bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pooled vs. Dedicated Queues when Customers Are Delay-Sensitive
Authors: Sunar Nur , Tu Yichen , Ziya Serhan 
Published: January 2021

It is generally accepted that operating with a combined (i.e., pooled) queue rather than separate (i.e., dedicated) queues is beneficial because pooling queues reduces long-run average sojourn time. In fact, this is a well-established result in the literature when jobs cannot make decisions and servers and jobs are identical. An important corollary of this finding is that pooling queues improves social welfare in the aforementioned setting. We consider an observable multiserver queueing system that can be operated with either dedicated queues or a pooled one. Customers are delay-sensitive, and they decide to join or balk based on queue length information upon arrival; they are not subject to an external admission control. In this setting, we prove that, contrary to the common understanding, pooling queues can increase the long-run average sojourn time so much that the pooled system results in strictly smaller social welfare (and strictly smaller consumer surplus) than the dedicated system under certain conditions. Specifically, pooling queues hurts performance when the arrival-rate-to-service-rate ratio is large (e.g., greater than one) and the normalized service benefit is also large. We prove that the performance loss due to pooling queues can be significant. Our numerical studies demonstrate that pooling queues can decrease the social welfare (and consumer surplus) by more than 95%. The benefit of pooling is commonly believed to increase with system size. In contrast, we show that when delay-sensitive customers make rational joining decisions, the magnitude of the performance loss due to pooling can strictly increase with the system size. This paper was accepted by Terry Taylor, operations management.
Functional alignment achieves soft-tissue balance in total knee arthroplasty as measured with quantitative sensor-guided technology
Authors: Chang Justin S. , Kayani Babar , Wallace Charles , Haddad Fares S. 
Published: January 2021

Aims Total knee arthroplasty (TKA) using functional alignment aims to implant the components with minimal compromise of the soft-tissue envelope by restoring the plane and obliquity of the non-arthritic joint. The objective of this study was to determine the effect of TKA with functional alignment on mediolateral soft-tissue balance as assessed using intraoperative sensor-guided technology. Methods This prospective study included 30 consecutive patients undergoing robotic-assisted TKA using the Stryker PS Triathlon implant with functional alignment. Intraoperative soft-tissue balance was assessed using sensor-guided technology after definitive component implantation; soft-tissue balance was defined as intercompartmental pressure difference (ICPD) of < 15 psi. Medial and lateral compartment pressures were recorded at 10°, 45°, and 90° of knee flexion. This study included 18 females (60%) and 12 males (40%) with a mean age of 65.2 years (SD 9.3). Mean preoperative hip-knee-ankle deformity was 6.3° varus (SD 2.7°). Results TKA with functional alignment achieved balanced medial and lateral compartment pressures at 10° (25.0 psi (SD 6.1) vs 23.1 psi (SD 6.7), respectively; p = 0.140), 45° (21.4 psi (SD 5.9) vs 20.6 psi (SD 5.9), respectively; p = 0.510), and 90° (21.2 psi (SD 7.1) vs 21.6 psi (SD 9.0), respectively; p = 0.800) of knee flexion. Mean ICPD was 6.1 psi (SD 4.5; 0 to 14) at 10°, 5.4 psi (SD 3.9; 0 to 12) at 45°, and 4.9 psi (SD 4.45; 0 to 15) at 90° of knee flexion. Mean postoperative limb alignment was 2.2° varus (SD 1.0°). Conclusion TKA using the functional alignment achieves balanced mediolateral soft-tissue tension through the arc of knee flexion as assessed using intraoperative pressure-sensor technology. Further clinical trials are required to determine if TKA with functional alignment translates to improvements in patient satisfaction and outcomes compared to conventional alignment techniques. Cite this article: Bone Joint J 2021;103-B(3):507–514.
Comorbid mental disorders and quality of life of people with epilepsy attending primary health care clinics in rural Ethiopia
Authors: Tsigebrhan Ruth , Fekadu Abebaw , Medhin Girmay , Newton Charles R. , Prince Martin J. , Hanlon Charlotte 
Published: January 2021

Background
Evidence from high-income countries demonstrates that co-morbid mental disorders in people with epilepsy adversely affect clinical and social outcomes. However, evidence from low-income countries is lacking. The objective of this study was to measure the association between co-morbid mental disorders and quality of life and functioning in people with epilepsy.

