Miracle-dz/UniFAR-FTUs huggingface dataset:
Financial Burden Faced by Families due to Out-of-pocket Expenses during the Treatment of their Cancer Children: An Indian Perspective

Abstract Context: Life-saving cancer therapy is costly and may result in financial burden for these families. Financial costs for treating childhood cancer care are traditionally assessed based on the amount spent for diagnostic tests, hospitalization, and chemotherapy. The financial costs for travel, accommodation, out-of-pocket expenses for food, phone bills, and loss of income due to reduction or termination of parental employment are hidden nonmedical expenses that are rarely accounted for. Studies on the financial implications of pediatric cancer treatment are based on the Western model of healthcare with good government/state insurance coverage and hence literature on lifestyle implications for families in developing nations with limited resources is still scarce. Aims: The aim of this study is to find out the details of out-of-pocket expenses incurred by the families during their treatment of cancer children and its implications on their quality of life. Settings and Design: This study was conducted in a tertiary care center for pediatric malignancies for over 1-year period. Subjects and Methods: About seventy families whose children were diagnosed with acute leukemia and undergoing treatment at our center were asked to fill a questionnaire detailing their out-of-pocket expenses. Results: Nonmedical expenses accounts for about 46% of their monthly household income of parents from rural areas and 22% of their household income from urban areas. On an average, a family from rural area spends four times the normal amount spent on home for their daily food expenditure. Thirty-eight percent of families have borrowed money from money lenders with an average interest rate of about 12.5% which pushes them to a state of debt for the next few years. Conclusions: Out-of-pocket expenses contribute a significant proportion to the financial burden of the families with childhood malignancies and these invisible expenses should be recognized and provide adequate support to lessen the burden of this economic impact.
Embryogenesis in Higher Plants: An Overview.

The sporophytic generation of higher plants is initiated with the double fertilization event that results in the formation of a single-celled zygote and a progenitor cell of the endosperm. Embryogenesis describes the subsequent period of development, during which the zygote undergoes a complex series of morphological and cellular changes resulting in the formation of a developmentally arrested mature embryo comprised of an embryonic axis with shoot and root poles and cotyledon(s), which often contains high levels of storage macromolecules such as proteins and lipids. Thus, the events that occur during embryonic development establish the organization of the plant body and prepare the embryo for both dormancy and germination. Higher plant embryogenesis has been studied intensively during the past century. Studies using light and electron microscopy have provided detailed descriptions of the morphological and anatomical changes that characterize embryonic development (Maheshwari, 1950; Wardlaw, 1955; Natesh and Rau, 1984; Raghavan, 1986). Cellular differentiation has been studied largely in relationship to the biosynthesis and accumulation of storage proteins, lipids, and starch, macromolecular reserves that ultimately serve as nutrients for postgerminative seedlings (Jenner, 1982; Slack and Browse, 1984; Casey et al., 1986; Shotwell and Larkins, 1989). The focus of attention on these reserves reflects their agricultura1 importance and the fact that the abundance of these macromolecules facilitates studies of their accumulation. By contrast, much less is known about the processes that underlie embryo morphogenesis, although increasing attention is being devoted to this area. In this review, we will provide an overview of the processes that occur during embryonic development, focusing primarily on dicotyledonous plants. Additionally, we will discuss some of the critical processes involved in embryo formation, about which relatively little is known. This review is meant to provide a conceptual summary of embryonic development rather than to cover all aspects of embryogenesis in detail or to describe events that occur in all species of plants. Readers are referred to other reviews on embryogenesis for additional coverage of the topic (Natesh and Rau, 1984; Dure, 1985; Raghavan, 1986; Crouch, 1987; Goldberg et al., 1989; Meinke, 1991a; De Jong et al., 1993; Lindsey and Topping, 1993).
Tone discrimination as a window into acoustic perceptual deficits in Parkinson's disease.

