Miracle-dz/UniFAR-FTUs huggingface dataset:
Effect of hygroscopic expansion of resin filling on interfacial gap and sealing: a confocal microscopy study.

PURPOSE To measure dimensional changes due to hygroscopic expansion and their effect on interface gaps and sealing in four light-cured restorative materials using an original confocal microscopic methodology. MATERIALS AND METHODS The materials tested were an ormocer (Admira [Voco]), a compomer (Dyract AP [Dentsply]), a hybrid composite (Spectrum [Dentsply]), and a nanohybrid composite (Esthet·X [Dentsply]). Water sorption was evaluated by weighing material disks after immersion. Hygroscopic expansion was measured from volumetric variations of material fillings in cylindrical cavities in dentin slices; the interfacial gap size was obtained from the same cavities using a novel confocal microscopic method. Microleakage was evaluated in cavities prepared in extracted third molars. Measurements followed water immersion for 24 h, 1 week, 4 weeks, and 8 weeks. A factorial ANOVA, the Student Newman Keuls test for post-hoc comparisons, the Student's t-test, and the Pearson test were used for the statistical analysis (p < 0.05). RESULTS Positive correlations were found among water sorption, hygroscopic expansion, and sealing. Hygroscopic expansion reduced post-polymerization interfacial gaps and improved cavity sealing. Dyract AP and Admira showed the highest water sorption, hygroscopic expansion, and gap size reduction. CONCLUSIONS 1. The proposed methodology is valid to measure hygroscopic expansion and interfacial gap. 2. Water sorption and hygroscopic expansion are positively correlated, and hygroscopic expansion, gap size, and sealing are also positively correlated. 3. The adhesive influences the interfacial gap size and its variation after hygroscopic expansion. 4. Hygroscopic expansion reduces the interfacial gaps generated by polymerization shrinkage and improves cavity sealing.
Rise Time and Gain Fluctuations of an Electrooptical Amplified Switch Based on Multipulse Injection in Semiconductor Optical Amplifiers

Subnanosecond electrooptical switching times with 26-dB extinction ratio were obtained by using semiconductor optical amplifiers driven by a multipulse injection current. The multipulse switching current was generated by superimposing fast electronic pulse signals in a microwave resistive combiner. Although very fast switching is achievable, nonlinear behavior and circuits parasitic induce gain fluctuations and overshooting during the off-on process. Theoretical and experimental results show that the reduction of parasitics is an important parameter for improving the switching performance. The multipulse injection technique can improve the switching speed for a chosen degree of overshoot.
Clinical results for the training‐phase roll‐in patients in the intracoil femoralpopliteal stent trial

The purpose of this study was to report the results of the roll‐in patients for the multicenter IntraCoil trial in the femoropopliteal arteries at 9‐month follow‐up. Ninety‐three roll‐in patients (mean age, 67.8 ± 10.5 years; 62.4% male gender) constituted the learning phase for the 22 clinical sites. Obstructive femoropopliteal artery disease up to 15 cm was treated with stenting. Clinical patency was measured over a 9‐month period by clinical and hemodynamic data as well as the Rutherford scale. Diabetes mellitus was present in 35.5%. Twenty‐nine percent of lesions treated were occlusions. The mean reference diameter for treated lesions was 4.27 ± 1.11 mm, while the mean lesion length was 3.83 ± 3.69 cm. Acute angiographic success by operator evaluation was obtained in 98.9% of patients. Major complications occurred in 3.2%. No patient experienced abrupt or subacute closure. There were two reports of failure to deliver assigned stent. In both incidences, the stent was removed without surgical intervention. There were also three reports of stent misplacement (moving during delivery), one report of stent migration, one report of delivery system failure. At 30‐day and 9‐month follow‐up of successfully treated patients, 100%/77.9% remained free of major adverse clinical events (MACE) and 100%/81.8% target lesion revascularization (TLR), respectively. At 9‐month follow‐up, ankle‐brachial index increased from 0.66 ± 0.22 to 0.83 ± 0.20 while mean maximum walking time increased form 4.47 ± 3.02 to 5.91 ± 3.97 min. The use of the IntraCoil stent appears to have a short learning curve. Excellent clinical and hemodynamic patency is seen at 9 months. The randomized comparison trial comparing the IntraCoil to angioplasty is pending. Cathet Cardiovasc Intervent 2002;56:443–449. © 2002 Wiley‐Liss, Inc.
A prospective study of astrovirus diarrhea of infancy in Mexico City.

