bluuebunny/crossref_metadata_2025_split huggingface dataset:
From Cirrhosis to Hepatogenous Diabetes: Risk Factors and Glycemic Management
Authors: Zhang Jing , Zhang Huipeng , Zeng Yunqing , Guo Yixuan , Zhou Tao , Liu Changhong , Ji Rui , Gao Yanjing 
Published: June 2024

IntroductionOur study analyses the risk factors associated with hepatogenous diabetes (HD) and compares glycemic control under various treatment modalities.Material and methodsThe multicenter study comprised 327 patients with HD, while 329 non-diabetic liver cirrhosis (LC) patients were picked as the control group for examining HD risk factors. Three groups of HD patients with HbA1C were distinguished based on their glucose-lowering treatment regimen to compare glycemic control.ResultsThe results indicated that longer disease duration of cirrhosis(OR = 1.111, 95% CI 1.072–1.152, P < 0.001), vertical transmission of hepatitis B(OR = 2.254, 95% CI 1.239–4.103, P= 0.008), a high Child-Pugh grade (OR = 1.566, 95% CI 1.202–2.041, P = 0.001) and higher blood triglyceride levels (OR = 2.695, 95% CI 2.054–3.537, P < 0.001) were independent risk factors for HD. A history of endoscopic treatment (OR = 0.615, 95% CI 0.407–0.928, P = 0.021) was a protective factor for HD. Insulin or insulin in combination with oral hypoglycemic agents are more effective compared to oral medication alone (P1 < 0.05, P2 < 0.05).ConclusionsThe risk factors for HD include prolonged duration of LC, vertical transmission of hepatitis B, higher Child-Pugh grade, and elevated blood triglyceride levels. A history of endoscopic treatment was found to be a protective factor. Glycemic management was substantially enhanced among patients who received insulin therapy, either alone or combined with oral hypoglycemic drugs, as opposed to those who depended solely on oral hypoglycemic agents.
Effect of weight around ankle on decreasing hip flexion excursion during gait in children with diplegia
Authors: Ibrahim Nahla M. , Abbass Mai Elsayed 
Published: June 2024

IntroductionChildren with diplegia have considerably larger hip flexion excursion during the gait cycle than normal developing children. There have been few studies that look at the effect of ankle loading on gait in children with hemiparesis, but none that look at the effect of ankle loading on hip flexion angles during gait in children with diplegia, to our knowledge. The purpose of the study is to evaluate the effect of using a weight around the ankle on the degree of hip flexion excursion in children with diplegia.MethodsFifty children with spastic diplegia were assigned into 2 groups at random (A, B). Both groups received the same prescribed exercise program with gait training for group A and gait training while using a weight around the ankle for group B. Treatment was conducted for 1 hour 3 sessions/week for 3 successive months. Two-dimensional (2D) gait analysis was used to evaluate hip excursion throughout the gait cycle before and after the 3 months of therapy.ResultsMixed design MANOVA was used to study the effect within each group and between the 2 groups. A comparison of both groups after treatment demonstrated a significant decrease in right and left hip flexion excursion in the initial swing, mid-swing, terminal swing, initial contact, mid-stance, and pre-swing (p > 0.01). There was no significant difference in loading response between groups after treatment (p = 0.3).ConclusionsUsing weight around the ankle during gait helped to decrease the degree of excessive hip flexion excursion during gait in children with diplegia.
Correlation of muscular strength and balance in relation to single leg squat analysis in male football players – an observational study
Authors: Patil Mrugnayani Chandrashekhar , Babu Sarath 
Published: June 2024

IntroductionIndividual participation in sports with inadequate preparation, especially during competition, results in an increased incidence of injury. Athletes commonly suffer from lower extremity musculoskeletal pain. During growth, several biomechanical factors contribute to muscular imbalance, which results in injury. The aim of the current study was to determine the correlation between lower extremity strength and balance in relation to single leg squat depth.MethodsA total of 100 male football players were included in the study. Lower extremity qualitative and quantitative squat analyses were performed for both legs. Isometric strength and balance for the lower extremities were assessed via a dynamometer and the Y balance test, respectively.ResultsThere is a moderate correlation between the visual squat performance and the strength of the hip extensor in the dominant leg and the hip abductors in the non-dominant leg. A moderate correlation of the maximum squat depth was found with the hip abductors, hip extensor, and knee flexor on the dominant side. The p value was < 0.05 and the r value was between 0.50 and 0.70, which was considered significant.ConclusionsStrength and balance both influence squat performance. Balance has a stronger influence than strength in single leg squat performance.
Effects of muscle energy techniques versus corrective exercise programme on pain, range of motion and function in patients with upper cross syndrome: a randomised clinical trial
Authors: Hanif Arooj , Ahmad Ashfaq , Arslan Syed Asad Ullah , Asghar Momna , Zaheer Anna , Shafiq Hira 
Published: June 2024

