bluuebunny/crossref_metadata_2025_split huggingface dataset:
Early clinical and radiological outcomes of the new porous titanium shell in combination with locking screw in revision total hip arthroplasty
Authors: Shaarani Shahril R. , Jaibaji Monketh , Yaghmour Khaled M. , Vles Georges , Haddad Fares S. , Konan Sujith 
Published: May 2023

Abstract
Introduction
Extensive acetabular bone loss and poor bone quality are two key challenges often encountered in revision total hip arthroplasty. A new 3D-printed porous acetabular shell has been made available with the option to insert multiple variable-angle locking screws. We sought to evaluate the early clinical and radiological outcomes of this construct.

Methods
A retrospective review of patients operated by two surgeons was performed in a single institution. Fifty-nine revision hip arthroplasties were performed in 55 patients (34 female; mean age 68.8 ± 12.3 years) for Paprosky defects I (n = 21), IIA/B (n = 22), IIC (n = 9), III (n = 7) between February 2018 and January 2022 using the novel porous titanium acetabular shell and multiple variable angle locking screws. Postoperative clinical and radiographic outcomes were locally maintained. Patient-reported outcome measures collected included the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), the Oxford Hip Score, and the 12-item Short Form Survey.

Results
After a mean follow-up of 25.7 ± 13.9 months, two cases of shell migration were noted. One patient had a failed constrained mechanism and received revision to a cemented dual mobility liner. No other acetabular shells showed any evidence of radiographic loosening at the final follow-up. Preoperatively, 21 defects were classified as Paprosky grade I, 19 grade IIA, 3 grade IIB, 9 IIC, 4 grade IIIA, and 3 IIIB. The mean postoperative WOMAC function score was 84 (SD 17), WOMAC (stiffness) 83 (SD 15), WOMAC (pain) 85 (SD 15), and WOMAC (global) 85 (SD 17). The mean postoperative OHS was 83 (SD 15), and mean SF-12 physical score was 44 (SD 11).

Conclusion
The additional augmentation of porous metal acetabular shells with multiple variable-angle locking screws provides reliable initial fixation with good clinical and radiological outcomes in the short term. Further studies are needed to establish the medium- and long-term outcomes.

Level of evidence
IV.
Postprediction Inference for Clinical Characteristics Extracted With Machine Learning on Electronic Health Records
Authors: Sondhi Arjun , Rich Alexander S. , Wang Siruo , Leek Jeffery T. 
Published: May 2023

PURPOSE Real-world data (RWD) derived from electronic health records (EHRs) are often used to understand population-level relationships between patient characteristics and cancer outcomes. Machine learning (ML) methods enable researchers to extract characteristics from unstructured clinical notes, and represent a more cost-effective and scalable approach than manual expert abstraction. These extracted data are then used in epidemiologic or statistical models as if they were abstracted observations. Analytical results derived from extracted data in this way may differ from those given by abstracted data, and the magnitude of this difference is not directly informed by standard ML performance metrics. METHODS In this paper, we define the task of postprediction inference, which is to recover similar estimation and inference from an ML-extracted variable that would be obtained from abstracting the variable. We consider fitting a Cox proportional hazards model that uses a binary ML-extracted variable as a covariate and evaluate four approaches for postprediction inference in this setting. The first two approaches only require the ML-predicted probability, while the latter two additionally require a labeled (human abstracted) validation data set. RESULTS Our results for both simulated data and EHR-derived RWD from a national cohort demonstrate that we can improve inference from ML-extracted variables by leveraging a limited amount of labeled data. CONCLUSION We describe and evaluate methods for fitting statistical models using ML-extracted variables subject to model error. We show that estimation and inference is generally valid when using extracted data from high-performing ML models. More complex methods that incorporate auxiliary labeled data provide further improvements.
Race and Ethnicity, Racism, and Population Health in the United States: The Straightforward, the Complex, Innovations, and the Future
Authors: Hummer Robert A. 
Published: May 2023

