bluuebunny/crossref_metadata_2025 huggingface dataset:
Total Score of Athleticism: Profiling Strength and Power Characteristics in Professional Soccer Players After Anterior Cruciate Ligament Reconstruction to Assess Readiness to Return to Sport
Authors: Maestroni Luca , Turner Anthony , Papadopoulos Konstantinos , Sideris Vasileios , Read Paul
Published: September 2023

Background:

There is no consensus on the optimal testing procedure to determine return-to-sport (RTS) readiness after anterior cruciate ligament (ACL) reconstruction. Current approaches use limb symmetry across a range of tests, but this does not consider a patient’s level of athleticism or benchmarks relative to his or her noninjured counterparts.

Purpose:

To examine the utility of the Total Score of Athleticism (TSA), a composite scale including strength, power, and reactive strength assessments, to aid RTS decision-making.

Study Design:

Cross-sectional study; Level of evidence, 3.

Methods:

A total of 95 professional soccer players (60 who underwent ACL reconstruction [mean age, 25.1 ± 12.6 years] and 35 who were uninjured [mean age, 23.8 ± 2.8 years]) completed a battery of tests including isokinetic knee extension and flexion torque, bilateral and unilateral countermovement jump height, relative peak power, and reactive strength index–modified. The TSA score (derived from Z scores) was calculated, and we (1) examined differences between the ACL-reconstructed and uninjured groups at the time of RTS, (2) assessed the predictive ability of the TSA to identify the player’s status (ACL reconstruction vs uninjured control), and (3) included a case series to discuss the characteristics of players who sustained a subsequent injury within 4 months after RTS.

Results:

A large difference between the ACL-reconstructed and uninjured groups in the TSA score ( d = 0.84; P < .0001) was evident. For every additional increase of 1 unit in the TSA score, the odds of belonging to the ACL-reconstructed group decreased by 74% (95% CI, 0.19-0.56). By visual inspection, the frequency of reinjured players was higher in the low (4/7) TSA tertile compared with the medium (2/7) and high (1/7) TSA tertiles.

Conclusion:

Preliminary evidence indicates that the TSA may be a useful RTS readiness tool, as the composite score derived from strength and power measures was different in soccer players at the time of RTS after ACL reconstruction compared with healthy matched controls. There was also a higher frequency of low TSA scores in players who sustained a second injury after RTS. Therefore, it is recommended to routinely administer RTS tests encompassing strength, power, and reactive strength qualities each season across the largest possible number of players (ideally teammates).
Change in Caregiving to Older Adults During the COVID-19 Pandemic: Differences by Dementia Status
Authors: Friedman Esther M. , Kirkegaard Allison , Kennedy David P. , Edgington Sarah , Shih Regina A.
Published: September 2023

We use a nationally representative study of 3451 adults who provided assistance to a relative or friend age 50 or older immediately prior to the Coronavirus Disease 2019 (COVID-19) pandemic to explore changes to care provisions, use of services, and support networks. While we see turnover in assistance during a retrospectively assessed 12-month time period, respondents exited or adopted caregiving roles primarily for reasons unrelated to the pandemic. About two thirds of caregivers’ social networks remained unchanged and, of those that did change, only half lost network members without gaining others. Changes in care settings and use of support services were uncommon. Caregivers to persons with dementia may have been more adversely affected than other caregivers as they were more likely to experience loss of social ties, potentially performing more care activities without the full support system they had in place prior to the pandemic.
Role of sustainable development goals in advancing the circular economy: A state-of-the-art review on past, present and future directions
Authors: Fauzi Muhammad Ashraf , Abidin Nazim Hanis Zainal , Omer Mazen M. , Kineber Ahmed Farouk , Rahman Abdul Rahimi Abdul
Published: September 2023

The purpose of this study is to review the relationship between the highly anticipated concept of circular economy (CE) and sustainable development goals (SDGs). These two sustainability principles have transformed organizations and countries in their quest to achieve sustainable development. Despite their importance to the business and corporate realm, the discussion of these two concepts has been developed in silos, arbitrarily connected. Through a bibliometric approach, this study reviewed 226 journal publications and 16,008 cited references from the Web of Science (WoS) to understand the past, present and future trends of the two concepts and their impact on the sustainability development. The bibliometric approach of citation, co-citation and co-word analysis uncovers the relevant and significant themes and research streams. Theoretical and practical implications were discussed within the broader business and governance perspective to develop a substantial triple bottom line in creating a sustainable future for civil society.
Endodontic Treatment Outcome of 45 Incisor Teeth in Dogs Determined by Intraoral Radiography
Authors: Jucan Magnolia M. , Coffman Curt , Mauldin Glenna E. , Fink Lisa A.
Published: September 2023

