bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effect of elastic intramedullary nailing on lower limb lengthening in acquired shortenings: a prospective study
Authors: Tropin D. V. , Tropin V. I. , Chertishchev A. A. , Gvozdev N. S. , Popkov D. A. 
Published: August 2024

Introduction Lengthening and correction of limb deformities using Ilizarov external fixation is a frequent standard operation. However, the risk of complications associated with limb lengthening, including superficial or deep infection, contractures, secondary deformity, and fractures after device removal associated with delayed bone consolidation, remains significant.The purpose of the work was to identify the features of bone lengthening with an external fixator in combination with elastic intramedullary nails, titanium or titanium with a composite hydroxyapatite coating, in the conditions of shortening of the lower extremities of acquired etiology.Materials and methods The study included 64 patients, of which 31 patients underwent monofocal lengthening of the femur, 33 patients underwent monofocal lengthening of the tibia.Results The mean external fixation indices (EFIs) of the groups compared for similar lengthening types (femoral or tibial lengthening) did not differ significantly for the types of intramedullary nails implanted. In femoral lengthening, a significant effect on the EFI had the nail type and the ratio of “nail diameter / medullary canal diameter”. The dependence of EFI on the nail type in tibial lengthening was associated with the ratio “nail diameter / internal diameter at the osteotomy site” (p = 0.023). Two-way ANOVA showed that the effect of the nail type on EFI depended on the nail diameter/ internal diameter at osteotomy site ratio in the tibial lengthening group (p = 0.034).Discussion In acquired shortening of the lower extremities, there is no difference in EFI by using titanium elastic nails or intramedullary nails coated with composite hydroxyapatite. The use of a combined technique, in any case, has advantages: it provides good and excellent results without serious complications during lengthening in patients with shortening of acquired etiology. The strong positive correlation between the bone diameter/internal cortical distance ratio at the osteotomy site, coupled with the significant influence of the nail type and nail diameter on EFI, suggests that both factors should be considered together in future studies.Conclusion In shortening of the lower extremities of acquired etiology, the use of a combined bone lengthening technique, comprising an external fixator in combination with elastic intramedullary nailing, provides good and excellent results without serious complications.
Fixation of the rotator cuff tendons for the greater tuberosity fracture of the humerus
Authors: Makovskiy A. A. , Shnayder L. S. , Popravka E. S. 
Published: August 2024

Introduction Strategical approaches to managing patients with a greater tuberosity fracture of the humerus are controversial and there are discussions about surgical treatment options. Nondisplaced fractures require no surgical management. Shoulder replacement can be indicated for the surgical treatment of proximal humeral fractures with limited function of the upper limb and difficulties in refixation of the rotator cuff tendons due to the peculiar anatomical location of the tendon fixation. Solution to this problem can improve the quality of life of patients with greater tuberosity fracture of the humerus.The objective was to evaluate the treatment outcome of a patient with a greater tuberosity fracture of the humerus repaired with open refixation of the rotator cuff tendons and medialization of the border of the articular surface of the humerus.Material and methods A 46-year-old patient presented with limited movements and severe pain in the left shoulder after humerus dislocation and a greater tuberosity fracture.Results The condition was repaired with an open repair of the rotator cuff tendons and medialization of the border of the articular surface of the humerus. The patient reported neither pain nor limited movements in the left shoulder at the one-year follow-up.Discussion Treatment options for patients with a greater tuberosity injury remains controversial. The effectiveness and results of organ-saving surgery have not been explored and require scientific evaluation using a larger cohort of patients.Conclusion Excellent functional results were achieved in a patient with injury to the greater tuberosity using surgical refixation of the rotator cuff tendons and medialization of the cartilaginous surface.
Multidisciplinary approach to repair of intra-articular fractures of the distal radius in a complicated setting (prehabilitation)
Authors: Khromov A. A. , Gumanenko E. K. , Linnik S. A. , Tkachenko A. N. , Kravtsov A. G. , Melnichuk A. V. , Lazutin A. S. , Zhulyabin A. V. 
Published: August 2024

