bluuebunny/crossref_metadata_2025_split huggingface dataset:
Eight of ten patients return to daily activities, work, and sports after total knee arthroplasty
Authors: Peters Maud Cornelia Wilhelmina Maria , Pronk Yvette , Brinkman Justus-Martijn 
Published: July 2024

BACKGROUND
Besides return to work (RTW) and return to sports (RTS), patients also prefer to return to daily activities (RTA) such as walking, sleeping, grocery shopping, and domestic work following total knee arthroplasty (TKA). However, evidence on the timelines and probability of patients’ RTA is sparse.
AIM
To assess the percentage of patients able to RTA, RTW, and RTS after TKA, as well as the timeframe and influencing factors of this return.
METHODS
A retrospective cohort study with prospectively collected data was conducted at a medium-sized Dutch orthopedic hospital. Assessments of RTA, RTW, and RTS were performed at 3 mo and/or 6 mo following TKA. Investigated factors encompassed patient characteristics, surgical characteristics, and preoperative patient-reported outcomes.
RESULTS
TKA patients [n = 2063; 66 years old (interquartile range [IQR]: 7 years); 47% male; 28 kg/m2 (IQR: 4 kg/m2)] showed RTA ranging from 28% for kneeling to 94% for grocery shopping, with 20 d (IQR: 27 d) spent for putting on shoes to 74 d (IQR: 57 d) for kneeling. RTW rates varied from 62% for medium-impact work to 87% for low-impact work, taking 33 d (IQR: 29 d) to 78 d (IQR: 55 d). RTS ranged from 48% for medium-impact sports to 90% for low-impact sports, occurring within 43 d (IQR: 24 d) to 90 d (IQR: 60 d). One or more of the investigated factors influenced the return to each of the 14 activities examined, with R ² values ranging from 0.013 to 0.127.
CONCLUSION
Approximately 80% of patients can RTA, RTW, and RTS within 6 mo after TKA. Return is not consistently influenced by predictive factors. Results help set realistic pre- and postoperative expectations.
Epidemiology of work-related hand and wrist injuries in a referral center: A descriptive study
Authors: Rodríguez Angélica M , Tocanchón Ginna P , Villalba Jessica T , Pombo Luis M , Teherán Aníbal A , Camero-Ramos Gabriel , Ayala Karen P , Acero Gerhard M 
Published: July 2024

BACKGROUND
Occupational hand and wrist injuries (OHWIs) account for 25% of work-related accidents in low- and middle-income countries. In Colombia, more than 500000 occupational accidents occurred in 2021, and although the rate declined to less than 5% in 2020 and 2021, at least one in four accidents involved a hand or wrist injury.
AIM
To describe the OHWIs in workers seen at the emergency room at a second-level hospital in Colombia.
METHODS
An observational study was performed using data from workers who experienced OHWIs and attended a second-level hospital, between June, 2020 and May, 2021. The overall frequency of OHWIs, as well as their distribution by sociodemographic, clinical, and occupational variables, are described. Furthermore, association patterns between sex, anatomical area (fingers, hand, wrist), and type of job were analyzed by correspondence analysis (CA).
RESULTS
There were 2.101 workers treated for occupational accidents, 423 (20.3%) were cases of OHWIs, which mainly affected men (93.9%) with a median age of 31 years and who worked mainly in mining (75.9%). OHWIs were more common in the right upper extremity (55.3%) and comprised different types of injuries, such as contusion (42.1%), laceration (27.9%), fracture (18.7%), and crush injury (15.6%). They primarily affected the phalanges (95.2%), especially those of the first finger (25.7%). The CAs showed associations between the injured anatomical area and the worker’s job that differed in men and women (explained variance > 90%).
CONCLUSION
One out of five workers who suffered occupational accidents in Cundinamarca, Columbia had an OHWI, affecting mainly males employed in mining. This occupational profile is likely to lead to prolonged rehabilitation, and permanent functional limitations. Our results might be useful for adjusting preventive measures in cluster risk groups.
Stigmatisasi dan Kepatuhan Terapi ARV terhadap Kualitas Hidup Pasien HIV/AIDS
Authors: Riyani Elis , Hidayatullah Arif , Purnama Agus 
Published: July 2024

