Miracle-dz/UniFAR-FTUs huggingface dataset:
Divide and Conquer Networks

We consider the learning of algorithmic tasks by mere observation of input-output pairs. Rather than studying this as a black-box discrete regression problem with no assumption whatsoever on the input-output mapping, we concentrate on tasks that are amenable to the principle of divide and conquer, and study what are its implications in terms of learning. This principle creates a powerful inductive bias that we leverage with neural architectures that are defined recursively and dynamically, by learning two scale-invariant atomic operations: how to split a given input into smaller sets, and how to merge two partially solved tasks into a larger partial solution. Our model can be trained in weakly supervised environments, namely by just observing input-output pairs, and in even weaker environments, using a non-differentiable reward signal. Moreover, thanks to the dynamic aspect of our architecture, we can incorporate the computational complexity as a regularization term that can be optimized by backpropagation. We demonstrate the flexibility and efficiency of the Divide-and-Conquer Network on several combinatorial and geometric tasks: convex hull, clustering, knapsack and euclidean TSP. Thanks to the dynamic programming nature of our model, we show significant improvements in terms of generalization error and computational complexity.
Testosterone and prostate cancer: an evidence-based review of pathogenesis and oncologic risk

Testosterone plays a central role in male development and health. Likewise, androgen deficiency, or hypogonadism, is associated with a variety of symptoms including decreased energy, diminished libido and erectile dysfunction, among others. Male androgen levels steadily decline with age, and, in a subset of symptomatic older men, can result in late-onset hypogonadism (LOH). Over the last decade, increased awareness of hypogonadism among patients and providers has led to a significant rise in the use of testosterone replacement therapy (TRT) for hypogonadism, and especially in LOH. Accompanying the rise in TRT are concerns of potential adverse effects, including cardiovascular risks and the promotion of prostate cancer. The ‘androgen hypothesis’ asserts that prostate cancer development and progression is driven by androgens, and thus TRT has the theoretical potential to drive prostate cancer development and progression. In this review, we examine existing data surrounding testosterone and prostate cancer. There is significant evidence that androgens promote prostate cancer in experimental systems. However, there is no clear evidence that elevations in endogenous testosterone levels promote the development of prostate cancer in humans. As a result of experimental and historical data on the progression of prostate cancer following TRT, there has been widespread belief that TRT will promote disease progression in prostate cancer patients. Despite these fears, there are a growing number of studies demonstrating no increase in prostate cancer incidence among men on TRT. Furthermore, in studies involving a small number of patients, there has been no discernable increase in disease progression in prostate cancer patients on TRT. While data from large, prospective, randomized, controlled trials are absent, TRT in select prostate cancer patients is likely safe. In the end, the use of TRT in prostate cancer patients is still considered experimental and should only be offered after well-informed shared decision making and with close monitoring.
Storytelling on Consciousness-based View of Organizing

Abstract The most widely used conceptualizations of organizing assume that organizational issues are known, and consequently, organizing targets on control and management. Traditional organizing focuses on planning for the known future with a small group of experts and for the most part neglects the experiential ambiguities of organizational stakeholders. That research stream neglects a topic of consciousness and if studied, it approaches consciousness mostly as an object. This chapter assumes that ambiguity holds many resources, which a storytelling approach – the quantum stream of it – accommodates. Furthermore, it indicates that consciousness can be included in the organization equation. It suggests understanding consciousness as an everyday process in organizations rather than a brain function only, and lets us to take consciousness seriously. This chapter draws on my dissertation about consciousness-based view of organizing. It claims that everyone working in organizations influences of the consciousness fields, which then become actors taking care of us in organizations unless we become aware of them. Consciousness provides momentous information for those interested in strategic leaps, accelerated innovations, and fosters sustainable and ethical ways of working and organizing.
Multi-Antenna NOMA for Computation Offloading in Multiuser Mobile Edge Computing Systems

