bluuebunny/crossref_metadata_2025_split huggingface dataset:
Tension Band Wiring of Patella Fractures: Mid-Term Radiological and Clinical Results
Authors: YAPİCİ Furkan , GÜR Volkan , SUBAŞI İzzet Özay , KARAKÖSE Reşit , KOÇKARA Nizamettin 
Published: September 2022

Objective: We aimed to share our radiological and clinical results with a mid-term follow-up on patella fractures treated with tension band wiring (TBW).
Methods: Patients surgically treated with TBW for AO type 34-A1/C1/C2/C3 patella fractures between January 2013 and June 2021 at a level 1 trauma center were included. For radiological evaluation, radiographs obtained at the routine follow-up were analyzed for complications (such as nonunion, malunion, loss of reduction, malreduction, patella baja, elongated patella, implant failure), Insall-Salvati Index (ISI), and Patellar Morphology Ratio (PMR). The Knee Injury and Osteoarthritis Score (KOOS) was utilized for functional evaluation, which includes five subscales: pain, symptoms, activities of daily living (ADL), sports/recreation, and quality of life (QOL). The clinical assessment also included the range of motion (ROM), thigh circumference (TC), and complications such as implant irritation (II).
Results: This study reviewed 42 eligible patients (10 females, 32 males) with a mean age of 42.6 ± 16.1 years and a mean follow-up of 35.4 ± 24.1 months. There were 28 patients (66.7%) with at least one complication (II: 66.7%, flexion deficit: 61.9%, malunion: 40.5%, elongated patella/patella baja: 16.7%). The reoperation rate was high at 69.1% due to the high implant removal rate for II. There were statistically significant differences between injured (I) and uninjured contralateral healthy knees (UI) in terms of mean KOOS subscale scores (symptoms: I: 72.3, UI: 89.8; pain: I: 70.4, UI: 89.4; ADL : I: 72.1, UI: 90; sports: I: 61.4, UI: 84.8; QOL: I: 67.9, UI: 86.2), mean flexion degrees (I: 126.2°, UI: 135.4°), mean ISI (I: 0.9, UI: 1.0), and mean PMR (I: 1.5, UI: 1.4) (all p < 0.01). There was no difference in mean extension degrees and TC (all p > 0.05). All fractures achieved union.
Conclusion: Firstly, the mid-term clinical results of patellar fractures treated with TBW were significantly worse than the contralateral healthy knee; secondly, implant irritation, knee flexion deficit, malunion, and patella baja were the significant complications, and efforts should be made to manage these problems; thirdly, patellar fractures are susceptible to developing interesting cases of the elongated patella.
Impact of Exercise Training on Obstructive Sleep Apnea: A Systematic Review and Meta-analysis of Randomized Trials
Authors: Olagunju Abdulbaril , Yamani Naser , Unzek Samuel , Lee-Iannotti Joyce K. , Mookadam Farouk , Mookadam Martina 
Published: September 2022

ABSTRACT

Background
Randomized controlled trials have highlighted the importance of exercise training on the severity of obstructive sleep apnea (OSA). The primary objective of this meta-analysis was to analyze the data from these studies on the severity of OSA indices as measured by formal polysomnography. The secondary objective was to evaluate the effect of exercise on oxygen desaturation index, body mass index and several metabolic parameters associated with OSA.

Methods
Two independent reviewers and an experienced librarian searched MEDLINE, EMBASE, COCHRANE, and Scopus and SPORTDiscus databases from January 1, 2000, to October 21, 2021 to identify randomized controlled trials that evaluated the impact of exercise training on OSA severity. Pre-exercise and postexercise training data on the primary and secondary objectives were extracted.

Results
A total of 11 randomized controlled trials (533 study participants) were identified based on the inclusion criteria. The mean pre-exercise and postexercise reduction in apnea hypopnea index was −6.94 event per hour (95% confidence interval [CI]: −10.74 to −3.13, I2 = 84%). The mean changes in oxygen desaturation index and body mass index were −5.32 events per hour (95% CI: −9.65 to −0.99, I2 = 73%) and −1.21 kg·m−2 (95% CI: −1.80 to −0.62, I2 = 49%) respectively.