A retrospective study was conducted to determine the outcome of endodontic treatment of incisor teeth in dogs. Medical and dental records from four private veterinary specialty practices over an 8-year period (2013-2021) were reviewed. Forty-five incisor teeth from 41 dogs with ages from 1 to 11-years-old were included in the study. The indications for endodontic treatment were complicated crown fracture in 23 incisors (51.1%), non-vital tooth in 15 incisors (33.3%) and complicated crown-root fracture in seven incisors (15.5%). Evaluation criteria included availability of complete medical and dental records, patient demographics, and at least one follow-up visit as recent as 6 months after the initial root canal therapy. Endodontic treatment outcome was defined as successful, no evidence of failure, or failure. Root canal therapy was successful in 42 teeth (93.3%), no evidence of failure was found in three teeth (6.6%), and none of the cases showed failure of the treatment. Duration of follow-up ranged from 6 to 64 months. Only three variables appeared to have statistical significance: presence of preoperative periapical lucency (PAL) ( P = .01), postoperative PAL ( P < .001) and postoperative external inflammatory root resorption ( P = .014). Based on this study, following “loose criteria” (success and no evidence of failure combined), 100% of the treatments were successful, making this option an excellent therapy choice in a veterinary specialty dentistry practice.
Experimental study on influence mechanism of fiber orientation angle in AFRP cutting
Authors: Wang Lin , Shi Wen-tian , Yan Tian-ming , Liu Yu-de , Xie Chuan , Dong Lu
Published: September 2023

The experimental study on aramid fiber-reinforced composites (AFRP) was carried out. The milling experiments of AFRP were carried out from different fiber orientations. The changes in surface quality, fiber section, and chip shape in mPIC1195147illing under different fiber orientations were studied, and the action law of the blade and tooth was analyzed from the micro perspective. The response surface are used to analyze the cutting force. The mathematical model is established to predict the minimum cutting force. The variance analysis method is used to analyze the influencing factors and their weights of cutting force. The research shows that the cutting force is the smallest when the fiber orientation angle is 0° or 90°, the milling surface quality is good, and the chips are primarily powdery. The cutting force is the largest when the fiber orientation angle is 45° and the milling surface quality is poor. The chips are mainly flocculent. At this angle, the cutting force is affected by three factors, and the interaction has the most significant proportion. When the fiber orientation angle is 30° or 60°, the cutting force, the fiber cross-section, and the surface quality are between the former two, and most of the chips are mixed chips (powdery and flocculent). The evolution and distribution law of burr is obtained. During AFRP milling, the milling surface is always sheared on one side and accompanied by extrusion. The fibers are sheared and broken, the surface burrs are few, the side is stretched, the fibers are stretched and broken, and the surface burrs are many. The action rule of the cutting tool on transverse and longitudinal fibers is summarized.
Premature convergence in morphology and control co-evolution: a study
Authors: Eguiarte-Morett Luis , Aguilar Wendy
Published: September 2023

This article addresses the co-evolution of morphology and control in evolutionary robotics, focusing on the challenge of premature convergence and limited morphological diversity. We conduct a comparative analysis of state-of-the-art algorithms, focusing on QD (Quality-Diversity) algorithms, based on a well-defined methodology for benchmarking evolutionary algorithms. We introduce carefully chosen indicators to evaluate their performance in three core aspects: task performance, phenotype diversity, and genotype diversity. Our findings highlight MNSLC (Multi-BC NSLC), with the introduction of aligned novelty to NSLC (Novelty Search with Local Competition), as the most effective algorithm for diversity preservation (genotype and phenotype diversity), while maintaining a competitive level of exploitability (task performance). MAP-Elites, although exhibiting a well-balanced trade-off between exploitation and exploration, fall short in protecting morphological diversity. NSLC, while showing similar performance to MNSLC in terms of exploration, is the least performant in terms of exploitation, contrasting with QN (Fitness-Novelty MOEA), which exhibits much superior exploitation, but inferior exploration, highlighting the effects of local competition in skewing the balance toward exploration. Our study provides valuable insights into the advantages, disadvantages, and trade-offs of different algorithms in co-evolving morphology and control.
Nonlinear sliding mode control of a three-dimensional double pendulum crane based on load swing state estimation: Design and experiments
Authors: Sun Jiajun , Chai Lin , Zhao Zhijie , Liu Huikang
Published: September 2023

In this paper, a controlled study of a three-dimensional overhead crane system with a two-stage spherical pendulum effect is carried out, and a nonlinear sliding mode control method based on load swing state estimation is proposed. The method derives the coupling relationship between the hook and the load swing angle based on the crane dynamics model and designs a linear expansion state observer (LESO) to observe the two-stage swing angle. Then, the swing angle information is fed into a controller containing a nonlinear sliding mode surface, and some rigorous mathematical proofs for the stability of this controller are presented. Finally, the theoretical analysis is experimentally verified using a prototype crane, and the results of the study show the effectiveness and strong robustness of the proposed control method.
Does Interdisciplinary Care Team Care Management Improve Health Quality and Demonstrate Cost-Effectiveness?
Authors: Feagin F. Cardwell , Hearld Larry R. , Carroll Nathan W. , O’Connor Stephen , Sen Bisakha
Published: September 2023

