Miracle-dz/UniFAR-FTUs huggingface dataset:
Biomechanical comparison of three types of internal fixation in a type C zone II pelvic fracture model.

OBJECTIVE This study aimed to compare the stability of Tile C pelvic fractures fixed with two iliosacral (IS) screws, tension band plate (TBP), and minimally invasive adjustable plate (MIAP). METHODS Six embalmed specimens of adult pelvis were used. The soft tissue was removed from the specimens, but spines from the fourth lumbar vertebra to the proximal one-third of both femurs were retained. The pubic symphysis, bilateral sacroiliac joints and ligaments, bilateral hip joints, bilateral sacrotuberous ligaments, and bilateral sacrospinous ligaments were intact. Tile C pelvic fractures were created on the specimens. The symphysis pubis was fixed with a plate, and the fracture on the posterior pelvic ring was fixed with three types of internal fixation in a randomized block design. The specimens were placed in a biomechanical machine at a standing neutral posture. A cyclic vertical load of up to 500N was applied, and displacement was recorded. Shifts in the fracture gap were measured by a grating displacement sensor. RESULTS Under different vertical loads, the shift in the fracture gap and displacement of the pelvic fractures fixed with two IS screws were similar to those in fractures fixed with MIAP. However, the shift in the fracture gap and displacement of fractures fixed with MIAP was significantly smaller than those of fractures fixed with TBP. CONCLUSION The stability of the Tile C pelvic fractures fixed with MIAP was similar to that of fractures fixed with IS screws. MIAP performed better than TBP under vertical load.
Primary care for adults with Down syndrome: adherence to preventive healthcare recommendations.

BACKGROUND Due to significant medical improvements, persons with Down syndrome now live well into adulthood. Consequently, primary care for adults with Down syndrome needs to incorporate routine care with screening for condition-specific comorbidities. This study seeks to evaluate the adherence of primary care physicians to age- and condition-specific preventive care in a cohort of adults with Down syndrome. METHODS In this retrospective observational cohort study, preventive screening was evaluated in patients with Down syndrome aged 18-45 years who received primary care in an academic medical centre from 2000 to 2008. Comparisons were made based on the field of patients' primary care providers (Family or Internal Medicine). RESULTS This cohort included 62 patients, median index age = 33 years. Forty per cent of patients received primary care by Family Physicians, with 60% seen by Internal Medicine practices. Patient demographics, comorbidities and overall screening patterns were similar between provider groups. Despite near universal screening for obesity and hypothyroidism, adherence to preventive care recommendations was otherwise inconsistent. Screening was 'moderate' (50-80%) for cardiac anomalies, reproductive health, dentition, and the combined measure of behaviour, psychological, or memory abnormalities. Less than 50% of patients were evaluated for obstructive sleep apnea, atlanto-axial instability, hearing loss or vision loss. CONCLUSIONS We observed inconsistent preventive care in adults with Down syndrome over this 8.5-year study. This is concerning, given that the adverse effects of many of these conditions can be ameliorated if discovered in a timely fashion. Further studies must evaluate the implications of screening practices and more timely identification of comorbidities on clinical outcomes.
Visualizing Leisure

This essay defines the visual approach through a review of leisure-related literature and draws insights from scholars across the social sciences. Visual leisure is the collection of several approaches to research that recognizes the relevance of vision to ways we make sense of leisure in our lives. It is not about more data or incremental advancement, but on providing a different kind of data that repositions research questions in ways that verbal or numeric information are not able to do. Visual leisure has tremendous potential to democratize research through an expanded accessibility of data, an enhanced transparency of argument, and an empowerment of lay people in research-based policy and planning processes. Problems with both visual literacy and representation of leisure contexts are developed as central motivations for producing this special issue.
Estrogen Replacement Attenuates Exaggerated Neointimal Hyperplasia Following Carotid Endarterectomy in Rats

