bluuebunny/crossref_metadata_2025 huggingface dataset:
СИСТЕМА ПІДТРИМКИ ПРИЙНЯТТЯ РІШЕНЬ ДЛЯ ВИЯВЛЕННЯ АНОМАЛІЙ ВИЗНАЧЕННЯ КОЛЬОРІВ
Authors: Мельников О. Ю. , Канішев В. О.
Published: October 2024

Анотація. Робота присвячена створенню спеціалізованої системи для виявлення дальтонізму. Наведено визначення цієї хвороби, її різновиди та характерні риси кожного з них. Розглянуті методи для визначення дальтонізму – метод поліхроматичних таблиць Юхима Рабкіна, метод Сінобу Ісіхара, метод Юстової. Проаналізовано наявні додатки та інтернет-сайти для проходження тестування щодо наявності аномалій визначення кольорів, їхні переваги та недоліки. Поставлено задачу створити спеціалізовану систему підтримки прийняття рішень для виявлення аномалій визначення кольорів, яка повинна містити два застосунки: додаток-тестування, головною задачею буде виявлення хвороби та її видів за допомогою проходження тестів, та додаток-гра, що буде виявляти проблеми з колірним сприйняттям за допомогою переставляння карток по полю програми. Наведено математичні формули опису процесу тестування та розрахунку результатів, а також створення зображень для тестування. Створено інформаційну модель системи мовою моделювання UML, наведено можливості проєктованої системи у вигляді діаграми варіантів використання та структури обох частин системи у вигляді двох діаграм класів – для додатка-тестування та додатка-гри.
Описано можливості нової системи, що дозволяє одночасно використовувати низку різних тестів і діагностувати різновиди колірних аномалій, має розподілення користувачів на «Admin» та «User», вкладки з тестами, налаштуваннями та результатами, вибір тестування та кількості запитань, а також випадковий порядок їхнього надходження. Показано приклади роботи системи з налаштуваннями для адміністратора та користувача, приклади проходження тестування та аналізу результатів.
MODELING OF THE AUTOMATED COMPLEX COMPONENTS FOR SEGREGATED RESIDUES GATHERING OF OPERATIONAL PRINTING
Authors: Neroda Tetyana , Storozhuk Dmytro
Published: October 2024

Abstract. An overview of the printing industry primary measures regarding the balanced implementation of the sustainable development goals at the regional level was carried out. Based on the latest works analysis in the direction of the enlargement of branch waste management systems, the solutions insufficiency for the limited financial situations of small businesses is revealed, and the relevance of finding optimal means of gathering segregated waste and their temporary storage at the enterprise is shown. The criteria have been established and the stratification of typical categories of orders the operational printing has been carried out according to print run and rest volume. The requirements for the collection and storage of waste raw materials and consumables have been clarified and expanded, in particular regarding the provision of microclimatic conditions. In order to model effective business processes of pro­duction residues management, the construction of a universal complex for target cumulative of pre-segregated substrate scraps in the form of a smart container with a weighing terminal is substantiated. For flexible allocation of corporate flows, the hardware part is implemented from measuring, supervisory and communication blocks depending on their purpose in the automated microprocessor platform. The researched printing waste types the built algorithm of the life cycle of their cumulating made it possible to draw up an architectural diagram of segregator system and determine the main components hierarchy of printing waste receptacle when order manufacturing. As a result, analytical models were built and the modeling of automated complex of segregated residues gathering in operational printing was carried out based on created microcontroller system for monitoring of mass and climate control of cumulated surpluses to maintenance proper conditions their subsequent recycling.
Routine vaccination coverage at ages 2 and 7, before, during, and after the COVID-19 pandemic: Results from the STARVAX surveillance system
Authors: Jeevakanthan Ahash , Roubos Sophia , Hong Cindy , Hender Allison , Granger Morag , Khan Sazzadul , Shahid Maaz , LeBlanc Shannon , O’Connell Jeanine , Gilbert Nicolas L.
Published: October 2024

Objective

A decline in routine vaccination coverage in children has been observed after the onset of the COVID-19 pandemic, but it is unclear whether these declines were sustained over time. This analysis assessed changes in vaccination coverage at ages 2 and 7 years for routinely administered vaccinations before, during, and after the COVID-19 pandemic.

Methods

Vaccination coverage was measured using yearly data from the Standardized Reporting on Vaccination (STARVAX) surveillance system between December 31, 2019, and December 31, 2023. Four provinces (Alberta, Saskatchewan, Manitoba, and New Brunswick) and one territory (Yukon) produced reports from their immunization registries and provided the Public Health Agency of Canada with the numbers of vaccinated 2-year-old and 7-year-old children. Population estimates from Statistics Canada and the Yukon Bureau of Statistics were used as the denominators.

Results

There was a decline in vaccination coverage in 2023 compared to 2019. In 2-year-olds, coverage for one dose of the measles, mumps, and rubella (MMR) vaccine and four doses of the diphtheria, tetanus, and acellular pertussis (DTaP) vaccine decreased from 89.5% to 82.5% and from 79.9% to 72.1%, respectively. Among 7-year-olds, DTaP (up-to-date) and MMR (two doses) vaccination coverage decreased from 77.1% to 68.8% and 86.3% to 75.6%, respectively.

