bluuebunny/crossref_metadata_2025_split huggingface dataset:
Semantic Structure of the Sentence and Its Realisations (Bulgarian “аха” and Its Polish Equivalents)
Authors: Korytkowska Małgorzata 
Published: February 2024

Semantic Structure of the Sentence and its Realisations (Bulgarian Аха and its Polish Equivalents)
The aim of the paper is to establish the relevant semantic features of the Bulgarian particle аха in the predicative function. It is thought that its semantic structure includes a potential and a temporal component. Hence, the function of the analysed particle is a specific result of semantic condensation. Possibilities to form Polish semantic equivalents of Bulgarian sentences with аха are indicated. Polish language does not have any synonymous lexical unit with the Bulgarian аха, so equivalent sentences have the form of an analytical paraphrase. According to the model of semantic syntax, the categories of modality (M) and temporality (T) are not parts of the Dictum (D), which dominates the predicate (P) and its arguments (in the model of the elementary sentence structure). Therefore, the same semantic structures are realized as different formal structures in both languages.

Struktura semantyczna zdania i jej realizacje (bułg. аха i polskie ekwiwalenty)
Celem artykułu jest ustalenie relewantnych cech semantycznych partykuły bułgarskiej аха о funkcji orzeczenia. Przyjęto, że struktura semantyczna zawiera element potencjalności oraz decydujący o znaczeniu leksemu element temporalny. Funkcja badanej partykuły jest więc specyficznym efektem kondensacji semantycznej. Wskazano możliwości tworzenia semantycznych ekwiwalentów zdań bułgarskich w języku polskim. W polskim brak tożsamego odpowiednika leksykalnego, więc struktura synonimicznych zdań ma cechy parafrazy analitycznej. W semantycznym modelu struktury zdań elementarnych komponenty M (modalność) i L (lokalizacja) nie należą do Dictum, które dominuje nad P – predykatem i jego argumentami. Tak więc w obu językach strukturze semantycznej omawianych jednostek odpowiadają odmienne realizacje formalne.
Clause-Initial Connectives, Bound and Unbound: Indicators of Mood, of Subordination, or of Something More Fundamental?
Authors: Wiemer Björn 
Published: February 2024

Clause-Initial Connectives, Bound and Unbound: Indicators of Mood, of Subordination, or of Something More Fundamental?
The article presents a comprehensive discussion of distinctions which, in different linguistic traditions, are associated with the concepts of ‘mood’ and ‘complementizer’, in particular in connection with potential auxiliaries of ‘analytical (non-indicative) mood’. On the basis of a selection of representative units and clause frames, the analysis points out contrasts between (a) North and South (in particular, Balkan) Slavic and (b) volition- and cognition-oriented utterances, which distinguish (i) diverse kinds of illocutions and (ii) clauses coding states of affairs (i.e. mere events) vs propositions (i.e. events with specific anchorage in space and time). The discussion unavoidably raises issues of irrealis marking and asks for the diagnostics of ‘subordination’ (embedding), in particular whether left-edge elements can by themselves be regarded as complementizers even if, under specific circumstances, subordination has to be assumed.

Spójniki inicjalne w zdaniach składowych, związane i niezwiązane. Wskaźniki trybu, podrzędności czy czegoś bardziej fundamentalnego?
Artykuł stanowi kompleksowe omówienie dystynkcji, które w różnych tradycjach językoznawczych są związane z pojęciami „trybu” i „włącznika”, w szczególności w związku z potencjalnymi wyrazami pomocniczymi „analitycznego trybu (nieindykatywnego)”. Na podstawie wyboru reprezentatywnych jednostek i ram zdań składowych analiza wskazuje na różnice między (a) językami północno- i południowosłowiańskimi (w szczególności bałkanosłowiańskimi) oraz (b) wypowiedziami ufundowanymi na woli i poznaniu, które rozróżniają (i)różne rodzaje illokucji oraz (ii) zdania składowe kodujące stany rzeczy (tj. zwykłe sytuacje) i sądy (tj. zdarzenia o określonym zakotwiczeniu w przestrzeni i czasie). Tok analizy nieuchronnie prowadzi do kwestii znakowania trybu irrealnego i skłania do pytania o rozpoznawanie ‘podrzędności’ (zanurzania), w szczególności tego, czy elementy lewostronne mogą same w sobie być uważane za włączniki, nawet jeśli w określonych okolicznościach należy założyć ich status podrzędny.
Construction and Assessment of the Physical Activity and Physical Education Importance for Parents Scale
Authors: Saiz-González Pablo , Coto-Lousas Jose , Iglesias Damián , Fernandez-Rio Javier 
Published: February 2024

