bluuebunny/crossref_metadata_2025_split huggingface dataset:
Functional Outcome of Open-Wedge High Tibial Osteotomy in Medial Compartmental Osteoarthritis of Knee Joint
Authors: Sharma Gangdayal , Sagar Vidya , Kumar Raman , Sharma Akhilesh Kumar , Kumar Manish , Sinha Satendra Kumar 
Published: May 2023

Introduction:
Due to the shifting of weight more on the medial side of the knee, more cartilage destruction occurs medially, and subsequently, varus deformity occurs. A corrective osteotomy to alter the weight-bearing axis will be ideal to slow down the degenerative process. The success of an osteotomy around the knee depends on the biomechanics of the lower extremity, load distribution in the knee, and also on the mechanical properties of the implants used for osteotomy fixation. The aim of the study is to know the functional outcome of open-wedge high tibial osteotomy in medial compartmental osteoarthritis of the knee joint.

Materials and Methods:
This prospective study was done at the tertiary center of Bihar between May 2016 and September 2018. Bilateral weight-bearing anteroposterior view in full extension and standing scannogram was taken preoperatively. Patients were operated and evaluated at 3, 6, and 12 months by the Japanese Orthopaedic association knee score and Japanese Orthopaedic association system.

Results:
Medial opening-wedge osteotomy was performed in 26 knees of 24 in which there were 10 male and 14 female patients. Of the 26 knees operated, 16 were of the left side and 10 of the right side. Of the 26 knees operated, 6 (23%) had excellent outcome, 12 (47%) had good outcome, 4 (15%) had fair, and 4 (15%) had poor outcome. The poor result of three patients was correlated to superficial infection and the other patients due to inadequate correction. Five patients had superficial infection and one patient had hardware prominence causing pain and two patients had under correction of varus.

Conclusion:
From this prospective study, it can be concluded that medial open-wedge high tibial osteotomy is a useful option in medial compartmental osteoarthritis of the knee joint and relieves pain and improves functional outcomes in patients.
Use of Sanitary Napkin for Dressing in Hip Surgery
Authors: Shukla Shreyansh , Patil Amar , Goutham G. , Harish K. 
Published: May 2023

Introduction:
One of the important factors that promote wound site dryness is the dressing material used. Sanitary napkins have been tried in the past for dressing of wounds in the postoperative period to effectively absorb fluids and secretions. This study was conducted to compare the effectiveness of sterile sanitary napkins when used as dressing in the immediate postoperative period for hip region surgeries in terms of efficacy and cost effectiveness.

Methodology:
Adult patients aged 18 and above (male and female) undergoing surgeries in the hip region were included in the study and grouped into three groups based on the type of dressing applied in the postoperative period.

Results:
The total cost of dressings was found to be the highest (>250 rupees) in group receiving commercial dressing compared to the most economical in Group A (sanitary napkins). The presence of soakage was found to be the highest in group getting conventional dressing.

Conclusion:
Sanitary napkin is a novel innovative option for dressing, being very economical, readily available, easily sterilizable, and can be used in hospitals in remote areas too.
Oncology-related emergencies discharged from the emergency department
Authors: Goh Si-Hua Yvonne , Ng Juin Jie , Chan Shi-En Joanna , Chua Wei-Lin Tallie , Anantharaman Venkataraman 
Published: May 2023

Abstract

Introduction:
Cancer patients attending emergency departments (EDs) often present with acute symptoms and are frequently admitted. This study aimed to characterise the profile of oncology patients who were discharged from the ED.

Methods:
This was a retrospective audit of patients with cancer-related diagnoses who presented to the ED at the Singapore General Hospital (SGH) over a 6-month period from 1 October 2018 to 31 March 2019 and were directly discharged from the ED. Data was extracted from the hospital’s electronic medical record system.

Results:
Of the 492 participants included in the study, the majority were triaged as Priority 2 (61.4%), while 30.7% were triaged as Priority 3, 6.9% as Priority 1 and 1.0% as Priority 4. There was no statistical difference between the National Early Warning scores across the different triage categories in these patients. The most common complaint was (44.3%), followed by genitourinary symptoms (19.5%) and those related to devices, catheters or stomas (17.3%). More investigations of all types were done for patients being managed in Priority 1 (57.6%) than in the other triage categories (40.1% for Priority 2, 23.2% for Priority 3 and 12.0% for Priority 4). Treatment procedures carried out were mainly symptomatic (analgesics, antiemetics, proton pump inhibitors) for 79.8% of the patients. There were no significant differences in the proportion of patients requiring various treatment modalities among the triage categories.

