Miracle-dz/UniFAR-FTUs huggingface dataset:
Short-term Focused Feedback

Background: Our grant from the Patient-Centered Outcomes Research Institute (PCORI) focused on the use of nurse home visits postdischarge for primarily pediatric hospital medicine patients. While our team recognized the importance of engaging parents and other stakeholders in our study, our project was one of the first funded to address transitions of care issues in patients without chronic illness; little evidence existed about how to engage acute stakeholders longitudinally. Objective: This manuscript describes how we used both a short-term focused feedback model and longitudinal engagement methods to solicit input from parents, home care nurses, and other stakeholders throughout our 3-year study. Results: Short-term focused feedback allowed the study team to collect feedback from hundreds of stakeholders. Initially, we conducted focus groups with parents with children recently discharged from the hospital. We used this feedback to modify our nurse home visit intervention, then used quality improvement methods with continued short-term focus feedback from families and nurses delivering the visits to adjust the visit processes and content. We also used their feedback to modify the outcome collection. Finally, during the randomized controlled trial, we added a parent to the study team to provide longitudinal input, as well as continued to solicit short-term focused feedback to increase recruitment and retention rates. Conclusion: Research studies can benefit from soliciting short-term focused feedback from many stakeholders; having this variety of perspectives allows for many voices to be heard, without placing an undue burden on a few stakeholders.
Thirty years of recombinant BCG: new trends for a centenary vaccine

ABSTRACT Introduction: Global perception of the potential for Bacille Calmette-Guérin (BCG), and consequently recombinant BCG (rBCG), in a variety of prophylactic and therapeutic applications has been increasing. A century of information on BCG, and three decades of experience with rBCG, has generated solid knowledge in this field. Area covered: Here, we review the current state of knowledge of BCG and rBCG development. Molecular tools have facilitated the expression of a variety of molecules in BCG, with the aim of improving its efficacy as a tuberculosis vaccine, generating polyvalent vaccines against other pathogens, including viruses, bacteria, and parasites, and developing immunotherapy approaches against noninvasive bladder cancer. BCG’s recently appraised heterologous effects and prospects for expanding its application to other diseases are also addressed. Expert opinion: There are high expectations for new tuberculosis vaccines currently undergoing advanced clinical trials, which could change the prospects of the field. Systems biology could reveal effective biomarkers of protection, which would greatly support vaccine development. The development of appropriate large-scale production processes would further support implementation of new vaccines and rBCG products. The next few years should consolidate the broader applications of BCG and produce insights into improvements using the recombinant BCG technology.
固相萃取-超高效液相色谱-串联质谱法同时测定动物源性食品中11种禁限兽药及代谢物

建立了固相萃取-超高效液相色谱-串联质谱(SPE-UPLC-MS/MS)同时检测鸡蛋、液态奶、鸡肉及淡水鱼中4类(氯霉素类、硝基咪唑类、林可酰胺类与大环内酯类)8种禁限兽药与3种代谢物残留的分析方法。 对样品前处理及色谱条件进行优化,样品经0. 1 mol/L pH 9. 0的磷酸盐缓冲液水解分散,乙腈提取,提取液经乙酸乙酯萃取后浓缩至近干,残留物用0. 3 mL甲醇溶解,再加入5. 7 mL磷酸盐缓冲液,混匀,溶解液经Oasis HLB固相萃取柱净化后上机分析,以甲醇与0. 1%甲酸水溶液作为流动相进行梯度洗脱,经ACQUITY UPLC BEH C18色谱柱(100 mm×2.1 mm, 1.7 μm)分离,采用ESI+和ESI-电离,在多反应监测模式下采集,同位素内标法定量。 结果表明,11种待测物在色谱柱上完全基线分离,在各自范围内线性关系良好,相关系数(R2)>0.99,方法的检出限(LOD)为0. 050~0.50 μg/kg,定量限(LOQ)为0. 20~1.5 μg/kg。 各待测物的平均回收率为65. 3%~108%,相对标准偏差(RSD)为0. 40%~21%。 将该方法应用于市售样品中上述4类兽药残留的常规监测,其阳性样本的检测结果与标准方法测定结果无显著性差异。 该方法灵敏度高,稳定性好,定量准确,适用于动物源性食品中多种禁限兽药及代谢物残留的同时快速测定。
Reliability and Validity of the American Heart Association’s Workplace Health Achievement Index

