bluuebunny/crossref_metadata_2025_split huggingface dataset:
Hand-based swing traction splinting for intra-articular proximal interphalangeal joint fractures
Authors: Hirth Melissa J , Jacobs David J , Sleep Kate 
Published: June 2013

Introduction Acute intra-articular fractures of the proximal interphalangeal joint have always presented as a difficult injury to manage for the treating surgeon and therapist. Traction management enabling ligamentotaxis and motion is a popular method to manage these injuries. This case series presents the design and results of hand-based swing traction splinting which is less cumbersome for patients than other forms of traction splinting. Methods Five patients presenting with intra-articular proximal interphalangeal joint fractures underwent surgery whereby a transverse K-wire was inserted across the middle phalanx. The treating Occupational Therapist fabricated a hand-based swing traction splint to provide a distraction force from the K-wire to the splint. Range of motion and patient satisfaction were the primary outcome measures. Results All five patients reported satisfaction with their hand function following therapy involving swing traction splinting. Furthermore, range of motion was comparable to other forms of traction management reported in the literature with an 88° mean arc of motion at the proximal interphalangeal joint. Conclusion This case series demonstrates that hand-based swing traction splinting is a viable treatment option for the management of intra-articular proximal interphalangeal joint fractures. With similar outcomes to other forms of distraction that enable early movement, such as the pins and rubber traction system, this design is an alternative. The less cumbersome splint design is the main advantage over other splinting methods that apply distraction whilst also enabling early motion.
A study to compare two goniometric methods for measuring active pronation and supination range of motion
Authors: Cimatti Bruno , Marcolino Alexandre M , Barbosa Rafael I , De Cássia Registro Fonseca Marisa 
Published: June 2013

Introduction Movement of the forearm allows positioning the hand during several functional activities of daily living. Assessing range of motion of supination and pronation is essential for clinical identification of functional limitations, although many methods can be used. Confounding values can be found due to different techniques used by therapists. The purpose of this study was to compare two standard goniometric methods for measuring active range of motion of forearm pronation and supination, aiming to define its reliability and ease of use. Methods The study included 33 individuals, 13 injured and 20 non-injured volunteers. We analyzed two standard goniometric methods for measuring pronation and supination. For the first method, the volunteers had to hold a pencil as a guide for the movable arm of the goniometer and for the second method the movable arm was in contact with the distal dorsal surface of the wrist near the ulna head, and the hand was free. Two trained examiners performed the evaluations. Intraclass correlation coefficient and limits of agreement of Bland and Altman were used to analyze the data. Results Intraclass correlation coefficient values were excellent for both groups and movements at inter-rater and inter-methods comparison. Bland and Altman plots showed that, although excellent reliability, some data dispersion was present. Conclusion These data suggest that both methods could be used in clinical practice with excellent reliability. The goniometric method with the movable arm placed in contact with the distal dorsal surface of the wrist near the ulna head might be easier to perform and useful in cases where finger prehension is absent or weak, which would prevent the use of a pencil as reference.
The imperial governors of Dyrrakhion in the reign of Alexios I Komnenos
Authors: Frankopan Peter 
Published: June 2013

AbstractThis article considers the conclusions that we can draw about the imperial governors of Dyrrakhion in the reign of the Emperor Alexios I Komnenos. It looks at why Dyrrakhion became increasingly important in the course of the 11th Century and, above all, after Alexios’ usurpation of the throne in 1081. Careful attention is paid to establishing the identity of the various individuals whom we know to have held the position of doux of the town in the period between 1081-1118, and the chronology of and context for the appointments looked at in detail. The significance of Dyrrakhion is further highlighted by drawing attention to the fact that only the very closest intimates of the Emperor — and indeed only senior members of the imperial family itself — were made governors of the town in this period. This study represents a fresh examination of Dyrrakhion, and establishes several new conclusions about the identities and careers of the imperial governors of the town in the reign of the Emperor Alexios I Komnenos.
A tenth-century inscription from Syngrasis, Cyprus
Authors: Papacostas Tassos C. 
Published: June 2013

