Miracle-dz/UniFAR-FTUs huggingface dataset:
Ruthenium brachytherapy for uveal melanoma – single institution experience

Purpose The aim of this study was to report on results of uveal melanoma treatment with ruthenium-106 (106Ru) brachytherapy with long-term follow-up, in terms of local tumor control, eye retention rate, radiation retinopathy, and patients’ survival. Material and methods Medical records of patients treated with ruthenium plaque due to uveal melanoma at the Department of Ophthalmology, Poznan University of Medical Sciences, Poland, between 1994 and 2014 were retrospectively reviewed. Results We identified 126 patients: 53 men, 73 women, mean age 60.04 years (range, 21-89). The largest basal diameter ranged from 4.04 mm to 18.9 mm (median, 10.67 mm), tumor height was 1.9 mm to 7.42 mm (median, 4.8 mm). Median scleral radiation dose was 570 Gy (range, 235-1,500 Gy), median apical dose 100 Gy (range, 60-129 Gy). Median follow-up was 66.5 months (range, 2-261 months). We noted a total of 19 (15%) recurrences. The actuarial rate of recurrence was 9.5% at 3 years, and 13.5% at 5 years postoperatively. Nine (7%) eye globes were lost, median time to enucleation was 5 years. The eye retention rate at 5 years was 92.7% and 81% at 10 years. Forty-three (34%) patients died before the end of the study, 24 (19%) of them due to metastatic disease. Metastatic death was related to: tumor size and TNM stage at presentation (p = 0.002 vs. p = 0.0006, respectively) but not to age, gender, and plaque dosimetry. Conclusions 106Ru brachytherapy is an effective, globe sparing treatment that provides good tumor control and a high rate of survival. However, some ocular complications tend to appear late post-treatment, and therefore long-term follow-up is advised.
White blood cells as a novel mortality predictor in haemodialysis patients.

BACKGROUND Many conventional cardiovascular risk factors in the general population are not as predictive in end-stage renal disease (ESRD). As absolute neutrophil count and total white blood cell (WBC) count are associated with adverse cardiovascular outcomes and all-cause mortality, this analysis was undertaken to explore the associations of WBC variables with mortality risk in ESRD. METHODS Of a total study population of 44 114 ESRD patients receiving haemodialysis during 1998 at facilities operated by Fresenius Medical Care, North America, 25 661 patients who underwent differential white cell count and had complete follow-up were included. Information on case mix (age, gender, race), clinical (diabetes, body mass index), and laboratory variables (haematocrit, albumin, creatinine, potassium, calcium, phosphorus, bicarbonate, ferritin, transferrin saturation and differential WBC count) was obtained. Associations between lymphocyte count, neutrophil count and demographic and clinical variables were examined using linear regression. Associations between WBC variables and survival were estimated using Cox proportional hazard regression. RESULTS A higher lymphocyte count was associated with higher serum albumin and creatinine, lower age and black race. High neutrophil count was associated with lower serum albumin and creatinine, younger age and white race (all Ps <0.0001). Cox proportional hazard regression showed an increased lymphocyte count was associated with reduced mortality risk [HR 0.86 (0.83-0.89) per 500/ml increase in lymphocyte count] and an increased neutrophil count was associated with increased mortality risk [HR 1.08 (1.06-1.09) per 1000/ml increase in neutrophil count]. CONCLUSIONS An increased neutrophil count is strongly associated with, and reduced lymphocyte count associated less strongly with, many surrogates of both malnutrition and inflammation. An increased neutrophil count and reduced lymphocyte count are independent predictors of increased mortality risk in haemodialysis patients.
Pharmacological TLR4 Antagonism Using Topical Resatorvid Blocks Solar UV-Induced Skin Tumorigenesis in SKH-1 Mice