This study evaluated the impact of an interdisciplinary care teams (IDCT) care management program on cost and quality outcomes using a novel algorithm to identify 400 high-risk patients out of 48,235 Medicare Advantage (MA) beneficiaries. Of the 400, 252 were enrolled in the IDCT care management intervention program, while the remaining 148 were not enrolled. A second comparison group consisted of 660 who were referred to the IDCT program but not selected by the algorithm. The program’s effectiveness was evaluated 1-year postintervention. Analyses found that health care costs for members enrolled in the IDCT program were reduced by US$1,121.76 and US$1,625.61 per member per month, respectively, relative to those not enrolled and those enrolled by referral. The cost reduction from the program generated a net savings of US$1.9MM, covering the program’s cost. Findings suggest IDCTs can cost-effectively manage populations of high-risk patients with better selection and fostering greater interdependence.
More Than a Perioperative Surgical Home: An Opportunity for Anesthesiologists to Advance Public Health
Authors: Coffman Clarity R. , Leng Jody C. , Ye Ying , Hunter Oluwatobi O. , Walters Tessa L. , Wang Rachel , Wong Jimmy K. , Mudumbai Seshadri C. , Mariano Edward R.
Published: September 2023

Public health and the medical specialty of anesthesiology have been closely intertwined throughout history, dating back to the 1800s when Dr. John Snow used contact tracing methods to identify the Broad Street Pump as the source of a cholera outbreak in London. During the COVID-19 pandemic, leaders in anesthesiology and anesthesia patient safety came forward to develop swift recommendations in the face of rapidly changing evidence to help protect patients and healthcare workers. While these high-profile examples may seem like uncommon events, there are many common modern-day public health issues that regularly intersect with anesthesiology and surgery. These include, but are not limited to, smoking; chronic opioid use and opioid use disorder; and obstructive sleep apnea. As an evolving medical specialty that encompasses pre- and postoperative care and acute and chronic pain management, anesthesiologists are uniquely positioned to improve patient care and outcomes and promote long-lasting behavioral changes to improve overall health. In this article, we make the case for advancing the role of the anesthesiologist beyond the original perioperative surgical home model into promoting public health initiatives within the perioperative period.
Unveiling the art and crafts of raffia weaving: A cultural theory and instructional model development
Authors: Centillas Jennelle Rosarry C , Inocian Reynaldo B , Amper Rae Mikaela B , Bacalso Jennilyn P
Published: September 2023

The study unveiled the art and craft of raffia weaving and its economic significance. It seeks to answer the following objectives: visualize the production process of buri strips and the tools used; document the steps of raffia weaving; analyze the aesthetics of raffia designs; determine the weavers’ status and income; and develop a theory and an instructional model. This qualitative study utilized ethnographic and grounded theory designs. Complete documentation of the intricacies of raffia weaving was conducted. Verbatim accounts from audio-video transcripts were sorted, coded, and analyzed. Reliance on the art and craft of raffia weaving is dependent on the environment’s buri resources. Raffia’s art and craft of weaving reflect perseverance in times of adversity, adaptation to change, and dedication to one’s craft. Through enculturation and government assistance, aspiring weavers improve their craft and get sustainable income. The development of the Quadrant Theory of Cultural Dynamism (QTCD) and the Contextualized Raffia Instructional Model (CRIM) serve as outcomes that may prepare academics to use the dialectical approach to instruction. QTCD is one of the holistic approaches to cultural globalization, asserting to bring out peripheral culture in the mainstream. Using CRIM as an instructional process, teachers and learners engage in 21st-century learning competencies that promote national cultural identity and pride.
Mental health counseling is rated as most helpful by autistic adults: Service perspectives in adulthood
Authors: Chan Dara V , Doran Julie D
Published: September 2023

The growing number of autistic adults challenges the limited adult service system. While data on service use and barriers are available, there is limited information from the individual’s perspective on which services are most helpful in adulthood and how service use is connected to community participation outcomes. Forty autistic adults participated in a study combining global positioning system community participation measures with survey and interview data on service use, including which services are most helpful in adulthood, barriers to services, and service needs. Participation outcomes were analyzed relative to demographics, number and types of services received in the past 2 years, and current mental health service use. Participants received an average of two services in the past 2 years, most frequently mental health and employment services. Individuals currently seeing a mental health counselor were more likely to be working full-time and visit more community locations compared to those who were not seeing a counselor. Participants reported mental health services as the most helpful service received in adulthood followed by employment services. While an emphasis is often placed on employment services in the transition to adulthood, findings suggest a need for integrated mental health and employment services for autistic adults.

