bluuebunny/crossref_metadata_2025_split huggingface dataset:
Dance/Movement Therapy for Children and Adolescents with Cancer
Authors: Cohen Susan O. , Walco Gary A. 
Published: March 2003

PURPOSE
: Dance/movement therapy is introduced as a holistic approach to children's health issues, incorporating an array of medical, psychological, social, and spiritual issues.
OVERVIEW
: Dance/movement therapy, with its unique emphasis on nonverbal communication in assessment and treatment, is presented as an innovative therapeutic approach to address the comprehensive needs of children and adolescents with cancer. Dance/movement therapy assessment and intervention strategies are discussed in the context of cognitive, emotional, and social developmental processes, as well as models of stress and psychological adjustment in pediatric cancer.
CLINICAL IMPLICATIONS
: The inclusion of dance/movement therapy as part of the interdisciplinary team addressing the psychosocial needs of children and adolescents with cancer facilitates greater integration of factors related to coping. By its very nature, this modality offers constructs that promote holistic approaches to cancer care.
Perception of Chemotherapy Side Effects Cancer versus Noncancer Patients
Authors: Lindley Celeste , McCune Jeannine S. , Thomason Tracy E. , Lauder Dionne , Sauls Amy , Adkins Shelly , Sawyer William T. 
Published: March 2003

purpose
: This study was conducted to identify and compare perceptions regarding the disruption in quality of life caused by chemotherapy side effects in patients with cancer receiving chemotherapy and in noncancer, chemotherapy‐naive patients.
description of study
: One hundred forty‐six patients with cancer and 224 patients without cancer completed two instruments to assess the perceived magnitude of 41 physical and psychosocial chemotherapy side effects. Instrument 1 used a 5‐point Likert scale (1 = not at all; 2 = a little bit; 3 = somewhat; 4 = quite a bit; and 5 = very much) to summarize patient responses to the question, “How much did or would each of the following side effects of chemotherapy bother you?” Instrument 2 was a serial ranking questionnaire that asked patients to select the 10 most bothersome side effects to numerically rank the top five. An index of the relative magnitude of chemotherapy side effects was calculated for each instrument.
results
: For patients with cancer, loss of hair 50%), changes in taste (46%), constantly being tired (42%), affects work duties (39%), changes in smell perception (35%) were most frequently perceived as bothering them “quite a bit” or “very much.” Nausea and vomiting were ranked 11th and 22nd, respectively. With instrument 2, the five side effects perceived as most troublesome were, in decreasing order: nausea, loss of hair, constantly tired, vomiting, and changes in the way things taste. For noncancer patients, those factors potentially bothersome “quite a bit” or “very much” were: financial hardship (82%), hardship on family (78%), vomiting (73%), shortness of breath (70%), and ability to perform work duties (69%). Via instrument 2, the top five side effects, in decreasing order were: vomiting, hardship on family, loss of hair, financial hardship, nausea, having to move close to a treatment center.
clinical implications
: Noncancer, chemotherapy‐naive patients perceived most chemotherapy‐associated side effects as having greater impact on the quality of life than did cancer patients who had received chemotherapy. These findings can be used to direct patient education, education of the public, specific materials concerning cancer chemotherapy. The expertise of various members of the healthcare team can maximize the patient's comprehension of the adverse effects of the treatment options. The physician's knowledge of the overall treatment plan can assist in patient understanding; oncology pharmacists nurses are in a unique position to educate patients their families regarding potential chemotherapy side effects.
Lymphedema in Women Treated for Breast Cancer
Authors: Loudon Lisa , Petrek Jeanne 
Published: March 2003

AbstractPurpose:The purpose of this report is to discuss the etiologic factors, prevention, and current treatment options for lymphedema, which may occur after breast cancer.Overview:Lymphedema can develop in the breast cancer patient as a result of the interruption of lymphatic flow from postsurgical, postradiation, and infectious causes. It can present at various points after breast cancer treatment and may range from mild to a seriously disabling enlargement. Because lymphedema is permanent, the goal of treatment options is the control of edema, and a multidimensional approach to care is often needed.Clinical implications:In the past, there has been limited research in this area. Because lymphedema is essentially an incurable condition, healthcare providers should be aware of techniques such as sentinel‐node biopsy that could significantly decrease its incidence. In addition, it is important that each patient's treatment include education and prevention precautions.
Culicidae Vectors and Anthropic Changes in a Southern Brazil Natural Ecosystem
Authors: Forattini Oswaldo Paulo , Massad Eduardo 
Published: March 2003

