bluuebunny/crossref_metadata_2025_split huggingface dataset:
Nutritional Insufficiency as a Predictor for Adverse Outcomes in Adult Spinal Deformity Surgery
Authors: Phan Kevin , Kim Jun S. , Xu Joshua , Di Capua John , Lee Nathan J. , Kothari Parth , Vig Khushdeep S. , Dowdell James , Cho Samuel K. 
Published: December 2017

Study Design: Retrospective analysis of prospectively collected data. Objective: The effect of malnutrition on outcomes after general surgery has been well reported in the literature. However, there is a paucity of data on the effect of malnutrition on postoperative complications during adult deformity surgery. The study attempts to explore and quantify the association between hypoalbuminemia and postoperative complications. Methods: A retrospective cohort analysis was performed on the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database from 2010 to 2014. Patients (≥18 years of age) from the NSQIP database undergoing adult deformity surgery were separated into cohorts based serum albumin (<3.5 or >3.5 g/dL). Chi-square and multivariate logistic regression models were used to identify independent risk factors. Results: A total of 2236 patients met the inclusion criteria for the study, of which 2044 (91.4%) patients were nutritionally sufficient while 192 (8.6%) patients were nutritionally insufficient. Multivariate logistic regressions revealed nutritional insufficiency as a risk factors for mortality (odds ratio [OR] = 15.67, 95% confidence interval [CI] = 6.01-40.84, P < .0001), length of stay ≥5 days (OR = 2.22, 95% CI = 1.61-3.06, P < .0001), any complications (OR = 1.82, 95% CI = 1.31-2.51, P < .0001), pulmonary complications (OR = 2.29, 95% CI = 1.29-4.06, P = .005), renal complications (OR = 2.71, 95% CI = 1.05-7.00, P = .039), and intra-/postoperative red blood cell transfusion (OR = 1.52, 95% CI = 1.08-2.12, P = .015). Conclusions: This study demonstrates that preoperative hypoalbuminemia is a significant and independent risk factor for postoperative complications, 30-day mortality, and increased length of hospital in patients undergoing adult deformity surgery surgery. Nutritional status is a modifiable risk factor that can potentially improve surgical outcomes after adult deformity surgery.
Predictive Factors for the Outcome of Surgical Treatment of Lumbar Spondylolysis in Young Sporting Individuals
Authors: Debnath Ujjwal K. , Scammell B. E. , Freeman Brian J. C. , McConnell Jeffrey R. 
Published: December 2017

Study Design: Retrospective consecutive case series. Objectives: Only few sporting individuals with symptomatic lumbar pars injuries require surgical repair and it is often difficult to predict the outcome following surgery. The factors that predict the outcome after direct repair of lumbar pars defect was evaluated clinically and statistically. The preoperative background variables both subjective and objective as well as radiological evaluation were used in a multiple regression model to find the strong predictors of postoperative outcome as measured by VAS (visual analogue scores), ODI (Oswestry Disability Index) and SF-36 (Short Form). Methods: Fifty-two consecutive young sporting individuals with a mean age of 19 years (range 8-30 years) were treated surgically for lumbar pars defect confirmed on imaging studies (ie, single-photon emission computed tomography, computed tomography, and magnetic resonance imaging). Fifty patients completed the VAS, ODI, and SF-36 questionnaires as a part of their assessment. Preoperative background variables were used in a multiple regression model to find the strongest predictor of postoperative outcome as measured by ODI. Ethical approval was taken by the institutional review board. Results: Buck’s screw repair of the pars defect was carried out in 44 patients (33 males, 11 female): unilateral in 8 patients (7 males, 1 female) and bilateral in 36 patients (26 males, 10 females). Although age at surgery showed linear colinearity (ρ = 0.32, P < .05), it was not significant in the model. The most consistent association with the preoperative VAS score were the pre- and postoperative ODI scores, that is, ρ = 0.51 ( P < .01) and ρ = 0.33 ( P < .05), respectively. In the bilateral group, with Buck’s repair at a single level, that is, 33 of 36 (93%) patients had returned to sports at a mean time of 7.5 months (range 6-12 months). Overall, 44 of 52 (84%) individuals had returned to their sports with posttreatment ODI score of <10. The stepwise regression modeling suggested 6 independent factors (preoperative ODI, preoperative SF-36 physical component summary (PCS), Buck’s repair, multiple operations, professionalism, and pars defect at L3), as the determinants of the outcome (ie, postoperative ODI) in 80.9% patients (R2 = 0.809). Conclusions: The outcome after direct repair of pars defect in those younger than 25 years runs a predictable course. Professionalism in sports has a high impact on the outcome. Preoperative ODI and SF-36 PCS scores are significant predictors of good functional outcome. The regression equation can predict the outcome in 80.9% sporting individuals undergoing Buck’s repair.
Adductor Canal Block With Continuous Infusion Versus Intermittent Boluses and Morphine Consumption: A Randomized, Blinded, Controlled Clinical Trial
Authors: Jaeger Pia , Baggesgaard Jonas , Sørensen Johan K. , Ilfeld Brian M. , Gottschau Bo , Graungaard Ben , Dahl Jørgen B. , Odgaard Anders , Grevstad Ulrik 
Published: December 2017

