bluuebunny/crossref_metadata_2025_split huggingface dataset:
Results of limb reconstruction surgery using a telescopic titanium rod: early findings
Authors: Abdulloev A. M. , Gvozdev N. S. , Tropin D. V. , Popkov D. A. 
Published: February 2025

Introduction Pediatric limb reconstruction associated with impaired osteogenesis and fragile bone suggests the use of combined techniques with telescopic intramedullary rods left in situ.The objective was to test the hypothesis that transphyseal telescopic rods applied simultaneously with an external fixation device for pediatric femur or tibia lengthening associated with weak and brittle bone in Ollier disease and osteogenesis imperfecta does not lead to the rod blocking during fixation, does not prevent distraction bone regeneration, lengthening and deformity correction.Material and methods The study involved four male patients with Ollier disease and a female patient with osteogenesis imperfecta who underwent limb lengthening and/or deformity correction using a combined technique. Ilizarov apparatus was used as an external fixator, and a telescopic titanium rod was placed simultaneously with external fixator. With the bone consolidated, the Ilizarov apparatus was removed and the telescopic rod left in place.Results The length gain and deformity correction intended were achieved in all patients. No loss of fixation of the threaded rod was observed in the femur and tibia epiphyses, or greater trochanter apophysis during distraction. There was no blocking of the rod telescopes during distraction. The external fixation index was 11.6 days/cm for polysegmental lengthening, 22.6 days/cm to 28.8 days/cm with monosegmental femoral lengthening.Discussion Limb lengthening with a telescopic rod has the advantages of additional reinforcement through the segment with no risk of intramedullary construct migration as compared with combined lengthening techniques using flexible intramedullary nailing. There were no problems with formation of the distraction regenerate and longer period of external fixation, which can be seen with other techniques.Conclusion Outcomes in this series indicated the possibility of limb lengthening and simultaneous osteosynthesis using external fixator and a telescopic titanium rod in patients with pathological osteogenesis. No loss of fixation of the threaded parts of the intramedullary rod, no blocking of the sliding parts of the rod were observed during limb lengthening.
Hand injuries sustained while contacting operating electric meat grinders (literature review illustrated with authors’ clinical cases)
Authors: Suprunov I. K. , Skryabin E. G. 
Published: February 2025

Introduction Upper limb injuries sustained by children and adults with electric meat grinders in motion are mutilating. These injuries may lead to physical disability and severe psychological consequences not only for the injured subjects, but also for their family members.Aim Based on current medical literature, to analyze the issues of incidence, etiopathogenesis, clinical symptoms, surgical treatment, rehabilitation, prevention of injuries to the upper limbs sustained with electric meat grinders and to illustrate the material with authors’ own clinical cases.Material and methods The search for scientific publications was carried out in the electronic databases and libraries PubMed, eLIBRARY, CyberLeninka. The search depth was 47 years. In total, 49 scientific articles were analyzed and studied: 9 domestic sources (18.36 %) and 40 foreign ones (81.64 %).Results and discussion Epidemiological data show that the incidence of injuries sustained by individuals while contacting with electric meat grinders in motion is 1.4 % to 11.1 % of open injuries to the upper limbs,. The main cause of this type of injury in children is the lack of control by adults, and in adults it is failure to comply with safety measures. The main mechanisms of trauma are traction and rotation. The right hand is most often injured, namely its fingers II, III and IV. Injuries are characterized by traumatic amputations, ruptures and crushing of hand segments. The most important goals of surgical treatment is excision of non-viable tissue, arrest of bleeding, shaping stumps of finger phalanges and metacarpal bones and / or osteosynthesis of broken bones, suturing of vessels and nerves, the maximum possible closure of the soft tissue wound with preserved skin flaps. As preventive measures, it is proposed to inform the population on safety measures by operating electric meat grinders. There should be careful supervision by adults over young children if they are in places where food is prepared. Services of professional butchers are highly recommended.Conclusion Based on data from 49 scientific articles, information was obtained on the frequency of occurrence, causes, mechanisms, clinical features, surgical treatment, rehabilitation and prevention of severe hand injuries sustained by individuals contacting with operation electric meat grinders.
Enbal Agribusiness Development Strategy in The Kei Islands, Southeast Maluku Regency
Authors: Timisela Natelda R , Sari Raja M , Tahitu Florensya 
Published: February 2025

