Miracle-dz/UniFAR-FTUs huggingface dataset:
Tools to improve the accuracy of kidney stone sizing with ultrasound.

PURPOSE Ultrasound (US) overestimates stone size when compared with CT. The purpose of this work was to evaluate the overestimation of stone size with US in an in vitro water bath model and investigate methods to reduce overestimation. MATERIALS AND METHODS Ten human stones (3-12 mm) were measured using B-mode (brightness mode) US by a sonographer blinded to the true stone size. Images were captured and compared using both a commercial US machine and software-based research US device. Image gain was adjusted between moderate and high stone intensities, and the transducer-to-stone depth was varied from 6 to 10 cm. A computerized stone-sizing program was developed to outline the stone width based on a grayscale intensity threshold. RESULTS Overestimation with the commercial device increased with both gain and depth. Average overestimation at moderate and high gain was 1.9±0.8 and 2.1±0.9 mm, respectively (p=0.6). Overestimation increased an average of 22% with an every 2-cm increase in depth (p=0.02). Overestimation using the research device was 1.5±0.9 mm and did not vary with depth (p=0.28). Overestimation could be reduced to 0.02±1.1 mm (p<0.001) with the computerized stone-sizing program. However, a standardized threshold consistent across depth, system, or system settings could not be resolved. CONCLUSION Stone size is consistently overestimated with US. Overestimation increased with increasing depth and gain using the commercial machine. Overestimation was reduced and did not vary with depth, using the software-based US device. The computerized stone-sizing program shows the potential to reduce overestimation by implementing a grayscale intensity threshold for defining the stone size. More work is needed to standardize the approach, but if successful, such an approach could significantly improve stone-sizing accuracy and lead to automation of stone sizing.
Revised Stellar Properties of Kepler Targets for the Q1-17 (DR25) Transit Detection Run

The determination of exoplanet properties and occurrence rates using Kepler data critically depends on our knowledge of the fundamental properties (such as temperature, radius, and mass) of the observed stars. We present revised stellar properties for 197,096 Kepler targets observed between Quarters 1–17 (Q1-17), which were used for the final transiting planet search run by the Kepler Mission (Data Release 25, DR25). Similar to the Q1–16 catalog by Huber et al., the classifications are based on conditioning published atmospheric parameters on a grid of Dartmouth isochrones, with significant improvements in the adopted method and over 29,000 new sources for temperatures, surface gravities, or metallicities. In addition to fundamental stellar properties, the new catalog also includes distances and extinctions, and we provide posterior samples for each stellar parameter of each star. Typical uncertainties are ∼27% in radius, ∼17% in mass, and ∼51% in density, which is somewhat smaller than previous catalogs because of the larger number of improved constraints and the inclusion of isochrone weighting when deriving stellar posterior distributions. On average, the catalog includes a significantly larger number of evolved solar-type stars, with an increase of 43.5% in the number of subgiants. We discuss the overall changes of radii and masses of Kepler targets as a function of spectral type, with a particular focus on exoplanet host stars.
The effect of a cognitive or motor task on the gait parameters of those with diabetes , with and without neuropathy

Aims: To compare the gait parameters of older people with diabetes (DM) and people with diabetes and diabetic peripheral neuropathy (DPN) and to investigate the effect of a secondary motor or cognitive task on their gait. Methods: Thirty subjects were recruited; 15 with DPN (mean age 69 ±3.0years) and 15 with diabetes and no neuropathy (70 ± 2.9years). The temporal and spatial parameters of gait were evaluated using the GAITRite walkway. Subjects undertook four walks under normal walking conditions (single task); four times while simultaneously undertaking an additional motor task, carrying a tray with cups of water (dual task); and four times whilst undertaking a cognitive dual task, counting backwards in sevens. This arithmetic task was also completed in sitting. Results: For all gait variables there was a statistically significant difference between the groups. Subjects with DPN walked slower and with smaller steps compared to those with diabetes. In general the secondary task had a significant and adverse effect on the gait parameters and this effect was greater for those with DPN in both absolute and relative terms. Both groups had poorer arithmetic ability when walking compared to sitting. Discussion: Patients with DPN have different gait parameters to diabetic patients without neuropathy. Problems with divided attention when walking were more evident in the DPN group and may increase their risk of falls.
Percepção materna da imagem corporal de seus filhos em aleitamento materno exclusivo

