Miracle-dz/UniFAR-FTUs huggingface dataset:
Mortality Trends of Oncology and Hematopoietic Stem Cell Transplant Patients Supported on Extracorporeal Membrane Oxygenation: A Systematic Review and Meta-Analysis

Background: There is an increasing frequency of oncology and hematopoietic stem cell transplant (HSCT) patients seen in the intensive care unit and requiring extracorporeal membrane oxygenation (ECMO), however, prognosis of this population over time is unclear. Methods: MEDLINE, EMBASE, Cochrane and Web of Science were searched from earliest publication until April 10, 2020 for studies to determine the mortality trend over time in oncology and HSCT patients requiring ECMO. Primary outcome was hospital mortality. Random-effects meta-analysis model was used to obtain pooled estimates of mortality and 95% confidence intervals. A priori subgroup metanalysis compared adult versus pediatric, oncology versus HSCT, hematological malignancy versus solid tumor, allogeneic versus autologous HSCT, and veno-arterial versus veno-venous ECMO populations. Multivariable meta-regression was also performed for hospital mortality to account for year of study and HSCT population. Results: 17 eligible observational studies (n = 1109 patients) were included. Overall pooled hospital mortality was 72% (95% CI: 65, 78). In the subgroup analysis, only HSCT was associated with a higher hospital mortality compared to oncology subgroup [84% (95% CI: 70, 93) vs. 66% (95% CI: 56, 74); P = 0.021]. Meta-regression showed that HSCT was associated with increased mortality [adjusted odds ratio (aOR) 3.84 (95% CI 1.77, 8.31)], however, mortality improved with time [aOR 0.92 (95% CI: 0.85, 0.99) with each advancing year]. Conclusion: This study reports a high overall hospital mortality in oncology and HSCT patients on ECMO which improved over time. The presence of HSCT portends almost a 4-fold increased risk of mortality and this finding may need to be taken into consideration during patient selection for ECMO.
Gastrointestinal stromal tumors with BRAF gene fusions. A report of two cases showing low or absent KIT expression resulting in diagnostic pitfalls

Although most gastrointestinal stromal tumors (GISTs) exhibit activating mutations in either KIT or PDGFRA, rare cases have shown to be driven by gene fusions involving kinases, mainly involving NTRK3, and rarely BRAF or FGFR1. BRAF gene rearrangements have been described in only two patients to date, as separate case reports. In addition, BRAF V600E mutation is an uncommon but established oncogenic pathway in GIST. In this report, we describe two new GIST cases harboring novel BRAF fusion genes, arising in two young‐adult women (37 and 40 years of age) in the small bowel and distal esophagus, both with a spindle cell phenotype. The small bowel GIST measured 2.8 cm and showed a high cellularity and a mitotic rate of 20/50 HPFs, while the esophageal lesion measured 7 cm and 1/50 HPFs. Immunohistochemically, both tumors showed diffuse reactivity for DOG1, while KIT/CD117 was weakly positive in the small bowel GIST and completely negative in the esophageal tumor. Based on these findings, the latter case was misinterpreted as a low‐grade myxoid leiomyosarcoma, as it showed a myxoid stroma, reactivity for SMA and focal positivity for desmin. Archer FusionPlex revealed a fusion between BRAF with either AGAP3 or MKRN1 gene partners. Moreover, MSK‐IMPACT DNA targeted sequencing confirmed both fusions but did not identify additional mutations. In one case with available material, the BRAF gene rearrangement was also validated by FISH. The recognition of BRAF fusion‐positive GISTs is critical as it may be associated with a low level of KIT expression and may result in diagnostic challenges with significant impact on therapeutic management. The clinical benefit with KIT inhibitors, such as imatinib, remains to be determined.
LightGBM: an efficient and accurate method for predicting pregnancy diseases

