bluuebunny/crossref_metadata_2025_split huggingface dataset:
Long-term results and comparison of the Green-Anderson and multiplier growth prediction methods after permanent epiphysiodesis using Canale's technique
Authors: Burger K. , Farr S. , Hahne J. , Radler C. , Ganger R. 
Published: June 2019

Purpose The aim of the study was to evaluate the accuracy and radiographic outcomes of Canale's method in patients with idiopathic leg-length discrepancy (LLD) following percutaneous epiphysiodesis. The accuracy of two common growth prediction methods was assessed. Methods A total of 18 patients with 26 affected bones (eight distal femur, two proximal tibia, five combined) were clinically and radiologically analyzed after reaching skeletal maturity. We compared the final effect of epiphysiodesis at maturity with the expected effect of epiphysiodesis before surgery; these measures were calculated using the Green-Anderson and multiplier methods, respectively. We furthermore compared pre- and postoperative frontal and lateral plane radiographs. Results The average LLD was 21.2 mm before surgery and 7.9 mm after epiphysiodesis. The final effect of both methods was not significantly different compared with the expected effect of epiphysiodesis before surgery. However, the prediction by the Green-Anderson method was closer to the definitive epiphysiodesis effect. The frontal plane radiographic deformity parameters did not change significantly after epiphysiodesis. The postoperative sagittal plane radiographic deformity parameters were in the normal range. Conclusion The Canale technique is a reliable method to reduce LLD in children. With regards to growth prediction, the Green-Anderson method using bone age seems to be more accurate than the multiplier method using chronological age. However, a relative over-estimation was observed with both methods in several cases, which might result in an insufficient correction. Level of Evidence IV, Therapeutic study
Radiological outcome after treatment of juvenile flatfeet with subtalar arthroereisis: A matched pair analysis of 38 cases comparing neurogenic and non-neurogenic patients
Authors: Kubo H. , Krauspe R. , Hufeland M. , Lipp C. , Ruppert M. , Westhoff B. , Pilge H. 
Published: June 2019

Purpose Therapy of juvenile neurogenic flatfoot (JNF) with subtalar arthroereisis (SA) is currently under critical clinical investigation. In this retrospective matched pair analysis, the radiological outcome after arthroereisis in paediatric patients with infantile cerebral palsy and JNF was compared with children with juvenile flatfeet (JF) without neurological diseases. Methods From October 2007 to April 2018 80 patients with 149 flatfeet underwent surgery with SA. Inclusion criteria were: 1) JNF or JF with age at surgery ≤ 13 years; 2) treatment with SA; 3) presence of three sets of biplane radiographs (preoperative, postoperative and follow-up (FU)). The radiographs were analyzed for: 1) navicular-cuboidal-index (NCI); 2) talocalcaneal angle anteroposterior; 3) talocalcaneal angle lateral; 4) calcaneal-pitch (CP); and 5) talometatarsal-index (TMTI). Following this, 25 patients with 38 flatfeet could be included. Results The mean age at SA of the JNF group was 9.2 years (JF group: 9.3 years) and the mean time of FU was 35.2 months (JF group: 39.4 months). In comparison with preoperatively, a significant decrease of the NCI was seen in both groups (p = ≤ 0.05 and p = ≤ 0.001) in the FU radiographs. The analysis of CP and TMTI in the JF group also resulted in a significant improvement (p = ≤ 0.001 and p = ≤ 0.05). Overall, the comparison between the JNF and JF group showed no significant differences in regard to the analyzed postoperative parameters. Conclusion Based on this data, treatment of flatfeet by SA in patient with neurological disorders shows an improvement of radiological parameters comparable with neurologically unimpaired patients and might be considered as additional treatment option. Level of evidence IV
The significance of foot length at the initiation of the Ponseti method: A prospective study
Authors: Hemo Y. , Yavor A. , Gigi R. , Wientroub S. 
Published: June 2019

