Miracle-dz/UniFAR-FTUs huggingface dataset:
Determining respiratory rate from photoplethysmogram and electrocardiogram signals using respiratory quality indices and neural networks

Continuous and non-invasive respiratory rate (RR) monitoring would significantly improve patient outcomes. Currently, RR is under-recorded in clinical environments and is often measured by manually counting breaths. In this work, we investigate the use of respiratory signal quality quantification and several neural network (NN) structures for improved RR estimation. We extract respiratory modulation signals from the electrocardiogram (ECG) and photoplethysmogram (PPG) signals, and calculate a possible RR from each extracted signal. We develop a straightforward and efficient respiratory quality index (RQI) scheme that determines the quality of each moonddulation-extracted respiration signal. We then develop NNs for the estimation of RR, using estimated RRs and their corresponding quality index as input features. We determine that calculating RQIs for modulation-extracted RRs decreased the mean absolute error (MAE) of our NNs by up to 38.17%. When trained and tested using 60-sec waveform segments, the proposed scheme achieved an MAE of 0.638 breaths per minute. Based on these results, our scheme could be readily implemented into non-invasive wearable devices for continuous RR measurement in many healthcare applications.
Density estimation using deep generative neural networks

Significance Density estimation is among the most fundamental problems in statistics. It is notoriously difficult to estimate the density of high-dimensional data due to the “curse of dimensionality. ” Here, we introduce a new general-purpose density estimator based on deep generative neural networks. By modeling data normally distributed around a manifold of reduced dimension, we show how the power of bidirectional generative neural networks (e.g., cycleGAN) can be exploited for explicit evaluation of the data density. Simulation and real data experiments suggest that our method is effective in a wide range of problems. This approach should be helpful in many applications where an accurate density estimator is needed. Density estimation is one of the fundamental problems in both statistics and machine learning. In this study, we propose Roundtrip, a computational framework for general-purpose density estimation based on deep generative neural networks. Roundtrip retains the generative power of deep generative models, such as generative adversarial networks (GANs) while it also provides estimates of density values, thus supporting both data generation and density estimation. Unlike previous neural density estimators that put stringent conditions on the transformation from the latent space to the data space, Roundtrip enables the use of much more general mappings where target density is modeled by learning a manifold induced from a base density (e.g., Gaussian distribution). Roundtrip provides a statistical framework for GAN models where an explicit evaluation of density values is feasible. In numerical experiments, Roundtrip exceeds state-of-the-art performance in a diverse range of density estimation tasks.
Electrophoretic separation and deposition of metal–graphene nanocomposites and their application as electrodes in solar cells

Graphene oxide (GO) is a 2D material which offers great promise in many applications, owing primarily to the reactive surface which enables an easy surface functionalization and solution processing of the resulting materials. Herein we demonstrate that graphene oxide (GO) can be used as a supporting template for the production of new graphene–metal nanoparticle composites. Our synthetic strategy allowed for nanoparticle deposition (Pt and Au) onto the surface of the 2 dimensional carbon nano-substrate without stabilising ligands. Moreover we have shown that the composite materials can be further processed using electrophoretic deposition (EPD). The deposition of the materials onto conducting glass substrates (namely fluorine doped tin oxide) via EPD, allows for the formation of high quality, stable electrodes. These electrodes demonstrated a tuneable electrochemical response towards the reduction of the tri-iodide ion, when studied electrochemically. These electrodes were then tested as potential counter electrodes (CEs) in dye sensitized solar cells (DSSCs) and displayed very promising results, increasing the efficiency by 47.5%, when compared to a conventional Pt electrode.
Molecular characterization of HTLV‐1 genomic region hbz from patients with different clinical conditions

