bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparison between arthroplasty and non-operative treatment for proximal humeral fractures: a systematic review and meta-analysis
Authors: Lai Boyong , Zhang Sheng , Pan Junxi , Li An , Guo Ding , Peng Zhihua , Feng Qinghui 
Published: September 2024

BackgroundThe clinical efficacy of reverse shoulder arthroplasty (RSA), hemiarthroplasty (HA), and non-surgical management in the treatment of proximal humeral fractures (PHFs) is inconclusive. This systematic review and meta-analysis compared the clinical outcomes of arthroplasty and non-surgical management of PHFs.MethodsThe databases of PubMed, Embase, Web of Science, and Cochrane Library were searched on 5 May 2023 for studies comparing arthroplasty and non-surgical treatment of PHFs. Both randomized controlled trials (RCTs) and non-randomized controlled trials (nRCTs), were included. Standard methodological quality assessments were conducted for both types of studies. The primary outcome was the Constant-Murley Score (CMS) after surgical or non-surgical treatment. Secondary study outcomes included the visual analog scale (VAS), range of motion, and complications. All functional scores and complications were subjected to subgroup and sensitivity analyses.ResultsA total of four RCTs and six nRCTs were included in this study, which provided 508 patients in total for meta-analysis: 238 treated with arthroplasty and 270 treated non-surgically, of which 83 were treated with HA and 155 with RSA. All relevant information was collected, including functional scores, VAS, range of motion, and complications. The study found no significant difference in functional outcomes (mean difference, 2.82; 95% confidence interval, −0.49 to 6.14; P = 0.10; I2 = 77%) and complications (mean difference, 1.08; 95% confidence interval, 0.51–2.25; P = 0.85; I2 = 47%) between arthroplasty and non-surgical treatment. Both RCTs and nRCTs showed the same results. However, VAS scores were significantly lower in surgical treatment compared to non-surgical treatment. Subgroup and sensitivity analyses showed that RSA could achieve better functional scores than non-surgical treatment (mean difference, 6.00; 95% confidence interval, 1.97–10.03; P = 0.004; I2 = 0%), while the results for HA were not significant (P &gt; 0.05).ConclusionThere were no significant differences in complications between arthroplasty and non-surgical treatment for PHFs. RSA could achieve better functional results than non-surgical treatment, while HA could only achieve better forward flexion.
Multiview deep learning networks based on automated breast volume scanner images for identifying breast cancer in BI-RADS 4
Authors: Li Yini , Li Cao , Yang Tao , Chen Lingzhi , Huang Mingquan , Yang Lu , Zhou Shuxian , Liu Huaqing , Xia Jizhu , Wang Shijie 
Published: September 2024

ObjectivesTo develop and validate a deep learning (DL) based automatic segmentation and classification system to classify benign and malignant BI-RADS 4 lesions imaged with ABVS.MethodsFrom May to December 2020, patients with BI-RADS 4 lesions from Centre 1 and Centre 2 were retrospectively enrolled and divided into a training set (Centre 1) and an independent test set (Centre 2). All included patients underwent an ABVS examination within one week before the biopsy. A two-stage DL framework consisting of an automatic segmentation module and an automatic classification module was developed. The preprocessed ABVS images were input into the segmentation module for BI-RADS 4 lesion segmentation. The classification model was constructed to extract features and output the probability of malignancy. The diagnostic performances among different ABVS views (axial, sagittal, coronal, and multi-view) and DL architectures (Inception-v3, ResNet 50, and MobileNet) were compared.ResultsA total of 251 BI-RADS 4 lesions from 216 patients were included (178 in the training set and 73 in the independent test set). The average Dice coefficient, precision, and recall of the segmentation module in the test set were 0.817 ± 0.142, 0.903 ± 0.183, and 0.886 ± 0.187, respectively. The DL model based on multiview ABVS images and Inception-v3 achieved the best performance, with an AUC, sensitivity, specificity, PPV, and NPV of 0.949 (95% CI: 0.945-0.953), 82.14%, 95.56%, 92.00%, and 89.58%, respectively, in the test set.ConclusionsThe developed multiview DL model enables automatic segmentation and classification of BI-RADS 4 lesions in ABVS images.
Evaluating Open Dialogue in Italian mental health services: evidence from a multisite prospective cohort study
Authors: Pocobello Raffaella , Camilli Francesca , Ridente Pina , Caloro Giuseppa , Balice Maria Giuseppe , Tibaldi Giuseppe , Macario Marcello , d’Alema Marco , Gulino Elisa , el Sehity Tarek 
Published: September 2024