Abstract As machine learning is becoming the fashion in disease prediction while no prediction model has performed very efficiently and accurately on predicting pregnancy diseases up to now, it’s necessary to compare several common machine learning methods’ performance on pregnancy diseases prediction and select out the best one. The data of two common pregnancy complications, pregnancy-induced hypertension (PIH) and Intrahepatic cholestasis of pregnancy (ICP), based on various maternal characteristics measured in patients’ routine blood examination in 10–19 weeks of gestation are considered to be suitable to be learned. This is a retrospective study of 320 healthy pregnancies in 10–19 weeks, with 149 patients who subsequently developed PIH and 250 patients who subsequently developed ICP. Nine machine learning methods were used to predict PIH and ICP and their performance was compared via 8 evaluation indexes. Finally, the light Gradient Boosting Machine (lightGBM) is considered to be the best method to predict gestational diseases. Impact statement What is already known on this subject? As a kind of commonly used method in disease prediction, machine learning could be applied to clinical data for developing robust risk models and many achievements have been made. Also, machine learning can be used to predict pregnancy diseases. Although some machine learning methods have been used for screening gestational diseases, methods based on simple theories, such as logistic regression and decision tree, are frequently used. They don’t always have a very satisfactory prediction results. Besides, only a few types of pregnancy diseases can be predicted. What do the results of this study add? LightGBM has the best prediction results of PIH and ICP among 9 machine learning methods in this study. It can predict PIH (AUC = 81.72%) with a sensitivity of 70.59%, and ICP (AUC = 95.91%) with a sensitivity of 97.91%. What are the implications of these findings for clinical practice and/or further research? A new model has been developed for effective first-trimester screening for two common pregnancy diseases, PIH and ICP. This lightGBM model can be used in relative hospitals and population of the research, and provide references for doctors' diagnosis and treatment of pregnant women. In further research, the predicted effect of lightGBM on daily practice and other pregnancy diseases such as pregnancy diabetes, will be verified.
Imaging of benign cervicofacial vascular anomalies and associated syndromes

Cervicofacial vascular anomalies can result in morbidity, pain, and cosmetic concerns in affected individuals. Each anomaly has its own unique natural history, treatment, and associations with underlying genetic syndromes. For optimal patient care, it is important for the neuroradiologist to accurately recognize and characterize these entities to ensure appropriate treatment and management. In this review, we discuss the general characteristics, classifications, and imaging features associated with the most common vascular anomalies such as hemangiomas, arteriovenous malformations and fistulas, capillary malformations, venous malformations, and lymphatic malformations in the context of associated syndromes. Additionally, we discuss novel imaging techniques that aid in identifying these vascular anomalies.
MR Perfusion in the Evaluation of Mechanical Thrombectomy Candidacy

Abstract Stroke is a leading cause of disability and mortality, and the incidence of ischemic stroke is projected to continue to rise in coming decades. These projections emphasize the need for improved imaging techniques for accurate diagnosis allowing effective treatments for ischemic stroke. Ischemic stroke is commonly evaluated with computed tomography (CT) or magnetic resonance imaging (MRI). Noncontrast CT is typically used within 4.5 hours of symptom onset to identify candidates for thrombolysis. Beyond this time window, thrombolytic therapy may lead to poor outcomes if patients are not optimally selected using appropriate imaging. MRI provides an accurate method for the earliest identification of core infarct, and MR perfusion can identify salvageable hypoperfused penumbra. The prognostic value for a better outcome in these patients lies in the ability to distinguish between core infarct and salvageable brain at risk—the ischemic penumbra—which is a function of the degree of ischemia and time. Many centers underutilize MRI for acute evaluation of ischemic stroke. This review will illustrate how perfusion-diffusion mismatch calculated from diffusion-weighted MRI and MR perfusion is a reliable approach for patient selection for stroke therapy and can be performed in timeframes that are comparable to CT-based algorithms while providing potentially superior diagnostic information.
WT1 Pathogenic Variants are Associated with a Broad Spectrum of Differences in Sex Development Phenotypes and Heterogeneous Progression of Renal Disease

