bluuebunny/crossref_metadata_2025_split huggingface dataset:
Managing the cost of services for people with disabilities: an international approach. Part I: Poland
Authors: Pugh Dana , Kotlarska-Michalska Anna , Romaniuk Jaroslaw Richard 
Published: December 2024

IntroductionThe cost of care for people with disabilities is rising, whereas all forms of support for them are decreasing. Countries and communities develop different ways to serve the disabled. We examined the comprehensive state of care from the perspective of cost management of services for individuals with disabilities in Poland.MethodThis paper is based on a review of relevant international literature, with a special focus on the situation in Poland. A keyword search was completed in both Polish- and English-language databases.ResultsIn Poland, people with disabilities usually live with their families, and specialized services are offered outside the place of residence. Community and privately-owned housing resembling family homes is being developed. However, for many families with disabled members, such an option is unaffordable.DiscussionNew policy programs are being developed to protect, care for, and support people with disabilities in Poland. However, some of these policies have not been implemented due to limited financial resources. Overall, the development of health care services offered in places where individuals with disabilities live improves their quality of life but also increases the costs of care.
The quality of pulmonary diagnosis in patients with lung cancer qualified for thoracic surgeries
Authors: Jabłoński Sławomir , Mydłowski Tomasz , Kozakiewicz Marcin 
Published: December 2024

Wprowadzenie i celRak płuca w większości przypadków jest rozpoznawany w późnym stadium choroby. Wstępna diagnostyka pacjentów odbywa się na oddziałach o profilu pulmonologicznym. Poprawa jej skuteczności i współpraca z torakochirurgami oraz onkologami wydaje się być kluczem do poprawy wyników leczenia. Celem artykułu jest ocena wartości diagnostyki przeprowadzonej na oddziale pulmonologicznym w aspekcie ustalenia etiologii i zaawansowania guza płuca oraz kwalifikacji do torakochirurgicznych procedur diagnostycznych i leczniczych.Materiał i metodyOceną objęto 51 pacjentów z guzem płuca wykrytym w badaniach obrazowych, którzy po wykonaniu na oddziale pulmonologii badań diagnostycznych obejmujących bronchofiberoskopię, biopsję transtorakalną, badanie cytologiczne płynu z opłucnej, spirometrię, badanie zdolności dyfuzyjnej płuc dla tlenku węgla i badania laboratoryjne zostali skierowanych na oddział torakochirurgii w celu przeprowadzenia leczenia radykalnego lub uzupełniającej diagnostyki inwazyjnej.WynikiJakość diagnostyki pulmonologicznej w wykrywaniu nowotworu złośliwego w badanej grupie okazała się stosunkowo wysoka (czułość: 0,66, swoistość: 0,81, dokładność: 0,71). Dzięki temu u 24 pacjentów (47,06%) możliwe było wykonanie operacji radykalnej. Po uwzględnieniu diagnostycznych procedur torakochirurgicznych doszczętne usunięcie guza płuca wykonano u kolejnych 7 chorych. Łącznie u 31 pacjentów przeprowadzono optymalne zabiegi resekcyjne płuca (60,78%).WnioskiWspółpraca oddziału pulmonologii w połączeniu z uzupełniającą diagnostyką torakochirurgiczną pozwala na dokładne ustalenie etiologii guza płuca oraz wykonanie operacji terapeutycznych w nowotworach technicznie resekcyjnych.
SIGNIFICANT RESULTS OF ARCHAEOLOGICAL RESEARCH THE PAST 30 YEARS ON THE MONGOL INVASION (1241—42) IN MEDIEVAL HUNGARIAN KINGDOM
Authors: Rosta Sz. , Gulyás Gy , Gallina Zs. , Pánya I. , Türk A. 
Published: December 2024

The article presents the latest results of archaeological research into the events of the Mongol invasion against the Kingdom of Hungary in the Carpathian Basin in 1241—42. Despite the wealth of written sources, archaeology could not provide any serious evidence of the events of the Mongol invasion in Hungary for a long time. However, for a long time there was no clear and reliable evidence of massacres and widespread destruction, which could be judged from the descriptions of contemporaries, often of an apocalyptic nature. The archaeology of the invasion period, the youngest field of Hungarian archaeology to become an independent discipline, is today one of the most dynamically developing fields. The full development of the archaeology of the Mongol invasion period is connected with the appearance of new sites as a result of recent targeted and planned research.
В статье представлены новейшие результаты археологических исследований события монгольского нашествия против Венгерского королевства в Карпатском бассейне в 1241—42 гг. По сравнению с богатством письменных источников, археология долгое время не могла предоставить никаких серьезных свидетельств событий монгольского нашествия в Венгрии. Однако долгое время не было четких и достоверных свидетельств массовых убийств и широкомасштабных разрушений, о которых можно было судить по описаниям современников, часто апокалиптического характера. Археология периода нашествия, самая молодая область венгерской археологии, ставшая самостоятельной дисциплиной, сегодня является одним из наиболее динамично развивающихся направлений. Полноценное развитие археологии периода нашествия связано с появлением новых объектов в результате последних целенаправленных и плановых исследований.
THE PRINCIPALITY OF TAYK IN THE CONTEXT OF THE REGIONAL POLICY OF THE BYZANTINE EMPIRE DURING THE REIGN OF BASIL II
Authors: Akopov A. , Matikyan H. , Hayrapetyan A. 
Published: December 2024

