bluuebunny/crossref_metadata_2025_split huggingface dataset:
Distal Radius Bone Tumors: A Modification of Ulna Translocation with T-Plate Fixation
Authors: Gupta Praveen , Thakuriya Arvind 
Published: August 2024

Abstract

Background:
Ulna translocation is a well-established technique for surgical management of distal radius bone tumors. Functional outcomes are comparable with their indications in both segment transfer of ulna (U/T) and hand transfer over intact ulna (H/T). Various techniques for fixation have been used; the most popular are K-wire and long distal condylar phalangeal till metacarpal bones with complete arthrodesis of the wrist joint. A simple dorsal T-plate with fixation up to the proximal carpal row along the ulna in both ways can give equivocal results with additional slight flexibility for wrist–hand coordination.

Material and Methods:
A total of 10 cases, aged 10–45 years (mean 25 years) operated from January 2015 to March 2021 at Bhagwan Mahaveer Cancer Hospital & Research Centre, Jaipur, Rajasthan, India. Giant cell tumor (n = 10) distal radius, the male-to-female ratio of 7:3 were included for retrospective analysis. U/T and H/T were considered in four and six cases, respectively. Resection length was 6–12 cm (mean = 7.8 cm), a long RECON plate was used in two cases, and a dorsal T-plate was used in eight cases.

Results:
All cases were analyzed for functional improvement, survival, and disease recurrence. Two cases were presented with soft tissue local recurrence at 12 and 30 months followed-up, converted to below elbow amputation and wide excision of soft tissue, respectively. One patient presented with delayed union at the proximal ulna-radial bone and one showed delayed union at the distal arthrodesis site. All n = 8 showed union at 3 months on both sides and good outcomes, Musculoskeletal Tumor Society Score of 26 within 6 months. All n = 10 cases of T-plate showed stable wrist joint and 3 cases of U/L showed full supination and pronation, whereas 6 cases of H/T did not show supination and pronation movements. Follow-up was 36–108 months (mean = 60 months).

Conclusion:
Dorsal T-plate can provide good functional outcomes without compromising oncological principles and is comparable with other methods of fixation with the additional advantage of shorter incision to avoid dissection of the metacarpal bone and slight flexibility for wrist–hand coordination.
Effect of Vacuum Assisted Closure Therapy in Orthopaedic Trauma to Reduce Post-Operative Infection in Lower Limb Compound Fractures
Authors: Kumar Deepak , Pratap Priyank , Kumar Dharmendra , Raza Muhammad Shahid , Kumar Ashish , Kumar Sanjeev , Kumar Amit , Sharma Santosh , Sharma Devendra 
Published: August 2024

Abstract

Background:
Patients with road traffic accidents, industrial incidents, falls, or firearm injuries often experience severe polytrauma or orthopedic injuries resulting in compound fractures and grievous soft-tissue injuries, representing a complex clinical situation. The standard treatment of compound orthopedic injuries includes debridement, irrigation, dressing, and antibiotic therapy to control infection, which may or may not require plastic reconstruction procedures once granulation tissue has sufficiently formed. The application of vacuum-assisted closure (VAC) therapy removes local dead space, decreases tissue edema, and promotes granulation tissue formation. VAC shows potential as a novel treatment approach for individuals experiencing severe open fractures following high-energy trauma. This study aimed to compare the postoperative infection rates between VAC and conventional dressing methods in lower-limb compound fractures.

Materials and Methods:
This study was conducted in the Department of Orthopedic Surgery in King George Medical University, Lucknow, from January 2023 to January 2024, with sample size of 38 patients. Patients were divided into an experimental group (n = 20) and a control group (n = 18) based on the treatment started During VAC application, the wound area was covered with foam and gauze, then an adhesive film was placed over the foam and dressing to seal it. A drainage tube was connected through the foam to a portable vacuum pump. When the pump was turned on, exudate fluid was drawn through the foam and out the drainage tubing into a container. The dressing maintenance time was 5–7 days. As the treatment progressed, serum C-reactive protein and total leukocyte count levels were measured on days 3 and 7, respectively, to study the post-operative infection.

