bluuebunny/crossref_metadata_2025_split huggingface dataset:
Socioeconomic position and SARS-CoV-2 infections: seroepidemiological findings from a German nationwide dynamic cohort
Authors: Hoebel Jens , Grabka Markus M , Schröder Carsten , Haller Sebastian , Neuhauser Hannelore , Wachtler Benjamin , Schaade Lars , Liebig Stefan , Hövener Claudia , Zinn Sabine 
Published: September 2021

BackgroundEvidence on the relationship between socioeconomic position (SEP) and infections with SARS-CoV-2 is still limited as most of the available studies are ecological in nature. This is the first German nationwide study to examine differences in the risk of SARS-CoV-2 infections according to SEP at the individual level.MethodsThe ‘CORONA-MONITORING bundesweit’ (RKI-SOEP) study is a seroepidemiological survey among a dynamic cohort of the German adult population (n=15 122; October 2020–February 2021). Dried blood samples were tested for SARS-CoV-2 antibodies and oral-nasal swabs for viral RNA. SEP was measured by education and income. Robust logistic regression was used to examine adjusted associations of SARS-CoV-2 infections with SEP.Results288 participants were seropositive, PCR positive or self-reported a previous laboratory-confirmed SARS-CoV-2 infection. The adjusted odds of SARS-CoV-2 infection were 1.87-fold (95% CI 1.06 to 3.29) higher among low-educated than highly educated adults. Evidence was weaker for income differences in infections (OR=1.65; 95% CI 0.89 to 3.05). Highly educated adults had lower odds of undetected infection.ConclusionThe results indicate an increased risk of SARS-CoV-2 infection in low-educated groups. To promote health equity in the pandemic and beyond, social determinants should be addressed more in infection protection and pandemic planning.
Early predictors of disability of paediatric-onset AQP4-IgG-seropositive neuromyelitis optica spectrum disorders
Authors: Camera Valentina , Messina Silvia , Elhadd Kariem Tarek , Sanpera-Iglesias Julia , Mariano Romina , Hacohen Yael , Dobson Ruth , Meletti Stefano , Wassmer Evangeline , Lim Ming J , Huda Saif , Hemingway Cheryl , Leite Maria Isabel , Ramdas Sithara , Palace Jacqueline 
Published: September 2021

ObjectiveTo describe onset clinical features predicting time to first relapse and time to long-term visual, motor and cognitive disabilities in paediatric-onset aquaporin-4 antibody (AQP4-IgG) neuromyelitis optica spectrum disorders (NMOSDs).MethodsIn this retrospective UK multicentre cohort study, we recorded clinical data of paediatric-onset AQP4-IgG NMOSD. Univariate and exploratory multivariable Cox proportional hazard models were used to identify long-term predictors of permanent visual disability, Expanded Disability Status Scale (EDSS) score of 4 and cognitive impairment.ResultsWe included 49 paediatric-onset AQP4-IgG patients (38.8% white, 34.7% black, 20.4% Asians and 6.1% mixed), mean onset age of 12±4.1 years, and 87.7% were female. Multifocal onset presentation occurred in 26.5% of patients, and optic nerve (47%), area postrema/brainstem (48.9%) and encephalon (28.6%) were the most involved areas. Overall, 52.3% of children had their first relapse within 1 year from disease onset. Children with onset age <12 years were more likely to have an earlier first relapse (p=0.030), despite showing no difference in time to immunosuppression compared with those aged 12–18 years at onset. At the cohort median disease duration of 79 months, 34.3% had developed permanent visual disability, 20.7% EDSS score 4 and 25.8% cognitive impairment. Visual disability was associated with white race (p=0.032) and optic neuritis presentations (p=0.002). Cognitive impairment was predicted by cerebral syndrome presentations (p=0.048), particularly if resistant to steroids (p=0.034).ConclusionsAge at onset, race, onset symptoms and resistance to acute therapy at onset attack predict first relapse and long-term disabilities. The recognition of these predictors may help to power future paediatric clinical trials and to direct early therapeutic decisions in AQP4-IgG NMOSD.
Anxiety and depression symptoms after COVID-19 infection: results from the COVID Symptom Study app
Authors: Klaser Kerstin , Thompson Ellen J , Nguyen Long H , Sudre Carole H , Antonelli Michela , Murray Benjamin , Canas Liane S , Molteni Erika , Graham Mark S , Kerfoot Eric , Chen Liyuan , Deng Jie , May Anna , Hu Christina , Guest Andy , Selvachandran Somesh , Drew David A , Modat Marc , Chan Andrew T , Wolf Jonathan , Spector Tim D , Hammers Alexander , Duncan Emma L , Ourselin Sebastien , Steves Claire J 
Published: September 2021

