Miracle-dz/UniFAR-FTUs huggingface dataset:
Progressive polyradiculoneuropathy in diabetes: correlation of variables and clinical outcome after immunotherapy

OBJECTIVE To quantify the progression of diabetic polyradiculoneuropathy—a condition in which immune factors have been implicated—after immunotherapy. METHODS The study evaluated 15 consecutive patients with this condition. All patients were older than 40. Four had type I diabetes and six were women. The duration of pre-existing diabetes varied from 2 to 20 years. The clinical presentation was dominated by painful progressive motor weakness, with or without exacerbation of sensory symptoms. The weakness involved all limbs, but was often asymmetric. RESULTS Electrophysiological testing showed a predominantly axonal polyneuropathy, with more recent denervating polyradiculopathy. Analysis of CSF showed increased protein in 14 and oligoclonal bands in five. Quantitative autonomic tests showed abnormalities in all patients. Sural nerve biopsy was performed in 14 patients; all showed fibre loss and segmental demyelination, four had occasional onion bulbs, and 10 showed various inflammatory infiltrates. After immunomodulating therapy, there was no further deterioration and clinical improvement occurred in all patients. Sweat responses, cardiovascular reflexes, and sural nerve fibre density correlated best with functional outcome. There was no significant difference between plasmapheresis and intravenous gammaglobulin. CONCLUSION Immunotherapy may improve this condition, but only certain variables correlate with rapid therapeutic response.
DAMA—Infrared Sea Modeling and Analysis Software

The performance of infrared (IR) surveillance systems is proportional to the ability of distinguishing the radiance of target from the background. In determining sea radiance as the background, experimental studies are incomplete and very expensive. The few simulation software packages that are available are limited to certain parameters and do not include all aspects of sea radiance. In this paper, simulation and analysis software, namely, InfrareD SeA Modeling and Analysis (DAMA), is developed to calculate the total radiance and its components seen by the observer. The DAMA software allows the user to define all possible parameters related to atmospheric conditions, sea surface conditions, and date and time of observation. The developed software includes all of the three major sea surface models in the IR band provided in the literature, namely, Cox and Munk, Mermelstein, and Shaw and Churnside models. In this sense, the DAMA software is unique in combining all possible atmospheric and surface parameters to provide components of total radiance. The DAMA software can be operated by a user-friendly graphical user interface to facilitate simulations and to analyze the outputs. For this paper, the software has been run for approximately 10 000 simulations to understand the behavior of maritime background in IR. The software is validated by the SEARAD software and measurement results. By this way, for the first time in the open literature, DAMA allows one to observe the behavior of total radiance and its components with respect to the variation of all possible input parameters.
Impact of stratospheric ozone recovery on tropospheric ozone and its budget

We consider the impact of stratospheric ozone recovery between 2000 and 2100 on modeled tropospheric ozone and the tropospheric ozone budget, using a tropospheric chemistry‐climate model. Ozone calculated from a stratospheric chemistry‐climate model is used to prescribe lower stratospheric ozone in the tropospheric model. The results show that stratospheric ozone recovery leads to significant increases of tropospheric ozone throughout the extra‐tropical troposphere, in particular, a large surface ozone increase in the Southern Hemisphere during austral winter months. Stratospheric ozone recovery and climate change contribute about equally to the increase in surface ozone during this season.
The Diagnostic Accuracy of Urine-Based Xpert MTB/RIF in HIV-Infected Hospitalized Patients Who Are Smear-Negative or Sputum Scarce

