bluuebunny/crossref_metadata_2025_split huggingface dataset:
Developing an individualised cross-sectoral programme based on activities of daily living to support rehabilitation of older adults with hip fracture: a qualitative study
Authors: Ropke Alice , Lund Karina , Thrane Camilla , Juhl Carsten , Morville Anne-Le 
Published: June 2021

ObjectivesTo develop an individualised rehabilitation programme for personal and instrumental activities of daily living (ADL) tasks, enabling older adults with hip fractures to perform ADL safely and independently.DesignQualitative study inspired by the complex intervention development (Medical Research Council framework phase I) using literature search and research circles.SettingsUniversity Hospital of Copenhagen, Herlev and Gentofte, and Herlev and Gentofte municipalities.ParticipantsOne research circle with seven older adults with hip fractures, and one with seven healthcare professionals (occupational therapists and physiotherapists).ResultsThree generic categories were identified: (1) ‘Challenge older adults with goal-oriented ADL tasks’, (2) ‘Implement strategies to enhance independent and safe performance of ADL tasks’, and (3) ‘Communicate the important information to the target group and across sectors’. A programme was developed and an intervention to enhance usual rehabilitation was designed comprising: an individualised intervention component consisting of five additional therapy sessions; one during hospitalisation, four in the municipality and a follow-up phone call.ConclusionsEngaging and integrating activities into rehabilitation treatment may support rehabilitation. Our study highlighted the need for setting individual goals and challenging older adults with hip fracture by providing guidance in strategies to enhance safe and independent performance of ADL tasks. Furthermore, the need for providing older adults with hip fracture and healthcare professionals with written and oral information about goal setting during the transitional rehabilitation phase was emphasised. Including the perspectives of older adults with hip fracture and healthcare professionals added value to the rehabilitation, and thus ensured an adequate, tangible and implementable rehabilitation programme.Trial registration numberThis article is the first of three articles inspired by Medicial Research Council guidelines. The next study is a feasibility study with the trial registration: ClinicalTrials.gov ID:NCT03828240. The results are right now being written in article. The third study is a randomised controlled trial with the trial registration: ClinicalTrials.gov ID:NCT04207788; Pre-results.
Platform Randomised trial of INterventions against COVID-19 In older peoPLE (PRINCIPLE): protocol for a randomised, controlled, open-label, adaptive platform, trial of community treatment of COVID-19 syndromic illness in people at higher risk
Authors: Hayward Gail , Butler Christopher C , Yu Ly-Mee , Saville Benjamin R , Berry Nicholas , Dorward Jienchi , Gbinigie Oghenekome , van Hecke Oliver , Ogburn Emma , Swayze Hannah , Bongard Emily , Allen Julie , Tonner Sharon , Rutter Heather , Tonkin-Crine Sarah , Borek Aleksandra , Judge David , Grabey Jenna , de Lusignan Simon , Thomas Nicholas P B , Evans Philip H , Andersson Monique I , Llewelyn Martin , Patel Mahendra , Hopkins Susan , Hobbs F D Richard 
Published: June 2021

IntroductionThere is an urgent need to idenfy treatments for COVID-19 that reduce illness duration and hospital admission in those at higher risk of a longer illness course and complications.Methods and analysisThe Platform Randomised trial of INterventions against COVID-19 In older peoPLE trial is an open-label, multiarm, prospective, adaptive platform, randomised clinical trial to evaluate potential treatments for COVID-19 in the community. A master protocol governs the addition of new interventions as they become available, as well as the inclusion and cessation of existing intervention arms via frequent interim analyses. The first three interventions are hydroxychloroquine, azithromycin and doxycycline. Eligible participants must be symptomatic in the community with possible or confirmed COVID-19 that started in the preceding 14 days and either (1) aged 65 years and over or (2) aged 50–64 years with comorbidities. Recruitment is through general practice, health service helplines, COVID-19 ‘hot hubs’ and directly through the trial website. Participants are randomised to receive either usual care or a study drug plus usual care, and outcomes are collected via daily online symptom diary for 28 days from randomisation. The research team contacts participants and/or their study partner following days 7, 14 and 28 if the online diary is not completed. The trial has two coprimary endpoints: time to first self-report of feeling recovered from possible COVID-19 and hospital admission or death from possible COVID-19 infection, both within 28 days from randomisation. Prespecified interim analyses assess efficacy or futility of interventions and to modify randomisation probabilities that allocate more participants to interventions with better outcomes.Ethics and disseminationEthical approval Ref: 20/SC/0158 South Central - Berkshire Research Ethics Committee; IRAS Project ID: 281958; EudraCT Number: 2020-001209-22. Results will be presented to policymakers and at conferences and published in peer-reviewed journals.Trial registration numberISRCTN86534580.
Comorbidities do not limit improvement in pain and physical function after total knee arthroplasty in patients with knee osteoarthritis: the BEST-Knee prospective cohort study
Authors: King Lauren K , Waugh Esther J , Jones C Allyson , Bohm Eric , Dunbar Michael , Woodhouse Linda , Noseworthy Thomas , Marshall Deborah A , Hawker Gillian A 
Published: June 2021

