bluuebunny/crossref_metadata_2025_split huggingface dataset:
Cost-effectiveness of minimally invasive midline lumbar interbody fusion versus traditional open transforaminal lumbar interbody fusion
Authors: Djurasovic Mladen , Gum Jeffrey L. , Crawford Charles H. , Owens Kirk , Brown Morgan , Steele Portia , Glassman Steven D. , Carreon Leah Y. 
Published: September 2019

OBJECTIVEThe midline transforaminal lumbar interbody fusion (MIDLIF) using cortical screw fixation is a novel, minimally invasive procedure that may offer enhanced recovery over traditional open transforaminal lumbar interbody fusion (TLIF). Little information is available regarding the comparative cost-effectiveness of the MIDLIF over conventional TLIF. The purpose of this study was to compare cost-effectiveness of minimally invasive MIDLIF with open TLIF.METHODSFrom a prospective, multisurgeon, surgical database, a consecutive series of patients undergoing 1- or 2-level MIDLIF for degenerative lumbar conditions was identified and propensity matched to patients undergoing TLIF based on age, sex, smoking status, BMI, diagnosis, American Society of Anesthesiologists Physical Status Classification System (ASA) class, and levels fused. Direct costs at 1 year were collected, including costs associated with the index surgical visit as well as costs associated with readmission. Improvement in health-related quality of life was measured using EQ-5D and SF-6D.RESULTSOf 214 and 181 patients undergoing MIDLIF and TLIF, respectively, 33 cases in each cohort were successfully propensity matched. Consistent with propensity matching, there was no difference in age, sex, BMI, diagnosis, ASA class, smoking status, or levels fused. Spondylolisthesis was the most common indication for surgery in both cohorts. Variable direct costs at 1 year were $2493 lower in the MIDLIF group than in the open TLIF group (mean $15,867 vs $17,612, p = 0.073). There was no difference in implant (p = 0.193) or biologics (p = 0.145) cost, but blood utilization (p = 0.015), operating room supplies (p < 0.001), hospital room and board (p < 0.001), pharmacy (p = 0.010), laboratory (p = 0.004), and physical therapy (p = 0.009) costs were all significantly lower in the MIDLIF group. Additionally, the mean length of stay was decreased for MIDLIF as well (3.21 vs 4.02 days, p = 0.05). The EQ-5D gain at 1 year was 0.156 for MIDLIF and 0.141 for open TLIF (p = 0.821). The SF-6D gain at 1 year was 0.071 for MIDLIF and 0.057 for open TLIF (p = 0.551).CONCLUSIONSCompared with patients undergoing traditional open TLIF, those undergoing MIDLIF have similar 1-year gains in health-related quality of life, with total direct costs that are $2493 lower. Although the findings were not statistically significant, minimally invasive MIDLIF showed improved cost-effectiveness at 1 year compared with open TLIF.
Prediction of bridge deck condition rating based on artificial neural networks
Authors: Nguyen Tu Trung , Dinh Kien 
Published: September 2019

An accurate prediction of the future condition of structural components is essential for planning the maintenance, repair, and rehabilitation of bridges. As such, this paper presents an application of Artificial Neural Networks (ANN) to predict future deck condition for highway bridges in the State of Alabama, the United States. A library of 2572 bridges was extracted from the National Bridge Inventory (NBI) database and used for training, validation, and testing the ANN model, which had eight input parameters and one output being the deck rating. Specifically, the eight input parameters are Current Bridge Age, Average Daily Traffic, Design Load, Main Structure Design, Approach Span Design, Number of main Span, Percent of Daily Truck Traffic, and Average Daily Traffic Growth Rate. The results indicated the obtained ANN model can predict the condition rating of the bridge deck with an accuracy of 73.6%. If a margin error of ±1 was used, the accuracy of the proposed model reached a much higher value of 98.5%. Besides, a sensitivity analysis was conducted for individual input parameters revealed that Current Bridge Age was the most important predicting parameter of bridge deck rating. It was followed by the Design Load and Main Structure Design. The other input parameters were found to have neglectable effects on the ANN’s performance. Finally, it was shown that the obtained ANN can be used to develop the deterioration curve of the bridge deck, which helps visualize the condition rating of a deck, and accordingly the maintenance need, during its remaining service life.
Keywords:
condition rating; bridge deck; deterioration curve; artificial neural networks; sensitivity analysis.
Effects of vertical seismic actions on the responses of single-storey industrial steel building frames
Authors: Thuat Dinh Van , Hoa Nguyen Dinh , Chuong Ho Viet , Hung Truong Viet 
Published: September 2019

