bluuebunny/crossref_metadata_2025_split huggingface dataset:
Tibiotalocalcaneal Fusion Using the Hindfoot Arthrodesis Nail
Authors: Rammelt Stefan , Pyrc Jaroslaw , Ågren Per-Henrik , Hartsock Langdon A. , Cronier Patrick , Friscia David A. , Hansen Sigvard T. , Schaser Klaus , Ljungqvist Jan , Sands Andrew K. 
Published: April 2013

Background: Tibiotalocalcaneal arthrodesis is a salvage option for severe ankle and hindfoot deformities, arthritis of the ankle and subtalar joints, avascular necrosis of the talus, failed total ankle arthroplasty, and Charcot arthropathy. This multicenter study reports clinical experience with the hindfoot arthrodesis nail (HAN) in the treatment of patients with severe ankle and foot abnormalities. Methods: Seven participating clinics from Europe and North America recruited 38 patients who underwent ankle/subtalar arthrodesis using retrograde nailing with the HAN. Information was collected regarding technical details, complications, and functional and quality of life outcomes (Short Form-36 [SF-36], American Academy of Orthopaedic Surgeons—Foot and Ankle Outcomes [AAOS-FAO], and numeric rating scale [NRS] for pain) after an average of 2 years of follow-up. Results: The rate of superficial wound infection was 2.4%. No deep soft tissue or bone infections were reported. The overall union rate was 84%. At the time of follow-up, low pain levels were reported, with a mean NRS of 2.2; the mean AAOS-FAO score was 38; and the SF-36 mean physical and mental health component scores were 41.2 and 52.5, respectively. All 13 patients who were unable to work prior to surgery were able to fully return to work. Conclusions: The HAN offered a safe and reliable salvage option for tibiotalocalcaneal arthrodesis in patients with severe ankle and hindfoot disease. It achieved acceptable functional outcome and low complication rates despite the challenging patient cohort. A considerable socioeconomic benefit appeared to result based on the high proportion of patients who were able to return to work postoperatively. Level of Evidence: Level IV, retrospective case series.
Allograft Reconstruction of Peroneal Tendons
Authors: Mook William R. , Parekh Selene G. , Nunley James A. 
Published: April 2013

Background: Irreparable peroneal tendon tears are uncommon and require complex surgical decision making. Intercalary segment allograft reconstruction has been previously described as a treatment option; however, there are no reports of the outcomes of this technique in the literature. We describe our technique and present our results using this method. Methods: A retrospective chart review was conducted to identify all patients who underwent intercalary allograft reconstruction of the peroneal tendons. Mechanism of injury, concomitant operative procedures, pertinent radiographic findings, pre- and postoperative physical examination, intercalary graft length, medical history, visual analog scale (VAS) score for pain, Short Form-12 (SF-12) physical health survey, Lower Extremity Functional Score (LEFS), and complications were reviewed. Results: Fourteen patients with peroneal tendon ruptures requiring reconstruction were identified. Mean follow-up was 17 months (range, 7-47 months; median, 12 months). The average length of the intercalary segment reconstructed was 10.8 ± 3.8 cm (range, 6-20 cm). The average postoperative VAS score decreased to 1.0 ± 1.4 ( P = .0005). No patient had a higher postoperative pain score than preoperative pain score. Average postoperative eversion strength as categorized by the Medical Research Council grading scale improved to 4.8 ± 0.5 ( P = .001). The average SF-12 score improved to 48.8 ± 7.8 ( P = .02). The average LEFS improved to 86.4. ± 14.9 ( P = .00001). Four patients experienced sensory numbness in the sural nerve distribution, and 2 of these were transient. There were no postoperative wound healing complications, infections, tendon reruptures, or reoperations. No allograft associated complications were encountered. All patients returned to their preinjury activity levels. Conclusion: Allograft reconstruction of the peroneal tendons can improve strength, decrease pain, and yield satisfactory patient-reported outcomes. It can be performed without incurring the deleterious effects associated with tendon transfer procedures. We believe that allograft reconstruction is a safe and useful alternative in the treatment of irreparable peroneal tendon ruptures. Level of Evidence: Level IV, retrospective case series.
Hypercoagulation Assessed by Thromboelastography is Neither Related to Infarct Size nor to Clinical Outcome After Primary Percutaneous Coronary Intervention
Authors: Dridi Nadia Paarup , Lønborg Jacob T. , Radu Maria D. , Clemmensen Peter , Engstrøm Thomas , Kelbæk Henning , Jørgensen Erik , Helqvist Steffen , Saunamäki Kari , Christensen Troels H. , Baeres Florian M.M. , Johansson Pär I. , Holmvang Lene 
Published: April 2013