Latar Belakang: HIV adalah retrovirus yang menginfeksi sel-sel sistem kekebalan manusia, dimana HIV yang tidak ditangani akan berkembang menjadi AIDS. HIV/AIDS menimbukan permasalahan yang kompleks, dimana pasien tidak hanya mengalami penderitaan fisik karena proses penyakit, melainkan juga penderitaan pada fungsi psikososial, keharusan meminum ARV sepanjang hidup juga merupakan permasalahan yang harus dihadapi oleh pasien dengan HIV/AIDS.
Tujuan: Untuk mengetahui hubungan antara stigmatisasi dan kepatuhan terapi ARV dengan perubahan kualitas hidup pasien HIV/AIDS.
Metode: Desain penelitian ini menggunakan penelitian deskriptif korelasional dengan pendekatan cross-sectional. Teknik sampling pada penelitian ini menggunakan perposive sampling yang melibatkan 133 responden, pasien yang berobat di Poli Pita Aruna PKJN RSJ dr H Marzoeki Mahdi Bogor. Instrumen Penelitian menggunakan Berger HIV Stigma Scale, Morisky Green Levine Test, dan WHOQOL-HIV Bref quesionarre. Analisis data menggunakan analisis univariat dan analisis Analisis bivariat menggunakan uji korelasi pearson.
Hasil: Hubungan antara stigma dengan kualitas hidup pasien HIV/AIDS diperoleh (p-value 0,004), dan kepatuhan terapi ARV dengan kualitas hidup pasien HIV/AIDS diperoleh (p-value 0, 032). Hasil uji multivariat dengan Analisa regresi linear berganda menunjukkan pengaruh stigmatisasi terhadap kualitas hidup pasien HIV/AIDS diperoleh (p-value 0,002) dan kepatuhan terapi ARV kualitas hidup pasien HIV/AIDS diperoleh (p-value 0,017). Secara simultan, Pengaruh Pekerjaan, stigmatisasi dan kepetuhan terapi ARV terhadap kualitas hidup diperoleh p-value 0,001 dan memberikan pengaruh sebesar 12,2% terhadap kualitas hidup.
Kesimpulan: Terdapat hubungan yang signifikan antara Stigmatisasi dan Kepatuhan Terapi ARV dengan kualitas hidup Pasien HIV/AIDS.
Pengaruh Edukasi Kesehatan Melalui Media Website terhadap Perilaku Orangtua dalam Pencegahan Penyakit Diare Berulang pada Anak Balita
Authors: Sahdanur Sahdanur 
Published: July 2024

Latar Belakang: Kejadian diare berulang di Rumah Sakit Tugu Ibu dirawat inap Wijayakusuma mengalami peningkatan diare berulang pada balita karena perilaku orangtua yang kurang baik dalam pencegahan diare berulang pada balita dengan diare. Sebanyak 31 balita dikarenakan perilaku yang kurang baik atau negatif.
Tujuan: Untuk mengetahui terjadinya perubahan perilaku dan untuk mengetahui efektifitas edukasi berbasis website terhadap perilaku orangtua dalam pencegahan diare pada balita di Rumah Sakit Tugu Ibu.
Metode: Penelitian deskriptif dan menggunakan rancangan penelitian analitik dengan pendekatan quasi eksperimental dengan desain pre-test and post-test without control group. Jumlah Responden pada penelitian ini yaitu 31 responden orangtua yang memiliki balita dengan penyakit diare berulang. Teknik pengumpulan data menggunakan instrumen kuesioner. Penelitian ini menggunakan uji wicoxon sign rank dan mann whitney test.
Hasil: Bedasarkan hasil uji wicoxon sign rank dan mann whitney test menunjukan bahwa ada perbedaan perilaku orangtua dalam pencegahan diare berulang dengan nilai (p-value = 0,000 < 0,05).
Kesimpulan: Adanya pengaruh dari edukasi medai website terhadap perilaku orangtua dalam pencegahan diare berulang dan Perlu dikembangkan penggunaan media edukasi website dalam pencegahan kejadian diare berulang agar informasi yang diberikan mudah untuk dipahami oleh orangtua.
КАЗАХСКАЯ ТЕМА В ТВОРЧЕСТВЕ РУССКОЙ ПОЭТЕССЫ Н.М. ЧЕРНОВОЙ
Authors: Хамраев А.Т. , Калиаскарова А.Т. 
Published: July 2024

