bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluation of total dietary fiber concentration and composition of commercial diets used for management of diabetes mellitus, obesity, and dietary fat-responsive disease in dogs
Authors: Farcas Amy K. , Larsen Jennifer A. , Owens Tammy J. , Nelson Richard W. , Kass Philip H. , Fascetti Andrea J. 
Published: August 2015

Abstract
Objective—To determine total dietary fiber (TDF) concentration and composition of commercial diets used for management of obesity, diabetes mellitus, and dietary fat-responsive disease in dogs.
Design—Cross-sectional study.
Sample—Dry (n = 11) and canned (8) canine therapeutic diets.
Procedures—Insoluble and soluble dietary fiber (IDF and SDF), high-molecular-weight SDF (HMWSDF), and low-molecular-weight SDF (LMWSDF) concentrations were determined. Variables were compared among diets categorized by product guide indication, formulation (dry vs canned), and regulatory criteria for light and low-fat diets.
Results—SDF (HMWSDF and LMWSDF) comprised a median of 30.4% (range, 9.4% to 53.7%) of TDF; LMWSDF contributed a median of 11.5% (range, 2.7% to 33.8%) of TDF. Diets for diabetes management had higher concentrations of IDF and TDF with lower proportions of SDF and LMWSDF contributing to TDF, compared with diets for treatment of fat-responsive disease. Fiber concentrations varied within diet categories and between canned and dry versions of the same diet (same name and manufacturer) for all pairs evaluated. Diets classified as light contained higher TDF and IDF concentrations than did non-light diets. All canned diets were classified as low fat, despite providing up to 38% of calories as fat.
Conclusions and Clinical Relevance—Diets provided a range of TDF concentrations and compositions; veterinarians should request TDF data from manufacturers, if not otherwise available. Consistent responses to dry and canned versions of the same diet cannot necessarily be expected, and diets with the same indications may not perform similarly. Many diets may not provide adequate fat restriction for treatment of dietary fat-responsive disease.
Comparison of foods with differing nutritional profiles for long-term management of acute nonobstructive idiopathic cystitis in cats
Authors: Kruger John M. , Lulich Jody P. , MacLeay Jennifer , Merrills Jane , Paetau-Robinson Inke , Brejda John , Osborne Carl A. 
Published: August 2015

Abstract
Objective—To evaluate the effect of nutrition on recurrent clinical signs of lower urinary tract (LUT) disease in cats with idiopathic cystitis.
Design—Randomized, controlled, masked clinical trial.
Animals—31 cats with acute nonobstructive idiopathic cystitis.
Procedures—Cats were assigned to receive 1 of 2 foods (a cystitis prevention or control food) that differed in mineral (calcium, phosphorous, and magnesium), antioxidant, and fatty acid profiles. Owners documented LUT signs daily for up to 1 year. The primary endpoint was the number of recurrent episodes in which a cat had multiple (≥ 2 concurrent) LUT signs within a day (defined as multiple-sign day). Consecutive days in which a cat had multiple LUT signs were considered as a single episode.
Results—4 cats fed prevention food and 2 cats fed control food were excluded from analysis because of noncompliance, gastrointestinal signs, food refusal, or owner voluntary withdrawal. The proportion of cats fed prevention food that had ≥ 1 recurrent episode of multiple-sign days (4/11) was not significantly lower than that of cats fed control food (9/14). However, cats fed prevention food had significantly lower mean incidence rates for recurrent episodes of multiple-sign days (0.7 episodes/1,000 cat-days) and episodes of hematuria (0.3 episodes/1,000 cat-days), dysuria (0.2 episodes/1,000 cat-days), and stranguria (0.2 episodes/1,000 cat-days) as single LUT signs, compared with cats fed control food (5.4, 3.4, 3.1, and 3.8 episodes/1,000 cat-days, respectively). Significantly fewer cats fed prevention food required analgesics (4/11), compared with cats fed control food (12/14).
Conclusions and Clinical Relevance—Foods with differing nutritional profiles appeared to impact mean incidence rates of recurrent feline idiopathic cystitis-associated signs.
Nasal Septal Perforation Associated with Pyoderma Gangrenosum
Authors: McConnell Brook , Said M. Sherif , Ramakrishnan Vijay R. 
Published: August 2015

