bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparative analysis of surgical treatment results for osteoporotic burst fractures of thoracolumbar vertebral bodies
Authors: Sinyavin V. D. , Rerikh V. V. 
Published: August 2024

Introduction Surgical methods for osteoporotic burst vertebral body fracture repair have their advantages and shortcomings. The use of circumferential stabilization and corrective vertebrotomies in elderly patients is highly invasive and carries great surgical risk. On the other hand, minimally invasive methods lead to recurrence of the deformity. Thus, in the treatment of patients with such pathology, it is necessary to choose a surgical method that allows achieving optimal results.Purpose of the work was to compare the results of surgical treatment for osteoporotic burst fractures in thoracolumbar vertebral bodies using the developed method and methods of circular and hybrid stabilization based on clinical and radiological criteria.Materials and methods The study was retrospective. Three groups of patients were formed according to the type of surgical intervention. Inclusion criteria were patients with primary osteoporosis who did not receive osteotropic therapy before surgery, with osteoporotic fractures (type OF3 and OF4) of the vertebral bodies of the thoracolumbar location (Th10–L2). The follow-up period was 12 months. The following criteria were assessed: the amount of kyphosis correction (according to the Cobb method), the amount of residual postoperative kyphotic deformity, as well as its recurrence in the long-term postoperative period; sagittal balance of the torso (Barrey index), subjective evaluation of the patient’s condition (VAS). Quality of life assessment was not performed.Results There were no statistically significant differences in the dynamics of sagittal balance during the follow-up period between the groups (p > 0.99). There was no difference between groups in clinical outcomes (VAS) at follow-up (p > 0.05). A statistically significant difference in the magnitude of kyphotic deformity and its correction in the specified postoperative periods was revealed between the hybrid fixation groups and the corrective vertebrotomy group. No difference was found with the circular stabilization group.Discussion Due to the high risks of poor outcomes of anterior spinal fusion, in particular, implant subsidence, to avoid anterior spinal fusion, we used a method of focal kyphosis correction and posterior spinal fusion with autologous bone. The method proposed by the authors for the correction of focal kyphotic deformity in the treatment of patients with osteoporotic burst fractures of the vertebral bodies combines satisfactory correction of focal kyphosis with minimal surgical invasiveness, which reduces the risks of complications and poor outcomes. The proposed method may also be combined with hybrid fixation.Conclusion The developed method for focal kyphotic deformity correction in the treatment of osteoporotic burst fractures of vertebral bodies provides satisfactory correction of focal kyphosis, reduces the risks of complications and poor outcomes in comparison with circular and hybrid stabilization.
Periprosthetic joint infection in patients with rheumatoid arthritis: case series
Authors: Lyubimova L. V. , Pchelova N. N. , Nikolaev N. S. , Preobrazhenskaya E. V. , Lyubimov E. A. 
Published: August 2024

Introduction The differential diagnosis of periprosthetic joint infection (PJI) is challenging in patients with systemic diseases due to identical clinical and laboratory patterns and activity of the inflammatory process.The objective was to evaluate the diagnostic data and results of debridement of PJI in patients with rheumatoid arthritis using a case series.Material and methods A retrospective analysis of surgical treatment of PJI was produced in patients with rheumatoid arthritis between 2014 and 2022. PJI was verified based on ICM criteria. A poor outcome included the presence of clinical and laboratory signs of infection on admission to the second stage of treatment and recurrence after successful debridement.Results Among the 524 cases of PJI, 35 (6.7 %) were patients with rheumatoid arthritis with 48.6 % receiving antibiotics prior to admission. Culture-negative infection was recorded in 38.4 %. PJI was not confirmed in five cases (14.3 %). High average values of inflammatory markers were registered in the blood (ESR, CRP and D-dimer) before and after debridement; decreased ESR and leukocyte count in the synovial fluid was statistically significant. Favorable outcomes were obtained in 82.9 % of cases at mid term with every fifth patient treated with a spacer or arthrodesis.Discussion The incidence of culture-negative infection in patients with systemic diseases was reported as much as 27–37 %. A systematic review of the literature showed that the percentage of band neutrophils in synovial fluid has a sensitivity of 95.2 % and a specificity of 85.0 %, with an optimal threshold of 78 % sufficient to verify infection. The poor outcomes we identified resulted from two- or three-stage surgical treatment. Other authors reported better outcomes with two-stage debridement.Conclusion Culture-negative infection was common in cases of PJI observed in patients with rheumatoid arthritis. Favorable outcomes were seen mostly with two-stage surgical treatment. Inflammatory markers ESR, CRP and D-dimer did not reach normal values during diagnosis and treatment of infection indicating the inapplicability of standard diagnostic criteria for PJI in patients with rheumatoid arthritis.
Evaluation of the effect of osteosynthesis wires on the structural reorganization of metaepiphyseal cartilage (an experimental and morphological study)
Authors: Korobeinikov A. A. , Stupina T. A. , Dyuryagina O. V. , Stepanov M. A. , Antonov N. I. 
Published: August 2024

