bluuebunny/crossref_metadata_2025_split huggingface dataset:
Felnőttkori lágyéksérvek kezelésének alapelvei – az Európai Sérvsebészeti Társaság ajánlása
Authors: Wéber György 
Published: October 2010

Absztrakt
Az Európai Sérvsebészeti Társaság (European Hernia Society – EHS) ajánlása a lágyéksérvek kezelésének teljes spektrumát magában foglalja, a diagnózistól a műtét utáni rehabilitációig. A vezérfonalat az EHS 14 tagországának vezető sérvsebészeiből álló munkacsoport állította össze. Az evidence-based megállapítások talaján álló ajánlást – megjelenése előtt – egy szaktekintélyekből álló steering committee mellett a tagországok sérvsebészeti társaságai is véleményezték. A „Guidelines”-t a 2008-as Európai Sérvsebészeti Kongresszuson, Sevillában külön szekcióban elemezték, illetve megjelent a Hernia 2009/4. számában. A munkacsoport tervei szerint az ajánlást 2012-ben ismét átdolgozzák, illetve tartalmát – a megjelenő közlemények és tapasztalatok alapján – folyamatosan aktualizálják. A vezérfonal könnyen adaptálható a helyi protokollokhoz, és jól szolgálja a továbbképzési, illetve minőségbiztosítási szempontokat, ezért fontosnak tartjuk szélesebb körben történő ismertetését.
Háló használata a hiatus herniák sebészi kezelésében
Authors: Horváth Örs Péter 
Published: October 2010

AbsztraktA nagy hiatus herniák primer varrattal történő zárása elfogadhatatlanul magas kiújulási aránnyal jár. A hiatus zárásának hálóval történő megerősítése jelentősen csökkentette a recidívák számát. Az irodalomban jelenleg nincs egyöntetűen elfogadott álláspont a háló alakja, mérete és anyaga vonatkozásában, továbbá abban, hogy a hálót hogyan kell a rekeszszárakhoz rögzíteni. A hálóbeültetés legnagyobb veszélye az, hogy az idegen anyag a nyelőcsőbe vagy a gyomorba penetrálhat. További veszélyt jelent a háló rögzítése során okozható szívsérülés, mely halálos szövődmény is lehet. A jövőt a biológiai anyagok kifejlesztése és a gyakorlatba való bevezetése jelentheti.
Hasfali sérvek laparoscopos műtéti technikája
Authors: Bezsilla János 
Published: October 2010

AbsztraktA hasfali sérvek kezelése minden általános sebész napi feladata. Számos megoldás ismeretes. A hagyományos, varratokkal történő műtét magas hosszú távú kiújulási kockázattal bír. A hálóbeültetéssel végzett rekonstrukciók kisebb recidívaaránnyal járnak, de a hasfali szövetek kiterjedt preparálását igénylik, mely gyakoribb sebfertőződéssel és egyéb komplikációval párosul. A minimálisan invazív hasfalisérv-sebészet a 90-es évek elején fejlődött ki. A módszer azonos fizikai és sebészi elveken alapul, mint a nyitott retromuscularis hálóbeültetés technikája. A laparoscopos „intraperitoneal onlay mesh” (IPOM) műtét módszere és az alkalmazott implantátumok az évek során jelentős fejlődésen mentek keresztül, és számos közlemény igazolta sikeres alkalmazásukat akár nagy sérvek, kövér vagy idős betegek esetében is. A minimálisan invazív módszer haszna a kisebb sebészi traumában, a következményesen csökkent műtéti fertőzési kockázatban és a ritkább sérvkiújulásban rejlik. A laparoscopos hasfali rekonstrukció egyre elfogadottabb, hiszen rövidebb kórházi ápolással, jobb eredményekkel és kevesebb szövődménnyel végezhető, mint a nyitott műtét.
Improving Weight Loss Outcomes of Community Interventions by Incorporating Behavioral Strategies
Authors: Wing Rena R. , Crane Melissa M. , Thomas J. Graham , Kumar Rajiv , Weinberg Brad 
Published: October 2010