Methods
A facility-based, community ascertained cross-sectional survey was carried out in selected districts of the Gurage Zone, Southern Ethiopia. Participants were identified in the community and referred to primary health care (PHC) clinics. Those diagnosed by PHC workers were recruited. Co-morbid mental disorders were measured using a standardised, semi-structured clinical interview administered by mental health professionals. The main outcome, quality of life, was measured using the Quality of Life in Epilepsy questionnaire (QOLIE-10p). The secondary outcome, functional disability, was assessed using the 12-item World Health Organization Disability Assessment Schedule (WHODAS-2).

Results
The prevalence of comorbid mental disorders was 13.9%. Comorbid mental disorders were associated with poorer quality of life (Adjusted (Adj.) β -13.27; 95% CI -23.28 to-3.26) and greater disability (multiplier of WHODAS-2 score 1.62; 95% CI 1.05, 2.50) after adjusting for hypothesised confounding factors. Low or very low relative wealth (Adj. β = -12.57, 95% CI -19.94 to-5.20), higher seizure frequency (Adj.β coef. = -1.92, 95% CI -2.83 to -1.02), and poor to intermediate social support (Adj. β coef. = -9.66, 95% CI -16.51 to -2.81) were associated independently with decreased quality of life. Higher seizure frequency (multiplier of WHODAS-2 score 1.11; 95% CI 1.04, 1.19) was associated independently with functional disability.

Conclusion
Co-morbid mental disorders were associated with poorer quality of life and impairment, independent of level of seizure control. Integrated and comprehensive psychosocial care is required for better health and social outcomes of people with epilepsy.
Validation of prognostic indices for short term mortality in an incident dialysis population of older adults >75
Authors: Thorsteinsdottir Bjorg , Hickson LaTonya J. , Giblon Rachel , Pajouhi Atieh , Connell Natalie , Branda Megan , Vasdev Amrit K. , McCoy Rozalina G. , Zand Ladan , Tangri Navdeep , Shah Nilay D. 
Published: January 2021

Rational and objectivePrognosis provides critical knowledge for shared decision making between patients and clinicians. While several prognostic indices for mortality in dialysis patients have been developed, their performance among elderly patients initiating dialysis is unknown, despite great need for reliable prognostication in that context. To assess the performance of 6 previously validated prognostic indices to predict 3 and/or 6 months mortality in a cohort of elderly incident dialysis patients.Study designValidation study of prognostic indices using retrospective cohort data. Indices were compared using the concordance (“c”)-statistic, i.e. area under the receiver operating characteristic curve (ROC). Calibration, sensitivity, specificity, positive and negative predictive values were also calculated.Setting & participantsIncident elderly (age ≥75 years; n = 349) dialysis patients at a tertiary referral center.Established predictorsVariables for six validated prognostic indices for short term (3 and 6 month) mortality prediction (Foley, NCI, REIN, updated REIN, Thamer, and Wick) were extracted from the electronic medical record. The indices were individually applied as per each index specifications to predict 3- and/or 6-month mortality.ResultsIn our cohort of 349 patients, mean age was 81.5±4.4 years, 66% were male, and median survival was 351 days. The c-statistic for the risk prediction indices ranged from 0.57 to 0.73. Wick ROC 0.73 (0.68, 0.78) and Foley 0.67 (0.61, 0.73) indices performed best. The Foley index was weakly calibrated with poor overall model fit (p <0.01) and overestimated mortality risk, while the Wick index was relatively well-calibrated but underestimated mortality risk.LimitationsSmall sample size, use of secondary data, need for imputation, homogeneous population.ConclusionMost predictive indices for mortality performed moderately in our incident dialysis population. The Wick and Foley indices were the best performing, but had issues with under and over calibration. More accurate indices for predicting survival in older patients with kidney failure are needed.
Patterns of change in cardiovascular risk assessments and ankle brachial index among Puerto Rican adults
Authors: Noel Sabrina E. , Cornell David J. , Zhang Xiyuan , Mirochnick Julia C. , Mattei Josiemer , Falcón Luis M. , Tucker Katherine L. 
Published: January 2021

Background
Puerto Rican adults have higher odds of peripheral artery disease (PAD) compared with Mexican Americans. Limited studies have examined relationships between clinical risk assessment scores and ABI measures in this population.

