bluuebunny/crossref_metadata_2025_split huggingface dataset:
Fieldwork Performance, Academic Grades, and Pre-selection Criteria of Occupational Therapy Students
Authors: Katz Gary M. , Mosey Anne Cronin 
Published: October 2012

Abstract
To assess the relationship between pre-selection criteria, academic grades, and fieldwork performance, 45 basic master’s occupational therapy students who graduated from New York University between October 1974 and October 1977 were selected. The students’ undergraduate and occupational therapy records were reviewed for undergraduate grade point averages (GPA), prerequisites, major, occupational therapy grades, and Field Work Performance Report scores (FWPR). The results indicated that undergraduate GPA and occupational therapy GPA correlated with both psychosocial dysfunction and physical disability FWPR scores. However, a student’s participation in a Fieldwork I experience was unrelated to the score received on the FWPR for a Fieldwork II experience. Discussion also focused on the limited usefulness of the FWPR as an evaluative tool since the mean scores were very high and its variability was rather low.
Eye and Head Movements in Reading-Disabled and Normal Children
Authors: Petri Janet L. , Anderson Marjorie E. 
Published: October 2012

Abstract
Coordination of eye and head movements on nonreading tasks was investigated in 16 reading-disabled and 18 normal children aged 6 to 11 years. Types of eye movements are described and mechanisms controlling eye and head movement are reviewed. Significant differences were found between the two groups in sequencing of eye and head movements that were made in response to the appearance of visual stimuli at unexpected times and positions. Some reading-disabled children also were found to require more eye movements to achieve fixation on targets at known positions. It is suggested that the vestibular system may be implicated as a factor in the results obtained from the reading-disabled children and that the atypical eye-head movement patterns observed may aid in stabilizing their visual world.
Refractive Surgery for Accommodative Esotropia: Past, Present, and Future
Authors: Hutchinson Amy K. 
Published: October 2012

Introduction. Refractive surgery has the potential to be a definitive treatment for accommodative esotropia, yet it has not been widely embraced. This article reviews the current literature on refractive surgery to treat accommodative esotropia. Methods. A literature search was performed using the following terms: refractive surgery, photorefractive keratectomy, laser-assisted keratomileusis, intraocular lens, hyperopia, accommodative esotropia, children, pediatric. Results. Fifteen series of patients treated with refractive surgery for accommodative esotropia were identified and summarized. Conclusions. Refractive surgery holds promise for the treatment of accommodative esotropia, although treatment risks are present and additional investigation is needed.
Decentralized Control Performances of an Experimental Web Handling System
Authors: Giannoccaro Nicola Ivan , Nishida Takeshi , Sakamoto Tetsuzo 
Published: October 2012

Robust and good tracking control of the speed and the tension in web handling systems in spite of changes of set point is surely one of the important challenges in the web transport systems future development. In this paper, the authors experimentally demonstrate the real applicability of a decentralized robust control to a multi-span web transport system, which is composed of twelve guide rollers, four main sections mutually interconnected with each other. The overlapping methodology has been applied for the system decomposition. The experimental results carried out using the robust decentralized control show an excellent velocity and tension tracking in each controlled section of the system.
Postoperative cognitive dysfunction in geriatric patients after orthopedic surgery
Authors: Gelmanas Arūnas , Bukauskas Tomas , Macas Andrius , Žarskienė Giedrė , Žarskus Ainius 
Published: October 2012

The aim of our study was to find out the changes of cognitive functions of geriatric patients after orthopedic surgery and when these differen­ ces are marked. We also tried to find out factors, which have influence on the results of common mental activity, to estimate the dynamics of mental activity and to choose the most optimal intervals of estimation. The population of our investigation consisted of 25 consecutive adult patients, undergoing orthopedic operation, applying regional anesthesia. Neurophysiological assessment where all patients underwent neurophysiological tests consisted of the Mini-mental State Examination (MMSE), 6 Item Cognitive Impairment test (6CIT), Trail-making test – a neuropsychological test of visual attention and task switching. Patients were tested the day before the surgery (MMSE1, 6CIT1, TMT1), on the day of the surgery (MMSE2, 6CIT2, TMT2) and on the third day after the surgery (MMSE3, 6CIT3, TMT3). The day before the surgery reveals that results of MMSE1, 6CIT1 tests were better in a group of younger patients. We found that the results of the MMSE test were significantly worse 3 days after the surgery than those before the procedure in the A group, p = 0.016. The biggest digression was fixed in “copying” and “repeating” after the surgery intervention, p = 0.01, p = 0.04. The orientation in time significantly decreased in the group B after the surgery, p = 0.00. MMSE, 6CIT, TMT test results were significantlt worse in older patients rather than younger ones 3 days after the surgery. We set that the elderly have a significantly shorter duration of education. Younger patients and patients with a longer studying period achieved better results of tests. The results mean that age and lasting of education are significant predictors of POCD. Our pilot study confirmed that POCD develops for older patients, undergoing neuroaxial anesthesia for orthopedic surgery. It is very important to continue studies and reveal how to decrease POCD events, keep the quality of life.
Screening tools for identifying a high probability of obstructive sleep apnea
Authors: Svaza Juris , Grava Jekaterina , Smolko Jana 
Published: October 2012