Objectives. We examined whether adding behavioral weight loss strategies could improve the outcomes of a community weight loss campaign. Methods. Shape Up RI is a 12-week, online, team-based program for health improvement in Rhode Island. In study 1, we randomly assigned participants to the standard Shape Up RI program or to the program plus video lessons on weight loss. In study 2, we randomly assigned participants to the standard program or to the program plus video lessons; daily self-monitoring of weight, eating, and exercise; and computer-generated feedback. Results. Adding video lessons alone (study 1) did not result in significantly improved weight loss (2.0 ±2.8 kg vs 1.4 ±2.9 kg; P = .15). However, when the video lessons were supplemented with self-monitoring and feedback (study 2), the average weight loss more than doubled (3.5 ±3.8 kg vs 1.4 ±2.7 kg; P < .01), and the proportion of individuals achieving a weight loss of 5% or more tripled (40.5% vs 13.2%; P < .01). Participants in study 2 submitted self-monitoring records on 78% of days, and adherence was significantly related to outcome. Conclusions. Adding behavioral strategies to community campaigns may improve weight loss outcomes with minimal additional cost.
Early Childhood Poverty, Cumulative Risk Exposure, and Body Mass Index Trajectories Through Young Adulthood
Authors: Wells Nancy M. , Evans Gary W. , Beavis Anna , Ong Anthony D. 
Published: October 2010

Objectives. We assessed whether cumulative risk exposure underlies the relation between early childhood poverty and body mass index (BMI) trajectories. Methods. We interviewed youths and their mothers in rural upstate New York (168 boys and 158 girls) from 1995 to 2006 when the youths were aged 9, 13, and 17 years. At each interview, we calculated their BMI-for-age percentile. Results. Early childhood poverty predicted BMI growth trajectories from ages 9 to 17 years (b = 3.64; SE = 1.39; P < .01). Early childhood poverty also predicted changes in cumulative risk (b = 0.31; SE = 0.08; P < .001). Cumulative risk, in turn, predicted BMI trajectories (b = 2.41; SE = 0.75; P < .01). Finally, after we controlled for cumulative risk, the effect of early childhood poverty on BMI trajectories was no longer significant, indicating that cumulative risk exposure mediated the relation between early childhood poverty and BMI trajectories (b = 2.01; SE = 0.94). Conclusions. We show for the first time that early childhood poverty leads to accelerated weight gain over the course of childhood into early adulthood. Cumulative risk exposure during childhood accounts for much of this accelerated weight gain.
Culturally Sensitive Collaborative Treatment for Depressed Chinese Americans in Primary Care
Authors: Yeung Albert , Shyu Irene , Fisher Lauren , Wu Shirley , Yang Huaiyu , Fava Maurizio 
Published: October 2010

Objectives. We examined the feasibility and effectiveness of using culturally sensitive collaborative treatment (CSCT) to improve recognition, engagement, and treatment of depressed Chinese Americans in primary care. Methods. Chinese American patients in a primary care setting (n = 4228) were screened for depression. The primary study outcome was treatment engagement rate, and the secondary outcome was treatment response. Results. Of the study participants, 296 (7%) screened positive for depression, 122 (41%) of whom presented for a psychiatric assessment; 104 (85%) were confirmed with major depressive disorder, and 100 (96%) of these patients were randomized into treatment involving either care management or usual care. Patients in the care management and usual care groups did not differ in terms of their outcomes. CSCT resulted in a nearly 7-fold increase in treatment rate among depressed patients in primary care. Conclusions. CSCT is both feasible and effective in improving recognition and treatment engagement of depressed Chinese Americans. Care management may have limited effects on depressed patients treated by psychiatrists, given that these patients tend to have favorable responses in general.
Consumer Awareness of Fast-Food Calorie Information in New York City After Implementation of a Menu Labeling Regulation
Authors: Dumanovsky Tamara , Huang Christina Y. , Bassett Mary T. , Silver Lynn D. 
Published: October 2010

Objectives. We assessed consumer awareness of menu calorie information at fast-food chains after the introduction of New York City's health code regulation requiring these chains to display food-item calories on menus and menu boards. Methods. At 45 restaurants representing the 15 largest fast-food chains in the city, we conducted cross-sectional surveys 3 months before and 3 months after enforcement began. At both time points, customers were asked if they had seen calorie information and, if so, whether it had affected their purchase. Data were weighted to the number of city locations for each chain. Results. We collected 1188 surveys pre-enforcement and 1229 surveys postenforcement. Before enforcement, 25% of customers reported seeing calorie information; postenforcement, this figure rose to 64% (P < .001; 38% and 72%, weighted). Among customers who saw calorie information postenforcement, 27% said they used the information, which represents a 2-fold increase in the percentage of customers making calorie-informed choices (10% vs 20%, weighted; P < .001). Conclusions. Posting calorie information on menu boards increases the number of people who see and use this information. Since enforcement of New York's calorie labeling regulation began, approximately 1 million New York adults have seen calorie information each day.
Hyperfiltration Affects Accuracy of Creatinine eGFR Measurement
Authors: Huang Shih-Han S. , Sharma Ajay P. , Yasin Abeer , Lindsay Robert M. , Clark William F. , Filler Guido 
Published: October 2010

Summary

Background and objectives
Surrogate markers such as creatinine, cystatin C (CysC), and beta trace protein (BTP) have been used to estimate GFR (eGFR). The accuracy of eGFR may be altered with hyperfiltration and differences in filtration fraction (FF). It is hypothesized that the accuracy of creatinine for eGFR may be affected by hyperfiltration and different effective renal plasma flow (ERPF).

