bluuebunny/crossref_metadata_2025_split huggingface dataset:
TL 18091 - Risk in the sinus tarsi approach
Authors: Heitzmann Lourenço Galizia , Molina Wellington Farias , Martins Guilherme Bottino , Pimenta Luiz Sergio Martins , Alvo Fernando Salgueiro , Capellasso Bruno Augusto Mendonça 
Published: November 2019

Objetivo: To evaluate the topographic and morphometric aspects of the sural nerve in cadavers as well as its relationship with the modified Palmer approach. Methods: Thirty lower limbs of fifteen fresh cadavers were used for dissection of the sural nerve, and 5 measurements were performed using the lateral malleolus and the calcaneal tendon as the repair point. The paired student's T-test was used to compare the averages of the measurements between the sides of the same cadaver. A value of p < 0.05 was considered significant for all analyses. Results: On average, the sural nerve issued its first branch 40.40 mm above the lateral malleolus, situated on average 13.84 mm posterior to the tip of the lateral malleolus and on average 23.76 mm inferior to the point of the lateral malleolus. Conclusion: The modified Palmer’s approach was shown to be promising, since it demonstrated lower postoperative complication rates, especially when compared with the extended lateral pathway. The results obtained will aid during the surgical incision, adding safety to the procedure by avoiding injury of branches of the sural nerve.
TL 18104 - Ankle fusion percutaneous home run screw fixation
Authors: Leme Godoy-Santos Alexandre , Phillips Sierra , Roberts Lauren , Naranje Sameer , Shah Ashish , De Cesar Netto Cesar 
Published: November 2019

Introduction: During internal fixation of ankle fusions, in addition to the standard crossed screw fixation pattern, the use of a percutaneously placed augmenting screw, directed from the posterolateral tibial metaphysis proximally across the ankle into the talar neck (“home run screw”), is a widely used technique. The placement of this screw is technically demanding, and for the majority of surgeons, multiple attempts under fluoroscopy guidance are frequently needed to achieve perfect positioning of the implant. There is a risk of injury to local neurovascular and tendinous structures. Objective: To identify the number of attempts necessary for perfect positioning of the ankle fusion home run screw and the neurovascular and tendinous structures at risk. Methods: Eleven fresh-frozen cadaver limbs were used. Guide wires for cannulated screw placement were percutaneously placed into the distal posterolateral aspect of the leg under fluoroscopic guidance, with the ankle held in the neutral position. Malpositioned guidewires were not removed and served as guidance for the following pins. The number of guide wires needed to achieve acceptable positioning of the implant was noted. After a layered dissection from the skin to the tibia, we evaluated neurovascular and tendinous injuries and measured the shortest distance between the closest guidewire and the soft tissue structures using a precision digital caliper. Results: The mean number of guide wires needed to achieve an acceptable positioning of the implant was 2.34 (SD 0.81, range 2 – 4). The mean distances between the closest guide pin and soft tissue structures of interest were as follows: Achilles tendon 5.35 mm (SD 2.74 mm); peroneal tendons 9.65 mm (SD 5.19 mm); posteromedial neurovascular bundle 12.78 mm (SD 7.14 mm). The sural bundle was in contact with the guide pin in 5/11 specimens (45.5%) and impaled in 3/11 specimens (27.3%). In the remaining 3 specimens, the average distance from the sural nerve bundle was 3.58 mm (SD 2.16 mm). Conclusion: The placement of percutaneous ankle fusion home run screws is technically demanding, requiring multiple attempts to achieve acceptable placement. We have shown that important tendinous and neurovascular structures are in close proximity to the guidewires and that the sural bundle is injured in approximately 73% of cases.
TL - 18148 - Partial plantar fasciotomy for the treatment of plantar fibromatosis
Authors: Mansur Nacime Salomão Barbachan , Azevedo Rafael Mohriak de , Fonseca Lucas Furtado , Silveira Juliana Doering Xavier da , Raduan Fernando Cepolina , Nery Caio Augusto Souza 
Published: November 2019

