bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluation of Sleep Quality and Its Relationship With Pain, Mood, and Physical Function After Orthopaedic Trauma Surgery: A Prospective Cohort Study
Authors: Bailey Daniel R. , Horodyski MaryBeth , Vasilopoulos Terrie , Leitz Rachel S. , Van Chi T. , Hagen Jennifer E. , Patrick Matthew R. 
Published: February 2023

Introduction:
Sleep disturbances are associated with pain and mental health. We prospectively compared a cohort of patients with orthopaedic trauma with a control group to establish the prevalence and duration of sleep disturbance and associations between sleep disturbance and pain, mood scores, and functional outcome scores.

Methods:
Subjects were patients with orthopaedic trauma undergoing in-patient surgical procedures and healthy control subjects from the community. Questionnaires completed by all subjects included the VAS numerical pain rating scale, the abbreviated profile of mood states, Patient-Reported Outcomes Measurement Information System Physical Function, and Patient-Reported Outcomes Measurement Information System Sleep Disturbance. Control subjects completed the surveys once, and subjects with trauma completed them at 2, 6, and 24 weeks postoperatively.

Results:
Healthy control subjects (28.6 ± 13.2) were significantly younger than patients with trauma (41.8 ± 18.9) (P < 0.001). Compared with control subjects, at 2-week follow-up visit, patients with trauma had worse sleep (P < 0.001) and worse mood (P = 0.006). Across the study period, patients with trauma showed improvements in physical function (P < 0.001) and pain (at rest [P = 0.02], during activity [P = 0.02], and at night [P = 0.002]). In patients with trauma, better sleep disturbance scores were associated with better mood and less pain for all pain metrics (P < 0.001).

Discussion:
Patients with orthopaedic trauma have worse sleep disturbance scores at 2 weeks postoperatively compared with normal control subjects; this difference attenuated at 6 weeks. Sleep disturbance was found to markedly correlate with pain and mood, with worse sleep quality associated with higher pain and worse mood. Improvement in sleep quality across 24 weeks postoperatively was associated with improvement in mood scores.

Conclusion:
Patients should be counseled about the likely development of sleep disturbance and the possible association with worse emotional/mental health with worse sleep. Physicians should consider incorporating a multidisciplinary approach to the management of these select patients.
Arthrotomy Dehiscence After Total Knee Arthroplasty With a Barbed Suture
Authors: Hood Mark , Rowe Taylor M. , Valenzeula Michael M. , McBride Bobby , Odum Susan , Fehring Thomas K. 
Published: February 2023

Introduction:
Meticulous arthrotomy closure during total knee arthroplasty (TKA) is essential to preserve quadriceps strength and maintain proper patellar tracking. We recently encountered a subset of patients referred with anterior knee pain, a palpable retinaculum defect, and quadriceps weakness. Each patient was found to have an arthrotomy dehiscence. This study highlights arthrotomy dehiscence as a failure mechanism after TKA.

Methods:
A retrospective case series of patients who underwent primary TKA followed by subsequent capsular dehiscence was reviewed. We investigated whether the dehiscence was related to trauma, the presence of a palpable arthrotomy defect, patellar tracking, quadriceps strength, and the type of closure technique.

Results:
All patients had an atraumatic disruption and presented with anterior knee pain and quadriceps weakness. Fourteen of 18 patients (78%) had a palpable defect along the medial retinaculum. Nine of 18 patients (50%) had patellar subluxation or tilting. Barbed sutures were used in 13 of 18 (72%) patients. A simple arthrotomy repair (44%) or a vastus medialis obliquus advancement (56%) was used successfully in all patients.

Discussion:
Atraumatic arthrotomy dehiscence as a cause of TKA failure historically has been a rare event. Recently, we have noticed a disturbing number of patients presenting with this failure mechanism. With this study, we call attention to this unique atraumatic failure mechanism in patients presenting with anterior knee pain after TKA. Surgeons should be aware of this risk when using barbed sutures alone and should consider routinely reinforcing the arthrotomy with interrupted sutures.

