bluuebunny/crossref_metadata_2025 huggingface dataset:
Can lifestyle interventions improve Canadian men’s mental health? Outcomes from the HAT TRICK programme
Authors: Sharp Paul , Stolp Sean , Bottorff Joan L , Oliffe John L , Hunt Kate , Caperchione Cristina M
Published: October 2020

Engaging men in mental health promotion can be difficult because of reticence about help-seeking, especially for gender neutral programmes. Developments in men’s health research has pointed to the success of gender-sensitized programmes to increase men’s engagement in healthy lifestyle interventions targeting physical activity and healthy eating; however, less is known about the impact of these interventions on men’s mental health. This study explored changes to men’s depression risk and health-related quality of life at post-intervention (12 weeks) and 9-month follow-up, after participating in HAT TRICK, a gender-sensitized lifestyle intervention for overweight men. Participants completed validated self-report measures of mental health at baseline, post-intervention (12 weeks) and 9-month follow-up. Men’s scores on the Male Depression Risk Scale (MDRS) and the SF-12 questionnaire, including physical health (PH12) and mental health (MH12) composite scores, were analyzed using mixed linear models to assess linear trends. At baseline, men (N = 62) had a mean age of 50.98 (SD = 10.09) years and BMI of 35.87 (SD = 5.51) kg/m2. Results show that both the MDRS and the MH12 showed improvements in participants’ mental health, with significant linear trends (p = 0.003; p = 0.003) qualified with significant quadratic trends over time (p = 0.02; p = 0.03). There were no significant changes in the PH12 over time. Gender-sensitized programmes for overweight men, such as HAT TRICK, are a promising approach to positively influence components of men’s mental health, with the potential for sustained improvements over the long term.
Characteristics and long-term outcomes of aortico-left ventricular tunnel
Authors: Sun Jing , Qi Hongxia , Lin Hongyuan , Kang Wenying , Li Shoujun , Guo Hongwei , Qian Xiangyang
Published: October 2020

OBJECTIVES

Aortico-left ventricular tunnel (ALVT) is an extremely rare, abnormal paravalvular communication between the aorta and the left ventricle. Few studies have identified the characteristics and long-term prognosis associated with ALVT.

METHODS

The data of 31 patients with ALVT from July 2002 to December 2019 were reviewed. Echocardiography was performed in all patients during the follow-up period.

RESULTS

The median age of the patients was 11.5 years. Bicuspid aortic valve and dilatation of the ascending aorta were found in 13 patients, respectively. The aortic orifice in 20 patients showed a close relation to the right sinus and the right–left commissure. Of the 31 patients, 26 were operated on. Mechanical valve replacement was performed in 4 patients and aortic valve repair, in 6 patients. Ascending aortoplasty was performed in 5 patients and aortic replacement was done in 2 patients. One patient died of ventricular fibrillation before the operation. Follow-up of the remaining 30 patients ranged from 1 to 210 months (median 64 months). There were 4 deaths during the follow-up period: 1 had mechanical valve replacement and 3 did not undergo surgical repair. In the 26 patients without aortic valve replacement, 6 had severe regurgitation and 2 had moderate regurgitation. In the 28 patients without replacement of the ascending aorta, 11 had continued dilatation of the ascending aorta, including those who had aortoplasty.

CONCLUSIONS

The aortic orifice of ALVT showed an association with the right sinus and the right–left commissure. For patients who did not have surgery, the long-term survival rate remained terrible. Surgical closure should be done as soon as possible after ALVT is diagnosed. The main long-term complications after surgical repair included aortic regurgitation and ascending aortic dilatation.
Carcass and efficiency metrics of beef cattle differ by whether the calf was born in a dairy or a beef herd
Authors: Twomey Alan J , Ring Siobhán C , McHugh Noirin , Berry Donagh P
Published: October 2020

Beef originates from the progeny of either dairy or beef dams. The objective of the present study was to identify contributing factors to the differences in the carcass merit of progeny from both dam types. This goal was achieved using slaughter records from 16,414 bucket-reared dairy animals (DXD), 5,407 bucket-reared dairy-beef animals (BXD), 42,102 suckle-reared animals from a beef × dairy F1 cross dam (BXF1), and 93,737 suckle-reared animals from a beef × beef cow (BXB). Linear mixed models were used to quantify the least squares means for carcass characteristics in the various progeny genotypes. Nuisance fixed effects adjusted for in the models were: animal heterosis and recombination loss, dam parity, age at slaughter, and contemporary group; age at slaughter was replaced as an independent variable with both carcass weight and carcass fat score where the dependent variable was age at slaughter. In a follow-up analysis, models were re-analyzed where the genetic merit of the sire was adjusted for; a further analysis set the genetic merit of the dam for the dependent variable to be identical for both the dairy and beef dams. The final analysis adjusted to a common sire and dam genetic merit facilitating the estimation of just differences in early-life rearing strategies. Irrespective of the genetic merit of the sire and dam, animals originating from beef herds had heavier and more conformed carcasses. BXB animals had a 67 kg heavier carcass, with a conformation score (scale 1 [poor] to 15 [excellent]) of 5 units greater compared with DXD animals. When the genetic merit of all dams was set to be equal, BXB animals were heavier and better conformed than BXD animals. When the genetic merit for both the sire and dam were set to be equal, carcasses of the BXB animals were 15 kg heavier, with a 0.69 unit superior conformation score compared with the DXD animals; this difference is due to early life experiences. In conclusion, the majority of the inferiority in carcass metrics of calves from dairy herds compared with beef herds is due to differences in the genetic merit of the parents. Nevertheless, even after adjusting the parents to the same genetic merit, progeny from dairy herds were still inferior to their contemporaries born in beef herds, due most likely to the persistence of early life experiences.
Validation of a beef cattle maternal breeding objective based on a cross-sectional analysis of a large national cattle database
Authors: Twomey Alan J , Cromie Andrew R , McHugh Noirin , Berry Donagh P
Published: October 2020

