bluuebunny/crossref_metadata_2025_split huggingface dataset:
Refixation of Osteochondral Fractures by an Ultrasound-Activated Pin System – An Ovine In Vivo Examination Using CT and Scanning Electron Microscope
Authors: H Neumann , A.P Schulz , S Breer , A Unger , B Kienast 
Published: February 2015

Background:Osteochondral injuries, if not treated appropriately, often lead to severe osteoarthritis of the affected joint. Without refixation of the osteochondral fragment, human cartilage only repairs these defects imperfectly. All existing refixation systems for chondral defects have disadvantages, for instance bad MRI quality in the postoperative follow-up or low anchoring forces. To address the problem of reduced stability in resorbable implants, ultrasound-activated pins were developed. By ultrasound-activated melting of the tip of these implants a higher anchoring is assumed. Aim of the study was to investigate, if ultrasound-activated pins can provide a secure refixation of osteochondral fractures comparing to conventional screw and conventional, resorbable pin osteosynthesis. CT scans and scanning electron microscopy should proovegood refixation results with no further tissue damage by the melting of the ultrasound-activated pins in comparison to conventional osteosynthesis.Methods:Femoral osteochondral fragments in sheep were refixated with ultrasound-activated pins (SonicPin™), Ethipins®and screws (Asnis™). The quality of the refixated fragments was examined after three month of full weight bearing by CT scans and scanning electron microscopy of the cartilage surface.Results:The CT examination found almost no statistically significant difference in the quality of refixation between the three different implants used. Concerning the CT morphology, ultrasound-activated pins demonstrated at least the same quality in refixation of osteochondral fragments as conventional resorbable pins or screws. The scanning electron microscopy showed no major surface damage by the three implants, especially any postulated cartilage damage induced by the heat of the ultrasound-activated pin. The screws protruded above the cartilage surface, which may affect the opposingtibial surface.Conclusion:Using CT scans and scanning electron microscopy, the SonicPin™, the Ethipin®and screws were at least equivalent in refixation quality of osteochondral fragments.
Insulinoma - Rare, But Important Clinical Problem. Analysis of a Series of 530 Patients Who Underwent Surgical Treatment for the Pancreatic Tumor
Authors: Durczyński Adam , Hogendorf Piotr , Szymański Dariusz , Izdebski Witold , Kaczka Aleksandra , Durko Łukasz , Strzelczyk Janusz 
Published: February 2015

AbstractInsulinomas are rare tumors, accounting for 1-2% of all neoplasms of the pancreas. Usually their treatment is not associated with any problems; however there is a small subset of problematic clinical cases. The authors present their own clinical experience with surgical treatment of insulinomas of the pancreas.was to conduct a retrospective analysis of patients with insulinomas of the pancreas who underwent surgical treatment at Department of General and Transplant Surgery Medical University in Łódź.The study included all patients who underwent surgical treatment at the Department between 2007 and 2013 for the tumor of the pancreas. Further retrospective analysis included all patients with tumors of the insulinoma type. The data was obtained from medical records, surgical protocols and histopathology reports.The analysis included 530 patients who underwent surgical treatment for the tumor of the pancreas. Insulinoma was found in 10 (1.88%) patients (8 females, 2 males). An average age of patients who underwent surgical treatment was 47.5±13.8 years. An average size of the tumor was 1.6±0.5 cm. Six patients underwent extirpation of the insulinoma, while the other patients underwent distal resection of the pancreas. All patients underwent “an open surgical procedure”. The average duration of the surgical procedure was 55±45 minutes. Duration of the hospitalization in the analyzed group of patients was 7±5 days. Incidence of postoperative pancreatic fistulas was 10%. All insulinomas were benign.Insulinomas were rare among patients who underwent surgical treatment at the Department. They were benign and their treatment was unproblematic. However, there is a small group of cases that can be associated with problematic clinical situations. Thus treatment of patients with insulinomas should be conducted at specialist centers. Correct diagnostic and therapeutic management, involving close cooperation between multiple medical specialists, results in complete curing of majority of patients.
Efficacy of Lift (Ligation of Intersphincteric Fistula Tract) for Complex and Recurrent Anal Fistulas - A Single-Center Experience and A Review of the Literature
Authors: Romaniszyn Michał , Walega Piotr Julian , Nowak Wojciech 
Published: February 2015

