Miracle-dz/UniFAR-FTUs huggingface dataset:
"Overtime Hours Effect" on Emergency Surgery of Acute Type A Aortic Dissection

Objective Treatment of acute diseases of the aorta is still associated with high mortality and morbidity. It is believed that interventions for these diseases on overtime hours (night shifts or weekend shifts) may increase mortality. In this study, we investigated the effect of performing acute type A aortic dissection surgery on overtime hours in terms of postoperative outcomes. Methods 206 patients who underwent emergency surgery for acute type A aortic dissection were retrospectively evaluated. Two groups were constituted: patients operated on daytime working hours (n=61), and patients operated on overtime hours (n=145), respectively. Results Chronic obstructive pulmonary disease and repeat surgery were higher in group 1. There was no statistically significant difference between the two groups in terms of operative and postoperative results. Mortality rates and postoperative neurological complications in group 1 were 9.8% and 13.1%, respectively. In group 2, these rates were 13.8% and 12.4%, respectively (P=0.485 - P=0.890). Multivariate analysis identified that cross-clamp time, amount of postoperative drainage, preoperative loss of consciousness and postoperative neurological complications are the independent predictors of mortality. Conclusions As the surgical experience of the clinics improves, treatment of acute type A aortic dissections can be successfully performed both overtime and daytime working hours.
Proton pump inhibitors reduce breast cancer risk in gastric ulcer patients: A population‐based cohort study

We aim to evaluate breast cancer risk relating to PPIs usage in women with peptic ulcer. From 2000 to 2013, incidence rates of breast cancer were compared between the two cohorts (with or without PPIs). Each study cohort consisted of 4838 women. The incidence density rate of breast cancer in the PPI cohort was 0.29 that in the comparison cohort (10.0 vs 31.6 per 10 000 person‐years), with an adjusted HR (hazard ratio) of 0.32 (95% CI = 0.20‐0.49) for the PPI cohort. In conclusion, the medication of PPIs is associated with reduced breast cancer risk for women with gastric ulcer.
Psychometric evaluation of the Turkish version of the Substance Use Risk Profile Scale in adolescents

Abstract The Substance Use Risk Profile Scale (SURPS) was developed as a self-report measure to screen four high-risk personality dimensions (hopelessness, anxiety sensitivity, impulsivity, and sensation seeking) that predict specific patterns of vulnerability to substance use and other problematic behavior. The scale has previously been shown to have adequate psychometric properties in various other languages. The aim of the present study was to evaluate the psychometric properties of the Turkish version of the SURPS. A cross-sectional total sampling design was adopted in which 875 Turkish participants took part (mean age 15.58 years, SD = 1.03). Using exploratory factor and correlational analyses, the internal consistency, test–retest reliability, construct validity, and concurrent validity were evaluated. The SURPS demonstrated good psychometric and construct validity. The results provide clear evidence that the Turkish version of the SURPS is valid and reliable. The Turkish version of the SURPS may become an important tool for daily clinical practice and clinical research.
Systematic reviews and meta-analysis in nutrition research

Abstract There exists an ever-increasing number of systematic reviews, with or without meta-analysis, in the field of nutrition. Concomitant with this increase is the increased use of such to guide future research as well as both practice and policy-based decisions. Given this increased production and consumption, a need exists to educate both producers and consumers of systematic reviews, with or without meta-analysis, on how to conduct and evaluate high-quality reviews of this nature in nutrition. The purpose of this paper is to try and address this gap. In the present manuscript, the different types of systematic reviews, with or without meta-analyses, are described as well as the description of the major elements, including methodology and interpretation, with a focus on nutrition. It is hoped that this non-technical information will be helpful to producers, reviewers and consumers of systematic reviews, with or without meta-analysis, in the field of nutrition.
A Flexible Wearable Device for Measurement of Cardiac, Electrodermal, and Motion Parameters in Mental Healthcare Applications

