Miracle-dz/UniFAR-FTUs huggingface dataset:
The prevalence of HSV-2 infection in HIV-1 discordant couples

SUMMARY We aimed to investigate the prevalence and associated factors of HSV-2 discordance and concordance in HIV-1-discordant couples. This study used the baseline data from a cohort study of HIV-1-discordant couples in Dehong prefecture of Yunnan province, China. Of 954 participating couples, 42·4% were affected by HSV-2, of which 20·4% were HSV-2-concordant positive, 7·6% were HSV-2-discordant where the male was HSV-2 positive, and 14·4% were HSV-2 discordant where the female was HSV-2 positive. Compared to HSV-2-negative concordance, HSV-2 discordance with an HSV-2-positive male spouse was significantly associated with characteristics of the male spouse, including Han ethnicity and being in a second marriage. HSV-2 discordance with an HSV-2-positive female spouse was significantly associated with characteristics of the female spouse, including Han ethnicity, having engaged in commercial sex, having a sexual relationship of <3 years and being HIV-1 infected. Compared to HSV-2 discordance, HSV-2-positive concordance was significantly associated with an education level of middle school or higher for both spouses, a sexual relationship of ⩾3 years, more frequent sex and having an HIV-1-infected male spouse. The findings highlight the need for HSV-2 prevention and treatment efforts to reduce HSV-2 transmission in this population, and emphasize the importance of implementing prevention interventions early in couples' relationships.
Macroporous interpenetrating network of polyethylene glycol (PEG) and gelatin for cartilage regeneration

Poor mechanical properties hinder the application of hydrogels in cartilage tissue engineering. In this study, macroporous interpenetrating network (IPN) hydrogels of gelatin and polyethylene glycol (PEG) were fabricated for use as a functional biomaterial to support chondrocyte culture. The IPN structure enhanced mechanical properties, while the macroporous structure facilitated cell–cell interactions. The hydrogels had pore sizes around 80 μm with favorable interconnectivity, reduced volume swelling ratios, and nearly unchanged weight swelling ratios with increasing gelatin ratios. More significantly, the Young’s modulus increased with increasing gelatin ratio, reaching a 5.3-fold increase (p < 0.01) in IPN-10% over that of the PEG group. Chondrocytes developed elongated and fibroblast morphologies with extensive cell–cell interaction throughout IPN hydrogels, compared with round, isolated aggregates in PEG hydrogels. The glycosaminoglycan (GAG) accumulation was significantly higher in IPN hydrogels than in PEG hydrogels at day 21 and day 28. Additionally, significantly higher gene expressions of collagen II (p < 0.01) and sox-9 (p < 0.01) were found in IPN-10% when compared with other groups. Overall, the macroporous IPN hydrogels showed strong tissue formation abilities and enhanced mechanical properties, demonstrating high potential as scaffolds for cartilage regeneration.
Intraoperative Insertion of Greenfield Filters: Lessons Learned in a Personal Series of 152 Cases

