bluuebunny/crossref_metadata_2025_split huggingface dataset:
Shared Decision-Making Is Associated with Better Outcomes in Patients with Knee But Not Hip Osteoarthritis
Authors: Sepucha Karen R. , Vo Ha , Chang Yuchiao , Dorrwachter Janet M. , Dwyer Maureen , Freiberg Andrew A. , Talmo Carl T. , Bedair Hany 
Published: August 2021

Background:
Current guidelines recommend shared surgical decision-making, yet it is unclear whether shared decision-making improves health outcomes in patients who are considering knee and hip replacement. The purpose of the present study was to examine whether patients who made high-quality, informed, patient-centered (IPC) decisions had better health outcomes, higher satisfaction, and less decision regret compared with those who made lower-quality decisions.

Methods:
A multisite, randomized study of 2 decision aids for patients with hip and knee osteoarthritis was utilized to collect data on decision-making and health outcomes at 2 time points: shortly after the initial surgical evaluation and about 6 months after treatment. We calculated the percentage of patients who made an IPC decision and examined the a priori hypotheses that IPC decisions would be associated with better health outcomes, satisfaction, and less regret at 6 months. Linear and logistic regression models were utilized to examine the relationships.

Results:
The analytic sample included 854 patients with a mean age of 65 years (standard deviation, 9 years), of whom 58% were female, 93% were White non-Hispanic, 67% had knee (compared with hip) osteoarthritis, and 62% underwent operative treatment within 6 months of the initial evaluation. The majority of patients (68%) made IPC decisions. The IPC group had significantly larger gains in quality of life (mean difference in EuroQol-5 Dimension, 0.04; 95% confidence interval [CI], 0.02 to 0.07; p < 0.001) compared with the non-IPC group. For knee patients, the IPC group also had significantly better Knee injury and Osteoarthritis Outcome Scores (mean difference, 4.9; 95% CI, 1.5 to 8.3; p = 0.004), higher satisfaction (adjusted odds ratio [aOR], 1.7; 95% CI, 1.2 to 2.3; p = 0.003), much better pain relief (aOR, 2.1; 95% CI, 1.3 to 3.5; p = 0.002), and were more likely to have no decision regret (aOR, 2.3; 95% CI, 1.3 to 4.1; p = 0.003). For hip patients, IPC decisions were not associated with better Harris hip scores or satisfaction and were associated with more regret.

Conclusions:
Higher-quality decisions predicted small improvements in health outcomes, as well as greater satisfaction and less regret for patients with knee osteoarthritis, but not for patients with hip osteoarthritis.

Level of Evidence:
Therapeutic Level II. See Instructions for Authors for a complete description of levels of evidence.
Training the New Generations of Orthopaedic Surgery Residents
Authors: Sarac Nikolas J. , Vajapey Sravya P. , Bosse Michael J. , Ly Thuan V. 
Published: August 2021

Abstract:
Most of the current orthopaedic residents are considered Millennials (born between 1981 and 1996) and are often trained by attending surgeons who are from Generation X (born between 1965 and 1980) or the Baby Boomer generation (born between 1946 and 1964). The Generation X orthopaedic surgeons were largely trained by Baby Boomers who were very demanding of their trainees and expected excellence. The Baby Boomers had been inspired, mentored, and trained by the Greatest Generation (born between 1901 and 1927). Baby Boomers took nothing for granted and nothing was given to them on a silver platter. Generation X was trained under these premises and was expected to abide by similar values. Regarding the next generation of residents, current faculty hope to instill the same qualities that had been instilled in them during their training. This value transference sometimes presents a challenge because of the differences in attitudes and perspectives that may exist between Millennial residents and their predecessors regarding work-life balance, teaching styles, the regulation of duty hours, and feedback assessments. These differences require an evolution in the methods of surgical education to optimize the educational benefit and ensure good will and rapport between the generations. Trainees and faculty alike have a responsibility to understand each other’s differences and come together to ensure that knowledge, experience, values, and skill sets are effectively passed on to a new generation of orthopaedic surgeons.
Comparison of Twelve Types of Rough Approximations Based on j-Neighborhood Space and j-Adhesion Neighborhood Space
Authors: Atef Mohamed , Khalil Ahmed Mostafa , Azzam Abdelfatah , Atik Abd El Fattah El , Li Sheng Gang , Liu Heng 
Published: August 2021

