Miracle-dz/UniFAR-FTUs huggingface dataset:
Assessment of the clinical efficacy of the heart spectrum blood pressure monitor for diagnosis of atrial fibrillation: An unblinded clinical trial

Atrial fibrillation (AF) is the most common arrhythmia. The most common diagnostic method, 12-lead electrocardiogram (ECG), can record episodes of arrhythmia from which the type and severity can be determined. The Heart Spectrum Blood Pressure Monitor (P2; OSTAR Meditech Corp., New Taipei City, Taiwan) is used to measure cardiovascular pressure change with fast Fourier transform (FFT) analysis to obtain heart rate frequency variability and accurate blood pressure data. We compared the diagnostic efficacy of the Heart Spectrum Blood Pressure Monitor to a 12-lead ECG (gold standard) for patients with AF. Three measurement methods were used in this study to analyze the heart index and compare the results with simultaneous 12-lead ECG: blood pressure; mean arterial pressure, which was calculated from individual blood pressure as a constant pressure; and a constant pressure of 60 mmHg. The physician used a 12-lead ECG and the Heart Spectrum Blood Pressure Monitor simultaneously. The Heart Spectrum Blood Pressure Monitor used FFT analysis to diagnose AF, and the findings were compared to the 12-lead ECG readings. This unblinded clinical trial was conducted in the emergency department of Taipei Medical University Hospital. Twenty-nine subjects with AF and 33 without AF aged 25 to 97 y (mean, 63.5 y) were included. Subjects who were exposed to high-frequency surgical equipment during testing, those with cardiac pacemakers or implantable defibrillators, and pregnant women were excluded. The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were 97%, 97%, 97%, and 97%, respectively, for method 1; 90%, 100%, 100%, and 91%, respectively, for method 2; and 100%, 94%, 94%, and 100%, respectively, for method 3. The sensitivity, specificity, PPV, and NPV for both methods ranged between 90% and 100%, indicating that the Heart Spectrum Blood Pressure Monitor can be effectively applied for AF detection.
How can public health support small medium enterprises (SMEs)

Aims Health and wellbeing in the workplace is a concept that is understood as a fundamental business case for a productive, happy and healthy workforce. The workplace is also a setting where knowledge and skills about health can be disseminated to improve employee health and well-being. This paper aims to identify the main health and wellbeing needs of Small …
Endocrine Disrupters and Testicular Dysgenesis Syndrome

Over the last couple of generations, we have been exposed to an increasing number of endocrine disrupters in our environment, including dichlorodiphenyltrichloroethane (DDT), PCB, certain pesticides, the phthalate DBP, synthetic steroids in meat and many other agents (table 1), which act as agonists or antagonists of sex steroids. Although biologists working with wildlife have been concerned about the possible effects of these chemical agents on animal reproduction, it appears that clinicians have been less concerned about possible health effects in humans. However, the increasing incidence of hormone-dependent cancers, including cancer of the breast, prostate and testis, and signs of an increasing incidence of male reproductive health problems should alert us to the possible association between exposure to endocrine disrupters and the current high frequency of reproductive problems. In Denmark, for example, 5% of all children are now born after assisted reproduction (intracytoplasmic sperm injection, in vitro fertilization, donor insemination and intrauterine insemination) and 1% of all (mostly young) men develop testicular cancer. Evidence exists to support the concept that hypospadias, undescended testis, poor semen quality and testicular cancer are symptoms of an underlying testicular dysgenesis syndrome, which may be becoming increasingly common due to adverse environmental effects. Experimental and epidemiological evidence suggests that testicular dysgenesis syndrome is a result of disruption of foetal programming and gonadal development during foetal life.
CONSEQUENCES OF INDIVIDUAL CHEWING STRATEGIES ON BOLUS RHEOLOGICAL PROPERTIES AT THE SWALLOWING THRESHOLD

