Miracle-dz/UniFAR-FTUs huggingface dataset:
Children’s Psychological Responses After Critical Illness and Exposure to Invasive Technology

ABSTRACT. Children hospitalized in pediatric intensive care units (PICUs) are subjected to highly invasive interventions necessary in overcoming the critical period of their illness, yet little is known about their subsequent psychological adjustment. The purposes of this study were to compare the psychological responses of children hospitalized in a PICU with those of children hospitalized on a general ward and to identify clinically relevant factors that might be associated with psychological outcome. A prospective cohort design was used to follow 120 children for 6 months after PICU and ward discharge. Groups were compared on the children’s sense of control over their health, their medical fears, posttraumatic stress, and changes in behavior. Relationships between children’s responses and their age, the invasive procedures to which they were exposed, severity of illness, and length of hospital stay were also examined. No significant group differences were found. However, children who were younger, more severely ill, and who endured more invasive procedures had significantly more medical fears, a lower sense of control over their health, and ongoing posttraumatic stress responses for 6 months postdischarge. Findings indicate that regardless of the hospital setting, invasiveness coupled with length of stay and severity of illness in young children may have adverse long-term effects.
Like cognitive function, decision making across the life span shows profound age-related changes

Significance Although largely unstudied, behavioral changes in decision making across the life span have implications for problems associated with poor decision making at different life stages, such as careless driving in adolescents and disadvantageous medical or financial decision making in older adults. We examine age-based differences in individual decision-making characteristics—choice consistency, rationality, and preferences for known and unknown risks—in 12- to 90-y-olds. We found that even the healthiest of elders show profoundly compromised decision making, and that risk attitudes show systematic changes across the life span that have important policy implications. It has long been known that human cognitive function improves through young adulthood and then declines across the later life span. Here we examined how decision-making function changes across the life span by measuring risk and ambiguity attitudes in the gain and loss domains, as well as choice consistency, in an urban cohort ranging in age from 12 to 90 y. We identified several important age-related patterns in decision making under uncertainty: First, we found that healthy elders between the ages of 65 and 90 were strikingly inconsistent in their choices compared with younger subjects. Just as elders show profound declines in cognitive function, they also show profound declines in choice rationality compared with their younger peers. Second, we found that the widely documented phenomenon of ambiguity aversion is specific to the gain domain and does not occur in the loss domain, except for a slight effect in older adults. Finally, extending an earlier report by our group, we found that risk attitudes across the life span show an inverted U-shaped function; both elders and adolescents are more risk-averse than their midlife counterparts. Taken together, these characterizations of decision-making function across the life span in this urban cohort strengthen the conclusions of previous reports suggesting a profound impact of aging on cognitive function in this domain.
Relationship between gene expression and function of uterotonic systems in the rat during gestation, uterine activation and both term and preterm labour

We have documented gestation‐ and labour‐ (preterm and term) dependent changes in expression of genes encoding contraction associated proteins in the rat uterus and correlated these changes with various parameters of uterine contractility. The data demonstrate increased expression of contractile agonist systems concurrent with decreased expression of relaxant systems after gestational day 20. Significant increases in expression of oxytocin (OT), its receptor (OTR), prostaglandin (PG) H synthase isoform 1 (PGHS‐1) and PGF2α receptor (FP) occurred first, followed by increases in PGHS‐2, connexin‐43, endothelin‐1 (ET‐1) and the ET‐1 receptor isoform ETA. Expression of OTR and FP was significantly reduced during mid‐gestation compared to non‐pregnant animals. Expression of inducible nitric oxide synthase (iNOS) increased significantly during pregnancy then decreased concurrently with the increase in OTR and FP. Functional changes in uterine contractility accompany changes in gene expression. OT was the most potent contractile stimulant. Sensitivity of uterine strips to OT was reduced in early and mid‐pregnancy then increased at uterine activation. Progesterone antagonist‐induced preterm labour caused changes similar to those at normal term. Comparison of mRNA transcripts in separated endometrium and myometrium suggested that the endometrium is an important regulator of myometrial contractility, analogous to the relationship between endothelium and vascular smooth muscle. This novel combination of functional and genetic expression analyses provides new insight into the physiology of parturition.
Clinical improvement in a case of frontotemporal dementia under aripiprazole treatment corresponds to partial recovery of disturbed frontal glucose metabolism

