Miracle-dz/UniFAR-FTUs huggingface dataset:
Efficacy and Safety of Selective Serotonin Reuptake Inhibitors, Serotonin-Norepinephrine Reuptake Inhibitors, and Placebo for Common Psychiatric Disorders Among Children and Adolescents: A Systematic Review and Meta-analysis

Importance Depressive disorders (DDs), anxiety disorders (ADs), obsessive-compulsive disorder (OCD), and posttraumatic stress disorder (PTSD) are common mental disorders in children and adolescents. Objective To examine the relative efficacy and safety of selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), and placebo for the treatment of DD, AD, OCD, and PTSD in children and adolescents. Data Sources PubMed, EMBASE, PsycINFO, Web of Science, and Cochrane Database from inception through August 7, 2016. Study Selection Published and unpublished randomized clinical trials of SSRIs or SNRIs in youths with DD, AD, OCD, or PTSD were included. Trials using other antidepressants (eg, tricyclic antidepressants, monoamine oxidase inhibitors) were excluded. Data Extraction and Synthesis Effect sizes, calculated as standardized mean differences (Hedges g) and risk ratios (RRs) for adverse events, were assessed in a random-effects model. Main Outcomes and Measures Primary outcomes, as defined by authors on preintervention and postintervention data, mean change data, and adverse event data, were extracted independently by multiple observers following PRISMA guidelines. Results Thirty-six trials were eligible, including 6778 participants (3484 [51.4%] female; mean [SD] age, 12.9 [5.1] years); 17 studies for DD, 10 for AD, 8 for OCD, and 1 for PTSD. Analysis showed that SSRIs and SNRIs were significantly more beneficial compared with placebo, yielding a small effect size (g = 0.32; 95% CI, 0.25-0.40; P < .001). Anxiety disorder (g = 0.56; 95% CI, 0.40-0.72; P < .001) showed significantly larger between-group effect sizes than DD (g = 0.20; 95% CI, 0.13-0.27; P < .001). This difference was driven primarily by the placebo response: patients with DD exhibited significantly larger placebo responses (g = 1.57; 95% CI, 1.36-1.78; P < .001) compared with those with AD (g = 1.03; 95% CI, 0.84-1.21; P < .001). The SSRIs produced a relatively large effect size for ADs (g = 0.71; 95% CI, 0.45-0.97; P < .001). Compared with participants receiving placebo, patients receiving an antidepressant reported significantly more treatment-emergent adverse events (RR, 1.07; 95% CI, 1.01-1.12; P = .01 or RR, 1.49; 95% CI, 1.22-1.82; P < .001, depending on the reporting method), severe adverse events (RR, 1.76; 95% CI, 1.34-2.32; P < .001), and study discontinuation due to adverse events (RR, 1.79; 95% CI, 1.38-2.32; P < .001). Conclusions and Relevance Compared with placebo, SSRIs and SNRIs are more beneficial than placebo in children and adolescents; however, the benefit is small and disorder specific, yielding a larger drug-placebo difference for AD than for other conditions. Response to placebo is large, especially in DD. Severe adverse events are significantly more common with SSRIs and SNRIs than placebo.
Potential relocation of climatic environments suggests high rates of climate displacement within the North American protection network

