Miracle-dz/UniFAR-FTUs huggingface dataset:
Electromyographic bridge for promoting the recovery of hand movements in subacute stroke patients: A randomized controlled trial.

OBJECTIVE The electromyographic bridge (EMGB) detects surface electromyographic signals from a non-paretic limb. It then generates electric pulse trains according to the electromyographic time domain features, which can be used to stimulate a paralysed or paretic limb in real time. This strategy can be used for the contralateral control of neuromuscular electrical stimulation (NMES) to improve motor function after stroke. The aim of this study was to compare the treat-ment effects of EMGB vs cyclic NMES on wrist and finger impairments in subacute stroke patients. METHODS A total of 42 hemiplegic patients within 6 months of their cerebrovascular accidents were randomly assigned to 4-week treatments with EMGB or cyclic NMES. Each group underwent a standard rehabilitation programme and 10 sessions per week of hand training with EMGB or cyclic NMES. Outcome measures were: Brunnstrom stage, upper extremity components of the Fugl-Meyer Assessment, Motor Status Scale, voluntary surface electromyographic ratio and active range of motion of the wrist and finger joints. RESULTS The EMGB group showed significantly greater improvements than the cyclic NMES group on the following measures: Brunnstrom stages for the hand, upper extremity - Fugl-Meyer Assessment, Motor Status Scale, and the voluntary surface electromyographic ratio of wrist and finger extensors. Eleven and 4 participants of the EMGB group who had no active wrist and finger movements, respectively, at the start of the treatment could perform measurable wrist and finger extensions after EMGB training. The corresponding numbers in the cyclic NMES group were only 4 and 1. CONCLUSION In the present group of subacute stroke patients, the results favour EMGB over cyclic NMES for augmenting the recovery of volitional wrist and finger motion.
Evaluation of Subclinical Left Ventricular Systolic Dysfunction in Chronic Asymptomatic Alcoholics by Speckle Tracking Echocardiography

By using two-dimensional speckle tracking echocardiography, we aimed to investigate the structural and functional changes on myocardium in chronic asymptomatic alcoholics without any cardiovascular disease. Forty-one consecutive asymptomatic male alcoholics who were admitted to the outpatient alcoholism unit and 30 age matched healthy male volunteers selected as the control group were enrolled in the study. The study group were investigated by using standard two-dimensional echocardiography and speckle tracking echocardiography. The left ventricular (LV) global longitudinal strain and LV global circumferential strain were significantly lower in alcoholics when compared with control subjects. There was no difference in global radial strain between the two groups. To demonstrate the effect of total life time dose of ethanol (TLDE) on echocardiographic abnormalities, we assessed the correlation analysis. There was a nonsignificant weak correlation between global LV circumferential strain and TLDE (r = 0.27, p = 0.083). Speckle tracking echocardiography derived left ventricular systolic function was impaired in chronic alcoholic patients when compared with healthy controls.
Investigation of the mycobacterial enzyme HsaD as a potential novel target for anti‐tubercular agents using a fragment‐based drug design approach

With the emergence of extensively drug‐resistant tuberculosis, there is a need for new anti‐tubercular drugs that work through novel mechanisms of action. The meta cleavage product hydrolase, HsaD, has been demonstrated to be critical for the survival of Mycobacterium tuberculosis in macrophages and is encoded in an operon involved in cholesterol catabolism, which is identical in M. tuberculosis and M. bovis BCG.
Fine Needle Aspiration Cytology of the Breast

OBJECTIVE To evaluate the impact of experience on the accuracy of breast fine needle aspiration cytology (FNAC) using standardized microscopic criteria and review the possible complementarities between FNAC and core biopsy (CB). STUDY DESIGN We studied 292 breast FNAC samples and their subsequent biopsies. The cytologic samples were blindly reevaluated 4-7 years later, when we had gained more experience and refined our diagnostic criteria. The accuracy of the first reading was compared to that obtained at the second reading. Inadequate smears were included in the accuracy calculations. RESULTS In the second reading, the identification of carcinomas and of benign lesions became more accurate. The improvement was statistically significant. Absolute sensitivity passed from 59.9% to 67.7%. Specificity increased from 52.0% to 56.0%. The inadequacy rate varied from 12.7% to 14.0% and complete sensitivity from 92.2% to 91.7%. The majority of inadequate smears were associated with benign lesions. CONCLUSION Significant improvements are associated with increased experience. A more detailed evaluation of nuclear atypia and the use of Papanicolaou-stained material were also important. Accurate selection of patients may improve specificity. FNAC could be used in a complementary way with CB.
Toward a new interpretation of the mechanical behaviour of As-quenched low alloyed martensitic steels

