bluuebunny/crossref_metadata_2025_split huggingface dataset:
Logistyka sportu. Zarys problematyki w ujęciu filarów SLF
Authors: Wodnicka Monika , Śmietana Kacper 
Published: December 2024

Organizacje sportowe różnego szczebla i z różnych dyscyplin sportowych podobnie jak inne przedsiębiorstwa tj. produkcyjne czy usługowe, w ramach swojej działalności realizują różne cele biznesowe. Pośród celów sportowych realizują także cele ekonomiczne i związane z zarządzaniem oraz optymalizacją realizowanych przez siebie procesów. Dlatego swoje miejsce w tym obszarze ma również logistyka. Logistyka sportu jest to wciąż zagadnienie stosunkowo nowe i nie podejmowane zbyt często przez autorów. W polskiej literaturze obszar związany z logistyką w sporcie skupia się w głównej mierze na organizacji imprez masowych, pomijając resztę aspektów. To skłoniło autorów niniejszego opracowania do podjęcia niniejszej problematyki uznając za lukę badawczą. Celem głównym postawionym przez autorów niniejszego opracowania była próba zdefiniowania logistyki sportu uwzględniając jej podstawy w dyscyplinach zarządzania logistycznego i zarządzania sportem.
PREHYDROLYSIS CHANGES OF BEEF ROUNDS WATER ABSORPTION UNDER THE ACID TREATMENT EFFECT
Authors: Onishchenko Vyacheslav , Maryna Yancheva , Onyshchenko Artem , Inzhyyants Samvel 
Published: December 2024

The research paper presents the prospects of innovations development for the direct use of casings raw materials residues as newly created glued sausage casings, containers and multifunctional food films for other products that meet Lean production principles, in particular, the identification and elimination of technological and other losses during the product life cycle. The expediency of food acids (lactic, acetic, citric) use for the pre-hydrolysis treatment of casing films as a preliminary preparation before tanning for providing more effectively formation of their collagen seam strength is considered. It is emphasized that prehydrolysis changes degree can be confirmed by casings films water absorption increasing, the main component of which is collagen, as a result of their acid treatment. Swelling is mostly determined experimentally by changes in protein volume or weight, or by changes in the amount of liquid. It is found that the treatment with aqueous solutions of lactic, citric, and acetic acids (C% = 1,0–5,0 %) can increase the water absorption of beef casings semi-products by 1,23–2,45 times, depending on the acids and their concentrations. The intensity of water absorption changes of casings film semi-products is related to the concentration and pH of acid solutions. Water absorption effective increasing occurs mainly in pH range of 2,05–2,63. High activity of water absorption increasing is characteristic during the first 4–6 hours. Acid solutions concentration changes have a more significant effect on the water absorption increasing in the range of 1,0–3,0 %. It is noted that the determining factors of the rational choice of food acid, along with the above mentioned, include the economic component. On the base of obtained data and their analysis, it is shown that water absorption changes of beef casings semi-products under the influence of food acid treatment are associated with pre-hydrolysis transformations in their collagen-elastin structure. This is a prerequisite for substantiating the parameters of the physical and chemical action of their dissolution and availability for local tanning implementation as a way to achieve of the bonding-delamination process irreversibility and bonds strengthening between the layers of glued casings films for multifunctional use increasing.
MANAGEMENT OF ARCHIVE AND LIBRARY INSTITUTIONS: EXPERT EVALUATION OF THE QUALITY OF ACTIVITIES
Authors: Bachynska Nadiia , Tverytnykova Elena , Drozdova Tetiana , Salata Halyna 
Published: December 2024

