Miracle-dz/UniFAR-FTUs huggingface dataset:
Statistical Inference for a Two‐Stage Outcome‐Dependent Sampling Design with a Continuous Outcome

Summary The two‐stage case–control design has been widely used in epidemiology studies for its cost‐effectiveness and improvement of the study efficiency ( White, 1982 , American Journal of Epidemiology 115, 119–128; Breslow and Cain, 1988 , Biometrika 75, 11–20). The evolution of modern biomedical studies has called for cost‐effective designs with a continuous outcome and exposure variables. In this article, we propose a new two‐stage outcome‐dependent sampling (ODS) scheme with a continuous outcome variable, where both the first‐stage data and the second‐stage data are from ODS schemes. We develop a semiparametric empirical likelihood estimation for inference about the regression parameters in the proposed design. Simulation studies were conducted to investigate the small‐sample behavior of the proposed estimator. We demonstrate that, for a given statistical power, the proposed design will require a substantially smaller sample size than the alternative designs. The proposed method is illustrated with an environmental health study conducted at National Institutes of Health.
Seroprevalence of Leptospira spp. and Borrelia burgdorferi sensu lato in Italian horses.

The aim of the study was to determine the seroprevalence of Leptospira spp. and Borrelia burgdorferi sensu lato in healthy horses living in 7 provinces of central Italy. In the period 2007-2009, sera from 386 horses were tested by microagglutination test (MAT) to detect antibodies to Leptospira spp. , employing the following serovars as antigens: Bratislava, Ballum, Canicola, Icterohaemorrhagiae, Grippotyphosa, Hardjo, Pomona, Tarassovi. 3 animals were positive for the serovars Icterohaemorrhagiae, 2 to Bratislava, and 1 to Pomona, for a total 1.5% seroprevalence. All sera were examined by immunofluorence antibody test (IFAT) to reveal anti-B. burgdorferi s.l. antibodies. 94 (24.3%) horses were positive with antibody titres ranging from 1:64 to 1:1,024. The seroprevalence was significantly higher in >10 year-old horses compared to younger subjects. No significant differences in the mean seroprevalence were observed in the respective years. The total mean seroprevalence were strictly related to the environmental conditions of the areas in which the horses lived. No cross-reactions between Leptospira and Borrelia were observed. This is the first serological survey on antibodies to B. burgdorferi s.l. in Italian horses.
Molecular biology of the human immunodeficiency virus accessory proteins

The human immunodeficiency virus (HIV) is the causative agent of AIDS. HIV belongs to a unique virus family, the Retroviridae, a group of small, enveloped, positive-strand RNA viruses. These viruses code for the enzyme reverse transcriptase, which enables them to replicate their RNA genome through a DNA intermediate. Simple retroviruses contain three long, contiguous open reading frames (ORFs) coding for the gag, pol, and env proteins, which constitute their structural and enzymatic repertoire, all packaged in the progeny virion. However, HIV belongs to the lentivirus subfamily, members of which are characterized by several additional ORFs not found in simple retroviruses. These ORFs code for viral proteins usually not packaged in the virion but readily detectable in the cells. Much evidence indicating that these gene products, collectively referred to as auxiliary proteins, are capable of regulating viral replication and infectivity has accumulated in the past decade. HIV type 1 (HIV-1) possesses at least six such auxiliary proteins, namely, Vif, Vpr, Tat, Rev, Vpu, and Nef. The Tat, Rev, and Nef proteins are synthesized early from Rev-independent multiply spliced mRNAs (-2 kb), while Vif, Vpr, and Vpu are expressed late from Rev-dependent singly spliced mRNAs (-4 kb). The closely related HIV-2 does not code for Vpu, though it codes for another late protein, Vpx, not found in HIV-1 (Fig. 1). Mutations affecting either Tat or Rev severely impair viral replication, indicating that these two auxiliary proteins are essential for viral replication (reviewed in reference 9). In contrast, mutations affecting other auxiliary proteins do not greatly perturb the viral replication kinetics, at least in vitro. Hence, these proteins have been dubbed dispensable or nonessential for in vitro replication and are usually referred to as accessory gene products. Though accessory proteins are not required for viral replication, they are nonetheless capable of modulating replication events, even in vitro, and accordingly, phenotypes associated with their expression have been recognized. Importantly, accumulating evidence suggests that these proteins may modulate viral pathogenesis in vivo, thus affecting disease progression and outcome. The focus of this review is on the dispensable auxiliary protein subset, consisting of Vif, Vpr, Vpx, Vpu, and Nef, whose function, at least in vitro, appears to be accessory and not essential.
Two Active States of the Narrow-Line Gamma-Ray-Loud AGN GB 1310 + 487

