Miracle-dz/UniFAR-FTUs huggingface dataset:
Multilaboratory Comparison of Hepatitis C Virus Viral Load Assays

ABSTRACT We report a multilaboratory evaluation of hepatitis C virus (HCV) viral load assays to determine their linear range, reproducibility, subtype detection, and agreement. A panel of HCV RNA samples ranging in nominal concentration from 1.0 to 7.0 log10 IU/ml was constructed by diluting a clinical specimen (genotype 1b). Replicates of the panel were tested in multiple laboratories using the Abbott TaqMan analyte-specific reagent (Abbott reverse transcription-PCR [RT-PCR]), Roche TaqMan RUO (Roche RT-PCR), Roche Amplicor Monitor HCV 2.0 (Roche Monitor), and Bayer VERSANT HCV RNA 3.0 (Bayer bDNA) assays. Bayer bDNA-negative specimens were tested reflexively using the Bayer VERSANT HCV RNA qualitative assay (Bayer TMA). Abbott RT-PCR and Roche RT-PCR detected all 28 replicates with a concentration of 1.0 log10 IU/ml and were linear to 7.0 log10 IU/ml. Roche Monitor and Bayer bDNA detected 27 out of 28 and 13 out of 28 replicates, respectively, of 3.0 log10 IU/ml. Bayer TMA detected all seven replicates with 1.0 log10 IU/ml. Bayer bDNA was the most reproducible of the four assays. The mean viral load values for panel members in the linear ranges of the assays were within 0.5 log10 for the different tests. Eighty-nine clinical specimens of various genotypes (1 through 4) were tested in the Bayer bDNA, Abbott RT-PCR, and Roche RT-PCR assays. For Abbott RT-PCR, mean viral load values were 0.61 to 0.96 log10 greater than the values for Bayer bDNA assay for samples with genotype 1, 2, or 3 samples and 0.08 log10 greater for genotype 4 specimens. The Roche RT-PCR assay gave mean viral load values that were 0.28 to 0.82 log10 greater than those obtained with the Bayer bDNA assay for genotype 1, 2, and 3 samples. However, for genotype 4 samples the mean viral load value obtained with the Roche RT-PCR assay was, on average, 0.15 log10 lower than that of the Bayer bDNA. Based on these data, we conclude that the sensitivity and linear range of the Abbott and Roche RT-PCR assays enable them to be used for HCV diagnostics and therapeutic monitoring. However, the differences in the viral load values obtained with the different assays underscore the importance of using one assay when monitoring response to therapy.
Selected ion flow tube studies of several siloxanes.

RATIONALE People are using increasing amounts of siloxanes that ultimately end up in landfills and then in landfill gas and biogas digesters. Their presence poses difficulties for industries seeking to utilize the energy content of landfill and biogas, as the combustion process oxidises silicon to silicon dioxide that in turn damages engine parts. Rapid, efficient and accurate methods are needed to quantify their presence. METHODS Selected ion flow tube mass spectrometry (SIFTMS) is an emerging real-time technique that has found application for monitoring trace volatiles in air. Samples containing the trace volatiles are simply drawn into the flow tube and convected in a stream of helium. Chemical ionization reactions from mass-selected reagent ions with the volatiles ensue. To quantify the volatiles in the sample, the ion chemistry of the reagent ion with each volatile must be known. RESULTS Rate coefficients and product ion branching ratios were found for the compounds dodecamethylpentasiloxane, decamethylcyclopentasiloxane, decamethyltetrasiloxane, octamethylcyclotetrasiloxane, triethylsilanol, tetramethylsilane and hexamethyldisilazane. CONCLUSIONS The ion-molecule reactions of the seven silicon-containing compounds examined here were fast, occurring at or near the collision rate, thus allowing for detection at low levels. The very simple reaction chemistry found of proton transfer, electron transfer and methyl loss will enable easy quantitation of the siloxanes in landfill gas and biogas using the SIFTMS technique.
Intraoperative Electrophysiological Monitoring in Spine Surgery

