Miracle-dz/UniFAR-FTUs huggingface dataset:
Reduced Risk of Inflammatory Bowel Disease-associated Colorectal Neoplasia with Use of Thiopurines: a Systematic Review and Meta-analysis

Background and Aims The association between thiopurines and colorectal neoplasia risk remains controversial in inflammatory bowel disease [IBD] patients. We performed a systematic review and meta-analysis examining this association. Methods A comprehensive search of the PubMed, EMBASE and Cochrane Library databases was performed to identify relevant literature. Random-effects models were applied to calculate the pooled odds ratio [OR] and relative risk [RR] with corresponding 95% confidence intervals [CIs] among case-control and cohort studies. Results Eleven cohort and 16 case-control studies involving 95397 patients were included in this study. Overall, the use of thiopurines was associated with a reduced risk of colorectal neoplasia both in case-control [OR = 0.49, 95% CI: 0.34-0.70] and cohort studies [RR = 0.96, 95% CI: 0.94-0.98]. Moreover, a protective effect of thiopurines against advanced neoplasia [high-grade dysplasia and cancer] [OR = 0.51, 95% CI: 0.31-0.84 for case-control studies; RR = 0.96, 95% CI: 0.94-0.98 for cohort studies] and colorectal cancer [CRC] [OR = 0.56, 95% CI: 0.34-0.93 for case-control studies; RR = 0.96, 95% CI: 0.94-0.98 for cohort studies] was also observed. Furthermore, when the analysis was conducted on patients at a high risk for colorectal neoplasia, the chemopreventive effect was confirmed in patients with long disease duration [> 8 years] but not in those with extensive colitis or primary sclerosing cholangitis. Conclusions This study demonstrated that thiopurine use was associated with a reduced risk of colorectal neoplasia, advanced neoplasia and CRC in IBD patients, especially those with long disease duration [> 8 years].
Early Fecal Microbiota Transplantation Improves Survival in Severe Clostridium difficile Infections

Background Severe Clostridium difficile infections (CDIs) are associated with a high mortality rate despite medical and/or surgical treatment. Fecal microbiota transplantation (FMT) prevents recurrences, but its effect on survival has been shown only in patients with O27 ribotype CDI. Here, we investigated whether early FMT could improve survival in hospitalized CDI patients, particularly those with severe infection. Methods We performed a retrospective cohort study between May 2013 and April 2016 at the infectious diseases department of the North University Hospital of Marseille, France. Patients received either medical treatment alone or treatment with early FMT. The primary outcome was the 3-month mortality rate. Results A total of 111 patients were included: 66 in the FMT group and 45 in the non-FMT group. No patient underwent surgery. The O27 ribotype (odds ratio [OR], 3.64 [95% confidence interval {CI}, 1.05- 12.6], P = .04), severe CDI (OR, 9.62 [95% CI, 2.16-42.8], P = .003), and FMT (OR, 0.13 [95% CI, .04-.44], P = .001) were independent predictors of 3-month mortality. FMT improved survival in severe cases (OR, 0.08 [95% CI, .016-.34], P = .001) but not in nonsevere cases (OR, 1.07 [95% CI, .02-56.3], P = .97), independent of age, sex, comorbidities (Charlson score), and ribotype. The number of severe patients who needed to be treated to save 1 life at 3 months was 2. Conclusions Early FMT dramatically reduces mortality and should be proposed as a first-line treatment for severe CDI. Further studies are needed to clarify complications and contraindications. Surgery should be reassessed in this context.
Prognostic Significance of New Immunohistochemical Markers in Refractory Classical Hodgkin Lymphoma: A Study of 59 Cases

Although most classical Hodgkin lymphoma patients are cured, a significant minority fail after primary therapy and may die as result of their disease. To date, there is no consensus on biological markers that add value to usual parameters (which comprise the International Prognostic Score) used at diagnosis to predict outcome. We evaluated 59 patients (18 with primary refractory or early relapse disease and 41 responders) for bcl2, Ki67, CD20, TiA1 and c-kit expression by semi-quantitative immunohistochemical study and correlated the results with the response to treatment. The results showed that expression of bcl2 and CD20 in Hodgkin and Reed Sternberg cells, and expression of TiA1 in micro-environmental lymphocytes, and c-kit positive mast cells in microenvironment, were independent prognostic markers. These novel cHL markers could be used in association with clinical parameters to identify newly diagnosed patients with favorable or unfavorable prognosis and to better tailor treatment for different risk groups.
Evaluating rank-order code performance using a biologically-derived retinal model

