bluuebunny/crossref_metadata_2025_split huggingface dataset:
The possibility of a favourable outcome and reversibility of severe ankle joint damage on the example of a clinical observation
Authors: Skuratova L. K. , Gudi S. M. , Luchshev M. D. , Zhidkov S. K. , Prokaev F. V. , Pakhomov I. A. 
Published: December 2023

The problem of aseptic talus necrosis consists of the following features: a) manifestation of the disease in the form of acute articular syndrome without typical symptoms; b) inevitable serious consequences in the form of disfiguring deforming arthrosis of the ankle joint, development of gross deformities of the rearfoot, etc., resulting in disability. The lack of methods for monitoring the dynamics of the disease also plays an important role. This is particularly so with such an important issue as the substantiation of stopping immobilization and allowing the load on the foot in order to avoid collapsed talus and subsequent complications. It is believed that treatment started before radiographic changes helps to avoid severe complications, but for a number of reasons patients arrive already at the stage of late severe destructive changes. All of the above explains the high relevance of the problem of treatment of patients with aseptic talus necrosis. The importance of the presented clinical case and the value of this information can be considered several points: its example demonstrates the possibility of early diagnosis of severe talus damage cause by aseptic necrosis; based on objective data, a substantiation was made for allowing the load on the leg with body weight in the complex of rehabilitation measures; the possibility of regression of pathological changes associated with aseptic talus necrosis and the dynamics of the course of aseptic talus necrosis with a favorable outcome were demonstrated, which is confirmed by modern research methods. Thus, the need for magnetic resonance imaging has been confirmed for all referred patients with a clinical picture of local articular syndrome in the ankle joint, the possibility of complete regression of avascular necrosis symptoms in case of conservative treatment at the early stages and the possibility of resolving the load on the leg in the complex of rehabilitation treatment have been demonstrated.
Acute kidney injury after primary total hip replacement
Authors: Lebed M. L. , Kirpichenko M. G. , Novikova E. V. , Lebed T. G. , Mankov A. V. 
Published: December 2023

Surgical interventions that do not directly affect the urinary system can cause excretory dysfunction of kidneys. The aim. To establish the prevalence, risk factors and clinical significance of acute kidney injury after primary hip replacement performed in the clinic of the Irkutsk Scientific Centre of Surgery and Traumatology. Materials and methods. We carried out a retrospective analysis of the case histories of 109 patients who underwent primary total hip replacement under conditions of subarachnoid anesthesia in the clinic of the Irkutsk Scientific Centre of Surgery and Traumatology in 2021. Results. Postoperative changes in serum creatinine in 8 patients of the study group met the KDIGO (The Kidney Disease: Improving Global Outcomes) criteria for acute kidney injury. Initial indicators of renal excretory function in the subgroup with acute kidney injury were not different from those in the entire group. Statistically significant correlation was established between acute kidney injury and indicators of oxygen-carrying capacity of blood – initial and minimal postoperative hemoglobin concentration. Acute kidney injury in patients of the study group had a minimal effect on the clinical course of the early postoperative period. None of the patients required renal replacement therapy, re-transfer from the specialized unit to the intensive care unit or any specific treatment. The duration of postoperative stay of patients with acute kidney injury in the clinic did not increase. Conclusions. Acute kidney injury was detected in 7.3 % of patients who underwent primary total hip replacement. Risk factors for the development of postoperative acute kidney injury in patients of the study group included relatively low initial and minimal postoperative blood hemoglobin concentrations, which may indicate prerenal mechanism of acute kidney injury pathogenesis. Implementation of the main steps of the “renal protocol” in patients with initial glomerular filtration rate over 45 ml/min/1.73 m2 allows avoiding the development of severe clinically significant forms of postoperative acute kidney injury and complications associated with it in the early postoperative period of primary total hip replacement.
Assessment of the effectiveness of surgical treatment of patients with massive tears of the rotator cuff tendons using arthroscopically assisted transposition of the latissimus dorsi tendon
Authors: Menshova D. V. , Ponomarenko N. S. , Kuklin I. A. , Tishkov N. V. , Puseva M. E. 
Published: December 2023

