Miracle-dz/UniFAR-FTUs huggingface dataset:
Susceptibility to DDT and pyrethroids, and detection of knockdown resistance mutation in Anopheles gambiae sensu lato in Southern Togo

Insecticides play an important role in malaria control programmes especially in Sub-Saharan Africa. However, the development of resistance by vectors to most commonly used public health insecticides has become a very crucial problem. DDT (Dichlorodiphenyltrichloroethane) was used worldwide to control malaria vectors and pyrethroids have been used in many vector control projects due to their known efficiency and lower toxicity to humans and non-target organisms. In West Africa, resistance to pyrethroid in the major malaria vector, Anopheles gambiae, had been reported in several countries. The last publication on this phenomenon in Togo was done in Togo in 2005. An update on the susceptibility of the malaria vector and characterization of its resistance mechanism becomes therefore crucial. Newly emerged female mosquitoes of two to five days old were selected and exposed to DDT 4%, Permethrin 1% and Deltamethrin 0.05%, the WHO diagnostic doses. These adult mosquitoes were from larvae of Anopheles gambiae sensu lato collected from rural and urban settings and reared in an insectary. A susceptible laboratory strain of An. gambiae sensu stricto was used as reference. Species identification was made using the morphological characteristics, PCR (polymerase chain reaction), and HhaI (Haemophilus haemoliticus) restriction digest. Knockdown resistance mutation screening was conducted on both living and dead mosquitoes. An. gambiae sensu stricto was the only sibling species of the complex present in Kovie and Lome. The molecular M form was predominant in the two localities (almost 100%). High resistance level was observed in Lome 1.19%, 56.45% and 41.17%; and in Kovie 0.91%, 55.55% and 67% mortality respectively to DDT 4%, Deltamethrin 0.05% and Permethrin 1% with a very high knockdown time (TKD50). Up to 70% of resistant individuals have been obtained in the two localities. It is important to inspect these localities through routine tests in order to decide on possible alternative strategies to be used. This study showed that An. gambiae is highly resistant to both DDT and pyrethroids in Lome and Kovie, with the presence of kdr allele. Keyword: Anopheles gambiae s.s, DDT, pyrethroids, kdr, Southern Togo
Expression of miR-28-3p in patients with Alzheimer's disease before and after treatment and its clinical value

Expression of miR-28-3p in patients with Alzheimer's disease (AD) before and after treatment and clinical value of miR-28-3p were determined. There were three groups: 68 AD patients treated with donepezil combined with basic therapy in The People's Hospital of Shouguang collected as an AD group, 70 patients with mild cognitive impairment (MCI) as an MCI group, and 75 healthy people as a normal group. Serum miR-28-3p was detected by qRT-PCR. The Montreal cognitive assessment scale (MoCA), mini mental state examination scale (MMSE), activities of daily living scale (ADL) and homocysteine (Hcy) were adopted to assess patients before and after treatment. miR-28-3p in normal group was significantly lower than that in other two groups, and miR-28-3p in MCI group was significantly lower than that in AD group (P<0.001). miR-28-3p correlated with the course and severity of patients. miR-28-3p in AD group after treatment was significantly lower than that before treatment (P<0.001). ADL and Hcy of AD patients after treatment were significantly lower than before treatment (P<0.05), and MMSE and MoCA after treatment were significantly higher than before treatment (P<0.05). Before and after treatment, miR-28-3p was significantly positively correlated with ADL score and Hcy level, but negatively correlated with MMSE score and MoCA score. Analysis of the working characteristic curve of the patients indicated that miR-28-3p can be used for diagnosis of AD patients. Donepezil therapy may reduce miR-28-3p level to alleviate the symptoms of AD patients, and miR-28-3p level can be used as an early diagnosis and prognosis evaluation of AD patients.
Associations Between Gastric Cancer Risk and Virus Infection Other Than Epstein-Barr Virus: A Systematic Review and Meta-analysis Based on Epidemiological Studies

