bluuebunny/crossref_metadata_2025_split huggingface dataset:
Continuous Popliteal Block for Postoperative Analgesia in Total Ankle Arthroplasty
Authors: Gallardo Jorge , Lagos Leonardo , Bastias Christian , Henríquez Hugo , Carcuro Giovanni , Paleo Marcos 
Published: July 2012

Background: Total ankle arthroplasty is associated with severe postoperative pain. Development of analgesic techniques such as a block with continuous infusion at the popliteal level has been shown to result in good pain control, a decrease in the use of rescue analgesia and a low rate of complications. We reviewed our experience with this method of analgesia in patients who underwent total ankle arthroplasty. Methods: A prospective study of 30 patients undergoing total ankle arthroplasty was carried out. Twenty-two of these received and maintained a block at the popliteal level with a continuous infusion of bupivacaine, while the remaining eight received no such block. Results: The visual analog scale evaluation (VAS) showed a significant improvement in pain control in the group with the popliteal block after 6, 12, 18, and 24 hours postsurgery, with pain levels peaking and being most different between 6 and 12 hours postsurgery for the two groups. The group with the popliteal block also exhibited a significantly lower consumption of morphine and a greater degree of patient satisfaction. Conclusion: The block with continuous infusion at the popliteal fossa was a safe technique for total ankle arthroplasty postoperative analgesia, which provided good pain control, a lower requirement of opiates and a higher level of patient satisfaction. Level of Evidence: II; Prospective Comparative Study
Recognition and Management of Müller-Weiss Disease
Authors: Doyle Timothy , Napier Richard J. , Wong-Chung John 
Published: July 2012

Background: Müller-Weiss disease (MWD) is an uncommon condition of unclear etiology, characterized by compression of the lateral aspect of the tarsal navicular bone. It presents with chronic mid and hindfoot pain, mostly in middle-aged females. It does not represent persistence of Kohler's disease, which is self-limiting and resolves completely in childhood. Methods A total of 12 patients with 19 affected feet, seven of whom had bilateral involvement, presented to a single foot and ankle surgeon over a 10-year period. Diagnosis of MWD was based on radiographic appearances demonstrating compression of the lateral part of the navicular. Affected feet were graded using Maceira classification. Results The cohort comprised four males and eight females with a mean age of 57.9 years. Only one patient had previously been a manual worker. Mean duration of symptoms was 5.2 years. Of the seven patients who underwent surgery for symptoms related to MWD, five had a triple arthrodesis, one had triple arthrodesis combined with naviculocuneiform fusion, and one had a pantalar arthrodesis for associated varus ankle osteoarthritis. Solid union was achieved in all cases. Conclusion We propose that MWD is much more common than previously reported and did not find conditions of extreme environmental stress or poverty in our patients. We advocate surgical management of the condition by triple arthrodesis and extend it to include a naviculocuneiform fusion whenever indicated according to CT findings. Level of Evidence: IV, Retrospective Case Series
Comparative Gait Analysis of Ankle Arthrodesis and Arthroplasty: Initial Findings of a Prospective Study
Authors: Hahn Michael E. , Wright Elise S. , Segal Ava D. , Orendurff Michael S. , Ledoux William R. , Sangeorzan Bruce J. 
Published: July 2012

Background: Little is known about functional outcomes of ankle arthroplasty compared with arthrodesis. This study compared pre-surgical and post-surgical gait measures in both patient groups. Methods Eighteen patients with end-stage ankle arthritis participated in an ongoing longitudinal study (pre-surgery, 12 months post-surgery) involving gait analysis, assessment of pain and physical function. Outcome measures included temporal-distance, kinematic and kinetic data, the Short Form 36 (SF-36) body pain score, and average daily step count. A mixed effects linear model was used to detect effects of surgical group (arthrodesis and arthroplasty, n = 9 each) with walking speed as a covariate (α = 0.05). Results Both groups were similar in demographics and anthropometrics. Followup time was the same for each group. There were no complications in either group. Pain decreased ( p < 0.001) and gait function improved (gait velocity, p = 0.02; stride length, p = 0.035) in both groups. Neither group increased average daily step count. Joint range of motion (ROM) differences were observed between groups after surgery (increased hip ROM in arthrodesis, p = 0.001; increased ankle ROM in arthroplasty, p = 0.036). Peak plantar flexor moment increased in arthrodesis patients and decreased in arthroplasty patients ( p = 0.042). Conclusion Initial findings of this ongoing clinical study indicate pain reduction and improved gait function 12 months after surgery for both treatments. Arthroplasty appears to regain more natural ankle joint function, with increased ROM. Long-term follow up should may reveal more clinically meaningful differences. Level of Evidence: II, Prospective Observational Study
Bacteriological Profile of Neonatal Sepsis in a Tertiary Hospital in Bangladesh
Authors: Begum S , Baki MA , Kundu GK , Islam I , Kumar M , Haque A 
Published: July 2012

