Miracle-dz/UniFAR-FTUs huggingface dataset:
The Role of Social Determinants of Health in Self-Reported Access to Health Care Among Women Undergoing Screening Mammography.

Background: Social determinants of health (SDOH) contribute to health care disparities, with social and economic barriers often leading to difficulties in obtaining necessary care. We evaluated barriers to receiving health care, focusing on caretaker responsibilities, health insurance and cost, and transportation. Materials and Methods: We included women ages ≥40 years receiving screening mammography across three Breast Cancer Surveillance Consortium registries from 2012 to 2017. Women self-reported social and financial barriers to receiving health care in the 12 months before their screening mammogram. We evaluated woman- and census-based community-level factors associated with reporting a barrier using multivariate logistic regression. We assessed interaction with urban versus nonurban residence using Wald tests. Results: Among 393,430 women, 3.6% reported a barrier with a higher proportion in urban versus nonurban settings (3.9% [n = 11,977] vs. 2.2% [n = 1,655], respectively; p < 0.001). Among women reporting a barrier, health care cost and/or no insurance was the most common (49.3%), and no transportation was the least common (7.8%). Compared with white women, odds of reporting barriers were higher among black (adjusted odds ratio [aOR] = 1.30, 95% confidence interval [CI]: 1.16-1.44), Hispanic (aOR = 1.66, 95% CI: 1.53-1.80), and other race (aOR = 1.84, 95% CI: 1.65-2.04) women. Barriers were less likely in women with higher median household income (aOR = 0.69, 95% CI: 0.61-0.79) or higher average health insurance costs (aOR = 0.85, 95% CI: 0.74-0.98), but were more likely in high diversity index areas (aOR = 1.28, 95% CI: 1.11-1.48). Conclusions: Social and financial barriers exist based on race/ethnicity and SDOH related to income, insurance costs, and place of residence among women undergoing screening mammography. Breast imaging facilities could utilize information on these barriers to improve biennial screening adherence or ensure that women with abnormal findings obtain appropriate follow-up care through targeted interventions.
Multi-System Physical Exercise Intervention for Fall Prevention and Quality of Life in Pre-Frail Older Adults: A Randomized Controlled Trial

Effective interventions for indicated fall prevention are necessary for older adults with frailty. We aimed to determine the effectiveness of a Multi-system Physical Exercise (MPE) for fall prevention and Health-Related Quality of Life (HRQOL) in pre-frail older adults. This randomized control trial with allocation concealment included 72 adults aged 65 and above, identified as pre-frailty and with mild and moderate fall risk scores measured by the Physiological Profile Assessment (PPA). Randomly, using block randomization, participants were divided into two groups: an MPE group (n = 36) and a control group (n = 36). The intervention consisted mainly of proprioception, muscle strengthening, reaction time, and balance training and was carried out three days per week for 12 weeks. The primary outcome was fall risk assessed using PPA at 12 weeks post-baseline and at a 24 week follow-up. Significant differences were found in the improvement in fall risk, proprioception, muscle strength, reaction time and postural sway, and fear of fall scores in the MPE group compared with controls at week 12 and 24. In addition, HRQOL had increased significantly in the MPE group in comparison to controls. The MPE program significantly increased muscle strength and improved proprioception, reaction time, and postural sway leading to fall risk reduction in older adults with pre-frailty. Therefore, the MPE program is recommended for used in day-to-day primary care practice in the pre-frail population.
Personality Assessment and Psychotherapy Preferences: Congruence between Client Personality and Therapist Personality Preferences

Abstract Consideration of client preferences has been emphasized as important to therapeutic outcomes, such as treatment engagement and retention. Although studies have investigated several client and therapist characteristics associated with client preferences, few have considered whether people have preferences regarding a potential therapist’s personality. The current study extended prior research on client preferences by examining the influence of participants’ Big Five personality traits on preferences for therapist personality characteristics utilizing latent profile analysis. We expected congruence between client personality traits and preferred psychotherapist personality traits. In both undergraduate and community samples, results indicated that participants generally prefer a psychotherapist with personality characteristics similar to their own. Our findings establish the presence of preferences based on personality factors and have implications for future research directions and the role of personality assessment in routine clinical practice.
The effect of vitamin D supplement on negative emotions: A systematic review and meta‐analysis

