bluuebunny/crossref_metadata_2025_split huggingface dataset:
Experimental Research Regarding the Application of Electro-Flushing Method on Diesel Contaminated Soils
Authors: Streche Constantin , Badea Adrian , Istrate Irina A. , Cocârţă Diana M. , Apostol Tiberiu 
Published: August 2014

Abstract
In 2011, as a result of the inventory conducted at the national level, The Ministry Of Environment concluded that the largest number of contaminated sites with hydrocarbons are due to the petroleum products distribution (nearly 400 sites), followed by the hydrocarbons extraction (about 310 sites). So, soil contamination with liquid petroleum products resulting from many industrial activities became an important issue of environment protection. Unfortunately not all local governments have provided a list of contaminated sites, which means that there is a possibility to have a bigger problem at the national level. All these surfaces are in a continuous growth due to industrial and social development and that is why it is necessary to study and improve decontamination methods of contaminated sites in order to regain one of our most important resources - the soil. In this paper, the main results obtained during a research that aimed to study two different treatment methods of contaminated soil in a combined solution, are presented. The newly developed method is called electro-flushing. Results proved that combining the two nominated methods could be a viable solution for treating diesel polluted soil with better performances comparing with using them separately. Concerning the electrochemical treatment of diesel contaminated soils an efficiency of 35-40 % could be obtained after 28 days; while using the flushing method up to 15-20% efficiency could be reached. On the other hand, if we combine these two methods, we can reach remediation efficiency up to 50%. So, the main interesting results of the present research is given by the fact that combining two known remediation methods, better performances could be achieved.
Endosulfan Resistance Profile of Soil Bacteria and Potential Application of Resistant Strains in Bioremediation
Authors: Chandini P.K. , Jaysooryan K.K , Varghese Rinoy , Sreedharan K. , Smitha K. P. 
Published: August 2014

AbstractIn the present study, bacterial strains were isolated from the soils of Wayanad District, Kerala, India and the isolates were tested for their tolerance to endosulfan and potential in bioremediation technology. Pesticide contamination in the soils, soil physico-chemical characteristics and socio-economic impacts of pesticide application were also analyzed. 28 pesticide compounds in the soil samples were analyzed and the results revealed that there was no pesticide residues in the soils. As per the survey conducted the pesticide application is very high in the study area and the level of awareness among the farmers was very poor regarding the method of application and its socio-economic and ecological impacts. A total of 9 bacterial strains were isolated with 50μg/ml of endosulfan in the isolating media and the results showed that most of the bacterial strains were highly resistance to endosulfan. Out of the 9 strains isolated 6 were highly resistant to endosulfan (500- 700μg/ml) and the other 3 isolates showed the resistance of 250-500μg/ml. From the studied isolate, isolate 9 demonstrating prolific growth and high resistance was selected to check their capability to degrade endosulfan over time. Identification of the selected strain reveals that it belongs to the genus Bacillus. Results of endosulfan removal studies showed that with increase in time, the biomass of the bacterial strains increased. The complete disappearance of endosulfan from the spiked and inoculated broth during the first day of incubation (24 hour interval) was observed. While the control flask showed the presence of endosulfan during the experimental period. Pesticide resistant bacteria are widely distributed in the soils of selected study area and the tolerance varied between bacteria even though they were isolated from the soils of the same area. The selected Bacillus species carry the ability to degrade endosulfan at accelerated rates and it could be useful in framing a bioremediation strategy for pesticide contaminated soil and water environments
Identification of peptide and protein doping related drug compounds confiscated in Denmark between 2007-2013
Authors: Andersen Hartvig Rune , Bjerre Holm Niels , Weihe Dalsgaard Petur , Ask Reitzel Lotte , Breum Müller Irene , Linnet Kristian 
Published: August 2014

