Miracle-dz/UniFAR-FTUs huggingface dataset:
Characteristics and Symptoms of App Users Seeking COVID-19–Related Digital Health Information and Remote Services: Retrospective Cohort Study

Background Patient-facing digital health tools have been promoted to help patients manage concerns related to COVID-19 and to enable remote care and self-care during the COVID-19 pandemic. It has also been suggested that these tools can help further our understanding of the clinical characteristics of this new disease. However, there is limited information on the characteristics and use patterns of these tools in practice. Objective The aims of this study are to describe the characteristics of people who use digital health tools to address COVID-19–related concerns; explore their self-reported symptoms and characterize the association of these symptoms with COVID-19; and characterize the recommendations provided by digital health tools. Methods This study used data from three digital health tools on the K Health app: a protocol-based COVID-19 self-assessment, an artificial intelligence (AI)–driven symptom checker, and communication with remote physicians. Deidentified data were extracted on the demographic and clinical characteristics of adults seeking COVID-19–related health information between April 8 and June 20, 2020. Analyses included exploring features associated with COVID-19 positivity and features associated with the choice to communicate with a remote physician. Results During the period assessed, 71,619 individuals completed the COVID-19 self-assessment, 41,425 also used the AI-driven symptom checker, and 2523 consulted with remote physicians. Individuals who used the COVID-19 self-assessment were predominantly female (51,845/71,619, 72.4%), with a mean age of 34.5 years (SD 13.9). Testing for COVID-19 was reported by 2901 users, of whom 433 (14.9%) reported testing positive. Users who tested positive for COVID-19 were more likely to have reported loss of smell or taste (relative rate [RR] 6.66, 95% CI 5.53-7.94) and other established COVID-19 symptoms as well as ocular symptoms. Users communicating with a remote physician were more likely to have been recommended by the self-assessment to undergo immediate medical evaluation due to the presence of severe symptoms (RR 1.19, 95% CI 1.02-1.32). Most consultations with remote physicians (1940/2523, 76.9%) were resolved without need for referral to an in-person visit or to the emergency department. Conclusions Our results suggest that digital health tools can help support remote care and self-management of COVID-19 and that self-reported symptoms from digital interactions can extend our understanding of the symptoms associated with COVID-19.
Resveratrol and Tumor Microenvironment: Mechanistic Basis and Therapeutic Targets

Resveratrol (3,4′,5 trihydroxystilbene) is a naturally occurring non-flavonoid polyphenol. It has various pharmacological effects including antioxidant, anti-diabetic, anti-inflammatory and anti-cancer. Many studies have given special attention to different aspects of resveratrol anti-cancer properties and proved its high efficiency in targeting multiple cancer hallmarks. Tumor microenvironment has a critical role in cancer development and progression. Tumor cells coordinate with a cast of normal cells to aid the malignant behavior of cancer. Many cancer supporting players were detected in tumor microenvironment. These players include blood and lymphatic vessels, infiltrating immune cells, stromal fibroblasts and the extracellular matrix. Targeting tumor microenvironment components is a promising strategy in cancer therapy. Resveratrol with its diverse biological activities has the capacity to target tumor microenvironment by manipulating the function of many components surrounding cancer cells. This review summarizes the targets of resveratrol in tumor microenvironment and the mechanisms involved in this targeting. Studies discussed in this review will participate in building a solid ground for researchers to have more insight into the mechanism of action of resveratrol in tumor microenvironment.
Sex differences in fatigability following exercise normalised to the power–duration relationship

