bluuebunny/crossref_metadata_2025_split huggingface dataset:
Fatigue Alleviation by Low-Level Laser Preexposure in Ischemic Neuromuscular Electrical Stimulation
Authors: WU CHIA-CHAN , LIN YEN-TING , HU CHIA-LING , CHEN YI-CHING , HWANG ING-SHIOU 
Published: May 2024

ABSTRACT

Purpose
Despite its susceptibility to muscle fatigue, combined neuromuscular electrical stimulation (NMES) and blood flow restriction (BFR) are effective regimens for managing muscle atrophy when traditional resistance exercises are not feasible. This study investigated the potential of low-level laser therapy (LLLT) in reducing muscle fatigue after the application of combined NMES and BFR.

Methods
Thirty-six healthy adults were divided into control and LLLT groups. The LLLT group received 60 J of 850-nm wavelength LLLT before a training program of combined NMES and BFR of the nondominant extensor carpi radialis longus (ECRL). The control group followed the same protocol but received sham laser therapy. Assessments included maximal voluntary contraction, ECRL mechanical properties, and isometric force tracking for wrist extension.

Results
The LLLT group exhibited a smaller normalized difference in maximal voluntary contraction decrement (−4.01 ± 4.88%) than the control group (−23.85 ± 7.12%) (P < 0.001). The LLLT group demonstrated a smaller decrease in muscle stiffness of the ECRL compared with the control group, characterized by the smaller normalized changes in frequency (P = 0.002), stiffness (P = 0.002), and relaxation measures (P = 0.011) of mechanical oscillation waves. Unlike the control group, the LLLT group exhibited a smaller posttest increase in force fluctuations during force tracking (P = 0.014), linked to the predominant recruitment of low-threshold MU (P < 0.001) without fatigue-related increases in the discharge variability of high-threshold MU (P > 0.05).

Conclusions
LLLT preexposure reduces fatigue after combined NMES and BFR, preserving force generation, muscle stiffness, and force scaling. The functional benefits are achieved through fatigue-resistant activation strategies of motor unit recruitment and rate coding.
Mid-term results of autologous matrix-induced chondrogenesis for large chondral defects in hips with femoroacetabular impingement syndrome
Authors: Briem Tim , Stephan Anika , Stadelmann Vincent A. , Fischer Michael A. , Pfirrmann Christian W. A. , Rüdiger Hannes A. , Leunig Michael 
Published: May 2024

AimsThe purpose of this study was to evaluate the mid-term outcomes of autologous matrix-induced chondrogenesis (AMIC) for the treatment of larger cartilage lesions and deformity correction in hips suffering from symptomatic femoroacetabular impingement (FAI).MethodsThis single-centre study focused on a cohort of 24 patients with cam- or pincer-type FAI, full-thickness femoral or acetabular chondral lesions, or osteochondral lesions ≥ 2 cm2, who underwent surgical hip dislocation for FAI correction in combination with AMIC between March 2009 and February 2016. Baseline data were retrospectively obtained from patient files. Mid-term outcomes were prospectively collected at a follow-up in 2020: cartilage repair tissue quality was evaluated by MRI using the Magnetic Resonance Observation of Cartilage Repair Tissue (MOCART) score. Patient-reported outcome measures (PROMs) included the Oxford Hip Score (OHS) and Core Outcome Measure Index (COMI). Clinical examination included range of motion, impingement tests, and pain.ResultsA total of 12 hips from 11 patients were included (ten males, one female, mean age 26.8 years (SD 5.0), mean follow-up 6.2 years (SD 5.2 months)). The mean postoperative MOCART score was 66.3 (SD 16.3). None of the patients required conversion to total hip arthroplasty. Two patients had anterior impingement. External hip rotation was moderately limited in four patients. There was a correlation between MOCART and follow-up time (rs = -0.61; p = 0.035), but not with initial cartilage damage, age, BMI, or imaging time delay before surgery. PROMs improved significantly: OHS from 37.4 to 42.7 (p = 0.014) and COMI from 4.1 to 1.6 (p = 0.025). There was no correlation between MOCART and PROMs.ConclusionBased on the reported mid-term results, we consider AMIC as an encouraging treatment option for large cartilage lesions of the hip. Nonetheless, the clinical evidence of AMIC in FAI patients remains to be determined, ideally in the context of randomized controlled trials.Cite this article: Bone Joint J 2024;106-B(5 Supple B):32–39.
Development and validation of a nomogram to predict surgical site infection after soft-tissue sarcoma resection
Authors: Miwa Shinji , Yamamoto Norio , Hayashi Katsuhiro , Takeuchi Akihiko , Igarashi Kentaro , Tada Kaoru , Taniguchi Yuta , Morinaga Sei , Asano Yohei , Tsuchiya Hiroyuki 
Published: May 2024