Objectives We sought to evaluate foot length (FL) and forefoot circumference (FC) and their impact on the severity of idiopathic clubfoot (CF) and results of treatment. We hypothesized that a smaller foot size at birth that represents a lesser than term newborn may affect the response of the CF to the treatment. Methods We conducted a prospective study documenting FL and FC of all neonates presented with idiopathic CF. Additional demographic information was collected. Outcome measures were number of casts needed for correction, need for recasting, additional surgery and functional score. Results In all, 52 children with 73 CF with a minimum mean follow-up of two years (2.0 to 5.6; sd 1.08) were evaluated. Mean gestational age was 38.63 weeks and mean birth weight (BW) was 3184 g. The mean FL at presentation was 74 mm (5.70 to 9.00), initial Pirani score was 5.5 (2.5 to 6.0) while number of casts was 6.9 (4.0 to 11.0). The FL was significantly correlated both to initial Pirani score (r = -0.35; p < 0.01) and number of casts (r = -0.33; p < 0.05). Positive correlation was found between the number of casts to Pirani score and number of additional procedures (r = 0.39; r = 0.36; p < 0.01, respectively). A foot size of up to 8 cm, needed 7.3 casts (4 to 7) compared with a FL of 8 cm or longer who needed 4.7 casts (4 to 6; t = 7.11; p < 0.001). Conclusion FL is a simple approach to identify preterm babies. It can be used as part of the initial evaluation of CF and help in predicting the course of treatment. We recommend adding FL to the existing classification. Level of Evidence I - Prognostic study
The PBS Score – a clinical assessment tool for the ambulatory and recurrent clubfoot
Authors: Böhm S. , Sinclair M. F. 
Published: June 2019

Purpose The signs for clubfoot relapse are poorly defined in the literature and there is a lack of a scoring system that allows assessment of clubfeet in ambulatory children. The aim of this study is to develop an easy to use, reliable and validated evaluation tool for ambulatory children with a history of clubfoot. Methods A total of 52 feet (26 children, 41 clubfeet, 11 unaffected feet) were assessed. Three surgeons used the seven-item PBS Score to rate hindfoot varus, standing and walking supination, early heel rise, active/passive ankle dorsiflexion and subtalar abduction blinded to the other examiners. All parents answered the modified Roye score questionnaire prior to the clinical assessment. Correlation between the mean PBS Score and the Roye score was evaluated using Spearman's rank correlation coefficient. Interobserver reliability was tested using weighted and unweighted Cohen's Kappa coefficients. Results The Spearman's rank correlation coefficient for correlation between mean PBS Score and Roye score was 0.73 (moderate to good correlation).The interobserver agreement for the total PBS Score resulted in an intraclass correlation coefficient of 0.93 (almost perfect agreement). Conclusion The PBS score is an easy to use, clinical assessment tool for walking age children with clubfoot deformity. It includes passive and active criteria with a very good interobserver reliability and moderate to good validity. Level of Evidence Level I - Diagnostic study
Treatment of relapsed, residual and neglected clubfoot: Adjunctive surgery
Authors: Eidelman M. , Kotlarsky P. , Herzenberg J. E. 
Published: June 2019

Over the past two decades, the Ponseti ‘conservative’ (non-surgical) method of clubfoot treatment has been almost universally adopted worldwide. As a result, the need for operative treatment for clubfoot has decreased dramatically. However, even Ponseti himself routinely used surgery for certain patients: at least 90% of feet need percutaneous tenotomy, and 15% to 40% may require tibialis anterior tendon transfer. Additionally, relapses are common, sometimes necessitating further surgical intervention. Relapses are recurrent deformities in previously well corrected feet. Residual deformities may be defined as persistent deformities in incompletely corrected feet. In addition, in many parts of the developing world, neglected clubfoot is still a major challenge. Many neglected feet can be treated with Ponseti principles, particularly in younger children. However, in older children and adults, surgical approaches are more likely to be needed. Major reasons for relapsed/residual clubfoot include incomplete application of the Ponseti principles, inability to adhere to the foot abduction brace protocol, failure to recommend a complete course of bracing and inadequate follow-up. Sometimes, despite excellent treatment, and perfect adherence to the bracing protocols, there are still relapses, related to intrinsic muscle imbalance. We describe several solutions that include reinstitution of Ponseti casting and ‘á la carte’ operative treatment. As an alternative for particularly stubborn cases, application of a hexapod external fixator can be a powerful tool. In order to be a full-service clubfoot specialist, and not only a Ponseti practitioner, one must have in their toolbox the full gamut of adjunctive surgical options. Level of Evidence V
Delayed ossification and abnormal development of tarsal bones in idiopathic clubfoot: Should it affect bracing protocol when using the Ponseti method?
Authors: Hemo Y. , Gigi R. , Wientroub S. 
Published: June 2019

