bluuebunny/crossref_metadata_2025_split huggingface dataset:
The effect of three sport games in physical education on the health-related fitness of male university students
Authors: Mohammed Mohammed H.H. 
Published: August 2020

Background and Study Aim. Few controlled studies have been conducted on the effect of sports games as a physical education (PE) course on the health-related fitness of university students. The aim of the study was to determine whether three sports in a PE course will help improve the health-related fitness of male university students. Material and Methods. Students from two universities participated in the study, with one university acting as a control group. There were two PE courses which students registered for: a football and volleyball (FVG, n=169) course and a badminton (BG, n=97) course. The students received basic training drills and competed with one another. The duration of the activities was 50 minutes sessions for eight weeks. The following tests were taken before and after eight weeks: Cooper test, sit-and-reach test, 60-s curl test, standing long jump test, and body mass index. Paired t-tests were used to compare the baseline and post data of each group. The Welch t-test, ANCOVA, and analysis of gains scores were used to compare each of the PE groups to the control group. ANCOVA was used to account for baseline differences, while analysis of gains scores was used whenever ANCOVA could not be used. The Vargha-Delaney Effect Size (VD) and the Common Language Effect Size (CLES) were used to determine the effect sizes for the Welch t-tests and ANCOVA, respectively. Significant changes were set at p ≤ 0.05 and VD ≤ 42% or VD ≥ 58%, or if p ≤ 0.05 and CLES ≥ 58 %. Results. Both PE groups showed significant improvements in all the measured fitness parameters except body composition. Moreover, the measured parameters of the control group reduced after eight weeks. Conclusion. The study shows evidence that PE courses can serve male universities in improving their health-related fitness. Moreover, students who do not participate in a PE course may be at risk of losing their fitness.
The “TRUAA” Seismic Network: Upgrading the Israel Seismic Network—Toward National Earthquake Early Warning System
Authors: Kurzon Ittai , Nof Ran N. , Laporte Michael , Lutzky Hallel , Polozov Andrey , Zakosky Dov , Shulman Haim , Goldenberg Ariel , Tatham Ben , Hamiel Yariv 
Published: August 2020

Abstract
Following the recommendations of an international committee (Allen et al., 2012), since October 2017, the Israeli Seismic Network has been undergoing significant upgrades, with 120 stations being added or upgraded throughout the country and the addition of two new datacenters. These enhancements are the backbone of the TRUAA project, assigned to the Geological Survey of Israel (GSI) by the Israeli Government, to provide earthquake early warning (EEW) capabilities for the state of Israel. The GSI contracted Nanometrics (NMX), supported by Motorola Solutions Israel, to deliver these upgrades through a turnkey project, including detailed design, equipment supply, and deployment of the network and two datacenters.
The TRUAA network was designed and tailored by the GSI, in collaboration with the NMX project team, specifically to achieve efficient and robust EEW. Several significant features comprise the pillars of this network:Coverage: Station distribution has high density (5–10 km spacing) along the two main fault systems—the Dead Sea Fault and the Carmel Fault System;Instrumentation: High-quality strong-motion accelerometers and broadband seismometers with modern three-channel and six-channel dataloggers sampling at 200 samples per second;Low latency acquisition: Data are encapsulated in small packets (&lt;1  s), with primary routing via high-speed, high-capacity telemetry links (&lt;1  s latency);Robustness: High level of redundancy throughout the system design:Dual active-active redundant acquisition routes from each station, each utilizing multicast streaming over an IP security Virtual Private Network tunnel, via independent high-bandwidth telemetry systemsTwo active-active independent geographically separate datacentersDual active-active redundant independent automatic seismic processing tool chains within each datacenter, implemented in a high availability protected virtual environment.
At this time, both datacenters and over 100 stations are operational. The system is currently being commissioned, with initial early warning operation targeted for early 2021.
Effects of Shallow-Velocity Reductions on 3D Propagation of Seismic Waves
Authors: Juarez Alan , Ben-Zion Yehuda 
Published: August 2020

