Miracle-dz/UniFAR-FTUs huggingface dataset:
Cost-effectiveness of staffing levels on conflict and containment on psychiatric wards in England.

INTRODUCTION Evidence from City-128 study show a positive association between staffing levels and conflicts/containment. Economic evidence on this topic is scarce, with no economic analyses combining costs and outcomes. AIM/QUESTION To assess the cost-effectiveness of different staffing levels in relation to conflicts and containments in England, using City-128 study data METHODS: Shifts were grouped into three groups based on staff to bed ratio. Cost information was combined with total conflicts and containment measures to assess cost-effectiveness. RESULTS The cost-effectiveness analysis of the three staffing scenarios for both day and night shifts appeared to show that the low staff scenario was cost-effective in terms of conflicts and containment averted, even adjusting for patient severity. A production function analysis also revealed that increased staff numbers were associated with higher numbers of events. DISCUSSION Causation cannot be attributed and neither can recommendations be made on optimal staffing levels. The impact on other outcomes such as symptoms, functioning and length of stay, and other factors should be explored and these may all benefit from increased staff numbers. IMPLICATIONS FOR PRACTICE These results indicate that increasing staff numbers may not necessarily improve conflict and containment outcomes. They may produce positive outcomes in other domains. This article is protected by copyright. All rights reserved.
Celiac disease in type 1 diabetes mellitus in the Kingdom of Saudi Arabia

Objectives: To characterize and meta-analyze the pertinent studies concerning celiac disease (CD) among patients with type 1 diabetes mellitus (T1DM) in the Kingdom of Saudi Arabia. Methods: Data (from the relevant articles) were analyzed using both the Statistical Package for Social Sciences, version 20 (IBM Corp., Armonk, NY, USA) program and the comprehensive meta-analysis (CMA) program. This study was conducted between March and July 2018 at King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia. Written ethical approval was not obtained because this study was a retrospective literature review and analysis. Results: The prevalence of seropositive-CD was 15.88% with high heterogeneity (I2=84.0), while the prevalence of biopsy-proven CD was 12% with high heterogeneity (I2=82.7). Anti-transglutaminase was used in 7 of the 8 studies; alone in 4; with endomysial antibodies in 2; and with antigliadin antibodies (AGA) in one. In the remaining study, antireticulin antibodies was used with AGA. The age of the involved patients ranged from 8 months to 50 years old. Conclusion: The prevalence of biopsy-proven CD among T1DM patients in Kingdom of Saudi Arabia (12.0%) was double the global prevalence (6.0%), and much higher than the normal Saudi population (1.4%). The female-to-male ratio (2:1) of CD patients in T1DM was the same as in the normal population in Kingdom of Saudi Arabia. No significant difference was detected between the reported serologically-proven rates and the reported biopsy-proven rates (p=0.093).
Psychometric Properties of the Chinese Version of the Mindfulness in Teaching Scale

Measuring teacher mindfulness has implications for understanding and enhancing teachers’ well-being. This study therefore aimed to examine the psychometric properties of the Chinese version of the Mindfulness in Teaching Scale (MTS-C). Two independent samples (Sample 1 includes 151 in-service teachers, Sample 2 includes 229 pre-service teachers) completed the MTS-C and theoretically relevant measures (i.e., attitudes, self-esteem, self-efficacy, and life satisfaction). In addition, a subsample of Sample 2 completed the MTS-C again one month later. Results of exploratory factor analysis and confirmatory factor analysis supported the two-factor model of the MTS-C. The MTS-C was generally associated with the concurrent measures. Furthermore, the scale also demonstrated good internal consistency and test–retest reliability. These findings suggest that the MTS-C is a reliable and valid tool for research and practical applications among Chinese teachers.
Men's Intake of Vitamin C and β-Carotene Is Positively Related to Fertilization Rate but Not to Live Birth Rate in Couples Undergoing Infertility Treatment.

