Miracle-dz/UniFAR-FTUs huggingface dataset:
The experience of recurrent fallers in the first year after stroke

Abstract Purpose: Understanding the experiences of fallers after stroke could inform falls-prevention interventions, which have not yet shown effectiveness in this population. The aim of this study was to explore the experience of recurrent fallers post-stroke in relation to recovery and living with falls. Methods: Participants who had more than one fall in the first year after stroke were identified from a prospective cohort study. The methods of grounded theory informed data collection and analysis. Semi-structured interviews were conducted, audio-recorded and transcribed. Coding was conducted and categories were developed inductively. Results: Nine stroke survivors aged 53–85 were interviewed 18–22 months post-discharge. Participants had experienced between 2 and 9 falls and one participant suffered a fracture. Three inter-linked categories were identified: (i) Judging the importance of falls by exploring cause and consequence, (ii) getting back up, and (iii) being careful. Conclusions: Stroke survivors’ assessment of their own falls-risk and their individual priorities contribute to their decisions around activity participation. “Being careful” could be described as a form of self-managing falls-risk. The inclusion of self-management principles, peer-educators, and education to rise from the floor in falls-management programmes warrants investigation. Not all falls were considered equally important by participants. This could be considered when defining falls-related outcomes. Implications for Rehabilitation Healthcare professionals may be able to offer an increased sense of control to stroke survivors through education about how to avoid particular causes and consequences of falls. Falls-related advice should be specific, relevant to the individual, and respectful of their sense of identity. Being able to rise from the floor appears to be important for coping with falls and falls-risk. Professionals should be cognisant of the potential differences of opinion between stroke survivors and their families around management of falls-risk.
Physiological hypoxia promotes survival of cultured cortical neurons

Physiological oxygen (O2) tensions in brain tissues vary widely, from ≈ 5 to 40 Torr (1–6%), encompassing levels of moderate hypoxia that have often been considered neurotoxic in vitro. The effects of such hypoxia were examined in embryonic murine cortical neurons cultured continuously from plating in an atmosphere of 1% O2. Remarkably, cortical neurons thrived in 1% O2, with survival at 7–14 days significantly greater than that of neurons cultured in ambient conditions (20% O2). Immunostaining for microtubule‐associated protein‐2 (MAP‐2) and NeuN confirmed the neuronal identity of surviving cells, and demonstrated robust development of dendritic structures and MAP‐2 expression in hypoxia. Survival of neurons in 20% O2 could be promoted by transfer of medium conditioned by neurons in 1% O2, or by pharmacological induction of hypoxia‐inducible factor‐1α (HIF‐1α), suggesting a possible role for secreted factors under transcriptional regulation by HIF‐1 in the trophic effects of hypoxia. Vascular endothelial growth factor (VEGF), a factor regulated by HIF‐1, was strongly stimulated in neurons cultured in 1% O2. Treatment of neurons with exogenous VEGF partially improved survival in 20% O2, and inhibitors of VEGF action reduced survival of neurons in 1% O2. These data point to the dynamic role played by hypoxia, associated with HIF‐1 up‐regulation, in promoting survival of cortical neurons, in part through stimulation of VEGF expression and release.
Extending the Differential Image Foresting Transform to Root-Based Path-Cost Functions with Application to Superpixel Segmentation

The Image Foresting Transform (IFT) is a general framework to develop image processing tools for a variety of tasks such as image segmentation, boundary tracking, morphological filters, pixel clustering, among others. The Differential Image Foresting Transform (DIFT) comes in handy for scenarios where multiple iterations of IFT over the same image with small modifications on the input parameters are expected, reducing the processing complexity from linear to sublinear with respect to the number of pixels. In this paper, we propose an enhanced variant of the DIFT algorithm that avoids inconsistencies, when the connectivity function is not monotonically incremental. Our algorithm works with the classical and non-classifical connectivity functions based on root position. Experiments were conducted on a superpixel task, showing a significant improvement to a state-of-the-art method.
CCEL: A Metalanguage for C++

