bluuebunny/crossref_metadata_2025_split huggingface dataset:
Obesity and Testosterone Levels in Ghanaian Men With Type 2 Diabetes
Authors: Asare-Anane Henry , Ofori Emmanuel , Agyemang Yeboah , Oppong Sylvester , Tagoe Emmanuel , Bani Simon , Ateku Richmond , Bawa Tijani 
Published: April 2014

IN BRIEF
Testosterone plays a vital role in obesity, glucose homeostasis, and lipid metabolism. The aim of this study was to investigate androgen levels and its association with obesity in Ghanaian men with type 2 diabetes. The study showed that serum total and free testosterone concentrations were lower in male patients with type 2 diabetes and that obesity was strongly associated with low levels of total and free testosterone in Ghanaian men with type 2 diabetes.
Clinical Considerations for Insulin Pharmacotherapy in Ambulatory Care, Part One: Introduction and Review of Current Products and Guidelines
Authors: Galdo John A. , Thurston Maria Miller , Bourg Catherine A. 
Published: April 2014

IN BRIEF
This article describes available insulin products and published guidelines to aid clinicians in making treatment decisions for insulin-dependent patients with type 2 diabetes. It establishes the need for a thorough evaluation of the literature regarding ambulatory insulin dosing to further inform providers who manage insulin therapy for patients with type 2 diabetes.
Postoperative comparison of four perioperative analgesia protocols in dogs undergoing stifle joint surgery
Authors: Lewis Kerrie A. , Bednarski Richard M. , Aarnes Turi K. , Dyce Jonathan , Hubbell John A. E. 
Published: April 2014

Abstract
Objective—To compare 4 analgesic protocols in dogs undergoing stifle joint surgery.
Design—Randomized, blinded, prospective clinical trial.
Animals—48 client-owned dogs that underwent stifle joint surgery.
Procedures—Dogs undergoing tibial plateau leveling osteotomy were randomly assigned to receive a constant rate infusion of a combination of morphine, lidocaine, and ketamine; a lumbosacral epidural with morphine and ropivacaine; both treatments (ie, constant rate infusion and lumbosacral epidural); or only IM premedication with morphine. Indices of cardiorespiratory function and isoflurane requirement were recorded at 5-minute intervals during anesthesia. A validated sedation scoring system and the modified Glasgow composite measure pain score were used to assess comfort and sedation after surgery and anesthesia once the swallowing reflex returned and a body temperature of ≥ 36.7°C (98.1°F) was attained. Pain and sedation scores were acquired at 60-minute intervals for 4 hours, then at 4-hour intervals for 24 hours. Dogs with a postoperative pain score > 5 of 24 were given morphine as rescue analgesia.
Results—No differences in heart rate, respiratory rate, systolic arterial blood pressure, end-tidal Pco2, end-tidal isoflurane concentration, and vaporizer setting were detected among groups. No differences in pain score, sedation score, rescue analgesia requirement, or time to first rescue analgesia after surgery were detected.
Conclusions and Clinical Relevance—Pain scores were similar among groups, and all 4 groups had similar rescue analgesia requirements and similar times to first administration of rescue analgesia. All 4 analgesic protocols provided acceptable analgesia for 24 hours after stifle joint surgery.
Agreement of serum feline pancreas–specific lipase and colorimetric lipase assays with pancreatic ultrasonographic findings in cats with suspicion of pancreatitis: 161 cases (2008–2012)
Authors: Oppliger Samuel , Hartnack Sonja , Reusch Claudia E. , Kook Peter H. 
Published: April 2014

