bluuebunny/crossref_metadata_2025_split huggingface dataset:
Sexual vulnerability and HIV seroprevalence among the deaf and hearing impaired in Cameroon
Authors: Touko Adonis , Mboua Célestin P , Tohmuntain Peter M , Perrot Anne B 
Published: February 2010

BackgroundThis quantitative cross‐sectional study examines sexual behaviour of a target group of hearing‐impaired persons in Yaounde, the capital city of the Republic of Cameroon. It measures their HIV prevalence to enable assessment of their sexual vulnerability and to help reduce the gap in existing HIV serology data among people with disabilities in general and the deaf in particular.MethodsThe snowball sampling procedure was adopted as an adequate approach to meet this hard‐to‐reach group. A total of 118 deaf participants were interviewed for the behavioural component, using sign language as a means of data collection, while 101 participants underwent HIV serology testing. Descriptive analyses were done for behavioural data with Epi info software, while sera were tested by health personnel, using rapid and confirmation test reagents.ResultsFrom the results, it was clear that the hearing impaired were highly involved in risky sexual practices, as observed through major sexual indicators, such as: age at first sexual intercourse; condom use; and knowledge of sexually transmitted infections and AIDS. Furthermore, it was noted that the HIV prevalence rate of the hearing impaired in the capital of Cameroon was 4%, close to the prevalence in the city's general population (4.7%).ConclusionsSuch results suggest that there is a need for in‐depth behavioural research and serological studies in this domain to better understand the determinants of risky sexual behaviour among the hearing impaired, and to propose operational prevention approaches for this group.
Inflammatory mechanisms in ischemic stroke: role of inflammatory cells
Authors: Jin Rong , Yang Guojun , Li Guohong 
Published: February 2010

Abstract
Review on the time-dependent recruitment of inflammatory cells and unanswered questions regarding inflammatory cells in the pathophysiology of ischemic stroke.
Inflammation plays an important role in the pathogenesis of ischemic stroke and other forms of ischemic brain injury. Experimentally and clinically, the brain responds to ischemic injury with an acute and prolonged inflammatory process, characterized by rapid activation of resident cells (mainly microglia), production of proinflammatory mediators, and infiltration of various types of inflammatory cells (including neutrophils, different subtypes of T cells, monocyte/macrophages, and other cells) into the ischemic brain tissue. These cellular events collaboratively contribute to ischemic brain injury. Despite intense investigation, there are still numerous controversies concerning the time course of the recruitment of inflammatory cells in the brain and their pathogenic roles in ischemic brain injury. In this review, we provide an overview of the time-dependent recruitment of different inflammatory cells following focal cerebral I/R. We discuss how these cells contribute to ischemic brain injury and highlight certain recent findings and currently unanswered questions about inflammatory cells in the pathophysiology of ischemic stroke.
Free vascularised iliac bone graft for recalcitrant avascular nonunion of the scaphoid
Authors: Arora R. , Lutz M. , Zimmermann R. , Krappinger D. , Niederwanger C. , Gabl M. 
Published: February 2010

We report the use of a free vascularised iliac bone graft in the treatment of 21 patients (19 men and 2 women) with an avascular nonunion of the scaphoid in which conventional bone grafting had previously failed. The mean age of the patients was 32 years (23 to 46) and the dominant wrist was affected in 14. The mean interval from fracture to the vascularised bone grafting was 39 months (9 to 62). Pre-operative MRI showed no contrast enhancement in the proximal fragment in any patient. Fracture union was assessed radiologically or with CT scans if the radiological appearances were inconclusive. At a mean follow-up of 5.6 years (2 to 11) union was obtained in 16 patients. The remaining five patients with a persistent nonunion continued to experience pain, reduced grip strength and limited range of wrist movement. In the successfully treated patients the grip strength and range of movement did not recover to match the uninjured side. Prevention of progressive carpal collapse, the absence of donor site morbidity, good subjective results and pain relief, justifies this procedure in the treatment of recalcitrant nonunion of the scaphoid.
The use of three types of suture and stainless steel wire tension banding for the fixation of simulated olecranon fractures
Authors: Lalliss S. J. , Branstetter J. G. 
Published: February 2010