Despite the importance of validating any technology prior to recommendation for use, few studies exist in the scientific literature which have demonstrated the superior performance of high-ranking animals in a given total merit index; this is especially true for maternal cattle selection indexes. The objective of the present study was to demonstrate the impact of the Irish total merit maternal-based index and provide the benefits of using the Irish total merit maternal-based beef index as part of a breeding policy. The validation exercise was undertaken using 269,407 records (which included the cow’s own records and her progeny records) from 92,300 females differing in a total merit index for maternal value; a comparison was also made with the Irish terminal index. Association analyses were undertaken within the framework of linear and threshold mixed models; the traits analyzed were fertility (e.g., calving interval), slaughter (e.g., harvest weight), live weight (e.g., weaning weight), and producer-recorded traits (e.g., docility). All traits were analyzed with the maternal index and terminal index fitted as covariate(s) separately. Depending on the independent variable analyzed, the other fixed effects included: parity of cow, heterosis and recombination loss of cow and/or progeny, gender of progeny, and the estimated breeding value of the sire; contemporary group was included as a random effect. The results demonstrate the effectiveness of using total merit indexes to improve performance in a whole range of different traits, despite the often antagonistic genetic correlations among traits that underpin the index. Cows excelling on the maternal index had less calving difficulty, superior fertility performance, lighter carcasses, and live weight, as well as being more easily managed. Additionally, progeny of higher maternal index cows were lighter at birth and more docile albeit with a small impact on slaughter traits. In contrast, higher terminal index cows had more calving difficulty, compromised fertility and had heavier carcasses themselves as well as their progeny. While the differences in phenotypic performance between groups on maternal index was, in most instances, relatively small, the benefits are: (1) expected to be greater when more genetically extreme groups of animals are evaluated and (2) expected to accumulate over time given the cumulative and permanent properties of breeding schemes.
Response of lactating dairy cows fed different supplemental zinc sources with and without evaporative cooling to intramammary lipopolysaccharide infusion: metabolite and mineral profiles in blood and milk
Authors: Marins Thiago N , Monteiro Ana P A , Weng Xisha , Guo Jinru , Orellana Rivas Ruth M , Bernard John K , Tomlinson Dana J , DeFrain Jeff M , Tao Sha
Published: October 2020

The objective of this study was to determine the effect of evaporative cooling and dietary supplemental Zn source on blood metabolites, insulin and mineral concentrations, and milk mineral concentrations following intramammary lipopolysaccharide (LPS) infusion. Seventy-two multiparous Holstein cows were assigned to one of four treatments with a 2 × 2 factorial arrangement. Treatments included two environments: with or without evaporative cooling using fans and misters over the freestall and feedbunk, and two dietary sources of supplemental Zn: 75 mg/kg of dry matter (DM) supplied by Zn hydroxychloride (inorganic Zn; IOZ) or Zn hydroxychloride (35 mg of Zn/kg of DM) + Zn–Met complex (ZMC; 40 mg of Zn/kg of DM). A subset of cows (n = 16; 263 ± 63 d in milk) was infused with 10 μg of LPS or a saline control in the left or right rear quarters on day 34 of the environmental treatment. Individual milk samples collected from LPS-infused quarters at −4, 0, 6, 12, 24, 48, 72, 96, and 144 h relative to infusion were analyzed for minerals. Blood samples were collected at the same time with an additional sample collected at 3 h post-infusion to analyze glucose, nonesterified fatty acids (NEFA), insulin, and minerals. Cooling by time interactions (P ≤ 0.07) were observed for plasma glucose, NEFA, and serum insulin. Compared with cooled cows, non-cooled cows had lower concentrations of plasma glucose except at 3 h following intramammary LPS infusion, greater serum insulin at 3 and 12 h, and lower plasma NEFA at 24 and 48 h after infusion. Relative to cooled cows, non-cooled cows tended (P = 0.07) to have lower serum K concentration and had lower (P < 0.01) serum Zn 6 h following infusion (cooling by time interaction: P < 0.01). Relative to ZMC cows, IOZ cows had greater (P ≤ 0.09) concentrations of plasma Se, skim milk Na and Se, and skim milk Na to K ratio. Regardless of treatment, intramammary LPS infusion reduced (P < 0.01) serum or plasma concentrations of Ca, Mg, Zn, Fe, and Se, but increased (P < 0.01) their concentration in skim milk. In conclusion, deprivation of cooling resulted in more rapid and prolonged insulin release and influenced the systemic and mammary mineral metabolism during mammary inflammation induced by LPS of lactating dairy cows. Dietary supplementation of Zn–Met complex reduced blood and milk Se concentrations compared with cows fed Zn from an inorganic source.
Minimum dietary methionine requirements in Miniature Dachshund, Beagle, and Labrador Retriever adult dogs using the indicator amino acid oxidation technique
Authors: Mansilla Wilfredo D , Templeman James R , Fortener Lisa , Shoveller Anna K
Published: October 2020

