bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Tensionable Suture-based Cerclage Is an Alternative to Stainless Steel Cerclage Fixation for Stabilization of a Humeral Osteotomy During Shoulder Arthroplasty
Authors: Denard Patrick J. , Nolte Philip-C. , Millett Peter J. , Adams Christopher R. , Liebler Stephenie A.H. , Rego George , Higgins Laurence D. 
Published: September 2020

Introduction:
Fixation of periprosthetic humeral fractures is most commonly obtained with steel-based wires or cables; however, disadvantages with these constructs are numerous. Suture-based cerclages offer the advantage of easy handling, less radiographic interference, and risk of metallosis, as well as decreased risk of cutting into the soft humeral bone. Therefore, the purpose of this study was to compare a suture-based cerclage to a stainless steel wire cerclage (SSWC) for stabilization of the humerus during shoulder arthroplasty.

Methods:
In part I of the study, SSWC fixation was compared with single-looped tape cerclage and a double-looped tape cerclage (DLTC) fixation. In part II, a subsidence test was performed on 12 cadaveric humeri. After an osteotomy, the humeri were secured with either a SSWC or DLTC. Subsequently, a metal wedge was introduced into the humerus to simulate the stem of a shoulder arthroplasty.

Results:
In part I, load to 2-mm displacement was significantly higher for the DLTC construct compared with the SSWC construct (2,401 ± 483 N versus 750 ± 33 N; P < 0.0001). Load to failure was 935 ± 143 N with the SSWC, 1,737 ± 113 N with the single-looped tape cerclage, and 4,360 ± 463 N with the DLTC constructs, and all differences were statistically significant (P < 0.05). In part II, load at 20-mm subsidence was higher for the DLTC (320 ± 274 N) compared with the SSWC (247 ± 137 N), but no significant difference was observed (P > 0.05). However, gap displacement at 20 mm subsidence was significantly lower with the DLTC construct (0.33 ± 0.31 mm versus 0.77 ± 0.23 mm; P = 0.009). Load to failure was higher with the DLTC construct compared with the SSWC construct (4,447 ± 2,325 N versus 1,880 ± 1,089 N; P = 0.032), but the final gap displacement did not differ significantly (DLTC 5.23 ± 6.63 mm versus SSWC 6.03 ± 8.82 mm; P > 0.05).

Discussion:
A DLTC has higher load to failure and trends toward lower gap displacement compared with a SSWC. The DLTC construct may therefore be a viable alternative for fixation of periprosthetic fractures or osteotomies of the humeral shaft during shoulder arthroplasty.
Trends in Spinal Surgery Performed by American Board of Orthopaedic Surgery Part II Candidates (2008 to 2017)
Authors: Yeung Caleb M. , Schoenfeld Andrew J. , Lightsey Harry M. , Kang James D. , Makhni Melvin C. 
Published: September 2020

Introduction:The American Board of Orthopaedic Surgery (ABOS) Part II Oral Examination is typically taken two calendar years after fellowship completion. Despite previous studies using ABOS Part II Oral Examination data in other subspecialties, types of cases performed by spine surgeons in initial independent practice have not been well-studied. Such data may help trainees anticipate case composition observed in early practice and allow spine fellowship programs to understand emerging trends.Methods:We retrospectively reviewed surgical cases submitted to the ABOS by candidates taking the Part II Oral Examination between 2008 and 2017 whose designated subspecialty was spine. A hierarchical, restrictive algorithm was used to determine procedures based on candidate-reported International Classification of Diseases 9th/10th Revision and Current Procedural Terminology codes. Adjusted multivariable Poisson regression analyses were used to assess changes in procedure incidence rates over time.Results:We identified 37,539 cases, averaging 3,754 cases/yr, and an average of 49 cases per candidate per 6-month collection period. The most common procedures were lumbar diskectomy (22% of all procedures), posterolateral spinal fusion (PSF) (19%), and anterior cervical diskectomy and fusion (ACDF) (17%). Rates of ACDF and cervical disk arthroplasty significantly increased over time (incidence rate ratios of 1.41 and 23.3 times higher, respectively, at the end of the study period), whereas rates of cervical foraminotomy, lumbar diskectomy, PSF, and structural autograft use decreased (incidence rate ratios of 0.35, 0.84, 0.55, and 0.30). Rates of anterior lumbar interbody fusion/lateral lumbar interbody fusion and transforaminal lumbar interbody fusion did not significantly change over the study period.Discussion:Recent spine fellowship graduates are performing more cervical disk arthroplasties and ACDFs while decreasingly using structural autograft as well as performing fewer PSFs and lumbar diskectomies. Techniques such as anterior lumbar interbody fusion/lateral lumbar interbody fusions and transforaminal lumbar interbody fusions have not changed significantly over the last decade.Level of Evidence:Level IV (retrospective case series study)
Orthopaedic Injuries Associated With Cell Phone Use Resulting in Emergency Department Visits: A 20-Year Analysis
Authors: Moore Harold G. , Halperin Scott J. , Berson Elisa R. , Burroughs Patrick J. , Paskhover Boris , Grauer Jonathan N. 
Published: September 2020

