bluuebunny/crossref_metadata_2025_split huggingface dataset:
Reconstruction of the proximal humerus after wide resection of tumours
Authors: Rödl R. W. , Gosheger G. , Gebert C. , Lindner N. , Ozaki T. , Winkelmann W. 
Published: February 2018

In 45 patients we assessed the functional results and complications for three different reconstructive procedures after resection of primary tumors of the proximal humerus. An osteoarticular allograft was used in 11, a clavicula pro humero operation in 15 and a tumour prosthesis in 19. The glenoid was resected with the proximal humerus in 25 patients. The axillary nerve was resected in 42 patients. The complication rate was lowest after reconstruction with a tumour prosthesis. The clavicula pro humero operation resulted in the most revisions. Cumulative survival rates for all the reconstructive procedures were similar. At follow-up at two years the functional results for the three reconstructive procedures were the same with a mean functional rating of 79% (Musculoskeletal Tumor Society). Excision of the glenoid had no influence on the functional result. Our findings indicate that the use of a tumour prosthesis is the most reliable limb-salvage procedure for the proximal humerus. The clavicula pro humero is an appropriate procedure if a prosthesis cannot be used.
The classification of congenital talipes equinovarus
Authors: Wainwright A. M. , Auld T. , Benson M. K. , Theologis T. N. 
Published: February 2018

We have assessed the reliability of four classification systems for club foot. Four observers evaluated nine children (18 feet) at different stages in the first six months of life, a total of 180 examinations. Each observer independently assessed all feet according to the classification systems described by Catterall, Diméglio et al, Harrold and Walker, and Ponseti and Smoley. The variation between observers was assessed using the kappa test which for no more agreement than chance has a value of 0, and for complete agreement between observers a value of 1. The kappa values varied between 0.14 and 0.77 depending on which classification system was used. The system of Diméglio et al was found to have the greatest reliability. Our findings suggest that current classification systems for the analysis of congenital talipes equinovarus are not entirely satisfactory.
Anatomical study of the carpal attachment of the triangular fibrocartilage complex
Authors: Nishikawa S. , Toh S. 
Published: February 2018

There have been few descriptions of the site of attachment onto the triquetrum, the so-called meniscal homologue, of the triangular fibrocartilage complex (TFCC). We have investigated the sites of attachment onto the triquetrum of 87 TFCCs collected from embalmed cadavers. All TFCCs were smoothly attached to the triquetrum. In 79 (46 cases, 90%) they were attached to the triquetrum and fifth metacarpal bone, and in eight (5 cases, 10%) they were attached widely on the articular surface of the triquetrum. It is necessary to have accurate positional information about the normal triquetrum and TFCC in order to perform arthroscopy. The meniscal homologue attached to the triquetrum is smooth in almost all cases. In about 10% of joints the TFCC is attached to the lunotriquetral ligament, either partly or completely obscuring the articular surface of the triquetrum.
Lateral unicompartmental knee replacement
Authors: Ashraf T. , Newman J. H. , Evans R. L. , Ackroyd C. E. 
Published: February 2018

We describe 88 knees (79 patients) with lateral unicompartmental osteoarthritis which had been treated by the St Georg Sled prosthesis. At a mean follow-up of nine years (2 to 21) 15 knees had revision surgery, nine for progression of arthritis, six for loosening, four for breakage of a component and four for more than one reason. Six patients complained of moderate or severe pain at the final follow-up. Only five knees were lost to follow-up in the 21-year period. We performed survivorship analysis on the group using revision for any cause as the endpoint. At ten years the cumulative survival rate was 83%, and at 15 years, when ten knees were still at risk, it was 74%. Based on our clinical results and survival rate the St Georg Sled may be considered to be a suitable unicompartmental replacement for isolated lateral compartment osteoarthritis.
Hemiarthroplasty versus internal fixation for displaced intracapsular hip fractures in the elderly
Authors: Parker M. J. , Khan R. J. K. , Crawford J. , Pryor G. A. 
Published: February 2018