The objective of this study was to determine the minimum requirement (MR) for methionine (Met), when cyst(e)ine (Cys) is provided in excess, in adult dogs of three different breed sizes using the indicator amino acid (AA) oxidation (IAAO) technique. In total, 12 adult dogs were used: 1 neutered and 3 spayed Miniature Dachshunds (4.8 ± 0.4 kg body weight [BW], mean ± SD), 4 spayed Beagles (9.5 ± 0.7 kg BW, mean ± SD), and 4 neutered Labrador Retrievers (31.8 ± 1.7 kg BW, mean ± SD). A deficient Met basal diet with excess Cys was formulated. Dogs were fed the basal diet randomly supplemented with different Met-Alanine (Ala) solutions to achieve final Met concentrations in experimental diets of 0.21%, 0.26%, 0.31%, 0.36%, 0.41%, 0.46%, and 0.66% (as-fed basis). After 2 d of adaptation to the experimental diets, dogs underwent individual IAAO studies. During the IAAO study day, the total feed was divided into 13 equal meals; at the sixth meal, dogs were fed a bolus of l-[1-13C]-phenylalanine (Phe), and thereafter, l-[1-13C]-Phe was supplied with every meal. The total production of 13CO2 during isotopic steady state was determined by the enrichment of 13CO2 in breath samples, and the total production of CO2 measured using indirect calorimetry. The mean MR for Met and the upper 95% confidence limit (CL) were determined using a two-phase linear mixed-effects regression model. For Miniature Dachshunds, the MR for Met was between the first two dietary Met concentrations and is, therefore, between 35.7 and 44.1 mg.kg BW−1·d−1 (0.21% to 0.26%, as-fed basis; no requirement could be determined on a metabolic BW basis). For Beagles and Labrador Retrievers, the MR for Met was 57.5 and 50.4 mg.kg BW−1·d−1, 107.7 and 121.8 mg/kg BW^0.75, or 0.338 and 0.360%, respectively (as-fed basis). The upper 95% CL of Met requirements was 77.9 and 72.4 mg.kg BW−1·d−1, 147.8 and 159.6 mg/kg BW^0.75,or 0.458 and 0.517% for Beagles, and Labradors, respectively (as-fed basis). When pooling data from Beagles and Labrador Retrievers, the MR and upper 95% CL were 56.0 and 75.8 mg.kg BW−1·d−1 or 118.4 and 150.5 mg/kg BW^0.75 or 0.360% and 0.482% (as-fed basis). In conclusion, the MR and the upper 95% CL for Met are different for Dachshunds when compared with Beagles and Labrador Retrievers. Using this low-protein diet, the estimated upper 95% CL Met requirement for Beagles and Labrador is higher than those recommended in the National Research Council (NRC), but NRC is similar to the estimated upper 95% CL for Dachshunds.
A Case Series of Etizolam in Opioid-Related Deaths
Authors: Gevorkyan Jirair , Kinyua Juliet , Pearring Sue , Rodda Luke N
Published: October 2020

Etizolam is a novel psychoactive substance and novel benzodiazepine of the thienotriazolodiazepine class, which has recently seen an increasing trend in use worldwide. We report a case series of 10 decedents with etizolam and opioids in their systems. Death investigation, expanded toxicology and medical investigation information were included for contextualization of etizolam in death. Etizolam was detected and confirmed within peripheral and cardiac blood, urine, vitreous humor and, in one case, gastric fluid, by liquid chromatography–tandem mass spectrometry and liquid chromatography–quadrupole time of flight mass spectrometry methodologies. Death investigation indicated nonmedical use of most drugs. Medical investigation commonly noted pulmonary edema, cardiomegaly and cerebral swelling. The majority of the decedents appeared to be unaware of the presence of etizolam and succumbed to the mixed drug toxicity of their routine depressant and narcotic analgesic drug of abuse in combination with etizolam. Etizolam use continues to be observed and poses as a potentially lethal contribution to multiple drug toxicity, especially in the age of the opioid crisis. Assessment of analytes like etizolam requires up-to-date methodologies and vigilance in testing to better characterize the toxicology and interpret the contribution to death.
A Fatal Case of Powassan Virus Encephalitis
Authors: Yu Qiqi , Matkovic Eduard , Reagan-Steiner Sarah , Denison Amy M , Osborn Rebecca , Salamat Shahriar M
Published: October 2020

Powassan virus (POWV) is a flavivirus of the tick-borne encephalitis serogroup that causes a rare and potentially life-threatening neuroinvasive disease. Viral transmission occurs during zoonotic spillover from mammals by the bite of an infected tick in endemic regions of North America. The number of reported POWV cases has recently increased in the United States. We report a fatal case of POWV meningoencephalomyelitis in Northern Wisconsin following a documented tick bite. Histologic examination of the brain demonstrated widespread intraparenchymal and perivascular lymphohistocytic infiltration, microglial nodule formation, and marked neuronal degeneration, most severely involving the substantia nigra, anterior horn of spinal cord and cerebellum. Although no viral inclusions were seen in routine light microscopy, electron microscopy identified multiple neurons containing cytoplasmic clusters of virus particles ∼50 nm in diameter. POWV infection was confirmed using immunohistochemical analysis and reverse transcription-polymerase chain reaction. This report demonstrates in detail regional central nervous system involvement and ultrastructural characteristics of Powassan viral particles by transmission electron microscopy, while highlighting the utility of evaluating fixed autopsy tissues in cases of unexplained meningoencephalomyelitis.
Variation of morphological and leaf stoichiometric traits of two endemic species along the elevation gradient of Mount Kenya, East Africa
Authors: Waigwa Antony N , Mwangi Brian Njoroge , Wahiti Gituru R , Omengo Fred , Zhou Yadong , Wang Qingfeng
Published: October 2020

Aims

The aim of this paper is to assess morphological and leaf stoichiometric responses of Dendrosenecio keniensis and Lobelia gregoriana to extreme environmental conditions along an elevation gradient in tropical mountains.

