bluuebunny/crossref_metadata_2025_split huggingface dataset:
Features of organotopic remodeling of bone tissue and implanted osteoplastic material in Charcot neuro/osteoarthropathy
Authors: Osnach S. A. , Protsko V. G. , Kuznetsov V. V. , Obolensky V. N. , Tamoev S. K. , Khamidullina Yu. V. , Borzunov D. Yu. 
Published: September 2023

Introduction Despite the recognition of MRI as the gold diagnostic standard for Charcot arthropathy, there is evidence in the literature that MSCT is more informative for objective qualitative and quantitative diagnosis of the condition, primarily of the bone skeleton of the Charcot foot, in comparison with standard radiography. The sensitivity and specificity of these methods are different.Purpose To reveal the features of organotopic remodeling of bone tissue and implanted osteoplastic material in the course of midfoot and hindfoot subtotal defects management in Charcot neuro-osteoarthropathy.Materials and methods The analysis of bone tissue and implanted osteoplastic material density was carried out in a case series that included 11 patients with Charcot neuro-osteoarthropathy who underwent a two-stage procedure for bone defects in the hindfoot and midfoot with the Ilizarov apparatus. We studied CT and MRI scans and measured bone regenerate density before treatment, at the stages of transosseous osteosynthesis, and 3, 6, and 12 months after surgery.Results In all patients, varying increase in the amount and volume of bone tissue was visualized due to intensive periosteal bone formation along with the formation of bone ankylosis in the joints along combined with a consistent increase in the optical density of bone regenerates. The formation of the new bone tissue ran without the signs of lysis or sequestration. The conducted studies indicate that the sizes and architectonics of bone fragments are more differentiated in CT than in MRI scans.Discussion It is known that the bone, despite its high mineralization, continuously rebuilds, restores and adapts itself to certain functional conditions. This constant dynamic process of adaptive remodeling depends mostly on optimal blood supply, metabolic activity and the coordinated work of bone cell elements. The data obtained show angiogenesis in the compromised tissues in patients with Charcot foot and consistent remodeling of the graft into the new bone tissue.Conclusion The allobone in the composition of the combined bone graft does not reduce the likelihood of complete remodeling of the newly formed bone tissue. Higher bone density by filling in a bone defect with a graft differs from distraction regenerate that initially has low bone density. CT and MRI are highly effective and informative diagnostic methods for surgical treatment. In reconstructive interventions in the patients with Charcot foot under the conditions of transosseous osteosynthesis, preference among radiological study methods should be given to CT.
The role of culture-negative infection among infectious complications after total knee arthroplasty
Authors: Lyubimova L. V. , Bozhkova S. A. , Pchelova N. N. , Preobrazhenskaya E. V. , Lyubimov E. A. 
Published: September 2023

Introduction Diagnosis of chronic periprosthetic joint infection (PJI) is difficult with the clinical signs of periprosthetic inflammation showing no growth of microorganism in the biomaterial. The frequency of culture-negative infection can reach 42.1 %. The objective of the study was to analyze outcomes of two-stage treatment of chronic PJI of the knee joint depending on the etiology of the infectious process.Material and methods A retrospective analysis of outcomes was produced for 103 patients: group I (n=30) showing no growth of microorganisms and group II (n = 73) demonstrating positive growth of pathogens. Knee PJI was diagnosed according to the 2018 ICM criteria. A favorable outcome suggested absence of recurrence for at least two years after reimplantation of endoprosthesis, arthrodesis, “life with a spacer” without signs of infection.Results Culture-negative infection was detected in 29.1 % (n = 30). Patients in the group were 1.5 times more likely to receive antibiotic therapy prior to admission and had average levels of CRP, ESR and articular leukocyte count being 1.5-2 times less than those in group II. Staphylococci (69.8 %) including MRSE (75 %) was the leading pathogen in group II. Recurrence of infection was 3.4 % in group I and 16.9 % in group II (p = 0.0928), the two-stage treatment was successful in 96.7 % and 74 %, respectively (p = 0.0064).Discussion Causes for the lack of growth of microorganisms in biological materials included previous antibiotic therapy, wound drainage, violations of the rules for sampling of biological material, absence of media for the growth of atypical microorganisms and the ability of microorganisms to form biofilms on implant surfaces. An emergency histological examination of the affected tissues was practical during surgery in doubtful situations for adequate surgical approach. The results of a meta-analysis (2023) showed that the replacement of an infected endoprosthesis was more effective for the treatment of a culture-negative infection compared to debridement and preservation of implant.Conclusion The culture-negative infection group in our series showed better success rate of a two-stage treatment of PJI using implant replacement and broad-spectrum empiric antibiotic therapy at a two-year follow-up period. The negative microbiological result in the group could be caused by antibacterial drugs administered prior to diagnosis of PJI.
Implementation of disaster risk reduction management of Visayas state university, Tolosa, province of Leyte-Philippines
Authors: Catacio Cipres Marieli Cherry 
Published: September 2023

