Miracle-dz/UniFAR-FTUs huggingface dataset:
Suicide deaths among medical students, residents and physicians in India spanning a decade (2010–2019): An exploratory study using on line news portals and Google database

Background: Despite having one of the world’s largest medical education consortium, India lacks a comprehensive and nationally representative data on suicide deaths among medical students and physicians unlike the one found in most of the developed nations of the world. Aim: We aimed to explore the different characteristics of suicide deaths among medical students, residents and physicians in India over a decade (2010–2019). Methods: Content analysis of all suicide death reports among medical students, residents and physicians available from online news portals and other publicly available sites was done. Search was done retrospectively using pertinent search words individually or in combination with language restricted to Hindi and English and timed from January 2010 to December 2019. Reports on completed suicide by allopathic medical students, residents and physicians from India were included. Socio-demographic and suicidological variables were analysed using R software. Results: A total of 358 suicide deaths among medical students (125), residents (105) and physicians (128) were reported between 2010 and 2019. Around 7 out of 10 suicides happened before the age of 30 and had mean age 29.9 (±12.2) years. Female residents and physicians were younger than their male counterparts at the time of suicide. Overall maximum suicide deaths were concentrated in South India except the state of Kerala. The specialty of anesthesiology (22.4%) followed by obstetrics-gynaecology (16.0%) had the highest suicide deaths. Violent suicide methods were more commonly used by all, with hanging being the most common mean of suicide. Academic stress among medical students (45.2%) and residents (23.1%), and marital discord among physicians (26.7%) were the most noticeable reasons for suicide. Mental health problems were the next most common reason in medical students (24%) and physicians (20%) while harassment (20.5%) was in residents. Twenty six percent had exhibited suicide warning signs and only 13% had ever sought psychiatric help before ending their lives. A total of nine reports of suicide pact were found with the average deaths per pact being 2.4 and predominantly driven by financial reasons. Conclusion: Academic stress among medical students and residents, and marital discord in physicians emerged as the key reasons for suicide. However, this preventable domain should be further explored through focused research. This is the first of its kind study from India which attempted to explore this vital yet neglected public health issue using the most feasible and practical method of online news content-based analysis.
Can Imaging of Temporal Raphe Orientation with fundusphotos or SD-OCT be helpful for the Assessment of Ocular Torsion in Patients with Cranial Nerve Four Paresis?

ABSTRACT Strabismic deviations can be horizontal, vertical, cyclorotational, or a combination of all three. Previous literature has established the difference between subjective and traditional objective torsional angles; however, often there is a failure to consider the physiological position of a normal fovea-optic nerve head (ONH) relationship. Using the temporal raphe (TR) orientation has been suggested as a solution for this discrepancy. The current study, approved by IWK Health Center research ethics board was created to assess the viability of using the TR in assessment of ocular torsion as well as investigate the effect of the physiological position of the fundus. Subjective tests were compared to traditional fundus photographs and novel TR scans in patients with long-standing unilateral fourth nerve palsies. Results found no differences between subjective and objective angles when considering the physiological fundus position and that TR angles were not comparable to other torsional testing methods. Therefore, it was concluded that the physiological position should be considered when determining the true amount of abnormal fundus torsion. As well, we found no significant value to using TR imaging by optical coherence tomography compared to the traditional fovea–ONH relationship by fundus photography to assess ocular torsion.
Nurr1 repression mediates cardinal features of Parkinson’s disease in α-synuclein transgenic mice

