bluuebunny/crossref_metadata_2025 huggingface dataset:
Konfirmasi Pemeriksaan Mikroskopik terhadap Diagnosis Klinis Malaria
Authors: Arsin A. Arsunan , Paerunan Heri , Syatriani Sri
Published: November 2016

Penyakit malaria masih menjadi salah satu masalah kesehatan masyarakat yang penting di dunia. Di Indonesia, terutama di luar daerah Jawa dan Bali, sampai kini angka kesakitan malaria masih tergolong tinggi. Di Puskesmas Bunta Kabupaten Banggai, pada tahun 2008 Annual Malaria Incidence (AMI) dilaporkan mencapai 109,9‰. Penelitian ini bertujuan untuk membandingkan serta mengetahui hubungan gejala, tanda klinis, dan hasil pemeriksaan mikroskopik malaria. Desain studi yang digunakan adalah cross sectional. Pengumpulan data wawancara dan mengambil sediaan darah dilakukan pada 150 penderita suspect malaria di puskesmas dan rumah penduduk. Penderita malaria klinis dengan pemeriksaan mikros- kopik malaria positif ditemukan sekitar 52%. Gejala dan tanda klinis malaria yang berhubungan bermakna dengan pemeriksaan mikroskopik meliputi menggigil (nilai p = 0,000); sakit kepala (nilai p = 0,007); nyeri otot/ tulang (nilai p = 0,001); pusing (nilai p = 0,000); demam (nilai p = 0,003); anemia (nilai p = 0,000); dan splenomegali (nilai p = 0,000). Berdasarkan analisis multivariat ditemukan gejala dan tanda klinis yang paling dominan berhubungan dengan pemeriksaan mikroskopik adalah menggigil (nilai p = 0,002; CI 95% = 1,593-7,797) dan anemia (nilai p = 0,000; CI 95% = 2,265 11,191) yang merupakan faktor prediksi terbaik untuk diagnosis dini, skrining, dan surveilans malaria.Kata kunci: Malaria klinis, pemeriksaan mikroskopik, gejala dan tanda klinis malariaAbstractMalaria which morbidity still high is one of health problems in the world in- cluding in Indonesia, mainly in outside Java and Bali island. In Bunta Public Health Center Banggai Regency in 2008, the AMI was 109,9‰ still high. The objective of this research is to compare and to know the relationship between clinical malaria diagnosis and microscophic examination. The methods used in research were observasional study with cross sectional study by interviewing and taking blood stoke of malaria suspected among 150 respondents in Public Health Center and people residents. The data was analyzed by SPSS program according to univariate, bivariat, and mul- tivariate. The result showed that positive mycroscopic cases among clinical malaria cases is 52%. The sign and symptomps of malaria is corelated to positif microscophic examinated cases such as shiver (p value = 0,000); headache (p value = 0,007); muscle/bones pain (p value = 0,001); dizzyness (p value = 0,000); fever >37,5°C (p value = 0,003); anemia (p value = 0,000); and splenomegaly (p value = 0,000). Based on the multivariate test, indicated that the sign and symptoms that related dominantly to micros- cophic examination includes shiver symptom (p value = 0,002; CI 95% = 1,593-7,797) and anemia (p value = 0,000; CI 95% = 2,265-11,191). Malaria clinical signs and symtomps is the alternative diagnosis of malaria in endemic areas that have microscophic examination restictiveness.Key words: Clinical malaria, microscophic examination, clinical sign and symptoms
Transcriptome Changes in Response to Cold Acclimation in Perennial Ryegrass as Revealed by a Cross‐Species Microarray Analysis
Authors: Zhang Chunzhen , Fei Shui‐zhang , Liu Peng , Ji Tieming , Peng Jiqing , Frei Ursula , Hannapel David J.
Published: November 2016

Freezing tolerance in perennial ryegrass (Lolium perenne L.) can be dramatically increased by a period of cold acclimation. To understand the mechanisms of cold acclimation and freezing tolerance in L. perenne, a cross‐species microarray study was conducted by using total RNA from cold‐acclimated and nonacclimated L. perenne to hybridize with Affymetrix Barley1 GeneChips from barley (Hordeum vulgare L.). Our results indicate that selection of proper background correction and normalization method is critical for the success of a barley–perennial ryegrass cross‐species microarray study. By using a specific three‐step normalization method, a total of 2870 (12.6%) genes out of approximately 22,000 genes on the barley gene chip were identified as differentially regulated by either 1 or 7 d of cold acclimation. Quantitative reverse transcriptase polymerase chain reaction (qRT‐PCR) analysis confirmed that the expression patterns of 14 selected genes are consistent with the signal intensity patterns observed in the microarray study, supporting the validity of using a cross‐species microarray in studying gene expression in species for which genomic resources remain scarce. Gene ontology analysis of differentially regulated genes indicates that different biological processes, cellular components, and molecular functions responded differently to cold acclimation in observable temporal patterns, suggesting that perennial ryegrass gradually acquires freezing tolerance by systematically regulating gene expression in an orderly manner.
Characterization of controlling hydrogeochemical processes using factor analysis in Puyang Yellow River irrigation district (China)
Authors: Wang Wenjia , Song Xianfang , Ma Ying
Published: November 2016

