bluuebunny/crossref_metadata_2025 huggingface dataset:
GENDER-RELATED DIFFERENCES IN MODIFIABLE RISK FACTORS AND ISCHEMIC STROKE SUBTYPE IN YOUNG AND MIDDLE-AGED PATIENTS – A PROSPECTIVE STUDY
Authors:   Department of Neurology and Neurosurgery, Faculty of Medicine, Medical University - Pleven, Bulgaria., Dimitrov Georgi Tz. , Danovska Maya P. ,   Department of Neurology and Neurosurgery, Faculty of Medicine, Medical University - Pleven, Bulgaria., Marinova Diana L. ,   Department of Neurology and Neurosurgery, Faculty of Medicine, Medical University - Pleven, Bulgaria., Stoev Plamen G. ,   Department of Neurology and Neurosurgery, Faculty of Medicine, Medical University - Pleven, Bulgaria., Simeonova Yoana I. ,   Department of Social Medicine, Faculty of Public Health, Medical University, Sofia, Bulgaria.
Published: February 2023

Background: Male and female patients differ in their risk factors (RFs) and ischemic stroke (IS) subtype. A better understanding of the gender–related differences an important approach to successful prevention strategies for reducing the impact and burden of IS in young adults. Objective: To compare the gender–related differences in the prevalence of modifiable RFs and IS subtypes in young and middle-aged patients. Material and Methods: In the study were included 80 patients with acute IS, aged 18 – 59 years, admitted to the Neurology Clinic of UMHAT "Dr Georgi Stranski" Pleven. The following RFs were analyzed: arterial hypertension (AH), diabetes mellitus (DM), dyslipidemia, atrial fibrillation (AF), current smoking, number of cigarettes smoked per day, alcohol abuse, low physical activity, body overweight and chronic psychosocial stress. IS subtype was identified according to the Org 10172 Trial of Acute Stroke (TOAST). The statistical analysis was performed with the Statistical Package for Social Sciences, version 26.0 (SPSS). Results: Of all the 80 patients, 46 (57,5%) were males with a mean age 48,15±7,42 years, and 34 (42,5%) were females with a mean age 47,38±8,56. Male patients had higher rates of AH (80,4%), DM (47.8%), AF (4,3%), current smoking (73,9%), number of cigarettes smoked per day (60,9%), alcohol abuse (41,3%) and chronic psychosocial stress (52,2%), while the female ones showed higher rates of low physical activity (61,8%) and body overweight (38,2%). A statistical significance was found only for AH (p=0,004), DM (p=0,026), current smoking (p=0,007), number of cigarettes smoked per day (p=0,025) and alcohol abuse (p=0,031). The most common subtype of IS in males was large artery atherosclerosis (47,8%) and small vessel occlusion (28,3%). The female patients demonstrated a higher frequency of IS with other determined etiology (38,2%) and undetermined etiology (26,5%). Conclusion: Our data contribute to a better understanding of the gender–related differences of modifiable RFs and IS subtype in young and middle-aged patients with acute IS. The above findings definitely imply the necessity of developing additional specific therapeutic strategies for the effective control of modifiable RFs and lifestyle improvement in order to reduce the incidence of the most common subtypes of IS.
Value of tibial and peroneal minimum F-wave latency ROC curves in diabetic polyneuropathy diagnosis
Authors:   M.D., Physiatrist, Bone and Joint Diseases Research Center, Department of Physical Medicine and Rehabilitation, Shiraz University of Medical Sciences, Shiraz, Iran., Farpour Hamid Reza
Published: February 2023

Introduction: F wave is one of the most sensitive electrodiagnostic parameters to verify the diabetic neuropathy even in absent or mild clinical symptoms. Methods: In our prospective study, we determined the best cut-off point measures of tibial and peroneal Minimal F-Waves Latency (MFL), in 100 diabetic patients using Receiver Operating Characteristic (ROC) curves. We calculated the diagnostic measures with and without the correction for height to reveal the effect of correction on sensitivity and specificity.
A PERILAKU KESIAPAN PENINGKATAN PENGETAHUAN MASYARAKAT HADAPI COVID-19 DAN NEW NORMAL LIFE DI DESA BUDAYA SUNGAI BAWANG
Authors: Hurai Rufina
Published: February 2023

Background: The "New Normal" policy has several challenges that arise related to its implementation in society, namely the challenge of various understandings in society regarding "New Normal", there is no public awareness to implement behavior in the new normal life order. The implementation of the "New Normal" policy has been carried out throughout Indonesia, one of which is in the Sungai Bawang Cultural Village. However, the implementation of the "New Normal" policy is not always as expected. Nursing intervention is needed to support government programs to socialize and educate Covid-19 based on nursing diagnoses, namely readiness to increase knowledge, including through health education and increasing learning readiness. The purpose of this study was to determine the Behavior of Readiness to Increase Community Knowledge in Facing Covid-19 and New Normal Life. Methods: this study used an analytic observational design with a cross sectional approach. Overall the number of samples in this study is 30 respondents. Data were analyzed using the Chi Square test. Results: respondents have moderate knowledge of Covid-19 30% and 70% high. Knowledge of the new normal is low 20%, moderate 50% and high 30%. Behavior facing the new normal is lacking 13.3%, 33.4% sufficient and 53.3% good. This study shows that there is a significant relationship between knowledge about Covid-19 and behavior in facing the new normal with a value of p = 0.001 <0.05. Conclusion: there is a significant relationship between knowledge and behavior towards New Normal Life, the higher the public's knowledge, the more likely they are to behave well in adapting to a new life after the Covid-19 pandemic. Suggestion: The public must understand that knowledge is the most important prerequisite for behavior change in New Normal Life to implement health protocols which are a series of actions to prevent the spread of COVID-19.
TINGKAT STRES AKADEMIK DALAM PEMBELAJARAN DARING SEBAGAI DAMPAK PANDEMI COVID-19 BAGI MAHASISWA DI STIKES DIRGAHAYU SAMARINDA
Authors: Tetty Vinsensia , Norsanah
Published: February 2023

