bluuebunny/crossref_metadata_2025_split huggingface dataset:
Mid-term results of alumina ceramic unlinked total elbow arthroplasty with cement fixation for patients with rheumatoid arthritis
Authors: Nishida K. , Hashizume K. , Nasu Y. , Ozawa M. , Fujiwara K. , Inoue H. , Ozaki T. 
Published: July 2018

Aims The aim of this study was to report the mid-term clinical outcome of cemented unlinked J-alumina ceramic elbow (JACE) arthroplasties when used in patients with rheumatoid arthritis (RA). Patients and Methods We retrospectively reviewed 87 elbows, in 75 patients with RA, which was replaced using a cemented JACE total elbow arthroplasty (TEA) between August 2003 and December 2012, with a follow-up of 96%. There were 72 women and three men, with a mean age of 62 years (35 to 79). The mean follow-up was nine years (2 to 14). The clinical condition of each elbow before and after surgery was assessed using the Mayo Elbow Performance Index (MEPI, 0 to 100 points). Radiographic loosening was defined as a progressive radiolucent line of >1 mm that was completely circumferential around the prosthesis. Results The mean MEPI scores significantly improved from 40 (10 to 75) points preoperatively to 95 (30 to 100) points at final follow-up (p < 0.0001). Complications were noted in ten elbows (ten patients; 11%). Two had an intraoperative humeral fracture which was treated by fixation and united. One had a postoperative fracture of the olecranon which united with conservative treatment and one had a radial neuropathy which resolved. Further surgery was required for one with a dislocation, three with an ulnar neuropathy and one with a postoperative humeral fracture. Revision with removal of the components was performed in one elbow due to deep infection. There was no radiographic evidence of loosening around the components.With any revision surgery or revision with implant removal as the endpoint, the rates of survival up to 14 years were 93% (95% confidence interval (CI), 83.9 to 96.6) and 99% (95% CI 91.9 to 99.8), respectively, as determined by Kaplan-Meier analysis. Conclusion With the appropriate indications, the mid-term clinical performance of the cemented JACE TEA is reliable and comparable to other established TEAs in the management of the elbow in patients with RA. Cite this article: Bone Joint J 2018;100-B:1066–73.
The learning curve associated with robotic-arm assisted unicompartmental knee arthroplasty
Authors: Kayani B. , Konan S. , Pietrzak J. R. T. , Huq S. S. , Tahmassebi J. , Haddad F. S. 
Published: July 2018

Aims The primary aim of this study was to determine the surgical team’s learning curve for introducing robotic-arm assisted unicompartmental knee arthroplasty (UKA) into routine surgical practice. The secondary objective was to compare accuracy of implant positioning in conventional jig-based UKA versus robotic-arm assisted UKA. Patients and Methods This prospective single-surgeon cohort study included 60 consecutive conventional jig-based UKAs compared with 60 consecutive robotic-arm assisted UKAs for medial compartment knee osteoarthritis. Patients undergoing conventional UKA and robotic-arm assisted UKA were well-matched for baseline characteristics including a mean age of 65.5 years (sd 6.8) vs 64.1 years (sd 8.7), (p = 0.31); a mean body mass index of 27.2 kg.m2 (sd 2.7) vs 28.1 kg.m2 (sd 4.5), (p = 0.25); and gender (27 males: 33 females vs 26 males: 34 females, p = 0.85). Surrogate measures of the learning curve were prospectively collected. These included operative times, the Spielberger State-Trait Anxiety Inventory (STAI) questionnaire to assess preoperative stress levels amongst the surgical team, accuracy of implant positioning, limb alignment, and postoperative complications. Results Robotic-arm assisted UKA was associated with a learning curve of six cases for operating time (p < 0.001) and surgical team confidence levels (p < 0.001). Cumulative robotic experience did not affect accuracy of implant positioning (p = 0.52), posterior condylar offset ratio (p = 0.71), posterior tibial slope (p = 0.68), native joint line preservation (p = 0.55), and postoperative limb alignment (p = 0.65). Robotic-arm assisted UKA improved accuracy of femoral (p < 0.001) and tibial (p < 0.001) implant positioning with no additional risk of postoperative complications compared to conventional jig-based UKA. Conclusion Robotic-arm assisted UKA was associated with a learning curve of six cases for operating time and surgical team confidence levels but no learning curve for accuracy of implant positioning. Cite this article: Bone Joint J 2018;100-B:1033–42.
The validity of the Mirels score for predicting impending pathological fractures of the lower limb
Authors: Howard E. L. , Shepherd K. L. , Cribb G. , Cool P. 
Published: July 2018

