bluuebunny/crossref_metadata_2025_split huggingface dataset:
Cuestionando la blanquedad de la nación: configuraciones identitarias afrodescendientes y “cultura afro” en Buenos Aires (Argentina)
Authors: Lamborghini Eva , Martino María Cecilia 
Published: May 2020

En las últimas décadas, la sociedad argentina experimenta un progresivo cuestionamiento de su pretendida “blanquedad”. Desde mediados de la década de 1990, se gestó un movimiento social afrodescendiente conformado por organizaciones que luchan por su revisibilización, contra el racismo y la exclusión. Asimismo, la llegada de migrantes afrodescendientes dedicados a enseñar artes afrolatinoamericanas, fue articulándose con este movimiento político y creciendo como campo cultural a medida que aprendices y practicantes argentinos devinieron, también, docentes y referentes. Fruto de nuestros respectivos trabajos etnográficos en la ciudad de Buenos Aires, en este artículo problematizaremos algunas de las des/articulaciones que se suscitan entre la configuración de identidades y memorias afrodescendientes y la práctica y resignificaciones de expresiones culturales afro. Analizaremos estas vinculaciones, en primer lugar, en el caso de jóvenes que se autoidentifican afrodescendientes en un marco mayor de visibilización y reivindicación de la temática y, en segundo lugar, en actores sociales que practican cultura afro más allá de estas pertenencias étnico-raciales. Aspiramos a contribuir a la comprensión de las complejas relaciones entre racializaciones, etnicizaciones, expresividad cultural y política en el contexto local.***Questionando a branquitude da nação: configurações de identidades africanas e “cultura afro” em Buenos Aires (Argentina)***Nas últimas décadas, a sociedade argentina experimentou um questionamento progressivo de sua suposta “branquitude”. Desde meados da década de 1990 foi criado um movimento social afrodescendente, formado por organizações que lutam por sua revisibilização, contra o racismo e a exclusão. Além disso, a chegada de migrantes afro-descendentes, dedicados ao ensino das artes afro latino-americanas, articulou-se com esse movimento político e cresceu como campo cultural, à medida que os aprendizes e praticantes argentinos tornaram-se, também, professores e referentes. Fruto de nossos respectivos trabalhos etnográficos, neste artigo tentaremos problematizar algumas das articulações que surgem entre as configurações de identidades e memórias afrodescendentes, a própria prática e as ressignificações das expressões afro-culturais. Analisaremos esses vínculos, em primeiro lugar, no caso de jovens que se identificam como afrodescendentes em um contexto mais amplo de visibilidade e reivindicações sociais em relação ao tema, e, em segundo lugar, entre atores sociais que praticam a cultura afro além de seus pertencimentos étnico-raciais. Desta forma procuramos contribuir para a compreensão das complexas relações entre racializações, etnicizações, a expressividade cultural e política no contexto local.Palavras-chave: Identificações afro-descendentes. Culturas negras/afro. Ressignificações. Buenos Aires/Argentina.
Informal caregivers for stroke survivors: what does occupational therapy offer?
Authors: Serfontein Lyndall , Van Schalkwyk Mia Elsabie , Visser Marieta 
Published: May 2020

Informal caregivers play an important role in the continuum of care for survivors of stroke and the caregivers' own well-being may therefore have a significant impact on the survivor of stroke. Yet, caregiver training and support often do not fulfil the needs of caregivers and the consequences are often described in literature as 'burden of care'. In this article, we encourage occupational therapists to consider caregiving from an occupational perspective and we propose strategies for the enabling informal caregivers to maintain optimal wellbeing and health by means of increased opportunity for balanced occupational participation.Key words: stroke, informal caregivers, burden of care, occupational perspective, occupational therapy
Modified three port laparoscopic cholecystectomy versus conventional four port technique
Authors: Resutra Ritvik , Gupta Rajive , Gupta Madhu 
Published: May 2020

