bluuebunny/crossref_metadata_2025_split huggingface dataset:
SARS-CoV-2 antibody seroprevalence among firefighters in Orange County, California
Authors: Vieira Verónica , Tang Ian W , Bartell Scott , Zahn Matthew , Fedoruk Marion Joseph 
Published: August 2021

ObjectivesWe conducted serological SARS-CoV-2 antibody testing from October to November 2020 to estimate the SARS-CoV-2 seroprevalence among firefighters/paramedics in Orange County (OC), California.MethodsOC firefighters employed at the time of the surveillance activity were invited to participate in a voluntary survey that collected demographic, occupational and previous COVID-19 testing data, and a SARS-CoV-2 immunoglobulin (Ig)G antibody blood test. We collected venous blood samples using mobile phlebotomy teams that travelled to individual fire stations, in coordination with an annual tuberculosis testing campaign for firefighters employed by OC Fire Authority (OCFA), and independently for firefighters employed by cities. We estimated seroprevalence and assessed several potential predictors of seropositivity.ResultsThe seroprevalence was 5.3% among 923 OCFA personnel tested, with 92.2% participating. Among firefighters self-reporting a previous positive COVID-19 antibody or PCR test result, twenty-one (37%) did not have positive IgG tests in the current serosurvey. There were no statistically significant differences in demographic characteristics between cases and non-cases. Work city was a significant predictor of case status (p=0.015). Seroprevalence (4.8%) was similar when aggregated across seven city fire departments (42%–65% participation). In total, 1486°C fire personnel were tested.ConclusionUsing a strong serosurvey design and large firefighter cohort, we observed a SARS-CoV-2 IgG seroprevalence of 5.3%. The seroprevalence among OC firefighters in October 2020 was lower than the general county population estimated seroprevalence (11.5%) in August. The difference may be due in part to safety measures taken by OC fire departments at the start of the pandemic, as well as differences in antibody test methods and/or duration of antibody response.
Aortic Valve Replacement and Penicillin Desensitization in a Patient with Abiotrophia defectiva Aortic Valve Endocarditis
Authors: Kumar S. , Mahmood S. , Madras A. , Iyer A. 
Published: August 2021

Abiotrophia defectiva is an uncommon and insidious yet destructive cause of infective endocarditis preferentially treated with penicillin/gentamicin and often requiring surgical treatment. A 60-year-old man with penicillin anaphylaxis history presented with fevers and a nonspecific constellation of symptoms. He was ultimately diagnosed with bicuspid aortic valve infective endocarditis based on blood cultures growing A.defectiva and echocardiographic evidence of bicuspid aortic valve, severe valvular regurgitation, and

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vegetation. Aortic valve replacement and culture yielded penicillin-sensitive A.defectiva. After successful penicillin desensitization, antibiotic therapy was switched from vancomycin/gentamicin to benzylpenicillin. This is the first published case of penicillin desensitization in a patient with A.defectiva-associated infection. Penicillin desensitization, optimal antibiotic therapy, prompt aortic valve replacement, and close collaboration between cardiology and various other specialties were essential in achieving a positive outcome.
Sonothrombolysis in Patients With Acute Ischemic Stroke With Large Vessel Occlusion: An Individual Patient Data Meta-Analysis
Authors: Tsivgoulis Georgios , Katsanos Aristeidis H. , Eggers Jürgen , Larrue Vincent , Thomassen Lars , Grotta James C. , Seitidis Georgios , Schellinger Peter D. , Mavridis Dimitris , Demchuk Andrew , Novotny Vojtech , Molina Carlos A. , Veroniki Areti Angeliki , Köhrmann Martin , Soinne Lauri , Khanevski Andrej Netland , Barreto Andrew D. , Saqqur Maher , Psaltopoulou Theodora , Muir Keith W. , Fiebach Jochen B. , Rothlisberger Travis , Kent Thomas A. , Mandava Pitchaiah , Alexandrov Anne W. , Alexandrov Andrei V. 
Published: August 2021

Background and Purpose:
Evidence about the utility of ultrasound-enhanced thrombolysis (sonothrombolysis) in patients with acute ischemic stroke (AIS) is conflicting. We aimed to evaluate the safety and efficacy of sonothrombolysis in patients with AIS with large vessel occlusion, by analyzing individual patient data of available randomized-controlled clinical trials.