We propose a model of the primate retinal ganglion cell layout corresponding to the foveal-pit to test rank-order codes as a means of sensory information transmission in primate vision. We use the model for encoding images in rank-order. We observe that the model is functional only when the lateral inhibition technique is used to remove redundancy from the sampled data. Further, more than 80% of the input information can be decoded by the time only up to 10% of the ganglion cells of our model have fired their first spikes.
Measuring Pavlovian appetitive conditioning in humans with the postauricular reflex

Abstract Despite its evolutionary and clinical significance, appetitive conditioning has been rarely investigated in humans. It has been proposed that this discrepancy might stem from the difficulty in finding suitable appetitive stimuli that elicit strong physiological responses. However, this might also be due to a possible lack of sensitivity of the psychophysiological measures commonly used to index human appetitive conditioning. Here, we investigated whether the postauricular reflex—a vestigial muscle microreflex that is potentiated by pleasant stimuli relative to neutral and unpleasant stimuli—may provide a valid psychophysiological indicator of appetitive conditioning in humans. To this end, we used a delay differential appetitive conditioning procedure, in which a neutral stimulus was contingently paired with a pleasant odor (CS+), while another neutral stimulus was not associated with any odor (CS−). We measured the postauricular reflex, the startle eyeblink reflex, and skin conductance response (SCR) as learning indices. Taken together, our results indicate that the postauricular reflex was potentiated in response to the CS+ compared with the CS−, whereas this potentiation extinguished when the pleasant odor was no longer delivered. In contrast, we found no evidence for startle eyeblink reflex attenuation in response to the CS+ relative to the CS−, and no effect of appetitive conditioning was observed on SCR. These findings suggest that the postauricular reflex is a sensitive measure of human appetitive conditioning and constitutes a valuable tool for further shedding light on the basic mechanisms underlying emotional learning in humans.
EFFICACY OF PLASTIC MULCHING, MARIGOLD INTERCROPPING AND FUNGICIDAL SPRAY AGAINST EARLY BLIGHT OF TOMATO CAUSED BY ALTERNARIA SOLANI

Early blight of tomato caused and disseminate by conidial spores of Alternaria solani. Conidial spores of A. solani are seed, soil and air borne therefore any single method of disease management will not control the disease thus in this study a consortia of plastic mulching, marigold intercropping and spray with fungicides like propineb, aureofungin and azoxystrobin have been evaluated to reduce disease severity.Treatments having plastic mulching and marigold intercropping found to hinders the conidial movement than the non mulched and non intercropped. Treatment with consortia of plastic mulching, marigold intercropping and 3 sprays with azxoystrobin 23% SC hinders conidial movement to the maximum extent and reduced disease severity by 52-55% and only 2.0-2.1% fruit losses were recorded which ultimately fetch maximum fruit yield of 31.5- 33.4 t/ha yield respectively in both the experimental years. At the end of the evaluation period (9 WAT), the reductions in conidial density due to consortium treatment of plastic mulching, marigold intercropping and spray of azoxystrobin 23% SC were 25.826. 2% and 24.7-25.7% for the consortium treatment of plastic mulching, marigold intercropping and spray of Propineb 70WP, in both the years.
Molecular targeting of liposomal nanoparticles to tumor microenvironment