Latar belakang: Perubahan metode pembelajaran secara daring dalam kondisi pandemic COVID-19 menyebabkan peserta didik perlu beradaptasi dengan metode pembelajaran yang baru. Perubahan ini dapat menyebabkan ketidaksiapan peserta didik dalam belajar. Tujuan: Mengetahui tingkat stres akademik dalam pembelajaran daring sebagai dampak pandemi COVID-19 bagi mahasiswa di STIKES Dirgahayu Samarinda. Metode: desain penelitian deskriptif kuantitatif dengan menggunakan metode survey yang dilakukan secara online. Pengambilan sampel menggunakan tehnik total sampling. Jumlah responden 132 mahasiswa. Pengumpulan data diperoleh menggunakan kuesioner yang dibuat dalam Googleform. Analisis data menuggunakan analisis univariat. Hasil: Sebagian besar mahasiswa  mengalami stres akademik pada kategori tingkat sedang yaitu 71,9 %, stres pada kategori tingkat tinggi 24,3 % dan stres pada kategori tingkat rendah sebesar 3,8 %.
From Eco-Jihad to Politicization: A Corpus-based Eco-linguistic Discourse Analysis of the Arab Media Coverage of the Safer Floating Oil Tanker
Authors: Mohammed Tawffeek A. S.
Published: February 2023

This study attempts a corpus-based discourse analysis of the coverage of the FSO Safer in Arabic media to determine the main recurrent categories and themes in the coverage produced by outlets associated with conflicting/warring parties, as well as reports from more neutral media. This study, therefore, provides analysis of media coverage on the FSO Safer starting with the first report from Aljazeera on the issue in 2019, until June 2022. This study utilized Sketch Engine to compile a digital corpus of Arabic news articles. The corpus consists of 420,00 tokens. Additionally, this study explores how the word al-bīʾah (environment) is represented in the corpus by conducting a transitivity analysis of each concordance line or clause that included the word or one of its variants. This study also examines the various manipulative strategies that media outlets associated with conflicting parties used to determine how each presented the 'other', holding them accountable should the catastrophe strike. The findings of this study indicated that the themes recurrent in the corpus include the scale of catastrophe, environmental damage in the event of a spill, economic consequences, the UN emergency plan, echo-jihad, and 'we' vs 'them', among others. The presence of the word al-bīʾah in the corpus clearly shows that human beings are represented as the most active of beings; those who think, do and act in the world and those who behave and speak. Inanimate objects, on the other hand, are represented as passive participants; things are done to them.
Sêmen equino refrigerado com diluidor quimicamente definido contendo lecitina de soja
Authors: Machado William Morais , Brito Thalita Marques de , Santana Larissa Rodrigues , Kersul Maíra Guimarães , Snoeck Paola Pereira das neves
Published: February 2023

O sêmen equino tem sido historicamente refrigerado usando meios à base de leite. No entanto, o uso de componentes de origem animal causa várias preocupações potenciais, como variabilidade nas formulações, contaminação microbiana e questões regulatórias. Objetivou-se avaliar o potencial de inclusão de diferentes concentrações de lecitina de soja (LS) no meio quimicamente definido BWW - Biggers, Whitten e Whittingham para refrigeração de sêmen equino e armazenamento na temperatura de 15°C. Os ejaculados foram diluídos em seis diferentes grupos experimentais: 1) BotuSêmen® (controle); 2) BWW; 3) BWW + 1% lecitina de soja (LS); 4) BWW + 2% LS; 5) BWW + 4% LS e 6) BWW + 6% LS. O meio BWW, não preservou a motilidade, a velocidade, a retilinearidade (STR), a linearidade (LIN), a amplitude do deslocamento lateral da cabeça (ALH), a frequência de batimento flagelar cruzado (BCF), a integridade funcional e estrutural dos espermatozoides equino durante 24 h de refrigeração quando comparado ao BotuSêmen® (P <0,05). O uso de BWW para refrigeração de sêmen equino só foi possível com adição de lecitina de soja, sendo as concentrações igual ou superior a 2% melhores, pois preservaram a motilidade total, a velocidade curvilinear (VCL) e LIN com mesmo potencial do BotuSêmen® (P >0,05). Ainda assim, o diluidor comercial BotuSêmen® apresentou superioridade em preservar o percentual de espermatozoides progressivamente móveis, a velocidade média da trajetória (VAP), a velocidade linear progressiva (VSL) e a frequência do batimento flagelar cruzado (BCF) durante a refrigeração comparado aos demais diluidores (P <0,05). A inclusão de lecitina de soja, de 2 a 6% no meio BWW, permitiu a manutenção da viabilidade do sêmen equino refrigerado a 15ºC por até 24 horas.
RECURSO EXTRAORDINÁRIO 852.745 E A PRETENSÃO DE RESSARCIMENTO AO ERÁRIO POR ATO DE IMPROBIDADE ADMINISTRATIVA
Authors: Suaid Ricardo Adelino , Da Silveira Sebastião Sérgio
Published: February 2023