Knee‐extensors demonstrate greater fatigue resistance in females compared to males during single‐limb and whole‐body exercise. For single‐limb exercise, the intensity–duration relationship is different between sexes, with females sustaining a greater relative intensity of exercise. This study established the power–duration relationship during cycling, then assessed fatigability during critical power‐matched exercise within the heavy and severe intensity domains. When critical power and the curvature constant were expressed relative to maximal ramp test power, no sex difference was observed. No sex difference in time to task failure was observed in either trial. During heavy and severe intensity cycling, females experienced lesser muscle de‐oxygenation. Following both trials, females experienced lesser reductions in knee‐extensor contractile function, and following heavy intensity exercise, females experienced less reduction in voluntary activation. These data demonstrate that whilst the relative power–duration relationship is not different between males and females, the mechanisms of fatigability during critical power‐matched exercise are mediated by sex.
Experience with revision craniovertebral decompression in adult patients with Chiari malformation type 1, with or without syringomyelia

Abstract Background Craniovertebral decompression is performed for symptomatic Chiari malformation type 1, with or without syringomyelia. In a few patients the symptoms and/or syrinx persist or recur, in which case revision surgery may be offered. The aim of this study was to examine the cause of failure of primary surgery and to assess the outcomes for revision cranio-vertebral decompression. Methods We retrospectively reviewed all revision cranio-vertebral decompressions performed in our centre over an eighteen-year period. A total of 35 patients were identified (23 females; 12 males). Twenty patients had isolated Chiari malformation type 1 and a further fifteen had associated syringomyelia. The mean follow up period was 4-years (range:1–12 years). Results The mean time to revision was 7 years after the primary surgery. The commonest operative finding was that of dense arachnoid scar tissue, obstructing movement of CSF across the craniovertebral junction. Overall, 32 of the 35 patients reported improvement after surgery, including all 15 patients with syringomyelia. Improvement was maintained in the longer term in more than two thirds of those patients who underwent revision craniovertebral decompression. Conclusions Failure of primary craniovertebral decompression for Chiari malformation most often results from the formation dense scar tissue at the operation site, obstructing CSF movement. Revision cranio-vertebral decompression can provide early symptomatic relief in most patients and this benefit is sustained in at least two thirds of cases, in the medium term at least. Patients with concomitant syringomyelia appear to derive most benefit from revision surgery.
Feasibility and effects of high-intensity interval training in older adults living with HIV

ABSTRACT Adults with HIV on therapy can live a normal lifespan but exhibit advanced ageing which includes reduced cardiorespiratory fitness. Our objective was to determine the feasibility and effects of high-intensity interval training (HIIT) combined with resistance training (RT) in older adults with HIV. We conducted a cross-over pilot study within a randomized exercise trial in sedentary adults with HIV ≥50 years of age. First, participants were randomized to 4 months of continuous high-intensity aerobic exercise (AEX) and RT 3x/week or standard of care control. Then, the control group completed 4 months of HIIT + RT (3x/week). Among the 32 individuals enrolled, 26 eligible participants were randomized. Most participants were African American (63%) and male (95%) with a mean (SD) age of 61.5 (6.7) years and VO2peak of 24.5 (4.9) ml/kg/min. Attendance and adherence to both exercise training interventions were high. The clinically significant increases in VO2peak (ml/kg/min) after HIIT (3.09 ±1.04, p=0.02) and AEX (2.09 ±0.72, p=0.01) represented improvements of 17.1% and 7.7%, respectively. Both groups had improvements in exercise endurance (time on the treadmill) and strength (all p< 0.01). This pilot study supports HIIT as an efficient means to deliver high-intensity AEX to improve cardiorespiratory fitness toward the goal of attenuating the accelerated ageing process in adults with HIV.
Effects of Fumonisin-Contaminated Corn on Growth Performance of 9 to 28 kg Nursery Pigs

