Miracle-dz/UniFAR-FTUs huggingface dataset:
Relapses in Patients With Giant Cell Arteritis

AbstractGiant cell arteritis (GCA) is a relapsing disease. However, the nature, chronology, therapeutic impact, and clinical consequences of relapses have been scarcely addressed. We conducted the present study to investigate the prevalence, timing, and characteristics of relapses in patients with GCA and to analyze whether a relapsing course is associated with disease-related complications, increased glucocorticoid (GC) doses, and GC-related adverse effects. The study cohort included 106 patients, longitudinally followed by the authors for 7.8 ± 3.3 years. Relapses were defined as reappearance of disease-related symptoms requiring treatment adjustment. Relapses were classified into 4 categories: polymyalgia rheumatica (PMR), cranial symptoms (including ischemic complications), systemic disease, or symptomatic large vessel involvement. Cumulated GC dose during the first year of treatment, time required to achieve a maintenance prednisone dose <10 mg/d (T10), <5 mg/d (T5), or complete prednisone discontinuation (T0), and GC-related side effects were recorded. Sixty-eight patients (64%) experienced at least 1 relapse, and 38 (36%) experienced 2 or more. First relapse consisted of PMR in 51%, cranial symptoms in 31%, and systemic complaints in 18%. Relapses appeared predominantly, but not exclusively, within the first 2 years of treatment, and only 1 patient developed visual loss. T10, T5, and T0 were significantly longer in patients with relapses than in patients without relapse (median, 40 vs 27 wk, p < 0.0001; 163 vs 89.5 wk, p = 0.004; and 340 vs 190 wk, p = 0.001, respectively). Cumulated prednisone dose during the first year was significantly higher in relapsing patients (6.2 ± 1.7 g vs 5.4 ± 0.78 g, p = 0.015). Osteoporosis was more common in patients with relapses compared to those without (65% vs 32%, p = 0.001). In conclusion, the results of the present study provide evidence that a relapsing course is associated with higher and prolonged GC requirements and a higher frequency of osteoporosis in GCA.
Adaptation to Steady-State Electrical Stimulation of the Vestibular System in Humans

Objectives: Efforts are being made toward the development of a vestibular implant. If such a device is to mimic the physiology of the vestibular system, it must first be capable of restoring a baseline or “rest” activity in the vestibular pathways and then modulating it according to the direction and velocity of head movements. The aim of this study was to assess whether a human subject could adapt to continuous electrical stimulation of the vestibular system, and whether it was possible to elicit artificial smooth oscillatory eye movements via modulation of the stimulation. Methods: One bilaterally deaf patient with bilateral vestibular loss received a custom-modified Med-E1 cochlear implant in which one electrode was implanted in the vicinity of the left posterior ampullary nerve. This electrode was activated with biphasic pulse trains of 400-μs phase duration delivered at a repetition rate of 200 pulses per second. The resulting eye movements were recorded with 2-dimensional binocular video-oculography. Results: Successive “on-off” cycles of continuous electrical stimulation resulted in a progressively shorter duration of the nystagmic response. Once the adapted state was reached upon constant stimulation, amplitude or frequency modulations of electrical stimulation produced smooth oscillatory conjugated eye movements. Conclusions: Although this is a case study of one patient, the results suggest that humans can adapt to electrical stimulation of the vestibular system without too much discomfort. Once the subject is in the adapted state, the electrical stimulation can be modulated to artificially elicit smooth eye movements. Therefore, the major prerequisites for the feasibility of a vestibular implant for human use are fulfilled.
Molecular Gas Observations of the Reddened Quasar 3C 318