A recent systematic review reported positive associations between parents and children’s physical activity participation. Moreover, parents’ perceptions of the importance and value of physical activity can influence their children’s participation in it. Our aim in this study was to develop and validate an instrument to assess parents’ perceptions of the importance of physical activity and physical education. After first creating the instrument, we conducted content and exploratory factorial validation and reliability analyses of it with 93 parents ( M age = 44.76, SD = 6.05, range = 31–66 years; 73 females, 20 males). The result was a 9-item instrument, with items assessed on a 5-point Likert scale and grouped into three factors: (a) importance of physical education; (b) importance of engaging in physical activity or sport; and (c) importance of joining your children in physical activity or sport. In a second confirmatory factor analysis with 224 parents ( M age = 44.53, SD = 6.07; 174 or 77.7% females and 50 or 22.3% males) we confirmed the factor validity and reliability previously analyzed ( χ 2 = 42.77, df = 24, p = .011, GFI = 0.96, NFI = 0.98, NNFI = 0.99, CFI = 0.99, RMSEA = 0.06 (90% CI: 0,04, 0.08), SRMR = 0.04, ECVI = 0.04, CR = 0.70–0.87). Thus, the new Physical Activity and Physical Education Importance for Parents Scale (PAPEIPS) is a valid and reliable instrument for measuring parents’ perceived importance of physical activity and physical education.
3D-printed guides versus computer navigation for pedicle screw placement in the surgical treatment of congenital scoliosis deformities
Authors: Xu Hui-Fa , Li Chao , Tang Guoliang , Li Tian-Qing , Fan Zong-Zhi , Huang Lu-Yu 
Published: February 2024

Background To compare the safety and clinical outcomes of 3D-printed guides versus computer navigation for pedicle screw placement in the correction of congenital scoliosis deformities. Methods The study was a single-centre retrospective controlled study and was approved by the hospital ethics committee for the analysis all patients under the age of 18 years with at least 2 years of follow-up. Sixty-three patients who underwent surgical correction for congenital scoliosis deformities in our hospital from January 2015 to December 2020 were divided into two groups based on the decision following preoperative doctor‒patient communication. Among them, 43 patients had pedicle screws placed with 3D-printed guider plates, while the remaining 20 patients had screws inserted with the assistance of computer navigation. The perioperative period, follow-up results and imaging data were compared between the groups. Results The operation was completed successfully for patients in both groups. The 3D-printed guide-assisted screw placement technique proved to be significantly superior to the computer navigation technique in terms of operation time, screw placement time, and intraoperative blood loss ( p < .05), although the former had more frequent intraoperative fluoroscopies than the latter ( p < .05). The mean follow-up time was 41.4 months, and the SRS-22 scores significantly improved in both groups over time postoperatively ( p < .05). The 3D-printing group had better SRS-22 scores than the navigation group 6 months after surgery and at the last follow-up ( p < .05). Compared with preoperative values, the coronal Cobb angle, local kyphotic Cobb angle, C7-S1 coronal deviation (C7PL-CSVL), and sagittal deviation (SVA) were significantly improved in both groups after surgery ( p < .05). Conclusion Both techniques achieve the purpose of precise screw placement and proper correction of the deformities. In contrast, the 3D-printed guide-assisted screw placement technique showed advantages in terms of operation time, screw placement time, intraoperative blood loss and patient satisfaction with outcomes.
Digitally Recording Comfort Observations in the Last Days of Life
Authors: Stewart Eleanor , Ford-Dunn Suzanne , Bass Steve , Ede Charlotte , Elliott Julie , Peters Debbie , Caputo Rita , Moreira Luis , Savage Emily , Minton Ollie 
Published: February 2024

