bluuebunny/crossref_metadata_2025_split huggingface dataset:
Periodontal status and chronic obstructive pulmonary disease (COPD) exacerbations: a systematic review
Authors: Kelly Niamh , Winning Lewis , Irwin Christopher , Lundy Fionnuala T. , Linden Dermot , McGarvey Lorcan , Linden Gerard J. , El Karim Ikhlas A. 
Published: September 2021

Abstract
Background
A growing body of evidence suggests a role for oral bacteria in lung infections. This systematic review aimed to analyse the association between poor periodontal status and the frequency of chronic obstructive pulmonary disease (COPD) exacerbations.

Methods
PubMed, Embase, Web of Science, CINAHL and Medline were searched for studies published until May 2020, with no language restriction. Studies reporting periodontal condition, or periodontal treatment outcomes, with data on the frequency of exacerbations of COPD, were identified. The primary outcome was the frequency of exacerbations and secondary outcomes included quality of life (QoL) and hospitalisation. Quality and risk of bias assessment were carried out using the Newcastle Ottawa Scale for observational studies, Robins-1 tool for non-randomised intervention studies and Cochrane risk of bias assessment (RoB-2) tool for randomised clinical trials. Studies were assessed for eligibility and quality by two assessors independently.

Results
Searches identified 532 records and 8 met the inclusion criteria. Included studies were three clinical trials, one prospective cohort study, one case–control, and three cross-sectional studies. A narrative synthesis was performed. The data from intervention studies showed reduction in the frequency of exacerbations following periodontal treatment. Data from observational studies suggest association of worse plaque scores and fewer teeth with exacerbation, but not pocket depth or clinical attachment loss. Better periodontal health was also associated with reduced frequency of COPD exacerbations, hospitalisations and improved quality of life in COPD patients. Due to the high heterogeneity no meta-analysis was performed. The quality of some of the included studies was low and there was evidence of a high risk of bias.

Conclusion
The data supports possible association between poor periodontal health, the frequency of exacerbations, hospitalisation and quality of life in COPD patients. The evidence is of moderate to low certainty and is limited by high risk of bias suggesting the need for well-designed and adequately powered randomised controlled trials, to inform future research and clinical practice.
The PROSPERO registration number CRD42020180328.
Pharmacological effects of Pugionium cornutum (L.) Gaertn. extracts on gastrointestinal motility are partially mediated by quercetin
Authors: Su Chencan , Li Haoyu , Chen Bang , Li Cong , Zhang Chunxiao , Xu Long , Lan Mei , Shen Yehua 
Published: September 2021

AbstractBackgroundThe majority of global population suffer from various functional gastrointestinal disorders.Pugionium cornutum(L.) Gaertn. (PCG) is used to relieve indigestive symptoms in traditional Chinese medicine. However, little is known about the effects of bioactive components from PCG extracts on gastrointestinal motility.MethodsCrude ethanol extract of PCG (EEP) was prepared fromPugionium cornutum (L.)Gaertn. Different solvents were used to prepare fine extracts from EEP, including water extract of PCG (WEP), petroleum ether extract of PCG (PEEP), dichloromethane extract of PCG (DEP) and ethyl acetate extract of PCG (EAEP). Smooth muscle cell model and colonic smooth muscle stripe model were used to test the bioactive effects and mechanisms of different PCG extracts on contraction and relaxation. Diverse chromatographic methods were used to identify bioactive substances from PCG extracts.ResultsEEP was found to promote the relaxation of gastric smooth muscle cell and inhibit the contraction of colonic smooth muscle strip. Among the fractions of EEP, EAEP mainly mediated the relaxation effect by stimulating intracellular calcium influx. Further evidences revealed that EAEP was antagonistic to acetylcholine. In addition, COX and NO-GC-PKC pathways may be also involved in EAEP-mediated relaxation effect. Quercetin was identified as a bioactive compound from PCG extract for the relaxation effect.ConclusionOur research supports the notion that PCG extracts promote relaxation and inhibits contraction of gastrointestinal smooth muscle at least partially through the effect from quercetin.
How to effectively promote interprofessional collaboration? – a qualitative study on physicians’ and pharmacists’ perspectives driven by the theory of planned behavior
Authors: Zielińska-Tomczak Łucja , Cerbin-Koczorowska Magdalena , Przymuszała Piotr , Marciniak Ryszard 
Published: September 2021

Abstract
Background
Ajzen’s theory of planned behavior (TPB) postulates that individuals’ behavioral intention is influenced by their attitudes, subjective norms, and perceived behavioral control. Therefore, it can be used to broaden the understanding of particular behaviors, including healthcare workers’ professional activities.