IntroductionUpper crossed syndrome (UCS) is a common musculoskeletal issue that includes the dysfunctional tone of the muscles in the shoulder girdle or cervicothoracic region. The objective of the current study is to compare the effects of muscle energy techniques with the National Academy of Sports Medicine-based exercise protocol on pain, range of motion, and disability in patients with UCS.MethodsIt was a single-blinded randomised clinical trial carried out in the Physiotherapy Department of the University of Lahore Teaching Hospital, Pakistan. Fifty patients with upper cross syndrome aged between 20 to 35 years were randomly allocated into two groups: group A (routine physical therapy combined with muscle energy techniques) and group B (routine physical therapy combined with the National Academy of Sports Medicine-based exercise protocol) for three sessions per week for total 8 weeks. Data were collected at baseline, 4th, 8th, and 12th week for assessing the long-term effects of the treatment protocol as well. The Visual Analogue Scale, Neck Disability Index, and an inclinometer were used to measure the pain, disability, and range of motion of the cervical region, respectively. The data was analysed using SPSS version 23.0 (IBM, New York, USA).ResultsOut of 50 participants, 30 were male and 20 were female. The mean age of all the participants in experimental group A was 29.76 ± 2.89 and that in experimental group B was 30.56 ± 2.48. At the 4th, 8th, and 12th week, pain and disability were significantly (p-value < 0.05) reduced and cervical range of motion was significantly (p-value < 0.05) improved within both groups. After 8 weeks of treatment, a significant between-group difference was seen in favour of group A in terms of cervical range of motions (flexion, extension, rotation, and side bending) with p-values of less than 0.05 and in favour of group B in terms of pain (p-value 0.03) and disability (p-value 0.04) was seen. These differences were maintained at the 12th week follow-up as well.ConclusionsThis study concluded that both NASM (National Academy of Sports Medicine-based exercise protocol) and METs (muscle energy techniques) are effective treatment options for people with upper cross syndrome. It was also concluded that METs are more effective in improving Range of motion (ROM), while the NASM-based exercise protocol is more effective in improving symptoms of pain and neck-related disability.
Eccentric training vs muscle energy technique in adjunct to low-level laser therapy for lateral epicondylitis
Authors: Sumedha Govindaswamy , Gurudut Peeyoosha , Welling Aarti 
Published: June 2024

IntroductionLow-level laser therapy (LLLT) is considered a mainstay intervention for lateral epicondylitis (LE) with clear evidence. Eccentric Exercises (EE) and Muscle Energy Technique [MET] have been shown to be beneficial individually. However, trials are lacking where the above two approaches are compared. Further, no comprehensive EE protocol exists for LE. Hence, this study aimed to develop an EE protocol and evaluate the effectiveness of the EE protocol versus MET as adjuncts to LLLT for the management of LE.MethodsA total of 34 (n = 17 in each group) participants with LE were randomly allocated to two study groups (EE and MET). The participants received either EE or MET along with LLLT as a common intervention over 3 weeks. The outcomes measured were pinch strength, grip strength, and pain pressure threshold, assessed at pre-intervention and post-intervention (3rd week). The patient-rated tennis elbow evaluation (PRTEE) questionnaire was assessed at 4 points in time: pre- and post-3 weeks with follow-up in the 6th week and 12th week.ResultsWhen compared between the groups, a statistically significant difference was noted with the EE group being more effective than the MET group for pain pressure threshold (p = 0.001), key pinch strength (p = 0.003), tripod pinch strength (p = 0.107), grip strength (p = 0.046), pain and functional disability (p = 0.001).ConclusionsAlthough both EE and MET were effective in treating lateral epicondylitis, eccentric exercises were superior to the MET group even at the 6th and 12th week follow-up, suggesting a longer-lasting effect of EE without recurrences.
Effectiveness of combined therapy in physical therapy for the management of musculoskeletal pain: a systematic review and meta-analysis
Authors: de la Barra Ortiz Hernán Andrés , Alfaro Leiva Cristóbal , Alfaro Lillo Camilo , Carvajal Álvarez Diego , Cuéllar Pizarro Bastián 
Published: June 2024