This paper studies a multiuser mobile edge computing (MEC) system in which one base station (BS) serves multiple users with intensive computation tasks. We exploit the multi-antenna non-orthogonal multiple access (NOMA) technique for multiuser computation offloading, such that different users can simultaneously offload their computation tasks to the multi-antenna BS over the same time/frequency resources, and the BS can employ successive interference cancelation (SIC) to efficiently decode all users’ offloaded tasks for remote execution. In particular, we pursue energy-efficient MEC designs by considering two cases with partial and binary offloading, respectively. We aim to minimize the weighted sum-energy consumption at all users subject to their computation latency constraints, by jointly optimizing the communication and computation resource allocation as well as the BS’s decoding order for SIC. For the case with partial offloading, the weighted sum-energy minimization is a convex optimization problem, for which an efficient algorithm based on the Lagrange duality method is presented to obtain the globally optimal solution. For the case with binary offloading, the weighted sum-energy minimization corresponds to a mixed Boolean convex optimization problem that is generally more difficult to be solved. We first use the branch-and-bound (BnB) method to obtain the globally optimal solution and then develop two low-complexity algorithms based on the greedy method and the convex relaxation, respectively, to find suboptimal solutions with high quality in practice. Via numerical results, it is shown that the proposed NOMA-based computation offloading design significantly improves the energy efficiency of the multiuser MEC system as compared to other benchmark schemes. It is also shown that for the case with binary offloading, the proposed greedy method performs close to the optimal BnB-based solution, and the convex relaxation-based solution achieves a suboptimal performance but with lower implementation complexity.
A new vaginal delivery system of amphotericin B: a dispersion of cationic liposomes in a thermosensitive gel

Amphotericin B (AmB) is used in the treatment of fungal infections; however, its clinical use is limited by its toxic side effects. In this study, AmB-loaded cationic liposome gels were formulated with 1,2-dioleoyl-sn-glycero-3-phosphoethanolamine (DOPE), 1,2-dioleoyl-3-trimethylammonium-propane (DOTAP), and cholesterol (CH) at a molar ratio of DOPE:DOTAP:CH = 4:5:1 in thermosensitive gel composed of poloxamer 407 (P407) and poloxamer 188 (P188). To enhance the solubility of AmB, 6 mol% of distearoyl phosphatidyl ethanolamine–polyethylene glycol was added prior to encapsulation of the drug into liposomes. Scanning electron microscopy was used to observe the AmB encapsulated cationic liposome gels. In vitro release, stability and cytotoxicity of AmB in cationic liposome gels were evaluated. The particle size and zeta potential of AmB-loaded liposomes were in the range of 400–500 nm and 40–60 mV, respectively. The thermosensitive gel at the ratio of P407:P188 = 15:15 (w/w) gelled at 37°C, approximating body temperature. Encapsulation efficiency of AmB was ∼50–60%, which was influenced by the ratio of AmB to lipid. Moreover, AmB-loaded cationic liposome gels were more stable and less toxic than free AmB. From these results, cationic liposome gel formulations may be useful for vaginal delivery of AmB.
A mannose-specific adherence mechanism in Lactobacillus plantarum conferring binding to the human colonic cell line HT-29

Two Lactobacillus plantarum strains of human intestinal origin, strains 299 (= DSM 6595) and 299v (= DSM 9843), have proved to be efficient colonizers of the human intestine under experimental conditions. These strains and 17 other L. plantarum strains were tested for the ability to adhere to cells of the human colonic cell line HT-29.L. plantarum 299 and 299v and nine other L. plantarum strains, including all six strains that belong to the same genetic subgroup as L. plantarum 299 and 299v, adhered to HT-29 cells in a manner that could be inhibited by methyl-alpha-D-mannoside. The ability to adhere to HT-29 cells correlated with an ability to agglutinate cells of Saccharomyces cerevisiae and erythrocytes in a mannose-sensitive manner and with adherence to D-mannose-coated agarose beads. L. plantarum 299 and 299v adhered to freshly isolated human colonic and ileal enterocytes, but the binding was not significantly inhibited by methyl-alpha-D-mannoside. Periodate treatment of HT-29 cells abolished mannose-sensitive adherence, confirming that the cell-bound receptor was of carbohydrate nature. Proteinase K treatment of the bacteria also abolished adherence, indicating that the binding involved protein structures on the bacterial cell surface. Thus, a mannose-specific adhesin has been identified in L. plantarum; this adhesin could be involved in the ability to colonize the intestine.
Principal instructional leadership and secondary school performance

