Miracle-dz/UniFAR-FTUs huggingface dataset:
Cardiac devices in patients with transthyretin amyloidosis: Impact on functional class, left ventricular function, mitral regurgitation, and mortality

The aim of our study was to investigate outcomes of patients with ATTR (amyloidosis and transthyretin) CA (cardiac amyloidosis) and implantable devices with respect to left ventricular ejection fraction (LVEF), mitral regurgitation (MR), New York Heart Association (NYHA) functional class, and mortality.
Near-Complete Genome Sequence of a Potential Foot-and-Mouth Disease Virus Serotype A Vaccine Strain Isolated from Bangladesh

The near-complete genome sequence of foot-and-mouth disease virus (FMDV) serotype A potential vaccine strain BAN/CH/Sa-304/2016 is reported here. Its genome revealed antigenic heterogeneity with the current Indian vaccine strain IND40/00, with four amino acid substitutions in antigenically critical sites of the VP1 protein. ABSTRACT The near-complete genome sequence of foot-and-mouth disease virus (FMDV) serotype A potential vaccine strain BAN/CH/Sa-304/2016 is reported here. Its genome revealed antigenic heterogeneity with the current Indian vaccine strain IND40/00, with four amino acid substitutions in antigenically critical sites of the VP1 protein.
Right heart failure in pulmonary hypertension: Diagnosis and new perspectives on vascular and direct right ventricular treatment

Adaptation of right ventricular (RV) function to increased afterload—known as RV–arterial coupling—is a key determinant of prognosis in pulmonary hypertension. However, measurement of RV–arterial coupling is a complex, invasive process involving analysis of the RV pressure–volume relationship during preload reduction over multiple cardiac cycles. Simplified methods have therefore been proposed, including echocardiographic and cardiac MRI approaches. This review describes the available methods for assessment of RV function and RV–arterial coupling and the effects of pharmacotherapy on these variables. Overall, pharmacotherapies for pulmonary hypertension have shown beneficial effects on various measures of RV function, but it is often unclear if these are direct RV effects or indirect results of afterload reduction. Studies of the effects of pharmacotherapies on RV–arterial coupling are limited and mostly restricted to experimental models. Simplified methods to assess RV–arterial coupling should be validated and incorporated into routine clinical follow‐up and future clinical trials.
MicroRNA‐506 upregulation contributes to sirtuin 1 inhibition of osteoclastogenesis in bone marrow stromal cells induced by TNF‐α treatment

As a deacetylase relying on NAD, sirtuin 1 (SIRT1) has been proven to inhibit osteoclastogenesis directly by repressing reactive oxygen species (ROS) production and TRPV1 channel stimulation modulated by TNF‐α. MicroRNAs do not have coding functions, but they influence the expression of particular genes after transcription. Nevertheless, the current understanding of the impact of SIRT1 on osteoclastogenesis is insufficient. Our research explored whether and how miRNAs contributed to osteoclast differentiation modulated by SIRT1 in vitro. In osteoclastogenesis induced by RANKL in bone marrow‐derived macrophages (BMMs), repression of SIRT1 expression and enhancement of miR‐506 expression were discovered. Transfection with an miR‐506 inhibitor repressed miR‐506 concentration in BMMs treated with RANKL. Additional research revealed that BMMs with repressed miR‐506 treated with RANKL displayed phenotypes with suppressed osteoclastogenesis, as demonstrated by TRAP staining, reduced function, decreased expression of osteoclast markers and correlated genes, and reduced multinuclear cell quantity. Bioinformatics prediction outcomes and the dual‐luciferase reporter test suggested that miR‐506 targeted the SIRT1 3′‐UTR for silencing. Decreased miR‐506 in BMMs induced by RANKL caused SIRT1 upregulation. Additionally, treatment with EX‐527 (SIRT1 repressor) or SIRT1 silencing attenuated repression caused by miR‐506 depletion in BMMs treated with RANKL. Furthermore, TNF‐α was repressed via miR‐506 inhibition but was enhanced following EX‐527 incubation as well as SIRT1 depletion. TRPV1 channel stimulation and ROS generation, which was related to osteoclastogenesis, were reduced via miR‐506 depletion. miR‐506 modulated osteoclastogenesis by targeting SIRT1 expression in part through modulation of the TRPV1 channel, ROS production, and TNF‐α.
Study protocol for a single-blind randomised controlled trial to evaluate the clinical effects of an Integrated Qigong exercise intervention on freezing of gait in Parkinson’s disease