Level of Evidence:
Level IV, Retrospective Case Series
Transfusion Thresholds Can Be Safely Lowered in the Hip Fracture Patient: A Consecutive Series of 1,496 Patients
Authors: Konda Sanjit R. , Parola Rown , Perskin Cody R. , Fisher Nina D. , Ganta Abhishek , Egol Kenneth A. 
Published: February 2023

Introduction:
The purpose of this study is to identify optimal threshold hemoglobin (Hgb) and hematocrit (Hct) laboratory values to transfuse hip fracture patients.

Methods:
A consecutive series of hip fracture patients were reviewed for demographic, clinical, and cost data. Patients receiving an allogeneic transfusion of packed red blood cells (pRBCs) were grouped based on last Hct or Hgb (H&H) value before first transfusion. Multivariate logistic regressions of H&H quantile were performed to predict “good outcomes,” a composite binary variable defined as admissions satisfying (1) no major complications, (2) length of stay below top tertile, (3) cost below median, (4) no mortality within 30 days, and (5) no readmission within 30 days. Odds ratios (OR) for “good outcomes” were calculated for each H&H quantile.

Results:
One thousand four hundred ninety-six hip fracture patients were identified, of which 598 (40.0%) were transfused with pRBCs. Patients first transfused at Hgb values from 7.55 to 7.85 g/dL (P = 0.043, OR = 2.70) or Hct values from 22.7 to 23.8% (P = 0.048, OR = 2.63) were most likely to achieve “good outcomes.”

Discussion:
The decision to transfuse patients should be motivated by Hgb and Hct laboratory test results, given that transfusion timing relative to surgery has been shown to not affect outcomes among patients matched by trauma risk score. Surgeons should aim to transfuse hip fracture patients at Hgb levels between 7.55 g/dL and 7.85 g/dL or Hct levels between 22.7% and 23.8%. These transfusion thresholds have the potential to lower healthcare costs without compromising quality, ultimately resulting in less costly, efficacious care for the patient.

Level of Evidence:
Level III
Outcomes of Recurrent Mobile Spine Chordomas
Authors: Kolz Joshua M. , Wellings Elizabeth P. , Houdek Matthew T. , Clarke Michelle J. , Yaszemski Michael J. , Rose Peter S. 
Published: February 2023

Introduction:
Chordomas of the mobile spine are rare malignant tumors. The purpose of this study was to review the outcomes of treatment for patients with recurrent mobile spine chordomas.

Methods:
The oncologic outcomes and survival of 30 patients undergoing treatment of a recurrent mobile spine chordoma were assessed over a 24-year period. The mean follow-up was 3.5 years.

Results:
In patients presenting with a recurrent mobile spine chordoma, the mean 2- and 5-year overall survival was 73% and 39%, respectively. Enneking appropriate resection trended toward improved overall survival at 5 years (100% vs. 32%, P = 0.24). Those undergoing surgical resection for recurrence had improved metastatic-free survival (hazard ratio 0.29, CI 0.08 to 0.99, P = 0.05). Positive margins were found to be a risk factor of further local recurrence (hazard ratio 7.92, CI 1.02 to 61.49, P = 0.04). Those undergoing nonsurgical management trended toward having an increase in new neurologic deficits (P = 0.09), however, there was no difference in overall complications based on treatment type (P = 0.13).

Conclusion:
Recurrent mobile spine chordoma portends a poor prognosis with an overall survival of less than 40% at 5 years. Surgical resection may help prevent new neurologic deficits and tumor metastasis while en bloc excision with negative surgical margins is associated with improved local recurrence-free survival.
Characterizing Single-star Negative Online Reviews of Orthopaedic Trauma Association Members
Authors: Richman Evan H. , Kuttner Nicolas P. , Foster Lukas O. , Bruske Christopher J. , Pollock Jordan R. , Brinkman Joseph C. , Little Milton T. M. 
Published: February 2023

Introduction:
The purpose of this study was to characterize factors that contribute to 1-star negative reviews regarding orthopaedic trauma surgeons.