Methods
In this study, we used TPB as a theoretical framework to evaluate semi-structured interviews with pharmacists and physicians to build an understanding of the interprofessional collaboration between them. Sixteen semi-structured interviews were conducted with pharmacists and eleven with physicians. The sample of participants comprised a diverse group with varying work experience and workplaces. Data were analyzed independently by two researchers following the thematic analysis method using ATLAS.ti software. Data saturation was set in the absence of new issues arising during the interviews.

Results
The content analysis allowed for the determination of six main themes: the relationship between previous experiences and attitudes towards collaboration, pharmacist’s role in collaboration, mutual reluctance toward collaboration, the role of decision- and policy-makers, knowledge and qualifications gaps regarding collaboration, and lack of organizational paths.

Conclusions
Despite both physicians and pharmacists displaying positive attitudes towards collaboration may foster their intention to establish a professional partnership, subjective norms (e.g., the lack of appropriate legal regulations) and perceived behavioral control (physicians’ lack of awareness about pharmacists’ qualifications and the low level of interpersonal skills) might impede the process.
Stop codon readthrough alters the activity of a POU/Oct transcription factor during Drosophila development
Authors: Zhao Yunpo , Lindberg Bo Gustav , Esfahani Shiva Seyedoleslami , Tang Xiongzhuo , Piazza Stefano , Engström Ylva 
Published: September 2021

Abstract
Background
A number of cellular processes have evolved in metazoans that increase the proteome repertoire in relation to the genome, such as alternative splicing and translation recoding. Another such process, translational stop codon readthrough (SCR), generates C-terminally extended protein isoforms in many eukaryotes, including yeast, plants, insects, and humans. While comparative genome analyses have predicted the existence of programmed SCR in many species including humans, experimental proof of its functional consequences are scarce.

Results
We show that SCR of the Drosophila POU/Oct transcription factor Ventral veins lacking/Drifter (Vvl/Dfr) mRNA is prevalent in certain tissues in vivo, reaching a rate of 50% in the larval prothoracic gland. Phylogenetically, the C-terminal extension is conserved and harbors intrinsically disordered regions and amino acid stretches implied in transcriptional activation. Elimination of Vvl/Dfr translational readthrough by CRISPR/Cas9 mutagenesis changed the expression of a large number of downstream genes involved in processes such as chromatin regulation, neurogenesis, development, and immune response. As a proof-of-principle, we demonstrate that the C-terminal extension of Vvl/Dfr is necessary for correct timing of pupariation, by increasing the capacity to regulate its target genes. The extended Vvl/Dfr isoform acts in synergy with the transcription factor Molting defective (Mld) to increase the expression and biosynthesis of the steroid hormone ecdysone, thereby advancing pupariation. Consequently, late-stage larval development was prolonged and metamorphosis delayed in vvl/dfr readthrough mutants.

Conclusions
We demonstrate that translational recoding of a POU/Oct transcription factor takes place in a highly tissue-specific and temporally controlled manner. This dynamic and regulated recoding is necessary for normal expression of a large number of genes involved in many cellular and developmental processes. Loss of Vvl/Dfr translational readthrough negatively affects steroid hormone biosynthesis and delays larval development and progression into metamorphosis. Thus, this study demonstrates how SCR of a transcription factor can act as a developmental switch in a spatiotemporal manner, feeding into the timing of developmental transitions between different life-cycle stages.

Graphical abstract
Helcococcus ovis associated with septic arthritis and bursitis in calves – a case report
Authors: Jost Alexandra , Sickinger Marlene 
Published: September 2021

Abstract
Background
Septic arthritis often occurs in young calves when the passive transfer of maternal immunoglobulins has failed, which results in hypogammaglobulinaemia in the calf. Another important cause is suboptimal herd health management which often leads to general health impairment and, subsequently, to septic arthritis.