Though as-quenched martensite exhibits a low uniform elongation in tension, it is highlighted that this phase has a very high strain-hardening which increases with carbon content and a large Bauschinger effect. Because usual dislocation storage can not explain reasonably this particular behaviour, an approach based on a continuum composite view of martensite (CCA) is developed suitable to capture all the experimental features.
TECHNICAL EFFICIENCY OF TECHNOLOGY ADOPTION BY MAIZE FARMERS IN THREE AGRO-ECOLOGICAL ZONES OF GHANA

Using a farm household data from 3 agroecological zones of Ghana, this paper investigates the causal relationship between the adoption of improved maize variety and technical efficiency or productivity. The empirical results show a positive relationship between the adoption of improved maize variety and technical efficiency or productivity of farmers in the Semi-deciduous forest and Guinea Savannah zones. Generally, adopters of improved maize variety are about 6% to 8% more efficient than non-adopters. The estimated percentage increase in productivity due to the adoption of improved maize variety is about 53%. In the Semi-deciduous forest agroecological zone, adopters of improved maize variety are about 25% to 36% more efficient than non-adopters whilst in the Guinea Savannah agroecological zone, adopters of improved maize variety are about 15% to 26% more efficient than non-adopters. The estimated percentage increase in productivity due to adoption of the improved maize variety is about 8% in the Semi-deciduous forest zone and about 11% in the Guinea Savannah zone. The impact of adoption on technical efficiency in the Transitional zone is however negative. Adopters of improved maize variety are 7% to 8% less efficient than non-adopters and the estimated percentage decrease in productivity due to adoption of the improved maize variety is about 15%. Food safety net policies should pay attention to increased development and dissemination of improved crop varieties suitable to different agroecological zones.
Comparison of Toric Foldable Iris-Fixated Phakic Intraocular Lens Implantation and Limbal Relaxing Incisions for Moderate-to-High Myopic Astigmatism

Purpose To compare the effectiveness of toric foldable iris-fixated phakic intraocular lens (pIOL) implantation and non-toric foldable iris-fixated pIOL implantation with limbal relaxing incisions (LRIs) for correcting moderate-to-high astigmatism in myopic eyes. Materials and Methods The medical records of 146 patients (195 eyes) with myopic astigmatism who underwent toric foldable iris-fixated pIOL implantation (toric group; 94 eyes) or non-toric foldable iris-fixated pIOL implantation with concurrent LRIs (LRI group; 101 eyes) were retrospectively reviewed. For subgroup analysis, the two groups were subdivided according to preoperative astigmatic severity [moderate, 2.00 to <3.00 diopters (D); high, 3.00–4.00 D]. Visual and astigmatic outcomes were compared 6 months postoperatively. Results The uncorrected distance visual acuity was at least 20/25 in 100% and 98% of the toric and LRI group eyes, respectively. The toric group had lower mean residual cylindrical error (-0.67±0.39 D vs. -1.14±0.56 D; p<0.001) and greater mean cylindrical error change (2.17±0.56 D vs. 1.63±0.72 D; p<0.001) than the LRI group, regardless of the preoperative astigmatic severity. The mean correction index (1.10±0.16 vs. 0.72±0.24; p<0.001) and success index (0.24±0.14 vs. 0.42±0.21; p<0.001) also differed significantly between the groups. Conclusion Both surgical techniques considerably reduced astigmatism and had comparable visual outcomes. However, toric foldable iris-fixated pIOL implantation was more reliable for correcting moderate-to-high astigmatism in myopic eyes.
Evaluation of learning from Practical Obstetric Multi-Professional Training and its impact on patient outcomes in Australia using Kirkpatrick’s framework: a mixed methods study