3C 318 is a z = 1.574 radio-loud quasar. The small physical size of its radio jets indicates that these jets were triggered relatively recently. In addition to the ultraviolet continuum emission being reddened by dust, detections with IRAS and SCUBA show it to have an exceptionally high far-infrared luminosity. We present CO(2-1) observations of 3C 318 made with the IRAM Plateau de Bure Interferometer. We detect CO(2-1) emission with a FWHM = 200 km s-1 at a signal-to-noise ratio of 5.4. There is evidence for positional (∼20 kpc) and velocity (approximately -400 km s-1) offsets between the molecular gas and the quasar that may be due to the quasar experiencing a major merger. The mass of molecular gas inferred from our observations is M = (3.0 ± 0.6) × 1010 M⊙. This molecular gas mass is comparable to that in submillimeter-selected galaxies at similar redshifts. The large molecular gas mass is consistent with the primary source of heating for the cool dust in this quasar being massive star formation with a star formation rate of 1700 M⊙ yr-1 and a gas depletion timescale of 20 Myr. Our observations support the idea that star formation episodes and jet triggering can be synchronized.
Oritavancin Population Pharmacokinetics in Healthy Subjects and Patients with Complicated Skin and Skin Structure Infections or Bacteremia

ABSTRACT Oritavancin is a novel glycopeptide antimicrobial agent with potent in vitro activity against a wide variety of gram-positive bacteria, including multidrug-resistant strains of staphylococci and enterococci. A population pharmacokinetic model was developed to describe the disposition of oritavancin with data from a pooled population of phase 1 healthy subjects and phase 2 and 3 patients with complicated skin and skin structure infections or Staphylococcus aureus bacteremia. In addition, the potential influence of factors such as the subject's age, gender, and clinical laboratory measures on oritavancin disposition was evaluated. Oritavancin was administered as both single- and multiple-dose intravenous (i.v.) infusions in fixed doses ranging from 100 to 800 mg or weight-based doses ranging from 0.02 to 10 mg/kg of body weight, with infusion durations ranging from 0.13 to 6.5 h across all studies. The most robust fit to the data (n = 6,290 oritavancin plasma concentrations from 560 subjects) was obtained using a three-compartment model with zero-order i.v. infusion and first-order elimination. The model was parameterized using total clearance (CL), volume of central compartment (Vc), distributional clearances from the central to both the first and second peripheral compartments, and volumes of distribution for both the first and second peripheral compartments. Weight and study phase (phase 1 versus phase 2/3) were identified as significant predictors of the interindividual variability in CL, while body surface area and age were significant for Vc. These results suggest that dose modification may be warranted in patients weighing >110 kg. However, the mild nature of the observed relationships for Vc suggest that dosing adjustments are not necessary for elderly patients.
Likelihood-informed dimension reduction for nonlinear inverse problems

The intrinsic dimensionality of an inverse problem is affected by prior information, the accuracy and number of observations, and the smoothing properties of the forward operator. From a Bayesian perspective, changes from the prior to the posterior may, in many problems, be confined to a relatively low-dimensional subspace of the parameter space. We present a dimension reduction approach that defines and identifies such a subspace, called the ‘likelihood-informed subspace’ (LIS), by characterizing the relative influences of the prior and the likelihood over the support of the posterior distribution. This identification enables new and more efficient computational methods for Bayesian inference with nonlinear forward models and Gaussian priors. In particular, we approximate the posterior distribution as the product of a lower-dimensional posterior defined on the LIS and the prior distribution marginalized onto the complementary subspace. Markov chain Monte Carlo sampling can then proceed in lower dimensions, with significant gains in computational efficiency. We also introduce a Rao−Blackwellization strategy that de-randomizes Monte Carlo estimates of posterior expectations for additional variance reduction. We demonstrate the efficiency of our methods using two numerical examples: inference of permeability in a groundwater system governed by an elliptic PDE, and an atmospheric remote sensing problem based on Global Ozone Monitoring System (GOMOS) observations.
End-of-life care in the pediatric ICU

Purpose of review Pediatric ICUs frequently provide end-of-life (EOL) care to children. Our understanding of how EOL care is delivered to children and what constitutes effective care for dying children and their families in the ICU setting continues to evolve. This review identifies recent work describing events related to the death of a child in the ICU as well as interventional efforts to improve family and provider support. Recent findings Pediatric ICUs (PICUs) often provide EOL care to children who die in the developed world. Areas of active investigation include identifying effective communication techniques, meeting the needs of patients and parents, and providing support to care providers. Summary PICU practitioners are developing flexible and novel approaches to pediatric EOL care in the ICU setting.
Reactive Oxygen and Nitrogen Species in the Development of Pulmonary Hypertension