Com o objetivo de uniformizar a jurisprudência e zelar pela segurança jurídica e isonomia, o Código de Processo Civil de 2015 prevê que os tribunais devem sumular seus entendimentos a partir de sua jurisprudência, a qual deve observar as circunstâncias fáticas dos precedentes que motivaram sua criação. Trata-se do dever de coerência que deve nortear a atuação harmônica entre o que se decide e o processo sub judice. No âmbito da mais alta Corte do país, a formação do precedente no julgamento do recurso extraordinário pressupõe presentes os institutos do prequestionamento e da repercussão geral da questão constitucional. Nesse sentido, a partir da tríade prequestionamento-repercussão geral-coerência dos procedentes, dedica-se o presente trabalho a análise crítica das disparidades no julgamento do Recurso Extraordinário n. 852.745 pelo Supremo Tribunal Federal, concluindo-se que a tese da imprescritibilidade da pretensão de ressarcimento ao erário com base animus do agente improbo não guarda correspondência com o contexto do caso concreto que lhe deu origem.
Atuação da Fundação APAEB em Valente (BA): Tecendo o desenvolvimento sustentável com fios de economia solidária e identidade local
Authors: De Lima Carlos Eduardo , Rodrigues dos Santos Alex , Gobbi Barbosa Manoela Fagundes , Romagnolo Dayane Freire , Amâncio-Vieira Saulo Fabiano
Published: February 2023

Embora o desenvolvimento sustentável faça parte de agendas de diversas instituições em distintos níveis, sua tradução em práticas e ações são difíceis de mensurar e implementar. Nesse contexto, torna-se necessário compreender ações capazes de fomentar os princípios do desenvolvimento sustentável no contexto local. Assim, o objetivo do artigo é compreender os desdobramentos do desenvolvimento sustentável na região do município de Valente-BA a partir da atuação da Fundação APAEB. Foi realizado um estudo de caso qualitativo no qual os dados foram coletados por meio de entrevistas, documentos e diários de campo e analisados por meio de análise de conteúdo. Como resultado, foi possível encontrar ações em diversos níveis e dimensões que atuam de forma concomitante na construção do desenvolvimento local. Essas ações são fortalecidas pelo incentivo de ações de economia solidária que são capazes de gerar impactos no empreendedorismo feminino, na conservação local e na manutenção da identidade cultural do território.
Few Randomized Controlled Trials in Spine Surgery in the United States Include Sociodemographic Patient Data: A Systematic Review
Authors: Kirchner Gregory J. , Kim Andrew H. , Smith Nathan P. , Martinazzi Brandon J. , Hines Shawn M. , Weddle John B. , Bible Jesse E.
Published: February 2023

Introduction:

The importance of sociodemographic factors such as race, education, and income on spine surgery outcomes has been well established, yet the representation of sociodemographic data within randomized controlled trials (RCTs) in spine literature remains undefined in the United States (U.S).

Methods:

Medical literature was reviewed within PubMed for RCTs with “spine” in the title or abstract published within the last 8 years (2014 to 2021) in seven major spine journals. This yielded 128 results, and after application of inclusion criteria (RCTs concerning adult spine pathologies conducted in the U.S), 54 RCTs remained for analysis. Each article's journal of publication, year of publication, and spinal pathology was recorded. Pathologies included cervical degeneration, thoracolumbar degeneration, adult deformity, cervical trauma, and thoracolumbar trauma. Sociodemographic variables collected were race, ethnicity, insurance status, income, work status, and education. The Fisher's exact test was used to compare inclusion of sociodemographic data by journal, year, and spinal pathology.

Results:

Sociodemographic data were included in the results and in any section of 57.4% (31/54) of RCTs. RCTs reported work status in 25.9% (14/54) of results and 38.9% (21/54) of RCTs included work status in any section. Income was included in the results and mentioned in any section in 13.0% (7/54) of RCTs. Insurance status was in the results or any section of 9.3% (5/54) and 18.5% (10/54) of RCTs, respectively. There was no association with inclusion of sociodemographic data within the results of RCTs as a factor of journal (P = 0.337), year of publication (P = 0.286), or spinal pathology (P = 0.199).

Discussion:

Despite evidence of the importance of sociodemographic factors on the natural history and treatment outcomes of myriad spine pathologies, this study identifies a surprising absence of sociodemographic data within contemporary RCTs in spine surgery. Failure to include sociodemographic factors in RCTs potentially bias the generalizability of outcome data.
Severe Heterotopic Ossification After Revision Total Knee Arthroplasty: A Case Report and Review of the Literature
Authors: Vanden Berge Dennis , Bondar Kevin , Yakkanti Ramakanth , Constantinescu David , Carvajal Alba Jaime Alberto
Published: February 2023

The incidence of primary and revision total knee arthroplasty (TKA) is increasing worldwide. Heterotopic ossification is a common and concerning complication of TKA. There are few described cases of severe heterotopic ossification after revision TKA and no known cases of heterotopic ossification causing functional ankylosis after revision TKA. We describe a case of extensive heterotopic ossification in a patient who underwent right TKA for extensive adhesions and stiffness. After early range of motion improvement postoperatively, the patient discontinued a physical therapy regimen. The patient presented 13 years after revision TKA with radiographically evidenced severe heterotopic ossification resulting in a functional ankylosis. The patient elected for nonsurgical management. This case demonstrates a delayed finding of severe heterotopic ossification. The case prompted an applied literature review of several topics: heterotopic ossification as a complication of revision arthroplasty, the contribution of autoimmune and inflammatory conditions to heterotopic ossification; the use of medication, radiation, and physical therapy as prophylaxis against heterotopic ossification; and the range of treatment strategies for severe heterotopic ossification at the knee joint. Consent by the patient involved in this case report was obtained.
Dynamic Radiographs in Assessing Stability of Cervical Spine Fractures: A Multicentre Study
Authors: Thumbadoo Ruben Patrick , Herzog Jan , Bhamber Niv , Lupu Cristina , Kwan Kenny , Clarke Andrew , Hutton Michael , Bernard Jason , Bishop Timothy , Lui Darren F.
Published: February 2023

Background:

In the management of a trauma patient with cervical spine injury, the need for accurate diagnostic imaging is key to ensure correct management. Different classification systems have been developed including the Subaxial Injury Classification (SLIC) system and AO cervical spine fracture classification. Through a multicentre study, we have identified a group of cases where the use of CT alone to classify fractures by either SLIC or AO score may be deficient and the use of dynamic cervical spine radiographs could help identify instability.

