bluuebunny/crossref_metadata_2025_split huggingface dataset:
Photosynthetic response, antioxidase activity, and cadmium uptake and translocation inMonochoria korsakowiiwith cadmium exposure
Authors: Zhou Wei , Xin Jianpan , Tian Runan 
Published: November 2022

AbstractTo identify the tolerance mechanisms of wetland plants exposed to heavy metal, a hydroponic experiment was used to investigate variations in photosynthetically physiological parameters and antioxidant enzyme activities in leaves of Monochoria korsakowii exposed to 0.05, 0.15, 0.30, and 0.45 mM Cd2+ for 7 d. The Cd2+ concentrations in the plant roots, stems, and leaves were also investigated. Cd2+ exposure significantly decreased the total chlorophyll content, net photosynthetic rate, intercellular carbon dioxide concentration, and stomatal conductance, while stomatal limitation value had the opposite trend (P &lt; 0.05). During Cd2+ stress, ascorbate peroxidase activity significantly increased (P &lt; 0.05). The translocation factor for Cd2+ was significantly lower than that of the control, and both were less than 1 (P &lt; 0.05). Cd2+ stress damaged the photosynthetic apparatus in the leaves. During Cd2+ stress, M. korsakowii alleviated oxidative stress by increasing the activities of antioxidant enzymes, such as APX. Under 0.45 mM Cd2+ stress, increased heat dissipation was responsible for alleviating the photooxidative damage to photosynthetic organs in the leaves. Meanwhile, the majority of Cd2+ was immobilized in the roots, thus alleviating excessive Cd2+ phytotoxicity in the aboveground parts. Generally, M. korsakowii has potential application in the phytoremediation of low-cadmium-polluted water.
ANÁLISE DE MODELOS DE TRIAGEM ODONTOLÓGICA
Authors: Silva Karen Lauana Alves da , Filipe Cavalcanti Rodrigues João , Duarte Antônio Ricardo Calazans 
Published: November 2022

Introdução: Diante da realidade virtual que se encontram os procedimentos burocráticos, observa-se a necessidade de se idealizar programas de triagem nas clínicas-escola com os objetivos de se encaminhar pacientes para a clínica mais compatível com as suas necessidades, e substituir os prontuários físicos pelos eletrônicos, numa alternativa ambientalmente correta. Objetivo: Avaliar a efetividade de um modelo de triagem informatizado, comparando-o ao modelo utilizado atualmente, no serviço de Serviço de Triagem e Documentação Odontológica (STDO) do Departamento de Odontologia da Universidade Federal do Rio Grande do Norte (DOD – UFRN). Método: O estudo realizado foi do tipo descritivo, constituído de uma amostra de 50 pacientes, que foram submetidos ao modelo de triagem utilizado atualmente no STDO do DOD - UFRN e a triagem com aplicação de um programa informatizado. Foi avaliada a efetividade do dispositivo e feita uma comparação entre os modelos. A análise estatística foi feita por meio do índice de correlação intra-classe, utilizando-se um banco de dados criado no software SPSS (Statistical Package for Social Sciences), versão 20.0, adotando significância de 95% (p< 0,05). Resultados: Após análise estatística, com realização de correlação entre os resultados do software e o modelo atual de triagem, obteve-se coeficiente de correlação intra-classe de 0,578, com o nível de significância, para avaliação dos dados obtidos de (P<0,05), foi possível evidenciar que ocorreu correlação satisfatória positiva e significativa entre os resultados do software e o modelo atual de triagem. Conclusão: Os resultados denotam concordância entre os modelos de triagem estudados e demonstram que a utilização destes recursos apresentam resultados satisfatórios. Notadamente, evidenciando-se a vantagem da utilização do modelo de triagem informatizado.
PALAVRAS-CHAVE: Triagem de Pacientes; Documentação; Registros Eletrônicos de Saúde
Seismic Hazard Maps of Bengkulu City, Indonesia, Considering Probabilistic Spectral Response for Medium and Stiff Soils
Authors: Mase Lindung Zalbuin , Keawsawasvong Suraparb 
Published: November 2022

Background:
This paper presents the extended work of a seismic hazard map for Bengkulu City, Indonesia. In this current study, seismic hazard maps are generated by considering site variations in Bengkulu City, Indonesia.

