Miracle-dz/UniFAR-FTUs huggingface dataset:
Palliative Care Use Among People Living With HIV and Cancer: An Analysis of the National Cancer Database (2004-2018)

PURPOSE: People living with HIV (PLWH) diagnosed with cancer are less likely to receive quality cancer treatment compared with HIV-negative patients. Timely provision of palliative care (PC) during cancer treatment can increase patient's survival and improve quality of life. Our objective was to compare the use of PC by HIV status among adults diagnosed with cancer in the United States. METHODS: More than 19 million individuals age 18-90 years diagnosed with the 11 most common cancers among PLWH were selected from the National Cancer Database (2004-2018). The National Cancer Database defined PC as any surgery, radiation, systemic therapy, or pain management treatment with noncurative intent. Multivariable logistic regression was used to examine associations between HIV status and PC receipt by cancer site and stage after adjustment for covariates. RESULTS: The study population included 52,306 HIV-positive (average age: 56.5 years) and 19,115,520 HIV-negative (average age: 63.7 years) cancer cases. PLWH diagnosed with stage I-III cancer were more likely to receive PC compared with their HIV-negative counterparts (adjusted odds ratio [aO]: 1.96; 95% CI, 1.80 to 2.14); however, they were also less likely to receive curative cancer treatment (aOR, 0.48; 95% CI, 0.40 to 0.59). PLWH diagnosed with stage IV cancer were less likely to receive PC (aOR, 0.70; 95% CI, 0.66 to 0.74) compared with HIV-negative patients. When evaluated by cancer site, PLWH diagnosed with stage IV lung (aOR, 0.80; 95% CI, 0.73 to 0.87) and colorectal (aOR, 0.72, 95% CI, 0.54 to 0.95) cancers were less likely to receive PC than HIV-negative patients. CONCLUSION: PLWH diagnosed with stage IV cancer, particularly lung and colorectal cancers, were less likely to receive PC compared with cancer patients without HIV. PLWH with nonmetastatic disease were more likely to receive PC but less likely to receive curative treatment, reinforcing that clinical strategies are needed to improve the quality of care among PLWH.
Clinical Significance and Regulation of ERK5 Expression and Function in Cancer

Simple Summary Alterations of the MEK5/ERK5 signaling pathway have been described in several tumors, and emerging data are trying to explain the complexity of ERK5-related mechanisms in both physiological and pathological conditions. Here, we provide an overview of the known evidence about ERK5 expression, activity, and regulation in tumors. Moreover, our study investigated the clinical significance and the prognostic value of ERK5 deregulation in human cancer. Upregulation and overexpression of ERK5 were reported in several tumor types associated with advanced stage, metastases, and worse overall survival. In addition, we focus on emerging insights regarding the relevance of ERK5 in a tumor-associated microenvironment. Finally, the recently discovered ERK5 isoforms, correlated with pro-tumoral function and negative regulation of ERK5, were also described. Abstract Extracellular signal-regulated kinase 5 (ERK5) is a unique kinase among MAPKs family members, given its large structure characterized by the presence of a unique C-terminal domain. Despite increasing data demonstrating the relevance of the ERK5 pathway in the growth, survival, and differentiation of normal cells, ERK5 has recently attracted the attention of several research groups given its relevance in inflammatory disorders and cancer. Accumulating evidence reported its role in tumor initiation and progression. In this review, we explore the gene expression profile of ERK5 among cancers correlated with its clinical impact, as well as the prognostic value of ERK5 and pERK5 expression levels in tumors. We also summarize the importance of ERK5 in the maintenance of a cancer stem-like phenotype and explore the major known contributions of ERK5 in the tumor-associated microenvironment. Moreover, although several questions are still open concerning ERK5 molecular regulation, different ERK5 isoforms derived from the alternative splicing process are also described, highlighting the potential clinical relevance of targeting ERK5 pathways.
The effects of normobaric hypoxia on the leukocyte responses to resistance exercise