Liposomes are biodegradable and can be used to deliver drugs at a much higher concentration in tumor tissues than in normal tissues. Both passive and active drug delivery by liposomal nanoparticles can significantly reduce the toxic side effects of anticancer drugs and enhance the therapeutic efficacy of the drugs delivered. Active liposomal targeting to tumors is achieved by recognizing specific tumor receptors through tumor-specific ligands or antibodies coupled onto the surface of the liposomes, or by stimulus-sensitive drug carriers such as acid-triggered release or enzyme-triggered drug release. Tumors are often composed of tumor cells and nontumor cells, which include endothelial cells, pericytes, fibroblasts, stromal, mesenchymal cells, innate, and adaptive immune cells. These nontumor cells thus form the tumor microenvironment, which could be targeted and modified so that it is unfavorable for tumor cells to grow. In this review, we briefly summarized articles that had taken advantage of liposomal nanoparticles as a carrier to deliver anticancer drugs to the tumor microenvironment, and how they overcame obstacles such as nonspecific uptake, interaction with components in blood, and toxicity. Special attention is devoted to the liposomal targeting of anticancer drugs to the endothelium of tumor neovasculature, tumor associated macrophages, fibroblasts, and pericytes within the tumor microenvironment.
Compositional Model Based Fisher Vector Coding for Image Classification

Deriving from the gradient vector of a generative model of local features, Fisher vector coding (FVC) has been identified as an effective coding method for image classification. Most, if not all, FVC implementations employ the Gaussian mixture model (GMM) as the generative model for local features. However, the representative power of a GMM can be limited because it essentially assumes that local features can be characterized by a fixed number of feature prototypes, and the number of prototypes is usually small in FVC. To alleviate this limitation, in this work, we break the convention which assumes that a local feature is drawn from one of a few Gaussian distributions. Instead, we adopt a compositional mechanism which assumes that a local feature is drawn from a Gaussian distribution whose mean vector is composed as a linear combination of multiple key components, and the combination weight is a latent random variable. In doing so we greatly enhance the representative power of the generative model underlying FVC. To implement our idea, we design two particular generative models following this compositional approach. In our first model, the mean vector is sampled from the subspace spanned by a set of bases and the combination weight is drawn from a Laplace distribution. In our second model, we further assume that a local feature is composed of a discriminative part and a residual part. As a result, a local feature is generated by the linear combination of discriminative part bases and residual part bases. The decomposition of the discriminative and residual parts is achieved via the guidance of a pre-trained supervised coding method. By calculating the gradient vector of the proposed models, we derive two new Fisher vector coding strategies. The first is termed Sparse Coding-based Fisher Vector Coding (SCFVC) and can be used as the substitute of traditional GMM based FVC. The second is termed Hybrid Sparse Coding-based Fisher vector coding (HSCFVC) since it combines the merits of both pre-trained supervised coding methods and FVC. Using pre-trained Convolutional Neural Network (CNN) activations as local features, we experimentally demonstrate that the proposed methods are superior to traditional GMM based FVC and achieve state-of-the-art performance in various image classification tasks.
Above- and below-ground biomass relationships across 1534 forested communities.

BACKGROUND AND AIMS Prior work has shown that above- and below-ground dry biomass across individual plants scale in a near isometric manner across phyletically and ecologically diverse species. Allometric theory predicts that a similar isometric scaling relationship should hold true across diverse forest-types, regardless of vegetational composition. METHODS To test this hypothesis, two compendia for forest-level above- and below-ground dry biomass per hectare (M(A) and M(R), respectively) were examined to test the hypothesis that M(A) vs. M(R) scales isometrically and in the same manner as reported for data from individual plants. Model Type II regression protocols were used to compare the numerical values of M(A) vs. M(R) scaling exponents (i.e. slopes of log-log linear relationships) for the combined data sets (n =1534), each of the two data sets, and data sorted into a total of 17 data subsets for community- and biome-types as well as communities dominated by angiosperms or conifers. KEY RESULTS Among the 20 regressions examined, 15 had scaling exponents that were indistinguishable from that reported for M(A) vs. M(R) across individual plants. The isometric hypothesis could not be strictly rejected on statistical grounds; four of these 15 exponents had broad 95% confidence intervals resulting from small sample sizes. Significant variation was observed in the y-intercepts of the 20 regression curves, because of absolute differences in M(A) or M(R). CONCLUSIONS The allometries of forest- and individual plant-level M(A) vs. M(R) relationships share strikingly similar scaling exponents, but differ because of considerable variation in y-intercepts. These results support prior allometric theory and provide boundary conditions for the scaling of M(A) and M(R).
Can we reconcile ‘the obesity paradox’ with recent cardiovascular outcome trials in diabetes?

