Miracle-dz/UniFAR-FTUs huggingface dataset:
Impact of obesity on safety outcomes and treatment modifications with ado-trastuzumab emtansine in breast cancer patients

Introduction Ado-trastuzumab emtansine (T-DM1) is an antibody-drug conjugate indicated for the treatment of HER2-positive breast cancer. The 2012 American Society of Clinical Oncology guidelines on chemotherapy dosing in obesity recommend using full weight-based cytotoxic chemotherapy doses to treat obese patients with cancer. These guidelines were published prior to the advent of anticancer antibody-drug conjugates. There is a need to investigate the safety of T-DM1 in obese patients. Methods This retrospective chart review included adult patients with breast cancer receiving T-DM1. The primary endpoint was a composite of the incidence of T-DM1 treatment modifications secondary to an adverse event. Secondary outcomes included the incidence of dose reductions, dose delays, treatment discontinuations, and adverse events. Results A total of 119 patients with HER2-positive breast cancer who received T-DM1 therapy were included in this study: 44 obese patients and 75 non-obese patients. The composite outcome of treatment modifications due to toxicity was significantly higher in obese patients compared to non-obese patients (45% vs 25%, p = 0.024). Treatment delays were significantly higher in obese patients (36% vs 16%, p = 0.011). All-grade adverse events with a higher incidence in obese patients included left ventricular ejection fraction decrease (11% vs 5%), bilirubin increase (32% vs 12%), thrombocytopenia (61% vs 55%), and peripheral neuropathy (34% vs 27%). Conclusions This study suggests obese patients receiving T-DM1 may require more treatment modifications secondary to adverse events compared to non-obese patients. Larger studies are needed to determine if obese patients are at higher risk for specific T-DM1-induced adverse events.
The Rise of Endovascular Mechanical Circulatory Support Use for Cardiogenic Shock and High Risk Coronary Intervention: Considerations and Challenges

ABSTRACT Introduction: Cardiogenic shock due to acute myocardial infarction and decompensated advanced heart failure remains a source of significant morbidity and mortality. Endovascular mechanical circulatory support devices including intra-aortic balloon pump (IABP), percutaneous left ventricular assist devices (Impella and Tandemheart pumps), and veno-arterial extracorporeal oxygenation (VA-ECMO) are utilized for a broadening range of indications. Areas covered: This narrative review explores the specific devices, their distinctive hemodynamic profiles, and practical considerations. Furthermore, reviewed are the trials evaluating device outcomes which have generated significant controversy within the field of heart failure and shock. New applications and future directions are discussed. Expert opinion: Use of endovascular mechanical circulatory support has increased over the last decade, though evidence supporting their use is lacking. Development of large-scale prospective registries and clinical classification systems will facilitate patient enrollment and inform trial design. Furthermore, expansion of indications for these devices is revolutionizing how the field of heart failure and cardiogenic shock thinks about hemodynamic support. The ability to tailor therapy to a patient’s specific hemodynamic profile appears to be the future of cardiogenic shock management.
Social media analytics in nutrition research: a rapid review of current usage in investigation of dietary behaviours

Abstract Objective: Social media analytics (SMA) has a track record in business research. The utilisation in nutrition research is unknown, despite social media being populated with real-time eating behaviours. This rapid review aimed to explore the use of SMA in nutrition research with the investigation of dietary behaviours. Design: The review was conducted according to rapid review guidelines by WHO and the National Collaborating Centre for Methods and Tools. Five databases of peer-reviewed, English language studies were searched using the keywords ‘social media’ in combination with ‘data analytics’ and ‘food’ or ‘nutrition’ and screened for those with general population health using SMA on public domain, social media data between 2014 and 2020. Results: The review identified 34 studies involving SMA in the investigation of dietary behaviours. Nutrition topics included population nutrition health investigations, alcohol consumption, dieting and eating out of the home behaviours. All studies involved content analysis with evidence of surveillance and engagement. Twitter was predominant with data sets in tens of millions. SMA tools were observed in data discovery, collection and preparation, but less so in data analysis. Approximately, a third of the studies involved interdisciplinary collaborations with health representation and only two studies involved nutrition disciplines. Less than a quarter of studies obtained formal human ethics approval. Conclusions: SMA in nutrition research with the investigation of dietary behaviours is emerging, nevertheless, if consideration is taken with technological capabilities and ethical integrity, the future shows promise at a broad population census level and as a scoping tool or complementary, triangulation instrument.
Influence of Cr(CO)6 and Mo(CO)6 on the critical conditions for ignition and the velocities of flame propagation for the chain-branching oxidation of hydrogen and propylene