BACKGROUND:
Based on the assumption that relatively large volumes of local anesthetic optimize an adductor canal block (ACB), we theorized that an ACB administered as repeated boluses would improve analgesia without compromising mobility, compared with a continuous infusion.

METHODS:
We performed a randomized, blinded, controlled study, including patients scheduled for total knee arthroplasty with spinal anesthesia. Patients received 0.2% ropivacaine via a catheter in the adductor canal administered as either repeated intermittent boluses (21 mL/3 h) or continuous infusion (7 mL/h). The primary outcome was total (postoperative day [POD], 0–2) opioid consumption (mg), administered as patient-controlled analgesia. Pain, ambulation, and quadriceps muscle strength were secondary outcomes.

RESULTS:
We randomized 110 patients, of whom 107 were analyzed. Total opioid consumption (POD, 0–2) was a median (range) of 23 mg (0–139) in the bolus group and 26 mg (3–120) in the infusion group (estimated median difference, 4 mg; 95% confidence interval [CI], −13 to 5; P = .29). Linear mixed-model analyses revealed no difference in pain during knee flexion (mean difference, 2.6 mm; 95% CI, −2.9 to 8.0) or at rest (mean difference, 1.7 mm; 95% CI, −1.5 to 4.9). Patients in the bolus group had improved quadriceps sparing on POD 2 (median difference, 7.4%; 95% CI, 0.5%–15.5%). However, this difference was not present on POD 1 or reflected in the ambulation tests (P > .05).

CONCLUSIONS:
Changing the mode of administration for an ACB from continuous infusion to repeated intermittent boluses did not decrease opioid consumption, pain, nor mobility.
Eating habits and nutritional status of patients with affective disorders and schizophrenia
Authors: Stefańska Ewa , Lech Magdalena , Wendołowicz Agnieszka , Konarzewska Beata , Waszkiewicz Napoleon , Ostrowska Lucyna 
Published: December 2017

Cel pracyCelem pracy była ocena wartości odżywczej racji pokarmowych w grupie kobiet i mężczyzn chorujących na zaburzenia afektywne nawracające oraz schizofrenię, a także określenie związku wybranych parametrów żywieniowych ze wskaźnikami antropometrycznymi świadczącymi o stanie odżywienia badanych.MetodaBadaniem objęto 219 osób (61 pacjentów z zaburzeniami depresyjnymi nawracającymi, 60 pacjentów ze schizofrenią oraz 98 zdrowych ochotników). W ocenie ilościowej sposobu żywienia wykorzystano 24-godzinny wywiad żywieniowy. W ocenie stanu odżywienia wykorzystano pomiary antropometryczne, biochemiczne i analizę składu ciała.WynikiWykazano, iż kobiety z depresją i schizofrenią posiadały istotnie wyższą zawartość zarówno tkanki tłuszczowej trzewnej jak i tkanki tłuszczowej podskórnej w porównaniu z grupą kontrolną. Dieta o większym udziale energii z białka, wyższej podaży wapnia sprzyjała mniejszej zawartości tłuszczu w organizmie kobiet chorujących na depresję (w grupie mężczyzn z depresją takiej zależności nie odnotowano). W grupie pacjentów ze schizofrenią dieta o mniejszej podaży energii sprzyjała mniejszej wartości wskaźnika BMI, obwodu talii, wskaźnika WHR i mniejszej zawartości tłuszczu w organizmie.WnioskiNieprawidłowa struktura energetyczna, jak i nieodpowiednia zawartość składników odżywczych może w przyszłości przyczynić się do rozwoju wielu chorób somatycznych doprowadzając tym samym do pogorszenia jakości życia badanych jak i utrudniając utrzymanie zdrowia psychicznego.
Post-punk and alternative cabaret: Avant-garde, counterculture and revolution
Authors: Campbell Ray 
Published: December 2017

