Miracle-dz/UniFAR-FTUs huggingface dataset:
Incidence of catastrophic healthcare expenditure and its main determinants in Mexican households caring for a person with a mental disorder

Abstract Background There are few studies on the impact of out-of-pocket mental health care expenditures and sociodemographic factors on the probability of Mexican households to incur catastrophic healthcare expenditures (CHE). Objective The goal of the present study was to estimate the incidence of CHE and its main determinants among the households of persons with mental disorders (MD) in Mexico. Methods A cross-sectional survey was conducted, including 387 households of persons with MD. The estimation of the CHE was obtained by the health expenditure distribution method. A Logistic Regression (LR) was used to identify the determinants of probability variation of CHE occurrence. Since we expected a proportion of CHE between 20% and 80%, we assume linearity in the probability function, therefore we additionally used an Ordinary Least Squares (OLS) model. Results In our sample, the incidence of CHE was 34.8%. The two mental illnesses most frequently associated with CHE were schizophrenia and hyperactive disorder (35.5% and 32.6% of CHE cases, respectively). The regression coefficients showed that for each unit (US$53.77) increase in income, the probability of CHE was reduced by 8.6%, while for each unit increase in hospitalization or medication expenditures, the probability of CHE increased by 12.9% or 19%, respectively. For each additional household member, the probability of CHE increased by 3%, and households with a male patient had a 7% greater probability of CHE. Conclusion Household income, household size, hospitalization and medication expenses, and sex of the patient were significant predictors of CHE for households caring for a person with MD.
Cortisol and socioeconomic status in early childhood: A multidimensional assessment

Abstract The hypothalamic–pituitary–adrenal (HPA) axis is sensitive to early life stress, with enduring consequences for biological stress vulnerability and health (Gunnar & Talge, 2008). Low socioeconomic status (SES) is associated with dysregulation of the stress hormone cortisol in early childhood. However, a mechanistic understanding of this association is lacking. Multidimensional assessment of both SES and cortisol is needed to characterize the intricate relations between SES and cortisol function in early childhood. We assessed parent-reported family income, parent education, occupational prestige, neighborhood risk, food insecurity, and household chaos for 12-month-old infants (N = 90) and 3.5-year-old children (N = 91). Hair cortisol concentration (HCC) was obtained from parent and child, indexing chronic biological stress, and diurnal salivary cortisol was measured in the children. Controlling for parent HCC, parent education uniquely predicted infant and child HCC and, in addition, neighborhood risk uniquely predicted infant HCC. Household chaos predicted bedtime salivary cortisol concentration (SCC) for both infants and children, and infant daily cortisol output. Food insecurity was associated with flattened cortisol slope in 3.5-year-old children. Parental sensitivity did not mediate relations between SES and cortisol. Results highlight the utility of SES measures that index unpredictable and unsafe contexts, such as neighborhood risk, food insecurity, and household chaos.
Maltreatment timing, HPA axis functioning, multigenic risk, and depressive symptoms in African American youth: Differential associations without moderated mediation

Abstract Utilizing a large (N = 739), ancestrally homogenous sample, the current study aimed to better understand biological risk processes involved in the development of depressive symptoms in maltreated, African American children age 8-12 years. Maltreatment was independently coded from Child Protective Services records and maternal report. Self-reported depressive symptoms were attained in the context of a week-long, summer research camp. DNA was acquired from buccal cell or saliva samples and genotyped for nine polymorphisms in four hypothalamic-pituitary-adrenal (HPA)-axis-related genes: FKBP5, NR3C1, NR3C2, and CRHR1. Salivary cortisol samples were collected each morning (9 a.m.) and late afternoon (4 p.m.) throughout the week to assess HPA functioning. Results revealed that experiences of maltreatment beginning prior to age 5 were most predictive of depressive symptoms, whereas maltreatment onset after age 5 was most predictive of HPA axis dysregulation (blunted daytime cortisol patterns). Multigenic risk did not relate to HPA functioning, nor did it moderate the relationship between maltreatment and HPA activity. There was no mediation of the relationship between maltreatment and depressive symptoms by HPA dysfunction. Results are interpreted through a developmental psychopathology lens, emphasizing the principle of equifinality while carefully appraising racial differences. Implications for future research, particularly the need for longitudinal studies, and important methodological considerations are discussed.
Neural meaning making, prediction, and prefrontal–subcortical development following early adverse caregiving

