Miracle-dz/UniFAR-FTUs huggingface dataset:
Comparative Survival among Older Adults with Advanced Kidney Disease Managed Conservatively Versus with Dialysis.

BACKGROUND AND OBJECTIVES Outcomes of older patients with ESRD undergoing RRT or conservative management (CM) are uncertain. Adequate survival data, specifically of older patients, are needed for proper counseling. We compared survival of older renal patients choosing either CM or RRT. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS A retrospective survival analysis was performed of a single-center cohort in a nonacademic teaching hospital in The Netherlands from 2004 to 2014. Patients with ESRD ages ≥70 years old at the time that they opted for CM or RRT were included. Patients with acute on chronic renal failure needing immediate start of dialysis were excluded. RESULTS In total, 107 patients chose CM, and 204 chose RRT. Patients choosing CM were older (mean±SD: 83±4.5 versus 76±4.4 years; P<0.001). The Davies comorbidity scores did not differ significantly between both groups. Median survival of those choosing RRT was higher than those choosing CM from time of modality choice (median; 75th to 25th percentiles: 3.1, 1.5-6.9 versus 1.5, 0.7-3.0 years; log-rank test: P<0.001) and all other starting points (P<0.001 in all patients). However, the survival advantage of patients choosing RRT was no longer observed in patients ages ≥80 years old (median; 75th to 25th percentiles: 2.1, 1.5-3.4 versus 1.4, 0.7-3.0 years; log-rank test: P=0.08). The survival advantage was also substantially reduced in patients ages ≥70 years old with Davies comorbidity scores of ≥3, particularly with cardiovascular comorbidity, although the RRT group maintained its survival advantage at the 5% significance level (median; 75th to 25th percentiles: 1.8, 0.7-4.1 versus 1.0, 0.6-1.4 years; log-rank test: P=0.02). CONCLUSIONS In this single-center observational study, there was no statistically significant survival advantage among patients ages ≥80 years old choosing RRT over CM. Comorbidity was associated with a lower survival advantage. This provides important information for decision making in older patients with ESRD. CM could be a reasonable alternative to RRT in selected patients.
Set theory conditions for stability of linear impulsive systems

In this paper we give tractable necessary and sufficient condition for the global exponential stability of a linear impulsive system. The reset rule considered in the paper is quasi-periodic and the stability analysis is based on a standard tool in set theory that is Minkowski functional. Firstly, we reformulate the problem in term of discrete-time parametric uncertain system with the state matrix belonging to a compact but non-convex set. Secondly, we provide a tractable algorithm for testing the stability and computing the associated polyhedral Lyapunov function when the system is stable. The main result is an algorithm whose computational effort is analogous to that of classical algorithms for contractive polytopes computation for discrete-time parametric uncertain systems with the state matrix belonging to a polytopic set.
A Trade-off between Local and Distributed Information Processing Associated with Remote Episodic versus Semantic Memory

Episodic memory and semantic memory produce very different subjective experiences yet rely on overlapping networks of brain regions for processing. Traditional approaches for characterizing functional brain networks emphasize static states of function and thus are blind to the dynamic information processing within and across brain regions. This study used information theoretic measures of entropy to quantify changes in the complexity of the brain's response as measured by magnetoencephalography while participants listened to audio recordings describing past personal episodic and general semantic events. Personal episodic recordings evoked richer subjective mnemonic experiences and more complex brain responses than general semantic recordings. Critically, we observed a trade-off between the relative contribution of local versus distributed entropy, such that personal episodic recordings produced relatively more local entropy whereas general semantic recordings produced relatively more distributed entropy. Changes in the relative contributions of local and distributed entropy to the total complexity of the system provides a potential mechanism that allows the same network of brain regions to represent cognitive information as either specific episodes or more general semantic knowledge.
Floral evolution in the Annonaceae: hypotheses of homeotic mutations and functional convergence