Н.М. Чернова является известной русской казахстанской поэтессой, переводчицей и литературным критиком. Она – автор более 20 книг. «Возраст августа», «Цветущий саксаул», «Помню», «Возращение аистов», «Кочевница – Жизнь», «Бродячие сюжеты», «Звезды земли», «Только о любви», «Солнцеворот», «Приди и останься», «Огнецвет», «На два голоса», «Небесный дом», «Картины бытия», «Седьмая верста», «Мороз – трава», «Кудыкины горы» Н. Черновой стали достоянием словесной культуры нашей многонациональной страны. Многие поэтические произведения Н.М. Черновой вошли в учебники казахстанских школ. Её произведения побуждают читателей к эстетическому осмыслению окружающей действительности, ушедшего времени, исторической памяти, смены поколений, человеческих чувств (любви и ненависти, нежности и печали, доброте и красоте, покаянии и т.д.). В итоге казахская картина бытия Н. Черновой выступает как единый поэтический мегаобраз, в основе которой отражены проблемы дуального восприятия, созерцания и представления о мире, приведшие к постепенному утверждению эстетико-философской концепции об объективном единстве евразийской действительности. Рецепция евразийской общности обусловлена социально – историческими и межкультурными имперсональными категориями ее творчества. Лирика поэтессы, безусловно, становится феноменом специфического и вместе с тем реального отражения казахстанского общественно-культурного сознания второй половины ХХ века.
ҚАЗАҚ ФЭНТЕЗИ ЖАНРЫНДАҒЫ КӨРКЕМДІК ІЗДЕНІСТЕР
Authors: Демесинова А.А. , Қажибаева Г.К. , Тлеубердина Г.Т. 
Published: July 2024

Мақалада фэнтези жанры туралы еңбектер жазған ғалымдардың ғылыми көзқарастары сараланды. Әлемдік әдебиеттану ғылымында фэнтези жанрының тамыры тереңде екені анық. Дегенмен ұлттық әдебиетімізде фэнтези жанрындағы туындылар баршылық. Мақалада фэнтези жанрының ғылыми фантастикадан жанрлық ерекшелігі көрсетілді. Осы бағытта қазақ әдебиетіндегі фэнтези жанрында шығармалар жазған қаламгер Рүстем Сауытбайдың туындыларына талдау жасалынды. Мақаланың мақсаты мен міндеті – қазақ фэнтези жанрындағы көркемдік ізденістерді зерттеу нысанына айналдыру болып табылады. Сонымен қатар ғылыми мақаланы жазу барысында қаламгер шығармаларының тақырыптық-идеялық, көркемдік мән-мағынасы зерделенді. Зерттеу жұмысының негізгі нәтижелері мен талдаулар бөлімінде фэнтези жанрының өзіндік ерекшелігіне баса назар аударылды. Осы мәселенің төңірегінде де зерттеулер жүргізілді. Ұлттық әдебиеттануға қатысты А. Байтұрсынұлы, М. Әуезов, С. Қасқабасов сынды т.б. отандық ғалымдардың ой-пікірлері пайымдалды. Қазақ фэнтези жанрының қазіргі таңдағы көрінісі, көркемдік ізденістер, дамуына байланысты ғылыми қорытындылар жасалды. Түйіндеп айтқанда қазіргі қазақ әдебиетіндегі фэнтези жанрының өзіндік бағыты мен көркемдік жүйесі жайлы мәселелер жүйеленді. Сонымен қатар, тек қазақ әдебиеттануындағы осы тақырып төңірегіндегі іргелі зерттеулер мен ғылыми мақалалардан бөлек, шетелдік ғалымдардың да зерттеулеріне баса мән берілді. Фэнтези жанрының шығу төркіні мен негізіне арқау болған мифтер және олар жайлы орыс ғалымдарының зерттеулеріне шолу жасалды.
ҚАЗІРГІ ҚАЗАҚ ӘҢГІМЕЛЕРІНДЕГІ ЖЫЛҚЫ МЕН АДАМ ТАҒДЫРЫ
Authors: Асқарова Г.С. , Айтбаева A.E. , Құрмамбаева Қ.С. 
Published: July 2024

