Miracle-dz/UniFAR-FTUs huggingface dataset:
The impact of extreme obesity on outcomes after left ventricular assist device implantation.

Background The association between extreme body mass index (BMI) and outcomes in left ventricular assist device (LVAD) patients has not been well established. With the commercial use of LVADs a larger number of patients with a BMI >40 have undergone device implantation. The purpose of this study was to evaluate the short and long-term outcomes of LVAD patients with extreme obesity. Methods A retrospective review of all patients (n=383) at our center who received a LVAD as primary implant between 2005-2015 was performed. Demographics, preoperative laboratory values, and postoperative outcomes were analyzed. Patients were divided into three groups based on BMI (kg/m2) classification (group 1: ≤25; group 2: 25 to 35; group 3: ≥35) and compared using one-way analysis of variance (ANOVA), Kruskal-Wallis and Chi-squared analysis as appropriate. Results Comparison of postoperative outcomes demonstrated an increased risk of respiratory failure and right ventricular (RV) failure in patients with a BMI ≥35 (range, 35-59). Length of stay, sternal infection, driveline/pocket infection, systemic infection, GI-bleeding, and neurological events within the first year of device therapy were not related to BMI. Survival at 30-day, 1- and 2-year was not significantly different among the three groups. The group with the smallest BMI demonstrated an increased risk for re-operative bleeding. Conclusions Despite an increased risk of early morbidity in patients with extreme obesity, long term survival was not significantly different between the BMI groups. Careful consideration is recommended when evaluating patients with an excessive BMI for LVAD therapy although it should not be a contraindication for device placement.
Function neuroimaging studies of Japanese-Chinese bilinguals phonological processing for language education

Language education is the teaching and learning of a foreign or second language, such as English or Japanese. The person who can master two or more kinds of language is called bilingual. In this study, we used functional magnetic resonance imaging to visualize Japanese Chinese bilinguals' brain activity in phonological processing of Chinese and Japanese characters. We investigate brain activations in processing Japanese phonological and font size by visual judgment tasks in fifteen Japanese subjects. Different activation patterns were observed between Chinese phonological and Japanese phonological judgment processing. We conclude that constellation of neural substrates was different for phonological processing.
Jane Addams, the Hull-House School of Sociology, and Social Justice, 1892 to 1935

Jane Addams is one of the greatest sociologists who has ever lived; yet, her ideas and practices remain a puzzle to many contemporary sociologists. There are many reasons for this confusion, but they are less important than learning what she accomplished and why it is vital to understand her life within the context of a global society. I will outline these major points here.
The role of DMARDs in reducing the immunogenicity of TNF inhibitors in chronic inflammatory diseases

The management of RA, SpA, psoriasis and inflammatory bowel disease has significantly improved over the last decade with the addition of tumour necrosis factor inhibitors (anti-TNFs) to the therapeutic armamentarium. Immunogenicity in response to monoclonal antibody therapies (anti-drug antibodies) may give rise to low serum drug levels, loss of therapeutic response, poor drug survival and/or adverse events such as infusion reactions. To combat these, the use of concomitant MTX may attenuate the frequency of anti-drug antibodies in RA, SpA and Crohn’s disease. Although a similar effect to methotrexate has been observed with AZA usage in the management of Crohn’s disease, there is insufficient evidence to suggest that other DMARDs impact immunogenicity. In this article we review the evidence to date on the effect of immunomodulatory therapy when co-administered with anti-TNFs. We also discuss whether such a strategy should be employed in SpA and psoriasis, and if optimization of the MTX dose could improve biologic drug survival and thereby benefit disease management.
Generation of Human CD8 T Regulatory Cells by CD40 Ligand–activated Plasmacytoid Dendritic Cells

