Miracle-dz/UniFAR-FTUs huggingface dataset:
Incidence of candidaemia and relationship with fluconazole use in an intensive care unit.

OBJECTIVES Candida spp. are the most important non-bacterial pathogens in critically ill patients. The aim of this study was to evaluate trends in the incidence of candidaemia and the distribution of Candida albicans and non-albicans over a 9 year period (1999-2007), and to assess their relationship with fluconazole use. METHODS This was an interventional cross-over study. Patients admitted to the intensive care unit (ICU) who developed a clinically and microbiologically documented candidaemia were analysed. Fluconazole was used as prophylaxis in critically ill patients until 2002; from January 2003 infectious disease consultants strongly discouraged its use. Fluconazole use, measured as defined daily dose per 1000 patient-days, was calculated. The main outcome of the study is the evaluation of the restriction policy in terms of change in fluconazole use and in incidence of candidaemia. RESULTS During the 108 month period (January 1999-December 2007), a total of 213 episodes of candidaemia (average incidence 1.42 episodes/10 000 patient-days/year, range 0.36-3.02 episodes) were recorded in a mixed medical and surgical ICU in Italy. C. albicans was the most prevalent isolated species (n = 98, 46%); non-albicans (n = 115, 54%) were mainly represented by Candida parapsilosis (n = 46, 22%) and by Candida glabrata (n = 28, 13%). Segmented regression analysis of the interrupted time series showed that a change in the fluconazole prophylactic strategy resulted in a significant reduction in fluconazole use from the second semester of 2002. A dramatic decrease in the incidence of fungaemia due to C. non-albicans was observed from the second semester of 2003 (intervention effect in the second semester of 2007: -2.31/10 000 patient-days); minor changes in the incidence of C. albicans fungaemia emerged (intervention effect in the second semester of 2007: -0.23/10 000 patient-days). CONCLUSIONS The study showed a clear correlation between fluconazole use control and decreasing incidence of non-albicans candidaemia. Even if fluconazole remains a first-line treatment option in several cases of invasive candidiasis, its prophylactic use should be carefully evaluated.
Chemoprevention of azoxymethane-induced rat colon carcinogenesis by the naturally occurring flavonoids, diosmin and hesperidin.

The modulating effects of dietary feeding of two flavonoids, diosmin and hesperidin, both alone and in combination, during the initiation and post-initiation phases on colon carcinogenesis initiated with azoxymethane (AOM), were investigated in male F344 rats. Animals were initiated with AOM by weekly s.c. injections of 15 mg/kg body wt for 3 weeks to induced colon neoplasms. Rats were fed the diets containing diosmin (1000 ppm), hesperidin (1000 ppm) or diosmin (900 ppm) + hesperidin (100 ppm) for 5 weeks (initiation treatment) or 28 weeks (post-initiation treatment). The others contained the groups of rats treated with diosmin, hesperidin alone or in combination, and untreated. At the end of the study (32 weeks), the incidence and multiplicity of neoplasms (adenoma and adenocarcinoma) in the large intestine of rats initiated with AOM together with, or followed by, a diet containing diosmin or hesperidin were significantly smaller than those of rats given AOM alone (P <0.001). The combination regimen during the initiation and post-initiation stages also inhibited the development of colonic neoplasms, but the tumor data did not indicate any beneficial effect of diosmin and hesperidin administered together as compared with when these agents were given individually. In addition, feeding of diosmin and hesperidin, both alone and in combination, significantly inhibited the development of aberrant crypt foci. As for cell proliferation biomarkers, dietary exposure of diosmin and hesperidin significantly decreased the 5'-bromodeoxyuridine-labeling index and argyrophilic nuclear organizer region's number in crypt cells, colonic mucosal ornithine decarboxylase activity, and polyamine levels in the blood. These results indicate that diosmin and hesperidin, both alone and in combination, act as a chemopreventive agent against colon carcinogenesis, and such effects may be partly due to suppression of cell proliferation in the colonic crypts, although precise mechanisms should be clarified.
Global registration of mid-range 3D observations and short range next best views