Methods

In this study, we assessed the variation of the morphological traits, including plant height, leaf area, leaf thickness, leaf dry weight, specific leaf area and the leaf stoichiometry traits nitrogen, carbon and phosphorous of the two endemic species D. keniensis and L. gregoriana. We further explored the relations of these morphological traits to soil organic carbon, soil total nitrogen, soil phosphorous, annual mean temperature, annual mean precipitation, annual total solar radiation, water vapor pressure and the topographic variables aspect, slope and hill shade along the elevation gradient. Ninety 10 m × 10 m sampling plots were set up along the elevation gradient ranging from 3500 to 4300 m. We used 1 km × 1 km grid cells to rasterize our study area in ArcGIS 10.5 for easy access to data pertaining to the climate of each elevation band. We performed linear regression of the morphological and leaf stoichiometric traits with elevation as explanatory variable. We conducted correlation analysis on the morphological and leaf stoichiometric traits with climatic, soil and topographic variables along the elevation gradient.

Important Findings

Dendrosenecio keniensis had wool-like pubescent leaves while L. gregoriana had mucilage packed succulent and waxy cuticle leaves to avoid freezing. Both species exhibited reduced metabolic rates as shown by the low leaf phosphorous content. Our results also showed that changes in morphology and leaf stoichiometry were determined by a combination of climate, soil and topographic variables that change along elevation on Mount Kenya. The observed variations in the morphological and leaf stoichiometric traits of D. keniensis and L. gregoriana, which grow side by side along the elevation gradient, were interpreted as adaptation to the harsh environmental conditions.
Convergent evolution of plant specialized 1,4-naphthoquinones: metabolism, trafficking, and resistance to their allelopathic effects
Authors: Meyer George W , Bahamon Naranjo Maria A , Widhalm Joshua R
Published: October 2020

Plant 1,4-naphthoquinones encompass a class of specialized metabolites known to mediate numerous plant–biotic interactions. This class of compounds also presents a remarkable case of convergent evolution. The 1,4-naphthoquinones are synthesized by species belonging to nearly 20 disparate orders spread throughout vascular plants, and their production occurs via one of four known biochemically distinct pathways. Recent developments from large-scale biology and genetic studies corroborate the existence of multiple pathways to synthesize plant 1,4-naphthoquinones and indicate that extraordinary events of metabolic innovation and links to respiratory and photosynthetic quinone metabolism probably contributed to their independent evolution. Moreover, because many 1,4-naphthoquinones are excreted into the rhizosphere and they are highly reactive in biological systems, plants that synthesize these compounds also needed to independently evolve strategies to deploy them and to resist their effects. In this review, we highlight new progress made in understanding specialized 1,4-naphthoquinone biosynthesis and trafficking with a focus on how these discoveries have shed light on the convergent evolution and diversification of this class of compounds in plants. We also discuss how emerging themes in metabolism-based herbicide resistance may provide clues to mechanisms plants employ to tolerate allelopathic 1,4-naphthoquinones.
Frege Cases and Bad Psychological Laws
Authors: Almotahari Mahrad , Gray Aidan
Published: October 2020

We draw attention to a series of implicit assumptions that have structured the debate about Frege’s Puzzle. Once these assumptions are made explicit, we rely on them to show that if one focuses exclusively on the issues raised by Frege cases, then one obtains a powerful consideration against a fine-grained conception of propositional-attitude content. In light of this consideration, a form of Russellianism about content becomes viable.
Women in economics: a UK perspective
Authors: Gamage Danula K , Sevilla Almudena , Smith Sarah
Published: October 2020

The status of women in economics in the US has come increasingly under the spotlight. We exploit high-quality administrative data to paint the first comprehensive picture of the status of women in UK academic economics departments in research-intensive universities. Our evidence indicates that, as in the US, women in economics are under-represented and are paid less than men. The issues facing women in economics in the UK are similar to other disciplines, particularly STEM, but have received less national policy attention to date. We conclude with a discussion of interventions that might improve the status of women in academia and we present new evidence that a UK academic diversity programme (Athena SWAN) has narrowed the gender pay gap at a senior level.
Pulsed Radiofrequency Ablation: An Alternative Treatment Modality for Radiation-Induced Brachial Plexopathy
Authors: Shah Neal , Engle Alyson M , Raggi Eugene , Alter Benedict , Emerick Trent
Published: October 2020