There is growing interest in the use of systemic hypoxia to improve the training adaptations to resistance exercise. Hypoxia is a well-known stimulator of the immune system, yet the leukocyte responses to this training modality remain uncharacterised. The current study characterised the acute leukocyte responses to resistance exercise in normobaric hypoxia. The single-blinded, randomised trial recruited 13 healthy males aged 18–35 years to perform a bout of resistance exercise in normobaric hypoxia (14.4% O2; n = 7) or normoxia (20.9% O2; n = 6). Participants completed 4 × 10 repetitions of lower and upper body exercises at 70% 1-repetition maximum. Oxygen saturation, rating of perceived exertion and heart rate were measured during the session. Venous blood was sampled before and up to 24 hours post-exercise to quantify blood lactate, glucose and leukocytes including neutrophils, lymphocytes, monocytes, eosinophils and basophils. Neutrophils were higher at 120 and 180 minutes post-exercise in hypoxia compared to normoxia (p<0.01), however lymphocytes, monocytes, eosinophils and basophils were unaffected by hypoxia. Oxygen saturation was significantly lower during the four exercises in hypoxia compared to normoxia (p < 0.001). However, there were no differences in blood lactate, heart rate, perceived exertion or blood glucose between groups. Hypoxia amplified neutrophils following resistance exercise, though all other leukocyte subsets were unaffected. Therefore, hypoxia does not appear to detrimentally affect the lymphocyte, monocyte, eosinophil or basophil responses to exercise.
Land-Use Change on Soil C and N Stocks in the Humid Savannah Agro-Ecological Zone of Ghana

Land-use conversion and unsustainable farming practices are degrading native forest ecosystems of Ghana’s humid savannah agro-ecological zone. This study assessed the impact of land-use change on soil C and N stocks in different land-use systems and soil types. A total of eighty (80) composite soil samples at two depths (0 - 20 cm and 20 - 50 cm) were sampled from five land use types (Forest, Woodland savannah, Grassland, Fallow and Cropland) for laboratory analyses. Particle size distribution, bulk density, pH, SOC and TN were determined using standard procedures. Results of the study indicated that C and N stocks were significantly lower in croplands (p < 0.05) compared to other land-use systems. There were significant interactions (p < 0.05) within land-use systems, soil types, and soil depth for soil C and N stocks. Acrisol and associated soils had the highest C and N stocks. A strong positive significant correlation (p < 0.05) was observed between C and N stocks with an R 2 value of 0.85 and 0.93 for the 0 - 20 and 20 - 50 cm depth, respectively. Soil C and N stocks in the study area were estimated to be 34.56 kg/m 2 and 4.63 kg/m 2 for soil types and 26.89 kg/m 2 and 3.39 kg/m 2 for land use types, respectively for the 0 to 50 cm soil depth. Our findings indicated that the conversion of native forest to arable land has significantly reduced soil C and N stocks in the top 50 cm (0.50 m) soil layer by 50.77% and 47.77%, respectively. Therefore, we conclude that land-use change, soil type, and soil depth influenced soil C and N stocks of land-use systems in the humid savannah agro-ecological zone of Ghana.
Bacterial and fungal co-infections among ICU COVID-19 hospitalized patients in a Palestinian hospital: a retrospective cross-sectional study

Background: Diagnosis of co-infections with multiple pathogens among hospitalized coronavirus disease 2019 (COVID-19) patients can be jointly challenging and essential for appropriate treatment, shortening hospital stays and preventing antimicrobial resistance. This study proposes to investigate the burden of bacterial and fungal co-infections outcomes on COVID-19 patients. It is a single center cross-sectional study of hospitalized COVID-19 patients at Beit-Jala hospital in Palestine. Methods: The study included 321 hospitalized patients admitted to the ICU between June 2020 and March 2021 aged ≥20 years, with a confirmed diagnosis of COVID-19 via reverse transcriptase-polymerase chain reaction assay conducted on a nasopharyngeal swab. The patient's information was gathered using graded data forms from electronic medical reports. Results: The diagnosis of bacterial and fungal infection was proved through the patient’s clinical presentation and positive blood or sputum culture results. All cases had received empirical antimicrobial therapy before the intensive care unit (ICU) admission, and different regimens during the ICU stay. The rate of bacterial co-infection was 51.1%, mainly from gram-negative isolates ( Enterobacter species and K.pneumoniae). The rate of fungal co-infection caused by A.fumigatus was 48.9%, and the mortality rate was 8.1%. However, it is unclear if it had been attributed to SARS-CoV-2 or coincidental. Conclusions: Bacterial and fungal co-infection is common among COVID-19 patients at the ICU in Palestine, but it is not obvious if these cases are attributed to SARS-CoV-2 or coincidental, because little data is available to compare it with the rates of secondary infection in local ICU departments before the pandemic. Comprehensively, those conclusions present data supporting a conservative antibiotic administration for severely unwell COVID-19 infected patients. Our examination regarding the impacts of employing antifungals to manage COVID-19 patients can work as a successful reference for future COVID-19 therapy.
Dynamic Primitives Limit Human Force Regulation during Motion

