bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparison of laparoscopic versus open radical nephrectomy for large renal tumors: a retrospective analysis of multi‐center results
Authors: Jeon Seung Hyun , Kwon Tae Gyun , Rha Koon Ho , Sung Gyung Tak , Lee Wan , Lim Jae Sung , Jeong Young Beom , Hong Sung Hoo , Kim Hyeon Hoe , Byun Seok‐Soo 
Published: October 2010

Study Type – Therapy (case series)Level of Evidence 4 What’s known on the subject? and What does the study add? While laparoscopic radical nephrectomy (LRN) has been confirmed in various studies to be at least as efficacious as open radical nephrectomy (ORN) in terms of oncological control and more advantageous from the perspective of minimal invasiveness, very few studies have examined its feasibility and efficacy when applied to renal masses exceeding 7 cm in size, and even fewer involved results obtained from multicentre investigations. The present study retrospectively reviewed the outcome of LRN for masses exceeding 7 cm in size carried out in 26 institutions between 2000 and 2007 and concluded that LRN offers results comparable to ORN in terms of both tumour control and procedure‐associated morbidities.  Furthermore, details from the study suggest that while the size of renal mass that can be treated using LRN may not be a necessarily limiting factor, the experience of the laparoscopic surgeon is a primary determinant in the overall outcome.OBJECTIVE

To assess the feasibility and oncologic efficacy of laparoscopic radical nephrectomy (LRN) compared with open radical nephrectomy (ORN) in patients with large renal cell carcinomas (RCCs) >7 cm in size.

PATIENTS AND METHODS

We analysed the data from 255 patients who underwent radical nephrectomies at 26 institutions in Korea between January 2000 and December 2007 for RCCs > 7 cm in size.
Eighty‐eight patients who underwent LRNs were compared with 167 patients who underwent ORNs. The patients with tumor thrombi in the renal vein or IVC, and lymph node or distant metastases were excluded.
We compared the operative time, estimated blood loss, complication rates, and 2‐year overall and disease‐free survival rates between the LRN and ORN groups.

RESULTS

The median duration of postoperative follow‐up was 19 months for the LRN group and 25.8 months for the ORN group.
The operative time was significantly longer in the LRN group than in the ORN group (241.5 ± 74.8 min vs 202.7 ±  69.6 min, P < 0.001) and blood loss was significantly lower in the LRN group than in the ORN group (439.8 ± 326.8 mL vs 604.4 ± 531.4 mL, P = 0.006).
No statistically significant difference was found in complication rates, the 2‐year overall (92.7% vs 94%, P = 0.586) and disease‐specific (90.1% vs 93.7%, P = 0.314) survival rates between the LRN and ORN groups.

CONCLUSIONS

Despite the longer operative time, LRN was an effective and less invasive treatment option for clinical T2 renal tumors. It achieved a degree of cancer control similar to that obtained with ORN.
Content validation of a novel robotic surgical simulator
Authors: Seixas‐Mikelus Stéfanie A. , Stegemann Andrew P. , Kesavadas Thenkurussi , Srimathveeravalli Govindarajan , Sathyaseelan Gughan , Chandrasekhar Rameela , Wilding Gregory E. , Peabody James O. , Guru Khurshid A. 
Published: October 2010