Introduction:
Cell phones are an integral part of daily life but are distractors that can contribute to injury. The present study uses a large national emergency department (ED) database to evaluate the frequency, anatomic location, and type of injuries associated with cell phone use. We hypothesize that orthopaedic injuries related to cell phone use have increased over time and affect certain body parts and age groups more than others.

Methods:
The 1999 to 2018 Nation Electronic Injury Surveillance System was queried for cell phone-related injuries leading to ED visits (injuries to the head or face or involving a landline were excluded). Demographics, type of orthopaedic injury, and body part injured were tabulated, and injuries were then classified over time as direct mechanical or cell phone use-associated, as well as related to texting compared with talking.

Results:
A weighted national total of 44,599 injuries met inclusion criteria. A marked increase was noted in the incidence of cell phone use-associated injuries over the time (2,900%). Injuries occurred in persons with mean ± standard deviation age of 36.6 ± 19.9 years old, predominantly in women (60.6%), at home (32.8%) or on the street (22.4%), and while walking (31.6%) or driving (18.16%). The distribution of orthopaedic injuries was defined and occurred most frequently in the neck, lower torso/hip, and ankle. The most common types of injuries were sprain/strain (56.8%) and fracture (32.6%). The proportion of fracture injury types was significantly greater in adults aged greater than 65 (P < 0.001). The proportion of injuries related to texting on a cell phone was greatest in the 13- to 29-year-old age group and declined as age increased.

Discussion:
Orthopaedic injures related to cell phone use resulting in ED visits have markedly increased over time. The distribution and characteristics of such injuries can be used in targeted public health education and policy development.
Impact of Smoking and Drinking on Complications After Revision Total Joint Arthroplasty: A Matched Cohort Analysis
Authors: Tirumala Venkatsaiakhil , Bounajem Georges , Klemt Christian , Barghi Ameen , Kwon Young-Min 
Published: September 2020

Introduction:
Smoking and drinking have been shown to impair postoperative outcomes in primary hip and knee total joint arthroplasty (TJA). This study aimed to evaluate the potential impact of smoking and drinking on complications after revision TJA.

Methods:
We retrospectively evaluated a total of 4,302 consecutive patients who underwent revision TJA. Patient demographics and complications were compared between four cohorts based on smoking and drinking status: (1) nonusers (nonsmokers and nondrinkers), (2) smokers, (3) drinkers, and (4) concurrent users.

Results:
A total of 1,924 patients were matched using propensity score analysis: 808 nonusers (42.0%), 421 smokers (21.9%), 483 drinkers (25.0%), and 212 concurrent users (11.1%). When compared with nonusers, smokers, drinkers, and concurrent users (simultaneous smokers and drinkers) exhibited higher odds for both inhospital complications (odds ratios, smokers: 2.40, drinkers: 1.55, and concurrent users: 5.13, P < 0.01). Among the user cohorts, although smokers and drinkers showed similar rates of 90-day postdischarge complications (smokers: 14.95% and drinkers: 14.80%, P = 0.95), concurrent users demonstrated the highest significant odds for these complications (odds ratio, 1.64, P = 0.02).

Discussion:
Our propensity-score-matched cohort study results demonstrate that although the smokers and drinkers groups shared similarly poor outcomes after discharge, concurrent users were found to have the worst outcomes compared with either single user group.
Outcome of Spinal Versus General Anesthesia in Revision Total Hip Arthroplasty: A Propensity Score-Matched Cohort Analysis
Authors: Tirumala Venkatsaiakhil , Bounajem Georges , Klemt Christian , Maier Stephen P. , Padmanabha Anand , Kwon Young-Min 
Published: September 2020

Introduction:
Spinal anesthesia has been previously shown to offer improved patient outcomes compared with general anesthesia in revision total knee arthroplasty. This study aimed to evaluate the potential differences in perioperartive and postoperative outcomes in revision total hip arthroplasty (THA) between spinal or general anesthesia.

