Miracle-dz/UniFAR-FTUs huggingface dataset:
A dysbiosis index to assess microbial changes in fecal samples of dogs with chronic inflammatory enteropathy

ABSTRACT Recent studies have identified various bacterial groups that are altered in dogs with chronic inflammatory enteropathies (CE) compared to healthy dogs. The study aim was to use quantitative PCR (qPCR) assays to confirm these findings in a larger number of dogs, and to build a mathematical algorithm to report these microbiota changes as a dysbiosis index (DI). Fecal DNA from 95 healthy dogs and 106 dogs with histologically confirmed CE was analyzed. Samples were grouped into a training set and a validation set. Various mathematical models and combination of qPCR assays were evaluated to find a model with highest discriminatory power. The final qPCR panel consisted of eight bacterial groups: total bacteria, Faecalibacterium, Turicibacter, Escherichia coli, Streptococcus, Blautia, Fusobacterium and Clostridium hiranonis. The qPCR‐based DI was built based on the nearest centroid classifier, and reports the degree of dysbiosis in a single numerical value that measures the closeness in the l2 ‐ norm of the test sample to the mean prototype of each class. A negative DI indicates normobiosis, whereas a positive DI indicates dysbiosis. For a threshold of 0, the DI based on the combined dataset achieved 74% sensitivity and 95% specificity to separate healthy and CE dogs.
Patient-Centeredness as Physician Behavioral Adaptability to Patient Preferences

ABSTRACT A physician who communicates in a patient-centered way is a physician who adapts his or her communication style to what each patient needs. In order to do so, the physician has to (1) accurately assess each patient’s states and traits (interpersonal accuracy) and (2) possess a behavioral repertoire to choose from in order to actually adapt his or her behavior to different patients (behavioral adaptability). Physician behavioral adaptability describes the change in verbal or nonverbal behavior a physician shows when interacting with patients who have different preferences in terms of how the physician should interact with them. We hypothesized that physician behavioral adaptability to their patients’ preferences would lead to better patient outcomes and that physician interpersonal accuracy was positively related to behavioral adaptability. To test these hypotheses, we recruited 61 physicians who completed an interpersonal accuracy test before being videotaped during four consultations with different patients. The 244 participating patients indicated their preferences for their physician’s interaction style prior to the consultation and filled in a consultation outcomes questionnaire directly after the consultation. We coded the physician’s verbal and nonverbal behavior for each of the consultations and compared it to the patients’ preferences to obtain a measure of physician behavioral adaptability. Results partially confirmed our hypotheses in that female physicians who adapted their nonverbal (but not their verbal) behavior had patients who reported more positive consultation outcomes. Moreover, the more female physicians were accurate interpersonally, the more they showed verbal and nonverbal behavioral adaptability. For male physicians, more interpersonal accuracy was linked to less nonverbal adaptability.
Progressive Growing of GANs for Improved Quality, Stability, and Variation

We describe a new training methodology for generative adversarial networks. The key idea is to grow both the generator and discriminator progressively: starting from a low resolution, we add new layers that model increasingly fine details as training progresses. This both speeds the training up and greatly stabilizes it, allowing us to produce images of unprecedented quality, e.g., CelebA images at 1024^2. We also propose a simple way to increase the variation in generated images, and achieve a record inception score of 8.80 in unsupervised CIFAR10. Additionally, we describe several implementation details that are important for discouraging unhealthy competition between the generator and discriminator. Finally, we suggest a new metric for evaluating GAN results, both in terms of image quality and variation. As an additional contribution, we construct a higher-quality version of the CelebA dataset.
Relationship between Sleep Disorders, Pain and Quality of Life in Patients with Rheumatoid Arthritis.

