bluuebunny/crossref_metadata_2025_split huggingface dataset:
“Pirates of Our Spirituality”
Authors: Bell Elizabeth R. 
Published: September 2012

Maya spirituality serves as a locus of enunciation for the ongoing negotiation between local expressive culture and a changing globalized society. In recent years the Mayas of Guatemala have subversively used the global market provided by tourism to survive economically, recover their cultural property, and reclaim their heritage. Lacking voice and representation in an environment that has historically threatened their way of life, they assert their heritage in order to valorize their culture. They employ public knowledge and experience of natural disasters to demonstrate not just the accuracy of the 2012 prophecies of change at the end of the Maya calendar’s long count, but also the value of the knowledge systems that produced them. La espiritualidad maya sirve como un lugar de enunciación de la negociación en curso entre la cultura local expresiva y la sociedad cambiante y globalizada. En los últimos años los mayas de Guatemala han utilizado subversivamente el mercado global provisto por el turismo para sobrevivir económicamente, recuperar su patrimonio cultural, y recuperar su patrimonio. Careciendo de voz y representación en un ambiente que históricamente ha amenazado su modo de vida, han afirmado su patrimonio con el fin de valorar su cultura. Ellos emplean el conocimiento público y la experiencia de los desastres naturales para demostrar no sólo la exactitud de las profecías del 2012 del cambio al final de la cuenta larga del calendario maya, sino también el valor de los sistemas de conocimiento que los produjo.
Gender Mainstreaming in European Union Development Policy toward Latin America
Authors: Debusscher Petra 
Published: September 2012

An examination of gender mainstreaming in the Latin American development policy of the European Union through quantitative and qualitative analysis of policy programming documents suggests that the transformative potential of this approach has been neglected. The language used in the documents is more the typical “Women in Development” language than one that reflects the inclusion of both women and men in the planning for the achievement of gender equality. Exclusion of women’s organizations from the drafting process and the gap between civil society’s and the European Union’s framings of gender (in)equality in Latin America may be responsible for this situation. Un análisis de gender mainstreaming en la política de desarrollo de América Latina de la Unión Europea basado en el análisis cuantitativo y cualitativo de los documentos de programación de la política sugiere que el potencial transformador de este enfoque ha sido abandonado. El lenguaje utilizado en los documentos es más típico del lenguaje de “Mujeres en Desarrollo” que uno que aspira a la inclusión de mujeres y hombres en la planificación para el logro de la igualdad de género. La exclusión de las organizaciones de mujeres en el proceso de redacción y la brecha entre los encuadros de la sociedad civil y de la Unión Europea de la (des) igualdad en América Latina pueden ser responsables por esta situación.
Mirror therapy for patients with severe arm paresis after stroke – a randomized controlled trial
Authors: Thieme Holm , Bayn Maria , Wurg Marco , Zange Christian , Pohl Marcus , Behrens Johann 
Published: September 2012

Objective: To evaluate the effects of individual or group mirror therapy on sensorimotor function, activities of daily living, quality of life and visuospatial neglect in patients with a severe arm paresis after stroke. Design: Randomized controlled trial. Setting: Inpatient rehabilitation centre. Subject: Sixty patients with a severe paresis of the arm within three months after stroke. Interventions: Three groups: (1) individual mirror therapy, (2) group mirror therapy and (3) control intervention with restricted view on the affected arm. Main measures: Motor function on impairment (Fugl-Meyer Test) and activity level (Action Research Arm Test), independence in activities of daily living (Barthel Index), quality of life (Stroke Impact Scale) and visuospatial neglect (Star Cancellation Test). Results: After five weeks, no significant group differences for motor function were found ( P > 0.05). Pre–post differences for the Action Research Arm Test and Fugl-Meyer Test: individual mirror therapy: 3.4 (7.1) and 3.2 (3.8), group mirror therapy: 1.1 (3.1) and 5.1 (10.0) and control therapy: 2.8 (6.7) and 5.2 (8.7). However, a significant effect on visuospatial neglect for patients in the individual mirror therapy compared to control group could be shown ( P < 0.01). Furthermore, it was possible to integrate a mirror therapy group intervention for severely affected patients after stroke. Conclusion: This study showed no effect on sensorimotor function of the arm, activities of daily living and quality of life of mirror therapy compared to a control intervention after stroke. However, a positive effect on visuospatial neglect was indicated.
Validity of the Nintendo Wii® balance board for the assessment of standing balance in Parkinson’s disease
Authors: Holmes Jeffrey D , Jenkins Mary E , Johnson Andrew M , Hunt Michael A , Clark Ross A 
Published: September 2012