The use of information technologies in the practical activities of archival and library institutions is becoming more and more widespread. This actualizes the study of the issue of library and archive management and the implementation of quality management systems in the activities of libraries and archives. This problem is exacerbated by the current emergency situation in which archival and library institutions operate. Therefore, it is necessary to involve modern approaches to assessing the quality of library and archive management. The use of expert methods for evaluating multi-faceted systems has a long tradition. Expert assessment methods are used in various fields, in particular, during crisis situations of managerial and socio-economic problems, analysis and forecasting having a large number of social factors. The involvement of a number of methods of related disciplines, including interviewing, questionnaires, surveys, the Delphi method, brainstorming, conference of ideas, etc., contribute to the effective analysis of the management system of a scientific or educational institution. The implementation of the method of expert evaluations in the work of scientific institutions, in particular the archival and library direction, is especially relevant, since the problems of ensuring the quality of their activities are solved with the help of these methods. The quality of activity of the scientific and technical library and archive based on the involvement of experts from three groups was monitored. These are representatives of the teaching staff, researchers and students. The evaluation of such indicators as the process of quality information support of education and research was carried out; the process of reengineering and maximum automation; the process of providing library and archival services. As a result, the positive and weak points of the library and archive institution management were revealed. Based on the results of the analysis, the top management of archival and library institutions should set the new goals regarding the quality level of library and archival services provided, establish a strategy for increasing user satisfaction, assessing the suitability of the structure and resources for future development.
Penerapan Model Teams Games Tournament (TGT) Untuk Meningkatkan Hasil Belajar Matematika Siswa Kelas V-B Sekolah Dasar
Authors: Agustin Dwi , Regina Belinda Dewi , Wardani Rini Setyo 
Published: December 2024

This study aimed to improve the mathematics learning outcomes of fifth-grade students at SDN Klojen through the implementation of the Teams Games Tournament (TGT) learning model. The background of this research was the low learning outcomes caused by monotonous teaching methods that failed to actively engage students. This research employed a Classroom Action Research (CAR) approach, consisting of planning, implementation, observation, and reflection stages. The subjects were 22 fifth-grade students. Data were collected through observation, tests, and documentation, then analyzed descriptively using qualitative and quantitative methods. The results showed that the TGT model created a more interactive, enjoyable, and collaborative learning experience. The game-based approach and group discussions motivated students to learn and actively participate. Initially, students struggled to understand the material on whole-number operations. However, after the implementation of TGT, their comprehension improved gradually. In the second cycle, improvements such as simpler language usage and the addition of interactive quizzes significantly enhanced student engagement and learning outcomes. Beyond improving academic achievement, the TGT model also supported the development of students' social skills, such as communication, teamwork, and critical thinking, which align with the demands of modern education.

Abstrak
Penelitian ini dilakukan untuk meningkatkan hasil belajar matematika siswa kelas V-B SDN Klojen melalui penerapan model pembelajaran Teams Games Tournament (TGT). Latar belakang penelitian ini adalah rendahnya hasil belajar siswa akibat model pembelajaran yang monoton dan kurang melibatkan siswa secara aktif. Penelitian ini menggunakan pendekatan Penelitian Tindakan Kelas (PTK), yang terdiri dari tahapan perencanaan, pelaksanaan, observasi, dan refleksi. Subjek penelitian adalah 22 siswa kelas V-B. Data dikumpulkan melalui observasi, tes, dan dokumentasi yang dianalisis secara deskriptif kualitatif dan kuantitatif. Hasil penelitian menunjukkan bahwa model TGT mampu menciptakan pembelajaran yang lebih interaktif, menyenangkan, dan kolaboratif. Pendekatan berbasis permainan dan diskusi kelompok membuat siswa lebih termotivasi untuk belajar dan aktif dalam pembelajaran. Pada tahap awal penelitian, siswa mengalami kesulitan dalam memahami materi operasi bilangan cacah. Namun, setelah penerapan TGT, pemahaman siswa terhadap materi meningkat secara bertahap. Pada siklus kedua, perbaikan seperti penggunaan bahasa yang lebih sederhana dan penambahan kuis interaktif terbukti meningkatkan keterlibatan siswa dan hasil belajar mereka secara signifikan. Selain meningkatkan hasil belajar akademik, model TGT juga mendukung pengembangan keterampilan sosial siswa, seperti komunikasi, kerja sama, dan berpikir kritis, yang relevan dengan tuntutan pendidikan di era modern.
Beyond Single Accreditation: Exploring Factors Influencing Selection of Osteopathic Medical Students in the Orthopaedic Surgery Residency Match
Authors: Hartman Hayden , Randall Shea E. , Mansour Julia , Tung Wei Shao , Gianakos Arianna L. , Rumps Mia V. , Mulcahey Mary K. 
Published: December 2024

Introduction:
The purpose of this study was to evaluate DO orthopaedic surgery residents compared with their MD counterparts in traditionally allopathic programs, assessing research productivity, number of departmental DO faculty and alumni, and geographical ties to the residency program.