The several meta‐analyses of the effect of vitamin D on depression have produced inconsistent results and studies dealing with anxiety were not incorporated. There has been no comprehensive analysis of how results are affected by the nature of the sample or the dosage and duration of supplementation. The study is aimed to investigate whether vitamin D supplementation reduces negative emotions and to analyze the possible influence of sample and regimen.
Burnout, Reasons for Living and Dehumanisation among Italian Penitentiary Police Officers

The literature on burnout syndrome among Penitentiary Police Officers (PPOs) is still rather scarce, and there are no analyses on the protective factors that can prevent these workers from the dangerous effect of burnout, with respect to the weakening of the reasons for living and de-humanization. This study aimed to examine the relationships between burnout, protective factors against weakening of the reasons for living and not desiring to die and the role of de-humanisation, utilising the Maslach Burnout Inventory (MBI); the Reasons for Living Inventory (RFL); the Testoni Death Representation Scale (TDRS); and the Human Traits Attribution Scale (HTAS), involving 86 PPOs in a North Italy prison. Results showed the presence of a high level of burnout in the group of participants. In addition, dehumanization of prisoners, which is considered a factor that could help in managing other health professional stress situations, does not reduce the level of burnout.
Estrutura genética populacional de Copaifera langsdorffii Desf. (Leguminosae - Caesalpinioideae) em fragmentos florestais no Pontal do Paranapanema, SP, Brasil

The " Pontal do Paranapanema" is the most recently deforested region of the state of Sao Paulo in Brazil. The effects of forest fragmentation on the population genetic structure of Copaifera langsdorffii Desf. were evaluated by genotyping with six microsatellite loci at least 30 adult and 30 sapling individuals of three populations in " Pontal do Paranapanema" . The sampling areas comprised two fragments located in the rural settlements Tucano (800 ha) and Madre Cristina (300 ha); and one population located in a continuous forest, the " Parque Estadual do Morro do Diabo" (35,000 ha). High levels of genetic diversity were detected in saplings and adults, gene diversity (He) ranged from 0.718 to 0.835 and average number of alleles per locus (Â) ranged from 8.67 to 11.83, showing that the fragmentation has not caused loss of alleles yet. The high estimated fixation indexes (from 0.183 to 0.387) are due to null alleles in some loci and the occurrence of inbreeding within populations. Genetic divergence was low among adults (RST = 0.035) but increased among saplings (RST = 0.075). As expected, forest fragmentation has caused a decrease in gene flow among the populations, especially between the most distant fragment (Tucano - about 8 km from the " Parque Estadual do Morro do Diabo" ). An alternative to promote gene flow among forest fragments of " Pontal do Paranapanema" would be the settle of agroforests, which would act as stepping-stones, favouring pollen and seed dispersion among fragments.
Increased circulating tumor DNA as a noninvasive biomarker of early treatment response in patients with metastatic ovarian carcinoma: A pilot study

Detection of circulating tumor DNA is a new noninvasive technique with potential roles in diagnostic, follow-up, and prognostic evaluation of patients with many types of solid tumors. We aimed to evaluate the role of circulating tumor DNA in the setting of metastatic ovarian carcinoma. A prospective cohort of patients with metastatic ovarian cancer who were referred to systemic therapy was enrolled. Blood samples were collected before the start of treatment and monthly thereafter for 6 months. Circulating tumor DNA was quantified by real-time quantitative reverse transcription polymerase chain reaction of different lengths of Arthrobacter luteus elements as described by Umetani et al. A total of 11 patients were included, 2 for primary disease and 9 for recurrent disease. After the first cycle of chemotherapy, patients whose circulating tumor DNA levels increased from baseline were more likely to respond to chemotherapy than those whose circulating tumor DNA levels did not increase (p = 0.035). Furthermore, patients whose circulating tumor DNA levels rose after the first cycle of chemotherapy also had improved disease-free survival compared to those whose circulating tumor DNA levels did not increase (p = 0.0074). We conclude that the increase in circulating tumor DNA values collected in peripheral blood after the first cycle of systemic treatment in patients with advanced ovarian cancer is associated with an early response to systemic treatment and correlates with superior disease-free survival in this population. Circulating tumor DNA might be a specific, noninvasive, and cost-effective new biomarker of early response to systemic treatment in these patients.
MICROSATELLITE POLYMORPHISMS IN NATURAL POPULATIONS OF ARABIDOPSIS THALIANA IN JAPAN

