bluuebunny/crossref_metadata_2025_split huggingface dataset:
Clinical outcomes of anatomical versus reverse total shoulder arthroplasty in patients with primary osteoarthritis, an intact rotator cuff, and limited forward elevation
Authors: Trammell Amy P. , Hao Kevin A. , Hones Keegan M. , Wright Jonathan O. , Wright Thomas W. , Vasilopoulos Terrie , Schoch Bradley S. , King Joseph J. 
Published: December 2023

AimsBoth anatomical and reverse total shoulder arthroplasty (aTSA and rTSA) provide functional improvements. A reported benefit of aTSA is better range of motion (ROM). However, it is not clear which procedure provides better outcomes in patients with limited foward elevation (FE). The aim of this study was to compare the outcome of aTSA and rTSA in patients with glenohumeral osteoarthritis (OA), an intact rotator cuff, and limited FE.MethodsThis was a retrospective review of a single institution’s prospectively collected shoulder arthroplasty database for TSAs undertaken between 2007 and 2020. A total of 344 aTSAs and 163 rTSAs, which were performed in patients with OA and an intact rotator cuff with a minimum follow-up of two years, were included. Using the definition of preoperative stiffness as passive FE ≤ 105°, three cohorts were matched 1:1 by age, sex, and follow-up: stiff aTSAs (85) to non-stiff aTSAs (85); stiff rTSAs (74) to non-stiff rTSAs (74); and stiff rTSAs (64) to stiff aTSAs (64). We the compared ROMs, outcome scores, and complication and revision rates.ResultsCompared with non-stiff aTSAs, stiff aTSAs had poorer passive FE and active external rotation (ER), whereas there were no significant postoperative differences between stiff rTSAs and non-stiff rTSAs. There were no significant differences in preoperative function when comparing stiff aTSAs with stiff rTSAs. However, stiff rTSAs had significantly greater postoperative active and passive FE (p = 0.001 and 0.004, respectively), and active abduction (p = 0.001) compared with stiff aTSAs. The outcome scores were significantly more favourable in stiff rTSAs for the Shoulder Pain and Disability Index, Simple Shoulder Test, American Shoulder and Elbow Surgeons score, University of California, Los Angeles score, and the Constant score, compared with stiff aTSAs. When comparing the proportion of stiff aTSAs versus stiff rTSAs that exceeded the minimal clinically important difference and substantial clinical benefit, stiff rTSAs achieved both at greater rates for all measurements except active ER. The complication rate did not significantly differ between stiff aTSAs and stiff rTSAs, but there was a significantly higher rate of revision surgery in stiff aTSAs (p = 0.007).ConclusionPostoperative overhead ROM, outcome scores, and rates of revision surgery favour the use of a rTSA rather than aTSA in patients with glenohumeral OA, an intact rotator cuff and limited FE, with similar rotational ROM in these two groups.Cite this article: Bone Joint J 2023;105-B(12):1303–1313.
Oncological and functional outcomes after resection of malignant tumours of the scapula
Authors: Broida Samuel E. , Sullivan Mikaela H. , Barlow Jonathan D. , Morrey Mark , Scorianz Maurizio , Wagner Eric R. , Sanchez-Sotelo Joaquin , Rose Peter S. , Houdek Matthew T. 
Published: December 2023