Humans excel at physical interaction despite long feedback delays and low-bandwidth actuators. Yet little is known about how humans manage physical interaction. A quantitative understanding of how they do is critical for designing machines that can safely and effectively interact with humans, e.g. amputation prostheses, assistive exoskeletons, therapeutic rehabilitation robots, and physical human-robot collaboration. To facilitate applications, this understanding should be in the form of a simple mathematical model that not only describes humans' capabilities but also their limitations. In robotics, hybrid control allows simultaneous, independent control of both motion and force and it is often assumed that humans can modulate force independent of motion as well. This paper experimentally tested that assumption. Participants were asked to apply a constant 5N force on a robot manipulandum that moved along an elliptical path. After initial improvement, force errors quickly plateaued, despite practice and visual feedback. Within trial analyses revealed that force errors varied with position on the ellipse, rejecting the hypothesis that humans have independent control of force and motion. The findings are consistent with a feed-forward motion command composed of two primitive oscillations acting through mechanical impedance to evoke force.
Transcriptomic analysis of Pseudomonas ogarae F113 reveals the antagonistic roles of AmrZ and FleQ during rhizosphere adaption

Rhizosphere colonization by bacteria involves molecular and cellular mechanisms, such as motility and chemotaxis, biofilm formation, metabolic versatility, or biosynthesis of secondary metabolites, among others. Nonetheless, there is limited knowledge concerning the main regulatory factors that drive the rhizosphere colonization process. Here we show the importance of the AmrZ and FleQ transcription factors for adaption in the plant growth-promoting rhizobacterium (PGPR) and rhizosphere colonization model Pseudomonas ogarae F113. RNA-Seq analyses of P. ogarae F113 grown in liquid cultures either in exponential and stationary growth phase, and rhizosphere conditions, revealed that rhizosphere is a key driver of global changes in gene expression in this bacterium. Regarding the genetic background, this work has revealed that a mutation in fleQ causes considerably more alterations in the gene expression profile of this bacterium than a mutation in amrZ under rhizosphere conditions. The functional analysis has revealed that in P. ogarae F113, the transcription factors AmrZ and FleQ regulate genes involved in diverse bacterial functions. Notably, in the rhizosphere, these transcription factors antagonistically regulate genes related to motility, biofilm formation, nitrogen, sulfur, and amino acid metabolism, transport, signalling, and secretion, especially the type VI secretion systems. These results define the regulon of two important bifunctional transcriptional regulators in pseudomonads during the process of rhizosphere colonization.
A Systematic Design Method for a Wireless Power Transfer System Based on Filter Theory

One of the major considerations for a short- or intermediate-distance wireless power transfer (WPT) system is its robustness against variations of the distance, displacement, misalignment between the transmitting and receiving coils, and variations of the loads. Designing such a robust system has not been easy since most methods require some forms of trial-and-errors or optimization that present different degrees of uncertainty. In this article, we propose a design method to overcome the above issue: we make the power transfer efficiency (PTE) function of the WPT equivalent to that of a modified filter. Then, we apply a well-established filter theory to develop a systematic WPT design method; it can keep the PTE stable within the specified ranges of the distance changes, displacements, misalignments, and load variations. We take the Chebyshev filter as an example to verify the proposed method and build and test the prototype. Experiments show that when distance and misalignments occur, the prototype can maintain the efficiency of around 90% with less than 5% in variations as predicted by the theoretical design. In comparison, the conventional magnetically coupled resonant WPT system can only maintain the efficiency of 82% with more than 20% in variations. Therefore, the proposed design method presents a new efficient and optimized way to develop a robust WPT system for practical applications.
An Efficient Knowledge-Based Artificial Neural Network for the Design of Circularly Polarized 3D-Printed Lens Antenna