Methods:
We included all available randomized-controlled clinical trials comparing sonothrombolysis with or without addition of microspheres (treatment group) to intravenous thrombolysis alone (control group) in patients with AIS with large vessel occlusion. The primary outcome measure was the rate of complete recanalization at 1 to 36 hours following intravenous thrombolysis initiation. We present crude odds ratios (ORs) and ORs adjusted for the predefined variables of age, sex, baseline stroke severity, systolic blood pressure, and onset-to-treatment time.

Results:
We included 7 randomized controlled clinical trials that enrolled 1102 patients with AIS. A total of 138 and 134 confirmed large vessel occlusion patients were randomized to treatment and control groups respectively. Patients randomized to sonothrombolysis had increased odds of complete recanalization compared with patients receiving intravenous thrombolysis alone (40.3% versus 22.4%; OR, 2.17 [95% CI, 1.03–4.54]; adjusted OR, 2.33 [95% CI, 1.02–5.34]). The likelihood of symptomatic intracranial hemorrhage was not significantly different between the 2 groups (7.3% versus 3.7%; OR, 2.03 [95% CI, 0.68–6.11]; adjusted OR, 2.55 [95% CI, 0.76–8.52]). No differences in the likelihood of asymptomatic intracranial hemorrhage, 3-month favorable functional and 3-month functional independence were documented.

Conclusions:
Sonothrombolysis was associated with a nearly 2-fold increase in the odds of complete recanalization compared with intravenous thrombolysis alone in patients with AIS with large vessel occlusions. Further study of the safety and efficacy of sonothrombolysis is warranted.
Male homophily in South American herpetology: one of the major processes underlying the gender gap in publications
Authors: Grosso Jimena , Fratani Jessica , Fontanarrosa Gabriela , Chuliver Mariana , Duport-Bru Ana Sofía , Schneider Rosio Gabriela , Casagranda María Dolores , Ferraro Daiana Paola , Vicente Natalin , Salica María José , Pereyra Laura , Medina Regina Gabriela , Bessa Carla , Semhan Romina , Vera Miriam Corina 
Published: August 2021

Abstract
The growing number of gender studies encourages more refined analyzes and greater conceptualization of the underlying processes of gender gap in science. In Herpetology, previous studies have described gender disparities and a scrutiny of individual interactions may help revealing the mechanisms modelling the global pattern. In this contribution we modeled a co-authorship network, a previously unexplored methodology for gender studies in this discipline, in addition to a broad and classic bibliometric analysis of the discipline. Co-authorship networks were modelled for two South American journals, because this geo-political location is considered to present the best gender balance within general scientific communities. However, we found a pattern of male preferential connections (male homophily) that marginalizes women and maintains the gender gap, at both regional and global scales. This interpretation arises from results coming from multiple analyses, such as high homophily index in collaboration networks, lower female representation in articles than expected in a non-gender biased environment, the decrease of female co-authors when the article leader is a man, and the extreme masculinization of the editorial boards. The homophilic dynamics of the publication process reveals that academic activity is pervasive to unbalanced power relationships. Personal interactions shape the collective experience, tracing back to the Feminist Theory’s axiom: “the personal is political”.
Hexametric Poetesses ante Homerum
Authors: Chesi Giulia Maria 
Published: August 2021

Abstract
This paper discusses an issue relevant to the history of the Greek hexameter, that is, the female and oracular origins of the so-called heroic verse, which, according to Plutarch in De Pythiae oraculis (402d), was first heard in Delphi at the shrine of Earth. I am going to look at two hexametric poetesses ante Homerum, Phemonoe and Herophile. My analysis unfolds in three steps, and focuses on several passages in Pausanias’ book on Delphi and Phocis – our most important source for the oracular and female inception of hexameter. Firstly, in addressing the attribution of the invention of hexameter to Phemonoe, I dwell on the characterization of her hexametric oracular song as aeidein as well as on the notion of the hexameter as a product of technē (‘craft’). Secondly, I discuss why Phemonoe and Herophile can be deemed to have authored epos ante Homerum. Finally, I examine oracular silence as the very source of the oracle-myth surrounding the female invention of the hexametric verse.
Alala ou ololugē
Authors: Semenzato Camille 
Published: August 2021