PURPOSE Deficits in auditory perception compromise a range of linguistic processes in persons with Parkinson's disease (PD), including speech perception and sensitivity to affective and linguistic prosody. An unanswered question is whether this deficit exists not only at the level of speech perception, but also at a more pervasive level of auditory perception. It is possible that PD produces a selective impairment in the perception of a salient acoustic feature such as frequency, amplitude, or duration. METHOD Auditory perception in persons with PD was investigated using a tone discrimination task where clients ( N = 12) and age-matched controls ( N = 15) made same/different judgments for pairs of pure tones that were factorially varied by acoustic feature (i.e., frequency, amplitude, or duration) crossed with perceptual distance (i.e., close vs. far). RESULTS Relative to healthy age-matched controls, persons with PD showed marked impairment in tone discrimination. Persons with PD showed an acoustic feature by perceptual distance interaction that was characterized by deficits in detecting frequency and amplitude differences for perceptually near tones. CONCLUSION These results suggest that persons with PD show a reduced ability to notice change in frequency and amplitude as compared to normal older adults. More generally, these findings implicate a frontal-striatal contribution to auditory perception.
Metastasis of Hepatocellular Carcinoma to the Ovary: A Case Report and Review of the Literature

Metastasis of hepatocellular carcinoma (HCC) to the ovary is notably rare. We present a case of HCC metastasis to the ovary with a review of the literature, which includes only 7 reported cases. A 43-year-old hepatitis B virus carrier was admitted with a right ovarian cystic mass. She had been diagnosed with HCC 2 years prior, for which she underwent transarterial chemoembolization followed by right posterior sectionectomy. Eight months after the hepatectomy, the first intrahepatic recurrence was detected and treated with transarterial chemoembolization. An additional intrahepatic recurrence occurred 12 months after transarterial chemoembolization and was managed with left medial sectionectomy and intra-operative radiofrequency ablation. Over the following 3 months, the patient developed elevated alpha-fetoprotein, and positron emission tomography showed a cystic mass in the right side of the pelvic cavity with focal hypermetabolic activity, which suggested a site of recurrent HCC. An exploratory laparotomy was performed, and a soft, ovoid cystic mass was identified in the right ovary. There was no evidence of metastases in the liver, left ovary, or peritoneum. Because of the absence of tumor on the surface of the ovary and the lack of peritoneal seeding, the mode of metastasis was thought to be hematogenous. Therefore, a right salphingo-oophorectomy was performed. The pathological features showed metastatic HCC with clear resection margins. Although metastasis of HCC to the ovary is very rare, it should be suspected in a female patient with a lower abdominal mass and an elevated serum AFP level in the absence of other demonstrable metastases.
Switching between polymerase and exonuclease sites in DNA polymerase ε

The balance between exonuclease and polymerase activities promotes DNA synthesis over degradation when nucleotides are correctly added to the new strand by replicative B-family polymerases. Misincorporations shift the balance toward the exonuclease site, and the balance tips back in favor of DNA synthesis when the incorrect nucleotides have been removed. Most B-family DNA polymerases have an extended β-hairpin loop that appears to be important for switching from the exonuclease site to the polymerase site, a process that affects fidelity of the DNA polymerase. Here, we show that DNA polymerase ε can switch between the polymerase site and exonuclease site in a processive manner despite the absence of an extended β-hairpin loop. K967 and R988 are two conserved amino acids in the palm and thumb domain that interact with bases on the primer strand in the minor groove at positions n−2 and n−4/n−5, respectively. DNA polymerase ε depends on both K967 and R988 to stabilize the 3′-terminus of the DNA within the polymerase site and on R988 to processively switch between the exonuclease and polymerase sites. Based on a structural alignment with DNA polymerase δ, we propose that arginines corresponding to R988 might have a similar function in other B-family polymerases.
The cardiac biomarker NT-proBNP is increased in dogs with azotemia.