Abstract
Ask anyone to define the term ‘post-punk’ and they are likely to tell you it was a music genre that followed punk. Others will talk of its political voice, its rejection of commercial practices, its use of bricolage and its seriousness. Few will mention other post-punk forms, like alternative cabaret (alt-cab), which had similar cultural objectives that were inspired by the first wave of punk. Punk poetry, for example, straddled post-punk and alt-cab, and was more popular than stand-up comedy during the early years of the circuit. Like their counterparts in the post-punk music scene, many early alternative comedians and cabarettists were bricoleurs who rejected and/or deconstructed traditional entertainment styles, and experimented with form and content. This article discusses the structural similarities between the post-punk fields of music and entertainment, and how alt-comedians and cabarettists fused art, alternative theatre and politics to create new styles and comedy-aesthetic discourses. This article draws from a Bourdieusian paradigm, which is augmented by Wollen’s ‘The two avant-gardes’ and De Certeau’s The Practice of Everyday Life. To illustrate my argument, I will use case study and autoethnography.
A honeycomb of opinion: An interview with Jeanette Leech
Authors: Loydell Rupert 
Published: December 2017

Abstract
Jeanette Leech is a writer, researcher, DJ and music historian who contributes regularly to magazines including fRoots and Shindig!. She also writes extensively in the health and social care fields. Her first book about music, Seasons they Change (2010), a history of acid folk, was widely praised as ‘an engaging celebration of music from the fringes’. Her new book, Fearless (2017), is subtitled ‘the making of post-rock’. She lives in Canterbury, England.
Post-punk poet: An interview with Dick Witts of The Passage
Authors: Loydell Rupert 
Published: December 2017

Abstract
Richard ‘Dick’ Witts is a professional musicologist, music historian and ex-leader of 1980s’ band The Passage. He was born in Cleethorpes, Lincolnshire, and studied at the Royal Manchester College of Music and briefly at Manchester University. During this time he was a member of the Hallé Orchestra as a percussionist. During the mid-1970s he wrote for the contemporary classical music magazine Contact and was also involved in the Manchester Musicians Collective. This led to contact with the growing punk scene and he formed The Passage, producing their recordings and singing on many of their releases. He presented the BBC television programme Oxford Road Show in the early 1980s and was also a reporter for BBC Radio 3. During the late 1980s he became involved in arts administration roles. He subsequently wrote a critical history of the Arts Council of Great Britain (1998), as well as books on Nico (1993) and The Velvet Underground (2006). Dick now lives in Liverpool and is reader in music and sound, and programme leader for the Music, Sound, Enterprise programme. The Passage: Post-Punk Poets (Witts 2017), a collection of lyrics and visual material, was recently published by Eyewear Publishing.
Analysing the difference of perceived destination image according to local people: Pamukkale case<p>Yöre halkı demografik verilerine göre algılanan destinasyon imaj farklılığının incelenmesi: Pamukkale örneği
Authors: Özdipçiner Nuray Selma , Kortunay Nevin , Bozkurt Yasemin 
Published: December 2017

Tourism is an important power for regional development. Successfull tourism applications increase the number of tourists that are visiting a destination, income, and employment and so is an important factor for national income. And destination image is an important factor for tourism success. Destination image is the sum of impressions about local people, craft, tourists and tourism workers. For this reason perceived image of local people is also important for measuring the destination image and bringing it to the desired levels.The aim of this study is to define whether the perceived image of local people of Pamukkale differs according to demographic variables, and identify in which groups or variables are the differences, and make some suggestions for making the image beter for local people.Survey method is used for this study. The questionnaires are applied to local people of Pamukkale by face-to-face method after the pilot approach and validity and reliability tests. As the result of the study it is determined that demographic variables make differences among the perceived image of local people. Demographic variables that make difference are gender, marital status, employment, education status, age, and income.Extended English abstract is in the end of Full Text PDF (TURKISH) file.ÖzetTurizm bölgesel kalkınma açısından önemli bir güçtür. Başarılı turizm uygulamaları ise bir destinasyona gelen turist sayısını, geliri, istihdamı artırır ve dolayısıyla ülkenin gelirinde önemli paya sahiptir. Turizmdeki başarıda ise destinasyon imajı oldukça önemli bir yere sahiptir. Destinasyon imajı, yörede yaşayan halk, esnaf, turistler ve çalışanlar hakkındaki izlenimlerin tümüdür. Bu sebeple yöre halkının algıladığı imaj destinasyon imajının ölçülmesi ve istenilen düzeylere taşınması açısından önemlidir.Bu araştırmanın amacı, Pamukkale yöre halkının Pamukkale destinasyonuna ilişkin algıladığı destinasyon imajının, demografik verilere göre farklılık yaratıp yaratmadığını belirlemek, farklılıkların hangi değişkenler ve gruplar arasında olduğunu tespit etmek ve yöre halkı açısından daha olumlu hale getirilebilmesi için öneriler ortaya koymaktır. Araştırmada anket yöntemi kullanılmış ve anketler, Pamukkale yöre halkından seçilen örneklemle yüz yüze görüşülerek gerçekleştirilmiştir. Yapılan ön uygulama, geçerlilik ve güvenilirlik analizinden sonra, yöre halkı üzerinde anket uygulanmıştır. Anket sonucunda elde edilen veriler, SPSS 22 programı ile bilgisayar ortamında değerlendirilmiştir. Araştırma sonucunda, demografik değişkenlerin yöre halkının destinasyon imajına ilişkin farklılık oluşturduğu tespit edilmiştir. Farklılık oluşturan demografik değişkenler; cinsiyet, medeni durum, çalışma durumu, öğrenim durumu, yaş ve gelir olarak belirlenmiştir.
Suggestion of a new nursing model: Environment focused cultural competency model<p>Hemşirelikte yeni bir model önerisi: Çevre odaklı kültürel yeterlilik modeli
Authors: Tanriverdi Gulbu 
Published: December 2017