AbstractLigation of intersphincteric fistula tract in treatment of anal fistulas (LIFT) is being said to have satisfactory results in short and long follow up, with low risk of complications. This study was designed to evaluate the results in patients with complex and recurrent fistulas in comparison with simple transsphincteric anal fistulas.was to present a single-center experience in LIFT procedure in treatment of both simple and complex anal fistulas, including recurrent fistulas, in comparison with a review of current literature.A series of 17 patients were qualified to LIFT procedure. 5 patients were treated for simple transsphincteric, 6 for complex fistulas, 6 with fistulas recurrent after fistulotomy. Median age was 47, most of the patients were male (16/17). Mean follow up was 11 months.Mean operating time was 55 minutes counting from surgical site disinfection to final dressing of the wound. Of the 17 patients the overall success rate was 53%. As expected, best results were achieved in patients with simple fistulas (80% success rate), then complex (50%), and recurrent fistulas (only 33%). There were no early nor late complications of the surgery.As expected, in simple transsphincteric fistulas the results were satisfactory, taking into account low complication rate. Complex and recurrent fistulas seem to be risk factors of LIFT failure. The results are consistent with data published by other authors, based on the review of the current literature, and it seems there is still room for improvement, so further research is required.
Primary Duodenal Carcinoma - Case Report
Authors: Wesecki Mariusz , Niemiec Szymon , Radziuk Dagmara , Waniczek Dariusz , Lorenc Zbigniew 
Published: February 2015

AbstractDuodenal carcinoma is a rare tumor of the gastrointestinal tract of an insidious and secretive course, often diagnosed during the advanced stage of the disease. The study presented a case of a female patient diagnosed with duodenal carcinoma, subjected to two-staged surgery. The initial surgical intervention consisted in the implementation of a gastrointestinal anastomosis, followed by radical surgery by means of Whipple's method performed after three years.
Demography, Land Utilization and Livelihoods in Sarangkot Village Development Committee of Kaski District, Nepal
Authors: Bhusal Narayan P. 
Published: February 2015

Poverty alleviation has always remained as a major challenge for overall development in Nepal and Sarangkot Village Development Committee (VDC) in Kaski district also is under such circumstances where tourism and other off farm economic activities would be the successful vehicles for overall development. Availability of better demographic conditions, sustainable agricultural production system and proper utilization of existing resources for the development of off-farm economic activities are the important livelihood assets. It is in this light this paper is trying to present the demographic conditions, land use pattern, agricultural production from the cultivated land, livestock raising and food sufficiency from the production of land in Sarangkot VDC. As the survey result indicated that the food sufficiency from the production of land is not sufficient in order to maintain the livelihood conditions of the local people. Therefore, this paper also deals about the available off-farm economic activities that are supporting for the economic welfare of the people.DOI: http://dx.doi.org/10.3126/ttp.v13i0.11543The Third Pole Vol. 13, 2013page : 22-32
Is Neck Circumference an Indicator for Metabolic Complication of Childhood Obesity?
Authors: Hassan Nayera E. , Atef Abeer , El-Masry Sahar A. , Ibrahim Amany , Al-Tohamy Muhammad , Rasheed Enas Abdel , Ahmed Elashry Galal Ismail 
Published: February 2015