Conclusion

These declines are of concern and suggest that health care professionals should provide parents with accurate information regarding vaccines and encourage them to have their children vaccinated and keep vaccinations up to date.
Влияние волонтеров на социальное чувство у детей с онкологией: опыт одного наблюдения
Authors: Василенко Инна , Ткаченко Ольга
Published: October 2024

Статья посвящена роли волонтеров в поддержании социального чувства у онкобольных детей. На основе концепции «социального чувства», разработанной австрийским врачом и психологом Альфредом Адлером, исследуются механизмы, с помощью которых волонтеры способствуют интеграции детей в социальное пространство, несмотря на ограничения, накладываемые медицинскими учреждениями. Ранее этому аспекту уделялось недостаточно внимания. В статье рассматривается, как организация мероприятий с участием волонтеров, детей, родителей и медицинского персонала позволяет создать временную социальную среду, которая способствует эмоциональной поддержке и улучшению качества жизни детей. Мероприятия, включающие игры, спектакли и совместные активности, помогают детям ощутить свою значимость, включенность в коллектив и осознать свои социальные роли. Волонтеры играют ключевую роль в этом процессе, создавая атмосферу радости и поддержки, что приводит к положительным эмоциональным изменениям у детей. Исследование опирается на данные включенного наблюдения и интервью с волонтерами и родителями больных детей. Результаты показывают, что такие мероприятия способствуют снижению уровня стресса и тревоги, как у детей, так и у их родителей. Родители отмечают не только внешние проявления радости и оживления у своих детей, но и внутренние изменения, такие как увеличение открытости для общения и положительное восприятие жизни. Медицинский персонал также подчеркивает положительный эффект от таких мероприятий. Врачи и медсестры отмечают улучшение настроения у детей, что облегчает процесс лечения и реабилитации. Кроме того, мероприятия позволяют самому персоналу сместить фокус внимания и получить эмоциональную разгрузку, что помогает справляться с профессиональным выгоранием. В исследовании подчеркивается значимость волонтерской деятельности в паллиативной помощи детям с онкологическими заболеваниями. Волонтеры не только помогают создавать атмосферу радости и взаимодействия, но и способствуют поддержанию социального чувства, что является важным элементом в улучшении качества жизни и психологического благополучия маленьких пациентов.
Serum 25 Hydroxy – D in Patients without Vitamin D Supplementation: Perspectives from Cohorts with Rheumatoid Arthritis and Systemic Lupus Erythematosus
Authors: Haider M Al Attia , Maysaa M Abbasi , Abdullah Mazin
Published: October 2024

Hypovitaminosis D is common in the sunny UAE. This study focusses on the perspectives of 25 hydroxy-D in patients with RA and others with SLE ((Autoimmune disease, ADs)) and to compare them to others of patients without ADs) .The latter were used as control group. All included individuals were without history of vitamin D intake. Hypovitaminosis D was common in the 3 groups (RA, SLE and controls). However, the prevalence of hypovitaminosis D in patients with each of ADs was significantly lower to that of the control group yet with higher means of 25 (OH) D levels. These findings were in contrast to those of number of regional and international studies conducted earlier. Data on the high prevalence of hypovitaminosis D and the low mean values of 25 (OH) D were comparable between the two groups of ADs. Overall, the results of this study may lead to some controversy or perhaps a challenge to the widespread understanding of the contrary as per previous international and regional studies. They also argue further the concept of specific association of hypovitaminosis D and autoimmune disease and certainly encourage wider estimation of 25(OH) D among larger numbers of patients in general medical practice. Finally, the outcomes of this work deserve further study/ies in larger groups in the future.
Evaluation of Hafıza-i Saltanat theater play and activities in terms of history teaching
Authors: Açıl Cemile , Karabağ Gülin , Tokdemir Muhammet Ahmet
Published: October 2024

The aim of this study is to evaluate the Hafıza-i Saltanat theatre play and activities, which combines evidence-based learning and history-themed theatre, written based on archival documents, in terms of history teaching. In this study, firstly, Hafıza-i Saltanat theatre play and its activities were introduced. Then, the play was examined in the context of historical reality, 10th grade history course curriculum achievements and textbooks, and the activities of the play were examined with student opinions in the context of age, level, knowledge, skills and 10th grade history course curriculum achievements. Document analysis and holistic single case study design, which are qualitative research methods, were used in the study. While the text of the theatre play, video recording and activities were evaluated through document analysis, watching the play and implementing the activities were handled as a holistic single case. The study group consisted of a total of 19 volunteer students, 6 boys and 13 girls, studying at the 10th grade level of secondary education. The data collection tools of the study were the text of the Hafıza-i Saltanat theatre play, the video recording of the play, the activities of the play, the video recordings of the application and the researcher's observation notes. The data obtained from the data collection tools were analyzed by descriptive analysis method. As a result of the study, it was determined that the archival documents used in the play were taken from the Mühimme Books, where the records of the Divan-ı Hümayun were kept, and the issues that were not included in the documents were included in the fiction by considering the historical facts, and for this reason, the play was written and performed largely in parallel with the historical reality. At the same time, it has been determined that the play and its activities meet and gain the achievements of units 4, 5, 6 and 7 of the 10th Grade History Course Teaching Program. It has been concluded that the use of Hafıza-i Sultanate play and activities in history lessons is appropriate for the specified achievements and that it supports the evidence-based learning approach and provides students with the necessary knowledge and skills.
METHODOLOGY FOR CALCULATING THE MAIN PARAMETERS OF FRAGMENTATION EXPLOSIVE DEVICES FOR DESTRUCTION OF AIR TARGETS OF THE BPL TYPE
Authors:   Hetman Petro Sahaidachnyi National Army Academy, Lviv, Ukraine, Kryvtsun V.I. , Holushko S.L. ,   Hetman Petro Sahaidachnyi National Army Academy, Lviv, Ukraine
Published: October 2024

