bluuebunny/crossref_metadata_2025_split huggingface dataset:
Improved joint line and posterior offset restoration in primary total knee replacement using a robotic-assisted surgical technique: An international multi-centre retrospective analysis of matched cohorts
Authors: Popat Ravi , Albelooshi Ali , Mahapatra Piyush , Bollars Peter , Ettinger Max , Jennings Simon , Van den Berg Jan-Louis , Nathwani Dinesh 
Published: August 2022

BackgroundAccurate restoration of joint line height and posterior offset in primary Total Knee Arthroplasty (TKA) have been shown to be important factors in post-operative range of movement and function. The aim of this study was to assess the accuracy of joint line and posterior offset restoration in a group of patients that underwent robotic-assisted TKA (raTKA). A matched cohort of patients that underwent a TKA using a conventional jig-based technique was assessed for comparison. The null hypothesis was that there would be no difference between groups.MethodsThis study was a retrospective analysis of a cohort of 120 patients with end-stage knee osteoarthritis that received a TKA using the Navio Surgical System (n = 60), or Conventional manual TKA (n = 60). Procedures were performed between 1 January 2019 and 1 October 2019 at six different centres. Joint line height and posterior offset was measured pre-operatively and post-operatively on calibrated weight bearing plain radiographs of the knee. Two observers performed measurements using validated measuring tools. A BMI and age-matched cohort of patients that underwent TKA using a conventional technique in the same six centres were assessed for comparison. Mean values, standard deviations and confidence intervals are presented for change and absolute change in joint line height and posterior offset. Student’s t-test was used to compare the changes between techniques.ResultsPatients that underwent robotic-assisted TKA had joint line height and posterior offset restored more accurately than patients undergoing TKA using a conventional technique. Average change from pre-operative measurement in joint line height using raTKA was -0.38mm [95% CI: -0.79 to 0.03] vs 0.91 [0.14 to 1.68] with the conventional technique. Average absolute change in joint line height using raTKA was 1.96mm [1.74 to 2.18] vs 4.00mm [3.68 to 4.32] with the conventional technique. Average change in posterior offset using raTKA was 0.08mm [-0.40 to 0.56] vs 1.64mm [2.47 to 0.81] with the conventional technique. Average absolute change in posterior offset with raTKA was 2.19mm [1.92 to 2.46] vs 4.24mm [3.79 to 4.69] with the conventional technique. There was a significant difference when comparing absolute change in joint line height and posterior offset between groups (p<0.01).ConclusionRobotic-assisted primary TKA restores the joint line height and posterior offset more accurately than conventional jig-based techniques.
Assessment of prescribed vs. achieved fluid balance during continuous renal replacement therapy and mortality outcome
Authors: Neyra Javier A. , Lambert Joshua , Ortiz-Soriano Victor , Cleland Daniel , Colquitt Jon , Adams Paul , Bissell Brittany D. , Chan Lili , Nadkarni Girish N. , Tolwani Ashita , Goldstein Stuart L. 
Published: August 2022

BackgroundFluid management during continuous renal replacement therapy (CRRT) requires accuracy in the prescription of desired patient fluid balance (FBGoal) and precision in the attainable patient fluid balance (FBAchieved). Herein, we examined the association of the gap between prescribed vs. achieved patient fluid balance during CRRT (%FBGap) with hospital mortality in critically ill patients.MethodsCohort study of critically ill adults with acute kidney injury (AKI) requiring CRRT and a prescription of negative fluid balance (mean patient fluid balance goal of negative ≥0.5 liters per day). Fluid management parameters included: 1) NUF (net ultrafiltration rate); 2) FBGoal; 3) FBAchieved; and 4) FBGap(%gap of fluid balance achieved vs. goal), all adjusted by patient’s weight (kg) and duration of CRRT (hours).ResultsData from 653 patients (median of 102.2 patient-hours of CRRT) were analyzed. Mean (SD) age was 56.7 (14.6) years and 61.9% were male. Hospital mortality rate was 64%. Despite FBGoalwas similar in patients who died vs. survived, survivors achieved greater negative fluid balance during CRRT than non-survivors: median FBAchieved-0.25 [-0.52 to -0.05] vs. 0.06 [-0.26 to 0.62] ml/kg/h,p<0.001. Median NUF was lower in patients who died vs. survived: 1.06 [0.63–1.47] vs. 1.22 [0.82–1.69] ml/kg/h,p<0.001, and median %FBGapwas higher in patients who died (112.8%, 61.5 to 165.7) vs. survived (64.2%, 30.5 to 91.8),p<0.001. In multivariable models, higher %FBGapwas independently associated with increased risk of hospital mortality: aOR (95% CI) 1.01 (1.01–1.02),p<0.001. NUF was not associated with hospital mortality when adjusted by %FBGapand other clinical parameters: aOR 0.96 (0.72–1.28),p= 0.771.ConclusionsHigher %FBGapwas independently associated with an increased risk of hospital mortality in critically ill adults with AKI on CRRT in whom clinicians prescribed negative fluid balance via CRRT. %FBGaprepresents a novel quality indicator of CRRT delivery that could assist with operationalizing fluid management interventions during CRRT.
Effects of cardiac rehabilitation on elderly patients with Chronic heart failure: A meta-analysis and systematic review
Authors: Chen Zhuang , Li Ming , Yin Chenghua , Fang Youbo , Zhu Ye , Feng Jing 
Published: August 2022