Although CD8 T cell–mediated immunosuppression has been a well-known phenomenon during the last three decades, the nature of primary CD8 T suppressor cells and the mechanism underlying their generation remain enigmatic. We demonstrated that naive CD8 T cells primed with allogeneic CD40 ligand–activated plasmacytoid dendritic cells (DC)2 differentiated into CD8 T cells that displayed poor secondary proliferative and cytolytic responses. By contrast, naive CD8 T cells primed with allogeneic CD40 ligand–activated monocyte-derived DCs (DC1) differentiated into CD8 T cells, which proliferated to secondary stimulation and killed allogeneic target cells. Unlike DC1-primed CD8 T cells that produced large amounts of interferon (IFN)-γ upon restimulation, DC2-primed CD8 T cells produced significant amounts of interleukin (IL)-10, low IFN-γ, and no IL-4, IL-5, nor transforming growth factor (TGF)-β. The addition of anti–IL-10–neutralizing monoclonal antibodies during DC2 and CD8 T cell coculture, completely blocked the generation of IL-10–producing anergic CD8 T cells. IL-10–producing CD8 T cells strongly inhibit the allospecific proliferation of naive CD8 T cells to monocytes, and mature and immature DCs. This inhibition was mediated by IL-10, but not by TGF-β. IL-10–producing CD8 T cells could inhibit the bystander proliferation of naive CD8 T cells, provided that they were restimulated nearby to produce IL-10. IL-10–producing CD8 T cells could not inhibit the proliferation of DC1-preactivated effector T cells. This study demonstrates that IL-10–producing CD8 T cells are regulatory T cells, which provides a cellular basis for the phenomenon of CD8 T cell–mediated immunosuppression and suggests a role for plasmacytoid DC2 in immunological tolerance.
Nf1 RasGAP Inhibition of LIMK2 Mediates a New Cross-Talk between Ras and Rho Pathways

Background Ras GTPases mediate numerous biological processes through their ability to cycle between an inactive GDP-bound form and an active GTP-bound form. Guanine nucleotide exchange factors (GEFs) favor the formation of the active Ras-GTP, whereas GTPase activating proteins (GAPs) promote the formation of inactive Ras-GDP. Numerous studies have established complex signaling cross-talks between Ras GTPases and other members of the superfamily of small GTPases. GEFs were thought to play a major role in these cross-talks. However, recently GAPs were also shown to play crucial roles in these processes. Among RasGAPs, Nf1 is of special interest. Nf1 is responsible for the genetic disease Neurofibromatosis type I, and recent data strongly suggest that this RasGAP connects different signaling pathways. Methodology/Principal Findings In order to know if the RasGAP Nf1 might play a role in connecting Ras GTPases to other small GTPase pathways, we systematically looked for new partners of Nf1, by performing a yeast two-hybrid screening on its SecPH domain. LIMK2, a major kinase of the Rho/ROCK/LIMK2/cofilin pathway, was identified in this screening. We confirmed this interaction by co-immunoprecipitation experiments, and further characterized it. We also demonstrated its specificity: the close related homolog of LIMK2, LIMK1, does not interact with the SecPH domain of Nf1. We then showed that SecPH partially inhibits the kinase activity of LIMK2 on cofilin. Our results furthermore suggest a precise mechanism for this inhibition: in fact, SecPH would specifically prevent LIMK2 activation by ROCK, its upstream regulator. Conclusions/Significance Although previous data had already connected Nf1 to actin cytoskeleton dynamics, our study provides for the first time possible detailed molecular requirements of this involvement. Nf1/LIMK2 interaction and inhibition allows to directly connect neurofibromatosis type I to actin cytoskeleton remodeling, and provides evidence that the RasGAP Nf1 mediates a new cross-talk between Ras and Rho signaling pathways within the superfamily of small GTPases.
Self-Compassion and Empathy: Impact on Burnout and Secondary Traumatic Stress in Medical Training