BackgroundMental health issues have been reported after SARS-CoV-2 infection. However, comparison to prevalence in uninfected individuals and contribution from common risk factors (eg, obesity and comorbidities) have not been examined. We identified how COVID-19 relates to mental health in the large community-based COVID Symptom Study.MethodsWe assessed anxiety and depression symptoms using two validated questionnaires in 413148 individuals between February and April 2021; 26998 had tested positive for SARS-CoV-2. We adjusted for physical and mental prepandemic comorbidities, body mass index (BMI), age and sex.FindingsOverall, 26.4% of participants met screening criteria for general anxiety and depression. Anxiety and depression were slightly more prevalent in previously SARS-CoV-2-positive (30.4%) vs SARS-CoV-2-negative (26.1%) individuals. This association was small compared with the effect of an unhealthy BMI and the presence of other comorbidities, and not evident in younger participants (≤40 years). Findings were robust to multiple sensitivity analyses. Association between SARS-CoV-2 infection and anxiety and depression was stronger in individuals with recent (<30 days) versus more distant (>120 days) infection, suggesting a short-term effect.InterpretationA small association was identified between SARS-CoV-2 infection and anxiety and depression symptoms. The proportion meeting criteria for self-reported anxiety and depression disorders is only slightly higher than prepandemic.
Smoking and COVID-19 outcomes: an observational and Mendelian randomisation study using the UK Biobank cohort
Authors: Clift Ashley K , von Ende Adam , Tan Pui San , Sallis Hannah M , Lindson Nicola , Coupland Carol A C , Munafò Marcus R , Aveyard Paul , Hippisley-Cox Julia , Hopewell Jemma C 
Published: September 2021

BackgroundConflicting evidence has emerged regarding the relevance of smoking on risk of COVID-19 and its severity.MethodsWe undertook large-scale observational and Mendelian randomisation (MR) analyses using UK Biobank. Most recent smoking status was determined from primary care records (70.8%) and UK Biobank questionnaire data (29.2%). COVID-19 outcomes were derived from Public Health England SARS-CoV-2 testing data, hospital admissions data, and death certificates (until 18 August 2020). Logistic regression was used to estimate associations between smoking status and confirmed SARS-CoV-2 infection, COVID-19-related hospitalisation, and COVID-19-related death. Inverse variance-weighted MR analyses using established genetic instruments for smoking initiation and smoking heaviness were undertaken (reported per SD increase).ResultsThere were 421 469 eligible participants, 1649 confirmed infections, 968 COVID-19-related hospitalisations and 444 COVID-19-related deaths. Compared with never-smokers, current smokers had higher risks of hospitalisation (OR 1.80, 95% CI 1.26 to 2.29) and mortality (smoking 1–9/day: OR 2.14, 95% CI 0.87 to 5.24; 10–19/day: OR 5.91, 95% CI 3.66 to 9.54; 20+/day: OR 6.11, 95% CI 3.59 to 10.42). In MR analyses of 281 105 White British participants, genetically predicted propensity to initiate smoking was associated with higher risks of infection (OR 1.45, 95% CI 1.10 to 1.91) and hospitalisation (OR 1.60, 95% CI 1.13 to 2.27). Genetically predicted higher number of cigarettes smoked per day was associated with higher risks of all outcomes (infection OR 2.51, 95% CI 1.20 to 5.24; hospitalisation OR 5.08, 95% CI 2.04 to 12.66; and death OR 10.02, 95% CI 2.53 to 39.72).InterpretationCongruent results from two analytical approaches support a causal effect of smoking on risk of severe COVID-19.
Corrigendum: Remark on Algorithm 723: Fresnel Integrals
Authors: Van Snyder W. 
Published: September 2021

There are mistakes and typographical errors in
Remark on Algorithm 723: Fresnel Integrals
, which appeared in ACM Transactions on Mathematical Software 22, 4 (December 1996). This remark corrects those errors. The software provided to
Collected Algorithms of the ACM
was correct.
SkinnerDB: Regret-bounded Query Evaluation via Reinforcement Learning
Authors: Trummer Immanuel , Wang Junxiong , Wei Ziyun , Maram Deepak , Moseley Samuel , Jo Saehan , Antonakakis Joseph , Rayabhari Ankush 
Published: September 2021