Study Type – Therapy (case series) Level of Evidence 4OBJECTIVE• To assess the content validity of an early prototype robotic simulator. Minimally invasive surgery poses challenges for training future surgeons. The Robotic Surgical Simulator (RoSS) is a novel virtual reality simulator for the da Vinci Surgical System.PATIENTS AND METHODS• Participants attending the 2010 International Robotic Urology Symposium were invited to experience RoSS. Afterwards, participants completed a survey regarding the appropriateness of the simulator as a teaching tool.RESULTS• Forty‐two subjects including surgeons experienced with robotics (n= 31) and novices (n= 11) participated in this study.• Eighty per cent of the entire cohort had an average of 4 years of experience with robot‐assisted surgery.• Eleven (26%) novices lacked independent robot‐assisted experience. The expert group comprised 17 (41%) surgeons averaging 881 (160–2200) robot‐assisted cases. Experts rated the ‘clutch control’ virtual simulation task as a good (71%) or excellent (29%) teaching tool.• Seventy‐eight per cent rated the ‘ball place’ task as good or excellent but 22% rated it as poor.• Twenty‐seven per cent rated the ‘needle removal’ task as an excellent teaching tool, 60% rated it good and 13% rated it poor.• Ninety‐one per cent rated the ‘fourth arm tissue removal’ task as good or excellent.• Ninety‐four per cent responded that RoSS would be useful for training purposes.• Eighty‐eight per cent felt that RoSS would be an appropriate training and testing format before operating room experience for residents.• Seventy‐nine per cent indicated that RoSS could be used for privileging or certifying in robotic surgery.CONCLUSION• Results based on expert evaluation of RoSS as a teaching modality illustrate that RoSS has appropriate content validity.
Caring and the generation of social capital: Two models for a positive relationship
Authors: Johansson Stina , Leonard Rosemary , Noonan Kerrie 
Published: October 2010

Johansson S, Leonard R, Noonan K. Caring and the generation of social capital: two models for a positive relationshipWhen caring is linked to social capital, it is generally assumed that the nature of the relationship is that social capital is a resource that can be used for care work. When there is inadequate funding of aged care services by the state, then social capital may be seen as a substitute for economic and human capital. Caring, therefore, is seen as a drain on capital. However, this does not have to be the case. Aged care services, if thoughtfully designed, can not only consume social capital, but also generate it. Two models of elder care, one Swedish and one Australian, have been identified which specifically address the generation of social capital. In each case, the services and facilities have been developed by third‐sector organisations with a strong community development focus, often in the face of resistance from state‐run or medically oriented services.
Food allergy in patients with eczema: immediate symptoms are usual, with nuts and tomatoes the major allergens
Authors: Patel T. , Gawkrodger D.J. 
Published: October 2010

AbstractBackground  Food intolerance is a popular notion in the general population but limited data are available on the presence of food allergy in adult patients with eczema.Objective  We wanted to characterize food hypersensitivity in this group of patients.Method  A retrospective study was carried out on all patients with food related symptoms attending a cutaneous allergy clinic.Results and conclusion  Our study showed that while the reported prevalence of food allergy in adult patients with eczema is low (10%), more than half of these will show immunological evidence of a food allergy which support the clinical history. Immediate symptoms are usual, with nuts and tomatoes the major allergens. Demographic factors such as age, gender and duration of eczema did not significantly correlate with number of foods or an allergen‐specific IgE of ≥ grade 2. Food‐related symptoms were associated with significant anxiety in all our patients leading to a profound effect on their behaviour.
Bullous cryothermic dermatitis artefacta induced by deodorant spray abuse
Authors: Jacobi A. , Bender A. , Hertl M. , König A. 
Published: October 2010

AbstractBackground  Dermatitis artefacta belongs to a broad spectrum of factitious diseases of lesions usually self‐induced by patients. Here we report a surprisingly effective induction of blisters and thermic dermatitis by excessive abuse of common deodorant sprays.Objectives  We evaluated the clinical course and outcome in three patients with dermatitis artefacta induced by deodorant spray.Methods  A 12‐year‐old boy only admitted the abuse of deodorant spray after psychiatric intervention. Two adults (21‐year‐old and 37‐year‐old women) had borderline personality disorder and frankly reported the urge to induce pain by spraying for at least 100 s at a short distance.Results  Bullous dermatitis was the acute presenting sign in all patients. The bullae were found on the extensor surfaces of the extremities, with a distribution of older lesions showing erosions and scarring and fresh lesions with intact bullae with a diameter of 3–15 cm. After searching for the causative agent and removal of the deodorant spray, clinical outcome showed a healing without and with scars.Conclusions  Cryo‐damage by abuse of common deodorant sprays seems to become a popular mechanism by which an impressive bullous dermatitis can be artificially induced. Dermatologists and psychiatrist should be aware of this method of injury.
‘It’s only right that we get involved’: service‐user perspectives on involvement in learning disability services
Authors: Hoole Lucy , Morgan Sally 
Published: October 2010

Accessible summary

Government policy talks about how important it is that people who use services get a say in what happens. People with learning disabilities don’t always get as much of a say as other people.
We asked some people with learning disabilities how services could listen to them more. The group told us that sometimes they were treated unfairly and other times they were listened to. They wanted more of a say about what happens in services. They had some ideas about how to do this.
This article talks about how important it is to listen to those ideas and give people with learning disabilities a real say in what happens in services.