During the reign of Emperor Basil II, the Byzantine Empire intensified its policy of expansion in the eastern direction, thereby creating the prerequisites for the capture of new territories. The purpose of this paper is to demonstrate and highlight the significant role of the Principality of Tayk in the context of this policy, and also to illustrate the diplomatic success of the Byzantine Empire in the capture of Tayk. The Principality of Tayk reached its apogee during the reign of David Kuropalates Bagratid. As a consequence of the latter’s heirless state, King Bagrat III of Georgia was designated the successor to Tayk. As a result of Basil II’s astute and forward-thinking policies, the territory of the Tayk principality was first expanded, and subsequently, Bagrat III was deprived of his inheritance. In the end, Basil II was declared the heir of the Tayk principality. Despite the efforts of the Georgian establishment, Tayk was annexed to the Byzantine Empire at the end of Basil II’s reign.
В период правления императора Василия II Византийская империя активизировала политику экспансии в восточном направлении, создавая тем самым предпосылки для захвата новых территорий. Цель данной статьи — показать роль княжества Тайк в контексте этой политики и проиллюстрировать дипломатические успехи Византийской империи в захвате Тайка. Княжество Тайк достигло своего апогея во время правления Давида Куропалата Багратида. Вследствие бездетности последнего, преемником Тайка был назначен грузинский царь Баграт III. В результате дальновидной и прозорливой политики Василия II сначала была расширена территория Тайкского княжества, а затем Баграт III был лишен наследства. В итоге наследником Тайкского княжества был объявлен Василий II. Несмотря на усилия грузинского истеблишмента, в конце правления Василия II Тайк был присоединен к Византийской империи.
КОЛЬЧАТОЕ НАГОЛОВЬЕ ВТОРОЙ ПОЛОВИНЫ XVI — СЕРЕДИНЫ XIX ВВ. ИЗ СОБРАНИЯ НАЦИОНАЛЬНОГО МУЗЕЯ РЕСПУБЛИКИ КАЗАХСТАН
Authors: Бобров Л.А. , Агатай У.М. , Хасенов С.С. 
Published: December 2024

В статье проанализировано уникальное кольчатое наголовье (ҚРҰМ нқ ҚЖ 13), хранящееся в Национальном музее Республики Казахстан. На основании особенностей покроя, артефакт атрибутирован, как один из вариантов кольчатых «башлыков». Ближайшие аналоги происходят с территории Центральной Азии и Южной Сибири. В Казахстане и Мавераннахре (в частности, в Коканде) кольчатые «башлыки» продолжали бытовать вплоть до середины XIX в. Уникальность рассматриваемого образца заключается в том, что при изготовлении тульи использованы плоские «байданные» кольца. Нижняя граница распространения кольчатых «башлыков» с «байданной» тульей в регионе предварительно локализована второй половиной XVI— началом XVII вв., то есть периодом существования Казахского ханства. Наиболее вероятно, что наголовье из НМРК было изготовлено в XVII—XVIII вв. мастерами Мавераннахра или сопредельных территорий и находилось на вооружении казахского, узбекского или, менее вероятно, ойратского (джунгарского) воина. Артефакт представляет собой яркий образец центральноазиатских кольчатых боевых наголовий и является наглядным примером военно-культурных взаимоотношений казахов с Бухарским ханством, Кокандом и другими государственными образованиями региона.
The article analyses a unique mail coif (ҚРҰМ нқ ҚЖ 13) stored in the National Museum of the Republic of Kazakhstan. Based on its design features, the mail coif is attributed as one of the variants of ringed “bashlyks”. The closest analogues were found from the territory of Central Asia and Southern Siberia. In Kazakhstan and Maverannahr (in particular, in Kokand) the mail “bashlyks” were used until the middle of the 19th century. The model is unique because the production of crown used flat “baydana” rings. The late period of the spread of ringed “bashlyks” with a “baydana” crown in the region was previously localized in the second half of the 16th — early 17th centuries, that is, the period of the existence of the Kazakh Khanate. It is likely that the mail coif of the National Museum of the Republic of Kazakhstan was made in the 17th— 18th centuries by craftsmen of Maverannahr or neighboring territories and was in service with Kazakh, Uzbek or, less likely, Oirat (Dzungarian) warriors. The artifact is a vivid model of Central Asian mail coifs and is a vivid example of the military-cultural relations of the Kazakhs with the Bukhara Khanate, Kokand and other state entities of the region.
ОБ УСТРОЙСТВЕ ПЕРЕКРЫТИЙ В ПОДБОЙНЫХ МОГИЛАХ РИМСКОГО ВРЕМЕНИ НА НЕКРОПОЛЯХ БЛИЖАЙШЕЙ ОКРУГИ ХЕРСОНЕСА*
Authors: Свиридов А.Н. 
Published: December 2024