Abstract
We present an overview of protein and peptide compounds confiscated in Denmark from late 2007 till late 2013 together with a description of a newly developed HRAM-LC-MS method used for identification. As examples of identification, we present data for the peptides AOD-9604, [D-Ala2, Gln8, Ala15, Leu27]sermorelin and the protein follistatin. It was found that a method with minimum sample preparation could be implemented for all of the confiscated peptides and the protein somatropin. However, for the protein follistatin it was necessary to include trypsin digestion in the sample preparation, which considerably increases the overall analysis time.
Internet self-efficacy does not predict student use of Internet-mediated educational technology
Authors: Buchanan Tom , Joban Sanjay , Porter Alan 
Published: August 2014

Two studies tested the hypothesis that use of learning technologies among undergraduate psychology students was associated with higher Internet self-efficacy (ISE). In Study 1, the ISE scores of 86 students were found not to be associated with either attitudes towards, or measured use of, blogs and wikis as part of an IT skills course. ISE was associated with time spent online, and positive attitudes to wikis were associated with higher use. Study 2 measured 163 students’ ISE scores at the beginning and end of the same course. ISE was again not correlated with attitudes towards, or actual measured use of, learning technologies used in the course. However, ISE was shown to increase during the course. Positive attitudes towards wikis and discussion boards were associated with higher use of each. Overall, ISE scores did not influence measured use of a Virtual Learning Environment (VLE, including blogs, wikis and a discussion board), or attitudes towards those technologies. This implies that while ISE is linked to aspects of online behaviour (time spent online) and can be modified by online activity or training, it does not predict student use of educational Internet technologies.Keywords: Internet self-efficacy; student; blog; wiki; VLE(Published: 19 August 2014)Citation: Research in Learning Technology 2014, 22: 19585 - http://dx.doi.org/10.3402/rlt.v22.19585
Polytraumatic TBI: Perspectives from Military Medicine
Authors: Tepe Victoria , Cernich Alison , Kelly James 
Published: August 2014

CME Educational Objectives

1.
Review diagnostic challenges and risks associated with traumatic brain injury (TBI), related injury processes, comorbidities, and persistent symptoms and sequelae.

2.
Review the evidence related to undiagnosed neurotrauma, and particularly mild TBI, as a potential contributor to physical, cognitive, emotional, and behavioral dysfunction.

3.
Discuss the incidence and risks of multiple injury scenarios, especially those involving sensory system injuries, and related efforts to advance the integrated study and management of polytrauma/TBI.

What prepared us? … Almost every hospital has a surgeon or nurse or medic with battlefield experience, sometimes several. … We’ve learned, and we’ve absorbed.

Atul Gawande, MD, “Why Boston’s Hospitals Were Ready” (
The New Yorker
, April 17, 2013).

Traumatic brain injury (TBI) has been described as “the beginning of an ongoing, perhaps lifelong process.”
1
Even when classified as mild, TBI can pose significant long-term challenges to health, well-being, and functionality. TBI also increases the risk for psychiatric disturbance such as depression and stress-related disorder.
2
The inherent complexity of TBI is complicated further in the context of multiple injuries (polytrauma) to other body structures, organs, and systems including vision, hearing, and mental health. Although unfortunately common in combat and blast exposure (see Figure
1
, page 309), polytraumatic scenarios are by no means limited to the military environment.
Mental Disorders Comorbid with Vestibular Pathology
Authors: Lawson Ben D. , Rupert Angus H. , Kelley Amanda M. 
Published: August 2014

CME Educational Objectives

1.
Review the evidence for the presence of mental disorders among patients with vestibular deficits caused by head acceleration or barotraumas.

2.
Consider evidence indicating that unusual vestibular stimulation acts as a temporary vestibular insult to healthy people, causing measurable, reversible cognitive deficits.

3.
Make clinicians aware that vestibular injury is a potential contributor to observed psychological effects they see during treatment of injuries arising from concussion and/or blast.

