bluuebunny/crossref_metadata_2025_split huggingface dataset:
Increasing Body Mass Index Is Associated with Worse Outcomes After Shoulder Arthroplasty
Authors: Wagner Eric R. , Houdek Matthew T. , Schleck Cathy , Harmsen William S. , Sanchez-Sotelo Joaquin , Cofield Robert , Sperling John W. , Elhassan Bassem T. 
Published: June 2017

Background:
Although obesity is associated with increased complication rates after lower-extremity arthroplasty, there is a relative paucity of studies examining the effect of body mass index (BMI) on shoulder arthroplasty. The purpose of this investigation was to evaluate the effect of BMI on implant survival and the rate of complications after shoulder arthroplasty.

Methods:
Using an institutional total joint registry, 4,567 consecutive shoulder arthroplasty cases from 1970 to 2013 were studied. The mean BMI was 29.7 kg/m2 (range, 14 to 66 kg/m2), with 1,622 patients (36%) with a BMI of 30 to 40 kg/m2 and 297 patients (7%) with a BMI of >40 kg/m2. There were 2,493 female patients (55%). BMI was dichotomized after examination of the smoothing spline curve. The associations of factors and complications were assessed using Cox proportional hazard regression analysis.

Results:
Increasing BMI was associated with an increased risk of a revision surgical procedure, reoperation, revision for mechanical failure, and superficial infection, and it was negatively associated with risk of a periprosthetic fracture. The risk of a revision surgical procedure increased in a linear fashion with increasing BMI (hazard ratio [HR], 1.05, or a 5% increased risk per 1 unit of BMI; p = 0.03). Increased BMI was also associated with an increased risk of revision for mechanical failure (HR, 1.05; p = 0.004). In a multivariate model, the association of BMI and risk of a revision for any reason, revision for mechanical failure, and reoperation maintained significance (p ≤ 0.02). The most marked association between increasing BMI and any complication in shoulder arthroplasty was its association with superficial wound infection (HR, 1.09; p = 0.03).

Conclusions:
Increasing BMI is strongly associated with increased rates of revision surgical procedures and postoperative complications after shoulder arthroplasty. It is important to consider these findings when counseling patients, estimating risks, and estimating complication risks in policy decisions.

Level of Evidence:
Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence.
Post-Discharge Care Duration, Charges, and Outcomes Among Medicare Patients After Primary Total Hip and Knee Arthroplasty
Authors: Ponnusamy Karthikeyan E. , Naseer Zan , El Dafrawy Mostafa H. , Okafor Louis , Alexander Clayton , Sterling Robert S. , Khanuja Harpal S. , Skolasky Richard L. 
Published: June 2017

Background:In April 2016, the U.S. Centers for Medicare & Medicaid Services initiated mandatory 90-day bundled payments for total hip and knee arthroplasty for much of the country. Our goal was to determine duration of care, 90-day charges, and readmission rates by discharge disposition and U.S. region after hip or knee arthroplasty.Methods:Using the 2008 Medicare Provider Analysis and Review database 100% sample, we identified patients who had undergone elective primary total hip or knee arthroplasty. We collected data on patient age, sex, comorbidities, U.S. Census region, discharge disposition, duration of care, 90-day charges, and readmission. Multivariate regression was used to assess factors associated with readmission (logistic) and charges (linear). Significance was set at p < 0.01.Results:Patients undergoing 138,842 total hip arthroplasties were discharged to home (18%), home health care (34%), extended-care facilities (35%), and inpatient rehabilitation (13%); patients undergoing 329,233 total knee arthroplasties were discharged to home (21%), home health care (38%), extended-care facilities (31%), and inpatient rehabilitation (10%). Patients in the Northeast were more likely to be discharged to extended-care facilities or inpatient rehabilitation than patients in other regions. Patients in the West had the highest 90-day charges. Approximately 70% of patients were discharged home from extended-care facilities, whereas after inpatient rehabilitation, >50% of patients received home health care. Among those discharged to home, 90-day readmission rates were highest in the South (9.6%) for patients undergoing total hip arthroplasty and in the Midwest (8.7%) and the South (8.5%) for patients undergoing total knee arthroplasty. Having ≥4 comorbidities, followed by discharge to inpatient rehabilitation or an extended-care facility, had the strongest associations with readmission, whereas the region of the West and the discharge disposition to inpatient rehabilitation had the strongest association with higher charges.Conclusions:Among Medicare patients, discharge disposition and number of comorbidities were most strongly associated with readmission. Inpatient rehabilitation and the West region had the strongest associations with higher charges.Level of Evidence:PrognosticLevel IV. See Instructions for Authors for a complete description of levels of evidence.
The drainage of lake ‘L'Estany’ in Spain
Authors: Batista E. , Hernandez J. 
Published: June 2017