The human T‐cell lymphotropic virus type‐1 (HTLV‐1) is associated with severe pathologies, such as HTLV‐1‐associated myelopathy/tropical spastic paraparesis (HAM/TSP), adult T‐cell leukemia‐lymphoma (ATLL), and infective dermatitis associated with the HTLV‐1 (IDH). Interestingly, HTLV‐1 infection does not necessarily imply the development of pathological processes and it is unknown why some patients remain asymptomatic carriers (AC). Despite some mutations in the HTLV‐1 genome appear to influence the outcome of HTLV‐1, there are few studies that characterize molecularly the hbz region. This study aimed to perform the molecular characterization of hbz gene isolated from patients with different clinical outcomes. A total of 15 sequences were generated and analyzed with 571 sequences previously published. The analises showed that the R119Q mutation seems to be related to HTLV‐1 clinical conditions since the frequency of this HBZ mutation is significantly different in comparison between AC with HAM/TSP and ATLL. The R119Q mutation is possibly a protective factor as the frequency is higher in AC sequences.
Pharmacopuncture for the management of musculoskeletal diseases

Abstract Background: Musculoskeletal disorders are the main reason for people to seek counseling and use of complementary and alternative medicine. Although pharmacopuncture is used to treat various diseases in traditional medicine, it is most often applied to treat musculoskeletal conditions. Here, we will review systematically the clinical evidence for the effectiveness and safety of pharmacopuncture for musculoskeletal diseases. Methods: A total of 13 databases will be searched for studies uploaded from January 2014 to December 2018 that investigated the treatment of musculoskeletal diseases. These databases are MEDLINE, EMBASE, AMED, Cochrane Library, CINAHL, 4 Korean databases, 2 Chinese database, and 2 Japanese databases. The methodological quality of randomized controlled trials will be analyzed using the Cochrane Collaboration tool to assess risk of bias, and the confidence in the cumulative evidence will be assessed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) instrument. Ethics and dissemination: This systematic review will be published in a peer-reviewed journal and disseminated electronically and in print. To inform and guide healthcare practices, the review will be updated. Registration number: CRD42019148795.
Mediation analysis for mixture Cox proportional hazards cure models

Mediation analysis aims to decompose a total effect into specific pathways and investigate the underlying causal mechanism. Although existing methods have been developed to conduct mediation analysis in the context of survival models, none of these methods accommodates the existence of a substantial proportion of subjects who never experience the event of interest, even if the follow-up is sufficiently long. In this study, we consider mediation analysis for the mixture of Cox proportional hazards cure models that cope with the cure fraction problem. Path-specific effects on restricted mean survival time and survival probability are assessed by introducing a partially latent group indicator and applying the mediation formula approach in a three-stage mediation framework. A Bayesian approach with P-splines for approximating the baseline hazard function is developed to conduct analysis. The satisfactory performance of the proposed method is verified through simulation studies. An application of the Alzheimer’s disease (AD) neuroimaging initiative dataset investigates the causal effects of APOE- ϵ 4 allele on AD progression.
Differences in disability and nutritional status among older Brazilian and English adults: the Brazilian Longitudinal Study of Aging (ELSI-Brazil) and English Longitudinal Study of Aging (ELSA) cohorts.

BACKGROUND Brazil and England are 2 countries at different stages in their demographic, epidemiological, and nutritional transitions and with distinct socioeconomic and politic contexts, but with similar universal health systems. We aimed to examine disability and its association with objective anthropometric indicators of nutritional status, including BMI, waist circumference, and waist-to-height ratio, comparing older Brazilian and English adults. METHODS We used cross-sectional data from 2 nationally representative aging studies. For Brazil, we included 9412 participants who participated in the baseline (2015-2016) of the Brazilian Longitudinal Study of Aging (ELSI-Brazil). The English data were from 8024 participants of the wave 6 (2012-2013) of the English Longitudinal Study of Aging (ELSA). Disability was defined as difficulty to perform at least 1 activity of daily living. We used logistic regression models to examine the association between anthropometric indicators and disability, adjusted for sociodemographic and health-related characteristics, considering the interaction term between each anthropometric indicator and country. RESULTS All health-related characteristics were worse in Brazil than England, although the prevalence of disability was similar among Brazilian (17.85%) and English (16.27%) older adults. Fully adjusted models showed statistically significant interaction terms between country and anthropometric indicators. The strength of the associations in Brazil was weaker compared with England. All anthropometric indicators were positively associated with disability: elevated BMI, in Brazil (OR: 1.27; 95% CI: 1.06, 1.51) and in England (OR: 1.80; 95% CI: 1.51, 2.14); elevated waist circumference, in Brazil (OR: 1.21; 95% CI: 1.02, 1.44) and in England (OR: 1.90; 95% CI: 1.51, 2.37); and elevated waist-to-height ratio, in Brazil (OR: 1.20; 95% CI: 0.96, 1.52) and in England (OR: 1.83; 95% CI: 1.37, 2.44). CONCLUSIONS Elevated BMI and waist circumference increased the odds of disability in both populations. However, these associations were stronger in England than in Brazil.
Perioperative pulmonary aspiration and regurgitation without aspiration in adults: a retrospective observational study of 166,491 anesthesia records.