Objective: To test the validity and reliability of the American Heart Association’s (AHA) updated Workplace Health Achievement Index (WHAI). Methods: We piloted the updated WHAI with respondent pairs at 94 organizations, and examined the inter-rater reliability (percent agreement) for each item on the survey. To evaluate face and content validity, we conducted preliminary focus groups pre-survey, and follow-up cognitive interviews post-survey administration. Results: Respondents found the updated WHAI to be comprehensive and useful in identifying gaps and opportunities for improving their health and wellbeing programs. The mean percent agreement on all items was 73.1%. Only 9% (or 14 items out of 146) had poor inter-rater reliability (below 61 percent agreement), but through follow-up cognitive interviews we determined that most were due to artifacts of the study design or were resolved through minor revisions to the survey question, instructions, and/or adding examples for clarity. Only 1 question was deleted due to lack of relevance. Conclusion: The updated WHAI is a valid and reliable tool for employers to assess how well they promote the health and wellbeing of their employees.
Cognitive Stabilization Intervention during the Era of COVID-19

ABSTRACT As COVID-19 halted traditional neuropsychological assessment due to infection risk, neuropsychologists considered alternative practice models. Cognitive stabilization intervention (CSI) via telehealth, was developed to stabilize cognition in advance of neuropsychological assessment. It incorporates elements of evidence-based treatments, including cognitive training, sleep training, and medication adherence training within a motivational interview framework. Two case vignettes are described. One vignette describes an elder man who received CSI to manage sleep difficulties, forgetfulness, and mood symptoms. Another vignette describes a woman who completed CSI following an autoimmune disorder episode to improve sleep, organization, and attention. The benefits and limitations of CSI are discussed.
Dose Assessment for Technologically Enhanced Naturally Occurring Radioactive Materials Disposal in Landfills

Abstract Technologically enhanced naturally occurring radioactive material (TENORM) is gaining notoriety in the public sector, as the oil and gas industry looks for disposal locations for its slightly radioactive waste streams. Due in part to both the lack of federal regulations on the disposal of TENORM and the lack of permitted landfills that are designated for TENORM waste, occasionally it ends up being unknowingly placed in municipal landfills. It was alleged that a municipal landfill in Kentucky accepted 1.05 × 106 kg of TENORM over approximately 8 mo starting in July 2015. This matter is still in litigation, and many facts, including whether the material in question actually constituted TENORM, are still in dispute. The authors had no means available to independently verify the actual composition of the material. Therefore, for purposes of this article only, we assume that the material in question did constitute TENORM. This qualification allows us to evaluate potential doses while respecting the litigation process. Doses from the disposals and for two remediation alternatives, (1) closure-in-place and monitoring and (2) excavation and redisposition of waste, were evaluated, taking into consideration the landfill construction, local geology and hydrology, meteorology, background radiation, population distribution, and current and future land uses. This study outlines appropriate methods for calculating doses to potential receptors for a variety of exposure pathways that are broadly applicable to municipal or chemical/hazardous waste landfills. As this study demonstrates, doses to landfill workers and members of the public are low, both during the disposal and for the remediation alternatives evaluated, and well below regulatory limits. Removal of the materials does not reduce present day doses, and it presents other risks that outweigh any benefit from the long-term dose reduction.
Short-term heart rate variability in resting conditions: methodological considerations.

Low values on heart rate variability (HRV) derived parameters at resting have been used to predict cardiovascular diseases (CVD) and mortality. In this regard, short-term HRV recordings (usually from 5-min to 15-min) are increasing their popularity because data acquisition can be performed under more controlled conditions than long-term recordings (e.g., 24-h). However, different methodological aspects before, during, and after the HRV assessment could affect the quantification and the clinical interpretations of the HRV derived parameters, as well as hampers comparisons across different studies. Here, we summarize these methodological aspects that should be considered in both the research and the clinical settings. These are: 1) the validity and reproducibility of the device used to assess the HRV; 2) the influence of the software used to perform the artefact correction; 3) previous conditions before the testing day; 4) establish the proper conditions during the HRV assessment (e.g., controlled respiratory frequency); 5) after assessing the HRV, consider the "best" data selection and statistical analyses approach; and, 6) the role of the heart rate on the associations between the different CVD risk factors outcomes (e.g., cardiorespiratory fitness) and the HRV derived parameters.
A Glucose-Only Model to Extract Physiological Information from Postprandial Glucose Profiles in Subjects with Normal Glucose Tolerance

