bluuebunny/crossref_metadata_2025_split huggingface dataset:
Muscle Strength and Foot Pressure Vary Depending on the Type of Foot Pain
Authors: Young Jang Woo , Hyuck Lee Jin , Keun Chang Byeong 
Published: December 2024

Category: Midfoot/Forefoot; Hindfoot Introduction/Purpose: Foot pain is highly prevalent at various ages and is especially common in middle-aged and older females. To the best of our knowledge, there have been no studies directly comparing muscle strength, foot pressure, and foot posture between metatarsalgia, plantar fasciitis, and normal controls, and the available study data in metatarsalgia is limited. Therefore, this study aimed to compare muscle strength, foot pressure, and foot posture between patients with metatarsalgia, plantar fasciitis, and normal controls. We hypothesized that metatarsalgia and plantar fasciitis would have decreased muscle strength, increased foot pressure, and different foot postures compared to normal controls. Methods: To compare the muscle strength and foot pressure between patients with metatarsalgia and plantar fasciitis and healthy controls. 31 patients with foot pain (n=14 for metatarsalgia and n=17 for plantar fasciitis) and 29 healthy controls participated. The muscle strengths of the plantar flexor and hip muscles were measured using an isokinetic dynamometer and handheld dynamometer, respectively. Foot pressure parameters, including the pressure-time integral (PTI) and foot arch index (AI), were assessed using pedobarography. Results: Compared with the normal control group, plantar flexor strength was significantly reduced in the affected feet of the metatarsalgia and plantar fasciitis groups (F: 0.083, all p< 0.001), but hip strength was significantly decreased only in the affected feet of the metatarsalgia group (F: 20.900, p< 0.001). In particular, plantar flexor strength (p< 0.001) and hip strength (p=0.004) were significantly lower in the metatarsalgia group than in the plantar fasciitis group. PTI was lower in the forefoot of the affected feet in metatarsalgia (p< 0.001) and plantar fasciitis (p=0.004). Foot AI (p< 0.001) was significantly reduced only in he metatarsalgia group. Conclusion: The study results suggest that the evaluation of muscle strength and foot pressure should be considered in both feet for the diagnosis and treatment of foot pain.
Neo Angio-Osteo-Chonrogenesis Using Autologous Matrix induced Chondrogenesis (AMIC) Membrane in the Treatment of Freiberg`s Disease of Lesser Metatarsals –A Five Year Folow Up of 10 Cases
Authors: Rajeev Aysha , Koshy George , Devalia Kailash 
Published: December 2024

Category: Lesser Toes; Other Introduction/Purpose: Freiberg’s infraction is osteonecrosis of lesser metatarsal heads most commonly affecting adolescent females. They usually present with pain and swelling of the forefoot. MRI is useful investigation in the early diagnosis. It is a self-limiting disease and the main stay of treatment is non operative. Surgery is indicated in failed conservative management which include open debridement, cheilectomy, micro fracture, and osteotomy and excision arthroplasty. The aim of the study is to describe a new technique for treatment of Freiberg`s disease of lesser metatarsals and document the one and five-year functional outcomes. Methods: A retrospective analysis of ten patients who had Freiberg`s infraction of the lesser toe metatarsals treated with open debridement, microfracture, bone grafting and application of AMIC membrane was carried out. The patients were followed up to five years and the outcome measures were scored using The Manchester-Oxford Foot Questionnaire (MOxFQ) and Visual Analogue Pain Score (VAS), Figure 1. Results: The mean age was 42.7 years and follow-up time was 36.4 months. The most common site was second metatarsal, eight (80%) followed by third metatarsal, two (20%). The mean base line MOxFQ was 72.5 (95% CI- 45±100) which improved to 42.5 (95%CI- 2.5±82.5) at one year. The mean baseline VAS improved from 47.3(95%CI- 14.3±80.3) to 30.3 (95%CI- 2.1±58.5) at one year. The mean MOxFQ and VAS at five years was 7 (95%CI-0.8±13.2) and 3.6(95%CI-1.3±6.2) respectively. Conclusion: Open debridement of the Freiberg`s disease combined with microfracture of the defect, bone grafting and application of AMIC membrane gives good functional outcomes.
Salmonellosis outbreak associated with the consumption of food at a wedding in an urban restaurant in Kazakhstan: a retrospective cohort study
Authors: Gazezova Saya , Nabirova Dilyara , Waltenburg Michelle , Rakhimzhanova Maral , Smagul Manar , Kasabekova Lena , Horth Roberta 
Published: December 2024

Abstract
Background
From June 13–16, 2022, a regional epidemiological department in Kazakhstan reported an increase in acute gastroenteritis cases among people who consumed food from a wedding at a restaurant. An investigation was initiated to determine factors associated with acute intestinal infection and prevent further illness.