Rotator cuff tears are one of the most common musculoskeletal injuries and account for about 20 %. Massive rotator cuff tears account for up to 40 % of all tears. There is no single approach in the treatment of patients with massive rotator cuff tears. We have developed a new method of surgical treatment of these patients – arthroscopically assisted transposition of the latissimus dorsi tendon using 1/2 of the tendon of the long peroneal muscle. The aim of the study. To assess the effectiveness of surgical treatment of patients with massive rotator cuff tears who had arthroscopically assisted transposition of the latissimus dorsi tendon using an autograft of a 1/2 of the tendon of the long peroneal muscle. Materials and methods. The study included 15 patients with Patte stage III and Thomazeau grade 2–3 massive rotator cuff tears, who had arthroscopically assisted transposition of the latissimus dorsi tendon using 1/2 of the tendon of the long peroneal muscle. Results. The article presents the long-term results of surgical treatment of patients using the developed method. The following criteria were evaluated: average age; time since injury; duration of surgery. Functional outcome was assessed using the ASES (American Shoulder and Elbow Surgeons) scale. Taking into account the indicators on the ASES functional scale 1 year after surgical treatment, the following results were obtained: excellent – in 14 (93.3 %) patients, satisfactory – in 1 (6.7 %) patient. Conclusion. The developed method allows us to restore the function of the shoulder joint as early as it possible, to reduce the severity of the pain syndrome and to improve the quality of life of patients.
Rotator cuff tendon ruptures (literature review)
Authors: Slaykovskiy E. N. , Ponomarenko N. S. , Kuklin I. A. 
Published: December 2023

Rotator cuff injury is a common pathology: up to 20 % of the population over 45 years of age has ruptures of varying severity, and up to 40 % of these ruptures are large and massive. The gradual development of tendon degeneration and fatty degeneration of muscle tissue and the asymptomatic course of the disease often lead to late medical attention when secondary arthropathy of the shoulder joint develops. With age, the probability of having a rupture increases, reaching 51 % in people over 80 years of age. The main diagnostic tools are radiography and magnetic resonance imaging of the shoulder joint combined with clinical examination. Conservative treatment for massive injuries is ineffective, and the risk of worsening rotator cuff tendinopathy to rupture reaches 54 %. There are three main directions in the surgery of rotator cuff injuries: tendon reconstruction or replacement of their defect with grafts; muscle transfer; shoulder arthroplasty. Subacromial balloon spacer and tenogenic patches are also used. Each of these methods has a number of disadvantages and limitations. The frequency of repeated ruptures of reconstructed tendons reaches 45 %. Muscle transfer is extremely demanding on the skill of the surgeon and is associated with high risks of neurological complications. Arthroplasty imposes a number of significant restrictions on the patient, reducing the quality of life, and prosthesis components wear increases the risk of complications, especially during revision interventions. The use of the subacromial spacer is limited by its high cost and lack of long-term follow-up of treatment outcomes. Tenogenic patches have not undergone clinical trials, being an experimental technique. There is no single approach to the treatment of massive rotator cuff ruptures. The results are contradictory, the advantages of each of the methods are balanced by their disadvantages, which provides a wide window of opportunity in the studying, optimizing classical and introducing new methods of treatment of this pathology
Assessing socio-economic damage caused by coxarthrosis in the population
Authors: Koryak V. A. , Botvinkin A. D. , Sorokovikov V. A. , Chernikova O. M. 
Published: December 2023

