Miracle-dz/UniFAR-FTUs huggingface dataset:
Revisional operations among patients after surgical treatment of obesity: a multicenter Polish Revision Obesity Surgery Study (PROSS)

Introduction Revisional surgery is more technically challenging and associated with increased morbidity and mortality. Nevertheless, the frequency of revisional bariatric surgery (RBS) is increasing. Therefore, investigating this group of patients appears to be currently valid. Aim The objective of this multicenter study was to collect, systematize and present the available data on RBS after surgical treatment of morbid obesity among Polish patients. Material and methods This multicenter study included a retrospective analysis of a prospectively maintained database. Outcomes included an analysis of the indications for RBS, the type of surgery most frequently chosen as RBS and the course of the perioperative period of treatment among patients undergoing RBS. Results The group consisted of 799 patients (624 (78.1%) women, 175 (21.9%) men). The mean age was 38.96 ±9.72 years. Recurrence of obesity was the most common indication for RBS. The most frequently performed RBS procedures were one anastomosis gastric bypass (OAGB) – 294 (36.8%) patients, Roux-en-Y gastric bypass (RYGB) – 289 (36.17%) patients and sleeve gastrectomy (SG) – 172 (21.52%) patients. After primary surgery 63.58% of patients achieved sufficient weight loss, but after RBS only 38.87%. Complications were noted in 222 (27.78%) cases after RBS with GERD being the most common – 117 (14.64%) patients. Conclusions RBS most often concerns patients after SG. The main indication for RBS is weight regain. OAGB and RYGB were the two most frequently chosen types of RBS. Secondary operations lead to further weight reduction. However, RBS are associated with a significant risk of complications.
Seasonal flashiness and high frequency discharge events in headwater streams in the North Carolina Piedmont (United States)

First‐order streams are rarely the focus of research even though they play an important hydrological and ecological role in upland landscapes and may be more susceptible to human impacts than larger streams. We studied 16 first‐order streams in the North Carolina Piedmont to examine relationships between land use, discharge, flashiness and conductivity in the headwaters of the Rocky River and McDowell Creek. Stream gauges were installed on each of the 16 headwater streams to provide constant monitoring of stream depth, temperature and specific conductance. Rating curves were created for each site using models that combined field measured and Manning's calculated discharge. Initial attempts to measure flashiness using the Richards‐Baker Index (RBI) indicated that it is not a good proxy for flashiness in small streams because its use of median daily flows do not capture fluctuations that occur over short time periods. Instead, we developed a new method that focused on the number of days each stream flows above its 99th percentile flow (DMQ99). We also examined individual storm events across multiple seasons. We found that headwater streams in the Piedmont are flashier than more commonly gauged second and third order streams because first‐order streams are more directly connected to the landscape. Streams located in suburban areas tend to be flashier than streams in forested areas as a result of the increase in impervious surfaces and the reduction of evapotranspiration (ET) caused by development. Additionally, we found that all streams become flashier in the winter when ET is lower, suggesting important feedbacks between physical and biological systems. All streams experience periodic extreme conductivity events, indicating significantly impaired ecological conditions. More developed basins generally have higher maximum specific conductance compared with less developed basins although streams have significant natural variability as well. Overall, our results indicate that first‐order streams in the Piedmont are highly impacted by development and that extra caution should be exercised when altering landscapes near small streams.
Water striders (Gerris sp) and its potential as mercury bioindicators in Lake Taliwang, West Sumbawa, Indonesia

This study aims to determine the mercury accumulation in Gerris sp and its potential as a bioindicator. This type of research is experimental research. This research was conducted at Lake Taliwang and the UGM Integrated Research and Testing Laboratory. The sampling point in this study was determined based on the distance to the pollutant source. It was divided into station 1 (inlet), an area close to the pollutant source, and station 2 (outlet), far from the pollutant source. There are 3 test tests: the accumulation of mercury in water and sediment, mercury in the gerris, and the gerris as a bioindicator of mercury pollution. Analysis of the test results data is presented in descriptive statistics. The results of this study are (1) The waters of Lake Lebo are polluted by mercury, found in sediments and water, and enter the food chain, namely gerris. The mercury concentration in the inlet area is greater than the outlet area because it is closer to the pollutant source (2). Gerris can be used as a bioindicator of mercury pollution in Lake Lebo Taliwang because it can accumulate heavy metals. It meets the criteria of bioindicator organisms and is very strongly correlated with water. The finding suggests that the local government makes regulations regarding mercury metal pollution in Taliwang Lake because mercury metal can enter other food chains and is toxic to living things.
New fossils of the early Miocene stem-cervid Acteocemas (Artiodactyla, Ruminantia) from the Iberian Peninsula shed light on the evolutionary origin of deer antler regeneration

