bluuebunny/crossref_metadata_2025_split huggingface dataset:
Device-Measured Physical Activity in 3,506 Individuals with Knee or Hip Arthroplasty
Authors: Small Scott R. , Khalid Sara , Price Andrew J. , Doherty Aiden 
Published: December 2023

ABSTRACT

Purpose
Hip and knee arthroplasty aims to reduce joint pain and increase functional mobility in patients with osteoarthritis; however, the degree to which arthroplasty is associated with higher physical activity is unclear. The current study sought to assess the association of hip and knee arthroplasty with objectively measured physical activity.

Methods
This cross-sectional study analysed wrist-worn accelerometer data collected in 2013-2016 from UK Biobank participants (aged 43-78). Multivariable linear regression was performed to assess step count, cadence, overall acceleration, and activity behaviours between non-arthritic controls, end-stage arthritic, and postoperative cohorts, controlling for demographic and behavioural confounders. From a cohort of 94,707 participants with valid accelerometer wear time and complete self-reported data, electronic health records were used to identify 3,506 participants having undergone primary or revision hip or knee arthroplasty and 68,389 non-arthritic controls.

Results
End-stage hip or knee arthritis was associated with taking 1,129 fewer steps/day [95% CI: 811, 1,447] (p < 0.001), and having 5.8 fewer minutes/day [95% CI: 3.0, 8.7] (p < 0.001) of moderate-to-vigorous activity compared to non-arthritic controls. Unilateral primary hip and knee arthroplasty were associated with 877 [95% CI: 284, 1,471] (p = 0.004) and 893 [95% CI: 232, 1,554] (p = 0.008) more steps than end-stage osteoarthritic participants, respectively. Postoperative unilateral hip arthroplasty participants demonstrated levels of moderate-to-vigorous physical activity and daily step count equivalent to non-arthritic controls. No difference in physical activity was observed between any cohorts in terms of overall acceleration, or time spent in daily light activity, sedentary behaviour, or sleep.

Conclusions
Hip and knee arthroplasty are associated with higher levels of physical activity compared to participants with end-stage arthritis. Unilateral hip arthroplasty patients, in particular, demonstrate equivalence to non-arthritic peers at more than 1 year following surgery.
Effect of comprehensive nursing intervention on quality of life and treatment outcomes in elderly patients with Gout and Hyperuricemia complicated with hypertension
Authors: Liu Jing , Lu Na , Shen Shilu , Zhang Wen 
Published: December 2023

Objective: To evaluate the effect of comprehensive nursing intervention on the quality of life and treatment outcomes of elderly patients with gout and hyperuricemia complicated with hypertension.
Methods: This is a clinical comparative study. One hundred and twenty elderly patients with gout and hyperuricemia complicated with hypertension who were hospitalized at Baoding No.1 Central Hospital were included from March 20, 2021 to March 20, 2022, and randomly divided into two groups. Patients in the control group were given conventional nursing care in the perioperative period, while those in the experimental group were given comprehensive nursing intervention on the basis of the control group. The differences between the two groups in terms of clinical effects, quality of life were compared and analyzed.
Results: The response rate of the experimental group was higher than control group,with a statistically significant difference. After the intervention, the above indicators improved significantly in the experimental group compared to the control group, with statistically significant differences. There was no significant difference in Self-Rating Anxiety Scale(SAS) and Self-rating depression scale(SDS) levels between the two groups before the intervention. After the intervention, SAS and SDS decreased significantly in the experimental group compared to the control group, with statistically significant differences . The patient satisfaction rate of the experimental group was also higher than control group, with a statistically significant difference.
Conclusion: Comprehensive nursing intervention is an effective treatment option for elderly patients with gout and hyperuricemia complicated with hypertension, resulting in obvious improvements in patient quality of life, improved mood, patient satisfaction and treatment outcomes.
doi: https://doi.org/10.12669/pjms.40.3.7535
How to cite this: Liu J, Lu N, Shen S, Zhang W. Effect of comprehensive nursing intervention on quality of life and treatment outcomes in elderly patients with Gout and Hyperuricemia complicated with hypertension. Pak J Med Sci. 2024;40(3):---------. doi: https://doi.org/10.12669/pjms.40.3.7535
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Ρυθμός και μουσικότητα στα προφορικά παιδικά ποιήματα και τραγούδια. Από το πλαίσιο της άτυπης εκπαίδευσης σε σύγχρονες διδακτικές προεκτάσεις.
Authors: Κόκκινος Δημήτρης Εμμανουήλ , Κολιάδη-Τηλιακού Ανθούλα 
Published: December 2023