Methods:

Three level 1 trauma centers retrospectively reviewed patients with cervical spine injuries. Cervical spine radiographs (AP and lateral) were undertaken in collar, in all patients with suspected cervical spine injury within 2 weeks, followed by reanalysis of scoring systems.

Results:

Eleven cases were identified in total, and 72% were male with a mean age of 65 years, with approximately 54% being older than 70 years. All patients reported their pain as severe using the Visual Analogue Scale scale. The predynamic radiograph mean SLIC score was 0.73, which is in contrast to the postdynamic radiograph mean SLIC score of 6. The statistical significance (P = 0.004) was found using the Wilcoxon signed-rank test.

Conclusion:

Supine imaging eliminates the gravitational loads normally exerted on the c-spine. The cases show assumed cervical stability based on CT, but dynamic c-spine radiographs subsequently demonstrated instability. Therefore, we suggest a combination of SLIC and AO classification using radiologic imaging to classify fracture and correlate clinical symptoms with persistent neck pain, which warrants a Miami-J collar and dynamic c-spine radiograph to assess stability with re-evaluation of scoring.
Index Surgery Cost of Fluoroscopic Freehand Versus Robotic-Assisted Pedicle Screw Placement in Lumbar Instrumentation: An Age, Sex, and Approach-Matched Cohort Comparison
Authors: Ezeokoli Ekene Uchenna , Pfennig Mitchell , John Jithin , Gupta Rohun , Khalil Jad G. , Park Daniel K.
Published: February 2023

Background:

Spine surgery costs are notoriously high, and there are already criticisms and concerns over the economic effects. There is no consensus on cost variation with robot-assisted spine fusion (rLF) compared with a manual fluoroscopic freehand (fLF) approach. This study looks to compare the early costs between the robotic method and the freehand method in lumbar spine fusion.

Methods:

rLFs by one spine surgeon were age, sex, and approach-matched to fLF procedures by another spine surgeon. Variable direct costs, readmissions, and revision surgeries within 90 days were reviewed and compared.

Results:

Thirty-nine rLFs were matched to 39 fLF procedures. No significant differences were observed in clinical outcomes. rLF had higher total encounter costs (P < 0.001) and day-of-surgery costs (P = 0.005). Increased costs were mostly because of increased supply cost (0.0183) and operating room time cost (P < 0.001). Linear regression showed a positive relationship with operating room time and cost in rLF (P < 0.001).

Conclusion:

rLF is associated with a higher index surgery cost. The main factor driving increased cost is supply costs, with other variables too small in difference to make a notable financial effect. rLF will become more common, and other institutions may need to take a closer financial look at this more novel instrumentation before adoption.
Prevalence of Vitamin D Deficiency in Patients With Charcot Arthropathy: A Single-Center Analysis
Authors: Kay Robert Daniel , Forslund Johan , Arthur D.'Ann , Taylor Adam James , Aminian Arash
Published: February 2023

Introduction:

Vitamin D deficiency may be a potentially modifiable risk factor in patients with orthopaedic conditions including Charcot arthropathy. The purpose of this study was to determine the prevalence of vitamin D deficiency and insufficiency in patients with Charcot arthropathy.

Methods:

All patients with Charcot arthropathy seen in our foot and ankle surgery clinic from January 2017 through June 2021 were screened for serum 25-hydroxyvitamin D levels. Patients were categorized as sufficient, insufficient, or deficient based on previously accepted guidelines. The prevalence of vitamin D deficiency and insufficiency was calculated.

Results:

A total of 57 subjects were included in this study after meeting the inclusion criteria. Of these, 27 (47.4%) were found to be deficient in vitamin D, 21 (36.8%) were insufficient in vitamin D, and 9 (15.8%) were sufficient in vitamin D. Overall, 84.2% of the cohort was found to be either insufficient or deficient in vitamin D.

Conclusion:

Vitamin D insufficiency and deficiency is highly prevalent in patients with Charcot arthropathy. As such, it is possible that this may play a role in the pathogenesis of Charcot arthropathy and may represent a potentially modifiable risk factor that could be optimized during the management of patients with Charcot arthropathy.
Postoperative Pain Medication Utilization in Pediatric Patients Undergoing Sports Orthopaedic Surgery: Characterizing Patient Usage Patterns and Opioid Retention
Authors: Metz Allan K. , Tomasevich Kelly M. , Froerer Devin L. , Rosenthal Reece M. , Featherall Joseph , Aoki Stephen K.
Published: February 2023

Introduction:

Opioid overprescribing is a problem in orthopaedic surgery, with many patients having leftover opioid medications after surgery. The purpose of our study was to capture utilization patterns of opioids in pediatric patients undergoing orthopaedic sports medicine surgery, in addition to evaluating patient practices surrounding unutilized opioid medication. Our hypothesis was that there would be low utilization of opioids in this patient population and would in turn contribute to notable overprescribing of opioids and opioid retention in this population.

Methods:

Pediatric patients undergoing orthopaedic surgery for knee and hip pathology were prospectively enrolled. A survey was administered 14 days postoperatively, with questions centered on the patient-reported number of opioids prescribed, number of opioids used, number of days opioids were used, and incidences of leftover opioid medication and disposal of leftover medication. The magnitude of opioid overprescribing was calculated using the reported prescribed and reported used number of opioid pills. Linear regression was used to examine associations between opioids and NSAIDs prescribed.

