Miracle-dz/UniFAR-FTUs huggingface dataset:
Physician counseling about exercise.

CONTEXT The increase in sedentary lifestyle may contribute to the rise in obesity nationally. Although guidelines suggest that physicians counsel all patients about exercise, physicians counsel only a minority of their patients. Whether patient factors influence physician counseling is not well established. OBJECTIVES To examine and to identify factors associated with exercise counseling by US physicians. DESIGN AND SETTING National population-based supplemental (Year 2000) survey to the 1995 National Health Interview Survey. PARTICIPANTS Of the 17317 respondents to the Year 2000 supplemental survey, 9711 adults had seen a physician in the previous year, and 9299 responded when asked about physician counseling on exercise. MAIN OUTCOME MEASURE Physician counseling to begin or to continue to exercise. RESULTS Of 9299 respondents, 34% reported being counseled about exercise at their last visit. After adjustment for other sociodemographic and clinical factors, women were slightly more likely to be counseled, with an adjusted odds ratio (AOR) of 1.15 (95% confidence interval [CI], 1.02-1.29). Physicians counseled older patients (>30 years) more often than younger patients; those aged 40 to 49 years were counseled most often (AOR, 1.71 [95% CI, 1.34-2.20]). Patients with incomes above $50000, those with higher levels of physical activity, college graduates, and patients who were overweight to obese (body mass index: 25 to > or =30 kg/m2) were more likely to be counseled, as were patients with cardiac disease (AOR, 1.81 [95% CI, 1.52-2.14]) and diabetes (AOR, 1.87 [95% CI, 1.46-2.38]). Counseling did not vary by physician specialty or patient race. CONCLUSION The rate of physician counseling about exercise is low nationally. Physicians appear to counsel as secondary prevention and are less likely to counsel patients at risk for obesity. The failure to counsel younger, disease-free adults and those from lower socioeconomic groups may represent important missed opportunities for primary prevention.
Anatomical variability of the frontal sinuses and their application in forensic identification

The uniqueness of anatomical structures and their variations provides the basis for forensic identification of unknown deceased persons. Similar to fingerprints, each frontal sinus is so distinctive and unique that the chances of two individuals having the same morphology of the frontal sinuses is extremely remote. Radiographs, especially the occipitomental view commonly used in the assessment of paranasal pathology, provide excellent records of these sinuses. The case illustrated here is an application of the frontal sinus identification of a victim in a mass disaster. Clin. Anat. 12:16–19, 1999. © 1999 Wiley‐Liss, Inc.
Mycological evaluation of a ground cocoa-based beverage

Cocoa beans (Theobroma cacao) are processed into cocoa beverage through fermentation, drying, roasting and grounding of the seed to powder. The mycological quality of 39 samples of different brand of these cocoa – based beverage referred to as ‘eruku oshodi’ collected from 3 different markets in south – west Nigeria was determined by serial dilution using the pour plate method on Potato Dextrose Agar (PDA) and Harold agar. The most frequent genera of moulds in the samples investigated were Aspergillus and Mucor with each having an incidence of 43.6%. The other moulds recovered in decreasing order of occurrence were Rhizopus (23.1%), Penicillium (18.0%) and Mycelia sterilia (18.0%). The yeast recovered was mainly Saccharomyces. The health implications of the isolated fungi were highlighted thus calling for improved hygienic practices in production of the beverages.
New Tools for Comparing Microscopy Images: Quantitative Analysis of Cell Types in Bacillus subtilis