Pulmonary arterial hypertension (PAH) is a progressive disease of the lung vasculature that involves the loss of endothelial function together with inappropriate smooth muscle cell growth, inflammation, and fibrosis. These changes underlie a progressive remodeling of blood vessels that alters flow and increases pulmonary blood pressure. Elevated pressures in the pulmonary artery imparts a chronic stress on the right ventricle which undergoes compensatory hypertrophy but eventually fails. How PAH develops remains incompletely understood and evidence for the altered production of reactive oxygen and nitrogen species (ROS, RNS respectively) in the pulmonary circulation has been well documented. There are many different types of ROS and RNS, multiple sources, and collective actions and interactions. This review summarizes past and current knowledge of the sources of ROS and RNS and how they may contribute to the loss of endothelial function and changes in smooth muscle proliferation in the pulmonary circulation.
Shear bond strength of resin composite veneering material to gold alloy with varying metal surface preparations.

STATEMENT OF PROBLEM Although adequate surface preparation is indispensable to achieve a consistent and durable bond between resin composite materials and the metal substructures of veneered restorations, information on the bonding performance of current metal adhesive systems is limited. PURPOSE The purpose of this study was to evaluate the surface preparation effects of 4 metal conditioners and 1 adhesive system on bonding between a prosthetic resin composite veneering material and a gold casting alloy. MATERIAL AND METHODS Four primers containing sulfur derivative monomer and designed for conditioning noble metal alloys (Alloy Primer, Infis Opaque Primer, Metal Primer II, and Metaltite) and a surface modification technique (Siloc) were assessed. Cast disk specimens made of gold alloy (Pontor LFC) were either primed with 1 of the 4 primers or treated with the Siloc system and bonded with a light-activated prosthetic resin composite material (New Metacolor Infis). Control specimens were also prepared without the use of a bonding agent. Shear bond strengths were determined before and after thermocycling (20,000 cycles) for evaluation of bond durability. RESULTS All of the primed and Siloc-treated groups showed improved 24-hour shear bond strengths compared with the control group. After thermocycling, the groups either primed with the Metaltite conditioner or treated with the Siloc system exhibited the highest mean shear bond strengths. CONCLUSION The Metaltite conditioner and Siloc system each represent a useful method for improving the bond between the gold alloy and resin composite material tested.
Rokhlin actions and self-absorbing C*-algebras

Let A be a unital separable C∗-algebra, and D a K1-injective strongly selfabsorbing C∗-algebra. We show that if A is D-absorbing, then the crossed product of A by a compact second countable group or by Z or by R is D-absorbing as well, assuming the action satisfying a Rokhlin property. In the case of a compact Rokhlin action we prove a similar statement about approximate divisibility.
Osmotic pressure of periimplant sulcular and gingival crevicular fluids: a split-mouth, randomized study of its measurement and clinical significance.

OBJECTIVES This study comparatively investigated periimplant sulcular fluid (PISF) and gingival crevicular fluid (GCF) by means of the osmotic pressure (OP) levels of PISF (PISFOP) and GCF (GCFOP). It was a preliminary research that aimed to quantify PISFOP and GCFOP as well as to evaluate their clinical significances around implants and teeth. MATERIAL AND METHODS Partially edentulous implant patients treated by the same clinicians and using the same implant system were randomized in a split-mouth trial design. Fifty-four implants and teeth from these patients were selected in the same mouth and jaw as matched pairs of samples, i.e. as symmetrical or corresponding implant and tooth. PISFOP/GCFOP measurement was performed by an osmometer following PISF/GCF sampling procedures. Clinical significance was evaluated by the correlations between PISFOP/GCFOP and some clinical examination parameters of periimplant/periodontal soft tissues. These parameters included Silness-Löe plaque index (PI), Löe-Silness gingival index (GI), bleeding on probing (BOP), probing pocket depth (PPD) and probing attachment level (PAL). RESULTS PISFOP was higher than GCFOP, and GI, BOP, PPD and PAL were higher in the implant group than in the tooth group (P<0.05). PISFOP positively correlated with the clinical parameters of implants (P<0.01 for PI, GI and BOP; P<0.05 for PPD and PAL), and GCFOP positively correlated with the clinical parameters of teeth (P<0.01 for PPD; P<0.05 for PI, GI, BOP and PAL). CONCLUSIONS The results reveal that PISFOP and GCFOP may be measured by osmometer, and their levels may be related with the clinical conditions of periimplant/periodontal soft tissues.
Exploring the Influence of Vendor Reputation in IT Outsourcing Decisions: A Transaction Cost Perspective