ABSTRACT The chewing process transforms food into bolus for a safe swallow. It is known that humans adapt their chewing behavior to food product characteristics. This study aimed at identifying individual chewing strategies of healthy consumers and determining the respective consequences on bolus properties. For that purpose, the chewing activity of 50 subjects was recorded during consumption of five model cheeses. Boluses were collected at the swallowing threshold for rheological analyses. We found that 30% of subjects showed only slight adaptation of chewing activity to product characteristics and thus produced boluses with different rheological properties. Among the 70% of subjects who adapted their chewing behavior, 57% adapted their behavior via chewing time and 40% adapted their behavior via chewing time and muscular contraction amplitude. Among the bolus rheological parameters, only consistency was not influenced by chewing strategies. Hence, it seemed to be a determinant factor of the swallowing threshold for these products. PRACTICAL APPLICATIONS Flavor compounds are released during the oral processing of food. It is thus important to understand how consumers form a bolus and to analyze the consequences of chewing behaviors on bolus properties at the swallowing threshold, at the end of the oral stage of food, to clarify the role of mastication in the release of stimuli responsible for perception. Chewing strategies and bolus properties are some of the key factors of flavor release and product acceptability that is of interest for food manufacturers who can use these factors as additional parameters for new solid product design.
Genetic and biological characterization of H9N2 avian influenza viruses isolated in China from 2011 to 2014

The genotypes of the H9N2 avian influenza viruses have changed since 2013 when almost all H9N2 viruses circulating in chickens in China were genotype 57 (G57) with the fittest lineage of each gene. To characterize the H9N2 variant viruses from 2011 to 2014, 28 H9N2 influenza viruses were isolated from live poultry markets in China from 2011–2014 and were analyzed by genetic and biological characterization. Our findings showed that 16 residues that changed antigenicity, two potential N-linked glycosylation sites, and one amino acid in the receptor binding site of the HA protein changed significantly from 2011–2014. Moreover, the HA and NA genes in the phylogenetic tree were mainly clustered into two independent branches, A and B, based on the year of isolation. H9N2 virus internal genes were related to those from the human-infected avian influenza viruses H5N1, H7N9, and H10N8. In particular, the NS gene in the phylogenetic tree revealed genetic divergence of the virus gene into three branches labeled A, B, and C, which were related to the H9N2, H10N8, and H7N9 viruses, respectively. Additionally, the isolates also showed varying levels of infection and airborne transmission. These results indicated that the H9N2 virus had undergone an adaptive evolution and variation from 2011–2014.
Revascularization of Transplanted Islets

Pancreatic islets are highly vascularized, which is important in their ability to quickly secrete insulin in response to changes in blood glucose. Although pancreatic islets comprise only 1–2% of pancreatic mass, they receive 5–10% of pancreatic blood flow. Blood vessels within pancreatic islets are of a greater density than those in surrounding exocrine tissue and are lined with fenestrated endothelial cells. These specialized features are responsible for the greater partial pressure of oxygen in islets compared with acinar tissue and other organs, which is likely important for normal islet cell function. Islet production of angiogenic factors such as vascular endothelial growth factor-A (VEGF-A) and angiopoietin-1 is critical for creating this highly vascularized state (1,2). During embryonic development, reciprocal endothelial-endocrine cell signaling and the formation of functional blood vessels appear to instruct pancreatic differentiation and morphogenesis (3–5). Development of the islet vasculature is coordinated with islet formation, but blood flow to endocrine cells precedes their final assembly into a mature islet (2).
Satisfacción de las madres con la atención a sus hijos hospitalizados

The study was designed to identify the factors associated with a mother’s satisfaction with the care her child receives during hospitalization. The sample included 127 mothers of children who were patients at a public hospital in Monterrey, N.L. , Mexico. The study was correlational and descriptive. A family pediatric satisfaction questionnaire was used. Pain management was an important factor in the satisfaction of participating mothers. The mother’s satisfaction with inpatient services was associated with nursing care and assistance
The effects of the Nepal community forestry program on biodiversity conservation and carbon storage