In Leyte, one of the Philippines’ disaster-prone provinces, effective Disaster Risk Reduction Management (DRRM) is crucial for safeguarding lives and properties. This research explored gaps in DRRM implementation at Visayas State University Tolosa for 2022 using a qualitative case study approach. Focusing on the university’s Disaster Risk Reduction and Management Committee, comprising seven members, semi-structured interviews were conducted to discuss policy and standard requirements for academic institutions, observing ethical research principles. Four themes emerged: Institutional Preparedness, Disaster Risk Prevention and Awareness, Lifesaving and Protective Equipment, and Budget for Resilient Building Reconstruction. Key findings highlighted the importance of enhancing the university’s disaster policies, strategies, and building infrastructure. Adherence to the Philippine Building Code and a specific emergency plan, coupled with increased awareness campaigns, were deemed essential for improved safety. Notably, gaps were identified in the provision of rapid communication technology, solar lighting, powerful generators, and emergency vehicles. The study also underscored the necessity for dedicated funding to foster resilient building infrastructure, ensuring a safe environment for the university community.
Keywords: Implementations; Disaster Risk Reduction Management; School.
Understanding Saudi’s preferences of emergency physicians attire a cross-sectional study
Authors: Alsalamah Majid , Aldahaian Dahian , Alghamdi Khaled , Alharthi Falwah , Albusair Malek , Algharbi Abdullah 
Published: September 2023

Background: Patient centered care (PCC) is defined as the practice of attending to patients that includes listening, informing, and involving patients in their health care as per picker’s eight principles. A part of the patients’ rights is the presentation of the caring physician which includes attitude and attire. In Saudi Arabia, it has been known that doctors present with white coat. Several studies showed that physician dress-code improve patients’ satisfaction. Our aim in this study is to identify Saudi population preference on the attire of emergency physicians.
Methods: This was cross-sectional study in Riyadh, Saudi Arabia. Questions were asked to Saudi population in malls and hospital’s waiting areas regarding physician attire by online survey. Participants were asked demographic questions then they were asked in detail about their preferences.
Results: Total 486 participated in the study, where 52.15% strongly care about emergency physician’s look. 82% would like to see their male physician wearing scrubs/medical coat, 43% agreed on a face cover for their female physician but still prefer scrubs/medical coat with 45%. Lastly participants had equal thoughts when it came to experience and reliability as 38% agree that looks can affect these two qualities. When it came to the relation of looks to knowledge as percentage were very close with 31% neutral and 32% agreed.
Conclusions: Both Saudi sexes equally consider emergency physician external look as a representation on their respectfulness, reliability, and experience, but not that significant to the knowledge he has.
Seasonal variance in the incidence rate of epistaxis
Authors: Ahsanuzzaman Khan M. , Wahab M. Abdul , Alam M. Monsur , Tabassum Taniza 
Published: September 2023