Results and Conclusion:
There was a statically significant difference between the treatment group compared to the control group in terms of hospital stay, wound healing time, and post-operative infection. In conclusion, VAC dressing in the management of compound fracture reduces the frequency of dressing changes, decreases hospital stay, enhances wound healing, and reduces post-operative infection. Therefore, VAC dressing is a valuable modality as an adjuvant in the treatment of compound fractures in clinical practice.
The Burden, Challenges, and Prospects of Hand Surgery Practice in South Eastern Nigeria
Authors: Imediegwu Kelechi U. , Ibe Joy C. , Onyebuchukwu Chiamaka Q. , Abor Jude C. , Umeji Ebube I. , Asuquo Bassey B. , Anya Jonah P. , Okeke Kosisochukwu C. , Solagbade Remi S. , Ugwuanyi Uchechukwu D. , Onah Ifeanyi I. 
Published: August 2024

Abstract

Background:
Hand injuries sometimes cause significant loss of function with psychological and functional consequences. The national status on dedicated specialised hand surgery units, hand surgery fellowship programmes, and outcome of operative hand surgery cases is generally lacking.

Aims:
To determine the current state of hand surgery practice in south eastern Nigeria and identify the major challenges to its practice and proffer realistic solutions.

Methods:
This was a prospective and cross-sectional study conducted amongst accredited hospitals for plastic surgery training in south eastern Nigeria amongst plastic surgery senior residents. Data were collected using a well-structured online questionnaire validated by a panel of investigators created as a Google form. Data analysis was carried out using Statistical package for Social Sciences by IBM, version 22. Ethical approval was obtained from the health, research, and ethical committee of the University of Enugu Teaching Hospital, Enugu, Nigeria.

Results:
There was a 70.59% response rate with 24 residents filling and submitting the questionnaire. Lack of fellowship training opportunities in hand surgery represents the most important challenge of hand surgery practice, followed by lack of appropriate facilities in government institutions in contrast to a lack of funding in private ones. Other major challenges include lack of adequate funding, lack of facilities, late presentation of cases, and lack of appropriate follow-up physiotherapy protocol. Availability of competent hand surgery specialists was significantly correlated with the frequency of hand surgery cases in the facilities (P = 0.000; χ2 = 20.400).

Conclusion/Recommendation:
The current state of hand surgery practice in south eastern Nigeria is not yet optimal. The creation of more hand fellowship trainings and courses bagged first place in recommended solutions by nearly half of the respondents. Provision of modern facilities, creation of dedicated hand surgical units, and better funding to the specialty were other suggestions.
The Trends, Clinicopathological Features, and Treatment Outcomes of Patients with Prostate Cancer in Lokoja, Nigeria
Authors: Ogunmola Ayodeji Olusola , Oyedeji Adedayo S.A. , Fadahunsi Oluseyi O. , Awelimabor Daniel I. , Osunaiye Olutayo I. , Aisuodionoe-Shadrach Oseremen I. 
Published: August 2024

Abstract

Background:
Prostate cancer (PCa) was the most common noncutaneous cancer among Nigerian men in 2020. Despite this high incidence, documented rates may be an underestimation.

Objectives:
This study aimed to determine the hospital incidence rate, trends, and characterise the clinicopathologic features, and treatment outcomes of patients with PCa in our institution.

Materials and Methods:
A 5-year retrospective review of patients managed for PCa at the Federal Teaching Hospital, Lokoja (FTHL), Nigeria, from 2016 to 2020. Medical abstraction was done on clinicopathologic features, treatment received, serum prostate specific antigen (PSA) at diagnosis, 3, and 7 months of androgen deprivation therapy (ADT). Data obtained were analysed using SPSS 25, and trends analysis of the annual incidence rate and number of patients with PCa in the period was done using joinpoint regression modelling.

Results:
Of 89 patients, 83 had complete medical records. The average annual hospital incidence rate was 174/100,000, and the mean age at diagnosis was 70.4 years. Locally advanced disease was found in 81.9% of patients, and tumours were ISUP grade groups 4 and 5 in 54.2% of patients. ADT was done in 62.6% of the patients, while 28.9% of the patients defaulted after diagnosis. The mean serum PSA was 71.9 ng/mL (7.7–156) at diagnosis and was 11.1 ng/mL (0.1–102) and 15.3 ng/mL at 3 and 7 months of ADT, respectively. Only 40.6% of the treated patients had a serum PSA ≤ 4 ng/mL at 7 months of ADT.