Based on the experience of the Russian-Ukrainian war, there is a tendency to increase the number of unmanned aerial vehicles used to destroy equipment, personnel, and infrastructure. For this purpose, unmanned aerial vehicles such as barrage munitions, kamikaze, drop drones, etc. are used. The share of losses of weapons and equipment, as well as personnel, caused by such weapons has become the largest compared to other means of destruction. To counteract such means, various anti-aircraft missile systems, electronic warfare equipment and mobile fire groups are used. The most effective way to defeat unmanned aerial vehicles is to hit them with a large number of destructive elements (fragments). Taking into account the ratio of the cost of unmanned aerial vehicles and means of their destruction, in particular anti-aircraft missile munitions, the paper proposes the use of fragmentation explosive devices of directed action to defeat attack unmanned aerial vehicles according to the "effectiveness-cost" criterion. The article presents an analysis of studies of the effectiveness of the use of directed-action fragmentation munitions. A study of the feasibility of using directed-action fragmentation engineering ammunition of the MON series mines is carried out. On the basis of the mathematical model of the flight of a fragment, taking into account its shape, a methodology for calculating the main parameters of fragmentation explosive devices of directed action for the destruction of air targets such as unmanned aerial vehicles is proposed. Mathematical calculations are presented to determine the main characteristics of fragmentation explosive devices of directed action for defeating unmanned aerial vehicles, taking into account the external trajectory measurements of the target and the factors that affect the formation of the fragmentation field (zone). Schemes of deployment of fragmentation explosive devices of directed action for the protection of objects are proposed.
METHOD OF MULTI-PARTY COMPUTATION MANAGEMENT OF CRYPTOASSETS BASED ON MULTI-PARTY COMPUTATION TECHNOLOGY
Authors:   Khmelnytskyi National University, Khmelnytskyi, Ukraine, Dzhuliy V.M. , Filyuk E. ,   Khmelnytskyi National University, Khmelnytskyi, Ukraine
Published: October 2024

The task of building an efficient and secure crypto-currency wallet based on multi-party computing technology, which can provide reliable and secure use in various industries working with cryptocurrencies, is considered. Modern algorithms of multilateral calculations, such as those of Gennaro and Goldfeder, Lindella, Doerner, offer significant advantages in data protection, but they have certain limitations. The main ones are insufficient efficiency in the number of signature rounds and lack of cold storage support. This highlights the need for further research and development in the field of Multi-Party Computation technology to achieve higher levels of operational efficiency and flexibility. The method of ensuring the confidentiality and security of cryptoassets on the dream technology of multilateral computing for the Ethereum network consists in: ensuring a high level of security for the storage of private keys and the process of signing the transaction, using advanced cryptographic protection methods; guaranteeing the confidentiality and privacy of users, protecting their personal information from unauthorized access or data leakage; using advanced technologies, including Multi-Party Computation technology, to increase the level of security and privacy of asset storage. On the basis of the conducted research and analysis of the characteristics of multiparty computing protocol standards, a protocol is proposed that takes into account the existing improvements and shortcomings of previous protocols. To improve security, the protocol implements the principle of interval update of the shared secret. A cryptoasset management system based on multilateral computing includes several important stages: choosing cloud providers, creating and configuring instances, containerizing applications, configuring secure communication and routing. The system provides the possibility of reliable storage of cryptoassets, in particular, private keys to wallets of the Ethereum network, using the Multi-Party Computation technology, which can be used in various cryptoprojects for the safe transfer of cryptoassets. The architecture of the system involves the interaction of the main components to ensure reliable and safe operation. A scheme for establishing a secure connection of nodes is proposed and a local storage model is described, which provides secure storage of key shares, signatures, and system logs.
La normalisation troublante de la mort médicalement administrée au Québec et au Canada : état des lieux
Authors: Turcotte Pier-Luc , Lemmens Trudo
Published: October 2024

