Miracle-dz/UniFAR-FTUs huggingface dataset:
Primary Human Chondrocytes Affected by Cigarette Smoke—Therapeutic Challenges

Although several researchers have attested deleterious effects of smoking to the musculoskeletal system, the association between smoking and the onset of osteoarthritis (OA) remains unclear. Here, we investigate the effect of cigarette smoke extract (CSE) on primary human chondrocytes. The present study demonstrates that physiological concentrations of CSE (0.1%–10%) inhibit the viability, proliferation, and matrix formation of chondrocytes in a dose- and time-dependent manner. Significant amounts of free radicals were generated by 10% of CSE and led to cell death. A clinical dosage (4 mg/mL) of dexamethasone (Dex) showed toxic effects on chondrocytes, and the long-time treatment by lower doses (4–400 μg/mL) induced hypertrophic changes in the chondrocytes. To substitute Dex, diclofenac (Dic, 1 μg/mL) and acetaminophen (Ace, 10 μg/mL) were tested and did not worsen the metabolic activity of CSE-exposed chondrocytes. Hyaluronic acid (HA, 5 mg/mL) combined with Dic or Ace significantly inhibited the oxidative stress and enhanced the viability and matrix formation of CSE-exposed chondrocytes. This study shows for the first time that CSE mediates the disruption of cartilage through inducing cell death by increasing oxidative stress, and that this effect is fortified by Dex. The deleterious effects of CSE on chondrocytes could be reversed by treatment with HA combined with first-line analgesic/anti-inflammatory agents.
Long-term trends in death and dependence after ischaemic strokes: A retrospective cohort study using the South London Stroke Register (SLSR)

Background There have been reductions in stroke mortality over recent decades, but estimates by aetiological subtypes are limited. This study estimates time trends in mortality and functional dependence by ischaemic stroke (IS) aetiological subtype over a 16-year period. Methods and findings The study population was 357,308 in 2011; 50.4% were males, 56% were white, and 25% were of black ethnic backgrounds. Population-based case ascertainment of stroke was conducted, and all participants who had their first-ever IS between 2000 and 2015 were identified. Further classification was concluded according to the underlying mechanism into large-artery atherosclerosis (LAA), cardio-embolism (CE), small-vessel occlusion (SVO), other determined aetiologies (OTH), and undetermined aetiologies (UND). Temporal trends in survival rates were examined using proportional-hazards survival modelling, adjusted for demography, prestroke risk factors, case mix variables, and processes of care. We carried out additional regression analyses to explore patterns in case-fatality rates (CFRs) at 30 days and 1 year and to explore whether these trends occurred at the expense of greater functional dependence (Barthel Index [BI] < 15) among survivors. A total of 3,128 patients with first-ever ISs were registered. The median age was 70.7 years; 50.9% were males; and 66.2% were white, 25.5% were black, and 8.3% were of other ethnic groups. Between 2000–2003 and 2012–2015, the adjusted overall mortality decreased by 24% (hazard ratio [HR] per year 0.976; 95% confidence interval [CI] 0.959–0.993). Mortality reductions were equally noted in both sexes and in the white and black populations but were only significant in CE strokes (HR per year 0.972; 95% CI 0.945‒0.998) and in patients aged ≥55 years (HR per year 0.975; 95% CI 0.959‒0.992). CFRs within 30 days and 1 year after an IS declined by 38% (rate ratio [RR] per year 0.962; 95% CI 0.941‒0.984) and 37% (RR per year 0.963; 95% CI 0.949‒0.976), respectively. Recent IS was independently associated with a 23% reduced risk of functional dependence at 3 months after onset (RR per year 0.983; 95% CI 0.968–0.998; p = 0.002 for trend). The study is limited by small number of events in certain subgroups (e.g., LAA), which could have led to insufficient power to detect significant trends. Conclusions Both mortality and 3-month functional dependence after IS decreased by an annual average of around 2.4% and 1.7%, respectively, during 2000‒2015. Such reductions were particularly evident in strokes of CE origins and in those aged ≥55 years.
A Cross-Sectional Analysis of Dental Care Utilization Among Pregnant Women in Saudi Arabia