Abstract Early adversities that are caregiving-related (crEAs) are associated with a significantly increased risk for mental health problems. Recent neuroscientific advances have revealed alterations in medial prefrontal cortex (mPFC)-subcortical circuitry following crEAs. While this work has identified alterations in affective operations (e.g., perceiving, reacting, controlling, learning) associated with mPFC–subcortical circuitry, this circuitry has a much broader function extending beyond operations. It plays a primary role in affective meaning making, involving conceptual-level, schematized knowledge to generate predictions about the current environment. This function of mPFC–subcortical circuitry motivates asking whether mPFC–subcortical phenotypes following crEAs support semanticized knowledge content (or the concept-level knowledge) and generate predictive models. I present a hypothesis motivated by research findings across four different lines of work that converge on mPFC–subcortical neuroanatomy, including (a) the neurobiology supporting emotion regulation processes in adulthood, (b) the neurobiology that is activated by caregiving cues during development, (c) the neurobiology that is altered by crEAs, and (d) the neurobiology of semantic-based meaning making. I hypothesize that the affective behaviors following crEAs result in part from affective semantic memory processes supported by mPFC–subcortical circuitry that over the course of development, construct affective schemas that generate meaning making and guide predictions. I use this opportunity to review some of the literature on mPFC–subcortical circuit development following crEAs to illustrate the motivation behind this hypothesis. Long recognized by clinical science and cognitive neuroscience, studying schema-based processes may be particularly helpful for understanding how affective meaning making arises from developmental trajectories of mPFC–subcortical circuitry.
Associations between stress reactivity and behavior problems for previously institutionalized youth across puberty

Abstract Megan Gunnar's pubertal stress recalibration hypothesis was supported in a recent study of previously institutionalized (PI) youth such that increases in pubertal stage were associated with increases in cortisol stress reactivity. This work provides evidence that puberty may open up a window of recalibration for PI youth, resulting in a shift from a blunted to a more typical cortisol stress response. Using the same sample (N = 132), the current study aimed to elucidate whether increases in cortisol are associated with increases in adaptive functioning or whether they further underlie potential links to developmental psychopathology. Specifically, we examined the bidirectional associations between cortisol stress reactivity and both internalizing and externalizing symptoms across three timepoints during the pubertal period. Youth reported on their own internalizing symptoms and parents reported on youths’ externalizing symptoms. Cortisol reactivity was assessed during the Trier social stress test. Analyses revealed no associations between cortisol reactivity and externalizing symptoms across puberty for PI youth. However, longitudinal bidirectional associations did emerge for internalizing symptoms such that increases in cortisol reactivity predicted increases in internalizing symptoms and increases in internalizing symptoms predicted increases in cortisol reactivity. Findings suggest that recalibrating to more normative levels of cortisol reactivity may not always be associated with adaptive outcomes for PI youth.
Novel approaches to needle tracking and visualisation