An urgent need exists for the development of more efficacious molecular strategies targeting nonmelanoma skin cancer (NMSC), the most common malignancy worldwide. Inflammatory signaling downstream of Toll-like receptor 4 (TLR4) has been implicated in several forms of tumorigenesis, yet its role in solar UV-induced skin carcinogenesis remains undefined. We have previously shown in keratinocyte cell culture and SKH-1 mouse epidermis that topical application of the specific TLR4 antagonist resatorvid (TAK-242) blocks acute UV-induced AP-1 and NF-κB signaling, associated with downregulation of inflammatory mediators and MAP kinase phosphorylation. We therefore explored TLR4 as a novel target for chemoprevention of UV-induced NMSC. We selected the clinical TLR4 antagonist resatorvid based upon target specificity, potency, and physicochemical properties. Here, we confirm using ex vivo permeability assays that topical resatorvid can be effectively delivered to skin, and using in vivo studies that topical resatorvid can block UV-induced AP-1 activation in mouse epidermis. We also report that in a UV-induced skin tumorigenesis model, topical resatorvid displays potent photochemopreventive activity, significantly suppressing tumor area and multiplicity. Tumors harvested from resatorvid-treated mice display reduced activity of UV-associated signaling pathways and a corresponding increase in apoptosis compared with tumors from control animals. Further mechanistic insight on resatorvid-based photochemoprevention was obtained from unsupervised hierarchical clustering analysis of protein readouts via reverse-phase protein microarray revealing a significant attenuation of key UV-induced proteomic changes by resatorvid in chronically treated high-risk SKH-1 skin prior to tumorigenesis. Taken together, our data identify TLR4 as a novel molecular target for topical photochemoprevention of NMSC. Cancer Prev Res; 11(5); 265–78. ©2018 AACR. See related editorial by Sfanos, p. 251
High Strain Low Cycle Fatigue and Anti-Seismic Behavior of HRB400 QST Reinforced Steel Bars

Based on the failure model of building structural steels under earthquake loading, High strain low cycle fatigue properties of HRB400QST (yield strength grade 400MPa, Quenched and Self Tempered) reinforced steel bars with diameters of 20mm and 16mm(unmachined) and HRB400V-N MA(microalloying)with diameters of 16mm (unmachined) were investigated. Based on the tests of total strain controlling, cycle strain response character of three kinds of steel bars and the relationship between cyclic stress and strain were researched. Hollomon and Coffin-Manson formulas were used to induce fatigue life formulas of three kinds of steel bars, and then the values of σa·Δεt were gained when Nf =100, calculated results show that the high strain low cycle fatigue properties of HRB400V-N MA rebars tested are much better than HRB400QST steel bars. Rupture surface scan reveals that surface hardened layer will reduce the cyclic toughness, and is bad for the anti-seismic performance.
The Feasibility of using V2G to Face the Peak Demand in Warm Countries

As a result of the very difficult weather in Saudi Arabia during the summer, there is too high power peak demand in the grid and this is expected to increase in the next decade. To fix this problem, power consumers should participate in the power production. Vehicle-to-grid (V2G), one of the efficient sustainable technologies, can offer this opportunity. It is defined as a concept where electric vehicle (EV) provides electric to the grid when parked. This investigation looks at the feasibility of using V2G to mitigate the problem of highest electricity peak demand in the summer period in one of the warmest countries of the world (Saudi Arabia). We conduct a survey in order to serve this issue and we use information from Saudi Arabia electricity authority. We found that, V2G is a promising solution to the peak demand challenge in the summer in Saudi Arabia since there is about 80% of the sample interested in using V2G technology. Moreover, 90% of the participants used their vehicles less than 4 hours daily. Furthermore, in the summer period, most of the participants park their vehicles for the longest time between 13:00 to 18:00, which is the peak demand period.
Effect of Biochar Type and Size on in Vitro Rumen Fermentation of Orchard Grass Hay