The objective of this study was to define outcomes of 151 patients who underwent insertion of 152 Greenfield filters in the operating room by general and vascular surgery residents with supervision by one attending vascular surgeon. Each patient was taken to the operating room for inferior vena cava (IVC) interruption immediately after a vena cavagram was performed. One patient required a subsequent return to the operating room after developing paradoxical arterial embolism from a large venous thromboembolism which was trapped by and spanned both sides of the first IVC filter. In this case a second suprarenal filter was placed at the time of arterial embolectomy. In each of these 152 cases intraoperative venacavography was performed using a mobile C-arm. Complications such as hemothorax, filter misplacement, and vena cava perforation were identified. Late survival was defined using the Social Security Death Index. Of the 151 patients undergoing intraoperative insertion of Greenfield filters there was one hemothorax from attempts at acquiring venous access via percutaneous puncture of the internal jugular vein. This required transfusion but not thoracotomy, and IVC interruption was achieved. A separate patient had insertion of a Greenfield filter into a gonadal vein which required placement of a second filter into the IVC. There was one IVC perforation from a transfemoral filter insertion which required placement of a second filter above this perforation and laparotomy to retrieve the filter and repair the IVC. In one more patient the IVC filter initially failed to open, and a second filter was placed above the first filter. In this experience the misplacement rate was 0.7 per cent and the serious complication rate was 1.3 per cent. None of the patients was adversely affected per se by transfer to the operating room for Greenfield filter insertion. No patient died from filter insertion, but in two cases serious associated complications contributed to the adverse outcomes in these already terminally ill patients. Overall 30-day mortality rate was 6.6 per cent. Late survival was defined as follows: survival at one year after filter insertion was 75 per cent, at 2 years 63 per cent, at 3 years 60 per cent, at 4 years 57 per cent, and at 5 years 54 per cent. Mean survival after filter placement was 4.96 years. We conclude that Greenfield filters can be inserted in the operating room by general and vascular surgery residents with attending supervision with reasonable safety and with a low rate of filter misplacement. The caval perforation and gonadal vein filter misplacement could both have been avoided by use of an over-the-wire filter deployment system, which at the time of these specific complications was not available. Vena cava filter insertion should remain within the scope of practice of surgeons and can be done with reasonable safety under C-arm guidance in the operating room. Use of over-the-wire systems could have helped reduce the likelihood of all but one of the filter-related complications experienced in this series.
Increases in regional subarachnoid CSF without apparent cortical gray matter deficits in schizophrenia: modulating effects of sex and age.

OBJECTIVE The authors investigated the modulating effects of biological sex and age on regional decreases in cortical gray matter and increases in subarachnoid CSF in 25 patients with chronic schizophrenia and 28 group-matched healthy comparison subjects. METHOD Computational cortical pattern-matching methods were employed to measure the local proportions of gray matter and subarachnoid CSF at thousands of homologous cortical surface locations in each subject using high-resolution magnetic resonance images. Principal-component analysis reduced tissue proportion values obtained at each cortical surface point into component scores for each subject. Principal-component analysis scores were used as dependent variables in statistical analyses that included diagnosis, age, and sex as predictor variables. To reveal more regional changes in tissue proportions, statistical differences in gray matter and CSF were compared at each cortical surface location and mapped in three dimensions. RESULTS Principal-component analyses revealed main effects of diagnosis, sex, and age for the CSF increases seen in the schizophrenia patients, in male subjects, and in association with age. Significant diagnosis-by-age, diagnosis-by-sex, and diagnosis-by-sex-by-age interactions were also observed, revealing CSF increases in male patients at younger ages. Statistical maps showed regional increases in subarachnoid CSF in association with the above effects. For cortical gray matter measurements, only main effects of age were observed. CONCLUSIONS Regionally specific increases in sulcal and subarachnoid CSF occur during adulthood and appear prematurely in male schizophrenia patients. Cortical gray matter reductions show aging effects but are below the threshold of significance in schizophrenia.
Analysis of the Complex Effect of Donor’s Age on Survival of Subjects Who Underwent Heart Transplantation

Background. Only half of the patients waiting for a heart transplant undergo surgery, whereas several patients continue to die while on the waiting list. Donor organ availability still represents a major problem with respect to reducing the length of the cardiac transplant waiting list. One option to improve donor availability is the use of so called “marginal donors. ” The aims of the present study are to analyze the short-mid term survival of cardiac transplanted patients in Italy, and investigate the effect of donor age on prognosis. Methods. A prospective cohort study including all adult patients who underwent heart transplantations in Italy was used to analyze the main factors contributing to organ survival. Results. From 1995–2002, 2,504 adult subjects underwent a cardiac transplant, and were followed up for a period of 540.9 days. Overall, 1-year graft survival was 83.1%. Organs from donors older than 55 years had a lower survival than organs from younger donors. By multivariate analysis, both donor’s and recipient’s age seem to be important determinants of graft survival. A more sophisticated analysis shows that the trend of the risk of graft failure according to donor’s age is not linear, with a peak at age 47.3 years, and differs according to sex. Conclusions. Results from the present analysis suggest that the association between heart transplant survival and donor’s age is not a linear one, but follows a complex mathematical model, with influences of sex, at least in our sample.
The effects of altitude associated central apnea on the diagnosis and treatment of obstructive sleep apnea: comparative data from three different altitude locations in the mountain west.

