bluuebunny/crossref_metadata_2025 huggingface dataset:
La gestione degli anticoagulanti e delle complicanze emorragiche nei pazienti oncologici
Authors: De Caterina Raffaele , Delle Donne Maria Grazia , van Es Nick
Published: September 2023

The presence of a malignancy is an important factor conditioning the choice, outcomes, and complications of anticoagulants in pathologic conditions where such agents are indicated. In addition, there is a relative paucity of data in this setting, because active cancer has been an important exclusion criterion in the main phase III randomized controlled trials comparing various anticoagulants. Only recently data have become available comparing the direct oral anticoagulants with low-molecular-weight heparins or warfarin for acute venous thromboembolism and atrial fibrillation, respectively, in patients with malignancies. Here, we briefly review the main points from data available in the literature in this setting, ongoing developments, and the main management strategies of hemorrhagic complications with the various drugs now available or forthcoming.
Workflow for beta-range forest plots, bootstrap ridgeline plots, and bootstrap violin plots v2
Authors: Fries Jonathan , Oberleiter Sandra , Pietschnig Jakob
Published: September 2023

Regression is a widely used statistical method in various research areas, such as educational psychology, and it is common to display regression coefficients in tables. Although tables contain dense information, they can be difficult to read and interpret when they are extensive. To address this issue, we present three innovative visualizations that enable researchers to present a large number of regression models in a single plot. We demonstrate how to transform simulated data and plot the results, which produce visually appealing representations of regression results that are both efficient and intuitive. These visualizations can be applied for screening models in the selection stage or reporting results in research papers. Our method is reproducible using the provided code and can be implemented using free and open-source software routines in R.
RESPONS MAHASISWA TERHADAP PENGEMBANGAN INOVASI PEMELAJARAN PROBLEM BASED LEARNING MELALUI PENDEKATAN EXPERIENTIAL LEARNING DALAM MENINGKATKAN KEMAMPUAN MENGAPRESIASI BAHASA DAN SENI MENUJU LITERASI MENULIS
Authors: Cahyani Isah
Published: September 2023

Penelitian ini dilatarbelakangi oleh keadaan rendahnya minat dan motivasi mahasiswa dalam menghasilkan tulisan khususnya tulisan yang mengangkat bahasa, budaya, dan seni Indonesia. Peneliti mencoba untuk menerapkan Rancangan Inovasi PBL Berbdasis Experiental Leraning untuk meningkatkan kemampuan liteari menulis mahasiswa sekaligus untuk melihat respons mahasiswa terhadal rancangan model pembelajaran tersebut. Untuk mendapatkan data penelitian, peneliti menggunakan instrument tes, lembar observasi, wawancara, dan angket. Penelitian ini dilaksanakan di perguruan tinggi UPI terhadap mahasiswa S1 prodi pendidikan bahasa Indonesia. Literasi menulis atau literasi terhadap teks tertulis atau tercetak digambarkan sebagai aktivitas dan keterampilan yang berhubungan secara langsung dengan teks yang tercetak, baik melalui bentuk pembacaan maupun penulisan. Di negara-negara maju, seseorang yang memiliki kemampuan membaca dan menulis pada tingkatan tertentu dianggap sebagai masyarakat modern. Hasil dari penelitian diperoleh respons mahasiswa yang positif terhadap Rancangan inovasi PBL Berbdasis Experiental Leraning tersebut. Sebagian besar dari mahasiswa memberikan respons yang menyatakan bahwa model rancangan pembelajaran tersebut menarik dan dapat membantu mereka dalam mengembangkan kemampuan literasi menulis dalam mata kuliah Apresiasi Bahasa dan Seni di Universitasi Pendidikan Indonesia This research is motivated by the low level of interest and motivation of students in producing writing, especially writing that raises Indonesian language, culture, and art. The researcher tries to apply the PBL Based Innovation Based Experimental Design to improve students 'literary writing abilities as well as to see students' responses to the design of the learning model. To obtain research data, researchers used test instruments, observation sheets, interviews, and questionnaires. This research was conducted at UPI tertiary institutions towards S1 Indonesian study program students. Writing literacy or literacy of written or printed texts is described as activities and skills that relate directly to printed text, both through reading and writing forms. In developed countries, someone who has the ability to read and write at a certain level is considered a modern society. The results of the study obtained a positive student response to the Experimental Leraning Based PBL Innovation Design. Most of the students responded saying that the learning design model was interesting and could help them develop their literacy skills in the Language and Art Appreciation course at the Indonesian Educational University
PENGARUH MODEL PEMBELAJARAN PENEMUAN TERBIMBING DALAM MENINGKATKAN KEMAMPUAN PENALARAN DAN SIKAP MATEMATIS SISWA
Authors: Rosmini Noneng
Published: September 2023

This research is aimed at comparing whether students taught using guided discovery learning model perform better in mathematical reasoning and disposition. This research employed quasi-experimental design involving 62 fifth grade students from two different elementary schools in Lembang. The data were collected by utilizing a test, a questionnaire and an observation sheet. The data obtained from the test and questionnaire were analyzed statistically using t-test to see two different average values. The result of the analysis and t-test show that there were two different average scores in which the students taught using guided discovery learning model achieve higher scores in terms of mathematical reasoning and disposition compared to students taught using conventional learning model.
PENERAPAN MODEL COOPERATIVE LEARNING TIPE NUMBER HEADS TOGETHER UNTUK MENINGKATKAN KEMAMPUAN PEMECAHAN MASALAH MATEMATIS SISWA KELAS V SEKOLAH DASAR
Authors: Ulfah Mariah
Published: September 2023