AimsThe aim of this study was to validate the Mirels score in predicting pathological fractures in metastatic disease of the lower limb.Patients and MethodsA total of 62 patients with confirmed metastatic disease met the inclusion criteria. Of the 62 patients, 32 were female and 30 were male. The mean age of patients was 65 years (35 to 89). The primary malignancy originated from the breast in 27 (44%) patients, prostate in 15 (24%) patients, kidney in seven (11%), and lung in four (6%) of patients. One patient (2%) had metastatic carcinoma from the lacrimal gland, two patients (3%) had multiple myeloma, one patient (2%) had lymphoma of bone, and five patients (8%) had metastatic carcinoma of unknown primary. Plain radiographs at the time of initial presentation were scored using Mirels system by the four authors. The radiographic components of the score (anatomical site, size, and radiographic appearance) were scored two weeks apart. Inter- and intraobserver reliability were calculated with Fleiss’ kappa test. Bland-Altman plots were created to compare the variances of the individual components of the score and the total Mirels score.ResultsKappa values for the interobserver variability of the components of the Mirels score were k = 0.554 (95% CI 0.483 to 0.626) for site, k = 0.342 (95% CI 0.285 to 0.400) for size, k = 0.443 (95% CI 0.387 to 0.499) for radiographic appearance, and k = 0.294 (95% CI 0.258 to 0.331)for the total score. Kappa values for the intra-observer reliability were k = 0.608 (95% CI 0.506 to 0.710) for site, k = 0.579 (95% CI 0.487 to 0.670) for size, k = 0.614 (95% CI 0.522 to 0.703) for radiographic appearance, and k = 0.323 (95% CI 0.266 to 0.379) for total score.ConclusionOur study showed fair to moderate agreement between authors when using the Mirels score, and moderate to substantial agreement when authors rescored radiographs. The Mirels score is subjective and lacks reproducibility in predicting the risk of pathological fracture. Cite this article: Bone Joint J 2018;100-B:1100–5.
Illusions of space and time: An ethical approach to temporality in games1
Authors: Wilcox Steve 
Published: July 2018

Abstract
Time is a much-explored topic in game studies, as are questions of historical accuracy and ethics. However, an ethics of time in games remains relatively unexplored. This article takes an ethical approach to theorizing game time, drawing on French philosopher Michel Serres’s distinction between linear and topological time. Serres argues that conceiving of time linearly commits us to the belief that progress itself is a deterministic and oftentimes violent series of upheavals. Contemporary video games that play with time seem to exemplify this. Games like Braid, Assassins Creed and Prince of Persia: The Sands of Time have players manipulate time for the explicit purpose of reproducing a singular narrative, compelling players to synchronize their decisions with a violent, linear series of events. In this article such games are contrasted with more temporally topological titles such as Her Story, The Legend of Zelda: Majora’s Mask and Life is Strange, which deconstruct linearity and demonstrate the ethical affordances of non-linear game temporalities.
Regenring academic writing. Case Study 1: Collages
Authors: Burns Tom , Sinfield Sandra , Abegglen Sandra 
Published: July 2018

Abstract
The starting point of our regenring experiment was to bring together two of our core research interests: our belief in the emancipatory power of ludic and multimodal practice and our desire to empower those widening participation students often labelled as ‘deficit’. We, as learning developers and educationists, started by welcoming and valuing students for who they were, rather than remediating them because of what they were not. Our teaching started with their strengths and assets: their commitment and engagement; and what they could do and what challenge they could rise to without the need for the specific cultural and academic capital typically already possessed by the traditional, middle-class student. The present article and mini-case studies (see also ‘Cabinet of Curiosity’ pp. 211–15, ‘Games and Board Games’ pp. 261–66, ‘Digital Storytelling’ pp. 275–78 and ‘Multimodal Exhibition’ pp. 291–303) present some of the ludic work we have undertaken with our students. This article contains Case Study 1.
Regenring… visual lives
Authors: Taylor Sarah , Gaffney Sheila 
Published: July 2018

