Miracle-dz/UniFAR-FTUs huggingface dataset:
Low 25-hydroxyvitamin D levels and cognitive impairment in hemodialysis patients.

BACKGROUND AND OBJECTIVES 25-hydroxyvitamin D (25[OH]D) deficiency and cognitive impairment are both prevalent in hemodialysis patients in the United States. This study tested the hypothesis that 25(OH)D deficiency may be associated with cognitive impairment because of its vasculoprotective, neuroprotective, and immune-modulatory properties. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS This cross-sectional analysis involved 255 patients enrolled in the Dialysis and Cognition Study between 2004 and 2012. In linear regression models, 25(OH)D was the exposure variable; it was used first as a continuous variable and then stratified as deficient (<12 ng/ml), insufficient (12 to <20 ng/ml), and sufficient (≥20 ng/ml). Principal component analysis was used to obtain the memory and the executive function domains from the individual neurocognitive tests. Scores on individual tests as well as on the memory and executive function domains were the outcome variables. Multivariable models were adjusted for age, sex, race, education, and other potential confounding variables. RESULTS Mean serum 25(OH)D ± SD was 17.2±7.4 ng/ml, with 14%, 55%, and 31% of patients in the deficient, insufficient, and sufficient groups, respectively. Patients in the deficient group were more likely to be women, African American, and diabetic and to have longer dialysis vintage. Higher 25(OH)D levels were independently associated with better performance on several tests of executive function (mean difference on component executive score, 0.16 [95% confidence interval, 0.04-0.28; P=0.01] for each SD higher 25[OH]D). No association was seen with tests assessing memory. CONCLUSIONS 25(OH)D deficiency in hemodialysis patients is associated with worse cognitive function, particularly in domains that assess executive function.
Insulin Resistance Syndrome and Left Ventricular Mass in Healthy Young People

Background: Findings of atherosclerotic plaques in adolescents, in the context of current epidemics of obesity and type 2 diabetes in youth, demand investigation into early cardiovascular risk development. Left ventricular hypertrophy has been linked to hypertension, obesity, and insulin resistance. Methods: Insulin resistance syndrome characteristics (fasting glucose and insulin; systolic blood pressure; waist girth) were measured in 70 normotensive, normoglycemic young people (60% male, 62% black; included 13 twin pairs; age mean±SD, 19±2.6 years). Left ventricular mass indexed by height2.7 (LVMI) was obtained via ultrasound. Twin pairs were clustered to satisfy the assumption for independent observations. Results: LVMI was regressed on insulin after controlling for race, gender, and systolic blood pressure. Insulin was a significant (P=0.02) independent predictor of LVMI (R2change=0.09, P<0.01). Waist girth accounted for an additional 4% variance of LVMI (P=0.05). A one‐factor model comprising waist (factor loading=0.83), insulin (0.59), glucose (0.42), and LVMI (0.46) showed good fit [χ2(2)=0.41, P=0.81; root‐mean‐square error of approximation=0.0]. Conclusions: A subclinical metabolic syndrome is detectable early in life, before abnormal fasting glucose or high blood pressure appear. Evidence of excessive load on the heart is associated with the metabolic syndrome even after accounting for the effects of race, gender, and blood pressure. Cardiac structure seems as closely associated with this syndrome as fasting glucose level. Based on this evidence, we propose that increased left ventricular mass is a part of insulin resistance syndrome and adds to the need for preventive public health measures to improve health behaviors and cardiovascular risk status in US youth.
Double immunohistochemical staining with MUC4/p53 is useful in the distinction of pancreatic adenocarcinoma from chronic pancreatitis: a tissue microarray-based study.

