bluuebunny/crossref_metadata_2025_split huggingface dataset:
Maxillary gap at 11–13 weeks' gestation: marker of cleft lip and palate
Authors: Chaoui R. , Orosz G. , Heling K. S. , Sarut‐Lopez A. , Nicolaides K. H. 
Published: August 2015

AbstractObjectiveTo describe a new sign of cleft lip and palate (CLP), the maxillary gap, which is visible in the mid‐sagittal plane of the fetal face used routinely for measurement of nuchal translucency thickness.MethodsThis was a retrospective study of stored images of the mid‐sagittal view of the fetal face at 11–13 weeks' gestation in 86 cases of CLP and 86 normal controls. The images were examined to determine if a maxillary gap was present, in which case its size was measured.ResultsIn 37 (43.0%) cases of CLP the defect was isolated and in 49 (57.0%) there were additional fetal defects. In the isolated CLP group, the diagnosis of facial cleft was made in the first trimester in nine (24.3%) cases and in the second trimester in 28 (75.7%). In the group with additional defects, the diagnosis of facial cleft was made in the first trimester in 46 (93.9%) cases and in the second trimester in three (6.1%). A maxillary gap was observed in 96% of cases of CLP with additional defects, in 65% of those with isolated CLP and in 7% of normal fetuses. There was a large gap (>1.5 mm) or complete absence of signals from the maxilla in the midline in 69% of cases of CLP with additional defects, in 35% of those with isolated CLP and in none of the normal controls.ConclusionsThe maxillary gap is a new simple marker of possible CLP, which could increase the detection rate of CLP, especially in isolated cases. Copyright © 2015 ISUOG. Published by John Wiley & Sons Ltd.
Diabetes Care Provided to Children Displaced by Hurricane Katrina
Authors: Quast Troy , Mortensen Karoline 
Published: August 2015

AbstractObjectiveAlthough previous studies have examined the impact of Hurricane Katrina on adults with diabetes, less is known about the effects on children with diabetes and on those displaced by the storm. We analyzed individual-level enrollment and utilization data of children with diabetes who were displaced from Louisiana and were enrolled in the Texas Medicaid Hurricane Katrina emergency waiver (TexKat).MethodsWe compared the utilization and outcomes of children displaced from Louisiana with those of children who lived in areas less affected by Hurricane Katrina. Data from both before and after the storm were used to calculate difference-in-difference estimates of the effects of displacement on the children. We analyzed 4 diabetes management procedures (glycated hemoglobin [HbA1C] tests, eye exams, microalbumin tests, and thyroid tests) and a complication from poor diabetes management (diabetic ketoacidosis).ResultsChildren enrolled in the waiver generally did not experience a decrease in care relative to the control group while the waiver program was in effect. After the waiver ended, however, we observed a drop in care and an increase in complications relative to the control group.ConclusionsAlthough the waiver appeared to have been largely successful immediately following Katrina, future waivers may be improved by ensuring that enrollees continue to receive care after the waivers expire. (Disaster Med Public Health Preparedness. 2015;9:480–483)
Developing a Tabletop Exercise to Test Community Resilience: Lessons from the Los Angeles County Community Disaster Resilience Project
Authors: Chandra Anita , Williams Malcolm V. , Lopez Christian , Tang Jennifer , Eisenman David , Magana Aizita 
Published: August 2015

AbstractObjectiveWe aimed to develop and test a community resilience tabletop exercise to assess progress in community resilience and to provide an opportunity for quality improvement and capacity building.MethodsA tabletop exercise was developed for the Los Angeles County Community Disaster Resilience (LACCDR) project by using an extended heat wave scenario with health and infrastructure consequences. The tabletop was administered to preparedness only (control) and resilience (intervention) coalitions during the summer of 2014. Each exercise lasted approximately 2 hours. The coalitions and LACCDR study team members independently rated each exercise to assess 4 resilience levers (partnership, engagement, self-sufficiency, and education). Resilience coalitions received more detailed feedback in the form of recommendations for improvement.ResultsThe resilience coalitions performed the same or better than the preparedness coalitions on the partnership and self-sufficiency levers. Most coalitions did not have enough (both quantity and type) of the partner organizations needed for an escalating heat wave or changing conditions or enough engagement of organizations representing at-risk populations. Coalitions also lacked educational materials to cover topics as far ranging as heat to power outages to psychological impacts of disaster.ConclusionA tabletop exercise can be used to stress and test resilience-based capacities, with particular attention to a community’s ability to leverage a range of partnerships and other assets to confront a slowly evolving but multifactorial emergency. (Disaster Med Public Health Preparedness. 2015;9:484–488)
Ertapenem Prophylaxis Associated With an Increased Risk of Clostridium difficile Infection Among Surgical Patients
Authors: Lee Seungwon , Prasad Priya , Lin Matthew , Garritson Susan , Nichols Amy , Liu Catherine 
Published: August 2015

