Miracle-dz/UniFAR-FTUs huggingface dataset:
Genomic vulnerability to rapid climate warming in a tree species with a long generation time

The ongoing increase in global temperature affects biodiversity, especially in mountain regions where climate change is exacerbated. As sessile, long‐lived organisms, trees are especially challenged in terms of adapting to rapid climate change. Here, we show that low rates of allele frequency shifts in Swiss stone pine (Pinus cembra) occurring near the treeline result in high genomic vulnerability to future climate warming, presumably due to the species’ long generation time. Using exome sequencing data from adult and juvenile cohorts in the Swiss Alps, we found an average rate of allele frequency shift of 1.23 × 10−2/generation (i.e. 40 years) at presumably neutral loci, with similar rates for putatively adaptive loci associated with temperature (0.96 × 10−2/generation) and precipitation (0.91 × 10−2/generation). These recent shifts were corroborated by forward‐in‐time simulations at neutral and adaptive loci. Additionally, in juvenile trees at the colonisation front we detected alleles putatively beneficial under a future warmer and drier climate. Notably, the observed past rate of allele frequency shift in temperature‐associated loci was decidedly lower than the estimated average rate of 6.29 × 10−2/generation needed to match a moderate future climate scenario (RCP4.5). Our findings suggest that species with long generation times may have difficulty keeping up with the rapid climate change occurring in high mountain areas and thus are prone to local extinction in their current main elevation range.
Incorporating 3D Printing Into Your Practice: Lessons Learned

Three-dimensional (3D) printing has greatly benefited medicine, manufacturing vital organs like skin, hearts, kidneys, and livers. Early studies on 3D printing in surgery have consistently reported decreased operative time and improved precision. This technology has gained popularity with orthopaedic surgeons in knee, hip, and shoulder surgeries because 3D printing is associated with enhancing osseointegration. However, this innovation is still not commonly used among foot and ankle surgeons; one reason is that whereas the literature on 3D printing–assisted surgery is populated with studies on operative techniques and clinical outcomes, there exists an ambiguity on how to incorporate this feature into the clinic. Thus, the aim of this technology column is to consolidate and standardize a workflow to guide foot and ankle surgeons on integrating 3D printing into one’s practice. We describe a model developed by a single surgeon at one institution who directs a large caseload of 3D-printed foot and ankle surgeries. From the initial patient visit to the interaction between the surgeon and the implant engineering team, to documentation of data adding to the preliminary literature, this work has great implications on streamlining the assimilation of a highly successful technology to improve foot and ankle surgery for both surgeons and patients. Level of Evidence: Level V
Influence of germline genetic variants on dermoscopic features of melanoma

Nevus count is highly determined by inherited variants and has been associated with the origin of melanoma. De novo melanomas (DNMMs) are more prevalent in patients with a low nevus count and have distinctive dermoscopic features than nevus‐associated melanomas. We evaluated the impact of nine single nucleotide polymorphisms (SNPs) of MTAP (rs10811629, rs2218220, rs7023329 and rs751173), PLA2G6 (rs132985 and rs2284063), IRF4 (rs12203592), and PAX3 (rs10180903 and rs7600206) genes associated with nevus count and melanoma susceptibility, and the MC1R variants on dermoscopic features of 371 melanomas from 310 patients. All MTAP variants associated with a low nevus count were associated with regression structures (peppering and mixed regression), blue‐whitish veil, shiny white structures, and pigment network. SNPs of PLA2G6 (rs132985), PAX3 (rs7600206), and IRF4 (rs12203592) genes were also associated with either shiny white structures or mixed regression (all corrected p‐values ≤ .06). Melanomas from red hair color MC1R variants carriers showed lower total dermoscopy score (p‐value = .015) and less blotches than melanomas from non‐carriers (p‐value = .048). Our results provide evidence that germline variants protective for melanoma risk and/or associated with a low nevus count are associated with certain dermoscopic features, more characteristic of de novo and worse prognosis melanomas.
Conjoint cognitive and emotional death‐preparedness states and their changes within cancer patients' last 6 months