Introduction Premature arrest of bone growth is the most common complication of bone fractures at the growth plate level.The purpose of the work was to evaluate the structural reorganization of metaepiphyseal cartilage following its direct injury with metal and biodegradable wires in an experiment.Materials and methods The metaepiphyseal cartilage of the distal femur of 18 lambs of both sexes was studied. The age of the animals at the beginning of the study was (43.92 ± 0.8) days, by 60 and 120 days (102.63 ± 0.82) and (161.1 ± 0.9) days, respectively. The animals underwent transphyseal insertion of wires/ pins: series 1 — Kirschner wires, series 2 — titanium wires, series 3 — poly-L-lactic acid pins. The duration of the experiment was 60 and 120 days. Clinical and radiographic studies were carried out. Histomorphometry was performed using an AxioScope.A1 microscope and Zenblue software (CarlZeissMicroImagingGmbH, Germany).Results Reactive changes in the growth plate at the interface with the wire were manifested by proliferation of chondrocytes in the zone of proliferating cartilage and in the reserve zone; the minimally expressed changes were noted in series 2, the most pronounced were in series 1. By the end of the experiment, at the interface with the wire in series 1, blood vessels penetrated into the metaepiphyseal cartilage; in series 3 the amount of the fibrous component was increased, which indicates further formation of “bone bridges” and “fibrous bridges,” respectively. In undamaged areas of the growth plate in all series, the zonal structure was preserved. By the end of the experiment, increased values of the thickness of the metaepiphyseal cartilage were noted (1.2 times higher than the control), differences between series were a tendency; in series 2 and 3 the ratio of metaepiphyseal cartilage zones was comparable to the control; in series 1 the proportion of the proliferating cartilage zone was increased by 4 %.Discussion The main problem with growth plate injuries is the formation of bone tissue or fibrosis, which affects the growing process. Currently, the question of choosing a treatment tactic for growth plate injury depending on the size of the “bone bridges” is debatable. Relevant are future comparative studies of the regeneration of metaepiphyseal cartilage defects after the use of fixators made from different materials.Conclusion Histomorphometric characteristics of the growth zone reliably showed that the insertion of wires, regardless of their material, was not accompanied by inhibition of the bone-forming function of the distal metaepiphyseal cartilage of the femur.
Achilles tendon regeneration after experimental transverse tenotomy with preserved peritenon and the structures
Authors: Vlasov M. V. , Shirokova N. Yu. , Musikhina I. V. 
Published: August 2024