A total of 455 patients aged over 70 years with a displaced intracapsular fracture of the proximal femur was randomised to be treated either by hemiarthroplasty or internal fixation. The preoperative characteristics of the patients in both groups were similar. Internal fixation has a shorter length of anaesthesia (36 minutes versus 57 minutes, p < 0.0001), lower operative blood loss (28 ml versus 177 ml, p < 0.0001) and lower transfusion requirements (0.04 units versus 0.39 units, p < 0.0001). In the internal fixation group 90 patients required 111 additional surgical procedures while only 15 additional operations on the hip were needed in 12 patients in the arthroplasty group. There was no statistically significant difference in mortality between the groups at one year (61/226 versus 63/229, p = 0.91), but there was a tendency for an improved survival in the older less mobile patients treated by internal fixation. For the survivors assessed at one, two and three years from injury there were no differences with regard to the outcome for pain and mobility. Limb shortening was more common after internal fixation (7.0 mm versus 3.6 mm, p = 0.004). We recommend that displaced intracapsular fractures in the elderly should generally be treated by arthroplasty but that internal fixation may be appropriate for those who are very frail.
Heterotopic ossification prophylaxis with indomethacin increases the risk of long-bone nonunion
Authors: Burd T. A. , Hughes M. S. , Anglen J. O. 
Published: February 2018

Indomethacin is commonly administered for the prophylaxis of heterotopic ossification (HO) after the surgical treatment of acetabular fractures. Non-steroidal anti-inflammatory drugs such as indomethacin, have been associated with delayed healing of fractures and mechanically weaker callus. Our aim was to determine if patients with an acetabular fracture, who received indomethacin for prophylaxis against HO, were at risk of delayed healing or nonunion of any associated fractures of long bones. We reviewed 282 patients who had had open reduction and internal fixation of an acetabular fracture. Patients at risk of HO were randomised to receive either radiation therapy (XRT) or indomethacin. Of these patients, 112 had sustained at least one concomitant fracture of a long bone; 36 needed no prophylaxis, 38 received focal radiation and 38 received indomethacin. Fifteen patients developed 16 nonunions. When comparing patients who received indomethacin with those who did not, a significant difference was noted in the rate of nonunion (26% v 7%; p = 0.004). Patients with concurrent fractures of the acetabulum and long bones who receive indomethacin have a significantly greater risk of nonunion of the fractures of the long bones when compared with those who receive XRT or no prophylaxis.
Ligament repair and reconstruction in traumatic dislocation of the knee
Authors: Liow R. Y. L. , McNicholas M. J. , Keating J. F. , Nutton R. W. 
Published: February 2018

We treated 21 patients with 22 dislocations of the knee by repair or reconstruction of all injured ligaments. Eight knees were treated in the acute phase (less than two weeks after injury); the remainder were treated more than six months after injury (6 to 72). Reconstructions were carried out with a combination of autograft and allograft tendons and by direct ligament repair where possible. At a mean follow-up of 32 months (11 to 77) the mean Lysholm score was 87 (81 to 91) in the acute group and 75 (53 to 100) in the delayed group. The mean Tegner activity rating was 5 in the acute group and 4.4 in the delayed group. The International Knee Documentation Committee assessment revealed no differences between the two groups. Instrumented testing of knee stability indicated better results for anterior cruciate ligament reconstructions which had been undertaken in the acute phase, but no difference in the outcome of posterior cruciate ligament reconstructions. There was no difference in the loss of knee movement between the two groups. Although the differences were small, the outcome in terms of overall knee function, activity levels and anterior tibial translation were better in those knees which had been reconstructed within two weeks of injury.
Autologous transfusion in acetabuloplasty in children
Authors: Nicolai P. , Leggetter P. P. , Glithero P. R. , Bhimarasetty C. R. 
Published: February 2018

There were 22 patients with cerebral palsy aged six to 17 years who underwent an acetabuloplasty as part of an open reduction of the hip. In 11 patients a paediatric cell saver was used to collect autologous blood which was re-infused per-operatively. This group was compared to a cohort of 11 patients undergoing similar operations in whom only banked homologous blood was transfused. On average, 432 ml of autologous blood was re-infused compared to 909 ml of homologous blood (p < 0.01), representing 19.6% and 47% of the total blood volume, respectively (p < 0.002). Two units of homologous blood were transfused in the cell saver group compared with 20 units in the control group (p < 0.001). When using a paediatric cell saver, homologous blood transfusion was avoided in 82% of patients and there were no complications.
Correlation of nerve root pain with dermatomal sensory threshold and back pain with spinal movement in single level lumbar spondylosis
Authors: Quraishi N.A , Taherzadeh O. , McGregor A. H. , Hughes S. P. F. , Anand P. 
Published: February 2018