The recent publication of hypotheses explaining the homeotic control of floral organ identity together with the availability of increasingly comprehensive and well‐resolved molecular phylogenies presents an ideal opportunity for reassessing current knowledge of floral diversity and evolution in the Annonaceae. This review summarizes currently available information on selected aspects of floral structure and function, including: changes in the number of perianth whorls and the number of perianth parts per whorl; the evolution of sympetaly; the diversity and evolution of pollination chambers (with a novel classification of seven main structural forms of floral chamber based on the different arrangement, size and shape of petals); the evolution of perianth glands; floral unisexuality and hypotheses explaining the unexpectedly high frequency of occurrence of androdioecy; the origin and possible function of inner and outer staminodes; the evolution of stamen connective diversity and theca septation; and the origin of ‘true’ syncarpy and functionally equivalent extragynoecial compita. In each case, current ideas on the origin, evolution and function are discussed. The information presented in this review enables two main conclusions to be drawn. The first is that changes in the homeotic control of floral organ identity may have had a profound impact on floral structure in several disparate lineages in the family. This is most obvious in Fenerivia, in which a centrifugal shift of floral organ identity has occurred, and in Dasymaschalon, in which a reverse (centripetal) shift has occurred. Other genera that have gained or lost entire perianth whorls are likely to have undergone similar homeotic changes. Attention is also drawn to the extensive functional convergence in Annonaceae flowers, with widespread homoplasy in many characters that have previously been emphasized in higher‐level classifications.
Effect of Month-Long Treatment With Oral N-Acetylcysteine on the Oxidative Stress and Proteinuria in Patients With Diabetic Nephropathy

Introduction Oxidative stress plays an important role in the pathogenesis of diabetic nephropathy (DN). This study examined if use of N-acetylcysteine for a month in moderate doses would reduce the oxidative stress in patients with DN and reduce the proteinuria. Methods Fifteen volunteers with DN participated in the study. Participants took capsule form of N-acetylcysteine 1 gm twice a day for a month. Spot urines were collected and tested for protein/creatinine on days 1 and 30. Sera were collected on days 1, 15, 30, and 60 and tested for several oxidative stress biomarkers. Results There was no significant change in proteinuria or any of the oxidant stress markers at any point: protein-creatinine ratio (day 1, 1.6 ± 1.8; day 30, 1.3 ± 1.3), 8-isoprostane (day 1, 5.9 ± 4.2 pg/mL; day 15, 4.67 ± 2.4 pg/mL; day 30, 5.1 ± 2.8 pg/mL; and day 60, 4.7 ± 1.9 pg/mL), total antioxidant status (day 1, 1.5 ± 0.1 mM; day 15, 1.6 ± 0.2 mM; day 30, 1.5 ± 0.1 mM; and day 60, 1.5 ± 0.2 mM), aconitase (day 1, 7.9 ± 5.9 mU/mL; day 15, 10.1 ± 5.9 mU/mL; day 30, 8.9 ± 6.2 mU/mL; and day 60, 7.8 ± 5.5 mU/mL), glutathione peroxidase (day 1, 261.4 ± 56.4 mU/mL; day 15, 263.9 ± 57.2 mU/mL; day 30, 269.2 ± 66.0 mU/mL; and day 60, 257.5 ± 48.2 mU/mL), and superoxide dismutase (day 1, 242.6 ± 79.3 mU/mL; day 15, 252.1 ± 68.1 mU/mL; day 30, 262.0 ± 73.3 mU/mL; and day 60, 255.7 ± 61.5). However, 4 patients with initial high isoprostane levels showed nonsignificant decline at each subsequent time point. Conclusions N-acetylcysteine in moderate doses given over a month did not have significant effect on the overall oxidative stress in patients with DN and did not reduce proteinuria.
Fluconazole (UK-49,858) treatment of candidiasis in normal and diabetic rats

Fluconazole (UK-49,858), a new oral bistriazole antifungal agent, was compared with amphotericin B in the treatment of established systemic infection with Candida albicans in normal and diabetic rats. In normal rats, oral fluconazole at 10 mg/kg per day for 7 days reduced Candida colony counts in the kidneys and livers as well as amphotericin B did and was nearly as effective as amphotericin B in a 21-day treatment trial. There was no further reduction in Candida colony counts when normal rats were treated with fluconazole at 40 mg/kg twice a day for 7 days. In streptozotocin-induced diabetic rats, fluconazole at 20 mg/kg per day for either 7 or 21 days compared favorably with amphotericin B in efficacy. Results of our study suggest that oral fluconazole may be useful in the treatment of established disseminated candidiasis in normal as well as diabetic hosts.
Prevalence, intensity, and prognostic significance of common symptoms in terminally ill cancer patients.