CONTEXT Immunohistochemical stains have been used for the distinction of pancreatic adenocarcinoma from chronic pancreatitis. OBJECTIVE To determine if a double stain for MUC/p53 improved specificity and sensitivity for distinction of pancreatic adenocarcinoma from chronic pancreatitis by comparing maspin, mucin 4 (MUC4), p53, Smad4, and the double stain MUC4/p53. DESIGN Seventy-four pancreatic adenocarcinomas and 19 chronic pancreatitis cases were retrieved from archival files. Tissue cores were arrayed to create a tissue microarray of 2-mm cores. Sections were stained with antibodies against maspin, MUC4, p53, and Smad4. Additionally, a 2-color, double stain for MUC4 and p53 was developed and evaluated. Five percent or greater staining in either of the cores was considered positive. Intensity (0, 1, 2) and extent (%) of tumor cells staining was also determined. RESULTS The sensitivity for distinction of pancreatic adenocarcinoma from chronic pancreatitis with maspin, MUC4, p53, and Smad4 was 90%, 77%, 60%, and 63%, respectively; the specificity was 67%, 78%, 88%, and 88%, respectively. When MUC4 and p53 were combined in a double stain, and positive staining for either considered a positive result, the sensitivity increased to 96% but specificity was 73%. When immunoreactivity for both antibodies was necessary for a positive result, sensitivity fell to 39% but specificity was 100%. No correlation was found between intensity or extent of staining with any of the individual stains and tumor differentiation. CONCLUSION The double immunohistochemical stain for MUC4/p53 can be a useful diagnostic tool in conjunction with the hematoxylin-eosin-stained section for pancreatic adenocarcinoma, particularly when limited tumor is available for multiple stains.
Mitochondrial DNA haplogroups and type 2 diabetes: a study of 897 cases and 1010 controls

Mitochondria play a central role in the secretion of insulin by pancreatic β-cells, and pathogenic mutations of mitochondrial DNA (mtDNA) can cause diabetes. The aetiology of type 2 diabetes has a strong genetic component, raising the possibility that genetic variants of mtDNA alter the risk of developing the disorder. Recent studies have produced conflicting results. By studying 897 UK cases of type 2 diabetes and 1010 population-matched controls, it is shown that European mtDNA haplogroups are unlikely to play a major role in the risk of developing the disorder.
Primary Care Colorectal Cancer Screening Recommendation Patterns

Background. The relationship of a primary care provider’s (PCP’s) colorectal cancer (CRC) screening strategies to completion of screening is poorly understood. Objective. To describe PCP test recommendation patterns and associated factors and their relationship to patient test completion. Design. This cross-sectional study used a PCP survey, in-depth PCP interviews, and electronic medical records. Setting. Kaiser Permanente Northwest health maintenance organization. Participants. Participants included 132 PCPs and 49,259 eligible patients aged 51 to 75. Measurements. The authors grouped PCPs by patterns of CRC screening recommendations based on reported frequency of recommending fecal occult blood testing (FOBT), flexible sigmoidoscopy (FS), and colonoscopy. They then compared PCP demographics, reported CRC screening test influences, concerns, decision-making and counseling processes, and actual rates of patient CRC screening completion by PCP group. Results. The authors identified 4 CRC screening recommendation groups: a “balanced” group (n = 54; 40.9%) that recommended the tests nearly equally, an FOBT group (n = 31; 23.5%) that largely recommended FOBT, an FOBT + FS group (n = 25; 18.9%), and a colonoscopy + FOBT group (n = 22; 16.7%) that recommended these tests nearly equally. Internal medicine (v. family medicine) PCPs were more common in groups more frequently recommending endoscopy. The FOBT and FOBT + FS groups were most influenced by clinical guidelines. Groups recommending more endoscopy were most concerned that FOBT generates a relatively high number of false positives and FOBT can miss cancers. The FOBT and FOBT + FS groups were more likely to recommend a specific screening strategy compared to the colonoscopy + FOBT and balanced groups, which were more likely to let the patient decide. CRC screening rates were 63.9% balanced, 62.9% FOBT, 61.7% FOBT + FS, and 62.2% colonoscopy + FOBT; rates did not differ significantly by group. Limitations. Small numbers within PCP groups. Conclusions. Specialty, the influence of guidelines, test concerns, and the “jointness” of the test selection decision distinguished CRC screening recommendation patterns. All patterns were associated with similar overall screening rates.
A Survey of Sexual Side Effects Among Severely Mentally Ill Patients Taking Psychotropic Medications: Impact on Compliance

Few studies have addressed the effects that iatrogenic sexual side effects have on compliance in the severely mentally ill. The objective of this survey was to assess the levels of self-reported iatrogenic sexual dysfunction within a sample of 51 severely mentally ill outpatients taking a variety of psychiatric medications and to assess the impact of sexual side effects on medication compliance. We found that 62.5% of males and 38.5% of females felt that their psychiatric medications were causing sexual side effects. Despite the fact that they were experiencing sexual side effects, 50% of the subjects “never or infrequently” spoke about sexual functioning with their primary mental health care providers. In particular, women with sexual side effects rarely discussed sex, in fact, 80% of women with sexual side effects failed to discuss sexual dysfunction with their mental health care providers. We found that the presence of sexual side effects affected compliance. We found that 41.7% of men and 15.4% of women admitted that they had stopped their medications at some point during their treatment based on a belief that they were experiencing sexual side effects.
Evaluation of transgenic sweet corn hybrids expressing CryIA (b) toxin for resistance to corn earworm and fall armyworm (Lepidoptera: Noctuidae).

