bluuebunny/crossref_metadata_2025_split huggingface dataset:
How Do Workers Sustain COVID-induced Labour Market Shock: Evidence from the Indian State of Kerala
Authors: Refeque Muhammed , Azad P. , Sujathan P. K. 
Published: June 2021

This article is an empirical analysis of the resilience of workers over the COVID-hit labour market in the Indian state of Kerala. Quantile regression methods are used to ascertain the impact of COVID-19 on the labour market. This method is more advantageous than the traditional OLS method as it does not presume a constant effect of explanatory variables on the distribution of dependent variable. Evidences convey that all the five categories of workers under study were disproportionately buffeted by the pandemic. However, the factors education and experience were found to have a stabilising effect on the rate of labour market participation. The article pitches for a more responsive and responsible role that the State can deliver to embolden and reinforce human capital so that the pandemic like COVID-19 can at best be averted. JEL Codes: E24, H12, I15, J64
Reducing the Prevalence of Alcohol-Exposed Pregnancies in the United States: A Simulation Modeling Study
Authors: Yaesoubi Reza , Mahin Maya , Martin Geoffrey , Paltiel A. David , Sharifi Mona 
Published: June 2021

Background Public health efforts to prevent alcohol-exposed pregnancies (AEPs) primarily focus on promoting abstinence from alcohol among women if pregnant or seeking pregnancy and using effective contraception to prevent unintended pregnancies if consuming alcohol. Little is known about how programs to improve adherence to these recommendations would affect the prevalence of AEPs. Methods We developed an individual-based simulation model of US women of reproductive age to project the prevalence of AEPs under different public health strategies. The model varies each woman’s risk of an AEP over time depending on fertility, contraceptive use, awareness of pregnancy, sexual activity, and drinking patterns. We used the 2013–2015 National Survey on Family Growth data set to parameterize the model. Results We estimate that 54% (95% uncertainty interval: 48%–59%) of pregnancies that result in a live birth in the United States are exposed to alcohol, 12% (10%–15%) are ever exposed to ≥5 alcoholic drinks in a week, and 3.0% (1.3%–4.2%) to ≥9 drinks. Unintended pregnancies (either due to contraceptive failure or sex without contraceptives) account for 80% (75%–87%) of pregnancies unknowingly exposed to alcohol. We project that public health efforts that focus only on promoting alcohol abstinence among women who are aware of their pregnancy or seeking pregnancy could reduce the prevalence of AEPs by at most 42% (36%–48%). Augmenting this strategy with efforts to avert unintended pregnancies could yield an 80% (73%–86%) reduction in the prevalence of AEPs. Conclusions Promoting alcohol abstinence among women who are aware of their pregnancy or seeking pregnancy offers limited potential to reduce the prevalence of AEPs. Programs to avert unintended pregnancies are essential to achieve more substantial reductions in AEPs in the United States.
Validity of Research Based on Public Data in Sports Medicine: A Quantitative Assessment of Anterior Cruciate Ligament Injuries in the National Football League
Authors: Inclan Paul M. , Chang Peter S. , Mack Christina D. , Solomon Gary S. , Brophy Robert H. , Hinton Richard Y. , Spindler Kurt P. , Sills Allen K. , Matava Matthew J. 
Published: June 2021