Using an osteotomy of the olecranon as a model of a transverse fracture in 22 cadaver elbows we determined the ability of three different types of suture and stainless steel wire to maintain reduction when using a tension-band technique to stabilise the bone. Physiological cyclical loading simulating passive elbow movement (15 N) and using the arms to push up from a chair (450 N) were applied using an Instron materials testing machine whilst monitoring the osteotomy site with a video extensometer. Each osteotomy was repaired by one of four materials, namely, Stainless Steel Wire (7), No 2 Ethibond (3), No 5 Ethibond (5), or No 2 FiberWire (7). There were no failures (movement of > 2 mm) with stainless steel wire or FiberWire and no significant difference in the movements measured across the site of the osteotomy (p = 0.99). The No. 2 Ethibond failed at 450 N and two of the five of No. 5 Ethibond sutures had a separation of > 2 mm at 450 N. FiberWire as the tension band in this model held the reduction as effectively as stainless steel wire and may reduce the incidence of discomfort from the hardware. On the basis of our findings we suggest that a clinical trial should be undertaken
Management of combined nonunion and limb-length discrepancy after vascularised fibular grafting
Authors: Abdel-Ghani H. , Ebeid W. , El-Barbary H. 
Published: February 2010

We describe the management of nonunion combined with limb-length discrepancy following vascularised fibular grafting for the reconstruction of long-bone defects in the lower limb after resection of a tumour in skeletally immature patients. We operated on nine patients with a mean age of 13.1 years (10.5 to 14.5) who presented with a mean limb-length discrepancy of 7 cm (4 to 9) and nonunion at one end of a vascularised fibular graft, which had been performed previously, to reconstruct a bone defect after resection of an osteosarcoma. Reconstruction was carried out using a ring fixator secured with correction by half pins of any malalignment, compression of the site of nonunion and lengthening through a metaphyseal parafocal osteotomy without bone grafting. The expected limb-length discrepancy at maturity was calculated using the arithmetic method. Solid union and the intended leg length were achieved in all the patients. Excessive scarring and the distorted anatomy from previous surgery in these patients required other procedures to be performed with minimal exposures and dissection in order to avoid further compromise to the vascularity of the graft or damage to neurovascular structures. The methods which we chose were simple and effective in addressing these complex problems.
Correcting genu varum and genu valgum in children by guided growth
Authors: Ballal M. S. , Bruce C. E. , Nayagam S. 
Published: February 2010

A total of 25 children (37 legs and 51 segments) with coronal plane deformities around the knee were treated with the extraperiosteal application of a flexible two-hole plate and screws. The mean age was 11.6 years (5.5 to 14.9), the median angle of deformity treated was 8.3° and mean time for correction was 16.1 months (7 to 37.3). There was a mean rate of correction of 0.7° per month in the femur (0.3° to 1.5°), 0.5° per month in the tibia (0.1° to 0.9°) and 1.2° per month (0.1° to 2.2°) if femur and tibia were treated concurrently. Correction was faster if the child was under 10 years of age (p = 0.05). The patients were reviewed between six and 32 months after plate removal. One child had a rebound deformity but no permanent physeal tethers were encountered. The guided growth technique, as performed using a flexible titanium plate, is simple and safe for treating periarticular deformities of the leg.
Neglected traumatic dislocation of the subaxial cervical spine
Authors: Jain A. K. , Dhammi I. K. , Singh A. P. , Mishra P. 
Published: February 2010