Abstract
We perform 3D simulations of seismic wavefields to clarify effects of strong reductions of shallow velocities on long-period seismic waves. The simulations use a reference Community Velocity Model of southern California and a modified version with strong velocity reductions in the top 500 m of the Los Angeles basin. Differences between wavefields generated by 10 earthquakes in the reference and perturbed models are analyzed. Velocity changes are estimated by measuring relative time shifts between reference and perturbed seismograms using wavelet cross-correlation spectra. The results indicate that strong localized temporal velocity drops near the surface, such as those observed during strong ground motions, may generate regional perturbations of wavefields at periods up to 20 s. These perturbations may be misinterpreted as generated by temporal changes at seismogenic depths. The results also have important implications for waveform tomography studies.
Catalytic Synthesis of Diethanolamide Surfactant from Used Cooking Oil
Authors: Utami Maisari , Wijaya Karna , Syoufian Akhmad , Wicaksono Satyagraha Hakim 
Published: August 2020

The synthesis of diethanolamide surfactant from used cooking oil was systematically studied using modified zeolite as catalyst. The activated zeolite was obtained by dispersing natural zeolite in sulfuric acid (H2SO4) solution. Potassium carbonate (K2CO3) was loaded into activated zeolite by wet impregnation method. The methyl ester obtained from transesterification reaction of used cooking oil was refluxed with diethanolamine (C4H11NO) solution over K2CO3/zeolite catalyst in the production of diethanolamide surfactant. The amidiation reaction over K2CO3/zeolite effectively produced 92% of diethanolamide surfactant with the highest selectivity of methyl oleate. Diethanolamide surfactant showed stable foam and emulsion with the reduction of surface tension as much as 3.3 dyne/cm.
Cooled Radiofrequency Ablation Compared with a Single Injection of Hyaluronic Acid for Chronic Knee Pain
Authors: Chen Antonia F. , Khalouf Fred , Zora Keith , DePalma Michael , Kohan Lynn , Guirguis Maged , Beall Douglas , Loudermilk Eric , Pingree Matthew , Badiola Ignacio , Lyman Jeffrey 
Published: August 2020

Background:
Knee osteoarthritis is a painful and sometimes debilitating disease that often affects patients for years. Current treatments include short-lasting and often repetitive nonsurgical options, followed by surgical intervention for appropriate candidates. Cooled radiofrequency ablation (CRFA) is a minimally invasive procedure for the treatment of pain related to knee osteoarthritis. This trial compared the efficacy and safety of CRFA with those of a single hyaluronic acid (HA) injection.

Methods:
Two hundred and sixty subjects with knee osteoarthritis pain that was inadequately responsive to prior nonoperative modalities were screened for enrollment in this multicenter, randomized trial. One hundred and eighty-two subjects who met the inclusion criteria underwent diagnostic block injections and those with a minimum of 50% pain relief were randomized to receive either CRFA on 4 genicular nerves or a single HA injection. One hundred and seventy-five subjects were treated (88 with CRFA and 87 with HA). Evaluations for pain (Numeric Rating Scale [NRS]), function (Western Ontario and McMaster Universities Osteoarthritis Index [WOMAC]), quality of life (Global Perceived Effect [GPE] score and EuroQol-5 Dimensions-5 Level [EQ-5D-5L] questionnaire), and safety were performed at 1, 3, and 6 months after treatment.

Results:
Demographic characteristics did not differ significantly between the 2 study groups. A total of 158 subjects (76 in the CRFA group and 82 in the HA group) completed the 6-month post-treatment follow-up. In the CRFA group, 71% of the subjects had ≥50% reduction in the NRS pain score (primary end point) compared with 38% in the HA group (p < 0.0001). At 6 months, the mean NRS score reduction was 4.1 ± 2.2 for the CRFA group compared with 2.5 ± 2.5 for the HA group (p < 0.0001). The mean WOMAC score improvement at 6 months from baseline was 48.2% in the CRFA group and 22.6% in the HA group (p < 0.0001). At 6 months, 72% of the subjects in the CRFA group reported improvement in the GPE score compared with 40% in the HA group (p < 0.0001).

Conclusions:
CRFA-treated subjects demonstrated a significant improvement in pain relief and overall function compared with subjects treated with a single injection of HA. No serious adverse events related to either procedure were noted, and the overall adverse-event profiles were similar.