Background Pyoderma gangrenosum (PG) is a skin condition characterized by necrotic ulcers and most commonly occurs on the legs in association with inflammatory bowel disease and rheumatoid arthritis; however, PG rarely involves the head and neck, and very rarely causes nasal septal perforation. Objective Here, we describe a case report of PG causing nasal septal perforation in a 71-year-old male with truncal lesions in the absence of either inflammatory bowel disease or autoimmune arthritis. Methods Case report with histologic description. Results Histology from nasal mucosal biopsies showed chronic inflammation and reactive change without evidence of malignancy. Together with serologic and nonserologic testing, as well as clinical evaluation, we were able to rule out other causes of septal perforation including Wegener's granulomatosis, lymphoma, and vasculitis, and concluded that the cause of nasal septal perforation was most likely PG. Conclusion Septal perforation etiology should include a complete history and physical to evaluate for systemic etiologies, including rare ones such as PG.
Successful Endoscopic Endonasal Repair of Nasal Meningoencephalocele in a 21-Day-Old Neonate
Authors: Mohindra Satyawati , Mohindra Sandeep , Kumar Patro Sourabha 
Published: August 2015

Introduction Indications of surgical intervention in congenital nasal meningoencephaloceles includes presence of cerebro spinal fluid rhinorrhea having a risk of causing meningitis, episodes of prior meningitis and bilateral nasal obstruction causing respiratory difficulty in these obligate nasal breathers. Many authors would like to wait till the patient attains the age of 2 to 3 years for repair of the defect due to surgical feasibility. However, early intervention prevents further episodes of meningitis in the future. We present the youngest patient of nasal meningoencephalocele successfully repaired via endoscopic approach. Case Report A 21 days old neonate was referred to us with a nasal meningoencephalocele with active cerebrospinal fluid rhinorrhoea. Radiological investigation showed a cribriform plate defect on the right side. Repair was done by endoscopic route by multi-layered closure of the defect which was augmented with a mucoperichondrial flap from the septum. Patient was asymptomatic in the post-operative follow up period and did not have any episode of meningitis till date. Conclusion Early repair by transnasal endoscopic route is a feasible surgical option for congenital anterior skull base defects with meningoencephaloceles to prevent further episodes of meningitis. This is feasible even in the neonatal period due to improved technique and instrumentation now available for endoscopic nasal surgeries.
Ethmoid Pneumocele Presenting with Exophthalmos 15 Years after Endoscopic Sinus Surgery
Authors: Song Michelle , Ahn Sun M. , Reh Douglas R. , Shargorodsky Josef 
Published: August 2015

Introduction A pneumocele is an abnormal dilation of an air-containing sinus beyond the normal margins of bone, with associated bony thinning. A delayed ethmoid pneumocele after sinus surgery has not previously been reported. Methods A case report of a patient with a delayed ethmoid pneumocele after sinus surgery. The diagnostic workup, operative approach, and postoperative results were evaluated. Results A 57-year-old female with a history of endoscopic sinus surgery 15 years prior presented with right eye proptosis and severe orbital and facial pressure. A maxillofacial computed tomography showed a markedly expanded air-filled right anterior ethmoid space with a dehiscent lamina papyracea, consistent with a pneumocele. Marsupialization of the pneumocele as well as a revision ethmoidectomy were performed, with a visible return of the orbital contents to a more natural position. The patient experienced worsened diplopia immediately postoperatively that resolved within two weeks. Conclusions This case demonstrates that a pneumocele can present even years after endoscopic sinus surgery, and acute but temporary development or worsening of diplopia can result from surgical decompression of the pneumocele as the eye returns to its natural position.
Gene Expression Profiles in Chronic Idiopathic (Spontaneous) Urticaria
Authors: Patel Ojas P. , Giorno Ralph C. , Dibbern Donald A. , Andrews Karen Y. , Durairaj Sonia , Dreskin Stephen C. 
Published: August 2015

