Miracle-dz/UniFAR-FTUs huggingface dataset:
Radiographic Analysis of Graft Dimensional Changes in Transcrestal Maxillary Sinus Augmentation: A Retrospective Study

Background. The maxillary sinus lift is a popular and predictable technique associated with implant-supported rehabilitation of the severely atrophic maxilla. The aim of the present retrospective study was to investigate the effectiveness of transcrestal maxillary sinus augmentation and the graft resorption pattern using different heterologous bone substitutes. Methods. A total of 75 sinus-grafting procedures were performed and 89 implants were placed in 66 patients, 24 males and 42 females, with mean age 67.9 ± 10.64 years (range 43–84 years). Nineteen subjects were smokers. The mean follow-up period was 93.33 ± 54.71 months (range 14–240 months). Clinical and radiographical evaluations were performed. Graft height and width were measured at baseline and at the latest follow-up. Results. Mesiodistal and vertical resorption averaged 9.3 ± 20.7% (standard deviation), and 5.04 ± 9.9% of the postoperative size, respectively, considering the graft as the unit. Linear regression analysis showed that graft resorption in both the vertical and the mesiodistal dimension is independent of the follow-up time. Conversely, there was a trend for greater resorption when increasing the postoperative graft size, in both vertical (p = 0.001) and horizontal (p = 0.007) dimensions. When grouping the dimensional changes by graft particle size (only small (<300 μm) particles, combination of small and medium (>500 μm)/large (>1000 μm) particles, and only medium/large particles), there was a trend for greater resorption associated with smaller particles, but it was not significant; neither in the mesiodistal nor in the vertical dimension (p = 0.17 and p = 0.25, respectively). No implant was lost during the observation period. In conclusion, the transcrestal technique for maxillary sinus augmentation documented a high level of predictability. The low clinical morbidity and the contextual dental implant positioning is clinically useful in relation to a significant reduction of the time required for implant restoration, a consistent decrease of the number of surgical phases, and a cost-effectiveness approach for the rehabilitation. The graft resorption pattern in all cases was compatible with persistent implant protection and support.
Short-Term Mortality in Patients with Heart Failure at the End-of-Life Stages: Hades Study

Background: Information regarding short-term vital prognosis in patients with heart failure at advanced stages of the disease is scarce. Objective: To develop a three-month mortality predictive model for patients with advanced heart failure. Methods: Prospective observational study carried out in primary care and a convalescence community facility. Heart failure patients either New York Heart Association (NYHA) III with at least two HF hospitalizations during the previous six months or NYHA IV with/without previous recent hospitalization were included in the study. Multivariable predictive models using Cox regression were performed. Results: Of 271 patients included, 55 (20.3%) died during the first three months of follow-up. Mean age was 84.2 years (SD 8.3) and 59.8% were women. Predictive model including NT-proBNP had a C-index of 0.78 (95% CI 0.71; 0.85) and identified male gender, low body mass index, high potassium and NT-proBNP levels, and moderate-to-severe dependence for daily living activities (Barthel index < 40) as risk factors of mortality. In the model without NT-proBNP, C index was 0.72 (95% CI 0.64; 0.79) and, in addition to gender, body mass index, low Barthel index, and severe reductions in glomerular filtration rate showed the highest predictive hazard ratios for short-term mortality. Conclusions: In addition to age, male gender, potassium levels, low body mass index, and low glomerular filtration, dependence for activities of daily living add strong power to predict mortality at three months in patients with advanced heart failure.
Modeling the effects of future climate and land-use changes on streamflow in a headwater basin in the Brazilian Caatinga biome

Abstract Projected climate changes integrated into future land-use changes are extremely complex and hard to estimate, especially for basins located in semiarid environments. This work aims to estimate streamflow and the future water yield using climate prediction and land-use changes in the Salgado River basin for the 2030 − 2060 period. In this study, the applicability of the Soil and Water Assessment Tool (SWAT) and Land Change Modeler models was verified to estimate flows and land use and cover for the studied basin. Calibration and validation of the SWAT model are used on a monthly basis for 1986 − 2017, with a calibration period from 1986 to 2006 and a validation period from 2007 − 2017. Land use and cover analysis is performed for the 1985 − 2000 period, and future land use and cover is predicted using the land change model for 2050. In addition, future hydrological modeling of the geographical distribution of the water yield is performed for each subbasin of the Salgado River basin from the 2030 to 2060 period. The results of land use and cover changes show that the pasture class was the one that showed the most significant increase in the basin due to recent changes in land use and cover. The results showed that the HadGEM2-ES model presented a minor difference in the representative concentration pathways (RCP) 2.6, which indicates that this model is the most suitable for rainfall-runoff simulations in the region.
The Fruits of Labor: Home Food Procurement and Mental Health in the Time of COVID-19

