bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comparing the biomechanical properties of conventional suture and all-suture anchors using patient-specific and realistic osteoporotic and non-osteoporotic phantom using 3D printing
Authors: Ock Junhyeok , seo Junghyun , Koh Kyoung Hwan , Kim Namkug 
Published: November 2023

AbstractConventional suture anchors (CAs) and all-suture anchors (ASAs) are used for rotator cuff repair. Pull-out strength (POS) is an important factor that affects surgical outcomes. While the fixation mechanism differs between the anchor types and relies on the quality, few studies have compared biomechanical properties of anchors based on bone quality. This study aimed to compare the biomechanical properties of anchors using osteoporotic bone (OB) and non-osteoporotic bone (NOB) simulators. Humerus simulators were fabricated using fused deposition modeling of 3D printing and acrylonitrile butadiene styrene adjusting the thickness of cortical bone and density of cancellous bone based on CT images. Cyclic loading from 10 to 50 N, 10 to 100 N, and 10 to 150 N for 10 cycles was clinically determined at each anchor because the supraspinatus generates a force of 67–125 N in daily activities of normal control. After cyclic loading, the anchor was extruded at a load of 5 mm/min. Displacement, POS, and stiffness were measured. In OB simulators, CAs revealed bigger gap displacement than ASAs with cyclic loading of 10–150 N. ASA showed higher values for POS and stiffness. In NOB simulators, ASAs revealed bigger gap displacement than CAs with cyclic loading of 10–150 N. ASA showed higher values for POS and CA showed higher values for stiffness. POS of anchors depends on anchors ‘displacement and bone stiffness. In conclusion, ASA demonstrated better biomechanical performance than CA in terms of stability under cyclic loading and stiffness with similar POS in OB.
The Use of Telepractice to Administer Norm-Referenced Communication and Cognition Assessments in Children With Hearing Loss: A Rapid Review
Authors: Favot Kate , Marnane Vivienne , Easwar Vijayalakshmi , Kung Carmen 
Published: November 2023

Purpose:
Telepractice administration of norm-referenced assessments of communication and cognition is relatively new, and evidence to support this practice for children with hearing loss is limited. This rapid review examines the validity, reliability, feasibility, and common features of telepractice-administered norm-referenced assessments of communication and cognition for children with hearing loss to determine whether results via telepractice-administration are usable.

Method:
This rapid review was conducted in accordance with the Cochrane Collaboration Rapid Reviews Methods Group recommendations. Rayyan software was used for initial and full-text screening, and the Quality Assessment of Diagnostic Accuracy Studies was used to measure study quality.

Results:
Electronic databases searches identified two studies that met the eligibility criteria. The findings of this rapid review provide some evidence to indicate that results of norm-referenced assessments do not differ depending on test administration conditions or hearing group status. Although both studies were of sufficient quality, replicability of these studies is uncertain due to the limited description of telepractice administration procedures. Participants indicated that sound levels provided by inbuilt computer speakers were adequate for them to be able to participate in telepractice assessment.

Conclusion:
Telepractice administration of the norm-referenced assessments in the included studies may be valid, reliable, and feasible; however, the generalizability of these findings to other norm-referenced assessments is uncertain due to the limited amount of research.
Semi‐supervised domain adaptation via subspace exploration
Authors: Han Zheng , Zhu Xiaobin , Yang Chun , Fang Zhiyu , Qin Jingyan , Yin Xucheng 
Published: November 2023

AbstractRecent methods of learning latent representations in Domain Adaptation (DA) often entangle the learning of features and exploration of latent space into a unified process. However, these methods can cause a false alignment problem and do not generalise well to the alignment of distributions with large discrepancy. In this study, the authors propose to explore a robust subspace for Semi‐Supervised Domain Adaptation (SSDA) explicitly. To be concrete, for disentangling the intricate relationship between feature learning and subspace exploration, the authors iterate and optimise them in two steps: in the first step, the authors aim to learn well‐clustered latent representations by aggregating the target feature around the estimated class‐wise prototypes; in the second step, the authors adaptively explore a subspace of an autoencoder for robust SSDA. Specially, a novel denoising strategy via class‐agnostic disturbance to improve the discriminative ability of subspace is adopted. Extensive experiments on publicly available datasets verify the promising and competitive performance of our approach against state‐of‐the‐art methods.
Characterization of internal discharge shock waves of gas‐insulated switchgears using shadowgraphy
Authors: Jia Chenglong , Chu Penghao , Zhao Wenbin , Tang Zhong 
Published: November 2023

