bluuebunny/crossref_metadata_2025_split huggingface dataset:
No difference in outcome or migration but greater loss of bone mineral density with the Collum Femoris Preserving stem compared with the Corail stem: a randomized controlled trial with five-year follow-up
Authors: Rilby Karin , Nauclér Emma , Mohaddes Maziar , Kärrholm Johan 
Published: May 2022

Aims The aim of this study was to compare the mid-term patient-reported outcome, bone remodelling, and migration of a short stem (Collum Femoris Preserving; CFP) with a conventional uncemented stem (Corail). Methods Of 81 patients who were initially enrolled, 71 were available at five years’ follow-up. The outcomes at two years have previously been reported. The primary outcome measure was the clinical result assessed using the Oxford Hip Score (OHS). Secondary outcomes were the migration of the stem, measured using radiostereometric analysis (RSA), change of bone mineral density (BMD) around the stem, the development of radiolucent lines, and additional patient-reported outcome measures (PROMs). Results There were no statistically significant differences between the groups regarding PROMs (median OHS (CFP 45 (interquartile range (IQR) 35 to 48); Corail 45 (IQR 40 to 48); p = 0.568). RSA showed stable stems in both groups, with little or no further subsidence between two and five years. Resorption of the femoral neck was evident in nine patients in the CFP group and in none of the 15 Corail stems with a collar that could be studied. Dual X-ray absorbiometry showed a significantly higher loss of BMD in the proximal Gruen zones in the CFP group (mean changes in BMD: Gruen zone 1, CFP -9.5 (95% confidence interval (CI) -14.8 to -4.2), Corail 1.0 (95% CI 3.4 to 5.4); Gruen zone 7, CFP -23.0 (95% CI -29.4 to -16.6), Corail -7.2 (95% CI -15.9 to 1.4). Two CFP stems were revised before two years’ follow-up due to loosening, and one Corail stem was revised after two years due to chronic infection. Conclusion The CFP stem has a similar clinical outcome and subsidence pattern when compared with the Corail stem. More pronounced proximal stress-shielding was seen with the CFP stem, suggesting diaphyseal fixation, and questioning its femoral neck-sparing properties in the long term. Cite this article: Bone Joint J 2022;104-B(5):581–588.
Five-year outcomes for patients sustaining severe fractures of the lower limb
Authors: Costa Matt L. , Achten Juul , Parsons Nick R. ,   on behalf of the WOLLF collaborators
Published: May 2022

Aims The aim of this study was to report the outcomes of patients with severe open fractures of the lower limb in the five years after they took part in the Wound management for Open Lower Limb Fracture (WOLLF) trial. Methods The WOLLF trial compared standard dressings to negative pressure wound therapy (NPWT) applied at the end of the first surgical wound debridement, and patients were followed-up for 12 months. At 12 months, 170 of the original 460 participants agreed to take part in this medium-term follow-up study. Patients reported their Disability Rating Index (DRI) (0 to 100, where 100 is total disability) and health-related quality of life (HRQoL) using the EuroQol five-dimension three-level health questionnaire (EQ-5D-3L) annually by self-reported questionnaire. Further surgical interventions related to the open fracture were also recorded. Results There was no evidence of a difference in patient-reported disability, HRQoL, or the need for further surgery between patients treated with NPWT versus standard dressings at five years. Considering the combined results for all participants, there was a small but statistically significant change in DRI scores over time (1.6 units per year; p = 0.005), but no evidence that EQ-5D-3L scores changed significantly during years two to five (p = 0.551). Conclusion This study shows that the high levels of disability and reduced HRQoL reported by patients 12 months after severe open fractures of the lower limb persist in the medium term, with little evidence of improvement between years two and five. Cite this article: Bone Joint J 2022;104-B(5):633–639.
Additional operations after surgery for lumbar disc prolapse
Authors: Sigmundsson Freyr Gauti , Joelson Anders , Strömqvist Fredrik 
Published: May 2022

