bluuebunny/crossref_metadata_2025_split huggingface dataset:
Uterine artery pseudoaneurysm manifesting as postpartum hemorrhage after uneventful second‐trimester pregnancy termination
Authors: Matsubara Shigeki , Takahashi Yoshifumi , Usui Rie , Nakata Manabu , Kuwata Tomoyuki , Suzuki Mitsuaki 
Published: May 2010

AbstractUterine artery pseudoaneurysm is a rare complication mainly of abdominal or interventional delivery that can cause profuse postpartum hemorrhage if unrecognized or inadequately treated. There has been no report of this disorder accompanying uneventful second‐trimester pregnancy termination. A primiparous Japanese woman underwent pregnancy termination at 24 weeks' gestation due to fetal death. Gradual dilatation of the cervix followed by administration of vaginal gemeprost led to an uneventful delivery without curettage. After 41 days, profuse vaginal bleeding occurred. Ultrasound revealed a mass within the uterine cavity and color Doppler indicated the presence of high‐speed flow within the mass. Selective angiography revealed that the mass was connected to the right uterine artery, from which extravasation was observed. Uterine artery pseudoaneurysm was diagnosed, and we performed successful uterine artery embolization. This is the first report of uterine artery pseudoaneurysm after second‐trimester pregnancy termination. Our experience indicates that even after uneventful pregnancy termination, clinicians must remain aware of the possibility of pseudoaneurysm, manifesting as postpartum/post‐termination hemorrhage.
Manual separation followed by local cleanliness for pediatric labial adhesion
Authors: Watanabe Takashi , Matsubara Shigeki , Fujinaga Yukako , Asada Kyoko , Ohmaru Takako , Suzuki Mitsuaki 
Published: May 2010

AbstractAim:  Although labial adhesion is usually a benign disorder in childhood, it may occasionally be misdiagnosed as a severe disorder, causing parental anxiety. The present study was undertaken to analyze the clinical features, treatments employed and their effectiveness in pediatric patients with labial adhesion, with special emphasis on manual separation.Methods:  We reviewed the medical charts of pediatric patients with labial adhesion who were treated in our Pediatric Gynecology Division of the university hospital over 3.5 years.Results:  Eight pediatric patients received manual separation followed by local gentamicin ointment and washing. In all eight, manual separation remedied the condition at one visit without recurrence.Conclusion:  Manual separation followed by local cleanliness not only remedied pediatric labial adhesion but also prevented its recurrence. Thus, it is an effective treatment for pediatric labial adhesion.
Prenatal findings in a fetus with contiguous gene syndrome caused by deletion of Xp22.3 that includes locus for X‐linked recessive type of chondrodysplasia punctata (CDPX1)
Authors: Horikoshi Tsuguhiro , Kikuchi Akihiko , Tamaru Shunsuke , Ono Kyoko , Kita Mariko , Takagi Kimiyo , Miyashita Susumu , Kawame Hiroshi , Shimokawa Osamu , Harada Naoki 
Published: May 2010

AbstractThe X‐linked recessive type of chondrodysplasia punctata (CDPX1) is a skeletal disorder that is characterized by stippled calcification at an epiphyseal nucleus and the surrounding soft tissue, short stature and an unusual face because of nasal hypoplasia. In most of the patients, this condition is noted after birth because of a characteristic face or respiratory problems. Here, we report a fetus with CDPX1. Two‐dimensional ultrasound examination revealed unexplained polyhydramnios and a male fetus. Fetal biometry showed shortened long bones. Three‐dimensional ultrasonography clearly demonstrated a hypoplastic nose with a depressed nasal bridge and contracture of wrists and fingers. Chromosome analysis of the amniotic fluid cells revealed the 46,Y,del(X)(p22.3) karyotype. Fluorescence in situ hybridization revealed a deletion of subtelomeric sequences at the Xpter and STS gene, but not a deletion of the KAL gene. The genomic copy number analysis demonstrated terminal deletion of 8.33 Mb that included SHOX, CSF2RA, XG, ARSE, NLGN4 and STS genes. We think that our case presents typical features of a fetus with this disorder and will be of great help in prenatal ultrasound diagnosis.
Fatigue growth prediction of center slant crack in rectangular plate
Authors: YAN X. 
Published: May 2010