Ongoing climate change may undermine the effectiveness of protected area networks in preserving the set of biotic components and ecological processes they harbor, thereby jeopardizing their conservation capacity into the future. Metrics of climate change, particularly rates and spatial patterns of climatic alteration, can help assess potential threats. Here, we perform a continent‐wide climate change vulnerability assessment whereby we compare the baseline climate of the protected area network in North America (Canada, United States, México—NAM) to the projected end‐of‐century climate (2071–2100). We estimated the projected pace at which climatic conditions may redistribute across NAM (i.e., climate velocity), and identified future nearest climate analogs to quantify patterns of climate relocation within, among, and outside protected areas. Also, we interpret climatic relocation patterns in terms of associated land‐cover types. Our analysis suggests that the conservation capacity of the NAM protection network is likely to be severely compromised by a changing climate. The majority of protected areas (~80%) might be exposed to high rates of climate displacement that could promote important shifts in species abundance or distribution. A small fraction of protected areas (<10%) could be critical for future conservation plans, as they will host climates that represent analogs of conditions currently characterizing almost a fifth of the protected areas across NAM. However, the majority of nearest climatic analogs for protected areas are in nonprotected locations. Therefore, unprotected landscapes could pose additional threats, beyond climate forcing itself, as sensitive biota may have to migrate farther than what is prescribed by the climate velocity to reach a protected area destination. To mitigate future threats to the conservation capacity of the NAM protected area network, conservation plans will need to capitalize on opportunities provided by the existing availability of natural land‐cover types outside the current network of NAM protected areas.
Climate‐ and successional‐related changes in functional composition of European forests are strongly driven by tree mortality

Intense droughts combined with increased temperatures are one of the major threats to forest persistence in the 21st century. Despite the direct impact of climate change on forest growth and shifts in species abundance, the effect of altered demography on changes in the composition of functional traits is not well known. We sought to (1) quantify the recent changes in functional composition of European forests; (2) identify the relative importance of climate change, mean climate and forest development for changes in functional composition; and (3) analyse the roles of tree mortality and growth underlying any functional changes in different forest types. We quantified changes in functional composition from the 1980s to the 2000s across Europe by two dimensions of functional trait variation: the first dimension was mainly related to changes in leaf mass per area and wood density (partially related to the trait differences between angiosperms and gymnosperms), and the second dimension was related to changes in maximum tree height. Our results indicate that climate change and mean climatic effects strongly interacted with forest development and it was not possible to completely disentangle their effects. Where recent climate change was not too extreme, the patterns of functional change generally followed the expected patterns under secondary succession (e.g. towards late‐successional short‐statured hardwoods in Mediterranean forests and taller gymnosperms in boreal forests) and latitudinal gradients (e.g. larger proportion of gymnosperm‐like strategies at low water availability in forests formerly dominated by broad‐leaved deciduous species). Recent climate change generally favoured the dominance of angiosperm‐like related traits under increased temperature and intense droughts. Our results show functional composition changes over relatively short time scales in European forests. These changes are largely determined by tree mortality, which should be further investigated and modelled to adequately predict the impacts of climate change on forest function.
Preload Index: Pulmonary Artery Occlusion Pressure Versus Intrathoracic Blood Volume Monitoring During Lung Transplantation

In this study, during lung transplantation, we analyzed a conventional preload index, the pulmonary artery occlusion pressure (PAOP), and a new preload index, the intrathoracic blood volume index (ITBVI), derived from the single-indicator transpulmonary dilution technique (PiCCO System), with respect to stroke volume index (SVIpa). We also evaluated the relationships between changes (&Dgr;) in ITBVI and PAOP and &Dgr;SVIpa during lung transplantation. The reproducibility and precision of all cardiac index measurements obtained with the transpulmonary single-indicator dilution technique (CIart) and with the pulmonary artery thermodilution technique (CIpa) were also determined. Measurements were made in 50 patients monitored with a pulmonary artery catheter and with a PiCCO System at six stages throughout the study. Changes in the variables were calculated by subtracting the first from the second measurement (&Dgr;1) and so on (&Dgr;1 to &Dgr;5). The linear correlation between ITBVI and SVIpa was significant (r2=0.41;P < 0.0001), whereas PAOP poorly correlated with SVIpa (r2 = −0.01). Changes in ITBVI correlated with changes in SVIpa (&Dgr;1, r2 = 0.30; &Dgr;2, r2 = 0.57; &Dgr;4, r2 = 0.26; and &Dgr;5, r2 = 0.67), whereas PAOP failed. The mean bias between CIart and CIpa was 0.15 l · min−1 · m−2 (1.37). In conclusion, ITBVI is a valid indicator of cardiac preload and may be superior to PAOP in patients undergoing lung transplantation.
Effects of in-utero influenza exposure on later life outcomes: Evidence from 19th century Scania