Single-storey industrial steel frames with crances are considered as being vertically irregular in structural configuration and load distribution under strong earthquake excitations. In this paper, various analytical frames with their spans of 20, 26, 32 and 38 m and locations built in Ha Noi and Son La regions were designed to resist dead, roof live, crane and wind loads. The equivalent horizontal and vertical static earthquake loads applied on the frames were determined. Next, by using linear elastic analyses of structures, the effects of vertical seismic actions on the responses of the frames were evaluated in terms of the ratios K1 and K2 at the bottom and top of the columns corresponding to different combinations of dead loads and static earthquake loads, as denoted by CE1, CE2 and CE3. The effects of seismic actions compared with those of wind actions were also evaluated in terms of the ratios K3 and K4. As a result, the effects of vertical seismic actions were significant and increased with the span lengths of the frames. In addition, by using nonlinear inelastic analyses of structures, the levels of the static earthquake loads were determined corresponding to the first yielding and maximum resistances of the frames.
Keywords:
single-storey industrial buildings; steel frames; span lengths; irregularity; vertical seismic actions; earthquake levels; wind loads
An advanced practice physiotherapy clinic in paediatric orthopaedics: A cost minimisation analysis
Authors: Ó Mír Marie , Rokicki Slawa , Lennon Olive , O’ Toole Patrick O. , Desmeules François , O’Sullivan Cliona 
Published: September 2019

PURPOSE: Advanced Practice Physiotherapy (APP) in paediatric orthopaedics is an effective adjunct to traditional consultant-led clinics, improving patient access to outpatient services, and reducing both waiting lists and times. However there has been no published economic evaluation of a paediatric orthopaedic APP service. This study performs a cost analysis, utilising a cost minimisation approach, comparing an APP Clinic in Paediatric Orthopaedics with usual care, from a health care perspective. METHODS: Data on all patients managed by the APP clinic for one calendar year were collected and outcomes and associated costs were calculated, including follow-up care. These costs were compared to the estimated costs of the usual care pathway, an Orthopaedic Consultant Elective Clinic (OCEC) and incremental savings per patient was calculated. RESULTS: A total of 534 patients attended the APP clinic for initial assessment during the calendar year 2017. The unit cost of a new appintment with the APP clinic is € 32.46 in comparison with € 56.98 for a new appointment in the OCEC. Our results demonstrate an incremental per patient saving of € 24.51 in favour of the APP clinic. Sensitivity analysis demonstrates that the cost savings obtained hold consistent in all cases, varying from € 23.13 to € 29.67 per patient in favour of the APP clinic pathway. This represents a cost saving of 43% for the APP Pathway over that of usual care. CONCLUSION(S): This is the first study to perform an economic analysis of the APP role in paediatric orthopaedics and demonstrates that an APP clinic for non-complex paediatric orthopaedic patients is substantially less costly than usual care.
Leaning in and speaking up? Students’ perceptions of female leadership in healthcare
Authors: McGowan Emer , Stokes Emma 
Published: September 2019

BACKGROUND: Despite some progress in recent years, leadership in healthcare is still dominated by men. While women make up the majority of the health care workforce, the gender percentages of leadership positions remain skewed towards men and many health organisations neglect the issue of gender equality in their leadership. PURPOSE: To explore female healthcare students’ perceptions and experiences of leadership in healthcare. METHOD: A focus group was conducted with a purposive sample of 7 students from a range of health sciences courses (physiotherapy, occupational therapy, pharmacy and dentistry). The focus group data were analysed using inductive thematic analysis. RESULTS: Four major themes were found in the analysis of the focus group data: leader attributes, gender differences, leadership barriers and leadership facilitators. The participants identified three main categories of barriers to women attaining leadership positions in the health system: intrinsic, societal and structural. Modelling, family experiences, leadership training and gender quotas were discussed as potential facilitators of female leadership. CONCLUSIONS: The participants in this study demonstrated awareness of potential issues and challenges that can face female healthcare professionals as they pursue leadership positions. However, to date, the participants had completed very little formal leadership training. Leadership development programmes that incorporate gender diversity issues should be introduced during entry-to-practice degree courses to address issues of implicit bias and try to increase the proportion of women in leadership positions in the healthcare sector.
Study of fetal malnutrition in full-term small for gestational age babies
Authors: Yelam Bapu , Merchant Saira , Yelam Jiji , Meshram Rajkumar , Tumram Nilesh 
Published: September 2019