It has been found that small additions (∼0.1 vol%) of chromium hexacarbonyl and molybdenum hexacarbonyl promote the combustion of a stoichiometric mixture of H 2 + O 2 , resulting in a lowering of the lower limit of initiated ignition and an increase of the visible velocity of flame propagation; as this takes place, inhibition of propylene oxidation by the additives is observed indicating that hydrogen atoms do not play a noticeable role in chain branching in the initiated oxidation of hydrocarbons at room temperature; this indicates also that the kinetic mechanism of inhibition by carbonyls based on termination by the recombination of hydrogen atoms reported in the literature must be revised. Excited Cr atoms have been observed in a H 2 + O 2 flame in the presence of chromium hexacarbonyl.
Flexibility of Gut Microbiota in Ageing Individuals during Dietary Fiber Long‐Chain Inulin Intake

Scope During ageing, dysbiosis in the intestinal microbiota may occur and impact health. There is a paucity of studies on the effect of fiber on the elderly microbiota and the flexibility of the aged microbiota upon prebiotic intake. It is hypothesized that chicory long‐chain inulin consumption can change microbiota composition, microbial fermentation products, and immunity in the elderly. Methods and Results A double‐blind, placebo‐controlled trial is performed in healthy individuals (55–80 years), in which microbiota composition is studied before, during, and after two months of chicory long‐chain inulin consumption. Fecal short chain fatty acid concentrations, T cell subsets, and antibody responses against a Hepatitis B (HB) vaccine are measured as well. Inulin consumption modified the microbiota composition, as measured by 16S rRNA sequencing. Participants consuming inulin have higher microbial diversity and a relatively higher abundance of the Bifidobacterium genus, as well as Alistipes shahii, Anaerostipes hadrus, and Parabacteroides distasonis. While the immune responses remain unchanged, the isobutyric acid levels, an undesired fermentation product, tend to be lower in the inulin group. Conclusions Overall, it is shown that the gut microbiota composition is still sensitive to chicory long‐chain inulin induced changes in an ageing population, although this did not translate into an improved immune response to an HB vaccine.
Idea selection for propositional language production

ABSTRACT The ability to select an idea from an array of competing options is critical for successful propositional language production, and deficient idea selection contributes to propositional language impairments in clinical populations. We investigate whether three clinical idea selection tasks are sensitive to selection demands in neurologically unimpaired adults, and whether performance relates to age. 154 neurologically normal adults aged 18–89 years completed a neuropsychological baseline and three idea selection tasks. Stimuli either activated a dominant response or multiple competing response options. All three idea selection tasks were sensitive to selection demands in terms of reaction times but not errors. Older age was associated with greater effects of selection demands on Sentence Completion task performance only. Exploratory analyses revealed a potential role of executive functioning. Overall, we demonstrate that clinical idea selection tasks are sensitive to idea selection demands in a non-clinical sample, and show some age-related differences in performance.
6,6′‐Bis(5,5,8,8‐tetramethyl‐5,6,7,8‐tetrahydro‐benzo[1,2,4]triazin‐3‐yl) [2,2′]bipyridine, an Effective Extracting Agent for the Separation of Americium(III) and Curium(III) from the Lanthanides