BACKGROUND Pulmonary aspiration (PA) of gastric contents is a rare but serious perioperative complication. Recent studies focused on pediatric patients, but over a decade has passed since the latest incidence and outcome in adult population have been reported. Patients who experienced regurgitation without aspiration were rarely mentioned. Besides, our department proposed a modified rapid sequence induction (RSI) protocol in 2018 and its preventive effect remained to be examined. METHODS A total of 166,491 anesthesia records from March 2015-October 2020 were reviewed. Outcomes from regurgitation events were classified as PA or regurgitation without aspiration following strict criteria. Available information including demographics, anesthetic managements, surgical procedures, and other medical records were reviewed for analysis. RESULTS Among the 166,491 anesthesia records, 20 patients had PA (1:8,325), and 20 had regurgitation without aspiration (1:8,325). The morbidity of PA was 1:16,649, and the mortality was 1:55,497. During anesthesia induction, 76.0% of regurgitation events developed aspiration, and the remaining 24.0% had regurgitation without aspiration. But prior to anesthesia induction, only 10.0% regurgitation events developed aspiration. Emergency procedures were associated with serious risks of PA (OR: 27.1, 95% CI: 10.8-68.0) and regurgitation without aspiration (OR: 83.0, 95% CI: 24.3-283.1) compared with elective procedures. The highest incidence of pulmonary aspiration was observed in bronchoscopy procedures (2/1,747). The modified RSI reduced the incidence of regurgitation events during induction in emergency procedures but did not show significant advantages over classic protocol (0:1,055 versus 12:4,469, P=0.139) possibly due to insufficient sample size. The sample size required for future study was estimated based on the current data. CONCLUSIONS The incidence of pulmonary aspiration and regurgitation without aspiration was low, especially in elective cases. Regurgitation during anesthesia induction had mostly developed aspiration. Further evaluation of the effect of modified RSI protocol needs a large sample size.
Transient opening of tricellular vertices controls paracellular transport through the follicle epithelium during Drosophila oogenesis

Paracellular permeability is regulated to allow solute transport or migration of cells across epithelial or endothelial barriers. However, how occluding junction dynamics controls paracellular permeability is poorly understood. Here we describe patency, a developmentally regulated process in Drosophila oogenesis, during which cell vertices in the follicle epithelium open transiently to allow paracellular transport of yolk proteins for uptake by the oocyte. We show that the sequential removal of E-Cadherin, N-Cadherin, NCAM/Fasciclin-2 and Sidekick from vertices precedes their basal-to-apical opening, while the subsequent assembly of tricellular occluding junctions terminates patency and seals the paracellular barrier. E-Cadherin-based adhesion is required to limit paracellular channel size, whereas stabilized adherens junctions, prolonged NCAM/Fasciclin-2 expression, impeded endocytosis, or increased actomyosin contractility prevent patency. Our findings reveal a key role of cell vertices as gateways controlling paracellular transport, and demonstrate that the dynamic regulation of adhesion and actomyosin contractility at vertices governs epithelial barrier properties.
A Pilot Single-Case Experimental Design Study of Rapid Syllable Transition Treatment for Italian Children With Childhood Apraxia of Speech.

