bluuebunny/crossref_metadata_2025_split huggingface dataset:
Medically Necessary Orthopaedic Surgery During the COVID-19 Pandemic
Authors: Service Benjamin C. , Collins Andrew P. , Crespo Antonio , Couto Patricia , Gupta Sunny , Avilucea Frank , Kupiszewski Stanley , Langford Joshua , Lewellyn Brett , Petrie Jeffrey , Zumsteg Justin W. , Zeini Ibrahim M. , Osbahr Daryl C. , Haidukewych George J. , Romeo Anthony A. 
Published: May 2020

Background:Coronavirus disease 2019 (COVID-19) has rapidly evolved as a viral pandemic. Countries worldwide have been affected by the recent outbreak caused by the SARS (severe acute respiratory syndrome)-CoV-2 virus. As with prior viral pandemics, health-care workers are at increased risk. Orthopaedic surgical procedures are common in health-care systems, ranging from emergency to elective procedures. Many orthopaedic surgical procedures are life or limb-saving and cannot be postponed during the COVID-19 pandemic because of potential patient harm. Our goal is to analyze how orthopaedic surgeons can perform medically necessary procedures during the pandemic and to help guide decision-making perioperatively.Methods:We performed a review of the existing literature regarding COVID-19 and prior viral outbreaks to help guide clinical practice in terms of how to safely perform medically necessary orthopaedic procedures during the pandemic for both asymptomatic patients and high-risk (e.g., COVID-19-positive) patients. We created a classification system based on COVID-19 positivity, patient health status, and COVID-19 prevalence to help guide perioperative decision-making.Results:We advocate that only urgent and emergency surgical procedures be performed. By following recommendations from the American College of Surgeons, the Centers for Disease Control and Prevention, and the recent literature, safe orthopaedic surgery and perioperative care can be performed. Screening measures are needed for patients and perioperative teams. Surgeons and perioperative teams at risk for contracting COVID-19 should use appropriate personal protective equipment (PPE), including N95 respirators or powered air-purifying respirators (PAPRs), when risk of viral spread is high. When preparing for medically necessary orthopaedic procedures during the pandemic, our classification system will help to guide decision-making. A multidisciplinary care plan is needed to ensure patient safety with medically necessary orthopaedic procedures during the COVID-19 pandemic.Conclusions:Orthopaedic surgery during the COVID-19 pandemic can be performed safely when medically necessary but should be rare for COVID-19-positive or high-risk patients. Appropriate screening, PPE use, and multidisciplinary care will allow for safe medically necessary orthopaedic surgery to continue during the COVID-19 pandemic.Level of Evidence:PrognosticLevel V. See Instructions for Authors for a complete description of levels of evidence.
Factors associated with malnutrition in children &lt;5 years in western Kenya: A hospital-based unmatched case control study
Authors: Gudu Edwin , Obonyo Mark , Omballa Victor , Oyugi Elvis , Kiilu Cecilia , Githuku Jane , Gura Zeinab , Ransom James Anthony 
Published: May 2020

Abstract
Background : Globally, under-nutrition accounts for >3 million deaths annually among children <5 years, with Kenya having ~35,000 deaths. This study aimed to identify factors associated with malnutrition in children aged <5 years in western Kenya. Methods: We conducted a hospital-based unmatched case-control study between May and June 2017. Cases were defined as children aged 6-59 months with either z-score for weight-for-height ≤-2SD or ≥+2SD; weight-for-age ≤-2SD or ≥+2SD; or height-for-age ≤-2SD. Controls were children aged 6-59 months with age-appropriate anthropometric measurements. Cases were consecutively recruited while systematic random sampling was used to select controls. Data from interviews and clinical records were collected and entered into Epi-Info, which was used to run unconditional logistic regression analyses. Results: A total of 94 cases and 281 controls were recruited. Of the cases, 84% (79/94) were under-nourished. Mother not having attended ante-natal clinic (OR=7.9; 95% CI: 1.5-41.2), deworming (OR=0.8; 95% CI: 0.4-1.2), and pre-lacteal feeding (OR=1.8; 95% CI: 1.1-3.0) were associated with under-nutrition. Delayed developmental milestones (AOR=13.9; 95% CI: 2.8-68.6); low birth weight (AOR=3.3; 95% CI: 1.4-7.6), and paternal lack of formal education (AOR=4.9; 95% CI: 1.3-18.9) were independently associated with under-nutrition. Conclusion: Proper pre-natal care, child feeding practices and deworming programs should be enhanced to reduce pediatric malnutrition.
An Integrated Linkage Map of Interspecific Backcross 2 (BC2) Populations Reveals QTLs Associated With Fatty Acid Composition and Vegetative Parameters Influencing Compactness in Oil Palm
Authors: Yaakub Zulkifli , Kamaruddin Katialisa , Singh Rajinder , Mustafa Suzana , Marjuni Marhalil , Ting Ngoot-Chin , Amiruddin Mohd Din , Leslie Low Eng-Ti , Cheng-Li Ooi Leslie , Sritha Kandha , Nookiah Rajanaidu , Jansen Johannes , Abdullah Meilina Ong 
Published: May 2020

