Miracle-dz/UniFAR-FTUs huggingface dataset:
Building Professionalism in Human Dissection Room as a Component of Hidden Curriculum Delivery: A Systematic Review of Good Practices

The core values in medical practice which are essential for the humane outlook of a physician are clubbed within the domain of medical professionalism. Professionalism along with other discipline‐independent skills (human skills) is propagated implicitly in medical schools as components of a “hidden curriculum. ” Evidence suggests a strong association between “hidden curriculum” delivery and development of professionalism in the human dissection room. In this review article, the authors have tried to highlight a few exclusive practices adopted by medical schools which enhance the implementation of the “hidden curriculum” within the practice of human dissection and successfully inculcate the key components of professionalism such as integrity, respect, and compassion among students. These distinctive concepts are aimed at humanizing the experience of anatomical dissection by revealing the identity of the donors along with their personal details either through display of video clips of donor interviews, interactions with the family members of the donor over a meal or recognition of the donor as a mentor and organizing memorial services in honor of donors after conclusion of the dissection in the presence of their family members. The resounding success of these good practices in building professionalism among medical students from the onset of the academic curriculum has signaled a new chapter in anatomical sciences education. It has become imperative to recognize the visionary efforts of a select few medical educators and begin incorporating these recent trends into the delivery of the “hidden curriculum” within the evolving gross anatomy education model.
A comparison of encodings for cardinality constraints in a SAT solver

Cardinality constraints are important in many Sat problems; previous studies provide contradictory conclusions about the best encoding to use. Here, three encodings are compared: Sinz's sequential-counter, Bailleux and Boufkhad's tree-based, and Ab\'{\i}o and coworkers' sort-based approaches. The sequential-counter approach is found to be the fastest of these for a range of related, combinatorial test cases. All encodings permit multiple solutions in the auxiliary variables for a single solution to the main variables; the numbers of multiple solutions can be very large, and might impede a Sat solver. Variants of the encodings are developed, where extra clauses reduce the numbers of multiple solutions. These variants are found to have remarkably little effect on solution time, even when the number of clauses is approximately doubled. The results accentuate the well-known observation that clause count and other measures of encoding size are not reliable indicators of the difficulty of a Sat problem.
Diagnostic strategies for childhood tuberculosis in the context of primary care in a high burden setting: the value of alternative sampling methods

ABSTRACT Background: Hospital studies have demonstrated the usefulness of alternative sampling strategies to expectorated sputum and new diagnostics for the diagnosis of childhood tuberculosis (TB) but there is limited evidence of how these approaches work in the primary-care setting. Aim: To assess the feasibility and yield of a variety of sample types and diagnostic tests for childhood TB at a primary-care clinic. Methods: A prospective cohort of children (<10 years) with signs and symptoms of TB was enrolled at a primary-care clinic in Johannesburg, South Africa. Tuberculin skin testing (TST) and chest X-ray (CXR) were performed in all. In those unable to expectorate, one induced sputum (IS), one ambulatory gastric aspirate (GA) and two nasopharyngeal aspirates (NPA) were collected. Stool was collected from all. Samples were processed for smear microscopy, liquid culture and Xpert MTB/RIF. The Determine TB LAM Ag (LAM) test was used for HIV-positive children. Results: From July 2013-December 2014, 119 children were enrolled, 21 (18%) of whom were HIV-positive. TST was positive in 25/105 (24%) and 70/116 (70%) had a positive CXR. Four (3%) had confirmed TB, 101 (85%) unconfirmed TB and 15 (13%) unlikely TB. Of the 469 samples collected, smear microscopy was positive in none, Xpert was positive in four (<1%) and culture was positive in two (<1%). Three of 11 (27%) HIV-positive patients were positive by LAM. Treatment was commenced in 48/119 (40%). Conclusions: At primary-care, alternative sampling strategies proved feasible but resulted in a low diagnostic yield. Extensive efforts to bacteriologically diagnose children did not contribute to clinical management.
Tabby: Explorable Design for 3D Printing Textures