Biochar, a byproduct from the biofuels industry, may be a potential feed additive in ruminant diets due to possible improvements in microbial fermentation. Therefore, the objective of this study was to determine the nutritive value, in vitro digestibility, volatile fatty acid (VFA) production, and gas production of biochar inclusion to an orchard grass (Dactylis glomerata) basal diet. The study was designed as a 3 × 2 factorial arrangement with 3 different biochar sources and 2 biochar processed sizes as the main effects factors. Experimental treatments were biochar from 3 different tree types: 1) Chestnut Oak (Quercus prinus L.; CO), 2) Yellow Poplar (Liriodendron tulipifera; YP), or 3) White Pine (Pinus strobus L.; WP), and processed at 2 different biochar particle sizes: a) 178 μm (Coarse). Biochar was added to the basal diet of orchard grass hay (872.35 g/kg of DM, 98.31 g/kg of CP, and 704.02 g/kg of aNDF, DM basis) at a rate of 81 g/kg DM. Biochar residual ash content was greater (P P P = 0.01) with lower aNDF content in both WP sizes compared with their respective biochar type and size. Gas production was not influenced (P = 0.23) by biochar tree type; however, gas production was increased (P = 0.05) by Fine particle size compared with Coarse biochar. The in vitro true digestibility (IVTD) of orchard grass hay was increased (P = 0.01) by the inclusion of Fine biochar particle size compared with Coarse particle size. Additionally, in vitro CP true digestibility (DCP) exhibited a type × size interaction (P = 0.01). Crude protein digestibility was lower for Fine particle-sized CO and WP biochar sources compared with Coarse particle-sized CO and WP (P ≤ 0.004). However, DCP was not different between Coarse and Fine particle-sized YP biochar (P = 0.70). Volatile fatty acids (acetate, propionate, and butyrate) were not altered by biochar type (P ≥ 0.66) or particle size (P ≥ 0.19). These results indicate that both tree type and particle size of biochar may need to be carefully considered before incorporating into a ruminant diet. Furthermore, Fine particle-sized biochar may be the most effective to incorporate as a feed additive in a ruminant diet based on digestibility parameters.
Influence of Reservoir Stimulation on Marine Gas Hydrate Conversion Efficiency in Different Accumulation Conditions

In this paper, we used a method of combining reservoir stimulation technique (RST) with depressurization to investigate the conversion efficiency of marine natural gas hydrate (NGH) reservoirs in the Shenhu area, on the northern slope of the South China Sea, which differ in intrinsic permeability and initial NGH saturation conditions. We also analyzed the influence of the variable-stimulation effect on marine NGH conversion efficiency in different accumulation conditions, providing a reference scheme for improving the NGH conversion efficiency in the Shenhu area. In this work, we performed calculations for the variations in CH 4 production rate and cumulative volume of CH 4 in different initial NGH saturation, intrinsic permeability, and stimulation effect conditions. Variance analysis and range analysis methods were used to analyze the significance of these key factors and their interaction. Furthermore, we investigated the sensitivity of stimulation effect on NGH conversion efficiency. The simulation results showed that the stimulation effect has a significant influence on NGH conversion efficiency, and the influence of interaction between these three factors was not obvious. Possibly most importantly, we clarified that the sparsely fractured networks ( N = 3) had a better effect for higher NGH conversion efficiency under higher saturation conditions. For lower permeability cases, the influence between sparsely ( N = 3) and densely ( N = 5) fractured networks were similar.
Molecular classification of gastric cancer

ABSTRACT Introduction: Gastric cancer is among the most common cancers worldwide. Despite declining incidences, the prognosis remains dismal in Western countries and is better in Asian countries with national cancer screening programs. Complete endoscopic or surgical resection of the primary tumor with or without lymphadenectomy offers the only chance of cure in the early stage of the disease. Survival of more locally advanced gastric cancers was improved by the introduction of perioperative, adjuvant and palliative chemotherapy. However, the identification and usage of novel predictive and diagnostic targets is urgently needed. Areas covered: Recent comprehensive molecular profiling of gastric cancer proposed four molecular subtypes, i.e. Epstein-Barr virus-associated, microsatellite instable, chromosomal instable and genomically stable carcinomas. The new molecular classification will spur clinical trials exploring novel targeted therapeutics. This review summarizes recent advancements of the molecular classification, and based on that, putative pitfalls for the development of tissue-based companion diagnostics, i.e. prevalence of actionable targets and therapeutic efficacy, tumor heterogeneity and tumor evolution, impact of ethnicity on gastric cancer biology, and standards of care in the East and West. Expert commentary: The overall low prevalence of actionable targets and tumor heterogeneity are the two main obstacles of precision medicine for gastric cancer.
Human Metapneumovirus Infection in Wild Mountain Gorillas, Rwanda

The genetic relatedness of mountain gorillas and humans has led to concerns about interspecies transmission of infectious agents. Human-to-gorilla transmission may explain human metapneumovirus in 2 wild mountain gorillas that died during a respiratory disease outbreak in Rwanda in 2009. Surveillance is needed to ensure survival of these critically endangered animals.
Preprocedural Anxiety and Pain Perception Following Root Surface Debridement in Chronic Periodontitis Patients