Approximately 15.5% of global forest is controlled by ~1 billion local people and the area under community control is increasing. However, there is limited empirical evidence as to whether community control is effective in providing critical global ecosystem services, such as biodiversity conservation and carbon storage. We assess the effectiveness of one example of community-controlled forest, Nepal’s Community Forestry Program (CFP), at providing biodiversity conservation and carbon storage. Using data from 620 randomly selected CFP and non-CFP forest plots, we apply a robust matching method based on covariates to estimate whether CFPs are associated with greater biodiversity conservation or carbon storage. Our results reveal a significant positive effect of CFP on biodiversity, which is robust against the influence of unobserved covariates. Our results also suggest a significant negative effect of the CFP on aboveground tree and sapling carbon (AGC) at the national scale (-15.11 Mg C ha-1). However, the CFP has a mixed effect on carbon across geographic and topographic regions and in forests with different canopy covers. Though there were no significant effects of the CFP on AGC at lower altitudes, in the Terai or hill regions, and under closed canopies, there were positive effects in open canopies (25.84 Mg C ha-1) at lower slopes (25.51 Mg C ha-1) and negative effects at higher altitudes (-22.81 Mg C ha-1) and higher slopes (-17.72 Mg C ha-1). Our sensitivity analysis revealed that the positive effects are robust to unobserved covariates, which is not true for the negative results. In aggregate, our results demonstrate that CFP can be an effective forest management strategy to contribute to global ecosystem services such as biodiversity, and to a lesser extent carbon.
Candidate gene analysis of 3D dental phenotypes in patients with malocclusion

Part of the Orthodontics and Orthodontology Commons Recommended Citation Weaver, Cole Austin. "Candidate gene analysis of 3D dental phenotypes in patients with malocclusion. " MS (Master of Science) thesis, has been approved by the Examining Committee for the thesis requirement for the Master of Science degree in Orthodontics at the May 2014 graduation. ii To Tyler iii ACKNOWLEDGMENTS I am lucky to have been blessed with a wonderful committee and I would like to thank them for their help in this process. you have all been incredible. I also owe a huge debt of gratitude to Dr. Steven Miller. It was only because of his constant guidance and assistance working with me that this project achieved fruition. I am grateful to him and all of his efforts. I want to thank Clarissa Souza Gomes da Fontoura for her work genotyping the subjects. Finally, I would like to thank all of the doctors and their staff who contributed to my sample, Dr. I must express my sincere gratitude to Dr. for the education and support that they provided me. Thank you for your dedication to education and your passion for the orthodontic specialty. To my wife Allison and my children Austin and Natalie I want to say thank you. Throughout this process you have shown incredible love for me in all my efforts. I appreciate your patience and understanding. Allison through your hard work for our family you have allowed me to be not just a better orthodontist but also a better husband and father. I am grateful to everyone including God that I have been blessed to be part of such an incredible specialty and I cannot wait to use my education to bless the lives of others.
Successful adherence and retention to daily monitoring of physical activity: Lessons learned

Research utilizing repeated-measures such as daily assessments with self-report and/or objective measures [e.g., physical activity (PA) monitors] are important in understanding health behaviors and informing practice and policy. However, studies that utilize daily assessment often encounter issues with attrition and non-compliance. The current research yielded high levels of retention and adherence with both self-report and objective daily measures. The purpose of this paper is to highlight and discuss strategies utilized in maximizing retention, minimizing missing data, and some lessons learned from the research experience. Fifty community participants took part in a 4-week study utilizing both daily self-report questionnaires and daily use of PA monitors (Fitbit One™). This study focused on typical daily PA and was not an intervention study (e.g., participants were not randomized nor asked to change their PA behavior). Participants completed the study in two waves (wave 1 n = 10, wave 2 n = 40). The research team utilized several retention strategies including automating the data collection process, a prorated incentive structure, having a dedicated and responsive study staff, and utilizing the 2-wave process to optimize data collection during the 2nd wave. The study had 100% retention and generally positive anonymous feedback post-study. Overall, participants completed the vast majority of daily surveys (97%) and wore their Fitbits (for at least part of the day) on almost all days (99.57%) of the study, although there were individual differences. The strategies discussed and lessons learned may be useful to other researchers using daily measurements for whom adherence and retention are important issues. Future research employing these strategies in different populations, with different measurements, and for longer durations is warranted to determine generalizability.
Air Pollution and Insulin Resistance: Do All Roads Lead to Rome?