Представлены предварительные наблюдения по одному из малоизученных аспектов устройства погребальных сооружений римского времени Юго-Западного Крыма — способам перекрытия подбойных ниш. На материалах полностью раскопанного некрополя Фронтовое 3 предлагается классификация перекрытий подбоев, включающая два типа, различающихся отсутствием или наличием камня. Для второго типа выделено пять вариантов размещения камней в закладе. Полученные данные сопоставлены с материалами синхронных, наиболее полно раскопанных некрополей, расположенных в ближайшей округе Херсонеса. Там обнаружились те же варианты перекрытий, что и в некрополе Фронтовое 3. Выдвинута гипотеза о хронологических различиях этих вариантов.
Preliminary observations are presented on the ways of closing the side chambers in graves, which is among the aspects of burial structures of the Roman period in Southwestern Crimea that has been limitedly studied. Based on the data from the Frontovoe 3 cemetery, a classification is proposed, with two types of coverings, one of which used stones and the other did not. The second type, in particular, represents five modes of placing stones above the chamber in the fill of the pit. The classification was then extrapolated to the most fully excavated necropoleis of the same period in the vicinity of Chersonesus, and since a similar diversity of grave coverings has now been recorded elsewhere, a hypothesis is proposed that this was due to chronological reasons.
ТАМГИ САРМАТОВ, СРЕДНЕАЗИАТСКИХ ХУНА И ХУННУ
Authors: Яценко С.А. 
Published: December 2024

Рассмотрен единственный в евразийской Степи район, где найдена серия более ранних точных аналогий царских тамгам с монет хуна Средней Азии и Северо-Западного Индостана конца IV — середины VI вв. н.э. Это Европейская Сарматия к западу от устья Дона, и такие находки, за одним исключением, датируются серединой II — серединой III вв. н.э. Они концентрируются в трех зонах — в Центральном Крыму, в районе Ольвии и у устья Дона (рис. 9). В основных городах Боспора они отсутствуют. Анализирутся 7 типов клановых эмблем (рис. 2—8), идентичные образцы которых известны позже у правителей всех 4 групп «иранских гуннов». Сарматские кланы, использовавшие эти тамги, не входили в состав высшей аристократии и не представлены в большинстве мест, где проводились важные акции (от последних остались большие скопления знаков). В связи с полученным результатом кажутся интересными три свидетельства китайских и римских историков об аланах в Центральной Азии и Индостане в гуннское время.
The article considers the only area in the Eurasian Steppe where a series of earlier exact analogies of the royal tamgas from the coins of the Hūṇā of Transoxiana and North-Western Hindustan of the late 4th — mid 6th cc. CE were found. This is European Sarmatia to the west of the mouth of the Don and such finds, with one exception, date back to mid. 2nd — mid. 3 rd cc. CE. They are concentrated in three zones — in the Central Crimea, in Olbia region and at the mouth of Don (fig. 9). They are absent in the main cities of Bosporus. 7 types of clan emblems are analyzed (figs. 2—8) the identical samples of which are known later for the rulers of all 4 groups of the “Iranian Huns”. The Sarmatian clans that used these tamgas were not part of the highest aristocracy and are not represented in most places where important actions were held (large accumulations of signs remained from them). In connection with the obtained result, three evidences of Chinese and Roman historians about the Alans in Central Asia and Hindustan in the Hunnic period seems interesting.
ROMAN PROVINCIAL COINS FOUND IN THE EXCAVATIONS OF THE SLOPE BATH OF PARION (2008—2018)
Authors: Keleş V. , Kızılyalçın Oyarçin F. 
Published: December 2024

