Miracle-dz/UniFAR-FTUs huggingface dataset:
Glucose metabolism in perfused skeletal muscle. Interaction of insulin and exercise on glucose uptake.

1. The interaction of insulin and isometric exercise on glucose uptake by skeletal muscle was studied in the isolated perfused rat hindquarter. 2. Insulin, 10 m-i.u. /ml, added to the perfusate, increased glucose uptake more than 10-fold, from 0.3-0.5 to 5.2-5.4 mumol/min per 30g of muscle in hindquarters of fed and 48h-starved rats respectively. In contrast, it did not stimulate glucose uptake in hindquarters from rats in diabetic ketoacidosis. 3. In the absence of added insulin, isometric exercise, induced by sciatic-nerve stimulation, increased glucose uptake to 4 and 3.4 mumol/min per 30g of muscle in fed and starved rats respectively. It had a similar effect in rats with moderately severe diabetes, but it did not increase glucose uptake in rats with diabetic ketoacidosis or in hindquarters of fed rats that had been "washed out" with an insulin-free perfusate. Insulin, at concentrations which did not stimulate glucose uptake in resting muscle, restored the stimulatory effect of exercise in these situations. 4. The stimulation of glucose uptake by exercise was independent of blood flow and the degree of tissue hypoxia; also it could not be reproduced by perfusing resting muscle with a medium previously used in an exercise experiment. 5. At rest glucose was not detectable in muscle cell water of fed and starved rats even when perfused with insulin. In the presence of insulin, a small accumulation of glucose, 0.25 mM, was noted in the muscle of ketoacidotic diabetic rats, suggesting inhibition of glucose phosphorylation, as well as of transport. 6. During exercise, the calculated intracellular concentration of glucose in the contracting muscle increased to 1.1-1.6mM in the fed, starved and moderately diabetic groups. Insulin significantly increased the already high rates of glucose uptake by the hindquarters of these animals but it did not alter the elevated intracellular concentration of glucose. 7. In severely diabetic rats, exercise did not cause glucose to accumulate in the cell in the absence of insulin. In the presence of insulin, it increased glucose uptake to 6.1 mumol/min per 30g of muscle and intracellular glucose to 0.72 mM. 8. The data indicate that the stimulatory effect of exercise on glucose uptake requires the presence of insulin. They suggest that in the absence of insulin, glucose uptake is not enhanced by exercise owing to inhibition of glucose transport into the cell.
Review of the superconducting properties of MgB2

This review paper illustrates the main normal and superconducting state properties of magnesium diboride, a material known since the early 1950s but only recently discovered to be superconductive at a remarkably high critical temperature Tc = 40 K for a binary compound. What makes MgB2 so special? Its high Tc, simple crystal structure, large coherence lengths, high critical current densities and fields, and transparency of grain boundaries to current promise that MgB2 will be a good material for both large-scale applications and electronic devices. During the last seven months, MgB2 has been fabricated in various forms: bulk, single crystals, thin films, tapes and wires. The largest critical current densities, greater than 10 MA cm−2, and critical fields, 40 T, are achieved for thin films. The anisotropy ratio inferred from upper critical field measurements is yet to be resolved as a wide range of values have been reported, γ = 1.2–9. Also, there is no consensus on the existence of a single anisotropic or double energy gap. One central issue is whether or not MgB2 represents a new class of superconductors, which is the tip of an iceberg awaiting to be discovered. To date MgB2 holds the record for the highest Tc among simple binary compounds. However, the discovery of superconductivity in MgB2 revived the interest in non-oxides and initiated a search for superconductivity in related materialss; several compounds have since been announced to be superconductive: TaB2, BeB2.75, C–S composites, and the elemental B under pressure.
Abrogation of Insulin-like Growth Factor-I (IGF-I) and Insulin Action by Mevalonic Acid Depletion