Results:

One hundred fourteen patients reported a mean prescription of 12.0 ± 5.0 pills, with utilization of 4.4 ± 6.1 pills over 2.7 ± 5.1 days. Patients were prescribed 2.73 times the number of opioid pills required on average. One hundred patients (87.7%) reported having unused opioid medication after their surgery, with 71 (71.0%) reporting opioid retention. Regression results showed an association with opioids used and prescribed opioid amount (β = 0.582, R = 0.471, P < 0.001).

Discussion:

Overall, our study results help characterize the utilization patterns of opioid medications in the postsurgical pediatric sports orthopaedic population and suggest that orthopaedic surgeons may be able to provide smaller quantities of opioid pills for analgesia than is typically prescribed, which in turn may help reduce the amount of prescription opioid medications present in the community.

Level of Evidence:

Level IV
Membership and Feedback on the American Academy of Orthopaedic Surgeons and Other Subspecialty Societies: A Survey Study of Orthopaedic Surgeons
Authors: Saxena Arjun , Toci Gregory R. , Brush Parker L. , Reinhardt Alexis , Beredjiklian Pedro K. , Hilibrand Alan S. , Vaccaro Alexander R. , Fletcher Daniel
Published: February 2023

Introduction:

Orthopaedic surgeons face decreased reimbursement, lower income, and increased rates of burnout. As subspecializing through fellowship training in orthopaedics becomes more and more prevalent, the value of membership to a general orthopaedic society (American Academy of Orthopaedic Surgeons [AAOS]) warrants investigation.

Methods:

One hundred thirty orthopaedic surgeons were surveyed by e-mail through a 14-item anonymous survey administered through SurveyMonkey. The survey inquired about surgeon experience, practice type, fellowship training, and details regarding AAOS and subspecialty society membership.

Results:

The response rate was 67%, with 94% of respondents indicating that they were members of AAOS and a subspecialty society. The most common reasons for AAOS membership were tradition (65, 74.7%), continuing medical education (46, 52.9%), maintenance of board certification (44, 50.6%), and political advocacy (40, 46.0%). The most common reasons for subspecialty society membership were continuing medical education (73, 83.9%), tradition (49, 59.8%), and political advocacy (33, 40.2%).

Discussion:

Most surgeons in our study cohort were members of both AAOS and a subspecialty society, but the reasons for membership in each differed. Almost 80% of respondents think their subspecialty society provides all their professional needs. The orthopaedic societies need to continue to evolve to provide value to their members to succeed in the future.
Onlay Versus Inlay Biceps Tenodesis for Long Head of Biceps Tendinopathy: A Systematic Review and Meta-analysis
Authors: Jackson Garrett R. , Meade Joshua , Coombes Kyle , Young Bradley L. , Hamid Nady , Piasecki Dana P. , Fleischli James E. , Trofa David P. , Saltzman Bryan M.
Published: February 2023

Introduction:

Proximal biceps tenodesis is a common surgical treatment of tendinosis of the long head of the biceps tendon. Two of the most common techniques incorporate onlay and inlay fixation methods, which can be done arthroscopically or open and in a variety of anatomic locations. The purpose of this meta-analysis was to compare the clinical outcomes between onlay versus inlay humeral fixation for biceps tenodesis for long head of the biceps tendon pathology.

Methods:

A literature search was conducted using PubMed, EMBASE, and Cochrane Library. Only studies reporting outcomes and complications after onlay and inlay biceps tenodeses were included.

Results:

Six studies with a total of 418 patients (252 onlay, 166 inlay) with a mean age of 56.84 years were included. Visual analog pain scale scores, Constant score, and American Shoulder and Elbow Surgeons shoulder score did not differ. “Popeye” deformity was found in 17 patients (7.80%) in the onlay group and in 15 patients (11.28%) in the inlay group (odds ratio, 0.28; P = 0.07). No difference in postoperative cramping or failure rates was found.

Conclusion:

Both onlay and inlay biceps tenodeses result in improved clinical outcomes and are at low risk of Popeye deformities, with no statistically significant differences between either method. Additional studies are required to assess the clinical significance of these differences.
Фіскальна політика: сутність та особливості впливу на розвиток національної економіки
Authors: Якушко І. В.
Published: February 2023

Роль фіскальної політики в забезпеченні економічного розвитку країн є вагомою. Завдяки формуванню та поступовому впровадженню такої політики країни можуть досягати значного рівня власного розвитку, формувати сприятливі умови для здійснення господарської діяльності та забезпечувати поступове зростання конкурентоспроможності національного господарства. Фіскальна політика є складовою економічної політики держави, її невід’ємною компонентою і пов’язана з діями держави у сфері формування і використання фондів грошових коштів. Відповідно, важливість такої політики для розвитку фінансової системи, системи державних фінансів зумовлює актуальність проведення нових досліджень у цьому напрямку. У статті проведено ґрунтовний аналіз сутності фіскальної політики. Це реалізовано на основі дослідження наукових концепцій різних учених щодо розгляду змісту цього виду політики. У результаті детального аналізу запропоновано фіскальну політику розглядати як цілеспрямовану діяльність органів державної влади у сфері формування і використання фінансових ресурсів  для виконання ними власних повноважень.
Діяльність і звітування учасників ринку небанківських фінансових послуг регулятору під час дії воєнного стану
Authors: Сарахман О. М. , Шурпенкова Р. К.
Published: February 2023