Objectives: We investigated the relationship between coagulation assessed by thromboelastography (TEG) and myocardial damage in ST-segment elevation myocardial infarction (STEMI). Methods: We measured platelet activity with TEG-maximum amplitude (TEG-MA) in 233 patients undergoing urgent percutaneous coronary intervention (PCI). Infarct size and myocardial salvage index were evaluated using cardiac magnetic resonance, and the relation of these parameters to posttreatment coagulation was examined retrospectively. Adverse events were adjudicated and related to the coagulation status during the index event. Results: Hypercoagulation was found in 82 (35.2%) patients and was neither correlated to infarct size nor correlated to myocardial salvage index ( P = .28 and .65, respectively) or clinical adverse events. Patients who experienced an adverse event during follow-up had a slightly higher TEG-MA value than patients with an event-free follow-up, but this was not statistically significant (68.1 vs 67.3, P = .44). Conclusions: The TEG-MA does not appear to be a sensitive predictor of reperfusion success and prognosis in urgent PCI for STEMI.
The magnetic resonance imaging ‘rule of five’: predicting the occurrence of relapse
Authors: Morgan Charity J , Ranjan Ashutosh , Aban Inmaculada B , Cutter Gary R 
Published: April 2013

Background: Clinical intuition suggests that a sharp increase in the number of enhancing lesions should signal an increased risk of relapse. The ‘rule of five’ recommends that subjects exhibiting at least five lesions over the baseline level be referred for closer monitoring. This rule has been used as an informal safety criterion with limited formal evaluation. Objective: The purpose of this study was to determine the best threshold for the rule and to demonstrate its predictive validity for risk of subsequent relapses for multiple sclerosis (MS) trials. Methods: We used logistic regression modeling to apply the rule to patient data from a phase II clinical trial. Predictive validity was ascertained using rate ratios and receiver operating characteristic (ROC) curves. Results: We found that, for these data, a threshold of five lesions over the baseline constituted the best definition of a threshold. Overall, 35% of subjects broke the rule at least once. Breaking the rule increased the odds of imminent relapse by a factor of 3.2 (95% confidence interval (CI): 1.8–5.5). Conclusion: Breaking the rule of five was found to be a significant predictor of an imminent relapse. Length of follow-up and the number of lesions discovered via magnetic resonance imaging (MRI) were also significant predictors of relapse.
A flood-based information flow analysis and network minimization method for gene regulatory networks
Authors: Pavlogiannis Andreas , Mozhayskiy Vadim , Tagkopoulos Ilias 
Published: April 2013

Abstract

Background
Biological networks tend to have high interconnectivity, complex topologies and multiple types of interactions. This renders difficult the identification of sub-networks that are involved in condition- specific responses. In addition, we generally lack scalable methods that can reveal the information flow in gene regulatory and biochemical pathways. Doing so will help us to identify key participants and paths under specific environmental and cellular context.

Results
This paper introduces the theory of network flooding, which aims to address the problem of network minimization and regulatory information flow in gene regulatory networks. Given a regulatory biological network, a set of source (input) nodes and optionally a set of sink (output) nodes, our task is to find (a) the minimal sub-network that encodes the regulatory program involving all input and output nodes and (b) the information flow from the source to the sink nodes of the network. Here, we describe a novel, scalable, network traversal algorithm and we assess its potential to achieve significant network size reduction in both synthetic and E. coli networks. Scalability and sensitivity analysis show that the proposed method scales well with the size of the network, and is robust to noise and missing data.