AimsSurgical site infection (SSI) after soft-tissue sarcoma (STS) resection is a serious complication. The purpose of this retrospective study was to investigate the risk factors for SSI after STS resection, and to develop a nomogram that allows patient-specific risk assessment.MethodsA total of 547 patients with STS who underwent tumour resection between 2005 and 2021 were divided into a development cohort and a validation cohort. In the development cohort of 402 patients, the least absolute shrinkage and selection operator (LASSO) regression model was used to screen possible risk factors of SSI. To select risk factors and construct the prediction nomogram, multivariate logistic regression was used. The predictive power of the nomogram was evaluated by receiver operating curve (ROC) analysis in the validation cohort of 145 patients.ResultsLASSO regression analysis selected possible risk factors for SSI, including age, diabetes, operating time, skin graft or flap, resected tumour size, smoking, and radiation therapy. Multivariate analysis revealed that age, diabetes, smoking during the previous year, operating time, and radiation therapy were independent risk factors for SSI. A nomogram was developed based on the results of multivariate logistic regression analysis. In the development cohort, the incidence of SSI was 4.5% in the low-risk group (risk score < 6.89) and 26.6% in the high-risk group (risk score ≥ 6.89; p < 0.001). In the validation cohort, the incidence of SSI was 2.0% in the low-risk group and 15.9% in the high-risk group (p = 0.004).ConclusionOur nomogram will enable surgeons to assess the risk of SSI in patients with STS. In patients with high risk of SSI, frequent monitoring and aggressive interventions should be considered to prevent this.Cite this article: Bone Joint J 2024;106-B(5):492–500.
Controversies in orthopaedic oncology
Authors: Jeys Lee M. , Thorkildsen Joachim , Kurisunkal Vineet , Puri Ajay , Ruggieri Pietro , Houdek Matthew T. , Boyle Richard A. , Ebeid Walid , Botello Eduardo , Morris Guy V. , Laitinen Minna K. 
Published: May 2024

Chondrosarcoma is the second most common surgically treated primary bone sarcoma. Despite a large number of scientific papers in the literature, there is still significant controversy about diagnostics, treatment of the primary tumour, subtypes, and complications. Therefore, consensus on its day-to-day treatment decisions is needed. In January 2024, the Birmingham Orthopaedic Oncology Meeting (BOOM) attempted to gain global consensus from 300 delegates from over 50 countries. The meeting focused on these critical areas and aimed to generate consensus statements based on evidence amalgamation and expert opinion from diverse geographical regions. In parallel, periprosthetic joint infection (PJI) in oncological reconstructions poses unique challenges due to factors such as adjuvant treatments, large exposures, and the complexity of surgery. The meeting debated two-stage revisions, antibiotic prophylaxis, managing acute PJI in patients undergoing chemotherapy, and defining the best strategies for wound management and allograft reconstruction. The objectives of the meeting extended beyond resolving immediate controversies. It sought to foster global collaboration among specialists attending the meeting, and to encourage future research projects to address unsolved dilemmas. By highlighting areas of disagreement and promoting collaborative research endeavours, this initiative aims to enhance treatment standards and potentially improve outcomes for patients globally. This paper sets out some of the controversies and questions that were debated in the meeting.Cite this article: Bone Joint J 2024;106-B(5):425–429.
KTA-OPO for 1742 nm laser generation driven by a composite Nd:YVO4-based self-Raman laser
Authors: Duan Yanmin , Liu Jie , Wang Hongyan , Zhang Yongchang , Jin Xinxin , Li Zhihong , Zhu Haiyong 
Published: May 2024

