Miracle-dz/UniFAR-FTUs huggingface dataset:
The postthrombotic syndrome: evidence-based prevention, diagnosis, and treatment strategies: a scientific statement from the American Heart Association.

The purpose of this scientific statement is to provide an up-to-date overview of the postthrombotic syndrome (PTS), a frequent, chronic complication of deep venous thrombosis (DVT), and to provide practical recommendations for its optimal prevention, diagnosis, and management. The intended audience for this scientific statement includes clinicians and other healthcare professionals caring for patients with DVT. Members of the writing panel were invited by the American Heart Association Scientific Council leadership because of their multidisciplinary expertise in PTS. Writing Group members have disclosed all relationships with industry and other entities relevant to the subject. The Writing Group was subdivided into smaller groups that were assigned areas of statement focus according to their particular expertise. After systematic review of relevant literature on PTS (in most cases, published in the past 10 years) until December 2012, the Writing Group incorporated this information into this scientific statement, which provides evidence-based recommendations. The American Heart Association Class of Recommendation and Levels of Evidence grading algorithm (Table 1) was used to rate the evidence and was subsequently applied to the draft recommendations provided by the writing group. After the draft statement was approved by the panel, it underwent external peer review and final approval by the American Heart Association Science Advisory and Coordinating Committee. External reviewers were invited by the American Heart Association. The final document reflects the consensus opinion of the entire committee. Disclosure of relationships to industry is included with this document (Writing Group Disclosure Table). View this table: Table 1. Classification of Recommendations and Levels of Evidence ### Background DVT refers to the formation of blood clots in ≥1 deep veins, usually of the lower or upper extremities. PTS, the most common long-term complication of DVT, occurs in a limb previously affected by DVT. PTS, sometimes referred to as postphlebitic syndrome or secondary venous stasis syndrome, is considered a …
Progressive changes in individual milk protein concentrations associated with high somatic cell counts

Summary Progressive changes in the concentrations of milk protein components were followed after infusions of Streptococcus agalactiae or bacterial endotoxin into different quarters of individual cows. Both types of infusion produced similar increases in somatic cell count and resulted in similar changes in milk proteins, although the effects of the endotoxin infusion lasted for a shorter length of time. The treatments had little effect on α-lactalbumin and β-lactoglobin concentrations, but serum albumin and immunoglobulin (Ig) concentrations increased markedly. The greatest effect on serum albumin was after the endotoxin infusion and on Ig after the Str. agalactiae infusion. Changes in the individual globulins indicated that passive transfer of blood proteins to milk could not account for the observed increases in IgM and IgA. αs1-Casein and β-casein concentrations were reduced and inversely related to somatic cell count during the immediate post-infusion period, and this was accompanied by an increase in para-κ-casein. Para-κ-casein was not detected in pre-infusion or post-recovery milk samples. The decrease in β-casein was greater than that of αs1-casein. Casein concentrations returned to pre-infusion levels 2 d and 5 d after the endotoxin and Str. agalactiae infusions respectively. The possibility that proteolytic enzymes are partly responsible for the changes in casein concentration is discussed.
Functional Outcomes of Childhood Selective Dorsal Rhizotomy 20 to 28 Years Later