Objective: To determine how self-compassion and empathy might influence the degree of burnout, secondary traumatic stress and compassion satisfaction among medical students and residents. Methods: Cross-sectional survey of medical students and select residency programs at Henry Ford Hospital in Detroit, Michigan. Respondents completed the Professional Quality of Life Scale (burnout, secondary traumatic stress and compassion satisfaction), Neff’s Self-Compassion Scale, and the empathic concern and personal distress subscales of the Interpersonal Reactivity Index. Results: The response rate was 28.6%. 23.9% and 27.3% of medical trainees reported high levels of burnout and secondary traumatic stress, respectively. Females reported greater empathy but lower self-compassion than males. Greater concern for others and oneself and lower personal distress predicted greater pleasure derived from professional work. Less concern for others and lower concern for oneself predicted greater burnout. Conclusions: Compassion for oneself and for others within their care appears to ameliorate burnout and can increase professional satisfaction. Initiatives to foster empathy and self-compassion may enhance individual well-being.
Association of 5-hydroxymethylation and 5-methylation of DNA cytosine with tissue-specific gene expression

ABSTRACT Differentially methylated or hydroxymethylated regions (DMRs) in mammalian DNA are often associated with tissue-specific gene expression but the functional relationships are still being unraveled. To elucidate these relationships, we studied 16 human genes containing myogenic DMRs by analyzing profiles of their epigenetics and transcription and quantitatively assaying 5-hydroxymethylcytosine (5hmC) and 5-methylcytosine (5mC) at specific sites in these genes in skeletal muscle (SkM), myoblasts, heart, brain, and diverse other samples. Although most human promoters have little or no methylation regardless of expression, more than half of the genes that we chose to study—owing to their myogenic DMRs—overlapped tissue-specific alternative or cryptic promoters displaying corresponding tissue-specific differences in histone modifications. The 5mC levels in myoblast DMRs were significantly associated with 5hmC levels in SkM at the same site. Hypermethylated myogenic DMRs within CDH15, a muscle- and cerebellum-specific cell adhesion gene, and PITX3, a homeobox gene, were used for transfection in reporter gene constructs. These intragenic DMRs had bidirectional tissue-specific promoter activity that was silenced by in vivo-like methylation. The CDH15 DMR, which was previously associated with an imprinted maternal germline DMR in mice, had especially strong promoter activity in myogenic host cells. These findings are consistent with the controversial hypothesis that intragenic DNA methylation can facilitate transcription and is not just a passive consequence of it. Our results support varied roles for tissue-specific 5mC- or 5hmC-enrichment in suppressing inappropriate gene expression from cryptic or alternative promoters and in increasing the plasticity of gene expression required for development and rapid responses to tissue stress or damage.
Thrombomodulin, a receptor for the serine protease thrombin, is decreased in primary tumors and metastases but increased in ascitic fluids of patients with advanced ovarian cancer FIGO IIIc.

The human ovarian cancer cell line OV-MZ-19, established from a patient with cystadenocarcinoma of the ovary, expressing thrombomodulin (TM), a cell surface receptor for the serine protease thrombin, interacts with monoclonal and polyclonal antibodies having different specificity for TM. These antibodies detect TM antigen by means of flow cytofluorometry, laser scanning microscopy, immunocytochemistry, and ELISA. Therefore a highly sensitive ELISA for TM antigen was established using two different monoclonal antibodies to quantify TM in tissue extracts and biological fluids, e.g. peritoneal malignant ascites. Primary malignant ovarian tumors and metastases of the omentum and intestine contain TM antigen as determined by ELISA but in significantly lower concentrations than benign ovarian tumors (p=0.0056). In contrast, malignant ascitic fluid of patients with advanced ovarian cancer (FIGO IIIc) contain significantly elevated concentrations of soluble TM than benign peritoneal exudates (p=0.0003). Immunoaffinity purified ascites-derived TM efficiently activates protein C. Protein C activation of ascites-derived TM as well as TM expressed by the tumor cells is inhibited by the monoclonal antibodies. TM abrogates the procoagulant activity of thrombin, reduces pericellular thrombin via internalization, accelerates the thrombin-mediated inactivation of pro-uPA, and the EGF domains of TM exhibit mitogenic activity towards fibroblasts and tumor cells. Both, thrombin and pro-uPA play important roles in tumor invasion and metastasis. Therefore, downregulation and/or release of TM into ascitic fluid may play an important role in the malignant behavior of tumor cells.
Efficient simulation scheme for a class of quantum optics experiments with non-negative Wigner representation

