bluuebunny/crossref_metadata_2025_split huggingface dataset:
Surgical Management of Sportsman’s Hernia in Professional Soccer Players
Authors: Messaoudi Nouredin , Jans Christophe , Pauli Steven , Van Riet Roger , Declercq Geert , Van Cleemput Marc 
Published: September 2012

Soccer players frequently experience acute and chronic groin pain. Sportsman’s hernia is a common injury in professional soccer players, that causes inguinal pain. The authors discuss their experience with the management of sportsman’s hernia in professional soccer players competing in national and international competition in a retrospective review of prospectively collected data. Between March 2004 and December 2009, seventy-one professional soccer players were surgically treated for sportsman’s hernia. Average age at surgery was 24 years, and average duration of symptoms from onset to surgical repair was 11 months. Conservative treatment improved symptoms temporarily or to some extent in 18 athletes. All athletes underwent a bilateral open hernia repair with concurrent adductor tendon release. Average follow-up was 4 years, and average time to return to competitive sport was 4 months. At final follow-up, 95% of soccer players were still active, 48 at the same level and 19 at a lower level. Four athletes had stopped their careers because of another injury (n=2) or recurrence (n=2).
Sportsman’s hernia is a potentially career-ending injury in professional soccer players. Conservative management is often unsuccessful. An open surgical hernia repair combined with an adductor longus tenotomy relieves the symptoms caused by a sportsman’s hernia and restores activity in 95% of athletes. This study offers insight into the management of sportsman’s hernia and offers a successful treatment to salvage the careers of professional soccer players.
Characteristics and Impact of Animal Models Used for Sports Medicine Research
Authors: Krueger Chad A. , Wenke Joseph C. , Masini Brendan D. , Stinner Daniel J. 
Published: September 2012

Animal models are commonly used for translational research despite evidence that the methodology of these studies is often inconsistent and substandard. This study describes the characteristics and impact of published research using animal models in the
American Journal of Sports Medicine
(AJSM).

Peer-reviewed articles published in the AJSM between January 1990 and January 2010 using animal models were identified using MEDLINE. The articles were reviewed for funding source, anesthesia used, animal used, study type, study location, outcome measures, number of animals, duration of animal survival, main topic being studied, and positive or negative treatment effect. The impact factor of the studies published between 2005 and 2010 was calculated. Two hundred fifty-seven articles, or 6% (257/4278) of the total publications during the 20-year period, were analyzed. The impact factor increased from 1.83 in 2005 to 3.9 in 2010. The most common animals used were rabbits (24%) and pigs (16%). The anterior cruciate ligament was studied in 34% of the articles, and a pig model was used for 31% of these studies. Eighty-six percent of the studies had a positive treatment effect.
This study shows that animal models used in sports medicine research lack uniformity in their methods and suggests that a publication bias may exist for animal research in the sports medicine literature.
Selective Computed Tomography–guided Perisciatic Injection as a Diagnostic Tool in Multiple Hereditary Exostoses
Authors: Tenenbaum Shay , Arzi Harel , Shabshin Nogah , Liberman Boaz , Caspi Israel 
Published: September 2012

Multiple osteochondromas, also known as multiple hereditary exostoses, is an autosomal-dominant disease. Multiple osteochondromas are characterized by the development of cartilage-capped bony tumors, known as osteochondromas. Osteochondromas can cause limb deformities, limb-length discrepancies, angular deformations, bursitis, and impingement of adjacent tendons or neurovascular structures. They have also been reported as a cause of sciatic pain. Sometimes, more than 1 location of neural compression exists, thereby presenting a difficult diagnostic challenge for treating physicians.
This article describes a patient with multiple hereditary exostoses and accompanying severe sciatic pain who was referred for a revision decompressive spine surgery. The patient’s functional impairment was such that he was unable to sit for a few minutes. A selective computed tomography–guided perisciatic nerve injection was performed to differentiate between lateral spinal stenosis and peripheral nerve compression or impingement by an existing large pelvic osteochondroma. The patient reported substantial relief and regained the ability to sit pain free immediately postoperatively. Excision of a proximal femur osteochondroma was performed based on the results of a selective perisciatic nerve injection, resulting in successful resolution of his sciatic pain and functional impairment.
The current case is an example of the diagnostic challenge in treating patients with multiple anatomic lesions that can cause symptoms and demonstrate how selective computed tomography–guided perisciatic nerve injection can aid clinicians in obtaining an accurate diagnosis and choosing the most appropriate surgical management.
Usability of Selected Databases for Low-Resource Clinical Decision Support
Authors: Callaghan F. , Gavino A. , Liu F. , Fontelo P. , Sheets L. 
Published: September 2012