Abstract
Background Molecular breeding has opened new avenues for crop improvement with the potential for faster progress. As oil palm is the major producer of vegetable oil in the world, its improvement, such as developing compact planting materials and altering its oils’ fatty acid composition for wider application, is important. Results This study sought to identify the QTLs associated with fatty acid composition and vegetative traits for compactness in the crop. It integrated two interspecific backcross two (BC 2 ) mapping populations to improve the genetic resolution and evaluate the consistency of the QTLs identified. A total 1,963 markers (1,814 SNPs and 149 SSRs) spanning a total map length of 1793 cM were integrated into a consensus map. For the first time, some QTLs associated with vegetative parameters and carotene content were identified in interspecific hybrids, apart from those associated with fatty acid composition. The analysis identified 8, 3 and 8 genomic loci significantly associated with fatty acids, carotene content and compactness, respectively. Conclusions Major genomic region influencing the traits for compactness and fatty acid composition was identified in the same chromosomal region in the two populations using two methods for QTL detection. Several significant loci influencing compactness, carotene content and FAC were common to both populations, while others were specific to particular genetic backgrounds. It is hoped that the QTLs identified will be useful tools for marker-assisted selection and accelerate the identification of desirable genotypes for breeding.
Prognosis Evaluation of Universal Acute Coronary Syndrome: The Interplay between SYNTAX Score and ApoB/ApoA1
Authors: Wang Xiaotong , Wang Zhongyu , Li Bing , Yang Ping 
Published: May 2020

Abstract
Background：Acute coronary syndrome (ACS) is a group of clinical syndromes associated with substantial morbidity and mortality rate. Syntax and Syntax II score used to be a reference for surgical selection of coronary revascularization and prognosis evaluation in patients with 3-vessel or left main artery disease. In addition, apoB/apoA1 is an important predictor of ACS risk. This study aims to assess the prognosis value of different kinds of SYNTAX score together with apoB/apoA1 in universal ACS patients (Regardless of ACS type, lesion location and vessel numbers). Method：396 patients with ACS undergoing percutaneous coronary intervention（PCI）and coronary stenting from 2013 to 2014 were chosen and recorded the major adverse cardiovascular and cerebrovascular events (MACCE) and quality of life during the next 5 years. According to SYNTAX and SYNTAX II score, the patients were divided into low-risk, medium-risk and high-risk groups, and the clinical features, MACCE incidence and EQ-5D score at each time points were compared. And the predictive factors of MACCE incidence were analyzed. Results：①Compared with SYNTAX low-risk group, MACCE incidence in 1 year significantly increased in medium/high risk group（p=0.011）. Compared with SYNTAX II low-risk group, MACCE incidence in 5 years significantly increased in medium and high-risk group（p=0.032）.② Compared with SYNTAX II low-risk group，cardiovascular mortality in 3 and 5 years significantly elevated in high-risk group（p=0.001，p＜0.001 respectively）. ③ Compared with SYNTAX II low and medium-risk group, EQ-5D score in 5 years significantly decreased in high-risk group（p=0.019, p=0.023 respectively）. ④ ApoB/ApoA1 was more likely to be classified as high risk in SYNTAX/SYNTAX II medium and high-risk group（p=0.023，p=0.044 respectively）. ⑤Logistic regression analysis showed that apoB/apoA1 was an independent predictor of MACCE events in hospital and 5 years（p=0.038，p=0.016 respectively），SYNTAX score was an independent predictor of MACCE events in 1 year（medium-risk group：p=0.02；high-risk group：p=0.015）SYNTAX II score was an independent predictor of MACCE events in 5 yeasrs(p=0.003). Conclusions：①SYNTAX score has a high predictive value for short-term prognosis while SYNTAX II score is more predictive of long-term prognosis. ② SYNTAX II score is superior to SYNTAX score in predicting cardiovascular death. ③ The combination of apoB/apoA1 high-risk and SYNTAX II medium and high-risk group is the focus of clinical treatment and long-term follow-up observation.
The origin of Epichloë endophyte - perennial ryegrass symbionts modify plant reactions to elevated concentration of Pb2+, Cd2+ and Cu2+ ions in soil
Authors: Żurek Grzegorz , Wiewióra Barbara , Rybka Krystyna , Prokopiuk Kamil 
Published: May 2020

