bluuebunny/crossref_metadata_2025_split huggingface dataset:
Anesthetic care and perioperative complications of children with Morquio syndrome
Authors: Theroux Mary C. , Nerker Tanvi , Ditro Colleen , Mackenzie William G. 
Published: June 2012

SummaryObjectives:  Our objective was to make recommendations based on our experience and findings from this study regarding the anesthetic care of children with Morquio syndrome (MS). We emphasize information not readily available in the Anesthesiology literature.Aim:  To describe the unique nature of difficulties, especially the relationship of the head and neck to airway patency. In addition, we aim to examine 83 intubations performed in 28 patients and report on observed preferences.Background:  Much of the available literature in Anesthesiology consists of case reports of single or small groups of cases, many describing a nonhomogenous population inclusive of many mucopolysaccharidoses.Methods/Materials:  We retrospectively studied 28 children with MS who underwent 108 surgical procedures at our pediatric hospital, which provides multidisciplinary, comprehensive care to children with skeletal dysplasia.Results:  Cervical fusion was performed in 22 of 28 patients in our study. Eight children after cervical fusion became difficult to intubate for subsequent surgical procedures. In addition, we found airway abnormalities including tortuous appearance of the trachea and bronchi, evident on chest radiograph, as a result of the abnormalities in the hyaline cartilage and deposits of glycosaminoglycans.Conclusion:  Morquio syndrome results in abnormalities of not only upper airway but also of large airways. Information from 83 intubations of 108 anesthetics (in 28 patients) shows a preference for Glidescope when intubating children with MS. Displacing the tongue anteriorly prior to intubation by manual retraction using a ring forceps or a piece of gauze helps to access the larynx in children with MS.
Prior abdominal open surgery does not impair outcomes of laparoscopic colorectal surgery: a case–control study in 367 patients
Authors: Maggiori L. , Cook M. C. , Bretagnol F. , Ferron M. , Alves A. , Panis Y. 
Published: June 2012

AbstractAim  This prospective case‐matched study was conducted to compare the outcome of laparoscopic colorectal surgery in patients with and without prior abdominal open surgery (PAOS).Method  From June 1997 to December 2010, 167 patients with PAOS (including midline, Pfannenstiel, subcostal, right upper quadrant or transverse incision) were manually matched to all identical patients without PAOS from our prospective laparoscopic colorectal surgery database. Matching criteria included age, gender, American Society of Anesthesiology (ASA) score, body mass index, diagnosis and surgical procedure performed. Primary end‐points were postoperative 30‐day mortality and morbidity. Secondary end‐points included operating time, conversion rate and length of stay.Results  A total of 367 patients (167 with PAOS and 200 without PAOS) were included in this study. PAOS was associated with a significantly increased mean operating time (229 ± 66 min vs 216 ± 71 min, P = 0.044). The conversion rate was significantly higher in patients with PAOS, compared with patients without PAOS (22%vs 13%, P = 0.017). There was one (0.3%) postoperative death. The overall postoperative morbidity rate was similar in both groups (22%vs 19%, P = 0.658), including Grade 3 or Grade 4 morbidity, according to Dindo’s classification (5%vs 5%, P = 0.694). Mean hospital stay showed no difference between both groups (10 ± 7 days vs 9 ± 5 days, P = 0.849).Conclusion  This large case–control study suggests that PAOS does not affect postoperative outcomes. For this reason, a systematic laparoscopic approach in patients with PAOS, even with midline incision, should be considered in colorectal surgery.
Luxemburg on Tahrir Square: Reading the Arab Revolutions with Rosa Luxemburg's The Mass Strike
Authors: Zemni Sami , Smet Brecht De , Bogaert Koenraad 
Published: June 2012

