meet current health needs owing to a number of factors including the paucity of health care providers, particularly medical specialists, and the associated patient-level barriers. These barriers presumably would be exacerbated in the advent of a human-induced public health emergency. Thus, strategically implemented health policies are needed to mitigate the barriers identified in this study.(Disaster Med Public Health Preparedness. 2012;6:342–348)
An Immunization Information System to Meet Evolving Needs During the 2009-2010 Influenza A (H1N1) Vaccination Campaign
Authors: Schauer Stephanie L. , Hopfensperger Daniel J. , Verdon Matthew J. , Maerz Thomas R. , Gabor Gerald W. , Davis Jeffrey P. 
Published: December 2012

ABSTRACTIn 2009, a monovalent H1N1 influenza (H1N1) vaccine was manufactured in response to the pandemic of 2009 influenza A (H1N1) virus infection that emerged earlier in the year. The overall allocation of the H1N1 vaccine to the states was the purview of the federal government; thereafter, the states were accountable for distributing and reporting the number of doses of H1N1 vaccine administered weekly. This report describes how the Wisconsin Immunization Registry (WIR) was updated and used during the H1N1 immunization campaign and its role in meeting the federal H1N1 immunization reporting requirements. Activities to enhance the registry's functionality included the creation of a rapid data entry screen for providers to facilitate the entry of data into the WIR, and enhancing the reporting capabilities of the WIR to generate H1N1-related reports at the local level. Results of these activities included an increase in the number of WIR users, higher reported numbers of seasonal influenza doses administered, and the establishment of data streams from new users. Data completeness, the ability to accurately forecast doses needed, and validating administered doses were challenges in the changing environment.(Disaster Med Public Health Preparedness. 2012;6:402-407)
Incidences, Types, and Influencing Factors of Snow Disaster–Associated Injuries in Ningbo, China, 2008
Authors: Xu Guozhang , Ying Yanyan , Liu Yan , Chang Wenjun , Ni Hongxia , Zhu Yinchao , Xu Rong , Dong Hongjun , Shi Nanfeng , Ma Xu , Xu Lairong , Cai Yibiao , Ping Jianming , Han Yifang , Cao Guangwen 
Published: December 2012

ABSTRACTObjective:The incidence, types, and influencing factors of injuries due to snow-ice disasters are essential for public health preparedness. This study was designed to assess such factors of injuries during the 22-day snowstorm in Ningbo, Zhejiang Province, China, in 2008.Methods:A multistage cluster probability sampling method was applied to select the study population in urban, rural, and mountainous areas. Data including sociodemographic characteristics, frequency, and types of injuries during the snowstorm between January 20 and February 10, 2008, were obtained by face-to-face interviews using a structured questionnaire and by checking the participants' medical records. Univariate and multivariate regression analyses were used to determine the factors significantly associated with the risk of injuries.Results:A total of 3169 residents of 1416 families took part in this survey. In 581 residents, 602 injuries were identified. Incidences of frostbite, falling injury, and traffic accident–related injury were 12.78%, 5.30%, and 0.50%, respectively. Injury occurred more frequently in women than in men (odds ratio [OR], 1.42; 95% CI, 1.19-1.70). Frostbite occurred more frequently in women than in men (adjusted OR, 1.86; 95% CI, 1.43-2.41) and more frequently in urban areas than in other areas (adjusted OR, 1.65; 95% CI, 1.24-2.20). Travel by bus or car, wearing a scarf, wearing gloves, wearing a raincoat, reducing outdoor activity, and performing regular physical exercise were independent protective factors of frostbite, with an adjusted OR (95% CI) of 0.35 (0.20-0.61), 0.45 (0.33-0.62), 0.35 (0.26-0.48), 0.45 (0.33-0.61), 0.36 (0.27-0.48), and 0.18 (0.13-0.24), respectively. Falling injury occurred more often in mountainous areas than in other areas (adjusted OR, 1.74; 95% CI, 1.27-2.42). Age 45 years or older, working outside more than 15 days, and wearing a raincoat were independent risk factors of falling injury, with an adjusted OR (95% CI) of 2.30 (1.60-3.32), 1.92 (1.36-2.72), and 2.21 (1.56-3.11), respectively. Falling and traffic accident–related injuries were mainly due to slippery roads.Conclusions:Frostbite and falling injury were the major injuries caused by an unprecedented snow-ice disaster. Keeping warm and maintaining regular physical exercise appeared to reduce frostbite risk. Public health intervention also reduced the risk of falling and traffic accident–related injuries.(Disaster Med Public Health Preparedness. 2012;6:363-369)
Beyond von‐Neumann Computing with Nanoscale Phase‐Change Memory Devices
Authors: Wright C. David , Hosseini Peiman , Diosdado Jorge A. Vazquez 
Published: December 2012