Aims
The purpose of this study was to investigate the effects of cardiac rehabilitation (CR) on elderly patients with Chronic heart failure (CHF) by literature search and meta-analysis.

Methods
We conducted an electronic search on PubMed, Cochrane Library, Embase, CNKI, Wanfang, and VIP database platforms. The search period was from the establishment of the database to November 2021 for randomized controlled studies (RCTs) related to the effects of CR on elderly patients with CHF. The RevMan 5.4 was used for meta-analysis.

Results
This study included 16 articles involving a total of 1782 patients, including 892 in the CR group and 890 in the control group. Meta-analysis showed that compared with conventional interventions, CR increased left ventricular ejection fraction in elderly patients with CHF [mean difference (MD):5.73,95% confidence interval (CI):2.05 to 9.40,Z = 3.05,P = 0.002], and decreased left ventricular end-diastolic diameter in elderly patients with CHF (MD:-4.82,95%CI:-7.49 to 15,Z = 3.54,P = 0.0004), increased the 6-minute walk test distance (MD:62.66,95% CI:44.40 to 80.92,Z = 6.72,P<0.00001), decreased the rehospitalization rate (OR:0.32,95%) CI: 0.21 0.49, Z = 5.33, P < 0.000001).

Conclusions
CR can improve cardiac function, prognosis and reduce rehospitalization rate of elderly patients with CHF.
‘We just don’t have this in us…’: Understanding factors behind low levels of physical activity in South Asian immigrants in Metro-Vancouver, Canada
Authors: Mahmood Bushra , Cox Susan , Ashe Maureen C. , Nettlefold Lindsay , Deo Neha , Puyat Joseph H. , Tang Tricia S. 
Published: August 2022

Background
South Asian immigrants in western countries are at a high risk for metabolic syndrome and associated chronic disease. While a physically active lifestyle is crucial in decreasing this risk, physical activity (PA) levels among this group remain low. The objectives of this study were to explore social and cultural factors that influence PA behavior, investigate how immigration process intersects with PA behaviors to influence PA levels and to engage community in a discussion about what can be done to increase PA in the South Asian community.

Methods
For this qualitative study, we conducted four Focus Group Discussions (FGDs) among a subset of participants who were part of a larger study. FGD data was coded and analysed using directed content analysis to identify key categories.

Results
Participants expressed a range of opinions, attitudes and beliefs about PA. Most believed they were sufficiently active. Women talked about restrictive social and cultural norms that discouraged uptake of exercise. Post-immigration levels of PA were low due to change in type of work and added responsibilities.

Conclusion
Health promoters need to consider social, cultural, and structural contexts when exploring possible behavior change interventions for South Asian immigrants.
Effects of breathing reeducation on cervical and pulmonary outcomes in patients with non specific chronic neck pain: A double blind randomized controlled trial
Authors: Anwar Sahreen , Arsalan Asadullah , Zafar Hamayun , Ahmad Ashfaq , Hanif Asif 
Published: August 2022

Objective
The purpose of this randomized controlled trial was to study effects of breathing reeducation in the treatment of patients with non specific chronic neck pain.