A case-control study was conducted to determine risk factors for hospital-onset Clostridium difficile infection among patients admitted to 2 surgical units. Ertapenem prophylaxis was significantly associated with C. difficile infection risk (odds ratio, 3.13 [95% CI, 1.13–8.68], P=.028) and may offer an antimicrobial stewardship target among surgical patients.Infect. Control Hosp. Epidemiol. 2015;36(11):1351–1354
Converging evidence for the relevance of alternative sets: data from NPs with focus sensitive particles in German
Authors: SPALEK KATHARINA , ZELDES AMIR 
Published: August 2015

abstractRecent psycholinguistic studies on the reality of alternative sets in processing focus NPs have shown that focus particles like ‘only’ play a special role in activating the mental representation of alternatives to focused nouns. In this paper we present a new corpus study which provides converging evidence to support psycholinguistic findings and suggests that alternatives preceded by a focus particle are not only more activated in experimental contexts, but are also more likely to be discussed in the subsequent context. To this end we develop and evaluate inter-annotator agreement on two novel annotation tasks in naturally occurring German corpus data: recognition of nominal alternatives in general without any context, and recognition of alternatives in the context of sentence pairs. We show that while annotators agree poorly on the first, they agree strongly on the second. We also develop a concept of ‘alternative density’, the number of alternatives realized in a sentence following a target NP, and present a mixed-effects model showing a very significant rise in density after the presence of Germannur‘only’ independently of other factors.
Kiwifruit fibre level influences the predicted production and absorption of SCFA in the hindgut of growing pigs using a combinedin vivo–in vitrodigestion methodology
Authors: Montoya Carlos A. , Rutherfurd Shane M. , Moughan Paul J. 
Published: August 2015

AbstractCombinedin vivo(ileal cannulated pig) andin vitro(faecal inoculum-based fermentation) digestion methodologies were used to predict the production and absorption of SCFA in the hindgut of growing pigs. Ileal and faecal samples were collected from animals (n7) fed diets containing either 25 or 50 g/kg DM of kiwifruit fibre from added kiwifruit for 14 d. Ileal and faecal SCFA concentrations normalised for food DM intake (DMI) and nutrient digestibility were determined. Ileal digesta were collected and fermented for 38 h using a fresh pig faecal inoculum to predict SCFA production. The predicted hindgut SCFA production along with the determined ileal and faecal SCFA were then used to predict SCFA absorption in the hindgut and total tract organic matter digestibility. The determined ileal and faecal SCFA concentrations (e.g. 8·5 and 4·4 mmol/kg DMI, respectively, for acetic acid for the low-fibre diet) represented only 0·2–3·2 % of the predicted hindgut SCFA production (e.g. 270 mmol/kg DMI for acetic acid). Predicted production and absorption of acetic, butyric and propionic acids were the highest for the high-fibre diet (P<0·05), but these inter-diet differences were not observed for the ileal and faecal SCFA concentrations (P>0·05). In conclusion, determined ileal and faecal SCFA concentrations represent only a small fraction of total SCFA production, and may therefore be misleading in relation to the effect of diets on SCFA production and absorption. Considerable quantities of SCFA are produced and absorbed in the hindgut of the pig by the fermentation of kiwifruit.
A methodology to develop algorithms that predict nitrogen fertilizer needs in maize based on chlorophyll measurements: a case study in Central Mexico
Authors: TORRES-DORANTE L. , PAREDES-MELESIO R. , LINK A. , LAMMEL J. 
Published: August 2015