This paper presents Tabby, an interactive and explorable design tool for 3D printing textures. Tabby allows texture design with direct manipulation in the following workflow: 1) select a target surface, 2) sketch and manipulate a texture with 2D drawings, and then 3) generate 3D printing textures onto an arbitrary curved surface. To enable efficient texture creation, Tabby leverages an auto-completion approach which automates the tedious, repetitive process of applying texture, while allowing flexible customization. Our user evaluation study with seven participants confirms that Tabby can effectively support the design exploration of different patterns for both novice and experienced users.
Testing a Knowledge Inquiry System on Question Answering Tasks

1 Question-Answering systems enable users to retrieve answers to factual questions from various kinds of knowledge sources, but do not address how to respond cooperatively. We present InK, an initial inquiry system for RDF knowledge graphs that aims to return relevant responses, even when an answer cannot be found. It assembles knowledge relevant to the entities mentioned in the question without translating the input question into a query language. A user study indicates responses are found to be intelligible and relevant. Evaluation of questions with known answers gives high recall of 0.70 averaged on three QA datasets.
Inter-arm differences in blood pressure among subjects with disseminated atherosclerosis scheduled for vascular surgery.

BACKGROUND The measurement of blood pressure (BP) is routinely performed in perioperative care. The reliability of results is essential for the implementation of treatment ensuring haemodynamic stability. The aim of the present study was to assess the prevalence and basic determinants of inter-arm BP differences among patients with advanced peripheral atherosclerosis undergoing vascular surgical procedures of the lower limbs. METHODS The prospective study was carried out in patients scheduled for elective lower limb vascular surgery. One-time non-invasive BP measurements were performed sequentially on the brachial arteries of both upper extremities before the induction of anaesthesia, maintaining the shortest possible interval between measurements. The systolic blood pressure (SBP), diastolic blood pressure (DBP) and mean arterial pressure (MAP) were recorded. RESULTS The results of 173 patients (including 123 men aged 67 ± 8 years) were analysed. In 16 (9.3%) patients, an inter-arm difference in BP was already observed during the preoperative examination. SBP and DBP was higher in the right limb in 86 (49.7%) an 80 (46.3%) patients, respectively. Moreover, the medians of inter-arm differences in SBP, DBP and MAP were 9 (IQR 4-17), 5 (IQR 3-10) and 7 mm Hg (IQR 3-12), respectively. An evaluation of the determinants of BP differences related to the presence of additional diseases demonstrated that patients with arterial hypertension were characterised by higher SBP and MAP disproportions (P = 0.04 and P = 0.01). CONCLUSIONS In the population of patients with disseminated atherosclerosis, the inter-arm differences in BP substantially exceed the measurement error limits and are likely to be associated with arterial hypertension. If in doubt about BP disproportions, intraoperative monitoring of BP should be recommended using an invasive method on the limb presenting higher non-invasively measured values.
A Formula Adaptive Pixel Pair Matching Steganography Algorithm

Pixel pair matching (PPM) is widely used in digital image steganography. As an important derivation, adaptive pixel pair matching method (APPM) offers low distortion and allows embedded digits in any notational system. However, APPM needs additional space to store, calculate, and query neighborhood set, which needs extra cost. To solve these problems, a formula adaptive pixel pair matching (FAPPM) method is proposed in this paper. The basic idea of FAPPM is to use the formula to get the stego image pixel pair without searching the neighborhood set for the given image pixel pair. This will allow users to embed secret message directly without storing and searching the look-up table. Experimental results and analysis show that the proposed method could embed secret data directly without searching the neighborhood sets by using a formula and it still maintains flexibility in the selection of notional system, high image quality, and strong anti-steganalysis ability.
Organic Amendment Under Increasing Agricultural Intensification: Effects on Soil Bacterial Communities and Plant Productivity