ABSTRACTThis paper presents a numerical prediction model of mixed‐mode crack fatigue growth in a plane elastic plate. It involves a formulations of fatigue growth of multiple crack tips under mixed‐mode loading and a displacement discontinuity method with crack‐tip elements (a boundary element method) proposed recently by Yan is extended to analyse the fatigue growth process of multiple crack tips. Due to an intrinsic feature of the boundary element method, a general growth problem of multiple cracks can be solved in a single‐region formulation. In the numerical simulation, for each increment of crack extension, remeshing of existing boundaries is not necessary. Crack extension is conveniently modelled by adding new boundary elements on the incremental crack extension to the previous crack boundaries. At the same time, the element characters of some related elements are adjusted according to the manner in which the boundary element method is implemented. As an example, the present numerical approach is used to analyse the fatigue growth of a centre slant crack in a rectangular plate. The numerical results illustrate the validation of the numerical prediction model and can reveal the effect of the geometry of the cracked plate on the fatigue growth.
The genome of Syntrophomonas wolfei: new insights into syntrophic metabolism and biohydrogen production
Authors: Sieber Jessica R. , Sims David R. , Han Cliff , Kim Edwin , Lykidis Athanasios , Lapidus Alla L. , McDonnald Erin , Rohlin Lars , Culley David E. , Gunsalus Robert , McInerney Michael J. 
Published: May 2010

Summary Syntrophomonas wolfei is a specialist, evolutionarily adapted for syntrophic growth with methanogens and other hydrogen‐ and/or formate‐using microorganisms. This slow‐growing anaerobe has three putative ribosome RNA operons, each of which has 16S rRNA and 23S rRNA genes of different length and multiple 5S rRNA genes. The genome also contains 10 RNA‐directed, DNA polymerase genes. Genomic analysis shows that S. wolfei relies solely on the reduction of protons, bicarbonate or unsaturated fatty acids to re‐oxidize reduced cofactors. Syntrophomonas wolfei lacks the genes needed for aerobic or anaerobic respiration and has an exceptionally limited ability to create ion gradients. An ATP synthase and a pyrophosphatase were the only systems detected capable of creating an ion gradient. Multiple homologues for β‐oxidation genes were present even though S. wolfei uses a limited range of fatty acids from four to eight carbons in length.Syntrophomonas wolfei, other syntrophic metabolizers with completed genomic sequences, and thermophilic anaerobes known to produce high molar ratios of hydrogen from glucose have genes to produce H2 from NADH by an electron bifurcation mechanism. Comparative genomic analysis also suggests that formate production from NADH may involve electron bifurcation. A membrane‐bound, iron–sulfur oxidoreductase found in S. wolfei and Syntrophus aciditrophicus may be uniquely involved in reverse electron transport during syntrophic fatty acid metabolism. The genome sequence of S. wolfei reveals several core reactions that may be characteristic of syntrophic fatty acid metabolism and illustrates how biological systems produce hydrogen from thermodynamically difficult reactions.
Cost variation in diabetes care delivered in English hospitals
Authors: Kristensen T. , Laudicella M. , Ejersted C. , Street A. 
Published: May 2010

Diabet. Med. 27, 949–957 (2010)AbstractAims  We analysed the in‐hospital costs of diabetic patients admitted to English hospitals and aimed to assess what proportions of cost variation are explained by patient and hospital characteristics.Methods  We used Hospital Episode Statistics and reference costs for all patients admitted to diabetes care for all English hospitals for the financial year 2005/2006. Our sample included 31 371 patients admitted to 148 hospitals. We applied a multi‐level approach. We analysed the relationship between patient costs and patient characteristics. We estimated the average cost of being treated in each hospital after controlling for patient characteristics. In addition, we explored why these average costs vary across hospitals.Results  Much of the variation in the costs of controlling diabetes was driven by the Healthcare Resource Group to which the patient was allocated, but costs were also higher for patients who were transferred between hospitals, suffered infections and other complications, or for those who died in hospital. Even so, approximately 8–9% of the variation in costs was related to the hospital in which the patient was treated, with geographical variation in factor prices being the prime reason for this variation. The volume of patients, and the number and diversity of specialties involved in caring for diabetic patients did not explain the variation in the cost of treating diabetic patients across hospitals.Conclusions  Healthcare Resource Groups and diagnostic markers are significant patient‐related cost drivers in diabetes care. Costs are not lower in hospitals with a high volume of patients and where diabetes care is concentrated in few specialties.
Work and non‐work social support and intent to stay at work among Jordanian hospital nurses
Authors: AbuAlRub R.F. 
Published: May 2010

