Miracle-dz/UniFAR-FTUs huggingface dataset:
Impact of Multidisciplinary Stroke Post-Acute Care on Cost and Functional Status: A Prospective Study Based on Propensity Score Matching

Few papers discuss how the economic burden of patients with stroke receiving rehabilitation courses is related to post-acute care (PAC) programs. This is the first study to explore the economic burden of stroke patients receiving PAC rehabilitation and to evaluate the impact of multidisciplinary PAC programs on cost and functional status simultaneously. A total of 910 patients with stroke between March 2014 and October 2018 were separated into a PAC group (at two medical centers) and a non-PAC group (at three regional hospitals and one district hospital) by using propensity score matching (1:1). A cost–illness approach was employed to identify the cost categories for analysis in this study according to various perspectives. Total direct medical cost in the per-diem-based PAC cohort was statistically lower than that in the fee-for-service-based non-PAC cohort (p < 0.001) and annual per-patient economic burden of stroke patients receiving PAC rehabilitation is approximately US $354.3 million (in 2019, NT $30.5 = US $1). Additionally, the PAC cohort had statistical improvement in functional status vis-à-vis the non-PAC cohort and total score of each functional status before rehabilitation and was also statistically significant with its total score after one-year rehabilitation training (p < 0.001). Early stroke rehabilitation is important for restoring health, confidence, and safe-care abilities in these patients. Compared to the current stroke rehabilitation system, PAC rehabilitation shortened the waiting time for transfer to the rehabilitation ward and it was indicated as an efficient policy for treatment of stroke in saving medical cost and improving functional status.
Flotation Thermodynamics: Can We Learn anything from It?

Abstract The role of bubbles in the transportation of hydrophobic particles to a froth phase in flotation is well established. However, analysis of available data reveals that the bubbles are important most of all because they are the primary means of transportation of flotation agents to the points of bubble-to-particle attachment. The common view is that bubbles attach and lift hydrophobic particles to a froth layer. The thermodynamic analysis presented in this paper also leads to the conclusion that also the particles which become hydrophobic during the particle-bubble collision and attachment can be captivated by bubbles.
Real‐World Evidence for Assessing Pharmaceutical Treatments in the Context of COVID‐19

The emergence and global spread of the severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) has resulted in an urgent need for evidence on medical interventions and outcomes of the resulting disease, coronavirus disease 2019 (COVID‐19). Although many randomized controlled trials (RCTs) evaluating treatments and vaccines for COVID‐19 are already in progress, the number of clinical questions of interest greatly outpaces the available resources to conduct RCTs. Therefore, there is growing interest in whether nonrandomized real‐world evidence (RWE) can be used to supplement RCT evidence and aid in clinical decision making, but concerns about nonrandomized RWE have been highlighted by a proliferation of RWE studies on medications and COVID‐19 outcomes with widely varying conclusions. The objective of this paper is to review some clinical questions of interest, potential data types, challenges, and merits of RWE in COVID‐19, resulting in recommendations for nonrandomized RWE designs and analyses based on established RWE principles.
Lemongrass supplementation to Farafra ewes improved feed utilization, lactational performance and milk nutritive value in the subtropics

Abstract Application of phytogenic feed additives in livestock production is a sustainable practice and the search for more phytogenic options continues. This study was conducted to investigate the impact of lemongrass supplementation on nutrient utilization, rumen fermentation and milk production and composition. Thirty gestating Farafra ewes were randomly assigned to three experimental treatments of control (without a supplement), or with the supplementation of 5 g (LEM5 treatment), or 10 g of lemongrass/ewe/d (LEM10 treatment) for 12 weeks. Lemongrass supplementation at both doses did not influence ( p > 0.05) nutrient intake, but improved nutrient digestibility (p < 0.05). Furthermore, LEM5 and LEM10 treatments improved (p ≤ 0.001) ruminal total volatile fatty acids, acetate and propionate. Blood glucose was increased (p < 0.05) and cholesterol was decreased in ewes supplemented with lemongrass at both doses. Milk yield, energy corrected milk yield, and milk component were improved (p ≤ 0.001) in ewes supplemented with lemongrass at 5 and 10 g while the feed efficiency was decreased. Lemongrass supplementation at both doses increased (p = 0.040) the proportion of milk total conjugated linoleic acid without affecting other milk fatty acids. In most of the parameters evaluated, there was no significant difference between LEM5 and LEM10. Therefore, lemongrass supplementation at 5 g/ewe/d can be used in dairy production with positive impacts.
Suicidality, Self-efficacy, and Mental Health Help-seeking in Lesbian, Gay, Bisexual and Transgender Adults in Taiwan: a Cross-sectional Study.

