Miracle-dz/UniFAR-FTUs huggingface dataset:
Preparedness for the death of a loved one and mental health in bereaved caregivers of patients with dementia: findings from the REACH study.

BACKGROUND Although it has been suggested that family and friends who are prepared for the death of a loved one have less distress, the relationship between preparedness and bereavement mental health is inconclusive. OBJECTIVES To determine the relationship between preparedness for the death and mental health in bereaved caregivers of dementia patients and explore predictors of preparedness. DESIGN A prospective study of family caregivers of persons with dementia. Standardized assessment instruments and structured questions were used to collect data at study entry and at 6, 12, and 18 months. Multiple caregiving-related variables were collected. Bereaved caregivers reported whether they were "not at all" prepared or prepared for the death of their loved one. SUBJECTS Two hundred twenty-two bereaved caregivers RESULTS Twenty-three percent of caregivers were not prepared for the death. These caregivers had more depression, anxiety, and complicated grief symptoms. Black caregivers, caregivers with less education, those with less income, and those with more depressive symptoms prior to the death were more likely to perceive themselves as "not at all" prepared. In contrast, the amount of pain the care recipient was in prior to death was positively associated with preparedness. CONCLUSIONS Despite providing high-intensity care, often for years, many bereaved caregivers perceived themselves as unprepared for the death. These caregivers had more depression, anxiety, and complicated grief symptoms. Future work should be directed to confirming these findings and determining how best to intervene with high-risk caregivers.
Determinants influencing prevalence of louse infestations on layers of District Faisalabad (Pakistan)

1. This paper describes the influence of some epidemiological determinants on the prevalence of louse infestation on layers in Faisalabad (Pakistan). 2. Seventy layer farms were screened to determine the prevalence of louse infestation and its determinants including age of the bird, availability of space per bird and frequency of litter change. Prevalence of Lipeurus caponis was highest (53·2%), followed by Menacanthus stramineus (22·16%), Goniodes dissimilis (12·37%) and Goniodes gallinae (12·37%). 3. Older birds (36 to 74 weeks of age) were found with a significantly higher prevalence of louse infestation than younger birds. 4. Month-wise prevalence of louse infestation was higher during the summer months (from April to August) and at older age. 5. Birds kept at floor area allowances ranging from 0·43 to 0·55 m2 were highly infested with lice as compared to those provided with a space of 0·61 m2 or higher per bird. 6. Litter change frequency after every 8 weeks resulted in a reduced chance of louse infestation as compared to less frequent litter changing practice. 7. It was concluded from the study that the louse infestation is a menace for the poultry production industry in Pakistan and age, space per bird and litter change frequency are the influencing determinants. 8. Further research on the chemotherapeutic trials and resistance in poultry should be continued for an effective lice control program.
A Novel Mechanism for Human K2P2.1 Channel Gating

The mammalian K2P2.1 potassium channel (TREK-1, KCNK2) is highly expressed in excitable tissues, where it plays a key role in the cellular mechanisms of neuroprotection, anesthesia, pain perception, and depression. Here, we report that external acidification, within the physiological range, strongly inhibits the human K2P2.1 channel by inducing “C-type” closure. We have identified two histidine residues (i.e. His-87 and His-141), located in the first external loop of the channel, that govern the response of the channel to external pH. We demonstrate that these residues are within physical proximity to glutamate 84, homologous to Shaker Glu-418, KcsA Glu-51, and KCNK0 Glu-28 residues, all previously argued to stabilize the outer pore gate in the open conformation by forming hydrogen bonds with pore-adjacent residues. We thus propose a novel mechanism for pH sensing in which protonation of His-141 and His-87 generates a local positive charge that serves to draw Glu-84 away from its natural interactions, facilitating the collapse of the selectivity filter region. In accordance with this proposed mechanism, low pH modified K2P2.1 selectivity toward potassium. Moreover, the proton-mediated effect was inhibited by external potassium ions and was enhanced by a mutation (S164Y) known to accelerate C-type gating. Furthermore, proton-induced current inhibition was more pronounced at negative potentials. Thus, voltage-dependent C-type gating acceleration by protons represents a novel mechanism for K2P2.1 outward rectification.
Depression, Somatization, and Posttraumatic Stress Disorder in Children Born of Occupation After World War II in Comparison With a General Population