Background. About 40 % of patients diagnosed with coxarthrosis annually seek medical help and receive social support due to this disease. Increased use of an expensive surgery for treatment of coxarthrosis and projected growth of its prevalence in the population determine the relevance of socio-economic analysis. The aim of the study. To assess the value and structure of economic damage caused by the delivering health and social care to patients with coxarthrosis at the state level of the Russian Federation. Methods. To assess economic damage, we used the average annual number of various categories of patients and disabled people with coxarthrosis in the Irkutsk region for 2008–2017. Three main categories were identified: patients who visited the outpatients’ clinic; patients with total hip replacement; disabled people due to coxarthrosis. For each category, we calculated weighted average damage per 1 conventional patient, taking into account direct and indirect costs and subsequent multiplication by the average annual number of individual categories of patients. Calculations were performed in 2017 prices. Results. The average annual socio-economic damage from coxarthrosis amounted to 1.39 (1.34÷1.43) billion rubles or 0.1 % of the gross regional product. The most of the damage (64.4 %) were indirect costs associated with disability due to coxarthrosis, 22.2 % of the total amount were the costs of hip replacement surgery, 13.4 % were the costs of outpatient visits. Indirect economic losses due to disability in patients of working age were 4.2 times higher than losses due to disability of oldage pensioners. Conclusion. The results of the study confirm the economic feasibility of surgical treatment of coxarthrosis, especially in patients of working age.
The current state of the issue of using cone beam computed tomography in the diagnosis of musculoskeletal diseases
Authors: Sholokhova N. A. , Zharkov D. K. , Lezhnev D. A. , Vasilyev A. Yu. , Petrovskaya V. V. , Lazarenko E. Yu. , Blinov N. N. , Sergeeva A. D. 
Published: December 2023

The high incidence rate and wide range of musculoskeletal pathologies determine the improvement of the diagnostic process. Late diagnosis leads to complications, which in turn increase the percentage of disability. Therefore, the search for the most informative method with the least radiation load on the patient remains an urgent problem for radiologists. Cone beam computed tomography (CBCT) is a modern and promising technique that has already found wide application in dentistry and otorhinolaryngology. Among the advantages of CBCT are: three-dimensional image; high spatial resolution; low radiation dose. Thanks to technical improvements in equipment and the introduction of new image processing protocols, it has become possible to expand the indications for conducting the researches, including the researches based on imaging of the upper and lower extremities. Based on the results of a CBCT study, we can evaluate: the shape and contour of the bone; solution of continuity of the bone and malposition of bone fragments; the structure of bone tissue and the pathological processes occurring in it (destruction, osteoporosis, osteosclerosis); joint congruence and changes in articular surfaces surrounding soft tissues. Therefore, CBCT can be introduced into the diagnostic process of bones and joints diseases. The use of this technique will find wide application in traumatology and orthopedics (fractures, dislocations, post-traumatic deformities, aseptic necrosis, osteoarthritis), rheumatology (rheumatoid arthritis, polyarthropathy, juvenile arthritis, gout), surgery (osteomyelitis), oncology (benign and malignant bone tumors) both in the adult population and in pediatric practice. This paper presents a review of the literature, which examines the degree of development of the issue of using CBCT and describes study protocols and protocols for processing the obtained images in the diagnosis of musculoskeletal diseases.
Experience of unilateral and bilateral transpedicular fixation in degenerative diseases of the lumbar spine
Authors: Sorokovikov V. A. , Potapov V. E. , Zhivotenko A. P. , Gorbunov A. V. , Sklyarenko O. V. , Larionov S. N. 
Published: December 2023

The aim. To study the effectiveness of using monosegmental fixation systems in surgeries involving resection of part of the facet joint in patients with posterolateral and foraminal hernias in the lumbar spine. Materials and methods. The study included 40 patients with degenerative diseases of the lumbar spine who underwent medial facet resection and the removal of posterolateral or foraminal disc hernia. Among them, 10 patients underwent unilateral single-level transpedicular fixation with interbody fusion using titanium cage (UTPF cage group), and the other 10 patients underwent unilateral monosegmental transpedicular fixation (UTPF group). The remaining 20 patients underwent bilateral transpedicular fixation (BTPF group). The amount of intraoperative blood loss, duration of surgery and length of hospital stay, as well as the frequency of perioperative complications in the groups were assessed. Visual analogue scale (VAS) pain score, Oswestry index and McNab score were assessed before and 6 and 12 months after surgery. Results. Intraoperative blood loss in the UTPF cage and UTPF groups was less than in the BTPF group, as was the duration of surgery; the differences were statistically significant (p < 0.05). Indicators of VAS score and Oswestry Quality of Life Index in the studied groups indicated the effectiveness of the technology. Discussion. Unilateral decompressive and stabilizing surgeries in patients with posterolateral and foraminal hernias of the lumbar spine can reduce the duration of the surgery, the volume of blood loss and the severity of pain in the postoperative period due to adequate decompression of the neurovascular formations of the spinal canal and stabilization of the spinal motion segment, which prevents the relapse of the disease and provides early rehabilitation of patients. Conclusion. Unilateral transpedicular fixation is acceptable and safe for lumbar degenerative diseases and improves the quality of life of the patients.
Verticalization of patients and axial load on the lower limbs after surgical treatment of unstable injuries of the pelvic ring (brief review of the literature)
Authors: Melkostupov A. A. , Komogortsev I. E. , Vinogradov V. G. , Angarskaya E. G. 
Published: December 2023