The World Health Organization estimates that worldwide in 2012, nearly 7 million deaths occurred prematurely due to air pollution (1). In addition to respiratory and cardiovascular diseases, air pollution exposure is also linked to increased incidence of diabetes (2). Notably, the prevalence of diabetes and dyslipidemia escalated exponentially in the latter half of the 20th century coincident with the manufacture, use, and release of massive amounts of chemicals and pollution. The increase in the prevalence of these chronic conditions also coincides with an increase in sedentary lifestyles, calorie-rich diets, and human stress. Together, these factors contribute to metabolic disease. This complex tapestry suggests that many elements, including air pollution, are likely involved in an interactive manner to increase the risk of certain health conditions. Determining how air pollution might be linked to diabetes is useful not only in understanding how environmental factors contribute to the pathogenesis of this disease but also for identifying molecular targets for potential therapeutic strategies. Improved understanding of this dynamic also provides further rationale for improving air quality standards and public health. Ozone is produced in the air by photochemical reaction of components of anthropogenic emissions, and it contributes substantially to the societal burden of respiratory and cardiovascular disease. The pulmonary effects of ozone have been studied for decades (3), with recent attention turning to the metabolic and cardiovascular effects of this exposure. A number of mechanisms have been proposed for extrapulmonary effects of inhaled pollutants. On the basis of experimental studies examining the metabolic effects of ambient particulate matter (chemically complex mixtures consisting of many components) in mouse models, Rajagopalan and Brook (4) proposed that systemic inflammation, oxidative stress, and neuronal mechanisms might be involved in adipose inflammation and tissue insulin resistance. In this issue of Diabetes , Vella et al. …
Response to Comment on Chondronikola et al. Brown Adipose Tissue Improves Whole-Body Glucose Homeostasis and Insulin Sensitivity in Humans. Diabetes 2014;63:4089–4099

We thank the Editor for inviting us to write a response to the letter by Drs. Dela and Helge (1) concerning our recent article in Diabetes (2). The authors draw our attention to an incorrect reference used to describe mitochondrial respiration measurements. The correct reference is an article that Dr. Dela’s group published in 2010 (3). We apologize for any confusion caused. We hope this alleviates the authors’ concerns on the methodology used for the mitochondrial respiration measurements; nevertheless, we provide further information here for clarity. Biopsies were immediately submerged in preservation buffer (BIOPS as described in ref. 3) and immediately (within 30 min) brought to the laboratory. …
Biological markers of alcohol use

Abtract Biochemical markers provide an objective assessment in the screening and confirmation of recent alcohol consumption, intoxication, relapse, heavy drinking, alcohol use disorders and alcohol-related organ dysfunction. They can be used to monitor excessive drinking in certain professional groups (airline pilots, bus and train drivers, doctors) and for forensic purposes such as for monitoring drinking as part of contracts for ‘driving while intoxicated’ (DWI) offenders. Although the level of interest in the development of these markers is high, no single marker has been found that has the diagnostic efficiency (combined sensitivity and specificity) of the direct measurement of alcohol – a very accurate measurement, but one limited by the short half-life of blood alcohol after cessation of drinking.
Changing eating behaviour: What can we learn from behavioural science?

Designing effective behaviour change interventions is key to promoting healthy eating. This paper takes a theoretical perspective to consider why people do not behave in ways that promote health and summarises evidence-based principles and strategies for behaviour change. We present a theoretically driven, comprehensive method for intervention design using several tools recently developed in behavioural science.
The Acute-Phase Protein Orosomucoid Regulates Food Intake and Energy Homeostasis via Leptin Receptor Signaling Pathway