This research aims to: (1) describe the implementation of learning mathematics with application of cooperative learning model of NHT type in improving problem-solving abilities of fifth grade students at SDN Perumnas 02; and (2) describe the mathematical problem solving abilities increase abilities of fifth grade students at SDN Perumnas 02 with the implementation of cooperative learning model of NHT type in learning Mathematics. The method used is classroom action research Kemmis and Mc. Taggart models conducted in two cycles with qualitative and quantitative research approaches. Results from this study are: (1) the implementation of learning mathematics with application of cooperative learning model of NHT type of cycle I to cycle II of fifth grade students at SDN Perumnas 02, the better. Headband as numbering media to motivate students to learn. Giving the problem at this stage of questioning which is designed in the form of worksheets and given to each student develop a sense of personal responsibility so that when heads together students discuss with the group in solving problems. External motivation given teacher support internal motivation is able to create and enable the whole group to discuss; and (2) Application of cooperative learning model of NHT type can improve mathematical problem-solving abilities.
Development of Supplementary Textbook Based 0n the Local Wisdom of Bangkalan
Authors: Hs Atika Maulidina , Setyawan Agung
Published: September 2023

One effort to make it easier for students to understand thematic material is to include the content of their own local wisdom in learning. Unfortunately, at this time, there are no accompanying textbooks that contain local wisdom content. The purpose of this research and development is to produce a complementary textbook product based on Bangkalan local wisdom that is valid, effective, and practical to improve students' cognitive outcomes. This research procedure uses a 10-step design from Borg and Gall. The results of expert validation of the developed textbooks were 86%, while the validation from practitioners was 93%, each indicating that the products developed were classified as very valid and feasible to use. The effectiveness of the product is seen from the classical learning outcomes that is equal to 100%, indicating complete and effective learning. The practicality of the product is assessed from the average value of the student and teacher questionnaire responses, which is 93% and the observation of the implementation of teacher and student learning with the results of 94%, each of which shows very practical criteria. The results of the study indicate that the companion textbook product based on Bangkalan local wisdom that was developed is very valid, effective, and practical so that it is suitable for use in classroom learning.
Sharing water in the international Tagus River basin: a geopolitical approach to explaining water governance issues in Spain
Authors: Salinas Palacios Darío
Published: September 2023

This paper provides an overview of different policies, political strategies and spatial conflicts on water issues in 21st century Spain, with an illustrating example about the management of the Tagus River. This international river basin, which is shared between Spain and Portugal, must meet the requirements of the Water Framework Directive, as all the river basins in the European Union do. The power granted to Spanish regions, their asymmetric economic development patterns, and the worsening droughts associated with climate change have created a water conflict. This paper shows, through the French geopolitical approach, how water policy in Spain has evolved these last decades and how water scarcity has become a geopolitical representation in certain territories. This study focuses on the territorial observation of power rivalries at different scales, providing new and complementary elements that can help understand water governance challenges in Spain in the years to come.
Protecting Vietnam’s Sovereignty in Cyberspace: Insights from Human Right Laws
Authors: Thi Anh Vu Thu
Published: September 2023

In order to protect state sovereignty in cyberspace, Vietnamese law has placed restrictions on the right to online free expression. Using qualitative and empirical methods, this article examines the necessity and proportionality of these restrictions. The article finds that the language of a number of restrictive provisions appears to be more political than legal. The second reason is that vague and expansive laws may make it difficult to determine the true extent of damage in criminal prosecutions involving online expression that undermine state sovereignty. It would violate Articles 19 and 20 of the International Covenant on Civil and Political Rights. To surmount this opposition, Vietnamese lawmakers must provide a comprehensive interpretation of the relevant laws to ensure that the freedom of online expression is vitally important but must be balanced with the national interest.
Anatomical observation of the sinoatrial node artery of the cardiac conduction system in adult humans
Authors: Iakimov Andrei A. , Dmitrieva Eugeniya G. , Gaponov Anton A. , Sukhorosova Anna G.
Published: September 2023

