bluuebunny/crossref_metadata_2025_split huggingface dataset:
Robust Hierarchical Hovering Control of Autonomous Underwater Vehicles via Variable Ballast System
Authors: Bi Anyuan , Feng Zhengping , He Chenlu 
Published: October 2020

Abstract
Hovering control of autonomous underwater vehicles (AUVs) via a variable ballast system (VBS) is challenging owing to the difficulty in precisely estimating related hydrodynamic coefficients and vertical disturbance. In this work, a hierarchical control strategy is proposed which comprises an upper layer—the proportional-integral-derivative (PID) type ballast water mass planner generating the desired ballast mass, and a lower layer—the continuous mass flowrate controller adjusting the actual ballast mass. The resulting flowrate algorithm endows the system with local uniform asymptotic stability and robustness to both modeling errors and vertical disturbance. Numerical results verify the feasibility and effectiveness of the proposed hierarchical hovering control strategy.
Performance of a Shore Fixed Oscillating Water Column Device for Different Bottom Slopes and Front Wall Drafts: A Study Based on Computational Fluid Dynamics and BIEM
Authors: Mohapatra Piyush , Vijay K. G. , Bhattacharyya Anirban , Sahoo Trilochan 
Published: October 2020

Abstract
Oscillating water column (OWC) wave energy converters are one of the most widely researched devices for ocean wave energy harvesting. This study investigates the hydrodynamic performance of a shore-fixed OWC device for different bottom slopes using two numerical approaches, namely, computational fluid dynamics (CFD) and boundary integral equation method (BIEM). In the BIEM method, the boundary value problem is solved in two-dimensional Cartesian coordinates using the linear water wave theory. The CFD model uses a numerical wave tank (NWT) built using the volume of fluid (VOF) method. Numerical computations are carried out for different sloped bottom geometries and front wall drafts to analyze the hydrodynamic efficiency. There is a general agreement between CFD and BIEM results in terms of resonating behavior of the device. It is observed that the front wall draft has a more significant effect, a lower draft leading to a wider frequency band for optimum conversion at high efficiency. While the BIEM-based analysis resulted in improved performance curve for few of the steeper slopes, the CFD study predicted a lower peak efficiency for the same slopes due to the consideration of real fluid characteristics. Detailed performance comparisons are presented using the time histories of free surface elevation, chamber pressure, and streamlines at different time instants within the OWC chamber.
Pellucid marginal degeneration versus keratoconus: distinction with wide-field SD-OCT corneal sublayer pachymetry
Authors: Mohr Niklas , Shajari Mehdi , Krause Daniel , Kassumeh Stefan , Siedlecki Jakob , Priglinger Siegfried G , Mayer Wolfgang J , Luft Nikolaus 
Published: October 2020

PurposeTo evaluate the capability of wide-field spectral-domain optical coherence tomography (SD-OCT) corneal sublayer pachymetry to distinguish between keratoconus and pellucid marginal degeneration (PMD).MethodsThis prospective cross-sectional study included 69 eyes (59 with keratoconus and 10 with PMD) of 69 patients. All patients were examined three subsequent times with the RTVue XR system. Pachymetry maps of the total cornea (CT), the epithelium (ET) and the stroma were generated using the onboard software. For analysis of reliability, the coefficients of variation and intraclass correlation coefficients (ICC) were calculated. Receiver operating characteristic analyses were performed to elaborate the most accurate pachymetric parameters for distinguishing between PMD and keratoconus.ResultsOverall repeatability of (sublayer) pachymetry was comparably good in both keratoconus (ICC ranging between 0.827 and 0.986) and PMD (ICC ranging between 0.753 and 0.998). Measurement reliability in keratoconic eyes was a negative function of Kmax (p<0.05). As compared with keratoconus, PMD exhibited higher CT (526±31 µm vs 503±30 µm; p=0.02) and ET (56±7 µm vs 51±5 µm; p=0.02) in the inferotemporal 2–5 mm sector as well as lower ET in the inferior 7–9 mm sector (52±5 µm vs 57±5 µm; p<0.01). The calculated ratio between CT in the inferotemporal 2–5 mm and in the inferior 7–9 mm sector yielded the highest diagnostic accuracy for distinguishing between PMD and keratoconus with an area under the curve of 0.977 and an optimal cut-off value of 0.90.ConclusionWide-field SD-OCT corneal sublayer pachymetry showed good reliability in PMD and keratoconus and may be useful to differentiate between the two ectatic diseases.
Mid-term prognosis of type I Boston keratoprosthesis reimplantation
Authors: Bouhout Soumaya , Robert Marie-Claude , Harissi-Dagher Mona 
Published: October 2020