ObjectiveTo assess the relationship between comorbidities and amount of improvement in pain and physical function in recipients of total knee arthroplasty (TKA) for knee osteoarthritis (OA).DesignProspective cohort study.SettingTwo provincial central intake hip and knee centres in Alberta, Canada.Participants1051 participants (278 in 6-minute walk test (6MWT) subset), ≥30 years of age with primary knee OA referred for consultation regarding elective primary TKA; assessed 1 month prior and 12 months after TKA.Primary and secondary outcome measuresPre-post TKA change in knee OA pain (Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)), physical function (Knee injury and Osteoarthritis Outcome Score (KOOS) Physical Function Short-Form) and 6MWT walking distance; and the reporting of an acceptable symptom state (Patient Acceptable Symptom State (PASS)) at 12 months after TKA.ResultsMean participant age was 67 years (SD 8.8), 59% were female and 85% reported at least one comorbidity. Individuals with a higher number of comorbidities had worse pre-TKA and post-TKA scores for pain, physical function and 6MWT distance. At 12-month follow-up, mean changes in pain, function and 6MWT distance, and proportion reporting a PASS, were similar for those with and without comorbidities. In multivariable regression analysis, adjusted for potential confounders and clustering by surgeon, no specific comorbidities nor total number of comorbidities were associated with less improvement in pain, physical function or 6MWT distance at 12 months after TKA. Patients with diabetes (OR 0.64, 95% CI 0.44 to 0.94) and a higher number of lower extremity troublesome joints (OR 0.85, 95% CI 0.76 to 0.96) had lower odds of reporting a PASS.ConclusionFor individuals with knee OA, comorbid conditions do not limit improvement in pain, physical function or walking ability after TKA, and most conditions do not impact achieving an acceptable symptom state.
Psychological resilience during COVID-19: a meta-review protocol
Authors: Seaborn Katie , Chignell Mark , Gwizdka Jacek 
Published: June 2021

IntroductionThe global COVID-19 pandemic continues to have wide-ranging implications for health, including psychological well-being. A growing corpus of research reviews has emerged on the topic of psychological resilience in the context of the pandemic. However, this body of work has not been systematically reviewed for its quality, nor with respect to findings on the effectiveness of tools and strategies for psychological resilience. To this end, a meta-review protocol is proposed with the following objectives: (1) identify review work on the topic of psychological resilience during COVID-19; (2) assess the quality of this review work using A MeaSurement Tool to Assess systematic Reviews; (3) assess the risk of bias in this work; (4) generate a narrative summary of the key points, strengths and weaknesses; (5) identify the psychological resilience strategies that have been reviewed; (6) identify how these strategies have been evaluated for their effectiveness; (7) identify what outcomes were measured and (8) summarise the findings on strategies for psychological resilience so far, providing recommendations, if possible.Methods and analysisA systematic meta-review will be conducted in accordance with the Preferred Reporting Items for Systematic Reviews for Protocols and Joanna Briggs Institute umbrella review guidelines. Electronic searches of general databases, especially Web of Science, Scopus and PubMed, will be conducted. Only results from January 2020 onwards will be considered, coinciding with the COVID-19 pandemic. Only results in English will be included. Descriptive statistics, thematic analysis and narrative summaries describing the nature of the reviewed work and evaluation of psychological resilience strategies will be carried out.Ethics and disseminationEthical approval is not needed for systematic review protocols. The results of the meta-review will be published in an international peer-reviewed journal. The raw and summarised data will be shared in the journal or other open venues.PROSPERO registration numberCRD42021235288.
Revisiting Russell’s troodontid: autecology, physiology, and speculative tool use1
Authors: Varricchio D.J. , Hogan J.D. , Freimuth W.J. 
Published: June 2021