Conclusions
The method of network flooding proves to be a useful, practical approach towards information flow analysis in gene regulatory networks. Further extension of the proposed theory has the potential to lead in a unifying framework for the simultaneous network minimization and information flow analysis across various “omics” levels.
miRNA regulated pathways in late stage murine lung development
Authors: Mujahid Sana , Logvinenko Tanya , Volpe MaryAnn V , Nielsen Heber C 
Published: April 2013

Abstract

Background
MicroRNAs play important roles in regulating biological processes, including organ morphogenesis and maturation. However, little is known about specific pathways regulated by miRNA during lung development. Between the canalicular and saccular stages of the developing lung several important cellular events occur, including the onset of surfactant synthesis, microvascular remodeling and structural preparation for subsequent alveolarization. The miRNAs that are actively regulated, and the identity of their targets during this important developmental interval in the lung remain elusive.

Results
Using TLDA low density real-time PCR arrays, the expression of 376 miRNAs in male and female fetal mouse lungs of gestational days E15 – E18 were profiled. Statistical analyses identified 25 and 37 miRNAs that changed significantly between sexes and with gestation, respectively. In silico analysis using Ingenuity Pathway Analysis (IPA) identified specific pathways and networks known to be targets of these miRNAs which are important to lung development. Pathways that are targeted by sex regulated miRNAs include retinoin, IGFR1, Tp53 and Akt. Pathways targeted by gestation-regulated miRNAs include VEGFA and mediators of glucose metabolism.

Conclusion
MiRNAs are differentially regulated across time and between sexes during the canalicular and saccular stages of lung development. Sex-associated differential miRNA expression may regulate the differences in structural and functional male and female lung development, as shown by networks generated using in silico analysis. These data provide a valuable resource to further enhance the understanding of miRNA control of lung development and maturation.
Development, organization, and remodeling of phoronid muscles from embryo to metamorphosis (Lophotrochozoa: Phoronida)
Authors: Temereva Elena N , Tsitrin Eugeni B 
Published: April 2013

Abstract
Background
The phoronid larva, which is called the actinotrocha, is one of the most remarkable planktotrophic larval types among marine invertebrates. Actinotrochs live in plankton for relatively long periods and undergo catastrophic metamorphosis, in which some parts of the larval body are consumed by the juvenile. The development and organization of the muscular system has never been described in detail for actinotrochs and for other stages in the phoronid life cycle.

Results
In Phoronopsis harmeri, muscular elements of the preoral lobe and the collar originate in the mid-gastrula stage from mesodermal cells, which have immigrated from the anterior wall of the archenteron. Muscles of the trunk originate from posterior mesoderm together with the trunk coelom. The organization of the muscular system in phoronid larvae of different species is very complex and consists of 14 groups of muscles. The telotroch constrictor, which holds the telotroch in the larval body during metamorphosis, is described for the first time. This unusual muscle is formed by apical myofilaments of the epidermal cells. Most larval muscles are formed by cells with cross-striated organization of myofibrils. During metamorphosis, most elements of the larval muscular system degenerate, but some of them remain and are integrated into the juvenile musculature.

Conclusion
Early steps of phoronid myogenesis reflect the peculiarities of the actinotroch larva: the muscle of the preoral lobe is the first muscle to appear, and it is important for food capture. The larval muscular system is organized in differently in different phoronid larvae, but always exhibits a complexity that probably results from the long pelagic life, planktotrophy, and catastrophic metamorphosis. Degeneration of the larval muscular system during phoronid metamorphosis occurs in two ways, i.e., by complete or by incomplete destruction of larval muscular elements. The organization and remodeling of the muscular system in phoronids exhibits the combination of protostome-like and deuterostome-like features. This combination, which has also been found in the organization of some other systems in phoronids, can be regarded as an important characteristic and one that probably reflects the basal position of phoronids within the Lophotrochozoa.
Long-term effects of sulfur mustard on civilians’ mental health 20 years after exposure (The Sardasht-Iran Cohort Study)
Authors: Roshan Rasoul , Rahnama Parvin , Ghazanfari Zeinab , Montazeri Ali , Soroush Mohammad Reza , Naghizadeh Mohammad Mehdi , Melyani Mahdiyeh , Tavoli Azadeh , Ghazanfari Tooba 
Published: April 2013