Background Hospitals in sub-Saharan Africa are inundated with HIV-infected patients and tuberculosis (TB) is the commonest opportunistic infection in this sub-group. Up to one third of TB-HIV co-infected patients fail to produce a sputum sample (sputum scarce) and diagnosis is thus often delayed or missed. We investigated the sensitivity of urine-based methods (Xpert MTB/RIF, LAM strip test and LAM ELISA) in such patients. Methodology/Principal Findings 281 HIV-infected hospitalised patients with clinically suspected TB provided a spot urine sample. The reference standard was culture positivity for Mycobacterium tuberculosis on ≥1 sputum or extra-pulmonary sample. MTB/RIF was performed using 1 ml of both unprocessed and, when possible, concentrated urine. Each unconcentrated urine sample was also tested using the Clearview LAM ELISA and Alere LAM strip test. 42% (116/242) of patients had culture-proven TB. 18% (20/54) were sputum scarce. In sputum-scarce patients, the sensitivity of urine MTB/RIF and LAM ELISA was 40% (95%CI: 22–61) and 60% (95%CI: 39–78), respectively. Urine MTB/RIF specificity was 98% (95%CI: 95–100). Combined sensitivity of urine LAM ELISA and MTB/RIF was better than MTB/RIF alone [MTB/RIF and LAM: 70% (95%CI: 48–85) vs. MTB/RIF: 40% (95%CI: 22–61), p = 0.03]. Significant predictors of urine MTB/RIF positivity were CD4<50 cells/ml (p = 0.001), elevated protein-to-creatinine ratio (p<0.001) and LAM ELISA positivity (p<0.001). Urine centrifugation and pelleting significantly increased the sensitivity of MTB/RIF over unprocessed urine in paired samples [42% (95%CI: 26–58) vs. 8% (95%CI: 0–16), p<0.001]. Urine MTB/RIF-generated CT values correlated poorly with markers of bacillary burden (smear grade and time-to-positivity). Conclusions/Significance This preliminary study indicates that urine-based MTB/RIF, alone or in combination with LAM antigen detection, may potentially aid the diagnosis of TB in HIV-infected patients with advanced immunosuppression when sputum-based diagnosis is not possible. Concentration of urine prior to MTB/RIF-testing significantly improves sensitivity.
[Contraceptives and acute salpingitis].

In 546 women with a first episode of salpingitis, the degree of inflammation of the fallopian tubes, as seen during laparoscopy, was graded into mild, moderate, and severe. The patients were subgrouped according to contraceptive use into (1) reference group (women not using intrauterine [contraceptive] devices [IUDs] or oral contraceptives [OCs]), (2) IUD group, and (3) OC group. Mild, moderate, and severe salpingitis occurred in 51.3%, 34.6%, and 24.1% of the women in the reference group. The corresponding percentages for the women in the IUD group were 54.6%, 29.7%, and 15.7% and for the patients in the OC group, 73.5%, 17.1%, and 9.4%, respectively. Women using OCs had significantly milder degrees of inflammation of the fallopian tubes than women with other contraceptive methods. Age could not explain the differences. (JAMA1984;251:2553-2555)
Medication errors.

The article discusses medication issues, particularly on the use of the bamlanivimab monoclonal antibody from Eli Lilly, heparin and hypertonic sodium chloride Also cited are the confusing information on the administration rate of bamlanivimab, and the high possibility of error on the use of heparin and sodium chloride due to their similar packaging
Desmosine and isodesmosine as cross-links in the hinge-ligament protein of bivalves. 3,3'-Methylenebistyrosine as an artefact.

Desmosine and isodesmosine were detected in an invertebrate molluscan species, i.e. in an insoluble protein in the hinge ligament of a bivalve species, Sakhalin surf clam (Pseudocardium sachalinensis, in family Mactridae). The protein is rich in glycine and methionine S-oxide but devoid of hydroxyproline and hydroxylysine. 3,3'-Methylenebistyrosine was also detected in the HCl hydrolysate of the hinge-ligament protein, but it was found to be an artefact produced from tyrosine and formaldehyde derived from methionine S-oxide during the HCl hydrolysis of the protein.
Ongoing HIV-1 transmission among men who have sex with men in Amsterdam: a 25-year prospective cohort study