Wilms’ tumor suppressor gene 1 (WT1) plays an essential role in urogenital and kidney development. Heterozygous germline pathogenic allelic variants of WT1 have been classically associated with Denys–Drash syndrome (DDS) and Frasier syndrome (FS). Usually, exonic pathogenic missense variants in the zinc finger region are the cause of DDS, whereas pathogenic variants affecting the canonic donor lysine-threonine-serine splice site in intron 9 cause FS. Phenotypic overlap between WT1 disorders has been frequently observed. New WT1 variant-associated phenotypes, such as 46,XX testicular/ovarian-testicular disorders of sex development (DSD) and primary ovarian insufficiency, have been reported. In this report, we describe the phenotypes and genotypes of 7 Brazilian patients with pathogenic WT1 variants. The molecular study involved Sanger sequencing and massively parallel targeted sequencing using a DSD-associated gene panel. Six patients (5 with a 46,XY karyotype and 1 with a 46,XX karyotype) were initially evaluated for atypical genitalia, and a 46,XY patient with normal female genitalia sought medical attention for primary amenorrhea. Germ cell tumors were identified in 2 patients, both with variants affecting alternative splicing of WT1 between exons 9 and 10. Two pathogenic missense WT1 variants were identified in two 46,XY individuals with Wilms’ tumors; both patients were <1 year of age at the time of diagnosis. A novel WT1 variant, c. 1453_1456 (p.Arg485Glyfs*14), was identified in a 46,XX patient with testicular DSD. Nephrotic proteinuria was diagnosed in all patients, including 3 who underwent renal transplantation after progressing to end-stage kidney disease. The expanding phenotypic spectrum associated with WT1 variants in XY and XX individuals confirms their pivotal role in gonadal and renal development as well as in tumorigenesis, emphasizing the clinical implications of these variants in genetic diagnosis.
Effects of long noncoding RNA H19 on cementoblast differentiation, mineralisation, and proliferation

Abstract Objective Cementum which is a layer of thin and bone-like mineralised tissue covering tooth root surface is deposited and mineralised by cementoblasts. Recent studies suggested long noncoding RNA H19 (H19) promotes osteoblast differentiation and matrix mineralisation, however, the effect of H19 on cementoblasts remains unknown. This study aimed to clarify the regulatory effects of H19 on cementoblast differentiation, mineralisation, and proliferation. Material and methods An immortalised murine cementoblast cell line OCCM-30 was used in this study. H19 expression was examined by real-time quantitative polymerase chain reaction (RT-qPCR) during OCCM-30 cell differentiation. OCCM-30 cells were transfected with lentivirus or siRNA to up-regulate or down-regulate H19, then the levels of runt-related transcription factor 2 (Runx2), osterix (Sp7), alkaline phosphatase (Alpl), bone sialoprotein (Ibsp), osteocalcin (Bglap) were tested by RT-qPCR or western blot. Alizarin red staining, ALP activity assay and MTS assay were performed to determine the mineralisation and proliferation ability of OCCM-30 cells. Results H19 was dramatically increased during OCCM-30 cell differentiation. Overexpression of H19 increased the levels of Runx2, Sp7, Alpl, Ibsp, and Bglap and enhanced ALP activity and the formation of mineral nodules. While down-regulation of H19 suppressed the above cementoblast differentiation genes and inhibited ALP activity and mineral nodule formation. However, the proliferation of OCCM-30 cells was not affected. Conclusions H19 promotes the differentiation and mineralisation of cementoblasts without affecting cell proliferation.
Anti-proliferative, apoptotic potential of synthesized selenium nanoparticles against breast cancer cell line (MCF7)