Methods:
The Fellowship and Residency Electronic Interactive Database was used to retrospectively identify traditionally allopathic ACGME-accredited orthopaedic surgery residency programs for the 2023 to 2024 year. Residency program websites Scopus, PubMed, and Doximity were used to collect data.

Results:
A total of 150 orthopedic surgery residency programs were identified, with 3,712 residents. Of these residents, 58 (1.6%) were DOs and 3,654 (98.4%) were MDs. MDs had a median H-index of 2 (interquartile range [IQR] 1-4) and median 4 publications (IQR 2-10), whereas DOs had a median H-index of 0 (IQR 0-1) and median 1 publication (IQR 1-3). Sixty-one programs (40%) had DO faculty (138), with 65% (38) matching at a program with ≥1 DO faculty member (20 programs; 13.3%).

Conclusions:
Despite a unified accreditation system, this study demonstrates that orthopaedic surgery continues to favor allopathic applicants, with 1.6% of traditionally allopathic program residents being DOs. The presence of DO faculty, alumni, or residents in a program does not significantly impact DO match rates, emphasizing the multifactorial nature of resident selection. Understanding these dynamics is crucial for addressing selection biases and promoting equity in orthopaedic surgery resident selection.
Assessment of myocardial work in sarcomere gene mutation carriers, healthy controls and overt nonobstructive hypertrophic cardiomyopathy
Authors: Pires Carla Marques , Joy George , Triantafyllou Miltiadis , Monteiro Ricardo Prista , Ferreira Ana , Savvatis Konstantinos , Lopes Luís da Rocha 
Published: December 2024

Abstract

Background Hypertrophic cardiomyopathy (HCM) is defined by unexplained hypertrophy and often characterized by diastolic and systolic dysfunction. HCM patients are known to have impaired left ventricular (LV) myocardial work (MW), a more load-independent parameter compared to global longitudinal strain (GLS). We hypothesized that impaired MW might occur in sarcomere mutation carriers without LV hypertrophy.Methods and Results A single centre study with a case-control design. Patients with overt nonobstructive HCM and a causal sarcomere gene variant (n = 44), carriers (n = 51) and age and sex matched (to the carriers) healthy controls (n = 32) underwent a transthoracic echocardiogram including myocardial deformation analysis to calculate GLS and MW. Global work index (GWI) (1695 ± 332mmHg% vs 1881.50 ± 490mmHg%, p = 0.001) and global constructive work (GCW) (2017.78 ± 323.05mmHg% vs 2329.31 ± 485.44 mmHg%, p = 0.002) were lower in sarcomere mutation carriers compared to controls. LVEF and GLS were similar between these two groups. GWI (1209 ± 735mmHg% vs 1695 ± 332mmhg%, p < 0.001), GCW (1456 ± 703mmHg% vs 1993 ± 389mmHg%, p < 0.001), global wasted work (GWW) (117 ± 148mmHg% vs 96 ± 69mmHg%, p = 0.006) and global work efficiency (GWE) (89 ± 7% vs 95 ± 3%, p < 0.001)] were also significantly worse in overt non obstructive HCM patients.Conclusion We show for the first time that MW indexes were significantly worse in sarcomere mutation carriers compared to controls, suggesting that MW is more sensitive to early changes than GLS and could play a major role in the evaluation and follow-up of carriers.
The Influence and Sustainability of Traditional Chinese Ethnic Medicine: A Case Study of Ninglang Yi Ethnic Medicine
Authors: Dong Zi-Juan , Chen Xiao-Long , Li Na , Tan Kun , Xiao Wen 
Published: December 2024