Background: Impaired postural stability places individuals with Parkinson’s at an increased risk for falls. Given the high incidence of fall-related injuries within this population, ongoing assessment of postural stability is important. Objective: To evaluate the validity of the Nintendo Wii® balance board as a measurement tool for the assessment of postural stability in individuals with Parkinson’s. Subjects: Twenty individuals with Parkinson’s participated. Intervention: Subjects completed testing on two balance tasks with eyes open and closed on a Wii® balance board and biomechanical force platform. Main Measures: Bland–Altman plots and a two-way, random-effects, single measure intraclass correlation coefficient model were used to assess concurrent validity of centre-of-pressure data. Results: Concurrent validity was demonstrated to be excellent across balance tasks (intraclass correlation coefficients = 0.96, 0.98, 0.92, 0.94). Conclusions: This study suggests that the Wii® balance board is a valid tool for the quantification of postural stability among individuals with Parkinson’s.
A randomized controlled trial on the efficacy of intermittent and continuous traction for patients with knee osteoarthritis
Authors: Alpayci Mahmut , Ozkan Yasemin , Yazmalar Levent , Hiz Ozcan , Ediz Levent 
Published: September 2012

Objective: To investigate the efficacy of intermittent and continuous traction in the treatment of knee osteoarthritis. Design: A randomized, controlled, observer-blind seven-week trial. Setting: Hospital-based outpatient practice. Subjects: Ninety-eight patients with stage 3 knee osteoarthritis according to Kellgren–Lawrence radiological rating scale. Interventions: All 98 patients were randomly assigned to three treatment groups, for three weeks (weekends excluded). The control group ( n=30, mean age: 59.30±8.16) received hot pack and short wave diathermy; the intermittent group ( n=30, mean age: 58.20±7.78) received hot pack, short wave diathermy and intermittent traction; and the continuous group ( n=30, mean age: 57.97±9.53) received hot pack, short wave diathermy and continuous traction. Outcome measurements: The values of the Turkish version of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), visual analog scale, and knee passive range of motion were measured at baseline, three-week and seven-week follow-up. Results: Compared with baseline at weeks 3 and 7, all the outcome measures, except range of motion, were significantly reduced in all groups (all P≤0.001). In terms of the change data from baseline to week 3, both traction groups were significantly superior to the control in the WOMAC physical function scores. Considering the change data from baseline to week 7, both traction groups were significantly superior to the control in the pain scores, physical function and total scores, while only the continuous group was significantly better than the control in the stiffness scores (control: 1.17 ± 1.64; continuous: 2.38 ± 1.44) ( P=0.014). Compared with baseline at weeks 3 and 7, range of motion values significantly increased in both traction groups ( P<0.05) but not in the control ( P>0.05). However, there were no significant differences among the three groups considering the change data from baseline to week 7 in range of motion values ( P=0.300). Conclusions: Joint traction was found to be beneficial for the improvement of pain and physical function loss related to knee osteoarthritis.
The Swedish National Anterior Cruciate Ligament Register
Authors: Ahldén Mattias , Samuelsson Kristian , Sernert Ninni , Forssblad Magnus , Karlsson Jón , Kartus Jüri 
Published: September 2012