Cultural competency purports to have the knowledge, understanding and ability to provide acceptable care to people from different cultural groups. Models are used as guides in the development of cultural competency. The new model suggested in this paper addresses the process of cultural competency and the outcomes of this process for nurses, individuals and institutions. The core of the model is human, a biological being when she is born. Humans environment consists of social instituons shaped by culture. These social instituons including family, education, law, industry, religion, health, economy, and politics are affected by each other and culture. This effect varies by society, being shaped by different processes. Each society has social instituons, which shape the people living in these social instituons and provide them with various cultural characteristics. The model addresses cultural competence as an ongoing process from birth to death. Professional training is regarded as necessary, but not the sole factor, in the improvement of the cultural competence among nurses.Extended English abstract is in the end of Full Text PDF (TURKISH) file.ÖzetKültürel yeterlilik, farklı kültürel gruplardaki bireylere, kendileri tarafından kabul edilebilir bir bakım sunmak için bilgi, anlama ve beceriye sahip olmaktır. Modeller, kültürel yeterliliğin geliştirilmesinde rehber olarak kullanılmaktadır. Önerilen bu yeni modelde kültürel yeterlilik sürecinin hemşire, birey ve kurum açısından sağlık çıktıları ve sonuçları ele alınmıştır. Modelin çekirdeğinde doğduğunda biyolojik varlık olan insan vardır. İnsanın çevresi kültür tarafından şekillenen toplumsal kurumlardn oluşur. Aile, eğitim, hukuk, endüstri, din, sağlık, ekonomi ve politikalardan oluşan toplumsal kurumlar birbirinden ve kültürden etkilenmektedir. Bu etkilenme süreci toplumdan topluma değişiklik göstermektedir. Her toplum insanı farklı şekillendiren ve farklı nitelikler kazandıran toplumsal kurumlara sahiptir. Bu modelde kültürel yeterlilik doğumla başlayıp ölümle biten bir süreçtir. Hemşireler arasında kültürel yeterliliği geliştirmek için mesleki eğitim gerekli görülmekle birlikte tek faktör değildir.
Digitalizacja produktów bankowych jako cel strategiczny uczestników polskiego sektora bankowego
Authors: Druszcz Piotr 
Published: December 2017

Artykuł porusza aktualny dla sektora bankowego problem, jakim jest transformacja cyfrowa działalności, zarówno wewnątrz banku, jak i na zewnątrz. Ewolucja społeczeństwa spowodowana wprowadzeniem Internetu do niemalże wszystkich sfer życia człowieka, wymusza na bankach automatyzację i cyfryzację wszystkich procesów i produktów bankowych tak, aby sprostać wymaganiom nowoczesnego klienta. Banki mają więc za zadanie przeformułowanie aktualnych strategii na nowe, takie które w centrum będą stawiać klienta i jego upodobania. W artykule rozważa się, jakie wyzwania stoją przed polskim sektorem bankowym oraz przedstawia możliwe skutki braku dostosowania się banków do oczekiwań klientów.
Automatyczny handel na rynkach towarowych
Authors: Piaskowska Monika 
Published: December 2017