AIM AND OBJECTIVES The study aimed to investigate the associations of suicide risk, self-efficacy, and mental health help-seeking among the lesbian, gay, bisexual, and transgender (LGBT). BACKGROUND The LGBT individuals were found to have higher risk of suicide. However, mental health promotion and suicide prevention strategies were lacking in this population. DESIGN A cross-sectional survey with two-group comparison. METHODS The LGBT group was recruited through snowballing method, which was then age-matched with the comparison group as the reference. The questionnaire contained demographics, self-rated health, suicide risk assessment, and help-seeking indicators including formal (e.g., medical or psychiatric services) and informal (e.g., family or friends) help sought. Chi-square tests, t-tests, two-way ANOVA and multivariable regression were performed to test the differences between two groups. The methods followed STROBE criteria. RESULTS The LGBT group had a significantly higher prevalence of lifetime/recent suicide ideation, prior suicide attempts, and mental distress or depressive symptoms. Their self-rated health and health-related self-efficacy were poorer than those of the comparison group and were associated with increased suicide risk levels. Among the 27.1% of LGBT who intended to seek help for depression, one in five visited psychiatric services. The LGBT were 2-4 times more likely than the comparison group to disclose their distress or seek informal help. However, psychiatric and medical service contacts were relatively low for suicide high-risk individuals in the LGBT group. CONCLUSIONS The LGBT individuals had a lower level of self-efficacy and higher suicidal risks than the general public. Healthcare professionals and the public should be aware of their informal help-seeking signals such as disclosure of suicide ideation to friends/relatives and connect them to proper mental health resources for further assessment. RELEVANCE TO CLINICAL PRACTICE The LGBT with suicide risks require early detection and proper referrals by first-line nurses to promote suicide prevention in this population.
Model-Based Closed-Loop Suppression of Parkinsonian Beta Band Oscillations Through Origin Analysis

Excessive beta band (13–30 Hz) oscillations have been observed in the basal ganglia (BG) of patients with Parkinson’s disease (PD). Understanding the origin and transmission of beta band oscillations are important to improve treatments of PD, such as closed-loop deep brain stimulation (DBS). This paper proposed a model-based closed-loop GPi stimulation system to suppress pathological beta band oscillations of BG. The feedback nucleus was selected through the analysis of GPi oscillations variation when different synaptic currents were blocked, mainly projections from globus pallidus external (GPe), the subthalamic nucleus (STN) and striatum. Since simulation results proved the important role of synaptic current from GPe in shaping the excessive GPi beta band oscillations, the local field potential (LFP) of GPe was chosen as the feedback signal. That is to say, the feedback nucleus was selected based on the origin analysis of the pathological GPi beta band oscillation. The closed-loop algorithm was the multiplication of linear delayed feedback of the filtered GPe-LFP and modeled synaptic dynamics from GPe to GPi. Thus, the formed stimulation waveform was synaptic current like shape, which was proved to be more energy efficient than open-loop continuous DBS in suppressing GPi beta band oscillation. With the development of DBS devices, the efficiency of this closed-loop stimulation could be testified in animal model and clinical.
A PCR plus restriction enzyme-based technique for detecting target-enzyme mutations at position Pro-106 in glyphosate-resistant Lolium perenne