Abstract The extraction of americium(III), curium(III), and the lanthanides(III) from nitric acid by 6,6′‐bis(5,5,8,8‐tetramethyl‐5,6,7,8‐tetrahydro‐benzo[1,2,4]triazin‐3‐yl)‐[2,2′]bipyridine (CyMe4‐BTBP) has been studied. Since the extraction kinetics were slow, N,N′‐dimethyl‐N,N′‐dioctyl‐2‐(2‐hexyloxy‐ethyl)malonamide (DMDOHEMA) was added as a phase transfer reagent. With a mixture of 0.01 M CyMe4‐BTBP+0.25 M DMDOHEMA in n‐octanol, extraction equilibrium was reached within 5 min of mixing. At a nitric acid concentration of 1 M, an americium(III) distribution ratio of approx. 10 was achieved. Americium(III)/lanthanide(III) separation factors between 50 (dysprosium) and 1500 (lanthanum) were obtained. Whereas americium(III) and curium(III) were extracted as disolvates, the stoichiometries of the lanthanide(III) complexes were not identified unambiguously, owing to the presence of DMDOHEMA. In the absence of DMDOHEMA, both americium(III) and europium(III) were extracted as disolvates. Back‐extraction with 0.1 M nitric acid was thermodynamically possible but rather slow. Using a buffered glycolate solution of pH=4, an americium(III) distribution ratio of 0.01 was obtained within 5 min of mixing. There was no evidence of degradation of the extractant, for example, the extraction performance of CyMe4‐BTBP during hydrolylsis with 1 M nitric acid did not change over a two month contact.
Antibody Status and Incidence of SARS-CoV-2 Infection in Health Care Workers

Abstract Background The relationship between the presence of antibodies to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and the risk of subsequent reinfection remains unclear. Methods We investigated the incidence of SARS-CoV-2 infection confirmed by polymerase chain reaction (PCR) in seropositive and seronegative health care workers attending testing of asymptomatic and symptomatic staff at Oxford University Hospitals in the United Kingdom. Baseline antibody status was determined by anti-spike (primary analysis) and anti-nucleocapsid IgG assays, and staff members were followed for up to 31 weeks. We estimated the relative incidence of PCR-positive test results and new symptomatic infection according to antibody status, adjusting for age, participant-reported gender, and changes in incidence over time. Results A total of 12,541 health care workers participated and had anti-spike IgG measured; 11,364 were followed up after negative antibody results and 1265 after positive results, including 88 in whom seroconversion occurred during follow-up. A total of 223 anti-spike–seronegative health care workers had a positive PCR test (1.09 per 10,000 days at risk), 100 during screening while they were asymptomatic and 123 while symptomatic, whereas 2 anti-spike–seropositive health care workers had a positive PCR test (0.13 per 10,000 days at risk), and both workers were asymptomatic when tested (adjusted incidence rate ratio, 0.11; 95% confidence interval, 0.03 to 0.44; P=0.002). There were no symptomatic infections in workers with anti-spike antibodies. Rate ratios were similar when the anti-nucleocapsid IgG assay was used alone or in combination with the anti-spike IgG assay to determine baseline status. Conclusions The presence of anti-spike or anti-nucleocapsid IgG antibodies was associated with a substantially reduced risk of SARS-CoV-2 reinfection in the ensuing 6 months. (Funded by the U.K. Government Department of Health and Social Care and others.)
Effect of Surface Charge on the Apatite Mineralization Process

In this current study it was investigated the influence of positively and negatively charged surfaces on apatite nucleation process from a supersaturate solution containing calcium and phosphorus (SBF solution). Glass slides were coated with polyelectrolytes thin films using a standard method to produce self-assembled monolayers (SAMs). Slides without treatment were used as control. Positive and negative glass slides were soaking in simulated body fluid (1.5 SBF) for 2, 8, 24 and 96 hours. The surfaces were characterized by scanning electron microscopy (SEM). Accordingly, the apatite mineralization was observed on all surfaces, no matter the surface charge. No remarkable morphological changes were verified between the precipitate in both positive and negative surfaces. It suggests that the crystal growth is not influenced by the initial attraction between either a negative surface and Ca2+ ions or a positive one and PO43- ions.
Forensic Identification of Endodontically Treated Teeth after Heat-Induced Alterations: An In Vitro Study