ABSTRACT We examine the relationship of home food procurement (HFP) during COVID-19 to emotional eating and stress using a statewide representative survey (n = 600) in Vermont. Women and people with a job change since COVID-19 were more likely to experience higher stress and emotional eating. Engaging in HFP, especially gardening, is associated with less emotional eating. However, people who fished, hunted, or canned more since the pandemic began were more likely to eat for emotional reasons and experience higher stress. These results suggest that gardening, even during a pandemic, may contribute to stress reduction, more so than other nature-based food production activities.
The EPA Assessment of Epidemiologic Studies of Ambient Particulate Matter (August 2004 Draft of Chapter 9 of the PM Criteria Document) An Assessment of the EPA Assessment

The August 2004 draft of Chapter 9 of the EPA Particulate Matter Criteria Document [EPA9] offers an assessment of the epidemiologic evidence for PM health effects. Chapter 8 of the Particulate Matter [PM] Criteria Document, summarizing epidemiologic studies of PM and health effects, was presented by EPA in June 2004. The EPA9 assessment draws primarily from the Chapter 8 discussion [EPA8] and presents an evaluative summary of a diverse array of findings from a large number of studies. The majority of these epidemiologic studies examine concurrent temporal variations of PM and mortality or morbidity (mostly PM10), together with a small number of cohort studies that use geographic variation rather than temporal variation. The epidemiologic assessment is presented in Section 9.2. 2 of EPA9, which is organized into six parts:
Synergistic and Antagonistic Effects of Aerosol Components on Its Oxidative Potential as Predictor of Particle Toxicity

Quantifying the component-specific contribution to the oxidative potential (OP) of ambient particle matter (PM) is the key information to properly representing its acute health hazards. In this study, we investigated the interactions between the major contributors to OP, i.e., transition metals and quinones, to highlight the relative effects of these species to the total OP. Several synergistic and antagonistic interactions were found that significantly change the redox properties of their binary mixtures, increasing or decreasing the values computed by a simple additive model. Such results from the standard solutions were confirmed by extending the study to atmospheric PM2.5 samples collected in winter in the Lombardia region, a hot spot for air pollution in northern Italy. This work highlights that a solid estimation of oxidative properties of ambient PM requires an interaction-based approach accounting for the interaction effects between metals and quinones.
The Role of Point-of-Care C-Reactive Protein Testing in Antibiotic Prescribing for Respiratory Tract Infections: A Survey among Swiss General Practitioners

Understanding the decision-making strategies of general practitioners (GPs) could help reduce suboptimal antibiotic prescribing. Respiratory tract infections (RTIs) are the most common reason for inappropriate antibiotic prescribing in primary care, a key driver of antibiotic resistance (ABR). We conducted a nationwide prospective web-based survey to explore: (1) The role of C-reactive protein (CRP) point-of-care testing (POCT) on antibiotic prescribing decision-making for RTIs using case vignettes; and (2) the knowledge, attitudes and barriers/facilitators of antibiotic prescribing using deductive analysis. Most GPs (92–98%) selected CRP-POCT alone or combined with other diagnostics. GPs would use lower CRP cut-offs to guide prescribing for (more) severe RTIs than for uncomplicated RTIs. Intermediate CRP ranges were significantly wider for uncomplicated than for (more) severe RTIs (p = 0.001). Amoxicillin/clavulanic acid was the most frequently recommended antibiotic across all RTI case scenarios (65–87%). Faced with intermediate CRP results, GPs preferred 3–5-day follow-up to delayed prescribing or other clinical approaches. Patient pressure, diagnostic uncertainty, fear of complications and lack of ABR understanding were the most GP-reported barriers to appropriate antibiotic prescribing. Stewardship interventions considering CRP-POCT and the barriers and facilitators to appropriate prescribing could guide antibiotic prescribing decisions at the point of care.
First report of Nigrospora lacticolonia causing leaf spot of Bougainvillea spectabilis in China