Abstract
Writing for visual arts students remains a current dilemma. Academic essays frequently form assessment requirements in awards that are studio practice based. This series of images illustrates a project created for fine art undergraduates, drawing upon the research-led practice experiences of the academic leaders. The Academic Poster Project regenred a model commonly used in science to accommodate both the individual interests and methods used by visual learners, which in turn become the participating student’s plan for narrating argument, knowledge and criticality.
SISTEMAS ERP: cenário de utilização, vantagens, desvantagens e satisfação dos hoteleiros de Barbacena, Tiradentes e Lima Duarte (Conceição do Ibitipoca)
Authors: Nascimento Luciano Alves , Gonçalves Roberta Francisca , Palumbo Talita Helena , Cobuci Leila de Assis 
Published: July 2018

O objetivo principal desta pesquisa foi levantar dados que permitissem delinear o cenário de utilização de sistemas do tipo ERP em meios de hospedagem característicos das cidades de Barbacena, Tiradentes e Lima Duarte (restrito ao distrito de Conceição do Ibitipoca), viabilizando o planejamento de ações que pudessem fortalecer o emprego dessas ferramentas tecnológicas em prol da gestão dos empreendimentos de hospedagem. Através da análise dos dados coletados por meio da aplicação de uma survey, buscou-se resposta aos objetivos de pesquisa. Os resultados revelaram um cenário de predomínio de empreendimentos de hospedagem que são pequenos, com acesso à internet, com poucos estabelecimentos dotados de classificação concedida por órgãos representativos da qualidade dos serviços hoteleiros, com baixa adesão ao uso de ferramentas ERP para apoiar a gestão e com altos índices de insatisfação em relação ao suporte dado pelos ERPs às suas necessidades de informações gerenciais.
ANÁLISE SWOT DA TRILHA DA PRAIA DESERTA: Estratégias visando o Desenvolvimento do Turismo no Parque Nacional no Superagui /PR
Authors: Albach Valéria de Meira , Folmann Ana Cláudia , Vale Tatiane Ferrari do 
Published: July 2018

As trilhas são um modo de apreciar os aspectos naturais e se manejadas podem contribuir com a conservação local. O uso público dessas áreas deve levar em consideração os vários aspectos que compõem uma trilha e uma análise mais aprofundada das suas forças, fraquezas, oportunidades e ameaças podem auxiliar os gestores na tomada de decisão. Dessa forma, configura-se como principal objetivo desse artigo analisar a Trilha da Praia Deserta (principal trilha do Parque Nacional do Superagui - PNS) sugerindo ações com base na Análise SWOT. A metodologia empregada tem cunho descritivo e a técnica de análise é a SWOT por meio da observação participativa e a pesquisa in loco. Conclui-se que a Trilha da Praia Deserta apresenta importantes forças e oportunidades, no entanto são necessárias melhorias e adequações para atender os visitantes e a comunidade do entorno do PNS. São sugeridas ações que podem incrementar a atividade turística que acontece na região.
An awareness of private car drivers in Masai Johor towards the usage of natural gas vehicle as an alternative fuel
Authors: Ramzi Mohd Nor Mohd , Zani Muhamad Muhamad , Abdullah Rozelin , Suriani Mat Daud Mimi , Ahmad Faradina 
Published: July 2018

