bluuebunny/crossref_metadata_2025_split huggingface dataset:
Delta large-channel technique versus microscopy-assisted laminar fenestration decompression for lumbar spinal stenosis: a one-year prospective cohort study
Authors: Sheng Yuehang , Li Jing , Chen Lei , Geng Minghao , Fen Jing , Sun Shaodong , Sun Jianhua 
Published: January 2023

AbstractPurposeWhen it comes to treating lumbar spinal stenosis (LSS), a procedure known as microscope-assisted fenestration decompression has expediently become the gold standard. With the advancement of spinal endoscopy, the Delta large-channel approach has shown promising clinical outcomes in the management of lumbar spinal stenosis. However, case studies of this method being used to treat lumbar spinal stenosis are still uncommon. The purpose of this research was to examine how well microscopy-assisted laminectomy and the Delta large-channel approach work in treating LSS in the clinic.MethodsFrom May 2018 to June 2020, 149 patients diagnosed with LSS were divided into 80 patients in Delta large-channel technique groups (FE group) and 69 patients in microscope groups (Micro group). Lower back and lower limb pain were measured using the visual analogue scale (VAS-LBP and VAS-LP), while lower limb numbness was evaluated using the 11-point numerical rating scale (NRS-LN); modified Oswestry Disability Index (ODI) was used to evaluate the quality of life, and modified MacNab criteria were used to assess the clinical efficacy before surgery and at one week, three months, six months, and 12 months after surgery. All patients had single-level lumbar spinal stenosis, and clinical data such as hospital stay, operation time, intraoperative blood loss were statistically analyzed.ResultsFinally, 111 patients (62 in FE group and 49 in Micro group) completed follow-up. Compared with preoperative results, postoperative VAS-LBP, VAS-LP, NRS-LN score and modified ODI score were significantly improved in 2 groups (P < 0.05), but there was no significant difference in postoperative follow-up at each time point (P > 0.05), Except 1 week after surgery, VAS-LBP in FE group was lower than that in Micro group (P < 0.05). It is noteworthy that the FE group had a shorter hospital stay, less intraoperative blood loss, and a quicker time of getting out of bed when compared with the microscope group，but the operation time was just the opposite (P < 0.05). The excellent and good rate was 83.87% in FE group and 85.71% in Micro group (P > 0.05).ConclusionsBoth microscope-assisted laminar fenestration decompression and Delta large-channel procedures provide satisfactory treatment outcomes, however the Delta large-channel approach has some potential advantages for the treatment of LSS, including quicker recovery and sooner reduced VAS-LBP. Long-term consequences, however, will necessitate additional follow-up and research.
Differences in the prevalence and risk factors of osteoporosis in chinese urban and rural regions: a cross-sectional study
Authors: Zheng Miao , Wan Yanan , Liu Gongwen , Gao Yan , Pan Xiaoqun , You Wanxi , Yuan Donglan , Shen Jianxin , Lu Junhua , Wang Xia , Zheng Gangfeng , Han Zhiqiang , Li Xinlin , Chen Kai , Xing Xiaoxi , Zhang Dong , Weng Chengwei , Wei Qi , Zhang Yongqing , Lin Hua 
Published: January 2023

