bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Comparison of Sequestrectomy and Conventional Discectomy for the Treatment of a Lumbar Disc Herniation: A Systematic Review
Authors: Azarhomayun Amir , Shirdel Saeedeh , Vaccaro Alexander , Shokraneh Farhad , Saadat Soheil , Chou Roger , Rahimi-Movaghar Vafa 
Published: May 2015

Study Design This is a systematic review. Objective This study aims to compare effects of sequestrectomy versus conventional microdiscectomy for lumbar disc herniation. Summary of Background data Open surgery for LDH can be performed by sequestrectomy or conventional discectomy. Generally, it has been assumed that the former is associated with higher risk of recurrence and less radicular pain and low back pain after surgery. Methods We searched MEDLINE and EMBASE from 1980 to November 2014. We selected randomized controlled trials (RCTs) and prospective studies that compared conventional discectomy versus sequestrectomy for adult patients with LDH and evaluated the following primary outcomes: radicular pain or LBP as measured by a visual analogue scale, neurological deficit of lower extremity. We also evaluated the following secondary outcomes: complications of surgery, reherniation rate, duration of hospital stay, postoperative analgesic use, and health-related quality of life measures. Two authors independently reviewed citations and articles for inclusion. We assessed the risk of bias as well as the level of evidence for each study, and we used standard methodological procedures recommended by the Cochrane Collaboration. Results We identified five studies (746 participants) that met our inclusion criteria comparing sequestrectomy versus microdiscectomy. Comparison revealed that with low-quality evidence, there is no significant difference for radicular pain, LBP, functional outcome, complications, and hospital stay for 2 years. In addition, with moderate-quality evidence, there is no significant difference for recurrence rate. Meanwhile, there is very low-quality evidence that analgesic consumption is lower in sequestrectomy than micro/discectomy. Conclusion Both interventions had similar effect on pain after surgery, recurrence rate, functional outcome, and complications; however, sequestrectomy may be superior in terms of postoperative analgesic consumption.
Ozone Therapy and Surgical-Related Complications: Preliminary Data and Alert
Authors: Vanni Daniele , Sirabella Francesco Saverio , Guelfi Matteo , Pantalone Andrea , Sparvieri Antonio , Galzio Renato , Salini Vincenzo , Magliani Vincenzo 
Published: May 2015

Introduction Ozone is able to react with proteoglycans, glycosaminoglycans, and other macromolecular complex and to induce galactose glucuronic acid, glycine, and 4-hydroxyproline oxidation. In this way, intra- and intermolecular chemical bonds are broken, releasing an amount of entrapped water. Subsequently, after the water reabsorption, intradiscal and periradicular pressure decrease and as a consequence pain and symptoms improves. Nowadays, oxygen-ozone therapy is increasingly used to treat lumbar disc hernia not responsive to conservative management. In most cases, this therapy is proposed as an alternative to surgery, although its effects could be often only temporary. Patients and Methods From June 2013, 23 patients (14 M and 9 F, mean age 51.3 years) underwent spinal surgery for lumbar disc hernia or lumbar segmental stenosis. Each of them were previously subjected to ozone therapy in a period between 12 and 24 months. Before surgery, all the patients were subjected to an MRI evaluation, as standard protocol. In eight of them a contrast-enhanced MRI was also performed. Results During surgery, many hard adhesions between soft tissue and bony structures were evaluated. Specifically, the dural and periradicular adhesions required a more demolition approach, to achieve the resolution of the disease. In one case, an iatrogenic dural cysts with roots invagination was noticed. This lesion was also detected at the preoperative MRI, but it had appeared only after ozone therapy treatment. It is necessary to observe that none of these patients were previously subjected to spine surgery and that these specific pathologic pattern of adhesion were not observed in patients that did not receive ozone therapy. Conclusion Our observation is a crucial starting point. Although these data are preliminary and it is important not to create unnecessary alarms, it is mandatory to assert that ozone therapy procedure may be associated with major complications. Therefore, it would be necessary a guideline revision and protocols adaptation with regard to ozone therapy application.
Complications in Spinal Surgery: To know in Order to Prevent. Analysis of 917 Cases Treated in 3 Years
Authors: Brodano Giovanni Barbanti , Halme Jarkko , Gasbarrini Alessandro , Bandiera Stefano , Terzi Silvia , Colangeli Simone , Ghermandi Riccardo , Babbi Lisa , Boriani Stefano 
Published: May 2015