STUDY OBJECTIVES This study documents both the incidence and effects of central apnea on diagnosis and treatment of OSA at different altitudes in the Mountain West and substantiates the clinical impression that individuals living at altitude with moderate to severe OSA are significantly more difficult to treat with PAP. METHODS Split-night polysomnography was compared between sites for patients with a diagnostic AHI > 15 living at 1421 meters (Site 1; N = 150), at 1808 m (Site 2; N = 150) and at 2165 m (Site 3; N = 142). The quality of PAP titration obtained was rated, based on AASM clinical guidelines, from 1 = optimal to 4 = unacceptable. Patients developing central apneas during PAP therapy (CAI > 5.0) were titrated with an alternative O(2) > CPAP/Bilevel PAP protocol. RESULTS The mean number of central apneas in the diagnostic portion of studies was significantly higher (p < 0.01) at Sites 2 (19.26) and 3 (12.36) than at Site 1 (3.11). Mean numbers of central apneas/h developing on treatment with PAP varied from 4.8/h at Site 1, to 9.79/h at Site 2, to 19.25/h at Site 3 (p < 0.001). At Site 1, 10.6% had a central apnea index (CAI) > 5.0, while 22% met this criterion at Site 2 and 38.7% at Site 3 (Site 3 vs Site 1, p = 0.01; Site 2 vs Site 1, p = 0.02). Rated titration quality varied significantly between sites. At Site 1, mean titration quality was 1.437 (SD 0.821); for Site 2, 1.569 (SD 0.96), and for Site 3, 1.772 (SD 1.025). Titration quality at Site 3 was significantly worse than at Site 1 (t = 3.22, p < 0.01) and at Site 2 (t = 2.55, p < 0.02). Repeat titration requirement differed significantly (p = 0.025). Analysis of covariance comparing titration across 3 altitude levels, controlling for age, was significant for the effect of altitude (p = 0.017). Utilizing the alternative O(2) > C-PAP/Bi-PAP protocol in patients with CAI > 5.0 developing on PAP treatment, an overall optimal or good titration (AASM criteria) was attained in 75/79 (95%) of titrated patients. CONCLUSIONS This study demonstrates that central apnea becomes significantly more common at increasing altitude in both diagnostic and treatment portions of split-night polysomnography in patients with significant OSA. An apparent exponential increase in the percentage of OSA patients with a CAI > 5.0 occurs with increasing altitude. Altitude associated central apnea has a significant negative effect on the quality of OSA treatment obtained during PAP titration for patients living at the altitudes addressed in this study.
A novel partial deletion of the Y chromosome azoospermia factor c region is caused by non-homologous recombination between palindromes and may be associated with increased sperm counts.

BACKGROUND The male-specific region of the human Y chromosome (MSY) contains multiple testis-specific genes. Most deletions in the MSY lead to inadequate or absent sperm production. Nearly all deletions occur via homologous recombination between amplicons. Previously, we identified two P5/distal-P1 deletions that did not arise via homologous recombination but most probably via non-homologous recombination (NHR) between palindromes. In the current study, we set out to identify deletions in the azoospermia factor c (AZFc) region caused by NHR between palindromes. METHODS We screened 1237 men using plus/minus and quantitative real-time polymerase chain reaction, fluorescence in situ hybridization and Southern blot analyses for deletions caused by NHR. These 1237 men originated from two series: one series of 237 men with azoospermia or severe oligozoospermia and 148 with normozoospermia and one series of 852 consecutively included men of subfertile couples unselected for sperm count. RESULTS We identified eight unrelated men with deletions caused by NHR. These deletions could be categorized into four classes termed P3a, P3b, P3c and P3d. The P3a and P3b deletions were found in single instances whereas the P3c and P3d deletions were found in three men. Men with a P3c deletion had a higher total sperm count than those without a deletion (median 378.8 × 10(6) versus 153.9 × 10(6), P = 0.040). We did not find an association of the other P3 deletions with altered sperm counts. CONCLUSIONS We have found a novel subclass of partial AZFc deletions that results from NHR. One deletion, the P3c deletion, might be associated with increased sperm count.
Cerebral Achromatopsia in Monkeys