ABUALRUB R.F. (2010) Work and non‐work social support and intent to stay at work among Jordanian hospital nurses. International Nursing Review57, 195–201Purpose:  To examine (1) the level of intent to stay at work among Jordanian nurses; (2) the levels of at‐work and non‐work social support; and (3) the extent of variance in the level of intent to stay at work because of the demographic and social support variables.Design:  A survey design was used to investigate the predictors of intent to stay at work among the population of Jordanian nurses in three public hospitals. Two hundred and seventy five participants submitted complete and usable questionnaires. The response rates were 50%, 55% and 70%, respectively.Methods:  Data were collected using a questionnaire that included a scale for measuring social support, the McCain's Intent to Stay Scale and the demographic form.Findings:  The results showed that support from supervisors, marital status, number of friends at work, number of children at home, gender, time commitment, support from co‐workers and support from family accounted for 60% of the variation in the level of intent to stay. The results indicated that nurses who were females, had children at home, worked full time and perceived having more support from co‐workers and supervisors tended to stay at work more than others. On the other hand, the results showed that marital status, number of friends at work and family support were associated negatively with intent to stay at work.Conclusion:  The findings of the study suggest the important role of workplace social support in enhancing the level of intent to stay at work.
Presence of nursing information on hospital websites in five countries: a review
Authors: Chen L.L. , Liu Y.L. 
Published: May 2010

CHEN L.L. & LIU Y.L. (2010) Presence of nursing information on hospital websites in five countries: a review. International Nursing Review57, 168–172Aim:  The aims of this study were to (1) examine the presence of nursing information on 50 hospital websites across five countries; (2) describe the accessibility, range and depth of nursing information provided; and (3) compare the characteristics of nursing web information across the countries.Background:  Providing information on hospital website is an increasingly popular strategy for marketing hospital services, and it has been playing unique and important roles for nursing. So far, the nursing information offered via hospital websites is not uncommon worldwide, but the amount, content and form of such information presented by the institutions of different countries have not been examined systematically.Methods:  Objective sampling was employed to select 50 top hospital websites from five countries, with ten for each geographical region, namely, Australia (Oceania), China (Asia), South Africa (Africa), UK (Europe) and the USA (North America). A self‐developed checklist was used to examine the presence of nursing information on the above‐mentioned hospital websites.Findings:  The most frequently presented information on the hospital websites was nursing employment (job placement), nursing education, and news and events concerning the nursing profession, but information about other aspects of nursing was relatively lacking. The hospital websites in the USA and Australia provided more information as compared with those in China and the UK. Nursing information was almost unavailable on hospital websites in South Africa. Although the accessibility of nursing‐related information has been improved, the presence of nursing information was not strong on the hospital websites across the five countries.Conclusion:  The nursing information presented on hospital websites varied with different countries. Efforts have to be made to improve the presence and accessibility of nursing information. Information about the nursing services, professional image of nurses and nursing employment should be enhanced.
Evaluation of patient self‐management outcomes in health care: a systematic review
Authors: Du S. , Yuan C. 
Published: May 2010