A lot of emphasis is currently placed on the need for principals to be instructional leaders or leaders of learning. In the study of the instructional leadership of secondary principals reported in this article, the authors argue that instructional leadership can be both direct and indirect. Direct instructional leadership is focused on the quality of teacher practice itself, whereas indirect instructional leadership creates the conditions for good teaching. Indirect instructional leadership is particularly important for secondary principals because much of the direct leadership is carried out by deputies and heads of department. The authors found that, when looking at the achievement results of the school as a whole, different instructional leadership behaviours predicted high performance and improvement.
Theory! The missing link in understanding the performance of neonate/infant home-visiting programs to prevent child maltreatment: a systematic review.

CONTEXT Home-visiting programs have been offered for more than sixty years to at-risk families of newborns and infants. But despite decades of experience with program delivery, more than sixty published controlled trials, and more than thirty published literature reviews, there is still uncertainty surrounding the performance of these programs. Our particular interest was the performance of home visiting in reducing child maltreatment. METHODS We developed a program logic framework to assist in understanding the neonate/infant home-visiting literature, identified through a systematic literature review. We tested whether success could be explained by the logic model using descriptive synthesis and statistical analysis. FINDINGS Having a stated objective of reducing child maltreatment-a theory or mechanism of change underpinning the home-visiting program consistent with the target population and their needs and program components that can deliver against the nominated theory of change-considerably increased the chance of success. We found that only seven of fifty-three programs demonstrated such consistency, all of which had a statistically significant positive outcome, whereas of the fifteen that had no match, none was successful. Programs with a partial match had an intermediate success rate. The relationship between program success and full, partial or no match was statistically significant. CONCLUSIONS Employing a theory-driven approach provides a new way of understanding the disparate performance of neonate/infant home-visiting programs. Employing a similar theory-driven approach could also prove useful in the review of other programs that embody a diverse set of characteristics and may apply to diverse populations and settings. A program logic framework provides a rigorous approach to deriving policy-relevant meaning from effectiveness evidence of complex programs. For neonate/infant home-visiting programs, it means that in developing these programs, attention to consistency of objectives, theory of change, target population, and program components is critical.
Technique of totally robotic delta-shaped anastomosis in distal gastrectomy

Background: We aimed to clarify the utility of delta-shaped anastomosis (Delta), an intracorporeal Billroth-I anastomosis-based reconstruction technique used after laparoscopy-assisted distal gastrectomy (LADG), in robot-assisted distal gastrectomy (RADG). Methods: RADG was performed in patients with clinical Stage I gastric cancer, and reconstruction was performed using Delta. The Delta procedure was the same as that performed after LADG, and the operator practiced the procedure in simulated settings with surgical assistants before the operation. After gastrectomy, the scope and robotic first arm were reinserted from separate ports on the right side of the patient. Then, a port on the left side of the abdomen was used as the assistant port from which a stapler was inserted, with the robotic arm in a coaxial mode. The surgical assistant performed functional end-to-end anastomosis of the remnant stomach and duodenal stump using a powered stapler. Results: The mean anastomotic time in four patients who underwent Delta after RADG was 16.5 min. All patients were discharged on the post-operative day 7 without any post-operative complications or need for readmission. Conclusions: Pre-operative simulation, changes in ports for insertion of the scope and robotic first arm, continuation of the coaxial operation, and use of a powered stapler made Delta applicable for RADG. Delta can be considered as a useful reconstruction method.
Effects of dry corn gluten feed on feedlot cattle performance and fiber digestibility.

