Miracle-dz/UniFAR-FTUs huggingface dataset:
Primary care experience and remission of type 2 diabetes: a population-based prospective cohort study

Abstract Background Remission of Type 2 diabetes is achievable through dietary change and weight loss. In the UK, lifestyle advice and referrals to weight loss programmes predominantly occur in primary care where most Type 2 diabetes is managed. Objective To quantify the association between primary care experience and remission of Type 2 diabetes over 5-year follow-up. Methods A prospective cohort study of adults with Type 2 diabetes registered to 49 general practices in the East of England, UK. Participants were followed-up for 5 years and completed the Consultation and Relational Empathy measure (CARE) on diabetes-specific primary care experiences over the first year after diagnosis of the disease. Remission at 5-year follow-up was measured with HbA1c levels. Univariable and multivariable logistic regression models were constructed to quantify the association between primary care experience and remission of diabetes. Results Of 867 participants, 30% (257) achieved remission of Type 2 diabetes at 5 years. Six hundred twenty-eight had complete data at follow-up and were included in the analysis. Participants who reported higher CARE scores in the 12 months following diagnosis were more likely to achieve remission at 5 years in multivariable models; odds ratio = 1.03 (95% confidence interval = 1.01–1.05, P = 0.01). Conclusion Primary care practitioners should pay greater attention to delivering optimal patient experiences alongside clinical management of the disease as this may contribute towards remission of Type 2 diabetes. Further work is needed to examine which aspects of the primary care experience might be optimized and how these could be operationalized.
Eating disorder fear networks: Identification of central eating disorder fears.

OBJECTIVE Eating-related fear and anxiety are hallmark symptoms of eating disorders (EDs). However, it is still unclear which fears are most important (e.g., food, weight gain), which has practical implications, given treatments for eating-related fear necessitate modifications based on the specific fear driving ED pathology. For example, exposure treatments should be optimized based on specific fears that maintain pathology. The current study (N = 1,622 combined clinical ED and undergraduate sample) begins to answer questions on the precise nature of ED fears and how they operate with other ED symptoms. METHOD We used network analysis to create two models of ED fears and symptoms. The first model consisted of ED fears only (e.g., fears of food, fears of weight gain) to identify which fear is most central. The second model consisted of ED fears and ED symptoms to detect how ED fears operate with ED symptoms. RESULTS We found fear of disliking how one's body feels due to weight gain, disliking eating in social situations, feeling tense around food, fear of judgment due to weight gain, and food anxiety were the most central ED fears. We also identified several bridge symptoms between ED fears and symptoms. Finally, we found that the most central ED fears predicted excessive exercise at two-month follow-up. DISCUSSION These data support the idea that consequences (i.e., judgment) associated with fears of weight gain and interoceptive fears are the most central ED fears. These data have implications for the future development of precision interventions targeted to address ED-related fear.
Antibiotic Overuse After Hospital Discharge: A Multi-hospital Cohort Study

Abstract Background Antibiotics are commonly prescribed to patients as they leave the hospital. We aimed to create a comprehensive metric to characterize antibiotic overuse after discharge among hospitalized patients treated for pneumonia or urinary tract infection (UTI), and to determine whether overuse varied across hospitals and conditions. Methods In a retrospective cohort study of hospitalized patients treated for pneumonia or UTI in 46 hospitals between 1 July 2017–30 July 2019, we quantified the proportion of patients discharged with antibiotic overuse, defined as unnecessary antibiotic use, excess antibiotic duration, or suboptimal fluoroquinolone use. Using linear regression, we assessed hospital-level associations between antibiotic overuse after discharge in patients treated for pneumonia versus a UTI. Results Of 21 825 patients treated for infection (12 445 with pneumonia; 9380 with a UTI), nearly half (49.1%) had antibiotic overuse after discharge (56.9% with pneumonia; 38.7% with a UTI). For pneumonia, 63.1% of overuse days after discharge were due to excess duration; for UTIs, 43.9% were due to treatment of asymptomatic bacteriuria. The percentage of patients discharged with antibiotic overuse varied 5-fold among hospitals (from 15.9% [95% confidence interval, 8.7%–24.6%] to 80.6% [95% confidence interval, 69.4%–88.1%]) and was strongly correlated between conditions (regression coefficient = 0.85; P < .001). Conclusions Antibiotic overuse after discharge was common and varied widely between hospitals. Antibiotic overuse after discharge was associated between conditions, suggesting that the prescribing culture, physician behavior, or organizational processes contribute to overprescribing at discharge. Multifaceted efforts focusing on all 3 types of overuse and multiple conditions should be considered to improve antibiotic prescribing at discharge.
Long-term persistence of anti-HBs after hepatitis B vaccination among isolated anti-HBc positive adults in China: 8-years results