У статті досліджено, що ринок небанківських фінансових послуг – ще один важливий фронт, де Національний банк України (далі - НБУ) надійно тримає фінансову оборону. Обґрунтовано, надавачі небанківських фінансових послуг за можливості повинні подавати та оприлюднювати звітність у звичайні строки відповідно до Правил складання та подання звітності учасниками ринку небанківських фінансових послуг до НБУ. Визначено, що не зважаючи на зазначені фактори та продовження дії воєнного стану, для забезпечення стійкості і прозорості ринку, а також захисту прав споживачів регулятор актуалізує наглядові підходи. Зокрема, за результатами аналізу звітності учасників ринку небанківських фінансових послуг є ознаки порушення деякими компаніями критичних фінансових нормативів та здійснення ризикової діяльності. Доведено - сьогодні дії регулятора здебільшого спрямовані на дерегуляцію ринку, мета якої – підтримання учасників ринку і надання можливості зосередитися на професійній діяльності і попри воєнний стан в Україні, регулятору важливо отримувати оперативну інформацію про фінансовий стан та показники діяльності ринку небанківських фінансових послуг.
Необанки: світовий досвід та вітчизняна практика
Authors: Федина В. В. , Богріновцева Л. М.
Published: February 2023

Стаття присвячена дослідженню проблеми цифрової трансформації банківського сектора, зокрема аналізу особливостей становлення та розвитку необанків як в зарубіжній, так і у вітчизняній практиці. Визначено сутність поняття «необанк», основна відмінність якого від традиційної банківської установи полягає в тому, що він не має мережі «фізичних» відділень і повністю працює в режимі он-лайн. З’ясовано основні переваги необанків над традиційними банками. Визначено фактори, що сприяють стрімкому розвитку світового необанківського сектору. Основну увагу приділено розгляду існуючих в зарубіжній практиці моделей розвитку необанків, їх продуктової та технологічної специфіки. Розглянуто вітчизняний досвід розвитку необанків та надано характеристику їх діяльності. Визначено основні проблеми, що перешкоджають розвитку необанків в сучасних умовах економічного розвитку.
Визначення оптимальних параметрів нейромережі у задачах бінарної класифікації при використанні малих обсягів даних
Authors: Піскунова О. В. , Савіна С. С.
Published: February 2023

Досліджено практичні питання застосування нейромереж для розв’язування задач бінарної класифікації на малих обсягах вибірок. Розглянуто використання багатошарового персептрону та проблему оптимального вибору такого основного параметру нейромережі, як кількість нейронів на проміжному шарі. Досліджувалась задача прогнозування ймовірності успішності стартапів. Встановлено, що на даних вибірки малого об’єму, при неможливості отримати результат таким класичним методом, як побудова логістичної регресії, нейромережа у вигляді багатошарового персептрону дає високу точність класифікації. Для вибору оптимальних параметрів нейромережі потрібно проводити серії експериментів з метою встановлення взаємозв’язку між показниками ефективності нейромережі та зміною значення відповідного параметру, що надалі можливо апроксимувати функціональним зв’язком. Отримані залежності дають основу для вибору кращих параметрів нейромережі.
Quantum oscillations in the stock market
Authors: Orrell David
Published: February 2023

This paper develops a quantum harmonic oscillator model of price fluctuations in a stock market, which builds on a previously-published quantum model of supply and demand, and can be viewed as a quantized version of a classical econometrics model first proposed in 1933. An advantage of the approach is that it interprets market behavior in terms of entropic forces which, when expressed in quantum terms, can account for a variety of behavioral effects of the sort studied in quantum cognition and quantum decision theory. The model helps to interpret quantities such as force, mass, frequency and energy in a financial setting, and is consistent with observed phenomena such as the square-root behavior of price impact.
IS DIGITAL KILLING PRODUCTIVITY?
Authors: Bogni Rudi
Published: February 2023

Bogni presents a few egregious examples of the pervasive idiocy of many digital processes and procedures
Market impact through a quantum lens
Authors: Orrell David
Published: February 2023

Looking closer at three predictions made by a quantum model of the stock market.
Effect of castration on carcass and meat quality attributes in native lambs of Bangladesh
Authors: Hossain MA , Numan AA , Haque ME , Haque MR , Rahman MM , Hashem MA
Published: February 2023

The aim of this study was to examine the effect of castration on carcass traits and meat quality of three native region lambs. The selected sixty lambs were divided into two groups like T1 (Uncastrated) and T2 (Castrated) having 30 lambs of each group. Statistical analysis was conducted by SAS with 3×2 factorial experimental model in Completely Randomized Design (CRD). Parameter studied were carcass traits, proximate component (DM, CP, EE, and Ash), physicochemical (ultimate pH, cooked pH, cooking loss, drip loss, water holding capacity- WHC), sensory attributes (color, flavor, tenderness, juiciness, overall acceptability) and instrumental color values (CIE L*, a* and b*). The lamb type and castration had significant effect (p<0.001) on ADG, hot carcass, CP, EE, flavor, juiciness and b* values of native region lambs. The lamb type had significant effect (p<0.001) on drip loss, cooked pH, tenderness and a* values of native region lambs. The ADG and hot carcass were significantly higher (p<0.001) in uncastrated groups than castrated groups. The CP and EE% were significantly higher (p<0.001) in castrated groups than uncastrated groups. Significant higher flavor was found in castrated group whereas juiciness was higher in uncastrated group. It may be concluded that uncastrated lambs showed better in productive performance and carcass traits but castrated lambs showed better in meat quality attributes as evidence from proximate components, physicochemical traits and sensory attributes. Hence, JBL showed better performances among three native region lambs of Bangladesh.
The IAPEN INDIA Association for Parenteral and Enteral Nutrition Chennai Declaration on the Fundamental Right to Nutritional Care of Patients Under Treatment
Authors:   Tata Memorial Hospital (HBNI), Mumbai, India, Timmanpyati Shivshankar , Varma Shilpa , Pottakkat Biju , Vijayakumar P C , Sreedharan Lekha , Patel Datta , Patil Mansi , Venkatraman Sreemathy , Chakravarti Sanghamitra , Samaddar Ritika , Mehra Anshu
Published: February 2023