DU S. & YUAN C. (2010) Evaluation of patient self‐management outcomes in health care: a systematic review. International Nursing Review57, 159–167Background:  The importance of self‐management and its intervention for improving the ability and skill of self‐management has been discussed in literatures. It is, however, unclear how to choose the fitted, objective and accurate evaluation system when assessing the outcome.Aim:  The aim of this article was to establish a general evaluation system for skill and ability of self‐management in chronic diseases through systematic review on different evaluation indicators and scales.Method:  A systematic search of six electronic databases was conducted. Two authors independently reviewed each qualified study for relevance and significance. Subsequently, main evaluation indicators and scales were identified and categorized into themes and sub‐themes.Results:  Nineteen articles were identified in this review. Among them, six main evaluation indicators of self‐management, including frequently used scales, were extracted and tabulated. Self‐efficacy, health behaviour/attitude, health status, health service utilization, quality of life and psychological indicators were the main indicators in evaluating self‐management outcome, and they could be used alone or in combination flexibly according to the different goals of programmes.Conclusion:  Accurate evaluation of skill and ability of self‐management is crucial not only in baseline data collection but also in proving the effectiveness of intervention. The outcomes of this study provide future researchers or caregivers with a better understanding and a series of good choices in self‐management outcome evaluation.
M, M, M & M: a mnemonic for assessing obesity
Authors: Sharma A. M. 
Published: May 2010

SummaryObese individuals can present with a wide range of medical and psychosocial problems, which can promote weight gain, provide important indications for treatment but, in some cases, also pose significant barriers to management. To ensure a complete assessment and consideration of these factors, I propose the use of a simple mnemonic consisting of four Ms or ‘M, M, M, & M’ that stand for Mental, Mechanical, Metabolic and Monetory, respectively, and may help the busy practitioner navigate through a thorough assessment of clients presenting with excess weight.
TRUSTED CONSENT AND RESEARCH BIOBANKS: TOWARDS A ‘NEW ALLIANCE’ BETWEEN RESEARCHERS AND DONORS
Authors: BONIOLO GIOVANNI , DI FIORE PIER PAOLO , PECE SALVATORE 
Published: May 2010

ABSTRACTWe argue that, in the case of research biobanks, there is a need to replace the currently used informed consent with trusted consent. Accordingly, we introduce a proposal for the structure of the latter. Further, we discuss some of the issues that can be addressed effectively through our proposal. In particular, we illustrate: i) which research should be authorized by donors; ii) how to regulate access to information; iii) the fundamental role played by a Third Party Authority in assuring compliance with the reciprocal expectations and obligations of donors and scientists. Finally, we briefly analyse two issues that might represent important elements of a ‘new alliance’ between researchers and donors to which the trusted consent could pave the way: i) the correlations between needs and rights of the two parties, and ii) possible economic transactions.
REFLECTIONS ON ‘AUTISTIC INTEGRITY’
Authors: RUSSELL BARBARA 
Published: May 2010

ABSTRACTAutism, particularly its moderate to severe forms, has prompted considerable scientific study and clinical involvement because the associated behaviours imply disconnections with valued features of a ‘good’ life, such as close relationships, enjoyment, and adaptability. Proposed causes of autism involve potent philosophical concepts including consciousness, identity, mind, and relationality. The concept of autistic integrity is used by Barnbaum in The Ethics of Autism: Among Them, But Not of Them to help provide moral justification to stop efforts to cure adults with autism, especially if the cause is presumed to be a lack of a theory of mind.1 This article has two goals: (1) to apply four familiar definitions or characterizations of integrity to the case of moderate to severe autism, and (2) to examine whether autistic integrity does provide the moral justification Barnbaum seeks.
US–Euro Area Monetary Policy Interdependence: New Evidence from Taylor Rule‐based VECMs
Authors: Belke Ansgar , Cui Yuhua 
Published: May 2010

Abstract(1227) Ansgar Belke and Yuhua CuiThis paper analyses the monetary policy interdependence between the European Central Bank (ECB) and the Federal Reserve (Fed) for the period 1999–2006. Two models are specified: a partial vector error correction model (VECM) and a general VECM. In the partial VECM, we look for a long‐run interdependent relationship between the interest rates of the two currency areas and specify the Taylor Rule terms as exogenous variables. In the general VECM, we regard all variables as endogenous, and look for long‐run equilibrium relationships among them, which may reveal monetary policy interdependence between the two central banks. Weak exogeneity is checked in both models in order to establish a possible leader–follower relationship. The empirical results of both models indicate interdependence between the ECB and the Fed, but only the general VECM testifies a leader–follower pattern between the two central banks. According to this pattern, the ECB does follow the Fed.
Globalisation and the Spatial Concentration of Production
Authors: Niepmann Friederike , Felbermayr Gabriel J. 
Published: May 2010