Radiation therapy is used as a form of treatment for various neoplastic diseases. There are many potential adverse effects of this therapy, including radiation-induced neurotoxicity. Radiation-induced brachial plexopathy (RIBP) may occur due to the fibrosis of neural and perineural soft tissues, leading to ischemic damage of the axons and Schwann cells. The dose of radiation exceeds 55 Gy in many patients who develop symptoms [1]. Current incidence in the United States is 1–2%, and RIBP is most commonly seen in patients who have undergone treatment for breast cancer, lung cancer, or lymphoma [1–3]. Common symptoms include numbness, paresthesia, dysesthesia, and occasional numbness of the arm. Pain is present in the shoulder and proximal arm and is typically mild to moderate in severity. Diagnosis is often made based on clinical presentation and evaluation of imaging to rule out concurrent malignant etiologies of the brachial plexus. Current recommended treatment includes physical therapy and medical management with anticonvulsants, tricyclic antidepressants, and selective serotonin-norepinephrine reuptake inhibitors.
Development of FGF-2-loaded electrospun waterborne polyurethane fibrous membranes for bone regeneration
Authors: Zhang Chi , Wang Jianxiong , Xie Yujie , Wang Li , Yang Lishi , Yu Jihua , Miyamoto Akira , Sun Fuhua
Published: October 2020

Guided bone regeneration (GBR) membrane has been used to improve functional outcomes for periodontal regeneration. However, few studies have focused on the biomimetic membrane mimicking the vascularization of the periodontal membrane. This study aimed to fabricate waterborne polyurethane (WPU) fibrous membranes loaded fibroblast growth factor-2 (FGF-2) via emulsion electrospinning, which can promote regeneration of periodontal tissue via the vascularization of the biomimetic GBR membrane. A biodegradable WPU was synthesized by using lysine and dimethylpropionic acid as chain extenders according to the rule of green chemical synthesis technology. The WPU fibers with FGF-2 was fabricated via emulsion electrospinning. The results confirmed that controlled properties of the fibrous membrane had been achieved with controlled degradation, suitable mechanical properties and sustained release of the factor. The immunohistochemical expression of angiogenic-related factors was positive, meaning that FGF-2 loaded in fibers can significantly promote cell vascularization. The fiber scaffold loaded FGF-2 has the potential to be used as a functional GBR membrane to promote the formation of extraosseous blood vessels during periodontal repairing.
VARIATIONS OF INDOOR RADON CONCENTRATION IN TRADITIONAL RUSSIAN RURAL WOODEN HOUSES
Authors: Petrova Tatiana , Miklyaev Petr
Published: October 2020

Continuous indoor radon measurements were carried out in two traditional Russian rural houses located in different villages of the Moscow region in summer of 2017 and 2018. In additional, in the summer of 2017, continuous measurements of soil gas radon activity concentration at depth 0.8 m and radon exhalation rate from the ground surface near the house were performed simultaneously. It was found that the indoor radon concentration in rural houses is subject to strong daily variations, which are characterized by highs at night and lows during the day. Indoor radon concentration is directly proportional to indoor and outdoor temperature difference and inversely proportional to wind speed. While the radon exhalation rate from the ground surface, as well as the ventilation of premises (opening doors and windows) practically do not affect the concentration of radon in Russian rural wooden houses.
Clockwise Torque of Sliding Hip Screws: Is There a Right Side?
Authors: Würdemann Franka S. , Poolman Rudolf W. , Krijnen Pieta , Bzovsky Sofia , Sprague Sheila , Kaptein Bart L. , Hegeman Johannes H. , Schemitsch Emil H. , Bhandari Mohit , Swiontkowski Marc , Schipper Inger B. ,   on behalf of the Dutch Hip Fracture Audit Group and FAITH Investigators
Published: October 2020

Objectives:

This study evaluated whether patients with a left-sided femoral neck fracture (FNF) treated with a sliding hip screw (SHS) had a higher implant failure rate than patients treated for a right-sided FNF. This was performed to determine the clinical relevance of the clockwise rotational torque of the femoral neck lag screw in a SHS, in relation to the rotational stability of left and right-sided FNFs after fixation.

Methods:

Data were derived from the FAITH trial and Dutch Hip Fracture Audit (DHFA). Patients with a FNF, aged ≥50, treated with a SHS, with at least 3-month follow-up data available, were included. Implant failure was analyzed in a multivariable logistic regression model adjusted for age, sex, fracture displacement, prefracture living setting and functional mobility, and American Society for Anesthesiologists Class.

Results:

One thousand seven hundred fifty patients were included, of which 944 (53.9%) had a left-sided and 806 (46.1%) a right-sided FNF. Implant failure occurred in 60 cases (3.4%), of which 31 were left-sided and 29 right-sided. No association between fracture side and implant failure was found [odds ratio (OR) for left vs. right 0.89, 95% confidence interval (CI) 0.52–1.52]. Female sex (OR 3.02, CI: 1.62–6.10), using a mobility aid (OR 2.02, CI 1.01–3.96) and a displaced fracture (OR 2.51, CI: 1.44–4.42), were associated with implant failure.

Conclusions:

This study could not substantiate the hypothesis that the biomechanics of the clockwise screw rotation of the SHS contributes to an increased risk of implant failure in left-sided FNFs compared with right-sided fractures.