Purpose To point out the need to take into account the dysplastic nature of tarsal bones when treating idiopathic clubfoot (CF). Methods Review the published evidence on the developmental abnormalities of tarsal bones in idiopathic CF. Results The literature review provides abundant proof of the existence of delayed appearance and slower development of ossification centres of tarsal bones in idiopathic clubfoot. Conclusion Gentle manipulations and casting are the cornerstone of the Ponseti method. The biological response of all foot elements is critical for a successful outcome. Delayed ossification and abnormal development of tarsal bones in idiopathic CF may affect the results. Development of a personalized tailored bracing protocol based on severity assessment and response to casting treatment will improve results and quality of care in CF management. Level of Evidence V
Serdülők és fiatal felnőttek identitása az önértékelés és a társas támogatás függvényében
Authors: Szabó Hangya Lilla , Jámbori Szilvia , Gál Zita , Kasik László , Fejes József Balázs 
Published: June 2019

Az identitás a személy önmeghatározásán kívül arra is vonatkozik, hogyan viselkedik az egyén interperszonális vagy szociális kontextusban (Baumeister, 1986). Az identitás alakítás folyamatában rendkívüli szerepet töltenek be a fiatal életében jelenlévő referencia személyek, jelentős mások, akik által nyújtott társas támogatás, mint pszichoszociális erőforrás támogathatja az identitásalakítás folyamatát (Kaplan, Cassel, and Gore, 1977). A serdülőkori identitás befolyásolja a fiatal jövőképét, önértékelését, meghatározza a társas helyzetekhez való viszonyát is (Szabó, 2010).Kutatásunk célja egyrészről a 9-10. osztályos középiskolás diákok és az elsőéves egyetemisták identitásállapotának feltárása volt, másrészről annak vizsgálata, hogy a különböző identitásállapotok milyen összefüggést mutatnak az önértékeléssel, és a társas támogatás mértékével. A vizsgálati személyek a Rosenberg Önértékelés Skálát (Sallay, Martos, Földvári, Szabó és Ittzés, 2014), az EOM-EIS-II -Interperszonális identitás alskáláját (Bennion és Adams, 1986, magyarul Biegelbauer, 2003; Szabó, 2003), és a Multidimenzionális Társas Támogatás Kérdőívet (Papp- Zipernovszky, Kékesi és Jámbori, 2017) töltötték ki.Vizsgálatunk bebizonyította, hogy mind a serdülők, mind a fiatal felnőttek esetében a magasabb önbizalom és az észlelt társas támogatás, főként a barátok és a jelentős mások tekintetében segíti a valódi identitás állapot elérését. Míg a diffúz identitás alacsonyabb önértékelés pontszámmal, és szignifikánsan alacsonyabb mértékű baráti és jelentős másoktól észlelt támogatással járt együtt. Kutatásunk meggyőzően bizonyítja, hogy az önértékelés és a társas támogatás jelentős szerepet játszik mindkét korosztálynál a valódi identitás állapotának elérésében.
Carpal tunnel syndrome: issues of diagnosis and treatment
Authors: Gilveg A. S. , Parfenov V. A. , Evzikov G. Yu. 
Published: June 2019