BACKGROUND: The possible role of neck circumference (NC) for screening childhood obesity and its complication is not well characterized.AIM: To assess NC and to explore its increase as risk factor with metabolic syndrome (MS) variables. METHODS: Cross sectional case-control study included 50 obese children (BMI â‰¥95th percentile) and 50 healthy (BMI 15th-â€¹85th percentile). All were subjected to clinical examination, measuring blood pressure (BP), body weight, height, NC, waist (WC) and hip (HC)., fasting blood glucose, insulin and lipid profile. Â RESULTS: MS was detected among 52% of obese participants, but not among controls (0%). Clinical parameters and most of the laboratory values were higher in subjects with MS than in non-metabolic subjects, with statistical significance only in blood pressure and triglycerides. Among obese without MS, NC showed significantly positive correlations with age, weight, height, WC, HC and negative with LDL. While among Obese with MS, NC showed significantly positive correlations with age, weight, height, BMI-SDS, WC, HC and DBP.CONCLUSION: NC can be considered as a good indicator and predictor for obesity, especially central obesity. However, NC has no relation with lipid profile or fasting blood sugar.
Relevant Factors in Sustainable Urban Development of Urban Planning Methodology and Implementation of Concepts for Sustainable Planning (Planning Documentation for the Master Plan Skopje 2001-2020)
Authors: Sofeska Emilija 
Published: February 2015

Cities as complex and multilayer systems are part of a sustainable policy, because they are huge consumers of resources and show clear signs of unsustainable behavior. Cities around the world today are faced with intense degradation, pollution, overpopulation, etc. Sustainable development refers to the environmental, economic and sociological processes in the city and its physical structure. Researchers and planners are therefore encouraged to think about the city that will focus on self-regulation. Therefore challenge for this research. This research paper explores the relationship between urban development and sustainable development through the relevant factors and indicators in the methodology of sustainable urban planning. The knowledge obtained should help considers and methods for encourage sustainable urban planning thought in the Republic of Macedonia.The subject of this research is implementation of sustainable concepts and how they affect the methodology of urban planning. In this sense, the focus is on identifying the indicators and factors relevant to sustainable development where the aim is to systematize the concepts of sustainable urban development and operationalization in urban planning documentation and development of the city Skopje.This paper attempts to encourage research and further deepening the methodology of sustainable urban planning. Given the nature of this research work consistently are observed ambitions that I had in conducting and systematization of the factors that reflect sustainable urban development, while, in exposure to the material and setting up of the thesis, parallel are reviewed several aspects that are distributed concentrically and are embedded in the concluding observations of the actual state of the model implementations in the planning of the city of Skopje.
Tactics for Transforming the Housing Structure, New Housing Models. Upgrading Novo Maalo, Skopje, Tactics for Transformation of the Housing Texture
Authors: Petrov Gordan 
Published: February 2015

We are witnessing a dynamic development of our society, which undoubtedly require integration of new architectural concepts that will suit the modern way of life in the city. Subject of analysis and design of this master thesis is the contemporary transformations of urban texture in marginalized areas which undoubtedly belong and are part of the urban fabric, finding an alternative solution for the physical and social devastating processes that are fragmenting and deconstructing the residential tissue of the city. The first part of this paper treats topics that indicate different types of upgrading and layering of the urban tissue, followed by a number of historical examples and projects. The next step is chronological and morphological decomposition of Skopje, recognizing the urban fragments in the city and the urban layers created at the end of the XIX and throughout the XX century. The design concept for the chosen fragment is a totally new re-thinking for a possible transformation; it fits the current needs and resolves the existing problems but in the same time it is a recognizable, in terms of that is based on the already processed theories of transformation and reconstruction of the city. The project proposes to retain the existing structure of the neighborhood (Novo Maalo), not because it is in good physical condition, but because of the very people and for their convenience of the human scale space, the atmosphere that reigns in the neighborhood, a sense of belonging and of course, the social aspect of the neighborhood. It allows through tactics of upgrading or adding another, parallel level of the new neighborhood, shape defined by the street pattern of the neighborhood. The line bridge structure functionally connects two parts of the city, also retaining and complementing quality of life and finally giving a response to the current destructive processes of the housing texture in the neighborhood.
Gene Polymorphisms of 22 Cytokines in Macedonian Children with Hyperimmunoglobulinemia E
Authors: Hristomanova Mitkovska Slavica , Trajkov Dejan , Mihajlovikj Jelena , Spiroski Mirko 
Published: February 2015

