Miracle-dz/UniFAR-FTUs huggingface dataset:
What is the clinical usefulness of the metabolic syndrome? The Casale Monferrato study

Objective Data on the clinical usefulness of the metabolic syndrome with respect to cardiovascular risk are not conclusive. We have assessed this issue in a large population-based cohort of diabetic and nondiabetic people in Southern Europe. Methods An Italian population-based cohort of 3729 individuals (2211 without diabetes and 1518 with diabetes) was examined, with centralized measurements, including the Homeostasis Model Assessment (HOMA) index in nondiabetic people. The usefulness of the metabolic syndrome (ATP III criteria) as an indicator of cardiovascular disease (CVD), independently of classical and novel risk factor [C-reactive protein (CRP) and albumin excretion rate (AER)] was assessed by using unconditional logistic regression. Results One thousand, seven hundred and fifty-three individuals (47.0%) had neither diabetes nor the metabolic syndrome, 458 (12.3%) had the metabolic syndrome only, 442 (11.8%) had type 2 diabetes only and 1076 (28.9%) had both diabetes and the metabolic syndrome. The highest likelihood of having CVD was conferred by both diabetes and the metabolic syndrome [odds ratio (OR) = 4.37, 95% confidence interval (CI) 3.25–5.87], independently of age, sex, low-density lipoprotein-cholesterol, smoke, AER, and CRP values. After further adjustment for its individual components, the association between CVD and the metabolic syndrome was no more evident. Among people with CRP 3 mg/l or less, ORs were similar in nondiabetic people with the metabolic syndrome and in diabetic people without it, whereas among those with CRP greater than 3 mg/l OR was two-fold higher in the latter. Values in upper quartiles of the HOMA-IR conferred a significant two-fold increased OR of CVD, even after adjustment for individual components of the metabolic syndrome, CRP and AER. Conclusions The additional information provided by the metabolic syndrome is limited, in both diabetic and nondiabetic people, whereas the HOMA index is a useful indicator of CVD, independently of individual components of the metabolic syndrome, classical and novel risk factors.
PENGARUH INFLASI, SUKU BUNGA, UKURAN REKSA DANA, DAN UMUR REKSA DANA TERHADAP KINERJA REKSA DANA

This study aims to determine the significance of the effect of inflation, interest rates, equity fund size, and age of mutual fund shares in fund performance shares listed on the Indonesian stock exchange. This research was conducted at the company's equity funds. The sampling method used in this research is the method nonprobability sampling with purposive sampling technique, with the criteria of equity funds that the effective date of more than five years of trading. Based on these criteria obtained a sample of 20 companies. The data in this study using non-participant observation that retrieve data on the Stock Exchange Indonesia.Model analysis used is multiple linear regression with the finding that inflation negatively affect the performance of mutual fund shares, interest rates negatively affect the performance of mutual fund shares, the size of mutual funds positive effect on the stock performance of mutual fund shares, and age equity fund positively affects the performance of mutual fund shares.
Association of enteric shedding of bovine torovirus (Breda virus) and other enteropathogens with diarrhea in veal calves.

OBJECTIVE To determine the prevalence, fecal shedding pattern, and association of bovine torovirus (BoTV) with diarrhea in veal calves at time of arrival and periodically throughout the first 35 days after their arrival on a veal farm. ANIMALS 62 veal calves. PROCEDURE Fecal samples collected on days 0, 4, 14, and 35 after arrival were tested for BoTV by use of ELISA and reverse transcriptase-polymerase chain reaction (RT-PCR) assay. Paired serum samples obtained from blood collected on days 0 and 35 were analyzed for BoTV antibodies with a hemagglutination inhibition assay. Fecal samples were also screened for other enteric pathogens, including rotavirus, coronavirus, and Cryptosporidium spp. RESULTS Fecal shedding of BoTV was detected in 15 of 62 (24%) calves by use of ELISA and RT-PCR assay, with peak shedding on day 4. A significant independent association between BoTV shedding and diarrhea was observed. In addition, calves shedding > or = 2 enteric pathogens were more likely to have diarrhea than calves shedding < or = 1 pathogen. Calves that were seronegative or had low antibody titers against BoTV (< or = 1:10 hemagglutination inhibition units) at arrival seroconverted to BoTV (> 4-fold increase in titer); these calves were more likely to shed virus than calves that were seropositive against BoTV at arrival. CONCLUSIONS AND CLINICAL RELEVANCE Shedding of BoTV was strongly associated with diarrhea in neonatal veal calves during the first week after arrival at the farm. These data provide evidence that BoTV is an important pathogen of neonatal veal calves.
The MMP-9/TIMP-1 imbalance and the reduced level of TGF-β in the cervical area of amniotic membrane is a possible risk factor of PROM and premature labor - proof-of-concept study.