Groundwater chemistry is diverse and complicated and is regulated by both natural hydrogeochemical and anthropogenic processes. Determining the governing processes and their influence on groundwater chemistry is very important to understand groundwater quality evolution and establish reasonable water management strategies. Main cations (Ca2+, Mg2+, Na+, K+, and Sr2+), anions (Cl−, SO2−4, HCO−3, NO−3, and F−), and SiO2 and UV254 of 50 shallow groundwater samples were treated and analyzed. Factor analysis combined with ionic ratio and correlation analysis was used to identify the major hydrogeochemical processes responsible for the variation of hydrochemical components. Approximately 76% of the total variance of the data set can be explained by the four factors identified. Composing of Sr2+, Mg2+, Ca2+, and electrical conductivity (EC), Factor 1 accounted for 25.67% of the total variances, and represented groundwater formation background and fundamental water–soil/rock interaction. Factor 2 with high loadings on NO−3, U(Cl−, SO2−4, HCO−3, NO−3, and F−), and F−)254, and F−, was related to anthropogenic activities, especially the release of domestic sewage and industrial effluents. Factor 3 composed of Na+, HCO−3 and EC was interpreted as cation exchange process. Factor 4 explained 15.75% of the total variance, and was attributed to the influence of agricultural activities, especially chemical fertilizer application.
ŚWIATOWE DNI MŁODZIEŻY JAKO WYDARZENIE KATECHETYCZNE
Authors: Tomasik Henryk
Published: November 2016

Inspiracją Światowych Dni Młodzieży były spotkania Jana Pawła II z młodymi ludźmi. Papież-Polak chciał, by w ten sposób młodzież wychodziła na spotkanie Bogu, który wszedł w dzieje człowieka. Dość szybko w inicjatywie dało się dostrzec cztery zasadnicze dynamizmy, na których do dziś opierają się spotkania. Te dynamizmy to chrystocentryzm, entuzjazm, kontemplacja krzyża i afirmacja młodości. Dzięki nim Światowe Dni Młodzieży nie ograniczają się do jednorazowej akcji, ale stanowią zaplanowaną działalność o charakterze katechetycznym. Domagają się przy tym rzetelnego przygotowania. Takie przygotowanie zostało już podjęte w Krakowie, dokąd przyjedzie młodzież z całego świata w roku 2016. Niezależnie od już opracowanych materiałów duszpasterskich i katechetycznych, nie można ustać w wysiłkach na rzecz Światowych Dni Młodzieży w Polsce, aby stały się one czymś więcej niż tylko festynem religijnym.
L’UOMO COME DONO PER L’ALTRO NEL PENSIERO DI TADEUSZ STYCZEŃ
Authors: KOZIEJ Bartłomiej Wiktor
Published: November 2016

Podstawowym celem artykułu jest omówienie i ukazanie myśli polskiego etyka i teologa Tadeusza Stycznia dotyczącej miłości ludzkiej. W sposób szczególny starano się zwrócić uwagę na wymiar miłości jako bezinteresownego daru po- między kochającymi się: mężczyzną i kobietą, ukazując relację pomiędzy „ja” osoby kochającej i „ty” osoby kochanej. Podjęto również próbę ukazania miłości ludzkiej jako afirmacji drugiej osoby, wyrażającej się w sformułowaniu „Jak do- brze, że jesteś!”. Przedstawiono także rolę i znaczenie ciała ludzkiego jako języka, w którym człowiek najpełniej wyraża dar z siebie dla drugiej osoby. Istotne w tym kontekście stało się też przedstawienie relacji między „ja” osoby i swoim ciałem. Wyszczególniono znaczenie znaku ciała, które Styczeń przedstawia jako obraz ludzkiego ja. W tym kontekście przedstawiono wyjątkowość ludzkiej egzystencji na tle świata stworzonego, podkreślając, że „ja” osoby ludzkiej najlepiej wyraża się poprzez działanie, które staje się metodą, aby wejrzeć do wnętrza ludzkiego. Działanie to jest zaś możliwe dzięki ludzkiemu ciału, które staje się językiem ko- munikacji międzyosobowej. W końcu ukazano, jaką rolę w tym komunikowaniu się odgrywa ludzkie oblicze.
PSYCHOZA A MEDYTACJA
Authors: RADOŃ STANISŁAW
Published: November 2016

Celem artykułu jest prezentacja literatury dotyczącej możliwości, warunków oraz efektywności stosowania nowych strategii terapeutycznych opartych na uważności (Terapia poznawcza oparta na uważności oraz Terapia akceptacji i zaangażowania, a także ich modyfikacje) w stosunku do pacjentów psychotycznych. Podstawowym atutem decydującym o wartości zaprezentowanych strategii jest kładzenie akcentu raczej na zmianę nastawienia pacjenta w stosunku do symptomów psychotycznych niż na ich modyfikację czy kontrolę (w tradycyjnych strategiach podkreślano znaczenie redukcji oraz kontroli symptomów). Z wielu przeprowadzonych badań wynika, że stosowanie takich niedyrektywnych strategii wobec pacjentów psychotycznych (oraz pacjentów z wieloma innymi zaburzeniami) okazuje się szczególnie efektywne i prowadzi do wielu pozytywnych zmian (wzrost świadomości własnych doświadczeń psychotycznych, pozwalanie na pojawianie się symptomów psychotycznych i ich zanikanie bez potrzeby ich kontrolowania, stopniowa dezidentyfikacja od symptomów, wzmacnianie samoświadomości przez akceptację i unikanie osądzania). Jednak – jak wykazują wyniki paru badań jakościowych – stosowanie tych interwencji wymaga zachowania pewnej dozy ostrożności, gdyż w niektórych przypadkach może nasilać symptomy psychotyczne. We wnioskach przedstawiono ograniczenia dotyczące stosowania interwencji opartych na uważności (historia, stadium, nasilenie objawów chorobowych, czas trwania i charakterystyka treningów) oraz warunki efektywnego ich stosowania (obecność doświadczonego klinicysty podczas treningów, zwłaszcza w początkowych fazach, modyfikacja technik, niedyrektywny charakter terapii).
ESTABLISHING MEASUREMENT INVARIANCE ACROSS ONLINE AND OFFLINE SAMPLES. A TUTORIAL WITH THE SOFTWARE PACKAGES AMOS AND MPLUS
Authors: Cieciuch JAN , DAVIDOV ELDAD
Published: November 2016