ABSTRACTThe influences of human‐caused changes in a natural ecosystem of Southern Brazil on mosquitoes of the family Culicidae, which may be vectors of diseases, were investigated. Particular attention was given to the effects of deforestation and human settlements with artificial irrigation. The work assumes a preserved environment as representative of the natural ecosystem before human intervention. Another collection site, 50 kilometers from the primitive forest, that presented the same fauna and flora of the former some 50 years ago was chosen as the modified environment. The results clearly showed that some species, such as the Kerteszia subgenus, do not survive these changes, whereas others have found such conditions favorable and have proliferated.
Assessing Ecosystem Health in Governed Landscapes: A Framework for Developing Core Indicators
Authors: Bertollo Pietro 
Published: March 2003

ABSTRACTThis article describes the development of a framework for selecting a core set of indicators suitable for an integrated ecosystem health assessment of a governed landscape. Integrated assessments are those that consider a combination of biophysical, socioeconomic, and human health considerations. Highly governed landscapes are cultural landscapes that are strictly controlled by humans to the extent that they would revert to an entirely different form were it not for continued human intervention. One example of such a landscape, which serves as the setting for this investigation, is the former wetlands of the northeastern Italian coastal zone, which have been subject to widespread land reclamation and coastal development over the past century. The science of ecosystem health has been chosen as the frame of reference because “health” is not judged by the degree of “naturalness” but instead on the ability of the ecosystem to maintain and renew itself. The framework consists of first reviewing literature and methods related to ecological and environmental monitoring, state‐of‐the‐environment reporting, landscape ecology, and sustainability. This is followed by the definition of indicator guidelines that are designed to assist in the evaluation and selection of potential indicators. A core set of indicators are then presented based on a conceptual framework devised for this purpose. Indicators are classed as abiotic, biotic, and cultural, and selected according to the ecological districts comprising the study area. The ultimate goal is their application to an ecological monitoring and assessment program within a governed landscape such as the northeastern Italian coastal zone. Given such a commitment, the normal process of core indicator refinement can then proceed, based on such actions as further consultations with interested stakeholders and evaluation of methodological and practical constraints to their actual application.
Quantitative Multiresolution Characterization of Landscape Patterns for Assessing the Status of Ecosystem Health in Watershed Management Areas
Authors: Johnson Glen D. , Patil Ganapati P. 
Published: March 2003

ABSTRACTLandscape ecology is a field that has grown from realizing that maintenance of ecological resources requires management at several spatial and temporal scales, including landscape‐level ecosystems as whole units of study and management. The subsequent need for characterizing landscape structure has led to a variety of measurements for assessing different aspects of spatial patterns; however, most of these measurements are known to depend on both the spatial extent of a specified landscape and the measurement grain. Therefore, measurements that incorporate a range of scales would be most informative. In response, this article introduces a new method for obtaining a multiresolution characterization of land cover fragmentation patterns within a fixed geographic extent. Our particular interest is in watershed‐delineated extents. The method applies the concept of conditional entropy as one moves from larger “parent” land cover pixels to smaller “child” pixels that are heirarchically nested within the parent pixels. When applied over a range of resolutions, one obtains a “conditional entropy profile.” The conceptual and methodological development of conditional entropy profiles is presented, followed by current and future directions for evaluating and applying this methodology.
The Importance of Landscape Age in Influencing Landscape Health
Authors: Walker J. , Thompson C.H. , Reddell P. , Rapport D.J. 
Published: March 2003

ABSTRACT:Ancient landscapes dominate many parts of the world and are common in Australia—do they have a future for continued agricultural production and the supply of ecological goods and services? The hypothesis is that old, weathered landscapes respond differently from young landscapes when subjected to intensive landuse. The major difference in response is that system function regresses or fails in old landscapes. The aging phenomenon is illustrated using data from a podzol chronosequence on coastal sand dunes at Cooloola, Queensland, Australia. The old systems here are shown to regress naturally from forest systems to health systems as access to nutrients decreases. Responses to landuse disturbances in old landscapes other than sand dunes, show analogous regressive trends to the dune landscapes, but the biophysical nature of the responses can vary. How can such trends in landscape health be measured to better link land capability with landuse? The concept of sustainability may not be appropriate for old landscapes and a different framework based on a health paradigm is suggested. Starting from an equilibrium perspective, we move to a conditional stability concept and then to a conditional health paradigm. Health and ill‐health are deemed to be definable within predetermined limits, that is a compliance measure, similar to the diagnostic approach in human medicine.
Ecosystem Health and Its Measurement at Landscape Scale: Toward the Next Generation of Quantitative Assessments
Authors: Patil Ganapati P. , Brooks Robert P. , Myers Wayne L. , Rapport David J. , Taillie Charles 
Published: March 2003

