Miracle-dz/UniFAR-FTUs huggingface dataset:
Development of a Care Bundle for Stroke Survivors with Psychological Symptoms: Evidence Summary and Delphi Study

Background Psychological symptoms such as depression and anxiety are quite common among stroke survivors and have great negative impacts on patients. Objective To develop a care bundle through reviewing and integrating care strategies for psychological symptoms after stroke and then improve the bundle by Delphi study. Methods A structured search of the literature was performed to identify studies evaluating interventions for stroke patients with psychological symptoms such as depression and anxiety. Two trained researchers screened papers through the titles, abstracts, and full-texts independently. All studies complying with the eligibility criteria were appraised using quality assessment tools. Related interventions with evaluated evidence levels formed the preliminary bundle. Afterward, the Delphi study was carried out to improve the bundle, and the experts were contacted by e-mail. Ten clinical experts specialized in stroke and psychological rehabilitation were recruited. The reliability of experts was represented by the effective response rate and authority coefficient (Cr). The consensus was deemed to be reached when the mean score for item importance is all equal or above 3.50 and the coefficient of variation (CV) is all equal or below 0.20. The Kendall coefficient W test was adopted to evaluate the consensus on agreement among the experts as well. Data analysis was performed using SPSS V.22. 0. Results Through a systematic evidence summary and two-round Delphi study, the items that were given high scores and got consensus by experts were chosen for the bundle. The iDAME bundle consisted of five interventions eventually: maintaining Interaction, tailored Diet, Acupressure, mindfulness Meditation, and physical Exercise. Conclusion The development of an evidence-based and consensus-based iDAME bundle which integrated western and traditional Chinese medicine intervention was described. Evidence summary made the bundle become scientific, while the Delphi study made it more maneuverable. Based on these results, the bundle would be potentially implemented in stroke patients for their psychological symptoms.
Multitarget Therapeutic Strategies for Alzheimer's Disease: Review on Emerging Target Combinations

Neurodegenerative diseases represent nowadays one of the major health problems. Despite the efforts made to unveil the mechanism leading to neurodegeneration, it is still not entirely clear what triggers this phenomenon and what allows its progression. Nevertheless, it is accepted that neurodegeneration is a consequence of several detrimental processes, such as protein aggregation, oxidative stress, and neuroinflammation, finally resulting in the loss of neuronal functions. Starting from these evidences, there has been a wide search for novel agents able to address more than a single event at the same time, the so-called multitarget-directed ligands (MTDLs). These compounds originated from the combination of different pharmacophoric elements which endowed them with the ability to interfere with different enzymatic and/or receptor systems, or to exert neuroprotective effects by modulating proteins and metal homeostasis. MTDLs have been the focus of the latest strategies to discover a new treatment for Alzheimer's disease (AD), which is considered the most common form of dementia characterized by neurodegeneration and cognitive dysfunctions. This review is aimed at collecting the latest and most interesting target combinations for the treatment of AD, with a detailed discussion on new agents with favorable in vitro properties and on optimized structures that have already been assessed in vivo in animal models of dementia.
Potential of Using Cell-Free DNA and miRNA in Breast Milk to Screen Early Breast Cancer

Objective An ideal sample source is critical for more reliable and sensitive early detection of nucleic acid changes associated with breast cancer. Breast milk (BM) is a good noninvasive origin for genetic testing of early breast cancer, but cells in BM are easily disintegrated. So we investigate here whether cell-free nucleic acid (cfNA) exists in BM in a more stable form and whether the quality of BM cfNA is good enough for genetic testing. Methods A self-designed qRT-PCR method was used to measure the existence and abundance of cfDNA. Quality of cfDNA and cfRNA were detected by capillary electrophoresis. Whole genome bisulfite sequencing and miRNA sequencing were used to explore the sources of cfDNA and cell-free miRNA in BM. The copy number analysis and z-test based on whole genome sequencing data were used to determine the integrity of genetic information in BM cfNA. Results We found that cell-free DNA and miRNA exist in the studied breast milk samples in a stable form that can tolerate incubation of BM at room temperature for at least 7 days. These cell-free nucleic acids come mainly from breast-derived cells and contain genetic information as good integrity as in BM cells. We further listed some candidate miRNAs as potential biomarkers for research of early breast cancer screening by analysis of previous reports and our data. Conclusions Our results suggest that cfDNA and cell-free miRNA in BM might be new noninvasive sample sources for finding early alterations of nucleic acid associated with the initiation and progression of breast cancer.
DOES ECOSYSTEM SIZE DETERMINE AQUATIC BACTERIA RICHNESS? REPLY