In this work, a double-end diffusion bonded Nd:YVO4 self-Raman laser was designed to drive an intracavity, noncritically-phase-matched KTiOAsO4 (KTA) optical parametric oscillator (OPO). Both conversion efficiency and output power at 1.7 µm (the wavelength of the OPO signal field) were improved by effectively reducing the thermal lens effect and increasing the effective length of self-Raman medium. At an incident pump power of 15.4 W, the output power for 1742 nm output laser reached 2.16 W with a conversion efficiency of 14%, and the output having a pulse width of 10.5 ns and a pulse repetition frequency of 90 kHz. The competition between the OPO and cascaded Raman laser was observed when the incident pump power was above 12.4 W. The results highlight that in order to improve output power at 1742 nm, it is critical that both the cascaded, second-Stokes field at 1313 nm and the signal field generated at 1534 nm from the 1064 nm field driving the KTA-OPO be minimized, if not completely suppressed. This laser system combining the processes of stimulated Raman scattering and optical parametric oscillation for the generation of laser emission at 1742 nm may find significant application across a broad range of fields including biological engineering, laser therapy, optical coherence tomography and for the generation of mid-infrared laser wavelengths.
Unlocking the power of synergy: High-intensity functional training and early time-restricted eating for transformative changes in body composition and cardiometabolic health in inactive women with obesity
Authors: Ameur Ranya , Maaloul Rami , Tagougui Sémah , Neffati Fadoua , Hadj Kacem Faten , Najjar Mohamed Fadhel , Ammar Achraf , Hammouda Omar 
Published: May 2024

Objective
The purpose of this study was to examine the long-term effects of time-restricted eating (TRE), with or without high intensity functional training (HIFT), on body composition and cardiometabolic biomarkers among inactive women with obesity.

Methods
Sixty-four women (BMI = 35.03 ± 3.8 kg/m2; age = 32.1 ± 10 years) were randomly allocated to either: (1) TRE (≤8-h daily eating window, with ad libitum energy intake) group; (2) HIFT (3 sessions/week) group; or (3) TRE combined with HIFT (TRE-HIFT) group. The interventions lasted 12 weeks with a pre-post measurement design. A HIFT session consists of 8 sets of multiple functional exercises with self-selected intensity (20 or 30s work/10s rest).

Results
TRE-HIFT showed a greater decrease of waist and hip circumferences and fat mass compared to TRE (p = 0.02, p = 0.02 and p<0.01; respectively) and HIFT (p = 0.012, p = 0.028 and p<0.001; respectively). Weight and BMI decreased in TRE-HIFT compared to HIFT group (p<0.001; for both). Fat-free mass was lower in TRE compared to both HIFT and TRE-HIFT groups (p<0.01 and p<0.001; respectively). Total cholesterol, triglyceride, insulin, and HOMA-IR decreased in TRE-HIFT compared to both TRE (p<0.001, p<0.01, p = 0.015 and p<0.01; respectively) and HIFT (p<0.001, p = 0.02, p<0.01 and p<0.001; respectively) groups. Glucose level decreased in TRE-HIFT compared to HIFT (p<0.01). Systolic blood pressure decreased significantly in both TRE-HIFT and HIFT groups compared to TRE group (p = 0.04 and p = 0.02; respectively).