Background: The Swedish National Anterior Cruciate Ligament Register provides an opportunity for quality surveillance and research. Purpose: The primary objective was to recognize factors associated with a poorer outcome at an early stage. Study Design: Case series; Level of evidence, 4. Methods: Registrations are made using a web-based protocol with 2 parts: a patient-based section with self-reported outcome scores and a surgeon-based section, where factors such as cause of injury, previous surgery, time between injury and reconstruction, graft selection, fixation technique, and concomitant injuries are reported. The self-reported outcome scores are registered preoperatively and at 1, 2, and 5 years. Results: Approximately 90% of all anterior cruciate ligament (ACL) reconstructions performed annually in Sweden are reported in the register. Registrations during the period 2005-2010 were included (n = 17,794). After excluding multiligament reconstructions and reoperations, the male:female ratio was 57.5:42.5 for both primary (n = 15,387) and revision (n = 964) surgery. The cause of injury was soccer in approximately half the male patients and in one third of the female patients. All subscales of the Knee injury and Osteoarthritis Outcome Score (KOOS) were significantly improved 1, 2, and 5 years postoperatively in patients undergoing primary reconstructions. In terms of the KOOS, revisions did significantly less well than primary reconstructions on all follow-up occasions, and smokers fared significantly less well than nonsmokers both preoperatively and at 2 years. Patients who had concomitant meniscal or chondral injuries at reconstruction did significantly less well preoperatively and at 1 year in terms of most KOOS subscales compared with patients with no such injuries. At 5 years, a significant difference was only found in terms of the sport/recreation subscale. Double-bundle reconstructions revealed no significant differences in terms of all the KOOS subscales at 2 years compared with single-bundle reconstructions (114 double-bundle vs 5109 single-bundle). During a 5-year period, 9.1% (contralateral, 5.0%; revision, 4.1%) of the patients underwent a contralateral ACL reconstruction or revision reconstruction of the index knee. The corresponding figure for 15- to 18-year-old female soccer players was 22.0%. Conclusion: Primary ACL reconstruction significantly improves all the subscales of the KOOS. Young female soccer players run a major risk of reinjuring their ACL or injuring the contralateral ACL; revision ACL reconstructions do less well than primary reconstructions, and smokers do less well than nonsmokers.
Repair of Meniscal Tears Associated With Tibial Plateau Fractures
Authors: Ruiz-Ibán Miguel Ángel , Diaz-Heredia Jorge , Elías-Martín Elena , Moros-Marco Santos , Cebreiro Martinez del Val Ignacio 
Published: September 2012

Background: Tibial plateau fractures are frequently associated with meniscal tears. Little is known about the results of meniscal repair in this group of patients. Purpose: To determine the results of repair of meniscal tears found during arthroscopically assisted reduction and internal fixation (ARIF) of tibial plateau fractures. Study Design: Case series; Level of evidence, 4. Methods: In a cohort of 51 tibial plateau fractures treated with ARIF, 15 associated meniscal tears (15 knees) in 14 patients were repaired. There were 12 peripheral longitudinal tears of the lateral meniscus, 1 longitudinal peripheral tear of the medial meniscus, 1 full-thickness radial tear of the lateral meniscus, and 1 bird-beak tear of the lateral meniscus. Repairs were performed using an outside-in technique for the anterior horn and all-inside repair for the body and posterior horn lesions. Mean (SD) age at operation was 47.3 (14.0) years. Patients were followed for a mean (SD) of 4.83 (1.01) years and evaluated using the Rasmussen, Honkonen, Lysholm, Tegner, and International Knee Documentation Committee (IKDC) scores. A second-look arthroscopy was performed in 13 knees a mean (SD) of 14.2 (10.1) months after the initial surgery. Results: The mean (SD) Rasmussen score was 29.1 (0.96). Thirteen of 15 patients scored good or excellent results in all Honkonen sections. The mean (SD) Lysholm score was 88.6 (12.4). The mean (SD) IKDC score was 79.3 (19.3). There was a small decrease of the activity level according to the Tegner score when compared with the preoperative situation (1.20 [1.82], P = .022). There were not any meniscal symptoms in any case. Of the 13 menisci evaluated with second-look arthroscopy, 12 had healed completely and a radial tear had healed partially in the vascular zone. In one of the cases that healed, a new tear was found in a different location. Conclusion: Meniscal repair of tears associated with tibial plateau fractures has good results. All patients had good or excellent clinical results. Second-look arthroscopy confirmed complete healing in 92% of meniscal tears when performed.
Age-Related Differences in Medial Patellofemoral Ligament Injury Patterns in Traumatic Patellar Dislocation
Authors: Felus Jarosław , Kowalczyk Bartłomiej 
Published: September 2012

