bluuebunny/crossref_metadata_2025 huggingface dataset:
Participatory intention and behavior in green cultural heritage conservation: an application of the extended theory of planned behavior
Authors: Xie Jing , Li Hongyu , Furuya Katsunori , Chen Jie , Luo Shixian
Published: August 2024

Cultural heritage is an important contributor to sustainable urban development, and its conservation is considered a global task. Previous research has primarily focused on the conservation of heritage buildings within architectural contexts and world heritage sites within geographical contexts. However, there is a notable gap in conservation of green cultural heritage (GCH) within a landscape-based framework. This study used the extended theory of planned behavior to explore the factors and pathways that influence the public's behavioral intentions toward GCH conservation. Based on 1075 questionnaires collected in Tokyo, Japan, the hypotheses of the newly constructed theoretical model were tested using partial least squares structural equation modeling. The results show that perceived behavioral control has the greatest positive influence on citizens' GCH conservation intentions and behaviors, while social norms do not influence people's behavioral intention to conserve. In the extended factors, the environmental awareness which including heritage awareness and cultural attachment, significantly influences public attitudes towards conservation. Additionally, environmental perception, including perceived usefulness and perceived quality, significantly affects the public's conservation intentions and behaviors, respectively. Our findings have implications for local governments and policymakers to enhance public participation in GCH, as well as some several new theoretical interests for further studies.
The development of a new oral health patient reported outcome measure: the New South Wales public dental services approach
Authors: Chen Rebecca , Ajwani Shilpi , Christian Bradley , Phelan Claire , Srinivas Ravi , Kenny Josephine , O’Connor Mark , Clarke Kara , Sohn Woosung , Yaacoub Albert
Published: August 2024

Background

Addressing Patient Reported Outcomes (PROs) is essential for patient-centred care, shared decision making and improved health outcomes. Value-based health care systems in New South Wales (NSW) have a growing focus on collecting and using PROs that matter most to patients to improve their healthcare outcomes. Developing oral health patient reported outcomes measures (OH-PROM) is a first step towards value-based oral health care. This paper describes the development process of an adult and child OH-PROM tool that can be piloted for NSW public dental patients.

Methods

An expert panel was assembled to undertake a systematic process of developing OH-PROMs for NSW Health. Key methodological considerations included: (1) forming an expert panel to specify the target population and context of implementation, (2) rapid literature review and environmental scan to identify existing validated OH-PROM tools for adults and children. (3) consensus gathering with the expert panel (4) consumer feedback, and (5) finalisation of the tool for electronic oral health record (eOHR) integration to establish a set of questions, that were relevant, context-appropriate, and important to oral healthcare outcomes for patients using public dental services.

Results

The panel considered a total of 59 questions from two child (15), and four adult (44) Oral Health Related Quality of Life (OHRQoL) questionnaires used to collect OH-PROMs. These questions were mapped to the four key dimensions of OHRQoL for OH-PROMs: Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact. The consensus resulted in seven questions that aligned with these four dimensions to form two new NSW OH-PROM tools: one for adults and one for children. The tools were tested with consumers for understandability and usefulness before being incorporated into the electronic oral health record system, in readiness for future pilot testing.

Conclusion

The process for developing new OH-PROMs for NSW public dental services took a pragmatic approach that combined literature appraisal, expert consensus, and consumer consultation. Future work will assess the implementation of the OH-PROM tool and test its validity for broader use as an outcome measure for value-based oral healthcare.
Potato: from functional genomics to genetic improvement
Authors: Qu Li , Huang Xueqing , Su Xin , Zhu Guoqing , Zheng Lingli , Lin Jing , Wang Jiawen , Xue Hongwei
Published: August 2024

Potato is the most widely grown non-grain crop and ranks as the third most significant global food crop following rice and wheat. Despite its long history of cultivation over vast areas, slow breeding progress and environmental stress have led to a scarcity of high-yielding potato varieties. Enhancing the quality and yield of potato tubers remains the ultimate objective of potato breeding. However, conventional breeding has faced challenges due to tetrasomic inheritance, high genomic heterozygosity, and inbreeding depression. Recent advancements in molecular biology and functional genomic studies of potato have provided valuable insights into the regulatory network of physiological processes and facilitated trait improvement. In this review, we present a summary of identified factors and genes governing potato growth and development, along with progress in potato genomics and the adoption of new breeding technologies for improvement. Additionally, we explore the opportunities and challenges in potato improvement, offering insights into future avenues for potato research.
Experimental behavior of connection between composite columns and reinforced concrete flat slab
Authors: Yousry Mohamed , Mostafa Hatem , Youssef Ahmed
Published: August 2024

The combination of concrete-filled steel tube (CFST) columns and reinforced concrete flat slabs provides a suitable structural solution that can be used to replace traditional structures in high-rise buildings. The connection between the CFST column and the RC flat slab is an important factor for this construction system to operate efficiently. In this study, a new form for the connection between the CFST column and the RC flat slab has been proposed. This connection has more constructability, where the steel tube is cut at the level of the slab to prevent the separation between the slab and the concrete inside the steel tube as the slab reinforcement is allowed to continue in the connection zone. The joint zone is strengthened with rebar rings to compensate for the loss in confinement caused by cutting the steel tube at the slab level. In addition to using longitudinal rebar in the joint zone to bear part of the vertical load and to ensure bending rigidity. The behavior of the proposed connection was investigated by testing three sets of small-sized samples. In addition, an equation based on the outcomes of the second set of tests has been carried out to determine the joint bearing capacity for the vertical load.
Optimizing scientific workflow scheduling in cloud computing: a multi-level approach using whale optimization algorithm
Authors: Zhang Xiaowen
Published: August 2024