Conclusion:
Selected oncological patients may potentially be managed in an ambulatory setting.
A coloring invariant of 3-manifolds derived from their flow-spines and virtual knot diagrams
Authors: Ishii Ippei , Nakamura Takuji , Saito Toshio 
Published: May 2023

AbstractFor a closed, connected, and oriented 3-manifold with a non-singular flow, we construct its virtual knot diagram via a “flow-spine” of the manifold. Then, we introduce a coloring invariant of 3-manifolds through their virtual knot diagrams, and classify some 3-manifolds by using the invariant.
Innovaciones y continuidades en la responsabilidad social: estado de la cuestión y análisis comparado
Authors: Barañano Cid Margarita , Baylos Grau Antonio 
Published: May 2023

El artículo expone el desarrollo evolutivo que ha tenido la noción de responsabilidad social empresarial (RSE) de las grandes empresas transnacionales en las dos primeras décadas del presente siglo. De una concepción unilateral y cerrada en la propia empresa a poner en práctica relaciones contractuales que generan obligaciones entre éstas y los sindicatos globales, para incidir con fuerza finalmente en la idea del deber de diligencia impuesto por una norma jurídica estatal, supranacional o internacional, en donde la vigilancia por el respeto de los derechos humanos en toda la cadena de valor de la empresa es determinante. Estas diferentes facetas de la noción se complementan entre ellas y arrojan como resultado un concepto complejo y polivalente de la RSE, en donde el marco institucional que la regula condiciona fuertemente sus contenidos y formas de expresión. el análisis comparado de tres países en américa latina (Ecuador, Chile y Argentina) confirman estas hipótesis de trabajo al ofrecer tres modelos diferentes de desarrollo de la RSE.
Discours Officiel Contre Parole Autochtone ? Narratif Russe et Récits de Vie Du (Grand) Nord Sibérien
Authors: Samson Normand de Chambourg Dominique 
Published: May 2023

Par son expansion territoriale au fil des siècles, la Russie n’a cessé d’incorporer les peuples et les langues les plus divers. À l’heure où la Fédération veut fonder un grand récit national, elle argue de « protéger la vérité historique » (article 67.1 § 3 de la Constitution) pour imposer une politique mémorielle, à l’exclusion de toute autre. Dès lors, ce monopole de l’État sur l’histoire, promu par des institutions de propagande historique et relayé dans toute la société, condamne au silence la mémoire inédite de communautés qui ne font pas la même lecture des événements du passé. C’est pourquoi il s’agira, dans une approche historique et anthropologique fondée sur des sources anciennes et la parole collectée dans les toundras et les taïgas jusqu’en 2019, de mettre en perspective le récit national russe grâce à la lecture des peuples autochtones minoritaires de la Sibérie (sub)arctique.
The Existence of Customary Land and its Utilization Pattern for Tourism Business
Authors: Suwitra I Made Suwitra , Sudiarta I Ketut , Suryawan I Ngurah , Imaniar Dimas , Hentika Niko Pahlevi 
Published: May 2023

The purpose of this study are: (1) A comparison of the existence of customary land rights owned by indigenous villages in Gianyar Regency and those owned by indigenous communities in Banyuwangi Regency.; and (2) patterns of utilization of customary land for the provision of tourist facilities and attractions. Customary land owned by Batuan Traditional Village and Padangtegal Traditional Village in Gianyar Regency, Bali still exists mainly in the form of customary village druwe land. Meanwhile, the Osing Indigenous Community of Kemiren Village in Banyuwangi Regency, East Java is not explicitly recognized as having customary land rights over land or other physical resources. Customary rights are reflected in the ownership of intangible cultural assets/heritage, such as art, rituals, and traditions. The utilization of customary rights for tourism businesses in Batuan Customary Village and Padangtegal Customary Village is managed individually or institutionalized by customary villages based on local regulations. (awig-awig and/or pararem). Whereas in the Osing indigenous community of Kemiren Village there is the utilization of intangible cultural heritage owned by indigenous communities such as art, rituals, and traditions as tourist attractions and attractions.
Taller “previniendo” conductas sexuales de riesgo en estudiantes de una institucion educativa marankiary 2022
Authors: Suárez Reynoso Liz Miriam , Garcia Chaiña Esther Elisa 
Published: May 2023