Introduction The surgical treatment of complex spinal deformity and vertebral oncological diseases is becoming more common. The aim of this study was to prospectively record all the major complications observed in the perioperative and postoperative period for surgeries performed at our Division of Spine Surgery in the 2010 to 2012 period, correlating this score with different parameters to determine possible risk factors. Material and Methods A total of 285 surgeries were registered in 2010, 324 in 2011, and 308 in 2012. All the complications observed during the procedure and the follow-up period were recorded and classified according to the type (mechanical complications, neurological complications, infection, hematoma, cerebrospinal fluid fistula, systemic complications, and death related to the surgery). Results In 2010, on 285 surgeries 47 patients (16.5%) had 69 complications (24.2%): 25.7% for the treatment of oncological diseases, 23% for the treatment of degenerative diseases, 27% for the treatment of pathologies of traumatic origin, and 11% for the treatment of spondylodiscitis (infectious diseases). In 2011, on 324 surgeries 35 patients (10.8%) had 54 complications (16.7%): 16.3% for the treatment of oncological diseases, 16.3% for the treatment of degenerative diseases, 20% for the treatment of pathologies of traumatic origin, 28.6% for the treatment of spondylodiscitis. In 2012, on 308 surgeries, 25 patients (8.1%) had 36 complications (11.7%): 14.4% for the treatment of oncological diseases, 7.2% for the treatment of degenerative diseases, 16.7% for the treatment of pathologies of traumatic origin, and 20% for the treatment of spondylodiscitis. Conclusion On 917 spinal surgeries performed from January 2010 to December 2012, 159 complications (17.3%) were recorded, with a prevalence of mechanical complications and infections. The correlation of these complications with different parameters, such as age, sex, presence of comorbidities, previous spine surgery, type of surgery, will be analyzed to detect potential risk factors to be taken into consideration in the decision-making process for complex spinal surgery.
How to Reduce Bilateral Cervical Facet Joint Dislocation in Anterior Approach: A Trick to Avoid Anterior-Posterior-Anterior Surgical Procedures
Authors: Jaeger Martin 
Published: May 2015

Introduction Cervical facet joint dislocation is a common injury of the lower cervical spine. These flexion distraction lesions in cervical spine occur as a subluxation or unilateral/bilateral dislocation of the facet joints, which often be accompanied by direct spinal cord and nerve root injury. The presence of herniated intervertebral disc requires an anterior approach to decompress the spinal cord. Because often it is not possible to reduce facet joint dislocation while performing anterior surgery an additional posterior approach and then the fixation trough an anterior approach again is necessary. This method (supine-prone-supine) creates difficulties for surgeons because of the prolonged operation time; the need for frequent changes in patient position; and a subsequent high incidence of complications. Materials and Methods On the basis of a case, we present a maneuver to use pins such as joysticks in vertebral body during anterior approach to reduce dislocated facet joints in cervical spine fractures. After cervical discectomy/corpectomy, we use the pins to put the vertebral body in kyphotic position following rotational motion to reduce the facet joints. Results and Conclusion: Since we implemented this procedure, we had no more to perform posterior approach in surgical treatment in the last 15 cases of bilateral facet joint dislocation with herniated intervertebral disc in cervical trauma.
An alternative reference point in the context of ecosystem-based fisheries management: maximum sustainable dead biomass
Authors: Rätz Hans-Joachim , Casey John , Holmes Steven J. , Lloret Josep , Dörner Hendrik , Mitrakis Nikolaos , Charef Aymen 
Published: May 2015