Enbal plant is a mainstay commodity in Southeast Maluku Regency because it has been widely diversified into value-added and selling value products. They can anticipate future food insecurity, so it can be an alternative to support national food security, especially in Maluku. This study aims to find out the various internal and external factors that influence the development of Enbal agribusiness and formulate the Enbal agribusiness development strategy in Southeast Maluku Regency. The research was carried out in the Kei Kecil Islands, Southeast Maluku Regency. The research locations are in three villages/Ohoi, namely Kelanit, Wain, and Debut. The research location was chosen deliberately with a specific purpose (purposive sampling) because the people in these villages generally work as farmers and enbal processing. The sample in this study amounted to 30 people who were taken by the census, and seven experts from BaLitbang agencies, the Agriculture Service, and the Ohoi/Village Government were selected intentionally (purposive sampling). The data collection stage evaluates internal factors and external factors, which are formulated into a table of internal strategic factors or IFAS (Internal Strategic Factors Analysis Summary) and external strategy tables or EFAS (External Strategic Factors Analysis Summary). The SWOT analysis results produce seven alternative strategies that can be applied in developing enbal agribusiness. The results of the QSPM analysis resulted in the right strategic priorities to be used in the development of agribusiness in Southeast Maluku Regency, namely the development of areas for processing enbal centers by increasing facilities both in terms of production and marketing to increase visitor engagement with a TAS (Total Attractive Score) value of 5.380.
Teaching Academic Writing Skills: A Narrative Literature Review of Unifying Academic Values through Academic Integrity
Authors: Hysaj Ajrina , Khan Zeenath Reza , Freeman Mark 
Published: February 2025

Academic integrity continues to concern educators worldwide. Furthermore, general guidelines for ensuring academic integrity do not seem to encompass all the angles that are required to be taken into consideration when exploring the factors that contribute to multicultural students’ decision to adhere to the norms and values of academic integrity. This literature review focuses on how academic values can be unified through academic integrity, and specifically explores factors and perspectives of utilising academic integrity to unify academic values when teaching academic writing. The dimensions of academic values explored in this paper are: a) beliefs and attitudes of multicultural undergraduate students and the theory of planned behaviour (TPB), b) the value of academic performance in academic writing classes, c) exploring the development of multicultural students’ authorial voice while maintaining academic integrity, and d) using technology to encourage academic integrity in academic writing classes. Over 56 identified sources were chosen carefully to ensure unbiased approaches to the issues of academic integrity and development of academic writing skills. The authors explored the issues from a variety of perspectives. The gap noticed in the review of literature is the disconnection between academic values and academic integrity. The authors make recommendations for future research.
Model Pembelajaran Inkuiri Yurisprudensi untuk Mengembangkan Kemampuan Berpikir Kritis Siswa SD pada Pelajaran Pendidikan Agama Kristen [Jurisprudence Inquiry Learning Model to Develop Critical Thinking Skills of Elementary Students in Christian Religious Education Lessons]
Authors: Tumilantouw Kireina Gabriela , Lindawati Lindawati 
Published: February 2025

Christian education views critical thinking skills as an important aspect because, through critical thinking skills, students are encouraged to differentiate between correct and incorrect information. Critical thinking skills can also guide students to correct knowledge and be able to prove these truths in the classroom. Critical thinking skills in Indonesia are still very low. This is proven by the low PISA results achieved by Indonesia in 2018. Therefore, one way to develop critical thinking skills is to apply the Jurisprudential Inquiry learning model. The Jurisprudential Inquiry learning model can encourage students' critical thinking skills because students are continuously involved in learning to analyze and solve problems. This learning model can also stimulate students' curiosity about something so that students will take the initiative to look for facts and data related to the problem being discussed. This learning model is still relatively new and has been implemented in several middle and upper secondary schools. However, it is still not widely implemented, especially at the elementary school level because it is relatively new. This research aims to examine the importance of the Inquiry Learning Model in developing elementary students' critical thinking skills. The author uses a qualitative descriptive research method
Comparative Effectiveness of Approaches to Students’ Labour Education in Universities in the New Era With the Use of Information Technologies
Authors: Xu Ting 
Published: February 2025

This study aimed to identify and compare the efficiency of different theoretical (competence-oriented) and practical (system-activity) approaches to labour education of college students in China using the Open edX online learning platform. The study was conducted at the Shengda College of Economics and Business Management. It involved 150 first-year college students and two full-time teacher-employees from the Labour Protection Department who had responsibility to ensure the quality of labour education and supervise the process of its introduction. The practical approach was 75% more effective when college students were allowed to choose work according to their preferences. The study showed that the practical approach decreased students’ motivation to work by 3%, while the average motivation with a theoretical approach was 45% higher than with a practical one, due to lack of physical work and exhaustion at work.
Evaluating the representation of entrepreneurship in grade 10-12 business studies syllabus in South African schools
Authors: Ngcobo Sanele 
Published: February 2025