This article focuses on the Roman provincial coins found during the excavations of the Parion Slope Bath between 2008 and 2018. A total of 58 coins were discovered, which belonged to Parion (41), Alexandria Troas (7), Coela (6), Lampsakos (2), Byzantion (1), and Ilion (1). The earliest of the coins dates to the reign of Julius Caesar (45 BCE), and the latest to the reign of Gallienus (253—268 CE). Seven of the coins are PseudoAutonomous. The coins found in the excavations of the Slope Bath represent three centuries, from the first Roman colonial coins minted by Parion during the reign of Julius Caesar to the end of the Gallienian period, when Parion minted its last colonial coins. The coins consist of examples of six different cities and 19 different emperors/empresses. Most of the coins are from Parion’s own mint, with 41 samples (71%). Furthermore, the coins recovered from the Slope Bath, which was built in the 1st century CE, underwent extensive renovation in the 4th century CE and is assumed to have fallen into disuse in the late 5th century CE, support the suggestions for the construction and early use phases of the bath. The coins in question also provide essential information about both the usage phases of the building and the circulation of Roman provincial coins in Parion, as well as the relations of Parion with the surrounding cities during the Roman Period.
В этой статье рассматриваются римские провинциальные монеты, найденные при раскопках бани на склоне Париона в период с 2008 по 2018 г. Всего было обнаружено 58 монет, принадлежавших Париону (41), Александрии Троаде (7), Коэле (6), Лампсаку (2), Византию (1) и Илиону (1). Самая ранняя из монет датируется правлением Юлия Цезаря (45 г. до н.э.), а самая поздняя — правлением Галлиена (253—268 гг. н.э.). Семь монет являются псевдоавтономными. Монеты, найденные при раскопках бани на склоне, представляют три столетия, от первых римских колониальных монет, отчеканенных Парионом во время правления Юлия Цезаря, до конца периода Галлиена, когда Парион чеканил свои последние колониальные монеты. Монеты состоят из образцов шести разных городов и 19 разных императоров/императриц. Большинство монет из собственного монетного двора Париона, 41 образец (71%). Кроме того, монеты, извлеченные из Склоновой бани, которая была построена в I в. н.э., подверглась масштабной реконструкции в IV в. н.э. и, как предполагается, вышла из употребления в конце V века н.э., подтверждают предположения о строительстве и ранних этапах использования бани. Рассматриваемые монеты также предоставляют важную информацию как о фазах использования здания, так и о обращении римских провинциальных монет в Парионе, а также об отношениях Париона с окружающими городами в римский период.
Acqua per la Piana di Erbil: il rapporto tra approvvigionamento idrico ed insediamento dal periodo Neo-assiro al Seleucide
Authors: Franco Eleonora 
Published: December 2024

Nel presente intervento verrà analizzato il rapporto tra il sistema di approvvigionamento idrico e i cambiamenti nell’occupazione della piana di Erbil (regione del Kurdistan iracheno) dal periodo Neo-Assiro (fine X-fine VII sec. a.C.) al periodo Seleucide (fine IV-metà II sec. a.C.). Come dimostrato da recenti scavi e progetti di ricognizione estensiva della regione, il collasso del sistema neo-assiro, con il conseguente abbandono delle infrastrutture imperiali, comportò un grande cambiamento nello sfruttamento della pianura di Erbil e una contrazione del numero degli insediamenti in quello che era stato il cuore rurale dell’impero. Le evidenze di una ripresa dal punto di vista dell’occupazione e di una riorganizzazione territoriale sono rintracciabili a partire dal periodo ellenistico, in cui si nota un rinnovato interesse da parte del regno seleucide per una regione che costituisce un’importante area di comunicazione tra il corso del fiume Tigri ad ovest e i monti Zagros ad est.
The Effect of Depression on Total Knee Arthroplasty
Authors: Kotzur Travis , Singh Aaron , Peng Lindsey , Lundquist Kathleen , Peterson Blaire , Young William , Buttacavoli Frank , Moore Chance 
Published: December 2024

Introduction:
Depression is among the most common mental illnesses, with an estimated 8.1% of adults in the United States living with the condition. Despite its prevalence, the effect of depression on surgical outcomes is not well studied. The aim of this study is to assess the effect of diagnosed major depressive disorder on postoperative outcomes following total knee arthroplasty (TKA).

