Miracle-dz/UniFAR-FTUs huggingface dataset:
Implementation of an Enhanced Recovery after Surgery Pathway for Transgender and Gender-Diverse Individuals Undergoing Chest Reconstruction Surgery: An Observational Cohort Study

Enhanced Recovery After Surgery (ERAS) protocols are associated with improved clinical outcomes in cisgender breast surgery patients. However, a paucity of research exists regarding transgender and gender-diverse individuals (TGD) in the ERAS framework. The primary objective of this observational cohort study is to describe the implementation of a gender-affirming ERAS protocol and its relationship to hospital length of stay (LOS) in TGD patients following chest reconstruction surgery. The secondary aim is to identify intraoperative predictors of LOS and define variables associated with adverse outcomes. We identified 362 patients in three epochs: a traditional group (n = 144), a partial ERAS implementation group (n = 92), and an ERAS group (n = 126). Exploratory multivariable median regression modeling was performed to identify independent predictors of LOS. We report that the traditional group’s median hospital LOS was 1.1 days compared to 0.3 days in the ERAS group. Intraoperative tranexamic acid administration was associated with significantly shorter LOS (p < 0.001), reduced postoperative drainage (p < 0.001), and fewer returns to the operating room within 24 h (p = 0.047). Our data suggest that implementing a multimodal ERAS gender-affirming pathway was associated with improved patient-centered surgical outcomes such as decreased return to the operating room for hematoma evacuation, higher rates of discharge home, and reduced postoperative drainage output.
A 3-D Anatomy-Guided Self-Training Segmentation Framework for Unpaired Cross-Modality Medical Image Segmentation

Unsupervised domain adaptation (UDA) methods have achieved promising performance in alleviating the domain shift between different imaging modalities. In this article, we propose a robust two-stage 3-D anatomy-guided self-training cross-modality segmentation (ASTCMSeg) framework based on UDA for unpaired cross-modality image segmentation, including the anatomy-guided image translation and self-training segmentation stages. In the translation stage, we first leverage the similarity distributions between patches to capture the latent anatomical relationships and propose an anatomical relation consistency (ARC) for preserving the correct anatomical relationships. Then, we design a frequency domain constraint to enforce the consistency of important frequency components during image translation. Finally, we integrate the ARC and frequency domain constraint with contrastive learning for anatomy-guided image translation. In the segmentation stage, we propose a context-aware anisotropic mesh network for segmenting anisotropic volumes in the target domain. Meanwhile, we design a volumetric adaptive self-training method that dynamically selects appropriate pseudo-label thresholds to learn the abundant label information from unlabeled target volumes. Our proposed method is validated on the cross-modality brain structure, cardiac substructure, and abdominal multiorgan segmentation tasks. Experimental results show that our proposed method achieves state-of-the-art performance in all tasks and significantly outperforms other 2-D based or 3-D based UDA methods.
PENGARUH DOSIS PUPUK UREA TERHADAP PERTUMBUHAN DAN PRODUKSI PLASMA NUTFAH PADI LOKAL ASAL ACEH

Penelitian ini bertujuan untuk mengetahui pengaruh dosis pupuk Urea terhadap pertumbuhan dan produksi plasma nutfah padi lokal asal Aceh. Ada 2 faktor yang diteliti yaitu faktor dosis pupuk yang terdiri dari 4 taraf : Kontrol, 0,49, 0,65, dan 0,81 g/pot, dan faktor varietas terdiri dari 4 taraf : Ciherang, Beras Merah, Sipirok dan Pade Pangku. Peubah yang diamati yaitu tinggi tanaman, hari pembentukan anakan, jumlah anakan perumpun, umur mulai berbunga, jumlah malai perumpun, persentase gabah berisi, persentase gabah hampa, berat 1000 butir benih, hasil tanaman per pot dan potensi hasil. Hasil penelitian menunjukan bahwa pertumbuhan dan hasil tanaman terbaik dijumpai pada perlakuan pupuk Urea 0,65 g/pot. Selanjutnya produktivitas tanaman padi yang terbaik dijumpai pada varietas Sipirok yaitu 9,58 ton/ha. Terdapat interaksi yang tidak nyata antara perlakuan pupuk Urea dengan varietas terhadap semua peubah pertumbuhan dan hasil tanaman padi. Kata kunci : Pupuk Urea, pertumbuhan, produksi, padi lokal aceh
Coda Q in the Charlevoix, Quebec, region: Lapse-time dependence and spatial and temporal comparisons