Cloud computing has evolved into an indispensable tool for facilitating scientific research due to its ability to efficiently distribute and process workloads in a virtual environment. Scientific tasks that involve complicated task dependencies and user-defined constraints related to quality of service (QoS) and time constraints require the efficient use of cloud resources. Planning these scientific workflow tasks represents an NP-complete problem, prompting researchers to explore various solutions, including conventional planners and evolutionary optimization algorithms. In this study, we present a novel, multistage algorithm specifically designed to schedule scientific workflows in cloud computing contexts. This approach addresses the challenges of efficiently mapping complex workflows onto distributed cloud resources while considering factors like resource heterogeneity, dynamic workloads, and stringent performance requirements. The algorithm uses the whale optimization algorithm (WOA) with a two-phase approach to shorten execution time, minimize financial costs, and effectively maintain load balancing.
Age-Stratified Assessment of the Impact of Breast Cancer Knowledge on the Lifestyle and Dietary Patterns Among Nigerian Females
Authors: Effiong Magdalene Eno , Afolabi Israel Sunmola , Chinedu Shalom Nwodo
Published: August 2024

PURPOSE

Breast cancer (BC) is a major cause of cancer-related mortality in Nigeria, which is exacerbated by a lack of understanding of how knowledge of BC risk factors influences the lifestyle and dietary patterns of Nigerians across age groups. This study evaluated the influence of knowledge of BC risks on lifestyle and dietary patterns across age groups, aiming to inform early management, prevention, and survival rates.

METHODS

A cross-sectional survey was conducted in Ota, Ado-odo, Ogun State, Nigeria, involving participants from six educational institutions. The study assessed knowledge of BC risks factors and lifestyle/dietary habits using questionnaires. Results were analyzed using Epi Info software and SPSS version 20.

RESULTS

The participants' age ranged from 13 to 60 years, with a mean of 21 years. The age categories of the participants were 75.24% adolescents (13-19), 18.68% young adults (20-40), and 6.08% middle-aged (41-60). Middle-aged individuals had the least knowledge about smoking (7.58%), alcohol (26.09%), antibiotics (7.25%), and red meat/smoked foods (20.09%), which translated into their poor dietary/lifestyle patterns. Young adults showed profound physical inactivity (71.00%), while adolescents consumed more carbonated drinks (71.53%), which corresponded to lack of knowledge about the effects of physical inactivity (10.85%) and consumption of carbonated drinks (13.70%) on BC risk.

CONCLUSION

The study found that understanding BC risk factors directly affects lifestyle and dietary patterns. Age groups with higher knowledge had better lifestyle/dietary patterns. This highlights the need for a tailored intervention on lifestyle and dietary education across all age groups, especially the middle-aged, so as to inform a deliberate adjustment in lifestyle and dietary habits, which play crucial roles in BC incidence, survival, and prevention.
Association of Opioid Disposal Practices with Parental Education and a Home Opioid Disposal Kit Following Pediatric Ambulatory Surgery
Authors: Stone Amanda L. , Favret Lacie H. , Luckett Twila , Nelson Scott D. , Quinn Erin E. , Potts Amy L. , Eden Svetlana K. , Patrick Stephen W. , Bruehl Stephen , Franklin Andrew D.
Published: August 2024

BACKGROUND:

The majority of opioid analgesics prescribed for pain after ambulatory pediatric surgery remain unused. Most parents do not dispose of these leftover opioids or dispose of them in an unsafe manner. We aimed to evaluate the association of optimal opioid disposal with a multidisciplinary quality improvement (QI) initiative that proactively educated parents about the importance of optimal opioid disposal practices and provided a home opioid disposal kit before discharge after pediatric ambulatory surgery.

METHODS:

Opioid disposal behaviors were assessed during a brief telephone interview pre- (Phase I) and post-implementation (Phase II) after surgery. For each phase, we aimed to contact the parents of 300 pediatric patients ages 0 to 17 years who were prescribed an opioid after an ambulatory surgery. The QI initiative included enhanced education and a home opioid disposal kit including DisposeRX®, a medication disposal packet that renders medications inert within a polymeric gel when mixed with water. Weighted segmented regression models evaluated the association between the QI initiative and outcomes. We considered the association between the QI initiative and outcome significant if the beta coefficient for the change in intercept between the end of Phase I and the beginning of Phase II was significant. Safe opioid disposal and any opioid disposal were evaluated as secondary outcomes.

RESULTS:

The analyzed sample contained 161 pediatric patients in Phase I and 190 pediatric patients in Phase II. Phase II (post-QI initiative) cohort compared to Phase I cohort reported higher rates of optimal (58%, n = 111/190 vs 11%, n = 18/161) and safe (66%, n = 125/190 vs 34%, n = 55/161) opioid disposal. Weighted segmented regression analyses demonstrated significant increases in the odds of optimal (odds ratio [OR], 26.5, 95% confidence interval [CI], 4.0–177.0) and safe (OR, 4.4, 95% CI, 1.1–18.4) opioid disposal at the beginning of Phase II compared to the end of Phase I. The trends over time (slopes) within phases were nonsignificant and close to 0. The numbers needed to be exposed to achieve one new disposal event were 2.2 (95% CI, 1.4–3.7]), 3.1 (95% CI, 1.6–7.4), and 4.3 (95% CI, 1.7–13.6) for optimal, safe, and any disposal, respectively.