SUMMARYIdentifying and applying the optimum fertilizer nitrogen (N) rate is a permanent challenge for farmers. Prediction of fertilizer N requirement, based on crop chlorophyll measurements (CMs), relies on a strong relationship between fertilizer N supply and leaf chlorophyll concentration at a given crop growth stage. A methodological approach is described, aiming to develop an algorithm that uses CM inputs to derive the economically optimum fertilizer N rate for top-dressing, without using a reference plot for data normalization. The method was tested on maize (Zea mays L. cvar Jabali) at experimental and farmer sites in the central (‘Bajío’) region of Mexico over 3 years (2010–12). Increasing fertilizer N supply at planting significantly influenced chlorophyll concentration at the seventh unfolded maize leaf stage (GS 17 on the Zadoks scale). Maize grain yields increased with increasing total fertilizer N supply and fitted quadratic models, which allowed economically optimum fertilizer N rates (Nopt) to be calculated. The Nopt ranged from 160 to 300 kg N/ha and corresponding grain yields ranged from 7·7 to 14 t/ha. Grouped data analysis (sites–years) confirmed a highly significant relationship between the Nopt and the chlorophyll concentration at GS 17, which could be described by a linear model: Nopt = 513·3–0·58 × CM. This model predicted the top-dressing Nopt within a fertilizer N management regime adapted to local maize cropping systems and led to similar grain yields across test sites compared with the same parameters calculated based on grain yield response trials. The current approach is variety-specific, so development of so-called correction factors accounting for variety-related differences in chlorophyll concentration is described. The results demonstrated the feasibility of the proposed algorithms to support decision-making on the optimum fertilizer N rate to apply in maize production systems with one top-dressing application.
New evidence of a lateral transfer of monogenean parasite between distant fish hosts in Lake Ossa, South Cameroon: the case of Quadriacanthus euzeti n. sp.
Authors: Nack J. , Bitja Nyom A.R. , Pariselle A. , Bilong Bilong C.F. 
Published: August 2015

AbstractSpecies of the monogenean genus Quadriacanthus mainly infect fish belonging to the Siluriformes, especially the genera Clarias, Heterobranchus or Bagrus, and their host specificity is strict (oioxenous) or narrow (stenoxenous). An examination of the gills of 19 Papyrocranus afer from Lake Ossa, South Cameroon, revealed for the first time the presence of a species of Quadriacanthus from a fish host belonging to the Notopteridae. The morphology and the size of sclerotized parts of haptor and the male and female copulatory complexes suggest that this monogenean is a new species named Quadriacanthus euzeti n. sp. The fish genus Papyrocranus differs taxonomically from the usual fish hosts of Quadriacanthus and hence the presence of a species belonging to this genus on the gills of this host suggests the occurrence of a lateral transfer of Quadriacanthus from species belonging to Clarias or Bagrus which live sympatrically with P. afer in Lake Ossa.
The life cycle of Hexangium sigani Goto & Ozaki, 1929 (Digenea: Microscaphidiidae) from the Red Sea
Authors: Hassanine R.M. El-Said , Al-Zahrani D.A. , Touliabah H. El-S. , Youssef E.M. 
Published: August 2015

AbstractThe microscaphidiid Hexangium sigani Goto & Ozaki, 1929 was found in the intestine of Siganus rivulatus, a siganid fish permanently resident in a lagoon within the mangrove swamps on the Egyptian coast of the Gulf of Aqaba. Intra-molluscan stages of this trematode (mother sporocysts, rediae and cercariae) were found in the gonads and digestive gland of Nassarius pullus (Gastropoda: Nassariidae), a common snail in the same lagoon. Consequently, the life cycle of H. sigani was elucidated under natural conditions: eggs are directly ingested by the snail; mother sporocysts and rediae reach maturity 5–7 and 16–17 weeks post-infection; rediae contain 18–26 developing cercariae; fully developed cercariae are monostome, without penetration glands, emerge from the snail during the night 18–19 weeks post-infection and rapidly encyst on aquatic vegetation (there is no second intermediate host); encysted metacercariae are not progenetic; 2-day-old metacercariae encysted on filamentous algae fed to S. rivulatus developed into fully mature worms 5–6 weeks post-infection. The cycle was completed in about 24 weeks. The intra-molluscan stages are very similar to those of Dictyangium chelydrae Stunkard, 1943, the only described intra-molluscan stages of any microscaphidiid. However, they are also similar to those of the family Mesometridae. The present study of H. sigani describes the first complete microscaphidiid life cycle, and implicitly supports the phylogenetic relationship of this family with the Mesometridae inferred from molecular phylogenetic studies.
Tracheostomy in neurologically compromised paediatric patients: role of starplasty
Authors: Gupta A , Stokken J , Krakovitz P , Malhotra P , Anne S 
Published: August 2015