Objectives The aim of this study was to evaluate the implementation of the Practical Obstetric Multi-Professional Training (PROMPT) simulation using the Kirkpatrick’s framework. We explored participants’ acquisition of knowledge and skills, its impact on clinical outcomes and organisational change to integrate the PROMPT programme as a credentialing tool. We also aimed to assess participants’ perception of usefulness of PROMPT in their clinical practice. Study design Mixed methods approach with a pre-test/post-test design. Setting Healthcare network providing obstetric care in Victoria, Australia. Participants Medical and midwifery staff attending PROMPT between 2013 and 2015 (n=508); clinical outcomes were evaluated in two cohorts: 2011–2012 (n=15 361 births) and 2014–2015 (n=12 388 births). Intervention Attendance of the PROMPT programme, a simulation programme taught in multidisciplinary teams to facilitate teaching emergency obstetric skills. Main outcome measure Clinical outcomes compared before and after embedding PROMPT in educational practice. Secondary outcome measure Assessment of knowledge gained by participants through a qualitative analysis and description of process of embedding PROMPT in educational practice. Results There was a change in the management of postpartum haemorrhage by early recognition and intervention. The key learning themes described by participants were being prepared with a prior understanding of procedures and equipment, communication, leadership and learning in a safe, supportive environment. Participants reported a positive learning experience and increase in confidence in managing emergency obstetric situations through the PROMPT programme, which was perceived as a realistic demonstration of the emergencies. Conclusion Participants reported an improvement of both clinical and non-technical skills highlighting principles of teamwork, communication, leadership and prioritisation in an emergency situation. An improvement was observed in management of postpartum haemorrhage, but no significant change was noted in clinical outcomes over a 2-year period after PROMPT. However, the skills acquired by medical and midwifery staff justify embedding PROMPT in educational programmes.
Decoder calibration with ultra small current sample set for intracortical brain–machine interface

Objective. Intracortical brain–machine interfaces (iBMIs) aim to restore efficient communication and movement ability for paralyzed patients. However, frequent recalibration is required for consistency and reliability, and every recalibration will require relatively large most current sample set. The aim in this study is to develop an effective decoder calibration method that can achieve good performance while minimizing recalibration time. Approach. Two rhesus macaques implanted with intracortical microelectrode arrays were trained separately on movement and sensory paradigm. Neural signals were recorded to decode reaching positions or grasping postures. A novel principal component analysis-based domain adaptation (PDA) method was proposed to recalibrate the decoder with only ultra small current sample set by taking advantage of large historical data, and the decoding performance was compared with other three calibration methods for evaluation. Main results. The PDA method closed the gap between historical and current data effectively, and made it possible to take advantage of large historical data for decoder recalibration in current data decoding. Using only ultra small current sample set (five trials of each category), the decoder calibrated using the PDA method could achieve much better and more robust performance in all sessions than using other three calibration methods in both monkeys. Significance. (1) By this study, transfer learning theory was brought into iBMIs decoder calibration for the first time. (2) Different from most transfer learning studies, the target data in this study were ultra small sample set and were transferred to the source data. (3) By taking advantage of historical data, the PDA method was demonstrated to be effective in reducing recalibration time for both movement paradigm and sensory paradigm, indicating a viable generalization. By reducing the demand for large current training data, this new method may facilitate the application of intracortical brain–machine interfaces in clinical practice.
A Prospective Cohort Evaluation of the Cortisol Response to Cardiac Surgery with Occurrence of Early Postoperative Cognitive Decline