Background: To investigate whether estrogen may attenuate neointima formation in hyperhomocysteinemic rat carotid endarterectomy. Methods: Rats were divided into 6 groups: ovariectomized estradiol-treated homocysteine or chow; ovariectomized placebo-treated homocysteine or chow; intact placebo-treated homocysteine or chow. Chow served as controls while homocysteine served as exaggerated intimal hyperplasia. Prior to endarterectomy, rats were implanted with estradiol mini-pump or placebo, diets given 2 weeks before and after surgery. Homocysteine, estrogen, and neointimal hyperplasia were determined. Results: Homocysteine was elevated in homocysteine groups versus controls except in estradiol-treated group. Intimal hyperplasia increased in placebo-treated ovariectomized homocysteine versus intact group. Exaggerated intimal hyperplasia in placebo-treated ovariectomized homocysteine was reduced by estrogen and so was homocysteine. Estrogen replacement in ovariectomized homocysteine group reduced intimal hyperplasia to that of intact or ovariectomized controls. Conclusion: Estradiol treatment in this ovariectomized hyperhomocysteinemia carotid endarterectomy and resultant attenuation of homocysteine and neointima may have relevance to the beneficial effects of estrogen on hyperplastic response.
3 . 1 Training and Testing / Encoding Algorithm 1

Autoencoders have been successful in learning meaningful representations from image datasets. However, their performance on text datasets has not been widely studied. Traditional autoencoders tend to learn possibly trivial representations of text documents due to their confounding properties such as high-dimensionality, sparsity and power-lawword distributions. In this paper, we propose a novel k-competitive autoencoder, called KATE, for text documents. Due to the competition between the neurons in the hidden layer, each neuron becomes specialized in recognizing specific data patterns, and overall the model can learn meaningful representations of textual data. A comprehensive set of experiments show that KATE can learn better representations than traditional autoencoders including denoising, contractive, variational, and k-sparse autoencoders. Our model also outperforms deep generative models, probabilistic topic models, and even word representation models (e.g., Word2Vec) in terms of several downstream tasks such as document classification, regression, and retrieval.
Determinants of Usual Source of Care Disparities among African American and Caribbean Black Men: Findings from the National Survey of American Life

Purpose. The Aday-Andersen model was used as a framework for investigating the contribution of immigration status (i.e., nativity and acculturation), socioeconomic factors, health care access, health status, and health insurance to usual source of health care (USOC) in a nationally representative sample of African American (n = 551) and Caribbean Black men (n = 1,217). Methods. We used the 2001–2003 National Survey of American Life, a nationally representative household survey of non-institutionalized U.S. Blacks to conduct descriptive and logistic regression analyses.Results. Older age, more health conditions, neighborhood medical clinic access, and health insurance were associated with higher odds of reporting a USOC. Odds were lower for men with lower-middle incomes and poorer mental health status. Having health insurance was associated with higher odds of reporting a USOC for African American men but lower odds among Caribbean Black men. Odds were higher in the presence of more health conditions for African American men than for Caribbean Black men.Conclusions. Health care reform policies aimed solely at increasing health insurance may not uniformly eliminate USOC disparities disfavoring U.S. and foreign-born non-Hispanic Black men.
Relationship between Pretransplant Noncompliance and Posttransplant Outcomes in Renal Transplant Recipients

Approximately 5% to 18% of kidney transplant recipients do not comply with their posttransplant medical treatment. This study examined the relationship between pretransplant noncompliance and posttransplant outcomes. Using a longitudinal retrospective chart audit, pretransplant and posttransplant data were collected for 126 kidney transplant recipients over a 3-year period. Sixty-one percent of those identified as noncompliant before transplant lost their graft or died after transplant. Significant relationships between pretransplant noncompliance and graft loss and between pre- and posttransplant noncompliance were found. Clinicians must identify those with pretransplant noncompliance, as they are at risk for poor outcomes and might benefit from an intensive posttransplant follow-up regimen.
Dimethyl Sulfoxide Suppresses NMDA- and AMPA-Induced Ion Currents and Calcium Influx and Protects against Excitotoxic Death in Hippocampal Neurons