ABSTRACT Acteocemas, a very poorly documented early Miocene stem-cervid, is one of the first ruminants bearing antler-like appendages, which has provided a ground for discussion on the origin of antlers. We describe a new and very complete appendage from the site of Sant Andreu de la Barca (Spain) together with some other unpublished specimens from the nearby Costablanca attributed to Acteocemas aff. infans, compare with fossils from elsewhere in Europe (including the A. infans holotype), and perform micro-CT scans. The findings provide new empirical data that Acteocemas protoantlers were able to be cast and re-grown. However, microstructural analyses suggest that the protoantler lifespan could be longer than that of modern antlers, preventing it from assuming a similar cycle. Results support that increased seasonality associated with a drop in global temperatures played a role in the origin of antler regeneration, and that deciduousness (through bone shedding) was an efficient way for (male)deer to reduce the seasonal leftover of bone mass. The early evolution of deciduousness, as in the probable irregular protoanter cycle of Acteocemas, was limited by the warming ca. 17–15 Ma, whereas the emergence of antlers with coronet was concomitant with the second increase in seasonality associated to the cooling ca. 15–13 Ma.
Orthopedic Provider Gender Preference Among Patients in an Orthopedic Surgery Residency Program of a Hispanic American Community

Background: There are limited data regarding the gender preferences of Hispanic Americans when selecting their orthopedic surgeon. This study aimed to evaluate the gender preferences of Hispanic Americans when choosing a physician as their orthopedic provider. Materials and Methods: A cross-sectional survey was administered to all consecutive Hispanic American patients treated at the outpatient orthopedic clinics of a tertiary medical center in Puerto Rico between October 4, 2019 and March 4, 2020. Sociodemographic status and opinion of gender preference in orthopedic surgery were assessed and analyzed between female and male respondents. Results: A total of 628 surveys were completed. There were 343 (54.6%) females and 285 (45.4%) males with an average age of 51.0 ± 13.0 years. A significantly higher portion of female respondents was widowed (p = 0.01), had a higher educational level (p = 0.02), were unemployed (p = 0.01), and had a lower individual annual income salary (p = 0.04); when compared with males. Most of the respondents had no gender preference (91.1% = 572/628) for an orthopedic provider. Among those with a gender preference, 5.1% (32/628) preferred a male surgeon, and 3.8% (24/628) preferred a female surgeon. No significant difference was found between male and female respondents in the opinion of an orthopedic provider. Conclusions: This study illustrates that Hispanic Americans have no gender preference when choosing an orthopedic provider. Therefore, patient preference should not be considered a factor contributing to women's under-representation in our orthopedic surgery training program. Our findings may also assist future studies in search of other indications attributed to the under-representation of females in this field.
Differences Between Currents of Triggered Lightning Striking the Distribution Line and the Ground

In this paper, the initial stage and the return stroke current waveform parameters of rocket-triggered lightning flashes to the ground and to the distribution line have been analyzed. The results show that the average current, the charge transferred and the action integral associated with the Initial Stage with return strokes are greater than the corresponding values without return strokes. For the initial stage, the presence of the distribution line greatly reduces the maximum current, average current, charge transfer, and action integral by a factor of 0.35, 0.42, 0.51, and 0.19, respectively. For the return stroke, the presence of the distribution line has little effect on the other parameters except for a 2.4-fold increase in the 10-90% risetime. The presence of the distribution line affects the initial stage parameters more significantly than the return stroke parameters, probably because the lightning channel equivalent impedance of the initial stage is much smaller than that of the return stroke. The lightning channel equivalent impedance of the initial stage estimated in this paper is about 145 ohms and the estimated lightning channel equivalent impedance for the return stroke is greater than 2000 ohms.
Analysis of match report indicators in men's volleyball Olympics and world championships (2014–2021) depending on the type of final score

The purpose of this study was to explore the match and technical indicators between winning and losing teams in the Olympics and World Championships (2016–2021) depending on the final score of the matches. A total of 273 volleyball match reports were analyzed from the Men's Olympics (2016 and 2021) and World Championships (2014–2018). Discriminant function analysis determined which skill(s) contributed significantly to winning in matches with various score types. This study showed that for 3- and 4-set matches attack was the best predictor for team's success, while block and serve had also meaningful contribution. In 5-set matches serve and block points were the main predictors of a team's success. The results on the importance of scoring skills highlight the necessity of sustained trainability of all match actions, not favoring one, such as attack, too much. The essential for this balance is confirmed by the fact that teams do not increase their probability of winning a match by success only in attack, but also in the other terminal actions such as serve and block.
An evaluation of factors pushing youth from Majengo, Mombasa Kenya into al-Shabaab: a methodological and theoretical analysis