SummaryPromotion of service‐user and carer involvement is part of the mainstream policy agenda in health and social care [Crit Soc Policy25 (2005) 164]. Much effort has been invested into involving people with learning disabilities in decisions regarding aspects of their lives through advocacy projects and the utilisation of person‐centred planning approaches. However, people with learning disabilities continue to be a group of people who are the ‘most excluded, least independent and most likely to lack control in every day life’ [Sociology of Health and lllness 30 (2008) 532]. This article describes a focus group that was conducted to explore the lived experiences of people with learning disabilities as users of services. Thematic analysis revealed three key themes: feelings of unfairness and inequality; experiences of inclusion and power; and future visions. Implications for practice are discussed.
Meanings of participating in a lifestyle programme for persons with psychiatric disabilities
Authors: Forsberg Karl‐Anton , Lindqvist Olav , Bjorkman Tommy Nils , Sandlund Mikael , Sandman Per Olof 
Published: October 2010

Scand J Caring Sci; 2011; 25; 357–364

Meanings of participating in a lifestyle programme for persons with psychiatric disabilities Lifestyle changes that affect physical and psychological health are described in research literature; however, the meaning of participating in a lifestyle intervention programme together with the staff has not been described. This study illuminates meanings of participating in a lifestyle programme as experienced by persons with psychiatric disabilities. The first author interviewed five women and six men with schizophrenia and depressive syndrome, aged 26–53, participating in a lifestyle programme. The transcribed interviews were analysed using a phenomenological hermeneutic approach inspired by the philosophy of Ricoeur. Meanings of participating in a lifestyle programme include my health can be improved as both the physical effects and the obstacles are considered and the daily life is partially given a changed content in new experiences and by participating in something to take pride in. The meanings of participating together with the staff mean an increased sense of closeness and equality with the staff expressed in changes in relationships and the difference between the two groups being revealed and also in becoming aware of the life situation, an insight into the loss of a healthy life but also hope for the future is expressed. The conclusions that could be drawn from this study are that a lifestyle intervention affects health and other important life areas such as the content of daily life and the relationship with the carers, which appears to affect the sense of hope and the ability to see new possibilities. Carers should find situations and activities where the residents and carers participate under equal conditions giving the residents the opportunity to leave the sick roll, experience equality and develop good relationships.
Mapping the waters: sea charts, navigation, and Camões's Os Lusíadas
Authors: Klein Bernhard 
Published: October 2010

bernhard klein, Mapping the waters: sea charts, navigation, and Camões's Os LusíadasThis essay considers the links between the modern sea chart and sixteenth‐century voyage writing in the context of western navigational discourse. Charts need to be distinguished from maps: as mapping styles honed on land were confronted with the needs and urgencies of the maritime world, cartographic techniques were gradually redefined in terms of both referentiality and representational logic. The new sense of global space that is conceptually central to these charts is shared not only by navigation manuals and other documents pertaining most immediately to oceanic travel but also by certain literary investments in the culture of overseas voyaging. The case is made with specific reference to Luís de Camões's maritime epic Os Lusíadas (The Lusiads), first published in 1572, in which global space is both a prominent theme and an important aspect of textual construction. The Lusiads responds to emerging patterns of scientific thought by absorbing novel forms of spatial knowledge into the logic of its own poetic discourse: the most striking link between literature and science in The Lusiads is the proximity of the textual rendering of the deep‐sea sailing voyage to the epistemology of the sea chart, as the latter transformed itself under the impact of western voyages of transoceanic exploration.
Eastern Bandits or Revolutionary Soldiers? The 1894 Tonghak Uprising in Korean History and Memory
Authors: Kallander George 
Published: October 2010