C++ is an expressive language, but it does not allow software developers to say all the things about their systems that they need to be able to say. In particular, C++ offers no way to express many important constraints on a system''s design, implementation, and presentation. In this paper, we describe CCEL, a metalanguage for C++ that allows software developers to express constraints on C++ designs and implementations, and we describe Clean++, a system that checks C++ code for violations of CCEL constraints. CCEL is designed for practical, real-world use, and the examples in this paper demonstrate its power and flexibility.
Clobetasol under Hydrocolloid Occlusion in Psoriasis Results in a Complete Block of Proliferation and in a Rebound of Lesions following Discontinuation

Background: It is a well-established fact that very potent corticosteroids are highly effective in the treatment of psoriatic plaques, and that the addition of a hydrocolloid occlusive dressing (HCD) enhances its efficacy. It is known that topical steroids induce normal differentiation and diminish hyperproliferation during treatment of psoriatic plaques. These changes are reflected by an increase in keratin 10 (K10) and a decrease in keratin 6 (K6), respectively. However, the influence of class IV corticosteroids under HCD on K10 and K6 subpopulations has never been studied. Objective: The present study was performed to study quantitatively the influence of a class IV topical steroid under HCD on the dynamics of K10 and K6 subpopulations. Methods: In the present study, we treated moderately severe stable psoriatic plaques with clobetasol-17-propionate under HCD until clearance was achieved. We took biopsies prior to treatment, after clearance and at relapse. Using flow cytometry, we studied the dynamics of K10 and K6 subpopulations. Results: Prior to treatment, 41.8% of all cells expressed K6. After treatment-induced clearance, this proportion decreased to 1.2%, which is below the normal range. At relapse, pre-treatment levels were observed again. A trend to an increasing number of basal cells and an increase in the proliferative activity of these basal cells at relapse compared to the stable situation prior to treatment was observed. Conclusion: We conclude that clobetasol under hydrocolloid occlusion induces virtually a total block of proliferation of the basal cell population and decreases hyperproliferation-associated keratins dramatically. Furthermore, based upon epidermal cell characteristics, we conclude that a rebound phenomenon occurs following discontinuation of therapy with clobetasol under hydrocolloid occlusion.
State anxiety and subjective well-being responses to acute bouts of aerobic exercise in patients with depressive and anxiety disorders

Objective: Acute aerobic exercise is associated with a reduction in state anxiety and an improvement in subjective well-being. The objective of the present study was to contrast the effects of aerobic exercise at self-selected intensity versus prescribed intensity on state anxiety and subjective well-being (negative affect, positive well-being and fatigue) in patients with depressive and/or anxiety disorders. In addition, the potential impact of heart rate feedback was assessed. Methods: Nineteen men and 29 women performed three test conditions on a bicycle ergometer during 20 minutes: two tests at self-selected intensity; one with and another without heart rate feedback, and a third test at the prescribed intensity of 50% of the maximal heart rate reserve according to Karvonen. Tests were executed in random order. State anxiety and subjective well-being were evaluated using the state anxiety inventory and the subjective exercise experiences scale. Results: After 20 minutes cycling, patients showed significantly decreased state anxiety and negative affect in the three conditions. The magnitude of the reduction did not differ significantly between the three conditions. Only cycling at self-selected intensity enhanced positive well-being. Cycling at 50% of the maximal heart rate reserve decreased fatigue, whereas cycling at self-selected intensity increased fatigue. Conclusions: The response in state anxiety and negative affect was unaffected by the type of aerobic exercise. Self-selected intensity influenced exercise-induced changes in positive well-being and fatigue in a positive and negative way, respectively.
Expression of genes associated with ethylene-signalling pathway in harvested banana fruit in response to temperature and 1-MCP treatment.