Background: Current mathematical models of postprandial glucose metabolism in people with normal and impaired glucose tolerance rely on insulin measurements and are therefore not applicable in clinical practice. This research aims to develop a model that only requires glucose data for parameter estimation while also providing useful information on insulin sensitivity, insulin dynamics and the meal-related glucose appearance (GA). Methods: The proposed glucose-only model (GOM) is based on the oral minimal model (OMM) of glucose dynamics and substitutes the insulin dynamics with a novel function dependant on glucose levels and GA. A Bayesian method and glucose data from 22 subjects with normal glucose tolerance are utilised for parameter estimation. To validate the results of the GOM, a comparison to the results of the OMM, obtained by using glucose and insulin data from the same subjects is carried out. Results: The proposed GOM describes the glucose dynamics with comparable precision to the OMM with an RMSE of 5.1 ± 2.3 mg/dL and 5.3 ± 2.4 mg/dL, respectively and contains a parameter that is significantly correlated to the insulin sensitivity estimated by the OMM (r = 0.7) Furthermore, the dynamic properties of the time profiles of GA and insulin dynamics inferred by the GOM show high similarity to the corresponding results of the OMM. Conclusions: The proposed GOM can be used to extract useful physiological information on glucose metabolism in subjects with normal glucose tolerance. The model can be further developed for clinical applications to patients with impaired glucose tolerance under the use of continuous glucose monitoring data.
Notch signaling in the dynamics of perivascular stem cells and their niches

The Notch signaling pathway is a fundamental regulator of cell fate determination in homeostasis and regeneration. In this work, we aimed to determine how Notch signaling mediates the interactions between perivascular stem cells and their niches in human dental mesenchymal tissues, both in homeostatic and regenerative conditions. By single cell RNA sequencing analysis, we showed that perivascular cells across the dental pulp and periodontal human tissues all express NOTCH3, and that these cells are important for the response to traumatic injuries in vivo in a transgenic mouse model. We further showed that the behavior of perivascular NOTCH3‐expressing stem cells could be modulated by cellular and molecular cues deriving from their microenvironments. Taken together, the present studies, reinforced by single‐cell analysis, reveal the pivotal importance of Notch signaling in the crosstalk between perivascular stem cells and their niches in tissue homeostasis and regeneration.
Learning Deep Global Multi-Scale and Local Attention Features for Facial Expression Recognition in the Wild

Facial expression recognition (FER) in the wild received broad concerns in which occlusion and pose variation are two key issues. This paper proposed a global multi-scale and local attention network (MA-Net) for FER in the wild. Specifically, the proposed network consists of three main components: a feature pre-extractor, a multi-scale module, and a local attention module. The feature pre-extractor is utilized to pre-extract middle-level features, the multi-scale module to fuse features with different receptive fields, which reduces the susceptibility of deeper convolution towards occlusion and variant pose, while the local attention module can guide the network to focus on local salient features, which releases the interference of occlusion and non-frontal pose problems on FER in the wild. Extensive experiments demonstrate that the proposed MA-Net achieves the state-of-the-art results on several in-the-wild FER benchmarks: CAER-S, AffectNet-7, AffectNet-8, RAFDB, and SFEW with accuracies of 88.42%, 64.53%, 60.29%, 88.40%, and 59.40% respectively. The codes and training logs are publicly available at https://github.com/zengqunzhao/MA-Net.
Caring for a child with a life limiting condition: The experiences of nurses in an intellectual disability service provider