Many of the lepidopterous insects which attack sweet corn, Zea mays L. , are susceptible to insecticidal proteins produced by Bacillus thuringiensis ssp. kurstaki (Berliner) (Btk). Transgenic sweet corn expressing a synthetic cry gene for production of a Btk-insecticidal protein may provide a more environmentally acceptable means of sweet corn production. Eight transgenic sweet corn hybrids containing a synthetic gene for CryIA(b) protein production (BT11 event) were evaluated for resistance to the corn earworm, Helicoverpa zea (Boddie), and fall armyworm, Spodoptera frugiperda (J. E. Smith). Laboratory tests revealed that all Btk sweet corn hybrids were highly resistant to leaf and silk feeding by neonate 3 and 6 d old corn earworm larvae. Ear damage in the field to the Btk sweet corn hybrids caused by corn earworm was negligible. All Btk sweet corn hybrids, except Btk 95-0901, were moderately resistant to leaf and silk feeding by the fall armyworm. Survival and weight gain were reduced when neonates were fed excised whorl leaves of the Btk plants. Weight gain, but not survival, was reduced when 3- and 6-d-old fall armyworm larvae were fed excised whorl leaves of the Btk plants. Btk sweet corn hybrids appear to be ideal candidates for use in integrated pest management (IPM) programs for both the fresh and processing sweet corn markets, and their use should drastically reduce the quantity of insecticides currently used to control these pests in sweet corn. With appropriate cultural practices, it is highly unlikely that Btk sweet corn will contribute to the development of resistance to Btk proteins in these insects because of the high toxicity of the Cry proteins expressed in these sweet corn hybrids and the harvest of sweet corn ears from fields before larvae can complete development.
PTEN in Neural Precursor Cells: Regulation of Migration, Apoptosis, and Proliferation

PTEN is a lipid phosphatase, and PTEN mutations are associated with gliomas, macrocephaly, and mental deficiencies. We have used PTEN +/- mice to assess PTEN's role in subventricular zone (SVZ) precursor cells. For cultured SVZ neurosphere cells, haploinsufficiency for PTEN increases phosphorylation of Akt and forkhead transcription factor and slightly enhances proliferation. Based on a filter penetration assay, PTEN +/- cells are substantially more migratory and invasive than +/+ cells. The +/- cells also are more resistant to H(2)O(2)-induced apoptosis. Analysis of PTEN +/- and +/+ mice by BrdU labeling reveals no difference in the rate of cell proliferation in the SVZ. Exit of BrdU-labeled cells from the SVZ and radial migration to the outer layers of the olfactory bulb are more rapid for +/- cells. These observations indicate that PTEN regulates SVZ precursor cell function and is particularly important for migration and apoptosis in response to oxidative stress.
CL-316,243, a β3-Specific Adrenoceptor Agonist, Enhances Insulin-Stimulated Glucose Disposal in Nonobese Rats

Administration of the murine-selective β3 adrenoceptor agonist CL-316,243 corrects obesity and elevated blood glucose in diabetic rodents. This antiobesity effect is attributed to an increase in the thermogenic activity of brown adipose tissue (BAT). The antidiabetic effect is unknown, but has been attributed to the decline in body weight and plasma free fatty acids (FFAs). This study using the euglycemic-hyperinsulinemic clamp method was performed in nonobese, nondiabetic Sprague-Dawley rats fed normal rodent chow to determine if the β3 agonist could improve insulin sensitivity and/or responsiveness in the absence of weight loss or lowering of circulating FFAs. Subcutaneous miniosmotic pumps delivered either saline to control or 1 mg · kg−1 · day−1 of CL-316,243 for 10–12 days. Fed plasma glucose, insulin, and FFA levels were similar between the groups. Significant increases in food consumption, resting metabolic rates, and body core temperatures occurred, but only after 7 days of treatment. A 14% decrease in the respiratory quotient was also observed. Plasma glucose and insulin excursions in response to an oral glucose load (2 g/kg) on day 11 were unaltered. CL-316,243 treatment resulted in a decrease in abdominal and epididymal white fat pad weights, while interscapular brown adipose tissue (IBAT) weight doubled. Basal and insulin-stimulated whole-body glucose disposal rates were increased, while hepatic glucose output was suppressed to a greater extent in the CL-316,243 animals after 10 days of uninterrupted treatment. Chronic treatment with CL-316,243 resulted in an increase in basal and insulin-stimulated [3H]2-deoxy-glucose (2-DG) uptake by the retroperitoneal and epididymal white tissue and IBAT, but skeletal muscle 2-DG uptake under the same conditions was unaltered. These studies demonstrate that treatment with CL-316,243 improves basal and insulin-stimulated glucose disposal, and these effects occurred in the absence of a decrease in body weights and FFA concentrations. A particularly interesting observation was that the tissues responsible for this effect were white and brown adipose tissue, while skeletal muscle remained unaffected.
Student-Perceived School Climate Is Associated With ADHD Medication Treatment Among Adolescents in Medicaid