SkinnerDB uses reinforcement learning for reliable join ordering, exploiting an adaptive processing engine with specialized join algorithms and data structures. It maintains no data statistics and uses no cost or cardinality models. Also, it uses no training workloads nor does it try to link the current query to seemingly similar queries in the past. Instead, it uses reinforcement learning to learn optimal join orders from scratch during the execution of the current query. To that purpose, it divides the execution of a query into many small time slices. Different join orders are tried in different time slices. SkinnerDB merges result tuples generated according to different join orders until a complete query result is obtained. By measuring execution progress per time slice, it identifies promising join orders as execution proceeds.
Along with SkinnerDB, we introduce a new quality criterion for query execution strategies. We upper-bound expected execution cost regret, i.e., the expected amount of execution cost wasted due to sub-optimal join order choices. SkinnerDB features multiple execution strategies that are optimized for that criterion. Some of them can be executed on top of existing database systems. For maximal performance, we introduce a customized execution engine, facilitating fast join order switching via specialized multi-way join algorithms and tuple representations.
We experimentally compare SkinnerDB’s performance against various baselines, including MonetDB, Postgres, and adaptive processing methods. We consider various benchmarks, including the join order benchmark, TPC-H, and JCC-H, as well as benchmark variants with user-defined functions. Overall, the overheads of reliable join ordering are negligible compared to the performance impact of the occasional, catastrophic join order choice.
Clinical characteristics of spinning-induced rhabdomyolysis and other causes of rhabdomyolysis: a comparative study
Authors: Shroff Kashyap , Gunasegaren Moganapriya d/o , Norbu Kunzang , Omar Eunizar 
Published: September 2021

Introduction:
Spinning is an indoor stationary cycling programme that can cause severe rhabdomyolysis. We compared the clinical characteristics of spinning-induced exertional rhabdomyolysis (SER) with other exertional rhabdomyolysis (ER) and non-exertional rhabdomyolysis (NER).

Methods:
This was a retrospective observational study of adult patients presenting with rhabdomyolysis to an emergency department from August 2018 to August 2019. Patients were classified as SER, ER or NER based on chart review. We compared patient demographics, serum creatine kinase (CK), transaminase and creatinine levels, admission rates, duration of hospitalisation and treatment prescribed.

Results:
62 patients were analysed. SER patients were predominantly female (77% vs. 24% vs. 26%, P < 0.01), Chinese (100% vs. 47% vs. 79%, P < 0.01) and younger (mean age 27.7 vs. 34.6 vs. 59.4 years, P < 0.01) than those with ER and NER. The SER group had the highest CK level (20,000 vs. 10,465 vs. 6,007 U/L, P < 0.01) but the lowest mean serum creatinine level (53.5 vs. 80.9 vs. 143.5 mmol/L, P < 0.01) compared to the ER and NER groups. Admission rates were the highest in SER patients (100% vs. 57% vs. 90%, P < 0.01). SER mean inpatient length of stay was longer than ER but shorter than NER patients (4.3 vs. 1.9 vs. 6.0 days, P = 0.02).

Conclusion:
SER is a unique form of rhabdomyolysis. Predominantly seen in young, healthy women, it often presents with extremely high CK levels. However, the prognosis is good and the rate of complication is low with fluid treatment.
Efficacy of SG Shield in reducing droplet contamination during collection of oropharyngeal swab culture specimens
Authors: Au-Yong Phui-Sze Angie , Chen Xuanxuan , Low Wen Hao , Chau Keen Chong , Fook-Chong Stephanie , Khan Shariq Ali 
Published: September 2021

Introduction:
Oropharyngeal swabs for diagnosis of COVID-19 often induce violent coughing, which can disperse infectious droplets onto providers. Incorrectly doffing personal protective equipment (PPE) increases the risk of transmission. A cheap, single-use variation of the face shield invented by a Singaporean team, SG Shield, aims to reduce this risk. This manikin study aimed to study the efficacy of the SG Shield in combination with standard PPE.

Methods:
A person attired in full PPE whose face and chest was lined with grid paper stood in front of an airway manikin in an enclosed room. A small latex balloon containing ultraviolet fluorescent dye was placed in the oral cavity of the manikin and inflated until explosion to simulate a cough. Three study groups were tested: (a) control (no shield), (b) face shield and (c) SG Shield. The primary outcome was droplet dispersion, determined quantitatively by calculating the proportion of grid paper wall squares stained with fluorescent dye. The secondary outcome was the severity of provider contamination.

Results:
The SG Shield significantly reduced droplet dispersion to 0% compared to the controls (99.0%, P = 0.001). The face shield also significantly reduced droplet contamination but to a lesser extent (80.0%) compared to the control group (P = 0.001). Although the qualitative severity of droplet contamination was significantly lower in both groups compared to the controls, the face shield group had more contamination of the provider’s head and neck.