Study Design. Review of the literature with analysis of pooled data. Objective. To assess common intraoperative neuromonitoring (IOM) changes that occur during the course of spinal surgery, potential causes of change, and determine appropriate responses. Further, there will be discussion of appropriate application of IOM, and medical legal aspects. The structured literature review will answer the following questions: What are the various IOM methods currently available for spinal surgery? What are the sensitivities and specificities of each modality for neural element injury? How are the changes in each modality best interpreted? What is the appropriate response to indicated changes? Recommendations will be made as to the interpretation and appropriate response to IOM changes. Summary of Background Data. Total number of abstracts identified and reviewed was 187. Full review was performed on 18 articles. Methods. The MEDLINE database was queried using the search terms IOM, spinal surgery, SSEP, wake-up test, MEP, spontaneous and triggered electromyography alone and in various combinations. Abstracts were identified and reviewed. Individual case reports were excluded. Detailed information and data from appropriate articles were assessed and compiled. Results. Ability to achieve IOM baseline data varied from 70% to 98% for somatosensory-evoked potentials (SSEP) and 66% to 100% for motor-evoked potentials (MEP) in absence of neural axis abnormality. Multimodality intraoperative neuromonitoring (MIOM) provided false negatives in 0% to 0.79% of cases, whereas isolated SSEP monitoring alone provided false negative in 0.063% to 2.7% of cases. MIOM provided false positive warning in 0.6% to 1.38% of cases. Conclusion. As spine surgery, and patient comorbidity, becomes increasingly complex, IOM permits more aggressive deformity correction and tumor resection. Combination of SSEP and MEP monitoring provides assessment of entire spinal cord functionality in real time. Spontaneous and triggered electromyography add assessment of nerve roots. The wake-up test can continue to serve as a supplement when needed. MIOM may prove useful in preservation of neurologic function where an alteration of approach is possible. IOM is a valuable tool for optimization of outcome in complex spinal surgery.
Conditions associated with an abnormal nonspecific pattern of pulmonary function tests.

BACKGROUND Little is known about a fairly frequent abnormal pattern of pulmonary function test results: reduced FEV(1) and FVC with a normal FEV(1)/FVC and normal total lung capacity. We term this a nonspecific pattern (NSP). We sought to identify medical conditions having this pattern and to explore mechanisms producing it. METHODS From a database of 80,929 test results, the NSP was found in 7,702 subjects from whom was drawn a random sample of 100 subjects. Medical records and all available tests were examined. RESULTS Airway hyperresponsiveness (AHR) and obesity were common. Two groups of subjects were identified. Group A consisted of 68 subjects with evidence of airway disease, including AHR and chronic lung disease. A volume derecruitment model was proposed to explain their NSP. Group B consisted of 32 subjects with no evidence of airway disease. Restricted expansion of the thorax or lung may explain the NSP in most of these subjects. Forty subjects had repeated tests, and in only 17 were the test results consistently nonspecific. CONCLUSIONS In a random sample of 100 subjects with the NSP, the probable underlying cause of the pattern in 68 subjects was airway disease. In most of the remaining 32 subjects, restricted expansion of the thorax or lung may be implicated.
Efficient and Privacy-Preserving Online Medical Prediagnosis Framework Using Nonlinear SVM

With the advances of machine learning algorithms and the pervasiveness of network terminals, the online medical prediagnosis system, which can provide the diagnosis of healthcare provider anywhere anytime, has attracted considerable interest recently. However, the flourish of online medical prediagnosis system still faces many challenges including information security and privacy preservation. In this paper, we propose an e fficient and privacy-preserving online medical prediagnosis framework, called eDiag, by using nonlinear kernel support vector machine (SVM). With eDiag, the sensitive personal health information can be processed without privacy disclosure during online prediagnosis service. Specifically, based on an improved expression for the nonlinear SVM, an efficient and privacy-preserving classification scheme is introduced with lightweight multiparty random masking and polynomial aggregation techniques. The encrypted user query is directly operated at the service provider without decryption, and the diagnosis result can only be decrypted by user. Through extensive analysis, we show that eDiag can ensure that users’ health information and healthcare provider's prediction model are kept confidential, and has significantly less computation and communication overhead than existing schemes. In addition, performance evaluations via implementing eDiag on smartphone and computer demonstrate eDiag's effectiveness in term of real online environment.
Microvascular Function in Human Diabetes: A Physiological Perspective