AimsThe scapula is a rare site for a primary bone tumour. Only a small number of series have studied patient outcomes after treatment. Previous studies have shown a high rate of recurrence, with functional outcomes determined by the preservation of the glenohumeral joint and deltoid. The purpose of the current study was to report the outcome of patients who had undergone tumour resection that included the scapula.MethodsWe reviewed 61 patients (37 male, 24 female; mean age 42 years (SD 19)) who had undergone resection of the scapula. The most common resection was type 2 (n = 34) according to the Tikhoff-Linberg classification, or type S1A (n = 35) on the Enneking classification.ResultsThe ten-year disease-specific survival was 76%. High tumour grade (hazard ratio (HR) 4.27; p = 0.016) and a total resection of the scapula (HR 3.84; p = 0.015) were associated with worse survival. The ten-year metastasis-free and local recurrence-free survivals were 82% and 86%, respectively. Total scapular resection (HR 6.29; p = 0.004) was associated with metastatic disease and positive margins were associated with local recurrence (HR 12.86; p = 0.001). At final follow-up, the mean shoulder forward elevation and external rotation were 79° (SD 62°) and 27° (SD 25°), respectively. The most recent functional outcomes evaluated included the mean Musculoskeletal Tumor Society Score (76% (SD 17%)), the American Shoulder and Elbow Score (73% (SD 20%)), and the Simple Shoulder Test (7 (SD 3)). Preservation of the glenoid (p = 0.001) and scapular spine (p < 0.001) improved clinical outcomes; interestingly, preservation of the scapular spine without the glenoid improved outcomes (p < 0.001) compared to preservation of the glenoid alone (p = 0.05).ConclusionResection of the scapula is a major undertaking with an oncological outcome related to tumour grade, and a functional outcome associated with the status of the scapular spine and glenoid. Positive resection margins are associated with local recurrence.Cite this article: Bone Joint J 2023;105-B(12):1314–1320.
Outcomes following reverse total shoulder arthroplasty vs operative fixation for proximal humerus fractures: a systematic review and meta-analysis
Authors: Heo SM , Faulkner H , An VVG , Symes M , Nandapalan H , Sivakumar B 
Published: December 2023

Introduction: Proximal humerus fractures are common in the older population. A consensus on the optimal management of complex fractures requiring surgery has yet to be reached. A systematic review and meta-analysis was performed to compare clinical outcomes between reverse total shoulder arthroplasty (RTSA) and open reduction and internal fixation (ORIF). Methods: A systematic search of the literature was undertaken using the Medline®, PubMed, Embase™ and Cochrane Central Register of Controlled Trials databases. Prospective and retrospective studies comparing clinical and patient reported results as primary outcome measures were included in this review, with secondary outcome measures including complications and revision surgery. A meta-analysis was conducted. Results: A total of 326 patients from 5 studies were eligible for inclusion in this review. Superior Constant–Murley scores (mean difference [MD]: 13.4, 95% confidence interval [CI]: 6.2–20.6; p<0.001), Oxford shoulder scores (MD: 4.3, 95% CI: 1.2–7.4; p=0.007), simple shoulder test scores (MD: 0.95, 95% CI: 0.01–1.89; p=0.05) and DASH (Disabilities of the Arm, Shoulder and Hand) scores (MD: 5.1 [1 study], 95% CI: 2.1–8.1; p=0.034) were noted in patients receiving RTSA. Range of motion and revision surgery rates were also superior in this group. Conclusions: This study suggests that RTSA affords more favourable outcomes and lower revision rates than ORIF following proximal humerus fractures. Definitive conclusions are precluded, however, owing to small sample sizes and risk of bias in retrospective studies.
The impact of COVID-19 infection in pediatric and adult patients with primary immunodeficiency: a single center analysis
Authors: Al Shaqaq Azhar , Sham Marina , Abrego Fuentes Laura , Garkaby Jenny , Willett Pachul Jessica , Vong Linda , Upton Julia , Kim Vy , Roifman Chaim M. 
Published: December 2023