AbstractThe gas‐insulated switchgear (GIS) is a vital component of a power system, and understanding the shock wave characteristics of its internal discharge is crucial to ensure the safe and stable operation of the entire system. In this study, a high‐speed shadowing technique is employed to obtain the shadowgraphs of a typical flow‐field evolution of sulfur hexafluoride (SF6) gas following the breakdown of a pin–plate gap inside a GIS. Experimental data were used to derive parameters, including the Mach number, propagation speed, distance of the discharge shock wave, and the temperature, pressure, density, and velocity of the SF6 gas after wave generation. With a 0.2‐mm discharge gap and 0.4‐MPa pressure, the discharge generates a spherical shock wave, centred at the contact between the discharge channel and electrodes, that propagates in all directions. The shock wave gradually weakens after 20 μs, propagating at near‐sonic speed, and its Mach number decreases from 2.92 to 1.15; similarly, its post‐wave parameters sharply decrease during the first 20 μs. Additionally, a significant reflection occurs when the shock wave propagates to the metal wall. The authors’ findings provide a valuable reference for detecting and diagnosing the internal discharge in GISs.
Brain tumour segmentation of MR images based on custom attention mechanism with transfer‐learning
Authors: Vatanpour Marjan , Haddadnia Javad 
Published: November 2023

AbstractThe automatic segmentation of brain tumours is a critical task in patient disease management. It can help specialists easily identify the location, size, and type of tumour to make the best decisions regarding the patients' treatment process. Recently, deep learning methods with attention mechanism helped increase the performance of segmentation models. The proposed method consists of two main parts: the first part leverages a deep neural network architecture for biggest tumour detection (BTD) and in the second part, ResNet152V2 makes it possible to segment the image with the attention block and the extraction of local and global features. The custom attention block is used to consider the most important parts in the slices, emphasizing on related information for segmentation. The results show that the proposed method achieves average Dice scores of 0.81, 0.87 and 0.91 for enhancing core, tumour core and whole tumour on BraTS2020 dataset, respectively. Compared with other segmentation approaches, this method achieves better performance on tumour core and whole tumour. Further comparisons on BraTS2018 and BraTS2017 validation datasets show that this method outperforms other models based on Dice score and Hausdorff criterion.
A design of a high‐resolution frequency modulated continuous wave radar for drone detection based on spurious phase noise and discrete clutter reduction
Authors: Vu Hop Tran , Cao Quyen Tran , Van Loi Nguyen 
Published: November 2023

AbstractThe authors deal with the problem of the design and manufacture of a high‐resolution FMCW radar for drone detection and classification. The difficulties of the problem are discrete clutter reduction and spurious phase noise mitigation. The discrete clutter is due to the reflected signals from land vehicles, birds etc., while the spurious phase noise is inherent in the radar signal due to the phase‐locked loop component and leakage between the transmitting and receiving paths. Both spurious phase noise and clutter will increase the system noise level and hence reduce the probability of detection of small targets such as drones and induce false alarms on the radar screen. In order to reduce discrete clutter, the authors propose a method to separate a drone from discrete clutter based on the design of the radar system parameters for a drone and its propeller detection, target's Doppler dispersion and moving characteristics. For spur mitigation, a method that focuses on the design of the isolation coefficient between transmitting and receiving paths to decrease the power of spurs below the minimum power requirement at the input of the analogue‐to‐digital converter is introduced. The results were applied by the authors to the development and manufacture of a radar with the given specifications for drone detection and classification. Different laboratory and field tests show that the spurs are mitigated and the drones are separated from discrete clutter with a range and accuracy better than the one recently published.
The role of exchange rate on hotelier’s pricing decision and business performance: the case of Switzerland, a small open economy
Authors: Blengini Isabella , Heo Cindy Yoonjoung 
Published: November 2023