ABSTRACT Fluorescence microscopy is a method commonly used to examine individual differences between bacterial cells, yet many studies still lack a quantitative analysis of fluorescence microscopy data. Here we introduce some simple tools that microbiologists can use to analyze and compare their microscopy images. We show how image data can be converted to distribution data. These data can be subjected to a cluster analysis that makes it possible to objectively compare microscopy images. The distribution data can further be analyzed using distribution fitting. We illustrate our methods by scrutinizing two independently acquired data sets, each containing microscopy images of a doubly labeled Bacillus subtilis strain. For the first data set, we examined the expression of srfA and tapA, two genes which are expressed in surfactin-producing and matrix-producing cells, respectively. For the second data set, we examined the expression of eps and tapA; these genes are expressed in matrix-producing cells. We show that srfA is expressed by all cells in the population, a finding which contrasts with a previously reported bimodal distribution of srfA expression. In addition, we show that eps and tapA do not always have the same expression profiles, despite being expressed in the same cell type: both operons are expressed in cell chains, while single cells mainly express eps. These findings exemplify that the quantification and comparison of microscopy data can yield insights that otherwise would go unnoticed.
Spindle Cell Rhabdomyosarcoma: A Prognostically Favorable Variant of Rhabdomyosarcoma

Twenty-one cases of embryonal rhabdomyosarcoma, composed mainly of elongated spindle cells arranged in a fasciculated or storiform pattern, were retrieved from the files of the German-Italian Cooperative Soft Tissue Sarcoma Study. The term spindle cell rhabdomyosarcoma is proposed to designate this histotype. Spindle cell rhabdomyosarcoma predilected male patients (18 males, three females) and involved mostly the paratesticular area (12 cases) and the head and neck region (six cases). Histologically, all cases were characterized by a uniform proliferation of elongated spindle cells with eosinophilic and fibrillar cytoplasm mimicking smooth muscle fibers; im-munocytochemical studies disclosed high expression of the muscle markers titin, desmin, and myoglobin. Clinical information was available in 17 cases; according to the Intergroup Rhabdomyosarcoma Study (IRS) grouping system, 13 were classified in group I, two in group II, and two in group III. Sixteen patients were well and alive 24 to 100 months after diagnosis; one patient died from disease progression 24 months after diagnosis. Analysis of our results determined that spindle cell rhabdomyosarcoma constitutes a rare variant of the embryonal form, showing a high degree of skeletal muscle differentiation and a low malignant potential; it should therefore be distinguished from classical forms of embryonal rhabdomyosarcoma.
The role of joint collaboration planning actions in a demand-driven supply chain

Purpose – Drawing on the operations and information systems literature as well as concepts tied to buyer‐seller relationships, the objective of this exploratory research is to measure the influence of joint collaboration planning actions on the strength of relationships, interorganizational information systems (IOISs) use and firm flexibility. The path model proposed in this study also posits that joint collaboration planning actions and the strength of relationships positively affect IOISs use, which in turn positively affects firm flexibility.Design/methodology/approach – Empirical evidence is gathered through an electronic survey conducted with 53 suppliers in a single supply network in the telecommunications equipment industry.Findings – The present study demonstrates that joint collaboration planning actions positively and significantly impact the strength of relationships. The results also show that IOISs use mediates the impact of joint collaboration planning actions and of the strength of relation.
Post-acute P300 predicts recovery of consciousness from traumatic vegetative state

Background: Evoked potentials allow one to assess functional integrity of sensory pathways projecting to primary sensory cortices and event-related potentials assess higher order cortical functions associated with stimulus detection and decision-making. Evoked and event-related potentials have been used to predict emergence from coma. This study aimed to determine whether they can help prediction of consciousness recovery in post-traumatic vegetative state (VS). Methods: Thirty-four patients in post-traumatic VS were assessed clinically and neurophysiologically at 2–3 months after injury and followed up to 1 year. Patients were assessed with the Disability Rating Scale (DRS) and with electroencephalogram (EEG), brainstem auditory (BAEP) and somatosensory evoked potentials (SEP) and P300. Demographic, clinical and neurophysiological measures were analysed by descriptive and logistic regression techniques. Results: At 1 year from injury, 26 patients (76%) had recovered consciousness and eight patients (24%) had not. In univariate analyses, a detectable P300, a reactive EEG and lower DRS scores were found at entry assessment more frequently (p < 0.05) in patients who later recovered consciousness than in those who did not. Logistic regression analysis revealed that P300 was the only factor contributing to prediction of conscious recovery with an area under the ROC curve of 0.94 (95% CI, 0.80–0.99). Conclusions: P300 is a strong predictor of conscious recovery in VS.
VELOCITY DISPERSIONS AND DYNAMICAL MASSES FOR A LARGE SAMPLE OF QUIESCENT GALAXIES AT z > 1: IMPROVED MEASURES OF THE GROWTH IN MASS AND SIZE

