bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparison of clinical and radiological results of fixation methods with retrograde intramedullary Kirschner wire and plate-screw in extra-articular metacarpal fractures
Authors: Baydar Mehmet , Aydın Abdurrahman , Şencan Ayşe , Orman Osman , Aykut Serkan , Öztürk Kahraman 
Published: July 2021

Objectives: In this study, we aimed to compare clinical and radiographic outcomes of retrograde intramedullary Kirschner-wire (K-wire) fixation with those of plate-screw (PS) fixation.
Patients and methods: A total of 98 metacarpal shaft fractures in 75 patients (65 males, 10 females; mean age: 31.2±10.9 years; range, 16 to 65 years) were included between January 2011 and December 2017. The total joint active range of motion (AROM) and grip strength of the healthy and broken hands were evaluated. The Visual Analog Scale (VAS) and Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) scores were recorded. We compared surgery duration, number of fluoroscopy images, and cost-effectiveness for each technique.
Results: The overall mean follow-up was 21.9 (range, 12 to 56) months. At the last follow-up, total joint AROM (p=0.072), VAS score (p=0.298), QuickDASH score (p=0.132), and hand grip strength (p=0.947) were similar between the groups. Radiological union occurred in the PS and K-wire groups in a mean of 5.84 (range, 3 to 8) and 4.46 (range, 3 to 20) weeks, respectively (p=0.173). A significant difference was found in surgery duration (p=0.021) and number of fluoroscopy images (p<0.05) between the PS and K-wire groups. Two wound complications were observed in the PS group and one with K-wires.
Conclusion: Retrograde intramedullary K-wire fixation has certain advantages such as being less invasive and more accessible with shorter operation time, compared to PS fixation. Similar radiological and clinical scores can be obtained in patients undergoing retrograde intramedullary K-wire fixation or PS fixation.
Management and results of early-onset scoliosis with dual magnetically controlled growing rods: Additional preliminary results of spinal fusion surgery
Authors: Faruk Kılıçaslan Ömer , Ali Tokgöz Mehmet , Bütün Şevket , Nabi Vugar , Akalın Serdar 
Published: July 2021

Objectives: The aim of this study was to evaluate the clinical and radiographic outcomes and complications of dual magnetically controlled growing rods (MCGRs) in the treatment of early-onset scoliosis (EOS) and to investigate the results of patients with definitive spinal fusion following MCGR.
Patients and methods: A total of 15 patients (7 males, 8 females; mean age: 8.7±1.7 years; range, 6 to 10 years) with EOS who underwent dual MCGR and were prospectively followed between February 2013 and March 2019 were included in this retrospective study. The Cobb angle, thoracic kyphosis, and the length of the spine between T1-T12 and T1-S1 were measured on preoperative, postoperative, and follow-up radiographs. The 24-Item Early-Onset Scoliosis Questionnaire (EOSQ-24) was used to assess the functional outcomes before and after the operation. All complications during the treatment were recorded.
Results: The mean follow-up was 27.8±10.4 (range, 12 to 60) months. The mean curve correction immediately after the index surgery and latest follow-up was 47.6% and 42.4%, respectively (p>0.05). At the last follow-up, there were no significant changes in mean Cobb and kyphosis angles. The mean T1-T12 length increase was 26.2±7.1 (range, 16 to 40) mm, while the mean T1-S1 length increase was 43.3±15.0 (range, 24 to 70) mm. Complications developed in four (26.6%) of 15 patients. Definitive spinal fusion surgery was performed in seven patients. Total mean Cobb angle difference between the final follow-up and fusion surgery was 9.3° (p=0.016) and kyphosis angle difference was -2.1° (p=0.349). After fusion surgery, total lengthening in T1-T12 and T1-S1 distance was 10.5 mm (p=0.036) and 15.0 mm (p=0.022), respectively. A significant increase in all subdomain scores of the EOSQ-24 (p<0.05), except for financial impact, was recorded in all patients.
Conclusion: Dual MCGR technique is an effective, reliable, and robust treatment alternative for primary EOS. However, surgeons should be aware of the relatively high rate of complications. In addition, residual deformity can be corrected successfully with definitive surgery.
Diagnostic and prognostic role of neutrophil/lymphocyte ratio, platelet/lymphocyte ratio, and lymphocyte/monocyte ratio in patients with osteosarcoma
Authors: Yapar Aliekber , Ali Tokgöz Mehmet , Yapar Dilek , Burak Atalay İsmail , Ulucaköy Coşkun , Şafak Güngör Bedii 
Published: July 2021

