Miracle-dz/UniFAR-FTUs huggingface dataset:
A study on glasgow coma scale score and QTC interval in predicting prognosis and outcome of organophosphate and carbamate poisoning

Background: Poisoning with organophosphorous substances is the commonest cause of inpatient mortality among all poisonings in developing countries like India. This study is undertaken with an aim of assessing simple parameters like GCS and QTc (marker of ventricular arrythmias) in predicting the outcome and complications of organophosphate compound poisoning considering the mortality and sufferings of Organophosphorous poisoning patients. Aim: To assess the utility of GCS score and QTc interval in predicting prognosis in patients who had consumed organophosphate and carbamate poisoning and to assess whether the above parameters helps to identify the high risk groups requiring mechanical ventilation. Materials and methods: This study was conducted among 200 organophosphate and carbamate poisoning patients who were admitted at Government Rajaji Hospital, Madurai from February 2014 to September 2014. After taking detailed history and physical examination and investigations the Glasgow coma scale score and QTc interval at the time of admission was calculated. Patients with GCS score < 13 and QTc interval > 0.44s in males and 0.46s in females as poor outcome. Results: There was a linear relation with QTc interval and severity of Organophosphorous poisoning i.e. as the QTc interval increases the severity of poisoning increases. There was an inverse relationship Prabhakaran R, Marannan N, Ponnusamy Kumar, Vijayakumari Vrinda. A study on glasgow coma scale score and QTC interval in predicting prognosis and outcome of organophosphate and carbamate poisoning. IAIM, 2017; 4(6): 1-7. Page 2 between the GCS score and severity of Poisoning, . i.e. as the GCS decreases the severity of poisoning increases. Conclusion: Our study showed that respiratory failure in patients with OP compound poisoning can be predicted at admission by simple parameters like lower GCS and prolonged QTc interval in ECG.
Antioxidant treatment of patients with asthenozoospermia or moderate oligoasthenozoospermia with high-dose vitamin C and vitamin E: a randomized, placebo-controlled, double-blind study.

In a randomized, placebo-controlled, double-blind study we investigated whether high-dose oral treatment with vitamins C and E for 56 days was able to improve semen parameters of infertile men. Ejaculate parameters included semen volume, sperm concentration and motility, and sperm count and viability. Thirty-one patients without genital infection but with asthenozoospermia (< 50% motile spermatozoa) and normal or only moderately reduced sperm concentration (> 7 x 10(6) spermatozoa/ml) (according to WHO criteria) were examined. To investigate the influence of the epididymal storage period on semen parameters, the patients were asked to deliver two semen samples with abstinence times of 2 and 7 days both before and at the end of vitamin treatment. After randomization, the patients received either 1000 mg vitamin C and 800 mg vitamin E (n = 15) or identical placebo capsules (n = 16). No changes in semen parameters were observed during treatment, and no pregnancies were initiated during the treatment period. Combined high-dose antioxidative treatment with vitamins C and E did not improve conventional semen parameters or the 24-h sperm survival rate. Prolonged abstinence time increased ejaculate volume (P < 0.05), sperm count (P < 0.05), sperm concentration (P < 0.05) and the total number of motile spermatozoa (P < 0.05).
Characterization of Dengue Virus NS4A and NS4B Protein Interaction