CONCLUSIONS:

A multidisciplinary approach to educating parents on the importance of safe disposal of leftover opioids paired with dispensing a convenient opioid disposal kit was associated with increased odds of optimal opioid disposal.
Emerging Health Technologies
Authors: Atkinson Lou , Chase Paul J. , Smith Wesley , Whitsel Laurie P.
Published: August 2024

Apply It!

• This article highlights the rise of digital health technologies and summarizes both the challenges and opportunities associated with the use of technologies by exercise professionals to manage individual and population health.

• After reading, exercise professionals will be able to identify which technologies may be suitable for integration into their practice/business.
New Legal Measures to Limit Risks for Borrowers
Authors: Smirnov E.
Published: August 2024

n June 2024, President of the Russian Federation Vladimir Putin signed Federal Law No. 151-FZ «On Amendments to Certain Legislative Acts of the Russian Federation», which provides for a significant limitation of risks for borrowers — individuals and borrowers — small and medium-sized businesses with a possible increase in interest rates.
Information Culture of a Teacher As the Most Important Competence of His Professional Activity
Authors: Merzlikina I.
Published: August 2024

The article reveals approaches to defining the concept of “information culture of a teacher”, considers the main components of this component of pedagogical culture. The issues of using innovative teaching aids in the educational process of primary school are touched upon, their role in organizing joint activities of a student and a teacher is characterized.
Synteza polskiej historiografii doby romantyzmu według Andrzeja Wierzbickiego. Rekonstrukcja modelu syntezy
Authors: Julkowska Violetta
Published: August 2024

W tekście podjęłam próbę rekonstrukcji „modelu syntezy historiografii doby romantyzmu”, skonstruowanej przez Andrzeja Wierzbickiego w jego publikacji: Historiografia polska doby romantyzmu. Kontekstem historiograficznym dla pracy Wierzbickiego była zastana przez autora tradycja ujęć historii historiografii XIX w. oraz jego własne doświadczenie w ujmowaniu problemów historiografii XVIII i XIX w. Z kolei rekonstruując autorski model syntezy, brałam pod uwagę sposób ujęcia „historiografii doby romantyzmu”, zarówno jako ujęcia syntetycznego oraz jako oryginalnej konceptualizacji zadań i wyzwań dla historyka historiografii w końcu lat 90. Rekonstrukcja modelu została przeprowadzona w czterech krokach: 1) ustalenie stanu badań i roli istniejącej historiografii, 2) analiza refleksji Wierzbickiego wokół zakresu przedmiotowego syntezy, oraz 3) wokół ram chronologicznych, 4) zbadanie osi syntezy i jej układu kompozycyjnego. Podsumowanie zawiera argumentację na rzecz innowacyjnego charakteru syntezy historiografii doby romantycznej i jej inspirujący charakter dla późniejszych prac, powstających w obszarze historiografii romantycznej.
Program Graniczny Unii Afrykańskiej: cele i ich realizacja (2007-2022)
Authors: Dumała Hanna
Published: August 2024

AFRICAN UNION BORDER PROGRAMME: OBJECTIVES AND IMPLEMENTATION (2007-2022)The African Union Border Programme (AUBP) was established in 2007 as part of African Union’s efforts to strengthen the structural conflict prevention capacities of its Member States. The main objective of the AUBP is the promotion of peace, security and stability through: delimitation and demarcation of borders, cross-border cooperation, and capacity building. The Program is implemented on three levels: national, subregional and continental, based on the principle of subsidiarity. In implementing the Programme, the AU Commission cooperates both with African organisations (primarily regional economic communities) and the United Nations, European states (especially Germany) and European organisations of cross-border cooperation (for example AEBR and MOT).
Wysiłki polityczne Somalii o przyjęcie do Wspólnoty Wschodnioafrykańskiej (EAC) jako znaczący krok na rzecz procesu stabilizacji państwa i regionu
Authors: Bar Joanna
Published: August 2024

SOMALIA’S POLITICAL EFFORTS TO JOIN THE EAST AFRICAN COMMUNITY (EAC) AS A SIGNIFICANT STEP IN THE PROCESS OF STABILIZING THE STATE AND THE REGIONOn 31 May 2023, the Extraordinary Summit of Heads of State of the East African Community (EAC) adopted the report on the verification of the accession application of the Federal Republic of Somalia, while deciding to start accession negotiations with immediate effect. The purpose of this article is to attempt to assess this decision, in the context of the admission of one of the world’s most unstable states to a sub-regional organisation that is considered the most advanced in achieving integration goals across the African continent. Due to the fact that Somalia became a member of the Community on 15 December 2023 – almost simultaneously with the submission of this text – an objective assessment of the impact of this decision is not yet possible, but it is possible to attempt to answer questions concerning the political and economic objectives of the accession process undertaken, as well as the potential consequences of its positive implementation.
Stosunki międzynarodowe Chińskiej Republiki Ludowej z państwami Afryki w erze Xi Jipinga – dynamika, istota, trendy
Authors: Zajączkowski Kamil
Published: August 2024