Қазақ прозасында қазақ өмірімен тікелей тамырлас, кейіпкер деңгейіне көтерілген бірден бір жануар ол – жылқы малы. Әдебиетімізде халық ауыз әдебиеті үлгілерінен бастап, жылқы жануары туралы жазылған көркем шығармалар жетерлік. Олардың бәрін бір мақала төңірегінде қамту да мүмкін емес. І. Жансүгіровтың «Құлагер», Ғ. Мүсіреповтің «Бошайдың үш қарасы», Ш. Айтматов «Қош бол, Гүлсары», Ә.Кекілбайдың «Бәйге торы», Т.Әлімқұловтың «Тұлпардың тағдыры», «Қош бол, Абсент», «Ақбоз ат», Қ. Жұмаділовтың «Сәйгүліктер», тәуелсіздік тұсында жазылған Н. Ораздың «Жылқының көз жасы», Н. Дәутай «Айғыркісі», Ж. Қайраңбайдың «Тұлпардың дүбірі», М. Мәжитовтың «Ат сейіс», С.Ибраимның «Ататоры» т.б. шығармаларында жылқының ойы, сезімі, түйгені, топшылауы арқылы өмір шындығы бейнеленіп, адам тағдыры мен жылқы тағдыры қатар өріледі. Адам мен жылқы тақырыбы қазақ прозасында ұңғыл-шұңғылына дейін зерттеліп жазылған, иі қанған тақырып деп тұжырымдауға дәлел жеткілікті. Дегенмен, оның зерттеу нысанына алынып зерттелуі көңілге толымсыз. Мысалы, Жұмабай Қайранбайдың «Тұлпардың дүбірі» деп аталған кітабы да осы қасиетті жануар туралы сөз етіледі. Тағдыр талқысымен бір қолдан екінші қолға көшіп, қайта-қайта сатыла берсе де, өзінің туған сонау қияндағы мекеніне жол тауып, қайта айналып келуден қажымайтын Күрең жорға – оқырман есінде сақталып қалатындай ұтымды образ. Оқиғаны қызықты етіп құруға да төселіп қалған жазушының бұл кітабы өз оқырмандарын таба алады деген сенімдеміз. Жылқының асыл қасиетін паш ететін Самат Ибраимның «Ататоры» әңгімесі де жылқы жануарына арналған. Жаугершілік заманда дұшпандардың қолына түсіп қалған Құттығай батырдың дүлдүлі елін аңсап, қашып жүріп, қазаға ұшырайды. Н.Ораздың «Жылқының көз жасы» әңгімесінде экологиялық апаттың салдары көркемдікпен баяндалып, жылқы жануарының ең соңғы талпынысы оқырман жүрегін еріксіз дір еткізіп, осы бір қасиетті жануардың табиғатын тағы бір қырынан аша түседі. Көшпенді халықтар өмірінде жылқы жануары қалайша ардақталса, әдебиетімізде адам тағдыры мен табиғатты егіздеуде бұл тақырып өзінің өзектілігін жоймайды.
Pengaruh Brand Image Media Sosial Terhadap Keputusan Pembelian
Authors: Fitriani Diana 
Published: July 2024