Abstract At the end of World War II and during the first decade after the war, roughly 200,000 children were fathered in intimate contacts between German women and foreign soldiers. The experiences of these German occupation children (GOC) have been so far described in case reports and from historical perspective only. Research on psychosocial consequences of growing up as a GOC has been missing so far. This study examined traumatic experiences, posttraumatic stress disorder, somatization, and depression in GOC (N = 146) using self-report instruments: Posttraumatic Diagnostic Scale and Patient Health Questionnaire. Findings have then been compared with a representative birth cohort–matched sample from the German general population (N = 977). German occupation children showed significantly higher prevalence rates of most traumatic experiences, higher point prevalence rates of full and partial posttraumatic stress disorder, depression, and somatization than the control group. In summary, GOC often grew up under difficult conditions (e.g., poverty, single mothers, and stigmatization). Even decades later, they showed higher rates of different mental disorders and higher comorbidity. These findings underline the complex and long-term impact of their burdened social, financial, and familial conditions. The results underpin the importance of conceptualizing occupation children as a vulnerable group in postconflict settings.
The long and short of it: branch lengths and the problem of placing the New Zealand short-tailed bat, Mystacina.

The taxonomic position of the endemic New Zealand bat genus Mystacina has vexed systematists ever since its erection in 1843. Over the years the genus has been linked with many microchiropteran families and superfamilies. Most recent classifications place it in the Vespertilionoidea, although some immunological evidence links it with the Noctilionoidea (=Phyllostomoidea). We have sequenced 402 bp of the mitochondrial cytochrome b gene for M. tuberculata (Gray in Dieffenbach, 1843), and using both our own and published DNA sequences for taxa in both superfamilies, we applied different tree reconstruction methods to find the appropriate phylogeny and different methods of estimating confidence in the parts of the tree. All methods strongly support the classification of Mystacina in the Noctilionoidea. Spectral analysis suggests that parsimony analysis may be misleading for Mystacina's precise placement within the Noctilionoidea because of its long terminal branch. Analyses not susceptible to long-branch attraction suggest that the Mystacinidae is a sister family to the Phyllostomidae. Dating the divergence times between the different taxa suggests that the extant chiropteran families radiated around and shortly after the Cretaceous-Tertiary boundary. We discuss the biogeographical implications of classifying Mystacina within the Noctilionoidea and contrast our result with those classifications placing Mystacina in the Vespertilionoidea, concluding that evidence for the latter is weak.
New ELISA for B cell-activating factor.

BACKGROUND The B cell-activating factor of the TNF family (BAFF) is upregulated in autoimmune diseases, but a number of conflicting results have cast doubts on the reliability of the ELISA protocols currently used for its quantification. This situation led us to develop a new ELISA for the measurement of BAFF. METHODS BAFF was purified for use alongside nonglycosylated recombinant BAFF. Two monoclonal antibodies (mAbs) and two polyclonal antibodies (pAbs) to BAFF were used. RESULTS The optimization process showed that the pAb format was preferable to the mAb format as capture antibody, because the pAbs recognized the glycosylated as well as the nonglycosylated forms of BAFF. The most efficient pair of Abs involved using the unconjugated form of a goat pAb to capture BAFF and the same biotinylated goat pAb to detect bound BAFF. This ELISA was not influenced by the presence of rheumatoid factor. CONCLUSIONS This new ELISA helped provide insights into why serum concentrations of BAFF vary between studies for a given population of patients. It is a reliable tool for the management of the diseases in which BAFF is an indication of response to therapy.
Sex, Adiposity, and Hypertension Status Modify the Inverse Effect of Marine Food Intake on Blood Pressure in Alaska Native (Yup'ik) People.

