Miracle-dz/UniFAR-FTUs huggingface dataset:
Impaired Brain Growth in Myelin Oligodendrocyte Glycoprotein Antibody–Associated Acute Disseminated Encephalomyelitis

Background and Objectives Acute disseminated encephalomyelitis (ADEM) is the most common phenotype in pediatric myelin oligodendrocyte glycoprotein (MOG) antibody–associated disease. A previous study demonstrated impaired brain growth in ADEM. However, the effect of MOG antibodies on brain growth remains unknown. Here, we performed brain volume analyses in MOG-positive and MOG-negative ADEM at onset and over time. Methods In this observational cohort study, we included a total of 62 MRI scans from 24 patients with ADEM (54.2% female; median age 5 years), of which 16 (66.7%) were MOG positive. Patients were compared with healthy controls from the NIH pediatric MRI data repository and a matched local cohort. Mixed-effect models were applied to assess group differences and other relevant factors, including relapses. Results At baseline and before any steroid treatment, patients with ADEM, irrespective of MOG antibody status, showed reduced brain volume compared with matched controls (median [interquartile range] 1,741.9 cm3 [1,645.1–1,805.2] vs 1,810.4 cm3 [1,786.5–1,836.2]). Longitudinal analysis revealed reduced brain growth for both MOG-positive and MOG-negative patients with ADEM. However, MOG-negative patients showed a stronger reduction (−138.3 cm3 [95% CI −193.6 to −82.9]) than MOG-positive patients (−50.0 cm3 [−126.5 to −5.2]), independent of age, sex, and treatment. Relapsing patients (all MOG positive) showed additional brain volume loss (−15.8 cm3 [−68.9 to 37.3]). Discussion Patients with ADEM exhibit brain volume loss and failure of age-expected brain growth. Importantly, MOG-negative status was associated with a more pronounced brain volume loss compared with MOG-positive patients.
Examples of nonvanishing Chern-Simons invariants

In this paper we study the Chern-Simons invariants. These invariants of (4Π _ l)-dimensional Riemannian manifolds first appeared in Chern-Simons [1]. They are obstructions to conf ormal immersion of the Riemannian manifold in Euclidean space in much the same way as the Pontrjagin classes are to topological immersion. In Chern-Simons [1] a 3-dimensional example was given whose Chern-Simons invariant was nonzero. However, no higher-dimensional examples were given. Our first theorem gives a simple algebraic formula for these invariants for a spherical space form. In particular, for the Lens spaces L(p\ q19 q2, , q2n) the invariants are expressible in terms of the elementary symmetric functions of ql9 q2, , q2n modulo p. Using this and judiciously choosing p and the q^s one can produce for each n, infinitely many Lens spaces L(p; <Zi, q2, , q2n) which immerse smoothly in R in but not conformally in R*~. This is the "best-possible" non-immersion result obtainable with the Chern-Simons invariants. For example, the 15-dimsional Lens space L(137; 1, 10, 100, 41, 136, 127, 37, 96) immerses smoothly in R but not conformally in R. As another application of our calculation for Lens spaces we give a residue formula for the Pontrjagin numbers of a 4«-manifold admitting a periodic diffeomorphism of prime order. We give here the formula for the case where the difϊeomorphism / has only isolated fixed points. Let Q{pλ, p2, , pn) be a polynomial of the right weight in the Pontrjagin classes pt to obtain a Pontrjagin number Q(M). Let m19 ra2, , mk be the fixed points of /. If p is the order of /, then Q(M) = Σki=ι Res (/, raj, modulo p, where Res (/, raj is calculated as follows. Since / leaves ra^ fixed, df maps the tangent space of M at mt to itself. One can always (by averaging) assume / preserves a metric on M, so dfinii) is a rotation of order p. Let θ19 θ29 , θ2n be its rotation angles; that is, dfirrii) is similar to a block matrix:
Reference gene expression stability within the rat brain under mild intermittent ketosis induced by supplementation with medium-chain triglycerides