Introduction: For some time it is known that cytokines and their receptors are encoded by highly polymorphic genes. These polymorphisms can be responsible for differences in the production of cytokines between individuals. Large number of the polymorphisms within the regulatory regions of the cytokine genes is in correlation with the production and there are variations among populations. Aim: The aim of this study was to analyze association between polymorphisms in the IFN-gamma, IL-1alpha, IL-1beta, IL-1R, IL-1RA, IL-2, IL-4, IL-4Ralpha, IL-6, IL-10, IL-12B, TGF-beta1 and TNF-alpha and hyperimmunoglobulinemia E.Material and Methods: The study included 28 unrelated patients with high IgE levels in serum and the control group consisted of 301 unrelated healthy individuals. Cytokine genotyping was performed with PCR-SSP method. We analyzed the allele frequencies, genotypes, haplotypes and diplotypes of the cytokine genes. The differences were analyzed using Ï‡2 test, odds ratio and Confidence Interval.Results: Susceptible association with hyperimmunoglobulinemia E was found for four different cytokine alleles (IL-4 -33/T, TGF-beta1 cdn25/C, IL-1 alpha -889/T andTNF-alpha -238/A), ten different genotypes (IL4 -1098/G:G, IL4 -33/T:T, IL-1 alpha -889/C :T, IFN gamma utr5644/A:T, TGF-beta1 cdn25/C:G, IL-6 -174/G:G, IL-1 beta -511/C:T, IL-10 -1082/A:G, TNF alpha -238/A:G andIL-1 beta +3962/C:T) and five different combinations of haplotypes (IL-4/GTT, IL-4/TCT, IL-6/TCC, TNF-alpha/GA and TGF-beta1/CC). Protective association with hyperimmunoglobulinemia E was found in four cytokine alleles (IL-4 -33/C, TGF-beta1 cdn25/G, IL-1 alpha -889/C andTNF-alpha -238/G), three genotypes (IL-10 -1082/A:A, IL-1 alpha -889/C:C i IL4 -33/C:C) and for only one haplotype (IL-4/GCC).Conclusion: Several susceptible and protective associations between cytokine gene polymorphisms and hyperimmunoglobulinemia E were found. However, it is still speculative weather these polymorphisms contribute to susceptibility/protection from hyperimmunoglobulinemia E or they might be in significant linkage disequilibrium with some unknown gene responsible for the disease. It is also possible that different ethnical groups show different association with cytokine polymorphisms.
Using economics to support emerald ash borer (Coleoptera: Buprestidae) detection strategies
Authors: Campbell Michael , Weersink Alfons , McKenney Daniel W. , Ryall Krista 
Published: February 2015

AbstractEarly detection of emerald ash borer (EAB) (Agrilus planipennisFairmaire; Coleoptera: Buprestidae) infestation is problematic, with visual indicators not appearing until late during an infestation, and detection methods often requiring substantial trade-offs between information yielded and cost. Decision makers must determine which detection methods provide sufficiently valuable information that matches their objectives and adhere to budget constraints. Notably, decision makers from different organisations often have different objectives; hence their perceptions of costs and benefits of these choices can vary. Economic thought and analysis can provide useful insights for decision makers concerned with understanding and balancing costs and benefits associated with detection strategies. Here we provide a brief review of economic studies of EAB and present a conceptual framework on the detection strategy problem drawing on “information economics”.
Embryological Remnants of the Thyroid Gland and their Significance in Thyroidectomy
Authors: Fernando R , Rajapaksha Anuradha , Ranasinghe Narada , Gunawardana Duminda 
Published: February 2015

ABSTRACT
Thyroid gland has three main embryological remnants: pyramidal lobe, tubercle of Zuckerkandl and thyrothymic remnants. They are commonly missed or misidentified during dissection. Each of these remnants plays a critical role in thyroidectomy as they help to identify the relevant anatomy and therefore help prevent accidental damage to other structures in close proximity during dissection.
In this article, we describe the current knowledge of each of these remnants and their significance in thyroidectomy.