Abstract
On the basis of a controversial passage from Euripides’ Bacchae, this paper raises again the question to what extent the two onomatopoeias ἀλαλά and ὀλολυγή are strictly related to one or the other sex. The valorization of the sound meanings of these cries as they emerge from the contexts in which they are used opens up new perspectives of interpretation.
The Pantomimic Voice
Authors: Koenig Amy A. 
Published: August 2021

Abstract
Ovid’s Metamorphoses, as scholars have demonstrated, can be read in dialogue with Roman pantomime dance, and the tale of Echo and Narcissus is one of its most ‘pantomimic’ episodes. While others have focused on the figure of Narcissus in this vein, I turn instead to Echo, whose vocal mimicry can be seen as a mirror of the pantomime’s art, and whose juxtaposition with Narcissus seems emblematic of the body-voice relationship in pantomime. Echo’s desire for Narcissus engages with an existing lyric tradition of depicting the relationship between singing voice and dancing body in erotic terms. In such situations, the desire is fulfilled if the performers are both singing and dancing, uniting body and voice in performance. The thwarted union of Echo and Narcissus, however, embodies instead the dynamics of pantomime: the subordination or absence of the voice in favor of the body, and the connection created between dancer and audience.
Taxonomic notes on some species in the genus Clausena (Rutaceae) in China based on molecular and morphological data
Authors: Mou Fengjuan , Li Shuangzhi , Peng Yun , Li Yiguo 
Published: August 2021

Abstract
Clausena (Rutaceae) is only one genus native both to the Monsoon region and to tropical and subtropical Africa in the subfamily Aurantioideae. The most distinctive morphological character in this genus is the gynophore supporting the ovary and the morphology of pistil can help to define the natural groups of species. Based on the morphological data of flowers and molecular phylogeny of ITS, trnL-F and atpB-rbcL, the taxonomic problems of some species in China are resolved here. The species C. lenis has a separate status in the genus Clausena, then C. lansium stands apart from other species except C. lenis; the species status of five species, C. odorata, C. vestita, C. dunniana, C. emarginata, and C. anisum-olens are restated.
How Undergraduate Students Learn Atmospheric Science: Characterizing the Current Body of Research
Authors: McNeal Peggy , Flynn Wendilyn , Kirkpatrick Cody , Kopacz Dawn , LaDue Daphne , Maudlin Lindsay C. 
Published: August 2021

Abstract
Educators can enrich their teaching with best practices, share resources, and contribute to the growing atmospheric science education research community by reading and participating in the scholarship of teaching and learning in atmospheric science. This body of scholarship has grown, particularly over the past 15 years, and is now a sizable literature base that documents and exemplifies numerous teaching innovations in undergraduate atmospheric science education. This literature base benefits the entire atmospheric science community because graduates of atmospheric science programs are better prepared to enter the workforce. This literature base has not yet been examined, however, to see how well the evidence supports education practices in the atmospheric science education literature. In this study, we characterized that evidence and show that the majority of papers we reviewed share education innovations with anecdotal or correlational evidence of effectiveness. While providing useful practitioner knowledge and preliminary evidence of the effectiveness of numerous innovative teaching practices, opportunities exist for increasing readers’ confidence that the innovations caused the learning gains. Additional studies would also help move conclusions toward generalizability across academic institutions and student populations. We make recommendations for advancing atmospheric science education research and encourage atmospheric science educators to actively use the growing body of education literature as well as contribute to advancing atmospheric science education research.
Controversy on the Association of the Critical Shoulder Angle and the Development of Degenerative Rotator Cuff Tears: Is There a True Association? A Meta-analytical Approach
Authors: Rojas Lievano Jorge , Bautista Maria , Woodcock Santiago , Fierro Guido , González Juan Carlos 
Published: August 2021