Fumonisin contamination in corn is an emerging issue in animal feed production. Fumonisin disrupts the metabolism of sphingolipids and reduces growth performance. This experiment was conducted to determine the effect of feeding fumonisin-contaminated corn on growth performance and sphinganine (SA) to sphingosine (SO) ratios of 9 to 28 kg pigs. A total of 350 pigs, were used with 5 pigs/pen and 14 pens/treatment. Dietary treatments contained fumonisin-contaminated corn (50 mg/kg of fumonisin B1 + B2) blended with low fumonisin corn (10 mg/kg of fumonisin B1 + B2) to provide dietary fumonisin concentrations of 7.2, 14.7, 21.9, 32.7, and 35.1 mg/kg. From day 0 to 28, increasing fumonisin concentration decreased (linear, p < 0.001) average daily gain, average daily feed intake (linear, p = 0.055), and gain:feed ratio (linear, p = 0.016). Although these response criteria tested linear, the greatest reduction in performance was in pigs fed with 32.7 and 35.1 mg/kg of fumonisin (B1 + B2). Increasing fumonisin concentration increased the serum SA:SO ratio (linear, p < 0.001) on day 14 and 28. In summary, for 9 to 28 kg nursery pigs, increasing fumonisin linearly decreased average daily gain and gain:feed ratio. However, despite the linear response, diets containing up to 21.9 mg/kg of fumonisin did not have as dramatic a decrease in growth performance as those fed more than 32.7 mg/kg. Further research is warranted to determine the effect of fumonisin concentrations between 21.9 and 32.7 mg/kg.
Forensic Footwear Reliability: Part III—Positive Predictive Value, Error Rates, and Inter‐Rater Reliability *

Over the course of 19 months, West Virginia University collected reports from 70 footwear experts, each performing 12 questioned‐test comparisons, resulting in a dataset that includes more than 1000 examiner attributes (education, training, certification status, etc.), 3500 impression features identified and evaluated (clarity, totality, and similarity), and 840 source conclusions. The results were used to estimate the performance of forensic footwear examiners in the United States, including error rates, predictive value (PV), and measures of inter‐rater reliability (IRR). For the dataset and mate‐prevalence (31.5%) used in this study, results indicate correct predictive value varies from 94.5% for exclusions, 85.0% for identifications, and between 70.1% and 65.2% for limited associations and association of class, respectively (with all other conclusions producing PVs between these extremes). After data transformation based on ground truth, the case study materials show a false‐positive rate of 0.48%, a false‐negative rate of 15.6%, a (correct) positive predictive value of 98.8%, and a (correct) negative predictive value of 93.3%. In addition to error rates and PVs, inter‐rater reliability was likewise computed to describe examiner reproducibility; results indicate a Gwet AC2 agreement coefficient of 0.751–0.692 when using a six‐ and four‐level reporting structure, respectively, which translates into “substantial” and “moderate agreement” for a benchmarked verbal equivalent scale. The reported performance metrics are further compared against past forensic footwear reliability studies, including a discussion of how the use of a six‐level reporting structure impacts results.
Polypharmacy at admission prolongs length of hospitalization in gastrointestinal surgery patients

Polypharmacy in elderly people is a social issue and has been reported to cause not only drug adverse events, but also falls, dysfunction and cognitive decline. Those events may trigger prolonged length of hospitalization. Therefore, the aim of this study was to investigate whether polypharmacy has a prolonging effect on hospitalization.
Effects of Increased N Deposition on Leaf Functional Traits of Four Contrasting Tree Species in Northeast China

Northeast China is persistently affected by heavy nitrogen (N) deposition. Studying the induced variation in leaf traits is pivotal to develop an understanding of the adaptive plasticity of affected species. This study thus assesses effects of increased N deposition on leaf morphological and anatomical traits and their correlation among and with biomass allocation patterns. A factorial experiment was conducted utilizing seedlings of two gymnosperms (Larix gmelinii, Pinus koraiensis) and two angiosperms (Fraxinus mandshurica, Tilia amurensis). Leaf mass per area and leaf density decreased and leaf thickness increased under high N deposition but trait interrelations remained stable. In gymnosperms, leaf mass per area was correlated to both leaf thickness and area, while being correlated to leaf density only in angiosperms. Epidermis, mesophyll thickness, conduit and vascular bundle diameter increased. Despite the differences in taxonomic groups and leaf habits, the common patterns of variation suggest that a certain degree of convergence exists between the species’ reaction towards N deposition. However, stomata pore length increased in angiosperms, and decreased in gymnosperms under N deposition. Furthermore, biomass and leaf mass fraction were correlated to leaf traits in gymnosperms only, suggesting a differential coordination of leaf traits and biomass allocation patterns under high N deposition per taxonomic group.
Feasibility of Ultra-Low-Dose CT for Bronchoscopy of Peripheral Lung Lesions