Równoważność pomiaru konstruktów mierzonych online i offline jest warunkiem porównywalności zebranych danych. Umożliwia akumulację wiedzy uzyskanej na podstawie badań przeprowadzonych tymi dwiema różnymi metodami oraz łączenie danych zebranych tymi sposobami do dalszych analiz. Głównym celem artykułu jest prezentacja procedury testowania równoważności pomiaru w programach Amos i Mplus. Procedurę prezentujemy w kolejnych krokach testu równoważności: 1) specyfikacja modelu, 2) identyfikacja modelu, 3) estymacja i ocena modelu i 4) modyfikacja modelu.
ARGUING THE NEED FOR QUALITATIVE EXPLORATION IN THE FIELD OF EMERGING DIGITAL PATHOLOGIES
Authors: JOHNSON NICOLA F.
Published: November 2016

Dotychczas przeprowadzono niewiele badań etnograficznych (i holistycznych) pozwalających zrozumieć sposób życia użytkowników internetu poważnie od niego uzależnionych. Dotyczy to szczególnie badań jakościowych (czyli eksploracji, opisu, badań prowadzonych metodą indukcyjną), które byłyby publikowane na całym świecie. W artykule przedstawiono wnioski z częściowo ustrukturyzowanych wywiadów z pięcioma psychologami, którzy zostali poproszeni o przedstawienie swojego sposobu pojmowania uzależnienia od internetu i dysfunkcjonalnego korzystania z niego. Wyniki badań wskazują na złożoność problemu i możliwość współwystępowania tych jednostek z innymi zaburzeniami. Może to sugerować, że tak zwane nadużywanie internetu lub wiele podobnie określanych syndromów stanowi pojęcia niedokładne i mylące. Potrzebne są dalsze, wnikliwe badania jakościowe, aby dokładnie zrozumieć i pogłębić analizy tak często omawianego problemu, dla którego opracowano i zweryfikowano mnóstwo kwestionariuszy w ramach jednego, dominującego paradygmatu badawczego. W dalszej kolejności potrzebne jest bardziej subtelne zrozumienie sposobów korzystania z internetu, aby wypracować teorię i pedagogikę, które byłyby pomocne w skutecznym rozwiązywaniu cyfrowych patologii.
Integralność poznania ludzkiego w ujęciu Błażeja Pascala. Z dziejów filozofii zdrowego rozsądku
Authors: Janeczek Stanisław
Published: November 2016

Artykuł omawia koncepcję poznania w ujęciu Błażeja Pascala na tle dyskusji epistemologicznych XVII i XVIII wieku. Wskazuje na integralność ludzkiej wiedzy postulowanej przez Pascala. Winna ona zespalać z jednej strony rozum, pojęty w sensie operacji dyskursywnej, z intuicją i instynktem, a z drugiej – poznanie naturalne z wiarą. Pascal wychodzi poza zestaw prawd dostępnych w poznaniu ugruntowanym na dyskursie (raison). Szczególną rolę wyznaczał intuicji określanej w kategoriach sentir czy nawet instinct, operując takimi kategoriami jak esprit de finesse, utożsamiany z sens droit czy esprit de justesse, istotnymi w odniesieniu do poznania principes. Równocześnie tak pojęte wyposażenie ludzkiego umysłu (lumière naturelle) odpowiada aspektywnie wiedzy ugruntowanej na coeur, przeciwstawianej interpretowanemu racjonalistycznie raison, gdy na gruncie religii lumière naturelle jest komplementarne wobec inspiration czy révélation. Podejście to, opozycyjne wobec przejawów naturalistycznie pojętego racjonalizmu, wydaje się wpisywać w długi ciąg filozofii zdrowego rozsądku liczącej się z realiami ludzkiej natury. Sięga ona myśli Arystotelesa, mimo nowożytnej kontestacji jego nauki. Punktem odniesienia rozważań Pascala nade wszystko jest jednak epistemologia Kartezjusza podkreślającego znaczenie apriorycznych elementów poznania, traktowanych jako naturalne wyposażenie ludzkiego umysłu, do których odwołuje się intuicja czy instynkt. Konsekwencją integralności poznania jest akceptacja maksymalistycznie pojętej filozofii, nawet jeśli w nowożytności zmienił się paradygmat – z metafizycznego na epistemologiczny. Traktowanie ówczesnych ograniczeń w zakresie wykładu metafizyki jako przejawu minimalizmu, a nawet swoistego agnostycyzmu, nie wydaje się jednak uprawnione dlatego, że ze względu na zmianę nowożytnego paradygmatu to epistemologia była głównym terenem, na którym rozgrywały się podstawowe spory filozoficzne. Owocowały one określonymi rozstrzygnięciami światopoglądowymi, istotnymi w perspektywie ówczesnej dominacji kultury religijnej. Być może nawet, że to właśnie religijne milieu wymuszało podjęcie wątków metafizycznych, które stanowiłyby fundament światopoglądu religijnego. W tym kontekście wymóg ten aktualizowało ówczesne szkolnictwo, preferując u schyłku wieku oświecenia szkocką filozofię zdrowego rozsądku, broniącą integralności ludzkiej wiedzy wobec przejawów filozoficznego minimalizmu, a nawet swoistego sceptycyzmu, groźnego dla ładu kulturowego.
ODDZIAŁYWANIE HELLENIZMU NA JUDAIZM
Authors: LISZKA PIOTR
Published: November 2016