An efficient knowledge-based artificial neural network (KBANN) is proposed, and it is used for the design of circularly polarized (CP) lens antenna in this paper. In this KBANN, the forward neural network (FNN) and the inverse neural network (INN) are included. In this model, the INN is the major component to predict the antenna structure parameters. As multiple performance indices are required, the INN requires large number of training samples to deduce the complex mapping relationship. To solve this problem, FNN is introduced to provide prior knowledge for the INN. The FNN generates a huge training dataset for INN training, and then the trained INN can directly output the geometric parameters by feeding the target electromagnetic responses as input. This paper solves the problem of multiple performance indices in antenna design, and a CP lens antenna with wideband, good axial ratio and high gain is designed and fabricated to verify the effectiveness of the KBANN model.
Primary Frequency Response Reserve Products for Inverter-Based Resources

Primary frequency control in power systems is being challenged by the large-scale integration of inverter-based resources (IBRs) because they do not typically respond to frequency ﬂuctuations. This paper suggests introducing new reserve products into the electricity market that provide incentive for IBRs to contribute to primary frequency control in ways that take advantage of their fast-acting capabilities. In addition to a Primary Frequency Response (PFR) reserve product, which accommodates standard droop control, we suggest introducing a Fast Frequency Response (FFR) reserve product, a reserve product for Virtual Inertia (VI), which is also known as synthetic inertia, and an inertia product. We adopt a reserve requirement that guarantees sufﬁcient primary frequency response reserve to adequately arrest frequency decline in response to a large generator outage within a certain margin. We place this reserve requirement into a real-time co-optimization problem, derive prices for each product and analyze the incentives provided to IBRs.
Cryptophyte and Photosynthetic Picoeukaryote Abundances in the Bransfield Strait during Austral Summer

A remarkable shift in the species composition and size distribution of the phytoplankton community have been observed in coastal waters along the Antarctic Peninsula over the last three decades. Smaller photoautotrophs such as cryptophytes are becoming more abundant and important for the regional ecosystems. In this study, flow cytometry was used to quantify the smallest phytoplankton in the central Bransfield Strait and explore their distribution across the strait in relation to physical and chemical properties of the two major water masses: the warmer and less saline Transitional Zonal Water with Bellingshausen Sea influence (TBW), and the cold and salty Transitional Zonal Water with Weddell Sea influence (TWW). Pico- and nano-phytoplankton clusters were distinguished and enumerated in the cytograms: photosynthetic picoeukaryotes, cryptophytes (about 9 µm in size), and smaller (3 µm) nanophytoplankton. It was shown that nanophytoplankton developed higher abundances and biomasses in the warmer and less saline TBW. This biotope was characterized by a more diverse community with a pronounced dominance of Cryptophyta in terms of biomass. The results support the hypothesis that increasing melt-water input can potentially support spatial and temporal extent of cryptophytes. The replacement of large diatoms with small cryptophytes leads to a significant shift in trophic processes in favor of the consumers such as salps, which able to graze on smaller prey.
Confirmation Bias in the Course of Instructed Reinforcement Learning in Schizophrenia-Spectrum Disorders

A large body of research attributes learning deficits in schizophrenia (SZ) to the systems involved in value representation (prefrontal cortex, PFC) and reinforcement learning (basal ganglia, BG) as well as to the compromised connectivity of these regions. In this study, we employed learning tasks hypothesized to probe the function and interaction of the PFC and BG in patients with SZ-spectrum disorders in comparison to healthy control (HC) subjects. In the Instructed Probabilistic Selection task (IPST), participants received false instruction about one of the stimuli used in the course of probabilistic learning which creates confirmation bias, whereby the instructed stimulus is overvalued in comparison to its real experienced value. The IPST was administered to 102 patients with SZ and 120 HC subjects. We have shown that SZ patients and HC subjects were equally influenced by false instruction in reinforcement learning (RL) probabilistic task (IPST) (p-value = 0.441); however, HC subjects had significantly higher learning rates associated with the process of overcoming cognitive bias in comparison to SZ patients (p-value = 0.018). The behavioral results of our study could be hypothesized to provide further evidence for impairments in the SZ-BG circuitry; however, this should be verified by neurofunctional imaging studies.
Efficacy of fibroblast growth factor 21 in non‐alcoholic fatty liver disease in guinea pigs