Methods
Using 2004–2015 data from the Boston Puerto Rican Health Study (BPRHS) (n = 370–583), cross-sectional, 5-y change, and patterns of change in Framingham Risk Score (FRS) and allostatic load (AL) with ankle brachial index (ABI) at 5-y follow-up were assessed among Puerto Rican adults (45–75 y). FRS and AL were calculated at baseline, 2-y and 5-y follow-up. Multivariable linear regression models were used to examine cross-sectional and 5-y changes in FRS and AL with ABI at 5-y. Latent growth mixture modeling identified trajectories of FRS and AL over 5-y, and multivariable linear regression models were used to test associations between trajectory groups at 5-y.

Results
Greater FRS at 5-y and increases in FRS from baseline were associated with lower ABI at 5-y (β = -0.149, P = 0.010; β = -0.171, P = 0.038, respectively). AL was not associated with ABI in cross-sectional or change analyses. Participants in low-ascending (vs. no change) FRS trajectory, and participants in moderate-ascending (vs. low-ascending) AL trajectory, had lower 5-y ABI (β = -0.025, P = 0.044; β = -0.016, P = 0.023, respectively).

Conclusions
FRS was a better overall predictor of ABI, compared with AL. Puerto Rican adults, an understudied population with higher FRS over 5 years, may benefit from intensive risk factor modification to reduce risk of PAD. Additional research examining relationships between FRS and AL and development of PAD is warranted.
Measles epidemic in pediatric population in Greece during 2017–2018: Epidemiological, clinical characteristics and outcomes
Authors: Gianniki Maria , Siahanidou Tania , Botsa Evanthia , Michos Athanasios 
Published: January 2021

Background and aimA measles outbreak occurred in Greece during 2017–2018 affecting mainly pediatric population. The aim of the study was to describe the epidemiological and clinical characteristics of the cases diagnosed in the major pediatric tertiary hospital of Athens, where 26.5% of national pediatric measles cases were diagnosed and treated.MethodsThis is a retrospective study of children 0–16 years old, who presented at the emergency department and/or were hospitalized with clinical presentation compatible with measles and diagnosis was confirmed with molecular detection of the measles RNA in pharyngeal swabs. Epidemiological, clinical and laboratory characteristics were retrieved from medical records and analyzed.ResultsA total of 578 children with measles were identified during the study period. 322 (55.7%) were male with median age 36 months (range:1–193), while the largest number of documented cases (251; 43.4%) were children aged 1–5 years. Most children (429/578; 74.2%) belonged to the Roma minority and only 64 (11.1%) had Greek origin. 497 (91.5%) children were unvaccinated and 37 (6.8%) were partially vaccinated with measles vaccine. Hospitalization was required for 342 (59.2%) children, whereas one or more complications were reported in 230 (67.2%) of them. Most frequent complications were elevated transaminases (139; 40.6%), acute otitis media (72; 21%), dehydration (67; 19.6%) and pneumonia (58; 16.9%). 11 children (3.2%) required intensive care admission for altered mental status/status epilepticus (3), sepsis (2) and ARDS (6). 119/342 (34.8%) children were treated with antibiotics because of possible or confirmed bacterial coinfection. One death was reported, concerning an 11-month-old unvaccinated infant, with underlying dystrophy, who died of sepsis.ConclusionMeasles is not an innocent viral infection, as it is still characterized by high morbidity and complications rates. Unvaccinated or partially vaccinated populations could trigger new outbreaks, resulting in significant cost in public health. To avoid future measles outbreaks, high vaccination coverage should be achieved, as well as closing immunity gaps in the population and ensuring high-quality measles surveillance.
The prevalence and clinical outcome of supraventricular tachycardia in different etiologies of pulmonary hypertension
Authors: Fingrova Zdenka , Ambroz David , Jansa Pavel , Kuchar Jan , Lindner Jaroslav , Kunstyr Jan , Aschermann Michael , Linhart Ales , Havranek Stepan 
Published: January 2021