Abstract
Background: The phenomenon of plant mutualistic symbiosis with microbes may have a positive effect on improvement of plant tolerance to environmental stresses. The influence of fungal endophyte of the Epichloë sp. (Clavicipitaceae) on perennial ryegrass (Lolium perenne L.) plants grown in presence of elevated concentration of heavy metal (HM) ions: Cd2+, Pb2+ and Cu2+, in soil was studied. Results: The presence of Epichloë in the host grass tissues resulted in increased accumulation of HM ions in aerial parts of plants and was dependent on host genotypes related to host plant origin. In plants with (E+) and without (E-) endophytes the hormesis effect was induced by elevated concentration of Cu2+ ions, resulting in better growth and photosynthesis, as examined by measurements of Chl a fluorescence. The obtained results indicate that based on the laboratory evaluation of the efficiency of the symbiosis, we were able to choose the best associations of perennial ryegrass with endophytes for HM phytoremediation. Conclusions: The presence of Epichloë endophytes positively affected ryegrass ability to accumulate HM ions and this accumulation was associated with the origin of Epichloë-ryegrass symbionts.
Daily variations of gut microbial translocation markers in ART-treated HIV-infected people
Authors: Ouyang Jing , Isnard Stéphane , Lin John , Fombuena Brandon , Chatterjee Debashree , Salinas Tomas Raul Wiche , Planas Delphine , Cattin Amelie , Fert Augustine , Gabriel Etiene Moreira , Marchand Laurence Raymond , Zhang Yonglong , Finkelman Malcolm , Chen Yaokai , Kaufmann Daniel E. , Cermakian Nicolas , Ancuta Petronela , Routy Jean-Pierre 
Published: May 2020

Abstract
Background: Increased intestinal barrier permeability and subsequent gut microbial translocation are significant contributors to inflammatory non-AIDS comorbidities in people living with HIV (PLWH). Evidence in animal models have shown that markers of intestinal permeability and microbial translocation vary over the course of the day and are affected by food intake and circadian rhythms. However, daily variations of these markers are not characterized yet in PLWH. Herein, we assessed the variation of these markers over 24 hours in PLWH receiving antiretroviral therapy (ART) in a well-controlled environment. Methods: As in Canada, PLWH are predominantly men and the majority of them are now over 50 years old, we selected 11 men over 50 receiving ART with undetectable viremia for more than 3 years in this pilot study. Blood samples were collected every 4 hours over 24 hours before snacks/meals from 8:00 in the morning to 8:00 the next day. All participants consumed similar meals at set times, and had a comparable amount of sleep, physical exercise and light exposure. Plasma levels of bacterial lipopolysaccharide (LPS) and fungal (1→3)-β-D-Glucan (BDG) translocation markers, along with markers of intestinal damage fatty acid binding protein (I-FABP) and regenerating islet-derived protein-3α (REG3α) were assessed by ELISA or the fungitell assay.Results: Participants had a median age of 57 years old (range 50 to 63). Plasma levels of BDG and REG3α did not vary significantly over the course of the study. In contrast, a significant increase of LPS was detected between 12:00 and 16:00 (Z-score: -1.15 ± 0.18 vs 0.16 ± 0.15, p=0.02), and between 12:00 and 24:00 (-1.15 ± 0.18 vs 0.89 ± 0.26, p<0.001). The plasma levels of I-FABP at 16:00 (-0.92 ± 0.09) was also significant lower, compared to 8:00 the first day (0.48±0.26, p=0.002), 4:00 (0.73±0.27, p<0.001) or 8:00 on secondary day (0.88±0.27, p<0.001). Conclusions: Conversely to the fungal translocation marker BDG and the gut damage marker REG3α, time of blood collection matters for the proper evaluation for LPS and I-FABP as markers for the risk of inflammatory non-AIDS co-morbidities. These insights are instrumental for orienting clinical investigations in PLWH.
Osa-miR162a fine-tunes rice resistance to Magnaporthe oryzae and yield
Authors: Li Xu-Pu , Ma Xiao-Chun , Wang He , Zhu Yong , Liu Xin-Xian , Li Ting-Ting , Zheng Ya-Ping , Zhao Ji-Qun , Zhang Ji-Wei , Huang Yan-Yan , Pu Mei , Feng Hui , Fan Jing , Li Yan , Wang Wen-Ming 
Published: May 2020

