Miracle-dz/UniFAR-FTUs huggingface dataset:
Urinary Metabolites Diagnostic and Prognostic of Intrahepatic Cholangiocarcinoma

Background: Liver cancer is the second leading cause of cancer-related deaths worldwide. With a predicted 2.4-fold rise in liver cancer incidence by 2020, there is an urgent need for early, inexpensive diagnostic biomarkers to deploy in the clinic. Methods: We employed ultraperformance liquid chromatography tandem mass-spectrometry (UPLC/MS-MS) for the quantitation of four metabolites, creatine riboside (CR), N-acetylneuraminic acid (NANA), cortisol sulfate, and a lipid molecule designated as 561+, in urine samples from the NCI-MD cohort comprising 98 hepatocellular carcinoma (HCC) cases, 101 high-risk subjects, and 95 controls. Validation was carried out in the TIGER-LC cohort [n = 370 HCC and intrahepatic cholangiocarcinoma (ICC) cases, 471 high-risk subjects, 251 controls], where ICC, the second most common primary hepatic malignancy, is highly prevalent. Metabolite quantitation was also conducted in TIGER-LC tissue samples (n = 48 ICC; n = 51 HCC). Results: All profiled metabolites were significantly increased in liver cancer when compared with high-risk subjects and controls in the NCI-MD study. In the TIGER-LC cohort, the four-metabolite profile was superior at classifying ICC than a clinically utilized marker, CA19-9, and their combination led to a significantly improved model (AUC = 0.88, P = 4E-8). Metabolites CR and NANA were significantly elevated in ICC when compared with HCC cases in both urine and tissue samples. High levels of CR were associated with poorer prognosis in ICC. Conclusions: Four metabolites are significantly increased in HCC and ICC and are robust at classifying ICC in combination with the clinically utilized marker CA19-9. Impact: Noninvasive urinary metabolite biomarkers hold promise for diagnostic and prognostic evaluation of ICC.
Exploring critical factors influencing nurses’ intention to use tablet PC in Patients’ care using an integrated theoretical model

ABSTRACT The use of health information technology (HIT) is expected to deliver benefits for patients, nurses, physicians, and organizations, but the benefits of HIT can only be attained if nurses accept and intend to use it as they are the leading user-group. The use of the tablet is becoming commonplace in healthcare organizations to improve patient care. The current study incorporates Technology Acceptance Model2 (TAM2) with two antecedents, facilitating condition and personal, to identify and understand the factors that influence nurses’ intention to use the Tablet PC. The survey methodology was used to collect data from the nurses working in a regional healthcare center in Taiwan. The structural equation modeling (SEM) technique was employed to analyze the research framework. A total of 110 valid responses for analysis. The results suggest that the modified proposed research framework explains about 41.7% of the variance of nurses’ behavioral intention. The partial least squares (PLS) regression indicated that perceived usefulness, subjective norm, and personal a positive and significant influence on nurses’ intention to use the Tablet PC. But concerning the perceived ease of use, the insignificant path coefficient was reported. The finding also indicated that personal on the research model is much stronger than the subjective norm on Tablet PC performance. The proposed research framework contributes to the conclusive explanation for understanding nurses’ intention to use. The current study brings perspectives from the technological and attitudinal differences that have largely been missing in the existing literature of the nurses’ intention to use HIT. Thus, health care providers must take these factors into consideration as the findings of the current study advance theory and contribute to the basis for future study intended for enhancing our understanding of nurses’ adoption behavior regarding HIT.
A pilot study of prostate‐specific membrane antigen (PSMA) dynamics in men undergoing treatment for advanced prostate cancer

Prostate‐specific membrane antigen (PSMA) is a rational target for noninvasive detection of recurrent prostate cancer (PCa) and for therapy of metastatic castration‐resistant prostate cancer (mCRPC) with PSMA‐targeted agents. Here we conducted serial measurements of PSMA expression on circulating tumor cells (CTCs) to evaluate patterns of longitudinal PSMA dynamics over the course of multiple sequential therapies.
Sensorimotor, language, and working memory representation within the human cerebellum