OBJECTIVES To assess the level MMP-9, TIMP-1 and TGF-β in placental and cervical region of amniotic membranes derived from at-term, pre-term and PROM deliveries. MATERIAL AND METHODS 14 amniotic membranes have been assessed; the quantitative analysis of MMP-9, TGF-β and TIMP-1 was assayed using respective Quantikine Immunoassay Kit. RESULTS The MMP-9 level in PROM samples was similar to the level of MMP-9 in at-term membranes and comparable between the cervical and placental region of these membranes. The concentration of TGF-β and TIMP-1 was decreased in the cervical area of AM derived from deliveries complicated with PROM. CONCLUSION The MMP9/TIMP-1 imbalance, as well as the reduced level of TGF-β may be possible risk factors of pre-term labor and PROM.
Dominance and Diversity in Land Plant Communities

Most plant communities consist of several or many species which compete for light, water, and nutrients. Species in a given community may be ranked by their relative success in competition; productivity seems to be the best measure of their success or importance in the community. Curves of decreasing productivity connect the few most important species (the dominants) with a larger number of species of intermediate importance (whose number primarily determines the community's diversity or richness in species) and a smaller number of rare species. These curves are of varied forms and are believed to express different patterns of competition and niche differentiation in communities. It is probably true of plants, as of animals, that no two species in a stable community occupy the same niche. Evolution of niche differentiation makes possible the occurrence together of many plant species which are partial, rather than direct, competitors. Species tend to evolve also toward habitat differentiation, toward scattering of their centers of maximum population density in relation to environmental gradients, so that few species are competing with one another in their population centers. Evolution of both niche and habitat differentiation permits many species to exist together in communities as partial competitors, with distributions broadly and continuously overlapping, forming the landscape's many intergrading communities.
Qsr1p, a 60S ribosomal subunit protein, is required for joining of 40S and 60S subunits

QSR1 is a recently discovered, essential Saccharomyces cerevisiae gene, which encodes a 60S ribosomal subunit protein. Thirty-one unique temperature-sensitive alleles of QSR1 were generated by regional codon randomization within a conserved 20-amino-acid sequence of the QSR1-encoded protein. The temperature-sensitive mutants arrest as viable, large, unbudded cells 24 to 48 h after a shift to 37 degrees C. Polysome and ribosomal subunit analysis by velocity gradient centrifugation of lysates from temperature-sensitive qsr1 mutants and from cells in which Qsr1p was depleted by down regulation of an inducible promoter revealed the presence of half-mer polysomes and a large pool of free 60S subunits that lack Qsr1p. In vitro subunit-joining assays and analysis of a mutant conditional for the synthesis of Qsr1p demonstrate that 60S subunits devoid of Qsr1p are unable to join with 40S subunits whereas 60S subunits that contain either wild-type or mutant forms of the protein are capable of subunit joining. The defective 60S subunits result from a reduced association of mutant Qsr1p with 60S subunits. These results indicate that Qsr1p is required for ribosomal subunit joining.
Healthcare-seeking preferences of patients with sexually transmitted infection attending a tertiary care center in South Kerala