Background Selective dorsal rhizotomy (SDR) is a surgical method used to treat childhood spastic cerebral palsy (CP). However, the effects of early SDR on functional outcomes and quality of life decades later in adulthood remains to be elucidated. Objectives To evaluate the long-term outcomes in terms of satisfaction and mobility of adult patients who received childhood SDR. Methods Adult patients who received SDR in childhood were surveyed. The survey questionnaire asked about demographic information, quality of life, health outcomes, SDR surgical outcomes, ambulation, manual ability, pain, braces/orthotics, post-SDR treatment, living situation, education level, and work status. Results Our study included 95 patients. The age that patients received SDR was between two and 18 years. The age at the time of survey was between 23 and 37 years (mean ± S.D., 30.2 ± 3.6 years). Post-SDR follow-up ranged from 20 to 28 years (mean ± S.D., 24.3 ± 2.2 years). Seventy-nine percent of patients had spastic diplegia, 20% had spastic quadriplegia, and one percent had spastic triplegia. Ninety-one percent of patients felt that SDR impacted positively the quality of life and two percent felt that the surgery impacted negatively the quality of life after SDR. Compared to pre-operative ambulatory function, 42% reported higher level of ambulation and 42% ambulated in the same level. Eighty-eight percent of patients would recommend the procedure to others and two percent would not. Thirty-eight percent reported pain, mostly in the back and lower limbs, with mean pain level 4.2 ± 2.3 on the Numeric Pain Rating Scale (NPRS). Decreased sensation in patchy areas of the lower limbs that did not affect daily life was reported by eight percent of patients. Scoliosis was diagnosed in 31%. The severity of scoliosis is unknown. Only three percent of them underwent spinal fusion. Fifty-seven percent of patients required some orthopedic surgery after SDR. The soft-tissue tendon lengthening procedures included lengthening on hamstrings, Achilles tendons or adductors. Out of all bone procedures, 24% of patients had hip surgery, five percent had knee surgery, and 10% had derotational osteotomies. No late side effects of SDR surgery were reported in this survey. Conclusions In our 95 adult patients who received SDR in childhood, the surgery had positive effects on the quality of life and ambulation 20-28 years later. There were no late complications of SDR surgery.
Design of Complicated Duplicate Image Representation Approach Based on Descriptor Learning

Abstract In order to solve the low discrimination of image representations in complicated duplicate image detection, this paper presents a complicated duplicate image representation approach based on descriptor learning. This approach firstly formulates objective function as minimizing empirical error on the labeled data. Then the tag matrix and the classification matrix of training dataset are brought into the objective function to ensure semantic similarity. Finally, by relaxing the constraints, we can get the learning hashes. The learning hashes are used to quantify local descriptors of images into binary codes and the frequency histograms of binary codes are as image representations. Experimental results demonstrate that compared with the state-of-the-art algorithms, this approach can effectively improve the discrimination of image presentations by introducing semantic information.
Reversal of evolutionary downsizing caused by selective harvest of large fish

Evolutionary responses to the long-term exploitation of individuals from a population may include reduced growth rate, age at maturation, body size and productivity. Theoretical models suggest that these genetic changes may be slow or impossible to reverse but rigorous empirical evidence is lacking. Here, we provide the first empirical demonstration of a genetically based reversal of fishing-induced evolution. We subjected six populations of silverside fish (Menidia menidia) to three forms of size-selective fishing for five generations, thereby generating twofold differences among populations in mean weight and yield (biomass) at harvest. This was followed by an additional five generations during which size-selective harvest was halted. We found that evolutionary changes were reversible. Populations evolving smaller body size when subjected to size-selective fishing displayed a slow but significant increase in size when fishing ceased. Neither phenotypic variance in size nor juvenile survival was reduced by the initial period of selective fishing, suggesting that sufficient genetic variation remained to allow recovery. By linear extrapolation, we predict full recovery in about 12 generations, although the rate of recovery may taper off near convergence. The recovery rate in any given wild population will also depend on other agents of selection determined by the specifics of life history and environment. By contrast, populations that in the first five generations evolved larger size and yield showed little evidence of reversal. These results show that populations have an intrinsic capacity to recover genetically from harmful evolutionary changes caused by fishing, even without extrinsic factors that reverse the selection gradient. However, harvested species typically have generation times of 3–7 years, so recovery may take decades. Hence, the need to account for evolution in managing fisheries remains.
Measuring Satisfaction with Amplification in Daily Life: the SADL scale.