The cerebellum is involved in a wide range of behaviours. A key organisational principle from animal studies is that somatotopically corresponding sensory input and motor output reside in the same cerebellar cortical areas. However, compelling evidence for a similar arrangement in humans and whether it extends to cognitive functions is lacking. To address this, we applied cerebellar optimised whole‐brain functional MRI in 20 healthy subjects. To assess spatial overlap within the sensorimotor and cognitive domains, we recorded activity to a sensory stimulus (vibrotactile) and a motor task; the Sternberg verbal working memory (VWM) task; and a verb generation paradigm. Consistent with animal data, sensory and motor activity overlapped with a somatotopic arrangement in ipsilateral areas of the anterior and posterior cerebellum. During the maintenance phase of the Sternberg task, a positive linear relationship between VWM load and activity was observed in right Lobule VI, extending into Crus I bilaterally. Articulatory movement gave rise to bilateral activity in medial Lobule VI. A conjunction of two independent language tasks localised activity during verb generation in right Lobule VI‐Crus I, which overlapped with activity during VWM. These results demonstrate spatial compartmentalisation of sensorimotor and cognitive function in the human cerebellum, with each area involved in more than one aspect of a given behaviour, consistent with an integrative function. Sensorimotor localisation was uniform across individuals, but the representation of cognitive tasks was more variable, highlighting the importance of individual scans for mapping higher order functions within the cerebellum.
Pore-pressure diffusion, enhanced by poroelastic stresses, controls induced seismicity in Oklahoma

Significance We develop a physics-based earthquake-forecasting model for evaluating seismic hazard due to fluid injection, considering both pore pressure and poroelastic stresses. Applying this model to complex settings like Oklahoma, we show that the regional induced earthquake timing and magnitude are controlled by the process of fluid diffusion in a poroelastic medium, and thus seismicity can be successfully forecasted by using a rate-and-state earthquake nucleation model. We find that pore-pressure diffusion controls the induced earthquakes in Oklahoma. However, its impact is enhanced by poroelastic effects. This finding has significant implications for induced earthquake-forecasting efforts by integrating the physics of fluid diffusion and earthquake nucleation. Induced seismicity linked to geothermal resource exploitation, hydraulic fracturing, and wastewater disposal is evolving into a global issue because of the increasing energy demand. Moderate to large induced earthquakes, causing widespread hazards, are often related to fluid injection into deep permeable formations that are hydraulically connected to the underlying crystalline basement. Using injection data combined with a physics-based linear poroelastic model and rate-and-state friction law, we compute the changes in crustal stress and seismicity rate in Oklahoma. This model can be used to assess earthquake potential on specific fault segments. The regional magnitude–time distribution of the observed magnitude (M) 3+ earthquakes during 2008–2017 is reproducible and is the same for the 2 optimal, conjugate fault orientations suggested for Oklahoma. At the regional scale, the timing of predicted seismicity rate, as opposed to its pattern and amplitude, is insensitive to hydrogeological and nucleation parameters in Oklahoma. Poroelastic stress changes alone have a small effect on the seismic hazard. However, their addition to pore-pressure changes can increase the seismicity rate by 6-fold and 2-fold for central and western Oklahoma, respectively. The injection-rate reduction in 2016 mitigates the exceedance probability of M5.0 by 22% in western Oklahoma, while that of central Oklahoma remains unchanged. A hypothetical injection shut-in in April 2017 causes the earthquake probability to approach its background level by ∼2025. We conclude that stress perturbation on prestressed faults due to pore-pressure diffusion, enhanced by poroelastic effects, is the primary driver of the induced earthquakes in Oklahoma.
Performance of blood pressure measurements at an initial screening visit for the diagnosis of hypertension in children

Hypertension in children is defined as sustained elevated blood pressure (BP) over several visits. For the screening of hypertension, it is standard to obtain several BP readings at the initial visit. There is however no recommendation on the minimum number of readings needed. We evaluated the performance of BP readings obtained at one initial screening visit to predict the diagnosis of hypertension in children. In a school‐based study conducted in Switzerland, BP was measured three times on up to three visits in 5207 children. Sensitivity, specificity, negative predictive value (NPV), and positive predictive value (PPV) of elevated BP at the initial screening visit for the identification of hypertension were estimated using the 1st, 2nd, and 3rd BP readings (R1, R2, R3), as well as (R1 + R2)/2 and (R1 + R2 + R3)/3). These performance indices were compared with the reference method (R2 + R3)/2. The ability of BP readings to discriminate children with and without hypertension was evaluated with receiver operating characteristic curve analysis. The prevalence of systolic/diastolic hypertension was 2.2%. The greatest performance to identify children with hypertension was obtained with R2 (sensitivity: 97%; specificity: 88%; PPV: 15%; NPV: 100%) and the reference method, (R2 + R3)/2 (sensitivity: 100%; specificity: 90%; PPV: 18%; NPV: 100%). The ability to discriminate using R1, R2, (R1 + R2)/2, and (R2 + R3)/2 for the identification of hypertension was strong (AUC: 0.89, 0.93, 0.92, and 0.95, respectively). Obtaining two BP readings and using only the second one at a screening visit may be sufficient as initial step for the identification of hypertension in children.
Morphology, Morphogenesis, and Molecular Phylogeny of Neobakuella aenigmatica n. sp. (Ciliophora, Spirotrichea, Bakuellidae)