Background and objectives: Thin-section computed tomography (CT) is essential for identifying small bronchi during bronchoscopy using radial endobronchial ultrasound. Some patients should receive an additional CT for a thin-section image. We performed a retrospective study with a prospectively collected database to identify the optimal radiation dose for thin-section CT during peripheral bronchoscopy. Materials and Methods: In total, 91 patients with peripheral lung lesions underwent thin-section CT (both standard CT as a reference and ultra-low-dose CT (ultra-LDCT)). The patients were randomly assigned to one of four groups according to the ultra-LDCT parameters: group 1 = 120 kVp, 25 mAs; group 2 = 100 kVp, 15 mAs; group 3 = 120 kVp, 5 mAs; and group 4 = 100 kVp, 5 mAs. Two radiologists and two physicians analyzed both the standard CT and ultra-LDCT. Results: The effective doses (EDs) of ultra-LDCT significantly differed among the four groups (median EDs were 0.88, 0.34, 0.19, and 0.12 mSv for groups 1–4, respectively; p < 0.001). Median differences in peripheral airway wall thickness were higher in group 4 than in other groups (differences in median wall thickness measured by two radiologists were 0.4–0.5 mm and 0.8–0.9 mm for groups 1–3 and group 4, respectively). Bronchus signs on ultra-LDCT in groups 1 and 2 were well correlated with those of the standard-dose CT (accuracies of two radiologists and two pulmonary physicians were 95–100%). Conclusions: Our results indicate that ultra-LDCT with ED of >0.34 mSv (ED of group 2) is feasible for peripheral bronchoscopy.
Determinants of bone health in adults Polish women: The influence of physical activity, nutrition, sun exposure and biological factors

Purpose The aim of this study was to assess the determinants of bone health in the group of women over 40 years old. Lifestyle factors such as past and present physical activity, past and present sun exposure, current dietary intake of calcium and vitamin D, nutritional status as measured by BMI, family history of osteoporosis and current hormonal status were analysed. Methods The study involved 500 women over 40 years old. All examined women was the same ethnicity- European origin. Methods used: densitometry method (DXA), bioelectrical impedance analysis, International Physical Activity Questionnaire, nutrition questionnaire, past and present sun exposure questionnaire. Past and present physical activity, past and present sun exposure and sufficient level of calcium in the diet proved to be the most important factors determining mineralization of bone tissue of women. In order to indicate an independent association of the correct bone tissue mineralization with individual factors, multivariate analysis was used—logistic regression. Results The norm BMD in the distal part of the forearm was strongly influenced: recommended dietary calcium intake (OR = 5.95; p = 0.003), moderately (OR = 1.88; p = 0.053) and high (OR = 14.0; p<0.001) past physical activity, sufficient (OR = 4.97; p<0.001) and high (OR = 18.9; p = 0.004) level of present physical activity, sufficient past (OR = 5.15; p<0.001) and sufficient present sun exposure (OR = 10.0; p<0.001). The chance for the BMD prox norm was also increased several times: high past physical activity (OR = 68.4; p<0.0001) and sufficient past sun exposure (OR = 10.6; p<0.001), moderate past activity (OR = 4.20; p<0.001), sufficient (OR = 6.13; p<0.001) and high (OR = 10.0; p<0.001) present physical activity, sufficient present sun exposure (OR = 9.09; p<0.0001), recommended intake of calcium (OR = 9.57; p<0.001) and vitamin D (OR = 2.68; p = 0.052). Whereas e significantly lower likelihood for the BMD prox norm was found in women with the oldest hormonal status (postmenopausal period) (OR = 0.18; p<0.001), with osteoporosis in the family (OR = 0.37; p<0.001) and living in an agglomeration (OR = 0.68; p = 0.03). Conclusion Interventions to increase physical activity, especially outdoors, may help reduce risk of osteoporosis, fractures and subsequent healthcare costs.
Trends in Alcohol‐Induced Deaths in the United States by Sex, Age, and Ethnicity Suggest a Need for Targeted Health Interventions