BACKGROUND Quality of life and palliative management of end-stage cancer patients should improve with greater understanding of the prevalence, intensity, and prognostic significance of their symptoms. OBJECTIVE We investigated the association between prevalence and intensity of common symptoms and overall survival in Chinese end-stage cancer patients. DESIGN For this cross-sectional study, 163 Chinese patients with end-stage cancer completed an Edmonton Symptom Assessment questionnaire, and each was given a Karnofsky Performance Status (KPS) score. Overall survival was estimated via the Kaplan-Meier method. Factors affecting overall survival were determined by univariate and multivariate Cox regression analyses. RESULTS Mean survival of these patients was 51 days. Pain, lack of appetite, and poor well-being were the most frequent symptoms, in 90.2%, 88.3%, and 87.7%, respectively. The most severe symptoms were fatigue, lack of appetite, drowsiness, and poor well-being. Fatigue, lack of appetite, drowsiness, shortness of breath, poor well-being, depression, and KPS score significantly affected overall survival rate, with a relative risk of dying of 1.560, 2.320, 1.684, 1.295, 1.912, 1.414, and 0.487, respectively (Cox regression coefficients: 0.361, 0.827, 0.539, 0.185, 0.694, 0.318, and -0.602). Fatigue, lack of appetite, shortness of breath, age, and KPS score were independent risk factors of overall survival, with a relative risk of dying of 1.581, 1.122, 1.123, 1.022, and 0.797, respectively (Cox regression coefficients: 0.458, 0.115, 0.116, 0.022, and -0.227). CONCLUSION Fatigue, shortness of breath, lack of appetite, age, and KPS score were associated with overall survival of end-stage Chinese cancer patients.
Gait Cycle Finite Element Comparison of Rotating-Platform Total Knee Designs

Functional load transmission and kinematic performance were compared for standard versus posterior-stabilized versions of a rotating-platform total knee implant, over a standardized loading cycle, using three-dimensional contact finite element analysis. These two design variants differ primarily in terms of the latter’s polyethylene insert having a cam that engages with the femoral component during appreciable flexion, thereby inducing femoral component rollback. The finite element model, previously validated experimentally, afforded direct comparisons of anterior lift-off of the insert from the tibial tray, of bearing mobility (insert rotation about the pivot post), of femoral rollback, and of metal-on-polyethylene contact stresses at the bearing and backside surfaces of the insert. Both design variants generally performed comparably, exhibiting an internal and external rotation range of approximately 5°, approximately 1.5 mm peak lift-off at the anterior aspect of the insert, and approximately 15 mm of posterior rollback, the respective maxima for both designs occurring at approximately the same instants in the gait cycle. However, the posterior-stabilized design had slightly more rollback, and slightly less anterior lift-off and rotation, than did the standard rotating-platform design. Peak polyethylene stresses occurred on the backside of the insert near the posterior edge of the medial compartment, the magnitude being approximately 18% higher for the posterior-stabilized design (21 MPa) than for the standard design.
Paranasal Sinuses and Nasal Cavity Cancer: Different Radiotherapeutic Options, Results and Late Damages

From 1970 to 1983, 69 patients, affected by malignant epithelial tumors of paranasal cavities and nasal fossae, were treated with radiotherapy at the Radiology Institute of the University and Radiotherapy Hospital Department of Florence. Primary carcinoma of the maxillary sinus occurred in 44 patients, of the nasal cavity in 20, and of the other sinuses in 5. Most of the patients had locally advanced lesions (63 T3-4: 91.5%) according to the adopted TNM system (Lederman-Gadeberg, Sisson-Jesse). Crude survival data showed 35% and 13% of NED patients at 2 and 5 years, respectively. Local progression was the most important cause of death; patients relapsed within 2 years. The actuarial 5-year survival, corrected for causes of death other than disease, was 32% for the overall series, 32% for maxillary sinus, and 41% for the nasal cavity. There was no difference in survival in patients treated with conventional fractionation (CF) vs. multiple daily fractionation (MDF) –30% vs. 33% at 5 years. The late damages of the radiation therapy in 22 patients without local disease, with a minimum follow-up of 2 years, is also analyzed.
The prevalence of and resistance to antimicrobial agents of Bacillus cereus isolates from foodstuffs