Introduction: Fetal malnutrition (FM) is a risk factor for increased neonatal morbidities and mortalities worldwide. Clinician’s comes across the challenge to identify small for gestational age (SGA) babies whose health is endangered in utero due to a hostile intrauterine environment and to monitor and intervene appropriately. Objectives: This prospective observational study aimed to know the prevalence of FM and to study the occurrence of adverse perinatal events in term SGA babies. Materials and Methods: The studyenrolled 903 term SGA neonates. Clinical assessment of nutrition (CAN) score was applied and anthropometric evaluation was carried out between 24 and 48 h of birth. Babies with adverse perinatal events were treated according to standard hospital protocol. Results: The prevalence of FM in the present study was 34.21% in term SGA babies. All anthropometric parameters such as birth weight, length, head circumference (HC), and ponderal index (PI) were significantly lower in SGA babies with FM as compared to those without FM. There was significantly higher occurrence of FM in SGA babies. Risk of FM was 3.17 times higher in SGA babies with length <3rd centile and risk 2.07 times higher when HC was <3rd centile. The risk of FM was 4.27 times higher when PI <2.2. When PI was compared to CAN score for FM, it had low sensitivity and specificity. Conclusion: CAN score is the better index for the detection of FM and for predicting high risk of perinatal morbidity in term SGA babies. Our study demonstrates that predicting malnutrition is more meaningful than birth weight alone.
Hehkulampuilla vihollista vastaan
Authors: Vilén Timo 
Published: September 2019

Ensimmäiseen maailmansotaan kulminoitunut ja sen jälkeen kiivaana jatkunut sotateknologinen kehitys pakotti armeijat kaikkialla maailmassa kiinnittämään huomiota paitsi joukkojen, myös kaupunkien ja teollisuuslaitosten naamiointiin. Tehtaita ja voimalaitoksia ei tietenkään voitu taikoa näkymättömiksi, mutta hyödyntämällä erilaisia naamioimiskeinoja sekä säännöstelemällä valaistusta, voitiin sotatalouden kannalta tärkeät kohteet saada sulautumaan paremmin ympäristöönsä – ja näin tehden vaikeuttaa niiden pommittamista.
Artikkelin aiheena on jatkosodan aikana kuuluisuuteen nousseen Alvar Wilskan ”loistava keksintö”: Wilska-valoiksi kutsuttu suojavalaistusjärjestelmä, joka tarjosi Suomen oloihin soveltuneen ja kansainvälisestikin kiinnostavan ratkaisun kokonaisten teollisuusalueiden naamioimiseksi. Yönäkemisen fysiologiaan perustunut järjestelmä vakuutti sodanjohdon hyödyllisyydestään ja asennettiin loppuvuodesta 1943 suojaamaan Suomen Ruhriksikin kutsuttua Vuoksenlaakson aluetta.
Artikkelissa suojavalaistusjärjestelmä sidotaan kontekstiinsa, samalla kun pyritään arvioimaan armeijaa ja teollisuutta yhdistäneen naamioimisprojektin tyypillisyyttä. Artikkelista käy ilmi, että raja-aidat tutkijoiden, insinöörien ja upseerien välillä olivat – ainakin tässä tapauksessa – verrattain matalat ja että epäkonventionaalisimpiinkin ideoihin tartuttiin sodan ja resurssipulan johdosta hanakasti. Oman lukunsa artikkelissa saavat myös suojavalaistuksen Saksaan myyntiä koskeneet neuvottelut, joissa suomalaiset saivat poikkeuksellisesti esiintyä merkittävänä pidetyn sotateknologian myyjinä.
DAMPAK PENURUNAN HARGA KELAPA SAWIT TERHADAP KESEJAHTERAAN PETANI DESA TITIAN RESAK KECAMATAN SEBERIDA KABUPATEN INDRAGIRI HULU
Authors: Suwaji Suwaji , Hermanto Hermanto 
Published: September 2019

