bluuebunny/crossref_metadata_2025_split huggingface dataset:
Sodium–glucose cotransporter 2 inhibitors reduce myocardial infarct size in preclinical animal models of myocardial ischaemia–reperfusion injury: a meta-analysis
Authors: Sayour Alex Ali , Celeng Csilla , Oláh Attila , Ruppert Mihály , Merkely Béla , Radovits Tamás 
Published: January 2021

Abstract
Aims/hypothesis
Large cardiovascular outcome trials demonstrated that the cardioprotective effects of sodium–glucose cotransporter 2 (SGLT2) inhibitors might reach beyond glucose-lowering action. In this meta-analysis, we sought to evaluate the potential infarct size-modulating effect of SGLT2 inhibitors in preclinical studies.

Methods
In this preregistered meta-analysis (PROSPERO: CRD42020189124), we included placebo-controlled, interventional studies of small and large animal models of myocardial ischaemia–reperfusion injury, testing the effect of SGLT2 inhibitor treatment on myocardial infarct size (percentage of area at risk or total area). Standardised mean differences (SMDs) were calculated and pooled using random-effects method. We evaluated heterogeneity by computing Τ2 and I2 values. Meta-regression was performed to explore prespecified subgroup differences according to experimental protocols and their contribution to heterogeneity was assessed (pseudo-R2 values).

Results
We identified ten eligible publications, reporting 16 independent controlled comparisons on a total of 224 animals. Treatment with SGLT2 inhibitor significantly reduced myocardial infarct size compared with placebo (SMD = −1.30 [95% CI −1.79, −0.81], p < 0.00001), referring to a 33% [95% CI 20%, 47%] difference. Heterogeneity was moderate (Τ2 = 0.58, I2 = 60%). SGLT2 inhibitors were only effective when administered to the intact organ system, but not to isolated hearts (p interaction <0.001, adjusted pseudo-R2 = 47%). While acute administration significantly reduced infarct size, chronic treatment was superior (p interaction <0.001, adjusted pseudo-R2 = 85%). The medications significantly reduced infarct size in both diabetic and non-diabetic animals, favouring the former (p interaction = 0.030, adjusted pseudo-R2 = 12%). Treatment was equally effective in rats and mice, as well as in a porcine model. Individual study quality scores were not related to effect estimates (p = 0.33). The overall effect estimate remained large even after adjusting for severe forms of publication bias.

Conclusions/interpretation
The glucose-lowering SGLT2 inhibitors reduce myocardial infarct size in animal models independent of diabetes. Future in vivo studies should focus on clinical translation by exploring whether SGLT2 inhibitors limit infarct size in animals with relevant comorbidities, on top of loading doses of antiplatelet agents. Mechanistic studies should elucidate the potential relationship between the infarct size-lowering effect of SGLT2 inhibitors and the intact organ system.

Graphical abstract
A global perspective on the issue of access to insulin
Authors: Beran David , Lazo-Porras Maria , Mba Camille M. , Mbanya Jean Claude 
Published: January 2021

AbstractThe discovery of insulin in 1921 changed the prognosis for people with type 1 diabetes. A century later, availability and affordability of insulin remain a challenge in many parts of the globe. Using the WHO’s framework on understanding the life cycle of medicines, this review details the global and national challenges that affect patients’ abilities to access and afford insulin. Current research and development in diabetes has seen some innovations, but none of these have truly been game-changing. Currently, three multinational companies control over 95% of global insulin supply. The inclusion of insulin on the WHO’s Prequalification Programme is an opportunity to facilitate entry of new companies into the market. Many governments lack policies on the selection, procurement, supply, pricing and reimbursement of insulin. Moreover, mark-ups in the supply chain also affect the final price to the consumer. Whilst expenses related to diabetes are mostly covered by insurance in high-income countries, many patients from low- and middle-income countries have to pay out of their own pockets. The organisation of diabetes management within the healthcare system also affects patient access to insulin. The challenges affecting access to insulin are complex and require a wide range of solutions. Given that 2021 marks the centenary of the discovery of insulin, there is need for global advocacy to ensure that the benefits of insulin and innovations in diabetes care reach all individuals living with diabetes.
Graphical abstract
Perceived and objective availability of green and blue spaces and quality of life in people with dementia: results from the IDEAL programme
Authors: Wu Yu-Tzu , Clare Linda , Jones Ian Rees , Nelis Sharon M. , Quinn Catherine , Martyr Anthony , Victor Christina R. , Lamont Ruth A. , Rippon Isla , Matthews Fiona E. ,   The Improving the Experience of Dementia, Enhancing Active Life (IDEAL) Programme
Published: January 2021