Abstract Duplication/triplication mutations of the SNCA locus, encoding alpha-synuclein (ASYN), and loss of function mutations in Nurr1, a nuclear receptor guiding midbrain dopaminergic neuron development, are associated with familial Parkinson’s disease (PD). As we age, the expression levels of these two genes in midbrain dopaminergic neurons follow opposite directions and ASYN expression increases while the expression of Nurr1 decreases. We investigated the effect of ASYN and Nurr1 age-related expression alterations in the pathogenesis of PD by coupling Nurr1 hemizygous with ASYN(s) (heterozygote) or ASYN(d) (homozygote) transgenic mice. ASYN(d)/Nurr1+/− (2-hit) mice, contrary to the individual genetic traits, developed phenotypes consistent with dopaminergic dysfunction. Aging ‘2-hit’ mice manifested kyphosis, severe rigid paralysis, L-DOPA responsive movement impairment and cachexia and died prematurely. Pathological abnormalities of phenotypic mice included SN neuron degeneration, extensive neuroinflammation and enhanced ASYN aggregation. Mice with two wt Nurr1 alleles [ASYN(d)/Nurr1+/+] or with reduced ASYN load [ASYN(s)/Nurr1+/−] did not develop the phenotype or pathology. Critically, we found that aging ASYN(d), in contrast to ASYN(s), mice suppress Nurr1-protein levels in a brain region–specific manner, which in addition to Nurr1 hemizygosity is necessary to instigate PD pathogenesis. Our experiments demonstrate that ASYN-dependent PD-related pathophysiology is mediated at least in part by Nurr1 down-regulation.
Catalytic Decomposition of H2O2 over Pure and Li2O-Doped Co3O4 Solids

Pure and doped Co3O4 samples were prepared by the thermal decomposition at 500–900°C of pure and lithium nitrate-treated basic cobalt carbonate. The amounts of dopant added were varied in the range 0.75–6 mol% Li2O. The effects of this treatment on the surface and catalytic properties of cobaltic oxide solid were investigated using nitrogen adsorption at −196°C and studies of the decomposition of H2O2 at 30–50°C. The results obtained revealed that Li2O doping of Co3O4 followed by heat treatment at 500°C and 600°C resulted in a progressive increase in the value of the specific surface area, SBET, to an extent proportional to the amount of dopant present. However, the increase was more pronounced in the case of solid samples calcined at 500°C. This increase in the specific surface areas has been attributed to the fixation of a portion of the dopant ions on the uppermost surface layers of the solid leading to outward growth of the surface lattice. The observed increase in SBET due to Li2O doping at 500°C might also result from a narrowing of the pores in the treated solid as a result of the doping process. Lithium oxide doping of cobaltic oxide followed by heat treatment at 700–900°C resulted in a significant decrease in the SBET, Vp and r̄ values. Pure and doped solids precalcined at 500°C and 600°C exhibited extremely high catalytic activities which were not much affected by doping with Li2O. On the other hand, doping followed by calcination at 700–900°C brought about a considerable and progressive increase in the catalytic activity of the treated solids. This treatment did not modify the activation energy of the catalysed reaction, i.e. doping of Co3O4 solid followed by heating at 700°C and 900°C did not alter the mechanism of the catalytic reaction but increased the concentration of catalytically active constituents taking part in the catalytic process without altering their energetic nature.
A novel gene signature for prognosis prediction and chemotherapy response in patients with pancreatic cancer

Pancreatic cancer is a lethal disease. Chemoresistance is one of the characteristics of pancreatic cancer and leads to a poor prognosis. This study built an effective predictive model for personalized treatment and explored the molecular mechanism of chemoresistance. A four-gene signature, including serine peptidase inhibitor Kazal type 1 (SPINK1), anoctamin 1 (ANO1), desmoglein 3 (DSG3) and GTPase, IMAP family member 1 (GIMAP1) was identified and associated with prognosis and chemoresistance in the training group. An internal testing dataset and the external dataset, GSE57495, were used for validation and showed a good performance of the gene signature. The high-risk group was enriched with multiple oncological pathways related to immunosuppression and was correlated with epidermal growth factor receptor (EGFR) expression, a target molecule of Erlotinib. In conclusion, this study identified a four-gene signature and established two nomograms for predicting prognosis and chemotherapy responses in patients with pancreatic cancer. The clinical value of the nomogram was evaluated by decision curve analysis (DCA). It showed that these may be helpful for clinical treatment decision-making and the discovery of the potential molecular mechanism and therapy targets for pancreatic cancer.
Update Alert 8: Risks and Impact of Angiotensin-Converting Enzyme Inhibitors or Angiotensin-Receptor Blockers on SARS-CoV-2 Infection in Adults