We provide a scheme for efficient simulation of a broad class of quantum optics experiments. Our efficient simulation extends the continuous variable Gottesman–Knill theorem to a large class of non-Gaussian mixed states, thereby demonstrating that these non-Gaussian states are not an enabling resource for exponential quantum speed-up. Our results also provide an operationally motivated interpretation of negativity as non-classicality. We apply our scheme to the case of noisy single-photon-added-thermal-states to show that this class admits states with positive Wigner function but negative P-function that are not useful resource states for quantum computation.
Physical activity engagement after breast cancer: Advancing the health of survivors

Background: Physical inactivity is identified as the fourth leading risk factor for global mortality and associated with increased breast cancer diagnosis and risks of recurrence. Objectives: To investigate the level of physical activity engagement after breast cancer in survivors and healthy controls. Design: A descriptive casecontrol study on survivors and matched (ethnic, gender, age) healthy controls was surveyed using a pre-post questionnaire and a 1-minute cancer control media. The socio- and medical demographic data, physical activity status information were obtained from self report questionnaires. Results: Breast cancer survivors (n = 51) were found to participate in low-moderate level of physical activity while healthy controls (n = 45) participated in moderate-vigorous level of physical activity. Healthy adults reported more barriers and excuses but all participants (90% survivors and control) were unaware of the strong inverse relationship between level of physical activity and risks of cancer recurrence. The post test on video showed an increased awareness and intention to re-engagement in physical activity for cancer control (M = 7.1 ± 1.53, p
Prediction of Protein Structural Features from Sequence Data Based on Shannon Entropy and Kolmogorov Complexity

While the genome for a given organism stores the information necessary for the organism to function and flourish it is the proteins that are encoded by the genome that perhaps more than anything else characterize the phenotype for that organism. It is therefore not surprising that one of the many approaches to understanding and predicting protein folding and properties has come from genomics and more specifically from multiple sequence alignments. In this work I explore ways in which data derived from sequence alignment data can be used to investigate in a predictive way three different aspects of protein structure: secondary structures, inter-residue contacts and the dynamics of switching between different states of the protein. In particular the use of Kolmogorov complexity has identified a novel pathway towards achieving these goals.
Arrestees’ Perceptions of the Police

Only a handful of studies have sought to explore the robustness of the relationship between procedural justice, police legitimacy, and willingness to cooperate with police among adults who have recently been arrested. The findings from those studies have raised questions about the durability of the framework for offenders, as well as whether there may be variation in perceptions of police across offender types. The current study explores these issues using data from interviews with a large, criminally diverse sample of recently booked arrestees in Maricopa County, AZ, from 2010 to 2012 (N = 2,262). Findings indicate that procedural justice is strongly associated with views of police legitimacy, and perceptions of police legitimacy do not vary by offender type. Procedural justice and legitimacy perceptions are powerful predictors of willingness to cooperate with the police. Results provide strong support for the extension of the normative, process-based framework to the arrestee population.
Cultural identity and self esteem as factors in self efficacy in sciences among Bakonzo and non Bakonzo girls in Busongora-Kasese District

This study investigated cultural identity and self esteem as some of the factors that influence self-efficacy in academic disciplines, notably science disciplines. Data was obtained using questionnaires and analyzed using Pearson r correlation and t tests. The relationships and likely influence between cultural identity and self esteem, cultural identity and self efficacy; self esteem and self efficacy were determined. Then t tests were run to establish if Bakonzo and non Bakonzo girls significantly differ in the mean scores on all the three variables. The scores for each group were analyzed for the respective groups to determine their respective average scores on each variable. Their relationships were determined. t-tests were established to establish if there were any differences between and among two big divides of ethnic groups, namely: the Bakonzo and non Bakonzo girls on their respective levels of the variables of the study. Data was obtained using questionnaires. Three hundred (300) girls of senior two and senior three, of whom 200 and 100 were Bakonzo and non Bakonzo respectively were randomly selected. Six teachers and one hostel manager participated in the study. Of the 300 participants, 229 had their parents and homes in Kasese district while 71 came to the district to study but had their parents and homes outside the district. 160 girls and 140 girls were randomly selected from senior two and senior three respectively. 262 were under 18 years while 38 were above. By religion, they were distributed as follows: Roman Catholics 94, Protestants 153, Moslems 19, SDA 23 and Others 11.
Structure of colloid-polymer suspensions