Abstract
For far too long, U.S. racialized groups have experienced human suffering and loss of life far too often and early. Thus, it is critical that the population sciences community does its part to improve the science, education, and policy in this area of study and help to eliminate ethnoracial disparities in population health. My 2022 PAA Presidential Address focuses on race and ethnicity, racism, and U.S. population health in the United States and is organized into five sections. First, I provide a descriptive overview of ethnoracial disparities in U.S. population health. Second, I emphasize the often overlooked scientific value of such descriptive work and demonstrate how such seemingly straightforward description is complicated by issues of population heterogeneity, time and space, and the complexity of human health. Third, I make the case that the population sciences have generally been far too slow in incorporating the role of racism into explanations for ethnoracial health disparities and lay out a conceptual framework for doing so. Fourth, I discuss how my research team is designing, collecting, and disseminating data for the scientific community that will have potential to, among many other purposes, create a better understanding of ethnoracial health disparities and the role of racism in producing such disparities. Finally, I close by suggesting some policy- and education-related efforts that are needed to address racism and population health within U.S. institutions.
Mesostructured Silica Nanoparticles with Organic Corrosion Inhibitors to Enhance the Longevity of Anticorrosion Effect
Authors: Kim Minjun , Bhanja Piyali , Amiralian Nasim , Urata Chihiro , Hozumi Atsushi , Hossain Md Shahriar A , Alshehri Saad M , Bando Yoshio , Ahamad Tansir , Yamauchi Yusuke 
Published: May 2023

Abstract
In this study, a specific organosilane molecule (octadecyldimethyl(3-trimethoxysilylpropyl)ammonium) is used to form soft-templates that store organic corrosion inhibitors (tolytriazole), and chemically anchor to silica surface during a sol-gel process. As the anchored soft-templates in the resulting mesostructured silica are not removed, it successfully achieves an environmental-friendly synthetic method and a prolonged storage of tolyriazole. Coating of a copper substrate with the mesostructured silica embedding tolytriazole, therefore, endows a prolonged anticorrosion effect.
Moral judgement among university students in Ica: A view from the perspective of Lawrence Kohlberg
Authors: Pozo Enciso Rosmery Sabina , Arbieto Mamani Oscar , Mendoza Vargas Miguel Gerardo 
Published: May 2023

Background: The aim of this study was to identify moral judgement at the preconventional level, the conventional level, and the postconventional level in university students in the tenth semester in Ica, in 2022. Method: The research methodology was descriptive-observational, quantitative and cross-sectional. The population consisted of university students in the tenth semester and the sample consisted of 157 university students. A survey was used as a data collection tool and a questionnaire was used to measure the stages of moral judgement according to Lawrence Kholberg. Results: It was found that 12.75% of the study sample was in the instructional relativism stage, 23.10% were in interpersonal agreement, 35.76% were in social order and authority, 11.95% were in social contract and finally 3.80% were in universal ethical principles. Conclusion: It was concluded and identified that the stages of moral judgement among the study sample indicate that interpersonal agreement, social order and authority are the most developed among university students.
Case Report: Endovascular approach with kissing stent technique in aortoiliac occlusive disease (Leriche syndrome) patient
Authors: Dakota Iwan , Taofan Taofan , Indriani Suci , Afandy Jonathan Edbert , Al Jaidi Yislam , Adiarto Suko , Sukmawan Renan 
Published: May 2023

Background: Aortoiliac occlusive disease (AIOD) or Leriche syndrome, is a peripheral artery disease, specifically affecting the infrarenal aorta and iliac arteries. Presentation of AIOD patients ranged from asymptomatic to having limb-threatening emergencies. Advances and innovations in endovascular devices have replaced surgical approach for AIOD treatment. Here we reported a 52-year-old man presenting with AIOD managed by endovascular approach using kissing stent technique. Case presentation: A 52-year-old man, with history of chronic coronary artery disease, diabetes mellitus type 2, long-standing hypertension, and who was a heavy smoker, was admitted to our hospital with symptoms of long time with bilateral claudication and became leg rest pain. He had history of aorto-infrarenal occlusion known from previous percutaneous coronary intervention from right and left femoral artery access. Aortoiliac occlusive disease (TASC II Type D Class) diagnosis was made by lower extremity duplex ultrasound and CT angiography. The patient underwent urgent percutaneous transluminal angioplasty with kissing stent technique. The patient was discharged 4 days after the procedure without any significant complaints, received optimal medical treatment, and was educated about smoking cessation. Conclusion: Treatment of AIOD should include both modification of risk factors and efforts to increase perfusion to the lower extremities. An endovascular approach is an excellent alternative and may replace surgical approach in complex aortoiliac obstructive disease. In this case report, an endovascular approach with kissing stent technique showed good results for the patient.
The Value of Organizational Purpose
Authors: Henisz Witold J. 
Published: May 2023