AbstractThe 1894 Tonghak uprising was a major event for Korea and East Asia. Not only did it serve as the catalyst for the Sino‐Japanese War, which marked the ascendency of Imperial Japan and the decline of Qing China and Korea’s Chosŏn dynasty, but more importantly it became a powerful symbol of nationalism in Korean history and memory. This article studies the numerous ideological shifts in the elite, scholarly, and popular history of Tonghak that occurred from 1894 through the twentieth century, in the context of Ch’ŏndogyo and Sich’ŏngyo religions (the offspring of Tonghak), Japanese colonialism, the division of Korea, and various formations of Korean national identity. Where once the event was known as a disturbance, today it is heralded as the ‘Tonghak revolution’ or ‘the 1894 peasant war.’ These transformations of Tonghak illustrate the commonalities between North Korea and South Korea and how they continue to lay claim to the Tonghak legacy for nation building and political legitimation.
Adverse Childhood Experiences and Frequent Headaches in Adults
Authors: Anda Robert , Tietjen Gretchen , Schulman Elliott , Felitti Vincent , Croft Janet 
Published: October 2010

Background.— A variety of studies have linked childhood maltreatment to headaches, including migraines, and to headache severity. This study assesses the relationship of adverse childhood experiences (ACEs) to frequent headaches during adulthood.Methods.— We used data from the Adverse Childhood Experiences (ACE) study, which included 17,337 adult members of the Kaiser Health Plan in San Diego, CA who were undergoing a comprehensive preventive medical evaluation. The study assessed 8 ACEs including abuse (emotional, physical, sexual), witnessing domestic violence, growing up with mentally ill, substance abusing, or criminal household members, and parental separation or divorce. Our measure of headaches came from the medical review of systems using the question: “Are you troubled by frequent headaches?” We used the number of ACEs (ACE score) as a measure of cumulative childhood stress and hypothesized a “dose–response” relationship of the ACE score to the prevalence and risk of frequent headaches.Results.— Each of the ACEs was associated with an increased prevalence and risk of frequent headaches. As the ACE score increased the prevalence and risk of frequent headaches increased in a “dose–response” fashion. The risk of frequent headaches increased more than 2‐fold (odds ratio 2.1, 95% confidence interval 1.8‐2.4) in persons with an ACE score ≥5, compared to persons with and ACE score of 0. The dose–response relationship of the ACE score to frequent headaches was seen for both men and women.Conclusions.— The number of ACEs showed a graded relationship to frequent headaches in adults. Future studies should examine general populations with headache, and carefully classify them. A better understanding of the link between ACEs and migraine may lead to new knowledge regarding pathophysiology and enhanced additional therapies for headache patients.
A Multidisciplinary Approach to the Functional and Esthetic Rehabilitation of Amelogenesis Imperfecta and Open Bite Deformity: A Case Report
Authors: GISLER VANESSA , ENKLING NORBERT , ZIX JÜRGEN , KIM KLARA , KELLERHOFF NADJA‐MARINA , MERICSKE‐STERN REGINA 
Published: October 2010

ABSTRACTThe treatment of amelogenesis imperfecta (AI) with an anterior open bite (AOB) is a challenge for the clinician and often requires a multidisciplinary team of specialists. Most often, patients suffering from these conditions are young and a good functional and esthetic long‐term result must be aspired. This clinical report illustrates the orthodontic, maxillofacial, restorative, and prosthodontic rehabilitation of a 20‐year‐old woman with a hypoplastic form of AI and an AOB malocclusion, having received treatment for the last 6 years. It included adhesive resin composite restorations, orthodontical and maxillofacial surgery with a one‐piece Le Fort I osteotomy, and a genioplasty. Subsequent prosthodontic therapy consisted of 28 all‐ceramic crowns whereby a solid interdigitation, a canine guidance, and consistent and regular contacts between tooth crowns could be achieved to assure a good functional and esthetic oral situation. The tooth preparation techniques guaranteed minimally invasive treatment. The patient was affected very positively.CLINICAL SIGNIFICANCEThis article describes an interdisciplinary approach to the successful treatment of a patient with a hypoplastic form of amelogenesis imperfecta over a period of 6 years. It starts with a discussion of the conservative steps taken during adolescence and concludes with the final prosthetic rehabilitation with all‐ceramic crowns after reaching adulthood.(J Esthet Restor Dent 22:282–296, 2010)
In Vivo Temperature Measurement: Tooth Preparation and Restoration with Preheated Resin Composite
Authors: RUEGGEBERG FREDERICK A. , DARONCH MÁRCIA , BROWNING WILLIAM D. , DE GOES MARIO F. 
Published: October 2010

