Miracle-dz/UniFAR-FTUs huggingface dataset:
Lumbar Sympathetic Plexus Block as a Treatment for Postamputation Pain: Methodology for a Randomized Controlled Trial

Objective We present a technical protocol for rigorous assessment of patient-reported outcomes and psychophysical testing relevant to lumbar sympathetic blocks for the treatment of postamputation pain (PAP). This description is intended to inform future prospective investigation. Design Series of four participants from a blinded randomized sham-controlled trial. Setting Tertiary, urban, academic pain medicine center. Subjects Four participants with a single lower limb amputation and associated chronic PAP. Methods Participants were randomized to receive a lumbar sympathetic block with 0.25% bupivacaine or sham needle placement. Patient-rated outcome measures included the numerical rating scale (NRS) for pain, the McGill Pain Questionnaire-Short Form, Center for Epidemiological Studies Depression Scale, Pain and Anxiety Symptoms Scale-short version, and Pain Disability Index (PDI). Psychophysical and biometric testing was also performed, which included vibration sensation testing, pinprick sensation testing, brush sensation testing, Von Frey repeated weighted pinprick sensation, and thermal quantitative sensory testing. Results In the four described cases, treatment of PAP with a single lumbar sympathetic block but not sham intervention resulted in reduction of both residual limb pain and phantom limb pain as well as perceived disability on the PDI at three-month follow-up. Conclusions An appropriately powered randomized controlled study using this methodology may not only aid in determining the possible clinical efficacy of lumbar sympathetic block in PAP, but could also improve our understanding of underlying pathophysiologic mechanisms of PAP.
Thermal oxidation behavior of glass-forming Ti-Zr-(Nb)-Si alloys

The glass-forming Ti_75Zr_10Si_15 and Ti_60Zr_10Nb_15Si_15 alloys composed of nontoxic elements may represent new materials for biomedical applications. For this study, melt-spun alloy samples exhibiting glass-matrix nanocomposite structures were subjected to thermal oxidation treatments in synthetic air to improve their surface characteristics. 550 °C was identified as the most appropriate temperature to carry out oxidative surface modifications while preserving the initial metastable microstructure. The modified surfaces were evaluated considering morphological and structural aspects, and it was found that the oxide films formed at 550 °C are amorphous and consist mainly of TiO_2; their thicknesses were estimated to be ∼560 nm for Ti_75Zr_10Si_15 and ∼460 nm for Ti_60Zr_10Nb_15Si_15. The thermally treated sample surfaces exhibit not only higher roughnesses and higher hardnesses but also improved wettability compared to the as-spun materials. By immersion of oxidized samples in simulated body fluid Ca- and P-containing coatings exhibiting typical morphologies of apatite are formed.
Automation in drip irrigation using IOT devices

Internet of things (IOT) has become very popular and it is growing rapidly in the field of communication. This paper describes the control and monitor of drip irrigation process using IOT and Image processing techniques. The automated system includes a database to analyze the water requirement of plant. The database contains a predefined soil moisture values and it is editable according to the soil type of the place where we implement this system. Different types of soils will have different moisture values and moisture values will also change in accordance with the climate. Our proposed system uses a soil moisture sensor to take the soil moisture reading from the field in real time to water them in an automated way by switching the drip service ON/OFF using an android App. Most of the times infected plants are identified by the change in color of the leaves. A camera is used to take pictures of the plants leaves and image processing algorithms are implemented on those captured image for further steps. A database is used for comparison between the original and real time image, which results in identifying the diseased plant or part of plant. Thus, our proposed system is made effective and cost efficient.
Effect of Pre-Deformation on Hysteresis in TiNiFe Shape Memory Alloys

The mechanical properties, shape memory effect and martensitic transformation temperatures in the TiNiFe alloys were measured. A ductility of more than 20% and shape recovery strain of 5.8% were obtained in these alloys. The shape memory effect increased with the increase of deformation and reached a maximum value appearing at 8% total strain. The pre-deformation raised significantly the reverse transformation temperatures and the hysteresis was enlarged by more than 40°C when the total strain exceeded 6%.
D-β-Hydroxybutyrate Is Protective in Mouse Models of Huntington's Disease

