Miracle-dz/UniFAR-FTUs huggingface dataset:
Understanding Why Patients May Not Report Suicidal Ideation at a Health Care Visit Prior to a Suicide Attempt: A Qualitative Study.

OBJECTIVE: The authors sought to understand why patients may not report suicidal ideation at a health care visit prior to a suicide attempt. METHODS: Electronic health record data from Kaiser Permanente Washington were used to identify patients who reported having no suicidal ideation on question 9 of the nine-item Patient Health Questionnaire and who subsequently made a suicide attempt (≤60 days). Semistructured interviews were audio-recorded, transcribed, and analyzed by using a combination of directed (deductive) and conventional (inductive) content analysis to validate and further explore reasons why patients may not report suicidal ideation prior to a suicide attempt. RESULTS: Of 42 adults sampled, 26 agreed to be interviewed, of whom about half were women (N=15) and a majority was white (N=20), with ages ranging from 18 to 63. Key themes were that patients who attempted suicide after having reported no thoughts of self-harm were either not experiencing suicidal ideation at the time of screening or feared the outcome of disclosure, including stigma, overreaction, and loss of autonomy. An additional theme that emerged from the interviews included reports of heavy episodic drinking at the time of the suicide attempt, particularly when suicide was completely unplanned. Patients also identified important aspects of interactions with health care system providers that may facilitate disclosure about suicidal ideation. CONCLUSIONS: Nonjudgmental listening and expressions of caring without overreaction among providers may help patients overcome fear of reporting suicidal ideation. Screening for heavy episodic drinking may help identify individuals who make unplanned suicide attempts.
Cross-sectional survey evaluating blood pressure control ACHIEVEment in hypertensive patients treated with multiple anti-hypertensive agents in Belgium and Luxembourg

Objective This study evaluates the actual blood pressure control rate and its estimation by general practitioners, the use of single-pill or free combinations, and the attitude towards single-pill combinations in primary care. Methods Cross-sectional observational survey in primary care between January 2015 and September 2016 in Belgium and Luxembourg. The participating general practitioners enrolled hypertensive patients taking at least 2 antihypertensive molecules (as fixed or free associations). Results 742 general practitioners included a total of 8,006 patients, with a mean age of 66 ± 12 years. Systolic blood pressure and diastolic blood pressure were respectively 141 ± 17 mmHg and 82 ± 10 mmHg (means ± SD). These patients had a blood pressure control rate of 45%, whereas it was estimated by general practitioners to be 60%. General practitioners with 11–25 years’ experience performed better than general practitioners with 36–51 years’ experience in the evaluation of blood pressure control. Combinations used were free in 39%, single-pill in 34% and mixed in 27% of the patients. Patients receiving single-pill combinations were younger than those treated with free combinations (63 ± 12 vs. 68 ± 12 years, p < 0.001), with fewer comorbidities (39 vs. 55%, p < 0.001). In patients treated solely with free pill associations, 66% of patient cases, general practitioners were willing to switch to a single-pill combination. The main reasons were improved adherence (76%) and better blood pressure control (64%). Conclusion In patients requiring at least two antihypertensive drugs, blood pressure control rate remains low and is overestimated by general practitioners. Free combinations remain largely used although many general practitioners seem willing to shift to single-pill combinations. Treatment simplification could improve adherence and blood pressure control rate, which has been shown to lead to reduced morbidity and mortality.
Flux Connections Between Gluconate Pathway, Glycolysis, and Pentose–Phosphate Pathway During Carbohydrate Metabolism in Bacillus megaterium QM B1551