Objectives: To evaluate the common pathogens associated with neonatal sepsis in a tertiary care hospital in Bangladesh and their antibiotic susceptibility pattern. Materials and Method: This prospective study was done at Special Care Baby Unit (SCABU) BIRDEM Hospital from January to December 2008. Neonates whose blood culture yielded growth of bacteria were included in this study. Results: Sepsis was associated with Low Birth Weight and common organism isolated was Klebsiella and Enterobacter Ampicillin, Genatamicin and third generation cephalosporin were almost resistance to all organisms. Conclusion: Bacterial profile is not the same as western countries, Gram-negative bacteria and in particular Klebsiella and enterobacter species are the leading causes of neonatal sepsis and resistance to ampicillin, gentamicin and third generation cephalosporin DOI: http://dx.doi.org/10.3329/jbcps.v30i2.11406 J Bangladesh Coll Phys Surg 2012; 30: 66-70
Morning Report: A Tool for Improving Medical Education
Authors: Mowla MM 
Published: July 2012

Morning report (MR) is an important daily activity in the department of internal medicine and it is the most important educational activity in the residency training program. Same is true for any hospital that tends to promote their service through continuous medical education(CME). There is increasing demand to practice medicine which is evidencebased and medical education is no exception. Evidencebased, self-directed, learner-centered education proven to be more effective method of learning than the traditional method for the medical residents and thereby more and more emphasis placed on such curricula in postgraduate medical education. The current standing on this issue reviewed to increase our awareness and improvement of MR in the era of Evidence-Based Medicine(EBM). DOI: http://dx.doi.org/10.3329/jbcps.v30i2.11410 J Bangladesh Coll Phys Surg 2012; 30: 91-95
Wegeners Granulomatosis Mimicking Pulmonary
Authors: Alam ABMS , Dastider R , Z Ahmed Z Ahmed , Rabbani R 
Published: July 2012

Wegeners Granulomatosis(WG) is a rare type of multisystem small to medium vessel vasculitis with necrotizing granulomatous inflammation involving the upper airway, lungs and the kidneys. In generalized WG, patient invariably dies within few months if left untreated. The key to better prognosis is early treatment once the diagnosis is made. Our patient is a 21yr young lady who was initially diagnosed as nasal septal abscess and later as pulmonary tuberculosis. She was treated accordingly but did not improve. When presented to us, she had asymmetric polyarthritis, cough with mucoid expectoration, intermittent mild haemoptysis as well as fever with bilateral nasal obstruction and epistaxis of about 2 months duration. She was found to have saddle nose deformity with blocked nasal passage and easily bleeding nasal crusts. Bilateral episcleritis and oral aphthous ulceration were also present. Chest X-Ray showed bilateral consolidations and infiltrates. Her hemoglobion was 6.42 gm% with high ESR and CRP. Microscopic haematuria with high serum creatinine and strongly positive C-ANCA were also found. MRI showed rt maxillary sinusitis and right mastoiditis. Finally she was diagnosed as diffuse Wegeners Granulomatosis according to ACR criteria. She was put on oral cyclophosphamide and prednisolone with satisfactory response on follow up. DOI: http://dx.doi.org/10.3329/jbcps.v30i2.11419 J Bangladesh Coll Phys Surg 2012; 30: 98-104
Retroperitoneal Giant Schwannoma: Difficulties in Diagnosis and Subsequent Surgical Management
Authors: Rahman MA , Mahmud NU 
Published: July 2012