Abnormalities in mitochondrial function and epigenetic regulation are thought to be instrumental in Huntington's disease (HD), a fatal genetic disorder caused by an expanded polyglutamine track in the protein huntingtin. Given the lack of effective therapies for HD, we sought to assess the neuroprotective properties of the mitochondrial energizing ketone body, D-β-hydroxybutyrate (DβHB), in the 3-nitropropionic acid (3-NP) toxic and the R6/2 genetic model of HD. In mice treated with 3-NP, a complex II inhibitor, infusion of DβHB attenuates motor deficits, striatal lesions, and microgliosis in this model of toxin induced-striatal neurodegeneration. In transgenic R6/2 mice, infusion of DβHB extends life span, attenuates motor deficits, and prevents striatal histone deacetylation. In PC12 cells with inducible expression of mutant huntingtin protein, we further demonstrate that DβHB prevents histone deacetylation via a mechanism independent of its mitochondrial effects and independent of histone deacetylase inhibition. These pre-clinical findings suggest that by simultaneously targeting the mitochondrial and the epigenetic abnormalities associated with mutant huntingtin, DβHB may be a valuable therapeutic agent for HD.
Bovine Immunoinhibitory Receptors Contribute to Suppression of Mycobacterium avium subsp. paratuberculosis-Specific T-Cell Responses

ABSTRACT Johne's disease (paratuberculosis) is a chronic enteritis in cattle that is caused by intracellular infection with Mycobacterium avium subsp. paratuberculosis. This infection is characterized by the functional exhaustion of T-cell responses to M. avium subsp. paratuberculosis antigens during late subclinical and clinical stages, presumably facilitating the persistence of this bacterium and the formation of clinical lesions. However, the mechanisms underlying T-cell exhaustion in Johne's disease are poorly understood. Thus, we performed expression and functional analyses of the immunoinhibitory molecules programmed death-1 (PD-1)/PD-ligand 1 (PD-L1) and lymphocyte activation gene 3 (LAG-3)/major histocompatibility complex class II (MHC-II) in M. avium subsp. paratuberculosis-infected cattle during the late subclinical stage. Flow cytometric analyses revealed the upregulation of PD-1 and LAG-3 in T cells in infected animals, which suffered progressive suppression of interferon gamma (IFN-γ) responses to the M. avium subsp. paratuberculosis antigen. In addition, PD-L1 and MHC-II were expressed on macrophages from infected animals, consistent with PD-1 and LAG-3 pathways contributing to the suppression of IFN-γ responses during the subclinical stages of M. avium subsp. paratuberculosis infection. Furthermore, dual blockade of PD-L1 and LAG-3 enhanced M. avium subsp. paratuberculosis-specific IFN-γ responses in blood from infected animals, and in vitro LAG-3 blockade enhanced IFN-γ production from M. avium subsp. paratuberculosis-specific CD4+ and CD8+ T cells. Taken together, the present data indicate that M. avium subsp. paratuberculosis-specific T-cell exhaustion is in part mediated by PD-1/PD-L1 and LAG-3/MHC-II interactions and that LAG-3 is a molecular target for the control of M. avium subsp. paratuberculosis-specific T-cell responses.
Mitochondrial DNA Variation, but Not Nuclear DNA, Sharply Divides Morphologically Identical Chameleons along an Ancient Geographic Barrier