ABSTRACT The purpose of this paper is twofold: (A) to describe the challenges of reporting on changes in ecosystem health at landscape scales, and (B) to review the statistical and mathematical techniques that allow the derivation of landscape health assessments from a variety of data consisting of remote sensing imagery, demographic and socioeconomic censuses, natural resource surveys, long‐term ecological research, and other geospatial information that is site specific.We draw upon seven innovative and integrative concepts and tools that together will provide the next generation of ecosystem health assessments at regional scales. The first is the concept of ecosystem health, which integrates across the social, natural, physical, and health sciences to provide the basis for comprehensive assessments of regional environments. The second consists of innovative stochastic techniques for representing human disturbance and ecosystem response in landscapes, and the corresponding statistical tools for analyzing them. The third constitutes representation of spatial biocomplexity in landscapes through application of echelon analysis to assessment. The fourth concerns innovative combination techniques of upper‐echelon‐based spatial scan statistic to detect, delineate, and prioritize critical study areas for evaluating and prioritizing causal factors and effects. The fifth involves the capability of comparing and prioritizing a collection of entities in light of multiple criteria, using poset mathematics of partial order with rank frequency statistics, to provide multicriterion decision support. The sixth lies in extending data mining and visualization techniques to determine associations between geospatial patterns and ecosystem degradation at landscape scales. The seventh encompasses comprehensive studies conducted on different types of regional ecosystems.Our focus is to show how the integration of recent advances in quantitative techniques and tools will facilitate the evaluation of ecosystem health and its measurement at a variety of landscape scales. The challenge is to characterize, evaluate, and validate linkages between socioeconomic drivers, biogeochemical indicators, multiscale landscape pattern metrics, and quality of human life indicators. Initial applications of these quantitative techniques and tools have been with respect to regions in the eastern United States, including the U.S. Atlantic Slope and mid‐Atlantic region.
Clinical Practice for Ecosystem Health: The Role of Ecological Restoration
Authors: Harris J.A. , Hobbs R.J. 
Published: March 2003

In this paper, we discuss the need for synergy between the emerging fields of ecosystem health and ecological restoration and examine whether anyone engaged in ecological restoration has attempted this yet, explicitly or implicitly. We provide definitions of terms used in ecosystem health and examples of ecological restoration practices in each of the major ecosystem health categories. We point to the need for effective and measurable indicators of ecosystem health. If we view the concept of ecosystem health as the diagnostic toolbox and ecological restoration as the treatment toolbox for the management of damaged ecosystems, there is clearly the potential for useful synergy. The challenge is to blend a level of generality that allows comparison among different systems with the ability to be specific enough to be helpful in particular cases.ABSTRACT
Cerebrospinal Fluid Neuropeptides and Monoaminergic Transmitters in Patients With Trigeminal Neuralgia
Authors: Strittmatter Matthias , Grauer Markus , Isenberg Elke , Hamann Gerhard , Fischer Christian , Hoffmann Karl‐Heinz , Biaes Franz , Schimrigk Klaus 
Published: March 2003

The pathogenesis of trigeminal neuralgia remains largely unknown. "Peripheral" as well as "central" causes have been suggested. To investigate the role of serotonergic, noradrenergic, dopaminergic, and peptidergic systems, we determined the concentrations of epinephrine, norepinephrine, and their breakdown product, vanillylmandelic acid, in the cerebrospinal fluid of 16 patients (55.3 ±± 8.3 years) with trigeminal neuralgia. As a marker for the dopaminergic system, we determined cerebrospinal fluid concentrations of dopamine and its metabolite, homovanillic acid. As a marker for the serotonergic system, we measured cerebrospinal fluid levels of the serotonin metabolite, 5‐hydroxyindoleacetic acid. In addition, levels of the neuropeptides, substance P and somatostatin, were determined.The concentration of norepinephrine (P<0.01) and its metabolite, vanillylmandelic acid, (P<0.05) were significantly decreased in our patients. The level of the dopamine metabolite, homovanillic acid, was also significantly reduced (P<0.01). Also significantly decreased was 5‐hydroxyindoleacetic acid (P<0.01). Substance P was significantly elevated (P<0.05). Somatostatin was significantly decreased (P<0.05).We hypothesize that the sum of complex neurochemical changes plays a role in the pathogenesis of trigeminal neuralgia. The elevated substance P could support the concept of a neurogenic inflammation in the trigeminovascular system, whereas changes in the monoaminergic transmitters and their metabolites seem to reflect a more central dysfunction possibly due to a longer duration of the disease and an accompanying depression.
Trigeminal Neuralgia. Clinical Manifestations of First Division Involvement
Authors: Sjaastad Ottar , Pareja J.A. , Zukerman E. , Jansen J. , Kruszewski P. 
Published: March 2003

