Miracle-dz/UniFAR-FTUs huggingface dataset:
Altered systemic levels of acute phase proteins in tuberculous lymphadenitis and modulation after treatment

Background Pulmonary tuberculosis (PTB) is characterized by elevated levels of acute phase proteins (APPs), but their association with tuberculous lymphadenitis (TBL) is poorly studied. Methods We examined the systemic levels of APPs (alpha-2-macroglobulin [⍺-2MG], serum amyloid A [SAA], C-reactive protein [CRP] and haptoglobin [Hp]) in TBL, PTB, latent tuberculosis (LTB) and healthy controls (HC) at baseline and in TBL after the completion of anti-tuberculosis treatment (ATT). We have also examined the association of these proteins with lymph node (LN) size, culture grade and multiple versus single LN involvement. Results TBL individuals exhibited increased systemic levels of ⍺-2MG, SAA, CRP and Hp in comparison to HCs and increased CRP levels in comparison to LTB individuals. TBL individuals also exhibited decreased systemic levels of Hp compared to PTB individuals. APPs were not significantly associated with LN size, LN involvement and culture grade, indicating a lack of association with disease severity. Following ATT, post-treatment levels of ⍺-2MG, CRP and Hp were significantly diminished compared to pre-treatment levels. Conclusion TBL disease is characterized by altered levels of APPs at baseline and modulated following treatment, indicating the presence of systemic inflammation.
RELMα Is Induced in Airway Epithelial Cells by Oncostatin M without Requirement of STAT6 or IL-6 in Mouse Lungs In Vivo

Resistin-like molecule alpha (RELMα) and YM-1 are secreted proteins implicated in murine models of alternatively activated macrophage (AA/M2) accumulation and Th2-skewed inflammation. Since the gp130 cytokine Oncostatin M (OSM) induces a Th2-like cytokine and AA/M2 skewed inflammation in mouse lung, we here investigated regulation of RELMα and YM-1. Transient pulmonary overexpression of OSM by Adenovirus vector (AdOSM) markedly induced RELMα and YM-1 protein expression in total lung. In situ hybridization showed that RELMα mRNA was highly induced in airway epithelial cells (AEC) and was co-expressed with CD68 mRNA in some but not all CD68+ cells in parenchyma. IL-6 overexpression (a comparator gp130 cytokine) induced RELMα, but at significantly lower levels. IL-6 (assessing IL-6−/− mice) was not required, nor was STAT6 (IL-4/13 canonical signalling) for AdOSM-induction of RELMα in AEC. AEC responded directly to OSM in vitro as assessed by pSTAT3 activation. RELMα-deficient mice showed similar inflammatory cell infiltration and cytokine responses to wt in response to AdOSM, but showed less accumulation of CD206+ AA/M2 macrophages, reduced induction of extracellular matrix gene mRNAs for COL1A1, COL3A1, MMP13, and TIMP1, and reduced parenchymal alpha smooth muscle actin. Thus, RELMα is regulated by OSM in AEC and contributes to extracellular matrix remodelling in mouse lung.
The Efficacy of Electro-Acupuncture Added to Standard Therapy in the Management of Bell Palsy

Supplemental Digital Content is available in the text Objective: To investigate the comparative efficacy of electro-acupuncture when added to standard therapy in patients with Bell palsy in terms of clinical and neurophysiologic outcomes. Methods: A total of 88 patients with Bell palsy who received standard treatment (ST group; n = 40, mean ± standard deviation age: 39.2 ± 6.6 years, 60.0% were males) or standard treatment plus electro-acupuncture (ST-EA group; n = 48, mean ± standard deviation age: 39.5 ± 6.9 years, 58.3% were males) were included. Data on patient demographics, symptoms, comorbidities, and 3-month outcomes on treatment response assessed via House-Brackmann grading system and facial nerve recovery profile and electromyography were recorded. Results: Application of ST-EA versus ST was associated with a significantly higher rate of normal nerve function on 12th week electromyography (66.7% versus 25.0%, P = 0.020), higher frequency of patients with House-Brackmann grade ≤2 in the 3rd week (79.2% versus 45.0%, P = 0.029), 6th week (87.5% versus 45.0%, P = 0.004), and 12th week (95.8% versus 50.0%, P = 0.001), and those with facial nerve recovery profile scores ≥8 in the 6th week (83.3% versus 45.0%, P = 0.011) and 12th week (87.5% versus 50.0%, P = 0.009) of treatment. Conclusion: In conclusion, our findings in patients with Bell palsy revealed superiority of electro-acupuncture added to standard therapy over standard therapy alone in terms of improvement of nerve dysfunction, decrease in paralysis severity, and better functional recovery. This seems to indicate the likelihood of electro-acupuncture to be a safe and promising adjunct in the achievement of more satisfactory clinical outcomes in the management of Bell palsy when used in combination with standard medical and physiotherapy.
Post‐dilatation trepidation: Post‐dil is “no big dil”