INTRODUCTION: Besides Helicobacter pylori and Epstein-Barr virus, other viruses might play potential roles in gastric carcinogenesis. This systematic review and meta-analysis was conducted to compare the prevalence of the viruses between gastric cancer (GC) and any controls. METHODS: Comprehensive literature was searched up to January 25, 2019, and search was updated on April 6, 2020. The studies that compared the prevalence of viruses other than Epstein-Barr virus between GC and healthy or nonmalignant controls were eligible. Stata 12.0 software was used for heterogeneity tests and meta-analyses. Meanwhile, subgroup analysis, sensitivity analysis, and publication bias evaluation were performed where applicable. The power (1–β) was estimated by the PASS 11 software for each individual study. RESULTS: A total of 41 eligible studies were included, concerning 11 kinds of viruses. Prevalence were significantly higher in GC for hepatitis B virus (odds ratio [OR] = 1.39, 95% confidence interval [CI] 1.11–1.75), human cytomegalovirus (OR = 2.25, 95% CI 1.14–4.43), human papillomavirus (HPV) (OR = 1.63, 95% CI 1.05–2.54), and John Cunningham virus (OR = 2.52, 95% CI 1.26–5.04). In subgroup analyses, HPV-16 infection was significantly associated with GC (OR = 2.42, 95% CI 1.00–5.83). DISCUSSION: This study demonstrated that hepatitis B virus, human cytomegalovirus, HPV, and John Cunningham virus were more prevalent in GC. However, the causal relationship between their infection and risk of GC remains inconclusive, and further investigations are required.
Clinical Outcomes of N3 Breast Cancer: A Real-World Study of a Single Institution and the US Surveillance, Epidemiology, and End Results (SEER) Database

Background Although stage IIIC (any TN3M0) breast cancer is known to have a dismal prognosis, the clinical outcome of current standard management and the prognostic differences between N3a, N3b and N3c remain to be further investigated. Material and Methods Data from our center on pathologic N3 (pN3) (n=284) breast cancer and the US Surveillance, Epidemiology, and End Results (SEER) database on clinical N3 (cN3) (n=15,291) and M1 (n=23,623) breast cancer between January 2004 and December 2015 were systematically analyzed for clinicopathological characteristics and survival outcomes. Results In our institution, patients with pN3c had the worst survival, with 5-year OS and DFS rates of 52.4% and 41.5%, respectively. Patients with pN3b had a relatively good prognosis, with a 5-year OS rate of 75.3% vs 63.9% for the pN3a group (p=0.045). For DFS, the 5-year survival rate was 63.1% in the pN3b group compared with 40.3% in the pN3a group (p=0.030). In the US SEER database, patients with cN3c had the worst survival in the cN3 group, but the prognosis of cN3c was much better than that of M1. Similarly, patients with cN3b had a better prognosis compared with patients in other groups, with a 5-year OS rate of 68.9% vs 61.9% for the cN3a group (p<0.001) and a 5-year BCSS rate of 73.4% vs 67.1% for the cN3a group (p<0.001). Conclusion Breast cancer patients with N3c had the worst clinical outcomes, while the prognosis of N3b patients was better than that of N3a patients.
Clinical Impact and Healthcare Resource Utilization Associated with Early versus Late COPD Diagnosis in Patients from UK CPRD Database

Purpose Previous studies have shown that opportunities to diagnose chronic obstructive pulmonary disease (COPD) early are often missed in primary care. This retrospective study aimed to utilize secondary data from the United Kingdom (UK) healthcare system to understand the impact of early versus late diagnosis of COPD. Patients and Methods Newly diagnosed COPD patients were identified in the UK Clinical Practice Research Database from 2011 to 2014. Patients whose 5-year medical data before diagnosis revealed ≥3 counts of eight indicators of early COPD were deemed as late-diagnosed, whereas others were deemed as early-diagnosed. We assessed patients’ characteristics; time-to-first, risk, and rates of exacerbation; and healthcare resource utilization (COPD-related clinic visits, Accident and Emergency visits, and hospitalizations) in late- versus early-diagnosed patients. Results Of 10,158 patients included in the study, 6783 (67%) were identified as late-diagnosed and 3375 (33%) as early-diagnosed. The median time-to-first exacerbation was shorter in late-diagnosed (14.5 months) versus early-diagnosed (29.0 months) patients, with a significant risk of exacerbation (hazard ratio 1.46 [95% confidence interval: 1.38–1.55]). Additionally, the exacerbation rate (per 100 person-years) over 3 years was higher in late (108.9) versus early (57.2) diagnosed patients. Late-diagnosed patients had a significantly higher rate of COPD hospitalizations (per 1000 patient years) compared with early-diagnosed patients during 2 and 3 years of follow-ups (P = 0.0165 and P < 0.0001, respectively). Conclusion Results showed that a significant percentage of COPD patients in UK primary care are diagnosed late. A late COPD diagnosis is associated with a shorter time-to-first exacerbation and a higher rate and risk of exacerbations compared with early diagnosis. Additionally, late diagnosis of COPD is associated with a higher rate of COPD-related hospitalizations compared with early diagnosis.
Demographical Pattern of Blood Donors and Pre-Donation Deferral Causes in Dhahran, Saudi Arabia