Summary
Background: Smartphones are increasingly important for clinical decision support, but smartphone and Internet use are limited by cost or coverage in many settings. txt2MEDLINE provides access to published medical evidence by text messaging. Previous studies have evaluated this approach, but we found no comparisons with other tools in this format.
Objectives: To compare txt2MEDLINE with other databases for answering clinical queries by text messaging in low-resource settings.
Methods: Using varied formats, we searched txt2MEDLINE and five other search portals (askMED-LINE, Cochrane, DynaMed, PubMed PICO, and UpToDate) to develop optimal strategies for each. We then searched each database again with five benchmark queries, using the customized search-optimization formats. We truncated the results to less than 480 characters each to simulate delivering them to a maximum of three text messages. Clinicians with practice experience in low-resource areas scored the results on a 5-point Likert scale.
Results: Median scores and standard deviations from 17 reviewers were: txt2MEDLINE, 3.2±0.82 (control); askMEDLINE, 3.2±0.90 (p = 0.918); Cochrane, 3.8±0.58 (p = 0.073); DynaMed, 3.6±0.65 (p = 0.105); PubMed PICO, 3.6±0.82 (p = 0.005); and UpToDate, 4.0±0.52 (p = 0.002). Our sample size was sufficiently powered to find differences of 1.0 point.
Conclusions: Comparing several possible sources for texting-based clinical-decision-support information, our results did not demonstrate one-point differences in usefulness on a scale of 1 to 5. PubMed PICO and UpToDate were significantly better than txt2MEDLINE, but with relatively small improvements in Likert score (0.4 and 0.8, respectively). In a texting-only setting, txt2MEDLINE is comparable to simulated alternatives based on established reference sources.
Validation of Malayalam Version of the Voice Handicap Index
Authors: Menon Unnikrishnan , Sheejamol VS , Cherian Meera P 
Published: September 2012

ABSTRACT

Background
It is important to have a subjective measure of hoarseness. This can be best achieved if the questionnaire is in the patient's own language.

Objective
To translate the voice handicap index (VHI) into the Malayalam language, and to evaluate its clinical validity and internal consistency.

Materials and methods
One hundred and six patients with dysphonia and 20 asymptomatic subjects were included in the study. Internal consistency was analyzed through Cronbach's alpha coefficient. For the clinical validity assessment, the scores obtained in the patient group were compared with those found in asymptomatic individuals through the Mann-Whitney U-test. Also, comparison between the VHI scores before and after phonomicrosurgery on 14 out of the studied 106 patients was done using the nonparametric Wilcoxon signed ranks test. Spearman rank correlation was used to find the effect of patient's age on VHI scores. Finally, the gender-wise average VHI score and its three subsets was analyzed using Wilcoxon signed ranks test.

Results
The internal consistency was found to be excellent (α = 0.946). The control group scored significantly lower than the patients group (p < 0.001). Similarly, significant improvement was seen in the postoperative average VHI scores (p < 0.004). All of the preceding proves the validity of the translated questionnaire. Age showed a significant negative correlation for the overall VHI and their three domains (p < 0.001) in the dysphonic patients. There was no such correlation between male and female patient groups.

Conclusion
This Malayalam language version of the VHI questionnaire is a valid instrument for use in the voice clinic. Clinical implication: Encouragement to all voice clinicians in India to develop and use the VHI in their native tongues.