The study was aimed at the assessment whether foodstuffs contaminated with Bacillus cereus (B. cereus) may concurrently be vectors of spreading resistance. The contamination of foodstuffs with B. cereus strains was found in 31% of dairy and in 28% of meat products tested. Only one product from skimmed milk was contaminated. High-fat milk products that were heat-treated during the technological process (87 samples), as well as heat-treated meat products (65 samples), were contaminated significantly frequently (63% and 48% of the samples respectively) (P < 0.01). Almost all B. cereus isolates displayed low susceptibility to ampicillin, cephalothin, and to oxacillin. Except for streptomycin (STR) resistance, resistance to other 8 antimicrobial agents occurred sporadically. The STR resistant isolates came particularly from spreading bu�er (8 samples) (P < 0.05). It was established that the same samples were contaminated with two subpopulations of B. cereus with different STR resistances. The frequent occurrence of B. cereus in foodstuffs with either fat content and/or subject to heat treatment in processing makes these products risky, however, our study did not confirm that foodstuffs contaminated with B. cereus are concurrently vectors of transmissible resistance genes.
Identification of hypoxanthine and guanine as the co‐repressors for the purine regulon genes of Escherichia coli

Addition of purine compounds to the growth medium of Escherichia coli and Salmonella typhimurium causes repressed synthesis of the purine biosynthetic enzymes. The repression is mediated through a regulatory protein, PurR. To identify the co‐repressor(s) of PurR, two approaches were used: (i) mutations were introduced into purine salvage genes and the effects of different purines on pur gene expression were determined; (ii) purine compounds which dictate the binding of the PurR protein to its operator DNA were resolved by gel retardation. Both the in vivo and the in vitro data indicated that guanine and hypoxanthine are co‐repressors. The toxic purine analogues 6‐mercaptopurjne and 6‐thioguanine also activated the binding of PurR to its operator DNA.
AGED CHILDREN ' S A TIITUDES TOWARD WOMEN IN SCIENCE , ENGINEERING , AND TECHNOLOGY AND THE EFFECTS OF MEDIA LITERACY TRAINING

Tins study examined Iile efficacy of media lileracy traillinE dcsigmd to Il'tlell critical II.inking ab,),,1 gcnder stercutypes On lIIiddle sdlool-aged children's recogllitioll of gender slereotypes; l! ('rcepliol1s of WOllIe! ill ,eimcc, enKil'lurIIIg, al/d technology (SET); and atlitudes lau'llra SET alld SET careers, A lolal r:f 302 s! "l'mlh-gradc studel'l ts were random Iii assigned to one of three cOlldilitnl,; d.SCUFsitm, discussion pl"s mewing of mcdia images of womm, or 11 cOl'llrol, No sigllificant d~ffercllces were foulld Oil aftitudl's toward U~I//lell hI science IIlId aUiludes toward sc.ence among middl( school-aged cllildrrm who parlicipated in ei//I£T media literacy training condlliOlI compared w,tl, those who did /lot participate in tnedi(lliteracy trailling, HOW<""'ver, ~ig1! ifical/l differences ill girl~ tllld boys' pcm'pliolls of women in SET alld tlleir tltlitud~ toward womm in SET wen. ' found for girl~ and boys' ,'Valuatiuns ':f tll~ chamcteristics of female scientists, u~th girls ratinglfmale scient.sts liS more ski/lfl/f, illtelligent, experl, alld quali(i. :d 11m" did boys, [11 addItion, Kirls and boys had t'ery different scores 011 items that Ilsked ab,'ut WQII1e11 ill science, with girls beillK marc like/Ii Illan boys to have pasifiz. " attitudes toward WllI"CII being as good 111 science careers liS lIlen, U'Oll1eu 1II11';I1g access to science cou rsrs and career opportunities, and a woman's career 1! ll'ving til. , same valur ItS" man'" career, The /loys' negative a/Illude, toward women in science found in thiS study were rclalcd II! tile extent to ! I"ucll boys reported that tile media pl<lycd all important role in their Ih'es, The m! pJications for fUlure research on media ifl/luellc~s 011 middle school-aged cllildrtn's perceptions ofgender and science and tl! e droelopment of media litcracy ill/mlclltioll! ' 10 I'roltlo/c Kirts' inlereol ill SET will be addreSSl. 'd,
Development and Evaluation of a Latex Agglutination Test for the Serodiagnosis of Paracoccidioidomycosis