Methods:
A search was done for Orthopaedic Trauma Association members on Yelp.com, Healthgrade.com, and Vitals.com in New York, Boston, San Francisco, Los Angeles, Dallas, Phoenix, Seattle, Baltimore, Denver, Houston, Philadelphia, and Washington, DC. All single-star reviews (out of a possible 5 stars) were included in this study. Reviews were categorized as either clinical or nonclinical and then further subcategorized. Categorical variables were analyzed using a chi-square test. The rate ratio (the ratio of the rate for nonsurgical divided by surgical reviews) was determined for each category.

Results:
Two hundred eighty-eight single-star reviews were included in the study, comprising 655 total complaints. Of all complaints, 274 (41.8%) were clinically related and 381 (58.2%) were nonclinical. Of the 288 single-star reviews, 96 (33.3%) were from surgically treated patients and 192 (66.7%) were from nonsurgical patients. Most complaints were in reference to nonclinical aspects of care such as physician bedside manner (173 reviews, 60%), not enough time spent with provider (58 reviews, 20%), and wait time (42 complaints, 15%). The most common clinical complaints were for complication (61 reviews, 21%), disagree with decision/plan (49 reviews, 17%), and uncontrolled pain (45 reviews, 16%). Surgical patients had a significantly higher rate of clinical complaints than nonsurgical patients (1.57 vs. 0.64 clinical complaints per review, P < 0.001). Nonsurgical patients had a significantly higher rate of nonclinical complaints than surgical patients (1.43 vs. 1.10 nonclinical complaints per review, P < 0.001).

Discussion:
Most 1-star reviews referenced a nonclinical aspect of care with a physician's bedside manner being the most common complaint. Surgical patients were markedly more likely to reference a clinical aspect of care, such as complications or misdiagnosis compared with nonsurgical patients, who more commonly referenced nonclinical aspects of care.
Sistem Informasi Manajemen Pembelajaran di SMK Muhammadiyah
Authors: Turnudin Turnudin , Miyono Noor , Abdullah Ghufron 
Published: February 2023

Berdasarkan penelitian pendahuluan, proses kegiatan mengelola membelajaran pembelajaran yang diawali dengan kegiatan perencanaan, pengorganisasian, pelaksanaan dan evaluasi di SMK Muhammadiyah Talun berjalan seperti biasa tidak terlihat ada yang berbeda. Namun, jika dilihat dari prestasi akademik maupun non-akademik Siswa, untuk itu penulis tertarik untuk meneliti lebih lanjut dan mengajukan rumusan masalah “Bagaimanakah sistem informasi Manajemen Pembelajaran Siswa SMK Muhammadiyah Talun. Jenis penelitian ini adalah penelitian deskriptif kualitatif. Sumber datanya adalah seluruh guru, Kepala Sekolah, Wakil dan siswa SMK Muhammadiyah Talun Teknik pengumpulan data yang digunakan yaitu observasi, wawancara dan dokumentasi. Adapun teknik analisa data yang digunakan teknik analisis kulalitatif, dengan langkah-langkah: mengkatagorisasikan data, mereduksi data, menyajikan data dan mengklasifikasikan data sesuai dengan fokus penelitian kemudian menarik kesimpulan dari data yang diperoleh dalam penelitian ini. Hasil penelitian menunjukkan bahwa Sistem informaasi Manajemen Pembelajaran di SMK Muhammadiyah Talun berjalan melalui kegiatan perencanaan, pengorganisasian, pelaksanaan dan evaluasi. Setiap tahapan tersebut dilaksanakan dengan kriteria baik oleh guru dan semua warga sekolah. Namun, berdasarkan hasil analisis data, terungkap temuan-temuan penelitian yang memberikan jawaban dari rumusan masalah penelitian ini.
Analysis of High Order Thinking Skill (HOTS) Type Questions in the Final Assessment of Elementary School Theme 2 Class V Academic Year 2021/2022
Authors: Saputro Uung Gondo , Mahanal Susriyati , Mashfufah Aynin 
Published: February 2023