BACKGROUND Little attention has been paid to characterising the ethylene-signalling pathway genes in relation to abnormal ripening of harvested banana fruit during storage at high temperature. The aim of the present study was to investigate banana fruit abnormal ripening and the expression of ten genes associated with the ethylene-signalling pathway, namely MaACS1, MaACO1, MaERS1-4 and MaEIL1-4, at high temperature. Changes in these parameters of banana fruit at high temperature in response to 1-MCP pretreatment were also investigated. RESULTS High temperature accelerated the decline in fruit firmness, increased ethylene production and inhibited degreening in banana fruit, resulting in fruit abnormal ripening. In addition, the expression of MaACS1, MaACO1, MaERS2, MaERS3, MaERS4, MaEIL1, MaEIL3 and MaEIL4 was enhanced in banana fruit stored at high temperature. However, application of 1-MCP prior to high temperature storage delayed fruit abnormal ripening and simultaneously suppressed the expression of MaACS1, MaERS2, MaERS3, MaEIL1, MaEIL3 and MaEIL4. CONCLUSION The findings of this study suggested that the expression of genes associated with the ethylene-signalling pathway might be involved in banana fruit abnormal ripening at high temperature. Application of 1-MCP suppressed the expression of genes associated with the ethylene-signalling pathway, which may be attributed at least partially to 1-MCP delaying fruit abnormal ripening at high temperature.
LRU-LC: Fast Estimating Cardinality of Flows over Sliding Windows

SUMMARY Estimating the cardinality of ﬂows over sliding windows on high-speed links is still a challenging work under time and space constrains. To solve this problem, we present a novel data structure maintaining a summary of data and propose a constant-time update algorithm for fast evicting expired information. Moreover, a further memory-reducing schema is given at a cost of very little loss of accuracy.
Skin Detection for Hand Gesture Interfaces using Assimilative Background

This paper describes the study realized about hand movement capture systems oriented to gesture interfaces. Thanks to this study we have developed a skin colour based hand detection application. T he state of the art already done provides a good starting point in the documentation stage of a hand detector creation for a gesture interface. This paper describes new strategies like assimilative background that combined with HSV, they result in a more robust skin detector. Categories and Subject Descriptors (according to ACM CCS): I.4. 6 [Image Processing and Computer Vision]: Segmentation --- Pixel classification, I.4. 8 [Image Processing and Computer Vision]: Scene Analysis --- Color , H.5. 2 [Information Interfaces and Presentation]: User Interfaces --- Natural language
Short-course Ondansetron for the Prevention of Methotrexate-induced Nausea in Children With Crohn Disease

Objectives: Methotrexate (MTX) is an effective treatment for Crohn disease (CD); however, its application may be limited by the occurrence of nausea. We assessed whether a short course of ondansetron minimized this adverse event. Patients and Methods: A retrospective case-control study of patients with CD who received MTX at the Children's Hospital of Eastern Ontario between 2001 and 2009 was conducted. Results: Sixty-four patients received MTX during this time period. The mean age of diagnosis was 12.0 ± 3.0 years (± standard deviation), and the mean age when MTX was initiated was 13.6 ± 2.6 years. Those receiving only 1 or 2 doses of MTX (N = 4) and stopped for reasons other than development of nausea were not included in the analysis. Fifty patients received ondansetron premedication using a 4- to 8-week tapering schedule with MTX, and only 1 patient (2.0%) developed nausea within the first 3 months of MTX. In contrast, 6 of 10 patients (60.0%, P < 0.001) not premedicated with ondansetron reported nausea following MTX within 3 months. Four of these 6 patients subsequently received ondansetron and had no further complaints. Following ondansetron discontinuation, 5 of 50 (10%) patients developed nausea with subsequent MTX injections, but responded to reinstitution of ondansetron. Some children developed anticipatory nausea (6/60, 10%) and 3 experienced nausea relief after initiating premedication with ondansetron. Conclusions: Nausea following MTX is a common complaint in patients with CD. For most, this adverse effect may be prevented through the use of a short-course ondansetron as premedication. Ondansetron to treat MTX-induced nausea also can be successfully used but a proactive preventive strategy can be achieved.
Mutations of p34cdc2 phosphorylation sites induce premature mitotic events in HeLa cells: evidence for a double block to p34cdc2 kinase activation in vertebrates.