Bacillus megaterium is a bacterium of great importance as a plant-beneficial bacterium in agricultural applications and in industrial bioproduction of proteins. Understanding intracellular processing of carbohydrates in this species is crucial to predicting natural carbon utilization as well as informing strategies in metabolic engineering. Here, we applied stable isotope-assisted metabolomics profiling and metabolic flux analysis to elucidate, at high resolution, the connections of the different catabolic routes for carbohydrate metabolism immediately following substrate uptake in B. megaterium QM B1551. We performed multiple 13C tracer experiments to obtain both kinetic and long-term 13C profiling of intracellular metabolites. In addition to the direct phosphorylation of glucose to glucose-6-phosphate (G6P) prior to oxidation to 6-phosphogluconate (6P-gluconate), the labeling data also captured glucose catabolism through the gluconate pathway involving glucose oxidation to gluconate followed by phosphorylation to 6P-gluconate. Our data further confirmed the absence of the Entner–Doudoroff pathway in B. megaterium and showed that subsequent catabolism of 6P-gluconate was instead through the oxidative pentose–phosphate (PP) pathway. Quantitative flux analysis of glucose-grown cells showed equal partition of consumed glucose from G6P to the Embden–Meyerhof–Parnas (EMP) pathway and from G6P to the PP pathway through 6P-gluconate. Growth on fructose alone or xylose alone was consistent with the ability of B. megaterium to use each substrate as a sole source of carbon. However, a detailed 13C mapping during simultaneous feeding of B. megaterium on glucose, fructose, and xylose indicated non-uniform intracellular investment of the different carbohydrate substrates. Flux of glucose-derived carbons dominated the gluconate pathway and the PP pathway, whereas carbon flux from both glucose and fructose populated the EMP pathway; there was no assimilatory flux of xylose-derived carbons. Collectively, our findings provide new quantitative insights on the contribution of the different catabolic routes involved in initiating carbohydrate catabolism in B. megaterium and related Bacillus species.
Efficacy of combined ozone and platelet-rich-plasma treatment versus platelet-rich-plasma treatment alone in early stage knee osteoarthritis.

BACKGROUND Osteoarthritis (OA) is a chronic disease most often occurring in knee joints, leading to pain of varying severity and deterioration in daily living activities. OBJECTIVE To compare efficacy of platelet-rich-plasma (PRP) versus PRP in combination with ozone gas injection in patients with early stage knee OA. METHODS Retrospective data of patients who received PRP alone (n= 45) or combined treatment (PRP + ozone, n= 35) injection was analyzed. Patients were evaluated using the visual analogue scale (VAS) and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores. RESULTS In both PRP alone and combined treatment groups, post-treatment VAS and WOMAC scores at month 1, month 3, and month 6 showed a significant reduction compared to pre-treatment scores (p< 0.001). Physical function and total WOMAC scores as well as VAS scores at post-treatment month 3 were significantly lower in the combined treatment group compared to the PRP alone group. Moreover, in the combined treatment group, VAS scores on Day 10 and hyper-inflammation at the injection site was significantly lower than the PRP alone group. CONCLUSION In general, similar efficacy was observed between treatment with PRP alone and treatment with PRP in combination with ozone. However, patients receiving ozone treatment are less likely to experience post-injection pain and are more likely to recover faster when compared to patients receiving PRP treatment alone.
Delayed LY333013 (Oral) and LY315920 (Intravenous) Reverse Severe Neurotoxicity and Rescue Juvenile Pigs from Lethal Doses of Micrurus fulvius (Eastern Coral Snake) Venom

There is a clear, unmet need for effective, lightweight, shelf-stable and economical snakebite envenoming therapies that can be given rapidly after the time of a snake’s bite and as adjuncts to antivenom therapies in the hospital setting. The sPLA2 inhibitor, LY315920, and its orally bioavailable prodrug, LY333013, demonstrate surprising efficacy and have the characteristics of an antidote with potential for both field and hospital use. The efficacy of the active pharmaceutical ingredient (LY315920) and its prodrug (LY333013) to treat experimental, lethal envenoming by Micrurus fulvius (Eastern coral snake) venom was tested using a porcine model. Inhibitors were administered by either intravenous or oral routes at different time intervals after venom injection. In some experiments, antivenom was also administered alone or in conjunction with LY333013. 14 of 14 animals (100%) receiving either LY315920 (intravenous) and/or LY333013 (oral) survived to the 120 h endpoint despite, in some protocols, the presence of severe neurotoxic signs. The study drugs demonstrated the ability to treat, rescue, and re-rescue animals with advanced manifestations of envenoming. Low molecular mass sPLA2 inhibitors were highly effective in preventing lethality following experimental envenoming by M. fulvius. These findings suggest the plausibility of a new therapeutic approach to snakebite envenoming, in this example, for the treatment of a coral snake species for which there are limitations in the availability of effective antivenom.
Exposure to 1,2-Dichloropropane Upregulates the Expression of Activation-Induced Cytidine Deaminase (AID) in Human Cholangiocytes Co-Cultured With Macrophages