Background: Sexually transmitted infections (STIs) are a major public health problem in developing countries. These diseases are associated with increased risk of transmission of human immunodeficiency virus as well as adverse outcomes on pregnancy and reproductive health. Sexual behavior and healthcare-seeking behavior are identified as the true risk factors of STIs. Methods: Hospital-based cross-sectional study design was adopted. Eighty-five STI patients were studied regarding the inappropriate treatment-seeking behavior, the nature of the first point of contact with the health care, the appropriateness of treatment and the concerns of the patient regarding the services rendered by government health-care facilities. Results: Among the 85 patients studied, 55.3% were males and 44.7% were females. Inappropriate treatment-seeking behavior was seen in 29.8% of males and 36.8% of females. About 59.6% of males and 81.6% of females sought appropriate treatment from modern medicine practitioners before attending our institution. Only 7.1% of males and 3.2% of females received appropriate treatment. The government sector was the choice of treatment for 46.4% males and 93.5% females and this difference was statistically significant (P = 0.00081). Lack of free medicines, issues of confidentiality, and privacy were the major service-related issues in the public sector. Conclusion: Appropriate treatment at the first point of contact with the health system is an important measure to prevent further transmission and development of complications. Health providers from both private and public sector should be given frequent periodic training regarding syndromic management of STIs and the training should stress on the need for risk reduction and condom promotion messages along with medical management. Program planners should take necessary steps to ensure adequate and continuous supply of free drugs and tackle issues of confidentiality and privacy.
Changes in health-related quality of life and quality of care among terminally ill cancer patients and survival prediction: Multicenter prospective cohort study

Abstract Objective: This study examined changes in health-related quality of life (HRQoL) and quality of care (QoC) as perceived by terminally ill cancer patients and a stratified set of HRQoL or QoC factors that are most likely to influence survival at the end of life (EoL). Method: We administered questionnaires to 619 consecutive patients immediately after they were diagnosed with terminal cancer by physicians at 11 university hospitals and at the National Cancer Center in Korea. Subjects were followed up over 161.2 person-years until their deaths. We measured HRQoL using the core 30-item European Organization for Research and Treatment of Cancer Quality of Life Questionnaire, and QoC using the Quality Care Questionnaire–End of Life (QCQ–EoL). We evaluated changes in HRQoL and QoC issues during the first three months after enrollment, performing sensitivity analysis by using data generated via four methods (complete case analysis, available case analysis, the last observation carried forward, and multiple imputation). Results: Emotional and cognitive functioning decreased significantly over time, while dyspnea, constipation, and pain increased significantly. Dignity-conserving care, care by healthcare professionals, family relationships, and QCQ–EoL total score decreased significantly. Global QoL, appetite loss, and Eastern Cooperative Oncology Group Performance Status (ECOG–PS) scores were significantly associated with survival. Significance of results: Future standardization of palliative care should be focused on assessment of these deteriorated types of quality. Accurate estimates of the length of life remaining for terminally ill cancer patients by such EoL-enhancing factors as global QoL, appetite loss, and ECOG–PS are needed to help patients experience a dignified and comfortable death.
Advances in nanopatterned and nanostructured supported lipid membranes and their applications

Abstract Lipid membranes are versatile and convenient alternatives to study the properties of natural cell membranes. Self-assembled, artificial, substrate-supported lipid membranes have taken a central role in membrane research due to a combination of factors problem are seemingly incompatible with each other. For example, methods to produce spacers which give suitable wetting conditions of the substrate will be more compatible with for example spotting arrays than other patterning methods. And it is likely that spreading of membranes on polymer cushions opens up new ways of creating artificial replicas of complex natural membranes which have been challenging on solid supports, as it already seems that tethered membranes can help prepare and improve stability of, for example, aperture spanning membranes. The merger of these approaches has only just started. In summary, SLBs combine added stability, defined localization and application of surface sensitive and on the nanoscale localized measurement techniques, which ensures that they will continue to attract much attention and research effort in the years to come. And while there is no shortage of remaining scientific challenges in the field, there is also no lack of creative solutions being developed to meet these challenges.
Melatonin in cardiovascular disease

