Miracle-dz/UniFAR-FTUs huggingface dataset:
No ring at all in mitral valve repair: indications, techniques and long-term outcome.

OBJECTIVES In mitral valve (MV) repair, we adhere to a biological concept of preservation of the native valves and avoidance of any prosthetic materials except for sutures whenever possible. Untreated autologous pericardium is the biological tissue of choice we use to support the repair. We report our 25-year institutional experience with no-ring MV repair in terms of indications, repair techniques and long-term results. METHODS Patients with ruptured chordae or posterior leaflet prolapse from degenerative MV disease, active infective endocarditis (IE), ischaemic mitral incompetence (IMI), annular dilatation with or without ruptured chordae along the posterior leaflet, and various lesions of the MV and its subvalvar apparatus underwent suture-repair techniques tailored to their valve morphology. These are personal series of modified Gerbode-Hetzer posterior leaflet plication and modified Paneth-Hetzer posterior annulus shortening techniques. Indications for the use of each technique and technical details are described in this report. RESULTS Modified Gerbode-Hetzer posterior leaflet plication: mean duration of the follow-up is 15.84±0.58 years. Overall freedoms from reoperation and cumulative survival rate are 55.4±4.7 and 44.7±5.4%, respectively. Freedom from reoperation is 83.5±4.3%, in ruptured chordae from degenerative disease (n=161), 74.4±10.1% in active infectious endocarditis (IE) (n=22) and 100% from both ruptured chordae of ischaemic origin (n=10) and deceleration trauma (n=1), respectively. Likewise, freedoms from reoperation at a mean duration of the follow-up of 11.2±7.2 years in 62 children stratified based on age groups are: <3 months: 61.4±2.7%; 3 months to 2 years: 78.7±3.7%; 2-18 years: 97.1±2.4%. Modified Paneth-Hetzer posterior annulus shortening: Mean duration of the follow-up is 11.98±1.14 years. Overall freedoms from reoperation and cumulative survival rate in 179 patients are 82.95±4.1 and 63.4±8.5%, respectively. Freedom from reoperation is 85.9±13.9% in patients with annular dilatation from any form of cardiomyopathy (n=81), 78.4±5.6% in those with IMI (n=75) and 100% in those who underwent asymmetric valve repair (n=23). In IMI, mean New York Heart Association functional class, ejection fraction and degree of mitral incompetence (MI) were significantly abated (P=0.001). In 78 children, freedoms from reoperation at a mean duration of the follow-up of 11.2±7.2 years stratified based on age groups are as follows: <3 months: 82.79±3.5%; 3 months to 2 years: 71.6±5.3%; 2-18 years: 85.1±4.4%. CONCLUSIONS No-ring MV repair using the aforementioned techniques in patients with MI resulting from chordal rupture, degenerative valve disease, IE, annular dilatation and posterior leaflet prolapse and from IMI as well as various MV lesions in children offers excellent long-term functional results with satisfactory freedom from reoperation.
Random Network Coding for Multimedia Delivery Services in LTE/LTE-Advanced

Random Network Coding (RNC) has recently been investigated as a promising solution for reliable multimedia delivery over wireless networks. RNC possess the potential for flexible and adaptive matching of packet-level error resilience to both video content importance and variable wireless channel conditions. As the demand for massive multimedia delivery over fourth generation wireless cellular standards such as Long-Term Evolution (LTE)/LTE-Advanced (LTE-A) increases, novel video-aware transmission techniques are needed. In this paper, we investigate RNC as one such promising technique, building upon our recent work on RNC integration within the LTE/LTE-A Radio Access Network at the Multiple Access Control (MAC) layer (MAC-RNC). The paper argues that the proposed MAC-RNC solution provides fundamentally new set of opportunities for dynamic collaborative transmission, content awareness, resource allocation and unequal error protection (UEP) necessary for efficient wireless multimedia delivery in LTE/LTE-A.
Prognostic value of myocardial viability in medically treated patients with global left ventricular dysfunction early after an acute uncomplicated myocardial infarction: a dobutamine stress echocardiographic study.