Background: Epistaxis, commonly known as a nosebleed, is a medical term that refers to the occurrence of bleeding from the nose. This study aimed to assess the seasonal variance in the incidence rate of epistaxis.
Methods: This was a cross-sectional observational study that was conducted in the department of otolaryngology and head-neck surgery (ENT) at Combined Military hospital (CMH), Chattogram from January 2013 to December 2016 and in CMH, Dhaka from January 2017 to July 2019. In total 165 patients who reported complaints of nose bleeding to the ENT Outpatient Department or Emergency unit of the aforementioned hospitals were enrolled in this study as the study subjects. All the patients were diagnosed based on, clinical examination, history, and radiological and laboratory investigations. All data were processed, analyzed and disseminated by using MS office.
Results: The mean age of the participants was 34.44 years; the majority (21.8%) were from the age group of 11-20 years. Bilateral nasal bleeding was in 108 (65.5%) cases, 125 (75.8%) patients had the first episode of bleeding and 117 (70.9%) patients had anterior epistaxis. In analyzing the monthly wise incidences rate of epistaxis among participants we observed that, in February (11%), March (10%), June (10%), July (13%) and December (15%) the incidence rates were higher than in other months. In evaluating the seasonal variation of epistaxis among our participants we observed that the highest incidences occurred in the winter season which was 32% followed by 30% in the summer season.
Conclusions: Younger male individuals are mainly prone to epistaxis. The frequency of the incidence of epistaxis during the winter and summer seasons is higher than in other seasons.
Efficacy and safety of SilverNovaTM skin cream in post-aesthetic skin procedures
Authors: Poojary Shital , Rao Kshitija , Jadhav Avinash , Purohit Sanjay , Kondadi Pooja , Mehta Anirudh 
Published: September 2023

Background: The objective of this study was to evaluate the efficacy and safety of SilverNovaTM skin cream in post-aesthetic skin procedure subjects.
Methods: In this prospective, interventional, open-label, multicentric study, subjects who undergone post aesthetic procedures were enrolled to receive the application of SilverNovaTM skin cream twice daily. The subjects received the topical application for seven days, after which they were followed up for the next seven days. Endpoints were assessed at baseline and the end of the treatment (EOT). Primary endpoints were the investigator-assessed erythema, edema, dryness/scaling score, and the subject-assessed product tolerability in terms of burning, stinging, itching, and dryness/tightness.
Results: A total of 60 subjects completed the study. There was a significant improvement in erythema (-0.62), edema (-0.55), and dryness/scaling score (-0.40) (p<0.0001). There was also significant improvement in burning (-0.18), itching (-0.17), and dryness/tightness scores (-0.20). The physician global improvement assessment scale score was reduced from 3.3 to 1.38 (p<0.0001), showing the resolution of the symptom severity post-treatment with SilverNovaTM skin cream. Colorimetric characterization showed significant improvement in values at the end of the study, reflecting the improvement in skin color and erythema reduction. No adverse events were reported during the study.
Conclusions: The application of SilverNovaTM cream in the immediate post procedure period significantly reduced the downtime of the treatment and improved patient acceptance of the treatment. This indicates that SilverNovaTM skin cream is a promising therapeutic option for managing the complications associated with aesthetic skin procedures without any safety concerns.
Caregivers’ knowledge and attitude scale towards drug: development and validation
Authors: Chaudhuri Pamela Datta , Roy Suvendu , Sikdar Deb Prasad 
Published: September 2023

Background: Drug abuse is a prevalent issue in society, often used to reduce stress and improve mental health. It is often seen as a personal disorder, causing harm to users and their loved ones. In today’s globalized world, society strives for better care, emphasizing the importance of solving problems and emphasizing the role of caregivers in supporting drug addicts.
Methods: A standardized knowledge and attitude scale was developed to assess 60 caregivers of drug addicts in Kolkata, India. The scale was self-administered and tested at 21-day intervals. The Pearson’s correlation coefficient method was applied for questionnaire validity. The scale was used to eliminate poor items and ensure reliability.
Results: The tool primarily consists of twenty-two (22) knowledge and twenty-two (22) attitude items towards drug. Following item analysis, four (4) distracting items from the knowledge scale are dropped in accordance with the difficulty index and discrimination index. The discrimination indices from the attitude scale were used to eliminate 1 distracting item. As a result, 18 items for the knowledge scale and 21 items for the attitude scale were retained. The knowledge and attitude tools’ final form has found high significant correlation.
Conclusions: The study explained how to create a standardized scale with good items and significant reliability to evaluate knowledge and attitude towards drug addicts.
Knowledge, attitude, and perception of prescribers about antimicrobial stewardship in a tertiary care hospital
Authors: Patil Jayesh Pralhad , Baig Mirza Shiraz , Kulkarni Vishal Ashok 
Published: September 2023