Abstract
In this paper, we generalize six kinds of rough set models based on j-neighborhood space (i.e., reflexive 1 j-neighborhood rough set, reflexive 2 j-neighborhood rough set, reflexive 3 j-neighborhood rough set, similarity 4 j-neighborhood rough set, similarity 5 j-neighborhood rough set, and similarity 6 j-neighbor\\hood rough set), and investigate some of their basic properties. Further, we propose a new neighborhood space called j-adhesion neighborhood based on six types of rough set models (i.e., reflexive 7 j-adhesion neighborhood rough set, reflexive 8 j-adhesion neighborhood rough set, reflexive 9 j-adhesion neighborhood rough set, similarity 10 j-adhesion neighborhood rough set, similarity 11 j-adhesion neighborhood rough set, and similarity 12 j-neighbor\\hood rough set) to reduce the boundary region and the accuracy. The fundamental properties of approximation operators based on j-adhesion neighborhood space are investigated. The relationship between the properties of these types is explained. Finally, we give comparisons between the proposed approach with the previous approach (i.e., Abo-Tabl's approach and Dai et al.'s approach) from six types of rough set models. Consequently, the accuracy from the proposed approach is improved.
A Scientometric Analysis of Research on Bio Filtration of Waste Gas Streams During 1989-2020
Authors: Rajeswari Shanmugam , Saravanan Panchamoorthy , Jaya Nagendiran , Rengasamy Mookan , Baskaran Divya , Saravanan Viswanathan , kannan Rajan Rajesh , Rajasimman Manivasagan 
Published: August 2021

Abstract
Biofiltration is a superior method of pollution control technologies among the various physical, chemical and biological methods. This process uses active microorganisms and to degrade pollutants produce innocuous end products. Microbes present in the filter materials used in remove of contaminants from the air effectively. A total of 1386 bibliographic records from the Web of Science (WoS) database were extracted and analyzed to report the analysis of scientific state of the authors, journals, countries, and categories. Histcite and VoSviewer software’s are used for analyzing records. In the study, we have analyzed annual contribution, authorship pattern, type of document, language, degree of collaboration, Collaborative index, Co-author index, relative growth rate and doubling time, Bradfords law, h-index, subject wise, countries and co-occurrence keywords. The results indicate that USA and China are the most contributing countries in biofiltration. This study therefore, provides an extensive understanding about the trends and research patterns of biofilter of air efforts worldwide. Finally, research gaps and environment pollution issues are highlighted and the scope for future also discussed.
Nutrition Literacy is Associated with Income and Place of Residence but not with Diet behavior and Food Security in the Palestinian Society
Authors: Natour Nihal , AL-Tell Mariam , Ikhdour Osama 
Published: August 2021

Abstract
Introduction: Palestinian society is going through health transition associated with increase in chronic diseases due to poor dietary habits so adequate integration of nutrition information is important.Aims: The aim of this study is to find the association between nutrition literacy and diet behavior among a group of Palestinian participants.Methods: A sample of 101 Palestinian participants were recruited to participate in the study. Using an online survey which was distributed through educational and social internet platforms was used to collect data on sociodemographic variable. Newest Vital Sign quiz was used to collect information on nutrition literacy and Short Format of the Diet Health and Knowledge Survey (SFDHKS) was used to collect information on diet behavior and USDA food security questionnaire was used to collect data on food security. Data was analyzed by SPSS 21.Results: This study included 101 participants, mean age 22.7 y± 8.7 y, mainly females. 5.7% of the study participants were obese, 13.8% overweight and 10.3% were underweight. The prevalence of adequate nutrition literacy was 24%. There was minimal association between diet behavior and nutrition literacy, food security and BMI categories, but significant association with income and living in city relative to village (p< 0.05). Only 11 participants had some form of food insecurity.Conclusion: There is low prevalence of adequate nutrition literacy. Nutrition literacy depends on social and economic aspect but further research is need to understand relationship to diet behavior.
Training Needs of Practice Facilitators When Implementing An Opioid Improvement Initiative in Primary Care
Authors: Parchman Michael L. , Ike Brooke , Osterhage Katie , Johnson Ashley , Baldwin Laura-Mae 
Published: August 2021