Recent cardiovascular (CV) outcome trials of treatments for type 2 diabetes mellitus (T2DM) including Glucagonlike peptide-1 (GLP-1) receptor agonists (1,2) and sodiumglucose co-transporter-2 (SGLT2) inhibitor (3) have shown beneficial effects on both CV outcomes and body weight. The so-called obesity paradox refers to the epidemiological inference that obesity, defined by a body mass index (BMI) >30 kg m, when compared to normal weight (probably incorrectly defined as a BMI of 18.5–25 kg m), is associated with ‘counterintuitive improved health in a variety of disease conditions, including cardiovascular disease’ (4)? Do the trial findings further undermine the belief in a paradox, and can they provide support for the benefits of intentional weight loss?
The automated multiwavelength Raman polarization and water-vapor lidar PollyXT: The neXT generation

Abstract. The atmospheric science community demands autonomous and quality-assured vertically resolved measurements of aerosol and cloud properties. For this purpose, a portable lidar called Polly was developed at TROPOS in 2003. The lidar system was continuously improved with gained experience from the EARLINET community, involvement in worldwide field campaigns, and international institute collaborations within the last 10 years. Here we present recent changes of the setup of the portable multiwavelength Raman and polarization lidar PollyXT and discuss the improved capabilities of the system by means of a case study. The latest system developments include an additional near-range receiver unit for Raman measurements of the backscatter and extinction coefficient down to 120 m above ground, a water-vapor channel, and channels for simultaneous measurements of the particle linear depolarization ratio at 355 and 532 nm. Quality improvements were achieved by systematically following the EARLINET guidelines and the international PollyNET quality assurance developments. A modified ship radar ensures measurements in agreement with air-traffic safety regulations and allows for 24∕7 monitoring of the atmospheric state with PollyXT.
Titin cardiomyopathy leads to altered mitochondrial energetics, increased fibrosis and long-term life-threatening arrhythmias

Aims Truncating titin variants (TTNtv) are the most prevalent genetic cause of dilated cardiomyopathy (DCM). We aim to study clinical parameters and long-term outcomes related to the TTNtv genotype and determine the related molecular changes at tissue level in TTNtv DCM patients. Methods and results A total of 303 consecutive and extensively phenotyped DCM patients (including cardiac imaging, Holter monitoring, and endomyocardial biopsy) underwent DNA sequencing of 47 cardiomyopathy-associated genes including TTN, yielding 38 TTNtv positive (13%) patients. At long-term follow-up (median of 45 months, up to 12 years), TTNtv DCM patients had increased ventricular arrhythmias compared to other DCM, but a similar survival. Arrhythmias are especially prominent in TTNtv patients with an additional environmental trigger (i.e. virus infection, cardiac inflammation, systemic disease, toxic exposure). Importantly, cardiac mass is reduced in TTNtv patients, despite similar cardiac function and dimensions at cardiac magnetic resonance. These enhanced life-threatening arrhythmias and decreased cardiac mass in TTNtv DCM patients go along with significant cardiac energetic and matrix alterations. All components of the mitochondrial electron transport chain are significantly upregulated in TTNtv hearts at RNA-sequencing. Also, interstitial fibrosis was augmented in TTNtv patients at histological and transcript level. Conclusion Truncating titin variants lead to pronounced cardiac alterations in mitochondrial function, with increased interstitial fibrosis and reduced hypertrophy. Those structural and metabolic alterations in TTNtv hearts go along with increased ventricular arrhythmias at long-term follow-up, with a similar survival and overall cardiac function.
Expression Patterns of TNF&agr;, MAdCAM1, and STAT3 in Intestinal and Skin Manifestations of Inflammatory Bowel Disease