ABSTRACTStatement of the Problem:  Composite preheating has shown to improve material physical properties in vitro, but no data exist on the use of this technique in vivo during placement.Purpose:  The study aims to measure in vivo prepared tooth surface temperature during a restorative procedure using resin composite either at room temperature (23.6°C) or preheated to 54.7°C in a commercial compule heating device set to heat at 60°C.Methods:  Class I preparations (N = 3) were made on a patient requiring multiple posterior restorations. A probe containing two thermocouples was used to record temperature values at the tooth pulpal floor and 2 mm higher (top of the tooth preparation/restoration) after tooth preparation (prep), acid etching (etch), placement and curing of a bonding agent (BA), and during placement of composite used at room temperature (RT) or preheated in a commercial device (CalsetTM, AdDent Inc., Danbury, CT, USA) set to 60°C. Data were compared with two‐way analysis of variance, Tukey–Kramer post hoc test (α = 0.05).Results:  No significant difference in pulpal floor temperature existed between prep (27.8° ± 1.3°C) and etch (26.3° ± 1.3°C), which were significantly lower than BA (30.5° ± 1.3°C) (p = 0.0001). Immediate placement of preheated composite resulted in significantly higher pulpal floor (36.2° ± 1.9°C) (p = 0.0025) and top composite temperatures (38.4° ± 2.2°C) (p = 0.0034) than RT values (30.4° ± 2.2°C and 29.6° ± 0.9°C, respectively).Conclusions:  In vivo use and placement of preheated resin composite resulted in temperature increase of 6° to 8°C than room temperature material. These values, however, were much lower than expected.CLINICAL SIGNIFICANCEAlthough having many potential benefits, composite preheating may not be as clinically effective in delivering resin of predetermined temperature at the time of cure as laboratory experiments would suggest. Despite only moderate composite temperature increase over use of room temperature material, preheating still provides advantages in terms of ease of handling and placement.(J Esthet Restor Dent 22:314–323, 2010)
Sexual Behaviors, Condom Use, and Sexual Health of Americans Over 50: Implications for Sexual Health Promotion for Older Adults
Authors: Schick Vanessa , Herbenick Debby , Reece Michael , Sanders Stephanie A. , Dodge Brian , Middlestadt Susan E. , Fortenberry J. Dennis 
Published: October 2010

Abstract

Introduction
In the contemporary U.S., men and women are living longer and healthier lives. As such, many people spend greater portions of their lives as sexually active individuals. Yet, little is known about the myriad of ways that older adults experience their sexual lives.

Aim
This study sought to assess the context and frequency of sexual behaviors, condom use, sexual pleasure, and sexual experience of men and women over age 50.

Methods
Information regarding the sexual experiences of a nationally representative sample of men and women over age 50 within the past year was examined.

Main Outcome Measures
Sexual behavior over the past year was assessed in relation to several situational and contextual characteristics (e.g., event location, type of partner, health status, condom use). Participants were also asked about their experience (i.e., pleasure, arousal, pain, lubrication/erectile difficulties, and orgasm) during their most recent partnered sexual event. Bivariate or ordinal logistic regression models were used to investigate the relationship of age, health and partner status to sexual frequency and experience.

Results
Although sizable proportions (20–30%) of both men and women remained sexually active well into their 80s age was related to a lower likelihood of solo and most partnered sexual behaviors. When controlling for age, relationship status, and health remained significant predictors of select sexual behaviors. The participant’s evaluation of their most recent sexual experience in terms of arousal, erectile difficulty, and orgasm all declined with age. Health status was related to men’s evaluation of the experience. Relationship status was the most consistent predictor of women’s evaluation of the experience. Condom use rates remained low for participants across age groups.

Conclusion
Many older adults continue be sexually active well into advanced age (80+). Thus, providers need to be attentive to the diverse sexual health needs of older adults.