AbstractA hitherto unpublished 10th-c. funerary (?) painted inscription from a rather remote middle Byzantine church in rural Cyprus provides unambiguous evidence of the impact of Bardas Skleros’ revolt in areas not directly affected by the rebel’s activities. It also yields information on the floruit of Epiphanius IV, a little known metropolitan of the island. Finally, and most importantly, it furnishes the earliest and most secure terminus ante quern for any medieval building on Cyprus and for the introduction of the cross-in-square church type and the elaboration of its local variant.
A description of the jousts of Manuel I Komnenos
Authors: Jones Lynn , Maguire Henry 
Published: June 2013

AbstractThe thirteenth-century manuscript Greek 1409 in the Vatican Library contains an anonymous Greek ekphrasis of the jousts of an unnamed Byzantine emperor. The text, which has interest for both historians and art historians, has been cited on several occasions in the scholarly literature, but never analyzed in detail. In the following pages we provide a translation of the text, together with a commentary upon the context of the piece. We will argue that the ekphrasis not only describes a specific work of art, depicting a specific event, but also gives valuable information about the visual language through which Byzantine emperors of the twelfth century expressed their power.
Tsinganos and Yiftos: Some Speculations on the Greek Gypsies
Authors: Messing Gordon M. 
Published: June 2013

In 1956 Manos Hadzidakis composed music for a movie entitled , ‘Hurdy-Gurdy, Poverty and Self-Esteem’. While the film itself enjoyed a moderate success, one of the songs from it, ‘Carnation over the ear’, became enormously popular all over Greece. It was in the form of a modern folksong, and the refrain contained some words which have a direct bearing on the theme I wish to develop here:‘hit your tambourine, babe,/you Turkish Gypsy girl!’
Literary Subversion and the Aristocracy in Twelfth-Century Byzantium: A Stylistic Analysis of the Timarion (ch. 6–10)
Authors: Alexiou Margaret 
Published: June 2013

‘Narrative always says less than it knows, but it often makes known more than it says’(Gérard Genette)In this paper I wish to argue the relevance of detailed literary and stylistic analysis for a fuller understanding of learned twelfth-century texts, using as my model the elaborate eulogy in the Timarion of a prominent but hitherto unidentified member of the Doukas-Palaiologos family. The passage in question, so far taken at face value, may be interpreted as a highly-wrought and carefully contrived piece of irony, or, in other words, as a subversive ‘send-up’ of one of the most fashionable branches of the twelfth-century aristocracy.
Rebetiko Tragoudi as a Generic Term
Authors: Gauntlett Stathis 
Published: June 2013

The wretched underworld… does not fail to have its songs and these are — for Greece — the rebetika.Rebetis doesn’t mean underworld, nor is the rebetiko its song.Contradictory statements such as the above are characteristic of the controversy which has surrounded the song tradition loosely called ‘rebetiko’, since it first became a cultural thème du jour in Greece in the late 1940s.
Encountering the Epistemological Challenge or, beyond Humanism: Contemporary Greek Criticism and the Languages of Theory
Authors: Lambropoulos Vassilis 
Published: June 2013

Just as any act of periodization periodizes the person doing the periodizing, so also, categorization politically categorizes the person categorizing. (Ryan 1982: 102)It has been a common assumption that the great number of existing Histories of Modern Greek Literature reflects the growing maturity and sophistication of Greek literary studies. Specialists in the field argue that the variety of approaches and perspectives used in these surveys, while establishing a sense of tradition and achievement, has also stimulated both significant research and major reappraisals. If one adds to this scholarly labour the anthologies, the dictionaries, the encyclopaedias, as well as the studies on particular periods and schools, the picture of a thriving critical industry emerges clearly. It is then very difficult to try and reconcile these promising signs with the pervasive scarcity of meta-theoretical work, beginning with the embarrassing absence of a History of Modern Greek Criticism itself. For how can a field develop without introspection? How can a discipline refine its methods or advance its causes without undergoing vigilant self-examination? The lack of theoretical reflexivity on the part of contemporary Greek literary studies gives often the alarming impression that Greek criticism does not even know its history …
The Politics of Criticism: Deconstruction, Kazantzakis, ‘Literature’
Authors: Jusdanis Gregory 
Published: June 2013