In vertebrates, entry into mitosis is accompanied by dephosphorylation of p34cdc2 kinase on threonine 14 (Thr14) and tyrosine 15 (Tyr15). To examine the role of these residues in controlling p34cdc2 kinase activation, and hence the onset of mitosis, we replaced Thr14 and/or Tyr15 by non‐phosphorylatable residues and transfected wild‐type and mutant chicken p34cdc2 cDNAs into HeLa cells. While expression of wild‐type p34cdc2 did not interfere with normal cell cycle progression, p34cdc2 carrying mutations at both Thr14 and Tyr15 displayed increased histone H1 kinase activity and rapidly induced premature mitotic events, including chromosome condensation and lamina disassembly. No phenotype was observed in response to mutation of only Thr14, and although single‐site mutation at Tyr15 did induce premature mitotic events, effects were partial and their onset was delayed. These results identify both Thr14 and Tyr15 as sites of negative regulation of vertebrate p34cdc2 kinase, and they suggest that dephosphorylation of p34cdc2 represents the rate‐limiting step controlling entry of vertebrate cells into mitosis.
How do bilinguals control their use of languages?

Dijkstra and Van Heuven sketch the BIA+ model for visual word processing in bilinguals. BIA+ differs in a number of respects from its predecessor, BIA, the leading implemented model of bilingual visual word recognition. Notably, BIA+ contains a new processing component that deals with task demands. BIA+ has not been computationally implemented yet and design decisions still need to be taken. In this commentary, I outline a proposal for modeling the control of tasks in BIA+.
Available Evidence on Leber Congenital Amaurosis and Gene Therapy

ABSTRACT Leber congenital amaurosis (LCA) is a group of severe inherited retinal dystrophies that lead to early childhood blindness. In the last decade, interest in LCA has increased as advances in genetics have been applied to better identify, classify, and treat LCA. To date, 23 LCA genes have been identified. Gene replacement in the RPE65 form of LCA represents a major advance in treatment, although limitations have been recognized. In this article, we review the clinical and genetic features of LCA and evaluate the evidence available for gene therapy in RPE65 disease.
Parameter estimation for stochastic models of biochemical reactions

Parameter estimation is central for the analysis of models in Systems Biology. Stochastic models are of increasing importance. However, parameter estimation for stochastic models is still in the early phase of development and there is need for efficient methods to estimate model parameters from time course data which is intrinsically stochastic, only partially observed and has measurement noise. The thesis investigates methods for parameter estimation for stochastic models presenting one efficient method based on integration of ordinary differential equations (ODE) which allows parameter estimation even for models which have qualitatively different behavior in stochastic modeling compared to modeling with ODEs. Further methods proposed in the thesis are based on stochastic simulations. One of the methods uses the stochastic simulations for an estimation of the transition probabilities in the likelihood function. This method is suggested as an addition to the ODE-based method and should be used in systems with few reactions and small state spaces. The resulting stochastic optimization problem can be solved with a Particle Swarm algorithm. To this goal a stopping criterion suited to the stochasticity is proposed. Another approach is a transformation to a deterministic optimization problem. Therefore the polynomial chaos expansion is extended to stochastic functions in this thesis and then used for the transformation. The ODE-based method is motivated from a fast and efficient method for parameter estimation for systems of ODEs. A multiple shooting procedure is used in which the continuity constraints are omitted to allow for stochasticity. Unobserved states are treated by enlarging the optimization vector or using resulting values from the forward integration. To see how well the method covers the stochastic dynamics some test functions will be suggested. It is demonstrated that the method works well even in systems which have qualitatively different behavior in stochastic modeling than in modeling with ODEs. From a computational point of view, this method allows to tackle systems as large as those tackled in deterministic modeling.
Identifying Health Consumers’ eHealth Literacy to Decrease Disparities in Accessing eHealth Information