BACKGROUND: Anatomical investigations of atrial blood vessels are limited. Knowledge of the anatomical variants of the sinoatrial node artery is important to enhance cardiac surgery and elucidate the pathogenesis of supraventricular arrhythmias.
AIM: To explore and clarify the number, variants, location, and course of sinoatrial node arteries in the heart of middle-aged and older individuals.
MATERIALS AND METHODS: In 62 formalin-fixed hearts of humans who died from noncardiac causes, the sinoatrial node arteries were dissected and measured using an electronic caliper. Histologically, the location of the artery into the sinoatrial node was clarified through hematoxylin and eosin and Masson trichrome staining.
RESULTS: The number of sinoatrial node arteries varied from 1 (86.6%) to 3 (1.7%). Commonly, sinoatrial node arteries arose from the right coronary artery (66.7%) between the aortic root and right atrial appendage or from the proximal part of the left circumflex artery (28.3%). Rarely, sinoatrial node arteries originated from the orifice of the right coronary artery, from the left coronary artery bifurcation, and on the diaphragmatic surface of the heart from the distal parts of the right coronary artery or left circumflex artery. Sinoatrial node arteries appeared to have subepicardial and intramyocardial components. The sinoatrial node artery that originated from the right coronary artery traveled mainly subepicardially; however, the sinoatrial node artery from the left coronary artery showed a predominantly intramyocardial course. The diameter of the sinoatrial node artery that originated from the right coronary artery varied from 0.7 to 2.8 mm and that from the left coronary artery system varied from 1.1 to 2.5 mm (median, 1.7 mm; p=0.96). The right coronary artery and sinoatrial node artery that branched from that formed a correlation pair in diameter values (Rs=0 .44; р=0.005).
CONCLUSIONS: The sinoatrial node artery has common and rare variants, which differ in the number, origin, and topography of the artery.
The Possible Role of Bird Migrations on Introduction and Spread of Invasive Alien Plants: A Case Study, Solanum elaeagnifolium Cav.
Authors: Uludag Ahmet , Üremiş İlhan , İliker Kozbaş Ayşegül , Soylu Soner , Bakırcıoğlu Erkılıç Lerzan , İlçim Ahmet
Published: September 2023

Solanum elaeagnifolium (SOLEL), a native plant of the Americas is a highly spread invasive alien species worldwide with impacts on biodiversity and agriculture. It has a long history in Mediterranean basin and the Middle East where Türkiye is located but there was no record except one in 2006 from the eastern the Mediterranean of Türkiye of which introduction was attributed to migrating birds. Despite widespread and large populations in neighboring countries, not detecting SOLEL in Türkiye had been questionable. The aims of the study were to find out new populations of SOLEL in Türkiye and understand the reason of less population occurred in Türkiye. Two areas were selected near the country borders of Türkiye which are known as migrating bird routes. Areas were visited unregularly several times from 2020 to 2023 to find out SOLEL populations. New populations were detected in the eastern Mediterranean and Aegean Regions of Türkiye which are over 1000 km apart from each other. SOLEL populations and bird migration routes through Türkiye and countries SOLEL has already been recorded were compared. It is concluded that SOLEL might be introduced by migrating birds. It is suggested that more detailed research is needed to explain the role of migrating birds in invasive alien plants’ introductions. Furthermore, plants around wetlands which birds use in their migration routes should be observed to prevent new plant invasions.
Modern trends in the development of digital transformation of education
Authors: Бондаренко Ю.Н.
Published: September 2023

Сегодня цифровые ресурсы основательно входят в управленческую и учебную деятельность системы образовательного процесса на всех уровнях – от школ до высших учебных заведений. Цифровая трансформация всех уровней образования рассматривается как основное стратегическое направление развития института образования в целом, что предполагает разработку и анализ приоритетных направлений и путей для реализации актуального и качественного образования на всех его ступенях. Задачей данного исследования является анализ современного рынка образовательных услуг, актуальных тенденций и направлений, а также анализ динамики спроса на услуги онлайн-образования.

Today, digital resources are steadily included in managerial and learning activities of educational institutions at all levels, from schools to higher educational institutions and scientific schools. The digital transformation of all levels of education is considered as the main strategic direction for the development of the institution of education as a whole, which involves the development and analysis of priority areas and ways for the implementation of relevant and high-quality education at all its levels. The purpose of this study is to analyze the modern market of educational services, current trends and directions, as well as to analyze the dynamics of demand for online education services.
Improvement in Smell Using Monoclonal Antibodies Among Patients With Chronic Rhinosinusitis With Nasal Polyps: A Systematic Review
Authors: Barroso B , Valverde-Monge M , Betancor D , Gómez-López A , Villalobos-Vildas C , González-Cano B , Sastre J
Published: September 2023

Background: Impairment of smell is more commonly related to chronic rhinosinusitis with nasal polyps (CRSwNP) than without, especially when asthma and/or NSAID-exacerbated respiratory disease and type 2 inflammation are also present. Therapeutic options include intranasal and systemic corticosteroids, surgery, and, more recently, biological therapy. We summarize current knowledge on the effect of biologics on olfaction in patients with CRSwNP. Methods: We performed a systematic search of the PubMed and Cochrane databases from January 2001 to June 2022. The inclusion criteria were as follows: adult patients with CRS treated with dupilumab, omalizumab, mepolizumab, benralizumab, or reslizumab; and studies published in English reporting outcomes for sense of smell based on psychophysical and/or subjective tools. We excluded reports that did not assess CRSwNP, loss of smell evaluated with a method other than those accepted in the inclusion criteria, review articles, and expert opinions. No funding was received. Results: Dupilumab has demonstrated rapid and sustained long-term improvement in smell in clinical trials and in real life. Omalizumab improves smell at 24 weeks. This improvement is maintained in the long-term, although it is not clinically relevant. Mepolizumab and benralizumab improved smell in the long term based on a subjective scale. No studies examining the improvement in smell in patients with CRSwNP treated with reslizumab were found. Indirect comparisons by meta-analysis consistently conclude that dupilumab is the most effective biologic for improving impaired sense of smell. Conclusion: Dupilumab seems to be more efficacious for improving the sense of smell than omalizumab, mepolizumab, and benralizumab.
An Improved Class of Estimators Of Population Mean of Sensitive Variable Using Optional Randomized Response Technique
Authors: Patidar Preeti , Singh Housila Prasad
Published: September 2023