Design, setting, participants, & measurements
A total of 127 pediatric patients with various renal diseases underwent simultaneous measurements of GFR using 51Cr-EDTA renal scan and ERPF (131I-hippurate clearance) to calculate the FF (FF = GFR/ERPF). The eGFRs were calculated using the commonly used Schwartz (creatinine), Filler (CysC), and Benlamri (BTP) formulas. Agreement of the eGFRs with the measured isotope GFRs was assessed by Bland–Altman plots. Correlation analysis was performed using nonparametric tests to compare FF with eGFR − GFR.

Results
The 127 children at a median age (with 25th percentile, 75th percentile) of 11.9 (8.5, 14.9) years had a mean 51Cr EDTA-GFR of 100.6 ± 32.1 ml/min per 1.73 m2 and a median 131I-hippurate clearance (ERPF) of 588 (398,739) ml/min per 1.73 m2. Mean FF was 17.7 ± 4.5% with no correlation between the FF and the error (eGFR − GFR) for CysC and BTP eGFR, whereas there was a significant negative correlation between the error for Schwartz eGFR and FF.

Conclusions
There is a significant negative correlation between the error for the Schwartz eGFR and the FF. CysC and BTP are not affected by differences in FF.
The helminth parasites of two sympatric species of the genus Apodemus (Rodentia, Muridae) from south-eastern Slovakia
Authors: Ondríková Jarmila , Miklisová Dana , Ribas Alexis , Stanko Michal 
Published: October 2010

AbstractThe helminths of two sympatric species of rodents, the striped field mouse Apodemus agrarius and the yellow-necked mouse, Apodemus flavicollis from Slovakia were studied to determine whether there are similarities in the composition of the helminth fauna of two closely related host species living in the same area. A total of twelve species of helminths were identified in these rodent populations, including Brachylaima sp. (Trematoda); Hymenolepis diminuta (Rudolphi, 1819), Mesocestoides sp. larvae, Rodentolepis fraterna (Stiles, 1906), Rodentolepis straminea (Goeze, 1782), Skrjabinotaenia lobata (Baer, 1925), Taenia taeniaeformis larvae (Batsch, 1786) (Cestoda); Aonchotheca annulosa (Dujardin, 1845), Heligmosomoides polygyrus (Dujardin, 1845), Heterakis spumosa Schneider, 1866, Mastophorus muris (Gmelin, 1790) and Syphacia stroma (Linstow, 1884) (Nematoda). In A. agrarius, H. polygyrus was the most prevalent, as well as the most abundant helminth, but R. fraterna was the species with the highest mean intensity. In contrast, S. stroma dominated the A. flavicollis helminth fauna with the highest prevalence, mean abundance and mean intensity. Both rodent populations harboured nine helminth species, although the mean individual species richness was significantly higher in A. agrarius than in A. flavicollis. The analysis of helminth diversity at both component and infracommunity levels revealed differences between the two rodent populations, which are most likely attributable to the specific host ecology.
Ultrastructure of intrauterine eggs: Evidence of early ovoviviparity in the caryophyllidean cestode Wenyonia virilis Woodland, 1923
Authors: Młocicki Daniel , Świderski Zdzisław , Mackiewicz John , Ibraheem Mohammed 
Published: October 2010