Τα παιδικά ποιήματα/τραγούδια της λαϊκής προφορικής παράδοσης αποτελούν μία μορφή διαχρονικής και οικουμενικής πολιτισμικής δημιουργίας που απασχολεί, εκτός από τους τομείς της εθνογραφικής έρευνας και των λαογραφικών σπουδών, κι εκείνους της παιδαγωγικής επιστήμης, της γλωσσολογίας και της μουσικολογίας. Η παρούσα μελέτη, βασιζόμενη σε ευρήματα της βιβλιογραφικής επισκόπησης, εστιάζει το ενδιαφέρον της στη σημασία και τον ρόλο που παίζει ο ρυθμός ως πρωτογενές στοιχείο των παιδικών ποιημάτων/τραγουδιών της λαϊκής προφορικής παράδοσης. Τα πορίσματα της μελέτης μέσα από παραδείγματα διαφορετικών γλωσσών, με έμφαση σε εκείνα της Ελληνικής, επιβεβαιώνουν την ύπαρξη ενός παγκόσμιου κοινού κώδικα που συνδέει οργανικά δυο πρωτογενή στοιχεία της προφορικής ποιητικής των παιδιών τα οποία απαντώνται σε καθολικό επίπεδο και συνιστούν οικουμενικά χαρακτηριστικά: τον ρυθμό και τη μουσικότητα. Ο περίφημος «παιδικός ρυθμός», όπως τον αποκάλεσε ο Ρουμάνος εθνομουσικολόγος C. Brailoiu, ο οποίος και τον ανέδειξε πρώτος, είναι ένας δυαδικός ρυθμός που βασίζεται σε σειρές που διαρκούν όσο οκτώ κτυπήματα ή οκτώ σύντομες συλλαβές. Η επιτέλεσή του στο πλαίσιο της προφορικότητας του προσδίδει έναν αυθόρμητο, βιωματικό και κιναισθητικό χαρακτήρα με ποικίλες παιδαγωγικές προεκτάσεις. Η ύπαρξη του παιδικού ρυθμού έχει κατά καιρούς απασχολήσει αρκετούς θεωρητικούς (Α. Arleo, Β. De Cornulier, S. Baud-Bovy) τόσο από γλωσσική όσο και από μουσικολογική άποψη. Η διερεύνηση και αποτύπωση του πολυδιάστατου χαρακτήρα της παιδικής προφορικής ποίησης παρέχει ικανά ερεθίσματα για περαιτέρω αξιοποίησή της στην εκπαιδευτική διαδικασία, καθώς δύναται να την εμπλουτίσει με παιδαγωγικό υλικό και πρακτικές που συμβάλλουν στη γλωσσική, μουσική, και εν γένει πολιτισμική και κοινωνική καλλιέργεια των παιδιών.
The impact of a therapy dog program on children’s with ASD social skills, communication, and behavioral difficulties
Authors: Karpoutzaki Chrysoula , Markodimitraki Maria , Kypriotaki Maria , Charitaki Garyfalia 
Published: December 2023

Recent research findings confirm the mediating role of animals, especially dogs, between a therapist and a child during therapy sessions. The presence of dogs has been studied in clinical studies. In cases of children with disabilities dogs facilitate the therapeutic session as they distract children from their real problems and make them feel relaxed. However, there is a research gap on the impact of a therapy dog in a school setting. The present study aims to explore the effectiveness of therapy dogs’ presence in an intervention programme for students with Autism Spectrum Disorder (ASD). Three primary school students with ASD, their teachers and parents, and a therapy dog with its attendant were enrolled in the study. Data collection was based on teachers’ and parents’ observations of students’ social responses and behavioural difficulties before and after the intervention, on teachers’ diaries, and on the micro-analysis of the six videotaped therapeutic sessions. Results show that the dog’s presence increased student response to social stimuli and reduced the symptoms of ASD, not only during the intervention but also in the post-intervention phase. No aggressive or self-injurious behaviours were exhibited during the sessions. The study highlights the healing impact for children with ASD when a dog is incorporated in a school setting.
DEVELOPMENT OF SOFTWARE FOR THE GROUP LOCALIZATION OF PHRASES IN THE DATABASE
Authors: Gareeva Gulnara A. , Khamidullin Marat R. , Nurutdinov Riyaz R. , Shaikhutdinov Rinas Y. 
Published: December 2023