Introduction: Ledderhose's disease (plantar fibromatosis) is an uncommon condition that usually affecting men older than 40 years of age and causes major discomfort and disability. The low response to conservative treatment and the progression of surgical techniques have motivated some professionals to resume considering surgical resolution for this disease. Our study describes the outcomes of a series of cases treated with resection of the affected band. Methods: This is a retrospective study with 14 patients (17 feet) diagnosed with plantar fibromatosis of the medial fascia that was refractory to conservative treatment and was treated surgically from December 2016 to November 2018. All patients were evaluated for improvement in symptoms, for major and minor complications and for relapse during the study period. Results: Our sample consisted of 9 men and 5 women with a mean age of 40.6 years (15-63 years). All patients showed medial fibromatosis and underwent subtotal fasciotomy of the medial fascial band with margins of at least 2 cm. Of the 17 feet, 5 showed relapse (29%) and only 2 required reintervention. Three patients (17%) developed surgical wound dehiscence, although all patients progressed to surgical wound closure with no need for surgical intervention. Two feet showed signs of medial plantar nerve injury, although the branch of the nerve was wrapped in fibromatosis and was also resected in those cases. Conclusion: Partial plantar fasciotomy is an alternative for the treatment of Ledderhose's disease. Our series showed outcomes in line with those reported in the literature in terms of relapse and postoperative complications. The moderate relapse and reoperation rates should be considered when this procedure is indicated.
TL 18176 - Platelet-rich plasma versus corticosteroid injection in pain and disability outcomes in patients with plantar fasciitis
Authors: De Souza Guimarães Janice , Arcanjo de Jesus Fabio Luciano , De Oliveira Lomelino So Gustavo Leporace , Fossati Metsavaht Leonardo , Mota Garcia Moreno Marcus Vinicius , Gomes Neto Mansueto 
Published: November 2019

Introduction: Fascite Plantar é a causa mais comum de dor no calcanhar e muitas vezes responde a uma ampla gama de terapias. Atualmente existem muitas opções de tratamento, sendo que algumas, como plasma rico em plaquetas e injeção de corticosteroides, apresentam grande sucesso no alívio da dor. Entretanto, não há consenso sobre o melhor método de tratamento. O objetivo desta revisão sistemática e meta-análise foi investigar os efeitos do plasma rico em plaquetas versus injeção de corticosteróides em desfechos de dor e incapacidade no paciente com fascite plantar. Métodos: Os estudos foram amplamente pesquisados ​​em PubmedMEDLINE, na base de dados PEDro, na biblioteca eletrônica científica online (SciELO) e no registro central de ensaios controlados da Cochrane, desde a data mais antiga disponível até janeiro de 2019. Foram incluídos ensaios clínicos controlados randomizados que compararam os efeitos do plasma rico em plaquetas versus injeção de corticosteróides para paciente com fascite plantar. Foram calculados as diferenças médias (DM) e intervalos de confiança (ICs) de 95%, e a heterogeneidade foi avaliada usando o teste I2. Os cálculos foram feitos usando um modelo de efeito aleatório. Resultados: Dez artigos preencheram os critérios do estudo, incluindo 475 pacientes com fascite plantar. Os principais resultados incluíram alterações da linha de base no Escore da Escala Visual Analógica (dor) e no Escore da Sociedade Ortopédica Americana do Pé e Tornozelo (incapacidade). A terapia com plasma rico em plaquetas resultou em melhora na dor (DM -1,01 IC95%: -1,8 a -0,3, N=375) em comparação com a injeção de corticosteróides. Não foi encontrada nenhuma diferença significativa na incapacidade (DM 6,5 IC95%: -15,8 a 29,0, N=156) em participantes do grupo de terapia com plasma rico em plaquetas em comparação com o grupo de injeção de corticosteróides. Além disso, nenhum evento adverso grave foi relatado. Conclusão: O plasma rico em plaquetas foi mais eficaz do que a injeção de corticosteróides e tem o potencial de reduzir a dor do paciente com fascite plantar.
Introduction
Authors: Stéfani Kelly Cristina , Adames Mario 
Published: November 2019

Dear Colleagues,
The Brazilian Association of Medicine and Surgery of the Ankle and Foot (ABTPé) are pleased to present abstract highlights from the ABTPé Biennial Meeting 2019, May 15-18 in Florianopolis, Santa Catarina. The meeting brought together orthopedic foot and ankle surgeons for the purpose of advancing education and research in the Brazil.
Although some of the research studies presented at our live conference have been published in the academic literature, many others are not be published. To help bridge the gap between live presentation and publication, the ABTPé selected abstracts (podium presentation, poster, and e-Poster) to publishing in the Scientific Journal of the Foot & Ankle. The Journal offers free and open access to your content on our website. All abstracts are already published with active DOIs.
We hope that you enjoy these ABTPé Biennial Meeting 2019 highlights and will find the information useful to your practice.
We look forward to meeting you at the ABTPé Biennial Meeting 2021 in Campos do Jordão, São Paulo.