The soil microbiome is a complex living network that plays essential roles in agricultural systems, regardless of the level of intensification. However, the effects of agricultural management on the soil microbiome and the association with plant productivity remain largely unclear. Here, we studied the responses of three soil systems displaying distinct levels of agriculture intensiveness (i.e., natural, organic, and conventional soil management regimes) to experimentally manipulated organic farming amendments (i.e., dung and earthworms). We aimed at (i) identifying the effect on plant productivity and (ii) elucidating the degree of shifts in bacterial communities in response to the applied organic amendments. We found plant productivity to be lower with increasing agricultural intensification. Bacterial communities shifted distinctively for each soil management regime to the organic amendments applied. In brief, greater changes were observed in the Conventional management comparatively to the Organic and Natural management, an effect largely driven by dung addition. Moreover, we found evidence that the level of agricultural intensiveness also affects the timespan for these shifts. For instance, while the Natural system reached a relatively stable community composition before the end of the experiment, treatments on the conventional soil management regime did not. Random forest analyses further revealed an increasing impact of introduced taxa from dung addition aligned with increasing agricultural intensification. These analyses suggested that earthworms regulate the introduction of species from dung into the soil bacterial community. Collectively, our results contribute to a better understanding of the outcomes of organic amendments on soils under distinct levels of agriculture intensiveness, with implications for further development in soil restorations practices.
[Cohort Study of EGFR-TKIs Combined with Traditional Chinese Medicine and Single EGFR-TKIs for Advanced NSCLC (Non₋small Cell Lung Cancer)].

OBJECTIVE To explore the curative effect of epidermal growth factor receptor-tyrosine kinase inhibitor (EGFR-TKIs) combined with Traditional Chinese Medicine (TCM) versus single EGFR-TKIs for Advanced non-small-cell lung cancer (NSCLC). METHODS A total of 59 NSCLC patients with EGFR mutation were divided (2:1) into treatment group and control group. Patients in treatment group (39 cases) take EGFR-TKIs plus TCM and control group (20 cases) take EGFR-TKIs. Analysis the progression-free survival (PFS), disease control rate (DCR) and treatment-related adverse events of two groups. RESULTS The DCR of the treatment group and control group was 94.1% and 84.2% respectively (P=0.24). In the total population, PFS was 12.1 months in treatment group and 9.1 months in control group [hazard ratio (HR) 0.46; 95%CI 0.23-0.9; P=0.025]. Among patients with exon 19 deletion (19-del), PFS between treatment group and control group was 10.5 months and 9.5 months respectively (P=0.17). For patients with exon Leu858Arg point mutation (L858R), PFS was significantly longer with treatment group than withcontrol group (median 13.2 months vs. 7.8 months; HR 0.32, 95%CI 0.10-0.97; P=0.046). Grade 3-4 treatment-related adverse events were less common withtreatment-group (8.33 %) than control group (15.00%) (P=0.65). CONCLUSION For NSCLC patients with EGFR mutation, EGFR-TKIs combined with TCM has a certain effect to prolong PFS, especially for the patients with L858R.
Application of Deep Learning on Predicting Prognosis of Acute Myeloid Leukemia with Cytogenetics, Age, and Mutations

We explore how Deep Learning (DL) can be utilized to predict prognosis of acute myeloid leukemia (AML). Out of TCGA (The Cancer Genome Atlas) database, 94 AML cases are used in this study. Input data include age, 10 common cytogenetic and 23 most common mutation results; output is the prognosis (diagnosis to death, DTD). In our DL network, autoencoders are stacked to form a hierarchical DL model from which raw data are compressed and organized and high-level features are extracted. The network is written in R language and is designed to predict prognosis of AML for a given case (DTD of more than or less than 730 days). The DL network achieves an excellent accuracy of 83% in predicting prognosis. As a proof-of-concept study, our preliminary results demonstrate a practical application of DL in future practice of prognostic prediction using next-gen sequencing (NGS) data.
The effectiveness of bronchial artery embolisation in patients with haemoptysis.