Abstract
In the 18th century, the practice of drying up the wetlands, marshy or stagnant water areas expanded throughout Europe in order to avoid the malaria fevers that the population periodically suffered and to recover land for farming. This communication describes the current knowledge about the history of the process of drying in various hydrological basins as well as the works in the endorheic lake close to the village of L'Estany, located in the district of the Moianès (Catalonia), in the northeast of Spain. The drying began in the 16th century with drainage channels driven by the Monastery of Santa Maria de L'Estany, and culminated in the 18th century with the construction, using the dry stone technique, of a 425 m long, 2.14 m high and 1.20 m wide drainage mine that diverted water to the basin of the Llobregat River. Now the mine and the canals are conserved for use in times of rain as well as a touristic objective that complements the cultural and religious concerns of the Monastery of Santa Maria with its magnificent Romanesque cloister.
Accuracy and Precision of a Surgical Navigation System: Effect of Camera and Patient Tracker Position and Number of Active Markers
Authors: Gundle Kenneth R. , White Jedediah K. , Conrad Ernest U. , Ching Randal P. 
Published: June 2017

Introduction:
Surgical navigation systems are increasingly used to aid resection and reconstruction of osseous malignancies. In the process of implementing image-based surgical navigation systems, there are numerous opportunities for error that may impact surgical outcome. This study aimed to examine modifiable sources of error in an idealized scenario, when using a bidirectional infrared surgical navigation system.

Materials and Methods:
Accuracy and precision were assessed using a computerized-numerical-controlled (CNC) machined grid with known distances between indentations while varying: 1) the distance from the grid to the navigation camera (range 150 to 247cm), 2) the distance from the grid to the patient tracker device (range 20 to 40cm), and 3) whether the minimum or maximum number of bidirectional infrared markers were actively functioning. For each scenario, distances between grid points were measured at 10-mm increments between 10 and 120mm, with twelve measurements made at each distance. The accuracy outcome was the root mean square (RMS) error between the navigation system distance and the actual grid distance. To assess precision, four indentations were recorded six times for each scenario while also varying the angle of the navigation system pointer. The outcome for precision testing was the standard deviation of the distance between each measured point to the mean three-dimensional coordinate of the six points for each cluster.

Results:
Univariate and multiple linear regression revealed that as the distance from the navigation camera to the grid increased, the RMS error increased (p<0.001). The RMS error also increased when not all infrared markers were actively tracking (p=0.03), and as the measured distance increased (p<0.001). In a multivariate model, these factors accounted for 58% of the overall variance in the RMS error. Standard deviations in repeated measures also increased when not all infrared markers were active (p<0.001), and as the distance between navigation camera and physical space increased (p=0.005). Location of the patient tracker did not affect accuracy (0.36) or precision (p=0.97)

Conclusion:
In our model laboratory test environment, the infrared bidirectional navigation system was more accurate and precise when the distance from the navigation camera to the physical (working) space was minimized and all bidirectional markers were active. These findings may require alterations in operating room setup and software changes to improve the performance of this system.
Partisipasi Pemuda Purna Paskibraka Indonesia Dalam Kegiatan Bela Negara Dan Pengaruhnya Terhadap Ketahanan Wilayah (Studi Tentang Purna Paskibraka Indonesia Kabupaten Klaten Provinsi Jawa Tengah)
Authors: Febrihananto Erdi Wikan , Abdullah Irwan , Zubaidi Ahmad 
Published: June 2017