Mental illnesses are vast and cause a lot of individual and social discomfort, with significant healthcare costs associated in terms of diagnosis and treatment. They can be triggered by a number of factors including stress, fatigue or anxiety. The associated physiological, cardiac and autonomic changes can be assessed, centrally, through brain imaging or, peripherally, by other signal recording modalities. With recent advances in wearable devices, these parameters can now be assessed in natural living conditions as associated mood disorders such as obsessive/compulsive behavior or depression are difficult to be examined in controlled settings. In this paper, we present a low-powered and flexible device with electrocardiogram (ECG), galvanic skin response (GSR), temperature and bio-motion detection channels, with signal accuracies of 62 μV for ECG, 6.6 kΩ for GSR, 0.13 °C for temperature and 0.04 g for acceleration. Potential applications include mental health assessment of patients during daily activities at home and/or work through non-continuous and multimodal sensing as demonstrated in this paper during exercise, rest and mental activities performed by healthy individuals only, achieving an overall accuracy of 89% in the classification of the different tasks executed by volunteers.
α‐Amylase expressed in human small intestinal epithelial cells is essential for cell proliferation and differentiation

α‐Amylase, which plays an essential role in starch degradation, is expressed mainly in the pancreas and salivary glands. Human α‐amylase is also detected in other tissues, but it is unclear whether the α‐amylase is endogenously expressed in each tissue or mixed exogenously with one expressed by the pancreas or salivary glands. Furthermore, the biological significance of these α‐amylases detected in tissues other than the pancreas and salivary glands has not been elucidated. We discovered that human α‐amylase is expressed in intestinal epithelial cells and analyzed the effects of suppressing α‐amylase expression. α‐Amylase was found to be expressed at the second‐highest messenger RNA level in the duodenum in human normal tissues after the pancreas. α‐Amylase was detected in the cell extract of Caco‐2 intestinal epithelial cells but not secreted into the culture medium. The amount of α‐amylase expressed increased depending on the length of the culture of Caco‐2 cells, suggesting that α‐amylase is expressed in small intestine epithelial cells rather than the colon because the cells differentiate spontaneously upon reaching confluence in culture to exhibit the characteristics of small intestinal epithelial cells rather than colon cells. The α‐amylase expressed in Caco‐2 cells had enzymatic activity and was identified as AMY2B, one of the two isoforms of pancreatic α‐amylase. The suppression of α‐amylase expression by small interfering RNA inhibited cell differentiation and proliferation. These results demonstrate for the first time that α‐amylase is expressed in human intestinal epithelial cells and affects cell proliferation and differentiation. This α‐amylase may induce the proliferation and differentiation of small intestine epithelial cells, supporting a rapid turnover of cells to maintain a healthy intestinal lumen.
The Incremental Hospitalization Cost of Significant Transport-Related Traumatic Brain Injury

Aim: This study aims to determine the incremental cost of acute hospitalization for traumatic brain injury (TBI) compared with matched controls. A second purpose is to identify the factors contributing to this hospital costs. Methodology: Analyses were performed on administrative data for injured patients, hospitalized in Belgium between 2009 and 2011 following a road traffic accident. Cases were matched to a control with similar injuries but without TBI. The incremental hospitalization cost of TBI and the factors contributing to the hospital costs were determined using multivariable regression modeling with gamma distribution and log link. Results: A descriptive comparison of cases and controls shows clear differences in healthcare utilization and costs. The presence of a TBI increases the cost by a factor between 1.66 (95% confidence interval: 1.52-1.82) and 2.08 (95% confidence interval: 1.72-2.51). Regarding healthcare utilization, the most important determinants of hospital costs are surgical complexity, use of magnetic resonance imaging, intensive care unit admission, and mechanical ventilation. Discussion: To our knowledge, this is the first matched-control study calculating the incremental hospitalization cost of TBI. The insights provided by this study are relevant in the context of prospective payments and can be an incentive for investments in prevention policies and extramural care.
Facile synthesis of Fe3O4@Au core–shell nanocomposite as a recyclable magnetic surface enhanced Raman scattering substrate for thiram detection

