bluuebunny/crossref_metadata_2025_split huggingface dataset:
Open Reduction and Internal Fixation of Acetabular Fractures Using the Modified Stoppa Approach
Authors: Tannast Moritz , Keel Marius J. B. , Siebenrock Klaus-Arno , Bastian Johannes D. 
Published: January 2019

Background:
The modified Stoppa approach is performed for safe and efficient management of acetabular fractures involving the anterior column. This approach avoids dissection of the inguinal canal, the femoral nerve, and the external iliac vessels as seen in the “second window” of the ilioinguinal approach and has thus been shown to be less invasive than the ilioinguinal approach
1
. As an intrapelvic approach, it facilitates the management of medial displacement fracture patterns involving the quadrilateral plate and dome impaction that typically occur in the elderly
2,3
. The reduced morbidity of this approach is of particular relevance for elderly patients who must respond to the stresses of injury and surgery with diminished physiological reserves.

Description:
The specific surgical steps include preoperative planning, patient positioning and setup, a Pfannenstiel incision, superficial and deep dissection, development of the Retzius space and retraction of the bladder, exposure of the superior pubic ramus and iliopectineal eminence, dissection and ligation of a potential corona mortis, exposure of the obturator nerve and vessels, subperiosteal preparation of the pubic ramus with retraction of the external iliac vessels, subperiosteal exposure of the quadrilateral plate with detachment of the internal obturator muscle and exposure of the posterior column, assessment of residual displacement by fluoroscopic views, longitudinal soft-tissue or lateral skeletal traction (optional) for reduction of medial displacement of the femoral head, disimpaction of the acetabular dome fragment and grafting of the supra-acetabular void (optional) under fluoroscopic and arthroscopic (optional) control, and reduction and fixation of extra-articular components (iliac wing posteriorly and pubic ramus anteriorly), the posterior column (infra-acetabular screw), and the quadrilateral plate (buttress plate). Before wound closure, the urine output is checked for occurrence of hematuria, an indication of bladder penetration. The anterior lamina of the rectus sheath is then sutured, and a layered closure performed.

Alternatives:
The ilioinguinal approach might be used instead.

Rationale:
The modified Stoppa approach avoids dissection within the inguinal canal, the second window of the ilioinguinal approach. Therefore, this approach is less invasive and might be an alternative for joint-preserving surgery, especially in the elderly.
Surgical Hip Dislocation for Exposure of the Posterior Column
Authors: Siebenrock Klaus-Arno , Keel Marius J.B. , Tannast Moritz , Bastian Johannes D. 
Published: January 2019

Background:
Surgical hip dislocation is performed for safe and efficient management of acetabular fractures predominantly involving the posterior column. The dislocation of the femoral head allows for direct visualization of the hip joint during fracture treatment.

Description:
The patient is placed in the lateral decubitus position with sterile preparation and draping of the ipsilateral leg to allow for dislocation. The skin incision is straight and centered over the greater trochanter. After the skin incision, the interval between the gluteus maximus and medius muscles is developed. The sciatic nerve is identified, and special attention to the course of the medial circumflex femoral artery is given during dissection of the piriformis and triceps coxae muscles (obturator internus and superior and inferior gemelli muscles). The latter are incised 2 cm posterior to their insertion on the posterior aspect of the greater trochanter. The vastus lateralis muscle belly is elevated from the lateral femoral shaft, and a trochanteric osteotomy is performed. The trochanteric medallion is rotated 90°, and the gluteus minimus muscle is released from the capsule. After complete exposure of the hip capsule, a z-shaped capsulotomy is performed whereby any injury to the posterior capsular attachments of a posterior wall fragment is avoided. The posterior column and the greater and lesser sciatic notches are exposed, with the sciatic nerve under protection. The femoral head is dislocated either anteriorly or posteriorly to obtain direct visualization of the hip. Reduction begins at the articular surface, in cases of marginal impaction, and proceeds to the posterior wall and/or posterior column and the anterior column, when involved. For fixation, 3.5-mm cortical screws acting as positioning or lag screws and reconstruction plates are used. The capsule is sutured, the trochanteric fragment is reduced anatomically and stabilized with two 3.5-mm cortical screws, the piriformis and triceps coxae muscles are sutured, and a layered closure is performed.

