bluuebunny/crossref_metadata_2025_split huggingface dataset:
Post-operative Virtual Range of Motion in Robotic-assisted THA Patients to determine Pre-operative Simulation Needs
Authors: Thompson Matthew , Guttal Roopa , Darcy Shon , Alaghatta Akshay , Marcovigi Andrea , Catani Fabio 
Published: September 2020

For preoperative simulations of hip range of motion to be useful in predicting complications after total hip arthroplasty (THA), the factors that could affect post-operative function must be considered including, but not limited to, bony impingement, pelvic position, and implanted vs. planned differences. This study retrospectively simulates ranges of motion to prosthetic and bony impingement of THA patients with known planned and implanted component positions and pelvic tilt to determine the factors and needs to accurately simulate range of motion preoperatively.Twenty-two (22) anterolateral, cementless total hip arthroplasties were performed using robotic-arm assisted technology which allowed capture of the implanted stem version and position in addition to robotic-assisted cup placement to plan. With the known implanted positions and preoperative 3-dimentional (3D) bone models, six (6) hip maneuvers were virtually simulated in custom software. Correlations were evaluated between planned and implanted component positions, pelvic tilt, ranges of motion, and patient-reported outcomes.Average ranges of motion to impingement were similar to those of previous simulation and navigation studies. Supine tilt varied from -10 ̊ (posterior) to 15 ̊ (anterior) with an average of 3.4±6.6 ̊. Very little correlation was seen between native or planned stem version and implanted stem version. Correlations were seen between some maneuvers such as internal rotation (IR) at 90 degrees flexion (F) (IR@90F) and combined component version and pelvic tilt. Bony impingement occurred during IR@90F in 9 of the 22cases. Pelvic tilt assessment, bony impingement detection, better prediction of implanted component position or the ability to execute a plan, such as robotically, would all provide a more accurate pre-operative simulation of the post-operative patient’s function.
Use of Knee Fractures Physical Replicas for Surgical Training and Rehearsal: Proof of Concept Study
Authors: Capodici Angelo , Parchi Paolo Domenico , Condino Sara , Carbone Marina , Ferrari Vincenzo , Pasqua Ilenia , Ferrari Mauro , Scaglione Michelangelo 
Published: September 2020

In the last years also in orthopedic surgery, there was an increasing interest in the development of surgical simulators using methods of additive manufacturing combined or not with augmented reality systems (hybrid simulators). Aim of this work was to evaluate the use of a new patient’s specific tibial plateau fractures simulator for surgical training of young resident surgeons in fracture fixation with an external fixator. The simulator is a realistic knee phantom including a patient-specific replica of a fractured tibia and fibula, obtained by CT segmentation and rapid prototyping techniques. Each training session started with the presentation, and planning, of the surgical case that it was followed by the external fixation session on the simulator. At the end of each session, all participants were asked to fill out a questionnaire, concerning the phantom realism and appropriateness as a teaching modality. The results of the Likert Questionnaire indicating that there is an overall significant agreement with the phantom realism and its appropriateness as a teaching modality.The solid model of the patient’s anatomy can faithfully reproduce the surgical complexity of the patient and it allows to generate surgical simulators with an increasing difficulty to perform structured training paths: from the "simple" case to the "complex" case. The use of simulators based on 3D models has proved to be a very useful tool both for didactic and surgical training purposes, allowing surgeons to perform a real procedure simulation outside the surgical room.
Can a well balanced soft tissue envelope speed up the postoperative treatment and improve clinical follow-up? A control - pilot study using a dynamic ligament balancing device based on functional stability
Authors: Paszicsnyek Thomas , Bori Edoardo , Stiegler Christoph , Innocenti Bernardo 
Published: September 2020