Methods
A total of sixty eight eligible patients with chronic neck pain were randomly allocated to breathing reeducation (BR) group (n = 34) and routine physical therapy (RPT) group (n = 34). Clinical outcomes were neck pain measured through visual analogue score, cervical active range of motion through CROM device, strength of neck muscles through hand held dynamometer and endurance of neck muscles measured through craniocervical flexion test. The neck disability was measured through neck disability index (NDI) and pulmonary outcomes such as forced vital capacity (FVC), forced expiratory volume in one second (FEV1), and FEV1/FVC ratio were measured through Spirolab 4. The outcomes were assessed at baseline and at 4 and at 8 weeks from baseline.

Results
There were significant improvements in the BR group compared with the RPT group (P = 0.002) for cervical flexion, extension (P = 0.029), endurance (P = 0.042), strength of neck flexors (P <0.001), neck extensors (P = 0.034). Likewise there was a significant change in NDI (P = 0.011), FEV1 (P = 0.045), FVC (P <0.001), and FEV1/FVC ratio (P <0.001) in the BR group compared with the RPT group. The cervical side flexion and rotation showed no significant difference in breathing reeducation group with p > 0.05.

Conclusion
Breathing reeducation combined with routine physical therapy is an effective treatment in patients with non specific chronic neck pain.

Trial registration
IRCT 20200226046623N1, https://www.irct.ir/trial/46240.
Relationships of sphenoid sinus pneumatization with internal carotid artery characteristics
Authors: Kang Yun Jin , Cho Jin-Hee , Kim Do Hyun , Kim Sung Won 
Published: August 2022

Objective
We explored the clinical significances of the relationships among sphenoid sinus aeration, intersphenoid sinus septum (ISS), and internal carotid artery (ICA).

Methods
We retrospectively reviewed the preoperative paranasal sinus computed tomography scans and the medical charts of 490 patients who were treated by the endoscopic endonasal transsphenoidal approach. We analyzed sphenoid sinus pneumatization, number of ISS, and positional relationships between the ICA and ISS (including ICA prominence and the thickness of surrounding bone).

Results
ISS were often present in the ICAs of patients with presellar pneumatization (36.2%; p = 0.042). Sphenoid sinus pneumatization status significantly differed according to number of ISS (p < 0.001), ICA prominence (p < 0.001), ISS insertion into the ICA (p = 0.042), and distance from ISS to ICA (p = 0.004). When sphenoid sinus aeration was poor, the ICA was not prominent, and the ISS were attached to or lay close to the paraclival ICA.

Conclusions
Patients with presellar pneumatization exhibited less prominent ICAs, and more ISS attached to or near the paraclival ICA, than did other patients. Therefore, particular caution is required when using the endoscopic endonasal transsphenoidal approach to treat patients with poor sphenoid sinus aeration.
Exploring healthcare providers’ perceptions regarding the prevention and treatment of chronic pain in breast cancer survivors: A qualitative analysis among different disciplines
Authors: Slaghmuylder Yaël , Pype Peter , Van Hecke Ann , Lauwerier Emelien 
Published: August 2022

Background
The prevention and treatment of chronic pain problems in breast cancer follow-up care require an adequate response from healthcare providers. Generally, this involves the uptake of evidence-based principles regarding pain management in everyday practice. However, despite the extensive literature on effective pain interventions, systematic and coordinated follow-up care is lacking for breast cancer survivors with pain problems in Flanders, Belgium.

Objective
This study aimed to gather insight into healthcare providers’ perceptions of pain prevention and treatment in breast cancer follow-up care, particularly with attention to the multilevel influences on pain follow-up.

Methods
We conducted four online focus groups with twenty-two healthcare providers from different disciplines such as oncologists, pharmacists, nurses, physiotherapists, and psychologists. Data analysis was guided by the Qualitative Analysis Guide of Leuven. This guide is inspired by the constant comparison method, based on Grounded Theory.

Results
The identified influencing factors were thematically grouped into four levels: at the level of the individual healthcare provider, in interaction with the patient, in interaction with colleagues, and at the context level. At each level, we distinguished factors related to healthcare providers’ perceptions such as awareness, knowledge, attitudes, beliefs, experiences, and intentions. For example, because of a lack of knowledge and certain beliefs among healthcare providers, referral to other disciplines often does not happen in the context of pain.

