Miracle-dz/UniFAR-FTUs huggingface dataset:
The Effect of Patient Characteristics on Acupuncture Treatment Outcomes: An Individual Patient Data Meta-Analysis of 20,827 Chronic Pain Patients in Randomized Controlled Trials

Objectives: To optimally select chronic pain patients for different treatments, as it is of interest to identify patient characteristics that might moderate treatment effect. Our aim was to evaluate the impact of possible moderators on the effect of acupuncture treatment using a large data set. Methods: We used data from an individual patient data meta-analysis of high-quality randomized trials of acupuncture for chronic headache and migraine, osteoarthritis, and back, neck, and shoulder pain. Using meta-analytic trial-level and patient-level regression analyses, we explored the impact of 5 documented patient characteristics (patients’ age at baseline, sex, pain duration, baseline pain severity and baseline psychological distress) on the effect of acupuncture. Results: A total of 39 trials met the inclusion criteria: 25 use sham-acupuncture controls (n = 7097) and 25 non-acupuncture controls (n = 16,041). Of the 5 patient characteristics analyzed, only baseline pain severity was found to potentially moderate the treatment effect of acupuncture, with patients reporting more severe pain at baseline experiencing more benefit from acupuncture compared to either sham-control or non-acupuncture control. Baseline psychological distress showed small treatment moderating effects, and results for sex were inconsistent. There was no strong evidence that age or duration of pain influenced the response to acupuncture. Discussion: Of 5 patient characteristics tested, we found only baseline severity of pain to potentially moderate the effect of acupuncture treatment. For clinical practice, the evidence from this analysis does not justify stratifying chronic pain patients into subgroups that should or should not receive acupuncture on the basis of these 5 characteristics. Future acupuncture trials should assess other potentially important effect moderators.
Factors Underlying Bench Press Performance in Elite Competitive Powerlifters

Abstract Reya, M, Škarabot, J, Cvetičanin, B, and Šarabon, N. Factors underlying bench press performance in elite competitive powerlifters. J Strength Cond Res 35(8): 2179–2186, 2021—Previous investigations of 1 repetition maximum bench press (1RM BP) performance have been either descriptive or have explored a limited number of contributing variables. The purpose of this study was to investigate the interplay between structural, technical, and neuromuscular factors in relation to 1RM BP in competitive powerlifters. Thirteen national and international level male powerlifters (26 ± 9 years, 178 ± 6 cm, and 93.8 ± 9.9 kg) visited the laboratory twice. Anthropometric and ultrasound measures were taken on the first visit, whereas performance measures (voluntary activation level, isokinetic strength, and kinetic, kinematic, and electromyographic measurements during 1RM BP) were recorded on the second visit. Correlation and multiple regression were used to investigate the contribution of structural, technical, and neuromuscular variables to 1RM BP corrected for body mass using the Wilks coefficient. The highest degree of association was shown for structural (lean and bone mass, brachial index, arm circumference, and agonist cross-sectional area [CSA]; r = 0.58–0.74) followed by neuromuscular factors (elbow and shoulder flexion strength; r = 0.57–0.71), whereas technical factors did not correlate with 1RM BP performance (r ≤ 0.49). The multiple regression showed that lean body mass, brachial index, and isometric shoulder flexion torque predicted 59% of the common variance in 1RM BP. These data suggest that in a sample of elite competitive powerlifters, multiple factors contribute to 1RM BP with variables such as lean body mass, the agonist CSA, brachial index, and strength of the elbow and shoulder flexors being the greatest predictors of performance.
Antegrade Hepatic Artery and Portal Vein Perfusion Versus Portal Vein Perfusion Alone in Living Donor Liver Transplantation: A Randomized Trial