ObjectiveThis longitudinal study aimed to quantitatively document and evaluate the implementation and outcomes of the Open Dialogue (OD) approach within Italian Mental Health Departments (MHDs), focusing on the ratings of OD-network meetings by patients and their families and assessing the clinical outcomes over a span of 12 months.ResultsOver the course of the study, 58 patients participated in 517 OD-network meetings, demonstrating a high level of satisfaction with the care received, as evidenced by the Session Rating Scale (SRS) and Outcome Rating Scale (ORS). Clinically, significant improvements were observed in the Global Assessment of Functioning (GAF), Clinical Outcomes in Routine Evaluation (CORE-OM), and the Lubben Social Network Scale (LSNS), indicating enhanced psychological and social functioning. The SRS scores showed that satisfaction with the meetings increased over time, while the ORS indicated that both patients and their social networks perceived gradual improvements throughout the therapy.ConclusionThe OD approach within Italian MHDs was successfully implemented and well-received by patients and their social networks, yielding significant clinical improvements. These findings suggest the feasibility and effectiveness of integrating the OD model into the Italian public mental health system, supporting its potential for broader application in diverse healthcare settings. The study highlights the importance of continuous engagement and evaluation to maintain high standards of practice and suggests that OD can be a valuable addition to existing mental health care practices, promoting recovery through inclusive, dialogue-based interventions.
Organizational readiness for change towards implementing a sepsis survivor hospital to home transition-in-care protocol
Authors: Sang Elaine , Quinn Ryan , Stawnychy Michael A. , Song Jiyoun , Hirschman Karen B. , You Sang Bin , Pitcher Katherine S. , Hodgson Nancy A. , Garren Patrik , O'Connor Melissa , Oh Sungho , Bowles Kathryn H. 
Published: September 2024

BackgroundOrganizational readiness for change, defined as the collective preparedness of organization members to enact changes, remains understudied in implementing sepsis survivor transition-in-care protocols. Effective implementation relies on collaboration between hospital and post-acute care informants, including those who are leaders and staff. Therefore, our cross-sectional study compared organizational readiness for change among hospital and post-acute care informants.MethodsWe invited informants from 16 hospitals and five affiliated HHC agencies involved in implementing a sepsis survivor transition-in-care protocol to complete a pre-implementation survey, where organizational readiness for change was measured via the Organizational Readiness to Implement Change (ORIC) scale (range 12–60). We also collected their demographic and job area information. Mann-Whitney U-tests and linear regressions, adjusting for leadership status, were used to compare organizational readiness of change between hospital and post-acute care informants.ResultsEighty-four informants, 51 from hospitals and 33 from post-acute care, completed the survey. Hospital and post-acute care informants had a median ORIC score of 52 and 57 respectively. Post-acute care informants had a mean 4.39-unit higher ORIC score compared to hospital informants (p = 0.03).ConclusionsPost-acute care informants had higher organizational readiness of change than hospital informants, potentially attributed to differences in health policies, expertise, organizational structure, and priorities. These findings and potential inferences may inform sepsis survivor transition-in-care protocol implementation. Future research should confirm, expand, and examine underlying factors related to these findings with a larger and more diverse sample. Additional studies may assess the predictive validity of ORIC towards implementation success.
Análise epidemiológica da mortalidade por doenças do aparelho respiratório no estado de Minas Gerais
Authors: Lamas Laura Oliveira Grossi , Xavier Nicolly Merenciano , Bungart Rafaela , Coelho Ana Clara Blanc 
Published: September 2024