Introduction The Ponseti method is the first choice for congenital clubfoot with the possibilities of transverse tenotomy being underexplored in repair of the Achilles tendon in pediatric patients.The objective was to identify specific features of the Achilles tendon repair after experimental transverse intersection and preserved peritenon, vessels and nerves of growing rabbits.Material and methods The experimental study included 20 Chinchilla rabbits of both sexes aged 1.0–1.5 months used as a biomodel with a weight of 1476.0 ± 114.3 g. Rabbits were sacrificed in groups of five by air embolism under local anesthesia at 15, 30, 60 and 90 days of surgery.Results The tendon defect zone was represented by small areas of dense fibrous scar tissue with some cellular fibroblasts, and tendon fibers of unremarkable architectonics arranged in a mutually parallel waves could be seen in the layers of connective tissue at 90 days. The thickness of the first-order collagen fibers increased to 8.9 ± 1.32 µm and comparison with the normal value of 9.2 ± 1.88 µm showed no statistically significant difference (p = 0.38). The thickness of the second-order collagen fibers increased to 28.1 ± 1.28 µm during the time, and comparison with the standard measurements of 28.3 ± 2.23 µm demonstrated no statistically significant difference (p = 0.64).Discussion According to the literature, the ability of the tenoblast to synthesize structural proteins and regulatory biomolecules after injury decreases with age and leads to fibrous restoration of the tendon and formation of a permanent scar. Our study on growing rabbits showed that the organotypic structure of the experimental tendon restored at the intersection site at 60 days with the Achilles tendon defect being represented by the tendon-like tissue at 90 days.Conclusion The Achilles tendon was shown to regenerate in optimal conditions after the dissection and preservation of the peritenon, vessels and nerves with tendon tissue being formed within a short time (3 months after the intervention) being identical to the original.
Nerve injury associated with shoulder surgery
Authors: Tuturov A. O. , Petrosyan A. S. , Panin M. A. , Zakharyan B. I. , Al-Bawareed O. 
Published: August 2024

Introduction Progress in shoulder surgery is associated with improved operating rooms equipment, advanced surgical products and minimally invasive techniques. There are rare injuries to nerves and vessels being intersected or pulled into the sutures. However, marginal tears, compression and nerve entrapment of trunks during access retraction, catheterization, inadequate correct of the patient on the operating table and errors in rehabilitation can be common.The purpose was to identify factors predisposing to peripheral nerve injury to the upper limb during shoulder surgery and offer prevention options.Material and methods Major studies in the field of shoulder anatomy and surgery published between 1984 and 2023 were reviewed to identify anatomical, biomechanical and perioperative factors leading to peripheral nerve injuries. The original literature search was conducted on key resources including GoogleScholar, PubMed, ScienceDirect, RSCI, Scopus. Four approaches were used for structuring and informative presentation of the data to include types of the peripheral nerve injury in the upper limb.Results and discussion Factors predisposing to the peripheral nerve injury in the upper limb during shoulder surgery were identified in the review. Prevention measures include the patient positioned on the operating table with adequate fixation of the head and torso, regardless of the chosen position; traction of the involved upper limb with a load of not greater than 9 kg using a specialized clamp; preoperative marks of the surgical field and staining of bone landmarks; the arthroscopic ports 1–2 cm to be shifted more distally minimizing the fluid flow into the joint during a long operation. Postoperative consultation with rehabilitation specialists is essential to develop an early activation program and assess the risks of neurological disorders.Conclusion The shoulder anatomy and the localization of unsafe zones of the shoulder, the risks associated with a particular manipulation were explored for effective preoperative planning and prevention of neurological complications in the treatment of surgical pathology of the shoulder joint.
PENERAPAN STRATEGI REKONSTRUKTIF DALAM MENCERITAKAN KEMBALI CERITA FANTASI SISWA KELAS VII SMP NEGERI 1 ANJIR MUARA
Authors: Kalsum Ummi , Jumadi  , Cahaya Noor 
Published: August 2024