Background: The aim of this study was to evaluate and compare preprocedural dental anxiety levels and postprocedural pain perception in chronic periodontitis patients during conventional-staged root surface debridement (RSD) and single-stage RSD. Materials and Methods: Thirty-seven adult generalized chronic periodontitis patients requiring RSD were recruited in this study. Preprocedural anxiety levels were assessed using a self-reported questionnaire and postprocedural pain perceptions were assessed using 0–10 cm visual analog scale. The subject population was divided into two groups: staged RSD (n = 18) and single-stage RSD (n = 19). Staged RSD patients visited four times as opposed to single-stage RSD patients. Data were subjected to Pearson Chi-square test, Mann–Whitney U-test, and Spearman's rank correlation. Results: There was no statistically significant difference in dental anxiety levels or pain perceptions in both the groups. Within Group 1, there was statistical significant difference in dental anxiety levels between visit 4 and visit 3 (P = 0.037) and pain perception between visit 3 and visit 1 (P = 0.005), visit 4 and visit 1 (P = 0.002), and visit 4 and visit 2 (0.04) was statistically significant. There was a positive correlation of anxiety questionnaire (Q1–Q4) to the pain score in Group 1 which was statistically significant and in single-stage RSD. Conclusion: Conventional quadrant-wise RSD tends to cognitively condition the anxiety experience thus influencing pain experience.
Separation of a mixture of chaotic signals

A new technique is specifically devised to separate chaotic signals. In this approach, the authors reconstruct the trajectory of the mixture in an embedding space. The correlation characteristics of the trajectory in each dimension of the embedding space are then determined and used to reduce the separation problem into an eigen-problem that can be solved using linear algebra.
An Algorithm for Data Hiding in Radiographic Images and ePHI/R Application

Telemedicine is the use of Information and Communication Technology (ICT) for clinical health care from a distance. The exchange of radiographic images and electronic patient health information/records (ePHI/R) for diagnostic purposes has the risk of confidentiality, ownership identity, and authenticity. In this paper, a data hiding technique for ePHI/R is proposed. The color information in the cover image is used for key generation, and stego-images are produced with ideal case. As a result, the whole stego-system is perfectly secure. This method includes the features of watermarking and steganography techniques. The method is applied to radiographic images. For the radiographic images, this method resembles watermarking, which is an ePHI/R data system. Experiments show promising results for the application of this method to radiographic images in ePHI/R for both transmission and storage purpose.
The Role of Biologically Active Ingredients from Natural Drug Treatments for Arrhythmias in Different Mechanisms

Arrhythmia is a disease that is caused by abnormal electrical activity in the heart rate or rhythm. It is the major cause of cardiovascular morbidity and mortality. Although several antiarrhythmic drugs have been used in clinic for decades, their application is often limited by their adverse effects. As a result, natural drugs, which have fewer side effects, are now being used to treat arrhythmias. We searched for all articles on the role of biologically active ingredients from natural drug treatments for arrhythmias in different mechanisms in PubMed. This study reviews 19 natural drug therapies, with 18 active ingredient therapies, such as alkaloids, flavonoids, saponins, quinones, and terpenes, and two kinds of traditional Chinese medicine compound (Wenxin-Keli and Shensongyangxin), all of which have been studied and reported as having antiarrhythmic effects. The primary focus is the proposed antiarrhythmic mechanism of each natural drug agent. Conclusion. We stress persistent vigilance on the part of the provider in discussing the use of natural drug agents to provide a solid theoretical foundation for further research on antiarrhythmia drugs.
Dry comminution and liberation with microwave assistance

This paper presents the experimental results obtained from microwave-assisted comminution/liberation tests on various minerals. The effects of microwave energy intensity and exposure time on microwave heating behaviour and grind-ability of materials are discussed. The experimental results indicated that particle size has a significant effect. The coarser particles (-9.50 + 4.75 mm) of some minerals (limestone and quartz) were affected by microwave heating to varying degrees, resulting in an increased fineness of the ground product in a subsequent dry ball milling. It was observed that the silicate and carbonate minerals are difficult to heat at lower microwave energy intensities (<7 kW) during a short exposure (<30 min) due to their principally transparent or reflection to microwave energy. The thermal stress fractures in a copper ore in microwave exposure occurred readily, resulting in a better and cleaner liberation of sulphide minerals from the ore matrix.
Effect of Patellar Electrocautery Neurectomy on Postoperative Pain among Patients Referred for Total Knee Arthroplasty