In update alert 7, we summarized the state of the evidence for the key questions of this systematic review: whether angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin-receptor blockers (ARBs) increase the risk for SARS-CoV-2 infection or worse outcomes and whether these medications are effective in the treatment of COVID-19 (1). Given our high confidence in evidence indicating that use of ACEIs or ARBs does not increase the risk for SARS-CoV-2 infection, we retired this key question from our living review. In this update alert, we provide a summary of results from 2 clinical trials addressing the question of whether continuing ACEIs or ARBs in the treatment of COVID-19 is associated with worse outcomes. We also provide an update on completed and in-progress clinical trials on the effectiveness of ACEIs or ARBs in the treatment of COVID-19 and results of our literature surveillance from 23 November 2020 to 4 April 2021 using the same search strategy as described in the original review (2).
Insights into the microbial diversity and structure in a full-scale municipal wastewater treatment plant with particular regard to Archaea

Due to limited description of the role and diversity of archaea in WWTPs, the aim of the study was to analyze microbial community structures and diversities with particular regard to Archaea in the samples taken from different stages of the full-scale municipal wastewater treatment plant and effluent receiving water (upstream and downstream discharge point). Our study was focused on showing how the treatment processes influenced the Eubacteria and Archaea composition. Alpha and Beta diversity were used to evaluate the microbial diversity changes in the collected samples. Proteobacteria was the largest fraction ranging from 28% to 67% with 56% relative abundance across all samples. Archaea were present in all stages of WWTP ranged from 1 to 8%. Among the Archaea, two groups of methanogens, acetoclastic (Methanosarcina, Methanosaeta) and hydrogenotrophic methanogens (Methanospirillium, Methanoculleus, Methanobrevibacter) were dominant in the technological stages. The obtained results indicate that the treated wastewater did not significantly affect eubacterial and archaeal composition in receiving water. However, differences in richness, diversity and microbial composition of Eubacteria and Archaea between the wastewater samples taken from the primary and secondary treatment were observed.
Fang evolution in venomous snakes: Adaptation of 3D tooth shape to the biomechanical properties of their prey

Venomous snakes are among the world's most specialized predators. During feeding, they use fangs to penetrate the body tissues of their prey, but the success of this penetration depends on the shape of these highly specialized teeth. Here, we examined the evolution of fang shape in a wide range of snakes using 3D geometric morphometrics (3DGM) and cross‐sectional tooth sharpness measurements. We investigated the relationship of these variables with six diet categories based on the prey's biomechanical properties, and tested for evolutionary convergence using two methods. Our results show that slender elongate fangs with sharp tips are used by snakes that target soft‐skinned prey (e.g., mammals), whereas fangs become more robust and blunter as the target's skin becomes scaly (e.g., fish and reptiles) and eventually hard‐shelled (e.g., crustaceans), both with and without correction for evolutionary allometry. Convergence in fang shape is present, indicating that fangs of snakes with the same diet are more similar than those of closely related species with different diets. Establishing the relationship between fang morphology and diet helps to explain how snakes became adapted to different lifestyles, while also providing a proxy to infer diet in lesser known species or extinct snakes from the fossil record.
Characterizing relationship between chemicals and in vitro bioactivities of teas made by six typical processing methods using a single Camellia sinensis cultivar, Meizhan

