bluuebunny/crossref_metadata_2025_split huggingface dataset:
Association Between Surgical Indications, Operative Risk, and Clinical Outcome in Infective Endocarditis
Authors: Chu Vivian H. , Park Lawrence P. , Athan Eugene , Delahaye Francois , Freiberger Tomas , Lamas Cristiane , Miro Jose M. , Mudrick Daniel W. , Strahilevitz Jacob , Tribouilloy Christophe , Durante-Mangoni Emanuele , Pericas Juan M. , Fernández-Hidalgo Nuria , Nacinovich Francisco , Rizk Hussien , Krajinovic Vladimir , Giannitsioti Efthymia , Hurley John P. , Hannan Margaret M. , Wang Andrew 
Published: December 2014

Background—
Use of surgery for the treatment of infective endocarditis (IE) as related to surgical indications and operative risk for mortality has not been well defined.

Methods and Results—

The International Collaboration on Endocarditis–PLUS (ICE-PLUS) is a prospective cohort of consecutively enrolled patients with definite IE from 29 centers in 16 countries. We included patients from ICE-PLUS with definite left-sided, non–cardiac device–related IE who were enrolled between September 1, 2008, and December 31, 2012. A total of 1296 patients with left-sided IE were included. Surgical treatment was performed in 57% of the overall cohort and in 76% of patients with a surgical indication. Reasons for nonsurgical treatment included poor prognosis (33.7%), hemodynamic instability (19.8%), death before surgery (23.3%), stroke (22.7%), and sepsis (21%). Among patients with a surgical indication, surgical treatment was independently associated with the presence of severe aortic regurgitation, abscess, embolization before surgical treatment, and transfer from an outside hospital. Variables associated with nonsurgical treatment were a history of moderate/severe liver disease, stroke before surgical decision, and
Staphyloccus aureus
etiology. The integration of surgical indication, Society of Thoracic Surgeons IE score, and use of surgery was associated with 6-month survival in IE.

Conclusions—

Surgical decision making in IE is largely consistent with established guidelines, although nearly one quarter of patients with surgical indications do not undergo surgery. Operative risk assessment by Society of Thoracic Surgeons IE score provides prognostic information for survival beyond the operative period.
S aureus
IE was significantly associated with nonsurgical management.
Treatment of the Periocular Complex in Paralytic Lagophthalmos
Authors: Loyo Myriam , Jones Danielle , Lee Linda N. , Collar Ryan M. , Molendijk Josher , Boahene Kofi D. , Ishii Lisa E. , Byrne Patrick J. 
Published: December 2014

Objectives: Paralytic lagophthalmos can lead to devastating exposure keratitis. The main surgical intervention consists of upper eyelid loading. However, adjunctive lower eyelid and brow procedures are also available as necessary. We sought to analyze the use of periocular procedures in paralytic lagophthalmos at Johns Hopkins. Methods: The method was a retrospective review of patients treated at a single tertiary care center from 2006 to 2012. Results: One hundred one patients met inclusion criteria, and 20 patients were excluded for not meeting the minimum follow-up. Upper eyelid loading was required on 95/101 patients (95%). Adjunctive procedures were necessary in 73% (73/101) of patients. Lower eyelid procedures were used in 47% (47/101) and brow lifts in 47% (47/101). Older patients (>50 years) were more likely to require lower eyelid procedures ( P = .04) and more likely to require revision ( P = .003). Medial canthopexy and direct brow lift were associated with the need for revision ( P = .006, P = .03). Conclusion: Paralytic lagophthalmos management is not one-size-fits-all. Upper eyelid loading is the mainstay of treatment; however, adjunctive procedures to the lower eyelid and brow are indicated in the majority of patients. Our retrospective review has allowed us to continue to refine our strategy for managing these patients.
Psychiatric admissions fall following the Christchurch earthquakes: An audit of inpatient data
Authors: Beaglehole Ben , Bell Caroline , Beveridge John , Frampton Chris 
Published: December 2014