Hellenizacja judaizmu jest zjawiskiem, które pojawiło się wraz z nastaniem hellenizmu. Hellenizm określony został jako wynik oddziaływania wielu kultur, zwłaszcza azjatyckich, na rodzimą kulturę grecką, helleńską. Kontakt między Grecją a wieloma kulturami istniał już wcześniej. Podobnie istniał kontakt Izra- ela z wieloma kulturami. Nasilenie oddziaływania nastąpiło w czasach niewoli Babilońskiej. Dla Grecji całkowicie nowy etap rozpoczęły wyprawy Aleksandra Macedońskiego. Wcześniej kontakt Narodu Wybranego z grecką filozofią i mitologią był nieznaczny. Od IV wieku przed Chrystusem oddziaływanie kultury greckiej na judaizm ogarnęło wszelkie dziedziny życia. Nikły strumyk przemienił się w potop. Jednocześnie zmieniło się natężenie oddziaływania i jego jakość. Przyczyna jednego i drugiego była ta sama. Początek zależności politycznej narodu Izraelskiego od Grecji zbiegł się z początkiem przemiany helleńskości w hellenizm.Wpływ hellenizmu na judaizm był wieloraki, ale w istotnej dziedzinie, w wie- rze, niczego nie zmienił. Przekład Biblii na język grecki, pisanie ksiąg biblijnych w języku greckim, mówienie w tym języku i życie w środowisku tworzonym przez Greków, nie zmieniło biblijnego sposobu myślenia i nie zniekształciło objawionej treści.Judaizm nie miał większego wpływu na kulturę grecką. Kultura żydowska została przyjęta przez Greków dopiero wraz z percepcją chrześcijaństwa.
WARTOŚĆ PATRIOTYZMU W PAMIĘCI I TOŻSAMOŚCI JANA PAWŁA II
Authors: Boużyk Maria M.
Published: November 2016

Autorka analizuje tekst książki Jana Pawła II Pamięć i tożsamość pod kątem problemu patriotyzmu jako wartości ważnej w procesie wychowania. Interesuje ją nie tylko definicja patriotyzmu, ale także sposób jej formułowania. Swoje rozważania dzieli na dwie części, z których pierwsza dotyczy metafizyczno-teologicznego charakteru refleksji papieskiej na temat patriotyzmu, a druga poświęcona jest kwestii nadprzyrodzonego wymiaru patriotyzmu. Ostatecznie autorka podkreśla, że papież postrzega patriotyzm jako wartość moralną, którą można rozpatrywać także w perspektywie religijnej. W oparciu o tekst Pamięci i tożsamości autorka próbuje sprecyzować kwestie istotne w odczytywaniu religijnego kontekstu cnoty patriotyzmu. Jej zdaniem są to: cel ludzkiego życia, obecność zła, relacje jednostki do społeczności.
Huge Gastric Teratoma in an 8-Year Old Boy
Authors: Sisodiya Rajpal Singh , Ratan Simmi K. , Kumar Parveen
Published: November 2016

Gastric teratoma is very rare tumor and usually presents in early infancy. An 8-year-old boy presented with a huge mass in abdomen extending from epigastrium to the pelvis. Ultrasound and CT scan of abdomen revealed a huge mass with solid and cystic components and internal calcifications. The preoperative diagnosis was a teratoma but not specifically gastric one. At operation, it was found to be gastric teratoma. The mass was excised completely with part of the stomach wall. The histopathology confirmed it to be mature gastric teratoma. The rarity of the teratoma with delayed presentation prompted us to report the case.
Analysis of Indicators of in Patient Surgical Care at the Health Care Facilities in Ivano-Frankivsk Region for 2005-2015
Authors: Yavorskyy Andriy
Published: November 2016

Surgical inpatient care is one of the most capital-intensive types of care. Therefore, the health care system task is to ensure public access to this type of care, to guarantee the safety and quality of its provision on the background of resources rational use.The objective of the research was to analyze the basic parameters of inpatient surgical care quality provided at Ivano-Frankivsk region health care facilities. Materials and methods. The data of statistical reports (17 and 20) of health care facilities in Ivano-Frankivsk region for 2005-2015 were analyzed. Sociological survey of 530 patients treated at the surgical units of inpatient facilities was conducted. Results of the research. Resources for surgical inpatient care in terms of quantity in Ivano-Frankivsk region including beds and staff were determined to be higher than the average national level. However, the quality of staffing of the regional health care facilities (secondary employment coefficient is less than one point, one third of surgeons is with the second qualifying category or is not certified) does not meet modern requirements. Low-duty health care facilities were detected to be characterized by low operational activity (60.6%, 114.0 operations per surgeon per year on average), insufficient relevance of hospitalization (40% of operations may be performed on an outpatient basis), low attractiveness for a significant per cent of patients (46.2%).Conclusions. Regional program for optimization of surgical care provision should be developed.
EXPERIMENTAL ANALYSIS OF THE HEALING PROCESS IN THE AREA OF TIBIAL BONE FRACTURE
Authors: Аkhtyamov I. F. , Shakirova F. V. , Klushkina Y. A. , Baklanova D. A. , Gatina E. B. , Aliev E. I.
Published: November 2016

Purpose. To quantify the density of the cortical bone of the tibia in the area of reparative regeneration and the state of the vascular bed (hemodynamics) of the operated limb under intramedullary osteosynthesis using pins coated with titanium and hafnium nitrides. Materials and methods. In the experiment, changes in the bone density and the characteristics of the local blood supply were studied on 40 outbred rabbits which underwent intramedullary osteosynthesis by the use of pins with a nanocoating based on superhard compounds which consist of titanium and hafnium nitrides and pins without a coating. Using color Doppler mode helped to evaluate the condition of the vascular bed proximally to the fracture site. Results. It is noted that the use of pins with the described coating above did not violate the osteoregeneration staging. The density of the cortical bone in the test group exceeded that of the comparison group by an average of 30%. Bone remodeling processes in the test group completed at an earlier date, as determined by the higher rates of its density. In the study of the vascular bed of the operated limb, it was found that on the 10th day of the experiment, an increase in the maximal velocity of the blood flow was recorded (TAMAX). In animals of the test group this index approached preoperative values on the 30th day, while in animals of the comparison group this index approached the initial values only by the 60th day. Conclusion. The use of implants coated with titanium and hafnium nitrides which are characterized by high strength, thermal and chemical stability is accompanied by the formation of a cortical bone in the area of osteotomy with higher density characteristics. The changes which are typical of the vasodilatation in the area of injury in the early postoperative period can be regarded as a positive factor in the formation of primary bone union. In the group where implants coated with titanium and hafnium nitrides were used, the return of the parameters to the values of intact bone occurred at an earlier date than in the group with uncoated implants.
TRAUMATIC DISLOCATION OF THE POSTERIOR TIBIAL TENDON (CASE REPORT AND REVIEW)
Authors: Shchepkina E. A. , Sorokin E. P. , Lasunsky S. A. , Stafeev D. V.
Published: November 2016