Microsatellite polymorphisms of Arabidopsis thaliana were surveyed for 29 loci using 12 Japanese natural populations as material. All the individuals examined were homozygous at all the microsatellite loci. Although there was considerable variation among populations, no intra-population polymorphism was detected in three selected populations when eight loci were studied. The microsatellites examined proved to be a suitable genetic marker for studying the genetic variation among natural populations of Arabidopsis thaliana. To compare the genetic similarity and infer the evolutionary relationships among populations, neighbor-joining trees were constructed on the basis of distance matrices calculated by two different methods. Genetic relationships among the populations as revealed in the trees do not necessarily correspond to their geographic relationships. This may reflect their different origins or different times of introduction into the Islands of Japan.
Transient Conductive Hearing Loss Regulates Cross-Modal VGLUT Expression in the Cochlear Nucleus of C57BL/6 Mice

Auditory nerve fibers synapse onto the cochlear nucleus (CN) and are labeled using the vesicular glutamate transporter-1 (VGLUT-1), whereas non-auditory inputs are labeled using the VGLUT-2. However, the underlying regulatory mechanism of VGLUT expression in the CN remains unknown. We examined whether a sound level decrease, without primary neural damage, induces cellular and VGLUT expression change in the CN, and examined the potential for neural plasticity of the CN using unilateral conductive hearing loss models. We inserted earplugs in 8-week-old mice unilaterally for 4 weeks and subsequently removed them for another 4 weeks. Although the threshold of an auditory brainstem response significantly increased across all tested frequencies following earplug insertion, it completely recovered after earplug removal. Auditory deprivation had no significant impact on spiral ganglion and ventral CN (VCN) neurons’ survival. Conversely, although the cell size and VGLUT-1 expression in the VCN significantly decreased after earplug insertion, VGLUT-2 expression in the granule cell lamina significantly increased. These cell sizes decreased and the alterations in VGLUT-1 and -2 expression almost completely recovered at 1 month after earplug removal. Our results suggested that the cell size and VGLUT expression in the CN have a neuroplasticity capacity, which is regulated by increases and decreases in sound levels. Restoration of the sound levels might partly prevent cell size decrease and maintain VGLUT expression in the CN.
Comparative Postmarket Safety Profile of Adjuvanted and High-Dose Influenza Vaccines in Individuals 65 Years or Older

Key Points Question Were the 2018 adjuvanted trivalent inactivated influenza vaccine (TIIV) and high-dose TIIV associated with adverse events in Australian individuals 65 years or older? Findings In this cohort study of active safety surveillance system data including 50 134 adults 65 years or older who responded to a short messaging service–based survey of self-reported adverse events following immunization, 94.4% of participants received an adjuvanted TIIV or high-dose TIIV. Individuals who received a high-dose TIIV reported higher rates of select adverse events, including fever and injection site reactions, but rates of seeking care were low and did not differ between enhanced vaccine groups. Meaning The findings of this postmarketing active sentinel surveillance system study consisting of self-reported adverse events following immunization suggest that these 2 new enhanced influenza vaccines were well tolerated among an older Australian population.
Effects of Citric Acid and Microbial Phytase Supplementation on Performance and Phytate Phosphorus Utilization in Broiler Chicks

