Miracle-dz/UniFAR-FTUs huggingface dataset:
The emotional experience of caregiving in dementia: Feelings of guilt and ambivalence underlying narratives of family caregivers

Objective The aim of this study was to explore narrative domains of family caregivers’ emotional experiences, beyond intentional and explicitly reported contents, and to examine their associations with subjects defining characteristics, such as gender, kinship, duration of caregiving, and burden levels. Methods The study participants were 17 Italian family caregivers (88.23% women) with a mean age of 59.14 years (SD = 7.76), who provided their loved ones affected by dementia with in-home care. Structured interviews and Caregiver Burden Inventory were administered according to a mixed method design. A computer-aided text analysis was used which allowed the detection of shared narrative domains (cluster analysis) and latent factors organizing the contraposition between them (multiple correspondence analysis). Findings Five narrative domains emerged which were respectively referred to as perceived formal support (14.38% of the overall textual corpus), devotion (33.56%), anger (13.70%), sense of loss (18.49%), and feeling of uncertainty (19.86%). Kinship, duration of caregiving, and burden levels were differently associated with such domains. Two latent factors dealing with feelings of guilt and ambivalence explained 62.92% of overall data variance. Conclusion Guilt feelings should be carefully taken into account in support intervention with caregivers, with specific regard to stress and anger management. As well, a greater focus on caregivers’ emotion regulation and on the promotion of their problem-solving skills is needed when faced with contrasting beliefs about care decisions or role conflicts.
Products Released from Structurally Different Dextrans by Bacterial and Fungal Dextranases

Dextran hydrolysis by dextranases is applied in the sugar industry and the medical sector, but it also has a high potential for use in structural analysis of dextrans. However, dextranases are produced by several organisms and thus differ in their properties. The aim of this study was to comparatively investigate the product patterns obtained from the incubation of linear as well as O3- and O4-branched dextrans with different dextranases. For this purpose, genes encoding for dextranases from Bacteroides thetaiotaomicron and Streptococcus salivarius were cloned and heterologously expressed in Escherichia coli. The two recombinant enzymes as well as two commercial dextranases from Chaetomium sp. and Penicillium sp. were subsequently used to hydrolyze structurally different dextrans. The hydrolysis products were investigated in detail by HPAEC-PAD. For dextranases from Chaetomium sp. , Penicillium sp. , and Bacteroides thetaiotaomicron, isomaltose was the end product of the hydrolysis from linear dextrans, whereas Penicillium sp. dextranase led to isomaltose and isomaltotetraose. In addition, the latter enzyme also catalyzed a disproportionation reaction when incubated with isomaltotriose. For O3- and O4-branched dextrans, the fungal dextranases yielded significantly different oligosaccharide patterns than the bacterial enzymes. Overall, the product patterns can be adjusted by choosing the correct enzyme as well as a defined enzyme activity.
Plasma volume contraction reduces atrial natriuretic peptide after four days of hypobaric hypoxia exposure.

We investigated whether low arterial oxygen tension (PaO2) or hypoxia-induced plasma volume (PV) contraction, which reduces central blood volume (BV) and atrial distension, explain reduction in circulating atrial natriuretic peptide (ANP) after prolonged hypoxic exposure. Ten healthy males were exposed for four days to hypobaric hypoxia corresponding to an altitude of 3,500m. PV changes were determined by carbon monoxide rebreathing. Venous plasma concentrations of mid-regional proANP (MR-ProANP) were measured before and at the end of the exposure. At the latter time-point the measurement was repeated after i. restoration of PaO2 by breathing a hyperoxic gas mixture for 30min and ii. restoration of BV by fluid infusion. Correspondingly, left ventricular end-diastolic volume (LVEDV), left atrial area (LAA) and right atrial area (RAA) were determined by ultrasound before exposure, and both pre and post fluid infusion at the end of the exposure. Hypoxic exposure reduced MR-ProANP from 37.9±18.5 to 24.5±10.3 pmol/l (p=0.034), LVEDV from 107.4±33.5 to 91.6±26.3 ml (p=0.005), LAA from 15.8±4.9 to 13.3±4.2 cm² (p=0.007) and RAA from 16.2±3.1 to 14.3±3.5 cm² (p=0.001). Hyperoxic breathing did not affect MR-ProANP (24.8±12.3 pmol/l, p=0.890). Conversely, fluid infusion restored LVEDV, LAA and RAA to near baseline values (108.0±29.3 ml, 17.2±5.7 cm² and 17.2±3.1 cm², p>0.05 vs. baseline) and increased MR-ProANP to 29.5±13.3 pmol/l (p=0.010 vs. pre-infusion and p=0.182 vs. baseline). These findings support that ANP reduction in hypoxia is at least partially attributed to plasma volume contraction, whereas reduced PaO2 does not seem to contribute.
Effect of post treatments on the structure and thermal stability of titanate nanotubes