The tibialis posterior tendon is the most superficial structure, passing behind the medial malleolus in the groove, which continue to strong fibro-osseus tunnel. Dislocation of the tibialis posterior tendon - a rare pathology, caused often by trauma. Analysis of foreign literature revealed that at present, since 1968, there is a description of only 34 cases of such injury. In russian literature such cases have not been described. The first case of this pathology is described by C. Martius in 1874. The authors analyzed the recent literature on this issue, and present a case of surgical treatment of the posterior tibial tendon dislocation. Patient had an injury during playing football and it was a direct trauma. During the MRI, radiologist had suspected dislocation of posterior tibial tendon, and the patient was sent to Vreden Institution of Traumatology and Orthopedics. Patients underwent surgery: recess medial malleolus groove was deeped, a flexor retinaculum flap was made, then it was fixed by transosseous sutures to the tibia. At one year follow-up patient showed a complete range of motion in the joint, the absence of any pain and returned to the previous sports activity. This article shows the difficulty for the diagnosis of traumatic dislocation of the posterior tibial tendon and shows the possibilities of surgical treatment in such cases.
Knee joint gait function in patients with ACL rupture before and after the surgery
Authors: Akhpashev A. A. , Zagorodniy N. V. , Kanaev A. S. , Kaurkin S. N. , Skvortsov D. V.
Published: November 2016

Materials and methods. The authors studied gait biomechanics in respect of time, velocity and dynamics in 34 patients with verified ACL rupture including 11 patients (first group) before the surgery and 23 patients (second group) after the surgery. Patients of the first group were followed in the period from 1 week up to 6 years (mean – 18 months), of the second group – from 1.5 months up to 5.5 years (mean – 13 months). Patients of the second group underwent standard arthroscopic ACL reconstruction with semitendinous and gracillis tendon autograft. Biomechanical gait examination was performed using strap down inertial motion sensors that register rotation angles in space. The authors measured time phases of gait cycle, movements in hip and knee joints in three mutually perpendicular planes as well as walking shock load.Results. Time phases of gait cycle in both groups demonstrated normal values both on healthy and affected limbs. Movements in hip and knee joints were within the normal range, no reliable differences in the analogous indices for each limb were reported. Shock load in walking was registered within 1.6 g, symmetrical on both sides; shock load dynamics was absent in the group of patients after the surgery. Study results did not identify functional disorders during random flat surface waking that would be specific for ACL lesion as compared to normal values and to intact limb. However, a certain tendency was observed towards an increase of flexion-extension movement range in the knees following ACL reconstruction. The reported differences were not credible.Conclusion. The authors did not observe any specific functional knee joint instability during normal activities in the first group of patients with ACL rupture. On the one hand, that means that ACL lesion does not manifest in such circumstances, on the other - knee joint instability does not progress during flat surface walking at a random pace. The obtained results give certain ground to reconsider the concept of “knee joint instability”.
ANALYSIS OF FAILURES AND COMPLICATIONS FOLLOWING TREATMENT OF DIAPHYSEAL FOREARM FRACTURES IN CHILDREN USING FLEXIBLE INTRAMEDULLARY NAILING
Authors: Korobeinikov A. A. , Popkov D. A.
Published: November 2016

Introduction. Currently flexible intramedullary nailing (FIN) is the method of choice for treatment of diaphyseal forearm fractures in children.Purpose of the study: to perform a quantitative and qualitative analysis of failures and complications encountered in treatment of children with diaphyseal forearm fractures using FIN fixation.Materials and methods. The study included 55 consecutive continuous cases of diaphyseal forearm fractures in children operated by FIN fixation from October 2011 till October 2014. Follow up period covered timeframe from admission until implant removal but no less than 6 months. The authors studied age, gender, fracture pattern, surgical technique features, length of hospital stay, frequency of outpatient examinations, healing period, x-ray data and all complications.Results. Complications during treatment were reported in 10 patients. Two patients demonstrated two complications. In two cases a surgical procedure was required to address the complications. Early postoperative complications were observed in two cases (neuropathy of superficial branch of radial nerve). In other cases patients developed complications at outpatient stage starting one to six months after the surgery which did not impact the final outcome.Conclusion. Despite various complications observed following FIN fixation of diaphyseal forearm fractures in children, their severity and frequency had no impact on the final outcome in the authors’ case series. Majority of issues were related to violations in surgical technique and adverse fracture pattern.
TIBIAL LANDMARKS IN ACL ANATOMIC REPAIR
Authors: Demesсhenko M. V. , Malanin D. A. , Suchilin I. A. , Cherezov L. L.
Published: November 2016