Selective stent post‐dilatation (PD) in a cohort of STEMI patients did not affect major adverse cardiac events but it did decrease device‐oriented composite events, a secondary composite end point of less clear significance. This study suggests that selective stent PD in STEMI does not increase the incidence of acute no‐reflow or long‐term adverse clinical events. In primary PCI for STEMI, if the stent appears under‐expanded, then PD, perhaps guided by intravascular imaging (which was not reported in this study), is reasonable.
Contemporary patterns in kidney graft survival from donors after circulatory death in the United States

Background Kidney transplants from donors after circulatory death (DCD) make up an increasing proportion of all deceased donor kidney transplants in the United States (US). However, DCD grafts are considered to be of lower quality than kidneys from donors after brain death (DBD). It is unclear whether graft survival is different for these two types of donor kidneys. Materials and methods We conducted a retrospective cohort study of US deceased donor kidney recipients using data from the United Network of Organ Sharing from 12/4/2014 to 6/30/2018. We employed a Cox proportional hazard model with mixed effects to compare all-cause graft loss and death-censored graft loss for DCD versus DBD deceased donor kidney transplant recipients. We used transplant center as the random effects term to account for cluster-specific random effects. In the multivariable analysis, we adjusted for recipient characteristics, donor factors, and transplant logistics. Results Our cohort included 27,494 DBD and 7,770 DCD graft recipients transplanted from 2014 to 2018 who were followed over a median of 1.92 years (IQR 1.08–2.83). For DCD compared with DBD recipients, we did not find a significant difference in all-cause graft loss (hazard ratio [HR] 0.96, 95% confidence interval [CI] 0.87–1.05 in univariable and HR 1.03 [95% CI 0.95–1.13] in multivariable analysis) or for death-censored graft loss (HR 0.97 (95% CI 0.91–1.06) in univariable and 1.05 (95% CI 0.99–1.11) in multivariable analysis). Conclusions For a contemporary cohort of deceased donor kidney transplant recipients, we did not find a difference in the likelihood of graft loss for DCD compared with DBD grafts. These findings signal a need for additional investigation into whether DCD status independently contributes to other important outcomes for current kidney transplant recipients and indices of graft quality.
Motion Sensors-Based Machine Learning Approach for the Identification of Anterior Cruciate Ligament Gait Patterns in On-the-Field Activities in Rugby Players

Anterior cruciate ligament (ACL) injuries are common among athletes. Despite a successful return to sport (RTS) for most of the injured athletes, a significant proportion do not return to competitive levels, and thus RTS post ACL reconstruction still represents a challenge for clinicians. Wearable sensors, owing to their small size and low cost, can represent an opportunity for the management of athletes on-the-field after RTS by providing guidance to associated clinicians. In particular, this study aims to investigate the ability of a set of inertial sensors worn on the lower-limbs by rugby players involved in a change-of-direction (COD) activity to differentiate between healthy and post-ACL groups via the use of machine learning. Twelve male participants (six healthy and six post-ACL athletes who were deemed to have successfully returned to competitive rugby and tested in the 5–10 year period following the injury) were recruited for the study. Time- and frequency-domain features were extracted from the raw inertial data collected. Several machine learning models were tested, such as k-nearest neighbors, naïve Bayes, support vector machine, gradient boosting tree, multi-layer perceptron, and stacking. Feature selection was implemented in the learning model, and leave-one-subject-out cross-validation (LOSO-CV) was adopted to estimate training and test errors. Results obtained show that it is possible to correctly discriminate between healthy and post-ACL injury subjects with an accuracy of 73.07% (multi-layer perceptron) and sensitivity of 81.8% (gradient boosting). The results of this study demonstrate the feasibility of using body-worn motion sensors and machine learning approaches for the identification of post-ACL gait patterns in athletes performing sport tasks on-the-field even a number of years after the injury occurred.
Adenine, adenosine, ribose and 5′-AMP adsorption to allophane