An experiment was conducted to investigate the effects of supplementation of broilers diet with both citric acid and microbial phytase on performance criteria and utilization of phytate phosphorus (P) in broiler chicks from day old to 49d of age. The experiment was carried out using a completely randomized design with factorial arrangement of 3×2 (0, 2.5 and 5 percentage of citric acid and 0 and 500IU of phytase enzyme per kg). Experimental diets were formulated so that had 0.2% lower available P than positive control diet. Four replicates of 15 chicks per each were fed experimental (6 diet) and positive control diet. Weight gain (WG), feed consumption (FC), alkaline phosphatase activity, plasma Ca and P concentration, tibia ash and liver, spleen and abdominal fat weight and also mortality were measured. Supplementation of low P diet with citric acid significantly improved WG and feed: gain (P<0.05), decreased activity of alkaline phosphatase (P<0.01) and increased plasma P concentration (P<0.01), but had no significant effect on feed intake, tibia ash and plasma Ca concentration. Microbial phytase significantly (P<0.05) improved weight gain and feed: gain in low P diet and also a significant (P<0.01) interaction between citric acid and phytase was observed throughout the experimental period.
Impact of stressors in the aviation environment on xenobiotic dosimetry in humans: physiologically based prediction of the effect of barometric pressure or altitude

ABSTRACT Standard health risks from volatile organic compounds (VOCs) are generally interpreted at ambient environmental conditions. The aim of this study was to develop a strategy for using physiologically based pharmacokinetic (PBPK) modeling to compare known risks in the general population to calculated risks in pilots experiencing pressure-based stressors. PBPK models facilitate these comparisons by prediction of how target-tissue specific doses are altered when a stressor, such as high altitude, produces changes in physiological parameters. Cardiac output, regional blood flow, and alveolar ventilation rate following acute exposure to altitude ranging from moderate to extremely high were estimated from published data from 52 groups of human subjects. Scenarios where pilots might inhale toluene, 1,2,4-trimethylbenzene (1,2,4-TMB), or cyclohexane during routine military flight training were simulated. At the recommended Threshold Limit Values (TLV), arterial blood concentrations were predicted to be higher for exposure at 15000 ft (4572 m) than at sea level. The differences were greater for toluene and TMB, which have higher blood: air and fat: blood partition coefficients than less lipophilic cyclohexane. In summary, quantitative approaches to internal dosimetry prediction that take advantage of existing knowledge of physiological changes induced by occupational stressors possess potential as tools in performing a human health risk assessment.
Effect of pork quality and salt replacer KCl on technological and sensorial characteristics of restructured cooked hams

The aim of this study was to evaluate the effects of replacing sodium chloride (NaCl) by 40% of potassium chloride (KCl), combined to the use of different proportions (0, 50, and 100%) of pale, soft, and exudative meat, on the technological and sensorial characteristics of restructured cooked hams. NaCl replacement and pale, soft, and exudative proportion did not change (P > 0.05) the products’ chemical composition, water losses, pH, and color. The ham texture profile was not affected by pale, soft, and exudative meat, but the chewiness reduced (P < 0.05) with NaCl replacement. Pale, soft, and exudative meat reduced (P < 0.05) the ham sliceability from 94 to 88%, regardless of the proportion used. NaCl replacement did not affect the perceived saltiness and the products’ acceptability, but pale, soft, and exudative products were more accepted, and consumers noticed a higher salty taste. It was concluded that reducing the sodium content by partially replacing NaCl with KCl is feasible even in restructured cooked hams made with high proportions of pale, soft, and exudative meat.
Diurnal variations of photosynthesis and dew absorption by leaves in two evergreen shrubs growing in Mediterranean field conditions