We studied 27 patients with low back pain and unilateral L5 or S1 spinal nerve root pain. Significant radiological changes were restricted to the symptomatic root level, when compared with controls. Low back and leg pain were graded on a visual analogue scale. Dermatomal quantitative sensory tests revealed significant elevations of warm, cool and touch perception thresholds in the affected dermatome, compared with controls. These elevations correlated with root pain (warm v L5 root pain; r = 0.88, p < 0.0001), but not with back pain. Low back pain correlated with restriction of anteroposterior spinal flexion (p = 0.02), but not with leg pain. A subset of 16 patients underwent decompressive surgery with improvement of pain scores, sensory thresholds and spinal mobility. A further 14 patients with back pain, multilevel nerve root symptoms and radiological changes were also studied. The only correlation found was of low back pain with spinal movement (p < 0.002). We conclude that, in patients with single level disease, dermatomal sensory threshold elevation and restriction of spinal movement are independent correlates of sciatica and low back pain.
Predictive value of the duration of sciatica for lumbar discectomy
Authors: Ng L. C. L. , Sell P. 
Published: February 2018

The optimum timing of lumbar discectomy for sciatica is imprecise. We have investigated a number of prognostic factors in relation to the outcome of radiculopathy after lumbar discectomy. We recruited 113 consecutive patients of whom 103 (91%) were followed up at one year. We found a significant association between the duration of radiculopathy and the changes in the Oswestry Disability Index score (p = 0.005) and the low back outcome score (p = 0.03). Improvement in pain was independent of all variables. Patients with an uncontained herniated disc had a shorter duration of symptoms and a better functional outcome than those with a contained herniation. Our study suggests that patients with sciatica for more than 12 months have a less favourable outcome. We detected no variation in the results for patients operated on in whom the duration of sciatica was less than 12 months.
The prevention of traditional bone setter’s gangrene
Authors: Eshete M. 
Published: February 2018

A two-year retrospective survey in southern Ethiopia revealed that 49 amputations had been performed, 25 of which were for gangrene following tight splintage applied by traditional bone setters. The aim of this study was to determine if it was possible to reduce this incidence of gangrene by offering one-day instructional courses to bone setters. In ten separate one-day courses 112 tradition healers attended. In addition, two-day courses were given to local health assistants, who also received written instructions for the safe care of fractures. A two-year prospective study revealed a marked reduction in amputations, from 49 to 25, with only seven rather than 25 being required for gangrene. We found that it is possible to educate traditional healers so that fewer gangrenous limbs require to be amputated.
Impingement around the hip: beyond cam and pincer
Authors: Bech Niels Hendrik , Haverkamp Daniel 
Published: February 2018

In this review, we bring to the attention of the reader three relatively unknown types of hip impingement. We explain the concept of low anterior inferior iliac spine (AIIS) impingement, also known as sub-spine impingement, ischio-femoral impingement (IFI) and pelvi-trochanteric impingement. For each type of impingement, we performed a search of relevant literature. We searched the PubMed, Medline (Ovid) and Embase databases from 1960 to March 2016. For each different type of impingement, a different search strategy was conducted. In total, 19 studies were included and described. No data analysis was performed since there was not much comparable data between studies. An overview of symptoms, clinical tests and possible surgical treatment options for the three different types of extra-articular impingement is provided. Several disorders around the hip can cause similar complaints. Therefore, we plead for a standardized classification. In young and athletic patients, in particular, there is much to gain if hip impingement is diagnosed early. Cite this article: EFORT Open Rev 2018;3:30-38. DOI: 10.1302/2058-5241.3.160068
An overview of education in national socialist period in Germany<p>Almanya’da nasyonal sosyalizm döneminde eğitime genel bir bakış
Authors: Karasoy Murad 
Published: February 2018