Purpose: to identify anatomical landmarks on tibial articular surface to serve as reference in preparing tibial canal with respect to the center of ACL footprint during single bundle arthroscopic repair.Materials and methods. Twelve frozen knee joint specimens and 68 unpaired macerated human tibia were studied using anatomical, morphometric, statistical methods as well as graphic simulation.Results. Center of the tibial ACL footprint was located 13,1±1,7 mm anteriorly from posterior border of intercondylar eminence, at 1/3 of the distance along the line connecting apexes of internal and external tubercles and 6,1±0,5 mm anteriorly along the perpendicular raised to this point.Conclusion. Internal and external tubercles, as well as posterior border of intercondylar eminence can be considered as anatomical references to determine the center of the tibial ACL footprint and to prepare bone canals for anatomic ligament repair.
Melayu di Atas Tiga Bendera: Konstruksi Identitas Nasionalisme Masyarakat Perbatasan di Kepulauan Batam
Authors: Dedees Adek Risma
Published: November 2016

Tulisan ini menjelaskan tentang konstruksi identitas nasionalisme masyarakat perbatasandi Kepulauan Batam. Jenis penelitian ini adalah kualitatif-interpretatif, dengan unit analisa pernyataan-pernyataan, cerita-cerita, dan pandangan informan tentang bayangan nasionalis memasyarakat perbatasan. Hasil penelitian ini menjelaskan bahwa masyarakat perbatasan di Kepulauan Batam mengaku mencintai dan membela Indonesia dengan kondisi yang ‘terbelah’, karena pada saat yang bersamaan juga beririsan dengan Melayu dan kemelayuan sebagai raisond’etre yang sifatnya lintas negara. Nasionalisme yang ‘terbelah’ ini disebabkan karena pertaliandan kedekatan bersama di bawah payung Melayu yang mampu mengalahkan kekuatan ideologi negara dan teritori yang memisahkan masyarakat perbatasan, baik Indonesia, Singapura maupun Malaysia. Pengalaman sejarah dan pengalaman kultural bersama inilah yang kemudian memberikan warna, corak, atau kekhasan tersendiri bagi masyarakat perbatasan di Kepulauan Batam ketika membayangkan atau mendefi niskan nasionalisme tersebut.
Implementasi Kebĳakan Silvopastur di Cagar Alam Gunung Mutis dan Perlawanan Masyarakat Lokal
Authors: Kurniadi Rahman , Rumboko Lukas
Published: November 2016

Penelitian ini bertolak pada permasalahan yang melatar belakangi masyarakat sekitar hutan tidak mengindahkan larangan silvopastur di dalam kawasan Cagar Alam Gunung Mutis sehingga berpotensi mengganggu kelestarian cagar alam tersebut. Metode yang digunakan adalah eksploratif kualitatif agar dapat memahami alasan masyarakat lokal melakukan perlawanan terhadap larangan silvopastur. Sedangkan pendekatan pendekatan yang dipakai adalah teori akses ( Ribot & Peluso, 2003) untuk memahami berpengaruh atau tidaknya perlawanan terhadap kegagalan implementasi kebĳakan silvopasture. Data primer dikumpulkan dengan cara wawancara dan observasi dari peternak, pihak pemerintah, LSM, dan pengusaha. Hasil penelitian menunjukan bahwa masyarakat melakukan perlawanan terhadap larangan silvopastur karena kebĳakan tersebut tidak sesuai dengan konteks masyarakat lokal. Perlawanan tersebut berpengaruh pada impelementasi kebĳakan silvopastur karena masyarakat lokal memiliki kemampuan untuk mengambil manfaat dari sumber daya alam berupa rumput yang di dalam Cagar Alam Gunung Mutis.
Konﬂ ik Internasional Abad ke-21? Benturan Antarnegara Demokrasi dan Masa Depan Politik Dunia
Authors: Rosyidin Mohamad
Published: November 2016

‘The clash of civilizations’ of Samuel Huntington and ‘the end of history’ of Francis Fukuyama are two grandtheories that have been widely accepted as the most dominant narratives in post- Cold War internationalrelations. Unfortunately, there have been litt le theoretical developments in today’s world to predict thefuture of international conﬂ ict. The theory assumed that the future international conﬂ ict will not occurbetween democracies and non-democracies as Democratic Peace Theory proposed, but between establisheddemocracies and emerging democracies. The established democracies reluctant to share their power with theemerging democracies on how to manage global order. This reluctancy will lead to political frictions andconﬂ icts among them. In spite of its theoretical breakthrough, this theory suﬀ ers of logical inconsistencysince it does not distinguish between emerging democracies and emerging powers. Instead of conﬂ ictamong democracies, this article argues that international conﬂ icts in the 21st century will be dominatedby asimetrical conﬂ ict between nation-states and radical movements, conﬂ icts due to information openess,and conﬂ ict over natural resources.
Performance study of conical strip inserts in tube heat exchanger using water based titanium oxide nanofluid
Authors: Arulprakasajothi Mahalingam , Elangovan Kariappan , Chandrasekhar Udayagiri , Suresh Sivan
Published: November 2016

The objective of the study is to observe the Nusselt number and friction factor behavior in a tube heat exchanger fitted with staggered and non-staggered conical strip inserts using water based titanium oxide nanofluid under laminar flow conditions. Water based titanium oxide nanofluid was prepared using a two-step method with a volume concentration of 0.1% and 0.5%. The tube inserts used were staggered and non-staggered conical strips having three different twist ratios of 2, 3, and 5. The experimental results indicated that the Nusselt number increased in the presence of water based titanium oxide nanofluid compared to the base fluid. Nusselt number further increased enormously with the use of conical strip inserts than a tube with no inserts. It was observed that the strip geometry and the nanofluid had a major effect on the thermal performance of the circular tube heat exchanger. It was found that with the staggered conical strip having a twist ratio of Y = 3 and 0.5% volume concentration of nanofluid provided the highest heat transfer. Correlations have been derived using regression analysis.
Influence of initial bed temperature on bed performance of an adsorption refrigeration system
Authors: Sur Anirban , Das Randip , Sah Ramesh
Published: November 2016