Background: The current study was undertaken to compare the results of modified three-port laparoscopic cholecystectomy and conventional three or four-port surgery in terms of technical feasibility, safety of the technique, postoperative pain and need of post-operative analgesia, cosmetic satisfaction of the patient and cost effectiveness and were found to be better with the modified technique.Methods: In modified three port laparoscopic cholecystectomy technique, first 10 mm umbilical, second 5 mm epigastric and third 5 mm subcostal ports are made, i.e., "10-5-5" instead of "10-10-5" or "10-10-5-5" of conventional three or four port techniques and finally, gallbladder is extracted through the umbilical port.Results: The pain in the postoperative period and the requirement of postoperative analgesia were significantly less and there was better cosmetic satisfaction of the patients operated by the modified three port laparoscopic cholecystectomy technique as compared to conventional three or four port surgery.Conclusions: The modified three-port laparoscopic cholecystectomy technique is safe and has the same comfort and feasibility to the surgeon along with added advantage of less pain and better cosmetic appearance to the patient in comparison to the conventional three or four-port surgery, with no obvious increase in complications and is definitely a viable alternative procedure for the management of cholelithiasis.
Personal factors affecting medical professionalism: a qualitative study in Iran
Authors: Alipour Fateme , Shahvari Zahra , Asghari Fariba , Samadi Shahram , Amini Homayoun 
Published: May 2020

Professional behavior with patients and interactions with colleagues, the institution and professional bodies are influenced by many factors. The purpose of this manuscript is to clarify those personal factors affecting medical professionalism in clinical settings affiliated with Tehran University of Medical Sciences.
For this purpose, a qualitative study was carried out. One hundred and eighty-two participants were recruited through purposive sampling of clinical staff, physicians, and medical students in Tehran. Data were collected through 22 focus group discussions, and conventional content analysis was used to analyze the data.
The results were reported in five categories to present the participants’ views. Categories were extracted from 103 codes and consisted of 1) people's belief in professionalism, 2) personality traits, 3) problems in family, 4) mental or physical health status, and 5) communication skills.
The results showed that despite the facilitator roles of some personal factors, others act as barriers to professional behaviors. In order to control their impact, it is crucial to pay attention to them at the time of student/staff selection. Strengthening support systems in the organization is also essential for decreasing the effect of family problems or physical and mental health problems.
A Transformative Impact of Theory in Clinical Practice: A Study in a Cardiogenetics Clinic
Authors: Paljevic Esma D. 
Published: May 2020

Background and PurposeThis qualitative phenomenological study explored the lived experiences of family members who have been referred to a cardiogenetics clinic following the loss of a family member to sudden cardiac death (SCD). These family members were evaluated in a Cardiogenetics Clinic in a Children's Hospital in the New York region, which utilizes an interprofessional approach to care.MethodsA qualitative phenomenological approach was used to explore the lived experience of family members that were referred following the SCD of a family member. The researcher used hermeneutic dialectics and interviewed family members that attended the Cardiogenetics Clinic.ResultsInsights gained through discussion were discussed in the following themes: stories of feelings being heard, stories of meaningfulness, and stories of mutual process. This led to the transformation of the typical linear clinic process to a transformative and dynamic model for integrated delivery of care.Implications for PracticeThis interprofessional model of care offers information regarding SCD, a genetic profile to determine risk for SCD, an integrative collaborative approach to care as well as nursing, medical interventions, psychological support, and counseling for families.
Pembuatan Produk Permen Agar-agar Buah
Authors: Rahayu Mamik Ponco , Harmastuti Nuraini , Rejeki Endang Sri , Turahman Taufik 
Published: May 2020

<p align="center"><strong>ABSTRACT</strong></p><p align="center"> </p><p> The Ngampon people in Mojosongo Village, Jebres, Surakarta City face diverse livelihood problems, most of which are factory workers with low income levels and the role of mothers as housewives. Therefore, it is necessary to have training activities to make agar agar fruit products as an alternative home-based home industry to increase family income.</p><p> This community service activity was designed by conducting training on making fruit jelly candy products.</p><p> The target of the above activities is that the community will get additional skills in making agar-agar candy fruit that can be done easily and small capital so that it can be an alternative family home industry.</p><p> </p><p>Keywords: Fruit, jelly candy, home industry</p><p align="center"><strong> </strong></p><em></em>
Nonmechanical Revision Indications Portend Repeat Limb-Salvage Failure Following Total Femoral Replacement
Authors: Henderson Eric R. , Keeney Benjamin J. , Husson Emily G. , Bernthal Nicholas M. , Ji Tao , Pala Elisa , Funovics Philipp T. , Groundland John S. , Lozano-Calderon Santiago , Puchner Stephan , Zoller Stephen D. , Ruggieri Pietro , Windhager Reinhard , Guo Wei , Hornicek Francis J. , Letson G. Douglas , Temple H. Thomas 
Published: May 2020