Objective: The objective of this study was to evaluate the relationship between school climate and ADHD medication treatment among adolescents in Medicaid in Georgia. Method: School climate and Medicaid claims data were aggregated for 159 GA counties. County-level school climate percentile and medicated ADHD prevalence were calculated. The t tests and regression models evaluated the relationship between school climate, medicated ADHD, and demographics, weighted by county population. Poorer 2008 school climate (<25th percentile) was regressed on 2011 medicated ADHD prevalence, controlling for potential confounders. Results: The prevalence of medicated ADHD was 7.8% among Medicaid-enrolled GA adolescents. The average county-level prevalence of medicated ADHD was 10.0% (SD = 2.9%). Poorer school climate was associated with lower rates of medicated ADHD (p < .0001); along with demographics, these factors accounted for 50% of the county variation in medicated ADHD. Conclusion: School climate is associated with medicated ADHD among adolescents in Medicaid. Additional research may reveal whether high medicated ADHD may reflect a lack of access to non-pharmacological therapies in some communities.
Altered growth hormone (GH) secretion in vivo and in vitro in the diabetes-prone BB/Worcester rat.

Diminished concentrations of growth hormone (GH) have been observed in the male BB/Wor rat with diabetes mellitus (DM). The precise mechanism(s) responsible for the altered GH levels is not entirely understood. We have therefore employed independent techniques to investigate potential alterations in: 1) the peripheral metabolism of the hormone; 2) GH release by somatotropes; and 3) hypothalamic regulation of GH secretion. An extra group of insulin-untreated animals was included for the studies of acute DM. The results demonstrate diminished circulating mean concentrations of GH (35 +/- 4 vs. 16 +/- 4 micrograms/l; mean +/- SEM; control vs. animal with DM; P = 0.006) due to impaired GH secretion. In particular, there was a decrease in the mass of GH secreted per burst (230 +/- 22 vs. 136 +/- 34 micrograms/l; P = 0.04) and in the GH secretory rate (24 +/- 4 vs. 9 +/- 3 micrograms/l/min; P < 0.01). No differences in the secretory burst frequency, (5.3 +/- 0.3 vs. 5.2 +/- 0.5 #/8-h; P = 0.68), secretory half-duration (10 +/- 2 vs. 17 +/- 2 min; P = 0.09), or serum GH half-life (8 +/- 1 vs. 6 +/- 1 min; P = 0.13) were observed. In vitro studies of acutely dispersed somatotropes obtained from rats with DM demonstrated increased sensitivity to GHRH (1 nM), as detected by a greater mean hemolytic plaque area following exposure to an EC50 dose of the secretagogue (14.3 +/- 3.3 vs. 17.4 +/- 3.5 microns 2 x 10(3); P = 0.049), and diminished sensitivity to SRIH (1 nM) inhibition of GH release following exposure to an EC50 dose of the secretagogue (10.0 +/- 1.2 vs. 14.9 +/- 2.3 microns2 x 10(3); P = 0.026). The number of the pituitary cells (18.0 +/- 2.8 vs. 15.3 +/- 1.0 x 10(5) cells; P = 0.38) as well as the number of somatotropes (7.3 +/- 1.4 vs. 7.6 +/- 0.9 x 10(5) cells; P = 0.87) were indistinguishable between experimental groups. Hypothalamic gene transcript levels for GH-releasing hormone (GHRH) and somatotropin release-inhibiting hormone (SRIH) were evaluated by in situ hybridization histochemistry to assess cellular synthetic activity. (ABSTRACT TRUNCATED AT 400 WORDS)
Interactive scenario visualization for user-based service development

