Miracle-dz/UniFAR-FTUs huggingface dataset:
Time Trends and Determinants of Fistula in Cleft Patients at BC Children's Hospital, Canada

Objective: To examine the time trends and determinants of palatal fistula in children with different types of cleft at British Columbia's Children's Hospital between 1995 and 2012. Methods: A total of 558 medical charts of nonsyndromic patients with cleft lip and palate were eligible for the chart review. The occurrence of primary palatal fistula was assessed at any time throughout the patient's total observation period. Three types of clefts were recorded: unilateral cleft lip and palate (ULCLP), bilateral cleft lip and palate (BLCLP), and isolated cleft palate (ICP). Cleft severity, time period of treatment, type of surgery and surgeon's experience were tested as determinants. Results: Of all 558 patients, 228 had ULCLP, 226 had ICP, and 104 had BLCLP. The combined postoperative palatal fistula rate was 28%. The significant differences in fistula rates related to type of cleft (patients with BLCLP had the highest fistula rates), time period (rates were higher in earlier years than in later years), type of surgery (highest rates were for two-flap palatoplasty), and surgeons with less experience. Conclusions: Almost one quarter of the patients, developed fistula, and fistula incidence declined after 2009. The higher fistula rates were determined by cleft severity, time period of treatment, type of surgery, and surgeon's experience.
Contribution of the Pacific Decadal Oscillation to global mean sea level trends

Understanding and explaining the trend in global mean sea level (GMSL) have important implications for future projections of sea level rise. While measurements from satellite altimetry have provided accurate estimates of GMSL, the modern altimetry record has only now reached 20 years in length, making it difficult to assess the contribution of decadal to multidecadal climate signals to the global trend. Here, we use a sea level reconstruction to study the 20 year trends in sea level since 1950. In particular, we show that the Pacific Decadal Oscillation (PDO) contributes significantly to the 20 year trends in GMSL. We estimate the PDO contribution to the GMSL trend over the past 20 years to be approximately 0.49 ± 0.25 mm/year and find that removing the PDO contribution reduces the acceleration in GMSL estimated over the past 60 years.
Gender differences in the perception of quality of life of patients with colorectal cancer.

OBJECTIVES To identify the gender differences in assessing quality of life of patients undergoing chemotherapy treatment for colorectal cancer. METHODS This is a cross-sectional investigation conducted with 144 patients (72 men and 72 women) undergoing chemotherapy treatment in a southeastern Brazilian hospital. Data were gathered trough a sociodemographic and clinical information form and the Health-related Quality of Life instrument from the European Organization for Research and Treatment of Cancer. RESULTS Cognitive function leads to lower general quality of life, with higher effect in men when compared to women. Body image (p=0.023), abdominal pain (p=0.020) and dry mouth (p=0.001) produced lower quality of life in women. On other hand, men showed lower quality of life related to the following symptoms: fecal incontinency (p<0.001), sexual impotency (p=0.027) and sexual arousal (p<0.001). CONCLUSIONS The illness symptoms and chemotherapy treatment effects that negatively impact on quality of life differ between men and women. Thus, healthcare needs to be focused on these specific factors that affect the quality of life according to the patient's gender.
Experimental analysis on the yarn's section of three-dimensional five-directional braided composites

A series of cross-section images of three-dimensional(3D) five-directional braided composites were captured by the charge-coupled device(CCD) microscope,and then the yarn's arrangements and their section patterns were discussed.The experimental results show that the yarn's arrangements are different in the different cross-sections of 3D five-directional braided composites,and they are changing periodically.The braiding yarn's section looks like a flat convex lens approximately.The axial yarns are almost straightened,but their sections are changing from fanlike shape to triangle shape alternately along their axes.The surface yarn's arrangements are related to the interior yarn's pattern,and their sections are near to the elliptical shape.
Light Modulates the Biosynthesis and Organization of Cyanobacterial Carbon Fixation Machinery through Photosynthetic Electron Flow1[OPEN]