Introdução: As Doenças do Aparelho Respiratório são uma das principais causas de absenteísmo do trabalho e escolar, sendo a 2ª maior causa de internações hospitalares no país são consideradas problemas de saúde pública, observa-se a importância dessas patologias para as questões epidemiológicas do paíss. Assim, o objetivo consiste na análise do perfil epidemiológico da mortalidade das doenças do aparelho respiratório no estado de Minas Gerais de 2018 a 2022. Metodologia: O presente artigo contempla um estudo ecológico de caráter descritivo e observacional. Realizou-se um levantamento dos dados pelo Sistema de Informações sobre Mortalidade (SIM), por meio do Departamente de Informática do Sistema Único de Saúde (DATASUS). Os dados foram levantados no estado de Minas Gerais, durante os anos de 2018 a 2022, relacionado as variáveis: município, ano de óbito, sexo, faixa etária, escolaridade e estado civil. Além disso, foram utilizados para o levantamento de dados desse estudo: revistas eartigos científicos, resumos, periódicos e revisões literárias baseado em “epidemiologia”, “doenças respiratórias”, “óbitos”. Resultados e Discussão: Foram obtidos 85568, sendo que o município com maior número de óbitos foi Belo Horizonte com 10%, o ano do óbito 2022 com 23%, sexo masculino 52%, escolaridade de 4 a 7 anos 23%, faixa etária 80 anos ou mais com 50%, estado civil 35% viúvos. Conclusão: O perfil epidemiológico analisado foi de maior mortalidade na capital Belo Horizonte, no ano de 2022, sendo homens, de 80 anos ou mais, viúvos e com escolaridade de 4 a 7 anos.
Las redes sociales como fuente de información y exploración científica en los estudiantes universitarios
Authors: Díaz Posligua Katherin Liceth , Vélez Álava Nancy 
Published: September 2024

En la era digital, las plataformas de redes sociales se han vuelto fundamentales para la comunicación y el intercambio de información, así como su uso para fines de entretenimiento, algo muy común entre los universitarios que están adaptándose a nuevas formas de búsquedas y de consumo de información. Este estudio tiene como objetivo analizar el uso de las redes sociales como fuente de información y exploración por parte de estudiantes de la Universidad San Gregorio de Portoviejo (USGP). Como parte de la metodología se realizó una encuesta a estudiantes de las diferentes áreas académicas de la USGP para examinar la frecuencia con la que utilizan plataformas como Facebook, Instagram, TikTok, X y WhatsApp para acceder a contenido científico. Además, se efectuó una revisión bibliográfica con el afán de profundizar en el análisis temático. Los hallazgos permitieron conocer el papel en evolución de las redes sociales como parte de la formación universitaria, los mismos que brindan información sobre los beneficios y desafíos que plantean estas plataformas en la búsqueda de conocimiento académico. Se concluye que un porcentaje mayoritario de estudiantes universitarios consideran que las redes sociales no son una fuente confiable de búsqueda científica, mientras que otros indagan un poco más las mismas basándose en contenido generado por expertos o instituciones reconocidas que gozan de confiabilidad.
Factors Driving Artificial Intelligence Adoption in South Africa's Financial Services Sector
Authors: Hassan Adewale Samuel 
Published: September 2024

Incorporating digital technologies, particularly artificial intelligence, into financial services operations is imperative for achieving critical sustainable development goals (SDGs) through digital financial inclusion. This paper examines the drivers behind AI adoption in South Africa's financial services landscape, given its highly advanced financial sector and rapidly evolving digitisation trends. Drawing on the Technological-Organizational-Environmental (TOE) framework, the study investigates the factors influencing AI adoption through a comprehensive analysis of existing literature, a survey of financial services professionals and binary logistic regression. The results of binary logistic regression indicated that technological, organisational and environmental improvements significantly enhance the likelihood of AI adoption in South Africa's financial services sector. Specifically, access to technological infrastructure, organisational leadership support, and regulatory clarity emerge as key determinants of AI adoption. Overall, this study underscores the need for companies in the financial sector to encourage a culture that welcomes innovation and the integration of AI technology, as well as the need for policymakers to develop comprehensive and unambiguous legislative frameworks that control AI use in financial services.

Received: 13 March 2024 / Accepted: 31 August 2024 / Published: 05 September 2024
FOREIGN INVESTMENT: CONVENIENCE ADN LEGAL PROTECTION FOR INVERSTOR
Authors: Novendra Fakhri Muhammad 
Published: September 2024

President Joko Widodo's administration has made every effort to increase the value of foreign direct investment, data of foreign direct investment’s growth has also shown a significant increase, but has foreign direct investment that is predicted to be able to become the backbone of Indonesia in breaking away from becoming a developing country has been properly accommodated? Foreign direct investment requires legal certainty which will spread to all parts of the foreign direct investment process. Therefore, legal certainty is one of the main factors for a country to attract foreign direct investment capital into the a country. There is a need for broader and comprehensive legal certainty to ensure that foreign investors can be guaranteed from a legal perspective to do business and build Indonesia together. Not only legal certainty in the investment sector, but also other domestic legal certainty related to the investment climate, one of the most important is environmental law relating to sustainable development. This article will discuss the basics of foreign direct investment, the importance of foreign direct investment, factors attracting foreign direct investment, President Joko Widodo's new policies and regulations on foreign direct investment, current data of the realization of foreign direct investment and investor’s consideration to ensure themselves and their initial funds of their investment is safe as long as they invest in Indonesia. Keywords: Foreign Direct Investment, economy policies, legal certainty
Analisis Pengaruh Utang Luar Negeri Dan Pengeluaran Pemerintah Terhadap Pertumbuhan Ekonomi Indonesia
Authors: Humairah Zaskya 
Published: September 2024