Frontotemporal dementia (FTD) is increasingly recognized as an important type of degenerative dementia but satisfactory pharmacological treatment has not yet been established. We examined the clinical effects of aripiprazole, a new antipsychotic with partial agonistic properties at serotonin 5-HT1A and dopamine D2 receptors, in parallel with cortical glucose metabolism changes. We conducted a follow-up investigation of clinical status and 18F-fluoro-2-deoxy-d-glucose (FDG) positron emission tomography (PET) in a 73-year-old male patient with FTD over a 13-month period. Under conventional drug treatment during the first 12 months a marked increase in dementia symptoms was observed. Frontal lobe glucose metabolism clearly decreased during this time period. Under consecutive treatment with aripiprazole a significant and stable improvement of clinical symptoms could be registered, while disturbed frontal glucose metabolism increased significantly. According to this case experience, further investigations should be undertaken to ascertain whether aripiprazole or other atypical antipsychotics with properties to improve impaired dopaminergic transmission in frontal brain regions could qualify for therapy of FTD.
Neurometric amplitude‐modulation detection threshold in the guinea‐pig ventral cochlear nucleus

• Amplitude modulation (AM) is a key information‐carrying feature of natural sounds. The majority of physiological data on AM representation are in response to 100%‐modulated signals, whereas psychoacoustic studies usually operate around detection threshold (∼5% AM). Natural sounds are characterised by low modulation depths (<<100% AM). • Recording from ventral cochlear nucleus neurons, we examine the temporal representation of AM tones as a function of modulation depth. At this locus there are several physiologically distinct neuron types which either preserve or transform temporal information present in their auditory nerve fibre inputs. • Modulation transfer function bandwidth increases with increasing modulation depth. • Best modulation frequency is independent of modulation depth. • Neural AM detection threshold varies with unit type, modulation frequency, and sound level. Chopper units have better AM detection thresholds than primary‐like units. The most sensitive chopper units have thresholds around 3% AM, similar to human psychophysical performance.
Impact of tangential burner firing angle on combustion characteristics of large scale coal-fired boiler

Combustion characteristics in large scale boilers are influenced by a number of factors such as coal properties and burner operating conditions. Burner firing angle for example, will affect the fireball size and locations of heat release which affect the formation of ash slagging in a tangentially fired furnace. In this study, a computational fluid dynamics (CFD) simulation of coal combustion in a tangentially fired 700 MW power plant was developed to investigate the impact of burner firing angles on the flame profile in the furnace. The model was developed based on the two-phase flow model, coal devolatilization, char burnout model, discrete particle tracking and radiation heat transfer. The firing angles were changed by ±5° from the base angle of 43° and 55°. The study shows that firing angles have significant effect on the size of the flame fireball and the concentric fireball arrangement. Increasing the firing angle resulted in a larger fireball size with a region of low temperature at the core of the fireball. The simulation also shows that the flow profile becomes more stable with increasing firing angle, regardless of burner elevations. The results presented in this paper may enhance the understanding the complex relation between burner operating condition such as firing angle on flow patterns and combustion processes in a tangentially fired boilers.
Secukinumab efficacy and safety in indian patients with moderate-to-severe plaque psoriasis: Sub-analysis from FIXTURE, a randomized, placebo-controlled, phase 3 study

