bluuebunny/crossref_metadata_2025_split huggingface dataset:
Social support for and features of Chinese adults with epilepsy
Authors: Zhong Rui , Zhang Hanyu , Han Yujuan , Guo Xin , Lin Weihong 
Published: July 2022

Abstract
Background
The lack of social support for adults with epilepsy (AWEs) is receiving increased attention, as it may result in low quality of life. This study was aimed to confirm the demographic characteristics of and clinical factors associated with social support for AWEs.

Methods
AWEs were consecutively recruited from our hospital. The 10-term Social Support Rating Scale (SSRS) was used to measure social support. A linear regression analysis with stepwise selection was performed to analyze the independent variables associated with social support for AWEs.

Results
In total, 165 AWEs were consecutively included in the present study. Linear regression analysis showed that the marital status (t = -3.550, β = -0.272, P = 0.001), the age at onset (t = 2.545, β = 0.192, P = 0.012), and the QOLIE-31 score (t = 3.144, β = 0.221, P = 0.002) were independent variables associated with social support for AWEs.

Conclusions
Our findings suggest that the poor social support is associated with childhood onset of epilepsy and the unmarried status. This study also confirmed a negative influence of low social support on quality of life in AWEs.
Association of preoperative variables of ipsilateral hip abductor muscles with gait function after total hip arthroplasty: a retrospective study
Authors: Yasuda Tadashi , Ota Satoshi , Yamashita Shinnosuke , Tsukamoto Yoshihiro , Onishi Eijiro 
Published: July 2022

Abstract
Background
This study aimed to identify the association of preoperative variables of ipsilateral hip abductors with gait function after total hip arthroplasty (THA).

Methods
This study enrolled 42 patients who underwent unilateral primary THA for osteoarthritis. Gait speed and Timed Up-and-Go test were conducted 6 months postoperatively. Preoperative composition of the glutei medius and minimus and the upper portion of gluteus maximus was evaluated by computed tomography. Cross-sectional area ratio of individual composition to the total muscle was calculated. Preoperative variables associated with gait speed and Timed Up-and-Go test after THA were identified by using stepwise regression analysis.

Results
Faster gait speed and shorter Timed Up-and-Go test correlated with smaller cross-sectional area of low-density lean tissue or intramuscular adipose tissue (low-density lean tissue plus intramuscular fat) in the glutei medius and minimus and lower cross-sectional area ratio of low-density lean tissue to the total glutei medius and minimus. Faster gait speed and shorter Timed Up-and-Go test also correlated with larger cross-sectional area of lean muscle mass in the gluteus maximus, higher cross-sectional area ratio of lean muscle mass to the total gluteus maximus, and lower cross-sectional area ratio of intramuscular fat or intramuscular adipose tissue to the total gluteus maximus. Faster gait speed additionally correlated with larger total cross-sectional area of the gluteus maximus. Regression analysis showed that the total cross-sectional area of the gluteus maximus and the low-density lean tissue cross-sectional area of the glutei medius and minimus were the explanatory variables of gait speed and Timed Up-and-Go test after THA, respectively.

Conclusions
There was a potential association between preoperative composition of ipsilateral hip abductors and gait function 6 months after THA. This study indicates a predictive role of preoperative assessment of ipsilateral hip abductor composition in the recovery of gait function after THA.
CIRCULAR ECONOMY AND AGRICULTURAL SECTOR: POINTS OF CONTACT AND PROSPECTS OF SYMBIOSIS
Authors: Suchkov Dmitry K. , Gavrilyeva Nadezhda K. , Grigoriev Alexander V. , Gogolev Gennady D. 
Published: July 2022