CHINA–AFRICA RELATIONS IN THE ERA OF XI JINPING: THEIR DYNAMICS, ESSENCE, AND TRENDS
The research objective of this article is to highlight the evolution of China’s policy, under Xi Jinping’s rule, towards Africa during the emergence of the new global international order, which divided the world in to the Western and non-Western worlds, as well as to illustrate the dynamics, scale, and scope of this policy. The research hypothesis is that China’s relations with Africa have intensified over the past 25 years. The hypothesis is of both the objective and subjective dimensions. In addition to the economic and political motivations that determined China’s policy towards the African continent in 2000-2016, geostrategic conditions, post-2016, related to the redefinition of the current international order should also be taken into account. Beijing and Xi Jinping perceive Africa, as the pandemic and the war in Ukraine have demonstrated, as an important element in building an international order alternative to that of the West’s.
Grandes Esperanças – Afryka w polityce zagranicznej Brazylii w XXI w.
Authors: Obreda-Monkiewicz Anita
Published: August 2024

“GRANDES ESPERANÇAS” – AFRICA IN THE FOREIGN POLICY OF BRAZIL IN XXI CENTURYThe links between Brazil and African countries go far beyond official political or economic relations and date back to the beginnings of Portuguese colonisation in the New World. They are bound by the painful history of many centuries of slavery, but also the influence of the African population on Brazilian culture, religion and society. Today, Brazil is the country with the second largest population of African descent after Nigeria, yet Brazil’s policy towards Africa seems largely short-term. The aim of the following article is to show the evolution of Brazil’s policy towards Africa in these dimensions from a historical perspective, with particular emphasis on the changes in its dynamics in the 21st century and its inclusion in a broader strategy of the country’s international activity.
Akrodermatitis Enteropatika Tedavisinde Çinko Sprey: Olgu sunumu
Authors: Özdemir Emine , Doğan Methiye , Babayiğit Esra , Tarakçı Nuriye , Altunhan Hüseyin
Published: August 2024

Akrodermatitis enteropatika çinko eksikliğinin neden olduğu nadir görülen bir hastalıktır. Klasik triadı perioral dermatit, diyare ve alopesidir. Kazanılmış formunun nadir bir nedeni total parenteral beslenmeye bağlı eksik çinko alımıdır. Belirti ve bulguları spesifik olmadığı için tanı koymak zordur. Biz bu makalede doğduğundan beri total parenteral beslenen 5 aylık bir hastada gelişen akrodermatitis enteropatika olgusunun literatürden farklı olarak çinko sprey ve çinko krem tedavisi ile görülen klinik iyileşmesini sunuyoruz.
A IMPORTÂNCIA DA VISUALIZAÇÃO NO ENSINO DE GEOMETRIA
Authors: Souza Danielle Santos , Mattos Francisco Roberto Pinto
Published: August 2024

Inserido na temática de Educação Matemática, o objetivo deste artigo é analisar as implicações da visualização no ensino de matemática e mais especificamente, na abordagem da Geometria. Para isso, foi realizado um levantamento bibliográfico sobre o assunto de abordagem exclusivamente qualitativa. Esta pesquisa tem como principal embasamento teórico a Teoria de Registros Representações Semióticas de Duval (1995, 1999, 2003). Esta teoria é fundamental para a compreensão da relevância do ato de visualizar para o ensino de Geometria. Apresento aqui o conceito de visualização geométrica sob três panoramas. Inicialmente, falo da perspectiva histórica, mostrando a utilização da visualização pelos percussores da geometria grega. Em seguida, falo sobre as condições que interferem na visualização. Por fim, analiso os encadeamentos resultantes da utilização da visualização no processo ensino aprendizagem de geometria. O estudo apresenta as razões que justificam a utilização da visualização como recurso metodológico nas aulas de Geometria na Educação Básica.
A EDUCAÇÃO TRANSFORMA: REFLEXÕES ACERCA DAS NOVAS CONFIGURAÇÕES EDUCACIONAIS E UMA ANÁLISE SOBRE O AFETO, A EMPATIA, O DIALOGISMO E A HORIZONTALIDADE NO PROCESSO DE ENSINO-APRENDIZAGEM
Authors: Lima Ana Claudia Silva , Resende Brighenti Miranda Fabiana , Moreto Silva Oliveira Eliane
Published: August 2024

O limiar da década de 2020, trouxe consigo um outro desafio a ser transposto: a pandemia de Covid-19, causada pelo vírus SARS-CoV-2 e suas constantes mutações. O cenário pandêmico afetou significativamente todas as esferas da sociedade e não foi diferente com a educação. As novas configurações educacionais pós-Covid 19, também apontam para a necessidade de uma reformulação nos processos pedagógicos, seja referente à didática ou às interações e articulações educativas. O presente trabalho parte de uma análise acerca das novas interfaces da Educação e dos paradigmas relacionados ao processo de ensino-aprendizagem, para tecer reflexões sobre o papel do afeto, da empatia, do dialogismo e da horizontalidade diante das novas configurações educacionais, trazendo experiências vivenciadas no Centro Universitário Presidente Tancredo Neves- Uniptan, em São João del-Rei.
JOGO COMO RECURSO DIDÁTICO PARA O ENSINO DE RESISTÊNCIA BACTERIANA
Authors: Carvalho Marcelle Alves , Pereira Carlos Alberto Sanches , Souza Lidiane de Fátima de Oliveira
Published: August 2024