This study was conducted to determine and analyze the effect of external debt and government spending on economic growth, in this case GDP. The sample used is time series data from the period 1985-2014 on foreign debt, government spending and GDP ( Gross Domestic Product) taken from World Bank data. The sample in this study berjumalh 30 data that will be used as the object of research. The dependent variable in this study is economic growth using data on Indonesia'S GDP, while the independent variable is the external debt and expenditure of the Government of Indonesia. To see the effect of independent variables and dependent variables, researchers perform multiple linear regression analysis test also perform classical assumption test. Based on the research results obtained, it can be seen that simultaneously foreign debt and government spending have a significant effect on Indonesia's economic growth. Furthermore, partially, foreign debt has a positive and significant effect on economic growth, and government spending also has a positive and significant effect on Indonesia's economic growth.Â Â
Profil Gaya Belajar Ditinjau Dari Tipe Kepribadian Disc
Authors: Sihai Non , Romiaty Romiaty , Feronika Nopi , Sukarningsi Susi 
Published: September 2024

Gaya belajar merupakan pola pikir khusus individu dalam menerima, mengolah informasi dan mempelajari keterampilan baru. Tujuan dari penelitian ini adalah untuk mengetahui gambaran gaya belajar ditinjau dari tipe kepribadian DISC. Metodologi penelitian menggunakan penelitian survei dan menganalisisnya. Hasil dari penelitian menunjukkan bahwa: (1) Tipe Kepribadian Dominance memiliki gaya belajar Visual sebanyak 8%, Auditory 5% dan Kinestetik 10%; (2) Tipe Kepribadian Influence memiliki gaya belajar Visual sebanyak 5%, Auditory 5% dan Kinestetik 8%; (3) Tipe Kepribadian Steadiness memiliki gaya belajar Visual sebanyak 24%, Auditory 3% dan Kinestetik 21%; (4) Tipe Kepribadian Compliance memiliki gaya belajar Visual sebanyak 3%, Auditory 0% dan Kinestetik 8%. Kesimpulannya adalah mahasiswa program studi Bimbingan dan Konseling memiliki tipe kepribadian Steadiness sebanyak 17 orang dari 38 responden dengan gaya belajar visual dan kinestetik. Artinya bahwa mereka memiliki tipe kepribadian yang sangat menyukai proses, mau tekun berusaha, loyalitas dan mampu bekerja sama secara tim. Mereka lebih mudah untuk mempelajari materi secara visual dan praktek langsung.
Prognostic Multifactorial System Predicting Risk of Metastasis in Uveal Melanoma
Authors: Яровая Вера Андреевна , Левашов Илья Андреевич , Яровой Андрей Александрович 
Published: September 2024

Введение. Прогнозирование течения увеальной меланомы (УМ) подразумевает анализ клинических, морфологических и генетических особенностей опухоли — многочисленных и разнородных по своей природе факторов. Отсутствие единого прогностического подхода затрудняет стратификацию рисков метастазирования УМ как в клинической практике, так и при информировании пациента о прогнозе заболевания, что обуславливает актуальность в разработке собственного прогностической системы.
Цель. Разработка комплексной системы индивидуального прогнозирования риска метастазирования УМ с учетом клинических, морфологических и молекулярно-генетических факторов.
Материалы и методы. Всего были отобраны данные 202 пациентов c УМ. В качестве первичного метода лечения в 57 % случаев проводилась энуклеация (n = 115), в 43 % случаях (n = 83) — лучевая терапия. При органосохраняющем лечении материал для цитологического и молекулярно-генетического исследования был получен с помощью тонкоигольной аспирационной биопсии (ТИАБ). Оценивались ключевые клинические (размер и локализация опухоли, пол и возраст), морфологические (клеточный тип и инвазия в цилиарное тело) и молекулярно-генетические (мутации в генах EIF1AX, SF3B1, PPARG, MYC) факторы.
Результаты. Средний срок наблюдения составил 42 мес. (медиана 35, min 1, max 182). В данный период было отмечено 78 случаев метастазирования (39 %). Были определены факторы, статистически значимо (p < 0,01) влияющие на риск метастазирования УМ: размер, локализация и клеточный тип опухоли, мутации в генах EIF1AX, PPARG, MYC.
Выводы. Разработанная комплексная система прогнозирования риска метастазирования увеальной меланомы, учитывающая эти факторы, позволила стратифицировать риск метастазирования по баллам и выделить три достоверно различающихся между собой (p < 0,01) категории прогноза: «неблагоприятный», «средний» и «благоприятный». Система требует валидации на данных других пациентов с УМ.
The Potential of Sentinel Lymph Node Biopsy Using the Fluorescent ICG Method in the Staging and Treatment of Skin Melanoma
Authors: Титов Константин Сергеевич , Джамилов Шерали Раджабалиевич , Лебединский Иван Николаевич , Сорокина Маргарита Викторовна , Гурьева Полина Михайловна , Греков Дмитрий Николаевич 
Published: September 2024