ABSTRACT Flavivirus replication is mediated by a membrane-associated replication complex where viral membrane proteins NS2A, NS2B, NS4A, and NS4B serve as the scaffold for the replication complex formation. Here, we used dengue virus serotype 2 (DENV-2) as a model to characterize viral NS4A-NS4B interaction. NS4A interacts with NS4B in virus-infected cells and in cells transiently expressing NS4A and NS4B in the absence of other viral proteins. Recombinant NS4A and NS4B proteins directly bind to each other with an estimated Kd (dissociation constant) of 50 nM. Amino acids 40 to 76 (spanning the first transmembrane domain, consisting of amino acids 50 to 73) of NS4A and amino acids 84 to 146 (also spanning the first transmembrane domain, consisting of amino acids 101 to 129) of NS4B are the determinants for NS4A-NS4B interaction. Nuclear magnetic resonance (NMR) analysis suggests that NS4A residues 17 to 80 form two amphipathic helices (helix α1, comprised of residues 17 to 32, and helix α2, comprised of residues 40 to 47) that associate with the cytosolic side of endoplasmic reticulum (ER) membrane and helix α3 (residues 52 to 75) that transverses the ER membrane. In addition, NMR analysis identified NS4A residues that may participate in the NS4A-NS4B interaction. Amino acid substitution of these NS4A residues exhibited distinct effects on viral replication. Three of the four NS4A mutations (L48A, T54A, and L60A) that affected the NS4A-NS4B interaction abolished or severely reduced viral replication; in contrast, two NS4A mutations (F71A and G75A) that did not affect NS4A-NS4B interaction had marginal effects on viral replication, demonstrating the biological relevance of the NS4A-NS4B interaction to DENV-2 replication. Taken together, the study has provided experimental evidence to argue that blocking the NS4A-NS4B interaction could be a potential antiviral approach. IMPORTANCE Flavivirus NS4A and NS4B proteins are essential components of the ER membrane-associated replication complex. The current study systematically characterizes the interaction between flavivirus NS4A and NS4B. Using DENV-2 as a model, we show that NS4A interacts with NS4B in virus-infected cells, in cells transiently expressing NS4A and NS4B proteins, or in vitro with recombinant NS4A and NS4B proteins. We mapped the minimal regions required for the NS4A-NS4B interaction to be amino acids 40 to 76 of NS4A and amino acids 84 to 146 of NS4B. NMR analysis revealed the secondary structure of amino acids 17 to 80 of NS4A and the NS4A amino acids that may participate in the NS4A-NS4B interaction. Functional analysis showed a correlation between viral replication and NS4A-NS4B interaction, demonstrating the biological importance of the NS4A-NS4B interaction. The study has advanced our knowledge of the molecular function of flavivirus NS4A and NS4B proteins. The results also suggest that inhibitors of the NS4A-NS4B interaction could be pursued for flavivirus antiviral development.
Effects of loudness cues on respiration in individuals with Parkinson's disease

Individuals with Parkinson's disease (PD) demonstrate low vocal intensity (hypophonia) which results in reduced speech intelligibility. We examined the effects of three cues to increase loudness on respiratory support in individuals with PD. Kinematic data from the rib cage and abdomen were collected using respiratory plethysmography while participants read a short passage. Individuals with PD and normal age‐ and sex‐matched controls (OC) increased sound pressure level (SPL) to a similar extent. As compared to OC, individuals with PD used larger rib cage volume excursions in all conditions. Further, they did not slow their rate of speech in noise as OC speakers did. Respiratory strategies used to support increased loudness varied with the cue, but the two groups did not differ in the strategies used. When asked to target a specific loudness, both groups used more abdominal effort than at comfortable loudness. Speaking in background noise resulted in the largest increase in SPL with the most efficient respiratory patterns, suggesting that natural or implicit cues may be best when treating hypophonia in individuals with PD. Data demonstrate the possibility that both vocal loudness and speech rate are impacted by cognitive mechanisms (attention or self‐perception) in individuals with PD. © 2007 Movement Disorder Society
Gestational Weight Gain and Pregnancy Outcomes in Obese Women: How Much Is Enough?

OBJECTIVE: To examine the effect of gestational weight change on pregnancy outcomes in obese women. METHODS: A population-based cohort study of 120,251 pregnant, obese women delivering full-term, liveborn, singleton infants was examined to assess the risk of four pregnancy outcomes (preeclampsia, cesarean delivery, small for gestational age births, and large for gestational age births) by obesity class and total gestational weight gain. RESULTS: Gestational weight gain incidence for overweight or obese pregnant women, less than the currently recommended 15 lb, was associated with a significantly lower risk of preeclampsia, cesarean delivery, and large for gestational age birth and higher risk of small for gestational age birth. These results were similar for each National Institutes of Health obesity class (30–34.9, 35–35.9, and 40.0 kg/m2), but at different amounts of gestational weight gain. CONCLUSION: Limited or no weight gain in obese pregnant women has favorable pregnancy outcomes. LEVEL OF EVIDENCE: II
Current status of a randomized controlled trial examining laparoscopic gastrectomy for gastric cancer in Japan