AimTo examine the mid-term visual and anatomical prognosis of patients who require reimplantation of a second Boston keratoprosthesis type 1 (B-KPro).MethodsRetrospective observational case series of 122 patients (141 eyes) who received a B-KPro at a single institution were reviewed. Eyes that underwent a second B-KPro were included in the study. Primary endpoints were B-KPro retention, final visual acuity 20/200 and loss of light perception. Secondary endpoints included the occurrence of postoperative complications.ResultsSeventeen eyes (12%) required a B-KPro reimplantation. Corneal melt was the most common indication for replacement (88%). Mean follow-up time after the second B-KPro was 4.4±2.1 years. The Kaplan-Meier analysis estimated the second B-KPro retention rate at 79% over 8 years. Retroprosthetic membrane (RPM, 53%) was the most common complication. Forty-one per cent of the eyes suffered from corneal melt following their second B-KPro. One year after the second B-KPro, 47% of the patients retained a vision 20/200. Seven eyes (41.2%) lost light perception, which was secondary to an inoperable retinal detachment in five cases. Four eyes (24%) developed phthisis following inoperable retinal detachment (n=3) or endophthalmitis (n=1).ConclusionB-KPro reimplantation is a potentially sight- and globe-saving procedure for eyes with B-KPro failure, but the prognosis is guarded. B-KPro reimplantation can salvage ambulatory vision in a third of patients while another third of patients progress to loss of light perception. RPM and retinal detachment were important obstacles to visual rehabilitation while recurrent corneal melt was responsible for most cases of anatomical failure.
Injury incidence and characteristics for elite, male, artistic USA gymnastics competitions from 2008 to 2018
Authors: Kruse David William , Nobe Andrew Seiji , Billimek John 
Published: October 2020

ObjectivesTo determine the injury incidence and characteristics for elite, male, artistic USA gymnasts during gymnastics competitions, held in the USA, from 2008 to 2018.MethodsInjury documentation performed by lead physician and certified athletic trainers at elite junior and senior USA Gymnastics competitions from 2008 to 2018 were reviewed and compiled into an excel database. Injury incidence was computed per 1000 registered gymnasts by competition setting as well as injury location, type, cause, severity, and setting.ResultsFrom 2008 to 2018, 180 injuries were reported in a total of 2102 gymnasts with injury incidence of 85.6 per 1000 gymnasts (95% CI 73.4 to 97.8). The most common injury site was at the ankle (16.7 per 1000 gymnasts, 95% CI 10.9 to 22.4), and muscle strain/rupture/tear was the most common type of injury (28.5 per 1000 gymnasts, 95% CI 21.2 to 35.9). The most common cause was contact with surface (56.1 per 1000 gymnasts, 95% CI 46.1 to 66.2), and the event where most injuries were sustained was the vault (21.9 per 1000 gymnasts, 95% CI 15.4 to 28.4). Incidence of time loss injuries was 38.5 per 1000 gymnasts (95% CI 30.1 to 47.0). Injury incidence was higher during competition (58.5 per 1000 gymnasts, 95% CI 48.2 to 68.8) than during training (27.1 per 1000 RG, 95% CI 19.9 to 34.3; RR 2.16, 95% CI 1.59 to 2.94, p<0.001); injury incidence was greater at Olympic Trials (RR 3.23, 95% CI 1.24 to 8.47, p=0.017) than at National Qualifier meets. We report concussion incidence in gymnastics (5.7 per 1000 gymnasts, 95% CI 2.3 to 9.2).ConclusionsThis is the largest injury study to date for male artistic gymnasts (180 injuries, 2102 gymnasts, 11 years).
Work participation and physicality of work in young adulthood and the development of unhealthy lifestyle habits and obesity later in life: a prospective cohort study
Authors: Shiri Rahman , Halonen Jaana , Serlachius Anna , Hutri-Kähönen Nina , Raitakari Olli T , Vahtera Jussi , Viikari Jorma , Lallukka Tea 
Published: October 2020