Fibroblast growth factor 21 (FGF21) agonists have shown promising effects in preclinical models of non‐alcoholic fatty liver disease (NAFLD) as well as in short‐term clinical trials in patients with non‐alcoholic steatohepatitis (NASH). Comparing drug formulation, dose, administration route and age, this exploratory study investigated effects of FGF21 on NAFLD‐associated measures in a validated guinea pig model. In three separate studies, female guinea pigs received a high‐fat diet prior to intervention with escalating doses of either recombinant native human FGF21 or a human FGF21 human recombinant analogue (FGF21/19 chimer) with an extended half‐life. While no significant effects of native FGF21 on the investigated endpoints were observed, the long‐acting FGF21/19 chimer significantly altered the levels of circulating lipids, increasing plasma concentrations of cholesterol (TC, LDLc and HDLc) in young guinea pigs (p < 0.01 for all three parameters). Relative liver weights were reduced in FGF21/19‐treated young animals (p < 0.05) compared to mature animals, whereas FGF21/19 reduced body weights in both age groups (p < 0.001). The FGF21/19 chimer effects on dyslipidemia, body and liver weights particularly in young animals, support an age‐associated difference in the FGF21 response. The limited effects of the native human FGF21 highlights potential species‐associated differences of this compound.
Bio-hybrid dental implants prepared using stem cells with β-TCP-coated titanium and zirconia

Purpose This study investigated periodontal ligament (PDL) restoration in osseointegrated implants using stem cells. Methods Commercial pure titanium and zirconium oxide (zirconia) were coated with beta-tricalcium phosphate (β-TCP) using a long-pulse Nd:YAG laser (1,064 nm). Isolated bone marrow mesenchymal cells (BMMSCs) from rabbit tibia and femur, isolated PDL stem cells (PDLSCs) from the lower right incisor, and co-cultured BMMSCs and PDLSCs were tested for periostin markers using an immunofluorescent assay. Implants with 3D-engineered tissue were implanted into the lower right central incisors after extraction from rabbits. Forty implants (Ti or zirconia) were subdivided according to the duration of implantation (healing period: 45 or 90 days). Each subgroup (20 implants) was subdivided into 4 groups (without cells, PDLSC sheets, BMMSC sheets, and co-culture cell sheets). All groups underwent histological testing involving haematoxylin and eosin staining and immunohistochemistry, stereoscopic analysis to measure the PDL width, and field emission scanning electron microscopy (FESEM). The natural lower central incisors were used as controls. Results The BMMSCs co-cultured with PDLSCs generated a well-formed PDL tissue that exhibited positive periostin expression. Histological analysis showed that the implantation of coated (Ti and zirconia) dental implants without a cell sheet resulted in a well-osseointegrated implant at both healing intervals, which was confirmed with FESEM analysis and negative periostin expression. The mesenchymal tissue structured from PDLSCs only or co-cultured (BMMSCs and PDLSCs) could form a natural periodontal tissue with no significant difference between Ti and zirconia implants, consequently forming a biohybrid dental implant. Green fluorescence for periostin was clearly detected around the biohybrid implants after 45 and 90 days. FESEM showed the invasion of PDL-like fibres perpendicular to the cementum of the bio-hybrid implants. Conclusions β-TCP-coated (Ti and zirconia) implants generated periodontal tissue and formed biohybrid implants when mesenchymal-tissue-layered cell sheets were isolated from PDLSCs alone or co-cultured BMMSCs and PDLSCs.
Optimal Replacement of Granite Modified with Ife Iron and Steel Slag on Strength Properties of Concrete

Steel is produced from iron ore and purification of metal scrap, leading to manufacture of hundreds of tonnes of steel slag each year. This study investigated the optimum replacement of granite with Ife Iron and Steel Nigeria Limited (ISN) slag that produce maximum Compressive Strength (CS), Split Tensile Strength (STS) and Flexural Strength (FS) of concrete using Response Surface Methodology (RSM) from Design Expert Version 7.0. The outcome of the study showed that the optimum replacement of granite with ISN was 28.85% ISN at 0.47 W/C.