The accuracy and reliability of ultrasound are still insufficient to guarantee complete and safe nerve block for all patients. Injection of local anaesthetic close to, but not touching, the nerve is key to outcomes, but the exact relationship between the needle tip and nerve epineurium is difficult to evaluate, even with ultrasound. Ultrasound has insufficient resolution, tissues are difficult to discern due to acoustic impedance and needles are more difficult to see with increased angulation. The limitations of ultrasound have shifted the focus of innovation towards bio‐markers that help detect needle tip position by utilising the physical properties of tissues, (e.g. pressure, electrical, optics, acoustic and elastic). Although most are at the laboratory stage and results are as yet only available from phantom or cadaver studies, clinical trials are imminent. For example, fine optical fibres placed within the lumen of block needles can measure needle tip pressure. Electrical impedance differentiates between intraneural and perineural needle tip placement. A new tip tracker needle has a piezo element embedded at its distal end that tracks the needle tip in‐plane and out‐of‐plane as a blue/red or green circle depending on its relative location within the beam. Micro‐ultrasound at the tip of the needle is in development. Early images using 40MHz in anaesthetised pigs reveal muscle striation, distinct epineurium and 30–40 fascicles > 75 micron in diameter. The next few years will see a technological revolution in tip‐tracking technology that has the potential to improve patient safety and, in doing so, change practice.
The elemental abundances in interplanetary dust particles

— We compiled a table of all major, minor, and trace-element abundances in 89 interplanetary dust particles (IDPs) that includes data obtained with proton-induced x-ray emission (PIXE), synchroton x-ray fluorescence (SXRF), and secondary ion mass spectrometry (SIMS). For the first time, the reliability of the trace-element abundances in IDPs is tested by various crosschecks. We also report on the results of cluster analyses that we performed on IDP compositions. Because of the incompleteness of the data set, we included only the elements Cr, Mn, Ni, Cu, and Zn, normalized to Fe and CI chondrite abundances, that are determined in 73 IDPs. The data arrange themselves in four rather poorly defined groups that we discuss in relation to CI chondrites following the assumption that on the average CI abundances are most probable. The largest group (chondritic), with 44 members, has close to CI abundances for many refractory and moderately refractory elements (Na, Al, Si, P, K, Sc, Ti, V, Cr, Co, Ge, Sr). It is slightly depleted in Fe and more in Ca and S, while the volatile elements (Cl, Cu, Zn, Ga, Se, Rb) are enriched by =1.7 × CI and Br by 21 × CI. The low-Zn group, with 12 members, is very similar to the chondritic group except for its Zn-depletion, stronger Ca-depletion and Fe-enrichment. The low-Ni group, with 11 members, has Ni/Fe = 0.03 × CI and almost CI-like Ca, but its extraterrestrial origin is not established. The last group (6 members) contains non-systematic particles of unknown origin. We found that Fe is inhomogeneously distributed on a micron scale. Furthermore, the abundances of elements that are measured near their limits of detection are easily overestimated. These biases involved, the incomplete data set and possible contaminating processes prevent us from obtaining information on the specific origin(s) of IDPs from elemental abundances.
The use of artificial intelligence and robotics in regional anaesthesia

The current fourth industrial revolution is a distinct technological era characterised by the blurring of physics, computing and biology. The driver of change is data, powered by artificial intelligence. The UK National Health Service Topol Report embraced this digital revolution and emphasised the importance of artificial intelligence to the health service. Application of artificial intelligence within regional anaesthesia, however, remains limited. An example of the use of a convoluted neural network applied to visual detection of nerves on ultrasound images is described. New technologies that may impact on regional anaesthesia include robotics and artificial sensing. Robotics in anaesthesia falls into three categories. The first, used commonly, is pharmaceutical, typified by target‐controlled anaesthesia using electroencephalography within a feedback loop. Other types include mechanical robots that provide precision and dexterity better than humans, and cognitive robots that act as decision support systems. It is likely that the latter technology will expand considerably over the next decades and provide an autopilot for anaesthesia. Technical robotics will focus on the development of accurate sensors for training that incorporate visual and motion metrics. These will be incorporated into augmented reality and visual reality environments that will provide training at home or the office on life‐like simulators. Real‐time feedback will be offered that stimulates and rewards performance. In discussing the scope, applications, limitations and barriers to adoption of these technologies, we aimed to stimulate discussion towards a framework for the optimal application of current and emerging technologies in regional anaesthesia.
Significance of Hypernatremia Due to SARS-CoV-2 Associated ARDS in Critically Ill Patients