This work proposes a method for autonomous robot exploration of unknown objects by sensor fusion of 3D range data. The approach aims at overcoming the physical limitation of the minimum sensing distance of range sensors. Two range sensors are used with complementary characteristics mounted in eye-in-hand configuration on a robot arm. The first sensor operates at mid-range and is used in the initial phase of exploration when the environment is unknown. The second sensor, which provides short-range data, is used in the following phase where the objects are explored at close distance through next best view planning. Next best view planning is performed using a volumetric representation of the environment. A complete point cloud model of each object is finally computed by global registration of all object observations including mid-range and short range views. In experiments performed in environments with multiple rigid objects the global registration algorithm has proven more accurate than a standard sequential registration approach.
Array signal processing for local arterial pulse wave velocity measurement using ultrasound

A new signal processing approach to estimation of local arterial pulse wave velocity (PWV) in superficial arterial segments using long-axis ultrasound measurements is proposed. The method is designed to be resistant to estimation bias due to pulse wave reflections. It is evaluated using a laboratory test tank, and it appears to estimate local PWV with less bias than previously accepted methods, and with similar estimation variance to those methods
Ileal digestibilities of neutral detergent fiber, crude protein, and amino acids associated with neutral detergent fiber in wheat shorts for growing pigs.

An experiment was carried out to determine the ileal digestibility values of NDF, CP, and AA associated with NDF in different samples of wheat shorts consisting of different proportions of wheat bran, shorts, and flour, hereafter referred to as wheat fractions. Six barrows (average initial BW 37.2 kg, and fitted with a simple T-cannula at the distal ileum) were fed one of six experimental diets, formulated to contain 17% CP (as-fed basis), according to a 6 x 6 Latin square design. Diets A, B, C, D, and E contained 17.53% soybean meal (SBM), which contributed 50% CP to these diets. The diets contained shorts, bran, or flour alone or in combination, contributing the remaining 50% CP to these diets. The proportions of shorts, bran, and flour in the wheat fractions were 70% shorts and 30% bran in diet A, 85% shorts and 15% bran in diet B, 100% shorts in diet C, 85% shorts and 15% flour in diet D, and 70% shorts and 30% flour in diet E. Diet F contained 35.05% soybean meal, which provided the sole source of dietary CP. Chromic oxide was used as a digestibility marker. During the first experimental period, the daily dietary allowance was provided at a rate of 5% (wt/wt) of the average BW. Thereafter, the allowance was increased by 100 g at each successive period. Each experimental period comprised 12 d. Following a 7-d adaptation period, feces were collected for 48 h and ileal digesta for a total of 24 h. The contribution of CP and AA associated with NDF gradually decreased from wheat fraction A to E, reflecting a decrease in NDF content from 42.3 to 29.5%. Of the indispensable AA in wheat fraction A, the contributions ranged from 12.9 to 15.9%. In wheat fraction E, these values ranged from 9.0 to 11.3%. The ileal digestibility values of NDF ranged from 11.8% in diet E to 17.1% in diet C (P > 0.05). There were usually no differences (P > 0.05) in the ileal digestibilities of AA associated with NDF between the wheat fractions. However, with the exception of lysine and tyrosine, there were negative correlations (P < 0.05) between the apparent ileal AA digestibilities and the content (%) of CP associated with NDF in the wheat fractions. Furthermore, there was no effect (P > 0.05) of the diets containing wheat fractions on the recovery of bacterial protein and mucin in ileal digesta.
Modulation of Bulbospinal Rostral Ventral Lateral Medulla Neurons by Hypoxia/Hypercapnia but Not Medullary Respiratory Activity