Dale Russell described the osteology, morphology, and ecology of the small theropod “Stenonychosaurus inequalis” in two papers, speculating on its life habits, brain power, vision, movement, feeding, and hand capabilities. Russell even pondered a tool-using dinosauroid, the hypothetical troodontid descendant if the lineage had survived the Cretaceous–Paleogene extinction event. We revisit the life habits of the North American troodontids Troodon formosus and Latenivenatrix mcmasterae in part by reviewing various trace fossils of T. formosus discovered in Montana. These fossils include egg clutches, a nest, and recently discovered regurgitalites. We also contemplate the possibility of dinosaur tool use. Troodon likely constructed earthen nests in the same way that ratites and other birds did to create their nesting scrapes through backward hindlimb kicks. The more complex clutch architecture suggests dexterous movement of the eggs, potentially requiring manual manipulation. Functionally, reproductive traces support elevated body temperatures and a metabolic output that approach but do not equal that of modern birds. Brooding would require very high energy investment from the adult. The regurgitalites largely contain multi-individual aggregations of the marsupialiform Alphadon and support Russell’s hypotheses of troodontids as crepuscular to nocturnal, intelligent, small game hunters with elevated metabolism and enhanced vision. Tool use in a few crocodilians and widely among extant birds suggests a reasonable possibility of this behavior in nonavian dinosaurs. Whether an avian-comparable encephalization quotient and freed forelimbs would make North American troodontids good candidates for exhibiting such behavior remains an open and speculative question. However, given the minimal modification made to tools by modern archosaurs, recognition of fossil tools poses a challenging problem.
LHCP four patches stack triangular truncated antenna using corporate feed microstrip-line for CP-SAR sensor
Authors: Edy Purnomo Muhammad Fauzan , Kusumasari Vita , Yuwono Rudy , Rahmadwati Rahmadwati , Romadhoni Rakhmad , Rafli Azizurrahman , Wahyu Yuyu , Kitagawa Akio 
Published: June 2021

<span>In this paper, we acquire the configuration of the left-hand circular polarization (LHCP) array four patches stack triangular truncated microstrip antenna. This construction use the basic corporate feed microstrip-line with modified lossless T-junction power divider on radiating patch for circularly polarized-synthetic aperture radar (CP-SAR) sensor embedded on unmanned aerial vehicle (UAV) with compact, small, and simple configuration. The design of circular polarization (CP) is realized by truncating the whole three tips and adjusting the parameters of antenna at the target frequency, <em>f </em>= 5.2 GHz. The results of characteristic performance and <em>S</em>-parameter for the LHCP array four patches stack antenna at the target frequency show successively about 9.74 dBic of gain, 2.89 dB of axial ratio (<em>Ar</em>), and </span><span>-</span><span>10.91 dB of S-parameter. Moreover, the impedance bandwidth and the 3 dB-<em>Ar</em> bandwidth of this antenna are around 410 MHz (7.89%) and 100 MHz (1.92%), respectively.</span>
Religiosity and emotional intelligence on Muslim student learning achievement
Authors: Farhan Fikri , Rofi’ulmuiz M. Abdul 
Published: June 2021