Abstract Background and Objectives SARS-CoV-2-induced ARDS is a new entity that should be characterized as it appears to be different from standard ARDS. Hypernatremia is a biological alteration that seems to occur very often in this population without any clear cause. The present study aims to clarify the possible causes of hypernatremia and evaluate its impact on patient outcome. Patients and Methods We conducted a retrospective one-day prevalence study in 2 intensive care units, which only treated COVID-19 patients with moderate to severe ARDS. We measured blood and urine electrolytes in all the patients. Patients with chronic renal failure or renal replacement therapy were excluded from the study. Hypernatremia was defined as plasma sodium levels above 145 mmol/L. Results Inclusion criteria were met in 17 out of 24 patients. Hypernatremia was present in 52% patients. All had a natriuresis higher than 20 mmol/L and a urine osmolality above 600 mOsm/L. Hypernatremia was acquired in ICU as all the patients had a normal serum sodium level at admission. Conclusion The incidence of hypernatremia was elevated and appears to be linked to significant insensible water losses. This should trigger us to optimize the maintenance fluid therapy in critically ill patients with SARS-CoV-2-induced ARDS.
Ilex paraguariensis extract as an alternative to pain medications

Abstract Pain is a common and distressing symptom of many diseases and its clinical treatment generally involves analgesics and anti-inflammatory drugs. This study evaluated the toxicity of Ilex paraguariensis A. St.-Hil. (Aquifoliaceae) aqueous extract (leaves, petioles and branches) and its performance in a nociceptive response. Hepatotoxicity, psycho-stimulant test and evaluation of enzyme markers for liver damage were also tested. Chromatographic analysis by UPLC-MS demonstrated a series of isomeric monocaffeoylquinic acids, isomers of dicaffeoylquinic acid, flavonol glycosides, and saponins. Phase I and II of nociception were obtained for meloxicam, dexamethasone and aqueous Ilex paraguariensis extract. Ilex paraguariensis extract concentration was negatively correlated (R = –0.887) with alanine aminotransferase (p < 0.05) in acetaminophen-induced hepatotoxicity test, indicating hepatoprotective activity of this extract. Ilex paraguariensis extract also presented analgesic properties equivalent to drugs that already have proven efficacy. Notably, the administration of multiple doses of Ilex paraguariensis extract was considered safe from the therapeutic point of view.
Advances in neurochemical measurements: A review of biomarkers and devices for the development of closed-loop deep brain stimulation systems

Abstract Neurochemical recording techniques have expanded our understanding of the pathophysiology of neurological disorders, as well as the mechanisms of action of treatment modalities like deep brain stimulation (DBS). DBS is used to treat diseases such as Parkinson’s disease, Tourette syndrome, and obsessive-compulsive disorder, among others. Although DBS is effective at alleviating symptoms related to these diseases and improving the quality of life of these patients, the mechanism of action of DBS is currently not fully understood. A leading hypothesis is that DBS modulates the electrical field potential by modifying neuronal firing frequencies to non-pathological rates thus providing therapeutic relief. To address this gap in knowledge, recent advances in electrochemical sensing techniques have given insight into the importance of neurotransmitters, such as dopamine, serotonin, glutamate, and adenosine, in disease pathophysiology. These studies have also highlighted their potential use in tandem with electrophysiology to serve as biomarkers in disease diagnosis and progression monitoring, as well as characterize response to treatment. Here, we provide an overview of disease-relevant neurotransmitters and their roles and implications as biomarkers, as well as innovations to the biosensors used to record these biomarkers. Furthermore, we discuss currently available neurochemical and electrophysiological recording devices, and discuss their viability to be implemented into the development of a closed-loop DBS system.
Melatonin as a powerful antioxidant