Reverse transcription followed by quantitative (real-time) polymerase chain reaction (RT-qPCR) has become the gold standard in mRNA expression analysis. However, it requires an accurate choice of reference genes for adequate normalization. The aim of this study was to validate the reference genes for qPCR experiments in the brain of rats in the model of mild ketosis established through supplementation with medium-chain triglycerides (MCT) and intermittent fasting. This approach allows to reproduce certain neuroprotective effects of the classical ketogenic diet while avoiding its adverse effects. Ketogenic treatment targets multiple metabolic pathways, which may affect the reference gene expression. The standard chow of adult Wistar rats was supplemented with MCT (2 ml/kg orogastrically, during 6 h of fasting) or water (equivolume) for 1 month. The mRNA expression of 9 housekeeping genes (Actb, B2m, Gapdh, Hprt1, Pgk1, Ppia, Rpl13a, Sdha, Ywhaz) in the medial prefrontal cortex, dorsal and ventral hippocampus was measured by RT-qPCR. Using the RefFinder® online tool, we have found that the reference gene stability ranking strongly depended on the analyzed brain region. The most stably expressed reference genes were found to be Ppia, Actb, and Rpl13a in the medial prefrontal cortex; Rpl13a, Ywhaz, and Pgk1 in the dorsal hippocampus; Ywhaz, Sdha, and Ppia in the ventral hippocampus. The B2m was identified as an invalid reference gene in the ventral hippocampus, while Sdha, Actb, and Gapdh were unstable in the dorsal hippocampus. The stabilities of the examined reference genes were lower in the dorsal hippocampus compared to the ventral hippocampus and the medial prefrontal cortex. When normalized to the three most stably expressed reference genes, the Gapdh mRNA was upregulated, while the Sdha mRNA was downregulated in the medial prefrontal cortex of MCT-fed animals. Thus, the expression stability of reference genes strongly depends on the examined brain regions. The dorsal and ventral hippocampal areas differ in reference genes stability rankings, which should be taken into account in the RT-qPCR experimental design.
Ultrasound shear wave phase velocity imaging using black-box system identification (BSI): a data-driven approach

Objective. Shear wave elasticity imaging (SWEI) is an established approach for diagnosing lesions in human tissue. However, the shear wavelengths used by traditional SWEI are usually not short enough, leading to inferior accuracy in small-target (<10 mm) reconstruction. To exploit short shear wavelengths (high-frequency content), this study introduces a new phase velocity (PV) estimation technique as an alternative to the conventional group velocity (GV) modality. Approach. We propose using a black-box model instead of a fully physics-based model to describe the transition process of two arbitrary shear wave signals. With this representation, local PV can be obtained via black-box system identification (BSI). For validation, two PV estimation scenarios were established: (numerical) dispersion measurements in viscoelastic media, and (real) imaging targets in a CIRS elasticity phantom. BSI was compared with a state-of-the-art PV imaging method that uses local wavenumber estimation (LWE). Main results. BSI showed excellent accuracy in the dispersion estimation for all three viscoelastic media in the simulations. In the phantom study, the two PV methods exhibited good agreement in the frequency dependence of target quantification, and could both generate a higher target reconstruction accuracy than GV. LWE images were strongly affected by noise-induced faulty estimates, whereas BSI showed no notable artifacts. Significance. This study demonstrates the advantage of the PV modality over the GV modality as the former can achieve better target visualization by increasing imaging frequency. It also implies the feasibility of data-driven modeling for soft tissue characterization.
Associated factors of safe child feces disposal in sub-Saharan Africa: Evidence from recent demographic and health surveys of 34 sub-Saharan countries