Conclusion:
The manikin study showed that the SG Shield significantly reduces droplet dispersion to the swab provider’s face and chest.
Chromatin characteristics of spermatogenesis in the spider crab Lissa chiragra (Fabricius, 1775) (Majoidea, Epialtidae)
Authors: Gaber Ibrahim , Al-Mahasneh Abdallah 
Published: September 2021

Abstract
This article uses the male spider crab Lissa chiragra, collected from Ras el Tin beach on the Mediterranean Sea at Alexandria, Egypt between January and December 2017, as a model to isolate the histone variants, H2A, H2B, H3 and H4 from spermatozoal nuclei to detect the presence of their genes and the chromatin-associated proteins. The spermatozoal chromatin in Brachyura is electron dense. During spermiogenesis somatic histones and sperm nuclear basic proteins (SNBP’s) are replaced partially or totally by protamines or keratin proteins, which are rich in arginine and oxidized cysteine. Histones, which are part of the nucleosome, are classified according to their functional and structural criteria into H2A, H2B, H3 and H4. Amino acids of the purified chromatin associated proteins are analysed with high resolution liquid chromatography. The low condensation of the nucleus of the spermatozoa is due to a low proportion and modification of the chromatin-associated histones. The DNA is organized into nucleosomes but not in higher order structures due to acetylation of histone H4, but rather via regions of histone-free DNA.
TOP-PRO study: A randomized double-blind controlled trial of topiramate versus propranolol for prevention of chronic migraine
Authors: Chowdhury Debashish , Bansal Luv , Duggal Ashish , Datta Debabrata , Mundra Ankit , Krishnan Anand , Koul Arun , Gupta Anu 
Published: September 2021

Objective The aim of the TOP-PRO-study, a double-blind randomized controlled trial, was to assess the efficacy (non-inferiority) and tolerability of propranolol compared to topiramate for the prevention of chronic migraine. Background Except for topiramate, oral preventive treatment for chronic migraine lacks credible evidence. Methods Chronic migraine patients aged above 18 years and less than 65 years of age, not on any preventive treatment were randomly allocated to receive topiramate (100 mg/day) or propranolol (160 mg/day). The primary efficacy outcome was the mean change in migraine days per 28 days at the end of 24 weeks from baseline. A mean difference of 1.5 days per four weeks was chosen as the cut-off delta value. Multiple secondary efficacy outcomes and treatment emergent adverse events were also assessed. Results As against the planned sample size of 244, only 175 patients could be enrolled before the spread of the corona virus disease-2019 pandemic and enforcement of lockdown in India. Of the 175 randomized patients, 95 (topiramate 46 and propranolol 49) completed the trial. The mean change in migraine days was −5.3 ± 1.2 vs −7.3 ± 1.1 days (p = 0.226) for topiramate and propranolol groups respectively. Propranolol was found to be non-inferior and not superior to topiramate (point estimate of −1.99 with a 95% confidence interval of −5.23 to 1.25 days). Multiple secondary outcomes also did not differ between the two groups. Intention to treat analysis of 175 patients and per-protocol analysis of 95 patients yielded concordant results. There was no significant difference in the incidence of adverse events between the two groups. Conclusion Propranolol (160mg/day) was non-inferior, non-superior to topiramate (100mg/day) for the preventive treatment of chronic migraine and had a comparable tolerability profile. Trial Registration: Clinical Trials Registry-India CTRI/2019/05/018997)
Operative Fixation of Lateral Malleolus Fractures With Locking Plates vs Nonlocking Plates: A Systematic Review and Meta-analysis
Authors: Hasami Nesar Ahmad , Smeeing Diederik Pieter Johan , Pull ter Gunne Albert Frederik , Edwards Michael John Richard , Nelen Stijn Diederik 
Published: September 2021