Abstract
Purpose
The aim of this study was to investigate the associations between quality of life and both perceived and objective availability of local green and blue spaces in people with dementia, including potential variation across rural/urban settings and those with/without opportunities to go outdoors.

Methods
This study was based on 1540 community-dwelling people with dementia in the Improving the experience of Dementia and Enhancing Active Life (IDEAL) programme. Quality of life was measured by the Quality of Life in Alzheimer’s Disease (QoL-AD) scale. A list of 12 types of green and blue spaces was used to measure perceived availability while objective availability was estimated using geographic information system data. Regression modelling was employed to investigate the associations of quality of life with perceived and objective availability of green and blue spaces, adjusting for individual factors and deprivation level. Interaction terms with rural/urban areas or opportunities to go outdoors were fitted to test whether the associations differed across these subgroups.

Results
Higher QoL-AD scores were associated with higher perceived availability of local green and blue spaces (0.82; 95% CI 0.06, 1.58) but not objective availability. The positive association between perceived availability and quality of life was stronger for urban (1.50; 95% CI 0.52, 2.48) than rural residents but did not differ between participants with and without opportunities to go outdoors.

Conclusions
Only perceived availability was related to quality of life in people with dementia. Future research may investigate how people with dementia utilise green and blue spaces and improve dementia-friendliness of these spaces.
Combined posterolateral knee reconstruction: ACL-based injuries perform better compared to PCL-based injuries
Authors: Lutz Patricia M. , Merkle Michael , Winkler Philipp W. , Geyer Stephanie , Herbst Elmar , Braun Sepp , Imhoff Andreas B. , Feucht Matthias J. 
Published: January 2021

AbstractPurposeTo compare post-operative physical activity and return to work after combined posterolateral corner (PLC) reconstruction (PLC-R) in anterior cruciate ligament (ACL)- or posterior cruciate ligament (PCL)-based injuries.MethodsPatients aged > 18 years undergoing PLC-R using the Larson technique combined with either ACL or PCL reconstruction were included. Outcome was evaluated retrospectively after a minimum follow-up of 24 months using Tegner Activity Scale, Activity Rating Scale (ARS), Knee Injury and Osteoarthritis Outcome Score (KOOS), work intensity according to REFA classification, and a questionnaire about type of occupation and time to return to work.ResultsA total of 32 patients (11 ACL-based injuries and 21 PCL-based injuries) were included. Mean follow-up was 56 ± 26 months in the ACL-based injury group and 59 ± 24 months in the PCL-based injury group. All patients in the ACL-based injury group and 91% of patients in the PCL-based injury group returned to sports activities. Comparing pre- and post-operative values, a significant deterioration of the Tegner Activity Scale and ARS was observed in the PCL-based injury group, whereas no significant change was observed in the ACL-based injury group. KOOS subscales were generally higher in the ACL-based injury with significant differences in the subscale sports and recreational activities. Patients with ACL-based injuries returned to work significantly earlier compared to patients with PCL-based injuries (11 ± 4 weeks vs. 21 ± 10 weeks,p < 0.05).ConclusionHigh rates of return to sports and work can be expected after combined PLC-R in both ACL- and PCL-based injuries. However, deterioration of sports ability must be expected in PCL-based injuries. ACL-based injuries led to superior patient-reported outcomes and an earlier return to work, as compared to PCL-based injuries.Level of evidenceLevel IV.
Knee laxity and functional knee outcome after contralateral ACLR are comparable to those after primary ACLR
Authors: Cristiani Riccardo , Viheriävaara Sofia , Janarv Per-Mats , Edman Gunnar , Forssblad Magnus , Stålman Anders 
Published: January 2021

Abstract
Purpose
To evaluate and compare knee laxity and functional knee outcome between primary and contralateral anterior cruciate ligament (ACL) reconstruction.