BACKGROUND Amino-terminal probrain natriuretic peptide (NT-proBNP) has been proposed as a useful biomarker for heart disease in dogs. In humans, decreased glomerular filtration rate (GFR) increases NT-proBNP. OBJECTIVE To investigate whether decreased GFR as indicated by plasma creatinine concentration is associated with increased NT-proBNP in dogs without heart disease. ANIMALS Four groups of dogs: healthy (n= 39), azotemic (n= 36), heart disease (n= 37), and congestive heart failure (CHF) (n= 7) presented to 2 teaching hospitals. METHODS Prospective observational cohort study. Plasma creatinine concentration and NT-proBNP were measured in every dog. Nonparametric tests were used to compare the differences among groups. The median and actual results for each group were compared with the manufacturer's recommended and previously published suggestions for cut-off values for diagnosis of heart disease. RESULTS Median (range) plasma creatinine concentration was 1.47 (1.06-1.70), 4.36 (1.74-15.6), 1.22 (0.69-1.91), and 1.45 (0.63-1.64) mg/dL and median (range) NT-proBNP was 118 (2-673), 556 (37-1,819), 929 (212-5,658), and 3,144 (432-5,500) pmol/L for the healthy, azotemic, heart disease, and CHF groups, respectively. Pair-wise comparison indicated a significant difference among all groups for NT-proBNP (P< or = .049). Plasma creatinine concentration was significantly higher in the azotemic group compared with other groups (P < .001) but there was no significant among other groups. Application of 3 recommended cut-off values led to misclassification of dogs with azotemia as having heart disease. CONCLUSIONS Azotemia results in NT-proBNP being increased to concentrations reported as diagnostic of heart disease or heart failure in dogs. Care should be employed when interpreting the results of NT-proBNP in patients with known or possible increased plasma creatinine concentration.
CXHist : An On-line Classification-Based Histogram for XML String Selectivity Estimation

Query optimization in IBM's System RX, the first truly relational-XML hybrid data management system, requires accurate selectivity estimation of path-value pairs, i.e., the number of nodes in the XML tree reachable by a given path with the given text value. Previous techniques have been inadequate, because they have focused mainly on the tag-labeled paths (tree structure) of the XML data. For most real XML data, the number of distinct string values at the leaf nodes is orders of magnitude larger than the set of distinct rooted tag paths. Hence, the real challenge lies in accurate selectivity estimation of the string predicates on the leaf values reachable via a given path.In this paper, we present CXHist, a novel workload-aware histogram technique that provides accurate selectivity estimation on a broad class of XML string-based queries. CXHist builds a histogram in an on-line manner by grouping queries into buckets using their true selectivity obtained from query feedback. The set of queries associated with each bucket is summarized into feature distributions. These feature distributions mimic a Bayesian classifier that is used to route a query to its associated bucket during selectivity estimation. We show how CXHist can be used for two general types of queries: exact match queries and substring match queries. Experiments using a prototype show that CXHist provides accurate selectivity estimation for both exact match queries and substring match queries.
Repeated elevational transitions in hemoglobin function during the evolution of Andean hummingbirds

Significance Hummingbirds have exceedingly high oxygen demands because of their elevated rates of aerobic metabolism, and yet they thrive in high-altitude environments in the Andes where oxygen is scarce. Here we report the finding that when hummingbird species colonized new elevational zones, evolutionary changes in the respiratory properties of hemoglobin were repeatedly mediated by the same amino acid replacements. Specifically, ancestral sequence reconstruction and protein engineering experiments revealed that parallel adaptation of hemoglobin function in multiple species is attributable to repeated amino acid replacements at a single pair of interacting sites. This striking parallelism at the molecular level suggests a surprising degree of reproducibility and predictability in adaptive protein evolution. Animals that sustain high levels of aerobic activity under hypoxic conditions (e.g., birds that fly at high altitude) face the physiological challenge of jointly optimizing blood-O2 affinity for O2 loading in the pulmonary circulation and O2 unloading in the systemic circulation. At high altitude, this challenge is especially acute for small endotherms like hummingbirds that have exceedingly high mass-specific metabolic rates. Here we report an experimental analysis of hemoglobin (Hb) function in South American hummingbirds that revealed a positive correlation between Hb-O2 affinity and native elevation. Protein engineering experiments and ancestral-state reconstructions revealed that this correlation is attributable to derived increases in Hb-O2 affinity in highland lineages, as well as derived reductions in Hb-O2 affinity in lowland lineages. Site-directed mutagenesis experiments demonstrated that repeated evolutionary transitions in biochemical phenotype are mainly attributable to repeated amino acid replacements at two epistatically interacting sites that alter the allosteric regulation of Hb-O2 affinity. These results demonstrate that repeated changes in biochemical phenotype involve parallelism at the molecular level, and that mutations with indirect, second-order effects on Hb allostery play key roles in biochemical adaptation.
Prognostic and staging implications of mandibular canal invasion in lower gingival squamous cell carcinoma

