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Unicompartmental knee arthroplasty vs high tibial osteotomy for knee osteoarthritis:A comparison of clinical and radiological outcomes

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World Journal of Orthopedics 2024年第5期15卷 444-456页

作者： Frederick William Wyatt Oday Al-Dadah Translational and Clinical research institute Faculty of Medical SciencesNewcastle UniversityNewcastle Upon Tyne NE24HHUnited Kingdom Department of Trauma and orthopaedic Surgery South Tyneside District HospitalSouth Shields NE340PLUnited Kingdom

BACKGROUND Unicompartmental knee arthroplasty(UKA)and high tibial osteotomy(HTO)are well-established operative interventions in the treatment of knee ***,which intervention is more beneficial to patients with knee osteoarthritis remains unknown and a topic of much ***,there is a paucity of research assessing the relationship between radiographic parameters of knee joint alignment and patient-reported clinical outcomes,preoperatively and following HTO or *** To compare UKAs and HTOs as interventions for medial-compartment knee osteoarthritis:Examining differences in clinical outcome and investigating the relationship of joint alignment with respect to *** This longitudinal observational study assessed a total of 42 patients that had undergone UKA(n=23)and HTO(n=19)to treat medial compartment knee ***-reported outcome measures(PROMs)were collected to evaluate clinical *** included two disease-specific(Knee Injury and Osteoarthritis Outcome Score,Oxford Knee Score)and two generic(EQ-5D-5L,Short Form-12)*** radiographic parameters of knee alignment assessed were the:Hip-knee-ankle angle,mechanical axis deviation and angle of Mikulicz *** Statistical analyses demonstrated significant(P<0.001),preoperative to postoperative,improvements in the PROM scores of both *** were,however,no significant inter-group differences in the postoperative PROM scores of the UKA and HTO *** significant correlations associated a more distolaterally angled Mikulicz line with worse knee function and overall health preoperatively(P<0.05).Postoperatively,two clusters of significant correlations were observed between the disease-specific PROM scores and knee joint alignment parameters(hip-knee-ankle angle,mechanical axis deviation)within the HTO group;yet no such associations were observed within the UKA *** UKAs and HTOs are both efficacious operations that provide a comp

关键词： Arthroplasty Osteotomy Medial compartment Osteoarthritis Knee alignment Patient reported outcome measures

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Survey on digital twins for Internet of Vehicles:Fundamentals,challenges,and opportunities

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Digital Communications and Networks 2024年第2期10卷 237-247页

作者： Jiajie Guo Muhammad Bilal Yuying Qiu Cheng Qian Xiaolong Xu Kim-Kwang Raymond Choo School of Computer and Software Nanjing University of Information Science and TechnologyNanjing210044China Department of Computer Engineering Hankuk University of Foreign StudiesGyeonggi-do17035South Korea Jiangsu Hydraulic research institute Nanjing210044China Department of Information Systems and Cyber Security University of Texas at San AntonioSan AntonioTX78249-0631USA

As autonomous vehicles and the other supporting infrastructures(e.g.,smart cities and intelligent transportation systems)become more commonplace,the Internet of Vehicles(IoV)is getting increasingly *** have been attempts to utilize Digital Twins(DTs)to facilitate the design,evaluation,and deployment of IoV-based systems,for example by supporting high-fidelity modeling,real-time monitoring,and advanced predictive ***,the literature review undertaken in this paper suggests that integrating DTs into IoV-based system design and deployment remains an understudied *** addition,this paper explains how DTs can benefit IoV system designers and implementers,as well as describes several challenges and opportunities for future researchers.

关键词： Internet of vehicles Digital twin Simulation Traffic systems

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Effect of weight-adjusted antimicrobial antibiotic prophylaxis on postoperative dosage and surgical site infection incidence in total joint arthroplasty

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World Journal of Orthopedics 2024年第4期15卷 318-320页

作者： Ashim Gupta Vijay Kumar Jain Department of orthopaedics and Regenerative Medicine Future BiologicsLawrencevilleGA 30043United States Department of orthopaedics South Texas Orthopaedic Research Institute(STORI Inc.)LaredoTX 78045United States Department of Regenerative Medicine BioIntegrateLawrencevilleGA 30043United States Department of orthopaedics and Regenerative Medicine Regenerative OrthopaedicsNoida 201301India Department of orthopaedics Atal Bihari Vajpayee Institute of Medical SciencesDr Ram Manohar Lohia HospitalNew Delhi 110001India

Surgical site infections(SSI)following total joint arthroplasty pose a significant concern for both providers and patients across the ***,administration of antimicrobial antibiotic prophylaxis is used throughout the world to reduce the incidence of ***,the correct dosage and frequency of administration remains *** this editorial,we emphasized the determination of the effect of administration of weight-adjusted antimicrobial antibiotic prophylaxis regime on the incidence of SSI and postoperative dosage reduction compared to the conventionally used regime during total joint *** results demonstrated similar efficacy between both regimes with respect to the incidence of *** addition,weight-adjustment led to reduced postoperative dosage and has the potential to reduce chances of achieving lower therapeutic concentration,drug resistance,drug toxicity,and costs.