Background: Irrational antimicrobial use has contributed to amplification and spread of antimicrobial resistance (AMR). Antimicrobial stewardship by healthcare personnel can reduce AMR. The World Health Organization (WHO) has established a worldwide action plan to address AMR, including free online availability of open WHO courses. So, our study sought to ascertain knowledge, attitude, and practice (KAP) of healthcare personnel concerning AMS at tertiary care hospital.
Methods: Study was conducted as a KAP survey among practitioners (faculty, senior and junior residents) from several departments of Government Medical College, Aurangabad, Maharashtra. A validated questionnaire with 30 questions was prepared and distributed to 100 participants. The data collected in MS excel was analyzed with descriptive statistics and results expressed as mean and standard deviation, frequencies, and percentages.
Results: Response rate was 16.7% (n=100). Knowledge on AMS was observed among doctors’ with >80% near correct responses in each question. Insignificant knowledge gap was found comparing between faculty members, senior residents, and junior residents (p>0.005) in the knowledge, attitude and practice of antimicrobial use. All participants felt that ASP is a requirement of hospital, and it minimizes healthcare expenditures and negative impacts of inappropriate AM prescribing.
Conclusions: All HCPs have a knowledge gap on ASP, although there is no significant difference in knowledge, attitude, and practice of antimicrobial use between faculty members and senior and junior residents. This demonstrates importance of faculty members taking lead in incorporating more practice and education into ASP.
„Taką mam naturę, że ciągle mi wesoło…” Nazwy osobowe motywowane leksyką z pola znaczeniowego ‘natura ludzka’ jako nośnik znaczeń w przestrzeni literackiej Agnieszki Zimnowodzkiej
Authors: Łuc Izabela 
Published: September 2023

W artykule omówiono problem nazw osobowych motywowanych jednostkami leksykalnymi z pola znaczeniowego ‘natura ludzka’ wynotowanych z serii opowiadań dla dzieci Humorki Agnieszki Zimnowodzkiej, których właściwości formalno-kategorialne autorka wyzyskała w przestrzeni literackiej, przypisując im status tekstowych znaczeń. Owe twory rozpatrzono z perspektywy lingwistyki stylistycznej, lingwistyki tekstowej oraz pragmalingwistyki. Analiza nazw omawianego typu odsłoniła sposoby ich wpisywania do przestrzeni literackiej, swoiste dla warsztatu twórczego pisarki tendencje w zakresie nominowania nazw, komponowania ich struktur i zastosowane strategie nazewnicze. Znamienną dla autorki tendencją jest kreacja nazw seryjnych i okolicznościowych, umiejętnie wprowadzanych do (kon)tekstu. Onimy wykreowane przez Zimnowodzką pełnią w serii opowiadań wiele przenikających się funkcji – treściową; aluzyjną, dydaktyczną, ekspresywną, informacyjną, intertekstualną, humorystyczną, kreatywną, metatekstową i wartościującą.
Uniwersytet 4.0 – mit cyfrowej akademii? Refleksja historyczno-komunikologiczna
Authors: Kinal Jarosław , Hess Agnieszka 
Published: September 2023

Zmiana społeczna wymuszona rewolucją teleinformatyczną oraz stopniowe skurczenie świata zgodnie z paradygmatem globalnej wioski wywarło wpływ zarówno na postrzeganie, jak i funkcjonowanie uniwersytetu jako instytucji publicznej. Współczesna uczelnia, pomimo wypracowanych w poprzednich dekadach a nawet stuleciach norm i procedur, musi w sposób skokowy dostosować się do wymagań tak społeczeństwa cyfrowego, jak i cyfrowej ekonomii z zachowaniem dotychczasowej tożsamości i unikatowej roli, jaką pełni w strukturze społecznej. Celem niniejszego artykułu jest z jednej strony prezentacja przemian, jakie doświadczyła akademia w perspektywie zmiany społecznej, z drugiej – prezentacja badań własnych dotyczących oceny cyfryzacji procesów zachodzących na uczelniach z perspektywy doświadczenia postcovidowego. W badaniu udział wzięło 433 studentów oraz 133 nauczycieli akademickich zatrudnionych zarówno na etacie, jak i współpracujących z uczelnią na umowy cywilnoprawne.
Lifelong learning a satysfakcja z życia osób po 50. roku życia
Authors: Luty-Michalak Marta 
Published: September 2023