The acute-phase protein orosomucoid (ORM) exhibits a variety of activities in vitro and in vivo, notably modulation of immunity and transportation of drugs. We found in this study that mice lacking ORM1 displayed aberrant energy homeostasis characterized by increased body weight and fat mass. Further investigation found that ORM, predominantly ORM1, is significantly elevated in sera, liver, and adipose tissues from the mice with high-fat diet (HFD)–induced obesity and db/db mice that develop obesity spontaneously due to mutation in the leptin receptor (LepR). Intravenous or intraperitoneal administration of exogenous ORM decreased food intake in C57BL/6, HFD, and leptin-deficient ob/ob mice, which was absent in db/db mice and was significantly reduced in mice with arcuate nucleus (ARC) LepR knockdown, whereas enforced expression of ORM1 in ARC significantly decreased food intake, body weight, and serum insulin level. Furthermore, we found that ORM is able to bind directly to LepR and activate the receptor-mediated JAK2–STAT3 signaling in hypothalamus tissue and GT1-7 cells, which was derived from hypothalamic tumor. These data indicated that ORM could function through LepR to regulate food intake and energy homeostasis in response to nutrition status. Modulating the expression of ORM is a novel strategy for the management of obesity and related metabolic disorders.
VAMP7 Regulates Autophagy to Maintain Mitochondrial Homeostasis and to Control Insulin Secretion in Pancreatic β-Cells

VAMP7 is a SNARE protein that mediates specific membrane fusions in intracellular trafficking and was recently reported to regulate autophagosome formation. However, its function in pancreatic β-cells is largely unknown. To elucidate the physiological role of VAMP7 in β-cells, we generated pancreatic β-cell–specific VAMP7 knockout (Vamp7flox/Y;Cre) mice. VAMP7 deletion impaired glucose-stimulated ATP production and insulin secretion, though VAMP7 was not localized to insulin granules. VAMP7-deficient β-cells showed defective autophagosome formation and reduced mitochondrial function. p62/SQSTM1, a marker protein for defective autophagy, was selectively accumulated on mitochondria in VAMP7-deficient β-cells. These findings suggest that accumulation of dysfunctional mitochondria that are degraded by autophagy caused impairment of glucose-stimulated ATP production and insulin secretion in Vamp7flox/Y;Cre β-cells. Feeding a high-fat diet to Vamp7flox/Y;Cre mice exacerbated mitochondrial dysfunction, further decreased ATP production and insulin secretion, and consequently induced glucose intolerance. Moreover, we found upregulated VAMP7 expression in wild-type mice fed a high-fat diet and in db/db mice, a model for diabetes. Thus our data indicate that VAMP7 regulates autophagy to maintain mitochondrial quality and insulin secretion in response to pathological stress in β-cells.
PPARδ Is Required for Exercise to Attenuate Endoplasmic Reticulum Stress and Endothelial Dysfunction in Diabetic Mice

Physical activity has profound benefits on health, especially on cardiometabolic wellness. Experiments in rodents with trained exercise have shown that exercise improves vascular function and reduces vascular inflammation by modulating the balance between nitric oxide (NO) and oxidative stress. However, the upstream regulator of exercise-induced vascular benefits is unclear. We aimed to investigate the involvement of peroxisome proliferator–activated receptor δ (PPARδ) in exercise-induced vascular functional improvement. We show that PPARδ is a crucial mediator for exercise to exert a beneficial effect on the vascular endothelium in diabetic mice. In db/db mice and high-fat diet–induced obese mice, 4 weeks of treadmill exercise restored endothelium-dependent vasodilation of aortas and flow-mediated vasodilation in mesenteric resistance arteries, whereas genetic ablation of Ppard abolished such improvements. Exercise induces AMPK activation and subsequent PPARδ activation, which help to reduce endoplasmic reticulum (ER) and oxidative stress, thus increasing NO bioavailability in endothelial cells and vascular tissues. Chemical chaperones 4-phenylbutyric acid and tauroursodeoxycholic acid decrease ER stress and protect against endothelial dysfunction in diabetic mice. The results demonstrate that PPARδ-mediated inhibition of ER stress contributes to the vascular benefits of exercise and provides potentially effective targets for treating diabetic vasculopathy.