bluuebunny/crossref_metadata_2025_split huggingface dataset:
Quality of life of patients with traumatic spinal cord injuries: a cross-sectional study at a tertiary hospital in Uganda
Authors: Mugisa Rogers , Luke Kironde Edward , Sabakaki Mwaka Erisa 
Published: October 2023

Background: The study aimed to assess the perceived quality of life of patients with traumatic spinal cord injuries.
Methodology: This was a cross sectional study conducted in the Spine Unit of a tertiary hospital in Uganda. The study population comprised of patients with spinal cord injuries. Data were collected using the WHO Quality of Life Brief questionnaire and Functional Independence Measure tool.
Results: 103 patients participated in the study, most were male (73.8%), and had a mean age of 37.7 years. Most participants were married (57.3%), unemployed (72.8%) and had no steady source of income (62.1%). Road traffic accidents accounted for most injuries (59.2%). The mean duration since injury was 20.5 months. Most participants (58.3%) had incomplete spinal cord injuries and 84.5% had complications. The perceived overall quality of life was poor in 87.4% of patients. Being employed (p= 0.02), the presence of complications (p= 0.03), and injury severity (p= 0.003) significantly affected quality of life. Functional independent measure scores were significantly better in individuals less severe injuries and those with lumbar level of injury with mean scores of 113.1±8.9 and 99.9±15.3 respectively.
Conclusion: The overall self-reported quality of life among patients with traumatic spinal cord injury was generally poor.
Keywords: Quality of life; traumatic injury; spinal cord.
Risk factors of recurrent thyroid nodules after radiofrequency ablation
Authors: Xia Yuke , Fu Yuehe , Qian Mengjia , Cui Yiyao 
Published: October 2023

Objective: To investigate the risk factors of thyroid nodule recurrence after radiofrequency ablation (RFA).
Methods: The medical record information of 120 patients with thyroid nodules admitted to our hospital from June 2019 to April 2022 was retrospectively analysed. All participants received RFA treatment. According to the results of the postoperative thyroid ultrasoundexamination (USG), the patients were divided into the recurrence group (R, N=16) and the non-recurrence group (NR,N=104). Binary logistic regression analysis was performed to identify the independent risk factors of thyroid nodule recurrenceafter RFA. The receiver operating characteristic (ROC) curve was used to analyse the value of the forecast of each independentfactor and combined model for thyroid nodule recurrence after RFA.
Results: During the follow-up period, 16 patients recurred, and the recurrence rate was 13.33%. Univariate regression analysisshowed that whether the nodules are solitary (WNS), nodule diameter (ND), the degree of risk of nodular location (DRN),recurrent laryngeal nerve (RLN) injury were associated with thyroid nodule recurrence after RFA (P<0.05). Binary logisticregression analysis showed that WNS, ND, DRN and RLN injury were independent risk factors for the recurrence of thyroidnodules after RFA (P<0.05). ROC analysis of independent factors and combined model showed that solitary nodules, nodulediameter and nodule location risk degree had diagnostic value, while RLN injury had no predictive value. The combined modelis more predictive than the independent factors.
Conclusions: The risk factors of recurrent thyroid nodules after radiofrequency ablation are related to WNS, ND, DRN and so on, which should be paid attention to and preventive measures should be taken.
Keywords: Thyroid nodules; radiofrequency ablation; recurrence; risk factors.
A study of prevalence and comparison of anxiety and depression among separated, divorced and widowed females in the rural population
Authors: Qureshi Sadeq , Ambekar Prakash , Usman Sana , Achalia Rashmin 
Published: October 2023