Objectives: This study aims to evaluate the diagnostic and prognostic significance of neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and lymphocyte-to-monocyte ratio (LMR) values in patients with osteosarcoma.
Patients and methods: A total of 172 patients (111 males, 61 females; mean age: 24.3±15.3 years; range, 7 to 82 years) diagnosed with osteosarcoma in our institution between January 2002 and December 2018 were retrospectively analyzed. A total of 165 healthy individuals (115 males, 50 females; mean age: 20.2±9.2 years; range, 10 to 65 years) who did not have infectious, rheumatological or hematological diseases or any pathological finding were assigned as the control group. The clinical, laboratory, and demographic findings of the patients were obtained from hospital records. Pre-treatment NLR, PLR, and LMR values were calculated in all patients. Diagnostic and prognostic values of pre-treatment NLR, PLR and LMR were assessed using receiver operating curve (ROC) analysis. The Kaplan-Meier method was used for survival analysis.
Results: For diagnostic approach, the highest significance in area under the curve (AUC) values was obtained for NLR (AUC=0.763). The AUC for PLR and LMR was statistically significant, while the statistical power was weak compared to NLR (AUC=0.681 and 0.603). The NLR, PLR, and LMR were found to be predictors of mortality. The cut-off value was found to be 3.28 for NLR, 128 for PLR, and 4.22 for LMR. The prognostic value of NLR for mortality was higher than (AUC=0.749) PLR (AUC=0.688) and LMR (AUC=0.609). The NLR, PLR, and LMR were associated with overall survival (OS). There was a significant difference in the median OS time among the NLR, PLR, and LMR values (log-rank test order p<0.001, p=0.001, and p=0.004, respectively).
Conclusion: Based on our study results, pre-treatment NLR, PLR and MLR have diagnostic and prognostic values in osteosarcoma.
The Power of the Resisting Reader
Authors: Jay Gregory 
Published: July 2021

ABSTRACT
The argument of Judith Fetterley's The Resisting Reader focuses on the centrality of “power” to feminist criticism, and how a critique of gendered power relations leads to an unmasking of what she terms “immasculation.” This names a process in which women readers (and critics) are compelled to identify with male perspectives and patriarchal values in fiction written by men. In contrast she posits the power of women-centered reading practices and resistance to homophobic interpretive and scholarly conventions.
2021 AAHA Nutrition and Weight Management Guidelines for Dogs and Cats
Authors: Cline Martha G. , Burns Kara M. , Coe Jason B. , Downing Robin , Durzi Tiffany , Murphy Maryanne , Parker Valerie 
Published: July 2021

ABSTRACTThe guidelines discuss the components of a systematic approach to nutritional management of dogs and cats. A nutritional assessment, including a body condition score and muscle condition score, is a screening evaluation that should ideally be performed at every examination. Individualized nutritional recommendations, based on the nutritional assessment, should be designed to achieve and maintain an appropriate body weight and meet nutritional requirements. Communicating nutritional recommendations to clients is a challenging aspect of nutritional management because pet owners may interpret the practice team’s guidance as advocacy for a particular pet food brand or a judgment of the client’s ability to properly care for the pet or of the owner’s own nutritional status. The guidelines discuss approaches for effective, nonjudgmental communication of dietary recommendations to clients and strategies to increase acceptance of and adherence to veterinary nutrition recommendations. Other pet nutrition topics of current interest include recommendations for particular pet life stages, breeds, and disease conditions; risk factors for nutritional deficiencies and obesity; and considerations for home-prepared diets.
EXPLORING CONSUMER PREFERENCES AND FACTORS ASSOCIATED WITH VEGETABLE CONSUMPTION
Authors: Ubiparip Samek Dragana , Bajić Aleksandra , Pezo Lato , Kovač Renata , Mastilović Jasna 
Published: July 2021