Methods
Patients who underwent primary and subsequent contralateral ACL reconstruction (ACLR) at Capio Artro Clinic, Stockholm, Sweden, from 2001 to 2017, were identified in our local database. The inclusion criteria were: the same patients who underwent primary and contralateral hamstring tendon or bone-patellar tendon-bone autograft ACLR and no associated ligament injuries. The KT-1000 arthrometer, with an anterior tibial load of 134 N, was used to evaluate knee laxity preoperatively and 6 months postoperatively. The Knee injury and Osteoarthritis Outcome Score (KOOS) was collected preoperatively and at the 1-year follow-up.

Results
A total of 326 patients with isolated primary and contralateral ACLR met the inclusion criteria (47.9% males; mean age at primary ACLR 23.9 ± 9.4 years and contralateral ACLR 27.9 ± 10.1 years). The arthrometric laxity measurements were available for primary and contralateral ACLR for 226 patients. The mean preoperative and postoperative anterior tibial translation (ATT), as well as the mean ATT reduction from preoperatively to postoperatively, did not differ significantly between primary and contralateral ACLR. The KOOS was available for primary and contralateral ACLR for 256 patients. No significant differences were found preoperatively and at the 1-year follow-up between primary and contralateral ACLR for any of the five KOOS subscales.

Conclusion
The findings in this study showed that anterior knee laxity and functional knee outcome after contralateral ACLR are comparable to those after primary ACLR. It is important for clinicians to counsel patients about their expectations after contralateral ACLR. This study shows that the results after contralateral ACLR in terms of knee laxity and functional knee outcome are predictable and likely to be comparable to those after primary ACLR.

Level of evidence
Level III.
Patient-Reported Outcomes from a Randomized, Active-Controlled, Open-Label, Phase 3 Trial of Burosumab Versus Conventional Therapy in Children with X-Linked Hypophosphatemia
Authors: Padidela Raja , Whyte Michael P. , Glorieux Francis H. , Munns Craig F. , Ward Leanne M. , Nilsson Ola , Portale Anthony A. , Simmons Jill H. , Namba Noriyuki , Cheong Hae Il , Pitukcheewanont Pisit , Sochett Etienne , Högler Wolfgang , Muroya Koji , Tanaka Hiroyuki , Gottesman Gary S. , Biggin Andrew , Perwad Farzana , Williams Angela , Nixon Annabel , Sun Wei , Chen Angel , Skrinar Alison , Imel Erik A. 
Published: January 2021

AbstractChanging to burosumab, a monoclonal antibody targeting fibroblast growth factor 23, significantly improved phosphorus homeostasis, rickets, lower-extremity deformities, mobility, and growth versus continuing oral phosphate and active vitamin D (conventional therapy) in a randomized, open-label, phase 3 trial involving children aged 1–12 years with X-linked hypophosphatemia. Patients were randomized (1:1) to subcutaneous burosumab or to continue conventional therapy. We present patient-reported outcomes (PROs) from this trial for children aged ≥ 5 years at screening (n = 35), using a Patient-Reported Outcomes Measurement Information System (PROMIS) questionnaire and SF-10 Health Survey for Children. PROMIS pain interference, physical function mobility, and fatigue scores improved from baseline with burosumab at weeks 40 and 64, but changed little with continued conventional therapy. Pain interference scores differed significantly between groups at week 40 (− 5.02, 95% CI − 9.29 to − 0.75; p = 0.0212) but not at week 64. Between-group differences were not significant at either week for physical function mobility or fatigue. Reductions in PROMIS pain interference and fatigue scores from baseline were clinically meaningful with burosumab at weeks 40 and 64 but not with conventional therapy. SF-10 physical health scores (PHS-10) improved significantly with burosumab at week 40 (least-squares mean [standard error] + 5.98 [1.79]; p = 0.0008) and week 64 (+ 5.93 [1.88]; p = 0.0016) but not with conventional therapy (between-treatment differences were nonsignificant). In conclusion, changing to burosumab improved PRO measures, with statistically significant differences in PROMIS pain interference at week 40 versus continuing with conventional therapy and in PHS-10 at weeks 40 and 64 versus baseline.Trial registration: ClinicalTrials.gov NCT02915705
Chemical functional groups of extractives, cellulose and lignin extracted from native Leucaena leucocephala bark
Authors: Md Salim Rafidah , Asik Jahimin , Sarjadi Mohd Sani 
Published: January 2021