Although sympathetic vasomotor discharge has respiratory modulation, the site(s) responsible for this cardiorespiratory interaction is unknown. One likely source for this coupling is the rostral ventral lateral medulla (RVLM), where presympathetic neurons originate in close apposition to respiratory neurons. The current study tested the hypothesis that RVLM bulbospinal neurons are modulated by medullary respiratory network activity using whole-cell patch-clamp electrophysiological recordings of RVLM neurons while simultaneously recording fictive respiratory bursting activity from the hypoglossal rootlet. Additionally, we examined whether challenges to cardiorespiratory function, mainly hypoxia/hypercapnia, alter the activity of bulbospinal neurons and, secondarily, whether changes in synaptic input mediate these responses. Surprisingly, our results indicate that inspiratory-related activity did not modulate glutamatergic, &ggr;-aminobutyric acid-ergic, or glycinergic synaptic events or spontaneous action potential firing in these RVLM neurons. However, hypoxia/hypercapnia reversibly decreased the frequency of &ggr;-aminobutyric acid and glycine inhibitory postsynaptic currents. Glycinergic inhibitory postsynaptic current frequency was depressed from the fifth through the 10th minute, whereas the depression of &ggr;-aminobutyric acid-ergic events became significant only at the 10th minute of hypoxia/hypercapnia. On the basis of spontaneous firing activity, there were 2 populations of RVLM bulbospinal neurons. The firing frequency of low-discharging RVLM neurons was facilitated by hypoxia/hypercapnia, and this increase depended on reduced inhibitory neurotransmission. The firing frequency in RVLM neurons with high-discharge rates was inhibited, independent of synaptic input, by hypoxia/hypercapnia. This article demonstrates that sympathetic-respiratory coupling is not active in the neonatal brain stem slice, and reductions in inhibitory neurotransmission to low spontaneously active bulbospinal RVLM neurons are responsible for hypoxia/hypercapnia-elicited increases in activity.
Golgi positioning.

The Golgi apparatus in mammalian cells is positioned near the centrosome-based microtubule-organizing center (Fig. 1). Secretory cargo moves inward in membrane carriers for delivery to Golgi membranes in which it is processed and packaged for transport outward to the plasma membrane. Cytoplasmic dynein motor proteins (herein termed dynein) primarily mediate inward cargo carrier movement and Golgi positioning. These motors move along microtubules toward microtubule minus-ends embedded in centrosomes. Centripetal motility is controlled by a host of regulators whose precise functions remain to be determined. Significantly, a specific Golgi receptor for dynein has not been identified. This has impaired progress toward elucidation of membrane-motor-microtubule attachment in the periphery and, after inward movement, recycling of the motor for another round. Pericentrosomal positioning of the Golgi apparatus is dynamic. It is regulated during critical cellular processes such as mitosis, differentiation, cell polarization, and cell migration. Positioning is also important as it aligns the Golgi along an axis of cell polarity. In certain cell types, this promotes secretion directed to the proximal plasma membrane domain thereby maintaining specializations critical for diverse processes including wound healing, immunological synapse formation, and axon determination.
Intra-household differences in health seeking behaviour for orphans and non-orphans in an NGO-supported and non-supported sub-county of Luwero, Uganda.

OBJECTIVE Comparing healthcare dynamics among orphans and non-orphans in an NGO supported and a non-supported sub-county so as to identify the level of equity. DESIGN AND METHODS This was a cross-sectional unmatched case-control research. A sample of 98 orphans and 98 non-orphans in an NGO supported sub-county and a similar number in a control sub-county participated. For each child, a corresponding caregiver participated. Each respondent was interviewed. Analysis was comparative. Relationships between variables were ascertained using a X(2). RESULTS Fevers were the most common health problem. However, 14.3% of children reported an experience of diarrhoea in an NGO-supported sub-county as opposed to 85.7% in the control sub-county (p = 0.014). Twenty percent of children in the NGO supported sub-county reported skin infections compared to 80% in the control sub-county [p= 0.008]. When orphans fell sick, more caregivers in the supported sub-county consulted village clinics compared to self herbal-medication (p = 0.009). Majority of orphan caregivers compared to those for non-orphans in the control sub-county took their children to village clinics as opposed to health centres (p = 0.002). In the control sub-county, fewer caregivers responded to children's illness by buying medicines from drug-shops as opposed to taking them to village clinics [(p = 0.040). CONCLUSION There were some differences between orphans and non-orphans within each sub-county and between orphans in the two sub-counties. NGO support is critical in cultivating equity, compassion and non-discrimination. The extended family system in Africa was managing orphan care although it displayed cracks in support systems.
Lung CT registration combining intensity, curves and surfaces