The first step in managing herbicide-resistant weeds is to confirm their resistance status. It is, therefore, crucial to have a rapid, reliable and cost-effective technique to assess samples for herbicide resistance. We designed and evaluated three derived cleaved amplified polymorphic sequence (dCAPS) markers for detecting glyphosate resistance in Lolium perenne. conferred by non-synonymous mutations at codon-106 in the enolpyruvylshikimate-3-phosphate synthase (EPSPS) gene. The dCAPS markers involve amplification of the target region, digestion of the amplified products with restriction enzymes and gel-based visualisation of the digested products. The results showed that all three dCAPS markers could successfully detect mutations at codon-106 in the target enzyme. The dCAPS markers can also inform us of the zygosity state of the resistance allele and was confirmed by sequencing the target region of the EPSPS gene. The markers described here are effective quick tests for the monitoring and evaluation of the target-enzyme mechanism of glyphosate resistance in Lolium perenne.
High rates of unprotected receptive anal sex and vulnerabilities to HIV infection among Brazilian men who have sex with men

This study aimed to evaluate unprotected receptive anal sex intercourse (URAI) rates and vulnerabilities to HIV infection among men who have sex with men (MSM) that use geosocial networking dating apps in Brazil. An online, analytical, cross-sectional study was carried out with 2,250 MSM. The analyzed variables were grouped according to domains of vulnerability and analyzed by bi and multivariate statistics to calculate the Adjusted Odds Ratios (aOR). The prevalence of self-reported HIV was 7.1%; and of URAI, 23.4%. The studied variables that increased the chances of engaging in URAI were: identifying as homosexual (aOR = 8.30; 95%CI = 5.68:12.04), pansexual (aOR = 5.01; 95%CI = 2.04:12.38), or bisexual (aOR = 3.14; 95%CI = 2.03:4.80), using apps for obtaining sex (aOR = 1.3; 95%CI = 1.0:1.5), engaging in group sex (aOR = 1.6; 95%CI = 1.3:2.0), and reporting chemsex (aOR = 1.5; 95%CI = 1.1:2.0). Self-reported positive HIV status was associated with: less than a minimum wage income (aOR = 1.78; 95%CI = 1.22:2.58), lower education (aOR = 1.86; 95%CI = 1.31 CI; 2,64), not knowing the partner’s HIV status (aOR = 1.84; 95%CI = 1.06:3.19), practicing group sex (aOR = 1.67; 95%CI = 1.04; 2.68), and chemsex (aOR = 2.03; 95%CI =1.06:3.19). The applications interaction is shaped by their own users to better meet their desires and needs. However, this behavior exposes individuals to HIV vulnerabilities.
Risk Factors for Plantar Fasciitis in Physically Active Individuals: A Systematic Review and Meta-analysis

Context: Plantar fasciitis (PF) is a common condition in active individuals. The lack of agreement on PF etiology makes treatment challenging and highlights the importance of understanding risk factors for preventive efforts. Objective: The purpose of this systematic review and meta-analysis was to determine what factors may put physically active individuals at risk of developing PF. Data Sources: CENTRAL, CINAHL, EMBASE, Gray Lit, LILACS, MEDLINE (PubMed), ProQuest, Scopus, SPORTDiscus, and Web of Science were searched through April 2018 and updated in April 2020. Study Selection: Studies were included if they were original research investigating PF risk factors, compared physically active individuals with and without PF, were written in English, and were accessible as full-length, peer-reviewed articles. Study Design: Systematic review and meta-analysis. Level of Evidence: Level 3, because of inconsistent definitions and blinding used in the included observational studies. Data Extraction: Data on sample characteristics, study design and duration, groups, PF diagnosis, and risk factors were extracted. The methodological quality of the studies was assessed using the Strengthening the Reporting of Observational Studies in Epidemiology statement. When means and standard deviations of a particular risk factor were presented 2 or more times, that risk factor was included in the meta-analysis. Results: Sixteen studies were included in the systematic review and 11 risk factors in the meta-analysis. Increased plantarflexion range of motion (weighted mean difference [MD] = 7.04°; 95% CI, 5.88-8.19; P < 0.001), body mass index (MD = 2.13 kg/m2; 95% CI, 1.40-2.86; P < 0.001; I2 = 0.00%), and body mass (MD = 4.52 kg; 95% CI, 0.55-8.49; P = 0.026) were risk factors for PF. Conclusion: Interventions focused on addressing a greater degree of plantarflexion range of motion, body mass index, and body mass and their load on the force-absorbing plantar surface structures may be a good starting point in the prevention and treatment of active individuals with PF.
Functional Network Development in Sagittal Craniosynostosis Treated With Whole Vault Cranioplasty