Lay Abstract

The number of autistic adults is growing, but there are fewer services to support them in adulthood. Many autistic adults need some support services to lead successful adult lives. We know a lot about the services autistic adults use and some of the problems with using these services, but we do not know which services are most helpful to them and how the services they use relate to how they interact with their communities. Forty autistic adults took part in a study about service use and community participation. They completed surveys, interviews, and carried a global positioning system tracker. They answered questions about which services are most helpful in adulthood, things that make it hard to use services, and what services they needed. Most participants used two services in the past 2 years, most frequently mental health and employment services. Adults who were currently seeing a mental health counselor were more likely to be working full-time and visit more locations in the community compared to those who were not seeing a counselor. Mental health services were reported as the most helpful service they received as adults, followed by employment services. We often focus on the importance of employment services after high school, but our findings show a need for both mental health and employment services for autistic adults.
Mental health professionals' (AMHPs) perspectives on interpreter-mediated mental health act assessments
Authors: Young Alys , Vicary Sarah , Tipton Rebecca , Rodríguez Vicente Natalia , Napier Jemina , Hulme Celia , Espinoza Francisco
Published: September 2023

This article concerns interpreter-mediated Mental Health Act (MHA) (1983) assessments where either a signed or spoken language interpreter is required. It reports data from 132 Approved Mental Health Professionals (AMHPs) in England who have direct experience of such circumstances addressing expertise, training, readiness, and potential influences on the outcome when interpreters are involved. Quantitative data were collected by means of an online survey analyzed descriptively with additional open-ended qualitative responses analyzed thematically.

Findings

More interpreter-mediated MHA assessments were reported as occurring in hospital than in community settings. Although AMHPs were confident in their expertise, nearly two-thirds felt they were less effective when an interpreter was involved. The vast majority had received only minimal training on how to work with an interpreter. Recording of language and interpreter use in the assessment was revealed as inconsistent. Most AMHPs thought incorrectly that interpreters were subject to mandatory registration with assured minimum standards of qualification and expertise. Practical problems associated with the timeliness of access to interpreters and complexities of using telephone interpreters instead of face to face were raised. AMHPs expressed a wish for more training and guidance including expectations of the interpreter role.

Applications

Consistent standards of formal recording of interpreter use as part of annual monitoring of the MHA are required to understand any potential inequities of outcome resulting from language mediation. Joint training with interpreters is desirable with more specific guidance and resources for working AMHPs and interpreters to promote best practice.
A new transient NOx prediction model for diesel engine based on neural network model with Pelican Optimization Algorithm
Authors: Chen Xu , Bai Shuzhan , Li Guoxiang , Wang Guihua , Li Zhenguo
Published: September 2023

The World Harmonized Steady Cycle (WHSC) and the World Harmonized Transient Cycle (WHTC) are used to simulate the real driving conditions of a vehicle, which provides an opportunity for researchers to predict engine emissions through the use of models and thus investigate engine emission technologies or technology optimization to meet regulations. In this study, a Back-Propagation neural network (BPNN) is used to build an engine NOx prediction model, determine the number of nodes in the hidden layer, and optimize its weights and thresholds using the Pelican Optimization Algorithm (POA). NOx emissions from diesel engines are predicted by using the WHTC. The results show that the proposed model has a high R coefficient value of 0.9641. The results of the cold WHTC cycle NOx emission prediction shows that the mean absolute error (MAE) for the three cycles is about 32–35 ppm. The MAE was approximately 2.8% of the maximum NOx emissions in all cycles. These results indicate that the model has high accuracy in predicting transient NOx emissions.
Effects of different surface textures on tribological performances of the cylinder liner-piston ring: An experimental study
Authors: Lü Yanjun , Kang Jianxiong , Zhao Xiaowei , Zhang Yongfang , Yang Xinliang , Chen Ruibo , Xing Zhiguo
Published: September 2023

The tribological performance of internal combustion engines (ICEs) has an important impact on fuel efficiency and power consumption, and the wear of cylinder liner-piston ring (CLPR) system affects the operation reliability. The surface texture of CLPR can significantly improve the tribological performance of ICEs. Aiming at the friction and wear of CLPR, the different textures (dimple, equilateral triangle and square) are generated on the CLPR using laser processing, and the different tests are conducted on the UMT-TriboLab tester. The coefficient of friction, wear topography, surface roughness parameters and profiles are measured. The results show that, compared with the non-textured surface, the dimple texture surface of piston ring or cylinder liner has better tribological performance. If the textures coexist on the cylinder liner and piston ring, the tribological performances are better than single surface texture. Furthermore, the mixed textures can significantly improve the surface lubrication performance and the ability to store abrasive particles, and better surface quality can be obtained at the same operating conditions to enhance the tribological performance. This study can provide guidance for reducing the friction and wear of CLPR system of ICEs, and achieve energy saving and emission reduction of ICEs.
A critical review on fractographic studies of steel cord and bead wire used in tyre reinforcement
Authors: Shilavant Ramesh , Samui Barun Kumar , Chanda Jagannath , Ghosh Prasenjit , Mukhopadhyay Rabindra , Banerjee Shib Shankar
Published: September 2023