BACKGROUND Alaska Native people currently have a higher prevalence of hypertension than do nonnative Alaskans, although in the 1950s hypertension was rare among Alaska Native people. A novel biomarker of marine foods, the nitrogen isotope ratio (δ¹⁵N) in RBCs was shown to be negatively associated with systolic and diastolic blood pressure. Few studies have examined how individual characteristics modify the association of marine food intake with blood pressure. OBJECTIVE This exploratory analysis examined whether sex, adiposity, and hypertension modify the inverse association between marine food intake and blood pressure. METHODS We used covariate-adjusted linear models to describe the association between δ¹⁵N and blood pressure in 873 adult Alaska Native (Yup'ik) people who resided in 8 communities in southwest Alaska. We separately stratified by sex, body mass index (BMI) group, abdominal obesity, and hypertension status and assessed the interaction between δ¹⁵N and participant characteristics on blood pressure via likelihood ratio tests. RESULTS The association between δ¹⁵N and systolic blood pressure was modified by sex, BMI status, and abdominal obesity, with the inverse association observed only in the male (β = -1.5; 95% CI: -2.4, -0.6 : , nonobese BMI (β = -1.7; 95% CI: -2.5, -1.0), and non-abdominally obese (β = -1.6; 95% CI: -2.4, -0.9) strata (all P-interaction < 0.0001). A reduction in diastolic blood pressure associated with δ¹⁵N was observed in the nonobese BMI (β = -1.1; 95% CI: -1.7, -0.5) and non-abdominally obese (β = -1.1; 95% CI: -1.7, -0.5) strata, although only the interaction between BMI group and δ¹⁵N with diastolic blood pressure was significant. The inverse association between δ¹⁵N and both systolic and diastolic blood pressure was observed in nonhypertensive individuals, although the comparison had limited power. The results were consistent with those identified by using combined RBC concentrations of eicosapentaenoic acid and docosahexaenoic acid as the biomarker of marine food intake, although the associations identified by using δ¹⁵N were larger. CONCLUSIONS Obesity status modified the inverse association between marine food intake and both systolic and diastolic blood pressure in adult Alaska Native (Yup'ik) people. The inverse association between δ¹⁵N and systolic blood pressure was also modified by sex.
Acute Photobiomodulation by LED Does Not Alter Muscle Fatigue and Cycling Performance

Supplemental digital content is available in the text. ABSTRACT Purpose The purpose of the present study was to investigate the ergogenic effects of two doses of photobiomodulation therapy (PBMT) in comparison to placebo on markers of respiratory and muscle activity, blood acid–base, ion and lactate concentrations, indicators of muscle fatigue (global, central, and peripheral), and time to exhaustion in severe-intensity cycling. Methods Two separate studies were performed, both in a pseudorandomized and balanced, crossover design. In study 1, 14 male recreational cyclists completed three constant-load, severe-intensity cycling bouts that were duration matched. The PBMT (18 × 38 cm array with 200 diodes) treatments occurred before bouts at 260, 130, or 0 J (placebo) doses. EMG activity of selected lower limb musculature was assessed during each bout. Maximal voluntary contractions of knee extension with peripheral nerve stimulations and EMG activity evaluation of vastus lateralis was also performed before and after cycling. In study 2, 13 recreational cyclists performed three bouts of constant-load, severe-intensity cycling until exhaustion, preceded by PBMT as detailed previously. Blood lactate concentrations, respiratory responses, EMG activity, and capillary gasometry aspects were monitored. Results In both studies, there were no interactions effects (time–condition) on the EMG activity, which was displayed as root mean square (P ≥ 0.168) and median frequency (P ≥ 0.055) during cycling. In study 1, there were no interaction effects on the indicators of muscle fatigue after exercise (P ≥ 0.130). In study 2, there were no differences on time to exhaustion (P = 0.353) and no interaction effects among the physiological responses monitored (P ≥ 0.082). Conclusions Based on our findings, the PBMT at 260- and 130-J doses does not have a beneficial effect on muscle fatigue, cycling performance, metabolic parameters, and muscle activity in male recreational cyclists.
Evaluating an Emergency Medical Services—Initiated Nontransport System