Abstract(1240) Friederike Niepmann and Gabriel J. FelbermayrIn new trade theory (NTT) models, freer trade tends to increase the spatial concentration of industrial production across countries. While nations with large home markets and central geographical location become increasingly attractive business locations, small peripheral countries gradually deindustrialise. Using data for 26 industries, 20 OECD countries and 20 years, we investigate the empirical validity of this claim. Separating out the role of home market size from geographical factors, and using various panel methods, we find robust evidence in line with theory. Freer trade has indeed magnified the importance of domestic demand and geographical location for the pattern of industrial production across the globe and has therefore exacerbated spatial disparities.
Young children and women's labour force participation in Russia, 1992–20041
Authors: Grogan Louise , Koka Katerina 
Published: May 2010

AbstractWe document the changing labour force participation patterns of women with young children in Russia during 1992–2004. In this period maternity leave benefits became less generous, and childcare was privatized and became increasingly scarce. Using nationally representative household survey data it is shown that in 1992, there was essentially no association between the probability of a woman being a labour force participant and her having a child under age 3. However, by 2004, having children under age 3 had become associated with significantly reduced participation and employment probabilities, conditional on other observable characteristics of women and their households, and local factors. Several potential explanations for these findings are discussed.
Adaptation of rat jaw muscle fibers in postnatal development with a different food consistency: an immunohistochemical and electromyographic study
Authors: Kawai Nobuhiko , Sano Ryota , Korfage Joannes A. M. , Nakamura Saika , Kinouchi Nao , Kawakami Emi , Tanne Kazuo , Langenbach Geerling E. J. , Tanaka Eiji 
Published: May 2010

AbstractThe development of the craniofacial system occurs, among other reasons, as a response to functional needs. In particular, the deficiency of the proper masticatory stimulus affects the growth. The purpose of this study was to relate alterations of muscle activity during postnatal development to adaptational changes in the muscle fibers. Fourteen 21‐day‐old Wistar strain male rats were randomly divided into two groups and fed on either a solid (hard‐diet group) or a powder (soft‐diet group) diet for 63 days. A radio‐telemetric device was implanted to record muscle activity continuously from the superficial masseter, anterior belly of digastric and anterior temporalis muscles. The degree of daily muscle use was quantified by the total duration of muscle activity per day (duty time), the total burst number and their average length exceeding specified levels of the peak activity (5, 20 and 50%). The fiber type composition of the muscles was examined by the myosin heavy chain content of fibers by means of immunohistochemical staining and their cross‐sectional area was measured. All muscle fibers were identified as slow type I and fast type IIA, IIX or IIB (respectively, with increasing twitch contraction speed and fatigability). At lower activity levels (exceeding 5% of the peak activity), the duty time of the anterior belly of the digastric muscle was significantly higher in the soft‐diet group than in the hard‐diet group (P < 0.05). At higher activity levels (exceeding 20 and 50% of the peak activity), the duty time of the superficial masseter muscle in the soft‐diet group was significantly lower than that in the hard‐diet group (P < 0.05). There was no difference in the duty time of the anterior temporalis muscle at any muscle activity level. The percentage of type IIA fibers of the superficial masseter muscle in the soft‐diet group was significantly lower than that in the hard‐diet group (P < 0.01) and the opposite was true with regard to type IIB fibers (P < 0.05). The cross‐sectional area of type IIX and type IIB fibers of the superficial masseter muscle was significantly smaller in the soft‐diet group than in the hard‐diet group (P < 0.05). There was no difference in the muscle fiber composition and the cross‐sectional area of the anterior belly of the digastric and anterior temporalis muscles. In conclusion, for the jaw muscles of male rats reared on a soft diet, the slow‐to‐fast transition of muscle fiber was shown in only the superficial masseter muscle. Therefore, the reduction in the amount of powerful muscle contractions could be important for the slow‐to‐fast transition of the myosin heavy chain isoform in muscle fibers.