Background A recent study reported that patients with higher cortisol levels on the 1st postoperative morning after cardiac surgery exhibited an increased risk of early postoperative cognitive decline (POCD). Therefore, we conducted the current study to gain further insight into the stress response to a surgical procedure as a potential risk factor for early POCD after cardiac surgery. Material/Methods This prospective cohort study enrolled 125 patients undergoing elective cardiac surgery with or without cardiopulmonary bypass (CPB). Patient serum cortisol levels were determined 1 day before surgery (at 08: 00) and on the 1st (at 08: 00, 16: 00 and 24: 00), 3rd (at 08: 00), and 5th (at 08: 00) postoperative days. A battery of 9 neuropsychological tests were used to assess the participants 2 days before the surgical procedure and on the 6th postoperative day. POCD was defined as a decrease in performance of 1 SD or greater between the postoperative and preoperative z scores on at least 1 neuropsychological test. A mixed-design ANOVA was used to determine the correlations of the perioperative cortisol levels with the occurrence of POCD and with the surgical technique performed. Results Mixed-design ANOVA showed no statistically significant differences in the cortisol levels between non-POCD and POCD patients (F=0.52, P=0.690) or between patients with and without CPB (F=2.02, P=0.103) at the 6 perioperative time points. Conclusions The occurrence of early POCD and the use of CPB were not associated with significantly higher cortisol levels in the repeated measurement design.
Altered functional network architecture in orbitofronto‐striato‐thalamic circuit of unmedicated patients with obsessive‐compulsive disorder

Dysfunction of corticostriatal loops has been proposed to underlie certain cognitive and behavioral problems associated with various neuropsychiatric disorders, such as obsessive‐compulsive disorder (OCD) characterized by repetitive, unwanted thoughts, and behaviors. Although functional abnormalities in the loops involving the orbitofronto‐striato‐thalamic (OFST) circuitry in patients with OCD have been reported, our understanding of a link between disruptions in the architecture of the intrinsic functional network of the OFST circuit and their symptoms remain incomplete. Using resting‐state functional MRI in conjunction with unsupervised clustering and multilevel functional connectivity (FC) techniques, FC of the OFST network and its topological organization in 61 OCD patients versus 61 matched controls were characterized. Patients exhibited disruptions in small‐world properties of the OFST circuit, which indicates an imbalance between functional integration and segregation. Patients also showed decreased FC between the central orbitofrontal cortex and dorsomedial striatum but increased FC between the medial thalamus and striatal areas. Using one of the largest samples of unmedicated OCD patients to date, our findings provide evidence supporting the OFST dysconnection hypothesis in OCD as a basic pathophysiological mechanism underlying the disorder, showing the disruption of FC between specific cortical, striatal, and thalamic clusters and aberrant topological patterns of the OFST circuit. Hum Brain Mapp 38:109–119, 2017. © 2016 Wiley Periodicals, Inc.
α-Synuclein Aggregated with Tau and β-Amyloid in Human Platelets from Healthy Subjects: Correlation with Physical Exercise

The loss of protein homeostasis that has been associated with aging leads to altered levels and conformational instability of proteins, which tend to form toxic aggregates. In particular, brain aging presents characteristic patterns of misfolded oligomers, primarily constituted of β-amyloid (Aβ), tau, and α-synuclein (α-syn), which can accumulate in neuronal membranes or extracellular compartments. Such aging-related proteins can also reach peripheral compartments, thus suggesting the possibility to monitor their accumulation in more accessible fluids. In this respect, we have demonstrated that α-syn forms detectable hetero-aggregates with Aβ or tau in red blood cells (RBCs) of healthy subjects. In particular, α-syn levels and its heteromeric interactions are modulated by plasma antioxidant capability (AOC), which increases in turn with physical activity. In order to understand if a specific distribution of misfolded proteins can occur in other blood cells, a cohort of human subjects was enrolled to establish a correlation among AOC, the level of physical exercise and the concentrations of aging-related proteins in platelets. The healthy subjects were divided depending on their level of physical exercise (i.e., athletes and sedentary subjects) and their age (young and older subjects). Herein, aging-related proteins (i.e., α-syn, tau and Aβ) were confirmed to be present in human platelets. Among such proteins, platelet tau concentration was demonstrated to decrease in athletes, while α-syn and Aβ did not correlate with physical exercise. For the first time, α-syn was shown to directly interact with Aβ and tau in platelets, forming detectable hetero-complexes. Interestingly, α-syn interaction with tau was inversely related to plasma AOC and to the level of physical activity. These results suggested that α-syn heterocomplexes, particularly with tau, could represent novel indicators to monitor aging-related proteins in platelets.
Self-confidence, Overconfidence and Prenatal Testosterone Exposure: Evidence from the Lab