Background:To examine the suggested resurgence of the HIV epidemic among men who have sex with men (MSM), we studied trends in HIV-1 incidence rates, sexual risk behaviour, risk factors for HIV-1 seroconversion, and source of HIV-1 infection among MSM in the Amsterdam Cohort Studies from 1984 to 2009. Methods:Trends in HIV-1 incidence and risk factors for HIV-1 infection were studied using Poisson regression. Trends in sexual risk behaviour were evaluated using logistic regression, correcting for intra-individual correlation via generalized estimating equations. Trends in the source of HIV-1 infection were modelled via logistic regression. Results:Of 1642 HIV-1-negative individuals, 217 seroconverted during follow-up. HIV-1 incidence rates strongly decreased from 8.6/100 person-years in 1985 to 1.3/100 person-years in 1992; remained relatively stable around 1.0/100 person-years between 1992 and 1996, and slowly increased to 2.0/100 person-years in 2009 (P = 0.14; linear trend 1996–2009). Reports of unprotected anal intercourse (UAI) increased significantly from 1996 onwards. HIV-1 seroconversion was associated with receptive UAI with casual partners, more than five sexual partners, a history of gonorrhoea (all in the preceding 6 months), and a lower educational level. Currently, MSM are more likely to have contracted HIV-1 from casual partners than from steady partners, but trends of recent years suggest that steady partners became a growing source with increasing age. Conclusions:Following increases in sexual risk behaviour from 1996 onwards, HIV-1 continues to spread among MSM. Targeted prevention messages should continue to focus on sexual behaviour with casual partners, but also on sexual behaviour within steady relationships.
Roles of YAP in mediating endothelial cell junctional stability and vascular remodeling

Angiogenesis is a complex process involving dynamic interaction of various cell to cell interactions. Endothelial cell interactions regulated by growth factors, inflammatory cytokines, or hemodynamic stress are critical for balancing vascular quiescence and activation. Yes-associated protein (YAP), an effector of Hippo signaling, is known to play significant roles in maintaining cellular homeostasis. However, its role in endothelial cells for angiogenic regulation remains relatively unexplored. We demonstrated the critical role of YAP in vascular endothelial cells and elucidated the underlying molecular mechanisms involved in angiogenic regulation of YAP. YAP was expressed in active angiogenic regions where endothelial cell junctions were relatively loosened. Consistently, YAP subcellular localization and activity were regulated by VE-cadherin-mediated PI3K/Akt pathway. YAP thereby regulated endothelial sprouting via angiopoietin-2 expression. These results provide an insight into a model of coordinating endothelial junctional stability and angiogenic activation through YAP. [BMB Reports 2015; 48(8): 429-430]
N-acetylneuraminic acid: A scrutinizing tool in oral squamous cell carcinoma diagnosis

Background: Oral cancer has one of the highest mortality rate among other malignancies. An attempt has been made to assess the genetic expression of a cell surface glycoprotein component - sialic acid released by the malignant cells which will reflect on the oral squamous cell carcinoma (OSCC). The aim of this study was to estimate and correlate the salivary and serum sialic acid levels in OSCC. Materials and Methods: In our case–control study, saliva and blood samples were obtained from Group 1 - 10 healthy controls, Group 2 - 12 well-differentiated OSCC, Group 3 - 7 moderately differentiated and 2 poorly differentiated OSCC. Serum and salivary total sialic acid levels were analyzed by Warren's thiobarbituric acid method and acidic ninhydrin method, respectively. The results were analyzed statistically by Student's t-test and Pearson's correlation coefficient (P ≤ 0.05). Results: A significant difference in the serum and salivary sialic acid levels was observed between Group 1 and Group 3 (P = 0.01 and < 0.0001) and in salivary sialic acid between Group 2 and Group 3 (P = 0.02). A significant positive correlation was observed between salivary and serum sialic acid in Groups 2 and 3 together (P = 0.015). Conclusion: As the histopathological grade progresses, there is a marked increase in level of sialic acid. There is a significant positive correlation between serum and salivary sialic acid levels in OSCC. Further research with larger sample size along with grading and staging system may highlight its significance in OSCC.
Natural history of five children with surfactant protein C mutations and interstitial lung disease