We have investigated the adsorption of adenine, adenosine, ribose, and adenosine-5′-phosphate (5′-AMP) by allophane at pH 4, 6 and 8. Adenine, adenosine and ribose gave similar isotherms, i.e. adsorption increased regularly with solution concentration and decreased in the order: pH 8 > pH 6 > pH 4. Allophane had a greater affinity for 5′-AMP than for adenine, adenosine or ribose. Further, the extent of adsorption for 5′-AMP increased in the order: pH 8 ≪ pH 6 ≈ pH 4. The adsorption of 5′-AMP at pH 4 and pH 6 was about 60 times greater than at pH 8. The strong adsorption of 5′-AMP accords with the well known high phosphate-retention capacity of allophane and allophane-rich soils. The experimental data may be rationalized in terms of the pH-dependent charge characteristics of the organic solutes and allophane. The large propensity of allophane to retain 5′-AMP is ascribed to ligand exchange between the phosphate of 5′-AMP and the hydroxyl of (HO)Al(OH2) groups, exposed at perforations on the wall of allophane spherules, giving rise to a surface (chelation) complex. The high affinity of nucleotides for allophane has implications for the possible role of allophane in the abiotic formation of RNA-type polynucleotides although nucleotide ‘immobilization’ by surface complexation might hinder RNA oligomerization.
Towards a complete mass balance and model for PCBs and PAHs in a small rural lake, Cumbria U.K.

This paper summarizes the processes of exchange/fluxes for polychlorinated biphenyls (PCBs) and polycyclic aromatic hydrocarbons (PAHs) in a small well‐studied rural lake, Esthwaite Water in northwest England. Measurements of PCB and PAH concentrations have been made in rain, air, water, dated sediment cores, and sediment trap samples over a 2‐yr study period and used to determine fluxes to and from the lake. A steady state mass balance model was used to construct an input‐output budget for the chemicals and to investigate the relative importance of transport into and out of the lake. The hydraulic transport from the lake was the most important loss mechanism for both PCBs and PAHs. Volatilization, not sedimentation, is currently the dominant loss process for PCBs in the water column, whereas, sedimentation exceeds volatilization for PAHs. The data further suggest that the current sediment‐water flux is upward for PCBs and downwards for PAHs, indicating that the sediments might be acting as a secondary source for PCBs but continue to act as a sink for PAHs. Riverine, catchment runoff, or both are believed to be the most important input for PCBs and PAHs to the lake although direct aerial deposition to the lake is also important for PCBs. Differences in the mixtures of compounds in the various compartments suggests significant fractionation of PCBs and PAHs in the air‐water‐sediment system in the lake.
"I can't stop thinking about it": Schwartz Rounds® an intervention to support students and higher education staff with emotional, social and ethical experiences at work.

It was my first clinical nursing placement and I was giving a patient a bed bath. My preceptor said, 'Sit him up when you've finished and make sure he has his call bell close by' and then she left. I carefully finished his wash and put his gown back on while chatting with him. I found it a bit difficult; he was an older man and my English wasn't easy for him to understand. But he smiled when I spoke to him. I used the bed controls and sat him up and just as I was cleaning up he made a strange noise - I turned around and he had blood all down his clean gown and he kept vomiting blood. It soaked into the clean sheets and was everywhere. I was very shocked. I had never seen so much blood. I frantically searched for the emergency button and couldn't find it, I then ran out into the hall and called for help as loudly as I could - I felt like everything was in slow motion. Eventually my preceptor came and asked what was wrong and looked into the room. She pushed the emergency bell and everyone came running. I stood back, I felt like I was in the way. My mind was racing, why didn't I know where the bell was, this was all my fault. It was all a flurry, the medical team including nurses I hadn't seen on my ward before worked hard to try and save my patient. Their resuscitation attempts were not successful; the patient died. The man who had just been smiling at me was gone. My preceptor said it wasn't my fault and not to worry. But I did worry, I couldn't stop thinking about it. I'm an international student. I live in student accommodation and haven't made many friends. I called my parents, they are both doctors in my home country. They said not to worry, it wasn't my fault. But I still felt it was my fault, it was constantly on my mind. Three weeks later I returned to university. In class I was asked how my clinical placement went and for the first time I told the story of my patient to other students and I couldn't believe how good it felt to be able to talk about it with others. The lecturer followed up afterwards and again assured me that it wasn't my fault. The relief at speaking with someone who understood how I felt was so healing. I have learned that (while clinical practice can be difficult and I felt out of my depth) sharing my experience was an important part of me making sense of a difficult situation and reflecting on it. I will always remember my patient.
Cultivable Microbial Diversity in An Acidic Temperate Lake, Lake Phelps, NC