The study deals with the complete dynamic analysis (numerical and practical) of an existing adsorption refrigeration system. The adsorption refrigeration setup is available at Indian School of Mines (Dhanbad, India), Mechanical engineering department. The system operates with activated carbon (as an adsorbent) and methanol (as refrigerant).Numerical model is established base on energy equation of the heat transfer fluid (water) and transient heat and mass transfer equations of the adsorbent bed. The input temperature of heat source is 90?C, which is very low compared to other low-grade energy input refrigeration system. The thermo-physical properties of an adsorptive cooling system (using activated carbon?methanol pair) are considered in this model. In this analysis influence of initial bed temperature (T1) on the bed performances are analysed mathematically and experimentally. The simulation and practical results of this system show that the cycle time decreases with increase in initial bed temperature and the minimum cycle time is 10.74 hours (884 minutes for practical cycle) for initial bed temperature of 40?C. Maximum system COP and specific cooling capacity are 0.436 and 94.63 kJ/kg of adsorbent under a condenser and evaporator temperatures of 35?C and 5?C, respectively. This analysis will help to make a comparison between simulated and experimental results of a granular bed adsorption refrigeration system and also to meet positive cooling needs in off-grid electricity regions.
Radiant absorption characteristics of corrugated curved tubes
Authors: Djordjevic Milan , Stefanovic Velimir , Kalaba Dragan , Mancic Marko , Katinic Marko
Published: November 2016

The utilization of modern paraboloidal concentrators for conversion of solar radiation into heat energy requires the development and implementation of compact and efficient heat absorbers. Accurate estimation of geometry influence on absorption characteristics of receiver tubes is an important step in this process. This paper deals with absorption characteristics of heat absorber made of spirally coiled tubes with transverse circular corrugations. Detailed 3-D surface-to-surface Hemicube method was applied to compare radiation performances of corrugated and smooth curved tubes. The numerical results were obtained by varying the tube curvature ratio and incident radiant heat flux intensity. The details of absorption efficiency of corrugated tubes and the effect of curvature on absorption properties for both corrugated and smooth tubes were presented. The results may have significance to further analysis of highly efficient heat absorbers exposed to concentrated radiant heating.
Cardiovascular Autonomic Neuropathy and Cardiovascular Outcomes in the Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications (DCCT/EDIC) Study
Authors: Pop-Busui Rodica , Braffett Barbara H. , Zinman Bernie , Martin Catherine , White Neil H. , Herman William H. , Genuth Saul , Gubitosi-Klug Rose ,   the DCCT/EDIC Research Group
Published: November 2016

OBJECTIVE

To examine whether cardiovascular autonomic neuropathy (CAN) is an independent risk factor of cardiovascular disease (CVD) events during DCCT/EDIC.

RESEARCH DESIGN AND METHODS

Standardized cardiovascular autonomic reflex tests (R-R response to paced breathing, Valsalva maneuver, postural changes in blood pressure) were performed at DCCT baseline, every 2 years throughout DCCT, and at two time points in EDIC. CVD events were ascertained throughout the study and adjudicated by a review committee. Cox proportional hazards models were used to estimate the effect of CAN at DCCT closeout on subsequent CVD risk.

RESULTS

There were 299 adjudicated CVD events in 165 participants following the DCCT closeout assessment: 132 of 1,262 subjects (10%) without CAN at DCCT closeout who experienced 244 CVD events versus 33 of 131 subjects (25%) with CAN at DCCT closeout who experienced 55 events (hazard ratio 2.79, 95% CI 1.91–4.09 for time to first CVD event). The cumulative incidence of the first occurrence of any CVD event during EDIC was significantly higher in participants with CAN at DCCT closeout compared with those without CAN. The association remained marginally significant after adjustment for multiple risk factors, including the EDIC updated mean HbA1c. When analyzed as a continuous variable, R-R variation was significantly lower at DCCT closeout in participants who experienced a CVD event compared with those who did not (P = 0.0012).

CONCLUSIONS

In the DCCT/EDIC cohort, individuals diagnosed with CAN at DCCT closeout experienced a higher long-term risk of CVD events during follow-up in EDIC. This association was not independent of historic glycemic exposure and its metabolic memory effect, the principal determinant of both long-term CVD risk and CAN in type 1 diabetes.
Dentin Protection of Different Desensitizing Varnishes During Stress Simulation: An In Vitro Study
Authors: Schmalz G , Hellwig F , Mausberg RF , Schneider H , Krause F , Haak R , Ziebolz D
Published: November 2016

Objective: The aim of this study was to investigate dentin protection of different desensitizing varnishes (light- and self-curing) during acid action/abrasion stress and thermocyclic loading in vitro.

Methods: Dentin discs of 2 mm thickness were cut from 120 human molars, embedded, and polished. Specimens were randomized into five groups (n=24): A, negative control; B, Gluma Desensitizer; C, Cervitec plus (self-curing); D, Seal&Protect; and E, Admira Protect (light-curing). In groups B-E, varnish was applied on two-thirds of the dentin surface, and one-third acted as internal control. Stress cycle (2 cycles/day) for specimens were as follows: 1, acid action (pH: 2.9: five minutes); 2, remineralization (synthetic saliva: 60 minutes); 3, brushing (100 strokes); 4, thermocycling (five cycles); and 5, remineralization (synthetic saliva: six hours) for each group (n=12) for 30 (15 days) or 60 times (30 days). Specimens were analyzed using an incident light microscope. Substance loss was measured in micrometers. Statistical analysis was performed with the multiple contrast test (p<0.05).

Results: Groups B and C had a significantly lower dentin loss than A (p<0.01). After 30 days, group A showed the highest dentin loss (p<0.01), whereas the other groups lacked a significant difference regarding their substance loss (dentin and/or varnish; p>0.05). Varnish layer loss was shown for groups D and E with a remaining protective layer; groups A-C showed dentin removal.

