bluuebunny/crossref_metadata_2025_split huggingface dataset:
Total Hip Arthroplasty in Children
Authors: van Kouswijk H.W. , Gademan M.G.J. , Nelissen R.G.H.H. , de Witte P.B. 
Published: February 2025

Background:
Total hip arthroplasty (THA) is rarely performed in pediatric patients and can be challenging in children because of smaller-sized joints, pathomorphological changes around the hip, residual growth, and higher physical demands. Literature on THA outcomes in this unique population is scarce. We aimed to describe characteristics of pediatric patients who underwent THA, 5- and 10-year implant survival, risk factors for revision, and results of patient-reported outcome measures (PROMs) in a large national cohort.

Methods:
Primary THAs (from 2007 through 2022) in pediatric patients (11 to 18 years of age) for non-oncological indications were extracted from the Dutch Arthroplasty Register (LROI). Implant survival was assessed using Kaplan-Meier survival analyses. Functional, quality-of-life, and pain-related PROM scores were described preoperatively and at 3 and 12 months postoperatively and compared using paired t tests.

Results:
We included 283 THAs (161 [57%] in female patients) performed in 253 patients. The mean age at surgery (and standard deviation) was 16 ± 1.6 years. The most common indications were osteonecrosis (90 [32%] of the THA procedures), dysplasia (82 [29%]), and osteoarthritis (54 [19%]). The median follow-up was 7 years (range, 2 to 16 years). Fourteen (6% of 234) THAs were revised. The 5- and 10-year cumulative survival rates were 95% (95% confidence interval [CI], 91% to 97%) and 91% (95% CI, 84% to 95%), respectively. There was an insufficient number of events to allow for statistical analyses of potential risk factors for revision. All PROMs had improved significantly at 12 months postoperatively versus preoperatively (p < 0.001).

Conclusions:
This study, the largest to date on THA in children (≤18 years of age), showed good short- and mid-term THA survival, approaching that among adults. Combined with the positive PROM results, THA appears to be an effective and satisfactory intervention in cases of debilitating pediatric hip disease. Further studies should focus on long-term survival and risk factors for implant failure.

Level of Evidence:
Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
Reciprocal interactions between CA1 pyramidal and axo-axonic cells control sharp wave-ripple events
Authors: English Daniel , Gilbert Earl , Klaver Lianne , Arndt Kaiser , Kim Jongwoon , Jia Xiaoting , Mckenzie Sam 
Published: February 2025

Abstract

Diverse sources of inhibition serve to modulate circuits and control cell assembly spiking across various timescales. For example, in hippocampus area CA1 the competition between inhibition and excitation organizes spike timing of pyramidal cells (PYR) in network events, including sharp wave-ripples (SPW-R). Specific cellular-synaptic sources of inhibition in SPW-R remain unclear, as there are > 20 types of GABAergic interneurons in CA1. Axo-axonic cells (AAC) are defined by their synaptic targeting of the axon initial segment of pyramidal cells, potently controlling spike output. The impact of AAC activity on SPW-R is controversial, due mainly to ambiguity of AAC identification. Here we monitored and manipulated opto-tagged AACs in behaving mice using silicon probe recordings. We found a large variability of AAC neurons, varying from enhanced to suppressed spiking during SPW-Rs, in contrast to the near-uniform excitation of other parvalbumin-expressing interneurons. AACs received convergent monosynaptic inputs from local pyramidal cell assemblies, which strongly influenced their participation in SPW-Rs. Optogenetic silencing of AACs increased power and duration of SPW-Rs, recruiting a greater number of PYR, suggesting AACs control SPW-R dynamics. We hypothesize that lateral inhibition by reciprocal PYR-AAC interactions thus supports the organization of cell assemblies in SPW-R.
Band-gap-tunable carbon quantum dots for surface-enhanced Raman scattering
Authors: Liu Zhiming 
Published: February 2025