ABSTRACT The long-term persistence of hepatitis B surface antibody (anti-HBs) after hepatitis B vaccination among adults harboring isolated hepatitis B core antibody (anti-HBc) is not yet clarified. The present study aimed to assess the immunogenicity and persistence of antibodies in adults 8 years after vaccination. A total of 309 participants including 94 participants in the isolated anti-HBs group and 215 in the control group were recruited in this study. All subjects received three doses of hepatitis B vaccine (20 μg) at 0, 1, and 12 months, followed by testing for serological responses 1 month after the third vaccination. Subsequently, 154 participants were excluded because their anti-HBs data of 8 y after the first vaccination were missing. The prevalence of isolated anti-HBc was about 11.5%, the positive seroprotection rate was 72%, and the geometric mean titer (GMT) value of anti-HBs titer was 24.55 mIU/mL in the isolated anti-HBc group 8 y after three doses of vaccination. No significant difference was detected in the positive seroprotection rate (P = .434) and the GMT values of anti-HBs titers (P = .674) between the isolated anti-HBc and control groups after 8 y. In conclusion, isolated anti-HBc-positive subjects could achieve satisfactory long-term immune effects after hepatitis B vaccination. The GMT values of anti-HBs titers were lower than those of the control group at 1 month, but no significant difference was detected after 8 years.
Efficacy of Management and Monitoring Methods to Prevent Post-Harvest Losses Caused by Rodents

Simple Summary The presence of pest rodents around food production and storage sites is one of many underlying problems contributing to food contamination and loss, particularly influencing food and nutrition security in low-income countries. By reducing harvest losses by rodents, millions of food-insecure people would benefit. As there are limited data on post-harvest rice losses due to rodents, our objectives were to assess stored rice losses in local households and two rice milling factories in Bangladesh. We also wanted to monitor the effect of different rodent control strategies on stored rice losses over a period of two years (2016 and 2017). Four control strategies were tested, (i) untreated control, (ii) use of domestic cats, (iii) use of rodenticides, (iv) use of snap-traps. In total, 210 rodents were captured from inside people’s homes, with Rattus rattus trapped most often, followed by Mus musculus and Bandicota bengalensis. In the milling stations, 68 rodents were trapped, of which 21 were M. musculus, 19 R. rattus, 17 B. bengalensis, 8 Rattus exulans, and 3 Mus terricolor. In 2016, losses from standardised baskets of rice within households were between 13.6% and 16.7%. In 2017, the losses were lower, ranging from 0.6% to 2.2%. Daily rodent removal by trapping proved to be most effective to diminish stored produce loss. The effectiveness of domestic cats was limited. Abstract The presence of pest rodents around food production and storage sites is one of many underlying problems contributing to food contamination and loss, particularly influencing food and nutrition security in low-income countries. By reducing both pre- and post-harvest losses by rodents, millions of food-insecure people would benefit. As there are limited quantitative data on post-harvest rice losses due to rodents, our objectives were to assess stored rice losses in local households from eight rural communities and two rice milling factories in Bangladesh and to monitor the effect of different rodent control strategies to limit potential losses. Four treatments were applied in 2016 and 2017, (i) untreated control, (ii) use of domestic cats, (iii) use of rodenticides, (iv) use of snap-traps. In total, over a two-year period, 210 rodents were captured from inside people’s homes, with Rattus rattus trapped most often (n = 91), followed by Mus musculus (n = 75) and Bandicota bengalensis (n = 26). In the milling stations, 68 rodents were trapped, of which 21 were M. musculus, 19 R. rattus, 17 B. bengalensis, 8 Rattus exulans, and 3 Mus terricolor. In 2016, losses from standardised baskets of rice within households were between 13.6% and 16.7%. In 2017, the losses were lower, ranging from 0.6% to 2.2%. Daily rodent removal by trapping proved to be most effective to diminish stored produce loss. The effectiveness of domestic cats was limited.
Impact-Related Ground Reaction Forces Are More Strongly Associated With Some Running Injuries Than Others