The relevance of the research topic is determined by the fact that in the modern agricultural sector in general the development of economic relations is carried out on a linear principle across countries, the motto of which is the triad “get-recycle-utilize”. However, in modern conditions, the most relevant is the organization of economic relations in the agricultural sector based on the principle of sustainable use of all components of renewable resources, in this regard, innovative business models are needed that determine how to process what is currently considered waste.
The problem of the study lies in the fact that during the transition of agricultural enterprises to relationships within a circular economy, it is necessary to take into account certain factors that determine both success and risk. This should include technical, logistical, economic, financial and marketing, organizational and spatial, institutional and legal, environmental, social and cultural factors. At the same time, the specific factors for the agricultural sector are innovative conversion technologies, flexible internal and external logistics, joint investments in R&D, price competitiveness, etc.
The purpose of the study is to consider the points of contact and prospects for the symbiosis of the circular economy and the agricultural sector.
In the analysis of the material, comparative research methods were used, the consideration of the research topic was carried out on the basis of an analysis of sources and publications covering the main conceptual foundations of the development of the circular economy and the agro-industrial complex.
The authors concluded that while several success factors are also crucial for closed-loop business models in general, some of them are very specific to those evaluating agricultural waste and by-products.
METABOLIC SYNDROME: ASSESSMENT OF QUALITY OF LIFE, ANXIETY AND DEPRESSION IN PATIENTS
Authors: Moskalenko Olga L. , Smirnova Olga V. , Kasparov Eduard V. , Kasparova Irina E. 
Published: July 2022

Rationale. The article examines the assessment of the quality of life, psychological state (anxiety-depressive disorders, neurosis-like states) in patients with metabolic syndrome. The prevalence of metabolic syndrome in different countries is 25-30% and varies depending on the criteria used. The severity of the clinical manifestations of the metabolic syndrome affects the quality of life of patients, while the indicators of physical and mental health decrease. The problem of the quality of life of patients suffering from overweight and obesity is relevant and socially significant. Obesity leads to anxiety-depressive disorders, neurosis-like states, which contributes to a worsening of the prognosis of the underlying disease. The number of patients with chronic metabolic disorders (obesity, type 2 diabetes mellitus, non-alcoholic fatty liver disease) is increasing in the world every year.
The aim of our work was to assess the quality of life, the level of anxiety and depression in patients with metabolic syndrome.
Materials and methods. The authors presented the results of a study of 60 patients with metabolic syndrome and 45 apparently healthy volunteers. Examination of patients, determination of anthropometric indicators with an assessment of the quality of life (questionnaire SF-36) were carried out. The level of anxiety and depression was determined according to the hospital scale of anxiety and depression HADS. Statistical processing of the obtained data was carried out using the application package "STATISTICA 8.0".
Results. Most of the quality of life indicators were statistically significantly different in patients with metabolic syndrome relative to the control group. There was a decrease in the average level of the parameters "physical functioning" by 17.3%, "role functioning" by 31%, "general health" by 11.3%, "vitality" by 13%, "emotional functioning" by 50.1%. ... The level of anxiety and depression in patients with metabolic syndrome corresponded to the subclinical level, the level of depression exceeded the value of the control group by 18%.
Conclusion. The study shows that patients with metabolic syndrome are characterized by a decrease in quality of life indicators, subclinically severe anxiety / depression. The goal of any treatment, according to MAPI Research Institute specialists, is to improve the quality of life of patients to the level of healthy individuals, therefore, for patients with metabolic syndrome, along with pathogenetic therapy aimed at reducing body weight, correction of psychological disorders is required, which will reduce the level of anxiety-depressive disorders and will improve quality of life indicators.
DIGITALIZATION IN AGRICULTURE: PROBLEMS OF IMPLEMENTATION
Authors: Amirova Elmira F. , Gavrilyeva Nadezhda K. , Grigoriev Alexander V. , Sorgutov Ilya V. 
Published: July 2022