The late complications of diabetes represent in large part microvascular dysfunction. The development of techniques to measure microvascular function has resulted in a clearer picture of the stages of development of microangiopathy and the key pathophysiological processes involved. Considerable evidence supports the hemodynamic hypothesis of pathogenesis, which argues that early insulin-dependent diabetes is characterized by increased microvascular pressure and flow. Resultant injury to the microvascular endothelium causes adaptive microvascular sclerosis contributing to a loss of vasodilatory reserve and autoregulatory capacity with increasing disease duration. High susceptibility to microangiopathy appears to be characterized by both high capillary pressure and increased permeability, although the interrelationship between these variables needs to be better defined. In normotensive non-insulin-dependent diabetes subjects, a different pattern of microvascular functional abnormalities is apparent; it is hypothesized that these differences represent the impact of a prediabetic insulin-resistant phase on microvascular behavior and may in part explain the differential expression of vascular pathology in the two major types of diabetes. The physiological framework that has been defined reveals those pivotal processes upon which scientific attention should be centered and facilitates the generation of plausible molecular and cellular mechanisms that fit the physiological facts.
Nanotechnology-enabled delivery of NQO1 bioactivatable drugs

Abstract Current cancer chemotherapy lacks specificity and is limited by undesirable toxic side-effects, as well as a high rate of recurrence. Nanotechnology has the potential to offer paradigm-shifting solutions to improve the outcome of cancer diagnosis and therapy. β-Lapachone (β-lap) is a novel anticancer agent whose mechanism of action is highly dependent on NAD(P)H:quinone oxidoreductase 1 (NQO1), a phase II detoxifying enzyme overexpressed in solid tumors from a variety of cancer types. However, the poor water solubility of β-lap limits its clinical potential. A series of drug formulations were developed for systemic administration in preclinical evaluations. Encapsulation of β-lap into polymeric micelles showed less side-effects and higher maximum tolerated dose (MTD), prolonged blood circulation time and preferential accumulation in tumors with greatly improved safety and antitumor efficacy. The prodrug strategy of β-lap further decreases the crystallization of β-lap by introducing esterase degradable side chains to the rigid fused ring structure. β-Lap prodrugs considerably increased the stability, drug-loading content and delivery efficiency of nanoparticles. The optimized formulation of β-lap-dC3 prodrug micelles showed excellent antitumor efficacy in treating orthotopic non-small cell lung tumors that overexpress NQO1, with target validation using pharmacodynamic endpoints.
How Much are Harry Potter's Glasses Worth? Children's Monetary Evaluation of Authentic Objects

Adults attach special value to objects that link to notable people or events—authentic objects. We examined children's monetary evaluation of authentic objects, focusing on four kinds: celebrity possessions (e.g., Harry Potter's glasses), original creations (e.g., the very first teddy bear), personal possessions (e.g., your grandfather's baseball glove), and merely old items (e.g., an old chair). Children ages 4 to 12 years old and adults (N = 151) were asked how much people would pay for authentic and control objects. Young children consistently placed greater monetary value on celebrity possessions than on original creations, even when adults judged the two kinds of items to be equivalent. These results suggest that contact with a special individual may be the foundation for the value placed on authentic objects.
REPRODUCTIVE SPECIALIZATIONS IN A VIVIPAROUS AFRICAN SKINK AND ITS IMPLICATIONS FOR EVOLUTION AND CONSERVATION