ABSTRACT This study examines factors influencing youth from Majengo in Mombasa County in Kenya to join the Al-Shabaab violent extremist group. Drawing on empirical data and social movement theory, the study finds several contextual factors, including religious ideology, social media, and texts, as aiding the radicalisation process. The study findings are consistent with the existing literature in the sub-field of terrorism studies indicating the non-linearity of the radicalisation journey. The study is informed by insights from 30 in-depth qualitative interviews carried out between 2016 and 2019 in Mombasa with religious leaders, academic experts, community members and various government agencies. Purposive and convenience sampling techniques were used to collect qualitative data, which were analysed thematically. Secondary data was collected from books, academic journals, newspapers and grey literature. The study contributes to noted gaps in terrorism studies on the value of primary data in the analysis of political violence.
Three-Dimensional Reconstruction Algorithm-Based Magnetic Resonance Imaging Evaluation of Biomechanical Changes in Articular Cartilage in Patients after Anterior Cruciate Ligament Reconstruction

This study aimed to investigate the evaluation of biomechanical changes in articular cartilage in patients after anterior cruciate ligament (ACL) reconstruction by magnetic resonance imaging (MRI) based on a three-dimensional (3D) finite element model. The data of 90 patients undergoing arthroscopic ACL reconstruction in the hospital were collected and divided into the stable group (54 cases) and the unstable group (36 cases). A load of up to 134N was applied to the 3D finite element model, and the kinematics of knee flexion at 0°, 30°, 60°, and 90° were examined. The tibial anteversion, tibial rotation, and ACL/graft tension were recorded in the 3D finite element model, which was randomly divided into the normal group (intact group, n = 30), the ACL rupture group (deficient group, n = 30), and the anatomical reconstruction group (anatomical group, n = 30). When the graft was fixed at 0°, the anterior tibial translation at 30°, 60°, and 90° in the anatomic group was 8–19% higher than the normal value under 134 N anterior load. The tibial internal rotation in the anatomic group was 18% and 28% higher than the normal value at 30° and 90°. When the graft was fixed at 30°, the anterior tibial translation at 60° and 90° of the anatomic group was 15% higher than the normal value. The tibial internal rotation at 90° of the anatomic group was 16% higher than the normal value, and the above differences had statistical significance (P < 0.05). MRI images were used to assess the bone tunnel angle, and the statistical analysis by the independent-samples t-test showed that there were significant differences in the bone tunnel angle between the stable group and the unstable group (P < 0.05). Currently, based on the 3D finite element model, MRI can accurately evaluate the postoperative effect of anatomical ACL reconstruction in the position, diameter, and angle of tibial and femoral bone tunnels, which can be applied to clinical promotion.
Viral Burden and Clearance in Asymptomatic COVID-19 Patients

Abstract Background Containing coronavirus disease 2019 (COVID-19) has been difficult, due to both the large number of asymptomatic infected individuals and the long duration of infection. Managing these challenges requires understanding of the differences between asymptomatic vs symptomatic patients and those with a longer duration of infectivity. Methods Individuals from Los Angeles were tested for COVID-19, and a group positive for COVID-19 chose to have follow-up testing. Associations between symptoms and demographic factors, viral burden measured by cycle threshold (CT) value, and duration of polymerase chain reaction (PCR) positivity were analyzed. Results Eighteen point eight percent of patients were positive for COVID-19. Asymptomatic COVID-19-positive patients were significantly younger than symptomatic patients (2.6 years; P < .001). There were no differences in average CT between asymptomatic and symptomatic patients. The estimated median duration of COVID-19 PCR positivity was 23 days. Being asymptomatic throughout the course of infection was the only factor associated with a shorter course of COVID-19 PCR positivity (21 vs 28 days; P = .002). Conclusions We found important differences and similarities between asymptomatic and symptomatic COVID-19-positive patients, the most meaningful being a similar level of virus as measured by PCR, but a shorter duration of PCR positivity for asymptomatic patients. These findings suggest that asymptomatic patients may have more efficient clearance of virus, which may be relevant for management and screening.
Improvement of growth and hematological profile of juvenile silver barb (Barbonymus gonionotus) through dietary probiotic (Bacillus sp.) supplementation