The relevance of the research topic is determined by the fact that at the present stage the targets of modern agricultural production are concluded in the need to increase the volume of output of livestock and crop production while maintaining quality. At the same time, this topic has a certain problem field, since the growth rate of output in the industry in question is impossible today without the use of advanced technologies. In this context, the leading role belongs to the digitalization of agriculture, since only through high-tech approaches at the present stage it is possible to ensure highly competitive work of agricultural enterprises.
The purpose of the study is to analyze the problems of digitalization implementation in agriculture. In the process of writing the work, comparative, analytical methods were used, through which a number of publications and monographs of recent years were studied within the framework of the topic of this article.
The results of the study should include the justification of the need to implement a number of measures including retraining and training of personnel, synchronization of existing production processes with innovative solutions, as well as to organize the necessary financing for the implementation of these measures. It was concluded that these measures will optimize the process of digitalization of the agricultural sector and increase the productivity of agricultural enterprises.
CONCEPTUAL ASPECTS OF PRODUCING A MEDICAL EXAMINATION IN JUDICIAL APPEAL OF CONCLUSIONS HAS BEEN IMPLEMENTED ON THE RESULTS OF A MILITARY EXPERTISE
Authors: Naumov Petr Y. , Bolshakova Valentina M. , Zemlin Alexander I. , Kholikov Ivan V. 
Published: July 2022

Background. The activities of military medical examination bodies is a relevant subject of research, since by their medical and legal nature they affect a wide range of citizens who are undergoing military service (service in law enforcement agencies). In relation to these persons, according to the results of a medical examination and medical examination, military medical commissions issue various types of conclusions. Since the above conclusions are a document affecting the rights and freedoms of these persons, the scope of guarantees and compensations provided depends on these decisions, they (decisions, conclusions) are subject to appeal in administrative and civil proceedings. Accordingly, the resolution of these issues may become the subject of various medical examinations in court. When conducting a military medical examination in court, the courts may encounter practical law enforcement difficulties associated with the lack of regulation of this issue in the legislation governing the conduct of military medical examination.
Materials and research methods. Based on the application of the methods of comparative jurisprudence, systemic and structural-functional analysis, the scientific literature, regulatory legal acts and court decisions on the issues of judicial appeal against the conclusions of the military medical examination are consistently studied. The analysis also examines the aspects of the appointment of a military medical examination in court, the features of the actions of the conclusions of military medical commissions in this case and their assessment as evidence in the implementation of legal proceedings.
Results. Based on the study of scientific literature, the requirements of regulatory legal acts and law enforcement practice, it is proposed to amend the Regulations on military medical examination, in order to resolve the issues of issuing an opinion by the military medical commission, in the event of a military medical examination in court. ... Currently, the specified procedure is not defined, which leads to practical difficulties for the law enforcement officer.
Conclusion. The proposed amendments to the Regulations on military medical expertise will fully resolve the issue of appointment and conduct of military medical expertise in court, as well as determine the scope of such conclusions and compensation for the cost.
REGIONAL COMPETITIVENESS ASSESSMENT: PROSPECTS FOR THE AGRO-INDUSTRIAL COMPLEX OF THE REGION
Authors: Gabdulkhakov Ramzil B. , Poltarykhin Andrey L. , Tsukanova Olga M. , Avdeev Yuri M. 
Published: July 2022

Purpose. The article considers the competitiveness assessment of the region, as well as identifies priority areas to work on aimed to increase the competitiveness of the region.
Materials and methods. For the purposes of study, the methodology for assessing the regional competitiveness suggested by A.V. Antokhina was applied.
Results. The “regional competitiveness” term has been defined, as well as the main factors that affect the regional competitiveness have been considered.
Conclusion. Both the methods and techniques to assess regional competitiveness currently in use have been determined. The competitiveness assessment of the Altai Republic has been carried out, as well as the main directions to increase the competitiveness of the region have been considered.
The Square Root Agreement Rule for Incentivizing Truthful Feedback on Online Platforms
Authors: Kamble Vijay , Shah Nihar , Marn David , Parekh Abhay , Ramchandran Kannan 
Published: July 2022