Traditionally, deceased donor liver grafts receive dual perfusion (DP) through the portal vein and the hepatic artery (HA) either in situ or on the back table. HA perfusion is avoided in living donor liver grafts for fear of damage to the intima and consequent risk of hepatic artery thrombosis (HAT). However, biliary vasculature is predominantly derived from the HA. We hypothesized that antegrade perfusion of the HA in addition to the portal vein on the back table could reduce the incidence of postoperative biliary complications. Consecutive adult patients undergoing living donor liver transplantations were randomized after donor hepatectomy to receive graft perfusion of histidine‐tryptophan‐ketoglutarate solution either via both the HA and portal vein (DP group, n = 62) or only through the portal vein (standard perfusion [SP] group, n = 62). The primary endpoint was the occurrence of biliary complications (biliary leak/stricture). Secondary endpoints included HAT and patient survival. The incidence of biliary stricture was significantly lower in the DP group (6.5% versus 19.4%; odds ratio, 0.29; 95% confidence interval, 0.09‐0.95; P = 0.04). There was no significant reduction in the incidence of HAT, bile leak, or hospital stay between the 2 groups. The 3‐year mortality and graft survival rates were significantly higher among patients who received DP compared with SP (P = 0.004 and P = 0.003, respectively). On multivariate analysis, nonperfusion of the HA and preceding bile leak were found to be risk factors for the development of biliary stricture (P = 0.04 and P < 0.001, respectively). In conclusion, DP of living donor liver grafts through both the HA and portal vein on the back table may protect against the development of biliary stricture. This could translate to improved patient survival in the short term.
Instability of Alien Chromosome Introgressions in Wheat Associated with Improper Positioning in the Nucleus

Alien introgressions introduce beneficial alleles into existing crops and hence, are widely used in plant breeding. Generally, introgressed alien chromosomes show reduced meiotic pairing relative to the host genome, and may be eliminated over generations. Reduced pairing appears to result from a failure of some telomeres of alien chromosomes to incorporate into the leptotene bouquet at the onset of meiosis, thereby preventing chiasmate pairing. In this study, we analysed somatic nuclei of rye introgressions in wheat using 3D-FISH and found that while introgressed rye chromosomes or chromosome arms occupied discrete positions in the Rabl’s orientation similar to chromosomes of the wheat host, their telomeres frequently occupied positions away from the nuclear periphery. The frequencies of such abnormal telomere positioning were similar to the frequencies of out-of-bouquet telomere positioning at leptotene, and of pairing failure at metaphase I. This study indicates that improper positioning of alien chromosomes that leads to reduced pairing is not a strictly meiotic event but rather a consequence of a more systemic problem. Improper positioning in the nuclei probably impacts the ability of introgressed chromosomes to migrate into the telomere bouquet at the onset of meiosis, preventing synapsis and chiasma establishment, and leading to their gradual elimination over generations.
Limited differential expression of miRNAs and other small RNAs in LPS-stimulated human monocytes

Monocytes are a distinct subset of myeloid cells with diverse functions in early inflammatory immune modulation. While previous studies have surveyed the role of microRNA regulation on different myeloid cell lines and primary cultures, the time-dependent kinetics of inflammatory stimulation on miRNA expression and the relationship between miRNA-to-target-RNA expression have not been comprehensively profiled in monocytes. In this study, we use next-generation sequencing and RT-PCR assays to analyze the non-coding small RNA transcriptome of unstimulated and lipopolysaccharide (LPS)-stimulated monocytes at 6 and 24 hours. We identified a miRNA signature consisting of five mature miRNAs (hsa-mir-146a, hsa-mir-155, hsa-mir-9, hsa-mir-147b, and hsa-mir-193a) upregulated by LPS-stimulated monocytes after 6 hours and found that most miRNAs were also upregulated after 24 hours of stimulation. Only one miRNA gene was down-regulated and no other small RNAs were found dysregulated in monocytes after LPS treatment. In addition, novel tRNA-derived fragments were also discovered in monocytes, although none showed significant changes upon LPS stimulation. Interrogation of validated miRNA targets by transcriptomic analysis revealed that the majority of differential mRNA expression was maintained in LPS-stimulated monocytes although few of miRNA targets seemed to obtain heterogeneous expression pattern along the treatment. Our findings reveal a potential role by which selective miRNA upregulation and stable expression of other small RNAs enable monocytes to develop finely tuned cellular responses during acute inflammation.
Pushing the Envelope: Developments in Neural Entrainment to Speech and the Biological Underpinnings of Prosody Perception