We present Keck LRIS spectroscopy for a sample of 103 massive (M > 1010.6 M☉) galaxies with redshifts 0.9 < z < 1.6. Of these, 56 are quiescent with high signal-to-noise absorption line spectra, enabling us to determine robust stellar velocity dispersions for the largest sample yet available beyond a redshift of 1. Together with effective radii measured from deep Hubble Space Telescope images, we calculate dynamical masses and address key questions relating to the puzzling size growth claimed by many observers for quiescent galaxies over the redshift interval 0 < z < 2. Our large sample provides the first opportunity to carefully examine the relationship between stellar and dynamical masses at high redshift. We find this relation closely follows that determined locally. We also confirm the utility of the locally established empirical calibration which enables high-redshift velocity dispersions to be estimated photometrically, and we determine its accuracy to be 35%. To address recent suggestions that progenitor bias—the continued arrival of recently quenched larger galaxies—can largely explain the size evolution of quiescent galaxies, we examine the growth at fixed velocity dispersion assuming this quantity is largely unaffected by the merger history. Using the velocity dispersion–age relation observed in the local universe, we demonstrate that significant size and mass growth have clearly occurred in individual systems. Parameterizing the relation between mass and size growth over 0 < z < 1.6 as R∝Mα, we find α = 1.6 ± 0.3, in agreement with theoretical expectations from simulations of minor mergers. Relaxing the assumption that the velocity dispersion is unchanging, we examine growth assuming a constant ranking in galaxy velocity dispersion. This approach is applicable only to the large-dispersion tail of the distribution, but yields a consistent growth rate of α = 1.4 ± 0.2. Both methods confirm that progenitor bias alone is insufficient to explain our new observations and that quiescent galaxies have grown in both size and stellar mass over 0 < z < 1.6.
The Neuroergonomics of Vigilance

Objective: The aim of this study was to examine the effects of uncertainty about where in the field of view critical signals for detection appear during a vigilance task (spatial uncertainty) on cerebral blood flow velocity (CBFV) and oculomotor fatigue. Background: Neuroergonomics is a dimension of human factors founded by Raja Parasuraman that studies brain functions underlying performance at work. Neuroergonomic studies have shown that observers in vigilance tasks lose information-processing resources over time and experience oculomotor fatigue as indexed by a temporal decline in CBFV and elevation in eye closure as reflected in the PERCLOS metric. Because spatial uncertainty increases an observer’s need for visual scanning relative to a spatial certainty condition, it was anticipated that spatial uncertainty would result in a greater temporal decline in CBFV and increased eye closure in a vigilance session. Method: Observers performed a simulated unmanned aerial vehicle (UAV) control task wherein collision flight paths were the events to be detected. UAV images could appear at random in any one of five locations on the controller’s display (spatial uncertainty) or only in a fixed location (spatial certainty). Results: Signal detection was poorer in the spatial-uncertain relative to the certain condition, and predictions regarding CBFV and eye closure were confirmed. Conclusion: Vigilance tasks involving spatial uncertainty are more neurophysiologically taxing than those in which spatial uncertainty is not a factor. Application: The neuroergonomic approach helps in understanding the effects of psychophysical factors in vigilance and to signify when performance aiding is needed.
Knowledge, Attitudes And Behavior Related To Sexuality In Adolescents With Chronic Disability

This study explored the level of knowledge, attitudes and activity related to sexuality in a group of adolescents and young adults with myelomeningocele, a group of matched controls and a group of adolescents with cystic fibrosis. Slightly more than half of the study sample were female, the mean age was 17‐2 years, and their backgrounds were mainly middle‐class. 28 per cent of the myelodysplastic group reported previous sexual activity, compared with 60 per cent of the control group and 43 per cent of the group with cystic fibrosis. Most of the disabled adolescents expressed a desire to marry and have children, but fewer than 20 per cent had sought information regarding their sexual or reproductive function from their physician. Among those sexually active, 60 per cent of the controls and 67 per cent of those with cystic fibrosis had used contraception, compared with 16 per cent of the myelodysplastic group. The authors conclude that sex education and screening for contraceptive need is indicated for adolescents with chronic disabilities.
On Capacity of Wireless Networks Using Practical Directional Antennas