INTRODUCTION Rheumatoid arthritis as one of the most common autoimmune diseases is known to be one of the leading causes of disability. Sleep disorders have direct influence on patient's life. According to studies, sleep problems are known to have negative impact on well-being and functioning, but the exact nature of relationship between sleep disorders and Rheumatoid arthritis is not completely understood. This study aimed to investigate the relationship between sleep disorders, pain and quality of life in patients with rheumatoid arthritis patients. METHODS In a descriptive -correlative study, 210 patients with rheumatoid arthritis referred to Tabriz medical university clinics selected by convenience sampling and were assessed by Sleep Disorders Questionnaire (SDQ), Epworth Sleepiness Scale (ESS), SF-36 Quality of Life Questionnaire and Visual Analog Scale (VAS). Data were analyzed using SPSS-13 by descriptive statistics such as frequency, mean (SD) and inferential statistics including Spearman correlation analysis, linear regression, χ(2),t-test and ANOVA. RESULTS The mean age of participants was 48.41(12.92) years in which most of them (74%) were female. The mean (SD) quality of life was 40.51(22.94), sleepiness 13.14 (5.6) and pain 6.09 (2.14). There was significant negative relationship between some sleep disorders such as (naps, apnea, asphyxia,…) and pain with quality of life but pain severity had more effect on QOL compared to sleep problems. Furthermore, participants had low quality of life with more restriction in physical (mean=34.71) and general health (mean=34.42). CONCLUSION Sleep problems and pain were associated with poor quality of life in Rheumatoid Arthritis patients.
Runtime Modeling of Flow for Dynamic Deadlock-free Scheduling in Service-oriented Factory Automation Systems

Abstract Changes in equipment and production demand cannot be predicted at the design stage. Therefore, decision taking mechanisms must rely on real time information collected from the shop floor. To perform scheduling and routing optimization, not only modifications in values of parameters of interest, but also in the flow itself must be accounted for. This paper addresses this problem and proposes a method to formally model, at runtime, the flow within a service-oriented manufacturing line. The resulting representation assists deadlock free dynamic scheduling of the system.
Comparison of Clinical Effects between Percutaneous Transluminal Septal Myocardial Ablation and Modified Morrow Septal Myectomy on Patients with Hypertrophic Cardiomyopathy

Background: Percutaneous transluminal septal myocardial ablation (PTSMA) and modified Morrow septal myectomy (MMSM) are two invasive strategies used to relieve obstruction in patients with hypertrophic cardiomyopathy (HCM). This study aimed to determine the clinical outcome of these two strategies. Methods: From January 2011 to January 2015, 226 patients with HCM were treated, 68 by PTSMA and 158 by MMSM. Both ultrasonic cardiograms and heart functional class were recorded before, after operations and in the follow-up. Categorical variables were compared using Chi-square or Fisher's exact tests. Quantitative variables were compared using the paired samples t-test. Results: Interventricular septal thickness was significantly reduced in both groups (21.27 ± 4.43 mm vs. 18.72 ± 4.13 mm for PTSMA, t = 3.469, P < 0.001, and 21.83 ± 5.03 mm vs. 16.57 ± 3.95 mm for MMSM, t = 10.349, P < 0.001, respectively). The left ventricular outflow tract (LVOT) pressure gradient (PG) significantly decreased after the operations in two groups (70.30 ± 44.79 mmHg vs. 39.78 ± 22.07 mmHg for PTSMA, t = 5.041, P < 0.001, and 74.58 ± 45.52 mmHg vs. 13.95 ± 9.94 mmHg for MMSM, t = 16.357, P < 0.001, respectively). Seven patients (10.29%) in the PTSMA group required a repeat operation in the follow-up. Eight (11.76%) patients were evaluated for New York Heart Association (NYHA) III/IV in the PTSMA group, which was significantly more than the five (3.16%) in the same NYHA classes for the MMSM group at follow-up. Less than 15% of patients in the PTSMA group and none of the patients in the MMSM group complained of chest pain during follow-up. Conclusions: Both strategies can not only relieve LVOT PG but also improve heart function in patients with HCM. However, MMSM might provide a more reliable reduction in gradients compared to PTSMA.
Specialized or opportunistic—how does the high mountain endemic butterfly Erebia nivalis survive in its extreme habitats?

