Miracle-dz/UniFAR-FTUs huggingface dataset:
Major in-hospital complications after catheter ablation of cardiac arrhythmias: individual case analysis of 43 031 procedures

Abstract Aims In-hospital complications of catheter ablation for atrial fibrillation (AF), atrial flutter (AFL), and ventricular tachycardia (VT) may be overestimated by analyses of administrative data. Methods and results We determined the incidences of in-hospital mortality, major bleeding, and stroke around AF, AFL, and VT ablations in four German tertiary centres between 2005 and 2020. All cases were coded by the G-DRG- and OPS-systems. Uniform code search terms were applied defining both the types of ablations for AF, AFL, and VT and the occurrence of major adverse events including femoral vascular complications, iatrogenic tamponade, stroke, and in-hospital death. Importantly, all complications were individually reviewed based on patient-level source records. Overall, 43 031 ablations were analysed (30 361 AF; 9364 AFL; 3306 VT). The number of ablations/year more than doubled from 2005 (n = 1569) to 2020 (n = 3317) with 3 times and 2.5 times more AF and VT ablations in 2020 (n = 2404 and n = 301, respectively) as compared to 2005 (n = 817 and n = 120, respectively), but a rather stable number of AFL ablations (n = 554 vs. n = 612). Major peri-procedural complications occurred in 594 (1.4%) patients. Complication rates were 1.1% (n = 325) for AF, 1.0% (n = 95) for AFL, and 5.3% (n = 175) for VT. With an increase in complex AF/VT procedures, the overall complication rate significantly increased (0.76% in 2005 vs. 1.81% in 2020; P = 0.004); but remained low over time. Following patient-adjudication, all in-hospital cardiac tamponades (0.7%) and strokes (0.2%) were related to ablation. Major femoral vascular complications requiring surgical intervention occurred in 0.4% of all patients. The in-hospital mortality rate adjudicated to be ablation-related was lower than the coded mortality rate: AF: 0.03% vs. 0.04%; AFL: 0.04% vs. 0.14%; VT: 0.42% vs. 1.48%. Conclusion Major adverse events are low and comparable after catheter ablation for AFL and AF (∼1.0%), whereas they are five times higher for VT ablations. In the presence of an increase in complex ablation procedures, a moderate but significant increase in overall complications from 2005–20 was observed. Individual case analysis demonstrated a lower than coded ablation-related in-hospital mortality. This highlights the importance of individual case adjudication when analysing administrative data.
Equivalent ‘smear’ effect due to non-uniform consolidation surrounding a PVD

This paper investigated the effect of non-uniform consolidation within a prefabricated vertical drain (PVD) unit cell on the average degree of consolidation through laboratory model tests and finite-element analysis. By considering the permeability (k) changing with the void ratio (e), the results of the finite-element analysis showed that the effect of non-uniform consolidation has a considerable effect on the average degree of consolidation of a PVD unit cell. Further laboratory model tests of a PVD unit cell were conducted, and analyses of the model test results confirmed the effect of non-uniform consolidation. Finally, a method of considering the effect of non-uniform consolidation for the analysis of PVD-induced consolidation was established with an equivalent ‘smear’ effect concept.
Nicotinamide mononucleotide alleviates endotoxin-induced acute lung injury by modulating macrophage polarization via the SIRT1/NF-κB pathway