Background. Obstructive sleep apnea (OSA) is a common medical problem that affects up to 5% of the population. The majority of OSA patients are undiagnosed and have a potential for perioperative complications. Our study was conducted to validate the most widely used screening tools for identifying high risk OSA patients and to find the most predictable physical signs and symptoms of OSA. Materials and methods. At the Sleep Laboratory of Riga Stradins University, 100 patients with suspected OSA were asked to fill in patient questionnaires prior to the sleep study. The patients’ anthropometric data, physical signs and medical history were collected. To confirm the diagnosis of OSA, all patients underwent a full night sleep study. To find the possible correlation, the data collected from the questionnaires were compared with the data from sleep studies. Results. Patients (n = 100) at a mean age of 47 yrs. (23–73), 22 women, 78 men. No OSA was found in 17%, mild OSA in 23%, moderate OSA in 21%, severe OSA in 39% of the patients. A strong correlation between the body mass index (BMI; p
Intercostal nerve block in pediatric minimally invasive thoracic surgery
Authors: Lukošienė Laura , Kalibatienė Lina , Barauskas Vidmantas 
Published: October 2012

Background. Very severe postoperative pain is observed after minimal­ ly invasive repair of pectus excavatum (MIRPE), extremely in the early postoperative period. Pain is usually managed by either thoracic epidu­ ral block (TEB) or intravenous patient-controlled analgesia (PCA) with opioids. But the issue of optimal pain management is still controversial. The purpose of our study was to investigate efficiency and side effects of intercostal nerve block (ICNB) in children after MIRPE in comparison with only PCA. Materials and methods. Records of 20 patients, given PCA with mor­ phine (PCA group), were examined retrospectively. 27 patients, given in­ traoperative ICNB (single shot) and PCA with morphine (ICNB group), were examined prospectively. Postoperatively, we recorded morphine consumption, pain scores and side effects every 3 hours. Results. There was no need of the initial dose of morphine in the ICNB group. Pain scores during the first 3 hours, morphine consumption dur­ ing the first 3 hours and during 12 hours after surgery were significantly higher in the PCA group (p
Low-dose ketamine for supplement analgesia during minor day-case gynaecological surgery
Authors: Sondore Antonina , Roga Anita , Vanags Indulis 
Published: October 2012

Background. Preemptive low-dose Ketamine IV has been found to reduce anaesthetic drugs requirement, exert an excellent analgesia and may therefore be a useful component of general anaesthesia. Meanwhile, these data in literature are interpreted with caution. The aim of this study was to evaluate the efficacy and safety of preventive low-dose Ketamine as an adjuvant in the multimodal total intravenous anaesthesia (TIVA). Materials and methods. In this prospective study 40 women, ASA I-II, undergoing day-case minor gynaecological surgery, were enrolled. After premedication with Droperidol, Midazolam and Fentanyl in the study group (gr.), the patients (pts) received 0.2 mg/kg Ketamine (K gr., n = 20) and in the control gr. (C gr., n = 20) the patients received isotonic saline 30 sec before the induction of anaesthesia with Propofol. Anaesthesia was maintained with additional intermittent doses of Propofol, if required. The demand for a Propofol initial hypnotic dose and the requirement for additional intermittent doses, respiratory and cardiovascular reactions just after injection of drugs and during the perioperative period; times for response to verbal commands (early recovery) and for late recovery (physical capability), side-effects were registered perioperatively. Results. The results demonstrate that K gr. required significantly less Propofol, necessary for sleep (48.25 ± 12.69 mg vs. 101.50 ± 16.94 mg in C gr. which was by 47% more; t = 11.27, p =
Near-infrared spectroscopy in newborns and infants under general anesthesia
Authors: Šuškevičienė Ilona , ČeslavaRugytė Danguolė , Bukauskas Tomas , Vilkė Alina , Bilskienė Diana , Macas Andrius 
Published: October 2012