High mountain ecosystems are a challenge for the survival of animal and plant species, which have to evolve specific adaptations to cope with the prevailing extreme conditions. The strategies to survive may reach from opportunistic to highly adapted traits. One species successfully surviving under these conditions is the here studied butterfly Erebia nivalis. In a mark‐release‐recapture study performed in the Hohe Tauern National Park (Austria) from 22 July to 26 August 2013, we marked 1386 individuals and recaptured 342 of these. For each capture event, we recorded the exact point of capture and various other traits (wing conditions, behavior, nectar sources). The population showed a partial protandrous demography with the minority of males emerging prior to the females, but the majority being synchronized with them. Males and females differed significantly in their behavior with males being more flight active and females nectaring and resting more. Both sexes showed preferences for the same plant species as nectar sources, but this specialization apparently is the result of a rapid individual adaptation to the locally available flowers. Estimates of the realized dispersal distances predicted a comparatively high amount of long‐distance flights, especially for females. Therefore, the adaptation of Erebia nivalis to the unpredictable high mountain conditions might be a mixture of opportunism and specialized traits.
Healthcare choices in Mumbai slums: A cross-sectional study

Background: Informal urban settlements, known as slums, are the home for a large proportion of the world population. Healthcare in these environments is extremely complex, driven by poverty, environmental challenges, and poor access to formal health infrastructures. This study investigated healthcare challenges faced and choices made by slum dwellers in Mumbai, India. Methods : Structured interviews with 549 slum dwellers from 13 slum areas in Mumbai, India, were conducted in order to obtain a population profile of health-related socio-economic and lifestyle factors, disease history and healthcare access. Statistical tools such as multinomial logistic regression were used to examine the association between such factors and health choices. Results : Private providers (or a mixture of public and private) were seen to be preferred by the study population for most health conditions (62% - 90% health consultations), apart from pregnancy (43% health consultations). Community-based services were also preferred to more remote options. Stark differences in healthcare access were observed between well-known conditions, such as minor injuries, pulmonary conditions, and pregnancy and emerging challenges, such as hypertension and diabetes. A number of socio-economic and lifestyle factors were found to be associated with health-related decisions, including choice of provider and expenditure. Conclusions: Better planning and coordination of health services, across public and private providers, is required to address mortality and morbidity in slum communities in India. This study provides insights into the complex landscape of diseases and health providers that slum dwellers navigate when accessing healthcare. Findings suggest that integrated services and public-private partnerships could help address demand for affordable community-based care and progress towards the target of universal health coverage.
Ketamine augmentation rapidly improves depression scores in inpatients with treatment-resistant bipolar depression

Abstract Objective: To study the clinical effect of a single ketamine infusion, 0.5 mg/kg body weight, in bipolar depressive patients receiving mood-stabilising drugs, not improving on antidepressants. Previously, in such patients, we had found a correlation between clinical efficacy, serum brain-derived neurotrophic factor and vitamin B12 levels and a rapid improvement in neurocognitive performance. Methods: The study included 53 patients (13 men, 40 women), aged 22–81 years, receiving ≥1 mood-stabilising medications of the first and/or second generation. Pre-infusion depression intensity on the Hamilton Depression Rating Scale (HDRS) was 23.4 ± 4.6 points and the assumed criterion for response was a reduction of ≥50% in the HDRS score after 7 days. Results: Twenty-seven subjects (51%) met a criterion for response, more frequently males (77%) than females (43%). Responders did not differ from non-responders as to age, illness onset, duration of depressive episode, type of bipolar illness, family history of psychiatric illness, personal/family history of alcoholism or using lithium, quetiapine or a combination of these mood stabilisers. Conclusions: The results confirm a rapid antidepressant effect of ketamine infusion in a considerable proportion of those patients with bipolar depression receiving mood-stabilising drugs. Apart from male gender, no other clinical factors were predictors of response.
Therapeutic Effects of a Long-Acting Cholinergic Receptor Blocker, Tiotropium Bromide, on Asthma