Abstract Context Sepsis-induced acute lung injury (ALI) is a severe condition with limited effective therapeutics; nicotinamide mononucleotide (NMN) has been reported to exert anti-inflammatory activities. Objective This study explores the potential mechanisms by which NMN ameliorates sepsis-induced ALI in vivo and in vitro. Materials and methods Cultured MH-S cells and a murine model were used to evaluate the effect of NMN on sepsis-induced ALI. MH-S cells were stimulated with LPS (1 μg/mL) and NMN (500 μM) for 12 h grouping as control, LPS, and LPS + NMN. Cell viability, apoptotic status, and M1/2 macrophage-related markers were detected. The mice were pretreated intraperitoneally with NMN (500 mg/kg) and/or EX-527 (5 mg/kg) 1 h before LPS injection and randomized into 7 groups (n = 8): control, LPS, LPS + NMN, NMN, LPS + NMN + EX-527 (a SIRT1 inhibitor), LPS + EX-527, and EX-527. After 12 h, lung histopathology, W/D ratio, MPO activity, NAD+ and ATP levels, M1/2 macrophage-related markers, and expression of the SIRT1/NF-κB pathway were detected. Results In MH-S cells, NMN significantly decreased the apoptotic rate from 12.25% to 5.74%. In septic mice, NMN improved the typical pathologic findings in lungs and reduced W/D ratio and MPO activity, but increased NAD+ and ATP levels. Additionally, NMN suppressed M1 but promoted M2 polarization, and upregulated the expression of SIRT1, with inhibition of NF-κB-p65 acetylation and phosphorylation. Furthermore, inhibition of SIRT1 reversed the effects of NMN-induced M2 macrophage polarization. Conclusions NMN protects against sepsis-induced ALI by promoting M2 macrophage polarization via the SIRT1/NF-κB pathway, it might be an effective strategy for preventing or treating sepsis-induced ALI.
Epidemiology with psychometric spirit: MoBa leads autism's interdisciplinary future-a commentary on Havdahl et al. (2023).

Havdahl et al.'s (2023) Norwegian Mother, Father and Child Cohort Study (MoBa) skill loss study stands out for their creative consideration of scale items to gain a better understanding of skill loss/regression. This commentary outlines how the MoBa team continues to challenge the field by conducting "basic" measurement analyses with their public health longitudinal population data. Their creative use of items, validity-oriented analyses, and transparent reporting of item correlations emulates early-stage scale development in psychometric research, and sets the stage for considering how psychometricians and epidemiologists might more directly work with each other to improve early autism identification research.
Pulses of South Atlantic water into the tropical North Atlantic since 1825 from coral isotopes

Decadal and multidecadal changes in the meridional overturning circulation may originate from either the subpolar North Atlantic or the Southern Hemisphere. New records of carbon and oxygen isotopes from an eastern Martinique Island (Lesser Antilles) coral reveal irregular, decadal, double-step events of low ∆14C and enhanced vertical mixing, high δ18O and high δ13C values starting in 1885. Comparison of the new and published ∆14C records indicates that the last event (1956–1969) coincides with a widespread, double-step ∆14C low of South Atlantic origin from 32°N to 18°S, associated with a major slowdown of the Caribbean Current transport between 1963 and 1969. This event and the past Martinique ∆14C lows are attributed to pulses of northward advection of low ∆14C Sub-Antarctic Mode Waters into the tropical Atlantic. They are coeval with changes of the tropical freshwater budget and likely driven by meridional overturning circulation changes since ~1880.
Explainable Machine Learning Models for Rapid Risk Stratification in the Emergency Department: A Multicenter Study.

BACKGROUND Risk stratification of patients presenting to the emergency department (ED) is important for appropriate triage. Diagnostic laboratory tests are an essential part of the workup and risk stratification of these patients. Using machine learning, the prognostic power and clinical value of these tests can be amplified greatly. In this study, we applied machine learning to develop an accurate and explainable clinical decision support tool model that predicts the likelihood of 31-day mortality in ED patients (the RISKINDEX). This tool was developed and evaluated in four Dutch hospitals. METHODS Machine learning models included patient characteristics and available laboratory data collected within the first 2 h after ED presentation, and were trained using 5 years of data from consecutive ED patients from the Maastricht University Medical Center (Maastricht), Meander Medical Center (Amersfoort), and Zuyderland Medical Center (Sittard and Heerlen). A sixth year of data was used to evaluate the models using area under the receiver-operating-characteristic curve (AUROC) and calibration curves. The Shapley additive explanations (SHAP) algorithm was used to obtain explainable machine learning models. RESULTS The present study included 266 327 patients with 7.1 million laboratory results available. Models show high diagnostic performance with AUROCs of 0.94, 0.98, 0.88, and 0.90 for Maastricht, Amersfoort, Sittard and Heerlen, respectively. The SHAP algorithm was utilized to visualize patient characteristics and laboratory data patterns that underlie individual RISKINDEX predictions. CONCLUSIONS Our clinical decision support tool has excellent diagnostic performance in predicting 31-day mortality in ED patients. Follow-up studies will assess whether implementation of these algorithms can improve clinically relevant end points.
Demography and Development: Preliminary Interpretations of the 2011 Census