Scenarios are commonly used to develop new systems in multidisciplinary projects. However, written scenarios are sequential, not dynamic and often too abstract or difficult to understand for end users. The goal of this paper hence is to extend the use of scenarios in design methodologies, using an interactive scenario visualization (ISV) approach. After discussing scenario-based design, we show that ISV can be used beneficially to develop a new ICT system and that ISV aids in reflection upon the design trajectory. Comparing two software platforms, we found it was possible to develop such ISVs inexpensively, rapidly and with good visual quality. As a case study, we demonstrate the use of a home care telemedicine system in 3D for discussion and development purposes1. An evaluation among n=22 professionals illustrates that ISVs can prove useful in design, aid in clarification of new systems, are suitable to demonstrate system functionalities, and aid in articulating feedback. Finally, we discuss generalization of the use of ISVs.
Distribution and Ecotypic Variation of the Invasive Annual Barb Goatgrass (Aegilops triuncialis) on Serpentine Soil

Abstract Successful colonization of newly introduced species is driven by a multitude of factors and is highly dependent on the species. It has long been hypothesized that preadaptation and postestablishment natural selection of introduced species can facilitate their invasion; however, to date, limited research has been dedicated to these theories. In addition, although the correlation between establishment of invasive species and disturbance has been noted and widely studied, the susceptibility of undisturbed habitats to invasion remains unclear. In California, serpentine habitats are severe edaphic environments that have been relatively free of anthropogenic disturbance and nonindigenous species invasions. In this study, we documented the occurrence of the nonindigenous barb goatgrass on serpentine and nonserpentine grasslands in the California Northern Interior Coast Range and the western foothills of the Sierra Nevada Mountains and conducted greenhouse and field experiments to assess the species' degree of adaptation to serpentine soils. Reconnaissance of serpentine intrusions and yearly monitoring suggest that barb goatgrass may grow preferentially on serpentine soil, particularly disturbed serpentine sites. In the greenhouse, for most measures of performance, serpentine populations performed better than nonserpentine populations when grown on serpentine soil. Particularly noteworthy was that serpentine populations had higher root-mass ratios than nonserpentine populations when grown on serpentine soil. In contrast to the greenhouse study, field-grown populations from serpentine and nonserpentine sources performed equally well on nonserpentine; alluvial, disturbed serpentine; and shallow, undisturbed serpentine, although the overall species' performance was diminished on severe serpentine soils. Alarmingly, even in the absence of previous exposure to serpentine, barb goatgrass was capable of establishing and spreading into minimally disturbed sites with strong serpentinitic characteristics. Nomenclature: Barb goatgrass, Aegilops triuncialis L.
Eye movements and binocular function in low birthweight teenagers

Purpose: To assess eye movements and binocular function in 14‐year‐olds with very low birthweight (VLBW: birthweight ≤ 1500 g) and 14‐year‐olds born at term but small for gestational age (SGA: birthweight < 10th percentile) in a population‐based study.
The relation of trap distribution of alumina with surface flashover performance in vacuum

Alumina ceramic samples prepared under different sintering temperatures and varied additives were measured to indicate the trap density and trap energy located in alumina materials by using thermally stimulated current (TSC). The surface charges on alumina in vacuum after applying a negative pulse voltage (0.7/4 /spl mu/s), and flashover performances of the materials in vacuum also were measured. We found that the trap distribution in alumina has a correlation with surface charges and flashover performances in vacuum. It is shown that the higher is the trap density in the material, the higher is the surface charge density, and the lower is the flashover voltage on alumina surface. It is believed that the trapping and de-trapping mechanisms of carriers could play an important role during the development of the discharge processes, together with the secondary electron emission mechanism.
Gray and white matter trajectories in patients with bipolar disorder

Findings on brain structural abnormalities in patients with bipolar disorder (BP) are inconsistent and little is known about age‐related evolution of these changes. We employed a cross‐sectional, case–control study to compare structural age‐related brain trajectories in patients with BP and healthy control subjects (HC) over a period of approximately 50 years. The primary aim was to understand whether white (WM) and gray matter (GM) abnormalities are present from the beginning of the illness and how they change over time.