The article provides a theoretical review of scientific publications devoted to the rehabilitation of patients with unstable pelvic ring injuries; the features of pelvic ring damage are considered based on the specifics of the traumatic injury, the frequency of occurrence and the severity of the consequences. It is emphasized that prolonged pain syndrome due to pelvic ring injuries and the duration of the rehabilitation period negatively affect the physical and psycho-emotional state of a patient. At the same time, pelvic ring injuries are most relevant among the working population, and their consequences are quite serious, including disability and death. Consequently, the possibility of optimizing rehabilitation measures for patients with unstable injuries, aimed at restoring the functions of the musculoskeletal system in static conditions and while walking, is currently one of the urgent tasks of theoretical and practical traumatology. The possibilities of verticalization of patients and the use of axial load on the lower limbs in the postoperative period are considered as the main rehabilitation measures. It is noted that in the case of resolving the issue of axial load in case of unstable pelvic ring injury, the intensity of such load and the timing of the start of its use should be determined individually, depending on the physical condition of a patient, the characteristics of the injury and the presence of concomitant injuries. Treatment for unstable pelvic ring injuries most commonly is carried out in most cases through the use of various methods of surgical treatment and restoration of the pelvic anatomy. Based on the results of the theoretical study, it is necessary to state that, despite the obvious significance of postoperative treatment, the adequate organization of which largely determines its final result, it was revealed that the material for studying this issue is insufficient due to specific approaches to verticalization and axial load on the lower limbs, depending on type of pelvic ring injury, taking into account the individual characteristics of the injury in a particular patient.
Analisis Isi Lambung Ikan Alu Alu (Sphyraena spp) dari Perairan Sibolga
Authors: Tarigan Netta Emagiana Br , Windarti Windarti , Mulyani Isma 
Published: December 2023

Ikan Alu Alu (Sphyraena spp) dapat ditemukan di perairan Sibolga. Penelitian ini bertujuan untuk mengetahui jenis makanan yang ada di dalam perut ikan. Penelitian ini dilaksanakan pada bulan Mei s/d Juli 2022. Pengambilan sampel dilakukan di perairan Sibolga, Sumatera Utara dan analisis isi lambung dilaksanakan di Laboratorium Biologi Perairan Fakultas Perikanan dan Kelautan Universitas Riau. Metode yang digunakan dalam penelitian ini adalah metode survei dan pengamatan isi lambung ikan alu alu menggunakan metode gravimetrik. Kandungan lambung dianalisis sebagai dasar perhitungan Index of Prepoderence (IP). Hasil penelitian menunjukkan bahwa makanan utama S.putnamae dan S.obtusata memiliki kesamaan. Pada ikan ini makanan utamanya adalah ikan (IP 82%), makanan pelengkap adalah krustasea (IP 5%), dan makanan tidak teridentifikasi (IP 13%). Makanan utama S.obtusata adalah ikan (IP 70%), makanan pelengkapnya krustasea (IP 11%), dan makanan tidak teridentifikasi (IP 19%). Berdasarkan data yang diperoleh, Sphyraena spp dapat dikategorikan sebagai karnivora.
THE CONCEPT OF AT-TARIQ ILA ALLAH (THE PATH TO ALLAH) ACCORDING TO SHEIKH ZAKARIYYA AL-ANSARI IN THE AL-FUTUHAT AL-ILAHIYYAH MANUSCRIPT.
Authors: Syibromalisi Arif , Akbar Ali , Kholis Nurman , Firmanto Alfan , Kurniawan Cecep Soleh 
Published: December 2023