The Fe3O4@Au core–shell nanocomposites, as the multifunctional magnetic surface enhanced Raman scattering (SERS) substrates, were fabricated successfully by the seeds growth method based on the Fe3O4–Au core-satellite nanocomposites. The SERS properties of the Fe3O4–Au core-satellite nanocomposites and the Fe3O4@Au core–shell nanocomposites were compared using 4-aminothiophenol (4-ATP) as the probe molecule. It was found that Fe3O4@Au core–shell nanocomposites showed better SERS performance than Fe3O4–Au core-satellite nanocomposites. The Au shell provided an effectively large surface area for forming sufficient plasmonic hot spots and capturing target molecules. The integration of magnetic core and plasmonic Au nanocrystals endowed the Fe3O4@Au core–shell nanocomposites with highly efficient magnetic separation and enrichment ability and abundant interparticle hot spots. The Fe3O4@Au core–shell nanocomposites could be easily recycled because of the intrinsic magnetism of the Fe3O4 cores and had good reproducibility of the SERS signals. For practical application, the Fe3O4@Au core–shell nanocomposites were also used to detect thiram. There was a good linear relationship between the SERS signal intensity and the concentration of thiram from 1 × 10−3 to 1 × 10−8 M and the limit of detection was 7.69 × 10−9 M. Moreover, residual thiram on apple peel was extracted and detected with a recovery rate range of 99.3%. The resulting substrate with high SERS activity, stability and strong magnetic responsivity makes the Fe3O4@Au core–shell nanocomposites a perfect choice for practical SERS detection applications.
The effectiveness of health professional‐delivered interventions during the first 1000 days to prevent overweight/obesity in children: A systematic review

Childhood obesity is a global public health challenge. Early prevention, particularly during the first 1000 days, is advocated. Health professionals have a role to play in obesity prevention efforts, in part due to the multiple routine contacts they have with parents. We synthesized the evidence for the effectiveness of obesity prevention interventions delivered by health professionals during this time period, as reviews to date have not examined effectiveness by intervention provider. We also explored what behaviour change theories and/or techniques were associated with more effective intervention outcomes. Eleven electronic databases and three trial registers were searched from inception to 04 April 2019. A total of 180 studies, describing 39 trials involving 46 intervention arms, were included. While the number of interventions has grown considerably, we found some evidence for the effectiveness of health professional‐delivered interventions during the first 1000 days. Only four interventions were effective on a primary (adiposity/weight) and secondary (behavioural) outcome measure. Twenty‐two were effective on a behavioural outcome only. Several methodological limitations were noted, impacting on efforts to establish the active ingredients of interventions. Future work should focus on the conduct and reporting of interventions.
Mass Sensing for the Advanced Fabrication of Nanomechanical Resonators

We report on a nanomechanical engineering method to monitor matter growth in real time via e-beam electromechanical coupling. This method relies on the exceptional mass sensing capabilities of nanomechanical resonators. Focused electron beam-induced deposition (FEBID) is employed to selectively grow platinum particles at the free end of singly clamped nanotube cantilevers. The electron beam has two functions: it allows both to grow material on the nanotube and to track in real time the deposited mass by probing the noise-driven mechanical resonance of the nanotube. On the one hand, this detection method is highly effective as it can resolve mass deposition with a resolution in the zeptogram range; on the other hand, this method is simple to use and readily available to a wide range of potential users because it can be operated in existing commercial FEBID systems without making any modification. The presented method allows one to engineer hybrid nanomechanical resonators with precisely tailored functionalities. It also appears as a new tool for studying the growth dynamics of ultrathin nanostructures, opening new opportunities for investigating so far out-of-reach physics of FEBID and related methods.
Retrograde Ret signaling controls sensory pioneer axon outgrowth

