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Traffic injury data, policy, and public health: lessons from Boston Chinatown.

We note that long-standing land use and transportation policy are critical factors in creating traffic conditions and will have to play a role in reducing injuries. We present the historical progression of events that created current traffic conditions in Boston Chinatown and an analysis of traffic-related injuries at the community level for the years 1996-1998. Injuries were found to be as likely on weekends as on weekdays and frequently occurred late at night. Nighttime occupant injuries were found to be more likely on Friday, Saturday, and Sunday nights (relative risk = 2.26; confidence interval = 1.35-3.78, P =.0014). Injuries varied significantly by location for occupant (P = <.001) and for pedestrian injuries (P =.039). There were no peaks of injuries at traditionally defined commuter hours, which have been the standard time for assessing "worst case" traffic impacts by developers and government agencies. There was, however, a strong association between injuries and vehicle volume at 9 intersections with simple configurations for AM and PM commuter hours (R(2) = 0.589, P =.010), resulting in a calculated increase of 3-5 injuries per year for each increase of 1,000 vehicles. There was no such association at 10 intersections with complex configurations (R(2) = 0.104, P =.397). The 24-hour weekend patterns of vehicle volumes showed that traffic abated only between 3 and 7 AM, and the patterns appeared qualitatively to mirror the 24-hour pattern of injuries, suggesting that they were also indicative of injury risk. We suggest that there is a need for both long-term changes in policy and more immediate interventions. We also conclude that researchers should be cautious about assuming that traffic patterns conform to naive expectations such as rush hour peaks.

Accidents, Traffic↗

MASKER: improved solvent-excluded molecular surface area estimations using Boolean masks.

A fast algorithm for computing the solvent-accessible molecular surface area (SAS) using Boolean masks [Le Grand,S.M. and Merz,K.M.J. (1993). J. Comput. Chem., 14, 349-352) has been modified to estimate the solvent-excluded molecular surface area (SES), including contact, toroidal and re-entrant surface components. Numerical estimates of arc lengths of intersecting atomic SAS are used to estimate the toroidal surface and intersections between those arcs are used to estimate the re-entrant surface area. The new method is compared with an exact analytical method. Boolean molecular surface areas are continuous and pairwise differentiable and should be useful for molecular dynamics simulations, especially as the basis for an implicit solvent model.

Algorithms↗

Portal triad clamping or hepatic vascular exclusion for major liver resection. A controlled study.

OBJECTIVE: The authors compared operative course of patients undergoing major liver resections under portal triad clamping (PTC) or under hepatic vascular exclusion (HVE). SUMMARY BACKGROUND DATA: Reduced blood loss during liver resection is achieved by PTC or HVE. Specific complications and postoperative hepatocellular injury mediated with two procedures have not been compared. METHODS: Fifty-two noncirrhotic patients undergoing major liver resections were included in a prospective randomized study comparing both the intraoperative and postoperative courses under PTC (n = 24) or under HVE (n = 28). RESULTS: The two groups were similar at entry, but eight patients were crossed over to the other group during resection. In the HVE group, hemodynamic intolerance occurred in four (14%) patients. In the PTC group, pedicular clamping was not efficient in four patients, including three with involvement of the cavohepatic intersection and one with persistent bleeding due to tricuspid insufficiency. Intraoperative blood losses and postoperative enzyme level reflecting hepatocellular injury were similar in the two groups. Mean operative duration and mean clampage duration were significantly increased after HVE. Postoperative abdominal collections and pulmonary complications were 2.5-fold higher after HVE but without statistical significance, whereas the mean length of postoperative hospital stay was longer after HVE. CONCLUSIONS: This study shows that both methods of vascular occlusion are equally effective in reducing blood loss in major liver resections. The HVE is associated with unpredictable hemodynamic intolerance, increased postoperative complications with a longer hospital stay, and should be restricted to lesions involving the cavo-hepatic intersection.

Adolescent↗

Automated knowledge-guided segmentation of colonic walls for computerized detection of polyps in CT colonography.