Abstract

To study the significance of ethnic medicine, specifically the current influence and sustainability of Yi medicine, this research was conducted in Liangshan Yi Autonomous Prefecture, an important Yi-populated area in southwestern China. Data collection involved 698 households across 13 townships, focusing on their diagnostic and treatment choices when ill, with particular attention to their use and trust in the two branches of Yi medicine, Bimo and Suni. The results indicate that Yi medicine remains a crucial complement to contemporary medical practices, with 87.4% of Yi households having conducted Bimo rituals in the past year. Although higher education levels correlate with reduced trust, the overall trust in Bimo remains high. The Bimo system shows potential for sustainable development due to its structured inheritance, reasonable age distribution, and sufficient income levels. In contrast, the Suni system faces decline due to older practitioners and lack of systematic transmission. The recorded ritual, which combines ceremony and herbal medicine, performed by the Bimo to treat a young girl's knee infection, has been acknowledged as effective through a reinterview. Policy analysis reveals that support for traditional medicine has grown, especially at the provincial level, with a focus on platform construction, scientific research, and education dissemination. However, more emphasis is needed on funding and raw material protection. The study concludes that integrating valuable aspects of Yi medicine into modern practices and increasing support for research and education in ethnic areas can enhance the sustainability of ethnic medicine and improve health contributions to economically underdeveloped regions.
Retrieval Augmented Generation for 10 Large Language Models and its Generalizability in Assessing Medical Fitness
Authors: Ke Yuhe , Jin Liyuan , Elangovan Kabilan , Abdullah Hairil Rizal , Liu Nan , Sia Alex , Soh Chai Rick , Tung Joshua Yi Min , Ong Jasmine , Kovacheva Vesela P. , Ting Daniel Shu Wei , Kuo Chang-Fu , Wu Shao-Chun 
Published: December 2024

Abstract

Purpose: Large Language Models (LLMs) offer potential for medical applications, but often lack the specialized knowledge needed for clinical tasks. Retrieval Augmented Generation (RAG) is a promising approach, allowing for the customization of LLMs with domain-specific knowledge, well-suited for healthcare. We focused on assessing the accuracy, consistency and safety of RAG models in determining a patient’s fitness for surgery and providing additional crucial preoperative instructions.
Methods: We developed LLM-RAG models using 35 local and 23 international preoperative guidelines and tested them against human-generated responses, with a total of 3682 responses evaluated.
Clinical documents were processed, stored, and retrieved using Llamaindex. Ten LLMs (GPT3.5, GPT4, GPT4-o, Llama2-7B, Llama2-13B, LLama2-70b, LLama3-8b, LLama3-70b, Gemini-1.5-Pro and Claude-3-Opus) were evaluated with 1) native model, 2) with local and 3) international preoperative guidelines.
Fourteen clinical scenarios were assessed, focusing on 7 aspects of preoperative instructions. Established guidelines and expert physician judgment determined correct responses. Human-generated answers from senior attending anesthesiologists and junior doctors served as a comparison. Comparative analysis was conducted using Fisher’s exact test and agreement for inter-rater agreement within human and LLM responses.
Results: The LLM-RAG model demonstrated good efficiency, generating answers within 20 seconds, with guideline retrieval taking less than 5 seconds. This performance is faster than the 10 minutes typically estimated by clinicians. Notably, the LLM-RAG model utilizing GPT4 achieved the highest accuracy in assessing fitness for surgery, surpassing human-generated responses (96.4% vs. 86.6%, p=0.016). The RAG models demonstrated generalizable performance, exhibiting similarly favorable outcomes with both international and local guidelines. Additionally, the GPT4 LLM-RAG model exhibited an absence of hallucinations and produced correct preoperative instructions that were comparable to those generated by clinicians.
Conclusions: This study successfully implements LLM-RAG models for preoperative healthcare tasks, emphasizing the benefits of grounded knowledge, upgradability, and scalability for effective deployment in healthcare settings.
Effects of ultrasound-guided subserratus anterior plane block combined with rectus sheath block on postoperative analgesia, inflammatory factors and immune function in patients undergoing laparoscopic gastric cancer surgery
Authors: Ye Xiaoming , Xing Zhen , Zhao Jibo , Liu Hui , Wang shaowei , Yao Jie 
Published: December 2024