Introduction Children’s feces are thought to pose a greater public health risk than those of adults’ due to higher concentrations of pathogens. The aim of this study was to determine the associated factors of safe child feces disposal among children under two years of age in Sub-Saharan Africa. Methods The most recent demographic and health survey datasets of 34 sub-Saharan countries were used. A total weighted sample of 78, 151 mothers/caregivers of under two children were included in the study. Both bivariable and multivariable multilevel logistic regression were done. The Odds Ratio (OR) with a 95% Confidence Interval (CI) was calculated for each independent variables included in the model. Results Those mothers/caregivers from urban residence (AOR = 1.42; CI: 1.36, 1.48), mothers with primary education (AOR = 1.49; CI: 1.44, 1.56), richer (AOR = 1.78; CI: 1.69, 1.88) and richest wealth quintiles (AOR = 2.17; CI: 2.01, 2.31), family size <5 (AOR = 1.06; CI: 1.02–1.09), access to improved water source (AOR = 1.29; CI: 1.25, 1.34), mothers who owned toilet (AOR = 3.09; 2.99–3.19) and who had media exposure (AOR = 1.19; CI: 1.15, 1.24) had higher odds of practicing safe child feces disposal than their counter parts. However, mothers/care givers who are not currently working (AOR = 0.83; CI: 0.80, 0.86), higher education (AOR = 0.85; CI: 0.76–0.94) and from Western region of Africa (AOR = 0.82; CI: 0.79–0.86) had reduced chance of safe child feces disposal as compared to their counter parts. Conclusion Residence, mothers’ level of education, wealth index, water source, toilet ownership and media exposure were factors associated with safe child feces disposal. It is advisable to implement health promotion and behavioral change intervention measures especially for those women /caregivers from rural residence, poor economic status, who cannot access improved water and for those with no media exposure to improve the practice of safe child feces disposal.
Cooperative diffusion in body-centered cubic iron in Earth and super-Earths’ inner core conditions

The physical chemistry of iron at the inner-core conditions is key to understanding the evolution and habitability of Earth and super-Earth planets. Based on full first-principles simulations, we report cooperative diffusion along the longitudinally fast ⟨111⟩ directions of body-centered cubic (bcc) iron in temperature ranges of up to 2000–4000 K below melting and pressures of ∼300–4000 GPa. The diffusion is due to the low energy barrier in the corresponding direction and is accompanied by mechanical and dynamical stability, as well as strong elastic anisotropy of bcc iron. These findings provide a possible explanation for seismological signatures of the Earth’s inner core, particularly the positive correlation between P wave velocity and attenuation. The diffusion can also change the detailed mechanism of core convection by increasing the diffusivity and electrical conductivity and lowering the viscosity. The results need to be considered in future geophysical and planetary models and should motivate future studies of materials under extreme conditions.
An extracellular vesicular mutant KRAS‐associated protein complex promotes lung inflammation and tumor growth

Abstract Extracellular vesicles (EVs) contain more than 100 proteins. Whether there are EVs proteins that act as an ‘organiser’ of protein networks to generate a new or different biological effect from that identified in EV‐producing cells has never been demonstrated. Here, as a proof‐of‐concept, we demonstrate that EV‐G12D‐mutant KRAS serves as a leader that forms a protein complex and promotes lung inflammation and tumour growth via the Fn1/IL‐17A/FGF21 axis. Mechanistically, in contrast to cytosol derived G12D‐mutant KRAS complex from EVs‐producing cells, EV‐G12D‐mutant KRAS interacts with a group of extracellular vesicular factors via fibronectin‐1 (Fn1), which drives the activation of the IL‐17A/FGF21 inflammation pathway in EV recipient cells. We show that: (i), depletion of EV‐Fn1 leads to a reduction of a number of inflammatory cytokines including IL‐17A; (ii) induction of IL‐17A promotes lung inflammation, which in turn leads to IL‐17A mediated induction of FGF21 in the lung; and (iii) EV‐G12D‐mutant KRAS complex mediated lung inflammation is abrogated in IL‐17 receptor KO mice. These findings establish a new concept in EV function with potential implications for novel therapeutic interventions in EV‐mediated disease processes.
Mesoscopic theory of liquid crystals

Abstract Liquid crystals of uniaxial and biaxial molecules are considered in the framework of the mesoscopic description which is a general tool of continuum theory. A mesoscopic theory introduces the fields beyond hydrodynamics as additional variables of a configuration space, called mesoscopic space, on which the fields appearing in balances are defined. Besides the mesoscopic space, a mesoscopic distribution function is introduced which describes the distribution of the additional variables at each time and position. It is demonstrated, how the mesoscopic theory can be applied to liquid crystals, and how the Ericksen-Leslie theory and the alignment tensor theory of liquid crystals fit into the mesoscopic framework.
Model misspecification and robust analysis for outcome‐dependent sampling designs under generalized linear models

