bluuebunny/crossref_metadata_2025_split huggingface dataset:
Sleeve gastrectomy prior to primary total hip and total knee arthroplasty is associated with increased risk of early complications
Authors: Ailaney Nikhil , Guirguis Paul G. , Ginnetti John G. , Balkissoon Rishi , Myers Thomas G. , Ramirez Gabriel , Thirukumaran Caroline P. , Ricciardi Benjamin F. 
Published: September 2024

AimsThe purpose of this study was to determine the association between prior sleeve gastrectomy in patients undergoing primary total hip and knee arthroplasty, and 90-day complications, incidence of revision arthroplasty, and patient-reported outcome scores at final follow-up.MethodsThis is a retrospective, single-centre analysis. Patients undergoing primary hip or knee arthroplasty with a prior sleeve gastrectomy were eligible for inclusion (n = 80 patients). A morbidly obese control group was established from the same institutional registry using a 1:2 match, for cases:controls with arthroplasty based on propensity score using age, sex, pre-sleeve gastrectomy BMI, Current Procedural Terminology code to identify anatomical location, and presurgical haemoglobin A1C. Outcomes included 90-day complications, incidence of revision arthroplasty, and patient-reported outcome scores at final follow-up. Multivariable logistic regressions evaluated associations of underlying preoperative demographic and treatment characteristics with outcomes.ResultsComplications within 90 days of surgery were increased in the sleeve gastrectomy group relative to the obese control group after controlling for underlying preoperative demographic characteristics (odds ratio (OR) 4.00 (95% CI 1.14 to 13.9); p = 0.030). Postoperative revisions were similar in the sleeve gastrectomy group relative to the obese control group after controlling for underlying preoperative demographic characteristics (OR 17.8 (95% CI 0.64 to 494.3); p = 0.090). Patient-Reported Outcomes Measurement Information System (PROMIS) depression decreased by a greater amount from pre- to postoperative in the obese controls relative to the sleeve gastrectomy group (OR 4.04 (95% CI 0.06 to 8.02); p = 0.047). PROMIS pain interference and physical function change from pre- to postoperative was not associated with sleeve gastrectomy status.ConclusionWe found a higher rate of complications at 90 days in patients who underwent sleeve gastrectomy prior to primary hip or knee arthroplasty relative to a matched, obese control population. Prosthetic revision rates were similar between the two groups, while improvements in PROMIS depression scores were larger in the obese cohort. This study suggests that sleeve gastrectomy to achieve preoperative weight loss prior to arthroplasty surgery may not mitigate early complication risks in obese patient populations.Cite this article: Bone Joint J 2024;106-B(9):935–941.
Increased early complications after total hip arthroplasty compared with hemiarthroplasty in older adults with a femoral neck fracture
Authors: Hatano Masaki , Sasabuchi Yusuke , Isogai Toshiaki , Ishikura Hisatoshi , Tanaka Takeyuki , Tanaka Sakae , Yasunaga Hideo 
Published: September 2024

AimsThe aim of this study was to compare the early postoperative mortality and morbidity in older patients with a fracture of the femoral neck, between those who underwent total hip arthroplasty (THA) and those who underwent hemiarthroplasty.MethodsThis nationwide, retrospective cohort study used data from the Japanese Diagnosis Procedure Combination database. We included older patients (aged ≥ 60 years) who underwent THA or hemiarthroplasty after a femoral neck fracture, between July 2010 and March 2022. A total of 165,123 patients were included. The THA group was younger (mean age 72.6 (SD 8.0) vs 80.7 years (SD 8.1)) and had fewer comorbidities than the hemiarthroplasty group. Patients with dementia or malignancy were excluded because they seldom undergo THA. The primary outcome measures were mortality and complications while in hospital, and secondary outcomes were readmission and reoperation within one and two years after discharge, and the costs of hospitalization. We conducted an instrumental variable analysis (IVA) using differential distance as a variable.ResultsThe IVA analysis showed that the THA group had a significantly higher rate of complications while in hospital (risk difference 6.3% (95% CI 2.0 to 10.6); p = 0.004) than the hemiarthroplasty group, but there was no significant difference in the rate of mortality while in hospital (risk difference 0.3% (95% CI -1.7 to 2.2); p = 0.774). There was no significant difference in the rate of readmission (within one year: risk difference 1.3% (95% CI -1.9 to 4.5); p = 0.443; within two years: risk difference 0.1% (95% CI -3.2 to 3.4); p = 0.950) and reoperation (within one year: risk difference 0.3% (95% CI -0.6 to 1.1); p = 0.557; within two years: risk difference 0.1% (95% CI -0.4 to 0.7); p = 0.632) after discharge. The costs of hospitalization were significantly higher in the THA group than in the hemiarthroplasty group (difference $2,634 (95% CI $2,496 to $2,772); p < 0.001).ConclusionAmong older patients undergoing surgery for a femoral neck fracture, the risk of early complications was higher after THA than after hemiarthroplasty. Our findings should aid in clinical decision-making in these patients.Cite this article: Bone Joint J 2024;106-B(9):986–993.
Tendon transfers for the management of irreparable subscapularis tears
Authors: De Rus Aznar Ignacio , Ávila Lafuente José L. , Hachem Abdul-ilah , Díaz Heredia Jorge , Kany Jean , Elhassan Bassem , Ruiz Ibán Miguel Á. 
Published: September 2024