Case presentation
A dairy farmer consulted the Herd Health Service of the University Clinic reporting general herd health impairment, a high incidence of respiratory diseases, unsatisfactory weight gain and arthritis in calves, as well as mastitis and high milk cell counts. Clinical examinations were performed, and diagnostic measures were taken. A transtracheal lavage (TTL) was performed, and synovial swab samples were taken from the carpal joint and the subcutaneous tarsal bursae of two calves. Microbiological examinations of synovial swabs revealed co-infections of Trueperella pyogenes and Helcococcus ovis in one calf and Helcococcus ovis in pure culture in the other. The TTLs confirmed the presence of Mycoplasma spp. associated with respiratory diseases.

Conclusions
Helcococcus ovis is currently regarded as a co-infective bacterial agent. However, it seems to play a significant role as the primary pathogen in this case.
Incidence, predictors and patterns of care of patients with very severe hypertriglyceridemia in Ontario, Canada: a population-based cohort study
Authors: Berberich Amanda J. , Ouédraogo Alexandra M. , Shariff Salimah Z. , Hegele Robert A. , Clemens Kristin K. 
Published: September 2021

Abstract
Background
The incidence of severe (S-HTG) and very severe hypertriglyceridemia (VS-HTG) among Canadians is unknown. This study aimed to determine the incidence, characteristics, predictors and care patterns for individuals with VS-HTG.

Methods
Using linked administrative healthcare databases, a population-based cohort study of Ontario adults was conducted to determine incidence of new onset S-HTG (serum triglycerides (TG) > 10–20 mmol/L) and VS-HTG (TG > 20 mmol/L) between 2010 and 2015. Socio-demographic and clinical characteristics of those with VS-HTG were compared to those who had no measured TG value > 3 mmol/L. Univariable and multivariable logistic regression were used to determine predictors for VS-HTG. Healthcare patterns were evaluated for 2 years following first incidence of TG > 20 mmol/L.

Results
Incidence of S-HTG and VS-HTG in Ontario was 0.16 and 0.027% among 10,766,770 adults ≥18 years and 0.25 and 0.041% among 7,040,865 adults with at least one measured TG, respectively. Predictors of VS-HTG included younger age [odds ratios (OR) 0.64/decade, 95% confidence intervals (CI) 0.62–0.66], male sex (OR 3.83; 95% CI 3.5–4.1), diabetes (OR 5.38; 95% CI 4.93–5.88), hypertension (OR 1.69; 95% CI 1.54–1.86), chronic liver disease (OR 1.71; 95% CI 1.48–1.97), alcohol abuse (OR 2.47; 95% CI 1.90–3.19), obesity (OR 1.49; 95% CI 1.13–1.98), and chronic kidney disease (OR 1.39; 95% CI 1.19–1.63).

Conclusion
The 5-year incidence of S-HTG and VS-HTG in Canadian adults was 1 in 400 and 1 in 2500, respectively. Males, those with diabetes, obese individuals and those with alcohol abuse are at highest risk for VS-HTG and may benefit from increased surveillance.
Reaching higher: External scapula assistance can improve upper limb function in humans with irreversible scapula alata
Authors: Georgarakis Anna-Maria , Xiloyannis Michele , Dettmers Christian , Joebges Michael , Wolf Peter , Riener Robert 
Published: September 2021

Abstract
Background
Scapular dyskinesis, i.e., the deviant mobility or function of the scapula, hampers upper limb function in daily life. A typical sign of scapular dyskinesis is a scapula alata—a protrusion of the shoulder blade during arm elevation. While some reversible causes of scapula alata can be treated with therapy, other, irreversible causes require invasive surgical interventions. When surgery is not an option, however, severe limitations arise as standard approaches for assisting the scapula in daily life do not exist. The aim of this study was to quantify functional improvements when external, i.e., non-invasive, scapula assistance is provided.

Methods
The study was designed as a randomized controlled crossover trial. Eight participants with a scapula alata due to muscular dystrophy performed arm elevations in shoulder flexion and abduction while unassisted (baseline), externally assisted by a trained therapist, and externally assisted by a novel, textile-based scapula orthosis.