Objective. To evaluate both factors predicting nontransport andmortality rates in an emergency medical services system with a nontransport policy. Methods. We reviewed data from 1,581 transported andnontransported patients from October 2001 to July 2003. Patients who refused transport against medical advice were excluded. Extracted data included demographics, run characteristics, chief complaint, andclinical impression. Transported andnontransported patients were compared using Mann–Whitney U or chi-square tests. Logistic regression identified factors predictive of nontransport. A Social Security Death Index search determined 30-day mortality. Results. A total of 1,501 runs involving 1,059 patients were included. Median age was 60 years (range, 0–97 years). A total of 427 (40.4%) were male; 107 (10.2%) were nonwhite. Older patients were more likely to be transported (odds ratio, 1.03; confidence interval, 1.02–1.03). Race, frequency of calls, mutual aid, or time of day did not significantly influence probability of transport. Patients with cardiovascular, respiratory, andgastrointestinal complaints were more likely to be transported than those with other conditions (P < 0.005); patients with endocrine, trauma, andmiscellaneous complaints were less likely to be transported (P < 0.003). Patients with renal, obstetrics/gynecology, andhema matology/oncology were complaints all transported. Mortality was 4.9% (confidence interval, 3.9%–6.2%) for transported patients and1.0% for those not transported (confidence interval, 0.2%–3.7%). Conclusions. Age is a determinant when deciding on transporting patients. Patients with complaints with potentially higher acuity were transported most often. Only two nontransported patients died within 30 days, although it is unknown whether initial transport would have changed their mortality. Our data suggest that emergency medical services–initiated nontransport is influenced only by age andchief complaint andmay not result in significant mortality.
Ventilation-perfusion mismatching in chronic obstructive pulmonary disease during ventilator weaning.

Using the multiple inert gas elimination technique, we studied ventilation-perfusion (VA/Q) relationships in eight patients with chronic obstructive pulmonary disease (COPD) during mechanical ventilation (MV) and again during weaning (spontaneous ventilation [SV] through an endotracheal tube) from MV needed for acute respiratory failure. The patients, seven men and one woman with a mean age of 63 +/- 2.8 (SEM) yr (FEV1 33 +/- 5.2% of predicted), required MV for 9.0 +/- 2.4 days prior to the study. The patients were studied at maintenance FIO2 (0.28 to 0.40) while breathing 100% O2, both during MV and SV. After 30 min of SV, PaCO2 increased from 48.9 +/- 3.4 to 58.3 +/- 3.1 mm Hg (p = 0.003) and pH decreased from 7.42 +/- 0.01 to 7.36 +/- 0.01 (p = 0.001) without significant changes in PaO2. Despite a decrease in tidal volume (VT) from 700.0 +/- 41.1 during MV to 313.0 +/- 39.6 ml during SV (p = 0.001), minute ventilation remained unchanged (from 8.2 +/- 0.7 during MV to 7.4 +/- 0.6 L/min during SV). Furthermore, cardiac output (QT), oxygen delivery (QO2), and mixed venous PO2 (PVO2) significantly rose during SV when compared with the MV (QT: from 4.7 +/- 0.4 to 6.7 +/- 0.7 L/min, p = 0.011; QO2: from 857.3 +/- 113.0 to 1078.5 +/- 158.9 ml/min, p = 0.0074; PVO2: from 36.7 +/- 1.1 to 42.3 +/- 2.2 mm Hg, p = 0.041). Overall VA/Q inequality worsened as blood flow was redistributed to low VA/Q areas (from 9.4 +/- 4.4 to 19.6 +/- 5.3% of QT, p = 0.05). The dispersion of the ventilation distribution (log SDV) significantly worsened during SV (from 1.0 +/- 0.08 during MV to 1.2 +/- 0.08 during SV, p = 0.044). No changes were observed in either series dead space or ventilation of high VA/Q ratio units. (ABSTRACT TRUNCATED AT 250 WORDS)
Adenoviral expression of TDP‐43 and FUS genes and shRNAs for protein degradation pathways in rodent motoneurons in vitro and in vivo

