Miracle-dz/UniFAR-FTUs huggingface dataset:
Carotid artery ultrasound image analysis: A review of the literature

Stroke is one of the prominent causes of death in the recent days. The existence of susceptible plaque in the carotid artery can be used in ascertaining the possibilities of cardiovascular diseases and long-term disabilities. The imaging modality used for early screening of the disease is B-mode ultrasound image of the person in the artery area. The objective of this article is to give a widespread review of the imaging modes and methods used for studying the carotid artery for identifying stroke, atherosclerosis and related cardiovascular diseases. We encompass the review in methods used for artery wall tracking, intima–media, and lumen segmentation which will help in finding the extent of the disease. Due to the characteristics of the imaging modality used, the images have speckle noise which worsens the image quality. Adaptive homomorphic filtering with wavelet and contourlet transforms, Levy Shrink, gamma distribution were used for image denoising. Learning-based neural network approaches for denoising give better edge preservation. Domain knowledge-based segmentation approaches have proved to provide more accurate intima–media thickness measurements. There is a requirement of useful fully automatic segmentation approaches, 3D, 4D systems, and plaque motion analysis. Taking into consideration the image priors like geometry, imaging physics, intensity and temporal data, image analysis has to be performed. Encouragingly more research has focused on content-specific segmentation and classification techniques. With the evaluation of machine learning algorithms, classifying the image as with or without a fat deposit has gained better accuracy and sensitivity. Machine learning–based approaches like self-organizing map, k-nearest neighborhood and support vector machine achieve promising accuracy and sensitivity in classification. The literature reveals that there is more scope in identifying a patient-specific model in a fully automatic manner.
MT in anticoagulated patients

Mechanical thrombectomy (MT) is one of the main treatments for acute ischemic stroke (AIS) in patients on effective anticoagulation. The use of direct oral anticoagulants (DOA) has increased, given their efficacy and safety profile compared to vitamin K antagonists (VKA). We compared procedural and clinical outcomes of MT in patients on DOA and VKA treatment before stroke onset. We analyzed 2 groups from the Endovascular Treatment in Ischemic Stroke prospective registry: patients on DOA and patients on VKA treated by MT without thrombolysis. Generalized linear mixed models including center as random effect were used to compare angiographic (rates of reperfusion at end of procedure, number of passes >2, procedural complications) and clinical (favorable and excellent outcome, 90-day all-cause mortality, and hemorrhagic complications) outcomes according to anticoagulation subgroups. Comparisons were adjusted for prespecified confounders (age, admission NIH Stroke Scale score) as well as for meaningful baseline between-group differences. Among 221 patients included, more DOA-treated patients (n = 115, 52%) achieved successful (modified Thrombolysis in Cerebral Infarction score [mTICI] 2b/3) or near complete (mTICI 2c/3) reperfusion at the procedure end than did VKA-treated patients, with an adjusted odds ratio (OR) for DOA vs VKA of 3.27 (95% confidence interval [CI], 1.40–7.65) and 2.00 (95% CI, 1.08–3.73), respectively. DOA-treated patients had a lower 90-day mortality risk with an adjusted OR of 0.47 (95% CI, 0.24–0.89) and a better excellent outcome OR of 2.40 (1.10–5.27). There was no significant between-group difference in hemorrhagic or procedural complications. The study highlights the benefits of DOA compared to VKA. Regarding mortality, excellent outcomes, and recanalization rate, DOA appears to provide a favorable setting for MT treatment in AIS.
miR-137 alleviates focal cerebral ischemic injury in rats by regulating JAK1/STAT1 signaling pathway