AbstractThe protests on Tahrir Square in Cairo have come to symbolize the Arab uprisings of 2011. They have proven that Arab political life is more complex than the false choice between authoritarian rule or Islamist oppositions. The popular uprisings witnessed the emergence of “the Arab peoples” as political actors, able to topple entrenched authoritarian leaders, challenging repressive regimes and their brutal security apparatuses. In our contribution we want to analyze the political dynamics of these uprisings beyond the salient immediacy of the revolutionary events, by taking, as our guide, Rosa Luxemburg's pamphlet The Mass Strike (2005 [1906], London: Bookmarks). An interesting theoretical contribution to the study of revolution, Luxemburg's book provides us with tools to introduce a historical and political reading of the Arab Spring. Based on fieldwork and thorough knowledge of the region, we draw from evidence from the Tunisian and Egyptian revolutions and the more gradual forms of political change in Morocco.Re‐reading the revolutionary events in Tunisia, Egypt and Morocco through the lens of The Mass Strike offers activists on the ground insights into the dialectic between local and national struggles, economic and political demands, strike actions and revolution. The workers protests in Tunisia and Egypt during the last decade can be grasped as anticipations of the mass strike during the revolution; the specific mode in which workers participate as a class in the revolutionary process. This perspective enables an understanding of the current economic conflicts as logical forms of continuity of the revolution. The economic and the political, the local and the national (and one may add the global), are indissoluble yet separate elements of the same process, and the challenge for revolutionary actors in Tunisia and Egypt lies in the connection, organization and fusion of these dispersed moments and spaces of struggle into a politicized whole. Conversely, an understanding of the reciprocity between revolutionary change and the mass strike allows activists in Morocco to recognize the workers' movement as a potentially powerful actor of change, and trade unionists to incorporate the political in their economic mobilizations.
The butterfly effect of caring – clinical nursing teachers’ understanding of self‐compassion as a source to compassionate care
Authors: Wiklund Gustin Lena , Wagner Lynne 
Published: June 2012

Scand J Caring Sci; 2013; 27; 175–183

The butterfly effect of caring – clinical nursing teachers’ understanding of self‐compassion as a source to compassionate care
This study has its roots in a clinical application project, focusing on the development of a teaching–learning model enabling participants to understand compassion. During that project four clinical nursing teachers met for a total of 12 hours of experiential and reflective work. This study aimed at exploring participants’ understanding of self‐compassion as a source to compassionate care. It was carried out as a phenomenological and hermeneutic interpretation of participants’ written and oral reflections on the topic. Data were interpreted in the light of Watson’s Theory of Human Caring. Five themes were identified: Being there, with self and others; respect for human vulnerability; being nonjudgmental; giving voice to things needed to be said and heard; and being able to accept the gift of compassion from others. A main metaphorical theme, ‘the Butterfly effect of Caring’, was identified, addressing interdependency and the ethics of the face and hand when caring for Other – the ethical stance where the Other’s vulnerable face elicits a call for compassionate actions. The findings reveal that the development of a compassionate self and the ability to be sensitive, nonjudgmental and respectful towards oneself contributes to a compassionate approach towards others. It is concluded that compassionate care is not only something the caregiver does, nor is compassion reduced to a way of being with another person or a feeling. Rather, it is a way of becoming and belonging together with another person where both are mutually engaged and where the caregiver compassionately is able to acknowledge both self and Other’s vulnerability and dignity.
Glucose delays age‐dependent proteotoxicity
Authors: Tauffenberger Arnaud , Vaccaro Alexandra , Aulas Anais , Velde Christine Vande , Parker J. Alex 
Published: June 2012

SummaryNutrient availability influences an organism’s life history with profound effects on metabolism and lifespan. The association between a healthy lifespan and metabolism is incompletely understood, but a central factor is glucose metabolism. Although glucose is an important cellular energy source, glucose restriction is associated with extended lifespan in simple animals and a reduced incidence of age‐dependent pathologies in humans. We report here that glucose enrichment delays mutant polyglutamine, TDP‐43, FUS, and amyloid‐β toxicity in Caenorhabditis elegans models of neurodegeneration by reducing protein misfolding. Dysregulated metabolism is common to neurodegeneration and we show that glucose enrichment is broadly protective against proteotoxicity.
Introducing delirium screening in a cardiothoracic critical care unit
Authors: Shaughnessy Liz 
Published: June 2012