Conclusion
In inactive women with obesity, combining TRE with HIFT can be a good strategy to induce superior effects on body composition, lipid profile and glucose regulation compared with either diet or exercise intervention alone.

Trial registration
Clinical Trials Number: PACTR202301674821174.
KAJIAN YURIDIS ATAS PERJANJIAN PEMBORONGAN BANGUNAN GEDUNG SERBAGUNA KALIREJO STUDI KASUS PADA PT. ADI SASONGKO
Authors: ADHI SAYOGO SUYONO 
Published: May 2024

Dewasa ini dengan semakin gencarnya pembangunan di Indonesia memicu respon dari pihak swasta untuk ikut terjun kedalamnya baik sebagai investor maupun kontraktor. PT. Adi Sasongko sebagai salah satu perusahaan yang bergerak dalam bidang jasa konstruksi, sudah barang tentu berusaha untuk mendapatkan suatu kontrak kontruksi, harus mengikuti tender atau mengajukan penawaran harga kepada pihak pengguna jasa. Penelitian ini menggunakan metode pendekatan yuridis normatif serta metode case study. Spesifikasi penelitian yang digunakan dalam penelitian ini adalah diskriptif analisis. Hasil penelitian menunjukkan bahwa dalam pelaksanaan perjanjian jasa pemborongan bangunan gedung Serbaguna Kalirejo antara PT. Adi Sasongko dengan Dinas Pekerjaan Umum Kab. Semarang yang telah dituangkan kedalam surat perjanjian (kontrak) terdapat hambatan-hambatan baik bersifat eksternal seperti tambah dan kurang pekerjaan yang menyebabkan mundurnya jangka waktu pelaksanaan serta berubahnya nilai harga kontrak, maupun bersifat internal seperti standar mutu, dan sumber daya manusia.
PELAKSANAAN PEMBATALAN SERTIPIKAT PENGGANTI ATAS SERTIPIKAT TANAH HAK MILIK Studi Kasus Putusan Mahkamah Agung Republik Indonesia Nomor : 2308.K/Pdt/2004 tanggal 26 Oktober 2005
Authors: - Hartono 
Published: May 2024

Di Kota Madiun terjadi gugatan/sengketa atas sebidang tanah SHM No. 1814/Kejuron Surat Ukur No. 109/Kejuron/2001 tertanggal 29 Oktober 2001 atas nama para Penggugat. Berdasarkan putusan MA-RI No. 2308 K/PDT/2004 tertanggal 26 Oktober 2005, keputusan ini tidak dapat dipergunakan sebagai alat untuk membatalkan sertipikat pengganti atas nama para Penggugat menjadi atas nama pemilik semula Ny. X. Penelitian ini mengkaji dan menganalisis proses pelaksanaan pembatalan sertipikat pengganti dan untuk mengkaji kekuatan hukum putusan Mahkamah Agung Republik Indonesia yang telah mempunyai kekuatan hukum tetap. Metode yang digunakan adalah metode pendekatan yuridis normative gramatikal dengan spesifikasi penelitian deskriptis analitis. Metode pengumpulan data yang digunakan studi pustaka (library research). Data yang diperoleh diteliti, diolah dan dianalisis menggunakan metode kualitatif. Hasil penelitian ini menunjukkan bahwa pembatalan sertipikat pengganti yang diajukan pada kantor pertanahan tersebut tidak dapat dilaksanakan dengan alasan dalam putusan yang telah berkekuatan hukum tersebut amarnya tidak memerintahkan kantor pertanahan untuk membatalkan sertipikat pengganti. Saran: Perlu adanya reformasi birokrasi Badan Pertahanan Nasional secara nyata dan perlu peningkatan kwalitas sumber daya manusianya sehingga dapat menjalankan pelayanan publik dan menerapkan asas-asas umum pemerintahan umum yang baik demi kepastian hukum masyarakat yang membutuhkan bukti sertipikat hak milik.
Risk factor for premature rupture of membranes: a clinical study
Authors: Purnamawati Intan 
Published: May 2024

