Miracle-dz/UniFAR-FTUs huggingface dataset:
Oxygen Reserve Index: Utility as an Early Warning for Desaturation in High-Risk Surgical Patients.

BACKGROUND Perioperative pulse oximetry hemoglobin saturation (SpO2) measurement is associated with fewer desaturation and hypoxia episodes. However, the sigmoidal nature of oxygen-hemoglobin dissociation limits the accuracy of estimation of the partial pressure of oxygen (PaO2) >80 mm Hg and correspondingly limits the ability to identify when PaO2 >80 mm Hg but falling. We hypothesized that a proxy measurement for oxygen saturation (Oxygen Reserve Index [ORI]) derived from multiwavelength pulse oximetry may allow additional warning time before critical desaturation or hypoxia. To test our hypothesis, we used a Masimo multiwavelength pulse oximeter to compare ORI and SpO2 warning times during apnea in high-risk surgical patients undergoing cardiac surgery. METHODS This institutional review board-approved prospective study (NCT03021473) enrolled American Society of Anesthesiologists physical status III or IV patients scheduled for elective surgery with planned preinduction arterial catheter placement. In addition to standard monitors, an ORI sensor was placed and patients were monitored with a pulse oximeter displaying the ORI, a nondimensional parameter that ranges from 0 to 1. Patients were then preoxygenated until ORI plateaued. Following induction of anesthesia, mask ventilation with 100% oxygen was performed until neuromuscular blockade was established. Endotracheal intubation was accomplished using videolaryngoscopy to confirm placement. The endotracheal tube was not connected to the breathing circuit, and patients were allowed to be apneic. Ventilation was resumed when SpO2 reached 94%. We defined ORI warning time as the time from when the ORI alarm registered (based on the absolute value and the rate of change) until the SpO2 decreased to 94%. We defined the SpO2 warning time as the time for SpO2 to decrease from 97% to 94%. The added warning time provided by ORI was defined as the difference between ORI warning time and SpO2 warning time. RESULTS Forty subjects were enrolled. Complete data for analysis were available from 37 patients. The ORI alarm registered before SpO2 decreasing to 97% in all patients. Median (interquartile range [IQR]) ORI warning time was 80.4 seconds (59.7-105.9 seconds). Median (IQR) SpO2 warning time was 29.0 seconds (20.5-41.0 seconds). The added warning time provided by ORI was 48.4 seconds (95% confidence interval [CI], 40.4-62.0 seconds; P < .0001). CONCLUSIONS In adult high-risk surgical patients, ORI provided clinically relevant added warning time of impending desaturation compared to SpO2. This additional time may allow modification of airway management, earlier calls for help, or assistance from other providers. The potential patient safety impact of such monitoring requires further study.
Intravitreal administration of adalimumab delays retinal degeneration in rd10 mice

Retinitis pigmentosa (RP) is a group of inherited retinal dystrophies characterized by the progressive and irreversible loss of vision. We previously found that intraperitoneal administration of Adalimumab, a monoclonal anti‐TNFα antibody, slowed down retinal degeneration in the murine model of RP, the rd10 mice. The aims of this study were to improve its neuroprotective effect and to deepen understanding of the molecular mechanisms involved in this effect. We analyzed (i) the in vitro effect of Adalimumab on the TNFα‐mediated cell death in retinal cells; (ii) the effect of a single intravitreal injection of Adalimumab on retinal degeneration in rd10 mice at postnatal day (P) 23. In vitro studies showed that TNFα induced caspase and poly ADP ribose polymerase (PARP) activation, downregulation of (kinase receptor‐interacting protein 1) RIPK1 and upregulation of RIPK3 in retinal cells. Adalimumab reduced cell death probably through the inhibition of caspase 3 activation. In vivo studies suggested that PARP and NLRP3 inflammasome are mainly activated and to a lesser extent caspase‐dependent mechanisms in rd10 retinas at P23. Necroptosis seems to be inhibited by the downregulation of RIPK1. Adalimumab prevented from retinal degeneration without affecting caspase ‐dependent mechanisms but decreasing PARP activation, microglia activation as well as NLRP3 inflammasome.
Online Clinical Consensus Diagnosis of Dementia: Development and Validation.