Background Pathogenesis of cutaneous extraintestinal manifestations [EIM] in inflammatory bowel disease [IBD] remains elusive. Efficacy of anti-TNF agents suggests TNF-dependent mechanisms. The role of other biologics, such as anti-integrins or JAK-inhibitors, is not yet clear. Methods We performed immunohistochemistry for TNFα, NFκB, STAT1/STAT3, MAdCAM1, CD20/68, caspase 3/9, IFNγ, and Hsp-27/70 on 240 intestinal [55 controls, 185 IBD] and 64 skin biopsies [11 controls, 18 erythema nodosum [EN], 13 pyoderma gangenosum [PG], 22 psoriasis]. A semiquantitative score [0-100%] was used for evaluation. Results TNFα was upregulated in intestinal biopsies from active Crohn`s disease [CD] vs controls [36.2 vs 12.1, p < 0.001], but not ulcerative colitis [UC: 17.9]. NFκB, however, was upregulated in intestinal biopsies from both active CD and UC [43.2 and 34.5 vs 21.8, p < 0.001 and p = 0.017, respectively]. TNFα and NFκB were overexpressed in skin biopsies from EN, PG, and psoriasis. No MAdCAM1 overexpression was seen in skin tissues, whereas it was upregulated in active UC vs controls [57.5 vs 35.4, p = 0.003]. STAT3 was overexpressed in the intestinal mucosa of active and non-active IBD, and a similar upregulation was seen in skin biopsies from EN [84.7 vs 22.3, p < 0.001] and PG [60.5 vs 22.3, p = 0.011], but not in psoriasis. Caspase 3 and CD68 overexpression in skin biopsies distinguished EN/PG from psoriasis and controls. Conclusions Upregulation of TNFα/NFκB in EN and PG is compatible with the efficacy of anti-TNF in EIM management. Data on overexpressed STAT3, but not MAdCAM1, support a rationale for JAK-inhibitors in EN and PG, while questioning the role of vedolizumab.
How empowering is hospital care for older people with advanced disease? Barriers and facilitators from a cross-national ethnography in England, Ireland and the USA

Background patient empowerment, through which patients become self-determining agents with some control over their health and healthcare, is a common theme across health policies globally. Most care for older people is in the acute setting, but there is little evidence to inform the delivery of empowering hospital care. Objective we aimed to explore challenges to and facilitators of empowerment among older people with advanced disease in hospital, and the impact of palliative care. Methods we conducted an ethnography in six hospitals in England, Ireland and the USA. The ethnography involved: interviews with patients aged ≥65, informal caregivers, specialist palliative care (SPC) staff and other clinicians who cared for older adults with advanced disease, and fieldwork. Data were analysed using directed thematic analysis. Results analysis of 91 interviews and 340 h of observational data revealed substantial challenges to empowerment: poor communication and information provision, combined with routinised and fragmented inpatient care, restricted patients' self-efficacy, self-management, choice and decision-making. Information and knowledge were often necessary for empowerment, but not sufficient: empowerment depended on patient-centredness being enacted at an organisational and staff level. SPC facilitated empowerment by prioritising patient-centred care, tailored communication and information provision, and the support of other clinicians. Conclusions empowering older people in the acute setting requires changes throughout the health system. Facilitators of empowerment include excellent staff-patient communication, patient-centred, relational care, an organisational focus on patient experience rather than throughput, and appropriate access to SPC. Findings have relevance for many high- and middle-income countries with a growing population of older patients with advanced disease.
Sex differences in human mate preferences: Evolutionary hypotheses tested in 37 cultures

Abstract Contemporary mate preferences can provide important clues to human reproductive history. Little is known about which characteristics people value in potential mates. Five predictions were made about sex differences in human mate preferences based on evolutionary conceptions of parental investment, sexual selection, human reproductive capacity, and sexual asymmetries regarding certainty of paternity versus maternity. The predictions centered on how each sex valued earning capacity, ambition— industriousness, youth, physical attractiveness, and chastity. Predictions were tested in data from 37 samples drawn from 33 countries located on six continents and five islands (total N = 10,047). For 27 countries, demographic data on actual age at marriage provided a validity check on questionnaire data. Females were found to value cues to resource acquisition in potential mates more highly than males. Characteristics signaling reproductive capacity were valued more by males than by females. These sex differences may reflect different evolutionary selection pressures on human males and females; they provide powerful cross-cultural evidence of current sex differences in reproductive strategies. Discussion focuses on proximate mechanisms underlying mate preferences, consequences for human intrasexual competition, and the limitations of this study.