Miracle-dz/UniFAR-FTUs huggingface dataset:
Acute pancreatitis and normoamylasemia. Not an uncommon combination.

A consecutive series of 352 attacks of acute pancreatitis (AP) was studied prospectively in 318 patients. AP was ascertained by contrast-enhanced CT scan in all but four cases in which diagnosis was made at operation or autopsy. Sixty-seven of these cases (19%) had normal serum amylase levels on admission (i.e., less than 160 IU/L, a limit that includes 99% of control values), a figure considerably higher than generally admitted. When compared to AP with elevated serum amylase, normoamylasemic pancreatitis was characterized by the following: (1) the prevalence of alcoholic etiology (58% vs. 33%, respectively, p less than 0.01), (2) a greater number of previous attacks in alcoholic pancreatitis (0.7 vs. 0.4, p less than 0.01); and (3) a longer duration of symptoms before admission (2.4 vs. 1.5 days, p less than 0.005). In contrast AP did not appear to differ significantly in terms of CT findings, Ranson's score, and clinical course, when comparing normo- and hyperamylasemic patients, although there was a tendency for normoamylasemic patients to follow milder courses. Serum lipase was measured in 65 of these normoamylasemic cases and was found to be elevated in 44 (68%), thus increasing diagnostic sensitivity from 81% when amylase alone is used to 94% for both enzymes. A peritoneal tab was obtained in 44 cases: amylase concentration in the first liter of dialysate was greater than 160 IU/L in 24 cases (55%), and lipase was greater than 250 U/L in 31 cases (70%). Twelve of these 44 cases had low peritoneal fluid and plasma concentrations for both enzymes. Thus little gain in diagnostic sensitivity was obtained when adding peritoneal values (96%) to serum determinations. AP is not invariably associated with elevated serum amylase. Multiple factors may contribute to the absence of hyperamylasemia on admission, including a return to normal enzyme levels before hospitalization or the inability of inflamed pancreases to produce amylase. Approximately two thirds of cases with normal amylasemia were properly identified by serum lipase determinations. AP does not appear to behave differently when serum amylase is normal or elevated, and should therefore be submitted to similar therapeutic regimens in both conditions.
Perceptions of Athletic Injuries by Athletes, Coaches, and Medical Professionals

35 athletes, their coaches, and medical professionals independently assessed the disruption, seriousness, and short-term effects of the athletes' athletic injuries. Athletes underestimated the disruption and short-term effects of the injury when compared to medical professionals. 25 lower level athletes and those with no previous serious athletic injury overestimated the short-term effects of their injuries. Coaches overestimated the disrupting effects of the injury for 10 higher level athletes and 25 athletes with no previous injury.
Comparison of a Noninstrumented Immunoassay for Carbamazepine to High Performance Liquid Chromatography and Fluorescence Polarization Immunoassay

Summary: The accuracy, precision, and potential clinical utility of a new whole blood, noninstrumented immuno‐chromatographic assay (AccuLevel) for carbamazepine (CBZ) was evaluated in a multicenter trial including 100 pediatric and 205 adult patients. The AccuLevel assay, a fluorescence polarization immunoassay (FPIA), and high‐performance liquid chromatography (HPLC) were used to determine CBZ concentration in samples from 111 female and 194 male patients aged 2–72 years (median 25 years). Mean ± SD plasma CBZ concentrations in all patients were 7.4 ± 3.0 μg/ml with the AccuLevel assay and 7.5 ± 2.9 (μg/ml with FPIA. In 204 patients, the mean concentration determined by the HPLC assay was 7.7 ± 3.0 μ‐g/ml, whereas concentrations determined by the AccuLevel and FPIA assays were 8.0 ± 3.1 and 8.1 ± 3.1μg/ml, respectively. Concentrations determined by the AccuLevel and FPIA assays were significantly higher than those quantified by HPLC (p < 0.05), but not different from each other. In addition, the AccuLevel assay was highly correlated with FPIA (r= 0.97) and HPLC (r= 0.98). Coefficients of variation for the AccuLevel assay at 8 |xg/ml ranged from 6.8 to 7.5% for the three institutions. We conclude that the AccuLevel assay is a simple, reliable method for determining CBZ concentration in a small volume of whole blood and is an acceptable alternative for assessment of CBZ therapy and individualization of CBZ dosage in the physician's office or emergency room.
ESTIMATION OF GENE FLOW FROM F‐STATISTICS