AbstractBackgroundBone mineral density (BMD) and prevalence of osteoporosis may differ between urban and rural populations. This study aimed to investigate the differences in BMD characteristics between urban and rural populations in Jiangsu, China.MethodsA total of 2,711 participants aged 20 years and older were included in the cross-sectional study. Multistage and stratified cluster random sampling was used as the sampling strategy. BMD was measured by the method of dual-energy x-ray absorptiometry (DXA). Data were collected through questionnaires/interview. BMD values at the lumbar spine (L1-L4), femoral neck, total hip, and greater trochanter were collected. Descriptive statistics were used to demonstrate the characteristics of urban and rural participants. Multivariate logistic regression analysis was utilized to analyze the factors that may be associated with osteoporosis in urban and rural populations.ResultsOf these participants, 1,540 (50.49%) were females and 1,363 (42.14%) were from urban. The prevalence of osteoporosis in urban and rural populations was 5.52% and 10.33%, respectively. In terms of gender, the prevalence of osteoporosis was 2.68% in males and 13.82% in females. For menopausal status, the prevalence of osteoporosis was 30.34% in postmenopausal females and 4.78% in premenopausal females. In urban populations, older age [adjusted odds ratio (AOR) = 2.36, 95%CI, 2.35–2.36), hypertension (AOR = 1.37, 95%CI, 1.36–1.37), unmarried (AOR = 4.04, 95%CI, 3.99–4.09), smoking everyday (AOR = 2.26, 95%CI, 2.23–2.28), family history of osteoporosis (AOR = 1.66, 95%CI, 1.65–1.67), dyslipidemia (AOR = 1.05, 95%CI, 1.04–1.05), and higher β-crosslaps (β-CTX) level (AOR = 1.02, 95%CI, 1.02–1.02) were associated with an increased risk of osteoporosis, while males (AOR = 0.04, 95%CI, 0.04–0.04), higher education level (AOR = 0.95, 95%CI, 0.95–0.95), and aquatic product intake (AOR = 0.99, 95%CI, 0.99–0.99) were related to decreased risk of osteoporosis. Similar results were also observed in rural populations, and (allP < 0.05).ConclusionThe prevalence of osteoporosis in rural populations was higher than that in urban populations, and the factors associated with the risk of osteoporosis were similar in urban and rural populations.
Breastfeeding practices and associations with pregnancy, maternal and infant characteristics in Australia: a cross-sectional study
Authors: Reynolds Renee , Kingsland Melanie , Daly Justine , Licata Milly , Tully Belinda , Doherty Emma , Farragher Eva , Desmet Clare , Lecathelinais Christophe , McKie Julianne , Williams Melanie , Wiggers John , Hollis Jenna 
Published: January 2023

Abstract
Background
Exclusive breastfeeding to six months of age is a major global public health priority. Several characteristics are known to be associated with early cessation of breastfeeding, however, limited evidence exists regarding whether women’s reported reasons for cessation are associated with maternal, pregnancy and infant characteristics. The aims of this study were to: i) describe women’s reported intention to breastfeed and their subsequent breastfeeding practices; ii) describe women’s reported reasons for breastfeeding cessation prior to the infant being five months of age; and iii) examine associations between these factors and maternal, pregnancy and infant characteristics.

Methods
Telephone and online surveys were conducted between October 2019 and April 2020 with 536 women who had given birth in the previous eight to 21 weeks at four public maternity services in Australia.

Results
The majority of women intended to (94%), and did, initiate (95%) breastfeeding. At the time the survey was conducted, 57% of women were exclusively breastfeeding. Women who: had less than University level education, had a pre-pregnancy BMI in the overweight or obese category, and who smoked tobacco at the time of the survey had lower odds of exclusively breastfeeding. The most common self-reported reasons for breastfeeding cessation were breastfeeding challenges (47%) and low milk supply (40%). Women aged 26–35 years and 36 + years had greater odds of reporting breastfeeding cessation due to low milk supply (OR = 2.92, 95% CI: 1.11, 7.66; OR = 5.57, 95% CI: 1.70, 18.29) compared to women aged 18–25 years. While women who had completed a TAFE certificate or diploma had lower odds of reporting this as a reason for breastfeeding cessation (OR = 0.28; 95% CI: 0.11, 0.73) compared to women who had University level education. There were no other significant associations found between characteristics and reasons for ceasing breastfeeding.

Conclusions
The most common reasons for breastfeeding cessation may be modifiable through the provision of breastfeeding support in the early postpartum period, with such support being tailored to women’s age and level of education. Such support should aim to increase women's self-efficacy in breastfeeding, and be provided from the antenatal period and throughout the first six months postpartum.
Spinopelvic dissociation: extended definition, physical examination, classification, and therapy
Authors: Shi Bin , Peng Ye , Zhang Gongzi , Zhang Shuwei , Luo Yang , Lv Faqin , Hu Ying , Zhang Lihai 
Published: January 2023