Dimethyl sulfoxide (DMSO) is widely used in neuroscience research as a solvent for various pharmacological agents in both cell culture and in vivo studies and is also used in humans to treat musculoskeletal problems and pain. We now report that concentrations of DMSO to which neurons are typically exposed in experimental studies and in human patients (0.5-1.5%) inhibit glutamate responses in hippocampal neurons. DMSO suppresses, in a rapidly reversible manner, electrophysiological responses and calcium influx induced by glutamate, N-methyl-d-aspartate, and alpha-amino-3-hydroxy-5-methylisoxazole-4-propionate. Moreover, DMSO can prevent excitotoxic death of the neurons. These findings have important implications for the use of DMSO as a solvent in studies that involve glutamatergic neurotransmission. Our data also identify a mechanism that might explain clinical effects of DMSO on both peripheral and CNS neurons and suggest a potential use for DMSO in the treatment of excitotoxic neurodegenerative conditions.
Genomic dimensions of Su(H)-targeted regulatory belts in Drosophila

Asymmetric Notch signaling promotes divergent fates in select cells throughout metazoan development. In the receiving cell, signaling results in cleavage of the Notch intracellular domain and its import into the nucleus, where it binds Suppressor of Hairless [Su(H)] to promote gene expression in conjunction with contextual cues in the surrounding DNA sequence. To investigate the nature of this contextual logic, we identify 1344 Su(H)-site containing regulatory belts that are conserved across the Drosophila genus. Each Su(H)-type regulatory belt (SUH-RB) is a 0.6-1.0 kb chain of conservation peaks consistent with a transcriptional enhancer or core promoter. These regulatory belts contain one or more canonical binding sites for Su(H) along with ~15-30 other binding sites. SUH-RBs are densely clustered in certain chromosomal regions such as the E(spl)-complex, the Wnt gene complex, and genes encoding Notch receptor ligands (Delta and Serrate). SUH-RBs overlap most known Su(H)/Notch-target enhancers and others, including non-embryonic enhancers that are not identified by embryonic ChIP-seq peaks. Thus, SUH-RBs overcome the stage-specific nature of embryonic ChIP-seq peaks and suggest a pervasive role for contextual tissue-specific pioneer and/or enhancer-licensing factors. SUH-RBs also delineate false positive ChIP-seq peaks, which do not overlap SUH-RBs, are missing even the weakest Su(H)-binding sequences, and have the shortest ChIP peak widths. Last, we characterize several novel enhancers including Su(H)-dependent enhancers at Notch and Delta, intestinal enhancers at A2bp1 and hedgehog, and distinct enhancers at roughest, E2f1, and escargot.
Activation of the RIG-I Pathway during Influenza Vaccination Enhances the Germinal Center Reaction, Promotes T Follicular Helper Cell Induction, and Provides a Dose-Sparing Effect and Protective Immunity

ABSTRACT Pattern recognition receptors (PRR) sense certain molecular patterns uniquely expressed by pathogens. Retinoic-acid-inducible gene I (RIG-I) is a cytosolic PRR that senses viral nucleic acids and induces innate immune activation and secretion of type I interferons (IFNs). Here, using influenza vaccine antigens, we investigated the consequences of activating the RIG-I pathway for antigen-specific adaptive immune responses. We found that mice immunized with influenza vaccine antigens coadministered with 5′ppp-double-stranded RNA (dsRNA), a RIG-I ligand, developed robust levels of hemagglutination-inhibiting antibodies, enhanced germinal center reaction, and T follicular helper cell responses. In addition, RIG-I activation enhanced antibody affinity maturation and plasma cell responses in the draining lymph nodes, spleen, and bone marrow and conferred protective immunity against virus challenge. Importantly, activation of the RIG-I pathway was able to reduce the antigen requirement by 10- to 100-fold in inducing optimal influenza-specific cellular and humoral responses, including protective immunity. The effects induced by 5′ppp-dsRNA were significantly dependent on type I IFN and IPS-1 (an adapter protein downstream of the RIG-I pathway) signaling but were independent of the MyD88- and TLR3-mediated pathways. Our results show that activation of the RIG-I-like receptor pathway programs the innate immunity to achieve qualitatively and quantitatively enhanced protective cellular adaptive immune responses even at low antigen doses, and this indicates the potential utility of RIG-I ligands as molecular adjuvants for viral vaccines. IMPORTANCE The recently discovered RNA helicase family of RIG-I-like receptors (RLRs) is a critical component of host defense mechanisms responsible for detecting viruses and triggering innate antiviral cytokines that help control viral replication and dissemination. In this study, we show that the RLR pathway can be effectively exploited to enhance adaptive immunity and protective immune memory against viral infection. Our results show that activation of the RIG-I pathway along with influenza vaccination programs the innate immunity to induce qualitatively and quantitatively superior protective adaptive immunity against pandemic influenza viruses. More importantly, RIG-I activation at the time of vaccination allows induction of robust adaptive responses even at low vaccine antigen doses. These results highlight the potential utility of exploiting the RIG-I pathway to enhance viral-vaccine-specific immunity and have broader implications for designing better vaccines in general.
Incidence and prevalence of ankylosing spondylitis in Finland.