Abstract
MicroRNAs (miRNAs) play essential roles in rice immunity against Magnaporthe oryzae, the causative agent of rice blast disease. Here we demonstrate that Osa-miR162a fine-tunes rice immunity against M. oryzae and yield traits. Overexpression of Osa-miR162a enhances rice resistance to M. oryzae accompanying enhanced induction of defense-related genes and accumulation of hydrogen peroxide (H2O2). In contrast, blocking Osa-miR162 by overexpressing a target mimic of Osa-miR162a enhances susceptibility to blast fungus associating with compromised induction of defense-related gene expression and H2O2 accumulation. Moreover, the transgenic lines overexpressing Osa-miR162a display decreased seed setting rate resulting in slight reduced yield per plant, whereas the transgenic lines blocking Osa-miR162 show an increased number of grains per panicle, resulting in increased yield per plant. Altered accumulation of Osa-miR162 had a limited impact on the expression of rice Dicer-like 1 (OsDCL1) in these transgenic lines showing normal gross morphology, and silencing of OsDCL1 led to enhanced resistance to blast fungus similar to that caused by overexpression of Osa-miR162a, suggesting the involvement of OsDCL1 in Osa-miR162a-regulated resistance. Together, our results indicate that Osa-miR162a is involved in rice immunity against M. oryzae and fine-tunes resistance and yield.
Employers' perception of breastfeeding practice of employed mothers in Addis Ababa, Ethiopia: a qualitative study
Authors: Wolde Firmaye Bogale , Ali Jemal Haidar , Mengistu Yalemwork Getnet 
Published: May 2020

Abstract
Background: The universal importance of breastfeeding and human milk are demonstrated by different researches but despite the importance only 37% of children are exclusively breastfed worldwide. Women employment is one way of ensuring women's empowerment but it is also one of the commonly mentioned factors contributing for the low prevalence of breastfeeding. Hence, there needs to be a conducive work environment that accommodates maternal needs not to fall back from empowerment and to improve breastfeeding practice. There are not many studies that focus on work environment in relation with employers’ experience and their perception of breastfeeding of employed mothers. Therefore this study aims to explore employers’ experience and perception of employed mothers’ breastfeeding experience in different working environments in Addis Ababa, Ethiopia.Methods: A descriptive phenomenology strategy was employed in this study and purposive sampling technique was used to recruit study participants. Data was collected from 10 employers from private, governmental and non-governmental institutions through an in-depth interview. Thematic data analysis was performed where collected data was organized, coded and categorized into themes to give meaningful contributions to answering the research questions.Results: Understanding breastfeeding, current maternity leave, perception of breastfeeding supporting conditions and mother-friendly work environment were the themes generated after analysis. Almost all employers in this study recognized the importance of breastfeeding despite the different work environments they worked in and they also acknowledged the importance of making working environment mother-friendly for stability and motivation of employed mothers.Conclusions: Providing mothers with a friendly environment is understood as a positive thing by employers. The current maternity leave of three months has low acceptance and both onsite child care center and six-month maternity leave are believed to help in creating a mother-friendly work environment despite their pros and cons.
Mir10a overexpression aggravates the renal ischemia-reperfusion injury associated with a decrease in PIK3CA
Authors: Xu Dongsheng , Li Wenjun , Zhang Tao , Wang Gang 
Published: May 2020