Introduction Treatment of malunited periarticular fracture of the distal metaepiphysis of the radius in a complicated setting is challenging and involved orthopaedic care and related specialties of neurologists, neurosurgeons and rehabilitation specialists. New methods are offered for repair of the distal radius fractures but the results obtained to date cannot be considered satisfactory, since the treatment is aimed at the restoration of the anatomical relationships and the hand function.The objective was to demonstrate the role of prehabilitation preparing patients for elective reconstructive surgery, to present a multidisciplinary approach to the treatment of malunited radius fracture complicated by posttraumatic compression ischemic multineuropathy.Material and methods The medical history of a 56-year-old patient with distal radius malunion complicated by posttraumatic compression ischemic multineuropathy was reviewed. Outcome criteria included absence of complaints and restored function of the hand and the wrist.Results A positive functional outcome was recorded after prehabilitation and surgery. Early postop, the DASH scored 35, palmar flexion measured 64° with dorsiflexion of 61° and dynamometry of 30 kg seen with the left involved hand. A faster recovery of the hand function occurred due to regression of neurological disorders.Discussion Treatment of the distal radius malunion in a complicated setting suggests the involvement of related specialists including neurologists, neurosurgeons, professionals in functional and diagnostic radiology, rehabilitation specialists so that the approach must be multidisciplinary. A preoperative course of prehabilitation supervised by a neurologist and a rehabilitation specialist is essential for the patient to achieve a higher basic level of functionality. Surgical treatment must be a stage of multi-stage multidisciplinary treatment of distal radius malunion in a complicated setting.Conclusion The clinical case showed an effective multidisciplinary approach in the treatment of distal radius malunion in a complicated setting. Preoperative preparation (prehabilitation) had a positive effect on the postoperative recovery and functional results.
SISTEMA HIDROPÔNICO DE PEQUENO PORTE UTILIZANDO TECNOLOGIAS DE CONTROLE E AUTOMAÇÃO PARA DISSEMINAR O CULTIVO SUSTENTÁVEL DE HORTALIÇAS EM ASSENTAMENTOS DO MUNICÍPIO DE CAJAZEIRAS
Authors: De Albuquerque Neto Alberto Grangeiro , Lira Hiarley Martins , Moureira Luís Felipe Da Silva , Mangueira Vinícios Dos Santos 
Published: August 2024

<p class="resumoInFor">Hidroponia é uma palavra derivada do grego que significa trabalho com água. Trata-se da denominação a um tipo de cultivo que não se utiliza o solo, sendo substituído por uma solução nutritiva de apoio. O cultivo hidropônico se sobressai dentre outros, devido principalmente ao seu consumo reduzido de água e o fácil controle de pragas, apresentando elevada produção por área. O projeto traz como proposta principal apresentar a tecnologia a pequenos agricultores familiares de assentamentos por meio da doação de uma bancada de cultivo hidropônico NFT equipada com um sistema de monitoramento e controle automatizado para a mesma, desenvolvido com sensores e atuadores utilizando-se da plataforma Arduino a criação de um sistema de controle semi automático para o mesmo. Além de promover a disseminação de meios de cultivo sustentáveis, este projeto também busca facilitar a vida do agricultor através da utilização de tecnologias de baixo custo.<strong></strong></p>
Analiza uwarunkowań gospodarczych i społecznych funkcjonowania rosyjskich okręgów federalnych
Authors: Duraj Natasza 
Published: August 2024

Zasadniczym celem podręcznika jest zaprezentowanie problematyki rozwoju społeczno-ekonomicznego Federacji Rosyjskiej w aspekcie analizy wewnętrznych mechanizmów, kształtujących procesy gospodarcze poszczególnych okręgów federalnych Rosji.
Praca składa się z czterech zasadniczych części w postaci poszczególnych rozdziałów. Każdy z nich zwieńczony jest podsumowaniem, pytaniami odnoszącymi się do informacji zawartych w rozdziale oraz zadań, bazujących na zagadnieniach omówionych w podręczniku.
Podręcznik adresowany jest do studentów studiów ekonomicznych I i II stopnia oraz słuchaczy studiów podyplomowych na kierunkach ekonomia, zarządzanie oraz nauki polityczne, jak również dla szerokiego grona odbiorców, zainteresowanych problematyką rozwoju społeczno-ekonomicznego Federacji Rosyjskiej oraz prowadzenia działalności gospodarczej w Rosji.
Basic Prototype of Islamic Boarding School Enterprise System
Authors: Saputra Nova Andre , Darmanto Darmanto , Septyanto Kevin Cornelius 
Published: August 2024

The impact of Information Technology (IT) on the management of Islamic boarding schools (ponpes) is profound, yet administrative tasks often remain handled through traditional means, leading to inefficiencies. This research aims to address this gap by developing a basic prototype of an Islamic boarding school enterprise system, focusing on optimizing information management across various administrative domains. Employing the System Development Life Cycle (SDLC) prototype method, the study progresses through needs analysis, design, prototype construction, evaluation, implementation, and maintenance phases. The prototype system, tested at Darul Atsar Islamic boarding school, demonstrates significant improvements in academic, secretarial, student, financial management, and reporting processes. This study underscores the potential of IT integration to streamline routine tasks and enhance decision-making in Islamic educational institutions, contributing to broader discussions on educational technology adoption and management optimization.
Highlights:

Administrative efficiency: Enterprise system streamlines tasks across academic, secretarial, student, and financial domains.
Data-driven decision-making: Prototype system empowers administrators with comprehensive reporting for strategic planning.
Technological integration: IT solutions address traditional challenges, enhancing management practices.