Background: Inconsistent associations have been reported for impact-related ground reaction force variables and running injuries when grouping all injuries together. However, previous work has shown more consistent associations when focusing on specific injuries. Purpose: To compare ground reaction force variables between healthy and injured runners as a group and within specific common injuries. Study Design: Controlled laboratory study. Methods: A total of 125 runners presenting with patellofemoral pain, tibial bone stress injury, plantar fasciitis, Achilles tendinopathy, or iliotibial band syndrome and 65 healthy controls completed an instrumented treadmill assessment at a self-selected speed. Impact-related ground reaction force variables included vertical average (VALR) and instantaneous (VILR) load rates, posterior and medial/lateral instantaneous load rates, and vertical stiffness at initial loading (VSIL). Mean comparisons were made between the general and specific injury and control groups (α = .05). Cutoff thresholds were established and evaluated using several criteria. Results: VALR (+17.5%; P < .01), VILR (+15.8%; P < .01), and VSIL (+19.7%; P < .01) were significantly higher in the overall injured versus control groups. For individual injuries, VALR, VILR, and VSIL were significantly higher for patellofemoral pain (+23.4%-26.4%; P < .01) and plantar fasciitis (+17.5%-29.0%; P < .01), as well as VSIL for Achilles tendinopathy (+29.4%; P < .01). Cutoff thresholds showed better diagnostic criteria for individual versus grouped injuries. Conclusion: Impact variables (VALR, VILR, and VSIL) were significantly higher when assessing the injured group as a whole. However, these findings were driven by specific injury groups, highlighting the importance of taking an injury-specific approach to biomechanical risk factors for running injury. Clinical Relevance: These results suggest that practitioners may want to address impact loading in their treatment of injured runners, especially in those with patellofemoral pain and plantar fasciitis.
Maturation of the mudskipper Boleophthalmus pectinirostris distributed in the mud flats of the Midori river, Kumamoto Prefecture

The age and growth of the herbivorous mudskipper Boleophthalmus pectinirostris were studied in the mud flat of the Midori River, Kumamoto Prefecture. A mark is formed on the second pectoral radials twice a year, in summer (age-indicating) and late autumn. The specimens (829 individuals collected from 1986 to 1989) mostly consisted of one and two year olds with the oldest being four years old. The fish grows fast from spring to late autumn. However the annual growth rate falls markedly after two years of age. Growth was found to vary both within and between year classes, probably due to the feeding behavior resulting from being confined to a bounded grazing area. The fish having less growth in the first year grew more in the second year. However, the year classes attaining a larger size by the first winter would still keep their superiority in size in the following years.
Seasonal occurrence of spotted wing drosophila in various small fruits and berries in Pennsylvania and Maryland