Abstract
Background: Psychological distress is an important immediate outcome of the death of a spouse or divorce, which may arise because of financial and emotional challenges and can lead to adverse health outcomes with more stress, anxiety, depression, and social isolation than the general population. Methods: Cross-sectional study among separated, divorced, and widowed females from two rural villages. All eligible participants were screened for depression and anxiety using DSM 5 criteria. The severity of depression was assessed using the Hamilton depression rating scale (HDRS) and for anxiety, the Hamilton anxiety scale (HAM-A) was used. Results: Out of 162 women, 30% had mild depression whereas 42% of widow and divorced women had moderate levels of depression but it is in 50% of separated women. Severe and very severe level of depression was in around 20% of widowed and divorced women compared to 16% of separated women. There was no anxiety in around 80% of divorced and widowed women whereas 24.3% of separated women had severe anxiety. On regression analysis, separated women, dependent women, and those with less than two years of duration of separation had higher levels of depression and anxiety. Conclusion: The prevalence of Depression and Anxiety is more common in all three groups. Moderate to severe Depression is around 75% among divorced/separated and widowed females but moderate to severe anxiety was more in separated women compared to widowed women. Dependency and the early phase of widowhood/separation were also important associated factors.
Interinstrument Reliability Between the Squegg® Smart Dynamometer and Hand Grip Trainer and the Jamar® Hydraulic Hand Dynamometer: A Pilot Study
Authors: Stamate Andreea , Bertolaccini Jonathan , Deriaz Michel , Gunjan Saket , Marzan Mircea-Dan , Spiru Luiza 
Published: October 2023

Importance: Occupational therapists need dependable and accurate instruments for remote assessments and monitoring of hand functionality. These assessments monitor progress, evaluate interventions, and guide independence goals.
Objective: To assess the interinstrument reliability and concurrent validity of the Squegg® Smart Dynamometer and Hand Grip Trainer and the Jamar® Hydraulic Hand Dynamometer.
Design: Repeated-measures design.
Setting: Individual clinic in Bucharest, Romania.
Participants: Forty middle-age and older adult volunteers, healthy and free from any neuromuscular, orthopedic dysfunction that affected hand strength.
Outcomes and Measures: Participants’ maximal grip strength (MGS) for both their dominant and nondominant hands was measured with both devices. Participants with odd-numbered IDs were measured with the Squegg first and the Jamar second, and those with even-numbered IDs were measured in opposite sequence.
Results: Paired-samples t tests on overall mean MGS and mean MGS (three measures on each hand) showed no statistically significant differences between the two devices. Intraclass correlation analysis showed good to excellent interinstrument agreement. Pearson correlations between measurements across all participants, and hands, indicated strong agreement.
Conclusions and Relevance: The Squegg shows promise for health care professionals, including occupational therapists, for grip strength assessment in clinical contexts.
What This Article Adds: These results offer initial psychometric data for a new remote MGS measurement device. MGS is crucial for assessing the physical function of aging adults. Reliable measurements from such a device are vital for occupational therapists to guide treatment interventions and assess hand function’s impact on daily activities.
Assessment of factors contributing to adherence to antiretroviral therapy among people living with HIV: our experiences from a local missionary hospital in southeastern Nigeria
Authors: Nworie Kelechi Martins , Aluh Deborah Oyine , Dim Obinna Felix , Jude Eze Uche , Eneje Christain Umera , Opurum Charles Aruchi , Chuckwuobasi Thelma Chineme , Onyedikachi Ngwu Solomon , Ben-Umeh Kenechukwu Chijoke , Nnenna Ozioko Ifebuche 
Published: October 2023

IntroductionAcquired immune deficiency syndrome (AIDS) has ceased to be dreadful, and is now considered a manageable chronic disease since the introduction of antiretroviral therapy (ART). Its goal is to achieve maximal and long-lasting suppression of viral replication. A high level of adherence is essential for effective ART, and there are many factors contributing to adherence in patients on ART. The objective of our study was to determine the level of adherence and factors influencing adherence to ART among people living with HIV.Material and methodsThe study was conducted in the ART center at Bishop Shanahan Hospital from November to December 2017. Patients attending the ART center were included in the study. A cross-sectional study was conducted among HIV-positive patients using a well-structured questionnaire. The data collected were analyzed using SPSS version 16.0. Binary logistic regression was performed to identify associations between factors and adherence.ResultsAlthough the predictors were non-significant (i.e. p > 0.05), age, gender, taking alcohol and herbal medicine, and having no medication reminder were found to be predictors of non-adherence in our study. Major reasons for missing pills were forgetfulness due to being busy (71.4%), giving up hope (26.2%) and lack of food (21.4%).ConclusionsAdherence to antiretroviral treatment in the ART center was sub-optimal. Patients on ART should be counseled adequately and appropriately before initiating antiretroviral treatment. Patient education must be enforced at all levels of care.
Effect of Prone Position on Oxygen Saturation in Neonates having Respiratory Distress
Authors: Amna Tufail  , Ibrahim Tufail Chaudhary  , Imtiaz Ahmad  , Iqra Arshad  , Madiha Akram  , Muhammad Asghar Butt  
Published: October 2023