OBJECTIVE To determine the incidence and prevalence of clinically significant ankylosing spondylitis (AS) in Finland. METHODS The incidence study covered patients entitled under the nationwide sickness insurance scheme to receive specially reimbursed medication for AS in 5/21 central hospital districts in Finland (population base about one million adults > or = 16 years of age) in 1980, 1985, and 1990. The prevalence study covered a representative sample of the Finnish population > or = 30 years of age, initially comprising 8000 persons, of whom 7217 participated in the field survey carried out in 1978-1980. RESULTS The annual incidence of AS requiring antirheumatic medication was 6.9/100,000 [95% confidence interval (CI), 6.0-7.8] adults. Eleven cases of clinically significant AS were encountered in the prevalence study, corresponding to a prevalence of 0.15% (95% CI, 0.08-0.27%). The ratio between the prevalence rate and the annual incidence rate was 22. CONCLUSION This study provides population based data on the incidence and prevalence of clinically significant AS in Finland. The incidence rates of AS remained similar for the 3 study years.
Methaemalbumin formation in sickle cell disease: effect on oxidative protein modification and HO‐1 induction

Normally, cell free haemoglobin is bound by haptoglobin and efficiently cleared. However, the chronic haemolysis in sickle cell disease (SCD) overwhelms haptoglobin binding capacity and protein turnover, resulting in elevated cell free haemoglobin. Cell free haemoglobin acts as both a scavenger of vasoactive nitric oxide and a pro‐oxidant. In addition, methaemoglobin (metHb) releases the haem moiety, which can bind to albumin to form methaemalbumin (metHSA). This study used electron paramagnetic resonance to detect metHSA in SCD plasma and demonstrated that haptoglobin prevents haem transfer from metHb to HSA. MetHSA may either provide a second line of defence against haemoglobin/haem‐mediated oxidation or contribute to the pro‐oxidant environment of SCD plasma. We demonstrated that HSA inhibited oxidative protein modification induced by metHb. Additionally, we showed that while metHb induced haem oxygenase 1 (HO‐1), an indicator of oxidative stress, HSA attenuated metHb induction of this enzyme, thereby limiting the potential benefits of HO‐1. Furthermore, HO‐1 induction by metHSA was less than HO‐1 induction by equimolar metHb not bound to albumin. Our findings confirm the presence of metHSA in SCD and suggest that haem transfer from metHb to HSA reduces the oxidative effects of free haemoglobin/haem on endothelium with both beneficial (reduced protein oxidation) and potentially harmful (reduced HO‐1 induction) outcomes.
Effect of exogenous IGF‐1 on chondrocyte apoptosis in a rabbit intraarticular osteotomy model