Le Québec est récemment devenu l’épicentre de l’aide médicale à mourir (AMM) dans le monde, enregistrant une hausse sans précédent du nombre de décès par AMM. L'objectif de cet article est d'entamer une discussion critique sur l’évolution de l’AMM au Québec, en s’appuyant sur l’expérience canadienne et internationale pour dégager quelques pistes explicatives propres au cas particulier du Québec. Dans un premier temps, nous reviendrons sur le cas de la Californie qui a légalisé le suicide assisté en même temps que le Canada mais qui n’a pas connu une hausse aussi importante. Ensuite, nous commenterons quelques aspects particuliers du système d’AMM canadien qui peuvent expliquer la hausse fulgurante de la pratique au Canada et au Québec en comparaison avec des régimes plus libéraux comme en Belgique et aux Pays Bas. Parmi les explications, nous aborderons la méconnaissance de la souffrance dans le contexte du handicap, devenue le critère ultime pour établir l’admissibilité des personnes handicapées. Nous observons également que le débat sur l’AMM a été déformé par une rhétorique de droit constitutionnel, et par la conception de l’AMM comme un soin parmi tant d’autres, au point d’être priorisée plutôt que traitée comme un véritable dernier recours, en contraste avec d’autres juridictions. Finalement, nous évoquons la façon consensuelle dont se produisent certains débats qui ne favorisent pas l’expression d’opinions dissidentes, contribuant à camoufler certains risques de dérives bien réels.
Key-risk factors for fracture-related infection after ankle surgery: a retrospective study
Authors: Serrasqueiro Sebastiao N. , Simões Orlando , Moreno João , Pinheiro Vitor , Fonseca Fernando
Published: October 2024

Background: Fracture-related infection (FRI) is a serious complication following ankle fracture surgery, with significant implications for patient outcomes. This study aimed to identify the key risk factors associated with FRI in a cohort of patients undergoing surgical fixation of ankle fractures.
Methods: A retrospective analysis was conducted on 261 patients who underwent open reduction and internal fixation (ORIF) for ankle fractures between 2019 and 2021. Patient demographics, comorbidities, and surgical details were extracted from medical records. The primary outcome was the development of FRI within one year postoperatively. Logistic regression analysis was used to identify independent predictors of infection.
Results: The mean age of the patients was 61.8 years (SD=16.5), with 69.3% being female. The overall infection rate was 8%. Significant predictors of FRI included smoking (OR=13.643, p=0.002), peripheral vascular disease (OR=17.684, p<0.001), and diabetes mellitus (OR=11.309, p=0.002). Gender, congestive heart failure, obesity, and age were not statistically significant predictors of infection.
Conclusion: This study identifies smoking, peripheral vascular disease, and diabetes mellitus as significant risk factors for FRI following ankle fracture surgery. These findings underscore the importance of targeted interventions to manage these comorbidities in high-risk patients to reduce the incidence of postoperative infections. Further research is needed to explore the role of other potential factors and to develop effective prevention strategies.
Correlation between magnetic resonance imaging and arthroscopic findings in superior labral from anterior to posterior injuries of shoulder joint
Authors: Osman Sari M. , Galal Sherif , Hegazy Mohamed H. , Alkindi Nafaa , Almandhari Ahmed
Published: October 2024

Background: The aim of our study was to identify the accuracy of the magnetic resonance imaging (MRI) in detecting superior labral from anterior to posterior (SLAP) lesions when compared to arthroscopic findings, considering arthroscopy as the gold standard.
Methods: This is a retrospective study conducted between January 2015 to July 2021 that focuses on SLAP lesions to evaluate the accuracy of its magnetic resonance imaging (MRI) reporting. All patients who had shoulder arthroscopy were included, and their intra-operative pathology was recorded and compared to their pre-operative MRI reports. Accuracy was assessed by calculating the sensitivity and specificity of MRI in comparison to the standard shoulder arthroscopy.
Results: 60 patients were included in the study. In diagnosing SLAP lesions this study showed that MRI was 54% sensitivity, 67% specificity with 79% positive predictive value and 39% negative predictive value. Accuracy was found to be 55%.
Conclusions: In this study, the MRI did not detect SLAP lesions at a rate as high as arthroscopy, which is considered the gold standard. When performing arthroscopy, it is important to be diligent in detecting actual SLAP lesions that may not have been identified by traditional MRI scans.
Comparative analysis of treatment outcomes in osteoarthritis knee: integrating physiotherapy and medication versus mono-therapies
Authors: B. Raghav , S. M. Arvind Kumar , Sandhiya  , Mathew Anil C.
Published: October 2024

Background: Osteoarthritis (OA) of the knee is a prevalent degenerative joint disorder that significantly impacts patients' mobility and quality of life. Effective management of knee OA is crucial to alleviate symptoms and improve daily functioning. This study aims to conduct a comparative analysis of treatment outcomes for knee OA by evaluating three distinct therapeutic approaches: a combination of physiotherapy and medication, physiotherapy alone and medication alone, all supplemented with routine daily activities.
Methods: The research involves a cohort of patients diagnosed with knee OA, divided into three groups, each receiving one of the specified treatments. Outcome measures include pain reduction, assessed through the Visual Analog Scale (VAS); functional mobility, evaluated using the Timed Up and Go (TUG) test; and overall quality of life, measured by the Knee Injury and Osteoarthritis Outcome Score (KOOS).
Results: Preliminary findings suggest that patients receiving the integrated treatment of physiotherapy and medication show significantly greater improvements in pain relief and functional mobility compared to those undergoing mono-therapies. The combination approach appears to leverage the synergistic effects of both modalities, offering a more comprehensive management strategy. Physiotherapy alone also demonstrates notable benefits in enhancing mobility and reducing pain, while medication primarily provides symptomatic relief.
Conclusions: This study underscores the importance of a multidisciplinary approach in treating knee OA, highlighting that integrated treatment plans may offer superior outcomes. These findings aim to inform clinical practice, suggesting that combining physiotherapy with medication can optimize therapeutic efficacy, improve patient quality of life and potentially alter the standard care protocols for knee OA. Further research is warranted to substantiate these results and explore long-term benefits.
Study of clinical and functional outcome of malleoli fracture
Authors: Kapadia Shubham S. , Dangi Parag P. , Pandya Aumkar H. , Desai Sarvang M. , Golwala Paresh P.
Published: October 2024

