bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Influence of Assisted Fixation on Pain Relief for Subtrochanteric Femur Fractures in Children
Authors: Li Jin , Liu Wenqi , Chen Yiyuan , Zhou Yan , Liang Jiaxin , Xiao Xiaoyue , Tang Xin 
Published: January 2020

Abstract
Background : Subtrochanteric femur fractures of children usually recover slower than the intertrochanteric femur fracture and tends to increas the rate of deformity. The difference among treatment options in postoperative pain level should be considered as a crucial factor while tailoring patients’ therapeutic schedules, but has not been paid enough attention to. This study aimed to evaluate and compare the postoperative pain level of hip spica casting, abduction brace and skin traction as assisted fixation to operative interventions. Methods Forty-seven children with subtrochanteric femur fractures on one side were admitted and divided into three groups according to the different assisted fixation they received. Operating time, intraoperative blood loss, follow-up time, postoperative fixation time, days in hospital, time to union, Harris scores, CHEOPS scores (before treatment, after treatment and at the last follow-up time) and VAS scores (before treatment, after treatment and at the last follow-up time) were collected. Results No significant difference of demographic characteristics data was found between the three groups before treatment(P > 0.05). After treatment and at the last follow-up time, the CHEOPS scores and the VAS scores of the three groups were all significantly lower than before(P > 0.05). But there is still no difference between the three groups(P > 0.05). Conclusion Hip spica casting, skin traction and abduction brace have the same ability to relieve the pain of subtrochanteric femur fractures in children.
Comparison between oblique lumbar interbody fusion and posterior lumbar interbody fusion in the treatment of degenerative lumbar scoliosis: a retrospective clinical study
Authors: Xu chaojun , HAO Yingjie , YU Lei , ZHU Guangduo , REN Zhinan , CAI Yingchun , PENG Cheng , ZHANG Panke , ZHU Jian , CAO Shuyan 
Published: January 2020

Abstract
Backgroud Few studies compared radiographic and clinical outcomes between oblique lumbar interbody fusion and posterior lumbar interbody fusion in degenerative lumbar scoliosis. Methods This study retrospectively analyzed the case data of 40 patients with degenerative lumbar scoliosis in our hospital from July 2016 to October 2018. Among which,19 cases underwent oblique lumbar Interbody fusion(OLIF group) and 21 cases underwent posterior lumbar interbody fusion(PLIF group). The duration of the operation, volume of intraoperative hemorrhage, incision length, bed rest time, length of hospital stay, and complications were recorded for all patients. The clinical effects of 40 patients were evaluated by VAS for back pain and Oswestry Disability Index (ODI) and The radiographic parameters were evaluated using the lumbar scoliosis Cobb angle, sagittal vertical axis(SVA), coronal vertical axis(CVA), lumbar lordosis(LL), pelvic tilt(PT), sacral slope(SS), and Disc height(DH). Results The duration of the operation, the volume of intraoperative hemorrhage, incision length, bed rest time, length of hospital stay of the OLIF group were shorter than the PLIF group( P ＜ 0.05 ). The VAS scores for back pain, the ODI of the two groups were significantly decreased, which compared with the preoperative( P ＜ 0.05 )，which in OLIF group was significantly more decreased than in PLIF( P ＜ 0.05 ) at 7 days and 3 months postoperatively, but at the last follow-up there were no significant difference between the two groups( P ＞ 0.05 ); The lumbar scoliosis Cobb angle, SVA, CVA, PT, LL, SS were significantly improved postoperatively( P ＜ 0.05 ). The OLIF group showed higher DH, smaller Cobb angle, and greater LL than the PLIF group at any time point( P ＜ 0.05 ). but there were no significant difference in SVA, CVA, PT and SS between the two groups at any follow-up points( P ＞ 0.05 ). The overall complication rate was slightly higher in the PLIF group（47.62%）than in the OLIF group（26.32%）without significant difference(x 2 =1.931, P =0.165). But the incidence of major complications in the PLIF group was significantly higher than that in the OLIF group (Fisher, P =0.026). Conclusion OLIF provides an alternative minimally invasive treatment for DLS, which compared with PLIF. It has the characteristics of a small incision, rapid recovery, fewer complications related to the surgical approach, and satisfactory orthopedics. Keywords : Minimally invasive, Oblique lumbar interbody fusion, Degenerative adult lumbar scoliosis , Posterior lumbar interbody fusion
Maternal and perinatal Outcome with Vaginal Birth After Cesarean in Hebei Province of china: a cross-sectional study
Authors: wang xiaoxiao , Zhang YingKui , Jia Lu , Yang Yue , Wang Li 
Published: January 2020