The increasing amount of health information available on the Internet highlights the importance of eHealth literacy skills for health consumers. Low eHealth literacy results in disparities in health consumers’ ability to access and use eHealth information. The purpose of this study was to assess the perceived eHealth literacy of a general health consumer population so that healthcare professionals can effectively address skills gaps in health consumers’ ability to access and use high-quality online health information. Participants were recruited from three public library branches in a Northeast Florida community. The eHealth Literacy Scale was used. The majority of participants (n = 108) reported they knew how and where to find health information and how to use it to make health decisions; knowledge of what health resources were available and confidence in the ability to distinguish high- from low-quality information were considerably less. The findings suggest the need for eHealth education and support to health consumers from healthcare professionals, in particular, how to access and evaluate the quality of health information.
Successful Integration of Tuberculosis and HIV Treatment in Rural South Africa: The Sizonq'oba Study

Background:Tuberculosis (TB) is the leading cause of death among HIV-infected patients worldwide. In KwaZulu-Natal, South Africa, 80% of TB patients are HIV coinfected, with high treatment default and mortality rates. Integrating TB and HIV care may be an effective strategy for improving outcomes for both diseases. Methods:Prospective operational research study treating TB/HIV-coinfected patients in rural KwaZulu-Natal with once-daily antiretroviral (ARV) therapy concurrently with TB therapy by home-based, modified directly observed therapy. Patients were followed for 12 months after ARV initiation. Results:Of 119 TB/HIV-coinfected patients enrolled, 67 (56%) were female, mean age was 34.0 years, and median CD4 count was 78.5 cells per cubic millimeter. After 12 months on ARVs, mean CD4 count increase was 211 cells per cubic millimeter, and 88% had an undetectable viral load; 84% completed TB treatment. Thirteen patients (11%) died; 10 (77%) with multidrug-resistant or extensively drug-resistant TB. There were few severe adverse events or immune reconstitution events. Adherence was high with 93% of study visits attended and 99% of ARV doses taken. Conclusions:Integration of TB and HIV treatment in a rural setting using concurrent home-based therapy resulted in excellent adherence and TB and HIV outcomes. This model may result in successful management of both diseases in other rural resource-poor settings.
Leptin modulates dose‐dependently the metabolic and cytolytic activities of NK‐92 cells

Leptin, a hormone‐cytokine produced primarily in the adipose tissue, has pleiotropic effects on many biological systems and in several cell types, including immune cells. Hyperleptinemia is associated with immune dysfunction and carcinogenesis. Natural killer (NK) cells are critical mediators of anti‐tumor immunity, and leptin receptor deficiency in mice leads to impaired NK function. It was thus decided to explore the in vitro effects of leptin on human NK cell function. NK‐92 cells were cultured during 48 h with different leptin concentrations [absence, 10 (physiological), 100 (obesity), or 200 ng/ml (pharmacology)]. Their metabolic activity was assessed using the resazurin test. NK‐92 cell cytotoxicity and intracellular IFN‐γ production were analyzed by flow cytometry. NK‐92 cell mRNA and protein expression levels of cytotoxic effectors were determined by RT‐qPCR and Western blot. In our conditions, leptin exerted a dose‐dependent stimulatory effect on NK‐92 cell metabolic activity. In addition, high leptin concentrations enhanced NK‐92 cell cytotoxicity against K562‐EGFP and MDA‐MB‐231‐EGFP target cells and inversely reduced cytotoxicity against the MCF‐7‐EGFP target. At 100 ng/ml, leptin up‐regulated both NK cell granzyme B and TRAIL protein expressions and concomitantly down‐regulated perforin expression without affecting Fas‐L expression. In response to PMA/ionomycin stimulation, the proportion of IFN‐γ expressing NK‐92 cells increased with 100 and 200 ng/ml of leptin. In conclusion, leptin concentration, at obesity level, variably increased NK‐92 cell metabolic activity and modulated NK cell cytotoxicity according to the target cells. The underlying mechanisms are partly due to an up‐regulation of TRAIL and IFN‐γ expression and a down‐regulation of perforin. J. Cell. Physiol. 228: 1202–1209, 2013. © 2012 Wiley Periodicals, Inc.