O aumento crescente do uso de antibióticos tem potencializado a seleção de cepas de bactérias resistentes a esses medicamentos. Uma política de saúde pública eficaz seria capaz de evitar o desenvolvimento inicial e/ou a propagação da resistência bacteriana através da educação e da implementação precoce de intervenções. Em vista disso, este trabalho formulou o jogo digital “Desafio da resistência”, fundamentado na teoria da aprendizagem significativa de David Ausubel. Este produto educacional (PE) foi desenvolvido para um público juvenil do Ensino Médio, mas para fins de validação o mesmo foi validado por docentes do Ensino Médio através de um formulário eletrônico. O PE foi avaliado quanto a aderência a lei de diretrizes e bases da educação nacional (LDB), ao acesso, aplicabilidade, replicabilidade, abrangência territorial, contextualização, representação do tema, impacto potencial no ensino, impacto potencial social, inovação e a complexidade-estrutura. A análise e interpretação dos resultados quantitativos da validação foram efetuadas por meio do cálculo do Ranking Médio (RM). Com um RM geral de 4,7 o PE foi validado com excelência grau máximo, obtendo 94% do esperado em relação a validação. Portanto, infere-se que o produto educacional tem potencial significativo de facilitar o processo de construção do conhecimento a respeito da resistência bacteriana e o uso correto de antimicrobianos aos alunos da educação básica.
“NUMA FOLHA QUALQUER EU DESENHO UM SOL AMARELO”: UM PROJETO EDUCACIONAL NUMA SALA DE AULA DE ALUNOS COM DEFICIÊNCIA MÚLTIPLA ASSOCIADA A DEFICIÊNCIA VISUAL.
Authors: Santos Mariana dos Reis
Published: August 2024

Este resumo consiste num relato de experiência de uma professora de escola especializada em deficiência visual, mediante a culminância do projeto pedagógico “Aquarela”. O perfil educacional nesta sala de aula se configurava no atendimento de estudantes de deficiência visual associada a deficiências múltiplas.Deste modo, a professora em questão priorizou a construção de uma prática pedagógica transformadora e inclusiva, através de metodologias educativas relacionadas a concepção freiriana de “ temas geradores” na construção do conhecimento. Por isso, tal estudo objetivou descrever  ações pedagógicas surgidas a partir da necessidade de uma abordagem lúdica, utilizando elementos referentes a letra da canção do compositor Toquinho. Foram realizadas diferentes abordagens pedagógicas em sala de aula. Para tal desdobramento, a professora utilizou metodologias que abordassem diversas formas de comunicação verbais ou não verbais, evidenciando os elementos sociais do cotidiano dos estudantes e desenvolvendo os sentidos corporais ao longo das atividades. Por fim, tal  este estudo procurou desconstruir o esteriótipo de barreiras limitantes da construção do processo de ensino aprendizagem dos alunos com deficiência múltipla em sala de aula.Em suma,o projeto centralizou no conjunto de suas ações e execução em sala de aula, a necessidade da mediação crítica no atendimento de alunos com especificidades singulares no espaço educativo,buscando garantir a defesa de uma educação inclusiva, democrática e plural .
Socio-Economy Study on Simple Healthy Septic Tank Provision in Simokerto and Kenjeran Districts, Surabaya City
Authors: Wurdantari Navida Yuhana , Uripan Koen Irianto , Soedjono Eddy Setiadi
Published: August 2024

Surabaya City Mayor Regulation Number 115 of 2022 has regulated the Implementation of Latrine Development in the City of Surabaya as an effort to realize the City of Surabaya Open Defecation Free City in 2023. The development of healthy latrines is prioritized for low-income people who do not have latrines. The purpose of this research is to find out responses from the community regarding the development of healthy latrines based on characteristics and financial conditions. In terms of internal community factors, the willingness of the community to participate in counseling shows the community's interest in learning about environmental sanitation issues. However, there is a problem with limited funding sources for routine desludging activities. From the results of the questionnaire to 54 recipients of healthy latrines, the following conclusions are 5.56% of people who still practice open defecation in the study area even though healthy latrines are available and 11.2% of the people in the study area demonstrated the ability to have individual healthy latrines and manage and maintain septic tanks.
Building for the dairy cow
Authors: Aitkinson Owen
Published: August 2024

While housing dairy cows is commonplace, it restricts various freedoms which are associated with free roaming and grazing. It is important to limit these restrictions as far as possible, in order to safeguard their welfare, and also for them to reach their health and production potential.
SİLİFKE HALK KÜLTÜRÜNDE POYRAZ
Authors: Alptekin Mehmet
Published: August 2024

Silifke, Akdeniz Bölgesi’nin Taşeli Bölümü’nde yer almaktadır. İlçe, doğuda Erdemli, batıda Mut ve Gülnar ilçeleri, kuzeyde Karaman ili ve Konya’nın Ereğli ilçesi; güneyde ise Akdeniz ile çevrilidir. İlçe, önemli yol güzergâhları üzerinde yer alıp Mersin’i İç Anadolu Bölgesi’ne bağlamaktadır. İlçenin Akdeniz’e ve İç Anadolu Bölgesi’ne sınırı olması bitki örtüsü çeşitliliğini artırmıştır. Aynı şekilde yöre, konumu sayesinde hayvancılık, tarım, turizm, yaylacılık, iklim özellikleri vb. yönlerden de zengindir. Ancak ilçenin konumunun sağladığı fırsatlar yanında olumsuz durumları da söz konusudur. Bunların belki en önemlisi İç Anadolu Bölgesi’nden Göksu vadisini takip ederek Akdeniz’e ulaşan bir hava akımı hareketi olan poyrazdır.
Silifke halk kültüründe önemli bir yere sahip olan poyraz; hayvancılıktan çiftçiliğe, mimariden halk sağlığına, halk inanışlarından halk edebiyatı ürünleri içerisinde türkü gibi birçok folklorik öğede kendisine yer bulmuştur. Çalışmadaki veriler görüşme yöntemi ve doküman incelemesiyle elde edilmiş olup kültür analizi yöntemiyle incelenmiştir. Bu sayede, Silifke kültür hayatının önemli unsurları arasında olan poyrazın önemine dikkat çekilmeye çalışılmıştır.
AN ORIGIN MYTH ON HEALING CENTERS AND KENGI HEALTH IN KUSKAN
Authors: Çolak Faruk
Published: August 2024