Conclusion
In adult patients with OSA, exercise training was associated with statistically significant reduction in OSA severity.
Low-Level Exercise During Chemotherapy Infusion: A Pilot Study
Authors: Kerrigan Dennis J. , Walker Eleanor M. , Ehrman Jonathan K. , Baxter Jodi , Harbac Roxanne M. , Keteyian Steven J. 
Published: September 2022

ABSTRACT

Background
Exercise training mitigates some adverse side effects (i.e. fatigue, nausea) of chemotherapy. However, many patients with cancer do not participate in regular exercise due to these adverse side effects as well as other common barriers (e.g. access, time, motivation). This brief report describes the physiological response during a low level cycle ergometry exercise, performed while patients were receiving their chemotherapy infusion. Additionally, the frequency of clinical events following exercise infusion was reported.

Methods
Breast cancer patients (n = 14, mean age = 54) who were currently participating in the Exercise and Cancer Integrative Therapies Education Program (ExCITE) at Henry Ford Hospital were asked to perform self-selected light intensity exercise on a portable leg ergometry machine (Monarck) while receiving chemotherapy. Heart rate during exercise infusion was maintained approximately at 30–40% of heart rate reserve. Differences in adverse clinical events following the exercise-infusion sessions were compared to standard infusion only visits (no exercise) using a Pearson Chi-Square test.

Results
These 5 patients underwent 17 chemotherapy infusions during exercise i. Participants tolerated the exercise during infusion with no adverse events completing an average duration of 16.4 + 6.2 minutes at a work rate of 18 + 6 W and an exercise heart rate 24 beats above rest. Additionally, there were fewer reported adverse clinical events following exercise infusion compared to infusion alone (12% vs. 53%; P = 0.002).

Conclusion
These preliminary data indicate that performing light-intensity exercise during chemotherapy infusion can be well tolerated in select patients. Further research is needed to further assess safety and if an exercise during chemotherapy may have any clinical benefit.
Multi-year Prediction of Wheat Yield under the Changing Climatic Scenarios in Central-west Terai using DSSAT Crop Model
Authors: Amgain Lal Prasad , Dhakal Devid , Bhandari Laxmi 
Published: September 2022

The central-west Terai region is one of the major production domains of wheat in Nepal; however, its yield over the past three decades has been greatly affected by climate anomalies such as fluctuating temperatures, decreased solar radiation and rainfall. NASA-POWER derived weather data of Taulihawa in Kapilbastu (27.55° N, 83.667° E) district in central Terai for the past 32–33 years (1984/85 - 2017/18) were purposively selected and downloaded and validated with recorded weather data (1985/86, 1995/96, 2005/06 and 2015/16) of Department of Hydrology and Meteorology (DHM). The trend analysis for grain yield of wheat yield in Kapilvastu was drawn with the historical data of maximum and minimum temperatures and rainfall. Positive correlations between grain yields and minimum temperature and rainfall each showed an acceptable coefficient of determinations (R2). The Cropping system Model - Crop Environment Resource Synthesis (CSM-CERES)- Wheat model, embedded in Decision Support Systems for Agro-technology Transfer (DSSAT) ver 4.7 was used for multi-year predictions of wheat yields using both historically recorded and simulated climatic scenarios. Model simulated results closely agreed with the observed wheat yields recorded by the Ministry of Agriculture and Livestock Development (MoALD) in Nepal. The correlation coefficient of minimum temperature and wheat yield was 0.272 (p<0.05). The correlation between precipitation and observed and DSSAT simulated wheat yield were 0.379 (p<0.01). The multi-year predicted wheat yields using the historical weather data and by the use of the International Panel on Climate Change (IPCC, 2007) scenario embedded in DSSAT crop model showed that yield of wheat could be sustained with use of the current crop cultivars only for 2050 scenarios. Agro-climatic index, mainly temperature, was found to be more sensitive to wheat production in the Nepalese central-west Terai region. This study suggests for the development of new temperature and drought tolerant ready wheat cultivars to feed the increasingly growing Nepalese population.
Increasing the Productivity of Lentil through Agronomic Interventions in Nepal
Authors: Pokhrel Anil , Karki Tika Bahadur , Dangi Sangharsh Raj 
Published: September 2022