BACKGROUND: Oral and systemic problems are common among pregnant women. Routine dental visits are important for the maintenance of optimal oral health which is linked with systemic health. AIM: To evaluate dental care utilization and related factors among pregnant women in the Eastern province of Saudi Arabia. METHODS: This cross-sectional study was conducted in hospitals and healthcare centers in the cities of Khobar, Dammam, and Qatif in the Eastern province of Saudi Arabia. A piloted tested self-administered questionnaire available in Arabic and English languages was distributed among a calculated sample of 341 pregnant women. Pearson’s chi-square test and multiple logistic regression analyses were performed. RESULTS: In the study, 270 questionnaires were analyzed giving a response rate of 79.2%. Mean age of the participants was 29 ± 5.9 years. There were 43.7% pregnant women who received dental treatment when they have a dental problem and only 13.7% performed routine dental visit. Half the sample (52.6%) avoided dental visits during pregnancy and dental treatment being unsafe was the most common reason for avoiding dental visits. After adjustment, routine dental visits during pregnancy were 7.38 times higher among Saudis compared with non-Saudis women (p 0.05). The participants who had a negative perception about the safety of dental treatment had significantly lower odds (OR 0.31, p 0.036) of dental attendance for routine dental visits. CONCLUSION: Routine dental visits were low among pregnant women and many visited dentists when they had a dental problem. Negative perception about the safety of dental treatment was associated with reduced regular dental visits during pregnancy. Pregnant women should be educated about the importance of receiving dental care for the maintenance of optimal oral health.
Multiple dimensions of dietary diversity in large mammalian herbivores.

Theory predicts that trophic specialization (i.e., low dietary diversity) should make consumer populations sensitive to environmental disturbances, yet diagnosing specialists is complicated both by the difficulty of precisely quantifying diet composition and by definitional ambiguity-what makes a diet 'diverse'? We sought to characterize the relationship between taxonomic dietary diversity (TDD) and phylogenetic dietary diversity (PDD) in a species-rich community of large mammalian herbivores in semi-arid East African savanna. We hypothesized that TDD and PDD would be positively correlated within and among species, because taxonomically diverse diets are likely to include plants from many lineages. By using DNA metabarcoding to analyze 1,281 fecal samples collected across multiple seasons, we compiled high-resolution diet profiles for 25 sympatric large-herbivore species. For each of these populations, we calculated TDD and PDD with reference to a DNA reference library for local plants. Contrary to our hypothesis, measures of TDD and PDD were either uncorrelated or negatively correlated with each other. Thus, these metrics reflect distinct dimensions of dietary specialization both within and among species. In general, grazers and ruminants exhibited greater TDD, but lower PDD, than did browsers and non-ruminants. We found significant seasonal variation in TDD and/or PDD for all but four species (Grevy's zebra, buffalo, elephant, Grant's gazelle), but the relationship between TDD and PDD was consistent across seasons for all but one of the 12 best-sampled species (plains zebra). In this large-herbivore assemblage, taxonomic generalists can be phylogenetic specialists, and vice versa. These two dimensions of dietary diversity suggest contrasting implications for efforts to predict how species will respond to climate change and other environmental perturbations. For example, network models predict that populations with high TDD but low PDD should be insensitive to phylogenetically 'random' losses of food species, yet highly sensitive to environmental changes that locally disadvantage entire plant lineages-such as changing rainfall patterns, altered fire regimes, and woody encroachment, all of which influence the relative abundance of the grass lineage (Poaceae) relative to trees and shrubs in ecosystems worldwide.
Novel electronic nematicity in heavily hole-doped iron pnictide superconductors