This research has studied the level of awareness among the private car drivers in Masai Johor towards the usage of natural gas vehicle (NGV) as an alternative fuel to gasoline and diesel. The awareness of the private car drivers as the biggest community of the road users, would help in reducing air pollution, greenhouse effect and at the same time contributes to green environment. On the other hand, the lack of awareness on the usage of NGV as an alternative fuel would remain the dependency on gasoline or diesel which in long run would produce harmful pollutants to environment and diminish the fossil fuel supply in future. This research is intended to find out the level of awareness on the usage of NGV and also to find out the factors that contribute to the lack of NGV users in Masai Johor. Research is carried out using both qualitative and quantitative method where questionnaires, interviews and observation have been done in collecting the data. From the study, the researcher has found out that most of the private car drivers in Masai Johor are aware of the NGV as an alternative fuel but only small numbers of them have been using the NGV due to some constraints and having bad perceptions on the NGV. NGV is not just a cost saving, but also could reduce air pollution and proven to be among the best alternative fuel which indirectly reduces the dependency on gasoline and diesel thus create better and healthy environment.
Barriers to digital marketing adoption at remote rural tourism destinations in Sarawak: an exploratory study
Authors: Cheuk Sharon , Atang Azuriaty , May Chiun Lo , Ramayah T 
Published: July 2018

Rural tourism has been shown to benefit local communities from the economic perspective. Digital marketing allows marketing information to be transmitted directly to potential visitors without the need for an intermediary, in a low-cost but effective way. Rural tourism destinations in Sarawak now have an opportunity to benefit from the Sarawak state government’s initiative, the Digital Sarawak Centre of Excellence, in terms of digital content creation and website maintenance. However, the current level of adoption is zero to minimal in rural tourism destinations. This study examines the barriers towards digital marketing adoption from the perspective of rural tourism providers. Fieldwork was performed at two sites, Ba’kelalan and Long Lamai, in July 2016 and February 2017 respectively. In-depth interviews were conducted with a total of 19 respondents. The study revealed that tourism providers currently depended on word-of-mouth recommendations or direct contact for bookings, but were willing to adopt digital marketing with the assistance of knowledgeable parties. However, certain physical, logistical and social constraints may have a detrimental effect on the community’s readiness level to entertain tourists on a larger scale and may further impede the overall progress of digital marketing adoption, at both the individual and destination levels.
Tools design of bread production process to minimize musculoskeletal disorders based on OCRA method
Authors: Bidiawati Ayu , Setiawati Lestari , Kurnia Yulia 
Published: July 2018

Less supportive working methods may lead operators inconvenience while working. This discomfort can be caused by a non-ergonomic work environment. Bread baking process is done manually using human energy. This work is done repeatedly for a long time, thereby posing a risk of musculoskeletal disorders. This is at risk of causing pain in some parts of the worker's body. Ergonomic work facilities and equipment are essential to minimize risk at work. The result of NBM (Nordic Body Map) questionnaire indicate that the biggest complaint is on the right back of the worker's arm and shoulders. In baking process, the operator must bend almost 90 degrees. This posture can cause health problems, especially musculoskeletal. Based on observations using the OCRA (Occuptional Repetitive Action) method, the OCRA index value for the right hand is 8.56 and for the left hand is 7.84, with the red area and the average category of risk. Therefore, a trolley is designed in this study as a tool to minimize musculoskeletal complaints, using workers anthropometric data.
Dimensions of the Javanese culture and the role of Parents in instilling values in creative industry entrepreneurship
Authors: Hermawan Agus , Arief Mohammad , Patmi Rahayu Wening 
Published: July 2018

This paper reveals how the sources of Javanese culture, which has been instilled by parents of children as the new generation of the successor to the family business, can act as values of sources of inspiration which shapes the behavior of entrepreneurship in the creative industry. Entrepreneurship in family businesses uses these Javanese values as the standards of the family's belief, which makes the principles as an identity that guides them in entrepreneurship and creates a way of life in the running entrepreneurialism. The method used in this research is a social constructionist, narrative and interpretive. The narrative-based research approach is done through data collection with depth interview, and non-participatory observation as well as analysis of the theme that create the methodological foundation. The ideas emerged and developed from in narrative face-to-face that became a proposition of research findings. Findings clearly indicate the relationship between Javanese cultures which is owned by parents has been the values that are believed by the second generation and this has motivated their behavior entrepreneurship, and impact the learning element of entrepreneurship, as well as orientation in entrepreneurship. The internalization of the values of Javanese culture Bapakisme (paternalism) and Rukun (harmony) have motivated the behavior of entrepreneurship when running a business relationship. Javanese cultural values implemented in the form of obedience to parents, keeping harmony, learning competitors, watching of God, sincere, assertive, fortune flows, trust, motivating, cultivation of religious values, and independent values. The research provides new insights into the culture of entrepreneurship at the local level and links the insights to the cultivation of cultural values in entrepreneurship, which is realized in everyday behavior. The construct built provides the possibility of new learning materials for the perpetrators of entrepreneurs in Indonesia, where 47% of the population of Indonesia is Javanese ethnicity.
Causes of delay in the construction phase of oil and gas projects in Malaysia
Authors: Umeesh Kumar Suppramaniam S , Ismail Syuhaida , Suppramaniam Subaashnii 
Published: July 2018

