Miracle-dz/UniFAR-FTUs huggingface dataset:
Exploring the Effects of Problematic Internet Use on Adolescent Sleep: A Systematic Review

Adolescent suse internet via several devices to gather information or communicate. Sleep, as a key factor of adolescents’ development, contributes to their physical and mental health. Over the past decades insufficient sleep among adolescents has been wide spread, and one of its attributing factors is the increased availability of technology. This review aims to investigate the body of evidence regarding the impact of problematic internet use on adolescent sleep. Extensive search of databases was performed according to PRISMA guidelines for studies published within the last decade, regarding subjects aged 10–19. The final step of the search yielded 12 original studies. The quality of extracted data was evaluated with the AXIS tool, in order to estimate the risk of bias. All studies showed a negative correlation between adolescent sleep and problematic internet use. It was found to affect sleep quality and quantity and provoke insomnia symptoms. Interestingly, adolescent’s sex, parental educational level, type of family and use for leisure or academic reasons appeared as affecting factors of the problematic internet use-sleep relationship. Problematic internet use has several effects on adolescents’ sleep. Results of relevant studies should be embedded in educational interventions addressed to adolescents as well as parents, to eliminate the negative outcomes of problematic internet use on sleep and adolescence’s health in general.
Whole Blood, Fixed Ratio, or Goal-Directed Blood Component Therapy for the Initial Resuscitation of Severely Hemorrhaging Trauma Patients: A Narrative Review

This narrative review explores the pathophysiology, geographic variation, and historical developments underlying the selection of fixed ratio versus whole blood resuscitation for hemorrhaging trauma patients. We also detail a physiologically driven and goal-directed alternative to fixed ratio and whole blood, whereby viscoelastic testing guides the administration of blood components and factor concentrates to the severely bleeding trauma patient. The major studies of each resuscitation method are highlighted, and upcoming comparative trials are detailed.
Cerebrospinal Fluid α-Synuclein Species in Cognitive and Movements Disorders

Total CSF α-synuclein (t-α-syn), phosphorylated α-syn (pS129-α-syn) and α-syn oligomers (o-α-syn) have been studied as candidate biomarkers for synucleinopathies, with suboptimal specificity and sensitivity in the differentiation from healthy controls. Studies of α-syn species in patients with other underlying pathologies are lacking. The aim of this study was to investigate possible alterations in CSF α-syn species in a cohort of patients with diverse underlying pathologies. A total of 135 patients were included, comprising Parkinson’s disease (PD; n = 13), multiple system atrophy (MSA; n = 9), progressive supranuclear palsy (PSP; n = 13), corticobasal degeneration (CBD; n = 9), Alzheimer’s disease (AD; n = 51), frontotemporal degeneration (FTD; n = 26) and vascular dementia patients (VD; n = 14). PD patients exhibited higher pS129-α-syn/α-syn ratios compared to FTD (p = 0.045), after exclusion of samples with CSF blood contamination. When comparing movement disorders (i.e., MSA vs. PD vs. PSP vs. CBD), MSA patients had lower α-syn levels compared to CBD (p = 0.024). Patients with a synucleinopathy (PD and MSA) exhibited lower t-α-syn levels (p = 0.002; cut-off value: ≤865 pg/mL; sensitivity: 95%, specificity: 69%) and higher pS129-/t-α-syn ratios (p = 0.020; cut-off value: ≥0.122; sensitivity: 71%, specificity: 77%) compared to patients with tauopathies (PSP and CBD). There are no significant α-syn species alterations in non-synucleinopathies.
A rat model expressing a human amyloidogenic kappa light chain

