Miracle-dz/UniFAR-FTUs huggingface dataset:
Predicting the Response to Lung Volume Reduction Surgery Using Scintigraphy

This study was conducted to evaluate the use of quantitative scintigraphy with a newly designed marker to assess and predict the efficacy of lung volume reduction surgery in treating emphysema. In a series of 50 patients with severe emphysema who underwent the operation, ventilation/perfusion scintigraphy was performed and 2 markers of area ratio and lung uniformity were measured before and 6 months after surgery. The markers were correlated with the results of pulmonary function tests. The histopathological subtype of emphysema was also determined in the resected specimen and related to improvement in the markers. The markers were closely related to improvement in forced expiratory volume in 1 second, with the highest correlation being the marker lung uniformity measured by perfusion scintigraphy. Improvement in this marker was significantly greater in centrilobular than in panlobular emphysema. This quantitative method of scintigraphy could provide an excellent reflection of surgical efficacy as well as predict the surgical outcome. Additionally, it provides a mechanistic explanation for the differential improvement between the histopathological subtypes of emphysema following surgery.
Plasma brain-derived neurotrophic factor concentration is a predictor of chronic kidney disease in patients with cardiovascular risk factors – Hyogo Sleep Cardio-Autonomic Atherosclerosis study

Background Brain-derived neurotrophic factor (BDNF) has been shown to have protective effects against cardiovascular diseases and death through neural and non-neural pathways via tropomyosin-related kinase B signaling. However, it is not known whether plasma BDNF concentration is a predictor of chronic kidney disease (CKD). Design This study was conducted as a prospective cohort study as part of the Hyogo Sleep Cardio-Autonomic Atherosclerosis. Methods We measured plasma BDNF concentration in 324 patients without CKD, defined as an estimated glomerular filtration rate (eGFR) less than 60 ml/min/1.73m2, and with cardiovascular risk factors. As potential confounders, sleep condition, nocturnal hypertension, and autonomic function were quantitatively examined. The patients were followed for a median 37 months (range 2–59 months) and occurrence of CKD was noted. Results Plasma BDNF concentration was significantly and independently associated with CKD development, which occurred in 38 patients (11.7%). Kaplan-Meier analysis revealed that patients with reduced plasma BDNF concentration exhibited a significantly (p = 0.029) greater number of CKD events as compared to those with a higher concentration. Moreover, comparisons of key subgroups showed that the risk of CKD in association with low plasma BDNF concentration was more prominent in patients with a greater reduction of nocturnal systolic blood pressure, better movement index, higher standard deviations of the NN(RR) interval or average NN(RR) interval for each 5-minute period, and without past cardiovascular disease events, smoking habit, or albuminuria. Conclusions Plasma BDNF concentration is an independent predictor for development of CKD in patients with cardiovascular risk factors.
A critical reappraisal of indications for fasciotomy after extremity vascular trauma.

OBJECTIVE To critically reevaluate the indications for fasciotomy in vascular trauma of the extremities. DESIGN Case-control study. SETTING Level I trauma center. MATERIALS AND METHODS One hundred sixty-three vascular injuries to the extremeties were analyzed. Fasciotomy as an adjunct to vascular repair was performed in 45 limbs (28%), based either on the nature of injury or measured compartment pressure of greater than 35 mm Hg. MAIN OUTCOME MEASURES Need for fasciotomy or limb amputation. RESULTS Fasciotomy was performed for 29.5% of isolated arterial injuries, 15.2% of isolated venous injuries, and 31.6% of combined arterial and venous injuries, and was not related to venous repair or ligation. Seven delayed fasciotomies were performed either for vascular repair failure (5 patients) or compartment syndrome (2 patients). The highest incidence was for popliteal vessel injury (arterial 57%, combined 61%). Of the 33 lower-extremity fasciotomies, 58% were for popliteal vessel injury. In 51 combined injuries of the lower extremity, only 7 (19%) of 38 patients with injury above the knee required fasciotomy, as compared with 8 (62%) of 13 with injury to the popliteal vessels (P<.001), with or without venous repair. There were 3 amputations, all resulting from vascular repair failure. CONCLUSIONS The presence of a combined vascular injury or the need for venous ligation does not necessitate routine fasciotomy. The need for fasciotomy may be maximal for injuries to popliteal vessels.
Macrophage progenitor cell and colony-stimulating factor production during granulomatous schistosomiasis mansoni in mice