Results
With therapist assistance, average arm elevation increased by 17.3° in flexion (p < 0.001, 95% confidence interval of the mean $$C{I}_{95\%}=\hspace{0.17em}\left[9.8^\circ , 24.9^\circ \right]$$

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), and by 11.2° in abduction (p < 0.01, $$C{I}_{95\%}=\left[4.7^\circ , 17.7^\circ \right]$$

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), constituting the potential of external scapula assistance. With orthosis assistance, average arm elevation increased by 6.2° in flexion ($$C{I}_{95\%}=\left[0.4^\circ ,11.9^\circ \right]$$

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). Remarkably, in three participants, the orthosis was at least as effective as the therapist. Moreover, orthosis assistance reduced average perceived exertion by 1.25 points (Borg Scale) when elevating a filled bottle during a simulated daily living task.

Conclusion
These findings indicate a large potential for future advancements in orthotics. Already now, the textile-based scapula orthosis presented here is a feasible tool for leveraging the benefits of external scapula assistance when a therapist is unavailable, as encountered in daily life scenarios.
Trial Registration ClincalTrials.gov (ID NCT04154098). Registered: November 6th 2019, https://clinicaltrials.gov/ct2/show/NCT04154098?term=scapula+orthosis&draw=2&rank=1

Graphic abstract
Local plant knowledge and its variation among farmer’s families in the Napf region, Switzerland
Authors: Poncet Anna , Schunko Christoph , Vogl Christian R. , Weckerle Caroline S. 
Published: September 2021

Abstract
Background
Local plant knowledge typically is unevenly distributed within a community. This knowledge variation is important in understanding people’s relationship with their environment. Here we ask about knowledge variation among farmers’ families in the Napf region of Switzerland.

Methods
In 2008 and 2009, 60 adults and children living on 14 farms were interviewed about known and used plant species, and the data analyzed for knowledge variation. The farms were chosen by random stratified sampling, and freelisting and semi-structured interviews were conducted individually in the local idiom. The data were organized in an access database and analyzed with descriptive statistics, correlations, Mann–Whitney U tests and cultural domain analysis.

Results
Totally, 456 folk taxa were listed, whereas frequently listed species are common meadow and forest species. Uses were indicated for 391 taxa, most of them culinary, followed by fodder, wood, medicinal and ornamental uses. Local plant knowledge correlates with age and gender. Due to professional specialization, adults above 20 years have broader plant knowledge than children and adolescents. This is true for almost all examined habitat and plant use categories except for toy uses. Women and men share a common body of plant knowledge especially about herbaceous grassland species and woody species. Specialized knowledge of men is linked to cattle fodder and the processing of wood, specialized knowledge of women concerns edible, medicinal and ornamental plants, often garden species, but also herbaceous forest species.

Conclusion
In a rural region like the Napf, people retain a solid basis of plant knowledge. The variation of plant knowledge within farmers’ families of this region reflects sociocultural patterns. As these patterns are changing and as (agro)biodiversity is declining, local plant knowledge in the Napf region is suspected to undergo a mainstreaming process.
Hyperspectral imaging and artificial intelligence to detect oral malignancy – part 1 - automated tissue classification of oral muscle, fat and mucosa using a light-weight 6-layer deep neural network
Authors: Thiem Daniel G. E. , Römer Paul , Gielisch Matthias , Al-Nawas Bilal , Schlüter Martin , Plaß Bastian , Kämmerer Peer W. 
Published: September 2021

Abstract
Background
Hyperspectral imaging (HSI) is a promising non-contact approach to tissue diagnostics, generating large amounts of raw data for whose processing computer vision (i.e. deep learning) is particularly suitable. Aim of this proof of principle study was the classification of hyperspectral (HS)-reflectance values into the human-oral tissue types fat, muscle and mucosa using deep learning methods. Furthermore, the tissue-specific hyperspectral signatures collected will serve as a representative reference for the future assessment of oral pathological changes in the sense of a HS-library.

Methods
A total of about 316 samples of healthy human-oral fat, muscle and oral mucosa was collected from 174 different patients and imaged using a HS-camera, covering the wavelength range from 500 nm to 1000 nm. HS-raw data were further labelled and processed for tissue classification using a light-weight 6-layer deep neural network (DNN).

Results
The reflectance values differed significantly (p < .001) for fat, muscle and oral mucosa at almost all wavelengths, with the signature of muscle differing the most. The deep neural network distinguished tissue types with an accuracy of > 80% each.