Background:
There is scant evidence to guide decision-making for patients considering total femoral replacement (TFR). We aimed to identify the indication, patient, disease, and surgical technique-related factors associated with failure. We hypothesized that failure occurs more frequently in the setting of revision surgical procedures, with infection as the predominant failure mode.

Methods:
We performed a retrospective cohort study of patients receiving total femoral endoprostheses for oncological and revision arthroplasty indications; 166 patients met these criteria. Our primary independent variable of interest was TFR for a revision indication (arthroplasty or limb salvage); the primary outcome was failure. Analyses were performed for patient variables (age, sex, diagnosis group, indication), implant variables (model, decade, length, materials), and treatment variables. We analyzed TFR failures with respect to patient factors, operative technique, and time to failure. We conducted bivariate logistic regressions predicting failure and used a multivariate model containing variables showing bivariate associations with failure.

Results:
Forty-four patients (27%) had treatment failure. Failure occurred in 24 (23%) of 105 primary TFRs and in 20 (33%) of 61 revision TFRs; the difference was not significant (p = 0.134) in bivariate analysis but was significant (p = 0.044) in multivariate analysis. The mean age at the time of TFR was 37 years in the primary group and 51 years in the revision group (p = 0.0006). Of the patients who had mechanical failure, none had reoccurrence of their original failure mode, whereas all 8 patients from the nonmechanical cohort had reoccurrence of the original failure mode; this difference was significant (p = 0.0001).

Conclusions:
TFR has a high failure rate and a propensity for deep infection, especially in the setting of revision indications and prior infection. All failed TFRs performed for revision indications for infection or local recurrence failed by reoccurrence of the original failure mode and resulted in amputation.

Level of Evidence:
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
An Updated Description of More Than 5,000 Procedures from the Danish Hip Arthroscopy Registry
Authors: Mygind-Klavsen Bjarne , Kraemer Otto , Hölmich Per , Lund Bent 
Published: May 2020

Background:
The Danish Hip Arthroscopy Registry (DHAR) started as a web-based prospective registry in 2012. The aim of this study was to evaluate and report epidemiologic and perioperative data from 5,333 procedures and to describe the development of the DHAR.

Methods:
The DHAR collects data from patients prospectively at the time of inclusion (preoperative evaluation) and at 1, 2, 5, and 10 years after arthroscopic hip surgery. The surgeon reports surgical data at the time of surgery. The DHAR uses a number of validated patient-related outcome measures (PROMs): the Copenhagen Hip and Groin Outcome Score (HAGOS), Hip Sports Activity Scale (HSAS), EuroQol 5 Dimensions (EQ-5D), and a numeric rating scale for pain (NRS pain).

Results:
Of the 5,333 procedures, 58% were done in female patients. The mean age was 37.7 years. The mean duration of surgery was 78 minutes, and the mean duration of traction was 45 minutes. Combined cam and pincer resections were performed in 64% of the patients, and labral repair was done in 82%. The most common type of acetabular chondral damage found was Beck grade-2 lesions (43%). Grade-3 and 4 changes were seen in 29% and 11% of the patients, respectively. The 1-year HAGOS PROM values increased to a median of 69.1 (interquartile range [IQR], 68.2 to 70.0) for pain, 64.9 (IQR, 64.0 to 65.7) for symptoms, 71.3 (IQR, 70.3 to 72.3) for activities of daily living, 56.2 (IQR, 55.1 to 57.4) for sports, 42.2 (IQR, 40.8 to 43.5) for physical activity, and 50.7 (IQR, 49.7 to 51.8) for quality of life, and the 1-year EQ-5D increased to a median of 0.75 (IQR, 0.74 to 0.76). Five-year outcomes for 383 patients showed a significant increase in all PROMs (p < 0.05).