The purpose of National Education is to create a prosperous Indonesian society by forming a quality, independent, and able to realize the ideals of the nation. This goal is implied in the field of Education by applying 21st century skills. One form of 21st century literacy that applies higher-order thinking in learning to improve students' abilities. Application in education is carried out through planning, implementation, and evaluation. The form of evaluation is a test and non-test, one of which is a HOTS-type question to measure high-level thinking ability. The research data is sourced from documents about the final semester assessment of class V theme 2 Malang city for the 2021/2022 school year. The data were analyzed using descriptive and qualitative techniques. The purpose of the study is to determine the application of the end of Semester Assessment class V theme 2 Malang City for the 2021/2022 Academic Year. The results of the study: (1) questions that measure students' analytical ability emphasize elemental analysis and relationship analysis; (2) questions that measure a student's synthesizing ability emphasize hypothesizing a symptom; (3) questions that measure students' evaluation ability emphasize the assessment of a material based on applicable rules; (4) High order thinking skills type questions contain measuring elemental analysis and relationship analysis skills. The commonly used form of the test is multiple choice, while the stimulus uses story illustrations.
The effect of neuroticism on problematic smartphone use: A mediation model of self-control for males and females
Authors: Liu Yanan , Wang Xiuna , Zhai Jiaqi , Luo Fang , Xin Tao 
Published: February 2023

Exploring the effect of certain factors on problematic smartphone use (PSU) and the mechanism of these effects may help researchers understand the antecedents of PSU and propose targeted interventions. Accordingly, the current study tested the mediating role of self-control and the moderating role of gender in the relationship between neuroticism and PSU. A sample of 768 Chinese smartphone users (439 female, 329 male) aged 14–37 years (M = 22.5, SD = 3.27) completed questionnaires on neuroticism, self-control, nomophobia, and mobile phone addiction. The results showed that females reported significantly higher PSU than males. In addition, for females, self-control partially mediated the relationship between neuroticism and PSU, while for males, neuroticism had only a direct effect on PSU. The findings shed light on the effect of neuroticism on PSU and highlight the importance of gender in this effect.
Digital social multitasking (DSMT), digital stress, and socioemotional wellbeing among adolescents
Authors: Yang Chia-chen , Smith Christina , Pham Thomas , Ariati Jati 
Published: February 2023

Phone use during face-to-face interactions has become increasingly common in adolescents’ social lives, but the mechanisms through which the behavior is associated with adolescents’ socioemotional wellbeing remain understudied. Drawing on the frameworks of digital social multitasking (DSMT) and digital stress, this study examined whether and how three types of digital stress (availability stress, connection overload, and fear of missing out) mediated the association between phone use in friendships and socioemotional wellbeing (depressive symptoms and friendship quality) among adolescents. A sample of 517 adolescents (Mage = 14.83, SD = 1.93) completed an online survey. Results showed that phone use during face-to-face interactions with a friend (i.e., DSMT) had an indirect relationship with greater depressive symptoms through all three types of digital stress. It also had an indirect relationship with better friendship quality via fear of missing out. The paths involving connection overload was moderated by the seriousness of the face-to-face interactions—in more serious interactions, DSMT had an indirect relationship with depressive symptoms, but not friendship quality; in less serious interactions, DSMT had an indirect relationship with friendship quality, but not depressive symptoms. Theoretical and practical implications are discussed.
Procrastinación de la cultura andina y educación intercultural en instituciones educativas bilingües distrito Huancayo Perú
Authors: Chamorro Mejia Rafael , Chamorro Llantoy Sara Pilar , Núñez Llantoy Ricardo Miguel 
Published: February 2023