Research on AL amyloidosis suffers from the lack of a reliable animal model to better understand the pathophysiology of the disease and to design novel therapeutic strategies. Even if few mouse models demonstrated the presence of amyloid fibrils, none of them did reproduce the main characteristics of AL amyloidosis in humans. In our hands, even high levels of serum amyloid immunoglobulin (Ig) light chain (LC) never led to deposits [1]. Other models in nonmammals (worm, zebrafish) were of invaluable interest to decipher several aspects of the disease but remain too far from physiology for therapeutic investigation [1]. Hereby we describe the first transgenic rat model expressing an amyloidogenic human Ig LC. We have transposed our knock-in strategy used in mice [1] into rats since rat is often considered as more relevant than mouse concerning sensitivity to pathogenic lesions, sclerosis and organ failure [2]. Briefly, a human LC gene extracted from a patient with AL amyloidosis (mainly kidney involvement) was inserted in the rat Igj locus using Crispr-Cas9. Patient’s parameters and generation of the rat model (rR) were described in the supplemental methods and Supplemental Figure 1. Human jLC was expressed in most B and plasma cells (PC) together with rat heavy chains (HC) (Supplemental Figure 1C). The human jLC was readily detected in serum by ELISA (928.3mg/ml ± 144.3; mean ± SEM, n1⁄4 14) but appeared to be mainly associated with the rat HC since no increase in FLC (Freelite assay, Binding site) was observed (15.7 mg/ml ± 4.7, n1⁄4 7) (Figure 1(A)). This is further illustrated by the native western blot carried out on serum showing that most jLC is associated with a 150 kDa band corresponding to full length IgG (Supplemental Figure 1(D)). Accordingly, urine human jLC was 26.3 mg/ml ± 7.2 (n1⁄4 15) which is similar to what we found in WT mice [3]. Organs sections (kidney, heart, liver and spleen) from 12 and 24month-old rats showed no evidence of amyloid deposits (n1⁄4 3 each) (Figure 1(B)). Despite abundant LC reabsorption in proximal tubules, kidneys showed normal tubular and glomerular structures without apparent amyloid deposits. Since several studies showed that amyloid LC may exert direct toxicity for organs even in the absence of amyloid fibrils [1], we analysed kidney function in 18month-old rats (n1⁄4 5). Creatinine levels were within the normal range for rats (29 mmol/l± 6.348)[4]. Accordingly, rats have a normal life span, without increased morbidity or mortality over a two years follow-up. Despite the efficient jLC production by most B and PCs, FLC remained low in this model, due to an efficient association of human LCs with rat HCs. This likely accounts for
Attitudes of healthcare workers towards COVID-19 vaccination: a survey in France and French-speaking parts of Belgium and Canada, 2020

In October and November 2020, we conducted a survey of 2,678 healthcare workers (HCWs) involved in general population immunisation in France, French-speaking Belgium and Quebec, Canada to assess acceptance of future COVID-19 vaccines (i.e. willingness to receive or recommend these) and its determinants. Of the HCWs, 48.6% (n = 1,302) showed high acceptance, 23.0% (n = 616) moderate acceptance and 28.4% (n = 760) hesitancy/reluctance. Hesitancy was mostly driven by vaccine safety concerns. These must be addressed before/during upcoming vaccination campaigns.
The role of cytology in endometrial cancer: Diagnostic and clinical considerations from peritoneal/pelvic washings. Is it still a heated debate?