Methods:
This retrospective cohort study used the National Readmissions Database from 2016 to 2019 to evaluate the effect of depression on 30-day outcomes following TKA. Patients with and without a diagnosis of depression were identified using International Classification of Diseases, 10th Revision, Clinical Modification/Procedure Coding System (ICD-10) codes. Propensity score matching was employed to balance patient demographics, socioeconomic status, and comorbidities, between the two groups. Multivariate regression analyses were used to assess postoperative outcomes, 30-day readmission, and revision surgery rates.

Results:
Overall, 1,906,980 patients undergoing TKA, 302,853 (15.68%) with a diagnosis of depression, were included in our analysis. After matching, those with depression were more likely to have both medical (odds ratio [OR] 1.90; P < 0.001) and surgical complications (OR 1.86; P < 0.001), including periprosthetic fracture (OR 2.27; P < 0.001). In addition, they had increased odds of 30-day readmission (OR 1.98; P < 0.001) and revision surgery (OR 1.83; P < 0.001).

Conclusion:
Depression is common in the TKA population, with 15.9% of patients having a diagnosis at the time of surgery. Furthermore, these patients experience a greater risk of complications following surgery. They are also at greater risk of requiring readmission or revision surgery. Overall, patients with depression may experience worse outcomes following TKA.

Study design:
Level III; Retrospective Cohort Study.
All Enabling Technology Is Not Created Equal: Comparing Outcomes of Computer-Assisted Fluoroscopic Navigation Versus Robotic-Assisted Total Hip Arthroplasty
Authors: Bernstein Jenna , Gupta Anshu , Kabiri Mina , Ruppenkamp Jill W. , Goldstein Laura , Diaz Rodrigo 
Published: December 2024

Background:
Computer-assisted fluoroscopic navigation and robotic technologies aim to optimize implant placement and alignment in primary total hip arthroplasty (THA) to improve patient outcomes. This study uses a retrospective hospital billing database covering 1,300 hospitals to compare the clinical and economic effect of these technologies.

Methods:
The study compared patients undergoing THA with robotic versus computer-assisted fluoroscopic navigation technologies between January 1, 2016, and September 30, 2021, using the Premier Healthcare Database. Primary outcomes were operating room time and readmission rates. Secondary outcomes were length of stay, discharge status, revision rates within 90- and 365-day follow-up, and hospital costs. Baseline covariate differences between the two cohorts were balanced using fine stratification methodology and analyzed using generalized linear models. A sensitivity analysis was conducted using the nearest neighbor matching as the covariate balancing technique.

Results:
The cohorts included 4,378 fluoroscopically navigated THA and 10,423 robotic-assisted THA procedures with 90-day follow-up. Operating room time was markedly lower with fluoroscopic navigation compared with robotic-assisted technology (137.74 vs. 156.00 minutes; P < 0.001). Hip-related readmission rates were markedly lower (P < 0.001) for fluoroscopic navigation for both 90- and 365-day follow-up, by 43% and 40% respectively, compared with robotic-assisted technology. Results showed increased discharge ratio to home/home health, reduced length of stay, and lower hospital costs for fluoroscopic navigation compared with robotic-assisted technology. Revision rates were similar for both cohorts.

Conclusion:
Using computer-assisted fluoroscopic navigation in THA was associated with markedly lower operating room time and readmission rates while also having improved healthcare outcomes and costs compared with robotic-assisted technology.
Revisiting Exile: A Case of Waziristan
Authors: Zahida Khattak  
Published: December 2024

This paper aims to analyse Cheegha: The Call from Waziristan, The Last Outpost by Ghulam Qadir with reference to the continuous war in Waziristan. Waziristan has been at the centre of the conflict since the arrival of the Russian invasion and then after the incident of 9/11. The USA launched drone strikes after the 9/11 incident to seek out the terrorists who are thought to have found a safe haven in Pakistan. The constant bombardment of drones has destroyed the customs and traditional folkways. This cultural genocide generated feelings of homelessness and alienation in the people of Waziristan which made them exiled to their land. The notion of exile has already been discussed in relation to the experience of migration or expulsion from the homeland. However, this paper appropriates the concept of exile to include the category of those people who have become exilic from within. It seeks to analyse the effects of continuous war via the projection of displaced feelings of the people of Waziristan. By integrating the theoretical perspective on exile developed by Avatar Brah, Bill Ashcroft, William Safran, Paul Gilroy, and Edward Said, and cultural genocide as theorised by Raphael Lemkin, Elisa Novice, and Lawrence Davidson, I attempt to highlight that the exiled are not necessarily migrants from another country but rather it is possible to be exiled within the boundaries of their homeland due to the loss of culture, folkways, and traditions.
Key Terms: exile, Waziristan, cultural genocide, homeland.