Coda Q is determined in the seismically active Charlevoix region, Quebec, using 34 earthquakes recorded on the six-station Charlevoix Local Telemetered Network. For comparison, an average value of coda Q for southeastern Canada is determined from 32 events that occur over a much larger region. At lapse times of 20 to 40 sec, coda Q at 1 Hz ( Q ) at Charlevoix and for southeastern Canada is 91 ± 4 and 125 ± 10, respectively. At a 40 to 80 sec lapse time, it is 200 ± 3 and 305 ± 15, respectively. The lower Q value at Charlevoix in comparison with other parts of southeastern Canada is in agreement with Jin and Aki's (1988) finding that Q is lower in the vicinity of large earthquakes. No statistically significant temporal change in coda Q at Charlevoix is observed over the 11 yr of data studied. A variation of as little as 15% would be statistically apparent. Ongoing monitoring of coda Q in the area is planned using the local network in order to investigate any temporal changes prior to future large earthquakes. Coda Q is found to increase with lapse time. (Lapse time is defined as time elapsed after the origin time.) This dependence could be due to any of the following: Nonzero source-receiver distance; nonisotropic scattering; scattering from below the crust; multiple scattering; or increase of Q with depth or with distance from both source and receiver.
Factors Associated with the Uptake of Rotavirus and Pneumococcal Conjugate Vaccines among Children in Armenia: Implications for Future New Vaccine Introductions

Advances in vaccinology have resulted in various new vaccines being introduced into recommended immunization schedules. Armenia introduced the rotavirus vaccine (RV) and the pneumococcal conjugate vaccine (PCV) into its national schedule in 2012 and 2014, respectively. Using data from the Armenia Demographic and Health Survey, the uptake of the RV and the PCV among children aged younger than three years was estimated. Multilevel logistic regression models were used to evaluate individual- and community-level factors associated with uptake. Intra-cluster correlations were estimated to explain variations in uptake between clusters. The uptake proportionof each RV dose were 90.0% and 86.6%, while each PCV dose had values of 83.5%, 79.4%, and 75.5%, respectively. Non-uptake was highest among children less than 6 months old, children with one sibling, children from a wealthy family, or children whose living distance to a health clinic was problematic. Significant variability in non-uptake due to cluster differences was found for both RV doses (30.5% and 22.8%, respectively) and for the second PCV dose (53.9%). When developing strategies for new vaccine implementation, characteristics of the child, such as age, siblingship, and distance to a health clinic or residence, should be considered. Further exploration of cluster differences may provide insights based on the increased uptake of these and other new vaccines.
Upper Devonian conodonts, stratigraphy and facial development in the Holy Cross Mts

The problems of stratigraphy, facial differentiation and the history of sedimentation of the Upper Devonian in the western part of the Holy Cross Mts (Central Poland) are the subject of the paper. The stratigiraphical subdivision have been based on the conodonts. All platform conodonts and a few other, stratigraphically important species have been monographed. Of the 80 species described (together with subspecies) which are assigned to 11 genera, the following five species or subspecies are new: Ancyrodella sinecarina sp. n. , Palmatolepis circularis sp. n. , Palmatolepis minuta wolskae subsp. n. , Polygnathus sinuosus sp. n. and Pelekysgnathus ? sp.n. The conodont zonation, adopted for the correlation of profiles, enabled the solution of several problems of regional stratigraphy. The history of the Frasnian and Famennian sedimentation has been restored on the basis of their facial (including microfacial) analysis.
Post-Operative Poor Sleep Quality and Its Associated Factors Among Non-Small Cell Lung Cancer Patients: A Cross-Sectional Study