Effects of dry corn gluten feed (DCGF) on feedlot cattle performance and fiber digestibility were investigated. In Trial 1, 120 growing steers were fed corn silage-based diets containing 0, 40, 60 or 80% DCGF. Increasing levels of DCGF resulted in a curvilinear response in gain (P less than .05) and a linear increase in feed/gain (P less than .01). When the same steers subsequently were fed the same levels of DCGF in corn-based diets (Trial 2), increasing the percentage of dietary DCGF resulted in a linear decrease in gain (P less than .01) and a linear increase in feed/gain (P less than .01). In Trial 3, 46 crossbred steers were fed individually in a 2 x 2 factorial design to determine effects of 60 or 80% dietary high-moisture corn (HMC) or DCGF on feedlot cattle performance. Steers fed HMC had faster (P less than .08) and more efficient (P less than .05) gains than those fed DCGF, which had greater feed intakes (P less than .05). In Trial 4, 120 Angus crossbred steers were used to compare effects of 20 or 40% dietary HMC or DCGF on feedlot performance. Steers fed diets containing 40% HMC or DCGF had greater gains (P less than .01) and feed intakes (P less than .01) than those fed 20% diets. Steers fed HMC gained more efficiently than those fed DCGF (P less than .01). In an in situ trial, 0, 40, 60 or 80% dietary DCGF did not affect in situ DCGF DM or NDF disappearance. When DCGF was fermented in vitro in combination with corn silage, increasing the level of DCGF from 0 to 100% resulted in a linear increase (P less than .01) in 24 and 48 h NDF disappearance. These results suggest that at high dietary levels DCGF will support feedlot cattle gains that are nearly equal to those of cattle fed corn silage but somewhat less than those fed corn.
Cerebrovascular disease in infants and children

A 10-year review of the Mayo Clinic experience with childhood cerebrovascular disease unrelated to birth, intracranial infection, or trauma identified 69 patients (38 with ischemic stroke, and 31 with subarachnoid or intracerebral hemorrhage). Although children with cerebral infarction had better survival, they experienced more residual disability than children with cerebral hemorrhage. The medical records-linkage system for Rochester, Minnesota residents made it possible for the first time to study cerebrovascular disease in a well-defined childhood population. Records from all medical facilities serving this population (average of 15,834 resident children) showed four strokes over 10 years (average annual incidence rate of 2.52 cases per 100,000 per year).
Use magnetic resonance imaging to assess articular cartilage

Magnetic resonance imaging (MRI) enables a noninvasive, three-dimensional assessment of the entire joint, simultaneously allowing the direct visualization of articular cartilage. Thus, MRI has become the imaging modality of choice in both clinical and research settings of musculoskeletal diseases, particular for osteoarthritis (OA). Although radiography, the current gold standard for the assessment of OA, has had recent significant technical advances, radiographic methods have significant limitations when used to measure disease progression. MRI allows accurate and reliable assessment of articular cartilage which is sensitive to change, providing the opportunity to better examine and understand preclinical and very subtle early abnormalities in articular cartilage, prior to the onset of radiographic disease. MRI enables quantitative (cartilage volume and thickness) and semiquantitative assessment of articular cartilage morphology, and quantitative assessment of cartilage matrix composition. Cartilage volume and defects have demonstrated adequate validity, accuracy, reliability and sensitivity to change. They are correlated to radiographic changes and clinical outcomes such as pain and joint replacement. Measures of cartilage matrix composition show promise as they seem to relate to cartilage morphology and symptoms. MRI-derived cartilage measurements provide a useful tool for exploring the effect of modifiable factors on articular cartilage prior to clinical disease and identifying the potential preventive strategies. MRI represents a useful approach to monitoring the natural history of OA and evaluating the effect of therapeutic agents. MRI assessment of articular cartilage has tremendous potential for large-scale epidemiological studies of OA progression, and for clinical trials of treatment response to disease-modifying OA drugs.
PROPERTIES OF NUCLEAR MATRIX PROTEINS THAT BIND THE 5′ FLANKING REGION OF THE HAPTOGLOBIN GENE ARE CHANGED DURING THE ACUTE‐PHASE RESPONSE