Background: The global impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has been profound, with over 760 million confirmed infections and almost 7 million deaths from coronavirus disease 2019 (COVID-19). The pandemic, officially declared in March 2020, has caused significant and irreversible changes in society. COVID-19 continues to pose a serious threat, ranging from asymptomatic cases to severe outcomes such as acute respiratory distress syndrome and organ failure, putting immense pressure on healthcare systems worldwide. The effects of SARS-CoV-2 infection on individuals with primary immunodeficiency (PID) are not yet fully understood. To date, the available research remains scarce, and the results do not yet provide conclusive evidence of a definitive link between PID and severe SARS-CoV-2 infection. In this study we present the clinical course and outcome of COVID-19 in individuals with PID. Methods: This study is a retrospective analysis involving 65 patients, comprising both pediatric and adult individuals diagnosed with PID, who exhibited symptoms of SARS-CoV-2 infection and tested positive at The Hospital for Sick Children in Toronto, Ontario, Canada. The data was collected from October 2020 to December 2022. Results: Sixty-five patients (36 children and 29 adults) were enrolled in our study. Our patients were diagnosed with primary immunodeficiency, and categorized as combined immunodeficiency, antibody deficiency, immune dysregulation disorder, phagocyte defect, intrinsic and innate immunity, or autoinflammatory disorder. Each of our patients had their COVID-19 infection confirmed through serology, rapid antigen test, and/or PCR. Among the study participants, 24 individuals had pre-existing lung conditions. At the time of contracting the infection, 42 patients had been vaccinated against SARS-CoV-2. The majority of patients in the study experienced mild to moderate symptoms of COVID-19. Conclusion: Our patients with PID exhibited mild to moderate symptoms of COVID-19, and all made a full recovery without any complications. Statement of Novelty: This study sheds light on impact of COVID-19 in individuals with primary immunodeficiency, revealing a noteworthy observation that patients exhibited mild to moderate symptoms, and remarkably, all experienced a complete recovery devoid of complications.
Crystal structure of methyl 4-(2-ethoxy-2-oxoethoxy)-3-methoxybenzoate, C13H16O6
Authors: Shu-Juan Liu , Chun-Mei Guo , Gui-Shu Wang , Wen-Jing Li , Xu-Liang Nie 
Published: December 2023

Abstract
C13H16O6, monoclinic, P21/c (no. 14), a = 12.180(3) Å, b = 13.813(4) Å, c = 7.842(2) Å, β = 93.917(4)°, V = 1316.2(6) Å3, Z = 4, R

gt
(F) = 0.0442, wR

ref
(F
2) = 0.1375, T = 296(2) K.
The use of digital devices and changing habits among generation alpha in Hungary
Authors: Réz K. , Nagy Z. Z. 
Published: December 2023

AbstractPurposeThe aim of the study was to analyse the use of digital devices among children.Materials/MethodsA specially designed questionnaire was distributed to 249 schoolchildren to assess their use of digital devices both in school and outside school. The questionnaire was used before the start of the COVID-19 pandemic. The children were asked about the extent of their use of digital devices, as well as about ophthalmic and general health complaints. Their responses were assessed statistically.ResultsRegarding age distribution, 145 children were between seven and 10 years old when they started to use digital devices. Most of the children used a digital device for between one and two hours a day. The majority preferred using smartphones. The second most popular devices were laptops and tablets, and the third most popular was the desktop computer. Fifty-six children wore glasses, 14 to correct hyperopia and 42 to correct myopia. 97 children spent between one and two hours a day outdoors; 99 children spent more than two hours outdoors; and 51 spent less than one hour outdoors. 71 children reported eye problems; 48 reported other general health problems (back and neck pain); and 43 mentioned blurred vision while using a digital device.ConclusionsThe use of digital devices can be regarded as general among schoolchildren, and most children use a digital device for longer than the recommended time. Excessive use of digital devices may contribute to an increase in the prevalence of myopia and other general eye and back problems.
Assessing Burned Areas in Sikkim, India through Satellite Mapping
Authors: SHARMA Kapila , THAPA Gopal , NN Salghuna 
Published: December 2023