Objective: The study aimed to highlight the relationship between forensic science and endodontics by illustrating CBCT records can be used as legal evidence for forensic analysis and evaluate the effect of elevated temperature on the endodontically treated teeth. Methods: The present study was conducted on 40 extracted permanent mandibular premolars, which were divided into two groups based on predetermined incineration temperature: Group I - 400°C & Group II - 800°C subjected for 15 minutes holding time in a digital burnout furnace. The root canal treatment was performed for both the groups and a Pre-incineration CBCT scan was taken for both the groups as an ante-mortem data. Following heating analysis, root canal treated teeth were examined using a stereomicroscope at 20x resolution to evaluate the morphological changes. The post-incineration CBCT scan was taken as the post-mortem record for each group. Both ante-mortem records and post-mortem records were compared for the forensic analysis. Results: The endodontically treated teeth display a series of macroscopic and stereo-microscopic changes for each temperature scale. The CBCT records identify the thermal stress-induced 3D alterations in the gutta-percha filled teeth. Conclusion: Knowledge of changes in human dentition and traces of the endodontically treated teeth can help forensic experts for the identification of the fire victims.
JUUL E-Cigarette Quit Attempts and Cessation Perceptions in College Student JUUL E-Cigarette Users

Purpose: This study describes the frequency of JUUL e-cigarette (referred to as JUUL) quit attempts and identifies characteristics associated with confidence in quitting and perceived difficulty quitting JUUL. Design: Cross-sectional study from a self-administered online survey. Setting: Two public southern California universities. Participants: A total of 1,001 undergraduate students completed the survey from February to May 2019. Measures: Self-report measures about JUUL included use, history of quit attempts, time to first use, perceived difficulty with cessation/reduction, and confidence in quitting. Analysis: Binary logistic regressions were used to identify demographic and tobacco-related behavioral correlates of JUUL cessation-related perceptions and behaviors. Results: Nearly half of ever-JUUL users (47.8%) reported a JUUL quit attempt. Adjusting for demographic factors and other tobacco product use, shorter time to first JUUL use after waking was associated with lower confidence in quitting JUUL (aOR = 0.02, 0.00-0.13) and greater perceived difficulty in quitting JUUL (aOR = 8.08, 2.15-30.35). Previous JUUL quit attempt history was also associated with greater odds of perceived difficulty quitting JUUL (aOR = 5.97, 1.74-20.53). Conclusions: History of JUUL quit attempts among college students was common. Those who had previously tried quitting were more likely to perceive difficulty with cessation. Time to first JUUL use, a marker of dependence, was linked with greater perceived cessation difficulty and lower confidence in quitting. These findings suggest that there is a need for cessation and relapse prevention support for college student JUUL users.
Is Initial Board Certification Associated With Better Early Career Surgical Outcomes?

Supplemental Digital Content is available in the text Objective: To determine if initial American Board of Surgery certification in general surgery is associated with better risk-adjusted patient outcomes for Medicare patients undergoing partial colectomy by an early career surgeon. Background: Board certification is a voluntary commitment to professionalism, continued learning, and delivery of high-quality patient care. Not all surgeons are certified, and some have questioned the value of certification due to limited evidence that board-certified surgeons have better patient outcomes. In response, we examined the outcomes of certified versus noncertified early career general surgeons. Methods: We identified Medicare patients who underwent a partial colectomy between 2008 and 2016 and were operated on by a non-subspecialty trained surgeon within their first 5 years of practice. Surgeon certification status was determined using the American Board of Surgery data. Generalized linear mixed models were used to control for patient-, procedure-, and hospital-level effects. Primary outcomes were the occurrence of severe complications and occurrence of death within 30 days. Results: We identified 69,325 patients who underwent a partial colectomy by an early career general surgeon. The adjusted rate of severe complications after partial colectomy by certified (n = 4239) versus noncertified (n = 191) early-career general surgeons was 9.1% versus 10.7% (odds ratio 0.83, P = 0.03). Adjusted mortality rate for certified versus noncertified early-career general surgeons was 4.9% versus 6.1% (odds ratio 0.79, P = 0.01). Conclusion: Patients undergoing partial colectomy by an early career general surgeon have decreased odds of severe complications and death when their surgeon is board certified.
Effect of a gas–liquid separator on the hydrodynamics and circulation flow regimes in internal‐loop airlift reactors