IntroductionTherapeutic ultrasound and electrotherapy are commonly used in physical therapy for musculoskeletal pain (MSP) management. Combined therapy (CT) is a resource that merges both techniques, enhancing the analgesic effects of both treatments, although studies are limited.ObjectiveTo determine the effectiveness of CT in physical therapy for the management of MSP.MethodsThe PubMed, Web of Science, Scopus, Cinahl, Science Direct, and PEDro databases were searched for randomised clinical trials (RCTs) (updated June 5, 2024). RCTs comparing CT with other physical therapy treatments for MSP were included. Thirteen studies met the eligibility criteria, including those of the qualitative synthesis and meta-analysis types. The Cochrane Rob2 tool was used to assess the articles’ quality.ResultsRCTs were assessed as having a low risk of bias for all RoB2 domains. Although the qualitative synthesis reports a reduction in pain, an increase in ROM, and less disability in favour of CT, the quantitative analysis only shows large, statistically significant effect sizes (Cohen’s d) (p < 0.05) for the standardised mean differences (SMD) in pain (SMD = 0.9; CI = 0.8, 1.1) and ROM (SMD = –0.93; CI = –1.1, –0.8). These analgesic and ROM benefits improve when CT is applied with interferential currents (Pain: SMD = –1.54; IC = –1.8, –1.3) (ROM: SMD = 2.28; CI = 1.8, 2.7). Although the analgesic evidence was qualified as important, the heterogeneity obtained in the studies (I2 > 75%) moderates its degree of recommendation.ConclusionsThis SR shows that CT has better analgesic effects than TENS, interferential currents, or therapeutic ultrasound alone, which supports the idea of a combined analgesic effect. The researchers propose dosage recommendations for clinical practice and future research.
AKIBAT HUKUM DALUARSA ATAS PEMBELIAN AGUNAN DEBITUR OLEH KREDITUR (BANK) SECARA LELANG ATAU PENYERAHAN SUKARELA MENGGUNAKAN MEKANISME AGUNAN YANG DIAMBIL ALIH (AYDA)
Authors: Siahaan Hasan , Ginting Budiman , Saidin O. K 
Published: June 2024

Penjualan agunan kepada kreditur khususnya bank mendapat pengecualian dari UU No.7 Tahun 1992 Tentang Perbankan Pasal 12A yang mengatur bahwa “Bank” dapat membeli agunan debiturnya sendiri dengan ketentuan agunan yang tersebut wajib dicairkan secepatnya selambat-lambatnya dalam jangka waktu (1) satu tahun. Selain itu, bank juga dilarang memiliki agunan yang telah dibeli. Ketentuan ini merupakan hukum memaksa (dwingendrecht) yang wajib (mandatory) dijalankan oleh bank tetapi Undang-Undang tidak mengatur akibat hukum terhadap kedudukan Agunan apabila kewajiban menjaul terlampaui. Semantara daluarsa menentukan “adakalanya Undang-Undang memberikan haknya untuk suatu waktu tertentu. Apabila tidak dipergunakan dalam jangka waktu tersebut, maka gugurlah hak tersebut. Di sisi lain, bank telah membayar lunas harga agunan dan set-off kredit. Aturan pelaksanaan lelang keabsahan lelang tidak mengatur daluarsa terkait pembeli lelang AYDA. Maka berdasarkan asas Lex Superior derogat legi inferiori, aturan pelaksanaan lelang dalam hal bank menjadi pembeli lelang agunan debiturnya harus berpedoman pada Pasal 12A UU Perbankan selaku Undang-Undang yang lebih tinggi. Setelah bank membeli agunan tanah menggunakan mekanisme AYDA, Maka bank memperoleh hak menguasai/mengalihkan agunan selama dalam kurun waktu 1 tahun, Apabila hak menjual agunan terlampaui (daluarsa)/tidak digunakan, maka hak tersebut hangus karena daluarsa menurut Undang-Undang. Selain karena telah kehilangan hak, Agunan tanah yang dijadikan aset fixed asset batal demi hukum karena tidak memenuhi syarat sah perjanjian karena bertentangan dengan larangan pemilikan agunan yang diatur dalam Pasal 12A UU Perbankan. Karena itu kedudukan agunan kembali menjadi hak debitur/pemilik agunan dengan tidak mengurangi hak kreditur untuk menagih piutangnya.
Eliitin taidemuodosta kaiken kansan taiteeksi?
Authors: Hautsalo Liisamaija 
Published: June 2024