Introduction Qigong exercise offers a potentially safe, low-cost and effective mind–body rehabilitative intervention for mitigating the problem of gait interruption among patients with Parkinson’s disease (PD) who have frequent freezing of gait (FOG) episodes. However, its clinical effects have not been established. This paper describes the trial protocol of evaluating the clinical efficacy of a newly developed Integrated Qigong in improving gait among patients with PD who have FOG. Methods and analysis A single-blind randomised controlled trial is designed to compare Integrated Qigong and balance training with an attention control. Participants will be patients with mild to moderate PD who experience FOG and are recruited from local communities in Shanghai, China. Participants will be randomly allocated to one of the three groups: Integrated Qigong group, a balance exercise intervention group, or control group. The total number of participants will be 126, and masked assessments will be made at baseline, 12 weeks (end of intervention) and 12-week follow-up. Both Integrated Qigong group and balance training group will receive a group-based exercise intervention that meets three times per week, 60 min in duration, for 12 weeks. The control group will receive a 60 min weekly group session and monthly health education. The primary outcomes are gait parameters (stride length, gait velocity, stride time variability) and occurrence of FOG. The secondary outcomes are postural instability, walking disability, falling, fear of falling and quality of life. Ethics and dissemination This study has been approved by the Ethics Committee of Shanghai University of Sport and registered at China Clinical Trial Registry. Participants will sign informed consent prior to the participation of the trial. The findings of the study will be published in peer-reviewed academic journals and disseminated to PD support groups, medical community and media. Trial registration number ChiCTR1800016570.
Mass fluxes of nitrogen and phosphorus through water reclamation facilities: Case study of biological nutrient removal, aerobic sludge digestion, and sidestream recycle

At water reclamation facilities, recycling of nutrients (nitrogen and phosphorus) from solids‐handling processes to the mainstream treatment process can have detrimental effects on biological nutrient removal systems. In this study, mass fluxes of nitrogen and phosphorus were quantified through the treatment trains at the Northwest Regional Water Reclamation Facility (NWRWRF) and the adjoining Biosolids Management Facility (BMF), which receives sludge from several water reclamation facilities in Hillsborough County, Florida. The driving objectives were to determine (a) whether the return stream from BMF to NWRWRF (i.e., the “sidestream”) represents a significant source of nitrogen and phosphorus to NWRWRF, and (b) whether the sidestream return from BMF is interfering with biological nutrient removal processes at NWRWRF. We determined that nearly half of the overall phosphorus flux into NWRWRF is recycled from the BMF sidestream. This leads to an increased cost of treatment, for example, for alum used in phosphorus removal at NWRWRF. In contrast to phosphorus, the flux of nitrogen from BMF to NWRWRF is small (~3%) compared with the flux of nitrogen entering NWRWRF in raw wastewater. However, nitrogen in the sidestream is mostly in the form of nitrate, which prevents anaerobic conditions from developing in the fermentation basin at NWRWRF, and thereby interferes with the enhanced biological phosphorus removal (EBPR) process. Some measurements suggest that fermentation and release of phosphorus may occur in the return activated sludge line (despite the relatively short residence time in that line), which supports EBPR and may partially compensate for anoxic (denitrifying) conditions in the fermentation basin. Therefore, overall, NWRWRF is able to meet its permit limits for phosphorus through a combination of EBPR and alum addition. Although the fluxes measured here are particular to the treatment systems under consideration, the general trends observed are likely to apply to many similar facilities that employ biological nutrient removal, aerobic digestion, and sidestream recycle, particularly those with regional biosolids management facilities. We recommend that such facilities consider (a) removal or recovery of phosphorus from their sidestreams and (b) returning sidestreams downstream of fermentation basins to avoid inhibition of EBPR processes.
Synthesis, Structural Characterization and Antimicrobial Evaluation of Ruthenium Complexes with Heteroaromatic Carboxylic Acids