PURPOSE: We have developed a novel automated technique for segmenting colonic walls for the application of computer-aided polyp detection in CT colonography. In particular, the technique was designed to minimize the presence of extracolonic components, such as small bowel, in the segmented colon. METHODS: The segmentation technique combines an improved version of our previously reported anatomy-oriented colon segmentation technique with a colon-based analysis step that performs self-adjusting volume-growing within the colonic lumen. Extracolonic components are eliminated by intersecting of the resulting two segmentations, so that the colonic walls remain in the intersection. The technique was evaluated on 88 CT colonography datasets. The colon segmentations were evaluated subjectively by four radiologists, as well as objectively by performance of an automated polyp detection on the segmentation. For comparison, the tests were also performed for the anatomy-oriented colon segmentation technique. RESULTS: On average, the technique covered 98% of the visible colonic walls. Approximately 50% of the extracolonic components remaining in the anatomy-oriented segmentation were removed, but 10-15% of the segmentation still contained extracolonic components. The dataset-based false-positive rate of the automated polyp detection was improved by 10% without compromising the 100% case-based sensitivity, and the case-based false-positive rate was improved by 15% over the previous false-positive rate. CONCLUSIONS: The technique segments practically all of the colonic walls in the region of diagnostic quality with a large reduction in the amount of extracolonic components over our previously used technique. The new segmentation improves the specificity of our computer-aided polyp detection scheme significantly without any degradation in detection sensitivity.

Artificial Intelligence↗

A controlled quantitative study of facial expression in Parkinson's disease and depression.

A microcomputer-based approach to the quantification of facial expression was used to measure and compare the smiling behavior of a group of Parkinson's disease sufferers, a group of patients with major depression, and a control group of comparable age. Subjects were asked to view a series of amusing slides and their expressions were recorded. The most animated smile for each subject was chosen for analysis and scores on 12 computer-generated measures were obtained using the Facial Expression Measurement program. These measures are end-lip measure, mouth width measure, mouth-opening measure, mid-top measure, mid-lower lip measure, top lip-thickness measure, lower lip-thickness measure, eye-opening measure, top eyelid/iris intersect measure, lower eyelid/iris intersect measure, inner eyebrow measure, and mid-eyebrow measure. The depressed group differed significantly from the other groups, with higher scores on end-lip measure, mid-top lip measure, and mid-eyebrow measure. All subjects completed the Levine-Pilowsky Depression Questionnaire. The depressed patients obtained higher depression scores than the parkinsonian group, who in turn had significantly higher depression scores than the control group. The depression score was correlated with end-lip measure, mouth width measure, mid-top lip measure, eye-opening measure, and mid-eyebrow measure in the population as a whole. A significant negative correlation emerged between the depression score and mid-eyebrow measure in the depressed group. Both the depressed group and the parkinsonian group were found to smile significantly less often during the slide session when compared with the control group. These results are discussed in the light of earlier findings.

Affect↗

Apparent path of a Pulfrich target as a function of the slope of its plane of motion: a theoretical note.

A theoretical equation is derived to predict the apparent path of a Pulfrich target moving with constant velocity in a plane that intersects the pupillary plane of an observer. Generally, the predicted apparent path is a hyperbola. However, if the angle between the two planes is zero, or they intersect at a pupillary center, then the predicted apparent path is a line. Other theoretical equations are derived that describe the apparent size and orientation of a line target that is parallel to the pupillary plane and receding from the observer.

Depth Perception↗

Reliability of centroid, Cobb, and Harrison posterior tangent methods: which to choose for analysis of thoracic kyphosis.

STUDY DESIGN: Thirty lateral thoracic radiographs were digitized twice by each of the three examiners. OBJECTIVES: To determine the reliability of the centroid, Cobb, and Harrison posterior tangent methods when applied to analysis of thoracic kyphosis. BACKGROUND DATA: Reliability studies on measurements of thoracic kyphosis are rare. METHODS: Blind, repeated-measures design was used. Thirty lateral thoracic radiographs were digitized twice by each of three examiners. To evaluate reliability of determining global and segmental alignment, vertebral bodies of T1-T12 were digitized. Centroids at the intersection of vertebral body diagonals and tangents to posterior vertebral bodies were constructed by computer. Also the computer constructed global and segmental centroid angles, Cobb angles (two-line method), and posterior tangent intersection angles from T1 to T12. Interclass and Intraclass correlation coefficients for these data were calculated and interpreted. RESULTS: From the points selected by examiners, all three methods have similar high ICC values for the global angles (> 0.94). For the segmental angles, the interobserver and intraobserver reliability is also very similar for all three methods, with ICCs in the good and excellent ranges (0.59-0.75 and 0.75-1.0, respectively). The mean absolute differences of observers' measurements are low, similar, and in the range of 0.9 degrees to 2.5 degrees. CONCLUSIONS: The centroid, two-line Cobb, and Harrison posterior tangent methods, when applied to measurements of kyphosis, are all reliable and have similar small error ranges. The centroid method does not give an accurate segmental analysis, uses more points and more time in clinical applications, and results in smaller angles of total kyphosis than the Cobb or posterior tangent methods. The posterior tangents are the slopes along the curve.