Aim: To share an experience of introducing Delirium scoring into a Cardiothoracic Critical Care Unit and the lessons learnt.Background: Delirium has serious consequences leading to increased length of stay in hospital, the possible development of dementia with the associated need for long‐term care and even death. It is therefore vital that the Critical Care nurses are able to prevent, recognize and manage delirium.Data sources and methods: 108 patients who were admitted over a 6 week period were audited and their delirium score, documentation and treatment plans were reviewed.Results: 21% of patients experienced delirium during their stay on Cardiothoracic Critical Care and hypoactive delirium was the most prevalent subtype. Of the three patients who stayed more than 20 days on critical care all suffered with delirium at some point during their stay. Documentation of delirium by both Nursing and Medical staff occurred in less than 50% of patients.Conclusions: The introduction of delirium scoring and audit of its practice has highlighted the incidence of delirium in critically ill patients and has resulted in;
Improved quality of care by development of a delirium care bundle
Improved recognition of delirium
Instigation of practices to prevent and treat delirium
Obstetric Interventions for Low‐Risk Pregnant Women in France: Do Maternity Unit Characteristics Make a Difference?
Authors: Coulm Bénédicte , Le Ray Camille , Lelong Nathalie , Drewniak Nicolas , Zeitlin Jennifer , Blondel Béatrice 
Published: June 2012

AbstractBackgroundIn many countries the closure of small maternity units has raised concerns about how the concentration of low‐risk pregnancies in large specialized units might affect the management of childbirth. We aimed to assess the role of maternity unit characteristics on obstetric intervention rates among low‐risk women in France.MethodsData on low‐risk deliveries came from the 2010 French National Perinatal Survey of a representative sample of births (n = 9,530). The maternity unit characteristics studied were size, level of care, and private or public status; the interventions included induction of labor; cesarean section; operative vaginal delivery (forceps, spatulas or vacuum); and episiotomy. Multilevel logistic regression analyses were adjusted for maternal confounding factors, gestational age, and infant birthweight.ResultsThe rates of induction, cesarean section, operative delivery, and episiotomy in this low‐risk population were 23.9 percent, 10.1 percent, 15.2 percent, and 19.6 percent, respectively, and 52.0 percent of deliveries included at least one of them. Unit size was unrelated to any intervention except operative delivery (adjusted odds ratio [aOR] = 1.47 (95% CI, 1.10–1.96) for units with >3,000 deliveries per year vs units with <1,000). The rate of every intervention was higher in private units, and the aOR for any intervention was 1.82 (95% CI, 1.59–2.08). After adjustment for maternal characteristics and facility size and status, significant variations in the use of interventions remained between units, especially for episiotomies. Results for level of care were similar to those for unit size.ConclusionsThe concentration of births in large maternity units in France is not associated with higher rates of interventions for low‐risk births. The situation in private units could be explained by differences in the organization of care. Additional research should explore the differences in practices between maternity units with similar characteristics. (BIRTH 39:3 September 2012)
The EPILEPSIAE database: An extensive electroencephalography database of epilepsy patients
Authors: Klatt Juliane , Feldwisch‐Drentrup Hinnerk , Ihle Matthias , Navarro Vincent , Neufang Markus , Teixeira Cesar , Adam Claude , Valderrama Mario , Alvarado‐Rojas Catalina , Witon Adrien , Le Van Quyen Michel , Sales Francisco , Dourado Antonio , Timmer Jens , Schulze‐Bonhage Andreas , Schelter Bjoern 
Published: June 2012