Military clinicians regularly examine personnel with posttraumatic stress (PTS), concussion, and/or mild traumatic brain injury (mTBI). For example, when a service member has suffered head injury and the loss of a comrade due to an explosive device, it may be difficult to determine which of the patient’s problems originate from psychological reaction to traumatic stress versus organic medical conditions arising from head injury.
Deep Brain Stimulation for Treatment-Resistant Depression
Authors: Kaur Navneet , Chou Tina , Corse Andrew K. , Arulpragasam Amanda R. , Deckersbach Thilo , Evans Karleyton C. 
Published: August 2014

CME Educational Objectives

1.
Describe the role of deep brain stimulation (DBS) in treatment-resistant depression (TRD).

2.
Identify the current primary brain targets used in DBS for TRD and describe the major clinical findings.

3.
Explain the potential future direction of DBS for TRD.

Major depressive disorder (MDD) is a psychiatric disorder characterized by depressed mood, anhedonia, insomnia, weight loss or gain, agitation or psychomotor retardation, fatigue, feelings of worthlessness or excessive guilt, diminished concentration, and suicidal ideation/behavior (
Diagnostic and Statistical Manual of Mental Disorders
, fourth edition, text revision [
DSM-IV-TR
]).
1
MDD is one of the leading causes of disability in the world, affecting approximately 14.8 million American adults with a lifetime prevalence rate of 19.2%.
2
A 28-Year-Old Man with Depression, PTSD, and Anabolic-Androgenic Steroid and Amphetamine Use
Authors: Hegazy Belal , Sanda Corneliu 
Published: August 2014

CME Educational Objectives

1.
Develop an understanding of anabolic-androgenic steroid (AAS) abuse, including risk factors, signs and symptoms of abuse, and other psychiatric comorbidities.

2.
Identify different tools of assessments to diagnose AAS abuse and different options for treatment.

3.
Describe factors associated with relapse for AAS abuse.

The patient is a 28-year-old man who was referred to a psychiatric clinic for the evaluation of polysubstance dependence, depression, and posttraumatic stress disorder (PTSD). He reported that for the last 2 years he had been abusing “Tina,” the street name for methamphetamine; anabolic steroids, opioid narcotics; and occasionally alcohol. He reported that he started taking different steroids at the encouragement of his friends at the local gym. He reported that using amphetamine and anabolic steroids together in a binge pattern would give him energy; improve his physical exercise endurance; build up muscles; and, ultimately, improve his physical appearance.
Impulsivity, Aggression, and Suicide Risk in Patients with Schizophrenia
Authors: Pompili Maurizio , Serafini Gianluca , Innamorati Marco , Biondi Massimo , Girardi Nicoletta , Murri Martino Belvederi , Amore Mario , Lester David , Girardi Paolo 
Published: August 2014

CME Educational Objectives

1.
Recognize the threat for impulsivity, aggression and suicide in patients with schizophrenia.

2.
Assess the risk for aggressive and suicidal behaviors in patients with schizophrenia with detailed anamnestic assessment and self-report questionnaires or specific psychometric instruments.

3.
Incorporate targeted and evidence-based therapies into treatment of patients with schizophrenia.

The potential of impulsivity/aggression in subjects with schizophrenia may be investigated with a detailed anamnestic assessment, and carefully measured using self-report questionnaires or specific psychometric instruments. Clinicians not only have to pay particular attention to the assessment but also to the management of patients with schizophrenia to prevent suicide and social impairment related to impulsivity/aggression. Both short-term and long-term risk of impulsivity/aggression may be managed using behavioral strategies and engaging patients in a therapeutic alliance.
Pediatric Polysomnography for Sleep-Disordered Breathing Prior to Tonsillectomy: A Guideline Review
Authors: Walz Patrick C. , Schroeder James W. 
Published: August 2014

CME Educational Objectives

1.
Review the most recent American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) guidelines for perioperative management of patients with sleep-disordered breathing (SDB).

2.
Highlight perioperative challenges in management of patients with SDB.

3.
Discuss significant updates in the SDB literature since the AAO-HNS guideline publication.

Snoring and other signs of sleep-disordered breathing (SDB) represent a common management challenge for the pediatrician, pulmonologist, anesthesiologist, and otolaryngologist. In 2011, the American Academy of Otolaryngology–Head and Neck Surgery published a clinical practice guideline for the treatment of patients with SDB. This guideline provides indications for polysomnography use in patients with SDB. In this article, we discuss the management of SDB in pediatric patients, which relies on the accurate assessment of symptoms of SDB, identification of comorbidities known to increase the severity of SDB, and appropriate preoperative assessment of the patient.
Pediatric Obesity, Metabolic Syndrome, and Obstructive Sleep Apnea Syndrome
Authors: Nevin Mary A. 
Published: August 2014