OBJECTIVE To develop a self-report inventory to quantify satisfaction with hearing aids. DESIGN The inventory was developed in several stages. To determine the elements that are most important to satisfaction for most people, we conducted structured interviews and then designed a questionnaire. Hearing aid owners responded to the questionnaire, indicating the relative importance of 14 different elements in their hearing aid satisfaction. Analyses indicated that the elements could be placed into four importance content areas. Trial satisfaction items were designed for each content area and submitted to focus groups to identify highly salient items as well as ambiguous items. A 25-item satisfaction questionnaire then was developed and disseminated to hearing aid owners. Results were obtained from 257 individuals. These data were analyzed to generate the final questionnaire. RESULTS Fifteen items, divided into four subscales, were selected for the final Satisfaction with Amplification in Daily Life (SADL) questionnaire. The questionnaire yields a Global satisfaction score and a profile of subscale scores, which address Positive Effects, Service and Cost, Negative Features, and Personal Image. A preliminary evaluation of retest stability was conducted with 104 subjects. Ninety percent critical differences for the various scores ranged from 0.9 to 2.0 score intervals on a 7 point scale. CONCLUSIONS The SADL scale is both brief enough to be clinically acceptable and comprehensive enough to provide a valid assessment of an inherently multidimensional variable. Additional assessment is necessary to refine understanding of its test-retest properties, explore validity issues, and determine clinical, research, and administrative applications of the data.
The Incidence and Prevalence of Convulsive Disorders in a Small Urban Community

1. Population statistics have been presented for recurrent convulsive disorders in the residents of Rochester, Minnesota, U.S.A. for the 10 years, 1945–1954, inclusive. The records of the Mayo Clinic were the source of the case reports. Although it is believed that the large majority, if not all, of local residents with diagnosed convulsive disorder were included in the survey, the computed rates must still be considered as minimal values.
Process Discovery using Inductive Miner and Decomposition

This report presents a submission to the Process Discovery Contest. The contest is dedicated to the assessment of tools and techniques that discover business process models from event logs. The objective is to compare the efficiency of techniques to discover process models that provide a proper balance between "overfitting" and "underfitting". In the context of the Process Discovery Contest, process discovery is turned into a classification task with a training set and a test set; where a process model needs to decide whether traces are fitting or not. In this report, we first show how we use two discovery techniques, namely: Inductive Miner and Decomposition, to discover process models from the training set using ProM tool. Second, we show how we use replay results to 1) check the rediscoverability of models, and to 2) classify unseen traces (in test logs) as fitting or not. Then, we discuss the classification results of validation logs, the complexity of discovered models, and their impact on the selection of models for submission. The report ends with the pictures of the submitted process models.
CRISPR/Cas9-Mediated Genome Editing of Herpesviruses Limits Productive and Latent Infections

Herpesviruses infect the majority of the human population and can cause significant morbidity and mortality. Herpes simplex virus (HSV) type 1 causes cold sores and herpes simplex keratitis, whereas HSV-2 is responsible for genital herpes. Human cytomegalovirus (HCMV) is the most common viral cause of congenital defects and is responsible for serious disease in immuno-compromised individuals. Epstein-Barr virus (EBV) is associated with infectious mononucleosis and a broad range of malignancies, including Burkitt’s lymphoma, nasopharyngeal carcinoma, Hodgkin’s disease, and post-transplant lymphomas. Herpesviruses persist in their host for life by establishing a latent infection that is interrupted by periodic reactivation events during which replication occurs. Current antiviral drug treatments target the clinical manifestations of this productive stage, but they are ineffective at eliminating these viruses from the infected host. Here, we set out to combat both productive and latent herpesvirus infections by exploiting the CRISPR/Cas9 system to target viral genetic elements important for virus fitness. We show effective abrogation of HCMV and HSV-1 replication by targeting gRNAs to essential viral genes. Simultaneous targeting of HSV-1 with multiple gRNAs completely abolished the production of infectious particles from human cells. Using the same approach, EBV can be almost completely cleared from latently infected EBV-transformed human tumor cells. Our studies indicate that the CRISPR/Cas9 system can be effectively targeted to herpesvirus genomes as a potent prophylactic and therapeutic anti-viral strategy that may be used to impair viral replication and clear latent virus infection.
Evaluation of the Performance and Safety of a Newly Developed Intravenous Fluid Warmer.