Context. Previously unremarkable, the extragalactic radio source GB 1310+487 showed a γ-ray flare on 2009 November 18, reaching a daily flux of ~ 10^(-6) photons cm^(-2) s^(-1) at energies E> 100 MeV and became one of the brightest GeV sources for about two weeks. Its optical spectrum shows strong forbidden-line emission while lacking broad permitted lines, which is not typical for a blazar. Instead, the spectrum resembles those of narrow emission-line galaxies. Aims. We investigate changes in the object’s radio-to-GeV spectral energy distribution (SED) during and after the prominent γ-ray flare with the aim of determining the nature of the object and of constraining the origin of the variable high-energy emission. Methods. The data collected by the Fermi and AGILE satellites at γ-ray energies; Swift at X-ray and ultraviolet (UV); the Kanata, NOT, and Keck telescopes at optical; OAGH and WISE at infrared (IR); and IRAM 30 m, OVRO 40 m, Effelsberg 100 m, RATAN-600, and VLBA at radio are analyzed together to trace the SED evolution on timescales of months. Results. The γ-ray/radio-loud narrow-line active galactic nucleus (AGN) is located at redshift z = 0.638. It shines through an unrelated foreground galaxy at z = 0.500. The AGN light is probably amplified by gravitational lensing. The AGN SED shows a two-humped structure typical of blazars and γ-ray-loud narrow-line Seyfert 1 galaxies, with the high-energy (inverse-Compton) emission dominating by more than an order of magnitude over the low-energy (synchrotron) emission during γ-ray flares. The difference between the two SED humps is smaller during the low-activity state. Fermi observations reveal a strong correlation between the γ-ray flux and spectral index, with the hardest spectrum observed during the brightest γ-ray state. The γ-ray flares occurred before and during a slow rising trend in the radio, but no direct association between γ-ray and radio flares could be established. Conclusions. If the γ-ray flux is a mixture of synchrotron self-Compton and external Compton emission, the observed GeV spectral variability may result from varying relative contributions of these two emission components. This explanation fits the observed changes in the overall IR to γ-ray SED.
Contemporary use of ceftaroline fosamil for the treatment of community-acquired bacterial pneumonia: CAPTURE study experience

Abstract The Clinical Assessment Program and Teflaro® Utilization Registry (CAPTURE) is a multicenter cohort study designed to collect information on the contemporary use of ceftaroline fosamil in the US. Data collected from 398 evaluable patients with community-acquired bacterial pneumonia (CABP) (mean age 64 years) during the first 18 months of the study are presented. Most patients had co-morbidities (76%; primarily structural lung disease), and ≧2 signs and symptoms of CABP (76%). Overall clinical success was 79% which varied little with ceftaroline fosamil usage (monotherapy vs concurrent therapy; first-line vs second-line therapy). Most patients were discharged home (60%) or to another healthcare facility (35%). These data suggest that ceftaroline, in contemporary clinical use, is an effective antibiotic for the treatment of patients with CABP, including those with significant co-morbidities or who required a change of their prior antibiotic therapy.
Using Facebook™ to Recruit College-Age Men for a Human Papillomavirus Vaccine Trial