ABSTRACT
This article examines an Arabic manuscript, al-Fut???t al-Il?hiyyah, authored by an esteemed Egyptian scholar, Sheikh Zakariyy? al-An??r?. This text encapsulates a summary (mukhta?ar) of Sufi knowledge. The primary aim of this research is to overview of the content of al-Fut???t al-Il?hiyyah and dissect the teachings of Sufism embedded within the text. The research utilizes philology and Sufism theories. Philology aids in the accurate translation of the text, preserving the integrity of the original content while making it accessible to the intended audience. On the other hand, Sufism theories provide a framework to unearth the profound meanings and teachings that the text holds within its narrative. The findings from this analysis reveal that Sheikh Zakariyy? al-An??r?'s work, al-Fut???t al-Il?hiyyah, is characterized by its emphasis on practical or ethical Sufism. The pivotal concept highlighted throughout the text is the “path to Allah” or Maq?m?t. This includes a spectrum of concepts such as Taubat (Repentance), Zuhud (Asceticism), Tawakkal (Reliance on God), 'Uzlah (Seclusion), Zikr (Habitual Remembrance), Tawajjuh il? All?h bi al-Kulliyyah (Total Focus on Allah), ?abr (Patience), Mur?qabah (Spiritual Supervision), and Ri?? (Contentment). Overall, this research underscores the depth and richness of Sufi teachings within al-Fut???t al-Il?hiyyah, and the significant role of such texts in preserving and disseminating these teachings.
Keywords: al-Fut???t, al-Il?hiyyah, Maq?m?t, Zakariyy? al-An??r?

ABSTRAK
Artikel ini mengkaji teks al-Fut???t al-Il?hiyyah (FI) karya seorang ulama Mesir bernama Syaikh Zakariyy? al-An??r? yang berisi ringkasan (mukhtasar) ilmu tasawuf. Tujuan penelitian ini adalah menyajikan tinjauan isi teks al-Fut???t al-Il?hiyyah dan analisis ajaran tasawuf pada teks. Untuk mencapai tujuan tersebut, digunakan teori filologi dan tasawuf. Hasil penelitian ini adalah teks FI karangan Zakariyy? al-An??r? ini mempuyai corak tasawuf amali atau akhlaki, dengan konsep “jalan menuju Allah” nya atau dikenal dengan Maq?m?t, yang meliputi Taubat, Zuhud, Tawakkal, ‘Uzlah (mengasingkan diri), Membiasakan Zikir, Tawajjuh il? All?h bi al-Kulliyyah (totalitas menghadap Allah), Sabar, Mur?qabah (pengawasan Allah), dan Ri??.
Kata kunci: al-Fut???t, al-Il?hiyyah, Maq?m?t, Zakariyy? al-An??r?
Evaluation of children with dysfagia
Authors: GARİP Sevinç 
Published: December 2023

Purpose: Difficulty in swallowing; It is a symptom that occurs as a result of mechanical inhibition of the transfer of ingested food from the mouth to the stomach. It can be due to acute and chronic diseases. It is presented because of the limited number of studies comparing the characteristics of both types of oropharyngeal and esophageal dysphagia in healthy and chronically ill children in the pediatric population.
Materials and Methods: 201 pediatric patients admitted with dysphagia between May 2019 and November 2020 were included. They were grouped according to the types of dysphagia.
Results: Group-1 consisted of 80 pediatric patients with oropharyngeal dysphagia, while group-2 consisted of 121 pediatric patients with esophageal dysphagia. 51.7% of the patients were female, mean age was 9.4 years. While all patients in Group-2 had solid food dysphagia, Group-1 had 27% liquid and 53% solid-liquid dysphagia. Percutaneous endoscopic gastrostomy tube for 50 pediatric patients who could not be fed safely; A nasogastric feeding tube was placed in 4 children. Esophagogastroduodenoscopy was performed in 72.6% of the patients, and esophageal pathology was detected in 55.4%.
Conclusions: Although the incidence of dysphagia is high in children with chronic diseases, it should not be forgotten that it can also be seen in healthy children and may be associated with treatable