More than 20 years after the introduction of laparoscopic gastrectomy, two ongoing, large‐scale randomized controlled trials are currently being conducted in Japan: JCOG0912 for patients with stage I disease and JLSSG0901 for patients with advanced cancer. Both trials are designed to evaluate the non‐inferiority of laparoscopic‐assisted distal gastrectomy to its open counterpart. The primary end‐point of JCOG0912 is overall survival, whereas that of JLSSG0901 is relapse‐free survival. Quality control for the surgeries is being strictly performed in each study; eligibility criteria apply to participating surgeons and a central review of the surgical procedure has been conducted. The accrual of patients for JCOG0912 and for JLSSG0901 (phase II) is complete, and the disclosure of level I evidence is being awaited.
The use of biomarkers to evaluate the toxicity of metaldehyde and methiocarb baits to the terrestrial isopod porcellionides pruinosus Brandt, 1833

Biochemical indicators (biomarkers) are known to provide early warning signs of environmental pollution or stress conditions to the organisms, by measuring cellular or molecular responses of the target organism to xenobiotic agents. In this study, the terrestrial isopod Porcellionides pruinosus was exposed to these two molluscicides and three different enzymes, glutathione Stransferase (GST), acetylcholinesterase (AChE) and catalase (CAT) were analyzed to evaluate the effects of the application of the two molluscicides in single exposures and binary mixtures tests. Results indicate that the carbamate methiocarb inhibited significantly AChE activity, but no effects were observed in CAT and GST levels. The exposure to the metaldehyde had no effects on AChE, but a decrease in the higher exposure period was observed in GST levels as well as a general increase in CAT activity. The combined exposure of the two molluscicides resulted in a general decrease in AChE and CAT activity, but no visible effects were observed in terms of GST. The use of several biomarkers was a suitable tool to understand the mode of action of these two molluscicides in this isopod species.
Antibiotic resistant beta-hemolytic streptococci.

OBJECTIVE An antibiotic-sensitivity study was conducted on 117 strains of group A streptococcus (GAS), 60 strains of group G streptococcus (GGS) and 20 strains of group C streptococcus (GCS) in order to understand current resistance trends. METHODS All strains were tested by the Kirby Bauer disc diffusion method to 15 antibiotics. Resistant strains were confirmed by testing the minimum inhibitory concentration (MIC) of antibiotics by broth dilution technique. RESULTS Among GAS, highest resistance was observed to tetracycline (27.4%) and erythromycin (16.2%). The GGS and GCS tested, showed similar resistance patterns. CONCLUSION All beta-hemolytic streptococci were susceptible to penicillin, amoxycillin, cephalosporins and linezolid. Resistance to erythromycin, tetracycline, clindamycin, chloramphenicol, and quinolones is emerging.
Family influences on adaptive development in young children with Down syndrome.

In this study we investigated the extent to which the family environment predicted differences in trajectories of adaptive development in young children with Down syndrome. The sample was comprised of 54 children with Down syndrome and their families who were studied from infancy through the age of 5 years as part of a longitudinal study of children with disabilities. Hierarchical linear modeling (HLM) was used to estimate the parameters of hierarchical growth models in domains of adaptive development. Results indicated that growth in communication, daily living skills, and socialization domains were predicted by measures of the family environment (i.e., family cohesion and mother-child interaction) above and beyond that predicted by maternal education. Further, Bayley MDI measures during infancy did not predict changes in adaptive development in any of the domains. The results are discussed in terms of implications for service provision and for expanding theoretical frameworks to include the development of children with disabilities.
The Public-Private Job Satisfaction Differential in Italy