Schistosoma mansoni worm eggs stimulate a T-cell-mediated granulomatous response in which macrophages play important inflammatory and regulatory roles. Although much has been learned about the functions of the schistosome granuloma macrophages, their origin and replicative ability are unknown. In the present sequential study, macrophage progenitor cells in the bone marrow (GM-CFC) and liver granulomas (M-CFC) were enumerated, and macrophage colony-stimulating factor (CSF-1) in the circulation and culture fluid of explanted granulomas of infected mice was assayed. During the acute phase of the infection, when the granulomatous response was vigorous (weeks 8 to 12) GM-CFC numbers were high in the bone marrow and M-CFC numbers were low within granulomas. Circulating CSF-1 levels were elevated, but the vigorous granuloma-secreted CSF-1 level was low. During the chronic phase of the infection, the number of GM-CFC within the bone marrow and levels of circulating CSF-1 returned to normal. Conversely, a sharp increase in the number of M-CFC occurred within the small immunomodulated granulomas that also secreted high levels of CSF-1. The frequency of M-CFC that proliferated under exogenously added CSF-1 within the immunomodulated granulomas was significantly higher than that of cells in the vigorous granulomas. Adherent macrophage-rich cells obtained after dispersal of the granulomas appeared to be one source of CSF-1 production. These data indicate that during the infection the macrophage supply to and replicative ability within the granulomas is influenced by systemically and/or locally produced CSF-1.
The local Bieberbach problem for univalent functions revisited

Properties of John functions in Nehari-type classes Sarita Agrawal Indian Institute of Technology Indore, India e-mail: saritamath44@gmail.com In this paper we introduce the notion of John functions and study some of their properties associated with the Nehari class. The series of preparatory results, which are applications of certain diffeerential equations, consist of sharp estimations of modulus of pre-Schwarzian derivatives of functions belonging to Nehari-type classes. As a result we also see that an analytic solution of a complex diffeerential equation in a cut-plane has a mapping property associated with convexity of the Gaussian hypergeometric functions in the direction of the imaginary axis. This talk is based on the following article: S. Agrawal and S. K. Sahoo, Properties of John functions in Nehari–type classes, Preprint. The local Bieberbach problem for univalent functions revisited Dov Aharonov and Daoud Bshouty Technion Israel Institute of Technology, Israel e-mail: dova@techunix.technion. ac.il, daoud@tx.technion. ac.il Let S denote the class of all normalized univalent functions in the unit disk f(z) = z + a2z 2 + . The Local Bieberbach Problem (LBP)for the class S, formulated by Bombieri and published in his theses (see [1]), is to find an explicit bound dn such that the inequalities |n− |an|| ≤ dn|2− |a2|| hold. It was soon found that the behavior of the odd coefficients are different from the even coefficients near the Koebe function
Alternative statistical approaches to identifying dementia in a community-dwelling sample

Little attention has been paid to examining the extent to which alternative statistical models may facilitate identification of persons with dementia. Using a sub-sample of the Duke Established Populations for Epidemiologic Studies of the Elderly, two analytical approaches were compared: logistic regression (which focuses on identifying specific characteristics predictive here of dementia), and recursive partitioning methods using tree-based models (which permit identification of the characteristics of those groups with high dementing disorder). In the stepwise multiple logistic regression model which included as potential predictors, gender, age, history of chronic health conditions, scales of basic and instrumental activities of daily living (IADL), and cognitive status, only IADL and cognitive status were significant predictors, with cognitive status the single most important factor. The classification tree approach, which permits identification of the characteristics of those groups with particularly high dementia rates, identified cognitive status as the most important criterion for dementia (as did logistic regression analysis). Among those without cognitive impairment, older age was a risk factor, confirming findings consistently reported in the literature. Among the cognitively impaired, IADL was an important risk factor. Those with five or more IADL problems were further classified into two risk groups, based on number of ADL problems. While classification tree analysis encourages identification of groups at risk, logistic regression encourages targeting of specific characteristics.
Predicting the proportion of full-thickness involvement for any given burn size based on burn resuscitation volumes