AbstractObjectives:Starplasty tracheostomy is an alternative to traditional tracheostomy. This paper reviews neurologically compromised paediatric patients with tracheostomies and discusses the role of starplasty tracheostomy.Method:A retrospective review was conducted of paediatric patients with a neurological disorder who underwent tracheostomy between 1997 and 2011.Results:Forty-eight patients, with an average age of 7.3 years, were identified. The most common indications for tracheostomy were: ventilator dependence (39.6 per cent), an inability to tolerate secretions or recurrent aspiration pneumonia (33.3 per cent), and upper respiratory obstruction or hypotonia (12.5 per cent). The most common underlying neurological diagnosis was cerebral palsy. There were no early complications. Eighteen (43 per cent) of 42 patients with follow up experienced at least 1 delayed complication. Only 12 patients (28.6 per cent) were decannulated.Conclusion:Patients with primary neurological diagnoses have low rates of decannulation; starplasty tracheostomy should be considered for these patients. Patients with seizure disorder or acute neurological injury tended to have a higher short-term decannulation rate; traditional tracheostomy is recommended in these patients.
Evaluation and comparison of type I tympanoplasty efficacy and histopathological changes to the tympanic membrane in dry and wet ear: a prospective study
Authors: Shankar R , Virk R S , Gupta K , Gupta A K , Bal A , Bansal S 
Published: August 2015

AbstractObjective:This study aimed to compare the success rate of type I tympanoplasty in active (wet) and inactive (dry) mucosal chronic otitis media.Methods:A prospective study was performed of 35 patients each with dry ear and wet ear undergoing type I tympanoplasty in the Otolaryngology Department, Postgraduate Institute of Medical Education and Research, India. All patients underwent type I tympanoplasty between January 2010 and June 2011 by the post-auricular approach. Samples of the remnant tympanic membrane were sent for histopathological examination.Results:After a minimum follow up of one year, the success rate was 88.6 per cent for dry ears and 80 per cent for wet ears. Neither the type (p= 0.526) nor the presence (p= 0.324) of discharge influenced the success rate. Histopathological examination of the tympanic membrane margins was performed for 46 patients: of these, 19 showed evidence of vascularity and 27 did not. There was no significant difference in success rate between groups (p= 0.115).Conclusion:The success rate was not influenced by the presence of ear discharge at the time of surgery, and tympanic membrane vascularity did not influence graft uptake.
Cold War vs. architectural exchange: Belgrade beyond the confines?
Authors: STUPAR ALEKSANDRA 
Published: August 2015

ABSTRACT:The Cold War era created a gap between two opposing ideologies manifested on all social, economic and spatial levels. However, cities and their material expression maintained their significance, acting as valuable ideological resources.The specific position of Yugoslavia during the Cold War shaped the political background in which Belgrade and its planning and architectural scene developed intensive professional activities and international interactions thus overcoming global tensions. Covering the period from 1948 until 1980, this article identifies the main channels of professional exchange and dissemination beyond the constraints of the Iron Curtain, as well as their influence on the production of urban space in Belgrade.
Electrocardiogram before starting stimulant medications: to order or not?
Authors: Aggarwal Varun , Aggarwal Anjali , Khan Danyal 
Published: August 2015