This paper uses Italian survey data for 1995 to study the differences in satisfaction for six non-pecuniary job attributes between public and private sector workers. Results indicate that public employees differ from private employees in the way they evaluate satisfaction with job security, consideration by colleagues, and safety and health job features, whereas there are no differences in their assessment of satisfaction with effort levels and interest for the job. In particular, we find that the premium for public employees is quantitatively higher, especially in the case of satisfaction with employment losses. Moreover, there are significant differences in the determinants of satisfaction across sectors. Copyright 2007 The Author; Journal compilation 2007 CEIS, Fondazione Giacomo Brodolini and Blackwell Publishing Ltd.
Mutations Affecting the α Subunit ofBordetella pertussis RNA Polymerase Suppress Growth Inhibition Conferred by Short C-Terminal Deletions of the Response Regulator BvgA

ABSTRACT The effects of short deletions of the C terminus of the BvgA response regulator protein of the BvgAS two-component system were examined in Bordetella pertussis. When present as a single copy in the chromosome, deletions removing as few as two amino acids conferred a completely Bvg− phenotype. When provided intrans, on the broad-host-range plasmid pRK290, under the control of the native bvgAS promoter, deletions of two or three amino acids conferred a profound growth inhibition which was dependent on the integrity and activity of the wild-type chromosomalbvgAS locus. It is proposed that this phenotype was the result of an inappropriate interaction of the mutant BvgA protein with the RNA polymerase enzyme, specifically the α subunit. Mutant strains in which this growth inhibition was relieved were isolated and characterized. Although most of the suppressor mutations affected either the mutant plasmid copy or the wild-type chromosomalbvg locus, three mutations which affected the α subunit of B. pertussis RNA polymerase were also isolated. Two of these resulted in increased levels of the α subunit, and one caused a substitution of glycine for the aspartic acid residue at position 171, in the N-terminal domain. All three mutations also resulted in a differential phenotype in that expression of fha was essentially normal, but expression of ptx was greatly reduced.
Kv2.1 Clustering Contributes to Insulin Exocytosis and Rescues Human β-Cell Dysfunction

Insulin exocytosis is regulated by ion channels that control excitability and Ca2+ influx. Channels also play an increasingly appreciated role in microdomain structure. In this study, we examine the mechanism by which the voltage-dependent K+ (Kv) channel Kv2.1 (KCNB1) facilitates depolarization-induced exocytosis in INS 832/13 cells and β-cells from human donors with and without type 2 diabetes (T2D). We find that Kv2.1, but not Kv2.2 (KCNB2), forms clusters of 6–12 tetrameric channels at the plasma membrane and facilitates insulin exocytosis. Knockdown of Kv2.1 expression reduces secretory granule targeting to the plasma membrane. Expression of the full-length channel (Kv2.1-wild-type) supports the glucose-dependent recruitment of secretory granules. However, a truncated channel (Kv2.1-ΔC318) that retains electrical function and syntaxin 1A binding, but lacks the ability to form clusters, does not enhance granule recruitment or exocytosis. Expression of KCNB1 appears reduced in T2D islets, and further knockdown of KCNB1 does not inhibit Kv current in T2D β-cells. Upregulation of Kv2.1-wild-type, but not Kv2.1-ΔC318, rescues the exocytotic phenotype in T2D β-cells and increases insulin secretion from T2D islets. Thus, the ability of Kv2.1 to directly facilitate insulin exocytosis depends on channel clustering. Loss of this structural role for the channel might contribute to impaired insulin secretion in diabetes.
erpes simplex virus as a tool to define the role of complement in the immune esponse to peripheral infection ark

A complex network of interactions exist between the innate and adaptive immune pathways, which act together to elicit a broad and durable host response following pathogen infection. The importance of the ntigen presentation complement system in the host’s defense against viruses has become increasingly clear as a result of detailed studies using transgenic mouse models that disrupt specific components of this host immune mechanism. We have utilized herpes simplex virus and replication-defective mutant strains to examine the impact of the complement system on development and maintenance of humoral immune responses. Here we review work from our group and others that highlights the central role that complement proteins C3 and C4 and complement receptors Cr1/Cr2 play during viral infection. We discuss the implications of
Polymerization efficiency of LED curing lights.