Management and excision of left hypochondriac mass of a 55 year old lady have been presented in the paper. The ultrasound of whole abdomen showed two big lumps in the left hypochondriac and lumbar region which after excision turned out to be a retroperitoneal schwannoma. The mass was removed by sacrificing the left kidney. Though it is a highly specialized operation and should be performed in a specialized center, sometimes general surgeons are unable to avoid the operation due to low economic condition of the patient. The case was performed at the Central Medical College Hospital, Comilla utilizing the existing facilities. Fortunately the patient is doing well and leading a normal life after one and half years of operation DOI: http://dx.doi.org/10.3329/jbcps.v30i2.11420 J Bangladesh Coll Phys Surg 2012; 30: 105-107
Computer-based gait analysis of dogs: Evaluation of kinetic and kinematic parameters after cemented and cementless total hip replacement
Authors: Drüen S. , Böddeker J. , Meyer-Lindenberg A. , Fehr M. , Nolte I. , Wefstaedt P. 
Published: July 2012

SummaryTo date is it unclear whether cementless total hip replacement (THR) in dogs is of clinical advantage in comparison to cemented THR with regard to lameness improvement. Thus the aim of this study was to compare objectively the development of the gait pattern after cemented and cementless THR in dogs. For this purpose, 18 adult dogs with hip dysplasia underwent computer-based gait analysis on an instrumented treadmill prior to unilateral THR and then again ten days, four weeks and four months after surgery. Analysed kinetic parameters were symmetry indices (SI) of vertical ground reaction forces (GRF), which included peak vertical forces (PFz), mean vertical forces (MFz), vertical impulse (IFz), and vertical ground reaction forces of the arthroplasty limbs only. Analysed kinematic parameters were range-of-motion and the flexion and extension angles of hip, stifle and hock joints. The symmetry indice for PVF, MFz and IFz decreased to a value less than six in both THR groups four months after surgery, which is defined as not lame. Improvement in lameness of the arthroplasty limbs during the examination period of four months was not significantly different between the cemented and cementless groups. The results suggest that within a short-term observation period of four months after surgery, neither cementless nor cemented THR have a greater advantage with regard to lameness improvement. Additional studies with larger pools of subjects and longer time periods for follow-up examinations are necessary to verify these findings.
In vitro mechanical evaluation and comparison of two crimping devices for securing monofilament nylon and multifilament polyethylene for use in extracapsular stabilization of the canine stifle
Authors: Barnhart M. D. , Kazanovicz A. J. , Naber S. J. , Maritato K. C. 
Published: July 2012

SummaryObjective: To compare the tensile strength and stiffness of non-absorbable suture loops created with two types of crimping devices.Methods: Loops of monofilament nylon leader line (MN) of 18 kg, 36 kg, and 45 kg multifilament polyethylene (MP) with a crimp and MP with a crimp and knot were mechanically tested to failure in quasistatic tensile loading after being created with either a wave pattern crimp device or three applications of a single crimp device. Each testing group consisted of five samples. Tensile loading to failure at a rate of 9.5 mm/s was used. Failure was defined as a sudden drop in the recorded force.Results: All suture materials failed by breaking near the crimp tube with both crimp devices, with exception of the MP without knot, which slipped through the crimp tube using both devices. Sutures secured with the wave pattern crimping device were significantly stronger with a higher load yield, maximum load, displacement yield, failure displacement, and maximum displacement than the single crimp device. Loops of MP suture crimped by either device plus the addition of a surgeon's knot resulted in a significantly stronger construct than unknotted crimped MP constructs. Crimped MP combined with knot were significantly stiffer, but not stronger, than crimped 45 kg MN.Clinical significance: Performing extra- capsular repair for ruptured cranial cruciate ligaments with the wave pattern crimp system may result in lower failure rates due to the construct being significantly stronger than the single crimp system.
Management of peristomal tissue necrosis following prepubic urethrostomy in a cat
Authors: Kulendra E. , Perry K. L. , Halfacree Z. J. , Jordan C. J. 
Published: July 2012