Alternatives:
The Kocher-Langenbeck approach might be used instead.

Rationale:
Surgical hip dislocation facilitates assessment of cartilage damage at the acetabulum, marginal impaction, labral tears and femoral head lesions, removal or reinsertion of free intra-articular fracture fragments, direct visualization of the accuracy of reduction, and verification of extra-articular screw placement.
Comparison of Postoperative Visual Performance Between Bifocal and Trifocal Intraocular Lens Based on Randomized Controlled Trails: A Meta-Analysis
Authors: Jin Shanshan , Friedman David S. , Cao MM Kai , Yusufu MA Mayinuer , Zhang MM Jingshang , Wang Jinda , Hou MM Simeng , Zhu MB Guyu , Wang Bingsong , Xiong Ying , Li Jing , Li Xiaoxia , He MB Hailong , Wan Xiu Hua 
Published: January 2019

Abstract
Background：To compare the clinical performance of bifocal and trifocal intraocular lenses (IOLs) in cataract surgery, a meta-analysis on randomized controlled trials was conducted.
Methods: A comprehensive literature retrieval of PubMed, Science Direct and EMBASE was performed in this systematic review. Clinical outcomes included visual acuity (VA), contrast sensitivity (CS), spectacle independence, postoperative refraction and surgical satisfaction.
Results: There were 8 RCTs included in this study. The difference of uncorrected near VA (UNVA) between the bifocal IOLs and trifocal IOLs had no clinical significance [MD=-0.01, 95%CI: (-0.02,0.00), p=0.97]. There was no difference for the distant-corrected near VA (DCNVA) with MD of 0.01[95%CI (-0.02, 0.05), p=0.86]. Compared with trifocal group, bifocal group showed a significantly worse uncorrected intermediate visual acuity (UIVA) [MD=0.09,95%CI:(0.01,0.17), p＜0.01]. No difference was found in distance-corrected intermediate VA(DCIVA) [MD= 0.09, 95%CI: (-0.04, 0.23) , p＜0.01] between two groups. For the AT LISA group, the subgroup analysis also indicated the bifocal group had worse intermediate VA than trifocal group (AT LISA tri 839M) [MD= 0.18, 95%CI: (0.12, 0.24), p=0.35 for UIVA and MD= 0.19, 95%CI: (0.13, 0.25), p=0.21 for DCIVA]. However, there was no statistically significant difference between the two groups in the uncorrected distance VA(UDVA) and corrected distance visual acuity (CDVA) [MD=0.01, 95%CI: (-0.01,0.04), p=0.51 for UDVA; MD=0.00, 95%CI: (-0.01,0.01), p=0.94 for CDVA].
The postoperative refraction of bifocal group was similar to that of trifocal group [MD=-0.08, 95% CI: (-0.19, 0.03), p=0.51 for spherical equivalent; MD=-0.09, 95%CI: (-0.21, 0.03), p=0.78 for cylinder; MD=-0.09, 95% CI: (-0.27, 0.08), p=0.28 for sphere]. No difference was found for spectacle independence, Posterior capsular opacification (PCO) incidence and patient satisfaction between bifocal IOLs and trifocal IOLs. [RR=0.89, 95% CI: (0.71, 1.12), p=0.69 for spectacle independence; RR=0.81, 95% CI: (0.74, 1.15), p=0.65 for PCO; RR=0.98, 5% CI: (0.86, 1.12), p=0.97 for satisfaction].
Conclusion: Patients receiving trifocal IOLs have a better intermediate VA than bifocal IOLs, especially for the AT LISA subgroup. Near and distance visual performance, spectacle independence, postoperative refraction and surgical satisfaction of bifocal IOLs were similar to those of trifocal IOLs.
A Simple Device for Field and Laboratory Measurements of Soil Air Permeability
Authors: Mohammadi Mohammad Hossein , Vanclooster Marnik 
Published: January 2019