INTRODUCTION Bronchial artery embolisation (BAE) is one of the methods used in massive and recurring haemoptysis. The aim of the study is to determine the effectiveness and complications of bronchial artery embolisation in recurring haemoptysis. MATERIAL AND METHODS The analysis included 47 embolisation procedures performed on 30 patients treated between 2011 and 2017 in the Department of Respiratory Medicine, Allergology and Pulmonary Oncology due to haemoptysis. The patient's age ranged between 18 and 71 years, while mean age at the time of BAE was 33.5 years. Patients with tuberculosis constituted 73.33% (n = 22) of the sample and underwent 31 embolisation procedures in total. The remaining part of the sample (n = 8) collectively underwent 16 BAEs. The analysis was conducted by verifying the medical documentation, as well as carrying face-to-face and phone conversations. RESULTS Immediate control due to the inhibition of bleeding was obtained in 95.75% of cases. Recurrence within 3 days of BAE was reported in 5 patients (10.63%), and 4 re-embolisation procedures were conducted. In 10 patients (33.33%), recurrence was observed during the first year post-BAE, while it was reported in 17 cases during the whole observation period (56.66% of patients). The subjects who underwent re-embolisation demonstrated recurrence-free periods lasting from 2 days to 63 months. In patients with recurrence but no re-embolisation, the shortest and longest haemoptysis-free time was 2 and 35 months, respectively. 11 patients (36.66%) required several embolisation procedures during the whole observation period. CONCLUSIONS BAE is a highly successful procedure in treating haemoptysis. The risk of complications is low.
Parameterized Complexity of Equitable Coloring

A graph on $n$ vertices is equitably $k$-colorable if it is $k$-colorable and every color is used either $\left\lfloor n/k \right\rfloor$ or $\left\lceil n/k \right\rceil$ times. Such a problem appears to be considerably harder than vertex coloring, being $\mathsf{NP\text{-}Complete}$ even for cographs and interval graphs. In this work, we prove that it is $\mathsf{W[1]\text{-}Hard}$ for block graphs and for disjoint union of split graphs when parameterized by the number of colors; and $\mathsf{W[1]\text{-}Hard}$ for $K_{1,4}$-free interval graphs when parameterized by treewidth, number of colors and maximum degree, generalizing a result by Fellows et al. (2014) through a much simpler reduction. Using a previous result due to Dominique de Werra (1985), we establish a dichotomy for the complexity of equitable coloring of chordal graphs based on the size of the largest induced star. Finally, we show that \textsc{equitable coloring} is $\mathsf{FPT}$ when parameterized by the treewidth of the complement graph.
Water scarcity assessments in the past, present, and future

Water scarcity has become a major constraint to socio‐economic development and a threat to livelihood in increasing parts of the world. Since the late 1980s, water scarcity research has attracted much political and public attention. We here review a variety of indicators that have been developed to capture different characteristics of water scarcity. Population, water availability, and water use are the key elements of these indicators. Most of the progress made in the last few decades has been on the quantification of water availability and use by applying spatially explicit models. However, challenges remain on appropriate incorporation of green water (soil moisture), water quality, environmental flow requirements, globalization, and virtual water trade in water scarcity assessment. Meanwhile, inter‐ and intra‐annual variability of water availability and use also calls for assessing the temporal dimension of water scarcity. It requires concerted efforts of hydrologists, economists, social scientists, and environmental scientists to develop integrated approaches to capture the multi‐faceted nature of water scarcity.
Chlamydia trachomatis in Cervical Lymph Node of Man with Lymphogranuloma Venereum, Croatia, 2014

We report an HIV-infected person who was treated for lymphogranuloma venereum cervical lymphadenopathy and proctitis in Croatia in 2014. Infection with a variant L2b genovar of Chlamydia trachomatis was detected in a cervical lymph node aspirate. A prolonged course of doxycycline was required to cure the infection.
[Establishment and verification of a mouse model of Gata4 gene H435Y mutation].