ABSTRACT Processing method is considered as a major factor that affects biotransformation of phytochemicals in tea and leads to diverse flavor and bioactivity of tea. In the present work, six typical tea manufacturing processings were employed to compare the effect on chemical composition of teas through using leaves of the single tea cultivar – – Camellia sinensis var. Meizhan. And in vitro antioxidant activity, inhibition against α-glucosidase and three lipid metabolism enzymes of these teas were also investigated, the relationships among them were analyzed further. As fresh leaves were processed into six categories of teas, the content of total catechins (TCs) has decreased in varying degrees while theaflavins (TFs) has increased. The antioxidant capacity composite index (ACCI) from high to low were green tea, yellow tea, oolong tea, white tea, dark tea, and black tea with the range from 98.44 to 58.38, which dominated by the content of TCs. Furthermore, all categories of teas possessed an inhibition effect on the pancreatic lipase (PL), 3-hydroxy-3-methylglutaryl coenzyme A reductase (HMG-COA reductase), lecithin cholesterol acyltransferase (LCAT), and α-glucosidase. The inhibition rate of PL and α-glucosidase appears to be positively influenced by TFs content (r =0.863, r =0.857, p < 0.05) while that of LCAT showed significant positive correlations with the content of tea polyphonels (TPs) (r = 0.902, p < 0.01). These results provide a better understanding of the relationships between processing method and chemical components of tea. It is suggested that various tea categories possess potential healthy effects which could serve as promising nutritional supplements. GraphicalAbstract
Cohort profile: The Singapore Breast Cancer Cohort (SGBCC), a multi-center breast cancer cohort for evaluation of phenotypic risk factors and genetic markers

This article aims to provide a detailed description of the Singapore Breast Cancer Cohort (SGBCC), an ongoing multi-ethnic cohort established with the overarching goal to identify genetic markers for breast cancer risk, prognosis and treatment response, as well as to understand the ethnic differences in disease risk and outcome in an Asian setting. The cohort comprises of breast cancer patients aged 21 years and above from six public hospitals which diagnose and treat nearly 76% breast cancer cases in Singapore. Self-reported data on sociodemographic and lifestyle, reproductive risk factors, medical history and family history of breast or ovarian cancer is collected using a structured questionnaire. Clinical data on tumour characteristics, and treatment modalities are obtained through medical record. Bio-specimens (blood or saliva) is collected at recruitment. Follow-up on survival information is done through routine linkage with the Registry of Births and Deaths. As of 31 December 2016, 7,768 subjects have been recruited to the study with 76% subjects contributed bio-specimens. The SGBCC provides a valuable platform which offers a unique, large and rich resource for new research ideas on breast cancer related phenotypic risk factors and genetic markers.
Effective Connectivity in Default Mode Network for Alcoholism Diagnosis

Alcohol Use Disorder (AUD) is a chronic relapsing brain disease characterized by excessive alcohol use, loss of control over alcohol intake, and negative emotional states under no alcohol consumption. The key factor in successful treatment of AUD is the accurate diagnosis for better medical and therapy management. Conventionally, for individuals to be diagnosed with AUD, certain criteria as outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM) should be met. However, this process is subjective in nature and could be misleading due to memory problems and dishonesty of some AUD patients. In this paper, an assessment scheme for objective diagnosis of AUD is proposed. For this purpose, EEG recording of 31 healthy controls and 31 AUD patients are used for the calculation of effective connectivity (EC) between the various regions of the brain Default Mode Network (DMN). The EC is estimated using partial directed coherence (PDC) which are then used as input to a 3D Convolutional Neural Network (CNN) for binary classification of AUD cases. Using 5-fold cross validation, the classification of AUD vs. HC effective connectivity matrices using the proposed 3D-CNN gives an accuracy of 87.85 ± 4.64 %. For further validation, 32 and 30 subjects are randomly selected for training and testing, respectively, giving 100% correct classification of all the testing subjects.
Assessment of recipients’ characteristics, transfusion appropriateness, and utilization pattern of blood and blood products in Jimma Medical Center, Jimma, Ethiopia