To evaluate the performance and safety of a newly developed blood warmer (ThermoSens), we tested its heating capability under various conditions using isotonic saline and hemolysis analysis with swine blood. The following two in vitro tests were performed: (i) To investigate the performance of the device, the inflow and outflow temperatures were measured at various flow rates (30, 50, and 100 mL/min) using cold (5°C) and room temperature (20°C) isotonic saline (0.9%). Several parameters were measured including the highest temperature of the outlet, the time required to reach the highest temperature, and the temperature of the intravenous line. (ii) To investigate the safety of the device, a hemolysis test was performed using swine blood. We obtained 320 mL of whole blood from swine and refrigerated the blood for 35 days at 3°C. In order to replicate the clinical situation, blood flow by gravity and pressure (300 mm Hg) was used. Before and after the heating test, blood samples were obtained and a comparison was made between these samples. Hemoglobin, hematocrit, lactate dehydrogenase, and plasma hemoglobin were used for red blood cell (RBC) damage analysis. The highest outlet temperatures obtained using flow rates of 30, 50, and 100 mL/min were 39.10 ± 0.59, 39.25 ± 0.69, and 37.63 ± 1.03°C, respectively, with cold saline, and 39.40 ± 0.40, 39.66 ± 0.36, and 39.49 ± 0.49°C, respectively, with room temperature saline. Hemolysis tests showed no significant changes in hemoglobin, hematocrit, lactate dehydrogenase, or plasma hemoglobin (P > 0.05) between before and after heating for both gravity and pressure blood flow. The ThermoSens blood warmer warms isotonic saline effectively, reaching temperatures up to 36°C under various conditions. Hemolysis tests showed no RBC damage. Therefore, the newly developed ThermoSens has good heating performance and is safe for RBC products.
Mechanical behaviour of magnetic Silly Putty: Viscoelastic and magnetorheological properties

In this work the mechanical and viscoelastic properties of magnetic Silly Putty are investigated. Silly Putty is a non-Newtonian material whose response depends on the rate at which it is deformed. For a rapid deformation, it behaves as an elastic solid, while over a relatively long time scale, the polymer molecules can be untangled and it flows as a fluid. The purpose of this article is to study the behaviour of this material firstly under a quasi-static compression and shear loading, and secondly under dynamic shear loading. The Silly Putty under study has a volume fraction of ferromagnetic particles. Hence, both quasi-static and dynamic stress are coupled with several strengths of magnetic field in order to assess the influence of the magnetisation on the mechanical and viscoelastic properties of the material. The approach adopted in this work followed the Design of Experiment method so that evaluating the influence of the variables and their interactions on the system response is possible. The results highlight a strong dependence on the deformation rate, while the influence of the magnetic field is weak, especially under dynamic shear tests in which the viscous components are predominant.
STAT3 down regulates LC3 to inhibit autophagy and pancreatic cancer cell growth

The dismal 5-year survival (<5%) for pancreatic cancer (PanCA) underscores the need for developing effective therapeutic options. Recent studies from our laboratory have shown that Nexrutine® (Nx), a bark extract from Phellodendron amurense exhibits excellent anticancer activity in human pancreatic cancer cells through inhibition of inflammatory signaling via STAT3/NFκB/Cox-2. Given the apparent high oxidative stress and autophagic activity in pancreatic tumors, we investigated the potential of Nx to modulate autophagy, reactive oxygen species (ROS), and their crosstalk. Our results show that Nx inhibits autophagy and decreases ROS generation. Pharmacological inhibition of autophagy led to decreased ROS generation and proliferation with no significant effect on apoptosis. Further, using combination index analysis we also found that combination of late-stage autophagy inhibitor with Nx exhibited a moderate synergistic to additive effect. Additionally, genetic or pharmacological inactivation of STAT3 reduced LC3-II levels and expression indicating a possible role for STAT3 in transcriptional regulation of autophagy. Since both inflammatory and oxidative stress signaling activate STAT3, our data implicates that STAT3 plays a vital role in the regulation of autophagy through its contributions to the positive feedback loop between ROS and autophagy. Overall, our findings reveal an important role for STAT3/LC3/ROS in Nx-mediated anti-pancreatic cancer effects.
A Life Cycle for Coupled Multi-scale, Multi-field Experiments Realized through Choreographies