The vasculoprotective effects of hydroxy-3-methylglutaryl (HMG)-CoA reductase inhibitors (statins) correlate with cholesterol lowering. HMG-CoA reductase inhibitors also disrupt cellular processes by the depletion of isoprenoids and dolichol. Insulin and insulin-like growth factor (IGF) signaling appear particularly prone to such disruption as intracellular receptor processing requires dolichol for correct N-glycosylation, whereas downstream signaling through Ras requires the appropriate prenylation (farnesol). We determined how HMG-CoA reductase inhibition affected the mitogenic effects of IGF-I and metabolic actions of insulin in 3T3-L1 cells and examined the respective roles of receptor glycosylation and Ras prenylation. IGF-I- and insulin-induced proliferation was significantly reduced by all statins tested, although cerivastatin (10 nm) had the greatest effect (p < 0.005). Although inhibitors of Ras prenylation induced similar results (10 μm FTI-277 89% ± 7.4%, p < 0.01), the effect of HMG-CoA reductase inhibition could only be partially reversed by farnesyl pyrophosphate refeeding. Treatment with statins resulted in decreased membrane expression of receptors and accumulation of proreceptors, suggesting disruption of glycosylation-dependent cleavage. Glycosylation inhibitors inhibited IGF-I-induced proliferation (tunicamycin p < 0.005, castanospermine p < 0.01, deoxymannojirimycin p < 0.01). High concentrations of statin were necessary to impair insulin-mediated glucose uptake (300 nm = 33% ± 12% p < 0.05), and this process was not effected by farnesyl transferase inhibition. Gycosylation inhibitors mimicked the effect of statin treatment (tunicamycin p < 0.001, castanospermine p < 0.05, deoxymannojirimycin p < 0.05), and there was insulin proreceptor accumulation. These data imply that HMG-CoA reductase inhibitors disrupt IGF-I signaling by combined effects on Ras prenylation and IGF receptor glycosylation, whereas insulin signaling is only affected by disrupted receptor glycosylation.
Axillary temperature measurement: a less stressful alternative for hospitalised cats?

Rectal temperature measurement (RTM) can promote stress and defensive behaviour in hospitalised cats. The aim of this study was to assess if axillary temperature measurement (ATM) could be a reliable and less stressful alternative for these animals. In this prospective study, paired rectal and axillary temperatures were measured in 42 cats, either by a veterinarian or a student. To assess the impact of these procedures on the cat's stress state, their heart rate was checked and a cat stress score (CSS) was defined and graded from 1 (relaxed) to 5 (terrified). A moderate correlation was found between RTM and ATM (r=0.52; P<0.0001). RTM was on average 0.9°C (1.6°F) higher than ATM (P<0.0001), although a wide variation was found in the difference between these two measurements (−2.1°C to 3.6°C (−3.8°F to 6.5°F)). ATM failed to identify hypothermia in 25 per cent of the cases and hyperthermia in 19 per cent of the cases but may be considered less stressful than RTM. Indeed, RTM induced a mildly greater increase in heart rate (+6 bpm; P=0.01) and in CSS (+0.2; P=0.001) than ATM. The results were not affected by operator type. In conclusion, RTM should remain the standard method to obtain accurate temperatures in cats.
Serum mesothelin and megakaryocyte potentiating factor in pancreatic and biliary cancers

Abstract Background: Tumor mesothelin overexpression is present in different malignancies, including the majority of patients with pancreatic or biliary cancers. The objective of this study was to evaluate the use of shed serum mesothelin and megakaryocyte potentiating factor (MPF) concentrations as biomarkers for these cancers. Methods: A total of 151 individuals, divided into five groups, were retrospectively analyzed: healthy donors (n=15), patients with benign non-pancreatic conditions (n=52), benign pancreatic conditions (n=33), biliary carcinoma (n=9), and pancreatic ductal adenocarcinoma (n=42). Mesothelin and MPF concentrations were measured in serum with the Mesomark™ and Human MPF ELISA, respectively. Results: Mesothelin and MPF concentrations did not significantly differ among the five individual participant groups (p=0.34, p=0.33, respectively), nor did any other combination and pair-wise comparison of the participant groups demonstrated a significant difference in biomarker concentrations. In patients with pancreatic cancer, mesothelin or MPF concentrations were not associated with tumor stage (p=0.87, p=0.48, respectively) or differentiation grade (p=0.73, p=0.52, respectively). Conclusions: Serum mesothelin and MPF concentrations, measured with standard available ELISAs, were not specific for benign or pancreatic disease. Both biomarkers were not elevated in patients with pancreatic or biliary cancers, and consequently do not appear to be useful biomarkers for these malignancies.
Nef and cell signaling transduction: a possible involvement in the pathogenesis of human immunodeficiency virus-associated dementia