Conclusion
This study points out the need to explore the prevention and treatment of chronic pain after breast cancer from a multidimensional point of view. This involves not only the characteristics of individual healthcare providers but is also inherently interactional and system-like in nature. This analysis provides opportunities for the development of interventions that target the influencing factors of prevention and treatment of chronic pain in breast cancer survivors.
Age differences in functioning and contextual factors in community-dwelling stroke survivors: A national cross-sectional survey
Authors: Olafsdottir Steinunn A. , Hjaltadottir Ingibjörg , Galvin Rose , Hafsteinsdottir Thora B. , Jonsdottir Helga , Arnadottir Solveig A. 
Published: August 2022

Background
Our study aimed to map functioning and contextual factors among community-dwelling stroke survivors after first stroke, based on the International Classification of Functioning, Disability and Health (ICF), and to explore if these factors differ among older-old (75 years and older), younger-old (65–74 years), and young (18–65 years) stroke survivors.

Methods
A cross-sectional population-based national survey among community-dwelling stroke survivors, 1–2 years after their first stroke. Potential participants were approached through hospital registries. The survey had 56.2% response rate. Participants (N = 114, 50% men), 27 to 94 years old (71.6±12.9 years), were categorized as: older-old (n = 51), younger-old (n = 34) and young (n = 29). They answered questions on health, functioning and contextual factors, the Stroke Impact Scale (SIS) and the Behavioural Regulation Exercise Questionnaire-2. Descriptive analysis was used, along with analysis of variance for continuous data and Fisher´s exact tests for categorical variables. TukeyHSD, was used for comparing possible age-group pairings.

Results
The responses reflected ICF´s personal and environmental factors as well as body function, activities, and participation. Comparisons between age-groups revealed that the oldest participants reported more anxiety and depression and used more walking devices and fewer smart devices than individuals in both the younger-old and young groups. In the SIS, the oldest participants had lower scores than both younger groups in the domains of activities of daily living and mobility.

Conclusion
These findings provide important information on needs and opportunities in community-based rehabilitation for first-time stroke survivors and reveal that this population has good access to smart devices which can be used in community integration. Moreover, our results support the need for analysis in subgroups of age among the heterogenous group of older individuals in this population.
The Role of Selenium in Controlling Reproductive Disorder in Beef Cattle
Authors: Wiedosari Ening , Sani Yulvian 
Published: August 2022

Reproductive failure is regarded as a problem in the breeding of beef cattle as indicated by low calving rate, low conception rate, longer periods of calving interval, and neonatal mortality. Selenium deficiency may lead to non-infectious reproduction disorder in ruminants. The purpose of this review is to evaluate the role of selenium in preventing reproduction failure of beef cattle. In the reproduction process, selenium is required for cellular respiration, cellular oxidation, DNA and RNA replication, the integrity of cells membrane, and releasing free radicals. Selenocysteine (SeCys) is the main component of selenoprotein consisting of glutathione peroxidase (GPX) to inhibit free radicals formation and reduce risks of tissue damage. Glutathione peroxidases (GPXs) involved are: GPX-1 (cytosolic), GPX-2 (gastrointestinal specific), GPX-3 (plasma/extracellular), GPX-4 (phospholipid-hydroperoxides/intracellular) and GPX-5 (spermatozoa mitochondrial capsule). Selenium as an antioxidant is potentially involved in reducing fertility, stillbirth, abortus, and premature in cows based on oxidative stress and selenium deficiency. In male cattle, the role of selenium is to maintain the integrity of cells membrane, spermatozoa fertility, and ejaculation. The selenium deficiency may therefore affect spermatozoa fertility, motility, and fusion to oocytes due to lipid peroxidation. It is then regarded as a factor in reproductive failure mainly in the infertility of cattle. Treatments for reproductive failure due to selenium deficiency could be conducted by supplementing selenium in the mineral mix, periodical dosing of selenium salt, and providing Se-mineral block, the combination of selenium and vitamin E or selenium supplementation in soils to improve the quality of fodder and feeds.
PEIXOTO, Adão José. (Org.) Fenomenologia: diálogos possíveis. Campinas: Editora Alínea; Goiânia: Editora da PUC de Goiás, 2011. 221p.
Authors: Silva Sandra Maria Glória da , Silva Maria Aparecida da 
Published: August 2022