Current systems for enacting scientific experiments, and in particular simulation workflows, do not support multi-scale and multi-field problems if they are not coupled on the level of the mathematical model. We present a life cycle that utilizes the notion of choreographies to enable the trial-and-error modeling and execution of multi-scale and/or multi-field simulations. The life cycle exhibits two views reflecting the characteristics of modeling and execution in a top-down and bottom-up manner. It defines techniques for composing data-intensive, scientific workflows in more complex simulations in a generic, domain-independent way, and thus provides scientists with means for collaborative and integrated data management based on the workflow paradigm.
Procedural and declarative memory task performance, and the memory consolidation function of sleep, in recent and abstinent ecstasy/MDMA users

Ecstasy/MDMA use has been associated with various memory deficits. This study assessed declarative and procedural memory in ecstasy/MDMA users. Participants were tested in two sessions, 24 h apart, so that the memory consolidation function of sleep on both types of memory could also be assessed. Groups were: drug-naive controls (n = 24); recent ecstasy/MDMA users, who had taken ecstasy/MDMA 2–3 days before the first testing session (n = 25), and abstinent users, who had not taken ecstasy/MDMA for at least 8 days before testing (n = 17). Procedural memory did not differ between groups, but greater lifetime consumption of ecstasy was associated with poorer procedural memory. Recent ecstasy/MDMA users who had taken other drugs (mainly cannabis) 48–24 h before testing exhibited poorer declarative memory than controls, but recent users who had not taken other drugs in this 48–24-h period did not differ from controls. Greater lifetime consumption of ecstasy, and of cocaine, were associated with greater deficits in declarative memory. These results suggest that procedural, as well as declarative, memory deficits are associated with the extent of past ecstasy use. However, ecstasy/MDMA did not affect the memory consolidation function of sleep for either the declarative or the procedural memory task.
The Real World Mental Health Needs of Heart Failure Patients Are Not Reflected by the Depression Randomized Controlled Trial Evidence

Introduction International depression screening guidelines in heart failure (HF) are partly based on depression treatment efficacy from randomized controlled trials (RCTs). Our aim was to test the external validity of depression RCT criteria in a sample of real-world HF patients. Methods HF patients admitted to 3 hospitals in South Australia were referred to a HF psychologist if not already receiving current psychiatric management by psychologist or psychiatrist elsewhere. Screening and referral protocol consisted of the following; (a). Patient Health Questionnaire ≥10; (b). Generalized Anxiety Disorder Questionnaire ≥7); (c). positive response to 1 item panic attack screener; (d). evidence of suicidality. Patients were evaluated against the most common RCT exclusion criteria personality disorder, high suicide risk, cognitive impairment, psychosis, alcohol or substance abuse or dependency, bi-polar depression. Results Total 81 HF patients were referred from 404 HF admissions, and 73 were assessed (age 60.6±13.4, 47.9% female). Nearly half (47%) met at least 1 RCT exclusion criterion, most commonly personality disorder (28.5%), alcohol/substance abuse (17.8%) and high suicide risk (11.0%). RCT ineligibility criteria was more frequent among patients with major depression (76.5% vs. 46.2%, p<.01) and dysthymia (26.5% vs. 7.7%, p = .03) but not significantly associated with anxiety disorders. RCT ineligible patients reported greater severity of depression (M = 16.6±5.0 vs. M = 12.9±7.2, p = .02) and were higher consumers of HF psychotherapy services (M = 11.5±4.7 vs. M = 8.5±4.8, p = .01). Conclusion In this real-world sample comparable in size to recent RCT intervention arms, patients with depression disorders presented with complex psychiatric needs including comorbid personality disorders, alcohol/substance use and suicide risk. These findings suggest external validity of depression screening and RCTs could serve as a basis for level A guideline recommendations in cardiovascular diseases.