ABSTRACTThis research discussed about the participation of youth in defending the country and its influence to the regional resilience at the Klaten Regency. This research used qualitative research method, object the research was the youth’s participation to defending the country and its implications to the regional resilience. The method of collecting data were interview, observation, literature study, documentation study, and online page search. Data analysis techniques in this study using data reduction, data presentation, and conclusion. The results showed that Former Flag Raisers of Indonesia, Klaten Regency had of participate in activity to defending the country in the Klaten Regency. The participation performed by four models activities, namely model of ideological activity, model of social interaction activity, competition between Paskibra, and model of acting activity. It’s participation gave the comprehension about defending the country, awareness about defending the country, and commitment about defending the country. The participation of Youth to defending the country had influences for the regional resilience at the Klaten Regency with criteria that included aspects of ideology, politic, social and cultural, and defense and security. ABSTRAKPenelitian ini membahas tentang partisipasi pemuda dalam kegiatan bela negara dan pengaruhnya terhadap ketahanan wilayah Kabupaten Klaten. Dengan menggunakan metode penelitian kualitatif, penelitian ini memfokuskan kajiannya pada partisipasi pemuda dalam kegiatan bela negara dan pengaruhnya terhadap ketahanan wilayah didaerah Klaten, Jawa Tengah. Metode pengumpulan data pada penelitian ini menggunakan wawancara, observasi, studipustaka, studi dokumentasi, dan penelusuran laman online. Teknik analisis data pada penelitian ini menggunakan reduksi data, penyajian data, dan penarikan kesimpulan.Hasil penelitian menunjukkan bahwa Purna Paskibraka Indonesia telah berpartisipasi secara aktif dalam kegiatan bela negara di Kabupaten Klaten. Partisipasi tersebut dilakukan melalui 4 (empat) model kegiatan yaitu kegiatan yang bersifat ideologis, kegiatan yang bersifat interaksi sosial, kegiatan kejuaraan antar Paskibra, dan kegiatan bersifat aksi. Partisipasi tersebut memberikan pemahaman terhadap nilai-nilai berbangsa dan bernegara yang kemudian memberikan kesadaran terhadap kewajiban bela negara, dan menyatakan komitmennya terhadap bela negara. Partisipasi pemuda dalam kegiatan bela negara ini berpengaruh terhadap ketahanan wilayah Kabupaten Klaten terutama dalam konteks penguatan ideologi, katahanan politik, sosial dan budaya budaya serta memperkokoh aspek pertahanan dan keamanan.
Migración interna y logro ocupacional en la Ciudad de México
Authors: Santiago Hernández Julio 
Published: June 2017

El propósito de este trabajo es analizar el efecto de la situación migratoria en la inserción laboral y el logro ocupacional. Interesa saber si las diferencias observadas se deben a su condición migratoria en sí misma o bien a otras variables sociodemográficas asociadas a su condición que podría poner a los migrantes en situación de desventaja en el mercado de trabajo de la Ciudad de México. Para ello utilizamos los datos de la Encuesta sobre Desigualdad y de Movilidad Social en la Ciudad de México, 2009. A diferencia de los estudios de las principales ciudades de México durante el modelo sustitutivo de importaciones, que suponían que las tasas de movilidad ocupacional ascendente beneficiaban prácticamente por igual a quienes habían nacido y crecido en la ciudad que a los inmigrantes rurales, nuestros resultados sugieren lo contrario: que a los migrantes les va mal, pero no por el hecho de ser migrantes, sino porque tienden a contar con menores atributos económicos, culturales y de capital social en sus familias de origen, lo que les impide sacar provecho de sus esfuerzos para lograr un desempeño educativo y profesional similar o superior al de los nativos. Otro hallazgo sugiere que incluso después de controlar el origen social desventajoso, las mujeres migrantes rurales tienen un desempeño consistentemente desfavorable en comparación con las nativas de la Ciudad de México.
El sociólogo y el historiador: el rol del intelectual en la propuesta bourdieusiana
Authors: Gutiérrez Alicia B. 
Published: June 2017