Keywords : Boarding School, Enterprise System, Prototype
The Tuina Acupressure Boosts Toddler Weight
Authors: Normaulida Anggraini Sekarlita , Rinata Evi 
Published: August 2024

This study investigates the impact of tuina acupressure on the weight of malnourished toddlers in Jenisgelaran Village, Bareng, Jombang, Indonesia. Using a quasi-experimental design, 22 toddlers were divided into control and treatment groups, with the latter receiving daily tuina acupressure for 15 minutes over one month. Weight changes were measured before and after the intervention. Results showed a significant increase in the weight of toddlers who received tuina acupressure (P = 0.003). These findings suggest that tuina acupressure can effectively enhance weight gain in malnourished toddlers, recommending its integration into health practices by caregivers and healthcare providers.
Highlights:
1. Effective Intervention: Tuina acupressure increased toddler weight significantly (P = 0.003).2. Study Methodology: Quasi-experimental design with pretest-posttest on 22 toddlers.3. Practical Application: Recommends tuina acupressure for malnutrition management in toddlers.
Keywords: tuina acupressure, toddler weight gain, malnutrition, quasi-experimental study, Indonesia
Disabled Workers Outperform Non-Disabled Peers in Indonesia
Authors: Praseno Hadi , Kusuma Kumara Adji , Abadiyah Rifdah , Ubaidillah Hasan 
Published: August 2024

This study examines the productivity differences between disabled and non-disabled workers at PT. United Pharmatic Indonesia. Using a quantitative approach, data were collected from 120 employees in the production department through proportional random sampling and analyzed with SPSS 22. Questionnaires provided quantitative data on employee productivity. Results show no significant difference in productivity levels, with disabled workers having a slightly higher average score (39.59) than non-disabled workers (39.16). The findings suggest that disability does not negatively impact productivity, supporting inclusive hiring practices.
Highlight:

No significant productivity difference: Disabled and non-disabled workers show comparable productivity levels.
Higher productivity in disabled workers: Slightly higher average productivity for disabled workers.
Support for inclusive hiring: Findings encourage integrating disabled individuals into the workforce.

Keywoard: worker productivity, disabilities, non-disabilities, quantitative research, SPSS
Boosting Productivity through Recruitment, Motivation, and Training in Indonesia
Authors: Amelia Kiki , Indayani Lilik 
Published: August 2024

This study investigates the impact of recruitment, work motivation, and job training on employee productivity at PT. Sinar Bima Sakti. Utilizing a quantitative, descriptive approach, data were gathered from 71 employees through accidental sampling and analyzed using SPSS Version 2022. Results show that all three factors positively and significantly influence productivity, explaining 66.1% of its variance. The study suggests that improving recruitment practices, maintaining effective motivation strategies, and optimizing job training can significantly enhance employee productivity.
Highlights:

1. Positive Impact: Recruitment, motivation, and training boost employee productivity.
2. Significant Contribution: Factors explain 66.1% of productivity variance.
3. Improvement Needed: Enhance recruitment, maintain motivation, optimize training.

Keywords: recruitment, work motivation, job training, employee productivity, quantitative analysis
Emotion, Conformity, Aggression: Insights from Vocational High School Dynamics
Authors: Al Mahsuny Muhammad Anwar Idris , Nastiti Dwi 
Published: August 2024

This quantitative correlational research investigates the impact of emotion regulation and peer conformity, both individually and concurrently, on aggressive behavior among students at Krembung Islamic Vocational High School. Utilizing a sample of 210 students from a population of 463, the study employed the emotion regulation scale, peer conformity scale, and aggression behavior scale. Multiple regression analysis with SPSS Ver.21 revealed significant results. Emotional regulation demonstrated a negative influence on aggressive behavior, while peer conformity exhibited a positive effect. Moreover, the combined impact of emotional regulation and peer conformity on aggressive behavior was established, with an overall influence of 20.7%. These findings contribute to the understanding of factors influencing aggressive behavior in the context of vocational high school students, emphasizing the importance of emotional regulation and peer dynamics. Highlights : Impact of Emotional Regulation and Peer Conformity: The study explores the individual and combined effects of emotion regulation and peer conformity on aggressive behavior among vocational high school students. Quantitative Correlational Research: Utilizing multiple regression analysis, the research employs a quantitative approach to understand the relationships between emotion regulation, peer conformity, and aggressive behavior. Practical Implications for Education: The findings provide insights for educational institutions in addressing and managing aggressive behavior by considering the roles of emotion regulation and peer conformity among students. Keywords: emotion regulation, peer conformity, aggressive behavior, vocational high school, quantitative correlational.
Efficiency Challenges Amid Budget Success in Indonesia
Authors: Setyaningrum Intan , Sukma Nirwana Nihlatul Qudus 
Published: August 2024

This study assesses the budget implementation of the Sidoarjo Regency Government from 2019 to 2022, focusing on effectiveness, efficiency, and economic performance. Using a descriptive quantitative approach with document analysis, the findings indicate that while the government has met economic criteria and shown improved effectiveness, efficiency has been less satisfactory, particularly in 2022. Despite surpassing budget revenue targets, inefficiencies arose due to higher expenditures than revenues. The study highlights the need for better budget management and resource allocation to enhance overall performance.