Capacity is one fundamental problem in wireless Ad hoc networks. Deploying directional antennas to wireless networks can reduce interference among concurrent transmissions and increase spatial reuse, while the technology of multi-channel can separate concurrent transmissions. Therefore, combining these two technologies into one wireless network is capable of great improvement on the network capacity. Recent studies proposed a multi-channel network architecture that equips each wireless node with multiple directional antennas, which is called MC-MDA network. The capacity in MC-MDA network is derived under arbitrary and random placements. However, they only used a simplified directional antenna model. For approaching the more accurate capacity in real scenario, we consider a hybrid antenna model, which takes the effect of side lobe into account. We derive the capacity upper-bounds of MC-MDA networks in arbitrary and random network with the hybrid model to find the effect of side lobe. We show that the network capacity is closely related to the ratio of the radiuses of side lobe to main lobe. The capacity decreases when the ratio increases. Moreover, we compare the network capacity of MC-MDA using the simplified antenna model with our results.
Recent Changes in the Ventilation of the Southern Oceans

The Change of Winds As the combined effects of Antarctic stratospheric ozone depletion and climate warming have forced the westerly surface winds in the Southern Hemisphere to shift toward the pole, mixing between the upper ocean and deeper waters has also changed. Waugh et al. (p. 568) now show that water originating at the surface at subtropical latitudes is mixing into the deeper ocean at a higher rate than 20 years ago, while the reverse is true for those originating at higher latitudes. The summer westerly winds that blow in the Southern Hemisphere have shifted toward the South Pole over the past several decades, but why? Lee and Feldstein (p. 563) show that greenhouse gas forcing and ozone depletion impart different signatures to wind patterns and conclude that ozone depletion has been responsible for more than half of the observed shift. Changing westerly winds in the Southern Hemisphere have caused coherent changes in the southern ocean ventilation. [Also see News & Analysis] Surface westerly winds in the Southern Hemisphere have intensified over the past few decades, primarily in response to the formation of the Antarctic ozone hole, and there is intense debate on the impact of this on the ocean's circulation and uptake and redistribution of atmospheric gases. We used measurements of chlorofluorocarbon-12 (CFC-12) made in the southern oceans in the early 1990s and mid- to late 2000s to examine changes in ocean ventilation. Our analysis of the CFC-12 data reveals a decrease in the age of subtropical subantarctic mode waters and an increase in the age of circumpolar deep waters, suggesting that the formation of the Antarctic ozone hole has caused large-scale coherent changes in the ventilation of the southern oceans.
[Relationship of cytomegalovirus, Chlamydia pneumoniae and herpes simplex virus type 2 infections with preeclampsia].

OBJECTIVE To explore the potential relationship of cytomegalovirus (CMV), Chlamydia pneumoniae (CP) and herpes simplex virus type 2 (HSV-2) in inflammation and preeclampsia. METHODS Fifty-two pregnant women with preeclampsia and 34 with uncomplicated pregnancy in the third trimester were recruited. The exclusions included uterine contractions, multiple pregnancies, rupture of membranes, symptomatic infectious diseases, medical diseases and antibiotics or hormones users. Samples of maternal blood were harvested from two groups. Serum levels of CMV, CP, and HSV-2 IgM and IgG antibodies as well as high-sensitivity C-reactive protein (hs-CRP) and interleukin-6 (IL-6) were determined by enzyme-linked immunosorbent assay (ELISA) in preeclampsia and normal pregnancy controls. RESULTS (1) Recent infections of CMV, CP and HSV-2 were not more common in patients with preeclampsia versus normal pregnancy. The prevalence rates of long-dated CMV, CP and HSV-2 infection were 94.2% (49/52), 53.9% (28/52) and 3.9% (2/52) in preeclampsia group versus 100.0% (34/34), 55.9% (19/34) and 5.9% (2/34) in control group. No significant difference existed between two groups (P > 0.05). (2) Maternal serum concentrations of IL-6 and hs-CRP in patients with preeclampsia were significantly higher than that in normal pregnancy women ((7.2 ± 2.1) ng/L and (6.8 ± 5.6) mg/L vs (6.2 ± 1.8) ng/L and (4.6 ± 3.0) mg/L, both P < 0.05). CONCLUSION Excessive inflammatory reactions are present in women with preeclampsia. But previous infections, as measured by IgM and IgG antibody seropositivity to CMV, CP and HSV-2, are not correlated with preeclampsia in the third trimester.
[Correlations between factors and intraocular pressure following photorefractive keratectomy].