Methods
The investigation team conducted a retrospective cohort study among people who consumed event food. Participants were classified as a case if they were acutely ill with diarrhea, vomiting, fever, vomiting, or weakness from June 13–18. We interviewed people to collect information on demographics, symptoms, and food exposures at the event. We calculated food-specific attack rates and estimated adjusted relative risks (aRR) using multivariable Poisson regression, which was adjusted for sex, age, and foods consumed. Patient stool and gastric lavage samples, leftover food, and restaurant environmental samples were collected for bacterial culture and chemical analysis.

Results
Of the 138 participants, 66 became ill; the attack rate was 48%. The most reported symptoms were diarrhea (92%), abdominal pain (91%), and fever (89%). Symptom onset occurred between 6 h and 4 days after the event (median = 1 day). Overall, 50 (76%) cases were hospitalized; no deaths were reported. In bivariable analysis, a greater proportion of cases than non-cases ate honey cake (89% vs. 13%, p < 0.01), and 45% of cases ate leftovers compared with 11% of non-cases (p < 0.01). In multivariable analysis, honey cake was the only risk factor associated with illness (aRR = 7.8, 95% confidence interval = 3.5–20.1, p < 0.01). Honey cakes, which use raw eggs in cream layers, had been stored at room temperature for three days before the event. Salmonella enterica serovar Enteriditis (S. Enteritidis) was isolated from all patient stool samples (49/49, 100%) and honey cake samples (2/2, 100%). Staphylococcus aureus was detected in 92% (35/38) of patient gastric lavage samples.

Conclusion
S. Enteritidis was this outbreak’s most probable etiological agent based on clinical manifestations and isolation from participant and honey cake samples. The improper storage of cakes containing raw eggs was a key contributing factor. Leftover event food was discarded, and the restaurant was closed for disinfection. Future outbreaks could be prevented by increased food safety awareness.
Concurrent acute myocardial infarction and acute ischemic stroke in a diabetic patient undergoing chemotherapy for non-Hodgkin lymphoma: Should I administer thrombolytic therapy? A case report
Authors: Shayo Sigfrid Casmir , Khanbai Khuzeima , Gandye Yona , Lwakatare Flora , Kiroga Nakigunda , Waane Tatizo , Kisenge Peter 
Published: December 2024

Abstract
Background
Concurrent ST-elevation myocardial infarction (STEMI) and acute ischemic stroke (AIS) are extremely rare, and their management remains perplexing due to the absence of high-quality evidence and limited resources. For the first time, we report a rare, preventable, and suboptimally managed case of concurrent AIS and STEMI in a patient with non-Hodgkin lymphoma (NHL) who received cyclophosphamide, doxorubicin, vincristine, and prednisolone (CHOP) chemotherapy.

Case presentation
A 59-year-old postmenopausal woman of African origin with a background history of type 2 diabetes mellitus presented to the Jakaya Kikwete Cardiac Institute with sudden onset of left-sided weakness and typical ischemic chest pain for 3 days. The patient was recently diagnosed with NHL and started CHOP chemotherapy 3 weeks prior. Physical examination revealed left-sided hemiplegia. Emergency brain computed tomography and 12-lead echocardiography (ECG) revealed AIS and STEMI, respectively. A diagnosis of concurrent AIS and STEMI was reached, and the patient was loaded with dual antiplatelets and heparin and rushed for emergency coronary angiography (GAG) and percutaneous coronary intervention (PCI). CAG revealed massive thrombotic occlusion of the mid-segment of the left anterior descending coronary artery (mLAD) and proximal segment of the right coronary artery. Revascularization was achieved in both vessels with a resultant TIMI flow grade of 3. The post-PCI period was marked by significant improvement in chest pain and resolution of ST-elevation, as revealed by 12-lead ECG. However, the patient remained hemiplegic.