Objective: to analyze the typical medical practice management of patients with carpal tunnel syndrome (CTS), to evaluate the efficiency of surgical treatment, and to identify factors influencing the successful outcomes of surgical treatment.Patients and methods. The investigation enrolled 85 patients (14 men and 71 women; mean age, 62±10.8 years). Previous diagnosis and treatment of patients were assessed in other healthcare facilities. All patients underwent median nerve decompression. The efficiency of surgical treatment was assessed according to the Boston Carpal Tunnel Questionnaire (BCTQ) and a visual analogue scale for pain before and 1, 3, 6, and 12 months after surgery.Results and discussion. Informative diagnostic tests are rarely performed in patients with CTS, but cervical spine neurovisualization is often unreasonably prescribed. Erroneous diagnoses (predominantly those of cervical spine osteochondrosis (46%), and diabetic neuropathy (6%)) are made frequently (60%) in patients with CTS; the latter receive ineffective treatment for a long time. Surgical treatment in reducing pain and improving hand functionality is noted to be highly effective. The mean BCTQ score decreased from 2.81±0.68 to 1.62±0.55 and 1.24±0.41 at 1 and 12 months, respectively (p<0.05), the mean functional state score dropped from 2.92±0.78 to 2.4±0.72 and 1.46±0.57, respectively (p<0.05). Permanent numbness, subjective weakness, thenar muscle atrophy, Stage III CTS, and diabetes mellitus are predictors for less pronounced improvement in BCTQ scores after surgery (p<0.05).Conclusion. Physicians are noted to be unaware of the manifestations of CTS and effective methods for its diagnosis and treatment. Decompression surgery is shown to be a highly effective procedure in patients with CTS following 1 and 12 months.
Chronic nonspecific (musculoskeletal) low back pain. Guidelines of the Russian Society for the Study of Pain (RSSP)
Authors: Parfenov V. A. , Yakhno N. N. , Davydov O. S. , Kukushkin M. L. , Churyukanov M. V. , Golovacheva V. A. , Isaikin A. I. , Achkasov E. E. , Evzikov G. Yu. , Karateev A. E. , Khabirov F. A. , Shirokov V. A. , Yakupov E. Z. 
Published: June 2019

Examination of a patient with chronic low back pain (LBP) is aimed at eliminating its specific cause and assessing the social and psychological factors of chronic pain. The diagnosis of chronic nonspecific (musculoskeletal) LBP is based on the exclusion of a specific cause of pain, discogenic radiculopathy, and lumbar stenosis. It is advisable to identify possible pain sources: pathology of intervertebral disc pathology, facet joints, and sacroiliac joint and myofascial syndrome.An integrated multidisciplinary approach (a high level of evidence), including therapeutic exercises, physical activity optimization, psychological treatments (cognitive behavioral therapy), an educational program (back pain school for patients), and manual therapy, is effective in treating chronic musculoskeletal LBP. For pain relief, one may use nonsteroidal anti-inflammatory drugs in minimally effective doses and in a short cycle, muscle relaxants, and a capsaicin patch, and, if there is depressive disorder, antidepressants (a medium level of evidence). Radiofrequency denervation or therapeutic blockages with anesthetics and glucocorticoids (damage to the facet joints, sacroiliac joint), back massage, and acupuncture (a low level of evidence) may be used in some patients.Therapeutic exercises and an educational program (the prevention of excessive loads and prolonged static and uncomfortable postures and the use of correct methods for lifting weights, etc.) are recommended for preventive purposes.
User guidance for efficient fact checking
Authors: Nguyen Thanh Tam , Weidlich Matthias , Yin Hongzhi , Zheng Bolong , Nguyen Quoc Viet Hung , Stantic Bela 
Published: June 2019