This paper examines whether foetal testosterone exposure predicts the extent of confidence and over-confidence in own absolute ability in adulthood. To study this question, we elicited incentive-compatible measures of confidence and over-confidence in the lab and correlate them with measures of right hand 2D:4D, used as as a marker for the strength of prenatal testosterone exposure. We provide evidence that men with higher prenatal testosterone exposure (i.e., low 2D:4D ratio) are less likely to set unrealistically high expectations about their own performance. This in turn helps them to gain higher monetary rewards. Men exposed to low prenatal testosterone levels, instead, set unrealistically high expectations which results in self-defeating behavior.
Hardening induced by radiation damage and helium in structural materials

Irradiation is known to lead to degradation of mechanical properties of materials. Structural materials for nuclear applications can be affected by helium produced by transmutations. The objectives of this work were: (a) to investigate the effects of He on the mechanical properties of steels in different irradiation conditions (neutron spallation source and He-implantation), (b) to study the irradiation-induced hardening effect and the contribution of He on the hardening, (c) to compare the barrier strength of helium bubbles to moving dislocations as well as that of defect clusters and (d) to interpret the individual and combined barrier strengths to the overall hardening contribution. These goals have been reached by performing detailed hardness measurements on F82H ferritic/martensitic (f/m) steel after spallation neutron irradiation to 6.2-20.3 dpa (displacement per atom) at 151-344 °C and to a He-concentration of 465-1825 appm (atomic part per million) as well as after annealing treatments (300 °C/1 h, 400 °C/1 h, 600 °C/1 h and 600 °C/200 h). The annealing treatments were applied to remove the defect clusters stepwise and make the He-bubbles grow. Austenitic steel SS316L and f/m steels F82H and Optifer, helium implanted (0.2 dpa , 1350 appm He) with a 28 MeV He-beam at room temperature and after annealing were used to gain complementary information on the barrier strength of the helium bubbles. A significant increase in hardness following irradiation and implantation was observed: the largest increase in hardening was observed for the specimen with the highest received dose and He concentration. In comparison to the as-irradiated specimens, the hardness values of the annealed specimens were distinctively lower. The annealing demonstrated a continuously decrease with increasing annealing temperature. Detailed transmission electron microscopy (TEM) has been performed on STIP-II irradiated specimens in the as-irradiated condition and after annealing at 600 °C/1 h and 600 °C/200 h as well as on He-implanted specimens in their annealed condition. These investigations provided quantitative information on size distribution and density of defect clusters and helium bubbles as a function of irradiation dose, helium concentration and irradiation temperature. The helium bubbles were found to be weaker obstacles to dislocation than the defect clusters whereas their contribution to irradiation hardening cannot be neglected owing to their high density. Scanning transmission electron microscopy in combination with electron energy loss spectroscopy was performed on selected specimens. These investigations provided quantitative information on the helium number density.
Investigation of the current yaw engineering models for simulation of wind turbines in BEM and comparison with CFD and experiment

The aim of this work is to investigate the capabilities of current engineering tools based on Blade Element Momentum (BEM) and free vortex wake codes for the prediction of key aerodynamic parameters of wind turbines in yawed flow. Axial induction factor and aerodynamic loads of three wind turbines (NREL VI, AVATAR and INNWIND.EU) were investigated using wind tunnel measurements and numerical simulations for 0 and 30 degrees of yaw. Results indicated that for axial conditions there is a good agreement between all codes in terms of mean values of aerodynamic parameters, however in yawed flow significant deviations were observed. This was due to unsteady phenomena such as advancing & retreating and skewed wake effect. These deviations were more visible in aerodynamic parameters in comparison to the rotor azimuthal angle for the sections at the root and tip where the skewed wake effect plays a major role.
Patient preference for radial versus femoral vascular access for elective coronary procedures: The PREVAS study

To explore patient preference for vascular access site in percutaneous coronary procedures, the perceived importance of benefits and risks of transradial access (TRA) and transfemoral access (TFA) were assessed. In addition, direct preference for vascular access and preference for shared decision making (SDM) were evaluated.