How to cite this article
Menon U, Sheejamol VS, Cherian MP. Validation of Malayalam Version of the Voice Handicap Index. Int J Phonosurg Laryngol 2012;2(1):1-4.
Laryngeal Ulceration in Behcet's Disease
Authors: Orhan Israfil , Yilmaz Fahrettin , Eken Mehmet 
Published: September 2012

ABSTRACT
Behcet's disease is a multisystem inflammatory disorder of unknown origin, characterized by recurrent oral and genital ulcerations, ocular and cutaneous lesions, arthritis, central nervous system and vascular disease. There is no pathognomanic laboratory test, but there are clinical criteria to assist in establishing the diagnosis.
There are only a few study about the laryngeal manifestation of Behcet's disease in the literature. We describe the case of a patient in whom epiglottic ulcers developed 7 years after the diagnosis of Behcet disease.

How to cite this article
Orhan I, Yilmaz F, Eken M. Laryngeal Ulceration in Behcet's Disease. Int J Phonosurg Laryngol 2012;2(1):49-51.
Attitudes on Financial Reporting Issues: An Australian Study
Authors: Laing Gregory Kenneth , Perrin Ronald William 
Published: September 2012

The aim of this research was to test the attitudes of professional accountants with regards to financial reporting issues. Given the changes arising from the adoption of the International Accounting Standards the expectation was that problems identified by prior research would have been mitigated. Surveys were conducted of accounting professionals using the questionnaire instrument designed by Francia and Strawser (1971). The data were collated and processed to determine the perceived information deficiency and importance of the various aspects of financial reporting. The major items in which information was considered to be deficient were – timing of revenue recognition, income tax effect accounting, executory contracts and treatment of prior period adjustments. By contrast the most important items were found to be uniformity in financial reporting, income tax effect accounting, use of fair market values, definition of equity versus liability and treatment of prior period adjustments. The findings have implications for the future development of accounting standards. Greater guidance should be given to explaining the practice, applications and consequences of the accounting standards on financial reporting. This paper provides a valuable insight into the perceived deficiencies of information on items that affect financial reporting by accountants in the Australian environment and adds a new perspective to the evaluation of adoption of international accounting standards.
Stratégies de survie et d’identité : les dynamiques culturelles dans un projet d’intervention en prévention communautaire
Authors: Diallo Lamine , Reitsma-Street Marge 
Published: September 2012

Le projet « Partir d'un bon pas vers un avenir meilleur », conçu et mis sur pied à Sudbury, offre l'exemple d'un travail de collaboration entre la communauté minoritaire franco-ontarienne et d'autres communautés culturelles, axé sur le respect des différences, l'autonomie et la valorisation de la culture. Ce texte présente trois étapes clés du processus de développement de ce projet, et analyse les tensions qui ont été soulevées et qui ont contribué à la définition de la structure actuelle du projet.
L’enseignement des enjeux de la paternité dans les universités canadiennes
Authors: deMontigny Francine , Devault Annie , Lacharité Carl , Quéniart Annie , Dubeau Diane , Miron Jean-Marie , Fleurant Annie , Gervais Christine , Dragon Jean-François , Este David , St-Amand Nérée , Bélanger Jean-Marc , Lozier Fernand 
Published: September 2012

Un nombre significatif de chercheurs et de cliniciens portent attention au développement du rôle du père dans la famille, particulièrement sous l’angle de l’engagement paternel. Pourtant, l’examen pancanadien des curriculums d’enseignement universitaire en soins infirmiers effectué en 2002 a révélé que dans 68 institutions offrant la formation de premier cycle en soins infirmiers, peu de cours portaient spécifiquement ou indirectement sur les pères ou la paternité. Une autre étude auprès de 30 étudiants de premier cycle en sciences infirmières, en pratiques sages-femmes et en travail social a révélé que ces étudiants se sentaient inconfortables à interagir avec les pères, surtout lors de situations plus critiques émotionnellement. Ces études ont conduit un groupe de chercheurs québécois à développer un cours interdisciplinaire de cycles supérieurs portant sur les enjeux de la paternité. Cet article vise à présenter brièvement les résultats des deux études citées, ainsi qu’à donner un aperçu de la structure du cours proposé. Les retombées pour le développement ultérieur de curriculums d’enseignement seront discutées.
Modeling and simulation of iron/sand filters
Authors: Kamga Fulbert Togue , Noubactep Chicgoua , Woafo Paul 
Published: September 2012