Past research indicates that firm reputation can be valuable intangible resource by signaling unobservable quality about products, services, skills, and capabilities. Although we might expect firms facing IT outsourcing decisions to consider reputation as a means for assessing quality among potential vendors, the influence of reputation in so-called 'make- or-buy' decisions is not well understood. Toward addressing this gap, we draw from signaling theory to integrate the reputation concept into the transaction cost framework - the predominant perspective explaining firm boundary decisions - to explore the mechanisms through which vendor reputation influences client outsourcing decisions. We propose a moderated-mediation model in which vendor reputation encourages outsourcing by (1) attenuating the influence of transaction hazards on the threat of opportunism, and (2) strengthening the influence of transaction-promoting factors on the perceived benefits of outsourcing. We believe elaborating the mechanisms through which vendor reputation both substitutes for and complements established transaction attributes in outsourcing decisions potentially augments the established TCE framework in ways important for both theory and practice.
Influenza Vaccination: A Cross-Sectional Survey of Knowledge, Attitude and Practices among the Lebanese Adult Population

Background: Influenza is a common preventable infectious disease associated with high mortality and morbidity. Vaccination is the most cost-effective measure to prevent influenza, yet the vaccine uptake is known to be low. No previous studies have assessed the rate of seasonal influenza vaccination use among the Lebanese population, nor examined the knowledge and attitudes towards the influenza vaccine. Methods: A cross-sectional survey was performed in 30 pharmacies randomly selected across Lebanon. A 19-item questionnaire was used to record influenza vaccination status, knowledge and attitudes towards the influenza vaccine among the Lebanese general population. Results: The survey response rate was 93%. Among the 640 study participants, the overall 2014-2015 seasonal influenza vaccination rate was 27.6%. The majority of participants (72.4%) reported irregular uptake of the vaccine. Results of the multivariate analysis revealed that elderly people (OR = 2.25, CI = 1.08–4.71), with higher education (OR = 1.42, CI = 1.09–1.84), higher physical activity (OR significantly higher than 1 for all categories), and chronic respiratory disease (OR = 3.24, CI = 1.58–6.62) were more regularly vaccinated, while those who visit the doctor “only when needed” (OR = 0.55, CI = 0.34–0.88) and those who consume more than seven drinks/week (OR = 0.24, CI = 0.09–0.65) were less regularly vaccinated. When introducing knowledge and attitude variables to the model, “thinking that the vaccine was not needed” was the only correlate that demonstrated a significant inverse association with regular influenza vaccination (OR = 0.15; p = 0.017). Conclusions: Suboptimal vaccination rates exist among the Lebanese ambulatory adult population. Clear misinformation on the importance of regular influenza immunization is also highlighted. This evidence underscores a compelling need to raise public awareness regarding the efficacy of the influenza vaccine.
Using the theory of planned behavior to explain teenagers ' adoption of text

Text messaging in the form of SMS has become one of the most successful mobile services in Europe, and the use of this service is now well integrated into the everyday life of young Europeans. To explain the widespread adoption of this service, findings from diffusion, uses and gratifications, information systems and domestication research are reviewed and integrated into a re-specified and extended model based upon the theory of planned behavior. The model is tested on a sample of young users of text messaging services. We conclude that the suggested respecifications and extensions are justified. The final model shows good fit and explains 74% of the variance in intention to use text messaging services. The results support including elements of enjoyment and expressiveness in models of text messaging adoption, show little support for including subjective norm, and indicate that users may perceive some form of deficient selfregulation in the use of these services. The results also show interesting differences between the adoption models of male and female users.
Neurogenesis Response of Middle-Aged Hippocampus to Acute Seizure Activity