The pace at which India’s population is growing is slowing, but not as rapidly as expected; India will become the largest country in the world sooner than earlier forecast. Literacy rates have increased sharply between 2001 and 2011; some of the low performing rates have shown strong improvements, the others have not. The dismal picture in the 2011 Census is that even as the overall sex ratio has improved due to better adult female mortality, that of the child sex ratio has further deteriorated. High mortality among girl children and sex selective abortions have pushed the child sex ratio down in all but three states. A ccording to the provisional results of the 2011 Census, released by the Registrar General of India on 31 March 2011, India’s population as on 1 March 2011 was 1,210 million. This is larger than the population size projected by experts and most professional organisations.
Functional Flow Cytometry to Predict PD‐L1 Conformational Changes

The programmed cell death protein 1/programmed cell death protein ligand 1 (PD‐1/PD‐L1) axis is one of the most widely recognized targets for cancer immunotherapy. Importantly, PD‐L1 conformational changes can hinder target binding when living cells are used. Antibody affinity, equilibrium binding, association and dissociation rates, and other affinity‐related constants are fundamental to ensure target saturation. Here, PD‐L1 changes in conformation and their potential impact on PD‐L1 function and mutation are explored. Specifically, we present detailed flow cytometry procedures to analyze PD‐L1 reactivity in myeloid‐derived suppressor cells (MDSCs). This approach can also be used to study the contribution of protein conformational changes in living cells. © 2023 Wiley Periodicals LLC.
Coarse- and Fine-Grained Fusion Hierarchical Network for Hole Filling in View Synthesis

Depth image-based rendering (DIBR) techniques play an essential role in free-viewpoint videos (FVVs), which generate the virtual views from a reference 2D texture video and its associated depth information. However, the background regions occluded by the foreground in the reference view will be exposed in the synthesized view, resulting in obvious irregular holes in the synthesized view. To this end, this paper proposes a novel coarse and fine-grained fusion hierarchical network (CFFHNet) for hole filling, which fills the irregular holes produced by view synthesis using the spatial contextual correlations between the visible and hole regions. CFFHNet adopts recurrent calculation to learn the spatial contextual correlation, while the hierarchical structure and attention mechanism are introduced to guide the fine-grained fusion of cross-scale contextual features. To promote texture generation while maintaining fidelity, we equip CFFHNet with a two-stage framework involving an inference sub-network to generate the coarse synthetic result and a refinement sub-network for refinement. Meanwhile, to make the learned hole-filling model better adaptable and robust to the “foreground penetration” distortion, we trained CFFHNet by generating a batch of training samples by adding irregular holes to the foreground and background connection regions of high-quality images. Extensive experiments show the superiority of our CFFHNet over the current state-of-the-art DIBR methods. The source code will be available at https://github.com/wgc-vsfm/view-synthesis-CFFHNet.
Waiting to score. Conversion probability and the video assistant referee (VAR) in football penalty kicks

ABSTRACT The VAR has introduced a new element to football. Before, a decision to award a penalty kick could not be reversed. The player taking the penalty could take it relatively quickly after the referee called the foul. After the introduction of the VAR, every penalty kick decision is replayed by the VAR and also quite often reviewed on-field. As a consequence, time between the initial decision by the referee and the actual penalty kick has increased substantially. We examined the influence of the time-interval duration between the foul and the actual penalty kick on the conversion probability using a logit model. Also, we assessed the consequences of a VAR intervention, if any. We used data on all 2888 penalties awarded in top leagues in England, Spain, Germany, Italy, the Netherlands, and the UEFA Champions League, over the course of five seasons (2015/2016–2019/2020). We found that the duration between the foul and the moment the penalty is taken does not impact the conversion probability. However, whether or not the VAR intervenes with the referee’s decision has a negative effect on the conversion probability of penalty kicks. Football teams and coaches should incorporate this element of uncertainty in training.
Comparison of a single session of tDCS on cerebellum vs. motor cortex in stroke patients: a randomized sham-controlled trial