Aims Lumbar disc prolapse is a frequent indication for surgery. The few available long-term follow-up studies focus mainly on repeated surgery for recurrent disease. The aim of this study was to analyze all reasons for additional surgery for patients operated on for a primary lumbar disc prolapse. Methods We retrieved data from the Swedish spine register about 3,291 patients who underwent primary surgery for a lumbar disc prolapse between January 2007 and December 2008. These patients were followed until December 2020 to record all additional lumbar spine operations and the reason for them. Results In total, 681 of the 3,291 patients (21%) needed one or more additional operations. More than three additional operations was uncommon (2%; 15/906). Overall, 906 additional operations were identified during the time period, with a mean time to the first of these of 3.7 years (SD 3.6). The most common reason for an additional operation was recurrent disc prolapse (47%; 426/906), followed by spinal stenosis or degenerative spondylolisthesis (19%; 176/906), and segmental pain (16%; 145/906). The most common surgical procedures were revision discectomy (43%; 385/906) and instrumented fusion (22%; 200/906). Degenerative spinal conditions other than disc prolapse became a more common reason for additional surgery with increasing length of follow-up. Most patients achieved the minimally important change (MIC) for the patient-reported outcomes after the index surgery. After the third additional spinal operation, only 20% (5/25) achieved the MIC in terms of leg pain, and 29% (7/24) in terms of the EuroQol five-dimension index questionnaire visual analogue scale. Conclusion More than one in five patients operated on for a lumbar disc prolapse underwent further surgery during the 13-year follow-up period. Recurrent disc prolapse was the most common reason for additional surgery, followed by spinal stenosis and segmental pain. This study shows that additional operations after primary disc surgery are needed more frequently than previously reported, and that the outcome profoundly deteriorates after the second additional operation. The findings from this study can be used in the shared decision-making process. Cite this article: Bone Joint J 2022;104-B(5):627–632.
Liner malseating is rare with two modular dual-mobility designs
Authors: Siljander Matthew P. , Gausden Elizabeth B. , Wooster Benjamin M. , Karczewski Daniel , Sierra Rafael J. , Trousdale Robert T. , Abdel Matthew P. 
Published: May 2022

Aims The aim of this study was to evaluate the incidence of liner malseating in two commonly used dual-mobility (DM) designs. Secondary aims included determining the risk of dislocation, survival, and clinical outcomes. Methods We retrospectively identified 256 primary total hip arthroplasties (THAs) that included a DM component (144 Stryker MDM and 112 Zimmer-Biomet G7) in 233 patients, performed between January 2012 and December 2019. Postoperative radiographs were reviewed independently for malseating of the liner by five reviewers. The mean age of the patients at the time of THA was 66 years (18 to 93), 166 (65%) were female, and the mean BMI was 30 kg/m2 (17 to 57). The mean follow-up was 3.5 years (2.0 to 9.2). Results Three liners (1.2%) were malseated, including two MDMs (1.4%) and one G7 (0.9%). No clinical consequence was identified from malseating. The five-year survival free of dislocation was 97.1%, including two DM and one intraprosthetic dislocation. The five-year survival free of revision was 95.4%, with seven revisions. The mean Harris Hip Scores increased from 46 (24 to 69) preoperatively to 81 (40 to 100) at two years postoperatively (p < 0.001). Conclusion The incidence of DM liner malseating after primary THA was low, with no known clinical consequences at mid-term follow-up. Malseating is not exclusive of design, and these findings emphasize the importance of careful evaluation of the liner after impaction to avoid this complication. Cite this article: Bone Joint J 2022;104-B(5):598–603.
Biomechanical effect of anatomical tibial component design on load distribution of medial proximal tibial bone in total knee arthroplasty
Authors: Cho Byung W. , Kang Kyoung-Tak , Kwon Hyuck M. , Lee Woo-Suk , Yang Ick H. , Nam Ji H. , Koh Yong-Gon , Park Kwan K. 
Published: May 2022