AbstractThis study focuses on the role of the exchange rate on hotelier’s pricing decision and business performance. This study explores the way hospitality industry practitioners react to exchange rate fluctuations and monetary policy interventions on the FOREX market. By analyzing monthly performance data of hotels in Switzerland between January 2000 and April 2021, this study finds the presence of two structural breaks in the economy, due, respectively, to the central bank’s intervention on the exchange rate market and to the COVID 19. The findings of this study suggest that hoteliers pay close attention to fluctuations in the exchange rate as well as to monetary policies. These findings should raise individual hoteliers’ awareness about their competitors’ behavior and help them better define their strategic decisions in terms of pricing.
Text and context revisited within a multimodal framework
Authors: Gambier Yves , Lautenbacher Olli Philippe 
Published: November 2023

Abstract
We are now faced with a flow of documents. But how do all these digital texts circulate between senders and
prosumers? Can we assume that texts today are similar in terms of meaning-making, coherence, and interpretation to texts produced,
perceived, used before the technological changes? The current developments in textuality require us to re-examine the materiality,
contextualization, genres, and readings of these “new” texts. Three decades of the Internet, the Web, have changed our concepts of
text and context, our experience of reading, writing, and translating multimodal texts. First, we revisit the concept of text – to
understand what is changing. Second, we revisit the concept of context to problematize it in the new framework, in which digital
productions are open, fluid, de-/re-textualizing, de-/re-semiotizing, and de-/re-contextualizing texts. How do multimodal texts
shed light on these changes, and how do they participate in them? All the articles discuss text and context and highlight
different instances of re-contextualization. The whole issue does not pretend to provide definitive answers but will hopefully
contribute to making translation scholars aware of the changes and how they will use text and context from now on.
“Türkiye,” not “Turkey”
Authors: Selvi Ali Fuad 
Published: November 2023

Abstract
This paper critically examines the recent presidential memorandum that replaced the Anglicized exonymic version
“Turkey” with the endonym “Türkiye” as a conscious, performative and public relations campaign at both national and international
levels. On the surface, this change addresses populist sociolinguistic hypersensitivities surrounding the connotations of the term
“turkey” while simultaneously harnessing the commodification and marketization of the Turkey brand through selective references
culled from collective memory (i.e., past) and branding aimed at economic gains (i.e., future). However, at the deeper level, this
transformation serves as a discursive political instrument and a top-down nation branding effort powered by substantial resources
from the state and its institutions with an ultimate motivation to consolidate President Erdoğan’s political power and authority,
elevate his status to that of a national leader and institutionalize his populist/nationalist yerli ve millî
rhetoric from a de facto to de jure within Yeni Türkiye as a competitive
authoritarian regime.
What kind of laughter?
Authors: Shukrun-Nagar Pnina , Hirsch Galia 
Published: November 2023

Abstract
The article examines the pragmatic functions of the Hebrew graphic laughter marker “hhh” in a particularly
turbulent public-political discursive arena – online readers’ comments to Facebook posts by the two leading contenders for the
post of Israeli prime minister during the 2020 election campaign, Benjamin Netanyahu and Benny Gantz.
We argue that “hhh” fulfills three functions dependent on its co-text, textual position, and length: (1) contempt marker – conveying contempt, ridicule, or disgust, towards a
previous comment or post, their authors, or the associated political wing; (2)
intention marker – signaling the employment of pragmatic strategies in the comment; and (3) interpretation marker – indicating the deciphering of pragmatic strategies in a
previous post or comment.
The findings indicate that in all three categories “hhh” is used mainly to taunt the rival political wing, at
times by creating an alliance with other commenters at the expense of their common rivals.
Cohort Studies Versus Case-Control Studies on Night-Shift Work and Cancer Risk: The Importance of Exposure Assessment
Authors: Papantoniou Kyriaki , Hansen Johnni 
Published: November 2023