BACKGROUND Residual viable myocardium identified by dobutamine stress after myocardial infarction may act as an unstable substrate for further events such as subsequent angina and reinfarction. However, in patients with severe global left ventricular dysfunction, viability might be protective rather than detrimental. The aim of this study was to assess the impact on survival of echocardiographically detected viability in medically treated patients with global left ventricular dysfunction evaluated after acute uncomplicated myocardial infarction. METHODS AND RESULTS The data bank of the large-scale, prospective, multicenter, observational Echo Dobutamine International Cooperative (EDIC) study was interrogated to select 314 medically treated patients (271 men; age, 58+/-9 years) who underwent low-dose (</=10 microg x kg-1 x min-1) dobutamine for the detection of myocardial viability and high-dose dobutamine for the detection of myocardial ischemia (</=40 microg x kg-1 x min-1 with atropine </=1 mg) performed 12+/-6 days after an acute uncomplicated myocardial infarction and showing a moderate to severe resting left ventricular dysfunction (wall motion score index [WMSI] >1.6). Patients were followed up for 9+/-7 months. Low-dose dobutamine stress echocardiography identified myocardial viability in 130 patients (52%). Dobutamine-atropine stress echocardiography was positive for ischemia in 148 patients (47%) and negative in 166 patients (53%). During the follow-up, there were 12 cardiac deaths (3.8% of the total population). With the use of Cox proportional hazards model, delta low-dose WMSI (the variation between rest WMSI and low-dose WMSI) was shown to exert a protective effect by reducing cardiac death by 0.8 for each decrease in WMSI at low-dose dobutamine (coefficient, -0.2; hazard ratio, 0.8; P<0.03); WMSI at peak stress was the best predictor of cardiac death in this set of patients (hazard ratio, 14.9; P<0.0018). CONCLUSIONS In medically treated patients with severe global left ventricular dysfunction early after acute uncomplicated myocardial infarction, the presence of myocardial viability identified as inotropic reserve after low-dose dobutamine is associated with a higher probability of survival. The higher the number of segments showing improvement of function, the better the impact is of myocardial viability on survival. The presence of inducible ischemia in this set of patients is the best predictor of cardiac death.
Convex Matrix Inequalities Versus Linear Matrix Inequalities

Most linear control problems lead directly to matrix inequalities (MIs). Many of these are badly behaved but a classical core of problems are expressible as linear matrix inequalities (LMIs). In many engineering systems problems convexity has all of the advantages of a LMI. Since LMIs have a structure which is seemingly much more rigid than convex MIs, there is the hope that a convexity based theory will be less restrictive than LMIs. How much more restrictive are LMIs than convex MIs? There are two fundamentally different classes of linear systems problems: dimension free and dimension dependent. A dimension free MI is a MI where the unknowns are g -tuples of matrices and appear in the formulas in a manner which respects matrix multiplication. Most of the classic Mis of control theory are dimension free. Dimension dependent Mis have unknowns which are tuples of numbers. The two classes behave very differently and this survey describes what is known in each case about the relation between convex Mis and LMIs. The proof techniques involve and necessitate new developments in the field of semialgebraic geometry.
Obesity-Related Eating Behaviors Are Associated with Higher Food Energy Density and Higher Consumption of Sugary and Alcoholic Beverages: A Cross-Sectional Study

Objectives Obesity-related eating behaviors (OREB) are associated with higher energy intake. Total energy intake can be decomposed into the following constituents: food portion size, food energy density, the number of eating occasions, and the energy intake from energy-rich beverages. To our knowledge this is the first study to examine the association between the OREB and these energy components. Methods Data were taken from a cross-sectional study conducted in 2008–2010 among 11,546 individuals representative of the Spanish population aged ≥18 years. Information was obtained on the following 8 self-reported OREB: not planning how much to eat before sitting down, eating precooked/canned food or snacks bought at vending machines or at fast-food restaurants, not choosing low-energy foods, not removing visible fat from meat or skin from chicken, and eating while watching TV. Usual diet was assessed with a validated diet history. Analyses were performed with linear regression with adjustment for main confounders. Results Compared to individuals with ≤1 OREB, those with ≥5 OREB had a higher food energy density (β 0.10; 95% CI 0.08, 0.12 kcal/g/day; p-trend<0.001) and a higher consumption of sugary drinks (β 7; 95% CI −7, 20 ml/day; p-trend<0.05) and of alcoholic beverages (β 24; 95% CI 10, 38 ml/day; p-trend<0.001). Specifically, a higher number of OREB was associated with higher intake of dairy products and red meat, and with lower consumption of fresh fruit, oily fish and white meat. No association was found between the number of OREB and food portion size or the number of eating occasions. Conclusions OREB were associated with higher food energy density and higher consumption of sugary and alcoholic beverages. Avoiding OREB may prove difficult because they are firmly socially rooted, but these results may nevertheless serve to palliate the undesirable effects of OREB by reducing the associated energy intake.
Knowledge and occupational hazards of barbers in the transmission of hepatitis B and C was low in Kumasi, Ghana