IntroductionWorldwide, the number of TKA implants is increasing. Even if registry demonstrate that TKA as high satisfaction rate, there are still between 15 and 20% dissatisfied patients.Materials and methodsThe proper soft tissue balancing is one of the most discussed topics of the last years. We initiated a study using an electronic device („dynamic ligament balancing sensorplate“) to compare the benefit of the measurement of ligament tension, space and position in comparison to a conventional surgical procedure. Beside that, we followed the concept of functional stability, which tells us, that a tension of 40N in total is sufficient to reach proper (functional) joint stability.This control pilot study was set up as a single surgeon, single center study and consists of 25 patients treated by the use of the sensorplate and a control group of 25 patients, treated in a conventional setup.We used the following scores for evaluation: OKS, AKSS and FJS, preoperatively and during the FU examinations (postoperative, 6 weeks, 3 months, 6 months and 1 year)Beside scoring, clinical examination and routine x-ray we performed an EMG testing at all FU dates.ResultsThe study was performed between January 2017 and May 2019. The mean age of the patients was in average 72 years, 66 % female and 34 % male. After 1 year, results demonstrate a clear difference in the development of the postoperative situation between dynamic balanced TKA and the control one.So, the use of such electronic device improving the soft tissue envelope stability, enable a significantly better patient FU, especially in terms of OKSDiscussionThe DLB system is a new option to value and improve the soft tissue envelope tensioning during the surgical TKA operation. It allows to measure ligament tension, slope and joint space all over the entire ROM.ConclusionUsing an electronic device for measurement is an advanced option to improve patient satisfaction after tka. Like the studies of other existing devices have shown before there is a massive change in the kinematic behaviour of the muscular abilities by using these tools for a better soft tissue balance. The DLB system is another option by showing 3 different measurement results (tension, distance and joint angle) to adapt the implantation procedure to the individual situation of the patient.
Tibial First Technique Using Predictive Balancing Improves Joint Balance Compared To Measured Resection
Authors: Wakelin Edgar , Shalhoub Sami , Koenig Jan , Plaskos Christopher 
Published: September 2020

A well-balanced knee is a critical goal for total knee arthroplasty (TKA) across all surgical technique. Some controversy exists however about the method in which various techniques achieve soft tissue balance. Technology for balancing gaps in the tibia first approach has progressed from manual tensioners and laminar spreaders to digital tensioning tools integrated with robot-assisted navigation platforms, however there has been no comparison between femur first measured resection and tibia first techniques with this new technology. Our objective was to prospectively investigate joint balance accuracy and precision between a femur first measured resection and tibia first gap balancing technique utilizing a digital gap balancing tool.A consecutive series cohort undergoing TKA were investigated. The cohort was divided in to 4 groups: 1) Femur First Blinded to gap data, 2) Femur First Non-Blinded to gap data, 3) Tibia first Blinded to gap data, 4) Tibia first Non-Blinded to gap data. Implanted medio-lateral (ML) gap difference was used to calculate joint balance.94 patients were enrolled. No significant difference was found between the average ML gaps, however, the frequency of outlier balance throughout flexion, was significantly reduced in Group 4. Significant differences in the variance of the post-operative gap balance were also found, in which Group 4, reported reduced variance compared to group 3 and 2 throughout flexion and compared to group 1 at 90°.Ideal joint balance may remain a controversial topic, nonetheless a tibia first approach with digital balancing allows surgeons to accurately achieve a desired joint balance target.
Combining sensor and robotic technologies to achieve a well balanced total knee arthroplasty while avoiding any soft tissue releases
Authors: Bardou-Jacquet Julien 
Published: September 2020