The aim of this study was to find out absolute values of cerebral oxygenation during uncomplicated anesthesia in otherwise healthy newborns and infants undergoing general surgery and to correlate them with demographic and clinical variables. We examined 10 term newborns and infants ASA class I or II without any documented neurological and cardiovascular disorders. All patients underwent general anesthesia with sevoflurane, fentanyl and muscle relaxants. After induction of anesthesia, near-infrared spectroscopy (NIRS) was started and used throughout the surgery. Overall mean (standard deviation (sd)) rSO2 value was 84 ± 8% and weakly correlated with weight (r = 0.5), postnatal age (r = 0.2), SpO2 (r = 0.3) and arterial blood pressure (r = 0.2), p
Laparoscopic Trocar Port Site Endometriosis: A Case Report and Brief Literature Review
Authors: Emre Arif , Akbulut Sami , Yilmaz Mehmet , Bozdag Zehra 
Published: October 2012

Abstract
Endometriosis is defined as the presence of ectopic endometrial tissue outside the lining of the uterine cavity. It occurs most commonly in pelvic sites such as ovaries, cul-de-sac, and fallopian tubes but also can be found associated with the lungs, bowel, ureter, brain, and abdominal wall. Abdominal wall endometriosis, also known as scar endometriosis, is extremely rare and mainly occurs at surgical scar sites. Although many cases of scar endometriosis have been reported after a cesarean section, some cases of scar endometriosis have been reported after an episiotomy, hysterectomy, appendectomy, and laparoscopic trocar port tracts. To our knowledge, 14 case reports related to trocar site endometriosis have been published in the English language literature to date. Herein, we present the case of a 20-year-old woman (who had been previously operated on for left ovarian endometrioma 1.5 years ago by laparoscopy) with the complaint of a painful mass at the periumbilical trocar site with cyclic pattern. Consequently, although rare, if a painful mass in the surgical scar, such as the trocar site, is found in women of reproductive age with a history of pelvic or obstetric surgery, the physician should consider endometriosis.
Predictors of Successful Outcome After Adrenalectomy for Primary Aldosteronism
Authors: Wang Wei , Hu WeiLie , Zhang XiaoMing , Wang BangQi , Bin Chen , Huang Hai 
Published: October 2012

Abstract
The underlying cause of resistant hypertension after adrenalectomy for primary hyperaldosteronism remains controversial. The objective of this study was to identify preoperative factors predictive of resistant hypertension in patients after undergoing retroperitoneoscopic adrenalectomy. Between 2003 and 2009, 124 patients with unilateral aldosterone-producing adenoma or unilateral adrenal hyperplasia underwent retroperitoneoscopic adrenalectomy at our institution. Clinical and biochemical data were reviewed retrospectively at baseline and after a median follow-up time of 59.2 ± 37.2 months. Adrenalectomy cured hypertension in 68 patients (54.8%) and 43 (34.8%) had persistent hypertension that was much easier to control after surgery, whereas 13 patients (10.4%) had continued hypertension and poor blood pressure control. Multivariate regression analysis revealed that the main determinants of postoperative cure were duration of hypertension less than 5 years [odds ratio (OR): 6.515, 95% confidence interval (CI) 2.278–10.293), number of antihypertensive medications ≤2 (OR: 2.939, 95% CI 1.254–5.235), preoperative response to spironolactone (OR: 3.405, 95% CI 1.681–6.985), the TT genotype of the CYP11B2 gene (344 C/T) (OR: 2.765, 95% CI 1.221–4.986), and the presence of adenoma rather than hyperplasia (OR: 5.274, 95% CI 2.150–8.141). The main determinants of surgical cure or control of hypertension in patients with primary hyperaldosteronism were duration of hypertension, number of antihypertensive medications, preoperative response to spironolactone, the presence of adenoma, and CYP11B2 (344 C/T) genotype. Consideration of these factors may help in the evaluation of patients for surgery and for the identification of patients with continued postoperative hypertension that may require more long-term monitoring and treatment.
Primary Hepatic Cancers With Multiple Pathologic Features in a Patient With Hepatitis C: Report of a Case
Authors: Oshima Go , Shinoda Masahiro , Tanabe Minoru , Masugi Yohei , Ueno Akihisa , Takano Kiminori , Kitago Minoru , Itano Osamu , Kawachi Shigeyuki , Ohara Kentaro , Oda Masaya , Tanimoto Akihiro , Sakamaoto Michiie , Kitagawa Yuko 
Published: October 2012