关键词： Antibiotics Antimicrobial prophylaxis Weight-adjusted Surgical site infections Total joint arthroplasty Knee arthroplasty Hip arthroplasty

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Autologous peripheral blood-derived orthobiologics:Different types and their effectiveness in managing knee osteoarthritis

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World Journal of Orthopedics 2024年第5期15卷 400-403页

Knees are the most commonly impacted weight-bearing joints in osteoarthritis(OA),affecting millions of people *** increasing life spans and obesity rates,the incidence of knee OA will further increase,leading to a significant increase in the economic *** treatment modalities utilized to manage knee OA have *** the last decade,the role of various autologous peripheral blood-derived orthobiologics(APBOs)for the treatment of knee OA has been extensively *** editorial provided an overview and focused on defining and shedding light on the current state of evidence based on the most recent published clinical studies concerning the use of APBO for the management of knee *** numerous studies have demonstrated promising results for these preparations,a notable gap exists in the comparative analysis of these diverse *** absence of head-to-head studies poses a considerable challenge for physicians/surgeons in determining the optimal preparation for managing knee OA and achieving sustained longterm ***,more adequately powered,multicenter,prospective,doubleblind,randomized controlled trials with longer follow-ups are needed to establish the long-term efficacy and to aid physicians/surgeons in determining the optimal APBO for the management of knee OA.

关键词： Knee osteoarthritis Platelet-rich plasma Platelet lysate Autologous conditioned serum Gold-induced cytokine Plasma rich in growth factors Growth factor concentrate Autologous protein solution Platelet-rich fibrin Hyperacute serum

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Exosomes derived from tumor adjacent fibroblasts efficiently target pancreatic tumors

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Acta Pharmaceutica Sinica B 2024年第7期14卷 3009-3026页

作者： Saini Setua Shabia Shabir Poornima Shaji Ana Martinez Bulnes Anupam Dhasmana Swathi Holla Nivesh K.Mittal Nirakar Sahoo Tripti Saini Francesco Giorgianni Mohammad Sikander Andrew E.Massey Bilal B.Hafeez Manish K.Tripathi Vincent P.Diego Meena Jaggi Junming Yue Nadeem Zafar Murali M.Yallapu Stephen W.Behrman Sheema Khan Subhash C.Chauhan Department of Pharmaceutical Sciences College of Pharmacyand College of MedicineUniversity of Tennessee Health Science Center(UTHSC)MemphisTN 36163USA Department of Computer Science Islamic University of Science and TechnologyAwantiporaJ&K 192122India Department of Immunology and Microbiology School of MedicineUniversity of Texas Rio Grande ValleyMcAllenTX 78504USA south texas Center of Excellence in Cancer research School of Medicinethe University of Texas Rio Grande ValleyMcAllenTX 78504USA Himalayan School of Biosciences and Cancer research institute Himalayan Institute of Medical SciencesSwami Rama Himalayan UniversityDehradun 248016India Plough Center for Sterile Drug Delivery Solutions UTHSCMemphisTN 38104USA Department of Biology College of SciencesUTRGVMcAllenTX 78539USA National institute of Biomedical Imaging and Bioengineering(NIBIB) National Institutes of HealthBethesdaMD 20892USA south texas Diabetes and Obesity institute UTRGVMcAllenTX 78504USA Dept.of Laboratory Medicine&Pathology University of WashingtonSeattleWA 98195USA Department of Surgery Baptist Memorial Medical EducationBaptist Memorial HospitalMemphisTN 38120USA Baptist Health Sciences University MemphisTN 38104USA