The morphology and morphogenesis of a new ciliate species, Neobakuella aenigmatica n. sp. , which was discovered in an estuary in Korea, were investigated, using live observation, protargol impregnation, and scanning electron microscopy. This new species is characterized by a large (185–300 × 55–105 μm in vivo), elongate‐ellipsoidal, flexible but not contractile body. It has ellipsoidal, yellowish cortical granules, 1.3 × 1.0 μm in size. The species has invariably 3 frontal and 2 frontoterminal cirri, about 5–10 buccal and 1–6 parabuccal cirri, 7 midventral rows, and 1 right and 2–4 left marginal rows. The outer left marginal row(s) consists of 1–7 short rows of cirri. The nuclear apparatus comprises 130 macronuclear nodules and 2 spherical micronuclei on average. The dorsal ciliature consists of 3 dorsal kineties. The leftmost left marginal row(s) likely develops from anlagen originating from both the rightmost and leftmost left marginal row(s). The molecular phylogenetic tree based on SSU rDNA suggests the nonmonophyly of the genus Neobakuella.
Testosterone and the Heart

The development of a subnormal level of testosterone (T) is not universal in ageing men, with 75% of men retaining normal levels. However, a substantial number of men do develop T deficiency (TD), with many of them carrying a portfolio of cardiovascular (CV) risk factors, including type 2 diabetes (T2D) and the metabolic syndrome. TD increases the risk of CV disease (CVD) and the risk of developing T2D and the metabolic syndrome. The key symptoms suggesting low T are sexual in nature, including erectile dysfunction (ED), loss of night-time erections and reduced libido. Many men with heart disease, if asked, admit to ED being present; a problem that is often compounded by drugs used to treat CVD. A large number of studies and meta-analyses have provided evidence of the link between TD and an increase in CVD and total mortality. Patients with chronic heart failure (CHF) who have TD have a poor prognosis and this is associated with more frequent admissions and increased mortality compared with those who do not have TD. Conversely, in men with symptoms and documented TD, T therapy has been shown to have beneficial effects, namely improvement in exercise capacity in patients with CHF, improvement of myocardial ischaemia and coronary artery disease. Reductions in BMI and waist circumference, and improvements in glycaemic control and lipid profiles, are observed in T-deficient men receiving T therapy. These effects might be expected to translate into benefits and there are more than 100 studies showing CV benefit or improved CV risk factors with T therapy. There are flawed retrospective and prescribing data studies that have suggested increased mortality in treated men, which has led to regulatory warnings, and one placebo-controlled study demonstrating an increase in coronary artery non-calcified and total plaque volumes in men treated with T, which is open for debate. Men with ED and TD who fail to respond to phosphodiesterase type 5 (PDE5) inhibitors can be salvaged by treating the TD. There are data to suggest that T and PDE5 inhibitors may act synergistically to reduce CV risk.
Building middle school teacher capacity to implement reading comprehension strategies for improved student academic performance

In the middle school setting, reading is a requirement if students are to access the curriculum and demonstrate content proficiency. By grade three, students are expected to read on grade level, but by middle grades (7-8), some students still struggle with reading for comprehension. In addition, some middle school teachers struggle to implement effective reading supports. There are several reasons teachers fail to implement reading during instruction: teachers view reading as the responsibility of the English/language arts teacher, and not an instructional expectation in other content areas, teachers see reading supports as content specific and not cross-curricular, or teachers simply do not have the capacity to implement reading strategies. This instructional deficit leads to lower student achievement in all content areas due to the students’ inability to read for comprehension, and therefore, access the content.To address the problem of a lack of student reading comprehension skills and to improve student reading performance, this improvement initiative provided on-going, embedded professional learning supports to teachers so as to build their capacity to implement a reading comprehension program into instructional practice. This disquisition examines one middle school’s efforts to improve student reading performance by building the capacity of all teachers to implement reading instruction. The Hawk 5 program, created by the NBMS leadership/design team, includes the school-wide implementation of the reading strategies toolkit following a prescribed instructional timeline and was modeled after a similar program used in the Anchorage School District (Goodman, A., 2005). Students learn and use the 5 individual reading strategies, with teacher support and instruction, to perform reading comprehension tasks over a 10-week timeline. At the end of 10 weeks of this immersion instruction, the students were able to independently select the strategy that best fits the assigned reading task. To build the capacity of every teacher, the initiative also provided targeted professional learning supports following the standards introduced by Learning Forward (https://learningforward.org). This improvement initiative provided 10 embedded teacher-learning supports that reflect the standards for professional learning (https://learningforward.org). Following 7 months of implementation, a mixed-methods evaluation of the improvement initiative was conducted using quantitative and qualitative analysis of teacher perceptions on the impact of the capacity-building program on their own professional growth. Data analysis revealed that the chosen process for embedded capacity development and support increased teacher capacity. Improved student academic performance as a result of increased capacity cannot be directly correlated amidst the large number of contributing variables.
Magnetic Resonance Sentinel Lymph Node Imaging and Magnetometer-Guided Intraoperative Detection in Penile Cancer, using Superparamagnetic Iron Oxide Nanoparticles: First Results