Abstract

Carbon quantum dots (CQDs) with photoluminescence properties have been widely recognized, however, their inherent surface-enhanced Raman scattering (SERS) activity is rare reported. Herein, we propose a type of band-gap-tunable CQDs derived from metal-phenolic network (MPN) that exhibits excellent SERS performance. MPN-CQDs may be the ideal nonmetallic SERS substrates to accurately elucidate the chemical mechanism (CM) due to their simply controllable bandgap structure. By screening the doped metal elements of MPN, MPN-CQDs can realize the optimal SERS effect with the maximum Raman enhancement factor of 5.5×104, also exhibit outstanding SERS reproducibility and stability. We then systematically disclose the interfacial photo-induced charge transfer process and corresponding migration pathways between band-gap-tunable MPN-CQDs and analyte. This class of nonmetallic SERS substrates is finally applied for detection of hemoglobin with high sensitivity; further combined with machine learning algorithm, we have successfully achieved precise identification of the heterogeneity of hemoglobin. This is the first evidence for the tunable SERS performance in CQDs, which also offers the facile avenue for in-depth understanding of CM in nonmetallic materials.
Soft Tissue Reconstruction of hip muscles in 20-year-old child with neglected hip dislocation – A rare case report
Authors: Bajaj Manthan , Ramteke Swapnil , Zade Amisha 
Published: February 2025

Abstract

In young children, a little trauma can cause a hip dislocation; in adolescents, a more severe trauma requires more energy to drive a full hip dislocation. Adolescents might encounter transient hip dislocation with spontaneous but partial reduction, which can be a diagnostic snare.
A hip dislocation is regarded as "neglected" if it is not mitigated within 72 hours. This case study features a 20-year-old female patient who presented with a right hip deformity, pain, and trouble walking for 20 days. She had a history of fall while doing household chores. The X-ray revealed hip dislocation. The patient was diagnosed with neglected hip dislocation. The patient underwent an operation which included soft tissue reconstruction of the hip. The intricacy of neglected hip dislocations makes them challenging to treat. They are often treated surgically, and after surgery, prompt physiotherapy care is needed. Deep vein thrombosis, atrophy, discomfort, stiffness, and decreased muscle strength are among the postoperative consequences. On the 3rd postoperative day after surgery, we started administering physical therapy. The role we played in this instance was to provide postoperative physiotherapeutic intervention. During clinical evaluation, the range of motion and muscle strength of the right lower limb had decreased. As outcome measures, we employed the Numerical Pain Rating Scale, Range of Motion, Manual Muscle Testing, and Lower Extremity Functional Scale. Scores from the pre-and post-outcome measure comparison show substantial improvements.
Relative Preference for In-Person, Telehealth, Digital, and Pharmacologic Mental Health Care After the COVID-19 Pandemic: Cross-Sectional Questionnaire Study
Authors: Parsons E Marie , Figueroa Zoë G , Hiserodt Michele , Cornelius Talea , Otto Michael W 
Published: February 2025

Background
Most adults and children in the United States fail to receive timely care for mental health symptoms, with even worse rates of care access for individuals who belong to racial and ethnic minority groups. Digital (ie, app-based) care has proven to be an efficacious and empirically supported treatment option with the potential to address low rates of care and reduce care disparities, yet little is known about the relative preference for such treatment. Furthermore, the rapid adoption of telehealth care during the COVID-19 pandemic may have shifted care preferences.

Objective
This study aimed to examine relative treatment preferences for 4 different types of mental health care: in-person psychological care, telehealth psychological care, digital treatment, or pharmacologic care. Care preferences were also examined relative to potential predictors of care use (ie, gender, race, age, stigma, discrimination, and level of shame).

Methods
In this cross-sectional online survey study of adults (N=237, mean age 35 years, range 19-68 years), we ranked 4 mental health care modalities based on care preference: (1) in-person care, (2) telehealth care, (3) digital care, and (4) pharmacologic care. Preference for treatment modality was assessed based on vignette presentation for generalized anxiety disorder and insomnia. In addition, participants completed self-report questionnaires for demographics, symptom severity, and psychological and stigma-related variables.

Results
We found no difference in overall preference for in-person versus both telehealth and digital care. For both generalized anxiety disorder and insomnia, participants preferred in-person care to telehealth care, although this finding was attenuated amongst older participants for insomnia treatment. Participants’ depressed mood was associated with a greater relative preference for pharmacologic care. There was no evidence of differential preference for digital care according to demographics, symptom severity, or psychological and stigma-related variables.