Background: 37.5% of deaths in our area occur in hospital. There are known high unmet needs of adult patients dying in hospital, this unmet need can be reduced by using an individualised care plan and specialist palliative care review. Intervention: In 2022 UHSussex developed an electronic comfort observation chart and individualised care plan, with a centralised dashboard allowing Palliative Care Teams (SPCT) to view trends, target interventions, and a rolling prospective audit. Results: 3000 patients have had their care supported with electronic comfort observations (e-comfort obs). Over 72% of all deaths in the Trust in the last 3 months have been on e-comfort obs, with 2/3 of all deaths in the first 12 months on e-comfort obs. The average length of time on e-comfort obs is 4 days resulting in 70,000 sets of e-comfort obs recorded since launch. Seven percent of e-comfort obs record moderate or severe symptoms. We have identified benefits to people who are dying, those important to them, ward staff, SPCT and on a systems level. Conclusion: E-comfort obs can be successfully embedded in a large acute Trust. This development should improve quality of end of life care in our hospitals both for individuals and for future patients, through on-going targeted education and intervention. Further work is needed to develop the system further including integrating data from electronic prescribing.
An assessment of exposed syringe inner walls as a route of exposure from hazardous drugs
Authors: Barta Blake T , Armistead Lori T , Eckel Stephen F 
Published: February 2024

Introduction Maintaining safe working environments for health care personnel, especially for those who regularly handle hazardous drugs (HDs), is of utmost importance. Studies have shown that when closed system transfer devices (CSTDs) are used with standard open barrel syringes, cyclophosphamide (CP), a commonly used HD, is transferred to the syringe plunger during compounding or administration processes. This contamination can then be transferred to the work environment, endangering workers. Purpose The purpose of this study was to quantify HD contamination of the inner surface of standard open barrel syringes and to compare contamination levels between three commonly used HDs: 5-fluorouracil (5-FU), CP, and ifosfamide (IF). Methods Each HD was transferred from a vial to an intravenous (IV) bag using a standard open barrel syringe and Becton, Dickinson and Company (BD) PhaSealTM CSTD connectors. Samples were taken from the inner surface of each of the syringe barrels to measure the amount of HD contamination. Each drug was tested 15 times and compared to a positive control. Results Significant amounts of each drug were transferred to the inner surfaces of the syringes. The average amounts of each drug measured were: 5-FU, 1327.7 ng (standard deviation [SD] = 873.6 ng); CP, 1074.8 ng (SD = 481.6 ng); and IF, 1700.0 ng (SD = 1098.1 ng). There was no statistically significant difference between the three drugs ( p = 0.14). Conclusion This study underscores the presence of HD contamination on standard open barrel syringe inner surfaces after transfer of drug from vial to syringe to IV bag. Such contamination could be spread in the working environment and expose health care workers to harm.
PENG for chronic pain: the clinical effectiveness of pericapsular nerve group block in chronic hip pain
Authors: Karaoğlan Mustafa , Küçükçay Karaoğlan Bilge 
Published: February 2024

Objectives: To evaluate the efficiency and tolerability of pericapsular nerve group block (PENG) for the treatment of chronic hip pain. Methods: This is a retrospective, single-centre, 4-group study conducted over a 3-month period to find out the most typical cause of chronic hip pain. A total of 112 patients with symptomatic hip osteoarthritis (OA), Stage 2–3, greater trochanteric pain (GTPS) and chronic pain after total hip arthroplasty (cTHA), who had an ultrasound-guided PENG block, were selected. To assess the effectiveness of the treatment, the Western Ontario and McMaster Universities osteoarthritis index (WOMAC) and visual analogue scale (VAS) scores of the patients prior to treatment were compared with their scores after the 1st week, 1st month, and 3rd month of treatment. The study also aimed to analyse the patients’ initial feelings of alleviation following the block (1st VAS/2) and problems experienced both during and after the block. Results: The parameters studied included pain, stiffness, and results of physical activity in the 1st week, 1st month, and 3rd month following PENG block application. At the beginning of the 1st week, of the 112 patients who were administered a PENG block for hip pain, we reported a 62% improvement in pain, a 52% reduction in stiffness, and a 53% increase in physical activity. Even though these results slightly declined in the 1st and 3rd months, the rates were still higher than 45%. Conclusions: Overall, the PENG block was well-tolerated by the patients in our study. No treatment-related infections or any other serious complications were observed.
Impact of family socioeconomic position on childhood asthma outcomes, severity, and specialist referral – a Danish nationwide study
Authors: Renzi-Lomholt Martino , Ulrik Charlotte Suppli , Rastogi Deepa , Stæhr Jensen Jens Ulrik , Håkansson Kjell Erik Julius 
Published: February 2024

