Miracle-dz/UniFAR-FTUs huggingface dataset:
Transient postnatal secretion of androgen hormones is associated with acne and sebaceous gland hypertrophy in early infancy.

CONTEXT Sebaceous gland hypertrophy (SGH) and acne-like skin eruptions are frequent during the first months of life, yet the etiology and prevalence of these conditions in infants are not clear. OBJECTIVE The objective of the study was to evaluate the association of postnatal androgens with SGH and acne in infants. DESIGN This was a longitudinal, monthly follow-up from 1 wk (D7) to 6 months of age (M1-M6). PATIENTS Patients included 54 full-term (FT; 26 boys) and 48 preterm (PT; gestational age at birth 27.7-36.6 wk, 22 boys) infants. MAIN OUTCOME MEASURES The occurrence of SGH (present/absent) and acne (5-10, 10-50, and >50 papules) was registered and compared with urinary levels of dehydroepiandrosterone and its sulphate and testosterone measured by liquid chromatography-tandem mass spectrometry. RESULTS SGH was observed in 89% of FT and 96% of PT infants (P = 0.28). Acne (more than five papules) was observed in 91% of FT infants and in 75% of PT infants (P = 0.06). Both SGH and acne were associated with developmental rather than calendar age: SGH was limited to postmenstrual age less than 46 wk and acne was not observed less than 37 wk of postmenstrual age. Urinary androgen levels showed severalfold differences in magnitude between sexes and between the FT and PT groups. After grouping according to sex and maturity, the occurrence of SGH and the severity of acne were associated with higher urinary dehydroepiandrosterone sulphate and testosterone levels in each group. CONCLUSIONS SGH and acne are common during the first months of life and associated with endogenous, physiologically elevated levels of androgens originating from the adrenals and gonads. These data suggest a novel role for postnatal androgen secretion in infancy.
Learning Curves, Acquisition, and Retention of Skills Trained with the Endoscopic Sinus Surgery Simulator

Background As an initial step in evaluating the effectiveness of training otolaryngology residents on an endoscopic sinus surgery simulator (ES3), we have assessed the ability of the ES3 to train persons inexperienced in sinus surgery (medical students) to perform certain simulated procedural tasks needed in endoscopic sinus surgery (ESS). Methods A total of 26 medical students were enrolled and trained on the ES3 following a preset protocol in the three levels of difficulty and complexity (novice, intermediate, and advanced modes). Results In the novice mode (three-dimensional abstract images are used to teach the use of endoscopic surgical equipment), medical students displayed a steep learning curve within three to five trials on the simulator and after an additional four to five trials, they reached a plateau in their learning curves to within 90% of that of experienced sinus surgeons. In the intermediate mode (ESS is performed on a simulated patient with teaching aids), medical students were able to reach a plateau in their learning curves to within 80% of that of experienced surgeons. This performance was sustained in the advanced mode (simulated sinus surgery without teaching aids). We observed that medical students, who had novice or intermediate mode training interrupted with an interval of 11–60 days, were able to resume their training without deviation from their prior learning curves. Conclusion Intensive, proctored training on the ES3 can train inexperienced persons to perform simulated ESS within a reasonable approximation of the performance of experienced sinus surgeons on the ES3 and the training that an inexperienced person receives on the simulator is not short term but is retained over a period of at least 2 months.
Alterations in Cerebral and Microvascular Prostaglandin Synthesis by Manipulation of Dietary Essential Fatty Acids