Background Understanding the demographic features of blood donors is important for identifying the donor structure and guiding the recruitment and retention strategies of donors. This study was aimed to determine the demographic characteristics of blood donors, the types of donation drives, and the frequency and reasons for pre-donation deferral in our population. Methods This cross-sectional study included data analysis of all prospective blood donors presenting themselves for donation at the Blood Bank of the King Fahad Military Medical Complex, Dhahran, Saudi Arabia between January 2010 and December 2018. Eligibility of blood donation was assessed using a standardized history questionnaire, physical examination, hemoglobin estimation, pulse rate, blood pressure, and temperature. The questionnaire included the demographic features of the donor such as age, gender, and the reason for donation and other specific risk factors that potentially affect the safety of the donor or the recipient. Data analyzed using the analysis of SPSS version 20 (SPSS Inc., Chicago, IL, USA) were used to calculate the unadjusted odds ratios (OR) and the respective 95% confidence interval for the association between the various demographic parameters. Results A total of 28,189 potential donations were recorded during the study period; of these, 77.4% were family replacements with females accounting for only 1.8% of all donations. Most of the donors were Saudi nationals (92.1%) of whom donors between 18 and 34 years old constituted 87.9%, while those over 40 years old represented only 7.9% of the donations. Pre-donation temporary deferral occurred in 3300 (11.7%) of all potential donation attempts. The most common causes being the recent intake of medication (24.4%) followed by low hemoglobin (14.8%), low or high blood pressure (14.6%), low or high pulse rate (13.6%), and low weight (11.6%). Conclusion A profile of blood donors consisting mainly of young male citizens who mostly donated for family replacement was detected. Deferral rate was found to be average when compared to other countries; the causes being similar to those detected in other developed countries. Simple descriptive statistics has shown no marked difference was noted over the 9 years of the study in neither the profile of blood donors nor the cause for temporary deferral of prospective blood donors.
Risk factors for venous thromboembolism following spinal surgery

Supplemental Digital Content is available in the text Abstract Background: To investigate the risk factors for postoperative venous thromboembolism (VTE) in patients undergoing spinal surgery. Methods: Literature published in PubMed, Embase, the Cochrane Library, and Web of Science was systematically reviewed to assess risk factors for VTE following spinal surgery. The data analysis was conducted with STATA 12.0. Data were pooled using fixed-effects or random-effects models according to the heterogeneity among the included studies. Results: Twenty-six studies involving 3,216,187 patients were included in this meta-analysis, and the total incidence of VTE after spinal surgery was 0.35% (0.15–29.38%). The pooled analysis suggested that the incidence of VTE after spinal surgery was higher in such aspects as increasing age (weighted mean difference [WMD] 0.55 years, 95% confidence interval [CI] 0.33–0.78, P < .001), female sex (odds ratio [OR] 1.12, 95% CI 1.01–1.25; P = .034), diabetes (OR 1.34, 95% CI 1.29–1.44; P < .001), chronic kidney disease (OR = 8.31, 95% CI 1.98–34.93; P = .004), nonambulatory preoperative activity status (OR 3.67, 95% CI 2.75–4.83; P < .001), D-dimer level (WMD 1.023, 95% CI 0.162–1.884; P = .02), long duration of operation (WMD 0.73, 95% CI 0.21–1.24; P = .006), spine fusion (OR 1.54, 95% CI 1.31–1.82; P < .001), and blood transfusion (OR 2.31, 95% CI 1.73–3.07; P < .001), and the differences were statistically significant. However, there were no significant differences in body mass index, obesity, hypertension, coronary heart disease, spondylolisthesis, intraoperative blood loss, surgical procedures (anterior lumbar interbody fusion vs posterior intervertebral fusion /translaminar lumbar interbody fusion), or surgical site (lumbar vs thoracic) (all P > .05). Conclusion: Based on our meta-analysis, we identified several important factors that increased the risk of VTE after spinal surgery. We hope our study provides assistance to spine surgeons so that they can adequately analyze and assess risk factors in patients and then develop preventive measures to reduce the incidence of VTE.
Validation of the Combined Model Based on Platelet Count and Albumin to Rule out High-Risk Varices in Liver Cirrhosis