Significance Strongly correlated electron systems often exhibit exotic states of matter, and perhaps the most surprising is the electronic nematicity with broken rotational symmetry. In such nematic states, the nematic director usually points to certain directions of the underlying crystal, and, thus, these states have been classified as Ising-type. Here, we find in a heavily hole-doped iron-pnictide system that the director is rotated by 45° from the Fe–Fe direction. Moreover, there is a doping range that shows a signature of a class of electronic quantum liquid-crystalline state of XY type, where the nematic director can point anywhere in the Fe planes. These findings reveal another type of quantum liquid crystals, which are expected to host several unique quantum many-body phenomena. Electronic nematicity, a correlated state that spontaneously breaks rotational symmetry, is observed in several layered quantum materials. In contrast to their liquid-crystal counterparts, the nematic director cannot usually point in an arbitrary direction (XY nematics), but is locked by the crystal to discrete directions (Ising nematics), resulting in strongly anisotropic fluctuations above the transition. Here, we report on the observation of nearly isotropic XY-nematic fluctuations, via elastoresistance measurements, in hole-doped Ba1−xRbxFe2As2 iron-based superconductors. While for x=0, the nematic director points along the in-plane diagonals of the tetragonal lattice, for x=1, it points along the horizontal and vertical axes. Remarkably, for intermediate doping, the susceptibilities of these two symmetry-irreducible nematic channels display comparable Curie–Weiss behavior, thus revealing a nearly XY-nematic state. This opens a route to assess this elusive electronic quantum liquid-crystalline state.
Population based retrospective cohort study on risk of retinopathy of prematurity in twins

Background Twin infants are likely at great risk for ROP, but studies reported conflicting findings and population studies examining the risk of retinopathy of prematurity (ROP) in twins is limited. We aimed to evaluate the ROP risk in the cohort of one of twins, comparing to singletons. Material and methods Using insurance claims data of a half of children in Taiwan ages 18 and less, we established a twin cohort (N = 27830) born in 1998–2009 and a randomly selected singleton cohort (N = 111080) frequency matched by sex, birth year, residential area and parental occupation and followed up to 2012 years. Results The overall incidence rate of ROP was 13.6-fold greater in the twin cohort than in the singleton cohort (35.1 vs. 2.58 per 10,000 person-years; adjusted HR = 13.4, 95% CI = 11.7–15.3; p <0.0001). The ROP incidence was slightly higher in boys than in girls, higher in children in more urbanized areas and born to mothers without works. The incident ROP increased with decreasing birthweight. For children with birthweight <1000 grams, the ROP incidence was 1.2-fold greater in the twin cohort than in the singleton cohort (1243.2 vs. 1016.3 per 10,000 person-years). The use of mechanical ventilation was associated with increased ROP risk for both cohorts, particularly for infants who were under invasive treatment. Conclusion Infants who were born as twins or born with low birthweight were at an elevated risk of developing ROP. Extreme cautious and close monitor are required for new born with low birthweight and have undergone with mechanical ventilation.
Former orphan riboswitches reveal unexplored areas of bacterial metabolism, signaling, and gene control processes

Comparative sequence analyses have been used to discover numerous classes of structured noncoding RNAs, some of which are riboswitches that specifically recognize small-molecule or elemental ion ligands and influence expression of adjacent downstream genes. Determining the correct identity of the ligand for a riboswitch candidate typically is aided by an understanding of the genes under its regulatory control. Riboswitches whose ligands were straightforward to identify have largely been associated with well-characterized metabolic pathways, such as coenzyme or amino acid biosynthesis. Riboswitch candidates whose ligands resist identification, collectively known as orphan riboswitches, are often associated with genes coding for proteins of unknown function, or genes for various proteins with no established link to one another. The cognate ligands for 16 former orphan riboswitch motifs have been identified to date. The successful pursuit of the ligands for these classes has provided insight into areas of biology that are not yet fully explored, such as ion homeostasis, signaling networks, and other previously underappreciated biochemical or physiological processes. Herein we discuss the strategies and methods used to match ligands with orphan riboswitch classes, and overview the lessons learned to inform and motivate ongoing efforts to identify ligands for the many remaining candidates.
Sources of Multidrug Resistance in Patients With Previous Isoniazid-Resistant Tuberculosis Identified Using Whole Genome Sequencing: A Longitudinal Cohort Study