Fracture is one of the failure modes of a material or product which may occur during its manufacturing process or its usage. Fractography is the science and art of examination and analysis of the fractured surface. Texture and nature of the fractured surface provide valuable information on origin of a crack and crack propagation; thereby, it helps to understand the mechanism of fracture and facilitate to identify the likely causes of failure. This review covers an extensive study on various types of fractures of steel cord and bead wire which are primarily used in rubber composites viz tyre, conveyor belt etc. Different types of fractures studied include ductile, central burst, brittle, fatigue, torsion, corrosion, delamination and weld fractures. Fundamentals on specific characteristics of each type of fracture and their likely causes have been elaborately discussed Microscopic examination through scanning electron microscope (SEM) provides deeper insights of the fractured surface as well as microstructure of material. In addition to the fundamental aspects of fractures, examples of different types of fractured samples have been illustrated in this article. This focused review would be useful to the steel cord and bead wire manufactures as well as to tyre manufacturers for detailed failure investigation of material/product and thereby to take appropriate corrective measures.
Guidance to inform research recruitment processes for studies involving critically ill patients
Authors: Woolfall Kerry , Paddock Katie , Watkins Megan , Kearney Anna , Neville Katie , Frith Lucy , Welters Ingeborg , Gamble Carrol , Trinder John , Pattison Natalie , White Catherine , Brett Stephen , Dilworth Steve , Ross Mike , Mouncey Paul , Rowan Kathy , Dawson Angus , Collet Clive , Walsh Tim , Young Bridget
Published: September 2023

Clinical research in intensive care units (ICUs) is essential for improving treatments for critically ill patients. However, invitations to participate in clinical research in this situation pose numerous challenges. Studies are frequently initiated within a narrow time window when patients are often unconscious and unable to consent. Consultations or consent discussions must therefore be held with consultees or representatives, usually the patient’s relatives. Conversations about research participation in this setting may be difficult, as relatives are often overwhelmed and may feel uneasy about making decisions on behalf of their relatives. In some circumstances, legislation allows doctors to act as consultees or representatives to enrol patients in research. However, there is little good quality evidence on UK stakeholders’ perspectives to inform how recruitment is carried out in ICU studies. The Perspectives Study collected evidence on the views of over 1400 stakeholders, including patients, relatives and healthcare practitioners, many of whom had first-hand experience of ICU treatment and research. This evidence was used to inform good practice guidance on recruitment of critically ill patients to research. Established social science methods and empirical ethics were employed to reflect the interests of stakeholders and justify recommendations. This guidance aims to bridge the gap between the legal frameworks and the realities of ICU studies and to ensure that research recruitment processes reflect the views of patients and families. Researchers and an expert Advisory Group brought different perspectives to interpreting the evidence to develop the guidance. In this article we present guidance for future ICU studies.
Antibiotic Use in Adult Spine Deformity Surgery: Results From the AO Spine Surveillance of the Management of Patients With Adult Spine Deformity
Authors: Rocos Brett , Kato So , Lewis Stephen J. , Shaffrey Christopher I. , Lenke Lawrence G. ,   the AO spine knowledge forum deformity
Published: September 2023

Study Design

Cross-sectional international survey with literature review.

Objectives

To evaluate the evidence for these strategies and to understand the current trends in prophylactic antibiotic use during ASD surgery through an international survey.

Methods

An online survey was conducted among international AO Spine members regarding the peri-operative management of patients with ASD. The details of perioperative systemic and topical antibiotic use were solicited. Descriptive data were summarized for the responding surgeons who perform at least 10 long-segment fusions of >5 levels extending to the pelvis annually.

Results

The literature supports the use of prophylactic antibiotic effective against gram positive organisms. The use of topical vancomycin remains debated, and there is limited evidence for topical tobramycin use. A total of 116 responses were received. 74 (64%) surgeons use topical vancomycin, most usually deep to the fascia only 45 (61%). The most usual dose used is 1-2 g. 4 (3%) surgeons use topical tobramycin deep to fascia. Following surgery, 90 (78%) surgeons use prophylactic cephalosporin with 3 (3%) using cloxacillin, 5 (4%) using ciprofloxacin and 9 (8%) using vancomycin and 6 (5%) using clindamycin either in addition or alone.

Conclusions

The present survey identifies a trend towards systemic and topical antibiotic prophylaxis primarily targeted at gram positive pathogens. The use of topical tobramycin, proposedly effective against gram negative infections, remains uncommon. There is a lack of consensus in the selection of perioperative antibiotic prophylaxis, thus a prospective study of the rates of infection with each strategy would be useful to inform guidelines.
Exploring the Black and White Shades of Social Sexual Behavior at Workplace
Authors: Mehta Poonam
Published: September 2023