Background: Ankle fractures are a common orthopedic injury, accounting for 9% of all fractures, with an increasing incidence among both young and elderly populations. These fractures often result from road traffic accidents, falls, and sports injuries. Malleolar fractures, involving the bony prominences of the ankle, are particularly prevalent and necessitate accurate reduction and stable internal fixation to prevent complications such as post-traumatic arthritis and restricted motion. This study aims to assess the functional outcomes and results of surgical treatment of malleolar fractures.
Methods: The study utilized Lauge-Hansen’s classification to analyze the mechanism of injury in 32 patients with ankle fractures. Surgical techniques included the fixation of syndesmotic injuries with anatomical fibular plates, (AFP) posterior malleolus fractures with percutaneous screws or Ellis plates, and medial malleolus fractures with tension band wiring (TBW). The outcomes were measured in terms of union time, range of motion, and stability.
Results: The most common injury mechanism was supination external rotation (SER) in 14 patients, followed by pronation external rotation (PER) in 7 patients, pronation abduction (PAB) in 6 patients, and supination adduction (SAD) in 5 patients. Syndesmotic injuries were found in 7 patients, all treated surgically except one. Posterior malleolus fractures were present in 3 patients and treated with screws or plates. Fixation of medial malleolus fractures with TBW showed better union rates and improved range of motion compared to screw fixation. Lateral malleolar fractures treated with AFP provided additional stability. The average union time was 6 to 8 weeks.
Conclusions: Anatomical reduction and stable internal fixation are crucial for the successful treatment of malleolar fractures. TBW for medial malleolus fractures and AFP for lateral malleolar fractures provide favorable outcomes. However, a larger sample size and longer follow-up duration are required to further evaluate the outcomes of ankle injuries, particularly in older patients with osteoporosis and comorbidities.
A study of functional outcome of intertrochanteric fractures operated with intraheal proximal hip stabilizing nail-multicentric study
Authors: Chawla Sumit , Gopal Parikshat , Gupta Amit , Pasupuleti Akhil , Radhakrishnan Varun , Gupta Mallika
Published: October 2024

Background: Modalities of fixation in intertrochanteric fractures have been a topic of debate since times immemorial. Our special aims at comparing the functional outcome of Intraheal™ proximal hip stabilizing nail (PHSN, GPC Medical Limited) fixation in 200 patients of intertrochanteric fractures.
Methods: 200 patients of intertrochanteric fracture fulfilling the inclusion criteria were included in our study. Preoperative AP and Lateral views of hip joint were taken for all patients. In post-operative period, the patients were reviewed at 2 weeks, 1 month, 3 months, 6 months, and 12 months by the operating surgeon. Functional assessment, radiological assessment of bony union and complications were evaluated in follow up period.
Results: 200 patients underwent Intraheal™ proximal hip stabilizing nail fixation. They were followed-up the patients at 2 weeks, 1, 3, 6 and at 12 months postoperatively AP and lateral pelvic X-rays were obtained at each follow-up, and implant position changes, all complications, and fixation failures were recorded. We included a total of 200 patients meeting the criteria in this study and follow up was done till 12 months postoperatively. Intra-operative complications, time of hospital stay, Varus fixation and fracture displacement were assessed.
Conclusion: Advantages noted with PHSN fixation were excellent Harris hip score, lesser screw cutout, early union rate.  However, PHSN had greater incidence of anterior thigh pain at all intervals of follow-up. There were no significant local wound complications or duration of hospital stay.
Analysis of donor deferrals causes in blood donation center-tertiary care hospital study
Authors: Duvvuri P. Sindhur Rani , Teendra Bharath , Pola Neelima , Vasireddy Guvera , Aparna C. , Mayilanandan Shusmitha , Sruthi Yaddanapudi
Published: October 2024

Background: Blood donor selection is important in providing safety to the recipients and also preventing transfusion related complications. Temporary causes for deferral should be counseled while permanent causes deferred for a life time. In this study, analysis was done to know the causes donor deferrals.
Methods: A one year cross- sectional study was conducted in our hospital from the period March 2022 to March 2023.All the donors who were unfit for blood donation were included in the study. All the reasons for the deferrals are listed and analyzed the data.
Results: Among 7147 total donations, voluntary are 3775, replacement are 3372.Out of which 150 donors are deferred, most were males 129 (86%) and the rest were females 21 (14%). The rejection rate in our study was 2.09%. The most common reason for the permanent rejection is Hepatitis-B and low hemoglobin level for temporary rejection.
Conclusions: A vast majority of donors were rejected permanently 103 (68.6%), while the rest of them were rejected temporarily 47 (31.4%).
Efficacy of hypertonic dextrose (prolotherapy) in early knee osteoarthritis: a short term outcome
Authors: Sethi Anshul , Mushtaq Muzaffar , Dagar Pankaj , Basit Abdul , Qureshi Owais A.
Published: October 2024