The application of extracellular vesicles,particularly exosomes(EXs),is rapidly expanding in the field of medicine,owing to their remarkable properties as natural carriers of biological *** study investigates utilization of exosomes derived from stromal cells of tumor adjacent normal tissues(NAF-EXs)for personalized medicine,which can be derived at the time of diagnosis by endoscopic ***,we show that exosomes(EXs)derived from NAFs demonstrate differential bio-physical characteristics,efficient cellular internalization,drug loading efficiency,pancreatic tumor targeting and delivery of ***-derived EXs(NAF-EXs)were used for loading ormeloxifene(ORM),a potent anti-cancer and desmoplasia inhibitor as a model *** found that ORM maintains normal fibroblast cell phenotype and renders them incompatible to be triggered for a CAF-like phenotype,which may be due to regulation of Ca^(2+) influx in fibroblast ***-EXs-ORM effectively blocked oncogenic signaling pathways involved in desmoplasia and epithelial mesenchymal transition(EMT)and repressed tumor growth in xenograft mouse *** conclusion,our data suggests preferential tropism of NAF-EXs for PDAC tumors,thus imply feasibility of developing a novel personalized medicine for PDAC patients using autologous NAF-EXs for improved therapeutic outcome of anti-cancer ***,it provides the opportunity of utilizing this biological scaffold for effective therapeutics in combination with standard therapeutic regimen.

关键词： Pancreatic cancer Tumor adjacent normal tissue fibroblasts(NAF) Desmoplasia Extracellular vesicles Exosomes Tumor targeting Ormeloxifene Personalized medicine

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Strategy of preparing SmCo based films with high coercivity and remanence ratio achieved by temperature and chemical optimization

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Journal of Rare Earths 2024年第7期42卷 1289-1297,I0004页

作者： Yansong Gong Zhaoguo Qiu Sizhe Liang Xinrui Zheng Hongxia Meng Zhigang Zheng Deyang Chen Shengfu Yuan Weixing Xia Dechang Zeng J.P.Liu School of Materials Science and Engineering South China University of TechnologyGuangzhou510640China Zhongshan R&D Center for Materials Surface and Thin Films Technology of the south China University of Technology Gent Materials Surface Technology(Guangdong)Co.Ltd.Zhongshan528437China institute for Advanced Materials South China Academy of Advanced OptoelectronicsSouth China Normal UniversityGuangzhou510006China Yangjiang Branch Guangdong Laboratory Materials Science and Technology Yangjiang Advanced Alloys LaboratoryYangjiang529500China Laboratory of Rare-Earth Magnetic Functional Materials Ningbo Institute of Material Technology and EngineeringChinese Academy of SciencesNingbo315201China Department of Physics University of Texas at ArlingtonArlingtonTX76019USA

SmCo based films with excellent intrinsic magnetic properties have promising applications in micro-electro-mechanical system(MEMS).However,due to the complexity of phase composition and uncontrollable crystallization degree of SmCo hard magnetic phase in the film,both the coercivity(Hc)and remanence(Mr)of films are difficult to enhance *** this paper,SmCo based films were deposited with a Cr underlayer and capping layer on single crystal Si substrates via magnetron sputtering *** effects of annealing parameters and Sm/Co atomic ratio on the phase structure and coercivity of films are *** adjusting the Sm/Co atomic ratio from 1:5 to 1:4,Co soft magnetic phase disappears and the single phase SmCo5 is obtained,leading to the increase of coercivity of the films from 30 to 34 *** influence of deposition temperature and Cu doping on magnetic properties of SmCo based films was *** the deposition temperature increases from room temperature to 250℃,the coercivity will further increase from 34 to 51 ***,a severe kink is observed in the demagnetization curves due to the poor exchanged *** analysis of transmission electron microscopy(TEM)confirms that the average size of non-hard magnetic amorphous phase exceeds the effective exchanged coupling length of SmCo5,which contributes to the decoupling and low remanence ***,doping Cu and applying a post-annealing process can significantly improve the crystallization degree of the *** the coercivity and the remanence ratio of the demagnetization curves are greatly *** propose a plausible strategy to prepare the SmCo based films with high coercivity and remanence ratio by temperature and chemical optimization,which can be utilized in high performed MEMS devices.

