bluuebunny/crossref_metadata_2025_split huggingface dataset:
Glenohumeral Contact Pressure With Simulated Anterior Labral and Osseous Defects in Cadaveric Shoulders Before and After Soft Tissue Repair
Authors: Yamamoto Atsushi , Massimini Daniel F. , DiStefano James , Higgins Laurence D. 
Published: May 2014

Background: Glenoid rim fractures and erosion can result from traumatic and repeated shoulder dislocations, leading to glenoid bone loss. Traditional instability surgery includes Bankart repair to restore soft tissue anatomy, although a recent trend is to address glenoid bone deficiency when appropriate with a bone block procedure. Hypothesis/Purpose: The purpose of this study was to quantify glenohumeral joint contact pressures as a function of anterior labral detachment, progressive anterior glenoid bone loss, and labral repair. The hypothesis was that a critical glenoid defect size exists whereby labral repair alone cannot restore joint contact pressures, therefore favoring bone block augmentation over soft tissue repair. Study Design: Controlled laboratory study. Methods: Eight fresh-frozen cadaveric shoulders were tested under a 440-N compressive load simulating glenohumeral abduction positions of 30° and 60° in neutral rotation and 60° with 90° of external rotation. Glenohumeral joint contact pressures were recorded with a Tekscan pressure sensor system in these configurations: (1) intact specimen, (2) Bankart lesion, (3) 10% anterior rim bone defect, (4) 10% bone defect with labral repair, (5) 20% bone defect, (6) 20% bone defect with labral repair, (7) 30% bone defect, and (8) 30% bone defect with labral repair. The joint contact pressures were compared at all configurations. Results: The Bankart lesion and 10%, 20%, and 30% glenoid defects showed significant ( P < .05) increases in mean contact pressures over baseline values. Labral repair at 10% bone loss reduced mean contact pressures to below the intact state, and labral repair of 20% defects demonstrated normalized mean contact pressures. However, mean contact pressures remained statistically elevated compared with baseline values after labral repair of 30% glenoid defects. Conclusion: Glenohumeral joint contact pressures were restored to baseline values after labral repair of 10% and 20% anterior glenoid bone defects. Conversely, labral repair at 30% glenoid bone loss did not restore glenohumeral contact mechanics, yielding elevated contact pressures despite repair. Further study is warranted to investigate the stability (resistance to dislocations) of the glenohumeral joint after labral repair and bone block augmentation. Clinical Relevance: A critical glenoid defect size exists in which labral repair alone does not restore normal glenohumeral contact pressures. Surgeons should carefully evaluate glenoid bone loss before selecting a surgical treatment for shoulder instability.
Sex-Based Differences in the Clinical Presentation of Patients With Symptomatic Hip Labral Tears
Authors: Lindner Dror , El Bitar Youssef F. , Jackson Timothy J. , Sadik Adam Y. , Stake Christine E. , Domb Benjamin G. 
Published: May 2014

Background: An increasing body of literature describes the clinical presentation and demographics of patients with hip labral tears. The differences in pelvic structure and joint laxity between sexes have been described; however, no study has evaluated differences in the clinical presentation of patients with symptomatic labral tears between sexes. Purpose: To describe the differences between sexes in demographics, clinical history, physical examination, and intraoperative findings in patients with symptomatic labral tears. Study Design: Cohort study; Level of evidence, 3. Methods: Data were prospectively collected between February 2008 and February 2013 on 1401 patients who had symptomatic labral tears and underwent arthroscopic surgery. Hips with previous pathologic disorders were excluded. Data on demographics and clinical history were gathered, and a physical examination was performed. Preoperative pain was estimated on the visual analog scale (VAS), and 4 hip-specific patient-reported outcomes (PROs) were administered to evaluate functional status. Intraoperative findings were recorded. Results: A total of 654 patients met our inclusion/exclusion criteria, with 320 males and 334 females. The median age for males was 38.3 years (range, 15.0-69.6 years) and for females 40.4 years (range, 13.1-66.8 years). Male patients had a higher incidence of acute injury than females (39.6% vs 27.6%, respectively; P < .05) and a higher incidence of workers’ compensation status (14.1% vs 4.5%, respectively; P < .05). Females had increased range of motion compared with males, which was statistically significant for all range of motion measurements ( P < .05). The anterior impingement test was positive in 94.4% of females and 92.9% of males, the flexion/abduction/external rotation test was positive in 59.5% of females and 61.5% of males, and the lateral impingement test was positive in 55.0% of females and 59.2% of males, but there was no statistically significant difference between sexes in any of the tests. Pain with palpation over the greater trochanter was positive in 22.0% of males and 36.9% of females ( P < .0001). Females had lower PROs; however, VAS scores were similar. Conclusion: Male and female patients differ in their hip structure, biomechanics, and operative findings of symptomatic labral tears. However, they do not differ substantially in clinical presentation, except that males are more likely to report an acute injury and females are more likely to be evaluated with increased range of motion.
Trauma-Induced Coagulopathy: An Institution’s 35 Year Perspective on Practice and Research
Authors: Gonzalez E. , Moore E. E. , Moore H. B. , Chapman M. P. , Silliman C. C. , Banerjee A. 
Published: May 2014