The repairing effect and potential mechanism of miR-137 on cerebral ischemic injury in rats was investigated. The volume of cerebral infarction and calculated brain water content was detected by triphenyltetrazolium chloride staining. The expression of inflammatory factors was detected by enzyme-linked immunosorbent assay. The pathological damage of brain tissue was analyzed by hematoxylin and eosin and Nissl staining. The apoptosis in ischemic brain tissue was detected by terminal deoxynucleotidyl transferase-mediated deoxyuridine triphosphate nick-end labeling. The levels of STAT1 and JAK1 proteins were analyzed by Western blot. The expression of miR-137 in primary hippocampal neurons was detected by reverse transcription polymerase chain reaction. miR-137 overexpression significantly improved brain damage in rats. miR-137 overexpression can reduce the expression of TNF-α, IL-1β, and IL-6. miR-137 overexpression can reduce the degree of brain tissue damage and inhibit the expression of JAK1 and STAT1 proteins. miR-137 overexpression can reduce oxygen-glucose deprivation (OGD)/R-induced cell damage, improve cell proliferation, and reduce apoptotic rate. JAK1 and STAT1 protein expression was inhibited in hippocampal neurons after OGD/R treatment after transfection with miR-137 mimic. After the addition of the Filgotinib inhibitor, the levels of JAK1 and STAT1 proteins were significantly reduced. The results suggested that miR-137 overexpression can effectively improve ischemic injury after focal cerebral ischemia and protect against by inhibiting JAK1/STAT1 pathway.
Numerical modeling of the effects hydration and number of hydrogen bonds on the mechanical properties of the tropocollagen molecule

Bone aging involves structural and molecular modifications, especially at the level of type I tropocollagen. This macromolecule shows two main age-related alterations, which are the decrease of both molecular diameter (due to the loss of hydration) and number of hydrogen bonds. In this work, it is proposed to investigate the influence of these two parameters (molecular diameter and number of hydrogen bonds) on the mechanical behavior of tropocollagen using finite element method. To this end, a novel three-dimensional finite element model of collagen molecule accounting for hydrogen bonds was developed. Then, a numerical design of experiments for the diameter of tropocollagen and variations in the number of hydrogen bonds has been established. The mechanical properties (“load–strain” curve and apparent Young’s modulus) of the collagen molecule were obtained by employing the proposed model to uniaxial tensile tests. The parametric study demonstrates that the mechanical properties of tropocollagen are slightly affected by the rate of hydration but considerably affected by variation of the number of hydrogen bonds. Finally, a fitted analytical function was deduced from the above results showing effects of the two parameters (hydration rate and hydrogen bonds) on the apparent Young’s modulus of tropocollagen. This study could be useful to understand the influence of structural age modifications of tropocollagen on the macroscopic mechanical properties of bone.
Anthropogenic change alters ecological relationships via interactive changes in stress physiology and behavior within and among organisms.

Anthropogenic change has well-documented impacts on stress physiology and behavior across diverse taxonomic groups. Within individual organisms, physiological and behavioral traits often covary at proximate and ultimate timescales. In the context of global change, this means that impacts on physiology can have downstream impacts on behavior, and vice versa. Because all organisms interact with members of their own species and other species within their communities, the effects of humans on one organism can impose indirect effects on one or more other organisms, resulting in cascading effects across interaction networks. Human-induced changes in the stress physiology of one species and the downstream impacts on behavior can therefore interact with the physiological and behavioral responses of other organisms to alter emergent ecological phenomena. Here, we highlight three scenarios in which the stress physiology and behavior of individuals on different sides of an ecological relationship are interactively impacted by anthropogenic change. We discuss host-parasite/pathogen dynamics, predator-prey relationships, and beneficial partnerships (mutualisms and cooperation) in this framework, considering cases in which the effect of stressors on each type of network may be attenuated or enhanced by interactive changes in behavior and physiology. These examples shed light on the ways that stressors imposed at the level of one individual can impact ecological relationships to trigger downstream consequences for behavioral and ecological dynamics. Ultimately, changes in stress physiology on one or both sides of an ecological interaction can mediate higher-level population and community changes due in part to their cascading impacts on behavior. This framework may prove useful for anticipating and potentially mitigating previously underappreciated ecological responses to anthropogenic perturbations in a rapidly changing world.
Age-related Effects of Heroin on Gene Expression in the Hippocampus and Striatum of Cynomolgus Monkeys