Background: Numerous researchers have leveraged publicly available Internet sources to publish publicly obtained data (POD) studies concerning various orthopaedic injuries in National Football League (NFL) players. Purpose: To provide a comprehensive systematic review of all POD studies regarding musculoskeletal injuries in NFL athletes and to use anterior cruciate ligament (ACL) injuries in NFL players to quantify the percentage of injuries identified by these studies. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic review was conducted to identify all published studies utilizing POD regarding ACL injury in NFL athletes from 2000 to 2019. Data regarding player demographics were extracted from each publication. These results were compared with prospectively collected data reported by the teams’ medical staff to the NFL Injury Surveillance System database linked to the League’s electronic health record. An ACL “capture rate” for each article was calculated by dividing the number of ACL injuries in the POD study by the total number of ACL injuries in the NFL injury database occurring in the study period of interest. Results: A total of 42 studies were extracted that met the definition of a POD study: 28 evaluated a variety of injuries and 14 dealt specifically with ACL injuries, with 35 (83%) of the 42 studies published during or since 2015. POD studies captured a mean of 66% (range, 31%-90%) of ACL injuries reported by the teams’ medical staff. This inability to capture all injury rates varied by position, with 86% capture of ACL injuries in skill athletes, 72% in midskill athletes, and 61% in linemen. POD studies captured 35% of injuries occurring during special teams play. Conclusion: The frequency of studies leveraging publicly obtained injury data in NFL players has rapidly increased since 2000. There is significant heterogeneity in the degree to which POD studies correctly identify ACL injuries from public reports. Sports medicine research relying solely on publicly obtained sources should be interpreted with an understanding of their inherent limitations and biases. These studies underreport the true incidence of injuries, with a bias toward capturing injuries in more popular players.
Single Assessment Numeric Evaluation Correlates with American Shoulder and Elbow Surgeons Score for Common Elbow Pathology: A Retrospective Cohort Study
Authors: Patel Manan Sunil , Kirsch Jacob M. , Gutman Michael J. , McEntee Richard M. , Alberta Frank , Ramsey Matthew L. , Abboud Joseph A. , Namdari Surena 
Published: June 2021

Background: There are currently a variety of patient-reported outcomes (PROs) for elbow pathology, without any established gold standard. The Single Assessment Numeric Evaluation (SANE) is a single question assessment of the patient’s perceived overall function compared with normal. The SANE score has been correlated with PROs from the shoulder and knee literature. Purpose: To correlate the SANE score for a variety of elbow pathologies with a traditionally reported elbow outcome measure, the American Shoulder and Elbow Surgeons–Elbow score (ASES-E). Study Design: Cohort study (diagnosis); Level of evidence, 3. Methods: A retrospective review was performed of all patients identified at a single center between April 2016 and January 2019 who presented as a new patient with elbow pathology. All patients prospectively completed the ASES-E along with the SANE score for elbow (SANE-E) at the time of initial consultation. Spearman correlations ( r) were performed to evaluate the correlation between the ASES-E and the SANE-E score for specific elbow pathology, along with descriptive data such as age, sex, and chronicity of the problem. Results: A total of 555 patients (166 women, 29.9%) with a mean ± SD age of 51.0 ± 11.7 years with the diagnoses of medial epicondylitis (n = 72; 13.0%), lateral epicondylitis (n = 224; 40.4%), biceps tendon rupture (n = 139; 25.0%), triceps tendon rupture (n = 21; 3.8%), and elbow arthritis (n = 99; 17.8%) were included in this analysis. There was moderate correlation between the SANE-E and the ASES-E ( r = 0.623; P < .001), with strongest correlation with the visual analog scale (VAS) ( r = −0.518; P < .001) compared with any individual question and moderate to strong correlations based on specific diagnoses. SANE-E and ASES-E scores for the entire cohort were 42.9 ± 26.7 and 56.9 ± 21.4, respectively ( P < .001). Age ( r = 0.027; P = .526), sex ( r = 0.026; P = .555), VAS ( r = −0.106; P = .013), and chronicity of the problem ( r = −0.037; P = .384) were not found to be correlated with differences in ASES-E and SANE-E. Conclusion: The SANE-E score is a simple way to assess patient-perceived function relative to normal. The findings of this study demonstrated moderate to strong correlation between the ASES-E and the SANE-E score for a variety of commonly encountered elbow conditions.
Turkey’s Sub-imperialism in Sub-Saharan Africa
Authors: Uysal Gönenç 
Published: June 2021

The growing economic and political roles of the so-called emerging powers in sub-Saharan Africa have attracted particular attention following the apparent decline of Western powers in the face of the global economic crisis of 2007–2008. The AKP’s “proactive” foreign policy has manifested Turkey’s burgeoning role in the region. This paper draws upon Marxism to explore the diffusion of Turkish capital and the enhancement of military relations in the region in harmony and in contradistinction with Western and Gulf countries. It discusses the AKP’s proactive foreign policy vis-à-vis sub-Saharan Africa as a particular sociohistorical form of sub-imperialism that is characterized by and reproduces economic and geopolitical rivalries and alliances among Turkey and Western and Gulf countries. JEL Classification: F5, P1, O1
Effects of Achillea tenuifolia Lam. hydro-alcoholic extract on anxiety-like behavior and reproductive parameters in rat model of chronic restraint stress
Authors: Bagheri Y , Fathi E , Maghoul A , Moshtagh S , Mokhtari K , Abdollahpour A , Montazersaheb S , Bagheri A 
Published: June 2021