Abstract

Objective
To evaluate the impact of ultrasound-guided subserratus anterior plane block (SAPB) in conjunction with rectus sheath block (RSB) on postoperative analgesia, inflammatory markers,and immune function in patients undergoing laparoscopic surgery for gastric cancer.
Methods
A total of 60 patients who underwent laparoscopic gastrectomy under general anesthesia at the First Affiliated Hospital of Hebei North University were selected and randomly assigned to two groups: Group C and Group R, with 30 patients in each group. In Group R,a bilateral low-position SAPB combined with rectus sheath block (RSB) was performed using 60 ml of 0.25% ropivacaine following the induction of general anesthesia; whereas Group C received only general anesthesia.Patients in Group C and Group R received postoperative intravenous patient-controlled analgesia (PCIA). Visual analogue scale (VAS) pain scores were assessed at various time points postoperatively for both groups. The utilization of analgesic medications during the perioperative period was compared between the two groups. Additionally, levels of inflammatory factors (IL-6, IL-8, and IL-10) as well as immune markers (CD3+, CD4+, CD8+, and CD4+/CD8+) were evaluated at different time intervals and analyzed comparatively between the two groups.
Results
Group R exhibited significantly lower VAS scores during both resting and coughing activities at time points t1 to t4 compared to Group C (P < 0.05). The total dosage of analgesic medications administered intraoperatively and postoperatively in Group R was significantly lower (P < 0.05). Relative to t0, the levels of IL-6, IL-8, and IL-10 were significantly elevated at t4 and t6 in both patient groups (P < 0.05), Notably, the levels of IL-6 and IL-8 in Group R were significantly lower than those observed in Group C (P < 0.05), whereas the level of IL-10 in Group R was markedly higher than that in Group C (P < 0.05). Relative to t0, the levels of immune function indicators CD8+ and CD4+/CD8+ in both groups exhibited a decline at the t4 and t6 time points. (P < 0.05); In comparison to Group C, Group R exhibited higher levels of immune function indicators CD3+, CD4+, and CD8+ at t4 (P < 0.05). Additionally, the level of CD3+ in Group R was significantly elevated compared to that in Group C at t6 (P < 0.05), whereas no statistically significant differences were found for other immune function indicators between the two groups (P > 0.05).
Conclusion
Ultrasound-guided inferior Subserratus anterior plane block combined with rectus sheath block effectively alleviates postoperative pain in patients undergoing laparoscopic gastrectomy for gastric cancer, reduces the inflammatory response during the perioperative period, and promotes the recovery of immune function
Poor Sleep Quality Associated with Impaired Postoperative Outcomes and Frailty Incidence after Total Hip Arthroplasty: A Severity Matched Case-control Study
Authors: Zhao Le , Wu Haoran , Wu Zhen , Li Feng-ying , Yan Jian-feng 
Published: December 2024

Abstract

Objective
Sleep quality of patients has a complex association with postoperative total hip arthroplasty (THA), yet its impact on recovery of hip function and frailty occurrence is still not uniformly recognized. The purpose of this study is to assess the impact of preoperative sleep quality on the prognosis of patients undergoing a first-time THA and its relationship to chronic pain, anxiety, depression, and frailty.
Methods
In this project, 45 patients each with good and poor sleep quality who underwent THA for the first time were included according to the PSQI index, with PSQI index surpassing 5 considered as poor sleep quality. Patients in the study group and the control group were matched according to their age, gender and American Society of Anesthesiologists (ASA) scores, and intra-operative complications, blood loss, surgery duration, postoperative analgesic use, and length of hospital stay were analyzed. Also, changes of sleep quality, HHS index, pain value, anxiety, depression and frailty occurrence were compared before and 6 months after surgery. The demographics of the comparison cohorts were analyzed by paired t-tests or paired Wilcoxon signed-rank tests, and independent t-tests and nonparametric tests were adopted to screen risk factors of postoperative frailty. Multivariate logistic regression analysis was introduced for independent risk factors calculation. A p-value less than 0.05 was considered as statistically significance.
Results
Poor sleep quality was associated with poorer recovery, including longer postoperative hospitalization after THA, more pronounced chronic pain 3 months after surgery, higher anxiety, depression index and frailty index 6 months after surgery. Older age, diabetes, osteoporosis, BMI lower than the normal and poor sleep quality were potential factors of postoperative frailty, among which poor sleep quality represented an independent risk factor related to postoperative frailty.
Conclusions
Poor sleep quality registers association with postoperative frailty after THA, emphasizing the importance of preoperative identification for patients, which may guide clinicians in developing perioperative strategies and provide patients with potential risks.