When creating modern cars, in addition to analog and mechanical devices, digital technologies are also very widely used.
The article considers the process of software development for group unloading of text phrases into a database in the C# programming language and using Windows Presentation Framework, which is reasonable to apply to facilitate the tasks of developing car diagnostics procedures.
The goal is to development of software for group uploading of text phrases to a database in the C# programming language and using the Windows Presentation Framework (WPF).
The method or methodology of the work: the article discusses a project to develop a WPF application for group uploading of text phrases to a database.
Results: a program with a UI interface has been developed to automate the unloading of phrases into the database.
Scope of the results: the obtained results should be used to facilitate the tasks of developing car diagnostic procedures.
ASSESSMENT OF THE UNEVENNESS OF THE MOVEMENT OF VEHICLES IN THE PLACES OF SEPARATION OF TRAFFIC FLOWS
Authors: Borodulin Igor V. , Gasilova Olga S. , Maltseva Anastasia A. , Sidorov Boris A. 
Published: December 2023

The movement of vehicles in the places of separation of traffic flows is analyzed. The high-speed mode of movement of vehicles along traffic lanes at a regulated intersection in the places of traffic flow separation has been determined. It is recorded that the number of formed “bundles” increases in the places of separation of transport flows. The movement of the formed “packs” of moving cars determines the speed mode of vehicles. The experiment showed that the speed of movement along the lanes is different. In a lane with a large number of formed “bundles”, the speed of cars is less than in a lane with a smaller number of “bundles”. It is established that the presence of “bundles”, especially in the areas of separation of traffic flows, leads to a large variation in the range of changes in the speed of vehicles at the intersection. The highest value of the speed mode of vehicles when driving on the experimental section is within 15-20 km/h, and the lowest is less than 5 km/h.
Purpose – determination of the factors influencing the change in the speed regime of vehicles in the places of separation of traffic flows.
Methodology statistical methods of processing a full-scale experiment were used in the work.
Results: the ranges of changes in the speed of vehicles in places where traffic flows are separated by lanes and the reasons for their changes are determined.
Practical implications: the obtained results should be used in the development of measures to ensure road safety in places of separation of traffic flows and the organization of traffic at intersections.
Contest Schemes and Dynamic Incentive Provision
Authors: Fan Qintao , Johnson Nicole 
Published: December 2023

Simple contest schemes, which tend to use extreme contemporaneous peer benchmarking, are generally thought to be less efficient at motivating productive and cooperative effort than explicit bonus contracts that optimally weight observed own and peer outputs. We show, however, that contest schemes can outperform explicit bonus contracts in a two-period dynamic setting if periodic output is correlated over time, and contract terms can be renegotiated. In our model, all parties update their beliefs about ex ante unknown time-invariant noise upon observing first-period outputs, and second-period wage offers are updated accordingly. This creates first-period shirking incentives for the agents. We show that relative to bonus contracts, the extreme contemporaneous peer benchmarking in contest schemes can weaken or even eliminate the adverse incentives created by prior-period benchmarking, even though the available information and the learning process are the same under both schemes. This dynamic advantage allows contest schemes to outperform repeated bonus contracts for a wide range of parameter values, despite imposing higher static efficiency losses in each period. If competing agents are assigned to sufficiently similar tasks, a contest scheme’s ability to sever the statistical link between periods can yield not only higher early productive effort compared with bonus contracts, but also less uncooperative behavior, despite putting the agents in a more contest-like situation. This paper was accepted by Brian Bushee, accounting. Supplemental Material: The online appendices are available at https://doi.org/10.1287/mnsc.2022.00035 .
CIBERCULTURA E O ENSINO SUPERIOR: EXPERIÊNCIAS DOCENTES COM/NO ENSINO REMOTO EMERGENCIAL
Authors: Mancio Geidy Dalia da Costa , Vale-Silva Priscila 
Published: December 2023