Background As blood transfusion remains life-saving and is being frequently prescribed, a greater number of its practice is unnecessary or inappropriate. This important clinical intervention is reported as one of the five overused medical treatments, with gross over-ordering and whole blood transfusions as the sole component being common in developing countries. Study of recipient’s demographics, clinical conditions, appropriate blood utilization, and continuous clinical audits for quality assurance and service improvement plan are important factors to this practice. This study was designed to assess the recipient’s characteristics, blood type distributions, appropriateness of blood transfusion, and utilization practice of the big medical center. Methods Institution based cross-sectional study was conducted from February 1 to June 30, 2018. Data were collected using a structured data collection format prepared for this study. All transfusion prescriptions were followed from requisition up to completion. Patient’s age, sex, requesting departments, hemodynamics, number and component of units requested and issued, and units transfused were collected. Transfusion appropriateness was assessed by a criterion-based method while blood utilization was calculated. Results A total of 545 units of blood for 425 patients were cross-matched of the 809 units of total blood prescribed. The mean and median age of transfused individuals was found to be 27.47 ±15.28 years and 26 years respectively, and 65.4% females most in reproductive age groups. O and A Rhesus-positive blood types were the two major blood groups observed. Overall 82.1% of transfusions were appropriate; while only 27.8% of patients received appropriate components as 96.5% of individuals received a whole blood transfusion. Significant blood utilization was recorded with a C/T ratio of 1.05, TP% of 100%, and TI of 1.23. Conclusion Much of the transfusion recipients were relatively young aged and females, most in the reproductive age group. Although whole blood was used as a sole component, significant blood transfusion utilization and appropriateness were recorded; while appropriate component transfusion was recorded to be significantly low. Local transfusion guidelines and appropriate component preparation and utilization are required to improve the sub-optimal blood component transfusion practice.
Arterial Function after a 246 km Ultra-marathon Running Race

Abstract There is little research about the effects of ultra-endurance exercise on arterial morphological and functional properties. The aim was to assess the acute changes of the carotid-femoral pulse wave velocity and carotid doppler-derived parameters following an ultra-marathon race as well as the intima-media thickness of the carotid artery in ultra-marathon runners. Twenty athletes were examined at baseline and within 10 mins after a 246 km running race. Measurements included carotid-femoral pulse wave velocity, peak-systolic and end-diastolic velocities of carotid artery blood flow, pulsatility and resistivity indices and blood biochemical parameters. The intima-media thickness of the right and left carotid artery was measured before the race. Arterial stiffness and carotid artery intima media thickness at rest remained within known normal limits. The ultra-marathon race significantly increased carotid-femoral pulse wave velocity by 22.6% and pulsatility index by 10.2%. There was a decrease in body weight by 3.35% and an increase of all biochemical markers of muscle damage after the race. Additionally, C-reactive protein was correlated with both pulsatility and resistivity indices post-race. This study shows that immediately after a 246 km ultra-marathon running race, acute increase of arterial stiffness and vascular resistance were evident. The carotid artery thickness of ultra-marathon runners was within normal range.
Effect of eye closure on speech recognition in noise: in light and in darkness

Abstract Objective This study evaluated whether listening with an eye closure (EC) strategy improves speech recognition in noise (SRN) under different visual conditions. Previous research suggests EC may enhance activation of cortical systems involved in listening and attention. Study hypotheses were that EC listening leads to better SRN than eyes open listening, that listening in darkness leads to better SRN than in light, and EC listening leads to more improved SRN in light compared to darkness. Design SRN with the Cantonese Hearing in Noise Test (CHINT) under four conditions was assessed: (1) eyes open with lights on, (2) EC with lights on, (3) eyes open in darkened room, and (4) EC in darkened room. ANOVA determined potential differences among conditions and effect sizes were calculated. Study sample Fifty-six young adults (age range 18–35 years) with bilaterally normal hearing. Results Significant effects for EC and presence/absence of an external visual stimulus on SRN were found. Post-hoc analysis found a statistically significant difference between eyes open and closed in light, with a large effect size, indicating EC resulted in the greatest improvement in SRN when in the presence of an external visual stimulus. However, differences compared with known CHINT inter-list variability lacked clinical importance. Conclusions EC did significantly improve SRN and is a potential strategy for challenging listening situations when feasible, although no changes are needed for CHINT norms or testing procedures in relation to EC status.