OBJECTIVES To introduce cost-effective expert clinical diagnoses of dementia into population-based research using an online platform and to demonstrate their validity against in-person clinical assessment and diagnosis. DESIGN The online platform provides standardized data necessary for clinicians to rate participants on the Clinical Dementia Rating (CDR® ). Using this platform, clinicians diagnosed 60 patients at a range of CDR levels at two clinical sites. The online consensus diagnosis was compared with in-person clinical consensus diagnosis. SETTING All India Institute of Medical Sciences (AIIMS), Delhi, and National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, India. PARTICIPANTS Thirty patients each at AIIMS and NIMHANS with equal numbers of patients previously independently rated in person by experts as CDR is 0 (cognitively normal), CDR is 0.5 (mild cognitive impairment), and CDR is 1 or greater (dementia). MEASUREMENTS Multiple clinicians independently rate each participant on each CDR domain using standardized data and expert clinical judgment. The overall summary CDR is calculated by algorithm. When there are discrepancies among clinician ratings, clinicians discuss the case through a virtual consensus conference and arrive at a consensus overall rating. RESULTS Online clinical consensus diagnosis based on standardized interview data provides consistent clinical diagnosis with in-person clinical assessment and consensus diagnosis (κ coefficient = 0.76). CONCLUSION A web-based clinical consensus platform built on the Harmonized Diagnostic Assessment of Dementia for the Longitudinal Aging Study in India interview data is a cost-effective way to obtain reliable expert clinical judgments. A similar approach can be used for other epidemiological studies of dementia. J Am Geriatr Soc 68:S54-S59, 2020.
A Single‐Transaminase‐Catalyzed Biocatalytic Cascade for Efficient Asymmetric Synthesis of l‐Phosphinothricin

A single‐transaminase‐catalyzed biocatalytic cascade was developed by employing the desired biocatalyst, ATA‐117‐Rd11, that showed high activity toward 2‐oxo‐4‐[(hydroxy)(methyl)phosphinoyl] butyric acid (PPO) and α‐ketoglutarate, and low activity against pyruvate. The cascade successfully promotes a highly asymmetric amination reaction for the synthesis of l‐phosphinothricin (l‐PPT) with high conversion (>95 %) and>99 % ee. In a scale‐up experiment, using 10 kg pre‐frozen E. coli cells harboring ATA‐117‐Rd11 as catalyst, 80 kg PPO was converted to ≈70 kg l‐PPT after 24 hours with a high ee value (>99 %).
Insights into skull evolution in fossorial snakes, as revealed by the cranial morphology of Atractaspis irregularis (Serpentes: Colubroidea)

Comparative osteological analyses of extant organisms provide key insight into major evolutionary transitions and phylogenetic hypotheses. This is especially true for snakes, given their unique morphology relative to other squamates and the persistent controversy regarding their evolutionary origins. However, the osteology of several major snake groups remains undescribed, thus hindering efforts to accurately reconstruct the phylogeny of snakes. One such group is the Atractaspididae, a family of fossorial colubroids. We herein present the first detailed description of the atractaspidid skull, based on fully segmented micro‐computed tomography (micro‐CT) scans of Atractaspis irregularis. The skull of Atractaspis presents a highly unique morphology influenced by both fossoriality and paedomorphosis. This paedomorphosis is especially evident in the jaws, palate, and suspensorium, the major elements associated with macrostomy (large‐gaped feeding in snakes). Comparison to scolecophidians—a group of blind, fossorial, miniaturized snakes—in turn sheds light on current hypotheses of snake phylogeny. Features of both the naso‐frontal joint and the morphofunctional system related to macrostomy refute the traditional notion that scolecophidians are fundamentally different from alethinophidians (all other extant snakes). Instead, these features support the controversial hypothesis of scolecophidians as "regressed alethinophidians," in contrast to their traditional placement as the earliest‐diverging snake lineage. We propose that Atractaspis and scolecophidians fall along a morphological continuum, characterized by differing degrees of paedomorphosis. Altogether, a combination of heterochrony and miniaturization provides a mechanism for the derivation of the scolecophidian skull from an ancestral fossorial alethinophidian morphotype, exemplified by the nonminiaturized and less extreme paedomorph Atractaspis.
Adolescence and Suicide: Subjective Construction of the Suicidal Process in Young Gay and Lesbian Chileans