Objective: Following the devastating earthquake in Christchurch, New Zealand, there was the widespread perception that the demand for inpatient mental health services would increase. However, our clinical observation was to the contrary, with substantial reductions in inpatient utilisation being noted. We therefore examined psychiatric bed occupancy and admission data to improve understanding of the impact of the disaster on mental health services. Method: We audited acute psychiatric bed occupancy and admission rates prior to and following a major earthquake. Results: After the earthquake, total bed occupancy reduced from an average of 93% to 79%. Daily admissions also reduced by 20.2% for the 30 days following the earthquake. All diagnostic groups, with the exception of the ‘Schizophrenia, schizotypal and delusional disorders’ category, contributed to the reduction. No rebound to increased occupancy or admissions was seen over the study period. Conclusion: The study confirmed our clinical observation that demand for acute inpatient psychiatric services were markedly reduced after the February 2011 earthquake.
Using a Reasoned Action Approach to examine US college women’s intention to get the HPV vaccine
Authors: Jozkowski Kristen N , Geshnizjani Alireza 
Published: December 2014

Objective: Although at high risk of contracting the human papillomavirus (HPV), less than one-half of US college women have been vaccinated. The purpose of this study was to identify underlying factors influencing college women’s intention to get the HPV vaccine via developing an instrument using the Reasoned Action Approach (RAA). Setting: Data were collected from college women at a large, public university in the Midwest USA via paper–pencil surveys. Design: The survey instrument was based on the RAA’s major constructs (attitude towards the act, perceived norms, perceived behavioural control) and was administered to a sample of 279 female college students. Results: Results indicated that attitude towards the act (β = .360, b = .694, standard error [ SE] = .092, t = 7.53) and perceived norms (β = .396, b = .544, SE = .068, t = 8.031) were the major predictors of intention to get vaccinated. Specifically, perceived consequences of getting the vaccine, such as protection against HPV and cervical cancer, were primary determinants influencing intention, and participants indicated that salient referents influenced their intention to get vaccinated. Conclusion: Using theory-based approaches to study a particular health behaviour such as HPV vaccination can aid the design of interventions as they help specify the underlying determinants influencing behaviour. Our findings suggest that such interventions should focus on attitudes and perceived norms, as these constructs were the strongest predictors of intention to get the vaccine. Our findings also add to the current body of literature supporting the relationship between the RAA constructs.
Hybridity at the heart of contemporary risk governance: the example of the safety of the food chain in Belgium
Authors: Raone Julien , Schiffino Nathalie 
Published: December 2014

What are the changes and challenges facing the public regulator in a context of risk governance? Through the analytical prism developed by Jacques Chevallier, this article proposes to examine the changes in the role of the public regulator by focusing on the style of public policy and governance tools. In the light of the hybridity observed in the study of the system regulating the safety of the food chain in Belgium, the contribution focuses on a double source of instability reflecting the tensions at the heart of the public values structuring the regulation system. A deconstruction of this hybridity reveals the negotiated and conflicting nature of the values underlying the action of the public regulator and its evaluation. Notes for practitioners Based on an inventory of the situation at the heart of the system regulating the risks to the safety of the food chain in Belgium, the contribution identifies the challenges faced by the public regulator in the context of risk governance. Observing the hybrid nature of their involvement, it highlights two sources of tension related to their policy style and their use of regulatory instruments. By considering the possible stabilization measures that could be taken to overcome tensions, three approaches have been identified as a means of adjusting the role of the public regulator, stressing the transversal importance of the findings.
Effects of vacuum steaming processes on the properties of continuous and staple polyester yarns
Authors: Şardağ Sibel , Özdemir Özcan 
Published: December 2014

In this study, the effects of vacuum steaming process parameters on physical properties, tensile properties and twist liveliness values of spun and filament 100% polyester yarns were investigated. For this purpose, yarns having different twisting coefficients and different numbers were twisted, and afterwards they were exposed to vacuum steaming at different temperatures and for different durations. Linear density, hairiness, unevenness values, tensile properties and twist liveliness of these yarns were measured before and after vacuum steaming. The results obtained were assessed by means of COSTAT and SPSS statistical analysis programs and variation analysis, and Student–Newman–Keuls tests were carried out at 5% (0.05) level of significance. The results of this study indicate that the effects of vacuum steaming temperature and duration on tensile properties, unevenness, hairiness and twist liveliness of spun polyester yarns, and tensile properties and twist liveliness of filament polyester yarns, are statistically significant.
Who Cares About Foot Care? Barriers and Enablers of Foot Self-care Practices Among Non-Institutionalized Older Adults Diagnosed With Diabetes
Authors: Matricciani Lisa , Jones Sara 
Published: December 2014