Introduction Blood borne viral hepatitis transmission still ranges between 4-20% in many Ghanaian communities. Hepatocellular carcinoma (HCC) also called liver cancer is reported as the leading cause of cancer mortality among males in Ghana. We studied the knowledge and risk factors associated with barbers’ occupation in the transmission of hepatitis B virus (HBV) and hepatitis C virus (HCV). Methods A randomized cross-sectional survey of 200 barbershops was conducted in Kumasi between January and August 2013. Barbershops, which operated continuously for more than 8 months, were selected for the study. Structured questionnaires were administered to the study participants. Data was entered and analysed in Microsoft Excel spread sheet and SPSS v12. The percentage value of each question was calculated. Results All the barbers involved in this study used a new razor blade on every client and claimed to sterilize the hair trimmers after use on every client. The methods of sterilization; 46.5% of the barbers used the ultraviolet radiation sterilizer cabinet, 29% used 70% alcohol and 23% used antiseptic solutions. More than thirty-six percent (36.5%) and 5% of the barbers had heard of HBV and HCV respectively. Only 7% and none knew the route of transmission of HBV and HCV respectively, whereas 7% knew sharing razor blade or hair trimmer could transmit both HBV and HCV. More so, 2% knew HBV and HCV could cause cancer and 2% had received the HBV vaccine. The majority of barbers (63%) had education up to the junior secondary school level. None of the barbers used a new apron nor washed their hands after work on each client. Conclusion Awareness of barbers about HBV or HCV and job-related factors contributing to spread of infections was very poor among the vast majority of the barbers studied. Thus, giving training for the barbers is required toward prevention of blood- borne infections associated to their profession.
Miniphases: compilation using modular and efficient tree transformations

Production compilers commonly perform dozens of transformations on an intermediate representation. Running those transformations in separate passes harms performance. One approach to recover performance is to combine transformations by hand in order to reduce number of passes. Such an approach harms modularity, and thus makes it hard to maintain and evolve a compiler over the long term, and makes reasoning about performance harder. This paper describes a methodology that allows a compiler writer to define multiple transformations separately, but fuse them into a single traversal of the intermediate representation when the compiler runs. This approach has been implemented in a compiler for the Scala language. Our performance evaluation indicates that this approach reduces the running time of tree transformations by 35% and shows that this is due to improved cache friendliness. At the same time, the approach improves total memory consumption by reducing the object tenuring rate by 50%. This approach enables compiler writers to write transformations that are both modular and fast at the same time.
Interactivity: A review of the concept and a framework for analysis

Abstract The terms ‘interactivity’ and ‘interactive media’ became significant buzzwords during the late 1980s and early 1990s when the multi-media euphoria fascinated politicians, economists, and researchers alike. However, right from the beginning of the scientific debate, the inconsistent usage of the term ‘interactivity’ massively complicated the comparability of numerous empirical studies. This is where this article joins the discussion. First, the article sheds light on the terminological origins of ‘interactivity’ and distinguishes the term from cognate expressions. Further, it restructures and extends existing findings on the basis of a new analysis framework which considers three levels of interactive communication (action level, level of subjective situation evaluation, and level of meaning exchange). Finally, it delivers a systematic overview of specific criteria of interactive communication.
Effect of Traditional vs. Modified Bent-Knee Sit-Up on Abdominal and Hip Flexor Muscle Electromyographic Activity