PurposePatients with pulmonary hypertension (PH) frequently suffer from supraventricular tachycardias (SVT). The main purpose of our study was to identify the cumulative incidence of SVT in patients with different etiologies of PH. The secondary objective was to analyse the clinical impact of SVT.MethodsWe retrospectively studied the prevalence of SVT and the clinical outcome in 755 patients (41% males; 60 ± 15 years; mean follow-up 3.8 ± 2.8 years) with PH of different etiologies. The prevalence of SVT was analysed separately in isolated pre-capillary PH (Ipc-PH) and in patients with combined post- and pre-capillary PH (Cpc-PH).ResultsThe prevalence of SVT in the Ipc-PH group (n = 641) was 25% (n = 162). The most prevalent arrhythmias were atrial fibrillation followed by a typical atrial flutter (17% and 4.4% of all Icp-PH patients). An excessive prevalence of SVT was found in patients with pulmonary arterial hypertension associated with congenital heart disease (35%, p = 0.01). Out of the overall study population, Cpc-PH was present in 114 (15%) patients. Patients with Cpc-PH manifested a higher prevalence of SVT than subjects with Ipc-PH (58; 51% vs. 162; 25%; p <0.0001) and were more likely to have persistent or permanent atrial fibrillation (38; 29% vs. 61; 10%; p <0.0001). Parameters significantly associated with mortality in a multivariate analysis included age, male gender, functional exercise capacity and right atrial diameter (p < 0.05). Neither diagnosis of SVT nor type of arrhythmia predicted mortality.ConclusionsThe study detected a significant prevalence of SVT in the population of PH of different origins. Different spectrum and prevalence of arrhythmia might be expected in different etiologies of PH. Patients with an elevated post-capillary pressure showed a higher arrhythmia prevalence, predominantly due to an excessive number of atrial fibrillations. The diagnosis of SVT was not associated with mortality.
Converting the maybes: Crucial for a successful COVID-19 vaccination strategy
Authors: Attwell Katie , Lake Joshua , Sneddon Joanne , Gerrans Paul , Blyth Chris , Lee Julie 
Published: January 2021

Background
Broad community acceptance of a COVID-19 vaccination will be critical for effectively halting the spread of the virus. In this study, we focus on factors that differentiate those who are undecided from those who are either willing or unwilling to accept a prospective COVID-19 vaccine.

Methods
An online survey in May 2020 assessed Australian adults’ willingness to receive a COVID-19 vaccine (yes, maybe, no). A multinomial logistical regression of responses (N = 1,313) was used to identify correlates of vaccine willingness between the three groups.

Results
65% were willing to vaccinate, with 27% being in the ‘maybe’ category. Respondents were more likely to be in the ‘maybe’ than the ‘yes’ group when they perceived COVID-19 to be less severe, had less trust in science, were less willing to vaccinate for influenza, and were female. They were more likely to be in the ‘maybe’ than ‘no’ group when they perceived COVID-19 as severe, and less likely to be a hoax, had more trust in science, and greater willingness to vaccinate for influenza. A repeat of the survey in November 2020 with a subset of participants found fewer of them saying yes to the vaccine (56%) and more saying maybe (31%).

Conclusions
The effectiveness of any COVID-19 vaccine rollout will be reliant on maximizing uptake. The significant number of people who remain undecided about whether or not to get a COVID-19 vaccine, despite the ongoing devastating consequences of the virus for individuals, communities, and economies, is concerning. Our findings aid current research seeking to inform policy regarding how to convince the undecided to vaccinate.
Beyond Tordesillas: New Approaches to Comparative Luso-Hispanic Studies, Robert P. Newcomb and Richard A. Gordon (eds) (2017)
Authors: Pérez Isasi Santiago 
Published: January 2021