Interstitial lung diseases in infants and children are uncommon and may be caused by specific inborn errors of surfactant metabolism. Five children with open lung biopsy diagnosed interstitial lung disease were followed (mean of 27.2 years) and evaluated for surfactant protein gene mutations. Four of the children were originally diagnosed as desquamative interstitial pneumonitis and one as chronic interstitial pneumonitis. All had good response to chloroquine or hydroxychloroquine treatment for periods of 7–38 months. Lung function tests, incremental exercise tests, and rentgenological studies were performed in the children. Surfactant protein gene mutations were searched in all the patients and in part of their families.
Dynamics of Stride Interval Characteristics during Continuous Stairmill Climbing

It has been shown that statistical persistence in stride intervals characteristics exist during walking, running and cycling and were speed-dependent among healthy young adults. The purpose of this study was to determine if such statistical persistence in stride time interval, stride length and stride speed also exists during self-paced continuous stairmill climbing and if the strength is dependent on stepping rate. Stride time, stride length, and stride speed were collected from nine healthy participants during 3 min of stairmill climbing at 100, 110, and 120% of their preferred stepping rate (PSR) and 5 min of treadmill walking at preferred walking speed (PWS). The amount of variability (assessed by standard deviation and coefficient of variation) and dynamics (assessed by detrended fluctuation analysis and sample entropy) of the stride time, stride length, and stride speed time series were investigated. The amounts of variability were significantly higher during stairmill climbing for the stride time, stride length, and stride speed and did only change with increased stepping rate for stride speed. In addition to a more irregular pattern during stairmill climbing, the detrended fluctuation analysis (DFA) revealed that the stride length fluctuations were statistical anti-persistent for all subjects. On a group level both stride time and stride speed fluctuations were characterized by an uncorrelated pattern which was more irregular compared to that during treadmill walking. However, large inter-participant differences were observed for these two variables. In addition, the dynamics did not change with increase in stepping rate.
The Replication Initiation Protein Sld3/Treslin Orchestrates the Assembly of the Replication Fork Helicase during S Phase*

Background: Sld3/Treslin are required for the initiation of DNA replication. Results: Sld3 interaction with ssDNA is required for GINS attachment to Mcm2–7 in yeast cells. The biochemical functions identified for Sld3 are conserved in human Treslin. Conclusion: Sld3/Treslin orchestrates the assembly of the replication fork helicase during S phase. Significance: A conserved mechanism for eukaryotic replication initiation is proposed. The initiation of DNA replication is a highly regulated process in eukaryotic cells, and central to the process of initiation is the assembly and activation of the replication fork helicase. The replication fork helicase is comprised of CMG (Cdc45, Mcm2–7, and GINS) in eukaryotic cells, and the mechanism underlying assembly of the CMG during S phase was studied in this article. We identified a point mutation of Sld3 that is specifically defective for Mcm3 and Mcm5 interaction (sld3-m10), and also identified a point mutation of Sld3 that is specifically defective for single-stranded DNA (ssDNA) interaction (sld3-m9). Expression of wild-type levels of sld3-m9 resulted in a severe DNA replication defect with no recruitment of GINS to Mcm2–7, whereas expression of wild-type levels of sld3-m10 resulted in a severe replication defect with no Cdc45 recruitment to Mcm2–7. We propose a model for Sld3-mediated control of replication initiation, wherein Sld3 manages the proper assembly of the CMG during S phase. We also find that the biochemical functions identified for Sld3 are conserved in human Treslin, suggesting that Treslin orchestrates assembly of the CMG in human cells.
Ruptured Achilles tendons are significantly more degenerated than tendinopathic tendons.