INTRODUCTION The depth of burn has been an important factor often overlooked when estimating the total resuscitation fluid needed for early burn care. The goal of this study was to determine the degree to which full-thickness (FT) involvement affected overall 24-hour burn resuscitation volumes. METHODS We performed a retrospective review of patients admitted to our burn intensive care unit from December 2007 to April 2013, with significant burns that required resuscitation using our computerized decision support system for burn fluid resuscitation. We defined the degree of FT involvement as FT Index (FTI; percentage of FT injury/percentage of total body surface area (TBSA) burned [%FT / %TBSA]) and compared variables on actual 24-hour fluid resuscitation volumes overall as well as for any given burn size. RESULTS A total of 203 patients admitted to our burn center during the study period were included in the analysis. Mean age and weight were 47 ± 19 years and 87 ± 18 kg, respectively. Mean %TBSA was 41 ± 20 with a mean %FT of 18 ± 24. As %TBSA, %FT, and FTI increased, so did actual 24-hour fluid resuscitation volumes (mL/kg). However, increase in FTI did not result in increased volume indexed to burn size (mL/kg per %TBSA). This was true even when patients with inhalation injury were excluded. Further investigation revealed that as %TBSA increased, %FT increased nonlinearly (quadratic polynomial) (R2 = 0.994). CONCLUSION Total burn size and FT burn size were both highly correlated with increased 24-hour fluid resuscitation volumes. However, FTI did not correlate with a corresponding increase in resuscitation volumes for any given burn size, even when patients with inhalation injury were excluded. Thus, there are insufficient data to presume that those who receive more volume at any given burn size are likely to be mostly full thickness or vice versa. This was influenced by a relatively low sample size at each 10%TBSA increment and larger burn sizes disproportionately having more FT burns. A more robust sample size may elucidate this relationship better. LEVEL OF EVIDENCE Therapeutic/care management study, level IV.
Review. Promises, pitfalls and challenges of genomic selection in breeding programs

The aim of this work was to review the main challenges and pitfalls of the implementation of genomic selection in the breeding programs of different livestock species. Genomic selection is now one of the main challenges in animal breeding and genetics. Its application could considerably increase the genetic gain in traits of interest. However, the success of its practical implementation depends on the selection scheme characteristics, and these must be studied for each particular case. In dairy cattle, especially in Holsteins, genomic selection is a reality. However, in other livestock species (beef cattle, small ruminants, monogastrics and fish) genomic selection has mainly been used experimentally. The main limitation for its implementation in the mentioned livestock species is the high genotyping costs compared to the low selection value of the candidate. Nevertheless, nowadays the possibility of using single-nucleotide polymorphism (SNP) chips of low density to make genomic selection applications economically feasible is under study. Economic studies may optimize the benefits of genomic selection (GS) to include new traits in the breeding goals. It is evident that genomic selection offers great potential; however, a suitable genotyping strategy and recording system for each case is needed in order to properly exploit it.
Fracture modes in brittle coatings with large interlayer modulus mismatch