The study incorporated data from the entire US population for the period 2000 to 2016 by identifying the underlying cause of death that had been recorded on death certificates from the US National Center for Health Statistics, Centers for Disease Control and Prevention. A person was classified as having had an AID if the death certificate reported any one of fourteen alcohol-related diseases, defined in the International Statistical Classification of Disease and Related Health Problems, Tenth Revision (ICD-10), as the underlying cause of death.
Identification of Acupoint Indication from Reverse Inference: Data Mining of Randomized Controlled Clinical Trials

The specificity of acupoint indication (i.e., reverse inference—diseases for which an acupoint could be used) might differ from the specificity of acupoint selection (i.e., forward inference—acupoints used for a disease). In this study, we explore acupoint specificity through reverse inferences from the dataset of prescribed acupoints for a certain disease in clinical trials. We searched acupuncture treatment regimens in randomized controlled trials included in the Cochrane Database of Systematic Reviews. For forward inference, the acupoints prescribed for each disease were quantified. For reverse inference, diseases for each acupoint were quantified. Data were normalized using Z-scores. Bayes factor correction was performed to adjust for the prior probability of diseases. The specificities of acupoint selections in 30 diseases were determined using forward inference. The specificities of acupoint indications regarding 49 acupoints were identified using reverse inference and then subjected to Bayes factor correction. Two types of acupoint indications were identified for 24 acupoints: regional and distal. Our approach suggests that the specificity of acupoint indication can be inferred from clinical data using reverse inference. Acupoint indication will improve our understanding of acupoint specificity and will lead to the establishment of a new model of analysis and educational resources for acupoint characteristics.
New accessory palatine canals and foramina in cone beam computed tomography.

BACKGROUND Palatal surgeries are associated with many complications. Accessory foramina may be a cause of concern. The aim of the present study was to assess the occurrence and to evaluate the anatomical features of accessory palatine foramina and their bony canals using cone beam computed tomography (CBCT). MATERIALS AND METHODS The incidence, location, and types of foramina on the palate were evaluated in 170 CBCT scans. Readings from coronal, sagittal, and axial planes were recorded using Planmeca Romexis Viewer 5.4. 1.R. computer program. Data were tabulated and evaluated. RESULTS Other than nasopalatine, greater and lesser palatine foramina, 278 foramina were observed in the palatal surface of the upper jaw in different locations. New accessory palatine foramina were found posteriorly in 14.71% of the studied scans with wide anatomical variations. Unusual foraminal canals were seen crossing the floor of the maxillary sinus laterally. The incidence of the anterior accessory palatine foramina was 73.53%. Bilateral accessory palatine foramina were found in 43.53% of cases. CONCLUSIONS Accessory palatine foramina and their bony canals are frequently seen in CBCT with wide anatomical variations. New unusual connecting canals are found passing from palatine foramina to the lateral wall of the maxillary sinus through the sinus floor. These findings should be considered when planning for anesthesia and surgery in the palate.
Assessing differential effects of single and accelerated low‐frequency rTMS to the visual cortex on GABA and glutamate concentrations

The application of repetitive transcranial magnetic stimulation (rTMS) for therapeutic use in visual‐related disorders and its underlying mechanisms in the visual cortex is under‐investigated. Additionally, there is little examination of rTMS adverse effects particularly with regards to visual and cognitive function. Neural plasticity is key in rehabilitation and recovery of function; thus, effective therapeutic strategies must be capable of modulating plasticity. Glutamate and γ‐aminobutyric acid (GABA)‐mediated changes in the balance between excitation and inhibition are prominent features in visual cortical plasticity.