Core Ideas
A simple portable device to measure air permeability in the laboratory and field is designed and developed.
The device measures air permeability values across a large range from approximately 0.1 to 500 μm2.
The cost of design and maintenance is economical.
We designed a simple, robust, accurate and portable air permeameter to measure soil air permeability, Ka, in the laboratory and in the field. The permeameter uses a hand‐made manometer, a graded cylinder to measure air discharge volume and a soil sampler. The device allows the measurement of Ka at several levels of pressure difference, subjected to a laminar air flow regime. To confirm the laminar flow regime and to examine applicability of the device, we measured air permeabilities in laboratory conditions and in situ along a hillslope at a wide range of soil air contents under different pressure gradients. The results confirm that the developed cost efficient and robust device yields reliable measurements of Ka in the laboratory and in the field.
Aşağılık Karmaşasına Hapsolmuş Bir İsim: Ahmet Haşim
Authors: TOPÇU Hayrunisa 
Published: January 2019

Türk edebiyatının önde gelen isimlerinden olan Ahmet Haşim, şair ve nasir
kimliği ile edebiyat araştırmacılarının her dönem ilgisini çekmiştir. Annesinin
yoğun sevgisi ve ilgisi altında geçen çocukluk yılları, İstanbul’a gelip
Galatasaray Lisesi’ne başlamasının ardından yeni bir sosyal çevreye uyum
sağlama sürecinin sancıları, çirkinlik saplantısı, şairin kendisi için olduğu
kadar edebiyat araştırmacıları için de zengin bir malzeme yığını
oluşturmaktadır. Nitekim Haşim’in aile ortamı ve ergenlik yıllarındaki duygusal
zorlanmaları, onun hem yaşamında hem de düzyazı ve şiirlerinde derin izler
bırakmıştır. Bu izlerin tespit edilebilmesi için Viyanalı psikiyatrist Alfred
Adler’in aşağılık karmaşası kavramından yararlanılmıştır. Sözü edilen kavram
aracılığıyla hem sanatçının kişiliğine hem de eserlerine ışık tutulmaya
çalışılmıştır. Aslında her insanda, var olmanın sonucunda ortaya çıkan eksiklik
duygusu; kişinin becerileriyle, yapabildikleriyle bir motivasyon kaynağına
dönüşmezse aşağılık kompleksi halini alır. Kişi, kendisini değersiz ve yetersiz
hisseder. Bu duygudan kurtulabilmek içinse öfke, kibir, hırs, gurur gibi
saldırganca tavırlar geliştirir veya kendisini ayrıcalıklı hissedebilmek için
insanlardan kaçar. Çocukluğunu annesinin koruyucu sevgisi ile babasının
mesafeli tavrı arasında geçiren Haşim aşağılık duygusundan bir türlü
kurtulamaz, çünkü babası tarafından ihmal edilmiş, annesi tarafından ise
abartılı bir sevgi ve ilgiyle büyütülmüştür. Bunun sonucunda kendisini üstün
hissedebilmek için saldırganca davranışlar geliştirmiş ve insanlardan
uzaklaşmıştır. Bu çalışmada, Ahmet Haşim’in hayatından ve eserlerinden
hareketle ondaki aşağılık kompleksinin nedenleri ve görünümleri tespit edilmeye
çalışılmıştır.
İvan Bunin’in Arsenyev’in Yaşamı Adlı Romanında Ölüm Teması
Authors: ÇAĞLIYAN ŞAKAR Kübra 
Published: January 2019