Humans↗

Correlation of radiographic, clinical, and patient assessment of shoulder balance following fusion versus nonfusion of the proximal thoracic curve in adolescent idiopathic scoliosis.

STUDY DESIGN: Retrospective clinical, radiographic, and patient outcome review of surgically treated adolescent idiopathic scoliosis. OBJECTIVES: To correlate radiographic and clinical features of shoulder balance and the proximal thoracic curve with patient satisfaction outcomes at a minimum 2-year follow-up. SUMMARY OF BACKGROUND DATA: Traditionally, radiographic features of a structural proximal thoracic curve have been T1 tilt, proximal thoracic Cobb angle, and proximal thoracic side-bending Cobb; however, these do not always correlate with clinical shoulder balance. METHODS: A total of 112 patients (single surgeon) with adolescent idiopathic scoliosis and a proximal thoracic curve >or=20 degrees (average 32 degrees, range 20-78 degrees) were evaluated in terms of shoulder balance and curve flexibility/correction. Four groups were analyzed: Group 1, posterior spinal fusion to T2 (proximal thoracic curve included, n = 24); Group 2, posterior spinal fusion to T3 (proximal thoracic curve partially included, n = 23); Group 3, posterior spinal fusion to T4 or T5 (proximal thoracic curve not included, n = 21); and Group 4, anterior spinal fusion to T4 or below (proximal thoracic not included, n = 44). Proximal thoracic, main thoracic, and thoracolumbar-lumbar upright coronal, side-bending, and sagittal Cobb measurements were assessed before surgery, 1 week after surgery, and at a minimum 2-year postoperative follow-up (average 3.8 years, range 2.0-7.6 years). In addition to T1 tilt, clavicle angle (intersection of a horizontal line and the tangential line connecting the highest two points of each clavicle), coracoid height difference, trapezius length (horizontal distance of the T2 pedicle to second rib-clavicle intersection), first rib-clavicle height difference (vertical distance of first rib apex to superior clavicle), and proximal thoracic, main thoracic, and thoracolumbar-lumbar apical vertical translation were determined. Shoulder asymmetry as measured by the radiographic soft tissue shadow was graded as balanced (<1 cm), slight (1-2 cm), moderate (2-3 cm), or significant (>3 cm). A postoperative patient questionnaire addressed shoulder balance and overall appearance at most recent follow-up. RESULTS: The four groups were found to be statistically equivalent in terms of preoperative proximal thoracic curve (P = 0.4146), proximal thoracic side-bending Cobb (P = 0.2199), main thoracic curve (P = 0.6999), and main thoracic side-bending curves (P = 0.7307). Radiographic: Preoperative proximal thoracic measurements correlating with postoperative shoulder balance (P < 0.05) included the clavicle angle (three of four groups with a trend toward statistical significance in the fourth group, P = 0.07) and coracoid height (two of four groups). No other measurement, including T1 tilt and proximal thoracic side-bending Cobb, correlated in more than one group. Proximal thoracic curve correction was greatest in Group 1 (posterior spinal fusion to T2; average 12 degrees) and Group 4 (anterior spinal fusion to T4 or below; average 12 degrees). Clinical: Shoulder balance improved in all four groups (range 0.38-1.00 grades). There was no difference in shoulder balance between groups (P = 0.2723). Patient assessment: All four groups also reported improvement in self-perceived shoulder balance (63% up to one grade, 37% over two-grade improvement), whereas no patient reported worsening of shoulder balance. There was no significant difference in patient outcomes between the four groups (P = 0.3654). CONCLUSION: The clavicle angle, not T1 tilt, upright proximal thoracic, or side-bending proximal thoracic Cobb, provided the best preoperative radiographic prediction of postoperative shoulder balance. In each of the four groups, postoperative shoulder balance and clinical appearance also improved and correlated with patient postoperative assessments.