Although the introduction of highly active antiretroviral therapy (HAART) has resulted in a significant decrease of acquired immunodeficiency syndrome (AIDS) morbidity and mortality, the prevalence of human immunodeficiency virus (HIV)-associated dementia (HAD) has actually risen, due to the increasing life expectancy of the infected subjects. To date, several aspects of the HAD pathogenesis remain to be dissected. In particular, the viral-cellular protein interplay is still under investigation. Given their specific features, two viral proteins, Tat and Nef, have been mainly hypothesized to play a role in HIV neuropathology. Here we show that HIV-1 Nef has an effect on the transcriptional levels of a cellular protein, anaplastic lymphoma kinase (ALK), that is preferentially expressed in the central and peripheral nervous system at late embryonic stages. By its overexpression along with Nef, the authors demonstrate ALK ability to influence, at least in the U87MG astrocytic glioma cells, the mytogen-activated protein kinase (MAP-K) dependent pathway. Moreover, although in the absence of a physical direct interaction, Nef and ALK activate matrix metalloproteinases (MMPs), which are likely to contribute to blood-brain barrier (BBB) damage in HAD. Finally, in the in vitro model of glioblastoma cells adopted, Nef and ALK show similar effects by increasing different cytochines/chemokines that may be relevant for HAD pathogenesis. If confirmed in vivo, these data may indicate that, thanks to its ability to interfere with specific cellular pathways involved in BBB damage and in central nervous system (CNS) integrity, Nef, along with specific cellular counterparts, could be one of the viral players implicated in HAD development.
Millisecond Stretched Exponential Recovery of Threshold Voltage for Mechanically Stressed Flexible a-IGZO Thin-Film Transistors

We report the recovery kinetics of drain currents for flexible amorphous indium-gallium-zinc oxide (a-IGZO) thin-film transistors (TFTs) on polyimide (PI) substrate after mechanical bending stress (MBS) of <inline-formula> <tex-math notation="LaTeX">${\textsf {10}}^{\textsf {4}}$ </tex-math></inline-formula> cycles. The drain currents increase and threshold voltage shifts of −3.5 V by 1.65% tensile MBS. These shifts could be recovered by applying high drain/high gate voltages for high current. The recovery of <inline-formula> <tex-math notation="LaTeX">${V}_{\textsf {TH}}$ </tex-math></inline-formula> can be fitted by <inline-formula> <tex-math notation="LaTeX">${\Delta {V}}_{\textsf {TH}}({t}) ={\Delta {V}}_{\textsf {TH}}( \varepsilon,{n} )\cdot [\textsf {1}-\textsf {exp}-{({t}/\tau )}^{ \beta }]$ </tex-math></inline-formula> with time constant <inline-formula> <tex-math notation="LaTeX">$\tau $ </tex-math></inline-formula> and stretch parameter <inline-formula> <tex-math notation="LaTeX">$\beta $ </tex-math></inline-formula>. Positive bias recovery (PBR) under 30 V [<inline-formula> <tex-math notation="LaTeX">${V}_{G}={V}_{D}=\textsf {30}$ </tex-math></inline-formula> V] completely returns to the pristine TFT performance within <inline-formula> <tex-math notation="LaTeX">${\textsf {10}}^{-\textit {3}}$ </tex-math></inline-formula> s with <inline-formula> <tex-math notation="LaTeX">$\tau $ </tex-math></inline-formula> of <inline-formula> <tex-math notation="LaTeX">$\textit {5}\times {\textsf {10}}^{-\textit {5}}$ </tex-math></inline-formula> s, whereas, positive bias temperature stress [PBTS, <inline-formula> <tex-math notation="LaTeX">${V}_{G}=\textsf {30}$ </tex-math></inline-formula> V] at 60 °C exhibits a partial recovery after 1 h, with <inline-formula> <tex-math notation="LaTeX">$\tau $ </tex-math></inline-formula> of <inline-formula> <tex-math notation="LaTeX">$\textsf {1.75}\times {\textsf {10}}^{\textit {3}}$ </tex-math></inline-formula> s. The time dependent reduction of defect states generated by MBS can be fitted well by the stretched exponential equation. The rise in temperature by Joule heating during PBR anneals out the generated defects/trapped charges.
Net cost of palivizumab for respiratory syncytial virus prophylaxis during the 1998/99 season in northern Alberta.