AIM To describe the epidemiologic and clinical characteristics of astrovirus-associated diarrhea in a cohort of young children from a periurban community in Mexico City. METHODS From November, 1988, through December, 1991, a total of 214 children were enrolled in a longitudinal study of diarrhea and monitored from birth to 18 months of age. A stool specimen was collected during each episode of diarrhea. Specimens from a total of 510 diarrhea episodes were tested for astrovirus by enzyme immunoassay and examined for other enteric pathogens. The antigenic types of astrovirus were determined by a typing enzyme immunoassay. RESULTS Astrovirus was detected in 26 (5%) of 510 diarrhea episodes, with an incidence rate of 0.1 episode/child year; the highest rate was in children 13 to 18 months of age. Astrovirus-associated diarrhea was characterized by a median of 4 stools (range, 2 to 10) during the first 24 h, a median duration of 3 days (range, 1 to 21), vomiting (20%), and fever (7%). No cases of dehydration or repeat symptomatic infections were observed. Coinfection with another pathogen was detected in 11 of the 26 episodes (42%). Serotype 2 (35%) was most common, followed by serotypes 4 (15%), 3 (11%), and 1 and 5 (4% each); 31% were nontypable. Astrovirus-associated diarrhea was less severe, as measured by the number of stools (4.3 +/- 1.9), than diarrhea caused by rotavirus (7.1 +/- 2.8) or when coinfections occurred (5.5 +/- 1.6; P = 0.008). CONCLUSIONS Astrovirus was associated with 5% of the episodes of diarrhea in this cohort of young Mexican children and presented as a mild secretory diarrhea. Five predominant antigenic types were detected with type 2 being the most common.
Treatment resistance in severe unipolar depression: no association with psychotic or melancholic features.

BACKGROUND Depressive subtypes generally have been neglected in research on treatment efficacy. We studied a sample of 699 severe unipolar depressed patients to detect any association between depressive features and treatment resistance. METHODS Participants were divided into psychotic (PSY, n = 90), melancholic (MEL, n = 430) and non-melancholic (n = 179) subjects according to clinical features. Formal diagnostic criteria (Mini International Neuropsychiatric Interview items), and items from 17-item Hamilton Rating Scale for Depression (HRSD17) were compared across groups. Non-responders were defined by a HRSD17 cut-off score of ≥17 after the last adequate antidepressant treatment. Treatment-resistant depression (TRD) was defined as the failure to respond to ≥2 adequate antidepressant trials. Non-linear regression models were designed to detect associations between depressive subtypes and TRD. RESULTS PSY and MEL patients appeared to be more severely affected and to share some "core" melancholic symptoms. Both PSY and MEL patients reported a higher rate of seasonality. However, we found no clinical or illness course variable associated with TRD. CONCLUSIONS Our results indicate that psychotic and melancholic depression share some "core" melancholia symptoms, while no distinguishing psychopathological feature appears to be associated with TRD in severely depressed patients.
Arboviruses Isolated from Mosquitoes Collected from Urban and Peri-urban Areas of Eastern Australia

Abstract To determine the presence of arboviruses in mosquito populations from major urban areas of eastern Australia, a total of 67,825 mosquitoes, representing ∼60 species, was collected and tested from Cairns, Brisbane, and Sydney between January 2005 and April 2008. Mosquito pools were screened by inoculation onto mosquito cell cultures and the detection of viral antigen using a panel of flavivirus and alphavirus monoclonal antibodies in an enzyme-linked immunosorbent assay. Suspect positive samples were confirmed using virus-specific real-time reverse transcriptase–polymerase chain reaction assays. No flaviviruses were detected, but 2 alphaviruses were isolated from mosquito pools collected from Cairns, with 1 Barmah Forest virus isolate from a pool of 100 Aedes vigilax and 1 Ross River virus isolate from a pool of 83 Verrallina carmenti. In addition, a single Aedes alternans collected from Sydney yielded an isolate most similar to Stretch Lagoon virus, a newly described virus from the genus Orbivirus. These results suggest that during the study, arboviruses were circulating at a low level in the areas sampled. The findings from this study will promote public health awareness of the risk of arboviruses in urban areas, leading to more informative public health campaigns to safeguard the Australian public.
Development and validation of an elbow score.