Abstract Melatonin is a hormone that has many body functions and, for several decades, its antioxidant potential has been increasingly talked about. There is a relationship between failure in melatonin production in the pineal gland, an insufficient supply of this hormone to the body, and the occurrence of free radical etiology diseases such as neurodegenerative diseases, cardiovascular diseases, diabetes, cancer and others. Despite the development of molecular biology, numerous in vitro and in vivo studies, the exact mechanism of melatonin antioxidant activity is still unknown. Nowadays, the use of melatonin supplementation is more and more common, not only to prevent insomnia, but also to slow down the aging process and provide protection against diseases. The aim of this study is to get acquainted with current reports on melatonin, antioxidative mechanisms and their importance in diseases of free radical etiology.
Synthesis, Characterization, Electrochemical Behavior, and Biological Studies of 1-p-Diphenylmethane-2-hydroxyimino-2-(arylamino)-1-ethanone Copper(II) and Ruthenium(III) Complexes

New copper and ruthenium mononuclear complexes of the type [ML2(H2O)X] [X = H2O for M = Cu(II) and X = Cl for M = Ru(III)] have been prepared from 1-p-diphenyl- methane-2-hydroxyimino-2-(4-chloroanilino)-1-ethanone (HL1) and 1-p-diphenylmethane-2-hydroxyimino-2-(4-toluidino)-1-etha- none (HL2). The complexes were characterized by elemental analyses, magnetic susceptibility, molar conductance, IR, thermal analysis, and cyclic voltammetry. Stoichiometric and spectral results of the metal complexes indicated that the metal:ligand ratios in the complexes were found to be 1:2 and the ligands behave as a bidentate ligand forming neutral metal chelates through the carbonyl and oxime oxygen. The electrochemical behavior of the ligands and their complexes were obtained by cyclic voltammetry. The interaction between these complexes with DNA has also been investigated by agarose gel electrophoresis. The copper(II) complexes (3 and 4) with H2O2 as a co-oxidant exhibited strongest cleaving activity. Moreover, catalytic activities of the complexes for the disproportionation of hydrogen peroxide were also investigated in the presence of imidazole.
Preliminary Study of the Effect of Chemical and Organic Fertilizers on a Semi-Natural Grassland in Vlăhiţa, Harghita Mountains, Romania

Abstract The aim of the research was to examine the effect of different fertilizers on the floristic composition and biomass yield of the semi-natural grassland used as hayfield near Vlăhița locality (Harghita County, Romania) in order to improve its management. In the same time the qualitative structure of the studied grassland was evaluated after the first application of the fertilizers. The vegetation survey was made before mowing, and a total of 84 plant taxa were identified. The studied plant community belongs to the association Festuco-Agrostetum capillaris Horv. 1951. From the 31 fodder species, 13 had very good or good nutritional value. The qualitative structure analysis indicates that the vegetation has developed under moderate anthropogenic pressure. Beside the Euro-Asian elements the Circumpolar and the Cosmopolite elements were well represented. Many species with high tolerance for temperature, soil pH, and soil mineral nitrogen content were registered. After the first application of fertilizers in all treated plots the biodiversity increased compared to the control plot. Fertilized plots also had a significantly higher biomass yield than the control plot. All fertilizers reduced the proportion of the species with good nutritional value from the Poaceae family. Organic fertilizer affected positively the proportion of other plant families than Poaceae and Fabaceae. Long-term experiments are necessary to evaluate the response of the vegetation on treatment with organic fertilizer in order to optimize productivity of the hayfield and sustain species richness.
Language, Prejudice, Awareness, and Resistance

Abstract As an introduction to the themed special volume on Language and Prejudice, this short editorial highlights aspects related to prejudice within, through, and towards language as well as how prejudice and stereotyping can affect our perception of language. We provide short summaries of the articles included in the volume and contextualise these within the general thematic framework. The article also discusses the roles and responsibilities of language studies in raising awareness of issues related to language and prejudice, and how this forms part of a more general resistance against xenophobia and sexism.