Artykuł przedstawia analizę zmian strukturalnych na rynkach towarowych, ich finansyzację, a w konsekwencji zwiększoną automatyzację. Autorka omówiła główne czynniki sprzyjające rozwojowi algorytmicznego handlu, jak również dokonała przeglądu stosowanych metod i strategii optymalizujących proces handlowy i wymagających inwestycji w rozwój technologii.
Target Identification Using Sensors of Different Nature
Authors: Vagale Anete , Ņikitenko Agris , Slava Eduards , Osen Ottar L. 
Published: December 2017

Abstract
In the present paper, a new and improved visual sensor data fusion method is proposed that uses visible and far-infrared light sensors. Additionally, lux meter data are used for decision level fusion of beliefs of recognised target classes. The database consisting of 4 ambient light condition images is created using Canon and FLIR cameras.
The developed approach has been tested using database images, neural network training and classification, particularly for low light level conditions. Enhancements of target identification precision are proved by practical implementation and testing of the proposed method.
Appropriateness of Dropout Layers and Allocation of Their 0.5 Rates across Convolutional Neural Networks for CIFAR-10, EEACL26, and NORB Datasets
Authors: Romanuke Vadim V. 
Published: December 2017

Abstract
A technique of DropOut for preventing overfitting of convolutional neural networks for image classification is considered in the paper. The goal is to find a rule of rationally allocating DropOut layers of 0.5 rate to maximise performance. To achieve the goal, two common network architectures are used having either 4 or 5 convolutional layers. Benchmarking is fulfilled with CIFAR-10, EEACL26, and NORB datasets. Initially, series of all admissible versions for allocation of DropOut layers are generated. After the performance against the series is evaluated, normalized and averaged, the compromising rule is found. It consists in non-compactly inserting a few DropOut layers before the last convolutional layer. It is likely that the scheme with two or more DropOut layers fits networks of many convolutional layers for image classification problems with a plenty of features. Such a scheme shall also fit simple datasets prone to overfitting. In fact, the rule “prefers” a fewer number of DropOut layers. The exemplary gain of the rule application is roughly between 10 % and 50 %.
Congenital Posteromedial Bowing of the Tibia: A Single Center Experience
Authors: Živanović Dragoljub , Slavković Andjelka , Marjanović Zoran , Djordjević Ivona , Bojović Nikola , Petrović Milan 
Published: December 2017

Summary
Congenital posteromedial bowing of the tibia (CPMBT) is a rare congenital anomaly of the lower limbs. The aim of the present study was to analyze our experience in the treatment of CPMBT.
A retrospective study of patients treated for CPMBT in the period January 2000 – June 2016 was performed. In the observed period, six patients were treated (five girls and one boy), with predominance of the right tibia involvement (5:1).
The initial treatment included a series of corrective casts (4-9) applied in all patients, followed by removable splints and physiotherapy. Four children with residual angulation of tibia after walking age were prescribed ankle-foot orthosis (AFO) as a prevention of pathological fractures. Both posterior and medial angulation correct over time. Mean initial shortening was 11 mm. At the last follow-up visit, mean shortening was 23.33mm. Three patients had lower limb shortening of more than 2 cm. In two of them, with shortening of 27 mm and 35 mm, Ilizarov lengthening was performed. In one girl, we performed lengthening over titanium elastic nails. In the other girl, after lengthening, circular frame was exchanged with a locking plate to reduce fixator wearing time. There were no major complications of treatment. Patients were followed up for 2-12 years (mean 6.83 years). None of them reached skeletal maturity yet.
Primary manifestation of CPMBT – angulation of tibia and fibula as well as calcaneovalgus deformity usually correct spontaneously or with conservative measures. However, limb length inequality, as a consequence of CPMBT, progresses with growth and may require surgical correction in some children. Therefore, all children with CPMBT should be followed up until skeletal maturity.
Experimental Investigation of an Automotive Magnetorheological Shock Absorber
Authors: Jastrzębski Łukasz , Sapiński Bogdan 
Published: December 2017

Abstract
The study summarises the experimental examination of an automotive magnetorheological (MR) shock absorber under electrical and mechanical excitations, investigates its current and force responses and the energy dissipation in the system. The aim of experiments was to acquire measurement data that allows in next step of the research program to engineer an energy harvesting device for the absorber. The work covers basic technical data of the absorber, description of the experimental set-up, scenario of testing program and test results of the device. Of particular importance is the influence the operating current, piston displacement amplitude and piston velocity have on the absorber’s response.