ABSTRACT The association between suicide risk and sexual minority status can be understood from the perspective of the social determinants of health, an approach that requires the development of culturally sensitive knowledge. The aim of this study was to characterize young gay and lesbian people’s subjective construction of their experience of having lived and survived a suicidal process. Qualitative interviews were conducted and analyzed as products based on life events. In the participants’ accounts, we identified hostile contexts associated with suicide, trajectories associated with gay/lesbian identification processes, and milestones related to victimization experiences as part of the intentionality and rationality of suicide.
Mesoporous silica nanoparticles: synthesis methods and their therapeutic use-recent advances

Abstract Mesoporous silica nanoparticles (MSNPs) are a particular example of innovative nanomaterials for the development of drug delivery systems. MSNPs have recently received more attention for biological and pharmaceutical applications due to their capability to deliver therapeutic agents. Due to their unique structure, they can function as an effective carrier for the delivery of therapeutic agents to mitigate diseases progress, reduce inflammatory responses and consequently improve cancer treatment. The potency of MSNPs for the diagnosis and management of various diseases has been studied. This literature review will take an in-depth look into the properties of various types of MSNPs (e.g. shape, particle and pore size, surface area, pore volume and surface functionalisation), and discuss their characteristics, in terms of cellular uptake, drug delivery and release. MSNPs will then be discussed in terms of their therapeutic applications (passive and active tumour targeting, theranostics, biosensing and immunostimulative), biocompatibility and safety issues. Also, emerging trends and expected future advancements of this carrier will be provided.
Endothelial to mesenchymal transition during neonatal hyperoxia‐induced pulmonary hypertension

Bronchopulmonary dysplasia (BPD), a chronic lung disease in premature infants, results from mechanical ventilation and hyperoxia, amongst other factors. Although most BPD survivors can be weaned from supplemental oxygen, many show evidence of cardiovascular sequelae in adulthood, including pulmonary hypertension and pulmonary vascular remodeling. Endothelial–mesenchymal transition (EndoMT) plays an important role in mediating vascular remodeling in idiopathic pulmonary arterial hypertension. Whether hyperoxic exposure, a known mediator of BPD in rodent models, causes EndoMT resulting in vascular remodeling and pulmonary hypertension remains unclear. We hypothesized that neonatal hyperoxic exposure causes EndoMT, leading to the development of pulmonary hypertension in adulthood. To test this hypothesis, newborn mice were exposed to hyperoxia and then allowed to recover in room air until adulthood. Neonatal hyperoxic exposure gradually caused pulmonary vascular and right ventricle remodeling as well as pulmonary hypertension. Male mice were more susceptible to developing pulmonary hypertension compared to female mice, when exposed to hyperoxia as newborns. Hyperoxic exposure induced EndoMT in mouse lungs as well as in cultured lung microvascular endothelial cells (LMVECs) isolated from neonatal mice and human fetal donors. This was augmented in cultured LMVECs from male donors compared to those from female donors. Using primary mouse LMVECs, hyperoxic exposure increased phosphorylation of both Smad2 and Smad3, but reduced Smad7 protein levels. Treatment with a selective TGF‐β inhibitor SB431542 blocked hyperoxia‐induced EndoMT in vitro. Altogether, we show that neonatal hyperoxic exposure caused vascular remodeling and pulmonary hypertension in adulthood. This was associated with increased EndoMT. These novel observations provide mechanisms underlying hyperoxia‐induced vascular remodeling and potential approaches to prevent BPD‐associated pulmonary hypertension by targeting EndoMT. © 2020 The Pathological Society of Great Britain and Ireland. Published by John Wiley & Sons, Ltd.
Expression and functional analysis of cytochrome P450 genes in the integument of the oriental armyworm, Mythimna separata (Walker).

BACKGROUND Mythimna separata is a devastating agricultural pest, with the development of insecticide resistance recently. Integument-specific cytochrome P450s were reported to participate in cuticle formation and could be potential targets for pesticide synthesis. RESULTS The transcriptome of integuments of M. separata larvae was constructed, generating a total of 38,058 unigenes with an average length of 1,243 bp. These unigenes enriched in functional categories such as lipid transport and metabolism, and secondary metabolites biosynthesis, transport and catabolism. Amongst unigenes, cytochrome P450s were identified and 66 unique P450s with complete open reading frames were named. These P450s were divided into 17 families and 32 subfamilies, containing conserved motifs such as helix C, helix I, helix K, and the heme-binding region. RNA-Seq and RT-qPCR analyses showed different expression levels of P450s in integuments of M. separata larvae. Further RT-qPCR analysis of P450s among different tissues showed that five P450s, especially CYP4G199, was specifically highly expressed in integuments. Moreover, knockdown of CYP4G199 disturbed cuticle formation, leading to imperfection in larval cuticle, and prevented pupation of M. separata. CONCLUSION Transcriptome of larval integuments provided sequence and expression of genes in M. separata. CYP4G199 was specifically highly expressed in larval integuments, and was important for cuticle formation in M. separata. This article is protected by copyright. All rights reserved.
Sleep Disturbance Trajectories in Osteoarthritis