Methods:
A total of 2,656 consecutive patients who underwent revision THA were evaluated. Propensity-score-adjusted multivariate logistic regression analyses were applied to control for intergroup variability and evaluate the differences in outcomes and complications with anesthesia type.

Results:
Propensity score matching resulted in 1:1 matching with 265 patients in each anesthesia cohort. Multivariate analyses demonstrated that patients administered general anesthesia had a significantly longer procedure time (174.8 versus 161.3, P < 0.01), higher intraoperative (402.6 versus 305.5 mL, P < 0.01), and total perioperative blood loss (1802.2 versus 1,684.2 mL,P < 0.01). In addition, patients administered general anesthesia were found to have higher odds for two or more inhospital complications (odds ratio, 4.51, P < 0.01) and extended length of stay (odds ratio, 2.45, P = 0.02).

Discussion:
Our study shows that propensity-matched patients who received spinal anesthesia for revision THA exhibited notable reduction in surgical time, perioperative blood loss, and complications compared with patients who received general anesthesia, suggesting that spinal anesthesia is a viable alternative to general anesthesia in revision THA.
Rechtsmaatregelen tegen misbruik van abstracte bankgaranties (II)
Authors: Russcher P.C. 
Published: September 2020

Rechtsmaatregelen tegen misbruik van abstracte bankgaranties (II)
Het gebeurt regelmatig dat de opdrachtgever van een bankgarantie probeert uitbetaling door de bank te beletten, maar deze pogingen zijn zelden succesvol. Naar aanleiding van een aantal recente uitspraken, waarin de opdrachtgever wél succes had, wordt in deze – in twee delen te verschijnen – bijdrage aan de hand van een systematische behandeling van rechtspraak en literatuur ingegaan op rechtsmaatregelen die de opdrachtgever kan nemen.
De maatschappelijke onderneming en haar (nieuwe) juridische jas
Authors: Zillikens-Loos M.J.L.A.M. , Crul Q.M.J.A. , Schriemer T.A. 
Published: September 2020

De maatschappelijke onderneming en haar (nieuwe) juridische jas
Het Ministerie van EZK heeft onderzoek laten doen naar de maatschappelijke onderneming. Auteurs bespreken naar aanleiding daarvan de huidige toepassings- en herkenningsmogelijkheden van de maatschappelijke onderneming met een blik op het verwachte wetsvoorstel voor de BVm.
Naschrift bij de reactie van mr. J. Winkels
Authors: Broere P.H.M. 
Published: September 2020

Naschrift bij de reactie van mr. J. Winkels
Onlangs besprak de auteur in dit tijdschrift de SNS-beschikking waarin de Hoge Raad oordeelde dat aan het verschoningsrecht in het enquêterecht ook betekenis toekomt. Mr. J. Winkels schreef een reactie op die bijdrage, waarbij in dit naschrift enkele kanttekeningen worden geplaatst.
Mental health in people with substance use disorder: differential aspects between men and women
Authors: Santos de Pacual Asunción , Saura Garre Pedro , López Soler Concepción 
Published: September 2020

El propósito de este estudio es presentar el perfil psicopatológico y las diferencias entre hombres y mujeres que inician tratamiento residencial para las adicciones.
La muestra se compuso de 142 pacientes (116 hombres y 26 mujeres), que cumplimentaron el EuropASI y MMCMI-III.
Se analizan variables socio-demográficas, patrón de consumo y otras características, así como patrones, trastornos de personalidad y síndromes clínicos. El grupo de hombres presenta alta prevalencia en el patrón de personalidad antisocial (31%). Las mujeres, en el depresivo (23,1%), dependiente (26,9%) y antisocial (26,9%), solo en el dependiente las diferencias son estadísticamente significativas.
En los síndromes clínicos los hombres presentan prevalencia en dependencia de sustancias (86,2%), trastorno de ansiedad (60,3%) y dependencia de alcohol (45,7%), las mujeres en el trastorno de ansiedad (76,9%), dependencia de alcohol (69,2%), sustancias (53,8%) y distímico (46,2%). Aparecen diferencias significativas estadísticamente en el trastorno ansioso, distímico y dependencia de alcohol, donde las mujeres se muestran más afectadas.
En el síndrome clínico trastorno de pensamiento los hombres puntúan más alto y las mujeres más altas en depresión, en ambos casos las diferencias son estadísticamente significativas.
Se comentan las implicaciones que estos resultados tienen en la evaluación y mejora de los tratamientos.