Level of evidence:

Therapeutic Level II.See Instructions for Authors for a complete description of levels of evidence.
New ancient Eastern European
Yersinia pestis
genomes illuminate the dispersal of plague in Europe
Authors: Morozova Irina , Kasianov Artem , Bruskin Sergey , Neukamm Judith , Molak Martyna , Batieva Elena , Pudło Aleksandra , Rühli Frank J. , Schuenemann Verena J.
Published: October 2020

Yersinia pestis
, the causative agent of plague, has been prevalent among humans for at least 5000 years, being accountable for several devastating epidemics in history, including the Black Death. Analyses of the genetic diversity of ancient strains of
Y. pestis
have shed light on the mechanisms of evolution and the spread of plague in Europe. However, many questions regarding the origins of the pathogen and its long persistence in Europe are still unresolved, especially during the late medieval time period. To address this, we present four newly assembled
Y. pestis
genomes from Eastern Europe (Poland and Southern Russia), dating from the fifteenth to eighteenth century AD. The analysis of polymorphisms in these genomes and their phylogenetic relationships with other ancient and modern
Y. pestis
strains may suggest several independent introductions of plague into Eastern Europe or its persistence in different reservoirs. Furthermore, with the reconstruction of a partial
Y. pestis
genome from rat skeletal remains found in a Polish ossuary, we were able to identify a potential animal reservoir in late medieval Europe. Overall, our results add new information concerning
Y. pestis
transmission and its evolutionary history in Eastern Europe.

This article is part of the theme issue ‘Insights into health and disease from ancient biomolecules’.
Intestinal helminths as a biomolecular complex in archaeological research
Authors: Flammer Patrik G. , Smith Adrian L.
Published: October 2020

Enteric helminths are common parasites in many parts of the world and in the past were much more widespread both geographically and socially. Many enteric helminths are relatively long-lived in the human host, often benign or of low pathogenicity while producing large numbers of environmentally resistant eggs voided in the faeces or found associated with individual remains (skeletons and mummies). The combination of helminth characters offers opportunities to the field of historical pathogen research that are quite different to that of some of the more intensively studied high impact pathogens. Historically, a wealth of studies has employed microscopic techniques to diagnose infection using the morphology of the helminth eggs. More recently, various ancient DNA (aDNA) approaches have been applied in the archaeoparasitological context and these are revolutionizing the field, allowing much more specific diagnosis as well as interrogating the epidemiology of helminths. These advances have enhanced the potential for the field to provide unique information on past populations including using diseases to consider many aspects of life (e.g. sanitation, hygiene, diet, culinary practices and other aspects of society). Here, we consider the impact of helminth archaeoparasitology and more specifically the impact and potential for application of aDNA technologies as a part of the archaeologists' toolkit.

This article is part of the theme issue ‘Insights into health and disease from ancient biomolecules’.
Metagenomics of the modern and historical human oral microbiome with phylogenetic studies onStreptococcus mutansandStreptococcus sobrinus
Authors: Achtman Mark , Zhou Zhemin
Published: October 2020

We have recently developed bioinformatic tools to accurately assign metagenomic sequence reads to microbial taxa: SPARSE for probabilistic, taxonomic classification of sequence reads; EToKi for assembling and polishing genomes from short-read sequences; and GrapeTree, a graphic visualizer of genetic distances between large numbers of genomes. Together, these methods support comparative analyses of genomes from ancient skeletons and modern humans. Here, we illustrate these capabilities with 784 samples from historical dental calculus, modern saliva and modern dental plaque. The analyses revealed 1591 microbial species within the oral microbiome. We anticipated that the oral complexes of Socranskyet al., which were defined in 1998, would predominate among taxa whose frequencies differed by source. However, although some species discriminated between sources, we could not confirm the existence of the complexes. The results also illustrate further functionality of our pipelines with two species that are associated with dental caries,Streptococcus mutansandStreptococcus sobrinus. They were rare in historical dental calculus but common in modern plaque, and even more common in saliva. Reconstructed draft genomes of these two species from metagenomic samples in which they were abundant were combined with modern public genomes to provide a detailed overview of their core genomic diversity.

This article is part of the theme issue ‘Insights into health and disease from ancient biomolecules’.
Ancient RNA virus epidemics through the lens of recent adaptation in human genomes
Authors: Enard David , Petrov Dmitri A.
Published: October 2020

Over the course of the last several million years of evolution, humans probably have been plagued by hundreds or perhaps thousands of epidemics. Little is known about such ancient epidemics and a deep evolutionary perspective on current pathogenic threats is lacking. The study of past epidemics has typically been limited in temporal scope to recorded history, and in physical scope to pathogens that left sufficient DNA behind, such as
Yersinia pestis
during the Great Plague. Host genomes, however, offer an indirect way to detect ancient epidemics beyond the current temporal and physical limits. Arms races with pathogens have shaped the genomes of the hosts by driving a large number of adaptations at many genes, and these signals can be used to detect and further characterize ancient epidemics. Here, we detect the genomic footprints left by ancient viral epidemics that took place in the past approximately 50 000 years in the 26 human populations represented in the 1000 Genomes Project. By using the enrichment in signals of adaptation at approximately 4500 host loci that interact with specific types of viruses, we provide evidence that RNA viruses have driven a particularly large number of adaptive events across diverse human populations. These results suggest that different types of viruses may have exerted different selective pressures during human evolution. Knowledge of these past selective pressures will provide a deeper evolutionary perspective on current pathogenic threats.