The role of the gas–liquid separator on hydrodynamic characteristics in an internal-loop airlift reactor (ALR) was investigated. Both gas holdup and liquid velocity were measured in a 30 dm3 airlift reactor with two different head configurations: with and without an enlarged separator. A magnetic tracer method using a neutrally buoyant magnetic particle as flowfollower was used to measure the liquid velocity in all sections of the internal-loop airlift reactor. Average liquid circulation velocities in the main parts of the ALR were compared for both reactor configurations. At low air flow rates the separator had no influence on gas holdup, circulation velocity and intensity of turbulence in the downcomer and separator. At higher superficial air velocities, however, the separator design had a decisive effect on the hydrodynamic parameters in the downcomer and the separator. On the other hand, the gas holdup in the riser was only slightly influenced by the separator configuration in the whole range of air flow. Circulation flow regimes, characterising the behaviour of bubbles in the downcomer, were identified and the effect of the separator on these regimes was assessed. © 2001 Society of Chemical Industry
Novel P,C-orthopalladated complexes containing histidine and phenylalanine amino acids: synthesis, DNA and BSA interactions, in vitro antitumoral activity and molecular docking approach

Abstract Novel [Pd(o-CH2C6H4P(o-tolyl)2)(histidine)] (1) and [Pd(o-CH2C6H4P(o tolyl)2)(phenylalanine)] (2) P,C-orthopalladated complexes have been prepared and characterized by elemental analysis, IR and NMR spectroscopy. To study the stability of the compounds in biological media, the complexes were incubated in Tris buffer during 10 days. The absorbance of the compounds remained constant, which confirmed the stability of the complexes in biological media. UV-Vis absorption spectrophotometry, fluorescence spectroscopy and viscosity studies were used to investigate the binding of the complexes with native calf thymus DNA (CT-DNA). These methods along with competitive binding of methylene blue (MB) DNA show that the complexes interact with DNA via groove mode. The UV-Vis absorption spectrophotometry of BSA with complexes has shown an α-helix perturbation induced by a particular interaction between the metal complexes and BSA. In addition, the fluorescence quenching mechanism of BSA with the complexes is a static process, according to the fluorescence spectrometry of bovine serum albumin (BSA). The experimental results of site competitive replacement with specific site markers are clear indications that the complexes bind to site I of BSA. Furthermore, both complexes showed significant selective cytotoxic activity against melanoma B16F0 and colon carcinoma C26 cancer cells as well as normal fibroblast NIH cell line. Ultimately, the binding of Pd(II) complexes to DNA and BSA was verified by molecular docking experiment. Communicated by Ramaswamy H. Sarma
Kif3a deletion prevents primary cilia assembly on oligodendrocyte progenitor cells, reduces oligodendrogenesis and impairs fine motor function

Primary cilia are small microtubule‐based organelles capable of transducing signals from growth factor receptors embedded in the cilia membrane. Developmentally, oligodendrocyte progenitor cells (OPCs) express genes associated with primary cilia assembly, disassembly, and signaling, however, the importance of primary cilia for adult myelination has not been explored. We show that OPCs are ciliated in vitro and in vivo, and that they disassemble their primary cilia as they progress through the cell cycle. OPC primary cilia are also disassembled as OPCs differentiate into oligodendrocytes. When kinesin family member 3a (Kif3a), a gene critical for primary cilium assembly, was conditionally deleted from adult OPCs in vivo (Pdgfrα‐CreER™:: Kif3a fl/fl transgenic mice), OPCs failed to assemble primary cilia. Kif3a‐deletion was also associated with reduced OPC proliferation and oligodendrogenesis in the corpus callosum and motor cortex and a progressive impairment of fine motor coordination.