The Web constitutes a valuable source of information. In recent years, it fostered the construction of large-scale knowledge bases, such as Freebase, YAGO, and DBpedia. The open nature of the Web, with content potentially being generated by everyone, however, leads to inaccuracies and misinformation. Construction and maintenance of a knowledge base thus has to rely on fact checking, an assessment of the credibility of facts. Due to an inherent lack of ground truth information, such fact checking cannot be done in a purely automated manner, but requires human involvement.In this paper, we propose a comprehensive framework to guide users in the validation of facts, striving for a minimisation of the invested effort. Our framework is grounded in a novel probabilistic model that combines user input with automated credibility inference. Based thereon, we show how to guide users in fact checking by identifying the facts for which validation is most beneficial. Moreover, our framework includes techniques to reduce the manual effort invested in fact checking by determining when to stop the validation and by supporting efficient batching strategies. We further show how to handle fact checking in a streaming setting. Our experiments with three real-world datasets demonstrate the efficiency and effectiveness of our framework: A knowledge base of high quality, with a precision of above 90%, is constructed with only a half of the validation effort required by baseline techniques.
Cztery świadectwa święceń duchownych z diecezji krakowskiej z XV i XVI wieku
Authors: Kaczmarek Krzysztof 
Published: June 2019

Z terenu średniowiecznej diecezji krakowskiej posiadamy niewiele materiałów pokazujących praktykę święceń tamtejszego duchowieństwa. Z wyjatkiem dwóch krótkich wykazów akolitów ordynowanych przez bp. Jana Rzeszowskiego nie znamy też żadnych imiennych wykazów duchownych wyświęconych przez tamtejszych ordynariuszy i sufraganów. Z tego względu w badaniach nad święceniami kleru w tej diecezji warto sięgać do zapoznanych w dotychczasowych badaniach świadectw święceń poszczególnych duchownych. Kwerenda przeprowadzona w aktach biskupich i księgach konsystorskich kilku diecezji należących do polskiej organizacji kościelnej późnego średniowiecza pozwoliła na odnalezienie świadectw trzech duchownych z diecezji krakowskiej z lat 1460–1531: Andrzeja (prawdopodobnie z Męciny Małej), Grzegorza z Olkusza oraz Jana z Jakimowic. Zawartość tych materiałów ma znaczenie dla studiów nad prozopografią krakowskiego kleru w XV i pierwszej połowie XVI wieku.
Kazanie Skargi Jana Matejki w kontekście ówczesnej wiedzy o epoce i poglądów na dzieje Polski
Authors: Słoczyński Henryk M. 
Published: June 2019

Autorzy zajmujący się twórczością największego malarza dziejów Polski, Jana Matejki, długo nie prowadzili systematycznych badań licznych odniesień do konkretnej materii historycznej w jego dziełach, ignorując ten ich aspekt, któremu artysta przypisywał szczególną wagę. W przypadku Kazania Skargi, jednego z najwybitniejszych jego dzieł, zmianę w tym zakresie przyniosła książka Jarosława Krawczyka Matejko i historia, ale autor skupił się tylko na jednym motywie: walce szlachty z tronem Zygmunta III. Publikowana tu rozprawa pokazuje, że niemniej ważne w treści obrazu są problemy unii religijnej oraz podporządkowania Polsce Rosji na początku XVI wieku. To poszerzenie interpretacji opiera się na próbie sprecyzowania, jaka wiedza o tych sprawach była dostępna artyście. Niewątpliwie szczególne znaczenie miała dlań inspiracja przyjaciela, Józefa Szujskiego, który wtedy opublikował traktujący o tej epoce tom Dziejów Polski. Ujęcie problemów tego okresu w tej książce oraz w obrazie wykazuje daleko idącą zbieżność, zaś istotą przesłania Kazania Skargi jest (znany także z innych dzieł Matejki) motyw utraconej przez Polaków wielkiej szansy dziejowej. Chodziło o szansę opanowania i ucywilizowania Moskwy, a konsekwencją jej utraty było powstanie ­imperium – przyszłego zaborcy Polski.
Infanticide and the Conflicts in Early Modern South Bohemia (1690–1710). Five Women from Jindřichův Hradec
Authors: Stůj Pavel 
Published: June 2019

