Miracle-dz/UniFAR-FTUs huggingface dataset:
Two different types of provenances and the amalgamation of subduction complexes in the Eastern Tianshan of the Southern Altaids

The nature and final closure of the northern Tianshan Ocean have been debated in regard to the eastern Tianshan orogen, southern Altaids. The Kanguer subduction complex of the eastern Tianshan is the key to addressing these issues. In this study, we report new mapping, geochemical and geochronological results on the Kanguer subduction complex in the Haluo area. Our new results show that upper Permian (257 Ma) basaltic blocks emplaced in a sandstone matrix in the northern HL area are fragments of normal-mid-ocean-ridge-basalt (N-MORB)-type oceanic crust. The geochronological results indicate that the sandstone matrices display two different types of provenances. The first type in the northern part of the cross-section (till Sample YY12) has maximum depositional ages ranging from 316 Ma to 238 Ma. Their depositional settings varied from intraoceanic island arcs to continental Andean arcs after ca. 244 Ma, their detrital zircon age patterns vary from a single peak to multiple peaks, and their zircon ε Hf(t) values vary from uniquely high positive to some negative values. The second type is in the southern part of the cross-section with Samples YY12 to 21Kg05, which have the geochemical signatures of continental island arc sandstone, multiple-peak detrital zircon-age patterns, and positive to negative zircon ε Hf(t) values. The youngest sandstone sample has a maximum depositional age of 241 Ma. The above provenance results indicate that all mélanges and coherent units north of Sample YY12 belong to an accretionary complex of the Dananhu intraoceanic arc, and those south of Sample YY12 belong to an accretionary complex of the Yamansu-central Tianshan arc. According to the youngest components in both accretionary complexes, which suggest the latest subduction events, we conclude that the final amalgamation timing was after 238 Ma and that the Paleo-Asian Ocean closed during the Middle to Late Triassic.
Surgical management of superior sulcus tumors: A twenty-year experience of an oncological high volume referral centre

Objectives Superior sulcus tumour, which affects the lung’s apex, is an uncommon subtype of non-small cell lung cancer (NSCLC). The current study examined the clinical characteristics and management of superior sulcus NSCLC patients in a high-volume referral oncological centre over 22 years. Methods Retrospective review of 100 surgeries with curative intent for superior sulcus NSCLC over 22 years (July 1998 – December 2020). The surgical approach was defined according to the lesion site and the anatomy of the thoracic inlet. Survival curves, including non-cancer-related deaths, were drawn using the Kaplan-Meier methods, and the log-rank test was used to evaluate differences in survival across groups of patients. Cox proportional hazards regression was used to assess the association between selected clinical and pathologic characteristics on OS. Results 54 patients received induction treatments. The surgical approach was anterior thoracotomy in 53 patients, Paulson incision in 30, and a combined in 8. The median postoperative length of stay was 11 days (range: 5 – 27 days). Overall 90-day mortality was 6.93%. The median OS was 24.3 months. After a median follow-up of 3 years, 5-year and 10-year OS rates were 33.9% and 26.4%, respectively. A significantly lower 5-year OS was observed in patients with the nodal disease (46.6% in pN0 vs 13.2% in pN+; p = 0.024), without preoperative treatments (41.0% in patients without preoperative treatments versus 17.4%; p = 0.09) and anteriorly located tumour (anterior vs posterior: 17.4% vs 49.1%; p = 0.032). Cox proportional hazards regression showed better survival in the pT1 stage (HR = 4.6; 95% CI: 1.9 – 11.2; p = 0.00076) and in R0 (HR = 4.2; 95% CI: 1.4 – 12.5; p = 0.010). Conclusions Superior sulcus tumours still represent a life-threatening condition that, while curable in a significant proportion of cases, requires complex procedures with high surgical risks and a multimodality treatment setting. An optimal surgical approach should be planned to maximise resection completeness and survival. Other factors affecting survival are related to tumour staging, emphasising the importance of a meticulous preoperative workup and candidate selection to identify those expected to benefit from a survival benefit.
Spatial memory deficits in Alzheimer’s disease and their connection to cognitive maps’ formation by place cells and grid cells