Cognitive prognostic awareness (PA) and emotional preparedness for death are distinct but related concepts that have rarely been investigated conjointly and without considering the dynamic nature of death preparedness. To fill this gap, this secondary‐analysis study identified distinct patterns/states of death preparedness and their changes within cancer patients' last 6 months.
Comparative Evaluation in Intense Pulsed Light Therapy Combined with or without Meibomian Gland Expression for the Treatment of Meibomian Gland Dysfunction

ABSTRACT Objective To determine whether the combination of meibomian gland expression (MGX) with intense-pulsed light (IPL) has a better efficacy to treat meibomian gland dysfunction (MGD) than IPL alone. Methods One hundred patients with MGD were randomly divided into three groups: MGX, IPL, and IPL+ MGX. Clinical parameters included the Ocular Surface Disease Index (OSDI), tear meniscus height (TMH), noninvasive keratograph tear breakup time (NIBUT), redness, meibomian gland dropout, tear breakup time (TBUT), corneal fluorescent staining (CFS), eyelid margin score, meibomian gland secretion function, and Schirmer I tests were collected before treatment and at 1 and 3 months after treatment. Compare the indexes of each group before and after treatment and also compare the differences of each group on follow-up. Results Compared to the baseline, OSDI, TBUT, and meibomian gland secretion function in IPL group improved throughout the follow-up period (all P < .05) and part of the meibomian gland secretion function increased continuously. OSDI, TBUT, lower eyelid margin scores, and meibomian gland secretion function in IPL + MGX group improved at the both follow-up visits (all P < .05), and continued improvement in meibomian gland secretion function can be observed. Lower meibomian gland dropout and CFS reduced at 1 month and 3 months respectively in IPL ± MGX group (P = .001,P = .001). Compared to IPL group, only CFS has reduction in IPL + MGX group at 1-month (P < .001), CFS, upper and lower MGYCS were improved at the 3 months (P = .037,P = .014, P = .049). Conclusions MGX may have synergistic effect when combined with IPL therapy, and the effect can last at least 3 months.
Pathologic Complete Response Following Neoadjuvant Therapy for Gastric Adenocarcinoma: A National Cancer Database Analysis on Incidence, Predictors, and Outcomes

Introduction With advances in multimodal therapy, survival rates in gastric cancer have significantly improved over the last two decades. Neoadjuvant therapy increases the likelihood of achieving negative margins and may even lead to pathologic complete response (pCR). However, the impact of pCR on survival in gastric cancer has been poorly described. We analyzed the rate and predictors of pCR in patients receiving neoadjuvant therapy as well as impact of pCR on survival. Methods We conducted a National Cancer Database (NCDB) analysis (2004-2016) of patients with gastric adenocarcinoma who received neoadjuvant chemotherapy followed by surgical resection. Results The pCR rate was 2.2%. Following adjustment, only neoadjuvant chemoradiation, non-signet histology, and tumor grade remained as significant factors predicting pCR. pCR was a statistically significant predictor of survival. Conclusion In this NCDB study, pCR was a predictor of survival. Though chemoradiation rather than chemotherapy alone was a predictor of pCR, it was not a predictor of survival. Further studies are needed to elucidate the role of radiation in the neoadjuvant setting and to discern the impact of pCR on survival.
What Makes Things Funny? An Integrative Review of the Antecedents of Laughter and Amusement

Despite the broad importance of humor, psychologists do not agree on the basic elements that cause people to experience laughter, amusement, and the perception that something is funny. There are more than 20 distinct psychological theories that propose appraisals that characterize humor appreciation. Most of these theories leverage a subset of five potential antecedents of humor appreciation: surprise, simultaneity, superiority, a violation appraisal, and conditions that facilitate a benign appraisal. We evaluate each antecedent against the existing empirical evidence and find that simultaneity, violation, and benign appraisals all help distinguish humorous from nonhumorous experiences, but surprise and superiority do not. Our review helps organize a disconnected literature, dispel popular but inaccurate ideas, offers a framework for future research, and helps answer three long-standing questions about humor: what conditions predict laughter and amusement, what are the adaptive benefits of humor, and why do different people think vastly different things are humorous?
A new diterpernoid glycoside from the fruit of Forsythia suspensa