Water pollution is increasingly becoming an issue of global concern, especially in developing countries. Therefore, the development of affordable, reliable, low-maintenance, electricity-free technologies for reducing biological and chemical pollutants in drinking water to an acceptable level for human consumption is an interesting topic of research. The suitability of metallic iron (Fe0) as a universal filter material has been recently discussed. Iron/sand filters have a great potential for rural regions where source water may be subjected to various microbial and chemical contaminations. This is based on the fact that corroding iron has the ability to remove all soluble species by an unspecific mechanism. This article develops a mathematical model of iron(Fe0)/sand filter taking into account the loss of porosity during the filtration process. The porosity loss with time is calculated using the rate of formation of corrosion products. The time after which the porosity is reduced to zero indicating a zero flow rate is estimated. The mass transport advection-dispersion equation is derived to predict, through numerical simulation, the spatiotemporal distribution of pollutants and the flow rate in the filter as well as the water quality at the exit of the filter. The control parameters are the iron proportion, the volume of sand particles, the height of the filter and the sorption coefficient. It is found that the pollutant removal percentage and the service life of the filter depend on the relative proportions of sand and iron in the filter.
For instance, taking the guideline equal to be 25% of the influent concentration, simulation results demonstrated that by mixing sand and iron particles in proportion of 40 vol% Fe0, the filter can be used continuously for 83 months.
Incidence and clinical implications of ATM aberrations in chronic lymphocytic leukemia
Authors: Ouillette Peter , Li Jinghui , Shaknovich Rita , Li Yifeng , Melnick Ari , Shedden Kerby , Malek Sami N. 
Published: September 2012

AbstractA subset of chronic lymphocytic leukemia (CLL) carries mutations in ataxia telangiectasia mutated (ATM). Such ATM mutations may be particularly relevant in the setting of del11q, which invariably results in the deletion of one ATM allele. To improve our understanding of the frequency and type of ATM mutations that exist in CLL, we resequenced all ATM coding exons in 24 CLL with del11q using direct sequencing. We detected two missense mutations, resulting in an ATM mutation frequency of 8%; nonsense and frameshift mutations were not identified. Given the low ATM mutation frequency detected in this cohort, we proceeded with measurements of nonmutational ATM aberrations in CLL through analysis of the activation state of ATM in response to external irradiation. The phosphorylation state of ATM at Ser‐1981 was measured using quantitative immunoblotting in purified CLL cells isolated from 251 CLL patients; data were normalized to simultaneous measurements of total ATM protein and actin. Resulting p‐ATM/ATM and p‐ATM/actin ratios were subsequently analyzed for prognostic significance inclusive and exclusive of TP53 exons 2–10 mutations. From these analyses, conducted in a large prospectively enrolled CLL patient cohort, neither the p‐ATM/ATM nor the p‐ATM/actin ratios were found to be prognostic for short survival. These data in aggregate demonstrate a low frequency of ATM aberrations in an unselected CLL cohort and do not support a major prognostic role for ATM aberrations in CLL, thus motivating renewed research efforts aimed at understanding the pathobiology of 11q deletions in CLL. © 2012 Wiley Periodicals, Inc.
Mineral and Water Content of the Fat‐Free Body: Effects of Gender, Maturation, Level of Fatness, and Age
Authors: Slaughter Mary H. , Christ Constance B. , Stillman Rachel J. , Boileau Richard A. 
Published: September 2012