Abstract
Background In recent decades, cesarean section rate have increased significantly in China. The delivery mode of women with a previous cesarean delivery remains contentious. We conducted a study to analyze the maternal and perinatal outcome of vaginal birth after cesarean or repeat cesarean delivery, in a period the one-child policy convert to the universal two-child policy.Methods We used the data from Maternal Near Miss Surveillance System of Hebei province between 2013 and 2017. In the analysis, we included women with singleton deliveries between 28 and 42 gestation weeks who had a single prior cesarean delivery. We used logistic regression with a robust variance estimator to examine trends in vaginal birth after cesarean. We also assessed the association between vaginal birth after cesarean and maternal and perinatal adverse outcomes.Results 53,769 women with a previous caesarean section deliveries were included from 274,665 of total participants. There were 3,415 (6.4%) women delivered by vaginal birth after cesarean and 50,354 (93.6%) by repeat cesarean delivery. Between 2013 and 2016, the rate of vaginal birth after cesarean showed a upward trend, from 6.2% to 7.0%. But in 2017, it had declined to 5.2%. Compared to women with repeat cesarean delivery, women with vaginal birth after cesarean have lower absolute rates of severe maternal morbidity and mortality, especially significantly in incidence of blood transfusion, but have higher incidence of intrapartum stillbirth, newborns with low 5-minute Apgar score less than 7 and neonatal death.Conclusions Most of maternal adverse outcomes risk of vaginal birth after cesarean was not higher than repeat cesarean delivery, but the risk of perinatal adverse outcomes has increased in vaginal birth after cesarean.
Pregnancy Outcomes of Patients with Low Serum β-hCG Level 14 Days After Fresh Embryo Transfer
Authors: Wu Yixuan , Liu Haiying 
Published: January 2020

Abstract
Background: Although previous studies had successfully illustrated different pregnancy outcomes by different serum β-hCG levels after embryo transfer, prognosis of pregnancy outcomes remains elusive when the serum β-hCG level is extremely low (e.g., < 100 mIU/ml 14 days after embryo transfer). Therefore, the purpose of our study is to investigate the pregnancy outcomes of patients with low serum β-hCG level 14 days after day 3 embryo transfer. Methods: A retrospective study was performed with 723 patients with a serum β-hCG level between 5 and 100 mIU/ml 14 days after day 3 fresh embryo transfer. Pregnancy outcomes (ongoing pregnancy, early miscarriage, biochemical pregnancy loss, and ectopic pregnancy) were analyzed according to the female patients’ age. Receiver operating characteristic (ROC) curves were plotted to indicate the threshold for prediction of clinical pregnancy and ongoing pregnancy. Sensitivity and specificity were calculated according the ROC curves as well. Results: Of the 723 patients with serum β-hCG level <100 mIU/mL 14 days after day 3 embryo transfer, 85.6% (619) had biochemical pregnancy, and only 14.4% (104) had clinical pregnancy (including 4.7% with ongoing pregnancy, 3.7% with ectopic pregnancy, and 5.9% with early miscarriage). The rate of ongoing pregnancy was significantly lower in ≥ 38-year group compared with < 38-year group (1.3% vs. 5.6%, P =0.029). The serum β-hCG level to predict clinical pregnancy was 44.7 mIU/ml (sensitivity, 91.3%; specificity, 82.1%; area under the ROC curve (AUROC), 0.908). For ongoing pregnancy, the serum β-hCG level was 53.7 mIU/ml (sensitivity, 94.1%; specificity, 81.4%; AUROC, 0.902). Conclusions: Initially low serum β-hCG level 14 days after day 3 embryo transfer indicated poor prognosis with minimal likelihood of ongoing pregnancy. Keywords: assisted reproductive technology; human chorionic gonadotropin; pregnancy; live birth; embryo transfer
A User-Centered Approach to an Evidence-Based Electronic Health Pain Management Intervention for People With Chronic Pain: Design and Development of EPIO
Authors: Ledel Solem Ingrid Konstanse , Varsi Cecilie , Eide Hilde , Kristjansdottir Olöf Birna , Børøsund Elin , Schreurs Karlein M G , Waxenberg Lori B , Weiss Karen E , Morrison Eleshia J , Haaland-Øverby Mette , Bevan Katherine , Zangi Heidi Andersen , Stubhaug Audun , Solberg Nes Lise 
Published: January 2020