SummaryFrom the very beginning the seizure prediction community faced problems concerning evaluation, standardization, and reproducibility of its studies. One of the main reasons for these shortcomings was the lack of access to high‐quality long‐term electroencephalography (EEG) data. In this article we present the EPILEPSIAE database, which was made publicly available in 2012. We illustrate its content and scope. The EPILEPSIAE database provides long‐term EEG recordings of 275 patients as well as extensive metadata and standardized annotation of the data sets. It will adhere to the current standards in the field of prediction and facilitate reproducibility and comparison of those studies. Beyond seizure prediction, it may also be of considerable benefit for studies focusing on seizure detection, basic neurophysiology, and other fields.
Evolution of the EEG in children with Rasmussen’s syndrome
Authors: Longaretti Francesca , Dunkley Colin , Varadkar Sophia , Vargha‐Khadem Faraneh , Boyd Stewart G. , Cross J. Helen 
Published: June 2012

SummaryPurpose:  The early diagnosis of Rasmussen’s syndrome (RS) is often difficult, with differentiation between RS and focal cortical dysplasia (FCD) at epilepsy onset problematic. This study reviewed electroencephalography (EEG) in the two conditions for early indicators of either pathology.Methods:  All children with either suspected RS or with unilateral FCD undergoing evaluation for epilepsy surgery between 1992 and 2005 were identified. Case notes and standard EEG recordings were reviewed. EEG findings were compared where available at <3, 3–6 months, and 3–5 years after seizure onset.Key Findings:  Nineteen children with RS and 17 with FCD were ascertained. In EEG studies performed <3 months after seizure onset, 50% (5/10) of the RS group showed background abnormalities, with 80% of these (4/5) showing persistent high‐amplitude delta activity over the affected hemisphere. This compared to 66% (6/9) of the FCD group with 17% (1/6) showing marked background asymmetry. By 3–6 months after seizure onset, independent interictal abnormalities over the nonaffected hemisphere were seen in 25% (2/8) of the RS group and by 3–5 years in 62% (5/8) compared to none in the FCD group at any time points measured. These independent contralateral interictal abnormalities were notably associated with a significant decline in cognitive skills over time.Significance:  No specific EEG changes at diagnosis of epilepsy were identified to help differentiate between RS and FCD. Emerging persistent delta activity over the affected hemisphere with contralateral normal background rhythms, followed in due course by independent interictal epileptiform abnormalities over the unaffected hemisphere may support the diagnosis of RS as the condition evolves, and highlight the risk of overall cognitive dysfunction.
Quality of life and academic functioning 6 years after paediatric referral for chronic pain
Authors: Knook Lidewij ME , Lijmer Jeroen G , Konijnenberg Antoinette Y , Hordijk Patricia M , van Engeland Herman 
Published: June 2012

AbstractAim:  To assess health‐related quality of life (HR‐QoL) and academic functioning in adolescents and young adults 6 years after paediatric referral for chronic pain.Methods:  In 99 children and adolescents with chronic pain (aged 8–17) referred to a paediatric outpatient clinic, pain and psychiatric disorders were assessed between 2000 and 2002. Participants were reassessed after minimal 5 years (aged 13–24). HR‐QoL [Medical Outcomes Study 36‐item Short‐Form (SF‐36)] was compared with Dutch population norms. Academic functioning (structured questionnaire) was compared with baseline.Results:  Participant’s ratings in most HR‐QoL dimensions did not differ from population norms. Outcome was significantly decreased in Bodily Pain (p = 0.001 males, p < 0.000 females) and female General Health (p = 0.001). Poor general health perceptions (p = 0.002), poor global general health (p = 0.003) and a high somatic symptom level (p = 0.004) at baseline predicted poor HR‐QoL outcome. School/work attendance was significantly better than at baseline (p = 0.002).Conclusion:  Six years after paediatric referral for chronic pain, HR‐QoL was mostly comparable to that of peers, and academic functioning improved. Self‐evaluated global health at referral may be an important predictor of HR‐QoL outcome of children with chronic pain, rather than psychiatric comorbidity.
Cerebral motor function in very premature‐at‐birth adolescents: a brain stimulation exploration of kangaroo mother care effects
Authors: Schneider Cyril , Charpak Nathalie , Ruiz‐Peláez Juan G , Tessier Réjean 
Published: June 2012