The Life and Manners of Alexis Zorbas is Kazantzakis’ most popular and successful novel: in Greece it has been reprinted repeatedly, while abroad it has been the subject of many translations, having been adapted also for the stage and screen. In Europe and North America Alexis Zorbas perhaps ranks as the most widely read Greek novel and is widely perceived as the literary work which best represents the essence of Greece. A number of studies have been devoted to it in Greece and overseas, a fact which also attests to the novel’s strong appeal.Most critics read the novel in biographical terms, that is, they see the narrator as Kazantzakis, and Zorba as the real peasant the author met in Macedonia. They account for the novel’s popularity by pointing to the legend of Zorba that Kazatzakis created, of the man who had a tremendous zest for life and who moved relentlessly towards the radiant path of freedom. Zorba and the entire novel come to be understood as a mythopoiesis of the life force and a parable of its immediate fulfillment on earth. The novel is thus an affirmation of life and the élan vital. It celebrates life’s struggle against inertia and decay.
Myth and Text: Readings in the Modern Greek Novel
Authors: Beaton Roderick 
Published: June 2013

‘… they did not suspect that La Mancha and Montiel and the knight’s lean figure would be, for posterity, no less poetic than the episodes of Sinbad … For in the beginning of literature is the myth, and in the end as well.’ J.L. Borges, ‘Parable of Cervantes and the Quixote’Mythos is used by Aristotle both in its received sense in his day, meaning a story which need not be literally true but has a special institutional status outside of literature, and in a sense which seems to be new in the fourth century B.C., as a rational ordering of events (synthesis ton pragmaton), a mediating term between story (pragmata) and discourse (tragodia). It is specifically by means of mythos (whether invented or traditional) that tragedy (discourse) can be an imitation (mimesis) of action (praxis/story).
Linkage Politics: the Role of the European Community in Greek Politics in 1973
Authors: Verney Susannah , Tsakaloyannis Panos 
Published: June 2013

The convulsions which began to shake the Greek military regime with the first student protests at the end of 1972 and which reached their climax in 1973 with the uprising at the Polytechnic in November, have been exhaustively analysed and discussed. However, they have always been viewed either through the prism of internal political developments or in the light of events in Cyprus. The international context remains largely unexplored.The only element which has been taken into account is the ‘American factor’, yet the reasons for the change in American policy towards the regime in the Autumn of 1973 have not been sufficiently analysed. Such testimony as we have comes from representatives of the Greek or American governments. Spyros Markezinis, the junta’s civilian Prime Minister, attributes the fall of his government to the war in the Middle East. Certainly, Kissinger in his memoirs does not conceal his displeasure at the junta’s refusal to facilitate the transportation of war materiel to Israel at the most critical phase of the Arab-Israeli War in the Autumn of 1973.
The CXCR4 mutations in WHIM syndrome impair the stability of the T-cell immunologic synapse
Authors: Kallikourdis Marinos , Trovato Anna Elisa , Anselmi Fabio , Sarukhan Adelaida , Roselli Giuliana , Tassone Laura , Badolato Raffaele , Viola Antonella 
Published: June 2013

Key Points
The CXCR4 mutations in WHIM syndrome impair the stability of the T cell–antigen–presenting cell immunologic synapse.
Human CD1c+ dendritic cells secrete high levels of IL-12 and potently prime cytotoxic T-cell responses
Authors: Nizzoli Giulia , Krietsch Jana , Weick Anja , Steinfelder Svenja , Facciotti Federica , Gruarin Paola , Bianco Annalisa , Steckel Bodo , Moro Monica , Crosti Mariacristina , Romagnani Chiara , Stölzel Katharina , Torretta Sara , Pignataro Lorenzo , Scheibenbogen Carmen , Neddermann Petra , De Francesco Raffaele , Abrignani Sergio , Geginat Jens 
Published: June 2013