Fracture modes in a model glass–polymer coating–substrate system indented with hard spheres are investigated. The large modulus mismatch between the glass and polymer results in distinctive transverse fracture modes within the brittle coating: exaggerated circumferential (C) ring cracks that initiate at the upper coating surface well outside the contact (as opposed to the near-contact Hertzian cone fractures observed in monolithic brittle materials); median–radial (M) cracks that initiate at the lower surface (i.e., at the substrate interface) on median planes containing the contact axis. Bonding between the coating and substrate is sufficiently strong as to preclude delamination in our system. The transparency of the constituent materials usefully enables in situ identification and quantification of the two transverse fracture modes during contact. The morphologies of the cracks and the corresponding critical indentation loads for initiation are measured over a broad range of coating thicknesses (20 mm to 5.6 mm), on coatings with like surface flaw states, here ensured by a prebonding abrasion treatment. There is a well-defined, broad intermediate range where the indented coating responds more like a flexing plate than a Hertzian contact, and where the M and C cracks initiate in close correspondence with a simple critical stress criterion, i.e., when the maximum tensile stresses exceed the bulk strength of the (abraded) glass. In this intermediate range the M cracks generally form first—only when the flaws on the lower surface are removed (by etching) do the C cracks form first. Finite element modeling is used to evaluate the critical stresses at crack initiation and the surface locations of the crack origins. Departures from the critical stress condition occur at the extremes of very thick coatings (monolith limit) and very thin coatings (thin-film limit), where stress gradients over the flaw dimension are large. Implications of the results concerning practical coating systems are considered.
Social support for mothers in illness: A multifaceted phenomenon

Abstract Background: Many women privilege the mothering role over other areas of their lives, and for ill women, it can be difficult to relinquish maternal responsibility. Not being able to mother in their usual way can have consequences for women’s wellbeing and view of themselves as ‘good’ mothers. Method: In this study, 77 mothers of dependent children were interviewed about their experiences of illness, and the social support they received. Results: Despite their illnesses, participants in this study continued to feel they were primarily responsible for the wellbeing and care of their children, and were distressed if they were unable to adequately fulfil the primary carer role. As participants sometimes found it difficult to care for their children, help with childcare emerged as an important element of social support. Seeking assistance with care for children revealed a tension between support that was accessible and support that was acceptable. Conclusion: Mothering while ill is difficult and women facing illness may need encouragement to accept help to continue to meet their maternal responsibilities. Nurses are in an excellent position to encourage women to identify and draw upon sources of support to assist them in maintaining their mothering role while ill.
A kinetic model for the prevalence of mono‐ over poly‐pupylation

Bacteria belonging to the phyla Actinobacteria and Nitrospira possess proteasome cores homologous to the eukaryotic 20S proteasome particle. In these bacteria, the cytoplasmic signal for proteasomal degradation is a small protein termed Pup (prokaryotic ubiquitin‐like protein). PafA, the only known Pup ligase, conjugates Pup to lysine side chains of target proteins. In contrast to the eukaryotic ubiquitin‐proteasome system, where poly‐ubiquitin chains are the principal tags for proteasomal degradation, mono‐Pup moieties are almost exclusively observed in vivo and are sufficient as degradation tags. Although Pup presents lysines, raising the possibility of poly‐Pup chain assembly, these do not predominate. At present, the factors promoting the distinct predominance of mono‐ over poly‐pupylation remain poorly understood. To address this issue, we conducted a detailed biochemical analysis characterizing the pupylation of model proteins in vitro. We found that Pup can indeed serve as a pupylation target for PafA either in its free form or when already conjugated to proteins, thus allowing for the formation of poly‐Pup chains. However, our results indicate that pupylation of an already pupylated protein is unlikely to occur due to low affinity of PafA for such species. This alone prevents predominance of poly‐ over mono‐pupylation in vitro. This effect is likely to be magnified in vivo by the combination of PafA kinetics with the high abundance of non‐pupylated proteins. Overall, this work provides a kinetic explanation for the prevalence of mono‐ rather than poly‐pupylation in vivo, and sheds light on PafA substrate specificity.
Enantioselective Separation of Mirtazapine and Its Metabolites by Capillary Electrophoresis with Acetonitrile Field-Amplified Sample Stacking and Its Application