—Recent research on the African scincid lizard, Trachylepis ivensi, has significantly expanded the range of known reproductive specializations in reptiles. This species is viviparous and exhibits characteristics previously thought to be confined to therian mammals. In most viviparous squamates, females ovulate large yolk-rich eggs that provide most of the nutrients for development. Typically, their placental components (fetal membranes and uterus) are relatively unspecialized, and similar to their oviparous counterparts. In T. ivensi, females ovulate tiny eggs and provide nutrients for embryonic development almost entirely by placental means. Early in gestation, embryonic tissues invade deeply into maternal tissues and establish an intimate “endotheliochorial” relationship with the maternal blood supply by means of a yolk sac placenta. The presence of such an invasive form of implantation in a squamate reptile is unprecedented and has significant functional and evolutionary implications. Discovery of the specializations of T. ivensi illustrates why the study of a few convenient “animal models” is no substitute for broad-based studies of biological diversity as directed by phylogenetic considerations. Our study also underscores the value of museum collections to studies of biological diversity.
Outcome at 30 days in the New England Medical Center Posterior Circulation Registry.

BACKGROUND Vertebrobasilar disease is generally considered a condition with a poor prognosis because of high rates of mortality and severe disability. OBJECTIVE To compare the outcomes of 407 patients entered in the New England Medical Center Posterior Circulation Registry with the reported results of other studies. RESULTS In contrast, among 407 patients prospectively and consecutively studied in the New England Medical Center Posterior Circulation Registry, we found a low mortality rate at 30 days after onset (3.6%) and relatively low rates of major disability (18% using a Modified Rankin Disability Scale score). Thirty days after stroke, 28% of the patients had no disability and 51% had only a minor disability. Stroke location, stroke mechanism, and arteries involved predicted outcome. Basilar artery involvement, embolic stroke mechanism, and multiple posterior circulation intracranial territory involvement correlated with poor outcome. Patients with lesions in the basilar artery were 5 times more likely to have a poor outcome independent of other factors. Lesions in the middle and distal territories were each associated with a poor outcome in one third of the patients. CONCLUSION In contrast with previous reports, we found that vertebrobasilar occlusive disease consists of a variety of different stroke mechanisms and vascular lesions, many with a good prognosis.
In Vitro Activity of LY127935

LY127935 is a unique new β-lactam antibiotic. Its activity against 536 clinical isolates was studied by using microdilution methods of susceptibility testing and compared with the activities of cefamandole, cefoxitin, and cephalothin. The lowest concentrations required to inhibit at least 90% of strains tested (MIC90s) of LY127935 for Staphylococcus aureus, Streptococcus pyogenes, Streptococcus agalactiae, and Streptococcus pneumoniae ranged from 2 to 8 μg/ml. The MIC90s for other staphylococci and streptococci were higher. The MIC90s for Enterobacteriaceae and Pseudomonas species ranged from 0.12 to 8 μg/ml and 8 to >32 μg/ml, respectively. The MIC90s for anaerobes ranged from 2 to >32 μg/ml. As determined by MIC90s, LY127935 was consistently the least active antibiotic against facultatively anaerobic gram-positive cocci and the most active against aerobic and facultatively anaerobic gram-negative bacilli. Its position with respect to activity against anaerobes varied from being the most active against Bacteroides fragilis and Clostridium perfringens to the least active against anaerobic cocci. In a population of multidrug-resistant isolates, concentrations of 8 μg or less of LY127935 per ml inhibited 82% of Enterobacteriaceae; concentrations of 32 μg or less per ml inhibited 100% of Enterobacteriaceae and 40% of P. aeruginosa. Increasing the inoculum size by 100-fold did not increase the minimal inhibitory concentrations of LY127935 or cefoxitin but did increase minimal inhibitory concentrations of cefamandole and cephalothin for some Enterobacteriaceae. All four drugs were bactericidal; minimal bactericidal concentrations were the same or one concentration higher than minimal inhibitory concentrations for 91 to 96% of strains tested. The broad spectrum and marked in vitro activity of LY127935 make it a promising new antibiotic.
Face Recognition With Image Sets Using Locally Grassmannian Discriminant Analysis