Abstract Despite the immense benefit of freshwater habitats to the day to day activities of humans, their biological diversity remains understudied. Microbial diversity and community structure is critical to the study of ecological processes in these habitats. The naturally acidic oligotrophic lake, Lake Phelps, NC, was studied within the context of understanding sediment dwelling meiofauna using the cultivable microbial communities at three sites in the water column and sediment. Twenty-six bacterial isolates were cultivated, biochemically tested and sequenced. DNA sequence analyses of the 16S ribosomal subunit revealed 26 taxa representing three phyla (12 Proteobacteria, 12 Firmicutes, and 2 Bacteroidetes), four classes (12 Bacilli, 6 β-proteobacteria, 4 γ-proteobacteria, and 2 Flavobacteria), and six bacterial orders (12 Bacillales, 6 Neisseriales, 2 Burkholderiales, 4 Enterobacteriales, and 2 Flavobacteriales). Bacterial communities at the three sampling sites were distinct and this may be because of .
Career aspirations and factors influencing career choices of optometry students in Ghana

Optometry students in clinical years are usually faced with the challenges of making a career choice in or outside optometry. This cross sectional study was conducted to investigate the career aspirations of optometry students in Ghana. All students in their fourth to sixth year who consented to participate in the study responded to a questionnaire which explored: demographic characteristics, career aspirations, and factors influencing their choices. Descriptive statistics was used to present data as frequencies, proportions and percentages. Chi-square test and logistic regression analysis were used to evaluate relationships between variables. Two hundred and nine students from the two optometry training institutions in Ghana; Kwame Nkrumah University of Science and Technology (49.8%) and University of Cape Coast (51.2%) responded to the questionnaire. The mean (SD) age of students was 23.6 (1.9) years (males = 65.6%). On seeking admission into the university, optometry (65.6%) and human biology/medicine (28.2%) were the leading first choice programmes among participants. Participants largely aspire to be in clinical practice (64.6%) or Academia/Research (28.2%). The major factors which influenced career choices were interest in career field (64.1%) and potential good income (38.3%). Females were twice more likely to practice optometry and pursue an interest in paediatric optometry than males. Institution of study (p = .028) and information on career opportunities (p = .018) were significant predictors of students’ decision to pursue a career in academia/research. Optometry students in Ghana largely aspire to be in clinical practice, a finding which is useful for optometry training institutions and relevant stakeholders in developing the optometry programme and projecting its future in Ghana.
Le Fort III Distraction Osteogenesis Without Bicoronal Incision.