The low productivity of lentil due to adaptation of poor crop management practices is the main problem of the lentil production in western terai region of Nepal. With an objective of selecting appropriate variety, sowing time, sowing method, seeding rate, priming techniques and weed management practice for lentil cultivation four different experiments were conducted at Grain Legumes Research Program, Khajura, Banke in two winter seasons of 2017/18 and 2018/19. The experiment on sowing time was conducted in split-plot design including four lentil varieties and four sowing dates, while the seeding rate experiment was laid out in split-split-plot design with the treatments of two varieties, two sowing methods and four seed rates. Similarly, seed priming and weed management trails were conducted in RCBD with ten treatments. All the experiments were replicated three times. The highest seed yield of lentil was recorded from the early maturing lentil varieties, i.e. PL 4 (934 kg ha–1) and ILL 7979 (864 kg ha–1). Similarly, lentil sowing on October (940 kg ha–1) produced the higher seed yield than sowing on November (682 kg ha–1). Likewise, the highest seed yield of lentil was recorded from the use of seeding rate 60 kg ha–1 (890 kg ha–1), but it was statistically at par with the seeding rates of 40 kg ha–1 (865 kg ha–1) and 50 kg ha–1 (855 kg ha–1). Differently, the seed yield of lentil didn’t differ significantly under line (856 kg ha–1) and broadcasting (847 kg ha–1) methods of sowing. The seed priming with a 250 ppm solution of sodium molybdate (Na2MoO4) produced significantly the highest seed yield (961 kg ha–1) in lentil. Similarly, the highest and statistically similar seed yield of lentil was recorded with the weed management practice of two hand weeding (924 kg ha–1) and the use of Pendimethalin (898 kg ha–1) and Pendimethalin-Quizolofop-ethyl (857 kg ha–1) as a pre-emergence. Thus, the adaptation of appropriate variety, planting time, seeding rate, seed priming technique, sowing method and weed management practices are the major factors of production for getting higher yield of lentil.
Response of Rice Establishment Methods on Different Dates on Yield and Yield Attributing Characteristics of Rice in Mid-hills of Nepal
Authors: Chaulagain Bhimsen , Karki Tika Bahadur , Neupane Reshama , Bhattarai Rajendra Kumar , Gyawaly Pankaj , Kaduwal Sangita , Das Soni Kumari 
Published: September 2022

An experiment was conducted in the summer season of 2019 and 2020 at the National Agronomy Research Centre to find out the response of various establishment methods and dates on the performance of rice. The experiment was carried out in 2 Factorial Randomized Complete Block (RCB) design with 3 replications in an area of 12 m2 and planting geometry of 25 cm between rows and 20 cm between plants. The establishment methods were Sprouted Direct Seeded Rice (SDSR) broadcasting, puddled transplanting, and unpuddled transplanting at three dates viz. 10th June, 26th June, and 10th July. Twenty four hours water-soaked seeds were allowed to sprouting for 48 hours and broadcasted in a puddled plot. 22 days old seedlings were transplanted in a puddled and unpuddled plots. Recommended doses of fertilizer @ 100:30:30 N:P2O5:K2O kg ha-1 was used in the experiment. SDSR produced the highest yield of 4.2 Mt ha-1 compared to puddled transplanting method with 3.4 Mt ha-1. The highest grain yield was recorded on 10th June (5.9 Mt ha-1) followed by 26th June (4.0 Mt ha-1). Sprouted direct seeded rice permitted to mature early and produced the higher grain yield.
Conservation Agriculture in Maize-based Cropping System of Nepal: A Review
Authors: Kaduwal Sangita , Karki Tika Bahadhur , Neupane Reshama , Bhattarai Rajendra Kumar , Chaulagain Bhimsen , Ghimire Prakash , Gyawaly Pankaj , Das Soni Kumari 
Published: September 2022

Maize-based cropping system followed by intensive tillage and faulty practices often associated with many negative implications such as the decline of soil organic matter, increase soil erosion by wind/water, lower nutrient-use efficiency, field burning of crop residue, air pollution mainly attributed to the monoculture of intensive conventional production systems leading to global warming and decline in factor productivity. Conservation Agriculture (CA) underlying principles of minimal soil disturbance, soil cover and crop rotation are increasingly recognized as an essential for the sustainability of this cropping system. Therefore, a brief review was done to find out the results its constraints and the possible interventions under a maize-based system of Nepal. Very few works under CA is done so far under maize-based cropping system of Nepal, however, the results are encouraging. There are some constraints in CA technologies promotion, such as scale-neutral agri-machineries, crop residues competition between CA use and livestock feeding, skilled and scientific manpower availability and overcoming the bias or mindset about tillage. CA provide opportunities to reduce the cost of production, improve resource use efficiency, saves water and nutrients and increase yield. There is a need to develop and promote low-cost technologies of CA that can be used effectively in maize based system of hills and Terai.
Integrated Weed Management in Summer Maize in Mid-Hills of Nepal
Authors: Bhattarai Rajendra Kumar , Chaulagain Bhimsen , Gaywaly Pankaj , Karki Tika Bahadur , Neupane Reshama , Das Soni Kumari , Kaduwal Sangita 
Published: September 2022