Abstract Objective The purpose of this study was to determine whether a single session of trans-cranial direct current stimulation (tDCS) of the cerebellum and M1 has any advantages over one another or sham stimulation in terms of balance, gait and lower limb function. Methods A total of 66 patients who had experienced their first ever stroke were recruited into three groups for this double-blinded, parallel, randomized, sham-controlled trial: cerebellar stimulation group (CbSG), M1 stimulation group (MSG) and sham stimulation group (SSG). A single session of anodal tDCS with an intensity of 2 mA for a duration of 20 min was administered in addition to gait and balance training based on virtual reality using an Xbox 360 with Kinect. Balance, gait, cognition and risk of fall were assessed using outcome measures before intervention (T0), immediately after intervention (T1) and an hour after intervention (T2). Results Across group analysis of all outcome measures showed statistically non-significant results (p > .05) except for Six Minute Walk Test (p value T0 = .003, p value T1 = .025, p value T2 = .016). The training effect difference showed a significant difference in balance, gait and cognition, as well as cerebral and cerebellar stimulation, in comparison to sham stimulation (p < .05). The risk of falls remained unaffected by any stimulation (p > .05). Conclusions In addition to Xbox Kinect-based rehabilitation training, a single session of anodal tDCS to the M1 or cerebellum may be beneficial for improving lower limb function, balance and gait performance.
Establishment of a staging system for visceral sarcoma

Abstract Background Visceral sarcoma is a rare malignancy with a poor prognosis. However, there is no recommended prognostic staging system for the malignant disease. Method We analyzed the data of patients diagnosed with primary soft tissue sarcoma (STS) of the abdomen and thoracic visceral organs between 2006 and 2017 at our hospital. Prognostic factors (size, tumor grade, and lymph node metastasis) were analyzed in our cohort (n = 203) and the SEER validation cohort (n = 5826). Results Tumor size, grade, and lymph node metastasis were important prognostic factors for visceral sarcoma in both our and the SEER cohorts. Based on these prognostic factors, we established a new staging system for visceral sarcoma, by which patients could be stratified into clinically meaningful and non‐overlapping stages in both our cohort and the SEER validation series. Moreover, the area under the curve (AUC) value of the staging system for 5‐year survival was 0.84 (95% CI: 0.78–0.89) in our series and 0.80 (95% CI: 0.79–0.81) in SEER series, respectively. In addition, compared with the widely used FIGO staging system for female genital sarcoma, the visceral sarcoma staging system could more effectively and reliably stratify patients into four different prognostic groups. Conclusions The visceral sarcoma staging system is applicable for STS of the abdomen and thoracic visceral organs and is better than the current FIGO staging system for female genital sarcoma and should be incorporated into the AJCC Cancer Staging Manual.
Selective chronic recording in small nerve fascicles of sciatic nerve with carbon nanotube yarns in rats

Objective. The primary challenge faced in the field of neural rehabilitation engineering is the limited advancement in nerve interface technology, which currently fails to match the mechanical properties of small-diameter nerve fascicles. Novel developments are necessary to enable long-term, chronic recording from a multitude of small fascicles, allowing for the recovery of motor intent and sensory signals. Approach. In this study, we analyze the chronic recording capabilities of carbon nanotube yarn electrodes in the peripheral somatic nervous system. The electrodes were surgically implanted in the sciatic nerve’s three individual fascicles in rats, enabling the recording of neural activity during gait. Signal-to-noise ratio (SNR) and information theory were employed to analyze the data, demonstrating the superior recording capabilities of the electrodes. Flat interface nerve electrode and thin-film longitudinal intrafascicular electrode electrodes were used as a references to assess the results from SNR and information theory analysis. Main results. The electrodes exhibited the ability to record chronic signals with SNRs reaching as high as 15 dB, providing 12 bits of information for the sciatic nerve, a significant improvement over previous methods. Furthermore, the study revealed that the SNR and information content of the neural signals remained consistent over a period of 12 weeks across three different fascicles, indicating the stability of the interface. The signals recorded from these electrodes were also analyzed for selectivity using information theory metrics, which showed an information sharing of approximately 1.4 bits across the fascicles. Significance. The ability to safely and reliably record from multiple fascicles of different nerves simultaneously over extended periods of time holds substantial implications for the field of neural and rehabilitation engineering. This advancement addresses the limitation of current nerve interface technologies and opens up new possibilities for enhancing neural rehabilitation and control.
Graphene nanoribbon woven fabric against the impact of a cylindrical projectile