Abstract Bougainvillea spectabilis is an ornamental shrubby vine widely distributed in tropical and subtropical regions of China. In September 2020, a leaf spot of B. spectabilis was observed on Yongxing Island of Sansha City, Hainan Province. At a disease incidence of >30%, this leaf spot seriously reduced the ornamental value of affected plants. The typical symptoms included lesions consisting of circular or subcircular, grey pale centres with dark brown borders surrounded by diffused yellow margins. Fungal cultures isolated from colonies growing from surface-sterilized leaf tissues on potato dextrose agar exhibited similar morphological characteristics. The fungus was identified as Nigrospora lacticolonia based on its morphological characteristics and phylogenetic analysis using the internal transcribed spacer (ITS) region of rDNA, β-tubulin (TUB2) and translation elongation factor 1-alpha (TEF1-α) gene sequences. Pathogenicity tests showed that the fungus could infect B. spectabilis, and it was successfully re-isolated from inoculated leaf tissues, fulfiling Koch’s postulates. This is the first report of N. lacticolonia causing leaf spot on B. spectabilis.
Quality of Survey Responses at Older Ages Predicts Cognitive Decline and Mortality Risk

Abstract Background and Objectives It is widely recognized that survey satisficing, inattentive, or careless responding in questionnaires reduce the quality of self-report data. In this study, we propose that such low-quality responding (LQR) can carry substantive meaning at older ages. Completing questionnaires is a cognitively demanding task and LQR among older adults may reflect early signals of cognitive deficits and pathological aging. We hypothesized that older people displaying greater LQR would show faster cognitive decline and greater mortality risk. Research Design and Methods We analyzed data from 9, 288 adults 65 years or older in the Health and Retirement Study. Indicators of LQR were derived from participants’ response patterns in 102 psychosocial questionnaire items administered in 2006–2008. Latent growth models examined whether LQR predicted initial status and change in cognitive functioning, assessed with the modified Telephone Interview for Cognitive Status, over the subsequent 10 years. Discrete-time survival models examined whether LQR was associated with mortality risk over the 10 years. We also examined evidence for indirect (mediated) effects in which LQR predicts mortality via cognitive trajectories. Results After adjusting for age, gender, race, marital status, education, health conditions, smoking status, physical activity, and depressive symptoms, greater LQR was cross-sectionally associated with poorer cognitive functioning, and prospectively associated with faster cognitive decline over the follow-up period. Furthermore, greater LQR was associated with increased mortality risk during follow-up, and this effect was partially accounted for by the associations between LQR and cognitive functioning. Discussion and Implications Self-report questionnaires are not formally designed as cognitive tasks, but this study shows that LQR indicators derived from self-report measures provide objective, performance-based information about individuals’ cognitive functioning and survival. Self-report surveys are ubiquitous in social science, and indicators of LQR may be of broad relevance as predictors of cognitive and health trajectories in older people.
Application of Quantum Cognition to Judgments for Medical Decisions

The psychology of judgment and decision making can provide useful guidance to the task of medical decision making. More specifically, we describe how a new approach to judgment and decisions, based on quantum probability theory, can shed new light on seemingly irrational judgments, as well as indicate ways to ameliorate these judgment errors. Five different types of probability judgment errors that occur in medical decisions are reviewed. For each one, we provide a simple account using theory from quantum cognition. We conclude by drawing the implications of quantum cognition for ameliorating these common medical probability judgment errors.
Modulatory effects of SES and multilinguistic experience on cognitive development: a longitudinal data analysis of multilingual and monolingual adolescents from the SCAMP cohort