En la perspectiva analítica de Pierre Bourdieu, la dimensión histórica atraviesa la vida individual y colectiva como historia objetivada en las cosas y como historia incorporada bajo la forma de habitus. El reconocimiento de esta verdad histórica no implica necesariamente una trampa eterna: hay una dialéctica del conocimiento y de la libertad, hay una posibilidad de objetivar la necesidad y de devenir sujeto. Y es en la misma historia en la que es necesario buscar el principio de la independencia relativa de la razón, intentando conocer, develar y controlar esos condicionamientos. En ese proceso, el sociólogo y el historiador, como intelectuales, tienen un papel fundamental. Cuentan con sus propias armas, ocupan una posición social específica y pueden cumplir ese papel, comenzando con la objetivación del sujeto objetivante.
Dasein, personeidad, intersubjetividad y persona-núcleo (II). La estructura trascendental intelectiva después de Heidegger, en Zubiri, Apel y Polo. Dasein, personality, inter-subjectivity and nucleus-person (II). The intellective transcendental structure after Heidegger, in Zubiri, Apel and Polo
Authors: Ortiz de Landázuri Carlos 
Published: June 2017

Se analiza el modo comprensivo de concebir el Dasein por parte de Heidegger al caracterizarlo como el principio relacional intelectivo de los entes en general. Especialmente cuando se le asignó una efectiva pertenencia a una estructura transcendental entitativa como “ser en el mundo”, sin por ello dejar de ejercer sus funciones intelectivas. Al menos así ocurrió en la forma como Zubiri, Apel y Polo concibieron sus respectivas nociones de personeidad, intersubjetividad o co-subjetividad y persona-núcleo, en estrecha dependencia respecto del modo como el primero interpretó, ya sea el hombre anónimo o la persona auténtica. Pero, a pesar de compartir este punto de partida, cada uno de estos filósofos siguió concibiendo de distinta manera la respectiva inteligencia intelectiva relacional, según se le atribuyeran una mayor capacidad de comprenderse con autenticidad a uno mismo y a los demás entes. Por su parte, el artículo pretende defender la complementariedad de las respectivas propuestas, aunque de momento sea un problema que se deja abierto. In this article Heidegger’s Dasain is analysed and characterised as ‘intelective relational principle’ of entities in general. This applies particularly when a factive belonging to a ‘transcendental entitative structrure’ is affirmed, though without stopping to exert intelectual functions. Such is the case for the philosophers Zubiri, Apel, and Polo, as the conceived their own notions of ‘personeity’, ‘intersubjectivity’ (or co-subjectivity) and nucleous-person, all these in close surrogacy to Heidegger’s anonymous man or authentic person. However, even if they shared this starting point, each of these philosophers kept conceiving in a different way the relational intellective intelligence, as they attributed a higher capacity of knowing oneself authentically as well as the other entities. In addition, the article aims to uphold the complementarity of each proposal, even though it leaves somehow the problem open to further discussion.
Nueva propuesta de educación emocional en clave de integración y al servicio del crecimiento. New proposal of emotional education In the key of integration and in the service of growth
Authors: Orón Semper José Víctor 
Published: June 2017

Las posturas educativas asumidas son deudoras de posturas previas que no pertenecen del campo educativo. En el ámbito de la educación emocional, se ha formulado propuestas de intervención sin un detallado estudio previo interdisciplinar. En el presente estudio, se revisan cuales son los antecedentes que sustentan la propuesta actual dominante de educación emocional llamada ‘regulación emocional’. Nuestro estudio permite plantear una alternativa más completa que aquí proponemos y llamamos ‘integración emocional al servicio del crecimiento’. Para tal cometido se revisa el transforndo filosófico, neurocientífico y psicológico que sustenta las diversas propuestas. Se descubre una correspondencia lógica, que a modo de hilo conductor atraviesan las diversas disciplinas. De tal forma que, quién sustenta ciertas posturas filosóficas, neurocientíficas y psicológicas es normal que acabe en una propuesta de educación emocional concreta y no en otra. Por último se ofrecen estudios iniciales de intervención educativa que apoyan la idoneidad de la nueva propuesta. The educational positions assumed are debtors of previous positions that do not belong to the educational eld. In the eld of emotional education, proposals for intervention have been formulated without a detailed, interdisciplinary study. In the present study, we review the antecedents that support the current dominant proposal of emotional education called ‘emotional regulation’. Our study allows us to propose a more complete alternative that we introduce here and we call ‘emotional integration in the service of growth’. For this purpose the philosophical, neuroscientific and psychological transformation that supports the various proposals is reviewed. A logical correspondence is discovered, which as a guiding thread cross the various disciplines. Thus, who supports certain philosophical, neuroscientific and psychological positions is normal to end in a proposal of concrete emotional education and not another. Finally, initial studies of educational intervention are offered that support the appropriateness of the new proposal
Nuevas ecologías: pensamiento posconciliar y crueldad animal. New Ecologies: postconciliar thought and animal cruelty
Authors: Aranda Vargas Juan Pablo 
Published: June 2017