The antibacterial and antibiofilm activities of two new ruthenium complexes against E. coli, S. aureus, P. aeruginosa PAO1 (laboratory strain) and P. aeruginosa LES B58 (clinical strain) were evaluated. Complexes, mer‐[RuIII(2‐bimc)3] ⋅ H2O (1) and cis‐[RuIVCl2(2,3‐pydcH)2] ⋅ 4H2O (2), were obtained using aromatic carboxylic acid ligands, namely, 1H‐benzimidazole‐2‐carboxylic acid (2‐bimcH) and pyridine‐2,3‐dicarboxylic acid (2,3‐pydcH2). Compounds were physicochemically characterized using X‐ray diffraction, Hirshfeld surface analysis, IR and UV/VIS spectroscopies, as well as magnetic and electrochemical measurements. Structural characterization revealed that Ru(III) and Ru(IV) ions in the complexes adopt a distorted octahedral geometry. The intermolecular classical and weak hydrogen bonds, and π⋅⋅⋅π contacts significantly contribute to structure stabilization, leading to the formation of a supramolecular assembly. Biological studies have shown that the Ru complexes inhibit the growth of bacteria and biofilm formation by the tested strains and the complexes seem to be a potential as antimicrobial agents.
Reading skill modulates the effect of parafoveal distractors on foveal lexical decision in deaf students

In low-level perceptual tasks and reading tasks, deaf individuals show a redistribution of spatial visual attention toward the parafoveal and peripheral visual fields. In the present study, the experiment adopted the modified flanker paradigm and utilized a lexical decision task to investigate how these unique visual skills may influence foveal lexical access in deaf individuals. It was predicted that irrelevant linguistic stimuli presented in parafoveal vision, during a lexical decision task, would produce a larger interference effect for deaf college student readers if the stimuli acted as distractors during the task. The results showed there was a larger interference effect in deaf college student readers compared to the interference effect observed in participants with typical levels of hearing. Furthermore, deaf college student readers with low-skilled reading levels showed a larger interference effect than those with high-skilled reading levels. The current study demonstrates that the redistribution of spatial visual attention toward the parafoveal visual regions in deaf students impacts foveal lexical processing, and this effect is modulated by reading skill. The findings are discussed in relation to the potential effect that enhanced parafoveal attention may have on everyday reading for deaf individuals.
Detection of Androgen Receptor Variant 7 (ARV7) mRNA Levels in EpCAM-Enriched CTC Fractions for Monitoring Response to Androgen Targeting Therapies in Prostate Cancer

Expression of the androgen receptor splice variant 7 (ARV7) in circulating tumor cells (CTCs) has been associated with resistance towards novel androgen receptor (AR)-targeting therapies. While a multitude of ARV7 detection approaches have been developed, the simultaneous enumeration of CTCs and assessment of ARV7 status and the integration of validated technologies for CTC enrichment/detection into their workflow render interpretation of the results more difficult and/or require shipment to centralized labs. Here, we describe the establishment and technical validation of a novel ARV7 detection method integrating the CellSearch® technology, the only FDA-cleared CTC-enrichment method for metastatic prostate cancer available so far. A highly sensitive and specific qPCR-based assay was developed, allowing detection of ARV7 and keratin 19 transcripts from as low as a single ARV7+/K19+ cell, even after 24 h of sample storage. Clinical feasibility was demonstrated on blood samples from 26 prostate cancer patients and assay sensitivity and specificity was corroborated. Our novel approach can now be included into prospective clinical trials aimed to assess the predictive values of CTC/ARV7 measurements in prostate cancer.
Drug sensitivity prediction models reveal a link between DNA repair defects and poor prognosis in HNSCC.

Head and neck squamous cell carcinoma (HNSCC) is characterized by the frequent manifestation of DNA crosslink repair defects. We established novel expression-based DNA repair defect markers to determine the clinical impact of such repair defects. Using hypersensitivity to the DNA crosslinking agents mitomycin C and olaparib as proxies for functional DNA repair defects in a panel of 25 HNSCC cell lines, we applied machine learning to define gene expression models that predict repair defects. The expression profiles established predicted hypersensitivity to DNA damaging agents and were associated with mutations in crosslink repair genes, as well as downregulation of DNA damage response and repair genes, in two independent datasets. The prognostic value of the repair defect prediction profiles was assessed in two retrospective cohorts with a total of 180 advanced HPV-negative HNSCC patients, who were treated with cisplatin-based chemo-radiotherapy. DNA repair defects, as predicted by the profiles, were associated with poor outcome in both patient cohorts. The poor prognosis association was particularly strong in normoxic tumor samples and was linked to an increased risk of distant metastasis. In vitro, only crosslink repair defective HNSCC cell lines are highly migratory and invasive. This phenotype could also be induced in cells by inhibiting rad51 in repair competent and reduced by DNA-PK inhibition. In conclusion, DNA crosslink repair prediction expression profiles reveal a poor prognosis association in HNSCC.
A dynamic titania nanotubes surface achieves UV-triggered charge-reversal and enhances cell differentiation.