In this paper we propose a registration method that combines intensity information with geometrical information in the form of curves and surfaces derived from lung CT images. Vessel tree centerlines and lung surfaces were extracted from segmented structures. First, a current-based registration was applied to align the pulmonary vessel tree and the lung surfaces. Subsequently, the resulting deformation field was used to constrain an intensity-based registration method. We applied the combined registration on a set of image pairs, extracted at the end exhale and the end inhale phases of 4DCT scans. The proposed combined registration was compared to intensity-based registration, using a set of manually selected landmarks. The proposed registration decreases the mean and the standard deviation of the target registration errors for all 5 cases to on average 1.47±1.05 mm, compared to the intensity-based registration without constraint 1.74±1.31 mm.
New microorganism isolation techniques with emphasis on laser printing

Abstract The study of biodiversity, growth, development, and metabolism of cultivated microorganisms is an integral part of modern microbiological, biotechnological, and medical research. Such studies require the development of new methods of isolation, cultivation, manipulation, and study of individual bacterial cells and their consortia. To this end, in recent years, there has been an active development of different isolation and three-dimensional cell positioning methods. In this review, the optical tweezers, surface heterogeneous functionalization, multiphoton lithography, microfluidic techniques, and laser printing are reviewed. Laser printing is considered as one of the most promising techniques and is discussed in detail.
Vector precoding based on Geometric Mean Decomposition for MIMO transmission system

The Geometric Mean Decomposition (GMD) for MIMO channel matrix can obtain identical subbchannel gains, which is a useful property to improve performance gains of precoding. In this paper, we combine the vector precoding with GMD for channel matrix to design the transceiver for MIMO transmission system. Under the proposed transceiver structure, the minimum square error (MSE) of receive symbols are obtained. To minimize the MSE, two schemes in terms of perturbation vector are proposed. In the first scheme, the perturbation vector has only continuous values, thus it is regarded as interference for MSE. In the second scheme, the perturbation vector is generalized to have both continuous and discrete values, so it is partially dealt with as interference after modulo operation. In these two schemes, the optimum perturbation vectors are presented in MMSE criterion respectively.
A Retrospective Analysis of Er:YAG Laser Treatment in Solar Lentigines: Our Clinical Observations

Objectives: To investigate the efficacy of erbium-doped yttrium aluminium garnet (Er:YAG) laser in the treatment of solar lentigines. Methods: A retrospective study was conducted on patients treated with the only Er:YAG laser. In this study, 14 patients with multiple solar lentigines before treatment were included. Treatment parameters and all side effects were recorded. One independent, blinded dermatologist evaluated the clinical improvement and the patients also scored their satisfaction degree with the treatment. Results: The mean age of the patients was 41.07±7.16 years. The number of mean treatment session for each patient was 1.79±1.05. At the final visit, excellent improvement (76–100% clearance) was reached in eight (57.1%) patients, while good improvement (51-75% clearance) was achieved in five (35.7%) patients. Ten patients (71.4%) were very satisfied and four (28.5%) patients were satisfied with the results of the treatment. No side effects occurred. Conclusion: Er:YAG laser treatment may be an effective and safe optional modality for solar lentigines.
Short-Term Effects of Hypothermia on Axonal Injury, Preoligodendrocyte Accumulation and Oligodendrocyte Myelination after Hypoxia-Ischemia in the Hippocampus of Immature Rat Brain