Background The Baveno VI criteria based on platelet count and liver stiffness, measured by transient elastography (TE), have been proposed to rule out high-risk varices (HRV) defined as medium or large-sized varices or the presence of high-risk stigmata (cherry red spots and red wale marks). However, TE is not available in all hospitals. Recently, the Rete Sicilia Selezione Terapia hepatitis C virus (RESIST-HCV) criteria recommended that cirrhotic patients with a platelet count > 120000/μL and serum albumin > 36 g/L could avoid esophagogastroduodenoscopy (EGD) screening for HRV. Aim We aimed to validate the performance of the RESIST-HCV criteria in two cohorts predominantly characterized with hepatitis B infection. Methods Patients with compensated cirrhosis who had blood tests within three months of performing EGD and TE were enrolled retrospectively from two centers. RESIST-HCV criteria were applied to identify patients who did not require EGD screening. Results This study included 188 patients from the Xingtai cohort (28 (14.9%) with HRV) and 104 patients from the Beijing cohort (19 (18.3%) with HRV). Of the patients who met the RESIST-HCV criteria (83 in the Xingtai cohort and 26 in the Beijing cohort), 0 and 1 had HRV, respectively, accounting for 44.1% (Xingtai cohort) and 25% (Beijing cohort) of endoscopies that were unnecessary. In the combined cohort, 109 (37.3%) patients met the RESIST-HCV criteria, only 1 (0.9%) HRV was missed, and the negative predictive value was 99.1%. Baveno VI and Expanded Baveno VI criteria spared 15.6% and 23.3% of EGDs, respectively, while missing 0% and 4.8% of HRV, respectively. Conclusions In our population, the combined criteria based on platelet count and serum albumin performed well, saving 30-40% of EGDs and correctly identifying 99.1% of patients who could safely avoid screening endoscopies for high-risk varices in compensated cirrhotic patients.
Primipentatomidae fam. nov. (Hemiptera: Heteroptera: Pentatomomorpha), an extinct insect family from the Cretaceous of north-eastern China

A new extinct family of Pentatomoidea, Primipentatomidae fam. nov., with four new genera and five new species (Primipentatoma peregrina gen. et sp. nov., Primipentatoma fangi gen. et sp. nov., Breviscutum lunatum gen. et sp. nov., Oropentatoma epichara gen. et sp. nov. and Quadrocoris radius gen. et sp. nov.), is described from the Upper Mesozoic deposits of north-eastern China. A cladistic analysis based on a combination of fossil and extant morphological characters clarifies the phylogenetic status of the new family and allows reconstruction of the interfamily relationships within the superfamily Pentatomoidea. Major conclusions of the phylogenetic analysis are: (1) the fossils represent a monophyletic group interpreted as the sister group to all Pentatomoidea exclusive of Saileriolidae + Urostylididae; (2) Urostylididae sensu lato is a paraphyletic group; (3) monophyly of Acanthosomatidae, Pentatomidae, Thyreocoridae, Dinidoridae, Phloeidae and Scutelleridae are strongly supported by high bootstrap values in the analysis, but the relationships among these families is less resolved; (4) monophyly of the Cydnidae was not supported. The time of origin of Pentatomoidea should be before the Early Cretaceous (125–130 Ma), and may be as early as the Late or Middle Jurassic with a centre of origin in East Asia. http://zoobank.org/urn:lsid:zoobank.org:pub:A432B387-E3A1-42D3-8051-867EB5108318
Classification schemes for phytoplankton: a local validation of a functional approach to the analysis of species temporal replacement