AbstractBark from trees is considered a worthless raw material. However, this resource could be economically beneficial if utilized efficiently due to its rich chemical compounds. In this study, an ethanol toluene-soluble extractive, alpha-cellulose and lignin obtained fromLeucaena leucocephalabark were characterized to determine their chemical functional groups. Based on FTIR spectral analysis, the results indicated that the bands of the functional groups of the extractive from the original bark remain unchanged; however, the absorbance intensity was found to be weaker in the group frequency and fingerprint regions. Removal of extractive, pectin, hemicellulose and lignin from the bark indirectly increased the strong absorbance intensity of cellulose. Broad peaks of OH stretching found in all spectra were assigned to the presence of phenolic OH and aliphatic structures for extractive and aromatic structures of lignin. It was revealed that aromatic functional groups were mainly found in the extractive, while water, carbonyl and ether were the dominant groups in cellulose, and methyl, methylene, carbonyl and carboxyl groups were enriched in lignin.Graphic abstract
Differences in genetic diversity and divergence between brooding and broadcast spawning corals across two spatial scales in the Coral Triangle region
Authors: van der Ven Rosa Maria , Heynderickx Hanneloor , Kochzius Marc 
Published: January 2021

AbstractThe Coral Triangle region contains the world’s highest marine biodiversity, however, these reefs are also the most threatened by global and local threats. A main limitation that prevents the implementation of adequate conservation measures is that connectivity and genetic structure of populations is poorly known. The aim of this study was to investigate the genetic diversity, population structure and connectivity patterns of tropical corals in Indonesia on two different spatial scales, as well as by comparing two different reproduction strategies. Genotyping was based on microsatellite markers for 316 individual Seriatopora hystrix colonies and 142 Acropora millepora colonies sampled in Pulau Seribu and Spermonde Archipelago in 2012 and 2013. Differences in allelic diversity and a strong signature of divergence associated with historical land barriers at the Sunda Shelf were found for the brooding coral Seriatopora hystrix. However, differences in diversity and divergence were not pronounced in the broadcast spawning coral Acropora millepora. Within Spermonde Archipelago, two groups were identified: (1) sites of the sheltered inner-shelf and mid-shelf, which were found to be highly interconnected and (2) mid-shelf and outer-shelf sites characterised by higher differentiation. These patterns of contemporary dispersal barriers and genetic diversity can be explained by the differences in life history of the corals, as well as by oceanographic conditions facilitating larval dispersal. The contemporary dispersal barriers found within the Spermonde Archipelago emphasise the need for incorporating connectivity data in future conservation efforts.
Definition and Analysis of Textbook Outcome: A Novel Quality Measure in Kidney Transplantation
Authors: Halpern Samantha E. , Moris Dimitrios , Shaw Brian I. , Kesseli Samuel J. , Samoylova Mariya L. , Manook Miriam , Schmitz Robin , Collins Bradley H. , Sanoff Scott L. , Ravindra Kadiyala V. , Sudan Debra L. , Knechtle Stuart J. , Ellis Matthew J. , McElroy Lisa M. , Barbas Andrew S. 
Published: January 2021