Early Modern Child-Murder Investigations Were Characterized by Many Conflicts and Struggles on Different Levels of the Social Organization. Sources like broadside ballads or pamphlets highlighted the infanticide as a matter of considerable public concern. There the conflict between idea of early modern motherhood and family life and the everyday life of single-mothers dealing with unwanted children was apparent. These moralizing pamphlets were describing virtues of motherhood like self-sacrifice, solicitude, economic and social responsibility and on the other hand authors criticized murdering mothers. Finally, conflicts, antipathy and personal confrontations between members of the family and sexual partners can be traced in these sources. Events prior the crime can be characterized by disagreements between sexual partners, violence and verbal abuse. This contextual analysis of conflicts in five infanticide proceedings from south Bohemia (1690–1710) is the centre of the paper.
Zachowane baldachimy procesyjne na terenie Małopolski z wieku XVII i XVIII
Authors: Tracz Szymon 
Published: June 2019

Baldachimy procesyjne na terenie Małopolski w wieku XVII i XVIII przyjmowały formę dekoracyjnego daszku wykonanego zazwyczaj z tkaniny rozpiętej na stelażu, przymocowanego do ozdobnych drążków, co umożliwiało ich przenoszenie. Przede wszystkim baldachimów używano podczas procesji teoforycznych. Wykonywano je z zasady z nietrwałych materiałów, stąd też zachowało się ich tylko kilka. Na podstawie źródeł archiwalnych oraz zachowanych przykładów baldachimy procesyjne można podzielić ze względu na kształt na dwa rodzaje.Pierwszy, najliczniejszy, stanowią baldachimy o drewnianym lub metalowym stelażu na rzucie prostokąta zbliżonego do kwadratu, zaopatrzone w dwa lub cztery drążki. Drugi to baldachimy owalne na jednym drążku w kształcie parasola. W obu grupach najistotniejszym elementem dekoracyjnym była tkanina rozpięta na stelażu tworząca podniebie oraz dach baldachimu, kształtująca także jego boki za pomocą falbany lub lambrekinu. Podniebie i dach baldachimu wykonywane były zasadniczo z dwóch różnych tkanin. Dach baldachimu najczęściej był płaski, ale występowały także przykłady o dynamicznych formach, czego przykład stanowi baldachim w Kacwinie z drugiej połowy XVIII wieku. Dodatkowo stosowano dekoracyjne uzupełnienia w postaci obszycia galonem, koronką, frędzlą, taśmami i haftem, a także chwostami. Najczęściej drzewce baldachimów były rzeźbione i malowane. Najlepszym przykładem klasycznego baldachimu barokowego stanowi najstarszy zachowany w Małopolsce baldachim z roku ok. 1663 w Polance Wielkiej lub baldachim wykonany z XVII-wiecznej tkaniny w kolegiacie św. Anny w Krakowie. Zdarzało się, że dach baldachimu był obwiedziony ażurowym, bogato rzeźbionym i złoconym obramieniem, jak np. baldachim z trzeciej ćwierci XVIII wieku w Krzywaczce lub w kościele św. Anny w Nowym Targu (2. poł. XVIII w.). Ciekawą grupę tworzyły baldachimy w całości drewniane dekorowane malowaną i złoconą snycerką, które zachowały się na Spiszu, w kościele we Frydmanie (2. poł. XVIII w.), Krempachach (2. poł. XVIII w.) i Trybszu oraz znany ze zdjęć archiwalnych niezachowany baldachim z końca XVIII wieku w Łapszach Niżnych. Zasadniczym elementem dekoracyjnym wymienionych baldachimów jest bogato rzeźbiony i złocony drewniany stelaż, do którego przytwierdzany był dach wykonany z tkaniny bądź z deski.Drugi rodzaj baldachimów w formie rozkładanego i składanego parasola reprezentowała niezachowana obecnie XVIII-wieczna umbella w Bielanach k. Kęt.Powstające w następnych stuleciach baldachimy generalnie przyjęły formę opartą na prostym drewnianym stelażu z tekstylnym dachem i bokami prostymi lub w formie lambrekinu. Spotykane są także rozwiązania, w których do elementów tekstylnych dodawano akcenty snycerskie.