The Levant is an important migration bridge, harboring border-zones between Afrotropical and palearctic species. Accordingly, Chameleo chameleon, a common species throughout the Mediterranean basin, is morphologically divided in the southern Levant (Israel) into two subspecies, Chamaeleo chamaeleon recticrista (CCR) and C. c. musae (CCM). CCR mostly inhabits the Mediterranean climate (northern Israel), while CCM inhabits the sands of the north-western Negev Desert (southern Israel). AFLP analysis of 94 geographically well dispersed specimens indicated moderate genetic differentiation (PhiPT = 0.097), consistent with the classical division into the two subspecies, CCR and CCM. In contrast, sequence analysis of a 637 bp coding mitochondrial DNA (mtDNA) fragment revealed two distinct phylogenetic clusters which were not consistent with the morphological division: one mtDNA cluster consisted of CCR specimens collected in regions northern of the Jezreel Valley and another mtDNA cluster harboring specimens pertaining to both the CCR and CCM subspecies but collected southern of the Jezreel Valley. AMOVA indicated clear mtDNA differentiation between specimens collected northern and southern to the Jezreel Valley (PhiPT = 0.79), which was further supported by a very low coalescent-based estimate of effective migration rates. Whole chameleon mtDNA sequencing (∼17,400 bp) generated from 11 well dispersed geographic locations revealed 325 mutations sharply differentiating the two mtDNA clusters, suggesting a long allopatric history further supported by BEAST. This separation correlated temporally with the existence of an at least 1 million year old marine barrier at the Jezreel Valley exactly where the mtDNA clusters meet. We discuss possible involvement of gender-dependent life history differences in maintaining such mtDNA genetic differentiation and suggest that it reflects (ancient) local adaptation to mitochondrial-related traits.
Ambient Air Pollution and Risk for Ischemic Stroke: A Short-Term Exposure Assessment in South China

Data on the association between air pollution and risk of ischemic stroke in China are still limited. This study aimed to investigate the association between short-term exposure to ambient air pollution and risk of ischemic strokes in Guangzhou, the most densely-populated city in south China, using a large-scale multicenter database of stroke hospital admissions. Daily counts of ischemic stroke admissions over the study years 2013–2015 were obtained from the Guangzhou Cardiovascular and Cerebrovascular Disease Event Surveillance System. Daily particulate matter <2.5 μm in diameter (PM2.5), sulfur dioxide (SO2), nitrogen dioxide (NO2), ozone (O3), and meteorological data were collected. The associations between air pollutants and hospital admissions for stroke were examined using relative risks (RRs) and their corresponding 95% confidence intervals (CIs) based on time-series Poisson regression models, adjusting for temperature, public holiday, day of week, and temporal trends in stroke. Ischemic stroke admissions increased from 27,532 to 35,279 through 2013 to 2015, increasing by 28.14%. Parameter estimates for NO2 exposure were robust regardless of the model used. The association between same-day NO2 (RR = 1.0509, 95% CI: 1.0353–1.0668) exposure and stroke risk was significant when accounting for other air pollutants, day of the week, public holidays, temperature, and temporal trends in stroke events. Overall, we observed a borderline significant association between NO2 exposure modeled as an averaged lag effect and ischemic stroke risk. This study provides data on air pollution exposures and stroke risk, and contributes to better planning of clinical services and emergency contingency response for stroke.
Human RSPO1/R-spondin1 Is Expressed during Early Ovary Development and Augments β-Catenin Signaling

Human testis development starts from around 42 days post conception with a transient wave of SRY expression followed by up-regulation of testis specific genes and a distinct set of morphological, paracrine and endocrine events. Although anatomical changes in the ovary are less marked, a distinct sub-set of ovary specific genes are also expressed during this time. The furin-domain containing peptide R-spondin1 (RSPO1) has recently emerged as an important regulator of ovary development through up-regulation of the WNT/β-catenin pathway to oppose testis formation. Here, we show that RSPO1 is upregulated in the ovary but not in the testis during critical early stages of gonad development in humans (between 6–9 weeks post conception), whereas the expression of the related genes WNT4 and CTNNB1 (encoding β catenin) is not significantly different between these tissues. Furthermore, reduced R-spondin1 function in the ovotestis of an individual (46,XX) with a RSPO1 mutation leads to reduced β-catenin protein and WNT4 mRNA levels, consistent with down regulation of ovarian pathways. Transfection of wild-type RSPO1 cDNA resulted in weak dose-dependent activation of a β-catenin responsive TOPFLASH reporter (1.8 fold maximum), whereas co-transfection of CTNNB1 (encoding β-catenin) with RSPO1 resulted in dose-dependent synergistic augmentation of this reporter (approximately 10 fold). Furthermore, R-spondin1 showed strong nuclear localization in several different cell lines. Taken together, these data show that R-spondin1 is upregulated during critical stages of early human ovary development and may function as a tissue-specific amplifier of β-catenin signaling to oppose testis determination.
Inferring Beliefs and Desires From Emotional Reactions to Anticipated and Observed Events