As a branch of folk medicine practices, the healing centers cult includes some of the traditional medical practices in which various diseases are treated faithfully. Healing centers owners who are interested in many illnesses gain their power by taking hands from relatives who are based on blood or healing centers owners who are based on spiritual bonds. In this way, the owners of the healing centers are based on a sacred origin and the treatment technique they apply is a belief-based practice. While the treatment practices of divine origin are predominantly associated with shamanism, its spiritual aspect is emphasized, on the other hand, the transfer of treatment practice through oral tradition diversifies both the source of knowledge and the techniques of practice. Origin study of such diversified practices brings with it many difficulties while causing uncertainty in information and insecurity. However, in contrast to the oral sources of shamanism, the Sumerian mythical texts are clearer and more interesting, both as written sources and as historical depth and ancientity. The treatment method developed against the sickness of the Sumerian God Enki is cursed, which is the source of the healing centers cult which is a pillar of today's Turkish folk medicine practices. The Sumerian mythic narrative, which we assume as a cultural gene, overlaps with the practices of kengi healing centers that treat kengi disease cure wiht each other. It can be said that while this overlap reveals the mythical origin of the hearth cult, specifically the kengi hearth, it also sheds light on the ethnic origin of the Sumerians as well.
In this study, it includes thoughts on the mythic origin of the healing centers cult and cultural origins, specifically the kengi healing centers found in the Kuskan neighborhood of Mersin's Gülnar district.
A systematic review of melodic intonation therapy used by speech therapists on speech recovery for patients with non-fluent aphasia
Authors:   Communication Sciences and Disorders Division, Department of Occupational Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai Province, Thailand., Wanicharoen Natwipa , Boonrod Vich ,   Department of Music, Faculty of Humanities, Naresuan University, Phitsanulok Province, Thailand, Kalaysak Thanasak ,   Communication Sciences and Disorders Division, Department of Occupational Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai Province, Thailand., Samueanjai Sirapit ,   Maeai Hospital, Chiang Mai Province, Thailand.
Published: August 2024

Background: Many studies have reported positive results regarding the benefits of melodic intonation therapy (MIT) in patients with non-fluent aphasia. Currently, there is no specific inclusion of speech therapists (STs) in MIT research. Investigating effective speech therapy (ST) techniques to address the language functions hindered by non-fluent aphasia could yield evidence for aphasia rehabilitation research. Objective: This systematic review (SR) examines the effectiveness of the traditional MIT protocol used by STs on speech recovery for patients with non-fluent aphasia after stroke. It also discusses other characteristics of the traditional MIT, such as the participants, the MIT protocol applied, the therapy intensity, and the role of STs. Materials and methods: This SR followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) 2020 statement. The four computerized databases (PubMed, Embase, ICTRP, and Google Scholar) were searched in February 2024 to review all empirical findings. We also conducted a hand search in relevant journals. The search yielded 538 studies, of which 2 met the criteria and underwent review. The methodological quality of the included studies was evaluated using the Cochrane Collaboration’s tool for assessing the risk of bias. Furthermore, the protocol was registered in PROSPERO under the reference CRD42024508733. Results: This review included 2 randomized controlled trials (RCTs) involving 44 patients. We found evidence that MIT significantly improved speech recovery, precise language repetition, and functional communication in patients with non-fluent aphasia. STs were interventionists in MIT research and used MIT following the American manual, and they had previously received MIT training. Conclusion: Our review provides some evidence of the effectiveness of MIT on speech recovery in patients with non-fluent aphasia after stroke. MIT may be a practical alternative to standard ST. There is some indication that MIT requires music therapy (MT) skills and training; therefore, STs must also have these abilities.
THE EVALUATION OF TOTAL HIP ARTHROPLASTY IN THE MANAGEMENT OF SPASTIC PAINFUL HIP DISLOCATION IN CEREBRAL PALSY
Authors: Sionek A. , Bąbik B. , Czubak J.
Published: August 2024

Spasticity used to be considered a contraindication for total hip replacement (THR) procedures. Due to the development of implants as well as surgical skills, THR became an option for the treatment of painful dislocation of the hip joint in patients with spastic plegia. The aim of this study was an evaluation of mid-term results of THR in spastic CP adolescent patients with painful hips with hip joint subluxation or dislocation.

In 2014–2022, 18 pts (19 hips) with CP aged 16 to 20 years underwent THR in our department. The mean follow-up was 4 years (range: 1 – 9 years). Results were evaluated using the Gross Motor Function Scale, VAS scale in accordance with the Ashworth scale, types of implants used (dual mobility cup and not dual mobility cup), and radiological assessment (Crowe scale). Complications have been thoroughly analyzed.