Broadening the organizational purpose of a firm beyond narrow short-term profit maximization may enhance long-term shareholder value. This result obtains when firms generate unpriced externalities and face difficulties in achieving ex ante incentive alignment with stakeholders through contract or have the ex post possibility of altering stakeholders’ perceptions through virtue signaling (i.e., cheap talk or greenwash). As each of these conditions is ubiquitous in practice, discussion of organizational purpose (beyond narrow short-term profit maximization to encompass stakeholder’s harmonious pursuit of a common higher goal or meaning) should shift from why management might pursue it to how managers obtain and maintain it as well as the value creation and distribution implications of doing so. Drawing on a value-based stakeholder theory of strategic management, I argue that attentiveness to the most salient issues of a firm’s most powerful stakeholders related to the attainment of this higher goal more closely aligns stakeholder and shareholder value in the long term, thereby building and sustaining relational contracts with stakeholders. A firm with strong relational contracts across its nexus of stakeholder relationships increases the likelihood of harmony among its stakeholders, including shareholders. An important challenge to realizing this outcome is that of measurement. As a result, research on organizational purpose should turn its attention from legal and moral foundations to empirical research on externalities, stakeholder opinions, and managers’ self-representations of their organization’s purpose. The availability of such data lowers the transaction costs associated with a nexus of relational contracts and enhances societal welfare.History: This paper has been accepted for the Strategy Science Special Issue on Corporate Purpose.
EFEKTIFITAS SAYURAN SELADA (Lactuca sativa L.) DALAM MEREDUKSI KONSENTRASI NITRAT PADA LIMBAH HASIL BUDIDAYA IKAN PATIN (Pangasius pangasius) DENGAN SISTEM AKUAPONIK
Authors: Mulasari Surahma Asti , Santri Ichtiarini Nurullita , Oktariansyah Oktariansyah 
Published: May 2023

Background: Water is a natural resource that has a very important function for human life and other living things. Aquaculture waste produces ammonia, nitrite and nitrate waste. Nitrates can have a negative impact on the environment, among others, by contaminating water sources for various purposes, one of which is drinking water and causing health problems for humans.
Method: This research used quasi-experimental (Quasi experiment) with Non-Equivalent Control group design. The study involved two groups, the control and the treatment by supplying 108 lettuce planting holes in three times. Data analysis used univariate and bivariate analysis with Wilcoxon test.
Result: The lettuce (Lactuca sativa L) had no effect in reduced nitrate concentrations in the posttreatment. The results of the Wilcoxon test showed a p-value of 0.068.
Conclusion: There was no significant difference in nitrate concentration in catfish (Pangasius pangasius) culture water at the input and output of the lettuce (Lactuca sativa L) installation.
PENGETAHUAN DAN SIKAP PETUGAS TERHADAP PEMISAHAN DAN PENYIMPANAN LIMBAH MEDIS DI 6 PUSKESMAS WILAYAH MAMPANG PRAPATAN
Authors: Pou Rudy , Adrya Jessica , Masyhudi Alysa Masytha 
Published: May 2023

Puskesmas sebagai salah satu tempat penyelenggaraan upaya pelayanan kesehatan menghasilkan limbah medis yang berpotensi menimbulkan risiko penularan penyakit dan gangguan kesehatan serta pencemaran lingkungan. Masih rendahnya pengetahuan dan kesadaran di antara petugas kesehatan mengenai pengelolaan limbah medis khusus tahapan pemilahan dan penyimpanan. Penelitian observasional analitik dengan pendekatan cross-sectional yang dilakukan pada bulan September - Oktober 2021. Pengetahuan petugas puskesmas wilayah kerja Mampang Prapatan didominasi pengetahuan kurang baik terkait pengelolaan limbah medis sebesar 77 (72,6%), sedangkan yang berpengetahuan baik sebesar 29 (27,4%). Terdapat hubungan yang bermakna antara usia dengan pengetahuan responden mengenai pengelolaan limbah medis (p < 0,05), sedangkan tidak terdapat hubungan yang bermakna antara tingkat pendidikan (p = 0,517 > 0,05) dan lama kerja (p = 0,094 > 0,05) dengan pengetahuan responden.
HUBUNGAN PENGETAHUAN TENTANG JAMBAN DENGAN PERILAKU PENGGUNAAN JAMBAN DI DESA TANJUNG GADAI KABUPATEN KEPULAUAN MERANTI
Authors: Susanti Lasiah , Saptariza Martha , Dewanti Sonya 
Published: May 2023