A simple, rapid and sensitive chiral capillary zone electrophoresis coupled with acetonitrile-field-amplified sample stacking method was developed that allows the simultaneous enantioselective separation of the mirtazapine, N-demethylmirtazapine, 8-hydroxymirtazapine and mirtazapine-N-oxide. The separation was achieved on an uncoated 40.2 cm × 75 μM fused silica capillary with an applied voltage of 16 kV. The electrophoretic analyses were carried out in 6.25 mM borate–25 mM phosphate solution at pH 2.8 containing 5.5 mg/mL carboxymethyl-β-cyclodextrin. The detection wavelength was 200 nm. Under these optimized conditions, satisfactory chiral separations of four pair enantiomers were achieved in less than 7 min in vitro. After one step clean-up liquid-liquid extraction using 96-well format, sample was introduced capillary zone electrophoresis with acetonitrile-field-amplified sample stacking to enhance the sensitivity of enantiomers. The method was validated with respect to specificity, linearity, lower limit of quantitation, accuracy, precision, extraction recovery and stability. The lower limit of quantification was 0.5 ng/mL with linear response over the 0.5–50 ng/mL concentration range for each mirtazapine, N-demethylmirtazapine and 8-hydroxymirtazapine enantiomer. The developed and validated method has been successfully applied to the enantioselective pharmacokinetic studies in 12 healthy volunteers after oral administration of rac- mirtazapine.
Les électeurs du Front national (2012-2015)

Au premier tour des elections regionales de 2015, les scores du Front national (FN) ont frole les 28 % des suffrages exprimes. Au second, il a recueilli plus de 6,8 millions de voix et 15 % des inscrits. L’enquete « Regionales 2015 » realisee au lendemain du scrutin permet de prendre la mesure de sa dynamique electorale, a un peu plus d’un an de l’echeance presidentielle de 2017. Il montre la relative stabilite des structures ideologiques et sociodemographiques des soutiens du Front national, a l’exception de deux changements majeurs par rapport a 2012. La precarite sociale qui favorisait le vote de gauche joue aujourd’hui en faveur du FN, tandis que l’electorat feminin conquis par Marine Le Pen en 2012 se montre de nouveau plus reticent que l’electorat masculin.
Suicide and drought in New South Wales, Australia, 1970–2007

There is concern in Australia that droughts substantially increase the incidence of suicide in rural populations, particularly among male farmers and their families. We investigated this possibility for the state of New South Wales (NSW), Australia between 1970 and 2007, analyzing data on suicides with a previously established climatic drought index. Using a generalized additive model that controlled for season, region, and long-term suicide trends, we found an increased relative risk of suicide of 15% (95% confidence interval, 8%–22%) for rural males aged 30–49 y when the drought index rose from the first quartile to the third quartile. In contrast, the risk of suicide for rural females aged >30 y declined with increased values of the drought index. We also observed an increased risk of suicide in spring and early summer. In addition there was a smaller association during unusually warm months at any time of year. The spring suicide increase is well documented in nontropical locations, although its cause is unknown. The possible increased risk of suicide during drought in rural Australia warrants public health focus and concern, as does the annual, predictable increase seen each spring and early summer. Suicide is a complex phenomenon with many interacting social, environmental, and biological causal factors. The relationship between drought and suicide is best understood using a holistic framework. Climate change projections suggest increased frequency and severity of droughts in NSW, accompanied and exacerbated by rising temperatures. Elucidating the relationships between drought and mental health will help facilitate adaptation to climate change.
Fen Bilimleri Eğitiminde Yapılmış Nitel Çalışmaların İçerik Analizi

Bu calisma, fen bilimleri egitimi alaninda yapilmis olan nitel calismalarin derinlemesine incelenmesi amaciyla yapilmistir. Calismada betimsel icerik analizi yontemi kullanilarak 30 calisma incelenmis ve bu calismalar; amac, gerekce, yontem, guvenirlik onlemleri, bulgular, sonuc, veri toplama araclari ve orneklemler acisindan siniflandirilarak tablolar halinde sunulmustur. Calismada en dikkat ceken sonuc, yapilmis olan nitel calismalarda guvenirligi saglamada yetersiz kalacak guvenirlik onlemlerinin alinmis olmasidir. Bu sonuctan yola cikarak arastirmacilara, yaptiklari nitel calismalarda katilimcilarin rahat cevap vermelerini saglamasi acisindan veri toplanacak grupla uzun sure vakit gecirmeleri onerilmektedir. Calisma sonuclarinin, alanda yapilan arastirmalara genel bakis saglamasi ve eksikliklerin fark edilmesi acisindan yarar saglayacagi dusunulmektedir.