Background The pathophysiology of chronic idiopathic (spontaneous) urticaria (CIU) is poorly understood. Objective We hypothesized that a study of gene expression in active lesions from patients with CIU would uncover unexpected associations. Methods We enrolled eight patients with CIU and six healthy controls, and obtained 4 mm punch biopsy specimens of active lesions and unaffected skin of patients with CIU and of skin from normal controls. Routine histologic evaluation was performed, RNA was isolated, and gene expression data were assessed. Due to technical reasons, the final evaluation included six samples of lesional skin, six samples of nonlesional skin, and five samples of normal skin. Results As expected, lesional skin had more inflammatory cells per high-powered field (mean ± SE, 96 ± 6) than did samples from nonlesional skin of the subjects with CIU (17 ± 2) (p < 0.01). Lesions of CIU showed significant upregulation of 506 genes and reduced expression of 51 genes. Those most upregulated were predominantly involved in cell adhesion (e.g., selectin E [SELE]), cell activation (e.g., CD69), and chemotaxis (e.g., CCL2). Twelve independent canonical pathways with p ≤ 0.001 were identified (including intracellular kinase pathways (RAs-related nuclear protein [RAN] and Janus activated kinase/interferon), cytokine signaling pathways (IL-9, IL10, and IFN), a strong inflammatory response (interferon, IL-9, IL-10, inducible nitric oxide synthase and glucocorticoid pathways) and increased cell proliferation (RAN signaling, cell cycle control, and tRNA charging). Conclusions This preliminary study describes a method to study gene activation in urticarial lesions and demonstrated a strong inflammatory response with a large variety of activated genes that are distinct from those reported with other dermatologic conditions.
Nasal Epithelial Myoepithelial Carcinoma: An Unusual Cause of Epiphora, a Case Report and Review of the Literature
Authors: Flam Juliette O. , Brook Christopher D. , Sobel Rachel , Lee John C. , Platt Michael P. 
Published: August 2015

Introduction Epithelial myoepithelial carcinoma (EMC) of the nasal cavity is a rare tumor, and here we describe the first case of EMC of the nasal cavity presenting with epiphora. A case presentation and review of the literature is provided. Methods A case report is described of a 63-year-old man who presented with unilateral epiphora and was found via a thorough history and physical examination to have a nasal tumor. The physical examination consisted of an ocular examination, including probing and irrigation, and a detailed nasal examination (anterior rhinoscopy, nasal endoscopy). The nasal examination was prompted by the patient's report of concurrent nasal symptoms during history taking. Immunohistochemistry subsequently identified the nasal tumor as EMC. A literature search was performed to gain insights into similar malignancies of the nasal cavity. Results Eight cases of EMC of the nasal cavity were identified in the literature, none of the patients presented with epiphora. The case presented here resulted in resolution of the patient's symptoms and no evidence of disease after surgical excision. Conclusion Epithelial myoepithelial is a rare salivary gland malignancy that can arise in the nasal cavity. Unilateral epiphora with concurrent nasal symptoms should prompt nasal cavity examination for the possibility of an obstructive tumor.
Effectiveness of Manual Therapy and Therapeutic Exercise for Temporomandibular Disorders: Systematic Review and Meta-Analysis
Authors: Armijo-Olivo Susan , Pitance Laurent , Singh Vandana , Neto Francisco , Thie Norman , Michelotti Ambra 
Published: August 2015