Background: The role of the critical shoulder angle (CSA) as a risk factor for rotator cuff tear (RCT) remains controversial. Studies on the association between the CSA and RCT show considerable differences in design, and this could be responsible for the variation in study results. Purpose: To (1) describe the reliability of CSA measurement and (2) evaluate the results of the studies reporting the association between the CSA and RCT using meta-analytical techniques to explore potential sources of variation of study results. Study Design: Systematic review and meta-analysis; Level of evidence, 4. Methods: MEDLINE, EMBASE, and CINAHL electronic databases were searched through June 30, 2019. Case-control and cross-sectional studies reporting the association of the CSA and RCT were selected. The weighted mean difference in the CSA was estimated using a random-effects model. Prediction interval was computed to better express uncertainties in the effect estimate. Metaregression and subgroup analyses were performed to explore potential sources of heterogeneity. Results: A total of 14 studies, including 1154 cases and 1271 controls, were identified. Of these studies, 79% (11/14) assessed the reliability of the CSA measurement, demonstrating an excellent intraobserver (range, 0.91-0.99) and interobserver (range, 0.87-0.99) reliability. Compared with controls, cases with RCT showed larger measurements of the CSA (3.3° [95% CI, 2.3°- 4.4°]). However, there was a high heterogeneity ( I2 = 93%), and the 95% prediction interval (-0.4° to 7.1°) included no difference in the CSA. Results of the metaregression analysis showed a significant association of several methodological aspects with the heterogeneity. The difference in the CSA tended to be larger when only full-thickness tears were included, when no specific defined criterion for assessing radiographic viewing perspective was used, in studies with smaller sample sizes, and in studies at higher risk of bias. Conclusion: While the CSA can be reliably measured, the difference in the CSA between cases and controls varied from very large to modest or almost no difference. Several determinants of heterogeneity were determined. Owing to this heterogeneity, it is difficult to gain an insight into the strength and exact nature of the association between the CSA and RCT with the current evidence.
Emergency department visits for psychiatric care during the first lockdown in Melbourne
Authors: Jagadheesan Karuppiah , Danivas Vijay , Itrat Annie , Lakra Vinay 
Published: August 2021

Objective: We investigated the nature of patients presenting to an emergency department (ED) during the first lockdown in Melbourne. Method: This study compared adult patients in the North West Area Mental Health Service catchment area who presented to the local ED during the lockdown (16 March–12 May 2020) and the control (16 March–12 May 2019) periods. Results: The control and lockdown periods included 321 and 332 patients, respectively. Compared to the control period, patients with non-English speaking backgrounds and presenting complaints of suicidal behaviour were lower, whereas patients with anxiety symptoms and needing compulsory assessments were higher in the lockdown period. Diagnostically, the lockdown period included more patients with anxiety disorders, substance use disorders and psychotic disorders. Conclusions: ED access for acute psychiatric care can vary depending upon certain patient characteristics during lockdowns.
Vericiguat: A Novel Oral Soluble Guanylate Cyclase Stimulator for the Treatment of Heart Failure
Authors: Campbell Nicole , Kalabalik-Hoganson Julie , Frey Kathleen 
Published: August 2021

Objective To review the efficacy and safety of vericiguat indicated to reduce the risk of cardiovascular death and heart failure (HF) hospitalization following hospitalization or need for outpatient intravenous diuretics in adult patients with chronic symptomatic HF and ejection fraction (EF) less than 45%. Data Sources A literature search through MEDLINE with search terms MK1242, BAY 1021189, and vericiguat was conducted. Product labeling and English-language studies assessing pharmacokinetics, pharmacodynamics, efficacy, or safety of vericiguat were included. Study Selection and Data Extraction Preclinical and clinical studies describing the efficacy and safety of vericiguat were included. Data Synthesis The phase 3 VICTORIA clinical trial demonstrated a lower composite primary outcome of death from cardiovascular causes or first hospitalization in the vericiguat group compared to placebo. Total hospitalizations for HF in the vericiguat group were significantly less compared to placebo. The composite secondary outcome of death from any cause or first HF hospitalization was significantly less in the vericiguat group. Relevance to Patient Care and Clinical Practice The addition of vericiguat offers a new treatment option for those in whom rehospitalization or recurrent outpatient intravenous diuretic treatment is a concern. Given high rates of nonadherence in HF patients, vericiguat represents an additional treatment option, especially for patients who do not tolerate available HF therapies. Conclusion Vericiguat is a novel soluble guanylate cyclase stimulator that is safe and effective for reducing the risk of cardiovascular death and HF hospitalization in adults with symptomatic chronic HF and reduced EF.
Collaborative Care: Integrating Behavioral Health Into the Primary Care Setting
Authors: Reising Virginia , Diegel-Vacek Lauren , Dadabo Lisa , Corbridge Susan 
Published: August 2021