Abstract: Sprague‐Dawley rats were fed one of three purified diets—10% corn oil, 10% hydrogenated coconut oil, or 10% linseed oil—through two generations. At 60–80 days of age the animals were sacrificed. The fatty acyl composition of phosphatidylcholine, phosphatidyletha‐nolamine, plasmalogen phosphatidylethanolamine, and combined phosphatidylinositol/phosphatidylserine from cerebral cortex and isolated cerebral microvessels was determined. Brain slice prostaglandin F2α or microvas‐cular prostacyclin synthesis was also measured. Major changes were noted in the fatty acid profiles, most dramatically in the phosphatidylethanolamine and ethanol‐amine plasmalogen fractions, with an active rise in docosahexaenoic acid resulting from linseed oil feeding. A depression in prostaglandin F2α synthesis was seen in brain slices of hydrogenated coconut oil‐and linseed oil‐fed rats. Such a depression was also observed in micro‐vascular prostaglandin synthesis at basal and stimulated levels but not in control incubations. The potential importance of these findings to cerebral microcirculation and hemostasis is discussed.
Spinal 12-lipoxygenase-derived hepoxilin A3 contributes to inflammatory hyperalgesia via activation of TRPV1 and TRPA1 receptors

Peripheral inflammation initiates changes in spinal nociceptive processing leading to hyperalgesia. Previously, we demonstrated that among 102 lipid species detected by LC-MS/MS analysis in rat spinal cord, the most notable increases that occur after intraplantar carrageenan are metabolites of 12-lipoxygenases (12-LOX), particularly hepoxilins (HXA3 and HXB3). Thus, we examined involvement of spinal LOX enzymes in inflammatory hyperalgesia. In the current work, we found that intrathecal (IT) delivery of the LOX inhibitor nordihydroguaiaretic acid prevented the carrageenan-evoked increase in spinal HXB3 at doses that attenuated the associated hyperalgesia. Furthermore, IT delivery of inhibitors targeting 12-LOX (CDC, Baicalein), but not 5-LOX (Zileuton) dose-dependently attenuated tactile allodynia. Similarly, IT delivery of 12-LOX metabolites of arachidonic acid 12(S)-HpETE, 12(S)-HETE, HXA3, or HXB3 evoked profound, persistent tactile allodynia, but 12(S)-HpETE and HXA3 produced relatively modest, transient heat hyperalgesia. The pronociceptive effect of HXA3 correlated with enhanced release of Substance P from primary sensory afferents. Importantly, HXA3 triggered sustained mobilization of calcium in cells stably overexpressing TRPV1 or TRPA1 receptors and in acutely dissociated rodent sensory neurons. Constitutive deletion or antagonists of TRPV1 (AMG9810) or TRPA1 (HC030031) attenuated this action. Furthermore, pretreatment with antihyperalgesic doses of AMG9810 or HC030031 reduced spinal HXA3-evoked allodynia. These data indicate that spinal HXA3 is increased by peripheral inflammation and promotes initiation of facilitated nociceptive processing through direct activation of TRPV1 and TRPA1 at central terminals.
Cardioprotective effect of sevoflurane in patients with coronary artery disease undergoing vascular surgery

Objectives: The present study was conducted to evaluate the cardioprotective effect of sevoflurane compared with propofol in patients with coronary artery disease (CAD) undergoing peripheral vascular surgery; and to address the question whether a volatile anesthetic might improve cardiac outcome in these patients. Methods: One hundred twenty-six patients scheduled for elective peripheral vascular surgery were prospectively randomized to receive either sevoflurane inhalation anesthesia or total intravenous anesthesia. ST-segment monitoring was performed continuously during intra- and post-operative 48 h periods. The number of ischemic events and the cumulative duration of ischemia in each patient were recorded. Blood was sampled in all patients for the determination of cTnI. Samples were obtained before the induction of anesthesia, on admission to the ICU, and at 6, 12, 24, and 48 h after admission to the intensive care unit (ICU). Patients were followed-up during their hospital stay for any adverse cardiac events. Results: The incidence of ischemia were comparable among the groups [16 (25%) patients in sevoflurane group vs 24 (39%) patients in propofol group; P=0.126]. Duration, cumulative duration, and magnitude of ST-segment depression of ischemic events in each patient were significantly less in sevoflurane group (P=0.008, 0.048, 0.038, respectively). cTnI levels of the overall population were significantly less in sevoflurane group vs propofol group (P values <0.0001) from 6 h postoperative and onward. Meanwhile, cTnI levels at 6, 12, 24, and 48 h after admission to the ICU in patients who presented with ischemic electrocardiographic (ECG) changes were significantly lower in sevoflurane group than in the propofol group (P<0.0001, <0.0001, <0.0001, 0.0003). None of the patients presented with unstable angina, myocardial infarction, congestive heart failure, or serious arrhythmia either during ICU or hospital stay. Conclusion: Patients with CAD receiving sevoflurane for peripheral vascular surgery had significantly lower release of cardiac troponin I at 6 h postoperatively and lasting for 48 h than patients receiving propofol for the same procedure with significant decrease in duration, cumulative duration of ischemic events, and degree of ST depression in each patient.
Rates of prenatal screening across health care regions in Ontario, Canada: a retrospective cohort study.