The aim of this study is to present the psychopathological profile and the differences between men and women who start an addition residential treatment.
The sample included 142 patients (116 were men and 26 women). We analysed socio-demographic variables, consumption pattern as well as personality disorders and clinical syndromes using EuropASI and MCMI-III as evaluating instruments.
Men group showed a high prevalence at antisocial personality disorder (31%). On the other hand, women did so at depressive (23,1%), dependent (26,9%) and antisocial (26,9%) patterns, finding statistically significant differences only at the dependent disorder.
At clinical syndromes men showed a relevant prevalence when analysing substances dependence (86,2%), anxiety disorder (60,3%) and alcohol dependence (45,7%), and women group at anxiety disorder (76,9%), alcohol dependence (69,2%), substances (53,8%) and dysthymic (46,2%). We found statistically significant differences at anxiety disorder, dystymic and alcohol dependence where women appeared to be more affected.
At thought clinical syndrome men raised higher scores, and women did so at depression, being both differences statistically significant.
The results are discussed and their clinical implications analysed.

Keywords: dual diagnosis, personality disorders, addiction, psychopathology, gender.
Differences between Latin American and Spanish men in a batterer intervention programme: proximal and final outcomes
Authors: Vargas Viviana , Conchell Raquel , Expósito-Álvarez Cristina , Lila Murillo Marisol 
Published: September 2020

El objetivo de este estudio es comprobar si existen diferencias en la efectividad de un programa de intervención para hombres condenados por violencia de género, en función del lugar de procedencia de los participantes (i.e., españoles e inmigrantes latinoamericanos). Se utilizó una muestra de 425 hombres penados por violencia de género que participaban en un programa estándar de intervención en España. Se consideraron como variables finales la reincidencia oficial y el riesgo de reincidencia y como variables proximales la intención de cambio, la asunción de responsabilidad, la adherencia al tratamiento y el compromiso con la intervención. No se encontraron diferencias entre participantes españoles y latinoamericanos en las variables riesgo de reincidencia, intención de cambio, asunción de responsabilidad al sistema legal y a la víctima. Únicamente se encontraron diferencias significativas entre estos dos grupos en la variable compromiso con la intervención. Los resultados sugieren que, al menos para los inmigrantes latinoamericanos que se encuentran participando en programas de intervención con hombres condenados por violencia de género en España, no parece necesario ajustar la intervención en función de las diferencias culturales, siendo suficiente el uso de estrategias motivacionales para promover el cambio.
The aim of this study was to test whether there are differences in the effectiveness of a Batterer Intervention Programme (BIP) for Intimate Partner Violence (IPV) perpetrators depending on the participants’ countries of origin (i.e., Spanish or Latin American immigrants). The sample included 425 male offenders who participated in a court-mandated standard BIP in Spain. Official recidivism and risk of recidivism were considered the final outcomes. Intention to change, responsibility attribution, adherence to treatment and treatment compliance were taken as the proximal outcomes. No differences were found in risk of recidivism, intention to change, responsibility attribution to the legal system and to the victim between the Spanish and Latin American participants. Significant differences between both groups were found for the variable treatment compliance. The results suggest that, at least for the Latin American immigrants participating in BIPs in Spain, it is apparently not necessary to adjust BIPs to cultural differences as adopting motivational strategies to promote change suffices.
Measurements of the gingival papillae architecture using cone-beam computed tomography in young Chinese adults
Authors: Yang Gang , Cao Jie , Hu Wenjie , Chung Kwok-Hung 
Published: September 2020