Objective The study aimed to determine the post-operative prevalence and factors associated to poor sleep quality in non-small cell lung cancer (NSCLC) patients in China. Methods NSCLC patients (n=307) who underwent thoracoscopic surgery at the Department of Thoracic Surgery of Shanghai Pulmonary Hospital were enrolled in this study. The Pittsburgh Sleep Quality Index (PSQI), Generalized Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9), Prince Henry Hospital Pain Score and the Six-Minute Walk Test (6MWT), and Forced Expiratory Volume in one second (FEV-1) were used to assess the factors that could lead to poor sleep quality. All assessments were carried out between April 1 and May 30, 2023. Descriptive analyses and stepwise factor regression were employed to determine the impact of various factors on sleep quality. The factors predictive of poor sleep quality were used to develop a predictive nomogram. The Hosmer-Lemeshow test was used to assess the predictive value of the nomogram. Results The median PQSI score was 8 (interquartile range (IQR) 5–12), and 74.6% of patients had poor sleep quality. The median anxiety and depression scores were 6 (IQR 3–9) and 4 (IQR 2–7), respectively. The PSQI latency dimension had the highest score, while the use of sleep medications dimension had the lowest score. The multivariate analysis revealed that patients who were female (OR, 2.38; 95% CI, 1.40–4.05; P <0.01), had post-secondary education (OR, 0.42; 95% CI, 0.19–0.92; P =0.03), tertiary education (OR, 0.38; 95% CI, 0.17–0.84; P =0.02), comorbidities (OR, 2.57; 95% CI, 1.51–4.39; P <0.01), a pain score 1 (OR, 4.22; 95% CI, 2.37–7.50; P <0.01), and cough (OR, 2.97; 95% CI, 1.63–5.40; P <.001) were more like to experience poor sleep quality. The positive predictive value of the nomogram was 79.80% (p=0.390). Conclusion Sociodemographic variables, comorbidities, and pain could be used to predict the post-operative sleep quality in NSCLC patients.
Impact of fiscal consolidation in different states of domestic government debt in South Africa 1979 to 2022

Abstract This paper investigates the impact of fiscal consolidation in different states on domestic government debt in South Africa. The government budget constraint theoretical framework and Markov-switching dynamic regression (MSDR) from 1979 to 2022. The contribution of this paper is to examine fiscal consolidation on domestic government debt in different states using measures of fiscal consolidation that account for time-varying elasticity in the cyclical adjusted primary balance (CAPB). The U-shape is found which indicates that fiscal consolidation is effective in reducing domestic government debt at a low level. However, as domestic government debt reaches a high-level fiscal consolidation becomes detrimental and further increase domestic government. Given the result, it recommended that South Africa use less fiscal consolidation in the effort to reduce domestic government debt. Fiscal authorities need to use government expenditure in the productive sector of the economy that will bring about an increase in revenue rather than an increase in the tax rate as advocated in the fiscal consolidation policy. Moreover, develop a tax system that generates optimal tax revenue with adjustment of the tax rates.
The Effect of Monensin vs. Neem, and Moringa Extracts on Nutrient Digestibility, Growth Performance, Methane, and Blood Profile of Merino Lambs

Simple Summary Modulating the rumen environment can help to improve the efficiency of feed utilization, minimize methane gas production, or improve the overall health of the animals. Leaf extracts of Moringa and Neem plants were tested as potential phytogenic rumen modulators in growing merino lambs while also evaluating the effect on the performance and health of the animals. The doses tested did not have any negative effect on the health and performance of the animals. However, the leaf extracts from Moringa and Neem tended to reduce methane emissions, and thus necessitating testing of higher inclusion levels and standardization of the plant extract using key bioactive compounds associated with methane inhibition. Abstract Plant secondary compounds are potential rumen modifiers that can improve nutrient utilization in ruminant animals. This study evaluated the effect of Moringa (Moringa oleifera) and Neem (Azadirachta indica) leaf extracts on nutrient digestibility, growth performance, and enteric methane production in South African Mutton Merino lambs. Forty 4-month-old ram lambs with a mean body weight of 35 ± 2.2 kg were blocked by weight and from each block, lambs were randomly allocated into one of the following treatments: (i) diet only (fed a total mixed ration TMR-negative control), (ii) Monensin (fed TMR containing Monensin sodium, 15 mg/kg DM), (iii) Moringa (fed TMR, drenched with Moringa extract 50 mg/kg feed DM intake), and (iv) Neem (fed TMR, drenched with Neem extract 50 mg/kg DM intake). Extracts were administered via oral drenching at a concentration determined based on the previous week’s feed intake. There were no differences in dry matter intake, average daily gain, feed conversion efficiency, digestibility, and nitrogen retention across the treatments. However, the extracts tended to reduce methane emitted both in g/head/day (p < 0.08) and g/ kg dry matter intake (p < 0.07). Extracts did not influence any of the blood metabolites in the ram lambs. Although the benefits of utilizing these medicinal plants as rumen modifiers under prolonged feeding conditions is justified, further evaluation is recommended to test Moringa and Neem leaf extracts at higher inclusion levels. Our research group is currently exploring a variety of phytogenic tools for the identification and standardization of key bioactive compounds linked to methane inhibition, in these leaf extracts.
A collection of recent ctenophore sightings from the Maltese Islands