Rotator cuff pathology is the main cause of shoulder pain and dysfunction in older adults. When a rotator cuff tear involves the subscapularis tendon, the symptoms are usually more severe and the prognosis after surgery must be guarded. Isolated subscapularis tears represent 18% of all rotator cuff tears and arthroscopic repair is a good alternative primary treatment. However, when the tendon is deemed irreparable, tendon transfers are the only option for younger or high-functioning patients. The aim of this review is to describe the indications, biomechanical principles, and outcomes which have been reported for tendon transfers, which are available for the treatment of irreparable subscapularis tears.The best tendon to be transferred remains controversial. Pectoralis major transfer was described more than 30 years ago to treat patients with failed surgery for instability of the shoulder. It has subsequently been used extensively to manage irreparable subscapularis tendon tears in many clinical settings. Although pectoralis major reproduces the position and orientation of the subscapularis in the coronal plane, its position in the axial plane – anterior to the rib cage – is clearly different and does not allow it to function as an ideal transfer. Consistent relief of pain and moderate recovery of strength and function have been reported following the use of this transfer. In an attempt to improve on these results, latissimus dorsi tendon transfer was proposed as an alternative and the technique has evolved from an open to an arthroscopic procedure. Satisfactory relief of pain and improvements in functional shoulder scores have recently been reported following its use. Both pectoralis minor and upper trapezius transfers have also been used in these patients, but the outcomes that have been reported do not support their widespread use.Cite this article: Bone Joint J 2024;106-B(9):970–977.
Dysregulated neutrophil extracellular traps and haemostatic biomarkers as diagnostic tools and therapeutic targets in periprosthetic joint infection
Authors: Oto Julia , Herranz Raquel , Fuertes Manuel , Plana Emma , Verger Patricia , Baixauli Francisco , Amaya José V. , Medina Pilar 
Published: September 2024

AimsBacterial infection activates neutrophils to release neutrophil extracellular traps (NETs) in bacterial biofilms of periprosthetic joint infections (PJIs). The aim of this study was to evaluate the increase in NET activation and release (NETosis) and haemostasis markers in the plasma of patients with PJI, to evaluate whether such plasma induces the activation of neutrophils, to ascertain whether increased NETosis is also mediated by reduced DNaseI activity, to explore novel therapeutic interventions for NETosis in PJI in vitro, and to evaluate the potential diagnostic use of these markers.MethodsWe prospectively recruited 107 patients in the preoperative period of prosthetic surgery, 71 with a suspicion of PJI and 36 who underwent arthroplasty for non-septic indications as controls, and obtained citrated plasma. PJI was confirmed in 50 patients. We measured NET markers, inflammation markers, DNaseI activity, haemostatic markers, and the thrombin generation test (TGT). We analyzed the ability of plasma from confirmed PJI and controls to induce NETosis and to degrade in vitro-generated NETs, and explored the therapeutic restoration of the impairment to degrade NETs of PJI plasma with recombinant human DNaseI. Finally, we assessed the contribution of these markers to the diagnosis of PJI.ResultsPatients with confirmed PJI had significantly increased levels of NET markers (cfDNA (p < 0.001), calprotectin (p < 0.001), and neutrophil elastase (p = 0.022)) and inflammation markers (IL-6; p < 0.001) in plasma. Moreover, the plasma of patients with PJI induced significantly more neutrophil activation than the plasma of the controls (p < 0.001) independently of tumour necrosis factor alpha. Patients with PJI also had a reduced DNaseI activity in plasma (p < 0.001), leading to a significantly impaired degradation of NETs (p < 0.001). This could be therapeutically restored with recombinant human DNaseI to the level in the controls. We developed a model to improve the diagnosis of PJI with cfDNA, calprotectin, and the start tail of TGT as predictors, though cfDNA alone achieved a good prediction and is simpler to measure.ConclusionWe confirmed that patients with PJI have an increased level of NETosis in plasma. Their plasma both induced NET release and had an impaired ability to degrade NETs mediated by a reduced DNaseI activity. This can be therapeutically restored in vitro with the approved Dornase alfa, Pulmozyme, which may allow novel methods of treatment. A combination of NETs and haemostatic biomarkers could improve the diagnosis of PJI, especially those patients in whom this diagnosis is uncertain.Cite this article: Bone Joint J 2024;106-B(9):1021–1030.
Comparing the risk of reoperation between pneumatic tourniquet and non-tourniquet use in surgical treatment of ankle fractures
Authors: El-Khaldi Issam , Gude Mads H. , Gundtoft Per H. , Viberg Bjarke 
Published: September 2024