Abstract
It is a general assumption that the prospective cohort study design is the gold standard approach and is superior to the case-control study design in epidemiology. However, there may be exceptions if the exposure is complex and requires collection of detailed information on many different aspects. Night-shift work, which impairs circadian rhythms, is an example of such a complex occupational exposure and may increase the risks of breast, prostate, and colorectal cancer. So far, for logistical reasons, investigators in cohort studies have assessed shift work rather crudely, lacking information on full occupational history and relevant shift-work metrics, and have presented mostly null findings. On the other hand, most cancer case-control studies have assessed the lifetime occupational histories of participants, including collection of detailed night-shift work metrics (e.g., type, duration, intensity), and tend to show positive associations. In this commentary, we debate why cohort studies with weak exposure assessment and other limitations might not necessarily be the preferred or less biased approach in assessing the carcinogenicity of night-shift work. Furthermore, we propose that risk-of-bias assessment and comparison of associations between studies with low versus high risks of bias be considered in future synthesis of the evidence.
Treating Glabellar Lines With Botulinum Toxin: Does Your Patient Need to Frown Steadily?
Authors: Cavallini Maurizio , Dell’Avanzato Roberto , Fundarò Salvatore Piero , Urdiales-Gálvez Fernando , Papagni Marco , Trocchi Gloria , Raichi Mauro , Zazzaron Michela 
Published: November 2023

Abstract

Background
The variable relationship between the orbicularis supercilii and frontalis muscles may cause side effects with botulin toxin; steadily frowning is the usual recommendation. Eliminating the need to frown until all injections are over might enhance efficacy and lessen the neurotoxicity risks related to muscle exhaustion.

Objectives
The goal of this study was to investigate whether the digital caliper–assessed distances between the medial and lateral corrugator injection sites and the midline differed significantly in patients persistently frowning from patients resting.

Methods
Seventy-six individuals with glabellar wrinkles treated with botulinum toxin in the authors’ private practices for glabellar lines voluntarily contributed their retrospective data about the positions of injection sites. The investigators had freely chosen to inject the medial and lateral sections of the corrugator supercilii during persistent maximum frown or at rest.

Results
The mean differences in distances between the medial and lateral injection points and the estimated midline were clinically trivial (1.0 ± 1.28 and 1.5 ± 2.53 mm, respectively), although the distances between the relaxed and contracted medial and lateral injection sites exceeded 1.8 and 2.5 mm in 33.9% and 46.4% of patients, respectively. Distance differences, not significant before 40 years old, were statistically significant only for the lateral injections in older patients (on average, 1.9 ± 3.01 mm).

Conclusions
The average distances from the medial and lateral injection points and the midline appear minimally different in patients who frown until all injections are over and, conversely, patients who rest. Persistently frowning might be advisable only in patients older than 40. Facial asymmetries may be a confounding factor.

Level of Evidence: 4
Influence of fiber type and carbohydrase supplementation on nutrient digestibility, energy and nitrogen balance, and physiology of sows at mid and late gestation
Authors: Crome Thomas A , Giesemann Mark A , Miller Hannah E , Petry Amy L 
Published: November 2023