Weed is one of the major problems in maize production. To develop an appropriate weed management practice, a field experiment was carried out during 2017 and 2018 at Khumaltar. Twelve different treatments, Pendimethalin as pre @ 1.0 kg a.i ha-1, Atrazine as pre @ 1 kg a.i ha-1, Metribuzine as pre @ 0.5 kg a.i ha-1, Tembotrione as post @ 0.2 kg a.i ha-1, Pendimethalin followed by (fb) 1 HW, Atrazine fb 1 HW, Metribuzine fb 1 HW, Tembotrione fb 1 HW, Atrazine + Metribuzine (early post ) as tank mixed, Straw mulch, Weed free (2 HW) and Weedy check (control) were evaluated in Randomized Complete Block Design (RCBD) with three replications. The experimental plot size was 12 m2 and maize variety Manakamana -4 was sown on 21 and 26 May in 2017 and 2018 respectively. The seed rate used was 20 kg ha-1 with row spacing of 60 cm and plant to plant 20 cm. Fertilizers dose of 120:60:40 kg N:P2O5:K2O kg ha-1 was applied. Data on crop growth, weed and yields were recorded and analyzed. Weed count and biomass were recorded from a meter square quadrat and yield data taken from net plot of 5.4 m2. Results showed that plant height with straw mulch was maximum of 294 cm. Weed density was significantly influenced by different weed management treatments. Metribuzine post fb 1 HW recorded the less weeds (52.8) and highest (258.5) in weedy check. The lowest weed dry biomass was recorded in Metribuzine post fb 1 HW (9.3 g m-2). The highest grain yield (7.6 Mt ha-1) was found in Metribuzine @ 0.5 kg a.i ha-1 as post emergence. The increased in grain yield due to the application of Metribuzine @ 0.5 kg a.i ha-1 as post emergence was 32.5% over the weedy check. Similarly, the highest weed control efficiency (77.1%) and the highest BC ratio (2.46) was also recorded in Metribuzine @ 0.5 kg a.i ha-1 as post emergence.
Factors affecting post-traumatic growth in South Korean police officers by age group
Authors: Lee E , Han Seungwoo 
Published: September 2022

Introduction: Police officers are exposed to a variety of traumatic events, which can be physical or psychological. This study aimed to identify factors that influence Post-traumatic growth (PTG) in South Korean police officers, according to age group.
Methods: Raw data were collected from September 26 to October 9, 2017, for 269 police officers who are employed at 10 police offices in Seoul. PTG was affected significantly by age, marital status, monthly income, and police rank in pain perception and social support variables among general characteristics.
Results: Factors that affected PTG in the ‘20~29’ age group were resilience and pain perception, but in the ‘30~39’ age group, only Pain perception was significant, and in the ‘over 50’ age group, social support and pain perception were significant.
Conclusions: The development of mental health programs for police should consider the age group of the patients. Mental health care should also be continuous.
Effectivity of Uniform Multidrug Therapy on the Success of Paucibacillary and Multibacillary Leprosy Treatment
Authors: Susanto Prayogi Miura , Esti Prima Kartika , Komarasari Eka 
Published: September 2022

Leprosy is a chronic infectious disease caused by Mycobacterium leprae (M. leprae) that involves the integumentary and peripheral nervous system, causing neuropathy, deformity, and disability. Early detection and appropriate treatment are the ways to break the chain of transmission and prevent disability in leprosy patients. The first line of treatment for leprosy is the standard Multidrug Therapy (MDT) regiment consisting of rifampicin, dapsone, and clofazimine. Standard MDT treatment is given based on the leprosy classification of paucibacillary (PB) and multibacillary (MB). The utilization of the standard MDT regiment has some limitations, particularly where there is a limited supporting test facility, causing difficulty in determining the leprosy classification accurately. An alternative regiment proposed to substitute the standard MDT is the Uniform-MDT (U-MDT). Several studies have been conducted on the use of U-MDT and have produced promising results for the treatment of PB and MB leprosy.
Cutaneous Manifestations In the Patients With Covid 19: A Prospective Clinical Analysis
Authors: Jha Sagar Mani , Shakya Nabin Bhakta , Dangol Anil Kumar Singh , Shakya Sunil , Yadav Jyotshna , Maharjan Manisha , Panday Shrikant 
Published: September 2022