A Covid-19, pandemia iniciada em 2020, no Brasil, trouxe inúmeras mudanças sociais, sobretudo para a esfera escolar. Professores substituíram o espaço físico pelo espaço virtual, o que demandou habilidades para lidar com diferentes tecnologias, resultando assim na ampliação de letramentos digitais. Diante disso, mais do que nunca, o tema cibercultura revestiu-se de fundamental importância, pois se inseriu nas práticas pedagógicas docentes. Partindo desse contexto, apresentamos uma investigação realizada com nove professores do curso de Pedagogia da Universidade do Estado do Rio Grande do Norte, campus Avançado de Assú, objetivando descrever e analisar práticas de letramentos desenvolvidas pelos docentes no contexto da cibercultura, durante o período do ensino remoto emergencial. Fundamentamos a pesquisa em estudos que tratam a cibercultura como um conjunto de atividades desenvolvidas em espaços virtuais e que demandam diferentes tipos de letramentos, sobretudo os letramentos digitais. Assumimos a abordagem qualitativa e o estudo de caso para os procedimentos de geração de dados, que teve como instrumento um questionário online. Os resultados indicam que a maioria dos professores tinha domínio de algumas ferramentas tecnológicas e conheciam os suportes para utilizá-las, mas sentiam dificuldades para fazer uso dessas tecnologias com o novo formato de ensino. Verificamos que houve uma busca por formações continuadas em tecnologias digitais voltadas para o ensino e concluímos que o formato de ensino remoto emergencial possibilitou aos professores ampliar suas práticas de letramentos digitais, em benefício das suas práticas pedagógicas, além de favorecer a interação com os alunos no processo de ensino-aprendizagem no contexto da cibercultura.
The Main Genome is a Source of Adaptogens and the Basis for the Development of a New Vaccination Technology
Authors: Vladyko A.S. , Petkevich A.S. 
Published: December 2023

The appearance of viruses in mammals and plants is provoked by environmental factors - xenobiotics, formed mainly due to unreasonable human activity and resulting from the formation of an ecological (epidemiological) niche filled with molecular motifs of the microbiota - the intestines of mammals and the root system of plants. To do this, bacteria and archaea use retrovirus-like “cut and paste” mechanisms, including, for example, the CRISPR/Cas system, when the molecular motifs of the microbiota try to adapt the immune and hormonal systems. It all depends on how much xenobiotics damage the immune and hormonal systems. Therefore, viruses are not the cause, but the consequence of the disease. The fight against viruses with the help of vaccines prepared on their basis has been violating and restraining the natural mechanisms of regulation of biological processes in plants and mammals. Thus, molecular motifs arising from microbiota bacteria become either apaptogens (viruses) or adaptogens. In the first and second cases, genetic information is released into the environment. In the latter case, there is an adaptation or a kind of vaccination of others by a natural mechanism. This mechanism is also applicable to somatic diseases, such as cardiovascular, autoimmune, oncological, etc. As for the original properties of coronaviruses, it is their ability to suppress innate and acquired nonspecific viral immunity in the respiratory tract. This leads to the reactivation of chronic, mainly bacterial, respiratory infections - pneumococci, staphylococci, hemophiluses, however, fungal infections can also be observed – mucormycosis, aspergillosis, etc. This feature of the virus prompted doctors at the beginning of the epidemic (2020) to use a pneumococcal vaccine, which, as it turned out, similarly to the coronavirus vaccine reduces the severity of the disease and mortality. As for the diagnosis of coronavirus infection and its treatment, as practice has shown, everything depends on the stage of the disease, starting with a viral and ending with a bacterial infection. Similar and identical antigenic determinants in coronavirus and respiratory group bacteria often caused confusion when analyzing the results of serological and molecular biological diagnostic tests in patients with COVID-19. Moreover, the justified use of antibiotics in the post-viral, that is, in bacterial periods, made it possible to successfully treat patients with a positive PCR test for coronavirus on an outpatient basis.
Functional outcome of routine versus on-demand removal of the syndesmotic screw
Authors: van den Heuvel Stein , Penning Diederick , Sanders Fay , van Veen Ruben , Sosef Nico , van Dijkman Bart , Schepers Tim 
Published: December 2023