The effects of summer drought, dew deposition on leaves and autumn rainfall on plant water relations and diurnal variations of photosynthesis were measured in two evergreen shrubs, rosemary (Rosmarinus officinalis) and lavender (Lavandula stoechas), grown in Mediterranean field conditions. Withholding water for 40 d caused a similar decrease in predawn shoot water potential (ψpd) from c. −0.4 to c. −1.3 MPa in both species, but a 50% decrease in the relative leaf water content in L. stoechas compared with 22% in R. officinalis. A similar decrease in CO2 assimilation rates by c. 75% was observed in water-stressed plants of both species, although L. stoechas showed smaller photosynthesis: stomatal conductance ratio than R. officinalis (35 vs 45 μmol CO2:mol H2O). The relative quantum efficiency of photosystem II photochemistry also decreased by c. 45% at midday in water- stressed plants of both species. Nevertheless, neither L. stoechas nor R. officinalis suffered drought-induced damage to photosystem II, as indicated by the maintenance of the ratio Fv:Fm throughout the experiment, associated with an increase in the carotenoid content per unit of chlorophyll by c. 62% and c. 30%, respectively, in water-stressed plants. Only L. stoechas absorbed dew by leaves. In this species the occurrence of 6 d of dew over a 15-d period improved relative leaf water content by c. 72% and shoot water potential by c. 0.5 MPa throughout the day in water-stressed plants, although the photosynthetic capacity was not recovered until the occurrence of autumn rainfall. The ability of leaves to absorb dew allowed L. stoechas to restore plant water status, which is especially relevant in plants exposed to prolonged drought.
Building a mycorrhizal cell: How to reach compatibility between plants and arbuscular mycorrhizal fungi

Abstract Arbuscular mycorrhizal fungi occur throughout the majority of ecosystems supporting host plant nutrition. Recent findings describe the accommodation of the fungus by the root cell as a crucial step for compatibility between the partners. We discuss here the novel aspects of cellular plant-fungus interactions, with a particular attention to the interface compartment, the unique apoplastic space hosting intracellular fungal structures. The main features of arbuscular mycorrhizal colonization are examined and recent information in the field of plant and fungal cell responses during the establishment of the symbiosis is discussed. Differences between the colonization of root epidermal and cortical tissues are discussed, highlighting the growing interest in the role of epidermal cells during the first and decisive steps of the symbiosis. New approaches such as root organ cultures, in vivo observations, GFP tagging and mutant plant analysis are commented on and information from these is compared with that gained from more traditional methods. In particular, the use of plant mutants is depicted as a powerful tool for dissecting and understanding the genetic and cellular aspects of plant/fungus compatibility. Finally, perspectives in this field are outlined through the application of these approaches to the currently unanswered questions.
Acute Complications of Diabetes and its Predictors among Adult Diabetic Patients at Jimma Medical Center, Southwest Ethiopia

Background Diabetes mellitus (DM) is a group of metabolic disorders characterized by hyperglycemia resulting from impairment in insulin secretion, insulin action, or both. It is responsible for a wide range of acute and chronic complications. In this study, we aimed to assess acute complications of diabetes and its predictors among adult DM patients at Jimma Medical Center (JMC), southwest Ethiopia. Methods A facility-based cross-sectional study involving 348 diabetic patients was conducted from February to May 31, 2019 at JMC. Logistic regression was conducted to identify predictors of acute complications of diabetes. Variables with P≤0.25 on bivariate logistic regression were considered candidates for multivariate regression. ORs and 95% CIs with P<0.05 were considered statistically significant. Results Of the 348 patients, 225 (64.7%) were male, and the mean age of study participants was 46±15.5 years. Most (281, 80.7%) had type 2 DM. More than two-thirds (240, 69%)had diabetes duration of <5 years. During the study period, 92 (26.4%) patients developed acute complications of diabetes. Of these, 68 (73.9%) had diabetic ketoacidosis, 21 (22.8%) a hyperglycemic hyperosmolar state, and three (3.3%) hypoglycemia. Presence of comorbidity (AOR 5.6, 95% CI 2.80–11.19), type 1 DM (AOR 9.3, 95% CI 4.36–19.82), uncontrolled blood glucose (AOR 1.91, 95% CI 1.05–3.45), and lack of access to a health facility within a reasonable distance (AOR 1.96, 95% CI 1.11–3.45) were independent predictors of acute complications of diabetes. Conclusion The magnitude of acute complications among DM patients at JMC was high. Comorbidity, type 1 DM, uncontrolled blood sugar, and lack of access to a health facility within a reasonable distance were independent predictors of acute complications. Clinicians should follow up this subgroup of DM patients closely.