Abstract
Under the 2013 Reform of the European Union's Common Fisheries Policy (CFP), fisheries management aims to ensure that, within a reasonable time frame, the exploitation of marine biological resources restores and maintains populations of harvested stocks above levels that can produce the maximum sustainable yield (MSY). The CFP also calls for the implementation of an ecosystem-based approach to fisheries management (EBFM). In this paper, we present the concept of maximum sustainable dead biomass (MSDB) and its associated management reference points for fishing mortality and spawning-stock biomass as alternatives to those associated with MSY. The concept of MSDB is illustrated by a dynamic pool production model of a virtual fish stock which takes into account variations in natural mortality (M), fishing mortality (F), and exploitation pattern. Our approach implies a compensatory mechanism whereby survivors may benefit from compensatory density dependence and is implemented through progressive substitution of M with F for varying rates of total mortality (Z). We demonstrate that the reference points for fishing mortality and spawning-stock biomass associated with MSDB are less sensitive to increasing compensation of M with F than those associated with MSY and more sensitive to changes in selection pattern. MSDB-based reference points, which are consistent with maximum stock productivity, are also associated with lower fishing mortality rates and higher stock biomasses than their MSY-based counterparts. Given that selection pattern can be influenced through fishery input measures (e.g. technical gear measures, decisions on areas, and/or times of fishing), whereas variations of M in response to F are not controllable (indeed poorly understood), that the results of many fish stock assessments are imprecise, that maximum stock productivity corresponds to MSDB and that MSY-based reference points may best be considered as limits, we propose that MSDB-based reference points provide a more appropriate basis for management under an EBFM.
Description of an original integron encompassing blaVIM-2, qnrVC1 and genes encoding bacterial group II intron proteins in Pseudomonas aeruginosa
Authors: Belotti P. T. , Thabet L. , Laffargue A. , André C. , Coulange-Mayonnove L. , Arpin C. , Messadi A. , M'Zali F. , Quentin C. , Dubois V. 
Published: May 2015

Abstract

Objectives
A burn unit of a hospital in Tunis underwent an endemic situation caused by imipenem-resistant Pseudomonas aeruginosa. For nine non-repetitive isolates of a clonal VIM-2-producing strain, the blaVIM-2 genetic background was characterized and the associated qnrVC1 gene molecularly analysed.

Methods
The imipenem resistance mechanism was investigated by phenotypic and molecular tests, and resistance transfer was studied by conjugation and transformation experiments. The integron's structure was characterized by sequencing, and qnrVC1 expression was explored after cloning experiments.

Results
The nine VIM-2-producing strains were collected from eight patients and one environmental sample. All transfer assays failed, suggesting a chromosomal location of blaVIM-2. This latter was found to be part of a class 1 integron of ∼7500 bp, which also contains blaOXA-2, aadA1 and two copies of the aadB, arr-6 and qnrVC1 genes. qnrVC1 exhibited higher homology with the chromosomally encoded qnr genes of Vibrionaceae than with plasmid-mediated qnr genes of Enterobacteriaceae. The qnrVC1 gene cassette possesses a promoter allowing its expression, and it conferred decreased fluoroquinolone susceptibility to Escherichia coli. Additionally, on the same integron, genes encoding an uncommon group IIC-attC intron were detected.