Penelitian ini dilaksanakan di Desa Titian Resak Kecamatan Seberida Kabupaten Indragiri Hulu Provinsi Riau. Tujuan penelitian ini adalah untuk mengetahui pengaruh Harga Kelapa Sawit terhadap Kesejahteraan Masyarakat Desa Titian Resak. Data yang penulis gunakan adalah data primer dan sekunder. Untuk mendeskripsikan atau melihat gambaran terhadap obyek penelitian menggunakan Analisis statistik deskriptif. Analisis harga kelapa sawit dilakukan dengan menggunakan informasi harga Tandan Buah Segar (TBS) yang berlaku secara umum di Provinsi Riau dari bulan Mei 2018 sampai dengan bulan Mei 2019 (15 bulan) kemudian harga TBS selama 15 bulan tersebut dilihat tren dari pertumbuhannya. Tingkat kesejahteraan petani di ukur dengan berdasarkan hasil kuisioner yang menggunakan indikator; pendapatan keluarga, akses terhadap fasislitas kesehatan dan pentingya pendidikan. Untuk mengetahui hubungan dan pengaruh variabel bebas (harga) terhadap variabel terikat (Kesejahteraan) dilakukan pengujian Hipotesis dengan menggunakan analisis statistik dengan alat bantu progam IBM SPSS Versi 21.0. Hasil analisis terhadap harga TBS kelapa sawit menunjukkan tren yang cenderung menurun, dan sampai bulan Mei 2019 belum menunjukkan kenaikan yang signifikan menuju kearah harga normal. Hasil analisis tingkat kesejahteraan terhadap sampel rumah tangga petani anggota berdasarkan 3 (tiga) indikator kesejahteraa, dari semua butir pertanyaan menunjukkan nilai perhitungan total sama dengan 15,93, dari hasil tersebut itu diperoleh rata-rata 3,98, memberikan indikasi bahwa rumah tangga petani Kelapa Sawit di Desa Titian Resak termasuk kedalam kategori sejahtera. Hasil Analisis statistik menunjukkan koefisien korelasi (R) yaitu 0,400, hal ini menunjukkan ada hubungan antara variabel independent (harga) terhadap variabel dependent (kesejahteraan), sedangkan untuk Koefisien Regresi menunjukkan Y = 7,105+ 0,295X, artinya ada pengaruh yang positif antara Harga Kelapa Sawit terhadap Kesejahteraan Petani, semakin tinggi harga TBS semakins sejahtera petani dan sebaliknya, maka dari hasil ini bisa disimpulkan bahwa penurunan harga kelapa sawit memberikan dampak yang negatif (menurunkan tingkat kesejahteraan) bagi petani di Desa Titian Resak.
Processus d’acculturation dans le domaine paralittéraire. De l'Amerique vers la France
Authors: Raabe Juliette 
Published: September 2019

The acculturation process in the field of paraliterary publishing.
Cultural transfers from the United States to France have been of particular importance in the field of contemporary paraliterary publishing. These transfers correspond to a variety of models : sometimes American titles are introduced in order to enrich a genre that already exists in France (science fiction) ; sometimes North American lines are brought over intact (Harlequin) ; sometimes books taken from various sources are brought together in a single French "collection", which -with the contribution of French writers- gives birth to a new genre (Série Noire) ; sometimes adaptations of American publications will rekindle interest in traditional forms of French writing (Gore). In every case editorial remodelling (involving abridgement and often rewriting) is extensive and constitutes a form of acculturation.
L'"invisibilité" des travailleurs de la terre au Colorado
Authors: Montel Adeline 
Published: September 2019

The “Invisibility” of Migrant Farmworkers in Colorado
“Discovered” in the 70’ s as part of the Other America, agricultural workers, and in particular migratory agricultural workers, became the focus of public and government attention. As elsewhere in the United States, a number of organizations and agencies were created to implement programs designed to alleviate the many problems which beset them. In spite of services provided, living and working conditions have not considerably changed, and migrants have moved from high visibility to “invisibility” again. Based on field work, the present essay seeks to analyze the different components of this phenomenon.
C'est à quel sujet ?
Authors: Silhol Robert 
Published: September 2019

What’s “it” all about ?
To impart a particular meaning to a text naturally implies the knowledge of a code (collective by definition), but also a personal response. This response can be considered as partly incorporating the reader's relation to the world, a world from which it cannot accept to be separated. This impossibility of accepting separation -on which however the coming into existence of a “subject” is founded -constitutes one of the interests of psychoanalysis, which also tries to analyse the content of the representations produced by each individual in his or her attempt to face the “void”. Literary anthropology would like to show how each subject, individual or collective, constructs its own meaning.
Wallace Stevens : un ordre abstrait de la traduction
Authors: Savinel Christine 
Published: September 2019