The consumers’ preferences and their reasons for vegetable consumption were examined with the aim to provide useful information to increase the consumption of these food items. Consumers’ general viewpoints about vegetable consumption were examined using an online questionnaire. The study was conducted on a sample of 711 respondents chosen randomly and obtained data were analyzed by the correspondence analysis. Results suggest that consumers consider vegetables as tasty, easy to use and healthy for consumption. The main drawbacks for vegetable consumption are safety issues, short shelf-life and high price. In order to increase the consumption of these foodstuffs, each type of fresh and processed vegetable should have a specifically designed campaign, emphasizing its specific attribute. Obtained results might provide an insight into the current state of consumers’ behavior in Serbia and might be useful for creating specific promotional programs and more appropriate communication strategies aiming to increase consumers’ knowledge about the importance of regular vegetable consumption. They should raise consumers’ awareness by emphasizing the importance of adequate daily vegetable consumption. This, in turn, should improve public health and reduce the health and economic costs of massive chronic diseases caused by inadequate diet.
Memoria de un espacio en trance de sumersión: Análisis iconográfico de la imagen de “El joven saltador ante los puentes”, fotografía de Wifredo López Vecino (año ante quem 1969)
Authors: García Manso Angélica 
Published: July 2021

El fotógrafo rural Wifredo López Vecino se ha convertido en el testigo gráfico por excelencia de la transformación geomorfológica del Vado de Alconétar, en el río Tajo a su paso por la provincia de Cáceres, en la década de los años 60. Más allá del documento gráfico que ofrecen sus imágenes, fue capaz de recrear de manera autodidacta una poética de la composición muy personal, que aplicó a sus retratos y a los paisajes. Entre estos últimos, una de sus fotografías más emblemáticas es la del “El joven saltador ante los puentes”, de la que en el presente estudio se ofrece un detallado análisis iconográfico en consonancia con otras fotografías características de su producción y con otras obras de la tradición artística occidental y de la fotografía contemporáneas que constituyen referentes que permiten comprender el tratamiento de personas, paisajes y símbolos presentes en la imagen examinada.
The rural photographer Wifredo López Vecino has become the graphic witness par excellence of the geomorphological transformation in the sixties of the Vado de Alconetar of the Tajo river as it passed through the province of Caceres. Beyond the graphic document offered by his images, he was able to recreate, in a self-taught way, a very personal poetics of composition, which he applied to his portraits and landscapes. Among the seconds, one of his most emblematic photographs is that of "The Young Jumper before the Bridges", of which this study offers a detailed iconographic analysis in line with other characteristic photographs of his production and with other works of Western artistic tradition and contemporary photography that constitute references that allow us to understand the treatment of people, landscapes and symbols present in the image examined.
The evolution of the international emergency care workforce: a thematic analysis
Authors: Sharma Anahita 
Published: July 2021

Acute care has historically been a relatively peripheral area on the global health agenda. Emergency care was first identified as a global priority at the WHO’s 60th World Health Assembly in 2007. The WHO first mandated international coordination over the global shortage of human resources in health (HRH) in 2006. Little research has focused on the intersection of these problems, regarding the international workforce working in acute care.MethodsA systematic search was conducted to retrieve articles evaluating components of secondary-level local, local, regional or national acute services published in academic journals from 2000 onwards. A thematic analysis of selected articles was completed with a focus on human resource capacities, utilising a framework-based synthesis approach. Results73 articles based in 44 countries were retrieved, of which 43 were cross-sectional studies and 22 were qualitative case reports. Articles largely reported inadequate competencies, training opportunities and insufficient physical resource within local emergency medical systems. Emergency departments worldwide are widely staffed by unspecialised personnel. Task-shifting within the acute care sector is frequently employed across the Subsaharan African region. Workforce issues were not restricted to low-income settings. However, a rigorous and stratified global dataset of workers in this category is not available and would be useful.ConclusionEmergency medical systems are undergoing a period of development worldwide. Inadequacies regarding supervision, infrastructure, and support services are not frequently addressed and should not be neglected in human resource policy. Identifying the successes and failures of systems on a global scale to date can prove useful for health systems planning and policy.
Storia controfattuale e great men in Erodoto e Tucidide
Authors: Bianco Elisabetta 
Published: July 2021