The diagnostic and clinical interpretation of peritoneal/pelvic washing (PW) cytology in endometrial carcinoma (EC) remain controversial. The incidence of malignant cytological diagnoses varies widely in different studies ranging from 4.9% to 40%, mostly due to the use of different diagnostic criteria and different thresholds for making a specific diagnosis. Moreover, the clinicopathological significance of positive results, especially in women affected by early stage EC, remains an open debate. While the role of cytology has been clearly defined for ovarian cancer, its prognostic significance for EC and its exact role in guiding treatment decision making are problematic. In this issue of Cancer Cytopathology, Davis et al discuss their diagnostic experience and technical considerations for the use of peritoneal/pelvic cytology in EC patients, raising the unsolved question of both prognostic and staging roles of cytology in EC, particularly in the absence of other evidence of extrauterine spread. EC is the most common gynecologic cancer in developed countries and, to date, represents a heterogeneous group of diseases with different morphological and molecular features. According to the Cancer Genome Atlas model, 4 molecular categories of EC are recognized: 1) ultramutated (DNA polymerase epsilon mutated), 2) hypermutated secondary to microsatellite instability, 3) low copy number, and 4) high copy number (serous-like). Despite recent advances in defining EC, more than 20% of women with EC still experience recurrences and metastases and eventually die of disease. Together with the known biopathological parameters (lymph node status, histological type and grade, stage of disease, depth of myometrial invasion, lymphovascular space involvement, cervical involvement, microcystic elongated and fragmented-MELF pattern of myometrial invasion), the adoption of molecular diagnostic categories in routine clinical practice and the evaluation of WT1 and L1CAM immunohistochemical expression have recently emerged as promising prognostic factors in EC patients. According to many experts, malignant cytology is associated with adverse outcome only when accompanied by extrauterine spread of the disease. However, a positive cytological diagnosis may be considered an indicator of aggressive tumor behavior being related to other adverse prognostic factors, such as high-grade disease, nonendometrioid histology, deep myometrial invasion, lymphovascular space invasion, and lymph node metastases. In the study by Davis et al, cytological specimens (both ThinPrep and cell block preparations) from PW of EC patients were retrospectively reviewed and analyzed according to the new diagnostic criteria proposed
Effects of Radiation Intensity, Mineral Matrix, and Pre-Irradiation on the Bacterial Resistance to Gamma Irradiation under Low Temperature Conditions

Ionizing radiation is one of the main factors limiting the survival of microorganisms in extraterrestrial conditions. The survivability of microorganisms under irradiation depends significantly on the conditions, in which the irradiation occurs. In particular, temperature, pressure, oxygen and water concentrations are of great influence. However, the influence of factors such as the radiation intensity (in low-temperature conditions) and the type of mineral matrix, in which microorganisms are located, has been practically unstudied. It has been shown that the radioresistance of bacteria can increase after their exposure to sublethal doses and subsequent repair of damage under favorable conditions, however, such studies are also few and the influence of other factors of extraterrestrial space (temperature, pressure) was not studied in them. The viability of bacteria Arthrobacter polychromogenes, Kocuria rosea and Xanthomonas sp. after irradiation with gamma radiation at a dose of 1 kGy under conditions of low pressure (1 Torr) and low temperature (−50 °C) at different radiation intensities (4 vs. 0.8 kGy/h) with immobilization of bacteria on various mineral matrices (montmorillonite vs. analogue of lunar dust) has been studied. Native, previously non-irradiated strains, and strains that were previously irradiated with gamma radiation and subjected to 10 passages of cultivation on solid media were irradiated. The number of survived cells was determined by culturing on a solid medium. It has been shown that the radioresistance of bacteria depends significantly on the type of mineral matrix, on which they are immobilized, wherein montmorillonite contributes to an increased survivability in comparison with a silicate matrix. Survivability of the studied bacteria was found to increase with decreasing radiation intensity, despite the impossibility of active reparation processes under experimental conditions. Considering the low intensity of radiation on various space objects in comparison with radiobiological experiments, this suggests a longer preservation of the viable microorganisms outside the Earth than is commonly believed. An increase in bacterial radioresistance was revealed even after one cycle of irradiation of the strains and their subsequent cultivation under favourable conditions. This indicates the possibility of hypothetical microorganisms on Mars increasing their radioresistance.
Association of Circulating Trimethylamine N-Oxide and Its Dietary Determinants with the Risk of Kidney Graft Failure: Results of the TransplantLines Cohort Study