CME Educational Objectives

1.
Illuminate the relationship between childhood obesity and obstructive sleep apnea syndrome (OSA).

2.
Determine the complications associated with obesity and sleep-disordered breathing (SDB).

3.
Discuss currently recommended management options for OSA in the obese child or adolescent.

The prevalence of obesity in the pediatric population has dramatically increased in the last 30 years. While the adverse health effects of obesity have long been recognized in adults, many of these complications are now understood to begin in early childhood. Obese children and adolescents are significantly more likely than their peers of healthy weight to suffer from obstructive sleep apnea and metabolic syndrome. In turn, affected individuals may experience myriad serious clinical sequelae; neuro-cognitive, psychiatric, cardiovascular, and endocrinologic complications have each been extensively documented. Thus, the spectrum of obesity-related disease represents a serious but preventable threat to personal and family wellness; additionally, it is a source of considerable health care expenditure and represents a national and international health crisis. The optimal care of these patients will be best achieved through the pediatric health care provider’s timely recognition of these clinical problems and knowledge of appropriate intervention strategies.
Children with Autism Spectrum Disorder and Epilepsy
Authors: Francis Amy , Msall Michael , Obringer Emily , Kelley Kent 
Published: August 2014

CME Educational Objectives

1.
To review the prevalence of epilepsy in children with autism spectrum disorder (ASD), the types of seizures associated with ASD, common electroencephalogram (EEG) findings, and common MRI findings.

2.
To understand the current treatment approaches and the evidence based strategies for intervention.

3.
To recognize that that care coordination and implementation of the medical home principle is of great importance for children with autism and epilepsy.

Autism spectrum disorder (ASD) is a biologically based neurodevelopmental disability characterized by qualitative and persistent deficits in social communication and social interaction and by the presence of restricted, repetitive, and stereotyped patterns of behavior. Symptoms must be present in early childhood and they must limit and impair everyday functioning. There is an increased prevalence of epilepsy and/or epileptiform electroencephalography (EEG) abnormalities in children with ASD. It is estimated that approximately one-third of children and adolescents with ASD experience seizures, but the relationship between epilepsy and autism is controversial. This article reviews the types of seizures associated with ASD, the EEG findings, and current treatment strategies. The article also describes syndromes associated with the autism phenotype and epilepsy.
An Adolescent with Graves’ Disease and Thymic Hyperplasia
Authors: D’Souza Shalome , Patel Payal , Hageman Joseph R. , Deplewski Dianne 
Published: August 2014

A 14-year-old female presented to our hospital for a second opinion regarding a recent diagnosis of Graves’ disease and a mediastinal mass.
Four months prior to presentation, the patient developed difficulty with concentration. Historically she had been an A/B student; however, her school performance worsened suddenly, and she almost failed the eighth grade. One month later, she began complaining of increased sweating, diarrhea, difficulty with balance, jitteriness, and difficulty sitting still. During the previous 2 months, she had an increased appetite along with a 10-lb weight gain, increased hair loss, fatigue, and dry skin. Two weeks prior to her presentation, her mother noted that she had a “large neck mass.” At that time, the patient complained of dysphagia and tenderness of the anterior neck on palpation, but she had no respiratory difficulties. In addition, she had no symptoms of fever or night sweats.
Isolated Subtalar Dislocation
Authors: Byrd Zackary O. , Ebraheim Miranda , Weston John T. , Liu Jiayong , Ebraheim Nabil A. 
Published: August 2014

Educational Objectives

As a result of reading this article, physicians should be able to:

1.
Understand the etiology, epidemiology, and importance of treatment of isolated subtalar dislocation.

2.
Understand the most common management practices when treating isolated subtalar dislocation and identify variations in management that may affect prognosis.

3.
Consolidate reported patient outcomes as they pertain to variations in management strategies to explore which practices may provide the best prognosis after treatment of isolated subtalar dislocation.