BACKGROUND Randomized clinical trials show that men's use of antioxidant supplements during infertility treatment may improve clinical outcomes. However, important limitations in the design of most trials make it difficult to draw firm conclusions on their findings. OBJECTIVE We examined whether men's intake of antioxidants and biologically related compounds without direct antioxidant capacity is associated with outcomes of assisted reproductive technologies (ARTs). METHODS We conducted a prospective cohort study of men in couples who underwent infertility treatment with ART using their own gametes between 2007 and 2017. We followed 171 couples who presented at Massachusetts General Hospital Fertility Center and underwent 294 autologous ART cycles for infertility treatment. Diet was assessed in both partners using an FFQ. The primary study outcome was the probability of achieving a live birth as a result of infertility treatment. Secondary outcomes were fertilization, implantation, and clinical pregnancy rates. Generalized linear mixed models with random intercepts were fitted to account for multiple ART cycles per woman while adjusting for confounding. RESULTS Men's vitamin C intake was positively associated with fertilization rate. The adjusted fertilization rate (95% CI) for couples in the lowest and highest quartiles of men's vitamin C intake were 69% (61-76%) and 81% (74-86%) (P-trend = 0.02). Men's β-carotene intake was positively associated with fertilization rate in intracytoplasmic sperm injection cycles but not in conventional in vitro fertilization cycles (P-interaction = 0.01). Men's α-carotene intake was inversely related to the probability of live birth. The adjusted probabilities of live birth for men in the lowest and highest quartiles of α-carotene intake were 43% (28-60%) and 22% (12-36%), respectively. CONCLUSIONS Men's intake of vitamin C and β-carotene is positively related to fertilization rate but this does not translate into higher pregnancy or live birth rates in couples undergoing infertility treatment.
Identifying microRNAs and Their Editing Sites in Macaca mulatta

MicroRNAs (miRNAs) are small non-coding RNAs that are critical in post-transcriptional regulation. Macaca mulatta is an important nonhuman primate that is often used in basic and translational researches. However, the annotation of miRNAs in Macaca mulatta is far from complete, and there are no reports of miRNA editing events in Macaca mulatta, although editing may affect the biogenesis or functions of the miRNAs. To improve miRNA annotation and to reveal editing events of miRNAs in Macaca mulatta, we generated 12 small RNA profiles from eight tissues and performed comprehensive analysis of these profiles. We identified 479 conserved pre-miRNAs that have not been reported in Macaca mulatta and 17 species specific miRNAs. Furthermore, we identified 3386 editing sites with significant editing levels from 471 pre-miRNAs after analyzing the 12 self-generated and 58 additional published sRNA-seq profiles from 17 different types of organs or tissues. In addition to 16 conserved A-to-I editing sites, we identified five conserved C-to-U editing sites in miRNAs of Macaca mulatta and Homo sapiens. We also identified 11 SNPs in the miRNAs of Macaca mulatta. The analysis of the potential targets of 69 miRNAs with editing or mutation events in their seed regions suggest that these editing or mutation events severely changed their targets and their potential functions. These results significantly increase our understanding of miRNAs and their mutation/editing events in Macaca mulatta.
Filtering performances of 20 protective fabrics against solid aerosols

Abstract Workers can be exposed to solid airborne particles in some occupational environments, and they might be required to wear chemical protective clothing to prevent skin exposure. Dedicated standards exist to certify the protective value of such clothing, but they are not informative enough to identify the main pathways of entry for solid particles nor to compare performances between different chemical protective clothing. In this work, 20 non-woven fabrics used to make chemical protective clothing for solid particle protection were selected to be examined for both filtration and comfort performances. Nine were microporous fabrics (MP), 10 were multilayered nonwoven fibrous media (SMS) and one was a flash spun material (FS). To assess their filtration performances, fabrics were challenged in a benchtop wind tunnel with a 20–3,000 nm diameter sodium chloride aerosol at three low fabric face velocities (0.05, 0.15, 0.3 cm/sec). Airflow resistance and water vapor transmission rate were also measured to provide indications of comfort for the wearer. The penetration results led to the classification of the 20 fabrics into distinct groups of filtration efficiency. The data were analysed based on the porous media characteristics (thickness, fiber diameter, porosity, etc.). MPs were the most efficient fabrics, and SMSs showed a wide range of performances, mostly due to variations in the thickness of the filtering layer as well as to the fabric treatment. Measurements of airflow resistance and water vapor transmission rates revealed major differences between MPs and FSs and SMSs. This highlights the potential of some SMS fabrics to meet a compromise between protection and comfort.
Improving Wettability: Deposition of TiO2 Nanoparticles on the O2 Plasma Activated Polypropylene Membrane