In this paper we have suggested a class of estimators of population mean of sensitive variable under optional randomized response technique as reported in Gupta et alÂ Â (2014).Â We have obtained the mean squared errorÂ  (MSE) of the suggested class of estimators up to theÂ  first order of approximation. The optimum conditions are obtained at which the (MSE)Â of theÂ  proposed class of estimators is minimum. AnÂ  empirical study is carried out to show the performance of the suggested class of estimators over existing estimators .It is found that the performance of proposed class of estimators is better than the existing estimators including Grover and Kaur (2019).
A modified weighting system for combined forecasting methods based on the correlation coefficients of the individual forecasting models
Authors: Wongoutong Chantha
Published: September 2023

Herein, a modified weighting for combined forecasting methods is established. These weights are used to adjust the correlation coefficient between the actual and predicted values from five individual forecasting models based on their correlation coefficient values and ranking. Time-series datasets with three patterns (stationary, trend, or both trend and seasonal) were analyzed by using the five individual forecasting models and three combined forecasting methods: simple-average, Bates-Granger, and the proposed approach. The MAPE and RMSE results indicate that the proposed method outperformed the others, especially when the time-series pattern was stationary and improved the forecasting accuracy of the worst and best individual forecasting models by 35–37% and 7–10%, respectively. Moreover, the proposed method showed improvements in MAPE and RMSE of around 18–20% and 9–11% compared to the simple-average and Bates-Granger methods, respectively. In addition, the combined forecasting methods outperformed the individual forecasting models when analyzing non-stationary data. Remarkably, the performances of the proposed and Bates-Granger methods were almost the same, with improvements in MAPE and RMSE in the range of 1–2% on average. Therefore, the proposed method for creating weights based on the correlation coefficients of the individual forecasting models greatly improves combined forecasting methods.
Avaliação de eficiência do curso introdução prática à programação de computadores
Authors: Fontoura Júnior Jasson Marques , Ribeiro Pedro Vinícius da Silva , Pereira Lucas Bessa Façanha , Barros Kevin Willyn Conceição , Souza Ozéias Silva , Lima Rafael Nóbrega de , Almada Natália Ribeiro de , Moraes Maely da Silva , Henklain Marcelo Henrique Oliveira
Published: September 2023

Investigamos a eficiência do curso para o ensino do comportamento de “escrever programas de computador em Python”. Participaram sete calouros de computação cuja tarefa foi (1) responder a prova de conhecimentos sobre programação no início e ao final do curso, e, ao final, uma escala de satisfação, (2) realizar exercícios ao longo do curso, (3) assistir a videoaulas e (4) participar de atividades presenciais para sanar dúvidas. Os resultados foram promissores em termos de satisfação, aprendizado e autoconfiança. Dos seis objetivos de aprendizagem, em cinco notamos no grupo aumento de percentual de acertos. Esperamos com este estudo contribuir com a superação dos desafios no ensino de programação.
Comparison of sub trochanteric femur fracture treatment with intra medullary proximal femur nail versus proximal femur nail with trochanteric support plate
Authors: Sonkar R N , Thakur Ajay Singh , Thareja Satwik , Patel Sachin
Published: September 2023

: Comparison of sub trochanteric femur fracture treatment with intramedullary proximal femur nail vs intramedullary proximal femur nail augmented with trochanteric support plate.

: Two groups were divided from 50 patients to 25 in each and first were treated with PFN and the other with a combination of PFN plus trochanteric support plate.

: At the end of 6 months all except 2 patient from group 1 mobilized unassisted while all the patient from group 2 got mobilized unassisted. Based on harries hip score.

: Intramedullary fixation with intra medullary proximal femur nail plus trochanteric support plate.is feasible for the treatment of subtrochanteric femur fracture. Intraoperative reduction and surgical skill are important for the clinical outcome and the patients.
Split transfer of tibialis anterior for equinovarus foot deformity in cerebral palsy
Authors: Kumar Manoj , Sinha Swati
Published: September 2023

: Foot deformities in children with cerebral palsy are common. The various foot deformities are equinus, planovalgus, equinovarus, equinovalgus. Treatment for the flexible foot deformity should be with orthotics and manual therapy initially and then with tendon lengthening. Equinovarus deformity of the foot is a result of the muscle imbalance in which invertors of the foot, posterior and anterior tibialis muscle, overpower evertors. Untreated spastic equinovarus deformity may cause severe fixed foot deformity and painful callosities under metatarsal heads and on the lateral side of foot.

To evaluate the effectiveness of split transfer of tibialis anterior for equinovarus foot deformity in spastic cerebral palsy children.

40 spastic cerebral palsy (13 diplegic and 27 hemiplegic) children between the age of 5-15 years with equinovarus foot deformity were selected. The procedure adopted in all the cases was tendoachilles lengthening and split anterior tibialis tendon transfer to cuboid.

The result was graded as good, fair and poor. In 28 of the cases varus deformity of the forefoot and midfoot got corrected with plantigrade foot, in 10 of the cases forefoot and midfoot supination was corrected but heel was in varus and in 2 of the cases there was no improvement.