Conclusion
Oral fat, muscle and mucosa can be classified sufficiently and automatically by their specific HS-signature using a deep learning approach. Early detection of premalignant-mucosal-lesions using hyperspectral imaging and deep learning is so far represented rarely in in medical and computer vision research domain but has a high potential and is part of subsequent studies.
Multimodal Peri-articular Injection with Tranexamic Acid can reduce postoperative blood loss versus Intravenous Tranexamic Acid in Total Knee Arthroplasty: A Randomized Controlled Trial
Authors: Peng Hui-ming , Wang Wei , Lin Jin , Weng Xi-sheng , Qian Wen-wei , Wang Wen-da 
Published: September 2021

Abstract
Background
Tranexamic acid (TXA) has shown significant reductions in blood loss and transfusion rates in total knee arthroplasty (TKA). However, the optimal administration route continues to be debated. The aim of this trial was to compare the effectiveness of intravenous (IV) versus peri-articular injection (PAI) application of tranexamic acid in patients undergoing total knee arthroplasty.

Methods
We conducted a randomized controlled, double-blinded study. A total of 93 patients undergoing primary unilateral TKA were randomly distributed between 2 groups: the IV group (47 cases; 1 g TXA IV) and the PAI group (46 cases; 1 g TXA injected peri-articularly). The amount of total and hidden blood loss (HBL), drainage, transfusion rate, hemoglobin and hematocrit drift, and complications were recorded.

Results
Peri-articular injection of TXA reduced total blood loss (P < 0.001) and HBL more than IV use of TXA (P < 0.001). No patients in either group received a transfusion. No symptomatic deep venous thrombosis or other severe complications occurred.

Conclusion
Peri-articular injection of TXA significantly reduced total blood loss and hidden blood loss to a greater degree than IV injection in total knee arthroplasty without reduction of drainage volume.

Trial registration
Chinese Clinical Trial Registry, ChiCTR-INR-16010270. Date of registration: December 27, 2016.
Surgical and percutaneous revascularization outcomes based on SYNTAX I, II, and residual scores: a long-term follow-up study
Authors: Martins Eduardo Bello , Hueb Whady , Brown David L. , Scudeler Thiago Luis , Lima Eduardo Gomes , Rezende Paulo Cury , Soares Paulo Rogério , Garzillo Cibele Larrosa , Filho Jaime Paula Pessoa Linhares , Batista Daniel Valente , Ramires Jose Antonio Franchini , Filho Roberto Kalil 
Published: September 2021

Abstract
Background
The objective of this study was to evaluate the association of SYNTAX scores I, II, and residual with cardiovascular outcomes of patients undergoing coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI) and compare both procedures in a long-term follow-up.

Methods
This is a retrospective single-center study from the MASS registry at the Heart Institute of the University of São Paulo, Brazil in which 969 patients with stable coronary artery disease undergoing CABG (559) or PCI (410) were included. We assessed the SYNTAX scores I, II and residual in both interventions. Clinical endpoints were the first occurrence of a composite of overall death, myocardial infarction, stroke, or repeat revascularization (MACCE) and the total occurrence of each component of MACCE.

Results
In the CABG sample, SSI had a median of 23 (IQR 17–29.5), median SSII of 25.4 (IQR 19.2–32.8), and median rSS of 2 (IQR 0–6.5); in PCI SSI had a median of 14 (IQR 10–19.1), median SSII of 28.7 (IQR 23–34.2), and median rSS of 4.7 (IQR 0–9). Total of 174 events were documented and CABG patients had a lower rate of MACCE (15.6% vs. 21.2%; adjusted HR 1.98; 95% CI 1.13–3.47; P = 0.016) and repeat revascularization (3.8% vs. 11.5%; adjusted HR 4.35; CI 95% 1.74–10.85; P = 0.002) compared with PCI. No SYNTAX score tertile found a difference in death rate between procedures. In a multivariate analysis, the rSS was an independent predictor for MACCE (HR 1.04; 95% CI 1.01–1.06; P = 0.001). Regarding death, the only independent predictors were ejection fraction and renal function.

Conclusion
Surgical revascularization resulted in a more complete revascularization and lower rates of major cardiac or cerebrovascular events in a long-term follow-up. Also, grading the incompleteness of revascularization through the residual SYNTAX score identified a higher event rate, suggesting that complete revascularization is associated with a better prognosis.