Background Asthma is the most common chronic illness in children, carrying a major burden. Socioeconomic position (SEP) affects adult asthma outcomes, but its impact on childhood asthma, particularly in primary versus specialist care, has not been studied thoroughly. Methods In a Danish cohort consisting of all children aged 2–17 years redeeming inhaled corticosteroids in 2015, parental SEP impact on asthma outcomes was investigated. Workforce attachment, income, education, and metropolitan residence were chosen as covariates in logistic regression. Outcomes were uncontrolled (excessive use of short-acting beta2-agonists), exacerbating (oral corticosteroid use or hospitalization), and severe asthma (according to GINA 2020). Results The cohort comprised 29,851 children (median age 8.0, 59% boys). 16% had uncontrolled asthma, 8% had ≥1 exacerbation. Lower income and metropolitan residence correlated with higher odds of poor control, exacerbations, and severe asthma. Lower education correlated with worse asthma outcomes. Education and income were protective factors in primary care, but not in specialist care. Metropolitan residence was the sole factor linked to specialist care referral for severe asthma. Conclusion Low parental SEP and metropolitan residence associated with poor asthma outcomes. However, specialist care often mitigated these effects, though such care was less likely for at-risk children in non-metropolitan areas.
Mid-term Results of Endovascular Reconstruction of Aortic Bifurcation Using COVERA Stent Graft
Authors: Mastrorilli Davide , Mezzetto Luca , Zanetti Elisa , Macrì Marco , Criscenti Paolo , Veraldi Edoardo , Veraldi Gian Franco 
Published: February 2024

Introduction: This article aims to evaluate the short-term and mid-term performance of a self-expanding covered stent (COVERA Plus, Bard Tempe, Arizona) during the treatment of Trans-Atlantic Inter-Society Consensus (TASC) C/D aortoiliac obstructive lesions involving the aortic bifurcation. Methods: A single-center retrospective review of all patients who underwent endovascular reconstruction of the aortoiliac bifurcation for obstructive disease, with the use of Covera, from January 2018 to March 2023. All patients received a postoperative CTA (computed tomography angiography) scan within 1 month from the intervention. Precision of deployment, stent conformation, and stent symmetry were evaluated at the arterial phase of the CTA. Early outcomes were technical success and freedom from open aortic reintervention and/or mortality. Late outcomes were primary and assisted primary patency rates and freedom from reintervention. Results: During the study period, 35 patients underwent primary endovascular treatment of obstructive lesions involving the aortic bifurcation with parallel COVERA stents. Aortoiliac lesions were classified as TASC-IIC in 23 (65.7%) patients and TASC D in 12 (34.2%). Median follow-up was 49 months (interquartile [IQR]: 18–60). Overall survival was 97.1% (95% confidence interval [CI]=91–100) at 60 months. During follow-up, there were one early stent stenosis, treated with an angioplasty and stent relining with an estimated primary patency at 60 months of 97.1% (95% CI=94–100) and a primary-assisted patency of 100%. Estimated freedom from all types of reinterventions at 60 months was 94.3% (95% CI=89–99.3). Conclusions: The new self-expanding covered Bard COVERA Plus stent used for endovascular treatment of TASC C/D aorto iliac disease proved to be safe and feasible with high technical procedural success rates. Comparison with other types of stents is necessary to further assess the role of the COVERA Plus stent in aortic bifurcation repair. Clinical Impact This study investigates the safety and feasibility of the new self-expanding covered Bard Covera Plus stent used for endovascular treatment of TASC C/D aorto iliac disease. The retrospective analysis of 35 patients highlights high technical success and primary patency rate at 60 months. The geometric analysis also helped to underline how this stent can be used precisely in particular conditions. These findings suggest the need for further research to compare COVERA with other types of stents in aortic bifurcation repair.
Arthroscopic Hemitrapeziectomy: Is an Internal Brace Worth It?
Authors: Tovar-Bazaga Miguel , Pérez-Cuesta Llaneras María , Badia Alejandro 
Published: February 2024