Background: Premature rupture of membranes (PROM) is the rupture of the amniotic membrane before the onset of labour. Based on the time of occurrence, PROM can be divided into two, namely Premature Rupture of Membranes (PROM) and Preterm Premature Rupture of Membranes (PPROM). PROM occurs at or after 37 weeks gestation. PPROM, occurs before 37 weeks gestation.
Methods: This study is a descriptive retrospective analytical observational study with cross sectional method. This research uses SPSS data processing. Data were taken from the medical records of inpatients in the maternity ward at Bima Hospital in the period January-December 2023.
Results: The results of the analysis showed that there was a significant relationship in the maternal age factor of less than 20 years by 70.6%. Risk factors in the education sample were most prevalent in low education level at 62.7%. The risk factor of gestational age of the sample was mostly found in preterm gestation (less than 37 weeks) showing a significant relationship to the incidence of PROM by 66.6%. In the risk factor of parity most in primigravida is 66.6%.
Conclusions: In this study there is a relationship of risk factors that affect the occurrence of premature rupture of membranes in the maternity ward of Bima Hospital, namely maternal age less than 20 years, low education level, with preterm gestational age or less than 37 weeks and primigravida parity.
Morbidity pattern among tribal farmers in a selected district of Tripura, India
Authors: Das Dipak Kumar , Dhar Murali 
Published: May 2024

Background: Tribal communities in Tripura comprise 31.76% of the state's total population. The tribal people of Tripura are primarily farmers, and in spite of concerns about their poor health and unfulfilled requirements, they continue to get healthcare in isolated locations where there are obstacles such as undernourishment, a lack of medical facilities, and a labor scarcity. The study's objective is to ascertain the morbidity pattern among tribal farmers in Tripura.
Methods: In 2021 after receiving approval from IIPS, Mumbai, selected farmers from Dhalai district were surveyed. We utilised cross-tabulation, chi2, PCA and straightforward logistic regression.
Results: Only 5.17% of the sample population had higher education, 54.1% overall was male, and 23.1% were smokers. Jhum (Hill) cultivation was used by 15.5%, while regular (plain) farming was used by 84.5%. Tribal farmers in Tripura were suffered by both acute and chronic diseases. Diarrhoea and fever amongst acute diseases seemed to have the highest prevalence rates (1.82% each), whereas jaundice and reproductive tract infections have the lowest levels (0.30 each). Asthma had the highest prevalence (3.65%) among the chronic diseases, followed by hypertension (2.74%). The morbidity rate decreased as education levels rose. Normal cultivators and the cultivators who worked more times were more likely to have both acute and chronic diseases than jhum cultivators.
Conclusions: It is possible to draw the conclusion that farmers didn't lead a healthy lifestyle and suffered from diseases. The study's findings could serve as a foundation for developing economic, educational, and medical plans for tribal farmers to safeguard them from health risks and workplace dangers.
Radiographic evaluation of hard tissue changes in open flap technique versus flapless technique for implant placement
Authors: Kumari Priyanka , Khatri Manish , Bansal Mansi , Rehan MD. , Prakash Amit 
Published: May 2024