Background: Knee osteoarthritis (OA) is a prevalent, painful, and progressive condition significantly affecting patients' quality of life and imposing a social and economic burden. Traditionally managed through symptom relief and joint function improvement, research is increasingly focusing on disease-modifying treatments. Dextrose prolotherapy, a low-cost alternative involving the injection of a hypertonic solution, has shown promise despite limited acceptance in current guidelines.
Methods: This prospective cohort study, approved by the Institutional Ethical Board of Jamia Hamdard University, assessed the effects of 12.5% hypertonic dextrose prolotherapy in 92 patients with knee OA. Patients received injections at multiple sites over a 6-week period. Outcomes were evaluated using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and visual analog scale (VAS) scores at baseline, 4, 8, 16, and 24 weeks.
Results: Significant improvements were observed in both WOMAC and VAS scores. WOMAC scores decreased from 53.83 to 26.70 (p<0.0001), and VAS scores dropped from 7.12 to 3.06 (p<0.0001) at the 24-week follow-up. No major complications were noted, with minimal adverse effects reported. Improvement was consistent across all OA grades.
Conclusions: Dextrose prolotherapy demonstrated substantial, sustained improvements in pain and function in knee OA patients. Given its safety, low cost, and efficacy, it represents a viable therapeutic option, especially in resource-constrained settings. Further high-quality randomized controlled trials are needed to confirm these findings and optimize treatment protocols.
Clinical outcomes of post-surgery osteoporosis treatment in elderly intertrochanteric fracture patients: a prospective study
Authors: Siwach Ishaan , Krishna Loveneesh G. , Talwar Jatin , Rustagi Ashish , Keer Navdeep S.
Published: October 2024

Background: This study aims to evaluate the clinical and functional outcomes of administering zoledronic acid in elderly patients undergoing surgical management of hip fractures. The goal is to assess the impact on mortality, postoperative complications, and functional recovery as measured by the modified Harris hip score.
Methods: A prospective study was conducted over 18 months at a tertiary care center in New Delhi, India, involving 42 patients aged 60 and above with intertrochanteric femur fractures. Patients received surgical fixation and standard postoperative care. Zoledronic acid (5 mg) was administered intravenously three months post-surgery. Data on demographics, injury-to-surgery interval, fracture type, DEXA score, and functional outcomes were collected at follow-ups of 6 weeks, 3 months, 6 months, and 12 months.
Results: The mean age of participants was 72.67 years. Zoledronic acid administration was associated with a 9.5% mortality rate. Functional outcomes, measured by the modified Harris hip score, significantly improved from a mean of 42.14 at 6 weeks to 77.68 at 12 months (p<0.001). Younger patients (<70 years) had significantly better scores at 3 months compared to older patients (>80 years). However, no significant differences were observed at 6 and 12 months. The mean modified Harris hip scores did not differ significantly between patients with osteopenia and osteoporosis at any time point. Additionally, the type of surgical fixation (intramedullary versus extramedullary) showed no significant impact on functional outcomes.
Conclusions: Zoledronic acid administration in elderly hip fracture patients may reduce mortality and enhance functional recovery. The study supports its use in postoperative care to improve outcomes, although larger, randomized controlled studies are needed to confirm these findings. The results suggest that zoledronic acid can be an effective adjunct therapy in managing osteoporosis-related hip fractures in the geriatric population.
Indications, outcomes, and complications of orthopaedic implant removal: a prospective observational study
Authors: Gupta Jyoti , Joshi Gururaj , Mirchandani Nishant
Published: October 2024

Background: Orthopaedic implant removal is a common procedure, but its indications and outcomes remain debated. This study aimed to examine the indications, outcomes, and complications of implant removal in a tertiary care center.
Methods: A prospective observational study was conducted on 66 patients undergoing implant removal between February 2022 and February 2024. Patient demographics, indications for removal, time to removal, and complications were recorded. Follow-ups were conducted at 6 weeks, 3 months, and 6 months post-removal.
Results: The study included 47 males and 19 females, with 74% adults and 26% paediatric patients. Pain was the most common indication for removal (42%), followed by elective removal (36%). Most implants (33%) were removed after 2 years. Complications were minimal, with 4.5% incomplete removals and 1.5% failure to remove. No intraoperative fractures or postoperative infections were observed. Patients generally reported improvement in symptoms or psychological well-being following implant removal.
Conclusion: Implant removal should be approached selectively, with careful consideration of indications and potential complications. Pain relief and improved function were common outcomes, but risks such as incomplete removal should be considered. The study supports individualized decision-making in implant management, emphasizing the need for thorough preoperative planning and skilled surgical execution.
A comparative study of intraarticular versus subacromial corticosteroid injection in the treatment of frozen shoulder
Authors: N. Preetham , Pattanshetty Anusha S. , Mathews Basil S.
Published: October 2024