Background/Objective Sleep disturbance is common among adults with osteoarthritis (OA), but little is known about patterns over time. In this cohort study, we identified restless sleep trajectories and associated factors in adults with or at high risk for knee OA. Methods Longitudinal (2004–2014) restless sleep (≥3 nights/week) annual reports over 8 years from 4359 Osteoarthritis Initiative participants were analyzed. Group-based trajectory modeling identified heterogeneous temporal patterns. Logistic regression identified baseline health and behavioral predictors of trajectory membership. Results Four restless sleep trajectory groups were identified: good (69.7%, persistently low restless sleep probabilities), worsening (9.1%), improving (11.7%), and poor (9.5%, persistently high). Among 2 groups initially having low restless sleep prevalence, the worsening trajectory group had an increased likelihood of baseline cardiovascular disease (odds ratio [OR], 1.53; 95% confidence interval [CI], 1.01–2.33), pulmonary disease (OR, 1.48; 95% CI, 1.07–2.05), lower physical activity (OR, 1.29; 95% CI, 1.03–1.61), knee pain (OR, 1.04; 95% CI, 1.00–1.07), depressive symptoms (OR, 1.03; 95% CI, 1.01–1.06), and a decreased likelihood of better mental health (OR, 0.97; 95% CI, 0.95–0.98) at baseline. Among 2 groups initially having high restless sleep prevalence, the poor group had an increased likelihood of baseline depressive symptoms (OR, 1.03; 95% CI, 1.00–1.05). Conclusions Four trajectories of restless sleep over 8 years were identified using data collected from over 4000 older adults aged 45 to 79 years with or at higher risk for knee OA. The presence of depressive symptoms, less physical activity, knee pain, poor mental health, cardiovascular disease, or pulmonary disease was each associated with unfavorable trajectories.
A comparative study on karyotypes of 28 taxa in Rubus sect. Idaeobatus and sect. Malachobatus (Rosaceae) from China

Rubus is a taxonomically difficult group and cytological data are expected hopefully to gain insight into the relationships of the genus. In this study the chromosome numbers and karyotypes of 18 taxa from sect. Idaeobatus and 10 taxa from sect. Malachobatus were investigated. Among them, the chromosome numbers of 10 taxa and karyotypes of 26 taxa were reported for the first time and mixoploidy was observed new in the genus. The chromosomes are small in size with a length of less than 3 μm and metacentric (about 90%) or submetacentric. All taxa have karyotypes of "1A" except R. cockburnianus, R. innominatus and R. ellipticus var. obcordatus, which have karyotypes of "2A". No aneuploids were found in all the 28 taxa studied. Plants of sect. Idaeobatus have diploids with 2n=2x=14, except R. idaeopsis (2n=3x=21) and R. parvifolius (A mixoploid of 2n=2x=14 and 2n=4x=28). However, plants of sect. Malachobatus have tetraploids with 2n=4x=28, except for R. buergeri with 2n=8x=56. In addition, conspicuous karyotype differences existed within the 18 taxa belonging to 11 of 7 subsections in sect. Idaeobatus, and the differences between some species within subsections are greater than that between subsections, while uniform karyotypes within subsections and variable karyotypes between subsections were observed in six of 13 subsections in sect. Malachobatus represented by 10 taxa. Systematic values of the cytological data were discussed for some cases when applicable to the two sections.
Analysis of the mechanical and physicochemical properties of Ti-6Al-4 V discs obtained by selective laser melting and subtractive manufacturing method.