This editorial refers to “Cardiovascular effects of melatonin receptor agonists”. The hormone melatonin is synthesized primarily in the pineal gland, retina, several peripheral tissues and organs. In the circulation, the concentration of melatonin follows a circadian rhythm, with high levels at night providing timing cues to target tissues endowed with melatonin receptors. Based on the data available, the last 18 years indicate that melatonin influences multiple factors of the cardiovascular function. Multiple evidences reveal that the rhythmicity of melatonin has a crucial role in a variety of cardiovascular pathophysiological processes including anti-inflammatory, antioxidant, anti-hypertensive and possibly as an antilipidemic function. Melatonin receptors receive and transduce melatonin's message to influence daily and seasonal rhythms of physiology. The melatonin message is translated through the interaction between the melatonin receptors (MT1 and MT2) and its coupling to G proteins, which are potential therapeutic targets in disorders ranging from insomnia, circadian sleep disorders, depression and cardiovascular diseases. Based on the data available, melatonin seems to have cardioprotective properties via its direct free radical scavenger activity. Melatonin efficiently interacts with several reactive oxygen species (receptor-independent actions). Collectively, these protective actions of melatonin may have potential clinical applicability for individuals with cardiovascular disease.
Design and analysis of complex vector current regulators for modular multilevel converters

This paper presents the implementation and dynamic analysis of synchronous frame current regulators for Modular Multilevel Converters (MMC) using complex vectors. This includes the design of the Decoupling Physical Input Cross-Coupling (DPICC) for MMC-topologies. With this, the set of differential equation of the MMC can be transformed into the same format that is used for virtually every other Voltage Source Inverter (VSI) and thus in terms of current control the MMC can be controlled with similar control strategies. Limitations in the performance of common synchronous frame Proportional plus Integral (PI) control techniques are demonstrated. The design of a proportional plus time-weighted accumulation current controller in the discrete time domain is also laid out in this paper.
Organizing Contests for Status: The Matthew Effect Versus the Mark Effect

The article presents management science research on competition between individuals within the same organization for status. A mathematical model is created to assess the value of two means to manage such competition, which are termed the "Matthew Effect," in which status rewards are disproportionately distributed to the high end of the competition, and the "Mark Effect" in which they are distributed more evenly. Empirical testing of the models is said to find that while the Mark Effect creates better social welfare outcomes in most cases, competitions within elite organizations perform better under the Matthew Effect.
Itopride therapy for functional dyspepsia: a meta-analysis.

AIM To evaluate the therapeutic effects of itopride vs other drugs (placebo, domperidone, mosapride) for functional dyspepsia (FD). METHODS Randomized controlled trials (RCTs) of itopride for FD were retrieved from databases. Relevant information was extracted and analyzed, using the relative risk (RR) and weighted mean deviation, as appropriate. A random or fixed effect model was used, based on the heterogeneity of the included articles, and visual inspection of funnel plots was used to evaluate publication bias. RESULTS Nine RCTs enrolling 2620 FD cases were included; 1372 cases received itopride treatment and 1248 cases received placebo or other drugs (control groups). Compared with control groups, itopride had superior RR values of 1.11 [95%CI: (1.03, 1.19), P = 0.006], 1.21 [95%CI: (1.03, 1.44), P = 0.02], and 1.24 [95%CI: (1.01, 1.53), P = 0.04] for global patient assessment, postprandial fullness, and early satiety, respectively. For the Leeds Dyspepsia Questionnaire score, the weighted mean deviation was -1.38 [95%CI: (-1.75, -1.01), P < 0.01]. The incidence of adverse effects was similar in the itopride and control groups. The funnel plots for all indicators showed no evidence of publication bias. CONCLUSION Itopride has good efficacy in terms of global patients assessment, postprandial fullness, and early satiety in the treatment of patients with FD and shows a low rate of adverse reactions. Itopride can greatly improve FD syndromes-score.
Correlation of scanning electron and confocal laser scanning microscopic analyses for visualization of dentin/adhesive interfaces in the root canal.