El artículo con el objetivo previo, determinar la relación que existe entre la percepción de los docentes sobre procrastinación de la cultura andina y la educación intercultural en estudiantes de instituciones educativas bilingües distrito Huancayo Perú. El método fue guiado por el enfoque cuantitativo, de tipo descriptiva con diseño descriptivo correlacional, se trabajó con una muestra de 590 estudiantes, 60 Docentes, a quienes se administró los cuestionarios para recojo de datos. Los resultados indican, que, un alto porcentaje de encuestados perciben a estudiantes que procrastinan la cultura andina en sus acciones y actitudes, de igual forma tienen dificultad en la educación intercultural en un alto porcentaje; por lo que se concluye: Existe correlación negativa muy baja entre procrastinación de la cultura andina y educación intercultural en estudiantes de instituciones educativas bilingües distrito de Huancayo Perú; con un coeficiente de correlación de Tau-b de Kendall igual a - 0,071.
CULTURAL SENSITIVITY IN THE PROCESS OF FORMING CROSS-CULTURAL TOLERANCE
Authors: Чистоградова Ольга Александровна , Ногинова Виктория Владимировна 
Published: February 2023

В статье актуализируется формирование поликультурной личности, обладающей развитым чувством эмпатии и толерантности. Проанализирована модель развития межкультурной сензитивности, разработанная М.Беннетом. Представлены шесть этапов перехода монокультурной личности в поликультурную, результатом которого является высокий уровень сформированности межкультурной толерантности.
The formation of a multicultural personality with a developed sense of empathy and tolerance is being updated. The model of development of intercultural sensitivity developed by M. Bennett is analyzed. Six stages of the transition of a monocultural personality to a multicultural one are presented, the result of which is a high level of formation of cross-cultural tolerance.
ӨЛШЕУ ЖҮЙЕЛЕРІН ҚОЛДАНА ОТЫРЫП, БЕТОННЫҢ БЕРІКТІГІН БАҚЫЛАУДЫҢ НОРМАТИВТІК ТАЛАПТАРЫНЫҢ ЕРЕКШЕЛІКТЕРІ
Authors: ТУЛЕБЕКОВА А.С. , АХМЕТОВ Д.А. , РООТ Е.Н. , ЖАРАСОВ Ш.Ж. 
Published: February 2023

Сегодня, рынок представлен различными видами измерительных систем для температурно-прочностного контроля бетона. Каждые из которых, имеют свои технические характеристики и особенности работы. Применение датчиков позволяет вести оперативный контроль. Согласно требованиям нормативов, расчеты прочности бетона могут выполняться по нескольким методам. В статье приведен сравнительный анализ данных методов. Выявлены преимущества и недостатки каждого из них.
Бүгінгі таңда нарықта бетонның температурасын және беріктігін бақылауға арналған өлшеу жүйелерінің әртүрлі түрлері ұсынылған. Олардың әрқайсысының өзіндік сипаттамалары мен жұмыс ерекшеліктері бар. Датчиктерді пайдалану жедел бақылауды жүзеге асыруға мүмкіндік береді. Нормативтік құжаттардың талаптарына сәйкес бетонның беріктігін есептеу бірнеше әдістермен жүргізілуі мүмкін. Мақалада осы әдістердің салыстырмалы талдауы келтірілген. Олардың әрқайсысының артықшылықтары мен кемшіліктері анықталды.
Today, the market is represented by various types of measuring systems for temperaturestrength control of concrete. Each of them has its own technical characteristics and peculiarities of work. The use of sensors allows for operational control. According to the requirements of regulations, calculations of the strength of concrete can be carried out by several methods. The article presents a comparative analysis of these methods. The advantages and disadvantages of each of them are revealed.
СЫМСЫЗ ЖЕЛІЛЕРДЕ САНДЫҚ СИГНАЛДАРДЫ ӨҢДЕУ ӘДІСТЕРІ
Authors: ДАРАЕВ А.М. , ДОМРАЧЕВ В.Н. , АКАНОВА Ж.Ж. , ТЛЕПБЕРГЕНОВА Г.Т. 
Published: February 2023