In this thesis the impact of in-utero influenza exposure on socioeconomic status and survival in adult life is studied. The data used is a subset of a longitudinal level database for Scania for 1815 to 1910. In this thesis the outbreak of influenza pandemic in 1833 is used as a natural experiment. The pathway model used in this thesis allows for both direct effect on the survival form the in-utero influenza exposure and indirect effects mediated through socioeconomic status in adult life for the individual. The analysis is done separately for women and men, and support for “Fetal origins hypothesis” as a negative effect on survival in later life is found for both sexes.
Projected climate changes threaten ancient refugia of kelp forests in the North Atlantic

Intraspecific genetic variability is critical for species adaptation and evolution and yet it is generally overlooked in projections of the biological consequences of climate change. We ask whether ongoing climate changes can cause the loss of important gene pools from North Atlantic relict kelp forests that persisted over glacial–interglacial cycles. We use ecological niche modelling to predict genetic diversity hotspots for eight species of large brown algae with different thermal tolerances (Arctic to warm temperate), estimated as regions of persistence throughout the Last Glacial Maximum (20,000 YBP), the warmer Mid‐Holocene (6,000 YBP), and the present. Changes in the genetic diversity within ancient refugia were projected for the future (year 2100) under two contrasting climate change scenarios (RCP2.6 and RCP8.5). Models predicted distributions that matched empirical distributions in cross‐validation, and identified distinct refugia at the low latitude ranges, which largely coincide among species with similar ecological niches. Transferred models into the future projected polewards expansions and substantial range losses in lower latitudes, where richer gene pools are expected (in Nova Scotia and Iberia for cold affinity species and Gibraltar, Alboran, and Morocco for warm‐temperate species). These effects were projected for both scenarios but were intensified under the extreme RCP8.5 scenario, with the complete borealization (circum‐Arctic colonization) of kelp forests, the redistribution of the biogeographical transitional zones of the North Atlantic, and the erosion of global gene pools across all species. As the geographic distribution of genetic variability is unknown for most marine species, our results represent a baseline for identification of locations potentially rich in unique phylogeographic lineages that are also climatic relics in threat of disappearing.
Converter fault diagnosis in variable speed DC drives, by Park's vector approach

This paper presents a noninvasive approach, based on the computer-aided monitoring of the three-phase supply current Park's vector, for diagnosing converter faults in variable speed DC drives. Both simulation and laboratory tests results demonstrate the effectiveness of the proposed technique, for detecting either open-circuit or short-circuit faults in the converter power switches and also for identifying which is the faulty element.
Young people with Parkinson's disease: Report of a pilot study to identify the research issues and approaches to data collection

Parkinson's disease (Pd) affects over 120,000 people in the UK. Onset usually begins in people over 50 but in a significant number of people symptoms first develop at a much earlier age without affecting life expectancy. A pilot study to explore quality of life, psychological adjustment and service use for this population initially foundered because of difficulties in contacting a sample of younger people with Pd and motivating them to participate. The pilot study was then extended to determine these people's perceptions of their condition and their needs through content analysis of a magazine circulated by their user group, and a website. Information was also sought from key informants working with young people with Pd. This eventually resulted in contact with the target sample and the collection of valuable data through participation in a conference held by the user group. Reasons for reluctance to become involved in traditional research studies related to denial of having Pd; a desire to conceal it from others, and tiredness associated with Pd, resulting in the need to prioritise activities. This unorthodox piloting proved invaluable in refining the original study questions and identifying more effective approaches to data collection and sampling. The experience of undertaking the pilot study may be of wider interest because it indicated that despite NHS reforms focusing on the user perspective, some health consumers were not enthusiastic about participating in research or informing government policy. The importance of thorough pilot work to the success of the eventual investigation is also demonstrated.
Wildlife species benefitting from a greener Arctic are most sensitive to shrub cover at leading range edges