In this article, I have examined the Finnish so called fur cap opera of the 1970s and the political and social factors that influenced its development. With the help of the concept of vernacularization, I have shown the mechanisms by which Finnish opera was transformed into an art form that spoke to a wider audience than the narrow elite, the “fur cap opera”. According to my article, the background of the process of vernacularization of the opera in Finland was the idea of social equality that started in the 1960s, which was linked to welfare state thinking, and which was especially promoted by left-wing parties.
In the process of vernacularization the libretto and staging of the operas were ”popularized”, and this happened with the help of realistic folk depiction and music theatre. During this process, the opera changed to conform to the values ​​of the Finnish society of the 1960s and 1970s.
O strategickej autonómii Európskej únie v kontexte vojny na Ukrajine
Authors:   Akadémia Policajného zboru, Ivančík Radoslav 
Published: June 2024

Strategic autonomy is one of those concepts that has its ardent supporters and opponents among the member states of the European Union and which, above all in the field of foreign, security and defence policy, provokes a lot of heated discussions. Regardless of how hopeful the efforts to build European strategic autonomy looked a few months ago, Russia's aggressive war against Ukraine brought a significant turn in the ongoing discussions on this issue. The war has clearly shown that Europe does not currently have the adequate military capabilities and capacities necessary to deter possible aggression against it, and is for the time being, without any doubt, forced to rely on the commitments, strength, capabilities, and capacities of the United States of America. For this reason, the author of the article deals with the current issues of European strategic autonomy as part of the interdisciplinary research carried out, in which he applies relevant approaches based on political, security and European studies, reflects elements of Europeanism and Atlanticism related to the investigated issue and uses appropriate scientific methods and procedures of qualitative theoretical scientific research. At the same time, the author is based on his own previous research as well as the theoretical constructs of renowned foreign and domestic authors.
Hofstedeho kultúrny model dimenzií ako anylytický nástroj komparácie a porozumenia sociálnych rozdielov medzi národmi
Authors: Zverec Vladimír 
Published: June 2024

Hofstede's cultural model of dimensions represents an important analytical tool that enables a deep understanding and comparison of social differences between nations. This model, developed by Geert Hofstede, identifies six key dimensions of culture: power distance, individualism, motivation towards achievement and success, uncertainty avoidance, long term orientation, and indulgence. Through these dimensions, we can analyse how values and norms influence the behaviour of individuals and organizations in different countries. This model makes it possible to identify cultural differences that can lead to misunderstandings and conflicts and at the same time offers a framework for effectively addressing these challenges. By using Hofstede's dimensions, we can better understand the complex interactions between culture and social structures, which contributes to more effective international communication and cooperation.
Vzdělávání příslušníků ekonomické služby Armády České republiky od roku 1919 do současnosti
Authors:   Univerzita obrany, Brno, Horák Roman , Brizgalová Lenka ,   Univerzita obrany, Brno, Flachbart Alojz ,   Univerzita obrany, Brno
Published: June 2024

The aim of the article is to analyse the development of the education of the members of the economic service of the Army of the Czech Republic from 1919 to the present. The beginnings of the education of economic service specialists are connected with the establishment of Czechoslovakia and the Czechoslovak Army in 1919 and the operation of the French mission in Czechoslovakia. The development was interrupted by the Germanoccupation. In 1953, the military schools were reformed. A major reorganisation of the system, including the education of the economic service, was reformed in 1970. With partial changes, the new system functioned until the division of Czechoslovakia in 1993. In 2004, a change was made to the military education system in connection with the reduction of the number of professional soldiers, the end of military basic service and the professionalization of the ACR. The article introduces the reader to the development of education, the establishment and dissolution of military schools, the conditions and length of study, the subjects studied and the changes that have taken place during the defined years. This is the first comprehensive material dealing with the history of education of specialists of the economic service of the Army of the Czech Republic.
Pesquisa de atresia de vía biliar mediante la implementación de un código QR
Authors: Bastianelli Cinthia , Spiess Adriana , Gallardo Analia , Bracamonte Estefanía , Campos Emanuel , Ramonet Margarita 
Published: June 2024