Background. Due to the critical shortage of kidneys for transplantation, the identification of modifiable factors related to graft failure is highly desirable. The role of trimethylamine-N-oxide (TMAO) in graft failure remains undetermined. Here, we investigated the clinical utility of TMAO and its dietary determinants for graft failure prediction in renal transplant recipients (RTRs). Methods. We included 448 RTRs who participated in the TransplantLines Cohort Study. Cox proportional-hazards regression analyses were performed to study the association of plasma TMAO with graft failure. Net Benefit, which is a decision analysis method, was performed to evaluate the clinical utility of TMAO and dietary information in the prediction of graft failure. Results. Among RTRs (age 52.7 ± 13.1 years; 53% males), the baseline median TMAO was 5.6 (3.0–10.2) µmol/L. In multivariable regression analysis, the most important dietary determinants of TMAO were egg intake (Std. β = 0.09 [95%CI, 0.01; 0.18]; p = 0.03), fiber intake (Std. β = −0.14 [95%CI, −0.22, −0.05]; p = 0.002), and fish and seafood intake (Std. β = 0.12 [95%CI, 0.03,0.21]; p = 0.01). After a median follow-up of 5.3 (4.5–6.0) years, graft failure was observed in 58 subjects. TMAO was associated with an increased risk of graft failure, independent of age, sex, the body mass index (BMI), blood pressure, lipids, albuminuria, and the Estimated Glomerular Filtration Rate (eGFR) (Hazard Ratio per 1-SD increase of TMAO, 1.62 (95% confidence interval (CI): 1.22; 2.14, p < 0.001)). A TMAO and dietary enhanced prediction model offered approximately double the Net Benefit compared to a previously reported, validated prediction model for future graft failure, allowing the detection of 21 RTRs per 100 RTRs tested, with no false positives versus 10 RTRs, respectively. Conclusions. A predictive model for graft failure, enriched with TMAO and its dietary determinants, yielded a higher Net Benefit compared with an already validated model. This study suggests that TMAO and its dietary determinants are associated with an increased risk of graft failure and that it is clinically meaningful.
Clinical Significance of Preoperative Inflammatory Markers in Prediction of Prognosis in Node-Negative Colon Cancer: Correlation between Neutrophil-to-Lymphocyte Ratio and Poorly Differentiated Clusters

Although stage I and II colon cancers (CC) generally show a very good prognosis, a small proportion of these patients dies from recurrent disease. The identification of high-risk patients, who may benefit from adjuvant chemotherapy, becomes therefore essential. We retrospectively evaluated 107 cases of stage I (n = 28, 26.2%) and II (n = 79, 73.8%) CC for correlations among preoperative inflammatory markers, histopathological factors and long-term prognosis. A neutrophil-to-lymphocyte ratio greater than 3 (H-NLR) and a platelet-to-lymphocyte ratio greater than 150 (H-PLR) were significantly associated with the presence of poorly differentiated clusters (PDC) (p = 0.007 and p = 0.039, respectively). In addition, H-NLR and PDC proved to be significant and independent survival prognosticators for overall survival (OS; p = 0.007 and p < 0.001, respectively), while PDC was the only significant prognostic factor for cancer-specific survival (CSS; p < 0.001,). Finally, the combination of H-NLR and PDC allowed an optimal stratification of OS and CSS in our cohort, suggesting a potential role in clinical practice for the identification of high-risk patients with stage I and II CC.
The Urinary Polyomavirus-Haufen Test: A Highly Predictive Non-Invasive Biomarker to Distinguish “Presumptive” from “Definitive” Polyomavirus Nephropathy: How to Use It—When to Use It—How Does It Compare to PCR Based Assays?

“Definitive” biopsy proven polyomavirus nephropathy (PyVN), usually caused by BK polyomavirus (BKPyV), remains a significant infection of kidney transplants. Diagnosis depends upon an allograft biopsy and outcome depends upon early intervention. Here, we report data on a non-invasive biomarker for PyVN, the urinary PyV-Haufen test. Test results were compared to those of conventional laboratory assays targeting PyV replication, i.e., BKPy-viremia, -viruria and urinary decoy cell shedding. Of 809 kidney transplant recipients, 228 (28%) showed PyV replication with decoy cell shedding and/or BKPy-viremia by quantitative PCR; only a subset of 81/228 (36%) showed “definitive” PyVN. Sensitivity and specificity for identifying patients with PyVN was: 100% and 98%, respectively, urinary PyV-Haufen test; 50% and 54%, respectively, urinary decoy cell shedding; 97% and 32%, respectively, BKPy-viremia with cut-off of ≥250 viral copies/mL; 66% and 80%, respectively, for BKPy-viremia ≥104 viral copies/mL. The PyV-Haufen test showed a very strong correlation with the severity of PyVN (Spearman’s ρ = 0.84) and the Banff PyVN disease classes (p < 0.001). In comparison, BKPy-viremia and -viruria levels by PCR displayed modest correlations with PyVN severity (Spearman’s ρ = 0.35 and 0.36, respectively) and were not significantly associated with disease classes. No association was found between decoy cell shedding and PyVN severity or disease classes. Pilot data demonstrated that PyVN resolution with decreasing Banff pvl-scores was reflected by a gradual decrease in PyV-Haufen shedding; such a tight association was not noted for BKPy-viremia. In conclusion, urinary PyV-Haufen testing is a highly specific, non-invasive method to accurately diagnose patients with “definitive” PyVN and to optimize patient management. Assay specifics are discussed.
Immune Responses Induced by mRNA Vaccination in Mice, Monkeys and Humans