Conclusions
These results indicate that digital care now competes well in terms of treatment preference with in-person, telehealth, and pharmacologic treatment options.
The Role of Patronage in Shaping Indonesia's Political Landscape
Authors: Annisa Silvia , Situmorang Bonar 
Published: February 2025

This article presents a systematic literature review on the role of patronage in shaping Indonesia's political landscape. Using a systematic literature review approach, the article analyzes 30 selected articles out of a total of 250 articles that underwent identification and screening processes. The main focus of this review is to explore how political patronage influences power structures, political participation, and the dynamics of relations between political elites and the public in Indonesia. Drawing on Michel Foucault's theory of power and knowledge, the article explores how patronage not only functions as a tool for distributing resources but also plays a crucial role in the construction and dissemination of political knowledge. According to Foucault, power is not just imposed from above but operates through networks of relationships, shaping the way knowledge is produced and legitimized. Patronage systems produce specific truths that validate the power structures and create a discourse that legitimizes inequality and exclusion. The findings suggest that patronage remains an essential tool in political mobilization, influencing both the distribution of resources and the strengthening of social and political networks. However, the complexity of patronage also poses challenges for the development of an inclusive and transparent democracy. This article provides a deeper understanding of the influence of patronage in Indonesian politics, offering insights for the development of more just and sustainable political policies, while reflecting on Foucault’s ideas about how knowledge and power intertwine to shape political realities.
Return to Power: The Illiberal Playbook from Hungary, Poland and the United States
Authors: Dodds Graham G. , Joński Kamil , Rogowski Wojciech F. , Bozóki András , Benedek István 
Published: February 2025

Abstract
This article examines how illiberal leaders’ behaviour towards the judiciary changes when they have a second chance in power. Drawing on Varieties of Democracy indicators for populist rhetoric and constitutional change, we identify several OECD worst performers and focus on two – Poland and Hungary – whose illiberal leaders ascended to power for a second time. For Hungary, we examine PM Orbán’s first time in office, time in opposition and second time in office, when he undertook reforms of the Constitutional Court, Supreme Court and other courts. For Poland, we examine the Kaczyńskis’ party’s first time in office, opposition and return to power, when it undertook campaigns against a variety of constitutional institutions. We find the first mandate of such leaders is characterised by strong rhetoric and chaos, they consolidate control of their party while out of power, and in their second mandates they are much more effective and extreme in undermining judicial independence and the rule of law. The experiences of Poland and Hungary have important implications for the United States. In his first term, Donald Trump undertook various actions that undermined the judiciary, and his actions while out of office align with those of Orbán and Kaczyński, such that Trump’s second term might well pose a significant threat to the US judiciary.
Modern structure of emergency care clips in the Russian Federation
Authors: Barsukova I. M. , Makhnovsky A. I. , Rysev G. A. , Lukogorskaya N. N. , Polyukova M. V. 
Published: February 2025

Introduction. A mobile ambulance team is a functional unit of a medical organization (department, station) of emergency medical care, a resource-intensive element of the healthcare system. Purpose of the study: to study the structure of mobile emergency medical teams in the Russian Federation in the dynamics of recent years.Materials and methods. Data from federal statistical reporting (Ministry of Health of Russia, Rosstat) for 2010–2023 were used. in the Russian Federation, normative legal, statistical and analytical methods were applied.Results of the study: the main resource of the EMS are general teams (92.0%), performing 95.0% of emergency medical care volumes; among them, 80.3% are paramedic teams; nursing staff (95.1 thousand people) is the main human resources of emergency medical services, 6.9 times larger than medical personnel (13.7 thousand people); In dynamics, there is an increase in the number of specialized emergency medical teams of anesthesiology and resuscitation (by 33.6%) and pediatric (by 26.3%), a significant decrease in teams of cardiology (by 55.8%) and neurological profiles (by 56.9%).Conclusion. One of the important areas of healthcare development today is the improvement of the emergency medical care system. Optimizing its resource potential, including structural and personnel aspects, will help improve the availability and quality of emergency medical services and the economic efficiency of medical organizations.
The Killer Wound
Authors: Pouryahya Pourya 
Published: February 2025

Background: Necrotizing fasciitis (NF) is a rapidly progressive and life-threatening infection of the fascia and subcutaneous tissues. Early diagnosis and prompt surgical intervention are critical to reducing morbidity and mortality. This case report highlights the importance of point-of-care ultrasound (PoCUS) in the rapid diagnosis of NF.

Case Presentation: A 34-year-old male carpenter presented to the Emergency Department of Casey Hospital, with a 48-hour history of increasing swelling and pain in his right arm and chest. Two weeks prior, he sustained an open wound to his right wrist from a rusty nail. Initial management by his family doctor focused on musculoskeletal injury without antibiotics. On ED presentation, the patient exhibited signs of systemic infection and gross swelling of the right upper limb and chest. PoCUS demonstrated characteristic findings of NF, including cobble stoning and subcutaneous air with dirty shadowing, leading to an expedited surgical consultation and immediate intervention.

