bluuebunny/crossref_metadata_2025_split huggingface dataset:
Long-term outcome and quality of life of patients treated in surgical intensive care: a comparison between sepsis and trauma
Authors: Korošec Jagodič Helena , Jagodič Klemen , Podbregar Matej 
Published: September 2006

Abstract
Introduction
Our aim was to determine long-term survival and quality of life of patients admitted to a surgical intensive care unit (ICU) because of sepsis or trauma.

Methods
This was an observational study conducted in an 11-bed, closed surgical ICU at a 860-bed teaching general hospital over a 1-year period (January 2003 to December 2003). Patients were divided into two groups according to admission diagnoses: group 1 included patients with sepsis; and group 2 included patients with trauma (polytrauma, multiple trauma, head injury, or spinal injury). Quality of life was assessed after 2 years following ICU admission using the EuroQol 5D questionnaire.

Results
A total of 164 patients (98 trauma patients and 66 patients with sepsis) were included in the study. Trauma patients were younger than patients with sepsis (53 ± 21 years versus 64 ± 13 years; P ≤ 0.001). There was no significant difference between groups in Acute Physiology and Chronic Health Evaluation II score or length of stay in the surgical SICU. Trauma patients stayed longer on the general ward (35 ± 44 days versus 17 ± 24 days; P < 001). Surgical ICU survival, in-hospital survival, and post-hospital and cumulative 2-year survival were lower in the sepsis group than in the trauma group (surgical ICU survival: 60% versus 74%; in-hospital survival: 42% versus 62%; post-hospital survival: 78% versus 92%; cumulative 2-year survival: 33% versus 57%; P < 0.05). There was no significant difference in quality of life in all five dimensions of the EuroQol 5D between groups: 60% of patients had signs of depression, almost 60% had problems in usual activities and 56% had pain.

Conclusion
Patients with sepsis treated in a surgical ICU have higher short-term and long-term mortality than do trauma patients. However, quality of life is reduced to the same level in both groups.
Accuracy and feasibility of point-of-care and continuous blood glucose analysis in critically ill ICU patients
Authors: Corstjens Anouk M , Ligtenberg Jack JM , van der Horst Iwan CC , Spanjersberg Rob , Lind Joline SW , Tulleken Jaap E , Meertens John HJM , Zijlstra Jan G 
Published: September 2006

Abstract
Introduction
To obtain strict glucose regulation, an accurate and feasible bedside glucometry method is essential. We evaluated three different types of point-of-care glucometry in seriously ill intensive care unit (ICU) patients. The study was performed as a single-centre, prospective, observational study in a 12-bed medical ICU of a university hospital.

Methods
Patients with an expected ICU stay of more than 48 hours were included. Because the reference laboratory delivers glucose values after approximately 30 to 60 minutes, which is too slow to use in a glucose regulation protocol and for calibration of the subcutaneous continuous glucose monitoring system (CGMS) (CGMS System Gold), we first validated the ICU-based blood gas/glucose analyser ABL715 (part 1 of the study). Subsequently, part 2 was performed: after inserting (and calibrating) the subcutaneous CGMS, heparinised arterial blood samples were drawn from an arterial line every 6 hours and analysed on both the Precision PCx point-of-care meter using test strips and on the blood gas/glucose analyser ABL715. CGMS glucose data were downloaded after 24 to 72 hours. The results of the paired measurements were analysed as a scatter plot by the method of Bland and Altman and were expressed as a correlation coefficient.

Results
Part 1: Four hundred and twenty-four blood samples were drawn from 45 critically ill ICU patients. The ICU-based blood gas/glucose analyser ABL715 provided a good estimate of conventional laboratory glucose assessment: the correlation coefficient was 0.95. In the Clarke error grid, 96.8% of the paired measurements were in the clinically acceptable zones A and B. Part 2: One hundred sixty-five paired samples were drawn from 19 ICU patients. The Precision PCx point-of-care meter showed a correlation coefficient of 0.89. Ninety-eight point seven percent of measurements were within zones A and B. The correlation coefficient for the subcutaneous CGMS System Gold was 0.89. One hundred percent of measurements were within zones A and B.