AbstractAim:  Given that prematurity has deleterious effects on brain networking development beyond childhood, the study explored whether an early intervention such as Kangaroo Mother Care (KMC) in very preterm preemies could have influenced brain motor function up to adolescence.Methods:  Transcranial magnetic stimulation (TMS) was applied over the primary motor cortex (M1) of 39 adolescents born very prematurely (<33 weeks’ gestational age, 21 having received KMC after birth, 18 Controls with no KMC) and nine adolescents born at term (>37 weeks’ gestational age, >2500 g) to assess the functional integrity of motor circuits in each hemisphere (motor planning) and between hemispheres (callosal function).Results:  All TMS outcomes were similar between KMC and term adolescents, with typical values as in healthy adults, and better than in Controls. KMC adolescents presented faster conduction times revealing more efficient M1 cell synchronization (p < 0.05) and interhemispheric transfer time (p < 0.0001), more frequent inhibitory processes with a better control between hemispheres (p < 0.0001).Conclusion:  The enhanced synchronization, conduction times and connectivity of cerebral motor pathways in the KMC group suggests that the Kangaroo Mother Care positively influenced the premature brain networks and synaptic efficacy up to adolescence.
Ceramic Integration Technologies for Solid Oxide Fuel Cells
Authors: Schilm Jochen , Rost Axel , Poenicke Andreas , Kusnezoff Mihails , Michaelis Alexander 
Published: June 2012

Solid oxide fuel cells are the most promising power conversion units for fossil and biomass fuels combining ceramic and metallic components. Because of long‐term high temperature operation and thermal cycling the standard materials cannot be applied for integration of active ceramic components. Different approaches are used nowadays for the integration of ceramic cells into stacks and of system components in the power plant. In this paper an overview on the application of glass and glass ceramic sealants, active and reactive air brazes as well as compressive mica sealants for solid oxide fuel cells is made. The crystallizing glasses are more favorable for cell integration in the stack for operation in a broad temperature range. Metallic brazes are mainly limited to integration of anode or metal supported cells in ferritic alloy gaskets for operation at T < 750°C and mica is a most suitable solution for system component integration in hot regions of power plants as well as for gas tight electrical isolation. In addition, this study regards aspects of degradation processes of glass ceramic and metallic sealants which allow estimations for the long‐term behavior of joints.
Petrogenesis and Solidification Depth of the Jurassic Daebo and Cretaceous Bulguksa Granitic Rocks in South Korea
Authors: UCHIDA Etsuo , CHOI Seon‐Gyu , BABA Daisuke , WAKISAKA Yusuke 
Published: June 2012

AbstractWe investigated the Jurassic Daebo and Cretaceous Bulguksa granitic rocks in South Korea. The former are distributed mainly in the Gyeonggi and Yeongnam massifs and the latter are present in the Gyeongsan basin and Ogcheon belt. The Daebo granitic rocks generally are of ilmenite series and I to S type. These rocks are associated with Au–Ag hydrothermal deposits, whereas the Bulguksa granitic rocks are of magnetite series and I type, and are associated with Pb–Zn, Cu and Mo–W hydrothermal deposits, as well as Au–Ag hydrothermal deposits. The Daebo granitic rocks show adakitic signatures in their chemical compositions. They are considered to have been derived from partial melting of the thick lower continental crust. Conversely, the Bulguksa granitic rocks in the Gyeongsan basin are non‐adakitic and are considered to have been derived from partial melting of a mantle wedge. Magmas of the Daebo granitic rocks formed at relatively shallow levels, but solidified at deep levels compared with those of the Bulguksa granitic rocks. The Bulguksa granitic rocks in the central to western Ogcheon belt are considered to have been formed by fractionation of magmas derived from partial melting of continental crust. The total Al contents of biotite and hornblende in the granitic rocks increased, with the Bulguksa granitic rocks in the Gyeongsan basin < the Bulguksa granitic rocks in the Ogcheon belt and Gyeonggi and Yeongnam massifs and the Daebo granitic rocks in the Ogcheon belt < the Daebo granitic rocks in the Gyeonggi and Yeongnam massifs. This order corresponds to an increase in solidification depth.