Background The aim of this study was to evaluate the therapeutic effects of tiotropium bromide on asthma. Material/Methods A total of 160 patients with moderate persistent asthma were randomly divided into 4 groups (n=40): the 3 control groups were given fluticasone propionate aerosol (group A), salmeterol-fluticasone propionate inhalant (group B), and tiotropium bromide inhalation powder combined with salmeterol-fluticasone propionate inhalant (group C), respectively, and the experimental group received tiotropium bromide inhalation powder combined with fluticasone propionate aerosol (group D) and salbutamol was used to relieve symptoms when necessary. Results After 8 weeks of treatment, the pulmonary function of group D, which was significantly better than those of group A (P<0.05), was similar to those of groups B and C (P>0.05). Group D had significantly better asthma control test scores and nighttime symptom scores than in group A (P<0.05), without significant differences from those of group B or group C (P>0.05). The number of times salbutamol was used to alleviate symptoms was significantly different (P<0.05) between group D and group A (P<0.05), as well as between group C and group D (P<0.05). Groups D and B had similar results (P>0.05). IL-13 levels in induced sputum had significant differences (P<0.05). The levels in group D, which were higher than those of groups A and B (P<0.05), were similar to those of group C (P>0.05). Conclusions Tiotropium bromide combined with fluticasone propionate improved the respiratory function and quality of life, and is a new therapy for moderate, persistent asthma.
Pediatric Mild Traumatic Brain Injury in the Acute Setting

Abstract Pediatric mild traumatic brain injuries, most of which are concussions, are an increasingly common reason for presentation to emergency departments. The diagnosis of concussion has increased dramatically over the past decade, necessitating the acute care provider to have up-to-date knowledge of the definition, pathophysiology, signs and symptoms, physical examination findings, and acute management of pediatric concussion. This article also addresses populations most vulnerable to prolonged recovery from pediatric concussion and referral recommendations.
Modelling phosphorus dynamics in Cootes Paradise marsh: Uncertainty assessment and implications for eutrophication management

Cootes Paradise marsh, a hypereutrophic wetland draining into the western end of Hamilton Harbour, Ontario, has historically been considered an important regulatory factor of the severity of local eutrophication phenomena. In this study, we present a modelling exercise that aims to draw inference on the relative contribution of various external and internal flux rates to the phosphorus budget of Cootes Paradise. We first examined the capacity of a phosphorus mass-balance model, accounting for the interplay among water column, sediments and macrophytes, to reproduce the observed total phosphorus dynamics over a 17-year period (1996–2012). Water level fluctuations were one of the key challenges for balancing the phosphorus budget during model calibration. Our analysis shows that the model satisfactorily reproduced the average seasonal patterns, as well as the year-to-year total phosphorus variability (coefficient of determination = 0.20, relative error = 26.8%, root mean square error = 62.2 μg P l−1, model efficiency = 0.15). However, our model failed to capture two years of the study period (1997 and 2007), when ambient TP levels significantly deviated from the typically prevailing conditions. Model sensitivity analysis identified the sedimentation of particulate material and diffusive reflux from sediments as two critical processes to characterize the phosphorus cycle in the wetland. Based on the current parameter specification, our model postulates that the sediments still act as a net sink, whereas macrophyte processes (respiration rates, nutrient uptake from interstitial water) appear to play a minor role. We conclude by discussing the various sources of uncertainty and additional remedial actions required in Cootes Paradise marsh to realize a shift from the current turbid-phytoplankton dominated state to its former clear-macrophyte dominated state.
Anxiety is not enough to drive me away: A latent profile analysis on math anxiety and math motivation