ABSTRACT Previous research has shown that cognitive development is sensitive to socio-economic status (SES) and multilinguistic experiences. However, these effects are difficult to disentangle and SES may modulate the effects of multilingualism. The present study used data from a large cohort of pupils who took part in the Study of Cognition, Adolescents and Mobile Phones (SCAMP) at ages 11–12 (T1) and 13–15 years old (T2). Cognitive measures were derived from tasks of cognitive flexibility, verbal, spatial and visuo-spatial working memory, speech processing and non-verbal reasoning. Using SES information collected through questionnaires (school type, level of deprivation, parental education and occupation), the sample was clustered into high/medium/low SES groups. Comparisons focused on 517 monolingual and 329 multilingual pupils in the high/low SES groups. Having controlled for multiple comparisons, the results indicated a significant beneficial effect of bilingualism in measures of working memory, visuo-spatial processing and non-verbal reasoning. These effects were present in both high and low SES individuals and sustained at both times of development, with a particularly significant improvement of working memory abilities in low SES bilinguals at T2 as compared to monolingual peers. Theoretical and practical implications of these findings are considered and guidance for educators is discussed.
Investigation of Molecular Features Involved in Clinical Responses and Survival in Advanced Endometrial Carcinoma Treated by Hormone Therapy

Hormone therapy (HT) is an effective treatment for metastatic endometrial carcinoma (mEC), with limited toxicity and low cost. We focused on molecular analysis of mECs treated by HT and, for the first time to date, we compared the genomic profiles of paired metastasis and primary ECs. The main objective was to identify predictive factors of the response to HT as well as specific altered signaling pathways driving mEC biology. From 1052 patients with EC treated by HT in two French cancer centers, 32 with endometrioid EC and 6 with high grade serous EC were included. We evaluated hormone receptors (HR) and mismatch repair proteins expression by immunohistochemistry and gene alterations by targeted next-generation sequencing and array-based comparative genomic hybridization. Several variables were tested in univariate and multivariate analyses to identify potential associations with (i) the clinical benefit of HT (CBHT) and (ii) a longer response (>18 months) (LRHT) and overall survival (OS). We compared the biological and genomic profiles of 11 primary/metastatic EC pairs. Thirty tumors (78.9%) were HR-positive and 6 (15.8%) showed microsatellite instability (MSI). The genomic profiles of 34 tumors showed an average altered genome of 3.26%, DNA repair homologous recombination deficiency in five tumors (14.7%), and 17 regions significantly targeted by amplification/deletion. Thirty-three tumors had 273 variants (158 genes, median of 7 mutations/sample), including 112 driver mutations. TP53, PTEN, PPP2R1A, ARID1A, FGFR2, and PIK3CA were the most frequently mutated. Based on the genomic status, nine oncogenic pathways were altered in more than 25% of primary EC. Clinically, 22 (57.9%) and 6 (15.8%) patients presented CBHT and LRHT, respectively. Neither oncogenic pathways alterations nor the variables tested were associated with CBHT and LRHT. Only patient’s age, mitotic index and the presence of at least one HR were associated with OS. Paired analysis of the primary/metastatic samples showed that among the 22 mutations acquired in the metastatic counterparts, the most frequently targeted genes were involved in pathways that might confer a selective advantage to cancer metastasis including hormone resistance. In conclusion, only patient’s age, mitotic index and the presence of at least one HR were associated with OS. The identification of gene mutations newly acquired in metastasis might help to better understand the formation of EC metastasis and select the best actionable candidates for HT-treated patients at the metastatic stage.
DETECÇÃO DE ANTICORPOS PARA LEPTOSPIRA SPP. EM ANIMAIS E FUNCIONÁRIOS DO ZOOLÓGICO MUNICIPAL DE UBERABA, MG