Conclusion
We have described a rare case of concurrent AIS and STEMI in a postmenopausal woman who had a significant risk of thromboembolism. The patient had uncontrolled type 2 diabetes and received CHOP chemotherapy for NHL, which was diagnosed 3 weeks prior. This case underscores the need for thromboembolic prophylaxis for selected cancer patients receiving chemotherapy. The need to individualize management is also emphasized, as both PCI and thrombolysis carry the risk of serious repercussions. In our patient, if thrombolysis was attempted it would have caused myocardial rupture and immediate death. The patient would have benefited from endovascular mechanical embolectomy for AIS; however, this practice is lacking at our institution. This calls for the establishment and strengthening of neurointerventional practices in our tertiary healthcare facilities.
Hepatic hemangiomas mimicking gastrointestinal stromal tumors: A case report
Authors: Wang Ji-Ze , Chen Hao 
Published: December 2024

BACKGROUND
Hepatic hemangiomas can be challenging to diagnose, particularly when they present with atypical features that mimic other conditions, such as gastrointestinal stromal tumors (GISTs). This case highlights the diagnostic difficulties encountered when imaging subepithelial lesions, especially when conventional methods such as computed tomography (CT) and endoscopic ultrasound (EUS) are used.
CASE SUMMARY
A 44-year-old woman presented with intermittent abdominal distension and heartburn for three months. Her medical history included iron deficiency anemia, menorrhagia, and previous cholecystectomy. One week prior to admission, an endoscopy suggested a bulging gastric fundus, which was likely a GIST, along with chronic nonatrophic gastritis and bile reflux. CT and EUS revealed nodules in the gastric fundus, which were initially considered benign tumors with a differential diagnosis of stromal tumor or leiomyoma. During surgery, unexpected lesions were found in the liver pressing against the gastric fundus, leading to laparoscopic liver resection. Postoperative pathology confirmed the diagnosis of hepatic cavernous hemangiomas. The patient recovered well and was discharged five days later, with normal follow-up results at three months.
CONCLUSION
This case underscores the challenges in the preoperative diagnosis of GISTs, particularly the limitations of the use of CT and EUS for the evaluation of subepithelial lesions. While CT is the primary tool for visualizing abdominal tumors, it is difficult to detect smaller lesions and assess the layers of the gastrointestinal wall on CT. EUS is recommended for the evaluation of nodules smaller than 2 cm and is useful for distinguishing GISTs from other lesions; however, its accuracy with regard to the differential diagnosis is relatively low. In this case, the gastric distension observed on imaging led to the compression of a liver tumor against the stomach, resulting in the misinterpretation of the tumor as a gastric wall lesion.
Local Cultural Values in Income Accounting: A Study of Gorontalo Carriage Drivers
Authors: Thalib Mohamad Anwar 
Published: December 2024

Purpose: This study aims to construct income accounting practices that integrate the local cultural values of the Gorontalo community. It addresses the need to preserve and incorporate cultural and spiritual dimensions into accounting frameworks, emphasizing the significance of cultural heritage in shaping accounting practices.
Methodology: The research adopts a spiritual (Islamic) paradigm and employs an Islamic ethnomethodological approach. Data analysis is conducted in five stages: charity, knowledge, faith, revelation information, and courtesy.
Findings: The study reveals that Gorontalo carriage drivers utilize a leasing system for income generation, guided by local wisdom. The principle of gratitude is central to this system, reflecting the cultural adage diila o'onto, bo wolu-woluwo, which underscores the balance between visible and invisible pursuits in life. This demonstrates that their accounting practices transcend material calculations, integrating cultural and religious values.
Novelty: This research introduces a novel accounting concept that merges local cultural values and spirituality into practical accounting frameworks. It highlights the importance of cultural preservation in accounting and offers a new perspective for exploring the interplay between local wisdom and financial systems.
Особливості застосування підходів фізико-хімічної механіки для оцінювання крихкості феритно-перлітних сталей
Authors: Богданов В. Л. , Назарчук З. Т. , Звірко О. І. 
Published: December 2024