ObjectiveTo determine the effects of early entry into the labour market and physicality of work in young adulthood on the development of obesity and unhealthy lifestyle habits later in life.MethodsThis study is a part of the Young Finns Study. Entry into the labour market and physicality of work were measured at baseline, when participants were aged 18, 21, or 24 years in 1986 or 18 years in 1989. Follow-up of lifestyle habits were conducted in 2001, 2007 and 2011. The outcomes were obesity (n=5558 observations), abdominal obesity (n=4060 observations), daily smoking (n=5628) and leisure time physical activity (n=5946) and analysed with generalised estimating equation.ResultsCompared with sedentary work, physicality of work in young adulthood increased the odds of future obesity (adjusted OR=1.32, 95% CI 1.01 to 1.74 for light/moderate work and OR=1.44, 95% CI 0.99 to 2.08 for heavy manual work (particularly in women OR=2.03, 95% CI 1.07 to 3.84)) and future smoking (OR=1.79, 95% CI 1.39 to 2.30 for light/moderate work and OR=2.01, 95% CI 1.47 to 2.76 for heavy manual work (particularly in women OR=2.81, 95% CI 1.60 to 4.91)). For those who entered the labour market at ages 18–21 or younger, the odds of smoking was 1.85 times (95% CI 1.26 to 2.73) and that of obesity 1.45 times (95% CI 1.01 to 2.10) higher, and the rate of leisure time physical activity was 0.73 times (95% CI 0.58 to 0.93) lower compared with those who entered the labour market at ages 22–24 years.ConclusionEarly entry into the labour market and physicality of work in young adulthood shape the development of obesity and unhealthy behaviours in later adulthood.
Distribution of Relaxation Times: A Tool for Measuring Oxygen Transport Resistivity of a Low–Pt PEM Fuel Cell Cathode
Authors: Reshetenko Tatyana , Kulikovsky Andrei 
Published: October 2020

Oxygen transport resistivity of the cathode catalyst layer in a low–Pt PEM fuel cell has been determined using two methods: the first one is fitting of our recent physics–based impedance model to the experimental impedance spectra of the cell, and the second is calculation of distribution of relaxation times (DRT) using the same spectra. Comparison of the two methods shows that the DRT peak with the characteristic frequency on the order of 500 to 1000 Hz describes oxygen transport in the open pore and in Nafion film covering Pt/C agglomerates in the catalyst layer. This result makes it possible using experimental impedance spectroscopy and DRT calculation for routine measurements of cathode transport resistivity in low–Pt PEMFCs.
Statistical analysis of air-conditioning and total load diversity in typical residential buildings
Authors: Hisham Naja Aqilah , Shaikh Salim Sheikh Ahmad Zaki , Hagishima Aya , Yakub Fitri , Saipol Hafizah Farhah Saipan 
Published: October 2020

Electricity consumption by air-conditioners in residential buildings significantly affects the electrical grid. The stability of the grid can be improved by a precise prediction of air-conditioning (AC) variations. Therefore, more information about the electricity usage patterns specifically on AC load is important. This paper aims to determine the consumption patterns of AC and total load through a field measurement of 20 dwellings located in Kuala Lumpur and Selangor. Next, correlation and clustering are employed to identify the relationship between outdoor temperature and AC electricity consumption. The results revealed 75% of the occupants use the AC almost every day for about five to six hours per day at the rates of 0.93 kWh/day during day time and 3.43 kWh/day during night time. The correlation coefficient between the total daily AC consumption and the mean daily outdoor temperature ranged from -0.1 to 0.48. The variation of electricity consumption with time shows that AC electricity consumption increases with the increase of usage time. Lastly, the clustering process of AC usage pattern based on outdoor temperature displayed the uncommon behaviour from dwellings whereby high AC electricity consumption was recorded at low outdoor temperature.
Feasibility of using oxycodone as the sole opioid for induction and maintenance of general anaesthesia in minor/moderate surgery: a prospective, observational, descriptive study
Authors: Bao Fangping , Xie Qing , Zhang Honggang , Zhu Shengmei , Kang Xianhui 
Published: October 2020