OBJECTIVE To evaluate the factors related to intraocular pressure (IOP) after excimer laser photorefractive keratectomy (PRK). METHODS 86 cases 150 eyes of myopia followed over six months after PRK were studied with noncontact tonometer (NCT). RESULT After PRK, a decrease in the IOP was observed. Post-operatively, the IOP reading at 1st month was the highest. The reduction of IOP may be related to the decrease in corneal thickness and corneal curvature (r = 0.361, P < 0.01; r = 0.188, P < 0.05). Regression equation for IOP drop (kPa) = - 0.059 - 0.038X(1) + 0.009X(2)[X(1) = ablation depth (microm), X(2) = decrease in corneal curvature (D)]. CONCLUSION IOP readings after PRK are influenced by corneal thickness, corneal curvature and eye drug times.
Musculoskeletal anomalies in a large cohort of boys with 49, XXXXY

49, XXXXY is a rare aneuploidy and variant of Klinefelter syndrome, occurring in 1 per 80,000–100,000 live births. We present a cohort of 40 affected males, focusing on musculoskeletal problems. Subjects were participants in an annual 49er family support group meeting. Children were examined in a multidisciplinary clinic by a pediatric neurologist and geneticist, a pediatric orthopedist, a neurodevelopmentalist, and two physical therapists. The patient data were collected from this clinic from 2004 to 2012. All patients were required to have karyotypes that confirmed the presence of XXXXY. There was a high prevalence of musculoskeletal disorders, particularly hypotonia (34 patients [85%]), radioulnar synostosis (30 [75%]), pes planus (26 [65%]), asymmetric hip rotation (27 [67.5%]), and clinodactyly (24 [60%]). Other, less common lower‐extremity disorders, included, 5 patients (12.5%) with unilateral club foot, 5 boys (12.5%) with pes cavus, 10 patients (25%) genu valgum and 2 children with genu varus (5%). To our knowledge, this is the first large cohort of boys with 49, XXXXY that focuses on musculoskeletal disorders. There was an increased incidence of hypotonia, clubfoot, avascular necrosis of the femoral head, radioulnar synostosis, and pes planus compared to the normative population. Boys with 49, XXXXY would benefit from multidisciplinary evaluations, particularly from pediatric orthopedists, physical therapists, neurologists, and geneticists for appropriate medical care. © 2013 Wiley Periodicals, Inc.
Stethoscope versus point-of-care ultrasound in the differential diagnosis of dyspnea: a randomized trial

We aimed to determine the accuracies of point-of-care ultrasound (PoCUS) and stethoscopes as part of the physical examinations of patients with dyspnea. Three emergency medicine specialists in each of two groups of ultrasound and stethoscope performers underwent didactic and hands-on training on PoCUS and stethoscope usage. All the patients enrolled were randomized to one of two predetermined PoCUS or stethoscope groups. The diagnostic performance of ultrasonography was higher than that of the stethoscope in the diagnoses of heart failure (90 vs. 86%, 1.00 vs. 0.89, and 5.00 vs. 4.92, respectively) and pneumonia (90 vs. 86.7%, 0.75 vs. 0.73, and 16.50 vs. 13.82, respectively). No significant differences were observed in the utility parameters of these modalities in these diagnoses. Although some authors argue that it is time to abandon the ‘archaic tools’ of past centuries, we believe that it is too early to discontinue the use of the stethoscope.