1,2-dichloropropane (1,2-DCP) was reclassified recently by IARC as a Group 1 carcinogen based on epidemiological studies on an outbreak of cholangiocarcinoma in offset-printing workers exposed to 1,2-DCP in Japan. However, the underlying mechanism of 1,2-DCP-induced cholangiocarcinoma remains obscure. A previous whole-genome mutation analysis of cholangiocarcinoma of 4 cases exposed to 1,2-DCP suggested the involvement of activation-induced cytidine deaminase (AID), based on specific signatures of mutation patterns. The objective of the present study is to determine whether exposure to 1,2-DCP induces expression of AID in human cholangiocytes. Human MMNK-1 cholangiocytes, differentiated THP-1 macrophages, and co-cultures of MMNK-1/THP-1 cells were exposed to 1,2-DCP at different concentrations and time intervals. The mRNA expression levels of AID and related genes were quantified by real-time PCR. Protein expression was measured by immunostaining. Alkaline Comet assay was performed to examine DNA damage. The results showed that 1,2-DCP alone did not change AID expression in MMNK-1 cholangiocytes. 1,2-DCP significantly increased pro-inflammatory cytokine TNF-α expression in THP-1 macrophages. TNF-α treatment upregulated expression of AID, NF-κB, and IκB in MMNK-1 cholangiocytes. SN50, a NF-κB inhibitor, significantly downregulated TNF-α-induced AID expression, suggesting the involvement of NF-κB pathway in TNF-α-induced AID expression. Exposure to 1,2-DCP significantly increased AID expression in MMNK-1 cholangiocytes co-cultured with THP-1 macrophages. Comet assay showed that 1,2-DCP-induced DNA damage in MMNK-1 cholangiocytes, as indicated by increased tail DNA% and tail moment, was enhanced when co-cultured with macrophages. The results suggest that inflammatory response of macrophages and consequent aberrant AID expression or DNA damage in the cholangiocytes underlie the mechanism of 1,2-DCP-induced cholangiocarcinoma in humans.
Brain‐derived neurotrophic factor promotes proliferation and progesterone synthesis in bovine granulosa cells

Brain‐derived neurotrophic factor (BDNF) is involved in regulating the growth of ovarian follicles, maturation of the oocyte, and development of the early embryo through its receptor, tyrosine kinase receptor B (TrkB). However, it is still unclear as to how BDNF influences proliferation and steroidogenesis of bovine granulosa cells (GCs). In this paper, we confirmed that BDNF and TrkB were expressed in bovine GCs, and that proliferation and steroidogenesis by bovine GCs were reduced by knockdown of BDNF or inhibition of TrkB. With respect to GC proliferation, BDNF enhanced cellular viability and the percentage of cells in the S phase. BDNF also activated both protein kinase B (PKB, also known as AKT) and the extracellular signal‐regulated protein kinase 1/2 (ERK1/2)‐signaling pathway. Through the AKT‐signaling pathway, BDNF increased the expression of proliferation‐related genes, including cyclin A1 (CCNA1), cyclin E2 (CCNE2), cyclin D1 (CCND1), and cyclin‐dependent kinase 1 (CDK1). However, through the ERK1/2 signaling pathway, BDNF only increased the expression of CCNA1 and CCNE2. Regarding steroidogenesis by bovine GCs, BDNF promoted progesterone (P 4) synthesis, but had no effect on estradiol; it also activated the AKT‐signaling pathway and increased the expression of steroidogenesis‐related genes, including steroidogenic acute regulatory protein (STAR) and hydroxy‐δ‐5‐steroid dehydrogenase, 3β‐ and steroid δ‐isomerase 1 (HSD3B1). In summary, our data are the first to show that BDNF promotes the proliferation of bovine GCs through TrkB–AKT and ERK1/2 signaling pathways and increases P4 synthesis by bovine GCs through the TrkB–AKT signaling pathway.
Health Literacy as a Global Public Health Concern: A Systematic Review