We present theory clarifying the general behavior of FST‐based and GST‐based estimators of gene flow, and confirm these predictions with simulations. In particular, we use the correlation of genes within groups within populations to define an estimator. The theoretical value of the correlation doe not depend on the number of groups in a population, and properties of the estimated correlation do not depend on the number of groups sampled or the number of individuals sampled per group. This invariance is in contrast to properties of GST. For a complete census of a population, bias and variance considerations would suggest the use of the GST‐based estimator of gene flow, but lack of knowledge of population size or group number in practice suggests preference be given to the correlation‐based estimator. We acknowledge that these estimators require that several conditions of a population‐genetic model be met, since they do not make use of direct observations on the flow of genes. Our results differ from some of those based on simulation in a series of recent papers by M. Slatkin.
Effects of Endocrine Disrupters on Sexual, Gonadal Development in Fish

Steroid sex hormones play an important role in the sexual differentiation of fish. Thus, it is not surprising that chemical contaminants with steroid-like activities were considered as responsible for the unusual occurrence of gonadal intersex conditions and other gonadal aberrations in feral fish. In this review, we give an overview about field data and summarise and categorise experimental evidence that links disruption of gonadal development in gonochoristic fish to contaminations by endocrine disrupting chemicals. A comprehensive overview on laboratory studies using water-borne exposures and histopathological analysis is given. Parameters ranging from simple quantitative characteristics such as sex ratio, number of sex reversed fish, and gonadosomatic index (GSI) to detailed morphometric analyses have been considered. Categorisation of the data indicates 2 major groups of chemicals with apparently conserved effects across species, i.e. estrogenic/anti-androgenic or androgenic/anti-estrogenic compounds. Since gross morphological parameters and histological analysis are often the first parameters measured in field campaigns for sampling of feral fish, the review supports the critical evaluation of present and future field studies and the confirmation or rejection of causative links to exposure with endocrine disrupting chemicals. Furthermore, in combination with the analysis of molecular endpoints the processed data will be useful to deduce mechanistic information on potential endocrine disrupting compounds.
The waxing and waning of a field: reflections on information studies education (Invited paper)

In this short paper, avowedly personal, partial and pointillist in nature, I (i) sketch the early days of (mainly Anglo-American) information studies and the field's gradual institutionalization, (ii) describe its maturation, as both an academic discipline and a domain of professional practice, and (iii) speculate on its future in the light of oft- expressed predictions of its imminent demise as an autonomous enterprise within the academy. I invoke import-export data to demonstrate the newfound outer-directedness of the field and the growing attractiveness of its research to cognate disciplines. However, I also argue that the permeability of contemporary information studies' boundaries may in fact be the cause of its eventual undoing: in short, epistemic promiscuity comes at a price.
Graph Memory Networks for Molecular Activity Prediction

Molecular activity prediction is critical in drug design. Machine learning techniques such as kernel methods and random forests have been successful for this task. These models require fixed-size feature vectors as input while the molecules are variable in size and structure. As a result, fixed-size fingerprint representation is poor in handling substructures for large molecules. Here we approach the problem through deep neural networks as they are flexible in modeling structured data such as grids, sequences and graphs. We train multiple BioAssays using a multi-task learning framework, which combines information from multiple sources to improve the performance of prediction, especially on small datasets. We propose Graph Memory Network (GraphMem), a memory-augmented neural network to model the graph structure in molecules. GraphMem consists of a recurrent controller coupled with an external memory whose cells dynamically interact and change through a multi-hop reasoning process. Applied to the molecules, the dynamic interactions enable an iterative refinement of the representation of molecular graphs with multiple bond types. GraphMem is capable of jointly training on multiple datasets by using a specific-task query fed to the controller as an input. We demonstrate the effectiveness of the proposed model for separately and jointly training on more than 100K measurements, spanning across 9 BioAssay activity tests.
The Three Stages of Disruptive Innovation: Idea Generation, Incubation, and Scaling

Facing imminent disruption, many large, established firms have embraced innovation as a way to develop new growth businesses. To succeed in the face of disruptive change requires established firms to master three distinct disciplines: ideation, to generate potential new business ideas; incubation, to validate these ideas in the market; and scaling, to reallocate the assets and capabilities needed to grow the new business. This article illustrates how two successful firms (Amazon and IBM) have developed approaches that address all three disciplines.
Specificity and Stoichiometry of the ArabidopsisH+/Amino Acid Transporter AAP5*