The trafficking mechanisms and transcriptional targets downstream of long-range neurotrophic factor ligand/receptor signaling that promote axon growth are incompletely understood. Zebrafish carrying a null mutation in a neurotrophic factor receptor, Ret, displayed defects in peripheral sensory axon growth cone morphology and dynamics. Ret receptor was highly enriched in sensory pioneer neurons and Ret51 isoform was required for pioneer axon outgrowth. Loss-of-function of a cargo adaptor, Jip3, partially phenocopied Ret axonal defects, led to accumulation of activated Ret in pioneer growth cones, and reduced retrograde Ret51 transport. Jip3 and Ret51 were also retrogradely co-transported, ultimately suggesting Jip3 is a retrograde adapter of active Ret51. Finally, loss of Ret reduced transcription and growth cone localization of Myosin-X, an initiator of filopodial formation. These results show a specific role for Ret51 in pioneer axon growth, and suggest a critical role for long-range retrograde Ret signaling in regulating growth cone dynamics through downstream transcriptional changes.
Correlated evolution between repertoire size and song plasticity predicts that sexual selection on song promotes open-ended learning

Some oscine songbird species modify their songs throughout their lives (‘adult song plasticity’ or ‘open-ended learning’), while others crystallize their songs around sexual maturity. It remains unknown whether the strength of sexual selection on song characteristics, such as repertoire size, affects adult song plasticity, or whether adult song plasticity affects song evolution. Here, we compiled data about song plasticity, song characteristics, and mating system and then examined evolutionary interactions between these traits. Across 67 species, we found that lineages with adult song plasticity show directional evolution toward increased syllable and song repertoires, while several other song characteristics evolved faster, but in a non-directional manner. Song plasticity appears to drive bi-directional transitions between monogamous and polygynous social mating systems. Notably, our analysis of correlated evolution suggests that extreme syllable and song repertoire sizes drive the evolution of adult song plasticity or stability, providing novel evidence that sexual selection may indirectly influence open- versus closed-ended learning.
Skeletal Effects of Nine Months of Physical Activity in Obese and Healthy-weight Children.

PURPOSE Obesity during adolescence has multi-system health consequences. The objective of this work was to determine whether pre-adolescent overweight/obese children's bones respond to a 9-month physical activity intervention by increasing bone density similar to healthy-weight children. METHODS Participants included overweight/obese (BMI >85%) and healthy weight (15% < BMI <85%) preadolescents (8-9years old). Participants in the physical activity group participated in a 9-month physical activity curriculum every day after school. The wait-list control group received no intervention. Both groups had overweight/obese children and healthy-weight controls. Whole body bone mineral content (BMC), area, and bone mineral apparent density (BMAD) were assessed using dual X-ray absorptiometry) at the beginning and end of the 9-month trial in the physical activity and control group. RESULTS Overweight/obese pre-adolescent children had higher BMAD than healthy weight children (p<0.001 for spine, leg, and whole body). However, the density/weight (BMAD/lean mass) was lower in overweight/obese children than in healthy weight children indicating the density of bones in overweight/obese children may not compensate sufficiently for the excessive load due to weight. The change in BMAD over 9 months was greater in healthy weight children than overweight/obese children in the whole body and leg, but not the lumbar spine. Physical activity caused a site-specific increase in bone density, affecting the legs more than the lumbar spine, but there was no significant difference in the effect of exercise between the healthy weight and overweight/obese group. CONCLUSIONS The smaller change in BMAD over the 9 months and lower BMAD per unit lean mass in overweight/obese compared to healthy weight children may indicate a slower rate of bone mass accrual, which may have implications for bone health during skeletal growth in obese/overweight children.
Imaging Magnetic Nanoparticle Distributions by Atomic Magnetometry-Based Susceptometry