Malnutrition can be defined as a state of nutrition in which a deficiency or excess or imbalance of energy, protein, and other nutrients cause measurable adverse effects on body tissues, eventually affecting the quality of life and clinical outcome. Malnutrition is associated with many adverse outcomes both in the community as well as in clinical settings; including a suppressed immune system, impaired wound healing, muscle wasting, extended periods of hospital stay, and increased mortality. Undetected malnutrition not only enhances the risk of adverse complications for patients but impacts negatively with an increase in health care costs. This can be prevented if protocol prioritized attention is given to their nutritional care. Achievement of good nutrition is important and is a must in overall healthcare, hence, all stakeholders should be updated regarding the management of malnutrition and challenges encountered. It’s time we start, mobilize everyone and engage governments, policymakers, gain national and global cooperation to address the issue of malnutrition in healthcare settings. The objective of this specialist declaration is to provide evidence-based recommendations for the proper management of malnutrition by a multi-parametric approach starting with the screening of all patients by trained healthcare professionals with easy-to-use validated screening tools. Nutrition screening is the first step towards identifying patients at risk and requiring intervention at the earliest. Only a few accredited hospitals have nutrition screening at the time of reporting as a protocol. The timing of recognizing the presence of malnutrition or at-risk is of paramount importance to reverse the deteriorating nutritional status before the patient becomes cachectic. Keywords: Nutrition care, Malnutrition, Prevention, Clinical nutrition, Human right to nutrition care, Screening, Assessment, Dietitian
Practice Level in the Implementation of Professional Learning Communities in Improving the Quality of Teaching among Mathematics Teachers.
Authors: Sowndappan Kavitha
Published: February 2023

This concept paper was conducted with the aim of identifying the extent to which the level of implementation practice of the Professional Learning Community can improve the quality of teaching among Mathematics teachers. This study will be conducted using quantitative methods that is through data collection involving questionnaires. The dimensions in the concept of Professional Learning Community, namely the sharing of mission and vision values, leadership sharing and support, collective learning and application, sharing of individual practices and supportive environment methods are among the focus of the study. It is hoped that this study will help teachers realize that the quality of their teaching can be improved and enhanced through the Professional Learning Community and further maintain a culture of continuous learning in each educator.
Analysis on the Reform of Higher Vocational Teaching Methods Under the Cultivation of Innovation Ability
Authors: Xu Shao-Bao , Jia Yong-Qi
Published: February 2023

With the continuous improvement of our country's modern education system, the role and status of higher vocational colleges are constantly improving. As an important educational base for cultivating technical and application-oriented talents, higher vocational colleges must do well in teaching reform. In the process of reform and development of higher vocational colleges, it is necessary to do well in cultivating students' innovative ability, adopting a scientific teaching model, strengthening the innovation of teaching methods, and continuously strengthening students' core literacy and innovation ability, which is an inevitable way to cultivate high-quality talents. Therefore, this paper will conduct in-depth research and analysis on the reform of higher vocational teaching methods under the cultivation of innovative ability, and summarize some measures based on practical experience, in order to help relevant personnel.
Inovasi Kepala MTS Madinatul Ilmi Dalam Penanaman Karakter Religius Siswa Menuju Madrasah Juara
Authors: Milda Rizki  , Diani Syahfitri  , Ahmad Zaki
Published: February 2023

Penelitian ini bertujuan untuk mengetahui Inovasi Kepala Sekolah Dalam Pembinaan Karakter Religius Siswa Menuju Madrasah Juara di MTS Madinatul Ilmi Desa Lubuk Kertang. Jenis penelitian adalah penelitian kuatititatif dengan metode pengumpulan data observasi, wawancara, dan dokumentasi. Hasil penelitian bahwa pelaksanaan kepemimpinan Kepala Sekolah MTS Madinatul Ilmi diwujudkan dalam pelaksanaan kurikulum, pengajaran, kesiswaan, guru dan tenaga administrasi, sarana dan prasarana, serta hubungan dengan orang tua murid dan masyarakat sekitar, cenderung dilakukan Kepala Sekolah dengan menerapkan sistem kepemimpinan demogratif. Pelaksanaan Inovasi Kepala MTs Madinatul Ilmi Dalam Pembinaan Karakter Religius Siswa Menuju Madrasah Juara adalah dilakukan dengan langkah-langkah meningkatkan sistem pengajaran, membuka dialog, memberikan penghargaan, melengkapi sarana prasarana dan fasilitas serta motivasi mengajar guru dan memonitoring siswa didalam dan diluar kelas. Adapun upaya yang dilakukan untuk mengatasinya adalah meningkatkan sistem pengajaran, membuka dialog, memberikan penghargaan, melengkapi sarana prasarana dan fasilitas serta motivasi mengajar guru dan memonitoring siswa didalam dan diluar kelas.
PENGARUH INFLASI DAN TINGKAT SUKU BUNGA TERHADAP INDEKS HARGA SAHAM GABUNGAN YANG TERDAFTAR DI BURSA EFEK INDONESIA PADA TAHUN 2013-2021
Authors: Ahmad Shabran Jamil , Badri Juarsa
Published: February 2023