Objective The aim of this study was to investigate differentially expressed genes and their functions in the hippocampus and striatum after heroin administration in cynomolgus macaques of different ages. Methods Cynomolgus monkeys were divided by age as follows: 1 year (A1, n = 2); 3 to 4 years (A2, n = 2); 6 to 8 years (A3, n = 2); and older than 11 years (A4, n = 2). After heroin was injected intramuscularly into the monkeys (0.6 mg/kg), we performed large-scale transcriptome profiling in the hippocampus (H) and striatum (S) using RNA sequencing technology. Some genes were validated with real-time quantitative PCR. Results In the hippocampus, the gene expression of A1H was similar to that of A4H, while the gene expression of A2H was similar to that of A3H. Genes associated with the mitogen-activated protein kinase signaling pathway (STMN1, FGF14, and MAPT) and γ-aminobutyric acid-ergic synapses (GABBR2 and GAD1) were differentially expressed among control and heroin-treated animals. Differential gene expression between A1S and A4S was the least significant, while differential gene expression between A3S and A2S was the most significant. Genes associated with the neurotrophin signaling pathway (NTRK1 and NGFR), autophagy (ATG5), and dopaminergic synapses (AKT1) in the striatum were differentially expressed among control and heroin-treated animals. Conclusion These results suggest that even a single heroin exposure can cause differential gene expression in the hippocampus and striatum of nonhuman primates at different ages.
Biosorption mechanisms of cationic and anionic dyes in a low-cost residue from brewer’s spent grain

ABSTRACT The brewer's spent grain (BSG) is a byproduct of the brewing industry produced in large quantities and with few ecological disposal options. The use of this low-cost residue was investigated for the removal of methylene blue (MB) and tartrazine yellow (TY) dyes. The BSG has been extensively characterized to obtain its physicochemical characteristics. Batch experiments were conducted to investigate the effects of biosorption parameters: initial pH, kinetics, equilibrium isotherms and adsorption thermodynamics. The characterization showed high carbon content and heterogeneous morphology with the presence of meso and macropores. The best experimental conditions were obtained as pH 11 for MB and pH 2 for TY. Kinetics resulted in an equilibrium time of 240 min for MB and 300 min for TY and was best represented by the pseudo-second order model. Different interaction mechanisms were suggested, such as electrostatic interactions, electron donors and electron acceptors, hydrogen bonds, π–π dispersion interactions and the dye molecules aggregation. Equilibrium data were better represented by Langmuir isotherm. The maximum adsorbed amount of MB and TY was 284.75 and 26.18 mg/g, respectively, in each better experimental condition. Through the thermodynamic analysis, it was observed that the adsorption of the dyes was spontaneous and favourable. MB is preferentially retained through chemisorption, whereas TY followed a physical process. Considering the characteristics and results found compared to the recent literature, it was verified that BSG can be used as an effective and innovative biosorbent for removal purposes of dyeing effluent. GRAPHICAL ABSTRACT
Ozenoxacin, a New Effective and Safe Topical Treatment for Impetigo in Children and Adolescents

Background: Ozenoxacin is a topical antibiotic approved in Europe to treat non-bullous impetigo in adults and children aged ≥6 months. This analysis evaluated the efficacy and safety of ozenoxacin in paediatric patients by age group. Methods: Pooled data for patients aged 6 months to <18 years who had participated in a phase I or in two phase III clinical trials of ozenoxacin 1% cream were analysed by age group: 0.5–<2, 2–<6, 6–<12, and 12–<18 years. Results: The combined population comprised 529 patients with non-bullous impetigo treated with ozenoxacin (n = 239), vehicle (n = 201), or retapamulin as internal validation control (n = 89). Studies were well matched for extent and severity of impetigo and therapeutic schedule (twice daily application for 5 days). The clinical success rate after 5 days’ treatment (day 6–7, end of therapy), and microbiological success rates after 3–4 days’ treatment and at the end of therapy, were significantly higher with ozenoxacin than vehicle (p < 0.0001 for all comparisons). Clinical and bacterial eradication rates were higher with ozenoxacin than vehicle in each age group. No safety concerns were identified with ozenoxacin. One (0.3%) of 327 plasma samples exceeded the lower limit of quantification for ozenoxacin, but the low concentration indicated negligible systemic absorption. Conclusion: This combined analysis supports the efficacy and safety of ozenoxacin administered twice daily for 5 days. Ozenoxacin 1% cream is a new option to consider for treatment of non-bullous impetigo in children aged 6 months to <18 years.
Improving biologic predictors of cycling endurance performance with near‐infrared spectroscopy derived measures of skeletal muscle respiration: E pluribus unum