TiO2 sol was prepared hydrothermally in an autoclave from aqueous TiOCl2 solutions as a starting precursor. Titanate nanotubes were obtained when the sol–gel-derived TiO2 sol was treated chemically with a 10 M NaOH solution and subsequently heated in the autoclave at 150 °C for 48 h. The samples were characterized using XRD, TEM, SEM, EDX, Raman spectroscopy, and a BET surface area analyser. The effect of post treatments, such as washing with and without hydrochloric acid and calcination, on the phase structure, shape and morphology, pore structures, and BET surface area of the titanate nanotubes was investigated. When a sample containing 7.08 wt% Na (after washing only with water) was calcined at different temperatures from 300 to 900 °C, it showed the formation of a mixture of sodium trititanates and sodium hexatitanates and was found to preserve the tubular morphology at higher temperatures. However, a sample containing 0.06 wt% Na obtained after prolonged washing with hydrochloric acid followed by heat treatment showed the formation of TiO2 anatase involving TiO2 (B) as an intermediate at lower temperatures and anatase was further transformed to the rutile phase when the temperature was raised. On the basis of different observations, a general formula NaxH2−xTi3O7·nH2O has been proposed for the trititanate nanotubes.
Early detection of significant congenital heart disease: The contribution of fetal cardiac ultrasound and newborn pulse oximetry screening

Fetal cardiac and newborn pulse oximetry screening has greatly facilitated the detection of cardiac abnormalities, which may be serious with potentially dire neonatal consequences. The prenatal diagnosis of a serious cardiac abnormality allows the attending obstetrician to organise the much safer in‐utero transfer of the fetus for delivery at a tertiary centre, particularly if there is evidence of a duct‐dependent lesion that may require the infusion of Prostaglandin E1 to maintain duct patency pending surgical intervention. Newborn pulse oximetry alerts the paediatrician that the baby may have a significant cardiac abnormality, which warrants further elucidation prior to discharge, rather than for the baby to represent unwell a few days later. Despite these advances, serious cardiac abnormalities may be missed on screening. Their detection then falls back onto the clinical acumen of the attending paediatrician/family physician to review the history, carefully elicit and evaluate the clinical signs further aided by whatever investigations that may be available at the birthing hospital, frequently less resourced than the tertiary centres. At the outset, a brief synopsis is provided of the clinical findings that may point to a cardiac abnormality. That is followed by a critical review of the accuracy of prenatal and newborn pulse oximetry screening with emphasis on the lesions that may be missed. Suggestions are made as to how to improve the diagnostic accuracy.
Extrafollicular CD4 T cell-derived IL-10 functions rapidly and transiently to support anti-Plasmodium humoral immunity.