We propose an efficient and robust solution, called locally Grassmannian discriminant analysis (LGDA), for face recognition with image set, where each set contains images belonging to the same subject and typically covering large variations. In our work, by modeling each image set as a nonlinear manifold, linearity-constrained nearest neighborhood clustering is first presented for expressing a manifold by a collection of local linear models (LLMs), each depicted by a subspace. With a proper kernel function defined by canonical correlation between the subspaces, the obtained LLMs can be projected into low-dimensional LGDA embedding space using a set of locally linear transformations. Different from traditional discriminant analysis approaches, LGDA is for multiclass nonlinear discrimination and it can maximize discriminatory power while simultaneously promoting consistency between the multiple local representations of single class objects. A novel accelerated proximal gradient-based learning algorithm is proposed for finding the optimal set of local linear bases. To measure the similarities between the face image sets, three distance criterions are presented, which integrate the distance between the pairs of low-dimensional Grassmannian points from one of the involved manifolds. Comprehensive experiments on the UCSD/Honda, CMU MoBo, and YouTube Celebrities face data sets show that our method consistently outperforms the state of the art.
Over-the-counter Analgesics: A Toxicologic Perspective

The decision to use any analgesic is a balance of benefit and risk. In the case of analgesics, it is important to balance the therapeutic benefit against both the risk in therapeutic use and the risk (and ease of treatment) in overdose. Paracetamol in therapeutic dose carries little risk of adverse events. Less than 0.1% of the estimated 30 million paracetamol users in the United Kingdom attend hospital with a paracetamol overdose each year, and approximately 200 people die, most of whom presented late or did not receive the antidote, N-acetylcysteine, within 12 hours. Nonsteroidal anti-inflammatory drugs (NSAIDs) have greater adverse effects in therapeutic use than paracetamol but also have a lower incidence of severe features or death in overdose. There is no antidote available for NSAID poisoning. Aspirin carries both significant adverse effects in therapeutic dose and a substantial risk in overdose, for which there is no antidote. Its risk–benefit profile is probably the poorest of all analgesics currently available over-the-counter (OTC); this is reflected in current trends both in analgesic use and overdose figures. Although a number of options to reduce deaths from poisoning by OTC analgesics have been considered, few are practical, and all must take account of the public health benefits provided by these drugs. A perspective should be retained that the vast majority of the population in Australia, the United States, the United Kingdom, and Denmark derive therapeutic benefit from OTC analgesics and do not take them in overdose. The majority of those who do take overdoses come to little or no harm. Management of serious poisoning by paracetamol, aspirin, or NSAIDs remains a medical challenge.
A Short-Circuit Current Study for the Power Supply System of Taiwan Railway

The western Taiwan railway transportation system consists mainly on a mountain route and ocean route. Taiwan Railway Administration (TRA) has conducted a series of experiments on the ocean route in recent years to identify the possible causes of unknown events that cause the trolley contact wires to melt down frequently. The conducted tests include the short-circuit fault test within the power supply zone of the Ho Long Substation (Zhu Nan to Tong Xiao) that had the highest probability for the melt down events. Those test results, based on the actual measured maximum short-circuit current, provide a valuable reference for TRA when comparing against the said events. The Le Blanc transformer is the main transformer of the Taiwan railway electrification system. The Le Blanc transformer mainly transforms the Taiwan Power Company (TPC) generated three-phase alternating power supply system (69kV, 60Hz) into two single-phase alternating power distribution systems (M phase and T phase) (26kV, 60Hz) needed for the trolley traction. As a unique winding connection transformer, the conventional software for fault analysis will not be able to simulate its internal current and phase difference between each phase current. Therefore, besides extracts of the short-circuit test results, this work presents an EMTP model based on the Taiwan Railway Substation equivalent circuit model with a Le Blanc transformer. The proposed circuit model can simulate the same short-circuit test to verify the actual fault current and accuracy of the equivalent circuit model.