BACKGROUND It is recommended that all pregnant women be offered screening for Down syndrome and open neural tube defects, but emerging prenatal tests that are not publicly insured may compromise access. We evaluated screening rates for publicly insured screening tests across health care regions in the province of Ontario and determined whether maternal, provider or regional characteristics are associated with screening uptake. METHODS We conducted a population-based retrospective cohort study involving pregnant women in Ontario who were at or beyond 16 weeks' gestation in 2007-2009. We ascertained prenatal screening rates using linked health administrative and prenatal screening datasets. We examined maternal, provider and regional characteristics associated with screening uptake. Rate ratios (RRs) were estimated. RESULTS Of the 264 737 women included in the study, 62.2% received prenatal screening; uptake varied considerably by region (range 27.8%-80.3%). A greater proportion of women initiated screening in the first rather than the second trimester (50.0% v. 12.2%). Factors associated with lower screening rates included living in a rural area versus an urban area (adjusted rate ratio 0.64, 95% confidence interval [CI] 0.63-0.66), receiving first-trimester care from a family physician or midwife versus an obstetrician (adjusted rate ratio 0.91, 95% CI 0.90-0.92, and 0.40, 95% CI 0.38-0.43, respectively) and being in a lower income quintile (adjusted RR for lowest v. highest 0.95, 95% CI 0.94-0.96). Being an immigrant or a refugee was associated with higher screening rates. INTERPRETATION There were significant maternal, provider and regional differences in the uptake of prenatal screening across the province. With discrepancies expected to increase with the emergence of noninvasive prenatal tests paid for out of pocket by many women, policy efforts to reduce barriers to prenatal screening and optimize its availability are warranted.
Interference with Rehearsal in Spatial Working Memory in the Absence of Eye Movements

We have previously argued that rehearsal in spatial working memory is interfered with by spatial attention shifts rather than simply by movements to locations in space (Smyth & Scholey, 1994). It is possible, however, that the stimuli intended to induce attention shifts in our experiments also induced eye movements and interfered either with an overt eye movement rehearsal strategy or with a covert one. In the first experiment reported here, subjects fixated while they maintained a sequence of spatial items in memory before recalling them in order. Fixation did not affect recall, but auditory spatial stimuli presented during the interval did decrease performance, and it was further decreased if the stimuli were categorized as coming from the right or the left. A second experiment investigated the effects of auditory spatial stimuli to which no response was ever required and found that these did not interfere with performance, indicating that it is the spatial salience of targets that leads to interference. This interference from spatial input in the absence of any overt movement of the eyes or limbs is interpreted in terms of shifts of spatial attention or spatial monitoring, which Morris (1989) has suggested affects spatial encoding and which our findings suggest also affects reactivation in rehearsal.
Patient‐reported outcomes and their predictors at 2‐ and 3‐year follow‐up after immediate latissimus dorsi breast reconstruction and adjuvant treatment

The aim of this study was to estimate the impact 2 and 3 years after surgery of implant‐assisted latissimus dorsi (LDI) and autologous latissimus dorsi (ALD) flap breast reconstructions on patient‐reported outcomes (PROs), and, secondarily, to determine whether baseline characteristics can predict PROs.
Investigation of Bovine Gut Associated Lymphoid Tissue (GALT) Using Monoclonal Antibodies against Bovine Lymphocytes