In penile cancer, lymph node (LN) metastasis is the main known prognostic factor that affects survival. Inguinal sentinel LN (SLN) dissection (sLND) using radioactive marking is recommended by the European Association of Urology guidelines to evaluate the nodal status in clinically node-negative penile cancer (cN0; ≥pT1, G2). Dependence on radioisotopes limits the application of this procedure to small parts of the developed world, and imposes restrictions on hospital logistics. To overcome these issues, SLN visualization using magnetic resonance imaging (MRI) and magnetometer-guided detection after intraprostatic injection of superparamagnetic iron oxide nanoparticles (SPION) has been successfully applied in prostate cancer. Here, we present the first results of magnetic sLND in penile cancer. After peritumoral SPION injection, MR SLN imaging and magnetometer-guided sLND were performed in one cN0 penile cancer patient. Another patient underwent magnetometer-guided sLND only. In the first case, 5 SLNs could be visualized on MRI and intraoperatively detected by magnetometer-guided sLND. In the second patient, 3 SLNs could be detected by magnetic sLND. Neither patient exhibited adverse events attributable to SPION-injection. In conclusion, SPION-guided SLN identification using MRI and a handheld magnetometer is feasible and could provide a radiation-free technique for SLN identification in penile cancer. For further clarification, a multicenter study should be carried out.
Nanoporous anodic alumina reduces Staphylococcus biofilm formation

Staphylococcus epidermidis and Staphylococcus aureus, two bacterial strains commonly associated with biofilm‐related medical infections and food poisoning, can rapidly colonize biotic and abiotic surfaces. The present study investigates the ability of anodic alumina surfaces with nanoporous surface topography to minimize the attachment and biofilm formation mediated by these pathogenic bacterial strains. Early attachment and subsequent biofilm development were retarded on surfaces with nanopores of 15–25 nm in diameter compared to surfaces with 50–100 nm pore diameter and nanosmooth surfaces. After 30 min of incubation in nutritive media, the biomass accumulation per unit surface area was 2·93 ± 1·72 µm3 µm‐2 for the 15 nm, 3·49 ± 1·97 µm3 µm‐2 for the 25 nm, as compared to 14·04 ± 6·39 µm3 µm‐2 for the nanosmooth, 11·88 ± 9·72 µm3 µm‐2 for the 50 nm and 12·09 ± 11·84 µm3 µm‐2 for the 100 nm surfaces respectively. These findings suggest that anodic alumina with small size nanoscale pores could reduce the incidence of staphylococcal biofilms and infections, and shows promise as a material for a variety of medical applications and food contact surfaces.
Effects of Brief Integrated Information Literacy Education Sessions on Undergraduate Engineering Students' Interdisciplinary Research

ABSTRACT Engineering students often conduct information searches without sufficient consideration of the context of their research topic. This article discusses how development of a new information literacy (IL) mindset through instruction in integrated IL education affects students' understanding of research problems and formulation of information search questions. The course observed is a mechanical engineering seminar for undergraduate engineering students with integrated IL education. A survey-based research method is utilized with surveys carried out at three stages of the course. The results show that as the course progressed, students' interdisciplinary research problem descriptions became more profound and their formulations of information search questions developed more advanced understanding of the principles of information use. Preliminary parallel results have been analyzed from 2013 to 2016 at a university of technology in Finland.
Evolution & Development

Correspondence Florencia Vera Candioti, Unidad Ejecutora Lillo (CONICET—Fundación Miguel Lillo), Miguel Lillo 251, 4000 Tucumán, Argentina. Email: florivc@gmail.com Abstract Allometry constitutes an important source of morphological variation. However, its influence in head development in anurans has been poorly explored. By using geometric morphometrics followed by statistical and comparative methods we analyzed patterns of allometric change during cranial postmetamorphic ontogeny in species of Nest‐building frogs Leptodactylus (Leptodactylidae). We found that the anuran skull is not a static structure, and allometry plays an important role in defining its shape in this group. Similar to other groups with biphasic life‐cycle, and following a general trend in vertebrates, ontogenetic changes mostly involve rearrangement in rostral, otoccipital, and suspensorium regions. Ontogenetic transformations are paralleled by shape changes associated with evolutionary change in size, such that the skulls of species of different intrageneric groups are scaled to each other, and small and large species show patterns of paedomorphic/peramorphic features, respectively. Allometric trajectories producing those phenotypes are highly evolvable though, with shape change direction and magnitude varying widely among clades, and irrespective of changes in absolute body size. These results reinforce the importance of large‐scale comparisons of growth patterns to understand the plasticity, evolution, and polarity of morphological changes in different clades.