Conclusion
It is important that all these remnants are objectively looked for and removed during surgery in order to prevent recurrences.

How to cite this article
Fernando R, Rajapaksha A, Ranasinghe N, Gunawardana D. Embryological Remnants of the Thyroid Gland and their Significance in Thyroidectomy. World J Endoc Surg 2014;6(3):110-112.
Unusual Presentation of Pheochromocytoma with Polyphagia
Authors: PRK Bhargav 
Published: February 2015

ABSTRACT
Pheochromocytoma is adrenal medullary tumor known to present in protean ways, especially in children. Here we describe a case of adrenal pheochromocytoma in young girl of 13 years presenting with polyphagia as a predominant symptom. She was successfully treated with laparoscopic adrenalectomy.

How to cite this article
Bhargav PRK. Unusual presentation of Pheochromocytoma with Polyphagia. World J Endoc Surg 2014;6(3):113-114.
Chylothorax Following Thyroid Surgery: A Report of two Cases and Review of Management Strategies
Authors: Samarasam Inian , Gnanamuthu Birla Roy , Nalukurthi Siddhartha Chakravarthy , Kishore Johnraj , Paul Mj 
Published: February 2015

ABSTRACT
Chylothorax is a rare complication following thyroid surgery. Management of this complication can be conservative or surgical. We report two cases of chylothorax following excision of retrosternal goiter and neck dissection. The relevant literature is reviewed regarding the management strategy, highlighting the importance of surgical anatomy.

How to cite this article
Nalukurthi SC, Kishore J, Samarasam I, Gnanamuthu BR, Paul Mj. Chylothorax Following Thyroid Surgery: A Report of two Cases and Review of Management Strategies. World J Endoc Surg 2014;6(3):115-118.
Cardiac Myxoma in a case of Carney Complex
Authors: Pande Shantanu , Chandra Bipin , Majumdar Gauranga , Agarwal Surendra 
Published: February 2015

How to cite this article
Majumdar G, Agarwal S, Pande s, Chandra B, Tewari P. Cardiac Myxoma in a case of Carney Complex. World J Endoc Surg 2014;6(3):127-128.
Patient Satisfaction Survey at a Tertiary Care Speciality Hospital
Authors: Gupta Shakti Kumar , Garg Neeraj , Mahesh R 
Published: February 2015

ABSTRACT

Introduction
Patient satisfaction is one of the most important parameters of quality. The measurement of patient satisfaction is an important tool for research, administration, and planning. Client satisfaction is a crucial index for determining the quality services and the way in which they are provided by medical staff. The patient satisfaction is of paramount importance in ensuring better quality on the way to total quality management. Patient satisfaction survey are important from the view of improvement of quality of services and to attain the maximum satisfaction of the in-patients.

Aims and objectives
The aim of the study is to assess the level of satisfaction of in-patients at Tertiary care speciality hospital and to find out the causes for dissatisfaction. The objectives set were, to study the level of satisfaction of in-patients in private and General wards at Tertiary care speciality hospital and to find the causes for dissatisfaction, if any and suggest remedial measures.

Methodology
A questionnaire based study where views of inpatient were taken regarding various clinical and support services. The data were collected from different patient care areas over a period of 2 months, and analyzed to determine the biggest dissatisfying factors among the patients.

Observations
More than 88% of the patients have rated the services as Excellent/Good. The areas where the satisfaction level is low is the cleanliness specially in the toilets and the quality of food served to the patients. As far as clinical care is concerned 95% of the patients are satisfied with the level and expertise of professional care but suggested for development of soft skills in doctors and paramedics.

Conclusion
The study suggests that a majority of in-patients are highly satisfied with the services of the Hospital. The study recommends for the need to develop soft skills among Doctor and paramedics and to improve upon the level of cleanliness and quality of dietary services.

How to cite this article
Garg N, Gupta SK, Mahesh R. Patient Satisfaction Survey at a Tertiary Care Speciality Hospital. Int J Res Foundation Hosp Healthc Adm 2014;2(2):79-83.