Widespread expansion of shrubs is occurring across the Arctic. Shrub expansion will substantially alter arctic wildlife habitats. Identifying which wildlife species are most affected by shrubification is central to predicting future arctic community composition. Through meta‐analysis, we synthesized the published evidence for effects of canopy‐forming shrubs on birds and mammals in the Arctic and Subarctic. We examined variation in species behaviour, distribution and population dynamics in birds and mammals in response to shrub cover (including shrub cover indicators such as shrub occurrence, extent, density and height). We also assessed the degree of heterogeneity in wildlife responses to shrub cover and synthesized the remaining literature that did not fit the criteria for our quantitative meta‐analyses. Species from higher green vegetation biomass habitats (high Normalized Difference Vegetation Index, NDVI, across their distribution) were more likely to respond positively to shrub cover, demonstrating the potential for species to expand from boreal to arctic habitats under shrubification. Wildlife populations located in the lowest vegetation biomass (low NDVI) areas of their species’ range had the greatest proportion of positive responses to shrub cover, highlighting how increases in performance at leading edges of invaders distributions may be particularly rapid. This demonstrates the need to study species at these leading edges to accurately predict expansion potential. Arctic specialists were poorly represented across studies (limited to 5 bird and 0 mammal species), this knowledge gap potentially explains the few reported negative effects of shrub cover (3 of 29 species). Species responses to shrub cover showed substantial heterogeneity and varied among sites and years in all studies with sufficient replication to detect such variation. Our study highlights the importance of responses at species range edges in determining outcomes of shrubification for arctic birds and mammals and the need for greater examination of potential wildlife losers under shrubification.
A Progressive Prompting Approach to Conducting Context-Aware Learning Activities for Natural Science Courses

Owing to the popularity of mobile, wireless communication and sensing technologies, issues related to contextual mobile learning have widely been discussed in recent years. In the meantime, researchers have indicated the importance of developing effective strategies for guiding students to learn in context-aware learning environments. In this study, a progressive prompt-based context-aware learning approach is proposed to improve the learning performance of students. An experiment was conducted on a natural science course of an elementary school to evaluate the performance of the proposed approach. From the experimental results, it is found that the proposed approach could effectively enhance the learning achievement of the students in comparison with the conventional context-aware learning system with single-stage prompts. It is also interesting to find that the proposed approach, by providing more challenging tasks, encouraged the students to put more effort into examining the contextual information and interpreting the learning content.
Fifty-three years' experience with randomized clinical trials of emergency portacaval shunt for bleeding esophageal varices in Cirrhosis: 1958-2011.

IMPORTANCE Emergency treatment of bleeding esophageal varices (BEV) consists mainly of endoscopic and pharmacologic measures, with transjugular intrahepatic portal-systemic shunt (TIPS) performed when bleeding is not controlled. Surgical shunt has been relegated to salvage. At the University of California, San Diego, Medical Center, our group has conducted 10 studies of emergency portacaval shunt (EPCS) during 46 years. OBJECTIVE To describe 2 randomized clinical trials (RCTs) conducted from 1988 to 2011 in unselected consecutive patients who received emergency treatment for BEV. DESIGN, SETTING, AND PARTICIPANTS In RCT No. 1, a total of 211 unselected consecutive patients with cirrhosis and acute BEV were randomized to emergency endoscopic sclerotherapy (EEST) (n=106) or EPCS (n=105). In RCT No. 2, a total of 154 unselected consecutive patients with cirrhosis and acute BEV were randomized to TIPS (n=78) or EPCS (n=76). Diagnostic workup was completed within 6 hours of initial contact, and primary treatment was initiated within 8 to 12 hours. Regular follow-up for up to 10 years was accomplished in 100% of the patients. INTERVENTIONS In RCT No. 1, EEST or EPCS; in RCT No. 2, TIPS or EPCS. MAIN OUTCOMES AND MEASURES The 2 groups were compared with regard to survival, control of bleeding, portal-systemic encephalopathy, and direct cost of care. RESULTS Distribution in Child risk classes was almost identical. One-third of patients were in Child class C. Permanent control of bleeding was achieved by EEST in only 20% of the patients and by TIPS in only 22%. In contrast, EPCS permanently controlled bleeding in 97% and 100% of the patients in RCT No. 2 and RCT No. 1, respectively (P<.001). Survival was significantly greater following EPCS than after EEST and TIPS (P<.001). Median survival was more than 10 years following EPCS compared with 1.99 years after TIPS. Occlusion of TIPS was demonstrated in 84% of the patients, 63% of whom underwent TIPS revision, which failed in 80% of the cases. Recurrent portal-systemic encephalopathy developed in 35% of the patients who underwent EEST and 61% of those who received TIPS. In contrast, portal-systemic encephalopathy occurred in 15% of the patients who received EPCS in RCT No. 1 and 21% of those in RCT No. 2. Direct costs of care were 5 to 7 times greater in the EEST ($168100) and TIPS ($264800) groups than in the EPCS ($39000) group (P<.001). CONCLUSIONS AND RELEVANCE Emergency portacaval shunt permanently stopped variceal bleeding, almost never became occluded, accomplished 5 times the long-term survival than EEST or TIPS, and was much less costly than EEST or TIPS. The widespread practice of using EPCS mainly as salvage for failure of endoscopic therapy or TIPS is not supported by the definitive results of these long-term RCTs in unselected patients with cirrhosis. TRIAL REGISTRATION clinicaltrials.gov Identifier: NCT00690027 and NCT00734227.
Biogeographic responses of the copepod Calanus glacialis to a changing Arctic marine environment