AimsPneumatic tourniquets are often used during the surgical treatment of unstable traumatic ankle fractures. The aim of this study was to assess the risk of reoperation after open reduction and internal fixation of ankle fractures with and without the use of pneumatic tourniquets.MethodsThis was a population-based cohort study using data from the Danish Fracture Database with a follow-up period of 24 months. Data were linked to the Danish National Patient Registry to ensure complete information regarding reoperations due to complications, which were divided into major and minor. The relative risk of reoperations for the tourniquet group compared with the non-tourniquet group was estimated using Cox proportional hazards modelling.ResultsA total of 4,050 ankle fractures treated with open reduction and internal fixation between 15 March 2012 and 31 December 2016 were included, with 669 (16.5%) undergoing surgery with a tourniquet and 3,381 (83.5%) without a tourniquet. The overall reoperation risk was 28.2% with an adjusted relative risk of 1.46 (95% CI 0.91 to 2.32) for group comparison. The reoperation risk due to major complications was 3.1% with a tourniquet and 4.4% without a tourniquet, resulting in an adjusted relative risk of 1.45 (95% CI 0.91 to 2.32). For minor complications, there were 24.7% and 23.9% reoperations, resulting in an adjusted relative risk of 0.99 (95% CI 0.84 to 1.17).ConclusionWe found no significant difference in the reoperation rate when comparing ankle fractures treated surgically with and without the use of pneumatic tourniquets.Cite this article: Bone Joint J 2024;106-B(9):994–999.
The bone trauma and soft-tissue injury classification system in total hip arthroplasty (BOSTI Hip)
Authors: Kayani Babar , Wazir Mohammed U. K. , Mancino Fabio , Plastow Ricci , Haddad Fares S. 
Published: September 2024

AimsThe primary objective of this study was to develop a validated classification system for assessing iatrogenic bone trauma and soft-tissue injury during total hip arthroplasty (THA). The secondary objective was to compare macroscopic bone trauma and soft-tissues injury in conventional THA (CO THA) versus robotic arm-assisted THA (RO THA) using this classification system.MethodsThis study included 30 CO THAs versus 30 RO THAs performed by a single surgeon. Intraoperative photographs of the osseous acetabulum and periacetabular soft-tissues were obtained prior to implantation of the acetabular component, which were used to develop the proposed classification system. Interobserver and intraobserver variabilities of the proposed classification system were assessed.ResultsThe BOne trauma and Soft-Tissue Injury classification system in total Hip arthroplasty (BOSTI Hip) grades osseous acetabular trauma and periarticular muscle damage during THA. The classification system has an interclass correlation coefficient of 0.90 (95% CI 0.86 to 0.93) for interobserver agreement and 0.89 (95% CI 0.84 to 0.93) for intraobserver agreement. RO THA was associated with improved BOSTI Hip scores (p = 0.002) and more pristine osseous surfaces in the anterior superior (p = 0.001) and posterior superior (p < 0.001) acetabular quadrants compared with CO THA. There were no differences between the groups in relation to injury to the gluteus medius (p = 0.084), obturator internus (p = 0.241), piriformis (p = 0.081), superior gamellus (p = 0.116), inferior gamellus (p = 0.132), quadratus femoris (p = 0.208), and vastus lateralis (p = 0.135), but overall combined muscle injury was reduced in RO THA compared with CO THA (p = 0.023).DiscussionThe proposed BOSTI Hip classification provides a reproducible grading system for stratifying iatrogenic bone trauma and soft-tissue injury during THA. RO THA was associated with improved BOSTI Hip scores, more pristine osseous acetabular surfaces, and reduced combined periarticular muscle injury compared with CO THA. Further research is required to understand if these intraoperative findings translate to differences in clinical outcomes between the treatment groups.Cite this article: Bone Joint J 2024;106-B(9):898–906.
Knowledge, attitude, and practice towards enhanced recovery after surgery among patients underwent thoracoscopy surgery
Authors: Huang Yinping , Wang Xingbang , Li Jiajia , He Qing , Wang Rui 
Published: September 2024

Objective
Thoracoscopy has gained extensive utilization in managing pleural disorders, and enhanced recovery after surgery (ERAS) can improve patients’ prognosis and expedite post-surgical recovery. This study aimed to investigate the knowledge, attitudes, and practices (KAP) towards ERAS among patients underwent thoracoscopy surgery.