OBJECTIVE Palivizumab has been shown to decrease respiratory syncytial virus (RSV) hospitalization rates in preterm infants and infants with chronic lung disease. The objective of the present study was to determine whether the use of palivizumab during the 1998/99 RSV season would have resulted in a cost-saving in infants discharged from Edmonton hospitals. DESIGN A retrospective study of RSV hospitalizations was performed by contacting parents and reviewing hospital lists. The net cost of using palivizumab was determined by comparing the cost of giving the drug from November 1, 1998 to April 1, 1999 with the cost of potentially averted medical transports and hospitalizations. POPULATION One hundred fifty-nine infants discharged from Edmonton hospitals who met the Canadian Paediatric Society's criteria for receiving palivizumab during the 1998/99 RSV season were studied. RESULTS The cost of using palivizumab in these 159 study infants would have been $753,300. The infants had 21 RSV hospitalizations and required four medical transports. The estimated cost of RSV hospital-based care for these infants was $168,888. Assuming a drug efficacy of 39% in infants with chronic lung disease and 78% in infants born before 33 weeks' gestation with no chronic lung disease, $121,147 of these costs could have been averted if palivizumab had been used. CONCLUSIONS The net cost to the health care system of using palivizumab, as recommended in the Canadian Paediatric Society guidelines, in study infants in northern Alberta during the 1998/99 RSV season would have been $632,153.
Characteristics of frequency-of-seeing curves in normal subjects, patients with suspected glaucoma, and patients with glaucoma.

PURPOSE The authors performed this study to determine factors that affect the characteristics of frequency-of-seeing curves in normal subjects, patients with suspected glaucoma, and patients with glaucoma. METHODS The sample consisted of 70 subjects (22 normal subjects, 12 patients with suspected glaucoma, and 36 patients with glaucoma). A program was written to interface with the Humphrey Field Analyzer (Humphrey Instruments, San Leandro, CA) to measure frequency-of-seeing curves. The authors presented stimuli 8 dB either side of the estimated threshold in 1-dB intervals with five repetitions at each stimulus intensity. The authors tested four to six locations in each subject, with randomization of the stimulus intensity and location. Fixation was monitored with the Heijl-Krakau method. Using a probit program, the authors calculated the threshold and slope (estimated by the interquartile range) of each curve. RESULTS The authors obtained 124 curves from the normal subjects, 71 from the patients with suspected glaucoma, and 183 from the patients with glaucoma. In all three groups, the slope of the frequency-of-seeing curve was correlated highly with the threshold or threshold deviation, although the correlation was significantly higher in the normal subjects compared with the patients with suspected glaucoma and patients with glaucoma, even after controlling for the range of the threshold and threshold deviation. For this reason, the authors found considerably different frequency-of-seeing curves, between subject groups and also within the group of patients with glaucoma, in locations with the same threshold. CONCLUSIONS There may be fundamental differences in areas of normal subjects and patients with glaucoma with similar thresholds or threshold deviations. These differences also may exist within patients with glaucoma.
Relapse Following Frontofacial Advancement Using the Rigid External Distractor

Multisutural synostosis may result in frontofacial hypoplasia. The aesthetic and function problems arising from this can be corrected by frontofacial advancement, either by monobloc or bipartition osteotomy. Significantly larger, safer advancements can be achieved using distraction osteogenesis when compared to conventional osteotomy. However, the stability of this technique has been questioned. A retrospective study of 21 patients with craniofacial dysostosis who underwent frontofacial advancement osteotomies using the rigid external distractor system was undertaken. Twelve were distracted on protocol 1 (24 hours after surgery at 1.5 mm/d). Nine were distracted on protocol 2 (7 days after surgery at 1 mm/d). A 6-week consolidation period was used. Changes in frontofacial advancement in the sagittal plane were measured preoperatively, immediately, at 6 months, and where possible thereafter annually using lateral cephalograms and three-dimensional computed tomography scans. The midface was distracted an average of 16.4 mm with a range of 12 to 22 mm as measured in the sagittal plain. Relapse was seen only in 3 of 21 patients, and all of these patients were distracted using protocol 1. Distraction osteogenesis of the frontofacial skeleton using the rigid external distractor frame is generally stable. In this series, a longer latency period and reduced distraction rate resulted in greater stability. Overdistraction in the growing infant is recommended to allow for completion of growth. Overdistraction is not needed to compensate for potential relapse.
Acidic Mammalian Chitinase Negatively Affects Immune Responses during Acute and Chronic Aspergillus fumigatus Exposure