A series of 19 patients with what originally had been diagnosed as a first division (V1) trigeminal neuralgia was collected. The inclusion criteria were severe, rather short‐lasting pain attacks within the V1 area, combined with trigger mechanisms. There were 10 women and 9 men, and the mean age of onset was 57.8 years. Fifteen of 16 with adequate information on attack duration had paroxysms of a “few seconds'“ duration or less, whereas 10 patients had paroxysms lasting ≥2 seconds. In an exceptional case, only “more long‐lasting” attacks (greater than 30 seconds’ duration) were experienced.In regard to autonomic phenomena, lacrimation was most frequently present (in a total of 8 patients; 3 rather regularly, 5 more irregularly). The combination of lacrimation, conjunctival injection, and rhinorrhea was present in only 2 (of 19), and in neither of them in a major way. Typically, autonomic phenomena occurred during the later stages of disease and during particularly severe and long‐lasting attacks. Seven of 14 with adequate information also had nocturnal attacks. Initially, a more or less complete carbamazepine effect was reported by 10 of 13 patients. Precipitation mechanisms were the same as with second and third division tic, but were mainly located within the V1 area, particularly initially.A comparison with SUNCT syndrome has been made. SUNCT is a predominantly male disorder, with only exceptional attacks of ≥10 seconds' duration, and generally with attacks of 15 seconds or longer. Autonomic symptoms and signs are more pronounced than in V1 tic. Carbamazepine generally provides minor, if any, benefit in SUNCT. The present work strongly indicates that the two disorders are essentially different.
Recurrent ‘Migrainelike’ Episodes in Patients With HIV Disease
Authors: Rinaldi Rita , Manfredi Roberto , Azzimondi Giuseppe , Rodorigo Giuseppina , Tonon Caterina , De Rosa Vincenzo , Mastroianni Antonio , Coronado Olga V. , Legnani Cristina , Chiodo Francesco , D'Alessandro Roberto 
Published: March 2003

Recurrent transient neurological deficits have been described in human immunodeficiency virus (HIV)‐infected subjects, but their frequency, pathogenesis, and outcome are still unsettled.We describe 10 HIV‐infected patients with transient neurological deficits (0.8% of all patients followed in ourdepartment during the last decade). All patients were in the advanced stage of immunological disease. None of theclinical or special investigations performed outside of the attacks indicated an underlying structural lesion of the centralnervous system. In 80% of these patients, anticardiolipin antibodies were present. The final outcome was unrelated tothese transient neurological deficits which, per se, had a benign course.We discuss the possible etiopathogenetic mechanisms of such episodes and suggest that they may be “migrainelike”events, possibly related to transient functional circulatory abnormalities secondary to an immunologicalantiphospholipid antibody‐dependent mechanism.
Daily Migraine With Aura: A New Migraine Variant
Authors: Merims D. , Kuritzky A. 
Published: March 2003

The frequency of migraine attacks is not used as a diagnostic criterion, however, it is a very important factor in the evaluation of migraine severity and its treatment. Several studies report the frequency of migraine attacks using the International Headache Society criteria. No investigator, however, has reported daily migraine attacks.In the current report, we present five patients whose headaches transformed from episodic migraine to daily migraine with aura. To the best of our knowledge, this is the first description of this variant of migraine. The symptoms in all the patients described comply strictly with the International Headache Society criteria for the diagnosis of migraine with typical aura.An interesting additional observation concerns the beneficial effect of phenytoin, a drug that has not proved to be effective in migraine but showed some efficacy in our patients.
Idiopathic Intracranial Hypertension and Hemophilia A
Authors: Jacome Daniel E. 
Published: March 2003

Objective.—A patient with hemophilia A and long‐standing recurrent symptoms of idiopathic intracranial hypertension is described. During his relapses, he experienced headache, and attention and language disturbance, but no visual symptoms.Background.—Hemophilia A is a rare inherited coagulation disorder secondary to factor VIII deficiency. Idiopathic intracranial hypertension has been reported in association with prothrombotic conditions and iron deficiency anemia, but not in patients with hemophilia A. Recurrent or chronic headache is not a typical symptom of hemophilia, but headache is a presenting sign of intracranial bleed in persons with hemophilia.Methods.—Medical history review, clinical neurologic examination, brain magnetic resonance imaging, computed head tomography, and electroencephalogram were performed.Results.—Neurologic examination revealed bilateral papilledema during relapses of idiopathic intracranial hypertension. Multiple lumbar punctures preceded by the intravenous administration of factor VIII early in the course of the illness confirmed the presence of elevated cerebrospinal fluid pressures and absence of subarachnoid blood. He had no complications from lumbar punctures. Initial electroencephalograms showed background slowing but later normalized. Magnetic resonance imaging of the brain and computerized tomography of the head were normal. Relapses of idiopathic intracranial hypertension were eventually controlled with the administration of acetazolamide.Conclusion.—Idiopathic intracranial hypertension may develop in patients with hemophilia A in the absence of visual symptoms. Therapeutic and diagnostic lumbar punctures were safe to perform on this patient, following the administration of factor VIII.