Abstract
Objective—To investigate agreement of a feline pancreas–specific lipase assay and a colorimetric lipase assay with a 1,2-o-dilauryl-rac-glycero-3-glutaric acid-(6′-methylresorufin) ester (DGGR) substrate with results of pancreatic ultrasonography in cats with suspicion of pancreatitis.
Design—Retrospective case series.
Animals—161 client-owned cats with suspicion of pancreatitis.
Procedures—Feline pancreas–specific lipase concentration and DGGR lipase activity were measured from the same blood sample in cats undergoing investigation for pancreatitis, with < 24 hours between ultrasonography and lipase determinations. Ultrasonographic variables evaluated were ultrasonographic diagnosis of pancreatitis, enlargement, margins, echogenicity, mesenteric echogenicity, peripancreatic free fluid, cysts, masses, and common bile and pancreatic duct dilation. Agreement was assessed by use of the Cohen κ coefficient.
Results—Agreement between the lipase assays was substantial (κ = 0.703). An ultrasonographic diagnosis of pancreatitis had fair agreement with feline pancreas–specific lipase concentration > 5.4 μg/L (κ = 0.264) and DGGR lipase activity > 26 U/L (κ = 0.221). The greatest agreement between feline pancreas–specific lipase concentration > 5.4 μg/L and DGGR lipase activity > 26 U/L was found for a hypoechoic and mixed-echoic (κ = 0.270 and 0.266, respectively), hypoechoic (κ = 0.261 and 0.181, respectively), and enlarged (κ = 0.218 and 0.223, respectively) pancreas.
Conclusions and Clinical Relevance—Agreement between pancreatic ultrasonography and lipase assay results was only fair. It remains unknown whether lipase results or pancreatic ultrasonography constitutes the more accurate test for diagnosing pancreatitis; therefore, results of both tests need to be interpreted with caution.
Modeling the risk of groundwater contamination using modified DRASTIC and GIS in Amman-Zerqa Basin, Jordan
Authors: Al-Rawabdeh Abdulla , Al-Ansari Nadhir , Al-Taani Ahmed , Al-Khateeb Fadi , Knutsson Sven 
Published: April 2014

AbstractAmman-Zerqa Basin (AZB) is the second largest groundwater basin in Jordan with the highest abstraction rate, where more than 28% of total abstractions in Jordan come from this basin. In view of the extensive reliance on this basin, contamination of AZB groundwater became an alarming issue. This paper develops a Modified DRASTIC model by combining the generic DRASTIC model with land use activities and lineament density for the study area with a new model map that evaluates pollution potential of groundwater resources in AZB to various types of pollution. It involves the comparison of modified DRASTIC model that integrates nitrate loading along with other DRASTIC parameters. In addition, parameters to account for differences in land use and lineaments density were added to the DRASTIC model to reflect their influences on groundwater pollution potential. The DRASTIC model showed only 0.08% (3 km2) of the AZB is situated in the high vulnerability area and about 30% of the basin is located in the moderately vulnerable zone (mainly in central basin). After modifying the DRASTIC to account for lineament density, about 87% of the area was classified as having low pollution potential and no vulnerability class accounts for about 5.01% of the AZB area. The moderately susceptible zone covers 7.83% of the basin’s total area and the high vulnerability area constitutes 0.13%. The vulnerability map based on land use revealed that about 71% of the study area has low pollution potential and no vulnerability area accounts for about 0.55%, whereas moderate pollution potential zone covers an area of 28.35% and the high vulnerability class constitutes 0.11% of AZB. The final DRASTIC model which combined all DRASTIC models shows that slightly more than 89% of the study area falls under low pollution risk and about 6% is considered areas with no vulnerability. The moderate pollution risk potential covers an area of about 4% of AZB and the high vulnerability class constitutes 0.21% of the basin. The results also showed that an area of about 1761 km2 of bare soils is of low vulnerability, whereas about 28 km2 is moderately vulnerable. For agriculture and the urban sector, approximately 1472 km2 are located within the low vulnerability zone and about 144 km2 are moderately vulnerable, which together account for about 8% of the total agriculture and urban area. These areas are contaminated with human activities, particularly from the agriculture. Management of land use must be considered when changing human or agricultural activity patterns in the study area, to reduce groundwater vulnerability in the basin. The results also showed that the wells with the highest nitrate levels (81–107 mg/l) were located in high vulnerable areas and are attributed to leakage from old sewage water.
Neutron flux investigation on certain alternative fluids in a hybrid system by using MCNPX Monte Carlo transport code
Authors: Günay M. 
Published: April 2014