Conclusions:
Patients with PCa in FTHL, Nigeria, have mostly locally advanced disease at diagnosis. Over half have a high-grade pattern and fail to achieve a serum PSA ≤ 4 ng/mL after 7 months of ADT.
Cerebral Venous Sinus Thrombosis and Helminthiasis. A Case-Based Review
Authors: Ezeaku Chizowa O. , Ejembi Gabriel O. , Balogun Simon A. , Anele Christopher O. , Ajekwu Temitope O. , Komolafe Edward O. 
Published: August 2024

Abstract
Cerebral venous sinus thrombosis (CVST) is an uncommon and underreported neurological condition. This condition has varied aetiologies, clinical manifestations, and significant sequelae if left untreated. We report the case of a 10-year-old male with fever, altered sensorium, cranial nerve neuropathies, and left hemiplegia. His imaging findings revealed features consistent with CVST, and he was subsequently noticed to be passing live worms per rectum while on admission. He was managed nonoperatively, improved significantly, and was discharged with residual motor deficits. In addition, we present a literature review of published case reports of CVST associated with helminthiasis, highlighting its possible pathophysiology, clinical spectrum, and management peculiarities.
Immunohistochemical expression of Beclin-1 and LC3B in benign and borderline ovarian tumors
Authors: Mousa Wafeya W. , El-Guindy Dina M. , Abd Elazeem Mona A.E. , Amer Alaa I. 
Published: August 2024

Background
Epithelial ovarian tumors account for ⁓90% of ovarian cancers. Recently conducted studies have demonstrated autophagy role in tumor development and progression. Autophagic markers include Beclin-1, essential for autophagosome formation and LC3B, required for the elongation step during autophagy.

Aim
To investigate Beclin-1 and LC3B expression in benign and borderline epithelial ovarian tumors along with its relation to clinicopathologic parameters.

Materials and methods
Thirty-six cases of epithelial ovarian neoplasms were subjected to hematoxylin and eosin staining and immunohistochemical staining with Beclin-1 and LC3B.

Results
Beclin-1 was expressed in the nucleus and/or the cytoplasm of tumor cells. The cytoplasmic expression of Beclin-1 was significantly more frequent in borderline cases compared with benign tumors. High Beclin-1 cytoplasmic expression was significantly associated with tumor size, gross appearance, and tumor histological type. Benign Brenner tumors were the only benign tumors expressing cytoplasmic Beclin-1 localization. Regarding LC3B expression, nuclear and cytoplasmic subcellular localizations were also detected. Cytoplasmic LC3B localization was significantly more frequent in the borderline groups. A significant relation was observed between high cytoplasmic LC3B expression and tumor size, tumor gross appearance, and histological type. The majority of benign Brenner tumors showed a high cytoplasmic LC3B expression.

Conclusions
The expression of Beclin-1 and LC3B varies in benign versus borderline epithelial ovarian tumors. Cytoplasmic expression is predominant in borderline tumors. Beclin-1 and LC3B cytoplasmic expression is significantly high in small-sized and solid benign tumors. Benign Brenner tumors are the only benign tumors showing cytoplasmic Beclin-1 and LC3B localization.
Postacute coronavirus disease 2019 acute ischemic stroke profile and outcome among egyptians
Authors: Gado Ismaeil H.A. , Elkourdy Alaa M.E. , khalfallah Mohamed A. , El-Heneedy Yasser A.-F.H. 
Published: August 2024

Background
Coronavirus disease 2019 (COVID-19) is the most dangerous global health crisis since the era of the influenza pandemic 1918.

Aim
The aim of this work was to study the characteristics and short-term outcomes of acute ischemic stroke (AIS) in patients recovered from COVID-19 among a sample of the Egyptian population.

Patients and methods
The cross-sectional prospective study included 108 patients: 58 patients with AIS documented by brain cranial computed tomography and/or brain magnetic resonance imaging (MRI) who recovered from COVID-19 infection for at least 3 months and another 50 patients (control) without history of COVID-19 infection. Neurological examination including Glasgow Coma Score, National Institute of Health Stroke Scale (NIHSS) and Oxfordshire Community Stroke Project Classification classification as well as TOAST classification done for all patients.