Background
Chronic pain conditions are complicated and challenging to live with. Electronic health (eHealth) interventions show promise in helping people cope with chronic illness, including pain. The success of these interventions depends not only on the technology and intervention content but also on the users’ acceptance and adherence. Involving all stakeholders (eg, patients, spouses, health care providers, designers, software developers, and researchers) and exploring their input and preferences in the design and development process is an important step toward developing meaningful interventions and possibly strengthening treatment outcomes.

Objective
The aim of this study was to design and develop a user-centered, evidence-based eHealth self-management intervention for people with chronic pain.

Methods
The study employed a multidisciplinary and user-centered design approach. Overall, 20 stakeholders from the project team (ie, 7 researchers, 5 editors, 7 software developers, and 1 user representative), together with 33 external stakeholders (ie, 12 health care providers, 1 health care manger, 1 eHealth research psychologist, and 17 patients with chronic pain and 2 of their spouses) participated in a user-centered development process that included workshops, intervention content development, and usability testing. Intervention content was developed and finalized based on existing evidence, stakeholder input, and user testing. Stakeholder input was examined through qualitative analyses with rapid and in-depth analysis approaches.

Results
Analyses from stakeholder input identified themes including a need for reliable, trustworthy, and evidence-based content, personalization, options for feedback, behavioral tracking, and self-assessment/registration as factors to include in the intervention. Evidence-based intervention content development resulted in one face-to-face introduction session and 9 app-based educational and exercise-based modules. Usability testing provided further insight into how to optimize the design of the intervention to the user group, identifying accessibility and a simple design to be essential.

Conclusions
The design and development process of eHealth interventions should strive to combine well-known evidence-based concepts with stakeholder input. This study, designing and developing the pain management intervention EPIO, illustrates how a stakeholder-centered design approach can provide essential input in the development of an eHealth self-management intervention for people with chronic pain.

Trial Registration
ClinicalTrials.gov NCT03705104; https://clinicaltrials.gov/ct2/show/NCT03705104
Annotating Narrative Levels: Review of Guideline No. 6
Authors: Houston Natalie M. 
Published: January 2020

The framing of Guideline VI within the pedagogical situation of a class on “Digital Methods in Literary Studies” is helpful in pointing out some of the ways in which the theory and practice of annotation can serve students of literature, as well as eventually contributing to computational analysis. Above all, annotation necessitates firm decisions, as the authors describe: ”Rather than let an ambiguous text stay ambiguous, they simply had to decide for one option in order to be able to annotate a passage and had to justify their choice with reference to the whole text or to adapt the guidelines in order to address and document the ambiguity” (3). This remark highlights the challenge in developing annotation guidelines so that they can be used consistently by different communities of users without modifications. The authors note several points of debate within the class that are relevant to the overall shared task and its evaluation: the feasibility of developing annotation guidelines that could be applied to a wide range of literary texts; the involved levels of textual interpretation that some kinds of annotation require; and the effect of prior study or knowledge on an annotator’s ability to discern or interpret narrative levels. As the shared task proceeds, it may be necessary to specify the applicability of the annotation guidelines to works from particular genres, time periods, or languages.
Особенности трансформации исторического пространства
Authors: Lytkin Kuzma 
Published: January 2020