PURPOSE The purpose of this study was to compare the curing efficiency of three commercially available light-emitting diode (LED)-based curing lights with that of a quartz tungsten halogen (QTH) curing light by means of hardness testing. In addition, the power density (intensity) and spectral emission of each LED light was compared with the QTH curing light in both the 380- to 520-nm and the 450- to 500-nm spectral ranges. MATERIALS AND METHODS A polytetrafluoroethylene mold 2 mm high and 8 mm in diameter was used to prepare five depth-of-cure test specimens for each combination of exposure duration, composite type (Silux Plus [microfill], Z-100 [hybrid]), and curing light (ZAP Dual Curing Light, LumaCure, VersaLux, Optilux 401). After 24 hours, Knoop hardness measurements were made for each side of the specimen, means were calculated, and a bottom/top Knoop hardness (B/T KH) percentage was determined. A value of at least 80% was used to indicate satisfactory polymerization. A linear regression of B/T KH percentage versus exposure duration was performed, and the resulting equation was used to predict the exposure duration required to produce a B/T KH percentage of 80% for the test conditions. The power densities (power/unit area) of the LED curing lights and the QTH curing light (Optilux 401) were measured 1 mm from the target using a laboratory-grade, laser power meter in both the full visible light spectrum range (380-780 nm) and the spectral range (between 450 and 500 nm), using a combination of long- and short-wave edge filters. RESULTS The emission spectra of the LED lights more closely mirrored the absorption spectrum of the commonly used photoinitiator camphorquinone. Specifically, 95% of the emission spectrum of the VersaLux, 87% of the LumaCure, 84% of the ZAP LED, and 78% of the ZAP combination LED and QTH fell between 450 and 500 nm. In contrast, only 56% of the emission spectrum of the Optilux 401 halogen lamp fell within this range. However, the power density between 450 and 500 nm was at least four times greater for the halogen lamp than for the purely LED lights. As a result, the LED-based curing lights required from 39 to 61 seconds to cure a 2-mm thick hybrid resin composite and between 83 and 131 seconds to adequately cure a microfill resin composite. By comparison, the QTH light required only 21 and 42 seconds to cure the hybrid and microfill resin composites, respectively. CLINICAL SIGNIFICANCE The first-generation LED-based curing lights in this study required considerably longer exposure durations than the QTH curing light to adequately polymerize a hybrid and a microfill resin composite.
Semantic 3D scene interpretation: A framework combining optimal neighborhood size selection with relevant features

D scene analysis by automatically assigning 3D points a semantic label has become an issue of major interest in recent years. Whereas the tasks of feature extraction and classification have been in the focus of research, the idea of using only relevant and more distinctive features extracted from optimal 3D neighborhoods has only rarely been addressed in 3D lidar data processing. In this paper, we focus on the interleaved issue of extracting relevant, but not redundant features and increasing their distinctiveness by considering the respective optimal 3D neighborhood of each individual 3D point. We present a new, fully automatic and versatile framework consisting of four successive steps: (i) optimal neighborhood size selection, (ii) feature extraction, (iii) feature selection, and (iv) classification. In a detailed evaluation which involves 5 different neighborhood definitions, 21 features, 6 approaches for feature subset selection and 2 different classifiers, we demonstrate that optimal neighborhoods for individual 3D points significantly improve the results of scene interpretation and that the selection of adequate feature subsets may even further increase the quality of the derived results.
Effects of psychotherapy for depression in children and adolescents: a meta-analysis.

Serious sequelae of youth depression, plus recent concerns over medication safety, prompt growing interest in the effects of youth psychotherapy. In previous meta-analyses, effect sizes (ESs) have averaged . 99, well above conventional standards for a large effect and well above mean ES for other conditions. The authors applied rigorous analytic methods to the largest study sample to date and found a mean ES of . 34, not superior but significantly inferior to mean ES for other conditions. Cognitive treatments (e.g., cognitive-behavioral therapy) fared no better than noncognitive approaches. Effects showed both generality (anxiety was reduced) and specificity (externalizing problems were not), plus short- but not long-term holding power. Youth depression treatments appear to produce effects that are significant but modest in their strength, breadth, and durability.