Penelitian dengan judul pengaruh brand equity media sosial terhadap keputusan pembelian dilakukan untuk memberikan gambaran mengenai media sosial yang menjadi pilihan konsumen untuk membantu mereka dalam mengambil keputusan pembelian. menggunakan bentuk kausalitas yang menyatakan bahwa penelitian berhubungan dengan penelitian sebab akibat. Variabel utama atau variabel bebas dalam penelitian yaitu berhubungan dengan strengh brand (X1), uniqueness brand (X2), dan favorability brand (X3) sedangkan variabel terikat yaitu keputusan pembelian (Y) pada media sosial yang dipilih untuk melakukan transaksi pembelian produk. Pengujian dilakukan dengan regresi linier berganda yaitu uji validitas dan uji reliabilitas dan diteruskan menggunakan uji asumsi klasik atau uji ordinary least square (OLS) yang terdiri dari uji normalitas, uji multikolinieritas, uji autokorelasi, uji heterokedastisitas, dan uji linieritas. Uji regresi linier berganda berhubungan dengan keadaan dalam memberikan gambaran yang berkenaan dengan uji pengaruh antara variabel bebas dengan variabel terikat. Berdasarkan jumlah responden yang diperoleh dengan menggunakan teknik sampling accidental sebanyak 98 orang menyatakan bahwa media sosial yang telah ditentukan berdasarkan rating tertinggi penggunaannya di Indonesia secara berurutan yaitu WhatsApp, Instagram, Facebook, dan TikTok memiliki fitur yang mewakili kebutuhan dalam proses konsumen mengambil keputusan pembelian dimulai dari variabel favorable brand (X3) sebesar 78.30%, kemudian strengh brand (X1) 55.70%, dan uniqueess (X2) 38.7% terhadap keputusan pembelian (Y) sebesar 81.50%. Sehingga brand equity media sosial yang terdiri dari tiga kategori dinyatakan berpengaruh secara siginifikan secara berurutan terhadap keputusan pembelian konsumen
Evaluation of acute kidney injury patients in intensive care unit and determining effects of hemodialysis on sepsis
Authors: Aydoğmuş İrem , Kahveci Ferda Şöhret , Işıktaş Sayılır Emel 
Published: July 2024

Aim: Sepsis-associated acute kidney injury (AKI) is a frequent complication of critically ill patients, and results need for renal replacement therapy (RRT). We aimed to investigate the difference in vital signs, hemodynamic parameters, and laboratory values after receiving RRT in the AKI patients with/without sepsis. Also, we examined the different renal injury grading systems relationships used in intensive care units (ICU).
Methods: RRT-treated patients due to AKI were enrolled. Patients were divided into two groups by using Sepsis-2 criteria (2012); whether there is sepsis or not. Acute physiology and chronic health evaluation II (APACHE II) scores, 28th and 90th day mortality recorded. RIFLE classes, renal sequential organ failure assessment (SOFA) scores, and kidney disease: improving global outcomes (KDIGO), stages were also calculated. Patients’ Glasgow Coma Scale (GCS), vital parameters, laboratory values, Horowitz rates, vasopressor/inotropic agent requirements at RRT start, 12th and 24th hours were recorded.
Results: 153 patients were included in the study, and 93 were septic. APACHE II score and 28th day mortality were significantly higher in Group Sepsis. Advanced age was found to be associated with 90th day mortality. Both in two groups many parameters such as acidosis, Horowitz ratio, and GCS improved after RRT initiation. When renal scoring systems were compared with each other KDIGO was associated with the RIFLE classification and renal SOFA.
Conclusion: Many improvements were observed in all AKI patients after RRT but in septic patients, oxygenation and GCS showed better improvement. The mortality rate increased when AKI got complicated with sepsis.
Midterm Outcomes of Multimodal Approach to Treating Severe Scoliosis in Patients With Osteogenesis Imperfecta
Authors: Hori Yusuke , McDonald Tyler C. , Thornley Patrick , Almeida da Silva Luiz Carlos , Kaymaz Burak , Rogers Kenneth J. , Yorgova Petya K. , Bober Michael B. , Carroll Ricki , Kruse Richard W. , Franzone Jeanne M. , Shah Suken A. 
Published: July 2024

Introduction:
The surgical management of severe scoliosis in patients with osteogenesis imperfecta (OI) is challenging because of curve rigidity, small stature, and inherent bone fragility. This study evaluated the midterm outcomes of our multimodal approach to address these issues, integrating perioperative bisphosphonate therapy, preoperative/intraoperative traction, various osteotomies, segmental pedicle screw instrumentation with cement augmentation, and bone morphogenetic protein-2 application.

Methods:
A single-center retrospective review of 30 patients (average age 14.1 ± 2.2 years; 18 were female) diagnosed with OI and scoliosis was conducted. These patients underwent posterior spinal fusion between 2008 and 2020 and completed a minimum follow-up of 2 years. We measured radiographic parameters at each visit and reviewed the incidence of complications. A mixed-effects model was used to evaluate changes in radiographic parameters from preoperative measurements to the first and latest follow-ups.