Abstract One new diterpernoid glycoside, lanceolatinoside A (1), together with one known iridoid glycoside, luzonoside C (2) were isolated from the fruit of Forsythia suspensa. The structure of the new compound (1) was elucidated through 1 D and 2 D NMR spectroscopic data, and HR-ESIMS. Compound 2 was identified as luzonoside C (2) on the basis of NMR spectroscopic data analyses and comparison with those reported in the literature. Graphical Abstract
Mechanical and structural properties of archaeal hypernucleosomes

Abstract Many archaea express histones, which organize the genome and play a key role in gene regulation. The structure and function of archaeal histone–DNA complexes remain however largely unclear. Recent studies show formation of hypernucleosomes consisting of DNA wrapped around an ‘endless’ histone-protein core. However, if and how such a hypernucleosome structure assembles on a long DNA substrate and which interactions provide for its stability, remains unclear. Here, we describe micromanipulation studies of complexes of the histones HMfA and HMfB with DNA. Our experiments show hypernucleosome assembly which results from cooperative binding of histones to DNA, facilitated by weak stacking interactions between neighboring histone dimers. Furthermore, rotational force spectroscopy demonstrates that the HMfB–DNA complex has a left-handed chirality, but that torque can drive it in a right-handed conformation. The structure of the hypernucleosome thus depends on stacking interactions, torque, and force. In vivo, such modulation of the archaeal hypernucleosome structure may play an important role in transcription regulation in response to environmental changes.
Arterial abnormalities identified in kidneys transplanted into children during the COVID-19 pandemic

Graft artery stenosis can have a significant short‐ and long‐term negative impact on renal graft function. From the beginning of the COVID‐19 pandemic, we noticed an unusual number of graft arterial anomalies following kidney transplant (KTx) in children. Nine children received a KTx at our center between February and July 2020, eight boys and one girl, of median age of 10 years. Seven presented Doppler features suggesting arterial stenosis, with an unusual extensive pattern. For comparison, over the previous 5‐year period, persistent spectral Doppler arterial anomalies (focal anastomotic stenoses) following KTx were seen in 5% of children at our center. We retrospectively evidenced severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) infection in five of seven children with arterial stenosis. The remaining two patients had received a graft from a deceased adolescent donor with a positive serology at D0. These data led us to suspect immune postviral graft vasculitis, triggered by SARS‐CoV‐2. Because the diagnosis of COVID‐19 is challenging in children, we recommend pretransplant monitoring of graft recipients and their parents by monthly RT‐PCR and serology. We suggest balancing the risk of postviral graft vasculitis against the risk of prolonged dialysis when considering transplantation in a child during the pandemic.
Effects of lockdown on emergency room admissions for psychiatric evaluation: an observational study from the AUSL Romagna, Italy

Abstract Objectives An observation of the admissions to the emergency room (ER) requiring psychiatric evaluation during the lockdown and investigation of the demographic and clinical variables. Methods Retrospective longitudinal observational study of ER accesses for psychiatric evaluation was performed, comparing two periods (9 March–3 May 2020 vs. 9 March–3 May 2019). Data (number of admissions, key baseline demographic and clinical variables) were extracted from the ER databases of referral centres in a well-defined geographic area of North-Eastern Italy (Cesena, Ravenna, Forlì, and Rimini). Results A 15% reduction of psychiatric referrals was observed, together with a 17% reduction in the total number of patients referring to the ER. This reduction was most evident in the first month of the lockdown period (almost 25% reduction of both referrals and patients). Female gender (OR: 1.52: 95%, CI: 1.12–2.06) and being a local resident (OR: 1.54: 95%CI: 1.02–2.34) were factors associated with the decrease. Conclusions Lockdown changed dramatically health priorities in the local population, including people with mental health. We speculate that our observations do not only refer to the confinement due to the lockdown regime but also to fear of contagion and adoption of different coping strategies, especially in women. Key-points During lockdown 15% reduction of psychiatric visits and >17% reduction in the number of psychiatric patients referring to the ER was observed. in the first four weeks of the lockdown almost 25% reduction of both visits and patients was observed Female gender and being a local resident were factors associated with the decrease.
Preparation of potassium iron(III) hexacyanoferrate(II) supported on activated carbon and Cs uptake performance of the adsorbent