Spotted wing drosophila (SWD) (Drosophila suzukii), a major invasive pest of small fruit crops, was first found in Pennsylvania and Maryland during the 2011 crop season, and since then, it has been established throughout the fruit growing regions of both states. A season‐long field study was conducted to find out the seasonal occurrence of SWD in several fruit crops (e.g. blueberry, tart and sweet cherry, floricane‐fruiting summer red raspberry, blackberry, primocane‐fruiting fall raspberries and table grapes) in Pennsylvania and Maryland in 2014. This is the first study determining seasonal occurrence of SWD using a standard commercial lure (Pherocon® SWD Dual‐Lure™)‐baited traps in this region. In both states, SWD adults were not captured prior to the month of July, and populations of SWD were found to build up in fruit crops only from mid‐July onwards. This indicates early season fruit crops or varieties are not at risk from SWD fruit injury in these two states. Such early fruit crops, for instance strawberry, sweet and tart cherry, are generally harvested before SWD populations build up in this region. In this context, implications of SWD population in various small fruit crops grown in this region and the utility of SWD Dual‐Lure ™ in season‐long monitoring of SWD population are discussed.
The Relationship Between Flowering Phenology and Seed Set in an Herbaceous Perennial Plant, Polemonium foliosissimum Gray

To assess the potential for evolutionary change in blooming time within a population of Polemonium foliosissimum Gray (Polemoniaceae), flowering phenology, seed set and seed predation frequencies of individual plants were monitored from 1977-1981 in the Colorado Rocky Mountains. In only 1 of 4 years was there a significant correlation between flowering rank and average seed set per flower. In contrast, there was a significant (or nearly significant, p<.06) positive correlation between blooming time and total plant seed set in 3 of 4 years. These positive correlations resulted from greater flower production by later-blooming plants. Thus, total seed set varied independently of seed production on a per blossom basis, indicating that seed set per flower'should be used only with caution as a measure of the maternal component of plant fitness. The fairly consistent positive relationship between blooming time and totat seed set indicates that directional selection for later flowering may be occurring in P:folioszssimum. Seed predation by Hylemya sp. (Anthomyiidae, Diptera) increases selection pressure more often than it offsets it. Significant, positive between-year correlations of flowering ranks of individuals, along with other inferential evidence, suggest that flowering time is likely to be heritable in P. foliosissimum.
Replacement of canola meal with Moringa oleifera leaf powder affects performance and immune response in broilers

Abstract Moringa oleifera is known as a miracle tree due to its amazing nutritional and therapeutic properties. Considering its nutritional value, Moringa oleifera leaf powder can be used as a non-conventional ingredient in poultry diets. This study was conducted to investigate the effect of the replacement of canola meal (CM) with Moringa oleifera leaf powder (MOLP) on growth performance, blood hematology, and immune response in broilers. Two-hundred-twenty one-day-old Hubbard broiler chicks were reared in one group for a wk (adaptation period). At 8 d of age, 150 chicks of similar body weight (±5g) were selected and randomly divided into 15 experimental units, each comprising 10 chicks. These experimental units were further allocated to 5 treatment groups that were fed Ration A (control), B, C, D, and E, containing 8% CM and 0% MOLP, 6% CM and 2% MOLP, 4% CM and 4% MOLP, 2% CM and 6% MOLP, and 0% CM and 8% MOLP, respectively. The experimental diets were fed to the broilers for a period of 31 d. The results of the present study suggest that replacement of CM with MOLP as a vegetable protein source can enhance the immune response to Newcastle disease and infectious bursal disease vaccination without any change in weight gain, body organ weight, and blood hematology in broilers. The results also indicate that replacement of CM with MOLP results in higher feed intake with some negative effects on FCR in broilers.
Effect of an outpatient copayment scheme on health outcomes of hypertensive adults in a community-managed population in Xinjiang, China