Immunity against malaria depends on germinal center (GC)-derived antibody responses that are orchestrated by T follicular helper (TFH) cells. Emerging data show that the regulatory cytokine IL-10 plays an essential role in promoting GC B cell responses during both experimental malaria and virus infections. Here we investigated the cellular source and temporal role of IL-10, and whether IL-10 additionally signals to CD4 T-cells to support anti-Plasmodium humoral immunity. Distinct from reports of virus infection, we found that IL-10 expressed by conventional, Foxp3-negative effector CD4 T cells and functioned in a B cell-intrinsic manner only during the first 96 hours of Plasmodium infection to support humoral immunity. The critical functions of IL-10 manifested only before the orchestration of GC responses and were primarily localized outside of B cell follicles. Mechanistically, our studies showed that the rapid and transient provision of IL-10 promoted B cell expression of anti-apoptotic factors, MHC class II, CD83, and cell-cell adhesion proteins that are essential for B cell survival and interaction with CD4 T cells. Together, our data reveal temporal features and mechanisms by which IL-10 critically supports humoral immunity during blood-stage Plasmodium infection, information that may be useful for developing new strategies designed to lessen the burden of malaria.
Neural crest‐like stem cells for tissue regeneration

Neural crest stem cells (NCSCs) are a transient population of cells that arise during early vertebrate development and harbor stem cell properties, such as self‐renewal and multipotency. These cells form at the interface of non‐neuronal ectoderm and neural tube and undergo extensive migration whereupon they contribute to a diverse array of cell and tissue derivatives, ranging from craniofacial tissues to cells of the peripheral nervous system. Neural crest‐like stem cells (NCLSCs) can be derived from pluripotent stem cells, placental tissues, adult tissues, and somatic cell reprogramming. NCLSCs have a differentiation capability similar to NCSCs, and possess great potential for regenerative medicine applications. In this review, we present recent developments on the various approaches to derive NCLSCs and the therapeutic application of these cells for tissue regeneration.
Striatal cholinergic transmission. Focus on nicotinic receptors’ influence in striatal circuits

The critical role of acetylcholine (ACh) in the basal ganglia is evident from the effect of cholinergic agents in patients suffering from several related neurological disorders, such as Parkinson's disease, Tourette syndrome, or dystonia. The striatum possesses the highest density of ACh markers in the basal ganglia underlying the importance of ACh in this structure. Striatal cholinergic interneurons (CINs) are responsible for the bulk of striatal ACh, although extrinsic cholinergic afferents from brainstem structures may also play a role. CINs are tonically active, and synchronized pause in their activity occurs following the presentation of salient stimuli during behavioral conditioning. However, the synaptic mechanisms involved are not fully understood in this physiological response. ACh modulates striatal circuits by acting on muscarinic and nicotinic receptors existing in several combinations both presynaptically and postsynaptically. While the effects of ACh in the striatum through muscarinic receptors have received particular attention, nicotinic receptors function has been less studied. Here, after briefly reviewing relevant results regarding muscarinic receptors expression and function, I will focus on striatal nicotinic receptor expressed presynaptically on glutamatergic and dopaminergic afferents and postsynaptically on diverse striatal interneurons populations. I will also review recent evidence suggesting the involvement of different GABAergic sources in two distinct nicotinic‐receptor‐mediated striatal circuits: the disynaptic inhibition of striatal projection neurons and the recurrent inhibition among CINs. A better understanding of striatal nicotinic receptors expression and function may help to develop targeted pharmacological interventions to treat brain disorders such as Parkinson's disease, Tourette syndrome, dystonia, or nicotine addiction.
The Emerging Physiological Role of AGMO 10 Years after Its Gene Identification

The gene encoding alkylglycerol monooxygenase (AGMO) was assigned 10 years ago. So far, AGMO is the only known enzyme capable of catalysing the breakdown of alkylglycerols and lyso-alkylglycerophospholipids. With the knowledge of the genetic information, it was possible to relate a potential contribution for mutations in the AGMO locus to human diseases by genome-wide association studies. A possible role for AGMO was implicated by genetic analyses in a variety of human pathologies such as type 2 diabetes, neurodevelopmental disorders, cancer, and immune defence. Deficient catabolism of stored lipids carrying an alkyl bond by an absence of AGMO was shown to impact on the overall lipid composition also outside the ether lipid pool. This review focuses on the current evidence of AGMO in human diseases and summarises experimental evidence for its role in immunity, energy homeostasis, and development in humans and several model organisms. With the progress in lipidomics platform and genetic identification of enzymes involved in ether lipid metabolism such as AGMO, it is now possible to study the consequence of gene ablation on the global lipid pool and further on certain signalling cascades in a variety of model organisms in more detail.
Theoretical study of the cyclopropenyl radical