Adolescent↗

Surface landmarks to locate the thenar branch of the median nerve: an anatomical study.

The thenar branch of the median nerve can be injured during carpal tunnel release. The purpose of this study was to identify surface landmarks to consistently predict the location of the thenar branch of the median nerve. Surface landmarks were marked and incised in 28 cadaveric hands. The incisions were made along the longitudinal line of the third web space and the horizontal cardinal line from the hamate hook to the ulnar border of the thumb. The origin of the thenar branch was determined in relation to these longitudinal and horizontal vectors. The origin of the thenar nerve branch was consistently observed in the radial proximal quadrant formed by the aforementioned longitudinal and horizontal vectors. The thenar branch origin was observed to be an average of 8.6 +/- 1.9 mm radial to the longitudinal axis along the third web space. The origin of the thenar branch was observed to be an average of 6.3 +/- 2.0 mm proximal to the horizontal axis between the hamate hook and the ulnar border of the thumb. The thenar branch was observed precisely at the intersection of the longitudinal vector from the second web space to the scaphoid tubercle and the horizontal vector from the hamate hook to the radial edge of the proximal metacarpophalangeal crease in all 28 cadaveric hands. On the basis of these 28 cadaveric dissections, the location of the thenar branch of the median nerve can be predicted by the intersection of the longitudinal vector from the second web space to the scaphoid tubercle and the horizontal vector from the hamate hook to the radial aspect of the metacarpophalangeal crease.

Carpal Bones↗

Assessing relative risks of infection and rejection: a meta-analysis using an immune function assay.

BACKGROUND: Long-term use of immunosuppressants is associated with significant morbidity and mortality in transplant recipients. A simple whole blood assay that has U.S. Food and Drug Administration clearance directly assesses the net state of immune function of allograft recipients for better individualization of therapy. A meta-analysis of 504 solid organ transplant recipients (heart, kidney, kidney-pancreas, liver and small bowel) from 10 U.S. centers was performed using the Cylex ImmuKnow assay. METHODS: Blood samples were taken from recipients at various times posttransplant and compared with clinical course (stable, rejection, infection). In this analysis, 39 biopsy-proven cellular rejections and 66 diagnosed infections occurred. Odds ratios of infection or rejection were calculated based on measured immune response values. RESULTS: A recipient with an immune response value of 25 ng/ml adenosine triphosphate (ATP) was 12 times (95% confidence of 4 to 36) more likely to develop an infection than a recipient with a stronger immune response. Similarly, a recipient with an immune response of 700 ng/ml ATP was 30 times (95% confidence of 8 to 112) more likely to develop a cellular rejection than a recipient with a lower immune response value. Of note is the intersection of odds ratio curves for infection and rejection in the moderate immune response zone (280 ng/ml ATP). This intersection of risk curves provides an immunological target of immune function for solid organ recipients. CONCLUSION: These data show that the Cylex ImmuKnow assay has a high negative predictive value and provides a target immunological response zone for minimizing risk and managing patients to stability.

Graft Rejection↗

Four radiological measures to estimate shoulder balance in scoliosis.

We studied four indirect radiological measures of shoulder balance, their correlation with true shoulder balance, and measurement error of each method. Thirty-three consecutive patients with idiopathic scoliosis requiring surgical treatment were selected. Actual shoulder level was determined from a line in the top margin of the acromion clearly visualized in the wide chart. Indirect references used to assess shoulder balance were tilting of cephalic end-plate of T1, inclination of a line through superior border of both first ribs, the level of top margin of coracoid processes, and the level of two specific points where the clavicle intersects the rib cage. All radiographs were assessed by three independent observers. Correlation coefficients between each measurement and true shoulder level were 0.54 for T1 tilting (p = 0.001), 0.63 for first rib inclination (p < 0.001), 0.96 for coracoid process (p = 0.0001), and 0.93 for clavicle-rib cage intersection (p = 0.0001).

Adolescent↗

Network pharmacology and molecular docking to explore the active compounds and mechanisms of Jerusalem artichoke for treating diabetes.