Acute Seizure (AS) activity in young adult age conspicuously modifies hippocampal neurogenesis. This is epitomized by both increased addition of new neurons to the granule cell layer (GCL) by neural stem/progenitor cells (NSCs) in the dentate subgranular zone (SGZ), and greatly enhanced numbers of newly born neurons located abnormally in the dentate hilus (DH). Interestingly, AS activity in old age does not induce such changes in hippocampal neurogenesis. However, the effect of AS activity on neurogenesis in the middle-aged hippocampus is yet to be elucidated. We examined hippocampal neurogenesis in middle-aged F344 rats after a continuous AS activity for >4 hrs, induced through graded intraperitoneal injections of the kainic acid. We labeled newly born cells via daily intraperitoneal injections of the 5′-bromodeoxyuridine (BrdU) for 12 days, commencing from the day of induction of AS activity. AS activity enhanced the addition of newly born BrdU+ cells by 5.6 fold and newly born neurons (expressing both BrdU and doublecortin [DCX]) by 2.2 fold to the SGZ-GCL. Measurement of the total number of DCX+ newly born neurons also revealed a similar trend. Furthermore, AS activity increased DCX+ newly born neurons located ectopically in the DH (2.7 fold increase and 17% of total newly born neurons). This rate of ectopic migration is however considerably less than what was observed earlier for the young adult hippocampus after similar AS activity. Thus, the plasticity of hippocampal neurogenesis to AS activity in middle age is closer to its response observed in the young adult age. However, the extent of abnormal migration of newly born neurons into the DH is less than that of the young adult hippocampus after similar AS activity. These results also point out a highly divergent response of neurogenesis to AS activity between middle age and old age.
Detecting anomalies in the order of equally-typed method arguments

In statically-typed programming languages, the compiler ensures that method arguments are passed in the expected order by checking the type of each argument. However, calls to methods with multiple equally-typed parameters slip through this check. The uncertainty about the correct argument order of equally-typed arguments can cause various problems, for example, if a programmer accidentally reverses two arguments. We present an automated, static program analysis that detects such problems without any input except for the source code of a program. The analysis leverages the observation that programmer-given identifier names convey information about the semantics of arguments, which can be used to assign equally-typed arguments to their expected position. We evaluate the approach with a large corpus of Java programs and show that our analysis finds relevant anomalies with a precision of 76%.
Prediagnostic circulating vitamin D levels and risk of hepatocellular carcinoma in European populations: A nested case‐control study

The association between vitamin D status and hepatocellular carcinoma (HCC) has not been well investigated, despite experimental evidence supporting an important role of vitamin D in liver pathophysiology. Our objective was to investigate the association between prediagnostic circulating 25‐hydroxyvitamin D [25(OH)D] serum levels and the risk of HCC in a prospective, nested case‐control study among 520,000 participants in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort. Each case (n = 138) diagnosed between 1992 and 2010 was matched to one control by age, sex, study center, date and time of blood collection, and fasting status. Serum baseline levels of 25(OH)D were measured by liquid chromatography/tandem mass spectrometry. Multivariable incident rate ratios (IRRs) of HCC associated with continuous (per 10 nmol/L) or categorical levels (tertiles or a priori‐defined categories) of prediagnostic 25(OH)D were calculated using conditional logistic regression. Higher 25(OH)D levels were associated with a 49% reduction in the risk of HCC (highest versus lowest tertile: multivariable IRR = 0.51, 95% confidence interval [CI], 0.26 to 0.99; Ptrend = 0.04; per 10 nmol/L increase: IRR = 0.80, 95% CI, 0.68‐0.94). The finding did not vary substantially by time from enrolment to diagnosis, and did not change after adjustment for biomarkers of preexisting liver damage, nor chronic infection with hepatitis B or C viruses. The findings were not modified by body size or smoking status. Conclusion: In this prospective study on western European populations, serum levels of 25(OH)D were inversely associated with the risk of HCC. Given the rising incidence of this cancer in low‐risk developed countries and the strong public health interest surrounding the potentially cancer‐protective roles of vitamin D, additional studies in different populations are required. (Hepatology 2014;60:1222–1230)