Abstract
Carbohydrase supplementation in grow-finish pig diets improves energy, nutrient digestibility, and gastrointestinal function, but their efficacy in gestation diets is understudied. The experimental objective was to evaluate the efficacy of a multicarbohydrase to improve digestion, energetics, and various physiological functions in gestating sows fed soluble and insoluble fiber diets. On day 28 of gestation, 36 sows (186 ± 4.6 kg body weight), blocked by parity, were randomly assigned to a 2 × 2 factorial arrangement of dietary treatments (n = 9). Factors included fiber type of insoluble (IF; 20% dried distiller grains with solubles) or soluble fiber (SF; 20% sugar beet pulp) and with (+) or without (−) enzyme (0.05%, Rovabio Advance P10; Adisseo, Antony, France). Diets were fed from days 28 to 109 of gestation at a feeding level of 2.1 kg (SID-Lys 11 g/d and 4.5 net energy-Mcal/d). Two separate 9-d metabolism periods were conducted on days 50 to 59 (mid) and 99 to 108 (late) of gestation. During each period, days 1 to 3 served as an adaptation period, days 4 to 7 total urine and feces were collected (96-h) and followed by a 48-h lactulose-mannitol study. Serum and plasma were collected on days 50 and 99. Data were analyzed as repeated records using a linear mixed model with block as a random effect and fiber type, enzyme, and period and their interactions as fixed effects. Sows fed SF+ had increased serum IL-1ra (Fiber × Enzyme P = 0.035), and IL-2 (Fiber × Enzyme P = 0.042). In the presence of IF, multicarbohydrases increased serum lipopolysaccharide-binding protein, but not when supplemented with SF (Fiber × Enzyme P = 0.028). Circulating IL-8 and TNF-α were decreased in sows fed multicarbohydrases (P &lt; 0.05). Multicarbohydrase supplementation increased the apparent total tract digestibility (ATTD) of gross energy (GE), dry matter, and neutral detergent fiber by 2.8%, 3.4%, and 8.3%, respectively (P &lt; 0.05). Compared to IF−, the ATTD of hemicellulose was 5.3% greater in sows fed IF+ but did not differ from SF− and SF+ (Fiber × Enzyme P = 0.037). Sows fed IF+ had the greatest ATTD of insoluble dietary fiber (Fiber × Enzyme P = 0.011). Sows fed multicarbohydrases excreted less energy in their urine (519 vs. 469 GE kcal/d; Enzyme P = 0.033) and in their feces (985 vs. 900 GE kcal/d; Enzyme P = 0.003). This resulted in an improvement in both digestible energy (Enzyme P &lt; 0.01) and metabolizable energy (Enzyme P = 0.041), irrespective of fiber type. In conclusion, multicarbohydrase supplementation increased the digestibility and energetic contribution of fiber, irrespective of adaptation time or fiber type, but modulation of inflammatory responses was unique to dietary fiber type.
IgG4-related sclerosing cholangitis mimicking cholangiocarcinoma
Authors: Ng Wei R , Lau Ngee-Soon , Fadia Mitali , Gananadha Sivakumar 
Published: November 2023

Abstract
A man in his 70s presented to the emergency department with painless obstructive jaundice. Initial blood test results show a predominantly cholestatic picture with elevated tumour markers, and imaging findings are concerning for a pancreatic head neoplasm or cholangiocarcinoma with involvement of the entire common bile duct. The patient underwent staging laparoscopy and biopsies including peritoneal washing, but did not identify any features of malignancy. Immunoglobulin G and immunoglobulin G4 testing were subsequently tested and shown to be elevated. The provisional diagnosis of immunoglobulin G4-related sclerosing cholangitis was made, and steroid treatment was empirically started. Treatment with steroids was successful, with complete resolution of symptoms and abnormal imaging findings and near complete resolution of liver function test results after 1 month.
Ethical, legal, and social implications of digital health: A needs assessment from the Society of Behavioral Medicine to inform capacity building for behavioral scientists
Authors: Goldstein Stephanie P , Nebeker Camille , Ellis Rebecca Bartlett , Oser Megan 
Published: November 2023

Abstract
The ethical, legal, and social implications (ELSIs) of digital health are important when researchers and practitioners are using technology to collect, process, or store personal health data. Evidence underscores a strong need for digital health ELSI training, yet little is known about the specific ELSI topic areas that researchers and practitioners would most benefit from learning. To identify ELSI educational needs, a needs assessment survey was administered to the members of the Society of Behavioral Medicine (SBM). We sought to identify areas of ELSI proficiency and training need, and also evaluate interest and expertise in ELSI topics by career level and prior ELSI training history. The 14-item survey distributed to SBM members utilized the Digital Health Checklist tool (see recode.health/tools) and included items drawn from the four-domain framework: data management, access and usability, privacy and risk to benefit assessment. Respondents (N = 66) were majority faculty (74.2%) from psychology or public health. Only 39.4% reported receiving “formal” ELSI training. ELSI topics of greatest interest included practices that supported participant engagement, and dissemination and implementation of digital tools beyond the research setting. Respondents were least experienced in managing “bystander” data, having discussions about ELSIs, and reviewing terms of service agreements and privacy policies with participants and patients. There is opportunity for formalized ELSI training across career levels. Findings serve as an evidence base for continuous and ongoing evaluation of ELSI training needs to support scientists in conducting ethical and impactful digital health research.