Background: The exact benefit of locking plates over nonlocking plates in patients with lateral malleolus fractures remains unclear. The primary aim of this study was to compare the functional outcome of locking plates vs nonlocking plates in patients with a lateral malleolus fracture. The secondary aims were to compare the number of complications and hardware removals and to compare whether results differed for older patients and for patients treated with anatomical locking plates. Methods: The PubMed/MEDLINE, Embase, Cochrane, and CINAHL databases were searched for studies comparing locking plates with nonlocking plates in patients with fixated lateral malleolus fractures. All included studies were assessed on their methodologic quality using the MINORS. Subgroup analyses were performed on older patients and patients treated with anatomical locking plates. Results: A total of 11 studies were included. The meta-analysis showed that functional outcome did not differ between patients treated with locking plates and nonlocking plates (MD 2.38, 95% CI −2.71 to 7.46). No difference in both complication rate (OR 1.10, 95% CI 0.74-1.63) and the amount of hardware removals (OR 0.77, 95% CI 0.52-1.14) was found. Even after analyzing older patients and patients treated with anatomical locking plates, no benefit was shown. Conclusion: This meta-analysis demonstrates no clear benefit in selecting locking plates over nonlocking plates in the treatment of lateral malleolus fractures. Clinical Relevance: Locking plates are increasingly being used in the treatment of lateral malleolus fractures. Biomechanical studies have shown an increased stability with use of locking vs nonlocking plates. This clinical review does not support a benefit of use of locking plates for these fractures.
Minimally invasive harvesting fascia lata (FL) in ophthalmic plastic surgery
Authors: Kadir Syeed Mehbub Ul , Hasanuzzaman Md. , Santiago-Gatmaitan Yvette Marie , Mansurali Vanessa Naseem , Mitra Mukti Rani , Roy Soma Rani , Haider Md. Golam 
Published: September 2021

Purpose: To describe a minimally invasive technique of harvesting fascia lata, and also to analyze the clinical uses and the outcome of fascia lata in Ophthalmic Plastic and Reconstructive surgery. Methods: This interventional study was done in three tertiary care eye hospitals in Bangladesh from July 2014 to June 2020. We obtained autologous fascia lata for the correction of congenital ptosis with poor levator function (⩽4 mm), covering the ciliary staphyloma, repair of the extruded implant following anophthalmic socket surgery, and was also used to wrap the orbital implant after enucleation. Preserved FL was used only for children before 6 years of age for the treatment of congenital ptosis. Results: Out of 60 subjects, 38 (63.3%) were male and 22 (36.7%) were female. Autogenous fascia lata was used for frontalis brow suspension (FBS) in 25 (41.67%) patients of congenital ptosis with poor levator function, as patch graft in ciliary staphyloma (11 cases, 18.3%), to wrap orbital implant following enucleation in intraocular malignancies (nine cases, 15%), to repair of implant extrusion following evisceration (five cases, 8.3%), and as fascial sling to correct recurrent paralytic ectropion (one case, 1.67%). Allogeneic or preserved fascia lata was used to correct congenital ptosis in patients less than 6 years of age (nine cases, 15%). Mean follow-up time was 5.32 months. Conclusion: Fascia lata (autogenous and allogeneic preserved) has varied uses in ophthalmic plastic surgery. Harvesting fascia lata (FL) using with minimally invasive method was successful with the least scar on the thigh to correct congenital ptosis, ciliary staphyloma, repair of extruded implant, and in wrapping implant after enucleation to get better cosmesis and motility.
Patterns of ischemic posterior circulation strokes: A clinical, anatomical, and radiological review
Authors: Salerno Alexander , Strambo Davide , Nannoni Stefania , Dunet Vincent , Michel Patrik 
Published: September 2021

Background Posterior circulation and anterior circulation strokes share many clinical, pathogenetic and radiological features, although some clinical signs are highly specific to posterior circulation strokes. Arterial stenosis and occlusions occur in significant numbers in both acute posterior circulation and anterior circulation strokes, making them good candidates for endovascular treatment. Among posterior circulation strokes, basilar artery occlusions stand out because of the diagnostic and acute treatment challenges. Methods We reviewed the literature on clinical stroke syndromes and neuroimaging findings and systematically describe for each anatomical site of stroke the detailed clinical and radiological information (anatomical representation, diffusion weighted imaging and angiographic sequences). The principles of neuroimaging of posterior circulation strokes and the prognosis for each stroke localization are also discussed. Review summary Stroke syndromes in the territories of the vertebral, basilar, cerebellar, and posterior cerebral arteries are presented. Features typical of posterior circulation strokes are highlighted, including patterns of basilar artery occlusions. Clinical severity and prognosis of posterior circulation strokes are highly variable, and given that they are more difficult to detect on CT-based neuroimaging, magnetic resonance imaging is the technique of choice in suspected posterior circulation strokes. Rapid identification of arterial occlusion patterns may provide prognostic information and support acute revascularization decisions. Conclusions Posterior circulation stroke syndromes tightly reflect lesion localization and arterial occlusion patterns. Although many clinical and pathogenetic features are similar to anterior circulation strokes, notable differences exist in terms of clinical presentation, stroke mechanism, prognosis, and response to acute recanalization.