Prosodic cues in speech are indispensable for comprehending a speaker’s message, recognizing emphasis and emotion, parsing segmental units, and disambiguating syntactic structures. While it is commonly accepted that prosody provides a fundamental service to higher-level features of speech, the neural underpinnings of prosody processing are not clearly defined in the cognitive neuroscience literature. Many recent electrophysiological studies have examined speech comprehension by measuring neural entrainment to the speech amplitude envelope, using a variety of methods including phase-locking algorithms and stimulus reconstruction. Here we review recent evidence for neural tracking of the speech envelope and demonstrate the importance of prosodic contributions to the neural tracking of speech. Prosodic cues may offer a foundation for supporting neural synchronization to the speech envelope, which scaffolds linguistic processing. We argue that prosody has an inherent role in speech perception, and future research should fill the gap in our knowledge of how prosody contributes to speech envelope entrainment.
Towards Inhaled Phage Therapy in Western Europe

The emergence of multidrug-resistant bacteria constitutes a great challenge for modern medicine, recognized by leading medical experts and politicians worldwide. Rediscovery and implementation of bacteriophage therapy by Western medicine might be one solution to the problem of increasing antibiotic failure. In some Eastern European countries phage therapy is used for treating infectious diseases. However, while the European Medicines Agency (EMA) advised that the development of bacteriophage-based therapies should be expedited due to its significant potential, EMA emphasized that phages cannot be recommended for approval before efficacy and safety have been proven by appropriately designed preclinical and clinical trials. More evidence-based data is required, particularly in the areas of pharmacokinetics, repeat applications, immunological reactions to the application of phages as well as the interactions and effects on bacterial biofilms and organ-specific environments. In this brief review we summarize advantages and disadvantages of phage therapy and discuss challenges to the establishment of phage therapy as approved treatment for multidrug-resistant bacteria.
Flexible Carbon Nanotube-Based Polymer Electrode for Long-Term Electrocardiographic Recording

The long-term monitoring of electrocardiogram (ECG) is critical for the accurate diagnosis and tracking of cardiovascular diseases (CVDs). However, the commercial Ag/AgCl electrode is not suitable for long-term monitoring due to skin allergies and signal degradation, caused by the conductive gel drying over time. In this paper, a flexible gel-free electrode, composed of a multi-wall carbon nanotube (MWCNT) and polydimethylsiloxane (PDMS), is proposed for long-term wearable ECG monitoring. To achieve uniform dispersion of MWCNTs in viscous PDMS, we developed a novel parallel solvent-assisted ultrasonic dispersion method, wherein the organic solvent n–Hexane served as a dispersion to avoid MWCNT aggregates. The properties of the MWCNT/PDMS electrode were assessed through structural characterization, contact impedance tests, ECG measurements, and biocompatibility tests. When the MWCNT weight fraction reached 5.5 wt%, the skin-electrode contact impedance of the MWCNT/PDMS electrode was lower than that of the Ag/AgCl electrode below 100 Hz. In daily ECG monitoring, the MWCNT/PDMS electrodes showed superior performance against motion artifact compared to the Ag/AgCl electrode. After seven days of wearing the MWCNT/PDMS electrode, ECG signals did not degrade and no side effects, such as skin redness and swelling, were observed. Thus, this electrode could enable long-term ECG monitoring in wearable healthcare systems.
Comparison of GATA-3, mammaglobin, GCDFP-15 expression in breast carcinoma in serous effusions: A cell-block micro-array study

Abstract Background GATA-3 is a potential marker for detection of metastatic breast carcinoma, reportedly more sensitive than mammaglobin (MAM) and GCDFP-15. We aim to compare the sensitivity of GATA-3, MAM and GCDFP-15 in determining the breast origin of malignant effusions. Methods Cell blocks from 27 cases of serous effusions positive for metastatic breast cancer were retrieved. Immunohistochemistry for GATA-3, MAM, gross cystic disease fluid protein 15 (GCDFP-15), estrogen receptor (ER) and progesterone receptor (PR) was performed on cell-block micro-array. Statistical analysis using two ways Chi square, one-way ANOVA and multiple regression was performed. Results The detection rate of breast cancer in serous fluid was significantly higher with GATA-3 (88.8 %, X2=15.9, p=0.00034) than with MAM (51.8 %) and GCDFP-15 (37.0 %). All ER positive cases (19) were GATA-3 positive. Conversely, all GATA-3 negative cases (3) were ER negative. The intensity of stain and percentage of positive cells were significantly higher with GATA-3 (p<0.0001) than with MAM and GCDFP-15. The intensity and percentage of positive cells score of GATA-3 were statistically associated with ER stain intensity and percentage of positive cell scores. Conclusions GATA3 is a sensitive marker, superior to MAM and GCDFP-15 in determining the breast origin of metastatic adenocarcinoma. It is also strongly associated with ER expression.
Natural Products and Obesity: A Focus on the Regulation of Mitotic Clonal Expansion during Adipogenesis