Latrine utilisation is a form of sanitation to keep healthy environment. The problem is latrine utilisation affected by knowledge, behavior, education, attitude, and economy. According to Join Monitoring Program (JMP) WHO/UNICEF 2015, 51 milion indonesian people still defecate in random place. 12,9% Indonesian people did’t have appropriate latrine. Data from public health centre of Selat Panjang’s on 2018, there are 3 villages with low sanitation in Selat Panjang, Kepau Baru is the first villages with very low point, Teluk Buntal is the second and Tanjung Gadai is the third village. Where is health appropriate latrine is very rare, in contrast with 7 other villages in Selat Panjang. Located in Meranti archipelago, Selat Panjang consist of 10 remote villages that difficult to access and had their very own culture. Research conducting in Tanjung Gadai village because its more accessible than the other two villages, and the language is easy to understand. Research aim to know the relationship between knowledge of healthy latrines and latrines utilisation behavior in Tanjung Gadai village Meranti Island. This study used observational analytic study with a Cross Sectional approach. The research was conducted in the village of Tanjung Gadai, Meranti Islands Regency. The sampling technique used is Stratified Propotionate Random Sampling and tested statistically using the Correlation Test Spearman. The research result showed that there is significant relationship between the respondents’ knowledge and their behaviour in using toilet at Tanjung Gadai village, regency of Meranti Archipelago 0,017. ρ <0.05, Hence, there is significant relationship between the knowledge about t healthy latrines and latrines utilisation behavior in Tanjung Gadai village, Meranti Archipelago Regency.
O que Terapeutas Comportamentais Aprendem para sua Prática Clínica na Relação Terapêutica?
Authors: Cunha Olívia Rodrigues da , Vandenberghe Luc Marcel Adhemar 
Published: May 2023

De acordo com a visão vigente, aprende-se a ser psicoterapeuta comportamental em cursos, onde se ensinam teoria, intervenções e técnicas; e na supervisão, onde a atuação do terapeuta é aprimorada. O objetivo deste estudo foi examinar uma terceira via de aprendizagem. O que os terapeutas aprendem na relação com seus clientes? Foram entrevistados 14 terapeutas analítico-comportamentais, cognitivo comportamentais ou comportamentais contextuais, a respeito do que aprenderam com seus clientes para sua prática clínica. A análise das transcrições foi pautada nos preceitos da grounded theory analysis. Os resultados sugerem que os terapeutas aprendem sobre algumas coordenadas importantes do processo terapêutico: a singularidade de cada cliente, a responsabilidade do cliente e do terapeuta para o processo e sobre as suas limitações como terapeuta. Expandem suas competências clínicas: como enxergar além de rótulos e julgamentos, assumir uma postura terapêutica, flexibilidade e autenticidade. Adquirem estratégias clínicas, aprendem a ceder espaço para o cliente, a respeitar o tempo do cliente e responder às suas necessidades. Finalmente, aprendem a manejar riscos e contrariedades, a lidar com a proximidade no relacionamento, como usar dos seus equívocos a favor da terapia e conduzir aspectos burocráticos da sua profissão.
Bullying in the workplace
Authors: Peate Ian 
Published: May 2023

This the first article in a series that focuses on workplace issues. The series will offer readers information regarding matters relevant to their work, issues that are important to them as they strive to give care that is effective and patient-centred. Workplace bullying is not uncommon in many professions, including the health and care sectors. It can take various forms, including verbal abuse, intimidation and exclusion. The impact of workplace bullying can be devastating. It can have serious consequences for the mental and physical health of the healthcare assistant (HCA) and assistant practitioner (AP) and it may also negatively impact on patient care. This article provides an overview of bullying and harassment in the workplace. It offers definitions of key terms and provides examples of relevant issues.
Improving diabetes care: findings from the first National Diabetes Inpatient Audit undertaken in a mental health setting
Authors: Bickford Jonathan , Tracy Derek , Yousif Michael 
Published: May 2023