A multi‐institutional study was undertaken to determine whether mandibular canal (MC) invasion and mandibular medullary bone invasion are independent factors in lower gingival squamous cell carcinoma (SCC). A total of 345 patients with lower gingival SCC were retrospectively reviewed. Mandibular bone invasion was categorized into three types; no bone invasion; invasion through cortical bone (medullary); and MC invasion. The overall survival rate and factors affecting local, regional, and distant failures were assessed by Cox proportional hazards regression analysis and Kaplan–Meier estimates. Bone invasion was present in 201 (58%) patients, of whom 107 (31%) had medullary invasion and 94 (27%) had MC invasion. Using the International Union Against Cancer (UICC) staging system and American Joint Committee on Cancer (AJCC) system, 171 (50%) patients were classified as T4a. When the bone invasion criteria were excluded from the UICC/AJCC system definition, 152 T4a tumors were downstaged and reclassified to T1 in 12 (3%), to T2 in 98 (28%), and to T3 in 42 (12%). In Cox multivariate analysis, MC invasion was an independent predictor of overall survival but medullary bone invasion was not. Medullary bone invasion was an independent variable for distant control. The current T staging system has restricted prognostic utility. The authors recommend a modified T staging system, whereby tumors with MC invasion instead of medullary bone invasion are classified as T4a, and tumors are first classified as T1 to T3 based on size and then upstaged by one T classification in the presence of medullary invasion.
Antimicrobial Susceptibility Patterns of Streptococcus pneumoniae

Fifty clinical isolates of Streptococcus pneumoniae received by the Streptococcus Laboratory of the Center for Disease Control from August 1976 through March 1977 and 50 pneumococcal strains retrieved from 13- to 16-year storage (originally isolated October 1961 through December 1964) were tested for susceptibility to 10 antimicrobial agents by disk-agar diffusion and agar dilution tests. No appreciable differences in susceptibility patterns were apparent between the two groups, and, except for one isolate, all were highly susceptible to every drug tested except gentamicin. This single isolate required higher drug concentrations to inhibit macroscopic growth and had corresponding decrements in zones of disk inhibition with penicillin, ampicillin, and cephalothin. An additional 43 pneumococci recently received from various areas of the United States and Canada were screened by a disk agar diffusion method for penicillin resistance. Four of these isolates had penicillin zone diameters <30 mm, and subsequent agar dilution test results showed that the penicillin minimum inhibitory concentrations were elevated with these organisms. Antimicrobial susceptibility patterns of pneumococci to antimicrobials other than penicillin and its analogs have not changed substantially in over a decade. However, due to the emergence of strains with decreased susceptibility to penicillin, the screening test for penicillin resistance in pneumococci, especially in isolates from spinal fluid and blood, could be clinically useful as an aid in selecting optimal therapy.
The Spectrum of the Extragalactic Far-Infrared Background from the COBE FIRAS Observations

The COBE FIRAS data contain foreground emission from interplanetary, Galactic interstellar dust and extragalactic background emission. We use three different methods to separate the various emission components, and derive the spectrum of the extragalactic far-infrared background (FIRB). Each method relies on a different set of assumptions, which affect the FIRB spectrum in different ways. Despite this, the FIRB spectra derived by these different methods are remarkably similar. The average spectrum that we derive in the ν = 5-80 cm-1 (2000-125 μm) frequency interval is I(ν) = (1.3 ± 0.4) × 10-5(ν/ν0)0.64±0. 12Pν(18.5 ± 1.2 K), where ν0 = 100 cm-1 (λ0 = 100 μm), and P is the Planck function. The derived FIRB spectrum is consistent with the (DIRBE) 140 and 240 μm detections. The total intensity received in the 5-80 cm-1 frequency interval is 14 nW m-2 sr-1 and comprises about 20% of the total intensity expected from the energy release from nucleosynthesis throughout the history of the universe.
Determination of Therapeutic Equivalence of Generic Products of Gentamicin in the Neutropenic Mouse Thigh Infection Model