The optimal method for the management of neglected traumatic bifacetal dislocation of the subaxial cervical spine has not been established. We treated four patients in whom the mean delay between injury and presentation was four months (1 to 5). There were two dislocations at the C5-6 level and one each at C4-5 and C3-4. The mean age of the patients was 48.2 years (27 to 60). Each patient presented with neck pain and restricted movement of the cervical spine. Three of the four had a myelopathy. We carried out a two-stage procedure under the same anaesthetic. First, a posterior soft-tissue release and partial facetectomy were undertaken. This allowed partial reduction of the dislocation which was then supplemented by interspinous wiring and corticocancellous graft. Next, through an anterior approach, discectomy, tricortical bone grafting and anterior cervical plating were carried out. All the patients achieved a nearly anatomical reduction and sagittal alignment. The mean follow-up was 2.6 years (1 to 4). The myelopathy settled completely in the three patients who had a pre-operative neurological deficit. There was no graft dislodgement or graft-related problems. Bony fusion occurred in all patients and a satisfactory reduction was maintained. The posteroanterior procedure for neglected traumatic bifacetal dislocation of the subaxial cervical spine is a good method of achieving sagittal alignment with less risk of iatrogenic neurological injury, a reduced operating time, decreased blood loss, and a shorter hospital stay compared with other procedures.
Coccygectomy: an effective treatment option for chronic coccydynia
Authors: Trollegaard A. M. , Aarby N. S. , Hellberg S. 
Published: February 2010

Between 1993 and 2008, 41 patients underwent total coccygectomy for coccydynia which had failed to respond to six months of conservative management. Of these, 40 patients were available for clinical review and 39 completed a questionnaire giving their evaluation of the effect of the operation. Excellent or good results were obtained in 33 of the 41 patients, comprising 18 of the 21 patients with coccydynia due to trauma, five of the eight patients with symptoms following childbirth and ten of 12 idiopathic onset. In eight patients the results were moderate or poor, although none described worse pain after the operation. The only post-operative complication was superficial wound infection which occurred in five patients and which settled fully with antibiotic treatment. One patient required re-operation for excision of the distal cornua of the sacrum. Total coccygectomy offered satisfactory relief of pain in the majority of patients regardless of the cause of their symptoms.
Bilateral hip replacement in three patients with lysosomal storage disease: Mucopolysaccharidosis type IV and Mucolipidosis type III
Authors: Lewis J. R. Pryce , Gibson P. H. 
Published: February 2010

The management of joint replacement in lysosomal storage diseases has not been well reported. We present three patients with progressive degenerative changes of the hips who required bilateral total hip replacement in early childhood. The stature of the patients make it essential to have access to appropriately scaled prostheses. Consideration has to be given to associated disorders of the skeleton which must be carefully screened to ensure safety in providing appropriate anaesthesia as well as ensuring that there is no cardiac abnormality. In one patient, a periprosthetic fracture was sustained in one hip in the early post-operative course requiring internal fixation.The patient made a full recovery and all six hips were clinically and radiologically satisfactory at mid-term review.
Processing and memory of information presented in narrative or expository texts
Authors: Wolfe Michael B. W. , Woodwyk Joshua M. 
Published: February 2010

BackgroundPrevious research suggests that narrative and expository texts differ in the extent to which they prompt students to integrate to‐be‐learned content with relevant prior knowledge during comprehension.AimsWe expand on previous research by examining on‐line processing and representation in memory of to‐be‐learned content that is embedded in narrative or expository texts. We are particularly interested in how differences in the use of relevant prior knowledge leads to differences in terms of levels of discourse representation (textbase vs. situation model).SamplesA total of 61 university undergraduates in Expt 1, and 160 in Expt 2.MethodsIn Expt 1, subjects thought out loud while comprehending circulatory system content embedded in a narrative or expository text, followed by free recall of text content. In Expt 2, subjects read silently and completed a sentence recognition task to assess memory.ResultsIn Expt 1, subjects made more associations to prior knowledge while reading the expository text, and recalled more content. Content recall was also correlated with amount of relevant prior knowledge for subjects who read the expository text but not the narrative text. In Expt 2, subjects reading the expository text (compared to the narrative text) had a weaker textbase representation of the to‐be‐learned content, but a marginally stronger situation model.ConclusionsResults suggest that in terms of to‐be‐learned content, expository texts trigger students to utilize relevant prior knowledge more than narrative texts.
Assessment of critical values policies in Italian institutions: comparison with the US situation
Authors: Piva Elisa , Sciacovelli Laura , Laposata Michael , Plebani Mario 
Published: February 2010

Abstract

Background: Critical value reporting is considered an essential tool to ensure the quality of medical laboratory services. Important issues include defining cut-off values, assessing responsibility for communication and adopting information technology solutions to improve notification. Here, we report the state of critical value reporting in a large cohort of Italian laboratories and comparison with Q-Probes surveys from the College of American Pathologists as representatives of the US situation.