Whenever we navigate through different contexts, we build a cognitive map: an internal representation of the territory. Spatial navigation is a complex skill that involves multiple types of information processing and integration. Place cells and grid cells, collectively with other hippocampal and medial entorhinal cortex neurons (MEC), form a neural network whose activity is critical for the representation of self-position and orientation along with spatial memory retrieval. Furthermore, this activity generates new representations adapting to changes in the environment. Though there is a normal decline in spatial memory related to aging, this is dramatically increased in pathological conditions such as Alzheimer’s disease (AD). AD is a multi-factorial neurodegenerative disorder affecting mainly the hippocampus-entorhinal cortex (HP-EC) circuit. Consequently, the initial stages of the disease have disorientation and wandering behavior as two of its hallmarks. Recent electrophysiological studies have linked spatial memory deficits to difficulties in spatial information encoding. Here we will discuss map impairment and remapping disruption in the HP-EC network, as a possible circuit mechanism involved in the spatial memory and navigation deficits observed in AD, pointing out the benefits of virtual reality as a tool for early diagnosis and rehabilitation.
Organic Carbon Burial in Constructed Ponds in Southern Sweden

Small ponds constructed for nutrient retention, biodiversity conservation or recreation also store large amounts of carbon. The potential role of small ponds for carbon storage and greenhouse gas emissions have been highlighted both in the scientific literature and in management plans. The role of small ponds in the global carbon budget is likely significant, but the potential has not been fully explored. Here we present measurements of yearly sedimentary carbon accumulation and carbon stocks in six small, constructed and restored ponds in southern Sweden. The ponds were constructed or restored during the last 20 years primarily for nutrient retention. The sediment cores span the time from the construction of the ponds until today. The ponds had high carbon accumulation, with mean total carbon stocks in the top 6 cm of sediment of 836 g C m−2 and a yearly mean C accumulation rate of 152 g C m−2 yr−1. The total amount of restored wetlands within the restoration program studied here has a total area of 480 ha, and upscaling the carbon stocks to the whole area of restored ponds and wetlands gave a total carbon stock of 4.013 × 106 kg C in the top 6 cm of the sediments. If considering the potential increase of CO2 and CH4 from the ponds it is likely that the constructed ponds studied here are net carbon sources. We compared our results with published measurements of CO2 and CH4 emissions from small ponds in Sweden. This shows that the CO2 equivalent emissions could be between 1.8 and 37.5 times higher than the sedimentary carbon accumulation. Our data indicate that small constructed ponds are potential net carbon sources. Therefore, we suggest that using small, constructed, or restored ponds as carbon mitigation strategy must be done with caution, and the potential for increased methane emissions must be considered.
The volume of infusion fluids correlates with treatment outcomes in critically ill trauma patients

Background Appropriate fluid management is essential in the treatment of critically ill trauma patients. Both insufficient and excessive fluid volume can be associated with worse outcomes. Intensive fluid resuscitation is a crucial element of early resuscitation in trauma; however, excessive fluid infusion may lead to fluid accumulation and consequent complications such as pulmonary edema, cardiac failure, impaired bowel function, and delayed wound healing. The aim of this study was to examine the volumes of fluids infused in critically ill trauma patients during the first hours and days of treatment and their relationship to survival and outcomes. Methods We retrospectively screened records of all consecutive patients admitted to the intensive care unit (ICU) from the beginning of 2019 to the end of 2020. All adults who were admitted to ICU after trauma and were hospitalized for a minimum of 2 days were included in the study. We used multivariate regression analysis models to assess a relationship between volume of infused fluid or fluid balance, age, ISS or APACHE II score, and mortality. We also compared volumes of fluids in survivors and non-survivors including additional analyses in subgroups depending on disease severity (ISS score, APACHE II score), blood loss, and age. Results A total of 52 patients met the inclusion criteria for the study. The volume of infused fluids and fluid balance were positively correlated with mortality, complication rate, time on mechanical ventilation, length of stay in the ICU, INR, and APTT. Fluid volumes were significantly higher in non-survivors than in survivors at the end of the second day of ICU stay (2.77 vs. 2.14 ml/kg/h) and non-survivors had a highly positive fluid balance (6.21 compared with 2.48 L in survivors). Conclusion In critically ill trauma patients, worse outcomes were associated with higher volumes of infusion fluids and a more positive fluid balance. Although fluid resuscitation is lifesaving, especially in the first hours after trauma, fluid infusion should be limited to a necessary minimum to avoid fluid overload and its negative consequences.
Reduced quality of life in myasthenia gravis patients: A study on 185 patients from China