Conclusion
The ICU-based blood glucose analyser ABL715 is a rapid and accurate alternative for laboratory glucose determination and can serve as a standard for ICU blood glucose measurements. The Precision PCx is a good alternative, but feasibility may be limited because of the blood sample handling. The subcutaneous CGMS System Gold is promising, but real-time glucose level reporting is necessary before it can be of clinical use in the ICU. When implementing a glucose-insulin algorithm in patient care or research, one should realise that the absolute glucose level may differ systematically among various measuring methods, influencing targeted glucose levels.
What Is the Impact of Shared Decision Making on Treatment and Outcomes for Older Women With Breast Cancer?
Authors: Mandelblatt Jeanne , Kreling Barbara , Figeuriedo Melissa , Feng Shibao 
Published: September 2006

Purpose Shared decision making (SDM) has been recommended as a standard of care, especially when there are treatment alternatives or uncertainty in outcomes. However, we know little about use of SDM in cancer care, and even less is known about SDM in older patients. We describe patient and physician determinants of SDM in older women with breast cancer and evaluate whether SDM is associated with treatment patterns or short-term outcomes of care. Patients and Methods Women age 67 or older treated for early stage breast cancer in 29 sites from five geographic regions comprise the study sample (N = 718). Data were obtained from patients by in-person and telephone interviews. Physician data were collected via survey, and medical records were reviewed to ascertain comorbidity and tumor characteristics. Random effects and logistic regression models were used to assess associations between SDM and other factors. Results Women who were age 67 to 74 years (v 75 or older) were accompanied to consultation and who sought information reported the highest SDM, after considering covariates. While SDM was not associated with surgical treatment, greater SDM was associated with higher odds of having adjuvant treatment, controlling for clinical factors. Greater SDM was also associated with improved short-term satisfaction. Conclusion SDM plays an important role in the process of care for older women with breast cancer. Physicians treating this growing population have a simple, but powerful tool for improving outcomes within their grasp—spending time to engage and involve older women in their breast cancer care.
Sagittal spine movements of small therian mammals during asymmetrical gaits
Authors: Schilling Nadja , Hackert Rémi 
Published: September 2006

SUMMARYMammalian locomotion is characterized by the use of asymmetrical gaits associated with extensive flexions and extensions of the body axis. Although the impact of sagittal spine movements on locomotion is well known, little information is available on the kinematics of spinal motion. Intervertebral joint movements were studied in two metatherian and three eutherian species during the gallop and halfbound using high-speed cineradiography. Fast-Fourier transformation was used to filter out high frequency digitizing errors and keep the lower frequency sinusoid oscillations that characterize the intervertebral angular movements. Independent of their regional classification as thoracic or lumbar vertebrae, 7±1 presacral intervertebral joints were involved in sagittal bending movements. In only one species, no more than five intervertebral joints contributed to the resulting `pelvic movement'. In general, the trunk region involved in sagittal bending during locomotion did not correspond to the traditional subdivisions of the vertebral column (e.g. as thoracic and lumbar or pre- and postdiaphragmatic region). Therefore, these classifications do not predict the regions involved in spinal oscillations during locomotion. Independent of the gait, maximum flexion of the spine was observed in the interval between the last third of the swing phase and touch-down. This results in a retraction of the pelvis and hindlimbs before touch-down and, we hypothesize, enhances the stability of the system. Maximum extension occurred during the first third of the swing phase (i.e. after lift-off) in all species. In general, the observed timing of dorsoventral oscillations of the spine are in accordance with that observed in other mammals and with activity data of respiratory and epaxial back muscles. Although no strict craniocaudal pattern was observable, the more cranial intervertebral joints tend to flex and extend earlier than the more caudal ones. This is in accordance with the organization and the activation of the paravertebral musculature in mammals. The amplitude of intervertebral joint movements increased caudally, reaching its highest values in the presacral joint. The more intense sagittal bending movements in the caudal intervertebral joints are reflected by the muscle fiber type composition of the back muscles involved. Despite the highly similar amplitude of `pelvic motion', touch-down and lift-off positions of the pelvis were clearly different between the species with a long, external tail and those with no external tail.
The spectral sensitivity of the lens eyes of a box jellyfish,Tripedalia cystophora(Conant)
Authors: Coates Melissa M. , Garm Anders , Theobald Jamie C. , Thompson Stuart H. , Nilsson Dan-Eric 
Published: September 2006