Conclusions
A VIM-2-producing P. aeruginosa outbreak led us to characterize an integron harbouring a qnrVC1 cassette and a new group IIC-attC intron. This is the first known description of a qnr determinant in a P. aeruginosa strain. Its presence conferred a low level of resistance to quinolones in E. coli, which might favour the emergence of highly resistant mutants.
“A new horizon?”: evaluation of an integrated Substance Use Treatment Programme (SUTP) for mentally disordered offenders
Authors: Miles Helen 
Published: May 2015

Purpose– The treatment of substance use amongst mentally disordered offenders (MDOs) remains a challenge for secure forensic mental health services. The purpose of this paper is to present an integrated three-stage substance use treatment programme (SUTP) for male and female MDO’s in medium security.Design/methodology/approach– In total, 45 (72.6 per cent) MDO’s were referred (39 males/6 females). Standardised outcome measures were administered pre-SUTP, post-SUTP and at one year follow-up. Abstinence rates and location was determined via case notes at three year follow-up.Findings– All MDO’s had a past history of substance use, approximately three-quarters reporting problematic use prior to admission. Over half completed all three SUTP stages, less than 5 per cent dropping out during active treatment. The SUTP supported abstinence throughout the one year follow-up period and significantly improved MDO’s adaptive beliefs about substances and craving by one year follow-up amongst attendees. At three years, most MDO’s were in the community and almost three-quarters were abstinent. There was no significant difference in abstinent rates between community and hospital. There was a non-significant trend suggesting SUTP attendance supported abstinence. Both male and female participants appear to have benefited from treatment and satisfaction was high, reflecting the specific aims and objectives of treatment.Research limitations/implications– The small non-randomised sample from one area limits the generalisability of findings and statistical power.Originality/value– Findings indicate further support for the limited evidence base that small but clinically meaningful and maintained changes to problematic substance use are possible following integrated substance use treatment for male and female MDO’s.
Delivery of a mainstreaming treatment model towards co-existing difficulties: a brief exploration of practitioners’ understanding, views and reported experiences
Authors: Guest Christian , Chrisp Tom A.C 
Published: May 2015

Purpose
– The purpose of this paper is to describe the delivery of a mainstreaming model within a public sector, mental health (National Health Service (NHS)) organisation. The model promotes the inclusivity of a spectrum of presentations from co-existing moderate anxiety and depression to severe mental disorder (psychosis) and problematic substance and alcohol use.

Design/methodology/approach
– This paper introduces the delivery of three collective approaches, termed the “three essential elements” to support a mainstreaming treatment model, facilitated by a “Dual Diagnosis Lead”. The model encompasses; a “direct access” referral pathway, joint collaboration with practitioners and the delivery of a “Dual Diagnosis” training programme. An independent evaluation was commissioned to explore eight mental health and substance misuse practitioners’ views and experiences in relation to the impact of the mainstreaming model. This paper also considers feedback from 230 course participants attending a one day “Dual Diagnosis” training programme.

Findings
– This paper suggests that practitioners may benefit from the implementation of the mainstreaming approach and the delivery of this approach could be moving “Dual Diagnosis” interventions closer to mainstream practice.

Research limitations/implications
– The limitations of the mainstreaming model are acknowledged in relation to the generalisation of practitioners’ views and reported experiences.

Originality/value
– This paper offers a description of the delivery of a mainstreaming model involving the “three essential elements”. The model provides a useful insight and demonstrates the possibilities which may be achieved when attempting to implement a mainstreaming treatment approach within mainstream mental health and drug and alcohol services.
An ISO 9001 based approach for the implementation of process FMEA in the Brazilian automotive industry
Authors: de Aguiar Dimas Campos , Salomon Valério Antonio Pamplona , Mello Carlos Henrique Pereira 
Published: May 2015

Purpose
– The purpose of this paper is to present a structured way for the definitions of the Process Failure Mode and Effect Analysis (FMEA) attributes, such as potential failure mode, potential cause and potential effect, in order to make it simpler to define the controls and scores.

Design/methodology/approach
– This study performs, through a case study in incoming inspection of raw material, the comparison of a conventional application of the Process FMEA with a proposal based on the concepts of process approach defined by ISO 9001.