Obesity is recognized as a worldwide health crisis. Obesity and its associated health complications such as diabetes, dyslipidemia, hypertension, and cardiovascular diseases impose a big social and economic burden. In an effort to identify safe, efficient, and long-term effective methods to treat obesity, various natural products with potential for inhibiting adipogenesis were revealed. This review aimed to discuss the molecular mechanisms underlying adipogenesis and the inhibitory effects of various phytochemicals, including those from natural sources, on the early stage of adipogenesis. We discuss key steps (proliferation and cell cycle) and their regulators (cell-cycle regulator, transcription factors, and intracellular signaling pathways) at the early stage of adipocyte differentiation as the mechanisms responsible for obesity.
Respiratory gas levels interact to control ventilatory motor patterns in isolated locust ganglia

ABSTRACT Large insects actively ventilate their tracheal system even at rest, using abdominal pumping movements, which are controlled by a central pattern generator (CPG) in the thoracic ganglia. We studied the effects of respiratory gases on the ventilatory rhythm by isolating the thoracic ganglia and perfusing its main tracheae with various respiratory gas mixtures. Fictive ventilation activity was recorded from motor nerves controlling spiracular and abdominal ventilatory muscles. Both hypoxia and hypercapnia increased the ventilation rate, with the latter being much more potent. Sub-threshold hypoxic and hypercapnic levels were still able to modulate the rhythm as a result of interactions between the effects of the two respiratory gases. Additionally, changing the oxygen levels in the bathing saline affected ventilation rate, suggesting a modulatory role for haemolymph oxygen. Central sensing of both respiratory gases as well as interactions of their effects on the motor output of the ventilatory CPG reported here indicate convergent evolution of respiratory control among terrestrial animals of distant taxa. Summary: Tight control over respiratory gas supply to the isolated locust CNS reveals interactions of oxygen and carbon dioxide effects on central ventilatory output.
Role of Arginase 2 in Systemic Metabolic Activity and Adipose Tissue Fatty Acid Metabolism in Diet-Induced Obese Mice

Visceral adipose tissue (VAT) inflammation and metabolic dysregulation are key components of obesity-induced metabolic disease. Upregulated arginase, a ureahydrolase enzyme with two isoforms (A1-cytosolic and A2-mitochondrial), is implicated in pathologies associated with obesity and diabetes. This study examined A2 involvement in obesity-associated metabolic and vascular disorders. WT and globally deleted A2(−/−) or A1(+/−) mice were fed either a high fat/high sucrose (HFHS) diet or normal diet (ND) for 16 weeks. Increases in body and VAT weight of HFHS-fed WT mice were abrogated in A2−/−, but not A1+/−, mice. Additionally, A2−/− HFHS-fed mice exhibited higher energy expenditure, lower blood glucose, and insulin levels compared to WT HFHS mice. VAT and adipocytes from WT HFHS fed mice showed greater A2 expression and adipocyte size and reduced expression of PGC-1α, PPAR-γ, and adiponectin. A2 deletion blunted these effects, increased levels of active AMPK-α, and upregulated genes involved in fatty acid metabolism. A2 deletion prevented HFHS-induced VAT collagen deposition and inflammation, which are involved in adipocyte metabolic dysfunction. Endothelium-dependent vasorelaxation, impaired by HFHS diet, was significantly preserved in A2−/− mice, but more prominently maintained in A1+/− mice. In summary, A2 is critically involved in HFHS-induced VAT inflammation and metabolic dysfunction.
Partial Splenic Embolization Is a Safe and Effective Alternative in the Management of Portal Hypertension in Children