В предлагаемой статье сделана попытка раскрыть осо­бенности трансформации отдельно взятого исторического пространства за определённый период его исторического формирования.
Основой исследования явился анализ понятийного аппа­рата изучения исторического пространства, составленный на основе теоретических воззрений выдающихся отечественных и зарубежных учёных, исследовавших географический и социальный средовой аспект в синтезе с развитием истори­ческого пространства.
В этой связи затрагиваются вопросы географического детерминизма - его понятийного определения и его влияния на предмет исследования.
Целью исследования, явившегося основанием для статьи, было изучение особенностей трансформации конкретной градостроительной территориальной единицы в ходе её исто­рического формирования - средового пространственного изменения за определённый период исторического времени.
При этом скрытые особенности трансформации иссле­дованы и раскрыты на примере средовых пространственных изменений структуры отдельно взятого реального историче­ского объекта - Якутского острога XVII века, являющегося изначальной исторической основой города Якутска - самого крупного северного населённого места на вечной мерзлоте.
Приводится краткий градостроительный анализ исто­рических путей зарождения и развития Якутского острога в контексте предмета исследований.
В статье представлен аналитический графический матери­ал по масштабированному пространственному сопоставлению прошлого и настоящего на примере исследований архитек­турно-градостроительных параметров Якутского острога.
История проведения конкурса 1932 года на проект планировки Москвы в свете новых архивных материалов
Authors: Starostenko Yulia 
Published: January 2020

В статье на основе анализа вновь выявленных документов из фондов архитекторов И.П. Машкова (РГАЛИ) и П.И. Гольденберга (РГАЭ), а также документов МОВАНО (РГАЛИ) реконструируется история проведения конкурса на проект планировки Москвы в 1932 году. Эти документы позволили уточнить многие, ранее остававшиеся неясными, аспекты проведения конкурса. Среди них: характер самого конкурса; сроки его проведения; коли­чество бригад, участвовавших в конкурсном проектировании, и количество конкурсных проектов; процесс подготовки экс­пертных заключений и критических статей, опубликованных по результатам конкурса; а также авторство условных схем конкурсных проектов, впервые опубликованных в статье П.И. и Б.И. Гольденбергов в 1933 году. В результате было установлено, что над проектами в первой половине 1932 года помимо ранее известных семи бригад советских и иностранных специалистов работала ещё одна бригада советских архитекторов под руко­водством Е.Г. Вейса, параллельно выполнявшая проект плани­ровки Сталинского района Москвы. Особое внимание в статье было уделено анализу рукописей и графики, выявленных среди материалов П.И. Гольденберга, что позволило с качественно но­вых позиций оценить ту роль, которую сыграл этот тогда совсем молодой архитектор в анализе проектов, представленных на конкурс, и определить его как автора условных схем конкурсных проектов. Сохранившиеся оригиналы этих схем публикуются в статье впервые. Помимо введения в научный оборот новых ма­териалов, статья также позволяет с качественно новых позиций оценить роль, которая отводилась конкурсным проектам в про­цессе поиска путей развития Москвы, и отношение к конкурсу со стороны Архитектурно-планировочного управлении Моссовета[1].

[1] Исследование выполнено за счёт средств Государственной программы Российской Федерации «Развитие науки и технологий» на 2013-2020 годы в рамках Плана фундаментальных научных исследований Минстроя России и РААСН, тема 1.2.3.
Современные закономерности формообразования жилых планировочных единиц
Authors: Fedchenko Irina 
Published: January 2020