Background: Anterior knee pain is a major problem in total knee arthroplasty (TKA). It is accepted that anterior knee pain (AKP) often contributes to a patellofemoral etiology; however, its etiology or treatment is not understood completely. Disabling pain receptors by electrocautery could theoretically lead to anterior knee area denervation. The present study aimed to evaluate the pain post-patellar denervation (PD) with electrocautery in TKA. Materials and Methods: Clinical results for 92 patients who underwent TKA (58 women, 34 men; mean age 67.5 years) were analyzed. In addition to removal of all osteophytes, PD by electrocautery was performed on patella of treatment group (n = 46) and debridement alone including removing of all osteophytes was performed on the control group (n = 46). Knee Society System (KSS) score, patella score (PS), and visual analog scale (VAS) were used to determine pre- and post-operative AKP. Results: The follow-up duration was 10 months. No revision or reoperations were performed. There were no patellar fractures. On all parameters (KSS score, PS, and VAS), there was a statistically significant pre- to post-operative difference in favor of the denervation group only 3 weeks after operation; however, there was no statistically difference postoperation on other follow-ups (3, 6, and 10 months). Conclusions: PD with electrocautery could reduce AKP in TKA without patellar resurfacing only in a short-term period postoperation.
Neurocognitive Function Is Associated With Serum Iron Status in Early Adolescents

Objective: The association between iron and neurocognition remains underexplored in adolescents, and the neurocognitive effects of low and high iron levels have yet to be established. The aim of this study was to investigate the relationships of low and high iron levels with neurocognitive domains in early adolescents. Method: The sample comprised 428 adolescents (12.0 ± 0.4 years) from Jintan, China. Serum iron concentrations were analyzed from venous blood samples and classified into low, normal, and high levels according to the clinical reference range 75–175 μg/dl. Neurocognition was measured by the Penn Computerized Neurocognitive Battery and Wechsler Intelligence Scale. Generalized linear regression was used to analyze relationships. Results: Prevalence rates of iron deficiency, normal iron, and high iron were 13.8%, 76.4%, and 9.8%, respectively. Compared with normal levels, iron deficiency was associated with slower performance in tasks that measured abstraction and mental flexibility (β = 107.5, p = .03) and spatial processing ability (β = 917.2, p = .04). High serum iron was associated with less accuracy in the spatial processing ability task (β = −2.2, p = .03) and a longer reaction time in the task assessing abstraction and mental flexibility (β = 702.8, p = .046) compared to normal levels. Conclusion: Both iron deficiency and high iron levels contribute to reduced neurocognitive performance in a domain-specific manner in early adolescents. The dual burden of iron under- and overnutrition should be incorporated into future interventions for improving brain development and cognitive function in adolescents, especially in a Chinese context.
Genome-editing applications of CRISPR–Cas9 to promote in vitro studies of Alzheimer’s disease

Genetic variations play an important role in the clinical presentation and progression of Alzheimer’s disease (AD), especially early-onset Alzheimer’s disease. Hundreds of mutations have been reported with the majority resulting from alterations in β-amyloid precursor protein (APP), presenilin 1 (PSEN1), or presenilin 2 (PSEN2) genes. The roles of these mutations in the pathogenesis of AD have been classically confirmed or refuted through functional studies, where the mutations are cloned, inserted into cell lines, and monitored for changes in various properties including cell survival, amyloid production, or Aβ42/40 ratio. However, these verification studies tend to be expensive, time consuming, and inconsistent. Recently, the clustered regularly interspaced short palindromic repeats-CRISPR-associated protein 9 (CRISPR–Cas9) system was developed, which improves sequence-specific gene editing in cell lines, organs, and animals. CRISPR–Cas9 is a promising tool for the generation of models of human genetic diseases and could facilitate the establishment of new animal AD models and the observation of dynamic bioprocesses in AD. Here, we recapitulated the history of CRISPR technology, recent progress, and, especially, its potential applications in AD-related genetic, animal modeling, and functional studies.