AbstrakPenelitian ini bertujuan mendeskripsikan penerapan strategi rekonstruktif dalam menceritakan kembali cerita fantasi siswa kelas VII SMP Negeri 1 Anjir Muara. Penelitian ini merupakan penelitian kuantitatif-deskriptif. Sumber data penelitian ini adalah guru Bahasa Indonesia dan 32 siswa kelas VII B. Data penelitian ini berupa pelaksanaan strategi rekonstruktif dalam pembelajaran bercerita hasil belajar siswa. Teknik pengumpulan data menggunakan wawancara, observasi, dan tes. Teknik analisis data menggunakan analisis deskripsi. Hasil penelitian menunjukkan: (1) kelengkapan RPP dan pelaksanaan pembelajaran guru Bahasa Indonesia dengan materi menceritakan kembali cerita fantasi dengan menggunakan strategi rekonstruktif Sangat Baik, (2) hasil belajar siswa materi ini rata-rata mendapat nilai 82. Guru disarankan menggunakan strategi rekonstruktif dalam pembelajaran bercerita.Kata kunci: strategi rekonstruktif, menceritakan kembali, cerita fantasi AbstractThis study aims to describe The Implementation of Reconstructive Strategy in Retelling The Fantasy Story at 7TH Grade Student in SMP Negeri 1 Anjir Muara. This research used a quantitative-descriptive research. The data source of this research is from Bahasa Indonesia teacher and 32 students in VII B class. This research data is in the form of implementing reconstructive strategy and student learning outcomes. The researcher collected the data using interviews, observations, and tests. The data were analyzed by using description analysis. The research results showed: (1) the complete lesson plan and Bahasa Indonesia teacher’s implementation of retelling fantasy story using reconstructive strategy is Very Good, (2) Students' learning outcomes for this material achieved an average score of 82. Teachers are advised to use reconstructive strategy in storytelling learning.Keywords: reconstructive strategy, retelling, fantasy story
MANIFESTASI NILAI PENDIDIKAN KARAKTER DALAM CERITA RAKYAT KALIMANTAN SELATAN SERTA RELEVANSINYA SEBAGAI BAHAN AJAR
Authors: Ratna Sari Dinda Ayu Nurkamila , Sainul Hermawan  , Dewi Alfianti  
Published: August 2024

Penelitian ini bertujuan mendeskripsikan nilai pendidikan karakter cerita rakyat Kalimantan Selatan serta memberikan referensi bahan ajar. Penelitian ini menggunakan pendekatan kualitatif dan metode deskriptif. Analisis data menggunakan teknik content analysis model Endraswara. Sumber data penelitian, yaitu delapan buku cerita rakyat dengan data berupa kutipan yang menunjukkan tujuh nilai karakter. Hasil penelitian menunjukkan bahwa nilai rasa hormat terdapat pada 6 cerita, tanggung jawab pada 8 cerita, kejujuran pada 5 cerita, toleransi pada 4 cerita, kebijaksanaan pada 5 cerita, tolong-menolong pada 8 cerita, dan demokrasi pada 4 cerita. Cerita rakyat yang diteliti selaras dengan nilai pendidikan karakter, kecuali nilai tolong-menolong yang terdapat pada salah satu kutipan di buku Asal Mula Tajau Pecah dan Beramban, dan nilai tanggung jawab yang terdapat pada salah satu kutipan di cerita Utuh Gariwai dan Tombak Pusaka. Penelitian ini menunjukkan relevansi sebagai bahan ajar berbasis pendidikan karakter. Kata kunci: Nilai pendidikan karakter, cerita rakyat, bahan ajar
This research aims to describe the values of character education in South Kalimantan folklore and provide references as teaching materials. This research uses a qualitative approach and descriptive methods. Data analysis uses content analysis techniques with the Endraswara model. The data source for this research is eight books of South Kalimantan folklore with data in the form of quotes showing the seven character values contained in the folklore. The research results show that the character education component is contained in folklore. The value of respect is found in 6 stories, responsibility is found in 8 stories, honesty is found in 5 stories, tolerance is found in 4 stories, wisdom is found in 5 stories, mutual help is found in eight stories, and democracy is found in 4 stories. The folklore studied is in line with the value of character education, except for the value of helping which is found in one of the quotes in the book Asal Mula Tajau Pecah and Beramban, as well as the value of responsibility which is found in one of the quotes in the story Utuh Gariwai and Tombak Pusaka. This research shows its relevance as a teaching material based on character education. Keywords:The values of character education, folklore, teaching materials
Extracorporeal Shockwave Therapy for Greater Trochanteric Pain Syndrome
Authors: Rhim Hye Chang , Shin Jaehyung , Beling Alexandra , Guo Raymond , Pan Xiaoyu , Afunugo Wilma , Ruiz Joseph , Andrew Michael N. , Kim James , Tenforde Adam S. 
Published: August 2024

Background:
Greater trochanteric pain syndrome (GTPS) affects 17.6% of adults aged 50 to 79 years, particularly women. While exercise therapy and corticosteroid injections (CSIs) are common treatments, their limitations include inadequate pain control and potential tendon weakening. Extracorporeal shockwave therapy (ESWT) is an emerging alternative for GTPS. This systematic review assessed ESWT's efficacy in GTPS by evaluating pain and functional outcomes at different follow-up intervals.