Introduction: Achillea tenuifolia Lam ( AT) has several biological activities and medicinal properties. In this study, we elucidated the impact of the AT on anxiety-related behaviors, reproductive parameters, antioxidant capacity in male rats subjected to chronic restraint stress (CRS). Methods: 35 Wistar rats were divided into five groups: control, CRS-control (received normal saline) and three CRS-treated groups received AT extract (100, 150, and 200 mg/kg body weight) for 21 consequences days. To induce CRS rats, the rats were immobilized for 21 days and received the extract orally. On the last day of treatment, anxiety-related behaviors were assessed through the sucrose preference test (SPT) as well as elevated plus maze (EPM) tests. Corticosterone, luteinizing hormone (LH), and follicle-stimulating hormone (FSH), testosterone levels were evaluated to determine reproductive capacity. Sperm parameters including the total count, motility, and viability were also analyzed. Weight of body, testis and seminal vesicles was measured as well. Results: The findings revealed that 100, 150, and 200 mg/kg of AT extract had anxiolytic effects in CRS rats, as confirmed by the EPM test and SPT. In addition, AT extract could improve fertile capacity and sperm quality to varying degrees. The level of corticosterone had decreased, whereas the level of LH, FSH and testosterone had increased in CRS-treated rats. Moreover, the reduced level of MDA coincided with an increased rate of antioxidant capacity. Our findings suggest that AT extract could alleviate stress-induced dysfunctions. Conclusion: Overall, these observations would infer that AT extract could improve fertility capacity and behavioral impairment in the stress conditions. Graphical abstract: Assumption pathway describing the probability underlying mechanism of CRS-induced anxiety and reproductive toxicity and protective effect of AT.
Feline comorbidities: Pathophysiology and management of the obese diabetic cat
Authors: Clark Melissa , Hoenig Margarethe 
Published: June 2021

Practical relevance: Up to 40% of the domestic feline population is overweight or obese. Obesity in cats leads to insulin resistance via multiple mechanisms, with each excess kilogram of body weight resulting in a 30% decline in insulin sensitivity. Obese, insulin-resistant cats with concurrent beta-cell dysfunction are at risk of progression to overt diabetes mellitus. Approach to management: In cats that develop diabetes, appropriate treatment includes dietary modification to achieve ideal body condition (for reduction of insulin resistance), and optimization of diet composition and insulin therapy (for glycemic control and the chance of diabetic remission). Initially, as many obese cats that become diabetic will have lost a significant amount of weight and muscle mass by the time of presentation, some degree of diabetic control should be attempted with insulin before initiating any caloric restriction. Once body weight has stabilized, if further weight loss is needed, a diet with ≤ 12–15% carbohydrate metabolizable energy (ME) and >40% protein ME should be fed at 80% of resting energy requirement for ideal weight, with the goal of 0.5–1% weight loss per week. Other approaches may be necessary in some cats that need either substantial caloric restriction or do not find low carbohydrate diets palatable. Long-acting insulins are preferred as initial choices and oral antidiabetic drugs can be used in combination with diet if owners are unable or unwilling to give insulin injections. Glucagon-like peptide-1 (GLP-1) agonists have recently been investigated for use as adjunctive treatment in diabetic cats and sodium-glucose cotransporter-2 (SGLT2) inhibitors are currently being evaluated in clinical trials. Evidence base: The information in this review is drawn from: epidemiological studies on obesity prevalence; prospective longitudinal studies of development of insulin resistance with obesity; randomized controlled studies; and expert opinion regarding the effect of diet on diabetes management in cats.
Fecal viral DNA shedding following clinical panleukopenia virus infection in shelter kittens: a prospective, observational study
Authors: Janke Kyrsten J , Jacobson Linda S , Giacinti Jolene A , Weese J Scott 
Published: June 2021