The biosynthesis and spatial positioning of β-carboxysomes, the carbon fixation machinery in cyanobacteria, are modulated by light intensity and redox state of photosynthetic electron transport chain. Cyanobacteria have evolved effective adaptive mechanisms to improve photosynthesis and CO2 fixation. The central CO2-fixing machinery is the carboxysome, which is composed of an icosahedral proteinaceous shell encapsulating the key carbon fixation enzyme, Rubisco, in the interior. Controlled biosynthesis and ordered organization of carboxysomes are vital to the CO2-fixing activity of cyanobacterial cells. However, little is known about how carboxysome biosynthesis and spatial positioning are physiologically regulated to adjust to dynamic changes in the environment. Here, we used fluorescence tagging and live-cell confocal fluorescence imaging to explore the biosynthesis and subcellular localization of β-carboxysomes within a model cyanobacterium, Synechococcus elongatus PCC7942, in response to light variation. We demonstrated that β-carboxysome biosynthesis is accelerated in response to increasing light intensity, thereby enhancing the carbon fixation activity of the cell. Inhibition of photosynthetic electron flow impairs the accumulation of carboxysomes, indicating a close coordination between β-carboxysome biogenesis and photosynthetic electron transport. Likewise, the spatial organization of carboxysomes in the cell correlates with the redox state of photosynthetic electron transport chain. This study provides essential knowledge for us to modulate the β-carboxysome biosynthesis and function in cyanobacteria. In translational terms, the knowledge is instrumental for design and synthetic engineering of functional carboxysomes into higher plants to improve photosynthesis performance and CO2 fixation.
Association between polycystic ovary syndrome and the risk of stroke and all-cause mortality: insights from a meta-analysis

Abstract Many epidemiologic literatures have investigated the link between PCOS and long-term stroke risk and all-cause mortality, but the results are surprisingly conflicting. A meta-analysis was performed to examine the link between polycystic ovary syndrome (PCOS) and the risk of stroke, death from any cause, and assessed whether BMI might explain a higher risk of stroke. We searched the PUBMED, EMBASE, and Cochrane Library databases with no restrictions. Nine Cohort studies were identified, involving a total of 237,647 subjects. Compared with those without PCOS, subjects with PCOS were significantly associated with a increased risk of developing stroke (OR = 1.36; 95% CI 1.09–1.70; p = .007). However, no significant association was observed between PCOS and all-cause death (OR = 1.21; 95% CI 0.88–1.66; p = .25). Moreover, after pooling the five studies with risk estimates adjusted for BMI, the association between PCOS and stroke was slightly attenuated, although the odds ratios did not reach statistical significance (OR = 1.24; 95% CI 0.98–1.59). In conclusion, PCOS is associated with significant increased risk for stroke, while there is no consistent evidence to indicate that PCOS influences all-cause death outcomes. Increased BMI is an important contributor to the relationship between PCOS and stroke risk. Further study is needed to clarify which subgroups of subjects with the PCOS are at higher risk for stroke and should focus on developing reliable device for risk stratification.
Lactic Acid Bacteria May Impact Intestinal Barrier Function by Modulating Goblet Cells

Scope Lactic acid bacteria (LAB) are recognized to promote gastrointestinal health by mechanisms that are not fully understood. LABs might modulate the mucus and thereby enhance intestinal barrier function. Herein, we investigate effects of different LAB strains and species on goblet cell genes involved in mucus synthesis. Methods and results Gene expression profiles of goblet‐cell‐associated products (mucin MUC2, trefoil factor 3, resistin‐like molecule β, carbohydrate sulfotransferase 5, and galactose‐3‐O‐sulfotransferase 2) induced by LAB or their derived conditioned medium in human goblet cell line LS174T are studied. Effects of LAB on gene transcription are assessed with or without exposure to TNF‐α, IL‐13, or the mucus damaging agent tunicamycin. LAB do impact the related genes in a species‐ and strain‐specific fashion and their effects are different in the presence of the cytokines and tunicamycin. Bioactive factors secreted by some strains are also found to regulate goblet cell‐related genes. Conclusion Our findings provide novel insights in differences in modulatory efficacy on mucus genes between LAB species and strains. This study further unravels direct interactions between LAB and intestinal goblet cells, and highlights the importance of rationally selecting appropriate LAB candidates to achieve specific benefits in the gut.
Fulvestrant-Mediated Inhibition of Estrogen Receptor Signaling Slows Lung Cancer Progression