Results
Regarding modified ranking scale (MRS), a mild increase in the patient group is detected but without significant difference between both groups. Regarding mortality, it was significantly higher in the patient group than in the control group. The relation between presenting symptoms of COVID-19, severity of previous COVID-19, and type of previous infection with NIHSS and MRS of patients, revealed that respiratory manifestations associated with higher NIHSS and MRS. Relation between lymphopenia, erythrocyte sedimentation rate, NIHSS, and MRS revealed inverse relationship between lymphocytic count and NIHSS and MRS, while positive relationship was detected between erythrocyte sedimentation rate, NIHSS, and MRS.

Conclusion
Postacute COVID-19 AIS has characteristic features regarding risk factors, clinical presentation, investigations, etiology, and outcome. The risk of AIS must be considered when the patient has beedn previously infected with COVID-19.
Evaluasi Kebutuhan Air Bersih Untuk Masyarakat di Kecamatan Binjai Timur
Authors: Muhammad Mufti Farabi  , Mahliza Nasution  , Nuril Mahda Rangkuti  
Published: August 2024

Dengan bertambahnya jumlah penduduk dan bertambahnya jumlah kawasan industri setiap tahunnya, kebutuhan akan air minum otomatis terus meningkat. Pada Kabupaten Binjai Timur, Provinsi Sumatera Utara keberadaan penyedia layanan air minum masih belum memenuhi syarat. Hal ini terjadi karena masih banyak warga yang memanfaatkan sumber air bawah tanah (sumur gali) sebagai salah satu sumber utama air minum. Melihat permasalahan tersebut, penulis ingin melakukan evaluasi kebutuhan air minum di Kabupaten Binjai Timur pada tahun 2027 dan cakupan pelayanan air minum di Kabupaten Binjai Timur pada tahun 2027. Berdasarkan hasil penelitian yang dilakukan, kebutuhan air bersih berdasarkan jumlah penduduk Kabupaten Binjai Timur pada tahun 2027 adalah sebesar 109.612 liter/detik, sedangkan kebutuhan air bersih berdasarkan jumlah pelanggan di Kabupaten Binjai Timur pada tahun 2027. Tahun 2027 adalah 18,018 liter/detik. Sedangkan cakupan pelayanan Perusahaan M pada tahun 2027 sebesar 17,946% dengan penjelasan sebanyak 66.227 jiwa, dari total penduduk Kecamatan Binjai Timur jumlah masyarakat yang menggunakan jasa Perusahaan M untuk keperluan sehari-hari hanya sebanyak 11.326 orang. Sisanya sebanyak 54.342 jiwa masih menggunakan cara mandiri untuk mendapatkan air bersih.
Analisis Potensi Likuifaksi Berdasarkan Data Bore Log Pada Proyek Reklamasi Belawan Phase-1
Authors: Ahmad Tulus Kurniawan  , Tika Ermita Wulandari  , Rudianto Surbakti  
Published: August 2024

Belawan merupakan salah satu wilayah di Sumatera Utara dan berbatasan langsung dengan Selat Malaka. Belawan dijadikan sebagai Pelabuhan, tempat kapal-kapal bersandar untuk kapal penumpang maupun kapal pengangkut logistik. Salah satu terminal di area Pelabuhan belawan membutuhkan perluasan lahan, sehingga pemerintah Propinsi Sumatera Utara membuat proyek reklamasi untuk memperluas terminal peti kemas guna memaksimalkan potensi belawan serta membuat proses bongkar-muat barang logistik menjadi lebih efektif dan efisien. Tujuan penelitian ini adalah untuk mengetahui potensi likuifaksi pada Proyek Reklamasi Belawan Phase-1 ketika terjadinya gempa pada kekuatan 7,0 SR, dan 8,0 SR pada BH.01 dan. Berdasarkan peta persebaran tanah, Belawan merupakan wilayah dengan jenis tanah organik. Metode penelitian yang digunakan ialah menggunakan data primer dari data bore log proyek, kemudian data sekunder menggunakan data dari website Puskim PU. Tahapan penelitian ini ialah mengambil data tanah dari proyek dan data gempa dari Puskim PU, kemudian melakukan metode perhitungan analisis potensi likuifaksi menggunakan metode Young-Idriss dengan metode Idriss Boulanger. Hasil dari penelitian yang telah dilakukan adalah potensi likuifaksi hanya terjadi pada lapisan tanah 01.00 – 01.50 berdasarkan Desain Spektra Indonesia Puskim PU pada BH.01.
Perspective of Sharia Economic Law and Positive Law for Non-Cash Payment Qris Users in Indonesia According to The SDG
Authors: Samosir Hendrik E. S. , Natsir Imron , Setiawan Heri , Hendra Joni , Suyanto  , Sipayung Baren 
Published: August 2024

Objective: In the practice of digital payment method transactions using QR codes, it is necessary to be careful about counterfeiting QR codes by parties who violate the law or are irresponsible.