Review of: Beyond Tordesillas: New Approaches to Comparative Luso-Hispanic Studies, Robert P. Newcomb and Richard A. Gordon (eds) (2017)
Columbus, OH: Ohio State University Press, 216 pp.,
ISBN 978-0-81421-347-6, h/bk, $89.95
ISBN 978-0-81427-567-2, e-book, $29.95
The Relationship Between Match Tackle Outcomes and Muscular Strength and Power in Professional Rugby League
Authors: Redman Kellyanne J. , Wade Logan , Whitley Ryan , Connick Mark J. , Kelly Vincent G. , Beckman Emma M. 
Published: January 2021

Abstract
Redman, KJ, Wade, L, Whitley, R, Connick, MJ, Kelly, VG, and Beckman, EM. The relationship between match tackle outcomes and muscular strength and power in professional rugby league. J Strength Cond Res 36(10): 2853–2861, 2022—Tackling is a fundamental skill in collision sports, such as rugby league. Match success is largely dependent on a player's ability to complete tackles and tolerate physical collisions. High levels of strength and power are key physical qualities necessary for effective tackling because players are required to generate large forces while pushing and pulling their opponents. The aim of this study was to examine the relationship between tackle outcomes and strength and power qualities in professional rugby league. Fourteen rugby league players participated in this study. Maximal strength was assessed through 1 repetition maximum on the back squat, bench press, and bench pull. Lower-body vertical and horizontal powers were evaluated using a countermovement jump and standing broad jump (SBJ), respectively. Upper-body power was assessed on a plyometric push-up (PPU). Postmatch analysis of 5 National Rugby League matches was conducted to examine tackling outcomes. A series of Spearman's rank-order correlations were used to assess the relationship among match tackle outcomes and strength and power variables. Significant associations were observed between play-the-ball speed and SBJ peak power (rs = −0.74, p = 0.003), postcontact metres and PPU peak power (rs = 0.77, p = 0.002), losing the play-the-ball contest in defence with SBJ distance (rs = 0.70, p = 0.006), and ineffective tackles with PPU concentric impulse (rs = 0.70, p = 0.007). These results suggest the development and maintenance of full-body power to enhance the likelihood of positive tackle outcomes during professional rugby league match-play.
Relative Age Effects as Evidence of Selection Bias in Major League Baseball Draftees (2013–2018)
Authors: Herring Chad H. , Beyer Kyle S. , Fukuda David H. 
Published: January 2021

Abstract
Herring, CH, Beyer, KS, and Fukuda, DH. Relative age effects as evidence of selection bias in major league baseball draftees (2013–2018). J Strength Cond Res 35(3): 644–651, 2021—The purpose of this study was to examine if relative age effects (RAEs) or the unequal birth-date distribution among a cohort group of individuals exist in Major League Baseball (MLB) draftees. This study comprised 7,078 men drafted in the MLB first-year player draft from 2013 to 2018. Data collected for each draftee included birth date, year drafted, academic-level classification, position, round drafted, batting side, and throwing arm. Draftee's birth dates were categorized into quarters based on the calendar year for baseball in the United States (Q1: August–October; Q2: November–January; Q3: February–April; Q4: May–July). Player birth-date distributions were compared with average expected birth-date distributions and evaluated with the χ2 goodness of fit statistic. Significant χ2 tests were followed up by calculating the standardized residual for each quarter. Differences from the expected frequencies were found for the overall group (p < 0.001) with standardized residuals for baseball athletes born in Q1 (z = +4.45) and Q3 (z = −4.15) exceeding ±2.0. Similar patterns were noted for high schoolers (Q1: z = +3.30; Q3: z = −3.28), pitchers (Q1: z = +2.78; Q3: z = −3.12), early middle rounders (Q1: z = +3.08; Q3: z = −2.67), late rounders (Q1: z = +2.70; Q3: z = −2.61), right-side hitters (Q1: z = +3.23; Q3: z = −2.26), left-handed pitchers (Q1: z = + 2.12; Q3: z = −2.59), and right-handed positional players (Q1: z = +3.12; Q3: z = −2.12). Consistent with the majority of previous research, RAEs are apparent in MLB draftees, with specific patterns of unequal distribution among subsets of athletes.