BackgroundThe aim of this study was to measure the morphology of interdental papillae (IP) in maxillary anterior teeth using cone-beam computed tomography (CBCT).MethodsTwenty-seven periodontally healthy subjects with 135 IP were evaluated by means of periodontal examination and a CBCT scan with an elastomeric matrix containing radiopaque material in position. According to the status of tooth contact and presence of IP, subjects were categorized into three groups: open contact point, complete papillae, and deficient papillae group. The papillae height (PH), facial-lingual thickness (FLT), and interdental distance (IDD) were measured. Data was analyzed with the significance level atα = 0.05.ResultsThe mean PH values were 4.17 ± 0.51 mm, 3.99 ± 0.61 mm, and 3.99 ± 0.62 mm, for the open contact group, complete papilla, and deficient papilla group, respectively. The PH values of the recorded sites among central incisors, lateral incisors, and canine were 4.13 ± 0.56 mm, 3.87 ± 0. 63 mm, and 4.07 ± 0.58 mm, respectively. No statistically significant differences of the PH values were determined between the above three tested groups as well as between the different sites (p > 0.05). The IDD values obtained from the complete papilla group were significantly lower than the other tested groups (p < 0.05).ConclusionThe contact point condition of upper anterior sextants may not influence the presence and dimension of the IP in periodontally healthy subjects.
The health-related quality of life of Syrian refugee women in their reproductive age
Authors: Nabolsi Manar , Safadi Reema , Sun Carolyn , Ahmad Muayyad , Al-Maharma Du’a , Halasa Suhaila , Saleh Mohammad , Dohrn Jennifer 
Published: September 2020

Background
Health-Related Quality of Life (HRQoL) for refugee women in reproductive age is highly affected by physical, political, psychosocial and environmental conditions in countries of asylum. HRQoL is enormously affected by the satisfaction of this vulnerable group with the physical, psychological, emotional and social care services provided in this critical time. Therefore, this study aimed toassess the HRQoL among Syrian refugee women of reproductive age living outside camps in Jordan.

Methods
A cross-sectional correlational study was conducted with a convenience sample of 523 Syrian refugee women in the host communities in Jordan.Health-related quality of life (HRQOL) was measured using the short-form 36 (SF-36) questionnaire.

Results
Significant negative correlations were found between SF-36 individual subscales score and the length of marriage, the number of children, parity and family income. The strongest correlations were between pain scale and length of marriage (r = − .21), and between Energy/Fatigue and ‘number of children’ (r = − .21). Conversely, antenatal care was positively correlated with physical, role emotional, pain, and general health. Physical functioning and general health were predicted significantly with less years of marriage, younger age at marriage, less violence and by higher family income.

Conclusion
This study suggests low HRQoL scores for women of reproductive age across all domains. Several factors such as years of marriage, age at marriage, the number of children, violence, antenatal care and family income affected the women’s general health. The provision of appropriate and accessible reproductive and maternal healthcare services in antenatal visits is critical for ensuring the immediate and long-term health and wellbeing of refugee women and their families.
Standardization of Nagaraja Guliya; A Sri Lankan Traditional Formula Used in Poisons of Animal Origin (Jangama Visha)
Authors: Eshwara J. H. K. , Kulathunga R. D. H. , Gunarathna E. D. T. P. 
Published: September 2020

Sri Lanka has unique heritage of own medical system handed down from generation to another over a period of 3,000 years. Native medical practitioners in different disciplines are inherited within a family tradition and their treatments are still effective and accepted by the Sri Lankan community. Nagaraja Guliya is one of traditional preparations prescribed as internal or external medicaments by the traditional physicians in the southern province in Sri Lanka since ten decades for poisons of animal origin. The study has been focused to standardize the herbo mineral formula in respect of quality, safety and analyze the potential of Nagaraja Guliya. The formulation consists of the eight herbo mineral ingredients; Aconitum ferox, Zingiber officinale, Myristica fragrans, Syzygium aromaticum, Mercury, Arsenic trisulfide, Copper sulphate and Luffa cylindrica. Authentication of the ingredients was carried out at Bandaranayaka Memorial Ayurveda Research Institute, Nawinna, Sri Lanka. Data has been gathered from Sri Lankan traditional manuscripts, Ayurveda authentic texts and different scientific journals. The results revealed that the Nagaraja Guliya contains secondary plant metabolites like Alkaloids, Tannins, Saponin and Phenols. The pH of the formulation was found to be 5.28 and is in acceptable range for oral administration and external application. Further, heavy metal contents of Mercury and Arsenic in the preparation was not reached to the harmful level to the human body. In Ayurveda view point; pharmacodynamic properties of the formula showed that maximum number of ingredients consist of Katu Rasa (pungent taste) Laghu Guna (Light property), Ushna Veerya (Hot in potency) and Katu vipaka with properties of pacification of Kapha and Vata dosha. Kushtagna, Vedanastapana, Raktashodaka, Shotahara and Vishahara. Hence, future studies should be planned to evaluate the existing data on traditional use of Nagaraja Guliya, along with experimental and clinical trials.