Outcome‐dependent sampling (ODS) is a commonly used class of sampling designs to increase estimation efficiency in settings where response information (and possibly adjuster covariates) is available, but the exposure is expensive and/or cumbersome to collect. We focus on ODS within the context of a two‐phase study, where in Phase One the response and adjuster covariate information is collected on a large cohort that is representative of the target population, but the expensive exposure variable is not yet measured. In Phase Two, using response information from Phase One, we selectively oversample a subset of informative subjects in whom we collect expensive exposure information. Importantly, the Phase Two sample is no longer representative, and we must use ascertainment‐correcting analysis procedures for valid inferences. In this paper, we focus on likelihood‐based analysis procedures, particularly a conditional‐likelihood approach and a full‐likelihood approach. Whereas the full‐likelihood retains incomplete Phase One data for subjects not selected into Phase Two, the conditional‐likelihood explicitly conditions on Phase Two sample selection (ie, it is a “complete case” analysis procedure). These designs and analysis procedures are typically implemented assuming a known, parametric model for the response distribution. However, in this paper, we approach analyses implementing a novel semi‐parametric extension to generalized linear models (SPGLM) to develop likelihood‐based procedures with improved robustness to misspecification of distributional assumptions. We specifically focus on the common setting where standard GLM distributional assumptions are not satisfied (eg, misspecified mean/variance relationship). We aim to provide practical design guidance and flexible tools for practitioners in these settings.
Prosocial behavior in students with intellectual disabilities: Individual level predictors and the role of the classroom peer context

Prosocial behavior at school, such as helping and sharing, contributes to positive individual development, peer relations, and classroom climate. Students with intellectual disabilities (ID) may have difficulty to demonstrate prosocial behavior, but little is known about the levels of prosocial behavior and its predictors in this population. This study aims to describe the prosocial behavior of students with ID attending special needs schools and related individual (i.e., age, sex, and general functioning) and classroom level (i.e., classmates’ mean prosocial behavior) predictors. School staff members assessed prosocial behavior of 1022 students with ID (69.5% boys; Mage = 11.34 years, SD = 3.73, range: 4–19 years) at the beginning and the end of a schoolyear. We found that students with ID on average demonstrated moderate levels of prosocial behavior, this was lower compared to norms of typically developing students. Correlations within each timepoint proved that prosocial behavior was more present in older students, girls, and students with higher general functioning. Using a longitudinal multilevel model, we found that, prosocial behavior increased more over the schoolyear in older students and in students with higher general functioning. Classmates’ mean levels of prosocial behavior did not affect later individual prosocial behavior. We conclude that prosocial behavior in students with ID depends on several individual characteristics, but less on the levels of prosocial behaviors in their special needs classroom peer context.
Darolutamide Maintenance in Patients With Metastatic Castration-Resistant Prostate Cancer With Nonprogressive Disease After Taxane Treatment (SAKK 08/16)

PURPOSE To assess the efficacy and safety of darolutamide maintenance after successful taxane chemotherapy in patients with metastatic castration-resistant prostate cancer (mCRPC). PATIENTS AND METHODS Swiss Group for Clinical Cancer Research (SAKK) 08/16 is a randomized phase II study. Patients with mCRPC who received prior androgen-receptor pathway inhibitors (ARPIs) and subsequently had nonprogressive disease on a taxane were randomly assigned to darolutamide 600 mg twice a day or placebo twice a day. The primary end point was radiographic progression-free survival (rPFS) at 12 weeks. Secondary end points were rPFS, event-free survival, overall survival (OS), prostate-specific antigen (PSA) 50% response rate, and adverse events. RESULTS Overall, 92 patients were recruited by 26 centers. Prior taxane was docetaxel in 93% and cabazitaxel in 7%. Prior ARPI was abiraterone in 60%, enzalutamide in 31%, and both in 9%. rPFS at 12 weeks was significantly improved with darolutamide (64.7% v 52.2%; P = .127). Median rPFS on darolutamide was 5.5 versus 4.5 months on placebo (hazard ratio [HR], 0.54 [95% CI, 0.32 to 0.91]; P = .017), and median event-free survival was 5.4 versus 2.9 months (HR, 0.46 [95% CI, 0.29 to 0.73]; P = .001). PSA 50% response rate was improved (22% v 4%; P = .014). Median OS for darolutamide was 24 versus 21.3 months for placebo (HR, 0.62 [95% CI, 0.3 to 1.26]; P = .181). Treatment-related adverse events were similar in both arms. CONCLUSION SAKK 08/16 met its primary end point, showing that switch maintenance with darolutamide after prior taxane chemotherapy and at least one ARPI resulted in a statistically significant but clinically modest rPFS prolongation with good tolerability. The median OS with darolutamide maintenance appears promising. Should these findings be confirmed in a larger trial, maintenance treatment could be a novel strategy in managing patients with mCRPC, especially those who responded well to prior ARPI.
Insights and trends review: artificial intelligence in hand surgery