The H+-dependent AAP5 amino acid transporter from Arabidopsis thaliana was expressed in Xenopus oocytes, and we used radiotracer flux and electrophysiology methods to investigate its substrate specificity and stoichiometry. Inward currents of up to 9 μA were induced by a broad spectrum of amino acids, including anionic, cationic, and neutral amino acids. The apparent affinity of AAP5 for amino acids was influenced by the position of side chain branches, bulky ring structures, and charged groups. The maximal current was dependent on amino acid charge, but was relatively independent of amino acid structure. A detailed kinetic analysis of AAP5 using lysine, alanine, glutamate, and histidine revealed H+-dependent differences in the apparent affinity constants for each substrate. The differences were correlated to the effect of H+concentration on the net charge of each amino acid and suggested that AAP5 transports only the neutral species of histidine and glutamate. Stoichiometry experiments, whereby the uptake of 3H-labeled amino acid and net inward charge were simultaneously measured in voltage-clamped oocytes, showed that the charge:amino acid stoichiometry was 2:1 for lysine and 1:1 for alanine, glutamate, and histidine. The results confirm that histidine is transported in its neutral form and show that the positive charge on lysine contributes to the magnitude of its inward current. Thus, the transport stoichiometry of AAP5 is 1 H+:1 amino acid irrespective of the net charge on the transported substrate. Structural features of amino acid molecules that are involved in substrate recognition by AAP5 are discussed.
Extraintestinal Manifestations of Inflammatory Bowel Diseases

Inflammatory bowel diseases are associated with extraintestinal manifestations involving almost every organ system in the body. They occur in approximately 20% to 40% of patients with inflammatory bowel diseases. Immune-related and genetic mechanisms play an important role in the pathogenesis of these complications. Peripheral arthritis, erythema nodosum, and episcleritis respond to the treatment of the underlying intestinal inflammation, whereas axial arthropathy, pyoderma gangrenosum, and uveitis do not. Immunomodulator therapy, particularly with biologic agents has been shown to be effective in treating some of the extraintestinal manifestations. Early recognition and treatment are crucial in preventing major morbidity.
Nitrogen isotopic discrimination in dietary amino acids: The threonine anomaly.

RATIONALE The "Threonine Anomaly" relates to an observation made 25 years ago on the change in Thr nitrogen isotopic ratio in mammalian metabolism. Unlike all other amino acids, Thr in body protein is found to be depleted (rather than enriched) in 15 N relative to dietary Thr. Interpreting isotopic discrimination has become a useful source of ecological and palaeodietary information and it is desirable that the underlying processes are understood. METHODS The principal enzyme of threonine catabolism, suggested to be responsible for the anomaly, threonine dehydratase, was prepared from rat liver. A time course of incubation of the enzyme with pure threonine was followed, and samples of residual threonine prepared for isotopic analysis by combustion in an automated carbon and nitrogen analyser coupled to a continuous flow isotope ratio mass spectrometer. RESULTS We show experimentally, in vitro, that the enzymic reaction catabolising Thr cannot be responsible for its 15 N depletion. Plots of delta 15 N against both reaction time course and percentage completion show in fact an accelerating enrichment. CONCLUSIONS A previously advanced suggestion that the unique catabolic mechanism for threonine was responsible for the anomalous depletion in 15 N is clearly not the case. We therefore offer alternative explanations, based on threonine's role at an organismal rather than cellular level. Copyright © 2016 John Wiley & Sons, Ltd.
A retrospective study of mushroom poisoning in Iran

The objective of this study was to describe the pattern of mushroom poisoning in adults admitted to the Loghman Hakim Hospital Poison Center from 1992 to 2002. All patients ≥ 12 years of age were included in the study. The frequency of mushroom poisoning with respect to age, sex, season, reason, place of residence, latent phase, clinical and laboratory findings, treatment, and outcome of patients was investigated. Of the 72 421 poisoning cases admitted to Loghman-Hakim Hospital Poison Center from 1992 to 2002, only 37 were poisoned by consumption of toxic mushrooms. As some of the patients' files were incomplete, only 25 files were included in the study. Of this number, 68% were male. The patients' age ranged between 12 and 65 years, with a mean of 31 years of age. All cases were accidental and mostly from Tehran (36%) and the northern provinces (rainy woodlands) of Iran (32%). Autumn was the most common season for poisoning with a frequency of 80%. The latent phase of poisonings was between 0.5 and 12 hours. The most frequently reported symptoms were vomiting (84%), nausea (60%), abdominal pain (60%) and diarrhea (40%). Jaundice was observed in 44% of cases, with a 50% rate of hepatic encephalopathy. A total of 66% of patients were discharged and the duration range of hospitalization was 1-12 days. In conclusion, people should be more informed of the dangers posed by wild mushrooms. Training of physicians and nurses in the accurate diagnosis and management of patients poisoned with poisonous mushrooms would improve the rate of survival.
Preserving the structure of adsorbed protein films for time-of-flight secondary ion mass spectrometry analysis.