Abstract Nano-biotechnology has grown rapidly and become an integral part of modern disease diagnosis and treatment. The aim of this survey was to evaluate the anticancer activity of synthesized selenium nanoparticles (Se-NPs) against breast cancer cells (MCF-7). The prepared Se-NPs were examined by ultraviolet-visible spectroscopy, Fourier transform infrared (FTIR) spectroscopy, scanning electron microscope (SEM), and energy dispersive spectroscopy (EDX). Antioxidant activity of Se-NPs property was studied by radical scavenging (DPPH) assay. The in-vitro cytotoxicity of Se-NPs was evaluated by MTT assay. In addition; the biological assessment (antioxidant and cytotoxicity) of synthesized Se-NPs was examined via molecular docking simulations. Synthesis of Se-NPs was characterized by several studies such as UV-absorbance, showing peak values in the range of 268 nm. Nanoparticle sizes of the nanoparticles are confirmed by dynamic light scattering analysis, indicating that average size is about 203 nm. The quantity of selenium in Se-NPs is 90.15% by weight, as confirmed by EDX. Synthesized Se-NPs have anti-proliferative effects on MCF-7 cell lines. Cytotoxicity and apoptotic potential assays exhibited a dose-dependent effect against MCF-7 cells using an MTT assay. Like anti-cancer activity, anti-oxidant activity of Se-NPs was dose-dependent. Findings showed that the Se-NPs complexes have the highest inhibitory effect against cytotoxic and antioxidant receptors. Results of this study demonstrated that Se-NPs had strong potential to scavenge free radicals and are cytotoxic against the MCF-7 cancer cell line.
A new solidified effervescent tablet-assisted dispersive liquid–liquid microextraction for the analysis of fungicides in fruit juice samples

A simple and rapid pretreatment method based on effervescent tablet-assisted dispersive liquid–liquid microextraction was introduced for the determination of three fungicides (azoxystrobin, chlorothalonil, and cyprodinil) in fruit juice samples followed by liquid chromatography-ultraviolet detection. The effervescent tablet composed of sodium dihydrogen phosphate, sodium carbonate and 1-dodecanol was prepared in a simple way. The ingredients consisting of the above three components were manually blended in an empty medicine strip and cooled in a refrigerator. Hence, an effervescent tablet was obtained within 5 min without the need for a press machine thanks to the solidification of 1-dodecanol at room temperature. In situ generation of carbon dioxide during the microextraction process enabled the dispersion of the extractant within the aqueous phase and enhanced the contact area both between phases. Under the optimized conditions, the extraction recoveries ranged from 53 to 88%. Good linearity was observed by the square of correlation coefficients better than 0.9980. Relative standard deviations were less than 4.8% for intra-day and 7.6% for inter-day precision at a concentration of 3.0 μg L−1 of each analyte. Limits of detection ranged from 0.09 (chlorothalonil) to 0.19 μg L−1 (azoxystrobin). The proposed new method was successfully applied for the analysis of three fungicides in real samples of fruit juices and satisfactory recoveries (76–104%) were achieved.
Analytical Methods for the Quality Control of Veterinary Antimicrobials Medicines

Abstract Veterinary medicinal products (VMPs) are used for the prevention and treatment of diseases in animals. The safety and efficacy of these products must be proven by quality control tests. Special attention should be paid to veterinary antimicrobials medicines (VAMs), as changes in their potency can compromise pharmacotherapeutic treatment and contribute to microbial resistance. The aim of this work was to review the analytical methods available for assessing the quality of VAMs, to analyze regulatory issues and quality control programs. The review was performed on selected papers in the PubMed, ScienceDirect, Scopus and Virtual Health Library databases, between 2005 and 2020. After applying exclusion criteria, 19 studies were obtained. Of the analytical studies, the majority (61.54%) used the HPLC technique. In addition, methods by CE (15.39%) and by SPM, FIA and microbiological assay (7.69% each) were found. In studies of monitoring of VAMs available on the market, changes in tylosin, spiramycin, ampicillin, tetracyclines and penicillins were observed. This is worrying, as these quality deviations can contribute to the development of resistant microorganisms. Although international efforts have been implemented at the regulatory level to ensure the quality of VAMs, it was realized with this study that there is much to evolve in the development of new analytical methods and in monitoring the quality of VAMs. With this, it is expected that this study will instigate scientists in the analytical, regulatory, microbiological and veterinary fields to develop new research so that the demands necessary to guarantee the quality of VAMs are increasingly met.
A Case Series of Radiation-induced Hemorrhagic Gastroduodenitis