Aims This study aimed to identify the effect of anatomical tibial component (ATC) design on load distribution in the periprosthetic tibial bone of Koreans using finite element analysis (FEA). Methods 3D finite element models of 30 tibiae in Korean women were created. A symmetric tibial component (STC, NexGen LPS-Flex) and an ATC (Persona) were used in surgical simulation. We compared the FEA measurements (von Mises stress and principal strains) around the stem tip and in the medial half of the proximal tibial bone, as well as the distance from the distal stem tip to the shortest anteromedial cortical bone. Correlations between this distance and FEA measurements were then analyzed. Results The distance from the distal stem tip to the shortest cortical bone showed no statistically significant difference between implants. However, the peak von Mises stress around the distal stem tip was higher with STC than with ATC. In the medial half of the proximal tibial bone: 1) the mean von Mises stress, maximum principal strain, and minimum principal strain were higher with ATC; 2) ATC showed a positive correlation between the distance and mean von Mises stress; 3) ATC showed a negative correlation between the distance and mean minimum principal strain; and 4) STC showed no correlation between the distance and mean measurements. Conclusion Implant design affects the load distribution on the periprosthetic tibial bone, and ATC can be more advantageous in preventing stress-shielding than STC. However, under certain circumstances with short distances, the advantage of ATC may be offset. Cite this article: Bone Joint Res 2022;11(5):252–259.
Contando a pré-história para crianças no museu D. José, Sobral, Ceará
Authors: Viana Rebeca Sales , Viana Maria Somália Sales , Oliveira Paulo Victor de 
Published: May 2022

Este artigo relata a experiência de contação de história integrada ao Programa de Divulgação Científica do Museu Diocesano D. José (MDJ), desenvolvido por professores e estudantes de graduação da Universidade Estadual Vale do Acaraú (UVA) em Sobral, Ceará. A atividade de contação de história no MDJ, parte das inciativas de educação patrimonial, visa estabelecer diálogo com crianças, valorizando o legado ancestral da oralidade na descoberta de bens culturais, muitas vezes ignorados e invisíveis. Objetivamos neste artigo descrever e refletir sobre o processo de contação de história envolvendo o tema da educação patrimonial em um Museu no Ceará. Utilizamos conceitos fundamentais da Educação Patrimonial, da Paleontologia e da Pedagogia. Trata-se de uma ação de extensão que envolveu alunos de graduação em biologia e teve como público-alvo escolares da rede pública e particular de ensino fundamental. Os principais resultados obtidos com as ações foram: maior interesse das crianças pelo acervo; potencialização da criatividade e de habilidades de comunicação dos acadêmicos; difusão cultural do patrimônio paleontológico da região e incentivo à preservação dos fósseis.
Leitura literária e contação de histórias em meio às impressões da leitura de crianças de 4 e 5 anos
Authors: Botelho Melina Carvalho , Goulart Ilsa do Carmo Vieira 
Published: May 2022

O presente estudo tem como objetivo apresentar e identificar as impressões que as atividades de leitura literária e de contação de histórias provocam na criança, com a finalidade de analisar a compreensão e as relações construídas entre a leitura literária, a arte narrativa e a afetividade. Trata-se de pesquisa de abordagem qualitativa, realizada por meio de uma pesquisa-ação, a partir da aplicação de atividades de leitura literária e de contação de histórias, com crianças de 4 e 5 anos, de uma turma da educação infantil de uma escola de rede privada de ensino, de uma cidade do Campo das Vertentes, MG. As atividades constituíram-se em 3 propostas distintas: primeiro, quando a professora conta uma história para seu aluno, segundo quando se lê a história de um livro e terceiro quando leem juntos um livro de imagens. Após cada atividade de leitura, realizou-se conversas com as crianças, a respeito das suas impressões sobre a atividade de leitura literária e de contação de histórias. Para análise das falas das crianças, embasamo-nos nos estudos de Sisto (2001, 2007), Machado (2004) sobre a contação de histórias, nos estudos de Cosson (2016) sobre leitura literária estudos de Wallon (1999) com a concepção de afetividade. As observações iniciais, indicam que a leitura acontece a partir de emoções, mostrando que as crianças que têm contato com as narrativas potencializam a imaginação, a criatividade e a capacidade de discernimento e de criticidade.
Atualidade e eternidade: a modernidade em Charles Baudelaire
Authors: Castriota Leonardo Barci 
Published: May 2022