Assertion of the word “sexual behavior” always creates a conflicting state of mind, as it is considered offensive, harassing, and harmful in nature. However, studies have determined it as an inevitable phenomenon that could be harmless and create a positive, enjoyable, and good work climate at the workplace. Considering this, the present study is aimed to determine the impact of social sexual behavior in two forms, that is, ambient sexual behavior and direct sexual behavior on various dimensions of employee wellbeing (work engagement, burnout, and job satisfaction). For the present study, 423 employees of the civil aviation industry have been surveyed working on different profiles. With the application of structural equation modeling, a statistical model has been developed and analyzed. The findings of the study have unveiled the black (negative) and white (positive) shades of social sexual behavior at the workplace. Ambient sexual behavior was found to reduce burnout among employees and enhances work engagement and job satisfaction. Further, the study has analyzed the negative relationship between direct social sexual behavior and the positive dimension of EWB (work engagement and job satisfaction). However, this relationship is found positive in concern to burnout.
Risk Factors for Concomitant Meniscal Injury With Sport-Related Anterior Cruciate Ligament Injury
Authors: Reist Hailee , Vacek Pamela M. , Endres Nathan , Tourville Timothy W. , Failla Mathew , Geeslin Andrew , Geeslin Matthew , Borah Andy , Krug Mickey , Choquette Rebecca , Toth Mike , Beynnon Bruce D.
Published: September 2023

Background:

Previous studies of concomitant meniscal injury in athletes with anterior cruciate ligament (ACL) injury have examined age, sex, body mass index (BMI), injury mechanism, and time from injury to surgery as potential risk factors.

Purpose:

To identify additional risk factors for concomitant meniscal injury, including preinjury joint laxity and lower extremity alignment, in athletes with sport-related ACL injury.

Study Design:

Cross-sectional study; Level of evidence, 3.

Methods:

This study included 180 participants aged 13 to 26 years who underwent ACL reconstruction (ACLR) after a first-time ACL injury sustained during participation in sport. Contralateral lower extremity alignment and joint laxity were used as surrogate measures for the injured knee before trauma. Concomitant meniscal tear patterns were identified at the time of ACLR. Sex-specific analyses were conducted.

Results:

Concomitant meniscal injury was observed in 60.6% of the subjects. The prevalence of concomitant injury was higher in male than female participants (69.9% vs 54.2%; P = .035) due to a higher prevalence of lateral meniscal injuries (56.2% vs 38.3%; P = .018). Among male patients, there was a significant difference in the prevalence of concomitant lateral meniscal tear according to sport participation (≥9 vs <9 h/week: 67.4% vs 35.7%; P = .032). Among male patients, the likelihood of concomitant injury to both the lateral and medial menisci increased by 28.8% for each 1-mm decrease in navicular drop. Among female patients, the likelihood of concomitant injury to the lateral meniscus increased by 15% per degree increase in genu recurvatum and 14% per degree decrease in standing quadriceps angle, with similar effects on the likelihood of concurrent injury to both the lateral and medial menisci.

Conclusion:

Measures of lower extremity alignment and genu recurvatum previously identified as risk factors for ACL injury were also associated with concomitant meniscal injury in female patients while other risk factors, including BMI and joint laxity, were not. Increased time spent participating in sport and navicular drop were associated with concomitant meniscal injury in male patients.
The Impact and Issues of Artificial Intelligence in Nursing Science and Healthcare Settings
Authors: Pailaha Aprianto Daniel
Published: September 2023

Research and development of artificial intelligence (AI)-based technologies systems in healthcare has increased over the past decade, highlighting the strong potential of AI to improve the quality of nursing care. To meet the new demands for nursing care, it is necessary that AI be integrated into nursing science and healthcare setting, especially in nursing care. The current challenge is to transform this expanded set of technology into clinical benefits for patients, through more advanced, accurate, practical, effective, efficient, and economical and personalized care. Along with the potential positive outcomes, AI technology also has unintended consequences that have the potential to negatively impact and adversely affect the nursing profession and the primary purpose of nursing practice in healthcare system. This aimed to explore and discuss the impact of applying AI in nursing science and healthcare system to provide approximate nursing care. Some of the impacts that can be evaluated and seen today in the context of using AI technology systems in the scope of nursing and healthcare are expanding access to quality medical care, improving medical records, and improving the quality of services. The use of AI technology systems also has some issues, such as bias and algorithms, which are drawbacks that need to be considered when evaluating the accuracy of the displayed results.
Metamorphosis of a diplomatic interpreting event in ancient China
Authors: Lung Rachel
Published: September 2023

This article discusses how the earliest known interpreting event in Sinitic China was chronicled and recapped in political and literary writings across different dynasties, in an intertextual process comparable with metamorphosis. This event has continued to shapeshift in writings because of its symbolic importance in promoting Sinocentric sentiments and Confucian ideals. This interpreting record was, unusually, from a comparative perspective, elevated to embody ideological functions largely detached from inter-lingual communication. For millennia, this interpreting “legend” has been intertextually alluded to in numerous writings to connote auspiciousness, to extol Sinitic governance and civilisation, and to champion specific cultural values or political philosophies. This article aims at identifying and examining the symbolic and ideological significances of the conceptual link between the alpha interpreting record and complimentary Sinitic governance and virtues, so consciously drawn in theses of some archival texts. It is significant in two regards. First, it initiates an analysis of a classical reference to interpreting, which has escaped research attention in humanities. Second, it explores an unorthodox angle by analysing the discourse of interpreting in ancient China. The results of this analysis could serve as reference points for cross-cultural comparison of conceptualisations of “interpreting.”
Deynekoite, Ca9□Fe3+(PO4)7 – a new mineral of the merrillite group from phosphide-bearing contact facies of paralava, Hatrurim Complex, Daba-Siwaqa, Jordan
Authors: Galuskin Evgeny V. , Stachowicz Marcin , Galuskina Irina O. , Woźniak Krzysztof , Vapnik Yevgeny , Murashko Mikhail N. , Zieliński Grzegorz
Published: September 2023