关键词： Rare earths SmCo based films Phase composition Crystallization conditions Coercivity Remanence ratio

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Systematic review of the efficacy of data-driven urban building energy models during extreme heat in cities:Current trends and future outlook

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Building Simulation 2024年第5期17卷 695-722页

作者： Nilabhra Mondal Prashant Anand Ansar Khan Chirag Deb David Cheong Chandra Sekhar Dev Niyogi Mattheos Santamouris Department of Architecture and Regional Planning Indian Institute of Technology KharagpurKharagpurIndia Department of Geography Lalbaba CollegeUniversity of CalcuttaKolkataIndia School of Architecture Design and PlanningThe University of SydneyAustralia Department of the Built Environment National University of SingaporeSingapore Department of Geological Sciences Jackson School of GeosciencesThe University of Texas at AustinAustinUSA DepartmentofCivil Architecturaland Environmental EngineeringThe Universityof Texas at AustinAustinUSA Faculty of Built Environment University of New South WalesAustralia

Energy demand fluctuations due to low probability high impact(LPHI)micro-climatic events such as urban heat island effect(UHI)and heatwaves,pose significant challenges for urban infrastructure,particularly within urban *** short term load forecasting(STLF)of buildings in urban micro-climatic setting(UMS)is obscured by the complex interplay of surrounding morphology,micro-climate and inter-building energy *** urban building energy modelling(UBEM)approaches to provide quantitative insights about building energy consumption often neglect the synergistic impacts of micro-climate and urban morphology in short temporal *** order modelling,unavailability of rich urban datasets such as building key performance indicators for building archetypes-characterization,limit the inter-building energy dynamics consideration into *** addition,mismatch of resolutions of spatio-temporal datasets(meso to micro scale transition),LPHI events extent prediction around UMS as well as its accurate quantitative inclusion in UBEM input organization step pose another degree of *** review aims to direct attention towards an integrated-UBEM(i-UBEM)framework to capture the building load fluctuation over multi-scale spatio–temporal *** highlights usage of emerging data-driven hybrid approaches,after systematically analysing developments and limitations of recent physical,data-driven artificial intelligence and machine learning(AI-ML)based modelling *** also discusses the potential integration of google earth engine(GEE)-cloud computing platform in UBEM input organization step to(i)map the land surface temperature(LST)data(quantitative attribute implying LPHI event occurrence),(ii)manage and pre-process high-resolution spatio-temporal UBEM *** the potential of digital twin,central structed data models to integrate along UBEM workflow to reduce uncertainties related to building archetype characterizat

关键词： urban heat island(UHI) urbanmicro-climate urban morphology urban building energy modelling(UBEM) digitaltwin shorttermload forecasting(STLF) googleearthengine(GEE)

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Efficacy of stromal vascular fraction for knee osteoarthritis:A prospective,single-centre,non-randomized study with 2 years follow-up

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World Journal of Orthopedics 2024年第5期15卷 457-468页

作者： Madhan Jeyaraman Naveen Jeyaraman Tarun Jayakumar Swaminathan Ramasubramanian Rajni Ranjan Saurabh Kumar Jha Ashim Gupta Department of orthopaedics ACS Medical College and HospitalDr MGR Educational and Research InstituteChennaiTamil Nadu 600077India Department of Biotechnology School of Engineering and TechnologySharda UniversityGreater NoidaUttar Pradesh 201310India Department of orthopaedics and Regenerative Medicine South Texas Orthopaedic Research InstituteLaredoTX 78045United States Department of orthopaedics KIMS-Sunshine HospitalHyderabadTelangana 500032India Department of orthopaedics Government Medical CollegeOmandurar Government EstateChennaiTamil Nadu 600002India Department of orthopaedics School of Medical Sciences and ResearchSharda UniversityGreater NoidaUttar Pradesh 201306India Department of Zoology Kalindi CollegeUniversity of DelhiNew Delhi 110008India Department of orthopaedics and Regenerative Medicine Regenerative OrthopaedicsNoida 201301Uttar PradeshIndia Department of orthopaedics and Regenerative Medicine Future BiologicsLawrencevilleGA 30043United States Department of orthopaedics and Regenerative Medicine BioIntegrateLawrencevilleGA 30043United States