Achieving a balanced total knee throughout the entire range of motion leads to improved patient reported outcomes and satisfaction. Sensor-assisted technology allows the surgeon to quantitatively assess and address imbalance through either soft tissue releases or bone recuts. However, balancing through soft tissue releases leads to unpredictable gap increments and frequent early over-releases.METHODS: During a consecutive and prospective series of 29 robotic total knee surgeries, intra-operative load sensors were used following the initial bone resections to quantitatively assess the knee’s state of balance through the range of motion with trial components in place. Load measurements were taken at 10 and 90 degrees of knee flexion. Based on previous literature, a balanced knee is defined as having a mediolateral load difference below 15 pounds (lbf) through the range of motion, with an absolute load magnitude per compartment above 5lbf and not exceeding 45lbf. The initial load numbers were recorded as well as the number and type of subsequent corrections needed to achieve quantitative balance.RESULTS Of the 29 robotics cases, only 12 (41%) were well-balanced after the initial bone cuts (mechanical alignment by measured resection). Another two cases were too loose and required an increase in the polyethylene thickness size of two millimeters to achieve a well-balanced knee without further bone resection. In 14 cases, a bone recut was required to balance the knee. More specifically, four cases required a recut of the femur, ten cases required a recut of the tibia. Eventually, one case was left unbalanced in flexion with a mediolateral load differential of 20 lbf. It should be noted explicitly that no soft tissue releases were done for any of the 29 cases. At the end, all 29 knees were considered well balanced in extension and all but six (79%) at 90° of flexion. For these six cases with balance issue at 90° of flexion, absolute load magnitude in both compartments was below 45 lbf and above 5lbf, though the mediolateral load differential was between 15lbf and 30lbf.DISCUSSION Based on a preliminary series, this work demonstrates the opportunity of combining multiple technologies to achieve a quantitatively balanced knee through the range of motion without any soft tissue release.
Objective quantification of ligament balancing using VERASENSE in measured resection and modified gap balance total knee arthroplasty
Authors: Cho Kyu-Jin , Kim Gun-Woo , Lee Nam-Hun , Chung Young-Woo , Seon Jongkeun , Song Eun-Kyoo 
Published: September 2020

Aims To evaluate: (1) objective quantification of ligament balancing in total knee arthroplasty, (2) types and effectiveness of additional procedures to compartment pressure, and (3) change of pressure values in both compartment throughout the range of motion in total knee arthroplasty.Methods Eighty-four patients underwent total knee arthroplasty (TKA) using VERASENSE Knee System. TKA was performed by two techniques. Compartment pressure was recorded through the range of motion (ROM) initially, after each additional procedure, and after final implantation. Balanced knees were defined as when the compartment pressure difference was less than 15 pounds.Results Thirty patients (35.7%) showed “balanced” knee on initial pressure measurement. Modified gap balancing TKAs showed significantly higher proportion of “balanced” knee than measured-resection TKAs (P = 0.004). Both medial and lateral compartment pressure were generally decreased on both TKA methods. Linear correlation showed statistically significant through ROM on both compartment. Total 66 additional ligament balancing procedures were performed.Conclusion Using the objective orthosensor, we were able to obtain 94% of well-balanced total knee arthroplasty finally. Furthermore, acquired objective data can lead to proper ligament balancing for both experienced and young surgeons and consequently reduce the complications associate with soft tissue imbalance in the future.
Grau de Satisfação do Doente e do MGF com a Consulta de Teledermatologia do CHVNG/E
Authors: Teixeira Diogo , Lopes Jorge , Sousa Ana Cristina , Costa Miguel , O. Ferreira Eduardo , Baptista Armando , Varela Paulo 
Published: September 2020