The term, health literacy, was primarily created in 1974 [1]. A person is said to be health literate if he/she is able to understand complex vocabulary, can easily share personal information with health care providers, is able to take decisions for spending a healthy lifestyle, can actively participate in self care and chronic disease management and is capable enough to navigate a complex health care system [2]. The Ottawa Charter of Health Promotion states that health is a resource for life, not the object of living hence it is important to possess adequate health literacy skills in order to apply health concepts in different stages of life and actively take part in health related discussions. Attaining health literacy is a lifelong process and is affected by different factors such as demographic, physical health status, socio-political, psychosocial and cultural factors [3].
Inside Patients’ Homes

This study examined the metaphors used by home hospice nurses when describing their experiences working with dying patients. In-depth, semistructured interviews were conducted with 24 home hospice nurses from a midsize for-profit hospice organization that provides services to approximately 230 patients each year. The interviews revealed four main metaphors emphasizing how home hospice nurses conceive and communicate their experiences working with patients: a calling, hallowed ground, going with the flow, and life lessons. These metaphors highlight how home hospice nurses transcend organizational role descriptions, feel empowered to make a difference, appreciate the inevitable unpredictability of their work, and draw upon patient interactions for self-reflection. The findings reveal a consistent emphasis on the positive and rewarding aspects of hospice work and prescriptions about how nurses should perform their role. Metaphors identified in this study could be used to recruit prospective home hospice nurses and strengthen training or education programs.
Non-coding Class Switch Recombination-Related Transcription in Human Normal and Pathological Immune Responses

Background Antibody class switch recombination (CSR) to IgG, IgA or IgE is a hallmark of adaptive immunity, allowing antibody function diversification beyond IgM. CSR involves a deletion of the IgM/IgD constant region genes placing a new acceptor Constant (CH) gene, downstream of the VDJH exon. CSR depends on non-coding (CSRnc) transcription of donor Iμ and acceptor IH exons, located 5’ upstream of each CH coding gene. Although our knowledge of the role of CSRnc transcription has advanced greatly, its extension and importance in healthy and diseased humans is scarce. Methods We analyzed CSRnc transcription in 70,603 publicly available RNA-seq samples, including GTEx, TCGA and the Sequence Read Archive (SRA) using recount2, an online resource consisting of normalized RNA-seq gene and exon counts, as well as coverage BigWig files that can be programmatically accessed through R. CSRnc transcription was validated with a qRT-PCR assay for Iμ, Iγ3 and Iγ1 in humans in response to vaccination. Results We mapped IH transcription for the human IgH locus, including the less understood IGHD gene. CSRnc transcription was restricted to B cells and is widely distributed in normal adult tissues, but predominant in blood, spleen, MALT-containing tissues, visceral adipose tissue and some so-called “immune privileged” tissues. However, significant Iγ4 expression was found even in non-lymphoid fetal tissues. CSRnc expression in cancer tissues mimicked the expression of their normal counterparts, with notable pattern changes in some common cancer subsets. CSRnc transcription in tumors appears to result from tumor infiltration by B cells, since CSRnc transcription was not detected in corresponding tumor-derived immortal cell lines. Additionally, significantly increased I5 transcription in ileal mucosa in Crohn’s disease with ulceration was found. Conclusions CSRnc transcription occurs in multiple anatomical locations beyond classical secondary lymphoid organs, representing a potentially useful marker of effector B cell responses in normal and pathological immune responses. The pattern of IH exon expression may reveal clues of the local immune response (i.e. cytokine milieu) in health and disease. This is a great example of how the public recount2 data can be used to further our understanding of transcription, including regions outside the known transcriptome.
Design and Implementation of High Sampling Rate Programmable FIR Filters in FPGAs