Radio frequency plasma is one of the means to modify the polymer surface namely in the activation of polypropylene membranes (PPM) with O2 plasma. Activated membranes were deposited with TiO2 nanoparticles by the dip coating method and the bare sample and modified sample (PPM5-TiO2) were irradiated by UV lamps for 20–120 min. Characterization techniques such as X-ray diffraction (XRD), Attenuated total reflection technique- Fourier transform infrared spectroscopy (ATR-FTIR), Thermogravimetric analysis (TGA), X-ray photoelectron spectroscopy (XPS), Scanning electron microscope (SEM) and water contact angle (WCA) measurements were applied to study the alteration of ensuing membrane surface properties which shows the nanoparticles on the sample surface including the presence of Ti on PPM. The WCA decreased from 135° (PPM) to 90° (PPM5-TiO2) and after UV irradiation, the WCA of PPM5-TiO2 diminished from 90° to 40°.
Caspase-8 restricts antiviral CD8 T cell hyperaccumulation

Significance The antiviral immune response in mammals represents a balance of T cell proliferation and death. The autoactivated protease caspase-8 has long been known to mediate cell-extrinsic apoptosis, block unleashed programmed necrosis, and contribute to cell activation state as well as cell growth. Here, caspase-8 is shown to restrict proliferation of CD8 T cells in response to herpesvirus infection without contributing to the contraction of the immune response. Prior investigations into this area were confounded by unleashed necroptosis, masking the role of caspase-8 in restraining proliferation associated with adaptive immunity. Thus, our observations resolve a decades-old debate regarding the cell-autonomous contribution of this protease to initiation of antiviral T cell immunity and establishment of memory. The magnitude of CD8 T cell responses against viruses is checked by the balance of proliferation and death. Caspase-8 (CASP8) has the potential to influence response characteristics through initiation of apoptosis, suppression of necroptosis, and modulation of cell death-independent signal transduction. Mice deficient in CASP8 and RIPK3 (Casp8−/−Ripk3−/−) mount enhanced peak CD8 T cell levels against the natural mouse pathogen murine cytomegalovirus (MCMV) or the human pathogen herpes simplex virus-1 compared with littermate control RIPK3-deficient or WT C57BL/6 mice, suggesting an impact of CASP8 on the magnitude of antiviral CD8 T cell expansion and not on contraction. The higher peak response to MCMV in Casp8−/−Ripk3−/− mice resulted from accumulation of greater numbers of terminally differentiated KLRG1hi effector CD8 T cell subsets. Antiviral Casp8−/−Ripk3−/− T cells exhibited enhanced proliferation when splenocytes were transferred into WT recipient mice. Thus, cell-autonomous CASP8 normally restricts CD8 T cell proliferation following T cell receptor activation in response to foreign antigen. Memory inflation is a hallmark quality of the T cell response to cytomegalovirus infection. Surprisingly, MCMV-specific memory inflation was not sustained long-term in Casp8−/−Ripk3−/− mice even though these mice retained immunity to secondary challenge. In addition, the accumulation of abnormal B220+CD3+ T cells in these viable CASP8-deficient mice was reduced by chronic MCMV infection. Combined, these data brings to light the cell death-independent role of CASP8 during CD8 T cell expansion in mice lacking the confounding impact of RIPK3-mediated necroptosis.
Comparison of the Efficacy of Different Techniques for the Removal of Root Canal Filling Material in Artificial Teeth: A Micro-Computed Tomography Study

This study aimed to assess the efficacy of canal filling material removal using three different techniques after filling with a Gutta–Percha (GP) cone and calcium silicate-based sealer, by measuring the percentage of volume debris of GP and sealer remaining intracanal with micro computed tomography (micro-CT). The filling material was removed from 30 plastic teeth by a nickel–titanium (Ni–Ti) rotary retreatment system. Final irrigation was performed with 2 mL of saline and 10 specimens were randomly allocated to a conventional group. In the passive ultrasonic irrigation (PUI) group, ultrasonic irrigation was added to the conventional group (n = 10). In the Gentlefile Brush (GF Brush) group, irrigation with GF Brush was added to the conventional group (n = 10). Remaining filling material was measured using micro-CT imaging analysis. The total mean volume of residual filling material after retreatment in the conventional group, PUI group and GF Brush group were 4.84896 mm3, 0.80702 mm3, and 0.05248 mm3, respectively. The percentage of filling material remaining intracanal was 6.76% in the conventional group, 1.12% in the PUI group and 0.07% in the GF Brush group. This study shows that the cleaning effect of the GF Brush system is superior to those of Ni–Ti retreatment files and the PUI system in the apical area.
In vivo Imaging-Driven Approaches to Study Virus Dissemination and Pathogenesis.