Introdução: A Teledermatologia (store and forward) tem sido usada para melhorar a triagem de pedidos no âmbito do Serviço Nacional de Saúde, e para dar resposta, numa minoria de casos, a situações simples. O pedido de consulta de Dermatologia via Consulta Tempo e Horas passou a ser obrigatoriamente acompanhado de foto(s) clínica(s), de acordo com o Despacho 6280/2018 de 28 de junho de 2018. Pretendemos avaliar a satisfação de doentes e médicos de família relativamente à consulta de teledermatologia em tempo diferido.
Material e Métodos: Foi realizado um inquérito aos doentes sujeitos a consulta de teledermatologia durante o primeiro trimestre de 2018, com posterior análise retrospetiva do registo clínico. Foi também realizado um inquérito online aos médicos de Medicina Geral e Familiar pertencentes aos Agrupamentos de Centros de Saúde da área de referência do Centro Hospitalar Vila Nova de Gaia/Espinho.
Resultados: Dos 153 doentes inquiridos, obteve-se resposta em 27,5% (n=42). Lesões pigmentadas corresponderam a 54,8% (n=23) do total das consultas. Foi proposto tratamento em 42,9% (n=18). Os doentes referiram preferir a consulta presencial em 90,2% (n=38). Obtiveram-se 82 respostas por parte dos médicos de família. Metade dos inquiridos concorda com a obrigatoriedade de anexação de fotografias clínicas, ainda que esta leva a um acréscimo de 11.21 ± 8.84 minutos ao tempo de referenciação. Quando é feita uma consulta de Teledermatologia, 47,6% (n=39) dos médicos referem que o problema do doente fica apenas parcialmente tratado.
Conclusão: A utilização da Teledermatologia para consulta não presencial apenas resolve uma minoria das situações clínicas e não se apresenta como uma medida satisfatória para os doentes.
STUDI PERBANDINGAN MADZHAB TENTANG KHITBAH DAN BATASAN MELIHAT WANITA DALAM KHITBAH
Authors: Umami Hafidhul 
Published: September 2020

Abstract: Preaching is the process of requesting the consent of a woman to be a wife to a man or a request from a man to a woman to be a future wife. The sermon is also a preliminary marriage which is required before there is a bond between husband and wife with the aim that time to enter into marriage is based on willingness obtained from research, knowledge and awareness of each party. But there are also mechanisms or rules that must be implemented in the Sermon.
Seeing a woman is permissible in terms of being able to see her face and palms. Even the Hanafi, Maliki and Shafi'i schools argue that looking at the face and hands is sunnah. Because by seeing his face it will be known whether or not it is beautiful, and by seeing the palm of his hand can be known whether his body is fertile or not.
Keywords: Conception, Sermon, Madzhab Comparison
TWO-WHEELER CONSUMERS’ BEHAVIOUR TOWARDS CUSTOMER SATISFACTION
Authors: Khan Mohd. Akbar Ali , Rao Datrika Venkata Madhusudan 
Published: September 2020

This original exploratory study was to examine the impact of select exogenous and demographic variables on Customer Satisfaction. As per ACMA May month data, top four brands, namely Hero, Bajaj, Honda and TVS brands were selected for study and 600 two-wheeler consumers’ samples collected, using random sampling in Hyderabad. The data were analysed with descriptive statistics, and non-parametric tests, to know the impact of independent and demographic variables on customer satisfaction and found no impact, further given different implications.
PETROLEUM GEOLOGY: SCIENCE AND PRACTICE IN THE 21TH CENTURY. NEW IDEAS AND PARADIGMS
Authors: Zapivalov N.P. 
Published: September 2020

Nowadays, it is vitally necessary that conceptually new methods be used in petroleum geology. The aim of this paper is to outline new trends and approaches in petroleum geology; to substantiate the necessity for rehabilitation cycles in the process of oilfield development, especially at its active stage; to define the perturbation threshold for equilibrium of a fluid-saturated system. In this paper, an empirical estimation is given of the value of critical perturbation of an equilibrium fluid-saturated system during the oilfield development, equal to formation depression of 5-8 MPa.
The author’s conclusion is that at present efforts should be focused on the efficient science-based development of the active oilfields in order to produce the residual (hard-to-extract) oil in a soft, sparing and non-damaging way, as well as on discovering new hydrocarbon accumulations, including secondary ones, throughout the whole stratigraphic section, with all depth horizons and various rock-fluid associations, in regions where a well-developed diversified infrastructure is already available. The use of rehabilitation cycles will make it possible to restore the energy potential of the stratum and filtration properties of the rock. In the long run, it will provide for an increased longevity of the object and higher final oil recovery.
INTERNET OF THINGS (IOT)!! NEW STREAM OF TECHNOLOGY/ SOURCE - PRACTICAL APPROACH
Authors: Kumar Santosh , Raheja Jagdish Lal , Sharma A.L. 
Published: September 2020