<span lang="EN-US">Learning achievement was one of the indicators often used to measure student success in learning. A comprehensive understanding of this topic requires contributions from a variety of disciplines. Recently, researchers are interested in examining the impact of religiosity and emotional intelligence on learning achievement. However, the study on this topic is inconclusive. This study aimed to examine the influence of religiosity and emotional intelligence on learning achievement by learning motivation as a mediating variable. This research was conducted with a quantitative approach. The data was collected through a questionnaire distributed to 122 students of the Management study program, Faculty of Business and Economics, Islamic University of Indonesia. The data was processed using SPSS analysis tools with hierarchical regression analysis techniques. The results demonstrated religiosity and emotional intelligence had a positive impact on learning motivation; learning motivation positively impacted learning achievement. Furthermore, learning motivation mediated the correlation between religiosity and emotional intelligence on learning achievement. The results offer practical implications for campus leaders; Campus leaders should instill religiosity and emotional intelligence in Muslim students to improve their learning achievement.</span><p> </p>
Hippocratic Diagnosis, Solomonic Therapy, Roman Amulets: Epilepsy, Exorcism, and the Diffusion of a Jewish Tradition in the Roman World
Authors: Zellmann-Rohrer Michael 
Published: June 2021

Abstract
Two contrasting portraits of exorcism in the Roman period for patients with symptoms consistent with epilepsy, drawn by Josephus (A.J. 8.45–47) and Lucian (Philops. §16), illustrate a substantial albeit contested diffusion of that ancient technique from the Jewish tradition to a wider Mediterranean public. The process is reflected in a similarly complex traditional background and textual composition of a group of inscribed Greek amulets for epilepsy. A sidelight on attitudes towards the practice of exorcism, on its way to wider popularity, and the conception of epilepsy is cast by these amulets, which have not yet been studied as a group. Their texts witness the application of precise Greek medical terminology, yet to an end, and in a compositional company, that authors in the Hippocratic tradition would have rejected. More generally, the artifacts offer a cross-section of amuletic practice and its diversity in the Roman and late ancient periods.
God’s Devils: Pragmatic Theodicy in Christian Responses to Ṣalāḥ al-Dīn’s Conquest of Jerusalem in 1187
Authors: Brewer Keagan 
Published: June 2021

Abstract
This paper considers Christian responses to the problem of evil following Ṣalāḥ al-Dīn’s conquest of Jerusalem. Among Catholics, Audita Tremendi offered the orthodox response that God was punishing Christian sin. However, the logical conclusion of this view is that the Muslims were agents of God despite being “evil” for having captured Jerusalem from Christians. Twelfth-century theologians believed that God could use demons in the service of good. In response to 1187, while many Christians portrayed the Muslims as evil, some expressed that they were divine agents. Meanwhile, others murmured that Muslim gods (including, to some, Muḥammad) were superior to Christian ones; that the Christian god was apathetic, violent, or wicked; that the crusade of 1189–92 was against God’s will; and that crusaders were murderers. Thought-terminating clichés centring on the divine mysteries permitted the continuance of Christianity in the face of this profound theodical controversy.
Treatment of Severe Rigid Posttraumatic Equinus Deformity With Gradual Deformity Correction and Arthroscopic Ankle Arthrodesis
Authors: Fuentes Patricio , Cuchacovich Natalio , Gutierrez Paulina , Hube Maximiliano , Bastías Gonzalo F. 
Published: June 2021

Background: Posttraumatic ankle equinus is associated with rigid deformity, poor skin condition, and multiple prior surgeries. Open acute correction has been described using osteotomies, talectomy, and arthrodesis, but concerns exist about skin complications, neurologic alterations, secondary limb discrepancy, and bone loss. Gradual correction using a multiplanar ring fixator and arthroscopic ankle arthrodesis (AAA) may decrease these complications. Methods: We retrospectively reviewed patients undergoing correction of posttraumatic rigid equinus with at least 1 year of follow-up after frame removal. The procedure consisted of percutaneous Achilles lengthening, gradual equinus correction using a multiplanar ring fixator, and AAA retaining the fixator in compression with screw augmentation. Frame removal depended on signs of union on the computed tomography scan. Visual analog scale (VAS) and Foot Function Index (FFI) scores were assessed as well as preoperative and postoperative x-rays. Complications were noted throughout the follow-up period. Results: Five patients were treated with a mean age of 35 years and mean follow-up of 31 months. Deformities were gradually corrected into a plantigrade foot over an average duration of 6 weeks. Union was achieved in all patients with a mean time of an additional 25 weeks, for a mean total frame time of 31 weeks. The mean preoperative tibiotalar angle was 151 degrees and was corrected to 115 degrees. FFI score improved from a mean of 87 to 24 and VAS from 8 to 2. Conclusion: Posttraumatic rigid equinus can be treated effectively using gradual correction followed by integrated AAA in a safe and reproducible manner. Patients in this series had excellent functional, radiological, and satisfaction results. Level of Evidence: Level IV, retrospective case series.
Retrospective analysis of 450 emergency department dermatology consultations: An analysis of in-person and teledermatology consultations from 2015 to 2019
Authors: Hines Alexander S , Zayas Jacqueline , Wetter David A , Bridges Alina G , Camilleri Michael J , McEvoy Marian T , el-Azhary Rokea A , Goyal Deepi G , Davis Mark DP , Sartori-Valinotti Julio C 
Published: June 2021