Methods:
A literature search of PubMed, Embase, and Web of Science for randomized clinical trials (RCTs) was conducted comparing ESWT with other GTPS treatments up to March 1, 2024. Two reviewers independently extracted data, assessing study quality using the Cochrane risk-of-bias tool. A random-effects pairwise meta-analysis compared ESWT with other treatments.

Results:
Eight RCTs involving 754 patients (169 male, 585 female patients) were included. Seven RCTs were deemed high risk of bias, and 1 RCT had some concerns. Five RCTs investigated focused on focused ESWT, and 3 examined radial ESWT. ESWT provided significantly lower pain scores than other treatments at 2 to 4 months (standardized mean difference = −0.431; 95% confidence interval [CI], −0.82 to −0.039; I2 = 83%). Functional improvement (Lower Extremity Functional Scale) was significantly higher at 6 months (weighted mean difference = 6.68; 95% CI, 3.11-10.25; I2 = 0%) but did not exceed the minimal clinically important difference. Focused ESWT provided greater pain reduction than radial ESWT.

Conclusion:
Three weekly ESWT sessions offer short-term pain relief at 2 to 4 months for patients with GTPS, especially with focused ESWT. Functional improvements at 6 months were notable but not clinically significant. These findings suggest ESWT may complement or serve as an alternative to CSIs and exercise. However, caution is needed when interpreting these results due to high risk of bias with the included RCTs and heterogeneity across the studies. Further high-quality trials are needed to confirm ESWT's long-term benefits over other treatments.

Level of Evidence:

Level II. See Instructions for Authors for a complete description of levels of evidence.
Global Impact of Renewable Energy Innovations
Authors: Dia Sari Shalsa Ervina , Ubaidillah Hasan 
Published: August 2024

This study explores how product quality, price, and promotional attractiveness impact consumer purchasing decisions on Shopee in Sidoarjo, Indonesia, using a quantitative descriptive approach with 96 respondents. The findings indicate that higher product quality and attractive promotions positively influence purchase intent, while price sensitivity also plays a role. These insights are valuable for businesses in online marketplaces like Shopee, emphasizing the importance of maintaining high product quality, competitive pricing, and effective promotions to enhance consumer decisions and market performance. Highlight: Online consumer behavior analysis Quality and price influence purchases Promotions impact buying decisions Keyword: consumer behavior, online marketplace, purchase decisions, product quality, promotional attractiveness
Impacts of Brand, Price, and Promotion on Modest Fashion Purchases
Authors: Lailah Elok Zahrotul , Hariasih Misti 
Published: August 2024

This research investigates the influence of Brand Image, Price, and Promotion on Purchase Decisions for Gamis Pelangi Hijab in Driyorejo, employing a descriptive quantitative approach. Utilizing multiple linear regression analysis on data collected from 96 respondents via purposive sampling, the study reveals significant effects: (1) Brand Image positively influences purchasing decisions; (2) Price has a significant impact on purchasing choices; (3) Promotional activities affect purchase decisions. Through regression analysis using SPSS 22, the study elucidates the pivotal role of these factors in consumer behavior, providing insights for marketers aiming to enhance consumer engagement and strategic marketing initiatives in the modest fashion industry.
Highlight:

Quantitative analysis of purchase decisions for modest fashion.
Sample selection based on non-probability purposive sampling technique.
Multiple linear regression analysis conducted using SPSS version 22.

Keywoard: Gamis Pelangi Hijab, Purchase Decisions, Brand Image, Price, Promotion