Graphene nanoribbon woven fabrics (GNWFs) with excellent mechanical properties are promising for ballistic armor materials. The dynamic response of single-layer and bilayer GNWFs under nano-projectile impact at high-speed (4–5 km s−1) is investigated by molecular dynamics simulations. Results show that the woven structure is determined by the bandwidth and gap spacing, which influences the deformation/fracture and motion coupling effects of the crossed nanoribbons and the ballistic performance of GNWF. Owing to the perturbation of the van der Waals (vdW) interface between nanoribbons, the specific penetration energy of GNWFs reaches 16.02 MJ kg−1, which is much higher than that of single-layer graphene (10.80 MJ kg−1) and bilayer graphene (10.07 MJ kg−1). The peculiarities of woven structure minimize the damage of GNWFs, on the one hand, the reversibility of vdW interactions and the entanglement of nanoribbons provide GNWFs a certain self-healing ability. On the other hand, the porous nanostructure of twist-stacked bilayer GNWFs tends to be uniform and dense with the twist angle, which improves the impact resistance. This study provides more understanding of the ballistic properties of GNWFs and the design of nano-fabrics based on two-dimensional materials.
Harnessing the Power of CAR-NK Cells: A Promising Off-the-Shelf Therapeutic Strategy for CD38-Positive Malignancies.

Background CD38 is highly expressed on multiple myeloma (MM) cells and has been successfully targeted by different target therapy methods. This molecule is a critical prognostic marker in both diffuse large B-cell lymphoma and chronic lymphocytic leukemia. Objective We have designed and generated an anti-CD38 CAR-NK cell applying NK 92 cell line. The approach has potential application as an off-the-shelf strategy for treatment of CD38 positive malignancies. Methods A second generation of anti-CD38 CAR-NK cell was designed and generated, and their efficacy against CD38-positive cell lines was assessed in vitro. The PE-Annexin V and 7-AAD methods were used to determine the percentage of apoptotic target cells. Flow cytometry was used to measure IFN-γ, Perforin, and Granzyme-B production following intracellular staining. Using in silico analyses, the binding capacity and interaction interface were evaluated. Results Using Lentivirus, cells were transduced with CD38 construct and were expanded. The expression of anti-CD38 CAR on the surface of NK 92 cells was approximately 25%. As we expected from in silico analysis, our designed CD38-chimeric antigen receptor was bound appropriately to the CD38 protein. NK 92 cells that transduced with the CD38 chimeric antigen receptor, generated significantly more IFN-γ, perforin, and granzyme than Mock cells, and successfully lysed Daudi and Jurkat malignant cells in a CD38-dependent manner. Conclusion The in vitro findings indicated that the anti-CD38 CAR-NK cells have the potential to be used as an off-the-shelf therapeutic strategy against CD38-positive malignancies. It is recommended that the present engineered NK cells undergo additional preclinical investigations before they can be considered for subsequent clinical trial studies.
The speed of race

Abstract When asked to categorize faces according to ‘race’, people typically categorize other-race faces faster than faces belonging to their own race. This ‘Other Race Categorization Advantage’ is thought to reflect enhanced sensitivity to early visual signals characteristic of other-race faces, and can manifest within 200 ms of face presentation. However, recent research has highlighted the importance of signal intensity in this effect, where visual-degradation of the face images significantly enhances the effect and exposes a behavioural threshold at very low levels of visual quality where other-race visual signals are able to be perceived while same-race signals are not. The current study investigated the effect of signal intensity in race categorization processes in the brain through electroencephalography and in accuracy/reaction times. While replicating the previously observed enhancement of the other-race categorization advantage, we also found enhanced sensitivity to other-race faces in early P1 peaks, as well as later N170 and N250 peaks. These effects, however, related to the varying levels of signal intensity in the face stimuli, suggesting that race categorization may involve different types of perceptual and neural processes rather than one discrete process. The speed at which race is perceived depends on the intensity of the face signal.