Comprehensive ab initio (MCSCF) and (CI) calculations are performed to determine properties of the cyclopropenyl radical, which has not yet been directly observed experimentally. Jahn-Teller distortion is responsible for a dramatic change from the high-symmetry D/sub 3h/ . pi. radical parent structure to a low-symmetry nonplanar C/sub s/ sigma radical equilibrium structure. The equilibrium structure is found to be an ethylenic form that can exist in three equivalent conformations. These can interconvert (via a pseudorotation of the carbon-carbon double bond around the ring) by passing through a nonplanar allylic transition state. Planar geometries turn out to be of such high energy as to play no significant role in the dynamics of this system. Large-scale CI calculations, with corrections for differences in zero-point vibrational energies, indicate the pseudorotation barrier height to be about 3-4 kcal/mol. Qualitative results are obtained for the energy and geometry changes that occur along the interconversion path. A number of one-electron properties are also reported for the equilibrium form. Notable among these are the spin-density predictions, which should be of use in experimental identification of the cyclopropenyl radical by ESR spectroscopy. A qualitative survey of the energies and geometries of other C/sub 3/H/sub 3/ isomers is also presented.
Occurrence, Impact on Agriculture, Human Health, and Management Strategies of Zearalenone in Food and Feed: A Review

Mycotoxins represent an assorted range of secondary fungal metabolites that extensively occur in numerous food and feed ingredients at any stage during pre- and post-harvest conditions. Zearalenone (ZEN), a mycotoxin categorized as a xenoestrogen poses structural similarity with natural estrogens that enables its binding to the estrogen receptors leading to hormonal misbalance and numerous reproductive diseases. ZEN is mainly found in crops belonging to temperate regions, primarily in maize and other cereal crops that form an important part of various food and feed. Because of the significant adverse effects of ZEN on both human and animal, there is an alarming need for effective detection, mitigation, and management strategies to assure food and feed safety and security. The present review tends to provide an updated overview of the different sources, occurrence and biosynthetic mechanisms of ZEN in various food and feed. It also provides insight to its harmful effects on human health and agriculture along with its effective detection, management, and control strategies.
Exercise Interventions With Trained Home Helpers for Preventing Loss of Autonomy and Falls in Community-Dwelling Older Adults Receiving Home Heath Physical Therapy T4H: A Randomized Controlled Pilot Study

Background and Purpose: Older adults at risk for falls live independently in the community in their own home and have rehabilitation needs. However, little is known about whether home coaching of older adults can decrease falls at home. We sought to determine whether a novel program for preventing falls and a loss of exercise capacity, the T4H program, in which home helpers act as exercise coaches by using an information technology (IT) device, was acceptable and feasible. Methods: Between February 2015 and October 2015, we performed a cluster randomized controlled trial in which home helpers either assisted older adults 75 years and over, to participate in the T4H program, or provided standard home help over 3 months. We assessed levels of acceptability and satisfaction among the older adults and home helpers with regard to the exercise program and the technologies used. To measure efficacy, the main outcome measures for the older adults were the absence of falls requiring medical or paramedical care, unplanned hospitalizations, walking ability in a Timed Up and Go test (TUG), and self-care ability by the Barthel Index at the 3-month follow-up visit. Results and Discussion: Overall, 35 older adults were included, aged 89 years and with 68.6% women. Eighty-five percent of the respondents were pleased or very pleased to have participated in the T4H exercise program, 70% were satisfied with the IT devices, and 92% were satisfied with their home helper's level of involvement. Two of the 4 home helper respondents were satisfied or very satisfied with the exercise program, and 2 were moderately satisfied. The proportions of older adult participants with no falls or no unplanned hospitalizations were higher in the T4H group (92.3% and 85.7%, respectively) than in the control group (81.8% and 71.4%, respectively), although these intergroup differences were not statistically significant. The T4H and control groups did not differ significantly with regard to the TUG time (median [IQR]: 27.6 seconds [17.9-58.6] vs 30.7 seconds [19.7-57.2], respectively) or the Barthel Index (median [IQR]: 90 [75-95] and 90 [75-95], respectively). Conclusions: The novel T4H home help model was feasible and was associated with a high level of participant satisfaction. We observed a trend toward fewer falls and hospitalizations and better quality of life in the older adults.
Developmental Cascades of Marital Quality, Harsh Discipline, and Child Externalizing Behavior in China