Mathematics anxiety (MA) and mathematics motivation (MM) are important multi-dimensional non-cognitive factors in mathematics learning. While the negative relation between global MA and MM is well replicated, the relations between specific dimensions of MA and MM are largely unexplored. The present study utilized latent profile analysis to explore profiles of various aspects of MA (including learning MA and exam MA) and MM (including importance, self-perceived ability, and interest), to provide a more holistic understanding of the math-specific emotion and motivation experiences. In a sample of 927 high school students (13–21 years old), we found 8 distinct profiles characterized by various combinations of dimensions of MA and MM, revealing the complexity in the math-specific emotion-motivation relation beyond a single negative correlation. Further, these profiles differed on mathematics learning behaviors and mathematics achievement. For example, the highest achieving students reported modest exam MA and high MM, whereas the most engaged students were characterized by a combination of high exam MA and high MM. These results call for the need to move beyond linear relations among global constructs to address the complexity in the emotion-motivation-cognition interplay in mathematics learning, and highlight the importance of customized intervention for these heterogeneous groups.
Whittaker models for real groups

Introduction. Whittaker functions were first introduced for the principal series representations of Chevalley groups by H. Jacquet [3]. Later, they were pursued by G. Schiffmann for algebraic groups of real rank one [12]. They played a very important role in the development of the Hecke theory for GLn through the work of H. Jacquet, R. P. Langlands, I. I. Piatetski-Shapiro, and J. A. Shalika [4, 5]. More precisely, they were the main tools for the definitions of local and global L-functions and e-factors. They also appeared quite useful in the development of the Hecke theory for other groups (cf. [10]), as well as in the definition of the local y-factors of certain functional equations [13, 14], particularly in their factorization. There seems to be other evidence of interest, especially in the work of W. Casselman, B. Kostant [7], and G. Zuckerman. The analytic behavior of these functions is much simpler when the ground field is non-archimedean; a good account of their analytic properties and some interesting formulas for certain class of such functions may be found in a recent paper of W. Casselman and J. A. Shalika [2]. But when the ground field is archimedean, these functions were believed to behave in a rather complicated manner. In fact, this has been one of the main obstacles in the development of the Hecke theory for number fields. To make a more precise statement of the problem, we let G be a split reductive algebraic group over R. We fix a maximal torus T of G and we let B be a fixed Borel subgroup of G containing T. We write B = M0AU, the Langlands decomposition of B with T=M0A, and fix a non-degenerate (unitary) character x of U (see section 1). Now, let IT be a continuous representation of G on a Frechet space V. Denote by ( oo > ^oo) e corresponding differentiable representation. Topologize V^ with the relative topology inherited from C°°(G, V). Let VK be the subspace of ^-finite vectors of F, where K is a fixed maximal compact subgroup of G with G = KB. We say that the representation (7r, V) is non-degenerate, if there exists a continuous linear functional A on V^, called a Whittaker functional, such that
Impact of age on long-term anticoagulation and how gender and monitoring setting affect it: implications for decision making and patient management.

AIMS Stabilization of anticoagulation control is seminal to reducing the risk of adverse effects of vitamin K antagonists. Reliable information on how ageing influences this is lacking. We set out to assess the true age-related changes in anticoagulation control, how gender and patient setting influence this, and the possible implications of these for patient outcomes and management. METHODS In atrial fibrillation (AF) patients of a unified anticoagulant service monitoring patients in general practice or hospital-based clinics and housebound patients at home, international normalized ratio (INR) and warfarin dose data between 2000 and 2013 were extracted via the DAWN dosing program. Anticoagulation control was assessed by calculating percentage time spent within target INR (TTR). RESULTS A total of 2094 AF patients [938 (44.8%) in general practice (GP) and 531 (25.4%) in hospital (H)-based clinics and 625 (29.8%) through the domiciliary service (D)] were evaluated. The frequency of warfarin dose changes and INR monitoring events declined until about age 67, then increased as patients got older. The TTR according to age was significantly lower and the probability of having a TTR ≤65% according to age was higher for D than for H and GP, and females had a greater probability of having a TTR ≤65% than age-matched males. CONCLUSION Identification of factors underlying poorer anticoagulation control in older housebound patients and the introduction of effective modifications to improve the clinical effectiveness of anticoagulation in such patients is needed.