Background The Rapid Syllable Transition (ReST) treatment is an effective intervention designed to address the planning and programming disorder found in childhood apraxia of speech. To date, no study has considered its use with children who speak languages other than English. Aim This pilot study aimed to examine the use of ReST treatment with Italian children. We hypothesized that the ReST approach would improve the overall accuracy of the targeted behaviors of lexical stress, smoothness, and phonemic accuracy, whereas phonemic and phonetic accuracy of untreated items would remain stable. Method Two monolingual Italian-speaking children with childhood apraxia of speech received therapy in 12 one-hour sessions, 2-3 times per week, using a single-case experimental design. The treatment procedures used in English were replicated in Italian with one change: In English, two stress patterns are treated. Italian commonly uses three stress patterns; therefore, the stimuli were modified accordingly. Accuracy of articulation, lexical stress, and smoothness were assessed at pretreatment and 1 day, 1 week, and 4 months posttreatment in treated and untreated pseudowords and in real words and sentences. Results Both children improved on treated pseudowords and real words with moderate effect sizes, but only one child generalized to untreated pseudowords. Maintenance of treatment results was observed in both participants. Articulation of control phonemes did not change. Conclusions ReST treatment in Italian is feasible, and a treatment effect was found, showing that its use may be valid in languages other than English. Further research is required. Supplemental Material https://doi.org/10.1044/2021_AJSLP-20-00133.
Antioxidant properties of Klunzinger’s mullet (Liza klunzingeri) protein hydrolysates prepared with enzymatic hydrolysis using a commercial protease and microbial hydrolysis with Bacillus licheniformis

Antioxidant activity of Klunzinger's mullet (Liza klunzingeri) muscle hydrolysates obtained using Bacillus licheniformis fermentation and enzymatic hydrolysis was determined. Hydrolysates obtained after 6 days of fermentation with B. licheniformis showed the highest free radical scavenging activity, metal chelating ability and ferric reducing antioxidant power (FRAP) (P ≤ 0.05). Microbial fermentation led to a higher percentage of small peptides and higher solubility compared with Alcalase hydrolysis (P ≤ 0.05). Hydrolysates showing the highest antioxidant properties attenuated serum, liver, and kidney oxidative stress biomarkers in male Wister rats stressed by carbon tetrachloride (P ≤ 0.05). At 300 mg/kg oral administration, hydrolysates increased serum, renal, and hepatic total antioxidant capacity (TAC) (P ≤ 0.05) and reduced their elevated levels of malondialdehyde (MDA), nitric oxide (NO•), and serum liver enzymes (AST, ALP, and ALT) (P ≤ 0.05). The hydrolysates were able to ameliorate hepatic damage by reducing necrosis, fatty changes, and inflammation. Results showed the antioxidant and hepato-toxic protective activities of Klunzinger’s mullet muscle hydrolysates obtained using microbial fermentation, which may, therefore, potentially be considered as a functional food ingredient.
Isolation of an Antiaromatic 9‐Hydroxy Fluorenyl Cation

Abstract Fluorenyl cations are textbook examples of 4π electron antiaromatic five‐membered ring systems. So far, they were reported only as short‐lived intermediates generated under superacidic conditions or by flash photolysis. Attempts to prepare a m‐terphenyl acylium cation by fluoride abstraction from a benzoyl fluoride gave rise to an isolable 9‐hydroxy fluorenyl cation that formed by an intramolecular electrophilic attack at a flanking mesityl group prior to a 1,2‐methyl shift and proton transfer to oxygen.
The efficacy of meniscus posterior root tears repair: A systematic review and meta-analysis

Purpose: To report of efficacy repair treatment for meniscus posterior root tears repair. Methods: We systematically searched databases including PubMed, Embase, and Cochrane Library for relevant articles. Coleman Methodology Score was used for a quality assessment of the included studies. A meta-analysis was performed to analyze for efficacy of MMPRTs repair. Results: Twenty-two studies, 14 level III and 8 level IV, were included in this systematic review, with a total of 926 cases. Studies comparing repair with either meniscectomy or conservative treatment found greater improvement and slower progression of Kellgrene–Lawrence grade with meniscal repair. Decreased meniscus extrusion is beneficial to the prognosis of patients undergoing MMPRTs repair. As treatment efficacy, the Lysholm score increased 28.87 (P < 0.001), IKDC score increased 31.73. The overall pooled event rates of progression of K-L grade is 0.200. Difference of Lysholm score and IKDC score between repair and meniscectomy were 8.72 and 9.67. Conclusions: The clinical subjective score after MMPRT repair was significantly improved compared with the preoperative status. Considering the progression of joint K-L grade, it can prevent the progression of arthrosis to some extent, but not completely. Decreased meniscus extrusion is beneficial to the prognosis of patients undergoing MMPRTs repair. Based on these results, MMPRTs repair cloud result favorable outcomes.
A S‐Arylation of 2‐Mercaptoazoles with Diaryliodonium Triflates under Metal‐Free and Base‐Free Conditions