Stimuli-responsive biomaterials supply a promising solution to adapt to complex physiological environment for different biomedical applications. In this study, a dynamic UV-triggered pH responsive biosurface was constructed on titania nanotubes (TNTs) by loading photoacid generators, diphenyliodonium chloride (DPIC), into the nanotubes, and grafting 2,3-dimethyl maleic anhydride (DMMA)-modified hyperbranched poly(L-lysine) (HBPLL) onto the surface. The local acidity was dramatically enhanced by UV irradiation for only 30 s, leading to the dissociation of DMMA and thereby the transformation of surface chemistry from negatively charged caboxyl groups to positively charged amino groups. The TNTs-HBPLL-DMMA substrate could better promote proliferation and spreading of rat bone mesenchymal stem cells (rBMSCs) after UV-irradiation. The osteogenic differentiation of rBMSCs was enhanced due to the charge reversal in combination with the titania-based substrates.
Production of Indole-3-Lactic Acid by Bifidobacterium Strains Isolated fromHuman Infants

Recent studies have shown that metabolites produced by microbes can be considered as mediators of host-microbial interactions. In this study, we examined the production of tryptophan metabolites by Bifidobacterium strains found in the gastrointestinal tracts of humans and other animals. Indole-3-lactic acid (ILA) was the only tryptophan metabolite produced in bifidobacteria culture supernatants. No others, including indole-3-propionic acid, indole-3-acetic acid, and indole-3-aldehyde, were produced. Strains of bifidobacterial species commonly isolated from the intestines of human infants, such as Bifidobacterium longum subsp. longum, Bifidobacterium longum subsp. infantis, Bifidobacterium breve, and Bifidobacterium bifidum, produced higher levels of ILA than did strains of other species. These results imply that infant-type bifidobacteria might play a specific role in host–microbial cross-talk by producing ILA in human infants.
Perspective of asylum-seeking caregivers on the quality of care provided by a Swiss paediatric hospital: a qualitative study

Objectives This study investigated the perspective of asylum-seeking caregivers on the quality of healthcare delivered to their children in a qualitative in-depth interview study. The health of asylum-seeking children is of key interest for healthcare providers, yet knowledge of the perspective of asylum-seeking caregivers when accessing healthcare is limited. Setting The study took place in a paediatric tertiary care hospital in Basel, Switzerland. Participants Interviews were done with 13 asylum-seeking caregivers who had presented with their children at the paediatric tertiary care hospital. Nine female and four male caregivers from Tibet, Eritrea, Afghanistan, Syria, Iraq, Albania and Macedonia were included. A diverse sample was chosen regarding cultural and social background, years of residence in Switzerland and reasons for seeking care. A previously developed and pilot-tested interview guide was used for semistructured in-depth interviews between 36 and 92 min in duration. Data analysis and reporting was done according to Consolidated Criteria for Reporting Qualitative Research. The number of interviews was determined by saturation of data. Results The interviewees described a mismatch of personal competencies and external challenges. Communication barriers and unfamiliarity with new health concepts were reported as challenges. These were aggravated by isolation and concerns about their child’s health. The following factors were reported to strongly contribute to satisfaction of healthcare delivery: a respectful and trusting caregiver–provider relationship, the presence of interpreters and immediate availability of treatment. Conclusions A mismatch of personal competencies and external challenges importantly influences the caregiver–provider relationship. To overcome this mismatch establishment of confidence was identified as a key factor. This can be achieved by availability of interpreter services, sufficient consultation time and transcultural trainings for healthcare workers. Coordination between the family, the government’s asylum system and the medical system is required to facilitate this process.
Forms of Racial/Ethnic Discrimination and Suicidal Ideation: A Prospective Examination of African-American and Latinx Youth