Formation of cytoplasmic aggregates in neuronal and glial cells is one of the pathological hallmarks of amyotrophic lateral sclerosis (ALS). Mutations in two genes encoding transactivation response (TAR) DNA‐binding protein 43 (TDP‐43) and fused in sarcoma (FUS), both of which are main constituents of cytoplasmic aggregates, have been identified in patients with familial and sporadic ALS. Impairment of protein degradation machineries has also been recognized to participate in motoneuron degeneration in ALS. In the present study, we produced recombinant adenovirus vectors encoding wild type and mutant TDP‐43 and FUS, and those encoding short hairpin RNAs (shRNAs) for proteasome (PSMC1), autophagy (ATG5), and endosome (VPS24) systems to investigate whether the coupled gene transductions in motoneurons by these adenoviruses elicit ALS pathology. Cultured neurons, astrocytes and oligodendrocytes differentiated from adult rat neural stem cells and motoneurons derived from mouse embryonic stem cells were successfully infected with these adenoviruses showing cytoplasmic aggregate formation. When these adenoviruses were injected into the facial nerves of adult rats, exogenous TDP‐43 and FUS proteins were strongly expressed in facial motoneurons by a retrograde axonal transport of the adenoviruses. Co‐infections of adenovirus encoding shRNA for PSMC1, ATG5 or VPS24 with TDP‐43 or FUS adenovirus enhanced cytoplasmic aggregate formation in facial motoneurons, suggesting that impairment of protein degradation pathways accelerates formation of TDP‐43 and FUS‐positive aggregates in ALS.
Impact of Text Message Reminders on Caregivers' Adherence to a Home Fortification Program Against Child Anemia in Rural Western China: A Cluster-Randomized Controlled Trial.

OBJECTIVES To test whether text message reminders sent to caregivers improve the effectiveness of a home micronutrient fortification program in western China. METHODS We carried out a cluster-randomized controlled trial in 351 villages (clusters) in Shaanxi Province in 2013 and 2014, enrolling children aged 6 to 12 months. We randomly assigned each village to 1 of 3 groups: free delivery group, text messaging group, or control group. We collected information on compliance with treatments and hemoglobin concentrations from all children at baseline and 6-month follow-up. We estimated the intent-to-treat effects on compliance and child anemia using a logistic regression model. RESULTS There were 1393 eligible children. We found that assignment to the text messaging group led to an increase in full compliance (marginal effect = 0.10; 95% confidence interval [CI] = 0.03, 0.16) compared with the free delivery group and decrease in the rate of anemia at end line relative to the control group (marginal effect = -0.07; 95% CI = -0.12, -0.01), but not relative to the free delivery group (marginal effect = -0.03; 95% CI = -0.09, 0.03). CONCLUSIONS Text messages improved compliance of caregivers to a home fortification program and children's nutrition.
Individualizing therapy: Do we have the tools to do it? 个体化治疗：我们有具体的执行方法吗？

In this edition of The Journal of Diabetes, Paul et al. report an interesting analysis of the risk factors for hypoglycemia. Their novel analysis of trial data from studies of once-weekly exenatide and insulin glargine show potentially important insights into the on-treatment interactions of glycemic control and body weight with risk of hypoglycemia. The analysis is one of an all too small number of publications designed to identify how individuals might respond to specific drugs. Two phenomena have been prominent in the management of type 2 diabetes in the last decade. First, several new classes of glucose-lowering agents have emerged, and, second, there has been an emphasis on individualizing therapy. The challenge lies in combining the two. Choosing the right drug from among at least 10 classes for an individual patient requires knowledge of contraindications, how to predict response and side-effects, and what range of responses are likely. How does the published literature help clinicians and patients to deal with these issues? The answer appears to be – not very well. On the assumption that metformin is the drug of first choice, the available information with which to choose second, third and fourth line agents is very limited. For glucose-lowering drugs, we would ideally like to see information on predicting responses in relation to hard outcomes – i.e. which drugs prevent microvascular and mavcrovascular outcomes in which patients. That goal seems very far away, but a useful first step would be to be able to understand and predict glycemic responses. There are myriads of clinical trials reporting mean reductions in HbA1c in both placebo-controlled and activecomparator trials. How much information do they provide on identification of responder phenotypes, on description of the range of expected effects on HbA1c, and on side-effects?