AbstractUltrastructural evidence for early intraurerine embryonic development of Wenyonia virilis is presented. At the initial stage of egg formation, the fertilized oocyte or ovum is surrounded by numerous vitellocytes and newly formed eggshell. Individual vitellocytes undergo progressive fusion into a vitelline syncytium. During cleavage divisions, three types of blastomeres are formed: macromeres, mesomeres and micromeres. Two large macromeres contain a large nucleus with spherical nucleolus and numerous small heterochromatin islands dispersed in moderately electron-dense nucleoplasm. The granular cytoplasm shows a few large mitochondria. Medium-sized mesomeres contain a spherical nucleus with numerous heterochromatin islands, adjacent to the nuclear envelope, and a prominent electron-dense nucleolus. Their nuclei are embedded in granular cytoplasm with a few large and numerous small mitochondria and Golgi complexes. The small micromeres are characterized by presence of spherical nucleoli with large areas of highly condensed heterochromatin and a few islands of granular electron-lucent nucleoplasm. Their granular cytoplasm shows a few small lipid droplets and several spherical mitochondria. Majority of micromeres give rise to the hexacanth but many of them also undergo degeneration or apoptosis. Both mesomeres and macromeres are engaged in the formation of the oncospheral envelopes. The outer envelope is formed by a fusion of two macromeres whereas the inner envelope originates from a fusion of mesomeres. The intrauterine eggs of W. virilis usually contain an embryo at the early preoncopheral phase of development and possesses three primary envelopes: (1) thick eggshell; (2) thin cytoplasmic layer of the outer envelope and (3) inner envelope. Based on embryonic development, egg type and life-cycle characteristics, caryophyllideans tend to show closer affinities to spathebothriideans than to the former pseudophyllideans.
A new feather mite species of the subfamily Analginae (Acari, Astigmata, Analgidae) from the Savi’s warbler Locustella luscinoides (Aves, Passeriformes) in South Dobrudzha, Bulgaria
Authors: Kolarova Nevena 
Published: October 2010

AbstractA new representative of the subfamily Analginae, Anhemialges mironovi sp. nov., collected from feathers of the Savi’s warbler Locustella luscinoides (Savi, 1824) (Passeriformes, Sylviidae) from the region of South Dobrudzha (Bulgaria), is described. This species is most similar to A. gaudi Mironov, 2009. The new species differs from A. gaudi by the following features in males: the incision in the interlobar membrane is longer, the gastral shield is split into two parts, and the hysteronotal shield bears a crescent-shaped subtegumental sclerotisation.
Measures of Range of Motion and Strength Among Healthy Women With Differing Quality of Lower Extremity Movement During the Lateral Step-Down Test
Authors: Rabin Alon , Kozol Zvi 
Published: October 2010

Study Design Cross-sectional. Objective To determine the association between hip and ankle range-of-motion measures, as well as measures of hip muscle strength, with measures of quality of lower extremity movement, as assessed visually during the lateral step-down test in healthy women. Background Altered lower extremity movement pattern consisting of excessive femoral adduction and internal rotation, leading to excessive knee valgus alignment, is associated with increased risk of knee ligament injury, as well as patellofemoral pain syndrome. Previous investigations of lower extremity kinematics, using 3-dimensional motion analysis systems, document an inconsistent association between hip muscle strength and lower extremity movement pattern. Currently, it is unknown whether differences in hip muscle strength or other physical measures exist among women with differing quality of lower extremity movement as assessed by visual observation. Methods Two physical therapists assessed the quality of movement during the lateral step-down among 29 healthy women (mean ± SD age, 24.3 ± 3.2 years). Subjects were instructed on the optimal movement pattern prior to performing the test. The quality of movement was categorized as “good” or “moderate,” based on a previously established 6-point scale. Several measures of hip strength (handheld dynamometer) and hip and ankle range of motion (fluid-filled inclinometer and universal goniometer) were also assessed. Differences in strength and range-of-motion measures between women with good and women with moderate quality of movement were assessed with a Mann-Whitney U test. Result Both examiners found decreased ankle dorsiflexion range of motion, as measured with the knee bent (P<.05 and P<.01 for examiner 1 and 2, respectively) and in weight bearing (P<.001 and P<.01 for examiner 1 and 2, respectively) among women with a moderate quality of movement compared to women with a good quality of movement on the lateral step-down test. Conclusion Following receipt of instructions on optimal lower extremity movement pattern, women who demonstrate a moderate quality of movement, as assessed visually during the lateral step-down test, exhibit decreased ankle dorsiflexion range of motion compared to women with a good quality of movement. Clinicians should consider evaluating ankle dorsiflexion range of motion when observing an altered lower extremity movement pattern during the lateral step-down test. J Orthop Sports Phys Ther 2010;40(12):792–800.doi:10.2519/jospt.2010.3424
Intrameatal thrombosed anterior inferior cerebellar artery aneurysm mimicking a vestibular schwannoma
Authors: Päsler Dennis , Baldauf Jörg , Runge Uwe , Schroeder Henry W. S. 
Published: October 2010