Thinking about the role of great men in virtual history of contemporary age, in this paper we intend to conduct an analysis of this theme starting from some significant texts of Herodotus and Thucydides, to evaluate the existence of a recourse to counterfactual reasoning in connection with the role of the individual also in Greek historiography. It emerges that counterfactuals, used perhaps not always intentionally, but, in any case, as a powerful narrative tool, help to define causal relationships and to highlight the important factors, moral and political responsibilities, including above all the ability of the leader to take reasonable decisions. The story of the past as it could have been, or, in other words, counterfactual history and not just real history, could thus encourage readers to reflect in a more engaging way than through the historical account alone, judging more actively the behaviour of great men of the past and learning from their decisions, both correct and incorrect.
Ostilità e omaggio al nuovo signore? I commediografi ateniesi davanti a Filippo II. Un’ipotesi su due frammenti di Efippo e Alessi
Authors: Squillace Giuseppe 
Published: July 2021

In addition to the rhetoricians and orators who at Athens supported or opposed Philip, a number of playwrights – such as Ephippus and Alexis – did not hesitate to express their opinions of the Macedonian king. Some fragments of their works, however, seem to show conflicting positions, for if Ephippus supported the anti-Macedonian party, Alexis, while including Philip in some comedies, did not blame the king by turning him into a comic mask, but praised his political decisions and his respect for religion and traditions.
Prevalence and risk of spinal pain among physiotherapists in Poland
Authors: Glowinski Sebastian , Bryndal Aleksandra , Grochulska Agnieszka 
Published: July 2021

Background
The purpose of this study was to determine the prevalence, symptoms of, and risk factors for spinal pain in physiotherapists, as well as to analyse the correlation between these factors and the nature of the work, anthropometric features of the respondents, and the level of their physical activity.

Methods
The study was conducted among 240 physiotherapists (71 male and 169 female) with a mean age of 38.7 years. They were divided into three groups: physical therapy (37), kinesitherapy (158) and massage (45). Physiotherapists were evaluated with a specially designed questionnaire, the postural discomfort chart, the Neck Disability Index (NDI) questionnaire, and the Oswestry Disability Index (ODI) questionnaire.

Results
The analysis showed a 91.7% incidence of spinal pain in physiotherapists (91.1% for kinesitherapy, 97.3% for physical therapy, and 88.9% for massage). The study revealed that 50.2% of physiotherapists indicated one to five pain episodes in their careers. Most respondents reported pain in the lumbosacral spine (82%) and the cervical spine (67%). Most respondents (58.5%) scored the pain as moderate (VAS scale). Carrying (62.6%) and torso bending (37.4%) were indicated as the causes of pain.

Conclusions
Physiotherapists demonstrate a high prevalence of spinal pain. Physical activity reduces the frequency of pain episodes.
Antibiotic Sensitivity Pattern of Diverse Soil and Air Flora of Federal University of Technology campus, Akure, Nigeria
Authors: Onifade Kayode Anthony , Akinsola Naomi Titilayo 
Published: July 2021