Abstract
Background: To investigate the effect of miR-10a on the renal tissues with ischemia-reperfusion (I/R) injury in rats and explore the underlying mechanisms of miR-10a in the HK-2 cells of hypoxia-reoxygenation. Methods: The miR-10a level was measured in renal tissues with I/R rats by RT-PCR. In order to research the role of miR-10a in the renal tissues, miR-10 agonist and miR-10a antagonist were used to treat I/R rats. The levels of serum creatinine (Scr) and blood urea nitrogen (BUN) in serum, renal histopathology, apoptosis of cells in renal tissues were analyzed, separately. The phosphatidylinositol 3-kinase (PI3K)/Akt pathway related proteins were measured by Western blot. The HK-2 cell was cultured to study the mechanism of miR-10a in the model of hypoxia-reoxygenation. The dual luciferase reporter gene assay was used to confirm the PI3K p100 catalytic subunit α (PIK3CA) was a target gene of miR-10a. Results: After renal I/R injury in rats, the miR-10a expression was significantly increased (p<0.05). Injection of miR-10a agonist significantly aggravated the injury of renal and raised the apoptosis of cells in renal in rats with renal I/R injury (p<0.05). However, administration of miR-10a antagonist obviously improved the injury of renal, decreased the renal cells apoptosis and inhibited the PI3K/Akt pathway activity (p<0.05). In vitro experiments, the negative relation between PIK3CA and miR-10a was confirmed. Further, overexpression of miR-10a significantly decreased the proliferation of HK-2 cells, and increased the cells apoptosis via up-regulating PI3K/Akt pathway (p<0.05). Conclusion: miR-10a could aggravate the renal I/R injury associated with a decrease in PIK3CA/PI3K/Akt pathway.
Indirect measurement of anterior-posterior ground reaction forces using a minimal set of wearable inertial sensors: From healthy to hemiparetic walking
Authors: Revi Dheepak Arumukhom , Alvarez Andre , Walsh Conor J. , De Rossi Stefano M. M. , Awad Louis N 
Published: May 2020

Abstract
Background: The anterior-posterior ground reaction force (AP-GRF) and propulsion and braking metrics derived from the AP-GRF time series are indicators of locomotor function across healthy and neurological diagnostic groups. In this paper, we describe the use of a minimal set of wearable inertial measurement units (IMUs) to indirectly measure the AP-GRFs generated during healthy and hemiparetic walking. Methods: Ten healthy individuals and five individuals with chronic post-stroke hemiparesis completed a 6-minute walk test over a walking track instrumented with six forceplates while wearing three IMUs securely attached to the pelvis, thigh, and shank. Subject-specific models driven by IMU-measured thigh and shank angles and an estimate of body acceleration provided by the pelvis IMU were used to generate indirect estimates of the AP-GRF time series. Propulsion and braking point metrics (i.e., peaks, peak timings, and impulses) were extracted from the IMU-generated time series. Peaks and impulses were expressed as % bodyweight (%bw) and peak timing was expressed as % stance phase (%sp). A 75%-25% split of 6-minute walk test data was used to train and validate the models. Indirect estimates of the AP-GRF time series and point metrics were compared to direct measurements of the same made by the reference standard forceplates. Results: Indirect measurements of the AP-GRF time series strongly approximated the direct measurements made by forceplates, with low error and high consistency in both the healthy (RMSE = 4.5 %bw; R2 = 0.93) and post-stroke (RMSE = 2.65 %bw; R2 = 0.90) cohorts. In the healthy cohort, the average errors between indirect and direct measurements of the peak propulsion magnitude, peak propulsion timing, and propulsion impulse point estimates were 2.37 %bw, 0.67 %sp, and 0.43 %bw. In the post-stroke cohort, the average errors for these same point estimates were 1.07 %bw, 1.27 %sp, and 0.31 %bw. Average errors for the braking-related point estimates were higher, but comparable. Conclusions: Accurate estimates of the AP-GRF time series and key propulsion and braking point metrics can be generated using three strategically mounted IMUs and subject-specific calibrations. This study is a foundational step toward the development of point-of-care diagnostic systems that can catalyze the routine assessment and management of propulsion and braking locomotor deficits during rehabilitation.