Gut associated lymphoid tissue of the small and large intestine of calves and cows has been compared morphologically and quantitatively using monoclonal antibodies to bovine lymphocytes. B cells were significantly decreased in the ileum of the cow compared to the calf. Significantly increased numbers of T cells were present in cell suspensions of all lymphoid areas of the cow compared to the calf. T lymphocyte subsets were quantified into cryostat sections of lymphoid tissues expressing BoT4, and BoT8 antigens demonstrated increased numbers in follicular and dome areas of the discrete Peyer's patches of the small and large intestine of the cow. BoT4+, BoT8+, and the non-BoT4+/BoT8+ T cell subsets were increased in the mucosa of the jejunum, ileum, and cecum, while only BoT8+ lymphocytes were increased in the colonic mucosa of the cow as compared to the calf. Similarities in structure and lymphocyte composition of the discrete Peyer's patches of the small intestine, cecum and colon and isolated single follicles in the large intestine suggest similar functional properties.
The role of bacillus-based biological control agents in integrated pest management systems: plant diseases.

ABSTRACT Bacillus-based biological control agents (BCAs) have great potential in integrated pest management (IPM) systems; however, relatively little work has been published on integration with other IPM management tools. Unfortunately, most research has focused on BCAs as alternatives to synthetic chemical fungicides or bactericides and not as part of an integrated management system. IPM has had many definitions and this review will use the national coalition for IPM definition: "A sustainable approach to managing pests by combining biological, cultural, physical and chemical tools in a way that minimizes economic, health and environmental risks. " This review will examine the integrated use of Bacillus-based BCAs with disease management tools, including resistant cultivars, fungicides or bactericides, or other BCAs. This integration is important because the consistency and degree of disease control by Bacillus-based BCAs is rarely equal to the control afforded by the best fungicides or bactericides. In theory, integration of several tools brings stability to disease management programs. Integration of BCAs with other disease management tools often provides broader crop adaptation and both more efficacious and consistent levels of disease control. This review will also discuss the use of Bacillus-based BCAs in fungicide resistance management. Work with Bacillus thuringiensis and insect pest management is the exception to the relative paucity of reports but will not be the focus of this review.
Putting the National Back in Forest-Related Policies: The International Forests Regime and the Evolution of Policies in Brazil, Cameroon and Indonesia

La relation entre le regime forestier international (RFI) et les politiques affectant les forets (PAF) est une question souvent posee dans la gestion des forets tropicales, mais l'absence de recherche rigoureuse a ce sujet a donne lieu a un certain nombre de conceptions erronees quant a l'influence que l'un porte sur l'autre. Cette etude tente d'analyser cette question en se basant sur 12 cas d'etude dans 3 pays (Bresil, Cameroun et Indonesie) et selon la perspective des politiques publiques. Un survol du RFI montre sa pluralite et son caractere fragmentaire. Il est compose a la fois d'elements formels, notamment les negociations et les quelques accords ete obtenus, et d'elements informels, a savoir les principes de gestion forestiere. Quant aux PAF bresiliennes, camerounaises et indonesiennes, elles ont beaucoup evolue sur les 4 dernieres decennies mais de maniere differente selon le cas d'etude, la periode et le secteur. Afin de faire la lumiere sur les mecanismes qui sous-tendent ces variations dans le changement, un nouvel outil theorique est elabore pour expliquer l'evolution des politiques etudiees et qui se base sur un nouveau concept, celui de projection de reseau. Ce dernier se definit comme la perception qu'ont les acteurs des reseaux d'action publique qui les entourent telles qu'ils les voient ou voudraient les voir. Cette approche nous permet non seulement d'expliquer les changements observes, mais aussi de montrer (i) que le role de la sphere nationale reste preponderante dans l'evolution des PAF et (ii) que ce sont les composantes informelles du RFI (les principes de gestion forestiere) qui ont influence les PAF de maniere la plus importante.
Meckel syndrome.