Theoretical Framework: This research aims to explain and analyze legal protection for consumers in non-cash payment transactions based on QRIS (Quick Response Code Indonesian Standard) Positive Legal Perspective and Sharia Economic Law Perspective with a normative juridical approach.

Method: In this research the author uses a statutory approach in carrying out normative research. This approach relies on various legal bases studied, which in this case relate to regulations regarding legal protection for consumers in QRIS (Quick Response Code Indonesian Standard) based non-cash payment transactions, Positive Law and Sharia Economic Law Perspectives.

Results and Discussion: Research results Analysis of Legal Protection for Consumers in Non-Cash Payment Transactions Based on QRIS (Quick Response Code Indonesian Standard) Positive Legal Perspective relates to preventive legal protection, apart from the general regulations regarding consumer protection contained in the Consumer Protection Law no. 8 of 1999, for QRIS consumers there are significant regulations that govern. Bank Indonesia has issued Regulations for Members of the Board of Governors 21/18/PADG/2019 concerning Implementation of the National Standard Quick Response Code, Bank Indonesia Regulation Number 22/20/PBI/2020 concerning Bank Indonesia Consumer Protection, Bank Indonesia Regulation Number 18/40/PBI/ 2016 concerning Implementation of Payment Transaction Processing, Bank Indonesia Regulation Number 20/6/PBI/2018 concerning Electronic Money.

Research Implications: Then, based on the Sharia Economic Law Perspective, it is reviewed from the sadd dzari'ah theory regarding the collection of personal data, which was originally permitted because it contained benefits, but in terms of the goals to be achieved, it could potentially end in loss and harm if there was no protection from the Government.

Originality/Value: Efforts to protect personal data are very important because if it is not regulated by law, there is a possibility of personal data being leaked. Therefore, it is potentially dangerous when the protection of personal data is not regulated in law which is very detrimental to consumers due to the risk of unintentional breaches.
Can Green Recruitment Affect Employee Performance if Moderated Green Training based on the SDG?
Authors: Titin  , Florid Muhamad Irfan , Natsir Imron , Kalalo Rieneke Ryke , Elmas Muhammad Syarif Hidayatullah , Telaumbanua Eliagus 
Published: August 2024

Context: The image above indicates that if the researcher decides to formulate a Green Recruitment variable argument, it can have a positive relationship and a significant influence on employee performance. Then the researchers modified this variable into Green Recruitment by adding Environmental & Natural elements with the aim of creating a company that upholds Sustainable Development.

Objective: The main objects in this article are Green Recruitment, Employee Performance, and Green Training which are formulated by Green Recruitment as an Independent variable, Green Training as a Moderation variable, and Employee Performance as an Independent variable.

Method: This research is quantitative research with an exploratory approach which uses a number of previous studies, especially the five studies mentioned above and the addition of two other studies regarding Green Recruitment. The data used in this research is primary data that researchers obtained from PT. Musi Hutan Persada in Indonesia has 300 employees. These data were analyzed using the smart PLS 4.0 analysis tool.

Results: The Green Recruitment variable can have a positive relationship and a significant influence on Employee Performance. This is because the P-Values in the first row are positive and are below the 0.05 significance level, namely 0.043. Apart from that, in the next row the P-Values also point to positive and are below the 0.05 significance level, namely 0.000. These results indicate that the Green Recruitment variable can have a positive relationship and a significant influence on employee performance and the Green Training variable can strengthen the influence of the Green Recruitment variable on employee performance. These results are due to recruitment which has a high nuance in protecting the environment, usually has high social sensitivity and concern and ultimately improves employee performance. The resulting employee performance is not just ordinary employee performance like employee performance in other studies, but employee performance that is nuanced and combined with aspects of caring for nature and the environment. Therefore, the first and second hypotheses in this study can be accepted.

Contribution: The researcher's great hope is that this article can be used as one of the main references in Human Resource Management scholarship, especially those closely related to Green Recruitment, Green Training and Employee Performance. Apart from that, it is hoped that this research will become a reference in deciding existing policies.