This article is part of the theme issue ‘Insights into health and disease from ancient biomolecules’.
Estimating molecular preservation of the intestinal microbiome via metagenomic analyses of latrine sediments from two medieval cities
Authors: Sabin Susanna , Yeh Hui-Yuan , Pluskowski Aleks , Clamer Christa , Mitchell Piers D. , Bos Kirsten I.
Published: October 2020

Ancient latrine sediments, which contain the concentrated collective biological waste of past whole human communities, have the potential to be excellent proxies for human gastrointestinal health on the population level. A rich body of literature explores their use to detect the presence of gut-associated eukaryotic parasites through microscopy, immunoassays and genetics. Despite this interest, a lack of studies have explored the whole genetic content of ancient latrine sediments through consideration not only of gut-associated parasites, but also of core community gut microbiome signals that remain from the group that used the latrine. Here, we present a metagenomic analysis of bulk sediment from medieval latrines in Riga (Latvia) and Jerusalem. Our analyses reveal survival of microbial DNA representative of intestinal flora as well as numerous parasites. These data are compared against parasite taxon identifications obtained via microscopy and ELISA techniques. Together, these findings provide a first glimpse into the rich prokaryotic and eukaryotic intestinal flora of pre-industrial agricultural populations, which may give a better context for interpreting the health of modern microbiomes.

This article is part of the theme issue ‘Insights into health and disease from ancient biomolecules’.
The soil in our microbial DNA informs about environmental interfaces across host and subsistence modalities
Authors: Schnorr Stephanie L.
Published: October 2020

In this study, I use microbiome datasets from global soil samples and diverse hosts to learn whether soil microbial taxa are found in host microbiomes, and whether these observations fit the narrative that environmental interaction influences human microbiomes. A major motivation for conducting host-associated microbiome research is to contribute towards understanding how the environment may influence host physiology. The microbial molecular network is considered a key vector by which environmental traits may be transmitted to the host. Research on human evolution seeks evidence that can inform about the living experiences of human ancestors. This objective is substantially enhanced by recent work on ancient biomolecules from preserved microbial tissues, such as dental calculus, faecal sediments and whole coprolites. A challenge yet is to distinguish authentic biomolecules from environmental contaminants deposited contemporaneously, primarily from soil. However, we do not have sound expectations about the soil microbial elements arriving to host-associated microbiomes in a modern context. One assumption in human microbiome research is that proximity to the natural environment should affect biodiversity or impart genetic elements. I present evidence supporting the assumption that environmental soil taxa are found among host-associated gut taxa, which can recapitulate the surrounding host habitat ecotype. Soil taxa found in gut microbiomes relate to a set of universal ‘core’ taxa for all soil ecotypes, demonstrating that widespread host organisms may experience a consistent pattern of external environmental cues, perhaps critical for development. Observed differentiation of soil feature diversity, abundance and composition among human communities, great apes and invertebrate hosts also indicates that lifestyle patterns are inferable from an environmental signal that is retrievable from gut microbiome amplicon data.

This article is part of the theme issue ‘Insights into health and disease from ancient biomolecules’.
Paleogenomic insights into the red complex bacteria
Tannerella forsythia
in Pre-Hispanic and Colonial individuals from Mexico
Authors: Bravo-Lopez Miriam , Villa-Islas Viridiana , Rocha Arriaga Carolina , Villaseñor-Altamirano Ana B. , Guzmán-Solís Axel , Sandoval-Velasco Marcela , Wesp Julie K. , Alcantara Keitlyn , López-Corral Aurelio , Gómez-Valdés Jorge , Mejía Elizabeth , Herrera Alberto , Meraz-Moreno Alejandro , Moreno-Cabrera Maria de la Luz , Moreno-Estrada Andrés , Nieves-Colón Maria A. , Olvera Joel , Pérez-Pérez Julia , Iversen Katrine Højholt , Rasmussen Simon , Sandoval Karla , Zepeda Gabriela , Ávila-Arcos María C.
Published: October 2020

The ‘red complex’ is an aggregate of three oral bacteria (
Tannerella forsythia
,
Porphyromonas gingivalis
and
Treponema denticola
) responsible for severe clinical manifestation of periodontal disease. Here, we report the first direct evidence of ancient
T.
forsythia
DNA in dentin and dental calculus samples from archaeological skeletal remains that span from the Pre-Hispanic to the Colonial period in Mexico. We recovered twelve partial ancient
T. forsythia
genomes and observed a distinct phylogenetic placement of samples, suggesting that the strains present in Pre-Hispanic individuals likely arrived with the first human migrations to the Americas and that new strains were introduced with the arrival of European and African populations in the sixteenth century. We also identified instances of the differential presence of genes between periods in the
T. forsythia
ancient genomes, with certain genes present in Pre-Hispanic individuals and absent in Colonial individuals, and
vice versa
. This study highlights the potential for studying ancient
T. forsythia
genomes to unveil past social interactions through analysis of disease transmission. Our results illustrate the long-standing relationship between this oral pathogen and its human host, while also unveiling key evidence to understand its evolutionary history in Pre-Hispanic and Colonial Mexico.

This article is part of the theme issue ‘Insights into health and disease from ancient biomolecules'.
Functional diversity of microbial ecologies estimated from ancient human coprolites and dental calculus
Authors: Jacobson David K. , Honap Tanvi P. , Monroe Cara , Lund Justin , Houk Brett A. , Novotny Anna C. , Robin Cynthia , Marini Elisabetta , Lewis Cecil M.
Published: October 2020