Abstract: Presented research paper provides important information/ knowledge regarding new direction of research and its usefulness. What is (Internet of Things) IoT? , to whom?, how we can use it and expand it? etc., this research paper provides detailed information about above questions. However, this is the subject of Science and Engineering, but this is very-very important for all of us for today’s point of view. IoT is new for all of us and it is the founder-stone of near future, i.e., In near future our life style will mostly be depending on this, as per the opinions of wise-persons. [1] Presented paper provides the Software and hardware details and their uses details with suitable examples. So, this research article explains the new direction to the technology and shares the important knowledge about current/modern scenario.
सार: प्रस्तुत शोध पत्र, अनुसंधान की एक अत्यंत नई दिशा व संबन्धित उपयोगिताओं के बारे में महत्वपूर्ण जानकारी प्रदान करती है। इंटरनेट ऑफ थिंग्स (IoT)? क्या है, किसके लिए है, तथा इसके विस्तार व इसको हम कैसे इस्तेमाल कर सकते है, आदि महत्वपूर्ण जानकारियों के बारे में हम इस लेख में ज्ञान प्राप्त कर इसका उपयोग कर सकते हैं। वस्तुतः यह विज्ञान व इंजीनियरिंग के विद्यार्थियों का विषय है परंतु उपयोगिता के द्रष्टिकोण से आज हम सभी को इसकी जानकारी आवश्यक है। आइ.ओ.टी.(IoT), आज सभी के लिए नया विषय है तथा यह आने वाले कल की आधार.शिला हैए अर्थात भविष्य में काफी हद तक हमारी जीवनशैली इसी पर निर्भर होगी, ऐसा कई विद्वानों का भी मत है।[1] इस शोध पत्र द्वारा IoT के विस्तृत ज्ञान तथा इसमें प्रयुक्त सॉफ्टवेयर तथा हार्डवेयर व उनके उपयोग की विधि को भी उचित उदाहरण द्वारा बताया गया है। अतः प्रस्तुत शोध पत्र तकनीकी की नई दिशा को उल्लेखित करता है तथा आज के समय की महत्वपूर्ण जानकारी को साझा करता है।
Role of dramatization processes in communication efficiency development
Authors: Kumar Maru Ravindra , Bhojak Giriraj 
Published: September 2020

Many communication related problems can be seen in the context of a student, it can also be a student's personal, family and school. In such a situation, apart from blocking the gradual development of communication skills, it may contain many such problems related to communication which in turn affect its overall development. The main objective of this paper is to have a deep thought and discussion on this extremely serious subject.
एक विद्यार्थी के सन्दर्भ में सम्प्रेषण सम्बन्धित बहुत सी समस्याएं देखी जा सकती हैए ये किसी विद्यार्थी की व्यक्तिगतए पारिवारिक एवं विद्यालयी भी हो सकती है। ऐसे में सम्प्रेषण कौशल के क्रमिक विकास के अवरुद्ध हो जाने के अलावाए उसमें सम्प्रेषण से सम्बन्धित कई ऐसी व्याधियां प्रविष्ठ हो सकती हैं जो कालान्तर में उसके समग्र विकास को प्रभावित करती है। इस नितांत गम्भीर विषय पर एक गहन चिन्तन व चर्चा करना ही इस शोधण्पत्र का मूल उद्देश्य है।
A história da ciência no ensino de Física e a vigilância epistemológica
Authors: Ricardo Elio Carlos 
Published: September 2020