This study elicited the experiences of nurses caring for children with life-limiting conditions and their family, within a community based intellectual disability service. A qualitative descriptive research approach was adopted where purposeful sampling recruited 10 participants. Data was collected using one to one semi-structured interviews and was subsequently analysed using qualitative thematic content analysis. The findings identified a range of complexities unique to the care of children with life-limiting conditions in the intellectual disability setting. From the findings, it is clear that this is a population of highly skilled nurses who work in a challenging and complex area of practice. Further supports are required in order to meet the practice needs and support the emotional needs of this population of nurses. In doing so, high quality practice within the area will be promoted, thereby ensuring high quality care for the children and families within the disability service.
β-Catenin Attenuation Inhibits Tumor Growth and Promotes Differentiation in a BRAFV600E-Driven Thyroid Cancer Animal Model

BRAFV600E mutation is the most frequent genetic alteration in papillary thyroid cancer (PTC). β-Catenin (Ctnnb1) is a key downstream component of canonical Wnt signaling pathway and is frequently overexpressed in PTC. BRAFV600E-driven tumors have been speculated to rely on Wnt/β-catenin signaling to sustain its growth, although many details remain to be elucidated. In this study, we investigated the role of β-catenin in BrafV600E-driven thyroid cancer in a transgenic mouse model. In BrafV600E mice with wild-type (WT) Ctnnb1 (BVE-Ctnnb1WT or BVE), overexpression of β-catenin was observed in thyroid tumors. In BrafV600E mice with Ctnnb1 knockout (BVE-Ctnnb1null), thyroid tumor growth was slowed with significant reduction in papillary architecture. This was associated with increased expression of genes involved in thyroid hormone synthesis, elevated 124iodine uptake, and serum T4. The survival of BVE-Ctnnb1null mice was increased by more than 50% during 14-month observation. Mechanistically, downregulation of MAPK, PI3K/Akt, and TGFβ pathways and loss of epithelial–mesenchymal transition (EMT) were demonstrated in the BVE-Ctnnb1null tumors. Treatment with dual β-catenin/KDM4A inhibitor PKF118–310 dramatically improved the sensitivity of BVE-Ctnnb1WT tumor cells to BRAFV600E inhibitor PLX4720, resulting in significant growth arrest and apoptosis in vitro, and tumor regression and differentiation in vivo. These findings indicate that β-catenin signaling plays an important role in thyroid cancer growth and resistance to BRAFV600E inhibitors. Simultaneously targeting both Wnt/β-catenin and MAPK signaling pathways may achieve better therapeutic outcome in BRAFV600E inhibitor-resistant and/or radioiodine-refractory thyroid cancer.
Lessons from Cadaver Dissection during the COVID-19 Pandemic

The rapid increase of the coronavirus disease 2019 pandemic from mid-February 2020 has led the anatomy department of the Korea University College of Medicine to cease the dissection laboratory. However, the hands-on anatomy laboratory experience is paramount to maximizing learning outcomes. In this paper, we share the experiences and lessons learned through the face-to-face cadaveric dissection experience during this disruptive situation. To minimize infection risks, the following strategies were applied: first, students' on-campus attendance was reduced; second, body temperatures and symptoms were checked before entering the laboratory, and personal protective equipment was provided to all participants; and third, a negative pressure air circulation system was used in the dissection room. We suggest that conducting face-to-face cadaveric anatomy dissection is feasible when the daily count of newly infected cases stabilizes, and there is ample provision of safety measures to facilitate hands-on education.
Molecular detections of coronavirus: current and emerging methodologies

ABSTRACT Introduction Seven coronavirus species have been identified that can infect humans. While human coronavirus infections had been historically associated with only mild respiratory symptoms similar to the common cold, three coronaviruses identified since 2003, Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV), Middle East Respiratory Syndrome Coronavirus (MERS-CoV), and SARS-CoV-2, cause life-threatening severe respiratory syndromes. The coronavirus disease 2019 (COVID-19) caused by the highly transmissible SARS-CoV-2 has triggered a worldwide health emergency. Due to the lack of effective drugs and vaccination, rapid and reliable detection is of vital importance to control coronavirus epidemics/pandemics. Area covered A literature search was performed in Pubmed covering the detections and diagnostics of SARS, MERS and SARS-CoV-2. This review summarized the current knowledge of established and emerging methods for coronavirus detection. The characteristics of different diagnostic approaches were described, and the strengths and weaknesses of each method were analyzed and compared. In addition, future trends in the field of coronavirus detection were also discussed. Expert opinion Nucleic acid–based RT-PCR is the current golden-standard of coronavirus detection, while immunoassays provide history of coronavirus infection besides diagnostic information. Integrated high-throughput system holds the great potential and is the trend of future detection and diagnosis of virus infection.
Prognostic value of C-reactive protein/albumin ratio in hypertensive COVID-19 patients