Objetivo: Determinar la influencia del Taller “Previniendo” conductas sexuales de riesgo en estudiantes del colegio San Jose, Mariankiari-2022. Material y Métodos: Investigación cuantitativo, longitudinal, observacional con diseño pre experimental con prueba de entrada y prueba de salida, la población fue de 60 estudiates de la Institucion Educativa San José de Bajo Marankiari; la técnica fue la encuesta y el isntrumento un cuetionario. Resultados: en la prueba de entrada se obtuvo un nivel bajo con 60% seguido de mediana con 40% y alto 0% con respecto a conductas sexuales de riesgo; posterior al taller Previniendo y relaizando una prueba de salida se obtuvo un nivel alto con 93.33% seguido el nivel mediano con 6,67% y el nivel bajo 0% Conclusiones: La aplicación del taller previniendo influye significativamente en cuanto a conductas sexuales de riesgo de estudiantes del colegio San José de Marankiary, puesto que chi cuadrado calculado fue mayor que el chi cuadrado teórico (106,28 > 7,378), con un nivel de 0,05.
Persektif Hukum Tentang Penerapan Layanan Hak Tanggungan Elektronik
Authors: Sihite Sri Rumada , Baharuddin Wahdaniah 
Published: May 2023

Introduction: Electronic mortgage services issued by the ministry of agrarian and spatial planning in connection with the issuance of the 2019 Minister of Agrarian and Spatial Planning/Head of the Indonesian National Land Agency regulation regarding electronic mortgage services.
Purposes of the Research: Is to look at the legal perspective regarding the implementation of electronic mortgage services in the Ministry of Agrarian Affairs and Spatial Planning.
Methods of the Research: The type of research used is normative empirical research. The nature of this research is descriptive. Source of data used is secondary data. The nature of this research is descriptive analytical research and drawing conclusions using the deductive method.
Results Originality of the Research: The research results show that the harmonization of the rules used in electronic mortgage services between conventional mortgage laws and the latest ministerial regulations is needed for improvement because there are several obstacles found by the authors based on observations in one of the land offices in North Sumatra
Konsep Filsafat Hukum Menurut Jeremy Bentham
Authors: Songbes Leo 
Published: May 2023

Introduction: If you know Jeremy Bentham in his moral teachings on utilitarianism, it is often said there that the principle of utility he discovered is also used in constructing the concept of law.
Purposes of the Research: This research aims to find out how the principle of utility becomes the basis for establishing a legal system.
Methods of the Research: The methods used in this study is a qualitative method with a descriptive and interpretive analysis approach.
Results Originality of the Research: The research results show that the usability test on legal institutions and practices makes the principle of utility a critical instrument for assessing the performance of a legal institution. For Bentham, law is an order from a sovereign power or imperative law. The law must have substance and legal form. Legal substances are certain legitimate (sovereign) legal institutions within the state that are authorized to make and promulgate laws, and that law must be written in law. The legal form in question is codification.
Wild Fires and Climate Change: Health, Air Quality, Wild Fires and Causes in India
Authors: Sultan Yara EzAl Deen , Pillai Kanni Raj Arumugam 
Published: May 2023

Wildfires are a serious problem that affects wildlife all over the world which is human beings together with nature, both play a fundamental role in the cause of wildfires. Wildfires may start quite inconspicuously, but can rapidly accelerate to become fierce and uncontrollable, at which point they also pose serious health problems to humankind. To clarify this problem descriptive method was applied which described the basic issue and explained all outcomes accurately and clearly. So, the review illustrates that from an anthropological perspective, greater numbers of people are now living closer to forests (and rural areas in general), which although seemingly satisfactory and beneficial to them, has also led to an increase in the destruction of forests, due to intentionally, and unintentionally generated fires. In addition to the human impact, climate change and other natural phenomena are also destroying the forests. This review indicates the connection between wildfires and climate change, it also studies the effects of wildfires on health and air quality, in addition, the paper highlights the particularly challenging situation in India, which, due to its substantial share of global forestland, is proportionately more impacted by these fires. Besides, the review mentioned the analytical method to predict fire propagation.
A Literary review on Chemotherapy Induced Peripheral Neuropathy (CIPN) - An Ayurveda approach
Authors: K Jassim Rahiman , OP Singh 
Published: May 2023