College-age men were recruited using Facebook™ advertisements (ads), as well as traditional recruitment methods, for a randomized controlled trial to compare immunological responses to human papillomavirus vaccine administered in two dosing schedules. This study compares enrollees who were recruited through traditional recruitment methods versus social networking sites (SNSs), including Facebook. Potential participants were recruited using flyers posted on and off campus(es), and distributed at health fairs, classes, sporting, and other campus events; e-mails to students and student organizations; and print advertisements in student newspapers and on city buses. Facebook ads were displayed to users with specific age, geographic, and interest characteristics; ads were monitored daily to make adjustments to improve response. A total of 220 males, aged 18 to 25 years enrolled between October 2010 and May 2011. The majority of participants (51%) reported print advertisements as the method by which they first heard about the study, followed by personal contact (29%) and Facebook or other SNSs (20%). The likelihood of a SNS being the source by which the participant first heard about the study compared with traditional methods was increased if the participant reported (a) being homosexual or bisexual or (b) posting daily updates on SNSs. Facebook and other SNSs are a viable recruitment strategy for reaching potential clinical trial participants among groups who typically use social media to stay connected with their friends and hard-to-reach groups such as young men who self-identify as homosexual or bisexual.
Low triiodothyronine predicts mortality in critically ill patients

Objective: Alteration in thyroid hormones are seen in critically ill patients admitted to intensive care units. Our objective was to study the thyroid hormone profile, prolactin and, glycosylated hemoglobin (HbA1c) at admission and analyze their correlation with mortality. Materials and Methods: In this single centre, prospective, observational study, 100 consecutive patients (52M; 48F) admitted to medical ICU irrespective of diagnosis were included. Patients with previous thyroid disorders and drugs affecting thyroid function were excluded. All participants underwent complete physical examination and a single fasting blood sample obtained at admission was analyzed for total triiodothyronine (T3), total thyroxine (T4), thyroid stimulating hormone (TSH), HbA1c, and prolactin. The patients were divided into two groups: Group 1 – survivors (discharged from the hospital) and Group 2 – nonsurvivors (patients succumbed to their illness inside the hospital). The data were analyzed by appropriate statistical methods and a P-value of <0.05 was considered significant. Results: The mean age of the participants was 58.7 ± 16.9 years and the mean duration of ICU stay was 3.3 ± 3.1 days. A total of 64 patients survived, whereas remaining 36 succumbed to their illness. The baseline demographic profile was comparable between survivors and nonsurvivors. Nonsurvivors had low T3 when compared with survivors (49.1 ± 32.7 vs. 66.2 ± 30.1, P = 0.0044). There was no significant difference observed between survivors and nonsurvivors with respect to T4, TSH, HbA1c, and prolactin. Conclusion: Our study showed that low T3 is an important marker of mortality in critically ill patients. Admission HbA1c, prolactin, T4, and TSH did not vary between survivors and nonsurvivors.
Water Quality Assessment and Spatial-Temporal Distribution of Nitrogen in the Tianzhuang Reservoir

The water quality of the Tianzhuang Reservoir and its inflows were assessed with the single factor index method to identify the main pollution factor of the reservoir. The spatial-temporal distribution of nitrogen were analyzed to gross judge the main pollution sources. The results indicate NO3--N accounts for more than 65% of the TN in the Tianzhuang Reservoir. The water quality cannot meet &#8548; grade of the Environmental Quality Standards for surface Water for NH3-N and TN exceeding the respective standard. The NO3--N concentration of the reservoir equals to that of the inflows which affect by non-point source pollution (NPS) from agricultural areas. Therefore NPS is the main pollution source for NO3--N of the reservoir. In addition, the bottom sediments are the important pollution source for NH3-N. The results can aid in identifying the key pollutants and their sources of the reservoir.
Age modulates the effects of sleep restriction in women.

STUDY OBJECTIVES To investigate how age influences the effects of 3 nights of sleep restriction in healthy women. DESIGN After a baseline night, sleep was restricted to 4 hours during 3 consecutive nights. One recovery night followed the sleep restriction. SETTING The sleep-restriction experiments were conducted under standardized conditions with continuous electroencephalographic ambulatory recordings. Before entering the study, the subjects underwent a polysomnographic recording for exclusion of sleep disorder and adaptation to the laboratory environment. PARTICIPANTS Eleven young women (aged 20-30 years) and 10 older women (aged 55-65 years) were included in the study. INTERVENTION The subjects were admitted to the sleep laboratory for 5 consecutive nights and days. After 1 baseline night, 3 nights of sleep restriction to 4 hours were performed and were followed by 1 recovery night of 8 hours. Continuous ambulatory electroencephalographic recordings were performed, as well as the Maintenance of Wakefulness Test (8:30 AM and 1:30 PM), the Stanford Sleepiness Scale, and the Psychomotor Vigilance Test. RESULTS Young women were more affected by sleep restriction than were the older women. This was evidenced by more sleep onsets during the Maintenance of Wakefulness Test sessions in the young subjects, who also rated themselves more sleepy than the older women. CONCLUSIONS Age influences the impact of sleep restriction on vigilance in women.
Muscle density predicts changes in bone density and strength: a prospective study in girls.