Methods: To compare critical value policies and procedures, formulation of critical values list with critical values limits and monitoring tools, a web-based questionnaire was formulated for 389 institutions participating in the External Quality Assessment Schemes of Veneto Region, in Italy.

Results: A total of 90 clinical laboratories submitted data. Accredited laboratories represented 82.2% of participants, but written procedures for reporting were indicated by 70.5% of participants. Relevant differences between US and Italian policies have been observed, particularly regarding who provides the notification and on the formulation of the cut-off threshold for critical values.

Conclusions: Accreditation according to international standards can decrease differences regarding the management of critical values across laboratories of different countries. However, the issues concerning critical limits should be debated and a consensus critical values list should be considered. Automated systems could offer improvements regarding some issues, such as who makes the notification, reducing the time spent in notification of critical values. Surveys for comparing and improving existing policies regarding critical values should be promoted at an international level.
Clin Chem Lab Med 2010;48:461–8.
Simulation of a hybrid fermentation-separation process for production of butyric acid
Authors: Blahušiak Marek , Schlosser Štefan , Marták Ján 
Published: February 2010

AbstractSimulation of a hybrid fermentation-separation process for the production of butyric acid (BA) based on published data was done. A unit consisting of a bioreactor with immobilized cells in the fibrous bed and of separation by pertraction through supported liquid membranes (SLM) was considered. Productivities of the unit volume of a fixed bed bioreactor in continuous and fed-batch fermentation at pH 5.5 and 6.0 were used. Concentration of BA in the bioreactor outlet stream was assumed to be in the interval from 0.11 kmol m−3 to 0.45 kmol m−3. Data on the pertraction through SLM with phosphonium ionic liquid (IL) and bulk liquid membrane with trioctylamine (TOA) as carriers were used. A strong increase in the required membrane area was found for both carriers at the pH of pertraction above 4. pH values of fermentation and pertraction should be optimized independently. It is advantageous to have pH of the feed into the pertraction unit of about 4. Dependences of the membrane area on the pertraction efficiency are nearly linear and not very sharp, especially for IL, what enables working at the pertractor efficiency exceeding 90 %. Application of phosphonium IL is promising compared to classical extractant TOA because of lower demand of the membrane area in a large interval of BA concentrations in the pertractor feed.
Application of anoxic fixed film and aerobic CSTR bioreactor in treatment of nanofiltration concentrate of real textile wastewater
Authors: Klepacz-Smółka Anna , Sójka-Ledakowicz Jadwiga , Paździor Katarzyna , Ledakowicz Stanisław 
Published: February 2010

AbstractAn anoxic fixed film bioreactor (FFB) with biomass immobilized on activated carbon and an aerobic continuous stirred tank bioreactor with overflow were applied to degrade concentrate from nanofiltration of real textile effluents containing Reactive Red 120 (RR-120). The efficiency of color removal was 99 % irrespective of the fraction of nanofiltration concentrate in the feed. An approximate dye balance based on the assessed adsorption capacity of RR-120 by activated carbon indicated that the dye was removed by means of adsorption as well as of biological processes. Aromatic amine released from a dye molecule was fully adsorbed by activated carbon. COD level in the outflow of the system was above that imposed by legislation. Despite an adjustment of the feed pH to 7 this was constantly increasing up to the value above 9 in both reactors. Neither the nanofiltration concentrate nor the effluents from the bioreactors affected the growth of Pseudomonas putida used as toxicity indicator.
Pretreatment of landfill leachate by chemical oxidation processes
Authors: Derco Ján , Gotvajn Andreja , Zagorc-Končan Jana , Almásiová Beáta , Kassai Angelika 
Published: February 2010