Methods:
First, site investigation data is collected. Furthermore, the probabilistic spectral response for Bengkulu City is analysed. The spectral matching method is implemented to obtain appropriate ground motion considering the most dominant earthquake scenario that occurred. A seismic ground response analysis is conducted to obtain several ground motion parameters, such as peak ground acceleration, spectral acceleration values at 0.2 s and 1 s, and ground motion amplification.

Results:
The results show that peak ground acceleration in the study area is generally within the range of 0.5 to 0.6g. It indicates that most sites in Bengkulu city could undergo strong motion. Spectral accelerations at 0.2 s and 1 s are also dominantly found in the range of 0.9 to 1.2g and the range of 0.5 to 0.7g. Generally, ground motion in the study area could amplify up to 1.1 to 1.5.

Conclusion:
Spectral acceleration curve for site classes in Bengkulu City shows a similar trend to other spectral accelerations. It indicates that the spectral acceleration proposed in this study could be implemented in the study area.
Influence Of Marine Environment Exposure On The Engineering Properties Of Steel-concrete Interface
Authors: Goudar Sharan Kumar , Sumukh E. P. , Das Bibhuti Bhusan 
Published: November 2022

Aims:
A detailed and reformed service life prediction model needs to be developed by considering the non-uniform distribution of the porous zone and the non-uniform distribution of the corrosion products layer.

Background:
The microstructure of the steel-concrete interface (SCI) plays an important role in corrosion initiation and concrete cover cracking. The porous zone around SCI is one of the vital engineering properties that influence the service life of corroding reinforced concrete structures in service life prediction models.

Objective:
The SCI properties are sensitive to the sample preparation technique of reinforced concrete (RC) samples for studying with the aid of scanning electron microscopy (SEM). A simple step-wise sample preparation technique of RC samples for SEM analysis is proposed where there is minimal damage to the properties of SCI. The development, distribution, and propagation of corrosion products at SCI are investigated for RC samples exposed to the marine environment for different exposure periods. The service life of RC structures was assessed through experimentally determined porous zone thickness (PZT) values. Assuming a uniform and constant value of PZT and uniform distribution of corrosion products around SCI might lead to variation or misinterpretation of the service life of structures. The same is explored in the present study.

Methods:
In this research investigation, backscattered electron images were obtained for the analysis of porous zone thickness around SCI. The distribution and propagation of corrosion products around SCI were investigated for different mineral admixed reinforced concrete samples exposed to the marine environment. Also, porous zone thickness values were used experimentally measured, and the time from corrosion initiation to corrosion cracking was estimated using a service life prediction model.

Results:
Results show that porous zone thickness is not uniform around SCI. Once the corrosion is initiated, the corrosion products accumulate in the SCI's porous region. Further, the non-uniform porous zone thickness directly influenced the non-uniform distribution of corrosion products. Assuming a constant or uniform porous zone thickness and uniform distribution of corrosion products around SCI leads to misinterpretation of the service life of corroding reinforced concrete structures.

Conclusion:
The porous zone thickness values around the steel-concrete interface and corrosion current density play an important role in predicting the service life of reinforced concrete structures exposed to the marine environment.
The Analysis of Mechanical Behavior of Special Concentrically Braced Single-Story Frames With Ductile Casting Steel Connectors
Authors: Chen Chengyue , Yin Zhanzhong , Wang Qiang 
Published: November 2022

Background:
The special concentrically braced frame (SCBF) is an aseismic structure, but its bracing system exhibits brittle failure and premature buckling connected with the weld fracture of the gusset plate and the post-buckling of the braces; thus, maximizing the role of energy dissipation is difficult.

Methods:
Here, this paper proposes a system of special concentrically braced single-story frames with ductile casting steel connectors. The large inelastic deformation of the bracing system is mainly concentrated in the ductile casting connectors under the earthquake, and the degree of buckling can be reduced. The finite element model of a single-story frame with special central support and casting steel connectors was established by ABAQUS. Monodirectional loading simulations were conducted on 12 groups of specimens with different parameters, then the deformation trend, stress distribution, initial stiffness, and ductility of the specimens were analyzed.