In 10 pts there has been an improvement in the GMFSC scale average from 1 to 2 points observed after the surgery. All pts have improved in the VAS scale average of 8 points (from 10 to 7). According to the Crowe scale repositioning of preoperative dislocation to primary acetabulum was achieved in all cases. Complications occurred in 4 cases: dislocations of 2 THR with dual mobility cup and 2 THR with non-dual mobility cup requiring revision surgery with good final result. No statistical significance was noted according to the type of cup (Mann-Whitney U Test).

The most important risk factor for complications is severe spasticity. We believe, that CP pts with painful hips should be treated using THR. We didn't observe any significant differences between the types of implants.

These findings may serve as a basis for the prediction of outcomes of THR treatment in this specific group of pts.

Level of evidence: Case-control or retrospective comparative study-Level III
FEMORAL HEAD REDUCTION OSTEOTOMY APPROACH FOR SEVERE PROXIMAL FEMUR DEFORMITIES: SURGICAL TECHNIQUE AND MINIMUM TWO-YEAR RESULTS
Authors: Rego P. , Mafra I. , Viegas R. , Silva C. , Ganz R.
Published: August 2024

Executing an extended retinacular flap containing the blood supply for the femoral head, reduction osteotomy (FHO) can be performed, increasing the potential of correction of complex hip morphologies. The aim of this study was to analyse the safety of the procedure and report the clinical and radiographic results in skeletally mature patients with a minimum follow up of two years.

Twelve symptomatic patients (12 hips) with a mean age of 17 years underwent FHO using surgical hip dislocation and an extended soft tissue flap. Radiographs and magnetic resonance imaging producing radial cuts (MRI) were obtained before surgery and radiographs after surgery to evaluate articular congruency, cartilage damage and morphologic parameters. Clinical functional evaluation was done using the Non-Arthritic Hip Score (NAHS), the Hip Outcome Score (HOS), and the modified Harris Hip Score (mHHS).

After surgery, at the latest follow-up no symptomatic avascular necrosis was observed and all osteotomies healed without complications. Femoral head size index improved from 120 ± 10% to 100 ± 10% (p<0,05). Femoral head sphericity index improved from 71 ± 10% before surgery to 91 ± 7% after surgery (p<0,05). Femoral head extrusion index improved from 37 ± 17% to 5 ± 6% (p< 0,05). Twenty five percent of patients had an intact Shenton line before surgery. After surgery this percentage was 75% (p<0,05). The NAHS score improved from a mean of 41 ± 18 to 69 ± 9 points after surgery (p< 0,05). The HOS score improve from 56 ± 24 to 83 ± 17 points after surgery (p< 0,05) and the mHHS score improved from 46 ± 15 before surgery to 76 ± 13 points after surgery (p< 0,05).

In this series, femoral head osteotomy could be considered as safe procedure with considerable potential to correct hip deformities and improve patients reported outcome measures (PROMS).

Level of evidence - Level IV, therapeutic study

Keywords - Femoral head osteotomy, Perthes disease, acetabular dysplasia, coxa plana
COLLARED STEMS ARE A PROTECTIVE FACTOR AGAINST EARLY PERIPROSTHETIC FRACTURES IN TOTAL HIP ARTHROPLASTY: A MULTIVARIATE ANALYSIS IN A COHORT OF 1,623 PATIENTS
Authors: Lustig S. , Batailler C.
Published: August 2024

The stem design in total hip arthroplasty (THA) is constantly evolving. The impact of the collar on the risk of periprosthetic fracture remains controversial. This study aimed to determine whether adding a collar to the femoral stem impacts the early periprosthetic fracture risk within 90 days of surgery.

This retrospective study included 1,623 patients who underwent primary total hip arthroplasty in a single orthopedic department between January 2010 and December 2020. The inclusion criteria were uncemented stem with or without a collar, in a primary intention, without previous hip surgery with a similar “corail like” design. The assessed data were demographic characteristics (age, gender, number of obese (BMI > 30)), single or dual mobility, the surgical approach, the early complication, particularly the periprosthetic femoral fractures. Of the 1,623 patients, 1,380 received a collared stem (85%), and 243 received a collarless stem (15%). A multivariate analysis was performed to determine the collar's effect on the risk of early periprosthetic fracture (<90 days).

Nine (0.55%) early periprosthetic fractures were identified in the whole cohort. There were four fractures (1.65%) in the collarless stem group and five fractures (0.36%) in the collared stem group (p=0,005). One patient required revision surgery in the collared stem group, while two patients required revision surgery in the collarless stem group. The multinomial logistic regression model indicated a statistically significant lower (p<0.05) risk of early periprosthetic fracture within 90 days of surgery in the collared stems group. No other risk factor for early periprosthetic fractures has been identified.

Using collared stems in cementless THA protects early periprosthetic femoral fractures within 90 days of surgery.
INCIDENCE OF POSTOPERATIVE PERIPROSTHETIC FEMORAL FRACTURES USING SHORT STEMS IN TOTAL HIP ARTHROPLASTY
Authors: Falez F. , Casella F. , Zaccagno S.
Published: August 2024

Post-operative peri-prosthetic femoral fracture (PO-PPFF) is one of the most relevant complications in primary Total Hip Arthroplasty (pTHA), accountable for a significant clinical and socio-economic burden both in revision and fixation settings.

We retrospectively reviewed of our series of 1586 cementless total hip arthroplasty performed between 1999 and 2019 (achieving a minimum of 5-years follow-up) with different short stems.