Aneurysms of the anterior inferior cerebellar artery (AICA) are a rare entity. Purely intrameatal aneurysms are even rarer. The authors report an intrameatal thrombosed AICA aneurysm mimicking a vestibular schwannoma that was treated by resection and end-to-end anastomosis.
This 22-year-old man presented with acute hearing loss, vertigo, and moderate facial palsy. Magnetic resonance imaging showed an atypical intrameatal lesion with dilation of the internal auditory canal.
Microsurgical inspection via a retrosigmoid approach and drilling of the posterior wall of the internal auditory canal revealed a thrombosed AICA aneurysm. The aneurysm was excised, and an end-to-end suture was performed to restore AICA continuity. Intraoperative indocyanine green videoangiography as well as postoperative digital substraction angiography showed a good revascularization.
Intrameatal AICA aneurysms may present with symptoms similar to vestibular schwannomas. End-to-end reanastomosis after aneurysm resection is a treatment option when clipping is impossible.
L’indemnisation du risque thérapeutique en droit anglais et la possibilité d’un rapprochement des systèmes européens
Authors: Taylor Simon 
Published: October 2010

L’introduction dans les pays scandinaves et en France de régimes législatifs d’indemnisation pour certaines catégories de victimes d’accidents médicaux contribue à différencier lourdement ces systèmes par rapport à d’autres au sein de l’Union européenne, qui proposent peu d’alternatifs à l’action en justice pour faute. Cet article examinera l’évolution du droit anglais en matière de responsabilité médicale, qui est passé d’une attitude de déférence vis-à-vis des médecins de la part des juges vers une position aujourd’hui plus favorable à la victime. L’augmentation significative des actions en justice dans ce domaine et leur coût financier pour la
National Health Service a soulevé des demandes de réformes législative en Angleterre. Nous considérerons des propositions récentes pour l’introduction d’un régime législatif d’indemnisation des accidents médicaux. Nous réfléchirons ensuite sur l’opportunité d’une harmonisation communautaire des règles nationales de responsabilité et d’indemnisation des victimes d’accidents médicaux.
ModelingNymphoidesarchitecture: A morphological analysis ofNymphoides aquatica(Menyanthaceae)
Authors: Richards Jennifer H. , Dow Marlene , Troxler Tiffany 
Published: October 2010

•Premise of the study: Species in the aquatic genusNymphoideshave inflorescences that appear to arise from the petioles of floating leaves. The inflorescence‐floating leaf complex can produce vegetative propagules and/or additional inflorescences and leaves. We analyzed the morphology ofN. aquaticato determine how this complex relates to whole plant architecture and whether whole plant growth is sympodial or monopodial.•Methods: We used dissections, measurements, and microscopic observations of field‐collected plants and plants cultivated for 2 years in outdoor tanks in south Florida, USA.•Key results:Nymphoides aquaticahad a submerged plagiotropic rhizome that produced floating leaves in an alternate/spiral phyllotaxy. Rhizomes were composed of successive sympodial units that varied in the number of leaves produced before the apex terminated. The basic sympodial unit had a prophyll that subtended a renewal‐shoot bud, a short‐petioled leaf (SPL) with floating lamina, and an inflorescence; the SPL axillary bud expanded as a vegetative propagule. Plants produced either successive basic sympodial units or expanded sympodia that intercalated long‐petioled leaves between the prophyll and the SPL.•Conclusions:Nymphoides aquaticagrows sympodially, forming a rhizome composed of successive basic sympodia and expanded sympodial units. Variations on these types of sympodial growth help explain the branching patterns and leaf morphologies described for otherNymphoidesspecies. Monitoring how these two sympodial phases are affected by water depth provides an ecologically meaningful way to assessN. aquatica's responses to altered hydrology.
Intraoperative Floppy Iris Syndrome Associated with Risperidone Intake
Authors: Ford Rebecca L. , Sallam Ahmed , Towler Hamish M.A. 
Published: October 2010

Purpose Intraoperative floppy iris syndrome (IFIS) has been strongly associated with intake of selective α1 adrenergic blockers, particularly tamsulosin. Intraoperative floppy iris syndrome has also been linked to the use of other drugs with some a antagonist activity. Methods We identified patients on long-term treatment with the antipsychotic agent risperidone who showed typical features of IFIS during cataract surgery. Results We report 3 eyes in 2 patients taking risperidone in which typical features of IFIS were noted during cataract surgery. Conclusions Risperidone is a widely prescribed drug in psychiatric practice and has α-blocking actions as well as strong affinity for serotonin 2A receptors. Ophthalmologists should be aware of the possible association with IFIS when performing cataract surgery on patients taking risperidone.