Objective: Understanding maternal perception of their child’s body image in exclusive breastfeeding. Methods: A descriptive, qualitative study was conducted through semi-structured and projective interviews, with 14 mothers of children aged one to five months old. An analysis of the thematic content was performed using the Theory of Social Representations. Results: The visual and verbal classification of their children’s body image by mothers matched the nutritional diagnosis in nine cases. Three thematic categories were identified: distance between visual classification and perception of normal weight; minimization and rejection of weight extremes; and perception of child health versus exclusive breastfeeding. Conclusion: Mothers reject the weight extremes, understand the benefits of breastfeeding, but they show a distancing of the concept of normal weight.
Transport of nuclear-encoded proteins into secondarily evolved plastids

Abstract Many algal groups evolved by engulfment and intracellular reduction of a eukaryotic phototroph within a heterotrophic cell. Via this process, so-called secondary plastids evolved, surrounded by three or four membranes. In these organisms most of the genetic material encoding plastid functions is localized in the cell nucleus, with the result that many proteins have to pass three, four, or even five membranes to reach their final destination within the plastid. In this article, we review recent models and findings that help to explain important cellular mechanisms involved in the complex process of protein transport into secondary plastids.
Combined Effects of Low-dose Oral Spironolactone and Captopril Therapy in a Rat Model of Spontaneous Hypertension and Heart Failure

The effects of low-dose oral spironolactone (SPIRO) in a rat model of hypertensive heart failure (spontaneously hypertensive heart failure rat) were compared with its effects when combined with captopril (CAP). Twenty-six spontaneously rats with hypertensive heart failure were treated with either placebo (CON), SPIRO (20 mg/kg/d by mouth), CAP (100 mg/kg/d by mouth), or both SPIRO and CAP for 12 weeks. This dose of oral SPIRO did not affect blood pressure, left ventricular end-diastolic diameter, left ventricular ejection fraction, plasma atrial natriuretic peptide concentration, or cardiac fibrosis; however, in combination with CAP, it exerted a significant depressor effect after 12 weeks of treatment that was accompanied by increased urine output and decreased urinary protein excretion. These effects were significantly greater than those with CAP treatment alone. A significant increase in plasma aldosterone level was observed only in CON (174 ± 21%). These data suggest that the addition of low-dose SPIRO to angiotensin I–converting enzyme inhibitor treatment may prevent progression into end-stage congestive heart failure through synergistic effects on diuresis and renoprotection.
Rethinking the Toxic Methanol Level

Abstract Introduction: Treatment thresholds for methanol poisoning are based on case reports and published opinion. Most guidelines recommend treatment for a methanol level ≥20 mg/dL in a nonacidotic patient. No supportive data have been offered nor has the time of the exposure been addressed. For instance, no distinction has been drawn between a methanol level drawn 1 hr vs. 24 hr from ingestion. We analyzed all published cases of methanol poisoning to determine the applicability of the 20 mg/dL threshold in a nonacidotic patient, specifically those arriving early for care (within 6 hr) with a peak or near‐peak blood methanol concentration. Methods: Using predefined search criteria, a systematic review of the world literature was performed using MEDLINE and EMBASE. In addition, each article's references were hand searched for pre‐1966 articles, as were fatality abstracts from all U.S. poison centers. Human cases were included if they reported a known time of a single methanol exposure, acid–base data, blood methanol, and blood ethanol (if not acidotic). Results: Dating to 1879, 372 articles in 18 languages were abstracted using a standard format; 329 articles (2433 patients) involved methanol poisoning, and 70 articles (173 patients) met inclusion criteria. Only 22 of these patients presented for care within 6 hr of ingestion with an early methanol level. All but 1 patient was treated with an inhibitor of alcohol dehydrogenase (ADH). A clear acidosis developed only with a methanol level ≥126 mg/dL. The patient that did not receive an ADH inhibitor was an infant with an elevated early methanol level (46 mg/dL) that was given folate alone and never became acidotic. Intra and inter‐rater reliability were 0.95. Conclusions: Nearly all reports of methanol poisoning involve acidotic patients far removed from ingestion. The small amount of data regarding patients arriving early show that 126 mg/dL is the lowest early blood methanol level ever clearly associated with acidosis. Contrary to conventional teaching, there are case reports of acidosis after only a few hours of ingestion. The data are insufficient to apply 20 mg/dL as a treatment threshold in a nonacidotic patient arriving early for care. Prospective studies are necessary to determine if such patients may be managed without antidotal therapy or dialysis.
Synchronization in a Model of Interacting inferior Olive Cells with Time-Delayed Coupling