ABSTRACT Objectives The aim of this study was to investigate the relationship between the C-reactive protein/albumin ratio and the prognosis of hypertensive COVID-19 patients. Methods It was designed as a single center retrospective study. PCR positive COVID-19 patients who were followed up in the intensive care unit (ICU) and received antihypertensive treatment were included in the study. The patients were divided into two groups as survivor and non-survivor. C-reactive protein/albumin (CAR) ratios of the patients were compared. The cut-off value was determined as a mortality predictor. The effect of CAR on mortality was evaluated using Logistic Regression analysis. Results 281 patients were included in the study. Groups consisted of 135 (non-survivor) and 146 (survivor) patients. CAR was significantly higher in the non-survivor group (p<0.001). The area under the ROC curve for CAR for mortality was 0.807, with sensitivity of 0.71 and specificity of 0.71. The cut-off value for CAR was calculated as 56.62. In logistic regression analysis, CAR increases mortality 4.9 times compared to the cut-off value. Conclusion CAR is a powerful and independent prognostic marker for predicting mortality and disease progression in hypertensive COVID-19 patients.
Development of Novel Phosphorylated Cellulose Acetate Polyelectrolyte Membranes for Direct Methanol Fuel Cell Application

1 Chemistry Department, Faculty of Science, University of Jeddah, Asfan, P. O. Box: 80203, Jeddah 21589, Saudi Arabia 2 Polymer Materials Research Department, Advanced Technology and New Materials Research Institute, MuCSAT, New Borg El-Arab City 21934, Alexandria, Egypt 3 Chemical Engineering Department, Faculty of Engineering, Alexandria University, Alexandria, Egypt. 4 Computer-Based Engineering Applications Department, Informatics Research Institute, MuCSAT, New Borg El-Arab City 21934, Alexandria, Egypt * E-mail: m.mohyeldin@mucsat.sci.eg
A simple structured and efficient triazine-based molecule as an interfacial layer for high performance organic electronics

Achieving the state-of-the-art performance of solution processable and flexible organic electronics requires efficient, stable, and cost-effective interfacial layers (ILs). Here, we report an alcohol soluble phosphine oxide functionalized 1,3,5-triazine derivative (PO-TAZ) as an IL, which remarkably tailors the work function of conductors including metals, transparent metal oxides and organic materials, making it an ideal candidate for an interfacial material in organic electronics. Consequently, PO-TAZ thin films enable the fabrication of organic and organic–inorganic (perovskite) solar cells with power conversion efficiencies of 10.04% and 16.41%, respectively, and n-channel organic field-effect transistors with an electron mobility of 8 cm2 V−1 s−1. Owing to the low-cost processing associated with PO-TAZ and the tremendous improvement in device performances as compared to the devices without PO-TAZ along with ambient stability, PO-TAZ is a good choice for efficient organic electronics in large area printing processes.
Inhibition-of-return-like effects in working memory? A preregistered replication study of Johnson et al. (2013)

The present study concerns a preregistered replication of the study conducted by Johnson et al. (Johnson et al. 2013 Psychol. Sci. 24, 1104–1112 (doi:10.1177/0956797612466414)), in which they showed an inhibition-of-return-like effect in working memory. Inhibition of return is a well-known phenomenon observed in the field of perception and refers to the observation that it takes longer to look back at a location which has recently been explored than to look at an unexplored location. Working memory is a central concept in the field of cognitive psychology and refers to the capacity to process and maintain information simultaneously over short periods of time. Johnson's study applied the inhibition of return paradigm to the concept of working memory. Their results showed that it is harder to access a working memory representation that had just been thought of, i.e. refreshed, in comparison to an unrefreshed working memory representation. Contrary to this study of Johnson et al., who observed refreshing to result in inhibitory processes, most studies on refreshing have described its effect as increasing/prolonging the level of activation of the memory representations. In an attempt to integrate these opposite patterns produced by ‘refreshing’, we started by replicating one of the studies on the inhibition of return in working memory reported by Johnson et al.