Hypertension remains the leading risk factor for death and disability in China, and the ability of hypertensive patients to pay for outpatient care and medication has become a critical issue. To report the effect of an outpatient copayment scheme on health outcomes of hypertensive adults in a community-managed population in Xinjiang, we compared changes in outcomes between insured and uninsured groups from baseline to the first follow-up appointment in a community-managed hypertensive population and evaluated these changes based on propensity score matching and the difference-in-difference method. A total of 1,095 individuals in a community-managed hypertension population were selected for investigation at baseline, among which 805 (73.5%) had follow-up data and 749 (68.4%) were included in our analysis. After accounting for the self-reported severity of hypertension and individual characteristics, there were statistically significant improvements in drug treatment of hypertension and self-reported health. We also found increases in drug treatment for hypertension between groups, after correcting for confounding variables (Odds Ratio, OR 8.05, 95% Confidence interval, CI, 1.31–49.35), and in self-reported health between groups after correcting confounders (OR 1.96, 95% CI, 1.12 to 3.42). Adjusted estimates (confounding variables) were corrected for age, sex, income, marital status, education level, employment, family size, self-reported severity of hypertension, course of hypertension, and number of medications. As a result, decreased outpatient copayment was associated with an increase in antihypertensive treatment coverage, and an improvement in self-reported health among community-managed hypertensive populations in Xinjiang, China.
The Acceptability and Preference of Vaginal Self-sampling for Human Papillomavirus (HPV) Testing among a Multi-ethnic Asian Female Population

Organized cervical cancer screening remains unachievable in many countries. Self-sampling HPV testing is an evidence-based method that can remove barriers to cervical screening. This is particularly important for developing countries in order to achieve the WHO global strategy to accelerate cervical cancer elimination. Vaginal self-sampling for human papillomavirus (HPV) testing can potentially increase cervical screening coverage. This study aimed to investigate the acceptability of vaginal self-sampling for HPV testing and factors that might influence a woman's preference for this as a cervical screening method. This was a cross-sectional study that recruited 725 women from the urban and suburban areas of Selangor, Malaysia. All study participants were instructed to self-collect vaginal sample using a dry flocked swab before responding to a detailed questionnaire documenting their experience and preference for self-sampling. Most of the study participants (>80%) perceived vaginal self-sampling as easy, convenient, not embarrassing, comfortable, and were confident in performing the test. This suggests high acceptability toward vaginal self-sampling for HPV testing. Of the 725 women, 83% preferred self-sampling HPV testing over healthcare personnel sampling HPV testing and Pap test. Women with higher household income and full-time employment status were more likely to prefer self-sampling. Those who had not undergone Pap test also expressed preference for self-sampling HPV testing. Convenience and women's confidence in performing a vaginal self-sampling for HPV testing were the independent key factors that influenced the preference for self-sampling method. Vaginal self-sampling for HPV testing is highly acceptable among Malaysian women. It is the preferred choice as a primary cervical screening method and serves as an alternative to healthcare-acquired sample for Pap test. Prevention Relevance: Organized cervical cancer screening remains unachievable in many countries. Self-sampling HPV testing is an evidence-based method that can remove barriers to cervical screening. This is particularly important for developing countries in order to achieve the WHO global strategy to accelerate cervical cancer elimination.
A Review on the Role of the Neuroscience of Flow States in the Modern World

Flow states have been shown to help people reach peak performance, yet this elusive state is not easily attained. The review describes the current state of literature on flow by addressing the environmental influences as well as the cognitive and neurocognitive elements that underlie the experience. In particular, the research focusses on the transition of cognitive control from an explicit to an implicit process. This is further expanded upon to look at the current, yet related neurocognitive research of high performance associated with the implicit process of automaticity. Finally, the review focusses on transcranial direct current stimulation (tDCS) as a novel method to facilitates an induction of flow states. Implications are aimed at a general technique to improve on skill acquisition and overall performance.
Enhancing the communication of functional neurological disorder diagnosis: a multidisciplinary education session

Functional neurological disorder (FND) is a common diagnosis within neurology. Effective communication of the diagnosis is known to be an important part of treatment and can result in reduction or cessation of symptoms, as well as decreased healthcare utilisation. A single group education session, facilitated by professionals commonly involved in the care of patients with FND, was developed to further enhance patients' and relatives' understanding and acceptance of diagnosis.