ABSTRACT Paracoccidioidomycosis (PCM) is the most prevalent systemic mycosis in Latin America. It is caused by the dimorphic fungus Paracoccidioides brasiliensis. The immunodiffusion (ID) test is one of the most widely used techniques for PCM serologic diagnosis due to the simplicity and low costs of its execution. However, it requires trained and qualified people to execute it. The purpose of this study was to evaluate a latex particle agglutination (LA) test for the detection of anti-P. brasiliensis antibodies by using pooled crude exoantigens from the fungus. Fifty-one serum samples obtained from patients with PCM were tested. Positivity was observed in 84% (43/51) of these patients, and the agglutination patterns varied from small clumps with a cloudy background to large clumps with a clear background. The antibody titer reactivity ranged from 1:2 to 1:64. Cross-reactivity was observed in sera from patients with aspergillosis, histoplasmosis, and nonfungal disease. Serum samples obtained from healthy donors were not reactive. The sensitivity and specificity of the LA test were 84% and 81%, respectively. When comparing the LA test with the double-immunodiffusion test, we found an agreement of 92%. Further work is needed to improve the performance of the LA assay before it can be proposed as a reliable diagnostic tool, mainly in laboratories with little infrastructure.
Vigabatrin therapy for infantile spasms: review of major trials in Europe, Canada, and the United States; and recommendations for dosing

Carmant L. Vigabatrin therapy for infantile spasms: review of major trials in Europe, Canada, and the United States; and recommendations for dosing. Acta Neurol Scand: 2011: 124 (Suppl. 192): 36–47. © 2011 John Wiley & Sons A/S.
Mooren's ulcer in China: a study of clinical characteristics and treatment

AIMS To investigate the clinical characteristics and compare the effects of several methods of treatment of Mooren's corneal ulcer. METHODS 550 consecutive cases of Mooren's corneal ulcer were analysed in patients, including age, sex, laterality of eye, ulcer location, perforative rate, cure rate of surgeries, recurrent rate, the effects of conjunctiva excision, lamellar keratoplasty (LKP), and LKP plus 1% cyclosporin A eye drops. RESULTS The average age of onset was 48.4 years of age. The ratio of males to females was 1:0.74. 165 (30%) cases had the disease bilaterally, of which 52 (31.5%) occurred in the young age group and 113 (68.5%) in the old age group. Ulcers of 501 eyes (70.1%) were located at the limbus of the palpebral fissure. The perforation rate was 13.3%, with perforation of 41 eyes (43.2%) occurring in the young age group and 54 (56.8%) in the old age group. Postoperative recurrence rate was 25.6%. The cure rate of the first procedure of LKP plus 1% cyclosporin A eye drops was 73.7%. The final cure rate was 95.6%, and the postoperative preservation rate of the eye globe was 99.7%. CONCLUSION This primary study provided the clinical characteristics of patients with Mooren's corneal ulcer in China. LKP plus 1% cyclosporin A eye drops was an effective treatment.
Development and confirmation of potential gene classifiers of human clear cell renal cell carcinoma using next-generation RNA sequencing

Abstract Objective: A previous study by this group demonstrated the feasibility of RNA sequencing (RNAseq) technology for capturing disease biology of clear cell renal cell carcinoma (ccRCC), and presented initial results for carbonic anhydrase-9 (CA9) and tumor necrosis factor-α-induced protein-6 (TNFAIP6) as possible biomarkers of ccRCC (discovery set) [Eikrem et al. PLoS One 2016;11:e0149743]. To confirm these results, the previous study is expanded, and RNAseq data from additional matched ccRCC and normal renal biopsies are analyzed (confirmation set). Materials and methods: Two core biopsies from patients (n = 12) undergoing partial or full nephrectomy were obtained with a 16 g needle. RNA sequencing libraries were generated with the Illumina TruSeq® Access library preparation protocol. Comparative analysis was done using linear modeling (voom/Limma; R Bioconductor). Results: The formalin-fixed and paraffin-embedded discovery and confirmation data yielded 8957 and 11,047 detected transcripts, respectively. The two data sets shared 1193 of differentially expressed genes with each other. The average expression and the log2-fold changes of differentially expressed transcripts in both data sets correlated, with R² = . 95 and R² = . 94, respectively. Among transcripts with the highest fold changes were CA9, neuronal pentraxin-2 and uromodulin. Epithelial–mesenchymal transition was highlighted by differential expression of, for example, transforming growth factor-β1 and delta-like ligand-4. The diagnostic accuracy of CA9 was 100% and 93.9% when using the discovery set as the training set and the confirmation data as the test set, and vice versa, respectively. These data further support TNFAIP6 as a novel biomarker of ccRCC. TNFAIP6 had combined accuracy of 98.5% in the two data sets. Conclusions: This study provides confirmatory data on the potential use of CA9 and TNFAIP6 as biomarkers of ccRCC. Thus, next-generation sequencing expands the clinical application of tissue analyses.