PURPOSE Recently, midfacial hypoplasia for syndromic craniosynostosi has been corrected by Le Fort III distraction osteogenesis. During conventional Le Fort III osteotomy, osteotomy is performed via bicoronal incision. In contrast, the authors have developed a technique for performing Le Fort III osteotomy using internal devices but without bicoronal incision. PATIENTS AND METHODS The authors performed the Le Fort III distraction technique in 22 patients. Of these, 17 patients underwent an approach using conventional coronal incision; the others underwent an approach without coronal incision. This new approach was performed using a McCord incision, a brow incision, and gingivo-buccal sulcus incisions. We then performed osteotomy and attached the internal device. RESULTS The age of patients ranged from 6 to 21 years (mean: 14.1 ± 5.0 years) and 6 to 38 years (mean: 19.6 ± 11.5 years) in the groups with or without coronal incision, respectively. Mean operative time was 410 ± 196 minutes in the group with coronal incision and 357 ± 121 minutes in the group without coronal incision. Mean blood loss (per unit of body weight) was 51.3 ± 38.5 and 33.9 ± 9.9 ml/kg) in the groups with or without coronal incision, respectively. There were no complications, except in the case of a 38-year-old patient, the oldest patient, who lost vision in the left eye after surgery. CONCLUSION A direct facial approach for Le Fort III distraction was useful because of its reduced operative time and blood loss. However, down fracture following incomplete osteotomy or inadequate dissection of the orbit may cause blindness. Consequently, this technique requires careful attention.
Mapping the artistic brain: Common and distinct neural activations associated with musical, drawing, and literary creativity

Whether creativity is a domain‐general or domain‐specific ability has been a topic of intense speculation. Although previous studies have examined domain‐specific mechanisms of creative performance, little is known about commonalities and distinctions in neural correlates across different domains. We applied activation likelihood estimation (ALE) meta‐analysis to identify the brain activation of domain‐mechanisms by synthesizing functional neuroimaging studies across three forms of artistic creativity: music improvisation, drawing, and literary creativity. ALE meta‐analysis yielded a domain‐general pattern across three artistic forms, with overlapping clusters in the presupplementary motor area (pre‐SMA), left dorsolateral prefrontal cortex, and right inferior frontal gyrus (IFG). Regarding domain‐specificity, musical creativity was associated with recruitment of the SMA‐proper, bilateral IFG, left precentral gyrus, and left middle frontal gyrus (MFG) compared to the other two artistic forms; drawing creativity recruited the left fusiform gyrus, left precuneus, right parahippocampal gyrus, and right MFG compared to musical creativity; and literary creativity recruited the left angular gyrus and right lingual gyrus compared to musical creativity. Contrasting drawing and literary creativity revealed no significant differences in neural activation, suggesting that these domains may rely on a common neurocognitive system. Overall, these findings reveal a central, domain‐general system for artistic creativity, but with each domain relying to some degree on domain‐specific neural circuits.
Body deformation in hatchery reared European sea bass Dicentrarchus labrax (L). Types, prevalence and effect on fish survival

The main types of body deformation found in sea bass, Dicentrarchus labrax (L), reared at the Centre Oceanologique de Bretagne, from hatching to 100 days, are described and classified. Frequency of occurrence of each type of abnormality was followed in different batches of reared fishes. Results suggest that the majority of the abnormalities which appear in larval fish are lethal (from 0 to 40 days), while those which become apparent only in the post-larval fish (after 40 days) do not interfere with survival.
Fast exchange of strontium between hair and ambient water: Implication for isotopic analysis in provenance and forensic studies

Trace elements in hair originate from intake (e.g., diet, inhalation, skin absorption), are transported in the bloodstream, and then incorporated during hair formation. However, the trace element abundance and isotopic compositions may be altered by post-eruption environmental processes. Such alterations must be addressed to obtain a meaningful interpretation of hair analysis for biomonitoring. In this study, we used strontium (Sr) isotopic analysis together with sorption kinetics of ionic Sr to quantify the rate and extent of replacement of endogenous Sr in hair by exogenous Sr from ambient water. We found that with only 10 minutes of exposure at room temperature (22°C), more than 30% of original endogenous Sr in hair was replaced with exogenous Sr from the solution. After 16 days of exposure to the solution, more than 90% of endogenous Sr was replaced, with a warmer temperature (60°C) accelerating the exchange substantially. We also found that acid leaching of exposed hair did not remove or isolate the exogenous Sr; therefore, neither the original endogenous nor the exogenous 87Sr/86Sr signal could be separated. Nonetheless, these findings illustrated that the quantitative correlation between the fraction of exogenous Sr and the soaking time, if established, could be used to estimate the length of water contact time for hair in forensic studies. Even if such time since initial contact cannot be established, the combination of acid leaching and 87Sr/86Sr analysis of hair samples may still be valuable in provenance studies to identify recent changes in the exogenous Sr pool, including movements or changes in water source.