Introduction: Injury is the second leading cause of death worldwide, and as much as 40% of injury-related mortality is attributed to uncontrollable hemorrhage. This persists despite establishment of regionalized trauma systems and advances in the management of severely injured patients. Trauma-induced coagulopathy has been identified as the most common preventable cause of postinjury mortality. Methods: A review of the current literature was performed by collecting PUBMED references related to trauma-induced coagulopathy. Data were then critically analyzed and summarized based on the authors’ clinical and research perspective, as well as that reported by other institutions and researchers interested in trauma-induced coagulopathy. A particular focus was placed on those aspects of coagulopathy in which agreement among clinical and basic scientists is currently lacking; these include, pathophysiology, the role of blood components and factor therapy, and goal-directed assessment and management. Results: Trauma-induced coagulopathy has been recognized in approximately one-third of trauma patients. There is a vast range of severity, and the emergence of viscoelastic assays, such as thrombelastography and rotational thromboelastogram, has refined its diagnosis and management, particularly through the establishment of goal-directed massive transfusion protocols. Despite advancements in the diagnosis and management of trauma-induced coagulopathy, much remains to be understood regarding its pathophysiology. The cell-based model of hemostasis has allowed for characterization of endothelial dysfunction, impaired thrombin generation, platelet dysfunction, fibrinolysis, endogenous anticoagulants such as protein-C, and antifibrinolytic proteins. These concepts collectively compose the contemporary, but still partial, understanding of trauma-induced coagulopathy. Conclusion: Trauma-induced coagulopathy is a complex pathophysiological condition, of which some mechanisms have been characterized, but much remains to be understood in order to translate this knowledge into improved outcomes for the injured patient.
Measuring cultural justifications for caregiving in African American and White caregivers
Authors: Powers Sara M , Whitlatch Carol J 
Published: May 2014

Objectives This report will elucidate the psychometric properties of the Cultural Justifications for Caregiving Scale (CJCS) and evaluate the differences in cultural values and demographic variables among a group of African American and White caregivers. The CJCS measures the cultural reasons for and expectations about providing care to an older relative. Methods CJCS data were collected from 202 adults caring for an older relative with memory loss. The factor structure of the CJCS was analyzed for reliability and its correlation with other measures pertaining to the caregiving experience. Results Exploratory factor analyses suggested two underlying factors relating to Duty and Reciprocity with high levels of reliability. The two factors showed different correlational patterns with other measures associated with the caregiving experience (CG demographics and well-being). Discussion Findings provide further evidence that the CJCS is a reliable measure for use with African American and White caregivers. Moreover, cultural motivations to provide care may differ for ethnically diverse CGs based on religious backgrounds and beliefs about family expectations surrounding the care of loved ones. The application of the CJCS is also discussed.
Asthma drug ratios and exacerbations: claims data from universal health coverage systems
Authors: Laforest Laurent , Licaj Idlir , Devouassoux Gilles , Chatte Gérard , Martin Jennifer , Van Ganse Eric 
Published: May 2014