The effective components and mechanism of Jerusalem artichokes (JAs) in lowering blood glucose were studied through network pharmacology and molecular docking. The active compounds of Jerusalem artichoke were obtained by referring to the literature, and the active compounds were screened. The targets were predicted by the SwissTargetPrediction database, and the disease targets were screened using GeneCard, Disgenet, and OMIM databases. The protein-protein interaction (PPI) network diagram was constructed using the STRING database, and the intersection target was analyzed by gene ontology (GO) biological function and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analyses using the David database. Finally, molecular docking was verified using AutoDockTools1.5.7 software. After screening, 412 gene targets, 476 disease targets, and 64 intersection targets were identified. The results of GO biological function analysis and KEGG pathway analysis showed that the technology was involved in multiple biological processes and regulatory pathways for hypoglycemia, such as the HIF-1, PI3K-Akt, and AMPK signaling pathways. Molecular docking results showed that Jasmonate, Liquiritigenin and Inulin of JAs had strong binding effects with PPARG and STAT3. JAs exert hypoglycemic effects through multi-component, multi-target and multi-pathway. In summary, this study investigated the hypoglycemic mechanism of JAs using network pharmacology and molecular interconnection technology, and concluded that JAs exert hypoglycemic effects through multiple components, targets, and pathways, which provides a theoretical basis for the study of JAs.

Molecular Docking Simulation↗

Molecular mechanism of HaiZao-YuHu decoction in breast cancer treatment via network pharmacology and molecular docking: Computational pharmacology.

BACKGROUND: The molecular biological mechanisms of HaiZao-YuHu decoction were investigated using network pharmacology and molecular docking. METHODS: TCMSP database was used to collect the active ingredients and action targets of HaiZao-YuHu decoction, through the OMIM, PharmGkb, GeneCards, TDD, and DurgBank database query targets for breast cancer. Then, using the intersecting targets, the protein-protein interaction network of HaiZao-YuHu decoction was constructed using the STRING website. Network topology analysis was performed using Cytoscape 3.9.0 to identify the core targets. Gene ontology and Kyoto Encyclopedia of Genes and Genomes enrichment analyses were performed with the R package. The Autodock software was used for molecular docking. RESULTS: Thirty-four active ingredients, 219 intersection targets and 4 key targets were obtained. gene ontology and Kyoto Encyclopedia of Genes and Genomes enrichment analysis get 2152 biological processes and 186 pathways. Molecular docking showed that the 4 core targets could combine well with the 5 main active components. CONCLUSION: HaiZao-YuHu decoction can play a role in the treatment of breast cancer through multi-targets, multi-components, and multi-pathways.

Molecular Docking Simulation↗

The myth of dorsal ribs in gnathostome vertebrates.

Traditionally, two types of rib are distinguished in gnathostomes: dorsal (upper) and ventral (lower, pleural) ribs. They are defined according to their position in the connective tissue system of the body: dorsal ribs develop at the intersection of the serially arranged myosepta with the horizontal septum that separates epaxial from hypaxial musculature, whereas ventral ribs develop at the intersection of myosepta with the peritoneum and usually encircle the body cavity. Distribution of rib types among gnathostomes has traditionally been reported as follows: elasmobranchs have dorsal ribs; all Actinopterygii have only ventral ribs with the exception of polypterids, and two subgroups of teleosts, which supposedly also have dorsal ribs; within Sarcopterygii tetrapods have dorsal ribs, whereas dipnoans have ventral ribs. Here, we report the development of ribs in polypterids, a taxon playing a crucial role in discussions on rib homology. We demonstrate that putative dorsal ribs of polypterids have a unique ontogeny and represent an autapomorphy of this taxon. We discuss previous hypotheses of rib homology and offer a more plausible (i.e. more parsimonious) alternative to the conventional interpretation. We conclude that dorsal ribs do not exist and that ribs of gnathostomes are ventral ribs.

Animals↗

Whole genome shotgun sequencing of Brassica oleracea and its application to gene discovery and annotation in Arabidopsis.