Objectives The aims of this study were to determine the magnitude and duration of fecal viral DNA shedding after diagnosis of feline panleukopenia (FP) in a group of shelter cats using quantitative real-time PCR (qPCR); to assess the utility of a negative point-of-care test or the resolution of diarrhea and systemic signs as proxy measures for qPCR positivity; and to investigate patterns of additional enteric pathogens in relation to feline panleukopenia viral shedding duration. Methods Feline panleukopenia virus (FPV) infection in clinically affected shelter cats was confirmed by a commercial qPCR test. Observations were made on days 0, 3, 7, 14 and 21 post-diagnosis. Fecal flotation, FPV qPCR and the canine parvovirus IDEXX SNAP Parvo ELISA (SNAP) test were performed on fecal samples. Results Forty cats and kittens with confirmed panleukopenia were initially enrolled. Sixteen kittens were sampled until day 14, and 12 were followed to day 21. Median DNA viral copy numbers fell below the diagnostic cut-off by day 7, with 13/16, 6/16, 1/16 and 0/12 testing PCR-positive on days 3, 7, 14 and 21, respectively. The SNAP test was positive in 12/16 kittens on day 0 and only 3/16 on day 3. SNAP test results, diarrhea and systemic signs were inconsistent in relation to qPCR positivity post-diagnosis. Additional enteric pathogens were common. The presence of additional pathogen types was suggestive of a longer PCR shedding duration, but this was not tested statistically owing to the small sample size. Conclusions and relevance These findings suggest that cats should be isolated for at least 14 days after a diagnosis of FP, but that release from isolation after this point is reasonable, in association with a multifaceted infection control strategy. The study findings did not support using SNAP test results, diarrhea or systemic signs as proxy measures for virus shedding.
The Haunting Temporalities of Transplantation
Authors: McCormack Donna 
Published: June 2021

This article examines the temporality of organ transplantation with a focus on memoirs where the recipient has received an organ from a deceased donor. I argue that death constitutes life. That is, this absent presence – that the organ is materially present but the person is dead and therefore absent – is the foundation for rethinking relationality as constituted through the haunting presence of those who remain central to the continuity of life but who are not alive in any strict definition of the term. This article is therefore attentive to the various meanings of haunting, drawing on queer theory to show how narratives of haunting are derealised experiences and thus a struggle for epistemological authority over specifically transplantation and relationality more broadly. It draws out how these epistemological challenges reimagine ontology as a haunted experience, and thus an intimate tie between the living and the unknown – and somewhat present – dead.
North American lower-extremity revascularization and amputation during COVID-19: Observations from the Vascular Quality Initiative
Authors: Lou Jun-Yang , Kennedy Kevin F , Menard Matthew T , Abbott J Dawn , Secemsky Eric A , Goodney Philip P , Saad Marwan , Soukas Peter A , Hyder Omar N , Aronow Herbert D 
Published: June 2021

Introduction: The coronavirus disease 2019 (COVID-19) pandemic’s impact on vascular procedural volumes and outcomes has not been fully characterized. Methods: Volume and outcome data before (1/2019 – 2/2020), during (3/2020 – 4/2020), and following (5/2020 – 6/2020) the initial pandemic surge were obtained from the Vascular Quality Initiative (VQI). Volume changes were determined using interrupted Poisson time series regression. Adjusted mortality was estimated using multivariable logistic regression. Results: The final cohort comprised 57,181 patients from 147 US and Canadian sites. Overall procedure volumes fell 35.2% (95% CI 31.9%, 38.4%, p < 0.001) during and 19.8% (95% CI 16.8%, 22.9%, p < 0.001) following the surge, compared with presurge months. Procedure volumes fell 71.1% for claudication (95% CI 55.6%, 86.4%, p < 0.001) and 15.9% for chronic limb-threatening ischemia (CLTI) (95% CI 11.9%, 19.8%, p < 0.001) but remained unchanged for acute limb ischemia (ALI) when comparing surge to presurge months. Adjusted mortality was significantly higher among those with claudication (0.5% vs 0.1%; OR 4.38 [95% CI 1.42, 13.5], p = 0.01) and ALI (6.4% vs 4.4%; OR 2.63 [95% CI 1.39, 4.98], p = 0.003) when comparing postsurge with presurge periods. Conclusion: The first North American COVID-19 pandemic surge was associated with a significant and sustained decline in both elective and nonelective lower-extremity vascular procedural volumes. When compared with presurge patients, in-hospital mortality increased for those with claudication and ALI following the surge.
Adaptive memory: Greater memory advantages in bilinguals’ first language
Authors: Kazanas Stephanie A , Wilck Allison M , Altarriba Jeanette 
Published: June 2021