Conclusion: All four varnishes are protective compared with an untreated control. Light-curing varnishes might provide higher dentin protection than self-curing materials.
Retrograde catheterization of the urinary bladder in healthy male goats by use of angiographic catheters
Authors: Reppert Emily J. , Streeter Robert N. , Simpson Katharine M. , Taylor Jared D.
Published: November 2016

OBJECTIVE To identify and evaluate 3 types of angiographic catheters for retrograde urinary bladder catheterization in healthy male goats.

ANIMALS 12 sexually intact yearling Alpine-cross bucks.

PROCEDURES Three 5F angiographic catheters of the same length (100 cm) and diameter (0.17 cm) but differing in curvature at the tip were labeled A (straight tip), B (tip bent in 1 place), and C (tip bent in 2 places). During a single anesthetic episode, attempts were made to blindly pass each catheter into the urinary bladder of each goat. Order of catheters used was randomized, and the veterinarian passing the catheter was blinded as to catheter identity. The total number of attempts at catheter passage and the total number of successful attempts were recorded.

RESULTS Catheter A was unsuccessfully passed in all 12 goats, catheter B was successfully passed in 8 goats, and catheter C was successfully passed in 4 goats. The success rate for catheter B was significantly greater than that for catheter A; however, no significant difference was identified between catheters B and C or catheters A and C.

CONCLUSIONS AND CLINICAL RELEVANCE 2 angiographic catheters were identified that could be successfully, blindly advanced in a retrograde direction into the urinary bladder of healthy sexually intact male goats. Such catheters may be useful for determining urethral patency, emptying the urinary bladder, and instilling chemolysing agents in goats with clinical obstructive urolithiasis.
Discord Between Approaches to Spinal and Extremity Disorders: Is It Logical?
Authors: Jull Gwendolen
Published: November 2016

Rapid advances in the basic, clinical, and behavioral sciences are molding developments in conservative management of musculoskeletal disorders. Curiously, there seems to be discord developing between approaches to the assessment and management of patients, depending on whether they present with an extremity or spinal disorder. This viewpoint will comment on examples of differences emerging in some current practices. The aim is not to present a scientific treatise about underpinning sciences and evidence-based practice or to comment on what is correct or incorrect. Rather, the aim is to stimulate thought on the seeming discord in clinical practice, with respect to both the clinical evaluation of, as well as management approaches to, extremity and spinal disorders.

J Orthop Sports Phys Ther 2016;46(11):938–941. doi:10.2519/jospt.2016.0610
Patients With Chondrolabral Pathology Have Bilateral Functional Impairments 12 to 24 Months After Unilateral Hip Arthroscopy: A Cross-sectional Study
Authors: Kemp Joanne L. , Risberg May Arna , Schache Anthony G. , Makdissi Michael , Pritchard Michael G. , Crossley Kay M.
Published: November 2016

Study Design

Cross-sectional study.

Background

Functional task performance in patients with chondrolabral pathology following hip arthroscopy is unknown.

Objectives

To investigate in people with chondrolabral pathology following hip arthroscopy (1) the bilateral differences in functional task performance compared to controls, (2) the association of hip muscle strength with functional task performance, and (3) the association of functional task performance scores with good outcome, as measured by International Hip Outcome Tool score.

Methods

Seventy-one patients who had unilateral hip arthroscopy for hip pain and 60 controls were recruited. Patient-reported outcomes included the 4 subscales of the International Hip Outcome Tool. Hip muscle strength measures included abduction, adduction, extension, flexion, external rotation, and internal rotation. Functional tasks assessed included the single hop test, the side bridge test, and the single-leg rise test. For aim 1, analyses of covariance tests were used. For aim 2, stepwise multiple linear regression analyses were used. For aim 3, receiver operating characteristic curve analyses were used.

Results

Compared to controls, the chondrolabral pathology group had significantly worse performance on both legs for each of the functional tasks (P<.001). Greater hip abduction strength was moderately associated with better performance on functional tasks in the chondrolabral pathology group (adjusted R2 range, 0.197–0.407; P<.001). Cutoff values associated with good outcome were 0.37 (hop distance/height) for the single hop, 16 repetitions for the single-leg rise, and 34 seconds for the side bridge test.

Conclusion

Patients with hip chondrolabral pathology had reduced functional task performance bilaterally 12 to 24 months after unilateral hip arthroscopy when compared to controls.

Level of Evidence

Therapy/symptom prevalence, level 3b. J Orthop Sports Phys Ther 2016;46(11):947–956. doi:10.2519/jospt.2016.6577
Helping Markets Get Prices Right: Natural Capital, Ecosystem Services, and Sustainability
Authors: Adamowicz W.L. (Vic) , Olewiler Nancy
Published: November 2016

Canada faces environmental problems that threaten our stock of natural capital—our endowment of natural resources such as water, forests, land, and atmosphere—and the flow of goods and services that natural capital generates, known as ecosystem services. Much of the literature focuses on climate change and greenhouse gas emissions, but many other challenges persist, including air and water pollution, risks from oil and gas extraction, water scarcity, flooding, loss of natural areas, threatened species, and toxic spills. While regulatory responses exist, their effectiveness is questionable with relatively little use of market-based instruments. We focus on the challenges associated with measuring and developing policy to sustain natural capital and ecosystem services. We highlight problems and identify policy options and “big ideas” that may help us both to improve our understanding of the linkages between natural capital, ecosystem services, and human well-being and to achieve a more sustainable future.
Let's Get This Transition Moving!
Authors: Meadowcroft James
Published: November 2016

This paper makes four basic points about movement toward a low carbon economy in Canada: first, that it is important for political leaders, policy analysts, and researchers to approach the issue in terms of a transition to a carbon-emission–free society; second, that in Canada the development of regional pathways to a low-carbon economy is crucial; third, that we need “green development strategies” if we are to maximize the opportunities presented by this transition; and finally, that we should think about low-carbon politics as well as low-carbon economics.