BackgroundManual therapy (MT) and exercise have been extensively used to treat people with musculoskeletal conditions such as temporomandibular disorders (TMD). The evidence regarding their effectiveness provided by early systematic reviews is outdated.PurposeThe aim of this study was to summarize evidence from and evaluate the methodological quality of randomized controlled trials that examined the effectiveness of MT and therapeutic exercise interventions compared with other active interventions or standard care for treatment of TMD.Data SourcesElectronic data searches of 6 databases were performed, in addition to a manual search.Study SelectionRandomized controlled trials involving adults with TMD that compared any type of MT intervention (eg, mobilization, manipulation) or exercise therapy with a placebo intervention, controlled comparison intervention, or standard care were included. The main outcomes of this systematic review were pain, range of motion, and oral function. Forty-eight studies met the inclusion criteria and were analyzed.Data ExtractionData were extracted in duplicate on specific study characteristics.Data SynthesisThe overall evidence for this systematic review was considered low. The trials included in this review had unclear or high risk of bias. Thus, the evidence was generally downgraded based on assessments of risk of bias. Most of the effect sizes were low to moderate, with no clear indication of superiority of exercises versus other conservative treatments for TMD. However, MT alone or in combination with exercises at the jaw or cervical level showed promising effects.LimitationsQuality of the evidence and heterogeneity of the studies were limitations of the study.ConclusionsNo high-quality evidence was found, indicating that there is great uncertainty about the effectiveness of exercise and MT for treatment of TMD.
Characteristics of US-Licensed Foreign-Educated Physical Therapists
Authors: Cornwall Mark W. , Keehn Mary T. , Lane Mark 
Published: August 2015

Background
Foreign-educated physical therapists are often viewed as one possible solution to the current shortage of physical therapists, yet there is very little research regarding these individuals.

Objective
The purpose of this study was to describe those physical therapists who are licensed in the United States but who were educated in another country. This description includes their country of education, their employment patterns, and the reasons they decided to emigrate and work as a physical therapist in the United States.

Design
A cross-sectional survey was conducted.

Methods
An electronic survey was sent to all physical therapists currently licensed in the United States who had been educated in another country. Those who had been licensed within the last 5 years are reported.

Results
The results of the survey indicated that the typical foreign-educated physical therapist is female, aged 32.2 years, and was born and trained in either the Philippines or India. A majority of foreign-educated physical therapists obtained their first license in New York, Michigan, Illinois, Texas, or Florida. The most common reasons cited as to why a particular jurisdiction was chosen for initial employment were “recruiter recommendation,” “family, spouse, partner, or friends,” “ease of the licensure process,” and “ability to secure a visa sponsor.” A majority of foreign-educated physical therapists in this study initially worked in a skilled nursing facility, a long-term care or extended care facility, or a home health setting.

Limitations
Only those foreign-educated physical therapists licensed within the last 5 years are reported.

Conclusions
This study is the first to report on foreign-educated physical therapists in the United States. The findings of this study will provide important and useful information to others dealing with physical therapy professional and workforce issues.
Balance Confidence and Fear of Falling Avoidance Behavior Are Most Predictive of Falling in Older Adults: Prospective Analysis
Authors: Landers Merrill R. , Oscar Sarrie , Sasaoka Jessica , Vaughn Kyle 
Published: August 2015

BackgroundEvidence suggests that there are several fall predictors in the elderly population, including previous fall history and balance impairment. To date, however, the role of psychological factors has not yet been thoroughly vetted in conjunction with physical factors as predictors of future falls.ObjectiveThe purpose of this study was to determine which measures, physical and psychological, are most predictive of falling in older adults.DesignThis was a prospective cohort study.MethodsSixty-four participants (mean age=72.2 years, SD=7.2; 40 women, 24 men) with and without pathology (25 healthy, 17 with Parkinson disease, 11 with cerebrovascular accident, 6 with diabetes, and 5 with a cardiovascular diagnosis) participated. Participants reported fall history and completed physical-based measures (ie, Berg Balance Scale, Dynamic Gait Index, self-selected gait speed, Timed “Up & Go” Test, Sensory Organization Test) and psychological-based measures (ie, Fear of Falling Avoidance Behavior Questionnaire, Falls Efficacy Scale, Activities-specific Balance Confidence Scale). Contact was made 1 year later to determine falls during the subsequent year (8 participants lost at follow-up).ResultsUsing multiple regression, fall history, pathology, and all measures were entered as predictor candidates. Three variables were included in the final model, explaining 49.2% of the variance: Activities-specific Balance Confidence Scale (38.7% of the variance), Fear of Falling Avoidance Behavior Questionnaire (5.6% additional variance), and Timed “Up & Go” Test (4.9% additional variance).LimitationsFalls were based on participant recall rather than a diary.ConclusionsBalance confidence was the best predictor of falling, followed by fear of falling avoidance behavior, and the Timed “Up & Go” Test. Fall history, presence of pathology, and physical tests did not predict falling. These findings suggest that participants may have had a better sense of their fall risk than with a test that provides a snapshot of their balance.
Effectiveness and Cost-Effectiveness of Different Weekly Frequencies of Pilates for Chronic Low Back Pain: Randomized Controlled Trial
Authors: Miyamoto Gisela Cristiane , Moura Katherinne Ferro , Franco Yuri Rafael dos Santos , de Oliveira Naiane Teixeira Bastos , Amaral Diego Diulgeroglo Vicco , Branco Amanda Nery Castelo , da Silva Maria Liliane , Lin Christine , Cabral Cristina Maria Nunes 
Published: August 2015