Abstract
Background: Practice facilitation is a commonly employed strategy to implement evidence-based programs into primary care settings. Preparing facilitators for this role requires an understanding of their training needs and support. Here we report on the experiences of facilitators who participated in a training program to support efforts to improve opioid medication management in primary care.Methods: Trainees with prior QI experience were recruited for the six-month training program. Each trainee recruited a clinic for which they would serve as an external facilitator to implement the Six Building Blocks program. At the end of the six-months, we conducted two semi-structured interviews with each trainee. The interviews focused on facilitators and barriers that the trainees experienced during the training and support provided. Qualitative content analysis was used to analyze the transcribed interviews.Results: Three of the five trainees completed the program. In addition to the in-depth understanding of the Six BB program, trainees valued the opportunity to build peer relationships which provided a supportive peer support group. They valued the availability of more experienced facilitators who supported and mentored them. They also mentioned the importance of providing helpful tools and resources and the availability of a clinical expert. Barriers focused on factors internal to the trainees’ clinical setting, the trainees limited clinical knowledge about chronic pain, and difficulty maintaining momentum for change due to the flexible timeline of the program itself.Conclusions: In addition to training on the content of an evidence-based programs, facilitators valued work with supportive peers and the mentoring of more experienced facilitators. Primary care improvement initiatives employing practice facilitators should consider these training needs and the resources required for this supportive infrastructure.
Influence of the COVID-19 Pandemic and Bystander-victim Relationship on the Willingness of Thai Healthcare Providers and Laypersons to Perform Cardiopulmonary Resuscitation: a Cross-sectional Online Survey
Authors: Boonmak Suhattaya , Mitsungnern Thapanawong , Boonmak Pimmada , Boonmak Polpun 
Published: August 2021

Abstract
Background: Out-of-hospital cardiac arrest (OHCA) is a significant health problem in many Asian countries. Bystander cardiopulmonary resuscitation (CPR) can reduce mortality from OHCA. The willingness of bystanders to initiate aid is also critical. During the COVID-19 pandemic, CPR eases to spread of COVID-19 with negatively affect the decision. The objectives were to study the influence of the COVID-19 pandemic and bystander-victim relationship on the willingness of Thai healthcare providers (HCPs) and laypersons to perform CPR and associated factors.Methods: The cross-sectional online survey was conducted between August to November 2020 in a Thai population. A structured questionnaire was developed and given to volunteers as an online survey. We recorded participant characteristics and willingness to perform compression-only CPR (W-COC) and conventional CPR (W-CC) on family members, acquaintances, and strangers during the pandemic and in a non-pandemic situation and analyzed associated factors.Results: We included 419 laypersons and 716 HCPs. Lay-participants expressed less W-COC on acquaintances and strangers (risk ratio [RR] 0.74-0.85), but not on family members. By contrast, the HCPs were less W-COC across the board (RR 0.84-0.92). Both groups were less W-CC on all recipients (RR 0.43-0.54). There was no difference in participants’ W-COC and W-CC on family members and acquaintances, except that HCPs expressed greater W-CC on family members. Participants in all groups were less W-COC and W-CC on strangers. W-COC was correlated with CPR knowledge (Odds ratio [OR] 2.32), self-efficacy (OR 1.96), single marital status (OR 1.91), and being an HCP (OR 2.00). W-CC on family members was related to CPR knowledge (OR 2.16).Conclusion: Participants were less willing during the COVID-19 pandemic on all groups except family members of lay participants. The victim’s relationship to the participant was more important in conventional CPR than compression-only CPR, especially in HCPs. CPR knowledge, self-efficacy, single marital status, and being an HCP related to higher willingness.Trial registration: TCTR20210330003 (Thai Clinical Trials Registry)
Effect of Addition of Pomegranate Peel in the Ration with or Without Polyethylene Glycol on Productive Performance of Lactating Goats
Authors: Kholif Abd El-Kader Mahmoud , Aboulfotouh Gamal Eldeen , Hassan Ola Gamal Ahmed , El-Mola Abdelalim Mohamed Abd 
Published: August 2021