A major challenge in obtaining evaluations of products or services on e-commerce platforms is eliciting informative responses in the absence of verifiability. This paper proposes the square root agreement rule (SRA): a simple reward mechanism that incentivizes truthful responses to objective evaluations on such platforms. In this mechanism, an agent gets a reward for an evaluation only if the answer matches that of a peer agent, where this reward is inversely proportional to a popularity index of the answer. This index is defined to be the square root of the empirical frequency at which any two agents performing the same evaluation agree on the particular answer across evaluations of similar entities operating on the platform. Rarely agreed-on answers thus earn a higher reward than answers for which agreements are relatively more common. We show that in the many tasks regime, the truthful equilibrium under SRA is strictly payoff-dominant across large classes of natural equilibria that could arise in these settings, thus increasing the likelihood of its adoption. Although there exist other mechanisms achieving such guarantees, they either impose additional assumptions on the response distribution that are not generally satisfied for objective evaluations or they incentivize truthful behavior only if each agent performs a prohibitively large number of evaluations and commits to using the same strategy for each evaluation. SRA is the first known incentive mechanism satisfying such guarantees without imposing any such requirements. Moreover, our empirical findings demonstrate the robustness of the incentive properties of SRA in the presence of mild subjectivity or observational biases in the responses. These properties make SRA uniquely attractive for administering reward-based incentive schemes (e.g., rebates, discounts, reputation scores, etc.) on online platforms. This paper was accepted by Kartik Hosanagar, information systems. Supplemental Material: The data files and online appendix are available at https://doi.org/10.1287/mnsc.2022.4375 .
Multiagent Online Learning in Time-Varying Games
Authors: Duvocelle Benoit , Mertikopoulos Panayotis , Staudigl Mathias , Vermeulen Dries 
Published: July 2022

We examine the long-run behavior of multiagent online learning in games that evolve over time. Specifically, we focus on a wide class of policies based on mirror descent, and we show that the induced sequence of play (a) converges to a Nash equilibrium in time-varying games that stabilize in the long run to a strictly monotone limit, and (b) it stays asymptotically close to the evolving equilibrium of the sequence of stage games (assuming they are strongly monotone). Our results apply to both gradient- and payoff-based feedback—that is, when players only get to observe the payoffs of their chosen actions. Funding: This research was partially supported by the European Cooperation in Science and Technology COST Action [Grant CA16228] “European Network for Game Theory” (GAMENET). P. Mertikopoulos is grateful for financial support by the French National Research Agency (ANR) in the framework of the “Investissements d’avenir” program [Grant ANR-15-IDEX-02], the LabEx PERSYVAL [Grant ANR-11-LABX-0025-01], MIAI@Grenoble Alpes [Grant ANR-19-P3IA-0003], and the ALIAS [Grant ANR-19-CE48-0018-01].
The whistleblower and the bully
Authors: Finch John 
Published: July 2022

Investigations into maternity services at Shrewsbury and Telford NHS Trust and mental health services in Essex are a further two examples of negligence which have caused death or serious harm to patients. Reports into Shrewsbury's maternity services indicate an ‘atmosphere of fear’ which had been growing for almost two decades. The arrogant and bullying manner in which some services are being managed demonstrates a serious issue in how parts of the NHS are being run. John Finch, a freelance journalist specialising in the law and ethics relating to healthcare, explains his stance on the bullying nature which has sadly become engrained among certain healthcare services. He believes that bullies within the management of the NHS should hold some level of responsibility for the increasing statistics of patient harm, as well as for the callous manner in which they try to avoid the responsibility for deficiencies in the system that they are in charge of.
Lost in Space: Orthodontic Space Analysis. Part 1
Authors: Wallis Colin , Atack NE , Ireland AJ 
Published: July 2022

Orthodontic diagnosis is complex and multifactorial and an initial space analysis informing a decision on whether to extract teeth is consistently highlighted as the most significant diagnostic factor, with other clinical factors being secondary. Although the majority of clinicians are taught a method of space analysis, few subsequently place their confidence in any formal method and furthermore, may not consider the space implications of the curve of Spee. A survey of orthodontists revealed a surprising variability in the assessment of crowding, as well as a tendency to make a different diagnostic decision on the same case sometime later. This two-part series explores the current status of space analysis and suggests how we may be able to limit the potential for making poor extraction decisions. Part 1 explores the various factors that need to be considered in an orthodontic space analysis and in particular the space implications of the curve of Spee. Part 2 examines the various methods and tools available to the clinician in assessing orthodontic crowding. We also look at ways in which potentially poor extraction decisions may be mitigated in clinical practice. CPD/Clinical Relevance: To help understand the clinical significance of space analysis as the key diagnostic factor informing a decision whether to extract teeth or not.
Distal femoral arthroplasty for native knee fractures
Authors: Aebischer Andrea S. , Hau Raphael , de Steiger Richard N. , Holder Carl , Wall Christopher J. 
Published: July 2022