Background
The Pilates method has been recommended to patients with low back pain, but the evidence on effectiveness is inconclusive. In addition, there is still no evidence for the cost-effectiveness of this method or for the ideal number of sessions to achieve the highest effectiveness.

Objective
The aim of this study will be to investigate the effectiveness and cost-effectiveness of the Pilates method with different weekly frequencies in the treatment of patients with nonspecific low back pain.

Design
This is a randomized controlled trial with blinded assessor.

Setting
This study will be conducted at a physical therapy clinic in São Paulo, Brazil.

Participants
Two hundred ninety-six patients with nonspecific low back pain between the ages of 18 and 80 years will be assessed and randomly allocated to 4 groups (n=74 patients per group).

Intervention
All groups will receive an educational booklet. The booklet group will not receive additional exercises. Pilates group 1 will follow a Pilates-based program once a week, Pilates group 2 will follow the same program twice a week, and Pilates group 3 will follow the same program 3 times a week. The intervention will last 6 weeks.

Measurements
A blinded assessor will evaluate pain, quality-adjusted life-years, general and specific disability, kinesiophobia, pain catastrophizing, and global perceived effect 6 weeks, 6 months, and 12 months after randomization.

Limitations
Therapists and patients will not be blinded.

Conclusions
This will be the first study to investigate different weekly frequencies of treatment sessions for nonspecific low back pain. The results of this study will contribute to a better definition of treatment programs for this population.
Kinetic Texts: From Performance to Poetry
Authors: Cornish Matt 
Published: August 2015

abstract:Text often feels irrelevant in the performances of the German freie Szene, or free-scene, which, in contrast to the country’s state-supported repertory theatre system, enables rehearsal processes that do not begin with plays. Taking seriously the literary aspects of the apparently meaningless texts of the free-scene and engaging with W. B. Worthen, Hans-Thies Lehmann, Joseph Roach, and Diana Taylor, the article proposes that we distinguish between “playtexts” and “kinetic texts.” Kinetic texts – texts in motion – neither represent performance, nor encourage representation in theatrical presentations. They consist of what is generally considered superfluous to a text: marginalia, commentary, interruptions. Using the kinetic text concept, the author examines three performances from the free-scene, by She She Pop, Showcase Beat Le Mot, and Gob Squad. With particular focus on Alles [Everything] (2011) by Showcase Beat Le Mot, the article shows how text is essential to the experience of the performance, finding poetry where we assume there is none. Finally, the article investigates the practical and political problems in trying to print kinetic texts.
Paige A. McGinley, Staging the Blues: From Tent Shows to Tourism
Authors: Adelt Ulrich 
Published: August 2015

ABSTRACT: Staging the Blues is the first sustained effort to study the performative aspects of blues and its important connections to theatricality. Through case studies ranging from early, classic blues singers to contemporary blues tourism in Mississippi, McGinley gives centre stage to an aspect of the genre that has been marginalized by other scholars.