AbstractWe report a case of multiple primary hepatic cancers exhibiting different pathologic features coexisting in a patient with chronic hepatitis C. Computed tomography showed 2 tumors in segment 8, 20 mm (S8-A) and 5 mm (S8-B) in diameter, and a 10-mm tumor in segment 6 (S6). Based on the images, the S8-A lesion was diagnosed as cholangiocellular carcinoma or combined hepatocellular carcinoma and cholangiocarcinoma (combined HCC-CC). The other 2 tumors were diagnosed as HCC. The patient underwent partial resections of segments 6 and 8. We found 2 more tumors (S8-C was 6 mm in diameter and S8-D was 4 mm) in the resected segment 8 specimen. Histopathologic examination revealed that the S8-A and S8-C tumors were combined HCC-CC, the S8-B and S6 lesions were scirrhous HCC, and the S8-D tumor was an early HCC. This is a very rare case in which different hepatic cancers with multiple pathologic features coexisted.
Glyceryl Trinitrate Ointment Did Not Reduce Pain After Stapled Hemorrhoidectomy: A Randomized Controlled Trial
Authors: Cross Trent , Bartlett Lynne , Mushaya Chrispen , Ashour Mohamed , Ho Yik-Hong 
Published: October 2012

Abstract
Medications, including topical 0.2% glyceryl trinitrate (GTN), can reduce anal spasm and pain after excisional hemorrhoidectomy. GTN after stapled hemorrhoidopexy was compared with routine postoperative management. Patients with symptomatic grade 3/4 hemorrhoids were recruited. After stapled hemorrhoidopexy, residual perianal skin tags were excised as appropriate. Those requiring double purse-string mucosectomy were excluded. Postoperative pain, pain duration, and complications were assessed. One hundred ten patients (74 men; mean age 50.6 years) were enrolled in the control group and 100 patients (57 men; mean age 49.8 years) in the GTN group. Maximum pain was higher in the GTN group (P  =  0.015). There were no differences between the two groups in residual perianal skin tags requiring excision, postoperative complications, recurrence rates, follow-up period, average pain, duration of pain, or satisfaction scores. Sixteen GTN patients were noncompliant due to side effects. None had persistent perianal skin tags. GTN did not reduce postoperative pain after stapled hemorrhoidectomy.
Difference in Recurrence Patterns Between Anastomosis and Strictureplasty After Surgical Treatment for Crohn Disease
Authors: Hayakawa Shoichiro , Hotokezaka Masayuki , Ikeda Takuto , Uchiyama Shuichiro , Chijiiwa Kazuo 
Published: October 2012

Abstract
This study aimed to investigate whether the initial indication for surgery or type of surgery (strictureplasty or resection) performed determines recurrence patterns in patients with Crohn disease. Recurrence patterns of 41 patients (31 patients: only resection and anastomosis of the intestine, and 10 patients: strictureplasty with/without resection and anastomosis) who underwent operation for recurrent Crohn disease (June 2002–December 2010) were evaluated. Strictureplasty for nonperforating disease was performed at 17 sites, and reoperation was required at 11 sites (10 sites for nonperforating disease and 1 site for perforating disease). There was a significant difference in the recurrence pattern in patients who underwent resection and anastomosis (P &lt; 0.01) and in patients who underwent strictureplasty with resection and anastomosis (P &lt; 0.05) between sites at which resection and anastomosis was performed for nonperforating and for perforating disease. Initial indication for surgery, but not the type of surgery, appeared to determine recurrence patterns.
Thoracic Disk Herniation, a not Infrequent Cause of Chronic Abdominal Pain
Authors: Lara F. J. Pérez , Berges A. Ferrer , Quesada J. Quintero , Ramiro J. A. Moreno , Toledo R. Bustamante , Muñoz H. Oliva 
Published: October 2012