Viruses are causative agents for many diseases and infect all living organisms on the planet. Development of effective therapies has relied on our ability to isolate and culture viruses in vitro, allowing mechanistic studies and strategic interventions. While this reductionist approach is necessary, testing the relevance of in vitro findings often takes a very long time. New developments in imaging technologies are transforming our experimental approach where viral pathogenesis can be studied in vivo at multiple spatial and temporal resolutions. Here, we outline a vision of a top-down approach using noninvasive whole-body imaging as a guide for in-depth characterization of key tissues, physiologically relevant cell types, and pathways of spread to elucidate mechanisms of virus spread and pathogenesis. Tool development toward imaging of infectious diseases is expected to transform clinical diagnosis and treatment. Expected final online publication date for the Annual Review of Virology Volume 6 is September 30, 2019. Please see http://www.annualreviews. org/page/journal/pubdates for revised estimates.
Across- and Within-Channel Gap Detection Thresholds Yielded by Two Different Test Applications

Abstract Background: Individuals with auditory processing disorders show some deficits with the temporal processing of auditory signals. Gap detection measurements are commonly used to assess temporal processing skills across different listening tasks. Purpose: The aim of this study was to compare the gap detection thresholds (GDTs) in across-channel (AC) and within-channel (WC) tasks by using two computer applications—Adaptive Tests of Temporal Resolution (ATTR) and Psycon. Research Design: A within-subject study design. Study Sample: Twenty-one young adults with normal hearing participated in the study. Data Collection and Analysis: Each participant’s gap detection performance was assessed using the narrowband noise stimuli of the ATTR and Psycon applications. Four conditions were administered with 2 kHz as the leading frequency marker before the gap and 1 kHz as the trailing frequency marker after the gap for AC tasks, and with 2 kHz as both the leading and trailing frequency markers for WC tasks. Results: The results showed lower GDTs for the WC tasks than the AC tasks. Also, the GDT values for the WC tasks were lower in the ATTR than Psycon; whereas the GDT values for the AC tasks were higher in the ATTR than Psycon. Conclusion: The differences noted in the obtained GDT values from the ATTR and Psycon applications may be attributed to subtle spectral differences in the stimuli of the two programs. The present study also indicates that because of the inherent differences in the stimuli generated by the different software, the normative values for GDTs may need to be established according to evaluation tools before drawing conclusions about clinical conditions.
Protein Hydrolysate or Plant Extract-based Biostimulants Enhanced Yield and Quality Performances of Greenhouse Perennial Wall Rocket Grown in Different Seasons

Research has been increasingly focusing on the environmentally friendly biostimulation of vegetable crop performances under sustainable farming management. An experiment was carried out in southern Italy on Diplotaxis tenuifolia to assess the effects of two plant biostimulants (Legume-derived protein hydrolysate, Trainer®; Tropical plant extract, Auxym®) and a non-treated control, in factorial combination with three crop cycles (autumn–winter; winter; and winter–spring) on leaf yield, photosynthetic and colour status, quality, elemental composition, antioxidant content and activity. Both biostimulants prevalently contain amino acids and soluble peptides, showing the major effects on crop performances, though Auxym also has a small percentage of phytohormones and vitamins. The biostimulants enhanced plant growth and the productivity of perennial wall rocket. The winter–spring cycle led to higher leaf yield than the winter one. The two plant biostimulants enhanced leaf dry matter, oxalic and citric acids, Ca and P concentrations, phenols and ascorbic acid content as well as antioxidant activity, but did not increase nitrate content. A presumed mechanism involved in the enhancement of crop production could be attributed to the improvement of mineral nutrient availability and uptake. The winter–spring cycle elicited higher antioxidant content and activity than winter crops. Our current study shows that both the legume-derived protein hydrolysate and tropical plant extract represent an effective tool for boosting the yield, nutritional and functional quality of vegetable produce in the view of sustainable crop systems.
Fast and Accurate Digit Classification