The drop-in oil price in recent years has seen the oil and gas projects affected negatively. Thus, most Engineering, Procurement, and Construction (EPC) companies are opting to optimise the project especially in terms of mitigating delays in construction to achieve the project expectation. Delay causes threat to a project objectives in terms of time, cost and quality. It is also a crucial element in deviating from the client’s expectation in terms of productivity, safety and standards. This paper aims at examining the causes of delay in the construction phase of oil and gas projects in Malaysia. A comprehensive literature review from various sources through books, conference proceedings, the internet, project management journals as well as oil and gas industry journals was made to materialise this paper. There were a few studies that related to this problem and shared a similar view with general construction projects, yet only a fraction of the factors was accepted due to the differences between the two industries. Other variances of the papers included on regional basis or on specific countries. The factors of these attributes were still accepted since it was still applicable to the oil and gas industry and there were not any major variances between countries. The paper has found that there are several significant factors that cause delays in the construction phase of oil and gas projects in Malaysia. The similarity of these delay factors can be grouped into six major groups, namely client, contractor, engineering, external, project and resources. This initial study is based purely on literature review, comparison of similar cases, cross referencing and critical judging. The causes of delay specific to the construction phase in oil and gas projects in Malaysia should be further researched with focus only in the Malaysian projects and industry players.
Organizational Culture and Ethics in Decision-Making
Authors: Anak Manggai Bibiana , Bin Thukiman Kassim , Fauzi bin Othman Muhammad , Khairi bin Abdul Majid Muhammad 
Published: July 2018

Malaysia was recorded outnumber of accidents in the world. The traffic Police is the responsible body for ensuring to maintain the law on the road which assists the public for smooth travelling The media reports stated that the traffic police uses their power in wrong ways and is showing not profession with their duties. This happens due to lack of organizational culture among civil servants which are not practiced in the right ways according to the justice and their professions. Therefore, this article focuses on the organizational culture that should be practiced and the decisions that need to be practiced. Further, the ethical factors based decisions should be performed by traffic police. The topic selected will expect to improve the organizational culture and an ethical decision making among law’s practitioner and traffic police. In addition, the positive view can also give to the public on the ethical decision making that could be practiced by traffic police. In conclusion, the improvement of organizational culture should be refined to produce law practitioners and implementers in ethical especially for civil servants in decision-making.
The Whip Law, Implementing Shari’a Formalization at Local Community: The Case Of Padang Village In Bulukumba, South Sulawesi
Authors: Kadir Ahmad Abd. 
Published: July 2018

Indonesia experienced a major change after the reformation. Various new religious organizations emerged followed by the movement of formalization and politicization of religion. The regions seem to compete in issuing Shari'a regulations. Even the formalization of the religion is not only applicable at the district level but also in certain areas have reached the village level in the form of Muslim Villages. One of the Muslim Villages in South Sulawesi is the Muslim Village of Padang in Bulukumba District. This village makes a Village Regulation on the Law of Whip. The aim of the research is to understand the existence, sustainability and the supporting factors of the caning law. The research finds the implementation of Whip Law as one of the instruments supporting the implementation of Islamic Shari’a in Padang Village only runs at the beginning of its enactment. Some of the factors causing the failure of the step are changes in leadership and priority program differences by local leaders, political competition at the village government level and lack of cultural support from the local community.