The influence of coupling time delay on synchronization processes is studied within the framework of a model describing the dynamics of two inferior olive cells coupled electronically through gap-junctions surrounded by synaptic inhibitory terminals that block these couplings. It was found that different types of synchronous behavior exist in the system, depending on parameters, and that even small changes of coupling time delay may change a dynamic regime to another one. This may be the transition between the regimes of different synchronization types, spike time binding, nonsynchronous behavior or the regime of activity suppression of an inferior olive cell.
The Short Arthritis Assessment Scale: a brief assessment questionnaire for rapid evaluation of arthritis severity in research and clinical practice.

OBJECTIVE To develop a short, 4-item arthritis severity questionnaire that is simple to score, clinically useful and meaningful, and suitable for use in primary care, where osteoarthritis (OA) is the primary prevalent arthritis illness. METHODS Data and items from the Medical Outcomes Study Short Form 36 (SF-36), the Western Ontario McMaster Osteoarthritis Index (WOMAC(c)), and visual analog scales (VAS) for pain and patient global severity were studied in 16,519 patients with arthritis. The Short Arthritis Assessment Scale (SAS) was developed by performing multivariable analyses that involved individually adding/subtracting items in differing regression models. The candidate items and scales were then studied by Rasch analysis, and tested for effect size, sensitivity to change, and reliability. The resultant scale was validated using data from a recent OA clinical trial. RESULTS The VAS pain and VAS global severity scales and 2 items from the WOMAC in the VAS format, difficulty going down stairs and difficulty shopping, were found to be the best predictors of change in health status. The 4-item SAS was reliable (Cronbach's alpha = 0.87), demonstrated good test-retest reliability (Lin's concordance coefficient = 0.85), was unidimensional, and was strongly correlated with other important clinical measures, indicating good construct validity. Using data from a recent randomized clinical trial in OA, the SAS performed better than the WOMAC pain scale and the SF-36 physical component score in detecting change, and at least as well as the clinical trial VAS pain scale. CONCLUSION The SAS is a 4-item arthritis severity questionnaire that can be easily administered in primary care for patients with OA, but is suitable for use across all arthritis illnesses. Scoring is simple, requiring only the addition of four 10-point scales, and interpretation is straightforward. The SAS may have a role in rapid assessment of the arthritis patient in primary care practice.
Lead exposure through consumption of big game meat in Quebec, Canada: risk assessment and perception