İnsanın varlığını sorgulamaya başlamasıyla beraber ortaya çıkan ölüm (yok
oluş) kavramı edebiyat da dâhil olmak üzere; din, felsefe, sosyoloji,
psikoloji, tıp gibi birçok alanda araştırmacıların ilgi konusu olmuştur.
Bilinmeyene karşı merak, bu konuda daha fazla düşünmeye ve araştırmaya sevk
etmiştir. Hem Türk, hem de dünya edebiyatında bu konu şairlerin ve yazarların
eserlerinde bazen ana tema, bazen de yardımcı tema olarak karşımıza
çıkmaktadır. 1933’te Arsenyev’in Yaşamı adlı eseriyle Nobel Edebiyat Ödülü’nü
alan ilk Rus yazar İvan Alekseyeviç Bunin’in en sevdiği öğeler; aşk ve ölümdür.
Bunin’nin eserlerinde farklı bir anlama bürünen aşk, yerini ya ölüme ya da
sıradanlığa bırakır. Çalışmamızda, eserde kendini çok fazla hissettiren ölüm
teması; ölüm korkusu, yakınlarının kaybından duyulan acı ve aşk acısı olmak
üzere üç alt başlığa ayrılarak detaylı bir şekilde incelenmektedir.
İki Hunza Masalı ile Bazı Keloğlan Masal Varyantlarındaki Benzer Motifler
Authors: BİLİK Nuriye 
Published: January 2019

Halk edebiyatının sözlü türlerinden olan masallar, ait oldukları
toplumların kültürel sembolleridir. Birbirinden farklı kültür ve coğrafyalarda yaşayan
insanoğlunun, tarih boyunca yaptığı göç, savaş ve ticaret amaçlı
yolculuklarında bu edebi türler de kendi ülkelerinin sınırlarını aşarak
karşılaştıkları toplumların sosyal ve kültürel dokularına uyum sağlayarak
farklı kimliklere bürünmüşlerdir. Anadolu’da anlatılan herhangi bir masalın,
fıkranın veya halk hikâyesinin benzeri ile başka ülkelerin edebiyatlarında
karşılaşmak bunu doğrular niteliktedir. Çalışmamızda yer verdiğimiz Hunza halk
masallarının isimsiz karakterleri, Türk masallarının sevilen kahramanlarından
olan Keloğlan’dan başkası değildir. Bu iki Hunza masalındaki karakterler de
bazı Türk masallarında olduğu gibi olumsuz özelliklere sahip Keloğlan’ın
benzerleri olarak karşımıza çıkar. Olumsuz özelliklerin yüklendiği bazı
Keloğlan masallarında; Keloğlan, kötü kalpli, acımasız, hilekâr, kurnaz,
tembel, açgözlü, ahlaksız, tehditkâr bir kişilik sergiler. Hunza masallarındaki
Keloğlan’ın benzeri olan karakterler de kurnazlık, düzenbazlık, hilekârlık,
acımasızlık ve gaddarlıklarıyla kandırdıkları insanların malına mülküne sahip
olup onları ölüme sürüklerler. Çevrelerindeki zavallı, saf, yaşlı ve dürüst
insanlara eziyet etmekten çekinmezler. Hayvanlar bile bu acımasızlıktan
nasibini alır. Yaptıkları her türlü hainlik ve kötülüğe rağmen racalık makamına
kadar yükseldikleri de olur. Kültürler arası ilişkilere dikkat çekmek amacıyla
Badnām Şarīr Bhāī kī Kahānī (Adı Çıkmış Haylaz Kardeşin Hikayesi) ve Bad Kār
Aurat kī Kahānī (Günahkâr Kadının Hikayesi) başlıklı iki Hunza masalı,
Anadolu’daki bazı Keloğlan masallarının benzer metinleri referans verilerek ele
alınmıştır.
Peningkatan Aktivitas dan Hasil Belajar Sejarah Melalui Penerapan Metode Pembelajaran Kooperatif Tipe Talking Stick pada Siswa Kelas X-1 SMA Muhammadiyah 3 Jember
Authors: Rosidi Moh Imron 
Published: January 2019