With the advent of DNA-based molecular technologies, microbial ecologists now have the tools to test whether general ecological patterns apply to microorganisms. In this study, we selected 11 high-mountain lakes from Sierra Nevada (Spain) to test the predictions of island-biogeography theory in relation to ecosystem size and isolation, and to assess the influence of other factors (i.e., ecosystem productivity, resource richness, and biotic interactions) on bacterial community structure. Bacterial operational taxonomic units (OTUs), generated by denaturing-gradient gel electrophoresis of polymerase chain-reaction-amplified 16S rRNA genes, were used as a surrogate of predominant "biodiversity units. " OTU composition among lakes was heterogeneous, and the number of site-specific OTUs was near 50%. Lake remoteness did not affect the number of bacterial OTUs although the spatial distribution of the lakes significantly influenced bacterial composition. Lakes that were closer together had more similar bacterial fingerprints. We found a consistent positive association between bacterial OTU richness and lake area. The slope of this relationship (0.161 +/- 0.026, including literature data) was similar to slopes obtained for organisms with high dispersion rates.
Virtual projection: exploring optical projection as a metaphor for multi-device interaction

Handheld optical projectors provide a simple way to overcome the limited screen real-estate on mobile devices. We present virtual projection (VP), an interaction metaphor inspired by how we intuitively control the position, size, and orientation of a handheld optical projector's image. VP is based on tracking a handheld device without an optical projector and allows selecting a target display on which to position, scale, and orient an item in a single gesture. By relaxing the optical projection metaphor, we can deviate from modeling perspective projection, for example, to constrain scale or orientation, create multiple copies, or offset the image. VP also supports dynamic filtering based on the projection frustum, creating overview and detail applications, and selecting portions of a larger display for zooming and panning. We show exemplary use cases implemented using our optical feature-tracking framework and present the results of a user study demonstrating the effectiveness of VP in complex interactions with large displays.
Tailoring Three-Point Functions and Integrability IV. Theta-morphism

We compute structure constants in N=4 SYM at one loop using Integrability. This requires having full control over the two loop eigenvectors of the dilatation operator for operators of arbitrary size. To achieve this, we develop an algebraic description called the Theta-morphism. In this approach we introduce impurities at each spin chain site, act with particular differential operators on the standard algebraic Bethe ansatz vectors and generate in this way higher loop eigenvectors. The final results for the structure constants take a surprisingly simple form. For some quantities we conjecture all loop generalizations. These are based on the tree level and one loop patterns together and also on some higher loop experiments involving simple operators.
Risk-Based Adaptive Authentication for IoT in Smart Home

Health care is one of the primary beneficiaries of the technological revolution created by Internet of Things (IoT). In the implementation of health care with IoT, Wireless body area network (WBAN) is a suitable communication tool. That being the case security has been one of the major concerns to efficiently utilize the services of WBAN. The diverse nature of the technologies involved in WBAN, the broadcast nature of wireless networks, and the existence of resource constrained devices are the main challenges to implement heavy security protocols for WBAN. In an effort to combat these challenges, in this paper we develop a risk-based adaptive authentication mechanism which continuously monitors the channel characteristics variation observed due to the movement of a user and devises involved in the network, analyzes a potential risk using naive Bayes machine learning algorithm and performs adaptation of the authentication solution. Our solution validates both the authenticity of the user and the device. In addition we evaluate the resource need of the selected authentication solution and provide an offloading functionality in case of scarce resource to perform the selected protocol. The approach is novel because it defines the whole adaptation process and methods required in each phase of the adaptation. The paper also briefly describes the evaluation use case eHealth in Smart Home.
Growth of tree seedlings in tropical rain forests of North Queensland, Australia