The only ctenophore reports from Maltese coastal waters ever published date back to over 40 years ago, with only two comb jelly species being previously recorded from such waters. A collection of recent ctenophore sightings from Maltese coastal waters, all substantiated through underwater photography or video footage and pertaining to Leucothea multicornis, Beroe cucumis and Beroe forskalii, is hereby reported. These sightings were submitted by members of the public as part of the citizen science initiative known as „Spot the Jellyfish‟.
Are urbanized areas source of life satisfaction? Evidence from EU regions

This paper studies the relationship between urbanization and life satisfaction in European NUTS 2 regions in the period 2004–2011 based on individual level data. Results suggest that life satisfaction is greater in regions characterized by intermediate levels of urbanization. Urbanization benefits also filter down along the regional urban hierarchy and are especially positive for those individuals living in rural areas of urbanized regions. Eastern European countries depart from this average trend, and, generally, experience negative direct and indirect urbanization effects, especially in the most urbanized regions. Este articulo estudia la relacion entre la urbanizacion y la satisfaccion de vida en las regiones europeas NUTS 2 en el periodo 2004–2011 a partir de datos de caracter individual. Los resultados sugieren que la satisfaccion de vida es mayor en regiones caracterizadas por niveles intermedios de urbanizacion. Los beneficios de la urbanizacion tambien se reparten a lo largo de la jerarquia urbana regional y son especialmente positivos para las personas que viven en las zonas rurales de las regiones urbanizadas. Los paises de la Europa del Este se alejan de esta tendencia promedio y, en general, experimentan efectos de urbanizacion negativos directos e indirectos, especialmente en las regiones mas urbanizadas. 本稿では、2004年から2011年までの、欧州の第二種地域統計分類単位(NUTS2)の地域における都市化と生活満足度の関連性を、個人レベルのデータを基に検討する。 結果から、都市化度が中等度の地域において生活満足度が高いことが示唆される。 都市化がもたらす利益は、その地域の都市階層(urban hierarchy)に沿って徐々に行き渡り、特に都市化が進んだ地域の農村部に住む人々に利益があることが顕著である。 この平均的なトレンドから逸脱した東ヨーロッパの国々は、概して都市化のマイナス効果を直接的にも間接的にも被っており、特に最も都市化が進んだ地域で顕著である。
On Encapsulated Dielectric Barrier Discharge Plasma Sources for Radar Cross Section Reduction in Mobile Environments

This paper deals with the practical application of Radar Cross Section (RCS) reduction technology using plasma. Although various plasma application technologies for RCS reduction have been studied, there are still many issues to be addressed for practical implementation. In order to achieve actual application, the discharge should be sustained regardless of the external environment of the aircraft. It is also important to investigate the actual plasma parameters to determine the expected RCS reduction effect. Building upon previous studies that optimized the electrodes for RCS reduction, this study fabricates a Dielectric Barrier Discharge (DBD) source suitable for dynamic environments and verifies the power consumption during one cycle of plasma generation. The obtained results are expected to contribute to the optimization of DBD electrodes for plasma RCS reduction.
Gut microbiome and blood glucose control in type 1 diabetes: a systematic review