PEIXOTO, Adão José. (Org.) Fenomenologia: diálogos possíveis. Campinas: Editora Alínea; Goiânia: Editora da PUC de Goiás, 2011. 221p.
O livro Fenomenologia: diálogos possíveis, organizado por Adão José Peixoto, reúne artigos que abordam a aplicação dessa teoria do conhecimento como referencial para pesquisa nas áreas de Educação, Psicologia, Matemática, Enfermagem e Literatura. Apresenta os fundamentos da Fenomenologia e os procedimentos para aplicação do método fenomenológico em situações contemporâneas. Os autores propõem a ampliação do diálogo entre a Fenomenologia e outras áreas do conhecimento.
A Fenomenologia, método de investigação filosófica elaborado por Edmund Husserl no final do século XIX, surgiu com o intuito de transpor a relação antagônica entre objetivismo e subjetivismo. Enquanto o cientificismo da filosofia positivista busca o conhecimento científico neutro e advoga o distanciamento entre o sujeito e o objeto, a Fenomenologia propõe a inseparabilidade entre o sujeito e o objeto. A perspectiva fenomenológica intenta ver além do cientificismo das ciências naturais e demonstrar a inexistência de um sujeito puro, ou seja, desvinculado do objeto. Por trás dos atos e dos fenômenos humanos observáveis, os fenomenólogos consideram a existência latente de valores, de finalidades que precisam ser interpretados e compreendidos. Assim, a Fenomenologia procura resguardar a especificidade do fenômeno humano com a intenção de evitar que as ciências humanas adquiram uma feição determinista, capaz de negar a liberdade humana.
Data de registro:12/02/2012
Data de aceite:08/02/2013
Uso de robótica en una emergencia sanitaria
Authors: Becerra Yeyson , Arbulu Saavedra Mario Ricardo 
Published: August 2022

Contexto: La covid-19 ha acelerado la integración de la robótica y sistemas autónomos a los distintos sectores económicos, esto se ha presentado principalmente por la necesidad de mantener a las personas distanciadas para reducir el riesgo de contagio. En el mundo, han venido emergiendo y adaptándose diversos sistemas robóticos para ayudar a combatir la pandemia y reactivar nuevamente la economía.
Método: Este trabajo presenta inicialmente las medidas que se han tomado en el mundo para luchar en contra de la pandemia, así como el impacto que ha dejado en la economía global. Posteriormente se seleccionan tres grupos de robots y se demarcan las principales tareas que estos han desarrollado durante dicho periodo.
Discusión: Si bien la robótica se presenta como una herramienta en la lucha contra la pandemia y un motor para reactivar la economía, se deben tener en cuenta desafíos como el remplazo de humanos por robots en ciertas labores, mayor inequidad, falta de privacidad en espacios públicos e incremento de recursos para la investigación en robótica.
Conclusiones: Se prevé un incremento en la demanda de robots para los próximos años, así como un decremento en la interacción entre humanos. El fin de la pandemia no hará retroceder la integración de los robots a los diversos sectores de la economía. La robótica es una tecnología disruptiva que hará cambiar al mundo en los próximos años.
Método: Este trabajo presenta inicialmente las medidas que se han venido tomando alrededor del mundo para luchar en contra de la pandemia, así como el impacto que ha venido dejando en la economía mundial. Posteriormente se seleccionan tres grupos de robots y se demarcan las principales tareas que estos han desarrollado durante la pandemia.
Discusión: Si bien la robótica se presenta como una herramienta en la lucha contra la pandemia y un motor para reactivar la economía, se deben tener en cuenta desafíos como tales como el remplazo de humanos por robots en ciertas labores, mayor inequidad, falta de privacidad en espacios públicos e incremento de recursos para la investigación en robótica.
Conclusiones: Se prevé un incremento en la demanda de robots para los próximos años, así como se espera un decremento en la interacción entre humanos. El fin de la pandemia no hará retroceder la integración de los robots a los diversos sectores de la economía. La robótica es una tecnología disruptiva que hará cambiar al mundo en los próximos años.