OBJECTIVES Few of the questionnaires available for evaluating the function and clinical state of the elbow have been validated. An ideal score would be consistent, sensitive, reliable and elbow-specific, incorporating both patient perception and clinician assessment. This was our aim. METHODS Items were generated using 25 patients and expert opinion, and reduced using 25 new patients to yield a nine-item patient questionnaire and a six-item clinical evaluation (of strength, motion and ulnar nerve involvement). This was validated using 63 new patients (of whom 28 were studied twice without therapy and 18 were studied again after appropriate surgery). RESULTS The test-retest reliability coefficient of determination (R2 = 0.93) and internal consistency (Cronbach's alpha = 0.98) were both good. Convergent validity was attested by good correlations with other scores, the Disabilities of Arm, Shoulder and Hand Questionnaire (DASH) and the Nottingham Health Profile (NHP) (physical) (R2 = 0.62 and 0.29, P < 0.0005). Sensitivity to change was demonstrated by correlating preoperative-postoperative changes to those in DASH and NHP (physical) (R2 = 0.50 and 0.27, P < 0.04). CONCLUSION This is a reliable, internally consistent score, correlating well with other, non-elbow specific scores and sensitive to change on treatment.
Network compensation of cyclic GMP-dependent protein kinase II knockout in the hippocampus by Ca2+-permeable AMPA receptors

Significance Deletion of genes in organisms does not always give rise to phenotypes because of the existence of compensation, even though phenotypes may be found when gene activity is blocked acutely. The cGMP-dependent kinase II knockout is a typical example of this apparent paradox. The knockout shows no evident impairment of LTP, whereas acute inhibition of kinase activity significantly decreases it. This paper describes a previously unidentified form of network-based compensation for cGMP-dependent kinase II gene knockout that is not dependent on expression of duplicate or paralogous genes. Furthermore, the compensation described here is mediated by a mechanism similar to that used by activity-dependent homeostatic synaptic plasticity, suggesting that neurons in complex brains may overcome an unexpected genetic lesion by using existing homeostatic mechanisms. Gene knockout (KO) does not always result in phenotypic changes, possibly due to mechanisms of functional compensation. We have studied mice lacking cGMP-dependent kinase II (cGKII), which phosphorylates GluA1, a subunit of AMPA receptors (AMPARs), and promotes hippocampal long-term potentiation (LTP) through AMPAR trafficking. Acute cGKII inhibition significantly reduces LTP, whereas cGKII KO mice show no LTP impairment. Significantly, the closely related kinase, cGKI, does not compensate for cGKII KO. Here, we describe a previously unidentified pathway in the KO hippocampus that provides functional compensation for the LTP impairment observed when cGKII is acutely inhibited. We found that in cultured cGKII KO hippocampal neurons, cGKII-dependent phosphorylation of inositol 1,4,5-trisphosphate receptors was decreased, reducing cytoplasmic Ca2+ signals. This led to a reduction of calcineurin activity, thereby stabilizing GluA1 phosphorylation and promoting synaptic expression of Ca2+-permeable AMPARs, which in turn induced a previously unidentified form of LTP as a compensatory response in the KO hippocampus. Calcineurin-dependent Ca2+-permeable AMPAR expression observed here is also used during activity-dependent homeostatic synaptic plasticity. Thus, a homeostatic mechanism used during activity reduction provides functional compensation for gene KO in the cGKII KO hippocampus.
Evidence based practice readiness: A concept analysis