Введение. Своевременные диагностика и эффективное лечение меланомы кожи являются весьма актуальными, поскольку имеется неуклонный рост ее заболеваемости, а также смертность от данной злокачественной опухоли существенно превышает значения, зафиксированные при других онкологических заболеваниях кожи. Биопсия сигнального лимфатического узла (БСЛУ), как уточняющая диагностика, может приводить к индивидуализации прогноза заболевания и к изменению стадии опухолевого процесса с назначением эффективной адъювантной таргетной или иммунотерапии, которые повышают вероятность полного излечения данных пациентов.
Материалы и методы. В настоящей статье проанализированы данные выполнения БСЛУ флуоресцентным методом с ICG при локализованной меланоме кожи в клинической практике ГБУЗ ММНКЦ им. С.П. Боткина ДЗМ. Проанализированы данные о 54 пациентов с локальными стадиями меланомы кожи туловища и конечностей (Ib-IIС ст., ЕСOG 0-1), которым была проведена операция: иссечение опухоли кожи с БСЛУ флуоресцентным методом с применением индоцианина зеленого (ICG). В дальнейшим оценивалось течение послеоперационного периода и проводились контрольные обследования через 3 и 6 мес., с целью исключения локо-регионарных рецидивов.
Результаты. По данным срочного патоморфологического исследования, микрометастазы выявлены у 3 (6 %) пациентов, а по данным же планового ИГХ исследования, метастатическими оказались лимфатические узлы (ЛУ) у 8 (15 %) пациентов. Отсутствие микро- и макрометастатического поражения ЛУ (рN0) у 43 (79 %) пациентов. Ни у одного из пациентов послеоперационных осложнений не наблюдалось, аллергических реакций также не выявлено. При контрольных обследованиях у группы с отсутствием поражения ЛУ (pN0) признаков локо-регионарного рецидива выявлено не было. Три пациента с выявленным прогрессированием при контрольных обследованиях были из группы с позитивными сигнальными лимфатическими узлами (СЛУ).
Выводы. По данным оценки нашего опыта, флуоресцентная методика с применением индоцианина зеленого (ICG) для детекции СЛУ при локальной меланоме кожи туловища и конечностей безопасна и высоко эффективна. Данная методика позволяет точно, а главное своевременно, стадировать меланому кожи и подбирать оптимальную и персонализированную тактику дальнейшего лечения и наблюдения.
Comment on “Excluding Primordial Black Holes as Dark Matter Based on Solar System Ephemeris”
Authors: Cline James M. 
Published: September 2024

Abstract
It was recently claimed (https://arxiv.org/pdf/2408.10799) that solar system ephemeris data can exclude primordial black hole (PBH) dark matter in the mass range 1018–1022 g. I show that this conclusion is based on an implausible, implicit assumption; namely the uncertainty on the solar system mass within 50 au is as small as the uncertainty on the mass of the Sun. Correcting for this error, I find that ephemeris data can only constrain PBH’s with mass below 1016 g, which is already excluded by constraints on their evaporation via Hawking radiation. Correcting a further error concerning the time-averaged rate of such fluctuations nullifies even this weaker constraint.
Well-balanced Hydrodynamics for the Piecewise Parabolic Method with Characteristic Tracing
Authors: Zingale Michael 
Published: September 2024

Abstract
Well-balanced reconstruction techniques have been developed for stellar hydrodynamics to address the challenges of maintaining hydrostatic equilibrium during evolution. I show how to adapt a simple well-balanced method to the piecewise parabolic method for hydrodynamics. A python implementation of the method is provided.