Wallace Stevens : l’ordre abstrait de la traduction
Se présentant comme un monde “déjà traduit”, l’univers poétique de Wallace Stevens constitue un défi particulier pour le traducteur. Cet article se propose, à travers, entre autres, deux exemples spécifiques (A Dish of Peaches in Russia et The Plain Sense of Things), d’en repérer les modalités, et de proposer quelques solutions. Il s’agit de traduire la simplicité en recreusant la transparence de l’idiome stevensien. Le traducteur français doit en outre trouver les signes analogiques pour transposer l’altérité des emprunts français. Enfin il faudrait parvenir à recréer un effet d’ordre abstrait, à traduire le chiffre de l’abstraction stevensienne.
Novel Images : From Book to Film
Authors: Pattinson Julie 
Published: September 2019

Novel Images : Le passage du livre au film
Cet article a d'abord comme propos de présenter le problème posé par V adaptation filmique de romans. Deux aspects sont à prendre en compte : celui des valeurs artistiques respectives, et celui de l'interaction commerciale. Des adaptations “classiques” des romans britanniques sont citées, films mettant en évidence certains thèmes (conflits de sexe, de classe) qui reflètent des préoccupations toujours actuelles.
Le film que nous avons choisi d'étudier (Damage, l'adaptation en 1992 par Louis Malle du roman de Josephine Hart) démontre le processus commercial d’adaptation (‘ tie-in ’) et traite de thèmes sociologiques contemporains.
L’adaptation constitue-t-elle un processus de traduction ? Une analyse détaillée permet de repérer une différence d’approche entre cinéaste et romancier. Ainsi, le roman et son adaptation cinématographique pourraient être considérés comme deux œuvres distinctes, deux visions du monde.
Les apports de Wendy Halff à la didactique de l’oral (commentaire de l'article de Wendy Halff qui précède)
Authors: Bailly Danielle 
Published: September 2019

New dimensions in the didactics of oral English : the contribution of Wendy Halff
This study reexamines leading pedagogical issues presented in one of the last articles of the late Ms. Wendy Halff, a recognized researcher in the field of didactics. We intend to comment and analyse these topics that include teaching practices based on language awareness, conceptualizing the target language as an organized, coherent system of signs, acknowledging short-and long-term objectives, and accounting for the obstacles inherent in second language learning by a French speaker, while considering requisites for teaching efficiency. Similarly we will attempt to set forth and comment on Ms. Halff s underlying psycholinguistic themes, such as her treatment of some typical phono-graphematic errors in relation to the learner's cognitive processing, and her interpretation of problem solving strategies in the learner's interlanguage as a whole.
Images burlesques du Barrio à Mexico
Authors: Olivier Florence 
Published: September 2019

Burlesque Images of the Barrio in Juan Villoro’s El disparo de argon and Carlos Fuentes's Cristobal Nonato.
In these two different novels the two writers present a caricatured image of the barrio. San Lorenzo, where the plot of El disparo de argon unfolds, is emblematic of Mexico City as a whole and, beyond that, of Mexico itself Thus the barrio becomes the stage for commercial life, violence, delinquency, education, entertainment, everyday dramas, and a detective story, all set in a neighborhood whose toponymy is meaningful and where nature and culture are symbolically superimposed. In Cristobal Nonato, Mexico City at the end of the 20th century, a monstrous megalopolis, is but the setting of a baroque novel that features a Mexican apocalypse by means of allegory and parody.
Deux réponses à une même question : histoire comparée des modèles constitutionnels britannique et français
Authors: Constantin Jean-Paul 
Published: September 2019

Two answers to the same question : compared history of the British and French constitutionnal practices.
After having followed much the same course as all other European countries in feudal times, France and England began to distinguish themselves from the rest of Europe and from each other in the XVth century. England has experienced a continuous and pragmatic evolution largely influenced by the direct and indirect consequences of the Protestant Reformation. Over the years, the source of political sovereignty and legitimacy has shifted from the Crown to Parliament, and then, Parliament has gradually founded its own legitimacy on universal suffrage. In the meantime, the situation in France has long been marked by the triumph of absolute monarchy. Sudden, radical change was brought by the French Revolution and the search for an ideal form of government embodied in the adoption of sixteen successive written constitutions since 1791.