Background Drug regulatory agencies (DRA) support prescription of generic products of intravenous antibiotics assuming therapeutic equivalence from pharmaceutical equivalence. Recent reports of deaths associated with generic heparin and metoprolol have raised concerns about the efficacy and safety of DRA-approved drugs. Methodology/Principal Findings To challenge the assumption that pharmaceutical equivalence predicts therapeutic equivalence, we determined in vitro and in vivo the efficacy of the innovator product and 20 pharmaceutically equivalent generics of gentamicin. The data showed that, while only 1 generic product failed in vitro (MIC = 45.3 vs. 0.7 mg/L, P<0.05), 10 products (including gentamicin reference powder) failed in vivo against E. coli due to significantly inferior efficacy (Emax = 4.81 to 5.32 vs. 5.99 log10 CFU/g, P≤0.043). Although the design lacked power to detect differences in survival after thigh infection with P. aeruginosa, dissemination to vital organs was significantly higher in animals treated with generic gentamicin despite 4 days of maximally effective treatment. Conclusion Pharmaceutical equivalence does not predict therapeutic equivalence of generic gentamicin. Stricter criteria based on solid experimental evidence should be required before approval for human use.
Comorbidity of Irritable Bowel Syndrome, Panic Disorder, and Agoraphobia in a Japanese Representative Sample

OBJECTIVES:Irritable bowel syndrome (IBS) is considered to be a transcultural functional bowel disorder with high comorbidity and psychiatric disorders; but well-designed epidemiologic studies have never been performed in Japan. The purpose of this study was to establish the prevalence of IBS, together with the comorbidity rates of panic disorder (PD) and agoraphobia, employing a large-scale survey based on stratified random sampling.METHOD:A total of 4,000 subjects aged 20–69 years completed a questionnaire and the results were weighted to ensure representativeness of the Japanese general population. The questionnaire covered key symptoms of IBS, PD, and agoraphobia. The prevalence of IBS and its subtypes was calculated by gender. The comorbidity of PD and agoraphobia with IBS was compared with morbidity in non-IBS subjects; and comorbidity in IBS subjects who had consulted medical practitioners regarding their symptoms and in those who had not was also compared.RESULTS:The prevalence of IBS was 6.1% in total. It was significantly higher in females than in males. Diarrhea-predominant IBS was more prevalent in males and constipation-predominant IBS in females. The morbidity rates of PD and agoraphobia were significantly higher in IBS than in non-IBS subjects. Comorbidity did not differ between female and male IBS subjects, while morbidity was significantly higher in female than in male non-IBS subjects; and comorbidity did not differ between consulter and nonconsulter subjects.CONCLUSIONS:The prevalence of IBS and its comorbidity with PD and agoraphobia in Japan were demonstrated to be similar to those reported in Western industrialized countries.
SESS: A Self-Supervised and Syntax-Based Method for Sentiment Classification

This paper presents a method for sentiment classification, called SESS (SElfSupervised and Syntax-Based method). SESS includes three phases. Firstly, some documents are initially classified based on a sentiment dictionary, and then the sentiments of phrases and documents are iteratively revised. This phase provides some accurately labeled data for the second phase. Secondly, a machine learning model is trained with the labeled data. Thirdly, the acquired model applies on the whole data set to get the final classification result. Moreover, to improve the quality of labeled data, the affect of compound and complex sentences on clause sentiment is examined. For three types of compound and complex sentences, i.e., coordination, concession or condition sentence, the clause sentiment is revised accordingly. Experiments show that, as an unsupervised method, SESS achieves comparative performance to state-of-the-art supervised methods on the same data.