Objectives This study presented the feasibility of oxycodone as the sole opioid for general anaesthesia in minor/moderate surgery. Methods In this prospective, observational, descriptive study, 62 patients were enrolled and received intravenous oxycodone as the sole opioid for the induction and maintenance of general anaesthesia. We observed all of these patients to determine whether oxycodone alone could provide sufficient intraoperative and postoperative analgesia, as well as to record the extubation times and adverse events. Results A total oxycodone dose of 0.316 ± 0.05 mg/kg was used for induction and maintenance of general anaesthesia. The dose could maintain haemodynamic stability during surgery and good postoperative analgesia. Oxycodone caused deep sedation (nine patients had Ramsey sedation scores ≥4), leading to respiratory depression and long stays in the post-anaesthesia care unit (PACU). The extubation time (16.9 ± 6.4 minutes) increased with increasing oxycodone doses. Conclusion Oxycodone can be used as the sole opioid for general anaesthesia in minor/moderate surgery. However, care should be taken because of its deep sedation effect. Trial registration: This study is registered at the Chinese Clinical Trial Registry ( www.chictr.org.cn ): ChiCTR-opc-16009175
Correlation of neutrophil-to-lymphocyte ratio with the prognosis of non-ST-segment elevation in patients with acute coronary syndrome undergoing selective percutaneous coronary intervention
Authors: Wang Zhisong , Wang Juan , Cao Donglai , Han Leng 
Published: October 2020

Objective We aimed to explore the relationship between neutrophil-to-lymphocyte ratio (NLR) at three timepoints and prognosis of patients with non-ST-segment elevation acute coronary syndrome (NSTE-ACS) undergoing elective percutaneous coronary intervention (PCI) within 1 year of PCI. Methods This retrospective study enrolled 231 patients with NSTE-ACS who received PCI and were followed for 1 year after PCI. The study population was divided into major adverse cardiovascular and cerebrovascular events (MACE) and non-MACE groups. Results In total, 214 patients completed the 1-year follow-up; 32 patients (15.0%) had MACE and 182 (85.0%) had no MACE. The MACE and non-MACE groups differed significantly in age, preoperative neutrophil count, preoperative and postoperative NLR, proportion of three-vessel lesion disease, preoperative lymphocyte count, postoperative lymphocyte count within 24 hours, postoperative lymphocyte count over 24 hours, and left ventricular ejection fraction (LVEF). Multivariate logistic regression analysis showed that preoperative NLR, postoperative NLR within 24 hours, age, and LVEF values were independent risk factors for MACE in patients with NSTE-ACS after elective PCI. Conclusion Compared with preoperative NLR, postoperative NLR (within 24 hours) may have a stronger ability to predict the occurrence of MACE in NSTE-ACS patients within 1 year after elective PCI.
Short-Term Impact of Sleep Apnea/Hypopnea on the Interaction Between Various Cortical Areas
Authors: Zhou Guo-Lin , Pan Yu , Liao Yuan-Yuan , Liang Jiu-Xing , Zhang Xiang-Min , Luo Yu-Xi 
Published: October 2020

Introduction Sleep apnea/hypopnea syndrome (SAHS) can change brain structure and function. These alterations are related to respiratory event-induced abnormal sleep, however, how brain activity changes during these events is less well understood. Methods To study information content and interaction among various cortical regions, we analyzed the variations of permutation entropy (PeEn) and symbolic transfer entropy (STE) of electroencephalography (EEG) activity during respiratory events. In this study, 57 patients with moderate SAHS were enrolled, including 2804 respiratory events. The events terminated with cortical arousal were independently researched. Results PeEn and STE were lower during apnea/hypopnea, and most of the brain interaction was higher after apnea/hypopnea termination than that before apnea in N2 stage. As indicated by STE, the respiratory events also affected the stability of information transmission mode. In N1, N2, and rapid eye movement (REM) stages, the information flow direction was posterior-to-anterior, but the anterior-to-posterior increased relatively during apnea/hypopnea. The above EEG activity trends maintained in events with cortical arousal. Conclusions These results may be related to the intermittent hypoxia during apnea and the cortical response. Furthermore, increased frontal information outflow, which was related to the compensatory activation of frontal neurons, may associate with cognitive function.
Natural History of Poland Syndrome: A Long-term Study of Functional and Psychosocial Outcomes
Authors: Schippers Sarah M. , Reist Hailee , An Qiang , Buckwalter V Joseph A. 
Published: October 2020