Introduction Dermatologic complaints are a common reason for emergency department visits. Methods Retrospective chart review from 1 January 2015 to 31 December 2019. Patients in the Mayo Clinic Emergency Department receiving dermatology consultation were included. Results Dermatitis (24.7%, n = 113), infection (20.4%, n = 93), and drug reaction (10.3%, n = 47) accounted for the majority of diagnoses. Emergency department providers often provide no diagnosis (38%) or a differential diagnosis (22%), and dermatology consultation frequently alters diagnosis (46%) and treatment (83%). Patients receiving in-person consultations are admitted more frequently than those receiving teledermatology consultations (40% vs. 16%, p < 0.001). Primary diagnostic concordance with subsequent dermatology evaluation is high for in-person (94%) and teledermatology (88%) consultations. Discussion This is the largest study of emergency department dermatology consultations in the United States and the first to compare in-person and teledermatology emergency department consultation utilization in clinical practice. These modalities are utilized in a complementary fashion at our institution, with severe dermatologic diagnoses seen in-person. The valuable role of emergency department dermatologists is highlighted by frequent changes to diagnosis and treatment plans that result from dermatology consultation. Furthermore, our data suggest that teledermatology is an effective modality with the potential to expand access to dermatologic expertise in the emergency department setting.
Comparative effectiveness and safety of edoxaban versus warfarin in patients with atrial fibrillation: A nationwide cohort study
Authors: Nielsen Peter B , Søgaard Mette , Jensen Martin , Ording Anne G , Lip Gregory YH 
Published: June 2021

Background and purpose The effectiveness and safety of edoxaban 60 mg and 30 mg for stroke prevention compared with warfarin in patients with atrial fibrillation have not been well-described in a nationwide cohort of Caucasian patients treated in standard clinical practice. Methods We used Danish nationwide registries to identify patients with atrial fibrillation during June 2016 and November 2018 who were treated with edoxaban or warfarin and computed rates per 100 person-years of thromboembolic, all-cause mortality, and bleeding events using an inverse probability of treatment weighting approach to account for baseline confounding. We used weighted pooled logistic regression to compute hazard ratios with 95% confidence intervals comparing events between edoxaban 60 mg and warfarin users; edoxaban 30 mg was not included in formal comparisons. Results We identified 6451 atrial fibrillation patients, mean age was 72 years and 40% were females. A total of 1772 patients were treated with edoxaban 60 mg, 537 with edoxaban 30 mg, and 4142 with warfarin. The median CHA2DS2-VASc score was similar between warfarin and edoxaban 60 mg with a score of 3 (interquartile range (IQR) 2–4). In the inverse probability of treatment-weighted pseudo-population, the thromboembolic event rate for edoxaban 60 mg was 0.95 and 1.0 for warfarin, corresponding weighted hazard ratio of 1.00 (95% confidence intervals (CI) 0.59, 1.71). Edoxaban 60 mg users were associated with lower rates of all-cause mortality (3.93) compared to warfarin (6.04), with a hazard ratio of 0.64 (95% CI 0.47 to 0.88). The event rates for bleeding were 3.36 and 3.14, respectively; hazard ratio 1.09 (95% CI 0.77, 1.57). Conclusion Edoxaban 60 mg is a safe and effective treatment compared with warfarin for stroke prevention in routine clinical care for Danish (mainly Caucasian) patients with AF, with non-significantly different risks for stroke and clinically relevant bleeding, but lower all-cause mortality.