AbstractKinetics and efficiency of Fenton’s and ozonation processes for the pretreatment of two landfill leachates (fresh and mature) resulting from municipal waste disposal were studied. Both samples presented high organic load, high toxicity and low biodegradability. These were the reasons why oxidative treatment was proposed. Fresh and mature leachate showed different behaviors in the oxidation experiments. The final extents of removal were attained in comparable time intervals in both oxidation systems. Maximal removal of organics by the Fenton’s oxidation reached more than 50 % according to COD. Zero or first order kinetics were found the best to describe the organic components (in terms of COD and DOC) removal by the Fenton’s oxidation for both landfill leachates. Higher reaction rate values of the Fenton’s oxidation were achieved with fresh leachate samples. The efficiency of initial organics removal with ozone was about 70 % for mature leachate, while in case of the fresh one only 41 % of COD were removed. The best fits of COD and DOC experimental data from oxidation of fresh and mature leachates were obtained by a combined kinetic model. No significant improvement of the biodegradability of landfill leachates was achieved using these treatment procedures. Regarding toxicity, ozonation showed to be more effective than the Fenton’s oxidation. Advanced oxidation experiments confirmed that the Fenton’s oxidation and ozonation are comparable oxidative treatment techniques for the reduction of organic pollution in the investigated municipal landfill leachates. However, neither of them is effective enough to be used as a pretreatment method followed by biological treatment.
Unique role of water content in enzymatic synthesis of ethyl lactate using ionic liquid as solvent
Authors: Major Brigitta , Németh Gergely , Bélafi-Bakó Katalin , Gubicza László 
Published: February 2010

AbstractEnzymatic synthesis of ethyl lactate was studied in organic solvents and in ionic liquids to determine optimal media for the reaction, and to investigate the effect of water content on the ester yield. Experiments proved that Cyphos 202 ionic liquid is the best solvent affording the highest ethyl lactate yields. Furthermore, 20 times less enzyme sufficed to carry out the reaction in this ionic liquid compared to organic solvents; ionic liquid could be applied as solvent. Using water removal, the ester yield decreased since a side reaction, dimerization of lactic acid, occurred as well. In contrast to these results, without water removal, the produced water was partly consumed by the decomposition of lactoyllactic acid to free lactic acid, increasing thus the substrate concentration of the mixture and enhancing the ester yield.
Gender differences in health‐related quality of life following total laryngectomy
Authors: Lee Mary T. , Gibson Sam , Hilari Katerina 
Published: February 2010

Background: The impact of a total laryngectomy on an individual's life has primarily been measured from a male viewpoint reflecting the demographics of a diagnosis of laryngeal cancer. A small number of studies have looked specifically at females, but very few are comparison studies. Consequently, there is little consistent research regarding any potential gender differences.Aims: To investigate whether there are gender differences in perceptions of health‐related quality of life and functional abilities following total laryngectomy.Methods & Procedures: A total of 43 participants (22 males, 21 females), who had undergone a total laryngectomy procedure at least one year previously, took part in the study. They completed The European Organisation for Research and Treatment of Cancer Core Questionnaire Version 3.0 (EORTC QLQ‐C30) in conjunction with the disease‐specific Head & Neck Cancer Module (QLQ‐H&N35).Outcomes & Results: There were no significant differences between males and females on demographic and disease‐related variables, except for the following: significantly more females lived alone and changed their employment status following surgery. Males had a significantly higher global health status/quality of life than females (p < 0.05) and significantly higher levels of physical (p = 0.01), emotional (p < 0.01), cognitive (p < 0.05) and social functioning (p < 0.05). After adjusting for differences in living arrangements and change in employment status, differences in emotional and social functioning remained significant. There was a general trend for females to have higher symptom/impairment levels and to report more treatment‐related problems, but the majority of these differences were not significant.Conclusions & Implications: Following total laryngectomy, females appear to be worsely affected in aspects of quality of life than males. Emotional and social functioning are particularly vulnerable. The findings imply that rehabilitation programmes after total laryngectomy need to evaluate quality of life and address these specific areas in order to improve patient‐reported long‐term outcomes.