AbstractBackgroundSulfur mustard (SM) is an alkylating agent that induces short and long term toxicity on various organs. The aim of this study was to assess the long-term psychological symptoms among samples of exposed to sulfur mustard gas compared with unexposed civilians 20 years after exposure.MethodsThis historical cohort study was conducted on 495 civilians of Sardasht and Rabat in two age matched groups, including 367 sulfur mustard exposed participants from Sardasht and 128 unexposed subjects from Rabat. Psychological symptoms was assessed using the Symptom Check List-90 Revised (SCL-90-R) including measures of somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation, and psychoticism providing three global distress indices namely: Global Severity Index (GSI), Positive Symptom Total (PST) and Positive Symptom Distress Index (PSDI). Comparison was made between exposed and unexposed civilians.ResultsThere were significant differences in somatization (P = 0.002), obsessive-compulsive (P = 0.031), depression (P = 0.007), anxiety (P = 0.042), and hostility (P = 0.002), between the exposed and unexposed groups. In addition there were significant differences between two groups concerning the GSI (P = 0.045) and the PSDI (P < 0.001). The differences between two groups in other subscales were not significant.ConclusionsThe findings from this study showed that civilians who exposed to sulfur mustard gas were suffering from a number of psychological symptoms even 20 years after exposure. Providing mental health services and more resource allocation for this community are highly recommended.
Limited resection and two-staged lobectomy for non-small cell lung cancer with ground-glass opacity
Authors: Ohtaka Kazuto , Hida Yasuhiro , Kaga Kichizo , Kato Tatsuya , Muto Jun , Nakada-Kubota Reiko , Hirano Satoshi , Matsui Yoshiro 
Published: April 2013

Abstract

Background
Lung tumors showing ground-glass opacities on high-resolution computed tomography indicate the presence of inflammation, atypical adenomatous hyperplasia, or localized bronchioloalveolar carcinoma. We adopted a two-staged video-assisted thoracoscopic lobectomy strategy involving completion lobectomy for localized bronchioloalveolar carcinoma with an invasive component according to postoperative pathological examination by permanent section after partial resection.

Methods
Forty-one patients with undiagnosed small peripheral ground-glass opacity lesions underwent partial resection from 2001 to 2007 in Hokkaido University Hospital. Localized bronchioloalveolar carcinoma was classified according to the Noguchi classification for adenocarcinoma. Malignant lesions other than Noguchi types A and B were considered for completion lobectomy and systemic mediastinal lymphadenectomy. Perioperative data of completion video-assisted thoracoscopic lobectomies were compared with data of 67 upfront video-assisted thoracoscopic lobectomies for clinical stage IA adenocarcinoma performed during the same period.

Results
Postoperative pathological examination revealed 35 malignant and 6 non-malignant diseases. Histologically, all of the malignant diseases were adenocarcinomas of Noguchi type A (n = 7), B (n = 9), C (n = 18), and F (n = 1). Eleven of 19 patients (58%) with Noguchi type C or F underwent two-staged video-assisted thoracoscopic lobectomy. Three patients refused a second surgery. There was no cancer recurrence. The two-staged lobectomy group had a significantly longer operative time and more blood loss than the upfront lobectomy group. There was no surgical mortality or cancer recurrence.

Conclusions
Two-staged lobectomy for undiagnosed small peripheral ground-glass opacity lesions showed satisfactory oncological results. However, low compliance for and invasiveness of the second surgery are concerns associated with this strategy.
National survey of pediatric services available in US emergency departments
Authors: Sullivan Ashley F , Rudders Susan A , Gonsalves Amanda L , Steptoe Anne P , Espinola Janice A , Camargo Carlos A 
Published: April 2013

Abstract

Background
Children account for nearly 20% of all US emergency department (ED) visits, yet previous national surveys found that many EDs lack specialized pediatric care. In response, a 2001 joint policy statement recommended resources needed by EDs for effective pediatric emergency care delivery. We sought to update and enhance previous estimates of pediatric services available in US EDs.