ABSTRACT The effects of forest habitat, canopy light condition, vertebrate herbivory and species mean seed size on growth of tree seedlings were evaluated for six widely different species of North Queensland tropical rain forests. Two forest localities differing in size and rainfall intensity were used for the trial. In each forest, seedlings were transplanted three weeks after germination into small to medium-sized canopy gaps and into the forest interiors, with half protected by cages and the other half unprotected. Growth measurements were made over a period of 16 months. All growth parameters examined differed significantly between the six species. At the end of the study period, for most species, forest site and protection from vertebrates did not affect seedling biomass. For all species, growth was higher in gaps than in forest interior, but most biomass allocation patterns did not differ between the two habitats. This was attributed to the small difference in photosynthetically active radiation (PAR) levels between the two habitats (interior, 0.48–2.53% PAR; gap, 3.58–7.09% PAR). Between species, seedling growth in the forest interior and sensitivity to increasing light were significantly correlated with initial mean seed size. The growth ability of the six species in and out of canopy gaps is discussed in terms of regeneration status of forest tree species.
The value of palm kernel meal in finishing diets for pigs: 2. The effect of the addition of cane molasses on the utilization of high level palm kernel meal diets

SUMMARY One hundred Large White x Landrace barrows and gilts were used in two experiments involving 50 pigs (25 barrows and 25 gilts) allocated on t h e basis of sex, litter origin and initial weight to five treatment groups of t en pigs each and individually and semi-restrictedly fed one of five diets. Diet one, t h e control, was a conventionally used fattener's diet based on groundnut, blood meal and maize mixtures, and containing 16 to 17% crude protein on dry-matter basis. The remaining four diets were approximately 17% crude protein diets based on palm kernel, blood meal and maize mixtures. The maize fraction was however replaced by 0, 10, 20 and 30% cane molasses in diets 2, 3, 4 and 5 respectively. Growth performance, feed efficiency, nutrient utilization and carcass quality were studied. I n both trials, the groundnut meal (GNM) based diet (treatment 1) supported significantly faster rates of gain t h a n all other diets except 3. I t also tended to produce fatter pigs than those on t h e palm kernel meal (PKM) based diets. Addition of 10% cane molasses (CM) to t h e basal PKM diet (treatment 3) significantly improved feed and dry-matter intake, r a t e and efficiency of gain, crude fibre digestibility and nitrogen retention. Higher levels depressed performance as well as d ry matter, protein and ether extract digestibility. Addition of cane molasses did not significantly influence carcass characteristics.
Variations in anatomy and ultraviolet microspectrometry between normal and brown midrib mutant maizes possessing different rumen degradabilities

Normal and brown midrib mutant (bmr) maize (Zea mays L) were examined for variations in their morphological composition. The degradability of the leaf blade, leaf sheath and stem, proportional area of specific tissues in leaf blade, and the ultraviolet (UV) absorption spectra of cell walls were measured and related to variations in cell wall degradability by rumen microorganisms. The UV and infrared (IR) absorption spectra of the lignins isolated from leaf blades of both types, before and after reduction with sodium borohydride, were recorded. The bmr3 maize had higher dry matter (DM) and neutral detergent fibre (NDF) degradabilities for leaf blade, leaf sheath, and stem than the normal counterpart. Approximately 35% and 26% of the observed difference in DM degradability was attributed to the difference in DM degradability of stem and leaf blade, respectively, and 39% to the difference in DM composition of stem. Distinct differences in tissue degradation of the leaf blades were observed for mesophyll cell walls in the midrib portion, which were thinner and of greater number in the bmr3 maize. Sclerenchyma cells were present only in the vascular bundles in the bmr3 leaf blade, while in the normal type those cells were underneath the epidermis tissue. The bmr3 plant also had large epidermal cells. UV microspectrometry of mesophyll cell walls of the bmr3 maize showed their lower UV absorbance around 320 nm compared to that of the normal, but not at 280 nm. Considerable increase in the UV absorbance at 280 nm was observed for the isolated lignins after reduction, suggesting a lesser degree of lignification in the bmr3 maize tissues. Lowered UV absorbance of the isolated lignin around 320 nm after reduction was associated with the removal of the IR bands at 1730, 1660, 1600, and 1250 cm−1.
Erlotinib as neoadjuvant treatment in patients with stage IIIA-N2 non-small cell lung cancer (NSCLC) with activating epidermal growth factor receptor (EGFR) mutation (NCT01217619, ESTERN).