Aims The aim of this study was to investigate the rate of revision for distal femoral arthroplasty (DFA) performed as a primary procedure for native knee fractures using data from the Australian Orthopaedic Association National Joint Arthroplasty Registry (AOANJRR). Methods Data from the AOANJRR were obtained for DFA performed as primary procedures for native knee fractures from 1 September 1999 to 31 December 2020. Pathological fractures and revision for failed internal fixation were excluded. The five prostheses identified were the Global Modular Arthroplasty System, the Modular Arthroplasty System, the Modular Universal Tumour And Revision System, the Orthopaedic Salvage System, and the Segmental System. Patient demographic data (age, sex, and American Society of Anesthesiologists grade) were obtained, where available. Kaplan-Meier estimates of survival were used to determine the rate of revision, and the reasons for revision and mortality data were examined. Results The AOANJRR identified 153 primary DFAs performed for native knee fractures in 151 patients during the study period, with 63.3% of these (n = 97) performed within the last five years. The median follow-up was 2.1 years (interquartile range 0.8 to 4.4). The patient population was 84.8% female (n = 128), with a mean age of 76.1 years (SD 11.9). The cumulative percent revision rate at three years was 10%. The most common reason for revision was loosening, followed by infection. Patient survival at one year was 87.5%, decreasing to 72.8% at three years postoperatively. Conclusion The use of DFA to treat native knee fractures is increasing, with 63.3% of cases performed within the last five years. While long-term data are not available, the results of this study suggest that DFA may be a reasonable option for elderly patients with native knee fractures where fixation is not feasible, or for whom prolonged non-weightbearing may be detrimental. Cite this article: Bone Joint J 2022;104-B(7):894–901.
No difference in long-term micromotion between fully cemented and hybrid fixation in revision total knee arthroplasty: a randomized controlled trial
Authors: Mills Kelly , Wymenga Ate B. , van Hellemondt Gijs G. , Heesterbeek Petra J. C. 
Published: July 2022

Aims Both the femoral and tibial component are usually cemented at revision total knee arthroplasty (rTKA), while stems can be added with either cemented or press-fit (hybrid) fixation. The aim of this study was to compare the long-term stability of rTKA with cemented and press-fitted stems, using radiostereometric analysis (RSA). Methods This is a follow-up of a randomized controlled trial, initially involving 32 patients, of whom 19 (nine cemented, ten hybrid) were available for follow-up ten years postoperatively, when further RSA measurements were made. Micromotion of the femoral and tibial components was assessed using model-based RSA software (RSAcore). The clinical outcome was evaluated using the Knee Society Score (KSS), the Knee injury and Osteoarthritis Outcome Score (KOOS), and visual analogue scale (pain and satisfaction). Results The median total femoral translation and rotation at ten years were 0.39 mm (interquartile range (IQR) 0.20 to 0.54) and 0.59° (IQR 0.46° to 0.73°) for the cemented group and 0.70 mm (IQR 0.15 to 0.77) and 0.78° (IQR 0.47° to 1.43°) for the hybrid group. For the tibial components this was 0.38 mm (IQR 0.33 to 0.85) and 0.98° (IQR 0.38° to 1.34°) for the cemented group and 0.42 mm (IQR 0.30 to 0.52) and 0.72° (IQR 0.62° to 0.82°) for the hybrid group. None of these values were significantly different between the two groups and there were no significant differences between the clinical scores in the two groups at this time. There was only one re-revision, in the hybrid group, for infection and not for aseptic loosening. Conclusion These results show good long-term fixation with no difference in micromotion and clinical outcome between fully cemented and hybrid fixation in rTKA, which builds on earlier short- to mid-term results. The patients all had type I or II osseous defects, which may in part explain the good results. Cite this article: Bone Joint J 2022;104-B(7):875–883.