ABSTRACT Chitin is a polysaccharide that provides structure and rigidity to the cell walls of fungi and insects. Mammals possess multiple chitinases, which function to degrade chitin, thereby supporting a role for chitinases in immune defense. However, chitin degradation has been implicated in the pathogenesis of asthma. Here, we determined the impact of acidic mammalian chitinase (AMCase) (Chia) deficiency on host defense during acute exposure to the fungal pathogen Aspergillus fumigatus as well as its contribution to A. fumigatus-associated allergic asthma. We demonstrate that chitin in the fungal cell wall was detected at low levels in A. fumigatus conidia, which emerged at the highest level during hyphal transition. In response to acute A. fumigatus challenge, Chia−/− mice unexpectedly demonstrated lower A. fumigatus lung burdens at 2 days postchallenge. The lower fungal burden correlated with decreased lung interleukin-33 (IL-33) levels yet increased IL-1β and prostaglandin E2 (PGE2) production, a phenotype that we reported previously to promote the induction of IL-17A and IL-22. During chronic A. fumigatus exposure, AMCase deficiency resulted in lower dynamic and airway lung resistance than in wild-type mice. Improved lung physiology correlated with attenuated levels of the proallergic chemokines CCL17 and CCL22. Surprisingly, examination of inflammatory responses during chronic exposure revealed attenuated IL-17A and IL-22 responses, but not type 2 responses, in the absence of AMCase. Collectively, these data suggest that AMCase functions as a negative regulator of immune responses during acute fungal exposure and is a contributor to fungal asthma severity, putatively via the induction of proinflammatory responses.
Improved Image Captioning with Adversarial Semantic Alignment

In this paper we propose a new conditional GAN for image captioning that enforces semantic alignment between images and captions through a co-attentive discriminator and a context-aware LSTM sequence generator. In order to train these sequence GANs, we empirically study two algorithms: Self-critical Sequence Training (SCST) and Gumbel Straight-Through. Both techniques are confirmed to be viable for training sequence GANs. However, SCST displays better gradient behavior despite not directly leveraging gradients from the discriminator. This ensures a stronger stability of sequence GANs training and ultimately produces models with improved results under human evaluation. Automatic evaluation of GAN trained captioning models is an open question. To remedy this, we introduce a new semantic score with strong correlation to human judgement. As a paradigm for evaluation, we suggest that the generalization ability of the captioner to Out of Context (OOC) scenes is an important criterion to assess generalization and composition. To this end, we propose an OOC dataset which, combined with our automatic metric of semantic score, is a new benchmark for the captioning community to measure the generalization ability of automatic image captioning. Under this new OOC benchmark, and on the traditional MSCOCO dataset, our models trained with SCST have strong performance in both semantic score and human evaluation.
Computer-Based Testing: Initial Report of Extensive Use in a Medical School Curriculum

Background: Computer-based digital technology offers many opportunities in medical education. One type of digital technology, computer-based testing (CBT), has potentially wide application in undergraduate, graduate, and continuing medical education. Description: This articles describes the development of CBT in an undergraduate medical curriculum. Evaluation: An early step in evaluating CBT is to be sure that the exam format is measuring the examinees' knowledge and not their comfort level or confidence with the technology. It is, therefore, important that the CBT reproduce or accommodate traditional test-taking behavior. CBT also provides for a number of enhancements not easily achieved with traditional paper-and-pencil exams. These include easier control and editing of exam items, better incorporation of testing into the learning environment using specific feedback, and enhancing the questions by incorporating multimedia. CBT does present some unique challenges in testing security, and this article discusses the approach to the security issues. In addition, before initiating CBT into a medical curriculum, the institution must understand the technical and infrastructure requirements for CBT. Conclusions: By providing a 5-year experience with CBT in the medical curriculum, this article hopes to facilitate discussions among medical educators in its appropriate application and evaluation.