Game meat from animals killed by lead ammunition may expose consumers to lead. We assessed the risk related to lead intake from meat consumption of white-tailed deer and moose killed by lead ammunition and documented the perception of hunters and butchers regarding this potential contamination. Information on cervid meat consumption and risk perception were collected using a mailed self-administrated questionnaire which was addressed to a random sample of Quebec hunters. In parallel, 72 samples of white-tailed deer (n = 35) and moose (n = 37) meats were collected from voluntary hunters and analysed for lead content using inductively coupled plasma-mass spectrometry. A risk assessment for people consuming lead shot game meat was performed using Monte Carlo simulations. Mean lead levels in white-tailed deer and moose killed by lead ammunition were 0.28 and 0.17 mg kg−1 respectively. Risk assessment based on declared cervid meat consumption revealed that 1.7% of the surveyed hunters would exceed the dose associated with a 1 mmHg increase in systolic blood pressure (SBP). For consumers of moose meat once, twice or three times a week, simulations predicted that 0.5%, 0.9% and 1.5% of adults would be exposed to a dose associated with a 1 mmHg increase in SBP, whereas 0.9%, 1.9% and 3.3% of children would be exposed to a dose associated with 1 point intelligence quotient (IQ) decrease, respectively. For consumers of deer meat once, twice or three times a week, the proportions were 1.6%, 2.9% and 4% for adults and 2.9%, 5.8% and 7.7% for children, respectively. The consumption of meat from cervids killed with lead ammunition may increase lead exposure and its associated health risks. It would be important to inform the population, particularly hunters, about this potential risk and promote the use of lead-free ammunition.
Endoscopic ultrasound‐guided fine needle aspiration as a diagnostic tool for gastric glomus tumours

A 70-year-old male underwent an optical urethrotomy in 2010 for treatment of a dense 3-cm anastomotic urethral stricture. His history is significant for Gleason 9 T2b prostate cancer treated with an uncomplicated prostatectomy in 1998 and external beam radiotherapy in 2003 secondary to local recurrence. His urethral catheter was removed day 3 post-optical urethrotomy. He developed right groin pain radiating to the inner thigh and had difficulty weight bearing on the right leg over the subsequent days. His symptoms intermittently worsened and he presented 5 weeks post-optical urethrotomy to the emergency department with a fever, right groin pain and inability to walk. His C-reactive protein was elevated at 137 mg/L and a urine culture positive for pseudomonas aeruginosa. A contrast-enhanced computed tomography scan of his abdomen and pelvis revealed a hypoechoic lesion in his obturator externus muscle. An initial bone scan showed no area of increased uptake to suggest osteomyelitis. On day 3 of admission, a magnetic resonance imaging showed an extensive collection within the right obturator externus measuring 3.7 ¥ 2.1 cm as well as osteomyelitis of the pubis (Fig. 1). Ultrasound-guided drainage of the collection aspirated 3 mL of purulent material which grew Pseudomonas aeuroginosa. Optical urethrotomy is considered a safe and effective treatment for urethral strictures. The most common complications are fever, bleeding, urinary tract infection, epididymitis, urinary incontinence, urinary extravasation and recurrence of stricture. We postulate that a disruption of the anatomical planes secondary to radiotherapy resulted in the extravasation of urine, from a breach in the corpus spongiosum at time of urethrotomy, into the superficial perineal space which then tracked deep to Colles’ fascia into the medial compartment of the thigh. Pyomyositis is a rare but possible complication of optical urethrotomy, with patients previously treated with local radiotherapy at particular risk.
Immunogenicity of Novel DosR Regulon-Encoded Candidate Antigens of Mycobacterium tuberculosis in Three High-Burden Populations in Africa