Deynekoite, Ca9□Fe3+(PO4)7 (R3c, a = 10.3516(3)Å, c = 37.1599(17)Å, V = 3448.4(3)Å3 and Z = 6), a new mineral of the merrillite group was found in the contact facies of paralava of the Hatrurim Complex in the Daba-Siwaqa pyrometamorphic rock field, Jordan. The paralava, consisting of diopside, tridymite, anorthite, wollastonite and fluorapatite, is enriched in Fe-bearing phosphides and phosphates at the contact with the altered country rock. Cristobalite overgrowing tridymite has a fish-scales texture indicating that temperature of paralava could have reached 1500°C. Deynekoite with empirical formula (Ca8.90Na0.11K0.02)Σ9.03(Fe3+0.62Mg0.30Al0.05)Σ0.97P6.98V5+0.05O27.70(OH)0.30 forms transparent, light-yellow or light-brown grains up to 30–40 μm in size. Microhardness of deynekoite, VHN25 = 319(29) kg/mm2, corresponds to Mohs hardness = 4.5. Its density was calculated as 3.09 g⋅cm–3 on the basis of its empirical composition and structural data. Deynekoite is uniaxial (−), its refractive indices are ω = 1.658(3), ɛ = 1.652(3) (λ = 589 nm), and pleochroism is not observed. The formation of phosphides on the boundary of the paralava and country rock is connected with carbothermal reductive reactions and realised at temperatures above 1300°С. With decreasing temperature and increasing oxygen activity, phosphides are replaced by Fe2+-bearing phosphates. Deynekoite, which contains Fe3+ (substituting for Fe2+-phosphates) and a small amount of water, formed at temperatures of 600–800°C.
Experimental Study on Ultrasonic Cavitation Intensity Based on Fluorescence Analysis
Authors: Ye Linzheng , Chuai Shida , Zhu Xijing , Wang Dong
Published: September 2023

The Ultrasonic cavitation effect has been widely used in mechanical engineering, chemical engineering, biomedicine, and many other fields. The quantitative characterization of ultrasonic cavitation intensity has always been a difficulty. Based on this, a fluorescence analysis method has been adopted to explore ultrasonic cavitation intensity in this paper. In the experiment of fluorescence intensity measurement, terephthalic acid (TA) was used as the fluorescent probe, ultrasonic power, ultrasonic frequency, and irradiation time were independent variables, and fluorescence intensity and fluorescence peak area were used as experimental results. The collapse of cavitation bubble will cause molecular bond breakage and release ·OH, and the non-fluorescent substance TA will form the strong fluorescent substance TAOH with ·OH. The spectra of the treated samples were measured by a F-7000 fluorescence spectrophotometer. The results showed that the fluorescence intensity and fluorescence peak area increased rapidly after ultrasonic cavitation treatment, and then increased slowly with the increase of ultrasonic power, which gradually increased with the increase of irradiation time. They first decreased and then increased with the increase of ultrasonic frequency from 20 kHz to 40 kHz. The irradiation time was the most influential factor, and the cavitation intensity of low frequency was higher overall. The fluorescence intensity and fluorescence peak area of the samples increased by 2–20 times after ultrasonic treatment, which could increase from 69 and 5238 to 1387 and 95451, respectively. After the irradiation time exceeded 25 min, the growth rate of fluorescence intensity slowed down, which was caused by the decrease of gas content and TA concentration in the solution. The study quantitatively characterized the cavitation intensity, reflecting the advantages of fluorescence analysis, and provided a basis for the further study of ultrasonic cavitation.
An experimental and numerical study on the coupling effect of CLT wall-to-floor angle bracket connections
Authors: Sun Xiaofeng , He Minjuan , Li Zheng
Published: September 2023