e17551 Background: Patients with stage IIIA N2 NSCLC have poor outcomes with 5-year survival rate. Tyrosine kinase inhibitor monotherapy have been demonstrated a significant improvement in OR rate and PFS as first-line treatment for metastatic NSCLC patients with EGFR mutation. The objective of trial is to explore the efficacy and safety profile of erlotinib as neoadjuvant treatment in patients of stage IIIA-N2 NSCLC with EGFR mutation. The purpose of this neoadjuvant regime is to down-stage and increase complete resection rate in this patients setting. Methods: This is a single arm, one center, phase II study of erlotinib as neoadjuvant treatment in patients with Endobronchial Ultrasound (EBUS) confirmed stage IIIA-N2 NSCLC with activating EGFR mutation in exon 19 or 21. The primary endpoint is to evaluate radical resection rate. The secondary endpoint is pathological complete resection rate (pCR), objective response rate (ORR), disease free survival (DFS), overall survival (OS), quality of life (QoL) an.
Carbon storage and fluxes in ponderosa pine forests at different developmental stages

We compared carbon storage and fluxes in young and old ponderosa pine stands in Oregon, including plant and soil storage, net primary productivity, respiration fluxes, eddy flux estimates of net ecosystem exchange (NEE), and Biome‐BGC simulations of fluxes. The young forest (Y site) was previously an old‐growth ponderosa pine forest that had been clearcut in 1978, and the old forest (O site), which has never been logged, consists of two primary age classes (50 and 250 years old). Total ecosystem carbon content (vegetation, detritus and soil) of the O forest was about twice that of the Y site (21 vs. 10 kg C m−2 ground), and significantly more of the total is stored in living vegetation at the O site (61% vs. 15%). Ecosystem respiration (Re) was higher at the O site (1014 vs. 835 g C m−2 year−1), and it was largely from soils at both sites (77% of Re). The biological data show that above‐ground net primary productivity (ANPP), NPP and net ecosystem production (NEP) were greater at the O site than the Y site. Monte Carlo estimates of NEP show that the young site is a source of CO2 to the atmosphere, and is significantly lower than NEP(O) by c. 100 g C m−2 year−1. Eddy covariance measurements also show that the O site was a stronger sink for CO2 than the Y site. Across a 15‐km swath in the region, ANPP ranged from 76 g C m−2 year−1 at the Y site to 236 g C m−2 year−1 (overall mean 158 ± 14 g C m−2 year−1). The lowest ANPP values were for the youngest and oldest stands, but there was a large range of ANPP for mature stands. Carbon, water and nitrogen cycle simulations with the Biome‐BGC model suggest that disturbance type and frequency, time since disturbance, age‐dependent changes in below‐ground allocation, and increasing atmospheric concentration of CO2 all exert significant control on the net ecosystem exchange of carbon at the two sites. Model estimates of major carbon flux components agree with budget‐based observations to within ± 20%, with larger differences for NEP and for several storage terms. Simulations showed the period of regrowth required to replace carbon lost during and after a stand‐replacing fire (O) or a clearcut (Y) to be between 50 and 100 years. In both cases, simulations showed a shift from net carbon source to net sink (on an annual basis) 10–20 years after disturbance. These results suggest that the net ecosystem production of young stands may be low because heterotrophic respiration, particularly from soils, is higher than the NPP of the regrowth. The amount of carbon stored in long‐term pools (biomass and soils) in addition to short‐term fluxes has important implications for management of forests in the Pacific North‐west for carbon sequestration.
CA184-156: Randomized, multicenter, double-blind, phase III trial comparing the efficacy of ipilimumab (Ipi) plus etoposide/platinum (EP) versus placebo plus EP in patients (Pts) with newly diagnosed extensive-stage disease small cell lung cancer (ED-SCLC).