AbstractBackground“Textbook outcome” (TO) is a novel composite quality measure that encompasses multiple postoperative endpoints, representing the ideal “textbook” hospitalization for complex surgical procedures. We defined TO for kidney transplantation using a cohort from a high‐volume institution.MethodsAdult patients who underwent isolated kidney transplantation at our institution between 2016 and 2019 were included. TO was defined by clinician consensus at our institution to include freedom from intraoperative complication, postoperative reintervention, 30‐day intensive care unit or hospital readmission, length of stay > 75th percentile of kidney transplant patients, 90‐day mortality, 30‐day acute rejection, delayed graft function, and discharge with a Foley catheter. Recipient, operative, financial characteristics, and post‐transplant patient, graft, and rejection‐free survival were compared between patients who achieved and failed to achieve TO.ResultsA total of 557 kidney transplant patients were included. Of those, 245 (44%) achieved TO. The most common reasons for TO failure were delayed graft function (N = 157, 50%) and hospital readmission within 30 days (N = 155, 50%); the least common was mortality within 90 days (N = 6, 2%). Patient, graft, and rejection‐free survival were significantly improved among patients who achieved TO. On average, patients who achieved TO incurred approximately $50,000 less in total inpatient charges compared to those who failed TO.ConclusionsTO in kidney transplantation was associated with favorable post‐transplant outcomes and significant cost‐savings. TO may offer transplant centers a detailed performance breakdown to identify aspects of perioperative care in need of process improvement.
A Simple Tool to Improve Visualization of the Vocal Cords on Translaryngeal Ultrasound in Male Patients
Authors: Knyazeva P. , Walz M. K. , Alesina P. F. 
Published: January 2021

AbstractIntroductionLaryngeal ultrasound has been increasingly used for the evaluation of the vocal cords mobility after thyroid and parathyroid surgery. The sensitivity and positive predictive value of the method are reported to be higher than 80%. Nevertheless, the visualization rate in male patients remains low; therefore, ultrasound is not attractive for the perioperative workup in those patients. In the present study, we evaluate the ability to improve the visualization rate for male patients by using a gel pad as an interface between the skin and the ultrasound probe.Methods and MaterialsBetween December 2018 and January 2019, 92 male patients (mean age 49 years; range: 20–80 years) referred to our hospital with different thyroid pathologies received a laryngeal ultrasound without (TLUS) and subsequently with gel pad (G‐TLUS). TLUS was performed by B‐scan (probe 5–13 MHz, aperture 40 mm). The data were prospectively collected and statistically analyzed.ResultsThe visualization rate in the TLUS group was 35% (32 out of 92 patients). The use of the gel pad could increase the rate to 78% (p < 0.0001). For both groups, visualization rates are lower in older patients (> 50 years) compared to younger individuals (TLUS: 25% vs. 45%, p < 0.05; G‐TLUS: 75% vs 82%, p = 0.45).ConclusionThe gel pad significantly improves the vocal cord visualization rate in male patients and should be used routinely.
Morphological consistency of bilateral hip joints in adults based on the X-ray and CT data
Authors: Zhao Ran , Cai Hong , Tian Hua , Zhang Ke 
Published: January 2021

AbstractPurposeThe application of the anatomical parameters of the contralateral hip joint to guide the preoperative template of the affected side relies on the bilateral hip symmetry. We investigated the bilateral hip symmetry and range of anatomical variations by measurement and comparison of bilateral hip anatomical parameters.MethodsThis study included 224 patients (448 hips) who were diagnosed with osteoarthritis (OA) and avascular necrosis (AVN) of the femur head, and underwent bilateral primary total hip arthroplasty (THA) in our hospital from January 2012 to August 2020. Imaging data included 224 patients X-ray and 30 CT data at the end of the cohort. Anatomical parameters, including the acetabular abduction angle and trochanteric height, were measured using the Noble method. Postoperative measurements included stem size, difference of leg length and offset.ResultsExcept for the isthmus width, there were no significant differences in the anatomical morphology of the hip joint. Among the demographic factors, there was a correlation between body weight and NSA. Among various anatomical parameters, a correlation was present between medullary cavity widths of T + 20, T, and T − 20. The difference in the use of stem size is not due to the morphological difference of bilateral medullary cavity, but due to the different of 1- or 2-stage surgery.ConclusionBilateral symmetry was present among the patients with normal morphology of the hip medullary cavity, theoretically confirming the feasibility of structural reconstruction of the hip joint using the hip joint on the uninjured side. Additionally, the difference in the morphology of the hip medullary cavity is not present in a single plane but is synergistically affected by multiple adjacent planes.