Abstract Sullivan, W, Gardin, FA, Bellon, CR, and Leigh, S. Effect of traditional vs. modified bent-knee sit-up on abdominal and hip flexor muscle electromyographic activity. J Strength Cond Res 29(12): 3472–3479, 2015—The traditional sit-up may be a poor choice for core strength training due to its focus on hip flexion. The purpose of this study was to determine differences in abdominal and hip flexor muscle activation and trunk and hip kinematics between the traditional U.S. Army sit-up and a modified sit-up focusing on trunk flexion. Eighteen trained males performed 30 seconds of repetitions of each sit-up style, while muscle activation of the rectus abdominis (RA), external oblique (EO), and rectus femoris (RF) was recorded using electromyography (EMG). Trunk and hip kinematics were measured using 2-D videography. Maximum and mean muscle activation, integrated EMG (iEMG), and trunk and hip flexion were compared using a repeated-measures design. Maximum EMG of the RF and EO and mean EMG and iEMG of the RF were greater during the traditional sit-up. In contrast, mean EMG and iEMG of the RA and EO were greater during the modified sit-up. Peak trunk flexion was greater during the modified sit-up, and peak hip flexion was greater during the traditional sit-up. The greater RF EMG activity and peak hip flexion during the traditional sit-up suggest a greater emphasis on hip flexion during this sit-up style, which may result in lumbar hyperextension. The greater RA and EO activity and peak trunk flexion during the modified sit-up suggest a greater emphasis on trunk flexion during this exercise, which may decrease the lumbar spine load. Therefore, the modified sit-up may be a better exercise selection to train the abdominal muscles.
COMPARISON OF DIFFERENT EXTRACTION METHODS REPRESENTING AVAILABLE AND TOTAL CONCENTRATIONS OF Cd, Cu, Fe, Mn and Zn IN SOIL

Various extraction methods are used to predict plant uptake of trace metals. Most commonly it is total concentration that is used for risk assessment and evaluation of trace metal availability. However, recent studies showed that total concentration is a poor indicator of availability while concentrations in soil solution show good correlation with plant uptake. Present study was conducted on agricultural soils with low levels of trace metals where 45 soil samples were collected from different soil types. The main objective was to compare four different extraction methods and examine how total and reactive (EDTA) trace metal concentrations correlate with soil solution concentration (in this study determined by water extraction). The samples were analyzed by four extraction methods: strong acid extraction (ultra-pure HNO3 extraction and aqua regia), weak acid extraction by EDTA and the most available fraction, fraction in soil solution, were represented by water extraction (weakest extractant). Five elements were investigated (Cd, Cu, Fe, Mn and Zn). Water extraction significantly correlated with EDTA extraction for Cu, Fe and Mn, while total extraction (HNO3 extraction and aqua regia) correlated significantly with water extraction only for Cu. No correlation between water extraction and total extraction confirmed poor role of total concentration as an indicator of availability. EDTA extraction can be used to represent reactive pool of trace metals in soil but it should be also taken with caution when using it to describe available fraction.
An Investigation into Creep Cavity Development in 316H Stainless Steel

Creep-induced cavitation is an important failure mechanism in steel components operating at high temperature. Robust techniques are required to observe and quantify creep cavitation. In this paper, the use of two complementary analysis techniques: small-angle neutron scattering (SANS), and quantitative metallography, using scanning electron microscopy (SEM), is reported. The development of creep cavities that is accumulated under uniaxial load has been studied as a function of creep strain and life fraction, by carrying out interrupted tests on two sets of creep test specimens that are prepared from a Type-316H austenitic stainless steel reactor component. In order to examine the effects of pre-strain on creep damage formation, one set of specimens was subjected to a plastic pre-strain of 8%, and the other set had no pre-strain. Each set of specimens was subjected to different loading and temperature conditions, representative of those of current and future power plant operation. Cavities of up to 300 nm in size are quantified by using SANS, and their size distribution, as a function of determined creep strain. Cavitation increases significantly as creep strain increases throughout creep life. These results are confirmed by quantitative metallography analysis.
' s personal copy Treating cockroach phobia using a serious game on a mobile phone and augmented reality exposure : A single case study