Apesar de Charles Baudelaire ser um marco obrigatório na discussão da modernidade, um conceito mais preciso desta não se deixa apreender com facilidade em sua obra poética e em seus textos ensaísticos, parecendo mesmo ser utilizado ali em diversas acepções. Neste texto vamos acompanhar a obra do poeta francês, tanto na sua produção literária quanto na sua crítica de arte, procurando mostrar como ele propõe, na Paris de meados do século XIX, uma leitura muito específica da tradição e de sua relação com a modernidade. Vamos mostrar como ali emerge uma estética modernista que coloca a questão da autofundamentação da arte, na qual a experiência estética da modernidade vai necessariamente se fundir com a experiência histórica, sendo a obra de arte o ponto no qual se encontram os eixos da atualidade e da eternidade.
Uma coronel no sertão: transfigurações do feminino em A História de Bernarda Soledade, de Raimundo Carrero
Authors: Dantas da Silva Felipe , Pelinser André Tessaro 
Published: May 2022

O regionalismo tem sido considerado por grande parte da crítica literária brasileira como uma manifestação de baixa qualidade artística. Esta visão negativa tem levado muitos escritores contemporâneos a rechaçar a vinculação ao rótulo, ainda que, em suas obras, encontrem-se representações do universo sertanejo com temas e imagens que se inserem numa tradição regionalista. Neste trabalho, analisa-se o romance A História de Bernarda Soledade – a tigre do sertão, de Raimundo Carrero, com atenção às representações do feminino e do coronelismo, tendo em vista a corrente literária regionalista. O exame é baseado na personagem Bernarda Soledade, que subverte as convenções sociais impostas pela sociedade e confere nova roupagem à representação do universo coronelista. Constata-se que, apesar da negação de Raimundo Carrero ao regionalismo, é possível encontrar na obra analisada a recorrência de índices que vêm sendo expressos ao longo da história literária brasileira e, portanto, se inserem numa tradição regional, mesmo que haja transfigurações no modo como estes elementos são representados.
O uso da literatura de cordel no ensino de variação linguística
Authors: Jesus José Luiz Santos de , Almeida Laura Camila Bráz de 
Published: May 2022

Este trabalho apresenta resultados de uma pesquisa sobre Literatura de Cordel e variação linguística nas aulas de Língua Portuguesa. A partir da leitura dos cordéis A chegada de Lampião no céu, de Rodolfo Coelho Cavalcante, e A chegada de Lampião no inferno, de José Pacheco, o objetivo da pesquisa é discutir acerca da variação linguística e suas contribuições na compreensão de textos de diferentes naturezas, colaborando na construção de sentidos. Segundo Paim (2019), a Dialetologia e a Sociolinguística podem ajudar os professores na sua prática educativa, atuando na constituição da identidade social, coletiva e linguística do indivíduo. É importante que se dê ao aluno a consciência de que variações linguísticas existem e que elas podem representar a história de um povo. Foi utilizada como metodologia o procedimento chamado Sequência Didática, elaborado por Dolz, Noverraz e Schnewly (2004), em que consiste na sequenciação de atividades, escritas e de leitura, que contribuem para o propósito das aulas. Os resultados obtidos com a pesquisa foram satisfatórios. O ensino da variação linguística presente no cordel utilizado ocorreu em forma de debates, quando as variações eram percebidas na leitura. Ao buscar o significado de cada exemplo da diversidade lexical da língua presente nesses cordéis, e em produção textual, os alunos relataram a importância de se estudar variações linguísticas e o uso do cordel nas aulas de Língua Portuguesa.
Literatura e teatro mediados pela filologia editorial
Authors: Borges Rosa 
Published: May 2022

No campo da Filologia em diálogo com outros saberes, o filólogo-editor, como mediador editorial e intérprete, tem se ocupado da edição e crítica filológica de textos que integram nosso patrimônio cultural escrito, valendo-se das práticas da crítica textual, genética e sociológica, apresentando produtos editoriais variados em suporte papel, informático e/ou em rede. Nosso objetivo é, através da atividade editorial, fazer representar uma literatura local, regional, constituída dos nomes que formam o corpo de literatos e dramaturgos na Bahia e, consequentemente, contribuir com seus registros nos campos da Literatura e Dramaturgia no Brasil. Nessa direção, o filólogo-editor cumpre seu papel de mediador e crítico no exercício da crítica textual e de suas metodologias na contemporaneidade, dando a conhecer os processos de produção e transmissão dos textos, proporcionando informações sobre a história do texto e de sua recepção ao longo do tempo.
Case method in quasi-professional training of prospective teachers
Authors: Dmitrenko Natalia , Voloshyna Oksana , Melnychuk Tetiana , Holovska Iryna , Dutka Hanna 
Published: May 2022