Management and Outcome: The patient underwent multiple debridements, antibiotic therapy, and hyperbaric oxygen therapy. Post-surgical rehabilitation showed substantial gains in function and mobility.

Discussion: This case underscores the crucial role of PoCUS in the early diagnosis and management of NF. PoCUS allows for rapid bedside imaging, enabling timely surgical consultation and intervention, thereby improving patient outcomes. The multidisciplinary approach, involving emergency physicians, surgeons, and intensivists, is essential for optimal management of NF.

Conclusion:

Early recognition and treatment
Implementasi Mail Server Dengan Roundcube Pada Program Studi Informatika
Authors: Djusmin Vicky Bin , Saruman Alim Surya , Jayanto Deni Luvi 
Published: February 2025

Penggunaan e-mail merupakan salah satu bentuk adaptasi teknologi yang digunakan untuk mengirim dan menerima surat secara elektronik serta berbagi file. Penggunaan e-mail memberikan efisiensi karena mengirim surat lebih mudah tanpa perlu memperhatikan waktu dan jarak. Setiap organisasi ataupun institusi pendidikan tinggi melakukan komunikasi dengan sivitas akademik terkhusus pada dosen maupun mahasiswa dengan memanfaatkan layanan e-mail. Penggunaan E-Mail private dianggap lebih baik dibandingkan dengan e-mail Publik. Mengirim dan menerima e-mail dengan private e-mail lebih cepat karena trafficnya cenderung sepi, hanya digunakan dalam lingkungan sendiri. Selain itu private e-mail aman serta bersifat privasi. Tujuan dari penelitian ini adalah membangun mail server dengan memanfaatkan postfix dan roundcube sebagai webmailnya. Sistem operasi server yang digunakan adalah linux Debian 10. Penggunaan e-mail private digunakan untuk saling mengirim dan menerima pesan secara elektronik serta berbagi file.
Media Pembelajaran Fiqih dan Tajwid Berbasis Game Edukasi “Ngazee : Finding Hidayah” Menggunakan Metode MDLC
Authors: Bahrul Jawahir Muhammad , Dana Raditya Danar , Dikananda Arif Rinaldi 
Published: February 2025

Perkembangan game saat ini berkembang dengan sangat cepat, dari permainan atau game konvensional dan tradisional bertransformasi menjadi game yang canggih dan modern dengan memanfaatkan kemajuan teknologi. Saat ini game dapat diakses dan dimainkan kapan saja dan dimana saja di berbagai platform. Zaman sekarang ini game tidak hanya dimainkan sebagai hiburan, namun sudah banyak game edukasi yang digunakan sebagai media pembelajaran dan pelayanan di berbagai lembaga pendidikan maupun lembaga masyarakat. Salah satu jenis game yang populer adalah game open world atau game simulasi. Media pembelajaran kitab kuning di Pondok Pesantren hanya bisa didapat atau diperoleh ketika sedang mondok di pesantren dengan tatap muka, ketika siswa atau santri sudah keluar atau lulus dari pesantren mereka tidak dapat mengulang pembelajaran dengan informasi yg sama. Dengan adanya game edukasi pembelajaran kitab kuning maka memungkinkan pembelajaran dapat diakses secara berulang.
UPAYA PERENCANAAN KURIKULUM DENGAN MODEL PEMBELAJARAN TEMATIK DALAM MENUMBUHKAN KEMAMPUAN ABAD 21 SISWA DI SD N INPRES KALA TAHUN AJARAN 2021/2022
Authors: Amikratunnisyah Amikratunnisyah , Prastowo Andi 
Published: February 2025