Results:
The seismic behavior of the frames was evaluated by the variable parameters of the width-thickness ratio of the energy dissipation plate and stiffener, the length of the energy dissipation segment of the casting connectors and the overstrength coefficient. The casting steel connector conducts the main connectors that exhibit good ductile and initial stiffness.

Conclusion:
The study results provided direct evidence that the seismic performance of specimens is closely associated with the length of the energy dissipation segment of the casting connector and the overstrength coefficient of axial force. Also, the stress distribution, initial stiffness, and ductility of the members can be independently controlled by reasonably designing the casting connector.
Changes in Immunological Parameters and Neurotrophic Factors in Patients with Compression, Post-traumatic Non-gunshot and Gunshot Neuropathies and Plexopathies
Authors: Borodai Olena , Litovchenko Tetyana , Klimova Olena , Drozdova Larisa 
Published: November 2022

Introduction:
Chronic pain, which usually occurs after traumatic damage to nerves and plexuses, is an additional burden on the patient's quality of life, which is already impaired due to motor, sensory and autonomic deficits. The aim is to study and clarify changes in immunological parameters and neurotrophic factors in patients with compression, post-traumatic non-gunshot and gunshot neuropathies and plexopathies.

Materials and Methods:
The study included 93 men aged 21 to 59 with neuropathy and plexopathy of traumatic and non-traumatic origin, divided into 3 groups. Patients underwent clinical and neurological examination starting at the onset of clinical manifestations and in the dynamics, electromyography, and ultrasound. The immunological examination was performed from 12 to 24 months, starting at the onset of the disease.

Results:
Differences between the study groups in the concentration of circulating immune complexes and lymphocytotoxicity and decrease in CD4 + T lymphocytes were statistically significant. In the NBT-test results, which characterize the difference between spontaneous and zymosan-stimulated oxygen-dependent phagocytosis, it was found that the cells oxidized granules of nitroblue tetrazolium dye with different degrees of intensity, depending on the regenerative capacity of enzymes. We found an increase in the quantitative content of the beta-NGF 303 [35.2; 504.5] pg/ml in the blood of patients of group III with post-traumatic gunshot neuropathies and plexopathies accompanied by chronic neuropathic pain syndrome at a statistically significant level (Kruskal-Wallis test, p=0.0181).

Conclusion:
The study showed a statistically significant (p<0.05) violations of the regulatory link of immune system in patients with post-traumatic gunshot neuropathies and plexopathies, increased circulating immune complexes level, disorders of oxygen-dependent and oxygen-independent phagocytosis, reduced enzymatic regenerative capacity, significant increase in beta-NGF, Thus, as a result of the study, we found statistically significant (p<0.05) violations of the regulatory link of immune system in patients with post-traumatic gunshot neuropathies and plexopathies, increased circulating immune complexes level, disorders of oxygen-dependent and oxygen-independent phagocytosis, reduced enzymatic regenerative capacity, significant increase in beta-NGF 303 [35.2; 504.5] pg / ml, indicating the ongoing process of chronic inflammation, stimulation of the sympathetic nervous system and sensory fibers, which leads to the maintenance and severity of chronic neuropathic pain even after 12 months or more since the injury with damage to nerves and plexuses of the limbs.
Chronological Changes in Gait Oscillation in Patients after Total Knee Arthroplasty
Authors: Mine Takatomo , Fukuda Yuuki , Handa Mami , Takase Hironori , Ihara Koichiro , Kawamura Hiroyuki , Shinohara Michio , Kuriyama Ryutaro , Tominaga Yasunari 
Published: November 2022

Background:
Pain and knee function improve immediately following total knee arthroplasty (TKA). However, immediate improvements in gait oscillation are not observed following TKA. This analysis aimed to chronologically assess changes in gait oscillation during walking in post-TKA patients.

Methods:
Twenty patients who were diagnosed with knee osteoarthritis underwent unilateral TKA. A Bi-Surface posterior-stabilized (PS) prosthesis with cementation was used for all patients. Acceleration (anterior, vertical, TKA side -, and -contralateral side directions) was examined during walking. A preoperative analysis was performed followed by postoperative analyses at 3, 6, 9, and 12 months.