OBJECTIVE To ascertain whether there is an association between tendinopathic and ruptured Achilles tendons, hypothesizing that the histopathological aspects of tendinosis in tendinopathic tendons are less advanced than those found in ruptured Achilles tendons. METHODS This was a comparative cohort study at a university teaching hospital. Histological examination was performed using hematoxylin and eosin and alcian blue/periodic acid-Schiff stained slides. The slides were interpreted using a semiquantitative grading scale assessing fiber structure, fiber arrangement, rounding of the nuclei, regional variations in cellularity, increased vascularity, decreased collagen stainability, hyalinization, and glycosaminoglycan. We calculated a pathology score giving up to three marks for each of the above variables, with 0 being normal and 3 being maximally abnormal. All the histology slides were assessed twice in a blinded manner, the agreement between two readings ranging from 0.170 to 0.750 (kappa statistics). RESULTS We studied biopsy samples from the Achilles tendon of patients undergoing open repair for a subcutaneous rupture of their Achilles tendon (N = 35; average age (+/- SD), 48.4 +/- 16.9 yr; range, 26-80), biopsy specimens from the Achilles tendon of patients undergoing exploration for Achilles tendinopathy (N = 13; average age, 35.7 +/- 12.9 yr; range, 18-67) and specimens of Achilles tendons from individuals with no known tendon pathology (N = 16; average age, 65 +/- 19.1 yr; range, 46-82). The highest mean score of ruptured tendons was significantly greater than that of tendinopathic tendons (17.4 +/- 4.9 vs 10.5 +/- 6.1, P < 0.001), and highest mean score of tendinopathic tendons was greater that that of control tendons (10.5 +/- 6.1 vs 5.9 +/- 7.3) (P < 0.001). CONCLUSION Ruptured and tendinopathic tendons are histologically significantly more degenerated than control tendons. The general pattern of degeneration was common to the ruptured and tendinopathic tendons, but there was a statistically significant greater degree of degeneration in the ruptured tendons. It is therefore possible that there is a common, as yet unidentified, pathological mechanism that has acted on both of these tendon populations.
Effect of ultraviolet light on water-and fat-soluble vitamins in cow and goat milk

The objective of this study was to investigate and compare the effects of UV light and heat treatment on vitamins A, B2, C, and E in cow and goat milk. Vitamins were analyzed by reverse-phase high-pressure liquid chromatography. Ultraviolet and pasteurization treatments caused loss in vitamin C in milk. Pasteurization did not have any significant effect on vitamin B2. However, UV light treatment decreased the amount of vitamin B2 after several passes of milk through the UV system. In addition, UV light treatment decreased the amount of vitamins A and E. Vitamins C and E are more sensitive to UV light. UV light sensitivities of vitamins were C > E > A > B2. These results show that UV light treatment decreases the vitamin content in milk. Also, the number of passes through the UV system and the initial amount of vitamins in milk are important factors affecting vitamin levels.
Circulation in the northwest Laptev Sea in the eastern Arctic Ocean: Crossroads between Siberian River water, Atlantic water and polynya-formed dense water

This paper investigates new observations from the poorly understood region between the Kara and Laptev Seas in the Eastern Arctic Ocean. We discuss relevant circulation features including riverine freshwater, Atlantic-derived water, and polynya-formed dense water, emphasize Vilkitsky Strait (VS) as an important Kara Sea gateway, and analyze the role of the adjacent 250 km-long submarine Vilkitsky Trough (VT) for the Arctic boundary current. Expeditions in 2013 and 2014 operated closely spaced hydrographic transects and 1 year-long oceanographic mooring near VT’s southern slope, and found persistent annually averaged flow of 0.2 m s21 toward the Nansen Basin. The flow is nearly barotropic from winter through early summer and becomes surface intensified with maximum velocities of 0.35 m s21 from August to October. Thermal wind shear is maximal above the southern flank at 30 m depth, in agreement with basinward flow above VT’s southern slope. The subsurface features a steep front separating warm (–0.58C) Atlantic-derived waters in central VT from cold (<–1.58C) shelf waters, which episodically migrates across the trough indicated by current reversals and temperature fluctuations. Shelf-transformed waters dominate above VT’s slope, measuring near-freezing temperatures throughout the water column at salinities of 34–35. These dense waters are vigorously advected toward the Eurasian Basin and characterize VT as a conduit for near-freezing waters that could potentially supply the Arctic Ocean’s lower halocline, cool Atlantic water, and ventilate the deeper Arctic Ocean. Our observations from the northwest Laptev Sea highlight a topographically complex region with swift currents, several water masses, narrow fronts, polynyas, and topographically channeled storms.