Saat ini kurikulum 2013 masih digunakan di berbagai sekolah dasar di Indonesia. Kurikulum 2013 yang berlaku saat ini didesain untuk mampu mendorong perkembangan dan potensi yang dimiliki siswa sesuai dengan tujuan pendidikan yang ingin dicapai serta tuntutan pendidikan abad 21. Namun, beberapa sekolah salah satunya adalah SDN Inpres Kala dirasa belum mampu beradaptasi sepenuhnya dengan kurikulum 2013 tersebut.Â Penelitian ini bertujuan untuk mendeskripsikan perencanaan kurikulum 2013 dalam menumbuhkan kemampuan abad 21 siswa dengan model pembelajaran tematik di SD N Inpres Kala pada semester genap 2021/2022. Penelitian ini menggunakan jenis penelitian kualitatif dengan metode deskriptif. Informan dalam penelitian ini adalah kepala sekolah, guru kelas, dan guru bidang studi. Teknik pengumpulan data dilakukan dengan menggunakan teknik wawancara dan dokumentasi. Analisis data dalam penelitian kualitatif bersifat induktif dimana proses analisis data dilakukan pada saat pengumpulan data berlangsung dan setelah pengumpulan data. Hasil penelitian menunjukkan perencanaan kurikulum dengan model pembelajaran tematik di SD N Inpres kala sudah diupayakan untuk menumbuhkan kemampuan abad 21 siswa, mulai dari perencanaan kurikulum 2013 hingga pada perencanaan model pembelajaran tematik oleh kepala sekolah dan guru. Namun, perencanaan kurikulum tersebut belum mampu menumbuhkan keterampilan siswa abad 21 dengan maksimal. Hal ini disebabkan beberapa faktor, kurangnya keterampilan guru kelas dalam menguasai pembelajaran berbasis teknologi informasi, lingkungan belajar siswa, dan kekurangan ketersediaan sarana dan prasarana di sekolah penunjang perencanaan kurikulum.
PENGEMBANGAN MEDIA KOMIK BERMUATAN KEARIFAN LOKAL DAN KARAKTER PADA KELAS IV SUBTEMA 3 BANGGA TERHADAP DAERAH TEMPAT TINGGALKU DI SEKOLAH DASAR
Authors: Sari Prasita Puspita , Pangestika Rintis Rizkia , Khaq Muflikhul 
Published: February 2025

Penelitian ini bertujuan untuk mengembangkan dan menentukan kelayakan media komik yang bermuatan kearifan lokal dan karakter di kelas IV subtema 3 Bangga Terhadap Daerah Tempat Tinggalku di sekolah dasar dengan menggunakan metode RnD (penelitian and pengembangan) dengan model ADDIE (analisis, desain, pengembangan, implementasi, evaluasi). Subjek yang digunakan dalam penelitian ini adalah kelas IV SD Negeri Krandegan yang berjumlah 30 anak. Teknik pengumpulan data menggunakan metode wawancara, angket, observasi, Â dan dokumentasi. Instrumen dalam penelitian ini yaitu lembar validasi ahli media dan materi serta angket respon didik. Analisis data menggunakan skala likert untuk menentukan kualitas produk media komik yang dikembangkan. Hasil kelayakan media komik dari ahli materi dan media dengan kategori â€œsangat baikâ€. Selanjutnya, kepraktisan diperoleh dari respon peserta didik pada tiga tahap uji coba yaitu dengan kategori â€œsangat baikâ€. Berdasarkan hasil analisis data ahli materi, ahli media dan respon peserta didik dapat disimpulkan media komik layak untuk pembelajaran.
PENGARUH METODE SQ3R TERHADAP KETERAMPILAN MEMBACA PEMAHAMAN SISWA KELAS IV DI SEKOLAH DASAR
Authors: Sakinah Winda Putri , Ibrahim Nini 
Published: February 2025

Abstrak: Membaca merupakan metode pengumpulan informasi yang sangat penting karena dinilai dapat memberikan pengetahuan yang lebih dari metode yang lain. Hal ini sering didengar dan diucap dalam ungkapan yakni membaca merupakan jendela dari dunia, oleh karena itu diperlukan cara membaca yang efisien dan metode SQ3R dapat menjadi opsi. Metode ini belum banyak diterapkan pada siswa Sekolah Dasar, seperti SDN Warakas 03 Pagi. Dengan begitu, tujuan penelitian yang berusaha dicapai adalah untuk menjabarkan keterampilan membaca pemahaman siswa kelas IV setelah mendapatkan intervensi metode SQ3R dalam pembelajaran. Metode yang telah digunakan adalah quasi eksperimen dan pot test only sebagai desain penelitian. Teknik sampel acak dipilih untuk mewakili populasi dengan baik. Cara menganalisis data di penelitian ini adalah menggunakan uji independent t test. Hasil uji hipotesis diperoleh nilai 16thitung "> Â 0.017 dan Â ttabel"> Â 0,05. Karena Â thitung"> Â <Â 16ttabel"> Â (0,017 < 0,05), Ho di tolak dan Ha diterima, yang diartikan sebagai rerata keterampilan membaca pemahaman siswa di kelas IV SD yang diberikan intervensi berupa metode SQ3R lebih ampuh dari keterampilan membaca pemahaman siswa tanpa intervensi. Dengan begitu, dapat diambil kesimpulan bahwa metode SQ3R memiliki pengaruh kepada keterampilan membaca pemahaman peserta didik kelas IV SDN Warakas 03 Pagi.