W literaturze przedmiotu nie brakuje analiz ukazujących wpływ uczenia się na aktywność zawodową, zarobki, pozycję zawodową itp. Często opisywany jest również wpływ stanu zdrowia czy też aktywności społecznej na odczuwany przez jednostki poziom satysfakcji z życia. O wiele rzadziej spotykamy badania wskazujące na związek uczenia się ze zdrowiem, dobrym samopoczuciem czy satysfakcją z życia. Celem artykułu jest analiza wpływu uczenia się na odczuwaną satysfakcję z życia przez osoby w wieku 50 lat i więcej na podstawie wyników 8 rundy badania SHARE (The Survey of Health, Ageing and Retirement in Europe).
“Le Circostanze per cui dio ci fa passare…” Dalla vita di don Luigi Giussani alla sua concezione dell’educazione
Authors: Fedeli Carlo M. 
Published: September 2023

Il contributo intende porre in rilievo, in modo essenziale e sintetico, i principali momenti dell’esistenza di don Luigi Giussani che si sono rivelati particolarmente decisivi per la genesi, il prendere forma e la maturazione della sua concezione dell’educazione. Questi momenti si sono verificati nella vita della sua famiglia, nell’arco di tempo della sua formazione nel Seminario di Venegono, nel periodo dell’insegnamento della religione al Liceo Berchet di Milano e negli anni della maturità e della vecchiaia.
Riflettendo sull’esperienza vissuta ogni volta in tali circostanze, Giussani ha progressivamente delineato una concezione dell’educazione che ha per proprie fondamenta la realtà, l’esperienza, la ragione, la bellezza, la libertà, e che si presenta oggi come valida non più solo per gli adolescenti e per i giovani, ma anche per ogni persona in tutte le età della vita.
Echa literatury włoskiej w Zmyśle religijnym ks. Luigiego Giussaniego
Authors: Libertini Rosangela , Chanasová Zuzanna , Wójcik-Cifoletti Monika 
Published: September 2023

* Artykuł oryginalny w języku włoskim pt. „Echi della letteratura italiana nell’ opera «Ill senso religioso» di don Luigi Giussani” został opublikowany w Rocznikach Pedagogicznych 15(51) 2023, nr 1, s. 155-168
Niniejszy artykuł analizuje mniej zbadany aspekt twórczości księdza Luigiego Giussaniego, jego styl pisarski, a także metodę analizy tekstów, które autor zna i wspomina w swoich pracach. Ksiądz Giussani nie może być uważany za krytyka literackiego, ale jego głęboka kultura skłania go do poszukiwania tych wszystkich aspektów dzieła literackiego, które są bliskie jego własnemu doświadczeniu i najlepiej odpowiadają na pragnienia i lęki każdego człowieka. Dlatego w tekście mowa jest o spotkaniu z wymienionymi autorami. Tekst odnosi się przede wszystkim do Zmysłu religijnego, natomiast jeśli chodzi o przywołanych poetów nawiązuje się zwłaszcza do pisarzy włoskich. Naszym zamiarem było dokonanie porównania między niektórymi osądami wyrażanymi na temat autorów cytowanych przez nowoczesną i współczesną krytykę z tym, co ksiądz Giussani stwierdza o tych autorach. W tekście sięgnięto do oryginalnych tekstów tam, gdzie było to możliwe.
Basi antropologiche della pedagogia di don Luigi Giussani
Authors: Tempesta Marcello 
Published: September 2023

Nel percorso culturale di Luigi Giussani la dimensione pedagogica e la dimensione antropologica appaiono intimamente connesse: l’interrogativo sui principi e sulle forme dell’educazione umana è strettamente correlato a quello sulle dimensioni costitutive e strutturali della persona.
L’esperienza umana appare a Giussani caratterizzata dalla percezione di una originaria dipendenza e dalla presenza di un inesauribile bisogno di significato: da questa consapevolezza deve partire l’opera educativa, come offerta di un rapporto capace di introdurre il soggetto alla scoperta del proprio io e delle dimensioni fondamentali del mondo.
Sulla base di questa impostazione, Giussani formula un pensiero educativo che affronta le principali questioni pedagogiche dell’epoca contemporanea, ripensandole in maniera originale: crescita della persona, relazione tra autorità e libertà, esperienza, conoscenza, complessità, nichilismo.