: Spastic T.A. is most often the cause of varus of forefoot. Split transfer utilises the spastic nature of the muscle to counter balance the deformity caused by the original muscle. Hence, it is better solution to the problem. However accurate diagnosis of deforming muscle, i.e, T.A or T.P. is essential to produce good result.
Macroscopic and histological evaluation of the posterior cruciate ligament in arthritic knees
Authors: Mohan Gopi , Mohan Vijay , Gopal Shyam
Published: September 2023

The function of Posterior Cruciate Ligament (PCL) in Total Knee Arthroplasty is currently under debate. Supporters of PCL retention suggest better soft tissue balance as well as proprioception, whereas the adversaries have reported an unstable late flexion. Whether the PCL is retained or removed, the results of knee replacement remains the same. The aim of the present study was to look for the morphologic and histological changes in PCL, that aids in assessing its competence, and to compare these with macroscopic changes.

A prospective study was performed on 50 osteoarthritic knees. Both the cruciate ligaments were examined macroscopically during Total Knee Replacement surgery, and classified as normal, fatty, mucinous, or cystic. The PCL was also studied and staged histopathologically, and was compared with its macroscopic appearance.

On macroscopic examination, fatty type degeneration was the most common type of degeneration in both PCL and ACL, seen in 68% and 56% cases respectively. Histopathologically, majority of the PCLs (52.4%) were in stage 1 of degeneration. 5 PCLs that appeared macroscopically normal showed degeneration microscopically and 8 PCLs that were histologically normal had fatty as well as mucinous degeneration on macroscopic examination.

PCL exhibits degenerative and chronic traumatic modifications of different degrees on microscopic examination. These changes cannot be predicted from macroscopic inspection of the knee at the time of surgery. The frequency of these changes suggests that PCLs in an osteoarthritic knee are of varying quality, and this should be considered by the surgeon while selecting the type of knee replacement.
Correlation between onset of ACL injury and incidence of articular cartilage and meniscal injuries
Authors: Al-Samarrai Musaab , Khaffaf Rebar
Published: September 2023

Delayed anterior cruciate ligament (ACL) reconstruction surgery may increase the risk of chondral and meniscal injuries but the time interval between injury and surgery is not fully determined and the effect of ACL-deficiency rotational instability may vary among different zones of knee articular cartilage. Purpose To study chondral injuries in ACL-deficiency patients in different articular zones and various durations between ACL injury and reconstruction.

: Case series – prospective observational study.

Prospective observational study of 212 cases (197 male and 15 female) with specific age group (16-44 years) having ACL injury and managed by arthroscopic ACL reconstruction, articular cartilage injury rate and severity (based on ICRS classification) was assessed in 5 zones of knee articular cartilage and correlated with different durations between injury and surgery as well as correlation with concomitant meniscal injuries.

Medial tibia was the most common zone of chondral injury in ACL-deficiency knee (54.2%) while patella was the least common zone (28.8%), severe chondral injuries rate increased from (3%) in patients who were operated within 6 months to (11.1%) in patients of 6-12 months group and higher with longer duration reaching to (63.6%) when ACLR was delayed more than 4 years from injury. Concomitant meniscal injuries were associated with higher rate of severe chondral injuries (20.4%) than cases without meniscal tear (4%), medial meniscal tears were more common (65%) than lateral tears (23.3%) while both menisci were observed in (11.7%), complex meniscal tear was the most common pattern (33.7%) on medial side.

Delaying ACL reconstruction surgery will increase frequency of chondral injuries, severe chondral injuries rate is increased after 6 months in medial side and after 2 years on lateral side, concomitant meniscal injury is associated with higher rate of severe chondral lesions.
Fragility fracture in a 28 yr old male
Authors: Kala Shivang , Gupta Gagandeep , Singh Abhishek
Published: September 2023

A fragility fracture may be defined as a pathological fracture that results from trivial trauma. These "fragility fractures" are linked to significant pain and suffering. A 28-year-old male with a right side subtrochanteric fracture following a trivial injury, the possibility of a pathological fracture should always be raised. The subtrochanteric region commonly causes issues for the orthopaedic surgeon as the best method of restoration may not always be clear.

28-year-old male presented to emergency department with a/h/o deformity in right thigh and weakness in the bilateral lower limb. On examination tenderness, bony crepitus, bony irregularity was present and loss of transmission of movements. Patient was managed with closed reduction and internal fixation with long proximal femoral nail (PFN).

A long proximal femoral nail (PFN) is an excellent option for stabilising a Fragility fracture of subtrochanteric region and in-bed mobilisation helped in preventing the development of any more bed sores. The postoperative period was uneventful. The patient visited for routine follow-ups; the incision site was healthy.
Localised tenosynovial giant cell tumour of the infrapatellar fat pad mimicking an intra-articular loose body – A case report
Authors: Chong Jung Syn , Lim Zhuang Li , Tan Lye Hock , Salleh Sazali
Published: September 2023

Tenosynovial giant cell tumour is a benign lesion which presence in the infrapatellar fat pad is uncommon. Herein, we report a unique case of a young female patient who presented with a loose body sensation at the knee. Surgery revealed a localized swelling in the infrapatellar fat pad which was treated with an open excisional biopsy of the mass. Diagnosis of giant cell tumour is confirmed by histopathological examination.
Modified McLaughlin procedure in posterior locked fracture-dislocation of the shoulder
Authors: Kopparthi Rupa Madhavi , Tonape Prashant , Kishore Janapamala V S , Salunkhe Rahul
Published: September 2023