AbstractVariability associated with the effects of gender, level of fatness (LOF), maturation (ML), and age on the mineral (MFFB) and water (WFFB) content of the fat‐free body (FFB) was investigated in 188 males and 144 females, aged 8 to 17 years. Measures of body density, bone mineral content, total body water, and skin‐fold thicknesses were obtained. FFB was calculated using a multicomponent model based on body density and adjusting for variability in body water and mineral content. Subjects were classified by ML as prepubescent, pubescent, and postpubescent42. Subjects were also grouped by LOF as lean, average, and obese based on percentile rankings from the age‐related norms of the National Children and Youth Fitness Study34,35. Least squares multiple regression analysis using weighted orthogonal contrasts to account for sample size differences revealed significant (p<.01) gender, ML, gender x LOF, and gender x ML effects for MFFB; however, no significant (p>.05) effects between, or within, gender were noted for WFFB. Significant ML, and nearly significant (p>.056) LOF x ML, effects were found for MFFB in the males. In contrast, only ML was significant within the female sample for MFFB. These results were upheld when age2, rather than ML, was used in the analysis. The overall relative increase in MFFB across ML was greatest in the obese (17.4%, 93%) and least in the lean (11.3%, 63%) males and females, respectively. A significant increase in MFFB across ML was observed in both genders; however, the pattern and magnitude of increase is dependent upon LOF considered. Hence, consideration of gender, ML, LOF and age is essential in estimating body composition in children.
Gallstone Formation and Weight Loss
Authors: Weinsier Roland L. , Ullmann Daniel O. 
Published: September 2012

SummaryObesity is associated with increased bile stasis and cholesterol saturation, and an increased risk of gallstone development. Conversely, bile composition is normalized following reduction in body weight. It would appear advantageous to promote weight loss in obesity, which would reduce the predisposition to gallstone formation. Despite the potential health benefits of weight reduction, very‐low‐calorie diets appear to increase the risk for cholesterol crystal and gallstone formation. The incidence of gallstone formation seems to be dependent on the degree of caloric restriction, the rate of weight loss, and the duration of the dietary intervention. Thus, faster rates of weight loss for longer periods of time are associated with increased risk.Available data obtained from prospective studies of subjects during active weight loss suggest that newly formed gallstones occur within 4 weeks and with incidence rates 15 to 25‐fold higher than in the general obese population. The stones produce symptoms in approximately one‐third of the subjects, of whom approximately one‐half will undergo surgery. Proposed mechanisms underlying gallstone formation during weight reduction include bile stasis due to reduced caloric intake, increased biliary cholesterol saturation secondary to increased cholesterol mobilization, and increased nucleation due to changes in bile arachidonate and givcoprotein concentrations. Data are lacking on the effects of gradual rates of weight loss and risk of gallstone formation.
Effect of Enterostatin on the Feeding Responses to Galanin and NPY
Authors: Lin Ling , Gehlert Donald R. , York David A. , Bray George A. 
Published: September 2012

AbstractWe have investigated the possibility that enterostatin may inhibit the intake of dietary fat by inhibiting either galanin or NPY‐induced feeding pathways. Rats, adapted to either high fat (HF) or low fat‐high carbohydrate (HC) diets and fitted with third ventricular cannulas were used to study the effects of intracerebroventricular (icv) enterostatin on icv NPY and galanin induced feeding responses in satiated rats. An equimolar dose of enterostatin (0.1nmoles) inhibited, while a tenfold excess of entersotatin abolished the feeding response to galanin in rats adapted to a HF diet. The galanin stimulation of food intake was reduced in rats adapted to the HC diet and this response was less sensitive to inhibition by enterostatin. Enterostatin had no inhibitory effects on NPY‐induced feeding in rats adapted to the HC diet and only a small inhibitory effect, at tenfold molar excess, in rats adapted to the HF diet. The ability of enterostatin to bind to galanin or NPY Y‐1 receptors was investigated in lig and binding studies. Enterstatin fialed to dispace 125I‐galanin or 125I‐PYY from specific binding sites in rat forebrain homogenates or SK‐N‐MC cells respectively. The data provide support for the hypothesis that enterostatin specifically inhibits a galanin‐responsive fat intake system, but indicate that this effect is not modulated by direct interaction with either galanin or NPY‐Y1 receptors.