Findings
– Even written in a form similar to a script, the application of Process FMEA is a very complex activity and, like most quality tools, before being applied, FMEA should be clearly understood by the team. One way to facilitate this understanding is considering the sequence of events in the failures analysis to understand their causes and effects, just as are the sequences of inputs and outputs in the definition of the process approach addressed in ISO 9001.

Originality/value
– This paper shows a simple way to better structure Process FMEA, facilitating meetings with multidisciplinary teams.
Education and progression for support workers in mental health
Authors: Griggs Chloe , Hunt Lorna , Reeman Sharon 
Published: May 2015

Purpose
– The purpose of this case study is to detail the development of a bespoke programme of learning for Support Workers employed in the mental health sector.

Design/methodology/approach
– The programme was designed to serve three purposes: to offer a route into mental health nursing; to upskill those who wanted to remain as a Support Worker; to improve the quality of care provided.

Findings
– The paper shares the perspectives of the local Partnership Trust, a Support Worker on the programme and the Programme Director.

Originality/value
– Employers within the mental health sector are encouraged to develop their own staff and universities are urged to think differently about curriculum design.
Using a Delphi process to extend a rural mental health workforce recruitment initiative
Authors: Willems Julie , Sutton Keith , Maybery Darryl 
Published: May 2015

Purpose– The Gippsland Mental Health Vacation School program has been shown to positively change student participants’ interest and attitudes to living and working in a rural area. A range of factors are impacting on the future viability of the initiative including: limitations on the number of student participants, the reusability of content, staffing, time pressures, a dwindling funding base, and a drop-off in interest in living and working in a rural setting. The paper aims to discuss these issues.Design/methodology/approach– A three-phase Delphi Study was employed to engage with expert knowledge of the program’s key stakeholder groups (student participants and service provider staff) in order to inform the initial steps of shifting the program toward a blended model, distributed across space and time.Findings– The results suggest that: first, the current mode of delivery, a week-long intensive face-to-face format, should be transitioned to a more sustainable blended learning approach that includes both on-line content and anin situcomponent; and second, trailing the use of social media as a mechanism to maintain student interest in rural mental health work following the vacation school.Originality/value– This study highlights how the transition to a sustainable approach to the delivery of a novel rural mental health workforce recruitment strategy was informed through a three-phase Delphi Study that involved the key stakeholders (groups of student participants and service provider staff). The study has important implications for addressing the shortage of mental health practitioners in rural areas. It will and be of interest to educators, administrators, researchers and bureaucrats.
Cultural congruence as reflected in communication leaders’ decision-making
Authors: Meng Juan 
Published: May 2015

Purpose– The purpose of this paper is to motivate by the desire to better understand the interplay between cultural perceptions, both at the national and the organizational levels, and leadership effectiveness in corporate communication practice. In doing so, the research presented in this paper systematically compared views on communication leadership from senior communication executives in two different national cultures: England and Singapore.Design/methodology/approach– A series of in-depth interviews with the same interview guide were carried out in two leading cities of selected cultures (London and Singapore). A purposive sampling strategy was used to recruit participants for this study. Finally, 20 senior communication executives (n=11 in London andn=9 in Singapore) participated in this study. All interviews ranged from 60 to 90 minutes and were recorded and fully transcribed.Findings– Results suggest that communication executives believe that communication leadership should be treated as a multi-faceted influencing and learning process. Results also reveal that effective leadership qualities go beyond the national cultural boundaries. A more convergent view emerged on communication leadership.Practical implications– Communication executives should definitely tailor their leadership initiatives to fit the different cultural mechanisms that underlie organizational structures across cultures. Although the author agrees that communication strategies should place a great emphasis on the social dimension of cultural values in a given society, leadership initiatives, and actions should also be carried out to embrace the organizational structure and culture.Originality/value– The study provides insights into the impact of cultural orientations on the effectiveness of communication leadership. It is important and unique to confirm that organizational culture inserts a more profound influence on the application of leadership skills if compared to the national cultures.