Methods
This cross-sectional study was conducted between September 2022 and August 2023, among patients underwent thoracoscopy surgery in 6 Secondary or Tertiary hospitals in the author’s area. Demographic characteristics and KAP scores were collected by questionnaires, and clinical data were extracted from medical records.

Results
A total of 309 valid questionnaires were collected, with 165 (53.40%) males and 202 (65.37%) aged ≤65 years old. The mean scores for KAP were 28.92±7.21 (possible range: 9–45), 53.60±6.73 (possible range: 13–65), and 43.45±5.50 (possible range: 10–50), respectively. SEM confirmed the positive associations between knowledge and attitude (β = 0.108, P = 0.019), knowledge and practice (β = 0.096, P = 0.004), and attitude and practice (β = 0.438, P<0.001). However, the KAP were found not associated with prognosis.

Conclusion
Patients underwent thoracoscopy surgery showed moderate knowledge, positive attitude, and appropriate practice towards ERAS. Preoperative education, personalized counseling, peer support groups, peer support groups, and follow-up care were recommended in further clinical practice.
Peirce’s philosophy of language
Authors: Zhu Zhifang 
Published: September 2024

Abstract
Peirce’s philosophy of language is woven around his pragmatic maxim. From early on in his scholarship to late, Peirce expanded his pragmatism into a fabric of semiotics. In this paper, Peirce’s pragmatism is taken to be an integral part of his semiotic system, and his method of making ideas clear is accounted for in terms of his theory of signs. For Peirce, a sign stands for or represents something in connection with some interpretant. This claim applies to linguistic expressions: words and sentences. A sign or a term refers to an object determined by its interpretant. In further analysis, object represented goes the way from immediate object to dynamic object, and interpretant from immediate through dynamic to logical interpretant. Departing from the prevailing scheme of sense–reference ascription, Peirce’s pragmatism is a method of determining meaning rather than a theory of what meaning is, and further, it is a semantic theory rather than a linguistic pragmatics. Making meaning clear goes through a semiotic process where linguistic signs, objects in the world, and the minds of speaker and hearer are intimately interrelated; it follows that Fregean anti-psychologism goes astray in the search for meaning.
Hybrid Deep Learning with GloVe and Genetic Algorithm for Sentiment Analysis on X: 2024 Election
Authors: Fitria Mahrunissa Azmima Fitria , Setiawan Erwin Budi 
Published: September 2024

Purpose: This research analyzes sentiment on the 2024 Indonesian Presidential Election using data from X, employing a hybrid CNN-GRU model optimized with a Genetic Algorithm (GA) to improve accuracy and efficiency. It also explores GloVe feature expansion for enhanced sentiment classification, aiming for deeper insights into public opinion through advanced deep learning and optimization techniques.
Methods: This research employs a deep learning approach that integrates Convolutional Neural Network (CNN) and Gated Recurrent Unit (GRU) models, Term Frequency-Inverse Document Frequency (TF-IDF), Global Vectors (GloVe), and GA. The dataset comprises 62,955 Indonesian tweets focusing on the 2024 General Election using various keywords.
Result: The results indicated that the Genetic Algorithm significantly improved model accuracy. The CNN-GRU + GA model achieved 84.72% accuracy for the Top 10 ranking, a 1.94% increase from the base model. In comparison, the GRU-CNN + GA model achieved 84.69% accuracy for the Top 5 ranking, a 2.76% increase from the base model, demonstrating enhanced performance with GA across configurations.
Novelty: This research uses a hybrid CNN-GRU model to introduce a novel sentiment analysis approach for the 2024 Indonesian Presidential Election. The model enhances accuracy by combining CNN's spatial feature extraction with GRU's temporal context capture and GloVe's word semantics. Genetic Algorithm optimization further refines performance. Comprehensive pre-processing ensures high-quality data, and focusing on election-specific keywords adds relevance. This study advances sentiment analysis through its innovative hybrid model, feature expansion, and optimization techniques.
PENGISLAMAN BLITAR OLEH LASKAR DIPONEGORO Dari Pra Hingga Pasca Perang Jawa 1820-1830
Authors: Husna Nurul Laelatul , Hendra Afiyanto  
Published: September 2024