We introduce a Magnetic Particle Imaging Susceptometer (MPIS) that uses a high-sensitivity atomic magnetometer (AM) for recording the spatial distribution of fluid-suspended magnetic nanoparticles. We have evaluated the MPIS performance by one-dimensional scans of structured nanoparticle phantoms, demonstrating, in particular, resolutions of ≈2.5 mm prior to deconvolution and ${\ll }1$ mm after deconvolution. Our instrument conceptually follows the general principle of Magnetic Particle Imaging (MPI) for encoding spatial distributions into magnetic flux density variations. Conversely to previously demonstrated MPI methods, MPIS works in time-space by recording time series of the sample’s magnetic response including all Fourier components. The device deploys a specifically designed system of coils, a low-frequency excitation scheme, and a simple source localization algorithm. The difference of the AM’s frequency response with respect to the conventional receive coil detection allows us to work at much lower driving frequencies. We demonstrate operation at frequencies on the order of 100 Hz, enabling the beneficial use of larger nanoparticles. The spatial distribution encoded into the particles’ susceptibility needs a much lower excitation field amplitude compared to conventional MPI scanners. These two features make MPIS least harmful for biological samples and subjects compared to conventional MPI scanners. We also address performance characteristics and other possible applications of MPIS.
Structural properties of protective diamond-like-carbon thin films grown on multilayer graphene

In spite of the versatility of electronic properties of graphene, its fragility and low resistance to damage and external deformations reduce the practical value of this material for many applications. Coating of graphene with a thin layer of hard amorphous carbon is considered as a viable solution to protect the 2D material against accidental scratches and other external damaging impacts. In this study, we investigate the relationship between the deposition condition and quality of diamond-like-carbon (DLC) on top of multilayer graphene by means of molecular dynamics simulations. Deposition of carbon atoms with 70 eV incident energy at 100 K resulted in the highest content of -bonded C atoms. An increase of the number of dangling bonds at the interface between the top graphene layer and the DLC film indicates that decrease of the incident energy reduces the adhesion quality of DLC thin film on graphene. Analysis of radial distribution function indicates that hybridized carbon atoms tend to grow near already existing -atoms. This explains why the quality of the DLC structures grown on graphene have generally a lower content of C atoms compared to those grown directly on diamond. Ring analysis further shows that a DLC structure grown on the -rich structures like graphene contains a higher fraction of disordered ring structures.
Dexmedetomidine Attenuates Neuroinflammatory–Induced Apoptosis after Traumatic Brain Injury via Nrf2 signaling pathway

Dexmedetomidine (DEX) exhibits neuroprotective effects as a multifunctional neuroprotective agent in numerous neurological disorders. However, in traumatic brain injury (TBI), the molecular mechanisms of these neuroprotective effects remain unclear. The present study investigated whether DEX, which has been reported to exert protective effects against TBI, could attenuate neuroinflammatory‐induced apoptosis and clarified the underlying mechanisms.
Reduced metabolism supports hypoxic flight in the high-flying bar-headed goose (Anser indicus)

The bar-headed goose is famed for migratory flight at extreme altitude. To better understand the physiology underlying this remarkable behavior, we imprinted and trained geese, collecting the first cardiorespiratory measurements of bar-headed geese flying at simulated altitude in a wind tunnel. Metabolic rate during flight increased 16-fold from rest, supported by an increase in the estimated amount of O2 transported per heartbeat and a modest increase in heart rate. The geese appear to have ample cardiac reserves, as heart rate during hypoxic flights was not higher than in normoxic flights. We conclude that flight in hypoxia is largely achieved via the reduction in metabolic rate compared to normoxia. Arterial Po2 was maintained throughout flights. Mixed venous PO2 decreased during the initial portion of flights in hypoxia, indicative of increased tissue O2 extraction. We also discovered that mixed venous temperature decreased during flight, which may significantly increase oxygen loading to hemoglobin.