In human cerebral achromatopsia, extrastriate cortical damage produces a severe or complete loss of colour vision, with relative sparing of non‐chromatic vision. The critical lesion appears to be in a medial occipito‐temporal area, occupying the lingual and caudal fusiform gyri; positron emission tomography has shown that this cortical region is one of several activated in normal human observers during colour vision tasks. Attempts to find an analogous ‘colour centre’ in the cortex of monkeys have not been successful. In particular, ablation of cortical area V4, sometimes thought on physiological grounds to be more involved in wavelength and colour coding than any other visual cortical area, produces only mild impairments in colour discrimination. In the present study we tested the colour vision of monkeys after cortical ablations that mainly or entirely spared area V4. One group of monkeys (group AT) received ablations in the temporal lobe anterior to area V4, and a second group (group MOT) received ablations in a medial occipito‐temporal area roughly corresponding in cranial location to the lesion that produces human cerebral achromatopsia. The animals in group MOT showed no impairment of their colour vision. Group AT, in contrast, had a severe impairment in chromatic vision, with a relative sparing of non‐chromatic vision. Their behaviour was indistinguishable from that of a human patient with total cerebral achromatopsia who had been tested on the same tasks. These results show that area V4 in macaque monkeys is not analogous, and probably not homologous, to the human colour centre. Instead, they suggest that the area of the monkey's brain corresponding to the colour area in the human brain is in the temporal cortex, anterior to area V4.
BINAURALIZATION OF OMNIDIRECTIONAL ROOM IMPULSE RESPONSES-ALGORITHM AND TECHNICAL EVALUATION

The auralization of acoustic environments over headphones is often realized with data-based dynamic binaural synthesis. The required binaural room impulse responses (BRIRs) for the convolution process can be acquired by performing measurements with an artificial head for different head orientations and positions. This procedure is rather costly and therefore not always feasible in practice. Because a plausible representation is sufficient for many practical applications, a simpler approach is of interest. In this paper we present the BinRIR (Binauralization of omnidirectional room impulse responses) algorithm, which synthesizes BRIR datasets for dynamic auralization based on a single measured omnidirectional room impulse response (RIR). Direct sound, early reflections, and diffuse reverberation are extracted from the omnidirectional RIR and are separately spatialized. Spatial information is added according to assumptions about the room geometry and on typical properties of diffuse reverberation. The early part of the RIR is described by a parametric model and can easily be modified and adapted. Thus the approach can even be enhanced by considering modifications of the listener position. The late reverberation part is synthesized using binaural noise, which is adapted to the energy decay curve of the measured RIR. In order to examine differences between measured and synthesized BRIRs, we performed a technical evaluation for two rooms. Measured BRIRs are compared to synthesized BRIRs and thus we analyzed the inaccuracies of the proposed algorithm.
Exosomes as Biomarker Enriched Microvesicles: Characterization of Exosomal Proteins Derived from a Panel of Prostate Cell Lines with Distinct AR Phenotypes