Background: This article’s purpose was to analyze clinical results obtained with thumb carpometacarpal (CMC) arthroscopic hemitrapeziectomy with temporary suspension with a Kirschner wire (K-wire). Methods: Seventy thumb CMC arthroscopic hemitrapeziectomies with a mean age of 59 and 18 months of follow-up were performed in our center during a 13-year period. All of them followed the same protocol. Surgical technique is described. Results: All patients were arthroscopically classified as Badia’s III stage. No tendon interposition was used, and a K-wire was temporarily implanted for 5.1 weeks. Mean postsurgical Visual Analogue Scale of 1.6, Kapandji Opposition Score of 8.1, grip strength of 42.2 lbs, lateral pinch of 9.5 lbs, tip-to-tip pinch of 4.2 lbs and tripod pinch of 7.8 lbs were measured. All previous active workers resumed their previous job. Conclusions: We conclude that thumb CMC arthroscopic hemitrapeziectomy with temporary suspension with K-wire reaches good results in terms of pain reduction, strength, and functionality, without the necessity of an internal brace which increases risks of a second metacarpal fracture.
Management of Pediatric Volar Plate Avulsion Fractures of the Proximal Interphalangeal Joint: A Systematic Review
Authors: Choi Hongseo , Moon Seong Hui , Lee Hosouk , Barnes Sabrina Poppy , Ma Yangmyung , Jester Andrea , Al-Ani Sami 
Published: February 2024

Background: Sudden, forced hyperextension injuries to the proximal interphalangeal joint leading to volar plate avulsion fractures are common hand injuries in children. Suboptimal management of these fractures can lead to the development of long-term complications such as stiffness and flexion contracture. Methods: MEDLINE (PubMed), Scopus, Embase, Google Scholar, and Cochrane CENTRAL databases were systematically searched, and additional studies were found through reference of articles up to June 15, 2023. Identified articles were assessed using predetermined inclusion/exclusion criteria. Results: Twenty-five articles were included, involving 268 patients with ages from 3 to 17 years. Fractures with less than 30% joint involvement, classified as Eaton type I or II, or designated as “Stable” in the Keifhaber-Stern classification, were treated through nonsurgical means. Surgical interventions, encompassing open reduction and internal fixation, were reserved for fractures with more than 30% joint involvement and/or meeting criteria such as Eaton type IIIa or IIIb and Keifhaber-Stern “Tenuous” or “Unstable.” Positive outcomes were seen in 99.5% of patients receiving nonsurgical treatment, compared with 85.7% in the surgical cohort. Conclusions: The literature demonstrated positive outcomes for fractures presenting with less than 30% joint involvement that were managed nonsurgically. In fractures with more than 30% joint involvement, surgical interventions yielded positive results. To further substantiate these findings, larger prospective studies with uniform measures are needed to validate the results of this study.
The Impact of Vaccination, Infection and Fatality Rate on ASEAN Air Transport Industry in the Pandemic Period
Authors: Law Colin C. H. 
Published: February 2024

This study aims to determine the impact of COVID-19 on air connectivity in the Association of Southeast Asian Nations (ASEAN) region, specifically focusing on infection, vaccination and fatality rates. To examine the impact of COVID-19 on the ASEAN air transport industry, a panel data series was created. The panel covered data from 57 airlines with different business models in the 10 ASEAN member states from January 2019 to July 2022 (31 months). The results of the study have shown that there is a significant inverse linear relationship between full-service and low-cost international flight movements, passenger demand and vaccination rate, infection rate and fatality rate. At the country level, Brunei experienced the lowest drop in air passenger demand, followed by the Philippines, Thailand, Malaysia and Cambodia. Other countries (Indonesia, Lao PDR, Myanmar, Singapore and Vietnam) were not significant predictors of passenger demand. The study’s results have indicated that an increase in infection rate has a greater impact on the international air travel market compared to the domestic market. The reduction rate of the domestic market is only half that of the international market, while the fatality rate demonstrated no differences. This study represents a valuable contribution to the existing knowledge of the pandemic’s impact on the air transport industry, focusing on Southeast Asian countries. It provides evidence to help stakeholders in the aviation industry prepare for future related crises. The study concludes that fostering greater cooperation and coordination among ASEAN member states in managing health crises and facilitating the aviation industry can promote economic growth, enhance resilience and strengthen regional integration in the long run. JEL Classification: F02, I30