In claims data, controller-to-total asthma drug ratios may reflect adequacy of disease management. We verified whether asthma patients with high ratios (≥50%) experienced fewer asthma-related outcomes. Two ratios were studied: that of the inhaled corticosteroids to total asthma drug (ICS/R03) and that of the inhaled corticosteroids plus leukotriene antagonist receptors-to-total asthma drug (ICS+LTRA/R03).Patients aged 13–40 years, with ≥3 respiratory drugs dispensed prescriptions in 2005 were selected from the French national claims data. After excluding null ratios, two groups were defined according to ratio values in 2007: low-ratio group (0%<ratio<50%) and high-ratio group (ratio ≥50%). For both ratios, asthma-related outcomes and medical-resource utilisation were compared between groups.Of 2162 patients (mean age 27 years and 52% female), patients with non-null ratios were 81% and 85% for ICS/R03 and ICS+LTRA/R03 ratios, respectively. Patients with high ratios were less likely to receive oral corticosteroids than those in the low-ratio group (relative risk 0.79, 95% CI 0.72–0.88, and 0.80, 95% CI 0.72–0.88, for ICS/R03 and ICS+LTRA/R03, respectively). High ratio groups also presented fewer asthma-related hospitalisations. Significant negative correlations were also observed for both ratios, when studied quantitatively, according to patients’ dispensed level of oral corticosteroids in 2007.In claims data, both ICS/R03 and ICS+LTRA/R03 ≥50% were related to fewer asthma-related outcomes. Ratios should be explored to identify asthma patients at risk of exacerbations. Low ratios can be considered as risk factors of exacerbation whatever the underlying cause.
Low birth weight in São Luís, northeastern Brazil: trends and associated factors
Authors: Veloso Helma Jane Ferreira , da Silva Antônio Augusto Moura , Bettiol Heloísa , Goldani Marcelo Zubarán , Filho Fernando Lamy , Simões Vanda Maria Ferreira , Batista Rosângela Fernandes Lucena , Barbieri Marco Antônio 
Published: May 2014

AbstractBackgroundTo analyze trends in LBW (low birth weight) rate using birth registry data and identify factors associated with LBW in São Luís comparing two birth cohorts separated by a 12-year interval.Methods2,426 births were included in 1997/98 and 5,040 in 2010. The dependent variable was LBW (<2,500 g). Multiple logistic regression was performed to determine the association of independent variables with LBW. Data were also obtained from SINASC (Brazilian National Birth Registry) to analyze stillbirth and LBW rates trends from 1996 to 2010, using 3-year moving averages.ResultsLBW, intrauterine growth restriction (IUGR) and preterm birth rates did not differ between the two cohorts. Despite this, birth registry data showed increasing LBW rate up to 2001, coinciding with decreasing stillbirth rate. Both stillbirth and LBW rates decreased thereafter. A significant reduction was observed in the percentage of teenage mothers, mothers with up to 4 years of education, family income up to one minimum wage and mothers who did not attend prenatal care. There was an increase in maternal age ≥35 years and schooling ≥12 years. The variables associated with LBW in 1997/98 were young maternal age (<18 years), maternal smoking during pregnancy and primiparity. Variables that remained in the adjusted model in 2010 were female gender, income <3 minimum wages, lack of prenatal care, maternal smoking during pregnancy and primiparity.ConclusionsAlthough LBW rate did not differ between the two cohorts, this apparent stability masked an increase up to 2001 and a decrease thereafter. The rise in LBW rate paralleled reduction in the stillbirth rate, suggesting improvement in obstetrical and newborn care. Maternal, socioeconomic and demographic factors associated with LBW differed between the two cohorts, except for smoking during pregnancy and parity that were significantly associated with LBW in both cohorts.
A novel hierarchical Pt- and FTO-free counter electrode for dye-sensitized solar cell
Authors: Zhao Xing , Li Meicheng , Song Dandan , Cui Peng , Zhang Zhirong , Zhao Yan , Shen Chao , Zhang Zhaohuang 
Published: May 2014