Results:
The patient cohort consisted of 2 individuals with type I OI, 20 with type III, 6 with type IV, and 2 with other types (types V and VIII). Surgical intervention led to a notable improvement in the major curve magnitude from 76° to 36°, with no notable correction loss. In addition, the minor curve, apical vertical translation, lowest instrumented vertebra tilt, and pelvic obliquity were also improved. In the sagittal plane, thoracic kyphosis and lumbar lordosis remained unchanged while thoracolumbar kyphosis markedly improved. Two patients experienced proximal junctional kyphosis with screw pullout, one of whom required revision surgery. One patient developed a superficial infection that was successfully treated with oral antibiotics. No instances of neurologic deficits or cement extravasation were observed.

Discussion:
This study demonstrated the effectiveness and safety of our multimodal approach to treating scoliosis in patients with OI, achieving a 53% major curve correction with minimal complications over 2-year follow-up. These findings provide notable insights into managing scoliosis in this population.

Level of evidence:
Level IV (case series).
Lumbar Range of Motion Using the Wolfson Modified Schober Test
Authors: Lotan Raphael , Klatzkin Lev , Lan Itzik , Sakhnini Mojahed , Hershkovich Oded 
Published: July 2024

Introduction:
Lumbar range of motion (ROM) is a critical component of spinal function and often affected by age and sex. This study aimed to evaluate the variations in lumbar ROM across different age groups in a healthy adult population and determine the influence of sex, height, weight, and body mass index.

Methods:
A total of 208 subjects (106 men, 102 women) were recruited and stratified into age groups from the 20s to 60s and older. Lumbar ROM was measured using the Wolfson modified Schober test. Data were analyzed for flexion, extension, and total ROM. Linear regression examined the predictors of lumbar ROM.

Results:
The study found a progressive decline in lumbar flexion and total ROM with age. Age was the only notable predictor of lumbar flexion, with no notable effect of weight and body mass index on ROM. Extension measurements were inconsistent and did not show a clear pattern across age groups.

Discussion:
Age-related changes in lumbar ROM were consistent with known physiological changes within the spine. Despite physical differences in height and weight, the lumbar spine ROM was similar between sexes, highlighting the influence of age over sex in lumbar motion. Lumbar ROM decreases with age, with flexion affected more than extension.
The Effect of Varying Preoperative Hemoglobin Levels on the Risk of Major Complications and Surgical Site Infections After Single Level Lumbar Fusion
Authors: Haft Mark , Levy Hannon , Agarwal Amil R. , Quan Theodore , Greenberg Marc , Raad Michael , Patel Tushar , Jain Amit 
Published: July 2024

Introduction:
Blood transfusions are associated with an increased risk of complications after lumbar fusion, and current anemia hemoglobin thresholds are not surgery specific. We aimed to calculate single-level lumbar fusion–specific preoperative hemoglobin strata that observe the likelihood of 90-day transfusion and evaluate whether these strata are associated with increased risk of 90-day complications and 2-year infections.

Methods:
A national database identified patients undergoing primary single-level lumbar fusion with preoperative hemoglobin values (g/dL). Stratum-specific likelihood ratio analysis calculated sex-based hemoglobin strata associated with the risk of 90-day transfusion. Incidence and risk of 90-day major complications and 2-year infections were observed between strata.

Results:
Three female (hemoglobin strata, likelihood ratio [<10.9, 2.41; 11.0 to 12.4, 1.35; 12.5 to 17.0, 0.78]) and male (<11.9, 2.95; 12.0 to 13.4, 1.46; 13.5 to 13.9, 0.71) strata were associated with varying likelihood of 90-day blood transfusion. Increased 90-day complication risk was associated with two female strata (hemoglobin strata, relative risk [11.0 to 12.4, 1.52; <10.9, 3.40]) and one male stratum (<11.9, 2.02). Increased 2-year infection risk was associated with one female (<10.9, 3.67) and male stratum (<11.9, 2.11).

Conclusion:
Stratum-specific likelihood ratio analysis established sex-based single-level lumbar fusion–specific hemoglobin strata that observe the likelihood of 90-day transfusion and the risk of 90-day major complications and 2-year infections. These thresholds are a unique addition to the literature and can assist in counseling patients on their postoperative risk profile and in preoperative patient optimization.

Level of evidence:
Level III.