Researchers have long been interested in the relation between emotion understanding and theory of mind. This study investigates a cue to mental states that has rarely been investigated: the dynamics of valenced emotional expressions. When the valence of a character's facial expression was stable between an expected and observed outcome, children (N = 122; M = 5.0 years) recovered the character's desires but did not consistently recover her beliefs. When the valence changed, older but not younger children recovered both the characters’ beliefs and desires. In contrast, adults jointly recovered agents’ beliefs and desires in all conditions. These results suggest that the ability to infer mental states from the dynamics of emotional expressions develops gradually through early and middle childhood.
Bifidobacterium Bacteremia: Clinical Characteristics and a Genomic Approach To Assess Pathogenicity

ABSTRACT Bifidobacteria are commensals that colonize the orogastrointestinal tract and rarely cause invasive human infections. However, an increasing number of bifidobacterial blood culture isolates has lately been observed in Norway. In order to investigate the pathogenicity of the Bifidobacterium species responsible for bacteremia, we studied Bifidobacterium isolates from 15 patients for whom cultures of blood obtained from 2013 to 2015 were positive. We collected clinical data and analyzed phenotypic and genotypic antibiotic susceptibility. All isolates (11 Bifidobacterium longum, 2 B. breve, and 2 B. animalis isolates) were subjected to whole-genome sequencing. The 15 patients were predominantly in the extreme lower or upper age spectrum, many were severely immunocompromised, and 11 of 15 had gastrointestinal tract-related conditions. In two elderly patients, the Bifidobacterium bacteremia caused a sepsis-like picture, interpreted as the cause of death. Most bifidobacterial isolates had low MICs (≤0.5 mg/liter) to beta-lactam antibiotics, vancomycin, and clindamycin and relatively high MICs to ciprofloxacin and metronidazole. We performed a pangenomic comparison of invasive and noninvasive B. longum isolates based on 65 sequences available from GenBank and the sequences of 11 blood culture isolates from this study. Functional annotation identified unique genes among both invasive and noninvasive isolates of Bifidobacterium. Phylogenetic clusters of invasive isolates were identified for a subset of the B. longum subsp. longum isolates. However, there was no difference in the number of putative virulence genes between invasive and noninvasive isolates. In conclusion, Bifidobacterium has an invasive potential in the immunocompromised host and may cause a sepsis-like picture. Using comparative genomics, we could not delineate specific pathogenicity traits characterizing invasive isolates.
Empirical mode decomposition for improved least square T-wave alternans estimation

More than 80% of emergency patients succumb to cardiac related including Sudden Cardiac Deaths (SCD) in Pakistan whereas the global deaths due to SCD are 30–40% of total deaths. T-wave alternans refer to variation in amplitude, phase or wave shape in alternating T waves in ECG signals and has been linked with the SCD and ventricular arrhythmia. TWA detection is still a challenge as in many cases amplitude of TWA is well below indispensable process noises. Empirical mode decomposition (EMD) is a empirical signal processing technique employed as noise removal tool for nonlinear and non-stationary TWA signals. Recently very matured and developed least square techniques have been employed for the detection of TWA, which were previously not explored as considered limited practicability. Least square works in time domain and better for the non-stationary TWA signals that gives the technique an edge over the other techniques that assume stationary nature of the signals. Least square with higher order polynomial curve fitting has been recently explored as a promising TWA estimation technique for risk stratification of SCD. In this paper we are presenting a novel EMD based least square T-wave alternans estimation scheme which outperforms estimation in 10–40 dB Gaussian noise. The performance comparison of the technique with bench mark modified moving average method (MMAM) for TWA estimation confirms the enhanced performance for the various practical scenarios of TWA.
Evaluation of polyphosphoric acid-modified binders using multiple stress creep and recovery and linear amplitude sweep tests