Background/Aims There has been no national audit of diabetes care provided in mental heath inpatient settings. This research was undertaken to reveal a snapshot of prevalence, services provided and the education delivered to both staff and patients, and in turn identify areas to improve care. Methods West London NHS Trust participated in the pilot mental health National Inpatient Diabetes Audit. A cross-sectional review of diabetes care on 11 wards informed the provision of a safe patient-centred high-quality diabetes service. Results The prevalence of diabetes was 23%. Almost all care was undertaken by non-specialist staff, none of whom received regular ward-based training for diabetes. A minority of staff knew how to access emergency diabetic services, and 75% of patients did not receive any structured diabetes education. Patient satisfaction scores were high. Staff requested more opportunities to access diabetes educational resources. Conclusions Diabetic care can be improved by modelling existing best practice from physical healthcare settings and by increasing diabetes education. Further data regarding evidence of safety, harms and quality is required to inform the development and commissioning of services to achieve the best diabetic care for this particularly vulnerable patient group.
Learning from school nursing practices and new ways of working during the COVID-19 pandemic: A qualitative study
Authors: Bekaert Sarah , Sammut Dana , Appleton Jane V , Taylor Julie , Harrold Tikki , Cook Georgia 
Published: May 2023

Aims: To explore school nurses' experiences during the COVID-19 pandemic, focusing on: methods enabling service delivery, factors affecting school nurses' ability to support children, work with the interdisciplinary team, what pandemic-related practice changes should endure. Design/method: The study took a pragmatic approach. A purposive sample of 20 school nurses participated across ten virtual focus groups and one-to-one interviews. Data were analysed using reflexive thematic analysis. Results: Four overarching themes were identified: the impact and legacy of COVID-19 on children and families' health; the rapid restructure of service delivery; workforce challenges; the school nurse profile before, during, and after the pandemic. Conclusions: Recommendations are made for considered use of virtual modes to enhance rather than replace in-person practice, building a robust evidence base that can inform future commissioning, clear guidance regarding the boundaries of school nursing practice in the context of increasing workloads, investing in the school nurse workforce going forwards.
Mortality and re-revision following single-stage and two-stage revision surgery for the management of infected primary hip arthroplasty in England and Wales
Authors: Lenguerrand Erik , Whitehouse Michael R. , Beswick Andrew D. , Kunutsor Setor K. , Webb Jason C. J. , Mehendale Sanchit , Porter Martyn , Blom Ashley W. 
Published: May 2023

AimsWe compared the risks of re-revision and mortality between two-stage and single-stage revision surgeries among patients with infected primary hip arthroplasty.MethodsPatients with a periprosthetic joint infection (PJI) of their primary arthroplasty revised with single-stage or two-stage procedure in England and Wales between 2003 and 2014 were identified from the National Joint Registry. We used Poisson regression with restricted cubic splines to compute hazard ratios (HRs) at different postoperative periods. The total number of revisions and re-revisions undergone by patients was compared between the two strategies.ResultsIn total, 535 primary hip arthroplasties were revised with single-stage procedure (1,525 person-years) and 1,605 with two-stage procedure (5,885 person-years). All-cause re-revision was higher following single-stage revision, especially in the first three months (HR at 3 months = 1.98 (95% confidence interval (CI) 1.14 to 3.43), p = 0.009). The risks were comparable thereafter. Re-revision for PJI was higher in the first three postoperative months for single-stage revision and waned with time (HR at 3 months = 1.81 (95% CI 1.22 to 2.68), p = 0.003; HR at 6 months = 1.25 (95% CI 0.71 to 2.21), p = 0.441; HR at 12 months = 0.94 (95% CI 0.54 to 1.63), p = 0.819). Patients initially managed with a single-stage revision received fewer revision operations (mean 1.3 (SD 0.7) vs 2.2 (SD 0.6), p < 0.001). Mortality rates were comparable between these two procedures (29/10,000 person-years vs 33/10,000).ConclusionThe risk of unplanned re-revision was lower following two-stage revision, but only in the early postoperative period. The lower overall number of revision procedures associated with a single-stage revision strategy and the equivalent mortality rates to two-stage revision are reassuring. With appropriate counselling, single-stage revision is a viable option for the treatment of hip PJI.Cite this article: Bone Joint Res 2023;12(5):321–330.