Abstract
In this study, the molten salt-heavy metal mixtures 93 – 85 % Li20Sn80 + 5 % SFG-PuO2 and 2 – 10 % UO2, 93 – 85 % Li20Sn80 + 5 % SFG-PuO2 and 2 – 10 % NpO2, 93 – 85 % Li20Sn80 + 5 % SFG-PuO2 and 2 – 10 % UCO were used as fluids. The fluids were used in the liquid first wall, blanket and shield zones of the designed hybrid reactor system. Four centimeter thick 9Cr2WVTa ferritic steel was used as the structural material. In this study, the effect of mixture components on the neutron flux was investigated in a designed fusion–fission hybrid reactor system. The neutron flux was investigated according to the mixture components, radial flux distribution and energy spectrum in the designed system. Three-dimensional analyses were performed using the most recent MCNPX-2.7.0 Monte Carlo radiation transport code and the ENDF/B-VII.0 nuclear data library.
Performance of two fluid model based numeric tool with pressure and enthalpy as independent variables for simulation of two phase flow in axial and radial direction
Authors: Gokhale O. S. , Puranik B. P. 
Published: April 2014

Abstract
Several numeric tools have been developed and reported in literature for simulation of two phase flow conditions. Most of the tools make use of the classical homogeneous equilibrium model of two phase flow which is reported to perform better under high pressure conditions with relatively small temperature gradients. System codes such as RELAP make use of two fluid model of two phase flow. Such system codes model the flow of two phases in one dimension in the axial direction. The provision of modeling flow in the direction perpendicular to the axial flow direction exists with the approximation of not considering the flux terms in the momentum equations in the perpendicular direction. This approach is reported to work well for situations with predominant single directional flows. To analyze certain situations with predominant flow in axial as well as radial directions a numeric tool (FLOW) has been developed. The approach employs the same momentum equation for axial as well as radial direction incorporating the flux terms in both directions. The pressure and the enthalpy of the fluid are used as independent variable in the formulation of the tool. The results are found to be in good agreement with 3D CFD simulations.
Morphology of basal crevasses at the grounding zone of Whillans Ice Stream, West Antarctica
Authors: Jacobel Robert W. , Christianson Knut , Wood Adam C. , Dallasanta Kevin J. , Gobel Rebecca M. 
Published: April 2014

AbstractThe transition from limited-slip conditions at the base of grounded ice to free-slip conditions beneath floating ice occurs across the few-kilometers-wide grounding zone. This region involves either an elastic flexural transition from bedrock to hydrostatically supported elevations (often tidally influenced), a transition from thicker to thinner ice over a flat bed, or some combination of these two processes. In either case, ice must flow across a changing stress field, often resulting in brittle deformation, manifested as basal crevassing. Thus the position and morphology of basal crevasses reveal important information about the stress state across this transition. Our gridded ground-based radar surveys on Whillans Ice Stream, West Antarctica, indicate a complex pattern of basal crevasses, but most are associated with regions where the surface elevation gradient is steepest. Due to the high reflectivity of sea water, we image many off-nadir crevasses from a corner-reflector geometry involving reflections from the ice/sea-water interface and then from the crevasse, producing echoes with an inverted phase that could be misinterpreted as subglacial returns. Our results indicate that basal crevasses offer a rich dataset for diagnosing stress state and salient processes across grounding zones, and that special care is needed when interpreting subglacial returns in radar data.
A low power consumption radar system for measuring ice thickness and snow/firn accumulation in Antarctica
Authors: Uribe José A. , Zamora Rodrigo , Gacitúa Guisella , Rivera Andrés , Ulloa David 
Published: April 2014

AbstractIn order to measure total ice thickness and surface snow accumulation in Antarctica, we have designed and built a surveying system comprising two types of radar. This system is aimed at having low power consumption, low weight/volume and low construction cost. The system has a pulse-compression radar to measure ice thickness, and a frequency-modulated continuous wave (FM-CW) radar designed to measure hundreds of meters of surface snow/firn layers with high resolution. The pulse-compression radar operates at 155MHz, 20 MHz of bandwidth; and the FM-CW radar operates from 550 to 900 MHz. The system was tested in December 2010 at Union Glacier (79°46'S, 83°24'W), West Antarctica, during an oversnow campaign, where Union and other nearby glaciers (Schanz, Schneider and Balish) were covered through 82 km of track. Ice thickness of 1540m and snow/firn thickness of 120 m were detected in the area. The collected data allowed the subglacial topography, internal ice structure, isochronous and the snow/ice boundary layer to be detected. Here we describe radar electronics, their main features and some of the results obtained during the first test campaign. Further improvements will focus on the adaptation of the system to be implemented on board airplane platforms.
Significance of Small Renal Artery Lesions in Patients with Antineutrophil Cytoplasmic Antibody-associated Glomerulonephritis
Authors: Endo Akiko , Hoshino Junichi , Suwabe Tatsuya , Sumida Keiichi , Mise Koki , Hiramatsu Rikako , Hasegawa Eiko , Yamanouchi Masayuki , Hayami Noriko , Sawa Naoki , Takaichi Kenmei , Ohashi Kenichi , Fujii Takeshi , Ubara Yoshifumi 
Published: April 2014