We explore the use of certain image features, blockwise histograms of local orientations, used in many current object recognition algorithms, for the task of handwritten digit recognition. Existing approaches find that polynomial kernel SVMs trained on raw pixels achieve state of the art performance. However such kernel SVM approaches are impractical as they have a huge complexity at runtime. We demonstrate that with improved features a low complexity classifier, in particular an additive-kernel SVM, can achieve state of the art performance. Our approach achieves an error of 0.79% on the MNIST dataset and 3.4% error on the USPS dataset, while running at speeds comparable to the fastest algorithms on these datasets which are based on multilayer neural networks and are significantly faster and easier to train.
Association of Neutrophil-to-Lymphocyte Ratio and Lymphocyte-to-Monocyte Ratio with Treatment Modalities of Acute Ischaemic Stroke: A Pilot Study

Background and Objectives: Ischaemic stroke (IS) is the leading cause of death and disability worldwide. All stages of cerebral ischaemia, but especially acute phase, are associated with inflammatory response. Recent studies showed that neutrophil-to-lymphocyte ratio (NLR) and lymphocyte-to-monocyte ratio (LMR) may be used to assess inflammation in IS. To test whether there is a relationship between these parameters and type of stroke treatment, we analysed NLR and LMR in IS patients treated with three different modalities. Materials and Methods: The study included 58 adults with acute IS. A total of 28 patients received intravenous thrombolysis. In another 10 patients, the thrombolytic therapy was followed by thrombectomy and 20 patients did not undergo causal treatment. Blood samples were obtained within 24 h of the stroke diagnosis to calculate NLR and LMR. Next, NLR and LMR of the study subgroups were compared. Results: Our study revealed that NLR was significantly higher in patients treated with thrombectomy following thrombolysis, compared to no causal treatment. Statistical analysis demonstrated that patients with high National Institutes of Health Stroke Scale (NIHSS) scores presented higher NLR than in those with low NIHSS scores. Additionally, patients with high-sensitivity C-reactive protein (hs-CRP) ≥ 3 mg/L presented with significantly higher NLR and significantly lower LMR than the group of patients with lower hs-CRP (<3 mg/L). Conclusions: The main finding of this pilot study was that NLR in IS patients treated using thrombectomy following thrombolysis was markedly higher than that in other treatment groups, which was associated with increased severity of the disease in these patients. Therefore, patients with higher NLR may be expected to have more severe stroke. The link between stroke severity and NLR deserves further study.
Deficit of Motor Skill Acquisition on the Upper Limb Ipsilesional to the Injured Hemisphere in Individuals with Stroke

Background Movement deficits in limbs ipsilesional to the damaged hemisphere in individuals with stroke have been established through various motor tasks. Nevertheless, there has been little evidence regarding hindrance of motor skill acquisition on the ipsilesional limb in patients with stroke. Therefore, we attempted to demonstrate whether the characteristics of ipsilesional deficits involved motor learning insufficiency in stroke survivors with unilateral brain damage. Material/Methods Thirty-six participants (18 patients with stroke and 18 normal individuals) were recruited. Patients with stroke performed a visuo-spatial tracking task in the upper limb ipsilesional to the injured hemisphere, and normal participants did the same task with the upper limb matched for the same side. The participants were required to track a target sine wave as accurately as possible while the wave was displayed on the computer screen for 15 seconds. An accuracy index was calculated for each of the trials. Results We found that motor skill learning improved in both stroke and normal groups with repetitive practice. However, the normal group exhibited greater motor skill acquisition than in comparison the stroke group for motor skill improvement. Statistical analyses revealed significant differences in time effects and time x group interactions. Conclusions Our findings provide evidence that individuals with stroke might have difficulty in performing visuo-spatial movements and acquiring motor skills with the ipsilateral upper limb. Improvement of ipsilesional limb function increases self-care activity in daily life. Therefore, we recommend that clinicians adopt remedial strategies for ipsilesional limbs.