The posterior shoulder dislocation is very uncommon scenario with incidence ranging from 3% - 5% of all different types shoulder dislocations and Locked posterior fracture dislocation of shoulder can be missed due to improper radiological investigations though patient have pain and difficulty in range of movements. The modified McLaughlin procedure in which both the tendon of Subscapularis along with Lesser tuberosity bone chunk were displaced and transferred into the Reverse Hill-Sachs lesion for stabilization.The procedure is aimed to achieve a stable Gleno-humeral joint as well as early and full functional recovery in cases of an acute posterior locked fracture-dislocation of the shoulder. Here, we discuss a posterior locked fracture dislocation which has been missed initially at a peripheral institute even though patient have pain and restricted range of movements. The patient was investigated thoroughly. The surgical note and physiotherapy protocol have been discussed in detail in the case report where the patient returned to pre-injury status in 3 months post-surgery.
Giant cell tumor of distal femur with pathological fracture: A case report
Authors: Vaidya Shubham Prakashrao , Mankar Sushil , Sakhare Rahul , Deshpande Satyajeet , Daware Ambar
Published: September 2023

Giant cell tumor of bone (GCTB) is a mostly benign bone tumor which can occasionally progress to malignancy, usually in chronic cases. It is a common benign and aggressive bone tumor that affects patients aged 20-45 years. A case of giant cell tumor (GCT) of the distal femur is reported here with an intraoperative complication. A 37-year female presented with a 1-month history of painful swelling over her left knee. On clinical examination, the patient had tenderness and swelling on the anterolateral aspect of the knee extending from the distal part of the femur towards the lateral aspect of the knee. Swelling was well-defined, smooth, firm, and uniform in consistency with dimensions of about 12cm x 8 cm. Knee movement was restricted. An X-ray of the affected knee revealed a soft tissue mass arising from the distal femur on its lateral aspect. MRI revealed a soft tissue mass with the cortical breach. In this case, we planned for curettage with bone grafting and bone cementing using a sandwich technique, but while handling the limb, an medial cortical breach occurred, which was then fixed with the help of a distal femur lateral locking plate and cement in the second setting due to unavailability of distal femur plates during the initial surgery. Following surgery, a sample was sent for histopathology, which s/o high-grade giant cell tumor. Because of the high risk of recurrence, the tumor should be completely removed. Finally, the Knee function recreated to minimize the loss. Another options were enblock excision with arthrodesis of the affected joint but that causes joint stiffness other is arthroplasty of the affecting joint with the help of custom-made prostheses but this procedure is too costly thus we opted for the extended curettage with bone cement with bone grafting (Sandwich technique) with plating.
Anaesthetic management of a case of multiple splenic abscesses with left hydropneumothorax undergoing splenectomy with pigtail catheter insiitu
Authors: Balasubramanian Ashok Kumar , Kamal Rohit
Published: September 2023

The use of a thoracostomy chest tube for drainage of hydropneumothorax is preferred from an anaesthetic point of view as positive pressure can be applied. Pigtail catheters are widely used as it is less invasive, less traumatic, and easier to perform and allows more ambulation. When compared to the chest thoracostomy tube, pig tail catheters are better tolerated. Here we present a case of a 43 year old man with multiple splenic abscesses in sepsis and left sided hydropneumothorax which was drained with a pigtail catheter. The plan initially was to perform the procedure under high thoracic epidural with ICD on standby. Half an hour into the procedure, due to incessant cough and movement, there was a need to supplement with general anaesthesia using a supraglottic airway (Proseal LMA size 3). The patient was on spontaneous ventilation with Propofol sedation using TCI pump. Procedure was conducted without further complications. Patient was shifted to SICU for further care.
The Relationship between Functional Movement Screen Scores and Athlete Performance in Recreational Football Players
Authors: Khaleel Mehnaz , Subramanian Sudhakar
Published: September 2023

Introduction: Athletics is always accompanied by an inherent risk of injuries. It is very essential to determine the ability of a person to participate in sporting events. Functional mobility skills are important talents that should be assessed up to 10 years of age, as these skills are the foundation for a variety of sports. After the age of 10 years, it is essential to improve some athletic talents, such as agility, mobility, and flexibility. Therefore Functional movement screen scoring (FMS) has already been used as a test to make evaluating movement patterns in ordinary sports practice easier. Aim: This study aims to detect if there is a relationship between FMS and hamstring flexibility and agility. Materials Methods: Sixtysix subjects were chosen based on a set of eligibility criteria and were allotted to two distinct groups (group A FMS>14, group B FMS<14) using a convenient sampling technique. Group A (FMS>14) is a correlation done between FMS that was assessed using the FMS kit along with hamstring flexibility using the AKE test and Agility using IAT. Group B (FMS<14) is a correlation done between FMS that was assessed using the FMS kit along with hamstring flexibility using AKE and agility using IAT. The results were calculated using a coefficient correlation test. Outcome Measures: FMS, AKE, IAT. Results: There was a positive correlation between FMS and agility that is when FMS were high, the agility time was less and vice versa. The relationship of FMS with knee extension was positive, suggesting that when FMS were high, knee extension was more and vice versa. Conclusion: This study states that there is a positive correlation between FMS with athlete performance among recreational football players.
Evaluation of Lumbar Lordosis and Hip Extensor Strength in Postpartum Woman with Pelvic Girdle Pain - A Case Control Study
Authors: Mani Mohanieshwari , Samuel Jincy
Published: September 2023