Heterocyclic aryl sulfides have been widely studied as a monomer or an intermediate for drug synthesis in the field of medicine and materials. The common synthetic processes for preparing aryl sulfides involve transition metals and strong bases. Here, we report a synthetic method for heterocyclic arylsulfides is accomplished by S-arylation of 2-mercapto-substituted aromatic heterocycles with diaryliodonium triflates in high yields. The procedure involves only mixing 2-mercapto-aromatic heterocycles and diaryliodonium triflates in DMF at 130 oC for 24 h under air atmosphere. The most prominent advantage of this method is that all of the ligands, catalysts, bases and any additives are unnecessary. A highly efficient green approach to heterocyclic aryl sulfides was described and the reaction mechanism was discussed.
WALANT Technique versus Sedation for Endoscopic Carpal Tunnel Release

Background This study sought to investigate complication rates/perioperative metrics after endoscopic carpal tunnel release (eCTR) via wide-awake, local anesthesia, no tourniquet (WALANT) versus sedation or local anesthesia with a tourniquet. Methods Patients aged 18 years or older who underwent an eCTR between April 28, 2018, and December 31, 2019, by 1 of 2 fellowship-trained surgeons at our single institution were retrospectively reviewed. Patients were divided into 3 groups: monitored anesthesia care with tourniquet (MT), local anesthesia with tourniquet (LT), and WALANT. Results Inclusion criteria were met by 156 cases; 53 (34%) were performed under MT, 25 (16%) under LT, and 78 (50%) under WALANT. The MT group (46.1 ± 9.7) was statistically younger compared with LT (56.3 ± 14.1, P = .007) and WALANT groups (53.5 ± 15.8, P = .008), F(2, 153) = 6.465, P = . 002. Wide-awake, local anesthesia, no tourniquet had decreased procedural times (10 minutes, SD: 2) compared with MT (11 minutes, SD: 2) and LT (11 minutes, SD: 2), F(2, 153) = 5.732, P = . 004). Trends favored WALANT over MT and LT for average operating room time (20 minutes, SD: 3 vs 32 minutes, SD: 6 vs 23 minutes, SD: 3, respectively, F(2, 153) = 101.1, P < . 001), postanesthesia care unit time (12 minutes, SD: 7 vs 1:12 minutes, SD: 26 vs 20 minutes, SD: 22, respectively, F(2, 153) =171.1, P < . 001), and door-to-door time (1:37 minutes, SD: 21 vs 2:51 minutes, SD: 40 vs 1:46 minutes, SD: 33, respectively, F(2, 153) = 109.3, P < . 001). There were no differences in complication rates. Conclusions Our data suggest favorable trends for patients undergoing eCTR via WALANT versus MT versus LT.
To whose good? Directions and gaps in psychiatric research

Background: Psychiatry’s evidence-, implementation-, and treatment-gaps. Aims: The aim of this study is to uncover current trends and gaps in psychiatric research. Understanding where psychiatric research is going and where there might be blind spots is important to better align it with global mental health challenges and with service users’ needs. Method: 10 top-ranking scientific journals (highest impact factors) in psychiatry were identified for 3 years (1999, 2009, 2019) using Clarivate Analytics. Metadata of all papers published by these journals in the index years were downloaded, and the relevance and relatedness of terms from all titles and abstracts were computed and visualized using VOSviewer. Results: In 1999, prominent themes included schizophrenia and novel antipsychotics as well as research on families. Ten and 20 years later, neurobiological research, especially genetic and animal studies, had gained importance. Social and psychological themes were less present across all three time points. Conclusions: In high-ranking psychiatric journals, neurobiological research appears to gain importance while social themes are under-represented. In view of challenges such as implementation gaps, marginalization of people with severe mental illness and mental health risks through social inequality, there seems to be a dissociation between research and patient needs. We suggest a systems approach to bring together different kinds of knowledge.