In this concise review, we summarize the concepts behind mRNA vaccination. We discuss the innate and adaptive immune response generated by mRNA vaccines in different animal models and in humans. We give examples of viral infections where mRNA vaccines have shown to induce potent responses and we discuss in more detail the recent SARS-CoV-2 mRNA vaccine trials in humans.
Microbiome Signatures in a Fast- and Slow-Progressing Gastric Cancer Murine Model and Their Contribution to Gastric Carcinogenesis

Gastric cancer is the third most common cancer in the world and Helicobacter spp. being one of the main factors responsible for development of cancer. Alongside Helicobacter the microbiota of the stomach mucosa may also play an important role in gastric cancer progression. Previously we had established that MyD88 deficient mice rapidly progressed to neoplasia when infected with H. felis. Thus, in order to assess the role of microbiota in gastric cancer progression we measured the changes in microbial diversity of the stomach in mice with different genotypic backgrounds (Wild type (WT), MyD88 deficient (MyD88−/−), mice deficient in the Toll/IL-1R (TIR) domain-containing adaptor-inducing interferon-β (TRIF, Triflps2), and MyD88 and Trif deficient (MyD88−/− and Trif−/−)double knockout (DKO) mice), both in uninfected and Helicobacter infected mice and its correlation of these changes with gastric cancer progression. We observed that there was an overall reduction in microbial diversity post infection with H. felis across all genotypes. Campylobacterales were observed in all infected mice, with marked reduction in abundance at 3 and 6 months in MyD88−/− mice. This low abundance of H. pylori could facilitate dominance of other organisms of microbiome like Lactobacilliales. A sharp increase in Lactobacilliales in infected MyD88−/− and DKO mice at 3 and 6 months was observed as compared to Trif−/− and WT mice suggesting its possible role in gastric cancer progression. This was further reinforced upon comparison of Lactobacillus ratio with histological data suggesting that Lactobacillales is closely associated with Helicobacter infection and gastric cancer progression. Thus, this study firstly suggests that difference in genotypes could define the stomach microbiome and make it more susceptible to development of gastric cancer upon Helicobacter infections. Secondly the increase in Lactobacillales could contribute to faster development of gastric cancer and serve as a probable bio marker for fast progressing form of gastric cancer.
Deploying Spatial Data for Coastal Community Resilience: A Review from the Managerial Perspective

The use of spatial data for coastal community resilience applications has diversified as a consequence of the increasing availability of data, and extensive development in data processing. However, the true value of spatial data is not fully exploited as a result of lacking scientific managerial models that incorporate spatial data into decision-making. This article synthesizes the cross-disciplinary literature review on deploying spatial data for coastal community resilience from the managerial perspective. It systematically reviews research addressing the topic of deploying spatial data for coastal resilience operations from the earliest available to 1999. The review uses 142 studies to address three research questions: (1) What kind of data can be obtained for coastal resilience situational awareness? (2) What outcomes have spatial data attributed to coastal resilience applications? and (3) What are the missing pieces (gaps) in connecting the spatial data with coastal resilience applications? In addressing these research questions, the authors review articles based on three dimensions including the availability of spatial data, the availability of applications, and limitations. Based on the findings of the analysis, the authors conclude that the managerial perspective of deploying spatial data in coastal hazards are understudies, and outline problem formulation, mission prioritization, and information salience as an agenda for future research.