AbstractD is an 8-year-old boy brought to his paediatrician for evaluation. His mother is concerned as his teacher has been frequently complaining that he is very restless and often disturbs the rest of the class by getting up on some pretext or the other. He is unable to concentrate on his work and gets distracted very easily. He makes many careless mistakes and can hardly finish his tasks on time. He is frequently reprimanded for talking during class. He often answers out of turn or before the question has been completed; however, so far, he has been managing to get passing grades. At home, he is constantly on the go while he is awake. If he is forced to sit, like at mealtimes, he fidgets a lot. He also needs to be constantly nagged to do everything, even his daily activities such as brushing his teeth, or he forgets to do them or leaves them incomplete. He takes ages to finish his food. It is a major job to get him to do his homework. His mother says that at home he has been like that since the last 2 to 3 years, but now she is concerned because of the difficulties he is experiencing at school as well. After obtaining his medical history, examination, and getting response from parents and teachers – using Vanderbuilt Assessment Scales – the paediatrician diagnoses him to have attention deficit hyperactivity disorder. Besides behavioural interventions, he considers medications for his management. The paediatrician is debating the merits of performing electrocardiogram and/or referring the boy to a cardiologist before starting stimulant medications. If you were caring for this patient, how would you proceed?
Recurrent takotsubo cardiomyopathy in a child
Authors: Srivastava Nayan T. , Parent John J. , Hurwitz Roger A. 
Published: August 2015

AbstractTakotsubo cardiomyopathy or transient apical ballooning syndrome very rarely presents in children. In all patients with takotsubo, it is estimated that only 3.5% will have recurrence. In this study, we describe a case of recurrent takotsubo cardiomyopathy in a child, likely triggered by status epilepticus.
Sinus bradycardia, junctional rhythm, and low-rate atrial fibrillation in Short QT syndrome during 20 years of follow-up: three faces of the same genetic problem
Authors: Righi Daniela , Silvetti Massimo S. , Drago Fabrizio 
Published: August 2015

AbstractWe describe the case of an asymptomatic girl with sinus bradycardia and short QT interval at birth, junctional bradycardia in infancy requiring single-chamber pacemaker, atrial fibrillation in adolescence, and V141M mutation in the KCNQ1 gene. Atrial fibrillation recurred and became unresponsive to electrical or anti-arrhythmic therapy. During 20 years of follow-up, a progressive evolution from sinus node dysfunction to low-rate atrial fibrillation was observed.
Low serum 25-hydroxyvitamin D levels and secondary hyperparathyroidism in Fontan patients
Authors: Holler Finn , Hannes Tobias , Germund Ingo , Emmel Mathias , Hoyer-Kuhn Heike , Khalil Markus , Sreeram Narayanswami , Udink ten Cate Floris E. A. 
Published: August 2015

AbstractBackgroundLimited data exist on the vitamin D status in Fontan patients. We determined the prevalence and potential risk factors of vitamin D deficiency in this patient subset.Methods and resultsData were collected from 27 Fontan patients (55.6% male, mean age 8.1±5.3 years). Protein-losing enteropathy was diagnosed in six patients (22.2%). Vitamin D deficiency was defined as a serum 25-hydroxyvitamin D level of <20 ng/ml. The neutrophil-to-lymphocyte ratio, a marker of systemic inflammation, was calculated. Associations between laboratory measurements and patient characteristics were explored. Mean serum 25-hydroxyvitamin D level was 14.1±10.4 ng/ml. Vitamin D deficiency was found in 19/27 patients (70.3%). Only skin type was associated with vitamin D deficiency (p=0.04). Hyperparathyroidism was present in 5/21 (23.8%) patients, and was more prevalent in patients with protein-losing enteropathy (p<0.001). Parathyroid hormone levels correlated with parameters of systemic inflammation (neutrophil-to-lymphocyte ratio: r=0.484, p=0.026; relative lymphocyte count: r=−0.635, p=0.002). Vitamin D supplementation significantly increased serum 25-hydroxyvitamin D levels (p<0.0001), and was accompanied by a reduction in parathyroid hormone concentrations (p=0.032).ConclusionsA high prevalence of vitamin D deficiency was found among Fontan patients, independent of age, time after Fontan procedure, ventricular morphology, and presence of protein-losing enteropathy. A potentially important link between parathyroid hormone levels and systemic inflammation is suggested.