Conclusions:
Patients referred for hip arthroscopy reported pain, functional disabilities, and a decreased activity level and quality of life prior to surgery but demonstrated improvements after 1 and 5 years. The problems with developing and maintaining a large clinical registry are described. The development of a national clinical registry for hip arthroscopy was considered successful.

Level of Evidence:
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
Slipped Capital Femoral Epiphysis
Authors: Navarre Pierre 
Published: May 2020

Background:
The New Zealand Māori and Pacific ethnicities have the highest burden of slipped capital femoral epiphysis (SCFE) worldwide. Therefore, New Zealand provides a rich and unique therapeutic and research environment for this devastating hip condition.

Methods:
A systematic literature review was performed using MEDLINE, PubMed, and Google Scholar from January 1, 1900, to December 31, 2019, with the following keywords: New Zealand, SCFE, slipped capital femoral epiphysis, SUFE, and slipped upper femoral epiphysis. The references were also screened.

Results:
Eight original scientific research articles that had been published in peer-reviewed journals were identified, as well as 4 published abstracts from conference proceedings; we summarized the key findings. The New Zealand Māori and Pacific ethnicities have the highest reported burden of SCFE, with 4.2 and 5.6 times the prevalence, respectively, when compared with New Zealand European (Caucasian). Māori children are younger at presentation (p = 0.002) and more frequently present with bilateral SCFE (p = 0.05), and there is a strong link with childhood obesity. A contralateral posterior sloping angle (PSA) of ≥14° may be used as an adjunct threshold for decision-making regarding prophylactic pinning. A PSA of ≥40° was found to correlate with a higher likelihood of unsatisfactory functional outcome following SCFE pinning in situ. When conversion to total hip arthroplasty is eventually required due to SCFE, early functional outcomes are similar to those of patients with primary osteoarthritis, and revision rates and mortality rates are not significantly different.

Conclusions:
Landmark literature from New Zealand has been published on SCFE management, and there is a promising future of quality, impactful research.

Level of Evidence:
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
Telemedicine in Orthopaedic Surgery
Authors: Makhni Melvin C. , Riew Grant J. , Sumathipala Marissa G. 
Published: May 2020

Abstract:
Improvements in technology and a push toward value-based health care have poised the telemedicine industry for growth; however, despite the benefits of virtual care, widespread implementation had not occurred until the coronavirus 2019 (COVID-19) pandemic. Powerful barriers have hindered the widespread adoption of telemedicine, including lack of awareness, implementation costs, inefficiencies introduced, difficulty performing physical examinations, overall lack of perceived benefit of virtual care, negative financial implications, concern for medicolegal liability, and regulatory restrictions. Some of these challenges have been addressed with temporary state and federal mandates in response to the COVID-19 pandemic; however, continued investment in systems and technology as well as refinement of regulations around telemedicine are needed to sustain widespread adoption by patients and providers.
Epidemiological and clinical characteristic of Hymenolepis diminuta infection – review of current literature
Authors: Kapczuk Patrycja , Chlubek Dariusz , Baranowska-Bosiacka Irena 
Published: May 2020

Abstract

Hymenolepis diminuta (rat tapeworm) is widespread worldwide, though in comparison to H. nana it is less frequent in humans (accidental host). The definite hosts, as well as the natural reservoir of H. diminuta, are small rodents. Literature on the subject reports that the predisposition to infestation with this tape-worm mainly concerns small children and adults from a poor socioeconomic background. The epidemiological data presented in this article provide the lastest scientific information on the prevalence of this parasite, the course of hymenolepiasis, as well as the treatment method. Owing to the low prevalence of hymenolepiasis in humans, the diagnosis, analysis and description of the course of the disease in humans provides new and crucial information on H. diminuta infection.
Assessment of the prevalence of intestinal parasite infections among patients at the Laboratory of Department of Biology and Medical Parasitology of the Pomeranian Medical University in Szczecin in the years 1983–2012
Authors: Gągała Katarzyna , Kołodziejczyk Lidia , Kosik-Bogacka Danuta , Pilecka-Rapacz Małgorzata 
Published: May 2020

Abstract

Introduction: Intestinal parasitoses are among the most common parasitic diseases in Poland.
The aim of this study was to assess their prevalence in patients of the Laboratory of the Department of Biology and Medical Parasitology (LDBMP) of the Pomeranian Medical University in Szczecin (PMU) in the years 1983–2012.