В статті встановлено низку нових аспектів у застосуванні підходів механіки для оцінювання крихкості феритно-перлітних сталей з огляду підвищення ризиків порушення цілісності газопроводів, пов’язаних з транспортуванням водню у рамках розвитку водневої енергетики України. Опрацьовано механізм дії спричинених воднем напружень як чинників деформаційного старіння та мікропошкодженості деформаційної природи у низькоміцних сталях. Показано високу ефективність використання підходів нелінійної механіки руйнування для оцінювання стану сталей з урахуванням деструктивного впливу вод- ню та умов експлуатації. Значну увагу надано особливостям реалізації механізму декогезії у міжфазному розшаруванні сталей.
ІНТЕЛЕКТУАЛЬНИЙ КАПІТАЛ ЯК ФАКТОР ЗАБЕЗПЕЧЕННЯ КОНКУРЕНТОСТІЙКОСТІ ПІДПРИЄМСТВ В ГЛОБАЛЬНІЙ ЕКОНОМІЦІ
Authors: Уткіна Ю. М. 
Published: December 2024

Глобалізаційні процеси створили можливості до нового розвитку, який пов’язаний із виробленням дієвих орієнтованих на зовнішньоекономічний простір стратегій. Вони ґрунтуються на забезпеченні збереження власної конкурентоспроможності на протязі тривалого періоду часу, тобто, на забезпеченні конкурентостійкості як національної економіки в цілому, так і окремих підприємств, які є основою економічної системи держави. У сучасних умовах конкурентостійкість проявляється в ефективному використанні економічними суб’єктами свого фінансового й інтелектуального потенціалів на основі росту технологічної й управлінської складової в контексті ідеології розвитку. Оскільки фінансові ресурси з точки зору економіки підприємства не можна вважати стійкими джерелами його конкурентних переваг, у подальшому зосередимо увагу на інтелектуальній складовій конкурентостійкості підприємства. Метою даного дослідження є визначення сутності інтелектуального капіталу та його значення як фактора забезпечення конкурентостійкості підприємства на сучасному етапі розвитку економіки України в умовах наростання глобалізаційних тенденцій. Інтелектуальний капітал і вміння його використовувати з високою віддачею визначають успішний розвиток підприємства, його сталу конкурентну позицію як на внутрішньому, так і на зовнішньому ринку на основі забезпечення тривалої конкурентостійкості. При цьому інтелектуальний капітал являє собою не тільки матеріальні та нематеріальні ресурси, що використовуються у виробничому процесі підприємства. В першу чергу, до інтелектуального капіталу слід відносити особливі здібності персоналу підприємства, що засновані на знаннях, навичках, умінні та досвіді, а також забезпечують особливо цінну для підприємства інформацію, яка є основою вагомих конкурентних переваг на внутрішньому та зовнішньому ринках в умовах постіндустріального суспільства.
КОНЦЕПЦІЯ СОЦІАЛЬНОГО ПІДПРИЄМНИЦТВА В УКРАЇНСЬКОМУ КОНТЕКСТІ
Authors: Полякова О. М. 
Published: December 2024

В статті досліджено поняття соціального підприємництва, розглянуто критерії та проаналізовано світові моделі соціального підприємництва. Розглянуто особливості становлення та розвитку соціального підприємництва в Україні. Відзначено, що фундаментом сучасного соціального підприємництва є багаті вітчизняні історичні традиції підприємницької діяльності, що базуються на релігійно-етичних засадах і моральній відповідальності. Доведено доцільність системного підходу до забезпечення успішного розвитку соціальних підприємств в Україні.
Using Situational Judgement Test to Assess The ‘Pancasila’ Student Profiles Construct: A Systematic Literature Review
Authors: Wahyuni Tri , Rahayu Wardani , Naga Dali Santun 
Published: December 2024