OBJECTIVE To establish a mouse model of H435Y mutation of Gata4 gene using CRISPR/Cas9- mediated gene targeting. METHODS The single-stranded guide RNA (sgRNA) specific to the H435Y loci of Gata4 gene was designed based on the sequence of Gata4 gene. After activity assessment, the active sgRNA and Cas9 were in vitro transcribed into RNA and microinjected along with the donor DNA fragment with point mutations into fertilized mouse eggs. The microinjected eggs were transferred into pseudopregnant mice to obtain the F0 generation mice with the target Gata4 gene mutation confirmed by PCR and gene sequencing. Gata4 gene mutations in the offsprings of the F0 generation mice were analyzed. RESULTS Gene sequencing confirmed the successful establishment of mouse models carrying H435Y mutation of Gata4 gene in 4 of the F0 generation mice. The positive F0 generation mice were crossed with wild-type C57BL/6J mice to obtain the F1 generation mice, and PCR confirmed the presence of H435Y mutations of Gata4 gene in 6 of the F1 mice. Then F2 generation mice were obtained by F1 generation matting with each other. PCR showed that H435Y mutation of Gata4 gene in F2 mice was found, indicating the mousemodel of Gata4 gene mutation in H435Y was established and propagated successfully. CONCLUSIONS We successfully established Gata4 gene H435Y mutant mouse models using CRISPR/Cas9 technique.
Dispersal increases ecological selection by increasing effective community size

Significance A basic challenge of ecology is to understand the mechanisms that generate changes in the composition of ecological communities. At the most fundamental level, any change in species composition results from the interplay between two contrasting forces: selection (representing deterministic forces) and drift (representing stochastic forces). Here we provide experimental evidence that the relative importance of these two forces depends on the magnitude of dispersal. Specifically, increasing dispersal increases the effective size of the communities, thereby diminishing the relative importance of demographic stochasticity and increasing the relative importance of selective forces as drivers of community assembly. Our findings, supported by computer simulations, have important implications for understanding the ecological consequences of dispersal. Selection and drift are universally accepted as the cornerstones of evolutionary changes. Recent theories extend this view to ecological changes, arguing that any change in species composition is driven by deterministic fitness differences among species (enhancing selection) and/or stochasticity in birth and death rates of individuals within species (enhancing drift). These forces have contrasting effects on the predictability of ecological dynamics, and thus understanding the factors affecting their relative importance is crucial for understanding ecological dynamics. Here we test the hypothesis that dispersal increases the relative importance of ecological selection by increasing the effective size of the community (i.e., the size relevant for competitive interactions and drift). According to our hypothesis, dispersal increases the effective size of the community by mixing individuals from different localities. This effect diminishes the relative importance of demographic stochasticity, thereby reducing drift and increasing the relative importance of selective forces as drivers of species composition. We tested our hypothesis, which we term the “effective community size” hypothesis, using two independent experiments focusing on annual plants: a field experiment in which we manipulated the magnitude of dispersal and a mesocosm experiment in which we directly manipulated the effective size of the communities. Both experiments, as well as related model simulations, were consistent with the hypothesis that increasing dispersal increases the role of selective forces as drivers of species composition. This finding has important implications for our understanding of the fundamental forces affecting community dynamics, as well as the management of species diversity, particularly in patchy and fragmented environments.
Surface Acoustic Wave Hydrogen Sensors Based on Nanostructured Pd/WO3 Bilayers

The effect of nanostructure of PLD (Pulsed Laser Deposition)-deposited Pd/WO3 sensing films on room temperature (RT) hydrogen sensing properties of SAW (Surface Acoustic Wave) sensors was studied. WO3 thin films with different morphologies and crystalline structures were obtained for different substrate temperatures and oxygen deposition pressures. Nanoporous films are obtained at high deposition pressures regardless of the substrate temperature. At lower pressures, high temperatures lead to WO3 c-axis nanocolumnar growth, which promotes the diffusion of hydrogen but only once H2 has been dissociated in the nanoporous Pd layer. XRD (X-ray Diffraction) analysis indicates texturing of the WO3 layer not only in the case of columnar growth but for other deposition conditions as well. However, it is only the predominantly c-axis growth that influences film sensing properties. Bilayers consisting of nanoporous Pd layers deposited on top of such WO3 layers lead to good sensing results at RT. RT sensitivities of 0.12–0.13 Hz/ppm to hydrogen are attained for nanoporous bilayer Pd/WO3 films and of 0.1 Hz/ppm for bilayer films with a nanocolumnar WO3 structure. SAW sensors based on such layers compare favorably with WO3-based hydrogen detectors, which use other sensing methods, and with SAW sensors with dense Pd/WO3 bilayers.