Level of Evidence:
Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.
Variable Fixation Technology Provides Rigid as Well as Progressive Dynamic Fixation
Authors: Frank A. , Brianza S. , Plecko M. , Raschke M.J. , Wähnert D. 
Published: August 2020

Background:
A new locking-screw technology, the Variable Fixation Locking Screw (VFLS; Biomech Innovations), was developed with the aim of promoting secondary fracture-healing. The VFLS features a resorbable sleeve that progressively decreases its mechanical properties and mass during the fracture-healing time. In this study, we investigated whether the VFLS can provide rigid as well as progressive dynamic fixation.

Methods:
The interfragmentary stability provided by the VFLS was tested in a simulated fracture-gap model and compared with that provided by standard locking or by a combination of both technologies under compression and torsional loading. Tests were performed with an intact sleeve (initial condition) and after its chemical dissolution. An optical measurement system was used to characterize interfragmentary movements.

Results:
The axial stiffness did not differ significantly among groups in the initial condition. Sleeve resorption significantly decreased construct stiffness. The torsional stiffness of the samples instrumented with the VFLS was lower than that of the control group. The degradation of the sleeve resulted in a significant increase in axial displacement recorded at both the cis and trans cortices. In samples featuring combined technologies, this increase was about 12% to 20% at the trans cortex and about 50% to 60% at the cis cortex. In samples featuring VFLS technology only, this increase was about 20% to 37% at the trans cortex and about 70% to 125% at the cis cortex.

Conclusions:
The initial stability offered by the VFLS is equivalent to that of standard locking-screw technology. The resorption of the degradable sleeve leads to effective and reproducible fracture-gap dynamization, progressively varying the way the fracture gap is strained and the magnitude of the strain.

Clinical Relevance:
The VFLS provides rigid and progressive dynamic fixation in vitro. Such variable stability might have beneficial effects in terms of triggering and boosting secondary fracture-healing.
PPARGC1B Is Associated with Nontraumatic Osteonecrosis of the Femoral Head
Authors: Zhang Yanfei , Bowen Thomas R. , Lietman Steven A. , Suk Michael , Williams Marc S. , Lee Ming Ta Michael 
Published: August 2020

Background:Previous studies have demonstrated the influence of heritable factors on the development of nontraumatic osteonecrosis of the femoral head (ONFH). We hypothesized that genetic variation is associated with an increased risk of ONFH, and that variants could be identified by a genomewide association study (GWAS).Methods:Using data collected from the MyCode Community Health Initiative, we identified 118 adult patients with radiographically confirmed nontraumatic ONFH. Study patients were statistically compared with a control population of 56,811 unrelated individuals without a diagnosis of ONFH. A case-control GWAS was performed to identify single nucleotide variants (SNVs) associated with ONFH. Sensitivity analyses were performed to evaluate the association of the top SNVs with (cortico)steroid-associated ONFH and ONFH with femoral head collapse. Gene-based analyses were performed to identify potential causal genes.Results:Of the 118 patients, 114 (96.6%) had bilateral ONFH at a median of 5 years of follow-up; 90.7% had at least one 3-week steroid prescription compared with 68.3% in controls. A GWAS identified 4 SNVs reaching genomewide significance. rs116468452 nearCACNA1Ewas significantly associated with ONFH (p = 3.26 × 10−9, odds ratio [OR] = 5.6, 95% confidence interval [CI] = 3.21 to 9.76). rs10953090 inSAMD9was significantly associated with ONFH in the steroid-exposed subset (p = 2.96 × 10−8, OR = 2.57, 95% CI = 1.84 to 3.58). rs112467115 inPI4K1Bshowed enhanced association in the collapsed subset (p = 7.82 × 10−8, OR = 4.5, 95% CI = 2.60 to 7.79). Gene-based analyses identifiedPPARGC1Bas the only gene significantly associated with ONFH after Bonferroni correction (p = 1 × 10−6), with the lead SNV being rs78814834 (OR = 2.86, 95% CI = 1.87 to 4.38).Conclusions:We identified 4 SNVs and 1 gene,PPARGC1B,associated with ONFH.Level of Evidence:PrognosticLevel IV. See Instructions for Authors for a complete description of levels of evidence.
Commercially Prepared Antibiotic-Loaded Bone Cement and Infection Risk Following Cemented Primary Total Knee Arthroplasty
Authors: Namba Robert S. , Prentice Heather A. , Paxton Elizabeth W. , Hinman Adrian D. , Kelly Matthew P. 
Published: August 2020