ClassX-1 at SMAMuhammadiyah 3 Jember less interested join in the lessons of history a look at teaching history took place. To overcome these problems is to use learning methodthat are tailored to the characteristics of students, where the characteristics of the class X-1 at SMA Muhammadiyah 3 Jember less interested in participating in learning history, students are quickly saturated in receiving lessons, students have a weak memory, and students lazy in reading the lessons material. Learning methodin accordance with the conditions of class X-1, especially in the subjects of history is a type of cooperative learning method Talking Stick. The results obtained in this research can be seen from the percentage of learning activities and student learning results. Student learning activities in the pre cycle 61.11%, 70.83% first cycle reached, and the second cycle the percentage of student activity reached 85.76%. Mastery of student learning results in the cognitive aspects of pre cycle 68.75%, affective and psychomotor aspects are not obtained, completeness student learning results at the first cycle 75% cognitive, affective aspects of 78.12%, and psychomotor aspects 75%, while the mastery of learning results second cycle of 87.5% on the cognitive, affective aspects of 90.62%, 87.5% and psychomotor aspects. Based on the above indicates an increase in the percentage of mastery learning activities and learning results among students in the classical precycle, the first cycle and second cycle. Keywords: cooperative learning method, Talking Stick, learning activities,learning results
Menggali Nilai-Nilai dan Hakikat Wanita Dalam Pandangan Ki Hadjar Dewantara
Authors: Kumalasari Dyah 
Published: January 2019

AbstractThis study aims to analyze more about the nature of women in the view of Ki Hadjar Dewantara and what values can be developed in the process of learning in the course of History of Women. This research is designed to use critical historical methods. Critical historical methods include the process of collecting, testing, analyzing the source with criticism both internally and externally, then interpreted and presented in the form of writing history. Four procedures in the process of historical research follow the steps of historical writing as follows: heuristics, verification, interpretation, and historiography. The result of the research explains that Ki Hadjar Dewantara idea and thought is based on cultural and religious background and loaded with eastern values so that it can balance the study of feminism which mostly raises the ideas of women movement from Western concept and is often less culturally appropriate East. That women are naturally different from men both physically and psychologically. However, women still have to get the same rights in education. Women should be forward-thinking and educated in order to properly educate their sons. Women are also not prohibited for a career, but must still adjust to the nature of her femininity. Careers suitable for women according to Ki Hadjar Dewantara is in the field of education, medical, and art. Keywords: values, essence of woman, emancipation, feminism, History of woman
MASYARAKAT SAMIN DITINJAU DARI SEJARAH DAN NILAI-NILAI PENDIDIKAN KARAKTER
Authors: Sri Pinasti V. Indah , Lestari Puji 
Published: January 2019

ABSTRACTThis study aims to (1) to know factors are causing Samin communities remain at the values and traditions, (2) to determine the values and traditions of what is local wisdom Tribe Samin, and (3) to know the values and traditions Samin communities in terms of character education. In this research, the research team used ethnographic research methods. The ethnographic method is a method used to describe things that are associated with Samin community in more depth. The results showed that the teachings of Samin Samin triggered by Surosentiko in 1890 and readily accepted by society Blora. This is because the state of Blora society in the 19th century is very alarming. Besides the natural conditions that are less potentially, also pressure from the colonial government that is characterized by the influx of money economic system, as well as the demands of high taxes. Expropriation of land owned by the people who made teak forests belonging to the state and the influx of Western culture makes Samin communities chose to alienate her from the pressures of life are different from them. Keywords: Historicity, normativity, Samin community, Character Education
THE RELATIONSHIP BETWEEN THE UNDERSTANDING OF INDONESIAN NATIONAL HISTORY, HISTORY LEARNING INTEREST, AND HISTORY AWARENESS AND THE NATIONALISM ATTITUDE.
Authors: Salsabila Cintatia , Aman Aman 
Published: January 2019