OBJECTIVE We sought to determine whether muscle density, an index of skeletal muscle fat content, was predictive of 2-year changes in weight-bearing bone parameters in young girls. METHODS Two-year prospective data from 248 girls, aged 8-13 years at baseline. Peripheral quantitative computed tomography was used to measure changes in bone strength indices (bone strength index [BSI, mg(2)/mm(4)] and strength-strain index [SSIp, mm(3)]) and volumetric bone mineral density [vBMD, mg/cm(3)] at distal metaphyseal and diaphyseal regions of the femur and tibia, as well as calf and thigh muscle density (mg/cm(3)), and muscle cross-sectional area (MCSA, mm(2)), indices of skeletal muscle fat content and muscle force production, respectively. RESULTS After controlling for potential confounders, greater gains in femur BSI (44%, P<0.002), total femur vBMD (114%, P<0.04) and femur trabecular vBMD (306%, P<0.002) occurred in girls in the lowest versus the highest groups of baseline thigh muscle density. Greater gains in tibial BSI (25%, P<0.03) and trabecular vBMD (190%, P<0.002) were also observed in the lowest versus the highest baseline calf muscle density groups. CONCLUSION Baseline muscle density is a significant predictor of changes in bone density and bone strength in young girls during a period of rapid skeletal development.
Transferable Multiresistance Plasmids Carrying cfr in Enterococcus spp. from Swine and Farm Environment

ABSTRACT Seventy-seven porcine Enterococcus isolates with florfenicol MICs of ≥16 μg of were/ml screened for the presence of the multiresistance gene cfr, its location on plasmids, and its genetic environment. Three isolates—Enterococcus thailandicus 3-38 (from a porcine rectal swab collected at a pig farm), Enterococcus thailandicus W3, and Enterococcus faecalis W9-2 (the latter two from sewage at a different farm), carried the cfr gene. The SmaI pulsed-field gel electrophoresis patterns of the three isolates differed distinctly. In addition, E. faecalis W9-2 was assigned to a new multilocus sequence type ST469. Mating experiments and Southern blot analysis indicated that cfr is located on conjugative plasmids pW3 (∼75 kb) from E. thailandicus W3, p3-38 (∼72 kb) from E. thailandicus 3-38, and pW9-2 (∼55 kb) from E. faecalis W9-2; these plasmids differed in their sizes, additional resistance genes, and the analysis of the segments encompassing the cfr gene. Sequence analysis revealed that all plasmids harbored a 4,447-bp central region, in which cfr was bracketed by two copies of the novel insertion sequence ISEnfa4 located in the same orientation. The sequences flanking the central regions of these plasmids, including the partial tra gene regions and a ω-ε-ζ toxin-antitoxin module, exhibited >95% nucleotide sequence identity to the conjugative plasmid pAMβ1 from E. faecalis. Conjugative plasmids carrying cfr appear to play an important role in the dissemination and maintenance of the multiresistance gene cfr among enterococcal isolates and possibly other species of Gram-positive bacteria.
Molecular and Pharmacological Characterization of GABAA Receptors in the Rat Pituitary

Abstract: Levels of mRNA for the major subunits of the GABAA receptor were assayed in the rat pituitary anterior and neurointermediate lobes by ribonuclease protection assay. α1, β1, β2, β3, and γ2s were found to be the predominant subunits in the anterior lobe, whereas α2, α3, β1, β3, γ2s, and γ1 were the predominant subunits expressed in the neurointermediate lobe. α5, α6, and δ subunits were not detectable. Hill and Scatchard analysis of [3H]muscimol binding to anterior and neurointermediate lobe membranes showed high‐affinity binding sites with dissociation constants of 5.6 and 4.5 nM, respectively, and Hill coefficients near 1. Muscimol sites were present at a maximum of 126 fmol/mg in the anterior lobe and 138 fmol/mg in the neurointermediate lobe. The central‐type benzodiazepine antagonist [3H]Ro 15‐1788 bound to a high‐affinity site with a dissociation constant of 1.5 nM in both tissues, at a maximum of 60 fmol/mg in anterior pituitary and 72 fmol/mg in neurointermediate lobe. A Hill coefficient of 1 was measured for this site in both tissues. Assays of CL 218 872 displacement of Ro 15‐1788 were consistent with a pure type I benzodiazepine site in the anterior lobe and a pure type II site in the intermediate lobe. These results are consistent with both tissue‐specific expression of particular GABAA receptor subunits and receptor heterogeneity within individual cells in the pituitary.
Time Perspective and Sleep Problems