TPS7113 Background: EP (4-6 cycles) is standard of care 1st-line therapy for metastatic SCLC, and no multinational studies have reported any improvement beyond that reported for EP. Evidence of an ongoing immune response to SCLC tumors suggests that immunotherapy that enhances this immune response to SCLC may enhance the clinical benefit of EP. Ipi, a fully human monoclonal antibody which blocks CTLA-4, augments antitumor immune responses. Because some responses to Ipi may differ from those observed with cytotoxic therapies, immune-related response criteria (irRC) were derived from WHO criteria to better capture response patterns observed with Ipi. A randomized Phase 2 study of Ipi with paclitaxel/carboplatin (PC) in pts with ED-SCLC showed significant improvement in progression-free survival (PFS), as measured by irRC, over PC alone in pts receiving Ipi and PC in a phased regimen (Ipi started after 2 cycles of PC). Furthermore, addition of Ipi did not exacerbate PC toxicity, and immune-related adverse ev.
Change in plasma membrane ATPase activity during dormancy release of vegetative peach-tree buds

Plant dormancy and dormancy breaking depend, at least partially, on peculiar short distance relationships between buds and tissues underlying buds (bud stands). In peach-tree, it was previously observed that dormancy was related to a high nutrient absorption capacity in tissues underlying buds. This situation could be linked to higher plasma membrane ATPase activity (EC 3.6.1.3), inducing a higher nutrient absorption, in bud stands. This work consists of characterization of the plasma membrane ATPase activity in vegetative buds and bud stands during the rest period and dormancy release. During the dormant period (October and November), plasma membrane ATPase activity was found to be higher in bud stands than in buds. This was correlated with a lower amount of plasma membrane ATPase in buds compared to bud stands during this period. Moreover, plasma membrane ATPase activation by trypsin treatment was not the same in both tissues and different levels of ATPase activation could be noted within the same tissue during the different stages of dormancy release. According to these results, it can be postulated that dormancy release in peach-tree, is related to modifications of plasma membrane ATPase properties in buds and bud stands during winter time.
METRIC phase III study: Efficacy of trametinib (T), a potent and selective MEK inhibitor (MEKi), in progression-free survival (PFS) and overall survival (OS) compared with chemotherapy (C) in patients (pts) with BRAFV600/k mutant advanced or metastatic melanoma (MM).

LBA8509 Background: Dacarbazine (D) and paclitaxel (P) have been used to treat MM pts with limited effect. The MM treatment landscape has recently changed with the approval of vemurafenib and ipilimumab in 2011, but secondary malignancies or other toxicities are of concerns. T is a reversible, highly selective allosteric inhibitor of MEK1/2 activation and kinase activity. In a PhII trial (NCT01037127), pts with BRAFV600E mutation MM had median PFS of 5.3 mos. This PhIII trial (NCT01245062) was conducted in pts with BRAFV600E/K mutant advanced or MM. Methods: Pts were randomized 2:1 to T (2mg QD) or C (D or P). Pts were stratified by baseline LDH level and prior C; pts in the C arm were allowed to crossover to receive T after confirmation of PD. Primary endpoint was PFS in pts with BRAFV600E mutation-positive MM and no prior brain mets; secondary endpoints were OS, ORR and safety in primary and ITT. PFS and OS were compared using a stratified log-rank test. The study was designed with ≥99% power and one-si.
Phase II study of dovitinib in first-line metastatic or nonresectable primary adrenocortical carcinoma (ACC): SOGUG study 2011-03.

4587 Background: Dovitinib is a novel targeted therapy that inhibits the fribroblast growth factor receptor (FGFR). Preclinical studies have pointed to a major role of this pathway in adrenocortical carcinoma (ACC) thus we aimed to test its clinical efficacy in this tumor. Methods: A phase II proof of concept trial was designed. Since this is an extremely infrequent disease sample size calculation was done taking as a basis the first stage of a two-stage Gehan model. Thus 15 patients needed to be included to show a treatment efficacy of at least 15% (probability of Type I error α = 0.05, power [1 – β] = 0.8). Main inclusion criteria was advanced non-resectable ACC, histologically confirmed, with no prior therapy other than mitotane. Primary endpoint was response rate (RR) by RECIST 1.1 assessed by an independent radiologist. Secondary endpoints included clinical benefit (RR plus stable disease), progression free (PFS) and overall survival (OS). Dovitinib was administered at 500mg daily dose 5 days on 2 da.