Meckel syndrome (MKS) is a lethal syndrome with a central nervous system malformation, usually occipital meningoencephalocele, bilaterally large multicystic kidneys with fibrotic changes of the liver, and polydactyly in most cases. Additional anomalies are frequent. A common characteristic of the parenchymal changes of many organs is a proliferation of the stromal connective tissue and increase and dilatation of the associated epithelial ducts. Autosomal recessive inheritance is well confirmed and the gene locus has been mapped to chromosome 17q21-24 by genome wide linkage study. The locus was later refined to within a less than 1 cM region (17q22), in which most of the Finnish MKS patients share a common chromosomal haplotype suggesting one major and relatively old mutation. However, in most of the non-Finnish MKS families studied, this linkage could not be confirmed. The linkage studies provide evidence that more than one locus is involved in bringing about the combination of CNS malformations, cystic kidneys, and polydactyly, maybe even in typical cases of MKS. Prenatal diagnosis of MKS by vaginal ultrasound scan is possible from 11-12 weeks of pregnancy, especially in families where there is a known risk. In those families where linkage to 17q22 is established, prenatal diagnosis by DNA analysis is possible.
The effect of L-thyroxine treatment on left ventricular functions in children with subclinical hypothyroidism

Objective The aim of this study was to search for evidence suggesting treatment for childhood subclinical hypothyroidism (SH) by evaluating left ventricular (LV) functions of children with SH by using M-mode and tissue Doppler echocardiography (TDE). Methods Children with SH and euthyroid healthy children (control group) were enrolled in the study. At baseline and 6 months after euthyroidism was achieved, M-mode and TDE were performed and LV functions were evaluated. Pretreatment parameters of the SH group were compared with those of controls and post-treatment parameters. Results 31 children with SH and 32 euthyroid healthy children were enrolled in the study. The groups had similar age, gender, puberty and body mass index. Interventricular septum thickness and LV mass index, which are the parameters for LV morphology, were slightly increased in the SH group than in the controls (p<0.05). In TDE, children with SH had significant changes in LV diastolic (lower E′m, higher E/E′m ratio and longer isovolumic relaxation time) and systolic functions (lower isovolumic contraction time) compared with controls (p<0.05). Six months after euthyroidism was achieved, TDE showed a significant improvement of some of the diastolic and systolic parameters (p<0.05). Conclusions The results of this study showed that SH is associated with subclinical alterations in LV function, and LT4 replacement may improve LV systolic and diastolic parameters. However, since SH is usually a self-limiting process, these improvements in LV functions may simply be associated with the natural course of the disease and/or physiological linear growth of the children.
Microanatomy of Human Left Ventricular Coronary Veins

We describe analyses of the microanatomy of major left ventricular veins, including their relationship to the myocardium. Immediately following fixation of six fresh human hearts, anterior interventricular veins (AIV), left marginal veins (LMV), posterior veins of the left ventricle (PVLV), and posterior interventricular veins (PIV) were sectioned in ∼5 mm intervals perpendicular to the veins' length from base to apex. Slides were prepared, digitized, and analyzed; measurements were made of each vein's wall thickness, circumference, distance between vein wall and myocardium, and distance between vein wall and closest artery. For analyses, based on the length of each vein, slides were grouped into three regions: basal (top third), mid (middle third), and apical (bottom third). Vein wall thicknesses and circumferences were significantly smaller (P < 0.05) in apical than basal regions in all veins. Vein wall thicknesses were significantly larger in the AIV and PIV than in the LMV and PVLV (P < 0.05). The AIV was significantly farther away (1.81–2.99 mm) from the myocardium than the other three veins (P < 0.05). Left ventricular venous microanatomy was quantified and analyzed. Variation in venous microanatomy, including distance between vein walls and excitable myocardium, could impact therapies involving the coronary venous system. Anat Rec, 2009. © 2008 Wiley‐Liss, Inc.