Objective: There are multiple approaches to manage the clinical complications of portal hypertension (PHTN) to treat/prevent spontaneous hemorrhage by mitigating thrombocytopenia. No single approach is ideal for all patients given the heterogeneity of this population. Our goal was to determine whether partial splenic embolization (PSE) was safe and effective in the pediatric population. Methods: This is a retrospective review of our single-center experience for all patients ages 0 to 21 who underwent PSE between January 2010 and August 2017. The embolized splenic volume targeted was 60% to 70%. Results: Twenty-six patients underwent PSE due to thrombocytopenia and/or recurrent variceal bleeding. Patients ranged in age from 18 months to 20 years (mean 13.1 years). The median platelet count before PSE was 53.0 (×109/L). The platelet count improved after PSE with values >100,000 in 21 patients (80.8%). Children with prior esophageal varices showed improvement after PSE with only 9 (34.6%) requiring further endoscopic therapy. After PSE, patients developed transient abdominal pain, distention, fever, and perisplenic fluid collections. Serious complications such as splenic abscess, splenic rupture, bleeding, pancreatic infarction, opportunistic infection, or death were not observed. One patient experienced thrombotic complications after PSE and was later diagnosed with myelodysplastic syndrome. Conclusions: PSE is a safe and effective alternative in the management of pediatric PHTN in select populations. PSE may be a favorable alternative to splenectomy and portal systemic shunting because it preserves functional spleen mass and avoids postprocedure accelerated liver disease or encephalopathy.
Functional analysis of haplotypes and promoter activity at the 5′ region of the human GABRB3 gene and associations with schizophrenia

This study investigated the effects of haplotypes T‐G and C‐A derived from NG_012836. 1:g.4160T>C and NG_012836. 1:g.4326G>A on protein expression levels in vitro and identified the functional sequence in the regulatory region of the GABRB3 gene linked to possible associations with schizophrenia.
A New Measure of Spread Exposure in Credit Portfolios

The paper proposes a new measure of spread exposure for corporate bonds portfolios based on a detailed analysis of credit spread behavior. We find that changes in spreads are not parallel but rather linearly proportional to the level of spread, whereby bonds trading at wider spreads experience larger spread changes. Consequently, systematic spread volatility of a sector is proportional to its spread; similarly, the idiosyncratic spread volatility of a particular bond or issuer is proportional to its spread, irrespective of sector, maturity and time period. We confirm that the behavior of spreads results in excess return volatility being proportional to Duration Times Spread (DTS). We demonstrate the advantage of DTS over spread-duration in forecasting excess return volatility and portfolio construction and discuss the implications of our findings for the formulation of investment constraints, asset allocation, risk modeling and performance attribution. DTS is a registered service mark of Lehman Brothers * Arik Ben Dor (corresponding Author), Analyst, Quantitative Portfolio Strategy, Lehman Brothers, tel +1-2125267713, abendor@lehman.com ** Lev Dynkin, Head of Quantitative Portfolio Strategy, Lehman Brothers, tel +1-212-5266302, ldynkin@lehman.com § Jay Hyman, Senior Analyst, Quantitative Portfolio Strategy, Lehman Brothers, tel +972-3-6238745, jhyman@lehman.com † Patrick Houweling, Senior Quantitative Researcher, Robeco Asset Management, tel +31-10-2243538, P.Houweling@robeco.nl ‡ Erik van Leeuwen, Senior Portfolio Manager, Robeco Asset Management, tel +31-10-2242543, E.M. H.van. Leeuwen@robeco.nl ± Olaf Penninga, Senior Portfolio Manager, Robeco Asset Management, tel +31-10-2242048, O.Penninga@robeco.nl
Defocus Blur Detection via Multi-Stream Bottom-Top-Bottom Network

Defocus blur detection (DBD) is aimed to estimate the probability of each pixel being in-focus or out-of-focus. This process has been paid considerable attention due to its remarkable potential applications. Accurate differentiation of homogeneous regions and detection of low-contrast focal regions, as well as suppression of background clutter, are challenges associated with DBD. To address these issues, we propose a multi-stream bottom-top-bottom fully convolutional network (BTBNet), which is the first attempt to develop an end-to-end deep network to solve the DBD problems. First, we develop a fully convolutional BTBNet to gradually integrate nearby feature levels of bottom to top and top to bottom. Then, considering that the degree of defocus blur is sensitive to scales, we propose multi-stream BTBNets that handle input images with different scales to improve the performance of DBD. Finally, a cascaded DBD map residual learning architecture is designed to gradually restore finer structures from the small scale to the large scale. To promote further study and evaluation of the DBD models, we construct a new database of 1100 challenging images and their pixel-wise defocus blur annotations. Experimental results on the existing and our new datasets demonstrate that the proposed method achieves significantly better performance than other state-of-the-art algorithms.