RESUMO O presente estudo teve como objetivo detectar anticorpos contra Leptospira spp. pelo teste de soroaglutinação microscópica em animais e funcionários do Zoológico Municipal de Uberaba, MG. Foram colhidas amostras de sangue de 166 animais entre mamíferos, répteis, peixes e aves e dos 36 funcionários. Dos animais estudados, 17 (10,24%) foram reagentes para anticorpos contra Leptospira spp. Os sorovares encontrados nas diferentes espécies foram: Grippotyphosa em uma espécie Cerdocyon thous (Cachorro-do-mato); Canicola em uma espécie Chrysocyon brachiurus (Lobo-Guará); Andamana e Icterohaemorrhagiae em duas espécies Leopardus pardalis(Jaguatirica); Canicola e Icterohaemorrhagiae em duas espécies Puma concolor (Suçuarana); Icterohaemorrhagiae em duas espécies Tayassu tajacu (Cateto); Andamana em duas espécies Geochelone spp. (Jabuti); Patoc em uma espécie Trachemys scripta (Tigre d’água); Canicola em seis espécies Oreochromis niloticus (Tilápia); Icterohaemorrhagiae em uma espécie Rattus rattus (Rato de telhado). Os sorovares mais freqüentes foram Canicola 8 (47,05%); Icterohaemorrhagiae 5 (29,41%) e Andamana 2 (11,76%). O título 100 foi o mais prevalente com 35,3% entre as espécies reagentes. As aves os gatos domésticos errantes e os funcionários do zoológico foram negativos para os sorovares analisados. Dentre as espécies estudadas, os mamíferos e os peixes apresentaram maior sororeatividade. Destaca-se a importância de mais estudos em animais silvestres e em de cativeiro e sua relevância no contexto da epidemiologia da Leptospirose.
Failure Pressure Prediction of Medium to High Toughness Pipe with Circumferential Interacting Corrosion Defects Subjected to Combined Loadings Using Artificial Neural Network

Assessment of a corroded pipe is crucial to determine when it must be repaired or replaced. However, the conventional corrosion assessment codes for the failure pressure predictions of corroded pipes with circumferentially aligned interacting defects are conservative (underestimations of more than 40%), resulting in premature repair or replacements of pipelines. Alternatively, numerical approaches may be used, but they are time consuming and computationally expensive. In this study, an analytical equation based on finite element analysis for the failure pressure prediction of API 5L X52, X65, and X80 corroded pipes with circumferentially aligned interacting corrosion defects subjected to combined loadings is proposed. An artificial neural network trained with failure pressure obtained from the finite element analysis of the three pipe grades for varied defect spacings, depths and lengths, and axial compressive stress were used to develop the equation. Subsequently, a parametric study on the effects of these parameters on the failure pressure of a corroded pipe with circumferential-interacting defects was conducted using the equation to determine the correlation between the defect geometries and failure pressure of the pipe. The new equations predicted failure pressures for these pipe grades with an R2 value of 0.99 and an error range of −9.92% to 0.98% for normalised defect spacings of 0.00 to 3.00, normalised effective defect lengths of 0.00 to 2.95, normalised effective defect depths of 0.00 to 0.80, and normalised axial compressive stress of 0.00 to 0.60.
Guidelines for Discontinuation of Antipsychotics in Patients Who Recover From First-Episode Schizophrenia Spectrum Disorders: Derived From the Aggregated Opinions of Asian Network of Early Psychosis Experts and Literature Review

Abstract Objective Antipsychotic discontinuation has been a long-standing clinical and medicolegal issue. The Asian Network of Early Psychosis developed guidelines for antipsychotic discontinuation in patients who recover from first-episode non-affective psychosis. We reviewed the existing studies and guidelines on antipsychotic discontinuation to develop guidelines for antipsychotic discontinuation in such patients. Methods We reviewed the relevant studies, reviews, guidelines, and ongoing trials related to antipsychotic discontinuation in patients with first-episode psychosis or schizophrenia. The quality of randomized controlled trials was assessed using the Grading of Recommendations Assessment, Development, and Evaluation approach. Results Most studies had low to very low quality, and 2 had moderate quality. All studies, except 1, advised against antipsychotic discontinuation because of higher relapse rates in the antipsychotic discontinuation group (19%–82% at 1-year follow-up) than the treatment maintenance group compared with the maintenance group. Based on expert opinion and Grading of Recommendations Assessment, Development, and Evaluation evidence of trials, guidelines have been recommended for future discontinuation studies on patients with first-episode schizophrenia spectrum disorders. Conclusions Currently, there are no recommendations for antipsychotic discontinuation in patients with first-episode schizophrenia spectrum disorders. However, there is a pressing need to conduct more rigorous research in remitted patients using more stringent criteria of full recovery, which can form the basis of guidelines on when and how antipsychotics should be tapered and discontinued. Studies that evaluate the patient characteristics and biomarkers that predict successful antipsychotic discontinuation are also needed.