This paper investigates the design and implementation of programmable FIR filters in FPGAs, for applications requiring the highest sampling rates. A comparison of architectures is made, with a quantitative evaluation of the direct and direct transposed forms in terms of logic resources. A qualitative assessment of placement and routing issues is also made. Two types of programmable filters are considered. In the first case, all coefficients are allowed the same dynamic range. In the second case, programmability is allowed but for a restricted set of linear phase filters where the center coefficients are allotted more bits. Implementation details leading to a cost and performance comparison are given. For a filter with 32 coefficients, the transposed form requires 11% and 32% more arithmetic resources for the general and restricted cases, respectively, and 24% fewer memory elements in either case.
Glacial Erosion Liberates Lithologic Energy Sources for Microbes and Acidity for Chemical Weathering Beneath Glaciers and Ice Sheets

Wet-based regions of glaciers and ice sheets are now recognised to host unique and diverse microbial communities capable of influencing global biogeochemical cycles. However, the isolated nature of subglacial environments poses limitations upon the supply of protons for chemical weathering and energy sources (electron donors/acceptors) to support in situ microbial communities. A less well recognised source of these substrates is the release of gases from mineral structures, pore spaces or fluid inclusions and the generation of gases from the breakage of mineral bonds during the mechanical breakdown of rocks by moving ice. Here, we investigate the potential release of H2, CO2, CO and short chain hydrocarbons, particularly CH4, by glacial erosion at rates relevant to chemical weathering and microbial activity beneath glaciers. A wide range of magmatic, metamorphic and sedimentary rocks and subglacial sediments from glaciated catchments in Greenland, Norway and Canada were ground in the laboratory to varying grain sizes and the release of gases was measured. The volume of gas released increased as the grain size of the ground sediments decreased. The results of these laboratory experiments were used to estimate rates of catchment-scale gas release based upon estimates of long term abrasion rates at each glacier. H2 generation was calculated to be sufficient to potentially support previously estimated rates of methanogenesis in the upper centimetres of subglacial sediment at a gneissic catchment in Greenland and a sedimentary catchment in Canada. Sufficient CO2 could be released by grinding to drive as much as 20% of subglacial chemical weathering at a metamorphic catchment in Svalbard, with potential implications for the inferred quantity of CO2 drawn-down from the atmosphere by glacial weathering. Rates of CH4 generation from grinding bedrock has the potential to be greater than subglacial microbial generation in a sedimentary catchment in Canada with carbon rich bedrock, suggesting a potentially important source of CH4 for methanotrophic microorganisms. We conclude that mechanical erosion beneath a range of glaciers generates significant quantities of gases which have the potential to enhance chemical weathering and/or support subglacial microbial communities in the deep icy biosphere.
Challenges in an inter-organisational information system implementation : participatory view

A trivial information system consists of three components: a user, a container for the information and a tool to manage the information. The focus of this research is more complicated with several users and organisations, with several databases in those organisations and with an inter-organisational information system. In inter-organisational information systems information flows across boundaries and the boundaries as well as information itself must be carefully taken into account. This research takes seriously the users who represent different professions and who were more or less involved in the information system implementations. In a distributed project, also the container is under special attention. That is discussed in the dissertation, as well. The approach in the research is mainly interpretative and subjective. The empirical material comes from several cases but three of them acted as a background for the main case that was conducted in an academic environment. The case appeared to be versatile due to its many stakeholders and it offered several topics to be explored. The goal of the research was introduced in a meeting to the attendees: "The aim of the thesis is to describe how a joint information system of different universities was finally implemented or why it wasn't. " This introduction predicted challenges that were to be overcome during the subsequent years. In addition to the versatile case, also the information system implementation offered fruitful viewpoints for the research. Inter-organisational information system projects are described in literature to some extent. This case contributes the research with the many organisations and users that were involved in the development project. Furthermore, the information system was planned to be built on ready-made specifications and it increased the challenges to succeed. This led to the lesson that a new model to be used in information system developments is needed because existing models do not support this kind of development process. The research supports the concept that action research and design science complement each other especially in development projects when the output is an information system that has been implemented in collaboration with several users and