Objective: To determine the mean change in oxygen saturation of neonates having respiratory distress after prone positioning for six hours.
Study Design: Quasi experimental Study.
Place and Duration of Study: Neonatology Unit, Allied Hospital, Faisalabad Pakistan, from Jun to Nov 2015.
Methodology: Total 60 neonates <28 days of age and >32 weeks of gestation having respiratory distress of both genders were included. All neonates were stabilized after resuscitation (if required) and oxygen saturation was documented with pulse oximeter initially in supine position and then after prone positioning for 6 hours. Statistical analysis of data was done by using SPSS version 20.
Results: Out of 60 neonates 38(63.3%) were males and 22(36.7%) were females. Male to female ratio was 1.7:1. Their mean age was 1.75±0.68 days. Oxygen saturation in supine position was 76.97±10.12 and after 6 hours in prone position was 85.78±7.40 with p-value of 0.0001 which is statistically significant.
Conclusion: Prone position results in improvement of oxygen saturation in newborns having respiratory distress.
Serum Magnesium Levels in Patients with Diabetic Nephropathy
Authors: Farhan Tariq  , Robia Anwar  , Bilal Ahmed  , Naveed Ahmed Shah  , Lubna Noreen  , Muhammad Naeem  
Published: October 2023

Objective: To determine serum magnesium levels in patients with diabetic nephropathy.
Study Design: Cross sectional study.
Place and Duration of Study: Medicine Department, Combined Military Hospital, Kohat Pakistan, from Jun 2015 to Nov 2015.
Methodology: Forty-five patients fulfilling the inclusion/exclusion criteria were enrolled, to ascertain the serum magnesium levels in patients having diabetic nephropathy.
Results: Mean microalbuminuria was 37.51±21.33 mg/L, while mean serum magnesium level was 1.36±0.29 mg/dl. Mean serum magnesium level in patients with diabetic nephropathy was 1.27±0.31 mg/dl, whereas mean serum magnesium level in patients without diabetic nephropathy was 1.50±0.17 mg/dl. About of 67.9% of the patients with diabetic nephropathy had hypomagnesemia while 64.7% without diabetic nephropathy were found to have hypomagnesemia.
Conclusion: Serum magnesium levels in patients with diabetes mellitus were lower. Furthermore, serum magnesium levels in patients with diabetic nephropathy were also lower as compared to patients without diabetic nephropathy.
Should treatment decisions in septic arthritis of the native hip joint be based on the route of infection?
Authors: Ruythooren Fred , Ghijselings Stijn , Cools Jordi , Depypere Melissa , De Munter Paul , Metsemakers Willem-Jan , Vles Georges 
Published: October 2023

Abstract. Background: Surgical management of septic arthritis (SA) of the hip aims at
treating the infection by either preserving, resecting or replacing the
joint. In some cases, joint preservation should be attempted, whereas other cases would
benefit from immediate joint resection or replacement. Prognostic factors
have been proposed to guide decision-making. We hypothesized that most of
these factors can be simplified to three subgroups based on the route of
infection: contiguous spreading, direct inoculation or hematogenous
seeding. Methods: A total of 41 patients have been treated surgically for SA of the native
hip at our tertiary hospital during the last 16 years. Medical records were
studied, and various patient and disease characteristics were collated.
Results: Significant differences between (1) level of fitness, (2) condition of
the hip joint, (3) micro-organisms and (4) chance of femoral head
preservation were found for patients with SA of the native hip resulting
from the three aforementioned subgroups. Femoral head resection was necessary at one point
in 85 % of patients. Patients with hematogenous infections of undamaged
hips had a reasonable chance (53 %) of avoiding joint resection or
replacement. Hip arthroplasty was performed on 46.3 % of patients, with an
infection rate of 10.5 %. Conclusion: Patients with SA of the native hip
resulting from contiguous spreading, hematogenous seeding or direct
inoculation differ significantly and should be considered distinct clinical
entities. Route of infection is directly related to the chance of femoral
head preservation and should, therefore, guide decision-making. Only patients
with hematogenous infection to a previously healthy hip had the possibility of
femoral head preservation.
Assessment of building damage and risk under extreme flood scenarios in Shanghai
Authors: Tu Jiachang , Wen Jiahong , Yang Liang Emlyn , Reimuth Andrea , Young Stephen S. , Zhang Min , Wang Luyang , Garschagen Matthias 
Published: October 2023