In vivo exposure has proved its efficacy in the treatment of specific phobias; however, not all patients benefit from it. Communication and information technologies such as Virtual Reality (VR) and Augmented Reality (AR) have improved exposure treatment adherence and acceptance. Serious games (SG) could also be used in order to facilitate exposure treatment. A line of research on SG is emerging which focuses on health issues. We have developed a SG for the treatment of cockroach phobia that uses a mobile phone as the application device. This work examines results of an N = 1 study about whether the use of this mobile game can facilitate treatment of this specific phobia preparing her for the AR exposure. A 25-year-old woman with cockroach phobia participated in the study. Results showed that the use of the mobile game reduced her level of fear and avoidance before a ‘‘one-session” AR exposure treatment was applied, following the guidelines by Öst. The participant found very helpful the use of the SG before the AR exposure session and she was willing to use it after the AR exposure session as a homework assignment. Although the results of this study are preliminary, SG appears to be a line of research of high interest in clinical psychology for the treatment of specific phobias. 2010 Elsevier Ltd. All rights reserved.
Characterization of Respiratory and Cardiac Motion from Electro-Anatomical Mapping Data for Improved Fusion of MRI to Left Ventricular Electrograms

Accurate fusion of late gadolinium enhancement magnetic resonance imaging (MRI) and electro-anatomical voltage mapping (EAM) is required to evaluate the potential of MRI to identify the substrate of ventricular tachycardia. However, both datasets are not acquired at the same cardiac phase and EAM data is corrupted with respiratory motion limiting the accuracy of current rigid fusion techniques. Knowledge of cardiac and respiratory motion during EAM is thus required to enhance the fusion process. In this study, we propose a novel approach to characterize both cardiac and respiratory motion from EAM data using the temporal evolution of the 3D catheter location recorded from clinical EAM systems. Cardiac and respiratory motion components are extracted from the recorded catheter location using multi-band filters. Filters are calibrated for each EAM point using estimates of heart rate and respiratory rate. The method was first evaluated in numerical simulations using 3D models of cardiac and respiratory motions of the heart generated from real time MRI data acquired in 5 healthy subjects. An accuracy of 0.6–0.7 mm was found for both cardiac and respiratory motion estimates in numerical simulations. Cardiac and respiratory motions were then characterized in 27 patients who underwent LV mapping for treatment of ventricular tachycardia. Mean maximum amplitude of cardiac and respiratory motion was 10.2±2.7 mm (min = 5.5, max = 16.9) and 8.8±2.3 mm (min = 4.3, max = 14.8), respectively. 3D Cardiac and respiratory motions could be estimated from the recorded catheter location and the method does not rely on additional imaging modality such as X-ray fluoroscopy and can be used in conventional electrophysiology laboratory setting.
Locally Resonant Cavity Cell Model for Meandering Slotted Electromagnetic Band Gap Structure

This letter utilizes a simple locally resonant cavity cell (LRCC) model to provide an insight into the physical mechanism and the relationship between locally resonant modes and surface-wave suppression band-gaps of the proposed meandering slotted electromagnetic band-gap (MSEBG) structure. The MSEBG structures have two surface-wave suppression band-gaps that are separately yielded by cross slots and meandering slots. It was proved that the cross slots and the meandering slots produced two different groups of monopolarized (MP) degenerate modes whose corresponding frequencies located within the two surface-wave suppression band-gaps. The dual-band MSEBG structure was fabricated, and an experimental verification was conducted by surface-wave band-gap measurement using a pair of shield loops. By adjusting the dimension of meandering slot, we can design a dual-band-gap EBG structure effectively.
Algebraic Ordinals

An algebraic tree T is one determined by a finite system of fixed point equations. The frontier Fr(T ) of an algebraic tree T is linearly ordered by the lexicographic order <e If (Fr(T) <e) is well-ordered, its order type is an algebraic ordinal. We prove that the algebraic ordinals are exactly the ordinals less than ω$^{ω}$$^{ω}$.