SummaryThis report describes the successful management of peristomal tissue necrosis following prepubic urethrostomy in a cat. The novel technique of temporary urethral ligation was used in combination with temporary tube cystostomy and vacuum assisted closure to allow for wound management prior to performing wound closure by utilization of a flank fold skin flap then definitive prepubic urethrostomy. Eleven month follow-up indicated excellent outcome with the cat having returned to normal behaviour apart from having adapted its posture to urinate.
Inter- and intra-operator variability associated with extracapsular suture tensioning
Authors: Buffa E. A. , Marchevsky A. M. , Heller J. , Moores A. P. , Farrell M. , Dunn A. L. 
Published: July 2012

SummaryObjectives: To determine inter- and intra- operator variability associated with extracapsular suture tensioning as performed during lateral fabello-tibial suture placement.Study design: Ex vivo study.Methods: Fifteen Greyhound cadaveric pelvic limbs were prepared by cutting the cranial cruciate ligament and placing an extracapsular fabello-tibial suture. On two occasions, three surgeons tensioned the extracapsular suture of each stifle. Stifles were returned to 135 degrees of flexion and the suture tension was measured using a commercially available suture tensioner with inbuilt tensiometer.Statistical analysis: Intra-operator and inter-operator agreement were assessed using the limits of agreement method. A linear mixed effects model was specified to assess the effect of operator, repeated estimates and stifle order on tension applied.Results: The mean difference within the three operators ranged from 0 to 14.7N. With 95% limits of agreement, on most occasions for all three operators, the difference was between –31.7 and 41.0 N. The mean difference between the three operators ranged from 6.0 to 30.7 N. With 95% limits of agreement, on most occasions the difference between operators was between –25.6 and 62.5 N.Clinical significance: Marked variation exists in the tension applied during fabello- tibial suture application, both within and between surgeons. This variation may lead to inconsistent clinical outcomes. Further studies are required to determine the clinical consequences of this marked variation in extracapsular suture tensioning.
Escale Ado, une vraie-fausse maison des adolescents
Authors: Boë Emmanuelle , Lestideau Karine , Papanicolaou Georges , Moulay Tahra , Wernoth Chantal 
Published: July 2012

Résumé L’ Escale Ado est née en 2010 du regroupement de deux unités de la Clinique Dupré : le Relais et le CATTP, un pôle d’accueil et un pôle thérapeutique. La pluridisciplinarité des approches proposées, l’inscription dans un réseau de structures d’amont et d’aval, apparentent l’Escale Ado à la famille des Maisons pour Adolescents. À partir de deux vignettes cliniques, nous soulignons la pertinence de poser un cadre d’évaluation dans une structure d’accès aux soins, les perspectives thérapeutiques qui peuvent en découler, comme le décloisonnement entre les lieux, et les passages possibles qui permettent de proposer un soin, sur mesure, aux adolescents et jeunes adultes. Adolescence , 2012, 30 , 2, 433-446.
Les paradoxes de l'intime au cinéma
Authors: Vermeylen Martine 
Published: July 2012

Résumé Quatre films ont été choisis par l’auteur : Nue Propriété de Joachim Lafosse (2007), La Fureur de vivre de Nicholas Ray (1955), John John de Brillante Mendoza (2008) et Cachorro de Miguel Albaladejo (2004), pour analyser les paradoxes de l’intime à travers les transactions familiales inconscientes observées dans les familles de ces films. Deux types de paradoxes sont ainsi mis en lumière : une paradoxalité fermée et qui enferme comme dans les familles à transaction perverse et psychotique des deux premiers films. Une paradoxalité plus ouverte apparaît dans les deux derniers films où la fatalité d’un drame semble pouvoir être déjouée. Trois types d’intimité sont également abordés : l’intimité partagée en couple et en famille, l’intimité dans le rapport intersubjectif à l’Autre et l’intimité dans le rapport narcissique à soi. Une analyse des paradoxes de l’intimité dans les interventions professionnelles permet ensuite de mettre en lumière une paradoxalité ouverte à travers les rêves, les fictions et l’imaginaire des rencontres.
Existe-t-il un risque de vide stratégique dans l'océan Indien ?
Authors: Robinet Cyril 
Published: July 2012