Key Points
CD1c+ DC but not BDCA-3+ DC or other antigen-presenting cells secrete high amounts of bioactive IL-12. CD1c+ DC efficiently cross-present antigens, prime CD8+ T cells, and induce the highest levels of cytotoxic molecules.
Cinema in the training of psychiatry residents: focus on helping relationships
Authors: Gramaglia Carla , Jona Amalia , Imperatori Fredrica , Torre Eugenio , Zeppegno Patrizia 
Published: June 2013

Abstract

Background
Medical schools are currently charged with a lack of education as far as empathic/relational skills and the meaning of being a health-care provider are concerned, thus leading to increased interest in medical humanities.

Discussion
Medical humanities can offer an insight into human illness and in a broader outlook into human condition, understanding of one self, responsibility. An empathic relation to patients might be fostered by a matching approach to humanities and sciences, which should be considered as subjects of equal relevance, complementary to one another. Recently, movies have been used in medical – especially psychiatric - trainees education, but mainly within the limits of teaching a variety of disorders. A different approach dealing with the use of cinema in the training of psychiatry residents is proposed, based on Jung and Hillman’s considerations about the relation between images and archetypes, archetypal experience and learning.

Summary
Selected full-length movies or clips can offer a priceless opportunity to face with the meaning of being involved in a care-providing, helping profession.
The cholesterol lowering efficacy of plant stanol ester yoghurt in a Turkish population: a double-blind, placebo-controlled trial
Authors: Buyuktuncer Zehra , Fisunoğlu Mehmet , Guven Gulay Sain , Unal Serhat , Besler Halit Tanju 
Published: June 2013

Abstract

Background
We evaluated the cholesterol lowering efficacy of low-fat spoonable yoghurt with 1.9 g/d plant stanols as esters on plasma lipid profiles of Turkish subjects with mild to moderate hypercholesterolemia.

Methods
Using a randomised, double-blind, placebo-controlled study design, intervention (n = 35) and control (n = 35) groups consumed either 115 g low-fat yoghurt with 1.9 g/d plant stanols as esters or placebo yoghurt, respectively, for 4 weeks. Seventy subjects with untreated mild to moderate hypercholesterolemia (aged 23-65 years) were recruited. Changes in the lipid profile, including lipoproteins, apolipoproteins, and triglycerides, and anthropometric measurements were monitored at screening, baseline, and at the end of the second, third, and fourth weeks of intervention. The general linear model repeated measures procedure was used to test differences in the repeated continuous variables between study groups.

Results
Serum total cholesterol (4.6%), LDL cholesterol (6.3%), and non-HDL cholesterol (6.2%) concentrations were reduced significantly from baseline in the plant stanol group compared to the control group (p = 0.007, p = 0.005 and p = 0.005, respectively). A variation in the response of serum total and LDL cholesterol between the subjects in plant stanol group was obtained. No clinically significant change in anthropometrical measurements was observed during the intervention.

Conclusions
The spoonable low-fat yoghurt with 1.9 g/d plant stanols as esters lowered total, LDL, and non-HDL cholesterol levels in Turkish subjects with mild to moderate hypercholesterolemia. Nevertheless variation in baseline cholesterol levels, genetic predisposition of the subjects and compliance may contribute to a large individual variability.
Parental education associations with children’s body composition: mediation effects of energy balance-related behaviors within the ENERGY-project
Authors: Fernández-Alvira Juan M , te Velde Saskia J , De Bourdeaudhuij Ilse , Bere Elling , Manios Yannis , Kovacs Eva , Jan Natasa , Brug Johannes , Moreno Luis A 
Published: June 2013