Objective We examined the clinical course and treatment method of a case series of radiation-induced hemorrhagic gastroduodenitis with clinical signs. Methods This was a single-center retrospective observational study. Patients We included seven patients with radiation-induced hemorrhagic gastroduodenitis treated at our hospital between April 2014 and May 2020. Results One male patient each had cancer of the head of the pancreas, bile duct cancer, hepatocellular carcinoma, and ureteral cancer, whereas two women had recurrent endometrial cancer and one woman had recurrent cervical cancer. The onset occurred 3-5 months after the end of radiation treatment. Endoscopic examinations showed a red edematous mucous membrane in a fragile condition stretching from the antrum of the stomach to the duodenum, with telangiectasia and ulcer. For endoscopic hemostasis, five patients underwent argon plasma coagulation (APC), which was successful in three patients. Two of these were being administered an antithrombotic at the time. One case resistant to conservative treatment required repeated transfusion for recurring hemorrhaging over a short period of time and therefore underwent surgical treatment. Thereafter, the postoperative course was favorable. Conclusions Actively attempting hemostasis through APC and surgery is effective for treating radiation-induced hemorrhagic gastroduodenitis. The use of an antithrombotic agent might lead to a risk of repeated hemorrhaging. Therefore, repeated hemostasis through APC is crucial.
The influence of cue probability on item and source judgments in item method directed forgetting

ABSTRACT The current study examined how selective rehearsal strategies in item method directed forgetting are influenced by the probability of remember or forget cues from different sources. In four experiments, study words were presented by one of two sources in an item method directed forgetting paradigm. In all experiments, one source was mostly-remember (presenting twice as many remember as forget words) and the other source was mostly-forget (presenting twice as many forget as remember words). Participants completed item recognition tests (providing cue tags in Experiment 2) with source judgments. Item recognition of forget words was generally greater for the mostly-remember source than for the mostly forget source, whereas recognition of remember words was largely unaffected by source cue probability. Source judgments were consistent with heuristic guessing based on memory strength and knowledge of source cue probability. Experiment 4 analysed overt rehearsal, and showed that words from the mostly-remember source were more likely to be rehearsed prior to the memory cue. Results are discussed in terms of the influence that source cue probability knowledge has on selective rehearsal strategies, recognition decisions, and source memory attributions.
Isolation and characterization of chitinolytic bacterium, Escherichia fergusonii AMC01 from insectivorous bat, Taphozous melanopogon

Chitinases are capable of hydrolyzing insoluble chitin into its oligo and monomeric parts and have received increased consideration because of their wide scope of biotechnological applications. The commercial application of microbial chitinase is appealing due to the relative ease of enormous production and to meet the current world demands. This study aimed at isolation and characterization of chitin degrading bacteria from the gut of Indian tropical insectivorous black‐bearded tomb bat, Taphozous melanopogon. The isolated bacterial strains were characterized through biochemical analysis and nucleic acid‐based approaches by 16S ribosomal RNA amplification and sequencing. The BLAST (Basic Local Alignment Search Tool) and phylogenetic analysis showed that the bacterial strain exhibited a close resemblance with Escherichia fergusonii. The chitinolytic activity of the E. fergusonii AMC01 was identified using supplemented colloidal chitin with agar medium. Compiling all, these findings would facilitate in constructing a database and presumably promote the use of E. fergusonii AMC01 as an efficient strain for the chitinase production.
A new brain‐penetrant glucosylceramide synthase inhibitor as potential Therapeutics for Gaucher disease

Gaucher disease (GD), the most common lysosomal storage disorders, is caused by GBA gene mutations resulting in glycosphingolipids accumulations in various tissues, such as the brain. While suppressing glycosphingolipid accumulation is the central strategy for treating peripheral symptoms of GD, there is no effective treatment for the central nervous system symptoms. As glycosphingolipid biosynthesis starts from ceramide glycosylation by glucosylceramide synthase (GCS), inhibiting GCS in the brain is a promising strategy for neurological GD. Herein, we discovered T‐036, a potent and brain‐penetrant GCS inhibitor with a unique chemical structure and binding property. T‐036 does not harbor an aliphatic amine moiety and has a noncompetitive inhibition mode to the substrates, unlike other known inhibitors. T‐036 exhibited sufficient exposure and a significant reduction of glucosylsphingolipids in the plasma and brain of the GD mouse model. Therefore, T‐036 could be a promising lead molecule for treating central nervous system symptoms of GD.