Insulin‐like growth factor‐1 (IGF‐1) has been shown to protect chondrocytes from apoptosis in vitro. IGF‐1 expression may also assist in maintaining a fully differentiated chondrocyte phenotype. Theoretically, posttraumatic administration of IGF‐1 may inhibit chondrocyte apoptosis. This study is to determine if administration of IGF‐1 after fracture inhibits apoptosis in vivo. Twenty‐four mature female New Zealand white rabbits were randomized to control and IGF‐1 groups. All subjects underwent standardized medial femoral condyle fracture and repair. Fibrin clot was administered in all subjects, with 25 mcg/ml IGF‐1 in the clot in half the subjects. Half of the animals in each group were sacrificed at 2 weeks and half at 4 weeks, specimens were fixed and underwent TUNEL staining. Two‐week controls showed significantly higher rate of apoptosis than 2‐week IGF‐1 subjects (21 ± 6 vs. 12 ± 6, p = 0.04). Likewise, 4‐week controls showed significantly higher rate of apoptosis than 2‐week IGF‐1 subjects (23 ± 7 vs. 10 ± 2, p = 0.01). There was no significant administration difference between 2‐week control and 4‐week control subjects, or between 2‐week IGF‐1 and 4‐week IGF‐1 subjects. Intraarticular IGF‐1 at the time of fracture repair appears to inhibit chondrocyte apoptosis in vivo, as judged by TUNEL staining, in this animal model. If administration of IGF‐1 inhibits human chondrocyte apoptosis in vivo, this may lead to interventions that may reduce posttraumatic arthritis after fracture. © 2009 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 28:125–130, 2010
Associations of caregiver stressors and uplifts with subjective well-being and depressive mood: a meta-analytic comparison

The present meta-analytic study gives a systematic review of research on depression and the subjective well-being of caregivers. We integrate results from 60 studies on informal caregivers’ subjective well-being (e.g., positive affect, life-satisfaction) and contrast them with the result of studies on caregiver depression. Analyses were based on a two-factor model of subjective well-being that distinguishes between positive and negative dimensions of well-being (e.g., happiness and depression). The strongest effects were domain-specific: uplifts of caregiving were associated with subjective well-being and caregiving stressors were associated with depression. In addition, weaker effects that crossed domains were present: uplifts were weakly associated with depressive symptoms. In addition, lower levels of caregivers’ subjective well-being were weakly related to care receivers’ physical and cognitive impairments, as well as behaviour problems, but not to the amount of caregiving. Type of care recipients’ illness and the measure of well-being moderated, in part, the association between stressors/uplifts and subjective well-being.
Individualized thoracic aortic replacement for the aortopathy of biscuspid aortic valve disease.

BACKGROUND AND AIM OF THE STUDY Bicuspid aortic valve (BAV) disease is associated with an aortopathy resulting in aneurysmal dilatation spanning the root, ascending, and arch segments. To date, no large series of proximal aortic replacement in this population has been reported. The study aim was to report contemporary surgical outcomes for proximal aortic replacement in BAV disease, and to examine the relationships between valve morphology, valve pathophysiology, and pathology of the thoracic aorta. METHODS Between September 2005 and December 2009, a total of 100 consecutive patients (mean age 54 +/- 13 years; range: 29-80 years) with BAV and proximal aortic enlargement underwent aortic replacement at a single referral institution. Of these patients, 16% had undergone prior aortic valve replacement (AVR). The aortic repair was individually tailored to treat the aortic valve and thoracic aortic pathology, and included supracoronary ascending aortic (AA) replacement (n = 17), AVR with separate supracoronary AA replacement (n = 39), aortic root replacement (n = 42), and valve-sparing root replacement (n = 2). Concomitant arch replacement was performed in 82 patients (80 hemi-arch, two full arch). Other concomitant cardiac procedures were performed in 28 patients. RESULTS The 30-day/in-hospital rates of death and stroke were both 1%. The predominant aortic valve pathophysiology was aortic stenosis (AS; 33%), aortic insufficiency (AI; 29%), mixed AS/AI (17%), normally functioning BAV (17%), and unknown (4%). Valve morphology included Sievers Type I, R/L (75%), Type I, R/N (9%), Type I, L/N (2%), Type 0 (7%), and Type II (7%). BAV patients with predominantly AI had more frequent root dilatation (62%) than those with either AS (30%) or normal valve function (35%). Based on BAV morphology, there were no significant differences in maximal thoracic aortic diameters between groups. At a mean follow up of 16 months, there were no late deaths or valve-related complications. CONCLUSION Proximal aortic replacement in patients with BAV can be performed with low rates of mortality and morbidity. The pathologic anatomy of the thoracic aorta was not predicted by the aortic valve morphology, although dilation of the aortic root was most common in BAV patients with a predominant AI pathophysiology. These findings convey the safety and feasibility of treating concomitant aortopathy, including arch replacement as needed, and may help tailor the specific operation needed to the patient's pathology.