Prostate cancer is the leading type of cancer diagnosed in men. In 2010, ∼217,730 new cases of prostate cancer were reported in the United States. Prompt diagnosis of the disease can substantially improve its clinical outcome. Improving capability for early detection, as well as developing new therapeutic targets in advanced disease are research priorities that will ultimately lead to better patient survival. Eukaryotic cells secrete proteins via distinct regulated mechanisms which are either ER/Golgi dependent or microvesicle mediated. The release of microvesicles has been shown to provide a novel mechanism for intercellular communication. Exosomes are nanometer sized cup-shaped membrane vesicles which are secreted from normal and cancerous cells. They are present in various biological fluids and are rich in characteristic proteins. Exosomes may thus have potential both in facilitating early diagnosis via less invasive procedures or be candidates for novel therapeutic approaches for castration resistance prostate cancer. Because exosomes have been shown previously to have a role in cell-cell communication in the local tumor microenvironment, conferring activation of numerous survival mechanisms, we characterized constitutive lipids, cholesterol and proteins from exosomes derived from six prostate cell lines and tracked their uptake in both cancerous and benign prostate cell lines respectively. Our comprehensive proteomic and lipidomic analysis of prostate derived exosomes could provide insight for future work on both biomarker and therapeutic targets for the treatment of prostate cancer.
Declining HIV prevalence and risk behaviours in Zambia: evidence from surveillance and population-based surveys

ObjectiveTo examine trends in HIV prevalence and behaviours in Zambia during the 1990s. MethodsThe core Zambian system for epidemiological surveillance and research has two major components: (i) HIV sentinel surveillance at selected antenatal clinics (ANC) in all provinces; and (ii) population-based HIV surveys in selected sentinel populations (1996 and 1999). The former was refined in 1994 to improve the monitoring of prevalence trends, whereas the latter was designed to validate ANC-based data, to study change in prevalence and behaviour concomitantly and to assess demographic impacts. ResultsThe ANC-based data showed a dominant trend of significant declines in HIV prevalence in the 15–19 years age-group, and for urban sites also in age-group 20–24 years and overall when rates were adjusted for over-representation of women with low education. In the general population prevalence declined significantly in urban women aged 15–29 years whereas it showed a tendency to decline among rural women aged 15–24 years. Prominent decline in prevalence was associated with higher education, stable or rising prevalence with low education. There was evidence in urban populations of increased condom use, decline in multiple sexual partners and, among younger women, delayed age at first birth. ConclusionsThe results suggested a dominant declining trend in HIV prevalence that corresponds to declines in incidence since the early 1990s attributable to behavioural changes. Efforts to sustain the ongoing process of change in the well-educated segments of the population should not be undervalued, but the modest change in behaviour identified among the most deprived groups represents the major preventive challenge.
An Algorithm for Medical Image Registration using Local Feature Modal Mapping

Based on local feature descriptors of medical images, we propose a novel algorithm named Local Feature Descriptors Modality Mapping (LFDMM). Local feature descriptor module mapping can map the multimodal medical image to the same pattern or the same mode. This overcomes the shortcomings of multimodal medical image registration algorithm and single-mode medical image registration algorithm due to image modality differences between existing gaps. The results show that LFDMM could not only make full use of the gray value of the images, but also the position of each point in the images, as well as the scales and orientations. With the help of LFDMM, the measurement functions of the single-modal image registration algorithms can be applied into the multi-modal image registration, and the robustness and accuracy benefited from their respective advantages.
Approximation and Optimal Control of Dissipative Solutions to the Ericksen–Leslie System

Abstract We analyze the Ericksen–Leslie system equipped with the Oseen–Frank energy in three space dimensions. Recently, the author introduced the concept of dissipative solutions. These solutions show several advantages in comparison to the earlier introduced measure-valued solutions. In this article, we argue that dissipative solutions can be numerically approximated by a relatively simple scheme, which fulfills the norm-restriction on the director in every step. We introduce a semi-discrete scheme and derive an approximated version of the relative-energy inequality for solutions of this scheme. Passing to the limit in the semi-discretization, we attain dissipative solutions. Additionally, we introduce an optimal control scheme, showing the existence of an optimal control and a possible approximation strategy. We prove that the cost functional is lower semi-continuous with respect to the convergence of this approximation and argue that an optimal control is attained in the case that there exists a solution admitting additional regularity.
Optimising flavour in basil

A high linalool/eugenol profile is typical of European type varieties and is considered the highest quality. It is established as the primary chemotype grown in the UK. Others types containing cinnamate or estragole as the major constituent are considered niche varieties in the UK, but they may be popular for international cuisine. The six Action points ● Maintain consistent daytime temperatures of around 25°C where possible, to promote production of flavour compounds