Background:
The efficacy of commercially available antibiotic-loaded bone cement (ABC) in preventing infection in total knee arthroplasty (TKA) is unclear. We sought to determine the effectiveness of commercially available ABC in reducing the risk of infection following TKA, both overall and among 3 subgroups of patients with a higher risk of infection (diabetes, body mass index ≥35 kg/m2, and American Society of Anesthesiologists classification ≥3), and to evaluate the association between the use of ABC and the risks of aseptic revision and revision for aseptic loosening.

Methods:
The Kaiser Permanente Total Joint Replacement Registry was utilized to evaluate 87,018 primary cemented TKAs performed from 2008 to 2016. The primary outcome was time to infection (90-day deep infection or septic revision). Reduced infection risk with ABC relative to regular cement was tested with use of propensity-score-weighted Cox proportional-hazards models with superiority and noninferiority testing. All analyses were replicated for each of the 3 high-risk subgroups. For the secondary revision outcomes, propensity-score-weighted Cox proportional-hazards models were utilized.

Results:
Regular cement was found to be noninferior to ABC with respect to risk infection (hazard ratio [HR], 1.14; 95% confidence interval [CI], 0.93 to 1.40) and cost across all TKA patients. However, a lower risk of infection was observed with ABC among TKA patients with diabetes (HR, 0.72; 95% CI, 0.52 to 0.99). There was no evidence of a difference in risk of revision for ABC compared with regular cement.

Conclusions:
We found that the additional cost associated with the use of commercially prepared ABC in primary TKA was not justified in all patients; however, the risk of reduction was lower among patients with diabetes who received ABC. Further study is warranted to identify the efficacy of ABC among other high-risk populations.

Level of Evidence:
Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
Surgical Technique and Case Series of Total Hip Arthroplasty with the Hueter Anterior Approach for Crowe Type-IV Dysplasia
Authors: Viamont-Guerra Maria-Roxana , Saffarini Mo , Laude Frederic 
Published: August 2020

Background:Total hip arthroplasty (THA) is being increasingly performed via the Hueter anterior approach (HAA), which has proven benefits with nondysplastic hips; however, little has been published on its outcomes with dysplastic hips, where it can provide better acetabular exposure. We describe our technique for THA via the HAA in hips with Crowe type-IV developmental dysplasia and report the mid-term outcomes of cases that were performed over 5 consecutive years.Methods:We retrospectively evaluated a continuous series of 8 hips (6 patients) with Crowe type-IV dysplasia; the patient ages ranged from 44 ± 20 years (range, 17 to 65 years) at the index THA. All of the patients received uncemented implants via the HAA on a traction table to restore the hip center of rotation to the true acetabulum. Femoral head autografts (FHAs) were used to increase acetabular coverage in 6 hips, and subtrochanteric shortening osteotomies (SSOs) were performed in 5 hips. Patients were assessed clinically and radiographically at a minimum follow-up of 2 years.Results:There were no revisions, deaths, dislocations, or infections. Two hips (25%) had intraoperative complications, and 1 hip (13%) had a postoperative complication that required reoperation without implant removal. All of the hips were assessed clinically and radiographically at 4 ± 1 years (range, 2 to 6 years). The modified Harris hip score (mHHS) improved from 33 ± 7 to 90 ± 7, and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) improved from 53 ± 14 to 89 ± 6; the postoperative leg-length discrepancy was 3.2 mm (range, −10 to 20 mm). None of the hips had osteolysis or radiolucent lines of >2 mm.Conclusions:THA via the HAA on a traction table for hips with Crowe type-IV dysplasia yielded satisfactory mid-term outcomes. Both FHA and SSO can be adequately performed via the HAA to help restore the hip center of rotation to the true acetabulum.Level of Evidence:TherapeuticLevel IV. See Instructions for Authors for a complete description of levels of evidence.
Unmet Need for Total Joint Arthroplasty in Medicaid Beneficiaries After Affordable Care Act Expansion
Authors: Dy Christopher J. , Barker Abigail R. , Brown Derek S. , Keller Matthew , Chang Peter , Yamaguchi Ken , Olsen Margaret A. 
Published: August 2020

Background:
The utilization of total hip arthroplasty (THA) and total knee arthroplasty (TKA) increased after Medicaid expansion under the U.S. Affordable Care Act (ACA), suggesting a potential unmet need for THA and TKA. We examined the timing of THA and TKA in patients after obtaining Medicaid expansion insurance coverage. We hypothesized that patients with Medicaid expansion insurance would undergo a surgical procedure sooner than patients in traditional Medicaid populations.