AimsThe primary aim of this study was to present the mid-term follow-up of a multicentre randomized controlled trial (RCT) which compared the functional outcome following routine removal (RR) to the outcome following on-demand removal (ODR) of the syndesmotic screw (SS).MethodsAll patients included in the ‘ROutine vs on DEmand removal Of the syndesmotic screw’ (RODEO) trial received the Olerud-Molander Ankle Score (OMAS), American Orthopaedic Foot and Ankle Hindfoot Score (AOFAS), Foot and Ankle Outcome Score (FAOS), and EuroQol five-dimension questionnaire (EQ-5D). Out of the 152 patients, 109 (71.7%) completed the mid-term follow-up questionnaire and were included in this study (53 treated with RR and 56 with ODR). Median follow-up was 50 months (interquartile range 43.0 to 56.0) since the initial surgical treatment of the acute syndesmotic injury. The primary outcome of this study consisted of the OMAS scores of the two groups.ResultsThe median OMAS score was 85.0 for patients treated with RR, and 90.0 for patients treated with ODR (p = 0.384), indicating no significant difference between ODR and RR. The secondary outcome measures included the AOFAS (88.0 in the RR group and 90.0 for ODR; p = 0.722), FAOS (87.5 in the RR group and 92.9 for ODR; p = 0.399), and EQ-5D (0.87 in the RR group and 0.96 for ODR; p = 0.092).ConclusionThis study demonstrated no functional difference comparing ODR to RR in syndesmotic injuries at a four year follow-up period, which supports the results of the primary RODEO trial. ODR should be the standard practice after syndesmotic screw fixation.Cite this article: Bone Jt Open 2023;4(12):957–963.
Building resilience of municipalities and regions innovative management to smart specialization
Authors: Brych Vasyl , Borysiak Olena , Górski Przemysław , Tkach Uliana , Hunko Serhii , Juszczyk Marta 
Published: December 2023

ObjectivesAdaptations to digitalization and climate change of all aspects of society are important issues of innovation management at the local and regional levels. The paper demonstrates: 1) the components of smart specialization in order to achieve municipalities and regions strategy goals; 2) the use of the mechanism of smart specialization to realize the entrepreneurial potential of the regional economy; 3) the introduction of smart specialization for the innovative development of the Ukrainian municipalities based on the European experience; 4) the indicators of building resilience of municipalities and regions innovative management to smart specialization.Material and methodsCombination of dialectical approach to the knowledge of the components of smart specialisation and the methods of induction, deduction for the realisation of the entrepreneurial potential of the regional economy based on cross-industry clustering became the basis for the development of recommendations for municipalitiesResultsExtending the sustainability of innovative municipal and regional governance to smart specialisation is to take into account the importance of using the main postulates of the smart specialisation mechanism to realise the innovation potential of the regional economy.ConclusionsThe priority directions of the agro-energy cluster model should be the establishment of a cluster model of "Government-Business-Science-Education" interaction. In order to achieve this goal, scientists from the Western Ukrainian National University justified and developed the Programme for Supporting Innovation in Areas of Smart Specialisation in the Ternopil Region for 2020-2023, which aims to implement innovative approaches to capacity building of the regional economy within the framework of smart, sustainable and comprehensive development.
Economic issue of using artificial neural networks with radial-basis transmission functions for modeling efficiency of management processes
Authors: Martynyuk Volodymyr , Dmowski Artur , Gąsior Marcin , Hajduk Grzegorz 
Published: December 2023

ObjectivesThe paper presents the possibility of using artificial neural networks (ANN) with radial-basis transmission function (RBF) for modeling of economic phenomena and processes.Material and methodsThe basic characteristics and parameters of an ANN with RBF are shown and the advantages of using this type of ANN for modeling economic phenomena and processes are emphasized. Using an ANN with RBF, together with official statistics for 2010-2017, the modeling of the influence caused by work efficiency indicators of the customs authorities of Ukraine on the indicators of economic security of Ukraine was carried out. These eighteen indicators of economic security of Ukraine, which comprehensively characterize the economic status of the country in terms of production, social, financial, food, transport, energy, and foreign economic security, were chosen as the most informative indicators.ResultsThe results of the study showed that Artificial neural networks with Radial-basis transmission function well describe the trend of changing state economic security indicators under the influence of changing performance indicators of customs authorities. This allows us to recommend this type of artificial neural networks for analysis, evaluation and forecasting of economic phenomena and processes.ConclusionsThe results obtained showed good analytical and prognostic properties of an ANN with RBF when modeling the impact of customs authorities' performance on the state's economic security indicators.