This study aims to evaluate the representation of entrepreneurship in business studies syllabus in South African Schools. A qualitative research methodology was used to evaluate the entrepreneurship in South African secondary schools. Furthermore, little representation of entrepreneurship in the syllabus and business studies have direct link with entrepreneurship. Currently, the Grade 10-12 curriculum for Business Studies focus on the development of knowledge, skills and values. This study calls for Self- Directed Learning in Business Studies Grades 10 -12 to promote entrepreneurship in South African Schools. A purposive sample of ten Grade 12 teachers were selected from five secondary schools, to cater for all quintile 1 to 5 in Edendale circuit. A case study research design was employed. Data collection was prepared using face-to-face, semi-structured interviews. Generate data was analysed through thematic analysis. The study adopted the Achievement Goal Theory. The findings indicated that challenges facing students is the lack of practical demonstration because business studies is a practical topics. Moreover, the findings revealed obstacles in successful teaching and learning of business studies in secondary schools, due to lack of competent teachers, insufficient instructional resources and bad teaching methods. The study recommends for the implementation of self-direct learning program on entrepreneurship were learners for grade 8 to 12 can learn on their pace. In addition, incorporating entrepreneurship courses into the curriculum, fostering an entrepreneurial mind-set, and providing mentorship can equip learners with the skills and knowledge necessary to start their own businesses. Furthermore, collaboration with local entrepreneurial ecosystems, and funding organizations is important.
Barriers to quality nursing documentation at a mental health institution
Authors: Mokoena-De Beer Andile Glodin , Masondo Itumenng George , Mabunda Nkhensani Florence 
Published: February 2025

This qualitative study explores the barriers to quality nursing documentation at a mental health institution in South Africa. Nursing documentation forms a fundamental part of care as it ensures continuity of care and collaboration amongst mental health care providers on the mental health of the persons being treated. Thus, the need to obtain an in-depth understanding of the hindrances mental health nurses face in producing high-quality nursing documents arose. Using in-depth interviews and reflexive thematic analysis, the researchers identified that mental health nurses face challenges such as workforce constrains, resource limitation, leadership and supervision deficits as well as lack of quality assurance mechanisms. Subsequently, suggestions to enhance documentation excellence through capacitation, strategic oversight and standardization of documentation practices were made. The study highlights the importance of ensuring high quality of nursing documentation. Therefore, the findings offer valuable insights applicable to mental health globally, where there are concerns related to the quality of nursing documentation
Outcomes of Autogenous Bone Grafting for Periprosthetic Osteolysis After Total Ankle Arthroplasty
Authors: Yoon Yeo Kwon , Park Kwang Hwan , Shim Dong Woo , Lee Wonwoo , Chae Jae Seok , Han Seung Hwan , Lee Jin Woo 
Published: February 2025

Background:
Periprosthetic osteolysis after total ankle arthroplasty (TAA) is a substantial problem. Bone grafting may be beneficial in the treatment of large osteolytic cysts; however, the literature regarding the outcomes of bone grafting is limited. This study analyzed the outcomes of autogenous bone grafting performed for the management of periprosthetic osteolysis following TAA.

Methods:
We retrospectively reviewed 42 ankles (41 Korean patients) that underwent autogenous bone grafting for periprosthetic osteolysis following TAA. Clinical outcomes were evaluated using visual analog scale for pain scores, Ankle Osteoarthritis Scale pain and disability scores, and American Orthopaedic Foot & Ankle Society Ankle-Hindfoot Scale scores. Computed tomography (CT) was performed preoperatively and for at least 2 years postoperatively in order to evaluate the treatment response. Histology, prosthesis survivorship, reoperations, and complications were also evaluated.

Results:
The mean time to autogenous bone grafting was 64.4 months (range, 10 to 128 months), and the mean follow-up duration after autogenous bone grafting was 70.7 months (range, 24 to 137 months). All clinical scores significantly improved from preoperatively to the last follow-up visit. The mean osteolytic cyst volume improved from 4.8 cm3 (range, 1.1 to 19.4 cm3) to 0.8 cm3 (range, 0 to 6.5 cm3). A Kaplan-Meier survival analysis revealed that TAA with subsequent bone grafting was associated with similar prosthesis survivorship (100% and 85.7% at 5 and 10 years, respectively) but inferior reoperation-free survivorship (93.4% and 68.4% at 5 and 10 years, respectively) compared with TAA without osteolysis or with non-progressive osteolysis.

Conclusions:
Autogenous bone grafting performed for the management of periprosthetic osteolysis after TAA produced favorable clinical and radiographic outcomes. However, there was still a higher risk of subsequent surgery even after successful bone grafting, compared with TAA without osteolysis or with non-progressive osteolysis. Our results suggest that autogenous bone grafting and serial CT scan monitoring over time may prolong the survivorship of TAA prostheses in ankles with periprosthetic osteolysis.