Introduction: The COVID-19 pandemic has become a major health care issue worldwide. The surge in cases was seen in the second wave, with more people getting hospital admissions. An accurate and rapid identification of cutaneous manifestations is vital to early diagnosis and better prognosis. The aim of the study was to determine cutaneous manifestations in patients with COVID-19.
Materials and Methods: This prospective observational cross-sectional hospital-based study was conducted from June 2021 to September 2021. Patients admitted to the hospital were examined by the dermatologists. All inpatients diagnosed with COVID-19 with RT PCR were included. Types, patterns and how the skin lesions changed its course during illness were recorded. Ethical clearance was taken from IRC. Statistical analysis was done with SPSS Version 20.0.
Results: A total of 452 COVID-19 RT-PCR-positive patients were enrolled out of which 97(21.5%) had skin lesions. Out of 131 comorbid patients, 40(30.5%) had skin lesions. Urticarial wheals and erythema nodosum were seen in 21(4.6%) each and were the most common manifestation, followed by exanthema in 17(3.8%).
Conclusion: Study showed maximum patients with COVID-19 had urticaria and erythema nodosum. It is important to know the types of skin lesions for early diagnosis. In order to prevent the spread patient can be sent for investigations on time. More elaborate studies with multicenter involvement are recommended.
INSTITUTIONAL ASPECTS OF INNOVATIVE AGRICULTURAL DEVELOPMENT
Authors: Klymova Kateryna 
Published: September 2022

The vectors of global transformations of the global economy and the directions of modernization transformations national economy in context of the implementation of innovation development and the dissemination of innovative business forms are determined. Focused on systematic issues of institutional development of the innovation development of the national economy: ineffectiveness of the established institutions and institutions of innovation and regulatory policy, unfavorable to innovation of the economic environment, underdevelopment of innovation infrastructure, limited tools for institutional development, credit and investment support of commodity producers.
The importance of forming a systematic basis for supporting innovation dynamics in the national economy and its industries based on institutional regulation instruments, stimulating demand and supply of innovations, infrastructure, informational, communicative provision of innovation growth. The objective character of social reproduction is accented, deepening processes of division of labor, the dissemination of the production form of cooperation and specialization in conditions of globalization changes.
The well-founded innovative advantages of agribusiness development, the importance of distribution of agrinnovations in technological processes, products, marketing and labor organization, which will allow to preserve export positions and increase the value added as a result of providing a higher level of technological. Argumentated evolutionary and institutional restrictions on the formation of an effective institute of agrinnovations.
Described advantages and disadvantages of institutional design tools: transplantation of institutes; entering new institutions, correction of existing routine. The introduction of elements of institutional design in agribusiness and the implementation of the strategy of "intermediate institutes", which envisages the formation of the Optimal Economic Institute, through the implementation of transitional forms or the creation of a set of intermediate institutions, which are gradually changing and displaced by each other when administering or adjusting institution
СУТНІСТЬ, ЗНАЧЕННЯ І РОЛЬ СЕКТОРАЛЬНОЇ ВЗАЄМОДІЇ УЧАСНИКІВ ЕКОНОМІЧНОЇ ДІЯЛЬНОСТІ
Authors: Li Yanan , Tsikhanovska O. M. 
Published: September 2022

У статті розкрито сутність секторальної взаємодії учасників економічної діяльності. Досліджено чотири підходи щодо структуризації економіки у секторальному розрізі. Третій підхід означено як базовий, де банківська система як сектор економіки впливає на функціонування економічної системи країни, забезпечуючи безперебійне функціонування господарських взаємозв’язків, взаємодію суб’єктів економічної діяльності, суспільного та індивідуального відтворення. Визначено, що секторальна взаємодія між реальним сектором економіки і банківським сектором – це відкрита система, учасники якої мають багатовимірні зв’язки, спрямовані на розвиток фінансової інфраструктури, правил взаємодії, надання різноманітних фінансових послуг, розвиток нових фінансових інструментів та інновацій, створення нових знань, сприяння професійному розвитку учасників. Така взаємодія ґрунтується на принципах синергії, взаємовигідної роботи всіх учасників, урахування інтересів усіх сторін, що призводить до максимального задоволення потреб кінцевих споживачів.