Human microbiome studies are increasingly incorporating macroecological approaches, such as community assembly, network analysis and functional redundancy to more fully characterize the microbiome. Such analyses have not been applied to ancient human microbiomes, preventing insights into human microbiome evolution. We address this issue by analysing published ancient microbiome datasets: coprolites from Rio Zape (n= 7; 700 CE Mexico) and historic dental calculus (n= 44; 1770–1855 CE, UK), as well as two novel dental calculus datasets: Maya (n= 7; 170 BCE-885 CE, Belize) and Nuragic Sardinians (n= 11; 1400–850 BCE, Italy). Periodontitis-associated bacteria (Treponema denticola,Fusobacterium nucleatumandEubacterium saphenum) were identified as keystone taxa in the dental calculus datasets. Coprolite keystone taxa included known short-chain fatty acid producers (Eubacterium biforme, Phascolarctobacterium succinatutens) and potentially disease-associated bacteria (Escherichia,Brachyspira). Overlap in ecological profiles between ancient and modern microbiomes was indicated by similarity in functional response diversity profiles between contemporary hunter–gatherers and ancient coprolites, as well as parallels between ancient Maya, historic UK, and modern Spanish dental calculus; however, the ancient Nuragic dental calculus shows a distinct ecological structure. We detected key ecological signatures from ancient microbiome data, paving the way to expand understanding of human microbiome evolution.

This article is part of the theme issue ‘Insights into health and disease from ancient biomolecules’.
The Genomic Landscape of Pediatric Rheumatology Disorders in the Middle East
Authors: Fathalla Basil M , Alsarhan Ali , Afzal Samina , Naofal Maha EL , Tayoun Ahmad Abou
Published: October 2020

Genetic investigations for patients with pediatric rheumatological disorders have been limited to classic genotyping testing, mainly MEFV hotspot mutation analysis, for periodic fever. Therefore, the landscape and clinical utility of comprehensive genomic investigations for a wider range of pediatric rheumatological disorders have not been fully characterized in the Middle East. Here seventy-one pediatric patients, of diverse Arab origins, were clinically and genetically assessed for a spectrum of rheumatology-related disease at the only dedicated tertiary children’s hospital in the United Arab Emirates. Clinical genomic investigations included mainly (76%) next generation sequencing-based gene panels and whole exome sequencing, along with rapid sequencing in the intensive care unit (ICU) and urgent setting. The overall positive yield was 46.5% (16.7%-66.7% for specific indications), while dual diagnoses were made in 2 cases (3%). Although the majority (21/33, 64%) of positive findings involved the MEFV gene, the remaining (12/33, 36%) alterations were attributed to eleven other genes/loci. Copy number variants contributed substantially (5/33, 15.2%) to the overall diagnostic yield. Sequencing-based testing, specifically rapid sequencing, had high positive rate and delivered timely results. Genetic findings guided clinical management plans and interventions in most cases (27/33, 81.8%). We highlight unique findings and provide additional evidence that heterozygous loss of function of the IFIH1 gene increases susceptibility to recurrent fevers. Our study highlights the importance of comprehensive genomic investigations in patients with pediatric rheumatological disorders, and provides new insights into the pathogenic variation landscape in this group of disorders.
SARS-CoV-2 seroprevalence and clinical features of COVID-19 in a German liver transplant recipient cohort: a prospective serosurvey study
Authors: Rauber Conrad , Tiwari-Heckler Shilpa , Pfeiffenberger Jan , Mehrabi Arianeb , Lund Frederike , Gath Philip , Mieth Markus , Merle Uta , Rupp Christian
Published: October 2020

In liver transplant (LT) recipients with severe COVID-19 fatal outcome has been reported in a substantial subset of patients. Whether LT recipients are at increased risk for severe COVID-19 compared to the general population is controversial. Here we report the first results of a SARS-CoV-2 serosurvey in a large LT recipient cohort.

Taking into account known risk factors, LT recipients a priori represented a high-risk cohort for severe COVID-19 with 101/219 (46.1 %) presenting with more than 2 risk factors for severe COVID-19. Out of 219 LT recipients 8 (3.7%) were either tested positive for nasopharyngeal SARS-CoV-2 RNA or anti-SARS-CoV-2 serum IgG. 5/8 (62.5 %) did not show any clinical signs of infection, 3/8 (37.5%) had self-limited disease, none required hospitalization for COVID-19. 5/8 (67.5%) SARS-CoV-2 positive patients showed high utilization of the healthcare system. 2/8 (25 %) had known exposure to infected health care personal. A majority of 65.4 % often or always avoided outside family social contacts. Face masks were commonly worn by all patients.

In summary, LT recipients showed a SARS-CoV-2 seroconversion rate similar to the general population with a substantial percentage of unrecognized infections. The health care system can be the assumed source of infection in most of these cases.
Dynamic characteristics rather than static hubs are important in biological networks
Authors: Kühlwein Silke D. , Ikonomi Nensi , Schwab Julian D. , Kraus Johann M. , Rudolph K. Lenhard , Pfister Astrid S. , Schuler Rainer , Kühl Michael , Kestler Hans A.
Published: October 2020

Biological processes are rarely a consequence of single protein interactions but rather of complex regulatory networks. However, interaction graphs cannot adequately capture temporal changes. Among models that investigate dynamics, Boolean network models can approximate simple features of interaction graphs integrating also dynamics. Nevertheless, dynamic analyses are time-consuming and with growing number of nodes may become infeasible. Therefore, we set up a method to identify minimal sets of nodes able to determine network dynamics. This approach is able to depict dynamics without calculating exhaustively the complete network dynamics. Applying it to a variety of biological networks, we identified small sets of nodes sufficient to determine the dynamic behavior of the whole system. Further characterization of these sets showed that the majority of dynamic decision-makers were not static hubs. Our work suggests a paradigm shift unraveling a new class of nodes different from static hubs and able to determine network dynamics.