Abstract
The industries of Pomegranate juice processing generate enormous waste in peel’s form which are suggested and evaluated as a supplement in animal feed but pomegranate peel have high percent of tannins, So the aim of this paper is to assess the impact of mixing pomegranate peel (PP), detanninated pomegranate peel (DPP) and pomegranate peel with polyethylene glycol (PEG) on the digestibility of nutrients, the yield of goats milk and its composition, feed conversion and some parameters of blood. Moreover, simple economic assessment of the examined rations are considered. Sixteen lactating Zaraibi goats of about 3-4 years old (in their 2nd to 4th of lactation seasons with an average body weight of about 25 + 0.5 kg are used in the present study. After 14 days of parturition was randomly assigned into four groups, four animals per each tested ration (R) for 90days, R1: Control : 50% CFM + 25% Egyptian clover and 25% wheat straw, R2: Control ration+1% PP, R3: Control ration+1% PP + 20 g (PEG) and R4:Control ration+1% DPP. The results revealed that the PP contained 90.85% DM, 4.84% CP, 15.53% CF, 87.21%OM, 4.69% EE, 62.15% NFE and 15.28% tannins. No significant differences were found between the tested rations regarding nutrients digestibility except EE digestibility. Nutritive values of R2 and R3 were slightly higher than R4 and R1, respectively. Ration three (R3) was the best ration for daily milk yield and total milk yield, where R4 showed the worst one. Also, there are no significant differences for dry matter, SV and TDN intake. While, values of DCP intake were higher significantly (P<0.05), for R3 and R2 followed by R4 then R1. Regarding feed conversion, R4 was superior to other tested rations followed by R1 then R3 followed by R2. All blood serum parameters were in the normal rang which support that the healthy effect of tested additives in goats rations. It seems that R2 and R3 could be used successfully for lactating goats, but R3 is very expensive from economical point of view, where R3 was negatively economical effect, and not recommended.
WITHDRAWN: Trajectory tracking of a mobile robot using adaptive sliding mode control
Authors: Rostami Seyyed Mohammad Hosseini , Jahangiri Fatemeh 
Published: August 2021

Abstract
The purpose of this paper is to design a control system for a mobile four-wheeled robot, whose task is to achieve stability and proper operation in the execution of commands. As a result of the nonlinear dynamics, structural and parametric uncertainty of this robot, various control approaches are used in order to achieve stability, proper performance, minimize modeling errors and uncertainties, etc. By adjusting linear and angular velocities in the presence of external disturbances and parametric uncertainty, this algorithm is able to follow a predetermined trajectory based on the information contained in the signals received by the sensor from the trajectory.. In previous articles, the upper bound of uncertainty was assumed to be known. This paper makes the assumption that the upper band of uncertainty and disturbances in robotic systems is unknown, since, in many cases, we cannot know the extent of these uncertainties in practice. In our recent paper, we generalized the sliding mode control law and proved its effectiveness, so that by including an adaptive part to the control law, we transformed it into a robust-adaptive sliding mode control, and we could estimate the upper band uncertainties online based on these adaptive laws. This typology can be expressed as a distinct theorem with stable results. Simulations with MATLAB software demonstrate that the controller ensures optimal performance under external disturbances and parametric uncertainty with less fluctuations.
Impact of COVID-19 Pandemic on Severe Ventricular Arrhythmia and Icd Therapy
Authors: SİPAL Abdulcebbar , AKTAS Mujdat , AKBULUT Tayyar , SAYLIK Faysal 
Published: August 2021

Abstract
BACKGROUND AND OBJECTIVES: The regular clinical follow-up of the patient with the implantable cardioverter-defibrillator (ICD) device was seriously affected by the COVID-19 outbreak. Due to the high risk of contamination, patients didn’t admit to the clinics for the ICD device control. It has been observed that arrhythmic events increased during the COVID-19 outbreak. In this study, we aimed to investigate the frequency of severe ventricular arrhythmias and ICD device therapy in COVID-19 patients with ICD.METHODS: In this single center-observational study, we assessed severe ventricular arrhytmias and ICD therapies by analyzing recorded data of 33 patients (24 males, 72.7%) 3 months before and after getting COVID-19 during the COVID-19 pandemic in Van, Turkey, between 15 August 2020 and 15 January 2021. RESULTS: Before the diagnosis of COVID-19, 6 ventricular tachycardias and 1 ventricular fibrillation were observed. When we analyzed the records after the diagnosis COVID-19, 17 ventricular tachycardia and 3 ventricular fibrillation episodes were observed. Considering the the ICD device therapies, 5 of these severe tachyarrhythmias were terminated by antitachycardia pacing (ATP) and 2 with shock therapy before the diagnosis of COVID-19. After the COVID-19, 14 of them were terminated by ATP and 6 of them ere terminated by shock therapy.CONCLUSION: The effects of the COVID-19 pandemic, especially on ventricular arrhythmia, have not been reported sufficiently. In our study, it was observed that life-threatening ventricular arrhythmias and the ICD therapies were increased in patients with COVID-19, especially in the first month after the diagnosis COVID-19.
Somatic Embryogenesis; A Highly Promising Technique for Conservation of Tecomella Undulata – A Multi-Purpose Tree on the Verge of Extinction
Authors: Rastgoo Sasan 
Published: August 2021