Kelly Cristina Stéfani, MD, PHDAssociated Editor Scientific Journal of the Foot & Ankle
Mario Adames, MDABTPé Biennial Meeting 2019 President
PO 18042 - Surgical treatment of moderate and severe hallux valgus
Authors: Ferreira da Silva Rafael , Baptista André Donato , Alencar Mendes de Carvalho Kepler 
Published: November 2019

Introduction: Hallux valgus is a multifactorial disease, and heredity is the main associated factor. Pain and discomfort when using closed-toed shoes occur in many cases, adversely affecting quality of life. Surgical treatment is indicated when pain and disability persist after conservative treatment. Currently, more than 150 surgical techniques are described for hallux valgus correction, with no consensus regarding the best treatment. With the advent of minimally invasive techniques for hallux valgus correction, Vernois developed the percutaneous chevron osteotomy. This technique allows up to 100% lateral translation of the contact area of the osteotomy. Objective: the objective of the present study was to assess the correction of radiographic parameters, clinical improvement and potential complications of the first 30 cases of moderate and severe hallux valgus operated on at our hospital using the percutaneous chevron technique. Methods: A total of 26 patients (30 feet) underwent surgery. The following parameters were measured in the pre- and postoperative periods: the first metatarsophalangeal (MTP) angle, the intermetatarsal angle between the 1st and 2nd metatarsals (IMA), the distal metatarsal articular angle (DMAA) and the pre- and postoperative American Orthopedic Foot and Ankle Society (AOFAS) scores, with a minimum follow-up period of 6 months. Results: The mean age of the patients was 52.3 years. During the preoperative period, the mean AOFAS score was 45.6; it increased to 90.3 after the procedure, indicating a statistically significant improvement. The mean MTP angle, IMA and DMAA were 29.7°, 14.2° and 14.2° before surgery and 12.8°, 8.2° and 11.1° after surgery, respectively. The improvements in the MTP angle and the IMA were also significant. There was no decrease in angles or worsening of AOFAS scores during follow-up. Conclusion: The percutaneous chevron technique was safe and effective for correcting cases of moderate and severe hallux valgus, with significant improvements in clinical and radiological parameters and a low rate of postoperative complications.
PO 18069 - Management of soft-tissue injuries in lower extremity fractures
Authors: Da Rocha Macedo Rafael , Gonçalves dos Santos João Paulo , Putini Dario , Miller Reis Rodrigues Luciano 
Published: November 2019

Introduction: Patients with lower extremity fractures have a high incidence of peri- and postoperative complications, such as extensive swelling, blisters, surgical wound infection, slow wound healing, persistent wound drainage and suture dehiscence. In calcaneal and tibial plafond fractures and ankle fractures/dislocations, especially in patients older than 50 years and those with diabetes, these complications are associated with a longer hospital stay and increased treatment costs and morbidity and mortality rates. The objective of this study is to perform a literature review of the management of blisters in lower extremity fractures and, based on the findings, to develop a management protocol for these lesions. Methods: Literature review of the state of the art in international databases. Articles published in indexed journals from 1995 to 2014 addressing soft-tissue management in ankle, calcaneal and tibial plafond fractures were selected. Results: Various treatment methods have been described in the literature: observation without intervention, application of sterile dressing, content aspiration, removal of the blister roof and application of an antibiotic ointment or topical treatment alone; all have similar outcomes regarding the delay in definitive surgery and the incidence of mild and severe soft-tissue complications. No large studies comparing these treatment alternatives are available. Conclusion: There is no consensus in the literature on the proper management of blisters. Further studies should be performed to define a protocol for the management of these lesions.
PO 18074 - Rotational biplanar Chevron osteotomy
Authors: Baumfeld Tiago Soares , Pires Prado Marcelo , Mendes Alberto , De Souza Nery Caio Augusto , Baumfeld Daniel Soares 
Published: November 2019