Abstract
A novel hierarchical Pt- and FTO-free counter electrode (CE) for the dye-sensitized solar cell (DSSC) was prepared by spin coating the mixture of TiO2 nanoparticles and poly(3,4-ethylenedioxy-thiophene):poly(styrenesulfonate) (PEDOT:PSS) solution onto the glass substrate. Compared with traditional Pt/FTO CE, the cost of the new CE is dramatically reduced by the application of bilayer TiO2-PEDOT:PSS/PEDOT:PSS film and the glass substrate. The sheet resistance of this composite film is 35 Ω sq−1 and is low enough to be used as an electrode. The surface morphologies of TiO2-PEDOT:PSS layer and modified PEDOT:PSS layer were characterized by scanning electron microscope, which shows that the former had larger surface areas than the latter. Electrochemical impedance spectra and Tafel polarization curves prove that the catalytic activity of TiO2-PEDOT:PSS/PEDOT:PSS/glass CE is higher than that of PEDOT:PSS/FTO CE and is similar to Pt/FTO CE's. This new fabricated device with TiO2-PEDOT:PSS/PEDOT:PSS/glass CE achieves a high power conversion efficiency (PCE) of 4.67%, reaching 91.39% of DSSC with Pt/FTO CE (5.11%).
Efficient robust image interpolation and surface properties using polynomial texture mapping
Authors: Zhang Mingjing , S Drew Mark 
Published: May 2014

Abstract
Polynomial texture mapping (PTM) uses simple polynomial regression to interpolate and re-light image sets taken from a fixed camera but under different illumination directions. PTM is an extension of the classical photometric stereo (PST), replacing the simple Lambertian model employed by the latter with a polynomial one. The advantage and hence wide use of PTM is that it provides some effectiveness in interpolating appearance including more complex phenomena such as interreflections, specularities and shadowing. In addition, PTM provides estimates of surface properties, i.e., chromaticity, albedo and surface normals. The most accurate model to date utilizes multivariate Least Median of Squares (LMS) robust regression to generate a basic matte model, followed by radial basis function (RBF) interpolation to give accurate interpolants of appearance. However, robust multivariate modelling is slow. Here we show that the robust regression can find acceptably accurate inlier sets using a much less burdensome 1D LMS robust regression (or ‘mode-finder’). We also show that one can produce good quality appearance interpolants, plus accurate surface properties using PTM before the additional RBF stage, provided one increases the dimensionality beyond 6D and still uses robust regression. Moreover, we model luminance and chromaticity separately, with dimensions 16 and 9 respectively. It is this separation of colour channels that allows us to maintain a relatively low dimensionality for the modelling. Another observation we show here is that in contrast to current thinking, using the original idea of polynomial terms in the lighting direction outperforms the use of hemispherical harmonics (HSH) for matte appearance modelling. For the RBF stage, we use Tikhonov regularization, which makes a substantial difference in performance. The radial functions used here are Gaussians; however, to date the Gaussian dispersion width and the value of the Tikhonov parameter have been fixed. Here we show that one can extend a theorem from graphics that generates a very fast error measure for an otherwise difficult leave-one-out error analysis. Using our extension of the theorem, we can optimize on both the Gaussian width and the Tikhonov parameter.
Non-invasive neuromodulation to improve gait in chronic multiple sclerosis: a randomized double blind controlled pilot trial
Authors: Tyler Mitchell E , Kaczmarek Kurt A , Rust Kathy L , Subbotin Alla M , Skinner Kimberly L , Danilov Yuri P 
Published: May 2014

AbstractBackgroundThis study sought to examine the effect of targeted physical therapy with and without cranial nerve non-invasive neuromodulation (CN-NINM), on the walking ability of people with MS who exhibited a dysfunctional gait. We hypothesized that subjects who received electrical stimulation would have greater improvement than those who had a control device after a 14-week intervention. Gait disturbance is a common problem for people with multiple sclerosis (MS). Current management may include exercise, pharmacology, functional electrical stimulation, compensatory strategies, use of assistive devices, and implanted electrical devices. We have developed an effective rehabilitative strategy using neuromodulation of the cranial nerves via electrical stimulation of the tongue to enhance the plasticity of the brain.MethodsThe study is a within-subject blinded randomized control design. Twenty chronic MS subjects with an identified gait disturbance were assigned to either an active or control group. Both groups completed a 14-week intervention program using a standardized combination of exercise and a device that provided electrical stimulation to the tongue. Those in the active group received electrical stimulation on the tongue that they could perceive. Those in the control group used a device that did not provide a physiologically significant stimulus and was not perceivable. Subjects were assessed with the Dynamic Gait Index (DGI).ResultsThe DGI scores improved for both groups. There were significant between-group differences, with the active group showing statistically greater improvement than the control group mean.ConclusionPeople with MS demonstrated improved gait with CN-NINM training in a pilot randomized controlled trial. This study suggests that tongue-based neurostimulation may amplify the benefits of exercise for improving gait in people with chronic MS.
Estimation of slip parameters associated with frictional heating during the 1999 Taiwan Chi-Chi earthquake by vitrinite reflectance geothermometry
Authors: Maekawa Yuka , Hirono Tetsuro , Yabuta Hikaru , Mukoyoshi Hideki , Kitamura Manami , Ikehara Minoru , Tanikawa Wataru , Ishikawa Tsuyoshi 
Published: May 2014