Introduction: Integrated behavioral health is a model of health care that aims to meet the complex health care needs of patients in primary care settings. Collaborative Care (CC) is an evidence-based model incorporating an interdisciplinary team to improve outcomes for behavioral health disorders commonly seen by primary care providers. Aim: CC was implemented in a nurse-managed health center in a medically underserved community of Chicago with a team of family nurse practitioners, psychiatric mental health nurse practitioners, and a licensed clinical social worker. Methods: Integration of the CC model required restructuring of the patient visit, the care team, and financial operations. Weekly team meetings were held for interdisciplinary case consultation and training for the primary care team by the psychiatric nurse practitioner. The model includes suggested goals of reducing patient scores of validated depression (Patient Health Questionnaire–9) and anxiety (Generalized Anxiety Disorder–7) screening tools to a score less than 5 points or to less than 50% of original score. Results: During the initial year of implementation, 166 patients received care under the CC model, with 64 patients currently receiving active care. In this cohort, 22% reached suggested goals for depression and 47% for anxiety. Conclusions: CC has benefits for both patients and providers. Patients receive holistic treatment of both mental and physical health needs and access to psychiatric services for medication initiation and behavioral health modalities when necessary. We observed that the CC model improved collaboration with behavioral health specialists and the competence and confidence of family nurse practitioners.
Epilepsy in British Shorthair cats in Sweden
Authors: Tenger Marianne , Van Meervenne Sofie , Varjonen Katarina , Tidholm Anna , Rohdin Cecilia 
Published: August 2021

Objectives The primary objective of this study was to investigate the prevalence of epileptic seizures and of presumed idiopathic epilepsy (PIE, describing epilepsy of unknown origin) in a cohort of British Shorthair (BSH) cats in Sweden. The secondary objective was to describe epileptic seizure characteristics and outcome for cats with PIE. Methods Owners of BSH cats born between 2006 and 2016 and registered with SVERAK (the Swedish Cat Clubs’ National Association) were invited to reply to a questionnaire about their cat’s general health. Owners who indicated that their cat had experienced epileptic seizures were invited to participate in an in-depth telephone interview about the epileptic seizures. The clinical characteristics of epileptic seizures in BSH cats were determined from the results of the interview. Results In this population comprising 1645 BSH cats (representing 28% of registered BSHs), the prevalence of epileptic seizures was 0.9% and for PIE it was 0.7%. BSH cats with PIE presented with infrequent but consistent epileptic seizures. Twenty-seven percent of BSH cats with epileptic seizures had cluster seizures but none presented with status epilepticus. None of the BSH cats was treated with antiepileptic drugs, and none of the owners reported epileptic seizure remission in their cat. Conclusions and relevance The prevalence of PIE in this population of BSH cats was 0.7%. The prevalence of epileptic seizures was 0.9%. In general, PIE in the BSH cat displayed a relatively benign phenotype where progression of epileptic seizures was uncommon.
Filling the vacuum: Role of negative pressure wound therapy in open wound management in cats
Authors: Nolff Mirja C 
Published: August 2021

Practical relevance: Open wounds and their treatment present a common challenge in veterinary practice. Approaching 15 years ago negative pressure wound therapy (NPWT) started to be incorporated into clinical veterinary medicine, and its availability is becoming more widespread in Europe and the USA. Use of this therapy has the potential to significantly increase the healing rate of open wounds as well as free skin grafts in small animals, and it has been occasionally described for the management of feline wounds. Aim: This review describes the mechanisms of action of, and indications for, NPWT, and offers recommendations for NPWT specific to feline patients. Evidence base: The information presented is based on the current evidence and the author’s clinical experience of the technique gained over the past 12 years. Comparative studies of different treatment options are lacking and, since wound healing in cats and dogs differs, cat-specific studies are especially needed. Well-designed wound healing studies comparing different advanced techniques will improve open wound healing in cats in the future, and potentially allow better understanding of the role of NPWT in this setting.