Materials and methods: The analysis concerned the results of parasitological surveys conducted between 1983–2012 in 9760 patients. Parasitological diagnosis was performed by standard faecal examination method (direct swab) and/or perianal swab.

Results: During the study period, 486 cases of infection with intestinal parasites were recorded. The mean prevalence of intestinal parasites was 4.98%, and the percentage of infected patients ranged from 8.8% in 1993 to 0% in 2002. The most frequently detected parasitic species were: Entamoeba coli (1.52%), Giardia lamblia (0.95%), Blastocystis spp. (0.89%), Enterobius vermicularis (0.79%), and Taenia saginata (0.36%). In the period 2003–2012 the most prevalent parasites were Blastocystis spp., E. coli, and E. vermicularis. An increase in the prevalence of intestinal parasitic infections from 2009–2012 was associated with an increase in the prevalence of Blastocystis spp.

Conclusions: The prevalence of intestinal parasites among the patients of the LDBMP in the years 1983–2012 was lower in comparison with other Polish regions. The high prevalence of 2 protozoan species – potentially pathogenic Blastocystis spp. and non-pathogenic E. coli – among intestinal parasites detected in the years 2003–2012 may indicate improvement in the epidemio-logical situation regarding intestinal parasitoses in patients of the LDBMP in comparison to the 1980s and 1990s.
Tuberculosis Treatment Outcomes: A Fifteen Year Retrospective Study in Jos North and Mangu, Plateau State, North – Central Nigeria
Authors: Sariem Comfort Nanbam , Odumosu Patricia , Dapar Maxwell Patrick , Musa Jonah , Ibrahim Luka , Aguiyi John Chinyere 
Published: May 2020

Abstract

Background: Globally, tuberculosis (TB) is the leading cause of death from a single infectious agent. Adherence to TB therapy is an important factor in treatment outcomes, which is a critical indicator for evaluating TB treatment programs. This study assessed TB treatment outcomes using a fifteen-year record of tuberculosis patients who received treatment in Jos North and Mangu Local Government Areas of Plateau State, North-Central Nigeria. Methods: The retrospective facility based study was done in five TB treatment centers which account for more than half of data for tuberculosis patients in Plateau State. Data were collected from 10156 TB patient’s health records between 2001 and 2015. Treatment outcomes were categorized as successful (cured, treatment completed) or unsuccessful (non-adherent, treatment failure or death). A descriptive analysis was done to assess the factors associated with treatment outcomes. Relevant bivariable and multivariable logistic regression were done. All statistical analyses were performed on Stata version 11, College station, Texas, USA.Results: During the study period, 58.1% (5904/10156) of the TB patients who received treatment were males. The Mean age ±SD was 35.5 ±15.5 years. The overall treatment success rate was 67.4%; non-adherence/defaulting rate was 18.5%, with majority of patients defaulting at the end of intensive phase of treatment. The sputum conversion rate was 72.8% and mortality rate was 7.5%. A decrease in successful treatment outcomes rate from 83.8% in 2001 to 64.4% in 2015 was observed. After adjusting for sex, and TB category, being HIV positive was 2.8 times (95% CI: 1.11-6.83, p=0.028) more likely to be associated with treatment success than having an unknown status. Treatment after loss to follow-up, relapse and treatment failure were less likely associated with treatment success than newly diagnosed TB patients.Conclusion: With the decrease in treatment success rates, underlying reasons for medication non-adherence and treatment failure should be resolved through adherence counseling involving the patient and treatment supporters, with education on voluntary counseling and testing for HIV among TB patients.