Methods:
We used administrative data from a Medicaid managed care company to determine the timing of primary THA and TKA in patients who were 18 to 64 years of age in 4 states with Medicaid expansion (Illinois, Ohio, Oregon, and Washington) and 4 states without Medicaid expansion (Louisiana, Mississippi, Texas, and Wisconsin) from 2008 to 2015. The insurance types were Medicaid expansion, Medicaid plans for Supplemental Security Income (SSI), or Temporary Assistance for Needy Families (TANF). Roughly, these 3 groups correspond to relatively healthy childless adults, relatively unhealthy disabled adults, and parents of children with Medicaid insurance. The main outcome measure was time from enrollment to the surgical procedure. The primary exposure of interest was insurance type. We used a generalized linear regression model to adjust for patient age, sex, social deprivation, surgeon supply and reimbursement, and state-level Medicaid enrollment.

Results:
In the unadjusted analysis of 4,117 patients, there was a significantly shorter time from enrollment to THA and TKA for the expansion group (median, 7.5 months) relative to the SSI group (median, 16.1 months; p < 0.0001) and the TANF group (median, 12.2 months; p < 0.0001). In the adjusted analysis, the time from enrollment to THA and TKA was significantly shorter in the expansion group (β, −1.21 [95% confidence interval (CI), −1.35 to −1.07]; p < 0.001) compared with the TANF group (β, −0.27 [95% CI, −0.38 to −0.17]; p < 0.001) and the SSI group (reference). Compared with the SSI group, these coefficients are equivalent to a 70% shorter time to the surgical procedure in the expansion group and a 24% shorter time to the surgical procedure in the TANF group.

Conclusions:
Our findings suggest an unmet need for THA and TKA among newly enrolled Medicaid expansion beneficiaries. This need should be considered by surgeons, hospitals, and policymakers in ensuring access to care. Furthermore, consideration should be given to existing insurance-based disparities in access to orthopaedic care, as these may be exacerbated by an increased demand for THA and TKA from Medicaid expansion beneficiaries.
An Update on Surgical Management of the Repairable Large-to-Massive Rotator Cuff Tear
Authors: Guevara Jonathan A. , Entezari Vahid , Ho Jason C. , Derwin Kathleen A. , Iannotti Joseph P. , Ricchetti Eric T. 
Published: August 2020

➢ Despite an evolving array of surgical options and technologies available to perform rotator cuff repair, as well as advances in postoperative rehabilitation strategies, reported failure rates remain high, with large-to-massive rotator cuff tears showing higher failure rates than small-to-medium-sized tears.➢ Preoperative magnetic resonance imaging is critical for judging the potential repairability of a large-to-massive rotator cuff tear based on imaging characteristics, including tear size and retraction, length and attenuation of the tendon stump, and fatty infiltration or atrophy in the rotator cuff muscle bellies. Advanced fatty infiltration and atrophy in the rotator cuff muscles have been found to be independent predictors of retear following repair of large-to-massive tears.➢ While there is some evidence that double-row rotator cuff repairs have lower failure rates for larger tears, a double-row repair may not always be possible in some chronic, retracted large-to-massive rotator cuff tears that cannot be completely mobilized and have tendon loss.➢ Strategies to augment rotator cuff repairs are based on the desire to improve the mechanical integrity and biologic healing environment of the repair, and they have shown promise in improving healing rates following repair of large-to-massive tears.➢ While most patients report pain relief and have increased patient-reported outcomes scores after surgery, studies have shown that patients with an intact repair have better functional scores, range of motion, and strength, and less fatty degeneration compared with patients with a failed repair.