AbstractBackgroundSpinopelvic dissociation (SPD) is generally caused by high-energy injury mechanisms, and, in the absence of timely diagnosis and treatment, it can lead to chronic pain and progressive deformity. However, SPD is difficult to manage because of its rarity and complexity. In this study, we re-defined SPD according to the mechanism of injuries and biomechanical characteristics of the posterior pelvic ring and developed new classification criteria and treatment principles based on the classification for SPD.MethodsBetween June 2015 and September 2020, 30 patients with SPD which were selected from 138 patients with pelvic fractures were enrolled. Physical examination was performed, classification criteria (301 SPD classification) were developed, and specific treatment standards were established according to the classifications.ResultsThe injury mechanisms and co-existing injuries did not significantly differ between the classical SPD patients and expanded SPD patients. The 301 SPD classification criteria covered all the patients. Fixation by biplanar penetration screws was used in 7 patients, 11 patients received fixation by uniplanar penetration screws, 6 patients used sacroiliac compression screws, 3 patients received uniplanar screws combined with sacroiliac compression screws, and open spondylopelvic fixation was used in only 3 patients. According to the Matta criteria, 19, 7, and 4 patients achieved excellent, good, and fair reduction. The Majeed function score of the patients ranged from 9 to 96 points, and the mean score was 72.9 ± 24.6 points.ConclusionThe expanded definition for SPD is particularly significant for definite diagnosis and prevention of missing diagnosis, based on which the 301SPD classification criteria can more systemically guide the clinical treatment of SPD, increase the treatment efficacy, and reduce surgical trauma.Chinese Clinical Trial Registry: ChiCTR-IPR-16009340.
Intra thoracic extra pulmonary hydatidosis: prognosis and outcomes of 8 operated patients
Authors: Machboua A. , Elhani F. Z. , Marouf R. 
Published: January 2023

AbstractHydatid cyst disease is a parasitic disease known from the times of hippocrates, and is still endemic in our country Morocco among others, affecting mainly the liver and lungs, while intra thoracic extra pulmonary location remains a rare entity of the disease. In our department of thoracic surgery, Mohamed VI University Hospital, Oujda, Morocco, we operated 92 patients for thoracic hydatid cyst in the period between January 2016 and December 2021, 8 patients of this group had exclusive extra pulmonary location of the hydatid cyst, epidemiological and clinical data were recorded for the 8 patients (5 men, 3 women). The mean age was 40.3 years, all patients presented mainly with chest pain, dyspnea and cough. The locations of the hydatid cysts were chest wall, pericardium, pleural space and diaphragm. The hydatid cysts were removed via extirpation technique through thoracotomy in all patients. The average duration of hospitalization was 7 days. Postoperative complications consisted of atelectasis in one patient, parietal hematoma in another, and surinfection with pleuro-cutaneous fistula and chronic neurological chest pain in one patient. No deaths were noted in our series.
Hyperglycaemia in pregnancy and offspring blood pressure: a systematic review and meta-analysis
Authors: Zhang Xinyue , Wang Yinlin , Xiao Wenhan , Jiang Denan , Zhou Jiali , Ye Xinxin , Wu Shiqi , Li Shuting , Song Peige 
Published: January 2023

Abstract
Background
Hyperglycemia in pregnancy (HIP) is suggested to be a risk factor for elevated blood pressure (BP) in offspring. However, the empirical evidence was mixed. Thus, this systematic review and meta-analysis was conducted to synthesize current evidence assessing the association between HIP and BP in offspring.

Methods
We searched PubMed, MEDLINE, and Embase to identify articles published from inception until 9 February 2021. A random-effects meta-analysis was performed to calculate a pooled effect size and 95% confidence interval (CI). Furthermore, the effects were evaluated separately while grouping by the offspring’s sex, region, economic level, published year, insulin treatment status, and BP measurement. Each article was independently reviewed for quality.

Results
Of 3385 citations identified, 23 studies involving 88695 offspring were included. The study found that the offspring of women with HIP had an increased level of both systolic blood pressure (SBP; mean difference 1.90, 95% CI 1.09 to 2.70 mmHg, P < 0.001) and diastolic blood pressure (DBP; mean difference 0.87 mmHg, 95% CI 0.11 to 1.17 mmHg, P = 0.02) compared with those whose mothers with normal blood glucose during pregnancy. According to subgroup analyses, gestational diabetes mellitus (GDM) appeared to have varied impacts on offspring BP by sex of offspring, region and economic level of family, published year, maternal insulin treatment status, and BP measurement.

Conclusion
Current evidence showed that HIP was associated with an elevated BP in offspring. Prenatal interventions targated on reducing HIP might be beneficial for controlling for offspring BP.
Giant umbilical cord in a normal preterm infant: a case report and review of the literature
Authors: Hemmati Fariba , Barzegar Hamide , Oboodi Roya 
Published: January 2023

Abstract
Background
Giant umbilical cord, defined as a cord diameter of more than 5 cm, is an extremely rare malformation. There are few case reports of giant umbilical cord often associated with patent urachus duct or cystic malformation. These cases are usually managed by surgical excision and repair of patent urachus or cyst resection.