Supplemental Digital Content is available in the text Introduction: In this study, the authors seek to clarify the neurological changes before and after whole vault cranioplasty (WVC) in patients born with sagittal craniosynostosis. Methods: A case control study design was performed that included thirty functional MRI scans, from 25 individual patients. Functional MRI and diffusion tension imaging data were analyzed with BioImageSuite (Yale University, USA). 9 functional brain networks were analyzed, with appropriate correlated functional regions of the brain and utilized for analysis. Results: Comparing functional MRI the infants after WVC versus infants before WVC group, the after WVC group demonstrated an increased connectivity in the left frontoparietal, secondary (V2), and third (V3) visual networks (P < 0.001). The right frontoparietal (RFPN) had decreased connectivity (P < 0.001). There is also a decrease and increase in anisotropy in the cingulum and precuneus despite surgery, respectively (P < 0.05). Adolescents treated with WVC compared to controls, demonstrated an increased connectivity in the salience and decreased connectivity in the RFPN relative to adolescent controls. Conclusions: Patients born with sagittal craniosynostosis have different connections in infancy in most of the defined cerebral networks compared to controls. After surgery, there are specific connectivity changes that occur in the RFPN, left frontoparietal, V2, and V3 networks, which are areas associated with executive function and emotional control. Changes identified in white matter tract microstructure connections could be influential in changes in functional connectivity. Although, as a child with sagittal craniosynostosis develops, much of the abnormal network connections, seen in infancy preoperatively, corrects to some degree after surgery. However, some aberrancies in the salience and RFPN networks remain potentially affecting executive functioning.
RNN- and LSTM-Based Soft Sensors Transferability for an Industrial Process

The design and application of Soft Sensors (SSs) in the process industry is a growing research field, which needs to mediate problems of model accuracy with data availability and computational complexity. Black-box machine learning (ML) methods are often used as an efficient tool to implement SSs. Many efforts are, however, required to properly select input variables, model class, model order and the needed hyperparameters. The aim of this work was to investigate the possibility to transfer the knowledge acquired in the design of a SS for a given process to a similar one. This has been approached as a transfer learning problem from a source to a target domain. The implementation of a transfer learning procedure allows to considerably reduce the computational time dedicated to the SS design procedure, leaving out many of the required phases. Two transfer learning methods have been proposed, evaluating their suitability to design SSs based on nonlinear dynamical models. Recurrent neural structures have been used to implement the SSs. In detail, recurrent neural networks and long short-term memory architectures have been compared in regard to their transferability. An industrial case of study has been considered, to evaluate the performance of the proposed procedures and the best compromise between SS performance and computational effort in transferring the model. The problem of labeled data scarcity in the target domain has been also discussed. The obtained results demonstrate the suitability of the proposed transfer learning methods in the design of nonlinear dynamical models for industrial systems.
Effects of different defatted rice bran sources and processing technologies on nutrient digestibility in cannulated growing pigs.

The objective of this study was to evaluate the effects of different defatted rice bran (DFRB) sources and processing technologies on nutrient digestibility in different intestinal segments of pigs. Nine barrows with T-cannula in the distal ileum were randomly allotted to 9 different sources in which oil was pressed extracted for 7 sources and was solvent-extracted for 2 sources. The experiment contained 6 periods of 12 days, including 8 days for diet adaptation, 2 days for fecal collection, and 2 days for digesta collection. The apparent ileal digestibility (AID) of dry matter (DM), ash, total dietary fiber (TDF), insoluble dietary fiber (IDF), neutral detergent fiber (NDF), acid detergent fiber (ADF) and hemicellulose in different sources DFRB were quite variable. There were no differences in the AID of dietary gross energy (GE), organic matter (OM), ether extract (EE), crude protein (CP), and soluble dietary fiber (SDF) between different sources DFRB. There were no differences in the AID of dietary EE, TDF, IDF and hemicellulose between different processing technologies. Pressed DFRB have greater (P < 0.05) average AID of dietary GE, DM, ash, OM, CP, SDF, NDF and lower (P < 0.01) ADF compared to solvent-extracted DFRB. The apparent total tract digestibility (ATTD) of most dietary nutrients, except for the ATTD of dietary EE, SDF and hemicellulose significantly varied in different sources DFRB (P < 0.05). In addition, pressed DFRB had greater (P < 0.05) ATTD of dietary SDF, NDF, ADF, and hemicellulose compared with solvent-extracted DFRB. The apparent hindgut digestibility (AHD) of dietary DM, SDF, NDF, and ADF significantly varied (P <0.05) in different sources DFRB. Exception with DM, there are no differences in AHD of nutrients digestibility between pressed DFRB and solvent-extracted DFRB. In conclusion, defatted rice bran in different sources and processing technologies with different physicochemical properties had different effects on nutrient digestibility in the foregut and hindgut of pigs.
Evaluated Gas Phase Basicities and Proton Affinities of Molecules; Heats of Formation of Protonated Molecules