Methods
We administered a telephone survey to a 5% random sample (n = 279) of all US EDs from the 2007 National Emergency Department Inventory-USA. The survey collected data on local capabilities (including typical management of three clinical scenarios) and prevalence of a coordinator for pediatric emergency care. We used descriptive statistics to summarize data. Multivariable logistic regression was used to examine the association between survey respondent and ED characteristics as well as the presence of a coordinator for pediatric emergency medicine.

Results
Data were collected from 238 hospitals (85% response rate). A minority of hospitals had pediatric departments (36%) or intensive care units (12%). The median annual number of ED visits by children was 3,870 (interquartile range 1,500–8,800). Ten percent of hospitals had a separate pediatric ED; only 17% had a designated pediatric emergency care coordinator. Significant positive predictors of a coordinator were an ED pediatric visit volume of ≥1 patient per hour and urban location. Most EDs treated only mild-to-moderate cases of childhood bronchiolitis and asthma exacerbation (77% and 65%, respectively). Less than half (48%) of the hospitals reported the ability to surgically manage a child with acute appendicitis.

Conclusion
We found little change in pediatric emergency services compared to earlier estimates. Our study results suggest a continued need for improvements to ensure access to emergency care for children.
Abundance and diversity of zooplankton in semi intensive prawn (Macrobrachium rosenbergii) farm
Authors: Shil Jadobendro , Ghosh Alokesh Kumar , Rahaman S M Bazlur 
Published: April 2013

Abstract
The present study was carried out on the seasonal abundance and diversity of zooplankton in a semi- intensive prawn farm of Bagerhat district from July to December, 2008. Plankton samples were collected by conical shaped monofilament nylon net (Plankton net) and Lugol’s solution was used for preservation. The zooplankton abundance was influenced by physico-chemical factors. During the study period 11 genera of zooplankton under 5 orders were recorded from the study ponds namely Copepoda, Rotifera, Cladocera, Ostracoda and Crustacean Larvae. Among all groups copepod was the dominant order. The percentages of Copepoda, Rotifera, Cladocera, Ostracoda and Crustacean Larvae in semi-intensive culture system were 54%, 28%, 12%, 4% and 2% respectively. But the genera Brachionus under the order of Rotifer was dominant among all other genera. Cyclops and Helidiaptomus under the order of Copepod were the 2nd dominant genera. Numbers of zooplankton species were recorded to be the highest in summer season and minimum at early winter season. Highest number of zooplankton found at the month of October. Total zooplankton shows significant positive relationship with water temperature ((r = +0.384), Dissolve Oxygen(r = +0.113), pH(r = +0.320), Free CO2 (r = +0.319), Alkalinity(r = +0.269), Hardness (r = +0.402) and negative relationship with Salinity(r = -0.486), Transparency(r = -0.693). The findings of the present study will help to improve the management strategies of shrimp culture system.
Large-scale global optimization through consensus of opinions over complex networks
Authors: Askari-Sichani Omid , Jalili Mahdi 
Published: April 2013

Abstract

Purpose
Large-scale optimization tasks have many applications in science and engineering. There are many algorithms to perform such optimization tasks. In this manuscript, we aim at using consensus in multi-agent systems as a tool for solving large-scale optimization tasks.

Method
The model is based on consensus of opinions among agents interacting over a complex networked structure. For each optimization task, a number of agents are considered, each with an opinion value. These agents interact over a networked structure and update their opinions based on their best-matching neighbor in the network. A neighbor with the best value of the objective function (of the optimization task) is referred to as the best-matching neighbor for an agent. We use structures such as pure random, small-world and scale-free networks as interaction graph. The optimization algorithm is applied on a number of benchmark problems and its performance is compared with a number of classic methods including genetic algorithms, differential evolution and particle swarm optimization.

Results
We show that the agents could solve various large-scale optimization tasks through collaborating with each other and getting into consensus in their opinions. Furthermore, we find pure random topology better than small-world and scale-free topologies in that it leads to faster convergence to the optimal solution. Our experiments show that the proposed consensus-based optimization method outperforms the classic optimization algorithms.

Conclusion
Consensus in multi-agents systems can be efficiently used for large-scale optimization problems. Connectivity structure of the consensus network is effective in the convergence to the optimum solution where random structures show better performance as compared to heterogeneous networks.

AMS subject classification
15A04, 54A20, 60J20, 92D25