Aim of study: Fire impacts biodiversity and ecosystems, and is crucial for understanding fire causes. This paper aimed to assess burned areas and severity levels in Sikkim's forest fire incidence data from 2004-2019.
Area of the study: The study area for the work is the state of Sikkim, situated in the Himalayan Mountain's North-eastern region.
Material and methods: Landsat 8 and Landsat 5 satellite image were used for the study and Standard vegetation indices like Delta Normalized Burn Ratio (dNBR) and Relativized Burn Ratio (RBR) are computed. Also, a linear regression analysis was performed between weather parameters like temperature (℃), wind (Km/h), rainfall (mm) on burn severity (dNBR classes) of forest fires in Sikkim between the year 2009-2019.
Main results: According to the findings, out of 557 numbers forest fire incidents in Sikkim between 2004 and 2019, 250 numbers were classified as Unburned (46.21 %), 199 numbers as Enhanced Regrowth, Low (35.72 %), and 43 numbers as Enhanced Regrowth, High (7.94 %), while 32 numbers were classified as Low Severity (5.92 %), 9 numbers as Moderate-Low Severity (1.66 %), 5 numbers as Moderate-High Severity (0.92 %), and 2 numbers as High Severity (0.36 %). It was found that the wind (r=0.80, Slope=0.57, SD=0.70) and rainfall (r=0.77, Slope=-0.18, SD=7.00) showed a strong positive and strong negative linear relationships respectively in influencing the burn severity (dNBR). While, temperature (r=0.69, Slope=0.74, SD=0.01) plays a moderate positive role in influencing the burn severity (dNBR).
Highlights: The study has shown the effectiveness of burn area mapping and remote sensing data products in analyzing forest fire regions with limited resources and diverse landforms and vegetation. Researchers will be able to identify the regions affected by forest fires and those that have not recovered since the fire. Goal of this research is to improve forest fire planning and management by fostering aid to the responsible authorities to evaluate the pattern of vegetation degradation in burn regions and estimate the impact of forest fires
The Pedagogy of Waiting: A Reorientation to Time with Artists with Disabilities and Creative Growth Art Center
Authors: Gu Min 
Published: December 2023

This paper is rooted in my investigation of the artistic processes and practices of artists with disabilities through field observations at Creative Growth Art Center in Oakland, California. Through this investigation, I develop the concept of a pedagogy of waiting, which allows for a consideration of embodied differences. This pedagogy of waiting is conceptualized by and with 1) the everyday artistic processes and practices of artists at Creative Growth; 2) my positionality of being a Chinese art educator and researcher in an art studio, Creative Growth, in the United States; and 3) my conceptual and theoretical exploration with philosophers and disability studies scholars. Among the artists who informed the pedagogy of waiting is Latefa Noorzai, a native Farsi speaker and immigrant to the United States. The temporalities demonstrated through Latefa’s art practice and the pedagogical practice at Creative Growth challenge the normative temporalities in art learning and art making. The pedagogy of waiting is both informed by people with disabilities and as an alternative to able-bodied and able-minded pedagogies.
On the Question of Soul Wounding: Secular Debility, Biopolitics, and Canada's Right to Maim
Authors: Fraser Faye M. 
Published: December 2023

Jasbir Puar has demonstrated that the targeted debilitation of entire racialized populations embodies a contemporary illustration of colonialism’s machine. For Puar, colonizing states exist as biopolitical assemblages of control, the technologies of which instrumentalize a spectrum of debilities and capacities in the service of neoliberal colonialism, which requires maiming populations who are preconditioned for injury to secure sovereign power. This paper stages a conversation with Jasbir Puar to ask what additional insights might be gained about the relationship between colonialism and debility if critical disability scholarship went beyond a Foucauldian biopolitical analysis of the management of life, death, and debility when theorizing colonial violence. This paper thus reads across postcolonial and anti-colonial thought as well as Indigenous theories of trauma to encourage critical disability studies to expand the horizon of its reading practices when engaging these questions. These approaches, I maintain, provide critical insights into sovereign power that biopolitics cannot, including critical attention to non-secular configurations of settler colonial debility that biopolitical theory misses. I aim to show that a locus of Canada’s colonial sovereignty resides in targeted attacks, or “dis-membering,” forms of Indigenous non-secular transcendent self-consciousness—that is, the sanctioned maiming of Indigenous heterogeneous agencies in the service of neocolonial economic designs. In this sense, theories of metaphysics and violence must also be accounted for when attending to debility, colonialism, and sovereign power.
Mules and Madmen: On the Disabling Habitats of Zora Neale Hurston and Jean Toomer
Authors: Bowen Liz 
Published: December 2023