The National Socialist German Workers’ Party (Nationalsozialistische Deutsche Arbeiterpartei) came into power with democratic procedures between the years of 1933-1945, shaped the educational system in the framework of fascist ideology. In that period, because the schools were regarded as the main venues of creating a German Nationalist Society, the physical structure of schools, curricula, teachers’ education, management and supervision of educational tools and equipment were designed pursuant to the Nazi ideology. Germany has prominently separated from the countries of France, England and Turkey which shape their education system with democratic ideals with coming Hitler into power. The purpose of this study is to investigate the educational system during National Socialism in Germany. In the light of the literature survey conducted for this purpose, it has been revealed how National Socialist German Workers’ Party, primarily Hitler as the leader of the party and the Nazi ideologues, organize pre-school education, primary education and secondary schools according to the Nazi ideology to establish a German Nationalist Society. This period could be a stunning example to show how the education system is structured in the framework of a definite ideology. This study, which examines the education system without anachronism, is thought to provide important contributions to the educational sciences literature.Extended English summary is in the end of Full Text PDF (TURKISH) file. Özet1933-1945 yılları arasında, demokratik yollarda iktidara gelen Nasyonal Sosyalist Alman İşçi Partisi, eğitim sistemini faşist ideoloji çerçevesinde biçimlendirmiştir. Bu dönemde eğitim kurumları, nasyonalist Alman toplumu oluşturmanın ana mekânları olarak kabul edilerek okulların fiziksel yapısı, müfredat programları, öğretmen eğitimi, eğitim araç-gereçleri, yönetimi ve denetimi Nazi ideolojisine göre dizayn edilmiştir. Almanya, Hitler’in iktidara gelmesi ile beraber Fransa, İngiltere ve Türkiye gibi eğitim-öğretimini demokratik idealler doğrultusunda şekillendiren devletlerden belirgin bir şekilde ayrılmaya başlamıştır. Bu çalışmanın amacı, Almanya’da Nasyonal sosyalizm döneminde eğitim sisteminin incelenmesidir. Bu amaçla yapılan literatür taraması ışığında Nasyonal Sosyalist İşçi Partisi ve başta bu partinin lideri Hitler ile Nazi ideologlarının, nasyonal sosyalist Alman toplumunun inşa edilmesinde okul öncesi eğitim, ilköğretim, ortaöğretim ve yükseköğretim kademelerinin Nazi ideolojisi çerçevesinde nasıl biçimlendirildiği ortaya konulmuştur. Okulların belli bir ideoloji etrafında yapılandırılmasına çarpıcı bir örnek oluşturan bu dönemde eğitim sisteminin anakronizme düşülmeden irdelendiği bu çalışmanın, eğitim bilimleri literatürüne önemli katkılar sağlayacağı düşünülmektedir.
Identification of water conservative tree species with high economic value around “Sendang Kalimah Toyyibah”
Authors: Wiryani Erry , Anggoro Sutrisno , Mulyani Sri 
Published: February 2018

Spring conservation require serious concern on the economic advantages for the society. Without economic advantages achieved from the conservation activities, the conservation programme should face intense conflict of land utilization. Plantation of economically valuable conservative plant species is one of the proposed solution to overcome the problem. This research aimed to identify the economic value of conservative plant species found in “Sendang Kalimah Toyyibah” surrounding. Research was conducted through field observation involving 4 line transects and 4 square transects at each line with transect size of 20 m x 20 m. Plant identification was conducted for tree strata. Data analysis was including diversity, evenness and importance index of respective plants. Economic valuation was conducted through literature study. The result showed there were 28 plants species availabile in “Sendang Kalimah Toyyibah” surrounding. Among the plant species 22 of the had been identified to provide conservative function, while 6 of them weren’t including Banana, Papaya, Melinjo, Pangi, Longan and Stink Bean. Instead of providing conservative function, most plants also provide economic advantages including wood, fruit, flower, bud, leaf, fibre, sugar, peel and bean products while only 3 of them were not identified including Banyan, Manila Tamarind and Amboyna Wood. Plantation of economically valuable conservative plant species is recommended to support the conservation of the spring as well as to provide economic advantage for the society. Keywords: conservation, economic, plant, “Sendang Kalimah Toyyibah”, spring
Distribusi dan Keanekaragaman Zooplankton di Waduk Jatibarang Kodya Semarang
Authors: Hariyati Riche 
Published: February 2018