Purpose Appropriate and timely foot self-care practices may prevent diabetes-related foot complications. However, self-care practices are often neglected, particularly by older adults. The purpose of this study was to conduct an integrative, systematic literature review of the psychosocial barriers and enablers of foot self-care practices among older adults diagnosed with diabetes. Methods An integrative, systematic literature review and a deductive thematic analysis was conducted to determine psychosocial barriers and enablers of foot self-care practices among older adults. Results A total of 130 different studies were retrieved from the search strategy. From these, 9 studies were identified and included for review. Physical ability, perceived importance, patient knowledge, provision of education, social integration, risk status, and patient-provider communication were identified as key barriers and enablers of foot self-care. Participants at high risk of foot complications were found to perceive themselves at greater risk of complications, receive more education, and engage in better overall foot self-care practices compared to those at low risk of foot complications. Conclusion Foot self-care practices appear underutilized as primary prevention measures by older adults and are instead adopted only once complications have already occurred. Likewise, facilitators of foot self-care practices, such as education, appear to be reserved for individuals who have already developed foot complications. Health care professionals such as diabetes educators, podiatrists, and general practitioners may play an important role in the prevention of foot complications among older adults by recognizing, referring, and providing early education to older adults.
A Methodology to Analyze the Quality of Health Information on the Internet
Authors: Chumber Sundeep , Huber Jörg , Ghezzi Pietro 
Published: December 2014

Purpose The purpose of this work was to evaluate the criteria used to assess the quality of information on diabetic neuropathy on the Internet. Methods Different search engines (Google, Yahoo, Bing, and Ask) and 1 governmental health website (MedlinePlus) were studied. The websites returned (200 for each search engine) were then classified according to their affiliation (eg, commercial, professional, patient groups). A scoring system was devised from the literature to assess quality of information. Websites were also analyzed using the 2 most widely used instruments for assessing the quality of health information, the Journal of the American Medical Association (JAMA) scoring system and the Health On the Net Foundation (HON) certification. Results Professional websites or health portals scored better according to most criteria. Google and MedlinePlus returned results scoring significantly higher than other engines in some of the criteria. The use of different instruments gave different results and indicates that the JAMA score and the HON certification may not be sufficient ones. Conclusions This methodology could be used to evaluate the reliability and trustworthiness of information on the Internet on different topics to identify topic areas or websites where the available information is not appropriate.
Efficacy of RECIST and mRECIST criteria as prognostic factors in patients undergoing repeated iodized oil chemoembolization of intermediate stage hepatocellular carcinoma
Authors: Hyun Dongho , Shin Sung Wook , Cho Sung Ki , Park Kwang Bo , Park Hong Suk , Choo Sung Wook , Do Young Soo , Choo In-wook , Shin Jae-Wang , Lim Seong-Joo 
Published: December 2014

Background Given that transarterial chemoembolization (TACE) is usually a repeated procedure for treatment of hepatocellular carcinoma (HCC), repeated radiologic response assessments rather than a single time point assessment may have different clinical implications through the repeated course of TACE. Purpose To evaluate the efficacy of RECIST and mRECIST criteria as a survival predictor across early time points after repeated TACE of HCC. Material and Methods Ninety-eight patients with intermediate stage HCC received repeated iodized oil TACE. Treatment response was assessed according to RECIST and mRECIST criteria at 1, 3, and 6 months after initial TACE. Cox proportional model was used for survival analysis and the predicting power of each time point response was evaluated with C-statistics and time-dependent area under the receiver operating characteristic curve (AUC). Inter-method agreement was assessed with the κ coefficient. Results mRECIST was not applicable in 15 patients because of patchy uptake of iodized oil after TACE. On multivariate analysis, responders at 6 months by RECIST, responders at 3 months, and 6 months by mRECIST showed better survival than non-responders ( P < 0.05). Predicting power of response criteria improved over time and mRECIST at 6 months showed the best performance. The degree of agreements was poor or fair between RECIST and mRECIST. Conclusion mRECIST predicted long-term survival as early as 3 months after TACE of intermediate stage HCC. The predicting power of the uni-dimensional response criteria tended to be stronger over time.
Fat-suppressed, three-dimensional T1-weighted imaging using high-acceleration parallel acquisition and a dual-echo Dixon technique for gadoxetic acid-enhanced liver MRI at 3 T
Authors: Yoon Jeong Hee , Lee Jeong Min , Yu Mi Hye , Kim Eun Ju , Han Joon Koo , Choi Byung Ihn 
Published: December 2014