Estrogens are key signaling molecules that regulate various physiological processes such as cell growth, development, and differentiation. They also play a major role in many pathological conditions, such as hormone-dependent cancer. The importance of inhibiting estrogen receptor signaling in diseases of estrogen target tissues, such as breast cancer, is well documented. However, the role of estrogen signaling in diseases of nontarget tissues, such as lung cancer, is not well characterized. The aim of the current study is to examine the expression of estrogen receptor β (ERβ) and the roles of estradiol (E2) and fulvestrant on the progression of lung cancer. Tissue microarray (TMA) and immunohistochemistry (IHC) analyses were used to detect the expression of aromatase, ERα, and ERβ in 198 patients. We performed analyses to determine if there was any correlation among these three proteins. A mouse model of urethane-induced lung adenocarcinoma was used in the study. Mice were divided into three treatment groups: blank control, E2 alone, and E2 + fulvestrant (ERβ antagonist). Western blot analysis and fluorescence quantitative PCR (FQ-PCR) were used to measure expression of ERβ protein and mRNA levels, respectively. ERβ, but not ERα, was overexpressed in NSCLC samples. Lung cancer progression in mice treated with E2 was significantly increased compared to either the control group or the E2 + fulvestrant group. Mice in the E2 treatment group had significantly increased expression of ERβ at both the mRNA and protein levels compared to mice treated with E2 + fulvestrant or control. Our data suggest that ERβ promotes lung cancer progression in mice and that this progression can be inhibited with fulvestrant. These findings may help elucidate the role of ERβ in lung cancer and suggest that estrogen receptor antagonists, such as fulvestrant, may be therapeutically beneficial for the treatment of the disease.
The Potential for Oysters, Crassostrea virginica, to Develop Resistance to Dermo Disease in the Field: Evaluation using a Gene-Based Population Dynamics Model

ABSTRACT Today, populations of eastern oysters, Crassostrea virginica, are commonly limited by disease mortality. Resistance to MSX disease has developed in a number of cases, but the development of resistance to Dermo disease would appear to be limited, despite the high mortality rates and frequency of epizootics. Can aspects of the host's genetics or population dynamics limit the response to the disease despite the apparent opportunity afforded by alleles conferring disease resistance or tolerance? To answer this question, we use a gene-based population dynamics model, configured for C. virginica, to simulate the development of disease resistance using mortality as the agent of selection. Simulated populations were exposed to 4 levels of mortality covering the range in mortality observed in Delaware Bay in the 1990s. In each case, disease resistance increased in the simulated population over time, normally proportional to the increase in mortality rate imposed by the disease. However, simulations show that the population responds even at its most rapid rate on multidecadal to half-century timescales. As the mortality rate declines with increasing disease resistance, the rate of further improvement in disease resistance likewise declines. Thus, disease resistance develops over decadal timescales at a 40%-per-year mortality rate, but, as mortality rate falls to 25% per year, the rate of further development of disease resistance extends to half-century timescales. The discouraging profundity is that a mortality rate of 25% per year, yielding a rate of selection profoundly slow, is still very high. In northern climes, significant decrements in oyster abundance will occur. Evidence from fisheries retrospectives suggests that oysters cannot withstand a constant removal at this scale without compromising population integrity noticeably. So, a mortality rate that grievously limits the development of disease resistance still sorely strains the species' ability to maintain a vibrant population necessary to its long-term survival.
Effect of beating revolution on sweet bamboo (Dendrocalamus asper Backer) kraft pulp properties