La pregunta sobre la distinción entre el reino animal y la especie humana es tan antigua como la razón misma. Dos extremos pueden ser identificados: la idea del ser humano como dictador de la naturaleza, que gobierna la vida y la muerte de las especies según su utilidad al proyecto humano; y la conceptualización del ser humano como administrador de la naturaleza, como responsable de su desarrollo armónico. El Concilio Vaticano II marcó un viraje hacia la segunda alternativa. En este contexto, la tauromaquia —como ejemplo paradigmático— puede ser cuestionada desde el catolicismo posconciliar y, más específicamente, desde la ecología integral de Francisco. The inquiry about the distinction between human beings and animals is as old as hu- man reason. We can identify two extreme positions: the conceptualization of the human kind as a dictator over nature who rules the species’ life and death according to its utility to the human project, and the view of the human being as nature’s administrator, as the one in charge of its harmonic development. The Second Vatican Council oriented the Catholic Church towards the second alternative. In this context, bullfights –a paradigmatic example– can be questioned by post-conciliar Catholicism and, more speci cally, from Francis’ integral ecology.
Nota crítica sobre el libre albedrío en De Libero Arbitrio, Liber II de San Agustín. Critical Note on Free Will In De Libero Arbitrio, Liber II of Saint Augustine
Authors: Márquez Domínguez Guadalupe 
Published: June 2017

El problema de la libertad es un tema de actualidad y forma parte de nuestras preguntas fundamentales como seres humanos. Los filósofos medievales le han dado respuesta y lo que encontraremos aquí será un recorrido por las definiciones de libre albedrío y libertas, para partir luego a debatir y analizar tres argumentos en San Agustín que nos llevarán a la respuesta de la defensa de la libertad tanto divina como humana. ¿Cómo tener la certeza de que en la omnipotencia de Dios cabe la libertad del hombre, o que el hombre es libre a pesar de la omnisciencia de Dios? Este trabajo hace a un lado estas aparentes contradicciones y busca dar reflexión sobre el pensamiento agustiniano y propuestas ante la libertad del hombre y la voluntad Divina. The problem of free will is a topic of interest for today and still integrates the body of big questions we do as humans. Medieval philosophers tackled this problem too, giving a particular answer: such is the case of the notions of free will and liberty (libertas), that I trace back in Saint Augustine analysing three arguments that involve a defense of free will, both human and divine. How can we have certitude of God’s omnipotence interacting with human freedom? Are humans free in spite of God knowing things regardless of time? These lines reflect the apparent conceptual qualms of this contradictions and seek what the Augustinian response to human and divine free will proposes.
La critique sartrienne de l'universel abstrait : éléments pour une pensée du multiculturel
Authors: Gomez-Muller Alfredo 
Published: June 2017

Sartre's Critique of the Abstract Universal: Elements for a Multicultural Thinking The question of cultural justice, which refers in different contexts to the exigency of universality, constitutes a central aspect of Sartre's writings after World War II as f. ex. Réflexions sur la question juive (1946), Orphée noir (1948), Cahiers pour une morale (1947-1948), the famous Preface to Les damnés de la terre of Franz Fanon (1961), and his article on the "question basque" (1971). In this texts Sartre poses some questions, which are crucial for the contemporary multiculturalism debates, specially the questions of cultural justice, of the concepts of universality and the practical subject, of the articulation between cultural justice and distributive justice, as well as of the relation between person, economics and culture. The aims of this article is to discuss the main points of Sartre's critique of the abstract universality on the basis of his Réflexions sur la question juive, and to articulate the fields where Sartre's thought offers the theoretical resources for a contemporary debate on cultural justice.