Objective.Antineutrophil cytoplasmic antibody (ANCA)-associated glomerulonephritis is a vasculitis affecting the glomerular capillaries and small renal arteries. Although crescent formation has been reported to be characteristic of this condition, the significance of coexisting vasculitis affecting the small renal arteries has not been investigated.Methods.Fifty patients with ANCA-positive rapidly progressive glomerulonephritis whose renal biopsy specimens contained arterioles and/or interlobular arteries were retrospectively evaluated. Cellular crescents and/or necrotizing glomerulonephritis were noted in all 50 patients. Ten patients had vasculitis of the small renal arteries (group A) and 40 patients were without such vasculitis (group B). The clinical features of these 2 groups were compared.Results.Group A comprised 4 patients who had granulomatosis with polyangiitis (GPA) and 6 with microscopic polyangiitis (MPA), while group B included 1 patient with GPA and 39 with MPA. No patient in either group had eosinophilic granulomatosis with polyangiitis. The C-reactive protein (CRP) level was significantly higher in group A compared with group B (11.58 ± 6.19 vs 2.7 ± 3.55 mg/dl, p < 0.05), and pulmonary involvement was more frequent in group A than group B (80% vs 37.5%, p < 0.05).Conclusion.In patients with ANCA-positive glomerulonephritis, vasculitis of small renal arteries may be associated with systemic vasculitis (including pulmonary involvement) because of elevated CRP, a systemic inflammatory marker related to overproduction of interleukin 6.
Prevalence of Antinuclear Antibodies in Schoolchildren During Puberty and Possible Relationship with Musculoskeletal Pain: A Longitudinal Study
Authors: Sperotto Francesca , Cuffaro Giorgio , Brachi Sara , Seguso Mara , Zulian Francesco 
Published: April 2014

Objective.The role of antinuclear antibodies (ANA) in children has still to be elucidated. The aim of our study was to evaluate the prevalence and persistence of ANA in schoolchildren during the puberty switch, and the possible relationship with chronic noninflammatory musculoskeletal pain (MSP).Methods.Children aged 8–13 years and attending 4 public schools underwent a clinical examination, focusing on pubertal stage and presence of chronic noninflammatory MSP. Laboratory tests to determine the autoantibody-profile were also performed. Subjects with ANA positivity (titer ≥ 1:80) and/or chronic noninflammatory MSP were re-evaluated 3 years later.Results.Two hundred sixty-one subjects enrolled in the study and 12.3% were ANA-positive, equally distributed in terms of sex and pubertal status. Three years later, in the group of patients studied for chronic noninflammatory MSP (n = 67), ANA positivity significantly increased from 13.4% to 44.8%. In the ANA-positive cohort at baseline (n = 28), 92.9% of subjects were confirmed as being ANA-positive with a significantly increased titer. No association between ANA positivity and chronic noninflammatory MSP was found.Conclusion.ANA prevalence and titers increase during puberty, especially in females, but have no relationship with chronic noninflammatory MSP. This finding may be related to the complex hormonal changes during the puberty switch period and opens new insights into autoimmunity.
L'hystérique, l'analyste et la question du père
Authors: Vanier Alain 
Published: April 2014

L’hystérie a-t-elle cessé de guider les psychanalystes ? Certainement pas si l’on veut bien considérer qu’elle condense à la fois la découverte et la butée de toute approche de l’inconscient dans la psychanalyse.
Hystérie : le risque du féminin
Authors: Schaeffer Jacqueline 
Published: April 2014

L’hystérie est une des composantes de la féminité, mais le féminin érotique pose problème à la différence des sexes. C’est la défense phallique que l’hystérique surinvestit, face à la haine de la scène primitive. Son jeu érotique vise à la recherche de l’identité sexuelle et de l’énigme du féminin. Son mode défensif relationnel privilégié, c’est celui du jeu, de la mise en scène théâtrale : jeu avec l’angoisse, avec la séduction, avec la jalousie. Mais aussi le désir de désir insatisfait, et l’identification « contre ».
L'hystérie masculine (féminine)
Authors: Pommier Gérard 
Published: April 2014