Open flap technique allows the clinician to directly visualize the alveolar bone and assess bone morphology of the ridge.However, this technique is relatively invasive and causes patient discomfort and marginal bone loss due to decreased supraperiosteal blood supply whereas the Flapless technique is one of the latest minimally invasive surgical methods of implant placement without the need to raise a mucoperiosteal flap to overcome the bone resorption process. The present study was designed to evaluate the hard tissue changes in open flap technique versus flapless ṭechnique for implant placement at the different time interval. Minimum thirty edentulous sites from Out Patient Department, Department of Periodontology (IDST) were randomly allocated to the following two groups by the flip of coin: Group I - Implant with open flap technique (fifteen sites) and Group II - Implant with flapless technique (fifteen sites). Patients were evaluated radiographically for crestal bone loss (mesial and distal) at Baseline (Immediately after implant placement), At the time of prosthetic loading and 3 months after prosthetic loading in both the groups. The result of the present study revealed that Sites where implants were placed with flapless technique showed lesser mean crestal bone loss scores as compared to sites where implants were placed with open flap technique, although the difference was insignificant. It can be concluded that flapless procedure may be considered as a better treatment option as compared to implant placed with open flap technique in terms of minimal pain, inflammation and less crestal bone loss associated with flapless technique than open flap technique.
Association between Dietary Inflammatory Index (DII) and the Risk of Polycystic Ovary Syndrome: A Case-Control Study
Authors: Yousefi Rad Esmaeil , Kavei Parivash , Akbari Soheila , Vahid Farhad , Hebert James R , Falahi Ebrahim , Birjandi Mehdi , Saboori Somayeh 
Published: May 2024

Background: Polycystic ovary syndrome (PCOS) is an inflammation-related condition and a common metabolic disorder in women at fertility ages. The Dietary Inflammatory Index (DII) is a validated nutritional tool for estimating the inflammatory potential of the diet. It is assumed that a high DII score (indicating a predominantly inflammatory diet) has an association with higher odds of PCOS. The current study aimed to investigate the association between DII and PCOS risk in women. Methods: This case-control study was conducted in 2019-2020 on 120 newly-diagnosed PCOS cases and 120 healthy controls aged 18-45 years in Khorramabad, Iran. DII was estimated based on a validated 168-item Food Frequency Questionnaire (FFQ). Results: The mean±SD of DII in PCOS patients was 0.40±2.09, while it was 0.45±1.92 in the control group (P<0.001). There was a positive association between increasing DII score and the risk of PCOS (odds ratio= 2.41; 95%CI: 1.15-5.02, P for trend =0.006) in the crude model as the fourth quartile was compared with the lowest one. This association was still significant in several models after adjusting for age and energy intake (P for trend <0.001), in the model adjusted for the physical activity level, education status, and family history of PCOS (P for trend=0.003), and also after additional adjustment for BMI (P for trend= 0.003). Conclusions: The present study revealed that consuming more pro-inflammatory diets with higher DII scores is related to an increased risk of PCOS.
Assessment of Indigenous Hill People of Meghalaya, India regarding Household Food Access
Authors: Bhagat Deepak , Priyamvada Shweta 
Published: May 2024

Background: While the broad issue of food security has generally received attention of the researchers, the particularities in hills and mountains has remained neglected. Thus, to provide some insights on food insecurity regarding mountain specificities, the current study aims to evaluate household food access of indigenous hill people in Meghalaya, India. Methods: Food access is a measure of household’s ability to acquire available food over a given period. In the current study, a sample of 900 people from indigenous population were randomly selected from rural Khasi, Garo and Jaintia Hills of Meghalaya. Household food access was explored with the following indicators: household wealth and income; household dietary diversity score (HDDS), and food consumption score (FCS). Data collection was done during December, 2019 to September, 2020. Results: The sample households are characterised by the predominance of marginal farmers (93% to 97%). Most of them were in the category of borderline food security with the FCS of between 21.5 to 35.0. Starchy staples were considered the main component of their diet. Their dietary diversity was significantly correlated with income (correlation coefficient=0.22) and wealth (correlation coefficient=0.38) at 0.01 level of significance. Conclusion: As dietary diversity at household is related to income and wealth, scarcity of income and wealth regarding indigenous hill population was an obvious reason for poor dietary diversity and the resultant poor dietary quality at the household level. To increase local food production and improve dietary diversity of indigenous hill people, revitalizing and strengthening local food systems is of great significance.