AbstractHistorically, the application of phase‐change materials and devices has been limited to the provision of non‐volatile memories. Recently, however, the potential has been demonstrated for using phase‐change devices as the basis for new forms of brain‐like computing, by exploiting their multilevel resistance capability to provide electronic mimics of biological synapses. Here, a different and previously under‐explored property that is also intrinsic to phase‐change materials and devices, namely accumulation, is exploited to demonstrate that nanometer‐scale electronic phase‐change devices can also provide a powerful form of arithmetic computing. Complicated arithmetic operations are carried out, including parallel factorization and fractional division, using simple nanoscale phase‐change cells that process and store data simultaneously and at the same physical location, promising a most efficient and effective means for implementing beyond von‐Neumann computing. This same accumulation property can be used to provide a particularly simple form phase‐change integrate‐and‐fire “neuron”, which, by combining both phase‐change synapse and neuron electronic mimics, potentially opens up a route to the realization of all‐phase‐change neuromorphic processing.
In Situ Generated Gas Bubble‐Directed Self‐Assembly: Synthesis, and Peculiar Magnetic and Electrochemical Properties of Vertically Aligned Arrays of High‐Density Co3O4 Nanotubes
Authors: Tong Guoxiu , Guan Jianguo , Zhang Qingjie 
Published: December 2012

AbstractA novel and versatile gas bubble induced self‐assembly technique is developed for the one‐step fabrication of vertically aligned polycrystalline Co3O4 nanotube arrays (NTAs) by the rapid thermal decomposition of Co(NO3)2·6H2O on a flat substrate. In this protocol, the in situ generation and release of gas bubbles, which can be regulated by elaborately adjusting the kinetic factors such as reaction time, decomposition temperature and pressure as well as the content of the chemically adsorbed water, play a vital role in the formation of the Co3O4 NTAs. Due to the shape anisotropy, ordered hierarchically porous structure and high surface area, the as‐obtained Co3O4 NTAs show unique magnetic properties of a low Néel temperature and a large exchange bias field, as well as an initial discharge capacity up to 1293 mAh·g−1 at 35 mA·g−1 and the retention of a charge capacity as high as 895.4 mAh·g−1 after 10 cycles. This endows them with important potential use in magnetic shielding, magnetic recording media, and lithium ion batteries, etc. Due to the simplicity of the self‐assembly method, this process is applicable to the large‐scale production of the Co3O4 NTAs, and may be extended to other materials.
Super‐Flexible Nanogenerator for Energy Harvesting from Gentle Wind and as an Active Deformation Sensor
Authors: Lee Sangmin , Bae Sung‐Hwan , Lin Long , Yang Ya , Park Chan , Kim Sang‐Woo , Cha Seung Nam , Kim Hyunjin , Park Young Jun , Wang Zhong Lin 
Published: December 2012

AbstractUsing an Al‐foil of thickness ≈18 μm as a substrate and electrode, a piezoelectric nanogenerator (NG) that is super‐flexible in responding to the wavy motion of a very light wind is fabricated using ZnO nanowire arrays. The NG is used to harvest the energy from a waving flag, demonstrating its high flexibility and excellent conformability to be integrated into fabric. The NG is applied to detect the wrinkling of a human face, showing its capability to serve as an active deformation sensor that needs no extra power supply. This strategy may provide a highly promising platform as energy harvesting devices and self‐powered sensors for practical use wherever movement is available.
Powering up the Future: Radical Polymers for Battery Applications
Authors: Janoschka Tobias , Hager Martin D. , Schubert Ulrich S. 
Published: December 2012

AbstractOur society's dependency on portable electric energy, i.e., rechargeable batteries, which permit power consumption at any place and in any time, will eventually culminate in resource wars on limited commodities like lithium, cobalt, and rare earth metals. The substitution of conventional metals as means of electric charge storage by organic and polymeric materials, which may ultimately be derived from renewable resources, appears to be the only feasible way out.In this context, the novel class of organic radical batteries (ORBs) excelling in rate capability (i.e., charging speed) and cycling stability (>1000 cycles) sets new standards in battery research. This review examines stable nitroxide radical bearing polymers, their processing to battery systems, and their promising performance.