Abstract. This article presents a flood risk assessment for
Shanghai, which provides an indication of what buildings (including
residential, commercial, office, and industrial) will be exposed to flooding
and its damage. Specifically, this assessment provides a risk assessment
that buildings may face after construction. To achieve the flood risk
assessment on buildings, we developed an integrated flood model and
collected data on building shape and number of floors, land use, and
construction costs for different building types in Shanghai. The extreme
compound flood scenarios (1/200-, 1/500-, 1/1000-, and 1/5000-year floods) and
building metadata were aggregated using a risk analysis chain. According
to the damage for different flood scenarios, the average annual loss (AAL)
can be calculated and is referred to as building flood risk. The AAL of
residential, commercial, office, and industrial buildings is USD 12.3, 2.5,
3.7, and 3.4 million, respectively. Among the 15 (non-island) districts
in Shanghai, Pudong has the highest AAL. The risk analysis chain developed
in this study can be reproduced for other megacities. The results provide a
clear picture for future building flood risks which links directly to
disaster risk management, which implies the extent of flood risk in building
types, sub-districts, and districts related to the Shanghai Master Plan.
This assessment takes into consideration future climate change scenarios,
information for scenario-based decision making, and a cost–benefit analysis
for extreme flood risk management in Shanghai. We also discussed different
potential adaptation options for flood risk management.
SOVEREIGNTY AND CYBERSPACE
Authors: НИКИФОРОВ И.Е. 
Published: October 2023

В статье проведён анализ того, насколько обоснованно приравнивать враждебные акции ин- формационного воздействия на государство к применению силы; можно ли считать это примером вмешатель- ства в его внутренние дела и насколько концепция цифрового суверенитета обоснована с точки зрения между- народного права.
The article explores approaches to whether it is justified to equate hostile acts of information influence on a state with the use of force, whether this can be considered an example of interference in its internal affairs, and how the concept of digital sovereignty is justified in terms of international law.
LEGAL AND TRANSFORMATIONAL ASPECTS OF THE DEVELOPMENT OF RESPONSIBLE CONSUMPTION IN MODERN CONDITIONS
Authors: ЗАХАРЕНКО И.К. 
Published: October 2023

Цель работы – выявить наиболее значимые правовые и трансформационные аспекты форми- рования и развития ответственного / рационального поведения российских потребителей на промышленных и потребительских рынках. Использовались методы системного анализа, кабинетных исследований, метод изуче- ния документов, метод включенного наблюдения, структурно-функциональный метод и другие методы позна- ния. В статье исследованы нормативно-правовые документы, относящиеся к концепции устойчивого развития как основы формирования рационального поведения потребителей в РФ. Выделены факторы, препятствую- щие и способствующие развитию ответственного поведения в РФ. Эффективность разработанных предложе- ний определяется выявленной возможностью применения рекомендаций в области теории ответственного по- требительского поведения в условиях влияния санкционного давления, рекомендаций в области практического применения результатов исследования для органов государственного управления.
The purpose of the work is to identify the most significant legal and transformational aspects of the formation and development of responsible / rational behavior of Russian consumers in industrial and consumer markets. The methods of system analysis, desk research, the method of studying documents, the method of included observation, the structural and functional method and other methods of cognition were used. The article examines the regulatory documents related to the development of the concept of sustainable development as the basis for the formation of rational consumer behavior in the Russian Federation. The factors hindering and contributing to the development of responsible behavior in the Russian Federation are highlighted. The effectiveness of the developed proposals is determined by the identified possibility of applying recommendations in the field of the theory of responsible consumer behavior under the influence of digitalization and sanctions pressure, a recommendation in the field of practical application of the research results for public administration.
RESPONSIBILITY OF THE SOLE EXECUTIVE BODY OF A LIMITED LIABILITY COMPANY UNDER THE LEGISLATION OF THE RUSSIAN FEDERATION
Authors: СИНГЛЕЕВА Б.А. , ПАНИН А.В. , АКСЕНОВ И.Ч. , НАКТАНОВ К.К. , ЦЕБЕКОВА Г.В. 
Published: October 2023