Background: Pelvic Girdle Pain (PGP) is a musculoskeletal pain that arises between the posterior iliac crest and gluteal fold, at the sacroiliac joint and also radiates posteriorly in the thigh. PGP give rise to very intense pain and disability than Low Back Ache (LBA). It is a common condition during pregnancy and post-delivery. Joint laxity increases pelvic rotation and lumbar lordosis which results in adaptive hip extensor muscle weakness. Hence the studies focus on identifying the lumbar lordosis and hip extensor strength of PGP. Aim of the Study: To identify the association between lumbar lordosis and PGP and to identify the association between hip extensor strength and PGP among post-partum women. Material and Methodology: Based on inclusion and exclusion criteria a total of 80 postpartum women were assessed based on the diagnostic criteria the women were divided into two groups. Group A consists of women with PGP and group B consists of women without PGP. Both groups were assessed for lumbar lordosis using flexicurve and hip extensor strength using a manual muscle tester. Data collected was analyzed using. Outcome Measure: Flexicurve to assess lumbar lordosis. Manual muscle tester to assess hip extensor strength. Result: The study showed that the mean lumbar lordosis was significantly higher in women with PGP than in women without PGP, p = 0.001. There was a 15.46° ± 6.91° higher angle observed in persons who had pelvic girdle pain compared to those who did not have pelvic girdle pain. The mean hip extensor strength for group ‘A’ (average of right and left side) was 12.74 ± 0.73kg, whereas it was significantly higher in group ‘B’. Conclusion: The study concludes that there is a positive association between lumbar lordosis and hip extensor weakness in pelvic girdle pain.
The Relationship between Alexithymia and Functional Disability Among IT Professionals with Chronic Low Back Pain
Authors: Pavani Budamala , Anand Milan , Subramanian Sudhakar
Published: September 2023

Background: Chronic low back pain is an exceptionally predominant and exorbitant musculoskeletal pain syndrome. Low Back Pain is the primary cause of movement restriction and records for 33% of all worker’s compensation claims. Utilizing the customary characterization framework, Low back pain is additionally arranged by its duration of onset like acute (<6 weeks), sub-acute (6 weeks-12 weeks), and chronic (>12 weeks). Usually, people who have back pain experience acute occurrence of pain, which heals on their own in roughly 3 months. Individuals with alexithymia will in general show lower empathy with others’ beliefs, feelings, and desires maybe in light of their absence of information on their own enthusiastic experience. This absence of sympathy may likewise add to the higher rates of relational issues reported by people with alexithymia. Oswestry Low Back Pain Disability questionnaire is an important tool to evaluate functional disability. Therefore, in this study, the association between alexithymia and functional disability in chronic low back pain was discussed. Aim: The study aims to evaluate the correlation between alexithymia and functional disability among IT professionals with chronic low back pain. Materials and Methods: This study involves 246 IT professionals between ages 25-50 years of male and female genders in Bangalore were taken based on inclusion and exclusion criteria. The online survey was performed by using google forms. Outcome Measures: Nordic Musculoskeletal Questionnaire (NMQ), Toronto Alexithymia Scale (TAS-20), and Oswestry Low Back Pain Disability Questionnaire (ODI) were used. Result: A POSITIVE correlation is observed in both cases where the relationship is very weak. T-test for dependent means between those with CLBP and without CLBP the result implies that there is a significant difference between the individuals with CLBP and without CLBP in both the tests. The t-value of alexithymia shows 15.6960 and Oswestry shows -4.7784. the p-value for alexithymia is 0.001 which is significant and the p-value for Oswestry is <0.00001 which is significant. Conclusion: There is a significant difference between alexithymia and functional disability among individuals with CLBP and without CLBP. There is a positive correlation seen in CLBP and without low back pain.
The status of depression and anxiety in infertile Turkish couples
Authors: Kazandi Mert , Gunday Ozlem , Kurtulus Mermer Timucin , Erturk Nuray , Ozkınay Erdinc
Published: September 2023

Title: The status of depression and anxiety in infertile Turkish couples
Key words: Depression, Anxiety, Infertility.
Gestão e políticas públicas de turismo em Cametá (PA): o que acontece?
Authors: Viana Daniela Costa , Quadros Vânia Lúcia
Published: September 2023

O município de Cametá, no Estado do Pará, foi palco de um dosacontecimentos mais importantes do estado do Pará, tendo papel fundamentaldurante todo o movimento da Cabanagem. Este trabalho apresenta os resultadosde uma pesquisa cujo objetivo é identificar como estão a gestão e a política públicade turismo em Cametá. Foram realizadas pesquisas bibliográfica, documental ede campo, com a realização de entrevistas semiestruturadas com o Secretário deCultura e o Presidente da Câmara de Dirigentes Lojistas (CDL). Os resultadosapontam que a gestão do turismo é responsabilidade da Secretaria Municipalde Cultura, Turismo e Desporto (SECULTD); que inexistem conselho e fundomunicipal de turismo; e que não há uma política pública definida para o turismomaterializada em um plano, programa ou projeto. Conclui-se que é necessária umagestão que instigue a população e o setor privado a participar do planejamento eda formulação de políticas públicas de turismo, de tal modo a contribuir para ageração de emprego e renda e, consequentemente, para a melhoria da qualidadede vida da população local
Turismo rural e pedagógico: ferramentas de construção de conhecimento científico e renda rural
Authors: Figueiredo Nícolas de Souza Brandão , Flôres Ana LuizaZappe Desordi , Gomes Eurides Araci Figueiró
Published: September 2023