Background: Frozen shoulder or adhesive capsulitis, is a condition characterized by pain and restricted movement of the shoulder joint. Corticosteroid injections are commonly used to alleviate symptoms, but the optimal injection site remains debated. This comparative study aims to evaluate the efficacy of intraarticular versus subacromial corticosteroid injections in treating frozen shoulder.
Methods: This prospective, randomized controlled study was conducted over 12 months, from November 2022 to October 2023, at BMCRI, Bangalore. A total of 60 patients diagnosed with adhesive capsulitis were enrolled and randomized into two groups: 30 patients in the intraarticular (IA) injection group and 30 patients in the subacromial (SA) injection group. Patients were randomly assigned to either the IA group or the SA group. The IA group received a 40 mg injection of Triamcinolone Hexacetonide with 4 ml of 2% lidocaine into the glenohumeral joint. SPSS (Version 25.0) was used for analysis.
Results: Patients in the intraarticular group demonstrated significantly lower pain scores compared to those in the subacromial group at the 4th, 8th and 12th weeks (p<0.05). The intraarticular group consistently achieved higher Constant Shoulder Scores at 4, 8 and 12 weeks, suggesting a more effective recovery in shoulder function compared to the subacromial group.
Conclusion: This study demonstrates that intraarticular corticosteroid injections are more effective than subacromial injections in treating patients with frozen shoulders, particularly in terms of pain relief and functional improvement.
Effectiveness of gait analysis in management of osteoarthritis knee at primary care settings in Asia: a systematic review and meta-analysis protocol
Authors: Rastogi Aavrati , Kalia Roop B. , Yadav Rajkumar , Neyaz Osama
Published: October 2024

Background: This systematic review will focus on the effectiveness of gait analysis on osteoarthritis knee management. The objectives of this systematic review and meta-analysis are to synthesize the clinical effectiveness and to compare the effectiveness of gait analysis in the osteoarthritis knee management in Asian population.
Methods: This review will be conducted and reported according to PRISMA guidelines. To discover relevant papers, the search technique will use MeSH terms such as osteoarthritis knee, gait analysis, osteoarthritis knee management, primary healthcare, effectiveness, and Asia. Other synonymous words will be searched using the Boolean operator "and"/"or" on PubMed, Embase, Scopus, and Cochrane. Randomized controlled trials assessing the efficacy of gait analysis in the therapy of osteoarthritis knee patients in primary care settings in Asia will be considered. A random effects meta-analysis will be carried out using the REVMAN software version 5.3.5. The STATA software version SE16 will be used for both cumulative and comparative meta-analysis.
Conclusions: This review and meta-analysis will be among the first to give an extensive purview on the effectiveness of gait analysis in osteoarthritis knee management at primary care settings in Asian population. This study will also acknowledge the effects of different gait analysis strategies with an attempt to compare the same.
Trial Registration: The protocol has been registered at the International Prospective Register of Systematic Reviews (PROSPERO registration number: CRD42024540444).
Management and evaluation of osteoarthritis knee, stage III and IV by total knee arthroplasty in an institution at rural set-up: a cases series
Authors: Patil N. Siddaram , Vikranth Sai , V. Vamshi , Azam  , Mylapalli Vishal B. , Panda Kirtan R.
Published: October 2024

The management of advanced knee osteoarthritis remains a subject of discussion. The use of total knee prosthesis is a solution to improve the quality of life’s patients. The end of this work was to describe the epidemiology and estimate the results of a series of 60 cases advanced knee osteoarthritis, treated with total knee prostheses in the department. This was a retrospective study conducted from August 2023 to June 2024 at Dr. PMR Institute of medical Sciences and Teaching Hospital, Chevella, Telangana. The study concerned the analysis of the patients operated on for advanced stage III and IV knee osteoarthritis by total knee prostheses. We collected 15 patients which includes 9-female and 6 male. The average age of the patients was 55 years. All patients were operated on under indigenous anesthesia in the supine position with a pneumatic tourniquet. The surgical site was approached antero-medially. The functional results evaluated according to the International Knee Society (IKS) score were favorable in 96.7%. In conclusion, knee osteoarthritis is a condition of elderly females. Its treatment, using total knee arthroplasty, evaluated according to the IKS score, gave satisfactory results.
An atypical manifestation of a common familiar tumour: the unforeseen occurrence of osteochondroma
Authors: Devanathan Udayakumar , Muralidassan Abhiraami , Kuppan Naveenkumar , Kumarsamy Manikandan , Nandana Gauri
Published: October 2024

A solitary osteochondroma in the lesser trochanter is an exceedingly rare occurrence. The nature of osteochondromas as benign osteocartilaginous tumours is typically regarded as a developmental anomaly rather than a neoplastic condition. Patients afflicted with this condition may experience a range of symptoms dependent upon the size of the tumour, with limited range of motion being a common manifestation. The present case study pertains to a distinctive instance of a benign solitary osteochondroma of the lesser trochanter, which was diagnosed and treated through an excisional biopsy using a Hardinge approach.
Ossification of the medial collateral and lateral collateral ligament of knee in a 19-year-old female
Authors: Pandya Aumkar H. , Dangi Parag P. , Bothra Jay S. , Desai Sarvang M. , Gadhia Archana
Published: October 2024