Background Parallel imaging (PI) techniques are used for overcoming lower spatial and time resolution for magnetic resonance imaging (MRI). There is clinical need to overcome inevitable noise by decreased voxel size and signal-to-noise issue by using high-acceleration factor (AF). Purpose To determine whether the combination of a modified Dixon three-dimensional (3D) T1-weighted (T1W) gradient echo technique (mDixon-3D-GRE) and high-acceleration ([HA], AF = 5) PI can provide breath-hold (BH) T1W imaging with better image quality than conventional fat-suppressed 3D-T1W-GRE (SPAIR-3D-GRE) for Gd-EOB-DTPA-enhanced liver MR. Material and Methods This retrospective study was approved by our institutional review board and informed consent was waived. There were 138 patients who underwent Gd-EOB-DTPA-enhanced liver MR at 3 T using either standard SPAIR-3D-GRE sequences with an AF of 2.6 ( n = 68, Standard group) or mDixon-3D-GRE with an AF of 5 ( n = 70, HA group). In the HA group, hepatobiliary phase was obtained three times using HA-mDixon-3D-GRE (AF = 5), HA-SPAIR-3D-GRE (AF = 5), and standard-SPAIR-3D-GRE (AF = 2.6). Image noise, quality, and anatomic depiction of dynamic phase were compared between standard and HA groups, and those of hepatobiliary phase were compared among the three image sets in HA group. Results As for dynamic imaging, the HA-mDixon-3D-GRE images showed better anatomic details and overall image quality than standard-SPAIR-3D-GRE sequence (arterial phase: 3.56 ± 0.63 vs. 2.66 ± 0.69, P < 0.001). In the intra-individual comparison, HA-mDixon-3D-GRE provided better orang depiction and overall image quality than standard-SPAIR-3D-GRE (3.99 ± 0.75 vs. 3.0 ± 0.72, P < 0.001) and better fat suppression and significantly less noise than HA-SPAIR-3D-GRE (4.76 ± 0.43 vs. 3.71 ± 0.54, P < 0.001). Conclusion The combined use of mDixon-3D-GRE sequence and high-acceleration PI provided better quality BH-T1W imaging compared with conventional SPAIR-3D-GRE for Gd-EOB-DTPA-enhanced liver MRI.
Locations of lesser tuberosity cysts and their association with subscapularis, supraspinatus, and long head of the biceps tendon disorders
Authors: Celikyay Fatih , Yuksekkaya Ruken , Deniz Caglar , Inal Sermet , Gokce Erkan , Acu Berat 
Published: December 2014