Introduction: The Chevron osteotomy is a reliable and popular osteotomy for treating hallux valgus worldwide. Many modifications have been described, but none of them address the rotational deformity of the first metatarsal. The objective of this study is to describe a variation of biplanar Chevron osteotomy that can address first metatarsal rotation when necessary. Methods: The indications for the Rotational Biplanar Chevron Osteotomy (RBCO) are mild to moderate hallux valgus deformity associated with hallux pronation related to internal rotation of the first metatarsal bone. We describe a technique that uses a medial-based wedge parallel to the plantar limb of the osteotomy to free the distal fragment for correct rotation. Results: The more recent concern about hallux valgus surgery represents a very interesting concept that this deformity truly occurs in three different planes, and we may have mistreated the rotation component using current techniques. Many authors have revisited numerous common techniques to adapt them to correct metatarsal pronation. To the best of our knowledge, this is the first paper to describe a modification of the Chevron osteotomy to address rotation of the first metatarsal. Conclusion: We can conclude that rotational biplanar Chevron osteotomy is an useful tool in the treatment of mild hallux valgus associated with metatarsal pronation.
Meningkatkan Kerjasama Tim Melalui Kepemimpinan Yang efektif
Authors: Yuli Desi Ratna 
Published: November 2019

Organisasi dapat dikatakan sukses apabila mempunyai pemimpin yang mampu memimpin secara efektif. Pemimpin tidak hanya di tuntut memimpin secara formal saja, tetapi juga mampu memimpin secara informal yang mana mampu memberikan pengaruh yang kuat pada bawahannya. Kepemimpinan tentu muncul karena adanya kerjasama yang terjadi. Kepemimpinan merupakan suatu hal yang seharusnya dimiliki oleh setiap pemimpin organisasi. Efektivitas seorang pemimpin ditentukan oleh kepiawaiannya mempengaruhi dan mengarahkan para anggotanya. Di dalam rangka untuk menguji gaya kepemimpinan yang efektif di Toserba Sinar Mas, Sidoarjo, maka penelitian ini dilakukan untuk membuktikan hubungan antara gaya kepemimpinan dengan semangat dan kegairahan kerja. Tim yang efektif adalah tim yang bisa bekerja sama, saling percaya, dan saling menghargai. Tim dengan kinerja tinggi terdiri dari orang-orang yang benar-benar ahli dibidangnya, tim ini terdiri dari para anggota yang mempunyai keahlian dan kecakapan yang saling melengkapi. Fondasi dari sebuah tim kerja yang sukses dengan mengedepankan hubungan antar manusia, tim efektif adalah saling menghargai satu dengan lainnya, membangun disiplin serta membangun komitmen agar tim dapat bekerja secara efektif.
SPATIAL MOVEMENTS AS A PLOT CREATING ELEMENT OF DIANA JONES’ FAIRY NARRATIVE “HOWL’S MOVING CASTLE”
Authors: Martynets A. M. 
Published: November 2019

The article makes an attempt of the analysis of spatial movements represented in D. Jones’ fantasy work “Howl’s Moving Castle” on the level of text plot creating. The researches into the problems of the chronotope by M. Bakhtin, N. Kopystians’ka and S. Skwarczyńska are taken into consideration.
GOTHIC FICTION: FIGURATIVE PLOT PARADIGM
Authors: Grosevych I. V. 
Published: November 2019

The article deals with the theoretical generalization of the attributes of a poetic of gothic, in particular in the article is analyzed in details the figurative-motive and plot-compositional levels; is traced the evolution of the image of Devil; is identified the triune category − mystery / horror / suspense – as a genre constant of gothic fiction; is identified the road archetype; is analyzed the functionality of gothic, contrast as the dominant feature of the gothic paradigm; and also is grounded the philosophical doctrine of the theodicy as one of the fundamental basis of all gothic fiction.
Deteksi Dini Gangguan Mental dan Emosional pada Anak yang Mengalami Kecanduan Gadget
Authors: Wulandari Dwi , Hermiati Dilfera 
Published: November 2019

This study aims to conduct early screening and the incidence of mental and emotional disorders aimed at children who are addicted to gadgets aged 3-6 years. The research method uses descriptive analytic by looking at the description of the incidence of mental and emotional disorders in children aged 3-6 years. The results showed of 100 respondents as many as 66 (66%) respondents with a high level of addiction, 34 (34%) respondents with a low level of addiction. as many as 41 (41%) respondents with Mental and emotional Normal, 59 (59%) respondents with suspected mental and emotional disorders. Conclusion, most children are addicted to gadgets and most children are at risk of experiencing social problems if parents do not act wisely in the use of gadgets.