The study aim was to compare the predictive validity of the often referenced traditional model of human endurance performance (i.e. oxygen consumption, VO2, or power at maximal effort, fatigue threshold values, and indices of exercise efficiency) versus measures of skeletal muscle oxidative potential in relation to endurance cycling performance. We hypothesized that skeletal muscle oxidative potential would more completely explain endurance performance than the traditional model, which has never been collectively verified with cycling. Accordingly, we obtained nine measures of VO2 or power at maximal efforts, 20 measures reflective of various fatigue threshold values, 14 indices of cycling efficiency, and near‐infrared spectroscopy‐derived measures reflecting in vivo skeletal muscle oxidative potential. Forward regression modeling identified variable combinations that best explained 25‐km time trial time‐to‐completion (TTC) across a group of trained male participants (n = 24). The time constant for skeletal muscle oxygen consumption recovery, a validated measure of maximal skeletal muscle respiration, explained 92.7% of TTC variance by itself (Adj R2 = .927, F = 294.2, SEE = 71.2, p < .001). Alternatively, the best complete traditional model of performance, including VO2max (L·min−1), %VO2max determined by the ventilatory equivalents method, and cycling economy at 50 W, only explained 76.2% of TTC variance (Adj R2 = .762, F = 25.6, SEE = 128.7, p < .001). These results confirm our hypothesis by demonstrating that maximal rates of skeletal muscle respiration more completely explain cycling endurance performance than even the best combination of traditional variables long postulated to predict human endurance performance.
Anterior versus posterior approach in peroral endoscopic myotomy (POEM): a systematic review and meta-analysis

Abstract Background Peroral endoscopic myotomy (POEM) is increasingly being used as the endoscopic treatment option for achalasia. Data are limited as to the comparative efficacy of anterior vs. posterior myotomy. Methods We searched multiple databases from inception to August 2019 to identify studies reporting on POEM. We selected studies that reported on the outcomes of POEM, along with information on myotomy approach. We performed a comparative analysis of clinical success, gastroesophageal reflux disease (GERD), and adverse events with anterior and posterior myotomy in POEM by meta-analysis. Results 1247 patients from 18 studies were analyzed: 623 patients (11 cohorts) were treated via anterior myotomy and 624 patients (12 cohorts) via posterior myotomy. The pooled rate for clinical success gave an odds ratio (OR) of 1.02 (95 % confidence interval [CI] 0.52 – 2.0; I 2 0; P = 0.9); for GERD by esophagogastroduodenoscopy (EGD) was OR 1.02 (95 %CI 0.62 – 1.68; I 2 0; P = 0.9), and for GERD by pH was OR 0.98 (95 %CI 0.59 – 1.63; I 2 34; P = 0.9). The individual pooled rates of clinical success at 12 months and > 12 months, GERD (by symptoms, EGD, pH), and adverse events (mild, moderate, severe) were comparable. The pooled total procedure time with anterior myotomy was 82.7 minutes (95 %CI 69.0 – 96.4; I 2 98) and with posterior myotomy was 62.1 minutes (95 %CI 48.5 – 75.7; I 2 90). Conclusion Anterior and posterior myotomy in POEM seem comparable to each other in terms of clinical success, GERD, and adverse events. The total procedure time with posterior myotomy seems to be shorter than with anterior myotomy.
Optimization of electrospinning process & parameters for producing defect-free chitosan/polyethylene oxide nanofibers for bone tissue engineering