Com este trabalho pretendemos desenvolver atividades turísticopedagógicas com educandos de ensino fundamental 1 na cidade de Santa Maria, Rio Grande do Sul. Desta fora visamos motivar educandos e educadores em um processo de ensino e aprendizagem que gere conhecimento para o educando, valorização pessoal e da cultura local. Assim, o presente trabalho trata de um relato de experiência de uma atividade de um city tour panorâmico, em ônibus, com paradas específicas em atrativos histórico-culturais e histórico-naturais, com objetivo de incentivar a valorização da cultura e natureza local. Dividimos os alunos, de 3º e 4º anos de uma escola privada do município em dois grupos: 1) Grupo de quarto ano - inserido em um roteiro intermunicipal, de 10 h, na Região Turística da Quarta Colônia de Imigração Italiana do Rio Grande do Sul, região com predomínio de plantação de grãos (soja e arroz), além de agricultura familiar de subsistência. Este grupo visitou cinco cidades da com parada em 11 atrativos referentes à cultura italiana e história dos colonizadores italianos. 2) dia 2 – Grupo de terceiro ano – inserido em um city tour panorâmico de 9 h na cidade de Santa Maria, englobando um total de 20 atrativos. Com este trabalho, aqui relatado, pode-se podemos inserir alunos em atividades e espaços diferenciadosde suas realidades cotidianas. Ao se desenvolver atividades educacionais multidisciplinares em espaços não formais de ensino, como atividades de turismo rural-pedagógico, desenvolve-se o conhecimento científico, conscientização sócio-ambeintal, passando à uma valorização humanística e ambiental e geração de renda sustentável para os produtores rurais
LA ENTREVISTA TEOLÓGICA: CONTEXTOS, PROCEDIMIENTOS Y APORTES AL QUEHACER TEOLÓGICO-PRÁCTICO
Authors: Bacher Martínez Carolina
Published: September 2023

En el marco de una Iglesia sinodal, que profundiza las instancias de escucha y de las investigaciones teológicoprácticas que asumen el diálogo intradisciplinario en su método, presentamos el uso de la técnica de la entrevista en el quehacer teológico con enfoque práctico. Para ello, en primer lugar, se describe sucintamente la técnica de la entrevista desde las ciencias sociales, indicando posibles modalidades y subrayando su condición colaborativa; en un segundo momento, el texto explica los diversos contextos de investigación en los que puede enmarcarse su uso: la etapa de la investigación, la interrelación con otras técnicas y el enfoque de investigación asumido; en una tercera instancia, la propuesta indica los procedimientos para su preparación, realización e interpretación teológica, profundizando en este último aspecto. En cuarto lugar, se ofrecen algunas ejemplificaciones y la propuesta de considerar la práctica de la entrevista teológica como una instancia de conversión de las y los teólogos. La reflexión se ofrece a partir de la investigación y la docencia teológico-práctica sobre estos tópicos, a fin de contribuir con quienes se inician en los estudios teológicos empíricos.
LA EXISTENCIA CRISTIANA COMO SUPERACIÓN DE LA PREOCUPACIÓN MUNDANA. UNA APROXIMACIÓN HERMENÉUTICO-FENOMENOLÓGICA A LOS LIRIOS DEL CAMPO Y LAS AVES DEL CIELO, DE SØREN KIERKEGAARD
Authors: GONZÁLEZ SUÁREZ LUCERO
Published: September 2023

Este artículo constituye una aproximación hermenéutico-fenomenológica a Los lirios del campo y las aves del cielo de Kierkegaard. El propósito de estas páginas es poner de manifiesto los rasgos esenciales de la existencia cristiana como modalidad de la vida fáctica. En la primera sección se exhiben la condición de posibilidad y las características e implicaciones éticas de esta última. En la segunda se reflexiona sobre la alternativa de seguir a Cristo u optar por la búsqueda del reconocimiento. En la tercera sección se muestra que la imitación de Cristo es la única vía para llegar a ser sí mismo. La tesis que se quiere demostrar es que el cristianismo es la forma de existencia que permite superar la preocupación mundana.
Helping Children Overcome Socio-Emotional and Behavioral Problems Based on the Kids’ Skills Method
Authors: Zięba-Kołodziej Beata , Oliinyk Maria
Published: September 2023

Developmental, emotional, social and behavioral disorders of children and adolescents are a worldwide problem. Many of them can be avoided by undertaking a therapeutic and personal development intervention aimed at helping children overcome their problems. Children are able to solve some of them on their own, with the participation of adults including relatives. Finding a solution and its effective implementation results in better functioning of children in the social context and in assuming responsibly the roles assigned to them. It is also an investment in the future of children, because the solved difficulties will not be baggage in adulthood. Experience points out to the effectiveness of the Finnish Kids’Skills method in solving children's problems. It consists in learning new skills, the lack of which can be the cause of the children’s malfunction and of behavior that is inconsistent with the expectations of the people around them.