The available data on gas phase basicities and proton affinities of molecules are compiled and evaluated. Tables giving the molecules ordered (1) according to proton affinity and (2) according to empirical formula, sorted alphabetically are provided. The heats of formation of the molecules and the corresponding protonated species are also listed.
“A Community of Survivors”: A Grounded Theory of Organizational Support for Survivor-Advocates in Domestic Violence Agencies

Half of today’s domestic violence (DV) advocates are survivors of intimate partner violence (IPV) or other forms of abuse. Yet, little is known about the experiences of those who are both survivors and advocates, especially regarding organizational relationships, policies, and culture, and how these factors shape well-being. This grounded theory study of 12 survivor-advocates identified three dimensions of organizational support that contribute survivor-advocates’ well-being: acknowledging their trauma-related needs, fostering belonging, and honoring strengths. In each case, these organizational factors contribute to well-being through the mechanism of validating their identities as survivors. Suggestions for organizations to better support survivor-advocates are discussed.
Decreased Sound Tolerance in Tinnitus Patients

(1) Background: Decreased sound tolerance is a significant problem in tinnitus sufferers. The aim of the study was to evaluate the relationship between tinnitus and decreased sound tolerance (hyperacusis and misophonia). (2) Methods: The study sample consisted of 74 patients with tinnitus and decreased sound tolerance. The procedure comprised patient interviews, pure tone audiometry, impedance audiometry, measurement of uncomfortable loudness levels, and administration of the Hyperacusis Questionnaire, Tinnitus Handicap Inventory, and Visual Analogue Scales. (3) Results: The majority (69%) of the patients reported that noise aggravated their tinnitus. The correlation between tinnitus and hyperacusis was found to be statistically significant and positive: r = 0.44; p < 0.01. The higher the tinnitus severity, the greater the hyperacusis. There was no correlation between misophonia and hyperacusis (r = 0.18; p > 0.05), or between misophonia and tinnitus (r = 0.06; p > 0.05). (4) Conclusions: For tinnitus patients the more significant problem was hyperacusis rather than misophonia. The diagnosis and treatment of decreased sound tolerance should take into account not only audiological, but also psychological problems of the patients.
Current Knowledge and Future Challenges in Takotsubo Syndrome: Part 2—Treatment and Prognosis

Takotsubo syndrome (TTS) represents a form of acute heart failure featured by reversible left ventricular systolic dysfunction. The management during the acute phase is mainly performed with supportive pharmacological (diuretics, ACE-inhibitors/angiotensin-receptor blockers (ARBs), anticoagulants, antiarrhythmics, non-catecholamine inotropics (levosimendan), and non-pharmacological (mechanical circulatory and respiratory support) therapy, due to the wide clinical presentation and course of the disease. However, there is a gap in evidence and there are no randomized and adequately powered studies on clinical effectiveness of therapeutic approaches. Some evidence supports the use ACE-inhibitors/ARBs at long-term. A tailored approach based on cardiovascular and non-cardiovascular risk factors is strongly suggested for long-term management. The urgent need for evidence-based treatment approaches is also reflected by the prognosis following TTS. The acute phase of the disease can be accompanied by various cardiovascular complications. In addition, long term outcome of TTS patients is also related to non-cardiovascular comorbidities. Physical triggers such as hypoxia and acute neurological disorders in TTS are associated with a poor outcome.