ABSTRACTThis study aimed to find out the relationship between the understanding of Indonesian national history, the history learning interest, the relationship between the history awareness and the nationalism attitude. Tests of analysis assumptions consisted of tests of normality, linearity, and multicollinearity. The hypotheses were tested using Pearson’s product moment correlation and multiple correlation with relative and effective contributions. The results of the study show that: (1) there is a significant positive relationship between the understanding of Indonesian national history and the nationalism attitude, (2) there is a significant positive relationship between the history learning interest and the nationalism attitude, (3) there is a significant positive relationship between the history awareness and the nationalism attitude, (4) there is a significant positive relationship between the understanding of Indonesian national history, history learning interest, and history awareness as an aggregate and the nationalism attitude. Keyword: understanding of Indonesian national history, history learning interest, history awareness, nationalism attitude
Las aptitudes y actitudes del docente clínico: una aproximación cualitativa
Authors: Pérez Zumano Sofía Elena , Morán Peña Laura 
Published: January 2019

Introducción. A pesar de la trascendencia del rol del docente clínico en nuestro país es poca la generación de conocimientos de este campo. En esta investigación se exploraron las características del docente clínico desde la perspectiva de los estudiantes.
Metodología. Por la multidimensionalidad de la enseñanza clínica se realizó una triangulación metodológica, en este artículo se presentan los resultados de la fase cualitativa. El análisis de los datos se hizo a través de la codificación abierta, axial y selectiva.
Resultados: A partir del análisis del discurso de los estudiantes se pudieron identificar tres grandes categorías: 1) Poseer aptitudes para la enseñanza clínica, 2) Actitudes del docente clínico que influyen positiva o negativamente en la enseñanza clínica y 3) Factores del contexto que intervienen en la enseñanza aprendizaje en el escenario clínico.
Discusión: Las aptitudes y actitudes del docente identificadas por los alumnos concuerdan con lo reportado en la literatura, salvo el caso de algunos factores del contexto que emergieron, que influyen en la docencia clínica y que han sido poco estudiados.
Conclusiones: La mirada cualitativa permitió acercarse a la comprensión e interpretación de la riqueza y complejidad del rol del docente clínico.
Caracterización del binomio adulto mayor-familiar de convivencia
Authors: Aguilar Hernández Rosa Ma. , Félix Alemán Aurora , Martínez Aguilar Ma. De la Luz , Vega Alanis Ma. Del Carmen , Quevedo Díaz Ma. Magdalena , Gutiérrez Sánchez Gustavo 
Published: January 2019

Introducción: El incremento de población adulto mayor exige responsabilidad sanitaria y familiar para que el aumento en años de vida sea de vida saludable. Objetivo: Identificar las características del adulto mayor y del familiar de convivencia como base para las acciones. Metodología: Estudio descriptivo; transversal con 96 binomios adulto mayor-familiar de convivencia. Cuestionario de datos biográficos y de salud para el adulto mayor y datos socios demográficos para el familiar; aplicados mediante entrevista en los hogares. Se utilizó el Programa Estadístico SPSS Versión 17. Resultados: Relación significativa en edad y sexo entre adultos mayores y familiares de convivencia. Media de edad 70 y 45; sexo; mujeres 59.4% y 67.7%; casados o en unión libre 56.3% y 72.9%; respectivamente. Familiar de convivencia hijo/a (54 %) y esposo/a (32%) mayoría mujeres con bajo nivel de escolaridad (65%) y ocupación labores del hogar (64%). La convivencia es favorable para la salud porque hay un mayor control de las conductas de riesgo. Relevancia de las características del binomio adulto mayor-familiar de convivencia para las acciones de promoción y prevención en los hogares; orientadas a fortalecer la relación y desarrollar habilidad en la atención al adulto mayor.