Synthesis of potassium iron(III) hexacyanoferrate(II) (K/Fe-Fe(CN)6) in the pores of activated carbon (AC) was attempted by impregnating AC with K4[Fe(CN)6] and FeCl3, and the Cs uptake performance of the resulting adsorbent was examined. K/Fe-Fe(CN)6 supported on AC was prepared by varying the reaction conditions such as the supplied amounts and molar ratios of the reagents, and the Cs uptake performance was optimized. The impregnated product was characterized by XRD, EPMA, and porosimetry to elucidate the condition to which Fe4[Fe(CN)6]3 was filled in the AC pores. The K/Fe-Fe(CN)6-on-AC was immersed in seawater containing 0.075 mmol · dm−3 Cs and agitated for 1 day to obtain the Cs uptake. The Cs uptake was large at pH < 10 but decreased abruptly at pH > 10.5. The maximum Cs uptake was 10.4 μmol · g−1 at the equilibrium Cs concentration of 49 μmol · dm−3 and the distribution coefficient was 45.5 dm3 · g−1 at the equilibrium concentration of 0.015 μmol · dm−3, respectively. When K/Fe-Fe(CN)6-on-AC was immersed in Cs-containing seawater, K+ ions in the adsorbent were completely exchanged for Na+ ions in seawater, and the added Cs+ ions were then substituted for the Na+ ions in the adsorbent.
Association of stress, anxiety, and depression levels with sleep quality in patients with temporomandibular disorders

ABSTRACT Objective To examine the psychological symptoms of TMD and their effects on sleep quality in patients with temporomandibular disorders. Methods The study was carried out with 425 consecutive TMD patients who sought care at the oral and maxillofacial surgery clinic of a faculty of dentistry. Perceived Stress Scale-14, Beck Anxiety Scale, and Beck Depression Scale were used to evaluate the psychological state. Sleep quality was evaluated with the Pittsburgh Sleep Quality Index. Results The mean sleep score of all participants was 6.52. As the level of anxiety and depression increased, the scores of both total sleep quality and sleep quality components increased significantly p < 0.01. On the other hand, those with poor sleep quality had significantly higher stress, anxiety, and depression levels than those with good sleep quality p < 0.01. Conclusion Negative emotional situations such as stress, anxiety, and depression seriously impair sleep quality in TMD patients.
Mouse Embryonic Fibroblast Adipogenic Potential: A Comprehensive Transcriptome Analysis

ABSTRACT Our understanding of adipose tissue has progressed from an inert tissue for energy storage to be one of the largest endocrine organs regulating metabolic homoeostasis through its ability to synthesize and release various adipokines that regulate a myriad of pathways. The field of adipose tissue biology is growing due to this association with various chronic metabolic diseases. An important process in the regulation of adipose tissue biology is adipogenesis, which is the formation of new adipocytes. Investigating adipogenesis in vitro is currently a focus for identifying factors that might be utilized in clinically. A powerful tool for such work is high-throughput sequencing which can rapidly identify changes at gene expression level. Various cell models exist for studying adipogenesis and has been used in high-throughput studies, yet little is known about transcriptome profile that underlies adipogenesis in mouse embryonic fibroblasts. This study utilizes RNA-sequencing and computational analysis with DESeq2, gene ontology, protein–protein networks, and robust rank analysis to understand adipogenesis in mouse embryonic fibroblasts in-depth. Our analyses confirmed the requirement of mitotic clonal expansion prior to adipogenesis in this cell model and highlight the role of Cebpa and Cebpb in regulating adipogenesis through interactions of large numbers of genes.
Current locoregional therapies and treatment strategies in hepatocellular carcinoma.