This case report discusses an uncommon presentation of Pellegrini-Stieda syndrome (PSS), characterized by ossification of the medial collateral ligament (MCL) of the knee, extending to the lateral collateral ligament (LCL) in a 19-year-old female patient. Typically, PSS involves post-traumatic calcification of the MCL, but this case uniquely presents ossification in both the MCL and LCL, a phenomenon not widely documented. The patient, a young laborer from a lower socio-economic background, developed knee pain and restricted movement following a fall. Diagnostic imaging revealed the unusual ossifications, leading to a diagnosis of PSS. The patient was treated with steroid injections under fluoroscopic guidance, resulting in significant improvement in knee mobility. This report highlights the importance of recognizing atypical presentations of PSS for accurate diagnosis and treatment, emphasizing the need for further research into the underlying mechanisms and optimal management strategies for such cases.
A rare case of trapezium osteochondroma: unveiling a unique tumour with clinical implications
Authors: N. R. Fijad , Mammu Sharafuddeen , Ravindran M. K. , V. K. Vaishak , Gopi Jipin
Published: October 2024

Osteochondroma is a benign bone tumour commonly found on the metaphysis of long bones. The presentation of osteochondroma on the trapezoid bone, a carpal bone in the wrist, is exceptionally rare. To our knowledge, no such cases have been reported in India. This report details a rare case of osteochondroma located on the trapezoid bone and its successful surgical management. A 55-year-old female presented with pain and swelling in the wrist. Radiological imaging, including X-rays and MRI, revealed a well-defined, pedunculated mass arising from the trapezoid bone. The patient underwent surgical resection of the tumour. Histopathological examination confirmed the diagnosis of osteochondroma. Postoperatively, the patient experienced significant relief from symptoms and showed no evidence of tumour recurrence during follow-up. This case contributes to the limited body of literature on osteochondromas in rare locations, particularly on the trapezoid bone. It illustrates the successful outcome of surgical treatment for rare bone tumours and emphasizes the need for heightened awareness and comprehensive diagnostic approaches in similar cases.
Insights into acromioclavicular joint ganglionic cyst: diagnosis and management
Authors: Tiwari Atit , Soni Ritesh
Published: October 2024

Acromioclavicular joint (ACJ) cysts are an uncommon and unusual sequela associated with shoulder pathophysiology1.It is a rare clinical entity that can affect patients’ cosmetic appearance as well as daily living activities. Limited number of case reports have been published till date in literature. This case report presents a rare example of a ganglion cyst taking origin from acromio clavicular joint in a 62-year-old female patient, outlining the clinical presentation, diagnostic approach, and successful surgical management.
Artificial intelligence and orthopaedic
Authors: Dar Tahir A. , Akhter Zahida , Maajid Abdul , Islam Nasir Ul , Dhar Shabir A. , Hamid Hamza , Shabir Anbreen
Published: October 2024

Artificial intelligence is the next big thing in human history. It is set to affect large and small industries, entertainment, agriculture, literature, research, and healthcare. The field of Artificial intelligence includes machine learning and deep learning, which denote an increased level of specialization. These changes are also set to influence orthopedic trauma, from diagnostics, clinical assessment, surgical intervention, rehabilitation, and outcome prediction. Some of these fields will be affected more than others. We carried out a narrative review of artificial intelligence and orthopaedic surgery to provide an updated overview of the current and future applications. AI is set to revolutionize radiological diagnostics, outcome measurement, and rehabilitation in orthopedic trauma. However, concerns about clinical decision-making and intervention remain. Ethical concerns, regulation, and superiority over traditional methods of treatment also need to be assessed. Until then, the role of AI in orthopaedic trauma remains in the realm of possibilities.
Design of Algorithms for Improvement of Delphi’s Controls DBGrid and DBNavigato
Authors: Novalic Fadil , Fetaji Bekim , Kudumovic Mensura
Published: October 2024

This paper is occupied with the improvement of three main functions of the preview of information from database in a table form: storage of changes or new entry in the table, delete of records from the table and sorting of information by clicking on the heading of column in the table information review. These improvements were obtained by occurrence coding connected t DBGrid. The accomplishment of these functions is regulated by the way that users of Windows applications accepted it as usual in that businesses, so the regulations of these applications which are programmed in Delphi improved its quality. Very important attribute of this paper is that the coding of algorithms have been done for using its procedures without a change, what creates the modularity of the source code.
System Analysis with the MVA Method for Symmetrical Three-Phase Faults
Authors: Kakilli Adnan
Published: October 2024

Electric energy is one of the fundamental resources of modern industrial society. Electric power is available to the user instantly, at the correct voltage and frequency, and exactly in the amount that is needed. This remarkable performance is achieved through careful planning, design, installation and operation of a very complex network of generators, transformers, and transmission and distribution lines. We must examine all possible types of fault or abnormal conditions which may occur in the power system. The analysis of power systems under faulted condition provides information regarding circuit breaker selection, relay setting, and the stability of the systems operation. In this study, a balanced three phase fault current at a given bus of the system is calculated by using different methods. Especially emphasis on the MVA method and compared other conventional methods.