A 75 days feeding trial was conducted to evaluate the influence of dietary supplementation of multi-strain (Bacillus sp.) probiotic (22×10 CFU/g) on growth and hematological parameters of Barbonymus gonionotus. A total 270 uniformed size (length 2.40±0.16 cm and weight 4.25±0.01g) fishes were equally and randomly distributed in nine (three treatments each with three replication) glass aquaria of 200L capacity. The control (T1) group was fed with normal feed (Diet 1) and treatment T2 and T3 were fed a feed containing 1% (Diet 2) and 3% (Diet 3) probiotic respectively. Biometry and blood samples of experimental fishes were collected at the end of the experiment. Significantly (p<0.05) best growth performance such as length gain, weight gain, % weight gain, specific growth rate and best feed utilization parameters such as feed conversion ratio and protein efficiency ratio values were observed in fish fed with 1% probiotic supplemented diet than other treatments. Moreover, higher values in hemoglobin, hematocrit, red blood cell and white blood cell were observed in 1% probiotic treated group (T2). Other hematological indices like mean cell volume, mean cell hemoglobin and mean cell hemoglobin concentration values supported the fact that fish fed with probiotic treated diet were healthier. The result suggests that supplementing diet with 1% probiotic could be effectively used as feed supplement for improving growth and health status of B. gonionotus.
Identifying effective interventions to promote consumption of protein-rich foods from lower ecological footprint sources: A systematic literature review

Addressing overconsumption of protein-rich foods from high ecological footprint sources can have positive impacts on health such as reduction of non-communicable disease risk and protecting the natural environment. With the increased attention towards development of ecologically sustainable diets, this systematic review aimed to critically review literature on effectiveness of those interventions aiming to promote protein-rich foods from lower ecological footprint sources. Five electronic databases (Medline, Web of Science, Scopus, Embase and Global Health) were searched for articles published up to January 2021. Quantitative studies were eligible for inclusion if they reported on actual or intended consumption of protein-rich animal-derived and/or plant-based foods; purchase, or selection of meat/plant-based diet in real or virtual environments. We assessed 140 full-text articles for eligibility of which 51 were included in this review. The results were narratively synthesised. Included studies were categorised into individual level behaviour change interventions (n = 33) which included education, counselling and self-monitoring, and micro-environmental/structural behaviour change interventions (n = 18) which included menu manipulation, choice architecture and multicomponent approaches. Half of individual level interventions (52%) aimed to reduce red/processed meat intake among people with current/past chronic conditions which reduced meat intake in the short term. The majority of micro-environmental studies focused on increasing plant-based diet in dining facilities, leading to positive dietary changes. These findings point to a clear gap in the current evidence base for interventions that promote plant-based diet in the general population.
Crystallography of Contemporary Contact Insecticides

Simple Summary The efficacy of crystalline contact insecticides is dependent foremost on the uptake of insecticide molecules by insect tarsi contacting crystal surfaces. Insecticide molecules, however, may organize in more than one way in the crystalline state, resulting in more than one crystalline form (also known as polymorph). We recently discovered that the lethality of contact insecticides increases with decreasing thermodynamic stability of the crystalline forms; the most stable crystalline form is invariably the least lethal/slowest acting. Polymorphism in contact insecticides, and its importance to efficacy, was largely unknown to the vector control community. It is argued that the crystallographic characterization of contact insecticide solids should be systematic to identify more active solid forms. Herein, we report seven new crystal structures, mostly pyrethroid insecticides recommended by the WHO for indoor residual spraying, as well as a new form of a neonicotinoid insecticide. These results further highlight polymorphism in contact insecticides and the importance of solid-state chemistry in the search for more active crystal forms. Abstract The active forms of contact insecticides used for combatting mosquito-borne infectious diseases are typically crystalline solids. Numerous molecular crystals are polymorphic, crystallizing in several solid forms characterized by different physicochemical properties, including bioavailability. Our laboratory recently found that the activity of crystalline contact insecticides is inversely dependent on the thermodynamic stability of their polymorphs, suggesting that efficacy can be enhanced by the manipulation of the solid-state structure. This paper argues that crystallography should be central to the development of contact insecticides, particularly because their efficacy continues to be compromised by insecticide resistance, especially among Anopheles mosquito populations that spread malaria. Although insecticidal compounds with new modes of action have been introduced to overcome resistance, new insecticides are expensive to develop and implement. The repurposing of existing chemical agents in metastable, more active crystalline forms provides an inexpensive and efficient method for ‘evergreening’ compounds whose risks are already well-established. We report herein seven new single-crystal structures of insecticides used for controlling infectious disease vectors. The structures reported herein include pyrethroid insecticides recommended by the WHO for indoor residual spraying (IRS)-bifenthrin, β-cyfluthrin, etofenprox, α-cypermethrin, and λ-cyhalothrin as well as the neonicotinoid insecticide thiacloprid.