This essay reads the work of two major Harlem Renaissance authors as underacknowledged sites of disability politics and aesthetics, situating this moment in African-American artistic innovation as integral to the literary history of disability and illuminating the theories of disability that shaped these authors' experiments in literary form. Specifically, it argues that texts by Jean Toomer and Zora Neale Hurston were attuned to the intertwined vulnerabilities of Black people disabled by early-20th-century labor exploitation and more-than-human ecologies debilitated by the same industries. These works represent a serious challenge to the long-running myth in white disability studies that claims nonwhite authors have historically distanced themselves from disability for fear of racist pathologization. Toomer’s story “Box Seat,” for instance, positions its protagonist's atypical mental state—represented by voiceover-like internal monologues—as both aesthetically generative and materially responsive to the commercialization of racialized, disabled, and nonhuman spectacle. Meanwhile, Their Eyes Were Watching God’s oft-cited “mule of the world” metaphor finds literal representation in the form of a work-disabled mule, whose appearance in the narrative occasions one of Hurston’s most memorable aesthetic innovations: the incorporation of folklore into the realist novel. For both of these authors, disability represents not only vulnerability to the machinations of racial capitalism, but also creative invention and formal resistance to white-dominated narrative norms. They show that a capacious, ecologically oriented disability politics is central to the history of Black cultural production.
Abnormal Abilities: Black Women and the Production of Able-Bodied Normalcy in Thylias Moss’s Slave Moth
Authors: Orsak Sarah L. 
Published: December 2023

This article offers an alternative genealogy for disability accounts of normalcy by analyzing American poet Thylias Moss’s 2004 neo-slave narrative in verse, Slave Moth. While disability scholars have historically understood normalcy and able-bodiedness as synonymous, ability is not always normative for Black women. Although Slave Moth’s narrator Varl is putatively able-minded, her enslaver positions her as abnormal because she is literate. Drawing on Black feminist thought, I argue that normalcy describes multiple, seemingly contradictory, measures that operate through racialized standards of proper capacity. Moss illuminates how Black women and girls might inhabit a position of abnormality-ability because she situates abnormality within chattel slavery, making freak shows peripheral to the narrative. The anti-black formation of abnormality-ability mediates the boundaries of ability/disability and normal/abnormal. I address how this occurs in disability scholarship. Research on normalcy and the freak show has argued for the importance of disability as an analytic by relying on blackness as a fungible site of meaning. Ultimately, able-bodiedness becomes normative for white subjects, and disability abnormal, through their frictional relationship to and reliance on Black women’s abnormality-ability. However, Varl illuminates, critiques, and refuses this weaponization of abnormality. Through her embroidery, Varl develops technologies for living in the fissures of both abnormality and able-bodiedness.
The SMART healthcare solution
Authors: H. Chaballout Basil , J. Shaw Ryan , Reuter-Rice Karin 
Published: December 2023

Substitutable Medical Apps Reusable Technologies (SMART® ) on Fast Healthcare Interoperability Resources (FHIR) is an open, standards platform that allows third parties to build health applications that interact with electronic health record (EHR) systems. This can allow for aggregation of unique data ranging from genomics to lifestyle, thereby promoting the emerging precision medicine approach. It is also the first to provide a way to successfully incorporate interoperability in EHRs and precision medicine implementation.
História da educação de Água Doce, Maranhão
Authors: Fialho Lia Machado Fiuza , Silva Maria Gorete Cardoso da , Sousa Francisca Genifer Andrade de 
Published: December 2023

Trata-se de uma pesquisa cujo objetivo central foi compreender a história da educação de Água Doce, município localizado no interior do Maranhão, no período compreendido entre 1990 e 2000, sob a ótica de professores. O estudo é desenvolvido sob o amparo teóricos da história cultural e da história oral como metodologia. A coleta dos dados foi realizada mediante entrevistas livres com seis professores, cujas narrativas foram gravadas, transcritas, textualizadas e validadas. A reconstituição histórica da educação de Água Doce permitiu conhecer as condições educativas antes e depois da emancipação desse município, que pertenceu a Araioses até 1994. Os resultados demonstram que no período que antecede a esse marco houve prevalência da educação desenvolvida por professoras leigas ou com parca formação, que não contavam com remuneração adequada e lecionavam em casa particulares ou na paróquia, não existindo reconhecimento dos estabelecimentos educacionais; realidade modificada após a emancipação, quando houve investimento na construção e equiparação de escolas, bem como na realização de concurso público para a vinculação efetiva do corpo docente. Conclui-se que a década de 1990 foi marcante na história da educação de Água Doce por possibilitar avanços educacionais significativos.