Title: Secukinumab efficacy and safety in Indian patients with moderate-to-severe plaque psoriasis: sub-analysis from FIXTURE (Full Year Investigative Examination of Secukinumab vs. Etanercept Using Two Dosing Regimens to Determine Efficacy in Psoriasis), a randomized, placebo-controlled, phase 3 study. Background: Evidence has suggested Interleukin (IL)-17A to be an important effector cytokine in the pathogenesis of psoriasis. Here, we report results for an Indian sub-population from a multinational study FIXTURE, designed to assess the safety, tolerability, and long-term efficacy of fully human anti–IL-17A monoclonal antibody secukinumab in patients with moderate-to-severe plaque psoriasis. Materials and Methods: In this double-dummy, placebo controlled, 52-weeks phase 3 study FIXTURE, 149 Indian patients were randomized 1:1:1:1 to receive secukinumab at a dose of 300 mg or 150 mg, etanercept, or placebo. The study objective was to show the superiority of secukinumab over placebo at week 12, vis-à-vis proportion of patients achieving a reduction of 75% or more from the baseline in the psoriasis area-and-severity index score (PASI 75) and a score of 0 (clear) or 1 (almost clear) on a 5-point modified investigator's global assessment (IGA mod 2011) (co-primary end points). Results: At week 12, 61.0% and 55.9% patients in secukinumab 300 mg and 150 mg groups, respectively, achieved PASI 75 response compared to 20.0% in the etanercept and 7.1% in the placebo groups. Similarly, IGA mod 2011 0 or 1 response was achieved by 43.9% and 20.6% in patients in the secukinumab 300 mg and 150 mg group, respectively, vs. 13.3% in the etanercept and 2.4% in the placebo groups at week 12. Likewise, higher proportions of patients in secukinumab 300 mg (41.5%) and 150 mg (20.6%) group were PASI 90 responders at week 12 than those in the etanercept (10.0%) or placebo (0.0%) groups. The incidences of adverse events (AEs), during the induction period were similar in all the treatment groups. Overall secukinumab was well-tolerated at both doses in the Indian sub-population. Conclusion: The results from the Indian sub-population suggest that secukinumab is an efficacious and safe drug for use in moderate-to-severe chronic plaque psoriasis
Genetic and physiological characterization of a spontaneous mutant of Escherichia coli B/r with aberrant control of deoxyribonucleic acid replication

Strain TJK16, a low-thymine-requiring thyA deoB derivative of Escherichia coli B/r A, was found to have an increased initiation mass due to a mutation in a gene affecting the control of initiation of deoxyribonucleic acid replication. In contrast to temperature-sensitive initiation mutants, initiation in TJK16 was not temperature sensitive. By phage P1 transduction, it was found that the mutation lies within a small region of the chromosome between dnaA and gyrB; this region includes dnaN and recF. Coumermycin-resistant derivatives of B/r and TJK16 had the same initiation mass as their coumermycin-sensitive parents, and TJK16 had the same sensitivity to coumermycin as the B/r parent, suggesting that the initiation mutation is not in gyrB.
Co‐activation of p38 mitogen‐activated protein kinase and protein tyrosine phosphatase underlies metabotropic glutamate receptor‐dependent long‐term depression

Long‐term potentiation (LTP) and long‐term depression (LTD) are forms of synaptic plasticity thought to contribute to learning and memory. Much is known about the mechanisms of NMDA receptor‐dependent LTD in the CA1 region of rat hippocampus but there is still considerable uncertainty about the mechanisms of LTD induced by mGluR activation (mGluR‐LTD). Furthermore, data on mGluR‐LTD derives largely from studies using pharmacologically induced LTD. To investigate mGluR‐LTD that is more physiologically relevant we have examined, in CA1 of adult rat hippocampus, mechanisms of synaptically induced mGluR‐LTD. We provide the first demonstration that activation of protein tyrosine phosphatase (PTP) is essential for the induction of synaptically induced mGluR‐LTD. In addition, we show that activation of p38 MAPK is also required for this form of LTD. Furthermore, LTD can be mimicked and occluded by activation of p38 MAPK, provided that protein tyrosine kinases (PTKs) are inhibited. These data therefore demonstrate that a novel combination of signalling cascades, requiring both activation of p38 MAPK and tyrosine de‐phosphorylation, underlies the induction of synaptically induced mGluR‐LTD.
Role of blood–brain barrier organic anion transporter 3 (OAT3) in the efflux of indoxyl sulfate, a uremic toxin: its involvement in neurotransmitter metabolite clearance from the brain