В современном мире происходит бурный скачок в развитии цифровой связи. Сотовая и радиорелейная связь, передача данных по компьютерным сетям, цифровое радиовещание и телевидение, представленные в различных и многообразных форматах, охватили все страны мира. Значительное повышение скорости передачи цифровой информации по линиям связи требует разработки новых путей повышения качества передачи информационных потоков по каналам передачи информации, что в свою очередь нуждается в создании программно-аппаратных средств для решения такой проблемы. В статье рассмотрены причины искажений цифровых сигналов. Приведены методы борьбы с искажениями: разнесенный прием, разделение отдельных сигналов в точке приема с помощью использования широкополосных сигналов, прием с применением выравнивания частотных характеристик канала, использование OFDM.
Қазіргі әлемде цифрлық байланыстың дамуында қарқынды серпіліс бар. Ұялы және радиорелелік байланыс, деректерді компьютерлік желілер арқылы беру, сандық радиохабар және теледидар түрлі және алуан түрлі форматтарда ұсынылған, әлемнің барлық елдерін қамтыды. Байланыс желілері арқылы сандық ақпаратты беру жылдамдығының едәуір артуы ақпарат беру арналары арқылы ақпараттық ағындарды беру сапасын жақсартудың жаңа жолдарын әзірлеуді талап етеді, бұл өз кезегінде мұндай мәселені шешу үшін бағдарламалық және аппараттық құралдарды құруды қажет етеді. Мақалада сандық сигналдардың бұрмалану себептері қарастырылады. Бұрмаланулармен күресу әдістері келтірілген: кеңейтілген қабылдау, кең жолақты сигналдарды қолдану арқылы қабылдау нүктесінде жеке сигналдарды бөлу, арнаның жиілік сипаттамаларын теңестіру арқылы қабылдау, OFDM қолдану.
In the modern world, there is a rapid leap in the development of digital communications. Cellular and radio relay communications, data transmission over computer networks, digital radio broadcasting and television, presented in various and diverse formats, covered all countries of the world. A significant increase in the speed of digital information transmission over communication lines requires the development of new ways to improve the quality of information flows through information transmission channels, which in turn requires the creation of software and hardware to solve this problem. The article discusses the causes of digital signal distortion. The methods of dealing with distortion are given: spaced reception, separation of individual signals at the receiving point using broadband signals, reception using channel frequency characteristics equalization, use OFDM.
Effect of a Pharmacist Admission Medication Reconciliation Service at a Children's Hospital
Authors: Hovey Sara W. , Click Kristen W. , Jacobson Jessica L. 
Published: February 2023

OBJECTIVE
To evaluate the clinical effect and estimate cost avoidance attributed to a pharmacist-led admission medication reconciliation service at a children's hospital.

METHODS
This was a prospective observational cohort study that measured pharmacist interventions for pediatric patients over a 90-day period. Pharmacists logged all interventions identified during medication reconciliation in real time. Patient demographic data were collected retrospectively. Cost avoidance from prevented adverse drug events (ADEs) was estimated based on previously published literature.

RESULTS
Pharmacists completed 283 admission medication reconciliations during the study period. Of those, 69% of medication reconciliations required intervention. Interventions affected care during the hospital admission in 21.9% of patients and 8 medication reconciliations resulted in prevention of a major ADE. This pharmacist-led service resulted in an estimated cost avoidance of $46,746.65 in the 3-month period.

CONCLUSIONS
Implementation of a pharmacist-led admission medication reconciliation service for pediatric patients improved medication safety and resulted in significant cost avoidance, which justifies investment in these pharmacist resources.