Artificial intelligence (AI) in hand surgery is an emerging and evolving field that will likely play a large role in the future care of our patients. However, there remain several challenges to makes this technology meaningful, acceptable and usable at scale. In this review article, we discuss basic concepts in AI, including challenges and key considerations, provide an update on how AI is being used in hand and wrist surgery and propose potential future applications. The aims are to equip clinicians and researchers with the basic knowledge needed to understand and explore the incorporation of AI in hand surgery within their own practice and recommends further reading to develop knowledge in this emerging field.
Slippery pre-suffused surfaces

We describe the slippery behaviour of textured solids filled with oil, on which other liquids are found to slip and be removed easily. We describe the criteria for achieving this slippery behaviour, and illustrate the concept by two examples, namely the lotus effect (removal of dust by mobile drops) and the coffee stain effect.
Seven Years of Culture Collection of Neisseria gonorrhoeae: Antimicrobial Resistance and Molecular Epidemiology

The emergence of Neisseria gonorrhoeae isolates displaying resistance to antimicrobials, in particular to ceftriaxone monotherapy or ceftriaxone plus azithromycin, represents a global public health concern. This study aimed to analyze the trend of antimicrobial resistance in a 7-year isolate collection retrospective analysis in Italy. Molecular typing on a subsample of gonococci was also included. A total of 1,810 culture-positive gonorrhea cases, collected from 2013 to 2019, were investigated by antimicrobial susceptibility, using gradient diffusion method, and by the N. gonorrhoeae multiantigen sequence typing (NG-MAST). The majority of infections occurred among men with urogenital infections and 57.9% of male patients were men who have sex with men. Overall, the cefixime resistance remained stable during the time. An increase of azithromycin resistance was observed until 2018 (26.5%) with a slight decrease in the last year. In 2019, gonococci showing azithromycin minimum inhibitory concentration above the EUCAST epidemiological cutoff value (ECOFF) accounted for 9.9%. Ciprofloxacin resistance and penicillinase-producing N. gonorrhoeae (PPNG) percentages increased reaching 79.1% and 18.7% in 2019, respectively. The most common sequence types identified were 5,441, 1,407, 6,360, and 5,624. The predominant genogroup (G) was the 1,407; moreover, a new genogroup G13070 was also detected. A variation in the antimicrobial resistance rates and high genetic variability were observed in this study. The main phenotypic and genotypic characteristics of N. gonorrhoeae isolates were described to monitor the spread of drug-resistant gonorrhea.
A critical review of cultural competence frameworks and models in medical and health professional education: A meta-ethnographic synthesis: BEME Guide No. 79

Abstract Background Cultural competence resides at the core of undergraduate and postgraduate medical and health professional education. The evolution of studies on cultural competence has resulted in the existence of multiple theoretical frameworks and models, each emphasising certain elements of culturally appropriate care, but generally lacking in providing a coherent and systematic approach to teaching this subject. Methods Following a meta-ethnographic approach, a systematic search of five databases was undertaken to identify relevant articles published between 1990 and 2022. After citation searching and abstract and full article screening, a consensus was reached on 59 articles for final inclusion. Key constructs and concepts of cultural competence were synthesised and presented as themes, using the lens of critical theory. Results Three key themes were identified: competences; roles and identities; structural competency. Actionable concepts and themes were incorporated into a new transformative ACT cultural model that consists of three key domains: activate consciousness, connect relations, and transform to true cultural care. Conclusion This critical review provides an up-to-date synthesis of studies that conceptualise cultural competence frameworks and models in international medical and healthcare settings. The ACT cultural model provides a set of guiding principles for culturally appropriate care, to support high-quality educational interventions.