Hypothermia is known to improve neurological recovery of animals and humans exposed to hypoxic-ischemic (HI) injury. However, the underlying mechanisms of the neuroprotective effects of hypothermia are only partially understood, including decreased excitotoxicity and apoptosis, and suppressed inflammation. There are few studies about the hypothermic effects on axonal injury and oligodendrocyte (OL) lineage degeneration, which are important components of neonatal brain injuries that cause cognitive disability. We hypothesized that mild hypothermia would reduce axonal injury and increase myelination in the hippocampus after HI. We performed left carotid artery ligation followed by 8% oxygen for 2 h in 7-day-old rats. Animals were divided into a hypothermic group (rectal temperature 32-33°C for 24 h) and a normothermic group (36-37°C for 24 h) immediately after HI. Animals were sacrificed at 1, 3 and 7 days for immunohistochemistry or Western blot analysis. We detected neuron loss by microtubule-associated protein 2 labeling and axonal injury by non-phosphorylated neurofilament (SMI32) with neurofilament 200 (NF200) double staining. We examined early OL progenitors by A2B5 or NG2, preoligodendrocytes (preOLs) by O4, and mature OLs by 2,3-cyclic nucleotide 3-phosphodiesterase (CNPase) and glutathione S-transferase (GST)-pi staining. Apoptosis was studied by active caspase-3. Hypothermia was associated with a significant elevation of neurons and axons in the hippocampal CA1 region after HI. Early OL progenitors (A2B5+) were elevated, but preOLs (O4+) and active caspase-3 were dramatically reduced in the hypothermic rat brain. Further study showed that the apoptotic rate of preOLs (caspase-3+-O4+/O4+) was markedly attenuated by hypothermic treatment compared to normothermic animals. The immunoreactivity of CNPase and GST-pi and the protein level of the myelin basic protein significantly increased in the hippocampus of hypothermia-treated rat brain. Axonal myelination also increased in hypothermic animals, which were tested by myelin basic protein and NF200 double staining and electron microscopy. These results showed that hypothermia reduced HI damage to axons and OL myelination coincided with increased early OL progenitor proliferation and decreased preOL accumulation and apoptosis. This study suggested new aspects that may contribute to elucidate the mechanism of hypothermic neuroprotection in neonatal rat brain.
Chloride penetration in concrete under compression or splitting tensile load representing 60-65 per cent of the ultimate load

A critical loading ratio is reached at 50% of concrete ultimate load. Beyond this point the presence of micro cracks exerts a big influence on the chloride transport. For compression the strain distribution in the sample developed micro-cracking system that is more or less homogeneously distributed in the sample. Therefore it is expected the same chloride profile regardless of the position. When combined splitting tensile load and chloride attack are acting on concrete, the main micro-crack system is located on the loading plane. This contributes to regular and alike shaped chloride profiles if they are taken from planes that are kept parallel to the splitting one. Prismatic samples (100 x 100 x 400 mm) made of OPC binder were exposed to a 3% by weight sodium chloride solution while maintaining a loading ratio equal to 60 % of the maximum capacity. Cubic samples (side = 150 mm) made of OPC and 50% BFS had similar chemical exposure while applying a permanent splitting tensile load corresponding to 65 % of their breaking capacity. After the exposure, ground layers were obtained from the samples to determine the total chloride ingress into the concrete by means of potentiometric titration and the effect of the load on the chloride ingress was assessed.
Quantifying digital vascular disease in patients with primary Raynaud’s phenomenon and systemic sclerosis

In primary and secondary Raynaud’s phenomenon, measurement of activity or severity, or both, of the digital vascular disease is a major challenge. We need to identify objective measures of digital vascular disease that are helpful in predicting those patients with Raynaud’s who have underlying connective tissue disease, and to measure reliably digital vascular disease progression, and responses to treatment. None of the various physiological measurement techniques used in the assessment of patients with primary or secondary Raynaud’s are ideal. In this review we outline these techniques, highlighting their applications and limitations. The discussion concentrates on the physiological assessment of patients with primary Raynaud’s phenomenon (PRP) and systemic sclerosis (SSc), but is also applicable to other connective tissue diseases. We have not included biochemical markers of vascular injury or measurement of tissue oxygen levels. In PRP, episodic ischaemia in response to cold exposure or to emotional stimuli is entirely reversible: absence of tissue damage is a defining feature.1 In contrast, SSc may be associated with irreversible tissue damage with ulceration, scarring and sometimes gangrene, and structural change occurs in the vasculature.2 3 Indeed, SSc is probably primarily a disease of the vasculature, although it is not clear how this interrelates with collagen and other connective tissue matrix metabolism.4 5 Assessment of digital vascular disease needs to take into account: (a) Digital vasospasm. This is best assessed by dynamic testing with standard stimuli, such as a standard cold stress. (b) Structural vascular disease. This may affect basal blood flow in addition to vascular responses to standard stimuli. In the patient presenting with Raynaud’s phenomenon, we must assess both the microvasculature and the digital arteries. Different physiological measurement techniques may be used in combination, especially if investigators wish to examine both digital artery and microvascular flow.6 On widefield capillaroscopy, …