We have observed a cumulative low incidence of PO-PPFF of 0,33% (5 cases): we divided Po-PPFF in two groups: fracture occurred around a short stem (A) and around a standard shortened stem (B), according to French Hip & Knee Classification of Short Stems.

Despite the length of observed period (mean follow-up 12 years, min 5 years max 24 years) a total of 1512 cases (mean age at surgery 61 years, max 74, min 40 years) were available to clinical and radiographic follow-up, being this population enrolled in elective surgery clinical protocols.

Our data exceed the low incidence of post-operative femoral fracture around bone -preserving previously reported by Kim in 2018 (12 fracture out of 1089 cases:1.1%).

No correlation have been observed among occurrence of PO-PPF age of the patient and no fracture occurred around cemented short stems despite patient's characteristics were unfavourable in term of age and bone quality. This result is not unexpected, giving the lower incidence of peri-prosthetic fracture even cemented conventional stems, as reported in all registry and systematic reviews.

A similar behaviour was reported in 2020 Australian Joint Registry, where Post-operative periprosthetic femoral fracture showed a steep curve in early period, but remaining firmly below 1% during the following 12 years.

Our clinical data seems to confirm previous studies by Jones (conducted on synthetic bone and fresh-frozen cadaveric femurs) where higher fracture angles and higher fracture torque were detected in short hips compared to standard stems.
MANAGEMENT OF CHRONIC PELVIC DISCONTINUITY DURING REVISION HIP ARTHROPLASTY USING THE “ACETABULAR DISTRACTION TECHNIQUE”: CLINICAL AND RADIOLOGICAL OUTCOMES AT TWO TO TEN YEARS FROM A TWO-CENTRE STUDY
Authors: Malhotra R. , Parameswaran A. , Gautam D. , Batra S. , Apsingi S. , Kishore V. , Eachempati K. K.
Published: August 2024

Chronic pelvic discontinuity (CPD) during revision hip arthroplasty is a challenging entity to address. The aim of this study was to evaluate the clinical and radiologic outcomes, and complications of the “acetabular distraction technique” for the management of CPD during revision hip arthroplasty.

Patients with CPD, who underwent acetabular revision between 2014 and 2022 at two tertiary care centres, using an identical distraction technique, were evaluated. Demographic parameters, pre-operative acetabular bone loss, duration of follow-up, clinical and radiologic outcomes, and survivorship were evaluated.

In all, 46 patients with a mean follow-up of 34.4 (SD=19.6, range: 24–120) months were available for evaluation. There were 25 (54.3%) male, and 21 (45.7%) female patients, with a mean age of 58.1 (SD=10.5, range: 40–81) years at the time of revision surgery. Based on the Paprosky classification of acetabular bone loss, 19 (41.3%), 12 (26.1%), and 15 (32.6%) patients had type 3b, 3a, and 2c defects. All patients were managed using the Trabecular Metal™ Acetabular Revision System; 16 patients required additional Trabecular Metal™ augments. The mean HHS improved from 50.1 (SD=7.6, range: 34.3 – 59.8) pre-operatively, to 86.6 (SD=4.2, range: 74.8 -91.8) at the last follow-up. Two patients (4.3 %) developed partial sciatic nerve palsy, two (4.3%) had posterior dislocation, and one (2.2%) required re-revision for aseptic loosening. Radiologically, 36 (78.3%) patients showed healing of the pelvic discontinuity. The Kaplan-Meier construct survivorship was 97.78% when using re-revision for aseptic acetabular loosening as an endpoint.

The acetabular distraction technique has good clinical and radiologic outcomes in the management of CPD during revision hip arthroplasty.
THE PUSH-THROUGH TOTAL FEMORAL PROSTHESIS FOR REVISION OF A TOTAL HIP OR KNEE ARTHROPLASTY WITH EXTREME BONE LOSS
Authors: Bakircioglu S. , Bulut M. Abdulkadir , Oral M. , Caglar O. , Atilla B. , Tokgozoglu A. M.
Published: August 2024

Extensive and severe bone loss of the femur may be a result of a failed total hip arthroplasty (THA) or total knee arthroplasty (TKA) with multiple revision surgeries which may be caused by factors such as infection, periprosthetic fracture or osteolysis. The aim of this study was to assess outcomes of using the “Push-Through Total Femoral Prosthesis” (PTTF) for revision of a total hip replacement with extreme bone loss.

Fourteen patients who had extensive bone defects of the femur due to failed THR's and were treated with PTTF between 2012 and 2020 were included in this study. Primary functional outcomes were assessed using Harris Hip Score (HHS), Toronto Extremity Salvage Score (TESS) and Musculoskeletal Tumor Society (MSTS) scores. Range of motion, complications, and ambulatory status were also recorded to assess secondary outcomes.

Two of 14 patients underwent surgery with PTTF for both knee and hip arthroplasty revision. The mean time between index surgery and PTTF was 15 years (3 to 32 yrs.). Acetabular components were revised in six of 14 patients. After a mean follow-up of 5.9 years, hip dislocations occurred in 3 patients. All dislocated hips were in patients with retained non-constrained acetabular bearings. Patient satisfaction was high (MSTS: 67%, HHS: 61.2%, TESS 64.6%) despite a high re-operation rate and minor postoperative problems.

PTTF is a unique alternative that may be considered for a failed THA revision procedure in patients with an extreme femoral bone defect. Patients are able to ambulate pain free relatively well. Routine usage of constrained liners should be considered to avoid hip dislocation which was our main problem following the procedure.