Keywords: Emotional Mental Disorders, Gadgets Addiction
Pengaruh Intervensi Strategi Pelaksanaan Keluarga terhadap Pengetahuan dan Kemampuan Keluarga dalam Merawat Klien Skizofrenia dengan Halusinasi
Authors: Susilawati Susilawati , Fredrika Larra 
Published: November 2019

This study aims to determine the effect of family implementation strategy interventions on family knowledge and ability to care for Schizophrenia clients with hallucinations in RSKJ Soeprapto Bengkulu. This study uses a quasi-experimental method with a one-group pre-test and post-test design, with a total sample of 15 respondents. The results of the analysis proved that there was an influence of implementation strategy interventions on family knowledge and abilities (p value = 0,000). Conclusion, family implementation strategy interventions are very important to note and must be implemented as a form of intervention to improve family knowledge and abilities in caring for Schizophrenia clients, so clients who have returned home can be cared for properly and correctly by the family, and the family can immediately decide for clients to get treatment again if there is a recurrence.
Keywords: Family, Schizophrenia, Hallucinations, Implementation Strategy
Strategies of research competence development in language teacher education
Authors: Safonova V. , Korenev A. , Perevertkina M. 
Published: November 2019

The article presents a model of researcher training of students in university-level language teacher education programmes. Based on the Russian Federal Educational Standard of Higher Education and the Educational Standard of Lomonosov Moscow State University, the authors of the article describe the main components of the language teacher’s research competences. The content of researcher training is outlined for the second, third and fourth year of the BA-programmes and the two years of the MA-programmes. The article also suggests research competences assessment procedures and tools. Combining the approaches of a classical and a pedagogical university, federal and university-developed standards, the article can serve as a foundation of researcher training programmes development, design of courses aimed at the development of the research competences and to develop specifications of researcher competences assessment for trainee language teachers on different levels of higher education.
DIHYDROMYRICETIN ATTENUATES HIGH GLUCOSE-INDUCED CASPASE 3 EXPRESSION, ROS PRODUCTION AND INCREASES AMPK PHOSPHONYLATION IN PC12 CELLS
Authors: Wang Shuo , Wang Lin , Li Haijian , Wang Shumei , Li Zhenzhen , Li Bao , Zhao Chunzhen 
Published: November 2019

Dihydromyricetin (DMY) has a protective effect on neural function under central nervous system dysfunction conditions. There is growing interest concerning the beneficial effects of DMY on treating diabetic neuropathy (DN). This study was carried to detect protective effects of DMY on high glucose (HG)-induced cell damage and related mechanisms. The effect of DMY on cell survival was detected by MTT assay. Caspase-3 and phosphorylated AMP-activated protein kinase (AMPK) was evaluated by Western blotting. The effects of DMY and AMPK agonist AICAR on ROS production was determined. Our results showed that DMY treatment protect against HG-induced cell damage. DMY treatment significantly reduced the expression of caspase-3 and phosphorylated AMPK. ROS production was inhibited by DMY or AMPK agonist AICAR treatment. These studies demonstrate that DMY may inhibit ROS production, caspase-3 expression through AMPK pathway.
Keywords: dihydromyricetin, caspase, oxidative stress
Association between self-rated health status and chronic diseases among the elderly in the Sylhet city of Bangladesh
Authors: Hasan Mohammad Nayeem 
Published: November 2019

Aging is one of the embryonic problems in Bangladesh and this has been gradually increasing with its far-reaching consequences. Elderly can develop new and complicating health problems. In most cases the diseases are chronic and complex. The structures were designed to investigate the health status, depression, and function of the daily living of the older men and women in the Sylhet region of Bangladesh. The data were collected using stratified sampling. We have used cross-sectional methods to analyze the data and performed a chi-square test to test the association and a then bivariate and multivariable logistic regression model was used to evaluate the major risk factors of CVD. In this study, 229 elderly people were considered aged from 60 to 60+ years-old face to face personal interviews. Among them 16.6% elderly are suffering in depression. According to residence, the condition of health is good in the ethnic group (21.9%) and this situation is worse in the rural group (97.5%). In addition, people who have depression were 0.087 times or 91.3% (OR = 1.115, 95% CI 0.273-4.552) less likely to have healthy compared to the people who did not have depression. In this study, we have seen that there were many factors that were associated with health status among different communities’ elderly people in Sylhet. This research will help clinicians and policymakers to develop appropriate strategies of CVD patients and organize health education programs for changing lifestyles among elderly in Sylhet.
Asian J. Med. Biol. Res. June 2019, 5(3): 197-206