Dramatic changes have occurred in the Arctic Ocean over the past few decades, especially in terms of sea ice loss and ocean warming. Those environmental changes may modify the planktonic ecosystem with changes from lower to upper trophic levels. This study aimed to understand how the biogeographic distribution of a crucial endemic copepod species, Calanus glacialis, may respond to both abiotic (ocean temperature) and biotic (phytoplankton prey) drivers. A copepod individual‐based model coupled to an ice‐ocean‐biogeochemical model was utilized to simulate temperature‐ and food‐dependent life cycle development of C. glacialis annually from 1980 to 2014. Over the 35‐year study period, the northern boundaries of modeled diapausing C. glacialis expanded poleward and the annual success rates of C. glacialis individuals attaining diapause in a circumpolar transition zone increased substantially. Those patterns could be explained by a lengthening growth season (during which time food is ample) and shortening critical development time (the period from the first feeding stage N3 to the diapausing stage C4). The biogeographic changes were further linked to large‐scale oceanic processes, particularly diminishing sea ice cover, upper ocean warming, and increasing and prolonging food availability, which could have potential consequences to the entire Arctic shelf/slope marine ecosystems.
The effectiveness of the Brain Integration Programme. A Dutch community reintegration programme for patients with chronic acquired brain injury.

Objective: The aim of this study was to perform a systematic review on the effective­ ness of comprehensive rehabilitation programmes for adults in the chronic phase after severe acquired brain injury. Method: PubMed, PsychINFO and PsychLit were searched for articles published between 1990 and 2008 and a quality assessment was performed. The comprehen­ sive programmes were subdivided into neurobehavioral interventions, residential community reintegration and day-treatment programmes. The extracted data included study characteristics, patient characteristics and intervention charac­ teristics. Results: Thirteen studies met pre-established criteria. Two studies were randomized controlled trials, 5 were controlled comparative studies and 6 were uncontrolled longitudinal cohort studies. Overall, their methodological quality was limited. The investigated programmes led to substantial improvement in daily life func­ tioning and community integration of severe chronic brain injury patients, with lasting effects at follow-up. Day-treatment programmes had the highest level of evidence. Conclusions: Comprehensive rehabilitation programmes appear to be effective in terms o f a reduction in psychosocial problems, a higher level o f community integration and an increase in employment. Although this is the first review to differentiate between specific programmes, clear-cut clinical recommendations cannot possible yet be set out due to limited methodological quality and poor description o f patient and intervention characteristics. Specific recommendations for future studies are given.