L’hystérie est la norme du sujet, qui se pose la question : « Suis-je un homme ou une femme ? » La particularité de l’hystérie masculine est de rejeter sa part féminine. Les qualités psychiques « masculin » et « féminin » n’existent jamais l’une sans l’autre, mais de manière conflictuelle, engendrant la « crise hystérique » de degré variable. Il s’y ajoute différents traits de l’hystérie masculine, plus lisibles dans la contemporanéité du fait de la libération des femmes. Le désir masculin hystérique est marqué par la nostalgie, entre séparation maternelle et Idéal féminin, d’une tout autre origine.
Assessment of diabetes empowerment amongst patients from India
Authors: Kumar K.V.S. , Kumar Sandeep , Anish S , Pillarisetti Shashank 
Published: April 2014

Abstract
Background: Awareness about the disease is essential for all patients of diabetes to be part of patient centred approach. Patient empowerment is the central theme behind this new approach. We conducted this study to assess the psychosocial aspects and patient empowerment amongst patients with diabetes. Materials and Methods: We included 100 patients of diabetes (Type 1 and Type 2 only) with at least 2 years duration (age between 30-75 years, educated beyond graduation in any subject) in this cross-sectional observational study. The patients were divided into two groups: Group 1 (Age <60 yr) and Group 2 (Age >60 yr). Patient empowerment was assessed by Diabetes Empowerment Scale with three subscales reflecting the psychosocial aspects, readiness to change and the setting of diabetes goals. The data were analyzed with appropriate statistical tests using Graphpad Prism Software, version 6. Results: The study participants (42M and 58F) had a mean age of 56.5 ± 13.7 yr, mean duration of the diabetes was 10.1 ± 7.7 yr and body weight of 67.2 ± 11.4 kg. More number of elderly patients attended diabetes education programme, comfortable in posing a question about diabetes and were open to change with regard to their diabetes (P < 0.05). Correlation analyses revealed that the psychosocial aspects of diabetes improved with age and duration of diabetes (<0.0001). Conclusion: Old age and longer duration of diabetes are the major determinants for patient empowerment in diabetes. Patients have the potential to be empowered after more education and awareness about the disease.
Care Everywhere, a Point-to-Point HIE Tool
Authors: Boland LL. , Frey NG. , Satterlee PA. , Hokanson JS. , Winden TJ. 
Published: April 2014

SummaryBackground: Emergency departments (EDs) routinely struggle with gaps in information when providing patient care. A point to point health information exchange (HIE) model has the potential to effectively fill those gaps.Objective: To examine the utility, perceived and actual, of a point-to-point HIE tool called Care Everywhere (CE) and its impact on patient care in the ED.Methods: This mixed methods study was performed at four large hospital EDs between January 2012 and November 2012. Retrospective data was extracted from the electronic health record (EHR) to evaluate CE utilization since implementation. ED notes data were extracted from ED visits occurring between January 2012 and June 2012 and were reviewed to evaluate the impact of exchanged information on patient care.Results: Per focus group discussions, physicians thought the information received via CE was of value to patient care, particularly laboratory results, imaging, medication lists, discharge summaries and ECG interpretations. They feel the greatest impact of HIE is the avoidance of duplicative diagnostic testing and the identification of drug-seeking behavior. Nursing and ancillary staff expressed somewhat less enthusiasm but still felt HIE positively impacted patient care. Over a period of six months, CE was used in approximately 1.46% of ED encounters. A review of ED provider notes over that time period revealed CE use resulted in 560 duplicate diagnostic procedures being avoided and 28 cases of drug seeking behavior identified.Conclusion: Our study provides insight into the perceived value of HIE from the point of view of our ED physicians and staff. It also demonstrates that a point-to-point HIE tool such as Epic System’s Care Everywhere has the potential to generate greater efficiencies within the ED and impact to patient care through elimination of duplicative diagnostic imaging or testing and resource utilization associated with those procedures.Citation: Winden TJ, Boland LL, Frey NG, Satterlee PA, Hokanson JS. Care everywhere, a point-to-point HIE tool: Utilization and impact on patient care in the ED. Appl Clin Inf 2014; 5: 388–401 http://dx.doi.org/10.4338/ACI-2013-12-RA-0100