Chips of sweet bamboo were delignified by kraft pulping process. The obtained pulps were evaluated for unbleached pulp properties by beating effect. Considering the kraft pulping process, it was found that the effluent of active alkaline level could change pulp yield and kappa number. At similar 30% sulfidity and different (16–22%) active alkaline, the active alkaline charge was increased and screened yield and kappa number were decreased. When active alkaline increased 2 %, the pulp yield and kappa number decreased and about 2%. The highest sweet bamboo screened yield and kappa number were 46.32% by 12.5 points. It was selected to evaluate beatability and strength of unbleached sweet bamboo kraft pulp by PFI mill. The data presented the beating revolutions which impor-tantly affected all pulp strengths and slightly affected optical properties as brightness. At 4000 rev. and freeness 388 ml,CSF it illustrated the highest tensile strength, 70.20 Nm/g and tear strength, 35.82 mN.m 2 /g. In contrast, the highest burst strength and folding endurance were indicated at 5000 rev. and 300 freeness ml,CSF. They were 4.10 kPa.m 2 /g and 492.20 r/c, respectively. The optical property of unbleached sweet bamboo kraft pulp was low brightness and was about 20% ISO.
Dietary salt intake and time to relapse in paediatric multiple sclerosis

Background Salt intake was reported to be associated with increased clinical and MRI activity in adult patients with relapsing-remitting multiple sclerosis (MS). Objective To determine if salt intake is associated with time to relapse in patients with paediatric-onset MS. Methods Paediatric-onset MS and patients with clinically isolated syndrome (CIS) within 4 years of disease onset were recruited from 15 paediatric MS centres in the USA as part of a case–control study. Patients with available prospective relapse data subsequent to enrolment were included in this project. Dietary sodium intake was assessed by self-report questionnaire using the validated Block Kids Food Screener. Cox proportional-hazards regression models were employed to determine the association of sodium density, excess sodium intake and sodium density tertiles with time to relapse following study enrolment, adjusting for several confounders. Results 174 relapsing-remitting MS/CIS patients were included in this analysis (mean age of 15.0 years, and 64.9% females). Median duration of follow-up was 1.8 years. In an unadjusted analysis, density of daily sodium intake was not associated with time to relapse, and patients with excess sodium intake had no decrease in time to relapse as compared with patients with non-excess sodium intake. The multivariable analysis demonstrated that patients in the medium and high tertile of sodium density had a HR of 0.69 (95% CI 0.37 to 1.30, p=0.25) and 1.37 (95% CI 0.74 to 2.51, p=0.32) compared with patients in the lowest tertile, respectively. Conclusions Higher salt intake was not associated with decreased time to relapse in patients with paediatric-onset MS.
The acquisition of melodic form and meaning in yes-no interrogatives by Catalan and Spanish speaking children

Abstract This study investigates the link between interrogative intonation and meaning in child-directed speech (henceforth CDS) and how this is reflected in the early development of yes-no-interrogatives of Catalan- and Spanish-speaking children. Previous research found that children before the two-word period produce several types of interrogatives and that their productions generally reflect the adult inventory pattern (Lleó & Rakow 2011; Prieto et al. 2012). Yet prior studies have not included an analysis of the pragmatic meanings that are encoded intonationally. This investigation takes an integrated approach to the study of intonational development within the domain of yes-no questions, exploring further the correspondence between intonational form and meaning in early interrogative production and relating it to the pragmatics of interrogative intonation in child-directed speech. A set of 723 interrogative utterances produced by 3 Catalan- and 2 Spanish-acquiring children between the onset of interrogative production and 2;4 were pragmatically and then prosodically analyzed, as well as a set of 867 utterances from Catalan and Spanish CDS. The data were extracted from the Serra-Solé Catalan Corpus and the Ojea and López-Ornat Spanish Corpora in CHILDES. Production results show that all children perform some instance of questioning before the two-word period and that their productions generally reflect the adult inventory patterns. Moreover, the results show a preference relationship between the different types of nuclear pitch configurations and the pragmatic meanings that underlie the yes-no-interrogative forms. Finally, these results highlight the importance of the assessment of form-meaning relationships for the understanding of intonational development.
Moisture sensitivity examination of asphalt mixtures using thermodynamic, direct adhesion peel and compacted mixture mechanical tests