Renal impairment is associated with CNS dysfunctions and the accumulation of uremic toxins, such as indoxyl sulfate, in blood. To evaluate the relevance of indoxyl sulfate to CNS dysfunctions, we investigated the brain‐to‐blood transport of indoxyl sulfate at the blood–brain barrier (BBB) using the Brain Efflux Index method. [3H]Indoxyl sulfate undergoes efflux transport with an efflux transport rate of 1.08 × 10−2/min, and the process is saturable with a Km of 298 µm. This process is inhibited by para‐aminohippuric acid, probenecid, benzylpenicillin, cimetidine and uremic toxinins, such as hippuric acidand 3‐carboxy‐4‐methyl‐5‐propyl‐2‐furanpropanoic acid. RT–PCR revealed that an OAT3 mRNA is expressed in conditionally immortalized rat brain capillary endothelial cell lines and rat brain capillary fraction. Xenopus oocytes expressing OAT3 were found to exhibit [3H]indoxyl sulfate uptake, which was significantly inhibited by neurotransmitter metabolites, such as homovanillic acid and 3‐methoxy‐4‐hydroxymandelic acid, and by acyclovir, cefazolin, baclofen, 6‐mercaptopurine, benzoic acid, and ketoprofen. These results suggest that OAT3 mediates the brain‐to‐blood transport of indoxyl sulfate, and is also involved in the efflux transport of neurotransmitter metabolites and drugs. Therefore, inhibition of the brain‐to‐blood transport involving OAT3 would occur in uremia and lead to the accumulation of neurotransmitter metabolites and drugs in the brain.
Surgery for Tricuspid Insufficiency: Long-Term Follow-Up After De Vega Annuloplasty

Between 1975 and 1991, 97 consecutive patients underwent De Vega tricuspid annuloplasty either isolated or in combination with mitral, aortic, or mitral and aortic valve procedures. Preoperatively 96.9% of the patients were in New York Heart Association functional class III or IV. Causes of tricuspid insufficiency were functional tricuspid ring dilatation and a combination of dilatation and different organic tricuspid valve lesions. There were 17 early deaths (17.5%), primarily due to cardiac failure, none was related to the tricuspid annuloplasty. 80 perioperative survivors have been followed up for a mean of 4.7 +/- 4.1 years with a total of 462 cumulative patient-years. Actuarial 5-, 10-, and 15-year survival rates, including early deaths, were 64% +/- 5%, 48 +/- 6%, and 26% +/- 10%. Recurrence of tricuspid regurgitation was rated as moderate in 15% and severe in 18.8%. Ten patients required reoperation (2.2%/patient-year), of whom 8 were associated with tricuspid regurgitation (1.7%/patient-year). Although in all patients but one the De Vega annuloplasty was intact, the tricuspid ring was dilated; 4 patients had additional tricuspid organic valve lesions. 6 of the 8 patients had concomitant mitral valve or mitral prosthesis dysfunction. 26 patients died late (5.6%/patient-year) due to chronic cardiac failure in 50% and after reoperation in 7% of the patients. 4 patients had implantation of a permanent pacemaker (0.9%/patient-year). 54 patients (67.5%) are still alive, with 43% having no and 17.5% having only mild residual tricuspid regurgitation. De Vega annuloplasty is indicated with tricuspid insufficiency due to functional ring dilatation. (ABSTRACT TRUNCATED AT 250 WORDS)
Credit Derivatives as a Commitment Device: Evidence from the Cost of Corporate Debt

When the firm writes incomplete debt contracts, its limited ability to commit not to strategically default and renegotiate on its debt requires the firm to pay higher yields to its creditors. Hedged by credit derivatives, creditors come to have stronger bargaining power in case of debt renegotiation, which ex-ante demotivates the firm to default strategically. In this paper, I aim to test whether credit derivatives could help reduce the cost of debt contracting stemming from the possibility of strategic default. I find that firms with a priori high strategic default incentives experience a relatively large reduction in their corporate bond yields after the introduction of credit default swaps (CDS) written on their debt. This result is robust to controlling for the endogeneity of CDS introduction. My finding is consistent with the presence of CDS reducing the strategic-default-related cost of corporate debt, suggesting the beneficial role of credit derivatives as a commitment device for the borrower to repay the lender as proposed in Bolton and Oehmke (2011).
Recent Insights into PDGF‐Induced Gliomagenesis