AIM To analyse and define the concept "evidence based practice readiness" in nurses. BACKGROUND Evidence based practice readiness is a term commonly used in health literature, but without a clear understanding of what readiness means. Concept analysis is needed to define the meaning of evidence based practice readiness. METHOD A concept analysis was conducted using Walker and Avant's method to clarify the defining attributes of evidence based practice readiness as well as antecedents and consequences. A Boolean search of PubMed and Cumulative Index for Nursing and Allied Health Literature was conducted and limited to those published after the year 2000. Eleven articles met the inclusion criteria for this analysis. RESULTS Evidence based practice readiness incorporates personal and organisational readiness. Antecedents include the ability to recognize the need for evidence based practice, ability to access and interpret evidence based practice, and a supportive environment. CONCLUSION The concept analysis demonstrates the complexity of the concept and its implications for nursing practice. The four pillars of evidence based practice readiness: nursing, training, equipping and leadership support are necessary to achieve evidence based practice readiness. IMPLICATIONS FOR NURSING MANAGEMENT Nurse managers are in the position to address all elements of evidence based practice readiness. Creating an environment that fosters evidence based practice can improve patient outcomes, decreased health care cost, increase nurses' job satisfaction and decrease nursing turnover.
Cerebral dural arteriovenous fistulas: clinical and angiographic correlation with a revised classification of venous drainage.

PURPOSE To review the symptoms and progression of dural arteriovenous fistulas (AVFs) and correlate the findings with various angiographic patterns. MATERIALS AND METHODS Patterns of venous drainage allowed classification of dural AVFs into five types: type I, located in the main sinus, with antegrade flow; type II, in the main sinus, with reflux into the sinus (IIa), cortical veins (IIb), or both (IIa + b); type III, with direct cortical venous drainage without venous ectasia; type IV, with direct cortical venous drainage with venous ectasia; and type V, with spinal venous drainage. RESULTS Type I dural AVFs had a benign course. In type II, reflux into the sinus induced intracranial hypertension in 20% of cases, and reflux into cortical veins induced hemorrhage in 10%. Hemorrhage was present in 40% of cases of type III dural AVFs and 65% of type IV. Type V produced progressive myelopathy in 50% of cases. CONCLUSION This classification provides useful data for determination of the risk with each dural AVF and enables decision-making about the appropriate therapy.
Waste-to-energy incineration plants as greenhouse gas reducers: A case study of seven Japanese metropolises

Municipal solid waste (MSW) incineration is a greenhouse gas (GHG) emitter; however, if GHG reductions, achieved by accounting for waste-to-energy, exceed GHG emissions, incineration can be considered as a net GHG reducer. In Japan, only 24.5% of MSW incineration plants perform energy recovery despite 80% of MSW being incinerated; therefore, there is great potential to extract more energy from MSW. In this study, the factors that should be considered to achieve net GHG reductions from incineration were analysed from a life cycle perspective. These considerations were then applied to the energy supply requirements in seven Japanese metropolises. Firstly, the carbon footprints of approximately 1500 incineration plants in Japan were calculated. Then, the incineration plants with negative carbon footprint values were classified as net GHG reducers. Next, the processes that contribute to the carbon footprint were evaluated, and two processes—plastic burning and electricity savings—were found to have the greatest influence. Based on the results, the energy supply requirements were analysed and discussed for seven metropolises (Sapporo, Tokyo, Nagoya, Osaka, Kobe, Takamatsu and Fukuoka) taking into account the energy demands of households. In Kobe, 16.2% of the electricity demand and 25.0% of the hot water demand could be satisfied by incineration to realise a net GHG reducer, although urban design for energy utilisation would be required.
Brain development during adolescence: A mixed‐longitudinal investigation of cortical thickness, surface area, and volume

What we know about cortical development during adolescence largely stems from analyses of cross‐sectional or cohort‐sequential samples, with few studies investigating brain development using a longitudinal design. Further, cortical volume is a product of two evolutionarily and genetically distinct features of the cortex ‐ thickness and surface area, and few studies have investigated development of these three characteristics within the same sample. The current study examined maturation of cortical thickness, surface area and volume during adolescence, as well as sex differences in development, using a mixed longitudinal design. 192 MRI scans were obtained from 90 healthy (i.e., free from lifetime psychopathology) adolescents (11‐20 years) at three time points (with different MRI scanners used at time 1 compared to 2 and 3). Developmental trajectories were estimated using linear mixed models. Non‐linear increases were present across most of the cortex for surface area. In comparison, thickness and volume were both characterised by a combination of non‐linear decreasing and increasing trajectories. While sex differences in volume and surface area were observed across time, no differences in thickness were identified. Furthermore, few regions exhibited sex differences in the cortical development. Our findings clearly illustrate that volume is a product of surface area and thickness, with each exhibiting differential patterns of development during adolescence, particularly in regions known to contribute to the development of social‐cognition and behavioral regulation. These findings suggest that thickness and surface area may be driven by different underlying mechanisms, with each measure potentially providing independent information about brain development. Hum Brain Mapp 37:2027–2038, 2016. © 2016 Wiley Periodicals, Inc.
An Adverse Role for Matrix Metalloproteinase 12 after Spinal Cord Injury in Mice