4.
Highlight the importance of further study to determine the best course of management for isolated subtalar dislocation regarding variables in treatment.

This study reviews the literature on isolated subtalar dislocation published within the past 5 years. Variation in management existed mostly in the categories of treatment choice, immobilizer type, and period of immobilization, with closed reduction, closed reduction and percutaneous pinning, below-knee casting, less than 4 weeks of immobilization, and 6 weeks of immobilization reporting good results. The good results described after the addition of percutaneous K-wire fixation to the initial treatment method of isolated subtalar dislocation, immobilization via below-knee casting, and shorter periods of immobilization suggest that these practices may be useful for the treatment of this rare injury.
Mechanical Assessment of Local Bone Quality to Predict Failure of Locked Plating in a Proximal Humerus Fracture Model
Authors: Röderer Götz , Brianza Stefano , Schiuma Damiano , Schwyn Ronald , Scola Alexander , Gueorguiev Boyko , Gebhard Florian , Tami Andrea 
Published: August 2014

The importance of osteoporosis in proximal humerus fractures is well recognized. However, the local distribution of bone quality in the humeral head may also have a significant effect because it remains unclear in what quality of bone screws of standard implants purchase. The goal of this study was to investigate whether the failure of proximal humerus locked plating can be predicted by the DensiProbe (ARI, Davos, Switzerland). A 2-part fracture with metaphyseal impaction was simulated in 12 fresh-frozen human cadaveric humeri. Using the DensiProbe, local bone quality was determined in the humeral head in the course of 6 proximal screws of a standard locking plate (Philos; Synthes GmbH, Solothurn, Switzerland). Cyclic mechanical testing with increasing axial loading until failure was performed. Bone mineral density (BMD) significantly correlated with cycles until failure.
Head migration significantly increased between 1000 and 2000 loading cycles and significantly correlated with BMD after 3000 cycles. DensiProbe peak torque in all screw positions and their respective mean torque correlated significantly with the BMD values. In 3 positions, the peak torque significantly correlated with cycles to failure; here BMD significantly influenced mechanical stability. The validity of the DensiProbe was proven by the correlation between its peak torque measurements and BMD. The correlation between the peak torque and cycles to failure revealed the potential of the DensiProbe to predict the failure of locked plating in vitro. This method provides information about local bone quality, potentially making it suitable for intraoperative use by allowing the surgeon to take measures to improve stability.
Adductor Tenotomy as a Treatment for Groin Pain in Professional Soccer Players
Authors: Mei-Dan Omer , Lopez Vicente , Carmont Michael R. , MCConkey Mark O. , Steinbacher Gilbert , Alvarez Pedro D. , Cugat Ramon B. 
Published: August 2014

Chronic, exercise-related groin pain is a debilitating condition. Nonoperative treatment has limited efficacy, but surgical intervention on the adductor-abdomino complex may be used to alleviate symptoms and allow return to play (RTP). The purpose of this study was to report the outcome of adductor tenotomy and hernioplasty for professional soccer players with groin pain.
Between 2000 and 2006, a total of 155 professional and recreational soccer players with recalcitrant groin pain (with or without lower abdominal pain) and resistance to conservative treatment were included in this retrospective analysis. Ninety-six patients were treated with adductor tenotomy and 59 patients were treated with combined adductor tenotomy and hernioplasty. No difference in pre- or postoperative parameters was detected between groups, apart from abdominal wall muscle defects revealed during ultrasound for patients in the combined group. The RTP time and subjective and objective outcome measures were compared. A combined score was developed to evaluate outcomes that consisted of overall satisfaction (50%), RTP time (15%), and Tegner scores (35%). Mean RTP was 11 weeks (range, 4–36 weeks). Postoperative Tegner score remained 8.2 (same as the preinjury Tegner score). Subjective outcome was rated 4.3 of 5. The combined score indicated 80% of good or excellent results for both groups.
Surgical intervention allows RTP at the same level in professional soccer players following failure of nonoperative treatments. Athletes with adductor syndrome and accompanying sportsman’s hernia may benefit from adductor tenotomy alone.