AbstractBackgroundIt is well known that the prevalence of overweight and obesity is considerably higher among youth from lower socio-economic families, but there is little information about the role of some energy balance-related behaviors in the association between socio-economic status and childhood overweight and obesity. The objective of this paper was to assess the possible mediation role of energy balance-related behaviors in the association between parental education and children’s body composition.MethodsData were obtained from the cross sectional study of the “EuropeaN Energy balance Research to prevent excessive weight Gain among Youth” (ENERGY) project. 2121 boys and 2516 girls aged 10 to 12 from Belgium, Greece, Hungary, the Netherlands, Norway, Slovenia and Spain were included in the analyses. Data were obtained via questionnaires assessing obesity related dietary, physical activity and sedentary behaviors and basic anthropometric objectively measured indicators (weight, height, waist circumference). The possible mediating effect of sugared drinks intake, breakfast consumption, active transportation to school, sports participation, TV viewing, computer use and sleep duration in the association between parental education and children’s body composition was explored via MacKinnon’s product-of-coefficients test in single and multiple mediation models. Two different body composition indicators were included in the models, namely Body Mass Index and waist circumference.ResultsThe association between parental education and children’s body composition was partially mediated by breakfast consumption, sports participation, TV viewing and computer use. Additionally, a suppression effect was found for sugared drinks intake. No mediation effect was found for active transportation and sleep duration. The significant mediators explained a higher proportion of the association between parental education and waist circumference compared to the association between parental education and BMI.ConclusionsTailored overweight and obesity prevention strategies in low SES preadolescent populations should incorporate specific messages focusing on the importance of encouraging daily breakfast consumption, increasing sports participation and decreasing TV viewing and computer use. However, longitudinal research to support these findings is needed.
Exploring dendritic cell based vaccines targeting survivin for the treatment of head and neck cancer patients
Authors: Turksma Annelies W , Bontkes Hetty J , Ruizendaal Janneke J , Scholten Kirsten BJ , Akershoek Johanneke , Rampersad Shakila , Moesbergen Laura M , Cillessen Saskia AGM , Santegoets Saskia JAM , de Gruijl Tanja D , Leemans C René , Meijer Chris JLM , Hooijberg Erik 
Published: June 2013

AbstractBackgroundNew treatment modalities are needed for the treatment of cancers of the head and neck region (HNSCC). Survivin is important for the survival and proliferation of tumor cells and may therefore provide a target for immunotherapy. Here we focused on theex vivopresence andin vitroinduction of survivin specific T cells.MethodsTetramer staining and ELIspot assays were used to document the presence of survivin specific T cells in patient derived material, and to monitor the presence and persistence of survivin specific T cells after repeatedin vitrostimulation with autologous dendritic cells.ResultsEx vivoanalysis showed the presence of survivin-specific T cells in the peripheral blood (by tetramer analysis) and in the draining lymph node (by ELIspot analysis) in a HNSCC and a locally advanced breast cancer patient respectively. However, we were unable to maintain isolated survivin specific T cells for prolonged periods of time. For thein vitrogeneration of survivin specific T cells, monocyte derived DC were electroporated with mRNA encoding full length survivin or a survivin mini-gene together with either IL21 or IL12 mRNA. Western blotting and immunohistochemical staining of dendritic cell cytospin preparations confirmed translation of the full length survivin protein. After repeated stimulation we observed an increase, followed by a decrease, of the number of survivin specific T cells. FACS sorted or limiting dilution cloned survivin specific T cells could not be maintained on feeder mix for prolonged periods of time. Protein expression analysis subsequently showed that activated, but not resting T cells contain survivin protein.ConclusionsHere we have shown that survivin specific T cells can be detectedex vivoin patient derived material. Furthermore, survivin specific T cells can be inducedin vitrousing autologous dendritic cells with enforced expression of survivin and cytokines. However, we were unable to maintain enriched or cloned survivin specific T cells for prolonged periods of time. Endogenous expression of survivin in activated T cells and subsequent fratricide killing might explain ourin vitroobservations. We therefore conclude that survivin, although it is a universal tumor antigen, might not be the ideal target for immunotherapeutic strategies for the treatment of cancer of the head and neck.