Cross-laminated timber (CLT) wall panels are commonly connected to the floor or foundation using metal connections, which play a critical role in determining the seismic performance and energy dissipation of the CLT shear walls. In this study, to comprehend the tension–shear coupling effect of the CLT wall-to-floor angle bracket connections under seismic loads, both monotonic and cyclic shear tests were conducted on the angle brackets that were also simultaneously applied with different levels of prescribed vertical axial tension. The influence of the co-existent axial tension on the horizontal shear performance of the angle brackets was analyzed. Furthermore, a numerical model of the angle brackets was developed and validated with the experimental results, which could predict the tension–shear coupling effect based on the monotonic loading scenario. Based on the numerical model, parametric analysis was conducted, and an analytical tension–shear interaction diagram representing the coupling effect of the angle brackets under seismic loads was established. It is found that with an increase of the axial tension from 0 to 30 kN, the shear resisting capacity of the angle brackets is diminished by 33.29%, and the pinching effect of their hysteretic load–displacement curves is mitigated. When the number of the connection-to-floor screws of the angle brackets was increased from 10 to 14, the shear resisting capacity of the angle brackets can be enhanced by 6.43%, and their shear strength degradation can be relieved by 12.85–56.25%. For the CLT wall-to-floor angle brackets, the analytical interaction diagram can be described using one bilinear function, which consists of the ratio between the shear to the shear resistance and the ratio between the tension to the pull-out resistance.
Self-assembled BiFeO3@MIL-101 nanocomposite for antimicrobial applications under natural sunlight
Authors: Pulvirenti Luca , Lombardo Cinzia , Salmeri Mario , Bongiorno Corrado , Mannino Giovanni , Lo Presti Francesca , Cambria Maria Teresa , Condorelli Guglielmo Guido
Published: September 2023

In this paper, we report on the synthesis of a new hybrid photocatalytic material activated by natural sunlight irradiation. The material consists of multiferroic nanoparticles of bismuth ferrite (BFO) modified through the growth of the Fe-based MIL-101 framework. Material characterization, conducted using various techniques (X-ray diffraction, transmission electron microscopy, FTIR, and X-ray photoelectron spectroscopies), confirmed the growth of the MIL-101 metal–organic framework on the BFO surface. The obtained system possesses the intrinsic photo-degradative properties of BFO nanoparticles significantly enhanced by the presence of MIL-101. The photocatalytic activity of this material was tested in antibacterial experiments conducted under natural sunlight exposure within the nanocomposite concentration range of 100–0.20 µg/ml. The MIL-modified BFO showed a significant decrease in both Minimum Inhibiting Concentration and Minimum Bactericide Concentration values compared to bare nanoparticles. This confirms the photo-activating effect of the MIL-101 modification. In particular, they show an increased antimicrobial activity against the tested Gram-positive species and the ability to begin to inhibit the growth of the four Escherichia coli strains, although at the maximum concentration tested. These results suggest that the new nanocomposite BiFeO3@MOF has been successfully developed and has proven to be an effective antibacterial agent against a wide range of microorganisms and a potential candidate in disinfection processes.
The association between atherogenic index of plasma and all-cause mortality and cardiovascular disease-specific mortality in hypertension patients: a retrospective cohort study of NHANES
Authors: duiyimuhan Gulinuer , Maimaiti Nuerguli
Published: September 2023

Background

Atherogenic index of plasma (AIP), a marker of atherosclerosis and cardiovascular disease (CVD), was related to the all-cause mortality and CVD-specific mortality in a U-shape in general population respectively. However, no studies have investigated these associations in hypertensive populations. Herein, this study aims to explore the relationship of AIP and all-cause mortality and CVD-specific mortality in patients with hypertension in order to provide some reference for the risk hierarchical management of hypertension.

Methods

Demographic and clinical data of 17,382 adult patients with hypertension were extracted from the National Health and Nutrition Examination Survey (NHANES) database in 2005–2018 in this retrospective cohort study. We used weighted univariate COX regression analysis to screen the covariates, and that weighted univariate and multivariate COX regression analyses to explore the association between AIP and all-cause mortality and CVD-specific mortality with hazard ratios (HRs) and 95% confidence intervals (CIs). Subgroup analyses of age, gender, body mass index (BMI), CVD, diabetes mellitus (DM), antihyperlipidemic agents use, and hypotensive drugs use were also performed for further exploration of these relationships.

Results

The average follow-up time was 97.10 months. A total of 2,844 patients died, and 971 of them died due to CVD. After adjusting for age, race, education level, marital status, poverty-income ratio (PIR), smoking, BMI, physical activity, antihyperlipidemic agents, DM, CVD, hypotensive drugs, estimated glomerular filtration rate (eGFR), and total energy intake, we found that both low [HR = 1.18, 95%CI: (1.07–1.32)] and high [HR = 1.17, 95%CI: (1.03–1.33)] levels of AIP were linked to an increased risk of all-cause mortality, and the U-shape association between AIP and CVD-specific mortality was also found [low AIP level: HR = 1.26, 95%CI: (1.05–1.51); high AIP level: HR = 1.26, 95%CI: (1.06–1.49)]. Furthermore, these relationships were existed in patients whose BMI > 25, were non-Hispanic White, with non-CVD, non-DM, non-antihyperlipidemic agents, and used hypertension drug (all P < 0.05).

Conclusion

AIP was associated with both all-cause mortality and CVD-specific mortality in patients with hypertension, but the specific role of AIP in prognosis in hypertensive populations is needed further exploration.