Background: Complete rupture of the medial patellofemoral ligament (MPFL) during traumatic patellar dislocation may contribute to further patellar instability. As there is still no consensus regarding indications for treatment of such injuries, data on exact localization and extent of tear may influence the treatment decisions. Purpose: Analysis of the patterns and the age-related differences in the distribution of medial patellofemoral ligament injury during traumatic patellar dislocation in children and adolescents. Study Design: Case series; Level of evidence, 4. Methods: Fifty consecutive patients aged 10.5 to 17.5 years were operated on for injuries after a first episode of traumatic patellar dislocation. The indications for surgery were osteochondral fracture and/or complete MPFL tear. Medial patellofemoral ligament injuries were assessed preoperatively by sonography and then verified at surgery. To assess the influence of skeletal maturity on the injury pattern, the cohort was subdivided into 2 subgroups: skeletally immature and skeletally mature. Distribution of MPFL injuries in both groups was compared. Results: Medial patellofemoral ligament injury was present at surgery in 94% of cases, most commonly at the patellar attachment (66%), followed by mid-fibers (50%) and femoral attachment (32%). In 46%, it occurred in more than 1 localization. Based on functional status of the ligament during dynamic ultrasound examination, 2 types of injury were distinguished: complete and partial rupture. Eighteen of 21 complete ruptures were localized at the patellar attachment, and all but 1 case had a form of the avulsion fracture. Age-related analysis revealed these differences in the incidence of MPFL injury in all 3 localizations comparing skeletally immature with skeletally mature patients: 79% vs 54% at the patellar attachment, 46% vs 54% at the mid-fiber region, and 33% vs 31% at the femoral attachment. Nevertheless, the only statistically significant difference was the higher incidence of patellar attachment injury in the skeletally immature group ( P = .029). Sonography demonstrated more than 90% accuracy and predictive value in assessing pathoanatomy as well as the functional status of the medial patellofemoral ligament. Conclusion: Medial patellofemoral ligament injury patterns vary in skeletally immature patients compared with skeletally mature patients. Sonography proved high reliability as a diagnostic tool in traumatic patellar dislocation.
Qualitative and Quantitative Anatomic Analysis of the Posterior Root Attachments of the Medial and Lateral Menisci
Authors: Johannsen Adam M. , Civitarese David M. , Padalecki Jeffrey R. , Goldsmith Mary T. , Wijdicks Coen A. , LaPrade Robert F. 
Published: September 2012