It was previously shown that during the acute‐phase response‐induced elevated transcription of the rat haptoglobin gene, protein p55 and the lamins mediate the increased binding of restriction fragment II (−541/−146) via a 38 bp adenine tract lying 147bp upstream from the haptoglobin gene cis element (−165/−56), to scaffold type II‐like nuclear matrices. Here we show that the fragment II binding pattern to ≥40 kDa proteins of nuclear matrices analogous to type I scaffolds is more complex. Fragment II bound conspicuously to a 40 and less so to p55, a 60 kDa protein and the lamins of control matrices. During increased gene transcription, it bound prominently to p55, the lamins, and less so to 45 and 52 kDa proteins. This was accompanied by the tenacious binding of the DNA to isolated nuclear matrices in vitro and post‐translational modifications of certain matrix proteins. The lamins and p55 demonstrated a greater N‐acetylglucosamine/sialic acid content and p55 an increased in vitro phosphorylation by a nuclear matrix‐associated cyclic‐nucleotide‐independent kinase. The acute‐phase response also caused an increased partitioning of p55 with the nuclear matrix. It was concluded that, as a result of a molecular remodelling of the nuclear matrix at the point of contact with chromatin, the nature of its association with region II DNA changed during elevated haptoglobin gene expression.
Clinical management of community acquired pneumonia in the elderly patient

ABSTRACT Introduction: Community acquired pneumonia (CAP) is a major health problem in elderly persons and is associated with high morbidity and mortality. Areas covered: This article reviews the most recent publications relative to CAP in the elderly population, with a focus on epidemiology, prognostic factors, microbial etiology, therapy and prevention. The data discussed in this review were mainly obtained from a non-systematic review using Medline, and references from relevant articles. Expert commentary: CAP can occur at any age, but its incidence and risk of death are linked to increasing age. Age-related changes in the immune system make this population more vulnerable to CAP. Mortality in hospitalized patients with CAP ranges from 10% to 12%. However, in the case of elderly patients, several studies have reported mortality rates of up to 25%. Pneumococcal and influenza vaccination comprise one of the most important preventive approaches for CAP in the elderly.
Aberrant methylation of p16(INK4a) is an early event in lung cancer and a potential biomarker for early diagnosis.

The p16(INK4a) (p16) tumor suppressor gene can be inactivated by promoter region hypermethylation in many tumor types including lung cancer, the leading cause of cancer-related deaths in the U.S. We have determined the timing of this event in an animal model of lung carcinogenesis and in human squamous cell carcinomas (SCCs). In the rat, 94% of adenocarcinomas induced by the tobacco specific carcinogen 4-methylnitrosamino-1-(3-pyridyl)-1-butanone were hypermethylated at the p16 gene promoter; most important, this methylation change was frequently detected in precursor lesions to the tumors: adenomas, and hyperplastic lesions. The timing for p16 methylation was recapitulated in human SCCs where the p16 gene was coordinately methylated in 75% of carcinoma in situ lesions adjacent to SCCs harboring this change. Moreover, the frequency of this event increased during disease progression from basal cell hyperplasia (17%) to squamous metaplasia (24%) to carcinoma in situ (50%) lesions. Methylation of p16 was associated with loss of expression in both tumors and precursor lesions indicating that both alleles were functionally inactivated. The potential of using assays for aberrant p16 methylation to identify disease and/or risk was validated by detection of this change in sputum from three of seven patients with cancer and 5 of 26 cancer-free individuals at high risk. These studies show for the first time that an epigenetic alteration, aberrant methylation of the p16 gene, can be an early event in lung cancer and may constitute a new biomarker for early detection and monitoring of prevention trials.