The characterization of adsorbed protein films with ultrahigh vacuum (UHV) surface analysis techniques requires dehydration of the samples, which can cause significant alterations in protein structure. It is desirable to preserve the structure of adsorbed protein films during drying, so UHV analysis could be done in a state that is more representative of proteins' actual structure in the aqueous environment. In this study, two methods, trehalose protection and glutaraldehyde fixation, were explored for their feasibility in preserving adsorbed protein structure for a powerful UHV surface analysis technique, time-of-flight secondary ion mass spectrometry (ToF-SIMS). Trehalose protection had shown some promise for ToF-SIMS analysis in our previous study and was further examined with the model protein fibrinogen in this study. Using the combination of principal component analysis (PCA) and static ToF-SIMS analysis, we found that trehalose protection could reduce the conformation change of fibrinogen upon drying, and prevent it from unfolding and exposing hydrophobic domains. Moreover, when the adsorbed protein film became more densely packed, the drying-induced changes in protein structure were reduced. Thus, the protection afforded by trehalose coating was more significant at lower protein surface concentrations. The other method, glutaraldehyde fixation, was used in ToF-SIMS analysis for the first time. The epsilon-amino group of lysine was identified as the major reactive group in the protein structure toward glutaraldehyde fixation. Structural differences observed between fibrinogen films that were glutaraldehyde fixed before drying and after drying were similar to those observed between trehalose-protected and-unprotected dried fibrinogen films. Glutaraldehyde fixation was found to be a viable, alternative stabilizing method to trehalose protection for ToF-SIMS analysis.
Bringing Contracted Services Back in by Local Governments: An Exploratory Study

Abstract In recent decades, local governments have contracted out a variety of public services to private for-profit organizations in pursuit of greater efficiency and effectiveness. Yet, involving the private sector in public service delivery may not lead to desired outcomes and meet expectations of various stakeholders, such as service users, community members, and government officials. As a result, governments sometimes opt to internalize the delivery of public services previously contracted out to private providers. Based on interviews with local government officials from New Jersey, located in the Northeastern United States, this study explores which services have been returned to local governments, the rationales behind those decisions, their resulting advantages and disadvantages, and what lessons public officials have learned from those experiences. Major findings of the study that provide new insights into the practice of bringing contracted public services back in government have been summarized in six propositions.
Interpretation of BOLD MRI Signals in Rat Brain Using Simultaneously Measured Near‐Infrared Spectrophotometric Information

The purpose of this paper is to investigate the origin of the signal changes in the blood oxygenation level dependent effect (BOLD) and the influence of oxygen metabolism by utilizing near‐infrared spectrophotometry (NIRS), which can measure deoxyhemoglobin (deoxyHb) content in blood vessels and redox states of cytochrome oxidase in whole tissue. Simultaneous MRI and NIRS measurements of the rat head were performed by changing oxygen concentrations in the inhalant gas. The signal intensity based on the BOLD effect depended on the influence of both arterial and venous blood deoxygenation in the brain, whose relative contributions differed at various points. In this paper, it is noteworthy that the differential apparent transverse relaxation rate between two conditions in the brain areas was linearly correlated with deoxyHb content determined by NIRS, except in severe hypoxia, and that no reduction of cytochrome oxidase occurred under the same conditions. These results indicate that the influence of hemodynamic changes on the signal intensity of the BOLD effect, and therefore functional MRI, can be elucidated by the NIRS information to determine actual changes of blood deoxygenation and blood volume.
Consolidation of visuomotor adaptation memory with consistent and noisy environments.

Our understanding of how we learn and retain motor behaviors is still limited. For instance, there is conflicting evidence as to whether the memory of a learned visuomotor perturbation consolidates; i.e., the motor memory becomes resistant to interference from learning a competing perturbation over time. Here, we sought to determine the factors that influence consolidation during visually guided walking. Subjects learned a novel mapping relationship, created by prism lenses, between the perceived location of two targets and the motor commands necessary to direct the feet to their positions. Subjects relearned this mapping 1 wk later. Different groups experienced protocols with or without a competing mapping (and with and without washout trials), presented either on the same day as initial learning or before relearning on day 2 We tested identical protocols under constant and noisy mapping structures. In the latter, we varied, on a trial-by-trial basis, the strength of prism lenses around a non-zero mean. We found that a novel visuomotor mapping is retained at least 1 wk after initial learning. We also found reduced foot-placement error with relearning in constant and noisy mapping groups, despite learning a competing mapping beforehand, and with the exception of one protocol, with and without washout trials. Exposure to noisy mappings led to similar performance on relearning compared with the equivalent constant mapping groups for most protocols. Overall, our results support the idea of motor memory consolidation during visually guided walking and suggest that constant and noisy practices are effective for motor learning. NEW & NOTEWORTHY The adaptation of movement is essential for many daily activities. To interact with targets, this often requires learning the mapping to produce appropriate motor commands based on visual input. Here, we show that a novel visuomotor mapping is retained 1 wk after initial learning in a visually guided walking task. Furthermore, we find that this motor memory consolidates (i.e., becomes more resistant to interference from learning a competing mapping) when learning in constant and noisy mapping environments.