SUMMARYBox jellyfish, or cubomedusae (class Cubozoa), are unique among the Cnidaria in possessing lens eyes similar in morphology to those of vertebrates and cephalopods. Although these eyes were described over 100 years ago, there has been no work done on their electrophysiological responses to light. We used an electroretinogram (ERG) technique to measure spectral sensitivity of the lens eyes of the Caribbean species Tripedalia cystophora. The cubomedusae have two kinds of lens eyes, the lower and upper lens eyes. We found that both lens eye types have similar spectral sensitivities, which likely result from the presence of a single receptor type containing a single opsin. The peak sensitivity is to blue-green light. Visual pigment template fits indicate a vitamin A-1 based opsin with peak sensitivity near 500 nm for both eye types.
Proprioceptive encoding of head position in the black soldier fly,Hermetia illucens(L.) (Stratiomyidae)
Authors: Paulk Angelique , Gilbert Cole 
Published: September 2006

SUMMARYBecause the eyes of insects cannot be moved independently of the head,information about head posture is essential for stabilizing the visual world or providing information about the direction of gaze. We examined the external anatomy and physiological capabilities of a head posture proprioceptor, the prosternal organ (PO), located at the base of the neck in the black soldier fly, Hermetia illucens (L.) (Family: Stratiomyidae). The PO is sexually isomorphic and is composed of two fused plates of about 130 mechanosensory hairs set in asymmetrical sockets whose orientation varies across the organ. A multi-joint mechanical coupling between the head, neck membrane, and contact sclerites deflects the hairs more or less to increase or decrease their level of excitation. The PO sensory afferents project to the central nervous system (CNS) via a pair of bilateral prosternal nerves (PN) to the fused thoracic ganglia. Simultaneous recording of spiking activity in the PN and videotaping of wind-induced and voluntary head movements around all three axes of head rotation reveal that a few PN afferents are active at rest, but activity increases tonically in response to head deflections. Activity is significantly modulated by change in head angles around the pitch (±40°), yaw (±30°) and roll (more than±90°) axes, although the dynamic range of spiking activity differs for each axis of rotation. Prosternal nerve afferents are bilaterally excited(inhibited) by pitch down (up); excited (inhibited) by head yaw toward the ipsilateral (contralateral) side; excited by roll down toward the ipsilateral side, but little inhibited by roll toward the opposite side. Although bilateral comparison of activity in PN afferents reliably encodes head posture around a given rotational axis, from the point of view of the CNS, the problem of encoding head posture is ill-posed with three axes of rotation and only two streams of afferent information. Furthermore, when the head is rotated around more than one axis simultaneously, mechanical interactions in the neck modify the responses to postural changes around the three rotational axes, which adds further ambiguity to reliable encoding of head posture. The properties of the PO in this relatively basal fly species are compared to those of higher flies and possible mechanisms of disambiguation are discussed.
Cardiorespiratory physiology and swimming energetics of a high-energy-demand teleost, the yellowtail kingfish (Seriola lalandi)
Authors: Clark T. D. , Seymour R. S. 
Published: September 2006