Jatibarang Reservoir is a dam built in Talun Kacang village, Kandri, Gunung Pati, Semarang t with the aim of Water Resources Management and flood control in Semarang City. The presence of Zooplankton in a waters has a close relationship with water quality and its interaction in the environment.The research aimed to find out the distribution and diversity of Zooplankton species in Jatibarang reservoir waters. The method used is Purposive Random Sampling method by dividing the sampling point into 4 research stations, namely Dermaga zone, middle zone, inlet zone, and outlet zone. From the result of this research, we get the type of zooplankton Brachionus sp., Cylops sp., Collotecha sp., Conochilus sp., Daphnia sp., Harringia sp., Rotaria sp., Keratella sp. and species from the Asphlanchnidae (Asphlanchinii) and Trichotriidae Family. The species diversity in Jatibarang reservoirs in each zone is low with abundance between 30-80 ind / L and the equalization and dominance of each low species. The dominant species is Brachionus sp. and Cyclops sp. Water quality measurement results show the waters of Jatibarang reservoir is good for the life of aquatic biota Keywords: Zooplankton, Jatibarang Reservoir, Diversity.
HUBUNGAN TEKSTUR SEDIMEN DENGAN KANDUNGAN BAHAN ORGANIK DAN KELIMPAHAN MAKROZOOBENTHOS DI MUARA SUNGAI BANJIR KANAL TIMUR SEMARANG The Relation of Sediment Texture to Organic Matter and Macrozoobenthos Abundance in the Estuarine of Banjir Kanal Timur River
Authors: Putri Angelia Maharani Setya , Suryanti Suryanti , Widyorini Niniek 
Published: February 2018

ABSTRAK Tekstur sedimen terdiri atas fraksi pasir (sand), lumpur (silt), dan liat (clay). Sedimen atau substrat dasar yang terus menerus menumpuk serta adanya bawaan nutrien dari mahluk hidup maupun limbah akan membentuk kandungan bahan organik. Kandungan nutrien digunakan oleh makrozoobenthos sebagai salah satu kebutuhan pakan untuk kelangsungan hidup makrozoobenthos. Selain itu, makrozoobenthos ditemukan hidup dalam sedimen. Jenis tekstur sedimen serta kandungan fraksi mempengaruhi kelimpahan makrozoobenthos itu sendiri. Tujuan dari penelitian ini adalah untuk mengetahui jenis tekstur sedimen, kandungan bahan organik, kelimpahan makrozoobenthos, dan hubungan ketiga variabel. Penelitian ini menggunakan metode deskriptif. Jenis tekstur pada setiap stasiun didominasi oleh lempung. Jenis makrozoobenthos yang didapatkan berasal dari famili Ciratulidae, Nephtydae, Nereidae, Tubificidae dan Arcidae. Berdasarkan hasil penelitian dapat disimpulkan bahwa hubungan antara ketiga variabel yang diamati adalah semakin besar persentase lempung, maka diikuti pula oleh kandungan bahan organik dan melimpahnya makrozoobenthos. Kata kunci: Tekstur Sedimen; Bahan Organik; Makrozoobenthos ABSTRACT Sediment Texture consists of sand, silt, and clay. Sediment cumullation and transport nutrient from organisms and domestic waste will make organic matter. Nutrient was used by macrozoobenthos as feeding is needed to survive. Moreover, macrozoobenthos was found in sediment itself. Sediment texture and fraction contain were influencing the abundance of macrozoobenthos.This research was aimed to know kinds of sediment texture, organic matter contain, the abundance of macrozoobenthos, the relationship among sediment fractions with organic matter and macrozoobenthos in the estuary of Banjir Kanal Timur Semarang. This research was using descriptive method. Texture sediment in every station was dominated by loam. Kinds of macrozoobenthos was found from Famili Ciratulidae, Nephtydae, Nereidae, Tubificidae, and Arcidae. Based on research, It was concluded that the relationship between three variables was when the percentage of loam was increasing, then organic matter contain was also increasing, and macroozobenthos overflow. Keywords: Sediment Texture; Organic Matter; Macrozoobenthos