Cancer is a leading cause of mortality worldwide; however advanced medical diagnostic techniques and medical interventions reduced the mortality considerably. But adverse effects due to chemotherapy decreased the quality of life, Chemotherapy induced peripheral neuropathy (CIPN) is such entity as till now no established treatment protocol is not available. Hence, alternative methods of preventing or treating CIPN are necessary. Many studies found that herbal medicines showed potentially beneficial effects on CIPN. Treatment modalities in ayurvedic science should be given to the CIPN and to assess the effectiveness of herbal medicines for CIPN, a systematic review and study is essential in ayurveda to treat Chemotherapy Induced Peripheral Neuropathy. CIPN most commonly presents as a pure sensory neuropathy with symmetric symptoms typically including numbness, loss of proprioception sense, tingling, pins and needles sensation, hyperalgesia or allodynia in the hands or feet in a stocking-glove distribution. Occasionally there can be damage to motor fibers resulting in a motor neuropathy. Autonomic neuropathy can be associated with orthostatic hypotension, severe constipation and erectile dysfunction. In ayurveda symptomatology it can be corelated to Aganthuja vata-pitta vikara having alpa-bala-ojokshaya condition. In cancer there is much much reduced Oja, and bala chemotherapy having properties of visha guna and vata-pitta vitiation causes dhatu, upadhatu, mala and indiriya pradoshaja vikara with predominance of vata nature like Gatrasuptata (~numbness), Spandanam (~twitching sensation), Bheda (~splitting pain), Toda (~Excrutiating pain) and Pitta nature like Daha (~burning sensation), osha (~heat feel), Plosha (~Scorching), Dhoomaka (~fuming feel). Moreover, these symptoms are described in vataja nanatmaja and pittaja nanatmaja vikaras.
Artificial Intelligence: Current Challenges and Future Perspectives
Authors: Al-Ameri Laith Thamer , Hameed Ekhlas Khalid 
Published: May 2023

Artificial intelligence is a discipline of computer science that gives machines intelligence that resembles that of humans and empowers them to acquire knowledge, evaluate, and handle issues when exposed to information in different formats. AI is now useful as a powerful tool to help researchers collect, deal with, and analyze large sets of data in a fast and cost-effective way; additionally, a statistical collection and analysis of a vast amount of dataset of enormous numbers of published research articles will be with a high level of accuracy.
However, Artificial intelligence has many struggles, conflicts, and challenges that need to be discussed and clarified.
Pengajaran KBAT Merentas Kurikulum: Cabaran Guru dalam Pelaksanaan
Authors: Andin Christina , M.Z Rosmiza 
Published: May 2023

Pengajaran Kemahiran Berfikir Aras Tinggi (KBAT) merentas kurikulum memerlukan semua guru melaksanakan perubahan pendekatan pengajaran daripada berpusat guru kepada berpusatkan pelajar. Guru bukan lagi sebagai pemberi maklumat dan pelajar bukan lagi sebagai penerima yang pasif. Guru perlu menjadi fasilitator pembelajaran dan pelajar perlu aktif dalam pembelajaran. Walau bagaimanapun, kajian lepas mendapati pelaksanaan KBAT kurang berkesan. Oleh yang demikian, kajian ini bertujuan untuk meneroka pengalaman guru terutamanya dalam aspek cabaran yang dihadapi dalam pelaksanaan. Kajian ini dilaksanakan menggunakan pendekatan qualitatif secara indepth interviews bersama 6 orang guru di sekolah menengah. Hasil kajian menunjukkan terdapat empat elemen utama dalam cabaran pelaksanaan KBAT iaitu inovasi, guru, persekitaran dan pemantauan. Elemen inovasi dikaitkan dengan aspek fundamental seperti kerencaman dasar versus keupayaan melaksana. Elemen guru berkisar dengan kesediaan guru seperti pengetahuan dan kemahiran. Elemen persekitaran berkait dengan faktor budaya organisasi seperti budaya kerja, kepimpinan sekolah, motivasi kerja, dan infrasturuktur sokongan. Elemen pemantauan memberi fokus kepada faktor seperti penilaian pencapaian dasar. Hasil kajian ini boleh digunakan bukan sahaja oleh guru sebagai pelaksana, tetapi juga pembuat dasar, untuk tujuan penambahbaikan berterusan agar objektif dasar KBAT dapat dicapai.
Questão agrária na Zona da Mata pernambucana: uma análise acerca do Engenho Una – Moreno/PE
Authors: Ataíde Renata Érica De Figueredo 
Published: May 2023