This paper assesses rutting and fatigue behaviours of polyphosphoric acid (PPA)-modified binders using the advanced tests of multiple stress creep and recovery (MSCR) and linear amplitude sweep (LAS). The PG 58-22 binder was selected as the unmodified binder and the PPA contents ranged from 0.5% to 1.5% with 0.5% increment being added to it. The MSCR test was applied at 40°C, 55°C, 70°C and the performance grade (PG) temperatures of the binders to consider a wide range of high temperatures. To further explore the role of high stress level on the creep and recovery behaviour, the stress of 12.8 kPa was selected to be added to the MSCR standard procedure. Moreover, the LAS test was conducted at the intermediate temperature of 25°C to evaluate the fatigue resistance of the PPA binders. MSCR tests indicate that, for all the selected temperatures and stresses, increasing the PPA content causes the non-recoverable compliance (Jnr) and the percent recovery (R) values to be improved. Despite the positive effects, modification of the PG 58-22 base binder with the PPA additives does not ensure an acceptable rutting performance at the field temperatures equal to or higher than the PGs, because of the high Jnr values compared to the American Association of State Highway and Transportation Officials (AASHTO) MP 19-10 limits and also the negative R values of the PPA binders at these circumstances. On the other hand, LAS tests indicate better resistances of the PPA binders to fatigue than that of the PG 58-22 unmodified one. As the PPA content increases, the fatigue performance significantly increases.
Two-Component Signal Transduction Systems That Regulate the Temporal and Spatial Expression of Myxococcus xanthus Sporulation Genes

ABSTRACT When starved for nutrients, Myxococcus xanthus produces a biofilm that contains a mat of rod-shaped cells, known as peripheral rods, and aerial structures called fruiting bodies, which house thousands of dormant and stress-resistant spherical spores. Because rod-shaped cells differentiate into spherical, stress-resistant spores and spore differentiation occurs only in nascent fruiting bodies, many genes and multiple levels of regulation are required. Over the past 2 decades, many regulators of the temporal and spatial expression of M. xanthus sporulation genes have been uncovered. Of these sporulation gene regulators, two-component signal transduction circuits, which typically contain a histidine kinase sensor protein and a transcriptional regulator known as response regulator, are among the best characterized. In this review, we discuss prototypical two-component systems (Nla6S/Nla6 and Nla28S/Nla28) that regulate an early, preaggregation phase of sporulation gene expression during fruiting body development. We also discuss orphan response regulators (ActB and FruA) that regulate a later phase of sporulation gene expression, which begins during the aggregation stage of fruiting body development. In addition, we summarize the research on a complex two-component system (Esp) that is important for the spatial regulation of sporulation.
Deaths Attributable to Diabetes in the United States: Comparison of Data Sources and Estimation Approaches

Objective The goal of this research was to identify the fraction of deaths attributable to diabetes in the United States. Research Design and Methods We estimated population attributable fractions (PAF) for cohorts aged 30–84 who were surveyed in the National Health Interview Survey (NHIS) between 1997 and 2009 (N = 282,322) and in the National Health and Nutrition Examination Survey (NHANES) between 1999 and 2010 (N = 21,814). Cohort members were followed prospectively for mortality through 2011. We identified diabetes status using self-reported diagnoses in both NHIS and NHANES and using HbA1c in NHANES. Hazard ratios associated with diabetes were estimated using Cox model adjusted for age, sex, race/ethnicity, educational attainment, and smoking status. Results We found a high degree of consistency between data sets and definitions of diabetes in the hazard ratios, estimates of diabetes prevalence, and estimates of the proportion of deaths attributable to diabetes. The proportion of deaths attributable to diabetes was estimated to be 11.5% using self-reports in NHIS, 11.7% using self-reports in NHANES, and 11.8% using HbA1c in NHANES. Among the sub-groups that we examined, the PAF was highest among obese persons at 19.4%. The proportion of deaths in which diabetes was assigned as the underlying cause of death (3.3–3.7%) severely understated the contribution of diabetes to mortality in the United States. Conclusion Diabetes may represent a more prominent factor in American mortality than is commonly appreciated, reinforcing the need for robust population-level interventions aimed at diabetes prevention and care.