Results:
Acceleration in the anterior direction and the sacral region tended to increase until 6 months post-TKA, but remained largely unchanged thereafter. In the dorsal vertebral region, acceleration to the anterior direction trended to decrease over time. Additionally, acceleration in the TKA-side direction in the sacral and dorsal vertebral region also tended to decrease over time. The post-TKA sacral-dorsal vertebral ratio in the TKA-side direction tended to increase over time, and the values on the contralateral side direction tended to increase for up to 6 months; however, there was no significant change thereafter.

Conclusion:
Acceleration in the anterior and lateral directions (TKA side) may improve chronologically after TKA, and gait may be performed mainly on the pelvic girdle during the postoperative course of TKA.
Evaluation of Sustained Acoustic Medicine for Treating Musculoskeletal Injuries in Military and Sports Medicine
Authors: Walters Rod , Kasik John , Ettel Cassie , Ortiz Ralph 
Published: November 2022

Background:
Musculoskeletal injuries are common in collegiate, professional, and military personnel and require expedited recovery to reduce lost work time. Sustained acoustic medicine (SAM) provides continuous long-duration ultrasound at 3MHz and 132mW/cm2. The treatment is frequently prescribed to treat acute and chronic soft tissue injuries and reduce pain. The objective of this study was to evaluate the efficacy of SAM treatment for musculoskeletal injuries and accelerated recovery.

Methods:
An 18-question electronic survey and panel discussion were conducted on Athletic Trainers (ATs) using SAM treatment in professional, collegiate, and military sports medicine. The survey included both qualitative and quantitative questions. In addition, a panel discussion discussed SAM effectiveness with expert ATs. Power calculation of sampling and statistical evaluation of data was utilized to generalize the results.

Results:
Survey respondents (n=97) and panelists (n=142) included ATs from all National Athletic Trainers Association districts. SAM was primarily used for musculoskeletal injuries (83.9%, p<0.001) with a focus on healing tendons and ligaments (87.3%, p<0.001). SAM treatment was also used on joints (44.8%), large muscle groups (43.7%), and bone (41.4%). SAM provided clinical improvement in under 2 weeks (68.9%, p<0.001) and a 50% reduction in pain medication (63%, p<0.001). In addition, patients were highly receptive to treatment (87.3%, p<0.001), and ATs had a high level of confidence for improved function and returned to work after 30-days of SAM use (81.2%, p<0.001).

Conclusion:
SAM is an effective, safe, easy-to-use, noninvasive, comfortable, and versatile therapeutic for healing musculoskeletal injuries.
Cardiac Rehabilitation to Prevent Rehospitalization in Myocardial Infarction Patients
Authors: Ivana Diah , Tri Tjahjono Cholid 
Published: November 2022

Introduction. There is mounting evidence that cardiac rehabilitation (CR) based on physical activity has a positive influence on the degree of disability and level of quality of life, in addition to playing an important and beneficial role in modifying morbidity and mortality.
Discussion. Patients who have experienced an acute myocardial infarction, are candidates for cardiac rehabilitation as an essential component of their care. Clinical evaluation, optimization of pharmacotherapy, physical training, psychological rehabilitation, evaluation and reduction of coronary disease risk factors, lifestyle modification, and patient education are the components that should be included in comprehensive cardiac rehabilitation. Immediately following the acute phase of a myocardial infarction, the designated team (consisting of a physician, physiotherapist, nurse, psychologist, dietician, and social worker) should begin comprehensive cardiac rehabilitation. This rehabilitation should contain individualized programs that are designed to optimize the patient's physical, psychological, social, and emotional status. It is recommended that the modern model of comprehensive cardiac rehabilitation be started as soon as possible, continued for the required amount of time, properly staged, and individualized depending on the clinical status of the patients.
Conclusion. Cardiac rehabilitation after myocardial infarction is an exercise method that could improve the post myocardial infarct patient’s living quality, includes increasing cardiac ejection fraction, exercise tolerance, and physical status. Therefore, it can decrease rate of rehospitalization in patient post myocardial infarct.
Factors Associated With Telemedicine Use Among German General Practitioners and Rheumatologists: Secondary Analysis of Data From a Nationwide Survey
Authors: Muehlensiepen Felix , Petit Pascal , Knitza Johannes , Welcker Martin , Vuillerme Nicolas 
Published: November 2022

Background
Previous studies have demonstrated telemedicine (TM) to be an effective tool to complement rheumatology care and address workforce shortage. With the outbreak of the SARS-CoV-2 pandemic, TM experienced a massive upswing. However, in rheumatology care, the use of TM stagnated again shortly thereafter. Consequently, the factors associated with physicians’ willingness to use TM (TM willingness) and actual use of TM (TM use) need to be thoroughly investigated.