Through comparative studies of the model organism Arabidopsis thaliana and its close relative Brassica oleracea, we have identified conserved regions that represent potentially functional sequences overlooked by previous Arabidopsis genome annotation methods. A total of 454,274 whole genome shotgun sequences covering 283 Mb (0.44 x) of the estimated 650 Mb Brassica genome were searched against the Arabidopsis genome, and conserved Arabidopsis genome sequences (CAGSs) were identified. Of these 229,735 conserved regions, 167,357 fell within or intersected existing gene models, while 60,378 were located in previously unannotated regions. After removal of sequences matching known proteins, CAGSs that were close to one another were chained together as potentially comprising portions of the same functional unit. This resulted in 27,347 chains of which 15,686 were sufficiently distant from existing gene annotations to be considered a novel conserved unit. Of 192 conserved regions examined, 58 were found to be expressed in our cDNA populations. Rapid amplification of cDNA ends (RACE) was used to obtain potentially full-length transcripts from these 58 regions. The resulting sequences led to the creation of 21 gene models at 17 new Arabidopsis loci and the addition of splice variants or updates to another 19 gene structures. In addition, CAGSs overlapping already annotated genes in Arabidopsis can provide guidance for manual improvement of existing gene models. Published genome-wide expression data based on whole genome tiling arrays and massively parallel signature sequencing were overlaid on the Brassica-Arabidopsis conserved sequences, and 1399 regions of intersection were identified. Collectively our results and these data sets suggest that several thousand new Arabidopsis genes remain to be identified and annotated.

Arabidopsis↗

Spheres and prolate and oblate ellipsoids from an analytical solution of the spontaneous-curvature fluid-membrane model.

An analytic solution for the Helfrich spontaneous curvature membrane model [H. Naito, M.Okuda, and Ou-Yang Zhong-Can, Phys. Rev. E 48, 2304 (1993); 54, 2816 (1996)], which has the conspicuous feature of representing a circular biconcave shape, is studied. Results show that the solution in fact describes a family of shapes, which can be classified as (i) a flat plane (trivial case), (ii) a sphere, (iii) a prolate ellipsoid, (iv) a capped cylinder, (v) an oblate ellipsoid, (vi) a circular biconcave shape, (vii) a self-intersecting inverted circular biconcave shape, and (viii) a self-intersecting nodoidlike cylinder. Among the closed shapes (ii)-(vii), a circular biconcave shape is the one with a minimum of local curvature energy.

Biophysical Phenomena↗

Semiclassical interaction of moving two-level atoms with a cavity field: from integrability to Hamiltonian chaos.

The dynamics of an ensemble of two-level atoms moving through a single-mode lossless cavity is investigated in the semiclassical and rotating-wave approximations. The dynamical system for the expectation values of the atomic and field observables is considered as a perturbation to one of the following integrable versions: (i) a model with atoms moving through a spatially inhomogeneous resonant field, and (ii) a model with atoms interacting with a nonresonant eigenmode which is assumed to be homogeneous on the cavity size. We find the general exact solutions for both the models and show that they contain special solutions describing a coherent effect of population and radiation trapping. Using the Melnikov method, we prove analytically transverse intersections of stable and unstable manifolds of a hyperbolic fixed point under a small modulation of the vacuum Rabi frequency. These intersections are believed to provide the Smale horseshoe mechanism of Hamiltonian chaos. The analytical results are accompanied with direct computation of topographical maps of maximal Lyapunov exponents that give a representative image of regularity and chaos in the atom-field system in different ranges of its control parameters--the frequency detuning, the number, and the velocity of atoms.

Journal Article↗

Optimizing traffic lights in a cellular automaton model for city traffic.

We study the impact of global traffic light control strategies in a recently proposed cellular automaton model for vehicular traffic in city networks. The model combines basic ideas of the Biham-Middleton-Levine model for city traffic and the Nagel-Schreckenberg model for highway traffic. The city network has a simple square lattice geometry. All streets and intersections are treated equally, i.e., there are no dominant streets. Starting from a simple synchronized strategy, we show that the capacity of the network strongly depends on the cycle times of the traffic lights. Moreover, we point out that the optimal time periods are determined by the geometric characteristics of the network, i.e., the distance between the intersections. In the case of synchronized traffic lights, the derivation of the optimal cycle times in the network can be reduced to a simpler problem, the flow optimization of a single street with one traffic light operating as a bottleneck. In order to obtain an enhanced throughput in the model, improved global strategies are tested, e.g., green wave and random switching strategies, which lead to surprising results.

Journal Article↗