Alors que l’océan Indien a longtemps été considéré par les Occidentaux comme un espace maritime déconnecté de l’espace terrestre et des conflits qui s’y déroulaient, les logiques d’interpénétration des deux espaces sont récemment apparues via la piraterie et les menaces que celle-ci engendre sur le commerce international. Née de la déliquescence de l’État somalien, la piraterie a mobilisé la communauté internationale, tandis que le conflit somalien s’est régionalisé. Si la Somalie constitue aujourd’hui le principal exemple d’État failli, d’autres pays riverains de l’océan Indien – Comores, Madagascar, Mozambique – connaissent des situations inquiétantes. L’incapacité de ces États à contrôler leurs territoires peut in fine multiplier les entraves à la circulation maritime dans l’océan Indien occidental. Au-delà d’un calcul économique, la communauté internationale doit rester présente dans la région pour y assumer ses responsabilités politiques – avec des solutions novatrices pour la Somalie et un engagement renouvelé auprès de ses voisins méridionaux.
How Friendly are Family Friendly Policies?
Authors: Albrecht Gloria H. 
Published: July 2012

Abstract:In the last two decades the composition of the labor force in the United States has changed significantly. Today, most employees are mothers or fathers of children under eighteen in families where both parents are employed or where the employed parent is a single mother. This represents a reversal of the older family ideal in which a father worked to provide income and a mother performed the domestic work that sustained families. The practices of business and much of the attention of business ethicists have assumed the older ideal. However, the wage work of mothers raises serious concerns about how business should view their parent-employees. Business has responded with family friendly corporate policies. This article analyzes these policies in light of two particular values: The social equality of women and the well-being of families. Finding current policies inadequate to meet these values, this paper calls for renewed ethical attention to the issues of time demands on employees and just wages.
Exploring the Ethics and Economics of Global Labor Standards: A Challenge to Integrated Social Contract Theory
Authors: Hartman Laura P. , Shaw Bill , Stevenson Rodney 
Published: July 2012

Abstract:The challenge that confronts corporate decision-makers in connection with global labor conditions is often in identifying the standards by which they should govern themselves. In an effort to provide greater direction in the face of possible global cultural conflicts, ethicists Thomas Donaldson and Thomas Dunfee draw on social contract theory to develop a method for identifying basic human rights: Integrated Social Contract Theory (ISCT). In this paper, we apply ISCT to the challenge of global labor standards, attempting to identify labor rights that could serve as guides for corporations producing or outsourcing outside of their home country. In addition to identifying areas of universal agreement, we also examine whether ISCT is, in fact, a sufficient basis for determining worker rights; we seek to define the parameters of the “sweatshop” problem; we include the application and results of our ISCT analysis as applied to labor standards: the global labor rights hypernorms; and conclude that ISCT is sufficient only for rights that are universal. We also discuss whether market-driven decisions can identify the boundaries of labor rights, or at least assure that market outcomes are compatible with maintaining labor rights, in order to respond to the shortcomings of ISCT. We conclude with some comments on directions of analysis for labor rights determination.
Sweatshops and Respect for Persons
Authors: Arnold Denis G. , Bowie Norman E. 
Published: July 2012

Abstract:This article applies the Kantian doctrine of respect for persons to the problem of sweatshops. We argue that multinational enterprises are properly regarded as responsible for the practices of their subcontractors and suppliers. We then argue that multinational enterprises have the following duties in their off-shore manufacturing facilities: to ensure that local labor laws are followed; to refrain from coercion; to meet minimum safety standards; and to provide a living wage for employees. Finally, we consider and reply to the objection that improving health and safety conditions and providing a living wage will cause greater harm than good.
The Importance of Value Diversity in Corporate Life
Authors: Eastman Wayne , Santoro Michael 
Published: July 2012

Abstract:Donaldson and Dunfee (1999) suggest in a brief discussion that a manager may in some cases rely on his or her own values in making organizational decisions. Our paper examines the role of diversity in values in an organizational context. Our central contention is that value diversity among managers, employees, and other stakeholders on dimensions such as prudence-boldness, clarity-flexibility, and rigor-mercy is highly useful for an organization. We introduce nontechnical models of individual and board decision-making in which value diversity cuts across group interests that would otherwise control the decision. In these models, decision-makers who are influenced by values such as prudence or boldness as well as by their group interests are more likely to avoid suboptimal decisions, because their weaker but not their more intense group interests are likely to be overridden by their cross-cutting value inclinations.