Locoregional therapies (lrts) play an important role in the treatment of hepatocellular carcinoma (hcc), with the aim of increasing overall survival while preserving liver function. Various forms of lrt are available, and choosing the best one depends on technical aspects, liver morphology, tumour biology, and the patient's symptoms. The purpose of the present review article is to provide an overview of the current evidence relating to the use of percutaneous ablation, transarterial chemoembolization, and transarterial radioembolization for the curative or palliative treatment of hcc. Special situations are also reviewed, including the combined use of systemic therapy and lrt, indications and techniques for bridging to transplant and downstaging, and the use of lrt to treat patients with hcc and macrovascular invasion.
Measurement Properties and Translation to Brazilian-Portuguese of the Challenge for Children and Adolescents with Cerebral Palsy

Abstract Aims: Translate the Challenge assessment into Brazilian-Portuguese, determine its face validity, evaluate the reliability of the total score and score per item, investigate whether the child’s gross motor level (classified by the Gross Motor Function Classification System-GMFCS) influences the reliability levels, and estimate responsiveness to change. Methods: The translation followed four stages: translation, synthesis, back-translation, and review. For face validity, ten physical therapists evaluated item relevance. Children and adolescents with cerebral palsy (n = 50, 5-18 years of age) GMFCS I and II were evaluated by two therapists for inter and intra-rater reliability. Thirty of these participants were recruited for the instrument's responsiveness evaluation and reassessed (n = 28) after three months of treatment. Minimal Detectable Change (MDC), and Minimal Clinically Important Difference (MCID) were estimated. Results: The back-translated version was similar to the English version. All test items were considered relevant by the physical therapists. Total score intra and inter-rater reliability were excellent for both GMFCS levels (ICC = 0.94-0.99). Items’ intra- and inter- rater reliability varied from low to almost perfect (kw=-0.14-0.94). MDC90 and MDC95 values were 3.90-6.35 and 4.63-7.54, respectively. MCID values were 3.57-4.56. Conclusion: The translated version of the Challenge showed excellent face validity and reliability and was able to document longitudinal change.
Mexican-origin youth's ethnic-racial identity development: The role of siblings.

Ethnic-racial identity (ERI) formation is an important developmental task. Although families are a primary context for ERI socialization, little is known about siblings' role. Accordingly, we applied the Actor-Partner Interdependence Model to longitudinal data from 2 siblings to examine the links between siblings' ERI exploration, resolution, and affirmation. Participants were Mexican-origin mothers, fathers, and 2 siblings (older siblings Mage = 20.65 years; younger siblings Mage = 17.72 years) from 246 families in Arizona who were interviewed on 2 occasions across 2 years. Siblings' ERI exploration in late adolescence positively predicted young adult ERI, accounting for mothers' and fathers' ERIs. For resolution, the sibling (i.e., partner) effect was moderated by sibling gender constellation, such that the sibling effect emerged only for same-sex dyads. For affirmation, the sibling effect emerged for older but not younger siblings. These findings highlight the need to understand siblings' role in ERI and to expand research on family socialization of ERI beyond parents. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
Nonspecular Reflection of Droplets.

The bouncing of droplets on super-repellent surfaces normally resembles specular reflection that obeys the law of reflection. Here, the nonspecular reflection of droplet impingement onto solid surfaces with a dimple for energy-efficient, omnidirectional droplet transport is reported. With the dimple of the radius being comparable to that of the droplet, all the symmetries in the law of reflection can be broken down so that the droplet is endowed with a translational velocity finely tunable in both its direction and magnitude simply by varying the radii of the droplet and the dimple, the impinging position, and droplet Weber number. Tailoring the initial and translational velocity of impinging droplets would steer their reflected trajectories at will, thus enabling versatile droplet manipulation including trapping, shedding, antigravity transport, targeted positioning, and on-demand coalescence of droplets.