Perubahan Makro ekonomi di Indonesia akan mempengaruhi perekonomian Indonesia dan seluruh industri yang ada. Pasar modal menjadi penggerak ekonomi nasional melalui perannya sebagai sumber pembiayaan perusahaan dan alternatif bagi investor untuk berinvestasi. Didalam pasar modal, Indeks Harga Saham Gabungan (IHSG) sangat berperan penting karena indeks ini bisa menjadi barometer kesehatan ekonomi di suatu negara. Tingginya inflasi, suku bunga akan menurunkan harga saham. Penelitian ini bertujuan untuk melihat pengaruh inflasi, dan suku bunga terhadap indeks harga saham gabungan (IHSG) di Bursa Efek Indonesia (BEI). Metode analisis menggunakan model analisis linear berganda. Data yang digunakan dalam penelitian ini adalah data bulanan periode januari 2013-Desember 2021. Penelitian ini menggunakan sampel sebanyak 108 sampel. Hasil pengujian hipotesis pertama diterima dan diperoleh nilai inflasi sebesar 0,042. Hasil pengujian hipotesis kedua diterima di peroleh dari nilai suku bunga sebesar 0,000. Dari hasil statistik disimpulkan variabel inflasi berpengaruh negatif dan signifikan terhadap IHSG. Variabel suku bunga berpengaruh negatif dan signifikan terhadap IHSG. Secara simultan variabel bebas yaitu inflasi, kurs dan suku bunga memiliki pengaruh yang signifikan terhadap IHSG.
PENGARUH MANAJEMEN BAKAT DAN PELATIHAN TERHADAP KINERJA KARYAWAN PADA RADIO REPUBLIK INDONESIA PADANG
Authors: Putri Tri Delina , Ramafina Sonya Futri , Rahmizal Maizul
Published: February 2023

Radio merupakan salah satu jenis media masa. Radio termasuk sarana atau saluran komunikasi massa seperti halnya surat kabar, majalah atau televisi. Ciri khas utama radio adalah auditif, yakni bersifat audio yang dikonsumsi telinga atau pendengaran.Radio merupakan bergerak di bidang poadcast dan kreatif karena dunia penyiaran radio telah berkembang pesat seiring dengan tingkat peradaban manusia dan kemajuan teknologi komunikasi. Radio menjadi sangat akrab dengan masyarakat karena media radio dapat menjadi media yang komunikatif, edukatif dan menghibur, yang hanya membutuhkan indera pendengaran sehingga dapat didengarkan dimana saja dan sambil melakukan aktifitas lain seperti berkendara atau bekerja. Syarat utama untuk dapat bekerja di Radio Republik Indonesia yaitu harus kreatif dan aktif  hal ini dikarenakan radio selalu menyesuaikan diri dengan kebutuhan dari masyarakat selaku pendengarnya dari hari ke hari. Penelitian ini bertujuan untuk menganalisis pengaruh manajemen bakat dan pelatihan terhadap kinerja karyawan pada radio republik Indonesia padang. Metode Analisis data yang digunakan adalah total sampling. Data diuji menggunakan uji regresi linear berganda dengan populasi seluruh karyawan Radio Republik Indonesia Padang yang berjumlah 87 orang. Hasil penelitian menunjukkan manajemen bakat berpengaruh positif dan signifikan terhadap  kinerja karyawan. Pelatihan berpengaruh positif dan signifikan terhadap kinerja karyawan.
PENGARUH LARANGAN IMPOR PAKAIAN BEKAS TERHADAP PENGUSAHA THRIFT
Authors: Fatah Azizan , Sari Deya Alvina Puspita , Irwanda Isnaini Syifa , Kolen Lauren Ivena , Agnesia P.Gusti Delima
Published: February 2023

Penelitian ini dilakukan dengan tujuan untuk mengetahui bagaimana pengaruh "Larangan impor pakaian bekas" terhadap para pedagang thrift atau pakaian bekas. penelitian ini dilakukan dengan menarik data-data dari badan pusat statistik dan menengok Permendag No 40 tahun 2022 tentang Barang Dilarang ekspor Dan dilarang impor. kegiatan ini kita lakukan guna mengetahui bagaimana statistik yang dirasakan oleh masyarakat setelah ditetapkannya Permendag No.40 tahun 2022 ini. Larangan impor barang tersebut muncul karena Melihat hasil penelitian yang ada bahwa pakaian thrift yang di impor dapat mengancam kesehatan dan ekonomi, karena tidak diketahuinya asal usul barang dan tingkat keamanan barang tersebut, dan juga bisa mengancam kesehatan karena ditemukannya banyak bakteri yang berkembang biak di serat serat baju tersebut, yang bisa menyebabkan beberapa penyakit ringan hingga penyakit berat. serta penelitian ini pula diharapkan bisa menyadarkan masyarakat dengan bahaya pakaian bekas impor yang bahkan setelah dibersihkan berkali-kali bakteri yang ada tidak hilang. semoga penelitian ini dapat membantu banyak orang dan menyadarkan penegak hukum untuk bisa lebih sering melakukan pengecekan atau razia terhadap barang-barang yang ada di pasar tradisional, atau yang biasa disebut "PasarThrift"
SAÚDE MENTAL E SEUS ESTIGMAS: COMO OS MEIOS DE COMUNICAÇÃO PODEM AJUDAR NA QUEBRA DE PRECONCEITOS?
Authors: Santos Benedito Carlos Alves dos
Published: February 2023

O Estigma é um mal que assolada nossa sociedade de forma bastante sutil e concomitantemente impede que o estigmatizado posso seguir sua vida como ser “normal”. Falando do tema Saúde, encontramos o estigma quando fazemos uma sondagem sobre questões da “Saúde Mental”.  Para a composição do artigo, foi usado como pano de fundo para ilustração do tema, a personagem bíblica Caim, que assassina seu irmão e em consequência recebe um sinal na testa. Transpondo essa ideia para o artigo, esse sinal é o estigma que acompanha a Pessoa com Transtorno Mental. Vê-se hoje a necessidade de um trabalho de conscientização, onde possamos quebrar os preconceitos, pois quanto menos preconceitos, maior a possibilidade de um trabalho profícuo de inclusão e superação. A mídia, com seus aparatos, pode ser um instrumento facilitador de quebra de preconceitos?