This study researching about the first entry of Islam and known Islamic Religion in Kuningan Blitar by Laskar Diponegoro. The analyzis spread of Islam that Laskar Diponegoro doings it’s can be able to answer the formulation First, how was Laskar Diponegoro comes to Blitar? Second, how was Laskar Diponegoro spread Islam in Blitar? Third, who was the figure behind the achievement of Islamisation in Blitar. This study used a historical method which consist of 4 step, that are heuristic, verification, interpretation and historiography. There are 3 findings, First Laskar Diponegoro arrived to Blitar because of problem happened in the Central Java between lord along society and Dutch Colonial. Second, Laskar Diponegoro who brought the Islamic Religion peacefully, finally well received by Kuningan society in Blitar. Third, there are 3 figure who spread Islam in Blitar that Syaikh Abu Hasan the head of the palace, Syaikh Abu Manshur as lord and Kiyai Sholeh the expert in monotheism. From the spread of Islam in Blitar, than bring up the real motive behind the arrival of Laskar Diponegoro in Blitar that there’s a ploy lord of Diponegoro for gather strangth outside the area of Central Java as an effort to prepare for the Java War.
Dialektika Orientasi Keilmuan Ulama di Minangkabau
Authors: Khilal Khilal Syauqi 
Published: September 2024

Tulisan ini membahas tentang perubahan orientasi keilmuan ulama di Minangkabau pada periode awal masuknya Islam serta pasca gerakan Paderi. Gerakan Paderi dijadikan sebagai unit analisis dalam melihat perubahan orientasi keilmuan tersebut dengan melakukan dikotomi pra dan pasca Paderi. Dengan menggunakan metode penelitian sejarah dengan teori gerakan sosial dan structural fungsional dalam tulisan ini melihat bahwa gerakan awal Islam dalam bentuk tareqat-tasawuf merupakan tesa. Tesa yang mempengaruhi posisi/peran ulama dalam entitas sosial. Kemudian munculnya gerakan Paderi sebagai antitesa dan pada akhirntya melahirkan sintesa yaitu adanya negosiasi antara doktrin agama dengan adat Minangkabau yang sudah dianggap sebagai pola perilaku ideal. Adat mengalami kodifikasi, di sisi lain, agama sebagai suatu sistem keyakinan dan kepercayaan diperkuat. Meskipun gerakan Paderi tidak berhasil merubah struktur sosial, kultural dan politik di Minangkabau, bahkan tidak mampu menciptakan solusi atas terjadinya konflik antara agama dan adat, namun perkembangan lain dapat diikuti, yakni mengenai semakin lebarnya ruang penetrasi ajaran agama dalam sistem kemasyarakatan orang Minangkabau.
A ~957 Ma Metamorphism in the Mesoarchaean Hindoli Group Supracrustal Rocks from the Jahazpur Shear Zone, East Rajasthan (India): Constraints from Sm-Nd Dating and Phase Equilibria Modeling
Authors: S. Gupta , L. Saha , N.A. Alfimova , E.S. Bogomolov , A. Bhattacharya , S. Behera , A. Prakash , A.K. Shrivastava 
Published: September 2024

ABSTRACTA petrological-chronological investigation of the Hindoli Group of rocks within the Jahazpur Shear Zone in the eastern segment of the Aravalli Delhi Fold Belt (ADFB), NW India, has been conducted. We infer two stages of deformation (D1 and D2) and metamorphism (M1 and M2) for the garnet - muscovite - biotiteschists interleaved with meta dolomite, Banded Iron Formation (BIF) amphibolite, and foliated granite. The D2 deformation corresponds to the northeast-trending Jahazpur shear zone on a regional scale. Garnet porphyroblasts, syntectonic with the D2 deformation, are chemically zoned with spessartine-rich cores. Geothermobarometry and pseudosection analyses yield peak P-T conditions of ~7.5 kbar, 580°C, followed by decompression and cooling along a clockwise P-T path. The Sm-Nd isotope analysis of the whole rock yields a date of ~3.0 Ga from an amphibolite. This data is interpreted as the age of formation of the litho-units of the Hindoli Group. Sm-Nd analyses of garnet grains yield an age of ~957 Ma. This date corresponds with the age of nucleation of the Jahazpur shear zone. A good correlation is established between the Neoproterozoic crustal segments of the Jiangnan Fold Belt of the South China Craton and that of the ADFB during the formation of the Rodinia Supercontinent.