Level of Evidence:
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
AI Solution Provides the Most Autonomous Framework of Directional Well Sections in High-DLS Well Plans
Authors: Samba BA , Sahli Hussein , Oumba Roland Loubassou , Nkounkou Teddy , Olanubi Olakunle , Kim Jinsoo , Roh Si Jine , Ali Riyami Aktham 
Published: February 2025

Abstract
Well construction is currently being challenged to become more sustainable while reducing the skill sets needed to have efficient and consistent directional drilling operations. This paper presents an autonomous directional drilling artificial intelligence (AI) framework. This framework was used to drill the most autonomous section to-date on an offshore well in 2023. In 2024, the next level of performing autonomous directional drilling in a high-dogleg severity (DLS) environment was attempted.
Challenges related to directional drilling include encountering constantly changing formations, steering responses, planned trajectories difficult to follow perfectly, drilling data having huge uncertainties, especially the continuous measurements being affected by shock and vibrations, ever changing conditions between one well to another. These challenges often require significant human skillsets to become an efficient directional driller; and skillful directional drillers, who make best directional decisions, are difficult to deliver for service companies and operators.
This paper presents the latest AI system developed to perform autonomous directional drilling. The AI system derives drilling parameters and steering recommendations to automatically send downlink commands when enabled. In addition to complex sensor fusion for the best state estimation, an optimization engine outputs the best candidate trajectory at each decision point. Several enhancements were necessary to move from advisory to control. The system has been made much more resilient to unexpected measurement-while-drilling (MWD) telemetry or downlink issues. The system’s surface deviation controller actively monitors continuous data and takes the appropriate course of actions to rectify unplanned situations without overreacting.
With respect to downlinking automation, the system is designed to use plug-ins as drivers for different equipment. This design allows for accommodating a wide array of actuators, extending from drilling rig automation systems and flow bypass downlinker at the rig, even to cloud interfaces offered by some rig contractors.
Recently, the proposed AI system was tasked to perform drilling parameters control and steering control simultaneously while entirely taking the command of the rig control system. The deployment was performed in a field with high-DLS requirements often exceeding 6 °/100 ft. A comparison was made with wells drilled by the manual mode, those drilled in an advisory mode and finally those drilled in a fully autonomous mode.
Optimized Nitrified High-Solids System: A Customized Solution for the Balder Field (Norwegian Continental Shelf)
Authors: Knowles John S. , Barriero Jose , Jensen Stian , Johnson Carl R. , Bourada Nacera , Sakharov Sergey 
Published: February 2025

Abstract
In 2021, Vår Energi ASA faced the challenge of cementing conductor casings on the Norwegian continental shelf (NCS) with a high risk of destabilizing the subsea templates in the Balder field. The successful cement placement outside the conductors (with top of cement to seabed) was crucial for subsequent well construction operations. To address this challenge, the only viable solution to prevent the historic losses seen during the cementing of the tophole sections on the field was to utilize an extremely low-density cement slurry (requiring as low as 1.15 sg).
To meet these job objectives without compromising safety, an innovative and unique approach was introduced. This involved using an engineered high-performance, low-density cement slurry (1.45 sg) by replacing a portion of the cement content with lower-density particles of larger size, maintaining the solid volume fraction at a higher packing volume. This blend was then foamed using nitrogen (N2) to achieve the required downhole slurry density. This system exhibited superior set-cement characteristics, enabling the required set mechanical properties to be achieved at lower densities.
The first job was successfully executed on the West Phoenix semi-submersible drilling rig using the automated foamed cement process-control system. This system automatically synchronizes the amount of N2 and foaming agent according to the base slurry pumping rate from the cement unit. A total of 57 m³ of 1.45 sg high-performance, low-density slurry, foamed to the desired density of 1.15 sg, was placed in the annulus with full returns observed at seabed throughout execution, negating the need for any remedial or top-up operations. The slurry developed 3 bar compressive strength after only 9 hours, and no backflow was observed during verification of the float equipment.
Subsequently, multiple cement jobs using this technique have been flawlessly executed, meeting the job objectives for each operation. Three templates were completed successfully, resulting in significant time savings for the operator, including a considerable reduction in the operational carbon footprint (or CO2 equivalent [CO2e]) estimated to be around 25% versus an equivalent volume of neat class G slurry.
This case study demonstrates a successful foam cementing solution in a challenging subsea environment in extremely weak formations. This paper will describe lessons learned and best practices that Vår Energi ASA has subsequently incorporated into future operations, which other operators in the NCS with similar circumstances will also find useful.