The Situational Judgment Test (SJT) is very well known for measuring non-cognitive and non-academic attributes. Merdeka Curriculum contains the ‘Pancasila’ Student Profiles, those are global diversity, cooperation, critical reasoning, creativity and independence. This systematic literature review answers three basic questions, namely (1) in what fields is SJT used and for what purposes? (2) what dimensions in the Pancasila Student Profiles have been measured using the SJT method? , (3) how does technology influence the implementation of SJT? The Scopus database with the keyword Situational Judgment Test from 2013 to 2024 was explored and filtered using the PRISMA stages and measurement variables that were appropriate to the profile of Indonesian students. The results show that the medical sector uses SJT the most for student selection purposes. Indicators in the profile of Indonesian students namely collaboration, teamwork, empathy, cultural competence, understanding of ethnic diversity, decision-making skills, exploration, emotional management and emotional intelligence have appeared to be measured using the SJT method, and gamification, video and computer based test technology have been utilized in the implementation of SJT.
Identification method of wheel-rail two-point contact state in switch area
Authors: lu ping , li xinyi , cui dabin , An Boyang , Jiang wenpeng 
Published: December 2024

Abstract

Two-point contact is one of the fundamental problems of wheel-rail contact in switch area. The contact state and the distribution of forces are complex and essential points in wheel-rail relationship. Given the problem that the current dynamic wheel-rail contact state is challenging to detect, a theory to detect the two-point contact state of the wheel-rail in switch area using a discrete gauge column was presented and proved in the finite element model. This paper derived the relationship between strain gauge position and stress using a modified rail model. The patch scheme was determined using the rail waist bending moment difference method to achieve decoupling of the bridge circuit of the force measurement columns. The bridge circuit was calibrated by means of the modified theoretical calibration method, and the circuit test data was obtained for the two-point contact condition in the switch area. The study compared the results obtained from the wheel-rail column finite model and circuit test data for two-point contact conditions, demonstrated the method's ability to identify the two-point contact state and the wheel-rail force distribution characteristics in the switch area. The results show that the method can identify the two-point contact state in switch area and distribute characteristics of the wheel-rail force. And the wheel-rail contact point position can be deduced accurately according to the wheel-rail force. This test method provides a test verification scheme for wheel-rail two-point rolling contact theory and a new technology for the dynamic force testing of wheel-rail in switch area.
‘They Knew the Same Struggles’: Perceptions of a Group Coping Skills Intervention in Patients with Chronic Graft-versus-host Disease
Authors: Centracchio Joely A. , Yang Daniel G. , Jagielo Annemarie D. , Greer Joseph A. , El-Jawahri Areej , Traeger Lara , Nelson Ashley M. 
Published: December 2024

Abstract

Purpose
Chronic graft-versus-host-disease (cGVHD), an inflammatory condition affecting allogeneic hematopoietic cell transplantation (HCT) survivors, is associated with a range of debilitating physical and psychological sequela. Yet HCT recipients with cGVHD are virtually absent from survivorship intervention research. We conducted a randomized clinical trial to evaluate the feasibility and preliminary efficacy of a multidisciplinary group coping skills intervention (Horizons) tailored to meet these patients’ unique needs. For this follow-up qualitative analysis, we evaluated the perceived impact of the Horizons intervention by the group participants.
Methods
We purposefully selected a subset of Horizons participants (n = 19) to complete audio-recorded exit interviews via semi-structured interview guide. We used rapid analysis to characterize participant feedback in three domains: 1) motivations to participate, 2) perceived benefits of participation, and 3) impacts of participation.
Results
Findings highlight participants’ motivations to participate centered on desires to connect with others living with cGVHD and to help future patients. Perceived benefits of participation focused on the following categories: 1) connecting with other survivors, 2) learning about cGVHD and 3) learning coping strategies to manage specific cGVHD symptoms. Impacts of participation on everyday life variably reflected categories of 1) increased sense of empowerment to contact their care team with questions and concerns, 2) increased support and validation in their struggles with cGVHD, and 3) renewed motivation or progress toward personal and health-specific goals.
Conclusion
Study findings demonstrate participants’ appreciation for a group-based opportunity to connect with others living with cGVHD and strengthen skills for navigating cGVHD challenges. Results support the ongoing need for evidence-based interventions to improve quality of life among HCT survivors.
Clinical Trial Registration:
[www.ClinicalTrials.gov], identifier [NCT04479995]. Date of Registration: July 21, 2020.