Abstract Chitosan (CS) nanofibers were electrospun from aqueous chitosan solution using concentrated acetic acid solution as a solvent. Polyethylene oxide (PEO) with varying weight content from 10- 60 wt% was mixed with chitosan solution that acted as a plasticizer to improve spinability of the prepared chitosan solution. With the increase in PEO content from 10-50 wt% the viscosity of the resultant CS/PEO solution was decreased from 0.938 Pa-s to 0.272 Pa-s, whereas higher the concentration of acetic acid lower was the surface tension of resultant chitosan solution. It was found beadless nanofibrous chitosan mat was obtained not less than 85% acetic acid concentration, 50 wt% PEO and at 0.2 wt% NaCl and 5 wt% total polymer concentration. From field emission scanning electron microscopy (FESEM) investigation, it was observed that chitosan fibers with an average diameter of 149 nm were produced at an applied voltage of 22.5 KV, while that varied between 17.5- 25 KV. On the other hand, a minimum of 110 nm of average diameter chitosan nanofiber was obtained at a needle tip to rotor collector distance of 15 cm by the method of electrospining. In terms of solution flow rate, 0.4 mL/h was found to be optimum in obtaining defect-free electrospun fiber with lower average diameter. As a whole, smooth and uniform chitosan nanofibers were obtained from 50/50 CS/PEO solution prepared by using 90% acetic acid and electrospun at 20 kV applied voltage, 15 cm needle tip-to- rotor collector distance with 0.2 mm inner diameter needle and 0.4 mL/h feeding rate. After crosslinking with 1 wt% glutaraldehyde (GTA), the ultimate tensile strength and Young’s modulus of chitosan scaffold increased upto 9.47 MPa and 147.75 MPa respectively. From MTT assay and alkaline phosphatase expression analysis upto 11 days of cell culture period it was evident that thus prepared electrospun CS scaffolds supported MG 63 cell proliferation and its differentiation into mature osteoblast.
Emergence of social cluster by collective pairwise encounters in Drosophila

Many animals exhibit an astonishing ability to form groups of large numbers of individuals. The dynamic properties of such groups have been the subject of intensive investigation. The actual grouping processes and underlying neural mechanisms, however, remain elusive. Here, we established a social clustering paradigm in Drosophila to investigate the principles governing social group formation. Fruit flies spontaneously assembled into a stable cluster mimicking a distributed network. Social clustering was exhibited as a highly dynamic process including all individuals, which participated in stochastic pair-wise encounters mediated by appendage touches. Depriving sensory inputs resulted in abnormal encounter responses and a high failure rate of cluster formation. Furthermore, the social distance of the emergent network was regulated by ppk-specific neurons, which were activated by contact-dependent social grouping. Taken together, these findings revealed the development of an orderly social structure from initially unorganised individuals via collective actions.
Approach to making the availability heuristic less available

Errors in judgement are often traceable to pitfalls of human reasoning. One pitfall is the availability heuristic, defined as a tendency to judge the likelihood of a condition by the ease at which examples spring to mind. This intuition is often a great approximation but can be sometimes mistaken because of fallible memories. People, for example, may mistakenly believe drowning causes fewer deaths than fires in the USA (actual deaths in 2017: drowning=3709 vs fires=2812)1 because they cannot easily recall many news stories about drowning. Calm water is boring to imagine whereas bright flames are dramatic images vividly recalled and frequently popularised. In turn, people can underestimate the risks lurking in lakes or rivers and neglect basic safety strategies. This may be an example where the availability heuristic could cause a fatal mistake. Diagnostic errors can also stem from the availability heuristic and contribute to serious mistakes in patient care. One pregnant patient diagnosed with Zika virus infection, for example, may provoke wide public attention, lead to excessive viral testing of pregnant women and result in underestimating more likely contributors to maternal morbidity including domestic violence, mental illness and traffic crashes.2 Of course, a formal analysis of diagnostic possibilities for every case would demand substantial effort and, itself, does not guarantee a correct diagnosis. In addition, the availability heuristic often leads to the right diagnosis by providing a quick and easy guess.3 This means the availability heuristic will have enduring appeal in medical …