<p>Há várias maneiras de considerar a relação entre a história da ciência e a didática da ciência. Além disso, a teoria da Transposição Didática proposta por Yves Chevallard mostrou as transformações que o conhecimento científico sofre para se tornar um saber ensinado na sala de aula. Porém, ambos ainda são difíceis de serem aplicados pelo professor. Este artigo sugere a vigilância epistemológica como uma ferramenta didática para produzir conteúdos mais significativos no contexto escolar. Nesse caso, a história da ciência é uma importante referência. Para ilustrar esses argumentos, é apresentado um exemplo da mecânica. </p><p><strong>Palavras chave</strong>: História da ciência, ensino de Física, transposição didática, vigilância epistemológica.</p>
MANAJEMEN PENINGKATAN MUTU SD NEGERI 1 GUMELAR SEBAGAI SEKOLAH UNGGULAN DI KECAMATAN GUMELAR KABUPATEN BANYUMAS
Authors: Kurniawan Yusep , Andriani Ana , Taniredja Tukiran 
Published: September 2020

Penelitian ini bertujuan untuk: 1) mengetahui bagaimana manajemen peningkatan mutu SD Negeri 1 Gumelar sebagai sekolah unggulan; 2) mengetahui dampak manajemen peningkatan mutu sekolah terhadap prestasi lomba siswa; 3) mengetahui dampak manajemen peningkatan mutu sekolah terhadap hasil USBN siswa kelas VI. Kegiatan penelitian dilaksanakan di SD Negeri 1 Gumelar. Teknik dan alat pengumpulan data dilakukan dengan penyebaran angket dan wawancara. Hasil penelitian menunjukkan bahwa: 1) SD Negeri 1 Gumelar telah melaksanakan manajemen peningkatan mutu delapan standar nasional pendidikan dengan baik dan optimal. Manajemen peningkatan mutu yang belum optimal terlihat pada standar kompetensi lulusan, standar pendidik dan tenaga kependidikan serta standar sarana dan prasarana. 2) Manajemen peningkatan mutu yang dilakukan memiliki dampak yang sangat baik terhadap prestasi lomba siswa. Terbukti SD Negeri 1 Gumelar menjadi juara umum dalam kegiatan lomba di tingkat kecamatan pada tahun 2019. 3) Hasil penelitian menunjukkan bahwa manajemen peningkatan mutu belum berdampak pada hasil USBN siswa kelas VI tahun 2018 dan 2019.
صيغ مركبة وتعابير من السومرية والأكدية في اللغات الحديثة
Authors: Mohammad Ahmed Kozad 
Published: September 2020

سنين طويلة مرت على تأليف الاستاذ الجليل طه باقر كتابه القيم ’من تراثنا اللغوي القديم،(باقر،2010) [i] ذكر فيه العديد من الكلمات، في غالبيتها العظمى اسماء اشياء ونباتات ومعادن واطعمة وادوات وغيرها، تستعمل في اللغات واللهجات العراقية الحديثة وهى من التراث اللغوي لبلاد الرافدين القديم، السومرية والأكدية على وجه التخصيص، وبعضها من الآرامية. ورغم أن ما يحويه الكتاب القيّم المذكور ليس كله موروثا، بل فيه ما هو مشترك بين اللغات السامية، فان محتواه لا يزال من الغنى بحيث يسمح للباحث التوسع والتعمق في اغلب مواده. ومن الملفت ايضا ان الدراسة في حقل هذه اللغات القديمة وما تكشفه من خفاياها، تضيف جديدا كل يوم الى الخزين الكبير من الموروث والى اكتشاف المزيد من المشتركات. وقد اظهرت الدراسات ان السومرية تكاد تكون المصدر الرئيس الذي استعارت منه اللغات الاخرى في بلاد الرافدين وما جاورها وذلك بحكم أنها لغة المؤسسين الرئيسين لحضارة بلاد الرافدين الى جانب مساهمات لا نعرف لحد الآن مداها وحجمها بالضبط من قبل ما يصطلح عليهم باسم ’الفراتيون الاوائل (علي ، 1989 ، ص 30-33 ؛ Rubio , 1999 , p.1-16)،

[i] انظر الطبعة التي صدرت حديثا للكتاب: باقر، طه، من تراثنا اللغوي القديم، لندن (الوراق)، 2010.