SUMMARYThis study utilizes a swimming respirometer to investigate the effects of exercise and temperature on cardiorespiratory function of an active teleost,the yellowtail kingfish (Seriola lalandi). The standard aerobic metabolic rate (SMR) of S. lalandi (mean body mass 2.1 kg) ranges from 1.55 mg min-1 kg-1 at 20°C to 3.31 mg min-1 kg-1 at 25°C. This 2.1-fold increase in SMR with temperature is associated with a 1.5-fold increase in heart rate from 77 to 117 beats min-1, while cardiac stroke volume remains constant at 0.38 ml beat-1 kg-1 and the difference in oxygen content between arterial and mixed venous blood[(CaO2-Cv̄O2)]increases marginally from 0.06 to 0.08 mg ml-1. During maximal aerobic exercise (2.3 BL s-1) at both temperatures,however, increases in cardiac output are limited to about 1.3-fold, and increases in oxygen consumption rates (up to 10.93 mg min-1kg-1 at 20°C and 13.32 mg min-1 kg-1 at 25°C) are mediated primarily through augmentation of(CaO2-Cv̄O2)to 0.29 mg ml-1 at 20°C and 0.25 mg ml-1 at 25°C. It seems, therefore, that the heart of S. lalandi routinely works close to its maximum capacity at a given temperature, and changes in aerobic metabolism due to exercise are greatly reliant on high blood oxygen-carrying capacity and(CaO2-Cv̄O2). Gross aerobic cost of transport (GCOT) is 0.06 mg kg-1BL-1 at 20°C and 0.09 mg kg-1BL-1 at 25°C at the optimal swimming velocities(U) of 1.2 BL s-1opt and 1.7 BL s-1, respectively. These values are comparable with those reported for salmon and tuna, implying that the interspecific diversity in locomotor mode (e.g. subcarangiform, carangiform and thunniform) is not concomitant with similar diversity in swimming efficiency. A low GCOT is maintained as swimming velocity increases above Uopt,which may partly result from energy savings associated with the progressive transition from opercular ventilation to ram ventilation.
Feeding and digestion in low salinity in an osmoconforming crab, Cancer gracilis I. Cardiovascular and respiratory responses
Authors: McGaw Iain J. 
Published: September 2006

SUMMARY
The osmoregulatory physiology of decapod crustaceans has received extensive attention. Within this field there is a growing body of literature on cardiovascular and respiratory responses to low salinity. Most species exhibit a tachycardia coupled with an increase in ventilation rate and oxygen uptake. However, these previous experiments were conducted on animals that were starved prior to experimentation in order to avoid increases in metabolism associated with digestive processes. Because organisms are not necessarily starved prior to experiencing environmental perturbations, results from previous experiments may not represent natural physiological responses. The present study investigated how an osmoconforming decapod, the graceful crab Cancer gracilis, balanced the demands of physiological systems(prioritization or additivity of events) during feeding and digestion in a low salinity environment. Cancer gracilis exhibited a typical increase in oxygen uptake and less pronounced increases in cardiovascular variables (heart rate, stroke volume, cardiac output) during feeding in 100% seawater. In 3-day starved crabs, exposure to 65% seawater resulted in a pronounced bradycardia,with a concomitant decrease in cardiac output and haemolymph flow rates and a temporary decrease in oxygen uptake. When crabs were exposed to low salinity,3 h and 24 h after food ingestion, heart rate increased slightly and cardiac output and ventilation rates remained stable. Although oxygen uptake decreased transiently, feeding levels were quickly regained. During a recovery phase in 100%SW there was an overshoot in parameters, suggesting repayment of an oxygen debt. Thus, it appears that feeding and digestion are prioritized in this species, allowing it to survive acute exposure to hyposaline water. Furthermore, the results show that the nutritional state of an animal is important in modulating its physiological responses to environmental perturbations. This underscores the importance of studying physiological responses at the whole organism level under conditions closely approximating those of the natural environment.
Growth or differentiation? Adaptive regeneration in the brittlestarAmphiura filiformis
Authors: Dupont Samuel , Thorndyke Michael C. 
Published: September 2006

SUMMARYAmphiura filiformis is a burrowing brittlestar, which extends arms in the water column when suspension feeding. In previous studies, unexpectedly high variability was observed in regeneration rate between individuals even when experiments were performed under identical conditions. The aims of this work were to understand this variability and interpret the observed variability in terms of adaptation to sublethal predation. Our experiments on the dynamics of arm regeneration in A. filiformis revealed that the developmental program during regeneration is well adapted to its burrowing life style. We demonstrate that there is a trade-off between regeneration in length and functional recovery for feeding (differentiation index). The amount of tissue lost (length lost), which represents the quantity of tissue needed to completely regenerate an intact arm with no previous history of regeneration, determines whether the arm will invest more energy in growth and/or in differentiation, which must be a reflection of the ability to differentially regulate developmental programs during regeneration. We show that combining regeneration rate with differentiation index provides an ideal tool for the definition of a standard temporal framework for both field and laboratory studies of regeneration.
Pectoral fin coordination and gait transitions in steadily swimming juvenile reef fishes
Authors: Hale Melina E. , Day Ryan D. , Thorsen Dean H. , Westneat Mark W. 
Published: September 2006