PURPOSE To compare scanning electron microscopic (SEM) and confocal laser scanning microscopic analyses (CLSM) of hybrid layer thickness and the number of dentinal tubules penetrated with composite resin inside the root canal on identical samples. MATERIALS AND METHODS Central maxillary incisors were restored using fiber posts (FRC Postec) inserted with a chemically curing composite resin (Clearfil Core/New Bond). Two different fluorescent dyes were used to respectively label adhesive and composite resin. Each root was sectioned into two slices starting 2 mm below the cementoenamel junction. SEM (low vacuum mode) and CLSM (dual fluorescence mode) analyses of 18 samples were performed. Hybrid layer thickness was measured at five characteristic points of each sample and the number of dentinal tubules penetrated with composite resin was counted on both corresponding images by two independent observers. Correlation coefficients as well as pairwise comparisons were calculated for both parameters. RESULTS SEM and CLSM measurements of hybrid layer thickness were positively correlated (r2 = 0.772; Pearson), and thickness was significantly higher after evaluation with CLSM (p < 0.0005; Wilcoxon). The observed number of dentinal tubules penetrated with composite resin revealed a nonsignificant correlation (r2 = 0.111; p = 0.193). Significantly lower tag numbers were counted when using SEM (p = 0.010; Wilcoxon). CONCLUSION With respect to the variability of the hybrid layer measurements, the two methods yielded comparable results. CLSM provided more detailed information regarding the penetration and distribution of resin cement and adhesive than did SEM imaging.
Psychiatric Disorders in Individuals Diagnosed with Infantile Autism as Children: A Case Control Study

The objective of this study was to compare the prevalence and types of psychiatric disorders in a clinical sample of 118 individuals diagnosed as children with infantile autism (IA) with psychiatric disorders in 336 matched controls from the general population using data from the nationwide Danish Psychiatric Central Register. The average observation time was 32.5 years, and mean age at follow-up was 40.6 years (range 25-55 years). Of the 118 individuals with IA, 57 (48.3%) had been in contact with psychiatric hospitals (inpatient hospitalization or outpatient visits) during the follow-up period, compared with 20/336 (6.0%) in the control group (p < 0.0001). This observation should alert general psychiatrists to the possibility of additional treatable psychiatric disorders occurring in individuals with IA. Of the 118 individuals in the IA group, 20 individuals (17%) had been given a comorbid psychiatric diagnosis during the observation period, compared with 9 individuals (2.7%) in the control group. Of the subjects with IA, 3.4% had received a diagnosis of schizophrenia (F20) at least once since the index admission in childhood, 0.8% had been diagnosed with delusional disorder (F22), 0.8% with acute psychotic disorder (F23), and 1.6% with unspecified non-organic psychosis (F29). In the control group, 0.9% had been diagnosed with schizophrenia (p = 0.08). In the group with IA, 3.4% had received a diagnosis in the broad category of affective disorders compared with 1.2% in the control group (p = 0.21). Issues associated with using registers in the ascertainment of co-occurring psychiatric disorders in IA are discussed.
Brain large artery inflammation associated with HIV and large artery remodeling

Objective:To test the hypothesis that brain arteries from HIV+ cases have a greater degree of inflammation than brain arteries from HIV− cases, and that inflammation is associated with brain arterial remodeling. Design:Case–control study, cross-sectional. Methods:Brain arteries from 162 autopsy cases (84 with HIV) were systematically analyzed for thickness of the intima, media, and adventitia, and atherosclerosis and dolichoectasia. Inflammation was assessed with CD68+ immunohistochemistry, and measured with a semiquantitative score reflecting the number and location (i.e., arterial layer) of activated macrophages infiltrating the arterial wall. Latent varicella zoster virus (VZV) was assessed with anti-VZV gene 63 product immunohistochemistry. Demographic and clinical variables were available in all cases, and longitudinal data about CD4+ cell counts were available among cases with HIV. Multilevel generalized linear models were used to test the association between inflammation and HIV. Results:Arteries from HIV+ cases had a higher inflammation score (B = 0.36, P = 0.05) compared with arteries from HIV− cases, although the association was attenuated after controlling for demographic variables, vascular risk factors, and latent VZV (B = 0.20, P = 0.18). Although intimal inflammation was similar in cases with and without HIV, adventitial inflammation was associated with HIV. Intimal inflammation was associated with intracranial atherosclerosis independent of HIV status, but adventitial inflammation was associated with HIV-associated dolichoectasia in arteries with a thin media. Conclusions:Adventitial inflammation is associated with HIV and dolichoectasia independent of intracranial atherosclerosis. This suggests that differential inflammatory responses may play a role in intracranial atherosclerosis and dolichoectasia.