BACKGROUND Current osteoarthritis(OA)treatments focus on symptom relief without addressing the underlying disease *** regenerative medicine,current treatments have *** regenerative medicine,more research is needed for intra-articular stromal vascular fraction(SVF)injections in OA,including dosage optimization,long-term efficacy,safety,comparisons with other treatments,and mechanism *** To compare the efficacy of intra-articular SVF with corticosteroid(ICS)injections in patients with primary knee *** The study included 50 patients with Kellgren-Lawrence grades II and III *** were randomly assigned(1:1)to receive either a single intra-articular SVF injection(group A)or a single intra-articular ICS(triamcinolone)(group B)*** were followed up at 1,3,6,12,and 24 *** analog score(VAS)and International Knee Documentation Committee(IKDC)scores were administered before the procedure and at all *** safety of SVF in terms of adverse and severe adverse events was *** analysis was performed with SPSS Version 26.0,IBM Corp,Chicago,IL,United *** Both groups had similar demographics and baseline clinical ***-up showed minor patient loss,resulting in 23 and 24 in groups A and B *** A experienced a notable reduction in pain,with VAS scores decreasing from 7.7 to 2.4 over 24 months,compared to a minor reduction from 7.8 to 6.2 in Group *** difference in pain reduction in group A was statistically significant from the third month ***,Group A showed significant improvements in knee functionality,with IKDC scores rising from 33.4 to 83.10,whereas Group B saw a modest increase from 36.7 to *** improvement in Group A was statistically significant from 6 months and maintained through 24 *** Our study demonstrated that intra-articular administration of SVF can lead to reduced pain and improved knee function in pa

关键词： Knee osteoarthritis Adipose tissue Stromal vascular fraction Regenerative medicine Orthobiologics

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Network traffic classification:Techniques,datasets,and challenges

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Digital Communications and Networks 2024年第3期10卷 676-692页

作者： Ahmad Azab Mahmoud Khasawneh Saed Alrabaee Kim-Kwang Raymond Choo Maysa Sarsour College of Information Technology and Systems Victorian Institute of TechnologyAustralia College of Engineering Al Ain UniversityAbu DhabiUnited Arab Emirates Information Systems and Security College of ITUnited Arab Emirates UniversityAl Ain15551United Arab Emirates Department of Information Systems and Cyber Security University of Texas at San AntonioSan AntonioTX78260USA School of Photovoltaic and Renewable Energy Engineering University of New South WalesSydneyNSW2052Australia

In network traffic classification,it is important to understand the correlation between network traffic and its causal application,protocol,or service group,for example,in facilitating lawful interception,ensuring the quality of service,preventing application choke points,and facilitating malicious behavior *** this paper,we review existing network classification techniques,such as port-based identification and those based on deep packet inspection,statistical features in conjunction with machine learning,and deep learning *** also explain the implementations,advantages,and limitations associated with these *** review also extends to publicly available datasets used in the ***,we discuss existing and emerging challenges,as well as future research directions.

关键词： Network classification Machine learning Deep learning Deep packet inspection Traffic monitoring

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Anterior cruciate ligament reconstruction:Effect of graft tunnel position on early to mid-term clinical outcomes

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World Journal of Orthopedics 2024年第8期15卷 744-753页

作者： Oliver Mann Oday Al-Dadah The Medical School Newcastle UniversityNewcastle upon Tyne NE24HHUnited Kingdom Translational and Clinical research institute Faculty of Medical SciencesNewcastle UniversityNewcastle upon Tyne NE24HHUnited Kingdom Department of Trauma and orthopaedic Surgery South Tyneside District HospitalHarton LaneSouth Tyneside NE340PLUnited Kingdom

BACKGROUND Patient reported outcome measures(PROMs)can be used to assess knee function following anterior cruciate ligament(ACL)***-operatively,femoral and tibial tunnels are created to accommodate the new ACL *** is postulated that there is an optimum position and orientation of these tunnels and that outcomes from this procedure are affected by their *** To evaluate the influence of graft tunnel position on early to mid-term clinical outcomes following ACL *** Six PROMs were collected following ACL reconstruction which included the Knee Injury and Osteoarthritis Outcome Score(KOOS),International Knee Documentation Committee,Lysholm,Tegner,EuroQol-5 Dimension-5 level,and Short Form 12-item Health Survey.A total of 8 radiological parameters were measured from post-operative X-rays relating to graft tunnel *** data was analysed to assess for any correlations between graft tunnel position and postoperative *** A total of 87 patients were included in the study with a mean post-operative follow-up of 2.3 years(range 1 to 7 years).Posterior position of tibial tunnel was associated with improved KOOS quality of life(rho=0.43,P=0.002)and EQ-5D VAS(rho=0.36,P=0.010).Anterior position of EndoButton femoral tunnel was associated with an improved EQ-5D index(rho=-0.38,P=0.028).There were no other significant correlations between any of the other radiological parameters and PROM *** Overall,graft tunnel position had very little correlation with clinical outcomes following ACL reconstruction.A few(posterior)tibial tunnel and(anterior)EndoButton femoral tunnel measurements were associated with better PROMs.

关键词： Anterior cruciate ligament Reconstruction Patient reported outcome measures Graft tunnel X-ray Correlation

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