Aim: This study was conducted to comparatively investigate the soil and air microflora of selected locations within the Federal University of Akure (FUTA), Ondo State, Nigeria.
Study design: Experimental design
Place and Duration of Study: The study was conducted at The Federal University Technology, Akure (FUTA), Ondo State, Nigeria comprising; School of Sciences, School of Agricultural and Agricultural Technology, School of Engineering and Engineering Technology, School of Health and Health Technology, Microbiology department, FUTA Health Centre, postgraduate hostel, female hostels (main Jibowu and Jibowu annex 1) and the male hostels (Akindeko and Abiola hall of residence) between June and July, 2019.
Methodology: Isolation of bacteria and fungi from soil samples and air was conducted using specified techniques. Antibiotic susceptibility test was conducted via agar disc diffusion technique. Plasmid analysis and curing was conducted via standard protocols.
Results: Pseudomonas aeruginosa, Klebsiella pneumoniae, Escherichia coli, Proteus mirabilis, Bacillus cereus, B. subtilis, Staphylococcus aureus, S. saprophyticus were isolated as soil and air microflora while Candida albicans, Aspergillus fumigatus, with Fusarium oxysporium were isolated from soil as A. flavus, A. niger, Penicillium chrysogenum was implicated in air. Bacillus cereus and B. subtilis showed utmost resistance to ceftazidime, cefuroxime, cloxacillin, augmentin, ceftriaxone, whereas Enterobacter aerogenes and Proteus vulgaris were susceptible to gentamycin at 17.66±1.52 mm and 16.00±2.00 mm respectively. Staphylococcus aureus was sensitive to gentamycin and ofloxacin at 17.30±0.57 mm and 18.66±0.57 mm. The multidrug resistant (MDR) bacterial strains were positive for plasmid DNA with 10 kilobase pairs, but were sensitive to all the antibiotics after curing indicating plasmid-borne resistance.
Conclusion: Findings from this study inferred possible health consequences of MDR soil and air microflora as potential threat to human health which necessitates proper sanitary practices across different sampling areas adopted for this study to reduce potential incidence of bacterial and mycotic infections.
Late Onset Neonatal Sepsis Due to Hafnia alvei in Three Neonates at the University of Nigeria Teaching Hospital, Enugu, Nigeria
Authors: Nnajekwu Uchenna C. , K. Iloh Kenechukwu , Obumneme-Anyim Ijeoma N. , Nnajekwu Chukwubike O. , Nwafia Ifeyinwa N. , Obu Hebert A. , Adimora Gilbert N. 
Published: July 2021

Background: Hafnia alvei is a Gram-negative motile bacillus, belonging to the Enterobacteriaceae family. It is commonly found in stool of humans and animals and soil. It is very rare in neonates. This organism is resistant to most commonly used antibiotics, and causes nosocomial outbreaks with significant mortality. Therefore, awareness regarding this organism is important to improve outcome.
Presentation of Cases: We report three cases of late onset neonatal sepsis caused by Hafnia alvei. Of these, two were preterm while one was term. The term neonate was referred on account of perinatal asphyxia and developed fever, reduced activity, tachycardia, and tachypnoea 5 days into admission. The two preterm neonates were delivered at the index hospital and developed hypothermia, and other symptoms on the 4th day of life. Two sets of blood cultures were done for each case after collecting blood from two different sites. Blood culture was done using BACT/ALERT 3D (BioMerieux, Marcy I’Etoile, France) which uses a colorimetric sensor and reflects light to monitor the presence of carbon dioxide produced by micro-organisms. This yielded Hafnia alvei in all three samples after 72 hours of incubation. Gram stain done showed presence of Gram negative bacilli and subculture was done on MacConkey and 5% sheep agar incubated at 37 0 C for 18-24 hours. Identification of isolates was done with standard biochemical test and confirmed with API 20 E identification system (BioMerieux, Marcy I’Etoile, France). Antibiotic sensitivity was done using the modified Kirby Bauer disc diffusion method (Oxoid, Cambridge, UK). At most five antibiotic discs were used for each isolate and these were incubated at 370C for 24 hours. Isolates were sensitive to fluoroquinolones, cefepime and meropenem. Patients received intravenous antibiotics for two weeks, phototherapy and exchange blood transfusion. They were subsequently discharged and are currently on follow up.
Discussion and Conclusion: Though rare, three infections with H. alvei were reported in this study. The isolates were sensitive to fluoroquinolones, cefepime and meropenem and resistant to amoxicillin/clavulanic acid, piperacillin/tazobactam. The outcomes were improved by a high index of suspicion, early diagnosis, prompt institution of appropriate antibiotics and supportive care.