Background: The clinical importance of the meniscal posterior root attachments has been recently reported by both biomechanical and clinical studies. Although several studies have been performed to evaluate surgical techniques, there have been few studies on the quantitative arthroscopically pertinent anatomy of the posterior meniscal root attachments. Hypothesis: The posterior root attachments of the medial and lateral menisci are consistent among specimens, and repeatable quantitative measurements using arthroscopically pertinent landmarks are achievable. Study Design: Descriptive laboratory study. Methods: Twelve nonpaired, fresh-frozen cadaveric knees were used. The positions of the posterior root attachments of the medial and lateral menisci were identified, and 3-dimensional measurements to arthroscopically pertinent landmarks were performed using a coordinate measuring system. Results: The direct distance (±standard error of the mean) between the medial tibial eminence apex and the medial meniscus posterior root attachment center was 11.5 (±0.9) mm. When split into directional components along the knee’s main axes, the medial meniscus posterior root attachment center was 9.6 (±0.8) mm posterior and 0.7 (±0.4) mm lateral along the bony surface from the medial tibial eminence apex. It was located 3.5 (±0.4) mm lateral from the medial articular cartilage inflection point and directly 8.2 (±0.7) mm from the nearest tibial attachment margin of the posterior cruciate ligament. The direct distance between the lateral tibial eminence apex and the lateral meniscus posterior root attachment center was 5.3 (±0.3) mm. When it was split into directional components using the knee’s main axes, the lateral meniscus posterior root attachment center was 4.2 (±0.4) mm medial and 1.5 (±0.7) mm posterior from the lateral tibial eminence apex. The lateral meniscus posterior root attachment center was located 4.3 (±0.5) mm medial from the nearest articular cartilage margin and directly 12.7 (±1.1) mm from the nearest margin of the tibial attachment of the posterior cruciate ligament. Conclusion: This quantitative study reproducibly identified the posterior root attachment centers of the medial and lateral menisci in relation to arthroscopically pertinent landmarks and guidelines. Clinical Relevance: These data can be directly applied to assist in anatomic meniscal root repairs.
Investigation of the Preservation of the Fluid Seal Effect in the Repaired, Partially Resected, and Reconstructed Acetabular Labrum in a Cadaveric Hip Model
Authors: Cadet Edwin R. , Chan Andrew K. , Vorys George C. , Gardner Thomas , Yin Bob 
Published: September 2012

Background: Debate exists on whether hip labral tears should be surgically repaired, partially resected, or reconstructed. Furthermore, limited data exist regarding the fluid seal properties of hip labrum repair and/or reconstruction with iliotibial band autograft when compared with the labrum-intact condition. Hypothesis/Purpose: The purpose of this study was to investigate the fluid seal properties of hip labral repair and reconstruction techniques. We hypothesized that hip labral repair preserves the acetabular labral fluid seal greater than labral tear, partial-resection, and reconstruction conditions. Study Design: Controlled laboratory study. Methods: Six human cadaveric hemipelvises were dissected of all soft tissue, leaving the hip capsule intact. Fluid efflux was measured under 5 conditions using a custom fluid infusion device: (1) hip labrum intact, (2) labral tear, (3) labral repair with suture anchors, (4) partial labral resection, and (5) labral reconstruction using ipsilateral iliotibial band autograft. Joint fluid expression was measured as flow rate under 3 different pressure settings (2, 3, and 4 psi). Statistical differences between conditions were assessed using 2-way, repeated-measures analysis of variance. The Student-Newman-Keuls (SNK) multiple comparison test was used to determine differences between levels. Results: There was a significant increase in fluid efflux with a simulated labral tear (0.54 ± 0.3 mL/sec) when compared with the intact hip labrum condition (0.006 ± 0.008 mL/sec, P < .05). The labrum-repaired condition (0.21 ± 0.2 mL/sec) demonstrated significantly less fluid efflux when compared with the labral-tear condition. Hip labral repair significantly prevented greater fluid efflux when compared with partial labral resection (0.60 ± 0.4 mL/sec) and reconstruction with iliotibial band autograft (0.54 ± 0.3 mL/sec; P < .05). Labral repair did not preserve fluid efflux as effectively as in the labrum-intact condition (0.21 ± 0.2 > 0.006 ± 0.008 mL/sec; P < .05). There was no difference observed in fluid efflux between the labral reconstruction, tear, or resection conditions ( P > .05). Conclusion: In this human cadaveric model, hip labral repair outperforms partial labral resection and reconstruction in preserving the joint fluid seal; however labral repair does not restore fluid seal characteristics as effectively as in the labrum-intact condition. Clinical Relevance: Further prospective studies are needed to determine whether hip labral repair outperforms partial labral resection and/or reconstruction in clinical practice.