Background Humeral head cysts are not uncommon in individuals with rotator cuff disorders. The cysts are usually considered an indicator of rotator cuff pathologies; however, they may have different meanings in different regions. Purpose To determine the frequency of cysts within and adjacent to the lesser tuberosity and the relationship between these cysts and subscapularis, supraspinatus, and long head of the biceps tendon (LHBT) disorders. Material and Methods We retrospectively reviewed 760 consecutive shoulder magnetic resonance imaging (MRI) examinations. Among these MRIs, we selected a group of patients with cysts located around the lesser tuberosity. The study population was also divided into two subgroups, patients with cysts within the lesser tuberosity and those with cysts adjacent to the lesser tuberosity. In addition to the number and size of cysts, the MRI appearance of the tendons was evaluated. Results Eighty-one (10.7%) patients had cysts within and/or adjacent to the lesser tuberosity, 34 (42%) patients had cysts within the lesser tuberosity, and 47 (58%) patients had cysts adjacent to it. LHBT and subscapularis tendon disorders were significantly related to more than one cyst. In a univariate analysis, cysts within the lesser tuberosity were significantly associated with LHBT and subscapularis tendon disorders; however, multivariate analyses showed that only LHBT disorders were significantly associated with cysts within the lesser tuberosity. Conclusion Cysts within the lesser tuberosity were less common than cysts adjacent to it. LHBT and subscapularis tendon disorders were more frequently found in patients with more than one cyst within and/or adjacent to the lesser tuberosity. In addition, cysts within the lesser tuberosity were associated with LHBT disorders.
The association between stress and headache: A longitudinal population-based study
Authors: Schramm Sara H , Moebus Susanne , Lehmann Nils , Galli Ursula , Obermann Mark , Bock Eva , Yoon Min-Suk , Diener Hans-Christoph , Katsarava Zaza 
Published: December 2014

Introduction We studied the association between stress intensity and headache frequency for tension-type headache (TTH), migraine and migraine with coexisting TTH (MigTTH). Method We studied a population-based sample of 5159 participants (21–71 years) who were asked quarterly between March 2010 and April 2012 about headache and stress. Log-linear regression in the framework of generalized estimating equations was used to estimate regression coefficients presented as percent changes to describe the association between stress intensity (modified visual analog scale (VAS) from 0 to 100) and headache frequency (days/month) stratified by headache subtypes and age groups and adjusted for sex, age, frequent intake of acute pain drugs, drinking, smoking, BMI and education. Results TTH was reported in 31% participants (48.1 ± 12.5years, 51.5% women, 2.2 ± 3.9 mean headache days/month, 52.3 ± 26.7 mean stress), migraine in 14% (44.8 ± 11.3years, 73.3%, 4.5 ± 5.2 days/month, 62.4 ± 23.3), MigTTH in 10.6% (43.5 ± 11.5 years, 61.0%, 3.6 ± 4.8 days/month, 58.6 ± 24.1), 23.6% were unclassifiable, and 20.8% had no headache. In participants with TTH an increase of 10 points on VAS was associated with an increase of headaches days/month of 6.0% (adjusted). Higher effects were observed in younger age groups (21–30/31–40/41–50/51–60/61–71 years: 9.8/10.2/7.0/6.5/3.5%). Slightly lower effects were observed for migraine (4.3%, 8.1/5.1/3.4/6.3/0.3%) and MigTTH (4.2%, 5.5/6.8/6.9/5.8/–0.7%). Conclusion Our study provides evidence for an association between stress intensity and headache frequency.
Auditory hallucinations associated with migraine: Case series and literature review
Authors: Miller Eli E , Grosberg Brian M , Crystal Sara C , Robbins Matthew S 
Published: December 2014

Objective The objective of this review is to describe auditory hallucinations (paracusias) associated with migraine attacks to yield insights into their clinical significance and pathogenesis. Background Isolated observations have documented rare associations of migraine with auditory hallucinations. Unlike visual, somatosensory, language, motor, and brainstem symptoms, paracusias with acute headache attacks are not a recognized aura symptom by the International Headache Society, and no systematic review has addressed this association. Methods We retrospectively studied patients experiencing paracusias associated with migraine at our center and in the literature. Results We encountered 12 patients (our center = 5, literature = 7), 58% were female, and 75% had typical migraine aura. Hallucinations most commonly featured voices (58%), 75% experienced them during headache, and the duration was most often <1 hour (67%). No patients described visual aura evolving to paracusias. Most patients (50%) had either a current or previous psychiatric disorder, most commonly depression (67%). The course of headache and paracusias were universally congruent, including improvement with headache prophylaxis (58%). Conclusion Paracusias uncommonly co-occur with migraine and usually feature human voices. Their timing and high prevalence in patients with depression may suggest that paracusias are not necessarily a form of migraine aura, though could be a migraine trait symptom. Alternative mechanisms include perfusion changes in primary auditory cortex, serotonin-related ictal perceptual changes, or a release phenomenon in the setting of phonophobia with avoidance of a noisy environment.