Case presentation
We report the case of a 1-day-old Iranian boy with giant umbilical cord detected postnatally. The pregnancy course was uneventful, except for preterm premature rupture of the membrane and preterm delivery. There was no relevant family history. The patient was delivered by vaginal delivery with a good Apgar score. On clinical examination, the umbilical cord was very thick (about 6 cm in diameter), and huge fluctuating Wharton’s jelly was observed. Other organs were normal. During the hospital stay, the patient did not develop any complications except borderline hyperbilirubinemia, which improved with conventional phototherapy. Since the umbilical cord had no discharge and was dried, the newborn was discharged with advice for cord drying care.

Conclusion
The newborn was well, and the dried umbilical stump was detached after 32 days, leaving a granulomatous structure without discharge. The patient was followed up for 4.5 months and had no problems except delayed separation of the umbilical cord.
Dynamic Response Analysis of Coastal Piled Bridge Pier Subjected to Current, Wave and Earthquake Actions with Different Structure Orientations
Authors: Alsultani Riyadh , Karim Ibtisam R. , Khassaf Saleh I. 
Published: January 2023

AbstractThe goal of the experiment described in this paper was to examine the effects of structure orientation (0°–90°) and fluid–structure interaction (FSI) under combined water loads, represented by water current and waves, and earthquake actions, on the dynamic response of a reduced-scale bridge pier specimen with pile foundation. The peak relative displacement and peak acceleration of the specimen are measured using the first time innovative in Iraq, Reality Water–Structure–Earthquake Interaction Test (RWSEIT). The findings are given and analyzed concerning water depths, current speed, wave characteristics, earthquake amplitudes, and structural orientations. A numerical model of the examined specimen with three dimensions (3D) was constructed, and the findings were successfully confirmed using the data from the experiments. A pile foundation bridge pier's 3D structural response under orientations that cannot be tested in a lab was computed using the constructed numerical model. The complicated dynamically produced FSI effects on the response of coastal pile foundation bridges may be better understood according to the research's experimental and numerical findings.
Development and performance of jacquard woven retro-reflective textiles with African design patterns
Authors: Seidu Raphael Kanyire , Choi Sun Young , Jiang Shouxiang 
Published: January 2023

AbstractRetro-reflective materials are important for safety purposes, such as enhancing the visibility of pedestrians at night when they wear garments with reflective materials and therefore reducing pedestrian fatalities. This has challenged different manufacturers to produce effective materials that provide the best retro-reflection. Most of these materials are applied as stripes on clothing, but can also extend to artisans using reflective yarns in their creations. Nevertheless, there is a lack of research and the synthesis of reflective yarns and African design patterns (due to its symbolic value for the African people) to create effective textiles that have the necessary properties for visibility at night. In this research work, a new approach is adopted by using a design process that combines jacquard weaving technology, reflective threads and African design patterns to produce retro-reflective textiles. The subsequent reflective effects captured in a darkroom show the retro-reflective ability of the samples. The testing carried out by using the Kawabata Evaluation System for Fabrics shows that the total hand value (THV) of the samples makes them suitable for men’s winter dress shirts and women’s thin winter dresses (with positive values) but not suitable for the summer garment (with negative values) counterparts respectively. This new approach might extend the ideation to produce retro-reflective textiles that can be applied for many different uses.
Weighted-indexed semi-Markov model: calibration and application to financial modeling
Authors: De Blasis Riccardo 
Published: January 2023

AbstractWe address the calibration issues of the weighted-indexed semi-Markov chain (WISMC) model applied to high-frequency financial data. Specifically, we propose to automate the discretization of the price returns and the volatility index by using four different approaches, two based on statistical quantities, namely, the quantile and sigma discretization, and two derived by the application of two popular machine learning algorithms, namely the k-means and Gaussian mixture model (GMM). Moreover, by comparing the Bayesian information criterion (BIC) scores, the GMM approach allows for the selection of the number of states of returns and index. An application to Bitcoin prices at 1-min and 1-s intervals shows the validity and usefulness of the proposed discretization approaches. In particular, GMM discretization is well suited for high-frequency returns, whereas the quantile approach works better for low-frequency intervals. Finally, by comparing the results of the Monte Carlo simulation, we show that the WISMC model, applied with the proposed discretization, can reproduce the long-range serial correlation of the squared returns, which is typical of the financial markets and, in particular, the cryptocurrency market.
Predicting Fintech Innovation Adoption: the Mediator Role of Social Norms and Attitudes
Authors: Irimia-Diéguez A. , Velicia-Martín F. , Aguayo-Camacho M. 
Published: January 2023