The surface properties of titanium and its alloys are commonly modified by different techniques, including additive manufacturing (AM), to improve the osseointegration of dental implants. The aim of this study was to evaluate and compare the wettability, topography, chemistry, and structure of titanium-aluminum-vanadium (Ti-6Al-4 V) discs fabricated by selective laser melting (SLM) and subtractive manufacturing (conventional machining). Three different groups were evaluated: selective laser melting (SLM); conventional machining with H3 PO4 + NaOH surface treatment (CM + ST); and conventional machining without surface treatment (CM), including analysis of wettability and roughness, morphological and chemical analyses by scanning electron microscopy (SEM) and energy dispersive X-ray spectroscopy (EDX), and structural characterization analysis by computed tomography (micro-CT), and X-ray diffraction (XRD). The results showed that SLM surface had higher roughness (9.09 ± 1.94 Ra; 51.93 ± 11.59 Rz; 11.03 ± 1.95 Sa) and lower wettability (103.23° ± 13) than CM (0.06 ± 0.01 Ra; 0.42 ± 0.078 Rz; 0.07 ± 0.01 Sa) (76.95° ± 4.18) and CM + ST (0.17 ± 0.38 Ra; 0.88 ± 0.15 Rz; 0.18 ± 0.04 Sa) (18.55° ± 6.47) (p < 0.05). SEM images also proved the higher roughness of SLM surface, and CM + ST discs showed a topography resembling a sponge, characteristic of the nanometric treatment applied. EDX and XRD found no differences between the different surfaces, and micro-CT demonstrated the solid characteristic of the SLM disc. Compared with conventional machining, the SLM technique resulted in higher roughness and lower wettability. Meanwhile, the chemical properties and structure of the titanium alloy was not altered by the technique.
The effect of soya consumption on inflammatory biomarkers: a systematic review and meta-analysis of clinical trials

Abstract Inflammation is a major cause of chronic diseases. Several studies have investigated the effects of soya intake on inflammatory biomarkers; however, the results are equivocal. The aim of this study was to conduct a systematic review and meta-analysis of clinical trials that evaluated the effect of soya consumption on inflammatory biomarkers. Medline, Scopus, ISI Web of Science and Google Scholar were systematically searched, up to and including May 2020, for clinical trials that evaluated the effects of soya and soya products on TNF-α, IL-6, IL-2, IL-1β and interferon γ (IFN-γ) in adults. A random effects method was used to calculate overall effects, and subgroup analyses were performed to discern probable sources of inter-study heterogeneity. A total of twenty-eight clinical trials were included. Although soya consumption reduced TNF-α (Hedges’ g = –0·28; 95 % CI –0·49, –0·07), it had no significant effect on IL-6 (Hedges’ g = 0·07, 95 % CI –0·14, 0·28), IL-2 (mean difference (MD) = –1·38 pg/ml; 95 % CI –3·07, 0·31), IL-1β (MD = –0·02 pg/ml; 95 % CI –0·08, 0·03) and IFN-γ (MD = 1685·82 pg/ml; 95 % CI –1604·86, 4976·50). Subgroup analysis illustrated a reduction in TNF-α in parallel designed studies, at dosages ≥100 mg of isoflavones, and in unhealthy subjects. The present study showed that high doses of isoflavones in unhealthy subjects may yield beneficial effects on TNF-α.
Formation of cadmium sulfide nanoparticles mediates cadmium resistance and light utilization of the deep-sea bacterium Idiomarina sp. OT37-5b.

Heavy metal is one of the major factors threatening the survival of microorganisms. Here, a deep-sea bacterium designated Idiomarina sp. OT37-5b possessing strong cadmium (Cd) tolerance was isolated from a typical hydrothermal vent. Both Cd-resistance and removal efficiency of Idiomarina sp. OT37-5b were significantly promoted by the supplement of cysteine and meanwhile large amount of CdS nanoparticles were observed. Production of H2 S from cysteine catalyzed by methionine gamma-lyase was further demonstrated to contribute to the formation of CdS nanoparticles. Proteomic results showed the addition of cysteine effectively enhanced the efflux of Cd, improved the activities of ROS scavenging enzymes, and thereby boosted the nitrogen reduction and energy production of Idiomarina sp. OT37-5b. Notably, the existence of CdS nanoparticles obviously promoted the growth of Idiomarina sp. OT37-5b when exposed to light, indicating this bacterium might grab light energy through CdS nanoparticles. Proteomic analysis revealed the expression levels of essential components for light utilization including electron transport, cytochrome complex and F-type ATPase were significantly up-regulated, which strongly suggested the formation of CdS nanopaticles promoted light utilization and energy production. Our results provide a good model to investigate the uncovered mechanisms of self-photosensitization of nonphotosynthetic bacteria for light-to-chemical production in the deep biosphere. This article is protected by copyright. All rights reserved.