Background Poland syndrome (PS) is a congenital condition characterized by pectoralis hypoplasia and an ipsilateral hand anomaly that frequently necessitates surgery in childhood. This study aimed to determine long-term functional and psychosocial implications of PS. Methods Patients underwent strength testing of their affected limb by comparing with their contralateral arm. They completed Disabilities of the Arm, Shoulder, and Hand (DASH), 36-item Short-Form Health Survey (SF-36), and several Patient-Reported Outcome Measurement Information System (PROMIS) surveys. Aggregate scores were compared with population norms. Results Twenty-eight patients were enrolled, and 16 returned for strength testing. The average age was 42 years (range, 18-65 years), and the average follow-up was 25 years (range, 1-52 years). Dynamometer testing showed decreased strength in shoulder internal rotation and abduction/adduction, hand grip, and key pinch/tip pinch. Average DASH and SF-36 scores were comparable with population norms. The PROMIS Upper Extremity score (46.2) was significantly lower than the average 50 (SD, 10.0); the Social Roles score (57.3) indicated significantly less disability than the general population. Seventy-nine percent reported higher than average satisfaction with life, 82% had normal self-esteem, and 21% and 4% met screening criteria for depression and anxiety, respectively. The Derriford Appearance Scale revealed that 68% of patients identified PS as their most self-conscious feature, with 36% reporting subsequent life adjustments. Conclusions This cohort of PS patients self-reported more favorable functional, psychological, and emotional outcomes than expected based on significant shoulder and hand strength deficits. Despite these deficits, patients make adaptations, allowing fulfilling lives with psychosocial functioning similar to their peers.
The use of Tightrope device as the sole method of fixation in treating lateral end clavicle fractures
Authors: Al-Tawil K , Garner M , Antonios T , Karrupaiah K , Tahmassebi R , Colegate-Stone T , Tavakkolizadeh A 
Published: October 2020

Background Lateral end clavicle fractures can be challenging due to the small and often comminuted lateral fragment, problems with union and stability and implant morbidity. We retrospectively reviewed outcomes of Tightrope device in isolation to treat lateral end clavicle fractures. Methods Subjective and objective measures were assessed for 29 patients. The subjective comprised of functional clinical scores: Oxford shoulder score and EuroQoL5D. The objective measures were maintenance of fracture reduction, bone healing and complications. Results Median age was 36 years and 72% of cases were male patients. Average clinical follow up time was 21 months. Evaluation of latest radiographs showed that all reductions were maintained post-operatively. Twenty-two fractures had united and one patient had established non-union. Functional outcomes showed predominantly good results with Oxford shoulder score average of 41, EuroQoL5D index score of 0.78 and EuroQol Visual Analogue Scale 76. The overall post-operative complication rate was 10%; only one case requiring a secondary procedure. Discussion In our series, using the Tightrope as the sole device to treat displaced lateral end of clavicle fractures resulted in good radiological and functional outcomes, with minimal complications requiring secondary procedures. We believe the Tightrope device is a good method of fixing these challenging fractures and advocate its use.
Facial Trauma Patterns Among Young Athletes
Authors: Audlin Jason , Tipirneni Kiranya , Ryan Jesse 
Published: October 2020

Study Design: Retrospective case series review. Objective: Participation in athletics is common in high school and college students and presents an increased risk of injury in this age-group. Previous studies have included National Collegiate Athletic Association athletes but not high school athletes. Here we report the trends of maxillofacial injuries in high school students. Methods: Patients presenting to a level 1 trauma center with maxillofacial injuries were identified by chart query with associated International Classification of Diseases, 10th Revision codes for facial fractures between October 2015 and October 2017. Data collected included age, sport, fracture type, need for surgery, associated concussion, and time to return to play were measured. New York State Public High School Athletic Association regional high school sports participation data from 2016 to 2018 were used to calculate incidence. Results: A total of 33 patients aged 13 to 19 years were identified. Baseball, basketball, and lacrosse were most frequently associated with maxillofacial trauma. Annual incidence rates for mandible fractures in high school athletes were 0.037%, 0.012%, and 0.01% for lacrosse, baseball, and basketball, respectively. Annual fracture incidence rates for midface fractures in high school athletes were 0.17%, 0.018%, and 0.01% for baseball, lacrosse, and basketball, respectively. Conclusion: Maxillofacial fractures are uncommon injuries among athletes but present with serious implications including surgical correction. Baseball was strongly associated with midface fractures despite being considered a noncontact sport. Improved facial protection across all sports will be imperative at reducing the incidences of these injuries. Level of Evidence: Level 4.