The amount of time we spend online has been increasing dramatically, influencing our daily travel and activity patterns. However, empirical studies on changes in the extent to which the amount of time spent online are related to changes in our activity and travel patterns are scarce, mainly due to a lack of available longitudinal or quasi-longitudinal data. This paper explores how the relationships between the time spent using the Internet, and the time spent on non-mandatory maintenance and leisure activities, have evolved over a decade. Maintenance activities include out-of-home activities such as shopping, banking, and doctor visits, while leisure activities include entertainment activities, visiting friends, sporting activities, and so forth. Our approach uses two datasets from two major cross-sectional surveys in Scotland, i.e. the 2005/06 Scottish Household Survey (SHS) and the 2015 Integrated Multimedia City Data (iMCD) Survey, which were similarly structured and formed. The multiple discrete–continuous extreme value (MDCEV) model and difference-in-differences (DD) estimation are applied and integrated to examine how the relationships between the time spent on the Internet and travel have changed over time and the direction and magnitude of the changes. Our findings suggest that the complementary associations between Internet use and individuals’ non-mandatory activity-travel time use are diminishing over time, whereas their substitutive associations are increasing. We additionally find that such temporal changes are significant in the case of those who spent moderate to high levels of time on the Internet (5 h or more online) per week.
To evaluate the clinical outcome, effectiveness and safety of the surgical management of traumatic lumbar spondylolisthesis
with transforaminal lumbar interbody fusion (TLIF) with short segmental instrumentation fixation. A retrospective review of
a consecutive series of 24 patients with traumatic lumbar spondylolisthesis treated with TLIF procedure was carried out. Intraoperative
spinal cord monitoring was used to confirm the peripheral neural function intact during the reduction of the spondylolisthesis.
Preoperative clinical and radiographic evaluation of all cases were originally collected prospectively. Data regarding blood
loss, operative time, duration of hospital stay, radiographic fusion, instrumentation failure and clinical result were collected
and observed at regular follow-up periods. All patients were engaged in high-energy accidents in the lower back and 16 patients
had concomitant injuries. The mean operative time was 124 min, mean blood loss was 350 mL, and mean hospital stay was 6.5
days. There were no complications such as incision infection, cerebrospinal fluide (CSF) leakage and nerve root injury and
so on. All patients demonstrated a solid lumbar interbody fusion within 4 months, and no evidence of spondylolisthesis correction
loss, instrumentation failure and loosing. They all were completely asymptomatic, with normal neurologic findings, and had
resumed their previous level of physical activities on the final follow-up. Meticulous clinical examination and careful imaging
assessment could assist an early diagonosis in cases of traumatic lumbar spondylolisthesis. Performing open reduction and
the TLIF procedure as soon as possible could restore segmental stability and painless function. The TLIF procedure was a safe,
effective technique to treat traumatic lumbar spondylolisthesis. 相似文献