Introducción. La atresia de vía biliar es un proceso inflamatorio, obstructivo e idiopático de los conductos biliares, que evoluciona a la cirrosis biliar. El diagnóstico temprano y la cirugía de Kasai ofrecen al paciente supervivencia sin trasplante hepático.
Objetivo. Describir la implementación de un método novedoso de pesquisa de atresia de vía biliar, que utiliza un código de respuesta rápida QR, en un hospital de cuarto nivel de atención.
Materiales y métodos. Se realizó un estudio de tipo observacional, descriptivo y prospectivo en el Hospital Público Materno Infantil de la ciudad de Salta, Argentina, entre septiembre de 2022 y septiembre de 2023. Durante ese período, se llevó a cabo la pesquisa de atresia de vía biliar a través de una encuesta a la que se accedía mediante un código QR. Dicha encuesta se debía responder entre los 15 y 30 días de vida del recién nacido, comparando el color de las deposiciones con una tabla colorimétrica numerada. Las respuestas se dividieron en "normales" y "anormales". Los pacientes con deposiciones de color anormal fueron contactados telefónicamente y citados a una consulta médica.
Resultados. Se registraron 6113 recién nacidos vivos. Se analizaron 1294 encuestas. El índice de respuestas fue del 21%. El 57,3% respondieron entre los 15 y 30 días de vida. 17/1294 pacientes registraron respuestas anormales, de los cuales uno presentaba atresia de vía biliar y dos colestasis secundaria. La pesquisa presentó un porcentaje de falsos positivos del 1,1% (14/1294). El porcentaje estimado de verdaderos positivos de la pesquisa resultó del 0,2% (3/1294). La prevalencia de atresia de vía biliar fue del 0,1% (1/1294).
Conclusión. El índice de respuesta a la pesquisa de atresia de vía biliar mediante código QR en el período evaluado fue menor a la reportada usando tarjetas colorimétricas. La adherencia se incrementó en los últimos meses de la implementación del programa, el cual requiere mayor tiempo de ejecución y difusión. Creemos que esta innovación de la tecnología aplicada a la pesquisa puede ser un avance para la detección temprana de atresia de vía biliar.
Professional adaptation of military pensioners: an inclusive approach
Authors: Монахов О.Н. 
Published: June 2024

Введение. Включение некоторых категорий российских граждан в социально-трудовые отношения осложнено обязательной ресоциализацией. Одной из таких категорий выступают уволенные в запас военнослужащие, обладающие правом на пенсионное обеспечение и являющиеся трудоспособными. Переход военных пенсионеров в новую для них реальность гражданской жизни сопровождается рядом сложностей и затруднений. Цель. Выявить потенциал инклюзивного подхода в решении проблем профессиональной адаптации военных пенсионеров. Методы. В ходе исследования проводился вторичный анализ результатов эмпирических исследований, контент-анализ научных публикаций. Результаты. Профессиональная адаптация военных пенсионеров рассмотрена в качестве основного условия их социальной адаптации. В качестве основных направлений профессиональной адаптации выделены: организация образовательной деятельности; организация трудовой занятости; социально-правовое сопровождение предпринимательской деятельности. Научная новизна. Определено содержание инклюзивных условий, обеспечивающих успешность профессиональной адаптации военных пенсионеров. Практическая значимость. Приведенные в статье направления, формы и условия профессиональной адаптации военных пенсионеров могут быть использованы при разработке программ трудоустройства и обеспечения занятости военнослужащих, увольняемых с военной службы в запас.
Introduction. Due to the specificities of resocialisation, building social and labour relations is difficult for certain categories of Russian citizens. One of these categories are retired military personnel who have the right to pension provision and are able-bodied. The transition of military pensioners to the new reality of civilian life is accompanied by a number of difficulties. The aim of the study is to identify the potential of an inclusive approach in addressing the problems of professional adaptation of military pensioners. Methods. During the study, secondary analysis of the results of empirical studies and content analysis of scientific publications were carried out. Results. The professional adaptation of military pensioners is considered the main condition for their social adaptation and integration. The following are considered as areas of professional adaptation of military pensioners: organisation of educational activities, organisation of employment, and social and legal support for entrepreneurial activity. Scientific novelty consists in identifying a set of inclusive conditions that ensure the success of professional adaptation of military pensioners. Practical significance. The directions, forms and conditions of professional adaptation provided in the article can be used in the development of employment programmes for military pensioners and retired military personnel.