This study investigated the developmental cascades of marital quality, harsh discipline, and child externalizing behavior in a Chinese sample of 976 father–mother dyads and their children (initial Mage = 7.63 years, 52.2% boys). Marital quality, harsh discipline, and child externalizing behavior were assessed at three annual measurement occasions. Cascade models indicated the unidirectional rather than bidirectional relations between the variables over and above within-time covariance and across-time stability. Both increased maternal and paternal marital quality in a given year predicted decreases in child externalizing behavior in the next year. Child externalizing behavior in a given year predicted increases in both maternal and paternal harsh discipline in the next year. Moreover, increased paternal but not maternal marital quality in a given year predicted decreases in psychological aggression rather than corporal punishment in the next year. Moreover, the indirect effect of marital quality on child externalizing behavior through harsh discipline was not found. In addition, the potential indirect effect of marital quality on harsh discipline through child externalizing behavior was observed. These findings highlight the importance of examining developmental cascades across family subsystems and efforts to improve marital relationship to promote child adjustment as well as parent–child interaction during middle childhood in Chinese society.
Mediterranean Diet for the Prevention of Gestational Diabetes in the Covid-19 Era: Implications of Il-6 In Diabesity

The aim of this review is to highlight the influence of the Mediterranean Diet (MedDiet) on Gestational Diabetes Mellitus (GDM) and Gestational Weight Gain (GWG) during the COVID-19 pandemic era and the specific role of interleukin (IL)-6 in diabesity. It is known that diabetes, high body mass index, high glycated hemoglobin and raised serum IL-6 levels are predictive of poor outcomes in coronavirus disease 2019 (COVID-19). The immunopathological mechanisms of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection include rising levels of several cytokines and in particular IL-6. The latter is associated with hyperglycemia and insulin resistance and could be useful for predicting the development of GDM. Rich in omega-3 polyunsaturated fatty acids, vitamins, and minerals, MedDiet improves the immune system and could modulate IL-6, C reactive protein and Nuclear Factor (NF)-κB. Moreover, polyphenols could modulate microbiota composition, inhibit the NF-κB pathway, lower IL-6, and upregulate antioxidant enzymes. Finally, adhering to the MedDiet prior to and during pregnancy could have a protective effect, reducing GWG and the risk of GDM, as well as improving the immune response to viral infections such as COVID-19.
Large pH oscillations promote host defense against human airways infection

Kim et al. show that airway surface liquid has elevated pH during inhalation due to the low CO2 content of room air and the presence of bicarbonate and carbonic anhydrase 12. Breathing-induced alkalinization contributes to host defense and is impaired in cystic fibrosis and perhaps other respiratory diseases.
Research Article Spectroscopic Determination of Lovastatin By Hydrotropic Solubilization Technique

Hydrotropic agents have been employed to increase the aqueous solubility of poorly water soluble drug. This procedure eliminates the limitation of organic solvent such as methanol, ethanol, alcohol, dimethyl formamide, acetonitrile, hexane, acetone used in spectroscopic determination. The problems included are their high cost, toxicity and error (due to volatility). Use of hydrotropic solution for solubilization is a new simple, economic, rapid, accurate and reproducible spectrophotometric estimation method developed using 4M sodium acetate for solubilization and determination of lovastatin. Lovastatin was found to be poorly water soluble drug and there was more than 6 times increase in the solubility using 4M sodium acetate solution. Sodium acetate did not interfere in the spectroscopic determination of lovastatin (max-250). Recovery studies and statistical data proved the accuracy, reproducibility and the precision of the proposed method.