In the study, the technology of work with cases in quasi-professional training of prospective teachers was designed and the results of academic progress were monitored. The designed technology of work on cases was based on the principles of the competent education. The diagnostic methods were chosen in accordance with the goals of the study experiment that allowed monitoring the dynamics of the researched qualities. The expert evaluation was based on the developed scale of 10 in accordance with the cognitive levels: knowledge, understanding, application, analysis, synthesis and evaluation. The experiment has proved that forming and control the competencies with the help of designed technology are more productive that allows making a conclusion about its productivity as well as the effectiveness of created pedagogical conditions. The technology of work with cases in quasi-professional training of prospective teachers includes methods and forms of studying, the description of students’ and teacher’s activity, and has the following components: a target, tasks, the organizational and pedagogical conditions, the informative component, the diagnostics and control, the structure of interaction, the technological component, and the effectiveness. The realization of case technology can be presented at three stages: the preparatory stage, the executive stage, the reflexive stages, which are described by the target, methods and forms, the students’ activity, forming competencies, the teacher’s activity, and control of results. The experimental study of implementing technology of using the case method in the educational process was conducted on the basis of Vinnytsia Mykhailo Kotsiubynsky State Pedagogical University among pre-service teachers (96 participants) during two semesters while studying the course of Pedagogics.
Economic growth, motorization level, traffic safety: are they related (experience of EU countries)
Authors: Peleckiene Valentina , Peleckis Kestutis , Klymchuk Aliona , Tomashuk Inna , Semenyshyna Iryna 
Published: May 2022

The purpose of the research paper is to observe and analyze how the economic growth of EU countries is accompanied by the growth of motorization rate and fatalities during the last decades in terms of inventory number of motor vehicles and accidents in road traffic. The research methodology was statistical analysis from the year 2000 to the year 2019 of economic growth, motorization rate in the EU countries, and the accidents. In the research paper, the quantitative analysis and comparison methods are applied. The research paper shows that in the EU countries of higher income levels, the rate of increase in motor vehicles is lower than the decline in fatalities per motor vehicle, and in countries of low-income levels the rate of increase in motor vehicles is higher than the decline in fatalities per motor vehicle. The research paper demonstrates that countries with different levels of economic development have different motorization levels and there are differences on decline in fatalities per motor vehicle level. This is the first paper that analyses different EU countries' motorization rates and fatalities during the last decades.
Segmentary analysis of the efficiency of state enterprises
Authors: Parasii-Verhunenko Iryna , Hryshchenko Nataliia , Kostiuk Tetiana , Fedoryshyna Lydiia , Hridin Oleksandr 
Published: May 2022

The purpose of the article is to substantiate the main stages and directions of analysis of the activities of state-owned enterprises by operational and geographical segments, taking into account the goals and objectives of strategic management. The information base of the empirical study was the data of the official website of JSC “Ukrzaliznytsia” for 2020. The methodological and methodological basis of the study is the National Accounting Regulation (Standard) 29 “Financial reporting by segments” and International Financial Reporting Standards (IFRS) 8 “Operating segments”. The following methodical methods were used in the course of the research, namely: methods as comparison, modelling, time series, structural and dynamic, graphic and coefficient analysis. Based on the proposed methodology, the efficiency of JSC “Ukrzaliznytsia” is analysed and the problematic operating segments of its activities are identified, which reduce the overall financial results of the company. The results of the study are the improvement and systematization of analytical indicators in terms of individual stages and areas of strategic analysis of the effectiveness of state enterprises through the differentiation of performance evaluation of their operating business segments. For this purpose the main stages and directions of the analysis on the following analytical blocks are offered: the analysis of external environment of functioning of a business segment; analytical assessment of the competitiveness and competitive position of the business segment; analysis of resource potential and efficiency of production capacity of the business segment; assessment of innovation and investment activity of the business segment; analysis of the efficiency of the business segment; analysis of the state of execution of budgets of revenues, expenditures, profits; analysis of management efficiency and quality.