SUMMARYA common feature of animal locomotion is its organization into gaits with distinct patterns of movement and propulsor use for specific speeds. In terrestrial vertebrates, limb gaits have been extensively studied in diverse taxa and gait transitions have been shown to provide efficient locomotion across a wide range of speeds. In contrast, examination of gaits in fishes has focused on axial gaits and the transition between synchronous paired fin locomotion and axial propulsion. Because many fishes use their pectoral fins as their primary propulsors, we aimed to examine more broadly the use of pectoral fin gaits in locomotion. We used juvenile reef fishes in these experiments because their swimming could be recorded readily across a wide range of Reynolds numbers, which we thought would promote gait diversity. Based on previous work in larval fishes, we hypothesized that juveniles have alternating pectoral fin movements rather than the synchronous, or in-phase,coordination pattern of adults. In flow tank swim studies, we found that juvenile sapphire damselfish Pomacentrus pavo used two fin gaits during steady swimming. Below approximately 3 BL s-1, P. pavo primarily swam with alternating fin strokes 180° out of phase with one another. At speeds in the range of 3-4 BLs-1, they performed a gait transition to synchronous fin coordination. Between approximately 4 and 8 BL s-1, P. pavo primarily beat their fins synchronously. At around 8 BLs-1 there was another gait transition to body-caudal fin swimming,in which the pectoral fins were tucked against the body. We suggest that the transition from alternating to synchronous fin coordination occurs due to mechanical limits of gait performance rather than to energy efficiency,stability or transitions in hydrodynamic regime. To determine whether this gait transition was species-specific, we surveyed pectoral fin locomotion in juveniles from 11 species in three reef fish families (Pomacentridae, Labridae and Scaridae). We found that this gait transition occurred in every species examined, suggesting that it may be a common behavior of juvenile reef fishes. Greater inclusion of early life history stages in the study of fin-based locomotion should significantly enhance and inform the growing body of work on these behaviors.
Lifetime performance in foraging honeybees: behaviour and physiology
Authors: Schippers M.-P. , Dukas R. , Smith R. W. , Wang J. , Smolen K. , McClelland G. B. 
Published: September 2006

SUMMARYHoneybees, Apis mellifera, gradually increase their rate of forage uptake as they gain foraging experience. This increase in foraging performance has been proposed to occur as a result of learning; however, factors affecting flight ability such as changes in physiological components of flight metabolism could also contribute to this pattern.Thus, the purpose of this study was to assess the contribution of physiological changes to the increase in honeybee foraging performance. We investigated aspects of honeybee flight muscle biochemistry throughout the adult life, from non-foraging hive bees, through young and mature foragers, to old foragers near the end of their lifespan. Two-dimensional gel proteomic analysis on honeybee thorax muscle revealed an increase in several proteins from hive bees to mature foragers including troponin T 10a, aldolase and superoxide dismutase. By contrast, the activities (Vmax)of enzymes involved in aerobic performance, phosphofructokinase, hexokinase,pyruvate kinase and cytochrome c oxidase, did not increase in the flight muscles of hive bees, young foragers, mature foragers and old foragers. However, citrate synthase activity was found to increase with foraging experience. Hence, our results suggest plasticity in both structural and metabolic components of flight muscles with foraging experience.
Effect of Entrained Air on Recycled Concrete Prasoperties
Authors: Zega CJ , Taus VL , Di Maio AA 
Published: September 2006

Abstract
Air entrainment is a good practice to improve the durability of concrete exposed to cycles of freezing and thawing. For a given admixture dosage, the air content will depend on mix proportions and the characteristics of the materials employed. The use of crushed waste concretes (recycled coarse aggregates), which have different characteristics and properties compared to natural coarse aggregates, could modify the air content and behavior of recycled concretes. In this paper, some fresh and hardened state properties of entrained air recycled concretes were evaluated and compared with those of entrained air conventional concrete. Recycled concretes were elaborated with 50, 75, and 100% replacement by volume of natural coarse aggregates by crushed waste concretes. The results indicate that the recycled concretes show a satisfactory mechanical and durable behavior, similar to or better than that of conventional one.