Objective
This study aimed to identify the factors that determine TM use and TM willingness among German general practitioners and rheumatologists.

Methods
We conducted a secondary analysis of data from a German nationwide cross-sectional survey with general practitioners and rheumatologists. Bayesian univariate and multivariate logistic regression analyses were applied to the data to determine which factors were associated with TM use and TM willingness. The predictor variables (covariates) that were studied individually included sociodemographic factors (eg, age and sex), work characteristics (eg, practice location and medical specialty), and self-assessed knowledge of TM. All the variables positively and negatively associated with TM use and TM willingness in the univariate analysis were then considered for Bayesian model averaging analysis after a selection based on the variance inflation factor (≤2.5). All analyses were stratified by sex.

Results
Univariate analysis revealed that out of 83 variables, 36 (43%) and 34 (41%) variables were positively or negatively associated (region of practical equivalence≤5%) with TM use and TM willingness, respectively. The Bayesian model averaging analysis allowed us to identify 13 and 17 factors of TM use and TM willingness, respectively. Among these factors, being female, having very poor knowledge of TM, treating <500 patients per quarter, and not being willing to use TM were negatively associated with TM use, whereas having good knowledge of TM and treating >1000 patients per quarter were positively associated with TM use. In addition, being aged 51 to 60 years, thinking that TM is not important for current and future work, and not currently using TM were negatively associated with TM willingness, whereas owning a smart device and working in an urban area were positively associated with TM willingness.

Conclusions
The results point to the close connection between health care professionals’ knowledge of TM and actual TM use. These results lend support to the integration of digital competencies into medical education as well as hands-on training for health care professionals. Incentive programs for physicians aged >50 years and practicing in rural areas could further encourage TM willingness.
An Exploratory Study of Medical Journal’s Twitter Use: Metadata, Networks, and Content Analyses
Authors: Kim Donghun , Jung Woojin , Jiang Ting , Zhu Yongjun 
Published: November 2022

Background
An increasing number of medical journals are using social media to promote themselves and communicate with their readers. However, little is known about how medical journals use Twitter and what their social media management strategies are.

Objective
This study aimed to understand how medical journals use Twitter from a global standpoint. We conducted a broad, in-depth analysis of all the available Twitter accounts of medical journals indexed by major indexing services, with a particular focus on their social networks and content.

Methods
The Twitter profiles and metadata of medical journals were analyzed along with the social networks on their Twitter accounts.

Results
The results showed that overall, publishers used different strategies regarding Twitter adoption, Twitter use patterns, and their subsequent decisions. The following specific findings were noted: journals with Twitter accounts had a significantly higher number of publications and a greater impact than their counterparts; subscription journals had a slightly higher Twitter adoption rate (2%) than open access journals; journals with higher impact had more followers; and prestigious journals rarely followed other lesser-known journals on social media. In addition, an in-depth analysis of 2000 randomly selected tweets from 4 prestigious journals revealed that The Lancet had dedicated considerable effort to communicating with people about health information and fulfilling its social responsibility by organizing committees and activities to engage with a broad range of health-related issues; The New England Journal of Medicine and the Journal of the American Medical Association focused on promoting research articles and attempting to maximize the visibility of their research articles; and the British Medical Journal provided copious amounts of health information and discussed various health-related social problems to increase social awareness of the field of medicine.

Conclusions
Our study used various perspectives to investigate how medical journals use Twitter and explored the Twitter management strategies of 4 of the most prestigious journals. Our study provides a detailed understanding of medical journals’ use of Twitter from various perspectives and can help publishers, journals, and researchers to better use Twitter for their respective purposes.