Gliomas are aggressive and almost incurable glial brain tumors which frequently display abnormal platelet‐derived growth factor (PDGF) signaling. Evidence gained from studies on several in vivo animal models has firmly established a causal connection between aberrant PDGF signaling and the formation of some gliomas. However, only recently has significant knowledge been gained regarding crucial issues such as the glioma cell of origin and the relationship between the transforming stimulus and the cellular characteristics of the resulting tumor. Based on recent evidence, we propose that PDGF can bias cell‐fate decisions, driving the acquisition of cell type‐specific features by the progeny of multipotent neural progenitors, thus determining the shape and direction of the transformation path. Furthermore, recent data about the cellular mechanisms of PDGF‐driven glioma progression and maintenance indicate that PDGF may be required, unexpectedly, to override cell contact inhibition and promote glioma cell infiltration rather than to stimulate cell proliferation.
Amplitude and phase of responses of macaque retinal ganglion cells to flickering stimuli.

1. We have measured responses of macaque retinal ganglion cells to a uniform flickering field, with variation in luminance, chromaticity or both (heterochromatic flicker). 2. With heterochromatic flicker, as the luminance ratio of the flicker components was varied, phasic ganglion cell activity went through a minimum and an abrupt phase change close to equal luminance. Tonic ganglion cell responses underwent a gradual phase change without any minimum close to equal luminance. For red on‐centre cells, when wavelengths above 570 nm were altered with white, a progressive phase advance occurred as luminance ratio (L lambda/LW) was increased. With wavelengths below 570 nm a progressive phase lag occurred. For green on‐centre cells, the opposite pattern was found. For all tonic cells, the higher the temporal frequency, the more rapidly did such phase changes occur. A simple model incorporating a centre‐surround delay of 3‐8 ms could quantitatively account for these changes. 3. With luminance flicker of different dominant wavelengths, amplitudes and phase of responses of phasic ganglion cells were independent of wavelength at all frequencies. The amplitude and phase of the responses of tonic ganglion cells was very dependent on wavelength, as well as on flicker frequency. Their characteristics hardly ever resembled results from phasic cells. 4. For achromatic flicker, response phase of tonic cells at or above 10 Hz was variable, probably due to the centre‐surround delay. Such variability was not seen among phasic cells. 5. An interesting implication of these results is that the ability of tonic ganglion cells to unambiguously signal rapid chromatic or spatial change is limited.
Episodic and seasonal rhythms of cortisol secretion in male Eld's deer (Cervus eldi thamin).

Episodic and seasonal rhythms of cortisol secretion were evaluated in six adult Eld's deer (Cervus eldi thamin) stags. Plasma cortisol was measured in serial blood samples collected via remote catheterization every 10 min for 10 h within 2 weeks of the summer solstice (21 June), autumn equinox (22 September), winter solstice (21 December) and spring equinox (20 March), and in weekly blood samples collected from sedated stags. Cortisol was secreted episodically at a rate of approximately 0.6 peaks/h. Based on quantitative peak detection analyses of each 10-h data series, no overall seasonal differences (P > 0.05) were detected in the number of peaks (mean range, 5.7-6.2), maximal peak height (mean range, 30.1-40.8 nmol/l), mean peak height as per cent increase (mean range, 158-168%), mean interval between peaks (mean range, 80.1-88.6 min), mean peak width (mean range, 55.1-65.1 min) and mean peak area under the curve (mean range, 675-816 nmol/l min). Based on weekly blood sampling, spring cortisol concentrations were elevated (P < 0.05) compared with summer and autumn concentrations. However, when mean cortisol concentrations derived from the 10-h quarterly data sets were analysed, no seasonal differences (P > 0.05) were detected. The present study represents the first detailed confirmation of episodic cortisol secretion in any cervid. Results (1) indicate that Eld's deer stags lack a distinct seasonal rhythm of cortisol secretion and (2) clearly illustrate the need for frequent blood sampling in fully conscious individuals to ensure accurate assessment of adrenal status in cervids.