В статье обобщены закономерности развития урбани­зированных территорий крупных городов, влияющие на возникновение новых форм жилых планировочных единиц в начале XXI века. Даётся характеристика современных прин­ципов формообразования жилых территорий. Приводятся материалы натурного обследования, результаты анализа ли­тературных источников, проектных предложений, наиболее выразительных примеров современных жилых планировоч­ных единиц. Констатируется, что в настоящее время пробле­мы социальной стратификации, сегрегации, миграционных процессов, а также нарастающая динамика функциональной трансформации, формирование ландшафтно-экологического мировоззрения общества приводят к видоизменению морфо­логии жилых территорий. В мировую практику архитектуры и градостроительства проникают новейшие планировочные типы жилой среды, разные по содержанию и структуре. Категории «мобильность» и «доступность» являются ос­новными в обеспечении нормального функционирования современного города. Динамика функциональных про­цессов рождает появление многофункциональных жилых ядер в крупном городе. Стремление к разнообразию форм жизнедеятельности формирует жилые единицы смешанных типов застройки. Развитие ландшафтно-экологического мировоззрения и возникновение эколого-ориентированных инициатив формируют жилые образования по типу «сообще­ство сообществ», по структуре представляющих собой группу локальных образований, связанных системой общественных пространств, где окружение человека создаёт образователь­ную среду, направленную на формирование экологической культуры, новых образов мышления. В современных городах происходит сближение транспорта, мест приложения труда и жилья, внедряются концепции совмещения коммерчески-активной зоны с транспортно-пересадочным узлом. В статье делается вывод о необходимости учёта современных закономерностей развития урбанизированных территорий и, как следствие, возникновении новых форм жилых плани­ровочных единиц в проектировании и реконструкции жилых территорий нашей страны[1].

[1] Исследование выполнено за счет средств Государственной программы Российской Федерации «Развитие науки технологий» на 2013-2020 годы в рамках плана фундаментальных научных исследований Минстроя России и РААСН, тема 1.6.3.
Pengembangan Self-Efficacy Pelajar Melalui Pendidikan Seks Dini Guna Mencegah Pelecehan Seksual Pada Anak
Authors: Rahmi Lailatur 
Published: January 2020

Melalui pengembangan Self-Efficacy dapat meningkatkan pengetahuan pelajar sekolah dasar tentang organ reproduksi dan kesehatan reproduksi guna memproteksi diri mereka dari tindakan pelecean seksual, serta memberikan pemahaman dan kesadaran kepada pelajar sekolah dasar mengenai bahaya dan resiko bencana pelecehan seksual, meningkatkan kepedulian mereka terhadap pengaruh lingkungan yang buruk dengan mengembangkan Self Efficacy sebagai salah satu upaya dalam menngurangi resiko pelecehan seksual. Pelecehan seksual sebagai bagian dari kekerasan seksual juga seringkali terjadi pada anak-anak dan sebagian besar korban pelecehan seksual adalah anak-anak dan remaja perempuan yang berusia di bawah 18 tahun, masih berstatus sebagai pelajar, dengan status sosial ekonomi keluarga dalam kalangan menengah ke bawah. Hal ini menunjukkan kondisi anak yang rentan menjadi korban pelecehan seksual dan dikhawatirkan akan berdampak buruk terhadap perkembangan anak pada tahap selanjutnya. Dampak psikologis yang dialami korban pelecehan seksual akan menyebabkan mereka cenderung menyendiri, dikucilkan dalam pergaulan masyarakat, dikeluarkan dari sekolah, menyalahkan diri sendiri, dan trauma berkepanjangan.
«El diálogo "De Doctrina Christiana" de Juan de Valdés. Retórica cultural, discurso y literatura», de Jorge Orlando Gallor Guarín
Authors: Gallego Benot Juan 
Published: January 2020

Reseña del libro El diálogo De Doctrina Christiana de Juan de Valdés. Retórica cultural, discurso y literatura (prólogo de Tomás Albaladejo Mayordomo, Alicante, Publicacions de la Universitat d’Alacant, 2019), de Jorge Orlando Gallor Guarín.
La Retórica cultural, como metodología de análisis del discurso literario y no literario, había sido ya propuesta por Tomás Albaladejo a lo largo de numerosas obras y es objeto de estudio de varios otros autores en los campos de la Teoría literaria y de la Literatura comparada. Dentro de la profundización en la formulación práctica de la Retórica cultural para dar validez y probar la eficacia de la teoría en el estudio de los elementos discursivos de los textos, la obra objeto de la presente reseña desempeña un papel muy importante. El libro de Jorge Orlando Gallor Guarín viene precisamente a contribuir a la verificación analítica de la teoría retórico-cultural con una aportación encomiable, que recopila las últimas investigaciones en el desarrollo de la Retórica cultural y la completa con los últimos manuales de Retórica con el fin de proveer un análisis pormenorizado del diálogo De Doctrina Christiana, de Juan de Valdés (c.1505 – 1541) basándose en los preceptos analíticos de esta teoría.