Abstract Background Meta-analysis of patients with isoniazid-resistant tuberculosis (TB) given standard first-line anti-TB treatment indicated an increased risk of multidrug-resistant TB (MDR-TB) emerging (8%), compared to drug-sensitive TB (0.3%). Here we use whole genome sequencing (WGS) to investigate whether treatment of patients with preexisting isoniazid-resistant disease with first-line anti-TB therapy risks selecting for rifampicin resistance, and hence MDR-TB. Methods Patients with isoniazid-resistant pulmonary TB were recruited and followed up for 24 months. Drug susceptibility testing was performed by microscopic observation drug susceptibility assay, mycobacterial growth indicator tube, and by WGS on isolates at first presentation and in the case of re-presentation. Where MDR-TB was diagnosed, WGS was used to determine the genomic relatedness between initial and subsequent isolates. De novo emergence of MDR-TB was assumed where the genomic distance was 5 or fewer single-nucleotide polymorphisms (SNPs), whereas reinfection with a different MDR-TB strain was assumed where the distance was 10 or more SNPs. Results Two hundred thirty-nine patients with isoniazid-resistant pulmonary TB were recruited. Fourteen (14/239 [5.9%]) patients were diagnosed with a second episode of TB that was multidrug resistant. Six (6/239 [2.5%]) were identified as having evolved MDR-TB de novo and 6 as having been reinfected with a different strain. In 2 cases, the genomic distance was between 5 and 10 SNPs and therefore indeterminate. Conclusions In isoniazid-resistant TB, de novo emergence and reinfection of MDR-TB strains equally contributed to MDR development. Early diagnosis and optimal treatment of isoniazid-resistant TB are urgently needed to avert the de novo emergence of MDR-TB during treatment.
Improved Accuracy of Thermal Desorption Spectroscopy by Specimen Cooling during Measurement of Hydrogen Concentration in a High-Strength Steel

Thermal desorption spectroscopy (TDS) is a powerful method for the measurement of hydrogen concentration in metallic materials. However, hydrogen loss from metallic samples during the preparation of the measurement poses a challenge to the accuracy of the results, especially in materials with high diffusivity of hydrogen, like ferritic and ferritic-martensitic steels. In the present paper, the effect of specimen cooling during the experimental procedure, as a tentative to reduce the loss of hydrogen during air-lock vacuum pumping for one high-strength steel of 1400 MPa, is evaluated. The results show, at room temperature, the presence of a continuous outward hydrogen flux accompanied with the redistribution of hydrogen within the measured steel during its exposure to the air-lock vacuum chamber under continuous pumping. Cooling of the steel samples to 213 K during pumping in the air-lock vacuum chamber before TDS measurement results in an increase in the measured total hydrogen concentration at about 14%. A significant reduction in hydrogen loss and redistribution within the steel sample improves the accuracy of hydrogen concentration measurement and trapping analysis in ferritic and martensitic steels.
Cytological diagnosis of fibromatosis coli: a rare presentation of infantile neck swelling

Fibromatosis coli is a rare benign mesenchymal lesion, usually presenting with neck mass in infant. Although etiology is not known, about half of the patients have history of birth trauma. It is self limiting fibroblastic lesion. Fine needle aspiration cytology is used as first line of investigation. If the diagnosis is made early, it shows an excellent prognosis. Most cases are managed conservatively. Here we present two interesting cases of fibromatosis coli which were diagnosed cytologically & showed complete regression after conservative management.
Comparison of Acute Physiology and Chronic Health Evaluation II, Modified Computed Tomography Severity Index, and Bedside Index for Severity in Acute Pancreatitis Score in Predicting the Severity of Acute Pancreatitis