Abstract
This study assesses the proportion of patients presenting with nonvisceral chronic abdominal pain who have thoracic disk herniation as a possible cause. We designed a descriptive transversal study of patients attending our offices between February 2009 and October 2010, with a complaint of chronic abdominal pain of suspected abdominal wall source (positive Carnett sign). Nuclear magnetic resonance (NMR) of the spinal column was performed on all patients. When the NMR showed thoracic disk herniation the patients were treated according to their etiology. We also evaluated the symptoms in patients with thoracic disk herniation and their response to the applied treatment. Twenty-seven patients with chronic abdominal pain were evaluated. The NMR results in 18 of these 27 patients (66.66%) showed evidence of disk herniation. We report on the results of these 18 patients, emphasizing that the symptoms are florid and varied. Many patients had been previously diagnosed with irritable bowel syndrome. Thoracic disk herniation may account for chronic abdominal pain in many patients who remain undiagnosed or are diagnosed with irritable bowel syndrome. Thus, this possibility needs to be taken into account to achieve a correct diagnosis and a suitable mode of treatment.
Serial evaluations at an indium‐tin oxide production facility
Authors: Cummings Kristin J. , Suarthana Eva , Edwards Nicole , Liang Xiaoming , Stanton Marcia L. , Day Gregory A. , Saito Rena , Kreiss Kathleen 
Published: October 2012

AbstractBackgroundWe evaluated the effectiveness of workplace changes to prevent indium lung disease, using 2002–2010 surveillance data collected by an indium‐tin oxide production facility.MethodsWe assessed pulmonary function using lower limits of normal. Blood indium concentration and personal air sampling data were used to estimate exposure.ResultsAbnormalities were uncommon at hire. After hire, prevalence of spirometric restriction was 31% (n = 14/45), about fourfold higher than expected. Excessive decline in FEV1 was elevated at 29% (n = 12/41). Half (n = 21/42) had blood indium ≥5 µg/l. More recent hires had fewer abnormalities. There was a suggestion that abnormalities were more common among workers with blood indium ≥5 µg/l, but otherwise an exposure‐response relationship was not evident. Peak dust concentrations were obscured by time averaging.ConclusionsEvolving lung function abnormalities consistent with subclinical indium lung disease appeared common and merit systematic investigation. Traditional measures of exposure and response were not illustrative, suggesting fresh approaches will be needed. Workplace changes seemed to have had a positive though incomplete impact; novel preventive interventions are warranted. Am. J. Ind. Med. 56:300–307, 2013. © 2012 Wiley Periodicals, Inc.
International environmental and occupational health: From individual scientists to networked science Hubs
Authors: Rosenthal Joshua , Jessup Christine , Felknor Sarah , Humble Michael , Bader Farah , Bridbord Kenneth 
Published: October 2012

AbstractFor the past 16 years, the International Training and Research in Environmental and Occupational Health program (ITREOH) has supported projects that link U.S. academic scientists with scientists from low‐ and middle‐income countries in diverse research and research training activities. Twenty‐two projects of varied duration have conducted training to enhance the research capabilities of scientists at 75 institutions in 43 countries in Asia, Africa, Eastern Europe, and Latin America, and have built productive research relationships between these scientists and their U.S. partners. ITREOH investigators and their trainees have produced publications that have advanced basic sciences, developed methods, informed policy outcomes, and built institutional capacity. Today, the changing nature of the health sciences calls for a more strategic approach. Data‐rich team science requires greater capacity for information technology and knowledge synthesis at the local institution. More robust systems for ethical review and administrative support are necessary to advance population‐based research. Sustainability of institutional research capability depends on linkages to multiple national and international partners. In this context, the Fogarty International Center, the National Institute of Environmental Sciences and the National Institute for Occupational Safety and Health, have reengineered the ITREOH program to support and catalyze a multi‐national network of regional hubs for Global Environmental and Occupational Health Sciences (GEOHealth). We anticipate that these networked science hubs will build upon previous investments by the ITREOH program and will serve to advance locally and internationally important health science, train and attract first‐class scientists, and provide critical evidence to guide policy discussions. Am. J. Ind. Med. 55:1069–1077, 2012. Published 2012. This article is a U.S. Government work and is in the public domain in the USA.