Moisture damage in asphalt mixtures is a complicated mode of pavement distress that results in the loss of stiffness and structural strength of the asphalt pavement layers. This paper evaluated the moisture sensitivity of different aggregate–bitumen combinations through three different approaches: surface energy, peel adhesion and the Saturation Ageing Tensile Stiffness (SATS) tests. In addition, the results obtained from these three tests were compared so as to characterise the relationship between the thermodynamic and the mechanical tests. The surface energy tests showed that the work of adhesion in dry conditions was bitumen type dependent, which is in agreement with the peel test. After moisture damage, all of these three tests found that the moisture sensitivity of aggregate–bitumen combinations were mainly aggregate type dependent. Based on the peel test, the moisture absorption and mineralogical compositions of aggregate were considered as two important factors to moisture sensitivity. This phenomenon suggests that in a susceptible asphalt mixture, the effect of aggregate may be more influential than the effect of bitumen. The SATS test and the peel test showed similar moisture sensitivity results demonstrating the good correlation between these two mechanical tests. However, the surface energy tests and the mechanical tests cannot correlate in terms of moisture sensitivity evaluation.
Triptolide has anticancer and chemosensitization effects by down-regulating Akt activation through the MDM2/REST pathway in human breast cancer

Triptolide has been shown to exhibit anticancer activity. However, its mechanism of action is not clearly defined. Herein we report a novel signaling pathway, MDM2/Akt, is involved in the anticancer mechanism of triptolide. We observed that triptolide inhibits MDM2 expression in human breast cancer cells with either wild-type or mutant p53. This MDM2 inhibition resulted in decreased Akt activation. More specifically, triptolide interfered with the interaction between MDM2 and the transcription factor REST to increase expression of the regulatory subunit of PI3-kinase p85 and consequently inhibit Akt activation. We further showed that, regardless of p53 status, triptolide inhibited proliferation, induced apoptosis, and caused G1 phase cell cycle arrest. Triptolide also enhanced the cytotoxic effect of doxorubicin. MDM2 inhibition plays a causative role in these effects. The inhibitory effect of triptolide on MDM2-mediated Akt activation was eliminated with MDM2 overexpression. MDM2-overexpressing tumor cells, in turn, were less susceptible to the anticancer and chemosensitization effects of triptolide than control cells. Triptolide also exhibited anticancer and chemosensitization effects in nude mouse xenograft model. When it was administered to tumor-bearing nude mice, triptolide inhibited tumor growth and enhanced the antitumor effects of doxorubicin. In summary, triptolide has anticancer and chemosensitization effects by down-regulating Akt activation through the MDM2/REST pathway in human breast cancer. Our study helps to elucidate the p53-independent regulatory function of MDM2 in Akt signaling, offering a novel view of the mechanism by which triptolide functions as an anticancer agent.
Combining a GSI and BCL-2 inhibitor to overcome melanoma's resistance to current treatments

Major limitations of current melanoma treatments are for instances of relapse and the lack of therapeutic options for BRAF wild-type patients who do not respond to immunotherapy. Many studies therefore focus on killing resistant subpopulations, such as Melanoma Initiating Cells (MICs) to prevent relapse. Here we examined whether combining a GSI (γ-Secretase Inhibitor) with ABT-737 (a small molecule BCL-2/BCL-XL/BCL-W inhibitor) can kill both the non-MICs (bulk of melanoma) and MICs. To address the limitations of melanoma therapies, we included multiple tumor samples of patients relapsed from current treatments, with a diverse genetic background (with or without the common BRAF, NRAS or NF1 mutations) in these studies. Excitingly, the combination treatment reduced cell viability and induced apoptosis of the non-MICs; disrupted primary spheres, decreased the ALDH+ cells, and inhibited the self-renewability of the MICs in multiple melanoma cell lines and relapsed patient samples. Using a low-cell-number mouse xenograft model, we demonstrated that the combination significantly reduced the tumor initiating ability of MIC-enriched cultures from relapsed patient samples. Mechanistic studies also indicate that cell death is NOXA-dependent. In summary, this combination may be a promising strategy to address treatment relapse and for triple wild-type patients who do not respond to immunotherapy.