O presente trabalho tem como objetivo abordar as principais disputas sócio territoriais provocadas pela monocultura da cana de açúcar e pelos grandes projetos privados, presentes na Zona da Mata Pernambucana. Iremos analisar o posicionamento do Poder Judiciário e das demais instituições que compõem o Sistema de Justiça frente às demandas judiciais resultantes das disputas territoriais travadas entre as classes no campo. Nosso recorte parte do Engenho Una, localizado no município de Moreno, na região da Zona da Mata Pernambucana. Para a consecução do trabalho, utilizamos o método dialético que teve como intuito questionar a “neutralidade” do Estado, aliado ao capital. Assim, foram realizados os seguintes procedimentos metodológicos: a) levantamento bibliográfico e documental; b) análise de dados secundários colhidos; c) trabalho de campo.
Summer surface air temperature proxies point to near-sea-ice-free conditions in the Arctic at 127 ka
Authors: Sime Louise C. , Sivankutty Rahul , Vallet-Malmierca Irene , de Boer Agatha M. , Sicard Marie 
Published: May 2023

Abstract. The Last Interglacial (LIG) period, which had higher summer solar insolation than today, has been suggested as the last time that Arctic summers were ice free. However, the latest suite of Coupled Modelling Intercomparison Project 6 Paleoclimate (CMIP6-PMIP4) simulations of the LIG produce a wide range of Arctic summer minimum sea ice area (SIA) results, with a 30 % to 96 % reduction from the pre-industrial (PI) period. Sea ice proxies are also currently neither abundant nor consistent enough to determine the most realistic state. Here we estimate LIG minimum SIA indirectly through the use of 21 proxy records for LIG summer surface air temperature (SSAT) and 11 CMIP6-PMIP4 models for the LIG. We use two approaches. First, we use two tests to determine how skilful models are at simulating reconstructed ΔSSAT from proxy records (where Δ refers to LIG-PI). This identifies a positive correlation between model skill and the magnitude of ΔSIA: the most reliable models simulate a larger sea ice reduction. Averaging the two most skilful models yields an average SIA of 1.3×106 km2 for the LIG. This equates to a 4.5×106 km2 or 79 % SIA reduction from the PI to the LIG. Second, across the 11 models, the averaged ΔSSAT at the 21 proxy locations and the pan-Arctic average ΔSSAT are inversely correlated with ΔSIA (r=-0.86 and −0.79, respectively). In other words, the models show that a larger Arctic warming is associated with a greater sea ice reduction. Using the proxy-record-averaged ΔSSAT of 4.5±1.7 K and the relationship between ΔSSAT and ΔSIA suggests an estimated sea ice reduction of 4.2±1.4×106 km2 or about 74 % less sea ice than the PI period. The mean proxy-location ΔSSAT is well correlated with the Arctic-wide ΔSSAT north of 60∘ N (r=0.97), and this relationship is used to show that the mean proxy record ΔSSAT is equivalent to an Arctic-wide warming of 3.7±1.5 K at the LIG compared to the PI period. Applying this Arctic-wide ΔSSAT and its modelled relationship to ΔSIA, results in a similar estimate of LIG sea ice reduction of 4.1±1.2×106 km2. These LIG climatological minimum SIA of 1.3 to 1.5×106 km2 are close to the definition of a summer ice-free Arctic, which is a maximum sea ice extent of less than 1×106 km2. The results of this study thus suggest that the Arctic likely experienced a mixture of ice-free and near-ice-free summers during the LIG.