During ecosystem succession, phytoplankton species composition is hard to predict and although it is tempting to use taxonomic groups for predictive purposes, the conditions favouring their development are often cross-phyletic and, frequently, overlap. Another alternative is to consider functional groups. Reynolds (1997) proposed phytoplankton associations according to functional criteria, based upon identified coherent morphological and ecological properties. Here we apply data from the phytoplankton community of Lake Rodo in Montevideo, Uruguay (small, shallow, polymictic and hypertrophic lake under restoration) to test and quantify the effectiveness of the approach. The phytoplankton species were sorted into their main taxonomic groups and into the associations proposed by Reynolds. A canonical variate analysis was use to test the non-random occurrence of these classification schemes and to determine their discriminatory power. Both classification schemes, taxonomic and functional, showed a significant result, but classification into functional associations had a higher discriminatory power. The eigenvalue for the canonical correspondence analysis first axis for the functional associations was 0.708 and the cumulative explained variance for the species-environmental relationship was 78. 6%. The environmental factors showed similar patterns between associations and individual species. Our data indicate that the scheme using functional associations does indeed capture much of the ecology of the phytoplankton.
Is urinary sodium excretion related to anthropometric indicators of adiposity in adults?

Background: Although increasing salt intake is associated with greater odds of obesity, little is known about its relationship with body fat. We investigated the relation of urinary sodium (UNa) with obesity indices, including Clínica Universidad de Navarra–Body Adiposity Estimator (CUN-BAE), a body shape index (ABSI), body mass index (BMI), waist circumference (WC), and waist-to-height ratio (WHtR). Materials and Methods: A total of 508 free-living adults aged ≥ 19 years were selected through stratified multistage random method as a representative of general population from central parts of Iran and were included in this cross-sectional study. Dietary sodium intake was measured using 24-h UNa (24-UNa) excretion. Weight, height, and WC were measured using standard protocols and calibrated equipment and used to measure obesity indicators, including BMI, WHtR, ABSI, and CUN-BAE. Adjusted univariate multiple logistic regression was used to assess the risk of having greater obesity measures across the tertiles of 24-UNa. Results: Individuals in the top tertile of 24-UNa in comparison with those in the first tertile had greater body weight (72.02 ± 1.00 vs. 66.02 ± 0.89 kg; P < 0.0001), BMI (26.14 ± 0.33 vs. 24.82 ± 0.29 kg/m2; P = 0.007), and CUN-BAE (29.89 ± 0.42 vs. 28.38 ± 0.78; P = 0.036). There was a trend toward an increment in WC by increasing sodium intake (P = 0.073). After controlling for potential confounders, individuals with greater sodium consumption had greater chance for overweight (odds ratio [OR]: 1.004, 95% confidence interval [CI]: 1.001–1.007; P = 0.015), abdominal obesity (OR: 1.004, 95% CI: 1.00–1.008; P = 0.031), and more body fat (OR: 1.007, 95% CI: 1.003–1.01; P = 0.001). No significant association was found for sodium and WHtR and ABSI. Conclusion: Greater 24-UNa excretion was associated with greater means of body weight, BMI, WC, and CUN-BAE. Although changes in obesity indices per each additional 24-UNa excretion were small, our findings are relevant because of the rising obesity epidemic.
Age-induced NLRP3 Inflammasome Over-activation Increases Lethality of SARS-CoV-2 Pneumonia in Elderly Patients

Age is one of the most important prognostic factors associated to lethality in SARS-CoV-2 infection. In multivariate analysis, advanced age was an independent risk factor for death. Recent studies suggest a role for the nucleotide-binding domain and leucine rich repeat containing family, pyrin domain containing 3 (NLRP3) inflammasome activation in lung inflammation and fibrosis in SARS-CoV and SARS-CoV-2 infections. Increased NLRP3/ apoptosis-associated speck-like protein (ASC) mRNA expression and increased caspase-1 activity, have been observed in aged lung, provoking increased and heightened expression levels of mature Interleukin (IL)-1β and IL-18 in aged individuals. Aged individuals have a basal predisposition to over-react to infection, displaying an increased hyper-inflammatory cascade, that seems not to be fully physiologically controlled. NLRP3 inflammasome is over-activated in aged individuals, through deficient mitochondrial functioning, increased mitochondrial Reactive Oxigen Species (mtROS) and/or mitochondrial (mt)DNA, leading to a hyper-response of classically activated macrophages and subsequent increases in IL-1 β. This NLRP3 over-activated status in elderly individuals, is also observed in telomere dysfunctional mice models. In our opinion, the NLRP3 inflammasome plays a central role in the increased lethality observed in elderly patients infected by COVID-19. Strategies blocking inflammasome would deserve to be studied.