Aims To explore the quality of life (QOL) in patients with myasthenia gravis (MG) and factors associated with QOL. Methods This observational study included patients with MG diagnosed at the First Affiliated Hospital of Fujian Medical University between January 2020 and March 2022. The QOL of patients was evaluated with the 15-item Myasthenia Gravis Quality of Life (MG-QOL15). Current MG severity was evaluated with MGFA grade, MG-ADL score, MGC score, and MGFA Postintervention Status. The data about gender, age of onset, subgroup, antibodies, age, duration, education, employment state, marital status, skeletal muscle affected, thymic histology, and current treatment methods of the patient were collected. Results A total of 185 patients [72 males (38.9%), aged 45.2 years (14–77)] with MG were enrolled. Age at onset was 38.3 ± 17.9 years, and disease duration was 87.9 months (0–672). The median MG-QOL15 score was 12.5 (0–58). The item “have trouble using my eyes” was the highest scoring item in both ocular and generalized patients with MG. The MG-QOL15 score was significantly different among patients with OMG (9.2 ± 9.4, n = 63), GMG (9.0 ± 8.8, n = 22), and BMG (15.4 ± 14.2, n = 100) (P = 0.018). Patients with BMG had higher MG-QOL15 scores than OMG (P = 0.001) and GMG (P = 0.009), but there was no significant difference between OMG and GMG (P = 0.467). The MG-QOL15 score was significantly lower in patients who had undergone thymectomy (9.7 ± 9.8, n = 58) compared to those who had not (13.8 ± 13.4, n = 127, P = 0.022). MG-QOL15 score was significantly lower in patients who underwent thymectomy compared to those who did not (9.7 ± 9.8, n = 58 vs. 13.8 ± 13.4, n = 127, P = 0.022). MG-QOL15 score was different among MGFA grades (Remission: 5.2 ± 5.4, n = 41; I: 11.3 ± 10, n = 61; II: 11.6 ± 11.1, n = 40; III: 18.1 ± 12.1, n = 29; and IVa: 30.1 ± 20, n = 14, P < 0.001). There was no significant difference between patients in MGFA grade I and II (P = 0.896), and there was no significant difference between patients in MGFA grade III and IVa (P = 0.052). MG-ADL (P < 0.001) and MGC (P < 0.001) were positively correlated with MG-QOL15. Men had higher MG-QOL15 than women (P = 0.094), and LOMG had higher MG-QOL15 than EOMG (P = 0.072). Multivariate linear regression identified that higher MG-ADL (P < 0.001), higher MGC (P = 0.02), and poor employment status (P = 0.045) were independently associated with higher MG-QOL15. Conclusion Having trouble using the eyes accounted for the highest score in MG-QOL15, eye symptoms affect QOL more than limb weakness in MG. Daily life activity, disease severity, and employment status were associated with patients' QOL. Adequate treatment should be applied to improve QOL, while mild symptoms can be accepted. Men and patients over the age of 50 years of onset may need more attention.
Reliability of attention bias and attention bias variability to climate change images in the dot-probe task

Climate change is one of the most pressing issues of the 21st century, which is perhaps why information about climate change has been found to capture observers’ attention. One of the most common ways of assessing individual differences in attentional processing of climate change information is through the use of reaction time difference scores. However, reaction time-based difference scores have come under scrutiny for their low reliability. Given that a primary goal of the field is to link individual differences in attention processing to participant variables (e.g., environmental attitudes), we assessed the reliability of reaction time-based measures of attention processing of climate change information utilizing an existing dataset with three variations of the dot-probe task. Across all three samples, difference score-based measures of attentional bias were generally uncorrelated across task blocks (r = −0.25 to 0.31). We also assessed the reliability of newer attention bias variability measures that are thought to capture dynamic shifts in attention toward and away from salient information. Although these measures were initially found to be correlated across task blocks (r = 0.17–0.67), they also tended to be highly correlated with general reaction time variability (r = 0.49–0.83). When controlling for general reaction time variability, the correlations across task blocks for attention bias variability were much weaker and generally nonsignificant (r = −0.25 to 0.33). Furthermore, these measures were unrelated to pro-environmental disposition indicating poor predictive validity. In short, reaction time-based measures of attentional processing (including difference score and variability-based approaches) have unacceptably low levels of reliability and are therefore unsuitable for capturing individual differences in attentional bias to climate change information.
Industrial structure optimization, population agglomeration, and carbon emissions—Empirical evidence from 30 provinces in China