ABSTRACT Increasing knowledge about DosR regulon-encoded proteins has led us to produce novel Mycobacterium tuberculosis antigens for immunogenicity testing in human populations in three countries in Africa to which tuberculosis (TB) is endemic. A total of 131 tuberculin skin test-positive and/or ESAT-6/CFP10-positive, human immunodeficiency virus-negative adult household contacts of active pulmonary TB cases from South Africa (n = 56), The Gambia (n = 26), and Uganda (n = 49) were tested for gamma interferon responses to 7 classical and 51 DosR regulon-encoded M. tuberculosis recombinant protein antigens. ESAT-6/CFP10 fusion protein evoked responses in >75% of study participants in all three countries. Of the DosR regulon-encoded antigens tested, Rv1733c was the most commonly recognized by participants from both South Africa and Uganda and the third most commonly recognized antigen in The Gambia. The four most frequently recognized DosR regulon-encoded antigens in Uganda (Rv1733c, Rv0081, Rv1735c, and Rv1737c) included the three most immunogenic antigens in South Africa. In contrast, Rv3131 induced the highest percentage of responders in Gambian contacts (38%), compared to only 3.4% of Ugandan contacts and no South African contacts. Appreciable percentages of TB contacts with a high likelihood of latent M. tuberculosis infection responded to several novel DosR regulon-encoded M. tuberculosis proteins. In addition to significant similarities in antigen recognition profiles between the three African population groups, there were also disparities, which may stem from genetic differences between both pathogen and host populations. Our findings have implications for the selection of potential TB vaccine candidates and for determining biosignatures of latent M. tuberculosis infection, active TB disease, and protective immunity.
Analysis of SET Effects in a PIC Microprocessor for Selective Hardening

In this work we propose a method to evaluate the criticality of the components of a circuit with respect to Single Event Transient (SET) effects. Emulation-based fault injection is used to determine the error rate for each individual gate. The method also identifies the optimal set of flip-flops to be hardened using time redundancy techniques. The results enable the selective application of SET mitigation techniques to satisfy soft error rate requirements with reduced overheads. A PIC18 microprocessor with three different workloads has been used as a case study, and results show that just hardening 25% of gates is enough to achieve more than 99% mitigation of SET effects.
Birds and Anthropogenic Noise: Are Urban Songs Adaptive?

In cities with intense low‐frequency traffic noise, birds have been observed to sing louder and at a higher pitch. Several studies argue that higher song pitch is an adaptation to reduce masking from noise, and it has even been suggested that the song divergence between urban and nonurban songs might lead to reproductive isolation. Here we present models of signal transmission to compare the benefits of raised song amplitude and song pitch in terms of sound transmission. We chose two bird species that sing with higher pitch in urban areas, the great tit (Parus major) and the blackbird (Turdus merula). For both species, we calculated communication distances in response to different levels of urban noise and in their natural forest habitats. We found that an increase in vocal pitch increased communication distance only marginally. In contrast, vocal amplitude adjustments had a strong and significantly larger effect. Our results indicate that frequency changes of urban songs are not very effective in mitigating masking from traffic noise. Increased song pitch might not be an adaptation to reduce signal masking but a physiological side effect of singing at high amplitudes or an epiphenomenon of urbanization that is not related to signal transmission.
Secondary intratracheal infection of mice with Mycoplasma pulmonis generates IgG1 memory B cells.

Mycoplasma pulmonis, a rodent respiratory pathogen, was used to study the immune response in the bronchus-associated lymphoid tissue (BALT) and other lymphoid tissues. Infection of BALB/c mice intratracheally (i.t.) with M. pulmonis results in an increased frequency of antigen-sensitive B cells at the site of priming. Upon secondary i.t. challenge, the frequency of antigen-specific B cells rises significantly in BALT, in peripheral blood and, to a lesser extent, in lymphoid tissues distal to the site of priming, i.e., spleen and Peyer's patches. The predominant isotype of anti-M. pulmonis antibody expressed by clones grown in thymus-dependent splenic fragment cultures from B cells taken from all tissues is IgG1. Elimination of accompanying T cells in inocula from euthymic BALB/c mice or lack of T cells at the time of in vivo priming of athymic mice does not change the isotype profile of clones grown from M. pulmonis-specific B cells. The splenic fragment cultures used to grow these clones do not distort the isotype display towards IgG1 expression, since clones grown from either primed or unprimed B cells of other specificities (i.e., trinitrophenyl--TNP) express any or all isotypes in a variety of combinations. The majority of M. pulmonis-specific clonal precursor B cells are sIgG1+/IgD-. All these findings suggest that the potential to give rise to predominantly IgG1-secreting clones in vitro is intrinsic to the M. pulmonis-specific memory B cells primed in vivo.