ABSTRACT Aims of this study Severe acute pancreatitis has been defined recently based on the persistence of organ failure at 48 hours of admission. The bedside index for severity in acute pancreatitis (BISAP) score, a simplified scoring system to predict severity of acute pancreatitis, is proposed to be useful in early risk stratification of acute pancreatitis. Our aim was to prospectively compare BISAP score with the already established acute physiology and chronic health evaluation II (APACHE II) and modified computed tomography severity index (CTSI) scores in predicting the severity of acute pancreatitis. Materials and methods A total of 87 consecutive cases presenting with the first attack of acute pancreatitis were included in the study. Acute physiology and chronic health evaluation II and BISAP scores were calculated from the worst parameters in the first 24 hours, and modified CTSI was reported at 48 hours of admission. Receiver-operating characteristic (ROC) curves were plotted, and predictive accuracy of each score was calculated from the area under the curve. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated for each score. Results A total of 20 patients (23%) had severe acute pancreatitis with a total of 11 mortalities (12.64%), 10 of them in the severe acute pancreatitis group. Acute physiology and chronic health evaluation II, modified CTSI, and BISAP score all correlated well with each other. Modified CTSI and BISAP score also correlated with duration of hospital stay. Areas under the curve for APACHE II (≥8), modified CTSI (≥8), and BISAP score (≥2) were 0.826, 0.806, and 0.811, respectively, suggesting similar predictive accuracy. Conclusion The BISAP score was similar to APACHE II and modified CTSI in terms of accuracy, sensitivity, specificity, and NPV. It is much easier to calculate and a useful risk stratification tool. It should be used for early triage and referral to a high dependency unit. How to cite this article Chatterjee R, Parab N, Sajjan B, Nagar VS. Comparison of Acute Physiology and Chronic Health Evaluation II, Modified Computed Tomography Severity Index, and Bedside Index for Severity in Acute Pancreatitis Score in Predicting the Severity of Acute Pancreatitis. Indian J Crit Care Med 2020;24(2):99–103.
First North American occurrence of hairy cicadas discovered in the Cenomanian (Late Cretaceous) of Labrador, Canada

We report the discovery of Maculaferrum blaisi gen. et sp. nov, the first occurrence of the family Tettigarctidae, informally known as hairy cicadas, in North America. Maculaferrum blaisi is part of a new collection assembled during recent fieldwork in the Redmond Formation, Labrador, Canada, near Schefferville. It consists in a single isolated forewing whose venational characters allow a classification to Tettigarctinae at the subfamily level. Classification at a higher level remains uncertain since it displays a combination of characters supposedly unique to tribes Protabanini, Meunierini, and Tettigarctini. Thus, this discovery adds credence to suggestions of a revision of the definitions of these tribes since they seem to be based on many convergent or plesiomorphic characters. Remnants of a spotted pattern on the wing membrane and probable setae along some veins are also preserved. Observations of the holotype’s fine anatomical characters have been facilitated by the use of Reflectance Transformation Imaging (RTI), an emerging method for the visualization of compression and impression fossils. Considering that the estimated age of the Redmond Formation is the Cenomanian (Late Cretaceous), the discovery of M. blaisi contributes to a very recent expansion of the tettigarctid fossil record that fills a gap between Early Cretaceous and Cenozoic genera. It suggests that hairy cicadas maintained a global distribution and thrived in a variety of climate regimes well into the Late Cretaceous, and that their competitive exclusion by singing cicadas occurred definitely closer to the end of the Cretaceous, or even during the Cenozoic. This discovery is only the start of a thorough description of the recently expanded entomofauna in the Cretaceous of Labrador.
The Freemium (Two-Tiered) Model for Individual Cloud Services: Factors Bridging the Free Tier and the Paying Tier

In this paper, we explore the factors that directly and indirectly affect users’ willingness to subscribe to a paid plan for individual cloud services (ICS). This is particularly relevant because the freemium business model of many ICS vendors consists of a free-use phase that precedes users’ paid subscription. In effect, these users face two technology acceptance and use decisions. We emphasize the system usage construct and model it as a central, multidimensional construct connecting two stages: the upstream free-use stage and the downstream paid-subscription stage. The responses of 270 actual ICS users indicate that performance and effort related attributes of the ICS as well as uncertainty reduction drive system usage in the free-use stage. However, deep system usage that contributes to users’ value perceptions is key to motivate use in the subscription stage. Additionally, we find that the subscribing decision may be significantly constrained by users’ free-mentality belief. We highlight and fully discuss the theoretical and practical implications of our study