Objective The risk of developing micro- and macrovascular complications is higher for individuals with type 1 diabetes (T1D). Numerous studies have indicated variations in gut microbial composition between healthy individuals and those with T1D. These changes in the gut ecosystem may lead to inflammation, modifications in intestinal permeability, and alterations in metabolites. Such effects can collectively impact the metabolic regulation system, thereby influencing blood glucose control. This review aims to explore the relationship between the gut microbiome, inflammation, and blood glucose parameters in patients with T1D. Methods Google Scholar, PubMed, and Web of Science were systematically searched from 2003 to 2023 using the following keywords: “gut microbiota,” “gut microbiome,” “bacteria,” “T1D,” “type 1 diabetes,” “autoimmune diabetes,” “glycemic control,” “glucose control,” “HbA1c,” “inflammation,” “inflammatory,” and “cytokine. ” The examination has shown 18,680 articles with relevant keywords. After the exclusion of irrelevant articles, seven observational papers showed a distinct gut microbial signature in T1D patients. Results This review shows that, in T1D patients, HbA1c level was negatively correlated with abundance of Prevotella, Faecalibacterium, and Ruminococcaceae and positively correlated with abundance of Dorea formicigenerans, Bacteroidetes, Lactobacillales, and Bacteriodes. Instead, Bifidobacteria was negatively correlated with fasting blood glucose. In addition, there was a positive correlation between Clostridiaceae and time in range. Furthermore, a positive correlation between inflammatory parameters and gut dysbiosis was revealed in T1D patients. Conclusion We draw the conclusion that the gut microbiome profiles of T1D patients and healthy controls differ. Patients with T1D may experience leaky gut, bacterial translocation, inflammation, and poor glucose management due to microbiome dysbiosis. Direct manipulation of the gut microbiome in humans and its effects on gut permeability and glycemic control, however, have not been thoroughly investigated. Future research should therefore thoroughly examine other potential pathophysiological mechanisms in larger studies.
The Response of Electron Pitch Angle Distributions to the Upper Limit on Stably Trapped Particles

We use Van Allen Probes electron data during 70 geomagnetic storms to examine the response of equatorial pitch angle distributions (PADs) at L* = 4.0–4.5 to a theoretical upper limit on stably trapped particle fluxes. Of the energies examined, 54 and 108 keV electron PADs isotropize to a previously assumed level within 6 hr of reaching the limit, near‐identically across all 70 storms, consistent with rapid pitch angle scattering due to chorus wave interactions. In around 30% of events, 54 keV electrons completely exceed the KP limit, before being quickly subdued. 470 and 749 keV PADs show clear indications of an upper limit, though less aligned with the calculated limit used here. The consistency of an absolute upper limit shown across all events demonstrates the importance of this phenomena in both the limiting effect on electron flux and consistently influencing electron PAD evolution during geomagnetic storms. These results also highlight the need for further investigation, particularly related to the limiting of higher energy electrons.
Identification of Major Soil Nutritional Constraints in Vertisol, Inceptisol and Entisol from Ambajogai Tahsil of Beed District

The study was conducted on Vertisols, Inceptisols and Entisols located in Ambajogai tahsil of Beed district and the purpose to evaluate the major soil nutritional constrains for addressing fertility indices of soil. For this purpose 140 representative soil samples were collected at 0-20 cm depth from different villages of Ambajogai tahsil. These soil samples were analyzed for physico-chemical properties and status of available P, K, S, exchangeable Ca, and Mg. These soil samples were analyzed for soil properties and fertility status of soil. The soils under the study were neutral to alkaline in reaction, safe in limit of electrical conductivity and moderately calcareous to calcareous in nature. These soils were low to high in content of organic carbon. The soil samples were low in available N and P and high in available K. While, the exchangeable Ca and available S were in sufficient quantity, while exchangeable Mg ranged from low to high. However, the organic carbon showed positive and significant correlation with available N, P, K pH and CaCO3 showed negative. According to nutrient index value of the soils of Ambajogai tahsil were found in low category for available N and P, while high with respect to available K, S and exchangeable Ca, whereas medium for exchangeable Mg.