AbstractDigital innovation is challenging the traditional way of offering financial services to companies; the so-called Fintech phenomenon refers to startups that use the latest technologies to offer innovative financial services. Within the framework of the Theory of Planned Behavior (TPB) and the Theory of Reasoned Action (TRA), the primary purpose of this paper is to develop a causal-predictive analysis of the relationship between Subjective Norms, Attitudes, and Perceived Behavioral Control with the Intention to Use and Behavioral Use of the Fintech services by companies. Partial Least Squares Structural Equation Modeling methodology was used with data collected from a survey of 300 companies. Our findings support the TRA and TPB models and confirm their robustness in predicting companies’ intention and use of Fintech services. Financial technology innovators must understand the processes involved in users’ adoption to design sound strategies that increase the viability of their services. Studying the antecedents of behavioral intention to adopt Fintech services can greatly help understand the pace of adoption, allowing these players to attract and retain customers better. This study contributes to the literature by formulating and validating TPB to predict Fintech adoption, and its findings provide useful information for banks and Fintech companies and lead to an improvement in organizational performance management in formulating marketing strategies.
Role of home blood pressure monitoring in resistant hypertension
Authors: Kim Hyue Mee , Shin Jinho 
Published: January 2023

AbstractThe definition of resistant hypertension (RHT) has been updated to include failure to achieve target blood pressure (BP) despite treatment with ≥3 antihypertensive drugs, including diuretics, renin-angiotensin system blockers, and calcium channel blockers, prescribed at the maximum or maximally tolerated doses, or as success in achieving the target blood pressure but requiring ≥4 drugs. RHT is a major clinical problem, as it is associated with higher mortality and morbidity than non-RHT. Therefore, it is crucial to accurately identify RHT patients to effectively manage their disease. Out-of-clinic BP measurement, including home BP monitoring and ambulatory BP monitoring is gaining prominence for the diagnosis and management of RHT. Home BP monitoring is advantageous as it is feasibly repetitive, inexpensive, widely available, and because of its reproducibility over long periods. In addition, home BP monitoring has crucial advantage of allowing safe titration for the maximum or maximally tolerable dose, and for self-monitoring, thereby improving clinical inertia and nonadherence, and allowing true RHT to be more accurately identified.
Ideal cardiovascular health metrics and the risk of nonalcoholic fatty liver disease in Korean adults
Authors: Shim Sun Young , Jung Sun Jae , Kim Seung Up , Kim Hyeon Chang 
Published: January 2023

Abstract
Background
The association between cardiovascular risk factors and nonalcoholic fatty liver disease (NAFLD) is well established, but whether cardiovascular health (CVH) metrics is associated with NAFLD had not been fully studied. Thus, we examined the association between CVH metrics and NAFLD in the middle-aged Korean population.

Methods
We used data of 2,928 (851 men and 2,077 women) participants aged 30–64 years from the Cardiovascular and Metabolic Disease Etiology Research Center study. CVH metrics were measured using a modified version of Life’s Simple 7 by the American Heart Association. NAFLD diagnosis was based on the fatty liver index or liver-to-spleen ratio on computed tomography. A multiple logistic regression model was used to investigate the cross-sectional and longitudinal associations between CVH metrics and NAFLD.

Results
In the cross-sectional analysis, the odds ratio for NAFLD was lower in participants with ideal CVH (odds ratio [OR], 0.13; 95% confidence interval [CI], 0.08–0.18), while it was higher in individuals with poor CVH (OR, 2.87; 95% CI, 2.13–3.86). Similarly, the risk of new-onset NAFLD was lower in participants with ideal CVH (OR, 0.28; 95% CI, 0.11–0.74), and higher in individuals with poor CVH (OR, 2.20; 95% CI, 0.50–9.72) in the longitudinal analysis of a subgroup.

Conclusions
Ideal CVH was associated with a lower risk of NAFLD while poor CVH was associated with a higher risk of NAFLD. These findings suggest that making efforts to encourage people to manage their CVH to the ideal level may prevent and manage NAFLD.