Abstract
To estimate the slip parameters and understand the fault lubrication mechanism during the 1999 Taiwan Chi-Chi earthquake, we applied vitrinite reflectance geothermometry to samples retrieved from the Chelungpu fault. We found a marked reflectance anomaly of 1.30% ± 0.21% in the primary slip zone of the earthquake, whereas the reflectances in the surrounding deformed and host rocks were 0.45% to 0.77%. By applying a kinetic model of vitrinite thermal maturation together with a one-dimensional heat and thermal diffusion equation, we determined the shear stress and peak temperature in the slip zone during the earthquake to be 1.00 ± 0.04 MPa and 626°C ± 25°C, respectively. Taking into account the probable overestimation of the temperature owing to a mechanochemically enhanced reaction or flash heating at grain contacts, this temperature should be considered an upper limit. The lower limit was previously constrained to 400°C by studies of fluid-mobile trace-element concentrations and magnetic minerals. Therefore, we inferred that the peak temperature during the Chi-Chi earthquake was 400°C to 626°C, corresponding to an apparent friction coefficient of 0.01 to 0.06. Such low friction and the previous evidence of a high-temperature fluid suggest that thermal pressurization likely contributed to dynamic weakening during the Chi-Chi earthquake.
226Ra, 232Th and 40K contents in water samples in part of central deserts in Iran and their potential radiological risk to human population
Authors: Ehsanpour Elham , Abdi Mohammad Reza , Mostajaboddavati Mojtaba , Bagheri Hashem 
Published: May 2014

Abstract

Background
The radiological quality of 226Ra, 232Th and 40K in some samples of water resources collected in Anarak-Khour a desertic area, Iran has been measured by direct gamma ray spectroscopy using high purity germanium detector in this paper.

Result
The concentration ranged from ≤0.5 to 9701 mBq/L for 226Ra; ≤0.2 to 28215 mBq/L for 232Th and < MDA to 10332 mBq/L for 40K. The radium equivalent activity was well below the defined limit of 370Bq/L. The calculated external hazard indices were found to be less than 1 which shows a low dose.

Conclusion
These results can be contributed to the database of this area because it may be used as disposal sites of nuclear waste in future.
Prevalence of extended-spectrum β-lactamase positive bacteria in radiologically positive urinary tract infection
Authors: Masud Md Rana , Afroz Hafsa , Fakruddin Md 
Published: May 2014

Abstract
The increase in antibiotic resistance among uropathogens is a global problem. The present study was an effort to assess the current antibiotic resistance pattern and plasmid profiles of some multi drug resistant bacteria isolated from urinary tract infection (UTI). Among 44 clinical samples of radiologically positive UTI, 44 microorganisms belonging to 9 genus were isolated. Of the patients, 24 were female and 20 were male. Highest incidence was found in age group of 30–45 years. Total bacterial count of the urine samples were high in most the patients. E. coli and coagulase-negative Staphylococcus spp. were most prevalent. Most of the isolates showed higher antibiotic resistance against the antibiotics used. 6 of the 44 isolate was resistant to 10 different types of antibiotics. Of the isolated uropathogens, 40.9% were ESBL positive. 7 of the isolates had no plasmid and 9 isolate had 140 MDa plasmid whereas other isolates pose smaller plasmids of different sizes. Assessment of transfer of antibiotic resistance between different genuses revealed transfer of resistance within genus. Radiological imaging showed strong correlation with microbiological findings of the patients.
‘What harbour shelters peace?’ On the opera Peter Grimes, exclusion and stigma
Authors: Conlan Lisa 
Published: May 2014

SummaryBenjamin Britten's opera Peter Grimes premiered in 1945 and has since enjoyed lasting popular and critical acclaim. Its central character is a fisherman driven to suicide by circumstances beyond his control. It has a wide political and social resonance and is a testament to the damaging psychological effects of exclusion and stigma.