In this study of 137 university students, we examined the relationships among the five dimensions of the Zimbardo Time Perspective Inventory and three scales that measure aspects of sleep problems. All of the Zimbardo Inventory dimensions correlated significantly with each of the sleep problem-related scales. These data suggest that concern about time, regardless of the specific nature of individuals' time perspective, and certain sleep problems are significantly related.
The effect of dose titration and dose tapering on the tolerability of desvenlafaxine in women with vasomotor symptoms associated with menopause.

OBJECTIVE To determine whether titrating up and tapering down of desvenlafaxine (administered as desvenlafaxine succinate) improves its tolerability in postmenopausal women with vasomotor symptoms (VMS). METHODS In the 1-week titration phase, participants received desvenlafaxine 100 mg/d (no titration), desvenlafaxine 50 mg/d, desvenlafaxine 25 mg/d (4 days) then 50 mg/d (3 days), or desvenlafaxine 25 mg/d. Participants then received open-label desvenlafaxine 100 mg/d for 15 weeks. In the 2-week taper phase, participants received placebo, desvenlafaxine 50 mg/d then placebo (7 days each), desvenlafaxine 50 mg/d then 25 mg/d (7 days each), or desvenlafaxine 50 mg/d every other day. Primary endpoints included nausea incidence during the first 2 weeks of treatment and Discontinuation-Emergent Signs and Symptoms (DESS) Checklist total scores after taper weeks 1 and 2. RESULTS Nausea incidence was significantly lower for the desvenlafaxine 25 mg/d (19%) and 50 mg/d (22.6%) titration regimens vs. no titration (35.2%; p=0.004 and p=0.035, respectively). At taper week 1, mean DESS scores were significantly lower for desvenlafaxine 50 mg every other day (2.26, p<0.001), 50/25 mg/d (2.28, p<0.001), and 50 mg/d-placebo (1.84, p<0.001) taper regimens vs. no taper (7.07). At week 2, the mean DESS total score was significantly higher for the desvenlafaxine 50 mg/d-placebo regimen vs. no taper (4.46 vs. 2.44, respectively; p=0.009). Desvenlafaxine 50 mg every other day was the least tolerated of the taper regimens. CONCLUSIONS Titration regimens may improve tolerability of desvenlafaxine 100 mg/d in postmenopausal women with VMS. Taper regimens of desvenlafaxine 50 mg/d-placebo or 50/25-mg/d, were better tolerated than abrupt discontinuation or desvenlafaxine 50 mg given every other day taper regimen.
Role of birthweight in the etiology of breast cancer

Breast cancer may originate in utero. We reviewed the available evidence on the association between birthweight and the risk of breast cancer. To date, 26 research papers addressing this issue have been published. The majority of studies identified a positive link between birthweight and premenopausal, but not postmenopausal, breast cancer. The relative risk estimate for breast cancer comparing women with high birthweight to women with low birthweight combining all studies including both pre‐ and postmenopausal breast cancer was 1.23 (95% confidence interval 1.13–1.34). The mechanisms underlying this association likely include elevated levels of growth factors that may increase the number of susceptible stem cells in the mammary gland or initiate tumors through DNA mutations. Loss of imprinting (LOI) of growth hormone genes relevant for intrauterine growth, such as insulin‐like growth factor 2 (IGF2), leads to abnormally high levels of these hormones evidenced by high birthweight. LOI of IGF2 has also been found in mammary tumor tissue. The role of environmental factors that stimulate such epigenetic regulation of gene expression remains to be elucidated. © 2006 Wiley‐Liss, Inc.