Highlight:

Economic Criteria Met: Consistent economic performance over four years.
Improved Effectiveness: Surpassed budget revenue targets.
Efficiency Issues: Lower efficiency, especially in 2022.

Keyword: Budget implementation, effectiveness, efficiency, economic performance, Sidoarjo Regency
Unlocking Supply Chain Excellence through Delivery Prioritization
Authors: Ramadhan Devany Arsi , Wahyuni Hana Catur 
Published: August 2024

This study investigates supply chain performance prioritization and improvement strategies for PT. XYZ, a starter card distributor facing operational challenges. Utilizing SCOR and F-AHP methodologies, the research identifies delivery as the highest priority criterion for enhancement, with a weight of 0.49. Recommendations include refining delivery systems, engaging customer feedback, and implementing software solutions to minimize inconsistencies. These findings offer valuable insights into supply chain management for similar distributors, aiming to enhance efficiency, customer satisfaction, and market competitiveness. Highlight: SCOR and F-AHP used for supply chain evaluation. Delivery prioritized for optimization, key to customer satisfaction. Recommendations: refine systems, engage feedback, implement software for consistency. Keyword: Supply Chain Management, SCOR, F-AHP, Performance Prioritization, Delivery Optimization
Analyzing if calcium channel blockers can save pregnant patients with persistent hypertension from developing preeclampsia
Authors: Basil Nada Mohammed , Mahmood Shatha Salim , Makki Ola Hikmat 
Published: August 2024

Pregnant women with chronic hypertension face elevated risks during pregnancy, necessitating effective management strategies. This study evaluates the potential benefits of combining low-dose aspirin therapy with calcium channel blockers, particularly nifedipine, in this population. Thirty-seven participants were enrolled between July 2015 and September 2017, receiving combination therapy as part of their treatment regimen. Results indicate effective blood pressure control without significant adverse events, with 36.8% experiencing preeclampsia but no severe cases reported. Neonatal outcomes were generally favorable, although 15% of babies were classified as small-for-gestational-age, all achieving Apgar scores between nine and ten. These findings suggest promising outcomes with combination therapy, emphasizing the need for further research to optimize management approaches for pregnant individuals with chronic hypertension. Highlight: Controlled blood pressure: Combination therapy effectively manages blood pressure in chronic hypertension. Lowered severe complications: Potential reduction in eclampsia and placental abruption risks. Positive neonatal outcomes: Favorable Apgar scores and reduced small-for-gestational-age incidence. Keywoard: Chronic Hypertension, Pregnancy, Combination Therapy, Low-Dose Aspirin, Calcium Channel Blockers
Unmasking Hidden Threats Global Spread of MBL Resistance Exposed
Authors: Taaban Ali Hussain Anaid , Ali Muntadhar Shakir Neama , Azgair Sura Haidar  Mutashar Azgair , Qasim Fatima Muzahim 
Published: August 2024

This study aims to establish a routine monitoring system for MBL enzymes to provide timely data to healthcare professionals and policy makers, enabling informed decision making on antibiotic use and resistance management. Using a combination of molecular biology techniques and data analysis, we monitor MBL activity in various institutional settings. The increasing prevalence of multidrug-resistant (MDR) bacteria is a significant threat to public health globally. Metallo-beta-lactamase (MBL), an enzyme that confers resistance to a wide range of beta-lactam antibiotics, is particularly concerning due to its ability to spread rapidly in healthcare and community settings. Despite the importance of this issue, systematic monitoring and understanding of MBL remains inadequate. Our findings reveal a significant, previously unreported presence of MBLs, underscoring the urgent need for targeted antibiotic stewardship programs. The implications of this study emphasize the importance of integrating enzyme monitoring into standard healthcare practices to reduce the spread of MDR bacteria.

Highlights:

Regular Monitoring: Essential for tracking MBL enzyme prevalence and guiding antibiotic use.
Advanced Techniques: Molecular biology methods enhance MBL detection and analysis.
Policy Integration: Crucial for implementing enzyme monitoring in healthcare to combat MDR bacteria spread.

Keywords: MBL Enzymes, Antibiotic Resistance, Healthcare Monitoring, Molecular Biology, Stewardship Programs