The sustainability of the ecological environment has been greatly threatened. Based on carbon emissions and combined with the panel data of 30 provinces in China from 2003 to 2020, this paper studied the various mechanisms of industrial structure optimization and population agglomeration on carbon emissions. The fixed effect model, panel threshold model and spatial spillover model are used to study the direct and indirect effects of industrial structure optimization and population agglomeration on carbon emissions, and the robustness of the results is tested in various ways. In terms of direct effects, the industrial structure optimization has a significant negative effect on carbon emissions, and the significance level is 1%. Population agglomeration has a significant positive effect on carbon emissions, with a significance level of 1%. In terms of indirect effects, 1) by adding the cross term of industrial structure optimization and population agglomeration, it is proved that population agglomeration can promote the carbon emission reduction effect of industrial structure optimization. 2) Population agglomeration was used as the threshold variable to verify the interval effect of industrial structure optimization on carbon emission reduction. The results show that the industrial structure optimization has a double threshold effect of population agglomeration on carbon emissions, and the threshold values are 2.1137 and 5.9263, respectively. And the larger the population agglomeration interval, the weaker the inhibition effect of industrial structure optimization on carbon emissions. 3) The industrial structure optimization, population agglomeration and carbon emissions have significant spatial spillover effects. The industrial structure optimization in neighboring areas has a significant inhibitory effect on carbon emissions, and the population agglomeration in neighboring areas has a significant promoting effect on carbon emissions.
Ascites re-compensation in HBV-related first decompensated cirrhosis after anti-viral therapy

Effective antiviral therapy can significantly improve the long-term prognosis of HBV-related decompensated patients, and re-compensation may be achieved in part of the patients. To explore the re-compensation of ascites after HBV suppression and the risk factors, the clinical outcomes of 196 consecutive patients with HBV-related first decompensated cirrhosis of ascites treated with nucleos(t)ide analogue (NUC) were analyzed retrospectively. Among these patients, the median serum HBV DNA level was 5.0 (IQR, 3.0-6.0) log10 IU/mL before treatment. Most patients were given NUC with high barrier to resistance including ETV (152), TDF (1) and TAF (1). Initial combination of LAM plus ADV and LdT plus ADV was used in 41 patients and 1 patients, respectively. After NUC treatment, the percentage of patients with ascites regression was 77.6%, 81.4%, 70.5%, 93.8%, 80.8% at 12, 24, 36, 48, 60 months, respectively (P<0.001). The distribution of ascites severity showed that the patients’ ascites improved, with the proportion of no ascites and mild ascites gradually increased. The proportion of re-compensation of ascites defined as negative HBV DNA, improved liver function and ascites regression (off diuretics) was 59.7%, 70.0%, 52.3%, 59.4%, 46.2% at 12, 24, 36, 48, 60 months (P<0.001). The rate of ascites regression was higher in viral response (VR) cohort when compared with that in non-VR cohort. Univariate and multivariable analysis showed that level of serum ALT (OR:0.988, 95%CI, p=0.029) and load of serum HBV DNA (OR:0.78895%CI, p=0.044) at baseline were risk factors of re-compensation of ascites. This study demonstrated that antiviral therapy could reverse decompensation of ascites in HBV-related first decompensated cirrhosis and the level of ALT and HBV DNA were risk factors of ascites re-compensation.
Community advisory committee as a facilitator of health and wellbeing: A qualitative study in informal settlements in Nairobi, Kenya

Introduction A range of community engagement initiatives to advance health and wellbeing are currently taking place in informal settlements in low and middle income countries (LMICs), including community and stakeholder meetings, use of radio, film, TV programs and other information, education and communication materials (IECs) organized by different stakeholders. While these initiatives tend to focus on unidirectional flow of information to communities, the need to incorporate initiatives focusing on bi or multi-directional flow of information have been identified. Despite the extensive body of literature on community engagement, the role of Community Advisory Committees (CACs) in advancing health and wellbeing in informal settlements is still a puzzle, occasioned by considerable ambiguity. A community advisory committee is a dedicated group of volunteers to support health and wellbeing needs of their community using a community approach. Researchers and project implementers work in partnership with CACs to successfully implement their activities within the target community. Methods In this paper, using in-depth interviews, we document the roles of CACs in advancing health and wellbeing in Korogocho and Viwandani informal settlements in Nairobi, Kenya. Results Study participants described the role of CAC in advancing health and wellbeing through education and awareness creation, advisory roles in research and implementation goals, protecting community interests and acting as gatekeepers and collaborators to community partners. Identified barriers to achieving CAC roles include lack of finance and other field resources, being labeled as organization staff and low involvement by some upcoming and emerging local leaders on issues which involve the CAC constituents. Enablers of CACs in their roles include possession of appropriate skills and values by members; involvement of the community in the selection of members, regular consultative and advisory meetings, representativeness in the composition of CAC membership and knowledge about the community. Conclusion We conclude that CACs play key roles in advancing health and wellbeing in informal settlements and that existing CACs mechanisms and operations need to be given due consideration by researchers, project implementers and local authorities right from project conceptualization. CACs need recognition beyond consultations and placations during research and project implementation to a veritable social structure for community's social viability and survival as well as partners in development for inclusive urbanization process. While CACs have contributed in advancing health and wellbeing in informal settlements, there is need for a long-term strategy to optimize their impact and reduce puzzles around their roles.