Abstract
Over-exploitation of trees by increasing human population has put an enormous pressure especially on those species having slow growth and low reproduction rate. Desert teak (Tecomella undulata (Sm.) Seem) a multipurpose agroforestry tree of arid zone has fallen on the verge of extinction in Iran due to lack of efficient seed reproduction. Inherent low adventitious rooting has caused vegetative mass macro- and micropropagation (organogenesis pathway) of this tree to be unsuccessful. Somatic embryogenesis (SE) pathway by production of bipolar embryo capable of development into a complete plantlet can solve the problem. Hence, a research was carried out to evaluate the feasibility of in vitro regeneration of the tree by SE. Ovary extracted from un-pollinated flower was cultured in the media supplemented with different auxins and cytokinins (CKs). The results showed α-naphthalene acetic acid (NAA) was superior in induction of embryogenic callus (EC). NAA ranging 5.4–21.5 µM could induce the highest ECs which exhibited developing pro-embryogenic masses (PEMs) and globular somatic embryos. Both CKs, thidiazuron (TDZ) and N6-benzyladenine (BA), though induced good callogenesis at low concentrations but the formed calli were non-embryogenic. Proliferation of NAA–induced ECs revealed that hormone-free medium is the best choice. However, the media containing 40.5 and 54 µM NAA alone could also induce somatic embryos along with callus proliferation. Effort for maturation of the obtained globular, hear-shaped and torpedo embryos did not yield satisfactory results. Low BA-contained medium led to secondary SE. More research is expected to be undertaken to optimize SE in desert teak.
Surgical Outcomes in Children Under 10 Years Old in The Treatment of Congenital Scoliosis Due To Single Nonincarcerated Thoracolumbar Hemivertebra: According To The Age At Surgery
Authors: Li Haixia , Chen Zhiming , Gao Bo , Wang Jiaxu , Shao Shuilin , Wu Jigong 
Published: August 2021

Abstract
Purpose
Hemivertebra is one of the common pathogenesis of congenital scoliosis. The timing of operation is undefined. Our study compared the surgical outcomes in children under age 10 years with scoliosis due to single nonincarcerated thoracolumbar hemivertebra according to the age at surgery.
Methods
From January 2009 to August 2017, we retrospectively investigated 34 consecutive cases of congenital scoliosis treated by posterior hemivertebra resection and fusion with pedicle screw fixation. All cases were devided into two groups according to the age at surgery and followed-up for at least 2 years. Group 1 (≤ 5 years old), and group 2 (5 to 10 years old).
Results
The mean Cobb angle of the main curve was improved from 48.58° to 15.53° (68.05%) in group 1, and from 43.73° to 11.33°(75.43%) in group 2. The segmental curve was improved from 44.16° to 11.53°(74.64 %) in group 1, and the segmental curve was consistent with the main curve in group 2. The mean segmental kyphosis was improved from 27.50° to 8.42°(67.40%) in group 1, and from 29.00° to 5.00° (84.73%) in group 2. 5 patients developed distal adding-on and 4 patients were found proximal junctional kyphosis during the follow up.
Conclusions
Not all the deformities caused by single nonincarcerated thoracolumbar hemivertebra would progress greatly with the spinal growth. A limited delayed surgery after 5 years but before 10 years of age with close follow-up can achieve good results, the occurrence of distal adding-on might be reduced, although it may need more than two segments fusion.