We discuss structural correlations in mixtures of free polymer and colloidal particles on the basis of a microscopic, two-component liquid-state integral equation theory. Whereas in the case of polymers much smaller than the spherical particles the relevant polymer degree of freedom is the centre of mass, for polymers larger than the (nano-) particles, conformational rearrangements need to be considered. They have the important consequence that the polymer depletion layer exhibits two widely different length scales, one of the order of the particle radius, the other of the order of the polymer radius or the polymer-density screening length in dilute or semidilute concentrations, respectively. Because we find a spinodal instability (mostly) below the overlap concentration, the latter length is (mostly) set by the radius of gyration. As a consequence of the structure of the depletion layer, the particle-particle correlations depend on both length scales for large polymers. Because of the high local compressibility of large polymers, the local depletion layer is a strong function of particle density, but a weak function of polymer concentration. The amplitude of the long-ranged tail of the depletion layer also depends asymptotically only on the colloid concentration, while the range increases upon approaching the (mean-field) spinodal. The colloid correlations may be understood as characteristic for particles with a short-ranged potential when small polymers are added, and as characteristic for particles with a long-ranged, van der Waals-like attraction when the added free polymer coils are much larger. Small polymers fill the voids between the particles rather homogeneously, exhibiting correlations inside the mesh (which gets squeezed by the colloids) and Porod-like correlations for larger distances. The structure factor of large polymers, however, exhibits no ramified mesh and becomes a Lorentzian characterized by the mixture correlation length, which diverges at the spinodal.
Fine Particle Sources and Cardiorespiratory Morbidity: An Application of Chemical Mass Balance and Factor Analytical Source-Apportionment Methods

Background Interest in the health effects of particulate matter (PM) has focused on identifying sources of PM, including biomass burning, power plants, and gasoline and diesel emissions that may be associated with adverse health risks. Few epidemiologic studies, however, have included source-apportionment estimates in their examinations of PM health effects. We analyzed a time-series of chemically speciated PM measurements in Atlanta, Georgia, and conducted an epidemiologic analysis using data from three distinct source-apportionment methods. Objective The key objective of this analysis was to compare epidemiologic findings generated using both factor analysis and mass balance source-apportionment methods. Methods We analyzed data collected between November 1998 and December 2002 using positive-matrix factorization (PMF), modified chemical mass balance (CMB-LGO), and a tracer approach. Emergency department (ED) visits for a combined cardiovascular (CVD) and respiratory disease (RD) group were assessed as end points. We estimated the risk ratio (RR) associated with same day PM concentrations using Poisson generalized linear models. Results There were significant, positive associations between same-day PM2.5 (PM with aero-dynamic diameter ≤ 2.5 μm) concentrations attributed to mobile sources (RR range, 1.018–1.025) and biomass combustion, primarily prescribed forest burning and residential wood combustion, (RR range, 1.024–1.033) source categories and CVD-related ED visits. Associations between the source categories and RD visits were not significant for all models except sulfate-rich secondary PM2.5 (RR range, 1.012–1.020). Generally, the epidemiologic results were robust to the selection of source-apportionment method, with strong agreement between the RR estimates from the PMF and CMB-LGO models, as well as with results from models using single-species tracers as surrogates of the source-apportioned PM2.5 values. Conclusions Despite differences among the source-apportionment methods, these findings suggest that modeled source-apportioned data can produce robust estimates of acute health risk. In Atlanta, there were consistent associations across methods between PM2.5 from mobile sources and biomass burning with both cardiovascular and respiratory ED visits, and between sulfate-rich secondary PM2.5 with respiratory visits.