Aims and objectives/purpose/research questions: In this study, we examined memory performance in a bilingual population, in an effort to compare depth of processing and complexity across first and second languages. Design/methodology/approach: Complexity was investigated with a pleasantness rating task and an elaborative encoding, scenario-based rating task (i.e. rating words for their survival-relevance). Previous research found word recall largely benefited from an ancestral context that primed participants to think deeply about the survival-relevance of a list of concrete, neutral words. Engaging this more elaborative processing may lead to better memory if the human memory system is particularly tuned toward remembering survival-relevant materials. Data and analysis: Participants included 127 Spanish-English bilinguals, randomly-assigned to complete survival-relevance or pleasantness ratings in either Spanish or English. Aggregated language history data self-reported by participants (e.g. language-learning environments, age of acquisition, and so on), suggested an L1 of Spanish and L2 of English. An analysis of variance (ANOVA) compared word recall across these tasks and languages. Findings/conclusions: We hypothesized better recall performance collected from bilingual participants in the survival condition using their first, more often emotional, language. Our results support this hypothesis, with bilinguals replicating the memory advantage for words rated for their survival-relevance in Spanish (their L1), but not in English (their L2). Originality: While this paradigm has largely been studied with monolingual English-speakers, or in some cases, other languages, no study has explored its replicability in a Spanish-English bilingual population’s two languages. Significance/implications: These findings speak to the on-going effort to understand word processing and memory differences—particularly with regards to processing complexity—across bilinguals’ first and second languages.
The influence of cardiac rehabilitation on heart rate variability indices in men with type 2 diabetes and coronary artery disease
Authors: Szmigielska Katarzyna , Jegier Anna 
Published: June 2021

The study evaluated the influence of cardiac rehabilitation (CR) on heart rate variability (HRV) in men with coronary artery disease (CAD) with and without diabetes. Method: The study population included 141 male CAD patients prospectively and consecutively admitted to an outpatient comprehensive CR program. Twenty-seven patients with type-2 diabetes were compared with 114 males without diabetes. The participants performed a 45-min cycle ergometer interval training alternating 4-min workload and a 2-min active restitution three times a week for 8 weeks. The training intensity was adjusted so that the patient’s heart rate achieved the training heart rate calculated according to the Karvonen formula. At the baseline and after 8 weeks, all the patients underwent the HRV assessment. Results: HRV indices in the patients with diabetes were significantly lower as compared to the patients without diabetes in SDNN, TP, LF parameters, both at the baseline and after 8 weeks of CR. After 8 weeks of CR, a significant improvement of TP, SDNN, pNN50% and HF occurred in the patients without diabetes, whereas in the patients with diabetes only HF component improved significantly. Conclusions: As regards HRV indices, CR seems to be less effective in patients with CAD and type-2 diabetes.
The rein-type arthroscopic capsular suture for triangular fibrocartilage complex foveal tears: midterm results for 90 patients
Authors: Lo I-Ning , Chen Kuan-Jung , Huang Tung-Fu , Huang Yi-Chao 
Published: June 2021

We describe an arthroscopic rein-type capsular suture that approximates the triangular fibrocartilage complex to the anatomical footprint, and report the results at a minimum 12 month follow-up. The procedure involves two 3-0 polydioxanone horizontal mattress sutures inserted 1.5 cm proximal to the 6-R and 6-U portals to obtain purchase on the dorsal and anterior radioulnar ligaments, respectively. The two sutures work as a rein to approximate the triangular fibrocartilage complex to the fovea. Ninety patients with Type IB triangular fibrocartilage complex injuries were included retrospectively. The 12-month postoperative Modified Mayo Wrist scores, Disabilities of Arm, Shoulder and Hand scores and visual analogue scale for pain showed significant improvements on preoperative values. Postoperative range of wrist motion, grip strength and ultrasound assessment of the distal radioulnar joint stability were comparable with the normal wrist. The patients had high satisfaction scores for surgery. There were minor complications of knot irritation. No revision surgery for distal radioulnar joint instability was required. It is an effective and technically simple procedure that provides a foveal footprint contact for the triangular fibrocartilage complex. Level of evidence: IV