We investigated the role of matrix metalloproteinases (MMPs) in acute spinal cord injury (SCI). Transcripts encoding 22 of the 23 known mammalian MMPs were measured in the mouse spinal cord at various time points after injury. Although there were significant changes in the expression levels of multiple MMPs, MMP-12 was increased 189-fold over normal levels, the highest of all MMPs examined. To evaluate the role of MMP-12 in SCI, spinal cord compression was performed in wild-type (WT) and MMP-12 null mice. Behavioral analyses were conducted for 4 weeks using the Basso-Beattie-Bresnahan (BBB) locomotor rating scale as well as the inclined plane test. The results show that MMP-12 null mice exhibited significantly improved functional recovery compared with WT controls. Twenty-eight days after injury, the BBB score in the MMP-12 group was 7, representing extensive movement of all three hindlimb joints, compared with 4 in the WT group, representing only slight movement of these joints. Furthermore, MMP-12 null mice showed recovery of hindlimb strength more rapidly than control mice, with significantly higher inclined plane scores on days 14 and 21 after SCI. Mechanistically, there was decreased permeability of the blood-spinal barrier and reduced microglial and macrophage density in MMP-12 null mice compared with WT controls. This is the first study to profile the expression patterns of a majority of the known MMPs after spinal cord compression. The data indicate that MMP-12 expression after spinal cord trauma is deleterious and contributes to the development of secondary injury in SCI.
Transjugular intrahepatic portosystemic shunt patency and the importance of stenosis location in the development of recurrent symptoms.

PURPOSE To analyze in detail the location and types of stenosis and occlusion that occur after transjugular intrahepatic portosystemic shunt (TIPS) creation and to determine the relative contribution of these various types of TIPS malfunction to recurrent symptoms of variceal bleeding or ascites. MATERIALS AND METHODS In 116 of 217 patients who underwent TIPS creation between June 1990 and July 1995, follow-up portal venography was performed at 6-month intervals and for symptoms of recurrent variceal bleeding or ascites. RESULTS Cumulative primary venographic patency by means of Kaplan-Meier survival analysis was 55% at 6 months and 5% at 2 years. Secondary patency was 92% at 2 years. Stenosis or occlusion occurred in 63 of 116 patients (54%). In 20 patients (17%), acute shunt occlusions developed less than 30 days after TIPS creation; in 24 patients (21%), tract abnormalities were detected after 30 days; and in 19 patients (16%), hepatic vein stenoses were detected after 30 days. Abnormalities of the parenchymal tract were more often correlated with recurrent variceal bleeding or ascites than were hepatic vein stenoses (odds ratio, 3.6; P = .02). Ten of 14 patients (71%) with detected biliary fistulas to their TIPS had symptoms, and all patients with biliary fistulas had tract abnormalities. CONCLUSION Tract stenoses and occlusions were the major cause of symptomatic shunt failure after TIPS creation. Substantial bile duct transections are often associated with tract abnormalities and recurrent symptoms. Although common, hepatic vein stenoses were rarely associated with recurrent symptoms in our patient population.
Polyneuropathy following rubella immunization. A follow-up study and review of the problem.

Thirty-two children with post-rubella-immunization neuropathies were observed for up to 32 months. Twenty children (62%) had no subsequent symptoms. Ten (31%) had minor complaints that included features of their initial complications. Only two children (6%) had major recurrences. These episodes occurred periodically throughout the 2½-year follow-up period. Both recurrences were of the leg syndrome ("catcher's crouch"). Review of the literature indicates that neuropathy is an occasional complication of both natural rubella and immunization with live, attenuated rubella virus vaccines, especially the one prepared in dog kidney cells. The dog kidney cell vaccine is no longer in use. Currently available vaccines remain acceptable for continued use in public and private programs.