В статье авторы раскрывают специфику ответственности единоличного исполнительного органа общества с ограниченной ответственностью (ООО) по законодательству Российской Федерации. Работа отража- ет природу общества с ограниченной ответственностью и деятельности единоличных исполнительных органов. Цель данного исследования – выявление содержания ответственности единоличного исполнительного ор- гана ООО, объект – деятельность единоличного исполнительного органа ООО, предмет – ответственность еди- ноличного исполнительного органа общества с ограниченной ответственностью.
In the article, the authors reveal the specifics of the responsibility of the sole executive body of a limited liability company (LLC) under the legislation of the Russian Federation. The work reflects the nature of a limited liability company and the activities of sole executive bodies. The purpose of this work is to identify the content of the responsibility of the sole executive body of the LLC, the object is the activity of the sole executive body of the LLC, the subject is the responsibility of the sole executive body of the limited liability company.
Online, bikronikus pedagógus továbbképzés a gyakorlatban a közösségfejlesztés támogatására
Authors: Horváth Endre , Herbainé Szekeres Erika , Szekeres Ágota 
Published: October 2023

2020-ban kezdtük meg a „Tervezett közösségfejlesztés módszertani alapjai a köznevelésben, óvodás és kisiskoláskorú gyermekközösségekben” című 30 órás, akkreditált pedagógus-továbbképzés kidolgozását. A teljesen online, bikronikus képzési forma tudatos választás volt, amellyel egy hosszú távon fenntartható tudásátadási módot szerettünk volna megvalósítani. Jelen cikkben a Magyar Tudomány Ünnepe alkalmából 2022-ben tartott „MOOC és SMETRY, avagy az ismeretterjesztés és a képzés korszerű formái” előadásra épülve mutatjuk be a továbbképzés koncepcióját, a megvalósítás során alkalmazott eszközöket és a jelenleg folyó továbbfejlesztés irányait. A bemutatásnak nem célja a képzés tartalmának részletes ismertetése.
Kulcsszavak: pedagógus-továbbképzés, bikronikus, közösségfejlesztés
Forecasting the Composite Stock Price Index Using Fuzzy Time Series Type 2
Authors: Pramesti Arsita Anggraeni , Sulandari Winita , Subanti Sri , Yudhanto Yudho 
Published: October 2023

The movement and fluctuation of the IHSG are one of the references for investors in making investment decisions for buying, selling, or holding share ownership. Forecasting the value of the IHSG can assist investors in making this decision. This study used the fuzzy time series type 2 method to predict the IHSG. This study uses monthly IHSG data for 2017-2021 with 3 variables, namely close prices, high prices, and low prices. In fuzzy time series forecasting, the length of the interval affects the prediction results. This study uses a distribution and average-based method in determining the length of the interval to obtain optimal forecasting results. Based on the calculation of MAPE, the forecasting using average-based and distribution-based interval lengths had errors of 2.56% and 2.46%. The MAPE value shows that the forecasting results from the two methods of taking the length of the interval are very good. The IHSG forecasting results in January 2022 use a distribution-based interval length is 6450 while the IHSG forecasting results in January 2022 use an average-based interval length is 6510. The results of this study indicate that the interval length affects the forecasting results in fuzzy time series.

Keywords: IHSG, fuzzy time series type 2, length of the interval, MAPE