ABSTRACT Although suicide is the second leading cause of death among adolescents, research revealing potent predictors of suicidal thoughts above and beyond the effects of depressive symptoms is limited, especially among racial and ethnic minority youth. This prospective study examined two subtypes of racial/ethnic discrimination (i.e., overt and more subtle forms), among African American and Latinx youth. Both African American (n = 85) and Latinx (n = 73) adolescents completed measures of perceived discrimination, suicidal ideation, and depression at baseline (9th-grade spring) as well as a measure of suicidal ideation 1 year later. Factor analyses revealed subscales reflecting both overt and more subtle forms of racial/ethnic discrimination, consistent with the concept of microaggressions. Findings revealed that subtle forms of discrimination were concurrently associated with suicidal ideation among African American and Latinx youth and were prospectively associated with suicidal ideation among African American adolescents, above and beyond the effects of depressive symptoms. Findings underscore the deleterious effects of subtle forms of discrimination on adolescents’ risk for suicidal thoughts.
Normative feedback and intentions to help friends with bulimic symptoms

Abstract Objective The current study examined accuracy in estimating campus norms for eating disorder (ED) pathology and the impact of normative feedback on intentions to help friends. Participants: The sample included 130 undergraduate women. Method: Participants estimated prevalence of ED pathology and were randomly assigned to normative feedback or a control condition. Vignettes were presented describing bulimic and sleep disorder symptoms. After presentation of each vignette, participants reported sympathy for and intentions to help friends with similar symptoms. Results: Nine ED pathology estimates were significantly higher than comparison values documented in a larger survey of women attending their university in the previous year. Those who received normative feedback reported lower intentions to help and lower sympathy for a student with bulimic symptoms compared to sleep disorder symptoms. Conclusion: Results raise the possibility that normative feedback could reduce support for friends with bulimic symptoms.
Teaching Evidence‐Based Practice in Physical Therapy: Critical Competencies and Necessary Conditions

Background and Purpose. Over the last several years, physical therapist educators have incorporated evidence‐based practice into curricula and courses. At this juncture, we can move toward a shared vision for teaching evidence‐based practice by delineating evidence‐based practice competencies and sharing strategies for teaching and assessing these competencies. Position and Rationale. Evidence‐based practice competencies involve skills in the following five domains: asking a focused clinical question, conducting literature searches, critically appraising literature, applying evidence, and evaluating the process. Teaching evidence‐based practice also requires a program structure that allows for integration of content across academic courses and clinical education. Important learner attitudes include a tolerance for ambiguity and commitment of life‐long learning. Discussion and Conclusion. To improve evidence‐based practice teaching we need to examine the effects of teaching methods and curricular design on student knowledge, skills, attitudes and behavior. We also need to assess the impact of evidence‐based practice on patient outcomes.
Mixture Effects of Diesel Exhaust and Metal Oxide Nanoparticles in Human Lung A549 Cells

Airborne ultrafine particles (UFP) mainly derive from combustion sources (e.g., diesel exhaust particles—DEP), abrasion sources (non-exhaust particles) or from the unintentional release of engineered nanoparticles (e.g., metal oxide nanoparticles—NPs), determining human exposure to UFP mixtures. The aim of the present study was to analyse the combined in vitro effects of DEP and metal oxide NPs (ZnO, CuO) on human lung A549 cells. The mixtures and the relative single NPs (DEP, ZnO, CuO) were characterized by transmission electron microscopy (TEM), dynamic light scattering (DLS) and inductively coupled plasma-optic emission spectroscopy (ICP-OES). Cells were exposed for different times (3–72 h) to mixtures of standard DEP at a subcytotoxic concentration and ZnO and CuO at increasing concentrations. At the end of the exposure, the cytotoxicity was assessed by 3-(4,5-Dimethylthiazol-2-yl)-2,5-Diphenyltetrazolium Bromide (MTT) and clonogenic tests, the pro-inflammatory potential was evaluated by interleukin-8 (IL-8) release and the cell morphology was investigated by fluorescence and transmission electron microscopy. The obtained results suggest that the presence of DEP may introduce new physico-chemical interactions able to increase the cytotoxicity of ZnO and to reduce that of CuO NPs.